In the Interest of: M.B.H., a Minor ( 2017 )


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  • J. S36031/17
    NON-PRECEDENTIAL DECISION – SEE SUPERIOR COURT I.O.P. 65.37
    IN THE INTEREST OF: M.B.H.,              :     IN THE SUPERIOR COURT OF
    A MINOR                                  :           PENNSYLVANIA
    :
    APPEAL OF: P.A.H., MOTHER                :          No. 2558 EDA 2016
    Appeal from the Decree, July 13, 2016,
    in the Court of Common Pleas of Philadelphia County
    Family Court Division at No. CP-51-AP-0000574-2016
    BEFORE: PANELLA, J., OLSON, J., AND FORD ELLIOTT, P.J.E.
    MEMORANDUM BY FORD ELLIOTT, P.J.E.:                   FILED August 4, 2017
    P.A.H. (“Mother”) appeals from the decree dated and entered July 13,
    2016, in the Court of Common Pleas of Philadelphia County, granting the
    petition of the Philadelphia County Department of Human Services (“DHS”)
    and involuntarily terminating her parental rights to her minor, dependent
    child, M.B.H. (the “Child”), a female born in December of 2011, pursuant to
    the Adoption Act, 23 Pa.C.S.A. § 2511(a)(1), (2), (5), (8), and (b).1, 2 After
    review, we affirm.
    1
    By separate decrees entered the same date, the trial court additionally
    involuntarily terminated the parental rights of Child’s father, C.H. (“Father”),
    and Unknown Father. An appeal has not been filed by Father or any
    unknown father, nor is Father or any unknown father a party to the instant
    appeal.
    2
    Upon review, the trial court additionally entered a separate order changing
    Child’s permanency goal to adoption. As Mother does not appeal this order,
    any such claims related thereto are not preserved.           Pa.R.A.P. 903(a)
    (a notice of appeal shall be filed within 30 days after the entry of the order
    from which the appeal is taken). Moreover, any such opposition would be
    J. S36031/17
    The trial court summarized the relevant procedural and/or factual
    history, in part, as follows:
    FINDINGS OF FACT
    On September 9, 2013, M.B.H. received a
    pulmonary examination at the Children’s Hospital of
    Philadelphia     (“CHOP”).           Thereafter,    on
    September 10, 2013, Mother took M.B.H. to the
    CHOP Emergency Room after M.B.H. suffered burns
    to her left arm, left leg, and chest. Rita Himes, a
    CHOP [t]riage [n]urse, stated that Mother stated to
    her that M.B.H. had seven hours earlier been lying in
    bed at the home and had pulled the cord of a clothes
    iron, causing the iron to fall on M.B.H. Mother stated
    to Ms. Himes that the burns were caused by the iron
    falling on M.B.H. and that Mother had treated the
    burns with cold water and butter; that initially that
    M.B.H.’s skin blistered and that the blisters had
    broken. During this emergency room visit, it was
    determined that M.B.H. suffered from partial
    thickness burns upon M.B.H.’s left interior arm, the
    left interior leg, and the left side of the chest
    measuring two to seven inches. On September 13,
    2013, [DHS] received an Emergency General
    Protective Services Report (“EGPS”) alleging that
    M.B.H.’s weight and height were in the zero
    percentile for her age and that during M.B.H.’s
    waived as Mother failed to raise the issue in both her concise statement of
    errors complained of on appeal and the statement of questions involved
    section of her brief, and failed to present argument related thereto in her
    brief. See Krebs v. United Refining Co. of Pennsylvania, 
    893 A.2d 776
    ,
    797 (Pa.Super. 2006) (stating that a failure to preserve issues by raising
    them both in the concise statement of errors complained of on appeal and
    statement of questions involved portion of the brief on appeal results in a
    waiver of those issues); In re W.H., 
    25 A.3d 330
    , 339 n.3 (Pa.Super.
    2011), appeal denied, 
    24 A.3d 364
    (Pa. 2011), quoting In re A.C., 
    991 A.2d 884
    , 897 (Pa.Super. 2010) (“[W]here an appellate brief fails to provide
    any discussion of a claim with citation to relevant authority or fails to
    develop the issue in any other meaningful fashion capable of review, that
    claim is waived.”).
    -2-
    J. S36031/17
    pulmonary examination      that   M.B.H.   appeared
    malnourished.
    On September 18, 2013, DHS contacted CHOP
    by telephone and learned that Mother had failed to
    keep M.B.H.’s follow-up appointment and that CHOP
    physicians had determined M.B.H.’s burns were likely
    caused by child abuse and that there were concerns
    that M.B.H. was malnourished. DHS attempted to
    contact Mother on her phone on September 20, 2013
    and September 21, 2013 but Mother was
    unresponsive. On September 23, 2013, CHOP asked
    DHS to contact Mother to schedule an immediate
    medical examination of M.B.H. because Mother had
    failed to take M.B.H. to a scheduled September 22,
    2013 appointment at CHOP and that Mother had not
    responded to any phone calls from CHOP.
    On September 23, 2013, DHS contacted
    Mother and asked if Mother had taken M.B.H. for her
    appointment at CHOP and Mother responded that
    M.B.H. did not need a medical examination. After
    determining from M.B.H.’s pediatrician[] that Mother
    was not ensuring consistent well-child examinations
    for M.B.H.[,] DHS obtained an Order of Protective
    Custody (“OPC”) for M.B.H. and on that same day
    DHS went to CHOP to take M.B.H. from Mother’s
    custody.
    On September 23, 2013, M.B.H. was placed in
    a foster home and a Shelter Care Hearing occurred
    on September 25, 2013, where the OTC was lifted
    and the temporary commitment to DHS was ordered
    to stand. At the Adjudicatory Hearing held before
    the Honorable Judge Jonathan Q. Irvine on
    October 2, 2013, M.B.H. was adjudicated dependent.
    The [c]ourt referred commitment to DHS.          The
    [c]ourt referred the Mother to ARC [Achieving
    Reunification Center] for [p]arenting and [a]nger
    [m]anagement. The [c]ourt further ordered that
    there be one hour supervised visits at the agency.
    The initial Family Service Plan (“FSP”) meeting
    was held on December 16, 2013.         The parental
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    objectives were that (1) Mother would set age
    appropriate    expectations;   (2)   Mother    would
    participate in mental health evaluations; (3) Mother
    would keep all visits and maintain regular contact
    with M.B.H. and (4) Mother would locate and occupy
    suitable housing for M.B.H.      At the subsequent
    Permanency Review Hearing on December 18, 2013,
    Mother was (1) referred to Behavioral Health System
    (“BHS”) for consultation; (2) to attend anger
    management classes and (3) receive the BHS
    evaluation and parenting class though the Parent
    Action Network (“PAN”).
    On June 19, 2014, a Permanency Review
    Hearing was held and the [c]ourt ordered (1) that
    M.B.H. remain committed; (2) DHS would follow up
    with ARC about parenting classes for Mother; and
    (3) Mother would sign releases at the Community
    Council Health Systems. At the next Permanency
    Review Hearing on September 3, 2014, the [c]ourt
    ordered (1) that Mother be referred to BHS for
    monitoring and (2) Mother sign releases at the
    Community Council.
    A second FSP was created on September 30,
    2014, and the parental objectives for Mother were
    that Mother (1) set age appropriate expectations;
    (2) participate in mental health evaluation and follow
    treatment recommendations; (3) maintain all visits
    and regular contact with M.B.H.; (4) comply with
    objectives and court orders and (5) locate [] suitable
    housing for the family.          At the subsequent
    Permanency Review Hearing on December 3, 2014
    the [c]ourt determined that there had been minimal
    compliance with the permanency plan by Mother and
    Mother was (1) re-referred for anger management;
    (2) referred to a comprehensive biopsychological
    evaluation[3]    at   [sic]  [p]arenting    [c]apacity
    [e]valuation (“PCE”); (3) Mother was to sign a
    release; and (4)       DHS would refer Mother for
    therapeutic visits.
    3
    The order in question refers to this evaluation as a comprehensive
    biopsychosocial evaluation. (See DHS Exhibit 2 at 17-19.)
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    On January 6, 2015, Mother participated in a
    comprehensive biopsychological evaluation which
    stated that Mother had clearly defined narcissistic
    personality traits and that the Mother’s anger and
    apparently transient depressive symptoms merited
    intervention so as not to further complicate attempts
    to reunify mother and child.            Thereafter a
    Permanency Review Hearing was held on March 9,
    2015 and the court determined that Mother (1) had
    completed     her    biopsychological    examination;
    (2) Mother was engaged through [sic] therapy
    through the Community Council Health Systems; and
    (3) the DHS was to make referral housing for
    Mother.
    At a Permanency Review Hearing on June 10,
    2015 held before the Honorable Jonathan Q. Irvine,
    the [c]ourt determined that Mother (1) had
    completed anger management classes and was
    attending mental health treatment consistently;
    (2) was working full time; (3) Mother was referred to
    CEU for a drug screen and dual diagnosis plus three
    random drug screens prior to the next court date.[4]
    At the Permanency Review Hearing on
    October 7, 2015 held before the Honorable Judge
    Irvine, the [c]ourt determined that Mother (1) the
    mother [sic] be referred to CEU for assessment, dual
    diagnosis, monitoring and three random drug
    screens prior to the next court date.[5]     At the
    Permanency Review Hearing on February 17, 2016,
    held before the Honorable Judge Irvine, the [c]ourt
    again determined that Mother (1) the mother [sic]
    be referred to CEU for assessment, dual diagnosis,
    monitoring and three random drug screens prior to
    the next court date.
    4
    Mother was additionally referred for monitoring on this date.   (DHS
    Exhibit 2 at 21-22.)
    5
    Review of the record reveals that Mother was only referred for drug
    screening on this date. (Id. at 22-24.)
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    By June of 2016, M.B.H. had not resided with
    her mother for three (3) years. Mother had become
    noncompliant with visitations and court ordered CEU
    screens.    Mother did not show up to any CEU
    appointments in 2016. Mother was asked to comply
    with random screening on April 19, 2016 but did not
    show up. Interactions between Mother and DHS
    [s]taff had continued to be acrimonious and hostile
    as a result of Mother’s uncontrollable anger. DHS
    reported that between M.B.H. and her caregiver
    there existed a strong bond and that the caregiver
    wanted to adopt M.B.H. and no such bond existed
    between Mother and M.B.H.
    Trial court opinion, 9/7/16 at 2-6 (unpaginated; citations to record omitted).
    On June 24, 2016, DHS filed petitions to involuntarily terminate
    parental rights and for a goal change. Thereafter, the trial court conducted
    a combined termination and goal change hearing on July 13, 2016.            In
    support of its petitions, DHS presented the testimony of DHS social worker,
    Jennifer Koslosky, and APM (Asociación Puertorriqueños en Marcha) foster
    case manager, Delores Englero.      Mother additionally testified on her own
    behalf. Likewise, Father was present and testified on his own behalf.
    By decree dated and entered July 13, 2016, the trial court involuntarily
    terminated Mother’s parental rights to Child.6, 7 On August 11, 2016, Mother
    6
    The trial court announced its decision, memorialized by subsequent decree,
    on the record on July 13, 2016.
    7
    The Child Advocate, Tara Amoroso, Esq., argued in support of the
    termination of Mother’s parental rights. 
    Id. at 70-71.
    We note here that in
    a divided decision our supreme court recently held in In re Adoption of
    L.B.M., 2017 WL2257203 (Pa. 2017), that 23 Pa.C.S.A. § 2313(a) requires a
    trial court to appoint counsel for a child in contested involuntary termination
    of parental rights proceedings and the failure to do so is structural and can
    -6-
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    filed a timely notice of appeal, along with a concise statement of errors
    complained of on appeal pursuant to Pa.R.A.P. 1925(a)(2)(i) and (b).8
    On appeal, Mother raises the following issues for our review:
    A.    Whether the trial court committed reversible
    error when it involuntarily terminated Mother’s
    parental rights where such determination was
    not supported by clear and convincing
    evidence     under    the     Adoption   Act[,]
    never be harmless. The decision was originally filed on March 28, 2017, but
    was corrected and replaced on May 23, 2017. Authoring Justice Wecht,
    joined by Justices Donohue and Dougherty, sought to hold that a trial court
    is required to appoint separate, independent counsel to represent a child’s
    legal interests even when the guardian ad litem is an attorney. However,
    Chief Justice Saylor, and Justices Baer, Todd, and Mundy, disagreed in
    different concurring and dissenting opinions with that part of the lead
    opinion’s holding. Specifically, while the other justices agreed that the
    appointment of counsel for the child is required in all involuntary termination
    proceedings and that the failure to do so by the trial court is structural error,
    they did not join that part of Justice Wecht’s opinion which sought to hold
    that the guardian ad litem may never serve as counsel for the child.
    Rather, such separate representation would be required only if the best
    interests and legal interests were somehow in conflict. Herein, Mother did
    not raise before the trial court any concerns which would have created a
    need to appoint independent counsel to advocate for Child, nor does she
    make any claims on appeal that the Child Advocate, Attorney Amoroso, did
    not properly represent the Child’s legal and best interests due to a conflict of
    interest. Indeed, in this case, Attorney Amoroso zealously represented
    Child.
    8
    Notably, Mother filed her notice of appeal and concise statement of errors
    complained of on appeal pro se.          Subsequent to the dismissal and
    reinstatement of Mother’s appeal in relation to her Pa.R.A.P. 3517 docketing
    statement, as Mother was still represented by appointed counsel, by order
    dated December 6, 2016, this court remanded the matter to the trial court
    to determine whether counsel had abandoned Mother and take further action
    as necessary to protect Mother’s appellate rights.          By order dated
    February 7, 2017, referencing counsel’s filing of a docketing statement on
    behalf of Mother, the trial court determined that counsel had not abandoned
    Mother.
    -7-
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    23 Pa.[C.S.A. § 2511 (a)(1), (2), (5), and (8)]
    as [M]other had completed her FSP goals,
    namely the [p]arenting [c]apacity [e]valuation
    (“PCE”),   compliance    with    ARC,    anger
    management, and mental health services, and
    was working full time?
    B.    Whether the trial court committed reversible
    error   when    it  involuntarily terminated
    [M]other’s parental rights without giving
    primary consideration to the effect that the
    termination would have on the developmental
    physical and emotional needs of the child as
    required by the Adoption Act[,] 23 Pa.[C.S.A.
    § 2511(b)]?
    Mother’s brief at 4.9
    In matters involving involuntary termination of parental rights, our
    standard of review is as follows:
    The standard of review in termination of parental
    rights cases requires appellate courts “to accept the
    findings of fact and credibility determinations of the
    trial court if they are supported by the record.”
    In re Adoption of S.P., 
    47 A.3d 817
    , 826 (Pa.
    9
    We observe that, in her brief, Mother stated her issues on appeal
    somewhat differently from her Rule 1925(b) statement filed with her notice
    of appeal. We, nevertheless, find that Mother has preserved challenges to
    the trial court’s termination of her parental rights pursuant to
    Sections 2511(a)(1), (2), (5), and (8). To the extent Mother addresses
    Subsection (b) in her brief, however, Mother waived any contest under this
    subsection as she failed to raise it in her Rule 1925(b) statement. See
    
    Krebs, 893 A.2d at 797
    (stating that a failure to preserve issues by raising
    them both in the concise statement of errors complained of on appeal and
    statement of questions involved portion of the brief on appeal results in a
    waiver of those issues). See also In re M.Z.T.M.W., 
    2017 WL 2153892
    (Pa.Super. May 17, 2017) (holding that the appellant waived her challenge
    to Section 2511(b) by failing to include it in her concise statement and
    statement of question involved). Nevertheless, in light of the requisite
    bifurcated analysis, we review this issue below and determine that, had
    Mother preserved this issue, we would have found it lacked merit.
    -8-
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    2012).     “If the factual findings are supported,
    appellate courts review to determine if the trial court
    made an error of law or abused its discretion.” 
    Id. “[A] decision
    may be reversed for an abuse of
    discretion only upon demonstration of manifest
    unreasonableness, partiality, prejudice, bias, or ill-
    will.” 
    Id. The trial
    court’s decision, however, should
    not be reversed merely because the record would
    support a different result. 
    Id. at 827.
    We have
    previously emphasized our deference to trial courts
    that often have first-hand observations of the parties
    spanning multiple hearings. See In re R.J.T., 9
    A.3d [1179, 1190 (Pa. 2010)].
    In re T.S.M., 
    71 A.3d 251
    , 267 (Pa. 2013).            “The trial court is free to
    believe all, part, or none of the evidence presented and is likewise free to
    make all credibility determinations and resolve conflicts in the evidence.”
    In re M.G., 
    855 A.2d 68
    , 73-74 (Pa.Super. 2004) (citation omitted). “[I]f
    competent evidence supports the trial court’s findings, we will affirm even if
    the record could also support the opposite result.”         In re Adoption of
    T.B.B., 
    835 A.2d 387
    , 394 (Pa.Super. 2003) (citation omitted).
    The termination of parental rights is governed by Section 2511 of the
    Adoption Act, 23 Pa.C.S.A. §§ 2101-2938, and requires a bifurcated analysis
    of the grounds for termination followed by the needs and welfare of the
    child.
    Our case law has made clear that under
    Section 2511, the court must engage in a bifurcated
    process prior to terminating parental rights. Initially,
    the focus is on the conduct of the parent. The party
    seeking termination must prove by clear and
    convincing evidence that the parent’s conduct
    satisfies the statutory grounds for termination
    delineated in Section 2511(a).     Only if the court
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    determines that the parent’s conduct warrants
    termination of his or her parental rights does the
    court engage in the second part of the analysis
    pursuant to Section 2511(b): determination of the
    needs and welfare of the child under the standard of
    best interests of the child. One major aspect of the
    needs and welfare analysis concerns the nature and
    status of the emotional bond between parent and
    child, with close attention paid to the effect on the
    child of permanently severing any such bond.
    In re L.M., 
    923 A.2d 505
    , 511 (Pa.Super. 2007) (citations omitted).       We
    have defined clear and convincing evidence as that which is so “clear, direct,
    weighty and convincing as to enable the trier of fact to come to a clear
    conviction, without hesitance, of the truth of the precise facts in issue.”
    In re C.S., 
    761 A.2d 1197
    , 1201 (Pa.Super. 2000) (en banc), quoting
    Matter of Adoption of Charles E.D.M., II, 
    708 A.2d 88
    , 91 (Pa. 1998). In
    this case, the trial court terminated Mother’s parental rights pursuant to
    23 Pa.C.S.A. § 2511(a)(1), (2), (5), and (8), as well as (b). We have long
    held that, in order to affirm a termination of parental rights, we need only
    agree with the trial court as to any one subsection of Section 2511(a), as
    well as Section 2511(b). See In re B.L.W., 
    843 A.2d 380
    , 384 (Pa.Super.
    2004) (en banc). Here, we analyze the court’s termination decree pursuant
    to Subsections 2511(a)(2) and (b), which provide as follows:
    (a)    General rule.--The rights of a parent in
    regard to a child may be terminated after a
    petition filed on any of the following grounds:
    ....
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    (2)    The    repeated   and   continued
    incapacity,  abuse,   neglect  or
    refusal of the parent has caused
    the child to be without essential
    parental    care,    control   or
    subsistence necessary for his
    physical or mental well-being and
    the conditions and causes of the
    incapacity,  abuse,   neglect  or
    refusal cannot or will not be
    remedied by the parent.
    ....
    (b)   Other      considerations.--The         court     in
    terminating the rights of a parent shall give
    primary consideration to the developmental,
    physical and emotional needs and welfare of
    the child. The rights of a parent shall not be
    terminated     solely     on     the    basis     of
    environmental factors such as inadequate
    housing, furnishings, income, clothing and
    medical care if found to be beyond the control
    of the parent. With respect to any petition
    filed pursuant to subsection (a)(1), (6) or (8),
    the court shall not consider any efforts by the
    parent to remedy the conditions described
    therein which are first initiated subsequent to
    the giving of notice of the filing of the petition.
    23 Pa.C.S.A. § 2511(a)(2), (b).
    We first address whether the trial court abused its discretion by
    terminating Mother’s parental rights pursuant to Section 2511(a)(2).
    In order to terminate parental rights pursuant to
    23 Pa.C.S.A. § 2511(a)(2), the following three
    elements must be met: (1) repeated and continued
    incapacity, abuse, neglect or refusal; (2) such
    incapacity, abuse, neglect or refusal has caused the
    child to be without essential parental care, control or
    subsistence necessary for his physical or mental
    well-being; and (3) the causes of the incapacity,
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    abuse, neglect or refusal cannot or will not be
    remedied.
    In re Adoption of M.E.P., 
    825 A.2d 1266
    , 1272 (Pa.Super. 2003) (citation
    omitted).     “The grounds for termination due to parental incapacity that
    cannot be remedied are not limited to affirmative misconduct.            To the
    contrary, those grounds may include acts of refusal as well as incapacity to
    perform parental duties.” In re Adoption of C.D.R., 
    111 A.3d 1212
    , 1216
    (Pa.Super. 2015), quoting In re A.L.D., 
    797 A.2d 326
    , 337 (Pa.Super.
    2002).
    Instantly,    in   finding   grounds     for   termination   pursuant   to
    Section 2511(a)(2), as well as (a)(1), (5), and (8), the trial court reasoned
    as follows:
    The record demonstrates Mother’s ongoing
    unwillingness to provide care or control for M.B.H. or
    perform any parental duties and her failure to
    remedy the conditions that brought the child into
    care. The documents and testimony discussed below
    provided this [c]ourt clear and convincing evidence
    that termination of Mother’s parental rights would be
    in the best interests of M.B.H.
    Mother’s FSP [o]bjectives were established on
    December 17, 2013 and later modified on
    September 30, 2014.           Pursuant to the FSP
    [o]bjectives and [c]ourt orders, Mother was ordered
    to maintain all visits and regular contact with M.B.H.;
    Mother would participate in an evaluation for drugs
    and alcohol; and Mother would sign releases to allow
    DHS to receive documentation to determine Mother’s
    compliance with mental health treatments.          The
    record shows that [] Mother has not complied with
    the [c]ourt [o]rders and FSP [o]bjectives.
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    Mother failed to comply with FSP [o]bjectives
    to maintain all visits and regular contact with M.B.H.
    Mother had never had unsupervised visits with
    M.B.H. Mother visits with M.B.H. were sporadic and
    infrequent. Routinely, Mother would call and confirm
    a visitation date and then M.B.H. would be taken to
    the agency and Mother would cancel in the last
    minute or not show up, which affected M.B.H. In
    2016, [DHS] scheduled appointments for Mother to
    visit M.B.H. on January 7, the 14th, the 21st, the 28th,
    February 4th and February 11th[,] but Mother only
    visited M.B.H. on January 28th. Thereafter, Mother
    did not visit M.B.H. until March 17, 2016[,] followed
    by a final visit on June 16, 2016. Mother also failed
    to comply with FSP objectives and/or [c]ourt orders
    by failing to execute releases to allow DHS to obtain
    mental health and alcohol reports and to partake in
    drug and alcohol testing.
    Based upon the testimony elicited at the
    Termination Hearing as well as the documents in
    evidence, this Court found clear and convincing
    evidence to terminate Mother’s parental rights
    pursuant to 23 Pa.[C.S.A. § (a)(1), (2), (5), and (8)]
    as Mother had failed to remedy the conditions that
    brought the child into care based upon her
    unwillingness to visit M.B.H.; cooperate with DHS as
    to drug and alcohol testing; her refusal [sic]
    releases; and Mother’s lack of interest in M.B.H.’s
    medical treatment. Furthermore, Mother[’s] refusal
    to cooperate and utilize DHS services demonstrated
    that Mother could not remedy the conditions that
    had led to M.B.H. being adjudicated dependent and
    placed in foster care in 2013 within a reasonable
    period of time.
    Trial court opinion, 9/7/16 at 8-10 (unpaginated; citations to record omitted;
    footnote omitted).
    Mother, however, argues that she endeavored to create and/or
    maintain a relationship with Child as evidenced by her efforts at compliance
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    with her FSP objectives.      (Mother’s brief at 7-8.)    Mother highlights her
    participation in mental health treatment, completion of parenting classes and
    anger management, presentation for CEU screenings in June and July 2015,
    as well as her securing of employment and housing.10 (Id. at 8.) Further,
    through such efforts Mother asserts that she “exhibited she was eradicating
    any repeated neglect that caused [Child] to be placed in foster care.” (Id.
    at 8.)    Mother states, “To the best of her ability, Mother showed that the
    causes that brought the child in question into care could indeed be
    remedied.” (Id.) We disagree.
    A review of the record supports the trial court’s determination of a
    basis for termination under Section 2511(a)(2). Mother failed to complete
    her established FSP objectives.        DHS social worker, Jennifer Koslosky,
    recounted Mother’s FSP objectives as follows:
    The objectives for mother are that she will
    participate in individual counseling, she will keep all
    supervised visits and maintain all contact with the
    child, she will participate in a parenting capacity
    evaluation at ATA [Assessment & Treatment
    Alternatives] and comply with the recommendations
    made from that evaluation, she will participate in an
    evaluation for drug and alcohol assessment at CEU,
    she will comply with any recommendations made by
    CEU. Mother will sign authorization forms to allow
    DHS to obtain copies of her mental health and drug
    and alcohol reports.       Mother will achieve and
    maintain sobriety and will not abuse illegal drugs.
    Mother will comply with the court order. Mother will
    locate and occupy suitable housing.
    10
    Mother incorrectly references 2016.
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    Notes of testimony, 7/13/16 at 28-29. Pursuant to court order, Mother was
    also referred for parenting classes and anger management, as well as
    random drug screens.    (See DHS Exhibit 2.)     Significantly, Ms. Koslosky
    expressed her belief that Mother had not completed and complied with her
    FSP objectives to move forward with reunification.    (Notes of testimony,
    7/13/16 at 34.)     Mother completed the parenting capacity evaluation,
    parenting classes, and anger management. (Id. at 42-44, 50.) However,
    while Mother completed parenting and anger management,11 there was
    evidence that neither were effective. Foster case manager, Delores Englero,
    observed no improvement in parenting, despite completion of parenting
    classes, and noted concern for Mother’s behavior towards others, noting, for
    example, Mother’s yelling and use of profanity, and verbal aggression. (Id.
    at 56-57, 59-61.)    Further, although Mother had obtained housing in a
    Shelter Care Plus program, her housing had yet to be assessed by DHS due
    to her lack of cooperation and contact with DHS.       (Id. at 31-32, 50.)
    11
    Ms. Koslosky testified that there was no certificate as to completion of
    anger management in the file. (Id. at 42-44.) However, Ms. Koslosky
    indicates the parenting capacity evaluation reflects completion, as does the
    court record. (Id.; DHS Exhibit 2 at 20-22.)
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    Moreover, as reported by Ms. Englero, this housing was not stable as it was
    “contingent” on reunification with Child.12 (Id. at 61.)
    In addition, although Mother previously attended therapy at ARC,
    provided through Community Council (id. at 29), no evidence was offered
    establishing compliance with mental health treatment.13 (Id. at 29-30, 50.)
    Similarly, no evidence was offered establishing compliance with drug and
    alcohol treatment.     (Id. at 30-31, 50, 62.)    As testified by Ms. Koslosky,
    Mother failed to report to CEU in 2016. (Id. at 30.) Mother, therefore, last
    submitted to screening in June and July 2015.           (Id. at 48.)   Critically,
    Ms. Koslosky stated she was unable to send Mother for screening due to
    Mother’s unresponsiveness.      (Id. at 42.)     Moreover, DHS was unable to
    acquire signed releases in order to obtain documentation to determine
    Mother’s compliance due to Mother’s lack of cooperation and contact. (Id.
    at 29-31, 47-48.)
    Lastly, Mother’s visitation with Child remained supervised until
    suspended in June 2016.       (Id. at 51.)    Notably, Mother’s visitation, after
    commencing as supervised on a weekly basis at the foster care agency, was
    12
    As testified by Ms. Koslosky, “in order to obtain housing through Shelter
    Care Plus, [Mother] would need either have to have a drug and alcohol
    addiction or mental health Axis 1 diagnosis.” (Notes of testimony, 7/13/16
    at 31-32.) Ms. Englero indicated that the social worker she spoke with
    regarding Mother’s housing program did not, however, report any
    requirements related to sobriety or enrollment in a mental health program.
    (Id. at 62).
    13
    Mother had a history of depression and anxiety. (Id. at 32.)
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    altered to therapeutic visitation at ATA from February through March of
    2015.14   (Id. at 52.)     Ms. Englero, who supervised the visitation at the
    agency (id. at 33), recounted that Mother’s visitation subsequently became
    inconsistent and was eventually changed to biweekly in February 2016. (Id.
    at 51-52, 59, 66.)       After Mother’s last visit with Child in June 2016,15
    Mother’s visitation was suspended by the trial court due to a negative impact
    on Child, including self-induced vomiting resulting in weight loss, enuresis,
    and encopresis.16    (Id. at 36, 54-55; DHS Exhibit 3.)     Consultation with
    Child’s therapist from Northeast Treatment Centers (“NET”) Behavioral
    Health & Social Services yielded support for suspended visitation.    (Id. at
    40-41; Child Advocate Exhibit 1.) Director of OP and Specialized Services,
    Harry Allen, noted in part, “past parental contacts have resulted in a
    significant increase in problematic behaviors in the home, refusal to eat,
    sleep difficulties, and difficulty with emotional regulation.” (Child Advocate
    Exhibit 1.)
    14
    As testified by Ms. Englero, Mother was referred for therapeutic visitation
    due to the focus on the telephone during Mother’s visits with Child. (Id. at
    58-59, 66-67.)
    15
    We observe that there was a three-month gap in visitation prior to this
    visit. (Id. at 36, 54.)
    16
    Mother’s visitation was suspended by agreement of DHS and the child
    advocate pending the goal change/termination hearing. Counsel for Mother
    had no position. (DHS Exhibit 3.) Significantly, Mother did not appreciate
    the connection between visitation and Child’s behavior/health. Mother’s
    reaction to the suspension of her visitation and reasoning was “‘what does
    that have to do with me?’” (Notes of testimony, 7/13/16 at 56.)
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    As this court has stated, “[A] child’s life cannot be held in abeyance
    while a parent attempts to attain the maturity necessary to assume
    parenting responsibilities.     The court cannot and will not subordinate
    indefinitely a child’s need for permanence and stability to a parent’s claims
    of progress and hope for the future.” In re Adoption of R.J.S., 
    901 A.2d 502
    , 513 (Pa.Super. 2006). Hence, the record substantiates the conclusion
    that Mother’s repeated and continued incapacity, abuse, neglect, or refusal
    has caused Child to be without essential parental control or subsistence
    necessary for his physical and mental well-being. See In re Adoption of
    
    M.E.P., 825 A.2d at 1272
    . Moreover, Mother cannot or will not remedy this
    situation.   See 
    id. As noted
    above, in order to affirm a termination of
    parental rights, we need only agree with the trial court as to any one
    subsection of Section 2511(a) before assessing the determination under
    Section 2511(b),       and we, therefore, need not address any further
    subsections of Section 2511(a). In re 
    B.L.W., 843 A.2d at 384
    .
    We     next   determine    whether      termination   was   proper   under
    Section 2511(b). Our supreme court has stated as follows:
    [I]f the grounds for termination under subsection (a)
    are met, a court “shall give primary consideration to
    the developmental, physical and emotional needs
    and welfare of the child.” 23 Pa.C.S. § 2511(b). The
    emotional needs and welfare of the child have been
    properly interpreted to include “[i]ntangibles such as
    love, comfort, security, and stability.” In re K.M.,
    
    53 A.3d 781
    , 791 (Pa.Super. 2012). In In re E.M.,
    620 A.2d [481, 485 (Pa. 1993)], this Court held that
    the determination of the child’s “needs and welfare”
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    J. S36031/17
    requires consideration of the emotional bonds
    between the parent and child.           The “utmost
    attention” should be paid to discerning the effect on
    the child of permanently severing the parental bond.
    In re 
    K.M., 53 A.3d at 791
    . However, as discussed
    below, evaluation of a child’s bonds is not always an
    easy task.
    In re 
    T.S.M., 71 A.3d at 267
    . “In cases where there is no evidence of any
    bond between the parent and child, it is reasonable to infer that no bond
    exists. The extent of any bond analysis, therefore, necessarily depends on
    the circumstances of the particular case.”     In re K.Z.S., 
    946 A.2d 753
    ,
    762-763 (Pa.Super. 2008) (citation omitted).
    When evaluating a parental bond, “[T]he court is not required to use
    expert testimony. Social workers and caseworkers can offer evaluations as
    well.    Additionally, Section 2511(b) does not require a formal bonding
    evaluation.”   In re Z.P., 
    994 A.2d 1108
    , 1121 (Pa.Super. 2010) (internal
    citations omitted).
    Our supreme court has stated that, “[c]ommon sense dictates that
    courts considering termination must also consider whether the children are
    in a pre-adoptive home and whether they have a bond with their foster
    parents.” T.S.M., supra at 268. The court directed that, in weighing the
    bond considerations pursuant to Section 2511(b), “courts must keep the
    ticking clock of childhood ever in mind.”    
    Id. at 269.
       The T.S.M. court
    observed that, “[c]hildren are young for a scant number of years, and we
    have an obligation to see to their healthy development quickly. When courts
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    fail . . . the result, all too often, is catastrophically maladjusted children.”
    
    Id. Moreover, While
    a parent’s emotional bond with his or her child
    is a major aspect of the subsection 2511(b)
    best-interest analysis, it is nonetheless only one of
    many factors to be considered by the court when
    determining what is in the best interest of the child.
    [I]n addition to a bond examination, the
    trial court can equally emphasize the
    safety needs of the child, and should also
    consider the intangibles, such as the
    love, comfort, security, and stability the
    child might have with the foster
    parent. . . .
    In re Adoption of 
    C.D.R., 111 A.3d at 1219
    , quoting In re N.A.M., 
    33 A.3d 95
    , 103 (Pa.Super. 2011) (quotation marks and citations omitted).
    In determining that termination of Mother’s parental rights favored
    Child’s needs and welfare, the court concluded:
    The [c]ourt further found that because there
    was not a strong bond between Mother and M.B.H.,
    terminating parental rights would not cause the
    child[] irreparable harm and would be in the best
    interest of the child pursuant to 23 [Pa.C.S.A.
    § 2511(b)].
    At the Termination Hearing, the DHS Social
    Worker testified that the child had developed a
    strong bond with the caregivers since being in care.
    The DHS worker testified:
    She’s (M.B.H.) in a wonderful foster
    home. They’re-she is very bonded with
    her foster parents, they love her deeply.
    They would love to adopt her. She’s
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    been there almost three years.     The
    foster parents are who she knows as her
    mother and father. They’re the people
    that take care of her each day.
    M.B.H. is very well bonded with the
    foster mother and father.     She’s also
    bonded with the foster children in the
    home, the foster siblings. M.B.H. refers
    to P.A.H. as her other mother, and she
    says she does not want to go see her
    other mother, she only wants to stay in
    this house (the foster home).
    The DHS worker testified that there was a
    degree of a disconnect between M.B.H. and Mother
    during Mother’s visits:
    Mom would pass M.B.H. the phone to
    play with it or call someone and have
    M.B.H. talk to them. It was -- I think
    there was just a handful of times where
    mom brought healthy snacks that were
    allowed to M.B.H. and actually sat there
    and interacted.    It was more based
    around the phone.
    At the Termination Hearing, the DHS worker
    testified that M.B.H. would not suffer irreparable
    harm if Mother’s parental rights were terminated,
    that the change of adoption would be in [C]hild’s
    best interests. The testimony of the DHS Worker
    was deemed to be credible and accorded great
    weight. As the testimony before this [c]ourt on
    July 13, 2016 indicates, the evidence is clear and
    convincing that Mother did not remedy the conditions
    that caused her child to come into care and thus has
    been and continues to be unable to provide proper
    care for her child, warranting involuntary termination
    of the [m]other’s parental rights pursuant to
    23 [Pa.C.S.A. § (a)(1), (2), (5), and (8)].       This
    [c]ourt further concluded that termination of
    Mother’s parental rights would be in the best interest
    of M.B.H.
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    Trial court opinion, 9/7/16 at 10-11 (unpaginated; citations to record
    omitted).
    Mother, however, maintains that there continued to be a bond
    between her and Child.    (Mother’s brief at 12.)    She further points to the
    trial court’s reliance on non-expert testimony.     (Id.)    Mother argues that,
    prior to the termination of her parental rights, the trial court “should have
    considered the bond between her and the child as it affects and impacts the
    needs and welfare of the child.” (Id.) Again, we disagree.
    Upon review, the record supports the trial court’s finding that Child’s
    developmental, physical, and emotional needs and welfare favor termination
    of Mother’s parental rights pursuant to Section 2511(b).             There was
    sufficient evidence to allow the trial court to make a determination of Child’s
    needs and welfare, and as to the existence of a bond between Mother and
    Child that, if severed, would not have a detrimental impact on her.
    Noting Mother’s lack of knowledge and ability to address Child’s
    medical conditions and needs,17 Ms. Koslosky explained that Mother was not
    in a position to care for child on full-time basis.         (Notes of testimony,
    7/13/16 at 32.)    She further indicated that Mother could not safely take
    17
    Child “attends therapy sessions at [t]he NET. She also sees a few
    specialists at Saint Christopher’s. She’s monitored by the growth clinic
    because when she was initially placed with DHS, she was at a zero percentile
    for weight and height.” (Notes of testimony, 7/13/16 at 5.) Child takes
    approximately six medications in the morning and six medications at night,
    suffering from asthma, acid reflux, and failure to thrive. (Id. at 12.)
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    Child home and care for her.         (Id. at 36.)     By way of explanation,
    Ms. Koslosky referenced Mother’s lack of concern and/or inquiry regarding
    Child and her medical condition after the last visit. (Id.)
    Likewise, Ms. Englero expressed concerns as to Mother’s ability to
    parent Child, noting Mother’s visitation with Child never progressed beyond
    supervised, as well as Mother’s failure to appreciate the impact of visitation
    on Child.      (Id. at 56.)   Further, while acknowledging Mother completed
    parenting classes, Ms. Englero observed no improvement.           (Id.)    She
    highlighted Mother’s inconsistency regarding visitation with Child (id. at 56),
    as well as continuing concerns regarding Mother’s behavior toward others.
    (Id. at 57.)
    As indicated above, Mother’s visitation with Child was inconsistent and
    had a negative impact on Child, both physically and emotionally.            In
    addition, as relayed by Ms. Englero, Child did not want to see Mother.
    Ms. Englero testified that upon being informed of the suspension of
    visitation, Child stated, “I don’t want to see the other mommy [Mother]. I
    want to stay here with this mommy [Foster Mother].” (Id. at 63-64.)
    Moreover, and more importantly, Child is in a pre-adoptive home
    where she has resided since being removed from Mother. Child has formed
    a positive relationship with her foster family and desires to remain with her
    foster family.    As described by Ms. Koslosky, “She’s in a wonderful foster
    home. They’re -- she is very bonded with her foster parents, they love her
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    dearly. They would love to adopt her. She’s been there almost three years.
    The foster parents are who she knows as her mother and father. They’re
    the people that take care of her each day.”          (Id. at 34.)     Similarly,
    Ms. Englero offered, “[Child] is very well bonded with the foster mother and
    foster father. She’s also bonded with the foster children in the home, the
    foster siblings. [Child] refers to [Mother] as her other mother, and she says
    she does not want to go see her other mother. She only wants to stay in
    this house.” (Id. at 56.) As such, both opined that it was in Child’s best
    interest for the goal to be changed to adoption and that Child would not
    suffer any irreparable harm as a result of terminating Mother’s parental
    rights. (Id. at 34, 55.)
    Thus, as confirmed by the record, termination of Mother’s parental
    rights serves Child’s developmental, physical, and emotional needs and
    welfare. While Mother may profess to love Child, a parent’s own feelings of
    love and affection for a child, alone, will not preclude termination of parental
    rights. In re 
    Z.P., 994 A.2d at 1121
    . As we stated, a child’s life “simply
    cannot be put on hold in the hope that [a parent] will summon the ability to
    handle the responsibilities of parenting.” 
    Id. at 1125.
    Rather, “a parent’s
    basic constitutional right to the custody and rearing of his child is converted,
    upon the failure to fulfill his or her parental duties, to the child’s right to
    have proper parenting and fulfillment of his or her potential in a permanent,
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    J. S36031/17
    healthy, safe environment.” In re B., N.M., 
    856 A.2d 847
    , 856 (Pa.Super.
    2004) (citation omitted).
    Accordingly, based upon our review of the record, we find no abuse of
    discretion and conclude that the trial court appropriately terminated Mother’s
    parental rights under 23 Pa.C.S.A. § 2511(a)(2) and (b).
    Decree affirmed.
    Judgment Entered.
    JosephD.Seletyn,Esq.
    Prothonotary
    Date: 8/4/2017
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