UPDATE: 11:45 a.m.

Dixie D. Villa made her initial court appearance before Judge Frances Wong at Family Court in Honolulu District Court this morning after she was charged with manslaughter in the death of 7-month-old Abigail Lobisch at Aliamanu.

Manslaughter is a class A felony that is punishable by up to 20 years in prison.

Attorney David Hayakawa, who is representing Villa, stood next to her during her initial court appearance. A preliminary hearing has been scheduled for Aug. 2.

At about 10:45 a.m. on Feb. 23, Lobisch’s mother, Anna Lobisch, dropped off her baby and her two-year-old son in Villa’s care at Villa’s hotel room at the Aulani, a Disney Resort & Spa in Ko Olina in the morning. She was to watch over them until Feb. 24.

Villa’s two children, as well as Lobisch and her brother, spent the day at the pool, according to the court documents.

Lobisch’s mother told police she received text updates throughout the day from Villa including photos of her daughter at Aulani.

Villa left the hotel with the children at about 5:30 p.m. and returned to her home at 4675 Ke Street at the Aliamanu Military Reservation.

She told police she applied lotion to them from Bath & Body Works because they were sunburned and took them to a bedroom at about 10 p.m. to sleep.

The next morning, Villa noticed Lobisch’s skin appeared “splotchy” and “cold to the touch.” Court documents said she called 911 and performed cardiopulmonary resuscitation on Lobisch until emergency responders arrived.

Lobisch’s mother said she texted Villa at 8:08 a.m. to confirm the time she was going to pick up her children. Police said “Villa responded for Lobisch to ‘come now.’”

Lobisch was taken to Tripler Army Medical Center and pronounced dead at 8:55 a.m.

Honolulu police received Lobisch’s autopsy report July 15 that indicated diphenydramine toxicity as the cause of death.

“Toxicology testing is performed and positive for diphenhydramine (Benadryl®) at 2400 ng/mL in the blood,” documents said. “The average blood diphenhydramine concentrations reported in fatal overdoses were 1400 ng/mL in infants.”

Honolulu police reclassified the unattended death case to manslaughter Tuesday.

Villa was Lobisch’s babysitter for approximately four to five months.

Lobisch’s mother described her baby as healthy, aside from getting the flu a couple of times.

The Army oversees Aliamanu Military Reservation. U.S. Army Hawaii spokesman Dennis Drake declined to comment on the case today, noting they do not comment on ongoing investigations.

Drake said Honolulu police are leading the investigation on the manslaughter case.

10:15 a.m.

Autopsy results revealed diphenydramine toxicity as the cause of death of 7-month old Abigail Lobisch, according to court documents released today.

“Toxicology testing is performed and positive for diphenydramine (Benadryl®) at 2400 ng/mL in the blood,” documents said. “The average blood diphenhydramine concentrations reported in fatal overdoses were 1400 ng/mL in infants.”

In the autopsy report, a doctor said children under six years old should not be given diphenhydramine without consulting a physician. “Per the over the counter label, when used for self-medication, diphenhydramine should not be used in children (younger than) 6 years, to make a child sleep, or with any other diphenyhydramine-containing products (including topical products).”

PREVIOUS COVERAGE

A 40-year-old woman has been charged with manslaughter in connection with the death of a 7-month-old girl at a home day care on the Aliamanu Military Reservation.

Dixie D. Villa was charged over the weekend and her bail is set at $1 million.

She was arrested Saturday and remained in custody Monday morning at the Honolulu police headquarters.

Police said the victim, Abigal Lobisch, was found unresponsive by her babysitter. The Honolulu Medical Examiner’s Office determined the manner of death as a homicide.

According to the Military Times, Lobisch died in an unlicensed day care on Feb. 24. The day care was also caring for her 2 1/2-year-old brother.

The newspaper reported Lobisch’s mother, Anna Lobisch, received a text on Feb. 24 from the caregiver, a Navy wife, to “please come now.”

When she arrived, she saw military police, Honolulu police and an ambulance.

“They said, ‘I’m sorry, The babysitter found your daughter not breathing,” Lobisch’s mother told the Military Times. “We tried to administer CPR but she was far too gone.’ There was nothing they could have done for her.”

MilitaryTimes.com reported that Abigail’s father is in the Army National Guard.

The Army oversees Aliamanu Military Reservation.

U.S. Army Garrison Hawaii said following Abigail’s death, the Army started an investigation into policies, procedures and practices for how home-based day cares are run on Army installations. An Army official said the report is complete but that the service has yet to release it.