Monterey County Grand Jury • 2022-2023 • Agency Response
Response to: Monterey County Coroner's Office: A Matter of Life and Death

County of Monterey's Response to Monterey County Coroner’s Office: a Matter of Life and Death*

Published: July 06, 2023 12 pages
Ver PDF original

Findings and Recommendations 9 findings

F1
MCSO has no written recusal policy or procedure for when autopsies are to be sent out of the County, which could bring into question the integrity of the findings of an investigation or autopsy.
Related Recommendations (1)
R1
Create and adopt written policy and procedures when the MCSO, or its staff, will recuse itself from an investigation
F2
final autopsy report delay.
Related Recommendations (1)
R2
efficient and timely
F3
The lack of medical transcription training contributes to a delay in completing final autopsy reports.
Related Recommendations (1)
R3
6 ss. .......................................
F4
CO detective investigative training is not a written requirement nor is there a timeline for completion despite its importance in ensuring investigations are conducted thoroughly and consistent with statewide standards. DocuSign Envelope ID: ACC8C16C-9C21-4833-869B-F61C05D01270
Related Recommendations (1)
R4
Ensure that death investigation training for each new detective assigned to the CO is mandatory and completed as soon as possible during their orientation
F5
5 . . . . . . . . . . . . . . . . . . . . . .
Related Recommendations (1)
R5
Evaluate staffing needs and create permanent positions accordingly to minimize reliance on temporary staff
F6
5 . . . . . . . . . . . . . . . . . . . .
Related Recommendations (1)
R6
7 ..................
F7
Collaborative purchasing arrangements between the MCSO and other County departments have not been explored where service needs are the same or similar.
Related Recommendations (1)
R7
Monitor and enforce performance measures that are stipulated in the FP contract
F8
5 .......................................
Related Recommendations (1)
R8
DocuSign Envelope ID: ACC8C16C-9C21-4833-869B-F61C05D01270 REPORT TITLE: 2022 - 2023 Monterey County Civil Grand Jury Topic: "Monterey County Coroner's Office: A Matter of Life and Death" RESPONSE BY: Contracts & Purchasing
F9
6 .......................................
No recommendations for this finding

* This report's PDF did not contain easily extractable text and required Optical Character Recognition (OCR) for analysis. There may be minor errors in the extracted findings and recommendations due to OCR limitations with scanned documents.