In re the Dependency of: D.R.

Court of Appeals of Washington·Decided September 27, 2022·No. 38235-4·Unpublished

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) UNPUBLISHED OPINION )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).

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.

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

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).

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.

On November 6, 2020, the Department filed dependency petitions against both parents seeking a determination of dependency as to D.R.A and D.R. In the petition, the Department alleged that the children could be found dependent under two of RCW 13.34.030(6)’s definitions: because the children were abused or neglected, and because the children had no parent, guardian, or custodian capable of adequately caring

In re Dependency of D.R.

for the child, such that the child was in circumstances constituting a danger of substantial damage to the child’s psychological or physical development.

On November 19, 2020, D.R.’s mother was interviewed by Spokane County Sheriff’s Detective Brad Humphrey and admitted to him that D.R.A.’s only treatment on the day of his injury was at home. She first told the detective that SHMC misunderstood what she had told them. After meeting with her attorney privately, however, she admitted to Detective Humphrey that she lied to SHMC about having sought medical care. She said that when she realized how bad the burns were, she was afraid that she would get in trouble.

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