In re Kasey D. CA2/7 ( 2023 )


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  • Filed 7/26/23 In re Kasey D. CA2/7
    NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS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    not been certified for publication or ordered published for purposes of rule 8.1115.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
    SECOND APPELLATE DISTRICT
    DIVISION SEVEN
    In re KASEY D., a Person                                    B321963
    Coming Under the Juvenile Court                             (Los Angeles County Super.
    Law.                                                        Ct. No. 22CCJP01534)
    LOS ANGELES COUNTY
    DEPARTMENT OF CHILDREN
    AND FAMILY SERVICES,
    Plaintiff and Respondent,
    v.
    JANYCE E.,
    Defendant and Appellant.
    APPEAL from an order of the Superior Court of Los
    Angeles County, Jean M. Nelson, Judge. Affirmed.
    Christopher R. Booth, under appointment by the Court of
    Appeal, for Defendant and Appellant.
    Dawyn R. Harrison, County Counsel, Kim Nemoy,
    Assistant County Counsel, and Jacklyn K. Louie, Principal
    Deputy County Counsel, for Plaintiff and Respondent.
    __________________________
    Janyce E. (Mother) appeals from the juvenile court’s
    jurisdiction findings and disposition order declaring two-month-
    old Kasey D. a dependent of the court and removing her from
    Mother’s physical custody. The juvenile court sustained a
    petition under Welfare and Institutions Code former section 300,
    subdivision (b)(1),1 alleging Kasey had a positive toxicology
    1      Welfare and Institutions Code section 300,
    subdivision (b)(1), formerly provided, in relevant part, that a
    child comes within the jurisdiction of the juvenile court if “[t]he
    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 of the child’s parent or guardian to adequately
    supervise or protect the child, . . . or by the inability of the parent
    or guardian to provide regular care for the child due to the
    parent’s or guardian’s mental illness, developmental disability, or
    substance abuse.” Effective January 1, 2023, Senate Bill
    No. 1085 (2021-2022 Reg. Sess.) (Stats. 2022, ch. 832, § 1)
    amended section 300 by rewriting subdivision (b)(1) to enumerate
    the existing bases for dependency jurisdiction in separate
    subparagraphs (b)(1)(A) through (D). The legislation also added
    section 300, subdivision (b)(2), which now provides, “A child shall
    not be found to be a person described by this subdivision solely
    due to any of the following: [¶] (A) Homelessness or the lack of an
    emergency shelter for the family. [¶] (B) The failure of the child’s
    parent or alleged parent to seek court orders for custody of the
    2
    screen for marijuana at birth, and Mother had a history of
    substance abuse and was a current abuser of marijuana that
    rendered her incapable of providing regular care and supervision
    of Kasey and placed Kasey at risk of serious physical harm.
    Mother contends there was insufficient evidence of substance
    abuse and there was no nexus between Mother’s marijuana use
    and a present risk of harm to Kasey. Mother also contends the
    juvenile court abused its discretion in restricting Mother to
    monitored visitation. We affirm.
    FACTUAL AND PROCEDURAL BACKGROUND
    A.    The Referral and Investigation
    Kasey was born in April 2022 at Providence St. Joseph
    Medical Center in Burbank. She was born prematurely at 34 to
    35 weeks and was placed in the neonatal intensive care unit. The
    same day Kasey was born, the Los Angeles County Department
    of Children and Family Services (Department) received a referral
    alleging Mother tested positive for marijuana and admitted to
    using psychedelic mushrooms, and Kasey also tested positive for
    marijuana at birth. Mother, who was then 22 years old, had not
    received prenatal care, did not have any supplies for a baby or a
    support system to care for a newborn, and would not have
    assistance from Kasey’s father (who was not aware of Mother’s
    child. [¶] (C) Indigence or other conditions of financial difficulty,
    including, but not limited to, poverty, the inability to provide or
    obtain clothing, home or property repair, or childcare.”
    Further statutory references are to the Welfare and
    Institutions Code.
    3
    pregnancy). The hospital medical staff expressed a concern about
    Mother’s ability to care for Kasey due to Mother’s lack of
    preparation, in utero drug exposure, and lack of a place for
    Mother and Kasey to live upon discharge.
    The next day Evelyn Fuenzalida, a hospital social worker,
    confirmed that Mother and Kasey had positive urine tests for
    marijuana, but the testing only showed that Mother and Kasey
    tested positive, not the levels of marijuana metabolites detected.
    According to Fuenzalida, Mother showed love toward Kasey and
    appeared to be a “nice person,” but Mother was unsure about
    parenting a baby and concerned about her lack of financial
    stability. As a result, she was considering placing Kasey up for
    adoption. Neonatal care nurse Tony Ervolina stated Kasey was
    eating and sleeping well and had no withdrawal symptoms.
    The Department social worker interviewed Mother in her
    hospital room on the day of her discharge. Mother stated Kasey’s
    father had the first name “‘Antonio,’” but she did not know his
    last name or have his contact information. He was living in
    Florida and worked at the same company where Mother used to
    work. Mother felt Antonio was “‘not ready to be a father,’” and
    she had not told him she was pregnant. Mother explained she
    had been living on her own since she was 17 years old and moved
    from Florida to California in January 2022. Mother had no
    family or friends in California to help her with Kasey. She had
    been living with two roommates, but she had to move out because
    the lease had expired. Mother first became aware she was
    pregnant when she was five months pregnant and started to
    show. She did not receive prenatal care and had no health
    insurance or a primary care doctor. At the time of the interview,
    Mother was working the graveyard shift in a warehouse.
    4
    Mother stated she frequently used marijuana for her
    anxiety and had last used a “‘small bowl’” the prior Saturday (the
    day before Kasey was born). Mother knew “‘not to use’”
    marijuana while pregnant, but she nonetheless used it to calm
    her anxiety. Mother told the social worker she was physically,
    emotionally, and verbally abused as a child by an adoptive
    parent, and had early in her life been diagnosed with anxiety.
    With respect to the use of psychedelic mushrooms, Mother
    stated a friend had given her a chocolate bar infused with
    mushrooms sometime the prior week, but Mother was unaware it
    contained psychedelic mushrooms. Mother had not previously
    ingested psychedelic mushrooms. Mother denied having a
    criminal record and said she did not consume alcohol.2 Mother
    refused to take an on-demand drug test upon discharge from the
    hospital, stating she would be too busy moving her belongings out
    of her former residence. Kasey was due to be discharged in the
    next day or two, and Mother told the social worker she would
    decide by then whether she would care for Kasey or consent to a
    safe surrender of Kasey to the Department.
    The next day Mother told the social worker that she had
    obtained a second job for the daytime, and she had temporary
    access to transportation. Mother stated as to Kasey,
    “‘[U]nfortunately, I won’t be able to keep [Kasey][;] I won’t have
    the time to be able to take care of her. I really don’t want to put
    her through me struggling . . . .’” Mother told the social worker
    that evening that she had decided to place Kasey “temporarily”
    2     In a subsequent interview, Mother also denied use of any
    substance other than marijuana and her one-time use of
    mushrooms.
    5
    with the Department while she stabilized her life and financial
    situation. Mother handwrote and signed an affidavit
    surrendering Kasey to the Department. Mother advised the
    social worker she would visit Kasey at the hospital the following
    day before Kasey was discharged.
    Fuenzalida reported the next day that Mother had been
    breastfeeding and was bonding with the baby. The Department
    social worker contacted Mother to clarify the plan for Kasey’s
    care. Mother stated, “‘The best option is to have time to get
    myself together and unravel the current situation,’” but she
    wanted the arrangement to be temporary. The social worker
    informed Mother a court case would begin and recommended
    Mother comply with the court’s orders to reunify with Kasey.
    Further, Mother could contact Kasey’s caregiver to arrange for
    visits with Kasey. The social worker asked Mother to provide
    contact information for relatives or friends to serve as possible
    placements, but Mother said she did not have any contact
    information to provide. A housing navigator offered Mother a
    place to stay in a shelter for a week while the Department looked
    into additional housing resources, but Mother declined the
    assistance.
    B.     The Dependency Petition and Detention Hearing
    On April 21, 2022 the Department filed a dependency
    petition alleging pursuant to section 300, former
    subdivision (b)(1), that Kasey was born suffering from a
    detrimental condition, having tested positive for marijuana at
    birth, which resulted from Mother’s conduct that placed Kasey at
    risk of physical harm. The petition further alleged Mother had a
    history of substance abuse, including marijuana, and was a
    6
    current abuser of marijuana, which rendered Mother incapable of
    providing Kasey with regular care and supervision. The petition
    cited to Mother’s use of marijuana during her pregnancy and her
    positive drug test at the time of Kasey’s birth. Further, “[t]he
    child is of such a young age as to require constant care and
    supervision,” and Mother’s substance abuse interfered with her
    ability to provide regular care and supervision and placed Kasey
    at risk of serious physical harm.
    At the April 26 detention hearing, Mother’s attorney stated
    Mother was unhoused and, as to detention, “Mother is unsure if
    she is able to or even wants to keep Kasey, so at this time I will
    submit on detention.” But she clarified that Mother wanted to
    reunify with Kasey and was willing to participate in services and
    drug testing. The attorney added, “[Mother] does use marijuana
    medicinally and she understands that she may need to decrease
    her levels.” The court detained Kasey3 and granted Mother
    monitored visits two to three times per week for two to three
    hours each visit, with the Department having discretion to
    liberalize visitation. The court cautioned if Mother appeared for
    a visit under the influence of drugs or alcohol, the visit would be
    canceled. The court ordered the Department to provide Mother
    with a referral for drug testing. The court told Mother as to drug
    testing, “Please go ahead and test even though you will come up
    positive for marijuana. I know that marijuana is a legal
    substance like alcohol is, but what I look for is how high are your
    levels, and if they are high[,] are you able to bring those levels
    3      The juvenile court found Antonio was Kasey’s alleged
    father and detained Kasey from him because he had not been
    fully identified and had not appeared.
    7
    down . . . .” Mother responded, “Yes.” The court also ordered
    Mother not to breastfeed until she provided five consecutive clean
    drug tests. The court ordered the Department to provide housing
    and transportation assistance to Mother.
    C.    The Jurisdiction and Disposition Report
    The jurisdiction and disposition report filed on May 20,
    2022 stated Kasey was living with caregiver Kelsey A. On May
    13 the dependency investigator interviewed Mother about the
    drug abuse allegations in the petition. Mother stated she began
    using marijuana when she was 18 years old to “‘self-medicate’” to
    manage her anxiety. When Mother realized she was pregnant
    during the fifth month of pregnancy, she initially stopped using
    marijuana, then reduced her use from “‘throughout the day’” to
    “‘probably use[d] 2 hours during the day.’” Mother continued to
    use marijuana because it was a stressful time as a result of her
    finances and the prospect of having a baby. Mother stated
    marijuana use “‘does not affect my everyday process [and] I don’t
    use while I work[;] I use after I’m off. When I [have] used I’m [by]
    myself and it does not interfere with my ability to care for my
    daughter.” Mother did not think Kasey’s testing positive for
    marijuana at birth “‘would be considered abuse.’”
    Mother had two part-time jobs and was currently living out
    of a small truck. Mother acknowledged she was currently unable
    to provide for Kasey’s basic needs, but she hoped in the future to
    move back to Florida with friends who were aware of her
    situation. Mother stated her childhood environment was
    traumatic. She was placed in foster care as a young child, then
    adopted by her aunt, after her mother’s partner killed Mother’s
    younger sibling.
    8
    Mother was referred by the Department to drug testing on
    May 4, 2022 and failed to show for scheduled tests on May 5 and
    11. As to the latter date, Mother explained she was confused
    about the testing instructions. On May 12 Mother tested positive
    for marijuana metabolites at 416 ng/mL. Mother tested negative
    for all other drugs. According to the last minute information for
    the court, on May 20 Mother tested positive for marijuana
    metabolites at 85 ng/mL, and she failed to show for a test on May
    24, 2022. On June 3 Mother tested positive for marijuana at
    95 ng/mL.
    Kasey was doing well and appeared to be meeting
    developmental milestones. She was seen weekly by a physician,
    and there were no concerns with her growth and development.
    Kasey’s birth records stated there were “‘[n]o complications at
    birth except both mother and infant toxicology positive for
    [c]annabinoids.”
    On April 29 Kasey’s caregiver and Mother agreed to
    conduct visits in person on Sundays at a park, with two virtual
    visits on weekdays. However, Mother never participated in
    weekday virtual visits with Kasey. Mother was unable to attend
    an in-person visit on Sunday, May 8, and instead had a five-
    minute virtual visit that day. On May 15 Mother visited with
    Kasey in the park. The caregiver reported that Mother appeared
    to be detached and needed support and training in how to care for
    Kasey, as shown by Mother not burping Kasey and needing to be
    told when Kasey needed a diaper change. Mother’s May 22 visit
    was reduced to one hour because Mother failed to confirm the
    visit 24 hours in advance, as the parties had agreed, and the
    caregiver was unavailable for the usual two-hour visits. The
    May 29 visit was canceled because Kasey was sick. The June 5
    9
    visit did not take place because Mother failed to confirm with the
    caregiver in advance.
    As of the June 14 last minute information for the court,
    Mother had not enrolled in any services. Mother stated she had
    not found a parenting program that offered virtual sessions, and
    she needed flexibility because she was working two jobs and had
    no transportation.
    D.       The Jurisdiction and Disposition Hearing
    At the June 14, 2022 jurisdiction and disposition hearing,
    the juvenile court sustained the petition. The court explained,
    “Mother, at some point, did know she was pregnant and thought
    it was okay to continue using marijuana. Marijuana is a legal
    substance, but it appears Mother is dependent on it; that she
    . . . still needs to use it daily and that she uses it for her
    emotional needs and that she uses another drug, [psychedelic]
    mushrooms, which [is] also a hazard. Mother is not recognizing
    how fragile an infant is or how fragile the infant was during
    gestation and that the use of a substance like marijuana or
    mushrooms can affect her child. And it requires a real change
    . . . . [S]he needs to be able to show that she isn’t using it every
    day and that she can make an arrangement where her use and
    her being under the influence will not [occur] when she will have
    the child in her care.” The court found Mother failed to “show an
    ability to stop using [marijuana] on a daily basis.” And, although
    Mother’s “levels are low,” Mother’s “daily use and the lack of
    Mother. . . being able to see how this harms her child and her
    ability to parent” supported jurisdiction. The court found
    additional factors supporting jurisdiction included that Mother
    did not have a “stable life” with support, and she was “lacking
    10
    certain basic skills and things in her life that her newborn will
    need.”4
    As to disposition, the juvenile court relied on the
    Department’s reports and the court’s jurisdiction findings to
    declare Kasey a dependent of the court. With respect to removal,
    minor’s counsel stated Kasey’s placement with Kelsey was
    working well and the caregiver was sympathetic to Mother’s
    situation and assisted Mother in maintaining contact with Kasey.
    Mother’s attorney stated, “Mother would like release; however,
    she does not have a place for the child to be released to. But per
    Mother’s request, I’m offering a possibility that was proposed by
    Mother, although she understands this is unlikely, but she is
    asking that the Department . . . assess Mother living with the
    caregiver with the child. I know that nobody has approached the
    caregiver about this either, but per my client’s request, I’m
    asking the court to assess this possibility.”
    The juvenile court stated Kelsey would not be released to
    Mother “until Mother can show she can avoid using marijuana on
    a daily basis, that is the level of control I need to see, and that
    she is able to make a plan for her child to have a safe home, and
    Mother demonstrate[s] that she understands the basics of
    4     As discussed, effective January 1, 2023, section 300,
    subdivision (b)(2)(C), now provides that jurisdiction cannot be
    based on the parent’s indigence and inability to provide a home
    for the child. Although Mother’s inability to provide financial
    support and shelter for Kasey would not be a sufficient ground for
    jurisdiction under current law, Mother’s continued use and abuse
    of marijuana, and her lack of insight into the effect of her
    substance abuse on her ability to care for Kasey, were sufficient
    grounds.
    11
    parenting.” (RT 16:21-26)~ The court concluded returning Kasey
    to the home of Mother was “contrary to the baby’s welfare.” The
    court found, “There is clear and convincing evidence that there is
    or would be a substantial danger to the baby’s physical health,
    safety, protection, or wellbeing if returned home of Mother, and
    there are no reasonable means by which the baby’s physical
    health can be protected without removing from Mother.” The
    court added, “[M]y removal findings are based on clear and
    convincing evidence that Mother is not yet able to control her use
    of marijuana to the point where she . . . will be sober while
    around the baby.”5
    With respect to Mother’s case plan, the juvenile court asked
    Mother’s attorney whether she had any objection to the
    Department’s proposal. The attorney replied, “I think it looks
    okay to me as well.” Consistent with the Department’s proposal,6
    the court ordered Mother to submit to random or on-demand drug
    testing on a weekly basis; if Mother tested positive for higher
    levels of marijuana or another substance, or missed any tests
    without an excuse, the Department was ordered to bring this to
    the attention of the court, which would then consider ordering
    Mother to participate in a full drug treatment program. The
    court also ordered Mother to complete a developmentally
    5     The juvenile court also ordered Kasey removed from
    Antonio, after the Department filed a declaration of diligence
    stating it had been unable to identify or locate him.
    6      The juvenile court rejected the Department’s
    recommendation Mother undergo a psychiatric evaluation, but it
    agreed to order Mother to follow her therapist’s recommendation
    if the therapist deemed a psychiatric assessment necessary.
    12
    appropriate parenting program; mental health counseling; and
    individual counseling to address case issues, substance abuse and
    its effect on children, childhood trauma, mental health, coping
    strategies, and child safety. The court granted Mother monitored
    visits two to three times per week for two to three hours each
    visit, with the Department having discretion to liberalize
    visitation. The court ordered the Department to provide housing
    and transportation assistance for Mother, and for Kasey to be
    assessed at a regional center.
    Mother timely appealed.
    DISCUSSION
    A.       Substantial Evidence Supports the Jurisdiction Findings
    Under Section 300, Former Subdivision (b)(1)
    1.    Governing law and standard of review
    The juvenile court has jurisdiction over a child if the
    Department establishes by a preponderance of the evidence that
    the allegations made pursuant to section 300 are true. (§ 355,
    subd. (a); In re I.J. (2013) 
    56 Cal.4th 766
    , 773.) As relevant here,
    section 300, former subdivision (b)(1), authorizes the juvenile
    court to assume jurisdiction when “[t]he 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 of
    the child’s parent . . . to adequately supervise or protect the child
    . . . or by the inability of the parent . . . to provide regular care for
    the child due to the parent’s . . . substance abuse.” “The provision
    of a home environment free from the negative effects of substance
    abuse is a necessary condition for the safety, protection and
    13
    physical and emotional well-being of the child.” (§ 300.2,
    subd. (a).)
    “A jurisdiction finding under section 300, subdivision (b)(1),
    requires the Department to prove three elements: (1) the parent’s
    or guardian’s neglectful conduct or failure or inability to protect
    the child; (2) causation; and (3) serious physical harm or illness
    or a substantial risk of serious physical harm or illness.” (In re
    Cole L. (2021) 
    70 Cal.App.5th 591
    , 601 (Cole. L.); accord, In re
    L.W. (2019) 
    32 Cal.App.5th 840
    , 848; see In re R.T. (2017)
    
    3 Cal.5th 622
    , 624 [“section 300(b)(1) authorizes dependency
    jurisdiction without a finding that a parent is at fault or
    blameworthy for her failure or inability to supervise or protect
    her child”].) Although section 300 requires the child be at risk of
    serious harm at the time of the jurisdiction hearing, “the court
    need not wait until a child is seriously abused or injured to
    assume jurisdiction and take steps necessary to protect the
    child.” (Cole L., at pp. 601-602; accord, In re L.O. (2021)
    
    67 Cal.App.5th 227
    , 238 [“‘Although there must be a present risk
    of harm to the minor, the juvenile court may consider past events
    to determine whether the child is presently in need of juvenile
    court protection.’”].) If there is reason to believe the conduct will
    continue, a parent’s past conduct may be probative of current
    conditions. (Cole L., at p. 602; accord, In re J.A. (2020)
    
    47 Cal.App.5th 1036
    , 1048.)
    We review the juvenile court’s jurisdiction findings for
    substantial evidence in light of the record as a whole. (In re I.C.
    (2018) 
    4 Cal.5th 869
    , 892; In re R.T., 
    supra,
     3 Cal.5th at p. 633
    [“‘In reviewing the jurisdictional findings and disposition, we look
    to see if substantial evidence, contradicted or uncontradicted,
    supports them.’”].) Substantial evidence is “evidence which is
    14
    reasonable, credible, and of solid value.” (In re I.C., at p. 892;
    accord, Cole L., supra, 70 Cal.App.5th at p. 602.) “‘[W]e draw all
    reasonable inferences from the evidence to support the findings
    and orders of the dependency court; we review the record in the
    light most favorable to the court’s determinations; and we note
    that issues of fact and credibility are the province of the trial
    court.’” (In re R.T., at p. 633; accord, In re I.J., 
    supra,
     56 Cal.4th
    at p. 773; Cole L., at p. 602 [“while substantial evidence may
    consist of inferences, any inferences must rest on the evidence;
    inferences based on speculation or conjecture cannot support a
    finding”].) The appellant has the burden to show there is not
    substantial evidence to support the juvenile court’s findings or
    order. (In re E.E. (2020) 
    49 Cal.App.5th 195
    , 206; In re D.B.
    (2018) 
    26 Cal.App.5th 320
    , 328-329.)
    2.     Substantial evidence supports the juvenile court’s
    jurisdiction findings
    Mother contends that although there was evidence she
    used marijuana during and after her pregnancy, there was
    insufficient evidence of substance abuse, which is necessary to
    support dependency jurisdiction. Mother is correct that a
    parent’s use of marijuana, without more, is insufficient to support
    jurisdiction under section 300, subdivision (b). (In re J.A., supra,
    47 Cal.App.5th at p. 1046 [“[t]he law is clear that jurisdiction
    must be based on substance abuse; mere substance use is not
    sufficient for jurisdiction” (Boldface omitted.)]; In re Destiny S.
    (2012) 
    210 Cal.App.4th 999
    , 1003 [“[i]t is undisputed that a
    parent’s use of marijuana ‘without more,’ does not bring a minor
    within the jurisdiction of the dependency court” (Boldface
    omitted)].) In this case, there is more. Substantial evidence
    15
    supported the juvenile court’s finding Mother’s marijuana use
    was substance abuse.
    Mother principally relies on In re Drake M. (2012)
    
    211 Cal.App.4th 754
    , 766 (Drake M.), disapproved on another
    ground in In re D.P. (2023) 
    14 Cal.5th 266
    , 282, for its definition
    of substance abuse. In Drake M., Division Three of this district
    held that “a finding of substance abuse for purposes of
    section 300, subdivision (b), must be based on evidence sufficient
    to (1) show that the parent or guardian at issue had been
    diagnosed as having a current substance abuse problem by a
    medical professional or (2) establish that the parent or guardian
    at issue has a current substance abuse problem as defined in the
    DSM–IV–TR.”7 (Drake M., at p. 766). But as we explained in In
    re Christopher R. (2014) 
    225 Cal.App.4th 1210
    , 1218 (Christopher
    R.), although the Drake M. formulation provides “a generally
    useful and workable definition of substance abuse for purposes of
    section 300, subdivision (b),” it is not “a comprehensive, exclusive
    definition mandated by either the Legislature or the Supreme
    Court.” We rejected the mother’s argument that “only someone
    who has been diagnosed by a medical professional or who falls
    within one of the specific DSM-IV-TR categories can be found to
    be a current substance abuser.” (Ibid.) We also recognized that
    in 2013, after Drake M. was decided, the DSM-IV-TR’s definition
    of “substance abuse” was replaced in the fifth edition of the
    Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
    7      DSM-IV-TR refers to the American Psychiatric
    Association’s Diagnostic and Statistical Manual of Mental
    Disorders (4th rev. ed. 2000). (Drake M., supra, 211 Cal.App.4th
    at p. 765.)
    16
    by a more broadly defined classification of “‘substance use
    disorders,’” which combines substance abuse and substance
    dependence. (Christopher R., at p. 1218, fn 6.) We stated, “DSM-
    5 identifies 11 relevant criteria, including cravings and urges to
    use the substance; spending a lot of time getting, using, or
    recovering from use of the substance; giving up important social,
    occupational or recreational activities because of substance use;
    and not managing to do what one should at work, home or school
    because of substance use. The presence of two or three of the
    11 specified criteria indicates a mild substance use disorder; four
    or five indicate a moderate substance use disorder; and six or
    more a severe substance use disorder.” (Ibid.)
    Here, Mother admitted to using marijuana regularly for
    four years (her entire adult life) to manage her anxiety. Even
    after she learned she was pregnant, she only reduced her usage
    from “‘throughout the day’” to two hours per day. She knew at
    the time she should not use marijuana while pregnant, and she
    had not obtained a prescription or medical advice to support her
    use. Yet she continued to use marijuana to “‘self-medicate’” and
    cope with the additional stress of her finances and having a baby.
    On the Saturday before giving birth, Mother admitted to using a
    “small bowl” of marijuana, and both Mother and Kasey tested
    positive for marijuana at birth. Moreover, Mother continued to
    use marijuana after Kasey’s birth even though the social worker,
    and later the juvenile court at the detention hearing, advised
    Mother that stopping (or consistently reducing her use) was
    critical to creating a safe home for Kasey, and Mother could not
    visit Kasey while under the influence. Further, Mother was
    advised she could not resume nursing Kasey until she had five
    consecutive clean tests.
    17
    Following the detention hearing, Mother tested positive
    three times (and never tested negative). Although Mother’s
    levels dropped from 416 ng/mL on May 12, 2022 to 85 ng/mL on
    May 20, and 95 ng/mL on June 3, she missed tests on May 5,
    May 11, and May 24. Mother’s missed tests support a reasonable
    inference she would have tested positive at higher levels. (See In
    re Natalie A. (2015) 
    243 Cal.App.4th 178
    , 186 [missed drug tests
    supported “reasonable inference . . . that father’s marijuana use
    was more frequent than the one admitted instance”]; Christopher
    R., 
    supra,
     225 Cal.App.4th at p. 1217 [missed drug test “properly
    considered the equivalent of a positive test result”].) During this
    period, Mother was visiting with Kasey, including a visit on
    May 15, just three days after Mother tested at a high level.
    Mother’s lack of insight into the effects and consequences of her
    continuing marijuana use, her reliance on marijuana, and her
    apparent inability to curtail her use reasonably supported a
    finding of substance abuse.
    Mother relies on In re J.A., supra, 47 Cal.App.5th at
    pages 1046 through 1047, in which Division Five of this district
    held that a mother’s use of marijuana edibles while pregnant,
    resulting in positive tests for both the mother and baby at birth,
    was insufficient evidence of substance abuse to support
    jurisdiction under section 300, subdivision (b). But in In re J.A.,
    there was no evidence the mother continued to use marijuana
    after testing positive at the time she gave birth: “The evidence of
    mother’s substance use is, at most, that she used edible
    marijuana while pregnant, to address her pregnancy symptoms,
    after having researched that it was a relatively safe alternative.
    She claims that she was never high or under the influence when
    she used it. She claims that she easily stopped using as soon as
    18
    she was told to do so; her drug tests support this.” (In re J.A., at
    p. 1047.) Unlike the mother in In re J.A., Mother continued to
    use marijuana for two hours a day, even smoking a small bowl
    days before delivery, and she did not ever test clean for
    marijuana or demonstrate her ability to function without it.
    Mother also contends there was insufficient evidence to
    establish her marijuana use created a present risk at the time of
    the jurisdiction hearing of substantial harm to Kasey, who was
    healthy and meeting developmental milestones. However, with
    respect to a child of “tender years,” “‘the finding of substance
    abuse is prima facie evidence of the inability of a parent or
    guardian to provide regular care resulting in a substantial risk of
    harm.’” (Christopher R., supra, 225 Cal.App.4th at p. 1219;
    accord, In re Kadence P. (2015) 
    241 Cal.App.4th 1376
    , 1384.)
    Kasey was only two months old at the time of the jurisdiction
    hearing, and the juvenile court’s finding Mother was a current
    abuser of marijuana created a presumption unrebutted by
    Mother that she would be unable to provide appropriate care for
    Kasey. (See Christopher R., at pp. 1219-1220 [father’s “regular,
    ongoing use of marijuana” demonstrated “an inability to provide
    regular care” to his three-month-old daughter].) Although Kasey
    did not show signs she was harmed by Mother’s prenatal use of
    marijuana, the court need not wait until Kasey was seriously
    harmed by Mother’s continued use of marijuana to assume
    jurisdiction to protect her. (Cole L., supra, 70 Cal.App.5th at
    p. 602.)
    19
    B.     Substantial Evidence Supports the Removal Order
    1.     Governing law and standard of review
    “‘At the dispositional hearing, a dependent child may not be
    taken from the physical custody of the parent under section 361
    unless the court finds there is clear and convincing evidence
    there is or would be a substantial danger to the child’s physical
    health, safety, protection, or physical or emotional well-being if
    returned home, and that there are no reasonable means to
    protect the child’s physical health without removing the child.’”
    (In re D.P. (2020) 
    44 Cal.App.5th 1058
    , 1065; accord, In re G.C.
    (2020) 
    48 Cal.App.5th 257
    , 264-265; see § 361, subd. (c)(1).) “In
    determining whether a child may be safely maintained in the
    parent’s physical custody, the juvenile court may consider the
    parent’s past conduct and current circumstances, and the
    parent’s response to the conditions that gave rise to juvenile court
    intervention.” (In re D.B., supra, 26 Cal.App.5th at p. 332;
    accord, In re I.R. (2021) 
    61 Cal.App.5th 510
    , 520.) “A removal
    order is proper if based on proof of parental inability to provide
    proper care for the child and proof of a potential detriment to the
    child if he or she remains with the parent. [Citation.] ‘The
    parent need not be dangerous and the minor need not have been
    actually harmed before removal is appropriate. The focus of the
    statute is on averting harm to the child.’” (In re N.M. (2011)
    
    197 Cal.App.4th 159
    , 169-170; accord, In re V.L. (2020)
    
    54 Cal.App.5th 147
    , 154.)
    “When reviewing a finding that a fact has been proved by
    clear and convincing evidence, the question before the appellate
    court is whether the record as a whole contains substantial
    evidence from which a reasonable fact finder could have found it
    highly probable that the fact was true. In conducting its review,
    20
    the court must view the record in the light most favorable to the
    prevailing party below and give appropriate deference to how the
    trier of fact may have evaluated the credibility of witnesses,
    resolved conflicts in the evidence, and drawn reasonable
    inferences from the evidence.” (Conservatorship of O.B. (2020)
    
    9 Cal.5th 989
    , 1011-1012; see In re V.L., supra, 54 Cal.App.5th at
    p. 155 [“O.B. is controlling in dependency cases.”].) We review
    the entire record to determine whether the removal order is
    supported by substantial evidence. (In re I.R., supra,
    61 Cal.App.5th at p. 520; In re V.L., at p. 155.)
    2.     Substantial evidence supports the juvenile court’s
    removal order
    Mother contends there was insufficient evidence to support
    Kasey’s removal from her physical custody and there was at least
    one reasonable alternative to removal.
    Contrary to Mother’s contention, the same evidence that
    supported the jurisdiction findings provides substantial evidence
    to support the juvenile court’s finding of clear and convincing
    evidence that Mother was unable to control her marijuana use to
    safely care for Kasey. Mother voluntarily surrendered Kasey to
    the Department out of a concern she could not care for her; she
    continued to use marijuana after Kasey’s birth; and she declined
    the Department’s offers of services and support. Further, she
    had no family or friends who could support her in caring for
    Kasey, she was inconsistent in confirming and attending visits
    with Kasey (resulting in only two in-person visits with her, one of
    which was shortened to one hour), and her behavior during the
    visits did not demonstrate a present ability to care for Kasey.
    Although the Department’s reports indicated Mother was well-
    21
    intentioned with a sincere desire to have a relationship with
    Kasey, the focus of section 361 is on the parent’s ability “to
    provide proper care for the child” and the “potential detriment to
    the child” from living with the parent. (In re N.M., supra,
    197 Cal.App.4th at p. 169.)
    Mother contends there were less drastic alternatives to
    removal, but she suggested only one alternative: the possibility of
    Mother moving into the home of the caregiver. And as Mother’s
    counsel admitted at the jurisdiction hearing, “nobody has
    approached the caregiver about this,” and Mother knew it was an
    “unlikely” prospect. Without any evidence the caregiver was
    willing and able to have Mother live in her home, Mother did not
    present a “reasonable” alternative to removal at the disposition
    hearing. (In re D.P., supra, 44 Cal.App.5th at p. 1068.) As
    Mother’s attorney acknowledged at the disposition hearing,
    Mother wanted to have Kasey released to her, but she did “not
    have a place for the child to be released to.”
    C.     Mother Forfeited Her Challenge to the Requirement She
    Have Only Monitored Visitation
    Mother contends the juvenile court abused its discretion in
    mandating that her visitation be monitored. But Mother did not
    object to the visitation order at the disposition hearing, which
    was based on Department’s proposed case plan. When the
    juvenile court asked Mother’s attorney whether she had any
    objection to the Department’s proposal, the attorney responded,
    “I think it looks okay to me as well.” Under these circumstances,
    Mother forfeited her objection to monitored visitation. (See In re
    S.B. (2004) 
    32 Cal.4th 1287
    , 1293 [“a reviewing court ordinarily
    will not consider a challenge to a ruling if an objection could have
    22
    been but was not made in the trial court”]; In re E.A. (2012) 
    209 Cal.App.4th 787
    , 791 [father forfeited his contention the juvenile
    court erred in denying visitation while he was incarcerated by
    failing to raise it in the juvenile court]; In re Anthony P. (1995)
    
    39 Cal.App.4th 635
    , 641 [mother “waived her right to assert error
    as to sibling visitation on appeal by not properly raising the issue
    below”].)
    Even if Mother’s contention was not forfeited, the juvenile
    court did not abuse its discretion. Section 362.1,
    subdivision (a)(1)(A), provides, “‘Visitation shall be as frequent as
    possible, consistent with the well-being of the child.’” (See In re
    D.P., supra, 44 Cal.App.5th at p. 1070.) But “[n]o visitation order
    shall jeopardize the safety of the child.” (§ 362.1, subd. (a)(1)(B);
    see In re T.M. (2016) 
    4 Cal.App.5th 1214
    , 1218.) “The power to
    regulate visits between dependent children and their parents
    rests with the juvenile court and its visitation orders will not be
    disturbed on appeal absent an abuse of discretion.” (In re D.P., at
    p. 1070.)
    Mother continued to test positive for marijuana during the
    period she was visiting with Kasey, including positive tests
    within a few days before and after her May 15, 2022 visit.
    Mother was unsure how to care for Kasey during the visits,
    including needing the caretaker’s guidance with respect to
    burping and changing Kasey’s diaper. Mother’s attorneys have
    emphasized Mother’s youth, inexperience, and lack of support
    and resources, all of which are true, but these factors, if anything,
    militate in favor of monitored visits to protect Kasey. The
    juvenile court was therefore well within its discretion in
    requiring a monitor be present during Mother’s visits.
    23
    DISPOSITION
    The juvenile court’s jurisdiction findings and disposition
    order are affirmed.
    FEUER, J.
    We concur:
    PERLUSS, P. J.
    SEGAL, J.
    24