Is there any mention of inappropriate supervision (e.g., child wandered off and drowned)?

Multiple instances of inappropriate supervision are documented in the fatality report. Pertinent Report 6 describes how "the children were left home alone while their mother, Ms. Holland, was at a bar with friends" and "Ms. Holland did not return until 1 a.m." Sibling One (age 6) was left to supervise younger children. It also states that "Four days earlier, she had taken all the children to the pool except for the baby, Sky, who was left home alone." Pertinent Report 7 similarly describes the children being left home alone with a video showing "the five-month-old, Sky, screaming without a diaper." The WAVY article confirms that "officers learned Holland had left her young children alone on multiple occasions, including the baby who died."

Is there any mention of inflicted injury? (e.g. slapped, punched, kicked, choked)

The fatality report's Pertinent Report 5 states that "the mother had been overheard smacking the children while the worker was gone." However, the investigation found "No marks were observed on Sibling Two" and OKDHS made an "Unsubstantiated Finding as to Abuse of Sibling Two by Ms. Holland." The smacking was alleged based on what a worker overheard, but the finding was unsubstantiated.

Is there any mention of medical neglect?

The fatality report describes untreated medical conditions among the children. Pertinent Report 4 states "The children were reported to have scabs that were not being properly treated." Additionally, Sibling Four was found to have "a severe diaper rash and multiple bites on the child's legs and inner thigh. The rash extended from Sibling Four's inner thighs to the entire privates and buttocks," requiring antibiotic creams when OKDHS intervened. These conditions suggest failure to seek or provide necessary medical care, though the report characterizes the findings as inadequate physical care rather than explicitly using the term medical neglect.

Is there any mention of an unsafe sleeping environment?

The fatality report states that Victoria Holland "put Sky Holland to bed in a laundry basket with blankets and a Boppy pillow, a practice she reported doing when staying at her boyfriend's home." The WAVY news article describes it as "a make-shift bed" that was "like a laundry basket of sorts that was made for the child." A laundry basket with blankets and a Boppy pillow is an unsafe sleeping environment, and the worker in Pertinent Report 6 also "discussed safe sleep practices" with Ms. Holland prior to the death.

Was a biological mother involved in the death?

The fatality report identifies the person responsible for the child (PRFC) as "Victoria Michelle Holland (Biological Mother)." The WAVY article states "Victoria Holland faces one count of second-degree murder and six counts of felony child neglect in Carter County, Oklahoma. Ardmore Police say she is responsible for the death of her six-month-old daughter."

Is there a history of child protection reports prior to death (for this child or siblings)?

The fatality report states: "The OJSO identified seven pertinent reports of child abuse and neglect before the death incident of six-month-old Sky Holland." These reports span from January 26, 2019 to July 15, 2022, involving allegations of neglect, threat of harm, inadequate shelter, abuse, and lack of supervision regarding Sky's siblings and Sky herself. Additionally, "the family had an open investigation for lack of supervision and inadequate care of the children" at the time of the death, opened on July 13, 2022.

Was an adult charged or arrested for the child's death?

The WAVY article states: "Victoria Holland faces one count of second-degree murder and six counts of felony child neglect in Carter County, Oklahoma." The fatality report confirms: "On January 4, 2023, the Carter County District Attorney charged the biological mother, Victoria Holland, with a felony for second-degree murder and six counts of child neglect." She was arrested by U.S. Marshals in Yorktown, Virginia.

Is the mental health of the parent/caregiver referenced?

The fatality report extensively documents Victoria Holland's mental health issues. Pertinent Report 1 states she "was experiencing mental health issues" and "was reported to go to the emergency room daily for suicidal ideations." She attempted suicide on March 2, 2019, having "ingested 25 Depakote pills, and drank alcohol." She was prescribed multiple psychiatric medications (Zoloft, Depakote, Seroquel). Pertinent Report 2 describes her as "suffering from severe postpartum depression." Pertinent Report 6 states she "was reported to drink heavily and to have bipolar disorder, manic depression, and other mental health issues." The safety meeting also identified "Ms. Holland's mental health" as a factor.

Is substance use by the parent/caregiver referenced?

The fatality report documents multiple instances of substance use by Victoria Holland. Pertinent Report 2 states: "She is drinking to the point of having blackouts – sometimes while she's home alone with the children." Pertinent Report 6 describes how Ms. Holland "was at a bar with friends" and "drank to the point of intoxication." During the August 9, 2022 walkthrough, "marijuana products were found in an ashtray within reach of the children, and beer bottles were also accessible to them." The mother also used Depakote (25 pills ingested in suicide attempt) and other prescription medications including Zoloft and Seroquel.

Several substantive systemic and procedural issues are documented. First, there is a notable discrepancy in the reported cause of death: the fatality report states the ME found "pulmonary congestion and edema" with the manner ruled "an accident," while the KXII article reports "the medical examiner's report showed that it was an asphyxiation." Second, OKDHS screened out two of the seven prior reports without investigation, including Pertinent Report 7 on July 15, 2022—just three weeks before Sky's death—which was dismissed as a "duplicate" to an open investigation despite containing new allegations and video evidence. Third, despite the manner of death being ruled an accident, Victoria Holland was charged with second-degree murder under Oklahoma's felony murder statute because "she was in the commission of a felony and the child died." Fourth, Holland fled approximately 1,400 miles to Virginia after the warrant was issued and was captured by U.S. Marshals in Yorktown. Fifth, Holland posted excerpts of the autopsy to Facebook claiming she did not kill her baby, as noted in the KXII article.