urinate. The school nurse noted the girl was weak and not particularly resistant, describing her as being like "a floppy doll." One teacher noted that Riley would become more attentive and lively around 2 PM, "using words and attempting activities," and suspected this was around the time the girl's medication was wearing off. None of the faculty noticed mood or behavioral symptoms consistent with signal pediatric bipolar disorder or ADHD; by contrast, some testified that Riley was "a very sweet little girl." School faculty tried to share their concerns with Riley's parents, but had little success. Michael did not go to the girl's preschool, and while Carolyn was reachable by phone, she showed up infrequently. She reportedly dismissed concerns about Riley's behavior, saying the girl had been sleeping poorly. Officials noted that Carolyn had a flat affect, spoke in monotone, and regularly appeared lethargic herself, leading some to suspect Carolyn was also overmedicated. Despite their concerns, the school did not file a report with DSS. In February 2006, Kifuji began transitioning Riley from Zyprexa to Seroquel (quetiapine). A social worker from South Bay Mental Health Services began treating Riley and her sister Kaitlynne at the family's apartment in May 2006. Upon arrival, the children were frequently asleep; while she worked with them, she noted that both girls were too weak to draw with a crayon. The social worker also noted that Carolyn appeared sluggish, "drugged out," and frequently neglected the children, once failing to clean a puddle of urine off the floor. Like the preschool faculty, the social worker did not observe any mood or behavioral symptoms in Riley that would require pharmaceutical treatment. During the summer of 2006, the social worker filed two reports with DSS. One alleged neglect, while the other was in response to Kaitlynne stating Michael had struck her. She also placed a call to Kifuji to express concern about the children's medication regimen; Kifuji allegedly stated that she was also concerned, but that according to Carolyn's reports during appointments, the children's behavior did not improve on lower dosages. After Carolyn was contacted by DSS officials in July, she abruptly fired the social worker, then placed a call to Kifuji asking her to tell DSS they did not need to investigate. DSS later closed both of the social worker's reports as "unsubstantiated". Carolyn's half-brother, James McGonnell, moved into the family's Weymouth apartment in August of 2006.