In re I.M. CA4/2

California Court of Appeal·Decided October 1, 2013·No. E058647·Unpublished

Opinion

Filed 10/1/13 In re I.M. CA4/2

NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or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 This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.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

FOURTH APPELLATE DISTRICT

DIVISION TWO

In re I.M., a Person Coming Under the Juvenile Court Law.

SAN BERNARDINO COUNTY E058647 CHILDREN AND FAMILY SERVICES, (Super.Ct.No. J233243) Plaintiff and Respondent, OPINION v.

A.M.,

Defendant and Appellant.

APPEAL from the Superior Court of San Bernardino County. Cheryl C. Kersey,

Judge. Affirmed.

Megan Turkat-Schirn, under appointment by the Court of Appeal, for Defendant

and Appellant.

1 Jean-Rene Basle, County Counsel, and Jamila Bayati, Deputy County Counsel, for

Plaintiff and Respondent.

A.M. (mother) appeals from an order terminating parental rights to her preschool-

aged son I.M. (sometimes child). She argues that the juvenile court should have applied

the “beneficial parental relationship” exception to termination. (Welf. & Inst. Code,

§ 366.26, subd. (c)(1)(B)(i).) She also appeals from an order made at the same hearing

denying her “changed circumstances” petition pursuant to Welfare and Institutions Code

section 388 (section 388). We find no error. Hence, we will affirm.

I

FACTUAL AND PROCEDURAL BACKGROUND

In May 2010, when I.M. was four months old, he was admitted to Loma Linda

University Medical Center with symptoms of liver failure. His treating physician

believed that he needed a liver transplant and recommended diagnostic surgery (including

a liver biopsy) to confirm this.

The mother was argumentative and uncooperative. She wanted to take the child

home, against medical advice. She refused to consent to the diagnostic surgery, even

though she was told that I.M. could die if not treated properly; she “showed more concern

about the scar from the procedure than the child‟s health.” She asked a nurse to take out

the child‟s intravenous line (IV); the nurse refused. “A few minutes later,” it was found

that the IV had been removed. The mother claimed that the child did it himself.

2 When a social worker interviewed the mother, she claimed that “all [the] doctors,

nurses, and staff had it in for her, and were all lying about her.” “She believed there was

nothing wrong with [I.M.], and . . . the doctors were using him to experiment on.” She

also accused the social worker of “watching her from outside of her house . . . .”1

The social worker‟s investigation revealed that the mother had a history of mental

illness and drug abuse. She had a prior conviction for child endangerment. Two of her

older children had been removed from her custody — one voluntarily (i.e., in a

guardianship) and one involuntarily (i.e., in a dependency).

1 The facts in the preceding two paragraphs are according to the report for the detention hearing.

According to the report for the jurisdictional/dispositional hearing, however, which was prepared by a different social worker, the mother flatly denied these asserted facts. She gave a lengthy and detailed account of her efforts to attend diligently to I.M.‟s medical needs. To the extent that the second social worker was able to contact the medical professionals involved, they confirmed the mother‟s account. Moreover, the second social worker “ha[d] consistently observed the mother . . . to be respectful, of appropriate affect and mood, and ha[d] not witnessed any paranoia, incoherence, or delusion[al] thought.”

Nevertheless, because the mother had a history of mental health issues, and because both the original social worker and hospital staff reported that the mother had displayed “paranoia,” “delusion,” and “„bizarre‟ and „incoherent‟ behaviors,” the second social worker concluded that there had been “medical neglect” and that I.M. had to be removed from the mother‟s custody to ensure his safety.

The mother also told the second social worker that “she was in agreement with the allegations [of the petition] and . . . she understands the Department‟s concern for the well[-]being of [I.M.] . . . .”

3 In June 2010, San Bernardino County Children and Family Services (Department)

detained I.M. and filed a juvenile dependency petition concerning him.2

The full name and the whereabouts of I.M.‟s father were unknown and remained

unknown throughout the dependency.

While awaiting a liver transplant, I.M. was released from the hospital and placed in

a foster home for medically fragile children.

In July 2010, the mother “got into a physical altercation” with her boyfriend‟s ex-

girlfriend. As a result, she was arrested for assault with a deadly weapon. In August

2010, pursuant to a plea bargain, she pleaded guilty to an unspecified charge (possibly

battery) and was placed on probation.

In September 2010, I.M. received a liver transplant.

In October 2010, at the jurisdictional/dispositional hearing, the mother submitted

on the social worker‟s reports. The juvenile court found that it had jurisdiction based on

failure to protect (Welf. & Inst. Code, § 300, subd. (b)) and, solely as to the father, failure

to support (id., § 300, subd. (g)). It formally removed I.M. from the mother‟s custody.

While there were no further reports of the mother being delusional, she seemed “to

need constant guidance and reassurance when completing simple tasks and in the

everyday decision making process.” There were concerns that she did not understand the

severity of I.M.‟s condition. According to a psychological evaluation, she tended to

2 The mother also had a two-year-old daughter, who was detained at the same time and made the subject of a separate dependency. She is not a party to this appeal.

4 blame others and to minimize her own responsibility. “[S]he . . . exhibit[s] overly valued

ideas in which she is heavily invested, that border on delusional beliefs, and she appears

to deny, in an unconscious manner, past realities that inconveniently conflict with her

current presentation.” She had “narcissistic-like tendencies to . . . become preoccupied

with her own needs at the expense of concern about the needs of others.” She had an

“oppositional tendency” due to “underlying feelings of anger and resentment . . . .” She

was likely to be “overwhelmed” by caring for a child like I.M.

The mother and the foster mother had a “strained relationship.” The foster mother

did not keep the mother informed about I.M.‟s condition. She was highly critical of the

mother‟s ability to provide medical care for I.M. For example, she complained that the

mother could not administer his medication without referring to her notes. However, the

foster mother also refused to train the mother in the mother‟s home (because she did not

feel safe or comfortable there), in her own home (because the mother had a criminal

record), or in the Department‟s office (because it was unsanitary).

As a result of this tension, in October 2011, I.M. was moved to a different foster

home (also for medically fragile children). With the first foster mother out of the picture,

the mother started to make better progress toward reunification. In December 2011, she

began having unsupervised overnight and weekend visits. She was described as

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