2024CA1268 Peo in Interest of H-SKR 02-06-2025
COLORADO COURT OF APPEALS
Court of Appeals No. 24CA1268 City and County of Denver Juvenile Court No. 23JV30929 Honorable Laurie A. Clark, Judge
The People of the State of Colorado,
Appellee,
In the Interest of H-S.K.R., a Child,
and Concerning J.A.R.,
Appellant.
JUDGMENT AFFIRMED
Division IV Opinion by JUDGE GROVE Harris and Pawar, JJ., concur
NOT PUBLISHED PURSUANT TO C.A.R. 35(e) Announced February 6, 2025
Kerry Tipper, City Attorney, Amy J. Packer, Assistant City Attorney, Denver, Colorado, for Appellee
Josi McCauley, Guardian Ad Litem
Michael Kovaka, Office of Respondent Parents’ Counsel, Littleton, Colorado, for Appellant ¶1 J.A.R. (mother) appeals the judgment adjudicating H-S.K.R.
(the child) dependent and neglected. We affirm.
I. Background
¶2 In October 2023, the Denver Department of Human Services
(Department) received a report that mother had appeared at the
hospital claiming to be pregnant when she was not. Mother
returned to the hospital by ambulance several hours later, stating
that she was in active labor. After the second visit, hospital staff
placed mother on a mental health hold, and the Department
removed the child from her care.
¶3 The Department then filed a petition in dependency and
neglect. Mother denied the allegations and requested a bench trial.
The juvenile court conducted a trial over two days in February
2024. After hearing the evidence, the court adjudicated the child
dependent and neglected under section 19-3-102(1)(c), C.R.S. 2024
(the injurious environment provision), and 19-3-102(1)(e) (the no-
fault provision).
1 II. Sufficiency of the Evidence
¶4 Mother contends that the evidence was insufficient to support
the juvenile court’s decision to adjudicate the child dependent and
neglected. We disagree.
A. Applicable Law and Standard of Review
¶5 “The purpose of an adjudicatory hearing is to determine
whether the factual allegations in the dependency and neglect
petition are supported by a preponderance of the evidence, and
whether the status of the subject child or children warrants
intrusive protective or corrective state intervention into the familial
relationship.” People in Interest of A.M., 786 P.2d 476, 479 (Colo.
App. 1989).
¶6 As relevant here, a child is dependent and neglected if (1)
“[t]he child’s environment is injurious to his or her welfare” or (2)
the child is “without proper care . . . through no fault of [the]
parent.” § 19-3-102(1)(c), (e). A child is in an injurious
environment when a child is in a situation that is likely harmful to
the child. People in Interest of J.G., 2016 CO 39, ¶ 26. “Proper
parental care means the minimum level of care or services and
2 necessities that are required to prevent any serious threat to the
child’s health or welfare.” CJI-Civ. 41:7 (2024).
¶7 An adjudication of dependency and neglect must be based on
existing circumstances and related to the child’s status at the time
of adjudication. People in Interest of A.E.L., 181 P.3d 1186, 1192
(Colo. App. 2008). But that does not mean that a juvenile court
must find that the child is receiving improper care at the time of the
hearing. People in Interest of S.X.M., 271 P.3d 1124, 1130 (Colo.
App. 2011). Instead, an adjudication may be based on current,
past, or prospective harm. See People in Interest of G.E.S., 2016
COA 183, ¶ 15.
¶8 In considering prospective harm, the task is to determine
whether the child will lack proper parental care or the child’s
environment will be injurious to the child if returned to the parent.
S.X.M., 271 P.3d at 1130. Said another way, a juvenile court may
consider whether it is likely or expected that a child will be
dependent and neglected if returned to the parent. People in
Interest of S.N., 2014 COA 116, ¶¶ 15-16. Such a determination
may be based on the “parent’s past conduct and current
circumstances.” See id. at ¶ 17.
3 ¶9 Whether a child is dependent and neglected presents a mixed
question of fact and law because it requires the application of
evidentiary facts to statutory grounds. People in Interest of M.M.,
2017 COA 144, ¶ 17. Thus, we review the juvenile court’s factual
findings for clear error but review de novo the court’s legal
conclusions based on those facts. People in Interest of S.R.N.J-S.,
2020 COA 12, ¶ 10.
¶ 10 When determining whether the evidence is sufficient to
sustain an adjudication, we review the record in the light most
favorable to the prevailing party and draw every inference fairly
deducible from the evidence in favor of the juvenile court’s decision.
People in Interest of S.G.L., 214 P.3d 580, 583 (Colo. App. 2009).
We will not disturb the court’s findings and conclusions if the
record supports them, even though reasonable people might arrive
at different conclusions based on the same facts. Id. We may,
however, set aside a court’s order based on errors of law or findings
that do not conform to the statutory criteria. Id.
B. Analysis
¶ 11 At the adjudication hearing, the juvenile court heard
testimony from five witnesses: (1) an emergency room nurse; (2) an
4 evaluator on the hospital’s assessment and referral team; (3) an
intake caseworker; (4) a family reintegration therapist; and (5) an
ongoing caseworker.
¶ 12 The emergency room nurse testified that mother came to the
hospital claiming that she was pregnant, but after several tests,
hospital staff determined that mother was not pregnant. The
evaluator said that mother made some “mildly delusional”
statements during this visit to the hospital, but the evaluator
ultimately determined that mother did not meet the criteria for a
mental health hold. The nurse said that mother was provided with
some mental health resources and discharged.
¶ 13 The nurse testified that mother returned to the emergency
room in an ambulance less than twelve hours later, and this time,
the child was with her. The nurse noticed that the child was
wearing only a shirt, even though it was very cold outside. The
evaluator said that mother’s “perception of reality was significantly
worse” on the second trip to the hospital. For example, in addition
to her continued belief that she was pregnant, mother also reported
that she was being drugged, people were tapping her phone calls,
and she was being prevented from making outbound calls. The
5 evaluator also observed mother’s inattentiveness to the child,
including an incident in which the child urinated on the floor of the
hospital room, but mother did not do anything. Ultimately, the
evaluator determined that mother met the criteria for a mental
health hold.
¶ 14 Shortly thereafter, the intake caseworker responded to the
hospital to speak with mother and take custody of the child. The
intake caseworker said that mother denied having any mental
health issues and said that she “just needed a break.” In her
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2024CA1268 Peo in Interest of H-SKR 02-06-2025
COLORADO COURT OF APPEALS
Court of Appeals No. 24CA1268 City and County of Denver Juvenile Court No. 23JV30929 Honorable Laurie A. Clark, Judge
The People of the State of Colorado,
Appellee,
In the Interest of H-S.K.R., a Child,
and Concerning J.A.R.,
Appellant.
JUDGMENT AFFIRMED
Division IV Opinion by JUDGE GROVE Harris and Pawar, JJ., concur
NOT PUBLISHED PURSUANT TO C.A.R. 35(e) Announced February 6, 2025
Kerry Tipper, City Attorney, Amy J. Packer, Assistant City Attorney, Denver, Colorado, for Appellee
Josi McCauley, Guardian Ad Litem
Michael Kovaka, Office of Respondent Parents’ Counsel, Littleton, Colorado, for Appellant ¶1 J.A.R. (mother) appeals the judgment adjudicating H-S.K.R.
(the child) dependent and neglected. We affirm.
I. Background
¶2 In October 2023, the Denver Department of Human Services
(Department) received a report that mother had appeared at the
hospital claiming to be pregnant when she was not. Mother
returned to the hospital by ambulance several hours later, stating
that she was in active labor. After the second visit, hospital staff
placed mother on a mental health hold, and the Department
removed the child from her care.
¶3 The Department then filed a petition in dependency and
neglect. Mother denied the allegations and requested a bench trial.
The juvenile court conducted a trial over two days in February
2024. After hearing the evidence, the court adjudicated the child
dependent and neglected under section 19-3-102(1)(c), C.R.S. 2024
(the injurious environment provision), and 19-3-102(1)(e) (the no-
fault provision).
1 II. Sufficiency of the Evidence
¶4 Mother contends that the evidence was insufficient to support
the juvenile court’s decision to adjudicate the child dependent and
neglected. We disagree.
A. Applicable Law and Standard of Review
¶5 “The purpose of an adjudicatory hearing is to determine
whether the factual allegations in the dependency and neglect
petition are supported by a preponderance of the evidence, and
whether the status of the subject child or children warrants
intrusive protective or corrective state intervention into the familial
relationship.” People in Interest of A.M., 786 P.2d 476, 479 (Colo.
App. 1989).
¶6 As relevant here, a child is dependent and neglected if (1)
“[t]he child’s environment is injurious to his or her welfare” or (2)
the child is “without proper care . . . through no fault of [the]
parent.” § 19-3-102(1)(c), (e). A child is in an injurious
environment when a child is in a situation that is likely harmful to
the child. People in Interest of J.G., 2016 CO 39, ¶ 26. “Proper
parental care means the minimum level of care or services and
2 necessities that are required to prevent any serious threat to the
child’s health or welfare.” CJI-Civ. 41:7 (2024).
¶7 An adjudication of dependency and neglect must be based on
existing circumstances and related to the child’s status at the time
of adjudication. People in Interest of A.E.L., 181 P.3d 1186, 1192
(Colo. App. 2008). But that does not mean that a juvenile court
must find that the child is receiving improper care at the time of the
hearing. People in Interest of S.X.M., 271 P.3d 1124, 1130 (Colo.
App. 2011). Instead, an adjudication may be based on current,
past, or prospective harm. See People in Interest of G.E.S., 2016
COA 183, ¶ 15.
¶8 In considering prospective harm, the task is to determine
whether the child will lack proper parental care or the child’s
environment will be injurious to the child if returned to the parent.
S.X.M., 271 P.3d at 1130. Said another way, a juvenile court may
consider whether it is likely or expected that a child will be
dependent and neglected if returned to the parent. People in
Interest of S.N., 2014 COA 116, ¶¶ 15-16. Such a determination
may be based on the “parent’s past conduct and current
circumstances.” See id. at ¶ 17.
3 ¶9 Whether a child is dependent and neglected presents a mixed
question of fact and law because it requires the application of
evidentiary facts to statutory grounds. People in Interest of M.M.,
2017 COA 144, ¶ 17. Thus, we review the juvenile court’s factual
findings for clear error but review de novo the court’s legal
conclusions based on those facts. People in Interest of S.R.N.J-S.,
2020 COA 12, ¶ 10.
¶ 10 When determining whether the evidence is sufficient to
sustain an adjudication, we review the record in the light most
favorable to the prevailing party and draw every inference fairly
deducible from the evidence in favor of the juvenile court’s decision.
People in Interest of S.G.L., 214 P.3d 580, 583 (Colo. App. 2009).
We will not disturb the court’s findings and conclusions if the
record supports them, even though reasonable people might arrive
at different conclusions based on the same facts. Id. We may,
however, set aside a court’s order based on errors of law or findings
that do not conform to the statutory criteria. Id.
B. Analysis
¶ 11 At the adjudication hearing, the juvenile court heard
testimony from five witnesses: (1) an emergency room nurse; (2) an
4 evaluator on the hospital’s assessment and referral team; (3) an
intake caseworker; (4) a family reintegration therapist; and (5) an
ongoing caseworker.
¶ 12 The emergency room nurse testified that mother came to the
hospital claiming that she was pregnant, but after several tests,
hospital staff determined that mother was not pregnant. The
evaluator said that mother made some “mildly delusional”
statements during this visit to the hospital, but the evaluator
ultimately determined that mother did not meet the criteria for a
mental health hold. The nurse said that mother was provided with
some mental health resources and discharged.
¶ 13 The nurse testified that mother returned to the emergency
room in an ambulance less than twelve hours later, and this time,
the child was with her. The nurse noticed that the child was
wearing only a shirt, even though it was very cold outside. The
evaluator said that mother’s “perception of reality was significantly
worse” on the second trip to the hospital. For example, in addition
to her continued belief that she was pregnant, mother also reported
that she was being drugged, people were tapping her phone calls,
and she was being prevented from making outbound calls. The
5 evaluator also observed mother’s inattentiveness to the child,
including an incident in which the child urinated on the floor of the
hospital room, but mother did not do anything. Ultimately, the
evaluator determined that mother met the criteria for a mental
health hold.
¶ 14 Shortly thereafter, the intake caseworker responded to the
hospital to speak with mother and take custody of the child. The
intake caseworker said that mother denied having any mental
health issues and said that she “just needed a break.” In her
investigation, the intake caseworker discovered that mother and the
child had a previous dependency and neglect case in Jefferson
County that had closed a few weeks before the events in this case.
The intake caseworker said that, in the previous case, mother had
taken the child to the hospital claiming that he had been “poisoned
by radiation.” The ongoing caseworker testified that mother
engaged in her treatment plan in the earlier case, including mental
health treatment, and as a result, the department returned the
child to mother’s care.
¶ 15 After mother was released from the mental health hold, the
Department arranged for her to engage in family reintegration
6 therapy. The therapist said that mother attended a few visits with
the child but was eventually discharged because the therapist
thought that mother needed mental health treatment before she
could continue reintegration treatment with the child. The
therapist said that, at the final visit, mother was “[v]ery erratic” and
made some delusional statements, such as “stating that our courts
are going to be taken over by our enemies” and “that she had
friends in Syria . . . and Russia that were going to come get [the
child] from the foster family.”
¶ 16 The ongoing caseworker said that she talked to mother about
mental health services, but mother told the caseworker to “stop
bringing up mental health services” or she would “stop working
with” the Department. The ongoing caseworker noted that mother
had been engaged in mental health treatment in the previous case,
which allowed the department to return the child to her care, but
the caseworker did not believe that mother continued to participate
in treatment after the case ended.
¶ 17 The witnesses also noted that mother’s mental state vacillated
but that she seemed to be able to provide the child with adequate
parental care when she was in an “appropriate mental state.”
7 Nevertheless, both caseworkers opined that mother’s mental health
presented a risk of harm to the child. They testified that the child
was three years old, diagnosed with autism spectrum disorder, and
non-verbal; therefore, the caseworkers noted that the child was
“extremely vulnerable” because he could not self-advocate.
¶ 18 Based on this evidence, the juvenile court determined that the
child was dependent and neglected under the injurious
environment and no-fault provisions. In so concluding, the court
noted that, although the evidence established that mother could
provide proper parental care when she was “in a good state of
mind,” her delusional thinking, coupled with the child’s inability to
“verbally express any fright or concern for an unsafe situation due
to his disabilities,” placed the child in an injurious environment and
established that he lacked proper care.
¶ 19 On appeal, mother asserts that the juvenile court erred
because the evidence showed that she had experienced mental
health challenges at the time that the Department filed its petition
but did not establish that she was unable to provide proper
parental care at the time of the adjudication. We disagree. Recall
that an adjudication may be based on current, past, or prospective
8 harm, see G.E.S., ¶ 15, and that a fact finder must consider
whether the child will lack proper parental care or be in an
injurious environment if returned to the parent, S.X.M., 271 P.3d at
1130. In this case, the evidence established that mother had
experienced delusional thinking that placed that child at risk of
harm. The evidence also showed that mother had a previous case
involving similar concerns, which was resolved because mother
engaged in mental health treatment. But the evidence established
that mother did not continue her treatment and when she was not
addressing her mental health issues, she could not provide the
child with adequate care. The court properly considered this
evidence when determining whether the child would be dependent
and neglected if returned to mother’s care.
¶ 20 Thus, viewing the evidence in the light most favorable to the
Department and drawing every fairly deducible inference in favor of
the juvenile court’s decision, we conclude that the record contains
sufficient evidence to support the court’s determination that the
child was dependent and neglected under subsections (1)(c) and
(1)(e) based on evidence that mother had mental health issues that
prevented her from providing this vulnerable child with proper care,
9 such that that the child’s environment was injurious to his welfare.
See S.G.L., 214 P.3d at 583.
III. Disposition
¶ 21 The judgment is affirmed.
JUDGE HARRIS and JUDGE PAWAR concur.