A 1-year-old girl, identified by the initials K.B., was found unresponsive at her mother Lindsey Reho's apartment on Hancock Street in North Franklin Township, Washington County, Pennsylvania, on June 10. Paramedics responded but the child died shortly thereafter at Washington Hospital. Toxicology results revealed a very high level of fentanyl in the child's system. The mother, a self-admitted daily heroin and fentanyl user, suggested to paramedics that the child may have "got into something" and inquired about Narcan. Reho acknowledged having moved old drugs and drug paraphernalia from a prior apartment into the kitchen garbage can of her new apartment, suggesting the child may have accessed them. The district attorney emphasized the fentanyl levels were not consistent with trace contact and were exceptionally high for anyone, especially a child of that size. Reho was charged with homicide, endangering the welfare of a child, and recklessly endangering another person.
Contexts/Conditions
Is there any mention of child drug ingestion or overdose?
The news article explicitly describes the child's death from fentanyl toxicity. The mother asked paramedics "Do you think she got into something?" and the DA stated: "This is not trace contact, no. This is a very high number for fentanyl to be in anybody's system, let alone a child of this size." The mother also acknowledged throwing "old drugs and paraphernalia" into the kitchen garbage can, suggesting the child ingested fentanyl.
Is there any mention of a drowning incident (either intentional or accidental)?
Is there any mention of a firearm incident?
Is there any mention of inappropriate supervision (e.g., child wandered off and drowned)?
The news article describes the mother acknowledging that she threw "old drugs and paraphernalia from her old apartment into her new apartment's kitchen garbage can," and the mother asked paramedics, "Do you think she got into something?" The DA relayed the mother's statements: "maybe the child got into it that way." These details imply the 1-year-old child had access to dangerous substances due to inadequate supervision, resulting in the fatal fentanyl exposure.
Is there any mention of inflicted injury? (e.g. slapped, punched, kicked, choked)
Is there any mention of malnutrition, starvation, or dehydration?
Is there any mention of medical neglect?
Is there any mention of a motor vehicle crash or incident?
Is there any mention of a murder-suicide incident?
Is there any mention of outdoor elements (including hot car deaths)?
Is there any mention of prenatal substance exposure (including fetal alcohol syndrome or neonatal abstinence syndrome)?
Is there any mention of sexual abuse?
Is there any specific mention of shaken baby or abusive head trauma?
Is there any mention of prolonged abuse or torture (including restraints, captivity)?
Is there any mention of an unsafe sleeping environment?
Individuals Involved
Was an adoptive parent or guardian involved in the death?
Was a biological father involved in the death?
Was a biological mother involved in the death?
The news article states that the child's biological mother, Lindsey Reho, is "charged with homicide in the death of her 1-year-old daughter from fentanyl toxicity." She is also charged with "endangering the welfare of a child and recklessly endangering another person." The mother admitted to being a heroin/fentanyl user and to having drugs and paraphernalia accessible in the home.
Was a day care worker, babysitter, or nanny involved in the death?
Was a female paramour or friend involved in the death (e.g., girlfriend, stepmother)?
Was a foster parent involved in the death?
Was a male paramour or friend involved in the death (e.g., boyfriend, stepfather)?
Was another adult relative involved in the death? (e.g., grandfather, aunt)
Was a sibling involved in the death?
Child Characteristics
Was the child adopted?
Was the child homeschooled (including "cyberschooling") or taken out of school?
Was the child in foster care at the time of the incident?
Was the child living with relatives at the time of the incident (but not parents)?
Is there any mention of a neurological developmental child disability? (e.g., autism, intellectual disability, nonverbal)
Is there any mention of a physical child disability? (e.g., feeding tube)
Is there any mention of prematurity or low birthweight?
Is there a history of child protection reports prior to death (for this child or siblings)?
Does the child have a history of foster care (but not in care at time of incident)?
Is there a history of a sibling death (separate incident from this death)?
Parent/Caregiver Factors
Was an adult charged or arrested for the child's death?
The news article states: "Thirty-two-year-old Lindsey Reho of North Franklin Township, Washington County, is charged with homicide in the death of her 1-year-old daughter from fentanyl toxicity." She was also charged with endangering the welfare of a child and recklessly endangering another person, was arraigned, denied bail, and held in Washington County Jail.
Is domestic violence by the parent/caregiver referenced?
Is there any mention that the death occurred in a temporary shelter or while homeless?
Is an intellectual disability of the parent/caregiver referenced?
Is the mental health of the parent/caregiver referenced?
Is a history of arrests or criminal charges for the parent/caregiver referenced?
Is substance use by the parent/caregiver referenced?
The news article states: "State police indicated Reho later acknowledged she is a heroin addict who uses heroin or fentanyl daily." The DA also confirmed: "she admitted to being a user and using fentanyl." She also acknowledged having drugs and drug paraphernalia in the home.
Notable Details
The news article includes several notable details: (1) The fentanyl level in the child was so high that investigators had to re-test the toxicology to confirm the results: "After toxicology report came back, there was a very high number of fentanyl in this child's system. That's why we waited to file until now. We then had to test again just to make sure because the number was so high and it was consistent." (2) The mother herself suggested to paramedics that they use Narcan, which the DA noted "obviously would signal there's some type of opiate may have been involved." (3) The mother's explanation was that she had moved old drugs and paraphernalia from her previous apartment into the kitchen garbage can of her new apartment, and the child may have accessed them that way. The DA emphasized "This is not trace contact" regarding the fentanyl levels.
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