Jennifer Nicole Hughes and David Wayne Hughes v. Arkansas Department of Human Services and Minor Children

Court of Appeals of Arkansas·Decided August 26, 2026·Published

Opinion

Cite as 2026 Ark. App. 372 ARKANSAS COURT OF APPEALS II DIVISION

No. CV-26-107

JENNIFER NICOLE HUGHES AND Opinion Delivered: August 26, 2026 DAVID WAYNE HUGHES APPELLANTS APPEAL FROM THE SEBASTIAN COUNTY CIRCUIT COURT, FORT V. SMITH DISTRICT [NO. 66FJV-25-308]

ARKANSAS DEPARTMENT OF HUMAN SERVICES AND MINOR HONORABLE SHANNON L. BLATT, CHILDREN CIRCUIT JUDGE APPELLEES

AFFIRMED

CASEY R. TUCKER, Judge

Jennifer Nicole Hughes (“Jennifer”) and David Wayne Hughes (“David”) appeal the order of the Sebastian County Circuit Court adjudicating their twin seven-year-old daughters, MC1 and MC2, dependent-neglected. Both Jennifer and David argue that the Arkansas Department of Human Services (“the Department”) failed to sufficiently prove that the children were dependent-neglected. We affirm.

I. Factual and Procedural Background On September 8, 2025, the Department placed a hold on MC1 and MC2 because of suspected sexual abuse of MC1 after receiving a report from the Arkansas State Police. Upon questioning Jennifer and David, the Department learned that although Jennifer and David were married, they slept in different rooms; MC1 and MC2 had slept in David’s bed, and he had changed MC1’s pull-up diaper during the night; Jennifer discovered MC1’s pull-up

contained bloody urine the next morning; MC1 continued to have blood in her pull-up, which led Jennifer and David to take her to Arkansas Children’s Hospital (“ACH”); MC1 required four sutures to repair a tear in her vaginal wall; and MC1 had been with her parents and three siblings exclusively during the forty-eight hours leading up to their arrival at ACH. On September 10, the Department filed a petition for dependency-neglect and emergency custody. The court entered an order granting the request for emergency custody of the children the following day.

On September 15, the court held a probable-cause hearing and found an emergency existed warranting the Department’s continued custody of MC1 and MC2. The adjudication hearing was then set.

The adjudication hearing took place on October 27 and November 3 and 4.1 At this hearing, the Department first presented the testimony of Dr. Todd Maxson, the pediatric surgeon who repaired MC1’s vaginal tear. Dr. Maxson stated that MC1 required anesthesia for examination. He found that MC1 had suffered a one-and-a-half- to two-centimeter internal mucosal tear of her vagina, and she had developed blood clots within her vagina, indicating it had bled before she was taken into the operating room. He did not find any external injury to her vagina. Dr. Maxson placed four sutures in the mucosa to stop the bleeding. He testified as follows regarding MC1’s type of injury:

Q. . . . Is this type of injury consistent with penetration trauma?

1 After adjudicating the minor children dependent-neglected, the court held a hearing on the disposition. Appellees’ brief discussed the testimony and evidence presented during the disposition; however, we did not consider this portion of the hearing.

A. It is.

Q. And is it your experience that an accidental fall could cause a posterior vaginal injury -- tear?

A. I don’t see that. What we -- what I typically see where there’s a fall or a straddle injury, probably is the most common, is I see some injury externally on the vagina. I typically see some injury at the introitus to the vagina. I don’t believe I’ve ever seen an isolated internal vaginal injury without injury to the -- to those other parts of the genitalia from a fall.

....

Q. Would you expect fresh bleeding shortly after a traumatic event?

A. I would.

Q. In pediatric medicine, is an internal vaginal tearing considered a red flag for sexual trauma?

A. It is considered a red flag, yes.

Dr. Maxson further testified that MC1 had no prior medical condition that would cause this type of tear. He opined that an injury significant enough to go to the operating room for bleeding with no explanation of how it occurred would lead him to consult the TCAR team2 and a social worker.

Dr. Maxson conceded on cross-examination by David’s counsel that he did not know what caused MC1’s vaginal tear. He was not asked to perform a rape-test kit, and thus, one was not done.

2 TCAR stands for ACH’s Team for Children at Risk for sexual abuse and neglect.

On cross-examination by Jennifer’s counsel, Dr. Maxson testified that MC1’s hymen was still intact. On redirect examination, Dr. Maxson explained that MC1’s hymen could remain intact after sexual penetration had occurred.

The next witness to testify was Dr. Sara Golden, who was designated as an expert witness without objection. Dr. Golden is an ACH child-abuse pediatrician who reviewed MC1’s medical records. Dr. Golden testified that vaginal bleeding in a seven-year-old is abnormal and that MC1’s laceration indicated that trauma occurred. Dr. Golden was questioned about the severity of MC1’s type of injury and what that meant:

Q. . . . The need for sutures, I’m sorry, does it indicate a more minor or more severe type injury?

A. I would say that the need for sutures indicates that this is a significant injury.

Q. In your opinion, is a posterior vaginal tear in a seven-year-old warrant concern for sexual abuse and why?

A. Yes, it does.

....

A. . . . The reason being is that seven-year-old children ideally would not have any vaginal bleeding at all. In the event that they have lacerations, like I mentioned previously, it’s the result of trauma.

When speaking to the child directly, she denied self-insertion of any objects or falling onto objects, and so penetrating vaginal trauma from sexual abuse is very high on the differential diagnosis.

Given that David and Jennifer noticed fresh blood in three pull-ups on the morning of the surgery, Dr. Golden believed that MC1’s injury had occurred recently. When asked

about the causes of MC1’s injury, Dr. Golden stated that this injury could not be caused during the normal care of a seven-year-old. While she acknowledged that an injury like MC1’s could be accidental, in MC1’s particular case, the family did not provide a history of accidental trauma.

Dr. Golden testified that from a child-maltreatment medical perspective, MC1’s type of injury justified continued protective custody by the Department until the safety of the minor children could be ensured since there was a high concern for sexual abuse. Dr. Golden acknowledged that MC1 denied being a victim of sexual abuse and that MC1 had developmental delays; however, Dr. Golden stated that, in her experience, denial is common in victims of sexual abuse and that children with developmental delays are at a higher risk for sexual abuse.

When asked about the mechanism for the potential sexual abuse, Dr. Golden stated that it was unknown but that it could have been caused by way of a penis, a finger, or an object. She stated her belief that the caregivers should have had an explanation for MC1’s injury given the fact that she was only seven years old at the time.

When asked whether MC1 could have caused this injury to herself by way of masturbation, Dr. Golden explained that it is uncommon to see actual penetrative actions with child masturbation; however, in the rare instance that it does occur, it is typically seen in young adults. Further, she stated that she had never personally seen penetrative stimulation in a child MC1’s age.

Shelby Bouren (“Shelby”), the ACH clinical social worker, testified next. Shelby stated that she was assigned to MC1’s case and that she interviewed the parents about MC1’s injury. Shelby stated that they denied having any precise knowledge about the cause of MC1’s injury.

Shelby stated that she also interviewed MC1. MC1 denied any knowledge of how her injury occurred, and she acted out how David assisted her with changing her pull-up through the night. Shelby noted that when she asked MC1 about the cause of her injury, MC1 became tearful and began to cry. Shelby testified that when she attempted to provide support to MC1 during this time, MC1 denied that she was crying.

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