blood -- nearly twice as much as what is considered safe. The investigation was closed with no answers."It's hard to get that level in a person's system. Phenobarbital is . . . slow to uptake and slow to release. Administered twice a day (as in Turley's case), it should balance out to about 35 milligrams per liter... Natural, homicide, accident, suicide - we don't have enough to pin it on any of those four, so it's 'could not be determined." 2012 Taser assaults In September of 2012, the director of Sonoma received an anonymous voicemail saying that a staff member was attacking patients with a stun gun. Archie Millora, who had worked as a psychiatric technical assistant for 14 years, was apprehended the next day with a Taser and a loaded gun in his car. He was placed on administrative leave but not arrested. A subsequent independent probe by the California Department of Public Health reveals that nurses examined and photographed patients in his care. They found suspicious abrasions on "the buttocks, thigh, arm and back" of 12 people. A forensic pathologist concluded that the marks were "strongly suggestive of electrical thermal burns," consistent with a Taser. All of the reported victims have extreme difficulty communicating, but when questioned, one of them uttered the words "stun" and Millora's name which the incident report identified as "Staff A." He was eventually fired. Court records show in April, Millora pleaded no contest to misdemeanor possession of a loaded firearm. He got probation and a $190 fine in lieu of jail time. But Millora was never charged with the reported stun gun assaults -- charges that if convicted, could have given him serious prison time. 2012 sexual assault investigation A Center for Investigative Reporting investigation in 2012 showed that at least 12 sexual assault reports at Sonoma were not investigated and hospital-supervised rape exams were not conducted in some cases. In one case, the report states, male caregivers were assigned to a patient even after a complaint of abuse by staff while the patient was bathing. In another, a Sonoma caregiver was cleared of assault and went on to molest a second patient. In another, state investigators didn’t act on a patient’s complaint against a staff member. Her pregnancy was overlooked for several months and she eventually gave birth to a child. In 2012, the California Department for Public Health announced they were