Interest of: S.A.W., a minor, Appeal of: K.W. ( 2017 )


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  • J-S60044-17
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    IN THE INTEREST OF: S.A.W., A              :   IN THE SUPERIOR COURT OF
    MINOR                                      :        PENNSYLVANIA
    :
    :
    APPEAL OF: K.W.                            :
    :
    :
    :
    :   No. 792 WDA 2017
    Appeal from the Decree May 4, 2017
    in the Court of Common Pleas of Blair County
    Orphans’ Court at No(s): No. 2017 AD 3
    BEFORE:      OLSON, DUBOW, JJ., and STEVENS, P.J.E.*
    MEMORANDUM BY STEVENS, P.J.E.:                        FILED OCTOBER 16, 2017
    Appellant, K.W. (“Father”), files this appeal from the decree dated May
    3, 2017, and filed May 4, 2017,1 in the Blair County Court of Common Pleas,
    Orphans’ Court division (“trial court”), granting the petition of Blair County
    Children, Youth, and Families (“BCCYF”) and involuntarily terminating his
    ____________________________________________
    * Former Justice specially assigned to the Superior Court.
    1
    While docketed as filed by the Blair County Prothonotary’s Office on May 4,
    2017, there is no notation on the docket or otherwise that notice was ever
    given and that the order was entered for purposes of Pa.R.C.P. 236(b). Our
    appellate rules designate the date of entry of an order as “the day on which
    the clerk makes the notation in the docket that notice of entry of the order
    has been given as required by Pa.R.C.P. 236(b).” Pa.R.A.P. 108(b). Further,
    our Supreme Court has held that “an order is not appealable until it is
    entered on the docket with the required notation that appropriate notice has
    been given.” Frazier v. City of Philadelphia, 
    557 Pa. 618
    , 621, 
    735 A.2d 113
    , 115 (1999) (emphasis added).            We caution the Blair County
    Prothonotary’s Office with regard to compliance with these rules.
    J-S60044-17
    parental rights to his minor daughter, S.A.W. (“Child”), born in October
    2013, pursuant to the Adoption Act, 23 Pa.C.S.A. § 2511(a), (2), (5), (8),
    and (b).2 After a careful review, we affirm the trial court’s decree.
    The trial court summarized the relevant procedural and factual history
    as follows:
    This matter begins with an ongoing [BCCYF] dependency
    matter. The Termination of Parental Rights Hearing incorporated
    the record for dependency proceedings….[BCCYF] filed a Shelter
    Care Application and Emergency Protective Custody Application
    on February 19, 2016 and Dependency Petition followed on
    February 23, 2016. All three petitions involved the fact that
    [Child], a Type 1 diabetic, had a dangerously high sugar reading
    due to Mother giving [Child] sugar intense foods, despite the in-
    home education and services Kids First and Home Nursing[3]
    since November 2016. The providers had serious concerns that
    the parents’ capacity to meet the medical needs of [Child]
    remain unchanged, despite the education provided. [BCCYF]
    placed the two older sibling brothers in emergency custody and
    [sic] Maternal Great-Grandparents[4] and [BCCYF] received
    custody of [Child]. After a short time the [g]reat-[g]randparents
    agreed to take custody of [Child]; however, it overwhelmed the
    [g]reat-[g]randmother and[,] on March 4, 2016[,] the [c]ourt
    ____________________________________________
    2
    By the same decree, the trial court involuntarily terminated the parental
    rights of A.W. (“Mother”) with respect to the Child. Mother has neither filed
    a separate appeal nor is she a party to the instant appeal.
    3
    Upon review, services with Home Nursing Care commenced on January 12,
    2016. N.T., 10/4/16/, at 29.
    4
    Mother and Father additionally have two sons, one older and one younger
    than Child, who are not the subject of this matter. While dependency
    petitions were also filed with regard to these two children by BCCYF, the
    petitions were ultimately withdrawn. N.T., 10/4/16/, at 1. The children
    voluntarily reside with Mother’s grandparents in Luzerne County. N.T.,
    5/3/17, at 43-44.
    -2-
    J-S60044-17
    transferred custody to [BCCYF] resulting in [Child’s] placement
    into foster care.    The foster home has managed [Child’s]
    diabetes quite well and she continues to improve, stabilize and
    meet all other developmental benchmarks in a family fashion.
    The agency began reunification services with the parents.
    The parents separated and Father lived locally with the two
    (2) sons in his own residence and then with friends after his
    landlord experienced tax difficulties with the trailer in which
    Father resided.
    At the time of the 6-month review, Father had the more
    stable situation and had worked with the providers who were
    offering reunification services and had maintained his mental
    health treatment.
    ***
    On October 5, 2016, at the 6-month review the [c]ourt
    learned Father had moved to Wayne County with his [m]other
    and the [c]ourt ordered a referral to Wayne County Children,
    Youth and Families so [Child] could return to her [f]ather and
    brothers and receive supportive services through Wayne County
    Children, Youth and Families. Mother and Father continued
    contact with [Child]; however, the geographic distance created
    logistical challenges.[5]  Based upon the [c]ourt direction to
    transfer this matter to Wayne County, reunification stopped in
    Blair County as factually impossible to accomplish.
    By the 9-month permanency review hearing, Father had
    experienced a falling out with his [m]other and the referral to
    Wayne County never came to fruition due to the Father’s
    instability as reported by the [p]aternal [g]randmother. Father
    continued to experience an escalation of his depression due to
    his frustration with agency rules and directives and a sense of
    hopelessness and grief about the loss of his daughter.
    Due to Father’s struggles, the agency requested a change
    in goal from reunification with Father to adoption[,] which the
    [c]ourt granted on November 22, 2016. The [c]ourt note[d] the
    reason for the change of goal as “[M]other or Father are not
    ____________________________________________
    5
    Mother had relocated to Luzerne County at the time.
    -3-
    J-S60044-17
    presenting capacities to care for the extreme risk related to
    [Child’s] medical treatment.”
    ***
    At the 12-month review, Father had developed some
    stability.    Specifically, this [c]ourt noted “[F]ather has
    consistently visited the child, has saved money for his own
    residence, has completed his training for medical care of
    [Child’s] diabetes to his knowledge, and has maintained contact
    with his other children while they reside with family out of
    county so he can reside here and stay close to [Child] for visits.
    He is finishing his workers’ compensation benefits and will return
    to work when released to do so.” Father indicated he had
    established a residence with his girlfriend’s parents as a
    temporary spot and had their help and support for his efforts to
    reunify with [Child]; however, they did not want their home
    assessed or visited by [BCCYF].
    [BCCYF] had scheduled the Termination of Parental Rights
    for the same day as the 12-month review,[6] although Father did
    not have counsel and [BCCYF] had not accomplished 10-day
    notice for Mother[,] so the [c]ourt rescheduled those
    proceedings for May 3, 2017[,] and gave direction to [BCCYF] to
    assist Father in determining the status of his medical care
    training records and to assess Father’s current living
    arrangements[.] [The court] specifically stat[ed]…“although a
    Termination of Parental Rights is scheduled for May 3, this
    [c]ourt directs [BCCYF] to continue to concurrently explore the
    possibility of a return to the Father and support his efforts so the
    [c]ourt can make a fair determination of issues and resources in
    the life of [Child].”
    Trial Court Opinion (“T.C.O.”), 6/23/17, at 2-6 (citations to record and
    footnote omitted) (footnotes added).
    ____________________________________________
    6
    BCCYF filed a petition to terminate Mother and Father’s parental rights on
    February 15, 2017.
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    J-S60044-17
    The trial court held a termination hearing on May 3, 2017.      BCCYF
    presented the testimony of the current caseworker, Mackenzie Bagley, and
    Peritech Pediatric Home Health Agency registered nurse, Patricia Parks.7
    The court additionally incorporated the prior dependency proceedings. N.T.,
    5/3/17, at 2-3.      Father was not present, but was represented by counsel.
    Id. at 1.
    Following the hearing, by decree dated May 3, 2017, and filed May 4,
    2017, the trial court involuntarily terminated the parental rights of Father
    pursuant to 23 Pa.C.S.A. § 2511(a)(2), (5), (8), and (b).8 On May 31, 2017,
    Father, through appointed counsel, filed a 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).
    On appeal, Father raises the following issues for our review:
    I.     Whether the trial court erred and/or abused its discretion
    when it found clear and convincing evidence existed to
    terminate [Father’s] parental rights pursuant to 23
    Pa.C.S.A. § 2511(a)(2)?
    II.    Whether the trial court erred and/or abused its discretion
    when it found clear and convincing evidence existed to
    ____________________________________________
    7
    Subsequent to termination, the court proceeded to a status review and
    additionally heard testimony from Mother’s cousin, H.D. N.T., 5/3/17, at 66-
    67.
    8
    This decree and order memorialized the decision placed by the court on the
    record at the conclusion of the hearing.
    -5-
    J-S60044-17
    terminate [Father’s] parental      rights   pursuant   to   23
    Pa.C.S.A. § 2511(a)(5)?
    III.   Whether the trial court erred and/or abused its discretion
    when it found clear and convincing evidence existed to
    terminate [Father’s] parental rights pursuant to 23
    Pa.C.S.A. § 2511(a)(8)?
    IV.    Whether the trial court erred and/or abused its discretion
    when it found clear and convincing evidence existed to
    terminate [Father’s] parental rights pursuant to 23
    Pa.C.S.A. § 2511(b)?
    Father’s Brief at 4.
    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., [
    616 Pa. 309
    , 325, 
    47 A.3d 817
    , 826 (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 [325-26, 47 A.3d 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., [
    608 Pa. 9
    , 26-27, 
    9 A.3d 1179
    , 1190 (2010)].
    In re T.S.M., 
    620 Pa. 602
    , 628, 
    71 A.3d 251
    , 267 (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. & J.G., 
    855 A.2d 68
    , 73-74 (Pa.Super. 2004)
    -6-
    J-S60044-17
    (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 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
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    J-S60044-17
    of Adoption of Charles E.D.M., II, 
    550 Pa. 595
    , 601, 
    708 A.2d 88
    , 91
    (1998)).
    In the case sub judice, the trial court terminated Father’s parental
    rights pursuant to 23 Pa.C.S.A. § 2511(a)(2), (5), (8), and (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:
    ***
    (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
    -8-
    J-S60044-17
    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), and (b) (bold in original).
    We first address whether the trial court abused its discretion by
    terminating Father’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, 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)).
    In the instant matter, in finding grounds for termination pursuant to
    Section 2511(a)(2), the trial court reasoned as follows:
    Here, neither Mother nor Father has provided a stable
    home for themselves or any of their three (3) children since the
    finding of dependency for [Child].    After separation[,] each
    parent has struggled with mental health matters, moved out of
    county and then returned, which created impossible conditions
    for any meaningful services to build parenting capacities or a
    reunification. At the 12-month review, Father had progressed
    -9-
    J-S60044-17
    and stabilized by his own report; however, he then failed to
    appear for the rescheduled Termination of Parental Rights
    Hearing[,] despite knowing the nature of the hearing and what
    rights he jeopardized. He also failed to advantage himself by
    communicating facts or evidence of his situation or intentions
    with his attorney. Father lived with the Mother when Mother was
    fabricating the sugar readings for [Child] and he had sufficient
    reasons to understand the critical nature of his daughter’s
    medical condition, yet his incapacity to create stability gives the
    [c]ourt reason to believe that the causes of his incapacity cannot
    and will not be remedied. Shirley Bowser testified that[,] after
    the first unfounded child abuse matter in September 2015,
    [BCCYF] continued to provide General Protective Services for the
    family[.] Mother was not managing the diabetes readings well
    and Shirley discussed it with the Father. Father agreed to begin
    to take responsibility to do so, but never accomplished that
    intention. One of [Child’s] nurses[,] Amy Dodson, also testified
    that[,] in February of 2016[,] when she visited the home, she
    learned that Father was aware [Child] had high sugar since they
    had been on a trip, had not documented those reading[s] and
    had awareness that [Child] had Fruit Loops for breakfast[,]
    which contained sugar. He justified the actions by indicating
    they had been away and had not made it to the store yet.
    T.C.O. at 8-10.
    Father, however, argues that the record does not establish his
    incapacity, abuse, neglect or refusal and that, if it did, it does not evidence
    that he could not or would not remedy the issue.         Father’s Brief at 13.
    Father maintains that the record does not contain evidence of his incapacity,
    abuse, neglect or refusal, but rather focuses on the actions of Mother, which
    led to Child’s removal and placement. Id. at 13-15. While acknowledging
    testimony of providing Child an inappropriate cereal and of knowledge of
    Mother’s false reporting of glucose readings, Father asserts that he was
    - 10 -
    J-S60044-17
    unable to challenge this testimony through cross-examination or rebuttal.9
    Id. at 16. He further notes that the trial court expressed its desire for him
    to have an opportunity to display his capacity a mere three months prior to
    termination. Id. at 17.       Moreover, Father contends that the record does not
    support that he cannot or will not remedy the issues, noting his completion
    of diabetes education and numerous attempts to complete additional
    education and training. Id. at 18.
    A review of the record supports the trial court’s determination of a
    basis for termination under Section 2511(a)(2). The evidence corroborates
    Father’s inability to safely and appropriately manage and care for Child’s
    diabetes, despite education and training, as well as his instability. Further,
    Father cannot or will not remedy these circumstances.
    Shirley Bowser, assessment unit caseworker for BCCYF, testified that a
    child abuse investigation was opened in September 2015 due to alleged
    medical neglect of Child, who was diagnosed with Type I diabetes in March
    2015.     N.T., 11/21/16, at 10, 59-60.            Despite the investigation being
    unfounded, Ms. Bowser noted ongoing concerns and a general protective
    services case remained open with BCCYF, with BCCYF monitoring Child’s
    care and initiating services. Id. at 60-61. Critically, Ms. Bowser reported
    ____________________________________________
    9
    While Father, who was pro se at the time, was not present on November
    21, 2016, he was present on October 4, 2016 for some of the relevant
    testimony in question, in particular as providing Child sugary cereal.
    - 11 -
    J-S60044-17
    that, after Mother admitted to falsifying blood sugar readings, Father was
    supposed to “take over the care of [Child] at that time to make sure the
    readings got called in and that she got the correct insulin and the carbs were
    counted correctly[.]” Id. at 63. Ms. Bowser testified that she was advised
    that Father never did so.         Id. at 64.       Further, she indicated that Father
    acknowledged that he knew Mother was reporting incorrect blood sugar
    readings, but did not explain why he did not contact BCCYF or Child’s
    medical provider. Id. at 63-64.
    A second investigation, again related to medical neglect, was opened
    in February 2016. Id. at 64. While meeting with Father on February 18,
    2016, Amy Dodson, a registered nurse who provided education services
    through Home Nursing Care, discovered that there were no documented
    readings from a period where the family reported being away,10 the
    glucometer that had been used was broken, and Child had a high reading
    after eating surgery cereal that morning.             N.T., 10/4/16, at 32-35.   Ms.
    Dodson expressed “concerns over the fact that we weren’t able to see any
    blood sugars and know that they were being recorded or reported accurately
    at this point.” Id. at 37. Child was removed and placed into foster care the
    same day. N.T., 5/3/17, at 23; N.T., 11/21/16, at 65.
    ____________________________________________
    10
    BCCYF and service providers reported a lack of access and/or difficulty
    contacting Mother and Father for approximately a one to two-week period.
    N.T., 11/21/16, at 61; N.T., 10/4/16, at 7-9.
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    J-S60044-17
    This investigation was ultimately indicated against both Mother and
    Father.     N.T., 11/21/16, at 65.             As explained by Ms. Bowser, the
    investigation was indicated as “the failure to follow through with what the
    doctor was saying put [Child] at risk and what the doctor’s information that
    they gave to us that also stated that failure to follow through with the insulin
    and carb counting would cause severe injury or death to the child.” Id. at
    65-66.    By order dated November 21, 2016, and entered November 23,
    2016, the trial court entered a finding of abuse against both Mother and
    Father.   Order, 11/23/16. Notably, Father did not appeal this finding.
    Child began treatment at Geisinger in December 2015 after transfer
    from Children’s Hospital of Pittsburgh.11 N.T., 11/21/16, at 10. Dr. Rashita
    Tiwari, a pediatric endocrinologist at Geisinger who was involved in Child’s
    treatment and also stipulated to by counsel as an expert in pediatric
    endocrinology, id. at 7-8, testified that Mother and Father were given a lot
    of education due to issues controlling Child’s diabetes, which was noted upon
    transfer to Geisinger from Children’s Hospital of Pittsburgh. Id. at 10. She
    later described this education as “extensive.” Id. at 11. Significantly, from
    the time treatment began in December 2015 until Child was placed in
    February 2016, Dr. Tiwari observed “no improvement in the parents[’] ability
    ____________________________________________
    11
    Mother and Father transferred Child’s care from Children’s Hospital of
    Pittsburgh after learning the hospital was responsible for the report initiating
    the first investigation by BCCYF. N.T., 11/21/16, at 10, 62.
    - 13 -
    J-S60044-17
    to either [] manage [Child’s] healthcare or [] effectively communicate with
    the hospital staff when her care or her levels were in question or
    problematic[.]” Id. at 32-33. More importantly, Dr. Tiwari opined that “the
    actions or lack of actions taken by the parents over this course of
    time…endanger[ed] the [C]hild’s health.” Id. at 33.
    Further, when asked if, given the history, she would trust Mother and
    Father to care for Child medically, Stacy Tovich, certified nurse practitioner
    and certified diabetic educator in pediatric endocrinology, who was also
    involved in Child’s treatment at Geisinger and stipulated to by counsel as an
    expert in pediatric endocrinology, id. at 49, responded, “No.    No.   I can’t
    medically, I can’t put her at risk because it only takes a day or two of not
    getting enough insulin not getting blood sugars tested for a child to go into
    diabetic ketoacidosis which if not caught in time children can die from.”
    N.T., 11/21/16, at 56. Ms. Tovich expressed difficulty trusting either Mother
    or Father to follow-through with what they were taught. Id. at 55-56. Ms.
    Tovich stated,
    [K]nowing how to do something and actually doing it are two
    different things. And so giving them the education and knowing
    that they know how to test the blood sugar and how to count
    carbs and how to give insulin--to teach them how to do that and
    have them tell me back in an appointment this is what I’m
    supposed to do, that is very--that is something that anyone can
    do. It is actually following through and the follow-through was
    the issue that we were having with the family--with her parents
    is that her blood sugars were not being tested when they were
    supposed to be. Insulin wasn’t given when it was supposed to
    be. And that is the hard part. And then they would call in and
    give us blood sugars that weren’t actually accurate. They would
    - 14 -
    J-S60044-17
    give us blood sugars that looked really good and then when they
    would come to the appointment and we would actually see the
    meter, the blood sugars on the meter did not match what the
    blood sugars were that they had been calling in and verbally
    giving us. So to develop that type of trust again, it is going to
    be very hard.     How do you send a child back into that
    environment and just cross my fingers and hope that they are
    going to do it.
    Id.   Ms. Tovich also offered that neither Mother nor Father had attended
    Child’s appointments since May 26, 2016. Id. at 54.
    Similarly, Patricia Parks, registered nurse with Peritech Pediatric Home
    Health Agency, who provided diabetic education on two separate occasions
    after Child’s placement,12 also expressed concern as to Father’s follow-
    through. N.T., 5/3/17, at 54. While not questioning Father’s knowledge and
    education, Ms. Parks did, however, question his actions.       Id.   Ms. Parks
    stated,
    My knowledge of that was he was knowledgeable in the care[,]
    the counting, giving the injections. What I couldn’t promise
    when I am done is if he’s going to follow…through with it[.] [S]o
    I was teaching--my understanding is he--they already had 2 or 3
    agencies then prior to me going in for teaching also[.] [S]o
    knowledge base[,] he had the basic knowledge of the care for
    her[.] Now[,] whether or not the follow through was going to
    go[,] I can’t say for sure[,] because two of my four visits with
    just him he never showed.
    Id.
    ____________________________________________
    12
    Ms. Parks first provided education to both Mother and Father commencing
    in April 2016 and ending in May 2016. Sessions were reinstated for Father
    in August 2016. N.T., 5/3/17, at 52-53.
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    J-S60044-17
    Moreover, Father has demonstrated continued personal instability.
    The current BCCYF caseworker at the time of the termination hearing,
    Mackenzie Bagley, testified to Father residing in six different residences
    since BCCYF became involved with the family, including two residences in
    Wayne County, Pennsylvania.13 Id. at 27-28. Ms. Bagley confirmed that, as
    a result of this residential instability, Father is not in a place to take Child
    back into his care. Id. at 28-29. Further, evidence was presented of the
    volatile nature of some of Father’s personal relationships. Dana Giger, New
    Steps family worker, who provided preservation and reunification services to
    the family over an extended period of time, described the relationship
    between Mother and Father as “unstable.” Id. at 12. In addition, Father’s
    mother obtained a Protection from Abuse Order against him, resulting
    Father’s return to Blair County from Wayne County. N.T., 2/28/17, at 43-
    44.
    Ms. Giger likewise characterized Father as “inconsistent” over her time
    working with him from February to September 2016. N.T., 5/3/17, at 13.
    While she noted that Father displayed some progress while engaging in
    mental    health     services,    which    included   counseling   and   medication
    management, Father ceased these services and did not feel he needed to
    ____________________________________________
    13
    Ms. Bagley had not been able to assess Father’s most recent residence as
    he had just signed a lease the day prior to the termination hearing. N.T.,
    5/3/17, at 30.
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    J-S60044-17
    reinitiate them. Id. at 9-11. Relatedly, Ms. Bagley testified that she was
    not aware that Father reinstituted counseling and was taking medication.
    Id. at 29.      Ms. Giger’s services then unexpectedly ended when Father
    advised that he had moved to Wayne County. Id. at 13. Notably, Ms. Giger
    indicated that she would have a concern if Child would have been returned
    to Father based on her understanding of Child’s medical needs. Id.
    Lastly, Father did not appear for the rescheduled termination hearing
    on May 3, 2017, unbeknownst to his attorney, demonstrating the lack of
    seriousness and magnitude Father attributed to the proceedings.14 Id. at 1.
    On this topic the court stated,
    [W]e felt certain we had communicated at the 12-month hearing
    the gravity of the imminent decision on May 3rd for termination
    of parental rights.      Father’s absence therefore, provided
    evidence that Father either had no helpful evidence to promote
    his resumption of custody or demonstrates his lack of ability to
    grasp the seriousness of the situation, which reflects on his
    problem solving and rational thinking, both required for effective
    parenting-especially in regard to a special needs child such as
    [Child]….
    T.C.O. at 7.
    As a result, Ms. Bagley, therefore, expressed concern with regard to
    reunification, testifying as follows:
    Q.    At this point and time based on the totality of the
    circumstances that have taken place in this case to date does
    ____________________________________________
    14
    As reported to Ms. Bagley, Father did not want to request off as he was on
    a probationary period at a new job. N.T., 5/3/17, at 30.
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    J-S60044-17
    the agency have any confidence that the child could be
    successfully reunified with either parent and basically
    maintaining safe stable environment moving forward?
    A. I have concern over just lack of a personal stability with each
    of them and just the [] lack of trust from the medical providers
    that either one would be able to care for [Child] from this point
    forward giving the case history medically wise and regardless of
    the education that they receive with the agency and medical
    professionals can’t ensure [Child’s] safety with either one of
    them.
    N.T., 5/3/17, at 38.
    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 Father’s repeated and continued incapacity, abuse, neglect, or refusal
    has caused Child to be without essential parental control or subsistence
    necessary for her physical and mental well-being. See In re Adoption of
    M.E.P., 
    825 A.2d at 1272
    . Moreover, Father 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
    .
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    J-S60044-17
    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. [a/k/a E.W.C. & L.M.
    a/k/a L.C., Jr.], [
    533 Pa. 115
    , 123, 
    620 A.2d 481
    , 485
    (1993)], this Court held that the determination of the child’s
    “needs and welfare” 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., 
    620 Pa. at 628-29
    , 
    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
    , 762-63 (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).
    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
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    J-S60044-17
    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 the case sub judice, in determining that termination of Father’s
    parental rights favors Child’s needs and welfare under Section 2511(b) of
    the Adoption Act, the trial court stated,
    Finally, the [c]ourt must analyze 2511 (b) as to the best
    interests of [Child] and her bonding with her birth parents.
    [BCCYF] placed [Child] with [foster parents] for a brief time
    before she resided with her [m]aternal [g]reat-[g]randparents
    and returned her to [foster parents] when the [g]reat-
    [g]randparents indicated they could not continue the care for
    custody. She has remained there for over one (1) year. The
    caseworker, Mackenzie Bagley, testified that [Child] is thriving in
    [foster parents’] home. She has also bonded with the two (2)
    siblings of [foster parents]. The doctors treating [Child] have
    praised [foster parents] for their care of [Child] and her
    progress.     They have made every appointment, had every
    training recommended and[,] if [foster parents] adopt [Child][,]
    the medical professionals will approve an insulin pump for her.
    The caseworker observed [Child] in the foster home and she
    appears natural and well bonded in her interactions. [Foster
    parents] remain available as an adoptive resource.
    Both Mother and Father have worked to maintain visits
    with [Child] as they have been able to so do; however, long-
    term consistency has not occurred. The parents received visits
    at the Path House and also received Bridging the Gap services
    for them as parents of a placed child. During the time the
    parents moved out of county, visits were less regular and [Child]
    had no adverse reaction brought to the attention of the [c]ourt.
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    J-S60044-17
    The [c]ourt never received any reports of [Child] having any
    adverse reaction to separating from her parents after visits. To
    the contrary, [Child] has bonded, over the last year, with [foster
    parents] who have provided the stability, security and daily
    regimental medical care (insulin and “counting carbs”) necessary
    to control her Type 1 [d]iabetes. Accordingly, we find the foster
    home has met the needs and welfare of [Child]. The clear and
    convincing evidence of her well-being exists in her ability to
    thrive emotionally and developmentally consistently in [foster
    parents’] home by all accounts over the last 12-months or one
    third of her life. Mother and Father have failed to demonstrate
    they have the capacity to manage the complicated care
    management of [Child][,] which requires great diligence and
    vigilance.
    We have no doubt both Mother and Father love [Child] and
    just as clearly, we have no doubt [Child] would not suffer
    physical or emotional harm with the termination of her parents’
    rights as any bond has sadly become minimal after the last 12
    months of her needs being met elsewhere.
    T.C.O. at 13-14 (citation to record omitted).
    Father, however, argues error in terminating his parental rights
    pursuant to subsection (b) as “any medical issues that precipitated [Child’s]
    placement were beyond Father’s control, and there was no evidence on
    record to suggest that Father would neglect [Child]’s medical needs as
    Mother had done.” Father’s Brief at 21. Father points to the fact at the time
    of Child’s removal he was dealing with an injury and Mother was providing
    the primary care for Child’s diabetes. Id. at 21-22. He further maintains
    that he was not afforded the opportunity to demonstrate that he was able to
    provide appropriate care. Id. at 22. Hence, Father argues that his parental
    rights were terminated for reasons beyond his control. Id.
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    J-S60044-17
    Upon review, the record supports the trial court’s findings and
    determinations that Child’s developmental, physical and emotional needs
    and welfare favor termination of Father’s parental rights pursuant to Section
    2511(b), and we find no abuse of discretion or error of law. In re T.S.M.,
    
    620 Pa. at 628
    , 
    71 A.3d at 267
    .      Hence, termination pursuant to Section
    2511(b) was proper.
    While Father 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,
    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 Father’s
    parental rights under 23 Pa.C.S.A. § 2511(a)(2) and (b).
    Decree affirmed.
    Judgment Entered.
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    J-S60044-17
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 10/16/2017
    - 23 -