In re: I.Q.

Court of Special Appeals of Maryland·Decided January 3, 2025·No. 2039/23·Published

Opinion

In re I.Q., Consolidated Cases: Case No. 2039, September Term 2023 & No. 0741, September Term 2024. Opinion by Nazarian, J.

APPEALABILITY – INTERLOCUTORY ORDERS – CHANGING THE TERMS OF A CUSTODY OR VISITATION ORDER

In Child in Need of Assistance (“CINA”) and Termination of Parental Rights (“TPR”) proceedings, the child or local department involved in that child’s care can appeal a ruling that changes the terms of a prior custody or visitation order, even if the change does not deprive the parent or guardian of the right to the care and custody of the child further. See Md. Code (1974, 2020 Repl. Vol.) § 12-303(3)(x) of the Courts & Judicial Proceedings Article (“CJP”).

LAW OF THE CASE – CHILD IN NEED OF ASSISTANCE AND TERMINATION OF PARENTAL RIGHTS PROCEEDINGS

A juvenile court’s rulings in a child’s TPR case are not the law of the case in that child’s CINA case. CINA and TPR proceedings apply different factors, serve different purposes, apply different evidentiary burdens, and follow distinct procedural pathways such that a ruling in one is not binding on the other.

JUVENILE LAW – CHILD IN NEED OF ASSISTANCE – MODIFICATION OF PERMANENCY PLAN AND VISITATION

The juvenile court did not abuse its discretion in changing the child’s permanency plan to reunification and granting the mother unsupervised visitation. The court made findings as to the required factors in Md. Code (1999, 2019 Repl. Vol.) §§ 5-525(f)(1)(i)–(vi) and 9-101 of the Family Law Article (“FL”) and concluded properly that it would be in the child’s best interest to modify the custody and visitation orders.

JUVENILE LAW – TERMINATION OF PARENTAL RIGHTS – MODIFICATION OF VISITATION

The juvenile court did not abuse its discretion in granting the mother monthly overnight visitations during a TPR hearing in which the court held the TPR petition under advisement. The court retains fundamental jurisdiction to modify a custody or visitation order when it is in the child’s best interest to do so, notwithstanding a pending CINA appeal or pending TPR petition. See CJP § 3-803(b)(1)(i). The court made findings as to the required factors in FL §§ 5-525(f)(1)(i)–(vi) and 9-101 and concluded properly that it would be in the child’s best interest to modify the visitation order.

Circuit Court for Baltimore City Case No. 819009004J Case No. T21077003 REPORTED

IN THE APPELLATE COURT

OF MARYLAND

No. 2039, September Term 2023 and

No. 0741, September Term, 2024 CONSOLIDATED CASES

IN RE I.Q.

Nazarian,

Friedman,

Zic,

JJ.

Opinion by Nazarian, J.

Dissenting Opinion by Zic, J.

Filed: January 3, 2025

Pursuant to the Maryland Uniform Electronic Legal Materials Act (§§ 10-1601 et seq. of the State Government Article) this document is authentic.

2025.01.03

'00'05- 15:16:06

Gregory Hilton, Clerk

On January 9, 2019, three-month-old I.Q. (“I.”) was hospitalized with serious injuries caused by abuse and neglect. These injuries, which remain unexplained, left I. blind permanently and at risk for developmental delays. On January 10, 2019, the Circuit Court for Baltimore City, sitting as the juvenile court, found I. to be a Child in Need of Assistance (“CINA”) 1 and committed him to the Department of Social Services for Baltimore City (the “Department”). Once released from the hospital, I. was placed in a foster home for medically fragile children, where he resides to this day.

The juvenile court has held several CINA review hearings over the past five years to revisit and, in some instances, modify I.’s permanency plan and visitation schedule. The Department also initiated termination of parental rights (“TPR”) proceedings in 2021 that have followed a parallel path alongside I.’s CINA case in the juvenile court. I. (sometimes the “Child”) and the Department have appealed from the latest orders in the CINA and TPR cases. After determining first that the Department and the Child have the right to appeal recent orders modifying earlier custody orders, we address both sets of issues in this consolidated appeal and affirm the court’s rulings in each case.

1 A child in need of assistance is defined as:

(f) . . . a child who requires court intervention because:

(1) The child has been abused, has been neglected, has a developmental disability, or has a mental disorder; and (2) The child’s parents, guardian, or custodian are unable or unwilling to give proper care and attention to the child and the child’s needs.

CJP § 3-801(f)(1)–(2).

I. BACKGROUND

We provided an extensive review of the facts and procedural history of I.’s CINA and TPR cases in In re I.Q., No. 0108, Sept. Term 2023 (Md. App. Nov. 9, 2023). For purposes of this consolidated appeal, we recount the history briefly and pick up the cases from there.

A. Factual Background 1. Abuse and neglect of I I. was born on October 3, 2018, to Ms. H. (“Mother”) and Mr. Q. (“Father”). His parents shared custody, although Mother was I.’s primary caregiver for the first three months of his life. During those three months, I. was a “happy and bubbly baby,” save for a few medical concerns in November and December 2018. In early January, however, I. began showing signs of serious distress. From January 3, 2019 to January 8, 2019, he was extremely irritable and lethargic, projectile vomited and drank less milk, screamed or “screeched” whenever he was moved, and appeared cross-eyed. Despite these symptoms and I.’s maternal grandmother’s recommendation that Mother take him to the hospital, neither Mother nor Father sought medical attention for him.

By January 8, 2019, I. was still irritable and vomiting and his eyes appeared “blank”

and were “not moving.” Mother still didn’t bring I. to the hospital but left him instead with his grandmother while Mother was at work. I.’s grandmother called Mother later and suggested, for the second time, that Mother bring I. to the hospital due to his continuing symptoms. Mother scheduled an appointment with I.’s pediatrician for that afternoon and both parents attended.

At that appointment, the pediatrician observed that I.’s head was swollen and that he became irritable and cried when she touched him, especially when she touched his abdomen. The pediatrician asked Mother and Father if I. had experienced any trauma, something both parents denied. After the examination, the pediatrician told Mother and Father to “immediately take [I.] to the emergency department.”

Mother and Father brought I. to the University of Maryland Medical Center, where I. was diagnosed with “subdural hematomas and abusive head trauma” as well as multiple fractures to his limbs and ribs. The medical team reported that I.’s injuries were “diagnostic of physical abuse,” and sent I. to Johns Hopkins Hospital for further testing and treatment.

The medical team at Johns Hopkins described I. as “critically ill” and in need of care to “prevent cardiovascular collapse due to abusive head trauma.” Once admitted to the Pediatric Care Unit, I. was diagnosed with multiple intracranial hemorrhages; multiple fractures to his ribs, legs, and arms; and “extensive multilayered retinal hemorrhages in both eyes.” His fractures were in various stages of healing, which indicated that “some of them had happened earlier than others.”

While the Johns Hopkins team was treating I., police officers and other staff members from Johns Hopkins and the Department asked Mother and Father to explain how I. had sustained his injuries. Both parents claimed they didn’t know how the injuries happened. Father said he had dropped I. into his bassinet and may have caused the leg fractures by “rotating [I.’s] legs like a bicycle.” He also admitted that he would try to “reshape” I.’s head by pressing on it, but he didn’t believe he had hurt him. As to the delay in seeking medical care, Mother said she didn’t think I.’s symptoms were serious.

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