April 23, 1996

April 23, 1996

Honorable Judge William L. Gordon

Presiding Judge, Santa Barbara County Superior Court

1100 Anacapa Street

Santa Barbara, CA 93101

Subject: Grand Jury Report - Inmate Death of May 4, 1995

Judge Gordon:

Attached is required comment to the above referenced Grand Jury Report.


Brian P. O'Connell



c: Jim Thomas, Sheriff

Kent Taylor, County Administrator

Spencer Boise, Grand Jury Foreman

FINDING 6: The Jail Medical Staff Coordinator failed to submit to the County Risk Manager a Quality Assurance Incident Report as required by Jail Medical Procedure #95-CO68. Health Care Services also failed to conduct a medical review of the in-custody inmate death. This action is in violation of the California Medical Association's "Standards for Health Services in Adult Detention Facilities, Section 115".

RECOMMENDATION 6a: Any time a death occurs in a county jail

facility, the Santa Barbara County Sheriff's Department Major Crime

Investigation Report must include the Quality Assurance Incident Report

prepared by the Medical Staff Coordinator.

RESPONSE - RISK MANAGEMENT: The Risk Management Division

of General Services agrees with the recommendation and will work with

the Sheriff's Department to insure implementation.