In the Interest of M.M. and I.M., Minor Children, O.F., Father, J.M., Mother

Court of Appeals of Iowa·Decided July 27, 2016·No. 16-0548·Published

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 16-0548

Filed July 27, 2016

IN THE INTEREST OF M.M. and I.M., Minor children,

O.F., Father, Appellant,

J.M., Mother, Appellant.

Appeal from the Iowa District Court for Winnebago County, Karen Kaufman Salic, District Associate Judge.

A mother and father appeal the juvenile court’s review orders modifying the dispositional orders and placing two of their children in the custody of the Iowa Department of Human Services for placement in family foster care. AFFRIMED ON BOTH APPEALS.

Philip L. Garland, Garner, for appellant father.

Jane M. Wright, Forest City, for appellant mother.

Thomas J. Miller, Attorney General, and Mary A. Triick, Assistant Attorney General, for appellee State.

Theodore J. Hovda, Garner, for minor children.

Considered by Potterfield, P.J., and Mullins and McDonald, JJ.

McDONALD, Judge.

A mother and father appeal from the modification of two dispositional orders in this child-in-need-of-assistance (CINA) proceeding. The modification orders removed two of the parents’ three children from the parents’ care and placed the children in the custody of the Iowa Department of Human Services (DHS) for placement in family foster care. The parents argue the juvenile court was not authorized to modify the dispositional orders without first finding a substantial and material change in circumstances occurred. The parents also argue DHS failed to make reasonable efforts to maintain the integrity of the family unit.

I.

This appeal relates to two of the parents’ three children, M.M. and I.M.1 M.M. is eight years old, and I.M. is seven years old. The family came to the attention of DHS in June 2015, when the couple’s youngest child, L.M., nearly died as a result of an untreated medical condition. On June 29, 2015, when L.M. was less than one month old, the mother brought L.M. to an emergency room. The child was unresponsive. Medical professionals discovered L.M. had a fairly common medical condition, which prevented formula from being digested. Most children suffering the condition fully recover, but L.M.’s situation had become critical because the parents failed to obtain timely medical care. By the time the mother sought care, the child was severely dehydrated and oxygen deprived.

1 The parents also sought review of the district court’s permanency order regarding the parent’s third child, L.M., but the supreme court dismissed the appeal as to L.M. upon the State’s motion.

The parents’ failure to obtain timely and appropriate care for L.M. led DHS and the juvenile court to become involved with all three of the family’s children. All three were adjudicated children in need of assistance in September 2015. The juvenile court found M.M. had autistic characteristics and I.M. had been diagnosed with severe autism. The juvenile court found the parents were “not following through with recommended services.” The juvenile court also noted a history of violence in the home. The juvenile court summarized its CINA adjudication:

The children clearly need more than they are receiving.

Fortunately, neither [I.M.] or [M.M.] have faced an acute medical condition that could deteriorate rapidly like [L.M.]’s. The obvious concern—which is not speculative or remote—is that neither parent could recognize or appropriately respond to [the children]’s needs.

The children have not received proper supervision, and it seems unlikely that will change without [DHS] intervention and Court supervision.

The juvenile court transferred custody of L.M. to DHS for placement in family foster care. M.M. and I.M. were allowed to remain with their parents.

In October 2015, the juvenile court issued its dispositional orders. The juvenile court noted additional risks to the children, including the poor condition of the family home and the fact the mother was overwhelmed by her obligations to M.M. and I.M. due to the father’s absence from the home during most of the work week. The juvenile court noted, “The problems for which the Court became involved have not resolved. The level of compliance by family members is indicative of the family’s progress.” The juvenile court ordered the family to participate in a number of services but allowed M.M. and I.M. to remain with their parents.

In January 2016, the juvenile court issued its review orders. A psychological evaluation found the mother was in the borderline intellectual functioning range. The mother considered her daughter, who had been diagnosed with severe autism, to be high functioning. The mother stated a belief the daughter’s condition could be cured with medication. The juvenile court stated, “It is very clear that [the] parents are not in a position to consistently meet the needs of any of the children,” before again ending with the statement, “The problems for which the Court became involved have not resolved. The level of compliance by family members is indicative of the family’s progress.” Once again, however, the juvenile court left M.M. and I.M. “in the custody of their parents for placement in their home, and subject to supervision by [DHS].” The juvenile court did warn, “If things do not improve dramatically by the next hearing [M.M.] and [I.M.] will likely be removed from the custody of their parents.”

The State filed a motion to modify placement in March 2016. Following a contested review and modification hearing, the juvenile court issued review orders modifying the dispositional orders. The juvenile court removed both M.M. and I.M. from the parents, and the juvenile court transferred custody of each child to DHS for placement in family foster care. The court explained:

With respect to [M.M.] and [I.M.], it is not questioned at all that the parents, especially [the] mother, care about each of the children very much and want to meet all of their needs and give them everything that they require. In a large part, it is likely a failing of this court for not removing the children at the time of disposition.

I think the hope was that the parents would be able to learn what they needed to do to meet the children’s needs and everyone was very hopeful, and so that dispositional order last fall allowed the children to stay at home with a number of orders in place. Even the first adjudicatory order directed . . . the parents to enroll the children in the Autism Center. We’re at a point here in March where only

[I.M.] has started. [M.M.] is on the wait list. That’s just one of the services and an example of how long we’ve sort of languished in this case hoping that the parents can get these things started.

Each of the children has their own special needs. [I.M.] requires a great deal of supervision, and I think that [the DHS social worker]’s recommendation that they be placed in separate homes is a . . .

real life example of how difficult it would be for any parent to provide them what they need because they do require so much care, and it certainly isn’t anything taken lightly by this court either, that removing children from the care of their parents and separating siblings is a very dramatic step and isn’t done very often, but certainly when it is, it’s because there’s been a determination made that that’s what’s required for the best interest of the children.

Again, we have hoped and wished for, I guess, another miracle for this case. [L.M.] nearly died. . . . [B]ut hoping isn’t going to improve this situation. . . . I certainly can see how the many needs of these children could be overwhelming and it would be difficult to know where to start, but it’s March, adjudication happened back in September, and we are no further along than when we started. I think it’s very telling that [I.M.] was seen at the Autism Center three years ago and their assessment is she’s in no better place three years later than she was that day, which is difficult to comprehend and needs to be remedied immediately.

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