In the Interest of K.M. and K.M., Minor Children

Court of Appeals of Iowa·Decided March 19, 2025·No. 24-1635·Published

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 24-1635

Filed March 19, 2025

IN THE INTEREST OF K.M. and K.M., Minor Children,

TAMMY BANNING, Guardian ad Litem-Appellant,

STATE OF IOWA, Appellant.

Appeal from the Iowa District Court for Black Hawk County, David F. Staudt, Judge.

The attorney and guardian ad litem for the children and the State appeal the juvenile court order dismissing a petition to terminate parental rights and deferring permanency for six months. AFFIRMED.

Tammy Banning, Waterloo Juvenile Public Defender, Waterloo, attorney and guardian ad litem for appellant children.

Brenna Bird, Attorney General, and Michelle R. Becker, Assistant Attorney General, for appellant State.

Considered by Chicchelly, P.J., and Langholz and Sandy, JJ.

CHICCHELLY, Presiding Judge.

The attorney and guardian ad litem for the children (GAL) and the State appeal the juvenile court order dismissing a petition to terminate parental rights and deferring permanency for six months. The GAL also challenges the transition plan. Deferring to the juvenile court’s credibility findings on the question of the children’s best interests, we affirm the dismissal. We reject the claim that the juvenile court’s transition plan does not account for the children’s safety or best interests.

I. Background Facts and Proceedings.

The children’s father was incarcerated when the juvenile court became involved with family, and he remained incarcerated throughout the proceedings. The children’s mother was in the juvenile system as a child before living with her father. Her father died from cancer in September 2020 when the mother was sixteen years old, leaving her with little family support locally. She gave birth to her first child that October. The child was diagnosed with juvenile leukemia around the time of his first birthday. In February 2022, a few months after that diagnosis, the mother gave birth to her second child.

During 2022, the older child received a bone marrow transplant. To ensure the transplant is successful, the child needs prescribed medication dispensed on a strict schedule. Too little medication increases the risk of transplant rejection, while too much medication can damage the child’s kidneys and liver. The medication also suppresses the child’s immune response, leaving him vulnerable to illness.

In August 2022, the older child was hospitalized for moderate malnutrition, electrolyte imbalance, bilateral bronchitis, and pneumonia. A child abuse assessment was founded against the mother for denial of critical care and failure to provide adequate health care. On this basis, the juvenile court adjudicated both children as in need of assistance (CINA). The parties agreed to the older child’s removal and placement in foster care, while the younger child was placed with the mother under the supervision of the Iowa Department of Health and Human Services (HHS). In May 2023, the younger child was removed and placed in foster care apart from the older child.

In August 2023, HHS reported that the mother was “struggling to meet her own basic needs,” had no housing after being evicted, and was not consistently participating in services or visiting the children. Although the criteria for terminating parental rights would have been met for the older child, the younger child had only been removed from the mother for three months. The juvenile court’s permanency order adopted HHS’s recommendation to defer permanency for the older child for six months under section 232.104(2)(b).

By the December 2023 permanency hearing, the State, GAL, Court Appointed Special Advocate (CASA), and HHS were all recommending that the court order the State to petition to terminate parental rights. The mother asked the court for more time to comply with the case permanency plan. Although the court recognized that there was “a very legitimate argument that the State should be ordered to file a petition for termination of parental rights given [the mother]’s failure to successfully meet any of the requests of the court of [HHS],” it gave the mother “one last chance.” But when the mother had made limited progress by the

February 2024 permanency hearing, the juvenile court directed the State to petition for termination of parental rights.

The State petitioned to terminate the mother’s and father’s parental rights under Iowa Code section 232.116(1)(e) and (h) (2024), and the juvenile court held a concurrent permanency and termination hearing in June. See In re J.L., No. 20- 1546, 2021 WL 1661235, at *2–3 (Iowa Ct. App. Apr. 28, 2021) (Tabor, J., specially concurring) (noting that the court may hold permanency and termination hearings at same time after providing proper notice to the parties). By then, the mother had begun a new romantic relationship and given birth to her third child.1 The State, GAL, CASA, and HHS continued to recommend termination.

After the hearing, the court received a letter from the older child’s foster parent, expressing concern that the hearing portrayed the mother in a negative light. She also stated her belief that the mother made progress during the past year and offered to continue caring for the older child until he can be returned to the mother. The court notified the parties that it intended to take the letter’s contents into consideration as part of its termination ruling before granting the GAL’s request for a hearing to fully develop information from both foster families.

At a July hearing, the older child’s foster parent reiterated what she stated in her letter to the court. But the other foster parents disagreed with those sentiments. They believe the younger child had a strong bond with the mother when he came to live with them. But because of the mother missing visits, they

1 At the time of the termination hearing, the mother’s boyfriend had a job and

provided housing for the mother and their child. HHS was not involved with that child.

were “not fully sure if he knows who she is anymore.” Although the younger child was very timid and reserved when he first came to their home, they believe he now looks to them to meet his needs more than he does his mother. They noted the mother’s missed medical visits and her inability to answer the doctor’s questions or fill out paperwork for the child. They also described the younger child’s progress while in their care, stating he is now a “loud active child” and “on track developmentally.”

In October, the juvenile court entered an order dismissing the termination petition and deferring permanency for the children for six months. The court described how at the start of the CINA proceedings, the mother was a teenager living on her own with two children and no job and virtually no family support. It acknowledged that the mother “had a bad attitude toward [HHS] from the outset,” was difficult to reach, and missed appointments. But the court found the mother’s behavior was “somewhat understandable given her predicament”:

She is a young mother who had no supports and was dealing with a very, very seriously ill child. She did not have the normal supports that teenage pregnancies involve. She had no funds, no assistance from family and a lack of education concerning various outlets of assistance available. It is difficult to imagine a more exasperating and difficult situation than being without money and having a desperately ill child.

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