In re K.L.

2021 Ohio 3080
Ohio Court of Appeals·Decided September 7, 2021·No. 2021-P-0022·Published·Cited by 7 cases

Opinion

[Cite as In re K.L., 2021-Ohio-3080.]

IN THE COURT OF APPEALS OF OHIO ELEVENTH APPELLATE DISTRICT PORTAGE COUNTY

IN THE MATTER OF: CASE NO. 2021-P-0022

K.L., DEPENDENT CHILD Civil Appeal from the Court of Common Pleas, Juvenile Division

Trial Court No. 2020 JCF 00647

OPINION

Decided: September 7, 2021 Judgment: Affirmed

Judith M. Kowalski, 333 Babbitt Road, Suite 323, Euclid, OH 44123 (For Appellant).

Gregory T. Barton, Assistant Prosecutor, 241 South Chestnut Street, Ravenna, OH 44266 (For Appellee).

Brian L. Coffman, 209 South Main Street, Suite 203, Akron, OH 44308 (Guardian ad Litem).

CYNTHIA WESTCOTT RICE, J.

{¶1} Appellant, N.L. (“mother”), appeals from the judgment of the Portage County

Court of Common Pleas, Juvenile Division, granting permanent custody of her daughter,

K.L., to appellee, the Portage County Department of Job and Family Services (“JFS”).

We affirm the judgment of the trial court.

{¶2} K.L., D.O.B. February 5, 2018, was born with a complex heart defect.

According to Dr. Gerard Boyle, K.L.’s pediatric cardiologist, the child was born with a defect referred to as pulmonary atresia; a condition which, in layman’s terms, indicates

she had only half a heart such that the “blue blood” coming into her heart was ejected

backwards into the coronary arteries. The condition is unsustainable for a long period of

time and required K.L. to have a heart transplant on August 15, 2018. As a result, K.L. is

on highly potent immunosuppressant drugs that she must take twice a day for the rest of

her life. These drugs assist suppressing the child’s immune system in order to avoid

rejecting the transplant. Dr. Boyle stated that while mother and her husband, C.L.

(“father”) were very attentive to K.L. and her medical issues, he developed concerns

regarding K.L.’s post-transplant weight loss and her parents’ hygiene. According to the

doctor, transplant patients required a pristine living environment to prevent infection. Due

to these concerns, JFS was contacted.

{¶3} K.L., along with her brother, L.R.T. were removed from the family home on

January 4, 2019.1 By way of a March 5, 2019 judgment, the children were adjudicated

dependent and, several weeks later, temporary custody was awarded to JFS. On

October 29, 2020, JFS moved for permanent custody of K.L. The matter proceeded to

final hearing on February 3, 2021. At the hearing, the following evidence was adduced:

{¶4} In December 2018, K.L. was diagnosed with a failure to thrive; she was

again diagnosed with failure to thrive in January 2019. JFS also had concerns about

K.L.’s G-Tube (“feeding tube”), which had fallen out and was not replaced. Jessica

Plymale, a JFS caseworker, testified an adjudication hearing was held and on February

21, 2019, K.L. was adjudicated dependent. The case plan required mother and father to

1. According to mother, L.R.T. also has multiple medical issues, including hydrocephalous, ADHD, ODD, OCD, post-traumatic stress disorder, kidney problems and acid reflux; according to mother, the child takes six medications a day. On June 24, 2019, L.R.T. was returned to mother’s legal custody with an order of protective supervision in favor of JFS. 2

Case No. 2021-P-0022 keep a clean home; ensure proper administration of medications; develop an

understanding of and effectively utilize feeding equipment; as well as address parenting

and mental health concerns (mother admittedly suffered from depression).

{¶5} The family was referred to the Bair Foundation, an organization designed

to help families in various states of need, for guidance and assistance in keeping the

home clean and addressing parenting matters. According to Ms. Plymale, the parents

completed parenting and in-home therapy with Bair.

{¶6} Mother and father began receiving unsupervised visitation with K.L. in

January 2020. In April, they started week-long visits, and, in May, the visits progressed

to two weeks at a time. Following a visit with the parents in May 2020, K.L.’s foster mother

contacted Miranda Lewis, a JFS caseworker assigned to the case from April 2019 to

October 2020. According to Ms. Lewis, there were concerns that K.L.’s medication had

expired, and her feeding tube had not been properly cleaned. Both parents admitted

they failed to check and/or recognize that the medication had expired. When Ms. Lewis

left the case, in October 2020, she still had concerns regarding the cleanliness of the

home and the parents’ ability to properly administer medication. Ms. Lewis recognized

that mother was trained to medically administer medication; still, however, she was

unaware of any formal certification mother received regarding administering medication.

{¶7} Ms. Plymale was assigned as caseworker in October 2020. Ms. Plymale

noted that K.L. has a bond with her parents, brother, and her foster family. Ms. Plymale

testified that the parents attended nearly all of their visits with K.L., only absent when

someone was sick. Ms. Plymale visited the parents’ home in November 2020 and took

photographs during the visit. She found the home in disarray, with trash and old food in

Case No. 2021-P-0022 various places throughout the residence. She advised mother and father of her concerns

regarding the cleanliness of the home. Ms. Plymale also advised the parents they could

contact the Bair Foundation to address this issue and perhaps establish a cleaning

schedule. Two weeks later, on November 24, Ms. Plymale revisited the home, but found

the home in substantially the same condition. She noted, however, that some progress

had occurred in that a large trash can had been removed from the living room and mother

and father purchased a Roomba.

{¶8} On December 15, 2020, Ms. Plymale visited the home to evaluate the

parents’ progress. She was informed that L.R.T., K.L.’s brother, was ill, so the parties

rescheduled a virtual visit for December 31, 2020. Ms. Plymale sent mother the link for

the visit, but mother did not appear. Later, on January 13, 2021 and January 22, 2021,

Ms. Plymale visited the home. She heard L.R.T. inside the home and, on each occasion,

the parents’ vehicles were in the driveway. No one, however, answered the door.

{¶9} Notwithstanding the foregoing, Ms. Plymale conceded the parents

completed parenting classes and mother continues to engage in individual counseling;

further, the parents’ case record indicated the parents had been trained on administering

K.L.’s feeding tube and medication.

{¶10} Father acknowledged the case plan goals and further recognized the

importance of cleanliness in the home. He observed he and mother had been working

on improving the home for K.L.’s return. He additionally stated neither he nor mother

would ever deny the caseworkers access to their home. Also, while he conceded he had

not realized K.L.’s medication had expired in May 2020, he asserted that neither he nor

mother were made responsible for filling the prescriptions; indeed, he stated that, even if

Case No. 2021-P-0022 he and mother recognized the medication had been expired, they were unable order new

or additional medication. Instead, he claimed the foster mother, a registered nurse, was

obligated to obtain the medications.

{¶11} Mother testified she was twice medically certified to administer K.L.’s

medication: once in October 2018 and then in September 2020. She claimed the

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In re K.L., 2021 Ohio 3080 (Ohio Ct. App. 2021).

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