J - S35045 - 16

NON - PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37 IN RE: INVOLUNTARY TERMINATION OF PARENTAL RIGHTS TO K.N. AND X.H. : : : IN THE SUPERIOR COURT OF

PENNSYLVANIA : : : : APPEAL OF: N.L.H., Biological Mother : No. 3654 EDA 2015

Appeal from the Decree November 6, 2015 in the Court of Common Pleas of Lehigh County, Orphans' Court at No(s): A2014 - 0058 & A2014 - 0059 BEFORE: FORD ELLIOTT, P.J.E., BENDER, P.J.E. and MUSMANNO, J. MEMORANDUM BY MUSMANNO, J. : FILED APRIL 29, 2016 N.L.H. (“Mot her”) appeals from the Decrees 1 granting the Petitions filed by the Lehigh County Office of Children and Youth Services (“CYS”) to involuntarily terminate her parental rights to her minor male children, K.N.,

1 Mother filed one appeal from two separate Decrees, each of which terminated her parental rights as to one child. Although filing one appeal from separate orders is generally discouraged, M other’s arguments regarding each child are identical and arise from the same set of facts. See Baker v. Baker , 624 A.2d 655, 656 (Pa. Super. 1993) (considering an appeal from separate orders where appellant’s arguments were identical and stemmed from the same factual precedent). Additionally, the trial court issued one Opinion to address both Decrees. See Dong Yuan Chen v. Saidi , 100 A.3d 587, 589 n.1 (Pa. Super. 2014) (stating that an appeal from two separate orders was not fatal where the trial court addressed the issues pertaining to both orders). Therefore, under these circumstances, this procedural error is not fatal to Mother’s appeal.J - S35045 - 16

- 2 -

born in May 2005, and X.H., born in November 20 07 (collectively, “Children”), pursuant to 23 Pa.C.S.A. § 2511(a)(1), (2), (5), (8) and (b). 2 , 3 In its Opinion, the trial court aptly summarized the factual and procedural history of this case, which we adopt for the purpose of this appeal. See Trial Co urt Opinion, 11/6/12, at 2 - 13. Relevantly, CYS received referrals regarding K.N.’s truancy, as well as concerns about Children’s hygiene, malnourishment, and emotional problems. After CYS filed Dependency Petitions, Mother placed Children with a relative . The Petitions were subsequently withdrawn. The relative subsequently became unable to care for Children, and Mother voluntarily placed Children in foster care in December 2012. Children were adjudicated dependent on January 8, 2013. After a hearing o n January 29, 2013, the trial court set reunification goals. Mother did not comply with most of the court - ordered services, and she did not cooperate regarding either Children’s or her own mental health services. Since the original foster care placemen t, Children have been moved several times, including multiple stays in a psychiatric hospital, therapeutic
2 CYS also filed Petitions to involuntarily terminate Mother’s parental rights to her twin daughters, born in August 2012. The twins were adjudicated dependent on September 4, 2013. On February 3, 2015, CYS filed withdrawals of the Petitions regarding the twin daughters. Ultimat ely, a Dependency Division Order was entered on September 22, 2015, authorizing the return of the twins to Mother, and the trial court permitted CYS to withdraw the Petitions regarding the twin daughters. 3 The trial court also involuntarily terminated th e parental rights of J.N., the father of K.N., and P.J. a/k/a J.P., the father of X.H.J - S35045 - 16

- 3 -

residential treatment placements, therapeutic foster home placements, and emergency room visits. Mother did not consistently visit with Children dur ing many of these placements, and she did not visit Children at all in more than a year prior to the final permanency review hearing. On September 24, 2014, CYS filed Involuntary Termination of Parental Rights (“ITPR”) Petitions against Mother under 23 Pa .C.S.A. § 2511(a)(1), (2), (5), (8), and (b). After a hearing, the trial court terminated Mother’s parental rights as to Children pursuant to 23 Pa.C.S.A. § 2511(a)(1), (2), (5), (8), and (b). Mother filed a timely Notice of Appeal and a Pennsylvania Rul e of Appellate Procedure 1925(b) Concise Statement. On appeal, Mother raises the following question for our review: Whether the trial court abused its discretion and committed an error of law by terminating Mother’s parental rights in finding that termination best meets the need[s] and welfare of [] Children[,] where the [trial] court failed to discern the effect that severance of the bond would have on [] Children[,] and where there is no permanent placement for [] Children[?] Mother’s Brief at 7. We review an appeal from the termination of parental rights in accordance with the following standard: In an appeal from an order terminating parental rights, our scope of review is comprehensive: we consider all the evidence presented as well as the tri al 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 sup port its findings. The trial judge’s decision is entitled to the same deference as a jury verdict.J - S35045 - 16

- 4 -

In re L.M. , 923 A.2d 505, 511 (Pa. Super. 2007) (citations omitted). Termination of parental rights is controlled by section 2511 of the Adoption Act. Se e 23 Pa.C.S.A. § 2511. The burden is upon the petitioner “to prove by clear and convincing evidence that its asserted grounds for seeking the termination of parental rights are valid.” In re R.N.J. , 985 A.2d 273, 276 (Pa. Super. 2009). “[C]lear and conv incing evidence is defined as testimony that is so clear, direct, weighty and convincing as to enable the trier of fact to come to a clear conviction, without hesitance, of the truth of the precise facts in issue.” Id. (citation and quotation marks omitte d). Further, the “trial court is free to believe all, part, or none of the evidence presented and is likewise free to make all credibility determinations and resolve conflicts in the evidence.” In re M.G. , 855 A.2d 68, 73 - 74 (Pa. Super. 2004). If the co mpetent evidence supports the trial court’s findings, “we will affirm even if the record could also support the opposite result.” In re Adoption of T.B.B. , 835 A.2d 387, 394 (Pa. Super. 2003). Satisfaction of any one subsection of Section 2511(a), along with consideration of Section 2511(b), is sufficient for the involuntary termination of parental rights. In re B.L.W. , 843 A.2d 380, 384 (Pa. Super. 2004) ( en banc ). In this case, Mother only challenges the trial court’s determination as to Section 2511( b), which states the following: § 2511. Grounds for involuntary termination. * * *J - S35045 - 16

- 5 -

(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 petiti on 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.A. § 2511(b). Mother argues that the trial court abused its discretion in granting the ITPR Petitions without properly considering the effect of severing the bond between Mother and Children. Mother’s Brief at 11, 12 - 14. Mother claims that the trial court failed to conduct a proper “best interests” analysis under Section 2511(b). Id. at 13. Further, Mother asserts that the trial court abused its discretion in granting the ITPR Petitions despite a lack of permanent placement for Children. Id. at 14 - 15. M other argues that even if her bond with Children is maladaptive, it is the only bond they have, and that bond should not be severed without a permanent placement. Id. The trial court set forth the relevant law regarding Section 2511(b), and determined th at it was in Children’s best interest to terminate Mother’s parental rights. See Trial Court Opinion, 11/6/15, at 19 - 21. Upon our review, the trial court appropriately applied Section 2511(b) to this case, and we adopt its Opinion for the purpose of this appeal. See id. Accordingly, the trial court did not err in granting the ITPR Petitions.J - S35045 - 16

- 6 -

Decrees affirmed. Judgment Entered.
Joseph D. Seletyn, Esq. Prothonotary Date: 4/29/2016

## ************

Joann Sallit Hull, Esquire on behalf of the minor children , . , __ Susan G. Maurer, Esquire on behalf of Fathers Catherine L. Kollet, Esquire on behalf ofN.L.H., Mother Glenn R. Smith, Esquire on behalf of Lehigh County Office of Children & Youth Services APPEARANCES: 

## ************ Assigned Judge : Douglas G. Reichley, J . Minors No.: A2014-0059 No.: A2014-0058 K.N. and X.H., In re: Involuntary Termination of Parental

- Rights t9

- :

_ ., , . · IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION



### 12 : 

## o s '"''!' ' Circulated 04/13/2016 11:51 AM2

Involuntary termination hearings wereoriginally scheduled 

## f or March 5 and 6, 2015, for all four minor children. Neither Mother nor her counsel appeared on March 5 due to inclement weather, and counsel for the fathers presented issues warranting continuance of the involuntary termination hearings regarding the fathers . Accordingly, the involuntary termination hearings were rescheduled to the next available date before the undersigned, July 17, 2015. Since the filing of the involuntary termination petitions regarding the four children, LCOCYS filed withdrawals of its petitions regarding two of the children on February 3, 2015 . These two children are three-year-old twin girls. The twin girls entered foster care within a few days of their birth and remained in the same foster home continuously. For the past several months, a different caseworker was involved with the twin girls than the caseworker who was assigned to work with the boys in the above-captioned matters. By Order entered February 11, 2015, these withdra wals were taken under advisement by the Court and remain under advisement per Order entered March 16, 2015. We note that counsel for LCOCYS has not filed an update in the Orphans' Court as directed in the March 16, 2015, Order. At the July 17, 2015 involuntary termination hearing , counsel for LCOCYS verbally reported to the undersigned that in the interim , upon the recommendation of counsel for LCOCYS and the caseworker assigned to the twin girls at the time, the Dependency Division decided the twin girls should be returned to Mother, with said transfer of care to occur on ! July 20, 2015. Apparently a Dependency Division Order was entered on Septemb er 22, 2015, authorizing the return of the twin girls to their mother. In light of that order, this Court will defer to the Dependency Division and will permit the agency to withdraw the §2511 petitions filed regarding the twin girls, whi c h to date had remained under ' advisement by this Court. date. each of the minors were involuntarily terminated pursuant to Final Decrees entered this 4. K.N.'s father is J.N., andX.H.'s father is P.J. a/k/a J.P. The parental rights of the father of 3. The mother ofK.N. and X.H . is N . L.H. ("Mother " ). 2. X.H. is a male child born on November 12, 2007; he is 7 years old. 1. K.N. is a male child born on May"30, 2005; h ei s 10 years old. FINDINGS OF FACT before the undersigned. 1 the involuntary petitions pertaining to the above-captioned minors was held on July 17, 2015, parental rights to four of her children, including the two above-captioned minors. The hearing on On September. 24, 2014, LCOCYS filed petitions to involuntarily terminate Mother ' s OPINION DOUGLAS G. REICHLEY, J.3 2 This assignment occurred in December of 20 

### f4 " . 7. LCOCYS referrals specifically involving K.N. and X.H. began in 2011 regarding truancy of K . N . as well as concerns that both boys were underweight, malnourished, and had very poor hygiene. Additionally, both boys had significant emotional issues . At that time , Mother was not following LCOCYS recommendations that she should consistently attend her own mental health appointments and that she should take K.N. and X.H. for mental health evaluations. She was not permitting the . agency or recommended in-home services into her home. 5. Mother has several other children: K.N. and X.H. are aware of the existence of several of their siblings. 6. As of the July 17, 2015, termination hearing , Lehigh County Office of Children and Youth ("LCOCYS" or "the agency") caseworker Sarah Merkel was assigned to the cases ofK.N. and X.H . 2 As custodian of K.N.'s and X.H.'s files, Ms. Merkel was fami liar with the family ' s case history and Mother ' s involvement with the agency since 1995, mostly for children other than K.N. and X.H. The agency's involvement included approximately a dozen referrals based on a host of concerns such as truancy , unstable housing, inappropriate living conditions, inadequate housekeeping , insufficient food, parenting issues , inappropriate caretakers , the children's behavioral problems , Mother's failure to comply with her children ' s mental health

- needs, Mother's failure to comply with her own mental health needs including medication compliance , and Mother ' s failure to comply with inhome services .4

8. On January 26, 2012, Mother agreed to a safety plan to prevent Mother ' s oldest child, 

# Tmll from having contact with any of the other children until he completed sexual offender treatment because 

# T911ad been found to be indicated as an alleged perpetrator of inappropriate sexual contact w ith his littlesister , G.H . , who also lived in the home at that time . 9. Mother did not comply with the safety plan but continued to allow contact between 

## 11111111 and her other children. 10 . As a result of Mother's noncompliance with services, on May 25, 2012, the agency filed dependency petitions and a petition to compel entry into Mother ' s home. On June 1, 2012, the Court entered orders granting the petitions. The agency required assistance of law enforcement several times in June to enforce the June 1, 2012, order that permitted the agency to gain entry into Mother'shome. 11. Mother subsequently placed K.N . and X.H. with a relative in August of 2012. The agency then withdrew the May 25, 2012, involuntary petitions regarding K.N. and X.H. in September of 2012. 12. In November of 2012, the relativeended the placement because of her own illness and her inability to handle the boys' serious mental health issues. 13. The boys could not return home due to the lack of any in-home service provider to work with Mother at the time. Mother had been unsuccessfully discharged from in-home services several times due to her failure tcr complyorher refusal to allow the providers into the home. 14. On December 4 , 2012, Mother voluntarily placed K.N. and X.H. in foster care.5

by Mother's oldest son, 

# 19, against his little sister, G.H. On June 19, 2013, Mother 19. On June 17, 2013, the agency received another referral identifying new acts of sexual abuse 2013. See P

- 1, Order adopting Master ' s -Recommendation for Disposition filed February 20, 1) Receive mental health evaluations and follow through with all recommendations; 2) Obtain and maintain safe, stable and sanitary housing; 3) Obtain and maintain verifiable income; 4) Attend visitation with the children as directed by LCOCYS; 5) Comply and cooperate with her childre~'s medical, developmental, and mental health treatment services; 6) Comply with any in-home services provided by LCOCYS for purposes of reunification, parenting education and monitoring; 7) Contact and cooperate with LCOCYS ; allow the LCOCYS caseworkers into the home, comply with any services recommended and maintain contact with the agency; 8) Notify LCOCYS of any changes regarding address and phone . reunification goals for Mother regarding K.N. and X.H.: 18. Following a dispositional hearing on January 29 , 2013, the Court set the following Recommendationfor Adjudication - Child Dependent filed Feb. 14, 2013. unable to provide for their needs at that time. See P-1, Order adopting Master ' s was developmentally delayed. Both boys h ~ d significant mental health issues. 17. K.N. and X.H. were adjudicated dependent on January 8 , 2013 . Mother stipulated she . was voluntary placement, K.N.'s teeth were rotted out at the age of 7 or 8. X.H., then age 5, 16. When the two boys were ptc1-9ed in LCOCYS custody in 2012 pursuant to Mother ' s to , Mother ' s household. 15 . K.N . and X . H. have been in placement in e x cess of 30 months. Neither has ever returned6

Mother also agreed pursuant to the safety plan not to permit her paramour , E9111C111111 to have any unsupervised contact with her children . 4 Due to Mother's failure to adhere to the s afety plan, G . H. was removed from Mother's home and placed with a step-grandparent. 5 Somehow Mother succeeded in retaining her public housing apartment despite T-'s arrest on June 22, 2013 for drugs in Mother's home . This is esp e cially surprising in lightof the so-called "one strike" zero tolerance p o licy against drugs adopted by HUD in the 1990's. Mother's current 2-bedroom apartment is not large enough for eith er of the boys to live in her household, but if either or both boys were approved to return to Mother's care , Mother would be able to appl y for a larger apartment. . . .. , · .v·· did obtain subsidized public housing , which she has maintained successfully for two years. 5 and X.H . , Mother did not consistently comply with most of the court-ordered services. She 23. During the more than 30 months of the Juvenile Dependency proceedings regarding K . N . and X.H. overwhelmed by simple parenting and continued to be unable to meet the needs of K.N. obtaining housing, and complying with visitation and recommended services. She was August of 2013, Mother was unable to cope with the responsibilities of finding work, 22. As reflected by the Dependency.Division Orders in Exhibit P-1, between January and of Mother at the July 30, 2013 Juvenile Dependency Permanency Review Hearing . 21. The June 19 , 2013 safety plan was included in the court-ordered compliance goals required Department went to Mother's home and fo~gd.. 

# 19 there. He was arrested at that time for possession of drug paraphernalia and marijuana. 4 home. On June 22, 2013 , LCOCYS along with members of the Allentown Police comply with the plan. Later in June, G.H. disclosed that ~was staying in Mother's 20. Although Mother signed and agreed to the terms of the second safety plan , she did not agreed to another safety pl an providing that Mother would not permit 

# 1911!1 to have a ny contact with her children. 37

on himself and has attempted to abscond from multiple settings. At times, he shuts down

"

- · ~ , v . traumatic Stress Disorder. Among other things, he has a history of urinating and defecating 30. K.N. is diagnosed with Reactive Attachment Disorder, Impulse Control Disorder, and Post- , . __ mental health services. She has been only marginally involVea in their care. 29. Mother did not comply with or cooperate with the boys ' developmental, medical and

- - · ~ · · · · . • , +.: : ,); · critical times. hospitalization school based program and impeded K.N . ' s ability to be hospitalized at 28. Mother's failure to return calls made it more difficult to enroll X.H. in a partial 27, 2015 , for X.H. and signed March 20, 2015 for K.N .

. · ·· -:,-: , Consent to Medical Testing, Treatment and Procedures signed April 23 , 2014, and March Mother failed to respond or return phone calls. See P-1, Orders Providing Authorization to different points to provide the consent for necessary treatment for X.H. or K.N. because necessary mental health treatment. LCOCYS had to obtain emergency court orders at three

.. :_.. . . . 27. Mother ' s failure to maintain contact with the boys' caseworker impeded imminently scheduled appointments. She was frequently unreachable by phone. 26 . Mother did not stay in touch with K.N. 's and X.H. ' s caseworker. She failed to show for parent evaluation recommended by LCOCYS . ,-. ·- ~ ·- , ..,-;- mental health appointments. Additionally, Mother has not completed a non-offending with recommendations. At the time of the termination hearing, she was not attending any 25. Mother did not consistently attend her own mental health appointments or follow through her children . providers that LCOCYS provided to assist her to improve her parenting and to reunify with 24. Mother never successfully completed in

- home services with any of the several service8 6 Evidence in the record indicates these auditory hallucinations were documented at age 6 , although there was not any e v idence presented on how long the child had been hearing voices. It was made clear that the phenomenon was different from having an imaginary friend. X.H. ' s auditory hallucinations are more prevalent when he is in a heightened state of agitation. 7 K.N . was placed in-patient at the Horsham Clinic on December 15, 2012, following a brief stay in two separate foster homes. From the Horsham Clinic, he was transferred on February 26 , 2013 , to a trauma focu s ed foster home . He was hospitalized at KidsPeace beginning on M ay 9, 2013 ; · \; iiere he frequently had to be restrained due to his ag g ressiveness toward staff and other children . Thereafter, K.N . resided in two foster homes . He was moved to Warwick House, a therapeutic residenti al treatment facility from June 11, 2013, to May 15, 2104. From there he went to a therapeutic foster home . (His brother X.H. was added to that household on November 24 , 2014.) In March of 2015, he was hospitalized for one week at the Lehigh Valley Hospital emergency room before being transferred to Rockford Center in Newark , Delaware . It is not clear at what point he returned to the therapeutic foster home. On May 11, 2015, he was moved to the Valley Youth House PATHS program . After just a few days there , he attempted to more appropriate placement given his e x treme mental health issues. 7 minor had to be held in restraints or was placed in isolation for several days waiting for a placements, therapeutic foster home placements, and emergency room v i sits . At times , the times , including multiple stays in psychiatric hospital, therapeutic residential treatment 33. Since their original placement in foster care, each of the boys has been moved numerous to the point of having to be restrained or placed in isolation. behaviors, destruction of property, and at times being a danger to themselves and to others 32. Both boys have a history of severe physical outbursts, sexualized behaviors, aggressive medications for his mental health needs . hurt other people or himself, or be aggressive. 6 He requires several prescription and October due to aggressive behavior. X.H. hears voices that tell him to do bad things , Disorder. In kindergarten , he was suspended from school for 8 days between September (chronic), Impulse Control Disorder, Interpersonal Problems, and Oppositional Defiant 31. X.H. is diagnosed with Reactive Attaclunent Disorder, Post-traumatic Stress Disorder situation. completely and appears to become nearly catatonic when faced with a new, uncomfortable.. : . • . ":t; ;. <- - .. 9 abscond. He became extremely aggressive, and was hospitalized in restraints at the Lehigh Valley Hospital emergency room until he could be transferred to Devereux Hospital, where he currently remains awaiting placement in a therapeutic residential facility . Since X.H . has been in the custody of LCOCYS, he has been placed in three foster homes and undergone two hospital stays at KidsPeace Hospital. X . H. was admitted to Warwick House on May 21, 2014, after his broth er had already been discharged from the residential treatment facility..Dn November 24, 2014, he was discharged from Warwick House to the therapeutic foster home in which K.N : was placed. On May 11, 2015, like his brother, he was moved to the Valley Youth House PATHS residential program. Three days later, he attempted to abscond . Beginning on May 14, 2015, he was kept in the Lehigh Valley Hospital Emergency Room for six days. He is currently in the Western Psychiatric Hospital in Pittsburgh , where he awaits placement in a residential treatment facility . between the child and Mother due to the boys' respective mental health instability. 41. At times, the therapeutic recommendations have advised that there not be any contact 40. Both boys are recommended to have 24-hour supervision, seven days a week, at this time. penis into different parts of people's bodies : 39. X.H . continues to exhibit a lot of sexualized behavior, such as talking about putting his be placed in a foster home with children younger than nine years old . 38. As a result of a psycho-sexual evaluation in April of 2015, K.N. was recommended not to grandchild of the foster parents in the therapeutic foster home. 37. Additional concerns existed that K.N. may have inappropriately touched the 4-year-old out between himself and X.H. in the therapeutic foster home. 36. The boys' transfer to the PATHS program occurred because K.N. disclosed sexual acting by Mother, alleged sexual abuse, and possible physical abuse. 35. The boys have had a traumatic background due to prolonged inconsistent care and neglect psychiatric hospital setting. boys could not be interviewed due to their extremely unstable mental health in the disclosures made by the boys. Each referralwas ultimately deemed unfounded because the 34. Three Child Protective Services investigations were initiated against Mother based on10 8 During each minor's stay at Warwick House , the facility kept track of Mother's availability . During K . N. ' s treatment at Warwick House betw e en June of 2013 and May of 2014 , Mother was unavailable for 72 % of calls made to her. During X . H .' s tre atm e nt at Warwick house between May and November of 2014, Mother was unreachable for 8 3% of his attempts to call her. 9 Mothe r did have phone contact with a WesternPsychiatric Ho s pital social worker regarding X . H . 1 0 This CASA was appointed in X.H.'s case on June 30, 2014, long before her appointment in K.N . 's case on January 5, 2015. his mental health needs. Mother did not attend I.E . P. meetings held regarding X.H. ' s

_ . ,, .. _ ,., ,,. .. .. .. . , .. .. _ , : 48. In 2014 and 2015, Mother has not attended any meetings regarding X.H.' s school needs or Warwick House. and eventually stopped altogether. Mother never participated in X.H. 's family therapy at 47. Mother was inconsistent in her attendance at family therapy at Warwick House for K . H.

· ' · ~ .· . · " """ ""' "' 2014 . 10 January 5, 2015 . Mother has not maintained contact with X.H. since at least June 30, 46. According to the CASA assignedto the boys,
_ Mother has not maintained any contact with K.N. since the beginning of the CASA's involvement in K.N. ' s case in approximately mental health status in their respective psychiatric hospitals. 45 . Presently, there are not any visits recommended due to each of the boys' severely unstable 44. It has been over a year since Mother visited either X.H. or K.N. consistently. Mother has not visit ~ ~ her boys , '!J )he Emergency Room or at the hospital." 43. Throughout their many placements , Mother did not visit with either K.N . or X.H. hospitalized), Mother failed to follow through with setting up phone contact. would have been permitted to begin) and May of 2015 (when the boys were both available 8 or, as occurred between Decemberof 2014 (when supervised phone contact 42 . During the timeframes that phone contact was allowed, Mother was only sporadically11 I I Anthony Pennant was K . N . 's primary therapist at Warwick House starting in December of 2013 . He also worked with X.H . when X . H. was at Warwick house . improved until his brother arrived in the home. stopped visiting altogether. K.N .' s extreme behaviors stabilized and his mental health 52. Similarly, after K.N. went to the therapeutic foster home in May of 2014 , Mother again stopped visiting K.N. at Warwick

- House. K.N. began refusing Mother's calls altogether, and was doing much better after Mother therapy and was unreachable by phone . At some point during his stay at Warwick House, frame only after Mother completely stopped attending the scheduled monthly family 51. K.N. began to make progress in his treatme ~ 1t at Warwick House during the 2013-14 time Therapist, date d Jan. 24, 2014. Jeffrey M Friedman , Clinical Dire ctor of Warwick House, and Anthony P e nnant , Primary highly dysregulated, or impaired

- in his physiological condition prio\ to scheduled visits with Mother but appeared relieved when sessions were cancelled. See F-9, L e tter from for K.N. ' s basic needs hindered reunification efforts that were underway. K.N. would be 50. During his time at Warwick House, Mother ' s ambivalence and inconsistency to provide at best. therapists of K.N., clearly established that the

- bond between K.N. and Mother is strained 49. The testimony of Anthony Pennant 11 and Angela Ramautar, both of whom are former meeting in 2015 . See G-1 . schooling in 2014 and 2015 or CASSP (Child and Adolescent Service System Program)12

61. Past attempts to place the boys together in foster care together resulted in each of them decompensating severely. See Ex. F-9. 53. Regarding Mother's bond with X . H., Mother has not spoken with or seen X.H. in over a year . 54. Until June of 2013, X.H. had some visits in Mother's home , but those visits stopped when Mother violated the safety plan and allowed her son ~to have contact with her other children. X.H . has not visited the.home since . During the time he was having visits in the home , he was struggling with the visits as well as having mental health issues. 55. From May of 2014 to November of 2014, Mother did not consistently visit X.H. at Warwick. 56. Mr. Pennant opined that another placement in a . residential facility such as Warwick House could do wonders for X.H., but only if he would go to a pre-adoptive home afterward . 57. Mr. Pennant opined that the ongoing possibility of a biological parent being in and out of the lives of either minor will impede the minor ' s ability to move forward in life , and th at termination of parental rights is necessary to help the boys overcome their diagnoses. 58. Presently, K.N . is a patient at Devereux Hospital near Philadelphia, and X.H. is a patient at Western Psychiatric Hospital in Pittsburgh. Both boys are awaiting placement in a residential treatment facility. 59. Both boys have a very great need for consiste ncy , for care, and for supervision. Without it, they cannot move forward . 60. The current therapeutic recommendation is that K.N . and X . H. be placed separately due to their competing needs, although Mr. Pennant indicated that sibling contact is acceptable.13

available to Mother are not likely to remedy the conditions which led to the removal of the conditions within a reasonable period of time, the services or assistance reasonably led to the removal of the children continue to exist, Mother cannot or will not remedy those from Mother's care by the court for a period in excess of six months , the conditions which 3. Petitioner established by clear and convincing evidence that K . N. and X.H. were removed and refusal in a reasonable period of time. and Mother cannot or will not remedy the conditions and causes of the incapacity, neglect parental care, control or subsistence necessary for their physical and mental well-being, continued incapacity, neglect and refusal has caused K . N. and X.H. to be without essential 2. Petitioner established by clear and convincing evidence that Mother's repeated and to K.N. and X.H . and refused to or failed to perform parental duties. petitions to terminate her rights evidenced a settled purpose to relinquish her parental claim . , . , ·~ -~ - . continuing for a period of at least six months immediately preceding the filing of the 1. Petitioner established by clear and convincing evidence that Mother by her conduct CONCLUSIONS OF LAW them needs. permanency in a loving home that will provide them with the consistent care that each of 64 . The CASA is also in favor of termination of parental rights so each of the boys can achieve options for helping them obtain permanency through specific permanency recruitment. interests of both children. Once the children are freed for adoption, the agency has more 63. The caseworker opined that termination of parental rights is nevertheless in the best 62 . No adoptive resource has presently been identified for either of the boys.14 ( 1) The parent by conduct continuing for a period of at least six months immediately preceding the filing of the petition either has evidenced a settled purpose of relinquishing parental claim to a child or has refused or failed to perform parental duties . (a) General rule.--The rights of a parent in regard to a child m ay be terminated after a petition filed on any of the following grounds: § 2511. Grounds for involuntary termination The statute provides, in pertinent part, as follows : - - parental rights on the grounds of23 Pa. C.S.A. §251 l(a)(l), (2), (5), (8) , and §251 l(b). must establish at least one ground for termination. LCOCYS petitioned to terminate Mother's The grounds for involuntary termination are set forth in 23 Pa. C.S.A. §2511. Petitioner DISCUSSION parental rights to K.N. and X.H. is appropriate in this case. 6. Petitioner established by clear and convincing evidence that the termination of Mother's provides for their development, physical and emotional needs. parental rights to K.N. and X.H. best meets the needs and welfare of the children and best -- 5 . Petitioner established by clear and convincing evidence that the termination of Mother's of the children . continue to exist, and termination of parental rights would best serve the needs and welfare elapsed from the date of removal, the conditions which led to the removal of the children from Mother's physical and legal custody by the court , more than twelve months have 4. Petitioner established by clear and convincing evidence that K.N. and X.H. were removed best serve the needs and welfare of the children. children within a reasonable period of time, and termination of the parental rights would15

of parental rights is appropriate in this case based on Pennsylvania law. Our inquiry in a This Court must decide whether LCOCYS satisfied its burden of showing that termination 23 Pa. C.S.A. §2511.

(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 thechild, 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 parents. With respect to any petition filed pursuant to subsection (a)(l), (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 . (8) The child has been removed from the care of the parent by the court or under a voluntary agreement with an agency , 12 months or more have elapsed from the date of removal or placement, the conditions which led to the removal or pla ; 'ement of the child continue to exist and termination of parental rights would best serve the needs and welfare of the child. (5) The child has beerifemoved . froiii the care of the parent by the court or under a voluntary agreement with an agency for a period of at least six months, the conditions which led to the removal or placement of the child continue to exist, the parent cannot or will not remedy those conditions within a reasonable period of time, the services or assistance reasonably available to the parent are not likely to remedy the conditions which led to the removal or placement of the child within a reasonable period of time and termination of the '

jiarental rigliis would best serve the needs and welfare of the child . (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 necessary for his physical or mental wellbeing and the conditions and causes of the incapacity, abuse, neglect or refusal cannot or will not be remedied by the parent.16

must be steady and consistent over a period oftime , contribute to the psychological health of the child , and must demonstrate a seri_ous intent on the part of the parent to recultivate a parent-child relationship and must also demonstrate a willingness and capacity to undertake the parental role. The parent wishing to reestablish his [ or her] parental responsibilities bears the burden of proof on this question. examine the parent's post-abandonment contact with the child, which, to be legally significant , In re B., NM, 856 A.2d 847 , 855 (Pa. Super. 2004) (citations omitted). The Court must also A parent must utilize all available resources to preserve the parental relationship, and must exercise reasonable firmness in resisting obstacles placed in the path of maintaining the parent-child relationship. Parental rights are not preserved by waiting for a more convenient timeto performone's parental responsibilities while others provide the child with his or her physical and emotional needs. Super. 1990). including adequate housing , clothing , food, love and supervision. In re J W, 578 A.2d 952 (Pa. All children are entitled to certain irreducible minimum requirements from their parents, hesitation of the truth. In re Child M , 681 A.2d 793 (Pa. Super. 1996). convincing as to enable the Court to come to a clear conviction of the precise facts at issue without 91 (Pa. 1998). Petitioner has the burden of producing evidence that is so clear, direct, weighty and clearly warrants involuntary termination. Matter of Adoption of Charles E

. D . M , JI , 708 A.2d 88, offered by the parent to determine if the evidence, in light of the totality of the circumstances, The Court must examine the circumstances of the case and also consider all explanations In re Adoption of R.JS., supra. termination has been established, the Court's second inquiry is on the child's needs and welfare. Santosky v. Kramer, 455 U.S. 756 (1982). After the Court has determined a statutory ground for of demonstrating by clear and convincing evidence that a statutory ground for termination exists. 508 (Pa. Super. 2006) . First, the Court assesses the parent's conduct. Id. Petitioner has the burden termination of parental rights case is a two-step inquiry. In re Adoption of R.JS., 901 A.2d 502,17

Mother did not visit either of the children consistently or participate to any notable degree in their agency to provide for their educational needs , their medical needs, or their mental health needs. on a consistent basis to consent to their mental health treatment. She did not cooperate with the food, or supervision . She did not take theni 't o the docto r; to therapy, or even make herself available for their basic needs. Mother did not provide for their everyday needs such as housing, clothing, During that time, Mother has failed to perform parental duties for them and has failed to provide the children. For more than 30 months, the children have formally been in the foster care system. multitude of services provided over the p as t 30 months 'i hat were designed to help her reunify with Mother has not resolved the issues that led to the adjudication of the boys despite a adjudicated , Mother stipulated to her inability to provide basic sustenance for them. the agency's care. Their mental health needs were not being addressed . When they were not provide for their basic needs. They were malnourished and underweight when they came into attempt to privately place the boys with her relative. While she was caring for the boys, she did January 8, 2013. In fact, the children had already left Mother ' s care five months prior due to her and X.H . were adjudicated dependent and placed in foster care more than 30 months ago on The relevant petitions to terminateMother's rights were filed on September 24, 2014 . K.N . and welfare of the minors. and X.H. and that the involuntary termination of Mother ' s parental rights will best serve the needs convincingly established statutory grounds for the termination of Mother's parental rights to K.N. physical and emotional needs and wel fare of the ~ inors , we find that Petitioner clearly and In re Z.P., 994 A.2d 1108, 1119 (Pa. Super. 2010) (citation omitted). For the reasons discussed below, and giving primary consideration to the developmental,18

Mother has maintained her housing. Other than that, Mother has not provided any evidence that would tend to indicate she is capable of complying with the court-ordered services so as to reunify with K.N. and X.H. It is clear that she cannot provide the constant supervision that is currently therapeutically recommended for both boys : · Accordingly, pursuant to 23 Pa. C.S.A. §251 l(a)(l) and (2) , we find that Petitioner established by clear and convincing evidence the statutory grounds for termination due to Mother's failure to perform parental duties for a period of at least six months immediately preceding the filing of the petition. She caused the children to be without essential parental care, control, oi s ubsistencen e cessary for their physical and mental wellbeing. Despite the provision of many services intended to effect reunification, Mother has not demonstrated she will remedy her incapacity within a reasonable period of time . Petitioner has also clearly and convincingly demonstrated that the grounds for termination as set forth in 23 Pa. C.S.A. §251 l(a)(S) and (8) have been satisfied. These children were placed into foster care in December of 2012 . The conditions which led to the children's placement continue to exist. These conditions were Mother ' s failure to provide for the children's needs . As mental health care. To the extent that the boys' needs have been met at all, they have been met by hospitals , residential treatment facilities, and therapeutic foster parents. During the many months the boys have been in care, Mother did not comply with the permanency plan or with two separate saf ety plans in w hich she agreed to prohibit contact between her eldest son, 

# '19, and her other children. Mother's repeated and continued refusal to comply with court-ordered services, and her neglect of K.N. and X.H., has caused these children to bewithout essential parental care, control or subsistence necessary for their physical or mental wellbeing .19

In re N A .M, 33 A.3d 95 , 103 (Pa . Super. 2011) . While a parent's emotional bond with his or her child is a major aspect of the subsection 2511 (b) best-interest analysis, it is nonetheless only one of many factors to be considered by the court when determining what is in the best interest of the child. In re K.K.R . -S. , 958 A.2d 529, 533-536 (Pa. Super. 2008) . The mere existence of an emotional bond does not preclude the termination of parental rights. See In re TD., 949 A.2d 910 (Pa . .. Super. 2008) . (trial court ' s decision to terminate parents' parental rights was affirmed where court balanced strong emotional bond against parents' inability to serve needs of child). Rather, the orphans' court must examine the status of the bond to determine whether its termination " would destroy an existing, necessary and beneficial relationship. " In re Adoption of TB.B . , 835 A.2d 387, 397 (Pa. Super. 2003). §251 l(b). the best interest of both children to terminate Mother's parental rights pursuant to 23 Pa. C . S.A. of the needs and welfare of the children. Under the circumstances presented here , we find it is in rights under 23 Pa. C.S.A. §251 l(a), we tum now to our primary consideration: the consideration Finding that LCOCYS has established statutory grounds for termination Mother's parental to be adopted into permanent, stable, healthy homes that will safeguard and protect them . that termination will best serve the needs and welfare of the children so they have an opportunity through with what is required of her within a reasonable period of time, this Court is convinced B., NM, 856 A.2d 847, 856 (Pa. Super. 2004) . Based on Mother demonstrated inability to follow parenting and fulfillment of his or her potential in a permanent, health, safe environment. " In re converted , upon the failure to fulfill his or her parental duties, to the child's right to have proper " (A] parent's basic constitutional right to the custody and rearing of [her] child is despite the host of services provided to Mother by LCOCYS over a lengthy period of time. discussed above, Mother is unable to resolve these issues within a reasonable period of ti me ,20

stability, care , and supervision the children need , as she has demonstrated for over 30 months now. .·· '' """'. ' ab i lity to be adopted into a caring, permanent family. Mother is obviously unable to provide the To the extent either child has a current bond to his Mother, that bond hinders the child's treatment, these children can be successful in the future. abuse, neglect, trauma, and loss. Provided they receive appropriate supervision , care , and each of the boys can move forward with his life and begin to deal with and overcome his past consistent, loving care. It is clear that K.H. and X.N. need permanence in a safe , stable home so of the children needs the opportunity to develop a caring bond with adults who will provide . ~ ;..,'.J.i.;,,- ' ,.s .>l :i,;.., children needs stability now. Mother has been unable to provide this for nearly three years. Each safety plans designed to keep her son 191Jaway from her other children. More than the average child, K.N . and X . H. require safety, stability, and predictability. Each of these troubled young provide this level of supervision, especially in light of the fact that she twice chose not to honor of the boys needs supervision for 24 hours a day, seven days a week. Mother clearly is not able to Both of these children are severely impaired by their mental health issues. Currentl y each T . B . B. , 835 A.2d 387, 397 (Ps . Super. 2003). at all, would not destroy "an existing, necessary and beneficial relationship. " In re Adoption of a significant period of time. We find that termination of the parental bond, to the extent one exists struggled with visits to Mother's house in the past and has not had any contact with his mother for cancelled. His mental health did not improve until Mother stopped visiting altogether. X.H. When Mother was still visiting K.N., he seemed relieved when Mother's visits were X.H. 's or K . N. 's medical , educational, or mental health needs . visited either child for over a year or even spoken with them. Mother has not been attending to K.N. and X.H. have spent nearly three years in the care of the agency. Mother has not21 BY THE COURT:

DATE: · ~ ( 2c?t 

## 1C_ For all of the foregoing reasons, the petitions of LCOCYS to involuntarily terminate Mother's parental rights to K.N. and X.H. are granted. children . The opportunity for permanence in a stable , loving, and nurturing home will best serve the developmental , physical and emotional needs and welfare of each of these children. Increasing the potential for the children to be adopted into a safe, stable, and permanent home outweighs the possibility that either K.N. or X.H. may suffer detrimeirtal effects from the termination of Mother ' s rights . Se e In re TS.M, a Minor, 71 A.3d 251 (Pa. 2013). Moreover, removing the uncertainty of Mother's inconsistent care from their lives is necessary for their well-being. Therefore, w e find it is in the best interest of K . N. and X.H. for Mother ' s parental rights to be terminated to each of the