In re C.K. ( 2024 )

[Cite as In re C.K., 2024-Ohio-1427.]
COURT OF APPEALS
KNOX COUNTY, OHIO
FIFTH APPELLATE DISTRICT
: JUDGES:
:
: Hon. Patricia A. Delaney, P.J.
: Hon. John W. Wise, J.
IN RE C.K. : Hon. Andrew J. King, J.
:
: Case No. 23CA000013
:
:
:
:
: OPINION
CHARACTER OF PROCEEDING: Appeal from the Knox County Court of
Common Pleas, Juvenile Division, Case
No. 221 2026
JUDGMENT: AFFIRMED
DATE OF JUDGMENT ENTRY: April 15, 2024
APPEARANCES:
For Mother-Appellant: For KCDJFS-Appellee:
RICHARD D. HIXSON PORTER R. WELCH
3808 James Court, Suite 2 117 East High St.
Zanesville, OH 43701 Mount Vernon, OH 43050
[Cite as In re C.K., 2024-Ohio-1427.]
Delaney, P.J.
{¶1} Mother-Appellant S.R. appeals the September 26, 2023 judgment entry of
the Knox County Court of Common Pleas, Juvenile Division awarding permanent custody
of her child, C.K., to the Knox County Department of Job and Family Services-Appellee.
FACTS AND PROCEDURAL HISTORY
{¶1} Mother-Appellant S.R. is the biological mother of C.K., born in August 2014.
Father T.K. is the biological father of C.K. Mother and Father are not married. Father has
not been involved in this case and the focus of this appeal is on Mother and child. C.K.
has been diagnosed with autism, ADHD, anxiety, obsessive behaviors, emotional
dysregulation disorder, and sleep seizure disorder.
KCDJFS Complaint
{¶2} On April 1, 2021, Knox County Department of Job and Family Services-
Appellee (“KCDJFS”) filed a complaint alleging abuse, neglect, and/or dependency based
on Mother’s methamphetamine use. KCDJFS had been working with Mother since
February 2021 after Mother was found in possession of methamphetamine while
operating a motor vehicle with C.K. in the backseat. Mother was charged with possession
of drugs. KCDJFS asked Mother for a drug screen, which she took in March 2021 and
tested positive for methamphetamine, amphetamine, and THC. The trial court appointed
a Guardian ad Litem to represent C.K.
{¶3} An adjudicatory hearing was held on May 5, 2021, where Mother was
ordered to submit to an instant drug screen. Mother tested negative. Via judgment entry
issued May 20, 2021, the trial court found C.K. to be a dependent child pursuant to R.C.
2151.04(C).
[Cite as In re C.K., 2024-Ohio-1427.]
{¶4} Mother submitted to a random drug screen on May 6, 2021, where she
tested positive for methamphetamine, amphetamine, and THC. KCDJFS believed Mother
or Maternal Grandmother was going to abscond with the child and therefore on May 11,
2021, moved the trial court for an ex parte emergency shelter care order. On May 11,
2021, the trial court granted the order and placed C.K. in temporary custody of KCDJFS.
The Shelter Care hearing was held on May 28, 2021, where the trial court ordered that
C.K. remain in the temporary custody of KCDJFS.
{¶5} The dispositional hearing was held on June 2, 2021 and the judgment entry
filed on June 15, 2021. The child had been placed in kinship care. Mother was seeking
substance abuse treatment with Freedom Center and was going to seek mental health
management. The trial court continued temporary custody with KCDJFS. A review
hearing was held on September 1, 2021, where the trial court continued temporary
custody with KCDJFS.
{¶6} KCDJFS removed C.K. from kinship care in July 2021 and placed him with
a foster family. Mother tested positive for methamphetamine on the day she brought C.K.
to the agency.
{¶7} A review hearing was held on October 18, 2021. Mother last tested positive
for methamphetamine on September 20, 2021, but she was beginning to engage in her
case plan activities at the Freedom Center for parenting classes, substance abuse
treatment, and mental health treatment. A review hearing was held on January 19, 2022,
where Mother had requested a return of C.K. to her custody but the trial court continued
temporary custody with KCDJFS. At the review hearing on March 23, 2022, KCDJFS
requested its first extension, which the trial court granted.
[Cite as In re C.K., 2024-Ohio-1427.]
{¶8} On October 5, 2022, the trial court ordered that C.K. be returned to Mother’s
custody under protective supervision by KCDJFS. KCDJFS stated that Mother was in
compliance with her case plan and had remedied the conditions that required the removal
of C.K. from her home.
{¶9} On January 10, 2023, KCDJFS filed a motion to modify disposition/motion
for temporary custody. In the motion, KCDJFS stated that Mother had relapsed on
methamphetamine, which Mother denied. On December 13, 2022, December 30, 2022,
and January 4, 2023, Mother screened positive for methamphetamine. On December 21,
2022, Mother screened positive for buprenorphine. A hearing was held on January 30,
2023. KCDJFS requested that the child be permitted to remain in Mother’s residence
because she had engaged in treatment, admitted to a relapse, and provided two negative
drug screens. The trial court ordered KCDJFS’s protective supervision to continue while
it was permitted to visit C.K. at school and/or drug test him at school.
{¶10} On February 13, 2023, Mother tested positive for methamphetamine.
KCDJFS also learned that Mother withdrew C.K. from his public school with the intent to
homeschool him. On March 1, 2023, KCDJFS filed a motion with the trial court to modify
the temporary orders that Mother was not permitted to homeschool C.K. The trial court
issued an ex parte emergency shelter care order placing C.K. in the pre-dispositional
temporary custody and shelter care of KCDJFS.
{¶11} On March 10, 2023, KCDJFS filed a motion for permanent custody and
motion to extend temporary custody pending the hearing on the motion for permanent
custody. The trial court granted the second motion for extension of temporary custody.
{¶12} The trial court appointed an attorney advocate for C.K.
[Cite as In re C.K., 2024-Ohio-1427.]
{¶13} The GAL report filed on August 1, 2023 recommended that C.K. be placed
in the permanent custody of KCDJFS. The trial court held the permanent custody hearing
on August 8, 2023. The following facts were adduced at the hearing.
A Child with Special Needs
{¶14} Dr. Justin Wildemann, a pediatrician with Akron Children’s Hospital, testified
to C.K.’s diagnoses and treatment. C.K. had been his patient for one and a half years.
C.K. was diagnosed with mild to moderate autism, moderate ADHD, sleep seizure
disorder (possible epilepsy), emotional dysregulation disorder, mild to moderate anxiety,
and mild to moderate obsessive behaviors. Dr. Wildemann treated C.K. for ADHD,
autism, anxiety, and emotional dysregulation. C.K. was also being treated by specialists
such as a neurologist for his sleep seizure disorder. C.K. was currently prescribed an
antidepressant, an ADHD stimulant medication, and a sleep medication. Dr. Wildemann
recommended that C.K. attend applied behavioral analysis (ABA) therapy, which C.K.
was currently attending. Dr. Wildemann had met with Mother several times where he
discussed C.K.’s diagnoses and Mother seemed willing to cooperate with Dr.
Wildemann’s recommended treatments. C.K. missed two appointments in November
2022 to January 2023.
{¶15} Dr. Wildemann testified that for children with diagnoses such as C.K.’s,
those children benefited from consistent and stable environments. For C.K. and his
moderate diagnosis of ADHD, Dr. Wildemann recommended that he be in a school
environment that had support systems in place, such as an IEP. Dr. Wildemann testified
that an IEP and a school psychologist could figure out the best method for C.K. to learn
and reinforce those methods, allowing C.K. to succeed.
[Cite as In re C.K., 2024-Ohio-1427.]
{¶16} Michaele Hermes, a board-certified behavior analyst with the Mid-Ohio
Educational Service Center and Advanced Behavioral Services, testified that she had
been providing C.K. with ABA therapy since May 2022 until Fall 2022, and then again in
April 2023 to the date of the hearing. Hermes met with C.K. for about three to four hours
a week to build communication skills, daily living skills, communication skills, and coping
skills. When Hermes started working with C.K. in April/May 2022, they worked to get C.K.
ready for school and to transition back to Mother’s care. C.K. was independent in 90% of
his skills. He managed self-care such as showering, picking out his clothes, and brushing
teeth. He mastered letter sounds and letter blends to assist in his independent reading.
Custody was returned to Mother and the therapy terminated by the organization due to
the change in custody. Mother could have sought out and applied for ABA services but
did not. C.K. started services again in April 2023 (when he returned to foster care) and
Hermes testified she observed that C.K. had regressed in all of his skills. He appeared to
have lost confidence in himself and the self-motivation to independently care for himself.
{¶17} School employees testified about C.K.’s experiences in public school. In the
2022-2023 school year, C.K. had nineteen unexcused absences from school from
October 5, 2022 to February 2023. The school sent Mother multiple letters notifying her
of C.K.’s excessive school absences. The school was in the process of setting up a
diversion meeting due to C.K.’s excessive unexcused absences when Mother withdrew
C.K. from public school with the stated intent of home schooling him. The school was
never notified of any bullying issues against C.K., which Mother gave as one of the
reasons for his withdrawal. The school considered C.K. a high risk, special needs student
due to his diagnoses and low IQ. While at school, he was supported by an IEP, a shared
[Cite as In re C.K., 2024-Ohio-1427.]
adult aide, and additional services such as occupational therapy, speech therapy, and
physical therapy. The school counselor opined that home schooling may not be the best
alternative for C.K. because all those services would need to be provided continuously.
{¶18} Foster Mother testified that C.K. was placed with her family from May 2021
to September 2022 and from March 2023 to the date of the hearing. Foster Mother has
had no contact with C.K.’s father. When C.K. was with his foster family the first time, he
was consistent with ABA therapy where he improved his ability to self-care. He could
shower independently, his speech had improved, and he could get his hair cut without
trouble. He had stopped picking at his skin. When C.K. was returned to their care, Foster
Mother testified that C.K. had regressed. He was obsessively picking at his skin again.
He was refusing to attend school and making himself vomit to go home. He had issues
with personal care. Foster Mother re-enrolled C.K. in school and services. During the
summer of 2023, C.K. received daily therapy, including ABA therapy, occupational
therapy, physical therapy, and speech therapy.
{¶19} When C.K. was returned to her care, Foster Mother testified that C.K. had
gained twenty to thirty pounds to a point that he was complaining of leg pain. He was
evaluated in physical therapy to determine the cause of the leg pain. In order to manage
his weight, Foster Mother encouraged C.K. to play outside and he had been losing weight.
Foster Mother was also concerned that while in Mother’s care, C.K. was not properly
taking his prescribed medications. He came to Foster Parents with an unopened inhaler
and daily medications that still had thirty pills in the bottle at the end of the month.
{¶20} Foster Mother testified that C.K. was bonded with his foster parents. There
were six children in the family. Foster Mother observed that C.K. and Mother were bonded
[Cite as In re C.K., 2024-Ohio-1427.]
and loved each other. C.K. was excited for visitation with Mother. Foster Mother facilitated
communication with C.K. and Mother with regular FaceTime calls. It was sometimes
difficult to understand what C.K. was saying and occasionally Mother got upset when
Foster Mother intervened to interpret or C.K. was upset at being misunderstood. Foster
Mother described C.K. as a happy, smart, and bright child. He enjoyed being outside. His
favorite food was apples.
Mother’s Progress
{¶21} The caseworker with KCDJFS spoke of their involvement with Mother and
C.K. KCDJFS got involved with Mother and C.K. after she was stopped and found in
possession of methamphetamine while C.K. was in her car. KCDJFS filed an ex parte
motion in May 2021 after Mother tested positive for methamphetamine multiple times.
The trial court granted temporary custody of C.K. to KCDJFS but the agency could not
locate Mother or C.K. Mother agreed to bring C.K. to the agency on the promise the child
would be placed with a specific kinship provider. The kinship provider failed, and the child
was placed with his foster family in July 2021. On July 28, 2021, the day Mother drove
C.K. to the agency, she tested positive for methamphetamines.
{¶22} Mother was assigned a case plan which included services for substance
abuse, mental health, and parenting. The plan also required Mother to sign requested
releases. Mother actively engaged in her case plan services. She attended appointments
for substance abuse and mental health at Freedom Center and BHP, completed a
parenting class, obtained appropriate medical care for C.K., started communicating with
medical providers, and cooperating with KCDJFS. Mother has had consistent housing
throughout the case. Mother stopped testing positive for illicit drugs. Mother progressed
[Cite as In re C.K., 2024-Ohio-1427.]
to unsupervised, overnight visitation with C.K. Based on her progress, C.K. was returned
to Mother’s custody in September 2022.
{¶23} Mother obtained a medical marijuana card after she started testing positive
for THC. In December 2022, Mother started testing positive for methamphetamine and
Suboxone. KCDJFS worked to keep C.K. in the home by supporting her sobriety.
KCDJFS was aware that C.K. was missing school. It then learned that Mother had
unenrolled C.K. from school to homeschool him but had not yet put the recommended
therapies in place. Mother finally admitted that she had relapsed. C.K. was returned to
the foster family’s care. When he was returned to their care, the caseworker noticed that
C.K. had gained weight and had trouble walking up the stairs due to leg pain. In April
2023, KCDJFS restricted Mother’s in-person access to C.K.’s medical appointments due
to her negative behavior. She was permitted to attend the appointments virtually.
{¶24} KCDJFS looked into possible kinship care for C.K. Maternal Grandmother
was ruled out because she was involved in restricting the agency’s access to C.K. Neither
C.K.’s father nor his family was interested in placement. Father had declined visitation
with C.K.
{¶25} KCDJFS’s concern for Mother was her historical use of drugs showing an
inconsistent level of sobriety. It was also concerned about Mother’s consistent follow-
through with C.K.’s providers and support for C.K., which included reinforcing the self-
care skills he was learning even if he did not want to do them. Mother was inconsistent
with making sure C.K. completed his homework and became resistant when asked about
it.
[Cite as In re C.K., 2024-Ohio-1427.]
{¶26} Mother was under probation through the Knox County Adult Probation until
approximately June or July of 2024, subject to a recommendation for early termination,
due to convictions for assault and OVI. Her probation officer testified that Mother tested
positive for THC, but she had a medical marijuana card. Mother did not inform her
probation officer that she tested positive for methamphetamine on KCDJFS screens in
December 2022, January 2023, and February 2023. The probation officer testified that
Mother completed treatment, reported as required, finished requested classes, tested
clean for illegal substances, finished a JOBS program, and had been paying towards her
fines and costs.
{¶27} A report of Mother’s drug screens was admitted as an exhibit. Mother tested
positive for methamphetamines on December 13, 2022, December 30, 2022, January 1,
2023, January 11, 2023, February 13, 2023, February 14, 2023, and May 12, 2023.
Mother also tested positive for buprenorphine (suboxone) on December 21, 2022 and
May 30, 2023. While Mother was prescribed Adderall to address her ADHD, it would not
register as methamphetamine. Mother denied some of the positive screens, stating the
lab mixed up the results.
{¶28} Mother’s psychiatrist testified that he had been treating Mother since 2018.
She was being treated for bipolar disorder (mixed kind), generalized anxiety disorder, and
ADHD combined type. Since 2018, he had prescribed Mother Adderall to treat her ADHD.
In June 2023, the doctor changed her ADHD medication from Adderall to Vyvanse
because it was less likely to be abused and there was an Adderall shortage. Mother’s
ADHD symptoms improved when she was taking her medication. Mother had notified her
psychiatrist that she had a prior history of abusing cocaine, acid, PCP, mushrooms,
[Cite as In re C.K., 2024-Ohio-1427.]
marijuana, Tramadol, and alcohol. She had never disclosed her methamphetamine or
Suboxone use to her psychiatrist.
{¶29} Mother testified on her behalf. Mother had consistent rental housing for nine
years. Mother had been employed but was seeking disability. She also had upcoming
surgery, which would prevent her from working. Mother obtained her valid driver’s license
the day before the hearing. After working with the Freedom Center for almost two years
to address her sobriety, Mother was now focusing on her mental health needs. At the time
of the hearing, Mother was engaged to a man with two autistic children. She would be
moving in September or October.
{¶30} Mother was asked why she did not pursue ABA therapy for C.K. while he
was in her care. Mother contradicted the testimony of Foster Mother and the caseworker
who testified they provided Mother with information for ABA therapy. She said that she
asked for the information from KCDJFS, but the caseworker never responded. Mother
testified that she pursued homeschooling because C.K. was complaining about being
bullied at school. She had enrolled him in virtual speech therapy and was in the process
of enrolling him in physical and occupational therapy but did not have those services set
up before she took C.K. out of school. She believed that she could provide him with more
support because she was his mother; however, Mother testified that if C.K. was returned
to her care, she was going to keep him enrolled at the public school in the district where
the foster family resided.
{¶31} As to C.K.’s medication, Mother testified that C.K. did not require the use of
his allergy medicine or inhaler while in her care. She gave C.K. his antidepressant and
sleeping medications as prescribed.
[Cite as In re C.K., 2024-Ohio-1427.]
Judgment Entry
{¶32} The trial court issued its judgment entry on September 26, 2023. The trial
court granted permanent custody of C.K. to KCDJFS. It first found that C.K. had been in
the temporary custody of KCDJFS for more than twelve months out of a consecutive
twenty-two-month period. It next found that C.K. could not be placed with either parent
within a reasonable amount of time and it was in the best interests of C.K. to be placed
with KCDJFS.
{¶33} It is from this judgment that Mother now appeals.
ASSIGNMENT OF ERROR
{¶34} Mother raises one Assignment of Error:
I. THE TRIAL COURT ERRED IN FINDING THAT IT WAS IN THE BEST
INTERESTS OF C.K. TO BE PLACED IN THE PERMANENT CUSTODY
OF KCDJFS, AS SUCH A FINDING WAS AGAINST THE MANIFEST
WEIGHT OF THE EVIDENCE AND UNSUPPORTED BY SUFFICIENT
EVIDENCE.
ANALYSIS
{¶35} In Mother’s sole Assignment of Error, she argues the trial court erred when
it found it was in the best interests of the child to be placed in the permanent custody of
KCDJFS. We disagree.
{¶36} In determining the best interest of the child at a permanent custody hearing,
R.C. 2151.414(D)(1) mandates the trial court must consider all relevant factors, including,
but not limited to, the following: (a) the interaction and interrelationship of the child with
the child's parents, siblings, relatives, foster parents and out-of-home providers, and any
[Cite as In re C.K., 2024-Ohio-1427.]
other person who may significantly affect the child; (b) the wishes of the child as
expressed directly by the child or through the child's guardian ad litem, with due regard
for the maturity of the child; (c) the custodial history of the child; (d) the child's need for a
legally secure permanent placement and whether that type of placement can be achieved
without a grant of permanent custody; and (e) whether any of the factors in division (E)(7)
to (11) of R.C. 2151.414 apply in relation to the parents and child.
{¶37} A child's best interests are served by the child being placed in a permanent
situation that fosters growth, stability, and security. We have frequently noted, “[t]he
discretion which the juvenile court enjoys in determining whether an order of permanent
custody is in the best interest of a child should be accorded the utmost respect, given the
nature of the proceeding and the impact the court's determination will have on the lives
of the parties concerned.” In re E.H., 5th Dist. Stark No. 2022CA00007, 2022-Ohio-1682,
2022 WL 1579856, ¶ 101 quoting In re Mauzy Children, 5th Dist. No. 2000CA00244, 2000
WL 1700073 (Nov. 13, 2000), citing In re Awkal, 85 Ohio App.3d 309, 316, 642 N.E.2d
424 (8th Dist. 1994). In this case, we find there was competent, credible evidence to
support the trial court's decision that it was in the best interest of the C.K. to be placed in
the permanent custody of KCDJFS.
{¶38} One issue in this case is that Mother’s tenuous sobriety has affected her
custodial history of C.K. KCDJFS became involved with Mother and C.K. after the police
stopped Mother’s vehicle where she was found with C.K. and in possession of
methamphetamine. Mother repeatedly tested positive for methamphetamine. Mother
argues in her appeal that there is no evidence that she used substances while in the
presence of C.K. Mother testified that C.K. was with Maternal Grandmother when she
[Cite as In re C.K., 2024-Ohio-1427.]
used drugs. The evidence, however, shows that Mother had methamphetamine in her
system when she was in the presence of C.K. On the day Mother returned C.K. to the
custody of KCDJFS, she tested positive for methamphetamine. Mother worked her case
plan and admirably achieved sobriety so that C.K. could be returned to her care. However,
Mother admitted that she relapsed after C.K. had been returned to her care.
{¶39} Another issue is whether Mother can serve C.K.’s best interests to foster
his growth, stability, and security. C.K. is neurodivergent with multiple diagnoses that
require consistent support for him to thrive and become self-sufficient. The evidence
showed that while C.K. was in foster care, he received consistent therapeutic support so
that he mastered some ability to self-care, his obsessive-compulsive behaviors were
reduced, and his speech improved. When C.K. was returned to Mother’s care, C.K.
notably regressed. C.K. gained twenty to thirty pounds, which caused him leg pain. C.K.
had nineteen days of unexcused absences from school. Mother did not re-establish the
ABA therapeutic services that C.K. was receiving in foster care, which supported his
ability to self-care. Foster Mother testified that C.K. could no longer do the skills he had
previously mastered, such as the ability to bathe himself. Mother claimed that if C.K. was
returned to her care, she would keep him enrolled in public school. C.K. was enrolled in
public school when he was in Mother’s care, and he missed nineteen days of school.
When the school started the process of diversion, Mother withdrew C.K. from school with
the stated intent of providing him with a home school education.
{¶40} There is no question that Mother and C.K. are bonded. Foster Mother
testified that she would attempt to maintain a connection between C.K. and his Mother.
[Cite as In re C.K., 2024-Ohio-1427.]
{¶41} In this case, C.K. requires an environment that will foster consistency,
stability, and security to promote his growth and self-sufficiency. We find no error for the
trial court to find it was in the best interests of C.K. to be placed in the permanent custody
of KCDJFS. Mother’s sole Assignment of Error is overruled.
CONCLUSION
{¶42} The judgment of the Knox County Court of Common Pleas, Juvenile
Division, if affirmed.
By: Delaney, P.J.,
Wise, J. and
King, J., concur.