The investigation into the murder of a 10-year-old girl is leaving many wondering how it could have happened.
According to advocates who conduct medical evaluations on kids who were abused, it depends on the age of the child.
Red flags include, bruises that don't look accidental on either side of the face, inside earlobes and along the neck also hand print bruises.
Aside from physical marks - advocates say pay attention to their behavior.
Be aware if kids are more irritable, withdrawn, fearful or aggressive.
"When we look back at those cases in retrospect and we study and they all need to be studied we find often finds signs that someone or someone's failed to act when they could have failed to prevent those child's death," said Dr. Ricci Lawrence, medical director at Spurwink.
Advocates say if you see signs of child abuse, it may not be safe to intervene, but there are resources available.
You can call child protective services or local law enforcement.