Gillerman, J.
The parents appeal from a decision of the Worcester Juvenile Court adjudging their three children in need of care and protection and committing them to the permanent custody of the Department of Social Services (the Department). See G. L. c. 119, § 24. We must decide whether the judge’s subsidiary findings of fact, which the parents do not dispute,
constitute, in the aggregate, clear
and convincing evidence of parental unfitness. See
Care and Protection of Laura,
414 Mass. 788, 790 (1993).
The undisputed facts are, briefly, these. The parents, unmarried but living together since 1985, have four children,
three of whom are the subject of these proceedings: Inga, Charles, and Alison.
*The Department filed its original care and protection petition on April 2, 1990, on behalf of Inga and Charles (Alison had not yet been born). The petition was based on a report, dated March 30, 1990, filed by a physician pursuant to G. L. c. 119, § 51A (§ 51A report)
alleging physical abuse of Charles.
It indicated that he had con
fusions, abrasions and signs of encopresis infection (the involuntary passage of feces) on his body; X-rays indicated no fractures. The court granted the Department temporary legal and physical custody of Charles and temporary legal custody of Inga, with temporary physical custody remaining with her mother.
The judge found that photographs of Charles “showed extensive bruises.” The judge attributed this to “self-abusive behavior” which, the judge found, “steadily subsided” since being placed in foster care. There is no suggestion in the findings that the parents inflicted the bruises on Charles.
On November 6, 1991, approximately one month before the hearing on the petition, the judge granted the Department’s motion to remove Inga from her home and to add Alison to the care and protection petition; he committed both girls to the temporary physical custody of the Department. The basis for the Department’s decision to seek the removal of the girls, the judge found, was a fourth § 51A report filed November 1, 1991.
There Inga, then four and one-half years old, charged that she had been sexually abused by her father. See note 8,
supra.
The judge found that the report was filed by a licensed psychologist who had interviewed Inga after a
member of the staff of the Head Start program, in which Inga was enrolled, expressed concern over “strange statements” Inga had begun to make. The report of the court-appointed investigator, see G. L. c. 119, § 24, submitted on May 22, 1990, was not updated to include any information bearing on Inga’s charges.
The judge’s findings recite the statements made by Inga and which appear in the § 51A report without any finding as to whether he concluded that the charges were true or false. We summarize the charges in the margin.
We need not decide whether this recitation of the incriminating statements made by Inga constitutes conclusory findings that Inga had been sexually abused by her father,
see
Petition of Catholic Charitable Bureau to Dispense with Consent to Adoption,
18 Mass. App. Ct. 656, 662 (1984) (judge’s summaries of what witnesses said treated as facts found),
S.C.,
395 Mass. 180 (1985), for Inga’s statements as they appear in the § 51A report, admitted over the objection of the parents, may not be considered substantively by the judge.
Section 51A and § 5IB reports, see note 5, supra, merely “set the stage,”
Custody of Michel,
28 Mass. App. Ct. 260, 267 (1990). As a required governmental report, a § 5IB report may be considered for statements of fact, such as the statement that there was no food in the house, but they may not be considered for diagnosis, prognosis or evaluation.
Ibid.
If we assume that statements of fact in a § 51A report are also admissible — a conclusion of dubious validity given the fact that the report is not prepared by a public officer in performance of his official duty, see
Julian
v.
Randazzo,
380 Mass. 391, 393 (1980) — at issue in this case is the separate question of whether accusatory hearsay statements of a child appearing in a § 51A report
may be considered substantively in a care and protection proceeding. It is now clear that hearsay statements of a child that are contained in a report of an investigator acting under G. L. c. 119, § 24, are not admissible against the parents unless the parents have a' fair opportunity to rebut the statements through cross-examination of the investigator and his sources, and by other means.
Adoption of Carla,
416 Mass. 510, 514 (1993). See also
Adoption of Sean, ante
261, 263-264 (1994);
Custody of Michel, supra
at 266. That opportunity exists where the child testifies, or where the trial judge has other means to assess the credibility and accuracy of the child’s statements.
Adoption of Carla, supra
at 514. No such opportunity was provided the parents in this case, for neither the child nor the author of the § 51A report testified. Given the preliminary nature of a § 51A report, see note 5,
supra,
there is no sound reason to be more indulgent about giving substantive effect to the content of a § 51A report than we are regarding the content of the report of an investigator acting under § 24.
The result is that we must review the record before us without the benefit of the hearsay statements of Inga contained in the § 51A report.
The remainder of the judge’s findings runs along these lines: service plans were established for the family, the parents attempted to comply, and, at least in one instance, progress was noted. “However,” the judge continued, “the fact remains that the children were still exposed to what could only be described as a disorganized, dysfunctional environment. Worker after worker noted the messy, unkempt nature of the home . . . [mother and Inga typically spent] all day watching television . . . [There were] meals of canned ravioli and the like. The clear impression was that of a household unable to comprehend the reason for the service plans. A household, whose intentions may be the best, but whose parenting skills are limited [jzc]. It is clear that [the mother] cares about her children and wants them home with her.”
As for Alison, none of the judge’s forty-nine findings of fact included any charges of abuse by her father, and none specifically referred to the treatment or caretaking she received.
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Gillerman, J.
The parents appeal from a decision of the Worcester Juvenile Court adjudging their three children in need of care and protection and committing them to the permanent custody of the Department of Social Services (the Department). See G. L. c. 119, § 24. We must decide whether the judge’s subsidiary findings of fact, which the parents do not dispute,
constitute, in the aggregate, clear
and convincing evidence of parental unfitness. See
Care and Protection of Laura,
414 Mass. 788, 790 (1993).
The undisputed facts are, briefly, these. The parents, unmarried but living together since 1985, have four children,
three of whom are the subject of these proceedings: Inga, Charles, and Alison.
*The Department filed its original care and protection petition on April 2, 1990, on behalf of Inga and Charles (Alison had not yet been born). The petition was based on a report, dated March 30, 1990, filed by a physician pursuant to G. L. c. 119, § 51A (§ 51A report)
alleging physical abuse of Charles.
It indicated that he had con
fusions, abrasions and signs of encopresis infection (the involuntary passage of feces) on his body; X-rays indicated no fractures. The court granted the Department temporary legal and physical custody of Charles and temporary legal custody of Inga, with temporary physical custody remaining with her mother.
The judge found that photographs of Charles “showed extensive bruises.” The judge attributed this to “self-abusive behavior” which, the judge found, “steadily subsided” since being placed in foster care. There is no suggestion in the findings that the parents inflicted the bruises on Charles.
On November 6, 1991, approximately one month before the hearing on the petition, the judge granted the Department’s motion to remove Inga from her home and to add Alison to the care and protection petition; he committed both girls to the temporary physical custody of the Department. The basis for the Department’s decision to seek the removal of the girls, the judge found, was a fourth § 51A report filed November 1, 1991.
There Inga, then four and one-half years old, charged that she had been sexually abused by her father. See note 8,
supra.
The judge found that the report was filed by a licensed psychologist who had interviewed Inga after a
member of the staff of the Head Start program, in which Inga was enrolled, expressed concern over “strange statements” Inga had begun to make. The report of the court-appointed investigator, see G. L. c. 119, § 24, submitted on May 22, 1990, was not updated to include any information bearing on Inga’s charges.
The judge’s findings recite the statements made by Inga and which appear in the § 51A report without any finding as to whether he concluded that the charges were true or false. We summarize the charges in the margin.
We need not decide whether this recitation of the incriminating statements made by Inga constitutes conclusory findings that Inga had been sexually abused by her father,
see
Petition of Catholic Charitable Bureau to Dispense with Consent to Adoption,
18 Mass. App. Ct. 656, 662 (1984) (judge’s summaries of what witnesses said treated as facts found),
S.C.,
395 Mass. 180 (1985), for Inga’s statements as they appear in the § 51A report, admitted over the objection of the parents, may not be considered substantively by the judge.
Section 51A and § 5IB reports, see note 5, supra, merely “set the stage,”
Custody of Michel,
28 Mass. App. Ct. 260, 267 (1990). As a required governmental report, a § 5IB report may be considered for statements of fact, such as the statement that there was no food in the house, but they may not be considered for diagnosis, prognosis or evaluation.
Ibid.
If we assume that statements of fact in a § 51A report are also admissible — a conclusion of dubious validity given the fact that the report is not prepared by a public officer in performance of his official duty, see
Julian
v.
Randazzo,
380 Mass. 391, 393 (1980) — at issue in this case is the separate question of whether accusatory hearsay statements of a child appearing in a § 51A report
may be considered substantively in a care and protection proceeding. It is now clear that hearsay statements of a child that are contained in a report of an investigator acting under G. L. c. 119, § 24, are not admissible against the parents unless the parents have a' fair opportunity to rebut the statements through cross-examination of the investigator and his sources, and by other means.
Adoption of Carla,
416 Mass. 510, 514 (1993). See also
Adoption of Sean, ante
261, 263-264 (1994);
Custody of Michel, supra
at 266. That opportunity exists where the child testifies, or where the trial judge has other means to assess the credibility and accuracy of the child’s statements.
Adoption of Carla, supra
at 514. No such opportunity was provided the parents in this case, for neither the child nor the author of the § 51A report testified. Given the preliminary nature of a § 51A report, see note 5,
supra,
there is no sound reason to be more indulgent about giving substantive effect to the content of a § 51A report than we are regarding the content of the report of an investigator acting under § 24.
The result is that we must review the record before us without the benefit of the hearsay statements of Inga contained in the § 51A report.
The remainder of the judge’s findings runs along these lines: service plans were established for the family, the parents attempted to comply, and, at least in one instance, progress was noted. “However,” the judge continued, “the fact remains that the children were still exposed to what could only be described as a disorganized, dysfunctional environment. Worker after worker noted the messy, unkempt nature of the home . . . [mother and Inga typically spent] all day watching television . . . [There were] meals of canned ravioli and the like. The clear impression was that of a household unable to comprehend the reason for the service plans. A household, whose intentions may be the best, but whose parenting skills are limited [jzc]. It is clear that [the mother] cares about her children and wants them home with her.”
As for Alison, none of the judge’s forty-nine findings of fact included any charges of abuse by her father, and none specifically referred to the treatment or caretaking she received. “[T]he State interest in protecting neglected children may properly be preventive as well as remedial,”
Custody of a Minor (No. 1),
377 Mass. 876, 882 (1979), but the fear must be well-founded, see
Custody of a Minor (No.2),
378 Mass. 712, 720 (1979). The Department’s 1991 foster care review stated, “[t]here have been no documented concerns relative to Alison,” and the family’s social worker testified that a Department investigator had determined that allegations of possible sexual abuse against Alison were unsubstantiated.
We are left, then, with no findings of sexual abuse of either of the girls, and no physical abuse of Charles. What remains is exceedingly slim. The home was messy and unkempt. Cleanliness of a home is an appropriate factor for
consideration, see
Care and Protection of Three Minors,
392 Mass. 704, 713 (1984). However, the judge’s finding that its condition amounted to a “disorganized [and] dysfunctional” environment deserves little, weight in light of the fact that the Department did not seek to remove either of the girls until sexual abuse of Inga was alleged,
although the managing social worker had visited the home on approximately thirty occasions and had observed that some areas were very dirty and cluttered.
Indeed, she testified that the Department’s main concern was that the parents follow through on their children’s medical care.
From the fact that Alison ate canned spaghetti three to four times a week for lunch or dinner (a favorite food), and Inga watched television or videos with her mother for five to six hours a day,
the judge stated his “clear impression” that the household was unable to comprehend the reason for the Department’s service plans. This conclusion is too close to being merely the judge’s disapproval of the parents’ mode of family life. See
Custody of a Minor,
389 Mass. 755, 767-768 (1983) (mother’s unconventional “life-style” not sufficient to deprive parents of custody of their children). Parents have a presumptive right to raise their children as they see fit, and the judge made no findings that would indicate that the children suffered from “significant physical, mental, or emotional deficits” as in
Custody of a Minor, supra
at 768 (1983).
The judge also contrasted Charles’s condition before and after his removal from the parental home. See
Petition of Catholic Charitable Bureau of the Archdiocese of Boston, Inc., to Dispense with Consent to Adoption,
395 Mass. 180, 187 (1985). He found that when first removed, Charles threw “non-stop” temper tantrums, was terrified of getting into the bathwater, and experienced nightmares, but that his
condition had improved since being placed in foster care and receiving intensive services. Specifically, his self-abusive behavior had steadily subsided. In contrast, his parents had neglected to seek services for him even though his mother knew she could not manage his behavior.
It is true that the Department offered the basic early intervention services for Charles in 1988 and that the mother refused them.
Yet, the severity of Charles’s problems was not detected until a postplacement neurological examination was conducted, which revealed the necessity of intensive special services (physical, occupational, and speech therapy), which then were implemented. We also note that the Department’s own foster care review, dated February 28, 1991, stated that “sufficient progress has been made over the past six months to warrant maintaining the goal of return home for [Charles],” and that “the family continuity program has begun to work with the family on very specific areas related to parenting and providing a safe home for the children.”
In sum, the judge’s findings, shorn of Inga’s charges, do not, in the aggregate, provide clear and convincing evidence that the three children are in need of care and protection, or that both parents “are presently unfit, unable, unwilling and incompetent to assume responsibility for the care and custody of the children.” Compare
Custody of Eleanor,
414 Mass. 795, 800-801 (1993) (where finding of parental fitness depends “to a large extent” on the charge of sexual abuse, and that charge is not supported by any corroboration or physical evidence, parental unfitness not proven by clear and convincing evidence).
We cannot, however, end our inquiry here. Serious allegations of parental sex abuse are in this record, and the judge, with the assistance of counsel, must determine the truth of those allegations upon remand. Without a judicial appraisal
of the allegations, there is an unacceptable risk that there will be a miscarriage of justice for the children.
The case must be remanded for further hearings and findings. The report of the investigator appointed under G. L. c. 119, § 24, which, as we noted earlier, was seriously out of date at the commencement of the hearings — it is dated May 22, 1990 — cannot be relied on now, four years later. The investigator must prepare a fresh report for the judge, and she or he must investigate and evaluate the charges made by Inga. The availability and competence of Inga to testify must also be considered and decided. And, if found competent, she should be required to testify in the court proceedings and be available for cross-examination by the parents. Counsel and the judge may also consider the availability of G. L. c. 233, § 83, which permits the admission of hearsay statements of a child under the age of ten upon the conditions and findings described in the statute. With such up-to-date additional evidence, the judge should be in a position to make all necessary findings and conclusions. Meantime, the status quo shall be maintained by the parents and the department.
The judgment is vacated and the case is remanded to the Juvenile Court Department, Worcester Division, for additional hearings on the merits. If any party appeals the clarified final judgment, our court should look favorably on a motion for an expedited appeal.
So ordered.