LOGAN, Iowa (AP) — An autopsy shows a 5-year-old Atlantic boy’s death late last August was caused by blunt force head injuries and drowning. The Iowa Office of the State Medical Examiner released the autopsy of Dominic Elkins on Tuesday. His death has been ruled a homicide.

A foster family caring for Dominic found his body on Aug. 31st at the bottom of a rural Harrison County ravine. The boy had been living with the family for about two weeks. Cody Metzker-Madsen, a 17-year-old described by authorities as a member of the foster family, has been charged as an adult with first-degree murder in connection to Dominic’s death. Additional information has not been released.