In the Interest of K.P.-A. and K.P.-A., Children v. the State of Texas

Court of Appeals of Texas·Decided May 22, 2025·No. 10-24-00381-CV·Published

Opinion

Court of Appeals

Tenth Appellate District of Texas

10-24-00381-CV

In the Interest of K.P.-A. and K.P.-A., Children

On appeal from the

474th District Court of McLennan County, Texas Judge Alan Bennett, presiding Trial Court Cause No. 2023-1142-6

JUSTICE SMITH delivered the opinion of the Court.

MEMORANDUM OPINION

Mother and Father appeal the trial court’s order terminating their parental rights to their twin daughters, “Kolbie” and “Katie.” On appeal, Mother and Father challenge the legal and factual sufficiency of the evidence to support their respective predicate grounds for termination and the trial court’s best-interest findings. See TEX. FAM. CODE ANN. §§ 161.001(b)(1)(D), (b)(1)(E), (b)(2). Mother also argues that the trial court abused its discretion by appointing the Department of Family and Protective Services (“the Department”) as the managing conservator of the children. We affirm.

Background

On April 27, 2023, Father called Mother at work after he found three-

month-old Kolbie non-responsive. Mother told him to call 9-1-1, and Father complied. According to Mother, the paramedics examined Kolbie and informed the parents that she was in “the stage after a seizure.” Kolbie was transported to McLane’s Children’s Hospital where someone contacted the Department to report suspected child abuse. The report was based on Kolbie’s CAT scan that revealed she was suffering from extensive bilateral subdural hematomas.

Representatives from the Department interviewed both parents at the hospital. The Department learned that Kolbie had a twin sister, Katie, and that Mother and Father were the children’s primary caregivers. The parents explained that they generally had rotating work schedules that allowed one parent to watch the children while the other parent worked.1 Neither Mother nor Father could explain how Kolbie’s brain injury may have occurred, though Father guessed that she might have pushed her feet too hard against her crib and hit her head. During this interview, the Department also learned that the parents had taken Kolbie to the Ascension Providence Hospital emergency

1 According to the record, the paternal grandmother and her partner also saw the children on at least

one occasion after they were born, though there is conflicting evidence in the record regarding how often they may have kept the children and the last time the children were in their care. Though the record is unclear as to how this determination was reached, “after running background checks and communicating,” the Department ruled out the paternal grandmother as someone who could have caused the injuries to the children.

In the Interest of K.P.-A. and K.P.-A., Children Page 2

room two days earlier, on the evening of April 25, 2023, because she had projectile vomited. There is conflicting evidence in the record regarding how long Kolbie had been exhibiting this symptom. The trial court found that Kolbie began vomiting on or about April 20, 2023, which is supported by Father’s statement to the Department that Kolbie began vomiting the week before.

The record reflects, and all parties agree, that the parents left the Ascension Providence Hospital emergency room on April 25th before obtaining medical treatment for Kolbie. Mother testified that after waiting for a few hours in the waiting room, one of the triage nurses advised her that they were understaffed and that they could take Kolbie to her pediatrician in the morning if they did not want to wait. According to Mother, no one at the hospital advised that they needed to stay at the hospital for further testing; however, medical records admitted at trial indicated that a physician’s assistant advised of the “nature of this exam and the possible need for further testing” and that “[t]he patient verbalized understanding.”

Mother and Father testified that they took Kolbie to a pediatrician the following day, on April 26, 2023. Mother stated that Kolbie vomited two more times between leaving the emergency room and the pediatrician visit. Both parents testified that the pediatrician did not see anything wrong with Kolbie and thought she may have a virus. However, the trial court apparently disbelieved the parents’ assertions that they took Kolbie to see a pediatrician on April 26th by finding that after leaving the Ascension Providence Hospital on April 25th, “[n]either Respondent sought further medical treatment for [Kolbie] until April 27, 2023 when [Father] found her non-responsive.”2 Kolbie’s subdural hematomas, along with her seizure and vomiting, led the emergency room personnel at McLane’s Children’s Hospital to contact neurosurgeon Dr. David Garrett at approximately 2:00 a.m. on April 28th. After examining Kolbie, Dr. Garrett performed a surgical procedure that required drilling a hole into Kolbie’s skull to drain the subdural hematomas. At the Department’s request, Katie was also examined on April 28th. Based on the concerning results of both children’s skeletal surveys that revealed possible non-accidental injuries to both children, the Department removed Kolbie and Katie and placed them in foster care.

In July of 2023, the parents questioned whether children’s injuries may have been caused by genetic disorders or birth defects. The Department asked for documentation of any potential birth defects or genetic disorders, but

2 This finding is also supported by trial testimony from Dr. David Garrett that had the parents taken

Kolbie to a pediatrician, the pediatrician should have noticed Kolbie’s “biparietal enlargement” – enlargement of the head – as presenting a potentially abnormal situation.

In the Interest of K.P.-A. and K.P.-A., Children Page 4

according to the conservatorship specialist, no such documentation was ever provided.

Eventually, the case proceeded to a bench trial. The Department called three expert witnesses: Dr. David Garrett, Dr. Kayla Washuta, and Dr. Megan Lyle. Mother called her own expert witness, Dr. John Galaznik. Each of the expert witnesses offered opinions on the potential causes and timing of the children’s various injuries. The parents maintained that they did not know how the children’s injuries occurred and that the Department’s involvement was unwarranted. At the conclusion of the bench trial, the trial court terminated Mother and Father’s parental rights under both endangerment predicate grounds, found termination to be in the children’s best interest, and appointed the Department as managing conservator of the children. See TEX. FAM. CODE ANN. §§ 161.001(b)(1)(D), (b)(1)(E), (b)(2). The trial court filed findings of fact and conclusions of law at Mother’s request.

Standard of Review

The standards of review for legal and factual sufficiency in cases involving the termination of parental rights are well-established and will not be repeated here. See In re J.F.C., 96 S.W.3d 256, 264-68 (Tex. 2002) (legal sufficiency); In re C.H., 89 S.W.3d 17, 25 (Tex. 2002) (factual sufficiency); see also In re J.O.A., 283 S.W.3d 336, 344-45 (Tex. 2009). The factfinder is the sole

judge of the credibility of the witnesses and the weight to give their testimony. Jordan v. Dossey, 325 S.W.3d 700, 713 (Tex. App.—Houston [1st Dist.] 2010, pet. denied). We give due deference to the factfinder’s findings and must not substitute our judgment for that of the factfinder. Id.

Predicate Grounds

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