In re M.R. CA5

CourtCalifornia Court of Appeal
DecidedFebruary 26, 2021
DocketF080694
StatusUnpublished

This text of In re M.R. CA5 (In re M.R. CA5) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re M.R. CA5, (Cal. Ct. App. 2021).

Opinion

Filed 2/26/21 In re M.R. CA5

NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for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 This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.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

FIFTH APPELLATE DISTRICT

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

FRESNO COUNTY DEPARTMENT OF F080694 SOCIAL SERVICES, (Super. Ct. No. 19CEJ300085-1) Plaintiff and Appellant,

v. OPINION A.H. et al.,

Defendants and Respondents.

APPEAL from orders of the Superior Court of Fresno County. John F. Vogt, Judge. Daniel C. Cederborg, County Counsel, and Kevin A. Stimmel, Deputy County Counsel, for Plaintiff and Appellant. Melissa A. Chaitin, under appointment by the Court of Appeal, for Defendant and Respondent, A.H. Gino de Solenni, under appointment by the Court of Appeal, for Defendant and Respondent, M.R. -ooOoo- The Fresno County Department of Social Services (department) filed a juvenile dependency petition on behalf of then one-month-old M.R., who had suffered multiple fractures for which his parents, A.H. (mother) and M.R. (father) (collectively, the parents), had no explanation, alleging he came within the juvenile court’s jurisdiction under Welfare and Institutions Code1 section 300, subdivisions (a), (b), (e), and (i). The juvenile court found the subdivision (b) allegations true but found the department had not proven the section 300, subdivision (a), (e), or (i) allegations. Both parents were ordered to receive reunification services. The department appeals the juvenile court’s dispositional order, contending the court erred by finding that the section 300, subdivision (e) allegation had not been proven and, accordingly, that the section 361.5, subdivision (b)(5) bypass provision, which requires a finding the child came within the court’s jurisdiction under section 300, subdivision (e), did not apply. We affirm. FACTUAL AND PROCEDURAL BACKGROUND2 In February 2019, the parents took M.R. to his pediatrician because he was being fussy and not drinking as much as usual. M.R.’s pediatrician had M.R. transferred to the hospital. M.R. was diagnosed with bilateral fluid in his chest and was admitted to the hospital for one week. Approximately two to three weeks later, the parents took M.R. to the hospital again because he had exhibited similar symptoms. X-rays and a “CAT” scan revealed that M.R. had multiple rib fractures on both sides in various stages of healing and multiple leg fractures. The doctor who reviewed the X-rays observed the parents appeared surprised to find out about the fractures. He also observed that mother had been at the hospital all day and had been appropriate. The parents reported to hospital staff

1 All further undesignated statutory references are to the Welfare and Institutions Code. 2 For reasons unknown to us, the department’s jurisdiction/disposition report and an addendum report were not included in the record on appeal. On May 29, 2020, the department requested we take judicial notice of these reports. On June 10, 2020, this court deferred ruling on the department’s motion pending consideration of the appeal on its merits. The parents did not object to the court’s taking judicial notice of the documents. We hereby grant the department’s request.

2. they sometimes hold M.R. up by his armpits but otherwise had no explanation for how he sustained the injuries. Doctors at the hospital opined that M.R.’s injuries were nonaccidental unless a cause could be demonstrated by a major bone structural disease. A referral was made to the department, who in turn contacted the police department. The investigating social worker and the responding police officer interviewed the parents individually at the hospital. Each parent told the social worker and police officer they did not know what happened to M.R. and that they and M.R. are the only three people in their home, with the exception of a short period of time when the maternal grandmother visited to help with M.R. Mother worked full time, and father would watch M.R. while mother worked. M.R.’s parathyroid hormone (PTH) level was elevated at 90.7, with a normal range of 14-64, and his vitamin D level was 18, with insufficiency being defined as 30 or lower. It was reported by hospital staff M.R. possibly had rickets (softening or weakening of bones) or osteogenesis imperfecta (brittle bone disease). The department filed a first amended petition on behalf of M.R., alleging he came within the juvenile court’s jurisdiction under section 300, subdivisions (a) (serious physical harm), (b) (failure to protect), (e) (severe physical abuse on a child under five), and (i) (cruelty). The allegations under section 300, subdivision (b) alleged that M.R. had suffered serious physical harm due to the parents’ failure to provide adequate care, supervision, and protection for M.R. The allegations under section 300, subdivisions (a), (e), and (i) included allegations that both parents inflicted M.R.’s injuries. M.R. was ordered detained from the parents. Subsequently, one of M.R.’s lab results came back with an “unusual organism,” and he was transferred to the University of California San Francisco (UCSF) Benioff Children’s Hospital for further testing. Upon discharge from the hospital a few days later, M.R. was placed with his maternal great-grandmother. A follow-up appointment indicated most of M.R.’s fractures had healed.

3. In the department’s combined jurisdiction/disposition report, it was reported the parents had no criminal or prior child welfare history. The department recommended the allegations in the first amended petition be found true and that mother and father be denied reunification services pursuant to section 361.5, subdivision (b)(5) and (b)(6).3 The parents requested a contested hearing. Father’s statement of contested issues indicated his position was M.R.’s fractures were sustained due to a bone condition unknown to the parents at the time the fractures occurred. In mother’s statement of contested issues, she argued M.R.’s low vitamin D levels coupled with the stages of healing of the fractures, indicated the injuries appeared to be from a vitamin deficiency or genetic defect that had not yet been discovered. After multiple continuances in order to allow time for M.R.’s test results to be completed and because mother received new counsel, a combined jurisdiction/disposition hearing was held over three days, October 8 through 10, 2019. The department called Emily Spieren, M.D., UCSF neonatalist, who was certified as an expert in neonatology and pediatrics. Dr. Spieren was the attending neonatologist while M.R. was in the intensive care nursery at UCSF. Dr. Spieren testified M.R.’s leg fractures were “bucket handle” fractures commonly caused by tension along the long axis of the bone like pulling with force or when a child is shaken. In her opinion, M.R.’s injuries were caused by nonaccidental trauma. The mechanism for the types of injuries

3 Section 361.5, subdivision (b) provides in pertinent part that: “Reunification services need not be provided to a parent … when the court finds, by clear and convincing evidence[:] [¶] … [¶] “(5) That the child was brought within the jurisdiction of the court under subdivision (e) of Section 300 because of the conduct of that parent[; or] “(6) That the child has been adjudicated a dependent pursuant to any subdivision of Section 300 as a result of severe sexual abuse or the infliction of severe physical harm to the child … by a parent … and the court makes a factual finding that it would not benefit the child to pursue reunification services with the offending parent.” (§ 361.5, subd. (b)(5) & (b)(6).)

4. M.R.

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In re M.R. CA5, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-mr-ca5-calctapp-2021.