in the Interest of K.K.J. and D.K.S.

Court of Appeals of Texas·Decided August 22, 2013·No. 02-13-00139-CV·Published

Opinion

COURT OF APPEALS

SECOND DISTRICT OF TEXAS

FORT WORTH

NO. 02-13-00139-CV

IN THE INTEREST OF K.K.J. AND D.K.S.

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FROM THE 323RD DISTRICT COURT OF TARRANT COUNTY ----------

MEMORANDUM OPINION1

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I. INTRODUCTION

This is an ultra-accelerated appeal2 in which Appellant S.S. (Mother)

appeals the trial court‘s order terminating her parental rights to her sons K.K.J. and D.K.S. In a single issue, Mother argues that the evidence is legally and

1 See Tex. R. App. P. 47.4.

2 See Tex. R. Jud. Admin. 6.2(a) (requiring appellate court to dispose of appeal from a judgment terminating parental rights, so far as reasonably possible, within 180 days after notice of appeal was filed).

factually insufficient to support the trial court‘s finding that termination of her parental rights is in the best interest of her children. We will affirm.

II. FACTUAL AND PROCEDURAL BACKGROUND At the time of the termination trial on March 11, 2013, Mother was in jail awaiting trial on charges of injury to a child, her son D.K.S., that had allegedly occurred on or about March 13, 2012. Because Mother challenges the best- interest finding, we will detail the evidence presented at the termination trial.

A. The Injuries

Dr. Floyd Ota, a pediatric emergency medicine physician at Cook Children‘s Medical Center, testified that on March 13, 2012, D.K.S., a thin three- month-old boy, presented in the emergency room with swelling to his right ear that was caused by a blood clot.3 Mother told Dr. Ota that the ear injury may have been caused by a bug bite because the area on the ear had started off as a small bump and had gotten bigger, but Dr. Ota testified that the ear injury was not a bug bite because the area was not warm. Dr. Ota said that the injury was consistent with nonaccidental trauma for a child D.K.S.‘s age. Dr. Ota testified that ―a significant amount of blunt force‖ was required for the injury to occur. Dr. Ota stated that an ear injury like the one that D.K.S. presented with is most commonly seen with wrestlers or mixed martial artists who get hit in the ear by a

3 Mother brought D.K.S. to the emergency room after taking him to his pediatrician and being referred to the emergency room.

―significant blow.‖ Dr. Ota testified that D.K.S. would have experienced significant pain at the time the blow was inflicted.

Dr. Ota said that imaging studies revealed that D.K.S. had multiple fractures. D.K.S. had bilateral metaphyseal fractures in the shin bones in both of his legs, which are fractures that are specific to inflicted injury and are often caused by a significant rotational force and shearing force on the bones. Dr. Ota testified that it was possible that the injury could have been sustained during a diaper changing if significant rotational force was used, but he testified that these were not accidental injuries.

D.K.S. also had metacarpal fractures to one hand; because D.K.S. was not mobile, these injuries were considered to have been intentionally inflicted. D.K.S.‘s posterior right third through seventh ribs had fractures, which Dr. Ota testified were caused by an intentionally inflicted injury and were consistent with child abuse. Dr. Ota said that D.K.S.‘s rib fractures would have been caused by ―a squeezing of the torso, of the chest itself.‖ The rib injuries could not have been caused by a two-year-old child because to Dr. Ota‘s knowledge, ―you have to be able to wrap your . . . hands around the child.‖ Dr. Ota also did not believe that a three-year-old child or a four-year-old child would have enough strength capacity to wrap his arms around the chest of a baby and squeeze it hard enough to fracture the ribs.

Other than the ear injury, Mother did not give clear answers to any of the injuries found on D.K.S. Dr. Ota testified that none of the injuries are consistent

with a fall and that the injuries could not have been caused by falling off a mattress that was approximately eight inches off the ground. Dr. Ota also testified that D.K.S.‘s fractures ―are not the type of fractures you might see with brittle bone disease.‖ Dr. Ota did not know specifically what had caused D.K.S.‘s injuries, but Dr. Ota opined that ―there was definitely some kind of inflicted injury on this child with the -- if you take all the injuries into consideration with the auricular hematoma and the multiple fractures, different ages[,][4] and the specific type of fractures.‖ In addition to the hematoma and the multiple fractures, D.K.S. was failing to thrive because he had gained only about ten grams per day since he was born instead of the normal twenty to thirty grams per day. D.K.S. weighed approximately seven pounds at birth and weighed approximately nine pounds three and a half months later, instead of twelve to fourteen pounds. There were no biological reasons for D.K.S.‘s low weight gain. Dr. Ota testified that it is possible that a parent could mix formula and feed the child appropriately based on the label‘s instructions but that the child does not gain much weight because he needs a higher concentration of formula.

B. The Investigation and the Removal Andreas Lebensieg, an investigator with the Department of Family and Protective Services, testified that the Department had received a referral on

4 Dr. Ota opined that the injuries were ―at least a few weeks‖ old.

March 13, 2012, for both D.K.S. and K.K.J. due to possible physical abuse of D.K.S. and his failure to thrive. Lebensieg met with a detective of the Crimes Against Children section of the Fort Worth Police Department and then went to Cook‘s and met with Dr. Ota, who explained the injuries that D.K.S. had suffered.

Lebensieg also met with Mother, who said that she was the sole caregiver for D.K.S. but that she did not know exactly how D.K.S.‘s injuries had occurred. Mother told Lebensieg that she thought D.K.S.‘s ear injury was caused by a bug bite or a spider bite. Mother‘s only explanation for the other injuries was that one and a half to two weeks prior to March 13, she had left D.K.S. in a room and returned to find that he had rolled off a mattress that was on the floor on the carpet.5 Mother did not indicate that D.K.S.‘s injuries had been caused by K.K.J. Mother could not give an explanation for D.K.S.‘s small size, though she admitted to drinking alcohol before she knew that she was pregnant.6 Mother told Lebensieg that she had fed D.K.S. six to eight ounces every three to four hours, that she had mixed milk with cereal, and that he had kept his food down.

Lebensieg testified that the Department could not identify who lived in the home with Mother or where she lived; Mother said that she lived with someone who went by the street name ―G‖ and that the home was somewhere in south

5 The hospital records state that Mother ―denies any fallings or being dropped.‖ 6 Mother did not discover that she was pregnant until she was six or seven months along.

Fort Worth. Mother said that prior to living with ―G,‖ she lived with ―Stacey‖ for almost two weeks prior to March 13 but had no address or phone number for her and did not know her real name. Mother indicated that D.K.S. and K.K.J. lived with her at Stacey‘s and then lived with her at ―G‘s.‖ Lebensieg testified that Mother was very evasive ―about everything‖7 and especially in leading the Department to the people who were keeping K.K.J. while Mother and D.K.S. were at the hospital.

The Department decided to remove K.K.J. on March 13, 2012.8 The Department ruled the case as reason to believe for physical abuse of D.K.S. by Mother and as reason to believe for physical neglect of D.K.S. by Mother. The physical neglect of K.K.J. was unable to be determined.

In Lebensieg‘s opinion, Mother did not seem surprised that the Department was making allegations that she had physically abused D.K.S. Mother expressed to Lebensieg that she wanted D.K.S. to get better.

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