IN THE COURT OF APPEALS OF IOWA
No. 22-1034 Filed September 21, 2022
IN THE INTEREST OF A.C., Minor Child,
J.C., Father, Appellant. ________________________________________________________________
Appeal from the Iowa District Court for Polk County, Brent Pattison, District
Associate Judge.
A father appeals the termination of his parental rights to his five-year-old
daughter. AFFIRMED.
Alexandra M. Nelissen of Advocate Law, PLCC, Clive, for appellant father.
Thomas J. Miller, Attorney General, and Ellen Ramsey-Kacena, Assistant
Attorney General, for appellee State.
Todd E. Babich of Babich Goldman, P.C., Des Moines, for appellee mother.
Richelle Mahaffey, Des Moines, attorney and guardian ad litem for minor
child.
Considered by Bower, C.J., and Tabor and Chicchelly, JJ. 2
TABOR, Judge.
A father, Joshua, appeals an order terminating his parental rights.1 The
termination followed a founded report that he sexually abused his five-year-old
daughter, A.C. Joshua contends that the State failed to prove a statutory ground,
it is not in A.C.’s best interests to terminate his rights, and the juvenile court should
have relied on permissive factors to avoid termination.
After our independent review, we reach the same determination as the
juvenile court.2 Because Joshua did not embrace services to address the
circumstances leading to A.C.’s trauma, the State proved a statutory ground.
Beyond that, it serves A.C.’s best interests to terminate her legal relationship with
Joshua. And no permissive factor prevents termination. So we affirm.
I. Facts and Prior Proceedings
A.C. came to the court’s attention in August 2020 when she made disturbing
comments that prompted her mother, Carla, to suspect sexual abuse by Joshua.
For example, A.C. revealed that she did yoga naked with Joshua, demonstrating
with a thrusting motion of her hips. The girl also disclosed that Joshua said she
needed “sparkle cream” inside her vagina so it would not be “ugly.” Carla brought
her suspicions to A.C.’s pediatrician, who informed child protective workers and
law enforcement.
1 The mother responded to the petition on appeal; the State filed a statement “substantially agreeing” with the mother’s response. 2 We review termination proceedings de novo. In re L.B., 970 N.W.2d 311, 313
(Iowa 2022). We respect the juvenile court’s factual findings but are not required to adopt them. Id. The State must prove the grounds for termination by clear and convincing evidence. Id. 3
In the wake of those allegations, Joshua moved out of the home where he
was living with Carla, A.C., and Carla’s two older children. Because A.C. remained
in Carla’s custody, there was no removal order. The juvenile court directed
visitation with Joshua to be at the discretion of the Iowa Department of Health and
Human Services (DHHS).
But the DHHS did not offer visitation after a child protective assessment,
including A.C.’s forensic interview at the STAR Child Protective Center, confirmed
the allegations of sexual abuse. On top of her earlier disclosures, A.C. told the
interviewer that Joshua inserted a gloved hand with lotion, “food and drinks,” and
toys in her buttocks. She added, “I don’t like toys in my butt.” A.C. also told Carla
that Joshua’s beard hair would “get in there” and “he put it in there,” pointing to her
genital area. Carla recalled sometimes finding Joshua lying in bed or showering
with A.C. And, according to Carla, A.C. had frequent yeast infections that stopped
after Joshua moved out of the house.
From the start, Joshua denied A.C.’s allegations and continued to deny
them throughout these proceedings. He first brought up Carla’s father being
around A.C., asserting that the grandfather did yoga. While Joshua admitted
showering with A.C., he denied performing any sex acts.
But the forensic interviewer found A.C.’s reports credible—including her
identification of Joshua, not her grandfather, as the perpetrator. In December
2020, the DHHS found that Joshua committed lascivious acts with a child. Four
months later, the juvenile court adjudicated A.C. as a child in need of assistance
(CINA) based on those findings. See Iowa Code § 232.2(6)(c)(2) (2021) (defining
a CINA as one who has suffered or is imminently likely to suffer from failure of a 4
parent to exercise a reasonable degree of care in supervision), (d) (child has been
or is imminently likely to be sexually abused), (n) (parent’s condition results in the
child not receiving adequate care). The court relied on the child abuse assessment
and evidence from A.C.’s therapist that she exhibited behaviors typical for a child
who has experienced sexual abuse including “imitating sex acts and inserting
items into her vaginal area.” Joshua took no position on the adjudication and did
not appeal its findings.
After separating Joshua from A.C., the DHHS recommended that Joshua
participate in Family Centered Services (FCS), undergo a psychosexual
evaluation, and obtain mental-health therapy to address his acts of sexual abuse.
And Joshua did start seeing therapist Amy Lapham in the fall of 2020. But he
continued to deny committing sexual abuse. Although Joshua asked to see A.C.,
the DHHS did not recommend visitation because, given his denials, A.C.’s
therapist warned against any contact.3 Beyond seeking visitation, Joshua’s
cooperation with the DHHS and engagement in services was sparse. He did not
complete a requested social history form. And he never participated in FCS.4
During the summer and fall of 2021, Joshua resisted requests for a psychosexual
evaluation. So the State petitioned to terminate Joshua’s parental rights.
By the time of the termination hearing in February 2022, Joshua had not
seen A.C. for eighteen months. Caseworker Wednesday Westerhold testified that
3 A.C. is engaged in therapy and has a diagnosis of post-traumatic stress disorder. The DHHS reports that Carla made it a point to address the sexual abuse and does not allow contact with Joshua. She has been engaged with recommended services and is working with A.C. to address her trauma and related behavioral challenges. 4 Joshua wanted his attorney to be present during services. 5
it had been difficult to obtain releases from Joshua for his therapy records. Without
that access, the DHHS had “no way of knowing” whether Joshua was addressing
the sexual abuse in therapy or if the risk was being mitigated. Westerhold identified
Joshua’s sexual abuse of A.C. and refusal to accept responsibility as the main
obstacles to visitation.
Therapist Lapham testified that she had been treating Joshua for over a
year, and he continued to deny allegations that he sexually abused his daughter.
Lapham testified that sex offender treatment would be ineffective for someone who
does not admit to the conduct. So she only offered therapeutic support. Their
work focused on Joshua’s “sadness and anxiety over not being able to see his
daughter.” Lapham did discuss the needs of children who experienced trauma.
Lapham explained that Joshua was “open to the possibility that [A.C.] may have
been harmed by another person.” Lapham declined to make a recommendation
on reunification with A.C.—she stated, “I’ll leave that to the child’s therapist.”5
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IN THE COURT OF APPEALS OF IOWA
No. 22-1034 Filed September 21, 2022
IN THE INTEREST OF A.C., Minor Child,
J.C., Father, Appellant. ________________________________________________________________
Appeal from the Iowa District Court for Polk County, Brent Pattison, District
Associate Judge.
A father appeals the termination of his parental rights to his five-year-old
daughter. AFFIRMED.
Alexandra M. Nelissen of Advocate Law, PLCC, Clive, for appellant father.
Thomas J. Miller, Attorney General, and Ellen Ramsey-Kacena, Assistant
Attorney General, for appellee State.
Todd E. Babich of Babich Goldman, P.C., Des Moines, for appellee mother.
Richelle Mahaffey, Des Moines, attorney and guardian ad litem for minor
child.
Considered by Bower, C.J., and Tabor and Chicchelly, JJ. 2
TABOR, Judge.
A father, Joshua, appeals an order terminating his parental rights.1 The
termination followed a founded report that he sexually abused his five-year-old
daughter, A.C. Joshua contends that the State failed to prove a statutory ground,
it is not in A.C.’s best interests to terminate his rights, and the juvenile court should
have relied on permissive factors to avoid termination.
After our independent review, we reach the same determination as the
juvenile court.2 Because Joshua did not embrace services to address the
circumstances leading to A.C.’s trauma, the State proved a statutory ground.
Beyond that, it serves A.C.’s best interests to terminate her legal relationship with
Joshua. And no permissive factor prevents termination. So we affirm.
I. Facts and Prior Proceedings
A.C. came to the court’s attention in August 2020 when she made disturbing
comments that prompted her mother, Carla, to suspect sexual abuse by Joshua.
For example, A.C. revealed that she did yoga naked with Joshua, demonstrating
with a thrusting motion of her hips. The girl also disclosed that Joshua said she
needed “sparkle cream” inside her vagina so it would not be “ugly.” Carla brought
her suspicions to A.C.’s pediatrician, who informed child protective workers and
law enforcement.
1 The mother responded to the petition on appeal; the State filed a statement “substantially agreeing” with the mother’s response. 2 We review termination proceedings de novo. In re L.B., 970 N.W.2d 311, 313
(Iowa 2022). We respect the juvenile court’s factual findings but are not required to adopt them. Id. The State must prove the grounds for termination by clear and convincing evidence. Id. 3
In the wake of those allegations, Joshua moved out of the home where he
was living with Carla, A.C., and Carla’s two older children. Because A.C. remained
in Carla’s custody, there was no removal order. The juvenile court directed
visitation with Joshua to be at the discretion of the Iowa Department of Health and
Human Services (DHHS).
But the DHHS did not offer visitation after a child protective assessment,
including A.C.’s forensic interview at the STAR Child Protective Center, confirmed
the allegations of sexual abuse. On top of her earlier disclosures, A.C. told the
interviewer that Joshua inserted a gloved hand with lotion, “food and drinks,” and
toys in her buttocks. She added, “I don’t like toys in my butt.” A.C. also told Carla
that Joshua’s beard hair would “get in there” and “he put it in there,” pointing to her
genital area. Carla recalled sometimes finding Joshua lying in bed or showering
with A.C. And, according to Carla, A.C. had frequent yeast infections that stopped
after Joshua moved out of the house.
From the start, Joshua denied A.C.’s allegations and continued to deny
them throughout these proceedings. He first brought up Carla’s father being
around A.C., asserting that the grandfather did yoga. While Joshua admitted
showering with A.C., he denied performing any sex acts.
But the forensic interviewer found A.C.’s reports credible—including her
identification of Joshua, not her grandfather, as the perpetrator. In December
2020, the DHHS found that Joshua committed lascivious acts with a child. Four
months later, the juvenile court adjudicated A.C. as a child in need of assistance
(CINA) based on those findings. See Iowa Code § 232.2(6)(c)(2) (2021) (defining
a CINA as one who has suffered or is imminently likely to suffer from failure of a 4
parent to exercise a reasonable degree of care in supervision), (d) (child has been
or is imminently likely to be sexually abused), (n) (parent’s condition results in the
child not receiving adequate care). The court relied on the child abuse assessment
and evidence from A.C.’s therapist that she exhibited behaviors typical for a child
who has experienced sexual abuse including “imitating sex acts and inserting
items into her vaginal area.” Joshua took no position on the adjudication and did
not appeal its findings.
After separating Joshua from A.C., the DHHS recommended that Joshua
participate in Family Centered Services (FCS), undergo a psychosexual
evaluation, and obtain mental-health therapy to address his acts of sexual abuse.
And Joshua did start seeing therapist Amy Lapham in the fall of 2020. But he
continued to deny committing sexual abuse. Although Joshua asked to see A.C.,
the DHHS did not recommend visitation because, given his denials, A.C.’s
therapist warned against any contact.3 Beyond seeking visitation, Joshua’s
cooperation with the DHHS and engagement in services was sparse. He did not
complete a requested social history form. And he never participated in FCS.4
During the summer and fall of 2021, Joshua resisted requests for a psychosexual
evaluation. So the State petitioned to terminate Joshua’s parental rights.
By the time of the termination hearing in February 2022, Joshua had not
seen A.C. for eighteen months. Caseworker Wednesday Westerhold testified that
3 A.C. is engaged in therapy and has a diagnosis of post-traumatic stress disorder. The DHHS reports that Carla made it a point to address the sexual abuse and does not allow contact with Joshua. She has been engaged with recommended services and is working with A.C. to address her trauma and related behavioral challenges. 4 Joshua wanted his attorney to be present during services. 5
it had been difficult to obtain releases from Joshua for his therapy records. Without
that access, the DHHS had “no way of knowing” whether Joshua was addressing
the sexual abuse in therapy or if the risk was being mitigated. Westerhold identified
Joshua’s sexual abuse of A.C. and refusal to accept responsibility as the main
obstacles to visitation.
Therapist Lapham testified that she had been treating Joshua for over a
year, and he continued to deny allegations that he sexually abused his daughter.
Lapham testified that sex offender treatment would be ineffective for someone who
does not admit to the conduct. So she only offered therapeutic support. Their
work focused on Joshua’s “sadness and anxiety over not being able to see his
daughter.” Lapham did discuss the needs of children who experienced trauma.
Lapham explained that Joshua was “open to the possibility that [A.C.] may have
been harmed by another person.” Lapham declined to make a recommendation
on reunification with A.C.—she stated, “I’ll leave that to the child’s therapist.”5
Joshua also testified. He denied perpetrating the sexual abuse and said he
does not need sex offender treatment. When asked whether he believed A.C. has
been sexually abused, he responded, “I’m not sure.” He blamed Carla for the
accusations and for A.C.’s trauma-related behaviors.
On the last day of the hearing, Joshua presented a psychosexual evaluation
by Dr. Matthew Cooper. The evaluation concluded that Joshua’s risk to reoffend
was “below average.” Dr. Cooper recommended that Joshua comply with DHHS
5Together, Joshua and Lapham developed a “family safety plan” or “monitoring agreement” for when supervised contact could resume. And she helped Joshua write an “accountability letter” to A.C. The letter does not say at any point that Joshua accepts responsibility for the sexual abuse. 6
directives and that a reunification plan allowing supervised contact with his
daughter be pursued when the juvenile court, the DHHS, and the daughter’s
therapist agreed.6 In a letter submitted after the hearing, therapist Lapham again
refused to comment on A.C.’s best interests, saying “this should be left to the
professionals she is involved with.” But Lapham suggested “moving
forward . . . aided by a reunification therapist” who could review the case and
advise all parties.
A.C.’s therapist was not moved by the psychosexual evaluation, explaining:
[T]he lack of accountability for the sexual abuse directly invalidates [A.C.’s] experiences, thoughts, and emotions related to her trauma. If presented with the perpetrator, individuals who have experienced abuse could become triggered and retraumatized. If contact with Joshua were to begin, [A.C.] could experience disruption in her ability to continue processing her experienced trauma and an increased difficulty in regulating her emotions and behaviors. It is important that [A.C.] has the opportunity to continue processing her experienced trauma in a safe way.
Relying on the DHHS abuse findings, Joshua’s denials, and the concerns
of A.C.’s therapist, the juvenile court found the clear and convincing evidence
supported termination under Iowa Code section 232.116(1), paragraphs (d) and
(i). Joshua appeals.
II. Analysis
We analyze orders to terminate parental rights in three steps. In re L.B.,
970 N.W.2d 311, 313 (Iowa 2022). First, we consider whether the State proved
statutory grounds for termination. Iowa Code § 232.116(1). Second, we decide
6 Because this evidence was obtained and offered so late in the case, the court left the record open for additional written comments on the evaluation by Joshua and A.C.’s therapists and for closing briefs. 7
whether termination is in the child’s best interests. Id. § 232.116(2). Third, we
consider whether the parent has shown that any permissive factors apply. Id.
§ 232.116(3); see In re A.S., 906 N.W.2d 467, 476 (Iowa 2018) (explaining “once
the State has proven a ground for termination, the parent resisting termination
bears the burden to establish an exception to termination”).
A. Statutory ground for termination
Joshua first contends the State failed to show sufficient evidence of the
statutory grounds for termination. The juvenile court terminated his parental rights
under paragraphs (d) and (i) of section 232.116(1). While Joshua challenges the
proof of both grounds on appeal, we may affirm on either if supported by the record.
In re W.M., 957 N.W.2d 305, 313 (Iowa 2021). We focus on paragraph (d), which
requires proof of these elements:
(1) The court has previously adjudicated the child to be a [CINA] after finding the child to have been physically or sexually abused or neglected as the result of the acts or omissions of one or both parents, or the court has previously adjudicated a child who is a member of the same family to be a child in need of assistance after such a finding. (2) Subsequent to the [CINA] adjudication, the parents were offered or received services to correct the circumstance which led to the adjudication, and the circumstance continues to exist despite the offer or receipt of services.
Iowa Code § 232.116(1)(d). Joshua concedes the first factor and contests the
proof of the second.
As noted, the district court decided that A.C. met the definition of a CINA
based on an imminent likelihood of sexual abuse, as well as the parent’s failure to
supervise and because the child had not received adequate care. See id.
§ 232.2(6)(d); see also id. § 232.2(6)(c)(2), (n). Joshua contends the State failed 8
to prove those circumstances continue to exist despite services. He points to the
psychosexual evaluation classifying him as below average risk to reoffend and
Dr. Cooper’s recommendation for reunification therapy. Plus, therapist Lapham
reported he was meaningfully engaged in treatment and recommended steps
toward reunification. In his view, those services corrected the conditions that led
to the abuse. He faults the juvenile court for failing to give sufficient weight to that
information. And he urges us to “rely on the expertise of professionals” to find he
is ready to be reunited with A.C.
Trouble is, Joshua ignores the advice of A.C.’s mental-health professional.
Her therapist cautions against reintroducing A.C. to her father until he has
acknowledged culpability for sexually abusing her. In her professional opinion,
Joshua not only caused her trauma, his denials invalidate A.C.’s experience and
can continue to harm her and impede her therapeutic progress.
In her response to the petition on appeal, the mother identifies two safety
considerations: 1) the risk that Joshua will sexually abuse A.C. again; and 2) the
risk of continued psychological and emotional harm to A.C. from his refusal to take
responsibility. Joshua focuses on the first issue—overlooking the second risk.
And he misrepresents the conclusions of his mental-health professionals.
After the adjudication order identified both concerns, Joshua spent the next
ten months denying the abuse. His therapy addressed the effect of the CINA case
on him and how to cope with his stress and anxiety. Lapham acknowledged that
their work was neither sex offender treatment nor aimed at recognizing and
remediating the factors that led Joshua to sexually abuse his daughter. And
although Dr. Cooper concluded that Joshua posed a below average risk of 9
reoffending, he cautioned, “The accuracy of the report is partially contingent on
[Joshua’s] reliability as a historian and informant.” In addition, Dr. Cooper’s
recommendation for reunification contained the caveat “if . . . his daughter’s
therapist [is] in agreement.” Lapham’s tepid proposal for reunification therapy also
yielded to A.C.’s therapist, who believed that any contact would be harmful.
Joshua laments that denying allegations of sexual abuse “sets forth a
situation which seems impossible for a parent to overcome regardless of their
cooperation with services.” True, the situation “presents the awesome challenge
of getting treatment for a deficit the parent claims he does not have.” In re C.H.,
652 N.W.2d 144, 147 (Iowa 2002). Still, Joshua did not appeal the adjudication
findings.7 See In re M.W., 876 N.W.2d 212, 222 (Iowa 2016) (“[The father] did not
timely appeal the order adjudicating the children as CINA, and thus the juvenile
court’s adjudication order is conclusive.”). He has not engaged in therapy to
prevent future sexual abuse. He has not accepted responsibility and testified he
doesn’t know if A.C. was sexually abused at all. The record shows he was offered
appropriate services but did not embrace them to correct the circumstances. So
the nagging risks present at adjudication continue to exist. Thus, the evidence
supports termination under paragraph (d).
B. Best interests
Next, Joshua argues termination of parental rights is not in A.C.’s best
interests under Iowa Code section 232.116(2). Under that section, we “give
primary consideration to the child’s safety, to the best placement for furthering the
7 Our record does not disclose any criminal proceedings or conviction resulted from this investigation. 10
long-term nurturing and growth of the child, and to the physical, mental, and
emotional condition and needs of the child.” Iowa Code § 232.116(2).
Joshua argues A.C. “will not have the ability to establish important and vital
connections with [her] parent and other biological relatives on the father’s side.”
He claims that her behavioral difficulties stem from the loss of their connection. He
also believes that his participation would help A.C. progress in therapy. Finally, he
argues that if he resumes contact with A.C., Carla will safeguard their daughter’s
well-being because she believes the abuse took place.8
We are unconvinced by his arguments. Joshua did not complete a
psychosexual evaluation until the eleventh hour. His therapy was aimed at his
own anxieties rather than protecting A.C. from further harm. A.C.’s therapist
credibly concluded that any contact with Joshua would be harmful so long as he
denies sexually abusing her, a position he is unlikely to change. Because of this
position, he has not seen his daughter since August 2020. Nothing in the record
shows Joshua can provide a safe home for A.C. or further her nurturing and
growth. Like the juvenile court, we find termination is in A.C.’s best interests.
C. Permissive factors
Finally, Joshua argues that severing their relationship would be “detrimental
to the child . . . due to the closeness of the parent-child relationship.” See Iowa
Code § 232.116(3)(c). He did not raise this issue in the juvenile court and the
8 Testimony at the joint termination-permanency hearing included details about Carla’s work and mental-health struggles and Joshua’s allegedly controlling and violent conduct toward her. Carla also testified about her two other children, A.C.’s half-brothers. Because much of this evidence was admitted subject to objections and none of it is necessary to reach our conclusions, we avoid an extensive discussion of that information. 11
termination order did not address it, so he waives it on appeal. See In re A.B., 815
N.W.2d 764, 773 (Iowa 2012).
Joshua also argues termination is unnecessary because A.C. is in Carla’s
custody. See Iowa Code § 232.116(1)(3)(a) (stating a court can choose not to
terminate if child is in legal custody of a relative). The juvenile court addressed
this factor, though Joshua did not raise it at the termination hearing. We agree
with the juvenile court that given the dysfunctional relationship between the
parents, custody with the mother is not a reason to preserve Joshua’s parental
rights.
AFFIRMED.