In re the Dependency of: D.R.

CourtCourt of Appeals of Washington
DecidedSeptember 27, 2022
Docket38235-4
StatusUnpublished

This text of In re the Dependency of: D.R. (In re the Dependency of: D.R.) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re the Dependency of: D.R., (Wash. Ct. App. 2022).

Opinion

FILED SEPTEMBER 27, 2022 In the Office of the Clerk of Court WA State Court of Appeals, Division III

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON DIVISION THREE

In the Matter of the Dependency of ) ) No. 38235-4-III D.R. ) ) ) UNPUBLISHED OPINION )

SIDDOWAY, C.J. — A single issue in this appeal of a dependency finding is

dispositive: where the trial court’s factual findings do not support its conclusion of law

that a child is dependent under RCW 13.34.030(6)(b) (abuse or neglect by a person

legally responsible for her care), may we remand for the court to consider whether she is

dependent under RCW 13.34.030(6)(c) (no parent, guardian, or custodian capable of

adequately caring for her)? In this appeal by D.R.’s1 mother of an order finding D.R.

dependent, the suggestion of the remedy of remand is made by the Department of

Children, Youth, and Families (Department), which did not file a cross appeal. Since the

remedy of remand is not demanded by the necessities of the case, there is no basis under

1 To protect their privacy, we use initials to refer to the minor children. Gen. Orders of Division III, In re Changes to Case Title (Wash. Ct. App. Aug. 22, 2018). No. 38235-4-III In re Dependency of D.R.

our rules for ordering it. The appropriate remedy is that requested by D.R.’s mother: we

reverse the order finding D.R. to be a dependent child under RCW 13.34.030(6)(b).

FACTS AND PROCEDURAL BACKGROUND

The following facts are taken almost entirely from findings of fact by the trial

court to which no error has been assigned, and which are therefore verities on appeal.

The appellant is the mother of D.R., who is now approaching three years old.

D.R.’s father is the single parent to a son, D.R.A., who is now almost six years old.2 As

of October 2020, when an injury to D.R.A. occurred that led to this proceeding, D.R.’s

mother and father were living together with the two children. D.R.’s mother was the

primary caregiver during the day for both D.R. and D.R.A. while the father worked.

On October 30, 2020, D.R.A., who was then three years old, suffered second and

third-degree burns on the back of both hands and on the right wrist and forearm, while in

the sole care of D.R.’s mother. The mother had been preparing to give both children a

bath and left D.R.A. in the bathroom while she stepped into the next room to remove

then-10-month-old D.R.’s diaper. The mother claims that in her momentary absence

D.R.A. fell forward into a tub filled with water that was unusually hot, the result of recent

installation of a new hot water tank. Despite telling the children’s father that she took

2 D.R.A.’s biological mother passed away in early 2018.

2 No. 38235-4-III In re Dependency of D.R.

D.R.A. to the doctor, D.R.’s mother did not seek medical treatment on that day and

instead treated D.R.A. herself with burn spray, gauze bandages and Tylenol.

Later that day, a friend of D.R.’s mother visited the family. She observed D.R.A.

with gloves on his hands and playing normally. D.R.’s mother told her friend about the

burn and said she was worried about telling the children’s father. The friend observed

one of D.R.A.’s hands and would later testify that the injury was not that bad.

The children’s father became aware of the injury but never observed it because

D.R.’s mother took care of bandaging the wounds. She told the father she was following

the doctor’s medical advice, and that D.R.A. had a follow-up appointment on Monday.

D.R.’s mother took D.R.A. to the CHAS medical clinic on November 2, 2020. On

examining the bandages, a doctor immediately sent D.R.A. to the emergency room at

Sacred Heart Children’s Hospital (SHMC).

Dr. Barger-Kamate, a board-certified pediatric physician with training and

experience in child abuse, treated D.R.A. at SHMC. Dr. Barger-Kamate was alarmed at

the depth of the burns and their condition. The burns were second-degree, or through the

second layer of skin, and third-degree, all the way through the skin. They were so deep

that Dr. Barger-Kamate was concerned about the risk of infection, the possible need for

skin grafting, and the potential loss of mobility in the joints, particularly in the right hand

due to constrictions. On the left hand, the skin was granular and sloughing off indicating

a delay in treatment. The condition of the right hand was the most alarming due to

3 No. 38235-4-III In re Dependency of D.R.

blackened tissue on the back of the hand going all the way up the arm, indicating that

much of the tissue was dead.

D.R.’s mother told hospital staff that D.R.A. had fallen into the bathtub. She also

told them she sought care from an urgent care center in the Spokane valley and that they

told her to treat D.R.A. at home with bandages, burn spray, and Tylenol. She told them

she had a follow-up appointment in a week. She was unable to provide the name of the

urgent care center.

In Dr. Barger-Kamate’s opinion, the burn pattern on D.R.A.’s hands was more

consistent with water flowing over the hands. There were sharp demarcation lines

showing where the water went over the hands and arm. In an accidental burn people will

instinctively pull their hands out and there will usually be splash or drip marks. There

were no splash or drip marks on D.R.A. In addition, there were no injuries to D.R.A.’s

fingertips or palms. Dr. Barger-Kamate suspected that his hands had been purposefully

burned by being held under water.

Dr. Barger-Kamate testified that given the depth of the burns, large blistering

would have occurred within a few hours and it would have been evident to a reasonable

parent that D.R.A.’s burns needed medical treatment within at least 24 hours of the

injury. The burns would have been painful. Due to the burns’ severity, Dr. Barger-

Kamate sent D.R.A. to Seattle to be treated at Harborview Medical Center (Harborview).

4 No. 38235-4-III In re Dependency of D.R.

She made a referral to the Safe Child and Adolescent Network team in Seattle to

investigate whether the injury was nonaccidental.

At Harborview, D.R.’s mother again reported to treating providers that D.R.A. had

fallen into a bathtub. She again claimed to have taken him to an urgent care center on the

day of the injury and to receiving a recommendation of home care. Providers at

Harborview questioned D.R.’s mother about which urgent care center she had visited,

and neither the information she provided nor their own calls to facilities substantiated her

report. When Harborview physician Dr. Katie Johnson reviewed pictures of D.R.A.’s

hands and examined him, she, like Dr. Barger-Kamate, concluded that the burn patterns

were not consistent with D.R.’s mother’s explanation. Dr. Johnson concluded they were

consistent, instead, with water flowing over D.R.A.’s hands for an estimated 6 to 21

seconds. She requested that an in-home burn investigation be conducted. Investigation

by the Spokane County Sheriff’s forensic unit determined that the family’s new hot water

tank was set at an unsafe temperature level.

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Related

State v. Sims
256 P.3d 285 (Washington Supreme Court, 2011)
State v. Sims
171 Wash. 2d 436 (Washington Supreme Court, 2011)
In re the Dependency of H.S.
356 P.3d 202 (Court of Appeals of Washington, 2015)

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