A northwest Iowa daycare provider is accused of causing life-threatening injuries to a three-year-old girl. The child was hospitalized on Tuesday with serious head injuries, including a fractured skull and brain trauma.

Iowa DCI agents were called as hospital officials suspected child abuse. Authorities say the girl’s daycare provider, 33-year-old Rochelle Sapp of Orange City, initially claimed the girl fell down stairs in her home, but she later admitted to throwing the child to the floor.

The girl remains hospitalized in critical condition. Sapp is facing felony charges of willful injury and child endangerment resulting in serious injury.