Court Opinion

ID: 4655940
Source: CourtListenerOpinion
Date Created: 2021-01-29 18:02:48.141264+00
Date Added: 2024-06-11T08:00:32.326487
License: Public Domain

Filed 1/29/21 B.B. v. Superior Court CA4/1
                 NOT TO BE PUBLISHED IN OFFICIAL REPORTS

California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication
or ordered published for purposes of rule 8.1115.

                COURT OF APPEAL, FOURTH APPELLATE DISTRICT

                                                 DIVISION ONE

                                         STATE OF CALIFORNIA

 B.B.,                                                           D078104
           Petitioner,
           v.                                                    (Super. Ct. No. EJ4367)
 THE SUPERIOR COURT OF SAN
 DIEGO COUNTY,
           Respondent;

 SAN DIEGO COUNTY HEALTH
 AND HUMAN SERVICES
 AGENCY,
           Real Party in Interest.

         PROCEEDINGS for extraordinary relief after reference to a Welfare
and Institutions Code section 366.26 hearing. Gary M. Bubis, Judge.
Petition denied.
         Dependency Legal Services of San Diego; Law Office of Berta Zangari,
Erin Stredwick and Marisa Mittelman for Petitioner.
         No appearance by Respondent.

                                                             1
      Thomas E. Montgomery, County Counsel, Caitlin E. Rae, Chief Deputy
County Counsel, and Kristen M. Ojeil, Deputy County Counsel, for Real
Party in Interest.
      Petitioner B.B. (Mother) seeks extraordinary writ review, pursuant to
rule 8.452 of the California Rules of Court, of the respondent juvenile court’s
order terminating her reunification services and setting a Welfare and

Institutions Code section 366.261 hearing for her infant daughter, H.B., to be
held on February 9, 2021. Mother contends that there is insufficient evidence
to support the court’s finding, by clear and convincing evidence, that she
received reasonable reunification services before it set the matter for a
section 366.26 hearing. Based on our reasoning post, we deny her petition.
               FACTUAL AND PROCEDURAL BACKGROUND
      Mother suffered multiple strokes as a teenager, leaving her visually
impaired and with other physical disabilities, including limited mobility in

her hands and an inability to walk independently.2 Mother requires a
personal caregiver and an additional adult to safely care for her son E. during

visitation.3
      In February 2019, H.B. was born. Concerned about Mother’s ability to
safely care for H.B., hospital staff contacted the San Diego County Health
and Human Services Agency (Agency). Staff reported that Mother was

1     All statutory references are to the Welfare and Institutions Code.

2     Mother stated she has an axonal brain injury and cortical blindness,
but can see persons, objects, and colors.

3     A family court order gave E.’s father custody of him. Mother agreed to
an open adoption of her first child, J.

                                       2
unable to pick up H.B., hold her, position her to breastfeed, change her
clothing or diaper, bathe her, or observe whether she was asleep or awake.
      In March, concerned about the ability of Mother and her caregiver to
safely care for H.B., the Agency filed a juvenile dependency petition for H.B.
pursuant to section 300, subdivision (b)(1). Although the court initially
detained H.B., it dismissed the petition the following month on the Agency’s
recommendation after Mother arranged for 24-hour caregivers to assist her
with H.B.’s care.
      In July, Mother was at a restaurant with H.B. and their respective
caregivers when Mother lost hold of H.B. and H.B. fell and hit her head on a
tile floor. When paramedics were called, Mother attempted to leave with
H.B. before they arrived. Paramedics arrived and recommended that Mother
take H.B. to an emergency room. The following day, Mother instead took
H.B. to an urgent care center. Mother’s caregivers reported that Mother
resisted their suggestions regarding safely caring for H.B. and expressed
concern about Mother’s judgment and decisionmaking in caring for H.B.
      In July, the Agency filed a new section 300, subdivision (b)(1) petition
for H.B. and the court detained her out of Mother’s home with a nonrelated
extended family member (NREFM). In its jurisdiction and disposition report,
the Agency stated it recommended that the court make a true finding on the
petition, order that H.B. be placed out of the home, and order that Mother
participate in reunification services and receive supervised visits with H.B.
The Agency was particularly concerned with Mother’s apparent resistance to
the caregivers’ instructions for, and assistance in, safely caring for H.B. At
an August child and family team (CFT) meeting, Mother told the Agency that
the only services she required to safely care for H.B. were her twice-weekly
individual therapy and daily support from her caregivers. The Agency

                                       3
instead recommended a case plan for Mother, consisting of: (1) a domestic
violence program; (2) a psychological evaluation (to obtain clarification on her
mental health and what interventions would help her reunify with H.B.); (3)
general individual counseling with a TERM-approved therapist; and (4) a

parenting program.4 The Agency also referred Mother to a visitation coach,
but the coach declined to help Mother because of the “high level of
supervision” she required. The Agency reported that Mother’s twice-weekly
supervised visits and daily video calls with H.B. were consistent and
appropriate.
      In early October, Mother participated in a psychological evaluation
conducted by Katherine Ellis, Ph.D. In late October, Dr. Ellis issued a
written report regarding her evaluation of Mother. She diagnosed Mother
with a paranoid personality disorder. She further found that Mother had
cognitive impairment that caused her difficulty in manipulating and
processing information in an abstract manner. Dr. Ellis stated that Mother
was “unable to demonstrate insight into how these dysfunctions have
attributed to her ability to care for herself and her minor children.” Dr. Ellis
believed that Mother’s paranoid and persecutory symptoms were impeding
her ability to comply with reunification goals and accept recommendations
made by the Agency and her caregivers.
      In response to the Agency’s request for diagnostic clarification and
treatment recommendations, Dr. Ellis stated that Mother would benefit from
individual therapy utilizing a supportive approach in exploring and
managing symptoms of paranoid personality disorder (i.e., cognitive

4   TERM is an acronym for the Treatment and Evaluation Resources
Management program adopted by the County of San Diego.

                                       4
behavioral therapy, behavioral therapy, mindfulness-based stress reduction,
skills-based group, etc.). She believed that individual therapy with a trusted
provider should be a priority and that Mother should “be matched with a
provider who can provide empathy and mutual respect to allow for [Mother]
to develop autonomy and gain insight into her role in [H.B.’s] case.
Treatment should focus on accountability and increasing coping and
communication skills to support [Mother] in co-parenting with caregivers.”
Dr. Ellis opined that Mother “would benefit from individual therapy (i.e.,
interpersonal skills training, mindfulness, etc.); conjoint therapy (i.e., Dyadic
Therapy); parent coaching (i.e., co-parenting, education, conflict resolution);
and case management . . . .” Dr. Ellis also stated that a “neuropsychological
evaluation would be beneficial in determining the extent of ABI [i.e., acquired
brain injury] on executive functioning in order to guide treatment
recommendations and goals. It is recommended results of [the]
neuropsychological evaluation be incorporated into individual therapy
treatment goals in order to build awareness and acceptance of any existing
cognitive impairments and develop associated learning and coping
strategies.” Dr. Ellis believed that it was likely Mother would require a full
12 months of treatment due to her cognitive impairments and personality
factors.
      On November 4, 2019, the court held a contested jurisdiction and
disposition hearing. The court found the petition’s allegations to be true,
declared H.B. a dependent of the court, removed her from Mother’s custody,
and placed her with NREFMs. The court further found that Mother had been
actively involved in the development of the Agency’s proposed case plan for
her. The court approved and adopted the Agency’s proposed case plan for
Mother, except that it struck the domestic violence program requirement (per

                                        5
Mother’s request). The court denied Mother’s request for a visitation coach.
The court stated:
         “This case to me involves more of [M]other’s willingness to
         accept direction with regard to the safety of her child. She
         is appearing at times to be defensive about it, and indicates
         that she doesn’t need the help. I believe that a bit of an
         openness to accepting some of the disabilities, and some of
         the facts of dealing with those disabilities, in light of
         raising a young child is more of the issue, not necessarily
         teaching . . . someone how to diaper or hold a child. She
         has two full-time caregivers to help her with that.”
The court advised Mother of her right to appeal its decision and then set a

six-month review hearing for May 4, 2020.5
      In its six-month review report, the Agency stated that on December 9,
2019, Mother began individual therapy with Dr. Judy Matthews in El Cajon.
On January 17, 2020, Mother moved to National City, discontinued
treatment with Dr. Matthews, and requested a new therapist closer to her
new home. On January 23, Mother was given a referral for a new therapist,
but a week later she stated she would rather resume treatment with Dr.
Matthews until a closer therapist could be located. On or about February 14,
Mother resumed treatment with Dr. Matthews. On March 17, Dr. Matthews
reported to the Agency that all Mother does during sessions was yell and cry.
Dr. Matthews did not believe Dr. Ellis’s diagnosis of Mother with paranoid
personality disorder was correct. Dr. Matthews stated Mother had a very
concrete way of thinking (i.e., “completely black or white”) and has difficulty
with hypotheticals and abstract thinking. Mother had also expressed

5    The record does not show any appeal was filed by Mother challenging
the November 4, 2019 order.

                                       6
distrust of the Agency and believed she was being taken advantage of
because of her disability.
      On April 17, 2020, Dr. Matthews informed the Agency that she had not
talked to Mother in over a month, that her contact number for Mother no
longer worked, and that Mother had not reached out to her. Dr. Matthews
stated that Mother had been making good progress, but she had a
“meltdown” during their last session because of her grieving the loss of H.B.
      The Agency noted that Mother had completed her case plan’s
requirement for a psychological evaluation prior to the November 4, 2019
disposition hearing. The Agency reported that Mother had completed an in-
home parenting program. The Agency also reported that prior to the COVID-
19 pandemic, Mother had attended two weekly in-person visits with H.B. and
made regular video calls. During visits, Mother showed progress in listening
to others’ suggestions for care of H.B., although she continued to sometimes
misinterpret suggestions as attacks or criticism. The Agency reported that
Mother typically denies doing anything wrong that caused H.B.’s dependency
and claims that the Agency took H.B. from her based on disability
discrimination. Mother also had instructed her caregivers to not speak with
the Agency. Because the Agency remained concerned regarding Mother’s
ability to safely care for H.B., it recommended that the court continue H.B.’s
placement in out-of-home care and continue Mother’s reunification services.
      On May 4, the court continued the six-month review hearing due to its
COVID-19 pandemic-based closure and reset the hearing for July 30. On
July 30, the court set an October 14 date for a contested six-month review
hearing.
      On September 24, the Agency issued a 12-month review report,
recommending that the court continue reunification services for Mother and

                                       7
find that she had made adequate progress on her case plan. The Agency also
reported that it had struggled to maintain contact with Mother due to her
multiple changes of phone numbers and e-mail addresses. It reported that
Dr. Matthews had discharged Mother due to her lack of attendance after May
1. Mother did not request assistance in reengaging in therapy until August
and then the Agency referred her to a new TERM therapist in September.
Despite disruptions due, in part, to the COVID-19 pandemic, Mother’s visits
with H.B. were consistent and appropriate overall.
      On October 14 and 15, the court conducted a contested six-month
review hearing. The court admitted in evidence the Agency’s reports and
other documents. It also heard the testimony of Agency social worker Lizeth
Alvarez, Mother, Joy (Mother’s then-current caregiver), and G.W. (Mother’s
friend). Alvarez testified that she was assigned H.B.’s case in June. The
Agency’s primary concern was the ability of Mother and her caregivers to
safely care for H.B. As of June, the only remaining service of Mother’s case
plan was individual therapy. In July, she learned that Dr. Matthews had
discharged Mother due to her lack of communication and attendance.
Although Alvarez referred Mother to a new therapist on September 17, that
therapist had not yet begun to provide therapy to Mother because of an
inability to reach her. Alvarez testified that the Agency had not referred
Mother for dyadic therapy, a skills-based interpersonal group, or a
neuropsychological evaluation. She did not know whether there had been
any conversations between the Agency and Dr. Matthews regarding whether
Dr. Matthews had planned to address in therapy Mother’s symptoms of
paranoid personality disorder. The Agency relies on TERM to vet providers
to ensure they meet certain qualifications. Alvarez testified that Mother had
a parent partner who served as community support and her in-home

                                       8
parenting program addressed parent-child interaction. The Agency
recommended that Mother continue to receive reunification services with the
hope that she would reengage in therapy and meet her treatment goals.
However, Alvarez admitted that Mother had not made substantive progress
with her case plan.
      Mother testified that she had requested a visitation coach multiple
times and asked for a new therapist when she felt she was not getting along
with Dr. Matthews. She claimed to have texted Dr. Matthews twice in May,
but received no response. She admitted changing her phone numbers
multiple times, but claimed she had always immediately given her new
numbers to the Agency. She believed she had made more progress over the
past three years with her own therapist, Dr. Rozanne Miller, and that Dr.
Matthews was not helping her make progress. Mother stated she had
learned that she needed to listen to her caregivers and to know her
limitations. She stated that she listens to her caregivers and discusses any
issues with them. Her support persons include her neighbor, her neighbor’s
son, and her friend, G.W.
      Joy testified that she had worked as a caregiver for Mother since
February. She had never met H.B. and was unaware of the reason she was
not in Mother’s care. When E. visited Mother in her home, there were always
two caregivers present and Mother did not interfere with her ability to care
for E. and keep him safe. On cross-examination, Joy admitted that about
once a week she disagreed with Mother’s directions for her care of E., which
disagreements were typically resolved within two minutes after Mother relied
on her (Joy’s) opinion or assistance. Joy had observed Mother’s
disagreements with other caregivers and she would typically step in to give
Mother and the caregivers a “breather.” Joy had yet to communicate with the

                                      9
Agency and had refused to accept a direct call from it, believing any call
should go through her staffing agency. Joy stated that she would not follow

any directive from Mother that would jeopardize H.B.’s safety.6
      On October 15, the court found, by clear and convincing evidence, that
return of H.B. to Mother would create a substantial risk of detriment to
H.B.’s physical and emotional well-being. The court further found that
Mother had been provided reasonable reunification services. Although
Mother had made “some progress” toward reunification with H.B., the court
found that there was not a substantial probability that H.B. would be
returned to Mother by the 18-month review hearing date. The court stated
that Mother was “wholly dependent on other caregivers to parent” her
children and that Mother needed to acknowledge her various disabilities and
allow others to essentially care for them under her supervision. The court
found, however, that Mother had a “huge reluctance” to do so. The court had
“clear concerns” that H.B. would remain at risk if placed with Mother.
Accordingly, the court terminated Mother’s reunification services and set a
section 366.26 hearing for selection of a permanent plan for H.B.
      Mother timely filed a notice of intent to file a writ petition and
thereafter filed her petition challenging the October 15, 2020 order. The
Agency, as the real party in interest, then filed its response to her petition.

6     G.W. testified that he provided support for Mother, but had not spoken
with anyone from the Agency.

                                       10
                                 DISCUSSION
       Substantial Evidence Supports the Court’s Finding That Mother
            Was Provided with Reasonable Reunification Services

      Mother contends that there is insufficient evidence to support the
court’s finding, by clear and convincing evidence, that she received
reasonable reunification services before it set the matter for a section 366.26
hearing.
                                        A
      “Family preservation, with the attendant reunification plan and
reunification services, is the first priority when child dependency proceedings
are commenced. [Citation.] Reunification services implement ‘the law’s
strong preference for maintaining the family relationships if at all possible.’ ”
(In re Elizabeth R. (1995) 35 Cal.App.4th 1774, 1787.) Therefore, whenever a
child is removed from a parent’s custody, the juvenile court generally must
order the social welfare agency (e.g., the Agency) to provide reasonable
reunification services to the parent. (§ 361.5, subd. (a); Christopher D. v.
Superior Court (2012) 210 Cal.App.4th 60, 69 (Christopher D.); In re Brittany
S. (1993) 17 Cal.App.4th 1399, 1406.) “The agency must make a good faith
effort to develop and implement reasonable services responsive to the unique
needs of each family. [Citation.] The effort must be made, in spite of
difficulties in doing so or the prospects of success. [Citations.] The adequacy
of the reunification plan and of the agency’s efforts to provide suitable
services is judged according to the circumstances of the particular case.”
(Christopher D., at p. 69.) “[T]he record should show that the supervising
agency identified the problems leading to the loss of custody, offered services
designed to remedy those problems, maintained reasonable contact with the
parents during the course of the service plan, and made reasonable efforts to
                                       11
assist the parents in areas where compliance proved difficult . . . .” (In re
Riva M. (1991) 235 Cal.App.3d 403, 414.) A parent is not required to
complain about the lack of reunification services as a prerequisite to an
agency fulfilling its statutory obligations. (Mark N. v. Superior Court (1998)
60 Cal.App.4th 996, 1014 (Mark N.).) At each review hearing, the court must
determine whether reasonable services were provided to the parents, which
services were designed to aid the parent to overcome the problems that led to
the child’s initial removal and continued custody. (§ 366.21, subds. (e), (f); In
re J.P. (2014) 229 Cal.App.4th 108, 121.) “In almost all cases it will be true
that more services could have been provided more frequently and that the
services provided were imperfect. The standard is not whether the services
provided were the best that might be provided in an ideal world, but whether
the services were reasonable under the circumstances.” (In re Misako R.
(1991) 2 Cal.App.4th 538, 547.) The court shall not set a section 366.26
hearing unless there is clear and convincing evidence that reasonable
services have been provided or offered to the parents. (§ 366.21, subd. (g)(4).)
      In reviewing a challenge to a finding that reasonable reunification
services were provided to a parent, “our sole task . . . is to determine whether
the record discloses substantial evidence which supports the juvenile court’s
finding that reasonable services were provided or offered.” (Angela S. v.
Superior Court (1995) 36 Cal.App.4th 758, 762.) In applying the substantial
evidence standard of review, even where the standard of proof in the juvenile
court is clear and convincing evidence, we “must determine if there is any
substantial evidence—that is, evidence which is reasonable, credible and of
solid value—to support the conclusion of the trier of fact.” (In re Jasmine C.
(1999) 70 Cal.App.4th 71, 75, citing In re Angelia P. (1981) 28 Cal.3d 908,
924.) We resolve all conflicts in the evidence, and reasonable inferences

                                       12
therefrom, in favor of the prevailing party. (In re Jasmine C., at p. 75.) We
may not reweigh the evidence or credibility of witnesses. (Ibid.; In re
Stephanie M. (1994) 7 Cal.4th 295, 318-319.) In cases such as this case,
“when presented with a challenge to the sufficiency of the evidence associated
with a finding requiring clear and convincing evidence, [we] must determine
whether the record, viewed as a whole, contains substantial evidence from
which a reasonable trier of fact could have made the finding of high
probability demanded by this standard of proof.” (Conservatorship of O.B.
(2020) 9 Cal.5th 989,1005 (Conservatorship of O.B.), fn. omitted.) In so doing,
we must, as discussed ante, “view the record in the light most favorable to the
prevailing party below and give appropriate deference to how the trier of fact
may have evaluated the credibility of witnesses, resolved conflicts in the
evidence, and drawn reasonable inferences from the evidence.” (Id. at
pp. 1011-1012.)

                                       B
      The Agency asserts that Mother waived her challenge to the
reasonableness of some or all of the reunification services offered or provided
to her by not appealing the juvenile court’s November 4, 2019, disposition
order adopting a case plan for the provision of reunification services to
Mother. In that prior order, the court adopted a case plan for Mother,
including a psychological evaluation, individual counseling, and a parenting
program, and, in so doing, expressly denied her request for a visitation coach.
Furthermore, as discussed ante, the psychological evaluation had been
conducted by Dr. Ellis, her written report had been completed, and that
report was available to the court and the parties’ counsel, before the
November 4, 2019 disposition hearing. Also, Mother was present at the
November 4, 2019 disposition hearing and advised by the court of her right to

                                       13
appeal its dispositional order. Yet, Mother did not file an appeal challenging
her case plan, as adopted by the court, or any other provisions of its
disposition order. We conclude, as the Agency asserts, that Mother, by not
appealing the November 4, 2019 disposition order, has forfeited or waived
any challenge to the case plan adopted by the court as part of its disposition
order, and that such challenge is also barred by the doctrine of res judicata.
(Steve J. v. Superior Court (1995) 35 Cal.App.4th 798, 811 (Steve J.).) Steve
J. stated: “A challenge to the most recent order entered in a dependency
matter may not challenge prior orders for which the statutory time for filing
an appeal has passed. [Citation.] Here, the [parent] never appealed from the
dispositional order. The order adopting the reunification plan has long since
become final. [Citation.] Therefore, petitioner has waived the opportunity to
complain that the plan ordered by the court was unreasonable.” (Ibid.)
Accordingly, “[i]f . . . the parent . . . does not challenge an order for services in
a timely fashion, they may not raise the issue when reunification is
terminated.” (Ibid.; see also Melinda K. v. Superior Court (2004) 116
Cal.App.4th 1147, 1156 (Melinda K.) [“it is impermissible to challenge an
earlier finding by way of an appeal from a subsequent order”]; In re Cicely L.
(1994) 28 Cal.App.4th 1697, 1705 [same].) Likewise, “[a]n appellate court
generally will not consider a challenge to a trial court’s ruling if the aggrieved
party could have, but did not, timely object in the trial court when its
purported error could easily have been corrected. [Citations.]” (In re M.S.
(2019) 41 Cal.App.5th 568, 588.) Most importantly, the California Supreme
Court stated: “If an order is appealable . . . and no timely appeal is taken
therefrom, the issues determined by the order are res judicata.” (In re
Matthew C. (1993) 6 Cal.4th 386, 393.)

                                         14
      Here, because Mother did not object to the case plan proposed by the
Agency, and adopted by the court, at the November 4, 2019 disposition
hearing (except for her request for a visitation coach which request the court
denied) and did not appeal the disposition order adopting that case plan, we
conclude that she forfeited and waived any challenge to the provisions of that
case plan. (Steve J., supra, 35 Cal.App.4th at p. 811; In re M.S., supra, 41
Cal.App.5th at p. 588.) Furthermore, the doctrine of res judicata precludes
Mother from challenging those issues decided by the court at the November 4,
2019 disposition hearing, including its adoption of Mother’s case plan. (In re
Matthew C., supra, 6 Cal.4th at p. 393.) Accordingly, to the extent Mother
now complains that her case plan, as adopted by the court in its November 4,
2019 disposition order, did not provide for a visitation coach or other specific
reunification services (e.g., neuropsychological evaluation, dyadic therapy,
etc.), she is barred from challenging that order, including its adoption of her
case plan.
                                        C
      Although Mother cannot now challenge the provisions of the case plan
adopted by the court at the November 4, 2019 disposition hearing, she is not
precluded from challenging, and apparently does challenge, the Agency’s
subsequent actions in implementing that order and providing her with
reasonable services as required by her case plan. (Cf. Mark N., supra, 60
Cal.App.4th at p. 1014 [parent is not required to complain about lack of
reunification services ordered by court as prerequisite to agency fulfilling its
statutory obligations]; Melinda K., supra, 116 Cal.App.4th at p. 1158 [same].)
Because the Agency had an obligation to provide Mother with reasonable
services ordered by the court as part of her case plan adopted at the
November 4, 2019 disposition hearing, the reasonableness of the services

                                       15
provided by the Agency pursuant to that case plan from the November 4,
2019 disposition order through the contested six-month review hearing on
October 14 and 15, 2020, may properly be challenged by Mother in her
instant petition. As Mother notes, it is the Agency (and not the parent or the
court) that is charged with providing reasonable reunification services. (In re
Taylor J. (2014) 223 Cal.App.4th 1446, 1452.) When a juvenile court
exercises its discretion and orders a reunification case plan for a parent, the
Agency cannot disregard that order, but must instead provide the parent
with reasonable reunification services to implement that plan. (In re Calvin
P. (2009) 178 Cal.App.4th 958, 964.) Furthermore, we believe that if the
Agency becomes aware of new events or information since the court’s
adoption of that case plan, which information would significantly affect the
services required by that case plan or otherwise adversely affect the prospects
of reunification, the Agency has a responsibility to modify and/or supplement
the reunification services provided to a parent and, in certain circumstances,
request that the court modify the parent’s case plan. (Cf. In re Taylor J.
(2014) 223 Cal.App.4th 1446, 1452 [during reunification period, agency did
not provide reasonable reunification services because it failed to maintain
contact with mother’s service providers, inform her that program did not
meet her case plan’s requirements, and assist her in locating approved
program]; In re Riva M., supra, 235 Cal.App.3d at p. 414 [agency must
maintain reasonable contact with parents during course of case plan and
make reasonable efforts to assist parents in complying with that plan]; In re
Elizabeth R., supra, 35 Cal.App.4th at pp. 1777, 1792 [no showing that
visitation or other services were adequate for mother hospitalized for all but
five months of 18-month reunification period].)

                                       16
      Applying the above principles to Mother’s contentions, we conclude she
has not carried her burden to show the Agency failed to satisfy its obligation
to provide her with reasonable reunification services. In particular, Mother
asserts that the Agency should have followed the recommendations set forth
in Dr. Ellis’s report and arranged for a neuropsychological evaluation and
dyadic and other therapeutic services or modalities for her. However, the
court and the parties had Dr. Ellis’s report before the November 4, 2019
disposition hearing. Therefore, if Mother believed that one or more of those
specific services or modalities (which Dr. Ellis opined would be beneficial for
Mother) should have been made part of her case plan, she should have raised
that issue with the Agency prior to the disposition hearing and with the court
at that hearing, and she should have filed an appeal of the court’s November
4, 2019 disposition order. Because Mother did not do so, she cannot, as
discussed ante, now challenge the omission of such services or therapeutic
modalities from the case plan adopted by the court or the Agency’s
subsequent implementation of that plan. (Steve J., supra, 35 Cal.App.4th at
p. 811; In re M.S., supra, 41 Cal.App.5th at p. 588; In re Matthew C., supra, 6
Cal.4th at p. 393.) Alternatively stated, Mother cannot now assert that the
case plan, in fact, required the Agency to provide those services or
therapeutic modalities. The case plan adopted by the court at the November
4, 2019 disposition hearing did not require the Agency to provide those
services or therapeutic modalities and Mother does not show otherwise.
      Nevertheless, to the extent Mother argues that the Agency, in
implementing her case plan, should have offered her services or modalities to
help effectuate her case plan and further her reunification efforts, we
conclude she has not carried her burden to show the Agency acted
unreasonably by not so doing. Rather, there is substantial evidence in the

                                       17
record to support the court’s finding that the Agency offered and provided
reasonable reunification services to Mother. The Agency is not required to
provide a parent with all of the services that could possibly help the parent
reunify with a child, nor do all of the services provided have to be perfect. As
stated ante, “[i]n almost all cases it will be true that more services could have
been provided more frequently and that the services provided were imperfect.
The standard is not whether the services provided were the best that might
be provided in an ideal world, but whether the services were reasonable
under the circumstances.” (In re Misako R., supra, 2 Cal.App.4th at p. 547.)
Therefore, although Mother presumably may have benefited from a
neuropsychological evaluation and/or dyadic and other therapeutic services or
modalities, she does not show the Agency acted unreasonably in not
providing them to her. As the Agency argues, Mother was provided with
other services that may have effectively addressed the issues raised by Dr.
Ellis. In particular, although Dr. Ellis believed that Mother could benefit
from dyadic therapy, which she described as addressing aspects of parenting,
developmental and emotional needs of infants, bonding, and attachment, the
Agency could have reasonably believed that those therapeutic needs would be
substantially addressed in Mother’s in-home parenting program, which
included a parent partner for her, as well as in her individual therapy with
Dr. Matthews or another therapist, which were part of Mother’s case plan
and were provided by the Agency. As Alvarez testified, the in-home
parenting program completed by Mother included a module that specifically
addressed parent-child interaction.
      Regarding a neuropsychological evaluation, Mother does not show that,
despite its omission from her case plan, the Agency nevertheless acted
unreasonably by not providing her with such an evaluation during her

                                       18
reunification period. In addition to failing to request that a
neuropsychological evaluation be made part of her case plan adopted by the
court on November 4, 2019, neither Mother nor her counsel thereafter
requested that the Agency or the court modify her case plan to add such a
requirement or otherwise provide such an evaluation. If Mother and her
counsel believed that a neuropsychological evaluation was essential, or even
beneficial, to her efforts to reunify with H.B., we would have expected them
have noticed such an evaluation had not been offered by the Agency, and
raised that issue with the Agency and/or the court and requested that
evaluation (by modification of her case plan or otherwise) at some point
during the 11-month period between the November 4, 2019 disposition
hearing at which her case plan was adopted and the October 2020 contested
six-month review hearing. As we noted in In re Christina L. (1992) 3
Cal.App.4th 404, at page 416: “If Mother felt during the reunification period
that the services offered her were inadequate, she had the assistance of
counsel to seek guidance from the juvenile court in formulating a better
plan . . . .” By failing to request a neuropsychological evaluation during that
lengthy 11-month period, we conclude Mother forfeited her claim that the
Agency did not provide her with reasonable reunification services by not
offering her such an evaluation. (Cf. ibid.; Sommer v. Martin (1921) 55
Cal.App. 603, 610 [party cannot remain silent on infringement of legal rights,
but has duty to look after legal rights and call court’s attention to any
infringement of them].) In any event, Mother merely speculates that such an
evaluation would have led to additional, or more focused, therapeutic services
or modalities addressing any cognitive deficits caused by her brain injury
that would have had a material impact on her efforts to reunify with H.B.

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      Mother also argues that the Agency acted unreasonably in referring
her to Dr. Matthews for individual therapy because Dr. Matthews may not
have had sufficient expertise or training in treating patients with a paranoid
personality disorder. However, as the Agency argues, Mother’s argument
that Dr. Matthews lacked sufficient expertise or training to treat her issues is
wholly speculative and unsupported by the record. Dr. Ellis recommended
that Mother would benefit from individual therapy to manage her symptoms
of paranoid personality disorder, using approaches such as cognitive
behavioral therapy, behavioral therapy, and mindfulness-based stress
reduction. Yet, Mother fails to show that Dr. Matthews (or, for that matter,
any experienced psychologist with doctoral-level education and training)
lacked the ability to offer those therapeutic counseling services or modalities
and/or to competently treat a patient’s paranoid personality disorder.
Therefore, Mother has not carried her burden to show that the Agency’s
referral of Mother to Dr. Matthews for individual therapy was unreasonable.
      Furthermore, to the extent Mother blames the Agency for her lack of
progress in individual therapy, the record supports a finding that Mother was
not sufficiently cooperative in participating in individual therapy with Dr.
Matthews and/or promptly requesting a new therapist if she believed Dr.
Matthews was not helping her in her reunification efforts. The record shows
that Mother missed about a month of therapy sessions with Dr. Matthews
after she moved to a new home in January 2020. After resuming therapy
with Dr. Matthews in February 2020, Mother began missing sessions again
soon thereafter, and on April 17, 2020, Dr. Matthews informed the Agency
that she had not talked to Mother in over a month, that her contact number
for Mother no longer worked, and that Mother had not reached out to her.
Dr. Matthews ultimately discharged Mother as a patient due to her lack of

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attendance after May 1. Although Mother claimed that she tried to contact
the Agency to obtain a new referral for individual therapy, the court could
reasonably find that claim not credible. Alvarez testified that she first she
learned in July 2020 that Dr. Matthews had discharged Mother due to her
lack of communication and attendance. In September, Alvarez referred
Mother to a new therapist, who by the time of the October hearing had not
yet begun to provide therapy to Mother because of an inability to reach her.
The court could reasonably find that Mother’s failure to consistently keep in
contact, and attend therapy sessions, with Dr. Matthews and the new
therapist to which she was referred, as well as Mother’s failure to
communicate her purported lack of progress in therapy with Dr. Matthews
and promptly request that the Agency refer her to a new therapist, were the
main reasons Mother did not progress in individual therapy. As the Agency
notes, Mother had an obligation to communicate with the Agency and
participate in the reunification process and the reunification services offered
to her. (In re Raymond R. (1994) 26 Cal.App.4th 436, 441.) By failing to do
so, the court could reasonably find that any deficiencies in the reunification
process were primarily caused by Mother and not any failure by the Agency
to offer or provide reasonable reunification services to her.
      Based on our review of the record and construing the evidence and
inferences therefrom favorably to the prevailing party, we conclude that there
is substantial evidence to support the juvenile court’s finding, by clear and
convincing evidence, that the Agency, by offering and providing Mother with
reunification services required by the case plan adopted by the court at the
November 4, 2019 disposition hearing, such as a psychological evaluation,
individual therapy, and a parenting program, provided Mother with
reasonable reunification services. (In re Jasmine C., supra, 70 Cal.App.4th at

                                       21
p. 75; In re Stephanie M., supra, 7 Cal.4th at pp. 318-319.) We further
conclude that “the record, viewed as a whole, contains substantial evidence
from which a reasonable trier of fact could have made the finding of high
probability demanded by [the clear and convincing] standard of proof,” which

the court applied in making its finding.7 (Conservatorship of O.B., supra, 9
Cal.5th at p. 1005.) To the extent Mother cites evidence or inferences
therefrom that could have supported a contrary finding by the juvenile court,
she misconstrues and/or misapplies the substantial evidence standard of
review.

7     We note that although the circumstances of this case presumably made
the court’s decision particularly difficult given Mother’s physical impairments
and psychological problems, the court nevertheless properly viewed H.B.’s
safety as the paramount issue throughout her dependency proceedings.

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                               DISPOSITION
     The petition is denied.

                                             IRION, J.

WE CONCUR:

BENKE, Acting P. J.

HALLER, J.

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