An Iowa woman was sentenced to 20-years in prison after a teenaged girl in her care starved to death. She was sentenced on Friday after pleading guilty to neglect of a dependent person.

Carla Bousman, 63, reportedly admitted that she didn’t seek medical attention for Sabrina Ray as she was dying. In addition to neglect, Bousman was charged with six other offenses in the May 2017 death of the 16-year-old Ray.

The Associated Press reports that Bousman also admitted that she locked Sabrina’s two sisters in the same room with the dying girl, as well as to concealing evidence after Ray died.

From the AP: Authorities say Sabrina weighed 56 pounds and was severely malnourished when she died.

Sabrina’s adoptive parents, Marc Alan Ray and Misty Jo Bousman-Ray, face several felony charges in Sabrina’s abuse and death, including first-degree murder. They have pleaded not guilty.