A female adult (self-appointed, self-named "Grandma", not a relative just a friend of the family) plays doctor with young child (4 and 7 year old girls)? Woman has girls to her home without parents on a regular basis because her own grandchildren live far away and she doesn't get to see them. Girls pretend they are sick. "Grandma" pretends to be doctor and writes a medical chart for them - then makes them feel better. How does she make you feel better? Chart says "ice cream". 4 year old says, "She rubs my belly and my arms and legs. And she gives me a shot in the butt." Does she pull your pants down? "No." One day 7 year old child said she didn't feel well and wrote note to a relative she was with that she "doesn't feel good that she thinks she will throw up. (Not sure if she was really not feeling well.) 7 year old says, "I want something to help me feel better." Relative asked her if she needed medicine. "No." Then girl writes another note, "I feel bad, bad, bad. Do something to make me feel better." Asked relative to rub her belly but demonstrates how to rub her belly - by stroking downward from belly button. Relative rubbed her back instead. Also, 7 year old runs and hides herself when asked about a medical chart she wrote for her doll ("Lungs good/ shot") and doesn't want to talk about it.
Also, 4 year old greet relative by deliberately tickling relative in the crotch as though it were funny (just after being at "Grandma's house.) Next day 4 year old gets down on hands and knees and places stuffed toy animal under her and grunting, pretends to be giving birth to a puppy.
"Grandma" tells girls that she has new toys for them (toys stay at "Grandma's house) but that they can only have them if they come over. 7 year old one day went hysterical crying, curled up in fetal position. After she calmed down, relative asked her if she had a bad day in school - "Was anyone mean to you in school? Do you feel all right? Does anyone confuse you?" 7 year old hesitates then says, "Yes, 'Grandma'". How does she confuse you? "She always says she has new toys for us to play with but she usually never does." Relative replies, "That would be confusing." There's more.... Could this all have a reasonable explanation or is the children's behavior alarming?