In the Int. of: E.R., Appeal of: T.D.

Superior Court of Pennsylvania·Decided August 16, 2021·No. 2324 EDA 2020·Unpublished

Opinion

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37

IN THE INTEREST OF: E.R., A MINOR : IN THE SUPERIOR COURT OF : PENNSYLVANIA :

APPEAL OF: T.D., MOTHER :

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: No. 2324 EDA 2020

Appeal from the Order Entered November 16, 2020 In the Court of Common Pleas of Philadelphia County Juvenile Division at No(s): CP-51-DP-0000926-2020

BEFORE: PANELLA, P.J., OLSON, J., and COLINS, J.* MEMORANDUM BY PANELLA, P.J.: FILED AUGUST 16, 2021 T.D. (“Mother”) appeals from the order entered on November 16, 2020, that adjudicated her son, E.R. (“Child”), dependent under the Juvenile Act,1 based on Mother’s present inability to adequately care for Child. Additionally, as part of the disposition, the juvenile court ordered that it was in Child’s best interest to be removed from Mother’s home, and legal custody to continue with the Philadelphia Department of Human Services (“DHS”) as well as placement to remain in kinship care. On appeal, Mother contends the court erred in finding that Child met the definition of dependent child pursuant to 42 Pa.C.S.A. § 6302 and in determining that Child should be removed from

* Retired Senior Judge assigned to the Superior Court.

1 See 42 Pa.C.S.A. § 6301, et seq.

Mother’s care where there was no showing of clear necessity to remove Child. After careful review, we affirm.

The record reveals that Child is approximately one year old, born in August 2020. DHS had previous contact with Mother when they became involved with her other child, L.D. (“Half-Sister”),2 beginning on May 17, 2020. At the time, Mother was 25 weeks pregnant with Child and Half-Sister was two years old. See N.T., 11/16/2020, at 22. On that date, at around 10:00 p.m., Mother took Half-Sister to the emergency room at Saint Christopher’s Hospital for Children in Philadelphia, Pennsylvania with concerns for multiple injuries on the child’s face. See id., at 21. Based on the child’s injuries, Dr. Norell Atkinson, M.D., a child abuse pediatrician, was asked to evaluate Half- Sister. Id.

Mother reported to Dr. Atkinson that she left Half-Sister in the care of Child’s father, J.E. (“Father”), and one of his friends, J.A. (“Father’s Friend”), for approximately five hours from 10:00 a.m. to 3 p.m. Mother shared the reason she left was because she was pregnant and had been vomiting blood. See id., at 22. She called for an ambulance to take her to Temple Hospital. Id., at 45. She expressed that Father “was not happy about having to look after” Half-Sister. Id., at 22-23.

2 Half-Sister shares the same biological mother as Child, but they have different fathers.

When Mother returned, she found the house was a mess and Father appeared to be high. See N.T., 11/16/2020, at 23. She immediately went upstairs to check on Half-Sister, who was lying in a wet puddle and her face was very red and swollen. See id. Mother asked Father what happened to Half-Sister; he denied that anything had occurred. See id.

Mother’s mother suggested that it might be an allergic reaction and advised Mother to give Half-Sister Benadryl. See id. Mother gave Half-Sister the medication and allowed her to sleep for several hours. However, Half- Sister showed no significant change in the amount of swelling. See id. Mother also noticed there were now black-and-blue marks underneath the red areas, and Half-Sister had a busted lip. See id., at 24. Moreover, there were blood stains on the child’s mattress. See id. Mother again asked Father what happened, but he again denied any knowledge. Mother said they continued to fight but “due to a prior history of violence,” she decided to take Half-Sister to the hospital. Id.

Dr. Atkinson then conducted a physical examination of Half-Sister. He observed that the child “still had some redness and swelling to her face” and she had “areas of bruising as well as petechiae bruises, which are sort of like pinpoint areas of bruising, to the face.” Id. The examination indicated Half- Sister also had petechiae bruises to her neck and chest area, and areas of swelling to the front of her scalp. See id., at 24-25.

Dr. Atkinson determined “the presence of the petechiae bruising that was on her chest, her face and her neck would not be something that a child of this age would be able to sustain accidentally, and it was concerning for a pattern of injury that you can see in the setting of kind of forceful compression of the … chest or neck area.” Id., at 25. The doctor also noted the compression injury indicated the child suffered from some level of strangulation or her airway was occluded. See id. Dr. Atkinson diagnosed Half-Sister’s injuries as the result of “child physical abuse.” Id.

DHS was immediately notified of the matter and assigned the Child Protective Services (“CPS”) report for Half-Sister to Stephanie English, an DHS investigative social worker, on May 18th. The report identified Half-Sister as the victim and Father as the alleged perpetrator. In addition to setting forth the allegations describing the child’s injuries, the report indicated there was a concern because Father had a history of substance abuse. See id., at 39-41.

English went to the hospital and spoke with both Mother and Father.

Mother disclosed the reason for her own hospital admission was that she and Father were engaged in a heated argument that included Mother complaining about Father’s drug use and “that he needed to step his game up[.]” Id., at 42. She indicated Father choked her, and while she was sitting on the bed, Father hit her with a pillow and used such force that she was knocked off the bed into the corner of the room. See id., at 42-43. Half-Sister was sitting on the bed screaming during the altercation. When English asked how Mother got

Father to calm down, she said that she threw a chair at him, but he also ran into a wall and knocked himself out. See id., at 44. Mother stated that the next morning, she woke up with stomach pains and started to throw up. See id. She then decided to call the ambulance.

Mother acknowledged that the couple had a history of domestic violence.

See id., at 45. Furthermore, Mother admitted she had a history of being diagnosed with post-traumatic stress disorder (“PTSD”), depression, and an anxiety disorder. See id., at 46. She stated she had not been in treatment since June 2019, and her last prescribed medication was Celexa which she last took in May 2019. See id. She did not admit to having a history of drug use. See id., at 45.

During English’s conversation with Father, he confirmed that he was home when Mother went to the hospital and stated that he did not know what happened to Half-Sister, but he denied harming Half-Sister. See id., at 49. He did not say that he left the child with anyone else while she was in his care. See id. Father did not inform English that he had a history of mental health issues. See id., at 49-50. Based on the evidence and conversations with the parents, English determined the report to be “indicated” with Father being perpetrator. Id., at 50.3

3 On cross-examination, English acknowledged that prior to this incident, there

were no instances of abuse or neglect while Half-Sister was in Father’s care. See id., at 52.

On May 19th, as Half-Sister was ready for discharge, DHS obtained an order of protective custody (“OPC”) and placed her in a confidential setting. One day later, at the shelter care hearing, the court removed the OPC and ordered temporary physical and legal custody to DHS. Half-Sister was placed with her maternal great aunt though the Turning Points Agency (“TPA”). See id., at 74.

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In the Int. of: E.R., Appeal of: T.D., (Pa. Ct. App. 2021).

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