Letara Davis and Jared Davis v. Arkansas Department of Human Services and Minor Children

2024 Ark. App. 240
Court of Appeals of Arkansas·Decided April 10, 2024·Published·Cited by 4 cases

Opinion

Cite as 2024 Ark. App. 240 ARKANSAS COURT OF APPEALS DIVISION IV

No. CV-23-598

Opinion Delivered April 10, 2024 LETARA DAVIS AND JARED DAVIS APPELLANTS APPEAL FROM THE BENTON COUNTY CIRCUIT COURT

[NO. 04JV-23-141]

V.

HONORABLE THOMAS E. SMITH, ARKANSAS DEPARTMENT OF JUDGE HUMAN SERVICES AND MINOR CHILDREN APPELLEES AFFIRMED

RITA W. GRUBER, Judge

On June 26, 2023, the Benton County Circuit Court entered an order adjudicating LeTara and Jared Davis’s three minor children dependent-neglected as defined by the Arkansas Juvenile Code. See Ark. Code Ann. §§ 9-27-301 et seq. (Repl. 2020 & Supp. 2023). On July 10, 2023, LeTara and Jared filed a motion to reconsider, which the circuit court denied on August 8, 2023. They appeal the adjudication order and the denial of their motion to reconsider. We affirm.

On February 15, 2023, the Arkansas Department of Human Services (DHS) removed the Davis’s three children (MC1, MC2, and MC3) from their parents’ custody due to suspicions of Munchausen syndrome by proxy (MBP), also known as factitious disorder.1

1 MC1 was born in 2008; MC2 was born in 2010; and MC3 was born in 2013.

On February 17, 2023, DHS filed a petition for emergency custody and dependency-

neglect. The petition alleged that the three children were neglected due to abandonment, abuse, neglect, and/or parental unfitness to one or more of the juveniles, a sibling, or other juveniles as defined at Arkansas Code Annotated section 9-27-303(A)(17) (Supp. 2023). The petition further alleged that removal from the parents’ care was necessary to protect the juveniles’ health, safety, and physical well-being from immediate danger and that it was contrary to the welfare of the children to remain in the custody of their parents. The circuit court granted the petition on the day it was filed.

An affidavit attached to the petition included notes by Dr. Karen Farst of Arkansas Children’s Hospital (ACH), the medical director of ACH’s Team for Children at Risk, documenting the reasons why there was concern that LeTara had falsified the true medical condition of each child, resulting in unnecessary medical care with potentially harmful consequences—known as pediatric condition falsification (PCF) or MBP. For example, LeTara claimed that each child required treatment for glycogen storage disease (GSD), but none of their medical records supported this diagnosis, however, and all tests administered at ACH indicated otherwise. LeTara also claimed that each child had Ehlers-Danlos syndrome (EDS), which limited their physical capabilities and required one of them to be wheelchair bound; again, there was no evidence to support these claims. Multiple medical providers at ACH had voiced concerns that LeTara was providing inaccurate information about the children’s medical history and exaggerating their symptoms, which led to unnecessary and potentially dangerous medical treatment for each child. The doctors at

ACH were further concerned that LeTara’s behavior was escalating and leading to more invasive procedures and that Jared was doing nothing to prevent her behavior.

On February 21, 2023, the circuit court held a probable-cause hearing. The court found that probable cause existed for the emergency order to remain in place. It also found probable cause to believe that the emergency conditions causing the children’s removal from the parents’ custody continued; that a return of custody to the parents was contrary to the children’s welfare; and that it was in the children’s best interest and was necessary for their protection, health, and safety that they remain in DHS custody. The court set an adjudication hearing for March 28.

The adjudication hearing was continued twice, ultimately occurring on April 11, April 25, and May 16, 2023. The adjudication order was entered on June 26, 2023, finding the facts alleged in DHS’s petition to be true and correct and adjudicating the children dependent-neglected due to abuse as a result of MBP; parental unfitness; and educational neglect. Specifically, the circuit court found that LeTara had been diagnosed with MBP and that Jared was aware of the situation and allowed it to continue. Additionally, the court found that LeTara’s reports to medical providers about the children’s ailments were never confirmed by medical providers and that LeTara’s MBP caused harm to the children because they believed they had physical limitations that prevented them from participating in school, negatively impacting their futures.

On July 10, 2023, the parents filed a motion to reconsider, which the circuit court denied on August 8, 2023. This timely appeal followed. Appellants raise three points: (1)

there was insufficient evidence to support the circuit court’s finding that the children were dependent-neglected; (2) the circuit court’s denial of their motion to compel discovery was an abuse of discretion, against substantial evidence, and clearly erroneous; and (3) the circuit court’s sustaining “the hearsay objection” was a manifest abuse of discretion. Appellants include various subpoints and arguments in their points on appeal, which DHS reorganizes as four points and which we use in addressing this appeal.

I. Whether Appellants’ Challenge to the Probable-Cause Order Has Merit As part of their first point on appeal, appellants challenge the circuit court’s probable-

cause order. Probable-cause orders, however, are not appealable. Stoliker v. Ark. Dep’t of Hum. Servs., 2012 Ark. App. 415, at 9, 422 S.W.3d 123, 128. Thus, appellants cannot challenge the court’s finding that probable cause existed.

II. Whether the Circuit Court Erred in Adjudicating the Children Dependent-Neglected Appellants challenge the circuit court’s finding that the three children were dependent-neglected on the grounds of abuse, educational neglect, and parental unfitness. A dependent-neglected juvenile is defined, in part, as any juvenile at substantial risk of serious harm as a result of abuse, neglect, or parental unfitness to the juvenile or a sibling of the juvenile. Ark. Code Ann. § 9-27-303(17)(A)(ii), (v), & (vi) (Supp. 2023). Substantial risk speaks in terms of future harm to the child—not actual harm. Heggins v. Ark. Dep’t of Hum. Servs., 2023 Ark. App. 45, at 11, 659 S.W.3d 716, 723.

A dependency-neglect adjudication occurs without reference to which parent committed the acts or omissions leading to the adjudication: the juvenile is simply

dependent neglected—there is no such thing as a “dependent-neglected parent.” Id. At this stage of proceedings, the focus is on the child rather than the parent. Maynard v. Ark. Dep’t of Hum. Servs., 2011 Ark. App. 82, at 5–6, 389 S.W.3d 627, 629. Only one basis is necessary to support a dependency-neglect finding. Heggins, 2023 Ark. App. 45, at 11, 659 S.W.3d at 723.

Among the acts constituting abuse is an intentional or knowing act, with or without physical injury, of “[s]ubjecting a child to Munchausen syndrome by proxy, also known as ‘factitious illness by proxy,’ when reported and confirmed by medical personnel or a medical facility.” Ark. Code Ann. § 9-27-303(3)(A)(vii)(j). The statute does not require that a mental health professional make the diagnosis; it requires only that the conditions be reported and confirmed by medical personnel. Schneider v. Ark. Dep’t of Hum. Servs., 2020 Ark. App. 455, at 15–16. Neglect includes the failure to ensure that a child between six and seventeen years of age “is enrolled in school or is being legally home-schooled.” Ark. Code Ann. § 9-27- 303(37)(ix)(a). Parental unfitness is not defined in our juvenile code; however, we have held that a fit parent would not exaggerate or misrepresent symptoms to medical professionals, and a fit parent would not acquiesce to another caregiver’s false reporting. Schneider, 2020 Ark. App. 455, at 5.

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