In the Interest of: J.M., a Minor , 2017 Pa. Super. 200 ( 2017 )


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  • J-S18016-17
    
    2017 PA Super 200
    IN THE INTEREST OF: J.M., A MINOR                 IN THE SUPERIOR COURT OF
    PENNSYLVANIA
    APPEAL OF: JA.M., MOTHER
    No. 2515 EDA 2016
    Appeal from the Order Entered July 25, 2016
    In the Court of Common Pleas of Philadelphia County
    Juvenile Division at No(s): CP-51-DP-0000557-2016
    FID: 51-FN-000503-2016
    BEFORE: PANELLA, J., SOLANO, J., and FITZGERALD, J.*
    OPINION BY SOLANO, J.:                                  FILED JUNE 27, 2017
    Ja.M. (“Mother”) appeals from an order entered by the Family Court of
    Philadelphia County on July 25, 2016, holding that her child, J.M. (“the
    Child”), born in 2015, was the victim of physical abuse perpetrated by
    Mother and that Mother’s conduct constituted “aggravated circumstances”
    under the Juvenile Act1 and “child abuse” under the Child Protective Services
    Law.2 The family court also held that, as the Child’s father, A.S. (“Father”),
    was available to assume custody, the Child is not “dependent” under the
    Juvenile Act. Mother contends that, because the family court held that the
    Child is not dependent, it was precluded as a matter of law from making a
    ____________________________________________
    *
    Former Justice specially assigned to the Superior Court.
    1
    42 Pa.C.S. §§ 6301-6375.
    2
    23 Pa.C.S. §§ 6301-6386.
    J-S18016-17
    finding of “aggravated circumstances.” Mother additionally argues that the
    family court’s finding of “child abuse” is not supported by the record. We
    reverse.
    Mother and Father are not married and do not live together.       They
    shared custody of the Child, and the Child was scheduled to be in Father’s
    care every Tuesday and Thursday and every other weekend.
    Mother testified that Father had physical custody of the Child from
    Friday, February 19, 2016, to Sunday, February 21, 2016, and that on
    February 19, Father and the Child were at the home of father’s mother
    (“Paternal Grandmother”).    N.T., 7/25/16, at 14-21; Family Ct. Op.,
    11/14/16, at 14-15. According to Mother, she “was texting” Father that day,
    and Father gave her permission to see the Child briefly. Mother stated that
    when she arrived at Paternal Grandmother’s house, she had an altercation
    with Paternal Grandmother and that Paternal Grandmother assaulted her.
    On Tuesday, February 23, 2016, Mother and Father were supposed to
    meet at a police station for a custody exchange. Mother did not appear for
    the exchange.   After waiting for forty-five minutes, Father filed a police
    report. N.T., 5/19/16, at 13-14, 50-56; Family Ct. Op., 11/14/16, at 6, 8.
    Mother also did not arrive with the Child for the next scheduled custody
    exchange on Thursday, February 25, 2016.
    The petitioner in this action, the City of Philadelphia’s Department of
    Human Services (“DHS”), contends that Mother had the Child in her physical
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    custody ”from February 26th through . . . March 1, 2016.” DHS’s Brief at 5
    (citing N.T., 5/19/16, at 14). Mother testified that she had the Child for half
    of the day on February 26, and that her mother (“Maternal Grandmother”)
    had the Child from then until February 29. N.T., 7/25/16, at 22-26; Family
    Ct. Op., 11/14/16, at 7, 15.
    On February 28, 2016, Maternal Grandmother took the Child to St.
    Mary Medical Center, where he was diagnosed with a fractured right wrist;
    there was no clear explanation for the injury. Statement of Facts (attached
    to Dependency Pet.), 3/9/16, ¶ c; Family Ct. Op., 11/14/16, at 8. Mother
    testified that the injury occurred while he was with her mother, 3 but, as
    discussed below, she also sought at other times to blame the injury on
    Paternal Grandmother.         See N.T., 5/19/16, at 106 (testimony about what
    she told doctors). Mother also testified that she did not know how the injury
    occurred. N.T., 7/25/16, at 29. The Medical Discharge Instructions from St.
    Mary Medical Center state: “Your child has a broken bone (fracture) in the
    forearm (radius or ulna bone). This is a very common fracture in children.”
    ____________________________________________
    3
    Mother testified:
    Q.: What happened during your mom’s custody with regard to
    the child? Did he get injured?
    A:    Yes, he did.
    When she was asked to explain further, Mother began to relate what she
    was told by her mother, but opposing counsel objected on hearsay grounds
    and the court sustained the objection. N.T., 7/25/16, at 24-25. No party
    called Maternal Grandmother as a witness.
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    Ex. M-1 at 2.      The Child’s wrist was placed in a splint, and he was
    discharged. Family Ct. Op., 11/14/16, at 18.
    On March 1, 2016, Mother found the Child in distress in his playpen.
    N.T., 7/25/16, at 35; Ex. DHS-3 at 81-82. She took him to the Emergency
    Department    of   the   Children’s   Hospital   of   Philadelphia   (“CHOP”)   for
    treatment. N.T., 7/25/16, at 36. According to Mother, she “told them that
    my mother had my son over the weekend, he came back with a fracture. I
    don’t really know what took place.” Id. The doctors placed the Child’s arm
    in a cast. Id. at 37.
    The CHOP doctors sought a consultation by CHOP’s Suspected Child
    Abuse and Neglect team, and the Child was seen by Dr. Stephanie Ann
    Deutsch of that team. N.T., 5/19/16, at 63. Dr. Deutsch testified that her
    team is consulted when there is a concern about possible abuse or neglect.
    Id. at 64-65. In this case, the Child “had two fractures in his right forearm,
    with no explanation as to why — why or how he sustained those injuries.
    Additionally, mother had expressed several safety concerns to the primary
    team. . . .” Id. at 66. Dr. Deutsch related that Mother had told CHOP of a
    possible “poisoning episode” by Paternal Grandmother that turned out to be
    unfounded, and of the physical altercation that Mother had had with Paternal
    Grandmother and that the Child “may have been injured while under
    [P]aternal [G]randmother’s supervision, following the assault event on the
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    Friday.”    Id. at 70-71.4 Her report, which was admitted into evidence as
    Exhibit DHS-3, id. at 115, contained extensive notes relating to Mother’s
    reported concerns about Father and Paternal Grandmother. 5 Dr. Deutsch
    ____________________________________________
    4
    Dr. Deutsch recorded the date of the altercation that Mother reported with
    Paternal Grandmother as February 26, 2016. N.T. 5/19/16, at 92-93, 97,
    105-07. At the hearing in this matter, Mother claimed that when she had
    spoken with a doctor at CHOP on Tuesday, March 1, 2016, she mistakenly
    told the doctor that Paternal Grandmother’s assault had happened on “the
    prior Friday.” N.T., 7/25/16, at 32. Mother continued that she had “meant”
    Friday, February 19, 2016, even though the immediate “prior Friday” was
    February 26, 2016. Id. Mother testified that she was “confused,” “because
    this is about my son and his safety.” Id. Dr. Deutsch testified that the date
    of the altercation was important for determining whether the Child was
    injured at that time, because the Child’s injury had not yet begun to heal
    when the Child was seen at CHOP and an injury that occurred on February
    19, rather than on February 26, should have begun healing by then. N.T.
    5/19/16, at 77-81.
    5
    In part, the report reads:
    Mother states she has had ongoing concerns for [the Child’s]
    safety while under paternal relatives’ care, reporting a prolonged
    history of domestic violence between herself and [the Child’s]
    father, and several verbal and physical altercations between
    herself and [the Child’s] paternal grandmother. . . . Mother
    states she is concerned in general for his safety in that home
    environment. . . . Mother states that [the Child’s] paternal
    grandmother is currently under investigation for [a] safety issue
    by police for issues of harassment/assault against mother.
    Mother states she is concerned that paternal grandmother
    injured [the Child’s] arm intentionally on Friday afternoon after
    the altercation between mother and paternal grandmother . . . .
    Mother is concerned that paternal grandmother is still able to
    care for [the Child] . . . .
    Ex. DHS-3, at 69-70; see also id. at 72 (“There is reported history of prior
    involvement with law enforcement, including assault charges against father
    for domestic disputes . . . . There is history of intimate partner violence.
    There is reported prior involvement of child protective services”), 78
    (Footnote Continued Next Page)
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    also testified that, “[Mother] had mentioned to us that [the Child] is
    ambulatory and had started to walk in January, but that there were no
    witnessed fall events and that, per [M]aternal [G]randmother’s report to her,
    there    had   been      no    falls   or   no    trauma   while   under   [M]aternal
    [G]randmother’s supervision.” Id. at 75.
    Dr. Deutsch provided the following explanation of the Child’s injury:
    [A] transverse fracture of the radius and buckle fracture of the
    ulna [bone in the forearm] is a common accidental injury in a
    developmentally normal ambulatory child.         It’s commonly
    sustained by an axial load, meaning that the load is the same
    direction as the bone. So the most common mechanism would
    be a child falling and trying to break the fall by falling on an
    outstretched arm.
    N.T., 5/19/16, at 74. Dr. Deutsch testified that this is “a common accidental
    injury” and “a plausible explanation” for this fracture type is that “there is a
    developmentally normal ambulatory child who had a fall on an outstretched
    arm.” Id. at 88-89. However, when asked whether “intentional injury [can]
    be ruled out” as a cause, Dr. Deutsch answered, “No, it cannot.” Id. at 74-
    75; see id. at 88.
    CHOP performed several tests on the Child, including a CAT scan of his
    brain, a urine toxicology test “to assess for any illicit substances,” a
    cardiology evaluation “to assess for any cardiac arrhythmias,” and a skeletal
    _______________________
    (Footnote Continued)
    (“mother describes a history of significant violence involving herself and [the
    Child’s] father and paternal grandmother”).
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    survey as a screening for other fractures. All of those tests were negative for
    signs of other health problems. N.T., 5/19/16, at 67, 74.
    On March 2, 2016, DHS received a Child Protective Services (“CPS”)
    Report about the Child’s fracture.         Statement of Facts (attached to
    Dependency Pet.), 3/9/16, ¶¶ c-e.     The next day, DHS Investigative Case
    Worker Rachel DiStephanis went to CHOP to meet with the family and
    learned that the Child had arrived with pinpoint pupils and intermittent,
    altered mental status.    However, “toxicity screens were completed and
    admitted,” and “the results of the toxicity screens were normal.” Family Ct.
    Op., 11/14/16, at 4 (citing Statement of Facts (attached to Dependency
    Pet.), 3/9/16, ¶ e).     No reason for the observed symptoms was ever
    determined. N.T., 7/25/16, at 107.
    Ms. DiStephanis interviewed Mother, Father, Maternal Grandmother,
    and Paternal Grandmother, regarding the cause of the Child’s wrist fracture.
    Family Ct. Op., 11/14/16, at 6. Mother initially “related to [Ms. DiStephanis]
    that she did not know how the injury occurred.” Id. (citing N.T., 5/19/16, at
    11-12). Mother then claimed that the fracture occurred while the Child was
    in Paternal Grandmother’s care, but Ms. DiStephanis doubted Mother’s story:
    Ms. DiStephanis did not find Mother credible during her
    investigation because evidence such as[ p]olice [r]eports, text
    messages and emails did not corroborate Mother’s version [that
    the Child was in Paternal Grandmother’s care when he was
    injured]. Mother never provided a consistent story as to the
    custody arrangement of the Child during the week in question.
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    Ms. DiStephanis found Father’s version of that week in question
    to be credible. He provided evidence which corroborated his
    version. She reviewed text messages and [p]olice [r]eports that
    Father filed when Mother failed to bring the Child to the drop off
    for the exchange of custody. Therefore, she determined that the
    Child was most likely, based on the evidence, in the care of
    either Mother or Maternal Grandmother when he sustained the
    injury. Both Mother and Maternal Grandmother were indicated,
    and the basis of the indication was egregious lack of supervision,
    resulting in a fracture that was not explained.
    Id. at 7 (citing N.T., 5/19/16, at 14-18, 48); see also id. at 10; N.T.,
    5/19/16, at 57-58.
    On March 4, 2016, DHS filed an application for protective custody
    pursuant to the Juvenile Act, 42 Pa.C.S. § 6324, and obtained an order for
    protective custody of the Child. 6         On March 7, 2016, after a hearing, a
    shelter care order was entered by the family court, and the Child was placed
    in a foster home.
    On March 9, 2016, DHS filed a dependency petition, stating:            “Upon
    information provided by the social worker, this child is dependent and/or
    abused pursuant to the Juvenile Act (42 Pa.C.S. § 6302 (Dependent
    Child)(1))    and/or     the    Child    Protective   Services   Law   (23   Pa.C.S.
    § 6303(b)(1)).” Dependency Pet., 3/9/16, at ¶ 6. 7 Mother claims that this
    ____________________________________________
    6
    Section 6324(1) states: “Prior to entering a protective custody order
    removing a child from the home of the parent, guardian or custodian, the
    court must determine that to allow the child to remain in the home is
    contrary to the welfare of the child.”
    7
    23 Pa.C.S. § 6303(b)(1), which was cited in the petition, was deleted in
    2014 and replaced by 23 Pa.C.S. § 6303(b.1) (defining “child abuse”).
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    dependency petition “ask[ed] for a finding of aggravated circumstances,”
    Mother’s Brief, at 5, but the petition made no specific mention of
    “aggravated circumstances.”    Instead, it alleged the existence of abuse or
    neglect in a “Statement of Facts” attached to the petition and recommended
    that the Child “be committed to the City of Philadelphia Department of
    Human Services.” Dependency Pet., 3/9/16, at ¶ 8.
    On March 16, 2016, DHS transferred the social work for the Child and
    his family to the Bethanna Community Umbrella Agency (“CUA”), and the
    Child was assigned a new case worker, Tijuanna Harris. N.T., 7/25/16, at 7.
    On May 19, 2016, the family court held “an adjudicatory hearing for
    [the Child] and a child abuse hearing as to biological mother.”          N.T.,
    5/19/16, at 6.   Dr. Deutsch testified about the Child’s injury, as set forth
    above.   Id. at 63-71, 74-86, 92-93, 109-110, 113-114.      Ms. DiStephanis
    testified about her investigation and her conversations with Mother and
    Father, including Mother’s assertion that she did not know how the Child’s
    injury occurred. Id. at 11-16. Father testified that the Child was not in his
    possession at the end of February 2016 and recounted that the Child was
    not present for a custody exchange on February 23 and 25, 2016.         Id. at
    54-61.   When asked if she found “Father to be credible during [her]
    investigation,” Ms. DiSephanis answered affirmatively, stating that she “was
    able to find evidence that backed up his story.”        Id. at 16-17.     Ms.
    DiStephanis also agreed when asked if “Father’s story [was] consistent
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    throughout [her] investigation.” Id. At the conclusion of this first hearing,
    the family court removed the Child from foster care and “reunified [him]
    with Father forthwith [and] grant[ed] custody to Father.” Id. at 119.
    When the hearing was resumed on July 25, 2016, Ms. Harris, the CUA
    case worker, testified that she supervised the Child at the Father’s home
    “and he seems very bonded with his Father and with the paternal side of the
    family.” Family Ct. Op., 11/14/16, at 14 (citing N.T., 7/25/16, at 8-9). Ms.
    Harris continued that “Mother has line of sight supervised visits twice a week
    at the CUA” and “has been consistent with the visits.”       Id. (citing N.T.,
    7/25/16, at 9).    She suggested, “At this time, the CUA may ask that
    [Mother] have unsupervised visits.” N.T., 7/25/16, at 10. Ms. Harris added
    that “[a] home evaluation was done as to Mother’s residence and it was
    deemed to be appropriate housing.” Family Ct. Op., 11/14/16, at 14 (citing
    N.T., 7/25/16, at 10). Ms. DiStephanis “testified Mother has completed all
    her single case plan goals [and] the parenting, the housing and all other
    testing that was asked.”    Family Ct. Op., 11/14/16, at 14 (citing N.T.,
    7/25/16, at 11-12). She said she would rate Mother as “fully compliant” and
    agreed that Mother’s visits were “appropriate.” N.T., 7/25/16, at 11, 13.
    Later during the July 25, 2016 hearing, Mother testified.       She told
    about the altercation with Paternal Grandmother on February 19, 2016,
    Family Ct. Op., 11/14/16, at 14-15; N.T., 7/25/16, at 14-20; confirmed that
    she had the Child in her custody from Monday, February 22, 2016, until
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    Friday, February 26, 2016, and that Maternal Grandmother had physical
    custody of him from then until Monday, February 29, 2016, Family Ct. Op.,
    11/14/16, at 15 (citing N.T., 7/25/16, at 22-24, 26); and explained that
    “she took the Child to CHOP on Tuesday, March 1, 2016, Family Ct. Op.,
    11/14/16, at 15 (citing N.T., 7/25/16, at 35-36, 38). Mother testified: “I
    would never hurt my son.” Id. at 38.
    At the conclusion of July 25, 2016 hearing, the family court stated:
    With respect to the claim of aggravated circumstances, the
    [family c]ourt finds that the Child was in the custody of [M]other
    when the [C]hild was injured, and the testimony went back and
    forth.
    Sometimes it was clear; sometimes it was as muddy as the
    Mississippi can be, and [M]other’s testimony is inherently not
    believable. Mother began her testimony and she was well-
    rehearsed and she appeared to be reading off of a script.
    Her answers were not spontaneous.            Her answers were
    unbelievable, and she tried as best as she could to confuse the
    issue. The issue was that the [C]hild was injured.
    Mother’s unbelievable testimony further indicates that she’s
    attempting to conceal what happened to the [C]hild while in her
    care, and she is responsible for the injuries to the child while in
    her care.
    Therefore, the [family c]ourt grants the petition for aggravated
    circumstances against Mother.
    N.T., 7/25/16, at 44.8
    ____________________________________________
    8
    At that time, the family court also ordered supervised, “line of sight”
    visitation with the Child by Mother at the Bethanna CUA, hoping that “there
    will be some remediation of the hostility between [M]other and [F]ather.”
    N.T., 7/25/16, at 47-48, 50; see also Family Ct. Op., 11/14/16, at 20.
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    The family court then entered two written orders, both dated July 25,
    2016. In one, the “Order of Adjudication – Child Not Dependent,” the family
    court “ORDERED that the child is found not to be a Dependent Child
    pursuant to the Pennsylvania Juvenile Act, that the petition for dependency
    is dismissed[, and that] Legal and Physical Custody is transferred to
    [Father].”    Although the family court did not explain this decision in its
    order, the parties agree that the court correctly held that the Child was not
    dependent because a parent — Father — was able to assume custody. See
    In re M.L., 
    757 A.2d 849
    , 851 (Pa. 2000) (stating “a child is not dependent
    if the child has a parent who is willing and able to provide proper care for the
    child”). Mother does not challenge this order.9
    The court called its other order the “Aggravated Circumstances Order,”
    and it is that order that Mother challenges in this appeal. In that order, the
    family court found “that clear and convincing evidence has been presented
    to establish that the alleged aggravated circumstances exist as to [Mother]”
    and that the Child “has been the victim of physical abuse resulting in serious
    bodily injury, sexual violence or aggravated neglect by the parent; proven as
    to Mother.”       The order also contained a paragraph called “Additional
    Findings” that read, “The Court hereby finds that the above named child is a
    ____________________________________________
    9
    Because Mother has not appealed this order, we do not disturb the court’s
    transfer of legal and physical custody to Father. Any change of custody
    should be made pursuant to appropriate proceedings under the Child
    Custody Law, 23 Pa. C.S. §§ 5321 et seq.
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    victim of child abuse as defined at 23 Pa.C.S. § 6303, in that Court finds
    Child Abuse against Mother.”
    In an opinion dated November 14, 2016, the family court stated that
    DHS had met its burden by clear and convincing evidence to establish the
    existence of “child abuse” pursuant to 23 Pa.C.S. § 6303(b.1). Family Ct.
    Op., 11/14/16, at 16-17.      The court did not specifically discuss its finding
    that the Child was abused, but instead devoted the bulk of its opinion
    regarding the abuse to why it concluded that Mother was responsible for any
    abuse that occurred. See id. at 17-19. The court relied on In re L.Z., 
    111 A.3d 1164
    , 1174 (Pa. 2015), in which the Supreme Court stated: “While a
    petitioning party must demonstrate the existence of child abuse by the clear
    and   convincing   evidence     standard      applicable   to   most    dependency
    determinations, . . . the identity of the abuser need only be established
    through prima facie evidence in certain situations.” The court found that the
    credible testimony led to the conclusion that the Child was not injured while
    in the custody of Father or Paternal Grandmother, and that Mother therefore
    should be held responsible. Family Ct. Op., 11/14/16, at 17-19.
    The family court also asserted that it “properly found [that DHS] met
    its burden by clear and convincing evidence [to prove] the existence of
    aggravated    circumstances    as   to    Mother   pursuant     to   [42]   Pa.C.S.A.
    §6341(c.1).” Family Ct. Op., 11/14/16, at 19 (capitalization omitted). The
    court again focused on who was responsible for the Child’s injuries and
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    “relie[d] on the testimony of the medical provider, the Agency workers, and
    Father to establish that Mother was the primary care giver of the Child and
    did not present credible evidence to rebut this evidence.”     Id.   The court
    concluded: “The Child was the victim of child abuse and DHS has met [its]
    burden by clear and convincing evidence that aggravated circumstances
    existed due to Mother’s abuse of her Child and the seriousness of that
    injury.” Id.
    Mother filed a timely appeal.        The “Order in Question” section of
    Mother’s Brief, at 2, confirms that Mother’s appeal challenges only the
    Aggravated Circumstances Order, and not the Order of Adjudication – Child
    Not Dependent, even though the Order of Adjudication transferred legal and
    physical custody of the Child to Father.
    Mother now presents five issues for our review:
    1.    Did the [family] court commit an error of law by entering
    an Order finding aggravated circumstances as to [Mother] where
    the [family] court found that the [C]hild was not dependent?
    2.     Did the [family] court commit an error of law and abuse of
    discretion by finding child abuse and aggravated circumstances
    as to [Mother] where [DHS] failed to prove by clear and
    convincing evidence that the injury to the [C]hild was the result
    of child abuse rather than accidental injury?
    3.    Did the [family] court commit an error of law and abuse of
    discretion by entering an Order finding child abuse and
    aggravated circumstances as to [Mother] where DHS failed to
    prove by clear and convincing evidence that the [Child] was in
    the care and custody of [Mother] at the time that the [C]hild
    suffered the injury?
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    4.    Did the [family] court commit an error of law and abuse of
    discretion by applying the presumption of perpetrator’s identity
    under [23] Pa.C.S. § 6381(d) to [Mother] where DHS failed to
    prove the existence of child abuse?
    5.    Did the [family] court commit an error of law and abuse of
    discretion by finding child abuse and aggravated circumstances
    as to [Mother] where DHS failed to prove by clear and
    convincing evidence that [Mother] committed physical neglect?
    Mother’s Brief at 4.
    In L.Z., the Supreme Court stated:
    “The standard of review in dependency cases requires an
    appellate court to accept findings of fact and credibility
    determinations of the trial court if they are supported by the
    record, but does not require the appellate court to accept the
    lower court’s inferences or conclusions of law.” In re R.J.T.,
    
    608 Pa. 9
    , [27], 
    9 A.3d 1179
    , 1190 (Pa. 2010). We review for
    abuse of discretion.
    L.Z., 111 A.3d at 1174. In addition, we have observed:
    In dependency proceedings our scope of review is broad. . . .
    Although bound by the facts, we are not bound by the trial
    court’s inferences, deductions, and conclusions therefrom; we
    must exercise our independent judgment in reviewing the court’s
    determination, as opposed to its findings of fact, and must order
    whatever right and justice dictate.
    In re C.B., 
    861 A.2d 287
    , 294 (Pa. Super. 2004) (quoted citation omitted),
    appeal denied, 
    871 A.2d 187
     (Pa. 2005).
    Aggravated Circumstances
    Mother’s first issue questions whether the family court had the
    authority to make a finding that the Child was subject to aggravated
    circumstances under the Juvenile Act even though the court found that the
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    Child was not dependent under that Act.10 So far as we have been able to
    determine, this is a question of first impression. It is a question of law as to
    which our review is plenary and de novo. In re G.D., 
    61 A.3d 1031
    , 1036-
    37 (Pa. Super. 2013) (citation omitted). We conclude that the family court
    did not have authority to make a finding of aggravated circumstances absent
    a finding of dependency.
    We begin with a review of the relevant statutory provisions.              The
    Juvenile Act was enacted, insofar as is relevant here, “[t]o provide for the
    care, protection, safety and wholesome mental and physical development of
    children   coming      within   the    provisions   of   [the   Act].”   42   Pa.C.S.
    § 6301(b)(1.1). The statute therefore covers “only those children who come
    within [its] provisions” and not all children.           Commonwealth v. Davis,
    
    479 A.2d 1041
    , 1045 (Pa. Super. 1984) (emphasis in original), aff’d, 
    510 A.2d 722
     (Pa. 1985) (per curiam).              Apart from juvenile delinquency and
    similar proceedings that are not at issue here, the Juvenile Act provides that
    it “shall apply exclusively to . . . [p]roceedings in which a child is alleged to
    be . . . dependent.” 42 Pa.C.S. § 6303(a)(1). A child is “dependent” if he or
    she:
    (1) is without proper parental care or control, subsistence,
    education as required by law, or other care or control necessary
    for his physical, mental, or emotional health, or morals . . .;
    ____________________________________________
    10
    This issue was included in Mother’s Rule 1925(b) Statement of Errors, see
    Family Ct. Op., 11/14/16, at 1-2, but the family court did not address the
    issue in its opinion or orders.
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    (2) has been placed for care or adoption in violation of law;
    (3) has been abandoned by his parents, guardian, or other
    custodian;
    (4) is without a parent, guardian, or legal custodian;
    (5) while subject to compulsory school attendance is habitually
    and without justification truant from school;
    (6) has committed a specific act or acts of habitual disobedience
    of the reasonable and lawful commands of his parent, guardian
    or other custodian and who is ungovernable and found to be in
    need of care, treatment or supervision;
    (7) has committed a delinquent act or crime, other than a
    summary offense, while under the age of ten years;
    (8) has been formerly adjudicated dependent, and is under the
    jurisdiction of the court, subject to its conditions or placements
    and who commits an act which is defined as ungovernable in
    paragraph (6);
    (9) has been referred pursuant to section 6323 (relating to
    informal adjustment), and who commits an act which is defined
    as ungovernable in paragraph (6); or
    (10) is born to a parent whose parental rights with regard to
    another child have been involuntarily terminated under 23
    Pa.C.S. § 2511 (relating to grounds for involuntary termination)
    within three years immediately preceding the date of birth of the
    child and conduct of the parent poses a risk to the health, safety
    or welfare of the child.
    Id. § 6302.
    A child dependency proceeding under the Juvenile Act is instituted by
    the filing of a petition alleging “[t]he facts which bring the child within the
    jurisdiction of the court and this [Act], with a statement that it is in the best
    interest of the child and the public that the proceeding be brought.”         42
    - 17 -
    J-S18016-17
    Pa.C.S. § 6334(a)(1); see also id. § 6321(a)(3); Pa.R.J.C.P. 1200.          After
    hearings required by the statute, a court may find a child dependent by clear
    and convincing evidence. 42 Pa.C.S. § 6341(a), (c). If the court finds the
    child dependent, then it then has a broad range of options for disposition of
    the child’s case in a way that best assures “the safety, protection and
    physical, mental, and moral welfare of the child,” including options to place
    the child in the custody of persons other than the child’s parents. See id.
    § 6351(a). However, “[i]f the court finds that the child is not a dependent
    child . . .[,] it shall dismiss the petition and order the child discharged from
    any detention or other restriction theretofore ordered in the proceeding.” Id.
    § 6341(a).11
    The Juvenile Act provides that a dependency petition may allege that
    there are “aggravated circumstances” relating to an allegedly dependent
    ____________________________________________
    11
    The Rules of Juvenile Court Procedure further provide:
    (2) No dependency. If the court finds the child not to be
    dependent or the court finds a parent ready, willing, and able to
    provide proper parental care or control, the court shall:
    (a) dismiss the petition;
    (b) order the child to be discharged from custody and any
    restrictions ordered in the proceedings; and
    (c) enter an order identifying individual(s) who will have
    the legal and physical custody until such order is modified
    by further order of the court.
    Pa.R.J.C.P. 1409(A)(2).
    - 18 -
    J-S18016-17
    child. 42 Pa.C.S. § 6334(b). The Act defines “aggravated circumstances” as
    “[a]ny of the following circumstances”:
    (1) The child is in the custody of a county agency and either:
    (i) the identity or whereabouts of the parents is unknown
    and cannot be ascertained and the parent does not claim
    the child within three months of the date the child was
    taken into custody; or
    (ii) the identity or whereabouts of the parents is known
    and the parents have failed to maintain substantial and
    continuing contact with the child for a period of six
    months.
    (2) The child or another child of the parent has been the victim
    of physical abuse resulting in serious bodily injury, sexual
    violence or aggravated physical neglect by the parent.
    (3) The parent of the child has been convicted of any of the
    following offenses where the victim was a child: [list of offenses
    omitted].
    (4) The attempt, solicitation or conspiracy to commit any of the
    offenses set forth in paragraph (3).
    (5) The parental rights of the parent have been involuntarily
    terminated with respect to a child of the parent.
    (6) The parent of the child is required to register as a sexual
    offender . . . or to register with a sexual offender registry in
    another jurisdiction or foreign country.
    Id. § 6302.
    The Juvenile Act provides that if a county’s children and youth social
    service agency “reasonably believes that aggravated circumstances exist, it
    shall file the appropriate petition as soon as possible but no later than 21
    days from the determination by the county agency that aggravated
    - 19 -
    J-S18016-17
    circumstances exist.”       42 Pa. C.S. § 6334(b).   The agency’s petition must
    “include a statement of the facts the county agency . . . intends to prove to
    support the allegation.” Id. If such an allegation is made, the court has the
    following obligation when it adjudicates the child’s dependency:
    If the county agency or the child’s attorney alleges the existence
    of aggravated circumstances and the court determines that the
    child is dependent, the court shall also determine if aggravated
    circumstances exist. If the court finds from clear and convincing
    evidence that aggravated circumstances exist, the court shall
    determine whether or not reasonable efforts to prevent or
    eliminate the need for removing the child from the home or to
    preserve and reunify the family shall be made or continue to be
    made and schedule a hearing as required in section 6351(e)(3)
    (relating to [permanent placement upon] disposition of
    dependent child).
    Id. § 6341(c.1).12
    Mother contends that the family court “committed an error of law by
    entering an Order finding aggravated circumstances as to [Mother] where
    the court found that the [C]hild was not dependent.” Mother’s Brief at 10.
    She continues:
    The [C]hild, J.M., was found not dependent by the [f]amily
    [c]ourt in this case. . . . The Juvenile Act does not provide for
    free-standing determinations of aggravated circumstances by the
    trial court. . . . “If the county agency or the child’s attorney
    alleges the existence of aggravated circumstances and the
    court determines that the child is dependent, the court shall
    also determine if aggravated circumstances exist.” 42 Pa.C.S. §
    ____________________________________________
    12
    In In re L.V., 
    127 A.3d 831
    , 839 (Pa. Super. 2015), we observed that a
    finding of aggravated circumstances under Section 6341(c.1) “permits the
    trial court to consider the immediate termination of attempts at reunification
    between a child . . . and her family.” See In re M.S., 
    980 A.2d 612
    , 620
    (Pa. Super.), appeal denied, 
    985 A.2d 220
     (Pa. 2009).
    - 20 -
    J-S18016-17
    6341(c.1)(emphasis added). There is not provision for a ruling
    of aggravated circumstances unless and until the court has
    determined that the child is dependent. . . . The Pennsylvania
    Rules of Juvenile Court Procedures likewise clearly provide that a
    finding of dependency is to precede any ruling on aggravated
    circumstances. . . . The ordering of events envisioned by the
    statute and the rules makes good sense in light of the object of
    the Juvenile Act and the purpose of a dependency proceeding:
    to ensure the safety of the child. . . . Since the trial court in this
    matter ruled that the Child J.M. was not dependent and
    dismissed the petition, the court did not have authority to
    proceed to rule on the issue of aggravated circumstances which
    was alleged in that petition, and it was an error of law for the
    court to make a ruling on this issue.
    Mother’s Brief at 10-12.
    In response, DHS argues that “Section 6341(c.1) merely states that
    where aggravated circumstances are alleged and the [c]ourt finds the Child
    dependent, the [c]ourt must determine if aggravated circumstances exist.”
    DHS’s Brief at 39.     DHS urges, however, that “nothing in the Juvenile Act
    prohibits the Court from making such a finding where the facts meet the
    definition within the Act.” 
    Id.
     In DHS’s view, Mother’s argument rests on a
    comment to one of the Pennsylvania Rules Juvenile Court Procedure, which,
    according to DHS, conflicts with both Section 6341(c.1) and the Juvenile
    Court Procedure Rules themselves. Finally, DHS points out that it believes
    the Child would have been adjudicated dependent if it were not for Father’s
    willingness to accept custody of him.    In sum, DHS contends that a court
    may find aggravated circumstances absent a finding of dependency.
    In construing a statute, we are guided by the Statutory Construction
    Act, which provides:
    - 21 -
    J-S18016-17
    (a) The object of all interpretation and construction of statutes is
    to ascertain and effectuate the intention of the General
    Assembly. Every statute shall be construed, if possible, to give
    effect to all its provisions.
    (b) When the words of a statute are clear and free from all
    ambiguity, the letter of it is not to be disregarded under the
    pretext of pursuing its spirit.
    1 Pa.C.S. § 1921. “As a general rule, the best indication of legislative intent
    is the plain language of a statute.”    Commonwealth v. McFadden, 
    156 A.3d 299
    , 305 (Pa. Super. 2017) (quoting Commonwealth v. Bradley, 
    834 A.2d 1127
    , 1132 (Pa. 2003)).
    Here, the plain language of the Juvenile Act provides that a court may
    make a finding of aggravated circumstances only if it finds that a child is
    dependent. Section 6341(c.1) states: “If the county agency or the child’s
    attorney alleges the existence of aggravated circumstances and the court
    determines that the child is dependent, the court shall also determine if
    aggravated circumstances exist.” 42 Pa.C.S. § 6341(c.1) (emphasis added).
    The statute contains no provision authorizing findings on aggravated
    circumstances if no finding of dependency is made.
    This interpretation makes sense in light of the statutory scheme under
    the Juvenile Act as a whole.     The Juvenile Act provides for allegations of
    aggravated circumstances only in connection with the filing of a dependency
    petition, and not as a freestanding basis for relief. If a child is found to be
    dependent, the Juvenile Act uses a further finding regarding the existence of
    aggravated circumstances as a basis for determining where to place the
    - 22 -
    J-S18016-17
    dependent child under Sections 6341 and 6351. Although a court otherwise
    might consider reasonable efforts to return a dependent child to his or her
    family, a finding of aggravated circumstances requires that the court
    carefully evaluate whether to follow such a course under Section 6341(c.1).
    Indeed, this restraint on placement is the only purpose of an aggravated
    circumstances finding.   The provisions regarding aggravated circumstances
    were added to the Juvenile Act in 1998 to comply with federal laws
    addressing Congressional concerns that a child found to be dependent not
    then be returned to an abusive family.        See In re S.B., 
    833 A.2d 1116
    ,
    1122-23 & n.6 (Pa. Super. 2003), appeal denied, 
    856 A.2d 835
     (Pa. 2004).
    The added provisions, culminating in Section 6341(c.1), enable the family
    court to prevent such a result.
    If a child is not found to be dependent, however, there will be no
    placement   decision   that   requires   consideration   of   information    about
    aggravated circumstances, and there thus will be no need for such a finding.
    Section 6341(a) of the Juvenile Act confirms our conclusion by providing that
    if a child is not found to be dependent, the court “shall dismiss the petition
    and order the child discharged from any detention or other restriction
    theretofore ordered in the proceeding.”        42 Pa.C.S. § 6341(a).        Section
    6341(a) makes clear that a finding of no dependency must result in a
    termination of the dependency proceedings, rather than a continuation of
    proceedings to find and then address aggravated circumstances.
    - 23 -
    J-S18016-17
    The Rules of Juvenile Court Procedure that have been promulgated by
    the Supreme Court to govern dependency proceedings are consistent with
    this interpretation of the Act. Rule 1705(A) provides:
    Finding after adjudication of dependency. After a finding of
    dependency pursuant to Rule 1409, the court shall determine if
    aggravated circumstances exist.
    Pa.R.J.C.P. 1705(A) (emphasis added).         An official comment to Rule 1705
    states: “Under paragraph (A), the court is to find a child dependent before
    determining   if   aggravated   circumstances     exist.   See    42   Pa.C.S.   §
    6341(c.1).” Pa.R.J.C.P. 1705(A) cmt. In contrast, Rule 1409(A)(2) provides,
    “If the court finds the child not to be dependent or the court finds a parent
    ready, willing, and able to provide proper parental care or control, the court
    shall (a) dismiss the petition . . . .” Pa.R.J.C.P. 1409(A)(2).
    DHS contends that the comment to Rule 1705 somehow conflicts with
    Rule 1401, which provides:
    Under these rules and the Juvenile Act, 42 Pa.C.S. § 6301 et
    seq., a determination for each case requires separate and
    distinct findings. First, the court is to hold an adjudicatory
    hearing, governed by Rule 1406 or accept stipulations, governed
    by Rule 1405. Second, after hearing the evidence or accepting
    the stipulations, the court is to make specific findings on the
    petition as to each allegation pursuant to Rule 1408, stating with
    particularity the allegations proven by clear and convincing
    evidence. Third, after entering its findings, the court is to
    determine if the child is dependent, pursuant to Rule 1409. If
    aggravated circumstances are alleged, the court is to
    determine if aggravated circumstances exist, pursuant to
    Rule 1705. After the court has made these findings and if the
    court finds that the child is dependent, the court is to hold a
    dispositional hearing as provided for in Rule 1512 and is to enter
    a dispositional order under Rule 1515. Nothing in these rules
    - 24 -
    J-S18016-17
    precludes the court from making these determinations at the
    same proceeding as long as the requirements of each rule are
    followed.
    Pa.R.J.C.P. 1401 (emphasis added).
    There is no conflict.   Rule 1401 says that a finding of aggravated
    circumstances is to be made “pursuant to Rule 1705,” which says that such
    a finding is to be made only “[a]fter a finding of dependency.” Pa.R.J.C.P.
    1705(A).     Moreover, at the time the Supreme Court promulgated the
    Juvenile Procedure Rules, it published an Explanatory Report that made this
    same point: “Before the court is able to find aggravated circumstances, the
    court must enter a finding of dependency pursuant to Rule 1409.”        See
    Order Approving the Rules of Juvenile Court Procedure — Dependency
    Matters (Pa. Aug. 21, 2006), 
    36 Pa. Bull. 5571
     (Sept. 2, 2006), http://www
    .pabulletin.com/secure/data/vol36/36-35/1721.html (order approving rules
    and mandating their publication with the Explanatory Report); id. 5599,
    5605,         http://www.pabulletin.com/secure/data/vol36/36-35/1721c.html
    (Explanatory Report).
    We therefore hold that the family court had no authority to enter an
    order finding aggravated circumstances once it determined the Child was not
    - 25 -
    J-S18016-17
    dependent.      Accordingly, the court’s finding of aggravated circumstances
    must be reversed.13
    Child Abuse
    As part of its Aggravated Circumstances Order, the family court made
    an “additional finding” that the Child is a victim of Mother’s child abuse
    under Section 6303 of the Child Protective Services Law, 23 Pa. C.S. § 6303.
    Mother presents various challenges to this finding.
    We begin by noting that although we have vacated the family court’s
    finding of aggravated circumstances because it was not authorized by the
    Juvenile Act, our decision on that issue does not automatically vacate the
    finding of child abuse as well.         The trial court was authorized to make a
    separate finding of child abuse under the Child Protective Services Law,
    which provides that a local child services agency investigating child abuse
    may institute dependency proceedings in which it petitions for a finding of
    child abuse. 23 Pa. C.S. § 6370(b)(2)(i). See L.Z., 111 at 1176 (“As part
    of the dependency adjudication, a court may find a parent to be the
    perpetrator of child abuse”); In re J.R.W., 
    631 A.2d 1019
    , 1021-25 (Pa.
    Super. 1993).      In contrast to its treatment of aggravated circumstances,
    nothing in the Juvenile Act, including in Section 6341(c.1), conditions a
    finding of child abuse in such a dependency proceeding on a finding that a
    ____________________________________________
    13
    In view of this disposition, we need not reach the portions of Appellant’s
    second, third, and fifth issues regarding the finding of aggravated
    circumstances.
    - 26 -
    J-S18016-17
    child is dependent.       DHS’ petition here included a child abuse allegation
    under the Child Protective Services Law, and the trial court therefore acted
    properly in adjudicating that issue.14
    Mother maintains:
    The [family] court committed an error of law and abuse of
    discretion by finding child abuse . . . as to [Mother] where [DHS]
    failed to prove by clear and convincing evidence that the injury
    to the subject child was the result of child abuse rather than
    accidental injury.
    Mother’s Brief at 12. Mother also contends that “[t]he trial court committed
    an error of law and abuse of discretion by applying the presumption of
    perpetrator’s identity under [23] Pa.C.S. § 6381(d)[15 ] to [Mother] where
    DHS failed to prove the existence of child abuse.” Mother’s Brief at 23.
    ____________________________________________
    14
    Even if a finding of child abuse does not cause further civil or criminal
    proceedings to be instituted against the abuser, it still can have significant
    consequences. As the Supreme Court has observed, “a dependency court's
    finding that an individual perpetrated abuse allows for the filing of a founded
    report of child abuse with the Department of Public Welfare and inclusion in
    the statewide ChildLine Registry, which inter alia restricts an individual's
    ability to engage in employment related to children.” L.Z., 111 A.3d at
    1169.
    15
    In her brief, Mother referred to this section as “42 Pa.C.S. § 6381(d).”
    Mother’s Brief at 23. No such statute exists, and we are confident that
    Mother intended to refer to 23 Pa.C.S. § 6381(d), a provision of the Juvenile
    Act dealing with proof in child abuse cases. Section 6381(d) provides:
    Evidence that a child has suffered child abuse 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.
    (Footnote Continued Next Page)
    - 27 -
    J-S18016-17
    In L.Z., 111 A.3d at 1174, the Supreme Court discussed the
    requirements to prove the two issues in a child abuse case. “[A] petitioning
    party must demonstrate the existence of child abuse by the clear and
    convincing evidence standard,” but if the court finds that abuse occurred,
    “the identity of the abuser need only be established through prima facie
    evidence in certain situations.” Id. Here, much of the focus in the family
    court was on identifying an abuser, as the court examined competing claims
    about which parties had custody of the Child at which times.       On appeal,
    however, Mother first seeks review of the primary finding that DHS proved
    abuse by clear and convincing evidence.
    “Child abuse” encompasses a broad range of misconduct under the
    Child Protective Services Law. Here, DHS contends that it established child
    abuse under the following provisions:
    The term “child abuse” shall mean intentionally, knowingly or
    recklessly doing any of the following:
    _______________________
    (Footnote Continued)
    See generally L.Z., 111 A.3d at 1175-86. With respect to this provision,
    Mother argues:
    The [family] court, in its Opinion, did not cite any direct
    evidence, much less clear and convincing evidence, that Child
    was in Mother’s custody when the injury was incurred. Instead,
    the trial court discusses the fact that, under certain
    circumstances, the identity of an abuser may be established by
    prima facie evidence.
    Id. (citing Family Ct. Op., 11/14/16, at 17 (citing L.Z., 111 A.3d at 1174)).
    - 28 -
    J-S18016-17
    (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.
    *   *    *
    (7) Causing serious physical neglect of a child.
    23 Pa.C.S. § 6303(b.1)(1), (5), (7). Section 6303(a) defines “intentionally,”
    “knowingly,” and “recklessly” as “hav[ing] the same meaning as provided in
    18 Pa.C.S. § 302 (relating to general requirements of culpability),” which
    provides:
    (1) A person acts intentionally with respect to a material element
    of an offense when:
    (i) if the element involves the nature of his conduct or a
    result thereof, it is his conscious object to engage in
    conduct of that nature or to cause such a result; and
    (ii) if the element involves the attendant circumstances, he
    is aware of the existence of such circumstances or he
    believes or hopes that they exist.
    (2) A person acts knowingly with respect to a material element
    of an offense when:
    (i) if the element involves the nature of his conduct or the
    attendant circumstances, he is aware that his conduct is of
    that nature or that such circumstances exist; and
    (ii) if the element involves a result of his conduct, he is
    aware that it is practically certain that his conduct will
    cause such a result.
    (3) A person acts recklessly with respect to a material element
    of an offense when he consciously disregards a substantial and
    - 29 -
    J-S18016-17
    unjustifiable risk that the material element exists or will result
    from his conduct. The risk must be of such a nature and degree
    that, considering the nature and intent of the actor’s conduct
    and the circumstances known to him, its disregard involves a
    gross deviation from the standard of conduct that a reasonable
    person would observe in the actor’s situation.
    18 Pa.C.S. § 302(b). Section 6303(a) defines “bodily injury” and “serious
    physical neglect” as follows:
    “Bodily injury.”          Impairment      of   physical   condition   or
    substantial pain.
    *     *      *
    “Serious physical neglect.”        Any of the following when
    committed by a perpetrator that endangers a child’s life or
    health, threatens a child’s well-being, causes bodily injury or
    impairs a child’s health, development or functioning:
    (1) A repeated, prolonged or egregious failure to supervise
    a child in a manner that is appropriate considering the child’s
    developmental age and abilities.
    (2) The failure to provide a child with adequate essentials
    of life, including food, shelter or medical care.
    23 Pa.C.S. § 6303(a).
    The question is whether DHS proved child abuse under these
    provisions by clear and convincing evidence.              “Clear and convincing
    evidence” requires:
    that the witnesses must be found to be credible; that the facts to
    which they testify are distinctly remembered and the details
    thereof narrated exactly and in due order; and that their
    testimony is so clear, direct, weighty, and convincing as to
    enable the trier of fact to come to a clear conviction, without
    hesitancy, of the truth of the precise facts in issue. It is not
    necessary that the evidence be uncontradicted provided it carries
    - 30 -
    J-S18016-17
    a clear conviction to the mind or carries a clear conviction of its
    truth.
    In re Novosielski, 
    992 A.2d 89
    , 107 (Pa. 2010) (citations and internal
    brackets omitted). The cases exemplify the heavy burden imposed by this
    standard.16
    In In re Read, 
    693 A.2d 607
    , 610-11 (Pa. Super. 1997), appeal
    denied, 
    723 A.2d 1025
     (Pa. 1998), the juvenile court found that twin
    infants with bone fractures were the victims of child abuse.       The treating
    physician testified that he could not definitively state whether the injuries
    were caused by abuse or by an accident, and the parents gave no
    explanation for the injuries.        Id. at 611.   The parents had immediately
    sought medical care for the children. Id. Upon review, this Court reversed
    the finding of abuse, stating:
    A thorough review of the testimony simply does not rise to the
    level required to declare these children abused.          It is an
    unwarranted conclusion to find abuse simply because the parents
    did not introduce any explanations for the injuries. The evidence
    must show by clear and convincing evidence that the children
    were abused and that the injuries were not accidental. The
    testimony here fails to support a conclusion that the injuries were
    not accidental. The only conclusive fact is that these children
    suffered bone fractures.      The medical testimony and the
    testimony from CYS was inconsistent as to whether these injuries
    ____________________________________________
    16
    The cases we discuss here predate amendments that expanded the
    definition of “child abuse” under the Child Protective Services Law, which, as
    each cited case relates, previously required proof only of a “nonaccidental
    serious physical injury.” We do not consider these cases as controlling with
    respect to the current meaning of “child abuse.” Rather, we discuss them as
    illustrations of our application of the clear and convincing evidence standard
    in child abuse cases.
    - 31 -
    J-S18016-17
    where in fact accidental. Innuendo and suspicion alone are
    not enough to compel a finding of child abuse.
    Id. at 611-12 (emphasis added).
    Similarly, in In re C.R.S., 
    696 A.2d 840
    , 843-44 (Pa. Super. 1997),
    the child’s treating physician testified that he could not definitively diagnose
    whether the trauma suffered by the child was accidental or nonaccidental.
    Four additional expert physicians, including two pediatricians and a pediatric
    ophthalmologist, who reviewed the child’s medical records, testified that the
    child’s injuries could have been accidental but that they could not make a
    definitive statement as to their cause.   
    Id. at 844-45
    . The child’s regular
    treating pediatrician testified that she had observed no earlier symptoms of
    abuse. 
    Id. at 845
    . Based upon an independent review of the record, this
    Court disagreed with the trial court’s inference that the medical testimony
    established that the child was abused. 
    Id. at 844
    . “A thorough review of
    the testimony indicates that there was no clear and convincing evidence that
    C.R.S. was abused or that his injuries were non-accidental.”        
    Id. at 845
    .
    Thus, we reversed the trial court’s finding of abuse. 
    Id. at 846
    .
    The stark fact in this case is that there is no evidence clearly showing
    that the Child was abused. The Child had a fracture that, according to the
    medical testimony, was consistent with a normal accident involving a child of
    his age. Indeed, Dr. Deutsch testified that if Mother had told her that the
    Child had fallen on his outstretched arm, that would have been a satisfactory
    explanation to avoid any involvement by Child Protective Services.        N.T.,
    - 32 -
    J-S18016-17
    5/19/16, at 86-87. The fracture became a cause of concern only because
    Mother said she did not know what caused it and volunteered that there was
    a history of physical altercations involving Father’s family.    There is no
    evidence in this record — medical or otherwise — suggesting that this is a
    fracture that was more likely to have been caused by abuse than by an
    accident.
    In the absence of such evidence, the child advocate argues that abuse
    was proven through the “conflicting histories” Mother provided regarding
    custody of the Child over the period when the fracture occurred. DHS’s Brief
    at 25. According to the child advocate, Mother gave a “timeline of custody”
    that “misled both the hospital and DHS and blamed the paternal relatives for
    the Child’s history.” 
    Id.
     The advocate points out that “[t]he Court rejected
    Mother’s change in histories and multiple conflicting stories” and that Dr.
    Deutsch noted that such conflicts “were a ‘red flag’ for child abuse.” 
    Id.
     at
    31 (citing N.T., 5/19/16, at 78-79). The advocate also argues that it was
    appropriate to find that the Child was the victim of abuse by Mother because
    Mother was the Child’s custodial parent and was unable to explain the Child’s
    injuries. Id. at 30-31.
    With respect to the “conflicting histories,” Mother points out that her
    testimony was never in conflict regarding the cause of the fracture;      she
    consistently said she did not know how it happened.      Mother’s Brief at 18
    (citing N.T. 7/25/16, at 29, 36). Our review of the record confirms this fact,
    - 33 -
    J-S18016-17
    but it also confirms that Mother, whose ongoing hostility toward Paternal
    Grandmother is clear, speculated that Paternal Grandmother could be
    responsible for the injury.          The CHOP report by Dr. Deutsch includes
    Mother’s statement that “she is concerned that paternal grandmother injured
    [the Child’s] arm intentionally on Friday afternoon after the altercation
    between mother and paternal grandmother.” Ex. DHS-3 at 70. The record
    also shows that Mother provided conflicting information about when the
    Child was in her custody and when he was in the custody of Father and
    Paternal Grandmother, though much of the evidence about dates in the
    record seems simply to be confused. In light of the inconsistencies in the
    record, as well as its observations of Mother’s demeanor, the family court
    concluded that Mother’s testimony was not believable, that Mother “tried as
    best as she could to confuse,” and Mother was “attempting to conceal what
    happened to the child while in her care and she is responsible for the injuries
    to the child while in her care.” N.T., 7/25/16, at 44.
    We are bound by the findings of the family court. L.Z., 111 A.3d at
    1174. But we are aware of no case that has ever held that such evidence is
    sufficient to prove child abuse under a standard requiring clear and
    convincing proof.17 We have reviewed each of the cases cited to us by the
    ____________________________________________
    17
    We need not reach the issue in light of our disposition, but we note that if
    it had properly found child abuse, the family court may have had greater
    leeway to then rely on less rigorous evidence to support a finding that
    Mother perpetrated the abuse, the primary focus of the hearing below. That
    (Footnote Continued Next Page)
    - 34 -
    J-S18016-17
    child advocate, and each of them found child abuse on the basis of far
    greater evidence than this.
    In L.Z., the child had a deep cut around his penis and bilateral bruising
    of his cheeks. 111 A.3d at 1167. A medical expert testified that the injuries
    could not have occurred in the way the family claimed (that the laceration
    was caused by the child tugging on his penis during a diaper change and the
    bruising was caused by a fall onto a table).        Id.   The Court held that the
    injuries were proven to be abuse on the basis of the medical testimony. Id.
    at 1175.
    In In re A.H., 
    763 A.2d 873
     (Pa. Super. 2000), the treating physician
    testified that the mother’s explanation for her child’s bone fractures was
    “inconsistent with the medical evaluation,” and the doctor had no doubt that
    those injuries were the result of abuse. 
    Id. at 876
    . “In addition, the doctor
    found a healed fracture of the left radius, which was inflicted approximately
    one to two months prior to the examination, and a fracture of the upper
    humerus of the left arm, which was inflicted within the two to four week
    period prior to the exam.” 
    Id.
     We concluded there was “ample evidence in
    the record to support the court’s findings” of child abuse. 
    Id.
    In In re R.P., 
    957 A.2d 1205
     (Pa. Super. 2008), a child presented
    with more than 100 bruises over his entire body.           The parents offered a
    _______________________
    (Footnote Continued)
    finding would not require clear and convincing evidence. See L.Z., 111 A.3d
    at 1174.
    - 35 -
    J-S18016-17
    “multitude” of “ever-changing and often conflicting” explanations for the
    child’s injuries, including a fall from a trampoline. An examination showed
    that the child had multiple injuries of various ages, indicating that harm had
    occurred over a long period of time.    Id. at 1208. A forensic pediatrician
    testified that the child had “old bruises on specific areas that are concerning
    for abuse and old fractures” and that the child’s injuries were inconsistent
    with the parents’ explanation as to how the most recent and most serious
    injury had occurred. Id. at 1215-16.          A second forensic pediatrician
    specifically testified that the child’s injuries were “non-accidental.”   Id. at
    1223. This Court concluded that “the trial court was correct in adjudicating
    [that] there was clear and convincing evidence that R.P. was the victim of
    abuse.” Id. at 1213.
    In In re J.O.V., 
    686 A.2d 421
     (Pa. Super. 1996), a dependency
    proceeding, the four-month-old child had suffered fractures on multiple
    occasions, indicating a pattern of abusive behavior.        
    Id. at 422
    .     The
    parents’ inability to explain any of the injuries proved that the child was
    without proper parental care or control, enabling a finding of dependency.
    In J.R.W., 
    631 A.2d 1019
    , the two-month-old child suffered multiple
    fractures and head injuries.     In addition to the fact “that the parents
    provided various, inconsistent reasons for the injuries . . . [that were]
    inconsistent with the evidence and medical testimony presented,” id. at
    1021, there was medical evidence of trauma by an external source: that is,
    - 36 -
    J-S18016-17
    “several experts testified without qualification that this child had been
    seriously abused.” Id. at 1025 (emphasis in original).
    In In re Frank W.D., 
    462 A.2d 708
     (Pa. Super. 1983), the medical
    testimony was that the child’s broken arm was caused by a direct trauma
    involving a great deal of force – at least ten times the child’s body weight.
    Id. at 710.   When a babysitter claimed that the break occurred when he
    grabbed the child’s arm to prevent a fall, a doctor testified, “this fracture
    could not have been caused by the way [the babysitter] described the
    incident and I am a hundred percent certain of that.” Id.
    We also researched actions arising under an earlier version of the child
    abuse statute that involved parents or other caregivers who could not
    explain the cause of the child’s injuries or who gave conflicting explanations.
    In K.N. v. Commonwealth, Dep’t of Pub. Welfare, 
    554 A.2d 994
    , 996
    (Pa. Cmwlth.), appeal denied, 
    568 A.2d 1250
     (Pa. 1989), the medical
    expert testified that “the severity of [the child]’s facial bruising was
    inconsistent with” the explanation that the parents had originally given to
    the hospital for those injuries. The doctor continued that the child’s injuries
    unequivocally were the result of abuse, not an accident. 
    Id.
     A social worker
    also testified that, when speaking to her, the parents “had been inconsistent
    in their rendition of the events leading to the child’s injuries.” 
    Id.
         The
    Commonwealth Court affirmed the finding of child abuse, concluding that it
    was “supported by substantial evidence.” Id. at 998.
    - 37 -
    J-S18016-17
    In K.S. v. Commonwealth, Dep’t of Pub. Welfare, 
    564 A.2d 561
    ,
    562, 564 (Pa. Cmwlth. 1989), the parents offered conflicting explanations
    for a laceration that the child had suffered, and neither parent could explain
    how the child suffered fractures of lower leg bones. The medical expert
    testified that the injuries were undoubtedly the result of abuse. 
    Id. at 563
    .
    The Commonwealth Court affirmed the finding of child abuse. 
    Id. at 562
    .
    In In re Sharpe, 
    374 A.2d 1323
    , 1325 (Pa.Super. 1977), a mother
    “offered   no   plausible   explanation   for   the   cause   of   [her   child’s]
    injuries.” After the mother brought the child to the hospital for a skin rash,
    the doctor discovered other harm, but the mother could offer no explanation
    for why she had not previously sought treatment for the child.                
    Id.
    Additionally, further medical exams revealed signs of neglect “and social
    deprivation.” 
    Id. at 1325-26
    . This Court affirmed the finding that the child
    was “a deprived child.” 
    Id. at 1324
    .
    In each of these cases, there was far more evidence of child abuse
    than has been presented here. In many of the cases, there was unequivocal
    medical evidence that the child’s injury could not have been accidental;
    here, however, Dr. Deutsch, the only doctor who testified, stated that the
    Child’s fracture is a type that often occurs in accidents involving children of
    his age and rendered no opinion that the Child was abused. In many of the
    cases, there was evidence of past injuries that reflected a history of abuse;
    here, however, there is no such history.        And, significantly, when these
    - 38 -
    J-S18016-17
    cases have relied on the fact that the caregiver gave incredible testimony,
    they have pointed to testimony seeking to explain the child’s injury in a way
    contrary to the medical evidence. Here, Mother proffered no explanation of
    how the injury occurred, insisting that she did not know.
    Clear and convincing evidence requires that a finding be based on
    testimony by credible witnesses who clearly relate facts that are “so clear,
    direct, weighty, and convincing as to enable the trier of fact to come to a
    clear conviction, without hesitancy, of the truth of the precise facts in issue.”
    Novosielski, 992 A.2d at 107. There was no such testimony of abuse in
    this record.   Rather, the evidence was only of an injury that commonly
    results from childhood accidents, a mother who said she did not know how
    that injury occurred, and conflicting testimony by that mother about who
    had custody at the time of the injury.        Rather than finding the testimony
    clear, the trial court said it was “as muddy as the Mississippi can be.” N.T.,
    7/25/16, at 44. The trial court said it did not believe Mother and inferred
    that she might be hiding something.       See id.     But suspicions are not a
    substitute for clear and convincing evidence.         Read, 
    693 A.2d at 612
    .
    Although the trial court was free to rely on its findings about Mother’s
    testimony, it could not, as a matter of law, find that the Child was abused
    solely on that basis.
    In sum, in light of the clear and convincing standard we are required
    to apply, we hold that the record lacks sufficient proof to enable a finding
    - 39 -
    J-S18016-17
    that the Child was the victim of child abuse. Accordingly, we are constrained
    to reverse the finding of child abuse in this case. In light of this disposition,
    we need not address Mother’s other issues.
    We    reverse   the   family   court’s   July   25,   2016    “Aggravated
    Circumstances Order” and its findings of aggravated circumstances and child
    abuse.
    Order reversed. Jurisdiction relinquished.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 6/27/2017
    - 40 -
    

Document Info

Docket Number: In the Interest of: J.M., a Minor No. 2515 EDA 2016

Citation Numbers: 166 A.3d 408, 2017 Pa. Super. 200, 2017 WL 2774667, 2017 Pa. Super. LEXIS 469

Judges: Panella, Solano, Fitzgerald

Filed Date: 6/27/2017

Precedential Status: Precedential

Modified Date: 10/26/2024