In the Int. of: J.S., Appeal of: K.T.-B. ( 2021 )


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  • J-S18017-21
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    IN THE INTEREST OF: J.S., A MINOR            :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    :
    :
    APPEAL OF: K.T.-B., MOTHER                   :   No. 473 EDA 2021
    Appeal from the Order Entered January 22, 2021
    In the Court of Common Pleas of Philadelphia County Juvenile Division at
    No(s): CP-51-DP-0000377-2019
    IN THE INTEREST OF: J.M.T.-S.,               :   IN THE SUPERIOR COURT OF
    A MINOR                                      :        PENNSYLVANIA
    :
    :
    :
    APPEAL OF: K.T.-B., MOTHER                   :   No. 474 EDA 2021
    Appeal from the Decree Entered January 22, 2021
    In the Court of Common Pleas of Philadelphia County Juvenile Division at
    No(s): CP-51-AP-0000479-2020
    BEFORE:      PANELLA, P.J., McCAFFERY, J., and COLINS, J.*
    MEMORANDUM BY McCAFFERY, J.:                         FILED AUGUST 6, 2021
    In these consolidated appeals concerning J.S. (Child), born in February
    of 2019, K.T.-B. (Mother) appeals from: (1) the decree entered in the
    Philadelphia County Court of Common Pleas, terminating her parental rights
    to the Child; and (2) the order, entered the same day, changing the Child’s
    placement goal to adoption.1 After careful review, we affirm.
    ____________________________________________
    * Retired Senior Judge assigned to the Superior Court.
    1 This Court sua sponte consolidated Mother’s two appeals. We note the trial
    court also terminated, on the same day, the parental rights of J.S. (Father),
    Child’s father. Father has not filed an appeal.
    J-S18017-21
    I. Facts & Procedural History
    The trial court summarized the factual history concerning Mother’s own
    dependency, her mental health, and the birth of Child:
    [The Philadelphia Department of Human Services (DHS)]
    became involved with this family on September 18, 2018, when
    Mother was adjudicated dependent and placed in DHS custody.
    On October 29, 2018, Mother was placed at Northern Children
    Services Generations One maternity group home (“Northern”),
    where she gave birth to Child [in February of 2019.2 . . . ].
    *    *     *
    Mother has several mental health diagnoses, including
    unspecified bipolar disorder, oppositional defiant disorder,
    unspecified intellectual disability, and unspecified schizophrenia
    spectrum and other psychotic disorder[s], along with a history of
    emotional instability and erratic behavior. Mother was found to
    be at a 7th grade reading level when testing for Intellectual or
    Development[al] Disabilities (“IDD”). . . .
    Trial Ct. Op., 3/24/21, at 1-2 (paragraph break added).
    The trial court also summarized the general protective services (GPS)
    report made within weeks of Child’s birth:
    [O]n February 22, 2019, DHS received a [GPS] report
    alleging[: (1) Mother would leave Child unattended with a bottle
    propped in his mouth and continued this behavior after being
    counseled against such[; and (2)] Mother had a history of
    becoming verbally aggressive with the staff at Northern and
    leaving without disclosing her intended location. . . .
    . . . The GPS report indicated concern for Child’s safety and well-
    being when in Mother’s care due to a need for constant childcare
    counseling, staff monitoring every fifteen minutes, Mother not
    ____________________________________________
    2 Mother was 17 years old when she was declared dependent, and when she
    gave birth to Child.
    -2-
    J-S18017-21
    participating in parenting classes or therapy, Paternal
    Grandmother’s home being inappropriate, Child’s Father[ ] being
    in delinquent placement . . . and a belief that Mother needed a
    higher level of care than Northern could provide. This report was
    determined to be valid.
    On February 23, 2019, DHS received a supplemental report
    alleging: Mother enrolled in learning support classes at
    Roxborough High School; Mother may not be able to care for Child
    on her own; Mother did not have a good relationship with Maternal
    Grandmother; Mother continued problematic or dangerous
    behavior with Child despite repeated counseling; and Mother
    would appear easily frustrated when Child cried. DHS received
    another supplemental report on February 25, 2019, alleging
    Mother had been prescribed Haldol and received counseling at
    Northern.
    Trial Court Op. at 1-2.
    The trial court also set forth the factual history precipitating DHS’
    dependency petition:
    In early February 2019, [the same month in which Child was
    born,] Mother attempted to stab another resident [at Northern]
    with a steak knife. Police were called . . . .
    DHS conducted a visit to Northern on March 1, 2019, and
    observed Mother feeding Child with a bottle . . . on his back, a
    practice Mother admitted to using regularly. DHS observed
    Mother become defensive when counseled about safe and
    appropriate care for Child.       DHS learned Mother refused
    medication, and on or about February 27, 2019, threatened to kill
    herself and Northern staff if Child was removed from her care.
    Mother was subsequently evaluated at Philadelphia Children’s
    Crisis Response Center . . . and was involuntarily committed for
    psychiatric treatment.
    On March 1, 2019, [when Child was three weeks old,] DHS
    obtained an Order of Protective Custody (“OPC”) and Child was
    placed in foster care . . . . At the March 4, 2019, shelter care
    hearing, the trial court lifted the OPC and ordered the temporary
    DHS commitment stand.
    -3-
    J-S18017-21
    Trial Ct. Op. at 2.
    On March 8, 2019, when Child was approximately one month old, DHS
    filed a dependency petition.
    Community Umbrella Agency (“CUA”) Tabor Community
    Partners held a Single Case Plan (“SCP”) meeting on March 27,
    2019. Child’s primary goal was reunification, with adoption as a
    concurrent goal.      Mother’s objectives were to make herself
    available and comply with CUA services, comply with Child
    visitation, follow all mental health treatment recommendations,
    comply with medication management, participate in parenting
    classes, and comply with all court orders.
    Around July 5, 2019, DHS learned Mother had attended three
    of nine scheduled visits with Child. On July 9, 2019, . . . Child was
    adjudicated dependent[ and] was fully committed to DHS custody.
    The trial court ordered Mother be referred to the Achieving
    Reunification Center (“ARC”) for parenting services, Mother and
    Father be referred for domestic violence counseling and the
    Clinical Evaluation Unit (“CEU”) for forthwith drug and alcohol
    screens, dual diagnosis assessment, and three random drug
    screens prior to the next court date on September 13, 2019.
    Trial Ct. Op. at 3 (footnote omitted.)
    Around September 11, 2019, DHS learned Mother had
    attended none of the five visits offered with Child. Mother was
    engaging in parenting classes. Her current address was unknown
    as she no longer resided with Maternal Grandmother. Mother and
    Father had been involved in multiple physical altercations since
    the July court date and neither had engaged in domestic violence
    services. Paternal Grandmother has also been involved in multiple
    physical altercations with Mother, harassed and used threatening
    language against Mother.
    On September 13, 2019, the trial court held a permanency
    review hearing for Child. Mother was present for this hearing.
    [She was again referred to drug and alcohol screening, ARC, and
    parenting classes.] A stay-away order[ ] was issued . . . against
    Paternal Grandmother . . . to have no contact with Mother and
    have no visits with Child.
    -4-
    J-S18017-21
    The [plan] was revised on October 1, 2019. Child’s primary
    goal remained reunification[ and his] concurrent goal . . .
    adoption. [In addition to the above plan goals, Mother was
    directed to] provide proof of housing and employment, and allow
    CUA to assess her home.
    Around December 3, 2019, DHS learned Mother was visiting
    Child since October 15, 2019; however, [she] was inconsistent
    with her parenting classes and ARC services. Mother had also
    enrolled at Roxborough High School and was four credits from
    earning her high school diploma.
    [Meanwhile,] Mother had tested positive for marijuana on
    September 23, 2019, and amphetamines on October 21, 2019.
    While Mother was referred for substance abuse treatment through
    NorthEast Treatment Centers . . . she did not attend her intake
    appointment.
    Trial Ct. Op. at 3-4.
    The trial court described the subsequent proceedings and permanency
    review hearings in Child’s dependency case:
    On December 5, 2019, the trial court held a permanency
    review hearing[.] Mother was found minimally compliant with her
    permanency plan, inconsistent in her parenting class attendance,
    and had only visited with Child four times since the September
    2019 hearing. . . . Mother was ordered to engage in substance
    abuse treatment and participate in a dual diagnosis program and
    provide her current address to her CUA Case Manager. . . .
    As of February 11, 2020, DHS learned Mother remained
    consistent in visitation, completed housing services through ARC,
    and engaged in parenting services through the Achieving
    Independence Center (“AIC”). Mother was also referred for a PCE
    (“Parenting Capacity Evaluation”) and Intellectual Disability
    Services (“IDS”). On February 13, 2020, the CEU Case Manager
    provided DHS with a progress report stating Mother tested
    negative for all illicit substances on January 2 [and] 6, 2020, but
    failed to schedule and attend a third random assessment.
    On February 13, 2020, the trial court held a permanency
    review hearing for Child. Mother was present for this hearing.
    -5-
    J-S18017-21
    . . . Mother was referred to Serenity Safe Haven Outpatient Clinic
    (“Serenity”) for monitoring and to CEU for three random drug
    tests prior to the next court date[.] Mother was also ordered to
    provide proof of employment and housing. The stay-away order
    against Paternal Grandmother remained. Mother’s visitation with
    Child was set at weekly supervised visits at [DHS] for two hours.
    Trial Ct. Op. at 4-5.
    The trial court set forth additional factual and procedural background
    regarding Child’s dependency case as follows:
    On September 8, 2020, DHS learned Mother had attended
    five of 16 required parenting classes prior to the COVID-19
    pandemic and had not re-engaged in virtual parenting classes.
    Mother was inconsistent with her mental health and substance
    abuse treatment. The CUA Case Manager would periodically lose
    contact with Mother due to Mother’s losing her cell phone and lack
    of stable and appropriate housing. Mother had attended 23 of the
    50 offered visits since the last court date in February. Mother was
    not confirming her visits. Mother lacked the knowledge of how to
    appropriately care for Child; therefore, [she] was previously
    referred for a PCE. DHS also learned that Father had physically
    assaulted Mother on multiple occasions, used threatening
    language against her, and had not visited Child in over a year to
    establish a bond with Child.
    The [plan] was once again revised on October 2, 2020.
    Child’s goals remained the same. Mother’s objectives [also
    generally remained the same, and she was directed to] file for a
    Protection from Abuse (“PFA”) against Father. . . . . DHS learned
    on October 5, 2020, that Mother had begun in-person visits with
    Child, but did not appear able to care for Child appropriately.
    On October 7, 2020, the trial court held a permanency review
    hearing. . . . The trial court found Mother minimally compliant
    with her permanency plan, with minimal progress made with
    respect to alleviating the circumstances requiring Child’s
    placement.    [A plan meeting] was ordered to assess the
    appropriate goal for Child. Father was to have no-contact with
    Mother and Mother was ordered to seek a PFA order against
    Father. Mother was referred for [drug screenings and] a Healthy
    Relationship program. . . . The CUA Case Manager was to refer
    -6-
    J-S18017-21
    Mother for a Philadelphia Health Management Corporation
    (“PHMC”) grant once she obtained appropriate housing. The stay-
    away order against Paternal Grandmother stood. Mother would
    have weekly supervised visits with Child at [DHS] and needed to
    confirm her visits 24 hours in advance and on the day of the visit.
    On December 10, 2020, Mother underwent a [parenting
    capacity evaluation], conducted by William Russell, PhD. Dr.
    Russell reported Mother was unable to provide a safe environment
    for Child at that time, did not have appropriate housing or income,
    had minimal family/social support, and had extensive mental
    health history impacting her ability to parent. Recommendations
    were for Mother to complete her [plan] objectives.
    Trial Ct. Op. at 5-6.
    Where Child had been in DHS care since March 1, 2019, when he was
    three weeks old, on December 28, 2020, DHS filed petitions to change the
    goal to adoption, and to terminate Mother’s parental rights pursuant to 23
    Pa.C.S. § 2511(a)(2), (5), (8), and (b). The trial court appointed Lisa Visco,
    Esquire, as Child’s guardian ad litem and legal counsel (“GAL/Counsel”).3
    ____________________________________________
    3 Child was two years old at the time of the termination hearing. The
    GAL/Counsel stated that there is no conflict in representing both the best
    interests and being legal counsel. N.T. 1/22/21, at 16. See In re Adoption
    of L.B.M., 
    161 A.3d 172
    , 174 (Pa. 2017) (plurality) (23 Pa.C.S. § 2313(a)
    mandates appointment of counsel for children involved in contested
    involuntary termination of parental rights proceedings). See also In re T.S.,
    
    192 A.3d 1080
    , 1092 (Pa. 2018) (trial court did not err in allowing the
    children’s guardian ad litem to act as their sole representative in termination
    proceeding because, at two and three years old, they were incapable of
    expressing their preferred outcome).
    The GAL/Counsel has filed a brief in support of terminating Mother’s
    parental rights. See In re: Adoption of K.M.G., 
    219 A.3d 662
    , 670 (Pa.
    Super. 2019) (en banc) (while this Court has authority to raise sua sponte
    issue of whether the trial court appointed any counsel for the child, but not
    (Footnote Continued Next Page)
    -7-
    J-S18017-21
    On January 22, 2021, the trial court held an evidentiary hearing on the
    goal change and termination petitions. We note that at this time, Child was
    almost two years old, and had been dependent since he was approximately
    one month old. Mother participated via videoconference and was represented
    by counsel.     Father did not attend but was represented by counsel.          The
    GAL/Counsel was present on behalf of Child. DHS presented the testimony of
    Summer Mills, CUA Case Manager, and Dr. William Russell. Mother testified
    on her own behalf. On the same day, the trial court entered an order changing
    Child’s permanent placement goal to adoption and a decree involuntarily
    terminating Mother’s parental rights to Child.
    On February 17, 2021, Mother timely filed separate notices of appeal
    from the termination decree and goal change order, along with Pa.R.A.P.
    1925(a)(2) concise statements of errors complained of on appeal. On April 1,
    2021, this Court sua sponte consolidated her appeals.
    Mother raises the following claims for our review:
    1. Did the [trial court] err in finding that [DHS] had met its burden
    in proving grounds under 23 Pa.C.S.A. §[ ] 2511(a)(2), (5), and
    (8)?
    2. Did the [trial court] err in finding that DHS had met its burden
    to prove that termination would be in the child’s best interests,
    under § 2511(b)?
    ____________________________________________
    the authority to sua sponte review “whether a conflict existed between
    counsel’s representation and the child’s stated preference in an involuntary
    termination of parental rights proceeding”), aff’d 
    240 A.3d 1218
     (Pa. 2020).
    -8-
    J-S18017-21
    3. Did the [trial court] err when it found that DHS by clear and
    convincing evidence had met its burden to change child’s goal to
    adoption?
    4. Did the [trial court] err in failing to make a finding as to
    “reasonable efforts”, and specifically as to assistance with
    Mother’s [intellectual or developmental disabilities] challenges?
    Mother’s Brief at 5.
    II. Termination Under Subsection § 2511(a)
    First, Mother asserts the trial court erred in finding DHS established by
    clear and convincing evidence grounds to terminate her parental rights under
    Susbsection 2511(a)(2), (5), and (8).      Specifically, Mother argues she did
    initiate efforts to remedy the conditions that led to the termination petition,
    and she made progress with her objectives. In support, she maintains she
    was consistent in her visitation, completed housing services through ARC,
    engaged in parenting services through AIC, tested negative for drug use on
    January 2 and 6, 2020, and obtained employment.              With respect to
    completing her objectives, she reasons that where the termination petition
    was filed on December 28, 2020, and the hearing was held on January 22,
    2021, she had “at most 25 days to” complete her efforts. Mother’s Brief at
    13. Mother also contends DHS failed to make reasonable efforts to assist her
    with the challenges presented by her intellectual or developmental disability.
    We conclude no relief is due.
    We note the relevant standard of review:
    In an appeal from an order terminating parental rights, our scope
    of review is comprehensive: we consider all the evidence
    -9-
    J-S18017-21
    presented as well as the trial court’s factual findings and legal
    conclusions. However, our standard of review is narrow: we will
    reverse the trial court’s order only if we conclude that the trial
    court abused its discretion, made an error of law, or lacked
    competent evidence to support its findings. The trial judge’s
    decision is entitled to the same deference as a jury verdict.
    In re L.M., 
    923 A.2d 505
    , 511 (Pa. Super. Ct. 2007) (citations omitted).
    Section 2511 of the Adoption Act governs involuntary termination of
    parental rights. See 23 Pa.C.S. § 2511. It requires a bifurcated analysis:
    Initially, the focus is on the conduct of the parent. The party
    seeking termination must prove by clear and convincing evidence
    that the parent’s conduct satisfies the statutory grounds for
    termination delineated in Section 2511(a). Only if the court
    determines that the parent’s conduct warrants termination of his
    or her parental rights does the court engage in the second part of
    the analysis pursuant to Section 2511(b)[.]
    In re L.M., 
    923 A.2d at 511
     (citations omitted).
    In the present case, the trial court terminated Mother’s parental rights
    pursuant to Subsections 2511(a)(2), (5), (8), and (b). We need only agree
    with the court as to any one subsection of 2511(a) to affirm. In re B.L.W.,
    
    843 A.2d 380
    , 384 (Pa. Super. 2004) (en banc). Here, we analyze the trial
    court’s decision to terminate pursuant to Subsection 2511(a)(2), which
    provides as follows:
    (a) General rule.—The rights of a parent in regard to a child
    may be terminated after a petition filed on any of the following
    grounds:
    *     *      *
    (2) The repeated and continued incapacity, abuse,
    neglect or refusal of the parent has caused the child to be
    without essential parental care, control or subsistence
    - 10 -
    J-S18017-21
    necessary for his physical or mental well-being and the
    conditions and causes of the incapacity, abuse, neglect or
    refusal cannot or will not be remedied by the parent.
    23 Pa.C.S. § 2511(a)(2). This Court has stated:
    In order to terminate parental rights pursuant to 23 Pa.C.S.[ ]
    § 2511(a)(2), the following three elements must be met: (1)
    repeated and continued incapacity, abuse, neglect or refusal; (2)
    such incapacity, abuse, neglect or refusal has caused the child to
    be without essential parental care, control or subsistence
    necessary for his physical or mental well-being; and (3) the
    causes of the incapacity, abuse, neglect or refusal cannot or will
    not be remedied.
    In re Adoption of M.E.P., 
    825 A.2d 1266
    , 1272 (Pa. Super. 2003) (citation
    omitted). “The grounds for termination due to parental incapacity that cannot
    be remedied are not limited to affirmative misconduct. To the contrary, those
    grounds may include acts of refusal as well as incapacity to perform parental
    duties.”    In re A.L.D., 
    797 A.2d 326
    , 337 (Pa. Super. 2002) (citations
    omitted).
    In its opinion, the trial court discussed its decision to terminate Mother’s
    parental rights pursuant to Section 2511(a)(2):
    Child has been involved with DHS since February 2019 and
    committed to DHS custody since March 1, 2019, less than one
    month after his birth[.] Mother’s [plan] objectives throughout the
    life of the case were to: make herself available for and comply
    with CUA services; comply with visitation; follow all mental health
    treatment      recommendations;      comply     with    medication
    management; participate in parenting classes; comply with all
    court orders; obtain stable and appropriate housing, provide
    proof, and allow the CUA Case Manager to assess [her] home;
    obtain stable employment and provide proof; engage in dual
    diagnosis treatment and follow all recommendations, including
    availing for drug screens; comply with a PCE referral; comply with
    ARC services to accomplish her objectives; and file a PFA against
    - 11 -
    J-S18017-21
    Father. Mother participated in [plan] meetings and was aware of
    her objectives.
    Trial Ct. Op. at 9 (record citations omitted).
    With respect to Mother’s mental health, the trial court found: “Mother’s
    mental health crisis was a determinant factor in committing Child to DHS
    custody in March 2020 and she has not taken satisfactory action to ensure her
    mental health will not cause repeated and continued incapacity, resulting in
    Child being without essential care.” Trial Ct. Op. at 10. The court explained
    in detail:
    Mother has diagnoses of bipolar disorder, oppositional defiant
    disorder,     schizophrenia,  and    intellectual   developmental
    disabilities.   Dr. William Russell,[ , who performed Mother’s
    4
    parenting capacity evaluation, testified that she] has been
    prescribed Haldol, Depakote, and Abilify for her mental health
    disorders, although her medication management has been
    inconsistent with a history of noncompliance. Mother had been
    refusing medication while at Northern early in the life of the case,
    and explicitly reported noncompliance on December 2020. Mother
    has also been involuntarily psychiatrically hospitalized and
    ordered to engage in therapeutic treatment services, for which
    she also has a history of noncompliance. Records reviewed by Dr.
    Russell . . . indicated Mother has had ongoing psychiatric
    treatment since 2004, but with a pattern of inconsistency and
    noncompliance. After threatening to kill herself and staff at
    Northern, Mother was involuntarily hospitalized at Belmont
    Hospital and would repeatedly [go] AWOL from the facility.
    Mother was also receiving counseling and substance abuse
    treatment at Serenity for over a year; however, Mother’s
    attendance was inconsistent, and she reportedly came on days no
    ____________________________________________
    4 Here, the trial court noted a typographical error in the January 22, 2021,
    notes of testimony. The testimony at pages 16 to 45 is attributed to “Ms.
    Mills,” where the witness was in fact Dr. Russell. Trial Ct. Op. at 9 n.4.
    - 12 -
    J-S18017-21
    appointment was scheduled and would frequently state she no
    longer needed therapy; between October . . . and December 2020,
    Mother attended therapy at Serenity only three times. Mother did
    not consistently comply with her objective to obtain dual diagnosis
    treatment and was consistently found noncompliant throughout
    the life of the case. Mother’s explanation for her inconsistency
    and noncompliance with mental health treatment is that she
    believes there is nothing “wrong with her” and she’s “cool. [She]
    don’t [sic] need it.” [N.T. 1/22/21, at 54.] Mother has failed to
    appropriately engage in her mental health objective due to
    inconsistent attendance at therapy and noncompliance with
    medication management. Mother was aware of her mental health
    objective. . . .
    Trial Ct. Op. at 9-10 (some record citations omitted and paragraph break
    added).
    With respect to Mother’s plan objectives concerning housing, parenting
    capacity evaluation, parenting classes, and visitation, the trial court found as
    follows:
    Mother also has unstable housing. [N.T. at 23, 40, 95.]. Prior
    to the termination hearing, Mother had been residing . . . in
    placement at Northern. At the time of the termination hearing in
    January of 2021, Mother resided with Maternal Grandmother, but
    Dr. William Russell noted how their history had been volatile with
    frequent fights . . . that had previously caused Mother to be placed
    outside Maternal Grandmother’s home. [N.T. at 40.] The CUA
    Case Manager stated housing with Maternal Grandmother is not
    appropriate and that[,] despite multiple conversations with
    Mother about her housing objective and options, Mother only
    expressed interest in non-viable housing options. [N.T. at 62-65.]
    Mother was aware of her housing objective and remained
    noncompliant. [N.T. at 64, 95.] Mother was referred to ARC to
    attend the housing, employment, and parenting programs.
    Trial Ct. Op. at 10.
    The trial court found the following with respect to Mother’s parenting
    abilities:
    - 13 -
    J-S18017-21
    Mother completed her [parenting capacity] evaluation. Dr.
    William Russell provided a professional opinion that Mother is
    unable to provide safety for Child. Dr. Russell recommended that
    Mother must successfully complete a parenting program and
    family school, and engage in long-term therapy and medication
    management. [N.T. at 30-35.] Parenting classes had remained
    an objective for Mother throughout the life of the case, and Mother
    was inconsistent in her compliance. [N.T. at 53, 64-65.] Mother
    initially attended parenting classes through Tabor, then she was
    referred to ARC. Due to the COVID-19 pandemic, the parenting
    classes became virtual; however, Mother inconsistently attended
    classes. At the time of the termination trial, Mother had not
    successfully completed her parenting program objective. [N.T. at
    65-66.] Mother does not have adequate understanding of Child’s
    developmental needs and could not have unsupervised visits with
    Child throughout the case. [N.T. at 67.] Mother was also
    minimally compliant with visitation. Mother has been inconsistent
    with her visitation with Child throughout the life of the case.
    Mother frequently would not attend, come late, or not confirm the
    visit. [N.T. at 66.] Mother never graduated beyond supervised
    visits at [DHS] with Child. [N.T. at 67.]
    Mother’s behavior during visitations remained problematic.
    DHS originally became involved in the case in part due to Mother’s
    unsafe feeding practices.     This behavior continued through
    supervised visits, where Mother would attempt to feed Child
    cookies despite him not having enough teeth and when instructed
    to engage with Child in a safer and more appropriate manner,
    Mother laughed. [N.T. at 67.] While Mother shows affection
    towards Child, she becomes easily upset and irritated if Child cries
    or screams and is unable to calm Child. [N.T. at 66-67.] Mother
    and Child needed to be monitored every 15 minutes while at
    Northern, and Mother has failed to learn safe parenting practices.
    Mother never successfully completed a parenting program and
    was inconsistent in attending her supervised visits. Mother is
    unable to provide a safe environment for Child and has
    refused to remedy the issues causing Child to be without
    essential care. [N.T. at 68, 95].
    Trial Ct. Op. at 11 (some record citations omitted and emphasis and paragraph
    break added).
    - 14 -
    J-S18017-21
    The trial court, therefore, found the following with respect to section
    2511(a)(2):
    Overall and throughout the life of the case, Mother has been
    minimally compliant with her [plan] objectives[ and] has failed to
    successfully complete most of her critical [plan] objectives, such
    as her mental health treatment, obtaining stable and appropriate
    housing, participating in a dual diagnosis program, and
    successfully completing a parenting program. [N.T. at 22-26, 40-
    41, 62-64, 95.] The CUA Case Manager believes Mother does not
    have adequate understanding of Child’s developmental needs.
    [N.T. at 67.]      The conditions and causes of Mother’s
    incapacity cannot or will not be remedied by Mother. Child
    was adjudicated dependent on March 4, 2019. Child had been in
    DHS care for twenty-two months at the time of the termination
    trial on January 22, 2021. Mother has attended almost all the
    court hearings and is aware of her [plan] objectives. Mother had
    ample opportunity to put herself in a position to adequately parent
    and care for Child, but her repeated and continued incapacity
    has not been mitigated. Mother is unable to meet Child’s basic
    needs due to her lack of adequate understanding of parenting and
    child developmental needs. [N.T. at 67.] The testimony of Dr.
    William Russell and the CUA Case Manager was credible. Mother
    has demonstrated an unwillingness to acknowledge or remedy the
    causes of her incapacity to parent in order to provide Child with
    essential parental care, control, or subsistence necessary for his
    physical and mental well-being. Termination under 23 Pa.C.S.[ ]
    § 2511(a)(2) was proper.
    Trial Ct. Op. at 8-12 (emphases added).
    Our review of the record supports the trial court’s conclusions. The trial
    court credited Ms. Mills’ testimony that Mother’s compliance with her plan was
    minimal. See N.T. at 68. Dr. Russell opined that Mother did not have the
    capacity to provide safety and permanency for Child based on her lengthy
    history of mental health issues and her noncompliance and inconsistency with
    treatment and medication. Id. at 22-23. Dr. Russell also expressed concern
    - 15 -
    J-S18017-21
    for Mother’s lack of income and appropriate housing, as well as minimal
    community or family support. Id. Dr. Russell emphasized that “[t]he more
    support you have, the better off you’re going to be, especially in this situation,
    because we have a very young girl who, because of the toll from this
    developmental history, is immature and is having a difficult time navigating
    this.” Id. at 36.
    The record supports the trial court’s finding that Mother is incapable of
    providing Child with proper parental care, and that she cannot or will not
    remedy her parental incapacity. Child has been in care since March 4, 2019,
    22 months at the time of the termination hearing on January 22, 2021. N.T.
    at 9-10. Despite almost two years of opportunities, Mother made only minimal
    progress toward compliance with her goals. Child is in need of a permanent
    and stable home, and his life cannot remain on hold forever.          See In re
    Adoption of R.J.S., 
    901 A.2d 502
    , 513 (Pa. Super. 2006) (“[A] child’s life
    cannot be held in abeyance while a parent attempts to attain the maturity
    necessary to assume parenting responsibilities. The court cannot and will not
    subordinate indefinitely a child’s need for permanence and stability to a
    parent’s claims of progress and hope for the future.”). Therefore, we discern
    no abuse of discretion by the trial court in terminating Mother’s parental rights
    pursuant to Section 2511(a)(2). See In re L.M., 
    923 A.2d at 511
    .
    - 16 -
    J-S18017-21
    III. Termination Under Subsection 2511(b)
    In her second issue, Mother alleges DHS failed to present sufficient
    evidence, pursuant to Subsection 2511(b), that termination would serve
    Child’s best interests. Mother maintains there was “no direct evidence” as to
    whether there was a bond between her and Child. Mother’s Brief at 19. She
    also challenges the trial court’s inference that no bond existed, arguing such
    an inference ignores “all the evidence of the interactions and relationships”
    between her and Child. 
    Id.
     Mother also avers “there was scant testimony” —
    and not clear and convincing evidence — about the effect termination would
    have on Child. 
    Id.
     We conclude no relief is due.
    Subsection 2511(b) provides:
    (b) Other considerations.—The court in terminating the
    rights of a parent shall give primary consideration to the
    developmental, physical and emotional needs and welfare of the
    child. The rights of a parent shall not be terminated solely on the
    basis of environmental factors such as inadequate housing,
    furnishings, income, clothing and medical care if found to be
    beyond the control of the parent. With respect to any petition
    filed pursuant to subsection (a)(1), (6) or (8), the court shall not
    consider any efforts by the parent to remedy the conditions
    described therein which are first initiated subsequent to the giving
    of notice of the filing of the petition.
    23 Pa.C.S. § 2511(b).
    This Court has stated:
    Once the statutory requirement for involuntary termination of
    parental rights has been established under subsection (a), the
    court must consider whether the child’s needs and welfare will be
    met by termination pursuant to subsection (b). In this context,
    the court must take into account whether a bond exists between
    - 17 -
    J-S18017-21
    child and parent, and whether termination would destroy an
    existing, necessary and beneficial relationship.
    When conducting a bonding analysis, the court is not required
    to use expert testimony. Social workers and caseworkers can
    offer evaluations as well.
    “Above all else…adequate consideration must be given to the
    needs and welfare of the child.” A parent’s own feelings of love
    and affection for a child, alone, do not prevent termination of
    parental rights.
    Before granting a petition to terminate parental
    rights, it is imperative that a trial court carefully consider
    the intangible dimension of the needs and welfare of a
    child — the love, comfort, security, and closeness —
    entailed in a parent-child relationship, as well as the
    tangible dimension. Continuity of relationships is also
    important to a child, for whom severance of close
    parental ties is usually extremely painful. The trial court,
    in considering what situation would best serve the
    child[ren]’s needs and welfare, must examine the status
    of the natural parental bond to consider whether
    terminating the natural parents’ rights would destroy
    something in existence that is necessary and beneficial.
    In re Z.P., 
    994 A.2d 1108
    , 1121 (Pa. Super. 2010) (citations omitted).
    [A] parent’s basic constitutional right to the custody and rearing
    of his…child is converted, upon the failure to fulfill his . . . parental
    duties, to the child’s right to have proper parenting and fulfillment
    of his . . . potential in a permanent, healthy, safe environment. A
    parent cannot protect his parental rights by merely stating that he
    does not wish to have his rights terminated.
    
    Id. at 1120
     (citation omitted). Pertinently,
    In cases where there is no evidence of any bond between the
    parent and child, it is reasonable to infer that no bond exists. The
    extent of any bond analysis, therefore, necessarily depends on the
    circumstances of the particular case.
    In re K.Z.S., 
    946 A.2d 753
    , 762-63 (Pa. Super. 2008).
    - 18 -
    J-S18017-21
    Here, regarding section 2511(b), the trial court reasoned:
    Mother has been only minimally compliant with supervised
    visitation throughout the life of the case. [N.T. at 66, 74-75, 80,
    95.] Mother was minimally compliant until October 2020, since
    when [sic] she missed two weekly visits. [N.T. at 66, 74-75.]
    Prior to October 2020, Mother was routinely inconsistent and
    noncompliant. Mother would miss visits, show up late, and fail to
    confirm visits, without any explanation. [N.T. at 66.] For the life
    of case, Mother never graduated beyond weekly supervised visits
    at [DHS] with Child. [N.T. at 67.] Mother’s behavior during
    visitations remained very concerning throughout the case. Unsafe
    feeding practices and other behavior continued through
    supervised visits. Mother needed a lot of re-direction in order to
    keep Child safe. [N.T. at 67.] While Mother shows affection
    toward Child, she becomes easily upset and irritated if Child cries
    or screams and [she] is unable to calm Child. [N.T. at 66-67.]
    Mother and Child needed to be monitored every 15 minutes . . .
    at Northern and Mother has failed to learn safe parenting
    practices. The CUA Case Manager believed Mother does not have
    adequate understanding of Child’s developmental needs and so
    could not move toward unsupervised visits. [N.T. at 67.] The
    CUA Case Manager noted that Child is “very, very bonded to the
    foster parent” and becomes upset with Mother because he is not
    with the people he primarily knows, the foster parents. [N.T. at
    67.] The CUA Case Manager testified that Child cannot be safely
    returned to Mother. [N.T. at 73.] It would be harmful to remove
    Child from their [sic] current caregiver and return him to Mother.
    [N.T. at 73.]
    Child has been in foster care placement since birth and the
    trial court found that there is no parental bond between Child and
    Mother. [N.T. at 67-68, 96-97.] Because there is no apparent or
    beneficial bond to preserve, it is in Child’s best interest to
    terminate Mother’s parental rights and so be freed for adoption.
    [N.T. at 67-68, 96-97.] Due to Mother’s inconsistent participation
    in supervised visits, Mother has not created a parental bond with
    Child. The record establishes by clear and convincing evidence
    that termination would not sever an existing and beneficial
    relationship with Mother. Mother is unable to provide stability to
    Child and does not have a parental bond with Child. Mother is
    unable to meet Child’s basic needs or provide safety. [N.T. at 67.]
    Trial Ct. Op. at 17-18 (paragraph break added).
    - 19 -
    J-S18017-21
    The competent evidence in the record supports the trial court’s
    determination that termination of Mother’s parental rights would serve Child’s
    best interests. The trial court credited Ms. Mills’ testimony that Child is “very,
    very bonded to the foster parent,” and Child views her as his parent figure.
    See N.T., 1/22/21, at 67, 71. Ms. Mills testified further that Mother does not
    have an adequate understanding of Child’s developmental needs. Id. at 67.
    Contrary to Mother’s contentions, Dr. Russell and Ms. Mills provided ample
    testimony in support of their opinions regarding Child’s relationship with
    Mother. This is especially true given Child’s young age and the fact that he
    has spent most of his life in foster care. In re Adoption of M.A.B., 
    166 A.3d 434
    , 449 (Pa. Super. 2017) (“The court should specifically consider that a child
    develops a meaningful bond with a caretaker when the caretaker provides
    stability, safety, and security regularly and consistently to the child over an
    extended period of time.”).
    The trial court appropriately considered Child’s need for safety and
    stability and determined that termination of Mother’s parental rights best met
    Child’s needs and welfare. After careful review, we find there is competent
    evidence of record that supports the trial court’s decision that termination is
    appropriate pursuant to section 2511(b). We do not discern an error of law
    or abuse of discretion.
    - 20 -
    J-S18017-21
    IV. Permanency Goal Change to Adoption
    We address Mother’s final two issues together as they are related. She
    argues that the trial court erred, with respect to both its goal change and
    termination decisions because, Mother contends, DHS failed to assist her or
    make “reasonable efforts” with respect to her intellectual and developmental
    disabilities. Mother also asserts the trial court “was unsympathetic . . . to
    providing [her] with any more ‘ample time and opportunity;’” she reasons that
    the “mere passage of time — without reasonable efforts . . . to assist [her] —
    cannot suffice.” Mother’s Brief at 25. For example, with respect to her visits
    with Child, Mother avers there was “no indication that she was offered any
    assistance in keeping organized, keeping a calendar, and managing her
    affairs.” Id. at 27. Finally, Mother claims she was denied a full opportunity
    at the termination hearing to cross examine Dr. Russell, who had performed
    the “Parenting Capacity Evaluation.” Id. at 26. Mother points out Dr. Russell’s
    testimony, “I think the biggest issue there is finding [Mother] help.” Id. We
    conclude no relief is due.
    We address these issues mindful of the following.
    [T]he standard of review in dependency cases requires an
    appellate court to accept the 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. Accordingly, we
    review for an abuse of discretion.
    In re R.J.T., 
    9 A.3d 1179
    , 1190 (Pa. 2010) (citation omitted).
    Moreover, we have stated:
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    J-S18017-21
    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.
    Interest of D.P., 
    972 A.2d 1221
    , 1225 (Pa. Super. 2009) (citation omitted).
    Further, we have instructed:
    Pursuant to [42 Pa.C.S.A.] § 6351(f) of the Juvenile Act, when
    considering a petition for a goal change for a dependent child, the
    juvenile court is to consider, inter alia: (1) the continuing
    necessity for and appropriateness of the placement; (2) the extent
    of compliance with the family service plan; (3) the extent of
    progress made towards alleviating the circumstances which
    necessitated the original placement; (4) the appropriateness and
    feasibility of the current placement goal for the children; (5) a
    likely date by which the goal for the child might be achieved; (6)
    the child’s safety; and (7) whether the child has been in placement
    for at least fifteen of the last twenty-two months. The best
    interests of the child, and not the interests of the parent, must
    guide the trial court. As this Court has held, “a child’s life simply
    cannot be put on hold in the hope that the parent will summon
    the ability to handle the responsibilities of parenting.”
    In re A.B., 
    19 A.3d 1084
    , 1088-89 (Pa. Super. 2011) (citations omitted).
    As stated above,
    “[A] child’s life cannot be held in abeyance while a parent attempts
    to attain the maturity necessary to assume parenting
    responsibilities.    The court cannot and will not subordinate
    indefinitely a child’s need for permanence and stability to a
    parent’s claims of progress and hope for the future.”
    In re Adoption of R.J.S., 
    901 A.2d at 513
    .
    In its opinion, the trial court found DHS and CUA made reasonable
    efforts to reunify Mother and Child and assist Mother with her developmental
    and disability needs:
    - 22 -
    J-S18017-21
    . . . . DHS and CUA have indeed made reasonable efforts in this
    case. The docket reflects that the trial court found reasonable
    efforts were made in this case from March 4, 2019, up until the
    termination on January 22, 2021. At the termination trial [in]
    January 2021, Child had been in placement since birth for twenty-
    two months. [N.T. at 96-97.] The docket reflects that Mother had
    been ordered and the CUA Case Manager made the necessary
    referrals for ARC services, dual diagnosis assessment, supervised
    visits, and assisted Mother with mental health.
    The CUA Case Manager had been working with Mother and
    Child for the life of the case. [N.T. at 46.] Mother had originally
    been committed to DHS on her own, as a minor, [in] September
    2018, prior to the birth of Child. [N.T. at 48.] The CUA Case
    Manager testified that when Mother turned 18, her commitment
    was discharged due to Mother often being AWOL from placement
    and refusing services. [N.T. at 48-49.] After Mother’s discharge,
    she still refused services while in a mother-baby program at
    Northern and was “302”[5] due to erratic behavior, which as the
    CUA Case Manager testified, was one of the reasons the OPC for
    Child was initially obtained. [N.T. at 49.]The CUA Case Manager
    testified that Mother AWOL’d from multiple facilities after being
    302 [sic]. [N.T. at 52-53.]
    Mother was informed that after age 18, she could continue
    under DHS care through a board extension but [she] refused as
    “there was too many rules and regulations.” [N.T. at 53.] The
    CUA Case Manager, despite Mother’s inconsistency, would do
    video calls, phone calls, and in-person visits. The CUA Case
    Manager would provide resources for Mother, by highlighting
    bullet points, and giving verbal explanations of expectations to
    her. The CUA Case Manager would check-in with Mother’s
    therapist monthly to check on Mother’s attendance. [N.T. at 54.]
    Mother would tell the CUA Case Manager she was consistent in
    attending her weekly therapy, but the therapist indicated
    otherwise. [N.T. at 55-56.] When the CUA Case Manager
    discussed improving attendance in therapy and potential barriers
    ____________________________________________
    5 See Mental Health Procedures Act (Act), 50 P.S. §§ 7101-7503.  See also
    50 P.S. § 7302 (regarding involuntary emergency examination and treatment
    authorized by a physician.)
    - 23 -
    J-S18017-21
    or assistance Mother may need to do so, Mother would argue she
    did not need therapy. [N.T. at 55-56.]
    Mother was also recommended for targeted case
    management, a higher level of case management, which she
    began but did not complete due to inconsistency and
    noncompliance. [N.T. at 57.] The CUA Case Manager testified
    she had worked with the [A]gency’s Community Behavioral Health
    representative regarding intellectual disability services Mother
    could receive upon turning 18 years old. Mother refused these
    services, arguing she “was tired of people putting things in her
    head that didn’t belong there” and people were “trying to call her
    slow”, which Mother believed was incorrect. [N.T. at 59-60.]
    Testimony indicated that in order to receive intellectual
    disability services, Mother needed an original birth certificate, so
    the CUA Case Manager obtained one for [her. N.T. at 60.] Mother
    still needed her Social Security card, and so the CUA Case
    Manager connected Mother with the Homeless Advocacy Project
    and with the Achieving Independence Center (“AIC”), both of
    whom have been attempting to help Mother obtain her Social
    Security card for a full year. [N.T. at 60-61.] They also applied
    for Social Security disability benefits on behalf of Mother, but the
    application was denied based on Mother’s inconsistency in mental
    health treatment. An application was resubmitted. [N.T. at 60-
    61.]
    Along with refusal or inconsistency and noncompliance with
    mental health services, Mother also refused housing services. In
    the six months preceding the January 2021 termination, Mother
    had three different addresses on record. [N.T. at 61.] The CUA
    Case Manager and AIC discussed with Mother multiple times the
    possibility of DHS reentry through Act 91 and stabilizing her
    housing in this manner, but Mother consistently rejects viable
    options. [N.T. at 62-63.] The CUA Case Manager also testified
    that [DHS] was unable to help Mother submit a PHMC [Public
    Health Management Corporation] housing grant application unless
    Mother had suitable employment.          Mother did not obtain
    employment until December 2020. [N.T. at 78-79.] Mother was
    also noncompliant with the parenting program. [N.T. at 65.]
    Despite ARC services performing extensive outreach to Mother,
    she did not complete her parenting program. [N.T. at 65.] Mother
    was also noncompliant and inconsistent with visitation services.
    The CUA Case Manager testified to popping in on supervised visits
    - 24 -
    J-S18017-21
    if Mother showed up; however, Mother was inconsistent and would
    “show up late or she wouldn’t confirm at all.” [N.T. at 51, 66.]
    Mother was offered services for the life of this case, and prior
    to Child’s birth, but refused services or was noncompliant and
    inconsistent. Mother’s assertion of lack of reasonable efforts by
    DHS and the CUA Case Manager lacks merit both factually and
    based on the case law of this Commonwealth.
    Trial Ct. Op. at 19-20 (paragraphs breaks added).
    The trial court also credited Dr. Russell’s testimony with respect to
    providing additional services to Mother:
    [She has a] rather immature appreciation for the fact that she has
    some problems that need to be addressed.
    She tends to minimize and pretend that she has no problems,
    and that she really doesn’t have a mood disorder, and that she
    can get herself along okay, that she can provide adequate care
    and safety for her child.
    . . . I think the biggest issue there is finding [Mother] help in
    addressing and understanding that she does have problems, and
    that they do require ongoing, long-term support in order for her
    to develop the ability to provide an environment that would be
    safe.
    See N.T., 1/22/21, at 24-25.
    Ms. Mills recounted an extensive history of Mother’s refusal to
    consistently cooperate with services. Ms. Mills indicated that Mother was often
    dishonest regarding her compliance with services. N.T., 1/22/21, at 56. Ms.
    Mills testified at length to the programs and services that were offered to
    Mother, and Mother’s repeated noncompliance.          Id. at 51, 62-63, 65-66.
    Notably, at the termination hearing, when asked if Mother would like more
    intensive therapy services, Mother responded, “[T]o be honest, I really feel
    - 25 -
    J-S18017-21
    like I don’t really need it because I don’t have issues like how I had before
    [when I was a minor].” Id. at 91.
    After a careful review, we conclude the record supports the trial court’s
    determinations. The record demonstrates that Mother was not able to provide
    appropriate parental care or control for Child at the time of the goal change
    order, and that it would be in Child’s best interest to be adopted by his foster
    parent. Thus, the trial court did not abuse its discretion or err as a matter of
    law in concluding that Child’s life should not remain on hold indefinitely and
    determining that a goal change to adoption would be in his best interest. See
    In re Adoption of R.J.S., 
    901 A.2d at 513
    . See also T.S.M., 
    71 A.3d 251
    ,
    269 (Pa. 2013) (stressing the need to expedite the placement of dependent
    children “in permanent, safe, stable, and loving homes”).
    Accordingly, as we find that the trial court did not commit an error of
    law or an abuse of discretion in terminating Mother’s parental rights to Child
    pursuant to 23 Pa.C.S. § 2511(a)(2) and (b), we affirm the termination
    decree, as well as the order changing Child’s permanent placement goal to
    adoption.
    Decree and order affirmed.
    - 26 -
    J-S18017-21
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 8/6/2021
    - 27 -
    

Document Info

Docket Number: 473 EDA 2021

Judges: McCaffery

Filed Date: 8/6/2021

Precedential Status: Non-Precedential

Modified Date: 11/21/2024