In the Interest of: N.M., A Minor ( 2018 )


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    2018 PA Super 119
    IN THE INTEREST OF: N.M., A           :   IN THE SUPERIOR COURT OF
    MINOR                                 :        PENNSYLVANIA
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    APPEAL OF: J.C., MOTHER               :
    :
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    :   No. 154 EDA 2017
    Appeal from the Order December 8, 2016
    In the Court of Common Pleas of Philadelphia County Family Court at
    No(s): CP-51-DP-0000856-2016,
    FID: 51-FN-000792-2016
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    IN THE INTEREST OF: N.M., A           :   IN THE SUPERIOR COURT OF
    MINOR                                 :        PENNSYLVANIA
    :
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    APPEAL OF: N.M., FATHER               :
    :
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    :   No. 190 EDA 2017
    Appeal from the Order Entered December 8, 2016
    In the Court of Common Pleas of Philadelphia County Juvenile Division at
    No(s): CP-51-DP-0000856-2016
    *****
    IN THE INTEREST OF: N.W.M., A     :       IN THE SUPERIOR COURT OF
    MINOR                             :            PENNSYLVANIA
    :
    :
    APPEAL OF: N.M., FATHER           :
    :
    :
    :
    :       No. 3714 EDA 2017
    Appeal from the Decree Entered October 26, 2017
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    In the Court of Common Pleas of Philadelphia County Family Court at
    No(s): CP-51-AP-0000573-2017,
    CP-51-DP-0000856-2016
    *****
    IN THE INTEREST OF: N.W.M., A     :          IN THE SUPERIOR COURT OF
    MINOR                             :               PENNSYLVANIA
    :
    :
    APPEAL OF: J.C., MOTHER           :
    :
    :
    :
    :          No. 3715 EDA 2017
    Appeal from the Decree Entered October 26, 2017
    In the Court of Common Pleas of Philadelphia County Family Court at
    No(s): CP-51-AP-0000573-2017,
    CP-51-DP-000856-2016
    BEFORE:      LAZARUS, J., OTT, J., and PLATT*, J.
    OPINION BY LAZARUS, J.:                                  FILED MAY 04, 2018
    J.C. (Mother) and N.M. (Father) (collectively, Parents) appeal from the
    trial court’s permanency orders1 designating reunification with Parents or
    guardian as the current placement goal, declining to reunify Parents with their
    ____________________________________________
    1 We have sua sponte consolidated Mother’s and Father’s appeals, 154 EDA
    2017 & 190 EDA 2017 and 3714 EDA 2017 & 3715 EDA 2017, as they are
    taken from the same orders and involve the same issues. See Pa.R.A.P. 513
    (Consolidation of Multiple Appeals).
    *Retired Senior Judge Assigned to the Superior Court.
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    minor daughter, N.M. (born 2/16), or place N.M. in kinship care, and
    maintaining the status quo with N.M. in foster care and mandating that N.M.
    stay in foster care “until there’s a determination as to the cause of [N.M.’s]
    injury.”2    Parents also appeal from the trial court’s subsequent decrees
    changing the goal to adoption and involuntarily terminating3 their parental
    ____________________________________________
    2   N.T. Permanency Review Hearing, 12/8/16, at 34.
    3 As noted in the procedural history of this opinion, on October 26, 2017, the
    trial court changed the goal from reunification to adoption and involuntarily
    terminated Parents’ parental rights to N.M. in response to DHS’s May 23, 2017
    involuntary termination petition. Parents have appealed that decision, which
    we have chosen to consolidate with this matter. See infra n.1; see also In
    re: N.M., 3714 EDA 2017 & 3715 EDA 2017. Notably, a court-ordered goal
    change is not a condition precedent to the filing of a petition to terminate
    parental rights. See In re Adoption of S.E.G., 
    901 A.2d 1017
     (Pa. 2006).
    On January 18, 2018, this Court stayed the order changing the goal to
    adoption and terminating Parents’ rights. Our Court also reinstated parental
    visitation until resolution of the current appeal.
    We also recognize that the trial court had jurisdiction to address the
    petition to terminate Parents’ parental rights while the appeals of the current
    permanency review orders were pending. The appeals of the permanency
    review orders addressed Parents’ rights to reunification with N.M. and a
    change of her placement to kinship care, which is a separate issue from
    whether Parents’ rights should be terminated. See Pa.R.A.P. 1701(c) (“Where
    only a particular item, claim or assessment adjudged in the matter is involved
    in an appeal, . . . the appeal . . . shall operate to prevent the trial court . . .
    from proceeding further with only such item, claim or assessment, unless
    otherwise ordered by the trial court or other government unit or by the
    appellate court or a judge thereof as necessary to preserve the rights of the
    appellant.”).
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    rights to N.M.4     After careful and deliberate consideration, we reverse and
    vacate.
    On April 12, 2016, seven-month-old N.M. and her then-two-year-old
    brother, E.M., were removed from Parents’5 care based on allegations of
    physical abuse to N.M. Mother took N.M. several times to the pediatrician
    when N.M. exhibited signs of increased fussiness. On the first occasion, the
    morning of April 6, the pediatrician diagnosed N.M. with an ear infection and
    prescribed an antibiotic.      Immediately following that doctor’s appointment,
    Mother was at a play date with N.M. and felt a “popping on [N.M.’s] side.”
    Mother returned to the pediatrician’s that afternoon; the doctor could not feel
    the “popping” and told Mother the fussiness was from N.M.’s ear infection.
    When N.M.’s heightened fussiness failed to decrease that evening, Father took
    N.M. back to the pediatrician the next morning, April 7; the pediatrician
    ordered an outpatient chest x-ray.             Parents took N.M. to the Children’s
    ____________________________________________
    4 Due to the interrelated procedural history as well as the fact that the parties
    and issues are the same in the matters, we have chosen to consolidate
    Parents’ permanency appeals and termination appeals. See In the Interest
    of M.T., 
    101 A.3d 1163
     (Pa. Super. 2014) (where goal change issues and
    termination issues in separately filed appeals were interrelated and implicated
    trial court's assessment of sufficiency and weight of evidence, our Court
    properly addressed issues together).
    5 Mother is a nurse practitioner at the Hospital of the University of
    Pennsylvania; Father is a graphic designer.
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    Hospital of the University of Pennsylvania (CHOP) that same day; x-ray results
    yielded mildly displaced acute fractures of her sixth and seventh left posterior
    ribs.6 N.M. was admitted to CHOP for a magnetic resonance imaging (MRI)
    and consultation with a team of doctors. The CHOP medical team identified
    the primary concern as non-accidental trauma and determined that N.M.’s
    injuries were not likely due to any genetic or metabolic causes.
    A report was filed with the Philadelphia Department of Human Services
    (DHS) on the day of N.M.’s admission to CHOP, April 7, 2016.             N.M. was
    discharged from CHOP on April 12, 2016. On July 7, 2016, the court held an
    adjudicatory hearing where Natalie Jenkins (a DHS social worker), Mother,
    and Dr. Natalie Stavas (a CHOP pediatrician with a concentration in child abuse
    cases) testified. Doctor Stavas opined that nothing was provided to the CHOP
    team that would explain N.M.’s rib fractures, that it would be very unlikely
    that E.M., a toddler and N.M.’s older brother, would be able to inflict the force
    necessary to fracture N.M.’s ribs, and that blood tests and lab work did not
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    6 At a follow-up appointment on April 21, 2016, it was noted that “[N.M.’s]
    repeat skeletal survey . . . show[ed] healing of the prior known fractures as
    well as likely nondisplaced healing fracture of the posterior left fifth rib ([that]
    would be consistent with the same time frame as the previously identified
    fractures), more visible now on follow-up imaging in the setting of ongoing
    healing.” CHOP Visit Summary, 4/21/16.
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    uncover any genetic disorders to explain the fractures.7        Social workers
    testified that Parents, individually, gave consistent stories with regard to the
    events leading up to discovering N.M.’s injuries, noting that Parents are the
    sole caregivers for N.M., the family home was extremely safe, and E.M. is
    never around N.M. unsupervised. Finally, Mother testified that she had no
    idea how N.M.’s injuries occurred, but that E.M. would often forcefully run into
    N.M.’s back when Mother was holding N.M. in her arms. 
    Id. at 136
    .
    At the conclusion of the hearing, N.M. was adjudicated dependent8
    based on the two unexplained acute rib fractures diagnosed at CHOP; she was
    placed in the custody of DHS. DHS determined the abuse allegations to be
    founded and identified Parents as the perpetrators.9
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    7 Interestingly, Dr. Stavas testified that genetic testing showed a variant or
    mutation that was “unlikely to contribute to the health of [N.M.’s] bones [but
    she] could not make a definitive statement as to whether or not it contributed
    to her fractures.” N.T. Adjudicatory Hearing, 7/7/16, at 53. Doctor Stavas,
    however, did testify definitively that N.M. does not have osteogenesis
    imperfect (OI), which is also known as brittle bone disease, a genetic disorder
    that mainly affect the bones and results in bones that break easily.
    8 Once a child has been adjudicated dependent, the issue of custody and
    continuation of foster care are determined according to a child’s best interest.
    R.P. v. L.P., 
    957 A.2d 1205
     (Pa. Super. 2008).
    9 As part of a dependency adjudication, a court may find a parent to be the
    perpetrator of child abuse, as defined by the Child Protective Services Law
    (CPSL). In re L.Z., 
    111 A.3d 1164
    , 1176 (Pa. 2015). The CPSL defines “child
    abuse” in relevant part as follows:
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    N.M. was placed in foster care and E.M. was placed in approved kinship
    care with his paternal grandmother, pursuant to an emergency protective
    custody order. Importantly, no aggravated circumstances were found. The
    trial court ordered Parents each to submit to a behavioral health evaluation,
    complete parenting classes and attend individual therapy. On the same date,
    E.M. was adjudicated dependent with supervision10 and he was reunified with
    Parents.
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    The term “child abuse” shall mean intentionally, knowingly or
    recklessly doing any of the following:
    (1)   Causing bodily injury to a child through any recent act
    or failure to act.
    *    *     *
    (5) Creating a reasonable likelihood of bodily injury to a
    child through any recent act or failure to act.
    23 Pa.C.S. § 6303(b.1)(1), (5). The CPSL defines “child” as “[a]n individual
    under 18 years of age.” 23 Pa.C.S. § 6303(a). “[B]odily injury” is defined
    under the CPSL as “[i]mpairment of physical condition or substantial pain.”
    Id. at § 6303(a).
    10   Pursuant to 42 Pa.C.S. § 6341(a):
    [A] court is empowered . . . to make a finding that a child is
    dependent if the child meets the statutory definition by clear and
    convincing evidence. If the court finds that the child is dependent,
    then the court may make an appropriate disposition of the child
    to protect the child's physical, mental and moral welfare, including
    allowing the child to remain with the parents subject to
    supervision, transferring temporary legal custody to a relative or
    a private or public agency, or transferring custody to the juvenile
    court of another state.
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    On August 18, 2016, at an initial permanency review hearing, the court
    discharged E.M.’s dependency petition and supervision, finding that Parents
    had the protective capacity to care for E.M. and that E.M. was safe in Parents’
    home. N.M., however, remained in foster care; the court refused Parents’
    request to have N.M. placed in kinship care. The court further ordered that
    Parents have supervised visits with N.M. and that DHS refer Parents for an
    “expedited” parenting capacity evaluation.
    On December 8, 2016, the court held a permanency review hearing. At
    the hearing, the court acknowledged that Parents had fully complied with their
    service plan objectives. In coming to its decision to keep N.M. in foster care
    and not reunite her with Parents or place her in kinship care, the court made
    the following statements on the record:
    So, you know what, if we’re going to stay stuck, we’re going to
    stay stuck. Because either someone has to cop to it or there
    has to be a plausible explanation with the significance of
    the injuries to [N.M.] because I’m telling you that
    testimony by the doctor was so damning. She sealed any
    doubt, any variable that it could be anything but abuse.
    *       *   *
    ____________________________________________
    42 Pa.C.S. § 6351(a). See In re D.A., 
    801 A.2d 614
    , 617 (Pa. Super. 2002)
    (en banc) (emphasis added).
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    So, I don’t know how we get over this hurdle. I’m definitely not
    going to allow supervised visits in the parent’s home because I
    need line of sight, line of hearing. As far as I’m concerned . . .
    this is still an open investigation.11 Until we get some closure
    about how this happened, we’re not going to get beyond
    this. I can’t look the other way on that. I just can’t. . . .
    [U]nless somebody is willing to say, “This is how [N.M.] got
    injured,” [N.M.] can’t come back to that home because I
    can’t risk it a second time and a worse injury. I can’t do it.
    And we don’t have any explanations.
    So, I don’t know what you want me to do. I’m open to any
    suggestions to try to move this forward to reunification, but that’s
    the bottom line. We can talk about services and how parents are
    fully compliant. I'll find that the parents are fully compliant.
    It doesn't move the needle for me. We came in because a
    baby was injured. And the thing that brought this case into [court]
    still exist[s] with no explanation. Can’t do reunification if
    that’s the case.
    *       *   *
    We had the child abuse hearing. At some point in time if it’s going
    to move the needle[,] I would allow the doctor to testify today. I
    would. I would. I absolutely would.
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    11 To date, no criminal proceedings have been instituted against Parents
    regarding the abuse to N.M. Despite the trial judge’s statement in her August
    10, 2017 opinion that at the July 7, 2016 adjudicatory hearing “the Court
    found child abuse aggravated circumstances existed,” in fact, DHS did not
    pursue a finding of aggravated circumstances. See N.T. 7/7/16, at 17 (“It is
    not my expectation to . . . pursue aggravated circumstances at this time.”);
    id. at 19 (“I’m not requesting the aggravating finding.”). Under 42 Pa.C.S. §
    6315(e)(2), “If the county agency or the child’s attorney alleges the existence
    of aggravated circumstances and the court determines that the child has been
    adjudicated dependent, the court shall then determine if aggravated
    circumstances exist.”). Thus, it is a condition precedent that either the county
    agency or child’s attorney allege aggravating circumstances before a trial
    court can make such a determination.
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    And as the [c]ourt I will be open and receptive to anything you
    bring for me. That’s why I’m not saying no if they had a geneticist
    come in and say, “This is where we are.”
    I’m willing to receive that, but, until such time I can’t do anything
    because the bottom line is I have to ensure the child’s safety.
    *       *    *
    I guess the other side of the conversation is if I leave her
    [in foster care] maybe I get closer to an answer as to what
    happened instead of moving her to grandmom. . . . So, I'm
    not going to consider kinship care.
    N.T. Permanency Hearing, 12/8/16, at 14-16, 20, 22, 29-30 (emphasis
    added).12 Mother and Father filed timely notices of appeal and court-ordered
    Pa.R.A.P. 1925(b) concise statements of errors complained of on appeal.
    While the permanency matter was pending on appeal, the trial court
    held further hearings in the matter on March 9, 2017, May 23, 2017, July 11,
    2017 and October 26, 2017.            At the March 2017 hearing, Attorney Marc
    Freeman entered his appearance as co-counsel13 for Mother, see N.T.
    Dependency Hearing, 3/9/17, at 5, and attempted to admit two expert medical
    reports to explain N.M.’s injuries. Id. at 8. The court, however, would not
    permit Mother to have two attorneys, id. at 10, found Attorney
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    12 Parents continued to engage in both individual and couple’s therapy.
    Parents successfully graduated from Family School in July 2017.
    13   Claire Leotta, Esquire, was counsel of record for Mother.
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    Freeman’s conduct “disrespectful [a]nd a little arrogant,” id. at 13,
    refused to take any testimony in the case, id. at 19, and ordered the
    parties to work on how evidence will be presented in the case.
    (Emphasis added).
    At the May 23, 2017 hearing, Attorney Freeman was listed as counsel
    for Mother. With regard to permanency matters, the court chose to only hear
    evidence regarding “where N.M. is, . . . is she receiving services, [and] was
    she last seen in 30 days.” N.T. Hearing, 5/23/17, at 26. The court again
    refused to accept from Attorney Freeman the reports and curriculum
    vitae of two doctors regarding a non-abusive explanation for N.M.’s
    injuries. Id. at 41. The focus of the court’s time was spent on addressing
    outstanding motions in the case. Id. at 26-27.14 Ultimately, the court ruled
    that: (1) any grandparent visitation with N.M. is immediately suspended; (2)
    it is not in N.M.’s continued best interests to explore placement in kinship
    care; and (3) supervised, line-of-sight parental visitation was continued. Id.
    at 35, 37-39, 42. With regard to kinship care, the court determined it was
    not to be explored despite DHS social worker Molly McNeil testifying that she
    had conducted a full investigation on kinship care for N.M., that DHS had
    ____________________________________________
    14 Specifically, the court referenced a motion to remove an attorney from the
    City Solicitor’s Office from the case. The court, however, determined that it
    did not have jurisdiction over the matter because it was brought in an
    improper forum.
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    approved paternal grandmother as a willing kinship provider, and that DHS
    would explore her as a kinship provider. Id. at 31-32. Following the hearing,
    DHS filed petitions to change the goal to adoption and to involuntarily
    terminate Parents’ rights to N.M.15
    At the July 11, 2017 hearing, the court ruled on several motions from
    the prior listing. Specifically, the court denied the request to have N.M. seen
    by an out-of-state physician for additional medical testimony in the case,
    noting that the child abuse finding, which was substantiated by a doctor at the
    July 2016 adjudicatory hearing, was never challenged by Parents. The court
    also denied a request to have witnesses appear via video feed.       The court
    excluded Parents’ expert reports from Doctors Haluck and Mack,16 again
    ____________________________________________
    15  On August 17, 2017, our Court denied Parents’ motion to stay the
    termination hearing until resolution of their permanency appeals. However,
    on December 1, 2017, our Court granted Parents’ motion to stay the
    termination and goal change orders and reinstated Parents’ visitation pending
    resolution of the instant matter. See Order, Nos. 3714 & 3715 EDA 2017
    (filed 12/1/17). Our Court further ordered that reinstated visitation begin no
    later than the week of January 29, 2018, permitting Parents four hours of
    supervised visitation at the agency per week, modifiable by agreement of the
    parties. Order, Nos. 3714 & 3715 EDA 2017 (filed 1/18/18).
    16 At the hearing, Attorney Freeman told the trial judge that he had a
    radiologist and endocrinologist to offer testimony in the matter. N.T. Hearing,
    7/11/17, at 43. The court prevented the experts from testifying, noting that
    the child abuse finding was final and that the only new evidence the court
    would allow in would be something “that could not have been obtained at the
    time of the adjudicatory hearing in July 2016 . . . [and would be something]
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    noting that the child abuse finding was final and had not been timely
    challenged.17     Finally, the court denied Parents’ motion to quash DHS’s
    subpoena for their treatment records, finding that Parents had signed consent
    forms waiving any potential psychotherapist-patient privilege. In concluding
    the hearing, the court pronounced the following:
    Let me just say this and let me be clear: this matter is going to
    be heard for a contested goal change termination on 10/26/2017.
    That means by September 26, 2017, there should be an
    exchange of all exhibits amongst parties that are to be –
    that will be used in anticipation of the next court date. That
    would also include witness lists. So if there’s experts, CVs,
    whatever you need should be produced to all parties by
    September 26th and that gives you 30 days in anticipation of the
    next court date.
    N.T. Hearing, 7/11/17, at 59 (emphasis in original and emphasis added).
    On October 26, 2017, the court held a goal change/termination hearing,
    after which it granted DHS’ petitions and involuntarily terminated Parents’
    rights to N.M. pursuant to sections 2511(a)(1), (2), (5), (8) and (b) of the
    Adoption Act.18 The court largely based its decision to terminate under section
    2511(a) on the fact that Parents had refused to comply with the service plan
    objective of receiving appropriate mental health treatment to “address [and]
    ____________________________________________
    unusual and [that] nobody could have foreseen that that would have been the
    case in July 2016.” Id. at 45.
    17See L.Z., supra n.7 (finding of child abuse in dependency proceeding can
    be appealed to Superior Court).
    18   23 Pa.C.S. §§ 2101-2910.
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    understand the reason or cause of N.[]M.’s physical injuries.”       Trial Court
    Opinion, 2/9/18, at 7. On November 17, 2017, Parents filed timely notices of
    appeal and Pa.R.A.P. 1925(a)(2)(i) concise statements of errors complained
    of on appeal.
    On appeal from the permanency orders, Mother and Father present the
    following issues for our consideration:
    (1)   Whether the trial court erred and/or abused its discretion by
    entering an order on December 8, 2016 denying Mother &
    Father reunification with N.M.? More specifically, the trial
    court abused its discretion as substantial, sufficient and
    credible evidence was presented at the time of trial
    indicating Mother [and] Father were fully compliant with all
    of their goals and the Court indicated that finding on the
    record, yet ordered that the case remain "status quo".
    (2)   Whether the trial court erred and/or abused its discretion by
    entering an order on December 8, 2016 denying counsel’s
    repeated requests to have N.M. moved to a kinship care
    home rather than continue to reside in general foster care?
    More specifically, the trial court abused its discretion by not
    following State [and] Federal Laws regarding kinship care
    placement of children when substantial, sufficient and
    credible evidence was presented to the Court indicating that
    an approved family member was ready and available to care
    for N.M.
    (3)   Whether the trial court erred and/or abused its discretion by
    violating the protections of the Due Process Clause as
    guaranteed by both the Pennsylvania Constitution and the
    United States Constitution by halting the stated goal of
    reunification, without appropriate notice to Mother and
    Father of the Court’s change in the Permanency Plan, thus
    denying Mother and Father notice and an opportunity to
    prepare and be heard on such issue?
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    On appeal from the goal change/termination decrees, Parents present
    the following issues for our consideration:
    (1)    Whether the [t]rial [c]ourt erred and/or abused its
    discretion by denying Parents[’] Motion to Recuse Judge
    Younge?
    (2)    Whether the [t]rial [c]ourt erred and/or abused its
    discretion when it excluded testimony from the Parents’
    licensed therapists?
    (3)    Whether the [t]rial [c]ourt erred and/or abused its
    discretion when it found clear and convincing evidence that
    the individual and couples therapy in which Parents were
    engaged in failed to comply with the Permanency Plan?
    (4)    Whether the [t]rial [c]ourt erred and/or abused its
    discretion when it excluded evidence that N.[]M.’s sibling[,]
    E.M.[,] had been returned to Parents’ custody and E.M. had
    been deemed safe in Parents’ care?
    (5)    Whether the [t]rial [c]ourt erred and/or abused its
    discretion by entering an order that no family members be
    explored for N.[]M.’s placement, despite counsel’s repeated
    requests to have N.[]M. moved to approved kinship care
    home rather than continue to reside in general foster care?
    (6)    Whether the [t]rial [c]ourt erred and/or abused its
    discretion in finding DHS met its burden by clear and
    convincing evidence that Parental rights to N.[]M. should be
    involuntarily terminated and the goal changed19 to
    adoption?
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    19We have described our standard and scope of review in dependency
    cases as follows:
    [W]e must accept the facts as found by the trial court unless they
    are not supported by the record. Although bound by the facts, we
    are not bound by the trial court's inferences, deductions, and
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    Appellants’ Briefs, at 9.
    Before reviewing the merits of Parents’ issues, we must determine
    whether we have jurisdiction over the appeals in the permanency matter. In
    particular, we must examine whether the permanency review orders of
    December 8, 2016, are appealable orders. See Kulp v. Hrivnak, 
    765 A.2d 796
    , 798 (Pa. Super. 2000) (“[W]e lack jurisdiction over an unappealable
    order, it is incumbent on us to determine, sua sponte when necessary,
    whether the appeal is taken from an appealable order.”). It is well-settled
    that, “[a]n appeal lies only from a final order, unless permitted by rule or
    statute.” Stewart v. Foxworth, 
    65 A.3d 468
    , 471 (Pa. Super. 2013).
    Generally, a final order is one that disposes of all claims and all parties. See
    Pa.R.A.P. 341(b). Moreover, with regard to dependency matters, “[a]n order
    ____________________________________________
    conclusions therefrom; we must exercise our independent
    judgment in reviewing the court’s determination as opposed to the
    findings of fact, and must order whatever right and justice dictate.
    We review for abuse of discretion. Our scope of review,
    accordingly, is of the broadest possible nature. It is this Court’s
    responsibility to ensure that the record represents a
    comprehensive inquiry and that the hearing judge has applied the
    appropriate legal principles to that record. Nevertheless, we
    accord great weight to the court’s fact-finding function because
    the court is in the best position to observe and rule on the
    credibility of the parties and witnesses.
    In re D.P., 
    972 A.2d 1221
    , 1225 (Pa. Super. 2009) (quoting In re C.M., 
    882 A.2d 507
    , 513 (Pa. Super. 2005)). In considering a goal change, “the best
    interests of the child, and not the interests of the parent, must guide the trial
    court, and the parent's rights are secondary.” 
    Id.
     at 1227 (citing In re A.K.,
    
    936 A.2d 528
    , 532-533 (Pa. Super. 2007)).
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    granting or denying a status change, as well as an order terminating or
    preserving parental rights, shall be deemed final when entered.”         In re
    H.S.W.C.-B., 
    836 A.2d 908
    , 910 (Pa. 2003).
    Here, the trial court did not grant or deny a status change; the goal
    remained reunification throughout and Parents never asked for it to be
    changed. Moreover, the instant permanency orders neither affected visitation
    nor custody. See 
    id.
     (noting that all orders dealing with visitation or custody,
    with exception of enforcement or contempt proceedings, are final when
    entered.). Rather, the sole request Parents made at the permanency review
    hearing was to remove N.M. from foster care and place her in kinship care,
    which amounts to a request to change placement.20 That request was denied.
    ____________________________________________
    20 Kinship care under 62 P.S. § 1303(b) is a subset of foster care in which the
    care provider already has a close relationship to the child. In kinship care,
    legal custody of the child remains with the agency, and the agency places the
    minor child with an appropriate caregiver, who is typically a family member.
    The court may place children with a foster family, although there might be
    willing relatives, where foster care is in the best interests of the children or
    aggravated circumstances exist. The goal of preserving the family unit cannot
    be elevated above all other factors when considering the best interests of
    children, but must be weighed in conjunction with other factors. Section
    §1303(b) of the Kinship Care Program provides as follows:
    (b) Placement of children.— If a child has been removed from the
    child's home under a voluntary placement agreement or is in the
    legal custody of the county agency, the county agency shall give
    first consideration to placement with relatives. The county agency
    shall document that an attempt was made to place the child with
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    In In re H.S.W.C.-B., supra, the Supreme Court granted review to
    determine whether an order denying a petition to change a family goal from
    reunification to adoption and to terminate parental rights was final, and
    therefore, appealable. In that case, two children were adjudicated dependent
    and placed in foster care.         The court approved reunification as the goal,
    provided mother continued to make efforts toward satisfying a family service
    plan. After two years of permanency review hearings and mother’s minimal
    gains toward achieving her service goals, CYS filed petitions to change the
    goal from reunification to adoption and to involuntarily terminate mother’s
    parental rights.     The court denied the petitions, without prejudice.     CYS
    appealed the decision to our Court; the trial court stayed all proceedings below
    until the appeal was decided. Our Court quashed CYS’s appeal, holding that
    the order merely maintained the status quo, was not final, and, thus, was
    unappealable. On appeal, the Supreme Court noted that, generally, a change
    of placement goal is not appealable. However, the Court also recognized that
    orders that are not status-changing, such as orders denying parental
    ____________________________________________
    a relative. If the child is not placed with a relative, the agency
    shall document the reason why such placement was not possible.
    62 P.S. § 1303(b).
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    termination, have been regularly reviewed on appeal.          See In the Interest
    of A.L.D., 
    797 A.2d 326
     (Pa. Super. 2002) (all decrees in termination of
    parental rights cases, whether granting them or denying them, are considered
    final, appealable orders).21 Unlike the mother in H.S.W.C.-B., who requested
    a goal change, Parents here requested a placement change – from foster care
    to kinship care. Thus, we do not find H.S.W.C.-B. controlling.
    Case    law   has    supported     the   argument,   however,   that   certain
    interlocutory, non-final permanency orders are appealable as collateral order
    under Pa.R.A.P. 313(b).        Compare In re: N.E., 
    787 A.2d 1040
     (Pa. Super.
    2001) (collateral order where DHS appealed from order requiring it pay
    portion of dependent child’s dental bills); In re: Tameka M., 
    580 A.2d 750
    (Pa. 1990) (CYS’s appeal from order requiring it reimburse foster family for
    expenses in sending child to private preschool is collateral order) with In re
    H.K., 
    161 A.3d 331
     (Pa. Super. 2017) (right to participate and present
    evidence during dependency proceedings is not separate from, or collateral
    ____________________________________________
    21 In H.S.W.C.-B., supra, the Court noted that “[m]aintaining the status
    quo[, by denying goal changes,] could put the needs and welfare of a child at
    risk.” Id. at 911. “Foster care may be the status quo, but to ‘allow these
    children to languish in foster care . . . not only defies common sense, but it is
    contradictory to the applicable law and to the best interest of the children.’”
    In re R.T., 
    778 A.2d 670
    , 681 (Pa. Super. 2001). In R.T., parents had been
    provided services by CYS for “eight fruitless years,” and had been “[unable]
    or refus[ed] to complete the goals on their Placement Plan Amendments.” 
    Id. at 682
    . Again, the status quo in these cases involved goals, not placement.
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    to, those proceedings); In re J.S.C., 
    851 A.2d 189
     (Pa. Super. 2004) (order
    granting parent’s petition to compel visitation not collateral order where CYS
    did not possess “right” to prevent parent from visiting with child).
    However, to be considered a collateral order, the order must be
    separable from and collateral to the main cause of action, where the right
    involved is too important to be denied review, and the question presented is
    such that if review is postponed until final judgment in the case, the claim will
    be irreparably lost.   See Pa.R.A.P. 313(b).    Here, we do not find that the
    instant permanency order is separable from or collateral to the main cause of
    action where the only request was to change the placement of N.M. (from
    foster care to kinship care) and where the placement remained the same.
    Moreover, review of that decision will not be irreparably lost if we postponed
    it at this point.
    We conclude, however, that because the trial court has terminated
    Parents’ parental rights to N.M., the entire record from the permanency
    hearings, including that from the December 8, 2016 hearing, is now
    reviewable on appeal from the court’s termination decrees.         See In the
    Interest of A.L.D., 
    supra
     (all decrees in termination of parental rights cases
    are considered final, appealable orders). Procedurally, the entry of the orders
    terminating Parents’ rights to N.M. acts to finalize the interlocutory
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    permanency review orders. Therefore, we will address the merits of the claims
    raised in these consolidated appeals.
    In their first two issues in the permanency appeals, Parents contend that
    the court erred by not reunifying them with N.M. and in denying their repeated
    requests to have N.M. placed into kinship care.
    At permanency hearings,22 the court is required to comply with 42
    Pa.C.S. § 6351(f), which designates the appropriate matters to be determined
    at such hearings, including:
    ____________________________________________
    22   Under section 6351:
    (e) Permanency hearings.
    (1) The court shall conduct a permanency hearing for the
    purpose of determining or reviewing the permanency plan
    of the child, the date by which the goal of permanency for
    the child might be achieved and whether placement
    continues to be best suited to the safety, protection and
    physical, mental and moral welfare of the child. In any
    permanency hearing held with respect to the child, the court
    shall consult with the child regarding the child’s permanency
    plan, including the child’s desired permanency goal, in a
    manner appropriate to the child’s age and maturity. If the
    court does not consult personally with the child, the court
    shall ensure that the views of the child regarding the
    permanency plan have been ascertained to the fullest extent
    possible and communicated to the court by the guardian ad
    litem under section 6311 (relating to guardian ad litem for
    child in court proceedings) or, as appropriate to the
    circumstances of the case by the child’s counsel, the court-
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    (1) The continuing necessity for and appropriateness of the
    placement.
    (2) The appropriateness, feasibility and extent of compliance with
    the permanency plan developed for the child.
    (3) The extent of progress made toward alleviating               the
    circumstances which necessitated the original placement.
    (4) The appropriateness and feasibility of the current
    placement goal for the child.
    (5) The likely date by which the placement goal for the child might
    be achieved.
    (5.1) Whether reasonable efforts were made to finalize the
    permanency plan in effect.
    (6) Whether the child is safe.
    *       *    *
    (9) If the child has been in placement for at least 15 of the last 22
    months or the court has determined that aggravated
    circumstances exist and that reasonable efforts to prevent or
    eliminate the need to remove the child from the child’s parent,
    guardian or custodian or to preserve and reunify the family need
    not be made or continue to be made, whether the county agency
    has filed or sought to join a petition to terminate parental rights
    and to identify, recruit, process and approve a qualified family to
    adopt the child unless:
    ____________________________________________
    appointed special advocate or other person as designated
    by the court.
    42 Pa.C.S. § 6351(e)(1). The court shall conduct permanency review hearings
    “[w]ithin six months of the date of the child’s removal from the child’s
    parent[;] or each previous permanency hearing until the child is returned to
    the child’s parent, guardian or custodian or removed from the jurisdiction of
    the court.” Id. at (e)(3)(i)(A). The court shall also conduct permanency
    hearings “[w]ithin 30 days of a petition alleging that the hearing is necessary
    to protect the safety or physical, mental or moral welfare of a dependent
    child.” Id. at (e)(3)(ii)(D).
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    (i) the child is being cared for by a relative best suited to
    the physical, mental and moral welfare of the child;
    (ii) the county agency has documented a compelling reason
    for determining that filing a petition to terminate parental
    rights would not serve the needs and welfare of the child;
    or
    (iii) the child’s family has not been provided with necessary
    services to achieve the safe return to the child’s parent,
    guardian or custodian within the time frames set forth in the
    permanency plan.
    *     *      *
    (11) If the child has a sibling, whether visitation of the child with
    that sibling is occurring no less than twice a month, unless a
    finding is made that visitation is contrary to the safety or well-
    being of the child or sibling.
    (12) If the child has been placed with a caregiver, whether the
    child is being provided with regular, ongoing opportunities to
    participate in age-appropriate or developmentally appropriate
    activities. In order to make the determination under this
    paragraph, the county agency shall document the steps it has
    taken to ensure that:
    (i) the caregiver is following the reasonable and prudent
    parent standard; and
    (ii) the child has regular, ongoing opportunities to engage in
    age-appropriate or developmentally appropriate activities.
    The county agency shall consult with the child regarding
    opportunities to engage in such activities.
    Id. at (f) (emphasis added). Moreover, based upon the determinations made
    under subsection (f) and all relevant evidence presented at the hearing, the
    court shall determine one of the following:
    (1) If and when the child will be returned to the child’s parent,
    guardian or custodian in cases where the return of the child is best
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    suited to the safety, protection and physical, mental and moral
    welfare of the child.
    (2) If and when the child will be placed for adoption, and the
    county agency will file for termination of parental rights in cases
    where return to the child’s parent, guardian or custodian is not
    best suited to the safety, protection and physical, mental and
    moral welfare of the child.
    (3) If and when the child will be placed with a legal custodian in
    cases where the return to the child’s parent, guardian or custodian
    or being placed for adoption is not best suited to the safety,
    protection and physical, mental and moral welfare of the child.
    (4) If and when the child will be placed with a fit and willing
    relative in cases where return to the child’s parent, guardian or
    custodian, being placed for adoption or being placed with a legal
    custodian is not best suited to the safety, protection and physical,
    mental and moral welfare of the child.
    Id. at (f.1). On the basis of the determination made under subsection (f.1),
    the court shall order the continuation, modification or termination of
    placement or other disposition which is best suited to the safety, protection
    and physical, mental and moral welfare of the child. Id. at (g).
    Instantly, N.M. was removed from Parents’ care on April 12, 2016, and
    adjudicated dependent on July 7, 2016. She had been in placement for 5
    months at the time of the December 2016 placement hearing and for more
    than 15 months at the time of the October 2017 termination/goal change
    hearing. N.M. is now two years old. While a CHOP pediatrician testified at
    the adjudicatory hearing in July 2016 that nothing was provided to the CHOP
    team that would explain N.M.’s rib fractures, Mother did testify that E.M. would
    often forcefully run into N.M.’s back when Mother was holding N.M. in her
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    arms.    Doctor Stavas testified that it would be very unlikely that E.M., a
    toddler, would be able to impart the necessary force to fracture N.M.’s ribs;
    however, that does not completely rule out the possibility. Moreover, while
    the results of N.M.’s blood tests and lab work did not uncover any specific
    genetic disorders to explain the fractures, testing showed that N.M. has a
    genetic variant that, while unlikely to contribute to the her bone health, could
    not be definitively ruled out by Dr. Stavas23 as contributing to her fractures,
    noting that the mutation is “not in the literature.” 24 See N.T. Adjudicatory
    Hearing, 7/7/16, at 84. Parents’ stories regarding the events leading up to
    discovering N.M.’s injuries were internally consistent; they have remained
    consistent to date. Cf. In the Interest of J.R.W., 
    631 A.2d 1019
     (Pa. Super.
    ____________________________________________
    23  Andrew C. Edmondson, MD, PhD, a geneticist fellow at CHOP, issued a
    progress note on May 3, 2016, concluding that her genetic mutation (LEPRE1),
    see infra n.24, is inconsistent with the inheritance pattern of the recessive
    form of OI and that her fractures do not fit with the described phenotype of
    individuals with recessive OI due to that type of mutation. Thus, he opined,
    that “this change is most likely a neutral variant [and] does not explain her
    clinical presentation.” Progress Notes of Andrew C. Edmondson, MD, PhD,
    5/3/16, at 1.
    24 Genetic testing revealed that N.M. has a gene, LEPRE1, that affects collagen
    modification and produces prolyl 3-hydroxylase 1 (P3H1). P3H1 interacts with
    collagen and modifies amino acids in the collagen chains.    Recessive Forms
    of OI, Osteogenesis Imperfecta Foundation (May 2007). Although Dr. Stavas
    testified that N.M. does not have OI, see N.T. Adjudicatory Hearing, 7/7/16,
    at 84, defects in P3H1 appear to account for most of the cases of severe/lethal
    OI which do have biochemically abnormal collagen, but do not have a collagen
    mutation. In fact, recessive OI has been discovered only in individuals with
    lethal, severe or moderate OI. Recessive Forms of OI, supra. See supra
    n.7.
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    1993) (child abuse case where parents provided various, inconsistent reasons
    for child’s life-threatening injuries).   Thus, the court’s strategy of denying
    kinship care and leaving N.M. in foster care to force Parents to explain the
    root cause of her injuries has not been a winning one. See In re: L.Z., 
    111 A.3d 1164
    , 1171 (Pa. 2015) (recognizing dissent in prior appeal that observed
    “child abuse cases often involve ‘an apparent conspiracy of silence,’ where all
    the parents and caregivers refuse to explain who was responsible for the child
    at the exact moment of injury.”).
    At the conclusion of the July 7, 2016 adjudicatory hearing, the trial court
    noted that parents were fully compliant with their objectives, however, it
    ordered N.M. remain in foster care “until the cause of N.M.’s injury was
    determined” and “until the Court [is] advised of an explanation of N.M.’s
    injuries while in the care of Mother and Father.” Trial Court Opinion, 8/10/17,
    at 4.
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    While Parents did not challenge the court’s July 2016 finding 25 of child
    abuse,26 the court acknowledged that parents submitted to all requested
    evaluations, parenting classes, and therapy. DHS referred Mother to have a
    parenting capacity evaluation completed.           On October 17, 2016, Doctors
    William Russell, Ph.D., and Sheetal A. Duggal, Psy.D., examined Mother to
    “assess [her] ability to provide safety and permanency to her daughter[,
    N.M.].” Report of Forensic Evaluation, 10/17/16, at 1. In that report, Doctors
    Russell and Duggal opined that if Parents followed their recommended course
    ____________________________________________
    25 Dependency proceedings are governed by the Juvenile Act, 42 Pa.C.S. §§
    6301-75. However, the Child Protective Services Law (CPSL) controls
    determinations regarding findings of child abuse, which the juvenile courts
    must find by clear and convincing evidence. See In the Interest of J.R.W.,
    
    631 A.2d 1019
     (Pa. Super. 1993). The CPSL, defines, in part, a “founded
    report,” where there has been a judicial adjudication that includes a “finding
    of dependency under 42 Pa.C.S. § 6341 (relating to adjudication) if the court
    has entered a finding that a child who is the subject of the report has been
    abused.” 23 Pa.C.S. § 6303(a)(1)(iii). “Child abuse” is defined, in part, under
    the CPSL as “intentionally, knowingly or recklessly . . . [c]ausing bodily injury
    to a child through any recent act or failure to act.” Id. § 6303(b.1)
    26 Under the Juvenile Act, courts employ a prima facie evidentiary standard in
    making a legal determination as to the identity of the abuser in child abuse
    cases. See 23 P.S. § 6381(d) (“Evidence that a child has suffered serious
    physical injury, sexual abuse or serious physical neglect of such a nature as
    would ordinarily not be sustained or exist except by reason of the acts or
    omissions of the parent or other person responsible for the welfare of the child
    shall be prima facie evidence of child abuse by the parent or other person
    responsible for the welfare of the child.”). However, there must still be clear
    and convincing evidence to establish that the child was abused. Moreover, a
    finding of child abuse under the Juvenile Act is not the same as a finding of
    guilt in a criminal proceeding.
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    of treatment, joint couples’ counseling individual therapy, and medication
    protocols, “[Parents] should be able to provide safety and permanency to
    [N.M.]” Parenting Capacity Evaluation Report, 10/17/16, at 14.
    At the December 2016 permanency hearing, the court denied Parents’
    requests to be reunified with N.M. or to place her in kinship care. The court
    expressed “grave concerns” about the safety of N.M. if moved into kinship
    care. The court found Mother lacked credibility at the abuse hearing, and that
    it could not reunify N.M. with Parents while “the thing that brought this case
    into [court] still exist[s] with no explanation.”     N.T. Permanency Hearing,
    12/8/16, at 16. Finally, the trial judge noted that if it left N.M. in foster care
    “maybe [she] would get closer to an answer as to what happened instead of
    moving [N.M.] with grandmom.” Id. at 29.
    While reunification with Parents may not have been appropriate
    following the December 2016 permanency review hearing, the court’s reason
    for not at least placing N.M. in kinship care is unsupported by the evidence of
    record and, thus, was an abuse of discretion.27 See In the Interest of M.T.,
    ____________________________________________
    27   In In re R.R., 
    686 A.2d 1316
     (Pa. Super. 1996), we noted:
    It is true that in furtherance of its goal of preserving family unity
    whenever possible, 42 Pa.C.S. § 6301(b) of the Juvenile Act
    requires clear and convincing evidence of dependency before the
    court can intervene in the relationship between a parent and child.
    In the Interest of R.T., [] 592 A.2d [55,] 58 [(Pa. Super.
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    supra (while parental progress toward completion of permanency plan is
    important factor, it is not to be elevated to determinative status, to exclusion
    of all other factors). Paternal grandmother was willing and able to provide
    kinship care for N.M. E.M. had thrived in paternal grandmother’s care upon
    his initial placement.     At the May 2017 permanency hearing, a DHS social
    worker testified that she would explore paternal grandmother as a willing,
    approved kinship provider. To deny kinship care based on the unsupported
    speculation that Parents would abuse visitation rights and visit paternal
    grandmother’s home without agency supervision is overreaching.                 The
    Juvenile Act provides for the protection of children under these exact
    circumstances.      See 42 Pa.C.S.A. 6351(a)(2)(iii) (disposition of dependent
    child allows court to “permit the child to remain with . . . guardian, or other
    custodian, subject to conditions and limitations as the court prescribes,
    including supervision as directed by the court for the protection of the child.”).
    ____________________________________________
    1991)]. However, the Juvenile Act does not require proof that a
    parent has committed or condoned abuse before a child can be
    found dependent. Rather, dependency as defined in the Act exists
    where a child is without proper parental care, defined as “care or
    control necessary for his physical, mental, or emotional health or
    morals.” 42 Pa.C.S. § 6302. Thus the Juvenile Act permits a
    finding of dependency if clear and convincing evidence establishes
    that a child is lacking the particular type of care necessary to meet
    his or her individual special needs.
    Id. at 1317-18.
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    In fact, it is exactly this unwarranted and continued assumption that has kept
    N.M. in protracted foster care, especially where the court found that Parents
    had fully complied with their service plan objectives, which included behavioral
    health evaluations, completion of parenting classes, attending individual
    therapy and parenting capacity evaluations. See N.T. Permanency Review
    Hearing, 12/8/16, at 16 (“I’ll find that parents are fully compliant.”). Tellingly,
    the court’s refusal to provide kinship care or reunify N.M. with Parents has
    provided the evidentiary platform to support DHS’ termination petition. In
    essence, this is an example of judicially-created parental alienation.
    We remind the court that “the primary purpose of the Juvenile Act is ‘to
    preserve the unity of the family whenever possible and to provide for the care,
    protection, and wholesome mental and physical development of children
    coming within the provisions of this chapter.’” 42 Pa.C.S.A. § 6301(b)(1).
    Moreover, the foregoing goals are to be achieved “in a family environment
    whenever possible, separating the child from parents only when necessary
    for his welfare or in the interests of public safety.”            42 Pa.C.S.A. §
    6301(b)(3) (emphasis added). Any decision to remove the child from his home
    must be reconciled with the paramount purpose of preserving the unity of the
    family. In Re Angry, 
    522 A.2d 73
    , 75 (Pa. Super. 1987) (citations omitted).
    Involuntary termination of parental rights presupposes a finding by the
    juvenile court that the child is dependent and that, in the best interest of the
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    child and by reasons of “clear necessity,” removal from the parental home is
    required. Id. at 75.
    Here, the trial court’s repeated refusal to consider approved kinship
    care, in light of the fact that it also found Parents fully compliant with their
    treatment goals as of December 2017 and where DHS supported kinship
    placement with paternal grandmother, is an abuse of discretion and not
    supported by the record. The court’s decision runs counter to the primary
    purpose of the Juvenile Act, to preserve the family unit. Even if the court
    specifically found that returning N.M. to her Parents was not best suited to her
    safety and protection, the court was obligated to explore the possibility of her
    placement with “a fit and willing relative.” See id. 42 Pa.C.S. § 6351(f.1)(4).
    Accordingly, we are constrained to reverse the court’s December 8, 2016
    permanency orders, which are not supported by clear and convincing
    evidence.28
    ____________________________________________
    28 Moreover, the court’s refusal to accept any medical testimony to explain
    N.M.’s injuries, despite asking for same at several hearings, created an
    insurmountable barrier to their reunification with N.M.
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    Having determined that the court’s permanency order must be reversed,
    we must also vacate the trial court’s decrees that prematurely changed the
    goal from reunification to adoption and terminated29 Parents’ rights to N.M.30
    ____________________________________________
    29 We note that even had we affirmed the permanency orders, we still would
    have vacated the trial court’s termination orders. In her Rule 1925(a)
    termination opinion, Judge Younge noted that a social worker testified that
    “there is a deficiency in the protective capacities of Mother and Father because
    they perceive each other in the family unit as safe and not responsible for
    N.[]M[.]’s injuries [and that they] continue to reside with each other as
    indicated perpetrators.” Trial Court Opinion, 2/9/18, at 7. Moreover, the court
    relied upon testimony that the safety threat to N.M. continued to exist at the
    time of the termination hearing, based upon the fact that the injuries to N.M.
    were still unexplained. Finally, the court based its termination decision in
    large part on the fact that Parents were not fully compliant with their
    objectives “due to failure to address the mental health therapy order by the
    Court from the inception of the case.” Id. at 8, citing N.T. Termination
    Hearing, 10/26/17, at 276. To support the goal change to adoption, the trial
    judge “reasoned . . . Mother and Father failed to present any solid evidence
    as to progress made in their therapy[,] did not offer treatment plans, nor
    progress reports or therapist testimony at the [termination] hearing[,] and
    failed to provide assurances of a level of safety or permanency plan for N.[]M.
    in fifteen (15) months.” Trial Court Opinion, 2/9/18, at 9. We are not
    convinced that the record clearly and convincingly supports these findings.
    See In re Matsock, 
    611 A.2d 737
     (Pa. Super. 1992) (where no sexual abuse
    charges had been filed against father nor had he been prosecuted for alleged
    offense, our Court reversed termination decree where evidence showed father
    fulfilled affirmative duty to work toward children returning home, even where
    father “refused to admit his predetermined guilt [which the trial court found]
    negated his ability to be ‘cured’.”).
    In reviewing the evidence in support of termination under section
    2511(b), our Supreme Court stated as follows:
    [I]f the grounds for termination under subsection (a) are met, a
    court “shall give primary consideration to the developmental,
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    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” 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
    .
    In re: T.S.M., 
    71 A.3d 251
    , 267 (Pa. 2013). With regard to termination
    under section 2511(b), the court found:
    Testimony of [a] social worker was that N.[]M. has a parent-child
    bond with her pre-adoptive foster parent. [A s]ocial worker
    testified N.[]M. has [a] good relationship with her foster mother
    [and] looks to her to meet her day[-]to[-]day[-]needs. N.[]M.
    has developed a bond with her foster mother in the twenty (20)
    months she has resided in the home. Furthermore, [a] social
    worker stated if N.[]M. w[ere] removed from her current foster
    home there would be a harmful emotional impact on N.[]M. The
    social worker testified N.[]M. could not be safely reunified with
    parents because a safety threat of the unexplained injury still
    exists. The social worker testified there were no safety concerns
    for N.[]M. in the foster home. Furthermore, the social worker
    testified N.[]M. had not experienced any significant injuries since
    entering foster care.
    Trial Court Opinion, 2/9/18, at 9 (citations to record omitted).
    While courts shall also consider whether children are in a pre-adoptive home
    and are bonded with their foster parents, In re: T.S.M. at 269, here, the
    court made absolutely no mention of the parent-child bond – the foundation
    of a needs and welfare analysis under section 2511(b).
    At the termination hearing, an agency worker testified that N.M. would “light
    up” when she visited with Parents. N.T. Termination/Goal Change Hearing,
    10/26/17, at 1-3 (237). Father testified that he and Mother have positive
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    parental bonds with N.M., that N.M. gets very excited and “bangs on the glass”
    when she comes to the agency for visits, that she calls them “mommy and
    daddy,” and that she runs to them when she sees them at visits. Finally,
    Father testified that a strong sibling bond exists between N.M. and E.M.
    Accepting this uncontroverted testimony, we would find that the trial court
    abused its discretion in terminating Parents’ parental rights under section
    2511(b), where the evidence does not clearly and convincingly discern the
    effect on the child of permanently severing the parental bond. In re: T.S.M.,
    supra.
    30 We find ourselves constrained to comment as follows: despite record
    evidence that the trial court allegedly relied upon, the one factor, the elephant
    in the room, is that the trial judge was and remains the cause of the
    deteriorated bond between Parents and N.M. in this matter.
    The record is replete with attempts by Parents to meet the goals set by the
    trial judge, however she continued to put up barriers to reunification. As an
    example, the trial judge stated at the December 8, 2016 hearing that she
    wanted some testimony as to how the injuries happened. However, at every
    hearing from March 2017 onward, she refused to allow such testimony, stating
    that the failure of Parents to appeal her earlier decision with regard to the
    etiology of N.M.’s injuries was final and could no longer be addressed. When
    the agency stated that Parents had complied with their goals, the court said,
    “l’ll find that [P]arents are compliant. It doesn’t move the needle for me.”
    She further stated that “I guess the other side of the conversation is if I leave
    her [in foster care] maybe I get closer to an answer as to what happened
    instead of moving her to grandmom. . . . So, I’m not going to consider kinship
    care.” When the agency determined that kinship placement was available and
    appropriate, the trial court ruled in May of 2017 that grandparent visitation
    with N.M. is immediately suspended; it is not in N.M’s continued best interests
    to explore placement in kinship care. In short, despite the goals of the Child
    Protective Services Law, the trial judge seems to have done everything in her
    power to alienate these parents from their child, appears to have a fixed idea
    about this matter and, further, she prohibited evidence to be introduced that
    might have forced her to change her opinion.
    While this court must take and does take the issue of abuse of a child very
    seriously, the fact that a trial judge tells parents that unless one of them “cops
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    Permanency orders reversed.             Goal change/Termination decrees
    vacated. Jurisdiction relinquished.31
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 5/4/18
    ____________________________________________
    to an admission of what happened to the child” they are going to lose their
    child, flies in the face of not only the CPSL, but of the entire body of case law
    with regard to best interests of the child and family reunification. We find that
    the record herein provides example after example of overreaching, failing to
    be fair and impartial, evidence of a fixed presumptive idea of what took place,
    and a failure to provide due process to the two parents involved. Finally, the
    most egregious failure in this matter is the refusal to allow kinship care,
    despite the paternal grandmother being an available and approved source for
    same. The punishment effectuated by the trial judge was, at best, neglectful
    and, at worst, designed to affect the bond between Parents and N.M. so that
    termination would be the natural outcome of the proceedings. This is an
    extremely harsh penalty for parents who have complied in every way with the
    requirements of the CPSL.
    31We recognize that the Supreme Court has admonished our Court when we
    have sua sponte directed that a different trial judge take over a case on
    remand. See Reilly by Reilly v. SEPTA, 
    489 A.2d 1291
     (Pa. 1985).
    However, in light of the strong case Parents have made for recusal, the
    sensitive nature of this case and the seeming confusion that the court has with
    regard to certain issues (aggravated circumstances finding), we strongly
    suggest if another petition for recusal is filed below, that the trial judge give
    serious consideration as to whether her apparent bias warrants that she
    recuse herself.
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