[Cite as In re J.R., 2019-Ohio-1151.]


STATE OF OHIO                     )                   IN THE COURT OF APPEALS
                                  )ss:                NINTH JUDICIAL DISTRICT
COUNTY OF SUMMIT                  )

IN RE: J.R.                                           C.A. No.      29086



                                                      APPEAL FROM JUDGMENT
                                                      ENTERED IN THE
                                                      COURT OF COMMON PLEAS
                                                      COUNTY OF SUMMIT, OHIO
                                                      CASE No.   DN 17-09-0752

                                  DECISION AND JOURNAL ENTRY

Dated: March 29, 2019



        HENSAL, Judge.

        {¶1}     Appellant Father appeals the judgment of the Summit County Court of Common

Pleas, Juvenile Division, that adjudicated his child dependent. This Court affirms.

                                                 I.

        {¶2}     Father and Mother are the biological parents of J.R. (d.o.b. 4/13/14). After J.R.

was born with opiates in his system, Summit County Children Services Board (“CSB” or “the

agency”) filed a complaint alleging that the child was abused and dependent.            J.R. was

adjudicated an abused and dependent child in case number DN 14-05-293. He was reunified

with his parents in August 2015. The agency filed two additional cases in late 2016 and early

2017, both of which were later dismissed.

        {¶3}     In late June 2017, the Akron Police Department received a request to conduct a

welfare check of the child at Mother’s home.          Based on the officer’s observations of the

conditions in the home, he took J.R. into custody pursuant to Juvenile Rule 6. CSB requested
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and obtained an emergency order of temporary custody of the child to his maternal uncle under

the protective supervision of the agency. CSB filed a complaint but dismissed it when the matter

could not be heard for adjudication and initial disposition within the required statutory time

period.

          {¶4}   CSB refiled its complaint, alleging that J.R. was a neglected and dependent child.

The agency obtained a second ex parte emergency order placing the child with his maternal

uncle under CSB’s protective supervision. At the shelter care hearing, Mother and Father

stipulated that there was probable cause for the removal of the child and agreed to emergency

temporary custody to a relative with protective supervision by CSB. Both parents were granted

supervised visitation.

          {¶5}   On the first day of the adjudicatory hearing, Father objected to the admission of

testimony by the child’s physician on the basis of physician-patient privilege. The magistrate

ordered the parties to brief the issue of whether testimony by the child’s physician was privileged

communication that was inadmissible.        Father and CSB filed their respective briefs.      The

magistrate issued an order overruling Father’s objection to the admission of J.R.’s physician’s

testimony. No party filed a motion to set aside the magistrate’s order.

          {¶6}   The magistrate heard additional evidence on the second day of the adjudicatory

hearing.     The matter thereafter proceeded immediately to disposition.        Subsequently, the

magistrate issued a decision again noting Father’s objection to the physician’s testimony and

stating that the testimony was admissible for purposes of adjudication. The magistrate dismissed

both allegations of neglect and one of two allegations of dependency, but found J.R. to be a

dependent child as to the remaining dependency allegation pursuant to Revised Code Section

2151.04(C). In addition, the magistrate placed J.R. in the temporary custody of the maternal
                                                  3


uncle under the protective supervision of CSB, adopted the case plan as the order of the court,

and found that the agency had made reasonable efforts to prevent the continued removal of the

child from his home. Father and Mother were granted supervised visitation. The juvenile court

adopted the magistrate’s decision the same day.

       {¶7}     Father and Mother filed their respective objections and briefs in support. CSB

responded in opposition. While the objections were pending, a maternal cousin filed a motion

for legal custody of J.R. CSB also filed a motion to modify the disposition to temporary custody

of the maternal cousin under protective supervision of the agency. Father and Mother agreed to

an interim order placing J.R. in the temporary custody of the maternal cousin under CSB’s

protective supervision pending resolution of the objections.

       {¶8}     The juvenile court issued a judgment in which it overruled Father’s and Mother’s

objections, adjudicated J.R. a dependent child pursuant to Revised Code Section 2151.04(C),

placed the child in the temporary custody of the maternal uncle under CSB’s protective

supervision, and adopted the case plan as the order of the court. In addition, the juvenile court

concluded that Father had no standing to assert the physician-patient privilege on behalf of the

child and, therefore, considered the testimony of J.R.’s physician with regard to the child’s

adjudication.   The juvenile court found that the magistrate had made a reasonable efforts

determination and made its own supported finding of reasonable efforts. Father filed a timely

appeal in which he raises three assignments of error for review.

                                                II.

                                 ASSIGNMENT OF ERROR I

       THE TRIAL COURT COMMITTED REVERSIBLE ERROR IN FINDING
       THAT THE BIOLOGICAL PARENTS LACKED STANDING TO ASSERT
       THE PHYSICIAN-PATIENT PRIVILEGE UNDER [REVISED CODE
                                                4


       SECTION] 2317.02(B)(1) ON BEHALF OF THEIR CHILD AT THE
       ADJUDICATORY HEARING.

       {¶9}    Father argues that the juvenile court erred when it concluded that parents lack

standing to assert the physician-patient privilege on behalf of their child at an adjudicatory

hearing.   Because Father has not shown how he was prejudiced by the admission of the

physician’s testimony, any error by the juvenile court was harmless.

       {¶10} In this case, Father objected to the admission of testimony by the child’s pediatric

nephrologist at the adjudicatory hearing. The juvenile court summarily rejected his challenge for

lack of standing. Assuming, without deciding, that the trial court erred by concluding that Father

did not have standing to challenge the admissibility of the physician’s testimony, the court’s

ruling constituted harmless error.

       {¶11} The physician’s testimony was not considered to prove that J.R. had been abused

or neglected. Rather, the testimony provided context for the circumstances and special needs of

the child, relevant to his condition and environment. In that regard, Father himself admitted to

the agency caseworker that he understood the severity of the child’s diagnosis. In fact, Father

admitted that the gravity of J.R.’s medical condition and the intricacies of his treatment were so

overwhelming that Father fled and sought refuge in drugs like heroin and methamphetamine. In

addition, the caseworker testified that Mother discussed the child’s medical diagnosis and

required care with her in great detail. Mother’s sister testified at the adjudicatory hearing and

also described the child’s serious medical condition and detailed treatments and disease

management. There was no objection to any such lay testimony.

       {¶12} The physician’s testimony relating to the child’s medical condition and treatments

was merely cumulative of evidence adduced from other witnesses’ testimony. Accordingly,

Father has not demonstrated how he was prejudiced by the admission of the physician’s
                                                   5


testimony. Any error in the admission of the physician’s testimony was, therefore, harmless.

Father’s first assignment of error is overruled.

                                 ASSIGNMENT OF ERROR II

       THE TRIAL COURT COMMITTED REVERSIBLE ERROR WHEN IT
       FOUND THE CHILD TO BE A DEPENDENT CHILD PURSUANT TO
       [REVISED CODE SECTION] 2151.04(C), AS THAT FINDING WAS
       AGAINST THE MANIFEST WEIGHT OF THE EVIDENCE.

       {¶13} Father argues that the juvenile court’s finding that J.R. was a dependent child is

against the manifest weight of the evidence. This Court disagrees.

       {¶14} Juvenile abuse, neglect, and dependency cases are initiated by the filing of a

complaint. See Juv.R. 22(A); Juv.R. 10; R.C. 2151.27(A). The complaint is “the legal document

that sets forth the allegations that form the basis for juvenile court jurisdiction.” Juv.R. 2(F).

The juvenile court must base its adjudication on the evidence adduced at the adjudicatory hearing

to support the allegations in the complaint. See In re Hunt, 46 Ohio St.2d 378, 380 (1976). If

allegations in the complaint are not proved by clear and convincing evidence at the adjudicatory

hearing, the juvenile court must dismiss the complaint. Juv.R. 29(F); R.C. 2151.35(A)(1). Clear

and convincing evidence is that which will “produce in the mind of the trier of facts a firm belief

or conviction as to the facts sought to be established.” (Internal quotations omitted.) In re

Adoption of Holcomb, 18 Ohio St.3d 361, 368 (1985), quoting Cross v. Ledford, 161 Ohio St.

469 (1954), paragraph three of the syllabus.

       {¶15} This Court reviews as follows:

       In determining whether the juvenile court’s adjudication of dependency is against
       the manifest weight of the evidence, this court [reviews] the entire record, weighs
       the evidence and all reasonable inferences, considers the credibility of witnesses
       and determines whether in resolving conflicts in the evidence, the [trier of fact]
       clearly lost its way and created such a manifest miscarriage of justice that the
       [adjudication] must be reversed[.]
                                                 6


(Alterations sic.) In re R.L., 9th Dist. Summit No. 28387, 2017-Ohio-4271, ¶ 8, quoting In re

C.S., 9th Dist. Summit No. 26178, 2012-Ohio-2884, ¶ 5, quoting In re A.W., 195 Ohio App.3d

379, 2011-Ohio-4490, ¶ 8 (9th Dist.).

        {¶16} Father challenges the finding that J.R. is dependent pursuant to Revised Code

Section 2151.04(C), which defines a “dependent child” as one “[w]hose condition or

environment is such as to warrant the state, in the interests of the child, in assuming the child’s

guardianship[.]” The crucial subsection (C) inquiry is whether there is evidence “of conditions

or environmental elements that were adverse to the normal development of the child.” (Internal

quotations omitted.) In re I.T., 9th Dist. Summit Nos. 27513, 27560, and 27581, 2016-Ohio-555,

¶ 32, quoting In re C.S., 9th Dist. Summit No. 26178, 2012-Ohio-2884, ¶ 11, quoting In re A.C.,

9th Dist. Wayne Nos. 03CA0053, 03CA0054, and 03CA0055, 2004-Ohio-3248, ¶ 14.                    In

addition,

        [a] dependency finding under [Revised Code Section] 2151.04(C) does not
        require specific parental fault; rather the focus is on the child’s situation to
        determine whether the child is without proper or adequate care or support. In re
        R.P., 9th Dist. Summit No. 26836, 2013-Ohio-5728, ¶ 19. “The conduct of the
        parent is relevant only insofar as it forms a part of the child[ ]’s environment and
        it is significant only if it has a detrimental impact on [him].” In re A.C. at ¶ 14,
        citing In re Burrell, 58 Ohio St.2d 37, 39 (1979). This Court has held that a
        parent’s mental health is directly related to a child’s environment and may
        properly be considered in determining whether state intervention is thereby
        warranted. In re J.C., 9th Dist. Summit Nos. 26229 and 26233, 2012-Ohio-3144,
        ¶ 21.

In re I.T. at ¶ 32.

        {¶17} In this case, the clear and convincing evidence established that J.R.’s condition or

environment warranted the state to assume his guardianship in the child’s best interest, at the

time the agency filed its complaint. Father asserts that the juvenile court was only permitted to

consider evidence regarding allegations in the prior complaint filed in late June 2017, in case
                                                7


number DN 17-06-491. CSB dismissed that complaint due to statutory time constraints. The

agency could have decided not to re-file its complaint. However, based on the evolution of

circumstances in the interim, CSB filed the instant complaint on September 26, 2017, in which it

alleged additional concerns. As that was the complaint before the juvenile court, it properly

considered evidence regarding allegations up to that date.

       {¶18} In late June 2017, the Akron Police Department received a call to conduct a

welfare check on J.R. in the home where he and Mother were living. Officer Jason Beck arrived

to observe Father bathing the child and preparing chicken nuggets. The home was somewhat

messy, but the officer was particularly concerned about a bottle of household cleaner on the

bathroom floor which would have been accessible to the three-year old child, as well as

uncapped syringes on a table. Although the syringes were for medical use, rather than illicit drug

use, the officer was concerned that they posed a safety concern for a young child who could be

punctured and exposed to contamination.        During the officer’s safety assessment, Father

disclosed that he was homeless and staying in a shelter, and that Mother was then in jail.

Because of the perceived physical hazards in the home, as well as uncertainty as to whether

Father was lawfully in the home, the officer took J.R. into custody pursuant to Juvenile Rule 6.

       {¶19} CSB has been involved with Mother and Father on multiple prior occasions based

on concerns for the parents’ drug use, particularly relating to heroin, as well as mental health

concerns based on erratic behavior by Mother. At the team decision meeting after the child’s

removal by police, Father made admissions that caused concerns regarding the child’s

environment. Father admitted that he had just been released from jail four days prior to the

police officer’s welfare check on charges involving possession of heroin and aggravated

possession of drugs. Father admitted that he was a frequent heroin user for over five years and
                                                   8


that he had a history involving other drugs including methamphetamine as well. In fact, J.R. was

initially removed from his parents’ care after being born addicted to opiates during a time when

both Mother and Father were using heroin. Father admitted a history of drug relapses, most

significantly in September 2016, when he first learned of J.R.’s diagnosis of nephrotic kidney

disease. Due to the stress of the child’s diagnosis, Father admitted running off and using drugs

from September 2016 until he was arrested in April 2017.

        {¶20} As the caseworker maintained contact with the family after the child’s June 2017

removal, she became concerned regarding “[u]ncharacteristic” behavior by Mother, who laughed

as she explained a fascination with a home where Mother continued to trespass. For example,

Mother was compelled by the home’s unique doorbell to ring it repeatedly and driven to jump a

fence to sit on the patio furniture in the backyard. The caseworker was unsure whether Mother

was behaving oddly because of drug use, mental health issues, or both. Mother’s sister and uncle

verified additional instances of Mother’s unusual behavior. Both recounted Mother’s assertions

to them that a doctor had become obsessed with Mother, was stalking her, and leaving messages

for her on blimps and busses, while strangers lined the streets cheering for Mother to be with the

doctor. Mother’s sister testified that Mother pointed out a house that she claimed the doctor

purchased for her to live in with him after he divorced his wife. Mother’s sister learned that

Mother’s claims were not true. The caseworker’s concern about Mother’s erratic behavior was

that it was putting her at risk of not being able to care for J.R. because of the possibility of arrest.

In fact, there were warrants out for Mother as of September 2017, based on her trespassing at the

property.

        {¶21} Father accompanied Mother during her late-night criminal trespasses and was

thereafter arrested in mid-July 2017, on a probation violation. Father remained in jail until
                                                9


August 21, 2017, when he was transferred to Community Based Correctional Facility (“CBCF”)

for 30-90 days. Father admitted to the caseworker that he had many rule violations at CBCF for

insubordination, being late for classes, making crude jokes to staff, and pretending to shoot up

drugs.

         {¶22} Father further admitted to the caseworker that he overdosed earlier in July 2017,

stating, “My son wasn’t with me, so F it.” The caseworker characterized Father’s behavior as

“reckless” when, instead of making an effort to act responsibly to regain custody of his child

who had significant medical needs, Father was facing jail time for engaging in criminal mischief

and acting in a cavalier manner regarding drug use.

         {¶23} Both Mother and Father still lacked stable housing at the time of the adjudicatory

hearing. Mother informed the caseworker that she had been evicted in early September 2017.

Although she was staying with her mother as a guest in an assisted living facility, those

accommodations would not be suitable for a child and would not be a long-term solution for

Mother. Father was homeless when the child was initially removed. He shortly thereafter

returned to jail and was in CBCF at the time the complaint was filed.

         {¶24} Mother discussed J.R.’s medical diagnosis and treatments with the caseworker.

The child requires medications and periodic infusions for his nephrotic kidney disease. Father

also discussed the child’s diagnosis with the caseworker. In addition to kidney disease, the child

has blood pressure, heart, and thyroid issues. The child requires medications, a low sodium diet,

and limited fluid intake. Upon J.R.’s removal from Father’s care, the child was immediately

admitted to the hospital for health complications. Although the child needed weekly transfusions

prior to his removal, since his placement with relatives, J.R. has not required any hospital
                                                 10


admissions for transfusions.       Moreover, since his removal, the child has gone into partial

remission of his kidney disease.

       {¶25} Based on a review of the evidence, this is not the exceptional case where the

finder of fact clearly lost its way and created a manifest miscarriage of justice in adjudicating

J.R. a dependent child. J.R. requires consistent attention to his medical and dietary needs due to

his severe kidney disease. At three years old, the child was too young to self-protect or ensure

that his health needs were being met. Neither Mother nor Father had stable housing where the

child could safely reside. Both parents spent time in jail and/or another secured facility once

CSB became involved. Both parents continued to engage in reckless and/or erratic behaviors

which put their abilities to be present to care for the child at risk. Mother continued to have

active warrants when the complaint was filed. She expressed delusional thoughts to multiple

people and acted on her delusional thoughts in a criminal manner. Long-term substance abuse

was a problem for both parents. In fact, Father turned to drugs to cope with J.R.’s diagnosis, and

again after the child’s removal, at that time overdosing at work. Neither parent would be able to

provide the necessary supervision and care for the child while incarcerated or high on drugs.

The totality of the circumstances, including the parents’ housing instability, utilization of illicit

drugs as a coping mechanism, and erratic and reckless behaviors, demonstrates that J.R.’s home

environment created a substantial risk to his health and well-being. Accordingly, the clear and

convincing evidence established that J.R.’s condition and environment warranted the state, in the

interests of the child, in assuming his guardianship. For the foregoing reasons, the juvenile

court’s adjudication of J.R. as a dependent child was not against the manifest weight of the

evidence. Father’s second assignment of error is overruled.
                                                 11


                                 ASSIGNMENT OF ERROR III

       THE TRIAL COURT COMMITTED REVERSIBLE AND PLAIN ERROR IN
       FINDING THAT CHILDREN SERVICES MADE REASONABLE EFFORTS
       AT THE ADJUDICATORY HEARING.

       {¶26} Father argues that the juvenile court erred by finding at the adjudicatory hearing

that CSB had made reasonable efforts to prevent the removal of J.R. from his home. This Court

disagrees.

       {¶27} The magistrate made a finding, based on specific enumerated facts, that CSB

made reasonable efforts to prevent the continued removal of the child from his home. Although

Father initially objected to the magistrate’s finding of reasonable efforts without analysis, he

abandoned that argument in his objections brief and argued that the magistrate had failed to

make a reasonable efforts finding. “An objection to a magistrate’s decision must be ‘specific and

state with particularity all grounds for objection.’” In re B.P., 9th Dist. Summit Nos. 27541 and

27542, 2015-Ohio-4352, ¶ 15, quoting Juv.R. 40(D)(3)(b)(ii). Because Father failed to argue in

his objections that the evidence did not support a finding that CSB had used reasonable efforts,

he has forfeited that issue on appeal. In the absence of a proper objection, Father is limited to a

claim of plain error. In re B.P. at ¶ 18, citing Juv.R. 40(D)(3)(b)(iv).

       {¶28} In its final judgment, the juvenile court found:

       [R]easonable efforts were made to prevent the removal of the child from the
       home, including holding a Team Decision Meeting, consistent attempts to
       communicate with mother and father, gathering collateral information from
       service providers and others involved with the family, developing a case plan,
       making referrals for services, and visiting the child in his placement. Despite
       these efforts, return of the child at this time is contrary to his best interest and
       welfare due to parents’ lack of response or engagement.

       {¶29} The crux of Father’s argument is that the evidence adduced at the adjudicatory

hearing did not support the reasonable efforts finding. Because Father forfeited a challenge to
                                                12


the evidentiary finding and has not argued how the juvenile court’s reasonable efforts finding

prejudiced him, he has not demonstrated plain error. Father’s third assignment of error is

overruled.

                                                     III.

       {¶30} Father’s assignments of error are overruled. The judgment of the Summit County

Court of Common Pleas, Juvenile Division, is affirmed.

                                                                              Judgment affirmed.




       There were reasonable grounds for this appeal.

       We order that a special mandate issue out of this Court, directing the Court of Common

Pleas, County of Summit, State of Ohio, to carry this judgment into execution. A certified copy

of this journal entry shall constitute the mandate, pursuant to App.R. 27.

       Immediately upon the filing hereof, this document shall constitute the journal entry of

judgment, and it shall be file stamped by the Clerk of the Court of Appeals at which time the

period for review shall begin to run. App.R. 22(C). The Clerk of the Court of Appeals is

instructed to mail a notice of entry of this judgment to the parties and to make a notation of the

mailing in the docket, pursuant to App.R. 30.

       Costs taxed to Appellant.




                                                       JENNIFER HENSAL
                                                       FOR THE COURT
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CALLAHAN, P. J.
CARR, J.
CONCUR.


APPEARANCES:

NEIL P. AGARWAL, Attorney at Law, for Appellant.

SHERRI BEVAN WALSH, Prosecuting Attorney, and HEAVEN DIMARTINO, Assistant
Prosecuting Attorney, for Appellee.

AMBER CROWE, Attorney at Law, for Mother.

CHRISTINA BOLLMAN, Attorney for the CASA/Guardian ad Litem.
