In the Int. of: A.B., Appeal of: M.A.

CourtSuperior Court of Pennsylvania
DecidedSeptember 20, 2021
Docket407 EDA 2021
StatusUnpublished

This text of In the Int. of: A.B., Appeal of: M.A. (In the Int. of: A.B., Appeal of: M.A.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In the Int. of: A.B., Appeal of: M.A., (Pa. Ct. App. 2021).

Opinion

J-S21001-21

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37

IN THE INTEREST OF: A.B., A : IN THE SUPERIOR COURT OF MINOR : PENNSYLVANIA : : APPEAL OF: M.A., FATHER : : : : : No. 407 EDA 2021

Appeal from the Order Entered February 9, 2021 In the Court of Common Pleas of Philadelphia County Juvenile Division at No(s): CP-51-DP-0000723-2020

BEFORE: BOWES, J., OLSON, J., and COLINS, J.*

MEMORANDUM BY BOWES, J.: FILED SEPTEMBER 20, 2021

M.A. (“Father”) appeals from the February 9, 2021 order of adjudication

and disposition, wherein the juvenile court adjudicated A.B. dependent and

entered a finding of child abuse against Father as a perpetrator by omission.

We affirm.

A.B. was born to Father and S.G., (“Mother”) in April 2019. The couple

resides in separate homes. Father lives in Darby, Pennsylvania. Since June

2020, Mother exercised physical custody of A.B. in Philadelphia. Prior to that

date, A.B. lived with his maternal aunt, who also cared for the child’s older

half-sibling under an informal agreement with Mother. Father visited A.B.

once per week.

____________________________________________

* Retired Senior Judge assigned to the Superior Court. J-S21001-21

Prior to the incident that precipitated this appeal, the Philadelphia

Department of Human Services (“DHS”) had been involved with the family

periodically since September 2019, due to Mother’s homelessness and mental

health problems. DHS either visited Mother or provided services to the family

through a community umbrella agency (“CUA”) on three occasions. The last

contact occurred in January 2020.

On June 12, 2020, at approximately 4:00 a.m., Mother and Father

transported then-thirteen-month-old A.B. to Children’s Hospital of

Philadelphia (“CHOP”) with second and third-degree burns covering

approximately twenty percent of his body: specifically, his feet, genitalia,

buttocks, lower back, and back of his legs. These injuries, which were

consistent with forced immersion into scolding liquid or boiling water, were so

severe that A.B. was transferred to the children’s burn center at St.

Christopher’s Hospital in Philadelphia (“St. Christopher’s”), which ultimately

classified the incident as “a near fatality.” N.T. 2/9/21 at 55. Norrell Atkinson,

M.D., who directs St. Christopher’s child protection program, testified at the

ensuing adjudication hearing that A.B. was in significant pain that required

several doses of morphine to manage. Id. at 33. Dr. Atkinson also relayed

that the child was subsequently hospitalized in the intensive care unit for over

one month and endured “multiple debridements and skin grafts for the burns

at that time.” Id.

-2- J-S21001-21

Further medical examination by the pediatricians in St. Christopher’s

child protection program revealed multiple fractures in varying stages of

healing, bruises on his chest and face, and two hematoma, i.e., collections of

blood, in his liver. Specifically, Dr. Atkinson testified at the adjudication

proceeding that a skeletal survey performed on June 12, 2020, revealed a

newer fracture to the child’s left shoulder and healing fractures to A.B.’s right

posterior rib cage and right hand. Dr. Atkinson noted that “healing of fractures

starts around 10 to 14 days after the injury is sustained” and that the nature

and type of these injuries implied that they were caused by the application of

external force. Id. at 27-28, 30, 40. She opined that A.B.’s hand injury

preceded his rib injuries, which fell within the ten-to-fourteen-day time frame.

As to the hematomas, which Dr. Atkinson believed were caused by blunt

force trauma to the child’s abdomen, no precise time frame could be provided.

Id. at 30. However, Dr. Atkinson believed the injuries were recently

sustained. Specifically, she explained that A.B.’s elevated liver enzymes and

“very low blood count” were reflective of a newer injury Id. at 31.

In sum, Dr. Atkinson offered her expert opinion that these injuries were

tantamount to child abuse. Id. at 34. She explained, “These are inflicted

injuries. This is child physical abuse—severe abuse on . . . more than one

occasion.” Id. at 34-35; see also id. at 42-43 (opining these types of

physical injuries were unlikely to be associated with household fall).

-3- J-S21001-21

On the same date that Mother and Father brought A.B. to the hospital

with the severe burns, DHS initiated a Child Protective Services (“CPS”)

investigation into the incident. As part of that inquiry, DHS interviewed

Mother, who stated that the burns were accidental and occurred when A.B.

overturned a bucket of boiling water on himself. Mother later amended her

account of the incident to state that A.B. turned on the hot water spigot when

she left him unattended in the bathtub. Id. at 53. She continued that, after

calling Father and waiting for him to arrive at her house, she and Father

transported A.B. to the hospital.1 Id. at 54.

DHS spoke to Father on July 13, 2020, the day after he brought his son

to the hospital. Id. at 62. During that interview, Father stated that he was

interested in taking the child home upon his discharge from the hospital, a

prospect that DHS rejected based upon its concerns about A.B.’s injuries and

his need for specialized care. Id. at 63. Father also shared his concern about

Mother’s discipline of A.B., her deficient parenting skills, and her inability to

care for A.B. and his sibling. Id. Father informed the investigator that, while

A.B. resided with Mother, Father treated an incident of severe diaper rash with

soap and water, and that on other two occasions, he discovered A.B. locked

1 On June 19, 2020, the police charged Mother with aggravated assault. endangering the welfare of children, simple assault, and recklessly endangering another person. While Mother was imprisoned as of the date of the adjudication hearing, it is unclear from the certified record whether she was convicted of any of the above-referenced offenses.

-4- J-S21001-21

in a closet and a room, respectively, when he arrived at the home for a custody

transfer. Id. at 64. He also noticed bruising on the child’s body and noted

that A.B. was a clumsy child. Id. Father neglected to inform the police or

seek medical care for the child based on any of these incidents. Id. at 65-66.

Indeed, he left the child in Mother’s care notwithstanding his concerns. Id at

67.

The agency attempted a follow-up interview with Father but he advised

DHS that he did not want to participate in the investigation any further. Id.

While Father continued to believe that Mother needed help with her parenting

skills, he wanted DHS to drop the child abuse investigation. Id. Ultimately,

the CPS report was “indicated” both as to Mother as the perpetrator of abuse

and as to Father for his failure to act. Id. at 67-68.

DHS obtained protective custody of A.B. while he was in the hospital

and placed him in foster care through Bethany Christian Services. The older

sibling remained in the care of the maternal grandmother. Father maintained

remote, supervised visits. On July 28, 2020, DHS filed a dependency petition.

In September and November 2020, the juvenile court entered orders

continuing the adjudication proceedings.

During the ensuing evidentiary hearing on February 9, 2021, DHS

presented Dr.

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