R.R. v. Superior Court CA4/3 ( 2014 )


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  • Filed 12/30/14 R.R. v. Superior Court CA4/3
    NOT TO BE PUBLISHED IN OFFICIAL REPORTS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 This opinion has not been certified for publication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.
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    FOURTH APPELLATE DISTRICT
    DIVISION THREE
    R. R.,
    Petitioner;
    v.
    THE SUPERIOR COURT OF ORANGE                                           G050819
    COUNTY,
    (Super. Ct. Nos. DP024465,
    Respondent;                                                        DP024466)
    ORANGE COUNTY SOCIAL SERVICES                                          OPINION
    AGENCY et al.,
    Real Parties in Interest.
    Original proceedings; petition for a writ of mandate/prohibition to
    challenge an order of the Superior Court of Orange County, Caryl Lee, Judge. Petition
    granted; writ issued.
    Frank Ospino, Public Defender, Laura Jose, Assistant Public Defender,
    Hong TL Nguyen and Dennis M. Nolan, Senior Deputy Public Defenders, for Petitioner.
    No appearance for Respondent.
    Nicholas S. Chrisos, County Counsel, Karen L. Christensen, Supervising
    Deputy County Counsel, and Jeannie Su, Deputy County Counsel, for Real Party in
    Interest Orange County Social Services Agency.
    Law Offices of Harold LaFlamme and Tina Stevens for Minors.
    *          *           *
    Petitioner R.R. (mother) challenges juvenile court orders in the dependency
    cases of her two daughters, one-year-old M.E. (baby) and three-year old S.E. (sister).
    These cases arose out of baby suffering severe head injuries at the age of two months, at
    which time both children were detained and a dependency petition was filed. Previously
    under the exclusive care of mother and L.E. (father), baby and sister have been in the
    custody of maternal grandparents since the inception of their respective dependency
    cases. At the jurisdictional hearing, expert testimony supported an inference that baby’s
    injuries were caused by child abuse and the court sustained the petitions based on a
    finding that baby’s injuries were inflicted non-accidentally by a parent. At the
    dispositional hearing, the court denied reunification services to both parents, limited
    parental visitation rights, and scheduled a permanency hearing for both minors on
    January 6, 2015. Mother petitions this court for extraordinary relief (Cal. Rules of Court,
    rule 8.452), primarily asserting she should not be denied reunification services based on
    the physical abuse of baby, which she now attributes to father.
    The horrible injuries inflicted on baby clearly support most of the court’s
    findings and orders pertaining to baby and sister. There is no doubt that the court
    properly removed minors from the custody of parents, exercised jurisdiction over the
    minors, and found them to be wards of the court. Nor is there any question that father
    was properly denied reunification services, overriding the usual requirement that such
    2
    services be provided to parents of dependent children. (See Welf. & Inst. Code,
    1
    § 361.5.) The denial of reunification services to mother, however, is a much closer
    question. Having examined the record and considered the bypass provisions cited by the
    court in its denial of reunification services (§ 361.5, subds. (b)(5)-(7)), we conclude there
    is insufficient evidence to support a denial of all reunification services to mother. We
    therefore grant the petition.
    FACTS
    Petition, Detention Report, and Detention Hearing
    On December 11, 2013, Orange County Social Services Agency (SSA)
    filed a section 300 juvenile dependency petition pertaining to baby and sister. The
    petition alleged baby was brought to the hospital on December 8 by her parents as a result
    of what SSA alternately characterized as seizures or convulsions. Upon baby’s
    admittance, a variety of injuries to baby were observed. The injuries included “a skull
    fracture extending from the right side of her head all the way to the back of the child’s
    skull, a she[a]ring injury to the frontal lobe of the brain, chronic and acute bilateral
    subdural bleeding on the brain, bruising behind the right ear, old and new retinal
    hemorrhages, two to three greenish bite marks on her right thigh, possible bite marks on
    her right calf, and bruising on the top of both feet.” The injuries could only be explained
    by “the unreasonable or neglectful acts or omissions of” the parents, who were the sole
    caretakers of baby. According to the petition, parents waited approximately 20 hours to
    take baby to the hospital after observing the first of six to seven convulsions. The
    1
    All statutory references are to the Welfare and Institutions Code.
    3
    petition alleged dependency jurisdiction existed under section 300, subdivisions (a), (b),
    2
    (e), and (j).
    SSA also filed a detention report providing additional detail concerning
    baby, sister, mother, father, and the circumstances leading to SSA’s recommendation to
    detain both children. Apparently, the parents stated baby “may have received the injuries
    on [Friday, December 6]; the father was watching his two daughters . . . while the mother
    was at the store. [Baby] was lying on the bed and [sister] was jumping on the same bed
    when she fell onto [baby] accidentally striking [baby] with her knee on [baby’s] head.
    Parents stated they noticed [baby] having convulsions on [December 7] but did not feel it
    was serious. On [Sunday, December 8, baby] was having more convulsions and they
    brought her to the hospital at 8 pm.” “Dr. [Daphne] Wong, child abuse specialist, stated
    that [sister] could not have caused serious injuries to the child. The parents could not
    offer a reasonable explanation for any of the child’s injuries.” Sister was two years old at
    the time of baby’s hospitalization.
    The court held a detention hearing on December 12, 2013, at which time
    the court approved of SSA’s removal of the children from their parents’ custody. The
    court found a prima facie showing had been made under section 300 and that there was “a
    substantial danger to the physical and emotional health” of the children absent their
    2
    “Any child who comes within any of the following descriptions is within
    the jurisdiction of the juvenile court which may adjudge that person to be a dependent
    child of the court: [¶] (a) The child has suffered, or there is a substantial risk that the
    child will suffer, serious physical harm inflicted nonaccidentally upon the child by the
    child’s parent or guardian. . . . [¶] (b)(1) The child has suffered, or there is a substantial
    risk that the child will suffer, serious physical harm or illness, as a result of the failure or
    inability or his or her parent or guardian to adequately supervise or protect the child . . . .”
    “(e) The child is under the age of five years and has suffered severe physical abuse by a
    parent, or by any person known by the parent, if the parent knew or reasonably should
    have known that the person was physically abusing the child.” “(j) The child’s sibling
    has been abused or neglected, as defined in subdivisions (a), (b), (d), (e), or (i), and there
    is a substantial risk that the child will be abused or neglected, as defined in those
    subdivisions.” (§ 300.)
    4
    removal from parents’ custody. (See § 319, subd. (b).) Neither parent testified, and
    counsel for each parent requested that SSA not question them regarding “the substance of
    the accusations,” with father’s counsel explicitly referencing his Fifth Amendment right
    against self-incrimination. The court ordered monitored visitation of seven hours per
    week for each parent and ordered “SSA to provide reunification services as soon as
    3
    possible to reunify child with family.” The court set a trial for January 28, 2014.
    Jurisdiction/Disposition Report
    SSA filed a jurisdiction/disposition report on January 10, 2014. But a trial
    did not actually go forward in January. Multiple continuances were granted (mostly at
    the request of SSA) and trial did not commence until July. SSA initially indicated further
    investigation was needed to determine the cause of baby’s injuries before providing a
    dispositional recommendation, then repeatedly asked for more time to consult with a
    medical professional concerning baby’s injuries. In this section, we summarize the report
    and the multiple addenda to the report that were filed prior to the jurisdictional hearing,
    which took place in July and August 2014.
    This case was the family’s first contact with SSA and the juvenile court.
    Though unmarried, parents had been together for eight years. Neither parent had a
    criminal record. Father was employed in construction work. The family lived in a rented
    bedroom in a house in Santa Ana, California. Mother disciplined her children by taking
    away toys or threatening to disallow consumption of candy. According to mother, father
    occasionally spanked sister with his hand; father denied any use of physical discipline.
    There was no evidence of alcohol use, drug use, mental health issues, or domestic
    3
    Parents were provided with a packet of information on January 9, 2014,
    including “Resources and Referrals.” It does not appear that either parents or SSA
    actually attempted to enroll parents in any educational or therapy programs. On May 13,
    2013, the social worker noted that she had “not received any verification of enrollment or
    participation in the services the children’s parents were given.”
    5
    violence between parents. After being detained, both children were placed in the care of
    their maternal grandfather. “The parents are visiting the children regularly and have been
    cooperative with” SSA. The parents wanted the children returned to their care; both
    children were too young to state their preferences.
    Most of the factual information in the report was based on interviews
    conducted (around the time of detention) by social worker Wendy Llamas and public
    health nurse Kevin Jerry.
    Mother explained her initial reluctance to take baby to the hospital after the
    symptoms started as stemming from her ignorance as to the true cause of the baby’s
    problems, as well as her belief that vaccinations received by the baby on December 6
    (i.e., a day earlier) might have caused a reaction. Also, father thought mother was
    exaggerating when mother described the symptoms to him. Though the report did not
    quote mother, it described these episodes alternately as “seizures” or “convulsions.”
    Mother estimated the symptoms in each of the six or seven episodes to have lasted about
    a minute. All but the last episode affected half of baby’s body; the last episode appeared
    more extensive. During another interview, mother indicated the first episode was on the
    right side of her body and could be observed in her eyes, tongue, arm, and leg. There is
    no additional detail from mother’s interview accounts describing precisely what baby
    looked like during the episodes. Mother claimed she did not know what was happening
    to baby; the report states mother claims “she did not know what the child was
    experiencing were convulsions until she got to the hospital.” To explain the cause of
    baby’s injuries, mother relayed a story about sister kneeing baby while jumping on the
    bed, but mother professed to lack details because she was not present. When asked to
    explain the presence of two greenish marks on baby’s right thigh (which appeared to be
    bite marks), mother could only suggest that baby bruised easily since birth, particularly
    after going to the doctor. Mother denied that either parent ever hit baby, and asserted her
    belief that the damage was sustained as a result of sister’s play.
    6
    Father confirmed he was caring for the children alone on the evening of
    Friday, December 6. Father was cleaning sister’s high chair, but he turned toward the
    bed in time to see sister “fall onto the bed, with her knee hitting the right side of [baby’s]
    head.” Baby cried for an unspecified period of time and had a bump on her head. Father
    put rubbing alcohol and a hat on her head. Father thought baby was okay. Baby did not
    lose consciousness. When mother noticed baby “trembling” the next day, father was
    sleeping. Mother awoke him and father stated he thought baby was cold. Father thought
    there were five to six episodes in total before baby was brought to the hospital, each
    lasting about one minute. Unlike mother, father recalled baby’s entire body (including
    her facial features) trembling during the episodes he observed, not just one side of her
    body. Even after observing baby’s episodes, father continued to believe baby was merely
    cold. Baby continued to sleep and act normally when the episodes were over. Father
    decided to bring baby to the hospital based on the frequency of the episodes, not because
    the last episode was different from the others. Father did not know how baby sustained
    bruises on her body; he speculated that they related to her vaccinations. Father claimed
    mother had previously raised the issue of bruising with the pediatrician, who did not
    know why the bruising was occurring.
    From the beginning of the case, Dr. Wong described baby’s injuries
    consistently with the allegations in the petition. She “asserted that [baby’s head] injuries
    could not have been caused by the two-year-old sister. Dr. Wong added that [baby] was
    delivered via C-section, indicating that she did not have a traumatic birth,” which could
    have resulted in baby bruising easily. A social worker’s written report from December
    10, 2013, based on information from another social worker (classified as a special
    medical intake coordinator) indicated that the “bite marks . . . are very apparent on her
    Right thigh” and there were “possible bite marks on her Right calf.” There was also
    “bruising on top of both feet,” but there was no report as to whether these injuries were
    obvious.
    7
    At a December 10, 2013 team meeting (involving parents, grandparents,
    social workers, and a nurse), a series of statements were made that are sometimes
    attributed jointly to parents and sometimes attributed to a specific parent. Parents jointly
    (and mother separately) claimed they did not know baby’s shaking symptoms were
    seizures until they were told this information by health care workers at the hospital.
    Mother added that another tenant at their residence had told her (at an unspecified time)
    that baby was suffering from “convulsions.” Mother stated her initial belief was that the
    episodes were a reaction to the December 6 vaccinations. The parents continued to
    attribute baby’s head injuries to sister. The parents are jointly attributed with the
    suggestion that baby’s bruises were “probably caused by the needles used at the hospital
    when [baby] was born. She had an IV; they put needles all over her body to monitor her
    sugar levels.” Parents are also jointly attributed with a statement about “a lot of forceful
    movement” during baby’s birth. The report of the team meeting directly attributes to
    father a statement that baby “had needles in her head on the same side as where she is
    now injured.” A statement about baby crying “a lot since birth” was attributed to mother.
    On April 14, 2014, SSA filed an addendum report describing a meeting
    between a social worker and one of the caretakers, maternal grandmother (who is not
    mother’s biological mother). Maternal grandmother reported that parents were visiting at
    different times; father missed some visits and was not as patient as mother with the
    children. Maternal grandmother stated her belief that father “could have bitten” baby’s
    leg, based on a prior incident in which father had admitted to biting sister on the cheek.
    Father “liked to bite.” Maternal grandmother believes father “may have” caused baby’s
    injuries. Father supposedly said to maternal grandfather that he would take the blame for
    the injuries so the children could be returned to mother.
    On May 12, 2014, SSA filed an addendum report recommending that the
    court sustain the petition, declare children dependents of the court, deny reunification
    services to father and mother, and consider suitable placement orders. The report
    8
    described a May 7 interview with Dr. Wong. “In summary, Dr. Wong indicated [baby]
    suffered an injury that is classified as abusive head trauma. Dr. Wong expressed the
    child sustained non-accidental trauma. Dr. Wong further implied that the child had two
    different brain bleeds; one chronic and one acute bleed. Dr. Wong opined that shaking
    the child vigorously would cause the she[a]ring to the frontal lobe of the brain. Dr. Wong
    indicated the bleeds in the child’s head and the skull fracture the child sustained are a
    result of blunt force trauma and shaking. If left untreated, Dr. Wong expressed the
    child’s seizures may not have stopped and there would be the possibility of death.”
    SSA added in its evaluation: Baby “will most likely endure permanent
    damage as a result of her injuries. [Baby] is currently being evaluated by the Regional
    Center of Orange County . . . . [Baby] is not developmentally on target for her age as
    evidenced by her reported floppy tone . . . .”
    Following this new evidence and SSA’s recommendations, mother sought
    and received an additional continuance to allow her time to retain an expert witness. One
    final SSA addendum report was filed, on July 1, 2014, prior to trial. Regarding sister,
    maternal uncle reported that mother was not adequately disciplining sister for
    misbehavior during visits. Regarding baby, additional seizures had occurred, resulting in
    medication changes and trips to the hospital.
    4
    Jurisdictional Hearing
    Trial on jurisdictional issues occurred over several days from July 7 to
    August 5, 2014. Both mother and father refused to testify, invoking their Fifth
    Amendment right against self-incrimination.
    4
    At mother’s request, the court bifurcated the dispositional issues from the
    jurisdictional issues. The parties stipulated that evidence admitted at the jurisdictional
    hearing could be relied on at the dispositional hearing.
    9
    Dr. Wong, an expert in child abuse, testified first. Dr. Wong relied on her
    personal evaluation of baby on December 9, 2013, as well as her review of primary care
    records, lab results (including a computed tomography scan, a magnetic resonance
    imaging scan, a skeletal survey, an ultrasound, and a chest X-ray), and interviews with
    mother and Dr. Uyen Dangthy Bui (baby’s primary care physician) in forming her
    opinions about baby. Dr. Wong confirmed the description of her opinions in the SSA
    reports, i.e., that baby suffered nonaccidental trauma to her head consistent with the
    allegations in the petition. Dr. Wong believed the lab tests and baby’s medical history
    ruled out the possibility of a bleeding disorder. Dr. Wong does not “believe a two-year-
    old would be able to generate the force that would cause the serious injuries that [baby]
    had.” “Certainly maybe get a bump on the head. But I don’t believe [sister] would be
    able to cause the force that we see in [baby’s injuries].”
    Baby suffered from subdural hematomas (i.e., bleeding under the skull) on
    both sides of her head. The two bleeds “appeared to be of different ages.” Dr. Wong
    believes this indicates two different episodes of abuse. Infection and congenital issues
    were ruled out as causes of the bleeding. The shearing injury to baby’s brain could be
    caused by “a severe blunt force trauma” or a “shaking force.” The skull fracture “had to
    be caused by some blunt force trauma.”
    Asked about baby’s symptoms upon hospitalization, Dr. Wong testified that
    baby “presented with seizures.” Dr. Wong did not describe the observable manifestations
    of the seizures. She agreed that seizures “can be seen in abusive head trauma” cases.
    When asked whether baby’s injuries could have caused death, Dr. Wong stated, “[S]he
    did continue to have quite a few seizures up until the point that she was loaded with
    medication . . . . Without that, she could have . . . had much more serious
    consequences . . . .” Dr. Wong opined that baby’s injuries could have “caused permanent
    physical disability” had they “been left untreated.” Dr. Wong did not testify regarding
    10
    the short-term or long-term effects, if any, of the 20 hour gap between baby’s first seizure
    and her hospitalization.
    Social worker Kendyl Hicks also testified. Hicks did not opine as to which
    parent the evidence pointed to as the perpetrator of the abuse. Hicks had no evidence that
    any particular person inflicted the injuries on baby; she did not know whether father’s
    alleged statements to maternal grandmother would qualify as an admission. Sister had no
    physical injuries on her body at the time of removal. Parents had no history of alcohol or
    drug abuse, no history of domestic violence, and no history of mental illness. Hicks
    agreed that a police report concluded allegations of neglect or abuse against parents in
    connection with baby’s injuries were “unfounded.”
    Hicks did not speak with the pediatric neurosurgeon, Dr. Louden. Based on
    her review of the medical records, Hicks was aware that Dr. Louden’s opinion about
    5
    baby’s injuries was different in some respects form Dr. Wong’s opinion. Hicks agreed it
    was important for the court to have this information, but she did not provide the
    information in any of her reports. Hicks did not speak with baby’s pediatrician in the
    course of her investigation, even though Dr. Wong’s opinion that there were two separate
    instances of head injury would indicate the pediatrician had seen baby in between the two
    5
    The appellate record does not include baby’s medical records, of which
    there were apparently 244 pages. Mother’s counsel cross-examined both Dr. Wong and
    social worker Hicks regarding the contents of those records (and in particular a written
    statement from Dr. Louden from the time of treatment about whether at least one of
    baby’s injuries was consistent with an accidental cause), but apparently did not seek to
    admit these records as exhibits. At one point, counsel purported to read into the record
    Dr. Louden’s key comment, “In light of her significant dilation of her subarachnoid
    spaces, it is reasonable to consider that her subdural hematoma is due to closed head
    injury that she sustained from her older sister a few days ago.” The contents of the
    records are not included in the SSA reports, which were admitted as exhibits. Dr. Louden
    was not called to testify at the jurisdictional or dispositional hearing. And, as pointed out
    by Dr. Wong in her testimony, Dr. Louden’s note did not address baby’s other injuries,
    including the skull fracture, which Dr. Louden apparently did not notice during his
    examination.
    11
    instances of abuse. Hicks did not know how many times mother had taken baby to her
    pediatrician. Hicks was aware that baby was taken to the pediatrician for vaccines on
    December 6, 2013, information she gathered from the medical records. Hicks agreed that
    there had been no determination as to whether the bite marks on baby’s thigh had been
    caused by an adult or child.
    The last witness to testify was Dr. Bui, baby’s (and sister’s) pediatrician.
    Dr. Bui conducted “a well-baby check” on baby on October 11, 2013. This was a normal
    examination for newborns; baby was born in late September 2013. Mother was at the
    appointment with baby. Baby had no fever and appeared to be well-nourished, hydrated,
    and comfortable. Baby’s head was normal with no sign of trauma. Baby’s eyes, ears,
    nose, and throat were normal. Baby did not have bruises. In sum, Dr. Bui did not find
    anything wrong with baby on October 11.
    Dr. Bui also examined baby on December 3 and December 6, 2013. Dr.
    Bui became aware that baby had been taken to Saint Joseph’s Hospital on November 28,
    a date on which his office had been closed for the Thanksgiving holiday. Dr. Bui was
    told that baby was taken to the hospital on November 28 because of vomiting and fever.
    Dr. Bui examined baby at a December 3 appointment as a follow-up to the hospital visit.
    Dr. Bui prescribed medication to address baby’s vomiting and dehydration. Dr. Bui’s
    diagnosis was that baby had reflux, which was causing the vomiting. Overall, baby
    appeared to be well-nourished and well-developed; she was “breathing comfortably” and
    was “not fussy.” Baby’s head appeared to be normal. Dr. Bui found nothing to raise an
    alarm during the December 3 examination. Dr. Bui asked mother to bring baby back in
    two days.
    Mother returned on December 6 with baby. Dr. Bui again examined baby
    and found her “to be well-nourished, well-developed, and in no acute distress.” Baby did
    not appear to be in pain. Dr. Bui did not observe any bruises. Dr. Bui continued to
    prescribe medication for baby and also gave her vaccinations. Mother always acted
    12
    appropriately in her interactions with Dr. Bui. Dr. Bui always conducted a thorough
    examination of baby. Dr. Bui has never noticed any bruising on sister in his
    examinations of sister.
    Dr. Bui recalls talking to Dr. Wong around December 9 or 10. Dr. Bui
    recalls telling Dr. Wong at that time that he had noticed nothing unusual during
    examinations of baby.
    Dr. Bui was not aware of baby having a disorder that would cause her to
    bruise easily, and mother never reported to Dr. Bui that baby bruised easily. Dr. Bui is
    not certified as a child abuse specialist and was not conducting the examinations of baby
    for the purpose of looking for child abuse or trauma. Dr. Bui agreed one could not
    necessarily tell from a visual examination whether a child has suffered head injuries like
    those suffered by baby. A child with head injuries does not always present with acute
    distress. Vomiting is a symptom of head injury. Dr. Bui opined that most parents would
    take their child to the hospital “right away” if the child was suffering from seizures.
    In closing argument, SSA asserted “it appears clear that [baby’s] injuries
    were caused by a parent. The perpetrator at this time is unknown. However, it is clear
    that it is either the mother or the father.”
    The court found the allegations of the petition to be true by a preponderance
    of the evidence, with section 300, subdivisions (a), (b), and (e) applicable to baby, and
    section 300, subdivisions (a), (b), and (j) applicable to sister. The court set a
    dispositional hearing for September 9, 2014. The court noted that one inference to be
    taken from the record was that father committed the acts of abuse while mother was away
    on December 6, 2013, but the court ultimately refrained from finding which parent
    actually committed the abusive acts toward baby. The jurisdictional findings of the court
    are not the subject of this writ petition.
    13
    Dispositional Hearing
    An addendum report was submitted prior to commencement of the
    dispositional hearing. This report stated that both children were doing well in their
    placement with the maternal grandparents and described their appearance as healthy. The
    dispositional hearing occurred over several days, from September 9 to October 1, 2014.
    Mother testified at the dispositional hearing. Mother ended her relationship
    with father two months before her testimony, i.e., in approximately July 2014. Mother
    ended the relationship after hearing the testimony of Dr. Wong at the jurisdictional
    hearing. Before hearing the testimony, mother had believed the injuries were accidental,
    in part based on a statement attributed to Dr. Louden. Mother denies that she committed
    any abuse of baby. Mother still refuses to directly accuse father of committing abuse,
    because she was not present and has never seen him commit violence against her
    children. Mother signed up for parenting and child abuse programs three weeks prior to
    her testimony.
    For the most part, father was never alone with the children for more than 90
    minutes. Mother did not agree with father spanking sister on the few occasions he did so.
    Father admitted to biting sister on her cheek one time, but he never did it again. Father
    said he “became anxious and that’s why he had bitten her.” Mother became angry and
    warned father not to do it again or she would leave him. Now that mother knows there
    were bite marks on baby’s thighs, she agrees father is a risk to baby. Mother noticed
    bruising on baby after her birth, when hospital staff put needles in her feet, hands, and
    head.
    Mother noticed a little bump on baby’s head after she returned from her
    errand on December 6, 2013. Father explained without inquiry from mother about sister
    jumping on the bed and hitting baby with her knee. Mother believed father when he told
    her this. From midnight the next night (i.e., the end of Saturday into Sunday, December
    8), baby exhibited periodic episodes of strange movements with one of her hands. The
    14
    court described mother’s physical gestures on the witness stand as mother, “with her hand
    in a fist, moving at the wrist in a circular motion.” Mother did not see baby roll her eyes
    or baby’s body stiffen. Mother was concerned, but she thought it was a reaction to the
    vaccinations. Baby went to sleep, but then had another episode closer to morning in
    which her hand moved. Mother did not know what a seizure or convulsion was. Mother
    stayed home “almost the entire day” until the afternoon of December 8. Baby “had some
    movements in the morning and then she didn’t have anything in the afternoon.” While
    out to get dinner on December 8, baby’s hand and feet began to “react a little stronger”
    and parents took her to the hospital. Father did not object to mother’s request to take
    baby to the hospital and parents immediately proceeded to the hospital once the decision
    was made to do so. There was no attempt on cross-examination to attack mother’s
    perception of baby’s physical appearance during the seizures, including the fact that she
    had mentioned more than baby’s arm in an interview in December 2013.
    Mother’s aunt testified. She confirmed that mother came to live with her
    alone (i.e., without father) in July 2014. According to aunt, mother was “very patient”
    with her children and was an “excellent mother.” Aunt’s understanding is that baby was
    hurt when sister kneed her in the head. Aunt believes both mother and father are good
    parents.
    The children’s maternal grandfather also testified. He and his wife cared
    for the minors since the beginning of the dependency cases. According to grandfather,
    mother has never missed her visitation allotment with the children. Sister cries when
    mother needs to leave; sister is “too close to her mother . . . .” Mother takes excellent
    care of her children. Grandfather is very protective of his grandchildren, but has no
    concern mother would ever harm them. Grandfather does not know who caused baby’s
    injuries.
    In closing argument, counsel for father and mother each claimed the more
    likely perpetrator was the other parent. Counsel for SSA posited “the court does not need
    15
    to determine who the perpetrator is. It is clear that it is one or both of these parents as the
    child was only under the care of one or both . . . at any time.”
    Dispositional Findings
    The court declared the children to be dependents of the court and found that
    clear and convincing evidence supported removing the children from the physical
    custody of parents under section 361, subdivision (c)(1). The court found that
    reunification services did not need to be provided to parents pursuant to section 361.5,
    subdivisions (b)(5), (6), and (7). Neither the court’s oral statements at the hearing nor the
    minute order explicitly stated that the findings predicate to denying reunification services
    were made by clear and convincing evidence. The court found there was “no evidence
    that [reunification] services would benefit parents and/or the interest of the children . . . .”
    In discussing the evidence, the court noted that baby’s “injuries, to say the
    least, were very significant. I think that that was made clear during our jurisdictional
    hearing. And the evidence did disclose that there was more than one occasion where
    these injuries were inflicted, as various stages of healing were revealed by the diagnostic
    testing.” “[T]here were visible signs that there was something wrong with this child,
    acknowledging that some of the serious nature of what was going on was not
    distinguished until further diagnostic testing was done by medical professionals, of
    course, but bruising, seizures, . . . and waiting 20 hours to have these checked out is quite
    staggering in effect.” “There were signs that both parents should have been on notice that
    there was something gravely wrong, and the [section 300, subdivision (e)] count doesn’t
    require that the court point a finger at a specific parent, and that is certainly is not
    necessary. The analysis that could flow from the [section 300, subdivision (a)] count
    could certainly suggest that perhaps the injuries were inflicted by father when mother
    went to the store; however, it is unclear if that actually could be the case in light of the
    fact that these injuries were from various stages of healing.” The court also found fault
    16
    with mother not initiating treatment services or moving away from father until after the
    jurisdictional hearing. The court rejected the argument that mother did not have
    sufficient information before her early on to conclude that baby’s injuries were not
    accidental. Despite the court’s refusal to actually conclude as a factual matter that father
    committed the abuse, the court criticized mother’s failure to come to terms with father’s
    apparent abuse of baby.
    The court ordered that a permanency planning hearing pursuant to section
    366.26 be held on January 6, 2015. And the court approved of SSA’s case plan and
    6
    visitation plan as set forth in its reports.
    DISCUSSION
    Mother does not challenge the jurisdictional findings of the court in this
    writ petition, including the section 300, subdivision (e), finding by a preponderance of the
    evidence that baby “is under the age of five years and has suffered severe physical abuse
    by a parent, or by any person known by the parent, if the parent knew or reasonably
    should have known that the person was physically abusing the child.” (§ 300, subd. (e).)
    Case law is clear that SSA may employ a “‘res ipsa loquitur’ type of argument to support
    a jurisdictional finding under subdivision (e). There was severe physical abuse of a child
    under five . . . and the child was never out of her parents’ custody and remained with a
    family member at all times; therefore, [parents] inflicted the abuse or reasonably should
    have known someone else was inflicting abuse on their child, bringing [baby] within the
    6
    We grant SSA’s request for judicial notice of a subsequent order adjusting
    the visitation schedule to one 2-hour monitored visit per week for each parent.
    17
    language of section 300, subdivision (e).” (In re E. H. (2003) 
    108 Cal. App. 4th 659
    , 669-
    7
    670, fn. omitted.)
    Instead, mother challenges the court’s orders at the dispositional hearing.
    The key decision by the court at the dispositional hearing was to deny reunification
    services to mother; the limits set on visitation and the scheduling of the section 366.26
    permanency planning hearing followed logically from the denial of reunification services.
    SSA defends the court’s orders, counsel for minors agree with SSA, and father takes no
    part in this writ proceeding. “We review the court’s decision to deny reunification
    services under the substantial evidence test to determine whether it is supported by
    evidence that is reasonable, credible, and of solid value. [Citation.] ‘We do not reweigh
    the evidence, nor do we consider matters of credibility.’” (L.Z. v. Superior Court (2010)
    
    188 Cal. App. 4th 1285
    , 1292 (L.Z.).)
    “Family reunification services play a critical role in dependency
    proceedings. [Citation.] Unless a specific statutory exception applies, the juvenile court
    must provide services designed to reunify the family within the statutory period.”
    (Tyrone W. v. Superior Court (2007) 
    151 Cal. App. 4th 839
    , 845.)
    The court found that reunification services did not need to be provided to
    parents pursuant to section 361.5, subdivisions (b)(5), (6), and (7). “Reunification
    services need not be provided to a parent . . . when the court finds, by clear and
    convincing evidence, any of the following: “(5) That the child was brought within the
    jurisdiction of the court under subdivision (e) of Section 300 because of the conduct of
    7
    As to the section 300, subdivisions (a) and (b) findings, “[w]here the court
    finds, based upon competent professional evidence, that an injury, injuries, or detrimental
    condition sustained by a minor is of a nature as would ordinarily not be sustained except
    as the result of the unreasonable or neglectful acts or omissions of either parent, the
    guardian, or other person who has the care or custody of the minor, that finding shall be
    prima facie evidence that the minor is a person described by subdivision (a), (b), or (d) of
    Section 300.” (§ 355.1, subd. (a).)
    18
    that parent . . . .” or “(6) That the child has been adjudicated a dependent pursuant to any
    subdivision of Section 300 as a result of . . . the infliction of severe physical harm to the
    child, a sibling, or a half sibling by a parent . . . and the court makes a factual finding that
    it would not benefit the child to pursue reunification services with the offending
    parent . . . .” “(7) That the parent is not receiving reunification services for a sibling . . .
    of the child pursuant to paragraph (3), (5), or (6).” (Ibid., italics added.) Obviously,
    subdivision (b)(7) covers sister’s situation if SSA proved either subdivision (b)(5) or
    (b)(6) as to baby by clear and convincing evidence. We must examine the applicability
    of these two subdivisions separately, as either subdivision could independently support
    the court’s order.
    Section 361.5, subdivision (b)(6)
    “[S]ection 361.5, subdivision (b)(6) requires the juvenile court to find that a
    parent inflicted severe physical harm on the child by act, omission or consent before it
    may deny reunification services to that parent under subdivision (b)(6). The Legislature
    did not intend subdivision (b)(6) to apply to deny reunification services to a negligent
    parent; rather, the parent must have been complicit in the deliberate abuse of the child.”
    (Tyrone W. v. Superior 
    Court, supra
    , 151 Cal.App.4th at p. 843; see also In re Kenneth
    M. (2004) 
    123 Cal. App. 4th 16
    , 21 [“By its express terms, subdivision (b)(6) applies to
    the parent who inflicted severe physical harm to the minor”].)
    “A finding of the infliction of severe physical harm, for the purposes of this
    subdivision, may be based on, but is not limited to, deliberate and serious injury inflicted
    to or on a child’s body . . . by an act or omission of the parent or guardian, or of another
    individual or animal with the consent of the parent or guardian; deliberate and torturous
    confinement of the child . . . in a closed space; or any other torturous act or omission that
    would be reasonably understood to cause serious emotional damage.” (§ 361.5, subd.
    19
    (b)(6).) “The court shall read into the record the basis for a finding of . . . severe physical
    harm under paragraph (6) of subdivision (b) . . . .” (Id., subd. (k).)
    In its factual findings, the court listed three bases for its conclusion that
    baby suffered severe physical harm: (1) baby’s “very serious” injuries (presumably, the
    head injuries); (2) the evidence suggesting head injuries were suffered on “more than one
    occasion”; and (3) the “staggering” effect of “waiting 20 hours” to seek medical attention
    for baby’s injuries, some of which could be observed without the diagnostic testing that
    8
    ultimately established the seriousness of the injuries. We assume the court intended for
    all of its findings to apply against mother and review whether there is substantial
    evidence supporting the court’s implicit findings that mother inflicted serious injuries on
    baby through her acts, consent to father’s acts, or omissions.
    First, did mother herself inflict baby’s serious head injuries? The limited
    evidence that is available all points to father as the direct perpetrator of the abuse. Father
    made somewhat incriminating statements suggesting he would take the blame for abusing
    baby. Father was alone with the baby for enough time to inflict the injuries, a day before
    the seizures began. Father volunteered a story about sister harming baby when mother
    returned from her errand, perhaps trying to cover his tracks. Father had spanked sister
    and bit her cheek in the past, while mother never used physical punishment or force
    against her children. Mother stood up to cross-examination in denying culpability for
    9
    baby’s injuries. The record lacks substantial evidence for the proposition that mother
    struck or shook baby.
    8
    The court’s findings leave much to be desired. The court did not
    specifically explain which acts mother directly perpetrated, consented to, or omitted to
    perform. (See In re Kenneth 
    M., supra
    , 123 Cal.App.4th at p. 21 [stating that juvenile
    court must identify perpetrator in making § 361.5, subd. (b)(6) findings].) And the court
    did not make clear whether it was making these findings by clear and convincing
    evidence, as required by section 361.5, subdivision (b).
    9
    Certainly, much of this evidence can be discounted or ignored because it
    20
    Second, did mother consent to baby’s injuries? SSA suggests this case is
    akin to Amber K. v. Superior Court (2006) 
    146 Cal. App. 4th 553
    , wherein reunification
    services were denied to mother under section 361.5, subdivision (b)(6), even though it
    was clearly the father who was the actual perpetrator of the sexual abuse at issue.
    (Amber K., at pp. 561-563.) But in Amber K., there was testimony from a child victim
    that he had told the mother about the sexual abuse over the course of 18 separate
    incidents; the record thus supported a finding that the mother was an offending parent
    alongside the father for actively consenting to the abuse. (Id. at p. 560-562.) “By its
    express terms, section 361.5, subdivision (b)(6) applies to a parent who gave actual or
    implied consent to the sexual abuse of the child by another person, as well as the parent
    who was the actual perpetrator of the sexual abuse.” (Id. at p. 561.)
    SSA points to mother’s prior knowledge of the bite mark on sister’s cheek
    as substantial evidence for the conclusion that mother gave actual or implied consent to
    baby’s head injuries. But there are no details in the record concerning the depth of the
    bite mark and minimal indications of the circumstances that led to this bite (father
    claimed he was “anxious”). Moreover, the scale is out of proportion. The bite mark
    evidence is disturbing, but it is unreasonable to suggest that mother’s forgiveness of
    father’s bite of sister amounted to her consent to the brutal infliction of head injuries on
    baby. Baby also had bruises and bite marks at the hospital. But there is no solid
    evidence that mother discovered these injuries before baby’s hospitalization on December
    8. Despite repeated opportunities for medical professionals to inspect baby, up to and
    including an appointment with Dr. Bui on December 6, there is no evidence anyone
    came from parents (primarily mother) and mother’s relatives, and the court did not find
    either parent to be credible. But if the limited evidence pointing to father as the
    perpetrator is ignored, there is essentially nothing left to determine which parent
    perpetrated the abuse. To simply throw up one’s hands and conclude mother or both
    parents actually struck baby is an affront to the clear and convincing standard of
    evidence.
    21
    suspected child abuse before the December 8 hospitalization. Father’s apparent abuse of
    baby even before the evening of December 6 (as evidenced by expert testimony
    suggesting there were multiple internal bleeds in baby’s head) was uncovered by way of
    medical tests starting on December 8, not mere observation. There is insufficient
    evidence supporting a finding that mother consented to baby’s abuse.
    Third, did mother’s omission or omissions inflict serious physical injury on
    baby? SSA cites Pablo S. v. Superior Court (2002) 
    98 Cal. App. 4th 292
    in support of the
    court’s finding that mother’s (“staggering”) failure to immediately take baby to the
    hospital supports the denial of reunification services. In Pablo S., the minor accidentally
    broke his leg but his parents failed to seek medical attention for nearly two months. (Id.
    at p. 294.) The court rejected the parents’ claim that the application of section 361.5,
    subdivision (b)(6), was inappropriate because “they did not ‘deliberately’ or
    ‘consciously’ inflict harm on” the minor. (Id. at p. 300.) “In light of [the minor’s]
    constant pain and the disfigurement that resulted from the broken leg, the parents’ failure
    to provide medical attention constituted the infliction of serious injury by omission.” (Id.
    at p. 301.) In other words, the occasion on which minor suffered his broken leg was
    beside the point in Pablo S. The injury to minor for purposes of the dependency case was
    caused by the parents’ failure to seek medical attention.
    In theory, the same rationale could apply to the instant case. Even if
    mother had nothing to do with the blunt force and/or shaking injuries, one might posit
    that the 20-hour delay in taking baby to the hospital inflicted serious physical harm in its
    own right. The court certainly found fault with the delay in taking baby to the hospital in
    light of her seizures and visible bruising; Dr. Bui’s testimony and common sense supports
    this critique, as most parents would seek medical attention as soon as possible in these
    circumstances. Taking this line of thought further, it is generally understood that medical
    care is most effective when delivered as quickly as possible. There is no particular
    reason to think that the onset of seizures would be an exception to this common
    22
    understanding. These facts and reasoning amply support the court’s jurisdictional and
    custodial findings as against mother.
    But there remains a gap between the court’s factual findings and the
    conclusion that mother should be denied reunification services under section 361.5,
    subdivision (b)(6) — namely, the need for evidence demonstrating that mother’s
    omission inflicted severe physical harm on baby. This gap is not bridged in the record.
    The record is vague as to the precise characteristics of what were variously referred to as
    seizures, convulsions, or “hand movements” (in mother’s testimony). This lack of
    specificity leaves the factfinder in a poor position to decide (1) whether the seizures
    themselves caused severe physical harm, and (2) whether mother was on actual notice
    (recall that § 361.5, subd. (b)(6), does not apply to negligence) that she was inflicting
    severe physical harm by not taking baby to the hospital. Mother had shown no reluctance
    over the course of baby’s short life to take her to the hospital or her pediatrician, and she
    ultimately took baby to the hospital less than a day after the seizures began. Moreover,
    there is no medical testimony supporting a finding that this 20-hour delay was significant
    10
    to the physical harm suffered by baby.        Were the seizures themselves seriously harmful
    to baby (or were they merely indications of the severe injury already inflicted upon
    baby)? Was baby’s medical outcome worse because of the 20-hour delay? The trial
    court could only have reached answers to these questions by way of speculation.
    In sum, substantial evidence does not support the court’s order under
    section 361.5, subdivision (b)(6). The juvenile court’s order is understandable given the
    seriousness of baby’s injuries, but SSA failed to present sufficient evidence to prove
    mother inflicted severe physical harm upon baby.
    10
    Perhaps this failure in proof occurred because SSA relied on medical
    testimony provided at the jurisdictional hearing rather than recalling Dr. Wong to address
    issues particular to the dispositional hearing.
    23
    Section 361.5, subdivision (b)(5)
    When SSA “‘proves by clear and convincing evidence that a dependent
    minor falls under subdivision (e) of section 300, the general rule favoring reunification
    services no longer applies; it is replaced by a legislative assumption that offering services
    would be an unwise use of governmental resources.’” 
    (L.Z., supra
    , 188 Cal.App.4th at p.
    1292; see § 361.5, subd. (b)(5) [reunification services may be denied if there is clear and
    convincing evidence “[t]hat the child was brought within the jurisdiction of the court
    under subdivision (e) of Section 300 because of the conduct of that parent”]; § 300, subd.
    (e) [dependency jurisdiction exists if “child is under the age of five years and has suffered
    severe physical abuse by a parent, or by any person known by the parent, if the parent
    knew or reasonably should have known that the person was physically abusing the
    11
    child”].)
    It is conceded that mother and father were the sole caretakers for baby and
    that medical expert testimony supported findings that baby’s injuries amounted to severe,
    nonaccidental physical abuse. “For the purposes of this subdivision, ‘severe physical
    abuse’ means any of the following: any single act of abuse which causes physical trauma
    of sufficient severity that, if left untreated, would cause permanent physical
    11
    Jurisdictional findings by a preponderance of the evidence under section
    300, subdivision (e), are insufficient on their own to deny reunification services pursuant
    to section 361.5, subdivision (b)(5); “the facts underlying the section 300[, subdivision
    (e)] abuse finding must be established by clear and convincing evidence.” (K.F. v.
    Superior Court (2014) 
    224 Cal. App. 4th 1369
    , 1373 [reversing denial of reunification
    services].) The court did not explicitly state it was making its findings pursuant to
    section 361.5, subdivision (b)(5), by clear and convincing evidence. To the extent the
    court was simply deferring to its jurisdictional findings, reversal is required. It might be
    assumed, however, that the court was applying the clear and convincing evidentiary
    standard to its factual findings at the dispositional hearing because the court explicitly
    noted that its section 361, subdivision (c)(1), findings were made by clear and convincing
    evidence, and there is significant overlap between the facts relevant to both legal
    questions. As our analysis on the merits results in relief for mother, we need not resolve
    this difficulty.
    24
    disfigurement, permanent physical disability, or death; any single act of sexual abuse
    which causes significant bleeding, deep bruising, or significant external or internal
    swelling; or more than one act of physical abuse, each of which causes bleeding, deep
    bruising, significant external or internal swelling, bone fracture, or unconsciousness; or
    the willful, prolonged failure to provide adequate food.” (§ 300, subd. (e).)
    “Section 300, subdivision (e), and subdivision (b)(5) of section 361.5, . . .
    do not require identification of the perpetrator. [Citation.] Read together, those
    provisions permit denial of reunification services to either parent on a showing that a
    parent or someone known by a parent physically abused a minor. [Citation.] Thus,
    ‘conduct’ as it is used in section 361.5, subdivision (b)(5) refers to the parent in the
    household who knew or should have known of the abuse, whether or not that parent was
    the actual abuser.” (In re Kenneth 
    M., supra
    , 123 Cal.App.4th at p. 21.) But it is
    certainly possible that a section 361.5, subdivision (b)(5), denial of reunification services
    could apply to only one parent. “It may well be that the minor’s other parent was in no
    way involved, either as the abuser or as one with the requisite knowledge of abuse by
    another. There is no reason in this type of situation to deny the other, or innocent, parent
    reunification services.” (In re Joshua H. (1993) 
    13 Cal. App. 4th 1718
    , 1732.)
    As the analysis in the previous section shows, there is insufficient evidence
    for a finding that mother directly inflicted baby’s head injuries; these injuries constitute
    the severe physical abuse of baby under section 361.5, subdivision (b)(5). The issue
    therefore is whether there is substantial evidence supporting the court’s implicit finding
    that mother knew or should have known of the physical abuse of baby, putting aside the
    court’s refusal to classify mother or father as the actual abuser. (See 
    L.Z., supra
    , 188
    Cal.App.4th at p. 1292.) It is not required that SSA prove mother was aware of the
    severity of the abuse of baby, only that mother was aware that father was in fact
    physically abusing baby. (See In re Joshua 
    H., supra
    , 13 Cal.App.4th at pp. 1729-1732.)
    25
    The following evidence and argument can be marshaled in support of the
    court’s order. Baby had previously suffered from vomiting problems that led to parents
    taking her to the hospital. Although medical providers did not diagnose child abuse,
    these vomiting problems (which are consistent with a prior head injury) and trip to the
    hospital should have caused mother to become hypersensitive to baby’s health. Father
    had previously bitten sister’s cheek, which should have caused mother to distrust him
    with her children. The bruising and bite marks on baby (discovered by medical personnel
    on Dec. 8, 2013) should have been observed by mother before December 8 (although
    perhaps not on or before Dec. 6, as Dr. Bui’s examination of baby did not disclose any
    body marks). To the extent it was actually true that mother was away from home on the
    night of Friday, December 6, she should have been suspicious of father’s story that sister
    had harmed baby. When baby’s seizures began, mother should have known something
    more serious had happened to baby than an accident involving sister. Mother’s delay in
    taking baby to the hospital and false explanations for baby’s injuries (e.g., sister’s fall,
    immunizations, needles at the hospital) are evidence of a cover up. Mother was not
    credible based on the court’s observation of her testimony and demeanor. Perhaps if
    mother had immediately called an ambulance (for baby’s seizures) and the police (to
    accuse father of abuse) at an appropriate time after the night of December 6 but before
    8:00 p.m. on December 8, mother could escape the charge that she knew or should have
    known about the abuse and therefore contributed to baby’s severe physical abuse by not
    doing anything about it. But mother did neither of these things.
    We acknowledge that the seriousness of baby’s injuries makes it tempting
    to believe the worst of mother. And we point out yet again that the evidence certainly
    supported the court’s exercise of jurisdiction over minors, the removal of minors from
    parents’ physical custody, and the denial of reunification services to father. But the
    evidence is simply insufficient to support the court’s implied finding that mother knew or
    should have known father was abusing baby.
    26
    12
    
    L.Z., supra
    , 
    188 Cal. App. 4th 1285
    , is directly on point.        “Z.Z. was two
    months old and suffered unexplained, nonaccidental injuries while in her parents’ care
    that included a spiral fracture to her left humerus and nine broken ribs.” (Id. at p. 1287.)
    The juvenile court sustained a dependency petition under section 300, subdivisions (b)
    and (e). (L.Z., at pp. 1287-1288.) Mother and father were teenage parents who had
    issues with domestic violence and alcohol abuse. (Id. at p. 1288.) “Although Mother
    noticed that Z.Z. seemed to be in pain for about a week, her injuries were not discovered
    until Mother brought her in to a regularly scheduled doctor’s visit,” at which time the
    mother expressed concern about the baby’s arm and X-rays were taken. (Ibid.) After
    becoming aware of the extent of baby’s injuries, mother identified an incident in which
    father went into Z.Z.’s room after mother and father had argued. Z.Z. cried after father
    went into her room. (Id. at p. 1289.) But the evidence was unclear as to precisely when
    the injuries were suffered, and the court declined to identify which parent caused Z.Z.’s
    injuries. (Id. at pp. 1289, 1291.)
    The L.Z. appellate court reversed the juvenile court’s denial of reunification
    services to mother. 
    (L.Z., supra
    , 188 Cal.App.4th at pp. 1293-1294.) The conditions in
    which Z.Z. was raised “created circumstances that exposed Z.Z. to situations of extreme
    12
    We note one point of apparent confusion on the part of the trial court and
    trial counsel for SSA. Both expressed the mistaken view that L.Z. was not binding on the
    trial court because it did not issue from the Court of Appeal in this district. California
    trial courts are obligated to follow all Court of Appeal decisions, without regard to the
    geographical location of the authoring Court of Appeal panel. (See Auto Equity Sales,
    Inc. v. Superior Court (1962) 
    57 Cal. 2d 450
    , 455; Cuccia v. Superior Court (2007) 
    153 Cal. App. 4th 347
    , 353-354.) Of course, if appellate court decisions are in conflict, trial
    courts must choose to apply one of the conflicting decisions. (Auto Equity Sales, 
    Inc., supra
    , 57 Cal.2d at p. 456.) And trial courts “ordinarily will follow an appellate opinion
    emanating from its own district even though it is not bound to do so.” (McCallum v.
    McCallum (1987) 
    190 Cal. App. 3d 308
    , 315, fn. 4.) But this latter point is very different
    from the comments made on the record by counsel and the court, which suggested L.Z.
    was “not controlling” and “an advisory type of decision the court could rely on,” and we
    hope this footnote clears up any confusion that may exist.
    27
    danger. This . . . could support a jurisdictional finding under section 300, subdivision (e)
    that may be based upon the conduct of either parent.” (L.Z., at p. 1293.) But there was
    insufficient evidence indicating the mother should have been able to know Z.Z. was
    abused based on her physical condition; the parties stipulated that baby’s broken bones
    could not necessarily be identified absent an X-ray. (Id. at pp. 1292-1293.) The juvenile
    court was focused on the parents’ mutual refusal to admit their conduct “rather than
    ascertaining the legal measure of Mother’s conduct required by section 300, subdivision
    (e).” (Id. at p. 1293.) “Baby Z.Z. suffered severe physical abuse. But the statutes do not
    permit the court to deny a parent reunification services simply because it cannot
    determine who inflicted the abuse unless it is proven that the parent knew or should have
    known the baby had been abused.” (Id. at p. 1294.)
    The court in the instant case erred by failing to follow L.Z. and grant
    reunification services to mother. Obviously, there are differences between the situation
    here and the facts in L.Z. Unlike the L.Z. mother, baby’s mother did not immediately
    accuse father of the abuse after seeing the results of medical testing; in fact, mother
    retains some measure of loyalty to her partner of eight years as evidenced by her initial
    belief that there was an innocent explanation for baby’s injuries and her continuing
    refusal to outright accuse father of inflicting baby’s head injuries. But it is unclear why
    the court should count this against mother when the issue under section 361.5,
    subdivision (b)(5) is what mother knew or should have known prior to baby’s arrival at
    the hospital (when baby’s injuries were actually inflicted), not the position taken by
    13
    mother at the onset of the dependency case.
    13
    We acknowledge the difficult spot SSA and the court were put in at the
    detention and jurisdictional hearings, when both father and mother (the only individuals
    with significant personal knowledge relating to baby’s care) refused to testify. Mother,
    however, eventually testified at the dispositional hearing. Nothing was uncovered to
    suggest she was the one who physically harmed baby or that she had actual knowledge of
    father’s actions. And it is unclear why mother should be required to condemn father
    28
    Another difference between the two cases is that seizures (regardless of
    whether mother knew what they were or what was causing them) are more serious than
    14
    arm problems, particularly in light of what we now know about baby’s injuries.        Mother
    took baby to the hospital within 20 hours of baby’s first seizure, whereas the mother in
    L.Z. took the minor in for a regularly scheduled appointment a week after noticing
    problems with her arm. We agree with the court’s criticism of the parents for the extent
    of the delay in taking baby to the hospital, and mother’s testimony is indicative of an
    attempt to minimize the fault she bears for not acting sooner. But the missing link in the
    court’s analysis is to suggest that this 20-hour delay somehow demonstrates by clear and
    convincing evidence that mother was aware father had abused baby. The delay is also
    entirely consistent with someone unsure of the seriousness of the symptoms and reluctant
    to rush to the hospital in the middle of the night when baby seemed to recover quickly
    from the first episode and had just been seen by her pediatrician the day before. Mother
    eventually took baby to the hospital after the sporadic seizures continued or got worse.
    As the court acknowledged, it took medical testing to demonstrate the seriousness of
    baby’s head injuries and the nonaccidental source of the injuries. Mother repeatedly took
    baby to the doctor and hospital throughout baby’s brief life (she was only two months old
    at the time of the dependency petition) for her vomiting issue and regular check-ups,
    before either the court or SSA were willing to do so. The argument for mother doing so
    has the benefit of a certain logic: (1) the court was convinced one of the two parents
    harmed baby; (2) mother knew in her own head whether she abused baby; and (3)
    accepting the court’s axiom and eliminating the impossible (presumably, her own guilt),
    mother should have been able to deduce that father harmed baby. While Sherlock
    Holmes would have no trouble reaching the court’s preferred conclusion, it is perhaps
    tougher when one is being asked to condemn the father of one’s children and eight-year
    partner by inference rather than an explicit court finding that he abused baby.
    14
    Bruises or skin marks might be more or less concerning than arm problems,
    depending on the particular bruises or marks. We discuss the issue of baby’s bruises and
    bite marks below.
    29
    partially undermining the suggestion that she hoped to cover up for father by avoiding
    medical care (particularly given Dr. Wong’s testimony that there were at least two
    separate incidents of abuse, the first of which was consistent with baby’s vomiting
    issues). Parental abuse was discovered only upon the December 8 hospital admittance;
    Dr. Bui did not observe any signs of abuse at baby’s December 6 appointment. The delay
    in taking baby to the hospital only feels convincing as proof of an attempted cover up by
    mother if one assumes the very fact in dispute, i.e., mother’s knowledge of the abuse of
    baby.
    The lack of any substance abuse, domestic violence, or other indication of
    an unsuitable family environment in the record contrasts with the L.Z. parents. The
    evidence suggests mother and father provided a fairly stable family environment until the
    abuse suffered by baby. General circumstances did not indicate extreme suspicion of
    father was warranted. SSA can point to the instance in which father apparently bit the
    cheek of sister as indicating mother should have known father was abusing baby, but this
    evidence (while admittedly strange and troubling) by itself cannot support an inference
    that mother should have known father was physically abusing baby.
    Also notable is the court’s rejection of mother’s credibility and disjointed
    15
    early reports by parents referencing vaccines and baby’s bruises/bite marks.        The
    existence of the bruises and bite marks perhaps come close to supporting the order
    denying mother’s reunification services. These are external indicators (unlike the serious
    internal head injuries suffered by baby) that are potentially consistent with abuse. The
    court inferred that mother must have seen these bruises/bite marks before taking baby to
    the hospital and must have therefore been on notice that father was abusing baby; the
    attempts by father and mother to explain these marks would naturally then be seen as part
    of a mutual cover up of abuse. But there are no photos of these bruises/marks in the
    15
    Mother’s lack of credibility, in and of itself, is not positive evidence of the
    required factual findings under section 361.5, subdivision (b)(5).
    30
    record; it is particularly unclear whether the bruises on baby’s foot were obvious (or
    “apparent,” as the thigh marks were described in a report). And there is no testimony
    indicating that the marks were such that mother necessarily would have seen them
    immediately (in December, when baby was likely wearing clothes over her entire body
    except when her diaper was changed) and that she should have known baby was being
    abused based on this observation. Dr. Bui noticed nothing wrong with baby two days
    before her hospital admittance, and there is no evidence that anyone at the hospital
    noticed bruising or other signs of abuse during baby’s first hospital admittance. Thus, to
    the extent the court was relying on the bruises/marks, the court’s conclusion was based
    on speculation, as there is nothing solid in the record to conclude that mother observed
    these marks before the December 8 hospitalization and that the marks themselves were
    sufficient to put a reasonable person on notice of child abuse.
    In sum, the record does not include substantial evidence to support a
    finding that mother knew or should have known parental abuse by father was occurring
    16
    and was the source of any of baby’s health problems.
    16
    We need not reach the remainder of mother’s contentions, which are largely
    based on the following statutory language: “[T]he court shall not order reunification in
    any situation described in paragraph (5) of subdivision (b) unless it finds that, based on
    competent testimony, those services are likely to prevent reabuse or continued neglect of
    the child or that failure to try reunification will be detrimental to the child because the
    child is closely and positively attached to that parent. The social worker shall investigate
    the circumstances leading to the removal of the child and advise the court whether there
    are circumstances that indicate that reunification is likely to be successful or unsuccessful
    and whether failure to order reunification is likely to be detrimental to the child.”
    (§ 361.5, subd. (c).) As mother explains, the court did not explicitly address whether
    sister or baby were closely and positively attached to mother such that the denial of
    reunification services would be detrimental. And mother takes issue with the quality of
    SSA’s investigation.
    31
    DISPOSITION
    Let a peremptory writ of mandate issue directing the court to vacate its
    orders of October 1, 2014, denying reunification services to mother and setting a section
    366.26 hearing. The court shall enter new and different orders providing mother with
    reunification services and concomitant visitation rights appropriate in light of the new
    17
    reunification order.        SSA’s request for judicial notice is granted.
    IKOLA, J.
    WE CONCUR:
    O’LEARY, P. J.
    FYBEL, J.
    17
    Given the exceptional delay that occurred in reaching a disposition, the
    reunification deadlines imposed by the Welfare & Institutions Code are problematic if
    mother is to receive a fair chance at reunification with her children. All we can do at this
    point is note our acknowledgement of these difficulties, and leave their resolution to the
    juvenile court and the parties. Nothing in this opinion, of course, bears on the question of
    whether mother will be able to successfully reunify with her children.
    32
    

Document Info

Docket Number: G050819

Filed Date: 12/30/2014

Precedential Status: Non-Precedential

Modified Date: 4/18/2021