In re Peter R.

8 A.D.3d 576, 779 N.Y.S.2d 137, 2004 N.Y. App. Div. LEXIS 8758
Appellate Division of the Supreme Court of the State of New York·Decided June 21, 2004·Published·Cited by 14 cases

Opinion

[577] In a child, protective proceeding pursuant to Family Court Act article 10, the petitioner appeals from an order of the Family Court, Queens County (Salinitro, J.), dated November 24, 2003, which, after a fact-finding hearing, dismissed the petition.

Ordered that the order is reversed, on the law and the facts, without costs or disbursements, the petition is reinstated, a finding is made that the respondents abused and/or neglected the child Peter R. and derivatively neglected the child Matthew R., and the matter is remitted to the Family Court, Queens County, for a dispositional hearing.

Family Court Act § 1046 (a) (ii) “provides that a prima facie case of child abuse or neglect may be established by evidence of (1) an injury to a child which would ordinarily not occur absent an act or omission of respondents, and (2) that respondents were the caretakers of the child at the time the injury occurred” (Matter of Philip M., 82 NY2d 238, 243 [1993]). Although the burden of proving child abuse or neglect always remains with the petitioner, once a prima facie case has been established, a presumption of parental responsibility arises, and the burden of going forward to rebut the presumption shifts to the respondents (see Matter of Philip M., supra at 244).

Here, the petitioner sustained its burden of establishing a prima facie case of abuse and/or neglect by presenting proof that Peter R. sustained a linear parietal skull fracture while in the care of the respondent parents. The evidence presented by the petitioner reveals that the mother contacted her family pediatrician on November 5, 2001, and told him that Peter, who was then 10 months old, had a small lump on his head. When the mother asked the pediatrician whether she could wait until Peter’s next scheduled appointment for the lump to be examined, he advised her to bring Peter in that evening so that he could determine what had happened, and how the child was doing. Although the mother did not follow this advice, both parents brought Peter to his pediatrician’s office three days later, reporting that the lump became bigger. By that point in time, the area of swelling on the infant’s head had grown to the size of about half a baseball, and the pediatrician instructed the parents to take him to the hospital for x-rays. When the pediatrician asked how Peter sustained his injury, the parents indicated that they didn’t know, that “it was a mystery.”

[578] At the hospital on November 9, 2001, the mother initially explained Peter’s injury by stating that about a week earlier, he had “rolled off” a couch, landing on his back on a carpeted floor. Later that day, the mother additionally claimed that on the morning of November 5, 2001, Peter was sitting on the floor in the family’s kitchenette when his three-year-old brother Matthew pushed him over. The left side of Peter’s head then struck the kitchenette floor, which was composed of linoleum-covered concrete. The petitioner’s expert witness, a pediatrician with experience and training in the area of child abuse who interviewed the mother at the hospital, concluded that neither of these explanations was plausible. According to the petitioner’s expert, it was highly improbable that a fall from a sofa to a carpeted floor would generate sufficient force to cause a skull fracture. She similarly stated that it was improbable that a three-year-old sibling pushing an infant over onto a linoleum-covered floor could generate sufficient force to fracture the infant’s skull. The petitioner’s expert also testified that many studies indicated that 80% of skull fractures in children under the age of 15 months were likely to have been inflicted rather than accidental.

In an effort to rebut the presumption of parental responsibility arising from the petitioner’s prima facie showing of abuse and/or neglect, the respondent parents presented the testimony of a neurosurgeon who was a family friend for many years. In the neurosurgeon’s opinion, the skull fracture was caused by the trauma generated when three-year-old Matthew “smacked” Peter’s head against the concrete floor of the kitchenette. In reaching this conclusion, the neurosurgeon relied upon the mother’s description of the incident to him, that Matthew was running when he grabbed Peter by the head and slammed him down. Although the neurosurgeon was also aware of the mother’s claim that Peter fell from a couch, he did not believe that such a fall could have caused the fracture because no significant force was involved. Both parents also testified at the hearing regarding the possible causes of the skull fracture and how they responded when they noticed the swelling on Peter’s head.

After the parties rested, the Family Court called a pediatric neurologist to testify as its own independent witness. The independent expert testified that the skull fracture could have been caused either by Peter’s alleged fall from the couch or by the kitchenette incident, and that there was no indication that the injury was the result of “anything other than accidental trauma.” In support of his conclusion, the independent expert cited the [579] lack of any other evidence that the R. children had been abused or neglected.

The Family Court found that the testimony of the respondents’ expert witness was insufficient to rebut the presumption of parental culpability for Peter’s injury, noting that his credibility was diminished by the fact that he was a family friend, and that he did not review pertinent medical records. Despite its conclusion that the respondents failed to rebut the petitioner’s prima face case, the Family Court dismissed the petition, giving great weight to the independent expert’s conclusion that the skull fracture had apparently been caused by accidental trauma. The petitioner appeals.

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In re Peter R., 8 A.D.3d 576, 779 N.Y.S.2d 137, 2004 N.Y. App. Div. LEXIS 8758 (N.Y. Ct. App. 2004).

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