In re: G.W. ( 2022 )


Menu:
  •                        IN THE COURT OF APPEALS OF NORTH CAROLINA
    2022-NCCOA-784
    No. COA22-137
    Filed 6 December 2022
    Stokes County, No. 21 JA 11
    IN THE MATTER OF: G.W.
    Appeal by Respondent from an order entered 16 November 2021 by Judge
    Thomas B. Langan in Stokes County District Court. Heard in the Court of Appeals
    21 September 2022.
    Sean P. Vitrano, for the Respondent-Appellant.
    Leslie Rawls, for Stokes County Department of Social Services, the Petitioner-
    Appellee.
    GAL Appellate Attorney James N. Freeman, Jr., for the Guardian ad Litem.
    WOOD, Judge.
    ¶1         Respondent-Mother (“Mother”) appeals from an order filed on 16 November
    2021 adjudicating her child “Grace”1 as neglected. Because we hold there is sufficient
    evidence to support the trial court’s findings of fact, which in turn support the trial
    court’s conclusion of there being a substantial risk of future neglect for Grace, we
    1   We use pseudonyms to protect the child’s identity and for ease of reading.
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    affirm the adjudication order of the trial court.
    I.     Factual and Procedural Background
    ¶2         Mother and Father2 are the parents of three daughters: “Anita,” “Hayley,”3 and
    Grace. On 18 December 2018, Surry County Department of Social Services (“Surry
    County DSS”) opened an investigation into allegations of neglect due to improper
    care. The parents were alleged to have given Hayley improper foods, to have dipped
    the baby’s pacifier in Benadryl, refused to take parenting classes, and to be
    improperly feeding the baby, who was not gaining weight properly.
    ¶3         On 3 July 2020, DSS opened an investigation after receiving a report that
    Mother and Father had accidentally spilled bleach in Anita’s eyes while cleaning near
    her crib. Their home was found to be cockroach-infested, having holes in the floors,
    and bags full of trash sitting in the home. On 6 July 2020, Mother and Father were
    charged with felony child abuse and agreed to have their children reside with a
    maternal great aunt.
    ¶4         Mother and Father moved to Stokes County and were contacted by a social
    worker from Stokes County DSS on 14 July 2020. On 11 August 2020, Surry County
    DSS learned of pending charges against the parents, including the charges of felony
    child abuse, misdemeanor possession of marijuana, and misdemeanor possession of
    2   Father is not a party to this appeal.
    3   We use pseudonyms to protect the children’s identities and for ease of reading.
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    marijuana paraphernalia. On 21 August 2020, a social worker reviewing records
    from Surry County learned that Father had been diagnosed with PTSD and paranoid
    schizophrenia that was untreated, that he was reported to have stabbed someone
    because “the guy was going to try and kill him,” and that “he used to be in the Arian
    [sic] Brotherhood gang.”
    ¶5         The social worker also learned that Mother has a history of intellectual
    disability, bipolar disorder, intermittent explosive disorder, and borderline
    personality disorder. She was referred for a psychological assessment, and it was
    recommended a guardian be assigned to her. On this same day, Stokes County DSS
    filed petitions alleging that Graces’ sisters, Anita and Hayley, were abused and
    neglected, and the children were placed in the nonsecure custody of the Stokes
    County DSS. Anita was two years old; Hayley was five months old; and Grace had
    not yet been born at this time. On 23 September 2020, the parents entered into a
    family services case plan in relation to Anita and Hayley.
    ¶6         Grace was born on 21 January 2021, and, although Grace’s urine screen was
    negative, Mother tested positive for marijuana and oxycodone at her birth. Because
    the hospital is located in Forsyth County, Forsyth County DSS came to the hospital
    to investigate the report. When the social worker initiated contact, Mother
    immediately stated she would be leaving the hospital. Father “became irate” with
    hospital staff and the social worker such that security had to be called. The hospital
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    refused to allow Grace to be discharged when Mother and Father attempted to leave
    with her. Stokes County DSS filed a petition alleging Grace was a neglected juvenile
    due to living in an environment injurious to her welfare. On this same day, Grace
    was removed from Mother and Father’s custody pursuant to a nonsecure custody
    order and placed in the custody of Stokes County DSS.
    ¶7         According to the petition, Stokes County DSS received a CPS report on the day
    Grace was born alleging that Mother and Father had not followed recommendations
    from their out of home family services case plan concerning their “parenting
    psychological[,] . . . ha[d] not completed parenting classes and [were] not involved in
    mental health services.” The petition also alleged that the parents changed their
    stories several times about what happened to their other children and that hospital
    staff reported the parents were “acting sketchy and paranoid, and [were] not wanting
    anyone in their room.” The petition further stated that the parents had a positive
    drug screen on 19 November 2020, for marijuana and that Mother had a positive
    screen for marijuana and opiates in December 2020.
    ¶8         On 9 February 2021, the trial court ordered that (1) Grace shall remain in the
    nonsecure custody of DSS; (2) the parents shall meet with Stokes County DSS worker,
    Ms. Wanda Pearman, to explore services for themselves; (3) Stokes County DSS shall
    conduct a home study of the relative identified by the parents for home and kinship
    suitability; and (4) “Parents shall address the tasks of the case plans in 20 JA 98 and
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    99” for their other two children. The parents were allotted two hours per week of
    supervised visitation with Grace to take place with her sisters who were also in the
    custody of DSS. On this same day, the trial court appointed a Guardian ad litem on
    behalf of Mother “based on the previous order and the [8 October 2020] report from
    Dr. Bennett” of Carolina Piedmont Psychological Associates.         According to Dr.
    Bennett, Mother has “limitations to her cognitive capacity and that she would benefit
    from someone who could help her understand the legal proceedings” because she
    “does not understand the consequences of her decisions but she is easily influenced[.]”
    ¶9           On 25 February 2021, the trial court granted Stokes County DSS’ motion to
    amend their juvenile petition for Grace. The amended petition added the following
    allegation: on 26 January 2021, Grace’s umbilical cord tested positive for THC,
    oxycodone, noroxycodone, oxymorphone, and noroxymorphone. On this same day,
    Anita and Hayley were adjudicated neglected with the consent of Mother and Father.
    On 26 March 2021, Mother’s attorney filed a motion to strike, motion to dismiss,
    motion to set aside, and answer to the juvenile petition. The adjudication hearing set
    in April was continued until June and then August due to Father being homebound
    by a physician’s orders after a serious moped accident resulted in the amputation of
    his leg and left him wheelchair bound.
    ¶ 10          On 26 August 2021, the trial court conducted an adjudication and disposition
    hearing. The trial court adjudicated Grace to be a neglected juvenile due to living in
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    an “injurious environment, condition of home, — filthy, holes in floor.” Additionally,
    the trial court found there was a substantial risk of future neglect and that her
    parents had failed to address the conditions which resulted in the removal of their
    two older children. The court determined that legal custody and physical custody of
    Grace should remain with Stokes County DSS.
    ¶ 11         In its disposition, the trial court ordered that (1) both Father and Mother
    obtain substance abuse assessments and comply with the recommended treatments;
    (2) Mother obtain a mental health assessment and comply with recommended
    treatment; (3) both parents attend individual counseling and Father specifically
    attend anger management courses; (4) parents comply with the provisions of their
    family services case plan entered on 23 September 2020 in relation to their two older
    children; (5) parents maintain a suitable residence, including making necessary
    repairs; (6) parents utilize YVEDDI transportation services; and (7) the parents
    comply with recommendations made by Dr. Bennett in their psychological
    assessments. The trial court further ordered that parents would continue to have
    visitations with their children on a weekly basis for a two-hour duration at DSS, until
    such time as “holes in floor [of home were] repaired.”
    ¶ 12         The formal adjudication judgment and dispositional order was filed on 16
    November 2021. Mother gave notice of appeal on 8 December 2021.
    II.     Analysis
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    ¶ 13         Mother contends the trial court’s conclusion that Grace faced a substantial risk
    of future neglect was unsupported by clear and convincing evidence, and therefore, it
    was error to adjudicate her a neglected juvenile. She also contests several findings
    of fact and conclusions of law in the adjudication order. However, Mother does not
    challenge the disposition order.
    ¶ 14         The purpose of an adjudication hearing is to adjudicate “the existence or
    nonexistence of any of the conditions alleged in a petition.” N.C. Gen. Stat. § 7B-802
    (2021). Thus, post-petition evidence is admissible for consideration of the child’s best
    interest in the dispositional hearing, but generally not for an adjudication of neglect.
    In re A.B., 
    179 N.C. App. 605
    , 609, 
    635 S.E.2d 11
    , 15 (2006). In reviewing a non-jury
    adjudication of neglect, “the trial court’s findings of fact supported by clear and
    convincing competent evidence are deemed conclusive, even where some evidence
    supports contrary findings.” In re K.D., 
    178 N.C. App. 322
    , 327, 
    631 S.E.2d 150
    , 154
    (2006) (citation omitted). Additionally, uncontested findings of fact “are deemed to
    be supported by the evidence and are binding on appeal.” In re J.C.M.J.C., 
    268 N.C. App. 47
    , 51, 
    834 S.E.2d 670
    , 673-74 (2019) (citation omitted). This Court reviews the
    trial court’s conclusions of law to determine whether they are supported by the
    findings of fact. In re W.C.T., 
    280 N.C. App. 17
    , 2021-NCCOA-559, ¶ 27. The
    determination of whether a child is neglected is a legal conclusion that is reviewed de
    novo. In re K.L., 
    272 N.C. App. 30
    , 36, 
    845 S.E.2d 182
    , 189 (2020). “An appeal de
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    novo is one ‘in which the appellate court uses the trial court’s record but reviews the
    evidence and law without deference to the trial court’s rulings.’ ” In re K.S., 
    380 N.C. 60
    , 2022-NCSC-7, ¶ 8 (quoting Appeal De Novo, Black’s Law Dictionary (11th ed.
    2019)). “Under a de novo review, the court considers the matter anew and freely
    substitutes its own judgment for that of the trial court.” 
    Id.
     (cleaned up).
    ¶ 15         A “neglected juvenile” is defined by statute as:
    [a]ny juvenile less than 18 years of age . . . whose parent,
    guardian, custodian, or caretaker . . . [c]reates or allows to
    be created a living environment that is injurious to the
    juvenile’s welfare . . . . In determining whether a juvenile
    is a neglected juvenile, it is relevant whether that juvenile
    lives in a home where another juvenile has died as a result
    of suspected abuse or neglect or lives in a home where
    another juvenile has been subjected to abuse or neglect by
    an adult who regularly lives in the home.
    N.C. Gen. Stat. § 7B-101(15) (2021). “[I]n order for a court to find that the child
    resided in an injurious environment, evidence must show that the environment in
    which the child resided has resulted in harm to the child or a substantial risk of
    harm.” In re K.J.B., 
    248 N.C. App. 352
    , 354, 
    797 S.E.2d 516
    , 518 (2016) (citation
    omitted).
    ¶ 16         When “neglect cases involv[e] newborns, ‘the decision of the trial court must of
    necessity be predictive in nature, as the trial court must assess whether there is a
    substantial risk of future abuse or neglect of a child based on the historical facts of
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    the case.’ ” In re J.A.M., 
    372 N.C. 1
    , 9, 
    822 S.E.2d 693
    , 698-99 (2019) (quoting In re
    McLean, 
    135 N.C. App. 387
    , 396, 
    521 S.E.2d 121
    , 127 (1999)). Otherwise,
    [t]o hold that a newborn child must be physically placed in
    the home where another child was abused or neglected
    would subject the newborn to substantial risk, contrary to
    the purposes of the statute. Thus, a newborn still
    physically in residence in the hospital may properly be
    determined to “live” in the home of his or her parents for
    the purposes of considering under N.C. Gen. Stat. § 7B-
    101(15) whether a substantial risk of impairment exists to
    that child.
    In re A.B., 
    179 N.C. App. at 611
    , 
    635 S.E.2d at 16
    .
    A. Challenged Findings of Fact.
    1. Finding of Fact 5
    ¶ 17         Mother contends that several findings were unsupported by clear and
    convincing evidence. She objects to portions of finding of fact 5 which suggest that
    she and Father “were not complying with their case plans or Dr. Bennett’s
    recommendations” when the neglect petition was filed on 22 January 2021. Mother
    specifically contests the portion of finding of fact 5 which states: “Regarding their case
    plans for the older two children, the parents have not followed the terms of their
    parenting psychological[ ] [evaluations], they have not completed parenting classes,
    and they are not involved in mental health services.”
    ¶ 18         Mother argues this finding is unsupported because she and Father “were
    complying with several aspects of their case plans, and the record does not establish
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    that parenting classes were offered to them before the petition was filed.”        We
    disagree.
    ¶ 19         According to the record before us, the trial court did not require either parent
    to enter into a new case plan for Grace, but rather it required only that the parents
    continue working on the case plans entered on 23 September 2020 for their two older
    children. While Mother and Father have complied with some aspects of their case
    plans, “compliance with a portion of [their] case plan does not preclude a finding of
    neglect.” In re N.B., 
    377 N.C. 349
    , 2021-NCSC-53, ¶ 20 (internal citation omitted).
    ¶ 20         Clear and convincing evidence supports the trial court’s findings that neither
    Mother nor Father had complied with the recommendations of the evaluating
    psychologist, Dr. Bennett. In regard to Mother, Dr. Bennett recommended she have:
    (1) a psychiatric consultation to review her diagnosis and treatment, which was
    scheduled for 6 October 2020, then rescheduled to 17 November 2020, with Mother
    ultimately not attending the appointment; (2) counseling to treat her depression and
    explore parenting behaviors that would allow her to safely care for her children, in
    which Mother attended one therapy session in September 2020, but did not schedule
    a follow up appointment; (3) random drug testing, which of four tests taken prior to
    the petition, Mother tested positive for cannabinoid and THC once on 19 November
    2020; and (4) Mother demonstrate stability in her life including having stable housing
    to support caring for her children, which the testimony of social workers revealed that
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    holes were present in the home’s floors as early as 3 July 2020 and as recently as
    early August 2021.
    ¶ 21         In regard to Father, Dr. Bennett recommended: (1) a psychiatric evaluation to
    review and confirm his diagnoses and to evaluate for treatment options, which
    according to Father, he completed a week and a half before the August 2021
    adjudication hearing; (2) random drug testing which of the four drug screens taken
    prior to the petition, Father had tested positive for THC and cannabinoid at each;
    and, (3) counseling to offer Father an opportunity to explore alternative behaviors
    both in parenting and in dealing with others. Ample clear and convincing evidence
    demonstrates that neither parent substantially complied with Dr. Bennett’s
    recommendations or the mental health services requirements of their case plans.
    While record evidence supports Mother’s contention that she and Father completed
    parenting classes prior to the July 2021 adjudication hearing, the classes were
    completed after the filing of the petition.
    ¶ 22         Post-petition evidence is admissible for consideration of Grace’s best interest
    in the dispositional hearing, but not in the adjudication of neglect. In re A.B., 
    179 N.C. App. at 609
    , 
    635 S.E.2d at 15
    . Notwithstanding Mother’s contentions otherwise,
    the record shows that “[a] referral for the Nurturing Parenting Program . . . was
    completed and sent to the Children’s Center of Northwest NC on September 23,
    2020.” Therefore, we conclude clear and convincing evidence in the record supports
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    the trial court’s finding of fact 5.
    2. Findings of Fact 29, 30, 32, 35, 36, 37, 38
    ¶ 23          Next, Mother objects to findings of fact 29, 30, 32, 35, 36, 37, and 38 because
    these findings describe events that occurred after the filing of the juvenile petition
    for neglect. Mother cites to this Court’s previous holding in In re V.B. that held “post-
    petition evidence generally is not admissible during an adjudicatory hearing for
    abuse, neglect or dependency.” 
    239 N.C. App. 340
    , 344, 
    768 S.E.2d 867
    , 869 (2015)
    (cleaned up). While Mother is correct that the purpose of an adjudicatory hearing is
    to determine only “the existence or nonexistence of any of the conditions alleged in a
    petition,” the general rule that post-petition evidence is not admissible during the
    adjudication hearing is “not absolute.” Id. at 344, 768 S.E.2d at 869-70. This court
    has previously determined that some post-petition evidence, like that which pertains
    to mental illness and paternity, does not constitute a “discrete event or one-time
    occurrence.” Id. at 344, 768 S.E.2d at 870. Instead, conditions such as these have
    been determined by this Court to be “fixed and ongoing circumstance[s]” so that post-
    petition evidence about them is allowed to be considered in a neglect adjudication. In
    re Q.M., 
    275 N.C. App. 34
    , 41, 
    852 S.E.2d 687
    , 693 (2020) (quoting In re V.B., 239
    N.C. App. at 344, 768 S.E.2d at 870). Likewise, the findings Mother challenges here
    relate in whole or in part to “ongoing circumstances” relevant to “the existence or
    nonexistence of conditions alleged in the adjudication petition.” In re V.B., 239 N.C.
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    App. at 344, 768 S.E.2d at 869-70; N.C. Gen. Stat. § 7B-802.
    ¶ 24         In finding 29, the trial court found, “the parents struggle to care for their three
    children during visitation, and social workers have intervened to prevent child
    injury.” The implications of this finding are based upon post-petition evidence. Here,
    this finding relates to Mother and Father’s continuous difficulties in properly caring
    for their children — difficulties that existed even prior to Grace’s birth. Competent
    record evidence demonstrates that concerns regarding Mother and Father’s
    parenting abilities had been ongoing since December 2018 when Surry County DSS
    initiated an investigation alleging neglect of Grace’s older sisters.       Indeed, the
    petition filed by DSS contained allegations regarding the parents’ inability to care for
    Grace and this contested finding is relevant to the existence or nonexistence of
    conditions alleged in the petition.
    ¶ 25         Additionally, Mother contests finding of fact 30 which states, “Holes in the floor
    of the parents’ home are safety concerns for the children, including [Grace].” Mother
    also challenges a similar portion of finding of fact 32: “In addition, the injurious
    environment of the parents’ home, specifically holes in the floor, creates a safety
    hazard.” Again, these findings also present an ongoing circumstance of home safety
    and the ongoing risk to Grace’s safety. Clear and convincing evidence in the record
    demonstrates that there had been holes in the floor prior to Grace’s birth. According
    to the initial neglect petition for Grace, on 3 July 2020, a social worker “observed
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    books scattered on the floor in various spots,” and asked Mother why the books were
    on the floor. In response, Mother lifted one of the books for the social worker “to see
    the holes at least a foot in length and 3-4 inches in width.” At that time, the social
    worker “observed 2-3 holes in the bedroom and bathroom [and] [Mother] stated
    [Grace’s older sibling] is walking some now and they try to keep her safe.” At the
    adjudication hearing, a social worker testified about the need for repairs to the
    parents’ home, citing that there were “holes in the floor as recently as last week.
    [Mother] . . . reported that she fell through the floor in the kitchen. So that is a
    concern.” Therefore, these findings of fact relating to the continuing risk to the child’s
    safety is admissible post-petition evidence.
    ¶ 26         Next, Mother challenges several findings of fact addressing her and Father’s
    progress on their case plans as post-petition evidence which, she argues, is generally
    not admissible during an adjudicatory hearing. The trial court addressed Mother’s
    and Father’s progress related to their mental health and parenting classes in findings
    of fact 35 and 36. Finding of fact 35 states, “Regarding [Father’s] case plan for his
    older two children he reports he will begin therapy with Monarch soon. He completed
    parenting classes 7/14/2021.” Regarding Mother’s case plan for her older children,
    finding of fact 36 states, “she has not completed a psychiatric evaluation, nor has she
    engaged in counseling. She completed parenting classes 7/14/2021.”
    ¶ 27         “[D]ue to the fact that mental illness is generally not a discrete event or one-
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    time occurrence,” we find that Mother’s and Father’s failure to address their case plan
    goals concerning their mental health is relevant to the parents’ ability to care for
    Grace. In re V.B., 239 N.C. App. at 344, 768 S.E.2d at 870 (quoting In re A.S.R., 
    216 N.C. App. 182
    , 
    716 S.E.2d 440
    , 
    2011 N.C. App. LEXIS 2166
    , at *11 (N.C. Ct. App.
    2011) (unpublished)). Thus, the post-petition evidence of both Father and Mother not
    yet having begun therapy or taken measures to address their mental health concerns
    at the time of the adjudication hearing was relevant to the existence or nonexistence
    of conditions alleged in the petition. Therefore, we conclude these portions of the
    findings of fact are supported by competent evidence and may be considered at the
    adjudicatory stage.
    ¶ 28         Although Father and Mother finished parenting classes in July 2021, the
    courses were not completed before the adjudication petition was filed, so these
    portions of the findings constitute post-petition evidence. Parenting classes qualify
    as a discrete occurrence that occurs over a designated period of time; therefore, this
    evidence is not admissible at adjudication. Consequently, we disregard these portions
    of findings 35 and 36.
    ¶ 29         Mother further contests findings of fact relating to her and Father’s substance
    abuse and drug screenings. Finding of fact 37 states, “[Father] tested positive for
    THC 9/23/2020, 10/12/2020, 11/19/2020, 11/28/2021 [sic], and 3/16/2021. He has not
    been tested since his accident [on] March 23, 2021. He asserts positive screens are
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    due to his CBD use.” Finding of fact 38 states:
    [Mother] tested negative 9/23/2020, 10/12/2020, 1/28/2021,
    and 3/16/2021 on drug screens requested by DSS. She was
    positive 11/19/2020 for THC, a DSS screen. Her screen at
    [Grace’s] birth on 1/21/2021 was positive for marijuana and
    opiates. She attributes the positive for THC to CBD use
    and the positive for opiates to prescribed medications.
    Concerning Father’s positive drug screens, we note that four of his positive drug tests
    were conducted prior to the filing of the adjudication petition, and evidence thereof
    may be considered at the adjudicatory stage.         Likewise, Mother’s drug screens
    conducted prior to the petition, including Mother’s positive test for THC at Grace’s
    birth may also be considered at the adjudicatory stage of the neglect petition. As to
    Father’s and Mother’s post-petition drug screens, we liken these to the admissibility
    of a parent’s blood alcohol test at the adjudication stage. Powers v. Powers 
    130 N.C. App. 37
    , 46, 
    502 S.E.2d 398
    , 403-04 (1998). Like a blood alcohol test, a drug test is a
    discrete, one-time event as opposed to an ongoing condition. Therefore, the evidence
    of Mother’s and Father’s post-petition drug tests is admissible at disposition, but not
    at adjudication. Id.
    3. Findings of Fact 32 and 33
    ¶ 30         Finally, Mother challenges the trial court’s findings of fact 32 and 33 that
    Grace was at substantial risk of neglect. Mother argues that these contested findings
    of fact should be classified as conclusions of law because the determination that Grace
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    was at risk of neglect requires the exercise of judgment. In re A.B., 
    179 N.C. App. at 612
    , 
    635 S.E.2d at
    16 (citing In re Helms, 
    127 N.C. App. 505
    , 510, 
    491 S.E.2d 672
    , 675
    (1997)). Finding of fact 32 states, “Considering the vulnerability of the young child,
    the cognitive limitations of the parents, and their history of rejecting medical and
    social services’ advice, there is a substantial risk of future neglect. In addition, the
    injurious environment of the parents’ home, specifically holes in the floor, creates a
    safety hazard.” Finding of fact 33 states, “The parents’ failure to address the terms
    of their case plans for their older two children, ages one and two, specifically mental
    health, creates a substantial risk of future neglect to [Grace].”
    ¶ 31         We agree with Mother that the above findings contain conclusions of law, but
    we hold that they should more properly be characterized as ultimate findings of fact
    since they are determinations of “mixed question[s] of law or fact.” In re C.A.H., 
    375 N.C. 750
    , 757, 
    850 S.E.2d 921
    , 926 (2020) (citation omitted). Further, we hold that
    the supported findings of fact and evidence establish that Grace was at a substantial
    risk of future harm.
    ¶ 32         Here, clear and convincing evidence supports the finding that Mother and
    Father failed to comply with medical and social services’ advice and failed to comply
    with the terms of the case plans for their older two children such that a substantial
    risk of future neglect exists for Grace. Several unchallenged findings of facts support
    the trial court’s conclusion of neglect and risk of future neglect. For instance, finding
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    of fact 9 states that on 22 January 2021, Mother “left the hospital against medical
    advice . . . . The child remained in the hospital without the parents.”
    ¶ 33         An unchallenged finding of fact states that Father
    believes he is being targeted for his Nazi beliefs. In his
    personality assessment, [Father] presented significant
    levels of suspiciousness and paranoia. He has limited
    insight and ignores medical guidance and experts. He does
    not notice symptoms and hazards regarding children,
    which should be noticed by a parent. He has put his
    children at risk as a result, including placing a pot grinder
    in his child’s crib to hide it from law enforcement, placing
    a bleach bottle on his baby’s crib rail and spilling its
    contents into her eyes, and being unaware of his twenty-
    two[-]month old’s severe tooth decay, despite warnings
    from medical professionals.
    Similarly, uncontested findings state, “[Mother’s] judgment is not sound, and she does
    not have the ability to protect her children. She fails to understand how her actions
    impact the health and safety of her children. She ignores medical guidance and does
    not notice the developmental delays of her older two children.”
    ¶ 34         With respect to the risk of future neglect, the trial court also made multiple
    uncontested findings regarding the parents’ inability to substantially comply with
    their case plans. For example, the court recognized Grace’s vulnerability relating to
    her parents’ drug use: “[M]other tested positive for marijuana and opiates at the
    child’s birth, 1/21/2021. She was prescribed opiates . . . . [Grace’s] umbilical cord was
    positive   for    marijuana,     oxycodone,      noroxycodone,    oxymorphone,      and
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    noroxymorphone.” The uncontested finding also states Mother
    does not understand her actions led to the loss of custody
    of her older two children. She supports [Father]’s
    perceptions that she and her husband are being treated
    unfairly because they hold Nazi views, rather than
    examining her own behaviors and actions, which caused
    her children to be placed in DSS custody.
    Whether another juvenile has been subjected to neglect by an adult who resides in
    the home is a relevant factor, and here, uncontested findings demonstrate that the
    “parents’ older two children, ages one and two, are presently in the custody of the
    Stokes County Department of Social Services.” Further, the court’s uncontested
    findings demonstrate Grace faced a substantial risk of neglect if placed back into the
    custody of her parents at the time of the adjudication. Therefore, the clear and
    convincing evidence and the unchallenged findings of fact support the conclusion of
    law that Grace is a neglected juvenile at risk of future neglect.
    III.     Conclusion
    ¶ 35         Based on the reasoning above, we hold that the clear and convincing evidence
    in the record supports the trial court’s adjudicatory findings of fact and that the
    uncontested findings of fact and evidence support the trial court’s conclusion that
    Grace is a neglected juvenile at risk of future neglect. Therefore, we affirm the trial
    court’s order adjudicating Grace as a neglected juvenile.
    AFFIRMED.
    IN RE G.W.
    2022-NCCOA-784
    Opinion of the Court
    Judges TYSON and CARPENTER concur.