[Cite as In re A.K., 2025-Ohio-2935.]
IN THE COURT OF APPEALS OF OHIO FOURTH APPELLATE DISTRICT HIGHLAND COUNTY RELEASED 8/13/2025
In re: A.K. (DOB: 11/12/2024): : Case No. 25CA8 : Adjudicated Abused, Neglected, : DECISION AND Dependent Child. : JUDGMENT ENTRY ______________________________________________________________________ APPEARANCES:
Steven H. Eckstein, Washington Court House, Ohio, for appellant.
Anneka P. Collins, Highland County Prosecutor, and Molly Bolek, Highland County Assistant Prosecutor, Hillsboro, Ohio, for appellee. ______________________________________________________________________ Hess, J.
{¶1} The mother of A.K. appeals a judgment of the Highland County Court of
Common Pleas, Juvenile Division, which adjudicated A.K. an abused, neglected, and
dependent child and ordered that the child remain in the temporary custody of the
Highland County Department of Job & Family Services, Child Protection Unit (the
“Agency”).1 Mother presents three assignments of error asserting that the juvenile court
erred in finding by clear and convincing evidence that A.K. was an abused, neglected,
and dependent child. For the reasons which follow, we overrule the assignments of error
and affirm the juvenile court’s judgment.
I. FACTS AND PROCEDURAL HISTORY
{¶2} On November 15, 2024, the Agency filed a complaint alleging A.K. was an
abused, neglected, and dependent child. The same day, the juvenile court granted the
Agency emergency temporary custody of the child. After a hearing, the court continued
temporary custody with the Agency.
1 A.K.’s father has not entered an appearance or otherwise participated in this appeal. Highland App. No. 25CA8 2
{¶3} On March 6, 2025, the juvenile court conducted an adjudicatory and
dispositional hearing. An Agency employee testified that on November 12, 2024, A.K.
was born to mother and father. The employee testified that the parents had been involved
with the Agency prior to A.K.’s birth. The juvenile court admitted into evidence a May 22,
2023 judgment entry terminating their parental rights to A.K.’s sibling, S.K. Among other
things, the entry states that S.K. was born on September 27, 2021, placed in the
temporary custody of the Agency on October 8, 2021, and adjudicated dependent on
November 18, 2021. The entry also states that when S.K. was born, she and mother both
tested positive for marijuana, that father tested positive for amphetamine and
methamphetamine on October 27, 2021, that the parents refused or avoided being drug
tested during the pendency of the case, and that the parents had shown no interest in
completing their case plan. Later during the hearing, the juvenile court stated that it had
reviewed S.K.’s file and was taking judicial notice of the pleadings, allegations in the
complaint which were admitted by the parents, and findings in S.K.’s case.
{¶4} The employee testified that the Agency received a report that mother tested
positive for methamphetamine and amphetamine when A.K. was born, that A.K. showed
signs of withdrawal in the hospital, and that the parents were unwilling to cooperate with
hospital staff and social workers. On November 14, 2024, the employee went to the
hospital, and “[t]here were multiple security guards on the unit due to the unwillingness to
cooperate.” The parents refused to speak to the employee. Based on the employee’s
investigation, she determined the allegation of methamphetamine use to be true. She
developed a case plan which required, among other things, that the parents complete a
drug and alcohol assessment, follow treatment recommendations, and submit to random Highland App. No. 25CA8 3
drug screens. The parents refused to sign the case plan and said they would not work the
plan. Another Agency employee testified mother refused a request for a random drug
screen, and under Agency policy, a refusal is considered a positive on all panels.
{¶5} Dr. Jason Tatka, a pediatric hospitalist for Nationwide Children’s Hospital
who works out of Adena Regional Medical Center, testified that he treated A.K. and had
reviewed her medical records. The records indicated that the day after A.K. was born, at
3:15 a.m., a nurse observed that A.K. had sweat beads on her forehead, tremors, and
rapid respirations, which Dr. Tatka testified are “clinically suggestive of medication or drug
withdrawal.” Dr. Tatka testified that A.K.’s umbilical cord tissue tested positive for
methamphetamine and amphetamine. Dr. Tatka testified that this “would suggest given
general biology that the baby had been exposed to methamphetamine or amphetamine
for some time” “so that that tissue absorbed that chemical or that substance.” This
suggested in utero drug exposure, “which can only have come from the ingestion via the
mother.” In his medical opinion, in utero drug exposure creates a substantial risk to the
child.
{¶6} Mother testified that she was positive for methamphetamine when A.K. was
born but denied ever using methamphetamine. When asked to explain why she tested
positive, mother testified, “I have documentations [sic] and pictures that I did not give a
urine sample at that time that they said that at -- it was at 4:26 a.m., and I was on a stress
test machine. And I have documentations [sic] and pictures of it. I did not give a sample.”
Mother also testified that “studies and stuff” said there were “like ten different medicines
that can make you -- make a baby test positive” and that she was on one of them,
ibuprofen. However, mother admitted that she is not a medical professional. Mother Highland App. No. 25CA8 4
acknowledged that she refused to do a drug screen requested by an Agency employee
and that she had not completed any case plan services but claimed she had only gotten
the case plan “just the other day.” Father also testified.
{¶7} On March 12, 2025, the juvenile court issued an entry of adjudication and
disposition. The court found by clear and convincing evidence that A.K. was an abused,
neglected, and dependent child. The court found A.K. was an abused child under R.C.
2151.031(C)2 because the medical records and testimony of Dr. Tatka demonstrated she
had methamphetamine and amphetamine in her umbilical cord tissue. The court found
A.K. was a neglected child under R.C. 2151.03(A)(2) because Dr. Tatka testified that the
results of the umbilical cord testing demonstrated prolonged methamphetamine and
amphetamine use by mother, which were faults and habits of mother, that the prolonged
drug use placed A.K. at substantial health risk, and that A.K. demonstrated clear signs of
withdrawal. The court found that A.K. was a dependent child under R.C. 2151.04(C)
because her condition was such as to warrant the State, in her best interest, in assuming
guardianship. The court also found that A.K. was a dependent child under R.C.
2151.04(D). The court stated that “having taken Judicial Notice of the case of S.K. . . .,
the circumstances surrounding S.K.’s removal and Permanent Custody are substantially
the same as those surrounding A.K.” The court found that reasonable efforts were made
to prevent A.K.’s removal from her home and ordered, pursuant to R.C.
2151.353(A)(2)(a), that A.K. remain in the Agency’s custody for one year, to automatically
terminate on November 15, 2025, unless a timely motion was filed with the court.
2 The court’s entry actually states that A.K.
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[Cite as In re A.K., 2025-Ohio-2935.]
IN THE COURT OF APPEALS OF OHIO FOURTH APPELLATE DISTRICT HIGHLAND COUNTY RELEASED 8/13/2025
In re: A.K. (DOB: 11/12/2024): : Case No. 25CA8 : Adjudicated Abused, Neglected, : DECISION AND Dependent Child. : JUDGMENT ENTRY ______________________________________________________________________ APPEARANCES:
Steven H. Eckstein, Washington Court House, Ohio, for appellant.
Anneka P. Collins, Highland County Prosecutor, and Molly Bolek, Highland County Assistant Prosecutor, Hillsboro, Ohio, for appellee. ______________________________________________________________________ Hess, J.
{¶1} The mother of A.K. appeals a judgment of the Highland County Court of
Common Pleas, Juvenile Division, which adjudicated A.K. an abused, neglected, and
dependent child and ordered that the child remain in the temporary custody of the
Highland County Department of Job & Family Services, Child Protection Unit (the
“Agency”).1 Mother presents three assignments of error asserting that the juvenile court
erred in finding by clear and convincing evidence that A.K. was an abused, neglected,
and dependent child. For the reasons which follow, we overrule the assignments of error
and affirm the juvenile court’s judgment.
I. FACTS AND PROCEDURAL HISTORY
{¶2} On November 15, 2024, the Agency filed a complaint alleging A.K. was an
abused, neglected, and dependent child. The same day, the juvenile court granted the
Agency emergency temporary custody of the child. After a hearing, the court continued
temporary custody with the Agency.
1 A.K.’s father has not entered an appearance or otherwise participated in this appeal. Highland App. No. 25CA8 2
{¶3} On March 6, 2025, the juvenile court conducted an adjudicatory and
dispositional hearing. An Agency employee testified that on November 12, 2024, A.K.
was born to mother and father. The employee testified that the parents had been involved
with the Agency prior to A.K.’s birth. The juvenile court admitted into evidence a May 22,
2023 judgment entry terminating their parental rights to A.K.’s sibling, S.K. Among other
things, the entry states that S.K. was born on September 27, 2021, placed in the
temporary custody of the Agency on October 8, 2021, and adjudicated dependent on
November 18, 2021. The entry also states that when S.K. was born, she and mother both
tested positive for marijuana, that father tested positive for amphetamine and
methamphetamine on October 27, 2021, that the parents refused or avoided being drug
tested during the pendency of the case, and that the parents had shown no interest in
completing their case plan. Later during the hearing, the juvenile court stated that it had
reviewed S.K.’s file and was taking judicial notice of the pleadings, allegations in the
complaint which were admitted by the parents, and findings in S.K.’s case.
{¶4} The employee testified that the Agency received a report that mother tested
positive for methamphetamine and amphetamine when A.K. was born, that A.K. showed
signs of withdrawal in the hospital, and that the parents were unwilling to cooperate with
hospital staff and social workers. On November 14, 2024, the employee went to the
hospital, and “[t]here were multiple security guards on the unit due to the unwillingness to
cooperate.” The parents refused to speak to the employee. Based on the employee’s
investigation, she determined the allegation of methamphetamine use to be true. She
developed a case plan which required, among other things, that the parents complete a
drug and alcohol assessment, follow treatment recommendations, and submit to random Highland App. No. 25CA8 3
drug screens. The parents refused to sign the case plan and said they would not work the
plan. Another Agency employee testified mother refused a request for a random drug
screen, and under Agency policy, a refusal is considered a positive on all panels.
{¶5} Dr. Jason Tatka, a pediatric hospitalist for Nationwide Children’s Hospital
who works out of Adena Regional Medical Center, testified that he treated A.K. and had
reviewed her medical records. The records indicated that the day after A.K. was born, at
3:15 a.m., a nurse observed that A.K. had sweat beads on her forehead, tremors, and
rapid respirations, which Dr. Tatka testified are “clinically suggestive of medication or drug
withdrawal.” Dr. Tatka testified that A.K.’s umbilical cord tissue tested positive for
methamphetamine and amphetamine. Dr. Tatka testified that this “would suggest given
general biology that the baby had been exposed to methamphetamine or amphetamine
for some time” “so that that tissue absorbed that chemical or that substance.” This
suggested in utero drug exposure, “which can only have come from the ingestion via the
mother.” In his medical opinion, in utero drug exposure creates a substantial risk to the
child.
{¶6} Mother testified that she was positive for methamphetamine when A.K. was
born but denied ever using methamphetamine. When asked to explain why she tested
positive, mother testified, “I have documentations [sic] and pictures that I did not give a
urine sample at that time that they said that at -- it was at 4:26 a.m., and I was on a stress
test machine. And I have documentations [sic] and pictures of it. I did not give a sample.”
Mother also testified that “studies and stuff” said there were “like ten different medicines
that can make you -- make a baby test positive” and that she was on one of them,
ibuprofen. However, mother admitted that she is not a medical professional. Mother Highland App. No. 25CA8 4
acknowledged that she refused to do a drug screen requested by an Agency employee
and that she had not completed any case plan services but claimed she had only gotten
the case plan “just the other day.” Father also testified.
{¶7} On March 12, 2025, the juvenile court issued an entry of adjudication and
disposition. The court found by clear and convincing evidence that A.K. was an abused,
neglected, and dependent child. The court found A.K. was an abused child under R.C.
2151.031(C)2 because the medical records and testimony of Dr. Tatka demonstrated she
had methamphetamine and amphetamine in her umbilical cord tissue. The court found
A.K. was a neglected child under R.C. 2151.03(A)(2) because Dr. Tatka testified that the
results of the umbilical cord testing demonstrated prolonged methamphetamine and
amphetamine use by mother, which were faults and habits of mother, that the prolonged
drug use placed A.K. at substantial health risk, and that A.K. demonstrated clear signs of
withdrawal. The court found that A.K. was a dependent child under R.C. 2151.04(C)
because her condition was such as to warrant the State, in her best interest, in assuming
guardianship. The court also found that A.K. was a dependent child under R.C.
2151.04(D). The court stated that “having taken Judicial Notice of the case of S.K. . . .,
the circumstances surrounding S.K.’s removal and Permanent Custody are substantially
the same as those surrounding A.K.” The court found that reasonable efforts were made
to prevent A.K.’s removal from her home and ordered, pursuant to R.C.
2151.353(A)(2)(a), that A.K. remain in the Agency’s custody for one year, to automatically
terminate on November 15, 2025, unless a timely motion was filed with the court.
2 The court’s entry actually states that A.K. is an abused child under R.C. 2151.031(B), but this is a typographical error which the court evidently carried over from the complaint, which also cited R.C. 2151.031(B). The language used in the complaint actually implicates R.C. 2151.031(C), which was R.C. 2151.031(B) until the statute was amended by 2023 Am. Sub. H.B. 33, effective October 3, 2023. Highland App. No. 25CA8 5
II. ASSIGNMENTS OF ERROR
{¶8} Mother presents three assignments of error:
Assignment of Error One – The trial court erred in finding by clear and convincing evidence that A.K. was abused pursuant to R.C. 2151.031.
Assignment of Error Two – The trial court erred in finding by clear and convincing evidence that A.K. was neglected pursuant to R.C. 2151.03(A)(2).
Assignment of Error Three – The trial court erred in finding by clear and convincing evidence that A.K. was dependent pursuant to R.C. 2151.04(C) and (D).
{¶9} In her appellate brief, mother jointly argues her three assignments of error.
“‘While appellate courts may jointly consider two or more assignments of error, the parties
do not have the same option in presenting their arguments.’” State v. Rife, 2012-Ohio-
3264, ¶ 15 (4th Dist.), quoting Keffer v. Cent. Mut. Ins. Co., 2007-Ohio-3984, ¶ 8, fn. 2
(4th Dist.). Therefore, we would be within our discretion to disregard her assignments of
error. Id. Nonetheless, we will review them.
III. LAW AND ANALYSIS
A. Abuse, Neglect, and Dependency Statutes
{¶10} Under R.C. 2151.031(C), an “abused child” includes a child who “[i]s
endangered as defined in [R.C. 2919.22], except that the court need not find that any
person has been convicted under that section in order to find that the child is an abused
child[.]” A child is endangered under R.C. 2919.22(A) if the child’s parent creates “a
substantial risk to the health or safety of the child, by violating a duty of care, protection,
or support.” Under R.C. 2151.03(A)(2), a neglected child includes a child “[w]ho lacks
adequate parental care because of the faults or habits of the child’s parents, guardian, or
custodian[.]” R.C. 2151.04(C) states that a dependent child includes a child “[w]hose Highland App. No. 25CA8 6
condition or environment is such as to warrant the state, in the interests of the child, in
assuming the child’s guardianship[.]” In addition, R.C. 2151.04(D) states that a
dependent child includes a child to whom both the following apply:
(1) The child is residing in a household in which a parent, guardian, custodian, or other member of the household committed an act that was the basis for an adjudication that a sibling of the child or any other child who resides in the household is an abused, neglected, or dependent child.
(2) Because of the circumstances surrounding the abuse, neglect, or dependency of the sibling or other child and the other conditions in the household of the child, the child is in danger of being abused or neglected by that parent, guardian, custodian, or member of the household.
B. Standard of Review
{¶11} R.C. 2151.35(A)(1) states: “If the court at the adjudicatory hearing finds
from clear and convincing evidence that the child is an abused, neglected, or dependent
child, the court shall proceed, . . . to hold a dispositional hearing and hear the evidence
as to the proper disposition to be made under [R.C. 2151.353].” “Clear and convincing
evidence is that measure or degree of proof which is more than a mere ‘preponderance
of the evidence,’ but not to the extent of such certainty as is required ‘beyond a reasonable
doubt’ in criminal cases, and which will produce in the mind of the trier of facts a firm belief
or conviction as to the facts sought to be established.” Cross v. Ledford, 161 Ohio St.
469 (1954), paragraph three of the syllabus.
{¶12} Because R.C. 2151.35(A)(1) requires that a juvenile court find by clear and
convincing evidence that the statutory requirements for abuse, neglect, or dependency
are met, sufficiency-of-the-evidence and/or manifest-weight of the evidence standards of
review are the proper appellate standards of review of an abuse, neglect, or dependency
finding, as appropriate depending on the nature of the arguments that are presented by Highland App. No. 25CA8 7
the parties. See by way of analogy In re Z.C., 2023-Ohio-4703, ¶ 11 (Because R.C.
2151.414 requires a juvenile court find by clear and convincing evidence that statutory
requirements for a permanent custody award are met, sufficiency-of-the-evidence and/or
manifest-weight-of-the-evidence standards of review are the proper appellate standards
of review of a permanent-custody determination, depending on the nature of the parties’
arguments).
{¶13} The Supreme Court of Ohio has explained:
Sufficiency of the evidence and manifest weight of the evidence are distinct concepts and are “ ‘both quantitatively and qualitatively different.’ ” Eastley v. Volkman, 132 Ohio St.3d 328, 2012-Ohio-2179, 972 N.E.2d 517, ¶ 10, quoting State v. Thompkins, 78 Ohio St.3d 380, 678 N.E.2d 541 (1997), paragraph two of the syllabus. We have stated that “sufficiency is a test of adequacy,” Thompkins at 386, while weight of the evidence “ ‘is not a question of mathematics, but depends on its effect in inducing belief’ ” (emphasis sic), id. at 387, quoting Black’s Law Dictionary 1594 (6th Ed.1990). “Whether the evidence is legally sufficient to sustain a verdict is a question of law.” Id. at 386. “When applying a sufficiency-of-the-evidence standard, a court of appeals should affirm a trial court when ‘ “the evidence is legally sufficient to support the jury verdict as a matter of law.” ’ ” Bryan- Wollman v. Domonko, 115 Ohio St.3d 291, 2007-Ohio-4918, 874 N.E.2d 1198, ¶ 3, quoting Thompkins at 386, quoting Black’s at 1433.
But “even if a trial court judgment is sustained by sufficient evidence, an appellate court may nevertheless conclude that the judgment is against the manifest weight of the evidence.” Eastley at ¶ 12. When reviewing for manifest weight, the appellate court must weigh the evidence and all reasonable inferences, consider the credibility of the witnesses, and determine whether, in resolving conflicts in the evidence, the finder of fact clearly lost its way and created such a manifest miscarriage of justice that the judgment must be reversed and a new trial ordered. Id. at ¶ 20. “In weighing the evidence, the court of appeals must always be mindful of the presumption in favor of the finder of fact.” Id. at ¶ 21. “The underlying rationale of giving deference to the findings of the trial court rests with the knowledge that the trial judge is best able to view the witnesses and observe their demeanor, gestures and voice inflections, and use these observations in weighing the credibility of the proffered testimony.” Seasons Coal Co., Inc. v. Cleveland, 10 Ohio St.3d 77, 80, 461 N.E.2d 1273 (1984). “ ‘If the evidence is susceptible of more than one construction, the reviewing court is bound to give it that interpretation which is consistent with the verdict and Highland App. No. 25CA8 8
judgment, most favorable to sustaining the verdict and judgment.’ ” Id. at fn. 3, quoting 5 Ohio Jurisprudence 3d, Appellate Review, Section 603, at 191-192 (1978).
Id. at ¶ 13-14.
C. Analysis
{¶14} In her assignments of error, Mother contends that the juvenile court erred
in finding by clear and convincing evidence that A.K. was abused, neglected, and
dependent. Mother cites In re L.H., 2019-Ohio-2383 (12th Dist.), for the proposition that
a dependency adjudication under R.C. 2151.04(D) requires proof that the child’s sibling
or any other child who resides in the household was adjudicated abused, neglected, or
dependent before the dependency complaint for the child whose status is at issue was
filed. Mother suggests there was insufficient evidence to support a dependency finding
under R.C. 2151.04(D) because there was no testimony regarding the date of S.K.’s
adjudication. Mother also suggests there was insufficient evidence to support a
dependency finding under R.C. 2151.04(D) because there was no evidence regarding the
facts in S.K.’s case. In addition, she asserts that the juvenile court “found the present
circumstances of A.K. to be similar to those in” S.K.’s case, but “[t]he similarity of the
circumstances is absent from the record.”
{¶15} However, the record contains evidence regarding the date of S.K.’s
adjudication and circumstances surrounding S.K.’s dependency—the judgment entry the
juvenile court admitted into evidence.3 To make a dependency finding under R.C.
2151.04(D), the juvenile court did not have to find that the siblings’ circumstances were
3 Although the juvenile court orally stated that it was taking judicial notice of the pleadings, allegations in
the complaint which were admitted by the parents, and findings in S.K.’s case and stated in its entry of adjudication and disposition that it had taken judicial notice of S.K.’s case, no documents from S.K.’s case are in the record on appeal aside from the judgment entry the court admitted into evidence. Highland App. No. 25CA8 9
similar, but the similarity is evident in this case. A.K., like S.K., was born drug positive.
Therefore, we reject mother’s contentions.
{¶16} Mother also suggests that the abuse, neglect, and dependency findings are
against the manifest weight of the evidence. Mother maintains that the “only evidence”
of abuse, neglect, and dependency was Dr. Tatka’s testimony that mother “must be the
cause of the drugs in the child.” Mother claims the juvenile court erred in finding Dr.
Tatka’s testimony more credible than her testimony that she has never ingested
methamphetamine and that she took ibuprofen during pregnancy, which can cause a
false positive test result.
{¶17} “A trier of fact is free to believe all, part, or none of the testimony of any
witness, and appellate courts generally defer to the trier of fact on evidentiary weight and
credibility issues because it is in the best position to gauge the witnesses’ demeanor,
gestures, and voice inflections, and to use these observations to weigh their credibility.”
State v. Tolle, 2020-Ohio-935, ¶ 50 (4th Dist.), citing State v. Dillard, 2014-Ohio-4974, ¶
28 (4th Dist.), and State v. West, 2014-Ohio-1941, ¶ 23 (4th Dist.). Dr. Tatka’s testimony
was not inherently incredible, and the juvenile court was free to believe the testimony of
a medical professional over mother’s testimony. After weighing the evidence and all
reasonable inferences and considering the credibility of the witnesses after according the
requisite deference to the juvenile court’s determinations, we conclude that in resolving
conflicts in the evidence, the juvenile court did not clearly lose its way and create such a
manifest miscarriage of justice that its judgment must be reversed and a new trial ordered. Highland App. No. 25CA8 10
{¶18} The juvenile court did not err in finding, by clear and convincing evidence,
that A.K. was an abused, neglected, and dependent child. Accordingly, we overrule the
first, second, and third assignments of error and affirm the juvenile court’s judgment.
JUDGMENT AFFIRMED. Highland App. No. 25CA8 11
JUDGMENT ENTRY
It is ordered that the JUDGMENT IS AFFIRMED and that appellant shall pay the costs.
The Court finds there were reasonable grounds for this appeal.
It is ordered that a special mandate issue out of this Court directing the Highland County Court of Common Pleas, Juvenile Division, to carry this judgment into execution.
Any stay previously granted by this Court is hereby terminated as of the date of this entry.
A certified copy of this entry shall constitute the mandate pursuant to Rule 27 of the Rules of Appellate Procedure.
Smith, P.J. & Wilkin, J.: Concur in Judgment and Opinion.
For the Court
BY: ________________________________ Michael D. Hess, Judge
NOTICE TO COUNSEL
Pursuant to Local Rule No. 14, this document constitutes a final judgment entry and the time period for further appeal commences from the date of filing with the clerk.