In re Interest of Chloe P. ( 2013 )


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  •    Decisions of the Nebraska Court of Appeals
    456	21 NEBRASKA APPELLATE REPORTS
    In   re I nterest of      Chloe P.,      a child
    under   18   years of age.
    State      of   Nebraska,     appellee, v. Susan M.,
    appellant, and         Joseph P., appellee.
    ___ N.W.2d ___
    Filed November 5, 2013.     No. A-12-827.
    1.	 Juvenile Courts: Appeal and Error. An appellate court reviews juvenile cases
    de novo on the record and reaches its conclusions independently of the juvenile
    court’s findings.
    2.	 Statutes: Appeal and Error. To the extent an appeal calls for statutory interpre-
    tations or presents questions of law, an appellate court must reach an independent
    conclusion irrespective of the determination made by the court below.
    3.	 Constitutional Law: Due Process. The determination of whether the procedures
    afforded an individual comport with due process is a question of law.
    4.	 Juvenile Courts: Parental Rights: Final Orders. An ex parte temporary cus-
    tody order keeping a child’s custody from his or her parent for a short period of
    time is not a final order.
    5.	 Juvenile Courts: Final Orders: Appeal and Error. Unlike an ex parte tempo-
    rary order, a detention order entered after a detention hearing is a final, appeal-
    able order.
    6.	 Juvenile Courts: Jurisdiction: Proof. The juvenile court shall have jurisdiction
    over a juvenile if the State proves that the juvenile is within the meaning of 
    Neb. Rev. Stat. § 43-247
    (3)(a) (Reissue 2008) by a preponderance of the evidence.
    7.	 Juvenile Courts: Proof. While the State need not prove that the juvenile has
    suffered physical harm to find the juvenile to be within the meaning of 
    Neb. Rev. Stat. § 43-247
    (3)(a) (Reissue 2008), the State must establish that without inter-
    vention, there is a definite risk of future harm.
    8.	 ____: ____. In order to establish a definite risk of future harm, there must be an
    evidentiary nexus between the allegations of the petition and a definite risk of
    future harm.
    9.	 Rules of the Supreme Court: Appeal and Error. Where the brief of appellee
    presents a cross-appeal, it shall be noted on the cover of the brief and it shall be
    set forth in a separate division of the brief. This division shall be headed “Brief
    on Cross-Appeal” and shall be prepared in the same manner and under the same
    rules as the brief of appellant.
    10.	 ____: ____. Neb. Ct. R. App. P. § 2-101(E) (rev. 2010) instructs an appellee on
    how to assert a cross-appeal. It states that the proper filing of an appeal shall vest
    in an appellee the right to a cross-appeal against any other party to the appeal.
    The cross-appeal need only be asserted in the appellee’s brief as provided by
    Neb. Ct. R. App. P. § 2-109(D)(4) (rev. 2012).
    Appeal from the County Court for Madison County: Ross A.
    Stoffer, Judge. Affirmed.
    Decisions   of the   Nebraska Court of Appeals
    IN RE INTEREST OF CHLOE P.	457
    Cite as 
    21 Neb. App. 456
    Chelsey R. Hartner, Deputy Madison County Public
    Defender, for appellant.
    Gail Collins, Deputy Madison County Attorney, for appellee
    State of Nebraska.
    Patrick P. Carney, of Carney Law, P.C., for appellee
    Joseph P.
    R.D. Stafford, of Brogan & Stafford, P.C., guardian ad litem.
    Inbody, Chief Judge, and Irwin and Riedmann, Judges.
    Riedmann, Judge.
    I. INTRODUCTION
    Chloe P. was removed from the care and custody of her
    biological parents, Susan M. and Joseph P., and was later
    adjudicated as being within the meaning of 
    Neb. Rev. Stat. § 43-247
    (3)(a) (Reissue 2008). Susan appeals, and Joseph
    attempts to cross-appeal. We affirm Chloe’s continued place-
    ment with the State and her adjudication, because we conclude
    that the State proved by clear and convincing evidence that a
    definite risk existed that Susan and Joseph would not provide
    for Chloe’s medical needs. We also conclude that Joseph did
    not properly cross-appeal; therefore, we grant him no affirma-
    tive relief and consider his arguments only to the extent that
    they address an error assigned by Susan.
    II. BACKGROUND
    Chloe was born in January 2012 at a hospital in Norfolk.
    She soon developed electrolyte disturbances, hypoglycemia,
    and feeding issues. Her feeding issues were significant enough
    that she required the assistance of a nasogastric feeding tube to
    complete her feedings. Her overall medical condition required
    her temporary transfer to a neonatal intensive care unit at a
    children’s hospital in Omaha. Chloe was hospitalized for 20
    days before being discharged.
    Chloe’s doctor, Erin Pierce, placed her on a strict feed-
    ing schedule because she was at risk for failure to thrive. Dr.
    Pierce ordered a 48-hour monitoring period of Chloe prior
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    to her discharge to verify that Susan and Joseph were able
    to meet Chloe’s needs. During this time, Susan and Joseph
    were to have total responsibility for taking care of Chloe. On
    two occasions during the 48-hour monitoring period, Chloe’s
    nurse, Amanda Holcomb, had to wake Susan to complete
    Chloe’s feedings. Holcomb did not chart these prompts, but
    reported them to a Department of Health and Human Services
    (DHHS) child protection worker, Traci Fox. Unaware of the
    prompts, Dr. Pierce determined Susan successfully completed
    the 48-hour monitoring period and discharged Chloe to her
    care on January 30, 2012.
    On the day of discharge, the State filed a juvenile petition
    and motion for temporary care and custody of Chloe. In its
    petition, the State alleged that Chloe had feeding problems and
    that her parents lacked the skills to provide for her safety and
    well-being. The State further alleged, among other things, that
    the parents had been convicted in 2008 and 2009 for abuse to
    siblings of Chloe and that they subsequently relinquished their
    parental rights to those children. In her affidavit in support of
    the motion for temporary custody, the prosecutor erroneously
    alleged that Chloe had to be “life-flighted” to the children’s
    hospital and that her feeding tube was not removed until
    January 29, 2012. In reality, Chloe was transported to the chil-
    dren’s hospital by vehicle and her feeding tube was removed
    on January 27.
    The county court issued an ex parte order authorizing
    DHHS to obtain temporary custody of Chloe and sched-
    uled a placement hearing for February 21, 2012. As a result,
    DHHS removed Chloe from Susan’s and Joseph’s custody on
    January 30.
    All parties appeared on February 21, 2012, at what appears
    to have been a combined placement hearing and first hear-
    ing on the State’s adjudication petition. Susan and Joseph
    confirmed that they understood the State’s allegations and the
    potential ramifications if those allegations were proved. Each
    parent denied the allegations. The State then requested that
    Chloe temporarily remain in the custody of DHHS. Neither
    Joseph nor the guardian ad litem had any objection to that
    placement. Susan, however, requested that the child be placed
    Decisions   of the   Nebraska Court of Appeals
    IN RE INTEREST OF CHLOE P.	459
    Cite as 
    21 Neb. App. 456
    with her. Following that request, Susan’s counsel stated, “I’m
    not going to offer any evidence to support that.” The county
    court took judicial notice of the State’s affidavit that had been
    filed in support of its initial motion for temporary custody.
    Based on that evidence, the court found that reasonable efforts
    had been made to prevent or eliminate the need for removal
    and that Chloe required out-of-home placement.
    Susan subsequently filed a motion, and then an amended
    motion, seeking the return of legal and physical custody of
    Chloe. The court determined that the adjudication and motion
    for return of legal and physical custody would be heard at
    the same time due to scheduling and the commonality of
    the issues.
    In May and June 2012, the county court received evidence
    on the State’s adjudication petition and Susan’s motion for
    return of legal and physical custody. Susan stated a continu-
    ing objection to the court’s refusal to hear her motion prior to
    receiving evidence on the State’s petition. The county court
    overruled the objection, noting that if the evidence supported
    Susan’s motion for the return of legal and physical custody of
    Chloe, the same evidence would support a denial of adjudicat-
    ing Chloe.
    III. TRIAL TESTIMONY
    1. Background Testimony
    As a backdrop for the current adjudication petition, the
    State adduced a substantial amount of evidence concerning
    Susan’s and Joseph’s parenting history. Much of the testimony
    addressed the State’s involvement with Susan and her two
    older children, beginning in September 2009 when they were
    living in a tent. At that time, the children were approximately 3
    years old and 6 months old. Both children were removed from
    Susan’s care the following month. A family support worker
    who was assigned to the case from October 2009 through
    March 2011 testified that during supervised visitation, she had
    numerous safety and supervision concerns for the children.
    The service coordinator for the case testified that during her
    involvement, Susan and Joseph displayed a continual inability
    to feed the children properly, giving the older child coffee and
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    caffeinated soft drinks, despite his attention deficit disorder,
    and giving the younger child dairy products, despite her lactose
    intolerance. She further testified that the relationship between
    Susan and Joseph was volatile, resulting in a charge of third
    degree assault against Joseph and the issuance of a protection
    order against him.
    According to the caseworkers, the children were returned to
    Susan’s care for a short period of time in November 2010, but
    a month later, the State filed a motion to terminate the parental
    rights of Susan and Joseph. They voluntarily relinquished their
    parental rights in April 2011.
    By way of further background, Dr. Mark Hannappel testi-
    fied, over objection, that he performed psychological evalua­
    tions of both Susan and Joseph in July 2010. He diagnosed
    Joseph with a mood disorder and mild mental retardation. Dr.
    Hannappel testified that he thought Joseph had limited ability
    to become an adequate parent. He stated that Joseph’s ability
    to parent could change if he showed interest and the motiva-
    tion to alter the habitual patterns in his thinking and behavior.
    However, Dr. Hannappel testified that he would have serious
    concerns for the safety of a child in Joseph’s care if Joseph did
    not receive therapy.
    Dr. Hannappel stated that Susan had adjustment disorder,
    anxiety, and dependent personality features. His impression
    was that Susan had limited potential to change, and he recom-
    mended intensive services until she demonstrated the potential
    to adequately care for her children. He opined that Susan did
    not appear receptive to help. Although he felt she had the
    capacity to learn, her personality features interfered with her
    ability to incorporate information into the structure of her life
    and her children’s lives. Dr. Hannappel testified that if Susan
    had not increased her understanding of childhood development,
    that would show she did not have the motivation to change
    her circumstances and would indicate that children in her care
    were at risk.
    2. Testimony as to Chloe
    The trial testimony reveals that about 6 months after relin-
    quishing her parental rights to her two older children, Susan
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    21 Neb. App. 456
    sought prenatal assistance from “WIC,” a supplemental food
    program, during her pregnancy with Chloe. A nurse who had
    worked at the “WIC” office testified that she counseled Susan
    to stop smoking, because smoking would result in a low birth
    weight. Susan responded that she would continue to smoke so
    that she would not need to “push out” a larger baby. The nurse
    suggested Susan become involved in the program “Operation
    Great Start,” which helps educate new parents and provide
    them with baby supplies. Susan declined, stating that although
    she did not have baby supplies at the time, if need be, “she
    would steal them.”
    Dr. Pierce testified that shortly after birth, Chloe displayed
    electrolyte disturbances, hypoglycemia, and feeding issues.
    To address the feeding issues, she placed Chloe on a feeding
    schedule in which Chloe was to consume 60 cubic centimeters
    of formula within 30 minutes, every 3 hours. The remaining
    formula was to be gavaged through the nasogastric tube.
    Several nurses and social workers from the hospital in
    Norfolk testified to concerns they had, based upon Susan’s
    and Joseph’s actions and comments while Chloe was hospi-
    talized. In addition to her statement that Susan needed to be
    prompted to feed Chloe during the 48-hour monitoring period,
    Holcomb testified that both parents had difficulty following
    Chloe’s feeding schedule. Holcomb recalled that Susan dis-
    missed Chloe’s inability to complete feeding in 30 minutes
    by stating that Chloe was a “slow eater” and that she just
    needed some extra time. Holcomb also testified that Joseph
    needed substantial encouragement to complete Chloe’s feed-
    ings and that he would frequently become distracted by car-
    toons on television.
    Several other medical professionals testified that Susan
    made concerning remarks about Chloe’s feeding schedule.
    Susan commented that Chloe liked to “snack” in the after-
    noon, which showed an ignorance to the importance of Chloe’s
    receiving each feeding properly; Susan repeatedly said that she
    did not need to burp Chloe because of the type of formula she
    was using; and Susan disclosed that she would not use sterile
    water for Chloe’s bottles at home.
    Decisions of the Nebraska Court of Appeals
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    Several nurses testified that Susan was not able to keep
    herself or the room clean. On one occasion, a cockroach was
    found in the hospital room. The cockroach was believed to
    have been brought in with Susan’s belongings. Nurses also
    testified that Susan allowed registered sex offenders in Chloe’s
    hospital room and that she expressed no concern in having
    Chloe exposed to them. One of these offenders had been living
    with Susan and Joseph prior to Chloe’s birth and was found at
    their home on several occasions afterward.
    The child protection worker, Fox, testified that prior to dis-
    charge, she met with both Susan and Joseph to discuss their
    prior parental rights relinquishments and their plans to care for
    Chloe. Fox testified that when she discussed Chloe’s medical
    condition with Susan, Susan complained about several of the
    medical recommendations. In particular, Susan stated that the
    hospital’s desire for Chloe to eat every 3 hours seemed unrea-
    sonable and that she thought the hospital was requiring Chloe
    to eat too much. This concerned Fox because she was afraid
    Susan would not follow the doctor’s orders.
    Although Fox believed an adjudication was proper, she
    testified that she was aware of alternate arrangements being
    planned in case Chloe stayed at home. Had that happened,
    Chloe would have received the services of a family support
    worker in the home twice per day, 5 days per week, and from
    a home health nurse twice a week. Fox testified that she had
    concerns about sending Chloe home, even with those services,
    because they were insufficient to ensure Chloe consistently
    received each feeding. Fox believed Susan would not fol-
    low the feeding schedule because she did not demonstrate
    that she understood its importance and failed to follow it in
    the hospital.
    Fox testified that she removed Chloe from Susan’s and
    Joseph’s custody in January 2012. She stated that the night
    she removed Chloe, Susan and Joseph had only a partial can
    of formula remaining. They said that they would not have
    money to buy more formula until Joseph received his Social
    Security check the next day at midnight. Fox noted that the
    amount of remaining formula was insufficient to feed Chloe
    until that time.
    Decisions   of the   Nebraska Court of Appeals
    IN RE INTEREST OF CHLOE P.	463
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    21 Neb. App. 456
    At the close of the State’s evidence, Susan again objected
    to the court’s failure to hear her motion for return of legal and
    physical custody before receiving evidence on the State’s peti-
    tion for adjudication. The county court overruled her objection,
    stating it would treat her motion as a defense to the petition
    and would not hold a separate hearing on it.
    In August 2012, the trial court issued an order finding Chloe
    to be a juvenile within the meaning of § 43-247(3)(a). The
    trial court determined that Chloe faced a risk of not receiving
    feedings that were necessary for her development. The court
    determined that this constituted a definite risk of future harm.
    The trial court further found that Susan’s actions while learning
    to care for Chloe, combined with her history of inadequate par-
    enting, proved by a preponderance of the evidence that Chloe
    was a juvenile within the meaning of § 43-247(3)(a).
    This appeal followed.
    IV. ASSIGNMENTS OF ERROR
    On appeal, Susan argues that the trial court erred in granting
    the State’s motion for temporary custody, in failing to hear her
    motion for the return of legal and physical custody before the
    adjudication hearing, and in adjudicating Chloe as a juvenile
    within the meaning of § 43-247(3)(a). As noted above, Joseph’s
    cross-appeal does not comport with the Nebraska court rules of
    appellate practice. Because Joseph’s assigned error regarding
    the court’s adjudication of Chloe under § 43-247(3)(a) overlaps
    with that of Susan’s, we will consider his argument as support
    for Susan’s assigned error, but disregard his remaining assign-
    ment of error.
    V. STANDARD OF REVIEW
    [1-3] An appellate court reviews juvenile cases de novo on
    the record and reaches its conclusions independently of the
    juvenile court’s findings. In re Interest of Dustin S., 
    276 Neb. 635
    , 
    756 N.W.2d 277
     (2008). To the extent an appeal calls for
    statutory interpretations or presents questions of law, an appel-
    late court must reach an independent conclusion irrespective of
    the determination made by the court below. 
    Id.
     The determina-
    tion of whether the procedures afforded an individual comport
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    464	21 NEBRASKA APPELLATE REPORTS
    with due process is a question of law. See State v. Parker, 
    276 Neb. 661
    , 
    757 N.W.2d 7
     (2008).
    VI. ANALYSIS
    1. Granting State’s Motion for
    Temporary Custody of Chloe
    [4] Susan argues that the trial court erred in granting tem-
    porary custody of Chloe to DHHS. She argues it was error to
    grant the ex parte order and to order continued placement with
    DHHS. We are without jurisdiction, however, to address any
    alleged error in the granting of the ex parte order. An ex parte
    temporary custody order keeping a child’s custody from his or
    her parent for a short period of time is not a final order. See
    In re Interest of R.R., 
    239 Neb. 250
    , 
    475 N.W.2d 518
     (1991).
    Because this court is without jurisdiction to consider orders
    which are not final in nature, we are without jurisdiction to
    consider Susan’s argument that the court erred in granting the
    temporary ex parte custody order.
    [5] Susan also argues that the court erred in granting the
    State’s motion for continued custody of Chloe, because the
    court failed to conduct a contested detention hearing. Unlike
    an ex parte temporary order, a detention order entered after
    a detention hearing is a final, appealable order. See In re
    Interest of R.G., 
    238 Neb. 405
    , 
    470 N.W.2d 780
     (1991), dis-
    approved on other grounds, O’Connor v. Kaufman, 
    255 Neb. 120
    , 
    582 N.W.2d 350
     (1998). Whether the February 21, 2012,
    hearing satisfied the due process requirements of a detention
    hearing is also reviewable. See In re Interest of Borius H. et
    al., 
    251 Neb. 397
    , 
    558 N.W.2d 31
     (1997). However, in order
    for us to review these matters, Susan was required to timely
    appeal from the February 21 order continuing placement of
    Chloe with DHHS. Since Susan did not file a notice of appeal
    until September 11, we are without jurisdiction to address
    errors relating to the February 21 hearing. See In re Interest
    of Zachary L., 
    4 Neb. App. 324
    , 
    543 N.W.2d 211
     (1996)
    (acknowledging we do not have jurisdiction to entertain appeal
    raising issues in juvenile case that settled substantial right
    Decisions   of the   Nebraska Court of Appeals
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    21 Neb. App. 456
    more than 30 days before appeal was perfected). Therefore,
    we do not address any issues raised regarding the temporary
    hearing of February 21.
    2. Failing to Hear Susan’s Motion for R eturn
    of Legal and P hysical Custody P rior
    to A djudication H earing
    Susan assigns as error the court’s refusal to hear her motion
    for return of custody prior to the adjudication hearing. Susan
    filed her motion for return of custody on March 27, 2012, the
    day of the pretrial, and indicated that the hearing would take
    approximately half a day. The court’s schedule, combined with
    that of counsel, could not accommodate Susan’s request, and
    therefore the court set the hearing date for May 7—the same
    date as the hearing on the adjudication petition. Susan filed
    an amended motion for return of custody on April 18, and at
    an impromptu hearing on April 30, the court iterated that the
    hearing on Susan’s motion and the State’s petition would take
    place at the same time due to the commonality of witnesses
    and the court’s time constraints. The hearing was ultimately
    commenced on May 7 and was carried over to additional days
    in May and June.
    Although Susan argues that “[n]o other detention hearing
    was ever scheduled,” brief for appellant at 19, the trial court
    did not deny Susan the opportunity to present evidence on
    her motion. Rather, the trial court simply required her to pre­
    sent the evidence at the same time evidence was presented for
    adjudication. The practicality of this decision is emphasized
    by the length of the adjudication hearing and the overlapping
    nature of the evidence supporting both the adjudication and
    the motion.
    In this case, Susan had ample opportunity to present evidence
    to the trial court challenging Chloe’s removal. Accordingly, she
    was not entitled to a separate hearing on her motion for the
    return of legal and physical custody after being afforded an
    opportunity to present evidence on the removal at the hearing
    in February.
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    3. Adjudicating Chloe as Juvenile Within
    Meaning of § 43-247(3)(a)
    Susan argues that the trial court erred in finding Chloe to
    be a minor within the meaning of § 43-247(3)(a), and Joseph
    joins in this argument. In particular, they argue that the trial
    court failed to require the State to show a “definite risk of
    future harm,” brief for appellant at 19, and to demonstrate the
    evidentiary nexus between its allegations and a definite risk of
    future harm. We disagree.
    Section 43-247(3)(a) provides that the juvenile court shall
    have jurisdiction over any juvenile
    who lacks proper parental care by reason of the fault or
    habits of his or her parent, guardian, or custodian; whose
    parent, guardian, or custodian neglects or refuses to pro-
    vide proper or necessary subsistence, education, or other
    care necessary for the health, morals, or well-being of
    such juvenile; . . . or who is in a situation or engages in
    an occupation dangerous to life or limb or injurious to the
    health or morals of such juvenile[.]
    [6-8] The juvenile court shall have jurisdiction over a juve-
    nile if the State proves that the juvenile is within the meaning
    of § 43-247(3)(a) by a preponderance of the evidence. See In
    re Interest of Heather R. et al., 
    269 Neb. 653
    , 
    694 N.W.2d 659
     (2005). While the State need not prove that the juvenile
    has suffered physical harm to find the juvenile to be within
    the meaning of § 43-247(3)(a), the State must establish that
    “without intervention, there is a definite risk of future harm.”
    In re Interest of Anaya, 
    276 Neb. 825
    , 838, 
    758 N.W.2d 10
    ,
    21 (2008). In order to establish a “definite risk of future
    harm,” there must be an evidentiary nexus between the allega-
    tions of the petition and a definite risk of future harm. In re
    Interest of Taeven Z., 
    19 Neb. App. 831
    , 839, 
    812 N.W.2d 313
    ,
    321 (2012).
    (a) Definite Risk of Future Harm
    Susan and Joseph argue that the trial court did not properly
    find a definite risk of future harm to Chloe. Susan argues that
    in order to find a definite risk, the risk needed to be “‘free of
    all ambiguity, uncertainty, or obscurity.’” Brief for appellant
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    21 Neb. App. 456
    at 20. Susan argues that the risk in this case did not meet this
    standard because it was uncertain whether or not Chloe would
    suffer harm.
    While the juvenile court must find that the juvenile’s situa­
    tion presents a definite risk of future harm, a juvenile court
    is not required to “‘“‘wait until disaster has befallen a minor
    child before the court may acquire jurisdiction. . . .’”’” In re
    Interest of Gloria F., 
    254 Neb. 531
    , 537, 
    577 N.W.2d 296
    ,
    301 (1998) (quoting In re Interest of Joshua M. et al., 
    251 Neb. 614
    , 
    558 N.W.2d 548
     (1997)). Because the court is not
    required to wait for disaster, “identifying specific evidence of
    harm or risk of harm is unnecessary.” In re Interest of Gloria
    F., 
    supra.
    The trial court defined “risk” as the “‘possibility of loss or
    injury.’” To have a definite risk, the possibility of loss or injury
    must be free from ambiguity.
    After carefully laying out the requirement that Chloe be at a
    “‘definite risk of future harm,’” the county court stated:
    Here the risk that Chloe faced on January 30, 2012 was
    that she would not receive the proper feedings that the
    medical experts had stated she required to properly grow
    and would not be properly cared for in the ways appro-
    priate for an infant. In evaluating the probability of such
    risks occurring the Court looked at the evidence of the
    failed “48 hour room-in”; the improper mixing of formula
    by the mother; the attitude of the mother demonstrated
    by the statement that infants “sleep when they want and
    eat when they want” in the face of the medical expert’s
    requirement of a definite schedule of feedings and amount
    and manner of those feedings; the not having sufficient
    formula for Chloe on January 30, 2012 when DHHS came
    to remove Chloe; the refusal to seek or accept assistance
    from offered programs; the inability of the parents to
    grasp the importance and manner of the feedings despite
    repeated training; [and] the psychological testimony of
    the parents’ habitual patterns of inadequate parenting,
    their inability to change and failure to recognize their
    need to change . . . .
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    The evidence provided to the court showed that there was
    a definite risk that Chloe would not receive the feedings or
    care that she needed. Susan claims that the State demonstrated
    only the “possibility” of risk, not a “definite risk.” Brief for
    appellant at 21. As evidenced by the above, however, the trial
    court found that given all the circumstances, a “definite risk”
    existed. We agree.
    (b) Failure to Demonstrate Evidentiary
    Nexus Between Allegations and
    Definite Risk of Future Harm
    Susan and Joseph argue that the State failed to demonstrate
    an evidentiary nexus between its allegations and a definite
    risk of future harm. In particular, they note that Chloe did
    not have any specialized feeding needs at the time of her
    discharge and that the hospital and the State had arranged
    sufficient services to intervene before Chloe suffered actual
    harm. We disagree.
    At the outset, we note that the State does not have to wait
    until a child suffers harm before intervening. See In re Interest
    of Gloria F., 
    supra.
     In this case, there is a nexus between the
    evidence presented at the trial, the State’s allegations, and
    harm to Chloe. Although many of Chloe’s medical problems
    had resolved at the time of her discharge, she was still at risk
    for failure to thrive. The fact that she no longer required a
    feeding tube and that her electrolytes were stabilized did not
    diminish the importance of her prescribed feeding schedule.
    Dr. Pierce testified that maintaining this schedule was criti-
    cally important.
    The medical concern over Chloe’s feeding schedule is evi-
    dent from the fact that the hospital took the unusual step of
    conducting a 48-hour monitoring period to ensure Chloe’s
    parents could properly care for her prior to her discharge.
    Dr. Pierce testified that if she had known Susan had to be
    prompted to feed Chloe during the 48 hours, she would have
    considered the 48-hour period a failure, and that the informa-
    tion regarding prompting would have affected her decision to
    discharge Chloe. Although the prompting was not documented
    in the nursing notes, Chloe’s nurse, Holcomb, testified that it
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    occurred; that she reported it to the child protection worker,
    Fox, the next day; and that Fox included it in her letter to the
    court. There was no evidence presented disputing the prompts.
    Several health care providers testified that Susan’s comments
    about the feeding schedule caused them concern about Chloe’s
    well-being in Susan’s care.
    The evidence showed that Susan could not care for Chloe
    even in an optimal, supportive environment, where she knew
    she was being monitored. Given her failure to care for Chloe
    in that environment, it is unlikely she would be able to care
    for Chloe outside of that environment. Indeed, the evidence
    presented at trial showed that Susan has significant stress-
    ors, including financial and relationship stressors, that would
    inhibit her ability to care for Chloe.
    The record revealed that the substantial support put in place
    by the State would not be enough to ensure that Chloe received
    all eight of the feedings that she needed each day. Although
    Dr. Pierce testified that medical intervention would be pos-
    sible before Chloe failed to thrive, the record reveals that these
    circumstances created a definite risk that Chloe would not
    receive the feedings medically required. The risk that Chloe
    would not receive the feedings medically required is a defi-
    nite risk of harm. It is not necessary that Chloe actually fail
    to thrive before becoming a juvenile within the meaning of
    § 43-247(3)(a).
    Susan and Joseph also argue that none of the evidence
    presented about the voluntary relinquishment of her two
    other children showed a definite risk of future harm to Chloe.
    While the evidence presented about the prior relinquishments
    did not, on its own, show that Chloe was at risk of future
    harm, the evidence did provide the trial court with some
    insight into how Susan and Joseph dealt with stressors previ-
    ously, which provided the court with some evidence of their
    parenting habits. The evidence of Susan’s and Joseph’s past
    struggles combined with the evidence about their reaction to
    Chloe’s medical situation showed that there was a definite
    risk Chloe would suffer harm in the future in Susan’s and
    Joseph’s care.
    Decisions of the Nebraska Court of Appeals
    470	21 NEBRASKA APPELLATE REPORTS
    4. Joseph’s Cross-Appeal
    Before addressing the deficiencies in Joseph’s cross-appeal,
    we first set forth the chronology of the appeal. Susan filed a
    notice of appeal on September 11, 2012. Joseph filed a notice
    of appeal on September 28. In response to Joseph’s notice of
    appeal, the clerk of the Nebraska Supreme Court sent a letter to
    the Madison County Court and copied all attorneys of record,
    advising them that pursuant to Neb. Ct. R. App. P. § 2-101(C)
    (rev. 2010), multiple appeals from the same case could not
    be docketed. The clerk advised, “Therefore, the notice of
    appeal filed by [Joseph] shall be treated as a second notice of
    appeal in the above-captioned matter.” This is in accord with
    § 2-101(C), which states:
    Method of Docketing Case; Multiple Appeals from Same
    Case Prohibited. Upon receipt of the material required by
    § 2-101(B), the Clerk of the Supreme Court shall there-
    upon docket the case designating the party or parties first
    having filed the notice of appeal in the district court as
    appellant or appellants. All other parties shall be desig-
    nated as appellees, and any attempt to appeal thereafter
    made by any party to the action shall be filed in the exist-
    ing case and not separately docketed.
    Susan filed a “Brief of Appellant” on February 1, 2013. The
    State filed a “Brief of the Appellee” on February 28. On that
    same date, Joseph filed a motion for a 30-day extension of
    his brief date, which was granted. The guardian ad litem filed
    a “Brief of Guardian Ad Litem” on March 4. Susan filed her
    reply brief on March 13. Thereafter, Joseph filed a brief enti-
    tled “Brief of Appellee, Joseph . . .” on March 15. No further
    briefing occurred.
    [9] In Joseph’s brief, he assigned errors and sought affirma-
    tive relief, but there is no designation of a cross-appeal on the
    cover of the brief, nor is a cross-appeal set forth in a sepa-
    rate division of the brief as required by Neb. Ct. R. App. P.
    § 2-109(D)(4) (rev. 2012), which section states in full:
    Where the brief of appellee presents a cross-appeal, it
    shall be noted on the cover of the brief and it shall be
    set forth in a separate division of the brief. This division
    shall be headed “Brief on Cross-Appeal” and shall be
    Decisions   of the   Nebraska Court of Appeals
    IN RE INTEREST OF CHLOE P.	471
    Cite as 
    21 Neb. App. 456
    prepared in the same manner and under the same rules as
    the brief of appellant.
    In In re Interest of Natasha H. & Sierra H., 
    258 Neb. 131
    ,
    
    602 N.W.2d 439
     (1999), the Nebraska Supreme Court declined
    to consider a father’s arguments appealing the termination of
    his parental rights, because he failed to properly designate his
    arguments as a cross-appeal. As in the present case, the father
    filed a notice of appeal after the mother did so, making him an
    appellee. The father set forth assignments of error in his brief,
    which he entitled simply “‘Brief of Appellee.’” In re Interest
    of Natasha H. & Sierra H., 
    258 Neb. at 144
    , 
    602 N.W.2d at 450
    . In its refusal to consider the father’s assignments of error,
    the court explained that “the appellate courts of this state have
    always refused to consider a prayer for affirmative relief where
    such a claim is raised in a brief designated as that of an appel-
    lee,” 
    id. at 146
    , 
    602 N.W.2d at 451
    , and “have repeatedly indi-
    cated that a cross-appeal must be properly designated, pursuant
    to [§ 2-10]9(D)(4), if affirmative relief is to be obtained,” 
    258 Neb. at 145
    , 
    602 N.W.2d at 450
    . The court further cautioned
    parties seeking appellate review of their claims to be aware of
    the rules governing appeals, noting that “[a]ny party who fails
    to properly identify and present its claim does so at its peril.”
    
    Id. at 147
    , 
    602 N.W.2d at 451
    .
    [10] We note that in the present case, after Joseph filed
    his notice of appeal, the appellate clerk notified him that his
    notice of appeal would be treated as a second notice of appeal
    and referred him to § 2-101(C). This rule advised Joseph that
    he would be designated as an appellee, and he correctly des-
    ignated himself as an appellee on his brief. Therefore, this
    case is governed by In re Interest of Natasha H. & Sierra
    H., and is distinguishable from Knaub v. Knaub, 
    245 Neb. 172
    , 
    512 N.W.2d 124
     (2004), and In re Application A-16642,
    
    236 Neb. 671
    , 
    463 N.W.2d 591
     (1990). In both Knaub and In
    re Application A-16642, the parties filing second notices of
    appeal mistakenly designated their briefs as briefs of appel-
    lants. Here, Joseph correctly identified his brief as that of an
    appellee, but he failed to comply with the proper filing of a
    cross-appeal. Section 2-101(E) instructs an appellee on how
    to assert a cross-appeal, stating: “Cross-Appeal. The proper
    Decisions of the Nebraska Court of Appeals
    472	21 NEBRASKA APPELLATE REPORTS
    filing of an appeal shall vest in an appellee the right to a cross-
    appeal against any other party to the appeal. The cross-appeal
    need only be asserted in the appellee’s brief as provided by
    § 2-109(D)(4).”
    Based upon our court rules, Joseph, as an appellee, was
    required to identify his cross-appeal on the cover of his brief
    and in a separate section in compliance with § 2-109(D)(4).
    As in In re Interest of Natasha H. & Sierra H., supra, we
    decline to waive the rules on his behalf and to award him
    affirmative relief. Because Susan and Joseph both assigned
    as error the court’s decision adjudicating Chloe, however, we
    consider Joseph’s argument on this issue in addressing Susan’s
    assigned error.
    VII. CONCLUSION
    We conclude that the State sufficiently proved that Chloe
    was within the meaning of § 43-247(3)(a) because there was a
    definite risk that her parents would not provide for her needs,
    resulting in harm. Because Joseph did not properly designate
    his brief as a cross-appeal, we do not address his assigned
    errors. Accordingly, we affirm the county court’s order.
    Affirmed.