According to the story linked to the San Diego Country Sheriff's department let's the mentally ill die while in their custody to an unprecedented degree. It amounts to criminal indifference in my opinion and is a waste of money considering the cost of settling the civil suits.
We could look at the jail commander, but since he was chosen by the San Diego County sheriff the responsibility is ultimately his. And it is his responsibility when it comes to contracting medical personel to provide medical care. And his responsibility to make sure his people know how to handle the mentally ill and others suffering from disease.
It is time the California Attorney General's office investigated the situation, and should criminal prosecution prove necessary, bring charges against those responsible.
What we are seeing here is murder, and it is time it stopped.