Proceedings to Begin April 13 via Video Conference
Jury to Examine Circumstances and Consider Preventive Recommendations
The Ontario Ministry of the Solicitor General has announced that an inquest into the death of Michael Anthony Diodati will begin next month, marking a key step in examining the circumstances surrounding his death while in custody-related care.
Dr. Ian MacPhee, Regional Supervising Coroner, confirmed that the inquest is scheduled to commence at 9:30 a.m. on Monday, April 13, 2026. The proceedings will be overseen by Dr. Richard McLean, who will serve as the presiding officer, with Grace Alcaide Janicas acting as inquest counsel.
Michael Anthony Diodati, 61, died on November 11, 2021, at Niagara Health – Niagara Falls Hospital. He had been transferred there from the Niagara Detention Centre prior to his death. Under Ontario’s Coroners Act, an inquest is mandatory in cases involving deaths that occur in custody or under similar circumstances, ensuring public transparency and accountability.
The upcoming inquest will focus on reviewing the events and conditions leading up to Diodati’s death. A jury will hear evidence from approximately 15 witnesses over the course of the proceedings, which are expected to last 12 days. The jury’s role will not be to assign legal responsibility, but rather to determine the facts of the case and potentially make recommendations aimed at preventing similar deaths in the future.
Such inquests are a critical component of Ontario’s death investigation system, particularly in cases involving individuals in correctional facilities. They often address systemic issues, including healthcare access, monitoring protocols, and institutional practices, with the goal of improving safety standards across the province.
The proceedings will be conducted virtually via video conference, reflecting a continued shift toward remote accessibility in public hearings. Members of the public will be able to observe the inquest in real time through an online livestream provided by the Office of the Chief Coroner. This approach is intended to enhance transparency while allowing broader public participation without geographic constraints.
Officials have also directed those seeking additional information about the inquest process to consult provincial resources outlining how coroners’ inquests function, including their purpose, procedures, and potential outcomes.
Inquests such as this one often draw attention from advocacy groups, legal observers, and public health professionals, particularly when they involve deaths linked to correctional institutions. Recommendations emerging from these proceedings, while not legally binding, have historically influenced policy reforms and operational changes within Ontario’s correctional and healthcare systems.
The Ministry has not released further details about the specific issues expected to be examined during the hearings. However, past inquests into similar deaths have explored factors such as medical response timelines, staff training, communication protocols, and inmate supervision practices.
As the April start date approaches, stakeholders—including legal representatives, institutional officials, and members of the public—are expected to closely monitor the proceedings. The findings and recommendations of the jury could contribute to ongoing discussions about oversight and standards within Ontario’s detention facilities.
The inquest into Diodati’s death underscores the province’s legal obligation to investigate deaths occurring in custody and reflects broader efforts to ensure accountability and prevent future incidents.

