if it warranted a call to 911, i would absolutely expect a call! out of curiosity, how is it that she was able to refuse transport to the hosapital for your child? i work for an ambulance, and we are required by law to get a guardian to sign off that they do not want the minor to be transported (whether because we've let them know that things are okay or because they change their mind about going to the hospital). if a child is with a grandparent, babysitter, etc, we call a parent and they have to give us verbal permission for that person to sign off. if we cannot contact a parent/legal guardian, that child/minor gets transported no matter what. my mom watches ds & dd one day a week while i'm at work, and she has a written "permission slip" stating that she is allowed to seek medical care and make decisions in my or dh's place if necessary while caring for them. even that would not allow her to refuse ambilance transport though without one of the emt' s getting one of our verbal permission.