D.H. v. Superior Court CA1/2

CourtCalifornia Court of Appeal
DecidedJanuary 23, 2026
DocketA174597
StatusUnpublished

This text of D.H. v. Superior Court CA1/2 (D.H. v. Superior Court CA1/2) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
D.H. v. Superior Court CA1/2, (Cal. Ct. App. 2026).

Opinion

Filed 1/23/26 D.H. v. Superior Court CA1/2 NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FIRST APPELLATE DISTRICT

DIVISION TWO

D.H., Petitioner, A174597 v. THE SUPERIOR COURT OF (Contra Costa County Super. CONTRA COSTA COUNTY, Ct. No. J2500042) Respondent; CONTRA COSTA COUNTY CHILDREN AND FAMILY SERVICES BUREAU, Real Party in Interest.

On January 11, 2025, then six-and-a-half-year-old K.L. presented at UCSF Children’s Hospital Oakland (UCSF) with a broken femur; he weighed 21 pounds and was unable to sit up on his own. K.L. was temporarily removed from the custody of his parents, D.H. (mother) and S.L. (father), and a juvenile court denied reunification services, setting a Welfare and Institutions Code1 section 366.26 hearing to establish a permanent placement plan for K.L.

1 Further undesignated statutory references are to the Welfare and

Institutions Code.

1 Mother, acting on her own behalf, filed a writ petition for extraordinary relief to overturn the disposition order after her appointed counsel filed a letter pursuant to Glen C. v. Superior Court (2000) 78 Cal.App.4th 570, explaining that counsel found no arguably meritorious issues. Although mother’s writ petition fails to adequately present her arguments for appellate review, to the extent we can understand her claims, they lack merit, and we therefore deny mother’s petition. BACKGROUND2 On January 11, 2025,3 around 5:00 a.m., then six-and-a-half-year-old K.L. presented at the UCSF emergency room with a chief complaint of left leg injury; he was admitted with a fractured femur.4 Immediately, there was high level concern about malnutrition contributing to “a failure to thrive (starvation).” K.L. weighed 21 pounds, which is the average weight of a one year old, and was between 27 and 32 inches tall; 32 inches is the average height of an 18 month old. The average weight for a six year old would be between 60 to 80 pounds and the average height would be around 50 or 60 inches. K.L. had “[l]ong, unkempt hair which was matted towards the back of his head,” and was missing several teeth; his remaining teeth were “yellow and rotting,” and the white enamel “was almost gone.”

2 Because father did not timely file a writ petition in our court, we

provide only the facts necessary to resolve mother’s claims. 3 Further dates are in 2025 unless otherwise indicated.

4 Evidence of K.L.’s medical status was presented at a combined

jurisdictional and dispositional hearing by Kelsey Merl, an expert in pediatrics and medical evaluation of child abuse at UCSF, who consulted with K.L.’s medical team.

2 K.L. was diagnosed with acute malnutrition with a concern for chronic malnutrition (malnutrition lasting longer than three months) and “life threatening re-feeding syndrome,” which placed K.L. at risk for “cardiac arrhythmias.” Accordingly, he was transferred to the pediatric intensive care unit for monitoring. Medical staff initiated a broad medical evaluation to further understand not only K.L.’s leg injury but also his nutritional status. Laboratory tests indicated that K.L. was hypoglycemic (low blood sugar) and had low phosphorous, magnesium, and potassium levels. A doctor reported that K.L.’s vitamin D level was “almost undetectable,” and his bones were virtually “see through” on X-rays. An X-ray survey of every bone in K.L.’s body reflected a “severe degree” of demineralization or osteopenia, “meaning that the bones are not healthy. The bones are very sick.” In addition to the femur fracture, X-rays revealed two rib fractures, which occurred “some time in the past.” An “endocrinology workup” provided no “genetic explanation for the demineralization or osteopenia,” suggesting that the demineralization was a result of the chronic malnutrition. Genetic testing determined there was no hereditary cause or contributing factor for K.L.’s malnutrition, indicating that he was receiving “inadequate calories at home,” and brain imaging revealed “bilateral cerebral volume loss,” meaning K.L.’s “brain was shrinking in size,” which was consistent with chronic malnutrition. K.L. also presented with “abdominal distention and constipation.” X- rays revealed that K.L.’s “intestines were extremely dilated, and they were filled with stool.” A doctor described the X-ray of K.L.’s colon taken upon admission as “one of the top five wors[t] x-rays she ha[d] ever seen in her

3 lifetime” and indicated that K.L.’s “chronic constipation,” which is commonly seen along with malnutrition, “ha[d] been going on for years.” K.L. was nonverbal and “delayed” “in almost all domains of development,” including speaking, moving, walking, and using the bathroom. At the time of admission, K.L. could not sit up independently, leading to concern that his “central core was weakened,” and his femur injury prohibited K.L. from being able to ambulate due in part to the associated pain. K.L. also had “significant growth and fine motor delays.” K.L. lacked the “expected strength for his age in his arms” and in “his fine motor grips,” which constituted “clear evidence” of gross developmental delay. Ultimately, K.L.’s comprehensive “medical evaluation” revealed “no medical problem . . . that could have caused or contributed to his malnutrition.” The hospital began feeding K.L. through a nasal gastric tube, which led to weight gain and “a near vertical line up the growth chart.” Had K.L. not received medical intervention, his “trajectory” was “not sustainable with life” and possibly “fatal.” K.L. was stabilized by January 24 but was still receiving “a hundred percent of his calories through nasal gastric feeds” because he “refused to take any of the oral food.” On January 12, K.L. had orthopedic surgery to repair his femur. K.L. had to “endure getting a cast without medication due to low electrolytes and not being stable” at the time. On February 7, K.L.’s leg brace was removed, and on February 10, he was discharged from UCSF after approximately 30 days in the hospital. K.L. weighed over 26 pounds and was still “taking his calories through the NG tube,” which would continue “for a few months after discharge to ensure weight gain.” K.L. was placed with caretakers with a background in nursing, where he spent most of his time playing with “developmentally appropriate” toys,

4 instead of watching videos on his iPad. He continued meeting with speech, occupational, and physical therapists regularly “to work on all of [his] different developmental concerns,” however, three months after discharge, K.L. was “still getting at least the majority of [his] feeds through a tube.”5 At a “well child” visit on May 29, K.L. weighed 35 pounds and measured just over three feet, one inch tall; he continued to have an oral aversion and issues with constipation. By June 30, K.L. had regained mobility and was walking and running without assistance but was still nonverbal. I. Investigation After K.L. was admitted to UCSF on January 11, hospital staff called the Pittsburg Police Department to report “child neglect,” advising that “a six-year-old male was near death” and “was the size of a one-year-old child.” A hospital social worker had also contacted the Contra Costa County Children and Family Services Bureau (Bureau). A. Parent Interviews at UCSF A social worker met with K.L. and his parents on the date of the hospital admission. K.L. reportedly lived with mother and father, as well as K.L.’s maternal uncle, grandmother, and great-grandmother. Mother and father were both employed, but mother was K.L.’s primary caregiver.

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