Spalding, a mother of two, was admitted to San Francisco General Hospital on September 19 and was last seen in her bed the morning of September 21. She was being treated for a urinary tract infection.
When Spalding disappeared, a sheriff's deputy radioed an alert for hospital deputies to be on the lookout for her and they checked the perimeter of the hospital grounds, Mirkarimi said. Hospital workers described her as African-American and a sheriff's log book listed her as Asian, even though she was white, he said.
Four days later, San Francisco police, as part of a missing-persons investigation, asked the sheriff to pull surveillance video to see if they could spot Spalding leaving, Mirkarimi said. But the sheriff's department waited eight more days to give police the footage, he said.
Nine days after Spalding's disappearance, a hospital risk manager asked deputies to search the 24-acre (10-hectare) hospital campus, but the search failed to include stairwells, Mirkarimi said.
On October 1, 10 days after Spalding was last seen in her room, deputies searched half of the stairwells, the sheriff said. On October 4, a medical staff member called deputies to say that someone reported seeing a person on a stairway landing.
"There is no indication that anyone was dispatched to that stairwell," Mirkarimi said.
A hospital employee found Spalding's body in a locked stairway of the facility on October 8.
Hundreds of friends and relatives had handed out leaflets throughout the San Francisco Bay Area in an attempt to find Spalding before she was found at the same facility where she went missing.
"It just becomes more and more troubling," Haig Harris, an attorney representing Spalding's children, said after the news conference. "They don't seem to know who their patient is."
In response to a reporter's question about possible disciplinary action over the failed search, Mirkarimi said the incident led to "staffing changes." But he did not elaborate.
The local medical examiner has yet to say how Spalding died.
(Editing by Alex Dobuzinskis and Peter Cooney)
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