In the Interest of: A.A. Appeal of: K.A.

Superior Court of Pennsylvania·Decided December 5, 2024·No. 1202 EDA 2024·Unpublished

Opinion

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37

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

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APPEAL OF: K.A., FATHER :

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: No. 1202 EDA 2024

Appeal from the Order Entered April 1, 2024 In the Court of Common Pleas of Philadelphia County Family Court at No(s): CP-51-DP-0000310-2023

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

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APPEAL OF: A.S., MOTHER :

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: No. 1182 EDA 2024

Appeal from the Order Entered April 1, 2024 In the Court of Common Pleas of Philadelphia County Juvenile Division at No(s): CP-51-DP-0000310-2023, CP-51-DP-0000310-2023, CP-51-DP-0000310-2023

BEFORE: KUNSELMAN, J., NICHOLS, J., and BECK, J. MEMORANDUM BY KUNSELMAN, J.: FILED DECEMBER 05, 2024 In these consolidated matters, K.A. (Father) and A.S. (Mother) appeal the orders entered by the Juvenile Division of the Philadelphia County Court of Common Pleas, which determined: 1) that they were perpetrators of child abuse under the Child Protective Services Law (CPSL); 2) that their 15-month-

old daughter A.A. (the Child) was dependent under the Juvenile Act and warranted removal; and 3) that there were “aggravated circumstances” associated with the case. See 23 Pa.C.S.A. §§ 6302; 6303(b.1); see also 42 Pa.C.S.A. § 6302. After careful review, we affirm.

The record discloses the following factual and procedural history. The Philadelphia Department of Human Services (DHS) became aware of the family after receiving a child protective services report in March 2023. At that time, the Child was two months old. The report alleged that Mother and Father took the Child to Children’s Hospital of Philadelphia after the Child had decreased movement in her left arm. An examination revealed a fracture in her left humerus (upper arm bone), a bruised upper labial frenulum (the connective tissue between the gums and the lip), multiple healing rib fractures (anterior and posterior), and bilateral tibia fractures (leg bone). There were over twenty fractures. The reporter was concerned that the injuries were the result of non-accidental trauma, since there was no history of trauma that could provide a plausible explanation of the injuries.

A DHS investigator interviewed the parents together. Mother said that a week earlier she had noticed “some blood that came out” after she burped the Child but that there were no impact falls or other traumatic events. Father said the Child’s arm got caught when he attempted to swaddle her, and when he unwrapped her, the left arm “appeared to be abnormal,” at which point they went to the hospital. As to the rib and leg fractures, Father suggested that he might have swaddled her too firmly or held the child too tightly. Also

as to the leg fractures, Father hypothesized that the injuries could have occurred after he did “bicycles” with the Child’s legs too aggressively. The parents reported that they were the sole caregivers, but that Paternal Grandfather also lived in the home. The DHS investigator spoke with a member of the hospital’s protective service team, Dr. Zachary Miller, who believed that the injuries were caused by force, were inconsistent with accidental injuries, and could not have been self-inflicted. Further testing failed to show that the Child had poor bone health or a predisposition to fractures.

DHS obtained an order of protective custody, and the juvenile court placed the Child in the home of Paternal Aunt. In April 2023, DHS initiated this action. They requested that the court make the following determinations: 1) that the parents were perpetrators of child abuse under the CPSL; 2) that the Child was dependent under the Juvenile Act; and 3) that aggravated circumstances were present. The juvenile court conducted proceedings over the course of three dates: January 29; March 22; and April 1, 2024.

As a witness for DHS, Dr. Miller testified that, in his opinion, the Child was a victim of abuse. Mother did not present evidence, but Father called Dr. David Vu, also an expert in pediatrics (specifically, pediatric infectious diseases) to refute Dr. Miller’s findings. Dr. Vu explained that Mother had

been diagnosed with “a communicable disease”1 while 30 weeks pregnant with the Child. He testified that, although the Child had been treated for the communicable disease, it was “less likely” that the Child contracted the disease, but if she had contracted the disease, it was “less likely” she would need further treatment.2 Still, Dr. Vu said that the communicable disease could affect multiple organ systems, as well as bone health. It was Dr. Vu’s opinion that, the Child had a predisposition to fractures given the sheer number of them.

Ultimately, the juvenile court concluded that DHS met its burden the parents were perpetrators of child abuse, and that the Child was dependent. Moreover, the juvenile court determined that “aggravated circumstances” existed. Mother and Father appealed. We address the appeals consecutively, beginning with Father. He presents five issues for our review, which we reorder for ease of disposition:

1. Did the juvenile court err by forbidding witnesses and counsel from naming the communicable disease at issue?

2. Did the juvenile court err by finding Father to be a perpetrator of child abuse?

1 The Child Advocate presented a motion seeking to restrict that parties from

naming the communicable disease on the record, for the sake of the Child’s privacy. The court granted the Child Advocate’s motion over Father’s objection. Father appealed that ruling.

2 Although the juvenile court qualified Dr. Vu as an expert in pediatric infectious diseases, the court determined he was not an expert in the impact of the communicable disease vis-à-vis its impact on bone health.

3. Did the juvenile court err by adjudicating the Child dependent?

4. Did the juvenile court err in finding that aggravated circumstances exist?

5. Did the juvenile court err as a matter of law and abuse its discretion by removing the Child from her home?

Father’s Brief at 4 (style adjusted).

In his first issue, Father argues the juvenile court erred when it granted the Child Advocate’s motion to preclude the parties from mentioning the name of the communicable disease that could explain the Child’s injuries. To be clear, the specific communicable disease in question was not a mystery. Everyone – the court, the witnesses, the parties, and their counsel – understood which communicable disease they were talking about. Evidentiary rulings are within the sound discretion of the court, which, in this case, granted the Child Advocate’s motion to protect the privacy of the Child, even though the juvenile record would already be sealed.

On appeal, Father states that the communicable disease was central to his case. Indeed, it was. As we discuss below, Father argues that because the Child could have contracted the communicable disease in utero, a subsequent infection could have predisposed the Child to bone fractures; and if the Child were predisposed to bone fractures, then the Child’s injuries were not the result of abuse. Father presented the testimony of an expert, Dr. Vu, to support his theory of the case. Because everyone knew the disease in question, however, Father has not persuaded us that the court’s prohibition

on discussing the name on the record was prejudicial to his case. Father’s first issue merits no relief.

We turn now to the crux of Father’s appeal – namely, whether the juvenile court erred when it determined he was a perpetrator of child abuse, as defined in the CPSL. We note that questions regarding the application of a statute are questions of law, for which our standard of review is de novo and our scope of review is plenary. See Interest of M.M., 302 A.3d 189, 196 (Pa. Super. 2023) (citing Interest of D.R., 232 A.3d 547, 554-55 (Pa. 2020)) (further citations omitted).

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In the Interest of: A.A. Appeal of: K.A., (Pa. Ct. App. 2024).

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