in the Interest of F.L.S.

CourtCourt of Appeals of Texas
DecidedApril 19, 2018
Docket09-17-00417-CV
StatusPublished

This text of in the Interest of F.L.S. (in the Interest of F.L.S.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
in the Interest of F.L.S., (Tex. Ct. App. 2018).

Opinion

In The

Court of Appeals Ninth District of Texas at Beaumont ____________________ NO. 09-17-00417-CV ____________________

IN THE INTEREST OF F.L.S.

On Appeal from the County Court at Law No. 3 Montgomery County, Texas Trial Cause No. 17-02-02047-CV

MEMORANDUM OPINION

R.S., paternal grandmother of F.L.S., appeals from the Final Order of

Termination in Suit Affecting the Parent-Child Relationship and from the Order

Granting Petitioner’s Motion to Strike Original Petition in Intervention for

Conservatorship of a Child.1 Neither F.L.S.’s mother, J.W., nor F.L.S.’s alleged

father, J.S., appealed the termination.

1 To preserve the parties’ privacy, we refer to the parties and to the child by their initials. See Tex. Fam. Code Ann. § 109.002(d) (West Supp. 2017); Tex. R. App. P. 9.8. 1 Background

F.L.S. was born on October 4, 2015. On February 15, 2017, the Department

of Family and Protective Services (“the Department”) filed an Original Petition for

Protection of a Child, for Conservatorship, and for Termination in Suit Affecting the

Parent-Child Relationship, seeking, among other things, to be immediately named

temporary sole managing conservator of F.L.S. and the termination of the parental

rights of F.L.S.’s mother, J.W., and F.L.S.’s alleged father, J.S. The Petition listed

R.S., F.L.S.’s paternal grandmother, and R.H., F.L.S.’s paternal step-grandfather, as

guardians of the child.

According to the Affidavit in Support of Removal attached to the Petition

(“the affidavit”), R.S. and R.H. (collectively “the paternal grandparents”)2 were

caring for F.L.S., and the paternal grandparents reported that they had been taking

care of F.L.S. since her discharge from the hospital. The paternal grandparents

indicated that J.W. “verbally gave [the paternal grandparents] custody of [F.L.S.]

three days after she was born[]” because J.W. could not properly care for the child’s

medical needs. The affidavit stated that F.L.S. was born preterm and suffers from

2 We note that although the petition names J.S. as F.L.S.’s alleged father, the final termination order names J.S. as F.L.S.’s father. Therefore, in this opinion we refer to R.S. and R.H. as the “the paternal grandparents.” 2 “Intraventricular hemorrhage (IVH), Langerhans cell histiocytosis (LCH),

compromised hearing, and developmental delay in communication.”

The affidavit alleged that on November 8, 2016, the Department received a

referral alleging medical neglect of F.L.S. by the paternal grandparents after F.L.S.

had missed “multiple appointments with [the] PCP and specialists[,]” and the

affidavit stated that “continued inconsistent lack of medical care . . . and in[]adequate

lab work to monitor the child could result in serious permanent damage and further

complications[.]” The affidavit explained that the referral report alleged concerns

“of repeated phone calls from medical caregivers and voicemails left with the

grandparents that [were] not answered.”

The affidavit also reported a second referral on November 10, 2016, alleging

sexual abuse of F.L.S. by R.H. (the paternal step-grandfather) “due to high levels of

testosterone in the child’s lab work: [F.L.S.] is showing accelerated growth, acne,

pubic hair, and clitoromegaly[,]” and “[a] concern was expressed following the

caretaker-step-grandfather’s ([R.H.]) self-admission to using testosterone

applications himself, which could be transferring to [F.L.S.]” According to the

affidavit, R.S. explained to the Department that the lapse in the child’s attending

treatment and medical appointments was because R.S. had been informed that

F.L.S.’s medical insurance was no longer valid.

3 According to the affidavit, the Department received a third referral on January

25, 2017, alleging neglectful supervision by the paternal grandparents and that F.L.S.

“is having abnormal symptoms/accelerated growth and developing sex

characteristic[s] possibly due to step grandfather’s use of hormones.” The affidavit

also alleged that on February 9, 2017, the Department received a fourth referral by

a mandatory reporter alleging physical abuse of sixteen-month-old F.L.S. by the

grandparents, and that F.L.S. has Down syndrome and had been admitted to

Memorial Hermann Children’s Hospital due to “dangerously high levels of

testosterone, namely, 900 when the number should be at zero, and the very most for

a male child in puberty is 46.” According to the affidavit, the child’s testosterone

levels were reported in the medical records of the child. Additionally, R.H. reported

to the medical providers that he had switched from using testosterone cream to

injecting testosterone.

According to the affidavit, R.H. denied prior CPS involvement but the

Department representative learned that R.H. “has CPS history regarding sexual

abuse of a juvenile male, unrelated household member as late as March 2016.” The

affidavit indicates that while the child was getting treatment at the Memorial

Hermann Children’s Hospital, a Department representative met with the hospital

staff and due to the decreasing of testosterone levels after admission to the hospital,

4 a safety plan was put in place prohibiting R.H. from having contact with F.L.S. until

the Department’s investigation was completed. While hospitalized, F.L.S.’s

testosterone levels dropped, but the rate slowed down and the medical staff

expressed concerns that F.L.S.’s “voice remains deep and gravelly; she has

pronounced muscles, and virilized genitals with Tanner Stage III pubic hair and a

grossly enlarged clitoris resembling a penis.” The affidavit states that medical testing

on F.L.S. had been performed to rule out medical/genetic causes of the high

testosterone levels. The affiant noted that R.S., the paternal grandmother, “has not

yet seemed able to believe that the step grandfather’s testosterone use could be

responsible for [F.L.S.]’s virilization.” The affiant also concluded:

The child’s medical team has immediate, grave concerns for [F.L.S.]’s health, as she is at severe risk of heart and liver disease and stroke; and as her condition is likely to become permanent with delayed surgical intervention, although her deep voice and advanced muscle-mass are, at this point, believed to be irreversible. Notwithstanding, the child is ready to be discharged from the hospital, however, with many critically necessary follow-up appointments, tests and procedures. To insure the health and safety of the child and to prevent immediate and ongoing danger to her, it is necessary for the Department to be named the Temporary Managing Conservator of [F.L.S.] until a full adversary hearing can be held.

The appellate record shows R.S. was served with the Original Petition.

According to the record, R.S. did not file an answer. The trial court signed an Order

for Protection of a Child in an Emergency and Notice of Hearing, naming the

5 Department F.L.S.’s temporary sole managing conservator and finding that “there is

an immediate danger to the physical health or safety of the child or the child has

been the victim of neglect or sexual abuse or trafficking . . . on one or more occasions

and that continuation in the home of [J.S., J.W., R.S., or R.H.] would be contrary to

the child’s welfare[.]” On April 11, 2017, an Affidavit of Voluntary Relinquishment

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