[Cite as In re E.M., 2014-Ohio-1026.]

IN THE COURT OF APPEALS OF OHIO 

TENTH APPELLATE DISTRICT 

 : 

In re E.M. 

 : 

 No. 13AP-284 

[M.R. : (C.P.C. No. 12JU04-5124)

 Appellant]. : (REGULAR CALENDAR) 

 : 

 

D E C I S I O N 

Rendered on March 18, 2014 

 

Yeura R. Venters, Public Defender, and John W. Keeling, for 

appellant. 

Ron O'Brien, Prosecuting Attorney, and Katherine J. Press, 

for State of Ohio. 

 

APPEAL from the Franklin County Court of Common Pleas, 

Division of Domestic Relations, Juvenile Branch 

O'GRADY, J. 

{¶ 1} Defendant-appellant, M.R., the mother of minor child E.M., appeals from a 

judgment of the Franklin County Court of Common Pleas, Division of Domestic Relations, 

Juvenile Branch, finding E.M. to be an abused, neglected, and dependent child. For the 

following reasons, we affirm. 

I. BACKGROUND

{¶ 2} On April 11, 2012, Meghann Round, a caseworker with the Permanent 

Family Solutions Network, an affiliate of Franklin County Children Services ("FCCS"), 

filed a complaint alleging that E.M., born November 22, 2009, was an abused, neglected, 

and dependent child. Four causes of action were set forth pursuant to R.C. 2151.031(C) 
No. 13AP-284 2 

and (D), 2151.03(A)(2), and 2151.04(C). According to the complaint, on or about July 21, 

2011, FCCS received a referral regarding the well-being of E.M. E.M.'s parents, appellant 

and G.M. ("father"), were separated and functioning under an informal parenting-time 

agreement. E.M. was in the care of appellant from July 15 to July 20, 2011. When E.M. 

was returned to her father, he observed bruising on E.M.'s face and body, which prompted 

him to take E.M. to the hospital. 

{¶ 3} According to the complaint, bruising was observed over substantial portions 

of E.M.'s face, including around her eyes, on her ears, lower lip, cheeks, chin, and on her 

neck. She had petechiae under both eyes and on her eyelids. She had bruising on her 

back and torso, as well as faded bruising on her abdomen and anterior chest wall. She 

also had a perforated ear drum, which caused blood in her ear canal. Appellant's 

explanation for the injuries was that she strapped E.M. into her car seat, but appellant 

was unaware that the car seat was not secured to the seat itself. While driving, appellant 

slammed on her brakes which caused E.M. to be propelled forward hitting the center rear 

console, face down, with her car seat on top of her. Appellant did not seek medical care 

for E.M. 

{¶ 4} The complaint noted concerns that E.M.'s injuries were not consistent with 

appellant's explanation. During a child abuse consult, it was discovered that E.M. had a 

healing left distal radius fracture that was about two weeks old, as well as a healed right 

clavicle fracture that was approximately two months old. During a subsequent trip to the 

hospital, medical personnel discovered that E.M. had a left distal ulna fracture, one 

fracture to her right hand, and two fractures in her right foot. The hospital reported to 

FCCS that these fractures appeared to have occurred at the same time as the previously 

discovered injuries. The complaint also noted that appellant's paramour had a criminal 

history including, among other offenses, a domestic violence case involving his stepson as 

the victim. The complainant requested that the trial court grant custody of E.M. to father 

with court ordered protective supervision by FCCS. 

{¶ 5} On June 4, 2012, a magistrate conducted a hearing regarding the allegations 

in the complaint. In attendance were appellant with counsel, father with counsel, counsel 

for the state of Ohio, Meghann Round, William Hayden, who was E.M.'s guardian ad 

litem, and Gail Hornor, a pediatric nurse practitioner. Father testified that appellant had 
No. 13AP-284 3 

E.M. for a five-day period in July 2011. When he relinquished E.M. to appellant, E.M. did 

not have any injuries. While appellant had E.M., she called father to ask if she could keep 

E.M. an additional day beyond what they had previously planned and father agreed. 

Appellant returned E.M. to father on July 21, 2011. Father testified that when appellant 

took E.M. out of the car on that day, E.M. looked sad and he observed extensive bruising 

on her face. The sight of E.M. caused him to cry. According to father, appellant explained 

that she was driving with E.M. three or four days prior. E.M. was in her car seat but the 

car seat was not secured to the seat itself. Appellant was driving across an intersection 

when someone ran a red light, which caused her to slam on her brakes. That caused E.M., 

while still in the car seat, to be propelled forward and hit the back of the seat in front of 

her. Father testified that he asked appellant if she took E.M. to the emergency room, and 

appellant told him she did not because she was afraid of "them" taking E.M. (Tr. 77.) 

{¶ 6} Father took E.M. directly to Mt. Carmel East Hospital where he observed 

additional bruises on her body. E.M. was evaluated at Mt. Carmel and released to father 

with instructions to take her to the Child Assessment Center ("CAC"), affiliated with 

Nationwide Children's Hospital, the next day for further testing. Staff at Mt. Carmel also 

referred the matter to FCCS. Father testified that he was aware of the referral and he 

supported it because he knew he did not do anything wrong and he wanted to find out 

what happened to E.M. Father brought E.M. to CAC the next day, where she was 

evaluated by Gail Hornor. Father testified there were a lot of tests run on E.M. at CAC, 

and they asked him to bring E.M. back in a couple of weeks to check for broken bones that 

might not be visible in x-rays yet. 

{¶ 7} Gail Hornor testified that she examined E.M. at CAC on July 22, 2011. Ms. 

Hornor had been a pediatric nurse practitioner for 17 years, and a registered nurse for 32 

years. One of her primary duties was to perform physical examinations of children when 

there were concerns about abuse. Ms. Horner testified that E.M. was referred to CAC by 

FCCS due to concerns about abuse, and she examined E.M. from head to toe. She 

photographed E.M.'s injuries, ordered blood tests to rule out an underlying cause of the 

bruising, ordered a full body x-ray to check for broken bones, and facilitated an 

examination by an ophthalmologist due to the injuries around E.M.'s eyes. Ms. Hornor 

was aware that Mt. Carmel performed a CT scan of E.M.'s head the day before and that 
No. 13AP-284 4 

test was negative. She emphasized that the head CT scan was crucial to rule out 

intracranial bleeding, and it should have been done when the injuries occurred, not a few 

days later. 

{¶ 8} Ms. Horner described E.M.'s outward appearance for the court. E.M. 

presented with extensive bruising on her scalp, forehead, ears, cheeks, around her eyes, 

on her lower lip, chin, neck, shoulder, back, abdomen, and pubic area. She had petechiae 

around her eyes, on her eyelids, and on one ear. There was a patch of hair on her head 

that was new growth, and she had a ruptured eardrum with blood in her ear canal. Ms. 

Horner took several pictures of E.M.'s bruising, which were reviewed with her on the 

stand and later admitted into evidence. 

{¶ 9} Ms. Hornor also testified regarding E.M.'s x-rays. The x-rays were read by a 

pediatric radiologist and Ms. Hornor reviewed and discussed them with the radiologist. 

The x-rays revealed two old fractures that did not occur at the same time as the bruising. 

Ms. Hornor relied on the radiologist to determine the age of the fractures. One fracture to 

E.M.'s collarbone was approximately two months old. Another fracture to the distal 

radius was approximately two weeks old. Ms. Hornor noted that new fractures do not 

always show up in x-rays until they begin to heal; therefore, she advised father to return 

with E.M. in two to three weeks for a follow-up full body x-ray. Ms. Hornor explained, "I 

knew these two fractures * * * didn't happen at the same time that all the bruising on her 

body occurred and I was concerned that fractures had also occurred when she received all 

the bruises." (Tr. 26.) Father complied, and the follow-up x-rays revealed additional 

newer fractures, which Ms. Hornor believed were to E.M.'s hand and foot. 

{¶ 10} Ms. Hornor was asked whether father gave her an explanation for the 

injuries sustained along with the bruising. In response, Ms. Hornor relayed an account of 

the incident in appellant's car that was substantially similar to the story given by father 

during his testimony. Ms. Hornor went on to testify that E.M.'s injuries were not 

consistent with that explanation, stating: 

No, it * * * does not explain the extensive trauma * * * she 

had injuries of multiple ages, so she had old and new 

injuries. And the bruises were to multiple planes of her body 

that you wouldn't expect from one impact, you know, 

like * * * being in the car seat and * * * striking the console 
No. 13AP-284 5 

with one part of your body, * * * so that history didn't explain 

all of the injuries on her body. 

(Tr. 32-33.) Ms. Horner testified that, given the level of bruising on E.M., she would 

expect a parent to seek medical care for the child. To Ms. Hornor's knowledge, E.M. did 

not received medical care prior to being seen at Mt. Carmel. Ultimately, E.M. did not 

need any medication or surgery to treat or correct her injuries. Ms. Hornor noted 

appellant was not present during either of her examinations. 

{¶ 11} Meghann Round, E.M.'s ongoing caseworker through FCCS and the 

complainant, also testified. She had been interacting with appellant, father, and E.M. 

during home visits and supervised office visits from August 2011 up to the hearing. Ms. 

Round found E.M. was well-bonded with appellant, that appellant cared about E.M., and 

that appellant was a loving mother. Appellant told Ms. Round that she did not take E.M. 

to the hospital because she was worried FCCS would get involved. Ms. Round also 

testified that appellant's boyfriend, during the time period in question, had a criminal 

history, which included a domestic violence incident involving injuries to his stepson. 

{¶ 12} Appellant was also called to the stand during the hearing, but she chose to 

exercise her Fifth Amendment right against self-incrimination. She did not answer any 

questions beyond stating her name, her birth date, and that she was legally married. 

{¶ 13} Following the hearing, the magistrate issued a decision finding the state 

established, by clear and convincing evidence, that E.M. was an abused, neglected, and 

dependent child in accordance with the four causes of action set forth in the complaint. 

The decision was filed on June 11, 2012 and adopted by the trial court the same day. It did 

not contain detailed findings of fact and conclusions of law; thus, appellant subsequently 

filed a request for written findings of fact and conclusions of law. In the meantime, the 

magistrate held a dispositional hearing on June 26, 2012. The magistrate deemed E.M. a 

ward of the court and granted temporary custody to father with court ordered protective 

supervision by FCCS. The magistrate approved a case plan governing appellant and 

father's behavior and adopted it as an order of the court. Appellant was permitted 

visitation. The matter was set for review in 250-270 days. The trial court adopted said 

disposition on July 3, 2012. 
No. 13AP-284 6 

{¶ 14} On July 23, 2012, the magistrate issued findings of fact and conclusions of 

law. The magistrate summarized the testimony given by father, Ms. Hornor, and Ms. 

Round. He noted that appellant invoked the Fifth Amendment. The magistrate 

concluded, based on the testimony, the evidence presented, and his opportunity to view 

the demeanor of the witnesses, that the state met its burden of proving E.M. was an 

abused, neglected, and dependent child as set forth in the complaint. In particular, he 

noted: 

Testimony was uncontroverted that [E.M.] suffered injury as a 

result of [appellant's] failure to secure [E.M.] in her car seat 

correctly. In addition, testimony was uncontroverted that 

[E.M.] had multiple fractures dating from at least two 

different time periods where no explanation was offered for 

the fracture injuries at trial. [Appellant] failed to seek medical 

care for her child out of fear that FCCS may become involved 

in the matter. As a result, an extremely important medical 

examination, namely the CT scan, was delayed due to 

[appellant's] failure to act. 

(R. 64, 2.) The trial court adopted the magistrate's findings of fact and conclusions of law 

the same day they were issued. 

{¶ 15} On August 3, 2012, appellant filed objections to the magistrate's decision. 

Once transcripts of the proceedings were prepared, she supplemented those objections on 

October 12, 2012. Appellant lodged six numbered objections. On March 5, 2013, the trial 

court overruled all of appellant's objections. The trial court also noted that appellant was 

charged with child endangerment based on her failure to secure E.M.'s car seat properly, 

citing Franklin County Municipal Court case No. 2011 CRB 20733. Appellant timely 

appealed the March 5, 2013 judgment to this court. 

II. ASSIGNMENTS OF ERROR 

{¶ 16} Appellant presents us with two assignments of error for review: 

[I.] THE TRIAL COURT ERRED WHEN IT FOUND THAT 

THE LAW REQUIRED A PARENT TO OBTAIN A MEDICAL 

DIAGNOSIS FOR "ANY CHILD SUFFERING FROM 

POTENTIAL ILLNESS, INJURY OR OTHER HEALTH 

ISSUES" EVEN IN CASES WHERE NO MEDICAL 

TREATMENT WAS REQUIRED OR NEEDED AND THE 

CHILD SUFFERED NO HARM FROM THE FAILURE TO 
No. 13AP-284 7 

OBTAIN A MEDICAL DIAGNOSIS AND FURTHER ERRED 

WHEN IT DETERMINED THAT THE CHILD WAS ABUSED, 

NEGLECTED, AND DEPENDENT IN THE ABSENCE OF 

CLEAR AND CONVINCING EVIDENCE. 

[II.] THE TRIAL COURT ERRED WHEN IT OVERRULED 

THE APPELLANT'S OBJECTION TO THE INTRODUCTION 

OF INADMISSIBLE HEARSAY EVIDENCE. 

III. DISCUSSION

{¶ 17} We will address appellant's second assignment of error first, for ease of 

discussion. Under that assignment of error, appellant limits her argument to alleged 

hearsay delivered by Ms. Hornor. She complains the trial court erred in allowing Ms. 

Horner to testify regarding information she received from the radiologist indicating the 

approximate dates E.M. sustained broken bones. Appellant also argues the trial court 

erred in allowing Ms. Horner to repeat the explanation for E.M.'s injuries she was given 

by father. 

{¶ 18} A trial court has broad discretion in determining whether to admit or 

exclude evidence, and an appellate court will not disturb the trial court's determination 

absent an abuse of discretion. State Farm Mut. Auto. Ins. Co. v. Anders, 197 Ohio App.3d 

22, 2012-Ohio-824, ¶ 9 (10th Dist.), citing Krischbaum v. Dillon, 58 Ohio St.3d 58, 66 

(1991). An "abuse of discretion" implies that the court acted in an unreasonable, arbitrary 

or unconscionable manner. Banford v. Aldrich Chem. Co., Inc., 126 Ohio St.3d 210, 

2010-Ohio-2470, ¶ 38, citing State ex rel. Sartini v. Yost, 96 Ohio St.3d 37, 2002-Ohio3317. Even upon a showing of an abuse of discretion, a reviewing court will not overturn a 

trial court's evidentiary ruling unless the appellant also establishes that the abuse of 

discretion caused material prejudice to her. Anders at ¶ 9, citing Banford at ¶ 38. 

{¶ 19} During the adjudicatory hearing, Ms. Hornor testified about the 

approximate age of fractures that pre-dated E.M.'s bruising. Ms. Hornor admitted that 

she was not able to determine the age of fractures by reading an x-ray on her own, and she 

relied on a pediatric radiologist to do that. Accordingly, appellant argues that Ms. Hornor 

was simply repeating in court what she was told by the radiologist regarding the 

approximate dates fractures were sustained, and those statements were inadmissible 

hearsay. She further argues she was prejudiced by the testimony because the trial court 
No. 13AP-284 8 

"probably" relied on the approximate dates to determine E.M. was an abused, neglected, 

and dependent child. (Appellant's brief, 22-23.) We disagree. 

{¶ 20} Hearsay is defined as a statement other than one the declarant made at trial 

offered into evidence to prove the truth of the matter asserted. In re C.S., 10th Dist. No. 

11AP-667, 2012-Ohio-2988, ¶ 10; Evid.R. 801. The statements in question were not 

hearsay because Ms. Hornor did not offer them to prove the truth of the matter asserted, 

i.e., that E.M. sustained the fractures at the particular points in time the radiologist 

approximated. See In re Application of McKinney, 134 Ohio St.3d 260, 2012-Ohio-5635, 

¶ 18. 

{¶ 21} Ms. Hornor testified that, during E.M.'s initial visit to CAC, she ordered a 

full body x-ray "to look for any old or new fractures." (Tr. 20.) Upon reviewing the initial 

x-rays with the radiologist, Ms. Hornor learned that E.M. had fractures that pre-dated her 

bruising. This, coupled with Ms. Hornor's knowledge that new fractures oftentimes do 

not show in x-rays until they begin to heal, prompted her to advise father to bring E.M. 

back for follow-up x-rays in two to three weeks. Those x-rays revealed newer fractures. 

Thus, Ms. Hornor knew that E.M. sustained fractures at different points in time. Ms. 

Hornor's testimony regarding what the radiologist told her about the approximate age of 

E.M.'s fractures was not offered to prove the dates E.M. sustained those fractures. 

Instead, the testimony was offered to explain Ms. Hornor's actions in assessing E.M.'s 

injuries and her findings. The testimony, therefore, was not hearsay. See Rex v. Univ. of 

Cincinnati College of Med., 10th Dist. No. 13AP-397, 2013-Ohio-5110, ¶ 13-14, 16. 

Accordingly, the trial court did not err or abuse its discretion in overruling appellant's 

hearsay objections. 

{¶ 22} Furthermore, appellant's argument that she was prejudiced by the 

testimony is undermined by the magistrate finding "testimony was uncontroverted that 

[E.M.] had multiple fractures dating from at least two different time periods." (R. 64, 2.) 

If the magistrate accepted Ms. Hornor's testimony about what she was told by the 

radiologist for the truth of the matter asserted, the magistrate likely would have found 

that the evidence showed E.M. sustained fractures at a minimum of three points in time. 

{¶ 23} Appellant's argument that it was prejudicial for the trial court to allow Ms. 

Hornor's account of the explanation she received from father about the incident is, 
No. 13AP-284 9 

likewise, unpersuasive. Father provided substantially the same story during his own 

testimony. The trial court was provided with the story as the only explanation for E.M.'s 

injuries, regardless. Appellant does not argue that the trial court improperly allowed 

father to testify about what appellant told him, and we will not develop arguments for 

appellant that she has not properly brought before this court. See Huffer v. Brown, 10th 

Dist. No. 12AP-1086, 2013-Ohio-4384, ¶ 11. In sum, appellant has not established the 

trial court abused its discretion or that she was materially prejudiced by the trial court's 

evidentiary rulings. Accordingly, appellant's second assignment of error is overruled. 

{¶ 24} Under her first assignment of error, appellant argues the trial court erred in 

determining E.M. was an abused, neglected, and dependent child because the elements of 

the causes of action were not met, and the determination was not supported by clear and 

convincing evidence. 

{¶ 25} Finding a child to be an abused, neglected or dependent child must be 

supported by clear and convincing evidence of that status. R.C. 2151.35; In re L.C., 10th 

Dist. No. 12AP-1057, 2013-Ohio-2564, ¶ 7, citing In re N.P., 10th Dist. No. 07AP-797, 

2008-Ohio-1727, ¶ 7. Clear and convincing evidence is more than a mere preponderance, 

it is the quantum of evidence which will produce in the mind of the trier of fact a firm 

belief or conviction as to the facts sought to be established. L.C. at ¶ 7, citing M.P. at ¶ 7. 

On review, we must affirm the trial court if competent, credible evidence going to all the 

essential elements of the case supports the trial court's judgment. Id.

{¶ 26} The trial court's judgment was based on the following four statutes: R.C. 

2151.031(C) and (D), 2151.03(A)(2), and 2151.04(C).

{¶ 27} R.C. 2151.031 provides in pertinent part:

As used in this chapter, an "abused child" includes any child 

who: 

* * * 

(C) Exhibits evidence of any physical or mental injury or 

death, inflicted other than by accidental means, or an injury 

or death which is at variance with the history given of it. * * * 
No. 13AP-284 10 

(D) Because of the acts of his parents, guardian, or 

custodian, suffers physical or mental injury that harms or 

threatens to harm the child's health or welfare. 

{¶ 28} R.C. 2151.03 provides in pertinent part: 

(A) As used in this chapter, "neglected child" includes any 

child: 

* * * 

(2) Who lacks adequate parental care because of the faults or 

habits of the child's parents, guardian, or custodian. 

{¶ 29} R.C. 2151.04 provides in pertinent part: 

As used in this chapter, "dependent child" means any child: 

* * * 

(C) Whose condition or environment is such as to warrant 

the state, in the interests of the child, in assuming the child's 

guardianship. 

{¶ 30} Appellant's argument focuses on the fact that E.M. did not need any 

medication or surgery to help her heal from her injuries. Therefore, appellant contends, 

she was justified in not seeking medical attention for E.M., and E.M. should not have been 

adjudicated an abused, neglected, and dependent child. We disagree. Appellant's 

argument ignores a great deal of evidence in the record that supports the trial court's 

judgment in accordance with the above statutes. 

A. Abuse under R.C. 2151.031(C) and (D)

{¶ 31} We will address whether E.M. was properly adjudicated an abused child 

under both subsections (C) and (D) together. It is undisputed that E.M. was in the care of 

appellant when she suffered injuries, including multiple broken bones, extensive bruising 

to several areas of her body, and a ruptured eardrum. The only explanation provided for 

E.M.'s injuries was that appellant strapped her into her car seat, but appellant did not 

secure the car seat to the seat itself. Thus, when a sudden stop occurred, E.M. was 

propelled forward while still in her car seat and she impacted a console or the back of a 

seat. Ms. Hornor, a pediatric nurse practitioner that examined E.M. head to toe, testified, 
No. 13AP-284 11 

quite clearly, that E.M.'s injuries were at variance with that explanation. The magistrate's 

findings reflect that he found Ms. Hornor credible, and the evidence adduced through her 

competent. We arrive at the same conclusion and find that sufficient evidence supports 

E.M. was an abused child under R.C. 2151.031(C) and (D). 

B. Neglect under R.C. 2151.03(A)(2) 

{¶ 32} "Adequate parental care," as referenced in R.C. 2151.03(A)(2), means "the 

provision by a child's parent * * * of adequate food, clothing, and shelter to ensure the 

child's health and physical safety and the provision by a child's parent * * * of specialized 

services warranted by the child's physical or mental needs." R.C. 2151.011(B)(1). 

{¶ 33} The testimony presented at trial established that E.M.'s injuries occurred 

while she was in the care of appellant, and appellant did not seek medical care for E.M. 

Father's testimony indicated that the injuries existed for three to four days before E.M. 

was returned to him, and appellant extended the time she had E.M. while injured for an 

extra day. Father and Ms. Round both testified that appellant told them she did not take 

E.M. to the hospital because she was afraid FCCS would intervene. Once E.M. was seen at 

Mt. Carmel and a serious head injury was ruled out, father was directed to take E.M. to 

CAC for more specialized testing and care. An additional visit to CAC was necessary to 

identify and document all of E.M.'s broken bones, and Ms. Hornor testified that she 

would expect a parent to seek medical care for E.M. based on her outward appearance, 

i.e., the extensive bruising. The magistrate found, due to appellant's failure to act, "an 

extremely important medical examination, namely the CT scan, was delayed." (R. 64.) 

Similarly, we find that competent, credible evidence supports that appellant's behavior 

delayed E.M.'s access to medical services that were warranted by her physical condition. 

Thus, the trial court's determination that E.M. was a neglected child under R.C. 

2151.03(A)(2) will stand. 

C. Dependency under R.C. 2151.04(C)

{¶ 34} "A finding of dependency under R.C. 2151.04 focuses on whether the child is 

receiving proper care and support. Therefore, the determination must be based on the 

condition or environment of the child, not the fault of the parents. However, a court may 

consider a parent's conduct insofar as it forms part of the child's environment." (Internal 

citations omitted.) L.C. at ¶ 20. Given our discussion above and the trial court's expertise 
No. 13AP-284 12 

in determining dependency, we have little doubt that E.M.'s condition warranted the state 

in assuming her guardianship. Competent, credible evidence in the record supports the 

determination that E.M. was a dependent child. Therefore, we will not disturb that 

finding. Accordingly, appellant's first assignment of error is overruled. 

IV. CONCLUSION 

{¶ 35} For the foregoing reasons, appellant's two assignments of error are 

overruled, and the judgment of the Franklin County Court of Common Pleas, Division of 

Domestic Relations, Juvenile Branch, is affirmed. 

Judgment affirmed. 

SADLER, P.J., and DORRIAN, J., concur.