When you try to talk to Kim about Molly's outbursts in regard to her emotional development and school readiness, Kim becomes quite abrupt and says that Molly is just adjusting to the new baby. She does not want to hear about any programs that may be helpful. She quickly gets her children and is ready to leave the center. Molly does not want to leave and wiggles out of her mother's grasp. Molly sweater pulls off her shoulder while she does so; and you notice some fingerprint-like bruises on her upper arm.

Questions:

1. What concerns do you have now?