In re the Matter of Ar.H. and Ay.H. (Minor Children), J.H. (Father) v. Indiana Department of Child Services (mem. dec.) ( 2019 )

MEMORANDUM DECISION
Pursuant to Ind. Appellate Rule 65(D),
this Memorandum Decision shall not be FILED
regarded as precedent or cited before any Jun 24 2019, 8:40 am
court except for the purpose of establishing
CLERK
the defense of res judicata, collateral Indiana Supreme Court
Court of Appeals
estoppel, or the law of the case. and Tax Court
ATTORNEY FOR APPELLANT ATTORNEYS FOR APPELLEE
Danielle L. Flora Curtis T. Hill, Jr.
Fort Wayne, Indiana Attorney General of Indiana
Frances Barrow
Robert J. Henke
Deputy Attorneys General
Indianapolis, Indiana
IN THE
COURT OF APPEALS OF INDIANA
In re the Matter of Ar.H. and June 24, 2019
Ay.H. (Minor Children), Court of Appeals Case No.
18A-JC-2904
J.H. (Father),
Appeal from the Allen Superior
Appellant-Respondent,
Court
v. The Honorable Charles F. Pratt,
Judge
Indiana Department of Child The Honorable Sherry A. Hartzler,
Services, Magistrate
Appellee-Petitioner. Trial Court Cause Nos.
02D08-1708-JC-589
02D08-1708-JC-590
Mathias, Judge.
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[1] Father appeals the Allen Superior Court’s adjudication of his children, Ar.H.
and Ay. H., as Children in Need of Services (“CHINS”).
[2] We affirm.
Facts and Procedural History
[3] K.H. (“Mother”) is the mother of A.W., Ay. H., and Ar.H. J.H., (“Father”) is
the biological father of Ay.H., and Ar.H. On July 17, 2017, police executed a
search warrant on the parents’ home for Jessica Dunton (“Dunton”), a friend of
Mother and Father who had been staying with the family. Dunton was no
longer residing in the home; however, law enforcement found the home to be
cluttered and dirty, had gnats and flies, and smelled strongly of cat urine. Due
to the conditions of the home, law enforcement referred the matter to the
Indiana Department of Child Services (“DCS”). DCS Family Case Manager
(“FCM”) Louise Dietzer (“FCM Dietzer”) assessed the matter and, after some
discussion, decided that the children would go to their grandparents’ home for a
few days while the parents followed a detailed plan to clean the home. The
home was cleaned by July 25, 2017, and the children returned home on that
day.
[4] However, FCM Dietzer believed the parents needed the intervention of the
court to assist the family with ongoing maintenance of the improved home
conditions and the underlying issue of possible prescription misuse. Tr. Vol. I,
p. 64. On August 23, 2017, the court found probable cause that the minor
children were Children in Need of Services (“CHINS”) and authorized DCS to
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file a petition. The court allowed the children to continue residing in their
parents’ home but also entered provisional orders requiring Mother and Father
to submit to a Diagnostic Assessment and follow recommendations, submit to
random urinalysis and drug screens as required by DCS, and complete a
Medical Evaluation by September 23, 2017 and comply with the
recommendations. The court also appointed counsel for Mother and Father.
DCS filed an amended CHINS petition on September 12, 2017. On September
18, 2017, the court held another Initial Hearing in which Mother and Father
admitted that they were the only parents of A.W., Ay.H., and Ar.H. and lived
in the same household.1 Father indicated he was unemployed and had
undergone two months of treatment at an alcohol and drug treatment center in
Wabash for opioid addiction in 2012.
[5] Throughout the duration of the CHINS proceedings, both Mother and Father
submitted to drug screens and engaged with several service providers including:
Paul Bruns [“Bruns”], a licensed clinical addictions counselor who provided
services to both parents; Jor-El Gaines (“Gaines”), a mental health therapist
who provided services for Father; and Leslie Sammons (“Sammons”), a mental
health therapist who provided services for Mother. The court held fact-finding
1
It was established that A.W. has a different biological father. A.W.’s biological father is referenced in the
record only to establish that he has not regularly visited A.W., was behind on child support, and was unable
or unwilling to provide housing for A.W. As J.H.is not A.W.’s biological father, and Mother does not
participate in the appeal, this appeal does not relate to the CHINS finding as to A.W.
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hearings on December 7, 2017, March 21, 2018, May 25, 2018, and May 31,
2018.
[6] At the December 7, 2017, fact-finding hearing, Bruns testified that he performed
a substance abuse assessment for Father on October 6, 2017. Bruns testified that
Father had a prescription for Percocet, which “is . . . basically Vicodin with . . .
analgesic added to it.” Tr. Vol. I, p. 13. Bruns also testified that people
typically take Percocet for pain management. Father had a prescription for
Xanax at one time, but this prescription had expired. Mother reported to Bruns
that she was prescribed Percocet 10-325s five times a day from December 2007
to the present for endometriosis.
[7] Bruns believed it to be unusual that both Mother and Father had similar
prescriptions for two completely different diagnoses, especially since both
diagnoses were often treated with something less than an opiate. He was also
concerned that both parents seemed to believe that they did not have addictions
or a dependence because they had prescriptions. Father also had prescriptions
for Keppra 700 and “philly” 50 mg two times daily for seizures. Father was also
taking Divalproex at 250 mg three times a day, also for seizures. Father also
had a Xanax prescription for 2 mg 3 times per day that had been discontinued
in 2016. Father reported a head injury and neurological issues from playing
football and a five or six out of ten on the pain scale for chronic pain related to
a past wrist reconstruction. Bruns also noted that Father made jerking motions
during the initial assessment. Bruns asked if he was cold, and Father indicated
he had problems with seizures, but was not having a seizure. Because Bruns
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had concerns with drug interactions and the length of time Father had been
taking opiates for diagnoses such as tendonitis and arthritis, he requested an
independent medical examination. At the time of the fact-finding hearing, he
had not received the results of this examination. However, both Mother’s and
Father’s opioid dependence was unquestionable to Bruns. He recommended
thirty hours of drug and alcohol treatment consisting of fifteen group sessions
for each parent.
[8] FCM Dietzer responded to the initial report. She testified that the home
conditions as she observed them on July 17, 2017 were concerning to her. She
observed trash and clothing in addition to dirty dishes on the kitchen counter
and clothing piled on the laundry room floor eight to ten inches deep. The room
where Dunton had been staying was so full of items, people could hardly get
into the room. She also observed that the cat litter box had mold in it, and the
odor of cat urine was present throughout the house. Cat feces was present in the
laundry room. It was difficult for her to navigate through the house, and there
were flies and gnats throughout the home. A couch, toys, and trash items were
strewn in the side yard. When FCM Dietzer initially assessed the home, Father
reported to her that many of the items belonged to their friend who had moved
out and that Ay.H.’s fits from his ADHD had messed up the house.
[9] FCM Dietzer observed the children were dressed appropriately, and although
there was only a small amount of food in the house, the children did not appear
to be malnourished. When she spoke with A.W., she reported that she knew
what drugs were from school and that her parents only took their prescriptions.
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None of the children reported physical abuse, that the parents were absent for
significant periods of time, or other concerning behaviors to the FCM.
[10] FCM Dietzer spent a significant amount of time at the home that day and
worked out a plan with the parents so that the children did not have to be
removed. They agreed to a detailed safety plan outlining which rooms would
need to be cleaned by what time and for two separate re-inspections of the
home while the children stayed with their grandparents. She observed the
conditions of the home had improved when she visited again two days later.
FCM Dietzer gave approval for the children to move back in on July 25.
[11] FCM Dietzer was also concerned with parents’ use of prescription medications.
She also testified that Father initially told her on July 17 that his doctor, Dr.
Larry Bledsoe (“Dr. Bledsoe”), had taken him off Xanax because it was
believed to interfere with the uptake of pain medication in June of 2017.
However, two days later, Father told her that he was taken off the Xanax
around December 2016 or January 2017. Mother also indicated to her that the
same doctor had prescribed her Percocet five times a day for endometriosis
pain. Mother indicated to the FCM that she had been taken off Xanax in June
2017. FCM Dietzer administered a drug screen on her initial visit. Outside of
their prescribed medications, Father tested positive for hydrocodone, and
Mother tested positive for tramadol. Father appeared shaky. Both parents
showed her prescription bottles for the Percocet. They also indicated that they
both had medication in other containers but did not show her those other
containers.
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[12] FCM Dietzer asked both Mother and Father whether they felt that they abused
their prescriptions. Father denied that he abused his prescriptions. He also
indicated to her that he had been upset by her arrival, so he took some Xanax
that was left over from his expired prescription.
[13] FCM Dietzer brought the matter as a CHINS case because she believed she
needed the intervention of the court to assist the family with the home
conditions and because of what she believed was likely an underlying issue of
prescription misuse by both parents. The matter was transferred to permanency
worker Joshua Meyer in August 2017, and she has not had contact with the
family since that time.
[14] Bridget Lemberg, Lab Director and Toxicologist at Forensic Fluids, testified
that Percocet is oxycodone. She testified that someone who takes Percocet
would not test positive for hydrocodone, commonly known as Vicodin or
Lortab. In her experience, someone would not test positive for tramadol or
Xanax for taking Percocet. She also testified that Forensic Fluids uses cut-off
levels for therapeutic dosing from the federal registry. She testified that opiates
are depressants and can put someone to sleep; however, individuals can build
up a tolerance, and because of this, individuals can exhibit side effects
differently.
[15] Gaines, a mental health and home-based therapist for Dockside Services,
testified regarding the therapy he provided to Father in order to help him reduce
his anxiety. He observed Father to be incredibly “antsy” and had a history of
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anxiety attacks. Tr. Vol. I, p. 144. He reported that in the past couple of
months, Father had recognized the substance abuse issues in his past. Father
felt using the opiates was a “horrible situation that’s a hassle to him,” and he
wants to get off the opiates, get back to becoming more independent, and get a
job. Id. Gaines testified that Father was consistent with therapy and has made
significant progress. He agreed that the existence of the DCS matter was
causing Father some anxiety. Although he was not a substance abuse
counselor, the topic of substance use came up a lot during therapy. He
recommended substance abuse therapy, but to his knowledge, Father had not
engaged in any.
[16] Sammons, a mental health therapist for Dockside, testified regarding the
individual therapy she had engaged in with Mother. Mother has panic attacks
at work and believes that it impacts her ability to work. She believed Mother
was becoming more receptive to therapy. She recommended a continuation of
therapy because she believed Mother could use “more stability under her belt
before um trying to do it all on her own.” Tr. Vol I, p. 165. Sammons believed
Mother needs the most work on challenging negative thoughts as they arise.
She had been inside the home for therapy sessions, and she believed the home
to be kept to DCS standards. Sammons also recommended substance abuse
counseling for Mother and said that Mother had only recently asked how to get
started with substance abuse counseling.
[17] Joshua Meyer (“Meyer”), the DCS permanency worker assigned to the matter
since August 2017, also testified. He has observed that the home typically had
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trash or laundry strewn but remained at minimal standards or above for the
duration of the time he was assigned to the matter. He understood from Mother
that she had been on Xanax, but that her doctor took her off Xanax, then put
her back on it. Meyer felt it was difficult to follow what she was actually
prescribed because it kept changing, but Mother never asked to see her
prescriptions. He also felt it was tough to follow what Father was prescribed
because “[Mother and Father] tested positive for so many different things
throughout [the CHINS proceedings].” Tr. Vol. I, p. 189. He reported that
neither parent had started substance abuse counseling for which he made a
referral on October 24, 2017. Meyer had a conversation with the parents at a
Child and Family Team Meeting in February of 2018 about contacting
Dockside for a referral for group counseling. He informed them that he had
already placed a referral, those referrals do not expire, and that Dockside would
need to contact him for a new referral. He has not heard anything from
Dockside or the parents regarding a referral for substance abuse therapy since
that conversation.
[18] He was aware that the prescribing doctor, Dr. Bledsoe, had submitted a report
showing that he had no concerns regarding parents’ intake of medications.
However, Meyer still had concerns because Mother was drinking alcohol and
taking medications for which she did not have a prescription, but he had never
personally spoken with Dr. Bledsoe. He agreed that the children had plenty of
food, appropriate clothing, and shelter. The school had not reported any
behavioral issues. He also did not see any signs of physical abuse or educational
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neglect. Meyer believed that the children were “[de]sensitized to a lot.” Tr. Vol.
I, p. 236.
[19] Father testified that he requested individual counseling instead of the group
counseling for substance abuse because of his anxiety. He testified that he has a
prescription for Xanax and had been prescribed Suboxone for a period of time
“to try to completely get off of the opiates[.]” Tr. Vol. II, p. 4. He said he
“ended up having a very rare and bad reaction to it so I had to get off of it.” Id.
He agreed that, at the time DCS became involved, the conditions of the
residence were unacceptable. He also testified that he has Xanax for his anxiety
and pain medication because he has had several reconstructive surgeries. He
also testified that he had a benign lump on the left side of his skull that is
pushing against his brain, for which he is prescribed anti-seizure medication. He
testified this seizure disorder interferes with his ability to maintain employment;
however, he recently obtained employment building fences. He informed the
case worker about this job and showed him his pay stub. This is seasonal work,
and he is unsure if he would be able to continue working for this company
because there is not much to do besides regular maintenance work during the
winter, and Father is unable to drive. Although his physical limitations impair
his ability to work, he does not believe these impair his ability to care for his
children. He agreed that the services provided helped him address issues,
particularly with the therapy. However, he does not believe he needs any
counseling for substance abuse. He later said on rebuttal examination that he
spoke with Gaines multiple times about group therapy and that he had been
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told he needed a new referral. He believed his attorney communicated that to
the FCM.
[20] Mother testified that she has maintained clean, safe, and appropriate housing at
all times, that she cooperated with the GAL and all FCMs. She also testified
that she has refrained from the use of alcohol, illegal drugs, and substance
abuse. She has been taking her medications as prescribed. She completed all of
the homebased casework and ensured the children took all their medications as
prescribed. She had recently had surgery for her endometriosis and was on bed
rest. She was also prescribed 5 mg of Percocet as a result of the surgery. She
was already on Percocet so she does not remember if she informed the FCM of
this new prescription. She said her internal medicine doctor, Dr. Bledsoe,
diagnosed her with anxiety. She also said that she was willing to try group
therapy, but a referral needs to be made for it.
[21] The court issued its Findings and Conclusions adjudicating the children CHINS
pursuant to Indiana Code section 31-34-1-1 in a sixty-five-paragraph order on
September 10, 2018. In paragraph 46 of this order, the court noted that it
observed a flat affect from both parents. The court further noted that it observed
both Mother and Father “nodding off” during the proceedings. Appellant’s
App. p. 20. Father now appeals.
Discussion and Decision
[22] In order to adjudicate a child a CHINS, DCS must prove by a preponderance of
the evidence that
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(1) the child’s physical or mental condition is seriously
impaired or seriously endangered as a result of the
inability, refusal, or neglect of the child’s parent, guardian,
or custodian to supply the child with necessary food,
clothing, shelter, medical care, education, or supervision;
and
(2) the child needs care, treatment, or rehabilitation that:
(A) the child is not receiving; and
(B) is unlikely to be provided or accepted without the
coercive intervention of the court.
Ind. Code § 31-34-1-1; In re S.A., 15 N.E.3d 602, 608 (Ind. Ct. App. 2014), aff’d
on reh’g, 27 N.E.3d 287 (Ind. Ct. App. 2015), trans. denied.
[23] A CHINS adjudication focuses on the condition of a child, and whether that
child needs services. In re R.S., 987 N.E.2d 155, 159 (Ind. Ct. App. 2013). A
CHINS adjudication may not be based solely on conditions that no longer exist.
Id. The trial court should also consider the parents’ situation at the time the case
is heard by the court. Id. A parent’s rights to his or her children are not
absolute. In re S.A., 15 N.E.3d at 611. Acting under its parens patriae power,
the State may interfere with parental autonomy when “necessary to protect the
health and safety of the children.” In re V.H., 967 N.E.2d 1066, 1072 (Ind. Ct.
App. 2012). A court need not wait until a tragedy occurs before entering a
CHINS finding. In re R.S., 987 at 158.
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[24] DCS has the burden of proving by a preponderance of the evidence that a child
is a CHINS. Ind. Code § 31-34-12-3. In reviewing a CHINS determination, we
do not reweigh evidence or assess witness credibility for ourselves. In re S.A., 15
N.E.3d at 607. We consider only the evidence in favor of the juvenile court’s
judgment, along with any reasonable inferences arising therefrom. Id. We
reverse only upon a showing that the decision of the trial court was clearly
erroneous. In re K.D., 962 N.E.2d 1249, 1253 (Ind. 2012). “This deference
recognizes a trial court’s unique ability to see the witnesses, observe their
demeanor, and scrutinize their testimony, as opposed to this court’s only being
able to review a cold transcript of the record.” Matter of D.P., 72 N.E.3d 976,
980 (Ind. Ct. App. 2017).
[25] “Factual findings are clearly erroneous where there are no facts in the record to
support them either directly or by inference.” Yanoff v. Muncy, 688 N.E.2d 1259,
1262 (Ind. 1997). A judgment is clearly erroneous if it relies on an incorrect
legal standard. Id. We accord substantial deference to the trial court's findings
of fact but not to its conclusions of law. In re S.A., 15 N.E.3d at 607. Any issues
not covered by the trial court’s findings are reviewed under the general
judgment standard, “under which a judgment will be affirmed if it can be
sustained on any legal theory supported by the evidence.” In re S.D., 2 N.E.3d
1283, 1287 (Ind. 2014). Father has challenged the sufficiency of the evidence
supporting the CHINS finding. As such, we engage in a two-tiered standard of
review. In re A.H., 913 N.E.2d 303, 305 (Ind. Ct. App. 2009); Yanoff, 688
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N.E.2d at 1262. We first determine whether the evidence supports the findings,
then whether the findings support the judgment. In re A.H., 913 N.E.2d at 305.
[26] Here, the trial court entered detailed findings and conclusions in an eleven-
page, sixty-seven paragraph order. Appellant’s App. pp. 14–24. In his challenge
to the adjudication, Father specifically challenges the findings that, without the
continued presence of service providers, the home was likely to deteriorate to its
previous condition. He also argues that the trial court appeared to place “great
weight on the testimony of Father’s therapist, [Gaines], and that of the person
who performed the substance abuse evaluation, Paul Bruns” although these
individuals were not provided with any information from the prescribing
physician. Appellant’s Br. p. 14. He also argues that, “[i]f the children were
negatively impacted by Father’s use of non-prescribed prescription drugs on two
occasions, nine and ten months prior to the factfinding, DCS failed to prove
they were still negatively affected at the factfinding.” Appellant’s Br. at 16.
[27] We first turn to Father’s argument regarding the weight given to service
provider testimony given they were not provided a report from the prescribing
physician. The trial court made a finding that the entirety of the report
containing the opinion of the primary care physician was not admitted for the
court’s examination. The trial court also noted the fact that the physician did
not testify impacted the weight the court gave to this opinion. The fact that
Bruns and Gaines were not provided with information from the prescribing
physician was presented at the hearing and therefore available to the trial court
when it entered its findings and conclusions. As such, Father’s argument
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regarding the weight the trial court placed on the testimony of Bruns and
Gaines essentially asks us to the re-weigh the evidence, which we cannot and
will not do.
[28] Father also argues that since home-based services had been discontinued at the
request of the service provider before the conclusion of the factfinding hearing,
the trial court erred in finding that the home was likely to deteriorate to its
previous condition “without the continued presence of service providers.”
Appellant’s Br. at 14 (citing Appellant’s App. p. 23). This argument ignores the
court’s conclusion that “the condition of the home is a symptom of the
underlying mental health issue and drug addiction which has yet to be
addressed and thus the home is only at minimal standards but for the
intervention of the Court.” Appellant’s App. p. 23. The trial court entered
multiple findings regarding the parents’ underlying mental health and drug
addiction issues. The trial court also found that the “these proceedings involve
issues more complex than the mere presence of a prescribed medication in the
system of both Mother and Father.” Appellant’s App. p. 20. Evidence of both
Mother’s and Father’s significant challenges with anxiety and substance abuse
is abundant throughout the record. Moreover, Father was prescribed Suboxone
and admitted that he had substance abuse issues. Both Mother and Father were
initially resistant to the substance abuse therapy but had recently asked for these
services. Although a dispute, or minimally, confusion, exists as to the reason
parents had not yet begun the substance abuse therapy at the time of the fact-
finding hearing, the parents had not engaged in this therapy that all parties had
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sought or recommended for Mother and Father. Father’s argument that the
cancellation of the home-based services means that the parents were able to
maintain a safe home ignores the complexity of the issues and the trial court’s
conclusions that the parents’ unresolved mental health and substance abuse
issues were the underlying reasons parents had difficulty maintaining a safe and
clean home.
[29] Father argues that by the time of the fact-finding hearing, all of the children’s
needs were being met by the parents. However, the fact that the needs of the
children were met does not mean that the coercive intervention of the court was
not needed to meet those needs. Moreover, it ignores the conclusions of the trial
court. Here, the trial court made conclusions based on significant evidence that
parents had not addressed substance abuse issues and that although the home
had remained clean, the children were still impacted by their parents’ continued
refusal to participate in services related to the substance abuse. The trial court
also concluded that the condition of the home was a symptom of the underlying
mental health issues and drug addiction, and that without the continued
presence of service providers, the home is likely to deteriorate to its previous
condition. These conclusions are all supported by substantial evidence and do
not constitute clear error.
Conclusion
[30] Because the evidence supports the conclusions, and because to find otherwise
would be to reweigh the evidence, which we cannot do, we affirm the trial
court’s adjudication of Ar.H. and Ay. H. as CHINS.
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[31] Affirmed.
May, J., and Brown, J., concur.
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