Court Opinion

ID: 4206167
Source: CourtListenerOpinion
Date Created: 2017-09-26 12:12:12.516484+00
Date Added: 2024-06-11T14:40:42.210850
License: Public Domain

[Cite as In re M.H.-L.T., 2017-Ohio-7825.]
                                      IN THE COURT OF APPEALS OF OHIO
                                         FOURTH APPELLATE DISTRICT
                                            WASHINGTON COUNTY

IN THE MATTER OF:                                               :

        M.H.-L.T.,                                              :      Case No. 17CA12

                                                                :
        A Dependent Child.                                                  DECISION AND JUDGMENT ENTRY
                                                                :

                                                                :

                                                        APPEARANCES:

Darren L. Meade, Columbus, Ohio, for Appellant.

Kevin Rings, Washington County Prosecuting Attorney, and Amy Graham, Washington County
Assistant Prosecuting Attorney, Marietta, Ohio, for Appellee.
                                                              CIVIL CASE FROM
COMMON PLEAS COURT, JUVENILE DIVISION
DATE JOURNALIZED: 9-19-17
ABELE, J.

        {¶ 1} This is an appeal from a Washington County Common Pleas Court, Juvenile

Division, decision that granted Washington County Children Services (WCCS), appellee herein,

permanent custody of thirteen-year-old M.H.-L.T.                              R.T., the child’s biological father and

appellant herein,1 raises the following assignments of error:

                    FIRST ASSIGNMENT OF ERROR:

                    “THE TRIAL COURT ERRED IN ITS DECISION TO
                    TERMINATE FATHER’S PARENTAL RIGHTS.       THIS
                    DECISION WAS AN ABUSE OF DISCRETION AS THE
                    FINDINGS THAT PERMANENT CUSTODY WAS IN CHILD’S

        1
            The child’s mother did not appeal the trial court’s judgment.
WASHINGTON, 17CA12                                                                              2

                 BEST  INTERESTS,   AND    THE   AGENCY  MADE
                 REASONABLE    EFFORTS    TO   PREVENT  CHILD’S
                 CONTINUED REMOVAL, WERE BOTH AGAINST THE
                 MANIFEST WEIGHT OF THE EVIDENCE.”

                 SECOND ASSIGNMENT OF ERROR:

                 “FATHER RECEIVED INEFFECTIVE ASSISTANCE OF
                 COUNSEL AT TRIAL AND THUS WAS DEPRIVED OF HIS
                 RIGHTS TO COUNSEL AND A FAIR TRIAL.”

       {¶ 2} In March 2014, appellee became involved with the family after it received a

disturbing report concerning the child and her family.        The report indicated concerns of

starvation, deprivation, physical and sexual abuse, and animal cruelty. The report stated that the

mother weighed approximately seventy or eighty pounds, was very ill, and could not care for

herself. The child reportedly “would smell bad,” did not behave or act “right,” lied, and stole.

Additionally, the child purportedly stated that she hates her father and that he had pulled her by

the hair on her head. The report further alleged that the child stated that she wanted out of her

home and that she has “a little kid’s secret.” The report also indicated that the family’s animals

were starving.

       {¶ 3} WCCS Caseworker Karen Seagraves visited the family and found the child’s

mother to be “very, very thin, frail, [and] gaunt”–almost “like a skeleton.” The mother was

pacing and wringing her hands. Seagraves was unable to make eye contact with the mother and

thought the mother appeared “very nervous and upset.” Appellant informed Seagraves that the

mother had experienced a mental breakdown. Appellant further explained that he had suffered a

traumatic brain injury in a motor vehicle accident.

       {¶ 4} Seagraves spoke with the child, who appeared “very nervous and anxious and
WASHINGTON, 17CA12                                                                                 3

guarded.”    The child asked Seagraves if she could “get [her] in foster care.”           Seagraves

attempted to obtain additional information from the child regarding her desire to enter foster care,

but the child seemed “too nervous to give [her] any more details other than she wanted candy and

jewelry.”

        {¶ 5} Seagraves spoke with appellant, and he indicated that the two other adult male

relatives who lived in the home created “some issues,” such as “throwing remotes and being

angry at [the child].” Seagraves left the home that day, but kept the case open and planned to

further assess the situation.

        {¶ 6} Seagraves visited the home approximately one month later. Appellant advised

her that he was “very concerned about the other adults living in the house.” Seagraves again

found the mother to be “very nervous” and “wringing her hands.” Seagraves saw the mother

whisper something to appellant, and appellant informed Seagraves that the mother stated that she

was “uncomfortable.”

        {¶ 7} Shortly after Seagraves’ second visit, the Washington County Sheriff’s

Department contacted her to relay concerns that the mother was being abused and that the child

was being sexually abused. Seagraves went to the home and met first with the child. The child

was “very nervous and excited,” and asked Seagraves to follow her “two trailers” away from the

house. Seagraves explained that the child believed that cameras were pointed on her house and

would record her talking to Seagraves. The child did not verbally tell Seagraves her concerns,

but instead, the child wrote with chalk on the concrete, “lies, steals, kills, go to hell.” Seagraves

asked the child what her statement meant, but the child was “very nervous, very concerned that

there were cameras on her, and she wouldn’t speak to [Seagraves] much about what had”
WASHINGTON, 17CA12                                                                                                                      4

happened. A different caseworker completed an interview, during which the child disclosed that

she had been sexually abused (but the record does not reflect whether the child identified a

perpetrator during this initial interview). Appellee subsequently sought and obtained an ex parte

emergency custody order and removed the child from her home.

          {¶ 8} Appellee filed a complaint that alleged the child is an abused, neglected, and

dependent child and that requested temporary custody of the child. After the parents admitted

the dependency allegation, the trial court adjudicated the child dependent and dismissed the

remaining allegations. The court additionally (1) found that appellee used reasonable efforts to

prevent the child’s continued removal, and (2) entered a dispositional order that placed the child

in appellee’s temporary custody.

          {¶ 9} At a May 2015 review hearing, the parties agreed to continue the child in

appellee’s temporary custody and the court found that appellee used reasonable efforts. The

court also pointed out that appellant has failed to sign the necessary releases or to comply with

the case plan.

          {¶ 10} On October 22, 2015, appellee filed a motion that requested permanent custody.

Appellee alleged that the child has been in its temporary custody for more than twelve out of the

past twenty-two months and that placing the child in its permanent custody is in the child’s best

interest.

          {¶ 11} On October 25 and 26, 2016,2 the trial court held a hearing to consider appellee’s

permanent custody motion. Dr. Paul Andrew Dunn, a neuropsychologist, testified that appellant

          2
              The court held the permanent custody hearing approximately one year after appellee filed its permanent custody motion due to
several continuances, some of which arose after appellant’s counsel’s unexpected death.
WASHINGTON, 17CA12                                                                              5

contacted him in March 2015 and advised the doctor that he wanted to be evaluated to ascertain

“whether he was cognitively in shape to be able to go back to work.” Dr. Dunn stated that

appellant did not mention appellee’s involvement with the family or that appellee had removed

his child from the home. Instead, appellant informed the doctor that appellant’s wife and child

had moved out of state.

       {¶ 12} Dr. Dunn explained that due to the nature of appellant’s requested evaluation, he

did not perform a mental health evaluation. He related that if he had performed a mental health

evaluation, he would have focused “a lot more on personality characteristics.” The doctor stated

that if appellant had been honest from the beginning about the purpose for seeking the

evaluation, he would have approached the evaluation differently. Dr. Dunn testified that he

would have informed appellant that he might not be the right person to perform the evaluation.

Dr. Dunn explained that he is not a forensic psychologist and that he does not specialize in

children and family relationships.

       {¶ 13} Dr. Dunn stated that his evaluation revealed that appellant would have problems

providing structure and stability.     He further indicated that appellant appeared to lack

appropriate boundaries. For instance, the doctor explained that appellant called the doctor by his

first name and seemed to think of himself “as socially involved” with the doctor, which the

doctor found “quite strange.”

       {¶ 14} Caseworker Seagraves testified that when appellee removed the child, the mother

“was very ill” and transported to the emergency room. Seagraves met with the mother the

following day. Seagraves found it “astounding” that the mother made eye contact. When

Seagraves informed the mother of her surprise, the mother stated that she was able to talk that
WASHINGTON, 17CA12                                                                               6

day because she had “been drugged up for a year and a half.” The mother claimed that appellant

and another male relative had been drugging her by forcing her to take five to seven diazepam

pills. The mother further reported that (1) appellant “was very controlling with the food,” (2)

she and the child “would have to ask permission to get into the refrigerator [and] to use toilet

paper,” (3) appellant “was very violent with her after he had his traumatic brain injury,” and (4)

appellant “would pull her [and the child] by the hair of the head.” The mother indicated that she

“had a mental breakdown” from worrying about appellant sexually abusing the child. Seagraves

stated that the mother did not elaborate on the reasons for her concerns.

       {¶ 15} Seagraves explained that after the child had entered appellee’s temporary custody,

she received another report indicating that the child claimed her aunt had sexually abused her.

The child stated that the aunt had taken pictures of her naked. The child also reported that (1)

appellant would enter her bedroom during the night and touch her vagina, (2) appellant “licked”

her on her mouth, and (3) in 2013, appellant penetrated her vagina with his fingers.

       {¶ 16} Caseworker Amanda Herron testified that the child has been in the same foster

home since her removal. Herron explained that after the child’s removal, appellee referred the

child for mental health counseling “based on concerns about her extreme fear of” appellant and

“her brother.” Herron related that the child “was very, very afraid, fearful of seeing” her father

and brother. Herron stated that the child was so fearful of appellant that appellee did not provide

appellant with visits until the child met with a mental health counselor who could recommend

how to approach visits in a way that was emotionally safe for the child. Herron testified that the

child’s first visit with appellant occurred approximately two months after the child’s removal

from the home.
WASHINGTON, 17CA12                                                                               7

       {¶ 17} Herron stated that the child has ADHD, displays defiant behavior, and suffers

from anxiety. Herron indicated that the child takes medication for anxiety, ADHD, and mood

regulation. Herron testified that the child exhibits some compulsive behaviors, such as hand

washing, a preoccupation with germs, and hand sanitizer. Herron related that the child also

engages in sexualized behaviors, such as masturbation. Herron stated that the child would put

water in her vagina because it felt “dry” and “weird.”

       {¶ 18} Herron further explained that the child “has some very, very difficult behaviors.”

Herron related that the child (1) refuses to clean her room or do her homework, (2) has been in

altercations with school staff, peers, bus drivers, and the foster parents, (3) had an isolated

incident of smearing feces in the bathroom, and (4) urinated in cups in the foster home and left

them around the house. Herron additionally indicated that the child “had a very distinct and * *

* unwavering fear that demons were out to get her.” Herron stated that the child’s fear “actually

became debilitating * * * at times.”

       {¶ 19} Herron discussed appellant’s case plan compliance. She stated that appellant

completed a parenting education class, but she is not familiar with it. Herron testified that

appellant did not complete a mental health evaluation and that he refused to sign releases, signed

them “[v]ery begrudgingly,” or would revoke previous releases. Herron explained that between

November 2014 and April 2015, appellant revoked prior releases and told caseworkers not to

perform any home visits. Herron stated that appellant indicated that he wished to speak with an

attorney.

       {¶ 20} Herron testified that completing a mental health evaluation “was the single most

important part of the case plan as a whole,” especially in light of the physical abuse, starvation,
WASHINGTON, 17CA12                                                                               8

deprivation, drugging, and sexual abuse allegations. Herron explained that a mental health

evaluation would have provided an opportunity to assess the allegations and to have insight into

the behaviors. She stated that without a mental health assessment, appellee could not develop a

course of action to attempt reunification. Herron indicated that a mental health assessment

would have permitted appellee to develop a plan to address the potential safety issues in the

home and to prevent them from reoccurring. Herron testified that she repeatedly informed

appellant of the importance of obtaining a mental health evaluation and that “[i]t was not a lack

of understanding on his part by any means.” Herron related that after she received Dr. Dunn’s

report, she advised appellant “that the assessment that he got was not what we asked for.”

       {¶ 21} Herron testified that although Dr. Dunn evaluated appellant, appellant “did not

participate in an evaluation that would have been worthy for addressing the safety concerns in his

home.” Herron explained that Dr. Dunn’s evaluation was not helpful in developing a proper

course of action. Herron additionally found it “extremely concerning” that appellant did not tell

the doctor of appellee’s involvement.

       {¶ 22} Herron agreed that appellant had positive interactions with the child during the

structured setting of the visitation center, but pointed out that Dr. Dunn indicated that appellant

would show difficulty outside of a structured environment. She further noted that appellee

received no indication that appellant could safely parent outside of a structured environment.

       {¶ 23} Herron explained that appellee never considered out-of-agency visits due to “the

severity of the allegations in this case * * *. We had humans and animals being starved.

Animals dying. * * * * We had the child being the recipient of some of that deprivation. She

was very thin, compared to what she appears now.” Herron indicated that before considering
WASHINGTON, 17CA12                                                                                 9

out-of-home visits, appellee needed to evaluate whether appellant was cooperative and whether

he acknowledged the child’s problems.         Herron stated that appellant attributed the child’s

problems to “being bullied at school” and did not seem to understand why appellee removed the

child from the home. Herron stated that appellant kept repeating that the criminal charges based

upon the sexual abuse allegations were dismissed and believed that appellee’s continued

involvement was therefore unwarranted. Herron recognized that the sexual abuse allegations

were unsubstantiated, but she stated that the lack of substantiation does not mean that appellee

lacked cause for concern. Herron explained that “in order for the Agency to substantiate, it is

required that they have either physical Forensic evidence or an admission from the perpetrator.”

       {¶ 24} Herron further related that appellee did not attempt home visits due to appellant’s

failure to obtain a mental health evaluation. Herron explained that the mental health evaluation

would have enabled appellee to assess whether appellant is a “safe person.”

       {¶ 25} Herron testified that she spoke with the child, and the child revealed that she feels

safe in the foster home, but she does not feel safe in her own home. Herron indicated that the

child wants to stay in the foster home but still be able to see her parents.

       {¶ 26} Herron explained that the child’s needs are complex, and if appellee were to place

her in a new home, “we would go straight to a therapeutic foster home for her.” Herron testified

that the child “requires a very high level of care, a high level of supervision,” and she does not

believe that appellant can provide the child with the care she needs. Herron believes that

placing the child in appellee’s permanent custody is in the child’s best interest.           Herron

explained that she does not believe it is safe for the child to be returned to appellant. She further

related that the child’s mother has a legal guardian who helps the mother meet her basic needs
WASHINGTON, 17CA12                                                                              10

and that the mother would be unable to provide for the child’s needs.

         {¶ 27} The child’s foster father testified that the child has continuously been in his home

since her May 2014 removal. The foster father stated that the child told him that appellant

touched her “inappropriately” and pointed between her legs. He stated that even though the

child has serious behavioral and emotional issues, he and his wife would be willing to adopt the

child.

         {¶ 28} Licensed Professional Clinical Counselor Tracy Waite testified that she first

encountered the child in May 2014. She explained that part of her evaluation included a sexual

behavior inventory that is used to substantiate sexual abuse. Waite stated that the child’s total

score was 96.      She related that “anything over 65 is considered clinically significant and

correlated with a potential probability of the child having gone through some kind of sexual

abuse.” Waite believed that based upon her assessment of the child “that there is sexual abuse

somewhere in her background from someone.”

         {¶ 29} Waite explained that during her sessions with the child, the child displayed “a lot

of anxiety.” The child talked about what occurred at her home and referred to it as “bad stuff.”

The child “talked about animals dying” and stated that “her brother was mean to animals” and to

her. During the first session shortly after the child’s removal, the child asked whether appellant

still was in jail, and Waite informed the child that he was. The child stated that she was “glad”

appellant was in jail so she would not “have to worry about him hurting [her] again.” The child

did not, however, indicate precisely why she was afraid that appellant would hurt her.

         {¶ 30} The child also disclosed that her aunt took pictures of her on a waterbed and

stated that appellant and her aunt “had done some bad things to her.” The child did not want to
WASHINGTON, 17CA12                                                                            11

discuss any specifics of her allegations, but she stated that appellant “was probably just putting

medicine or cream on me.” Waite questioned the child a bit more, and the child stated that “it

wasn’t his fault. That Mom was often sick. She was in bed. So he had to do it, because Mom

was sick and couldn’t come out.” The child stated that “she was embarrassed that those things

happened” and “embarrassed to talk about it.” Waite explained that the child “didn’t like having

pictures taken of her or being touched down there, and she used her hand to point between her

legs. And then she said and sometimes it hurts. And then she said Dad touched me down there,

and she pointed between her legs again.” The child also stated that she did not “understand why

she was taken from Mom. She said Mom never did anything.” The child stated that she felt

“uncomfortable talking about this, and that was the end of her discussions about that.”

       {¶ 31} Waite testified that WCCS caseworkers explained to the child that appellee would

be seeking permanent custody. Waite stated that the child “was very worried about her Dad. * *

* * She was afraid he would have a heart attack.” The child asked Waite and the caseworkers

if they “would promise not to tell [appellant] because she was afraid that he would either do

something stupid or have a heart attack.” Waite indicated that the child “was very concerned.”

The child also “was afraid that if she didn’t go home, her family wouldn’t stay together.”

       {¶ 32} Waite related that the child stated that she feels safe in the foster home, but she

loves her parents and still wants to see them. Waite stated that the child wrote a letter to the

judge that explained her feelings. The letter states that she “really want[s] to go back” to her

parents. The child wrote: “I promise my Dad or Mom will not hurt me. They never did.

What I meant, they never will not hurt me again. [sic]”

       {¶ 33} Waite testified that the child shares a bond with the foster parents and that since
WASHINGTON, 17CA12                                                                              12

her placement in the foster home, the child’s anxiety has been reduced. She diagnosed the child

with ADHD, post traumatic stress disorder with suspected child sexual abuse, and an unspecified

anxiety disorder. Waite explained that she believes that the child has been sexually abused and

she believes appellant was the perpetrator. Waite further stated that she believes that it is in the

child’s best interest to grant appellee permanent custody.

       {¶ 34} Eric Fowler, the mother’s guardian ad litem, testified that he met with the mother

the Friday before his testimony and she did not appear “mentally up to coming to Court.

Specifically being in the same room with [appellant].” He explained that whenever the mother

mentioned appellant’s name, “she would break down into tears.” Fowler related that the mother

stated that she wishes she could have custody of the child, but she also realizes that she was

unable to do so. Fowler explained that the mother thus wishes for appellee to have permanent

custody of the child and for her to stay in the same foster home, if possible. Fowler indicated

that the mother opposes appellant “having custody or even having any kind of visitation outside

of supervision.” The mother stated that she opposed appellant having custody of the child due

to “violence against [the mother and] excessive discipline on [the child].” She further stated that

appellant’s brother was allowed to discipline the child, “and it was often over the top and

abusive.”

       {¶ 35} The child’s guardian ad litem testified that the child loves both of her parents and

would like to be able to see both of them. The child did not, however, state that “she wanted to

live with either of her parents.” Instead, the child indicated that she would like to remain in the

foster home, where she feels safe. The guardian believes that the child is “most comfortable in

the foster home.”
WASHINGTON, 17CA12                                                                                 13

        {¶ 36} The guardian ad litem does not believe that returning the child to appellant is in

the child’s best interest. The guardian ad litem indicated that she has concerns regarding the

sexual abuse allegations. The guardian ad litem noted that the child states that “bad stuff”

happened at home, but she does not elaborate and does not want to discuss it. The guardian ad

litem further explained, however, that her discussions with the child suggest that the child does

not feel safe in appellant’s home. She believes granting appellee permanent custody is in the

child’s best interest.

        {¶ 37} On March 3, 2017, the trial court granted appellee permanent custody of the child.

 The court found that the child has been in appellee’s temporary custody for more than twelve

out of the past twenty-two months, and thus, that R.C. 2151.414(B)(1)(d) applies. The court

additionally concluded that placing the child in appellee’s permanent custody is in the child’s

best interest. The court found that (1) the child’s guardian ad litem indicated that the child

wants to remain in foster care but continue to see her parents, (2) the guardian ad litem

recommended permanent custody, (3) the foster family is meeting all of the child’s needs and she

is doing well, (4) the child needs a legally secure permanent placement, (5) neither parent can

provide a legally secure permanent placement, (6) “[t]he risks of returning [the child] to

[appellant] are just too high,” and (7) the foster family has had the child since May 2014 and is

willing to adopt the child. The court additionally determined that appellee used reasonable

efforts. This appeal followed.

                                                   I

        {¶ 38} In his first assignment of error, appellant asserts that the trial court’s best interest

finding is against the manifest weight of the evidence. In particular, he disputes the trial court’s
WASHINGTON, 17CA12                                                                            14

finding regarding the child’s need for a legally secure permanent placement. Appellant contends

that he substantially complied with the case plan and thus demonstrated that he can provide the

child with a legally secure permanent placement. Appellant points out that he completed a

parenting course and he claims that Dr. Dunn’s evaluation satisfied the mental health evaluation

requirement. He further claims that appellee failed to demonstrate that it used reasonable and

diligent efforts to reunify the family.

                                                A

                                     STANDARD OF REVIEW

        {¶ 39} Generally, a reviewing court will not disturb a trial court’s permanent custody

decision unless the decision is against the manifest weight of the evidence. E.g., In re B.E., 4th

Dist. Highland No. 13CA26, 2014–Ohio–3178, ¶27; In re R.S., 4th Dist. Highland No. 13CA22,

2013–Ohio–5569, ¶29.

       “Weight of the evidence concerns ‘the inclination of the greater amount of
       credible evidence, offered in a trial, to support one side of the issue rather than the
       other. It indicates clearly to the jury that the party having the burden of proof will
       be entitled to their verdict, if, on weighing the evidence in their minds, they shall
       find the greater amount of credible evidence sustains the issue which is to be
       established before them. Weight is not a question of mathematics, but depends
       on its effect in inducing belief.’”
Eastley v. Volkman, 132 Ohio St.3d 328, 2012–Ohio–2179, 972 N.E.2d 517, ¶12, quoting State

v. Thompkins, 78 Ohio St.3d 380, 387, 678 N.E.2d 541 (1997), quoting Black’s Law Dictionary

1594 (6th Ed.1990).

        {¶ 40} When an appellate court reviews whether a trial court’s permanent custody

decision is against the manifest weight of the evidence, the court “‘“weighs the evidence and all

reasonable inferences, considers the credibility of witnesses and determines whether in resolving
WASHINGTON, 17CA12                                                                                15

conflicts in the evidence, the [finder of fact] clearly lost its way and created such a manifest

miscarriage of justice that the [judgment] must be reversed and a new trial ordered.”’” Eastley

at ¶20, quoting Tewarson v. Simon, 141 Ohio App.3d 103, 115, 750 N.E.2d 176 (9th Dist.2001),

quoting Thompkins, 78 Ohio St.3d at 387, quoting State v. Martin, 20 Ohio App.3d 172, 175, 485

N.E.2d 717 (1st Dist.1983); accord In re Pittman, 9th Dist. Summit No. 20894,

2002–Ohio–2208, ¶¶ 23–24.

       {¶ 41} The question that we must resolve when reviewing a permanent custody decision

under the manifest weight of the evidence standard is “whether the juvenile court’s findings * * *

were supported by clear and convincing evidence.”             In re K.H., 119 Ohio St.3d 538,

2008–Ohio–4825, 895 N.E.2d 809, ¶43. “Clear and convincing evidence” is:

       the measure or degree of proof that will produce in the mind of the trier of fact a
       firm belief or conviction as to the allegations sought to be established. It is
       intermediate, being more than a mere preponderance, but not to the extent of such
       certainty as required beyond a reasonable doubt as in criminal cases. It does not
       mean clear and unequivocal.

In re Estate of Haynes, 25 Ohio St.3d 101, 103–04, 495 N.E.2d 23 (1986). In determining

whether a trial court based its decision upon clear and convincing evidence, “a reviewing court

will examine the record to determine whether the trier of facts had sufficient evidence before it to

satisfy the requisite degree of proof.” State v. Schiebel, 55 Ohio St.3d 71, 74, 564 N.E.2d 54

(1990); accord In re Holcomb, 18 Ohio St.3d 361, 368, 481 N.E.2d 613 (1985), citing Cross v.

Ledford, 161 Ohio St. 469, 120 N.E.2d 118 (1954) (“Once the clear and convincing standard has

been met to the satisfaction of the [trial] court, the reviewing court must examine the record and

determine if the trier of fact had sufficient evidence before it to satisfy this burden of proof.”) In

re Adoption of Lay, 25 Ohio St.3d 41, 42–43, 495 N.E.2d 9 (1986). Cf. In re Adoption of Masa,
WASHINGTON, 17CA12                                                                              16

23 Ohio St.3d 163, 165, 492 N.E.2d 140 (1986) (stating that whether a fact has been “proven by

clear and convincing evidence in a particular case is a determination for the [trial] court and will

not be disturbed on appeal unless such determination is against the manifest weight of the

evidence”). Thus, if the children services agency presented competent and credible evidence

upon which the trier of fact reasonably could have formed a firm belief that permanent custody is

warranted, then the court’s decision is not against the manifest weight of the evidence. In re

R.M., 4th Dist. Athens Nos. 12CA43 and 12CA44, 2013–Ohio–3588, ¶62; In re R.L., 2nd Dist.

Greene Nos.2012CA32 and 2012CA33, 2012–Ohio–6049, ¶17, quoting In re A.U., 2nd Dist.

Montgomery No. 22287, 2008–Ohio–187, ¶9 (“A reviewing court will not overturn a court’s

grant of permanent custody to the state as being contrary to the manifest weight of the evidence

‘if the record contains competent, credible evidence by which the court could have formed a firm

belief or conviction that the essential statutory elements * * * have been established.’”). Once

the reviewing court finishes its examination, the court may reverse the judgment only if it

appears that the fact-finder, when resolving the conflicts in evidence, “‘clearly lost its way and

created such a manifest miscarriage of justice that the [judgment] must be reversed and a new

trial ordered.’” Thompkins, 78 Ohio St.3d at 387, quoting State v. Martin, 20 Ohio App.3d 172,

175, 485 N.E.2d 717 (1st Dist.1983). A reviewing court should find a trial court’s permanent

custody decision against the manifest weight of the evidence only in the “‘exceptional case in

which the evidence weighs heavily against the [decision].’” Thompkins, 78 Ohio St.3d at 387,

quoting Martin, 20 Ohio App.3d at 175; accord State v. Lindsey, 87 Ohio St.3d 479, 483, 721

N.E.2d 995 (2000).

       {¶ 42} Furthermore, when reviewing evidence under the manifest weight of the evidence
WASHINGTON, 17CA12                                                                               17

standard, an appellate court generally must defer to the fact-finder’s credibility determinations.

Eastley at ¶21. As the Eastley court explained:

       “[I]n determining whether the judgment below is manifestly against the weight of
       the evidence, every reasonable intendment must be made in favor of the judgment
       and the finding of facts. * * *
       If the evidence is susceptible of more than one construction, the reviewing court is
       bound to give it that interpretation which is consistent with the verdict and
       judgment, most favorable to sustaining the verdict and judgment.”

Id., quoting Seasons Coal Co., Inc. v. Cleveland, 10 Ohio St.3d 77, 80, 461 N.E.2d 1273 (1984),

fn.3, quoting 5 Ohio Jurisprudence 3d, Appellate Review, Section 60, at 191–192 (1978).

       {¶ 43} Moreover, deferring to the trial court on matters of credibility is “crucial in a child

custody case, where there may be much evident in the parties’ demeanor and attitude that does

not translate to the record well.” Davis v. Flickinger, 77 Ohio St.3d 415, 419, 674 N.E.2d 1159

(1997); accord In re Christian, 4th Dist. Athens No. 04CA10, 2004–Ohio–3146, ¶7. As the

Ohio Supreme Court long-ago explained:

       In proceedings involving the custody and welfare of children the power of the trial
       court to exercise discretion is peculiarly important. The knowledge obtained
       through contact with and observation of the parties and through independent
       investigation can not be conveyed to a reviewing court by printed record.

Trickey v. Trickey, 158 Ohio St. 9, 13, 106 N.E.2d 772 (1952).

       {¶ 44} Furthermore, unlike an ordinary civil proceeding in which a jury has no contact

with the parties before a trial, in a permanent custody case a trial court judge may have

significant contact with the parties before a permanent custody motion is even filed. In such a

situation, it is not unreasonable to presume that the trial court judge had far more opportunities to

evaluate the credibility, demeanor, attitude, etc., of the parties than this court ever could from a

mere reading of the permanent custody hearing transcript.
WASHINGTON, 17CA12                                                                             18

                                                 B

                            PERMANENT CUSTODY STANDARD

        {¶ 45} R.C. 2151.414(B)(1) permits a trial court to grant permanent custody of a child to

a children services agency if the court determines, by clear and convincing evidence, that the

child’s best interest would be served by the award of permanent custody and that:

                (a) The child is not abandoned or orphaned or has not been in the
        temporary custody of one or more public children services agencies or private
        child placing agencies for twelve or more months of a consecutive twenty-two
        month period ending on or after March 18, 1999, and the child cannot be placed
        with either of the child’s parents within a reasonable time or should not be placed
        with the child’s parents.
                (b) The child is abandoned.
                (c) The child is orphaned, and there are no relatives of the child who are
        able to take permanent custody.
                (d) The child has been in the temporary custody of one or more public
        children services agencies or private child placing agencies for twelve or more
        months of a consecutive twenty-two month period ending on or after March 18,
        1999.
                (e) The child or another child in the custody of the parent or parents from
        whose custody the child has been removed has been adjudicated an abused,
        neglected, or dependent child on three separate occasions by any court in this state
        or another state.

        {¶ 46} Thus, before a trial court may award a children services agency permanent

custody, it must find (1) that one of the circumstances described in R.C. 2151.414(B)(1) applies,

and (2) that awarding the children services agency permanent custody would further the child’s

best interests.

                                                 C

                                        2151.414(B)(1)(d)

        {¶ 47} In the case sub judice, the trial court determined that R.C. 2151.414(B)(1)(d)
WASHINGTON, 17CA12                                                                                                                     19

applies. Appellant does not dispute that the child has been in appellee’s temporary custody for

twelve or more months of a consecutive twenty-two month period. Instead, appellant disputes

the trial court best interest finding. We limit our review accordingly.

                                                                    E

                                                       BEST INTEREST

       {¶ 48} R.C. 2151.414(D) directs a trial court to consider “all relevant factors,” as well as

specific factors, to determine whether a child’s best interests will be served by granting a children

services agency permanent custody. The listed factors include: (1) the child’s interaction and

interrelationship with the child’s parents, siblings, relatives, foster parents and out-of-home

providers, and any other person who may significantly affect the child; (2) the child’s wishes, as

expressed directly by the child or through the child’s guardian ad litem, with due regard for the

child’s maturity; (3) the child’s custodial history; (4) the child’s need for a legally secure

permanent placement and whether that type of placement can be achieved without a grant of

permanent custody to the agency; and (5) whether any factors listed under R.C. 2151.414(E)(7)

to (11) apply.3

       3
           R.C. 2151.414(E)(7) to (11) state:

                  (7) The parent has been convicted of or pleaded guilty to one of the following:
                  (a) An offense under section 2903.01, 2903.02, or 2903.03 of the Revised Code or under an existing or
       former law of this state, any other state, or the United States that is substantially equivalent to an offense described in
       those sections and the victim of the offense was a sibling of the child or the victim was another child who lived in the
       parent's household at the time of the offense;
                  (b) An offense under section 2903.11, 2903.12, or 2903.13 of the Revised Code or under an existing or
       former law of this state, any other state, or the United States that is substantially equivalent to an offense described in
       those sections and the victim of the offense is the child, a sibling of the child, or another child who lived in the parent's
WASHINGTON, 17CA12                                                                                                                     20

       {¶ 49} Determining whether granting permanent custody to a children services agency

will promote a child’s best interest involves a delicate balancing of “all relevant [best interest]

factors,” as well as the “five enumerated statutory factors.” In re C.F., 113 Ohio St.3d 73,

       household at the time of the offense;
                   (c) An offense under division (B)(2) of section 2919.22 of the Revised Code or under an existing or former
       law of this state, any other state, or the United States that is substantially equivalent to the offense described in that
       section and the child, a sibling of the child, or another child who lived in the parent's household at the time of the
       offense is the victim of the offense;
                   (d) An offense under section 2907.02, 2907.03, 2907.04, 2907.05, or 2907.06 of the Revised Code or under
       an existing or former law of this state, any other state, or the United States that is substantially equivalent to an offense
       described in those sections and the victim of the offense is the child, a sibling of the child, or another child who lived in
       the parent's household at the time of the offense;
                   (e) An offense under section 2905.32, 2907.21, or 2907.22 of the Revised Code or under an existing or
       former law of this state, any other state, or the United States that is substantially equivalent to the offense described in
       that section and the victim of the offense is the child, a sibling of the child, or another child who lived in the parent's
       household at the time of the offense;
                   (f) A conspiracy or attempt to commit, or complicity in committing, an offense described in division
       (E)(7)(a), (d), or (e) of this section.
                   (8) The parent has repeatedly withheld medical treatment or food from the child when the parent has the
       means to provide the treatment or food, and, in the case of withheld medical treatment, the parent withheld it for a
       purpose other than to treat the physical or mental illness or defect of the child by spiritual means through prayer alone
       in accordance with the tenets of a recognized religious body.
                   (9) The parent has placed the child at substantial risk of harm two or more times due to alcohol or drug
       abuse and has rejected treatment two or more times or refused to participate in further treatment two or more times
       after a case plan issued pursuant to section 2151.412 of the Revised Code requiring treatment of the parent was
       journalized as part of a dispositional order issued with respect to the child or an order was issued by any other court
       requiring treatment of the parent.
                   (10) The parent has abandoned the child.
                   (11) The parent has had parental rights involuntarily terminated with respect to a sibling of the child
       pursuant to this section or section 2151.353 or 2151.415 of the Revised Code, or under an existing or former law of this
       state, any other state, or the United States that is substantially equivalent to those sections, and the parent has failed to
       provide clear and convincing evidence to prove that, notwithstanding the prior termination, the parent can provide a
       legally secure permanent placement and adequate care for the health, welfare, and safety of the child.
WASHINGTON, 17CA12                                                                             21

2007–Ohio–1104, 862 N.E.2d 816, ¶57, citing In re Schaefer, 111 Ohio St.3d 498,

2006–Ohio–5513, 857 N.E.2d 532, ¶56; accord In re C.G., 9th Dist. Summit Nos. 24097 and

24099, 2008–Ohio–3773, ¶28; In re N.W., 10th Dist. Franklin Nos. 07AP–590 and 07AP–591,

2008–Ohio–297, 2008 WL 224356, ¶19. However, none of the best interest factors requires a

court to give it “greater weight or heightened significance.” C.F. at ¶57. Instead, the trial court

considers the totality of the circumstances when making its best interest determination. In re

K.M.S., 3rd Dist. Marion Nos. 9–15–37, 9–15–38, and 9–15–39, 2017–Ohio–142, 2017 WL

168864, ¶24; In re A.C., 9th Dist. Summit No. 27328, 2014–Ohio–4918, ¶46. In general, “[a]

child’s best interest is served by placing the child in a permanent situation that fosters growth,

stability, and security.”       In re C.B.C., 4th Dist. Lawrence Nos. 15CA18 and 15CA19,

2016–Ohio–916, 2016 WL 915012, ¶66, citing In re Adoption of Ridenour, 61 Ohio St.3d 319,

324, 574 N.E.2d 1055 (1991).

        {¶ 50} In the case at bar, we believe that the record contains ample competent and

credible evidence to support the trial court’s finding that granting appellee permanent custody is

in the child’s best interest.

                                                    1

                                Child’s Interactions and Interrelationships

        {¶ 51} The child loves both of her parents, and both parents love her. The child’s

mother courageously recognizes her inability to provide proper care for the child and wishes for

the child to be placed in appellee’s permanent custody.

        {¶ 52} Appellant interacted appropriately with the child during his supervised visits at

the agency. The child, however, did not initially want to visit appellant after her removal. The
WASHINGTON, 17CA12                                                                             22

child revealed disturbing allegations that suggest her interactions with appellant while living in

the home were highly inappropriate. The mother revealed similar information. The child’s

counselor detected post-traumatic stress disorder and indicators that strongly suggested the child

had suffered sexual abuse. Thus, while appellant may have had some positive interactions with

the child during supervised visits at the agency, his interactions with the child in the home,

before the child’s removal, suggest that he did not have a positive impact on the child’s

well-being. Moreover, the child stated that she feels safe in her foster home, but did not indicate

that she feels safe in the family home where appellant lives.

       {¶ 53} The child shares a bond with the foster parents, and the foster parents provide the

child with all of her needs. Although the child displays defiant behavior in the foster home and

elsewhere, the foster parents have remained committed to the child and expressed interest in

adopting the child, if appellee receives permanent custody.

       {¶ 54} The foregoing evidence tends to show that the child has experienced positive

interactions and interrelationships while in her foster home, but that she did not always have

positive interactions and interrelationships in the family home.

                                                 2

                                          Child’s Wishes

       {¶ 55} The child understandably appears conflicted. She loves both of her parents and

desperately wants to keep the family unit intact. The child indicated that she feels safe in the

foster home and would like to remain there, but she still would like to see her parents. The

guardian ad litem believes that placing the child in appellee’s permanent custody is in her best

interest. In re S.M., 4th Dist. Highland No. 14CA4, 2014–Ohio–2961, 2014 WL 3014037, ¶32,
WASHINGTON, 17CA12                                                                            23

citing C.F. at ¶55 (noting that R.C. 2151.414 permits court to consider child’s wishes as child

directly expresses or through the guardian ad litem).

                                                 3

                                        Custodial History

       {¶ 56} The child lived in her parents’ home until May 2014, when she was approximately

11 years old. Since that time, she has lived in the same foster home. At the time appellee filed

its permanent custody motion, the child had been in appellee’s continuous temporary custody for

more than twelve out of the past twenty-two months.

                                                 4

                              Legally Secure Permanent Placement

       {¶ 57} “Although the Ohio Revised Code does not define the term, ‘legally secure

permanent placement,’ this court and others have generally interpreted the phrase to mean a safe,

stable, consistent environment where a child’s needs will be met.”        In re M.B., 4th Dist.

Highland No. 15CA19, 2016–Ohio–793, 2016 WL 818754, ¶56, citing In re Dyal, 4th Dist.

Hocking No. 01CA12, 2001 WL 925423, *9 (Aug. 9, 2001) (implying that “legally secure

permanent placement” means a “stable, safe, and nurturing environment”); see also In re K.M.,

10th Dist. Franklin Nos. 15AP–64 and 15AP–66, 2015–Ohio–4682, ¶28 (observing that legally

secure permanent placement requires more than stable home and income but also requires

environment that will provide for child’s needs); In re J.H., 11th Dist. Lake No. 2012–L–126,

2013–Ohio–1293, ¶95 (stating that mother unable to provide legally secure permanent placement

when she lacked physical and emotional stability and that father unable to do so when he lacked

grasp of parenting concepts); In re J.W., 171 Ohio App.3d 248, 2007–Ohio–2007, 870 N.E.2d
WASHINGTON, 17CA12                                                                               24

245, ¶34 (10th Dist.) (Sadler, J., dissenting) (stating that a legally secure permanent placement

means “a placement that is stable and consistent”); Black’s Law Dictionary 1354 (6th Ed. 1990)

(defining “secure” to mean, in part, “not exposed to danger; safe; so strong, stable or firm as to

insure safety”); id. at 1139 (defining “permanent” to mean, in part, “[c]ontinuing or enduring in

the same state, status, place, or the like without fundamental or marked change, not subject to

fluctuation, or alteration, fixed or intended to be fixed; lasting; abiding; stable; not temporary or

transient”). Thus, “[a] legally secure permanent placement is more than a house with four walls.

 Rather, it generally encompasses a stable environment where a child will live in safety with one

or more dependable adults who will provide for the child’s needs.” M.B. at ¶56.

       {¶ 58} In the case sub judice, after our review we believe that the record contains

abundant clear and convincing evidence to support the trial court’s finding that the child needs a

legally secure permanent and that she cannot achieve this type of placement without granting

appellee permanent custody. We initially note that the mother courageously admitted that her

mental health does not allow her to provide the child with proper care and that she would like the

child to be placed in appellee’s permanent custody. Thus, the mother cannot provide the child

with a legally secure permanent placement.

       {¶ 59} Appellant claims that he can provide the child with a legally secure permanent

placement.     The evidence, however, suggests otherwise.             Appellant’s physical home

environment may be appropriate, but he has not taken the actions needed to address appellee’s

safety concerns. Appellant did not complete a mental health evaluation that would have allowed

appellee to tailor a plan that would help eliminate the safety threats in the home. Appellee had

concerns that physical and sexual abuse had occurred in the home, as well as possible deprivation
WASHINGTON, 17CA12                                                                            25

and starvation. Appellant did not undertake any steps that would have allowed appellee to

determine whether appellant had eliminated or reduced those potential threats. Most tellingly,

the child stated that she does not feel safe in appellant’s home.       Consequently, although

appellant’s home environment may be physically appropriate, he has not shown that the

environment is one in which the child will feel safe and where her needs will be met.

Additionally, appellee explored other placements but none were approved as legally secure

permanent placements. We therefore believe that the evidence supports the trial court’s finding

that the child needs a legally secure permanent placement.

                                                5

                            Substantial Compliance With Case Plan

       {¶ 60} Although not specified as a best-interest factor in R.C. 2151.414(D)(1), appellant

nevertheless asserts that he substantially complied with the case plan by completing a parenting

course and by obtaining an evaluation through Dr. Dunn. Appellant alleges that his case plan

compliance demonstrates that the child can be placed with him. Caseworker Herron testified,

however, that Dr. Dunn’s evaluation did not constitute the type of mental health evaluation

specified in the case plan and that appellee repeatedly advised appellant of the importance of

obtaining a mental health evaluation. Herron indicated that Dr. Dunn’s evaluation did not

adequately inform appellee so that it could devise a proper reunification plan or attempt to

eliminate the safety issues in the home. Herron further testified that she advised appellee that

Dr. Dunn’s evaluation did not satisfy the case plan requirement. Moreover, Dr. Dunn stated that

he would have evaluated appellant in a different manner if appellant had disclosed that he sought

the evaluation due to appellee’s involvement. Dr. Dunn explained that he does not focus on
WASHINGTON, 17CA12                                                                             26

familial relationships and that he may have referred appellant to a different provider. We

therefore   disagree    with    appellant    that   he    substantially   complied     with    the

mental-health-evaluation requirement.

       {¶ 61} Furthermore, we note that the trial court would not have been precluded from

granting appellee permanent custody, even if appellant had substantially complied with the case

plan. A parent’s “substantial compliance with a case plan, in and of itself, does not prove that a

grant of permanent custody to an agency is erroneous.” In re A.C-B., 9th Dist. Summit Nos.

28330 and 28349, 2017-Ohio-374, 2017 WL 440116, ¶11, citing In re M.Z., 9th Dist. No.

11CA010104, 2012–Ohio–3194, ¶19; In re K.J., 4th Dist. Athens No. 08CA14,

2008–Ohio–5227, ¶24 (stating that “when considering a R.C. 2151.414(D)(1)(d) permanent

custody motion, the focus is upon the child’s best interests, not upon the parent’s compliance

with the case plan”). A parent’s case plan compliance may be relevant to the extent that it

affects the child’s best interest. E.g., In re T.J., 4th Dist. Highland No. 2016–Ohio–163, 2016

WL 228187, ¶36, citing In re R.L., 9th Dist. Summit Nos. 27214 and 27233, 2014–Ohio–3117,

¶34 (stating that “although case plan compliance may be relevant to a trial court’s best interest

determination, it is not dispositive of it”). A parent’s case plan compliance does not, however,

preclude a trial court from awarding permanent custody to a children services agency when doing

so is in the child’s best interest.     Id., citing In re N.L., 9th Dist. Summit No. 27784,

2015–Ohio–4165, ¶35 (stating that “substantial compliance with a case plan, in and of itself,

does not establish that a grant of permanent custody to an agency is erroneous”); In re S.C., 8th

Dist. Cuyahoga No. 102349, 2015–Ohio–2280, ¶40 (“Compliance with a case plan is not, in and

of itself, dispositive of the issue of reunification.”); In re W.C.J., 4th Dist. Jackson No. 14CA3,
WASHINGTON, 17CA12                                                                               27

2014–Ohio–5841, ¶46 (“Substantial compliance with a case plan is not necessarily dispositive on

the issue of reunification and does not preclude a grant of permanent custody to a children's

services agency.”). “Indeed, because the trial court’s primary focus in a permanent custody

proceeding is the child’s best interest, ‘it is entirely possible that a parent could complete all of

his/her case plan goals and the trial court still appropriately terminate his/her parental rights.’”

W.C.J. at ¶46, quoting In re Gomer, 3d Dist. Wyandot Nos. 16–03–19, 16–03–20, and 16–03–21,

2004–Ohio–1723, ¶36. Consequently, we disagree with appellant that his alleged case plan

compliance means that the court could not grant appellee permanent custody of the child.

                                                 F

                                    REASONABLE EFFORTS

       {¶ 62} Within his first assignment of error, appellant asserts that appellee failed to use

reasonable efforts to eliminate the child’s continued removal from the home, and thus, that the

trial court could not grant appellee permanent custody. We do not agree.

       {¶ 63} R.C. 2151.419(A)(1) requires a trial court to determine whether a children

services agency “made reasonable efforts to prevent the removal of the child from the child’s

home, to eliminate the continued removal of the child from the child’s home, or to make it

possible for the child to return safely home.”           However, this statute applies only at

“adjudicatory, emergency, detention, and temporary-disposition hearings, and dispositional

hearings for abused, neglected, or dependent children * * *.” C.F., supra, at ¶41; accord In re

C.B.C., 4th Dist. Lawrence Nos. 15CA18 and 15CA19, 2016–Ohio–916, 2016 WL 915012, ¶72.

 Thus, “‘[b]y its plain terms, the statute does not apply to motions for permanent custody brought

pursuant to R.C. 2151.413, or to hearings held on such motions pursuant to R.C. 2151.414.’”
WASHINGTON, 17CA12                                                                               28

C.F. at ¶41, quoting In re A.C., 12th Dist. Clermont No. CA2004–05–041, 2004–Ohio–5531,

¶30.   Nonetheless, “[t]his does not mean that the agency is relieved of the duty to make

reasonable efforts” before seeking permanent custody. Id. at ¶42. Instead, at prior “stages of

the child-custody proceeding, the agency may be required under other statutes to prove that it has

made reasonable efforts toward family reunification.” Id. Additionally, “[if] the agency has not

established that reasonable efforts have been made prior to the hearing on a motion for

permanent custody, then it must demonstrate such efforts at that time.” Id. at ¶43.

       {¶ 64} In the case at bar, appellant’s appeal does not originate from one of the types of

hearings specifically listed in R.C. 2151.419(A): “adjudicatory, emergency, detention, and

temporary-disposition hearings, and dispositional hearings for abused, neglected, or dependent

children.” Appellee, therefore, was not required to prove at the permanent custody hearing that

it used reasonable efforts to reunify the family, unless it had not previously done so. In the case

sub judice, the record reflects that the trial court made reasonable efforts findings before appellee

filed its permanent custody motion. Thus, the court did not need to again find that appellee used

reasonable efforts before it could grant appellee permanent custody. In re S.S., 4th Dist. Jackson

Nos. 16CA7 and 16CA8, 2017-Ohio-2938, 2017 WL 2256777, ¶168. We note, however, that

the court did enter a reasonable efforts finding in its permanent custody decision.

       {¶ 65} Appellant additionally challenges the trial court’s finding that appellee used

reasonable efforts. We question whether this is a proper issue to consider in an appeal from an

R.C. 2151.413 permanent custody motion when a prior reasonable efforts finding had been made

at an “adjudicatory, emergency, detention, [or a] temporary-disposition hearings, [or]

dispositional hearings for abused, neglected, or dependent children.” Nevertheless, given the
WASHINGTON, 17CA12                                                                             29

importance of the parental rights involved, we will consider the matter.

       {¶ 66} We discussed the meaning of “reasonable efforts” in C.B.C., supra, at ¶76, as

follows:

               In general, “reasonable efforts” mean “‘[t]he state’s efforts to resolve the
       threat to the child before removing the child or to permit the child to return home
       after the threat is removed.’” C.F. at ¶ 28, quoting Will L. Crossley, Defining
       Reasonable Efforts: Demystifying the State's Burden Under Federal Child
       Protection Legislation, 12 B.U.Pub.Int.L.J. 259, 260 (2003). “‘Reasonable
       efforts means that a children’s services agency must act diligently and provide
       services appropriate to the family’s need to prevent the child’s removal or as a
       predicate to reunification.’” In re H.M.K., 3d Dist. Wyandot Nos. 16–12–15 and
       16–12–16, 2013–Ohio–4317, ¶95, quoting In re D.A., 6th Dist. Lucas No.
       L–11–1197, 2012–Ohio–1104, ¶30. In other words, the agency must use
       reasonable efforts to help remove the obstacles preventing family reunification.
       Bean, Reasonable Efforts: What State Courts Think, 36 U. Tol. L.Rev. 321, 366
       (2005), quoting In re Child of E.V., 634 N.W.2d 443, 447 (Minn.Ct.App.2001),
       and In re K.L.P., No. C1–99–1235, 2000 WL 343203, at *5 (Minn.Ct.App. Apr.
       4, 2000) (explaining that the agency must address what is “necessary to correct the
       conditions that led to the out-of-home placement” and must “provide those
       services that would assist in alleviating the conditions leading to the determination
       of dependency”). However, “‘[r]easonable efforts’ does not mean all available
       efforts. Otherwise, there would always be an argument that one more additional
       service, no matter how remote, may have made reunification possible.” In re
       Lewis, 4th Dist. Athens No. 03CA12, 2003–Ohio–5262, ¶ 16. Furthermore, the
       meaning of “reasonable efforts” “will obviously vary with the circumstances of
       each individual case.” Suter v. Artist M., 503 U.S. 347, 360, 112 S.Ct. 1360, 118
       L.Ed.2d 1 (1992). Additionally, “[i]n determining whether reasonable efforts
       were made, the child’s health and safety shall be paramount.”                   R.C.
       2151.419(A)(1).

       {¶ 67} In the case at bar, the record shows that appellee used reasonable efforts.

Appellee provided appellant with a case plan that informed him of the activities to complete in

order to attempt reunification. Appellee also permitted visitation between appellant and the

child and ensured that the child received counseling. Appellant completed a parenting course,

but he did not complete a mental health evaluation, despite appellee’s repeated emphasis on its
WASHINGTON, 17CA12                                                                              30

importance. While appellant contends that appellee should have done more to ensure that he

fully understood the type of mental health evaluation he needed to obtain, appellant cannot show

that appellee’s efforts fell short of reasonable. Furthermore, appellant’s dishonesty with Dr.

Dunn might suggest that appellant attempted to circumvent the mental health evaluation

requirement, instead of suggesting that he simply failed to understand the requirement to obtain a

mental health evaluation. Consequently, we disagree with appellant that appellee failed to use

reasonable efforts.

       {¶ 68} Accordingly, based upon the foregoing reasons, we overrule appellant’s first

assignment of error.

                                                 II

                         INEFFECTIVE ASSISTANCE OF COUNSEL

       {¶ 69} In his second assignment of error, appellant argues that he did not receive the

effective assistance of counsel. Appellant contends that his trial counsel was ineffective for

failing to object to inadmissible hearsay statements. Specifically, appellant asserts that trial

counsel was ineffective for failing to object to the following statements: (1) the child was absent

35 days and tardy 5 days throughout the 2012-2013 school year, and was absent 44 days and

tardy 19 days during the 2013-2014 school year; (2) the child alleged sexual abuse during an

interview with caseworkers; (3) the mother claimed that appellant and his brother had been

drugging her, that appellant was extremely controlling and required her and the child to obtain

his permission to eat food or to use toilet paper, and that appellant had been violent with both her

and the child; (4) the mother stated that she had a nervous breakdown from worrying whether

appellant sexually abused the child; (5) the child alleged that appellant’s sister took naked
WASHINGTON, 17CA12                                                                              31

photographs of the child; (6) the child alleged appellant entered her bedroom at night and

touched her vagina; (7) the child reported that the father licked her on the mouth; (8) the

caseworker testified that the child was extremely fearful of appellant and his brother; and (9) the

child’s foster parent stated that the child informed him and the foster mother that her father

touched her inappropriately.

       {¶ 70} Appellant concedes that the child’s counselor could offer hearsay testimony under

an exception to the hearsay rule. He asserts, however, that the counselor’s testimony, by itself,

does not sufficiently support the trial court’s decision to grant appellee permanent custody.

Appellant claims that the counselor’s testimony was “minimal and equivocal until buttressed by

the extensive hearsay claims against [appellant].” He thus asserts that trial counsel’s alleged

deficient performance affected the outcome of the proceeding. We disagree.

       {¶ 71} The right to counsel, guaranteed in permanent custody proceedings by R.C.

2151.352 and by Juv.R. 4, includes the right to the effective assistance of counsel. In re Wingo,

143 Ohio App.3d 652, 666, 758 N.E.2d 780 (4th Dist.2001), citing In re Heston, 129 Ohio

App.3d 825, 827, 719 N.E.2d 93 (1st Dist.1998); e.g., In re J.P.B., 4th Dist. Washington No.

12CA34, 2013–Ohio–787, 2013 WL 839932, ¶23; In re K.M.D., 4th Dist. Ross No. 11CA3289,

2012–Ohio–755, ¶60; In re A.C.H., 4th Dist. Gallia No. 11CA2, 2011–Ohio–5595, ¶50.

“‘Where the proceeding contemplates the loss of parents’ ‘essential’ and ‘basic’ civil rights to

raise their children, * * * the test for ineffective assistance of counsel used in criminal cases is

equally applicable to actions seeking to force the permanent, involuntary termination of parental

custody.’” Id., quoting Heston.

       {¶ 72} To establish constitutionally ineffective assistance of counsel, a defendant must
WASHINGTON, 17CA12                                                                            32

show (1) that his counsel’s performance was deficient and (2) that the deficient performance

prejudiced the defense and deprived the defendant of a fair trial. E.g., Strickland, 466 U.S. at

687; State v. Obermiller, 147 Ohio St.3d 175, 2016–Ohio–1594, 63 N.E.3d 93, ¶83; State v.

Powell, 132 Ohio St.3d 233, 2012–Ohio–2577, 971 N.E.2d 865, ¶85. “Failure to establish

either element is fatal to the claim.”       State v. Jones, 4th Dist. Scioto No. 06CA3116,

2008–Ohio–968, ¶14. Therefore, if one element is dispositive, a court need not analyze both.

State v. Madrigal, 87 Ohio St.3d 378, 389, 721 N.E.2d 52 (2000) (stating that a defendant’s

failure to satisfy one of the elements “negates a court’s need to consider the other”).

       {¶ 73} The deficient performance part of an ineffectiveness claim “is necessarily linked

to the practice and expectations of the legal community: ‘The proper measure of attorney

performance remains simply reasonableness under prevailing professional norms.’” Padilla v.

Kentucky, 559 U.S. 356, 366, 130 S.Ct. 1473, 176 L.Ed.2d 284 (2010), quoting Strickland, 466

U.S. at 688; accord Hinton, 134 S.Ct. at 1088. “Prevailing professional norms dictate that with

regard to decisions pertaining to legal proceedings, ‘a lawyer must have “full authority to manage

the conduct of the trial.”’” Obermiller at ¶85, quoting State v. Pasqualone, 121 Ohio St.3d 186,

2009–Ohio–315, 903 N.E.2d 270, ¶24, quoting Taylor v. Illinois, 484 U.S. 400, 418, 108 S.Ct.

646, 98 L.Ed.2d 798 (1988). Furthermore, “‘[i]n any case presenting an ineffectiveness claim,

the performance inquiry must be whether counsel’s assistance was reasonable considering all the

circumstances.’” Hinton, 134 S.Ct. at 1088, quoting Strickland, 466 U.S. at 688. Accordingly,

“[i]n order to show deficient performance, the defendant must prove that counsel’s performance

fell below an objective level of reasonable representation.” State v. Conway, 109 Ohio St.3d

412, 2006–Ohio–2815, 848 N.E.2d 810, ¶95 (citations omitted); accord Hinton, 134 S.Ct. at
WASHINGTON, 17CA12                                                                            33

1088, citing Padilla, 559 U.S. at 366; State v. Wesson, 137 Ohio St.3d 309, 2013–Ohio–4575,

999 N.E.2d 557, ¶81.

       {¶ 74} Moreover, when considering whether trial counsel’s representation amounts to

deficient performance, “a court must indulge a strong presumption that counsel’s conduct falls

within the wide range of reasonable professional assistance.” Strickland, 466 U.S. at 689. Thus,

“the defendant must overcome the presumption that, under the circumstances, the challenged

action might be considered sound trial strategy.”      Id. Additionally, “[a] properly licensed

attorney is presumed to execute his duties in an ethical and competent manner.” State v. Taylor,

4th Dist. Washington No. 07CA11, 2008–Ohio–482, ¶10, citing State v. Smith, 17 Ohio St.3d 98,

100, 477 N.E.2d 1128 (1985). Therefore, a defendant bears the burden to show ineffectiveness

by demonstrating that counsel’s errors were “so serious” that counsel failed to function “as the

‘counsel’ guaranteed * * * by the Sixth Amendment.”          Strickland, 466 U.S. at 687; e.g.,

Obermiller at ¶84; State v. Gondor, 112 Ohio St.3d 377, 2006–Ohio–6679, 860 N.E.2d 77, ¶62;

State v. Hamblin, 37 Ohio St.3d 153, 156, 524 N.E.2d 476 (1988).

       {¶ 75} To establish prejudice, a defendant must demonstrate that a reasonable probability

exists that “‘but for counsel’s errors, the result of the proceeding would have been different. A

reasonable probability is a probability sufficient to undermine the outcome.’” Hinton, 134 S.Ct.

at 1089, quoting Strickland, 466 U.S. at 694; e.g., State v. Short, 129 Ohio St.3d 360,

2011–Ohio–3641, 952 N.E.2d 1121, ¶113; State v. Bradley, 42 Ohio St.3d 136, 538 N.E.2d 373

(1989), paragraph three of the syllabus.     Furthermore, courts may not simply assume the

existence of prejudice, but must require the defendant to affirmatively establish prejudice. State

v. Clark, 4th Dist. Pike No. 02CA684, 2003–Ohio–1707, ¶22; State v. Tucker, 4th Dist. Ross No.
WASHINGTON, 17CA12                                                                                                                     34

01CA2592 (Apr. 2, 2002). As we have repeatedly recognized, speculation is insufficient to

demonstrate the prejudice component of an ineffective assistance of counsel claim. E.g., State v.

Jenkins, 4th Dist. Ross No. 13CA3413, 2014–Ohio–3123, ¶22; State v. Simmons, 4th Dist.

Highland No. 13CA4, 2013–Ohio–2890, ¶25; State v. Halley, 4th Dist. Gallia No. 10CA13,

2012–Ohio–1625, ¶25; State v. Leonard, 4th Dist. Athens No. 08CA24, 2009–Ohio–6191, ¶68;

accord State v. Powell, 132 Ohio St.3d 233, 2012–Ohio–2577, 971 N.E.2d 865, ¶86 (stating that

an argument that is purely speculative cannot serve as the basis for an ineffectiveness claim).

          {¶ 76} In the case at bar, assuming, arguendo, that trial counsel performed deficiently by

failing to object to the alleged hearsay statements, we do not believe that appellant can show that

a reasonable probability exists that the result of the proceeding would have been different in the

absence of the objectionable statements. If trial counsel had objected, and if the trial court had

sustained the objections, the record contains ample other evidence to support the trial court’s

decision that granting appellee permanent custody is in the child’s best interest.

          {¶ 77} Appellant agrees that the child’s counselor’s testimony concerning the child’s

statements fall within an exception to the hearsay rule.4 The counselor’s testimony contains

numerous examples of statements the child made concerning her fear of appellant and suggesting

that appellant sexually abused her. For instance, when the counselor first interviewed the child,

the child stated that she was “glad” that appellant still was in jail so that she would not “have to

          4
             Appellant asserts that the counselor’s testimony falls within the exception specified in Evid.R. 803(4). The rule provides that
the following statements are exclusions to the hearsay rule: “Statements made for purposes of medical diagnosis or treatment and
describing medical history, or past or present symptoms, pain, or sensations, or the inception or general character of the cause or external
source thereof insofar as reasonably pertinent to diagnosis or treatment.” Due to appellant’s concession, we have no need to evaluate
whether the counselor’s statements fall within this exclusion. Rather, we assume, arguendo, that her statements fall within the exclusion.
WASHINGTON, 17CA12                                                                            35

worry about him hurting [her] again.” Moreover, the counselor stated that the child informed

her that she did not like “being touched down there” and pointed between her legs. The child

stated that appellant “touched [her] down there” and that “sometimes it hurts.” The counselor

also explained that she believes that the child had suffered sexual abuse in appellant’s home and

believes that appellant was the perpetrator. The counselor further indicated that the child stated

she does not feel safe in appellant’s home.

       {¶ 78} Furthermore, the child’s mother, through her guardian ad litem, expressed her

wish that appellee obtain permanent custody of the child so that the child could remain in the

same foster home. The child’s mother further relayed through her guardian ad litem that she did

not want appellant to have custody of the child. Appellant has not argued that the mother’s

guardian ad litem’s statements constitute inadmissible hearsay.

       {¶ 79} Additionally, the caseworker testified that appellant’s completion of a mental

health evaluation was vital to implementing a reunification case plan. She stated that a mental

health evaluation would have allowed appellee to determine how to address the safety concerns

with appellant’s home. The caseworker stated that without a mental health evaluation, appellee

could not develop a safe plan to return the child to appellant’s home. Appellant did not,

however, complete a mental health evaluation, even when appellee explained its importance to

him.

       {¶ 80} Thus, even without the alleged hearsay statements, we believe that the foregoing

evidence combines to create more than ample competent and credible to support the trial court’s

decision to award appellee permanent custody. Consequently, appellant cannot establish that

any alleged deficiency in counsel’s failure to object to hearsay affected the outcome of the
WASHINGTON, 17CA12                                                                      36

proceedings. See In re J.P.B., 4th Dist. Washington No. 12CA34, 2013-Ohio-787, 2013 WL

839932, ¶46.

       {¶ 81} Accordingly, based upon the foregoing reasons, we overrule appellant’s second

assignment of error and affirm the trial court’s judgment.

                                                                 JUDGMENT AFFIRMED.
WASHINGTON, 17CA12                                                                               37

                                     JUDGMENT ENTRY

       It is ordered that the judgments be affirmed and that appellee recover of appellant the

costs herein taxed.

       The Court finds there were reasonable grounds for this appeal.

       It is ordered that a special mandate issue out of this Court directing the Washington

County Common Pleas Court, Juvenile Division, to carry these judgments into execution.

       A certified copy of this entry shall constitute that mandate pursuant to Rule 27 of the

Rules of Appellate Procedure.

       McFarland, J. & Hoover, J.: Concur in Judgment & Opinion

                                                             For the Court

                                                             BY:
                                                             Peter B. Abele, Judge
WASHINGTON, 17CA12                                                                           38

                                  NOTICE TO COUNSEL

       Pursuant to Local Rule No. 14, this document constitutes a final judgment entry and the
time period for further appeal commences from the date of filing with the clerk.