In re E.P. CA1/2

California Court of Appeal·Decided April 21, 2022·No. A163228·Unpublished

Opinion

Filed 4/21/22 In re E.P. CA1/2 NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or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 This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.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

In re E.P., a Person Coming Under the Juvenile Court Law.

SONOMA COUNTY HUMAN SERVICES DEPARTMENT, Plaintiff and Respondent, A163228 v. J.P., (Sonoma County Super. Ct. No. 6122DEP Defendant and Appellant.

Appellant J.P. (Father) and S.U. (Mother) are the parents of E.P. (Minor), who has serious medical conditions that require around-the-clock care. Minor has been declared a dependent of the court, and as part of the disposition, the juvenile court ordered Father not to contact Mother. This is Father’s third appeal in this matter. (See In re E.P. (A160714, May 25, 2021) [nonpub. opn.] (E.P. I) and In re E.P. (A162605, Feb. 22, 2022 [nonpub. opn.] (E.P. II).) Minor requires a mechanical ventilator and constant monitoring by trained caregivers. At recent update hearings, Father has suggested that Mother could help facilitate his court-ordered in-person visits and caregiver training by acting as the monitoring caregiver during visits and by training

1 him on various aspects of Minor’s care. The court, however, has not ordered Mother to provide Father caregiver training and has not required Mother to monitor Minor during Father’s in-person visits. On appeal, Father contends he requested modification of the no-contact order with Mother, and the juvenile court abused its discretion in denying his modification request. In the alternative, he argues the no-contact order must be reversed because the juvenile court failed to comply with statutory requirements. We affirm. FACTS AND PROCEDURAL HISTORY Background The following facts are taken from our two opinions in Father’s prior appeals. Minor has a rare muscle disorder that has required around-the-clock specialized care for several years. Father and Mother, who do not live together, shared physical and legal custody of Minor prior to this dependency case. In December 2019, Minor was hospitalized and doctors determined she needed a tracheostomy, but Father would not consent to tracheotomy surgery. On April 2, 2020, the Sonoma County Human Services Department (Department) filed a dependency petition alleging Father failed to protect Minor in that he “failed to provide . . . critical medical treatment for the child.” (E.P. I, supra.) At a hearing the next day, Mother’s counsel requested a no-contact order “given the disturbing nature of some of the communication [Mother] received from father.” (E.P. I, supra.) The court ordered the parents not to contact each other before the next hearing.

2 At the next hearing, the juvenile court extended the no-contact order for the parents and authorized tracheotomy surgery for Minor. Minor had the surgery in April 2020. She now has an opening at the neck to the trachea and requires a tracheostomy tube and mechanical ventilator. Minor’s post- surgery care requires specific and extensive training for caregivers, including parents.1 In July 2020, the Department filed an amended petition alleging Father’s behavior following Minor’s surgery “continue[d] to place the child at continuing risk of physical harm.” (E.P. I, supra.) The Department recommended Minor be placed with Mother and exit orders be adopted. As Part of a Negotiated Settlement, the Juvenile Court Orders Father to Have No Contact with Mother The same month, the parties reached a negotiated settlement at the hearing on jurisdiction and disposition. As a result, the court sustained the amended petition, ordered Minor to reside with Mother, and ordered services for the parents, including that Father was “to get all support needed for all of his trainings” on tracheostomy care. The court ordered Father to have no

1 The Medical Director of the Pediatric Intensive Care Unit at UCSF outlined the training required for caregivers. He wrote that patients who are dependent on mechanical ventilation, such as Minor, “require 24/7 monitoring by a responsible trained caregiver. In most cases, this requires a minimum of 3 trained caregivers. [¶] Caregiver training includes: assigned didactic video, hands on training of tracheostomy stoma care, tracheostomy tube change, tracheostomy suctioning, medication administration (e.g., aerosolized medications), and the training in medical equipment (i.e., ventilator, humidification, emergency kits, resuscitation bag, suction devices, oxygen equipment). . . . [E]ach caregiver must receive training in 8 emergency scenarios, and must successfully complete tracheostomy care, including tracheostomy tube change, 3 times under direct observation by the medical team. . . . [In addition], primary caregivers are required to complete 48 hours of direct patient care in the hospital.” (E.P. II, supra, fn. 3.)

3 contact with Mother, as he was required to go through the Department to communicate with Mother.2 Obtaining tracheostomy and ventilator training for Father has proved challenging. In October 2020, the social worker reported a service had been identified that could provide in-person ventilator training for Father at Mother’s home with nursing staff present and Mother away from her home. But Mother had recently decided she did not want Father in her home under any circumstances because he had ignored her request for no contact. (Minor’s doctor recommended that Minor needed to stay home for the foreseeable future because safe transportation had not been determined, so any in-person training or visits with Minor would have to occur at Mother’s home.) The Court Orders In-Person Visitation for Father and Minor Father has had consistent supervised visits with Minor by video three times per week. At the interim hearing on October 14, 2020, the juvenile court ordered supervised, in-person visits for Father for one hour per week at Mother’s home with nursing staff present. Arranging in-person visitation at Mother’s home has also proved challenging. In January 2021, the social worker reported that Minor’s at- home nursing provider refused to provide the staffing needed to facilitate in- person visits because of Father’s past threats to staff, and Mother had begun looking for a new at-home nursing agency. Father asked the social worker for “couples counseling” for him and Mother, but Mother was not open to participating in such services. (E.P. II, supra.)

2Father appealed, and we affirmed the juvenile court’s jurisdictional and dispositional orders on May 25, 2021, in E.P. I, supra.

4 For the six-month review hearing, the Department recommended the court order continued services for parents and find reasonable services had been provided or offered. Father requested a contested hearing. At the contested hearing on April 5, 2021, Father testified that he wanted to see his daughter in person without any conditions. The social worker reported a new nursing agency had been identified that was willing to provide staffing so Father could have in-person visits. The social worker estimated that in-person visits could be set up in a couple of weeks. The juvenile court adopted the Department’s recommendations and ordered further services.3 Events Related to the Current Appeal At the close of the hearing on April 5, 2021, the juvenile court scheduled a follow-up hearing for June 24.4 On May 24, the Department sent notice of the June 24 hearing, stating the social worker was recommending no change in orders, services, placement, custody, or status. On June 24, the juvenile court held the scheduled hearing for an oral report from the social worker, Chris Carmichael.

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