WARNING: This story discusses mental health issues and suicide. If you or someone you know is having thoughts of suicide, contact the San Diego Access and Crisis Line at 1-888-724-7240 SAN DIEGO (FOX 5/KUSI) — The family of a man who died while in San Diego County Sheriff’s Department custody is demanding jail reforms for mentally ill inmates. This comes after the Citizens Law Enforcement Review Board (CLERB) released its findings into the case along with recommendations for the department.  The family of Matthew Settles held a press conference Tuesday night inside the county building downtown ahead of a scheduled meeting by CLERB. “He was very, very sick and the last time when I called the sheriff’s, because he did have an episode, I didn't know I was signing his death sentence,” said Brenda Settles, the mother of Matthew. Man mauled to death by own dogs identified She is still coming to terms with the death of her son whose body was found inside his cell in August 2022. His brother, John Settles, remembers the good times they shared before Matthew was diagnosed with schizoaffective disorder. “We used to go backpacking and hiking, he loved the outdoors,” said John. A new report by the CLERB sheds light on what happened to Matthew and is raising questions among his family. “How is it that the sheriff’s who have a secret trust to take care of our family members in custody are able to investigate themselves and say that they did nothing wrong?” John questioned. The report by CLERB shows Settles hung himself while in solitary confinement at George Bailey Detention Facility. Now, the family wants to know who made the decision to move Matthew out of a hospital where he was getting proper care.  Up until recently, the CLERB has not been able to look into the role medical staff plays in these case reviews.  “We’re very glad that the Board of Supervisors has approved a process for the CLERB to begin examining medical professionals,” John continued. The report found that deputies failed to conduct adequate safety checks on Matthew.  While jail logs showed them making their 60-minute checks required by policy, "a review of the CCTV footage showed a deputy passed by Settles’ cell at approximately 6:04 p.m. and 7:19 p.m.," according to the report. It added that "the video evidence showed approximately 75 minutespassed between direct visual observations of Settles the night of his death. The report recommends that SDSO "take all necessary measures to change its current practice to conform with Title 15 and its own existing policy by mandating that every incarcerated person be directly observed by sworn staff at intervals not to exceed 60 minutes (30 minutes for Medical Observation Beds and in Psychiatric Stabilization Units and 15 minutes for safety cells), as opposed to simply ensuring the safety checks start within the mandated time-period." Additionally, the report recommends that SDSO "modify its current practice ofdocumenting safety checks by documenting the ending time of the safety check instead of the beginning." FOX 5/KUSI reached out to the sheriff’s office for comment on whether there are plans to incorporate the recommended policy changes but have not heard back.