In re J.R.

2019 Ohio 3500
Ohio Court of Appeals·Decided August 30, 2019·No. C-190342·Published·Cited by 4 cases

Opinion

[Cite as In re J.R., 2019-Ohio-3500.]

IN THE COURT OF APPEALS FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO

IN RE: J.R. : APPEAL NO. C-190342 TRIAL NO. F15-2293X

: O P I N I O N.

Appeal From: Hamilton County Juvenile Court

Judgment Appealed From Is: Affirmed

Date of Judgment Entry on Appeal: August 30, 2019

Christopher P. Kapsal, for Appellant Father,

Raymond T. Faller, Hamilton County Public Defender, and Elizabeth Stringer, Assistant Public Defender, Guardian ad Litem for J.R.,

Joseph T. Deters, Hamilton County Prosecuting Attorney, and Jonathan Halvonik, Assistant Prosecuting Attorney, for Appellee Hamilton County Department of Job and Family Services. OHIO FIRST DISTRICT COURT OF APPEALS

MYERS, Presiding Judge. {¶1} Appellant father appeals from the Hamilton County Juvenile Court’s judgment granting permanent custody of his son J.R. to the Hamilton County

Department of Job and Family Services (“HCJFS”). In a single assignment of error, father argues that the juvenile court abused its discretion in finding that a grant of

permanent custody was in J.R.’s best interest. Finding father’s argument to be without merit, we affirm the trial court’s judgment.

1. Factual and Procedural Background

{¶2} J.R. was born on June 1, 2015. He suffers from a genetic disorder

known as Noonan Syndrome,1 and shortly after J.R.’s birth, a gastrointestinal tube (“G-tube”) was surgically inserted into his stomach because he had been

experiencing difficulty eating. On September 25, 2015, HCJFS was granted an emergency order for custody of J.R. The agency subsequently filed a complaint for temporary custody of J.R. and two older siblings, alleging that J.R. had been

admitted to Children’s Hospital approximately one week before the complaint was

filed, where doctors determined that he was malnourished and suffered from environmental failure to thrive. J.R. gained weight once admitted to the hospital. {¶3} J.R. was placed in a foster home, while his siblings remained with mother under protective orders. On January 25, 2016, J.R. and his siblings were adjudicated dependent. Following a dispositional hearing, legal custody of J.R. was remanded to mother on August 5, 2016, with orders of protective supervision

granted to HCJFS.

1 Per testimony in the record, Noonan Syndrome is a genetic disorder that is characterized by unusual facial features, heart problems, bleeding problems, issues with feeding, cognitive delays, and an abnormal growth of the rib cage. Individuals with Noonan Syndrome do not feel hunger and fullness in the same way a person without the syndrome does.

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{¶4} J.R. remained in mother’s care until February 1, 2017, when HCJFS was granted an interim order of custody after filing an amended complaint for temporary custody. The complaint alleged that J.R. was neglected and dependent, that his weight had fluctuated since returning to mother’s care, and that HCJFS had

concerns that mother was not appropriately administering J.R.’s G-tube feedings. {¶5} On April 25, 2017, J.R. was adjudicated dependent and neglected and was placed in the temporary custody of HCJFS. And on November 6, 2017, HCJFS

filed a motion to modify temporary custody to permanent custody. Paternal grandmother Rose Stephens filed a motion for legal custody of J.R. {¶6} A trial was held over the course of four days from July 2018 to

December 2018 on HCJFS’s motion to modify and Stephens’s petition for custody. {¶7} Mother testified on both the first and last days of the permanent-

custody trial. She acknowledged that eviction papers had previously been filed against her, but testified that she currently had secure housing and lived with her four other children. Mother testified that J.R. has Noonan Syndrome, which she

described as a failure to thrive, and she explained that he needs to supplement what he is unable to eat by mouth with G-tube feedings. J.R. had multiple medical appointments because of this condition, and mother testified that she had attended all of J.R.’s appointments, although there was evidence to the contrary. {¶8} Mother explained that she had visited J.R. every Saturday at the Family Nurturing Center (“FNC”), and that she had fed him through his G-tube

during each visit. Mother did not prepare the food that was fed to J.R., but used a previously prepared mixture of ingredients. She stated that she had received training on how to administer food through the G-tube, and she discussed the

process of administering a G-tube feeding. Mother would bring J.R.’s siblings along on many of her visits, and she testified that the children had interacted well together. {¶9} Mother testified that she had completed all services requested by HCJFS, including parenting classes, drug screens, therapy at the Talbert House, and

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participation in an intensive family-restoration program (“IFRS”). She explained that she had completed these services the first time that J.R. was removed from her care, and that she had not been asked to complete any additional services following J.R.’s removal from her home in February of 2017. Mother acknowledged that she

had tested positive for marijuana when the case was first initiated, and that she had tested positive for Oxycodone in April of 2017, but she explained that she had been

prescribed the Oxycodone for a head injury.

{¶10} Mother was unemployed when the permanent-custody trial began, but when she testified for the second time at the end of the trial, she had obtained employment in the home-health-care field. She explained that, if granted custody of J.R., she hoped to find a preschool with a nurse certified in G-tube feedings. Mother denied being diagnosed with bipolar disorder or adjustment disorder. {¶11} Several HCJFS caseworkers had responsibility for J.R.’s case during the pendency of this action. Caseworker Nia Taylor was assigned the case from August of 2017 until January of 2018. When Taylor was first assigned J.R.’s case, his permanency goal was to be returned to mother, but Taylor requested that permanent

custody be granted to HCJFS due to mother’s inability to handle J.R.’s medical needs. {¶12} Taylor testified that HCJFS had requested that mother complete an updated diagnostic assessment, participate in random urine screens, attend parenting classes, and participate in the IFRS program. While mother was consistent in her visitation with J.R. and interacted with him in a nurturing and

caring manner, she failed to undergo the updated diagnostic assessment and did not complete any of the other requested services, although Taylor conceded that she had never actually requested urine screens when she was managing the case. Taylor

further testified that she had had difficulty reaching mother other than during scheduled visitation at the FNC, despite making numerous attempts to reach mother

at home and sending mother a letter detailing all of J.R.’s medical appointments.

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Taylor had concerns with mother’s ability to follow medical recommendations from J.R.’s providers because mother’s attendance at J.R.’s medical appointments had been sporadic. Taylor was concerned that without consistent attendance at these appointments, mother would not be familiar with changes in J.R.’s development and

his feeding needs. {¶13} Taylor testified that J.R. had remained in the same foster home throughout the action, and that he was bonded with his caregivers, who were very

responsive to his medical needs. Father was incarcerated when Taylor took over case responsibility, and she had no engagement with him. Nor did she have any

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