Morgan M. v. Superior Court CA4/1

CourtCalifornia Court of Appeal
DecidedSeptember 27, 2013
DocketD063873
StatusUnpublished

This text of Morgan M. v. Superior Court CA4/1 (Morgan M. v. Superior Court CA4/1) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Morgan M. v. Superior Court CA4/1, (Cal. Ct. App. 2013).

Opinion

Filed 9/27/13 Morgan M. v. Superior Court CA4/1 NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

COURT OF APPEAL, FOURTH APPELLATE DISTRICT

DIVISION ONE

STATE OF CALIFORNIA

MORGAN M. et al., D063873

Petitioners, (San Diego County Super. Ct. No. NJ14734) v.

THE SUPERIOR COURT OF SAN DIEGO COUNTY,

Respondent;

SAN DIEGO COUNTY HEALTH AND HUMAN SERVICES AGENCY et al.,

Real Parties in Interest.

PROCEEDINGS in mandate after referral to a Welfare and Institutions Code section

366.261 hearing. Blaine K. Bowman, Judge. Petitions granted; stay vacated.

Law Offices of Johnson & Johnson and Carin L. Johnson for Petitioner Morgan M.

Kenneth R. Elliott for Petitioner Daniel M.

1 Unless otherwise specified, further statutory references are to the Welfare and Institutions Code. Thomas E. Montgomery, County Counsel, John E. Philips, Chief Deputy County

Counsel and Lisa M. Maldonado, Deputy County Counsel, for Real Party in Interest San Diego

County Health and Human Services Agency.

Morgan M. and Daniel M. seek review of juvenile court orders denying family

reunification services and setting a hearing under section 366.26. Morgan and Daniel contend

the juvenile court abused its discretion and violated their due process rights to a fair trial when

it denied Morgan's request for a continuance after the discovery of material new evidence that

supported their position that their infant's multiple fractures were caused by vitamin D

deficiency rickets. They further contend there is not substantial evidence to support the

findings they severely physically abused their child and that reunification services were

unlikely to prevent reabuse. Morgan also asserts she was denied effective assistance of

counsel.

We conclude that the juvenile court abused its discretion when it denied Morgan's

request for a continuance after the discovery of new evidence showing that their child had

deficient levels of 25-hydroxy vitamin D at the time she sustained her injuries.

Accordingly, we grant the petitions.

FACTUAL AND PROCEDURAL BACKGROUND

Morgan and Daniel are the parents of Ariel M., who was born in July 2012. On October

23, 2012, Morgan and Daniel noticed that Ariel's left leg was swollen and sought emergency

medical care. Doctors diagnosed Ariel with fractures2 to the ninth and tenth right posterior

ribs, left proximal femur, left distal femur, right distal femur, right proximal fibula, right

2 Doctors initially diagnosed Ariel with 14 fractures. Later X-rays confirmed only 11 fractures. 2 proximal tibia, right distal tibia, left proximal tibia, left distal tibia and the right acromion,

which is the part of the scapula that forms the point of the shoulder.3 Ariel's parents had no

explanation for her injuries.

The evaluating radiologist reported that Ariel's bones generally had a normal

mineralized appearance and the fractures were highly specific for nonaccidental trauma.

Timothy A. Roberts, M.D., Ariel's attending physician, ordered vitamin D lab tests to

determine whether Ariel had any underlying metabolic problems that could help explain her

injuries. Dr. Roberts started Ariel on vitamins and iron for vitamin D supplementation.

At the hospital, Morgan and Daniel remained at Ariel's bedside and provided emotional

care and support to her. Morgan was Ariel's primary caregiver. As a United States Marine,

Daniel worked approximately 11 hours a day. When he returned home, he made dinner and

helped Morgan. He did not have any concerns about Morgan's interactions with Ariel.

Ariel had had regular medical checkups since birth. When Ariel was one month old, the

parents sought medical care when Ariel appeared to have bruises. They reported that the area

around Ariel's right eye appeared bruised after she had been crying. She also had marks on her

torso after having been held by several family members. At the time of the examination, Ariel

had a grey ring-shaped bruise on each buttock surrounding the location of the ischium bone.

Ariel's pediatrician noted "recurring episodes of increased venous pooling in the skin which

gives the appearance of a bruise." The pediatrician gave Ariel a vitamin K shot and requested

a dermatology consult, which occurred when Ariel was six weeks old. The dermatologist

reported that the lesions did not appear to be ecchymosis (bruises) because they lacked the

3 Stedman's Medical Dictionary (28th ed. 2006) page 19, column 2 (Stedman's). 3 characteristic color progression due to degradation of hemoglobin. Ariel did not have any

additional lesions after she received vitamin K.

On October 25, Sarah A. Villarroel, M.D., evaluated Ariel for possible genetic causes of

fragile bones. Morgan had a history of bone pain in her hips and back. However, there was no

family history of brittle bone disease (osteogenesis imperfecta). Ariel did not have risk factors

for rickets. Although radiologic imaging demonstrated normal bone mineralization, in view of

Ariel's multiple fractures, Dr. Villarroel considered an underlying vitamin deficiency and noted

that vitamin D studies were pending. Dr. Villarroel did not believe there was a genetic cause

of Ariel's injuries. The discriminant factor would likely be Ariel's placement in a protective

location. If she did not continue to fracture, her injuries would be highly suggestive of

nonaccidental trauma.

After Ariel's discharge from the hospital, Dr. Roberts discovered that a 25-hydroxy

vitamin D level4 had not been ordered and asked the lab to obtain 25-hydroxy vitamin D levels

from Ariel's serum. The lab result for this test was not included in the medical records that

were provided to the San Diego County Health and Human Services Agency (Agency).

On October 29, 2012, the Agency filed a two-count petition alleging the parent(s)

physically abused Ariel and she suffered severe physical abuse by a parent, or by any person

known by the parent, and the parent knew or reasonably should have known that the person

was physically abusing the child.5 (§ 300, subds. (a) & (e).) The Agency detained Ariel in

4 The 25-hydroxy vitamin D test measures body's ability to store vitamin D.

5 The United States Navy conducted a criminal investigation and issued an interim report in December 2012. The record does not reflect the outcome of the investigation. 4 protective custody, first with a foster parent and then with her maternal grandmother. The

Agency recommended that the juvenile court deny reunification services to the parents.

The jurisdiction and dispositional hearings were continued to allow the parents to obtain

a second opinion about Ariel's injuries at the Osteogenesis Imperfecta Clinic at Shriner's

Hospital for Children (Clinic). Gayle H. Tyerman, M.D., examined Ariel at the Clinic on

December 3. Referring to X-rays taken that day, Dr. Tyerman said Ariel's bones appeared to

be healthy and showed normal mineralization, and she did not have any new fractures. Other

than the unexplained fractures, Ariel was a completely healthy baby. Ariel's genetic test was

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