In re Ka.R.

2024 Ohio 5302
Ohio Court of Appeals·Decided October 29, 2024·No. 24CA4057·Published

Opinion

IN THE COURT OF APPEALS OF OHIO FOURTH APPELLATE DISTRICT SCIOTO COUNTY

In re: Ka.R. and Ke.R., :

: Case No. 24CA4057

Adjudicated Neglected/Dependent : Children. :

: DECISION AND JUDGMENT : ENTRY

:

: RELEASED: 10/29/2024

APPEARANCES:

Valerie M. Webb, Portsmouth, Ohio, for appellant.

Shane A. Tieman, Scioto County Prosecutor, and S. Andrew Sturgill, Scioto County Assistant Prosecutor Portsmouth, Ohio, for appellee.

Wilkin, J.

{¶1} Appellant, F.C., appeals a judgment of the Scioto County Court of Common Pleas, Juvenile Division, that granted Scioto County Children Services permanent custody of her two-year-old twin children, Ka.R. and Ke.R. Appellant raises one assignment of error that asserts that (1) the trial court’s judgment placing the children in the agency’s permanent custody is against the manifest weight of the evidence and (2) sufficient evidence does not support the court’s judgment. After our review of the record and the applicable law, we do not find any merit to appellant’s assignment of error. Therefore, we affirm the trial court’s judgment.

FACTS AND PROCEDURAL BACKGROUND

{¶2} On May 19, 2021, the agency filed a complaint that alleged the children, who had been born seven weeks earlier, were “neglected/dependent children.” The agency asked the court to place the children in its temporary custody and also asked the court to issue an ex parte temporary custody order. An affidavit attached to the complaint averred the following. On April 20, 2021, the agency received a referral regarding the children. The parents took the two infants, who had been prematurely born, to a pediatrician. The pediatrician advised the parents “to take the children immediately to the emergency room due to their dangerously low temperature.” Several hours later, the parents still had not taken the children to the emergency room. Instead, appellant had taken the children to a different doctor’s office.

{¶3} The agency caseworker contacted this doctor’s office and learned that “the children had been brought in around noon, and the children were treated and sent home with instructions on how to keep their body temperatures up.” The caseworker met with appellant, and appellant stated that “the children were now OK, and her instructions were to wake the children up every two hours to eat, keep them bundled and warm, and return to the doctor in two days.”

{¶4} On May 4, 2021, Ka.R.’s pediatrician examined him and found that the child had “a temperature of 81 and was showing signs of skin breakdown and redness on his bottom.” The child “began to ‘code’ at the office; he was given CPR and taken to the ER where he was intubated before being” life-flighted to Nationwide Children’s Hospital.

{¶5} The caseworker went to the family’s home to check on the other child, Ke.R.

The caseworker discovered that Ke.R. “was cold to the touch.” The putative father agreed to have the child taken to the emergency room. Ke.R. subsequently was life- flighted to Nationwide Children’s Hospital.

Scioto, 24CA4057 3

{¶6} A hospital psychologist evaluated the parents and reported that “they are at the 4th grade level.” The psychologist expressed concern “with the parents’ ability to provide the care that the children need.”

{¶7} The trial court subsequently placed the children in the agency’s temporary custody pending adjudication and disposition.

{¶8} On June 28, 2021, the court adjudicated the children “neglected/dependent”

children. The court later entered a dispositional order that placed the children in the agency’s temporary custody.

{¶9} On February 3, 2023, the agency filed a motion that asked the court to modify the disposition to permanent custody. The agency alleged that the children have been in its temporary custody for 12 or more months of a consecutive 22-month period and that placing the children in its permanent custody is in their best interest.

{¶10} On March 29, 2023, the court held a hearing to consider the agency’s permanent custody motion. Dr. Kerry Rosen, a pediatric cardiologist, testified as follows. On May 4, 2021, Ka.R., who had been diagnosed with a rhythm abnormality, arrived at Southern Ohio Medical Center Pediatrics for a scheduled routine visit. Upon examination, Dr. Rosen discovered that the child “was actually fairly near unresponsive,” was “very cold,” had an “abnormally low temperature,” and had a low heart rate. Thus, the routine office visit turned into an emergency visit, with the child ultimately being life-flighted to Nationwide Children’s Hospital.

{¶11} Dr. Rosen reported that he had “never seen a baby show up for a routine office visit in that sort of dangerous of [sic] situation.” He stated that it gave him and the medical team concerns for the child’s “long-term welfare.” Dr. Rosen indicated that

Scioto, 24CA4057 4

most parents “would have recognized the concerns, the grave concerns,” and would have sought immediate medical care rather than presenting the child for a routine office visit.

{¶12} In September 2022, Dr. Rosen wrote a letter to the agency “to share some of [the medical] team’s observations about [the] family showing up for visits and their . . . interactions and involvement with the visits.” He stated that appellant “had no eye contact or questions” and that she “was not very engaged within the appointment.” Additionally, appellant attended only about half of the child’s medical appointments. Dr. Rosen explained that he continues to treat Ka.R. and remains concerned about appellant’s lack of engagement.

{¶13} Dr. Rosen testified that Ka.R.’s twin, Ke.R., also was brought to the hospital in dire shape. He stated that both Ka.R. and Ke.R. had a serious infection that required life-supporting care. Dr. Rosen elaborated that the children “had acute, renal kidney failure” and required “a form of dialysis.”

{¶14} Brinley Curtis, a family support specialist with Help Me Grow, testified that she worked with appellant for approximately one year and last saw appellant in October 2022, during a supervised visit at the agency. Curtis explained that she worked with appellant to help her learn how “to interact positively with the children.” Curtis reported that appellant appeared “uncomfortable” playing with the children on the floor, and during every visit, she seemed “overwhelmed.” Curtis does not believe that appellant can manage caring for the two young children, plus a third child due to be born in July 2023.

Scioto, 24CA4057 5

{¶15} Caseworker Emma Liles1 testified as follows. The agency’s initial concerns regarding the family involved “the parents’ lack of understanding for caring for” the two prematurely born children. Additionally, appellant tested positive for marijuana when she delivered the children. The agency also had concerns that the home environment was unsanitary.

{¶16} The agency developed a case plan to help address these issues. The case plan required the parents to (1) expand “their knowledge for caring for infants,” (2) follow “doctors’ orders,” (3) take the doctors’ orders “seriously,” (4) learn “signs of medical illnesses,” (5) undergo psychological evaluations, and (6) maintain a clean home. The case plan also required the parents to (1) obtain a drug and alcohol assessment and follow any treatment recommendations and (2) submit to random drug screens. The children’s father “did not complete any services and didn’t express any interest in working a case plan.”

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