In re Interest of Ky'Ari J. , 29 Neb. Ct. App. 124 ( 2020 )


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    Nebraska Court of Appeals Advance Sheets
    29 Nebraska Appellate Reports
    IN RE INTEREST OF KY’ARI J.
    Cite as 
    29 Neb. Ct. App. 124
    In re Interest of Ky’Ari J., a child
    under 18 years of age.
    State of Nebraska, appellee, v.
    Kwamayne J., appellant.
    ___ N.W.2d ___
    Filed November 17, 2020.   No. A-20-015.
    1. Juvenile Courts: Appeal and Error. An appellate court reviews juve-
    nile cases de novo on the record and reaches a conclusion independently
    of the juvenile court’s findings.
    2. Juvenile Courts: Jurisdiction: Proof. In order to obtain jurisdiction
    over a juvenile at the adjudication stage, the court’s only concern is
    whether the conditions in which the juvenile presently finds himself or
    herself fit within the asserted subsection of Neb. Rev. Stat. § 43-247
    (Reissue 2016). The State must prove such allegations by a preponder-
    ance of the evidence.
    3. Juvenile Courts: Proof. While the State need not prove that the child
    has actually suffered physical harm, Nebraska case law is clear that at a
    minimum, the State must establish that without intervention, there is a
    definite risk of future harm.
    4. Parental Rights: Proof. Neb. Rev. Stat. § 43-292 (Reissue 2016) pro-
    vides 11 separate conditions, any one of which can serve as the basis
    for the termination of parental rights when coupled with evidence that
    termination is in the best interests of the child.
    5. Parental Rights. Neb. Rev. Stat. § 43-292(9) (Reissue 2016) allows
    for terminating parental rights when the parent of the juvenile has sub-
    jected the juvenile or another minor child to aggravated circumstances,
    including, but not limited to, abandonment, torture, chronic abuse, or
    sexual abuse.
    6. ____. Whether aggravated circumstances under Neb. Rev. Stat.
    § 43-292(9) (Reissue 2016) exist is determined on a case-by-case basis.
    7. Parental Rights: Words and Phrases. Where the circumstances created
    by the parent’s conduct create an unacceptably high risk to the health,
    safety, and welfare of the child, they are aggravated.
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    8. ____: ____. Aggravated circumstances exist when a child suffers severe,
    intentional physical abuse.
    9. Parental Rights: Proof. Under Neb. Rev. Stat. § 43-292 (Reissue
    2016), once the State shows that statutory grounds for termination of
    parental rights exist, the State must then show that termination is in the
    best interests of the child.
    10. Constitutional Law: Parental Rights: Proof. A parent’s right to raise
    his or her child is constitutionally protected; as such, before a court
    may terminate parental rights, the State must also show that the parent
    is unfit.
    11. Parental Rights: Presumptions: Proof. There is a rebuttable presump-
    tion that the best interests of a child are served by having a relationship
    with his or her parent. Based on the idea that fit parents act in the best
    interests of their children, this presumption is overcome only when the
    State has proved that a parent is unfit.
    12. Parental Rights: Statutes: Words and Phrases. The term “unfitness”
    is not expressly used in Neb. Rev. Stat. § 43-292 (Reissue 2016), but
    the concept is generally encompassed by the fault and neglect subsec-
    tions of that statute, and also through a determination of the children’s
    best interests.
    13. Parental Rights: Words and Phrases. Parental unfitness means a per-
    sonal deficiency or incapacity which has prevented, or will probably
    prevent, performance of a reasonable parental obligation in child rear-
    ing and which caused, or probably will result in, detriment to a child’s
    well-being.
    14. Parental Rights. The best interests analysis and the parental fitness
    analysis are fact-intensive inquiries. And while both are separate inquir­
    ies, each examines essentially the same underlying facts as the other.
    15. ____. A court need not wait for a disaster to strike before taking protec-
    tive steps in the interests of a minor child.
    Appeal from the Separate Juvenile Court of Douglas County:
    Christopher E. Kelly, Judge. Affirmed.
    Thomas C. Riley, Douglas County Public Defender, and
    Mary Rose Donahue for appellant.
    Donald W. Kleine, Douglas County Attorney, Anthony
    M. Hernandez, and Katherine Corwin, Senior Certified Law
    Student, for appellee.
    Moore, Chief Judge, and Bishop and Welch, Judges.
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    IN RE INTEREST OF KY’ARI J.
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    Bishop, Judge.
    I. INTRODUCTION
    Kwamayne J. appeals from the decision of the separate juve-
    nile court of Douglas County terminating his parental rights to
    his daughter, Ky’Ari J. We affirm.
    II. BACKGROUND
    1. Procedural Background
    Kwamayne and Ashley T. are the parents of Ky’Ari, born in
    2016. Ashley also has two other children, Brooklyn S., born
    in 2011, and Ky’Lynn J., born in 2019. Brooklyn’s alleged
    father was not part of the juvenile proceedings below nor is he
    part of this appeal, and therefore, he will not be discussed any
    further. Although our record contains various statements that
    Kwamayne is Ky’Lynn’s father, he is not listed on her birth
    certificate and there is no order establishing paternity appear-
    ing in our record. Moreover, on June 11, 2019, the juvenile
    court ordered Kwamayne to undergo paternity testing regard-
    ing Ky’Lynn “pursuant to his request,” but our record does
    not reveal whether such testing took place or the results of any
    such testing.
    Neither the adjudication of nor the parental rights to
    Brooklyn and Ky’Lynn are at issue in this appeal; they will
    therefore only be discussed as necessary. Furthermore, Ashley
    is not part of this appeal, and she will only be discussed as
    necessary. We note that during these same juvenile proceedings
    below, the State sought to adjudicate all three children as being
    within the meaning of Neb. Rev. Stat. § 43-247(3)(a) (Reissue
    2016) by reason of the fault or habits of Ashley and the State
    also sought to terminate Ashley’s parental rights to all three
    children. Although the juvenile court did adjudicate all three
    children as being within the meaning of § 43-247(3)(a) by
    reason of the fault or habits of Ashley, the court found that the
    State had not met its burden of proof as to the termination of
    Ashley’s parental rights to the children; therefore, her parental
    rights remained intact.
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    IN RE INTEREST OF KY’ARI J.
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    In May 2019, Kwamayne and Ashley were not married or
    living together, but they were in a relationship. On May 29,
    Kwamayne was watching Ky’Ari (then 3 years old), Brooklyn
    (then 7 years old), and Ky’Lynn (then 3 months old) at
    Ashley’s apartment in Omaha, Nebraska, while Ashley was
    at work. While in Kwamayne’s care, Ky’Lynn became unre-
    sponsive, and she was taken by ambulance to the University of
    Nebraska Medical Center (UNMC) emergency room. She was
    subsequently diagnosed with abusive head trauma. As a result,
    all three children were removed from the home and placed in
    the temporary custody of the Nebraska Department of Health
    and Human Services; they have remained out of the home
    ever since.
    As relevant to this appeal, on May 30, 2019, the State
    filed a supplemental petition alleging that Ky’Ari was a child
    within the meaning of § 43-247(3)(a) by reason of the fault or
    habits of Kwamayne. The State alleged Ashley was the pri-
    mary caregiver of Ky’Lynn; Ky’Lynn was transported to the
    UNMC emergency room due to being unresponsive; at UNMC,
    Ky’Lynn was diagnosed with injuries consistent with inten-
    tional physical abuse; Kwamayne was unable to provide a rea-
    sonable explanation for Ky’Lynn’s injuries; Kwamayne failed
    to provide proper parental care, support, and/or supervision for
    the juveniles; and due to the above allegations, the juveniles
    were at risk for harm.
    On September 3, 2019, the State filed an amended supple-
    mental petition and termination of parental rights. The State
    once again alleged that Ky’Ari was a child within the mean-
    ing of § 43-247(3)(a) by reason of the fault or habits of
    Kwamayne. In support of its allegation, the State gave the same
    reasons noted in the May 30 supplemental petition, except
    that instead of alleging that Ashley was the primary care-
    giver of Ky’Lynn, the State now alleged the Kwamayne was
    a caregiver of Ky’Lynn. The State also sought to terminate
    Kwamayne’s parental rights to Ky’Ari pursuant to Neb. Rev.
    Stat. § 43-292(2), (9), and (10)(d) (Reissue 2016). The State
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    IN RE INTEREST OF KY’ARI J.
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    29 Neb. Ct. App. 124
    alleged: Kwamayne substantially and continuously or repeat-
    edly neglected and refused to give Ky’Ari, or a sibling of
    Ky’Ari, necessary care and protection; Kwamayne subjected
    Ky’Ari or another minor child to aggravated circumstances,
    including, but not limited to, abandonment, torture, chronic
    abuse, or sexual abuse; Kwamayne committed a felony assault
    that resulted in serious bodily injury to Ky’Ari or another
    minor child of the parent; and termination of Kwamayne’s
    parental rights was in Ky’Ari’s best interests. Finally, the State
    alleged that reasonable efforts were not required pursuant to
    Neb. Rev. Stat. § 43-283.01 (Cum. Supp. 2018).
    2. Adjudication and
    Termination Hearing
    The combined adjudication hearing and termination hearing
    was held on November 14 and December 2, 2019. Kwamayne
    was not present at the hearing on November 14, but his counsel
    was present that day. The court asked if Kwamayne’s coun-
    sel had been able to have communication with Kwamayne.
    Counsel responded, “No,” and then asked the court for a
    continuance so that Kwamayne could be present. However,
    the juvenile court informed counsel, “My bailiff advises that
    the sheriff told her that [Kwamayne, who was incarcerated at
    the time,] refused to be transported to the hearing and declines
    to attend.” The court then overruled the motion to continue.
    Both Kwamayne and his counsel were present on December 2,
    the second day of the hearing.
    Over the course of the 2-day hearing, several witnesses were
    called to testify and numerous exhibits were received into evi-
    dence. Kwamayne did not testify. A summary of the relevant
    evidence follows.
    Dr. Suzanne Haney is board certified in child abuse pedi-
    atrics and is a child abuse pediatrician at Children’s Hospital
    and Medical Center; she is also the medical director at a
    child advocacy center. Dr. Haney testified that she was called
    for a consult on Ky’Lynn at the pediatric intensive care unit
    (PICU) at UNMC on May 30, 2019. The day before, Ky’Lynn
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    was brought to UNMC “with an episode of unresponsiveness,
    and then eventually she went apneic or stopped breathing” in
    the emergency room. Dr. Haney said, “The studies showed that
    [Ky’Lynn] had a large left-sided subdural hematoma [(bleed-
    ing between the brain and the skull)] which required surgical
    intervention. And she had been to the operating room . . . and
    [a neurosurgeon] had drained that — the fluid off.” To drain
    the fluid, the neurosurgeon initially placed a burr hole in
    Ky’Lynn’s skull to relieve the pressure, but when it continued
    to bleed, he had to remove part of Ky’Lynn’s skull so that he
    could repair the bleeding—later, he was able to put the section
    of the skull back and close it up. Ky’Lynn was then transferred
    to the PICU.
    When Dr. Haney arrived at UNMC on May 30, 2019, she
    reviewed Ky’Lynn’s medical records, including a CT scan
    as well as an MRI. According to Dr. Haney, it was clear that
    Ky’Lynn “didn’t have any broken bones of her skull”; she con-
    firmed that there was no skull fracture. Dr. Haney stated that
    the CT scan and MRI “showed the large left-sided subdural
    hematoma, as well as injury to the parenchyma of the brain
    [(the brain tissue)] itself.” Dr. Haney reviewed documenta-
    tion from the emergency room physician who had first seen
    Ky’Lynn and had spoken to Kwamayne to get a history of what
    happened. Dr. Haney stated:
    The information provided was that Ky’Lynn had been
    at home with [Kwamayne] on the 29th, and that she had
    been well in the morning and then later was observed to
    be coughing or choking on her bottle. [Kwamayne] patted
    her, put her back down, and then later found her to be
    less responsive.
    He specifically denied any trauma and stated that he
    had asked the children if they had known of any falls, and
    . . . he said that they denied that.
    Dr. Haney also reviewed information from the physician who
    did the history and physical in the PICU. According to Dr.
    Haney, the physician in the PICU also had the opportunity to
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    IN RE INTEREST OF KY’ARI J.
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    talk with Kwamayne and the history was similar: “Ky’Lynn
    had been well and then had choked on a bottle, that he had
    patted her and then later put her back down and then later she
    became less responsive.” Dr. Haney’s understanding was that
    Ashley was not present when Ky’Lynn became unresponsive.
    In addition to reviewing information from the emergency
    room and the PICU physicians, Dr. Haney reviewed informa-
    tion from the ophthalmologist that examined Ky’Lynn. Dr.
    Haney stated that “Ky’Lynn had retinal hemorrhages noted
    in her left eye that were described as too numerous to count,
    out to the periphery and in multiple layers,” so “she had
    intraretinal, which is within the layers of the retinal, and then
    subretinal hemorrhages, which is below the retina.” Finally,
    Dr. Haney relied on the neurosurgeon’s notes, which were
    described above. Dr. Haney also conducted her own examina-
    tion of Ky’Lynn that week. Dr. Haney was not able to speak
    with Kwamayne and Ashley, so she provided specific ques-
    tions to Det. Lisa Crouch of the Omaha Police Department to
    ask them because Dr. Haney wanted more details about what
    had happened, as well as any past medical history. Detective
    Crouch was able to provide information from Kwamayne
    and Ashley.
    Dr. Haney diagnosed Ky’Lynn with abusive head trauma;
    she explained that trauma meant “[i]mpact or movement of the
    brain within the skull . . . .” Accidental trauma was ruled out
    because there was no history of trauma reported, plus Ky’Lynn
    was 3 months old and unable to harm herself. Dr. Haney con-
    tinued that
    combined with the severity of the subdural, the location
    of the subdural, being that it was — not only covered the
    entire left side of the skull inside but then was in between
    both halves. And once the subdural was evacuated, we
    actually saw some on the right, too, which is not consist­
    ent with a single impact from a fall.
    So all of that together and then the information from
    ophthalmology, which was that — retinal hemorrhages.
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    Also the severity of those retinal hemorrhages is not
    consistent with any sort of a short household fall [(e.g.,
    rolling off a changing table, being accidentally dropped
    by an adult, jumping out a second-story window)]. So that
    all together ruled out an accident.
    Dr. Haney stated that a laboratory evaluation ruled out any
    sort of a bleeding disorder or infection. “So we were left with
    abuse — abusive head trauma as the only diagnosis.” On cross-
    examination, Dr. Haney stated, “I’ve discussed this case with
    a number of the medical team, and nobody disagreed with my
    diagnosis”; the medical team was composed of “20 or 30” doc-
    tors, including physicians from neurosurgery and ophthalmol-
    ogy, the PICU physicians, physicians at Children’s Hospital
    and Medical Center, and the “floor” pediatricians, “[s]o it’s the
    whole hospital team” that cared for Ky’Lynn.
    Dr. Haney testified that as a result of the brain injury,
    Ky’Lynn had “significant seizures requiring multiple medi-
    cations and was transferred from [UNMC] to Children’s [on
    May 31 or June 1, 2019,] because of the acuity of her condi-
    tion and then, to my understanding, has required prolonged
    treatment for a neurologic injury.” It was also Dr. Haney’s
    understanding that Ky’Lynn has since been diagnosed with
    cerebral palsy, which she said can be caused by an injury such
    as Ky’Lynn’s.
    On cross-examination, Dr. Haney was asked, in her opin-
    ion, how Ky’Lynn’s injuries occurred. Dr. Haney responded,
    “I don’t know if she was thrown into something, if she was
    slammed on something, if she was shaken and slammed. I don’t
    know because I wasn’t there.” However, Dr. Haney thought
    it was “very likely” that Ky’Lynn was shaken “and probably
    slammed, too,” because “[s]he had unilateral injuries, and I
    see those more when there’s also a significant impact.” When
    asked how much force is necessary to cause a subdural hema-
    toma, Dr. Haney responded, “[Y]ou can’t test it to find out, but
    this is well beyond that seen in normal parenting.”
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    Detective Crouch works in the special victims unit, specifi-
    cally in the child victim/sexual assault unit. Detective Crouch
    testified that she was assigned to this case on May 29, 2019,
    after Ky’Lynn was brought into the UNMC emergency room
    with a brain injury. Detective Crouch went to UNMC and
    met with the emergency room physicians, who informed her
    that Ky’Lynn had a subdural hemorrhage.
    Detective Crouch and another detective then spoke with
    Kwamayne and Ashley, individually, at UNMC on May 29,
    2019. Detective Crouch described Ashley as “tearful, dis-
    traught, [and] concerned about her child” during the interview.
    However, Detective Crouch observed that Kwamayne was
    “[v]ery interested in what we were doing, concerned about the
    children being taken away,” even though she never indicated
    that the children were being removed; it concerned her that this
    was his initial concern.
    The recordings of Kwamayne’s interview and Ashley’s
    interview on May 29, 2019, were received into evidence. In
    Kwamayne’s interview, he stated that Ashley had to work at
    10 a.m. that day (May 29) and that she left the apartment
    at 9:48 a.m. He was at the apartment with all three girls
    and everything was good. About 12 or 12:30 p.m., he gave
    Ky’Lynn a bottle, changed her, and put her in her chair and she
    went to sleep. He went to check on the other girls, and when
    he came back, Ky’Lynn was coughing. Kwamayne was con-
    cerned. He took the bottle out of her mouth and patted her on
    the back, and she went back to sleep. Kwamayne said he put
    her back in the chair and everything was normal. He went to
    clean the kitchen, and then he heard Ky’Lynn coughing again,
    “like she’s trying to catch her breath.” He patted her back,
    she burped, and then she threw up. Ky’Lynn lay there, and
    Kwamayne thought she was asleep. When he came back a few
    minutes later to check on her, she was not moving and was not
    responding to his voice. Kwamayne said Ky’Lynn had a heart-
    beat and was breathing, but she was not moving and her body
    was “limp.” He ran and got Brooklyn to help, and they got
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    some water; Kwamayne “sprinkled” some water on Ky’Lynn,
    and she made moaning noises. Kwamayne did not have a
    phone and Ashley had the car, so he asked Brooklyn to watch
    her sister and he ran to Ashley’s work, which was a few blocks
    away, to get keys to the car. On the way back to the apartment
    with Ashley, he told her what happened. Ashley went to the
    apartment office and asked someone to call an ambulance,
    and then she returned to the apartment. Ashley’s boss also
    showed up and asked if they should call the 911 emergency
    dispatch service, and Kwamayne said yes. The ambulance
    came and took Ky’Lynn to the emergency room. Kwamayne
    said that the doctor told him that Ky’Lynn had fluid on her
    brain. Kwamayne asked Brooklyn and Ky’Ari if they picked
    Ky’Lynn up; Brooklyn said that she did and that the baby hit
    her head on the couch—but Kwamayne was not sure if that
    happened the same day or the day before. Kwamayne said he
    did not hurt Ky’Lynn, “not even accidentally.”
    In Ashley’s interview, she said that Kwamayne watched
    the girls when she had to work. She went to work (three to
    four blocks from the apartment) at 10 a.m. that day, May 29,
    2019, and Ky’Lynn was fine. After about 2 hours, Kwamayne
    showed up and said that something was wrong with Ky’Lynn
    and that they needed to call 911. Ashley and Kwamayne drove
    home and found Ky’Lynn on the bed with her sisters stand-
    ing over her. Brooklyn said Ky’Lynn “boo booed”; when
    asked, Brooklyn denied Kwamayne did anything to Ky’Lynn.
    Ashley ran to the apartment office and asked someone to call
    911; when they were not moving fast enough, she asked the
    maintenance man outside to call too, and then the ambulance
    came. Ashley stated that the night before (May 28), Brooklyn
    told her that the day before (which would have been May 27),
    she was holding Ky’Lynn and hit her head on the edge of a
    seat; but Ashley stated that Ky’Lynn was fine “yesterday”
    (May 28).
    Detective Crouch testified that Ky’Lynn and her sib-
    lings, Brooklyn and Ky’Ari, were possibly at risk of harm
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    in Kwamayne’s and Ashley’s custody, due to the fact that
    Ky’Lynn’s significant brain injury was unexplained. She there-
    fore authored an affidavit of removal of the juveniles from their
    parents. Detective Crouch then consulted with Dr. Haney.
    On June 3, 2019, Detective Crouch and the other detective
    conducted second interviews with Kwamayne and Ashley, indi-
    vidually, at central police headquarters. According to Detective
    Crouch, during this second interview, Kwamayne was “[s]till
    very talkative, stated he wasn’t sure what had happened to the
    baby.” She stated that Kwamayne had “different theories on
    how [Ky’Lynn’s injuries] possibly could have happened.”
    The recordings of Kwamayne’s second interview and
    Ashley’s second interview from June 3, 2019, were received
    into evidence. In his second interview, Kwamayne described
    the same series of events that led up to Ky’Lynn’s hospitaliza-
    tion that he had described in his May 29 interview. He again
    mentioned that Ky’Lynn hit her head on the edge of the couch
    while Brooklyn was holding her. He also mentioned a car acci-
    dent in which they were rear-ended, and this had happened a
    couple days prior to May 29; the police were not called because
    “no damage was done.” According to Kwamayne, Ky’Lynn
    seemed “fine” after the car accident. During this interview,
    Kwamayne again denied doing anything to hurt Ky’Lynn.
    In her second interview from June 3, 2019, Ashley relayed
    the same information that she had in her interview on May
    29—when she left for work Ky’Lynn was fine and hours later
    Kwamayne ran to her work, saying something was wrong
    with Ky’Lynn. Ashley also told the detectives about the car
    accident, which she said occurred on the Sunday before May
    29 (this would have been May 26), but said that Ky’Lynn was
    buckled in a five-point harness car seat at the time and was
    “fine” after the accident. Detective Crouch testified that she
    observed the vehicle and noted “very minimal, if any, damage
    to the rear.”
    Detective Crouch confirmed that she discussed the alter-
    native scenarios with Dr. Haney, but neither lined up with
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    the injuries Ky’Lynn sustained. And during cross-examination,
    Dr. Haney said that the Omaha Police Department provided
    her with information about an older sibling dropping Ky’Lynn,
    but Dr. Haney stated “that’s not going to be consistent with
    the child’s injuries.” Dr. Haney did not recall being aware of
    a report that the family had been in a car accident the week
    before, but said that information “wouldn’t have changed any-
    thing,” “[b]ecause clearly it was not a severe enough car acci-
    dent to warrant any medical attention, and . . . it would not
    have caused this extent of injuries.” According to Dr. Haney,
    with the severity of Ky’Lynn’s injuries, symptoms would have
    appeared “[r]elatively quickly, within probably minutes to an
    hour,” she would have been “noticeably unwell” as evidenced
    by “[n]ot responding, maybe significant vomiting, probably
    clinically deteriorating [(decreased responsiveness, moaning,
    maybe even seizing)].”
    Also during her second interview on June 3, 2019, Ashley
    stated that she and Kwamayne have had arguments and dis-
    putes, including arguing about Ky’Lynn’s paternity; Ashley
    stated that Kwamayne does not believe that Ky’Lynn is his
    daughter. When asked if things ever got physical, Ashley ini-
    tially said no, but later admitted that it had gotten physical in
    the past, most recently about 2 weeks prior when they got into
    an altercation and Kwamayne got mad and threw a vase on
    the ground; Ashley did not indicate whether the children were
    present. When asked if Kwamayne ever put his hands on her
    in the past, Ashley admitted that it had been “a while” (the
    audio was unclear as to whether she said it had been a month,
    2 months, or 3 months); she said Kwamayne pushed her, but
    she did not fall back. When asked if Ashley appeared fearful
    when talking about the domestic violence, Detective Crouch
    testified, “At times.” She said Ashley “started to cry, and she
    — her head would go down. She would look down as I was
    speaking with her.”
    Detective Crouch testified that she had also located a
    report from within the year prior, in which Brooklyn made
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    a report at school that she had been physically harmed by
    Kwamayne; however, Kwamayne was never charged.
    After concluding her investigation, and based on the medi-
    cal opinions and the fact that Kwamayne was the caregiver
    at the time of the onset of Ky’Lynn’s symptoms, Detective
    Crouch submitted a warrant affidavit for Kwamayne, and he
    was subsequently arrested on June 10, 2019, for felony child
    abuse resulting in serious injury. We note there is nothing in
    our record to show whether Kwamayne was ever convicted
    of any charges stemming from Ky’Lynn’s injuries. In fact,
    according to the State’s brief, Kwamayne “remains incarcer-
    ated awaiting trial to be heard before the District Court on
    September 14, 2020.” Brief for appellee at 32.
    Paige Worley is the case manager assigned to this case.
    Throughout this case, Worley had five visits with Ashley and
    attended four team meetings. Worley also reviewed the follow-
    ing: the current intake for this case, as well as three previous
    intakes; police interviews of Kwamayne and Ashley; police
    reports; jail calls from Kwamayne to Ashley; and medical
    notes from various providers. Worley also had conversations
    with those various medical providers. With respect to the
    four intakes noted above, Worley confirmed her understanding
    that the children were either present or involved in domestic
    violence situations related to Kwamayne and Ashley and that
    some of the incidents resulted in physical harm to the children;
    Worley acknowledged that the intakes involved other men,
    besides Kwamayne, as well. And on cross-examination, Worley
    acknowledged that the previous intakes were unfounded and
    the children were deemed to be safe. Throughout this case,
    Worley never spoke to Kwamayne.
    According to Worley, Brooklyn and Ky’Ari were inter-
    viewed in May 2019. The interviews do not appear in our
    record. Worley was asked if both children talked about physi-
    cal abuse they had experienced. She confirmed Brooklyn
    expressed that the abuse occurred more than once and that it
    was by both Kwamayne and Ashley. Worley also confirmed
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    that Ky’Ari expressed abuse by Kwamayne. Although details
    of the abuse were not elaborated upon in Worley’s testimony,
    during cross-examination, she agreed that it was more accu-
    rate that the girls described getting spankings from their par-
    ents. Worley believed that it was in Ky’Ari’s best ­interests
    to terminate Kwamayne’s parental rights to her. When asked
    why, Worley responded, “Kwamayne has a history of vio-
    lence and physical abuse, some of which Brooklyn . . .
    and Ky’Ari . . . have disclosed, and we’re here because of
    Ky’Lynn’s head trauma, as well, and I would be concerned
    that another child could sustain more injuries . . . .”
    Carrie Hillebrandt has been Brooklyn’s therapist since
    July 2019. Hillebrandt’s July 2019 initial diagnostic inter-
    view report regarding Brooklyn was received into evidence.
    According to the report, Brooklyn stated Ky’Lynn “looked
    like she was dead” after she “got sick” and “could not hold
    her head up.” The foster mother reported that during one of
    the first phone calls with Ashley, Brooklyn said, “‘I don’t
    want daddy to hit you till you bleed anymore’”; Brooklyn
    was then told by Ashley that they were not going to talk about
    “daddy anymore.” Hillebrandt testified that Brooklyn refers to
    Kwamayne as “her dad,” and calls her biological father by his
    first name. According to the report, Brooklyn denied sexual
    abuse, physical abuse, emotional abuse, or neglect. She also
    denied ever witnessing domestic violence. However, “[d]uring
    her trauma assessment and based on collateral information this
    does not appear to be the truth.” Hillebrandt’s recommenda-
    tions included individual therapy to process trauma, build cop-
    ing skills, and express feelings; family therapy with Ashley;
    and no contact between Brooklyn and Kwamayne.
    After the initial diagnostic interview in July 2019,
    Hillebrandt met with Brooklyn on a weekly basis and con-
    tinued to do so at the time of her testimony on December
    2. During sessions, they have talked about the incident
    that brought Brooklyn into care; Brooklyn said she “heard
    [Ky’Lynn] crying and her dad yelling, and then when she
    saw her little sister, she — she thought her sister was dead.”
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    Hillebrandt testified that during therapy sessions, “Brooklyn
    has made reference to her mother being hurt by her dad, who
    she identifies as Kwamayne”; “[s]he has made comments
    about being afraid that her dad was going to hit her mom in the
    face again or step on her face again.” When asked if Brooklyn
    made one statement or multiple statements regarding domestic
    violence, neglect, or abuse, Hillebrandt responded, “[m]ultiple
    statements.” Hillebrandt stated, “Most of what Brooklyn talks
    about is the domestic violence . . . we go over feelings, and
    so she talks about being hurt by watching her mom get beat
    on. She talks about worrying about her dad doing it again.”
    When asked if it concerned her that Brooklyn had witnessed
    so much trauma at a young age, Hillebrandt responded, “Any
    child who witnesses that type of trauma builds unhealthy cop-
    ing strategies and are high risk to repeating those patterns.”
    On cross-examination, Hillebrandt acknowledged that she did
    not know how many incidents of domestic violence Brooklyn
    had seen. However, on redirect, Hillebrandt agreed it was fair
    to say Brooklyn had seen domestic violence between Ashley
    and Kwamayne more than once.
    During family therapy, Hillebrandt asked Ashley about
    Brooklyn’s trauma history and Ashley talked about a “long his-
    tory” of domestic violence with Kwamayne “and that she was
    terrified of him.” Ashley did not tell Hillebrandt what happened
    to her during the domestic violence incidences, but she did say
    that the children were present at times.
    We note that during the course of Hillebrandt’s cross-­
    examination, the juvenile court told Kwamayne he was becom-
    ing disruptive to the proceedings. After some back-and-forth
    between the court and Kwamayne, the court asked Kwamayne
    to remain silent and said that it would find him in contempt
    of court if he did not remain silent. After a later outburst by
    Kwamayne, the court found him in contempt of court and
    excused him from the courtroom. Kwamayne was later sen-
    tenced to 30 days in jail on his contempt citation “to be served
    concurrently with his present incarceration.”
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    3. Juvenile Court’s Decision
    In an order filed on December 9, 2019, the juvenile court
    adjudicated Ky’Ari to be within the meaning of § 43-247(3)(a)
    by the reason of the fault or habits of Kwamayne for the
    reasons alleged in the amended supplemental petition. The
    juvenile court also terminated Kwamayne’s parental rights to
    Ky’Ari after finding by clear and convincing evidence that
    reasonable efforts were not required and statutory grounds
    for termination existed pursuant to § 43-292(2), (9), and
    (10) and that termination of parental rights was in the child’s
    best interests.
    Kwamayne appeals.
    III. ASSIGNMENTS OF ERROR
    Kwamayne assigns, summarized, that the juvenile court
    erred in (1) adjudicating Ky’Ari to be within the meaning of
    § 43-247(3)(a) by reason of his fault or habits and (2) terminat-
    ing his parental rights to Ky’Ari.
    IV. STANDARD OF REVIEW
    [1] An appellate court reviews juvenile cases de novo on the
    record and reaches a conclusion independently of the juvenile
    court’s findings. In re Interest of Isabel P. et al., 
    293 Neb. 62
    ,
    
    875 N.W.2d 848
    (2016).
    V. ANALYSIS
    1. Adjudication
    [2] In order to obtain jurisdiction over a juvenile at the adju-
    dication stage, the court’s only concern is whether the condi-
    tions in which the juvenile presently finds himself or herself
    fit within the asserted subsection of § 43-247. In re Interest of
    Kane L. & Carter L., 
    299 Neb. 834
    , 
    910 N.W.2d 789
    (2018).
    The State must prove such allegations by a preponderance of
    the evidence.
    Id. In count I
    of the amended supplemental petition, the
    State alleged that Ky’Ari was a child within the meaning of
    § 43-247(3)(a) because she lacked proper parental care by
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    reason of the fault or habits of Kwamayne. The State specifi-
    cally alleged that Ky’Lynn was diagnosed with injuries consist­
    ent with intentional physical abuse and that Kwamayne, her
    caregiver, was unable to provide a reasonable explanation for
    the injuries. The State further alleged that Kwamayne failed to
    provide proper parental care, support, and/or supervision for
    the juveniles and that due to all of the allegations, Ky’Ari was
    at risk for harm.
    According to the evidence presented at the combined adju-
    dication and termination hearing, Kwamayne was alone with
    Ky’Ari, Brooklyn, and Ky’Lynn after Ashley left for work
    shortly before 10 a.m. on May 29, 2019. A couple hours later,
    he ran to Ashley’s work and informed her that something was
    wrong with Ky’Lynn. An ambulance was called, and Ky’Lynn
    was taken to the emergency room and thereafter had to have
    emergency surgery to relieve pressure and drain fluid off of
    her brain. Ky’Lynn was subsequently diagnosed with abusive
    head trauma.
    Kwamayne did not have a reasonable explanation for
    Ky’Lynn’s injuries. According to Dr. Haney, neither of
    Kwamayne’s two theories—the car accident and Ky’Lynn’s
    hitting her head while being held by Brooklyn, both of
    which occurred prior to May 29, 2019—were consistent with
    Ky’Lynn’s injuries. Dr. Haney testified that with the sever-
    ity of Ky’Lynn’s injuries, symptoms would have appeared
    “[r]elatively quickly, within probably minutes to an hour,”
    and she would have been “noticeably unwell” as evidenced by
    “[n]ot responding, maybe significant vomiting, probably clini-
    cally deteriorating [(decreased responsiveness, moaning, maybe
    even seizing)].” Both Kwamayne and Ashley reported that
    Ky’Lynn was fine when Ashley went to work that morning.
    Dr. Haney stated the severity of Ky’Lynn’s injuries was not
    consistent with any sort of a short household fall, and a lab­
    oratory evaluation ruled out any sort of a bleeding disorder or
    infection. Dr. Haney testified that left “abusive head trauma
    as the only diagnosis.” And on cross-examination, she stated
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    that none of the “20 or 30” doctors on Ky’Lynn’s medical team
    disagreed with that diagnosis.
    [3] Based on the evidence presented, Ky’Lynn suffered “abu-
    sive head trauma” while in Kwamayne’s care. We acknowledge
    that Ky’Ari was not injured that day. However, the State need
    not prove that the child has actually suffered physical harm;
    Nebraska case law is clear that at a minimum, the State must
    establish that without intervention, there is a definite risk of
    future harm. See In re Interest of Kane L. & Carter L., 
    299 Neb. 834
    , 
    910 N.W.2d 789
    (2018). We find, by a preponderance
    of the evidence, that the severe nonaccidental injuries sustained
    by Ky’Ari’s 3-month-old sister while in Ky’Ari’s father’s care
    certainly puts Ky’Ari at risk for future harm. Therefore, we
    find that the conditions alleged fit within § 43-247(3)(a) and
    we affirm the adjudication of Ky’Ari due to the fault or habits
    of Kwamayne.
    2. Statutory Grounds for Termination
    [4] In Nebraska statutes, the bases for termination of paren-
    tal rights are codified in § 43-292. Section 43-292 provides
    11 separate conditions, any one of which can serve as the
    basis for the termination of parental rights when coupled with
    evidence that termination is in the best interests of the child.
    In re Interest of Elizabeth S., 
    282 Neb. 1015
    , 
    809 N.W.2d 495
    (2012).
    In its order terminating Kwamayne’s parental rights to
    Ky’Ari, the juvenile court found that statutory grounds existed
    pursuant to § 43-292(2) (substantial and continuous or repeated
    neglect of juvenile or sibling), § 43-292(9) (juvenile or another
    minor child subjected to aggravated circumstances), and
    § 43-292(10) (felony assault resulting in serious bodily injury
    to juvenile or another minor child of parent). We will address
    each statutory ground, but in reverse order.
    (a) § 43-292(10)
    Pursuant to § 43-292(10), parental rights may be termi-
    nated when the parent has (a) committed murder of another
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    child of the parent; (b) committed voluntary manslaughter of
    another child of the parent; (c) aided or abetted, attempted,
    conspired, or solicited to commit murder, or aided or abetted
    voluntary manslaughter of the juvenile or another child of the
    parent; or (d) committed a felony assault that resulted in seri-
    ous bodily injury to the juvenile or another minor child of the
    parent. It is only § 43-292(10)(d) that is at issue in this case.
    Although the State alleged, and the juvenile court determined,
    that Kwamayne’s parental rights should be terminated on this
    ground, we disagree that this statutory ground can be applied
    under the circumstances present in this case. We also note that
    although the State argued in its brief on appeal that the juvenile
    court was correct in finding that Kwamayne’s parental rights
    could be terminated under § 43-292(10), the State subsequently
    conceded at oral argument that the juvenile court erred in find-
    ing that section applicable to this case.
    Section 43-292(10)(d) plainly states that parental rights may
    be terminated when the parent has “committed a felony assault
    that resulted in serious bodily injury to the juvenile or another
    minor child of the parent.” (Emphasis supplied.) Here, there is
    no evidence of an assault on “the juvenile” at issue, Ky’Ari.
    And as stated previously, our record does not establish that
    Kwamayne is Ky’Lynn’s father. Although our record contains
    various statements that Kwamayne is Ky’Lynn’s father, he is
    not listed on her birth certificate and there is no order estab-
    lishing paternity appearing in our record. Moreover, although
    Kwamayne was ordered to undergo paternity testing regarding
    Ky’Lynn, our record does not reveal whether such testing took
    place or the results of any such testing. Because it has not
    been established that any felony assault resulting in serious
    bodily injury was committed by Kwamayne against a minor
    child of his, there is no basis for terminating his parental
    rights to Ky’Ari on this ground. The lack of evidence regard-
    ing Ky’Lynn’s parentage resolves this issue, and we therefore
    need not get to the issue of whether § 43-292(10) requires a
    criminal conviction as a prerequisite to using this subsection
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    as a basis for termination. See In re Interest of Carmelo G.,
    
    296 Neb. 805
    , 
    896 N.W.2d 902
    (2017) (appellate court not
    obligated to engage in analysis that is not necessary to adjudi-
    cate case and controversy before it).
    We note that § 43-292(8) was understandably not alleged as
    a ground for termination in this case given its limited scope;
    that statutory provision does provide another ground for termi-
    nation based on the infliction of serious bodily injury by non-
    accidental means. However, § 43-292(8) is limited to the par-
    ent’s infliction of such injury on the juvenile at issue, Ky’Ari
    in this case; it does not include, like other subsections do, the
    infliction of such injury on a sibling of the juvenile, another
    minor child of the parent, or another minor child.
    The abusive head trauma sustained by Ky’Lynn cannot serve
    as a ground for the termination of Kwamayne’s parental rights
    to Ky’Ari under § 43-292(10). Thus, we next consider whether
    the abusive head trauma sustained by Ky’Lynn can serve as a
    ground for the termination of Kwamayne’s parental rights to
    Ky’Ari under § 43-292(9).
    (b) § 43-292(9)
    [5-7] Pursuant to § 43-292(9), parental rights may be ter-
    minated when “[t]he parent of the juvenile has subjected the
    juvenile or another minor child to aggravated circumstances,
    including, but not limited to, abandonment, torture, chronic
    abuse, or sexual abuse.” (Emphasis supplied.) Whether aggra-
    vated circumstances exist is determined on a case-by-case
    basis. In re Interest of Ryder J., 
    283 Neb. 318
    , 
    809 N.W.2d 255
    (2012). The Legislature has not defined in the juvenile code the
    phrase “aggravated circumstances,” but the Nebraska Supreme
    Court has cited with approval the New Jersey Superior Court,
    which stated that “‘where the circumstances created by the
    parent’s conduct create an unacceptably high risk to the health,
    safety and welfare of the child, they are “aggravated” . . . .’”
    In re Interest of Jac’Quez N., 
    266 Neb. 782
    , 791, 
    669 N.W.2d 429
    , 436 (2003), quoting New Jersey Div. v. A.R.G., 361 N.J.
    Super. 46, 
    824 A.2d 213
    (2003).
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    [8] The Nebraska Supreme Court has determined that aggra-
    vated circumstances exist when a child suffers severe, inten-
    tional physical abuse. See In re Interest of Ryder 
    J., supra
    (father subjected son’s half brother from mother’s previous
    relationship to “aggravated circumstances” under § 43-292(9)
    when he subjected half brother to severe, intentional physi-
    cal abuse, even though half brother suffered no permanent
    injury or disability; half brother had bruising, swelling, and
    abrasion to his genitals and surrounding area, petechial hemor-
    rhaging across his face, significant bruises on several areas of
    his body, and a hemorrhage in his right eye).
    This court has also addressed the termination of paren-
    tal rights based on “aggravated circumstances” pursuant to
    § 43-292(9). In In re Interest of Elijah P. et al., 
    24 Neb. Ct. App. 521
    , 
    891 N.W.2d 330
    (2017), the juvenile court terminated a
    mother’s and father’s parental rights to their respective chil-
    dren in part based on § 43-292(9), but this court reversed on
    appeal after finding, in part, that aggravated circumstances
    were not proved by clear and convincing evidence. In that
    case, the father’s almost 2-year-old child was being cared for
    by the mother of his other children. The almost 2-year-old
    child was standing on the armrest of a couch and fell off, land-
    ing face first on the floor, which was made of vinyl covering
    tile placed over concrete. Other than a knot above his eye and
    a black eye, the child appeared to be acting normally for 9
    days. Then, on a night that he was again being cared for by
    the mother of the father’s other children, he appeared stiff and
    was unable to be awakened but displayed no other concerning
    symptoms; he was believed to be sleeping. The caregiver and
    the father were in contact, and the father even stopped by to
    check on the child. The father and the caregiver both stated
    that they became less concerned about the stiffness when the
    child’s mother indicated the child had experienced stiffness as
    a baby and that their concerns were additionally alleviated by
    the father’s internet research. The caregiver checked on the
    child throughout the night, but the child did not experience
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    any more stiffness and appeared to be sleeping. As soon as
    the child’s condition worsened the next morning (stiff leg and
    one eye open but not focusing or looking at the caregiver), the
    caregiver called the father, who responded immediately and
    took the child to a hospital. At the hospital, the child was diag-
    nosed with a skull fracture above the eye, a subdural hema-
    toma, and a significant brain injury. He was taken into surgery
    to have the hematoma drained.
    In In re Interest of Elijah P. et 
    al., supra
    , text messages
    between the father and the caregiver supported the series of
    events reported by them, and forensic interviews of the other
    children did not indicate concerning behavior by the caregiver
    on the nights in question. At trial, Dr. Haney, the same child
    abuse pediatrician involved with Ky’Lynn’s care, opined that
    the child’s injuries were the result of two separate incidents:
    one incident occurred when he fell off of the couch which
    caused the skull fracture above his eye but did not cause any
    long-term consequences and, in her opinion, a second incident
    of trauma occurred around the time he became symptomatic
    9 days later and led to the subdural hematoma, brain injury,
    and seizures. In addition, Dr. Haney testified that the sever-
    ity of the child’s brain injury and subdural hematoma was not
    consistent with a short fall and that he would have begun to
    display symptoms within minutes to hours after sustaining an
    injury that caused the type of subdural hematoma he had. Thus,
    based on the history provided to her and the lack of any sig-
    nificant accidental trauma, Dr. Haney opined that the subdural
    hematoma and brain injury were the result of inflicted blunt
    force trauma.
    On appeal, this court stated that the only evidence pre-
    sented at trial on which a finding of intentional abuse could
    be based was Dr. Haney’s opinion that the child’s brain injury
    and subdural hematoma were not caused by the fall from the
    couch. But she admitted that the height of the fall was not
    presented to her, and her records incorrectly indicated that he
    fell off a couch and hit his head on a table. This court also
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    considered the caregiver’s history with that child and the other
    children and considered text messages sent on the night the
    child fell off of the couch and the messages sent 9 days later,
    which revealed “genuine concern.” In re Interest of Elijah P.
    et al., 
    24 Neb. Ct. App. 521
    , 538, 
    891 N.W.2d 330
    , 344 (2017).
    This court also considered that the police found no “hard evi-
    dence” indicating that the child’s injuries were intentionally
    caused.
    Id. This court determined
    that although Dr. Haney’s testimony
    could support a conclusion that the caregiver intentionally
    inflicted the child’s injuries, when coupled with the circumstan-
    tial evidence presented at trial, the totality of the evidence did
    not rise to the level of clear and convincing in order to support
    a finding that the caregiver intentionally harmed the child.
    Id. This court also
    found that the caregiver’s and the father’s delay
    in seeking medical attention did not amount to aggravated
    circumstances because before they sought treatment, the child
    did not display obvious, serious physical injuries.
    Id. Compare In re
    Interest of Jac’Quez N., 
    266 Neb. 782
    , 
    669 N.W.2d 429
    (2003) (concluding aggravated circumstances existed where
    parents delayed seeking medical attention for 2 days when
    child had suffered obvious, serious physical injuries).
    However, in In re Interest of Gavin S. & Jordan S., 23 Neb.
    App. 401, 
    873 N.W.2d 1
    (2015), this court affirmed a termina-
    tion of parental rights based on “aggravated circumstances”
    pursuant to § 43-292(9). In that case, the parents’ rights to their
    two children were terminated pursuant to § 43-292(9) after a
    child in the in-home daycare run by the parents died as a result
    of severe head trauma. The evidence presented by the State at
    the termination hearing revealed that when the 1-year-old child
    arrived at the parties’ daycare, he was alert, playful, and happy.
    And, although he was suffering from an undiagnosed skull
    fracture, that injury had begun to heal and, on that morning,
    was not affecting the child in a significant way. Approximately
    8 hours after the child arrived at the parties’ home, he was
    pronounced dead due to recent and severe head trauma
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    similar to that incurred in a fall from a height of at least 12 feet
    or in a car accident. Such trauma was so significant that any-
    one would have been able to observe an immediate and dra-
    matic change in the child; he would have had trouble breathing
    and moving his limbs, and soon after sustaining the injury, he
    would have become completely unresponsive.
    Clearly, [the child] did not have such an injury when
    he arrived at [the parties’] home. [The parties] were the
    only people who provided care for [the child] during and
    after the time he sustained this serious injury. Neither
    [of the parties] offered any explanation for [the child’s]
    injury or death.
    In re Interest of Gavin S. & Jordan 
    S., 23 Neb. Ct. App. at 414
    -
    
    15, 873 N.W.2d at 10
    . Upon our de novo review of the record
    in that case, and giving weight to the juvenile court’s findings
    about witness credibility, we concluded that there was clear
    and convincing evidence presented at the termination hearing
    to demonstrate that the parties subjected the child to “aggra-
    vated circumstances” pursuant to § 43-292(9).
    We find the case before us to be similar to the facts in In
    re Interest of Gavin S. & Jordan 
    S., supra
    . The evidence pre-
    sented by the State at the termination hearing revealed that
    when Ashley left for work, 3-month-old Ky’Lynn was fine.
    A couple hours later, Kwamayne ran to Ashley’s place of
    employment, stating that something was wrong with Ky’Lynn.
    Ky’Lynn was subsequently transported to UNMC, and she
    arrived “with an episode of unresponsiveness, and then even-
    tually she went apneic or stopped breathing” in the emer-
    gency room. It was discovered that she had a large sub­
    dural hematoma that required surgical intervention. Burr holes
    were placed into Ky’Lynn’s skull to relieve pressure, but
    when bleeding continued, the neurosurgeon had to temporar-
    ily remove part of the skull to repair the bleeding. In addition
    to the subdural hematoma, Ky’Lynn had injury to the paren-
    chyma of the brain (the brain tissue) itself, and she had retinal
    hemorrhages noted in her left eye that “were described as too
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    numerous to count.” Dr. Haney stated that accidents and any
    sort of a bleeding disorder or infection were ruled out. She
    stated that abusive head trauma was left as the only diagnosis
    and that none of the “20 or 30” doctors on Ky’Lynn’s medical
    team disagreed with the diagnosis.
    On cross-examination, Dr. Haney was asked, in her opin-
    ion, how Ky’Lynn’s injuries occurred. Dr. Haney responded,
    “I don’t know if she was thrown into something, if she was
    slammed on something, if she was shaken and slammed. I don’t
    know because I wasn’t there.” However, Dr. Haney thought
    it was “very likely” that Ky’Lynn was shaken “and probably
    slammed, too,” because “[s]he had unilateral injuries, and I
    see those more when there’s also a significant impact.” When
    asked how much force is necessary to cause a subdural hema-
    toma, Dr. Haney responded, “[Y]ou can’t test it to find out, but
    this is well beyond that seen in normal parenting.”
    Dr. Haney testified that with the severity of Ky’Lynn’s
    injuries, symptoms would have appeared “[r]elatively quickly,
    within probably minutes to an hour,” and she would have
    been “noticeably unwell” as evidenced by “[n]ot responding,
    maybe significant vomiting, probably clinically deteriorating
    [(decreased responsiveness, moaning, maybe even seizing)].”
    Based on the evidence presented at trial, Ky’Lynn did not
    have a head injury when Ashley left for work. Kwamayne
    was the only person who provided care for Ky’Lynn dur-
    ing the timeframe she would have sustained the injury, and
    he did not offer any reasonable explanation for the injury.
    Additionally, there was other evidence in the record to show
    Kwamayne exhibited violent behavior in the past. According
    to Hillebrandt’s report and testimony, Brooklyn made state-
    ments that Kwamayne had hit Ashley until she bled and that he
    stepped on Ashley’s face. These additional considerations dis-
    tinguish this case from In re Interest of Elijah P. et al., 24 Neb.
    App. 521, 
    891 N.W.2d 330
    (2017). On our de novo review of
    the record, we conclude that there was clear and convincing
    evidence presented at the termination hearing to prove that
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    Kwamayne subjected Ky’Lynn to “aggravated circumstances”
    pursuant to § 43-292(9). Accordingly, there was clear and
    convincing evidence to show that grounds for termination of
    Kwamayne’s parental rights to Ky’Ari under § 43-292(9) were
    proved by sufficient evidence.
    (c) § 43-292(2) and Reasonable Efforts
    We need not consider whether termination of parental rights
    was proper pursuant to § 43-292(2), since any one of the 11
    grounds identified in § 43-292 can serve as the basis for the
    termination of parental rights when coupled with evidence
    that termination is in the best interests of the child. See In
    re Interest of Elizabeth S., 
    282 Neb. 1015
    , 
    809 N.W.2d 495
    (2012). Thus, the next inquiry is whether termination was in
    Ky’Ari’s best interests.
    We note that in his brief, Kwamayne argues that the supple-
    mental petition and termination of parental rights “simply
    alleged that [Kwamayne] ‘has subjected said child to aggra-
    vated circumstances[,]’” and “[t]he ‘said child’ in this case
    was Ky’Ari alone”; thus, the State failed to present evidence
    showing that he subjected Ky’Ari to aggravated circumstances
    and that reasonable efforts were not required. Brief for appel-
    lant at 19. However, reasonable efforts to reunify a family
    are required under the juvenile code only when termination is
    sought under § 43-292(6). In re Interest of Hope L. et al., 
    278 Neb. 869
    , 
    775 N.W.2d 384
    (2009). See, also, In re Interest of
    Andrew M. et al., 
    11 Neb. Ct. App. 80
    , 
    643 N.W.2d 401
    (2002).
    Section 43-292(6) was neither alleged nor determined to be a
    ground for termination in this case.
    3. Best Interests and Unfitness
    [9,10] Under § 43-292, once the State shows that statu-
    tory grounds for termination of parental rights exist, the State
    must then show that termination is in the best interests of the
    child. In re Interest of Ryder J., 
    283 Neb. 318
    , 
    809 N.W.2d 255
    (2012). But that is not all. A parent’s right to raise his or
    her child is constitutionally protected; as such, before a court
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    may terminate parental rights, the State must also show that
    the parent is unfit. In re Interest of Nicole M., 
    287 Neb. 685
    ,
    
    844 N.W.2d 65
    (2014).
    [11-14] There is a rebuttable presumption that the best inter-
    ests of a child are served by having a relationship with his or
    her parent.
    Id. Based on the
    idea that fit parents act in the best
    interests of their children, this presumption is overcome only
    when the State has proved that a parent is unfit.
    Id. The term “unfitness”
    is not expressly used in § 43-292, but the concept
    is generally encompassed by the fault and neglect subsections
    of that statute, and also through a determination of the chil-
    dren’s best interests. In re Interest of Nicole 
    M., supra
    . Parental
    unfitness means a personal deficiency or incapacity which has
    prevented, or will probably prevent, performance of a reason-
    able parental obligation in child rearing and which caused, or
    probably will result in, detriment to a child’s well-being.
    Id. The best interests
    analysis and the parental fitness analysis are
    fact-intensive inquiries.
    Id. And while both
    are separate inquir­
    ies, each examines essentially the same underlying facts as the
    other.
    Id. [15]
    We recognize that there is no evidence that Kwamayne
    has ever abused Ky’Ari. But there is clear and convincing
    evidence that Kwamayne seriously abused Ky’Ari’s sister,
    Ky’Lynn. And the Nebraska Supreme Court has stated, “[I]n
    our view, the abuse of any child by an adult—regardless of
    whether it is the adult’s own child or the child of another—
    calls that adult’s ability to parent into serious question.” In
    re Interest of Ryder 
    J., 283 Neb. at 327
    , 809 N.W.2d at 262.
    The fact that Kwamayne has not yet abused Ky’Ari is incon-
    sequential. “We need not wait for a disaster to strike before
    taking protective steps in the interests of a minor child.”
    Id. See, also, In
    re Interest of Gavin S. & Jordan S., 23 Neb.
    App. 401, 
    873 N.W.2d 1
    (2015) (even though there was no
    evidence presented about inappropriate or violent actions by
    parents with their own children, and there was evidence that
    parents had strong bond with their children, the risk of harm
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    to the children in parents’ home was simply too much to over-
    come; no reasonable alternative existed other than to terminate
    parental rights). In addition to there being clear and convincing
    evidence that Kwamayne caused a severe, nonaccidental injury
    to Ky’Ari’s sister, there was also evidence that Kwamayne
    abused Ky’Ari’s mother—that Kwamayne hit Ashley until she
    bled and that he stepped on Ashley’s face. Under the circum-
    stances of this case, we find that the State has rebutted the pre-
    sumption of parental fitness as to Kwamayne. We further find
    that there is clear and convincing evidence that it is in the best
    interests of Ky’Ari to terminate Kwamayne’s parental rights.
    VI. CONCLUSION
    For the reasons stated above, we affirm the order of the juve-
    nile court terminating Kwamayne’s parental rights to Ky’Ari.
    Affirmed.