CITY CLERK'S DATE STAMP
CITY OF RIALTO
SANTO, CAUSE
LIABILITY CITY OF RIALTO
CLAIM FOR DAMAGES 2026 AFR 29 PH 2: 14
TO PERSON OR PROPERTY
"LOSINCE
CITY CLERA
1. Claims for death, injury to person, or to personal property must be filed not later than six (6) months after the occurrence (Gov. Code §911.2).
2.Claims for damages to real property must be filed not later than one (1) year after the occurrence (Gov, Code $911,2). RETURN TO:
3.READ ENTIRE CLAIM FOR BEFORE FILING Rialto City Clerk's Office
4. ATTACH SEPARATE SHEETS, IF NECESSARY, TO GIVE FULL DETAILS Mail: 150 S. Palm Ave., Rialto, CA 92376 Address: 290 W. Rialto Ave., Rialto, CA 92376
CLAIMANT INFORMATION:
Ernesto Ruiz
FULL NAME DATE OF BIRTH
HOME ADDRESS INCLUDING CITY, STATE & ZIP HOME TELEPHONE NO.
BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP BUSINESS TELEPHONE NO.
ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE 810 W 7th st, Unit C, San Bernardino, 92410
NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above):
27/2025 TIME NIA • AM O PM
1. WHEN DID DAMAGE OR INJURY OCCUR? DATE:
2. PLACE OF ACCIDENT (OCCURRENCE) BE SPECIFIC - Describe fully and (if applicable) locate on diagram on reverse side of this sheet.
Where appropriate, give street names and addresses, measurements and landmarks.
See Attached
3. HOW DID DAMAGE OR INJURY OCCUR?
see attached
4. WERE POLICE AT THE SCENE? * YES DINO WERE PARAMEDICS AT THE SCENE? • YES* NO
5. WHAT PARTICULAR ACT OR OMISSION DO YOU CLAIM CAUSED THE INJURY OR DAMAGES? Give the name of the city/town employee causing the injury or damage, if known.
See Attached
6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage $_$18,000,000.00 HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please affach 2 estimates.
DAMAGES INCURRED TO DATE: See Attached
Item/Date: Amount: $
Item/Date: Amount: $
TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIM: $18,000,000.00 ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN:
Item/Date: Amount: $
Item/Date: Amount: $.
TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES: $.
7. WITNESSES TO DAMAGE OR INJURY List all persons known to have information (attach additional pages, if necessary) NAME: NAME:
ADDRESS: ADDRESS:
TELEPHONE: ) TELEPHONE: |1
8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITAL(S) VISITED:
NAME: NAME:
ADDRESS: ADDRESS:
TELEPHONE: |). TELEPHONE: |)
DATE: TIME: DAM OPM DATE: TIME: D AM PM
9. PLEASE READ THE FOLLOWING CAREFULLY:
For all vehicle accident claims, place on the following diagram, the names of streets, including NORTH, EAST, SOUTH AND WEST directions. Indicate place of accident by "X" and by showing house numbers or distances to street comers.
If a city/town vehicle was involved, designate by letter "A" location of the City/Town vehicle when you first saw it, and by "B" location of yourself or your vehicle when you first saw City/Town vehicle; location of City/Town vehicle at time of accident by "A-1" and location of yourself or your vehicle at the time of the accident by "B-1" and the point of impact by X".
→ NOTE: IF THE DIAGRAM BELOW DOES NOT FIT THE SITUATION, PLEASE ATTACH A PROPER DIAGRAM SIGNED BY THE CLAIMANT.
CURB
PARKWAY
7/F SIDEWALK
I HAVE READ THE FOREGOING CLAIM AND KNOW THE CONTENTS THEREOF; AND CERTIFY THAT THE SAME IS TRUE OF MY OWN KNOWLEDGE EXCEPT AS T THOSE MATTERS WHICH ARE HEREIN STATED UPON MY INFORMATION AND BELIEF; AND AS TO THOSE MATTERS I BELIEVE THEM TO BE TRUE I CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
SIGNATURE OF CLAIMANT OR AGENT
Ernesto Ruiz 04/28/2026
TYPE OR PRINT NAME DATE
Self
RELATIONSHIP TO CLAIMANT
NOTE: PRESENTATION OF A FALSE CLAIM IS A FELONY (CA PENAL CODE 72) RETURN CLAIM TO: RIALTO CITY CLERK'S OFFICE - 150 S. PALM AVE., RIALTO, CA 92376
CITY OF RIALTO
GOVERNMENT TORT CLAIM
2 AFR 23 FN 2:14
(Pursuant to California Government Code § 910 et seq.)
CILY CLERA
TO: CITY CLERK, CITY OF RIALTO
150 S. Palm Avenue
Rialto, CA 92376
CLAIMANTS:
1. Ernesto Ruiz
134 S Willow Ave, Rialto, Ca, 92376
2. Jeffery Sabauste
134 S Willow Ave, Rialto, Ca, 92376
I. DATE AND PLACE OF INCIDENTS
The injuries occurred through a series of targeted law enforcement actions on November 9, 2025, and November 27, 2025, in the immediate vicinity of 134 S. Willow Avenue, Rialto, CA, and within the West Valley Detention Center.
II: DESCRIPTION OF OCCURRENCE (Gov. Code § 910(c))
This claim involves a pattern of retaliatory "street-level" harassment by the Rialto Police Department intended to intimidate the owner and associates of the property at 134 S.
Willow Avenue.
A. Ernesto Ruiz (November 9, 2025):
Mr. Ruiz, the caretaker of the subject property, was walking towards 134 S Willow Ave.
Rialto, Ca, 92376 when he was stopped by Rialto Police. Despite being compliant, a second officer arrived and violently kicked Mr. Ruiz from behind, launching him face-first into oncoming traffic. Mr. Ruiz suffered a dislocated knee and four bruised ribs. He was subsequently detained for 48 hours and denied medical attention. Officers explicitly threatened that requesting medical care would result in a longer jail stay. This incident was a pretextual arrest for "public intoxication" (PC 647(f)) intended to harass the property's management.
B. Jeffery Sabauste (November 27, 2025):
Mr. Sabauste and Mr. Ruiz was targeted for a pretextual property check (Ticket #169320) on South Willow Avenue, directly on the subject property 134 S Willow Ave. Rialto, 92376. This check was part of a "cordon" strategy where Rialto PD monitors and cites any individual entering or exiting 134 S. Willow Avenue to facilitate the City's goal of declaring the property a "public nuisance" for municipal expansion.
IIII. DESCRIPTION OF INJURY AND LOSS (Gov. Code § 910(d))
1. Physical Injuries (Ruiz): Dislocated knee, four bruised ribs, atypical chest pain, and chronic back pain (confirmed by medical records dated 3/20/2026).
2. Emotional Distress: Severe trauma, humiliation, and anxiety resulting from the use of excessive force and the threat of oncoming traffic.
3. Civil Rights Violations: Violation of the Fourth Amendment (unreasonable seizure), the Fourteenth Amendment (Due Process), and the Bane Act (Civ. Code § 52.1).
4. Economic Loss: Loss of wages, medical expenses, and legal defense costs.
IV. PUBLIC EMPLOYEES INVOLVED (Gov. Code § 910(e))
Timothy Sun (Code Enforcement Manager), and other Doe Officers of the Rialto Police Department.
V. AMOUNT OF CLAIM (Gov. Code 8910(f))
The total amount claimed is $18,000,000.00. Because the claim exceeds $10,000, it is an unlimited civil case.
VI. LEGAL BASIS FOR LIABILITY
1. Battery and Excessive Force: The unprovoked physical assault on Ernesto Ruiz.
2. False Arrest/Imprisonment: Pretextual stops without probable cause.
3. Bane Act (Civ. Code § 52.1): Interference with constitutional rights through "threats, intimidation, or coercion." The City's use of physical violence to influence a property dispute constitutes a classic Bane Act violation.
4. Failure to Furnish Medical Care (Gov. Code $ 845.6): Intentionally discouraging and denying medical care for Ruiz's dislocated knee while in custody.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Dated: April 28./2826
Ernesto Ruiz, Claimant
CITY OF RIALTO POLICE DEPARTMENT
• Supenor Court of California Fontana District
7880 Arrow Rd., Fontana, CA 92335
NOTICE TO P:(909) 350-8322*»sb-court.org/divisions/rafiic Superior Court of California Rancho Cucamonge District
SAPPEAR IN COURT AT EAM ORE: 9303 Haven Ave., Rancho Cucamonga. CA 91730 OR @(909) 350-9784 ab-court.org/divisions/criminel-generer-information C Supenor Court of Califomia Juvenile Delinquency
• RESPOND TO CITATION BEFORE: 900 Eat Gilbert St. Bidg 2, San Bernardino, CA 92415 DATE:/- (909) 289-8840w sb-court.org/divisions/juvenile L San Bamardino County Juvenilo Probation
See bact for detailed instructions 17830 Arrow Rd., fontana. CA 9233. 190938-2700 sanbernardinocountyprobation/about-us/juvennie-probation-101 •.
• To be notified ACT BY THIS DATE TO AVOID A WARRANT OR ADDED FEES Date of Violation (mm/dd/yy) Time AMLJPM Driver's License Number (all states) Class State Name (first, middle, last)
Current Address (no. street, city, state, zip)
•Date of Birth (mm/dd/yy) Parent/Guardian Phone No. uvenile Commercial insurance
DY DIN LY LIN
¡ Race / Ethnicity Sax Hair Eyas Height Weight
Vehicle License/VIN State Year of Veh. Make
Registered Owner/Lessee Same as Diver Owner's Responsibilty (VC540001) Model Body Style Address (no., streef. city, state, zip) ]Same as Driver Color Reason for Stop
CITATION DETAILS •Booking Required (see reverse
Correctable (V.C. 40810) M = Misdemagnor
(Fix-lt) Code/Section Description 1 = Intraction (circle:
OYON M
OYON M
OYON M
DYON M
Approx. Speed, PF/Max Speed Speed LimitSafe Spesd Radar/.idar To Commercial Veh.
VC.$ 15210(b)
¡ Location of Violation • Hezardous Mat.
VC $ 353
CITY OF RIALTO
City/County of Occurrenice (if outside Riaito) Agency Case No.
WEATHER CONDITIONS ROADWAY TRAFFIC CONDITIONS CRASH
CLEAR CLOUDY FOG RAIN WET DRY LIGHT MODERATE HEAVY FAT INJ PDO • Violations not committed in my presence, declared on information and bellef. (VC.§ 40600) I declare under penalty of perjury under the laws of the State of CA that the foregoing is true and correct DECL. DATE ARRESTING OFFICER ID 4
DECL. DATE ARRESTING OFFICER (If different from above) ID # ! promise to act by the date at the top of this citation. Signing DOES NOT admit guilt.
CELL PHONE - Optional (may be used for reminders)
SIGNATURE
COPY
Carinuation For D
Farm Adopted for Mandatory Uss
Judicial Council of California Form
TR-130, Traffic/Nontraffic Notice to Appeer (Veh. code B 40500(b), 40513(b), (Revd. Jan 1, 2024)
SEE RE 40522, 40600; Pen code $853.9)
WHAT YOU NEED TO DO
Step Which box is checked on the front of the citation:
APPEAR IN COURT or RESPOND TO CITATION?
Step Follow instructions based on the box checked on the front.
If APPEAR IN COURT is checked on the front
• Your next step: Go to court on the date, time, and location on the front.
Appearing in court is your only option. You can plead guilty or not guilty.
IMPORTANT: Missing court may result in a warrant for your arrest.
Don't let that happen - go to court! The judge will explain next steps → Helpful Tip: Put the court date in your calendar, set a reminder, start planning now → Juveniles: if you were under 18 years old at the time of the violation, you must bring a parent or guardian with you to court.
IFRESPOND TO CITATION is checked on the front
Citations can take up to 14 days to show up in the court system.
Keep checking fo find your citation, and then complete Option A. B. C, or D by the date listed on front. • Your next step: Choose an option below and respond by the date.
IMPORTANT: Not responding by the date on the front can result in a "failure to appear" charge, a guilty finding, an additional fee of up to $100, and a hold on your car registration (owner's responsibility) Choose on of the options below to avoid these penalties:
- Option A: Pay or Ask for a Reduction (Gullty Finding) - Pay (online, call. in person). If you cannot pay in full now, contact the court (see front for cortact information) to request a payment pian or extension. - Ask for a reduction at MYCITATIONS.COURTS.CA.GOV (takes about 10 minutes).
Note: This option may add points to your driving record and affect insurance. - Option B: Request Traffic School To avoid points on your driving record, you can request traffic school. You pay the citation plus an additional traffic school fee and complete traffic school. Contact the court to see if you are eligible. - Option C: Dispute the Citation (Plead Not Guilty) You can dispute the cilation in person by requesting a court date for a trial (no cost) or by mail ("trial by written declaration"), which requires you to pay the fine up front (amount returned if citation is dismissed). Contact court for more details (court info on front of citation). - Option D: Correctable ("Fix-It") If "Correctable" is checked on the front, first show an officer, authorized inspection agency, or DMV (license and registration issues only) that you fixed the issue and they will sign the citation (below). Then, you must show the court that you fixed the issue to have the violation dismissed. You must also pay a transaction fee. For insurance issues, you must show the court you had insurance when you got the ticket and pay a transaction fee.
CERTIFICATE OF CORRECTION (MUST BE RETURNED TO COURT)
Section(s) Signature of Person
Violated Certifying Correction Serial No. Agency: Date
if "Booking Required" is checked on front, call 909-350-9764 to schedule an appointment before the court date. You will not be arrested and will attend your court date on your own.
MORE INFORMATION
For translations and general To contact the court, see front of citation for information about the process visit court's website and phone number. https://www.courts.ca.gov/forms.htm. The court will send notice explaining neat steps. (Rov. Jan 1, 2024)
CITY OF RIALTO POLICE DEPARTMENT
Superior Court of California Fontana District
17880 Arrow Rd., Fontana. CA 92335
NOTICE TO: 2 (909) 350-9322w sb-court.orgidivisions/traffic • Supenor Court of California Rancho Cucamonga Distnct
JAPPEAR IN COURT AT_ 8303 Haven Ave., Rancho Cucamonga, CA 91730 OR 8(909:350-9764 sh-court.org/divisions/criminal-peneral-mformation • Superior Court of Califomia Juvenile Delinquency
•RESPOND TO CITATION BEFORE: 900 Easi Gilbert St. Bidg 2, San Bernardino, CA 92415 2(909) 269-8840-+ sb-court.org/divisions/juvenile
DATE:
• San Bernardino County Juvenile Probation
7830 Arrow Rd., fontana, CA 92335
See back for detailad instructions 0(909) 383-2700-sambernardinocountyprobetion/bout-us/juvenile-probation-101 O-
•To be notifler: ACT BY THIS DATE TO AVOID A WARRANT OR ADDED FEES Date of Violation.(mm/dd/yy) Time LJAM_/PM Driver's License Number (all states) Class State Name (first, middle, last)
Current Address (no., street. city, state. zip)
Date of Birth (mm/dd/yy) Parent/Guardian Phone No. Duvenile Commercial Insurance DY ON
Race / Ethnicity / Sax Hair Eyes Height Weight
Vehicle License/VIN State Year of Veh. Make
Registered Owner/Lessee same as Driver Owner's Responsibility (VC540001): Model Body Style Address (no., street. city, state, zip) same as Dover Color Reason for Stop
CITATION DETAILS •Booking Required (see reverse)
Correctable (V.C. 40690) MA = Misdemeanor
Code/Section Description 1= Infraction (cincio)
OYON
DY LIN M
iDYON M
OYON M
Approx. Speed PF/Max Speed Speed Limit Safe Speed , Radar/Lidar D] Commercial Veh.
VC.§ 15210(b)
Location of Violation • Hazardous Mat.
CITY OF RIALTO VCS 353
City/County of Occurrence (if outside" Riatio) Agency Case No.
WEATHER CONDITIONS ROADWAY TRAFFIC CONDITIONS CRASH
CLEAR CLOUDY FOG RAIN WET DRY LIGHT MODERATE HEAVY FAT INJ INS PDO * Violations not committed in my presence, declared on information and belief, (VC.S 40600) I declare under penalty of perjury under the laws of the State of CA that the foregoing is true and correct DECL. DATE ARRESTING OFFICER ID#
DECL. DATE ARRESTING OFFICER (if different from above) ID # I promise to act by the date at the top of this citation. Signing DOES NOT admit guift.
CELL PHONE - Optional (may be used for reminders)
SIGNATURE
DANT COPY
Continuation For O
Form Adopted for Mandatory Use
Judicial Council of California Form
TR-130, Traffic/Nontraffic Notice to Appear (Vieh code $ 40500(b), 40513(b), (Rev'd. Jan 1, 2024) 40522, 40600; Pen code 58539)
WHAT YOU NEED TO DO
Step Which box is checked on the front of the citation:
APPEAR IN COURT or RESPOND TO CITATION?
Step Follow instructions based on the box checked on the front.
I APPEAR IN COURT is checked on the front
• Your next step: Go to court on the date, time, and location on the front.
Appearing in court is your only option. You can plead guilty or not guilty.
IMPORTANT: Missing court may result in a warrant for your arrest.
Don't let that happen - go to court! The judge will explain next steps → Helpful Tip: Put the court date in your calendar, set a reminder, start planning now. → Juveniles: If you were under 18 years old at the time of the violation, you must bring a parent or guardian with you to court.
IF RESPOND TO CITATION is checked on the front
Citations can take up to 14 days to show up in the court system.
Keep checking to find yaur citation, and then complete Option A, B. C. or D by the date listed on front • Your next step: Choose an option below and respond by the date.
IMPORTANT: Not responding by the date on the front can result in a "failure to appear" charge, a guilty finding, an additional fee of up to S100. and a hold on your car registration (owner's responsibility).
Choose on of the options below to avoid these penalties:
- Option A: Pay or Ask for a Reduction (Guilty Finding) - Pay (online, call, in person). if you cannot pay in full now, contact the court (see front for contact information) to request a payment plan or extension. - Ask for a reduction at MYCITATIONS COURTS.CA. GOV (takes about 10 minutes).
Note: This option may add points to your driving record and affect insurance. - Option B: Request Traffic School To avoid points on your driving record, you can request traffic school. You pay the citation plus an additional traffic school fee and complete traffic school. Contact the court to see if you are eligible. - Option C: Dispute the Citation (Plead Not Guilty) You can dispute the citation in person by requesting a court date for a trial (no cost) or by mail (trial by written declaration"), which requires you to pay the fine up front (amount returned if citation is dismissed). Contact court for more details (court info on front of citation). - Option D: Correctable ("Fix-It") if "Correctable" is checked on the front, first show an officer, authorized inspection agency, or DMV (license and registration issues only) that you fixed the issue and they will sign the citation (below). Then, you must show the court that you fixed the issue to have the violation dismissed. You must also pay a transaction fee. For insurance issues, you must show the court you had insurance when you got the ticket and pay a transaction fee.
CERTIFICATE OF CORRECTION (MUST BE RETURNED TO COURT)
Section(s) Signature of Person
Violated Certifying Correction Serial No. Agency Date
If "Booking Required" is checked on front, call 909-350-9764 to schedule an appointment before the court date. You will not be arrested and will attend your court date on your own.
MORE INFORMATION
For translations and general To contact the court, see front of citation for Information about the process visit court's website and phone number. https://www.courts.ca.gov/forms.htm The court will send notice explaining next steps. (Rev. Jan 1. 2024)
CITY OF RIALTO POLICE DEPARTMENT 169320
• Sootier Cont of Calforia Fontina Drate
17903 AMCseid., Fantons. CA.135
NOTICE TO
APPEAR IN COURT AT.. 61909) 350-9784 st-court org/dissors/cinnet-geoscal-clamams 8303 Havan Ag. Raneno Cocamonga, CA51730 OR
RESPOND TO CITATION BEFORE Stir Comer 2 Sanenera C 00 Eat Gibert 2: Bala 2 San Bernanimo. Ca 52415 DATE: I San Beard no Come reenile Probaten
17a50 Aron Pal tortsca. CA 92135
ACT BY THIS DATE TO AVOID A WARRANT OR ADDED FEES
MOPM On Class: State
Date of Violation (mm/ddy/ Time CA
Name (first, middle, last)
Carem: Address (no. street, dry. siate, zip
Parent/Guardian Phone No. Juvenile Commercia insurance
Daie of Birth (mm/dd/yy) OY ON
TSex Har Eyes Height Weight
Race Ethnicity
Year of Veh. | Make
State
Vehicia License/VIN
Registered Owneriese same as Dier owner's Responsibly /C 41001) Model Body Style Hadress (no. street, cly, seis, zip) Lisame as Omar Color Reason for Stop
[Booking Required (see reverse)
CITATION DETAILS
Cose Section Descriptioni Taictaction icace!
11 OYON M
IOYON M
GYON
Approx. Speed PF/Max Speed: Speed Lini Safe Speed i Radar/Lidar • Commercial Veh VC.8 15210(b
Location of Violation
• Hazardous Mat.
VCS 353
CITY OF RIALTO
City/County of Occurrence if outside Rises) Agency Case No.
WEATHER CONDITIONS ROADWAY TRAFFIC CONDITIONS CRASH
CLEAR CLOUDY FOG RAIN WET DRY LIGHT MODERATE HEAVY FAT INJ PDO i docking penited it a perty presence, declared on information and belief. VC 3 406ui traw and corruct
OFEI GATE ARRESTING OFFEN
DECL DATI ARRESTING OFFICER (it different Pom de
i promies to set by the deto at the top of this chatten. Signing DOES NOT admi guilt CELL PHONE - Opten (may be and for manders)
SIGNATURE
DEF CHDANT COPY
Continuation Form D
Form Adepled for Mandairy Lar
Awficial Caunel of Calfore Form TR 130. fraila/Nonbraffic Notice to Appea (Veh. codeS 40500(b),
sand 1001.2024) opens: 40522 Aema
Booking No San Bernardino County Sheriff's Department DR/Case No.
Date/Time Booked Arresting Agency
ARREST/BOOKING APPLICATION Date of Arrest
SSN
DL/ID No. State Time of Arrest
Middle Aka or Maiden Name
Name Last First
Har Eyes Race Place of Birth Country of Crizenship
Sex DOB Age.
Arrested With Associaled DR#
State Phone - Home & Gell
Address No. and Steer City
Spouse/Domestic Partzer Home Phone Ceil Phone
Employer Address Employer Phone Type of Job
Empiyer
Clothing Descripion Veleran? DYes O No
Branch
Name of Parole or Probation Officer PO's Office/Address PO's Phone Are you out on Bail? • Yes No
OR Release? • Yes • No
Place of Arrest Location of Vehicle
Make Model Chio
License No. of velace
BOOKING CHARGES
ARREST TYPE: S = On Site W= Warrant H = Hold C = Citizen O = Other M/F Definition Court Warrant No. Bail
Type Charges
Other Agency Hold Code Secton Wenran Ne
(OC, FUG. INS, Efc:
Any injuries or linesses? • Yes ONe Any Regured Medications? • Yes if Yes to Either, Explain on Medical Screening Receiving Fort Medical Exarnation Prior to Booking? • Yes• No Hospital Where Trealed I Yes, Attach Hospital/Clinic Referral Fought with Law Enfercement? • Yes No Fought wth Other than Law Enforcemen? • NC Use of Force O LVNR • Taxer • oc DASP Tee.
Rendered Unconscious? Yes • No
Special Instructions and Mandatory Information
TATTOOS/SCARS:
Emergency Notification DESCRIPTION (indicate any gang tattoos) Name/Relationship Home & Cell Phone CHEST
Address BACK
Name/Relationship Home & Celi Phone NECK
HEAD
Address
00 FACE
Amount of Money
R ARM
Arresting/Transporting Officer Signature
TARM
Additional Comments
RIEG
LIEG
Arresting Officer
Transporting Officer BIRTHMARK
Agency OTHER
24-hour Agency or investigating Officer Contact Phone No. (Required for All Arrests RE: High Profile Release Notification)
Marsy's Law Notification/ Agency Agency & 24 hr Phone No.
Agency Contact Time and Date Who Was Contacted? By Whom REV 02/18 15-6554-401 Rev. 11/18
March 19, 2026
To whom it may concern,
On Saturday November 8th, 2026, at approximately 8:30 pm I began walking home from Fontana to Rialto going eastbound on Arrow Highway. I was walking home from attending band rehearsal as I am a singer and a musician. About half ways through the walk home about 30mins in, I began to sweat and my shirt got wet. As a singer I knew I couldn't get sick, therefore I took my shirt off for the rest of the walk home. I was alone the whole walk didn't interfere with one person at all; it was a very peaceful walk. I was approximately one block away from my house. I live right next to the police station they know exactly who I am because I have been dealing with the city and the police department over my building being unfairly red tagged. The officer was barely pulling out of the police department 1 believe they were starting their shift.
As I continued walking at a normal pace without any problems, he made an illegal U- turn and lite me up. I politely greet the office. I'm sure as he saw me walking down the street with no shirt it could cause some concern that I possibly needed help or maybe got into a fight and lost my shirt. At this moment I'm not sure why he detained me, but I remained compliant and explain my situation to the officer. I pointed to exactly where I live, you could see my house from where I was stopped.
I attempted to be responsible by walk, as my driver was slightly intoxicated to drive andI could not miss rehearsal. Everyone was only waiting on me to begin. I told him I took my shirt off because I've been walking since Fontana and Sierra by the other Fontana Police Department and I didn't want to get sick from my wet shirt. I have no tattoos or have I ever been arrested in my life. He asks for my identification, and I asked if 1 was being detained and if I was, what crime was I suspected of committed. He stated: well, you're out here by our police cars with no shirt on. I politely said I understand but I told you I'm walking home, and I didn't want to get sick, so I took my shirt off. I told him I have no criminal record, but I still give him my license number, he ran my information without probably causing or justification. At that time a second police officer shows up as back up. I recognize the cop immediately from a previous encounter I was not a part of but witness too. He is rude to people and goes beyond his job title and was definitely abusing his status and power. I told the arresting officer" Oh man this isn't goingto end well I know that officer he is a gunnie from the army" when that officer heard that comment he whispered into the arresting officer ear, but I'm too far away to hear what he said. At this point they knew who I am and where I lived, at the house they want to but to build their new parking lot. My backyard is the police station parking lots for all the civilian vehicles they have already bought the old mortuary next to me and have been fighting with me to get my property unjustly. At this point I'm fully compliant and have answered every question they have but have not answered any of mine. I am sitting on the curb with my hands behind my back but without cuffs, I still don't get any answers about why I'm being detained or what crime I haven't been suspended of committing. I believe at this point is when this went astray.
The arresting officer comes and tries to cuff me. Without reading me my rights or telling me why I'm being arrested in the first place at all. While I'm sitting on the curb, I move my hands to the front of me without trying to get up and say, "hey this is illegal you need to tell me why I was detained and especially why I'm being arrested". I can see my house I'm so close had no problem at all the whole walk home until I got stopped by Rialto PD. The second aggressive officer suddenly kicks me from the back into the street completely caught off guard I several damage both of my knees and fall face first into the street into oncoming traffic. At this point I'm scared from my life because I don't want to get hit by oncoming traffic since I was completely caught off guard, I was literally in the middle of the street they scrap me all over the ground unnecessarily. And then once I'm upset and blown away by the way I've been treated then they tell me public intoxication. They never did any sobriety tests or read me my rights I told them I had come from a show and a couple drinks there, but I was never driving I choose to do the right thing and just walk home. What kind of world do we live in here the people sworn to protect and serve us are allowed to treat civilians like this and get away with breaking the law?
At this point I'm in the back of the police going to the Rialto police department 50 feet from my house. Unbelievable that something like this happened. I'm put in the tank and then transferred to West valley when my ticket says cite and release. I spend over 48 hours in jail with a dislocated knee and 4 bruised ribs and scratches and bruises everyone and they didn't even give me my shirt back. When I got out and started getting transferred to West valley that's when my knee started to swell up extremely bad, but no one cared I felt humiliated and degraded. I was being treated like an animal without any criminal history. I believe what they did was to scare me away from my property and retaliation for the headache we have given the police department and the city of Rialto. I felt they want to bend the rules in their favor to ultimately break the law and bulldoze my house
Under certain laws the property I caretake for is a history by building it cannot build taking down for any parking lots or parks or any other city services. It's the law. Once I get to West valley I'm in terrible pain and can barely walk I tell the officer who is transferring me there that "hey I think I need medical attention for my knee I'm in a lot of pain" she says if I ask for medical attention I will stay longer in jail Which makes no sense to me at all. Remember I have never been arrested or in jail my whole 38 years on this planet I don't know how the jail system works but I know from firsthand experience that it's broke. I was coached and groomed into not telling the first medic that checked me in about my condition I'm limping to the medical office and the officer says " stop limping or you're going to stay longer" I tell her I can't help it I'm in excruciating pain. I sit with the medic and say I'm fine because I don't want to stay longer in jail after I get checked in I ask for medication and I'm denied I asked for a shirt and took them almost 28 hours for a shirt. We don't have toilet paper, and I have to shit on the toilet for an hour without being able to wipe I'm on the toilet so long without paper I fall asleep
That was the most humiliating part of my life to date I will never forget that experience and the traumas people are put thru
8 domestic violence cases 3 DUIs case and 2 illegal arm possession and I'm the only one with severe injuries. I was targets and intimidated but the Rialto police department and am I asking for a full investigation on the actions taken by both officers on scene and full body camera footage of both officers and the video camera footage of West valley showing me limping and being couched to not say anything and hide the abuse and assault of the officers. I will be taking legal against to make sure no one else suffers this injustice by the people sworn to protect. I can provide pictures and documentation from Arrowhead hospital. That is the hospital I went to immediately after getting out of that hell hole you guys' call. Jail...
Discharge Instructions Document RUIZ JR, ERNESTO - 3800710813(SBM) Fontana Urgent Care
17051 Sierra Lakes Parkway Suite 102
Fontana, CA 92336 •
(909) 428-1800
DOB:
RUIZ, ERNESTO MRN:
Visit Date: 03/20/2026
SAFE PAIN MEDICINE PRESCRIBING
We care about you. Our goal is to treat your medical conditions, including pain, effectively, safely and in the right way.
Pain relief treatment can be complicated. Mistakes or abuse of pain medicine can cause serious health problems and death.
Our emergency department will only provide pain relief options that are safe and correct.
For your SAFETY, we routinely follow these rules when helping you with your pain.
1. We look for and treat emergencies. We use our best judgement when treating pain. These recommendations follow legal and ethical advice.
2. You should have only ONE provider and ONE pharmacy helping you with pain. We do not usually prescribe pain medication if you already receive pain medicine from another health care provider.
3. If pain prescriptions are needed for pain, we will only give you a limited amount..
4. We do not refill stolen or lost prescriptions for pain medication.
5. We do not prescribe long-acting pain medicines such as: OxyContin, MSContin, Fentanyl (Duragesic), Methadone, Opana ER, Exalgo, and others.
6. We do not provide missed doses of Methadone.
7. We do not usually give shots for flare-ups of chronic pain.
8. Health care laws, including HIPAA, allow us to ask for all of your medical records. These laws allow us to share information with other health providers who are treating you.
9. We may ask you to show a photo ID when you receive a prescription for pain medicines.
10. In California, we use the California Prescription Drug Monitoring Program called CURES. In Arizona and Nevada, we use the Prescription Monitoring Program that has oversight by the Arizona and Nevada state boards of pharmacy. These statewide computer systems track opioid pain medications and other controlled substance prescriptions.
If you need help with substance abuse or addiction, please call 1-800-662-HELP (4357) for • Page 1 of 9
Discharge Instructions Document RUIZ JR, ERNESTO - 3800710813(SBM) confidential referral and treatment.
Sponsored by:
American College CMA AZHHA
of Emergency Physicians California Arizona Hospital
ADVANCING EMERGENCY CARE Medical Association and Healthcare Association
NHA ENA KAISER PERMANENTE
Nevada Hospital Association Emergency Nurses Association Safe Practice, Safe Care
California State Council
Emergency Department Patient
Discharge Instructions
If your 'symptoms continue or worsen, return to the emergency department or contact your physician.
If you have questions about your discharge instructions, call the phone number above.
Providers
Attending Physician - Bearie, Brian J MD
Primary Care Physician - PCP, Not on Staff
Reason for Visit
SOB - Shortness of breath, UC - Rib/Trunk Pain or Swelling • Discharge Diagnosis
Acute on chronic back pain
Atypical chest pain
•
Rib pain
Discharge Vitals
T: 36.6 °C (Tympanic) HR: 103 (Monitored) RR: 20 BP: 122/80 SpO2: 98% Time patient left the UC
These instructions are intended to provide general information and guidelines to follow at home to properly care for your particular medical problem. The following diagnostic tests and/or procedures were performed during your stay. • Page 2 of 9
•
Discharge Instructions Document RUIZ JR, ERNESTO - 3800710813(SBM) Tests Performed
CXR 1 View AP or PA
Follow-up Instructions:
All referrals for follow up medical care may require approval by your insurance carrier. Any provider contact information (below) is provided to assist you in getting the follow up we recommend. However, it's important that you first check with your insurance provider to assure that the provider is in your network and such a visit will be covered. Some plans may require a Primary Care doctor to provide a referral for specialist appointments.
You May Need to Schedule the Following Appointments
Follow Up with Not on
Staff PCP
When Within 1 to 3 days
Follow Up with Go to the
emergency room if you have
any worsening or new signs
or symptoms
When Within As soon as
possible
We encourage you to sign up for My Portal, where you can easily access your medical records and test results from all Dignity Health care centers. •
Please sign up in one of the following ways:
1. Email invitation. You may have a message in your inbox. Please click the link provided to create an account. OR
2. Request an invitation at your next clinic or hospital visit. Please ask a staff member and they will be happy to assist you.
• Page 3 of 9
Discharge Instructions Document RUIZ JR, ERNESTO - 3800710813(SBM) Medications
What How When Instructions
much
New cyclobenzaprine 1 tab Three times daily | Duration: 7 Days (cyclobenzaprine 5 mg (s) as needed for Do NOT drive or operate oral tablet) By Muscle spasm machinery when taking this mouth medicine. This medicine may
cause drowsiness.
Pickup at RALPHS
PHARMACY 70300113
New ibuprofen (Motrin 400 1 tab Every 6 hours as Pickup at RALPHS mg oral tablet) (s) needed for Pain PHARMACY 70300113
By Mild to Moderate
mouth (1-6)
Pharmacy Information
RALPHS PHARMACY 70300113: 16225 Sierra Lakes Pkwy Fontana, CA 923361245 (909) 357 - 2525
Discharge Orders
Discharge Orders:
Discharge to Now, Home or self care
Education Materials
Costochondritis
Sternum
• Cartilage
- Rib
Discharge Instructions Document RUIZ JR, ERNESTO - 3800710813(SBM) Costochondritis is irritation and swelling (inflammation) of the tissue that connects the ribs to the breastbone (sternum). This tissue is called cartilage.
This condition causes pain in the front of the chest. The pain often starts slowly: It may be in more than one rib.
What are the causes?
The cause of this condition is not always known. It can come from stress on the sternum. The cause of this stress could be:
Chest injury. •
Exercise or activity. This may include lifting.
• Very bad coughing.
What increases the risk?
Being female.
Being 30-40 years old.
..... Starting a new exercise or work activity.
Having low levels of vitamin D.
Having a condition that makes you cough a lot.
What are the signs or symptoms?
Chest pain that:
: Starts slowly. It can be sharp or dull.
Gets worse with deep breathing, coughing, or exercise.
• Gets better with rest.
May be worse when you press on your ribs and breastbone.
How is this treated?
In most cases, this condition goes away on its own over time. You may need to take an NSAID, such as ibuprofen. This can help reduce pain. You may also need to:
•
Rest and stay away from activities that make pain worse.
Put heat or ice on the area that hurts.
Do exercises to stretch your chest muscles.
If these treatments do not help, your doctor may inject a medicine to numb the area. This can help relieve the pain.
•
Follow these instructions at home:
Managing pain, stiffness, and swelling
Discharge Instructions Document RUIZ JR, ERNESTO - 3800710813(SBM) •
• If told, put ice on the painful area. To do this:
Put ice in a plastic bag.
Place a towel between your skin and the bag.
Leave the ice on for 20 minutes, 2-3 times a day.
If told, put heat on the affected area. Do this as often as told by your doctor. Use the heat source that your doctor recommends, such as a moist heat pack or a heating pad.
Place a towel between your skin and the heat source.
Leave the heat on for 20-30 minutes.
If your skin turns bright red, take off the ice or heat right away to prevent skin damage. The risk of skin damage is higher if you cannot feel pain, heat, or cold.
Activity •
Rest as told by your doctor.
.. Do not do things that make your pain worse. This includes activities that use your chest, belly (abdomen), and side muscles.
You may have to avoid lifting. Ask your doctor how much you can safely lift.
Return to your normal activities when your doctor says that It is safe. • General instructions
Take over-the-counter and prescription medicines only as told by your doctor.
Contact a doctor if:
•
You have chills or a fever.
••. Your pain does not go away or gets worse.
You have a cough that does not go away.
Get help right away if:
•
Discharge Instructions Document RUIZ JR, ERNESTO - 3800710813(SBM) • You have a hard time breathing.
• You have very bad chest pain that does not get better with medicines, heat, or ice.
These symptoms may be an emergency. Get help right away. Call 911.
Do not wait to see if the symptoms will go away.
• Do not drive yourself to the hospital.
This information is not intended to replace advice given to you by your health care provider.
Make sure you discuss any questions you have with your health care provider.
Document Revised: 07/06/2023 Document Reviewed: 07/06/2023 Elsevier Patient Education © 2025 Elsevier Inc.
Chest Pain Observation
Introductiont is often hard to give a specific diagnosis for the cause of chest pain. Along with other possible causes, your symptoms might be caused by not getting enough oxygen delivered to your heart (angina). Angina that is not treated or evaluated can lead to a heart attack (myocardial infarction) or death.
Blood tests, electrocardiograms, and X-rays may have been done to help figure out a possible cause of your chest pain. After evaluation and observation, your health care provider has determined that it is unlikely your pain was caused by an unstable condition that requires hospitalization. However, a full evaluation of your pain may need to be completed and may include additional tests.
Follow these instructions at home:Eating and drinking
• Decrease your salt intake.
• Eat a balanced, healthy diet. Talk to a dietitian to learn about heart-healthy foods. • Increase your fiber intake by including whole grains, vegetables, fruits, and nuts in your diet.
Lifestyle •
• Maintain or work toward achieving a healthy weight.
Stay physically active and exercise regularly.
• Avoid situations that cause stress, anger, or depression.
Do not use any products that contain nicotine or tobacco, such as cigarettes and e-cigarettes. If you need help quitting, ask your health care provider. • Limit alcohol intake to no more than 1 drink a day for nonpregnant women and 2 drinks a day for men. One drink equals 12 oz of beer, 5 oz of wine, or 1½ oz of hard liquor. • Do not use illegal drugs.
General instructions
•
= ÷
Discharge Instructions Document RUIZ JR, ERNESTO - 3800710813(SBM) • Take over-the-counter and prescription medicines only as told by your health care provider. Report any side effects to your health care provider. Do not stop taking medicines or adjust any dosages on your own.
Keep your blood pressure, blood sugar, and cholesterol levels within normal limits. : Keep all followup visits as told by your health care provider. This is Important. Not keeping your follow-up visits could result in permanent heart damage, disability, or death.
If there is any problem keeping your follow-up visits, call your health care provider.
Get help right away if:
You have severe chest pain or pressure.
: You feel pain or pressure in your arms, neck, jaw, or back. • You have severe back or abdominal pain, feel sick to your stomach (nauseous), or throw up (vomit).
• You are sweating a lot.
• You have a fast or irregular heartbeat.
• You feel short of breath while at rest.
• You have increasing shortness of breath during rest, sleep, or with activity. • You have chest pain that does not get better after rest or after taking your usual medicine.
• You wake up from sleeping with chest pain.
• You cannot sleep because you have trouble breathing.
• You develop a frequent cough or you cough up blood.
• You feel dizzy, faint, or very tired.
These symptoms may represent a serious problem that is an emergency, Do not wait to see if the symptoms will go away. Get medical help right away. Call your local emergency services (911 in the U.S.). Do not drive yourself to the hospital.
This information is not intended to replace advice given to you by your health care provider.
Make sure you discuss any questions you have with your health care provider. •
ocument Released: 01/20/2012 Document Revised: 05/31/2017 Document Reviewed: 06/19/201 Isevler Interactive Patient Education © 2018 Elsevler In •
•
=
Discharge Instructions Document RUIZ JR, ERNESTO - 3800710813(SBM) I understand that Dignity Health is not responsible for any personal belongings/effects or valuables that have not been identified on the valuables and belongings list. Any personal effects brought into the facility and not recorded on the valuables and belongings form are the responsibility of the patient/family/significant other. I have received the indicated patient education materials/instructions and medication list and have verbalized understanding.
Patient Name: RUIZ, ERNESTO
Patient/Responsible Adult Signature:
Date/Time:
Provider Signature:
Date/Time:
....
Fontana Police Department Case #: 25-16035
Holding Facility Date: 12/14/25
Name: K0.2, ERnesTa
Booking receipt for Prisoner
Property
Bracelet Cigarettes Bandana do rag
Watch Clothing Make up
Necklace Comb/Brush Tobacco
Earrings CDL/ID card Toiletries
Ptercing-other Hat Tools
Ring Keys X Other: List Below
Belt Knife X LIGS
Cell phore Hair tiep/chips X GUITAR FE
I-pod, MP3 Lighters/Matches
Billfold/walled Medicine
Purse Money elip
Backpar *': Gloves
Glasses/ Sun glasses CD's
Books/magazines Mise. papers —
Camera Pens Pencils
Comments: Carrency S
Change $ 25 K
Check -
Total
Property Received
12/14/25
Date/Time G2315
Arrestee Signature
470 12/14/25
Jaiter/Officer Signature ID# Date/Time
# Property Returned
12/15/25
Date/Time
estee Signature y @0S02
la70 12/15/25
Jailer/Oficer Signature ID# Date/Time
FPD 333
RUIZ
510
DISORD CONDICT: ALCOHOL ERNESTO
0917 34 0.00 ARREST DATE 11/09/25
DNA Date: (RI)
*,
CITY OF RIALTO POLICE DEPARTMENT 169320
O Sealer Court of Calfem a Farma Danc
11800 aze Rd., Fontene. CA 92135
NOTICE TO: * Soredor Courtel Catfemin Ranora Cocamens Cisint:
APPEAR IN COURT AT BPM ON: 4303 henan Ars. Rancho Cucamonda, GA S1720 0(909) 350-97de st-court orgdicians/erim/at-general-in/sanaaor [3 Spener Courtes Califomia Juvenile Datinguenc
RESPOND TO CITATION BEFORE: 90) Enel Giber St Bida 2 San Bernanda. CA 1-2415 DATE: _ - ] San Demard no Cour Jinerde Proteston
11830 Mica Ret tuntma CA 92335
ACT BY THIS DATE TO AVOID A WARRANT OR ADDED FEES
Class | State
Date of Violation (mm/dd/yy/ Time JAM)PM Driver's License Number (all states) Name first, middle. Inst)
Current Address too. Street city, siate, zip
Commercial Insurance
Date of Birth (mm/dd/yy) (Parent/Guardian Phone No. Luvenile
OY ON DY ON
Eyes Height Weight
TSex Hair
Flace / Ethnicity
State Year of Veh. Make
Yehicle License/VIN
Registed Cune: Lassie CiSame as Die owner's Responstity (VO.410001; Model Body Style midrass no. strel, cly, site, zip) sane as onior Entor
Reason for Stop
(Socking Required (see reverse)
CITATION DETAILS
Description
M
DYON
LY ON M
OYON M
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Approx. Speed FF/Max Speed Speed Limit Safe Speed TRadar/Lidar • Commercial Veh VC. 15210(b)
(Location of Vioiation • Hazardous Mat
VC.3 353
CITY OF RIALTO....
City/County of Occurrence (il outside Rialto) Agency Case No.
WEATHER CONDITIONS ¡ ROADWAY TRAFFIC CONDITIONS CRASH
CLEAR CLOUDY FOG RAIN WET DRY LIGHT MODERATE HEAVY FAT INJ PDO fry presence, declared on information and bellei VC 3 40600) raw and conuct.
DECI GATE ARRESTINO GEERLE
DECL DATE ARRESTING OF PICER (I effort than oboe
I promiao to not by to dain at the tap of this clatton, Signing DOES NOT admit gull.
CELL PHONE Opturn may he used for romanest
SIGNATURE
DEFENDANT COPY
Continuation Form (
Form Adopted for Mandalary Usc
turieral Council of Californta Form
TR-130 (Veh. code 3061040).
40522 400m.