Right now the COD is still listed as pending. Like you and others here I don't know why the ME hasn't released a preliminary report of possible drowning. If something shows up on the toxicology report then that would be be listed on the final autopsy report.
I read up on drowning as a cause of death and found that it's a little complicated. There are no tests that can say with certainty that the person drowned. So it's considered an exclusionary diagnosis, meaning if the circumstances of death - like Maddox being found in a creek - suggest drowning
and no other cause (like drugs or strangulation) is noted then the ME will conclude the person died from drowning.
But even understanding why it may take a while to hear what killed Maddox doesn't explain the long delay. In little Mariah's case, also in NC, the tox results showing chloroform were back in 3 weeks.
The longer it takes the more suspicious people will become - and parents in the community have the right to know if there is a dangerous predator in their midst. MOO.
What happened to Maddox Ritch? Still no cause of death nearly a month later
Drowning
Drowning - Wikipedia