told McGonnell that he and Carolyn had an appointment with Riley's pediatrician the following morning, though no such appointment was scheduled. The evening of December 12, 2006, a visibly unfocused Riley knocked on her parents' bedroom door. According to Williams, the girl asked for her mother, but was unable to say "mama" or "Mommy" without choking. Michael told the girl, "Go to your fucking room," and did not allow Riley inside. She returned to her parents' bedroom twice afterwards; both times, Michael shouted at her and made her return to her room. That evening, the girl's parents administered her nighttime dose of medication; they then left for Carolyn's mother's home, leaving Williams to watch Riley and her siblings. While the Riley parents were out, Riley again wandered to her parents' bedroom, calling for her mother. Williams repeatedly explained to Riley that her parents were not home, but Riley apparently did not seem to understand. At one point when Riley appeared to be searching for her mother, Williams called out to Riley, who did not react. Upon picking up the child, she noticed that the girl was cold, clammy, and hung stiffly from her arms, which alarmed Williams: Riley would usually cling "like a monkey" when picked up. After several hours, the Riley parents returned home, where Williams again pushed for the girl's parents to take her to the hospital; Michael falsely claimed that they had an appointment with her pediatrician the next morning. Shortly afterwards, Carolyn gave Riley Children's Tylenol, a liquid cough medicine containing cough suppressant dextromethorphan and antihistamine chlorpheniramine, and a tablet of clonidine. Riley wandered back to her parents' bedroom around 10 PM. Michael spun Riley by the arm, pushed her, and shouted at her, "Go to your own fucking room." Riley began crying and said that she felt sick, but Michael did not allow her in the room. Though McGonnell pleaded with Michael to take her to the hospital, his attempts were unsuccessful, and Williams eventually took Riley back to the girl's bedroom. McGonnell was awoken around 1 AM by a phone call from the tow truck company he worked for, at which point he heard Riley struggling to breathe. Upon entering Riley's room, he discovered her "gurgling" and with vomit on her face. One court document reports that she coughed up a reddish substance onto McGonnell's clothing. McGonnell went to Carolyn and Michael's bedroom, kicking