The fatality report documents several significant systemic issues. First, high caseworker caseloads: the caseworker assigned to A.G.'s case "was assigned around 15 cases in the month prior to A.G.'s case" and "12 new cases" the month of A.G.'s death, exceeding DCYF's recommendation of "5, not more than 8 new cases per month, with a maximum of 12 open cases at any one time." Second, the grandmother's initial call on March 23 did not meet screening criteria to open a case despite reporting concerning behavior. Third, the Committee raised concerns about a language barrier, noting the grandmother's "primary language is Spanish" and questioning whether "there may have been a language barrier in the way of getting enough detail during that call." Fourth, a Committee member raised cultural factors, noting "members of A.G.'s culture will often wait to seek the help of government structures in society until things are very bad." Fifth, the maternal grandparents were granted guardianship of A.G. on March 27, 2024 — the same day A.G. was killed — and were actively looking for the child to take custody when the body was discovered. Detectives also believed the killing was premeditated because of the custody dispute, per the Seattle Times article.