UNITED STATES DEPARTMENT OF JUSTICECIVIL RIGHTS DIVISION

– SPECIAL LITIGATION SECTION
950 Pennsylvania Avenue NW
Washington, D.C. 20530

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FORMAL COMPLAINT
Systemic Medical & Psychiatric Misconduct
Williamson County Jail – Georgetown, Texas
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Complainant:  LeRoy Nellis II 
Email:  leroynellis2@gmail.com 
Date:  October 24, 2025 

Agencies for Concurrent Notice:
• U.S. Department of Justice – Civil Rights Division (Special Litigation Section) 
• U.S. Department of Health and Human Services – Office for Civil Rights 
• Texas Medical Board 
• Texas Department of State Health Services 
• Texas EMS Licensing & Trauma Systems Office 
• Texas Commission on Jail Standards (TCJS) 
• U.S. Food and Drug Administration – Office of Criminal Investigations 

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I.  EXECUTIVE SUMMARY
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This complaint details systemic medical and psychiatric violations at the
Williamson County Jail (Georgetown, TX), including the prescription of
psychotropic medication without continuous oversight by licensed physicians,
unlicensed medical staff dispensing drugs, and prolonged solitary confinement
causing measurable physical and psychological harm.

The practices described herein violate the Eighth and Fourteenth Amendments,
42 U.S.C. § 1983, and 34 U.S.C. § 12601 (CRIPA).  Supporting evidence is
attached as Exhibits A–F and Addendum G.

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II.  ALLEGATIONS SUMMARY
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1.  Unlicensed or Insufficiently Supervised Prescribing
 • Psychotropic medications dispensed while psychiatrist coverage limited to
16–20 hours per week. 
 • No full-time physician presence; reliance on mid-level practitioners.

2.  Misrepresentation of Credentials
 • Jail medics and correctional medical officers wore EMS patches yet refused
to disclose license numbers. 
 • Individuals identified as “Dr. Alan Brooks” and “Dr. Ghulam M. Khan” practiced
without active Texas Medical Board licenses.

3.  Failure of Care and Emergency Access
 • Delayed or denied diabetic medications and glucose readings. 
 • Injection of “50 cc’s of COVID vaccine” by EMT Larry Davis without physician
order. 
 • Refusal of hospital transport during active bleeding and poisoning
symptoms. 

4.  Improper Delegation of Medical Authority
 • Mid-level staff operated outside their scope under Texas Occupations Code §157. 
 • Nurse Practitioner handled daily care for 550–600 inmates with intermittent
telephonic MD consultation.

5.  PDr. Ghulam M. Khan and Medical Neglect
 • Complainant held in solitary confinement for 326 consecutive days. 
 • During that period, deprived of exercise, adequate nutrition, sunlight, and
routine medical assessment. 
 • No psychiatrist visit recorded for over three months at several intervals.

6.  Systemic Pattern
 • 2019 TCJS inspection found failures to carry out physician orders. 
 • 2024–2025 lawsuits (e.g., Tijerina v. Williamson County) produced a
$1.15 million settlement for denial of care and restraint abuse. 
 • Part of ongoing DOJ and Texas Rangers investigations into county jail
medical neglect.

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III.  REQUESTED DOJ ACTIONS
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1. Open a pattern-or-practice investigation under 34 U.S.C. § 12601. 
2. Audit 2022–2025 prescription and delegation logs to identify unlicensed activity. 
3. Verify licensure and hours of Dr. Khan and any contractors (Adelphi Medical Staffing, GreenLife Healthcare Staffing). 
4. Coordinate with Texas Medical Board and TCJS to require 24/7 physician/psychiatrist coverage. 
5. Ensure transparent public release of findings and compliance plan.

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IV.  LEGAL FRAMEWORK
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• Estelle v. Gamble, 429 U.S. 97 (1976) – deliberate indifference to serious medical needs. 
• Kingsley v. Hendrickson, 576 U.S. 389 (2015) – objective reasonableness standard for pre-trial detainees. 
• 42 U.S.C. § 1983 – civil liability for deprivation of rights. 
• 34 U.S.C. § 12601 – CRIPA pattern-or-practice authority. 
• Texas Occupations Code §157 – delegation of prescriptive authority. 
• Texas Health & Safety Code Chs. 571–578 – mental-health treatment standards.

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V.  SUPPORTING EXHIBITS
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| Exhibit | Title | Purpose |
|———-|——–|———-|
| A | Texas Jail & Pre-Trial Detention Case Summary (2024–2025) | Establishes statewide pattern of medical neglect. |
| B | Williamson County Medical & Psychiatric Research Report (2025) | Shows part-time psychiatrist coverage and oversight gaps. |
| C | Williamson County Jail Medical & Psychiatric Hiring Record (2018–2025) | Quantifies contractual hours and prescribing authority. |
| D | WILCO Abuse Classification Matrix | Defines coercive and torture categories. |
| E | Liberty Before Conviction – Constitutional and Human Rights Dimensions | Provides legal and human-rights analysis. |
| F | MAP-FEDERALISM – Dual Sovereignty Framework | Explains structural accountability void. |
| G | Website-Sourced Medical Infractions Addendum | Documents first-hand allegations and publicly posted records. |

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VI.  ADDENDUM G – WEBSITE-SOURCED MEDICAL INFRACTIONS
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G.1 Named Personnel and Licensing
 • “Dr. Alan Brooks” – no active Texas Medical Board license; represented as physician. 
 • “Dr. Khan/Kahn” – no active TMB record; issued orders and prescriptions. 

G.2 Prescribing and Medication Practices
 • Psychotropic drugs prescribed remotely without patient contact. 
 • EMT-level personnel administered injections and insulin adjustments. 
 • Delays, denials, and one overdose incident (March 2024). 
 • Injection of 50 cc COVID vaccine (EMT Larry Davis). 

G.3 Emergency and Monitoring Failures
 • Denied hospital transport while urinating blood for five days. 
 • Disabled 911 access within facility. 

G.4 Conditions Classified as Medical Torture
 • Restraint chair use (2.5 hours) without evaluation. 
 • Sleep deprivation, sensory manipulation, black mold, malnutrition, and dehydration. 

G.5 Prolonged Solitary Confinement
 • Confined 326 consecutive days without regular medical or psychiatric assessment. 

G.6 Pattern Notice
 • Public post titled “URGENT: Pattern of Abuse, Medical Neglect, and Disabled 911 Access – Request for Immediate Investigation” serves as contemporaneous notice to authorities and media. 

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VII.  RELIEF REQUESTED
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1. Issue DOJ Civil Rights Division docket number and acknowledgment. 
2. Launch pattern-or-practice investigation into Williamson County Jail medical operations. 
3. Refer to TMB and FDA for licensure and drug-handling violations. 
4. Mandate full-time onsite psychiatrist coverage and independent monitoring. 
5. Require public report and corrective action plan.

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DECLARATION
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I, LeRoy Nellis II, declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. 

Signed this 24th day of October, 2025.

____________________________________ 
LeRoy Nellis II
Email: leroynellis2@gmail.com