The medical examiner has determined that a 4-year-old Conneaut girl died as a result of blunt impact injuries to the head.

Melaney Powell died on February 7. The child's death has been ruled a homicide.

Joshua Million is in custody charged with child endangerment in Melaney's death. The girl had been in his care when she died.

Police say they were alerted by hospital staff who examined the child and said her injuries appeared to be suspicious.