In re K.L. , 2021 Ohio 3080 ( 2021 )


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  • [Cite as In re K.L., 
    2021-Ohio-3080
    .]
    IN THE COURT OF APPEALS OF OHIO
    ELEVENTH APPELLATE DISTRICT
    PORTAGE COUNTY
    IN THE MATTER OF:                                       CASE NO. 2021-P-0022
    K.L., DEPENDENT CHILD
    Civil Appeal from the
    Court of Common Pleas,
    Juvenile Division
    Trial Court No. 2020 JCF 00647
    OPINION
    Decided: September 7, 2021
    Judgment: Affirmed
    Judith M. Kowalski, 333 Babbitt Road, Suite 323, Euclid, OH 44123 (For Appellant).
    Gregory T. Barton, Assistant Prosecutor, 241 South Chestnut Street, Ravenna, OH
    44266 (For Appellee).
    Brian L. Coffman, 209 South Main Street, Suite 203, Akron, OH 44308 (Guardian ad
    Litem).
    CYNTHIA WESTCOTT RICE, J.
    {¶1}     Appellant, N.L. (“mother”), appeals from the judgment of the Portage County
    Court of Common Pleas, Juvenile Division, granting permanent custody of her daughter,
    K.L., to appellee, the Portage County Department of Job and Family Services (“JFS”).
    We affirm the judgment of the trial court.
    {¶2}     K.L., D.O.B. February 5, 2018, was born with a complex heart defect.
    According to Dr. Gerard Boyle, K.L.’s pediatric cardiologist, the child was born with a
    defect referred to as pulmonary atresia; a condition which, in layman’s terms, indicates
    she had only half a heart such that the “blue blood” coming into her heart was ejected
    backwards into the coronary arteries. The condition is unsustainable for a long period of
    time and required K.L. to have a heart transplant on August 15, 2018. As a result, K.L. is
    on highly potent immunosuppressant drugs that she must take twice a day for the rest of
    her life. These drugs assist suppressing the child’s immune system in order to avoid
    rejecting the transplant.      Dr. Boyle stated that while mother and her husband, C.L.
    (“father”) were very attentive to K.L. and her medical issues, he developed concerns
    regarding K.L.’s post-transplant weight loss and her parents’ hygiene. According to the
    doctor, transplant patients required a pristine living environment to prevent infection. Due
    to these concerns, JFS was contacted.
    {¶3}    K.L., along with her brother, L.R.T. were removed from the family home on
    January 4, 2019.1 By way of a March 5, 2019 judgment, the children were adjudicated
    dependent and, several weeks later, temporary custody was awarded to JFS.                         On
    October 29, 2020, JFS moved for permanent custody of K.L. The matter proceeded to
    final hearing on February 3, 2021. At the hearing, the following evidence was adduced:
    {¶4}    In December 2018, K.L. was diagnosed with a failure to thrive; she was
    again diagnosed with failure to thrive in January 2019. JFS also had concerns about
    K.L.’s G-Tube (“feeding tube”), which had fallen out and was not replaced. Jessica
    Plymale, a JFS caseworker, testified an adjudication hearing was held and on February
    21, 2019, K.L. was adjudicated dependent. The case plan required mother and father to
    1. According to mother, L.R.T. also has multiple medical issues, including hydrocephalous, ADHD, ODD,
    OCD, post-traumatic stress disorder, kidney problems and acid reflux; according to mother, the child
    takes six medications a day. On June 24, 2019, L.R.T. was returned to mother’s legal custody with an
    order of protective supervision in favor of JFS.
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    keep a clean home; ensure proper administration of medications; develop an
    understanding of and effectively utilize feeding equipment; as well as address parenting
    and mental health concerns (mother admittedly suffered from depression).
    {¶5}   The family was referred to the Bair Foundation, an organization designed
    to help families in various states of need, for guidance and assistance in keeping the
    home clean and addressing parenting matters. According to Ms. Plymale, the parents
    completed parenting and in-home therapy with Bair.
    {¶6}   Mother and father began receiving unsupervised visitation with K.L. in
    January 2020. In April, they started week-long visits, and, in May, the visits progressed
    to two weeks at a time. Following a visit with the parents in May 2020, K.L.’s foster mother
    contacted Miranda Lewis, a JFS caseworker assigned to the case from April 2019 to
    October 2020. According to Ms. Lewis, there were concerns that K.L.’s medication had
    expired, and her feeding tube had not been properly cleaned.        Both parents admitted
    they failed to check and/or recognize that the medication had expired. When Ms. Lewis
    left the case, in October 2020, she still had concerns regarding the cleanliness of the
    home and the parents’ ability to properly administer medication. Ms. Lewis recognized
    that mother was trained to medically administer medication; still, however, she was
    unaware of any formal certification mother received regarding administering medication.
    {¶7}   Ms. Plymale was assigned as caseworker in October 2020. Ms. Plymale
    noted that K.L. has a bond with her parents, brother, and her foster family. Ms. Plymale
    testified that the parents attended nearly all of their visits with K.L., only absent when
    someone was sick. Ms. Plymale visited the parents’ home in November 2020 and took
    photographs during the visit. She found the home in disarray, with trash and old food in
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    Case No. 2021-P-0022
    various places throughout the residence. She advised mother and father of her concerns
    regarding the cleanliness of the home. Ms. Plymale also advised the parents they could
    contact the Bair Foundation to address this issue and perhaps establish a cleaning
    schedule. Two weeks later, on November 24, Ms. Plymale revisited the home, but found
    the home in substantially the same condition. She noted, however, that some progress
    had occurred in that a large trash can had been removed from the living room and mother
    and father purchased a Roomba.
    {¶8}   On December 15, 2020, Ms. Plymale visited the home to evaluate the
    parents’ progress. She was informed that L.R.T., K.L.’s brother, was ill, so the parties
    rescheduled a virtual visit for December 31, 2020. Ms. Plymale sent mother the link for
    the visit, but mother did not appear. Later, on January 13, 2021 and January 22, 2021,
    Ms. Plymale visited the home. She heard L.R.T. inside the home and, on each occasion,
    the parents’ vehicles were in the driveway. No one, however, answered the door.
    {¶9}   Notwithstanding the foregoing, Ms. Plymale conceded the parents
    completed parenting classes and mother continues to engage in individual counseling;
    further, the parents’ case record indicated the parents had been trained on administering
    K.L.’s feeding tube and medication.
    {¶10} Father acknowledged the case plan goals and further recognized the
    importance of cleanliness in the home. He observed he and mother had been working
    on improving the home for K.L.’s return. He additionally stated neither he nor mother
    would ever deny the caseworkers access to their home. Also, while he conceded he had
    not realized K.L.’s medication had expired in May 2020, he asserted that neither he nor
    mother were made responsible for filling the prescriptions; indeed, he stated that, even if
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    Case No. 2021-P-0022
    he and mother recognized the medication had been expired, they were unable order new
    or additional medication. Instead, he claimed the foster mother, a registered nurse, was
    obligated to obtain the medications.
    {¶11} Mother testified she was twice medically certified to administer K.L.’s
    medication: once in October 2018 and then in September 2020. She claimed the
    certifications were initially necessary for K.L.’s release from rehab. Mother additionally
    stated that the expired-medication problem took place over Memorial Day weekend and
    that neither she nor father had any authorization to renew the prescription. She also
    pointed out that the foster mother did not caution her before the two-week visit that the
    medication would expire during the visit. Still, however, mother conceded she did not
    independently recognize the medication’s expiration.
    {¶12} Regarding Ms. Plymale’s unannounced visits, mother stated she was not in
    the home often during this timeframe because she was assisting a friend attend to a
    diabetic child. Mother contended that, had she known Ms. Plymale intended to visit, she
    would have “gladly let her in.” Further, regarding the cleanliness of the home, mother
    noted that she and father separated at one point and, during this period, the home was
    unclean.
    {¶13} Mother asserted she has a “medical poster” with K.L.’s feeding schedule
    and all K.L.’s medications are organized in a dresser drawer. Mother claimed that JFS
    had been vague regarding its expectations for her and father, and communications were
    not ideal; to wit, the family had three caseworkers since the case’s inception.
    {¶14} Brian Coffman, K.L.’s guardian ad litem (“GAL”), stated that, even though
    mother and father loved K.L., their difficulties tending to her serious medical problems,
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    Case No. 2021-P-0022
    including maintaining an adequately clean home, necessitated a recommendation that
    permanent custody be awarded to JFS. And, on February 28, 2021, the trial court entered
    judgment granting permanent custody in JFS’ favor.
    {¶15} Mother now appeals and assigns three errors for our review. Her first
    assigned error alleges:
    {¶16} “The trial court erred to the prejudice of the appellant and against the best
    interest of the child when it denied a continuance for the appellant-mother, depriving her
    of her right to due process and abusing its discretion, as the mother’s attorney informed
    the court she had issues with serving subpoenas on three defense witnesses, and due to
    the denial of continuance mother was unable to present two of those witnesses.”
    {¶17} “‘The grant or denial of a continuance is a matter that is entrusted to the
    broad, sound discretion of the trial judge.’” DePizzo v. Stabile, 11th Dist. Trumbull No.
    2006-T-0027, 
    2006-Ohio-6102
    , ¶7, quoting State v. Unger, 
    67 Ohio St.2d 65
    , paragraph
    one of the syllabus (1981). An appellate court will not interfere unless there was a clear
    abuse of discretion. DePizzo at ¶7. An abuse of discretion is the trial court’s “‘“failure to
    exercise sound, reasonable, and legal decision-making.”’” Hammonds v. Eggett, 11th
    Dist. Geauga No. 2010-G-2980, 
    2011-Ohio-6510
    , ¶16, quoting State v. Beechler, 2d
    Dist. Clark No. 09-CA-54, 
    2010-Ohio-1900
    , ¶62, quoting Black’s Law Dictionary (8
    Ed.Rev.2004) 11. “‘There are no mechanical tests for deciding when a denial of a
    continuance is so arbitrary as to violate due process. The answer must be found in the
    circumstances present in every case, particularly in the reasons presented to the trial
    judge at the time the request is denied.’” DePizzo at ¶8, quoting Unger, supra, at 67.
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    Case No. 2021-P-0022
    {¶18} At the commencement of the hearing, counsel for mother sought a
    continuance “based on service issues that we had regarding subpoenas for my client and
    COVID and things like that within the past 30 days.” Counsel represented that, without a
    continuance, mother would be unable to call three witnesses in her defense. The court
    denied the request, stating on record:
    {¶19} Okay I would indicate for the record that I will deny the continuance.
    This matter has been kicked a couple of times. I think that finality for
    the child is essential and in the child’s best interest. Not only that, I
    have no - - in the case file I have no record of a written continuance
    being filed prior to the hearing. I have no record of request for
    subpoenas or subpoenas filed in the court file prior to the hearing,
    and therefore I’ll deny your continuance and we’ll proceed then.
    {¶20} Initially, mother’s counsel did not identify any of the purported witnesses or
    attempt to proffer the substance of what their testimony would demonstrate.              “The
    purpose of a proffer is to assist the reviewing court in determining, pursuant to Evid.R.
    103, whether the trial court’s exclusion of evidence affected a substantial right of the
    appellant.” In re Walker, 
    162 Ohio App.3d 303
    , 
    2005-Ohio-3773
    , ¶37 (11th Dist.). This
    court has concluded that when a continuance is requested to secure a witness’
    attendance, the failure to proffer the substance of the anticipated testimony waives or
    forfeits any error. In re Maciulewicz, 11th Dist. Ashtabula No. 2002-A-0046, 2002-Ohio-
    4820, ¶33.    Further, even if the doctrine waiver or forfeiture does not operate to prevent
    appellate review, it is still not possible to evaluate whether the denial of request for
    continuance prejudiced a party’s due process rights. In re K.M., 11th Dist. Trumbull No.
    2017-T-0059, 
    2017-Ohio-8286
    , ¶29. (When a party fails to proffer testimony which is
    allegedly critical to her case, any prejudice is, at best, speculative.)
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    Case No. 2021-P-0022
    {¶21} We also note that various witnesses for JFS testified that the parents’ home
    was never adequately clean such that it could suit K.L.’s medical needs. Mother also
    conceded at the hearing that, after the parents lost unsupervised visitation in May 2020,
    the home was unclean throughout the summer due to her absence; and, she also
    admitted that the home becomes unclean when she feels “overwhelmed” or falls into
    depression – situations that could arguably occur at any time and with repetition. The
    home’s unclean character was a primary basis for the trial court’s award of permanent
    custody to JFS. In light of these points and concessions, it is difficult to imagine how any
    witness for mother (or the parents) could have changed the trial court’s perception
    regarding the child’s best interests. Regardless, without some basic idea of who the
    potential witnesses were, what their relationship to the family, or at least to the mother,
    was, and what their anticipated testimony might show, we cannot conclude the trial court’s
    denial of the continuance was an unreasonable or unfair exercise of sound legal decision
    making.
    {¶22} Moreover, even though counsel represented she had difficulty subpoenaing
    the witnesses at issue, the record does not include any formal subpoenas filed by
    mother’s counsel. To the contrary, the only subpoenas that were filed after counsel’s
    appointment were issued by the assistant prosecutor. And, although several subpoenas
    were issued by mother’s previous counsel, those were filed prior to the court’s granting
    two continuances of the final hearing. Those subpoenas were not re-issued for those
    witnesses to appear at the re-scheduled date of the final hearing.              Under the
    circumstances, we discern no abuse of discretion.
    {¶23} Mother’s first assignment of error lacks merit.
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    Case No. 2021-P-0022
    {¶24} For her second assignment of error, mother asserts:
    {¶25} “The Portage County Juvenile Court erred and abused its discretion in
    finding that clear and convincing evidence supported granting permanent custody of the
    subject child to the Portage County Department of Child and Family Services.” (Sic.)
    {¶26} Mother argues that the trial court’s decision to grant permanent custody to
    JFS was not supported by the evidence because she had made progress and was still
    progressing on her case plan.
    {¶27} “‘A reviewing court generally will not disturb a trial court’s permanent
    custody decision unless the decision is against the manifest weight of the evidence.’” In
    re N.M.P., 11th Dist. Portage No. 2018-P-0056, 
    2018-Ohio-5072
    , ¶54, quoting In re
    D.M., 4th Dist. Hocking No. 15CA22, 
    2016-Ohio-1450
    , ¶10. “[A]n appellate court will not
    reverse a judgment as being contrary to the weight of the evidence as long as there is
    some competent, credible evidence supporting the judgment.” In re Kangas, 11th Dist.
    Ashtabula No. 2006-A-0084, 
    2007-Ohio-1921
    , ¶81. The manifest-weight standard of
    review is the same in a civil case as in a criminal case. Eastley v. Volkman, 
    132 Ohio St.3d 328
    , 
    2012-Ohio-2179
    , ¶17.
    {¶28} When applying the manifest-weight standard of review, the reviewing court
    reviews the entire record, “‘weighs the evidence and all reasonable inferences, considers
    the credibility of witnesses and determines whether in resolving conflicts in the evidence,
    the [finder of fact] clearly lost its way and created such a manifest miscarriage of justice
    that the [judgment] must be reversed and a new trial ordered.’” Eastley, 
    supra, ¶20
    ,
    quoting Tewarson v. Simon, 
    141 Ohio App.3d 103
    , 115, (9th Dist.2001). “The finder of
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    Case No. 2021-P-0022
    fact is entitled to believe all, part, or none of the testimony of any witness.” River Oaks
    Homes, Inc. v. Twin Vinyl, Inc., 11th Dist. Lake No. 2007-L-117, 
    2008-Ohio-4301
    , ¶27.
    {¶29} “Under the manifest weight standard of review, we are ‘guided by a
    presumption’ that the fact-finder’s findings are correct.” Terry v. Kellstone, Inc., 6th Dist.
    Erie No. E-12-061, 
    2013-Ohio-4419
    , ¶13, citing Seasons Coal Co. v. Cleveland, 
    10 Ohio St.3d 77
    , 79-80 (1984). See also Eastley at ¶21. We must make “‘every reasonable
    presumption * * * in favor of the judgment and the finding of facts.’” 
    Id.,
     quoting Seasons
    Coal Co. at 80, fn. 3. “‘If the evidence is susceptible of more than one construction,’” we
    are “‘bound to give it that interpretation which is consistent with the * * * judgment [and]
    most favorable to sustaining the * * * judgment.’” Eastley, 
    supra,
     quoting Seasons Coal
    Co., supra.
    {¶30} Before a juvenile court may terminate parental rights and award permanent
    custody of a child to a proper moving agency, it must find clear and convincing evidence
    of both prongs of the permanent custody test: (1) that the child is abandoned; orphaned;
    has been in the temporary custody of the agency for at least 12 months of a consecutive
    22-month period; the child or another child of the same parent has been adjudicated
    abused, neglected, or dependent three times; or that the child cannot be placed with either
    parent, based on an analysis under R.C. 2151.414(E); and (2) that the grant of permanent
    custody to the agency is in the best interest of the child, based on an analysis under R.C.
    2151.414(D)(1). R.C. 2151.414(B)(1) and 2151.414(B)(2); see also In re William S., 
    75 Ohio St.3d 95
    , 98-99 (1996).
    {¶31} “Clear and convincing evidence” is evidence sufficient to “produce in the
    mind of the trier of fact a firm belief or conviction as to the facts sought to be
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    Case No. 2021-P-0022
    established.” In re K.H., 
    119 Ohio St.3d 538
    , 
    2008-Ohio-4825
    , ¶42. We will not substitute
    our judgment for that of the trial court applying a clear-and-convincing standard where
    there is ample competent and credible evidence supporting the trial court’s
    determination. See In re A.J.O. and M.N.O., 1st Dist. Hamilton No. C-180680, 2019-Ohio-
    975, ¶6.
    {¶32} In granting JFS’ motion for permanent custody, the trial court made the
    following findings:
    {¶33} “A.) K.L. was in the Temporary Custody of PCDJFS for more than 12
    months in a 22 consecutive month period * * *;
    {¶34} B.) K.L. cannot be placed with either of her parents within a reasonable time
    and should not be placed with her parents;
    {¶35} C.) Permanent custody is in the child’s best interest;
    {¶36} D.) That K.L.’s parents [mother] and [father] did not complete their case plan
    because their home was unsuitable, was a threat to K.L.’s safety and health, was never
    clean or suitable for any consistent period of time. K.L. cannot reside safely in her
    parents’ home without fear of infection and the parents’ home is not safe and secure;
    {¶37} E.) The Court considered all relevant factors of R.C. 2151.43 in determining
    best interest of K.L.;
    {¶38} F.) The parents have repeatedly failed to remedy the clutter, cleanliness
    and exposed food products in the home which can and will likely cause infection to K.L.,
    a medically fragile child, which may lead to her physical harm, her serious physical harm
    or her death. Cleanliness of the home which could lead to infection for K.L. has been a
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    Case No. 2021-P-0022
    continuing issue since 2018 (with short breaks) until the date of the hearing on February
    3, 2021;
    {¶39} G.) Services were offered to the parents thru [sic] Cleveland Clinic, Bair
    Foundation and Social Workers, yet the cleanliness issue continued;
    {¶40} H.) K.L.’s parents have failed, for whatever reason to protect her from
    infection and serious physical harm. That K.L.’s parents are unwilling and/or unable to
    provide a safe and secure home for K.L. given her fragile condition;
    {¶41} I.) K.L.’s Guardian Ad-litem recommends permanent custody of K.L. to
    PCDJFS;
    {¶42} J.) K.L needs legally secure placement which cannot occur unless PCDJFS
    is granted permanent custody;
    {¶43} K.) Reunification with K.L.’s parents is unlikely due to time constraints and
    their failure to provide a clean and suitable home for K.L.;
    {¶44} L.) The child cannot express an opinion;
    {¶45} M.) Following the placement of the child outside the child’s home and
    notwithstanding reasonable case planning and diligent efforts by the agency to assist
    mother and father to remedy the problems that initially caused the child to be placed
    outside the home, mother and father have failed continuously and repeatedly to
    substantially remedy the conditions (clean and stable home) causing the child to be
    placed outside the child’s home;
    {¶46} N.) Portage County Department of Job and Family Services has made
    reasonable efforts in preventing the continued removal of the child from her home or to
    make it possible to return the child home;
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    Case No. 2021-P-0022
    {¶47} O.) There are no relatives or person who have been located or qualified that
    have shown an interest to be a relative placement or legal custodian.
    {¶48} Mother maintains the totality of the foregoing findings did not clearly and
    convincingly warrant the trial court’s award of permanent custody to JFS. As such, she
    contends the trial court’s judgment is against the manifest weight of the evidence.
    Specifically, mother asserts she completed parenting classes and was trained in the
    administration of K.L.’s medication. And, while there was evidence the court accepted
    that the parents administered expired medication, mother emphasizes K.L., at that time,
    suffered no harm. Mother additionally points out that it was the foster mother’s obligation
    to provide the medication.
    {¶49} Regarding the issue of cleanliness, mother argues K.L. was not in the home
    on November 10 and 24, 2020 when the photographs that were admitted into evidence
    were taken. Mother further notes that she had left the home for a period of time and her
    absence significantly contributed to the uncleanliness. Moreover, mother points out that
    even though Dr Boyle advised K.L. must live in a “pristine” home environment, no one,
    including the doctor, was able to define what such a condition required.
    {¶50} With due respect to mother’s arguments, Jennifer Waicak, mother’s
    therapist with the Bair Foundation, testified that mother knew and understood what was
    expected of her regarding the condition of the home. Ms. Waicak asserted that Ms. Lewis,
    mother’s caseworker until October 2020, procured a letter from K.L.’s physician regarding
    what was needed and mother “verbalized that she was already aware of it, and she
    basically verbatim gave me what the letter said.” Still, between August and December
    2020, Ms. Waicak visited the home some 12 times and observed that it was clean
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    Case No. 2021-P-0022
    sometimes, but other times it was not. And, Ms. Waicak agreed that there was no obvious
    period of time where the home was in a sustained state of cleanliness.
    {¶51} Furthermore, Ms. Lewis noted that she attempted to visit the parents’
    residence multiple times over the summer of 2020. And, although the parents were
    ostensibly separated during this time, she was unable to gain access. Still, Ms. Lewis
    asserted that, through the front door, she observed the home in a state of disarray.
    Mother acknowledged the home can become messy, but “[w]hen the house gets like that
    it’s due to being overwhelmed with things that are going on around me and my depression
    will set in * * *.” Even though K.L. was not residing in the home during the summer and
    fall months of 2020, the foregoing evidence demonstrates that mother is either unable or
    unwilling to establish a consistent, suitable environment for K.L. to thrive safely in light of
    her medical fragility.
    {¶52} To the last point, mother’s assertion that K.L. was not residing with the
    parents at the time when the photos were taken in November of 2020 is of little moment.
    The photos, which were admitted into evidence, depict a home, at best, in complete
    disarray. They show: garbage (some bagged, some not) and food bestrewn throughout
    the house; significant amassments of clutter piled in nearly every room and, in some
    cases, blocking entries and egresses; filthy furniture; a kitchen that is heaped with dirty
    dishes and an abundance of other, non-descript rubbish; a bathroom with, what appears
    to be an unflushed commode; and a vehicle littered with food items, used fast-food
    containers, and other cast-off debris. Regardless of whether K.L. was not in the home at
    the time, the photos reflect the parents’ “default” living conditions, and the court was free
    to conclude that these conditions would not significantly change (especially given JFS’
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    Case No. 2021-P-0022
    and Bair Foundation’s interventions and advice regarding the issue of cleanliness) if K.L.,
    in her medically fragile condition, were returned.
    {¶53} Additionally, mother’s admission that her depression, which is apparently
    ongoing, (as well as the potentially tumultuous nature of the parents’ personal
    relationship) fundamentally affects whether the home is adequately clean or unacceptably
    dirty, there is no reasonable basis to conclude the home will ever be sufficiently clean to
    meet K.L.’s heightened needs. These points are compounded by mother’s testimony that
    L.R.T. is medically compromised and on six different medications daily. If mother is
    psychologically strained and must administer L.R.T.’s various medications, the difficulties
    inherent in keeping a consistently clean home and administering all the medications to
    each child are manifest.
    {¶54} Moreover, although the court did not place heavy emphasis on the episode
    during which the parents administered expired medication to K.L., mother’s admission
    that she was unaware it was expired and did not check the expiration also militates
    against her case. While the oversight was not intentional, her recognition that she did not
    check the expiration date was, at the least, unreasonable given K.L.’s extremely
    vulnerable medical condition.    The same observation would apply to K.L.’s unclean
    feeding tube, which she had when she was returned from a visit with the parents in May
    2020.
    {¶55} In addition, the trial court overtly noted the GAL’s recommendation. In
    recommending permanent custody to JFS, the GAL noted that the case commenced
    when K.L. was in need of a heart transplant and the parents were provided housing
    through the Cleveland Clinic at the Ronald McDonald House. And, due to the unsanitary
    15
    Case No. 2021-P-0022
    nature of their living conditions, they were asked to leave. The GAL underscored that K.L.
    will have a lifetime of being immunocompromised and he expressed his concern that,
    even though the parents provided her with expired medications only once, the same error
    could occur again. And, in relation to this point, the GAL pointed out that, in administering
    the expired medication, he is worried that the parents do not fully understand the
    importance of monitoring the expiration date. The GAL stated that the Bair Foundation
    made unannounced visits on a monthly basis to the home and continued to find it
    unsanitary and unacceptable for K.L.’s needs. The GAL asserted his belief that JFS had
    done all it could to help the parents understand the import of K.L.’s serious medical
    condition and the importance of keeping the living space extremely clean, but they have
    repeatedly failed to heed the advice and directives. As a result, the GAL recommended
    permanent custody to JFS.
    {¶56} Given the foregoing, we conclude that, due to the severity of K.L.’s
    condition, which indisputably demands an extremely clean, if not immaculate, living
    environment as well as vigilant attentiveness to feeding and medication, there was clear
    and convincing evidence that awarding permanent custody to JFS was in the child’s best
    interest.
    {¶57} A final point requires attention. Mother notes that Dr. Boyle offered an
    unsolicited statement during his testimony regarding his view that he feels responsible,
    not only to K.L., but also to the family of her heart donor. Mother contends this statement
    was highly prejudicial. Although not entirely clear, mother seems to claim that the doctor’s
    statement was an appeal to the court’s emotions which could reasonably, albeit
    subconsciously, taint the court’s perception regarding K.L.’s best interest.     Initially, we
    16
    Case No. 2021-P-0022
    fail to see how the doctor’s observation regarding his personal and/or professional
    obligations to his patients would somehow bias the trial court’s assessment of the
    evidence. Further, even if the statement could be perceived as somehow inflammatory,
    evidence that might inflame the passions of a jury do not necessarily have the same effect
    on a judge. State v. White, 
    15 Ohio St.2d 146
    , 151 (1968). Rather, it is presumed that,
    in a bench trial, “the court considered only relevant, material, and competent evidence in
    arriving at its judgment unless it affirmatively appears to the contrary.” 
    Id.
        Here, the
    court summarized Dr. Boyle’s testimony in its judgment entry; it did not refer to the
    statement at issue. Hence, there is nothing to suggest the comment was considered in
    the court’s analyses and conclusions.
    {¶58} Mother’s second assignment of error lacks merit.
    {¶59} Mother’s third assigned error provides:
    {¶60} “The Portage County Juvenile Court erred in finding that permanent custody
    was in the best interests of the child when, when the guardian ad litem failed to file a
    written report and his oral recommendation was based solely on a document issued by
    the agency.”
    {¶61} Under her final assignment of error, mother asserts that the trial court plainly
    erred in granting permanent custody to JFS because the GAL failed to file a written report
    in accordance with the Ohio Rules of Superintendence. She also complains that, during
    the oral recommendation at the hearing, the GAL referenced a semiannual administrative
    review.
    {¶62} Initially, mother did not object to the lack of a written report prior to the GAL
    issuing his oral recommendation. As a result, she has forfeited all but plain error. “To
    17
    Case No. 2021-P-0022
    constitute plain error the alleged error must have substantially affected the outcome such
    that but for the error, the outcome would have been otherwise.” In re C.H., 11th Dist.
    Ashtabula No. 2018-A-0061, 
    2019-Ohio-4316
    , ¶24.
    {¶63} In support of her claim of plain error, mother points to former Sup.R.
    48(F)(1)(c), which provided that in actions to terminate parental rights, “[u]nless waived
    by all parties or the due date is extended by the court, the final report shall be filed with
    the court and made available to all parties for inspection no less than seven days before
    the dispositional hearing.” Current Sup.R. 48.06(B)(1) provides a similar provision; to wit:
    “[a] guardian ad litem in * * * actions to terminate parental rights shall provide a written
    report to the court, unrepresented parties, and legal counsel not less than seven days
    prior to any * * * permanent custody hearing * * *.” Notwithstanding this provision, this
    rule does not give rise to substantive rights. In re K.V., 6th Dist. Lucas No. L-11-1087,
    
    2012-Ohio-190
    , ¶27; accord In re B.K., 12th Dist. Butler No. CA2010-12-324, 2011-Ohio-
    4470; In re D.C.J., 8th Dist. Cuyahoga Nos. 97681, and 97776, 
    2012-Ohio-4154
    . Indeed,
    this court has held that “[t]he Rules of Superintendence are viewed as internal
    housekeeping rules which do not have the force or effect of procedural rules or statutes;
    accordingly, violations do not warrant reversal of a decision.” In re C.H., 
    supra, at ¶39
    ,
    citing Allen v. Allen, 11th Dist. Trumbull No. 2009-T-0070, 
    2010-Ohio-475
    , ¶31.
    Accordingly, the failure to comply with the Rules of Superintendence, even if a technical
    error, is not reversible.
    {¶64} Moreover, it is worth pointing out that mother’s counsel had the opportunity
    to cross-examine the GAL but did not do so. In many cases, the failure to file a written
    report may be problematic because a parent’s counsel may be unaware, or at least unable
    18
    Case No. 2021-P-0022
    to anticipate, either the recommendation or its rationale. Because no objection was filed,
    one could infer that counsel was aware of the GAL’s position and cross-examination may
    have only reinforced the evidence which did not help her position. After all, throughout
    the hearing there was ample evidence which supported or corroborated the rationale
    supporting GAL’s oral recommendation. Thus, even had the GAL filed a written report,
    we fail to see how the outcome would have been different. In this respect, we fail to find
    plain error. See In re L.S., 8th Dist. Cuyahoga No. 108666, 
    2019-Ohio-5347
    , ¶17; see,
    also, In re R.C., 8th Dist. Cuyahoga No. 82453, 
    2003-Ohio-7062
    , ¶ 22 (“An award of
    permanent custody will not be disturbed where the guardian ad litem failed to issue a
    written report and no objection was offered at the hearing.”)
    {¶65} Finally, mother contends the GAL relied solely on an agency report in
    making his recommendation.          The record demonstrates, however, that the GAL
    referenced team meetings, meetings with the parents, and the testimony at the hearing.
    Mere reference to a JFS’ record document does not mean the GAL’s recommendation
    was plagiarized or reflected only the points illustrated in that document. Again, we decline
    to find plain error due to this reference.
    {¶66} Despite the foregoing legal analysis, we are dismayed by the GAL’s failure
    to file a written report with the court. The recommendation, which was entered at the end
    of the hearing, did not indicate, with any depth, the nature of the GAL’s interaction with
    the parents during the time the case was open. The GAL failed to assert how often, if at
    all, he visited the family home and, not coincidentally, he did not comment on his own,
    first-hand perception of the home’s condition. In effect, the GAL’s recommendation was
    based upon a recitation of evidence previously given by prior witnesses at the hearing.
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    Case No. 2021-P-0022
    We must emphasize that, without an objection, we cannot find reversible error.
    Nevertheless, we do find the GAL’s performance was sub-par and the parties and the
    court would have benefitted from a significantly more detailed rendition of GAL’s
    involvement in the case. A task generally accomplished by the timely filing of a written
    GAL report.
    {¶67} Mother’s third assignment of error lacks merit.
    {¶68} For the reasons discussed in this opinion, the judgment of the Portage
    County Court of Common Pleas, Juvenile Division, is affirmed.
    MARY JANE TRAPP, P.J.,
    THOMAS R. WRIGHT, J.,
    concur.
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