"In saying that we can't blame a system created by people and it needs to be checked.
Sometimes we need to ask the hard questions and we need to be invasive."
"We hear about how another child has fallen through the gaps...unless something is done to shore up the gaps...improve their education and...the same problems will happen over again causing the same heartache."
"In my opinion we only have vulnerable children because they're surrounded by vulnerable adults. Something needs to be addressed with the vulnerable adults who hold their children's futures in their hands."
Coroner Peter Ryan grilled Child, Youth and Family's chief social worker Paul Nixon on its information sharing with other government agencies. During the inquest it was revealed that CYF had no knowledge of Hail-Sage's birth despite Ms Percy's other child in its care.
Hail-Sage's mother Kelly Percy picked her up from her caregiver and grandmother Delia Percy in Hamilton about 10 days before her death.
The 22-month-old began vomiting about five days later after several falls, unusual for a normally agile girl.
She had a seizure and was admitted to Waikato Hospital but died at 3.25am on September 27, 2010.
Hospital staff reported non-accidental head injuries to police, who began a homicide investigation about three weeks later.
But despite intensive inquiries that saw overseas forensic pathologists called on for their expertise, no one has been charged over the toddler's death.
Hail-Sage's death prompted the release of two Families Commission reports that look at the issue of children born into families where Child Youth and Family (CYF) have removed previous children from the parents' care because of abuse.
Coroner Ryan has reserved his findings.