At Silverwood Community Hospital, Dr.

Victor Hale examined her at 9:02.

He sat rather than standing over her and explained what he needed to check.

Mia could tell him when something hurt or when she did not understand.

The first examination did not provide a complete explanation.

Imaging was ordered at 9:08 to assess what could not be seen from outside.

The hospital began its safeguarding response based on the concern already apparent.

Staff did not wait until every earlier complaint had been reconstructed before notifying the appropriate child-protection and police personnel.