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

Superior Court of Pennsylvania·Decided September 20, 2021·No. 407 EDA 2021·Unpublished

Opinion

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37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

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.

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).

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.

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. Atkinson’s expert testimony and the lay testimony of Nikkia Plunkett and Glenda Rivera, the DHS investigators who interviewed Mother and Father, respectively. In addition to the medical testimony, Dr. Atkinson

revealed that she spoke with Father at the hospital and Father expressed concern that Mother may have caused the injuries and noted that Mother previously hit the young child as a form of discipline. N.T., 2/9/21, at 23.

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

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