Amended May 17, 2016 in the Interest of M.W. And Z.W., Minor Children, R.W., Mother ( 2016 )


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  •                IN THE SUPREME COURT OF IOWA
    No. 15–1256
    Filed March 4, 2016
    Amended May 17, 2016
    IN THE INTEREST OF M.W. AND Z.W.,
    Minor Children,
    R.W., Mother,
    Appellant.
    On review from the Iowa Court of Appeals.
    Appeal from the Iowa District Court for Woodbury County, Julie A.
    Schumacher, Judge.
    The juvenile court terminated a mother’s parental rights to her two
    children.   The State appeals a court of appeals decision affirming the
    juvenile court’s termination of parental rights for one child and reversing
    the termination of parental rights for the other child.    DECISION OF
    COURT OF APPEALS AFFIRMED IN PART AND REVERSED IN PART;
    JUVENILE COURT JUDGMENT AFFIRMED.
    David A. Dawson, Sioux City (until withdrawal), then Theresa
    Rachel of Deck Law, L.L.P., Sioux City, for appellant.
    Thomas J. Miller, Attorney General, Kathrine S. Miller-Todd,
    Assistant Attorney General, Patrick A. Jennings, County Attorney, and
    Dewey P. Sloan, Assistant County Attorney, for appellee.
    2
    ZAGER, Justice.
    The juvenile court terminated a mother’s parental rights to two of
    her children. The court of appeals affirmed the termination of parental
    rights to one of the children and reversed as to the other.               The State
    appeals and requests that we affirm the juvenile court’s termination of
    parental rights for both children. After our de novo review of the record,
    we conclude that the juvenile court order terminating parental rights to
    M.W. under Iowa Code section 232.116(1)(h) (2013) was proper.                     We
    therefore affirm the decision of the court of appeals to the extent it
    confirmed the termination of parental rights to M.W.                  However, we
    reverse the decision of the court of appeals as to Z.W. and conclude that
    termination of parental rights to Z.W. under Iowa Code section
    232.116(1)(h) was also proper and supported by clear and convincing
    evidence in the record.        We affirm the court of appeals on all other
    grounds.
    I. Background Facts and Proceedings.
    R.W. is the mother and M.D.W. is the father of M.W. and Z.W. (the
    children). Both parents’ parental rights to the children were terminated
    in July 2015. 1 M.W. was born in April 2013 and Z.W. was born in March
    2012, making them two years old and three years old at the time of the
    termination hearing.
    The family came to the attention of Child Protective Services (CPS)
    on or around April 29, 2014, after the children’s younger sibling L.W.
    died while under the supervision of their father. 2 M.D.W. reported that
    1The  parental rights of M.D.W. to M.W. and Z.W. were terminated at the same
    time as those of R.W., but M.D.W. did not appeal the termination order. Thus, we only
    address the termination of parental rights as to R.W.
    2M.D.W.   was charged with three counts of neglect of a dependent person in
    violation of Iowa Code section 726.3, one count of child endangerment resulting in the
    death of a child in violation of Iowa Code section 726.6(4), and one count of child
    3
    he awoke at noon to find L.W. unresponsive. M.D.W. arrived at Unity
    Point Hospital in Sioux City with L.W. at approximately 2:20 p.m. He
    reported that the reason he did not call an ambulance for L.W. was that
    there was an active arrest warrant for him in Woodbury County. By the
    time M.D.W. arrived at the hospital with L.W., full rigor mortis had set
    in. Hospital personnel estimated that the time of death was four hours
    prior to arriving at the hospital. When L.W. arrived at the hospital, he
    was wearing filthy clothes that reeked of urine and feces, was unbathed,
    and had a number of sores around his neck.                      As described by the
    juvenile court, the autopsy report noted that L.W.
    had a wizened appearance with skin tenting and sunken
    eyes, . . . [and] failure to thrive with all growth parameters
    below the fifth percentile.         The report further noted
    contusions and abrasions on the 2-month-old infant’s
    hands, further noting the post-mortem chemistry was
    consistent with severe dehydration. The report indicated the
    cause of death as malnutrition and dehydration due to
    neglect, with [the] manner of death being homicide.
    Although L.W. was approximately two months old at the time of his
    death, R.W. reported that he may have only received three baths in his
    life because she was often too tired after returning home from work to
    bathe him. She also reported only giving L.W. bottles of sugar water on
    numerous occasions.
    On the same day L.W. was brought to the hospital, law
    enforcement and CPS officers executed a removal order and removed the
    children from the home.          The children were placed in foster care with
    nonrelatives. The same day that the children were removed from their
    _________________________________
    endangerment resulting in the bodily injury of a child in violation of Iowa Code section
    726.6(6). R.W. was charged with one count of child endangerment resulting in the
    death of a child in violation of Iowa Code section 726.6(4), and three counts of neglect of
    a dependent person in violation of Iowa Code section 726.3. Her trial was still pending
    at the time of the termination hearing.
    4
    parents’ care, law enforcement and CPS officers went to the apartment
    where R.W., M.D.W., and the children had been residing.                 The
    investigators described the conditions of the home as deplorable.       On
    May 1, Dr. Jung visited the apartment with law enforcement officers. He
    reported,
    I inspected all rooms of the residence. I inspected the
    bedroom where the parents slept. I inspected the children’s
    bedding in their bedroom. I inspected the bathroom which
    was very foul smelling with hundreds of flies and gnats
    surrounding a substantial pile of very old and putrid
    smelling soiled diapers.
    The children’s bedding was caked with soiling and
    matted dirt, debris, and body fluid. There was a very strong
    stench coming from the children’s bedroom. Scatter[ed]
    throughout the floor on the carpet of the entire apartment
    were discarded used food containers and garbage which
    made it difficult to walk through. The carpet was stained
    and smelled of rotting feces and decaying vegetables and
    food products. All surfaces, including chairs, floors, and
    bedding were in an extremely filthy, putrid, and unhealthy
    state. The stench was sickening and clearly was not safe to
    inhabit by anyone.
    It would be my medical opinion that this apartment
    was not in a safe living condition for anyone, but particularly
    small dependent children who would be at serious medical
    and health risk by living in this squalor, filth and fly/gnat
    infested environment. The conditions of this home are
    beyond what one could appreciate with a photograph. The
    stench, the flies, the gnats, carpet, bedding, the trash, the
    rotting dirty diapers from months previous created a garbage
    dump odor and appearance.            The conditions of this
    apartment as stated previous[ly are] not safe for children to
    be residing in to maintain a minimum level of health and
    safety.
    Additionally, the landlord had sent R.W. a number of letters about
    the condition of her apartment. The landlord inspected the apartment in
    January and February 2014 and observed a strong odor, garbage around
    the apartment, soiled carpet, and dirty dishes everywhere. He gave R.W.
    time to clean the apartment and scheduled a re-inspection in March.
    5
    R.W. refused the landlord’s employee entry to the apartment when it
    came time for the re-inspection. Following Dr. Jung’s inspection on May
    1, R.W. cleaned her apartment.    The landlord reported that R.W. had
    cleaned the apartment and obtained new furniture as of May 13.
    Following their removal, hair stat tests were performed on the
    children. M.W. tested positive for cannabinoids and carboxy-THC. Z.W.
    tested positive for cannabinoids, carboxy-THC, and native THC. A test
    was also performed on the deceased L.W., who tested positive for
    amphetamines, methamphetamine, cannabinoids, carboxy-THC, and
    native THC.    R.W. initially admitted that both she and M.D.W. had
    substance abuse problems.     She stated that she only used marijuana
    and denied the use of any amphetamines.              However, she did
    acknowledge that she was uncertain what drugs she had ingested on a
    number of occasions because “[M.D.W.] would load the pipes and she
    would not necessarily know what was being loaded in the pipe.” She also
    admitted that she had given M.D.W. money in the past to buy marijuana
    to calm his nerves and to buy Adderall so he would be able to stay awake
    while watching the children. M.D.W. was on probation at the time of the
    children’s removal, and his probation officer collected a urine sample.
    This urinalysis tested positive for THC.     M.D.W. admitted to using
    Adderall and signed an admission that the last time he used marijuana
    was on or around April 26. M.D.W. also has a history of domestic abuse
    assaults.   R.W. was the victim of at least two domestic assaults by
    M.D.W. On at least one occasion, all three children were present in the
    apartment when M.D.W. assaulted R.W.
    M.D.W. was the primary caretaker of the three children while R.W.
    was at work. However, R.W. acknowledged that she knew M.D.W. was
    not providing an adequate level of care for the children while she was at
    6
    work, and she did nothing to remedy the situation. R.W. told CPS that
    M.D.W. would stay up all night playing video games and sleep during the
    day instead of taking care of the three children. She said that she knew
    the children were not being fed properly, were not being bathed, and
    were being neglected by M.D.W.       CPS noted in its investigative report
    that “[R.W.] was fully aware of the type of care [the children] were
    receiving from [M.D.W.] and she did nothing to protect her children.”
    A temporary removal hearing was held on May 8 for M.W. and Z.W.
    After the hearing, custody of the children remained with the Department
    of Human Services (DHS) for placement in foster care, subject to
    visitation at DHS discretion. The juvenile court found that it would be
    contrary to the welfare of the children for them to be in the custody of
    their parents.    On May 28, CPS finished its investigation into the
    conditions giving rise to the children’s removal. The report confirmed the
    allegations as to M.W., Z.W., and L.W. for: (1) the denial of critical care
    for failure to provide adequate shelter, adequate supervision, or adequate
    health care; and (2) the presence of illegal drugs in the body of a child.
    R.W. obtained a substance abuse evaluation.            The substance
    abuse evaluation recommended that she enroll in residential-level care,
    followed by a half-way house or intensive outpatient treatment. R.W. did
    not follow this recommendation and instead chose to participate in
    intensive outpatient treatment. She began treatment on May 13, and the
    record reveals that her participation remained consistent. Her therapist
    rated her at a moderate risk for relapse and recommended that she
    remain in the intensive outpatient program.        R.W. also underwent a
    psychiatric evaluation on May 28.         She was diagnosed with Major
    Depressive Disorder, Generalized Anxiety Disorder, Posttraumatic Stress
    Disorder (PTSD), and Dependent Personality Disorder.               She was
    7
    prescribed   medications      to    help   with    her   nightmares   and   PTSD
    symptoms, and her evaluator recommended that she attend therapy on a
    regular basis.
    On May 29, the juvenile court held a combined temporary removal
    and adjudication hearing. In an order filed June 2, the court noted that
    R.W. had stipulated to the statutory grounds for adjudication but not the
    factual grounds. The court found that there was clear and convincing
    evidence that M.W. and Z.W. were children in need of assistance (CINA)
    pursuant to the statutory grounds as alleged in the petition filed by the
    State on May 1 and the amended petition filed by the State on May 2.
    The grounds alleged in the State’s amended petition included Iowa Code
    sections 232.2(6)(b), .2(6)(c)(2) and .2(6)(n). The juvenile court noted that
    all   parties    were    in        agreement      with    the   pre-dispositional
    recommendations. Neither parent appealed the CINA adjudication order.
    On the same day that the children were adjudicated CINA, the
    juvenile court denied R.W.’s request to place the children in the care of
    their maternal aunt and her spouse.               The juvenile court noted as a
    potential concern the fact that the aunt had visited the apartment
    sixteen days before L.W.’s death and reported that she believed the
    apartment was clean and that she saw nothing wrong with L.W.                 The
    aunt and her spouse did eventually complete foster care classes and
    were licensed as foster parents. They took physical custody of M.W. and
    Z.W. in February 2015.
    After the CINA adjudication, R.W. underwent another psychological
    evaluation with Dr. Michael Baker. R.W. reported no history of therapy
    but indicated she took Lexapro in the past for approximately one month
    due to feeling overwhelmed taking care of three young children.              She
    reported having suicidal thoughts in the past and cutting herself to gain
    8
    attention. Both of these statements are contrary to what she told her
    original evaluator. Dr. Baker summarized his evaluation of R.W., stating,
    [R.W.] generally reports a non-traumatic childhood
    background, a fairly responsible work history, an intellectual
    and educational level of at least average, and yet remained in
    this very co-dependent, abusive arrangement with obvious
    lack of care for her children . . . . While feeling overwhelmed
    by the situation of childcare, employment, and the
    dysfunction of a substance abusing, non-responsible acting
    father to her children, she did not approach any constructive
    options for change, but continued to return to the same
    dysfunctional, unhealthy and disastrous situation for herself
    and her children.
    ....
    [R.W.’s] extreme poor judgment not only for her own
    emotional health regarding [her relationship with M.D.W.],
    but more so lack of addressing the severe needs present for
    the children, particularly in the absence initially of
    emotional/mental illness or more severe substance abuse,
    suggests a lack of benefit from mental health/substance
    treatment. While issues are now present to be treated,
    reunification with her children is questionable.           The
    continued lack of normal maternal interest in their care
    (nutrition, medical, safety, etc.) strongly suggests attributes
    resistant to change.
    Dr. Baker diagnosed R.W. with Depressive Disorder NOS and Cluster C–
    Dependent Personality Features. CPS has noted concerns that R.W. “is
    doing all that is requested in a short time period, and possibly not
    internalizing everything she is learning and working on.          [She is]
    [p]ossibly just going through the motions and checking off things on her
    to do list.” However, R.W. attended grief therapy after the death of L.W.,
    and her therapist recommended reunification because R.W. has “better
    self-esteem and love for herself.”   There is no evidence in the record
    regarding whether the grief therapist was informed of the circumstances
    surrounding L.W.’s death.
    9
    On November 7, the State filed its petition for termination of
    parental rights concerning M.W. and Z.W. In the petition, the State pled
    that the parent–child relationship between R.W. and the children should
    be terminated pursuant to Iowa Code sections 232.116(1)(d), (h) and (i). 3
    The petition also set forth specific facts and reasons in support of
    termination.       Some of the facts the petition alleged in support of
    3Iowa   Code section 232.116(1) provides in relevant part:
    [T]he court may order the termination of both the parental rights with
    respect to a child and the relationship between the parent and the child
    on any of the following grounds:
    ...
    d. The court finds that both of the following have occurred:
    (1) The court has previously adjudicated the child to be a child in
    need of assistance after finding the child to have been physically or
    sexually abused or neglected as the result of the acts or omissions of one
    or both parents, or the court has previously adjudicated a child who is a
    member of the same family to be a child in need of assistance after such
    a finding.
    (2) Subsequent to the child in need of assistance adjudication, the
    parents were offered or received services to correct the circumstances
    which led to the adjudication, and the circumstance continues to exist
    despite the offer or receipt of services.
    ...
    h. The court finds that all of the following have occurred:
    (1) The child is three years of age or younger.
    (2) The child has been adjudicated a child in need of assistance
    pursuant to section 232.96.
    (3) The child has been removed from the physical custody of the
    child’s parents for at least six months of the last twelve months, or for
    the last six consecutive months and any trial period at home has been
    less than thirty days.
    (4) There is clear and convincing evidence that the child cannot
    be returned to the custody of the child’s parents as provided in section
    232.102 at the present time.
    i. The court finds that all of the following have occurred:
    (1) The child meets the definition of child in need of assistance
    based on a finding of physical or sexual abuse or neglect as a result of
    the acts or omissions of one or both parents.
    (2) There is clear and convincing evidence that the abuse or
    neglect posed a significant risk to the life of the child or constituted
    imminent danger to the child.
    (3) There is clear and convincing evidence that the offer or receipt
    of services would not correct the conditions which led to the abuse or
    neglect of the child within a reasonable period of time.
    10
    termination included the following: that both children were three years of
    age or younger; R.W.’s history of only supervised visitation; that R.W.
    struggled to parent all three children at once; that the children exhibited
    negative behavior following visitation; that R.W. made progress with
    substance abuse treatment but made limited progress with mental
    health treatment; the psychiatrist’s statement that “continued lack of
    normal maternal interest in her children’s care (nutrition, medical,
    safety, etc.) strongly suggests attributes resistant to change” and his
    conclusion that “reunification with her children is questionable”; and
    behavior indicative of the mother’s persistent lack of judgment and co-
    dependence. 4 Even with on-going services being provided to R.W., the
    State alleged that the conditions which led to the removal of the children
    and CINA adjudication could not be corrected within a reasonable period
    of time and that the children could not be returned to the mother’s
    custody.
    The hearing on the termination petition came before the juvenile
    court on May 8, 2015, and the court issued its order on July 7. In that
    order, the court concluded that each of the statutory grounds advanced
    by the State in its petition for termination of parental rights as to M.W.
    and Z.W. was supported by clear and convincing evidence.                  See 
    id. § 232.117(3).
       The juvenile court also concluded that M.W and Z.W.
    could not be returned to the care of their mother. Finally, it concluded
    that it was in the best interest of each of the children to terminate the
    parent–child relationships so that they will have the opportunity to grow
    and mature in a safe, healthy, and stimulating environment.                 In its
    4R.W. had become pregnant very soon after the death of L.W. D.W. was born in
    March 2015. Additionally, T.W., the putative father of D.W., has a history of child
    abuse and exhibits controlling behavior with R.W.
    11
    order, judgment and decree, the juvenile court terminated the parental
    rights to M.W. and Z.W. pursuant to sections 232.116(1)(d) and (i). It
    also terminated the parental rights to M.W.—but not Z.W.—pursuant to
    section 232.116(1)(h). R.W. appealed, and we transferred the case to the
    court of appeals.        The court of appeals affirmed the termination of
    parental rights to M.W., but reversed the termination of parental rights
    to Z.W. The State applied for further review, which we granted.
    II. Standard of Review.
    In termination-of-parental-rights cases, we review the proceedings
    de novo.     In re A.M., 
    843 N.W.2d 100
    , 110 (Iowa 2014).                  “We are not
    bound by the juvenile court’s findings of fact, but we do give them
    weight, especially in assessing the credibility of witnesses.” 
    Id. (quoting In
    re D.W., 
    791 N.W.2d 703
    , 706 (Iowa 2010)). There must be clear and
    convincing evidence of the grounds for termination of parental rights.
    
    D.W., 791 N.W.2d at 706
    ; see Iowa Code § 232.117(3).                        Evidence is
    considered clear and convincing “when there are no ‘serious or
    substantial doubts as to the correctness [of] conclusions of law drawn
    from the evidence.’ ” 
    Id. (quoting In
    re C.B., 
    611 N.W.2d 489
    , 492 (Iowa
    2000)). 5
    III. Analysis.
    Our review of termination of parental rights under Iowa Code
    chapter 232 is a three-step analysis. 
    D.W., 791 N.W.2d at 706
    . The first
    step is to determine whether any ground for termination under section
    232.116(1) has been established.              
    Id. If we
    find that a ground for
    termination has been established, then we determine whether the best-
    5This oft-quoted language suffers from a malignant sixteen-year-old typo.        By
    following the quotation all the way back to its inception, we note it is meant to read “the
    correctness of conclusions of law.” See Raim v. Stancel, 
    339 N.W.2d 621
    , 624 (Iowa Ct.
    App. 1983).
    12
    interest framework as laid out in section 232.116(2) supports the
    termination of parental rights. 
    Id. at 706–07.
    Finally, if we do find that
    the statutory best-interest framework supports the termination of
    parental     rights,   we   consider    whether   any    exceptions   in   section
    232.116(3) apply to preclude termination of parental rights. 
    Id. at 707.
    A. Error Preservation.           Here, we are confronted with a unique
    situation.    The order, judgment, and decree from the juvenile court is
    internally inconsistent regarding the grounds relied on in terminating the
    parental rights to M.W. and Z.W. After an exhaustive review of the facts,
    the juvenile court notes that under Iowa law, the court may order
    termination of parental rights if there is clear and convincing evidence to
    support any of the grounds for termination as set forth in Iowa Code
    section 232.116.       The juvenile court then concludes that “each of the
    statutory grounds advanced by the State in its Petition for Termination of
    Parental Rights as to [M.W.] and [Z.W.] is supported by clear and
    convincing evidence.”        (Emphasis added.)          The State’s petition for
    termination requested that R.W.’s rights to both M.W. and Z.W. be
    terminated under Iowa Code sections 232.116(1)(d), (h), and (i).
    However, in the order, judgment and decree section of the termination
    order, the juvenile court ordered that the parental rights to M.W. be
    terminated under all three sections but the parental rights to Z.W. be
    terminated only under sections 232.116(1)(d) and (i). The juvenile court
    provides no explanation as to why it applied section 232.116(1)(h) only to
    M.W. and not to Z.W.
    The court of appeals first analyzed whether the parental rights to
    the children could be properly terminated pursuant to Iowa Code
    sections 232.116(1)(d) and (i).        Each of these code provisions require
    “physical abuse or neglect” or “abuse or neglect,” which both the code
    13
    and this court have defined as meaning “any nonaccidental physical
    injury suffered by a child as the result of the acts or omissions of the
    child’s parent, guardian, or custodian or other person legally responsible
    for the child.” Iowa Code § 232.2(42); In re J.S., 
    846 N.W.2d 36
    , 41 (Iowa
    2014).   The court of appeals concluded that the record contained no
    evidence that either of the children suffered a “nonaccidental physical
    injury” that would support the termination of parental rights pursuant to
    these code sections. We agree and affirm the court of appeals in this
    regard. We also affirm the court of appeals on R.W.’s other numerous
    contentions of claimed error by the juvenile court.
    However, the court of appeals declined to consider the termination
    of parental rights to Z.W. under Iowa Code section 232.116(1)(h).
    Procedurally, the State did not file an Iowa Rule of Civil Procedure
    1.904(2) 6 motion to modify the termination order, nor did it file a cross-
    appeal seeking appellate review of the termination order with regard to
    the distinction between M.W. and Z.W. under section 232.116(1)(h). The
    court of appeals cited to a previous case, In re A.R., wherein the court of
    appeals held that it would not terminate parental rights on a ground not
    relied upon by the juvenile court when the State did not file either a rule
    1.904(2) motion or a cross-appeal. 
    865 N.W.2d 619
    , 629–30, 633 (Iowa
    Ct. App. 2015). However, because our holding in this case is contrary to
    the court of appeals’ conclusion, we overrule In re A.R. to the extent it
    held a rule 1.904(2) motion or cross-appeal was required for it to
    6Iowa   Rule of Civil Procedure 1.904(2) provides,
    On motion joined with or filed within the time allowed for a motion for
    new trial, the findings and conclusions may be enlarged or amended and
    the judgment or decree modified accordingly or a different judgment or
    decree substituted.      But a party, on appeal, may challenge the
    sufficiency of the evidence to sustain any finding without having objected
    to it by such motion or otherwise.
    14
    consider alternate grounds for affirmance that were raised before the
    juvenile court.
    Under our general rules of appellate review, “[w]e are obliged to
    affirm an appeal where any proper basis appears for a trial court’s ruling,
    even though it is not one upon which the court based its holding.” State
    v. Maxwell, 
    743 N.W.2d 185
    , 192 (Iowa 2008) (quoting Citizens First Nat’l
    Bank v. Hoyt, 
    297 N.W.2d 329
    , 332 (Iowa 1980)). Although this court
    has not yet had the opportunity to apply this general rule of appellate
    review to termination-of-parental-rights cases, the court of appeals has
    done so.      See, e.g., In re T.N.M., 
    542 N.W.2d 574
    , 575 (Iowa Ct. App.
    1995). 7 Nevertheless, “[o]ur cases are legion which hold that a trial court
    may be affirmed on grounds upon which it does not rely.”                    Johnston
    Equip. Corp. of Iowa v. Indus. Indem., 
    489 N.W.2d 13
    , 17 (Iowa 1992). It
    is when a party does not present an issue to the district court that we
    decline to decide the issue. See City of Postville v. Upper Explorerland
    Reg’l Planning Comm’n, 
    834 N.W.2d 1
    , 8 (Iowa 2013).
    Further, the State was not required to file a cross-appeal for us to
    consider whether parental rights to Z.W. may be terminated under
    section 232.116(1)(h). “It is well-settled law that a prevailing party can
    raise an alternative ground for affirmance on appeal without filing a
    notice of cross-appeal, as long as the prevailing party raised the
    alternative ground in the district court.” Duck Creek Tire Serv., Inc. v.
    Goodyear Corners, L.C., 
    796 N.W.2d 886
    , 893 (Iowa 2011); see also
    Moyer v. City of Des Moines, 
    505 N.W.2d 191
    , 193 (Iowa 1993) (“A
    successful party, without appealing, may attempt to save a judgment on
    7The court of appeals has also applied this principle in a number of unpublished
    termination-of-parental-rights cases. See, e.g., In re J.B., No. 08–1557, 
    2009 WL 1140492
    , at *2 (Iowa Ct. App. March 11, 2009).
    15
    appeal based on grounds urged in the district court but not considered
    by that court.”). We have previously noted that “a successful party need
    not cross-appeal to preserve error on a ground urged but ignored or
    rejected” in the trial court.   EnviroGas, L.P. v. Cedar Rapids/Linn Cty.
    Solid Waste Agency, 
    641 N.W.2d 776
    , 781 (Iowa 2002) (quoting Johnston
    Equip. 
    Corp., 489 N.W.2d at 16
    ). “This is because a party need not, in
    fact cannot, appeal from a favorable ruling.” Johnston Equip. 
    Corp., 489 N.W.2d at 16
    . Therefore, we hold the prevailing party in a termination-
    of-parental-rights action need not file a cross-appeal or a rule 1.904(2)
    motion to assert an alternative ground for affirmance on appeal that was
    raised before the juvenile court.
    In this case, the State was the prevailing party in the juvenile court
    because the court ultimately terminated parental rights to both M.W.
    and Z.W.    The State also properly raised the grounds for termination
    under all three sections of Iowa Code section 232.116 as to both children
    before the juvenile court. Therefore, the State was not required to file a
    cross-appeal or a rule 1.904(2) motion in this case in order for the court
    of appeals or this court to consider whether the parental rights to Z.W.
    may be terminated under Iowa Code section 232.116(1)(h). The juvenile
    court concluded that “each of the statutory grounds . . . is supported by
    clear and convincing evidence” for both children. (Emphasis added.) We
    are therefore free to consider the ground for termination under
    232.116(1)(h) equally for both children.
    B. Whether Termination is Appropriate.           The juvenile court
    concluded that there was clear and convincing evidence to support the
    termination of parental rights under three provisions of Iowa Code
    section 232.116. We have already addressed the inapplicability of two of
    these code provisions—sections 232.116(1)(d) and (i)—earlier in this
    16
    opinion. However, we still need to determine whether there is clear and
    convincing evidence to support the remaining ground for termination of
    the parental rights of R.W. to both M.W. and Z.W. under section
    232.116(1)(h). See In re A.B., 
    815 N.W.2d 764
    , 774 (Iowa 2012) (“When
    the juvenile court terminates parental rights on more than one statutory
    ground, we may affirm the juvenile court’s order on any ground we find
    supported by the record.”).
    1. Underlying basis for CINA adjudication. On June 2, the juvenile
    court found that there was clear and convincing evidence that M.W. and
    Z.W. were CINA pursuant to Iowa Code sections 232.2(6)(b), .2(6)(c)(2),
    and .2(6)(n). Iowa Code section 232.2(6)(b) necessitates a finding that a
    child is a CINA when the “parent, guardian, other custodian, or other
    member of the household in which the child resides has physically
    abused or neglected the child, or is imminently likely to abuse or neglect
    the child.” Iowa Code § 232.2(6)(b). Section 232.2(6)(c)(2) provides that a
    child should be adjudicated a CINA when they have suffered or are
    imminently likely to suffer harmful effects due to “[t]he failure of the
    child’s parent, guardian, custodian, or other member of the household in
    which the child resides to exercise a reasonable degree of care in
    supervising the child.” 
    Id. § 232.2(6)(c)(2).
    Section 232.2(6)(n) requires
    the juvenile court to adjudicate a child as a CINA if their “parent’s or
    guardian’s mental capacity or condition, imprisonment, or drug or
    alcohol abuse results in the child not receiving adequate care.”        
    Id. § 232.2(6)(n).
      Pursuant to the Iowa Rules of Appellate Procedure, a
    notice of appeal from an order adjudicating a child CINA must be filed
    within fifteen days of the filing of the order or judgment. Iowa R. App. P.
    6.101(1)(a). The order adjudicating M.W. and Z.W. as CINA was filed on
    June 2. R.W. did not timely appeal the order adjudicating the children
    17
    as CINA, and thus the juvenile court’s adjudication order is conclusive.
    See 
    A.M., 843 N.W.2d at 111
    (treating the second element as established
    after the child in question had been adjudicated CINA).
    2. Section 232.116(1)(h) analysis.         The juvenile court concluded
    that there were grounds for termination under Iowa Code section
    232.116(1)(h).    This code section provides that the juvenile court may
    terminate parental rights if it finds that all four of the following
    circumstances have occurred:
    (1) The child is three years of age or younger.
    (2) The child has been adjudicated a child in need of
    assistance pursuant to section 232.96.
    (3) The child has been removed from the physical
    custody of the child’s parents for at least six months of the
    last twelve months, or for the last six consecutive months
    and any trial period at home has been less than thirty days.
    (4) There is clear and convincing evidence that the
    child cannot be returned to the custody of the child’s parents
    as provided in section 232.102[8] at the present time.
    Iowa Code § 232.116(1)(h). The juvenile court found there was clear and
    convincing evidence on each of the above elements to warrant
    termination for each of the children. The court of appeals agreed that
    each of the above elements had been met as to M.W., warranting
    termination. However, it failed to consider the same elements as to Z.W.
    and reversed termination as to Z.W. under the other two provisions of
    section 232.116.
    Based on our de novo review of the record, we conclude there is
    clear and convincing evidence that each of the four requirements of Iowa
    8Iowa   Code section 232.102 provides rules for how the juvenile court may
    transfer the legal custody of children, in addition to how and where children may be
    placed. Iowa Code § 232.102.
    18
    Code section 232.116(1)(h) have been met for both M.W. and Z.W., and
    the grounds for termination were proven. At the time of the termination
    hearing, M.W. was two years old, born on April 13, 2013. Z.W. was three
    years old, born on March 28, 2012.        Both children were adjudicated
    CINA in June 2014.         No timely appeal was filed from the CINA
    adjudication, which establishes element two. See 
    A.M., 843 N.W.2d at 111
    (treating the second element as established after the child in
    question had been adjudicated CINA). The children were removed from
    the physical custody of R.W. in April 2014.          At the time of the
    termination hearing, the children had been out of the physical custody of
    R.W. for twelve consecutive months.       The children have had no trial
    period at home with R.W.
    Finally, there is clear and convincing evidence in the record that at
    the time of the termination hearing, the children could not be safely
    returned to the custody of R.W.    In reaching this conclusion, we note
    that R.W. has never accepted responsibility for her actions in the death
    of L.W. or assumed any responsibility for the removal of M.W. and Z.W.
    from her home.     Rather, she chooses to place the responsibility and
    blame on M.D.W.       Although R.W. has undergone substance abuse
    treatment and mental health evaluations, she continues to exhibit the
    same co-dependent behavior that led to her negative relationship with
    M.D.W. Immediately after leaving the abusive relationship with M.D.W.,
    R.W. began a relationship with T.W., who has a history of child abuse
    and who threatened R.W. for attempting to set boundaries.             This
    behavior demonstrates that R.W. continues to make decisions without
    thinking of the impact on her children.
    Although R.W. has presented a clean apartment for her scheduled
    CPS visits, she has refused entry to the apartment for unscheduled
    19
    visits, raising concerns about the normal cleanliness level of her home.
    Additionally, R.W. began working in April 2015. Although she did obtain
    employment, concerns remain about her ability to support herself and
    her children.    Her employment began only one month before the
    termination hearing.    More significantly, throughout the proceedings
    involving her children, R.W. provided little to no financial assistance for
    M.W., Z.W., or D.W. This delay in finding regular employment reflects
    her prior pattern of irresponsibility and lack of planning when it comes to
    her children.
    The record reflects that R.W. was unable to adequately supervise
    all three children together during visitations and that M.W. and Z.W.
    exhibited destructive and worrisome behavior following visits.         After
    supervised visitations, the children would bang their heads, scream,
    kick, have night terrors, bite, and sleepwalk. Further, although R.W. has
    requested increased visitation with her children, visits have never been
    able to progress to either semi-supervised or unsupervised due to the
    destructive behavior the children exhibited after their visits with R.W.
    The record supports the juvenile court’s conclusion that there was “no
    evidence to suggest that [R.W.] would do any better at parenting three
    small children at [the time of the termination order], or at any time in the
    foreseeable future, on her own.”
    The juvenile court’s conclusion that the children cannot be safely
    returned to the custody of R.W. is also supported by the statements
    provided by the mental health care professionals and CPS workers
    associated with the case. One of the mental health providers concluded
    that R.W.’s “continued lack of normal maternal interest in [her children’s]
    care (nutrition, medical, safety, etc.) strongly suggests attributes
    resistant to change.” He thought that the prospect of R.W. reuniting with
    20
    her children was “questionable.”    CPS workers have noted that while
    R.W. “is doing all that is requested in a short time period, [she is]
    possibly not internalizing everything she is working on. [She is] possibly
    just going through the motions and checking things off on her to do list.”
    Upon our de novo review, we conclude that there is clear and
    convincing evidence in the record that the children could not safely be
    returned to the custody of R.W. under Iowa Code section 232.102 at the
    time of the termination hearing.   Therefore, we find there is clear and
    convincing evidence in the record that meets the requirements of Iowa
    Code section 232.116(1)(h). The State has proven this ground supports
    the termination of parental rights to M.W. and Z.W.
    C. Best-Interest Analysis. Once we have established that at least
    one ground for termination under section 232.116(1) exists, the next step
    of our analysis is to evaluate whether the termination of parental rights
    would be in the best interest of the child under section 232.116(2). 
    D.W., 791 N.W.2d at 706
    –07.       When we consider whether parental rights
    should be terminated, we “shall give primary consideration to the child’s
    safety, to the best placement for furthering the long-term nurturing and
    growth of the child, and to the physical, mental, and emotional condition
    and needs of the child.”   Iowa Code § 232.116(2); see also 
    D.W., 791 N.W.2d at 708
    .     In making this determination, we may consider a
    number of factors.     
    D.W., 791 N.W.2d at 708
    .        We may consider
    “[w]hether the parent’s ability to provide [for] the needs of the child is
    affected by the parent’s mental capacity or mental condition or the
    parent’s imprisonment for a felony.” Iowa Code § 232.116(2)(a). If the
    children have been placed in foster care, we consider the extent to which
    they have become integrated into that family. 
    Id. § 232.116(2)(b).
    For
    integration, we look at how long the children have been living with the
    21
    foster family, how continuity would affect the children, and the
    preference of the children if they are capable of expressing a preference.
    
    Id. § 232.116(2)(b)(1)–(2).
    Last, we may also consider statements of foster
    parents or relatives with whom the children have been placed.           
    Id. § 232.116(2)(c).
    We also note that when we evaluate whether termination
    is in the child’s best interest,
    [i]t is well-settled law that we cannot deprive a child of
    permanency after the State has proved a ground for
    termination under section 232.116(1) by hoping someday a
    parent will learn to be a parent and be able to provide a
    stable home for the child.
    
    A.M., 843 N.W.2d at 112
    (quoting In re P.L., 
    778 N.W.2d 33
    , 41 (Iowa
    2010)).
    Both M.W. and Z.W. have continued to reside with their maternal
    aunt and her spouse since February 2015.             Both children have
    continued to meet proper developmental milestones. The juvenile court
    found that their aunt and her spouse are able to provide for their
    physical, emotional, and financial needs. The aunt and her spouse also
    currently have physical custody of their younger half-sibling, D.W. The
    children have adjusted well to the home. The juvenile court found that
    the children were well integrated into the home.          See Iowa Code
    § 232.116(2)(b). Further, the aunt and her spouse have expressed the
    desire to adopt both M.W. and Z.W. if parental rights are terminated.
    See 
    id. § 232.116(2)(c).
    Upon our de novo review, we conclude that the
    considerations in section 232.116(2) support the termination of parental
    rights of R.W. to both M.W. and Z.W.
    D. Exceptions. Once we have established that the termination of
    parental rights is in the children’s best interests, the last step of our
    analysis is to determine whether any exceptions in section 232.116(3)
    22
    apply to preclude the termination. 
    D.W., 791 N.W.2d at 707
    . There are
    five exceptions to a finding of termination:
    a. A relative has legal custody of the child.
    b. The child is over ten years of age and objects to the
    termination.
    c. There is clear and convincing evidence that the
    termination would be detrimental to the child at the time
    due to the closeness of the parent-child relationship.
    d. It is necessary to place the child in a hospital,
    facility, or institution for care and treatment and the
    continuation of the parent-child relationship is not
    preventing a permanent family placement for the child.
    e. The absence of a parent is due to the parent’s
    admission or commitment to any institution, hospital, or
    health facility or due to active service in the state or federal
    armed forces.
    Iowa Code § 232.116(3). While a finding of any of these factors allows us
    to choose not to terminate parental rights, “[t]he factors weighing against
    termination in section 232.116(3) are permissive, not mandatory.” 
    A.M., 843 N.W.2d at 113
    (quoting In re D.S., 
    806 N.W.2d 458
    , 474–75 (Iowa Ct.
    App. 2011)).     We may use our discretion, “based on the unique
    circumstances of each case and the best interests of the child, whether to
    apply the factors in this section to save the parent–child relationship.”
    
    Id. (quoting D.S.,
    806 N.W.2d at 475).
    We first note that while there is certainly some bond between R.W.
    and her children, the two children have remained outside of her care
    since their original removal almost two years ago.          The children are
    young—ages two and three.       The children act out negatively following
    their visitation with R.W.     For more than one year, R.W. has not
    progressed beyond more than limited, supervised visits with the children.
    Even some of these supervised visitations become overwhelming to R.W.
    23
    The children are adoptable, and their maternal aunt and her spouse
    have expressed the desire to adopt both M.W. and Z.W.        The children
    have achieved stability in their aunt’s home and continue to meet
    developmental milestones. On our de novo review, we decline to find an
    exception under section 232.116(3) renders termination improper.
    IV. Conclusion.
    We conclude that there is clear and convincing evidence to support
    the termination of parental rights under Iowa Code section 232.116(1)(h)
    as to both M.W. and Z.W. Additionally, termination of the parental rights
    of R.W. is in the best interests of the children.   Finally, we decline to
    apply any of the exceptions precluding termination.
    DECISION OF COURT OF APPEALS AFFIRMED IN PART AND
    REVERSED IN PART; JUVENILE COURT JUDGMENT AFFIRMED.