San Joaquin County SheriffSan Joaquin County Sheriff
Governor Vetoes Bill That Sought Independence in Death Investigations
Sheriff Accused of Interfering in Death Investigations Loses Re-Election Bid
Coroner Training Seeks to Raise Standards for California Death Investigations
San Joaquin County Sheriff Stripped of Role in Death Investigations
Reversal on Death Ruling for Man Killed by Police Raises Doubts in San Joaquin County
San Joaquin County Should Install Independent Medical Examiner, Audit Finds
San Joaquin Sheriff Opens Death Inquiries to Public
How Families Pay for San Joaquin Coroner Mistakes
Pathologists Say San Joaquin Sheriff's Meddling Could Have Compromised Murder Cases
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Murrow Award for investigative reporting and a Golden Mic Award from the RTNDA of Southern California.\r\n\r\nJulie began her career in journalism in 2000 as the deputy foreign editor for public radio's \u003cem>Marketplace, \u003c/em>while earning her master's degree in journalism from USC’s Annenberg School of Communication.","avatar":"https://secure.gravatar.com/avatar/4baedf201468df97be97c2a9dd7585d0?s=600&d=blank&r=g","twitter":"@SmallRadio2","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["author"]}],"headData":{"title":"Julie Small | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/4baedf201468df97be97c2a9dd7585d0?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/4baedf201468df97be97c2a9dd7585d0?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/jsmall"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11693911":{"type":"posts","id":"news_11693911","meta":{"index":"posts_1591205157","site":"news","id":"11693911","score":null,"sort":[1537572166000]},"guestAuthors":[],"slug":"governor-vetoes-bill-that-sought-independence-in-death-investigations","title":"Governor Vetoes Bill That Sought Independence in Death Investigations","publishDate":1537572166,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Gov. Jerry Brown vetoed a bill Tuesday that would have required six counties in California to change how they investigate sudden, suspicious or violent deaths, including deaths that happen during arrest or in jail or prison.\u003c/p>\n\u003cp>State Senate Bill \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">1303\u003c/a> would have forced non-charter counties with more than 500,000 residents to establish a medical examiner’s office to investigate deaths.\u003c/p>\n\u003cp>But in his Sept. 18 veto \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2018/09/SB-1303-Veto-Message.pdf\" target=\"_blank\" rel=\"noopener\">message\u003c/a>, Brown wrote, “Counties have several options when delivering coroner services to the public. This decision is best left to the discretion of local elected officials who are in the best position to determine how their county offices are organized.”\u003c/p>\n\u003cp>The bill’s author, state Sen. Richard Pan, \u003ca href=\"https://sd06.senate.ca.gov/news/2018-09-19-governor-vetoes-senate-bill-1303-which-would-have-required-medical-experts-conduct\" target=\"_blank\" rel=\"noopener\">responded\u003c/a> Wednesday, “I am disappointed in the veto because it would have been an important step in ensuring the integrity of autopsy reports and achieving justice for people across California.”\u003c/p>\n\u003cp>In seven of California's largest counties — including San Francisco, Santa Clara and San Diego — a medical examiner, who is also a physician, investigates deaths. In the majority of other counties, that job falls to a \u003ca href=\"https://www.kqed.org/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations\" target=\"_blank\" rel=\"noopener\">coroner\u003c/a>, who is also the elected sheriff.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Pan, a pediatrician, believes that having the sheriff-coroner investigate deaths involving officers is a conflict of interest.\u003c/p>\n\u003cp>“Because of that, they can influence the findings of the autopsy,” Pan said. “They can even modify the reports.”\u003c/p>\n\u003cp>Pan introduced SB 1303 in response to accusations late last year that a county sheriff had in fact meddled in death investigations and altered findings.\u003c/p>\n\u003cp>\u003cstrong>Death Investigation Scandal in San Joaquin County\u003c/strong>\u003c/p>\n\u003cp>The chief forensic pathologist for San Joaquin County, Dr. Bennet Omalu, \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">accused\u003c/a> Sheriff Steve Moore of overriding autopsy findings in cases where an officer of the law appeared to have killed someone.\u003c/p>\n\u003cp>Omalu, known for his discovery of the debilitating brain disease CTE in professional football players, resigned from his position as chief forensic pathologist Dec. 4, after a decade holding the position.\u003c/p>\n\u003cp>Among the reasons he said he could no longer work for Moore were several instances where he had determined a person’s death was a homicide, only to watch Moore override his findings and label the death an accident.\u003c/p>\n\u003cp>Omalu testified in support of Pan's bill, which was sponsored by the California Medical Association. The \u003ca href=\"https://www.calsheriffs.org/about-us/about-cssa-our-mission.html\" target=\"_blank\" rel=\"noopener\">California State Sheriffs' Association\u003c/a>, currently led by Moore, opposed the measure as costly and unnecessary, and the California State Association of Counties objected to the measure's interference with local autonomy.\u003c/p>\n\u003cp>While the legislation ultimately failed, San Joaquin County supervisors moved to \u003ca href=\"https://www.kqed.org/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations\" target=\"_blank\" rel=\"noopener\">strip\u003c/a> the sheriff of his coroner duties and establish an independent medical examiner’s office. That effort is ongoing.\u003c/p>\n\u003cp>Moore \u003ca href=\"https://www.kqed.org/news/11672974/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid\" target=\"_blank\" rel=\"noopener\">lost\u003c/a> his re-election in June.\u003c/p>\n\u003cp>Omalu recently opened new \u003ca href=\"https://www.bennetomalu.com/\" target=\"_blank\" rel=\"noopener\">offices\u003c/a> and is providing autopsies for several local entities and expert witness testimony in cases throughout the U.S.\u003c/p>\n\u003cp>Pan plans to keep trying to improve death investigations in California. Contrary to the governor’s veto message, the senator thinks that local officials are unlikely to challenge the sheriff-coroner system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Sheriffs have tremendous political power in counties,” Pan said. “That’s why many counties have been very slow to address this issue.”\u003c/p>\n\n","blocks":[],"excerpt":"The bill that would have separated suspicious death investigations from county sheriffs was vetoed, despite revelations that a sheriff meddled with autopsy findings involving deaths at the hands of law enforcement.","status":"publish","parent":0,"modified":1537573206,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":548},"headData":{"title":"Governor Vetoes Bill That Sought Independence in Death Investigations | KQED","description":"The bill that would have separated suspicious death investigations from county sheriffs was vetoed, despite revelations that a sheriff meddled with autopsy findings involving deaths at the hands of law enforcement.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Governor Vetoes Bill That Sought Independence in Death Investigations","datePublished":"2018-09-21T23:22:46.000Z","dateModified":"2018-09-21T23:40:06.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11693911 https://ww2.kqed.org/news/?p=11693911","disqusUrl":"https://ww2.kqed.org/news/2018/09/21/governor-vetoes-bill-that-sought-independence-in-death-investigations/","disqusTitle":"Governor Vetoes Bill That Sought Independence in Death Investigations","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/09/SmallSheriffCoronerVetoTCRAM180919.mp3","audioTrackLength":116,"path":"/news/11693911/governor-vetoes-bill-that-sought-independence-in-death-investigations","audioDuration":130000,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Jerry Brown vetoed a bill Tuesday that would have required six counties in California to change how they investigate sudden, suspicious or violent deaths, including deaths that happen during arrest or in jail or prison.\u003c/p>\n\u003cp>State Senate Bill \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">1303\u003c/a> would have forced non-charter counties with more than 500,000 residents to establish a medical examiner’s office to investigate deaths.\u003c/p>\n\u003cp>But in his Sept. 18 veto \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2018/09/SB-1303-Veto-Message.pdf\" target=\"_blank\" rel=\"noopener\">message\u003c/a>, Brown wrote, “Counties have several options when delivering coroner services to the public. This decision is best left to the discretion of local elected officials who are in the best position to determine how their county offices are organized.”\u003c/p>\n\u003cp>The bill’s author, state Sen. Richard Pan, \u003ca href=\"https://sd06.senate.ca.gov/news/2018-09-19-governor-vetoes-senate-bill-1303-which-would-have-required-medical-experts-conduct\" target=\"_blank\" rel=\"noopener\">responded\u003c/a> Wednesday, “I am disappointed in the veto because it would have been an important step in ensuring the integrity of autopsy reports and achieving justice for people across California.”\u003c/p>\n\u003cp>In seven of California's largest counties — including San Francisco, Santa Clara and San Diego — a medical examiner, who is also a physician, investigates deaths. In the majority of other counties, that job falls to a \u003ca href=\"https://www.kqed.org/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations\" target=\"_blank\" rel=\"noopener\">coroner\u003c/a>, who is also the elected sheriff.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Pan, a pediatrician, believes that having the sheriff-coroner investigate deaths involving officers is a conflict of interest.\u003c/p>\n\u003cp>“Because of that, they can influence the findings of the autopsy,” Pan said. “They can even modify the reports.”\u003c/p>\n\u003cp>Pan introduced SB 1303 in response to accusations late last year that a county sheriff had in fact meddled in death investigations and altered findings.\u003c/p>\n\u003cp>\u003cstrong>Death Investigation Scandal in San Joaquin County\u003c/strong>\u003c/p>\n\u003cp>The chief forensic pathologist for San Joaquin County, Dr. Bennet Omalu, \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">accused\u003c/a> Sheriff Steve Moore of overriding autopsy findings in cases where an officer of the law appeared to have killed someone.\u003c/p>\n\u003cp>Omalu, known for his discovery of the debilitating brain disease CTE in professional football players, resigned from his position as chief forensic pathologist Dec. 4, after a decade holding the position.\u003c/p>\n\u003cp>Among the reasons he said he could no longer work for Moore were several instances where he had determined a person’s death was a homicide, only to watch Moore override his findings and label the death an accident.\u003c/p>\n\u003cp>Omalu testified in support of Pan's bill, which was sponsored by the California Medical Association. The \u003ca href=\"https://www.calsheriffs.org/about-us/about-cssa-our-mission.html\" target=\"_blank\" rel=\"noopener\">California State Sheriffs' Association\u003c/a>, currently led by Moore, opposed the measure as costly and unnecessary, and the California State Association of Counties objected to the measure's interference with local autonomy.\u003c/p>\n\u003cp>While the legislation ultimately failed, San Joaquin County supervisors moved to \u003ca href=\"https://www.kqed.org/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations\" target=\"_blank\" rel=\"noopener\">strip\u003c/a> the sheriff of his coroner duties and establish an independent medical examiner’s office. That effort is ongoing.\u003c/p>\n\u003cp>Moore \u003ca href=\"https://www.kqed.org/news/11672974/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid\" target=\"_blank\" rel=\"noopener\">lost\u003c/a> his re-election in June.\u003c/p>\n\u003cp>Omalu recently opened new \u003ca href=\"https://www.bennetomalu.com/\" target=\"_blank\" rel=\"noopener\">offices\u003c/a> and is providing autopsies for several local entities and expert witness testimony in cases throughout the U.S.\u003c/p>\n\u003cp>Pan plans to keep trying to improve death investigations in California. Contrary to the governor’s veto message, the senator thinks that local officials are unlikely to challenge the sheriff-coroner system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Sheriffs have tremendous political power in counties,” Pan said. “That’s why many counties have been very slow to address this issue.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11693911/governor-vetoes-bill-that-sought-independence-in-death-investigations","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_22173","news_21742","news_23360","news_21047","news_22171","news_22846","news_22172"],"featImg":"news_11633434","label":"news_72"},"news_11672974":{"type":"posts","id":"news_11672974","meta":{"index":"posts_1591205157","site":"news","id":"11672974","score":null,"sort":[1528326037000]},"guestAuthors":[],"slug":"sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid","title":"Sheriff Accused of Interfering in Death Investigations Loses Re-Election Bid","publishDate":1528326037,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>The San Joaquin County sheriff-coroner, who was \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">accused last year of meddling in death investigations\u003c/a>, fell short in his bid for re-election.\u003c/p>\n\u003cp>Three-term incumbent Sheriff Steve Moore trailed his opponent \u003ca href=\"http://withrowforsheriff.com/\" target=\"_blank\" rel=\"noopener\">Pat Withrow\u003c/a> by 17 points Wednesday, with 100 percent of precinct votes reported.\u003c/p>\n\u003cp>Moore conceded defeat Wednesday morning in a phone call to Withrow, congratulating him on his win even as the county registrar was still tallying 50,000 vote-by-mail and provisional ballots.\u003c/p>\n\u003cp>Moore lost support after two forensic pathologists in the coroner's office alleged that the sheriff interfered with autopsy findings and used his political office to shield officers who killed civilians. The \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">allegations\u003c/a> were first reported by KQED.\u003c/p>\n\u003cp>\u003ca href=\"http://www.bennetomalu.com/\" target=\"_blank\" rel=\"noopener\">Dr. Bennet Omalu\u003c/a>, a nationally renowned forensic pathologist famous for his discovery of a concussion-related disease in football players, worked for the sheriff for a decade.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\">Autopsy Doctor Resigns, Says Sheriff Overrode Death Findings to Protect Officers\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/12/coroner_1920-1180x632.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Shortly after his colleague Dr. Susan Parson quit in November, Omalu tendered his own resignation. Together the doctors submitted over 100 pages of documentation to county officials that they said showed Moore had repeatedly violated medical and ethical standards in his role as coroner.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Moore denied he did anything wrong, a claim backed up by a county \u003ca href=\"https://www.kqed.org/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds\" target=\"_blank\" rel=\"noopener\">audit\u003c/a> that concluded he broke no laws.\u003c/p>\n\u003cp>However, the audit also identified so many problems with the way Moore ran death investigations that supervisors \u003ca href=\"https://www.kqed.org/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations\" target=\"_blank\" rel=\"noopener\">voted unanimously in April\u003c/a> to strip the sheriff of his coroner duties and establish an independent medical examiner to investigate deaths, independent of law enforcement.\u003c/p>\n\u003cfigure id=\"attachment_11673167\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11673167\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/PatWithrow-800x550.jpg\" alt=\"San Joaquin County Sheriff-Elect Pat Withrow (second from left) and supporters celebrate the June 5 primary results.\" width=\"800\" height=\"550\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-800x550.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-160x110.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1020x701.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1200x825.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1180x811.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-960x660.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-240x165.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-375x258.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-520x358.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Joaquin County Sheriff-Elect Pat Withrow (second from left) and supporters celebrate the June 5 primary results. \u003ccite>(Courtesy Tracy Spencer)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Withrow, who served as the deputy sheriff of San Joaquin County for nearly three decades, quit to run against Moore in 2014. Moore beat Withrow that year, drawing on strong support from county ranchers and farmers.\u003c/p>\n\u003cp>Despite the allegations against him, Moore became president of the influential \u003ca href=\"https://www.calsheriffs.org/about-us/board-of-directors/presidents-message.html\" target=\"_blank\" rel=\"noopener\">California State Sheriffs' Association\u003c/a> in April, a title he will have to forfeit when Withrow takes office next year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As of 2 a.m. Wednesday, Withrow had won 58 percent of the vote, with Moore taking 41 percent.\u003c/p>\n\n","blocks":[],"excerpt":"San Joaquin County Sheriff Steve Moore won't be coming back for a fourth term. Allegations that he interfered with death investigations and autopsy findings may have cost him crucial votes.","status":"publish","parent":0,"modified":1530643309,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":373},"headData":{"title":"Sheriff Accused of Interfering in Death Investigations Loses Re-Election Bid | KQED","description":"San Joaquin County Sheriff Steve Moore won't be coming back for a fourth term. Allegations that he interfered with death investigations and autopsy findings may have cost him crucial votes.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Sheriff Accused of Interfering in Death Investigations Loses Re-Election Bid","datePublished":"2018-06-06T23:00:37.000Z","dateModified":"2018-07-03T18:41:49.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11672974 https://ww2.kqed.org/news/?p=11672974","disqusUrl":"https://ww2.kqed.org/news/2018/06/06/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid/","disqusTitle":"Sheriff Accused of Interfering in Death Investigations Loses Re-Election Bid","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/06/SmallSheriffMooreOustedTCRAM180606.mp3","path":"/news/11672974/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid","audioDuration":95000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The San Joaquin County sheriff-coroner, who was \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">accused last year of meddling in death investigations\u003c/a>, fell short in his bid for re-election.\u003c/p>\n\u003cp>Three-term incumbent Sheriff Steve Moore trailed his opponent \u003ca href=\"http://withrowforsheriff.com/\" target=\"_blank\" rel=\"noopener\">Pat Withrow\u003c/a> by 17 points Wednesday, with 100 percent of precinct votes reported.\u003c/p>\n\u003cp>Moore conceded defeat Wednesday morning in a phone call to Withrow, congratulating him on his win even as the county registrar was still tallying 50,000 vote-by-mail and provisional ballots.\u003c/p>\n\u003cp>Moore lost support after two forensic pathologists in the coroner's office alleged that the sheriff interfered with autopsy findings and used his political office to shield officers who killed civilians. The \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">allegations\u003c/a> were first reported by KQED.\u003c/p>\n\u003cp>\u003ca href=\"http://www.bennetomalu.com/\" target=\"_blank\" rel=\"noopener\">Dr. Bennet Omalu\u003c/a>, a nationally renowned forensic pathologist famous for his discovery of a concussion-related disease in football players, worked for the sheriff for a decade.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\">Autopsy Doctor Resigns, Says Sheriff Overrode Death Findings to Protect Officers\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/12/coroner_1920-1180x632.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Shortly after his colleague Dr. Susan Parson quit in November, Omalu tendered his own resignation. Together the doctors submitted over 100 pages of documentation to county officials that they said showed Moore had repeatedly violated medical and ethical standards in his role as coroner.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Moore denied he did anything wrong, a claim backed up by a county \u003ca href=\"https://www.kqed.org/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds\" target=\"_blank\" rel=\"noopener\">audit\u003c/a> that concluded he broke no laws.\u003c/p>\n\u003cp>However, the audit also identified so many problems with the way Moore ran death investigations that supervisors \u003ca href=\"https://www.kqed.org/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations\" target=\"_blank\" rel=\"noopener\">voted unanimously in April\u003c/a> to strip the sheriff of his coroner duties and establish an independent medical examiner to investigate deaths, independent of law enforcement.\u003c/p>\n\u003cfigure id=\"attachment_11673167\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11673167\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/PatWithrow-800x550.jpg\" alt=\"San Joaquin County Sheriff-Elect Pat Withrow (second from left) and supporters celebrate the June 5 primary results.\" width=\"800\" height=\"550\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-800x550.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-160x110.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1020x701.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1200x825.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-1180x811.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-960x660.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-240x165.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-375x258.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/PatWithrow-520x358.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Joaquin County Sheriff-Elect Pat Withrow (second from left) and supporters celebrate the June 5 primary results. \u003ccite>(Courtesy Tracy Spencer)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Withrow, who served as the deputy sheriff of San Joaquin County for nearly three decades, quit to run against Moore in 2014. Moore beat Withrow that year, drawing on strong support from county ranchers and farmers.\u003c/p>\n\u003cp>Despite the allegations against him, Moore became president of the influential \u003ca href=\"https://www.calsheriffs.org/about-us/board-of-directors/presidents-message.html\" target=\"_blank\" rel=\"noopener\">California State Sheriffs' Association\u003c/a> in April, a title he will have to forfeit when Withrow takes office next year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As of 2 a.m. Wednesday, Withrow had won 58 percent of the vote, with Moore taking 41 percent.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11672974/sheriff-accused-of-interfering-in-death-investigations-loses-re-election-bid","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8","news_13"],"tags":["news_20191","news_21047","news_22171","news_22846","news_22172"],"featImg":"news_11664497","label":"news_72"},"news_11670624":{"type":"posts","id":"news_11670624","meta":{"index":"posts_1591205157","site":"news","id":"11670624","score":null,"sort":[1527637206000]},"guestAuthors":[],"slug":"coroner-training-seeks-to-raise-standards-for-california-death-investigations","title":"Coroner Training Seeks to Raise Standards for California Death Investigations","publishDate":1527637206,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Every year, hundreds of death investigators from across California travel to a unique training facility in Santa Ana to sharpen their skills and deepen their knowledge of the critical job.\u003c/p>\n\u003cp>The people responsible for investigating sudden, suspicious or violent deaths in a county take photos of the body, collect evidence, interview witnesses and prepare a report of their findings that ultimately contributes to a decision on how and why someone died, and what goes on a person's death certificate.\u003c/p>\n\u003cp>Decades ago the \u003ca href=\"https://www.coroners.org/\" target=\"_blank\" rel=\"noopener\">California State Coroners Association\u003c/a> and the Orange County Sheriff's Department recognized the need to standardize training for the job. In 1989 they began offering courses, often out of hotel ballrooms. But that limited what they could do. Years later they secured $15 million to build the \u003ca href=\"http://www.ocsd.org/divisions/fieldops/coroner/cctc\" target=\"_blank\" rel=\"noopener\">California Coroner Training Center\u003c/a>. The doors opened in 2004, and so did the opportunity to provide hands-on courses.\u003c/p>\n\u003ch3>'There's No Real Dead People in Here'\u003c/h3>\n\u003cp>\"What we did is we built just one big wide open room,\" said Assistant Chief Deputy Coroner for Orange County Bruce Lyle on a recent tour. \"There's a drain in the floor in case we needed blood or fluids -- fake fluids -- to mock it.\"\u003c/p>\n\u003cp>Lyle, who teaches some of the courses, quickly added, \"There's no real dead people in here.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Contained inside the room is a set of a two-bedroom apartment built out of plywood. From the outside it doesn't look like much, but inside the place is decorated and furnished with furniture, props and eerily realistic latex dummies.\u003c/p>\n\u003cp>\"He's not a very clean person,\" Lyle said of one dummy. \"He's kind of grubby. He's got a 5 o'clock shadow. You can feel it on his face.\"\u003c/p>\n\u003cp>The dummy's name, Emmanuel Quin -- or \"Manny\" Quin for short -- provides comic relief to the otherwise grim task of identifying the decedent and determining how long ago he died.\u003c/p>\n\u003cp>\"There are certain changes in the body\" Lyle explained, \"and one of them is the decomposition.\"\u003c/p>\n\u003cp>The dummy was commissioned by Burbank's \u003ca href=\"https://www.burmanfoam.com/\" target=\"_blank\" rel=\"noopener\">Burman Studio\u003c/a> to exhibit signs of decomposition, including discoloration of the skin.\u003c/p>\n\u003cp>The trainers load the set with other clues, including cigarette butts, an empty bottle of tequila, a dated prescription for pills, and a dried-out slice of pizza in a box on the floor.\u003c/p>\n\u003cp>Lyle said the barrage of stimuli simulates what investigators typically encounter at the scene of someone's death.\u003c/p>\n\u003cp>\"We have to sort of teach people to cut through all that business and get to the important stuff,\" Lyle says.\u003c/p>\n\u003cfigure id=\"attachment_11671398\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11671398\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg\" alt=\"The California Coroner's Training Facility in Orange County.\" width=\"800\" height=\"488\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-160x98.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-240x146.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-375x229.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-520x317.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg.jpg 867w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The California Coroner Training Center in Orange County trains coroners from across California. \u003ccite>(Courtesy Orange County Sheriff's Dept.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When trainings are in session, actors play bereaved relatives or roommates with information the investigator has to elicit.\u003c/p>\n\u003cp>\"The last thing I want to do is have somebody come in and just look at the body and think that that's the extent of their investigation,\" Lyle says.\u003c/p>\n\u003cp>Most of the death investigators that come for the training work for one of 41 counties in California where the sheriff and coroner’s office are one.\u003c/p>\n\u003cp>Lyle, who is also incoming president of the California State Coroners Association, says the philosophy for the training is to get attendees to apply their experience investigating crimes to death investigations.\u003c/p>\n\u003cp>According to the Orange County Sheriff's Department website, \"The ultimate vision of the Training Center’s leadership is to 'raise the bar' in the coroner profession by improving the caliber of investigations conducted throughout the state.\"\u003c/p>\n\u003ch3>Varying Levels of Expertise\u003c/h3>\n\u003cp>The level of expertise in death investigations varies widely from county to county.\u003c/p>\n\u003cp>Some of the larger sheriff's departments in Orange County and San Bernardino County created a separate coroner's division and assigned dedicated deputies to investigate deaths, which allowed them to develop expertise over years, even decades.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">How Families Pay for San Joaquin Coroner Mistakes\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29311_alt_681-1180x1573.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Smaller counties such as San Joaquin County dedicated a handful of deputies for coroner's work who typically investigate more complex death scenes such as a homicide -- but often patrol deputies who received minimal training in death investigations respond to the scene of a death.\u003c/p>\n\u003cp>The Orange County Sheriff-Coroner's Office is working with the California State Coroners Association to establish an accreditation program for death investigators.\u003c/p>\n\u003ch3>Some Counties Could Be Required to End Sheriff's Role as Coroner\u003c/h3>\n\u003cp>Some of those offices could change under \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">state Senate Bill 1303\u003c/a>. The bill would force several large counties to create a completely separate medical examiner’s office for death investigations -- with a physician in charge.\u003c/p>\n\u003cp>The measure was introduced by Sen. Richard Pan in response to a scandal in Joaquin County that erupted last year.\u003c/p>\n\u003cp>Two forensic pathologists who worked for Sheriff-Coroner Steve Moore \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">accused him of pressuring them\u003c/a> to change their autopsy findings in deaths involving law enforcement officers. Moore denied the allegations.\u003c/p>\n\u003cp>The doctors also faulted the inexperience among deputies responding to coroner calls for driving up costs and \u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\" target=\"_blank\" rel=\"noopener\">creating backlogs and delays\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If passed, SB 1303 would not interfere with the plans to expand coroner training at the facility in Orange County.\u003c/p>\n\n","blocks":[],"excerpt":"Investigators practice on a \"dummy\" corpse inside a set built to look like a real apartment as they practice skills needed to identify the cause and manner of death.","status":"publish","parent":0,"modified":1527642012,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":29,"wordCount":883},"headData":{"title":"Coroner Training Seeks to Raise Standards for California Death Investigations | KQED","description":"Investigators practice on a "dummy" corpse inside a set built to look like a real apartment as they practice skills needed to identify the cause and manner of death.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Coroner Training Seeks to Raise Standards for California Death Investigations","datePublished":"2018-05-29T23:40:06.000Z","dateModified":"2018-05-30T01:00:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11670624 https://ww2.kqed.org/news/?p=11670624","disqusUrl":"https://ww2.kqed.org/news/2018/05/29/coroner-training-seeks-to-raise-standards-for-california-death-investigations/","disqusTitle":"Coroner Training Seeks to Raise Standards for California Death Investigations","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/05/CoronerTrainingSmall180525.mp3","path":"/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations","audioDuration":242000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Every year, hundreds of death investigators from across California travel to a unique training facility in Santa Ana to sharpen their skills and deepen their knowledge of the critical job.\u003c/p>\n\u003cp>The people responsible for investigating sudden, suspicious or violent deaths in a county take photos of the body, collect evidence, interview witnesses and prepare a report of their findings that ultimately contributes to a decision on how and why someone died, and what goes on a person's death certificate.\u003c/p>\n\u003cp>Decades ago the \u003ca href=\"https://www.coroners.org/\" target=\"_blank\" rel=\"noopener\">California State Coroners Association\u003c/a> and the Orange County Sheriff's Department recognized the need to standardize training for the job. In 1989 they began offering courses, often out of hotel ballrooms. But that limited what they could do. Years later they secured $15 million to build the \u003ca href=\"http://www.ocsd.org/divisions/fieldops/coroner/cctc\" target=\"_blank\" rel=\"noopener\">California Coroner Training Center\u003c/a>. The doors opened in 2004, and so did the opportunity to provide hands-on courses.\u003c/p>\n\u003ch3>'There's No Real Dead People in Here'\u003c/h3>\n\u003cp>\"What we did is we built just one big wide open room,\" said Assistant Chief Deputy Coroner for Orange County Bruce Lyle on a recent tour. \"There's a drain in the floor in case we needed blood or fluids -- fake fluids -- to mock it.\"\u003c/p>\n\u003cp>Lyle, who teaches some of the courses, quickly added, \"There's no real dead people in here.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Contained inside the room is a set of a two-bedroom apartment built out of plywood. From the outside it doesn't look like much, but inside the place is decorated and furnished with furniture, props and eerily realistic latex dummies.\u003c/p>\n\u003cp>\"He's not a very clean person,\" Lyle said of one dummy. \"He's kind of grubby. He's got a 5 o'clock shadow. You can feel it on his face.\"\u003c/p>\n\u003cp>The dummy's name, Emmanuel Quin -- or \"Manny\" Quin for short -- provides comic relief to the otherwise grim task of identifying the decedent and determining how long ago he died.\u003c/p>\n\u003cp>\"There are certain changes in the body\" Lyle explained, \"and one of them is the decomposition.\"\u003c/p>\n\u003cp>The dummy was commissioned by Burbank's \u003ca href=\"https://www.burmanfoam.com/\" target=\"_blank\" rel=\"noopener\">Burman Studio\u003c/a> to exhibit signs of decomposition, including discoloration of the skin.\u003c/p>\n\u003cp>The trainers load the set with other clues, including cigarette butts, an empty bottle of tequila, a dated prescription for pills, and a dried-out slice of pizza in a box on the floor.\u003c/p>\n\u003cp>Lyle said the barrage of stimuli simulates what investigators typically encounter at the scene of someone's death.\u003c/p>\n\u003cp>\"We have to sort of teach people to cut through all that business and get to the important stuff,\" Lyle says.\u003c/p>\n\u003cfigure id=\"attachment_11671398\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11671398\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg\" alt=\"The California Coroner's Training Facility in Orange County.\" width=\"800\" height=\"488\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-800x488.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-160x98.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-240x146.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-375x229.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg-520x317.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2018/05/CoronerTrainingBldg.jpg 867w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The California Coroner Training Center in Orange County trains coroners from across California. \u003ccite>(Courtesy Orange County Sheriff's Dept.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When trainings are in session, actors play bereaved relatives or roommates with information the investigator has to elicit.\u003c/p>\n\u003cp>\"The last thing I want to do is have somebody come in and just look at the body and think that that's the extent of their investigation,\" Lyle says.\u003c/p>\n\u003cp>Most of the death investigators that come for the training work for one of 41 counties in California where the sheriff and coroner’s office are one.\u003c/p>\n\u003cp>Lyle, who is also incoming president of the California State Coroners Association, says the philosophy for the training is to get attendees to apply their experience investigating crimes to death investigations.\u003c/p>\n\u003cp>According to the Orange County Sheriff's Department website, \"The ultimate vision of the Training Center’s leadership is to 'raise the bar' in the coroner profession by improving the caliber of investigations conducted throughout the state.\"\u003c/p>\n\u003ch3>Varying Levels of Expertise\u003c/h3>\n\u003cp>The level of expertise in death investigations varies widely from county to county.\u003c/p>\n\u003cp>Some of the larger sheriff's departments in Orange County and San Bernardino County created a separate coroner's division and assigned dedicated deputies to investigate deaths, which allowed them to develop expertise over years, even decades.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">How Families Pay for San Joaquin Coroner Mistakes\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29311_alt_681-1180x1573.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Smaller counties such as San Joaquin County dedicated a handful of deputies for coroner's work who typically investigate more complex death scenes such as a homicide -- but often patrol deputies who received minimal training in death investigations respond to the scene of a death.\u003c/p>\n\u003cp>The Orange County Sheriff-Coroner's Office is working with the California State Coroners Association to establish an accreditation program for death investigators.\u003c/p>\n\u003ch3>Some Counties Could Be Required to End Sheriff's Role as Coroner\u003c/h3>\n\u003cp>Some of those offices could change under \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1303\" target=\"_blank\" rel=\"noopener\">state Senate Bill 1303\u003c/a>. The bill would force several large counties to create a completely separate medical examiner’s office for death investigations -- with a physician in charge.\u003c/p>\n\u003cp>The measure was introduced by Sen. Richard Pan in response to a scandal in Joaquin County that erupted last year.\u003c/p>\n\u003cp>Two forensic pathologists who worked for Sheriff-Coroner Steve Moore \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">accused him of pressuring them\u003c/a> to change their autopsy findings in deaths involving law enforcement officers. Moore denied the allegations.\u003c/p>\n\u003cp>The doctors also faulted the inexperience among deputies responding to coroner calls for driving up costs and \u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\" target=\"_blank\" rel=\"noopener\">creating backlogs and delays\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If passed, SB 1303 would not interfere with the plans to expand coroner training at the facility in Orange County.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11670624/coroner-training-seeks-to-raise-standards-for-california-death-investigations","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_21742","news_22434","news_23360","news_18371","news_5831","news_21047","news_22171","news_22846"],"featImg":"news_11671419","label":"news_72"},"news_11664465":{"type":"posts","id":"news_11664465","meta":{"index":"posts_1591205157","site":"news","id":"11664465","score":null,"sort":[1524664224000]},"guestAuthors":[],"slug":"san-joaquin-county-sheriff-stripped-of-role-in-death-investigations","title":"San Joaquin County Sheriff Stripped of Role in Death Investigations","publishDate":1524664224,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>San Joaquin County supervisors voted unanimously Tuesday to adopt a new model for investigating deaths in the wake of allegations that the coroner, who is also the elected sheriff, used his political office to shield officers who killed civilians.\u003c/p>\n\u003cp>The 5-0 vote eliminated the office of the coroner, currently run by the Sheriff Steve Moore, and replaced it with a medical examiner’s office run by a board-certified forensic pathologist.\u003c/p>\n\u003cp>“I will support whatever you determine is best, because I want what is best for San Joaquin County,\" Moore told supervisors before the vote. \"I have always endeavored to do that in everything I’ve done while I have been sheriff-coroner.”\u003c/p>\n\u003cp>Moore came under heavy scrutiny last year after pathologist Dr. Bennet Omalu quit along with colleague Dr. Susan Parson. Omalu, renowned for his discovery of a concussion-related disease in football players, accused the sheriff of thwarting death investigations by withholding evidence and pressuring them to change their findings.\u003c/p>\n\u003cp>Moore has repeatedly denied the allegations.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In San Joaquin County and most other California counties a forensic pathologist determines the cause of all sudden, suspicious or violent deaths. Then the elected sheriff-coroner decides whether it was an accident, homicide, suicide, natural or undetermined manner of death.\u003c/p>\n\u003cp>A KQED \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">investigation\u003c/a> found at least two cases involving civilians killed by law enforcement officers where the sheriff ignored the forensic pathologists' opinions that the deaths should be classified as homicides and instead certified them as accidents.\u003c/p>\n\u003cp>An independent \u003ca href=\"https://www.kqed.org/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds\" target=\"_blank\" rel=\"noopener\">audit \u003c/a>of the department released last week found “several” in-custody deaths in 2016 with similar discrepancies. At Tuesday’s board meeting, the author, \u003ca href=\"https://ocme.dc.gov/page/executive-staff-ocme\" target=\"_blank\" rel=\"noopener\">Dr. Roger Mitchell,\u003c/a> told the board that a medical examiner is needed in San Joaquin County.\u003c/p>\n\u003cp>He told county supervisors they need to bring in someone with experience to hire and train the investigators for that department.\u003c/p>\n\u003cp>Mitchell, who is the chief medical examiner in Washington, D.C., made a number of recommendations to address deficiencies in how the county investigates deaths. For example, he suggested the county end the practice of sending patrol deputies with virtually no training to handle coroner cases where they may have to observe details at death scenes and collect evidence.\u003c/p>\n\u003cp>KQED previously reported that a lack of training for coroner deputies may have contributed to costly \u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\" target=\"_blank\" rel=\"noopener\">mistakes\u003c/a>.\u003c/p>\n\u003cp>Moore told supervisors that the audit also shows “everyone is doing the best they possibly can ... there is no negligence or malice of thought in anything that was done.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>County officials still need to work out the details for how to establish the new medical examiner system, which relies on physicians and civilian investigators, and how much it will cost. So far there is no timeline, but Mitchell estimated it could take at least a year.\u003c/p>\n\n","blocks":[],"excerpt":"San Joaquin County officials vote to eliminated the coroner's office in the wake of allegations that the sheriff overseeing death investigations overrode the autopsy findings of forensic pathologists in cases where an officer of the law killed a civilian.","status":"publish","parent":0,"modified":1530643270,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":475},"headData":{"title":"San Joaquin County Sheriff Stripped of Role in Death Investigations | KQED","description":"San Joaquin County officials vote to eliminated the coroner's office in the wake of allegations that the sheriff overseeing death investigations overrode the autopsy findings of forensic pathologists in cases where an officer of the law killed a civilian.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Joaquin County Sheriff Stripped of Role in Death Investigations","datePublished":"2018-04-25T13:50:24.000Z","dateModified":"2018-07-03T18:41:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11664465 https://ww2.kqed.org/news/?p=11664465","disqusUrl":"https://ww2.kqed.org/news/2018/04/25/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations/","disqusTitle":"San Joaquin County Sheriff Stripped of Role in Death Investigations","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/04/MedicalExaminerSmall.mp3","path":"/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations","audioDuration":86000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Joaquin County supervisors voted unanimously Tuesday to adopt a new model for investigating deaths in the wake of allegations that the coroner, who is also the elected sheriff, used his political office to shield officers who killed civilians.\u003c/p>\n\u003cp>The 5-0 vote eliminated the office of the coroner, currently run by the Sheriff Steve Moore, and replaced it with a medical examiner’s office run by a board-certified forensic pathologist.\u003c/p>\n\u003cp>“I will support whatever you determine is best, because I want what is best for San Joaquin County,\" Moore told supervisors before the vote. \"I have always endeavored to do that in everything I’ve done while I have been sheriff-coroner.”\u003c/p>\n\u003cp>Moore came under heavy scrutiny last year after pathologist Dr. Bennet Omalu quit along with colleague Dr. Susan Parson. Omalu, renowned for his discovery of a concussion-related disease in football players, accused the sheriff of thwarting death investigations by withholding evidence and pressuring them to change their findings.\u003c/p>\n\u003cp>Moore has repeatedly denied the allegations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In San Joaquin County and most other California counties a forensic pathologist determines the cause of all sudden, suspicious or violent deaths. Then the elected sheriff-coroner decides whether it was an accident, homicide, suicide, natural or undetermined manner of death.\u003c/p>\n\u003cp>A KQED \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" target=\"_blank\" rel=\"noopener\">investigation\u003c/a> found at least two cases involving civilians killed by law enforcement officers where the sheriff ignored the forensic pathologists' opinions that the deaths should be classified as homicides and instead certified them as accidents.\u003c/p>\n\u003cp>An independent \u003ca href=\"https://www.kqed.org/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds\" target=\"_blank\" rel=\"noopener\">audit \u003c/a>of the department released last week found “several” in-custody deaths in 2016 with similar discrepancies. At Tuesday’s board meeting, the author, \u003ca href=\"https://ocme.dc.gov/page/executive-staff-ocme\" target=\"_blank\" rel=\"noopener\">Dr. Roger Mitchell,\u003c/a> told the board that a medical examiner is needed in San Joaquin County.\u003c/p>\n\u003cp>He told county supervisors they need to bring in someone with experience to hire and train the investigators for that department.\u003c/p>\n\u003cp>Mitchell, who is the chief medical examiner in Washington, D.C., made a number of recommendations to address deficiencies in how the county investigates deaths. For example, he suggested the county end the practice of sending patrol deputies with virtually no training to handle coroner cases where they may have to observe details at death scenes and collect evidence.\u003c/p>\n\u003cp>KQED previously reported that a lack of training for coroner deputies may have contributed to costly \u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\" target=\"_blank\" rel=\"noopener\">mistakes\u003c/a>.\u003c/p>\n\u003cp>Moore told supervisors that the audit also shows “everyone is doing the best they possibly can ... there is no negligence or malice of thought in anything that was done.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>County officials still need to work out the details for how to establish the new medical examiner system, which relies on physicians and civilian investigators, and how much it will cost. So far there is no timeline, but Mitchell estimated it could take at least a year.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11664465/san-joaquin-county-sheriff-stripped-of-role-in-death-investigations","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_22171","news_22846","news_22172"],"featImg":"news_11664497","label":"news_72"},"news_11664339":{"type":"posts","id":"news_11664339","meta":{"index":"posts_1591205157","site":"news","id":"11664339","score":null,"sort":[1524599941000]},"guestAuthors":[],"slug":"reversal-on-death-investigation-of-man-killed-by-police-casts-doubt-in-san-joaquin-county","title":"Reversal on Death Ruling for Man Killed by Police Raises Doubts in San Joaquin County","publishDate":1524599941,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>When a young Sacramento man died in a struggle with Stockton police in 2016, San Joaquin County Sheriff-Coroner Steve Moore labeled the death an accident, overriding the opinion of his principal forensic pathologist.\u003c/p>\n\u003cp>Last month, a full two years later, the discrepancy was \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">exposed\u003c/a>, and the sheriff reclassified the death of Abelino Cordova-Cuevas as a homicide.\u003c/p>\n\u003cp>The reversal raises questions about the integrity of death investigations conducted under Moore, especially whether the sheriff appeared to use his power to shield officers of the law from prosecution, even if they killed people. In San Joaquin County, as in the vast majority of California counties, the sheriff also serves as coroner and is responsible for investigating sudden, violent and suspicious deaths.\u003c/p>\n\u003cp>“Let’s not lose sight of the fact that this is an officer-involved death,” said Greg Bentley, an attorney for the Cordova-Cuevas family. “There needs to be independence, objectivity and competency in county-performed autopsies. The public would expect nothing less.”\u003c/p>\n\u003cp>But in the case of Cordova-Cuevas, Bentley says the sheriff betrayed that public trust by violating a subpoena for all records on the case. He says Moore’s agency withheld a key document that would have showed that the forensic pathologist who conducted the autopsy, Dr. Bennet Omalu, had indicated the death was a homicide.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The lawyer discovered the omission during a deposition of Omalu, who noted that the cover sheet was missing from his autopsy report.\u003c/p>\n\u003cfigure id=\"attachment_11664418\" class=\"wp-caption alignright\" style=\"max-width: 1363px\">\u003cimg class=\"wp-image-11664418 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet.jpg\" alt=\"\" width=\"1363\" height=\"1755\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet.jpg 1363w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-160x206.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-800x1030.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-1020x1313.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-932x1200.jpg 932w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-1180x1519.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-960x1236.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-240x309.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-375x483.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-520x670.jpg 520w\" sizes=\"(max-width: 1363px) 100vw, 1363px\">\u003cfigcaption class=\"wp-caption-text\">Abelino Cordova-Cuevas autopsy cover sheet. \u003ccite>(San Joaquin County Sheriff-Coroner's Office)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The sheriff’s decision to reclassify Cordova-Cuevas’ death was made shortly after that revelation and just one day before Moore implemented a new policy that would provide greater transparency in death investigations.\u003c/p>\n\u003cp>Going forward, all officer-involved deaths would require a coroner’s \u003ca href=\"https://www.kqed.org/news/11658317/san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public\" target=\"_blank\" rel=\"noopener\">inquest\u003c/a> where the sheriff appoints a hearing officer or a nine-member jury of county residents to consider evidence to decide whether the deceased person died as the result of an accident, homicide, suicide or natural causes.\u003c/p>\n\u003cp>“Recently, questions have been raised about death investigations that were, in some way, connected to law enforcement action,” Moore wrote in a statement last month, referring to allegations made by Omalu and the county’s other forensic pathologist, Dr. Susan Parson, who both resigned in December.\u003c/p>\n\u003cp>Omalu, renowned for his discovery of a deadly brain disease related to concussions in professional football players, served as the county’s chief forensic pathologist for a decade. In a memo documenting his reasons for resigning he wrote, “The sheriff was using his political office as the coroner to protect police officers whenever someone died while in custody or during arrest.”\u003c/p>\n\u003cp>\u003cstrong>Deadly Traffic Stop\u003c/strong>\u003c/p>\n\u003cp>On March 7, 2016, Cordova-Cuevas was driving home from his job at a Stockton meat market, when police pulled him over for what they called “erratic driving,” according to a wrongful-death complaint filed for the family.\u003c/p>\n\u003cp>In the complaint, witnesses reported seeing the 28-year-old standing on the sidewalk, his hands in the air, while repeatedly telling officers, “I have no weapons.” When one of the officers triggered his taser gun, making a “crackling sound,” Cordova-Cuevas ran away. Police quickly cornered him at a nearby business.\u003c/p>\n\u003cp>Security camera \u003ca href=\"https://www.youtube.com/watch?v=dJNSeeCkAfc\" target=\"_blank\" rel=\"noopener\">footage\u003c/a> from a nearby business obtained by Bentley, the family’s attorney, showed Cordova-Cuevas was backing up slowly with his hands in the air when police tackled him.\u003c/p>\n\u003cp>That footage also showed Stockton officers using either a chokehold or carotid restraint on Cordova-Cuevas. Police in California are not allowed to use a chokehold that cuts off the air by compressing the windpipe, but they are allowed to use a carotid restraint where they squeeze a person’s neck to restrict blood flow to the brain, causing them to lose consciousness briefly.\u003c/p>\n\u003cp>When Cordova-Cuevas became unresponsive, officers called for medics and tried to resuscitate him. He was taken to a local hospital and pronounced dead.\u003c/p>\n\u003cp>\u003cstrong>Coroner Overrode Doctor’s Opinion on Homicide \u003c/strong>\u003c/p>\n\u003cp>Omalu conducted the autopsy the day after Cordova-Cuevas’ death, but did not finalize his report for nearly a year. The pathologist said it took that long to convince the Stockton Police Department to let him view footage from the officers’ body cameras.\u003c/p>\n\u003cfigure id=\"attachment_11648872\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg\" alt=\"\" width=\"1920\" height=\"2880\" class=\"size-full wp-image-11648872\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-375x563.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-520x780.jpg 520w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Bennet Omalu \u003ccite>(Courtesy of Dr. Bennet Omalu)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Jan. 26, 2017, autopsy form filled out by Omalu states that Cordova-Cuevas died from mechanical asphyxiation, compression of the neck and blunt force trauma to the head, face, neck and trunk. Acute amphetamine toxicity is listed as a significant contributing factor. The doctor concluded that the man had died at the hands of another -- the medical definition of a homicide. On a cover sheet for the autopsy report, Omalu checked a box next to the word “homicide,” and circled it.\u003c/p>\n\u003cp>Months later, Omalu told KQED the sheriff called him into his office and asked him to change the manner of Cordova-Cuevas’ death to “accident,” and wanted the same change made in another 2016 officer-involved fatality.\u003c/p>\n\u003cp>“We went into this long back and forth,” Omalu said, “that he doesn't think it was a homicide because they didn't mean to kill him. And I said to him, ‘Sir, it doesn't matter what you and I think, we have to adhere to the standards of practice.’”\u003c/p>\n\u003cp>Omalu said he told the sheriff that a medical determination of homicide indicates that someone died at the hands of another, but it does not ascribe motive or guilt.\u003c/p>\n\u003cp>Four months later, on May 4, 2017, the coroner's office issued a death certificate for Cordova-Cuevas, identifying the manner of his death as an accident.\u003c/p>\n\u003cp>Omalu found out after the Cordova-Cuevas family asked an outside pathologist to review the autopsy report, and that doctor called Omalu and asked why had he had designated the manner of death an accident.\u003c/p>\n\u003cp>In an Aug. 22, 2017 memo documenting that call, Omalu wrote, “I had made it a homicide but the Sheriff had apparently overruled my opinion, without even consulting me.”\u003c/p>\n\u003cp>A KQED \u003ca href=\"https://www.kqed.org/news/11636262/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident\" target=\"_blank\" rel=\"noopener\">investigation\u003c/a> found other examples in which Sheriff Moore overrode Omalu’s assessment and ruled deaths accidents instead of homicides. One is the case of Daniel Humphreys, who died in 2008 after a CHP officer tased him 31 times.\u003c/p>\n\u003cp>An independent \u003ca href=\"https://www.kqed.org/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds\" target=\"_blank\" rel=\"noopener\">audit\u003c/a> of San Joaquin County coroner operations, released last week by RAM Consulting LLC, confirmed “several cases” in 2016 where Moore labeled an officer-involved fatality an accident, against the opinion of the forensic pathologist who conducted the autopsy.\u003c/p>\n\u003cp>Moore declined to be interviewed for this story, but has repeatedly denied that he interfered with his doctors’ findings.\u003c/p>\n\u003cp>In a Dec. 6 Facebook post, Moore stated, “I would never try to control, influence or change the opinions of Dr. Omalu or any other physician working on a case, but I still have the responsibility of making the final determination.”\u003c/p>\n\u003cp>In a legal review of the doctors’ allegations, San Joaquin County Counsel Mark Myles concluded that “the Coroner and the physician should deliberate together regarding the determination of the manner of death so that each understands the others’ perspective. There is no requirement that they agree as to the manner of death.”\u003c/p>\n\u003cp>Controversy over Sheriff Moore’s handling of death investigations became public when Omalu and Parson resigned last December.\u003c/p>\n\u003cp>\u003cstrong>Addendum to Homicide\u003c/strong>\u003c/p>\n\u003cp>In the Cordova-Cuevas case, an addendum to the coroners’ investigative report, obtained by KQED, shows that Chief Deputy Coroner Mike Reynolds reviewed the autopsy file on Omalu’s final day on the job.\u003c/p>\n\u003cp>In the March 23, 2018 addendum, Reynolds wrote that he conducted a follow up after learning that Omalu had reviewed a case synopsis of the incident from the Stockton police that was never shared with the coroner. Reynolds wrote that he obtained and “read the documented report, which includes detailed statements from both of the involved Stockton Police Department officers who took the decedent into custody, including the manner in which a carotid control hold was applied.” Based on his reading of the officers statements, Reynolds explained, “I reclassified the manner of death as ‘homicide,’ which is defined as ‘death at the hands of another.’”\u003c/p>\n\u003cp>But attorney Greg Bentley said it’s telling that the sheriff’s revised report made no mention of the form that Omalu had filled out two years earlier, indicating that he considered Cordova-Cuevas’ death a homicide.\u003c/p>\n\u003cp>“They completely disregarded that,” Bentley said.\u003c/p>\n\u003cp>Bentley asked San Joaquin County’s district attorney to investigate all officer-involved deaths dating back 10 years to make sure this hasn’t happened before.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The district attorney launched an investigation into Moore’s office last year, which is ongoing.\u003c/p>\n\n","blocks":[],"excerpt":"The reversal raises questions about the integrity of death investigations conducted under Moore, especially whether the sheriff appeared to use his power to shield officers of the law from prosecution, even if they killed people.","status":"publish","parent":0,"modified":1530643146,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":40,"wordCount":1512},"headData":{"title":"Reversal on Death Ruling for Man Killed by Police Raises Doubts in San Joaquin County | KQED","description":"The reversal raises questions about the integrity of death investigations conducted under Moore, especially whether the sheriff appeared to use his power to shield officers of the law from prosecution, even if they killed people.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Reversal on Death Ruling for Man Killed by Police Raises Doubts in San Joaquin County","datePublished":"2018-04-24T19:59:01.000Z","dateModified":"2018-07-03T18:39:06.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11664339 https://ww2.kqed.org/news/?p=11664339","disqusUrl":"https://ww2.kqed.org/news/2018/04/24/reversal-on-death-investigation-of-man-killed-by-police-casts-doubt-in-san-joaquin-county/","disqusTitle":"Reversal on Death Ruling for Man Killed by Police Raises Doubts in San Joaquin County","path":"/news/11664339/reversal-on-death-investigation-of-man-killed-by-police-casts-doubt-in-san-joaquin-county","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When a young Sacramento man died in a struggle with Stockton police in 2016, San Joaquin County Sheriff-Coroner Steve Moore labeled the death an accident, overriding the opinion of his principal forensic pathologist.\u003c/p>\n\u003cp>Last month, a full two years later, the discrepancy was \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener\">exposed\u003c/a>, and the sheriff reclassified the death of Abelino Cordova-Cuevas as a homicide.\u003c/p>\n\u003cp>The reversal raises questions about the integrity of death investigations conducted under Moore, especially whether the sheriff appeared to use his power to shield officers of the law from prosecution, even if they killed people. In San Joaquin County, as in the vast majority of California counties, the sheriff also serves as coroner and is responsible for investigating sudden, violent and suspicious deaths.\u003c/p>\n\u003cp>“Let’s not lose sight of the fact that this is an officer-involved death,” said Greg Bentley, an attorney for the Cordova-Cuevas family. “There needs to be independence, objectivity and competency in county-performed autopsies. The public would expect nothing less.”\u003c/p>\n\u003cp>But in the case of Cordova-Cuevas, Bentley says the sheriff betrayed that public trust by violating a subpoena for all records on the case. He says Moore’s agency withheld a key document that would have showed that the forensic pathologist who conducted the autopsy, Dr. Bennet Omalu, had indicated the death was a homicide.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The lawyer discovered the omission during a deposition of Omalu, who noted that the cover sheet was missing from his autopsy report.\u003c/p>\n\u003cfigure id=\"attachment_11664418\" class=\"wp-caption alignright\" style=\"max-width: 1363px\">\u003cimg class=\"wp-image-11664418 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet.jpg\" alt=\"\" width=\"1363\" height=\"1755\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet.jpg 1363w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-160x206.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-800x1030.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-1020x1313.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-932x1200.jpg 932w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-1180x1519.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-960x1236.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-240x309.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-375x483.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/Cordova-Cuevas-Pending-Cause-sheet-520x670.jpg 520w\" sizes=\"(max-width: 1363px) 100vw, 1363px\">\u003cfigcaption class=\"wp-caption-text\">Abelino Cordova-Cuevas autopsy cover sheet. \u003ccite>(San Joaquin County Sheriff-Coroner's Office)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The sheriff’s decision to reclassify Cordova-Cuevas’ death was made shortly after that revelation and just one day before Moore implemented a new policy that would provide greater transparency in death investigations.\u003c/p>\n\u003cp>Going forward, all officer-involved deaths would require a coroner’s \u003ca href=\"https://www.kqed.org/news/11658317/san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public\" target=\"_blank\" rel=\"noopener\">inquest\u003c/a> where the sheriff appoints a hearing officer or a nine-member jury of county residents to consider evidence to decide whether the deceased person died as the result of an accident, homicide, suicide or natural causes.\u003c/p>\n\u003cp>“Recently, questions have been raised about death investigations that were, in some way, connected to law enforcement action,” Moore wrote in a statement last month, referring to allegations made by Omalu and the county’s other forensic pathologist, Dr. Susan Parson, who both resigned in December.\u003c/p>\n\u003cp>Omalu, renowned for his discovery of a deadly brain disease related to concussions in professional football players, served as the county’s chief forensic pathologist for a decade. In a memo documenting his reasons for resigning he wrote, “The sheriff was using his political office as the coroner to protect police officers whenever someone died while in custody or during arrest.”\u003c/p>\n\u003cp>\u003cstrong>Deadly Traffic Stop\u003c/strong>\u003c/p>\n\u003cp>On March 7, 2016, Cordova-Cuevas was driving home from his job at a Stockton meat market, when police pulled him over for what they called “erratic driving,” according to a wrongful-death complaint filed for the family.\u003c/p>\n\u003cp>In the complaint, witnesses reported seeing the 28-year-old standing on the sidewalk, his hands in the air, while repeatedly telling officers, “I have no weapons.” When one of the officers triggered his taser gun, making a “crackling sound,” Cordova-Cuevas ran away. Police quickly cornered him at a nearby business.\u003c/p>\n\u003cp>Security camera \u003ca href=\"https://www.youtube.com/watch?v=dJNSeeCkAfc\" target=\"_blank\" rel=\"noopener\">footage\u003c/a> from a nearby business obtained by Bentley, the family’s attorney, showed Cordova-Cuevas was backing up slowly with his hands in the air when police tackled him.\u003c/p>\n\u003cp>That footage also showed Stockton officers using either a chokehold or carotid restraint on Cordova-Cuevas. Police in California are not allowed to use a chokehold that cuts off the air by compressing the windpipe, but they are allowed to use a carotid restraint where they squeeze a person’s neck to restrict blood flow to the brain, causing them to lose consciousness briefly.\u003c/p>\n\u003cp>When Cordova-Cuevas became unresponsive, officers called for medics and tried to resuscitate him. He was taken to a local hospital and pronounced dead.\u003c/p>\n\u003cp>\u003cstrong>Coroner Overrode Doctor’s Opinion on Homicide \u003c/strong>\u003c/p>\n\u003cp>Omalu conducted the autopsy the day after Cordova-Cuevas’ death, but did not finalize his report for nearly a year. The pathologist said it took that long to convince the Stockton Police Department to let him view footage from the officers’ body cameras.\u003c/p>\n\u003cfigure id=\"attachment_11648872\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg\" alt=\"\" width=\"1920\" height=\"2880\" class=\"size-full wp-image-11648872\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-375x563.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-520x780.jpg 520w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Bennet Omalu \u003ccite>(Courtesy of Dr. Bennet Omalu)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Jan. 26, 2017, autopsy form filled out by Omalu states that Cordova-Cuevas died from mechanical asphyxiation, compression of the neck and blunt force trauma to the head, face, neck and trunk. Acute amphetamine toxicity is listed as a significant contributing factor. The doctor concluded that the man had died at the hands of another -- the medical definition of a homicide. On a cover sheet for the autopsy report, Omalu checked a box next to the word “homicide,” and circled it.\u003c/p>\n\u003cp>Months later, Omalu told KQED the sheriff called him into his office and asked him to change the manner of Cordova-Cuevas’ death to “accident,” and wanted the same change made in another 2016 officer-involved fatality.\u003c/p>\n\u003cp>“We went into this long back and forth,” Omalu said, “that he doesn't think it was a homicide because they didn't mean to kill him. And I said to him, ‘Sir, it doesn't matter what you and I think, we have to adhere to the standards of practice.’”\u003c/p>\n\u003cp>Omalu said he told the sheriff that a medical determination of homicide indicates that someone died at the hands of another, but it does not ascribe motive or guilt.\u003c/p>\n\u003cp>Four months later, on May 4, 2017, the coroner's office issued a death certificate for Cordova-Cuevas, identifying the manner of his death as an accident.\u003c/p>\n\u003cp>Omalu found out after the Cordova-Cuevas family asked an outside pathologist to review the autopsy report, and that doctor called Omalu and asked why had he had designated the manner of death an accident.\u003c/p>\n\u003cp>In an Aug. 22, 2017 memo documenting that call, Omalu wrote, “I had made it a homicide but the Sheriff had apparently overruled my opinion, without even consulting me.”\u003c/p>\n\u003cp>A KQED \u003ca href=\"https://www.kqed.org/news/11636262/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident\" target=\"_blank\" rel=\"noopener\">investigation\u003c/a> found other examples in which Sheriff Moore overrode Omalu’s assessment and ruled deaths accidents instead of homicides. One is the case of Daniel Humphreys, who died in 2008 after a CHP officer tased him 31 times.\u003c/p>\n\u003cp>An independent \u003ca href=\"https://www.kqed.org/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds\" target=\"_blank\" rel=\"noopener\">audit\u003c/a> of San Joaquin County coroner operations, released last week by RAM Consulting LLC, confirmed “several cases” in 2016 where Moore labeled an officer-involved fatality an accident, against the opinion of the forensic pathologist who conducted the autopsy.\u003c/p>\n\u003cp>Moore declined to be interviewed for this story, but has repeatedly denied that he interfered with his doctors’ findings.\u003c/p>\n\u003cp>In a Dec. 6 Facebook post, Moore stated, “I would never try to control, influence or change the opinions of Dr. Omalu or any other physician working on a case, but I still have the responsibility of making the final determination.”\u003c/p>\n\u003cp>In a legal review of the doctors’ allegations, San Joaquin County Counsel Mark Myles concluded that “the Coroner and the physician should deliberate together regarding the determination of the manner of death so that each understands the others’ perspective. There is no requirement that they agree as to the manner of death.”\u003c/p>\n\u003cp>Controversy over Sheriff Moore’s handling of death investigations became public when Omalu and Parson resigned last December.\u003c/p>\n\u003cp>\u003cstrong>Addendum to Homicide\u003c/strong>\u003c/p>\n\u003cp>In the Cordova-Cuevas case, an addendum to the coroners’ investigative report, obtained by KQED, shows that Chief Deputy Coroner Mike Reynolds reviewed the autopsy file on Omalu’s final day on the job.\u003c/p>\n\u003cp>In the March 23, 2018 addendum, Reynolds wrote that he conducted a follow up after learning that Omalu had reviewed a case synopsis of the incident from the Stockton police that was never shared with the coroner. Reynolds wrote that he obtained and “read the documented report, which includes detailed statements from both of the involved Stockton Police Department officers who took the decedent into custody, including the manner in which a carotid control hold was applied.” Based on his reading of the officers statements, Reynolds explained, “I reclassified the manner of death as ‘homicide,’ which is defined as ‘death at the hands of another.’”\u003c/p>\n\u003cp>But attorney Greg Bentley said it’s telling that the sheriff’s revised report made no mention of the form that Omalu had filled out two years earlier, indicating that he considered Cordova-Cuevas’ death a homicide.\u003c/p>\n\u003cp>“They completely disregarded that,” Bentley said.\u003c/p>\n\u003cp>Bentley asked San Joaquin County’s district attorney to investigate all officer-involved deaths dating back 10 years to make sure this hasn’t happened before.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The district attorney launched an investigation into Moore’s office last year, which is ongoing.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11664339/reversal-on-death-investigation-of-man-killed-by-police-casts-doubt-in-san-joaquin-county","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_21047","news_22171","news_22846","news_22172","news_17286"],"featImg":"news_11634833","label":"news_72"},"news_11663351":{"type":"posts","id":"news_11663351","meta":{"index":"posts_1591205157","site":"news","id":"11663351","score":null,"sort":[1524185680000]},"guestAuthors":[],"slug":"san-joaquin-county-should-install-independent-medical-examiner-audit-finds","title":"San Joaquin County Should Install Independent Medical Examiner, Audit Finds","publishDate":1524185680,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>An audit of San Joaquin County’s sheriff-coroner operations, made public Wednesday, concluded that removing the sheriff from death investigations and instituting a medical examiner's office run by a physician is the best way to ensure the probes remain independent from law enforcement.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">\u003cstrong>'The office must be and appear to be independent of law enforcement particularly when investigating deaths in the custody of law enforcement or while in jail/prison.'\u003c/strong>\u003c/span>\u003ccite>San Joaquin County Coroner Review and Audit\u003c/cite>\u003c/aside>\n\u003cp>The recommendation is based in part on the conclusion that there were a number of discrepancies in the handling of cases where people died at the hands of law enforcement officers. San Joaquin County supervisors are set to consider the audit, along with options for reconstituting the office of the sheriff-coroner, at a meeting next week.\u003c/p>\n\u003cp>County officials hired Dr. Roger Mitchell, the medical examiner for Washington, D.C., to conduct the audit after two \u003ca href=\"https://www.kqed.org/news/11638866/pathologists-say-san-joaquin-sheriffs-meddling-could-have-compromised-murder-cases\" target=\"_blank\" rel=\"noopener noreferrer\">forensic pathologists accused\u003c/a> Sheriff Steve Moore of interfering in death investigations. Mitchell is scheduled to present supervisors with the findings of his audit, published in a report by RAM Consulting LLC.\u003c/p>\n\u003cp>In San Joaquin County, the coroner, who is also the elected sheriff, investigates all sudden, suspicious or violent deaths. Most California counties use that system, and just a few larger counties have an independent medical examiner. The San Joaquin County Sheriff-Coroner's Office strives to “serve as an independent finder of fact,” according to a mission statement.\u003c/p>\n\u003cp>But the chief forensic pathologist who worked in that office accused the sheriff of manipulating findings to shield peace officers from prosecution.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Bennet Omalu, best known for his discovery of a concussion-related disease in football players, had served as the county’s chief forensic pathologist for a decade when he \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener noreferrer\">resigned in early December\u003c/a>, citing a handful of cases in which Moore ignored his opinion that a death at the hands of law enforcement officers was a homicide.\u003c/p>\n\u003cp>KQED News has verified three cases, two in 2016 and one in 2008, in which the sheriff-coroner certified an in-custody death as an accident after Omalu found that it was a homicide.\u003c/p>\n\u003cp>Another former San Joaquin County forensic pathologist, Dr. Susan Parson, \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" rel=\"noopener noreferrer\" target=\"_blank\">resigned\u003c/a> about a week before Omalu and made similar allegations about Moore interfering with her work.\u003c/p>\n\u003cp>The doctors' resignations, and their reasons, have apparently made it hard to replace them. A recruiter was initially contacted by 20 candidates, according to a county administrator's report, but many of them later withdrew their interest.\u003c/p>\n\u003cp>\"[M]any of the candidates have declined to pursue employment with San Joaquin County due to on-line searches revealing the media presence reporting on this issue, as well as the negative reaction to the location,\" the report says.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>The Officer Tased Him 31 Times; the Sheriff Called His Death an Accident\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11636262/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/12/IMG_6146.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003cp>Stockton woman says San Joaquin County sheriff swept evidence of excessive force 'under a carpet' in her ex-husband's death.\u003c/p>\n\u003c/aside>\n\u003cp>Mitchell’s audit included a review of 130 investigatory and autopsy reports from 2016, or about 10 percent of the year’s coroner cases. Of the five cases where people died in custody, both in jail and during arrest, the audit found a discrepancy between the forensic pathologists’ opinion and the coroner's opinion. which determined the ultimate certification in the manner of death.\u003c/p>\n\u003cp>“The manner of death recorded by the forensic pathologist on the data sheet was not the manner of death certified by the coroner in several of the cases reviewed,\" the audit says. \"In cases where there was a direct physical altercation with law enforcement, the forensic pathologist indicated the manner as homicide. The ultimate coroner manner of death was certified as accident for the aforementioned cases.”\u003c/p>\n\u003cp>Mitchell’s audit also included interviews of key staff in the coroner's office, including the two forensic pathologists -- Omalu and Parson -- Sheriff Moore and the district attorney, which is conducting a separate investigation into the doctors' allegations.\u003c/p>\n\u003cp>“The office must be and appear to be independent of law enforcement particularly when investigating deaths in the custody of law enforcement or while in jail/prison,\" Mitchell wrote. \"This requires a complete shift towards a Medical Examiner System.\"\u003c/p>\n\u003cp>Mitchell wrote that the medical examiner system -- run by a physician certified in pathology -- offers the best tools to improve standards and service and to “maintain independent objectivity, and rebuild the public trust.”\u003c/p>\n\u003cp>“The organizational structure must ensure that the individuals with the most knowledge and experience in conducting medicolegal death investigations provide the ultimate management and leadership for the office,” Mitchell wrote.\u003c/p>\n\u003cp>San Joaquin County District Attorney Tori Verber Salazar, who called for the creation of an independent medical examiner’s office after the doctors' allegations against Moore surfaced, agrees with Mitchell's recommendation.\u003c/p>\n\u003cp>“Having a chief medical examiner, additional medical examiners and a highly skilled board-certified investigative team would address these issues and ensure those loved ones in our community who are no longer with us are receiving the best practices and procedures and the best investigation that we can provide them,” Verber Salazar said. “We owe them that.”\u003c/p>\n\u003caside class=\"alignleft\">\n\u003ch3 style=\"text-align: left\">How Families in San Joaquin County Pay for Coroner Mistakes\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-1180x885.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003cp style=\"text-align: left\">Mixed-up bodies, unwarranted fees and failure to investigate: more allegations of incompetence in the San Joaquin County Sheriff's Office.\u003c/p>\n\u003c/aside>\n\u003cp>She wants to set up an interim coroner for roughly a year while the medical examiner's office is being created, but in the meantime, she said, all deputies who conduct coroner work should receive robust training and certification in death investigations.\u003c/p>\n\u003cp>Mitchell's report found that while the five sheriff's deputies who are responsible for death investigations for the entire county receive 80 hours in death investigation training when they start on the job, they receive little-to-no ongoing education. Patrol deputies who respond to many of the coroner calls have even less formal education in death investigations and, according to the audit, there's no evidence that they consult physicians when the encounter complex death investigation scenes. Forensic pathologists are neither required nor encouraged to go to the scene themselves, the audit says.\u003c/p>\n\u003cp>“It's incumbent upon us to provide the best possible services that we can, with the best trained individuals, and do so in a manner that is respectful to them and to their family,\" Verber Salazar said.\u003c/p>\n\u003cp>She declined to comment on her ongoing investigation into the doctors’ allegations.\u003c/p>\n\u003cp>A separate report by San Joaquin County Counsel Mark Myles found some evidence of disruptive delays in getting medical records and detective reports, which in turn delayed the completion of autopsy reports. And he noted that none of the sheriff's deputies handling coroner cases were certified by an independent credentialing organization, such as the American Board of Medicolegal Death Investigators.\u003c/p>\n\u003cp>Only three of the coroner deputies had received in-depth training in death investigations, the county counsel found.\u003c/p>\n\u003cp>Aside from the need for more training, Myles concluded that most of the issues the doctors raised could have been “avoided, addressed, or remedied in an atmosphere of mutual respect and effective communication.”\u003c/p>\n\u003cp>Myles said last week that he found no evidence the sheriff broke any laws or violated standards supported by the National Association of Medical Examiners.\u003c/p>\n\u003cp>“The law grants great discretion to the coroner in the exercise of their duties,” Myles said. He said national standards note “room for a difference of opinion on determination of the manner of death.”\u003c/p>\n\u003cp>Myles’ review of allegations concluded: “Counsel has not found any facts to support nefarious or callous motives ascribed to the Chief Deputy Coroner or the Coroner.”\u003c/p>\n\u003cp>The San Joaquin Board of Supervisors will hear both reports at a meeting on April 24.\u003c/p>\n\u003cp>Read the audit and county counsel's report below:\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[documentcloud url=\"https://www.documentcloud.org/documents/4442328-San-Joaquin-County-Coroner-Review-and-Audit-Report\" notes=\"true\" text=\"true\" search=\"true\" sidebar=\"true\" pdf=\"true\" responsive=\"true\" page=\"1\"]\u003c/p>\n\n","blocks":[],"excerpt":"An independent review of sheriff-coroner operations in San Joaquin County found the office is out of compliance with many national standards, and recommends making death investigations independent of the office.","status":"publish","parent":0,"modified":1618876891,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1357},"headData":{"title":"San Joaquin County Should Install Independent Medical Examiner, Audit Finds | KQED","description":"An independent review of sheriff-coroner operations in San Joaquin County found the office is out of compliance with many national standards, and recommends making death investigations independent of the office.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Joaquin County Should Install Independent Medical Examiner, Audit Finds","datePublished":"2018-04-20T00:54:40.000Z","dateModified":"2021-04-20T00:01:31.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11663351 https://ww2.kqed.org/news/?p=11663351","disqusUrl":"https://ww2.kqed.org/news/2018/04/19/san-joaquin-county-should-install-independent-medical-examiner-audit-finds/","disqusTitle":"San Joaquin County Should Install Independent Medical Examiner, Audit Finds","templateType":"standard","featuredImageType":"standard","path":"/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>An audit of San Joaquin County’s sheriff-coroner operations, made public Wednesday, concluded that removing the sheriff from death investigations and instituting a medical examiner's office run by a physician is the best way to ensure the probes remain independent from law enforcement.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">\u003cstrong>'The office must be and appear to be independent of law enforcement particularly when investigating deaths in the custody of law enforcement or while in jail/prison.'\u003c/strong>\u003c/span>\u003ccite>San Joaquin County Coroner Review and Audit\u003c/cite>\u003c/aside>\n\u003cp>The recommendation is based in part on the conclusion that there were a number of discrepancies in the handling of cases where people died at the hands of law enforcement officers. San Joaquin County supervisors are set to consider the audit, along with options for reconstituting the office of the sheriff-coroner, at a meeting next week.\u003c/p>\n\u003cp>County officials hired Dr. Roger Mitchell, the medical examiner for Washington, D.C., to conduct the audit after two \u003ca href=\"https://www.kqed.org/news/11638866/pathologists-say-san-joaquin-sheriffs-meddling-could-have-compromised-murder-cases\" target=\"_blank\" rel=\"noopener noreferrer\">forensic pathologists accused\u003c/a> Sheriff Steve Moore of interfering in death investigations. Mitchell is scheduled to present supervisors with the findings of his audit, published in a report by RAM Consulting LLC.\u003c/p>\n\u003cp>In San Joaquin County, the coroner, who is also the elected sheriff, investigates all sudden, suspicious or violent deaths. Most California counties use that system, and just a few larger counties have an independent medical examiner. The San Joaquin County Sheriff-Coroner's Office strives to “serve as an independent finder of fact,” according to a mission statement.\u003c/p>\n\u003cp>But the chief forensic pathologist who worked in that office accused the sheriff of manipulating findings to shield peace officers from prosecution.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Bennet Omalu, best known for his discovery of a concussion-related disease in football players, had served as the county’s chief forensic pathologist for a decade when he \u003ca href=\"https://www.kqed.org/news/11634689/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement\" target=\"_blank\" rel=\"noopener noreferrer\">resigned in early December\u003c/a>, citing a handful of cases in which Moore ignored his opinion that a death at the hands of law enforcement officers was a homicide.\u003c/p>\n\u003cp>KQED News has verified three cases, two in 2016 and one in 2008, in which the sheriff-coroner certified an in-custody death as an accident after Omalu found that it was a homicide.\u003c/p>\n\u003cp>Another former San Joaquin County forensic pathologist, Dr. Susan Parson, \u003ca href=\"https://www.kqed.org/news/11633330/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes\" rel=\"noopener noreferrer\" target=\"_blank\">resigned\u003c/a> about a week before Omalu and made similar allegations about Moore interfering with her work.\u003c/p>\n\u003cp>The doctors' resignations, and their reasons, have apparently made it hard to replace them. A recruiter was initially contacted by 20 candidates, according to a county administrator's report, but many of them later withdrew their interest.\u003c/p>\n\u003cp>\"[M]any of the candidates have declined to pursue employment with San Joaquin County due to on-line searches revealing the media presence reporting on this issue, as well as the negative reaction to the location,\" the report says.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>The Officer Tased Him 31 Times; the Sheriff Called His Death an Accident\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11636262/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/12/IMG_6146.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003cp>Stockton woman says San Joaquin County sheriff swept evidence of excessive force 'under a carpet' in her ex-husband's death.\u003c/p>\n\u003c/aside>\n\u003cp>Mitchell’s audit included a review of 130 investigatory and autopsy reports from 2016, or about 10 percent of the year’s coroner cases. Of the five cases where people died in custody, both in jail and during arrest, the audit found a discrepancy between the forensic pathologists’ opinion and the coroner's opinion. which determined the ultimate certification in the manner of death.\u003c/p>\n\u003cp>“The manner of death recorded by the forensic pathologist on the data sheet was not the manner of death certified by the coroner in several of the cases reviewed,\" the audit says. \"In cases where there was a direct physical altercation with law enforcement, the forensic pathologist indicated the manner as homicide. The ultimate coroner manner of death was certified as accident for the aforementioned cases.”\u003c/p>\n\u003cp>Mitchell’s audit also included interviews of key staff in the coroner's office, including the two forensic pathologists -- Omalu and Parson -- Sheriff Moore and the district attorney, which is conducting a separate investigation into the doctors' allegations.\u003c/p>\n\u003cp>“The office must be and appear to be independent of law enforcement particularly when investigating deaths in the custody of law enforcement or while in jail/prison,\" Mitchell wrote. \"This requires a complete shift towards a Medical Examiner System.\"\u003c/p>\n\u003cp>Mitchell wrote that the medical examiner system -- run by a physician certified in pathology -- offers the best tools to improve standards and service and to “maintain independent objectivity, and rebuild the public trust.”\u003c/p>\n\u003cp>“The organizational structure must ensure that the individuals with the most knowledge and experience in conducting medicolegal death investigations provide the ultimate management and leadership for the office,” Mitchell wrote.\u003c/p>\n\u003cp>San Joaquin County District Attorney Tori Verber Salazar, who called for the creation of an independent medical examiner’s office after the doctors' allegations against Moore surfaced, agrees with Mitchell's recommendation.\u003c/p>\n\u003cp>“Having a chief medical examiner, additional medical examiners and a highly skilled board-certified investigative team would address these issues and ensure those loved ones in our community who are no longer with us are receiving the best practices and procedures and the best investigation that we can provide them,” Verber Salazar said. “We owe them that.”\u003c/p>\n\u003caside class=\"alignleft\">\n\u003ch3 style=\"text-align: left\">How Families in San Joaquin County Pay for Coroner Mistakes\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-1180x885.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003cp style=\"text-align: left\">Mixed-up bodies, unwarranted fees and failure to investigate: more allegations of incompetence in the San Joaquin County Sheriff's Office.\u003c/p>\n\u003c/aside>\n\u003cp>She wants to set up an interim coroner for roughly a year while the medical examiner's office is being created, but in the meantime, she said, all deputies who conduct coroner work should receive robust training and certification in death investigations.\u003c/p>\n\u003cp>Mitchell's report found that while the five sheriff's deputies who are responsible for death investigations for the entire county receive 80 hours in death investigation training when they start on the job, they receive little-to-no ongoing education. Patrol deputies who respond to many of the coroner calls have even less formal education in death investigations and, according to the audit, there's no evidence that they consult physicians when the encounter complex death investigation scenes. Forensic pathologists are neither required nor encouraged to go to the scene themselves, the audit says.\u003c/p>\n\u003cp>“It's incumbent upon us to provide the best possible services that we can, with the best trained individuals, and do so in a manner that is respectful to them and to their family,\" Verber Salazar said.\u003c/p>\n\u003cp>She declined to comment on her ongoing investigation into the doctors’ allegations.\u003c/p>\n\u003cp>A separate report by San Joaquin County Counsel Mark Myles found some evidence of disruptive delays in getting medical records and detective reports, which in turn delayed the completion of autopsy reports. And he noted that none of the sheriff's deputies handling coroner cases were certified by an independent credentialing organization, such as the American Board of Medicolegal Death Investigators.\u003c/p>\n\u003cp>Only three of the coroner deputies had received in-depth training in death investigations, the county counsel found.\u003c/p>\n\u003cp>Aside from the need for more training, Myles concluded that most of the issues the doctors raised could have been “avoided, addressed, or remedied in an atmosphere of mutual respect and effective communication.”\u003c/p>\n\u003cp>Myles said last week that he found no evidence the sheriff broke any laws or violated standards supported by the National Association of Medical Examiners.\u003c/p>\n\u003cp>“The law grants great discretion to the coroner in the exercise of their duties,” Myles said. He said national standards note “room for a difference of opinion on determination of the manner of death.”\u003c/p>\n\u003cp>Myles’ review of allegations concluded: “Counsel has not found any facts to support nefarious or callous motives ascribed to the Chief Deputy Coroner or the Coroner.”\u003c/p>\n\u003cp>The San Joaquin Board of Supervisors will hear both reports at a meeting on April 24.\u003c/p>\n\u003cp>Read the audit and county counsel's report below:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"documentcloud","attributes":{"named":{"url":"https://www.documentcloud.org/documents/4442328-San-Joaquin-County-Coroner-Review-and-Audit-Report","notes":"true","text":"true","search":"true","sidebar":"true","pdf":"true","responsive":"true","page":"1","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11663351/san-joaquin-county-should-install-independent-medical-examiner-audit-finds","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_22174","news_21742","news_19542","news_22171","news_22846"],"featImg":"news_11663403","label":"news_72"},"news_11658317":{"type":"posts","id":"news_11658317","meta":{"index":"posts_1591205157","site":"news","id":"11658317","score":null,"sort":[1522335647000]},"guestAuthors":[],"slug":"san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public","title":"San Joaquin Sheriff Opens Death Inquiries to Public","publishDate":1522335647,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>The sheriff-coroner of San Joaquin County came under scrutiny late last year after two physicians who conducted autopsies for his office quit in protest.\u003c/p>\n\u003cp>Dr. Bennet Omalu and Dr. Susan Parson \u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\">accused Sheriff Steve Moore\u003c/a> of pressuring them to change medical findings, especially in \u003ca href=\"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/\" target=\"_blank\" rel=\"noopener\">cases involving law enforcement officers\u003c/a>.\u003c/p>\n\u003cp>“Recently, questions have been raised about death investigations that were, in some way, connected to law enforcement action,” Moore acknowledged in a Facebook post Friday.\u003c/p>\n\u003cp>Moore responded with a promise to conduct public inquests of all deaths that occurred in custody or during a pursuit or arrest. Moore wrote that he modeled his new policy on a coroner's inquest system in neighboring Contra Costa County “that has proved successful, transparent, cost-effective, and can be completed in months, not years.”\u003c/p>\n\u003ch2>Contra Costa County Benefits from Coroner’s Inquests\u003c/h2>\n\u003cp>During the inquest hearing the coroner, a designated deputy or an independent hearing officer -- typically an attorney -- will select and question witnesses.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Either the hearing officer or a nine-member jury of county residents can consider the evidence to decide whether the deceased person died as the result of an accident, homicide, suicide or natural causes.\u003c/p>\n\u003cp>“I am a fan of it,” said attorney Matthew Guichard, who has conducted \u003ca href=\"http://cclawyer.cccba.org/2015/03/coroners-inquests/\" target=\"_blank\" rel=\"noopener\">coroner's inquests\u003c/a> for Contra Costa County for 15 years. He says the hearing “puts out into the open the circumstances of the death and it doesn't get into whether there's criminal or civil responsibility on the part of anyone -- either the policeman, the dead person or anyone else.”\u003c/p>\n\u003cp>Contra Costa County began conducting coroner's inquests for all deaths that occurred in custody in the 1980s. The proceedings are open to the general public and the press. Families of the deceased may have attorneys submit questions on their behalf to the hearing officer.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">How Families in San Joaquin County Pay for Coroner Mistakes\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-1180x885.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Guichard believes the inquests have made a difference in how the public views fatalities involving officers.\u003c/p>\n\u003cp>“Putting it out into the open -- the circumstance -- in my view has significantly reduced the number of lawsuits afterwards because parties, families oftentimes listen and go ‘OK.’ This is the first time they really hear an exhaustive story of precisely what happened.”\u003c/p>\n\u003ch2>Some See Bias With Inquests Controlled by a Sheriff-Coroner\u003c/h2>\n\u003cp>Critics say the inquest system gives the public a false sense of impartiality because the sheriff-coroner runs the operation, selects the witnesses and jury.\u003c/p>\n\u003cp>A forensic pathologist who has worked in several Bay Area counties in California said the only way to completely avoid conflicts of interest or bias is to have the deaths reviewed by an outside expert.\u003c/p>\n\u003cp>Some officials in San Joaquin County are pushing to replace the sheriff-coroner system with an independent medical examiner's office headed by a physician trained in forensic pathology.\u003c/p>\n\u003cp>San Joaquin County officials have hired a consultant to look into how Moore runs the coroner’s operation and to provide a cost-benefit analysis of replacing it with a medical examiner’s office.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That report is due in April.\u003c/p>\n\n","blocks":[],"excerpt":"San Joaquin County will hold public inquests into all officer-involved fatalities -- but critics say that won't protect residents from law enforcement meddling in death investigations.","status":"publish","parent":0,"modified":1530643359,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":528},"headData":{"title":"San Joaquin Sheriff Opens Death Inquiries to Public | KQED","description":"San Joaquin County will hold public inquests into all officer-involved fatalities -- but critics say that won't protect residents from law enforcement meddling in death investigations.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Joaquin Sheriff Opens Death Inquiries to Public","datePublished":"2018-03-29T15:00:47.000Z","dateModified":"2018-07-03T18:42:39.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11658317 https://ww2.kqed.org/news/?p=11658317","disqusUrl":"https://ww2.kqed.org/news/2018/03/29/san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public/","disqusTitle":"San Joaquin Sheriff Opens Death Inquiries to Public","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/03/CoronerInquestSmall.mp3","path":"/news/11658317/san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public","audioDuration":126000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The sheriff-coroner of San Joaquin County came under scrutiny late last year after two physicians who conducted autopsies for his office quit in protest.\u003c/p>\n\u003cp>Dr. Bennet Omalu and Dr. Susan Parson \u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\">accused Sheriff Steve Moore\u003c/a> of pressuring them to change medical findings, especially in \u003ca href=\"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/\" target=\"_blank\" rel=\"noopener\">cases involving law enforcement officers\u003c/a>.\u003c/p>\n\u003cp>“Recently, questions have been raised about death investigations that were, in some way, connected to law enforcement action,” Moore acknowledged in a Facebook post Friday.\u003c/p>\n\u003cp>Moore responded with a promise to conduct public inquests of all deaths that occurred in custody or during a pursuit or arrest. Moore wrote that he modeled his new policy on a coroner's inquest system in neighboring Contra Costa County “that has proved successful, transparent, cost-effective, and can be completed in months, not years.”\u003c/p>\n\u003ch2>Contra Costa County Benefits from Coroner’s Inquests\u003c/h2>\n\u003cp>During the inquest hearing the coroner, a designated deputy or an independent hearing officer -- typically an attorney -- will select and question witnesses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Either the hearing officer or a nine-member jury of county residents can consider the evidence to decide whether the deceased person died as the result of an accident, homicide, suicide or natural causes.\u003c/p>\n\u003cp>“I am a fan of it,” said attorney Matthew Guichard, who has conducted \u003ca href=\"http://cclawyer.cccba.org/2015/03/coroners-inquests/\" target=\"_blank\" rel=\"noopener\">coroner's inquests\u003c/a> for Contra Costa County for 15 years. He says the hearing “puts out into the open the circumstances of the death and it doesn't get into whether there's criminal or civil responsibility on the part of anyone -- either the policeman, the dead person or anyone else.”\u003c/p>\n\u003cp>Contra Costa County began conducting coroner's inquests for all deaths that occurred in custody in the 1980s. The proceedings are open to the general public and the press. Families of the deceased may have attorneys submit questions on their behalf to the hearing officer.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">How Families in San Joaquin County Pay for Coroner Mistakes\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-1180x885.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Guichard believes the inquests have made a difference in how the public views fatalities involving officers.\u003c/p>\n\u003cp>“Putting it out into the open -- the circumstance -- in my view has significantly reduced the number of lawsuits afterwards because parties, families oftentimes listen and go ‘OK.’ This is the first time they really hear an exhaustive story of precisely what happened.”\u003c/p>\n\u003ch2>Some See Bias With Inquests Controlled by a Sheriff-Coroner\u003c/h2>\n\u003cp>Critics say the inquest system gives the public a false sense of impartiality because the sheriff-coroner runs the operation, selects the witnesses and jury.\u003c/p>\n\u003cp>A forensic pathologist who has worked in several Bay Area counties in California said the only way to completely avoid conflicts of interest or bias is to have the deaths reviewed by an outside expert.\u003c/p>\n\u003cp>Some officials in San Joaquin County are pushing to replace the sheriff-coroner system with an independent medical examiner's office headed by a physician trained in forensic pathology.\u003c/p>\n\u003cp>San Joaquin County officials have hired a consultant to look into how Moore runs the coroner’s operation and to provide a cost-benefit analysis of replacing it with a medical examiner’s office.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That report is due in April.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11658317/san-joaquin-sheriff-coroner-opens-some-death-investigations-to-public","authors":["6625"],"programs":["news_72"],"categories":["news_6188","news_8"],"tags":["news_1467","news_20880","news_21047","news_22171","news_22846"],"featImg":"news_11658377","label":"news_72"},"news_11648821":{"type":"posts","id":"news_11648821","meta":{"index":"posts_1591205157","site":"news","id":"11648821","score":null,"sort":[1518140211000]},"guestAuthors":[],"slug":"how-families-in-san-joaquin-county-pay-for-coroner-mistakes","title":"How Families Pay for San Joaquin Coroner Mistakes","publishDate":1518140211,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>The alleged mishandling of death investigations in San Joaquin County inflicted distress and extra costs on grieving families, wasted county resources and potentially impeded prosecutions -- according to two forensic pathologists who quit performing autopsies for the sheriff-coroner last year.\u003c/p>\n\u003cp>A KQED investigation into those allegations confirmed that the coroner’s office, under Sheriff Steve Moore, released the wrong bodies to families in 2016 and 2017, and once lost track of a body in the morgue for months.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We should never, ever, compromise our standards, compromise the integrity and the credibility of the system, especially in this type of work, where people have placed their trust in you to tell them the truth.'\u003ccite>Dr. Bennet Omalu,\u003cbr>\nSan Joaquin County chief forensic pathologist\u003c/cite>\u003c/aside>\n\u003cp>The coroner also charged hundreds of families hundreds of dollars each to transport their loved ones to the morgue -- unnecessarily, the doctors say.\u003c/p>\n\u003cp>In other instances, sheriff’s deputies -- who are also charged with coroner duties -- failed to report deaths to the forensic pathologists that the county was legally required to investigate in a timely manner. The doctors said that prevented them from performing the autopsies and tests necessary to determine how and why the people died.\u003c/p>\n\u003cp>In San Joaquin County, as in most California counties, the elected sheriff is also the coroner and is charged with investigating sudden, suspicious or violent deaths.\u003c/p>\n\u003cfigure id=\"attachment_11648872\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648872\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg\" alt=\"\" width=\"800\" height=\"1200\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-375x563.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-520x780.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Bennet Omalu \u003ccite>(Courtesy of Dr. Bennet Omalu)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\" target=\"_blank\" rel=\"noopener\">Allegations \u003c/a>of misconduct in the San Joaquin County Sheriff’s Office surfaced last year when Dr. Bennet Omalu, the chief forensic pathologist for the county, resigned -- one week after the resignation of his colleague, Dr. Susan Parson, also a forensic pathologist. Omalu, world renowned for his discovery of a deadly brain disease in professional football players, accused Moore of interfering with death investigations in order to protect law enforcement officers. Both doctors said the sheriff prevented them from completing investigations by \u003ca href=\"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/\" target=\"_blank\" rel=\"noopener\">withholding\u003c/a> evidence and investigatory \u003ca href=\"https://ww2.kqed.org/news/2017/12/22/pathologists-say-san-joaquin-sheriffs-meddling-could-have-compromised-murder-cases/\" target=\"_blank\" rel=\"noopener\">reports\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Omalu declined to comment on specific allegations, but in a recent interview he said: \"We should never, ever, compromise our standards, compromise the integrity and the credibility of the system, especially in this type of work, where people have placed their trust in you to tell them the truth.\"\u003c/p>\n\u003cp>Moore said in December that he never interfered with the findings of his forensic pathologists, who determine the cause of death, but that he has the final say on the manner of death.\u003c/p>\n\u003cp>“I do that based on the totality of the circumstances, up to and including the autopsy report provided by the doctor and the investigative report done by the coroner’s investigators,” Moore said.\u003c/p>\n\u003cp>Moore refused several subsequent requests for interviews.\u003c/p>\n\u003cp>[audio src=\"https://www.kqed.org/.stream/anon/radio/tcr/2018/02/SanJoaquinCoronerSmall2way180209.mp3\" Image=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-800x600.jpg\" Title=\"Reporter Julie Small on How San Joaquin County Families Have Paid for Coroner Mistakes\" program=\"The California Report\"]\u003c/p>\n\u003cp>\u003cstrong>Wrong Remains\u003c/strong>\u003c/p>\n\u003cp>The most shocking allegations against the coroner involve two cases where staff mixed up bodies in their care and released them to the wrong families.\u003c/p>\n\u003cp>That’s what happened to Carmen Rogers, whose husband, Marvin, 54, died of complications from heart disease in a Stockton motel on May 31, 2016.\u003c/p>\n\u003cp>Rogers declined to be interviewed about what happened, but she told her story in a legal complaint against the sheriff. Details of the handling of Marvin Rogers’ death were also revealed in internal sheriff-coroner records obtained by KQED.\u003c/p>\n\u003cp>Rogers agreed to have her husband cremated, and the coroner’s office sent his body to Zapata Funeral Home, according to a computer entry in coroner records.\u003c/p>\n\u003cp>The family held a funeral service for Marvin with the urn of what they thought were his ashes in the room; some of his cremated remains were also placed inside 14 necklaces given to his grandchildren, according to the complaint filed in San Joaquin County Superior Court.\u003c/p>\n\u003cfigure id=\"attachment_11648886\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648886\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/29313_transform-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\">\u003cfigcaption class=\"wp-caption-text\">Necklaces that can hold cremated remains for sale in San Joaquin County mortuary. \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But about a month after the funeral, Rogers received a call at work from the sheriff’s office, asking her to meet “to discuss an important matter,” according to the lawsuit.\u003c/p>\n\u003cp>The complaint details how sheriff's detectives explained that the coroner’s office had mixed up her husband’s body with the body of another man with the same last name. The funeral home had cremated the other man’s body and sent Carmen Rogers his ashes. The body of her husband, Marvin, remained at the morgue.\u003c/p>\n\u003cp>After learning of the mistake Rogers was “distraught,” according to court records -- “she had trouble sleeping, felt anxious, and missed work because she could not concentrate” and sought psychological counseling.\u003c/p>\n\u003cp>Carmen Rogers and her family held a second funeral, with the correct ashes, a month later.\u003c/p>\n\u003cp>In March 2017, they sued Sheriff Moore and the funeral home for damages, to cover the costs of the second funeral, and for emotional stress and strain. The family is currently in settlement negotiations with the county.\u003c/p>\n\u003cp>\u003cstrong>Who Was Cremated?\u003c/strong>\u003c/p>\n\u003cp>Meanwhile, Theresa Zavala, the daughter of the man who had been mistakenly cremated, had no idea where her father was.\u003c/p>\n\u003cp>Zavala, who lives outside Los Angeles, had not heard from her dad, John Rogers, for months and she filed a missing person’s report, according to her attorney. The San Joaquin County Sheriff’s Office contacted her in July 2017, more than a year after John Rogers’ death.\u003c/p>\n\u003cp>Sgt. Mike Reynolds phoned Zavala and said he wanted to meet with her in person to tell her what had happened to her father. According to coroner's documents obtained by KQED, he traded messages with Zavala for months before agreeing to her request to mail the police report and discuss the matter over the phone.\u003c/p>\n\u003cp>John Rogers was discovered dead on May 2, 2016, in the back parking lot of Bay’s Bistro, a shuttered Lodi restaurant, according to the coroner’s records. A homeless advocate found John lying on a pile of clothes with his head propped up against a fence. Detectives were able to identify him by a driver’s license in his pocket, but could not locate his next of kin. An autopsy and toxicology test determined the 59-year-old had died of an overdose.\u003c/p>\n\u003cp>John’s body had been at the morgue for a month, when, on June 6, 2016, coroner staff mistakenly released his remains to Marvin Rogers’ family.\u003c/p>\n\u003cp>[contextly_sidebar id=\"lQM4UAkvM3BZfRbjPv9Xt2teAPtxfW2V\"]\u003c/p>\n\u003cp>In case notes about his Oct. 6 call with Zavala, Sgt. Reynolds recounted, “I explained how the incident occurred, our actions upon discovering it occurred, and the steps we have taken to prevent it from happen[ing] again.”\u003c/p>\n\u003cp>Simran Sekhon, Zavala’s attorney, said the coroner promised to send Zavala her father’s remains — but to this day, she has not received them.\u003c/p>\n\u003cp>“They did not have an opportunity to have a funeral,” Sekhon said.\u003c/p>\n\u003cp>Zavala and her two sisters filed claims against San Joaquin County in January, in preparation for a lawsuit.\u003c/p>\n\u003cp>\u003cstrong>Another Mix-Up\u003c/strong>\u003c/p>\n\u003cp>In December 2017 the coroner’s office repeated the mistake -- of releasing the wrong body -- that had caused Carmen Rogers and Theresa Zavala so much distress. Deputies gave a Lodi family the body of a stranger -- a man who shared their father’s last name, but who was decades younger.\u003c/p>\n\u003cp>The younger man, Robert Silva, 45, died on Oct 21, 2017, at Lodi Memorial Hospital from an infection in his blood.\u003c/p>\n\u003cp>About a month later, Richard Silva, 88, died of a heart attack at his senior living facility.\u003c/p>\n\u003cp>It took a week before officials in the coroner’s office realized they had given the wrong body to Richard Silva’s children.\u003c/p>\n\u003cp>On Dec. 11, deputies delivered Richard’s body to the family’s chosen funeral home and reclaimed the body of Robert.\u003c/p>\n\u003cp>A Dec. 12 computer entry states, “decedent was released in error on 12/04/07... Notification of the error has been made to next of kin.”\u003c/p>\n\u003cp>Richard’s son declined to comment for this story.\u003c/p>\n\u003cp>Authorities determined Robert was indigent and cremated his body at the Bay Area Cremation and Funeral Service in Stockton.\u003c/p>\n\u003cp>\u003cstrong>Learning From Mistakes\u003c/strong>\u003c/p>\n\u003cp>Rocky Shaw, with the California State \u003ca href=\"http://www.coroners.org/\" target=\"_blank\" rel=\"noopener\">Coroners\u003c/a> Association, said these kind of mistakes are rare, “but we know it does happen.”\u003c/p>\n\u003cp>Shaw, who is the supervising deputy coroner for San Bernardino County, said his department once discharged the wrong body to a family, back in 2001.\u003c/p>\n\u003cp>“You know it's the most embarrassing thing to an agency because the trust that we hope to instill in families is completely gone,” Shaw said. “I think if that happened to me, I'd think, ‘What are these boobs doing?’ ”\u003c/p>\n\u003cp>Shaw said San Bernardino officials purchased a new casket for the deceased person and paid all the mortuary costs. Luckily, he said, the family was forgiving and did not sue the department.\u003c/p>\n\u003cp>Shaw said he tells that story as part of a training course he teaches for coroner deputies in California -- as an example of what can go wrong and how to prevent it.\u003c/p>\n\u003cp>The San Bernardino County coroner adopted new procedures and has not repeated the mistake. Two autopsy assistants and a supervisor have eyes on every release.\u003c/p>\n\u003cp>“We have adequate staffing.” Shaw said. “We make sure the procedures are there.”\u003c/p>\n\u003cp>Shaw said the fact that the San Joaquin County coroner mixed up bodies twice indicates the problem wasn’t adequately addressed.\u003c/p>\n\u003cp>“I mean if you have two, there's something that they didn't probably put into place,” Shaw said. “It could be a multitude of issues, but it’s terribly embarrassing and wrong.”\u003c/p>\n\u003cp>The chief \u003ca href=\"https://www.sccgov.org/sites/coroner/Pages/mec.aspx\" target=\"_blank\" rel=\"noopener\">medical examiner\u003c/a> in Santa Clara County, Michelle Jorden, said her office established protocols to reduce the chance of mix-ups.\u003c/p>\n\u003cp>“It hasn’t happened here.” said Jorden, who added that each body in her morgue is assigned a case number that’s printed on a toe tag.\u003c/p>\n\u003cp>“The body will not be released until we have two people look at the toe tags and the matching paperwork,” she said.\u003c/p>\n\u003cp>Problems with adequately tracking bodies in the San Joaquin County morgue date as far back as 2013. That’s when a body went missing for more than six months. Sources close to the office said a technician discovered a badly decomposed body in the morgue. Meanwhile, the person’s relatives had been asking for their loved one for months -- and were told the body was not there.\u003c/p>\n\u003cp>In recent years Omalu has recommended purchasing a Laboratory Information Management System (LIMS) for tracking bodies and specimens, a standard tool used by hospitals. He said the sheriff told him it was too expensive.\u003c/p>\n\u003cp>At one local mortuary in San Joaquin County, staff said that the coroner’s office has released the wrong body to them often enough that they now ask family members to view and identify each body before cremation or burial.\u003c/p>\n\u003cp>Sheriff Moore declined to answer questions about how bodies are tracked in the morgue.\u003c/p>\n\u003cp>\u003cstrong>Who Should Pay the $352 Coroner's Fee\u003c/strong>\u003c/p>\n\u003cp>Another sign of mismanagement by the sheriff-coroner -- according to Omalu and Parson -- is that coroner's deputies bring hundreds of bodies to the morgue each year “unnecessarily.”\u003c/p>\n\u003cp>In several memos documenting the issue, Omalu and Parson estimated that 40 percent of the bodies brought to the county morgue could have had death certificates signed by a treating physician, because the death was not unexpected or violent. That would spare families a $352 coroner’s transportation fee, and delays before they can cremate or bury a loved one.\u003c/p>\n\u003cp>For example, in one weekend in June 2017, Parson wrote, four out of 11 bodies brought to the morgue could have been handled by outside physicians.\u003c/p>\n\u003cp>“Those bodies should have never even come to the morgue,” Parson lamented in a memo. “They should have gone straight to the funeral home.”\u003c/p>\n\u003cp>Annual reports from the San Joaquin County Sheriff-Coroner's Office show that in 2015, 351 bodies brought to the morgue -- or 32 percent -- were later referred to outside physicians to sign out. In 2016, it was 34 percent.\u003c/p>\n\u003cp>The total handling fees for those potentially unnecessary transports added up to more than $100,000 each year in revenue for the sheriff's office.\u003c/p>\n\u003cp>Families of the people who died in San Joaquin County may not have noticed they paid a fee for coroner’s services. The cost is publicly posted on the sheriff-coroner website, but mortuary companies pay that fee directly to the sheriff and then bill the families for it.\u003c/p>\n\u003cp>The forensic pathologists say the extra work also taxes coroner resources and staff time, including detectives who spend hours contacting doctors to get them to sign death certificates, and autopsy technicians who move and store bodies.\u003c/p>\n\u003cp>“This gross inefficiency impacts everybody ... and increases both tangible and intangible costs for the family and for the county,” Omalu wrote in a Sept. 10, 2017, memo.\u003cbr>\n\u003cstrong>\u003cbr>\nSome Deaths Overlooked\u003c/strong>\u003c/p>\n\u003cp>Finally, the two forensic pathologists allege that the San Joaquin County Sheriff's Office is not investigating some deaths that it should be.\u003c/p>\n\u003cp>In one case, the family of a Lodi woman who died in January fears they’ll never know the cause of death.\u003c/p>\n\u003cp>Tracy Espinosa described what happened to her fiance’s sister in an interview.\u003c/p>\n\u003cfigure id=\"attachment_11648892\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003cimg class=\"size-thumbnail wp-image-11648892\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/29307_transform-1-160x213.jpg\" alt=\"\" width=\"160\" height=\"213\">\u003cfigcaption class=\"wp-caption-text\">Tracy Espinosa of San Joaquin County \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Espinosa said her fiance's sister, Julie Russell, had been cooking dinner around 7 p.m. on Jan. 22, 2018. Three hours later, she died.\u003c/p>\n\u003cp>The 60-year-old had a case of flu, and possibly pneumonia and heart problems. She also had a history of drug addiction and alcoholism, and her bedroom contained empty liquor bottles and prescription painkillers for her arthritis.\u003c/p>\n\u003cp>Russell’s son found her lying on the floor and called an ambulance and then called relatives.\u003c/p>\n\u003cp>Police cars and an ambulance were already at the house when Espinosa arrived that Monday night to find Russell flat on her back, eyes wide open, foaming at the mouth.\u003c/p>\n\u003cp>Espinosa does research for law enforcement on cold cases, so she knew the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=GOV§ionNum=27491.\" target=\"_blank\" rel=\"noopener\">criteria\u003c/a> for a coroner to take a case. She was surprised when the sheriff’s deputy said he wasn’t going to take Russell’s body to the morgue -- even though she thought Russell was an obvious coroner's case. The deputy told her to pick a funeral home instead.\u003c/p>\n\u003cp>“By Friday the coroner’s office told me they were coming to get her body and that they were going to charge me $350,” Espinosa said. “I said, ‘What are you talking about? She's been at the funeral home for four days. Now you're going to go get her?’ \"\u003c/p>\n\u003cp>The coroner conducted an autopsy, but Espinosa said she was told the results won’t be available for three to four months. Espinosa said she is supporting Sheriff Moore’s opponent in an upcoming election.\u003c/p>\n\u003cp>Omalu and Parson documented other cases where law enforcement officers failed to notify them of people who died under questionable circumstances.\u003c/p>\n\u003cp>One recent example involves the fetus of a woman who miscarried at 32 weeks, a month after her boyfriend assaulted her. According to an Aug. 25 memo titled “Gross Negligence of Possible Fetal Homicide,” Parson wrote that the woman told a funeral home employee about the assault and the funeral home relayed the information to the detective right after the baby died on July 9, yet no case had been opened on the death.\u003c/p>\n\u003cp>“I asked why he didn’t bring this to my or Dr. Omalu’s attention before now and he responded that he’s been busy,” she wrote.\u003c/p>\n\u003cp>Parson said by the time she learned of the baby’s death several weeks later, it was far too late to be able to determine whether or not it was related to the assault.\u003c/p>\n\u003cp>“I am deeply troubled that somewhere along the line, gross negligence occurred in the management of this case allowing a potential fetal homicide to fall through the cracks,” Parson wrote.\u003c/p>\n\u003cp>The doctors say these kinds of mistakes can happen when law enforcement officers are asked to perform medical duties.\u003c/p>\n\u003cp>\u003cstrong>Patrol Deputies Receive Minimal Training on Death Investigations\u003c/strong>\u003c/p>\n\u003cp>Sgt. Steve Walker, who retired from the San Joaquin Sheriff’s Office in 2012, said he did not receive enough training on death investigations in the academy for patrol officers.\u003c/p>\n\u003cp>“All I got was a manual with the words ‘coroner cases’ on it,” Walker said.\u003c/p>\n\u003cp>He said that wasn’t enough to prepare him to determine who should go to the morgue and who could go directly to a mortuary.\u003c/p>\n\u003cfigure id=\"attachment_11648883\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648883\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-800x683.jpg\" alt=\"\" width=\"800\" height=\"683\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-800x683.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-160x137.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-1020x870.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-1180x1007.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-960x819.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-240x205.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-375x320.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-520x444.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sgt. Steve Walker retired from the San Joaquin Sheriff’s Office in 2012. \u003ccite>(Courtesy of Steve Walker)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“When you're on patrol, you're doing patrol duties,” Walker said. “You're handling criminal cases and maybe doing traffic -- could be anything from a barking dog to a homicide.”\u003c/p>\n\u003cp>Walker said as a patrol deputy he would go days without handling a single coroner’s case, and then have to go to an intensive care unit where someone had died and rifle through binders of medical records full of words he did not understand just to figure out whether a physician could sign the death certificate instead of the coroner.\u003c/p>\n\u003cp>Moore is up for re-election this year, with a primary in June, and Walker is campaigning for his opponent, Pat Withrow.\u003c/p>\n\u003cp>California requires deputies to complete 80 hours of death investigation training within their first year on the job -- and 32 hours every two years after that if their primary job is conducting coroner duties. Detectives in the sheriff-coroner’s office in San Joaquin County fall under this category, but deputies like Walker, who have a variety of duties, receive some initial training, followed by just a few hours of in-service training on coroner cases each year.\u003c/p>\n\u003cp>Sheriff Moore’s information officer, Deputy Dave Konecny, referred questions about staff training requirements to the San Joaquin County counsel.\u003c/p>\n\u003cp>\u003cstrong>A New System for Investigating Deaths\u003c/strong>\u003c/p>\n\u003cp>The county counsel and district attorney both said they are investigating the allegations made by Omalu and Parson, but two months on, neither agency has announced any findings.\u003c/p>\n\u003cp>The county Board of Supervisors has commissioned an analysis of coroner operations, which will include a comparison of the \u003ca href=\"http://www.counties.org/county-office/sheriff-coroner\" target=\"_blank\" rel=\"noopener\">sheriff-coroner\u003c/a> system with a medical examiner system -- in which a forensic pathologist, rather than a law enforcement official, oversees death investigations.\u003c/p>\n\u003cp>“If the Board of Supervisors and residents want it,” Moore said late last year, “I would fully support separation.”\u003c/p>\n\u003cp>If the coroner’s functions are taken over by a medical examiner, Moore would continue in his elected role as the county sheriff and public administrator.\u003c/p>\n\u003cp>At a recent Board of Supervisors hearing, County Administrator Monica Nino said the study on the sheriff-coroner operations will not be ready until April.\u003c/p>\n\u003cp>The president of the San Joaquin Medical Society criticized “the lack of urgency” in addressing the allegations in a letter to supervisors this week.\u003c/p>\n\u003cp>“The stakes are high,” Dr. Grant Mellor wrote. “We are about to lose two highly respected, hardworking forensic pathologists.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Parson’s last day is Feb 25. Omalu’s decade-long service ends March 5. But both doctors have said they would stay on if county officials could ensure their independence.\u003c/p>\n\n","blocks":[],"excerpt":"Mixed-up bodies, unwarranted fees and failure to investigate: more allegations of incompetence in the San Joaquin County Sheriff's Office.","status":"publish","parent":0,"modified":1530643394,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":104,"wordCount":3355},"headData":{"title":"How Families Pay for San Joaquin Coroner Mistakes | KQED","description":"Mixed-up bodies, unwarranted fees and failure to investigate: more allegations of incompetence in the San Joaquin County Sheriff's Office.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"How Families Pay for San Joaquin Coroner Mistakes","datePublished":"2018-02-09T01:36:51.000Z","dateModified":"2018-07-03T18:43:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11648821 https://ww2.kqed.org/news/?p=11648821","disqusUrl":"https://ww2.kqed.org/news/2018/02/08/how-families-in-san-joaquin-county-pay-for-coroner-mistakes/","disqusTitle":"How Families Pay for San Joaquin Coroner Mistakes","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/02/SmallDeathInvestigations.mp3","path":"/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes","audioDuration":278000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The alleged mishandling of death investigations in San Joaquin County inflicted distress and extra costs on grieving families, wasted county resources and potentially impeded prosecutions -- according to two forensic pathologists who quit performing autopsies for the sheriff-coroner last year.\u003c/p>\n\u003cp>A KQED investigation into those allegations confirmed that the coroner’s office, under Sheriff Steve Moore, released the wrong bodies to families in 2016 and 2017, and once lost track of a body in the morgue for months.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We should never, ever, compromise our standards, compromise the integrity and the credibility of the system, especially in this type of work, where people have placed their trust in you to tell them the truth.'\u003ccite>Dr. Bennet Omalu,\u003cbr>\nSan Joaquin County chief forensic pathologist\u003c/cite>\u003c/aside>\n\u003cp>The coroner also charged hundreds of families hundreds of dollars each to transport their loved ones to the morgue -- unnecessarily, the doctors say.\u003c/p>\n\u003cp>In other instances, sheriff’s deputies -- who are also charged with coroner duties -- failed to report deaths to the forensic pathologists that the county was legally required to investigate in a timely manner. The doctors said that prevented them from performing the autopsies and tests necessary to determine how and why the people died.\u003c/p>\n\u003cp>In San Joaquin County, as in most California counties, the elected sheriff is also the coroner and is charged with investigating sudden, suspicious or violent deaths.\u003c/p>\n\u003cfigure id=\"attachment_11648872\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648872\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg\" alt=\"\" width=\"800\" height=\"1200\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-375x563.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29306_IMG_2022-qut-520x780.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Bennet Omalu \u003ccite>(Courtesy of Dr. Bennet Omalu)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\" target=\"_blank\" rel=\"noopener\">Allegations \u003c/a>of misconduct in the San Joaquin County Sheriff’s Office surfaced last year when Dr. Bennet Omalu, the chief forensic pathologist for the county, resigned -- one week after the resignation of his colleague, Dr. Susan Parson, also a forensic pathologist. Omalu, world renowned for his discovery of a deadly brain disease in professional football players, accused Moore of interfering with death investigations in order to protect law enforcement officers. Both doctors said the sheriff prevented them from completing investigations by \u003ca href=\"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/\" target=\"_blank\" rel=\"noopener\">withholding\u003c/a> evidence and investigatory \u003ca href=\"https://ww2.kqed.org/news/2017/12/22/pathologists-say-san-joaquin-sheriffs-meddling-could-have-compromised-murder-cases/\" target=\"_blank\" rel=\"noopener\">reports\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Omalu declined to comment on specific allegations, but in a recent interview he said: \"We should never, ever, compromise our standards, compromise the integrity and the credibility of the system, especially in this type of work, where people have placed their trust in you to tell them the truth.\"\u003c/p>\n\u003cp>Moore said in December that he never interfered with the findings of his forensic pathologists, who determine the cause of death, but that he has the final say on the manner of death.\u003c/p>\n\u003cp>“I do that based on the totality of the circumstances, up to and including the autopsy report provided by the doctor and the investigative report done by the coroner’s investigators,” Moore said.\u003c/p>\n\u003cp>Moore refused several subsequent requests for interviews.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"audio","attributes":{"named":{"src":"https://www.kqed.org/.stream/anon/radio/tcr/2018/02/SanJoaquinCoronerSmall2way180209.mp3","image":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/11/RS28170_IMG_6103-qut-800x600.jpg","title":"Reporter Julie Small on How San Joaquin County Families Have Paid for Coroner Mistakes","program":"The California Report","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Wrong Remains\u003c/strong>\u003c/p>\n\u003cp>The most shocking allegations against the coroner involve two cases where staff mixed up bodies in their care and released them to the wrong families.\u003c/p>\n\u003cp>That’s what happened to Carmen Rogers, whose husband, Marvin, 54, died of complications from heart disease in a Stockton motel on May 31, 2016.\u003c/p>\n\u003cp>Rogers declined to be interviewed about what happened, but she told her story in a legal complaint against the sheriff. Details of the handling of Marvin Rogers’ death were also revealed in internal sheriff-coroner records obtained by KQED.\u003c/p>\n\u003cp>Rogers agreed to have her husband cremated, and the coroner’s office sent his body to Zapata Funeral Home, according to a computer entry in coroner records.\u003c/p>\n\u003cp>The family held a funeral service for Marvin with the urn of what they thought were his ashes in the room; some of his cremated remains were also placed inside 14 necklaces given to his grandchildren, according to the complaint filed in San Joaquin County Superior Court.\u003c/p>\n\u003cfigure id=\"attachment_11648886\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648886\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/29313_transform-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\">\u003cfigcaption class=\"wp-caption-text\">Necklaces that can hold cremated remains for sale in San Joaquin County mortuary. \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But about a month after the funeral, Rogers received a call at work from the sheriff’s office, asking her to meet “to discuss an important matter,” according to the lawsuit.\u003c/p>\n\u003cp>The complaint details how sheriff's detectives explained that the coroner’s office had mixed up her husband’s body with the body of another man with the same last name. The funeral home had cremated the other man’s body and sent Carmen Rogers his ashes. The body of her husband, Marvin, remained at the morgue.\u003c/p>\n\u003cp>After learning of the mistake Rogers was “distraught,” according to court records -- “she had trouble sleeping, felt anxious, and missed work because she could not concentrate” and sought psychological counseling.\u003c/p>\n\u003cp>Carmen Rogers and her family held a second funeral, with the correct ashes, a month later.\u003c/p>\n\u003cp>In March 2017, they sued Sheriff Moore and the funeral home for damages, to cover the costs of the second funeral, and for emotional stress and strain. The family is currently in settlement negotiations with the county.\u003c/p>\n\u003cp>\u003cstrong>Who Was Cremated?\u003c/strong>\u003c/p>\n\u003cp>Meanwhile, Theresa Zavala, the daughter of the man who had been mistakenly cremated, had no idea where her father was.\u003c/p>\n\u003cp>Zavala, who lives outside Los Angeles, had not heard from her dad, John Rogers, for months and she filed a missing person’s report, according to her attorney. The San Joaquin County Sheriff’s Office contacted her in July 2017, more than a year after John Rogers’ death.\u003c/p>\n\u003cp>Sgt. Mike Reynolds phoned Zavala and said he wanted to meet with her in person to tell her what had happened to her father. According to coroner's documents obtained by KQED, he traded messages with Zavala for months before agreeing to her request to mail the police report and discuss the matter over the phone.\u003c/p>\n\u003cp>John Rogers was discovered dead on May 2, 2016, in the back parking lot of Bay’s Bistro, a shuttered Lodi restaurant, according to the coroner’s records. A homeless advocate found John lying on a pile of clothes with his head propped up against a fence. Detectives were able to identify him by a driver’s license in his pocket, but could not locate his next of kin. An autopsy and toxicology test determined the 59-year-old had died of an overdose.\u003c/p>\n\u003cp>John’s body had been at the morgue for a month, when, on June 6, 2016, coroner staff mistakenly released his remains to Marvin Rogers’ family.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>In case notes about his Oct. 6 call with Zavala, Sgt. Reynolds recounted, “I explained how the incident occurred, our actions upon discovering it occurred, and the steps we have taken to prevent it from happen[ing] again.”\u003c/p>\n\u003cp>Simran Sekhon, Zavala’s attorney, said the coroner promised to send Zavala her father’s remains — but to this day, she has not received them.\u003c/p>\n\u003cp>“They did not have an opportunity to have a funeral,” Sekhon said.\u003c/p>\n\u003cp>Zavala and her two sisters filed claims against San Joaquin County in January, in preparation for a lawsuit.\u003c/p>\n\u003cp>\u003cstrong>Another Mix-Up\u003c/strong>\u003c/p>\n\u003cp>In December 2017 the coroner’s office repeated the mistake -- of releasing the wrong body -- that had caused Carmen Rogers and Theresa Zavala so much distress. Deputies gave a Lodi family the body of a stranger -- a man who shared their father’s last name, but who was decades younger.\u003c/p>\n\u003cp>The younger man, Robert Silva, 45, died on Oct 21, 2017, at Lodi Memorial Hospital from an infection in his blood.\u003c/p>\n\u003cp>About a month later, Richard Silva, 88, died of a heart attack at his senior living facility.\u003c/p>\n\u003cp>It took a week before officials in the coroner’s office realized they had given the wrong body to Richard Silva’s children.\u003c/p>\n\u003cp>On Dec. 11, deputies delivered Richard’s body to the family’s chosen funeral home and reclaimed the body of Robert.\u003c/p>\n\u003cp>A Dec. 12 computer entry states, “decedent was released in error on 12/04/07... Notification of the error has been made to next of kin.”\u003c/p>\n\u003cp>Richard’s son declined to comment for this story.\u003c/p>\n\u003cp>Authorities determined Robert was indigent and cremated his body at the Bay Area Cremation and Funeral Service in Stockton.\u003c/p>\n\u003cp>\u003cstrong>Learning From Mistakes\u003c/strong>\u003c/p>\n\u003cp>Rocky Shaw, with the California State \u003ca href=\"http://www.coroners.org/\" target=\"_blank\" rel=\"noopener\">Coroners\u003c/a> Association, said these kind of mistakes are rare, “but we know it does happen.”\u003c/p>\n\u003cp>Shaw, who is the supervising deputy coroner for San Bernardino County, said his department once discharged the wrong body to a family, back in 2001.\u003c/p>\n\u003cp>“You know it's the most embarrassing thing to an agency because the trust that we hope to instill in families is completely gone,” Shaw said. “I think if that happened to me, I'd think, ‘What are these boobs doing?’ ”\u003c/p>\n\u003cp>Shaw said San Bernardino officials purchased a new casket for the deceased person and paid all the mortuary costs. Luckily, he said, the family was forgiving and did not sue the department.\u003c/p>\n\u003cp>Shaw said he tells that story as part of a training course he teaches for coroner deputies in California -- as an example of what can go wrong and how to prevent it.\u003c/p>\n\u003cp>The San Bernardino County coroner adopted new procedures and has not repeated the mistake. Two autopsy assistants and a supervisor have eyes on every release.\u003c/p>\n\u003cp>“We have adequate staffing.” Shaw said. “We make sure the procedures are there.”\u003c/p>\n\u003cp>Shaw said the fact that the San Joaquin County coroner mixed up bodies twice indicates the problem wasn’t adequately addressed.\u003c/p>\n\u003cp>“I mean if you have two, there's something that they didn't probably put into place,” Shaw said. “It could be a multitude of issues, but it’s terribly embarrassing and wrong.”\u003c/p>\n\u003cp>The chief \u003ca href=\"https://www.sccgov.org/sites/coroner/Pages/mec.aspx\" target=\"_blank\" rel=\"noopener\">medical examiner\u003c/a> in Santa Clara County, Michelle Jorden, said her office established protocols to reduce the chance of mix-ups.\u003c/p>\n\u003cp>“It hasn’t happened here.” said Jorden, who added that each body in her morgue is assigned a case number that’s printed on a toe tag.\u003c/p>\n\u003cp>“The body will not be released until we have two people look at the toe tags and the matching paperwork,” she said.\u003c/p>\n\u003cp>Problems with adequately tracking bodies in the San Joaquin County morgue date as far back as 2013. That’s when a body went missing for more than six months. Sources close to the office said a technician discovered a badly decomposed body in the morgue. Meanwhile, the person’s relatives had been asking for their loved one for months -- and were told the body was not there.\u003c/p>\n\u003cp>In recent years Omalu has recommended purchasing a Laboratory Information Management System (LIMS) for tracking bodies and specimens, a standard tool used by hospitals. He said the sheriff told him it was too expensive.\u003c/p>\n\u003cp>At one local mortuary in San Joaquin County, staff said that the coroner’s office has released the wrong body to them often enough that they now ask family members to view and identify each body before cremation or burial.\u003c/p>\n\u003cp>Sheriff Moore declined to answer questions about how bodies are tracked in the morgue.\u003c/p>\n\u003cp>\u003cstrong>Who Should Pay the $352 Coroner's Fee\u003c/strong>\u003c/p>\n\u003cp>Another sign of mismanagement by the sheriff-coroner -- according to Omalu and Parson -- is that coroner's deputies bring hundreds of bodies to the morgue each year “unnecessarily.”\u003c/p>\n\u003cp>In several memos documenting the issue, Omalu and Parson estimated that 40 percent of the bodies brought to the county morgue could have had death certificates signed by a treating physician, because the death was not unexpected or violent. That would spare families a $352 coroner’s transportation fee, and delays before they can cremate or bury a loved one.\u003c/p>\n\u003cp>For example, in one weekend in June 2017, Parson wrote, four out of 11 bodies brought to the morgue could have been handled by outside physicians.\u003c/p>\n\u003cp>“Those bodies should have never even come to the morgue,” Parson lamented in a memo. “They should have gone straight to the funeral home.”\u003c/p>\n\u003cp>Annual reports from the San Joaquin County Sheriff-Coroner's Office show that in 2015, 351 bodies brought to the morgue -- or 32 percent -- were later referred to outside physicians to sign out. In 2016, it was 34 percent.\u003c/p>\n\u003cp>The total handling fees for those potentially unnecessary transports added up to more than $100,000 each year in revenue for the sheriff's office.\u003c/p>\n\u003cp>Families of the people who died in San Joaquin County may not have noticed they paid a fee for coroner’s services. The cost is publicly posted on the sheriff-coroner website, but mortuary companies pay that fee directly to the sheriff and then bill the families for it.\u003c/p>\n\u003cp>The forensic pathologists say the extra work also taxes coroner resources and staff time, including detectives who spend hours contacting doctors to get them to sign death certificates, and autopsy technicians who move and store bodies.\u003c/p>\n\u003cp>“This gross inefficiency impacts everybody ... and increases both tangible and intangible costs for the family and for the county,” Omalu wrote in a Sept. 10, 2017, memo.\u003cbr>\n\u003cstrong>\u003cbr>\nSome Deaths Overlooked\u003c/strong>\u003c/p>\n\u003cp>Finally, the two forensic pathologists allege that the San Joaquin County Sheriff's Office is not investigating some deaths that it should be.\u003c/p>\n\u003cp>In one case, the family of a Lodi woman who died in January fears they’ll never know the cause of death.\u003c/p>\n\u003cp>Tracy Espinosa described what happened to her fiance’s sister in an interview.\u003c/p>\n\u003cfigure id=\"attachment_11648892\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003cimg class=\"size-thumbnail wp-image-11648892\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/29307_transform-1-160x213.jpg\" alt=\"\" width=\"160\" height=\"213\">\u003cfigcaption class=\"wp-caption-text\">Tracy Espinosa of San Joaquin County \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Espinosa said her fiance's sister, Julie Russell, had been cooking dinner around 7 p.m. on Jan. 22, 2018. Three hours later, she died.\u003c/p>\n\u003cp>The 60-year-old had a case of flu, and possibly pneumonia and heart problems. She also had a history of drug addiction and alcoholism, and her bedroom contained empty liquor bottles and prescription painkillers for her arthritis.\u003c/p>\n\u003cp>Russell’s son found her lying on the floor and called an ambulance and then called relatives.\u003c/p>\n\u003cp>Police cars and an ambulance were already at the house when Espinosa arrived that Monday night to find Russell flat on her back, eyes wide open, foaming at the mouth.\u003c/p>\n\u003cp>Espinosa does research for law enforcement on cold cases, so she knew the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=GOV§ionNum=27491.\" target=\"_blank\" rel=\"noopener\">criteria\u003c/a> for a coroner to take a case. She was surprised when the sheriff’s deputy said he wasn’t going to take Russell’s body to the morgue -- even though she thought Russell was an obvious coroner's case. The deputy told her to pick a funeral home instead.\u003c/p>\n\u003cp>“By Friday the coroner’s office told me they were coming to get her body and that they were going to charge me $350,” Espinosa said. “I said, ‘What are you talking about? She's been at the funeral home for four days. Now you're going to go get her?’ \"\u003c/p>\n\u003cp>The coroner conducted an autopsy, but Espinosa said she was told the results won’t be available for three to four months. Espinosa said she is supporting Sheriff Moore’s opponent in an upcoming election.\u003c/p>\n\u003cp>Omalu and Parson documented other cases where law enforcement officers failed to notify them of people who died under questionable circumstances.\u003c/p>\n\u003cp>One recent example involves the fetus of a woman who miscarried at 32 weeks, a month after her boyfriend assaulted her. According to an Aug. 25 memo titled “Gross Negligence of Possible Fetal Homicide,” Parson wrote that the woman told a funeral home employee about the assault and the funeral home relayed the information to the detective right after the baby died on July 9, yet no case had been opened on the death.\u003c/p>\n\u003cp>“I asked why he didn’t bring this to my or Dr. Omalu’s attention before now and he responded that he’s been busy,” she wrote.\u003c/p>\n\u003cp>Parson said by the time she learned of the baby’s death several weeks later, it was far too late to be able to determine whether or not it was related to the assault.\u003c/p>\n\u003cp>“I am deeply troubled that somewhere along the line, gross negligence occurred in the management of this case allowing a potential fetal homicide to fall through the cracks,” Parson wrote.\u003c/p>\n\u003cp>The doctors say these kinds of mistakes can happen when law enforcement officers are asked to perform medical duties.\u003c/p>\n\u003cp>\u003cstrong>Patrol Deputies Receive Minimal Training on Death Investigations\u003c/strong>\u003c/p>\n\u003cp>Sgt. Steve Walker, who retired from the San Joaquin Sheriff’s Office in 2012, said he did not receive enough training on death investigations in the academy for patrol officers.\u003c/p>\n\u003cp>“All I got was a manual with the words ‘coroner cases’ on it,” Walker said.\u003c/p>\n\u003cp>He said that wasn’t enough to prepare him to determine who should go to the morgue and who could go directly to a mortuary.\u003c/p>\n\u003cfigure id=\"attachment_11648883\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648883\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-800x683.jpg\" alt=\"\" width=\"800\" height=\"683\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-800x683.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-160x137.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-1020x870.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-1180x1007.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-960x819.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-240x205.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-375x320.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/RS29304_IMG_0944-qut-520x444.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sgt. Steve Walker retired from the San Joaquin Sheriff’s Office in 2012. \u003ccite>(Courtesy of Steve Walker)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“When you're on patrol, you're doing patrol duties,” Walker said. “You're handling criminal cases and maybe doing traffic -- could be anything from a barking dog to a homicide.”\u003c/p>\n\u003cp>Walker said as a patrol deputy he would go days without handling a single coroner’s case, and then have to go to an intensive care unit where someone had died and rifle through binders of medical records full of words he did not understand just to figure out whether a physician could sign the death certificate instead of the coroner.\u003c/p>\n\u003cp>Moore is up for re-election this year, with a primary in June, and Walker is campaigning for his opponent, Pat Withrow.\u003c/p>\n\u003cp>California requires deputies to complete 80 hours of death investigation training within their first year on the job -- and 32 hours every two years after that if their primary job is conducting coroner duties. Detectives in the sheriff-coroner’s office in San Joaquin County fall under this category, but deputies like Walker, who have a variety of duties, receive some initial training, followed by just a few hours of in-service training on coroner cases each year.\u003c/p>\n\u003cp>Sheriff Moore’s information officer, Deputy Dave Konecny, referred questions about staff training requirements to the San Joaquin County counsel.\u003c/p>\n\u003cp>\u003cstrong>A New System for Investigating Deaths\u003c/strong>\u003c/p>\n\u003cp>The county counsel and district attorney both said they are investigating the allegations made by Omalu and Parson, but two months on, neither agency has announced any findings.\u003c/p>\n\u003cp>The county Board of Supervisors has commissioned an analysis of coroner operations, which will include a comparison of the \u003ca href=\"http://www.counties.org/county-office/sheriff-coroner\" target=\"_blank\" rel=\"noopener\">sheriff-coroner\u003c/a> system with a medical examiner system -- in which a forensic pathologist, rather than a law enforcement official, oversees death investigations.\u003c/p>\n\u003cp>“If the Board of Supervisors and residents want it,” Moore said late last year, “I would fully support separation.”\u003c/p>\n\u003cp>If the coroner’s functions are taken over by a medical examiner, Moore would continue in his elected role as the county sheriff and public administrator.\u003c/p>\n\u003cp>At a recent Board of Supervisors hearing, County Administrator Monica Nino said the study on the sheriff-coroner operations will not be ready until April.\u003c/p>\n\u003cp>The president of the San Joaquin Medical Society criticized “the lack of urgency” in addressing the allegations in a letter to supervisors this week.\u003c/p>\n\u003cp>“The stakes are high,” Dr. Grant Mellor wrote. “We are about to lose two highly respected, hardworking forensic pathologists.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Parson’s last day is Feb 25. Omalu’s decade-long service ends March 5. But both doctors have said they would stay on if county officials could ensure their independence.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11648821/how-families-in-san-joaquin-county-pay-for-coroner-mistakes","authors":["6625"],"programs":["news_6944","news_72"],"categories":["news_6188","news_8"],"tags":["news_19542","news_21047","news_22171","news_22846","news_17041"],"featImg":"news_11648881","label":"news_72"},"news_11638866":{"type":"posts","id":"news_11638866","meta":{"index":"posts_1591205157","site":"news","id":"11638866","score":null,"sort":[1513971567000]},"guestAuthors":[],"slug":"pathologists-say-san-joaquin-sheriffs-meddling-could-have-compromised-murder-cases","title":"Pathologists Say San Joaquin Sheriff's Meddling Could Have Compromised Murder Cases","publishDate":1513971567,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Two forensic pathologists who \u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\" target=\"_blank\" rel=\"noopener\">have accused\u003c/a> the San Joaquin County sheriff of interfering with death investigations to protect law enforcement officers are also alleging Sheriff Steve Moore meddled with their work on high-profile homicides and suspicious deaths, potentially compromising murder cases.\u003c/p>\n\u003cp>The county’s chief forensic pathologist, Dr. Bennet Omalu, \u003ca href=\"https://www.documentcloud.org/documents/4322057-Letter-of-Resignation-Bennet-Omalu-MD-2017-12-05.html\" target=\"_blank\" rel=\"noopener\">announced his resignation\u003c/a> Dec. 5, a little over a week after his colleague Dr. Susan Parson \u003ca href=\"https://ww2.kqed.org/news/2017/11/27/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes/\" target=\"_blank\" rel=\"noopener\">gave similar notice\u003c/a>. Both doctors accused the sheriff of trying to influence their investigations and their findings.\u003cbr>\n[contextly_sidebar id=\"bOdZUxQlMlohk29U0cR9RThS81lBRF45\"]\u003cbr>\nIn over 100 pages of memos, email and letters obtained by KQED, the doctors detailed dozens of incidents they say support those claims.\u003c/p>\n\u003cp>Earlier this month, \u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\" target=\"_blank\" rel=\"noopener\">KQED reported\u003c/a> the allegations that the sheriff “routinely” interfered in investigations of people who died at the hands of officers.\u003c/p>\n\u003cp>In memos attached to an Oct. 1 letter to the medical director of San Joaquin General Hospital, the doctors wrote that Moore also prevented them from visiting crime scenes, failed to notify them of other cases they were legally obligated to investigate and canceled forensic tests without their knowledge or consent.\u003c/p>\n\u003cp>“A person who does not have a license to practice medicine in the State of California should not be involved in the medical evaluation of a case and provision of a medical opinion,” Parson and Omalu wrote.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sheriff Moore denied the allegations in a written statement on Dec. 5.\u003c/p>\n\u003cp>“There have been questions recently about whether I have interfered with forensic investigations. That has never happened,” Moore wrote. “I would never try to influence or change the opinions of Dr Omalu or any pathologist working on a case.”\u003c/p>\n\u003cp>Omalu -- whose discovery of a deadly brain disease in professional football players was depicted in the 2015 movie “Concussion” -- said he accepted a job with San Joaquin County a decade ago to raise the standards of death investigations in a medically underserved community. But in his \u003ca href=\"https://www.documentcloud.org/documents/4322057-Letter-of-Resignation-Bennet-Omalu-MD-2017-12-05.html\" target=\"_blank\" rel=\"noopener\">resignation letter\u003c/a>, Omalu wrote that he was met with resistance from the start.\u003c/p>\n\u003cfigure id=\"attachment_11638942\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11638942 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-800x533.jpg\" alt=\"Forensic pathologist and neuropathologist Dr. Bennet Omalu participates in a briefing sponsored by Rep. Jackie Speier (D-CA) on Capitol Hill on January 12, 2016 in Washington, DC.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Forensic pathologist and neuropathologist Dr. Bennet Omalu participates in a briefing sponsored by Rep. Jackie Speier (D-CA) on Capitol Hill on Jan, 12, 2016, in Washington, D.C. \u003ccite>(Pete Marovich/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I first experienced this with Sheriff Steve Moore when he prevented me from attending crime scenes which detectives from police departments of other cities may have wanted me to attend, or scenes I wanted to attend, especially on complicated and/or unusual cases,” Omalu wrote. “I believed this interference would stop the longer I stayed in the office and exhibited the highest and exemplary standards of practice. Unfortunately, it did not stop.”\u003c/p>\n\u003cp>\u003cstrong>Preventing Forensic Pathologists From Examining Crime Scenes\u003c/strong>\u003c/p>\n\u003cp>Concerns over the lack of participation of a forensic pathologist prompted a San Joaquin County prosecutor to \u003ca href=\"https://www.documentcloud.org/documents/4335112-2013-Deputy-DA-Letter-Re-People-v-Dawson-McGehee.html\" target=\"_blank\" rel=\"noopener\">write a letter\u003c/a> to the sheriff in 2013.\u003c/p>\n\u003cp>“I hope that in writing this letter it brings to your attention how the failure to have the Forensic Pathologist come to the scene can have an affect (sic) on the prosecution of some cases,” Deputy District Attorney Sherri Adams wrote, referencing the Oct. 30, 2011, \u003ca href=\"http://caselaw.findlaw.com/ca-court-of-appeal/1733295.html\" target=\"_blank\" rel=\"noopener\">murder of Kathleen McGehee\u003c/a>.\u003c/p>\n\u003cp>McGehee was discovered stabbed to death in her Manteca home on Oct. 31 of that year, a day when both her son Dawson McGehee and a daughter were in and out of the house.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Dr. Omalu’s ability to perform forensic pathological analysis to ascertain the time of death was significantly impaired.'\u003ccite>Sherri Adams,\u003cbr>\nSan Joaquin County Deputy District Attorney\u003c/cite>\u003c/aside>\n\u003cp>The lead investigator asked for Omalu to examine the body at the house. The sheriff’s office refused to send Omalu, and never told him about the request, according to Adams’ letter.\u003c/p>\n\u003cp>A day later, Omalu performed an autopsy on McGehee in the morgue, but because of the delay and the refrigeration of the body, “Dr. Omalu’s ability to perform forensic pathological analysis to ascertain the time of death was significantly impaired,” Adams wrote.\u003c/p>\n\u003cp>The district attorney charged Dawson McGehee with murder. During the trial, Adams wrote, the defense argued that the victim was alive on Oct. 31 and that someone other than her son could have killed her.\u003c/p>\n\u003cp>“There were members of the jury that entertained this theory as a reasonable possibility based on the evidence,” Adams wrote to Moore. “Thankfully the jury in this case was able to render a verdict of guilt; however, the date and time of death was a real source of debate during the five days of jury deliberations.”\u003c/p>\n\u003cp>Adams said she never received a response to her letter and doesn’t know why the sheriff denied the request for Omalu to visit the crime scene. But, she said, she believes changes were made after that. In 2013, Adams prosecuted another homicide — and in that case, Omalu went to the crime scene, she said.\u003c/p>\n\u003cp>Moore said in a \u003ca href=\"https://www.documentcloud.org/documents/4335341-Sheriff-Moore-17-12-21-response-to-DA-Letter.html\" target=\"_blank\" rel=\"noopener\">written statement\u003c/a> Thursday that his office is \"in the process of reviewing\" Adams' 2013 letter, and that the general practice is to send pathologists to crime scenes once they've been requested by the investigating agency.\u003c/p>\n\u003cp>\"This case is more than six years old,\" Moore wrote, \"and staff assigned to the Coroner's Office at that time have either retired, rotated out, or are no longer working at the Sheriff's Office.\"\u003c/p>\n\u003cp>\u003cstrong>Canceling Doctors’ Orders for Tests\u003c/strong>\u003c/p>\n\u003cp>Forensic pathologists Omalu and Parson also documented a number of times when they say the sheriff overrode their requests for additional tests.\u003c/p>\n\u003cp>Omalu cited a case where the decomposed remains of Lisa Ann Valdez, who had been missing for months, were found on June 8, 2016, also in Manteca.\u003c/p>\n\u003cp>Valdez’s body showed evidence of toxic levels of amphetamine, but Omalu could not rule out other causes because the head and neck of her body were missing.\u003c/p>\n\u003caside class=\"pullquote alignright\">'A person who does not have a license to practice medicine in the State of California should not be involved in the medical evaluation of a case and provision of a medical opinion.'\u003ccite>Dr. Bennet Omalu,\u003cbr>\nSan Joaquin County Chief Forensic Pathologist (Resigned)\u003c/cite>\u003c/aside>\n\u003cp>“I had to determine if she had been killed by someone or if she died as a result of some type of accident,” Omalu wrote in a memo sent to the county medical director on Oct. 1.\u003c/p>\n\u003cp>Omalu recounted that he ordered an anthropological autopsy that might provide further evidence. But months later, when he asked for that report, a sheriff’s deputy told him that his request for laboratory analysis was “overruled” and “the skeleton was released to the family and cremated,” according to the memo.\u003c/p>\n\u003cp>“An incomplete autopsy undermines, and does not pass the reasonable degree of medical certainty threshold and standard,” Omalu wrote on his autopsy report. “I cannot provide an opinion in regard to the mechanisms of death and causes of death in this case.”\u003c/p>\n\u003cp>In his letter to the medical director of San Joaquin General Hospital, Omalu wrote, “A person who does not have a license to practice medicine in the State of California should not be involved in the medical evaluation of a case and provision of a medical opinion.”\u003c/p>\n\u003cp>Both doctors wrote that the sheriff’s decision to cancel lab work amounted to the illegal practice of medicine.\u003c/p>\n\u003cp>\u003cstrong>Calls for Independent Investigation\u003c/strong>\u003c/p>\n\u003cp>San Joaquin County District Attorney Tori Verber Salazar said she was aware of the allegations before the doctors resigned and had launched an investigation “several weeks” ago.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.facebook.com/SJCDA/posts/1702461886467144\" target=\"_blank\" rel=\"noopener\">Dec. 12 post\u003c/a> on the DA’s Facebook page stated: “San Joaquin County Pathologists Dr. Bennet Omalu and Susan Parson have made our office aware of concerns in the operations of their office, and requested the District Attorney to investigate. The investigation has been initiated and is ongoing. When the investigation is complete, this office will review the facts as presented and make the appropriate decisions at that time.”\u003c/p>\n\u003cfigure id=\"attachment_11633436\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11633436\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Joaquin County District Attorney Tori Verber Salazar with investigation files for the 2008 death of Daniel Lee Humprheys, who was tased to death by a CHP officer. \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some residents want an independent agency outside the county to investigate the allegations against Moore.\u003c/p>\n\u003cp>“I don't know how they could possibly investigate the sheriff's office regarding these cases because they're the ones that also handled all of the officer-involved cases” said Barbara Steward, a Stockton resident whose ex-husband, Daniel Humphreys, died in 2008 after being \u003ca href=\"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/\" target=\"_blank\" rel=\"noopener\">tased 31 times\u003c/a> by a California Highway Patrol officer. “I'm not sure how they can be impartial.”\u003c/p>\n\u003cp>In notes sent to county officials this month, Omalu accused the sheriff of withholding a report generated by the Taser weapon the officer used. When DA Verber Salazar -- then a deputy prosecutor -- shared the Taser report with Omalu two years later, showing Humphreys was shocked for 2½ minutes, Omalu changed his findings in the case from accidental death to a homicide.\u003c/p>\n\u003cp>Steward, who was married to Humphreys for 13 years and had two daughters with him, was working for the sheriff when he died. She and Humphreys had divorced and she had remarried. Steward retired this year.\u003cbr>\n[contextly_sidebar id=\"2oHRBJZiMQWzdSwmcHquN077ZRk3oV9q\"]\u003cbr>\nShe said that after the doctors’ allegations surfaced, she felt free to finally reveal what she knew about the night her ex-husband died.\u003c/p>\n\u003cp>“He (Moore) was aware of that case very early on when it was unfolding on scene,” Steward said. “As soon as that information (from the Taser) was downloaded -- which is a pretty instant thing -- I'm sure he was made aware of what that was.”\u003c/p>\n\u003cp>She said an apparent lack of follow-up on that case by the district attorney’s office still bothers her.\u003c/p>\n\u003cp>Now Steward wants the attorney general of California or some other independent agency to investigate the allegations against Moore.\u003c/p>\n\u003cp>“I think it needs to be handled by someone higher up,” Steward said.\u003c/p>\n\u003cp>In a statement this week, a spokesperson for Attorney General Xavier Becerra wrote, “To protect its integrity, we can’t comment on, even to confirm or deny, a potential or ongoing investigation.”\u003c/p>\n\u003cp>\u003cstrong>Allegations Fuel Calls For Independent Medical Examiner\u003c/strong>\u003c/p>\n\u003cp>In response to the allegations against the sheriff, a growing number of physicians -- including the California Medical Association -- have urged the county Board of Supervisors to create a medical examiner’s office run by physicians, who would determine both the cause and manner of suspicious deaths.\u003c/p>\n\u003cp>San Joaquin County, like the majority of counties in California, established a sheriff-coroner system for investigating sudden, violent or suspicious deaths, and all deaths involving law enforcement. Typically the coroner, who is also the elected sheriff, hires a forensic pathologist to conduct autopsies and determine the medical causes of death, such as a heart attack or blunt-force trauma. Then the sheriff determines the manner of death: accidental, suicide, homicide, natural or undetermined -- based on the autopsy findings and the investigatory findings of law enforcement.\u003c/p>\n\u003cp>Critics of the system say having an elected official determine the manner of death presents a conflict of interest, and creates a perception, real or not, that political pressure affected the outcome.\u003c/p>\n\u003cp>During the public comment period at a Dec. 12 county Board of Supervisors meeting, Dr. Grant Mellor of the San Joaquin County Medical Society urged supervisors to take immediate action to protect the independence of forensic pathologists performing autopsies.\u003c/p>\n\u003cp>“This is gaining national -- as well as international -- attention,” said Dr. Kwabena Adubofour at the same meeting, referring to reports and editorials in The Washington Post and texts he said he’d received from colleagues in London asking, “What’s going on in San Joaquin County?”\u003c/p>\n\u003cp>DA Verber Salazar also urged the board to create a separate medical examiner’s office.\u003c/p>\n\u003cp>Board of Supervisors Chair Chuck Winn said he’s waiting for the county counsel to investigate the allegations and determine if any laws were violated.\u003c/p>\n\u003cp>Winn said it would be “irresponsible” to make decisions until the board has all the facts gathered.\u003c/p>\n\u003cp>“Certainly we want to make sure that everybody has an opportunity to provide their input or side as to as to what's occurred and maybe what needs to be done in the future,” he said. “I think it's a little early to make any decisions as to what we're going to do until we have a chance to evaluate what the costs or the consequences the reorganization would entail.”\u003c/p>\n\u003cp>The Santa Clara County Board of Supervisors, for example, voted last year to restore the independence of medical examiners following allegations that the sheriff had interfered with death investigations by withholding evidence and pressuring forensic pathologists to change their findings. The shift resulted in an annual $800,000 increase to the county budget.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Moore said he “would fully support separation” if the Board of Supervisors and the people of San Joaquin County want it.\u003c/p>\n\n","blocks":[],"excerpt":"Two forensic pathologists say Sheriff Steve Moore prevented them from visiting crime scenes, failed to notify them of other cases they were legally obligated to investigate and canceled forensic tests without their knowledge.","status":"publish","parent":0,"modified":1530643425,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":55,"wordCount":2205},"headData":{"title":"Pathologists Say San Joaquin Sheriff's Meddling Could Have Compromised Murder Cases | KQED","description":"Two forensic pathologists say Sheriff Steve Moore prevented them from visiting crime scenes, failed to notify them of other cases they were legally obligated to investigate and canceled forensic tests without their knowledge.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Pathologists Say San Joaquin Sheriff's Meddling Could Have Compromised Murder Cases","datePublished":"2017-12-22T19:39:27.000Z","dateModified":"2018-07-03T18:43:45.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11638866 https://ww2.kqed.org/news/?p=11638866","disqusUrl":"https://ww2.kqed.org/news/2017/12/22/pathologists-say-san-joaquin-sheriffs-meddling-could-have-compromised-murder-cases/","disqusTitle":"Pathologists Say San Joaquin Sheriff's Meddling Could Have Compromised Murder Cases","path":"/news/11638866/pathologists-say-san-joaquin-sheriffs-meddling-could-have-compromised-murder-cases","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Two forensic pathologists who \u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\" target=\"_blank\" rel=\"noopener\">have accused\u003c/a> the San Joaquin County sheriff of interfering with death investigations to protect law enforcement officers are also alleging Sheriff Steve Moore meddled with their work on high-profile homicides and suspicious deaths, potentially compromising murder cases.\u003c/p>\n\u003cp>The county’s chief forensic pathologist, Dr. Bennet Omalu, \u003ca href=\"https://www.documentcloud.org/documents/4322057-Letter-of-Resignation-Bennet-Omalu-MD-2017-12-05.html\" target=\"_blank\" rel=\"noopener\">announced his resignation\u003c/a> Dec. 5, a little over a week after his colleague Dr. Susan Parson \u003ca href=\"https://ww2.kqed.org/news/2017/11/27/autopsy-doctor-quits-alleges-sheriff-interfered-in-death-probes/\" target=\"_blank\" rel=\"noopener\">gave similar notice\u003c/a>. Both doctors accused the sheriff of trying to influence their investigations and their findings.\u003cbr>\n\u003c/p>\u003cp>\u003c/p>\u003cp>\u003cbr>\nIn over 100 pages of memos, email and letters obtained by KQED, the doctors detailed dozens of incidents they say support those claims.\u003c/p>\n\u003cp>Earlier this month, \u003ca href=\"https://ww2.kqed.org/news/2017/12/04/autopsy-doctors-sheriff-overrode-death-findings-to-protect-law-enforcement/\" target=\"_blank\" rel=\"noopener\">KQED reported\u003c/a> the allegations that the sheriff “routinely” interfered in investigations of people who died at the hands of officers.\u003c/p>\n\u003cp>In memos attached to an Oct. 1 letter to the medical director of San Joaquin General Hospital, the doctors wrote that Moore also prevented them from visiting crime scenes, failed to notify them of other cases they were legally obligated to investigate and canceled forensic tests without their knowledge or consent.\u003c/p>\n\u003cp>“A person who does not have a license to practice medicine in the State of California should not be involved in the medical evaluation of a case and provision of a medical opinion,” Parson and Omalu wrote.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sheriff Moore denied the allegations in a written statement on Dec. 5.\u003c/p>\n\u003cp>“There have been questions recently about whether I have interfered with forensic investigations. That has never happened,” Moore wrote. “I would never try to influence or change the opinions of Dr Omalu or any pathologist working on a case.”\u003c/p>\n\u003cp>Omalu -- whose discovery of a deadly brain disease in professional football players was depicted in the 2015 movie “Concussion” -- said he accepted a job with San Joaquin County a decade ago to raise the standards of death investigations in a medically underserved community. But in his \u003ca href=\"https://www.documentcloud.org/documents/4322057-Letter-of-Resignation-Bennet-Omalu-MD-2017-12-05.html\" target=\"_blank\" rel=\"noopener\">resignation letter\u003c/a>, Omalu wrote that he was met with resistance from the start.\u003c/p>\n\u003cfigure id=\"attachment_11638942\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11638942 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-800x533.jpg\" alt=\"Forensic pathologist and neuropathologist Dr. Bennet Omalu participates in a briefing sponsored by Rep. Jackie Speier (D-CA) on Capitol Hill on January 12, 2016 in Washington, DC.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/12/RS19022_GettyImages-504713740-qut-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Forensic pathologist and neuropathologist Dr. Bennet Omalu participates in a briefing sponsored by Rep. Jackie Speier (D-CA) on Capitol Hill on Jan, 12, 2016, in Washington, D.C. \u003ccite>(Pete Marovich/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I first experienced this with Sheriff Steve Moore when he prevented me from attending crime scenes which detectives from police departments of other cities may have wanted me to attend, or scenes I wanted to attend, especially on complicated and/or unusual cases,” Omalu wrote. “I believed this interference would stop the longer I stayed in the office and exhibited the highest and exemplary standards of practice. Unfortunately, it did not stop.”\u003c/p>\n\u003cp>\u003cstrong>Preventing Forensic Pathologists From Examining Crime Scenes\u003c/strong>\u003c/p>\n\u003cp>Concerns over the lack of participation of a forensic pathologist prompted a San Joaquin County prosecutor to \u003ca href=\"https://www.documentcloud.org/documents/4335112-2013-Deputy-DA-Letter-Re-People-v-Dawson-McGehee.html\" target=\"_blank\" rel=\"noopener\">write a letter\u003c/a> to the sheriff in 2013.\u003c/p>\n\u003cp>“I hope that in writing this letter it brings to your attention how the failure to have the Forensic Pathologist come to the scene can have an affect (sic) on the prosecution of some cases,” Deputy District Attorney Sherri Adams wrote, referencing the Oct. 30, 2011, \u003ca href=\"http://caselaw.findlaw.com/ca-court-of-appeal/1733295.html\" target=\"_blank\" rel=\"noopener\">murder of Kathleen McGehee\u003c/a>.\u003c/p>\n\u003cp>McGehee was discovered stabbed to death in her Manteca home on Oct. 31 of that year, a day when both her son Dawson McGehee and a daughter were in and out of the house.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Dr. Omalu’s ability to perform forensic pathological analysis to ascertain the time of death was significantly impaired.'\u003ccite>Sherri Adams,\u003cbr>\nSan Joaquin County Deputy District Attorney\u003c/cite>\u003c/aside>\n\u003cp>The lead investigator asked for Omalu to examine the body at the house. The sheriff’s office refused to send Omalu, and never told him about the request, according to Adams’ letter.\u003c/p>\n\u003cp>A day later, Omalu performed an autopsy on McGehee in the morgue, but because of the delay and the refrigeration of the body, “Dr. Omalu’s ability to perform forensic pathological analysis to ascertain the time of death was significantly impaired,” Adams wrote.\u003c/p>\n\u003cp>The district attorney charged Dawson McGehee with murder. During the trial, Adams wrote, the defense argued that the victim was alive on Oct. 31 and that someone other than her son could have killed her.\u003c/p>\n\u003cp>“There were members of the jury that entertained this theory as a reasonable possibility based on the evidence,” Adams wrote to Moore. “Thankfully the jury in this case was able to render a verdict of guilt; however, the date and time of death was a real source of debate during the five days of jury deliberations.”\u003c/p>\n\u003cp>Adams said she never received a response to her letter and doesn’t know why the sheriff denied the request for Omalu to visit the crime scene. But, she said, she believes changes were made after that. In 2013, Adams prosecuted another homicide — and in that case, Omalu went to the crime scene, she said.\u003c/p>\n\u003cp>Moore said in a \u003ca href=\"https://www.documentcloud.org/documents/4335341-Sheriff-Moore-17-12-21-response-to-DA-Letter.html\" target=\"_blank\" rel=\"noopener\">written statement\u003c/a> Thursday that his office is \"in the process of reviewing\" Adams' 2013 letter, and that the general practice is to send pathologists to crime scenes once they've been requested by the investigating agency.\u003c/p>\n\u003cp>\"This case is more than six years old,\" Moore wrote, \"and staff assigned to the Coroner's Office at that time have either retired, rotated out, or are no longer working at the Sheriff's Office.\"\u003c/p>\n\u003cp>\u003cstrong>Canceling Doctors’ Orders for Tests\u003c/strong>\u003c/p>\n\u003cp>Forensic pathologists Omalu and Parson also documented a number of times when they say the sheriff overrode their requests for additional tests.\u003c/p>\n\u003cp>Omalu cited a case where the decomposed remains of Lisa Ann Valdez, who had been missing for months, were found on June 8, 2016, also in Manteca.\u003c/p>\n\u003cp>Valdez’s body showed evidence of toxic levels of amphetamine, but Omalu could not rule out other causes because the head and neck of her body were missing.\u003c/p>\n\u003caside class=\"pullquote alignright\">'A person who does not have a license to practice medicine in the State of California should not be involved in the medical evaluation of a case and provision of a medical opinion.'\u003ccite>Dr. Bennet Omalu,\u003cbr>\nSan Joaquin County Chief Forensic Pathologist (Resigned)\u003c/cite>\u003c/aside>\n\u003cp>“I had to determine if she had been killed by someone or if she died as a result of some type of accident,” Omalu wrote in a memo sent to the county medical director on Oct. 1.\u003c/p>\n\u003cp>Omalu recounted that he ordered an anthropological autopsy that might provide further evidence. But months later, when he asked for that report, a sheriff’s deputy told him that his request for laboratory analysis was “overruled” and “the skeleton was released to the family and cremated,” according to the memo.\u003c/p>\n\u003cp>“An incomplete autopsy undermines, and does not pass the reasonable degree of medical certainty threshold and standard,” Omalu wrote on his autopsy report. “I cannot provide an opinion in regard to the mechanisms of death and causes of death in this case.”\u003c/p>\n\u003cp>In his letter to the medical director of San Joaquin General Hospital, Omalu wrote, “A person who does not have a license to practice medicine in the State of California should not be involved in the medical evaluation of a case and provision of a medical opinion.”\u003c/p>\n\u003cp>Both doctors wrote that the sheriff’s decision to cancel lab work amounted to the illegal practice of medicine.\u003c/p>\n\u003cp>\u003cstrong>Calls for Independent Investigation\u003c/strong>\u003c/p>\n\u003cp>San Joaquin County District Attorney Tori Verber Salazar said she was aware of the allegations before the doctors resigned and had launched an investigation “several weeks” ago.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.facebook.com/SJCDA/posts/1702461886467144\" target=\"_blank\" rel=\"noopener\">Dec. 12 post\u003c/a> on the DA’s Facebook page stated: “San Joaquin County Pathologists Dr. Bennet Omalu and Susan Parson have made our office aware of concerns in the operations of their office, and requested the District Attorney to investigate. The investigation has been initiated and is ongoing. When the investigation is complete, this office will review the facts as presented and make the appropriate decisions at that time.”\u003c/p>\n\u003cfigure id=\"attachment_11633436\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11633436\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/11/RS28086_IMG_6088-qut-1-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">San Joaquin County District Attorney Tori Verber Salazar with investigation files for the 2008 death of Daniel Lee Humprheys, who was tased to death by a CHP officer. \u003ccite>(Julie Small/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some residents want an independent agency outside the county to investigate the allegations against Moore.\u003c/p>\n\u003cp>“I don't know how they could possibly investigate the sheriff's office regarding these cases because they're the ones that also handled all of the officer-involved cases” said Barbara Steward, a Stockton resident whose ex-husband, Daniel Humphreys, died in 2008 after being \u003ca href=\"https://ww2.kqed.org/news/2017/12/11/the-officer-tased-him-31-times-the-sheriff-called-his-death-an-accident/\" target=\"_blank\" rel=\"noopener\">tased 31 times\u003c/a> by a California Highway Patrol officer. “I'm not sure how they can be impartial.”\u003c/p>\n\u003cp>In notes sent to county officials this month, Omalu accused the sheriff of withholding a report generated by the Taser weapon the officer used. When DA Verber Salazar -- then a deputy prosecutor -- shared the Taser report with Omalu two years later, showing Humphreys was shocked for 2½ minutes, Omalu changed his findings in the case from accidental death to a homicide.\u003c/p>\n\u003cp>Steward, who was married to Humphreys for 13 years and had two daughters with him, was working for the sheriff when he died. She and Humphreys had divorced and she had remarried. Steward retired this year.\u003cbr>\n\u003c/p>\u003cp>\u003c/p>\u003cp>\u003cbr>\nShe said that after the doctors’ allegations surfaced, she felt free to finally reveal what she knew about the night her ex-husband died.\u003c/p>\n\u003cp>“He (Moore) was aware of that case very early on when it was unfolding on scene,” Steward said. “As soon as that information (from the Taser) was downloaded -- which is a pretty instant thing -- I'm sure he was made aware of what that was.”\u003c/p>\n\u003cp>She said an apparent lack of follow-up on that case by the district attorney’s office still bothers her.\u003c/p>\n\u003cp>Now Steward wants the attorney general of California or some other independent agency to investigate the allegations against Moore.\u003c/p>\n\u003cp>“I think it needs to be handled by someone higher up,” Steward said.\u003c/p>\n\u003cp>In a statement this week, a spokesperson for Attorney General Xavier Becerra wrote, “To protect its integrity, we can’t comment on, even to confirm or deny, a potential or ongoing investigation.”\u003c/p>\n\u003cp>\u003cstrong>Allegations Fuel Calls For Independent Medical Examiner\u003c/strong>\u003c/p>\n\u003cp>In response to the allegations against the sheriff, a growing number of physicians -- including the California Medical Association -- have urged the county Board of Supervisors to create a medical examiner’s office run by physicians, who would determine both the cause and manner of suspicious deaths.\u003c/p>\n\u003cp>San Joaquin County, like the majority of counties in California, established a sheriff-coroner system for investigating sudden, violent or suspicious deaths, and all deaths involving law enforcement. Typically the coroner, who is also the elected sheriff, hires a forensic pathologist to conduct autopsies and determine the medical causes of death, such as a heart attack or blunt-force trauma. Then the sheriff determines the manner of death: accidental, suicide, homicide, natural or undetermined -- based on the autopsy findings and the investigatory findings of law enforcement.\u003c/p>\n\u003cp>Critics of the system say having an elected official determine the manner of death presents a conflict of interest, and creates a perception, real or not, that political pressure affected the outcome.\u003c/p>\n\u003cp>During the public comment period at a Dec. 12 county Board of Supervisors meeting, Dr. Grant Mellor of the San Joaquin County Medical Society urged supervisors to take immediate action to protect the independence of forensic pathologists performing autopsies.\u003c/p>\n\u003cp>“This is gaining national -- as well as international -- attention,” said Dr. Kwabena Adubofour at the same meeting, referring to reports and editorials in The Washington Post and texts he said he’d received from colleagues in London asking, “What’s going on in San Joaquin County?”\u003c/p>\n\u003cp>DA Verber Salazar also urged the board to create a separate medical examiner’s office.\u003c/p>\n\u003cp>Board of Supervisors Chair Chuck Winn said he’s waiting for the county counsel to investigate the allegations and determine if any laws were violated.\u003c/p>\n\u003cp>Winn said it would be “irresponsible” to make decisions until the board has all the facts gathered.\u003c/p>\n\u003cp>“Certainly we want to make sure that everybody has an opportunity to provide their input or side as to as to what's occurred and maybe what needs to be done in the future,” he said. “I think it's a little early to make any decisions as to what we're going to do until we have a chance to evaluate what the costs or the consequences the reorganization would entail.”\u003c/p>\n\u003cp>The Santa Clara County Board of Supervisors, for example, voted last year to restore the independence of medical examiners following allegations that the sheriff had interfered with death investigations by withholding evidence and pressuring forensic pathologists to change their findings. The shift resulted in an annual $800,000 increase to the county budget.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Moore said he “would fully support separation” if the Board of Supervisors and the people of San Joaquin County want it.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11638866/pathologists-say-san-joaquin-sheriffs-meddling-could-have-compromised-murder-cases","authors":["6625"],"programs":["news_6944","news_72"],"categories":["news_6188","news_8"],"tags":["news_22174","news_22173","news_19542","news_22171","news_22846","news_22172","news_17286"],"featImg":"news_11633434","label":"news_72"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. 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