Ministry of estice seang: 2015-0275-0072 ‘CORONER'S REPORT BRITISH COLUMBIA cra WIENS | [_JSABELLA ANNE CONSTANCE MARIE ] o aoc ones {hdl Liberty Coroner in the Paves ofits Calubi, have Invests the det te above nara eh wos repr to Coroner Bist Waheed on the 16th day of March, 2012, ad as 2 esu ofsuch Ivestgtion have determine he ftw fats and reamstances: once: Ome Brows a: 2b wows sath rome: aware Restoeice uence: BLABY ae eat Masco 16,2013 rca esr: Bana “ie of ea 3700 (immed Case oOo 9) Undetermined aero ote Acmecice or AeccrtCsse Yan » ey ee inmatecneeo) Gy ‘ose State ar (2 oe snc const Oe orc onioown cusmemnsom ——-«Ckewwerms Comme ONAL Stmane — BeNED onsen sors 208 a Tate ar, Soe roves of bash Cala te Paget of3Ministry of ustice ‘CORONER'S REPORT BRITISH anes COLUMBIA. sro THE A [ WIENS 7] [CISABELLA ANNE CONSTANCE MARIE | nn Sie INVESTIGATIVE FINDINGS Isabella Anne Constance Marie Wiens was born on June 11,2014. She was living a foster home and was in frequent Contact wth medical professionals including an infant development program and public health nurse. tsabell was Snifcanty delayed in her gross motor skis. She was abe to st up and tum over, but could not wak or stand tnasssted. When isabella walked with assistance (le, Using a sto} for support) she frequently stumbled and fl Isabella was assessed in November, 2012, and her behavior and skls were noted to have regressed, Shewas described tr being very withdrew, would not mobilize on her own, didnot make any vocalizations, and was refusing to at Referrals were made for specialized assessments tobe completed; however, they di not occur because sabel’s condition was showing signs of improvement. Forapproximately one week piar to March 16, 2023, bella was experiencing cold tke symptoms including & runny hose, coughing and wheeaing, and loss of appetite. Arnumber of other people nthe home were also wth imiar Shgtoms and t wes not consdered a seriousilles, Isabella was not taking any medication and did not have a fever. ‘on march 16, 2013, at approximately 1500 hour, lesball war placed inher el fora nap. A comforter was draped over {he top ofthe erb to block out the light. At 1800 hours, attempts were made to rouse isabella for dinner. She was found tobe lying on ber stomach with the comforter completely covering her body, incuding her head, Isabella was ‘unresponsive and not breathing. Resusltation was attempted but wes unsuccessful. “The Ministry of Children and Family Developments inthe process of completing # review ofthe circumstances of Isabela’ death as wellas the services that were provided. POST MORTEM EXAMINATIONS ‘hutopsy reveled healing njries including bruises onthe chin forehead and face, andl arms and legs, as well as heal fractures inthe bones of the left arm. It was estimated thatthe fractures ofthe eft arm occurred weeks to months prior to sabella’s death, Where and how the fractures occured could not be explained, txamination ofthe beain found cerebral sweling with congestion and edema. This was non-specific ang an there ‘wos no deft evidence of hypoxic ischemic injury, No anatomical cause of death was determined a autopsy. though healing injuries were revealed, they were not sufficient to account forthe death. routine toxicological analysis was negative fr alcoho, prescription medication or ict drugs Page 2063Ministry of 2ustice aeet: 2013-0275-0072 CORONER'S REPORT NTO THE CEATH OF ISABELLA ANNE CONSTANCE MARIE CONCLUSION “The eause of death of an infantis determined by an examination ofthe scene, obtaining medical history and completing postmartem examinations inelding the ruling out ofa natural disease process. Where no anatomical or toxicological ‘Cause of death can be established the cause and manner of death shall be classified as undetermined. ind that sabella Anne Constance Marie Wiens dled in Burnaby on March 36,2013, ofan undetermined cause, 1 assy this death ar undetermined and make no recommendations. oo Oont ‘Adele Lambert, Coroner Province of Bris Columba Page 3063