In re Mi'Kayla H. , 2022 IL App (5th) 220329-U ( 2022 )


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  •                                       
    2022 IL App (5th) 220329-U
    NOTICE
    NOTICE
    Decision filed 10/24/22. The
    This order was filed under
    text of this decision may be               NO. 5-22-0329
    Supreme Court Rule 23 and is
    changed or corrected prior to
    the filing of a Petition for                                              not precedent except in the
    Rehearing or the disposition of
    IN THE                      limited circumstances allowed
    the same.                                                                 under Rule 23(e)(1).
    APPELLATE COURT OF ILLINOIS
    FIFTH DISTRICT
    ______________________________________________________________________________
    In re MI’KAYLA H., a Minor                )     Appeal from the
    )     Circuit Court of
    (The People of the State of Illinois,     )     Champaign County.
    )
    Petitioner-Appellee,               )     No. 21-JA-71
    )
    v.                                        )
    )
    Michael H.,                               )     Honorable
    )     Brett N. Olmstead,
    Respondent-Appellant).             )     Judge, presiding.
    ______________________________________________________________________________
    JUSTICE VAUGHAN delivered the judgment of the court.
    Presiding Justice Boie and Justice Welch concurred in the judgment.
    ORDER
    ¶1       Held: The circuit court’s order finding the minor child neglected was not against the
    manifest weight of the evidence. The circuit court’s finding that the Indian Child
    Welfare Act did not apply is affirmed where the evidence fails to support a
    finding that the minor child was an “Indian child.” The court did not violate
    father’s right to counsel where father refused appointment of an attorney without
    good cause.
    ¶2       The respondent father, Michael H., appeals the Champaign County circuit court’s order
    finding Mi’Kayla H. was neglected. On appeal, Michael also argues that the circuit court did not
    have jurisdiction pursuant to the Indian Child Welfare Act (
    25 U.S.C. § 1901
     et seq. (2018))
    because notice was not provided to the Potawatomi tribe. He further argues that the circuit court
    1
    erred by refusing his request for alternative appointed counsel. For the following reasons, we
    affirm.
    ¶3                                      I. BACKGROUND
    ¶4        Michael H. is the putative father of Mi’Kayla H., born January 14, 2020. Mi’Kayla’s
    biological mother, Danesha, is not a party to this appeal and will only be discussed as necessary to
    provide relevant background for the issues presented.
    ¶5        On September 27, 2021, Mi’Kayla was burned on her face and upper arms when an iron
    fell on her. Danesha and Michael took Mi’Kayla to Lurie Children’s Hospital of Chicago (Lurie)
    for treatment. The Lurie medical records stated that Michael “made delivery of care difficult for
    [the] entire team,” was “not cooperative with request of team treating patient,” and was “[v]erbally
    disruptive of the entire unit.” The records indicated that Michael interfered with the medical
    providers’ treatment of the child by refusing to allow certain treatment and refusing to consent to
    Mi’Kayla’s transfer to the burn center at Loyola University Medical Center (Loyola). After
    “[s]ocial services and security [were] asked to assist in order to ensure [a] safe environment to
    provide care,” Michael’s “disruptive behavior escalated.” “Police [were] called and [Michael was]
    escorted out” of the emergency department. Danesha remained at the hospital and consented to
    Lurie’s recommendation to transfer Mi’Kayla to Loyola for further burn care. The Lurie records
    further indicated that the family lived in Champaign, Illinois, and were visiting Chicago.
    ¶6        On October 4, 2021, the State filed a three-count petition for adjudication of abuse, neglect,
    or dependency pursuant to section 2-3(1)(b) of the Juvenile Court Act of 1987 (Act) (705 ILCS
    405/2-3(1)(b) (West 2020)), alleging that Mi’Kayla’s environment was injurious to her health
    because (1) the child was exposed to domestic violence, (2) the child was exposed to the effects of
    Michael’s mental illness, and (3) the child was exposed to Michael’s erratic behavior. The petition
    2
    was supported by a shelter care report prepared by the Illinois Department of Children and Family
    Services (DCFS).
    ¶7     The shelter care report addressed Michael’s behavior at the hospital and indicated that the
    underlying reason for Michael’s displeasure at the hospital was his belief that his privacy rights
    under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) (Pub. L. No. 104-
    191, 
    110 Stat. 1936
     (1996) (codified as amended in scattered sections of Titles 18, 26, 29, and 42
    of the United States Code (2016))) were being violated. The report further noted that following
    Mi’Kayla’s transfer to Loyola, Michael asked why Champaign DCFS was involved and advised
    the agency that the family moved to Chicago six months earlier. In order to determine the child’s
    residence, DCFS attempted to contact Danesha. Michael answered the telephone call and denied
    DCFS’s request to take the telephone off speaker. In response to DCFS’s question regarding
    residence, Danesha stated they no longer lived in Champaign, but she had not yet changed her
    address. She stated they moved to Chicago two months earlier.
    ¶8     The report further stated that Michael called the agency an hour later and again advised the
    agency that they lived in Chicago. Thereafter, Michael asked numerous questions about HIPAA
    and whether his lawyer in Champaign took “these kinds of cases.” After advising Michael that
    they could not answer those questions, Michael demanded that all further communication occur
    through email. Michael was advised that his request limiting communication to email was contrary
    to DCFS policy. Michael continued to complain that his HIPAA rights were violated by the
    hospital and was advised he would have to talk to someone at the hospital regarding that issue.
    ¶9     The report indicated that the Champaign County DCFS office then enlisted assistance from
    Cook County DCFS to determine whether Mi’Kayla’s actual residence was in Champaign County
    or Cook County. Thereafter, DCFS received a call from the social worker at Loyola’s burn unit
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    reporting that the physician “wanted a full work up” and “the parent” was “denying blood work
    and a skeletal exam.” The social worker further reported that Michael’s behavior had been
    aggressive, and he was not allowed back in the hospital. When Champaign County DCFS
    attempted to obtain Danesha’s apartment number in Champaign, to determine residency, Michael
    would not provide it. When Michael was asked for Danesha’s cell phone number, Michael
    provided a nonworking number. Champaign County DCFS eventually received Danesha’s correct
    telephone number and the apartment number in Champaign from Danesha during a three-way call
    with Michael. After completing the call, Champaign County DCFS went to the address of the
    Champaign residence and left an agency card at the door.
    ¶ 10   Upon return from the alleged Champaign address, DCFS called Danesha on her personal
    cell phone. At that time, Danesha admitted lying to the agency about her residence and stated she
    had done so because Michael told her DCFS would take the baby if she did not say what he told
    her to say. Thereafter, Champaign County DCFS took control of the case. Danesha confirmed that
    she consented to Mi’Kayla’s skeletal x-ray and blood work, both were performed, and she was
    awaiting the results. Danesha stated that she and Mi’Kayla lived in Champaign, and only they
    lived at the residence. As to Michael, Danesha stated that she wanted him to stop telling stories
    because she needed him by her side during this time. She further confirmed that Michael had been
    kicked out of both hospitals due to his behavior and lying.
    ¶ 11   The DCFS shelter care report also indicated that two hours after speaking with Danesha,
    Michael left a telephone message, after calling seven times in the previous 22 minutes, stating:
    “Hey how are you doing *** this is [Michael], ah, I am here at the home in
    Champaign Illinois ***, I just received your card in the door, ah, I’m here at the
    house if you want to come have the interview, that would be fine, you can get ah,
    4
    walk around the house, just checking everything, if you can, please give me a call
    back *** thank you.”
    ¶ 12   The report further indicated that on September 30, 2021, the agency was informed that the
    minor was ready for discharge and the agency advised the hospital social worker that it would be
    taking protective custody of the minor. After securing placement, DCFS called Michael and
    advised him of the shelter care hearing. Michael stated he would not be there. When DCFS stated
    that it wanted to meet with him so he could sign the notice, Michael stated he was “not signing
    anything” and further stated he was “not on the birth certificate and *** [did] not have to be there.”
    When DCFS advised Michael that he previously stated he was on the birth certificate and was the
    father, Michael again stated he was not on the birth certificate. Michael then raised numerous legal
    issues and was told the agency did not give legal advice. The report indicated that the agency also
    informed Michael that his 31 calls to the agency that day were very disruptive and to simply call
    and leave a message. The shelter care report concluded by recommending the court find that
    immediate and urgent necessity, exigent circumstances, and probable cause existed. The report
    further recommended the court find it was in the child’s best interest to be temporarily placed with
    DCFS, order supervised visitation between Danesha and the child, and suspend visitation between
    Michael and the child.
    ¶ 13   The shelter care hearing was held on October 4, 2021. Danesha appeared and counsel was
    appointed. Michael did not appear. The State provided a factual basis that addressed Michael’s
    behavior at Lurie hospital and further stated the family had a history of domestic violence. The
    State indicated that Michael’s mental health was brought into issue in a 2018 traffic case, but noted
    the case was dismissed, and the file destroyed. The guardian ad litem and Danesha stipulated to
    probable cause. Thereafter, the court found probable cause on counts I (domestic abuse) and III
    5
    (Michael’s alleged erratic behavior) but denied count II (Michael’s alleged mental illness). By
    agreement of the parties, temporary custody was to remain with Danesha; however, the court found
    that immediate and urgent necessity required temporary removal of Michael’s custody and
    supervised visitation by an agency employee or a DCFS-approved party.
    ¶ 14   The adjudicatory hearing ultimately occurred over the course of six days. The first day of
    the hearing was held on December 28, 2021. Michael appeared and eventually agreed that he
    understood what was being claimed in the petition. After being advised of his right to counsel,
    Michael stated that he wanted to represent himself on five different occasions. As the court began
    the admonitions for a waiver of counsel, Michael interrupted and asked, “So, what *** if the baby’s
    Native American?” The court stated it could not answer that question, but a lawyer could and
    further explained how a lawyer might assist him in this matter. Michael stated that he would take
    an attorney and requested the court appoint counsel.
    ¶ 15   The court appointed Brittany McKnight. Upon hearing the name of his appointed counsel,
    Michael immediately stated that he wanted to represent himself, claiming that Ms. McKnight was
    the reason everyone thought he was mentally ill, and that she tried to force him to admit he had a
    mental illness in a different case. The court asked Michael if he still wished to give up the right to
    an attorney and represent himself. Michael responded, “I’ll take another attorney, but not her.”
    The court replied, “Doesn’t work that way. You don’t get to shop around for other attorneys. She
    is the attorney that’s assigned to this case.” Michael again stated that he did not want Ms.
    McKnight to represent him. When the court asked Michael if he wanted to represent himself or
    have Ms. McKnight appointed, Michael stated, “I’ll just hire an attorney.” Thereafter, the court
    continued the case to allow Michael to obtain counsel.
    6
    ¶ 16   The second day of the adjudicatory hearing was held on January 3, 2022. Prior to the
    hearing, Michael contacted the court and stated he tested positive for COVID. Arrangements were
    made to allow Michael to participate at the hearing by telephone. The court attempted to contact
    Michael via the two telephone numbers he provided. The first number went to voicemail and the
    second was answered by a man who stated he was Michael’s brother and Michael was not there.
    The court reset the matter for February 7, 2022.
    ¶ 17   The third day of the adjudicatory hearing was held on February 7, 2022. At that time, the
    court again advised Michael of his right to counsel. Michael continued to state he did not want Ms.
    McKnight as his attorney and that when Ms. McKnight represented him in a different matter, she
    told him that he would have all-white jury if he chose to proceed with a trial. The court explained
    that there were only two available attorneys in the public defender’s office, and one was already
    taken by Danesha. The court stated Michael had the right to appointed counsel, but not the right to
    have a list of attorneys provided so he could pick one. When the court asked Michael if he wanted
    to represent himself, he said no, he wanted a lawyer. When the court stated that the appointed
    lawyer would be Ms. McKnight, Michael stated that he did not want a lawyer and would just
    represent himself. Following a lengthy discussion regarding the procedural process of the case at
    bar, Michael stated he was ready to proceed.
    ¶ 18   The State called DCFS investigator, Catherine McGlone. She confirmed the events listed
    in the shelter care report by testifying about the hotline report from the Chicago hospital, Michael’s
    behavior at the hospital, Michael’s statements about living in Chicago, the numerous telephone
    calls Michael made to the agency requesting legal advice, and Danesha’s statement that Michael
    forced her to lie about the location of her residence. Ms. McGlone further testified that Michael
    repeatedly stated that Mi’Kayla was not his child.
    7
    ¶ 19   The State called Danesha who testified about Mi’Kayla’s accident as well as Michael’s
    behavior at the hospital. She stated that she lied about her address because Michael told her to lie.
    She agreed to lie because she thought it would make the DCFS process move more quickly.
    Danesha denied any incidents of domestic violence but admitted calling the police on Michael in
    2018 because “it was a lot going on.” When asked what was going on, Danesha stated she did not
    recall. When asked if she was scared of Michael when she made the call to the police, Danesha
    replied, “It was a lot going on.” Following Danesha’s testimony, the State submitted medical
    records from Lurie and Loyola. Michael objected claiming the records were not the right thing to
    present as evidence. Although the basis of the objection was unclear, due to the objection, the court
    requested to see the certifications. Only the Lurie certification was found, and those records were
    admitted. The State requested a continuance to obtain the certification from Loyola, but the request
    was denied.
    ¶ 20   The State then called Michael to testify, at which time he stated that he was homeless and
    living on the street. He did not recall and did not know if he was Mi’Kayla’s father. Michael
    disputed the events at both Chicago hospitals, including his removal from the facilities. He also
    stated that he remained in a relationship with Danesha.
    ¶ 21   The court acknowledged that Michael could not cross-examine himself and therefore
    allowed Michael to provide his own testimony regarding the events. Michael stated he was Muslim
    and that was why he did not consent to the treatment. He further stated that he did not want all the
    people in Mi’Kayla’s room because they were students. He indicated that he would not sign the
    consent for Mi’Kayla to have an IV because the paper stated they were treating Mi’Kayla, and he
    disputed that the hospital had actually treated Mi’Kayla. He was told that the Lurie personnel could
    not do their job if he did not sign the paper. He felt like he was being pressured to sign the paper.
    8
    He stated that they tried to separate him from Danesha to try to break them up so she would sign
    the paper, but Danesha wanted him there because she did not understand what was happening. He
    also testified that the Lurie hospital personnel were rude and told them they could not leave so he
    felt like he was in prison. All he wanted to do was leave and take the baby. He further testified that
    the personnel at Loyola hospital completely agreed with him and stated he did not need to sign
    documents for the hospital to do their job. He stated it was not medical neglect because the basis
    for his refusal of treatment was his religion. Thereafter, the State rested. The guardian ad litem and
    Danesha’s counsel rested without the presentation of additional evidence.
    ¶ 22   When Michael was asked if he wished to present witnesses, Michael stated that he wanted
    to call himself. Due to time constraints, the court stated the matter would need to be continued.
    Michael asked if he could return “remotely,” and when asked for the basis of the request, stated
    that “my household has COVID, the whole house.” Michael further stated that he had an interview
    in New York to get his bar license as an excuse for the proposed hearing date of February 28 and
    stated he would be in New York until March 16, 2022. When the court suggested an earlier date
    in February, Michael requested a date at the beginning of March, which was the same period he
    previously stated he would be in New York. The matter was eventually set for March 7, 2022.
    ¶ 23   The fourth day of the adjudicatory hearing was held on March 7, 2022. After a lengthy
    discussion addressing a witness that may or may not have been served with a subpoena, Michael
    eventually called DCFS caseworker, Kevin Barnett, to testify. Mr. Barnett testified, inter alia, that
    Michael was offered services but declined them, Michael made numerous telephone calls to Mr.
    Barnett requesting answers to legal questions, Michael required supervised visitation, supervised
    visitation was offered to Michael but was declined, and Michael denied Mi’Kayla was his child.
    Following Mr. Barnett’s testimony, Michael advised the court that he wanted to call Danesha as
    9
    his next witness, and a recess was taken. Upon return, it was determined that the hearing would
    need to be continued due to time constraints, and the case was reset for March 29, 2022.
    ¶ 24   On March 23, 2022, the State filed a supplemental petition for adjudication. The petition
    alleged Mi’Kayla was neglected because she was in an environment injurious to her welfare due
    to Michael’s mental illness.
    ¶ 25   The fifth day of the adjudicatory hearing was held on March 29, 2022. Michael called Dr.
    Lawrence Jeckel to testify. However, prior to Dr. Jeckel testifying, the court addressed the State’s
    supplemental petition and, after hearing the arguments, took the matter under advisement.
    Thereafter, Dr. Jeckel testified that he was a psychiatrist, a forensic psychiatrist, and a consultant
    to the courts in Champaign County. He stated that he examined Michael on September 18, 2019,
    related to Michael’s fitness to stand trial in a different case. He explained the process for preparing
    his report and stated that Michael’s counsel in the previous case requested the evaluation. Dr.
    Jeckel testified that he ultimately opined, in the unrelated case, that Michael had a personality
    disorder characterized by faulty thinking, was not fit to stand trial, and recommended Michael be
    evaluated either on an outpatient basis or in an inpatient psychiatric unit. Dr. Jeckel testified that
    it was his understanding that Michael’s previous case was eventually dismissed and confirmed the
    court never issued a ruling on Michael’s fitness.
    ¶ 26   On cross-examination by the State, Dr. Jeckel advised the court of his education and
    background, and the State tendered him as an expert witness in the areas of both psychiatry and
    forensic psychiatry. Only Michael objected; however, the basis of the objection was unclear, and
    the objection was overruled. Dr. Jeckel explained that a personality disorder was an “enduring
    pattern of inner experience and behavior that deviate[d] markedly from the average.” This meant
    “that the person ha[d] defects in cognition[,] thinking[,] and affect and maybe impulse control and
    10
    interpersonal functioning.” He stated the pattern was “inflexible and enduring.” “Enduring” was
    the “key word” because those kinds of problems would bring conflict with occupations, legal
    proceedings, and social interactions. Dr. Jeckel believed that Michael had those inflexible and
    enduring patterns now. He agreed that Michael’s obsession with his rights was a symptom of his
    personality disorder because Michael’s “inordinate focus on grievance” was part of his personality
    disorder. He assumed that the diagnosis would also cause issues with DCFS.
    ¶ 27   Based on his 2019 examination, Dr. Jeckel opined that Michael’s diagnosis would interfere
    with his ability to make sound decisions regarding Mi’Kayla’s health care. He explained that
    Michael could not make logical connections that would enable him to have rational communication
    with another person. Dr. Jeckel opined that Michael’s condition was unlikely to improve without
    treatment. Based on the physician’s interactions with Michael in court earlier in the proceeding,
    he opined that Michael continued to show the same kind of faulty thinking seen in 2019. Following
    Dr. Jeckel’s testimony, the case was continued to allow Michael to subpoena and present testimony
    from another physician. On April 1, 2022, the circuit court issued an order for genetic testing
    directed to Michael, Danesha, and Mi’Kayla.
    ¶ 28   The sixth and final day of the adjudicatory hearing was held on April 19, 2022. Michael
    called Arnold Black, the DCFS supervisor of investigators. Mr. Black testified about how the case
    came to DCFS and the agency’s intent to investigate Michael’s actions at the hospital. Following
    Mr. Black’s testimony, Michael wanted to re-call Catherine McGlone but ultimately did not. He
    further advised the court that he was unable to present his proposed physician witness testimony
    and rested his case.
    ¶ 29   Following the close of evidence, the circuit court allowed the State’s supplemental petition
    alleging that Mi’Kayla was neglected because she was in an injurious environment due to
    11
    Michael’s mental illness. The parties presented closing argument and thereafter, the circuit court
    found the State failed to prove count I (domestic abuse) but proved count III of the original petition
    (erratic behavior) and count I of the supplemental petition (mental illness) to find Mi’Kayla
    neglected. In support, the court found that Michael had disorganized thinking and focused on all
    the wrong things based on Dr. Jeckel’s testimony as well as Michael’s presentation in court. The
    court ordered DCFS to prepare an investigation and report detailing the mental and physical history
    of the child, the family situation, and other relevant information deemed appropriate. The court
    further ordered the parties to cooperate with the preparation of the report, which included
    interviews and signing authorizations to release information. Michael interrupted stating, “I don’t
    sign anything.” The court stated that whatever Michael wanted to use as a substitute for his
    signature would be sufficient.
    ¶ 30   After agreeing to do so, Michael asked, “[S]o what about if you’re Native American? What,
    what about in that situation? Can you go to the—to the people at the Native American, at the
    place?” After asking for clarification of Michael’s question, the court asked Michael if he thought
    Mi’Kayla had Native American ancestry, and Michael said yes. When asked which tribe, Michael
    replied, “Potawatomi.” When asked the basis of his belief, Michael responded, “History.” After a
    request for additional information, Michael stated, “I think my granddad—my great granddad was
    Potawatomi.” Michael confirmed that he was not a registered member of the Potawatomi tribe. He
    said he “did not know” if Danesha was a registered member of the tribe. Danesha’s counsel was
    asked if Danesha believed Mi’Kayla had Native American ancestry, and he stated, “No, Your
    Honor, at least she has no reason to *** believe it.”
    ¶ 31   While the court was addressing the import of the Indian Child Welfare Act, Michael
    interrupted and stated, “I know my granddad *** is for sure.” Michael stated his grandfather’s
    12
    name was Abe and confirmed Abe was still alive and living in China. He did not know what town
    and knew of no way to contact Abe. When asked if he believed anybody else in his family had
    Native American ancestry, Michael replied, “Well, my whole granddad’s side of the family, if I’m
    not mistaken.” Michael admitted he had no contact with any other members of his grandfather’s
    family but believed they lived in Richfield, Utah. Michael stated he last spoke to Abe on the phone
    six months earlier but did not have Abe’s phone number because Abe called him collect. Michael
    volunteered to see if he could find out more information from his mother. Michael provided his
    mother’s name and address to the court and stated he did not know her telephone number. The
    court directed Michael to answer DCFS’s questions regarding his heritage.
    ¶ 32     Thereafter, the circuit court stated it would issue a written decision for the adjudicatory
    hearing and set the matter for a dispositional hearing on May 17, 2022. Once the court set the date,
    Michael brought up the issue of his parentage and questioned the State’s allegation that he was
    Mi’Kayla’s father. Thereafter, the court asked Michael if he wanted to reconsider appointment of
    an attorney, stating he had the right to be represented by an attorney and the attorney that would
    be appointed was Ms. McKnight. After declining Ms. McKnight’s representation four times,
    Michael was asked, “Would you like me to appoint Ms. McKnight to represent you or not?”
    Michael stated, “Yes, I’ll take Ms. McKnight.” The court appointed Ms. McKnight and
    immediately thereafter, Michael stated, “No, no, no. I won’t *** take Ms. McKnight. *** I’m
    going to save that headache.” Thereafter, the court rescinded the appointment and recessed the
    court.
    ¶ 33     The circuit court’s written order found that Mi’Kayla was abused or neglected as defined
    by section 2-3 of the Act (705 ILCS 405/2-3 (West 2020)) in that the minor was in an environment
    13
    that was injurious to the minor’s welfare as defined by section 2-3(1)(b) of the Act (id. § 2-3(1)(b)).
    The court’s hand-written support for the findings stated:
    “Respondent father Michael *** exhibits defective thinking that obsessively
    distracts his focus to unimportant personal grievances, and this obstructs his
    ability to manage any crisis situation for the minor. On September 27, 2021, this
    defective thinking[,] and the erratic behavior it causes[,] resulted in [Michael]
    obstructing and delaying emergency medical care for the minor to treat serious
    burns. Ultimately, he had to be forcibly removed from the hospital so the minor
    could obtain the treatment *** and the transfer to a burn unit that she needed.
    [Michael’s] obstruction of necessary care was not based on an assertion of
    religious belief, but instead was based on an irrational fixation of perceived
    violation of protocol (his claim that too many people were in the room) and
    HIPAA.
    Respondent mother [Danesha] cannot safely manage [Michael’s] defective
    thinking. Her inability to step in when the minor’s health and welfare were one
    reason why [Michael] was forcibly removed from the hospital, and later, when
    DCFS became involved, his influence caused her to lie to the investigator initially.
    Also, [Michael’s] defective thinking was not a one-time aberration. It is a
    chronic problem that was on display through his later interactions with the DCFS
    investigator (for example, when he kept asking about HIPAA and legal issues
    instead of focusing on his child). [Michael] testified that he is homeless and living
    on the street which is consistent with life problems that his defective thinking
    14
    naturally would cause. Also, DCFS entered an indicated finding for [Michael]
    interfering with emergency treatment for the minor.
    Finally, [Michael] called as a witness, Dr. Lawrence Jeckel, a well-qualified
    forensic psychiatrist who examined [Michael] in relation to an earlier unrelated
    case. Dr. Jeckel observed defective thinking exactly like what [Michael] exhibited
    during the events on September 27 and after. While Dr. Jeckel’s testimony was
    essential for a diagnosis, namely Personality Disorder, and the State’s proof of
    Count I of the Supplemental Petition filed on 3/23/22, Count 3 of the original
    Petition filed on 10/04/21 was proved even without his testimony.”
    ¶ 34   On May 11, 2022, DCFS filed an emergency motion for court order. The motion alleged
    that the assigned caseworker participated in an integrated assessment interview with Michael on
    April 22, 2022, but Michael called the caseworker seven days later and canceled his consent to use
    his information in the DCFS report. On May 12, 2022, DCFS filed its dispositional report without
    information from Michael’s integrated assessment interview.
    ¶ 35   The dispositional hearing was held on May 17, 2022. However, the court first addressed
    DCFS’s emergency motion. In response to DCFS’s argument, Michael stated that he never talked
    to the people at DCFS, DCFS would not answer the phone, and when DCFS called him they were
    laughing and told him to stop calling. When he did reach the caseworker, the caseworker stated he
    could not talk because he was driving. Michael advised that he never told DCFS that he was
    withdrawing his consent because he never gave them consent in the first place. He later confirmed
    that he told DCFS that he did not give them consent to use his public information, more
    specifically, the information they had on file. When counsel for DCFS provided additional facts
    related to her motion, including that caseworker Kevin Barnett spoke with Michael on April 22,
    15
    2022, Michael vehemently denied talking to Mr. Barnett and stated that Mr. Barnett never even
    picked up the phone when he called for his interview. He later stated Mr. Barnett said he was
    driving and could not do the interview.
    ¶ 36    The circuit court found the issue moot and immediately thereafter, Michael requested a
    continuance stating there was not enough information to proceed. The court asked Michael if he
    would provide consent to allow DCFS to obtain the information, and he said no. The court denied
    Michael’s motion to continue and directed DCFS to provide copies of the information it obtained
    regarding Michael to the parties and recessed the court proceeding to allow the parties to review
    the report.
    ¶ 37    After going back on the record, the court asked the parties if they had an opportunity to
    review the report. All the parties answered affirmatively, except Michael who stated that he started
    to read it but got upset and then just turned it back around. When the court asked if he had the
    opportunity to read the document, Michael said, “No, sir.” The court then asked what opportunity
    Michael needed and Michael stated, “I can’t read.” When asked how Michael wanted to proceed,
    he responded, “I think the court should proceed. Let’s hear what’s going on. Let the court proceed,
    go through the dispositional.” As an accommodation to Michael’s alleged reading difficulty, the
    court ultimately decided to disregard the dispositional report filed on May 12, 2022, stating live
    testimony would be used as the basis of the hearing.
    ¶ 38    The State called DCFS caseworker, Kevin Barnett. As to the issues in this appeal, Mr.
    Barnett stated that he spoke with Michael via telephone for over an hour on April 22, 2022, during
    which time he performed the integrated assessment interview. Michael advised Mr. Barnett that
    he had a high school diploma and some college education. Michael reported that he was currently
    16
    homeless; however, Mr. Barnett believed that Michael lived with his mother in Chicago. Michael
    also provided his work history.
    ¶ 39   Mr. Barnett stated that Michael denied having any kind of mental health diagnosis or being
    on any psychotropic medication. Michael told him that his mental health only came into question
    when Ms. McKnight was representing him in a different case. Michael also told Mr. Barnett that
    he was Muslim and Native American. Mr. Barnett stated that numerous services were
    recommended for Michael including participation in a mental health assessment with follow up
    recommendations, participation in a psychological and parenting capacity assessment with follow
    up recommendations, parenting classes, and visitation. Mr. Barnett stated he was unable to make
    the referrals for services because Michael declined all services. Mr. Barnett also confirmed that
    Michael never had visitation with Mi’Kayla. The agency asked Michael to identify a third-party
    person so a background check could be performed prior to any visitation but no person was
    provided. The agency also asked Danesha’s family if they were willing to supervise visitation
    between Michael and Mi’Kayla and they declined. So far, no willing third-party had been found.
    ¶ 40   Mr. Barnett testified that Michael went back and forth on the issue of whether or not he
    was actually Mi’Kayla’s father. DNA testing was scheduled for Danesha, Michael, and Mi’Kayla
    on May 31, 2022. Mr. Barnett confirmed that Michael presented at the DCFS office multiple times
    and was escorted from the building by security on March 7, 2022, when Michael became heated,
    argumentative and would not deescalate.
    ¶ 41   Mr. Barnett testified that Michael called the DCFS office 25 times on March 2, 2022, 13
    times on March 16, 2022, 12 times on March 30, 2022, 7 times on April 8, 2022, and 20 times on
    April 22, 2022. Mr. Barnett confirmed there were also other dates in which Michael called the
    DCFS office between 18 and 25 times in one day. Thereafter, Mr. Barnett set up a specific time at
    17
    1:30 p.m. on Thursdays for Michael to call. He said this was not normal, but the repeated calls
    were tying up DCFS resources. He confirmed that Michael did utilize the allotted time period but
    also continued to call during other periods. Mr. Barnett classified Michael’s behavior as erratic
    and bizarre, and stated Michael’s behavior was depleting the agency’s resources.
    ¶ 42   Mr. Barnett testified that when he spoke with Michael about the psychological and
    parenting capacity exam, Michael made it clear that he would not sign the paperwork necessary to
    make that referral. Pursuant to the court’s directive, the agency only asked Michael to sign with
    an “x”, but he declined to do so and said he did not want the service.
    ¶ 43   Mr. Barnett confirmed that he performed a Law Enforcement Automated Data System
    (LEADS) check on Michael and the results revealed that Michael had three convictions for
    dangerous drugs. Mr. Barnett requested Michael participate in a substance abuse assessment, but
    Michael declined. Mr. Barnett stated that Michael informed him that he was part of the Potawatomi
    tribe, but that Michael provided no other details regarding his connection to the tribe. With regard
    to Michael’s scheduled genetic testing, Mr. Barnett stated that Michael did not agree to the testing,
    but the appointment was scheduled anyway.
    ¶ 44   The court asked Mr. Barnett if DCFS made any attempt to contact the Potawatomi tribe
    and Mr. Barnett responded:
    “So[,] I tried to work with [Michael] to get information related to his lineage. ***
    I need his parents’ names and their Social Security numbers, and the grandparents’
    names and Social Security numbers so I can fill out the ICWA form to submit to
    that office and the Department.”
    Mr. Barnett further advised that he was “unable to gather the information needed to submit that
    inquiry.” The court asked what he meant by “unable,” and Mr. Barnett responded, “I can submit a
    18
    form, but it’s going to be incomplete, because I don’t have an in-depth history of [Michael’s]
    family.” When asked why he did not have the information, Mr. Barnett replied, “Because
    [Michael] will not provide it to me.” Michael then interrupted and stated, “I have provided it.”
    ¶ 45   The court asked Mr. Barnett if he could make a meaningful request through DCFS to find
    out from the Potawatomi tribe if there was genuine Native American ancestry without the
    information. Mr. Barnett responded, “I don’t know, Judge. I don’t know how meaningful it will
    be without the form being complete with family lineage.” When Mr. Barnett was asked if he
    thought he had enough to make a meaningful request to DCFS, Mr. Barnett stated, “I can submit
    one and see what they say.” The court stated, “Well, that’s not the question. The question is, do
    you have enough information, based on your knowledge about how that process works through
    DCFS to make a request likely to discover if there is an actual connection to the Potawatomi tribe?”
    Mr. Barnett responded, “Based off the information I have, just his identification of Potawatomi, I
    don’t believe that’s enough to have a *** meaningful inquiry.”
    ¶ 46   Mr. Barnett confirmed the genetic testing was scheduled for May 31, 2022, and again
    confirmed that Michael stated he would not participate. The court asked if there was any
    established legal paternity of Mi’Kayla by Michael, and Mr. Barnett stated, “To my knowledge I
    don’t have any, no.”
    ¶ 47   During cross-examination, Michael asked Mr. Barnett if Native Americans had Social
    Security numbers and Mr. Barnett stated he did not know. Michael also asked what information
    Mr. Barnett needed for the Native American inquiry. Mr. Barnett stated, “So on the ICWA form I
    fill out and sen[d] *** to the office and the Department[,] [i]t asks for your name, date of birth,
    address, who your mother is, who your father is, who your grandparents are, their names, dates of
    births, social security numbers, their addresses.” Mr. Barnett also confirmed that the agency did
    19
    not have a copy of Mi’Kayla’s birth certificate. In later inquiry, Mr. Barnett confirmed that Michael
    refused to disclose the names and addresses of either of his parents.
    ¶ 48   Following Mr. Barnett’s testimony, the State asked the court to take judicial notice of all
    prior orders in the case as well as Dr. Jeckel’s testimony at the prior hearing and rested. The
    guardian ad litem and Danesha’s counsel declined the opportunity to present evidence.
    ¶ 49   Michael called Danesha to testify. The majority of these inquiries, including those by the
    court, were whether Danesha believed Michael to have a mental illness and whether she believed
    Mi’Kayla would be safe with Michael. The responses were equivocal and depended on whether
    Michael, the court, or other counsel asked the question. Following Danesha’s testimony and
    closing arguments by the parties, which included Michael stating he would “never take the DNA
    test,” the court found, limited solely to the issues presented in this appeal, the following:
    “First of all[,] the decision as to whether it’s in the interests of Mi’Kayla and the
    public that Mi’Kayla be made ward of the court, I think clearly it is. There’s an
    issue here, and issue [is] related to [Michael], who suffers from mental health issues
    ***.
    ***
    Michael *** always vacillates between saying he’s Mi’Kayla’s father, saying
    he’s not her father. We all know he’s not going to cooperate with genetic testing,
    no matter what the court orders and *** I don’t know that he’s ever going to
    cooperate with answering that question. And we may make it all the way through
    to the end of this case without any establishment of legal paternity.”
    Michael then interrupted and stated, “Yeah, I’m not doing that.”
    ¶ 50   The court continued:
    20
    “Now before I get to any further findings, let me talk about record, okay? I want
    to make the record clear about some issues that have happened through this case.
    One, ICWA, the Indian Child Welfare Act. The testimony and the evidence that the
    court has, and considering the evidence at adjudicatory hearing, too, is there has
    never been sufficient information provided by [Michael] so that a meaningful
    search could be done to find out if there is any connection between Mi’Kayla and
    the Potawatomi or any other tribe, such that the requirements of ICWA would be
    triggered. And there hasn’t been sufficient information provided by [Michael]
    about his family such that DCFS could meaningfully get that question answered
    through the tribe or some other third party. They *** cannot discover that
    information, because [Michael] actively obstructs the process. So[,] there’s been
    nothing but vague assertions that Mi’Kayla may have Native American ancestry.
    And while [Michael] has identified a tribe, Potawatomi, that’s not enough for DCFS
    to do a meaningful request to answer the question, and he’s not going to *** provide
    them with information that they could use to try and get that question answered. It
    just can’t be done.
    So based on what the Department had, based on what’s been before the court,
    the requirements of ICWA have never been triggered. ***
    Second, [Michael] representing himself. [Michael] has serious mental health
    issues. *** The problem was [Michael], because of his mental health issues, just
    was not able to cooperate in a meaningful way with his attorney. That is not a
    problem that I can address in a juvenile abuse and neglect case. So [Michael] has
    the right to counsel. He was never willing to accept that counsel. The reason he
    21
    gave was because Ms. McKnight would have been that counsel, but he was never
    able to present a *** reason why Ms. McKnight could not effectively represent
    him.
    His argument was that she believed and filed a motion within a traffic case in
    Champaign County that he was unfit to stand trial, and so she wanted to have him
    examined. But there was never a finding of bona fide doubt. The court in that case
    never found that he was actually unfit to stand trial[;] all that happened is he
    received an examination from Dr. Jeckel, Dr. Jeckel formed an opinion, Dr. Jeckel
    testified about that opinion in this courtroom ***. But that report was obtained from
    Dr. Jeckel and then Ms. McKnight was successful in getting that traffic case
    dismissed with no finding of unfitness, no finding of guilt, nothing.
    It looked like a stellar performance by a defense attorney. There was never a
    reason presented why the court could say that Ms. McKnight could not effectively
    represent [Michael], except that there was a problem in [Michael] trusting Ms.
    McKnight and cooperating with Ms. McKnight in that relationship *** going
    forward. But because of those mental health issues there was nothing that the court
    had that would make me think that the situation would be different with any other
    lawyer in the universe.
    *** I was not willing to offer [Michael] a list of attorneys for him to choose
    from. That is not going to happen *** I’ll say for the record now, Ms. McKnight,
    as of last week, left the public defendant’s office. And so[,] in just a moment after
    I get through my order I’m going to offer [Michael] to appoint counsel to represent
    him against moving forward in this case. ***
    22
    I did not offer that opportunity to [Michael] at the beginning of this hearing or
    at any other point in this hearing, and I’ll say *** for the record why.
    First of all, again I have no reason to believe that his relationship with another
    lawyer’s going to be any better. Second, if *** I appointed a different attorney to
    represent him now, all that was going to do was delay the dispositional hearing even
    further, and I’m not willing to do that. *** [T]his case has been pending for a long,
    long time, much of the delay created by [Michael] himself, who kept asking for
    additional opportunities to present evidence that he then didn’t produce.”
    Thereafter, the court found it was in the best interest of the minor child and public to remove
    guardianship from both parents, ordered custody to remain with Danesha, and removed custody
    from Michael. It also suspended Michael’s visitation until paternity was established, issued a
    protective order for Danesha against Michael, and ordered both parents to complete psychological
    evaluations and participate in genetic testing. Michael timely appealed.
    ¶ 51                                   II. ANALYSIS
    ¶ 52   On appeal, Michael argues that the circuit court lacked jurisdiction to enter its orders
    because it failed to comply with the notice requirement of the Indian Child Welfare Act. Michael
    further argues that the circuit court abused its discretion by refusing to appoint him alternative
    counsel and the circuit court’s finding of neglect was against the manifest weight of the evidence.
    The State disputes all of Michael’s arguments.
    ¶ 53                              Indian Child Welfare Act
    ¶ 54   On appeal, Michael contends that the circuit court lacked jurisdiction to enter its orders
    because it failed to comply with the notice requirement found in the Indian Child Welfare Act
    (ICWA) (
    25 U.S.C. § 1901
     et seq. (2018)). Michael argues that the circuit court knew or had reason
    23
    to know that Mi’Kayla was an Indian child, and therefore, it was error for the circuit court to issue
    any orders prior to notifying the tribe pursuant to section 1912(a) (id. § 1912(a)). In response, the
    State agrees notice is required under the ICWA but argues there was insufficient evidence that the
    ICWA applied due to Michael’s refusal to provide required information for the inquiry. As this
    issue involves both jurisdictional consideration and statutory interpretation, our review is de novo.
    In re C.N., 
    196 Ill. 2d 181
    , 203 (2001); In re N.L., 
    2014 IL App (3d) 140172
    , ¶ 31.
    ¶ 55   “The fundamental rule of statutory construction is to ascertain and give effect to the
    legislature’s intent.” Nowak v. City of County Club Hills, 
    2011 IL 111838
    , ¶ 11. Intent is best
    determined by reviewing “the statutory language, given its plain and ordinary meaning.” 
    Id.
    “Where the language is clear and unambiguous, we must apply the statute without resort to further
    aids of statutory construction.” 
    Id.
     Only if the language is ambiguous or unclear, will we look
    beyond the language to ascertain its meaning. 
    Id.
    ¶ 56    “The ICWA was enacted by Congress in 1978 in response to the growing concern over
    the consequences to Indian children, families[,] and tribes of abusive welfare practices which
    separated large numbers of Indian children from their family and tribes ***.” In re C.N., 
    196 Ill. 2d at
    203 (citing Mississippi Band of Choctaw Indians v. Holyfield, 
    490 U.S. 30
    , 32 (1989)). In
    seeking to protect the rights of both Indian children and Indian tribes, the ICWA addressed
    jurisdiction for child custody proceedings and provided procedural safeguards related thereto.
    Holyfield, 
    490 U.S. at 36
    . Section 1911(a) provides exclusive jurisdiction in child custody
    proceedings to a tribe when the Indian children are either domiciled within the tribe’s reservation
    or are wards of a tribal court. 
    25 U.S.C. § 1911
    (a) (2018). Section 1911(b) “creates concurrent but
    presumptively tribal jurisdiction” (Holyfield, 
    490 U.S. at 36
    ) in the remaining cases, requiring a
    state court to transfer the proceedings to the tribal court upon petition by the tribe or a parent,
    24
    unless either a good cause objection is raised by either parent or the tribal court declines
    jurisdiction. 
    25 U.S.C. § 1911
    (b), (c) (2018); see also In re C.N., 
    196 Ill. 2d at 203-04
    .
    ¶ 57   In order to protect the tribal rights, section 1912(a) provides a procedural safeguard
    requiring notice to the tribe. 
    25 U.S.C. § 1912
    (a). Specifically, section 1912(a) states:
    “In any involuntary proceeding in a State court, where the court knows or has
    reason to know that an Indian child is involved, the party seeking the foster care
    placement of, or termination of parental rights to, an Indian child shall notify the
    parent or Indian custodian and the Indian child’s tribe, by registered mail with
    return receipt requested, of the pending proceedings and of their right of
    intervention. If the identity or location of the parent or Indian custodian and the
    tribe cannot be determined, such notice shall be given to the Secretary in like
    manner, who shall have fifteen days after receipt to prove the requisite notice to the
    parent or Indian custodian and the tribe. No foster care placement or termination of
    parental rights proceeding shall be held until at least ten days after receipt of notice
    by the parent or Indian custodian and the tribe or the Secretary ***.” 
    Id.
    ¶ 58   An “Indian child” is defined by the ICWA as “any unmarried person who is under age
    eighteen and is either (a) a member of an Indian tribe or (b) is eligible for membership in an Indian
    tribe and is the biological child of a member of an Indian tribe.” 
    Id.
     § 1903(4)(a), (b). Here, neither
    party contends that the language is ambiguous. Therefore, we ascribe the plain and ordinary
    meaning to the words contained in the statutory language at issue and consider that language in
    conjunction with the evidence of record, to determine whether the circuit court correctly found
    that the ICWA did not apply.
    25
    ¶ 59   While ostensibly compelling arguments were presented by both sides, the arguments were
    contradicted by the statutes we are asked to construe. The State’s argument, that Michael’s failure
    to provide the requisite information is sufficient to find the ICWA does not apply, is contradicted
    by the statutory language providing an alternative method for providing notice when information
    is unavailable. See id. § 1912(a). The State’s argument is further undermined by the principle that
    a parent’s action, or inaction, cannot waive the tribe’s statutory right to receive notice of the
    proceedings and intervene when appropriate. See In re N.L., 
    2014 IL App (3d) 140172
    , ¶ 33 (citing
    Holyfield, 
    490 U.S. at 49
    ; In re J.O., 
    170 P.3d 840
    , 842 (Colo. App. 2007)).
    ¶ 60   Michael’s argument that the court “knew or had reason to know” that Mi’Kayla was an
    Indian child thereby triggering the statutory notice requirement is equally flawed. At first blush, it
    would appear Mi’Kayla falls within the definition of “Indian child”; however, upon review of this
    record in conjunction with the ICWA definitions, the argument fails. The statute provides two
    possible avenues to meet the definition of an Indian child: the child must either be “(a) a member
    of an Indian tribe or (b) *** eligible for membership in an Indian tribe and be the biological child
    of a member of an Indian tribe.” 
    25 U.S.C. § 1903
    (4)(a), (b).
    ¶ 61   Here, the record is devoid of any evidence that Mi’Kayla is a member of the Potowatomi
    tribe. As such, the first avenue is unavailable. The second avenue initially holds promise as the
    record is equally devoid of any evidence that would preclude Mi’Kayla’s eligibility for Indian tribe
    membership; however, the second avenue embraces additional requirements. “ ‘As a general rule,
    the use of the conjunctive, as in the word “and,” indicates that the legislature intended for all of
    the listed requirements to be met.’ ” (Emphasis in original.) Soh v. Target Marketing Systems, Inc.,
    
    353 Ill. App. 3d 126
    , 131 (2004) (quoting Gilchrist v. Human Rights Comm’n, 
    312 Ill. App. 3d 26
    597, 602 (2000)). Here, in addition to being eligible for membership in the Indian tribe, the child
    must also “be the biological child of a member of an Indian tribe.”
    ¶ 62   It is this second requirement that ultimately dooms Michael’s argument. First, the record
    contains no definitive evidence that Mi’Kayla is Michael’s biological child. Instead, the record
    reveals Michael’s continued denial of parentage as well as his adamant refusal to participate in
    genetic testing. The statutory definition of a “parent” under the ICWA specifically excludes an
    “unwed father where paternity has not been acknowledged or established.” 
    25 U.S.C. § 1903
    (9).
    Here, given Michael’s inconsistent claims of parentage and refusal to submit to genetic testing, the
    court would not know, or have reason to know, that Mi’Kayla was an Indian child.
    ¶ 63   Second, even if parentage was determined, the record reveals that Michael is not a member
    of the Potawatomi tribe. During the proceedings, Michael twice alluded to his alleged Indian
    heritage. The first time, the circuit court performed no inquiry as the issue was framed as a question
    seeking legal advice. The second time, on the final day of the adjudicatory hearing, the court
    performed a detailed inquiry that revealed Mi’Kayla’s potential Native American ancestry was
    with the Potawatomi tribe based on Michael’s paternal ancestry. Relevant to the issue herein, the
    court specifically asked Michael, “Are you a registered member of [the] Potowatomi tribe?” In
    response, Michael stated, “No.” The import of Michael’s admission cannot be overstated as the
    court’s well-constructed record on this issue contains no evidence contradicting Michael’s
    unequivocal response.
    ¶ 64   Based on this evidence, Mi’Kayla does not, and cannot, meet the statutory definition of an
    Indian child. Notice under the ICWA is required only where “the court knows or has reason to
    know that an Indian child is involved.” 
    Id.
     § 1912(a). As such, we find that the circuit court’s
    27
    orders were in compliance with the ICWA and affirm the circuit court’s finding that the ICWA is
    not applicable in this case.
    ¶ 65                                   Right to Counsel
    ¶ 66   Michael also contends that the circuit court erred by refusing to appoint him alternative
    counsel. The State disagrees, claiming Michael was offered appointed counsel, but Michael
    rejected the appointment and chose to proceed pro se. Upon review of the record, it appears that
    Michael’s waiver of counsel, the court’s appointment of counsel, and Michael’s request for
    alternative counsel comprise the issue herein. We review all of these events with an abuse of
    discretion standard. People v. Griffin, 
    305 Ill. App. 3d 326
    , 329 (1999); People v. Horton, 
    251 Ill. App. 3d 580
    , 583-84 (1993); People v. Howery, 
    178 Ill. 2d 1
    , 49 (1997). An abuse of discretion is
    found where no reasonable person would take the view adopted by the circuit court. In re Marriage
    of Carpenter, 
    286 Ill. App. 3d 969
    , 973 (1997).
    ¶ 67   Michael’s statutory right to counsel is undisputed. See 705 ILCS 405/1-5(1) (West 2020).
    On appeal, Michael contends that the court’s denial of his request for alternative appointed counsel
    was an abuse of discretion and argues that he “had neither the desire nor the obligation to present”
    a reason to appoint alternative counsel. We disagree.
    ¶ 68   This state has long held that “[a] defendant is not entitled to court appointed counsel of his
    choice.” People v. Carter, 
    132 Ill. App. 3d 523
    , 527 (1985) (citing People v. Lewis, 
    88 Ill. 2d 129
    ,
    160 (1981)); see also People v. Cox, 
    22 Ill. 2d 534
    , 537 (1961). Only upon a showing of good
    cause will the court appoint alternative counsel. Carter, 132 Ill. App. 3d at 527. “Dissatisfaction
    with one’s counsel, a deteriorated relationship, or the fact that defense counsel and defendant
    argue or disagree about trial tactics, alone, will not constitute good cause for substitution.” People
    28
    v. Wanke, 
    303 Ill. App. 3d 772
    , 782 (1999) (citing People v. Royark, 
    215 Ill. App. 3d 255
    , 266-67
    (1991)).
    ¶ 69   At no point did Michael present any argument that the appointed counsel was incompetent
    or ineffective. Nor could he when the record established that Ms. McKnight’s prior representation
    was effective and resulted in the dismissal of Michael’s traffic charges. Nor can Michael argue
    that Ms. McKnight was ineffective in this case because Michael immediately withdrew his
    acceptance of the appointed counsel before Ms. McKnight could even represent him.
    ¶ 70   While Michael claimed he did not want Ms. McKnight as counsel because she was the
    reason everyone thought he had a mental illness and told him he would have an all-white jury in a
    different case, such claims merely show dissatisfaction and deteriorated relationship with counsel
    along with a disagreement over trial tactics from a different case, all of which are insufficient to
    show good cause for a substitution of counsel. Wanke, 303 Ill. App. 3d at 782. Absent good cause,
    we cannot find the court’s denial of Michael’s request for alternative counsel was an abuse of
    discretion.
    ¶ 71                                       Neglect
    ¶ 72   Finally, Michael argues that the circuit court erred in finding Mi’Kayla neglected following
    the adjudicatory hearing. In support, Michael argues that (1) Mi’Kayla was immediately
    transported to the hospital following the accident, (2) he and Danesha provided verbal consent to
    treat the child “in any appropriate manner” and declined to provide written consent due to religious
    reasons, (3) Mi’Kayla received appropriate medical attention at Lurie and was transferred to
    Loyola within a matter of hours, (4) no testimony was offered suggesting that Mi’Kayla’s injuries
    were aggravated by any delay in treatment or that she suffered any increased distress because of
    29
    the disputes between the adults surrounding her, (5) Danesha never left the child’s side, and
    (6) Michael’s “only expressed concerns were for her rights and her welfare.” We disagree.
    ¶ 73   The Juvenile Court Act of 1987 (705 ILCS 405/1-1 et seq. (West 2020)) provides the two-
    step procedure utilized to determine whether a minor should be made a ward of the court. In re
    Z.L. 
    2021 IL 126931
    , ¶ 58. The first step, which occurs during the adjudicatory hearing, addresses
    only whether the child is abused, neglected, or dependent. 705 ILCS 405/2-18(1) (West 2020).
    “ ‘Neglect’ is the failure to exercise the care that circumstances justly demand, and it encompasses
    both willful and unintentional disregard of parental duty.” In re Ivan H., 
    382 Ill. App. 3d 1093
    ,
    1100 (2008) (citing In re Gabriel E., 
    372 Ill. App. 3d 817
    , 822 (2007)). Each case involving
    allegations of neglect is unique and must be decided on the basis of its specific circumstances.
    In re Arthur H., 
    212 Ill. 2d 441
    , 463 (2004). The State must prove the allegations in the petition
    “are more probably true than not.” In re Z.L., 
    2021 IL 126931
    , ¶ 61.
    ¶ 74   On review, we consider whether the circuit court’s finding of neglect was against the
    manifest weight of the evidence. 
    Id.
     “A finding is against the manifest weight of the evidence only
    if the opposite conclusion is clearly evident.” In re Arthur H., 
    212 Ill. 2d at 464
    . “Only a single
    ground for neglect need be proven, and thus when the circuit court has found a minor neglected on
    several grounds, we may affirm if any of the circuit court’s bases of neglect may be upheld.” In re
    Faith B., 
    216 Ill. 2d 1
    , 14 (2005) (citing In re D.D., 
    196 Ill. 2d 405
    , 422 (2001)).
    ¶ 75   We first note Michael’s claim of error regarding a lack of testimony that Mi’Kayla’s
    injuries were aggravated by the delay in treatment has no merit. In addition to Michael providing
    no authority to support his claim, his contention is contrary to DCFS regulations addressing reports
    of child abuse and neglect in which a “neglected child” is defined as one “who is subjected to an
    environment that is injurious insofar as: the child’s environment creates a likelihood of harm as to
    30
    the child’s health, physical well-being, or welfare; and the likely harm to the child is the result of
    a blatant disregard of parent or caretaker responsibilities.” (Emphases added.) 89 Ill. Adm. Code
    300.20 (eff. Jan. 17, 2018). “ ‘Blatant disregard’ means an incident where the real, significant, and
    imminent risk of harm would be so obvious to a reasonable parent or caretaker that it is unlikely
    that a reasonable parent or caretaker would have exposed the child to the danger without exercising
    precautionary measures to protect the child from harm.” (Emphasis added.) 
    Id.
     Accordingly, a
    finding of neglect may be based solely on a risk of harm; actual harm is not required, although
    both may be factors for consideration “when assessing the degree of neglect.” In re D.F., 
    201 Ill. 2d 476
    , 497 (2002). Here, the issues were whether Mi’Kayla was neglected by reason of being a
    minor in an environment injurious to her welfare because the environment exposed her to the
    effects of Michael’s mental illness or erratic behavior. A plethora of evidence addressing
    Michael’s behavior and mental condition, both at the hospital and in other settings, was presented
    by both the State and Michael. The evidence revealed that Michael’s behavior was the result of a
    personality disorder that altered his perception of reality. Notably, this evidence was presented by
    Michael via his examination of Dr. Jeckel. However, it is not enough for the State to present
    evidence of mental illness; “the State must also show that the mental illness ‘places the child in an
    injurious environment.’ ” In re Faith B., 
    216 Ill. 2d at 14
     (quoting In re Faith B., 
    349 Ill. App. 3d 930
    , 933 (2004)).
    ¶ 76   Here, the record revealed that Michael’s constant obstructions interfered with the medical
    professionals’ treatment of the minor. Notably, Michael “made delivery of care difficult for [the]
    entire team.” He initially refused to allow the medical staff to even examine the minor. He also
    complained about the number of people trying to assess the minor and forced them to leave the
    minor’s room. Thereafter, a physician had to obtain Michael’s permission before the medical team
    31
    could re-enter the minor’s room to conduct the medical assessment. Michael also refused to
    consent to the medical professionals photographing the burns, the placement of an IV to provide
    fluids, and the transfer of the minor to a burn unit. Additionally, Dr. Jeckel specifically spoke to
    the issue when he testified that Michael’s diagnosis would interfere with his ability to make sound
    decisions regarding Mi’Kayla’s health care.
    ¶ 77   It is difficult to see how Michael’s interference with emergency room medical
    professionals attempting to render treatment to a minor child would not place the minor child in
    an injurious environment. While we recognize Michael’s refusal to provide written consent for
    religious reasons, Michael’s infatuation with his HIPAA rights and direct interference with
    hospital personnel—to such extent that it was necessary to remove Michael from the medical
    facility to provide treatment to Mi’Kayla—cannot be ignored. Regardless, even without Michael’s
    erratic behavior, the finding of neglect as to count I of the supplemental petition is supported by
    the unrebutted testimony from Dr. Jeckel, who diagnosed Michael’s mental illness and explained
    how that illness placed Mi’Kayla in an injurious environment.
    ¶ 78   Based on the evidence submitted, we cannot find that an opposite conclusion is clearly
    evident. Therefore, we affirm the circuit court’s finding of neglect.
    ¶ 79                                  III. CONCLUSION
    ¶ 80   For the reasons stated herein, we affirm the circuit court’s order finding that the Indian
    Child Welfare Act was not applicable, the court’s refusal to appoint “alternative counsel” was not
    an abuse of discretion, and the circuit court’s finding of neglect was not against the manifest weight
    of the evidence.
    ¶ 81   Affirmed.
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