In the Interest of: Z.P., A Minor, Appeal of: L.P.

Superior Court of Pennsylvania·Decided September 22, 2016·No. 494 WDA 2016·Unpublished

Opinion

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NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37

IN THE INTEREST OF: Z.P., A MINOR IN THE SUPERIOR COURT OF PENNSYLVANIA

APPEAL OF: L.P. AND J.P., NATURAL PARENTS No. 494 WDA 2016

Appeal from the Order March 8, 2016 In the Court of Common Pleas of Cambria County Domestic Relations at No(s): CP-11-DP-004-2016, FID 11-FN-008-2016

BEFORE: LAZARUS, J., OLSON, J., and PLATT, J.* MEMORANDUM BY LAZARUS, J.: FILED SEPTEMBER 22, 2016 L.P., Mother, and J.P., Father, (collectively “Parents”), are the natural parents of Z.P., a minor. Parents appeal from the order entered in the Court of Common Pleas of Cambria County adjudicating Z.P. dependent as defined

in section 6302 of the Juvenile Act.1 After our review, we affirm.

*

Retired Senior Judge assigned to the Superior Court.

1 Section 6302, “Dependent child,” provides, in relevant part:

A child who:

(1) is without proper parental care or control, subsistence, education as required by law, or other care or control necessary for his physical, mental, or emotional health, or morals. A determination that there is a lack of proper parental care or control may be based upon evidence of conduct by the parent, guardian or other custodian that (Footnote Continued Next Page)

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On December 18, 2015, Cambria County Children and Youth Services (CYS) received a report of physical abuse of Z.P., who was three months old, by Father. On that date, Mother was at work. Father had placed Z.P. in a rocking bassinet and left the room to do laundry. Father reported that when he returned, he found the bassinet had been tipped over, and Z.P. was wedged between the bassinet and the couch. Father picked Z.P. up and comforted him, at which time Z.P. stiffened, arched his back, looked dazed and became unresponsive. Father called 911 and emergency medical services transported Z.P. to the emergency room at Conemaugh Valley Memorial Hospital (CVMH).

Father reported to CVMH staff that the family cat may have knocked over the bassinet (the family has a cat and two large dogs). A CT scan indicated a subdural hematoma. Thereafter, Z.P. was transferred to the ICU at Children’s Hospital (“Children’s”) in Pittsburgh. At Children’s, Father reported that he believed one of the family’s dogs, an 80-pound Boxer may have knocked over the bassinet.

(Footnote Continued)

places the health, safety or welfare of the child at risk, including evidence of the parent’s, guardian’s or other custodian's use of alcohol or a controlled substance that places the health, safety or welfare of the child at risk[.]

42 Pa.C.S. § 6302.

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At the dependency hearing, both Mother and Father testified. Father testified that he did not tell CVMH staff that the cat might have caused the accident; he stated that he remembered reporting that maybe one of the dogs, the Boxer, had caused the accident. N.T. Dependency Hearing, 3/7/16, at 94. He denied ever shaking Z.P. Id. at 101. Father testified that he was honorably discharged from the Air Force following a bus accident in Kuwait, where he was stationed as a military police officer. As a result of the accident, Father suffered a hip injury. He also suffered emotional trauma due to the fact he was unable to assist injured civilians because the accident occurred during Ramadan, and religious and legal prohibitions prevented civilian aid during this time. Several civilians died. Id. at 96- 100. Father was diagnosed with mild Post Traumatic Stress Disorder (PTSD), but stated that he did not get counseling for it, and that it “was maintained and under control.” Id. at 98. Father indicated his willingness to cooperate with CYS.

Mother testified that when she received the message that Z.P. was injured, she went home to get a car seat, believing Z.P. would be released that day. At home, she saw the bassinet on its side near the couch. Id. at 86. She also testified that they have two large dogs, an English Mastiff and a Boxer, and a cat. Id. Mother testified that she remembered reporting to CVMH staff that the dog may have knocked over the bassinet; she denied ever reporting that it may have been the cat. Id. at 86-87.

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Doctor Jennifer Wolford, a board certified pediatrician, testified that in addition to reviewing the records from CVMH, she performed various diagnostic tests on Z.P. during his three-day stay in the Children’s ICU. She also obtained a medical history from Parents. An MRI confirmed Z.P.’s subdural hematoma; eye examinations revealed retinal bleeding in both eyes. Id. at 6-8. Dr. Wolford testified that both the subdural hematoma and the retinal bleedings were recent, and that based on her experience and training, Z.P.’s injuries were caused by abusive trauma resulting from severe shaking, known as “shaken-baby syndrome.” Id. at 10-11. She further opined that the injuries were not consistent with a fall:

A: [I]t’s my medical assessment that [Z.P.] showed symptoms:

unresponsiveness, not waking up, arching his back, stiffening, the subdural hematomas and the bilateral retinal hemorrhages that this is the result of violent shaking back and forth and that this is the result of abusive trauma to this child, so this is abusive head trauma and that it is the shaking and the shearing force back and forth that caused this brain injury and these retinal hemorrhage in all four quadrants, both eyes, out to the periphery.

Q: If a child fell, and I’m just talking about these bilateral retinal hemorrhaging at this time, not about the subdural hematoma.

But if a child fell and he developed, he got bilateral retinal hemorrhaging, how far in a distance . . . based upon your education and experience, how far would a child have to fall to cause him to get bilateral retinal hemorrhaging? A distance; two feet, one foot, four feet, ten?

A: Right. So again, I use the example of the accidental roll off the bed or off the changing table, and in those falls we do not see retinal hemorrhages. So that’s three to four feet off a changing table. Off a bed obviously it’s about 30 inches and we do not see retinal hemorrhages. We certainly can’t drop children to see what causes retinal hemorrhages, but from computer

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modeling we know that it’s estimated that a fall of a height about three stories would cause these types of injuries.

Id. at 14-15. Dr. Wolford opined within a reasonable degree of medical certainty, that Z.P. had been the victim of shaken-baby syndrome, or abusive head trauma. Id. at 16.

Doctor Jonathan Arden, board certified in anatomic and forensic pathology, testified as rebuttal expert. He did not examine Z.P.; however, he reviewed Z.P.’s medical records, including the MRI and CT scans, the same medical records and diagnostic test results that Dr. Wolford had examined. Doctor Arden agreed with Dr. Wolford’s conclusion that there was no biological cause for the injuries, but he disagreed the cause was shaken-baby syndrome. Id. at 38-39. He stated that trauma Z.P. suffered at birth (c-section with use of forceps) could have caused a subdural hematoma and that Z.P.’s fall caused a “re-bleed” of the birth injury; in other words, that such injuries can also be related to impact. Id. at 40, 47- 48. Doctor Arden acknowledged, however, that these injuries were rare. Id. at 47. Doctor Arden also acknowledged, on cross-examination, that the medical and investigative reports indicated that Z.P. did not hit the floor, but was wedged between the rocker and the couch. Id. at 59. He also acknowledged that the bilateral retinal hemorrhage and the acute subdural hematoma that Z.P. suffered were consistent with shaken-baby syndrome. Id. at 58.

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In the Interest of: Z.P., A Minor, Appeal of: L.P., (Pa. Ct. App. 2016).

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