Court Opinion

ID: 2657819
Source: CourtListenerOpinion
Date Created: 2014-03-25 17:13:15.350825+00
Date Added: 2024-06-11T13:00:36.354350
License: Public Domain

Filed 3/25/14
                             CERTIFIED FOR PUBLICATION

                COURT OF APPEAL, FOURTH APPELLATE DISTRICT

                                      DIVISION ONE

                                  STATE OF CALIFORNIA

K.F. et al.,                                   D064534

        Petitioners,                           (San Diego County Super. Ct. No.
                                                NJ14792)
        v.

THE SUPERIOR COURT OF SAN
DIEGO COUNTY,

        Respondent;

SAN DIEGO COUNTY HEALTH AND
HUMAN SERVICES AGENCY,

        Real Party in Interest.

        PROCEEDINGS in mandate after referral to a Welfare and Institutions Code

section 366.26 hearing. Harry M. Elias, Judge. Petitions granted in part and denied in

part; stay vacated.

        Julie E. Braden for Petitioner K.F.

        John P. McCurley, under appointment by the Court of Appeal, for Petitioner M.M.

        No appearance for Respondent.

        Thomas E. Montgomery, County Counsel, John E. Philips, Chief Deputy County

Counsel, and Paula J. Roach, Deputy County Counsel, for Real Party in Interest.
       Jessica B. Smith, under appointment by the Court of Appeal, for Minor.

       At age three months, S.F. was removed from the custody of her parents, K.F.

(Father) and M.M. (Mother) and declared a dependent of the court after her parents

brought her to the emergency room and she was found to have suffered two subdural

hematomas, numerous rib fractures, an elbow fracture, and bruising. After a

jurisdictional hearing, the juvenile court found that (1) the parents committed, knew

about, or reasonably should have known about severe abuse to a child under age five

(Welf. & Inst. Code,1 § 300, subd. (e) (hereafter § 300(e) abuse)), and (2) the parents

failed or were unable to protect the child from serious physical harm (§ 300(b) (hereafter,

§ 300(b) failure to protect)). The court stated its section 300(e) abuse finding was based

on a preponderance of the evidence, and its section 300(b) failure-to-protect finding was

based on clear and convincing evidence. The court thereafter decided to bypass

reunification services under (1) section 361.5(b)(5) based on its section 300(e) abuse

finding, and (2) section 361.5(b)(6) based on its section 300(b) failure-to-protect finding.

       In the mandate proceedings before us, Father contends the record does not support

the section 300(e) abuse finding as to him. Both parents challenge the denial of

reunification services.

       We conclude there is sufficient evidence to support the court's section 300(e)

abuse finding as to Father. However, we hold the court erred in denying reunification

services to the parents. Denial of reunification services requires findings based on clear

1     Subsequent unspecified statutory references are to the Welfare and Institutions
Code. For convenience, we omit the word "subdivision" when citing to this statute.

                                             2
and convincing evidence. Because the court's section 300(e) abuse finding was based on

a preponderance of the evidence, this finding cannot support denial of services under

section 361.5(b)(5). Further, although the court's section 300(b) failure-to-protect finding

was made by clear and convincing evidence, the record shows that the infliction-of-harm

finding required to bypass reunification services under section 361.5(b)(6) was predicated

on the same facts as the section 300(e) abuse finding, which was established only by a

preponderance of the evidence. Accordingly, the denial of reunification services under

section 361.5(b)(6) is likewise unsupported.

       We also reject the Health and Human Services Agency's argument that the mere

existence of a section 300(e) abuse finding satisfies the clear and convincing evidence

showing needed to trigger application of the section 361.5(b)(5) reunification services

bypass provision. Instead, we hold the facts underlying the section 300(e) abuse finding

must be established by clear and convincing evidence.

       Father's petition is denied as to the challenge to the sufficiency of the evidence on

the section 300(e) abuse finding. Father's and Mother's petitions are granted as to the

challenge to the denial of reunification services.

                   FACTUAL AND PROCEDURAL BACKGROUND

                                        I. Overview

       S.F. was born in December 2012, when Mother and Father were 19 and 20 years

old, respectively. Mother lived with her parents and two siblings, and Father lived with

his grandmother. As we detail below, on numerous occasions Mother and Father cared

                                               3
for S.F. together. S.F. was also cared for by Mother alone, by Mother's parents, and,

occasionally, by Father's grandmother.

       On several occasions in December 2012 and January and February 2013, S.F. was

examined by a pediatrician. At a visit on January 21, 2013, the pediatrician observed that

she was "well appearing." At a visit on February 21, Mother was noted to be "feeling

sad" and was referred to mental health services. At this visit, the parents reported that

S.F. had been throwing up four times a day for two weeks, and the doctor diagnosed a

reflux condition and prescribed medication. The parents reported that S.F. stopped

vomiting about one or two weeks after starting the medication. About one month later,

on March 17, Mother took S.F. to the emergency room because she was eating less, had

not urinated for almost 24 hours, and had "red material" (apparently blood) in her diaper.

S.F. was tested for a urinary tract infection and was again prescribed medication for a

reflux condition.

       Five days later, on the morning of March 22, the parents took S.F. to the

emergency room. Medical personnel noted that she was having "periods of apnea" and

she had an "[i]rritable cry" when moved. The parents reported that they stayed at Father's

house the night of March 20. S.F. slept more than usual and did not wake up at her usual

time on the morning of March 21. She initially would not eat but eventually drank two

ounces from her bottle. They noticed her chest was "moving strangely." Father believed

S.F. had a " 'mini seizure' "; she looked at Father but was not focusing; and Father "patted

her to resuscitate her." Father acknowledged that his resuscitation efforts bruised S.F.

                                             4
The parents said that S.F. had another episode later in the afternoon, but seemed fine by

the evening. However, on the morning of March 22, S.F. was "fussy." When she

vomited blood, the parents drove her to the emergency room.

       During their examinations, the doctors determined that S.F. had bruises on her

thigh, buttocks, and flank; numerous rib fractures; an elbow fracture; and two subdural

hematomas.2 A shunt was inserted to drain " 'the cerebrospinal fluid from [her] head to

her abdomen.' " She had 14 rib fractures, six on one side and eight on the other.

       The San Diego County Health and Human Services Agency (Agency) detained

S.F. in protective custody and filed a petition alleging section 300(e) severe physical

abuse on a child under age five by a parent, or by a person known to the parent if the

parent knew or reasonably should have known about the abuse. The Agency placed S.F.

in the care of her paternal grandfather and his wife, and provided notice it intended to ask

the juvenile court to bypass reunification services and set a section 366.26 permanency

planning hearing.

       The jurisdictional and dispositional hearings were held in July and August 2013.

After hearing the evidence, the court (1) found true by a preponderance of the evidence

the section 300(e) abuse count, and (2) amended the petition to add a section 300(b)

failure-to-protect count and found this count true by clear and convincing evidence. At

the disposition hearing, the court declared S.F. a dependent, denied reunification services

under section 361.5, and scheduled a permanency planning hearing.

2      S.F. was also initially diagnosed with a leg fracture and spinal compression
fractures, but these diagnoses were later called into question.

                                             5
                   II. Evidence Presented at the Jurisdictional Hearing

       Several medical experts (Drs. Thomas Grogan, Cynthia Kuelbs, and Mark Nunes)

testified at the jurisdictional hearing regarding the causes, timing, and detectability of

S.F.'s injuries. Additional witnesses included Father and his grandmother, Mother and

her parents, the Agency's social worker, and a psychologist called by Father.

                                    A. Expert Testimony

       According to the expert testimony, S.F. suffered more than one episode of

nonaccidental trauma resulting in the subdural hematomas, rib fractures, elbow fracture,

and bruising. Two separate events caused her subdural hematomas; the initial event

would have been "very severe and noticeable," and the second event caused a "second

bleed . . . that . . . layer[ed] on top" of the first bleed. The hematomas could have been

caused by an impact, shaking, or a fall "with some rotation to it." S.F.'s rib fractures

could have been caused by someone grabbing her and compressing her rib cage. Her

bruises were likely caused by some sort of rough handling.

       As to the timing of her injuries, the experts stated it was difficult to determine with

precision when the subdural hematomas occurred. The doctors opined the head injury

causing the first subdural hematoma could have occurred around the time of the February

21 pediatrician visit when the parents reported vomiting and irritability. However, Dr.

Kuelbs could not determine how far in advance of the February 21 pediatrician visit the

trauma may have occurred. Further, Dr. Kuelbs acknowledged S.F.'s symptoms in

February could have been related solely to the reflux condition and unrelated to the head

                                              6
injury, and it was not possible to say absolutely when the head injury occurred. Dr.

Kuelbs believed a second head injury resulted in the symptoms that occurred on March

21, the day before she was admitted to the hospital on March 22. Dr. Kuelbs also opined

that at the time of her admission on March 22, S.F. had "symptoms of a diffused brain

injury" but not a lot of blood in her head; her symptoms would not have been explained

solely by a re-bleed of the original hematoma; and this suggested that she suffered "an

injury to her brain and the bleeding was a marker to it." Dr. Grogan testified that S.F.'s

March 22 CT scan showed no evidence of soft tissue swelling; it takes about three to five

days for soft tissue swelling to dissipate; and thus it would be unlikely that S.F. suffered a

head injury within three days of March 22.

       Dr. Grogan estimated that on March 22 S.F.'s rib fractures were 10 to 14 days old,

and her elbow fracture was three to five days old. Dr. Kuelbs generally agreed, but

explained it was not possible to determine exactly when the injuries occurred. Dr. Nunes

estimated the rib fractures occurred about seven to 21 days before March 22, and

emphasized the time calculations were "by no means a precise science." According to

Dr. Grogan, the rib fractures could have been caused at the same time or sequentially

within a short period of time. Dr. Kuelbs believed the rib fractures were inflicted at

different times because they were in different stages of healing.

       As to detectability of S.F.'s injuries, Dr. Kuelbs testified it would be difficult for a

parent who did not cause or see the infliction of the head injury to know that a subdural

hematoma had occurred. The parent might see a change in the baby, such as irritability,

                                               7
vomiting, and abnormal sleeping, but the parent and doctor might reasonably think the

baby had a viral illness or reflux disease. Similarly, Drs. Kuelbs and Nunes testified that

rib and elbow fractures might not be apparent to parents who did not cause or witness the

infliction of the injuries. Rib fractures are generally painful for a day or two, but unless

the baby screamed when picked up, a parent might think the baby is just fussy. Also, the

elbow fracture might not have caused symptoms because babies "at that age aren't doing

anything to put pressure" on the elbow area.

             B. Testimony About S.F. While at Father's and Mother's Homes

       The witnesses, including Father, Mother, Father's grandmother (Paternal Great-

grandmother), and Mother's parents (Maternal Grandmother and Maternal Grandfather),

testified consistently regarding the caretaking arrangements for S.F. Mother and S.F.

stayed at both Father's and Mother's homes for several days at a time, going back and

forth between the two residences.

       When S.F. stayed at Father's home, Mother was always there. Father and Mother

slept in Father's bedroom, and S.F. slept in a playpen in Father's bedroom for the first two

months while Mother was breastfeeding. In early February, when S.F. was about two

months old, the parents moved S.F. into a separate bedroom (the nursery) that was a few

steps from Father's bedroom and equipped with a baby monitor. If S.F. needed her diaper

changed during the night, Father or Mother would change her in the nursery and then

bring her into Father's bedroom where they had the feeding supplies. S.F. was now

drinking only formula; Father was comfortable with feeding her; and he would

                                               8
sometimes be the one who fed her the bottle. After she finished her bottle and fell asleep,

one of them would take her back to the nursery. Father occasionally bathed S.F. in

Mother's presence, and Mother was always present when Father played with her.

       When Father was gone from home taking classes, Mother stayed at Father's home

with S.F. and Paternal Great-grandmother. Paternal Great-grandmother worked from

home; she was almost always there at the residence; and she saw S.F. constantly

throughout the day. Paternal Great-grandmother occasionally fed S.F. or changed her

diaper, and on one occasion took care of S.F. when the parents went to the store, and on

another occasion when they went to a movie. Paternal Great-grandmother testified that

the parents were the main caregivers, and Father was seldom alone with S.F. because

Father and Mother "seemed to want to do everything together" when taking care of S.F.

       Father testified he would "swaddle" S.F., meaning "wrapping the baby in the tight

secure blanket so she feels comfortable to go to sleep." He explained he had learned the

technique from hospital personnel; he was "really good" at it; and S.F. had no sleeping

issues at his house. In contrast, Father and Mother testified that Mother was not as good

at swaddling, and because of this S.F. had more trouble falling asleep at Mother's home.

       Father submitted a calendar depicting the dates that S.F. was at his home. He

calculated these dates based on iPhone photos he took of her while she was with him,

stating he took photos of her every day that she was in his home. Father's calendar shows

she was with him on a regular basis after her birth until she was removed on March 22,

although there were time gaps of several days when she was not with him. Among these

                                            9
time gaps, Father claimed that S.F. was not with him for a 14-day period from February 8

through February 21.3 Mother testified that Father accurately charted the dates she and

S.F. were at Father's house based on the iPhone photos. Paternal Great-grandmother

concurred with Father that S.F. was not at their home for about 10 days to two weeks in

February.

       When S.F. was at Mother's home, she slept with Mother in Mother's bedroom.

She was cared for primarily by Mother, with assistance from Maternal Grandmother and,

to a lesser extent, Maternal Grandfather. Maternal Grandparents took care of S.F. when

Mother went shopping about once a week; when she took a shower or a nap; and for a

couple of days (February 14 to 16) when Mother and Father went to Catalina. Sometimes

when S.F. cried at night, Maternal Grandmother would take S.F. from Mother's room so

Mother could rest.

       All of the witnesses agreed that other persons who stayed or visited at Mother's or

Father's residences did not take care of S.F. Further, all of S.F.'s caretakers testified they

did not do anything that might have injured S.F.; they did not know she had been injured;

they never were concerned that someone was injuring her; and they did not know who

caused the injuries. The caretakers testified that S.F. never cried out in pain or cried

excessively, and no one ever saw anyone handle her roughly or inappropriately. Father

said that Mother told him and the pediatrician that she was happy being a mother but was

3     Father's calendar indicated that S.F. was at his home on the following dates:
December 21-23, 25-27; January 2-3, 5-7, 16-20, 26-28; February 4-7, 22-24, 26-28; and
March 4-8, 11-15, 20-22.

                                              10
"suffering depression issues." However, Father never had any concerns about how

Mother interacted with S.F.; Mother "seemed to be happy"; and they were "all together as

a family." Mother testified she never saw S.F. acting like she was in pain on the

occasions when Father brought her from the nursery into his bedroom for feeding.

       At the time of S.F.'s February 21 pediatrician appointment, Father was concerned

about S.F.'s "spit-up issues" and "heavy breathing," but the doctors told them nothing was

wrong. Mother testified that at the time of this appointment, S.F.'s "spitting up" had

increased "[a] little" and the reflux medication she was prescribed helped this condition.

Paternal Great-grandmother was also concerned about S.F.'s health because of the

spitting up and breathing problems and because her eyes looked like she did not "feel

good." After the February pediatrician appointment, Paternal Great-grandmother helped

the parents change S.F.'s health plan so she could have a new pediatrician, and they had

been expecting to have an appointment with a new doctor in April.

       Father testified that on the afternoon of March 11 when Mother and S.F. arrived at

his house, Mother told him she had seen a bit of blood in S.F.'s diaper. Later that same

day, Father saw blood in her diaper. Father was a "little concerned" and the parents

decided to wait and observe S.F. because she did not appear to be in pain and was acting

normally. Father saw no more blood during the next three and one-half days that S.F.

stayed at his house.

       Father provided additional details about what occurred in the hours before S.F.

was brought to the emergency room on March 22. Father testified the morning of March

                                            11
21 when he picked S.F. up in the nursery and removed her diaper, she went into a

"breathing episode" and her eyes were "staring off." He placed her in a "burping

position" on his chest, and Mother (who had joined him in the room) said "do

something." Father placed "a very firm hand" on S.F.'s backside; patted her; and then

applied more force by hitting her instead of patting her. Father was in a panic, and he

used what he described as "excessive force" because S.F. was not responding normally.

After about 15 to 20 pats or hits, S.F. urinated and defecated on him, opened her eyes,

and cried.

       Father testified that he was concerned because of this incident and her "spit-up"

issues. However, Father and Mother decided to observe S.F. but not take her to the

emergency room because she had been to the doctor numerous times, and Mother had

just taken her on March 17 to the emergency room where she was fully examined,

determined to be fine, and again diagnosed with the reflux condition. S.F. appeared

lethargic, did not want to eat, and took a nap. About one hour later she was playful and

normal. However, she only drank about two ounces from her bottle, and then vomited.

Thereafter she had another episode of heavy breathing with no eye contact, and Father

again applied force to her back. They then decided to give her the reflux medication she

had been prescribed; it appeared to work because she ate again and had no more episodes.

S.F. slept with Mother and Father that night. The next morning while Father was in the

bathroom, Mother called for him and he ran into his bedroom. Mother was holding S.F.;

there was blood and vomit coming from S.F.'s mouth; and S.F. was not making eye

                                            12
contact. Father took her and again applied "a firm hand," but was unable to "snap her out

of it this time." The parents then took her to the emergency room.

      Father acknowledged that he was negligent when he did not take S.F. to the

hospital on March 21, and that he caused the bruising on her back and buttocks area.

However, he claimed that he never squeezed her in the chest area excessively and his

handling of her was otherwise "gentle and appropriate." Paternal Great-grandmother,

who witnessed the second incident on March 21, agreed that Father used more pressure

than usual when S.F. appeared to stop breathing, but his conduct was not alarming.

                                C. Additional Testimony

      Social worker Shari Medeiros opined that one parent inflicted the injuries to S.F.

and the other parent knew about the abuse and failed to protect her. Medeiros noted the

parents were the primary caretakers, and on March 21 the parents knew S.F. was not

breathing or was nonresponsive and yet they decided to wait and not take her to the

doctor. She opined that reunification services should not be provided because she did not

think services would prevent the abuse from recurring.

      Psychologist Robert Kelin, called by Father, testified that psychological testing

raised no concerns that Father had a propensity towards violence. However, Dr. Kelin

was somewhat concerned that Father decided not to take S.F. to the emergency room

when she was symptomatic on March 21. When Dr. Kelin asked Father what he wanted

to see happen at the hearing, Father responded he would like S.F. back in his care;

however, "[u]nderstanding the circumstances of the injuries and all of the accusations, he

                                            13
knew that was not going to happen"; and he wanted the investigation to continue. Given

the severity of S.F.'s injuries and lack of information about their cause, Dr. Kelin

concluded that "caution must be taken to protect" her, and recommended that Father

continue with supervised visitation and receive reunification services. He testified he did

not know whether Father abused S.F., but he opined Father was not "in denial about

[S.F.'s] problems" and Father was fully "capable of benefiting from services."

       S.F.'s current caretaker (Paternal step-grandmother) testified that S.F. has incurred

no injuries since being placed in her care.

                                 III. Trial Court's Rulings

                          A. Findings at Jurisdictional Hearing

       At the conclusion of the jurisdictional hearing, the court concluded that the expert

testimony showed S.F.'s multiple rib fractures were likely the result of compression and

her subdural hematomas were likely caused by some form of shaking. The court assessed

the "swaddling" efforts made by the parents, done improperly, could have resulted in

both compression and shaking. The court stated it was more likely than not that the

injuries occurred during the caretaking by one or both of the parents, and it could not

determine which parent committed the abuse, although it suspected it may have been

Mother. Based on this conclusion, the court found true the section 300(e) abuse

allegation against both parents, but emphasized that its section 300(e) abuse finding was

based on a preponderance of the evidence, and it could not reach this finding by clear and

convincing evidence.

                                              14
       The court then amended the petition to add a section 300(b) failure-to-protect

count. The court found this second count true by clear and convincing evidence "based

on the same factual averments" as the section 300(e) abuse count.4

              B. Denial of Reunification Services at Dispositional Hearing

       At the conclusion of the dispositional hearing, the court denied reunification

services to the parents pursuant to section 361.5, and set a section 366.26 permanency

planning hearing. In support of the denial of reunification services, the court stated it was

finding "by clear and convincing evidence" that S.F. had been adjudicated a dependent

"as a result of the infliction of severe physical harm, and that the court found earlier that

harm was caused by the parents." Further, the court found there was no evidence

presented that it would be in S.F.'s best interests to provide reunification services.

                                   IV. The Writ Petition

       In the writ of mandate proceeding before us, Father challenges the section 300(e)

abuse finding as to him, and both parents challenge the denial of reunification services.

The parents do not challenge the section 300(b) failure-to-protect finding. We issued an

order to show cause, the Agency responded, and the parties waived oral argument.

4       We note that the written section 300(b) allegation added by the court actually
tracks the language of section 300(a), which concerns harm inflicted by a parent, not
failure to protect. However, when this discrepancy was pointed out by the Agency's
counsel, the court added failure-to-protect language to the written second count. It is
clear from the record that the allegation and true finding on the second count are based on
section 300(b) failure to protect.

                                              15
                                       DISCUSSION

                  I. True Finding for Section 300(e) Abuse as to Father

       Father contends there is insufficient evidence to sustain the court's section 300(e)

abuse finding as to him. Mother does not challenge this finding.

       When reviewing a challenge to the sufficiency of the evidence, we consider the

entire record, view the evidence in the light most favorable to the judgment, and indulge

in all reasonable inferences that support the judgment. (In re L.K. (2011) 199
Cal. App. 4th 1438, 1446; In re Joshua H. (1993) 13 Cal. App. 4th 1718, 1728.) " '[A]ll

conflicts are to be resolved in favor of the prevailing party, and issues of fact and

credibility are questions for the trier of fact.' " (In re E.B. (2010) 184 Cal. App. 4th 568,

575.) If the circumstances reasonably support the trier of fact's findings, reversal is not

warranted merely because the circumstances might also be reasonably reconciled with a

contrary finding. (In re L.K., supra, 199 Cal.App.4th at p. 1446.)

       Section 300(e) provides for dependency court jurisdiction when: "The child is

under the age of five years and has suffered severe physical abuse by a parent, or by any

person known by the parent, if the parent knew or reasonably should have known that the

person was physically abusing the child." The jurisdictional finding may be made by a

preponderance of the evidence. (§ 355(a); In re A.S. (2011) 202 Cal. App. 4th 237, 244.)

       A section 300(e) abuse finding may be based on circumstantial evidence showing

that the parents knew or reasonably should have known about the abuse, even when it

cannot be determined which caretaker inflicted the abuse. (See In re E.H. (2003) 108

                                             16
Cal. App. 4th 659, 670.) Drawing all reasonable inferences in favor of the court's ruling,

the circumstances support that Father either committed or was in a position to know

about the abuse.5

       There is no dispute that S.F.'s injuries were not accidental. In determining who

was responsible, the court could consider that Mother and Father were S.F.'s primary

caretakers; they were new parents taking care of their first child; and the only other

caretakers (Maternal Grandparents and Paternal Great-grandmother) were older and had

raised children apparently with no abuse allegations. Further, the court could have

questioned Father's and Mother's credibility given their failure to seek medical assistance

on March 21 even though during two episodes on that date S.F. displayed highly

alarming symptoms related to her breathing and responsiveness. The court could

reasonably infer that if the parents had a clear conscience, the fact that S.F. had just been

to the emergency room on March 17 would have compelled them not to delay, but to

immediately seek medical help when dramatic symptoms emerged four days later. In

other words, if they were truly unaware that S.F. was being abused, the traumatic

episodes on March 21 would have increased their alarm, not caused them to merely wait

and observe.

5       When finding the section 300(e) abuse allegation true for both parents, the court
did not mention the component of the statute which allows jurisdiction to be taken when
the parent knew or should have known about the abuse. Nevertheless, counsel cited this
aspect of the statute during arguments before the court; we presume the court is aware of
the relevant law (People v. Mack (1986) 178 Cal. App. 3d 1026, 1032); and on appeal we
imply findings that reasonably support the ruling (SFPP v. Burlington Northern & Santa
Fe Ry. Co. (2004) 121 Cal. App. 4th 452, 462).

                                             17
       Also, the juvenile court was not required to accept the visitations calendared by

Father as conclusive evidence showing he could not have inflicted or learned about the

abuse. First, the trial court was entitled to conclude that Father's claim that he took

photographs of S.F. each time she was at his house did not establish a full and accurate

record of his contact with her. For example, the record shows Father accompanied

Mother to the February 21 pediatrician visit, and yet Father's calendar excludes this date.

Second, the experts' estimations of the dates of the injuries were not so precise as to

firmly rule out that Father was present when the abuse occurred. According to the

experts, the first subdural hematoma could have occurred around the time of the February

21 pediatrician visit when S.F. was vomiting. According to Father's chart, he was with

S.F. on February 4 through 7, and not with her from February 8 through 21. However,

Dr. Kuelbs acknowledged she could not definitely state that the February 21 symptoms

were the result of a head injury rather than reflux disease, nor could she pinpoint

precisely when any head injury occurred before the February 21 visit. Third, the experts'

estimates of the possible timeframes for the rib fractures contained dates that overlapped

with some of the visitation dates calendared by Father.6

       Moreover, the record reflects that Mother and Father spent considerable time

together jointly caring for S.F. The record shows that Mother alternated between her

home and Father's home on a regular basis; that she frequently spent the night with

6      For example, Dr. Grogan's estimate that the rib fractures occurred 10 to 14 days
before March 22 overlapped with Father's calendared visits on March 8, 11 and 12. Dr.
Nunes's estimate that the rib fractures occurred seven to 21 days before March 22
overlapped with Father's calendared visits on March 4 through 8 and 11 through 15.

                                             18
Father; and that both parents participated in feeding and diapering S.F. The court could

reasonably infer that the frequency of Father's contact with S.F. and Mother and his

hands-on participation in S.F.'s care gave him a substantial opportunity to either commit

the abuse or become aware that the abuse was occurring.

       Further, contrary to Father's suggestion, the court's abuse finding is not defeated

by the experts' testimony that S.F.'s injuries were not likely observable unless the person

committed or witnessed the abuse. As stated, the record supports that Father was an

actual perpetrator or in a position to find out about the abuse, which establishes the

requisite knowledge of the abuse notwithstanding that S.F.'s symptoms might not

otherwise trigger abuse concerns.

       In short, the court could reasonably conclude that it was more likely than not that

Father either inflicted, knew about, or should have known about the abuse because he

was S.F.'s primary caretaker along with Mother; Father and Mother spent a significant

amount of time jointly caring for S.F.; it was unlikely that S.F.'s other caretakers (her

grandparents and great-grandmother) inflicted the abuse; there was no definitive evidence

establishing that Father was not present when the abuse occurred; and Father evinced a

consciousness of guilt when he delayed bringing S.F. to the emergency room on March

21 in the face of alarming symptoms.7

7       With respect to the contrary conclusion reached by the dissent, we agree that when
an appellant challenges the sufficiency of the evidence, the reviewing court considers the
entire record. However, where substantial evidence, including reasonable inferences
drawn from the evidence, supports the trial court's factual finding, an affirmance is
appropriate. The fact that contrary evidence exists which could support a different

                                             19
                            II. Denial of Reunification Services

       The parents argue the court erred in denying reunification services. We agree. As

we shall explain, the court's section 300(e) abuse finding by a preponderance of the

evidence does not satisfy the clear and convincing evidence showing required for denial

of services under section 361.5(b)(5). Further, the court's section 300(b) failure-to-

protect finding by clear and convincing evidence cannot, on this record, reasonably

encompass a clear and convincing showing of infliction of severe physical harm required

for denial of services under section 361.5(b)(6) because the severe-physical-harm finding

was based on the same facts as the section 300(e) abuse finding.

                 A. Statutes Governing Bypass of Reunification Services

       Section 361.5(b) provides that reunification services "need not be provided to a

parent or guardian . . . when the court finds, by clear and convincing evidence, any of the

following . . . ." (Italics added.) The statute then sets forth a list of circumstances that

qualify for denial of services. (§ 361.5(b)(1)-(16).) Here, the court cited subdivision

(b)(5) and (b)(6) of section 361.5 to deny services.

       Section 361.5(b)(5) permits the denial of reunification services when the "child

was brought within the jurisdiction of the court under subdivision (e) of Section 300

because of the conduct of that parent or guardian." (Italics added.) Thus, section

finding is not the test. In our view, the dissent relies on evidence that supports a
conclusion the trier of fact could have reached, without regard to evidence that supports
the conclusion reached by the trial court here. As an appellate court, we cannot substitute
our judgment for that of the trier of fact when the latter is supported by substantial
evidence. (In re E.B., supra, 184 Cal.App.4th at p. 578.)

                                              20
361.5(b)(5) concerns denial of reunification services in cases involving section 300(e)

abuse to a child under age five. (See In re Joshua H., supra, 13 Cal.App.4th at pp. 1731-

1732 [§ 361.5(b)(5) applies to § 300(e) finding for parent who committed, or knew or

reasonably should have known about, abuse].) Further, the statute provides that when

section 361.5(b)(5) applies, the court shall not order reunification services unless it finds

that the services "are likely to prevent reabuse or continued neglect of the child or that

failure to try reunification will be detrimental to the child because the child is closely and

positively attached to the parent." (§ 361.5(c).)

       Section 361.5(b)(6) permits denial of services when the "child has been

adjudicated a dependent pursuant to any subdivision of Section 300 as a result of . . . the

infliction of severe physical harm to the child . . . by a parent or guardian . . . and the

court makes a factual finding that it would not benefit the child to pursue reunification

services with the offending parent or guardian." (Italics added.) Thus, section

361.5(b)(6) concerns denial of reunification services in cases involving any section 300

finding, and can apply to a section 300(b) failure-to-protect finding if the case concerns

the infliction of severe physical harm by a parent. Section 361.5(b)(6) defines infliction

of severe physical harm as including, but not limited to, "deliberate and serious injury

inflicted to or on a child's body . . . by an act or omission of the parent or guardian, or of

another individual or animal with the consent of the parent or guardian . . . ." (Italics

added.) When the court denies services under section 361.5(b)(6), the court must "read

into the record the basis for a finding of . . . the infliction of severe physical harm . . . ."

                                                21
(§ 361.5(k).) The statute also provides that when section 361.5(b)(6) applies, the court

shall not order reunification services unless it finds "by clear and convincing evidence,

that reunification is in the best interest of the child." (§ 361.5(c).)

  B. Trial Court's Explanation of its Rulings Based on Sections 361.5(b)(5) and (b)(6)

       When denying reunification services, the court relied on section 361.5(b)(5) based

on its section 300(e) abuse finding, and on section 361.5(b)(6) based on its section 300(b)

failure-to-protect finding.8 The court stated section 361.5(b)(5) applied because the

existence of the section 300(e) abuse finding was established by clear and convincing

evidence. Further, the court stated section 361.5(b)(6) applied because it found by clear

and convincing evidence that S.F. was adjudicated a dependent "pursuant to any

subdivision [of section] 300" and "she was found so as a result of the infliction of severe

physical harm, and that the court found earlier that harm was caused by the parents."9

                                          C. Analysis

       Although jurisdictional findings can be established by a preponderance of the

evidence, the denial of reunification services requires clear and convincing evidence.

(§ 361.5(b); In re Ethan C. (2012) 54 Cal. 4th 610, 616-617, 626; Tyrone W. v. Superior

8      We note the court's minute order states it was denying reunification services under
section 361.5(b)(5), and erroneously omits the court's explicit reliance on section
361.5(b)(6) at the disposition hearing.

9       When making its ruling under section 361.5(b)(6), the court did not expressly cite
its section 300(b) failure-to-protect finding as the basis for this ruling. However, it is
apparent from the record that the section 300(b) failure-to-protect finding underlies the
section 361.5(b)(6) ruling since this is the only count that was found by clear and
convincing evidence at the jurisdictional hearing.

                                               22
Court (2007) 151 Cal. App. 4th 839, 846; Raymond C. v. Superior Court (1997) 55
Cal. App. 4th 159, 164.)

       Here, the court affirmatively stated that it could not make its section 300(e) abuse

finding by clear and convincing evidence and that the record supported the finding only

by a preponderance of the evidence. Because the court's section 300(e) abuse finding

was made only by a preponderance of the evidence, it cannot support the court's denial of

reunification services under section 361.5(b)(5).

       Further, although the court found the section 300(b) failure-to-protect allegation

true by clear and convincing evidence, under the particular circumstances of this case the

finding cannot reasonably be construed as encompassing a showing of infliction of severe

physical harm by clear and convincing evidence that is required for denial of services

under section 361.5(b)(6). The failure-to-protect statute allows for a jurisdictional

finding when the "child has suffered, or there is a substantial risk that the child will

suffer, serious physical harm or illness, as a result of the failure or inability of his or her

parent . . . to adequately supervise or protect the child . . . ." (§ 300(b); see In re A.S.,

supra, 202 Cal.App.4th at p. 246 ["The evidence supports a reasonable inference that one

of the caretakers injured [child], and concomitantly, a reasonable inference that [child]

was at substantial risk of serious physical harm . . . in the parents' home as a result of

their failure or inability to adequately protect her."].) In contrast, section 361.5(b)(6)

allows for denial of reunification services upon a showing of "infliction of serious

physical harm . . . by a parent," which can be based on a finding of "deliberate and

                                               23
serious injury . . . by an act or omission of the parent . . . , or of another

individual . . . with the consent of the parent . . . ." (Italics added.) It is apparent that the

infliction-of-harm language used in the reunification bypass provision is much more

narrowly tailored than the broad failure-to-protect language of section 300(b), which

reflects that a failure-to-protect finding does not necessarily equate with an infliction-of-

harm finding for purposes of denying reunification services.

       Because failure to protect may not always constitute infliction of harm to trigger

the reunification bypass statute, it follows that a failure-to-protect finding based on clear

and convincing evidence does not automatically translate into an infliction-of-harm

finding by clear and convincing evidence. (See, e.g., Pablo S. v. Superior Court (2002)

98 Cal. App. 4th 292, 301 [discussing facts supporting that failure to protect rose to the

level of infliction of serious injury by omission under section 361.5(b)(6)]; see also

Tyrone W. v. Superior Court, supra, 151 Cal.App.4th at pp. 851-852 [reunification

services may be denied under section 361.5(b)(6) if parent had actual knowledge of

abuse].) Reflective of the distinct nature of the infliction-of-harm requirement, section

361.5(k) requires the court to "read into the record the basis for a finding of . . . the

infliction of severe physical harm . . . ." when denying services under section 361.5(b)(6).

(See In re Rebekah R. (1994) 27 Cal. App. 4th 1638, 1651 [court should set forth separate

finding supporting application of section 361.5(b)(6) notwithstanding jurisdictional

finding on same issue].)

                                               24
       When denying reunification services, the court apparently recognized the need to

explain why its finding of failure to protect constituted infliction of severe physical harm

within the meaning of section 361.5(b)(6). The court explained that its section 300(b)

failure-to-protect ruling was based on its finding that the "infliction of severe physical

harm . . . was caused by the parents." Thus, in this case, the court's section 361.5(b)(6)

finding that the parents' act, omission, or consent caused the harm is supported by the

same facts underlying the section 300(e) abuse finding—i.e., that each parent was

responsible for S.F.'s injuries because the parent either committed the abuse or was in a

position to know about the other parent's abuse. Consistent with this, the court stated at

the jurisdictional hearing that the section 300(b) failure-to-protect finding was based on

the "same basic factual averments" as the section 300(e) abuse finding.

       Because the court expressly confined its section 300(e) abuse finding to a

preponderance of the evidence and the section 361.5(b)(6) infliction-of-harm finding was

derived from the same facts, we cannot reasonably construe the record as meeting the

clear and convincing requirement for denial of reunification services.

       We reject the Agency's contention (which was adopted by the juvenile court) that

a section 300(e) abuse finding automatically triggers the section 361.5(b)(5) reunification

bypass provision, even when the facts underlying the section 300(e) abuse finding were

proven only by a preponderance of the evidence. The Agency contends, and the court

ruled, that the mere existence of the section 300(e) abuse finding satisfied the clear and

                                             25
convincing standard for application of the section 361.5(b)(5) bypass statute. We find

this interpretation of the statute unpersuasive.

       When interpreting a statute, we consider the statutory scheme as a whole, and

construe the language in a commonsense manner and with the goal of effectuating

legislative intent. (Watershed Enforcers v. Department of Water Resources (2010) 185
Cal. App. 4th 969, 978-979.) The relevant language in section 361.5 states: "(b)

Reunification services need not be provided to a parent or guardian described in this

subdivision when the court finds, by clear and convincing evidence, any of the following:

[¶] . . . (5) That the child was brought within the jurisdiction of the court under

subdivision (e) of Section 300 because of the conduct of that parent or guardian." The

Agency argues that the clear and convincing evidence requirement applies only to the

fact that the court made a section 300(e) abuse finding, and not to the facts underlying the

finding. When viewing the statutory language in the context of the entire statutory

scheme and the expressed legislative intent, we do not find the Agency's interpretation

persuasive.

       When a court has made a section 300(e) abuse finding at the jurisdictional phase,

the mere fact of its existence will be apparent at the dispositional phase simply because

the section 300(e) ruling is part of the record. It serves no purpose to impose a clear and

convincing evidence requirement on the existence of a finding that is obviously part of

the record. Further, the broad reference to a clear and convincing evidence standard in

the introductory sentence of section 361.5(b) reflects a legislative intent to condition

                                              26
denial of reunification services on a heightened level of proof beyond the preponderance

of the evidence standard applicable to jurisdictional findings. To effectuate the

Legislature's expressed intent to require proof by clear and convincing evidence before

denying reunification services, we conclude the court must find that the facts establishing

the section 300(e) abuse finding were clearly and convincingly proven.

       The Agency's citation to In re Troy Z. (1992) 3 Cal. 4th 1170 does not support its

contention that a section 300(e) abuse finding automatically triggers application of the

section 361.5(b)(5) bypass provision. The Troy Z. court merely stated in general fashion

that a juvenile court is directed not to provide reunification services if jurisdiction is

based on section 300(e), and it did not mention or discuss whether the section 300(e)

finding must be based on clear and convincing evidence. (Troy Z., supra, at p. 1174.)10

       Because the clear and convincing evidence requirement was not satisfied, the

court's decision to bypass reunification services cannot be sustained.

                                       DISPOSITION

       Father's petition is denied as to his challenge to the court's jurisdictional finding

under section 300(e). The petitions are granted as to the denial of reunification services.

The stay issued on January 9, 2014, is vacated. The juvenile court is directed to vacate its

order setting a section 366.26 hearing and to order the Agency to offer reunification

services to Mother and Father.

10      In Troy, the court held the parents' no contest plea to a section 300(e) allegation
barred an appellate challenge claiming their conduct did not fall within section 300(e).
(In re Troy Z., supra, 3 Cal.4th at pp. 1172, 1179-1180.)

                                              27
                                   HALLER, J.

I CONCUR:

      HUFFMAN, Acting P. J.

                              28
MCINTYRE, J., concurring and dissenting.

       I agree with the majority's conclusion the juvenile court erred in denying

reunification services under section Welfare and Institutions Code section 361.5,

subdivision (b)(5) and (6), and join in Part II of the opinion. (Undesignated statutory

references are to the Welfare & Institutions Code.) I respectfully dissent from the

majority's conclusion there is substantial evidence to support a jurisdiction finding under

section 300, subdivision (e) as to K.F.

       Where the identity of perpetrator cannot be established, a jurisdictional finding

under section 300, subdivision (e) may be sustained where the child was constantly in the

custody of his or her parents. (L.Z. v. Superior Court (2010) 188 Cal. App. 4th 1285, 1293

citing In re E.H. (2003) 108 Cal. App. 4th 659 (E.H.).) The majority applies this holding

to a parent whose child was not constantly in his care and who had other caregivers

during the entire period in which her injuries were likely to have been inflicted. In view

of the entire record, I do not believe a trier of fact could reasonably conclude that K.F.

physically abused his daughter, or knew or reasonably should have known that a person

was physically abusing her. (§ 300, subd. (e).)

       In E.H., the reviewing court concluded there was substantial circumstantial

evidence to show that the parents seriously physically abused their three-month-old baby

or reasonably should have known she was being physically abused by a member of their

household. The baby was never out of the parents' custody and remained with a family

member at all times. The baby slept on the floor near a bed occupied by a blind,
developmentally disabled adult who habitually rolled out of bed and dragged herself

around the apartment, the baby cried whenever she was handled and the parents did not

follow up on the baby's diagnosis of colic. (E.H., supra, 108 Cal.App.4th at pp. 669-

670.)

        Here, the parents lived in separate households. S.F. was not in her father's custody

at all times. The record belies the majority's assertion K.F. was in a position to find out

about the abuse. He did not live with the maternal grandparents. There is no reason to

assume K.F. knew all the people who lived at the maternal grandparents' home, their

histories or behaviors, or any potential hazards at that home. (The majority omits

evidence showing that an uncle, who had a history of crime and violence, his girlfriend,

and two male cousins, also lived or stayed in the maternal grandparents' home.) On this

record, the juvenile court could not draw a reasonable inference that K.F. was responsible

for the abuse. (E.H., supra, 108 Cal.App.4th at pp. 669-670 [where a perpetrator cannot

be identified, the trier of fact can reasonably infer the parents were responsible for the

abuse when the child was constantly in the parents' custody during the time the injuries

were inflicted].) Further, there is no substantial evidence to show that a trier of fact could

conclude that K.F. severely physically abused his child or "reasonably should have

known that the person was physically abusing the child." (§ 300, subd. (e).)

        In examining the record for substantial evidence, we do not limit our review to the

evidence favorable to the respondent. (People v. Johnson (1980) 26 Cal. 3d 557, 576

(Johnson).) " 'It is not enough [to] simply . . . point to "some" evidence supporting the

                                              2
finding," because not every piece of evidence " ' "remains substantial in the light of other

facts." ' " (Id. at p. 577.) According to the pediatric child abuse experts, it was medically

reasonable to believe that S.F.'s irritability, vomiting, and changes in behavior and sleep

patterns were caused by a viral illness or reflux. A parent who did not know about the

abuse would notice only that the baby was fussy. S.F.'s elbow fracture would not

necessarily have been apparent because a three-month-old would not put any pressure on

the injured area. S.F.'s rib fractures would not have been obvious, particularly to a first-

time parent.

       The majority's view the juvenile court could consider the absence of "definitive

evidence establishing that Father was not present when the abuse occurred" shifts the

burden from the agency to prove its case to the parent to disprove it. (Maj. opn.,

Discussion, part 1, at p. 18.) Further, contrary to the majority's view, the record supports

K.F.'s argument his daughter was not in his care during the time some of her injuries

were inflicted.

       According to the testimony of the medical experts, the first subdural hematoma

likely occurred in mid-February when the parents reported symptoms of vomiting and

irritability. The record indicates S.F. was not in K.F.'s care from February 8 to

February 21. S.F. was in her mother's care during this period, with help from the

maternal grandparents, except from February 14 to 16, when the parents went to Catalina,

leaving S.F. in the grandparents' care. S.F.'s elbow fracture was three to five days old on

                                              3
March 22, indicating it was inflicted on or about March 17 to 19. The record shows that

K.F. did not have any contact with his daughter from March 16 to the evening of

March 20. S.F. was distressed on March 17, prompting her mother to take her to the

emergency room. The majority discredits K.F.'s timeline because it does not indicate he

was present at S.F.'s pediatric visit on February 21. However, a review of the entire

record shows that K.F.'s timeline was offered to show the days he cared for his daughter

at his home. He also testified he took S.F. to her pediatric visits on January 7 and 21, and

February 21.

       The majority points out that K.F. cared for S.F. during the period of time in which

her rib fractures were likely inflicted. I do not believe it is reasonable to infer K.F. was

responsible for S.F.'s rib fractures when she was left alone with other caregivers during

that time. The record lacks other evidence that would tend to corroborate an inference of

abuse. K.F. was not an angry or violent person. He had no history of mental illness,

crime, substance abuse or child protective referrals. He supported M.M. during her

pregnancy, accompanied her to prenatal appointments, set up a nursery in his home and

was present when S.F. was born. Unlike M.M., K.F. did not suffer from depression.

Unlike M.M., who was awkward and uncomfortable with S.F., K.F. competently and

lovingly cared for his daughter. She slept soundly at K.F.'s home, waking up only for

regular feedings. By contrast, according to testimony from M.M. and the maternal

grandparents, S.F. cried all night at M.M.'s home.

                                              4
       I disagree with the majority's view the trier of fact could reasonably conclude that

K.F. "evinced a consciousness of guilt" when he delayed seeking medical care for S.F. on

March 21. The majority's view is based on isolated evidence and disregards S.F.'s history

of "good pediatric care" during the periods in which she likely sustained the majority of

her injuries. The record shows that K.F. did not avoid seeking medical care for his

daughter during that time. On March 21, he was advised by his grandmother, who was

present during S.F.'s second incident of 30 to 40 seconds duration, merely to watch S.F.

and take her to the doctor if she had another episode. According to his grandmother, S.F.

appeared to be her "normal, little . . . self" the rest of the day. The following morning,

when S.F. was in distress, K.F. immediately brought her to the hospital. Viewed in the

context of the record as a whole, there is no reasonable evidence to support a finding that

K.F. avoided seeking medical care for his child because he physically abused his

daughter or knew she was being physically abused. (People v. Johnson, supra, 26 Cal.3d

at p. 576 [not every inference is reasonable in light of the entire record].)

       I would not infer a parent was responsible for severe physical abuse where the

identity of the perpetrator is unknown, the child was not constantly in the care of that

parent, and the child had other caregivers during the time the injuries were likely

inflicted. Accordingly, I would reverse the jurisdictional finding under section 300,

subdivision (e) as to the father. Although I concur with the majority's view the juvenile

court erred when it denied reunification services under section 361.5, subdivision (b)(5)

                                              5
and (6), in the absence of a jurisdictional finding under section 300, subdivision (e), the

father would be statutorily entitled to reunification services. (§ 361.5, subd. (a).)

                                                                              McINTYRE, J.

                                              6