Ambrashia Marie Chrzan v. State of Iowa

CourtCourt of Appeals of Iowa
DecidedMay 22, 2024
Docket23-0207
StatusPublished

This text of Ambrashia Marie Chrzan v. State of Iowa (Ambrashia Marie Chrzan v. State of Iowa) is published on Counsel Stack Legal Research, covering Court of Appeals of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ambrashia Marie Chrzan v. State of Iowa, (iowactapp 2024).

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 23-0207 Filed May 22, 2024

AMBRASHIA MARIE CHRZAN, Applicant-Appellant,

vs.

STATE OF IOWA, Respondent-Appellee. ________________________________________________________________

Appeal from the Iowa District Court for Washington County, Joel D. Yates,

Judge.

An applicant appeals the denial of her application for postconviction relief.

AFFIRMED.

Thomas M. McIntee, Williamsburg, for appellant.

Brenna Bird, Attorney General, and Zachary Miller, Assistant Attorney

General, for appellee State.

Considered by Tabor, P.J., and Badding and Chicchelly, JJ. 2

BADDING, Judge.

At the postconviction-relief hearing following her conviction for child

endangerment resulting in death, Ambrashia Chrzan’s trial counsel testified:

“Theoretically you can always do something else,” but “we put on the . . . best

defense we could.” The district court agreed and rejected Chrzan’s claims that

counsel performed deficiently. Chrzan appeals, claiming trial counsel was

ineffective for failing to (1) move for a court-appointed expert medical witness;

(2) “object to or prevent introduction of prior bad acts evidence” that she used

“street drugs” while pregnant with the child; (3) investigate and present family

members as witnesses to Chrzan’s parenting abilities; and (4) move for a change

of venue. We affirm upon our de novo review of the record.1

I. Background Facts and Proceedings

A.M. was born prematurely to Chrzan in late May 2015. The infant tested

positive for amphetamines at birth and weighed just four pounds when she was

discharged from the hospital into foster care. Because of A.M.’s low birth weight,

the foster mother took A.M. to frequent appointments with her primary care

physician, Dr. David Nacos. Chrzan attended only two of those appointments.

Patient visit notes from A.M.’s appointments with Dr. Nacos were admitted

as exhibits two through fourteen at Chrzan’s criminal trial without objection from

the defense. All but one of those exhibits noted a “[p]renatal maternal history of

street drug use during pregnancy.” The State used the patient visit notes to show

1 See Sothman v. State, 967 N.W.2d 521, 522 (Iowa 2021) (reviewing the denial

of an application for postconviction relief alleging ineffective assistance of counsel de novo). 3

the dates of A.M.’s appointments, the reasons for treatment, and A.M.’s weight at

each appointment.

The Iowa Department of Health and Human Services returned A.M. to

Chrzan’s care on December 4 but continued to provide services to the family.

Dr. Nacos testified that A.M.’s weight gain while in foster care was satisfactory.

Indeed, she weighed fourteen pounds and two and one-half ounces the day before

removal ended—a gain of just over ten pounds while in foster care. A.M.’s weight

gain continued through her seven-month appointment in January 2016, when she

weighed fifteen pounds. But her parents didn’t bring her to her nine-month

appointment in March. The appointment was rescheduled for May, but no one

came to that appointment either.

Chrzan and A.M.’s father did take her to an appointment in July, but her

weight had dropped to fourteen pounds and five ounces even though the parents

reported that she was eating well. Dr. Nacos was concerned for A.M.’s failure to

thrive and recommended an appointment with a pediatric diagnostics specialist at

the University of Iowa Hospitals and Clinics (UIHC). He explained to Chrzan how

important it was that A.M. attend this appointment.

Dr. Nacos expected that A.M. would see the specialist before her next

appointment with him. But at that appointment in September2—which was the last

time Dr. Nacos saw A.M.—Chrzan told Dr. Nacos that she never got a call about

the specialist appointment. His office, however, had documented their contact

2 This appointment was originally scheduled for September 6. But after Chrzan did not show up for the appointment with A.M., it was rescheduled to September 23. 4

attempts. By then, even though A.M. had gained some weight, she was still only

fifteen pounds. Dr. Nacos again stressed to Chrzan that A.M. needed to be seen

at the UIHC, and he put in a second referral. The department conditioned

dismissal of the child-in-need-of-assistance case on the child being seen by a

specialist at the UIHC. Dr. Nacos’s office spoke to A.M.’s father at the end of

September and rescheduled the appointment for October 11. A week before the

appointment was set to take place, the family’s juvenile court case was dismissed.

Conditions in A.M.’s home quickly went downhill, according to Chrzan’s mother,

and A.M. missed her specialist appointment.

On November 9, Chrzan found A.M. deceased in her crib. Forensic

pathologist Dr. Dennis Firchau conducted the autopsy of A.M. the next day. She

weighed only eleven pounds and was in “a state of malnourishment or

undernourishment.” Dr. Firchau reached an overall conclusion of “undetermined

cause of death with malnutrition and associated neglect.” He ruled the manner of

death was homicide, which means “death at the hands of another.” Dr. Firchau

explained “that the neglectful actions, whether active or inactive, . . . resulted or

helped contribute to the malnourishment which significantly helped cause death in

this case.” Those neglectful actions included the failure to nourish the child and

the neglect of her medical care, according to Dr. Firchau. His autopsy report was

admitted into evidence at Chrzan’s criminal trial. While the report noted that A.M.

had a “meconium drug screen positive for amphetamines,” the jury was never

directed to that information in the report.

Chrzan was arrested and charged with child endangerment resulting in

death close to one year after A.M.’s death. At Chrzan’s jury trial, she called 5

department caseworker Ellyn Hildebrand as a witness. When asked by defense

counsel why the department became involved with A.M. at birth, Hildebrand

testified the department was already involved with A.M.’s siblings and A.M. tested

positive for amphetamines at birth. She explained that after A.M. was returned to

her parents’ custody, the department continued to monitor the family. While the

child’s weight remained a concern, Hildebrand testified that she recommended

dismissing the juvenile court proceeding in October 2016 because Chrzan had

provided negative drug tests throughout the case and she felt A.M. was

“conditionally safe” in Chrzan’s care.

In her own testimony, Chrzan blamed A.M.’s death on Dr. Nacos, stating he

discontinued A.M.’s high-calorie formula despite Chrzan’s objection. She also

maintained that information about the appointment and its urgency were not

sufficiently communicated to her. While Chrzan agreed that she knew about the

October 11 appointment at UIHC, she could not give any concrete reason for

missing it.

The jury found Chrzan guilty as charged. On direct appeal, Chrzan raised

claims of ineffective assistance of counsel. See State v. Chrzan,

No. 18-1327, 2019 WL 5067174, at *1 (Iowa Ct. App. Oct. 9, 2019). We rejected

one of those claims but preserved her claim that counsel was ineffective for failing

to object to prior-bad-acts evidence for postconviction relief. Id. at *4. Procedendo

issued on December 19, 2019.

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