IN THE COURT OF APPEALS OF IOWA
No. 14-1159
Filed January 14, 2015
IN THE INTEREST OF C.C.,
Minor Child,
T.C., Father,
Appellant.
________________________________________________________________
Appeal from the Iowa District Court for Poweshiek County, Rose Anne
Mefford, District Associate Judge.
A father appeals from the juvenile court’s adjudicatory order dismissing
child-in-need-of-assistance proceedings. AFFIRMED.
Jane Odland of Odland Law Firm, Newton, for appellant father.
Thomas J. Miller, Attorney General, Bruce Kempkes, Assistant Attorney
General, and Rebecca Petig, County Attorney, for appellee State.
Dennis McKelvie, Grinnell, attorney and guardian ad litem for minor child.
Considered by Danilson, C.J., and Doyle and Tabor, JJ.
2
DOYLE, J.
A father appeals from the juvenile court’s adjudicatory order dismissing
child-in-need-of-assistance proceedings. We affirm.
I. Background Facts and Proceedings
C.C. was born in October 2002. C.C. has significant medical issues,
including a seizure disorder and behavioral problems, which require medical care
and near-constant supervision and attention. C.C.’s mother, a registered nurse,
is primarily responsible for C.C.’s care, including taking her to medical
appointments and following through with her day-to-day care. The mother also
cares for C.C.’s four older brothers, whose interests are not at issue here.
The Iowa Department of Human Services (DHS) became involved with
this family in the spring 2013, following reports of C.C. not receiving proper
medical care. The mother agreed to receipt of voluntary services from DHS.
DHS initiated a child abuse assessment, which resulted in a founded report of
denial of critical care: failure to provide adequate health care. However, the
report found the child was safe in the mother’s home, and recommended DHS
services to monitor the family and assure C.C.’s medical needs were being met.
The mother appealed the founded report, and it was subsequently reversed by
an administrative law judge. Meanwhile, the mother cooperated in DHS services.
Two subsequent DHS investigations resulted in unconfirmed reports of failure to
provide supervision and denial of critical care.
In October 2013, the State filed a petition alleging the child was in need of
assistance (CINA) pursuant to Iowa Code section 232.2(6)(b), (c)(2), and (n)
3
(2013).1 A contested adjudicatory hearing was held over three days in
November 2013, and February and March 2014. The mother sought dismissal of
the petition, claiming the State failed to prove by clear and convincing evidence
facts to support adjudication of the child as CINA under any of the legal grounds
raised. The mother testified at length with regard to C.C.’s medical needs and
care. In her testimony, the mother acknowledged an incident in which she had
engaged in self-harm by cutting her leg, after a particularly stressful night of
being up with C.C. who was having nocturnal seizures. The mother testified she
was seeing a therapist to address her mental health needs. The mother further
testified about changing medical care providers for C.C. because she did not
agree with a provider’s recommendations for C.C. The mother was questioned
about a number of missed appointments and proffered reasons she had to
reschedule those appointments.
The family’s DHS caseworker acknowledged the mother had missed
appointments for C.C., but testified the mother was always forthcoming with the
reasons why she had to reschedule or cancel the appointments. The caseworker
further testified the mother was generally committed to providing for the care and
welfare of C.C.
1
Section 232.2(6)(b) involves a child “[w]hose parent, guardian, other custodian, or other
member of the household in which the child resides has physically abused or neglected
the child, or is imminently likely to abuse or neglect the child.” Section 232.2(6)(c)(2)
involves a child “[w]ho has suffered or is imminently likely to suffer harmful effects as a
result of . . . [t]he failure of the child’s parent, guardian, custodian, or other member of
the household in which the child resides to exercise a reasonable degree of care in
supervising the child.” Section 232.2(6)(n) involves a child “[w]hose parent’s or
guardian’s mental capacity or condition, imprisonment, or drug or alcohol abuse results
in the child not receiving adequate care.” Iowa Code § 232.2(6)(n).
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The guardian ad litem filed a report and recommendation with the court in
April 2014. The GAL did not opine as to whether the record supported legal
grounds for adjudication, but stated, “It appears that [the mother], under difficult
circumstances, is doing everything possible to obtain appropriate medical
care. . . . While there is some evidence [the mother] has certain emotional and,
perhaps, mental health issues, under the circumstances she performs admirably
in taking care of [C.C.] and the teenage boys.” The GAL further observed,
“There are ongoing visitation complaints and complaints regarding the accuracy
of reporting and medical care from [the father]. These matters are collateral to
the issue at hand, and are appropriately handled in District Court where custody
and visitations orders are in place.”
In July 2014, the juvenile court issued its adjudicatory order dismissing the
State’s petition. The court determined the State failed to present clear and
convincing evidence to show C.C. was a CINA under Iowa Code section
232.2(6)(b), (c)(2), or (n). The father appeals.2
II. Scope and Standard of Review
We conduct a de novo review of CINA proceedings de novo. In re J.S.,
846 N.W.2d 36, 40 (Iowa 2014). “In reviewing the proceedings, we are not
bound by the juvenile court’s fact findings; however, we do give them weight.” Id.
Our primary concern is the best interests of the child. Id. “CINA determinations
must be based upon clear and convincing evidence.” Id. at 41.
2
Neither the State nor the child’s guardian ad litem appealed the order.
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III. Discussion
On appeal, the father contends the juvenile court should have adjudicated
the child in this case CINA, alleging the State met its burden in proving the
grounds alleged in the CINA petition under section 232.2(6)(b), (c)(2), and (n).
We disagree.
Upon our de novo review, we conclude the juvenile court did not err in
dismissing the CINA petition. “If the court concludes facts sufficient to sustain a
petition have not been established by clear and convincing evidence or if the
court concludes that its aid is not required in the circumstances, the court shall
dismiss the petition.” Iowa Code § 232.96(8). Here, the court determined the
State had not shown sufficient facts to sustain the petition or that further aid of
the juvenile court was required, explaining:
C.C. has significant medical issues for which she has been under
the care of a Pediatric Endocrinologist and Neurologist. C.C.’s
mother is primarily responsible for C.C.’s care including medical
appointments and follow through. Mother had differing opinions on
C.C.’s course of treatment and as a result mother’s relationship
with C.C.’s [provider] Dr. Joshi broke down during 2013. Mother
sought treatment for C.C. elsewhere. Mother is often overwhelmed
with C.C.’s behavior and medical needs. C.C. is now under the
care of medical professionals from MINCEP in St. Paul Minnesota
for her medical needs. On a Sunday in mid-May of 2013 at
approximately midnight, mother went into the bathroom of the
family home and proceed to self-harm by cutting on her own leg
with a scalpel. C.C. was asleep during mother’s cutting incident.
Child, J.C. (not a subject of this petition) encountered mother
engaging in the cutting behavior. Mother engaged in the cutting “to
relieve stress.” Mother has a therapist for mother’s mental health
issues. Mother addressed the cutting incident with mother’s
therapist. Mother has engaged in self-harm behavior in the past
when under significant stress, the most recent incident occurring
approximately 8 years prior to the current (May 2013) incident.
The Petitioner has failed to establish by clear and convincing
evidence that C.C. is a child in need of assistance under Iowa Code
section 232.2(6)(b). There was no evidence that the child’s parent
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physically abused or neglected the child or was imminently likely to
do so. Petitioner has failed to establish by clear and convincing
evidence that C.C. is a child in need of assistance under Iowa Code
section s 232.2(6)(c)(2) and (n). While mother’s self-harming
behavior is troublesome and indicative of continued mental health
concerns regarding mother, as is the fact that mother is often
overwhelmed with C.C.’s behavior and needs, these issues have
not resulted in C.C. receiving less than adequate care, nor has C.C.
suffered harmful effects or been imminently likely to suffer harmful
effects as a result of mother’s failure to exercise a reasonable
degree of care in supervising C.C. The Petition should be
dismissed.
(Emphasis added.) Under the circumstances of this case, we agree with the
assessment of the juvenile court that the legal grounds for adjudication were not
shown. We therefore affirm the juvenile court’s dismissal of the CINA petition.
AFFIRMED.