In re: J.M. & J.M. , 255 N.C. App. 483 ( 2017 )


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  •               IN THE COURT OF APPEALS OF NORTH CAROLINA
    No. COA17-275
    Filed: 19 September 2017
    Durham County, Nos. 15 JA 146-147
    IN THE MATTER OF: J.M. & J.M.
    Appeal by Respondent-Father from order entered 21 November 2016 by Judge
    William A. Marsh, III in District Court, Durham County. Heard in the Court of
    Appeals 31 August 2017.
    Office of the Durham County Attorney, by Senior Assistant County Attorney
    Cathy L. Moore, for Petitioner-Appellee Durham County Department of Social
    Services.
    Assistant Appellate Defender Joyce L. Terres for Respondent-Appellant Father.
    K&L Gates, by Erica R. Messimer, for Guardian ad Litem.
    McGEE, Chief Judge.
    Respondent-Father appeals from an adjudication, disposition, and permanency
    planning order concluding that his son, J.M. (“the son”), was an abused juvenile; that
    his daughter, J.M. (“the daughter”), was a seriously neglected juvenile (together, “the
    children”); that it was in the children’s best interests to remain in the custody of the
    Durham County Department of Social Services (“DSS”); and that DSS was not
    required to employ reasonable reunification efforts with Respondent-Father. We
    affirm in part, reverse and remand in part, and vacate in part.
    I. Background
    IN RE: J.M. & J.M.
    Opinion of the Court
    DSS filed a petition on 11 September 2015, alleging that the son and the
    daughter were abused, neglected, and dependent children. At the time the petition
    was filed, the son was two months old and the daughter was nearly two years old.
    The petition alleged that the mother brought the son to a well-baby check-up on 8
    September 2015, at which the examining health professional observed “marks” on the
    son’s neck.   The son was sent to UNC hospitals for further testing. The tests,
    including a “skeletal survey,” revealed healing fractures to his ribs, tibia, and fibula;
    ear and tongue bruising; subconjunctival hemorrhages; and excoriation under the
    chin. The examination also revealed that the son had a history of poor weight gain
    due to “not being fed on a regular schedule.”
    The children’s mother revealed to DSS that Respondent-Father had:
    (1) “flick[ed]” the son in the chin and had punched the son in the stomach; (2)
    excessively disciplined the daughter by, inter alia, hitting her with a back scratcher
    and hitting her in the mouth; (3) engaged in domestic violence with the mother in
    front of the children; and (4) smoked marijuana in the presence of the children. The
    petition further alleged that the mother and Respondent-Father each had mental
    health diagnoses and that the mother had borderline intellectual functioning.
    According to the petition, the children’s maternal grandparents lived in New York
    but traveled to Durham on a regular basis to care for the children. DSS obtained
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    Opinion of the Court
    nonsecure custody of the children on 11 September 2015, and the trial court
    sanctioned placement with the grandparents.
    A hearing was held on DSS’s petition on 12 July 2016, during which the trial
    court heard testimony from: (1) a nurse practitioner, who treated the son and was an
    expert in pediatrics and child maltreatment; (2) the children’s maternal grandmother
    (“the grandmother”); and (3) a social worker supervisor familiar with the family’s
    case.   Following the hearing, the trial court entered a combined adjudication,
    disposition, and permanency planning order on 21 November 2016.
    Relevant to the present appeal, the trial court found as fact that: (1) the
    mother had disclosed to the grandmother and medical professionals that Respondent-
    Father was too rough with the son; (2) the mother had witnessed Respondent-Father
    being abusive to the son; (3) the son’s “skeletal surveys” showed healing fractures to
    his ribs, tibia, and fibula, bruising to his ear and tongue, subconjunctival
    hemorrhages, and excoriation under his chin; (4) there was no history of falls or
    accidents to explain the son’s injuries, and the injuries were consistent with instances
    described by the children’s mother; (5) the mother witnessed Respondent-Father
    inappropriately disciplining the daughter; and (6) the mother was not forthcoming
    during a prior child protective services investigation. The trial court also found that,
    pursuant to a safety plan, the grandmother agreed to reside in the home with the
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    IN RE: J.M. & J.M.
    Opinion of the Court
    mother and Respondent-Father agreed to move out.                         However, the mother
    subsequently recanted her statements and moved out of the home.
    Based on these, and other, findings of fact, the trial court concluded the son
    was an abused juvenile and that the daughter was a “seriously neglected” juvenile.
    The trial court further concluded it was in the children’s best interests to remain in
    DSS custody; that the permanent plan for the children should be guardianship, with
    an alternative plan of adoption; and that reasonable reunification efforts with the
    mother and Respondent-Father were no longer required.                        Respondent-Father
    appeals.1
    II. Analysis
    Respondent-Father argues the trial court erred by: (1) making several findings
    of fact that were not supported by competent evidence in the record or were
    improperly admitted hearsay statements; (2) concluding as a matter of law that the
    son was an abused juvenile; (3) concluding as a matter of law that the daughter was
    a “seriously neglected” juvenile; and (4) relieving DSS of its responsibility to make
    reunification efforts without following “any applicable statutory requirements.”
    A. Challenged Findings of Fact
    Respondent-Father argues four of the trial court’s findings of fact were
    improperly made because the evidence underlying those findings was inadmissible
    1 The children’s mother participated in the trial court proceedings, but is not a party to the
    present appeal.
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    IN RE: J.M. & J.M.
    Opinion of the Court
    hearsay. In addition, Respondent-Father argues that four other findings of fact were
    unsupported by competent evidence in the record.
    1. Hearsay
    Respondent-Father argues findings of fact 12 and 19 are unsupported by
    competent evidence because the testimony underlying the findings was inadmissible
    hearsay. These findings state:
    12.    During the week prior to Labor Day, the mother
    contacted her mother, [the grandmother] in New
    York, several times a day by phone and text to
    attempt to tell her something. Finally, the mother
    called [the grandmother], informing her that
    [Respondent-Father] was treating the children too
    rough; it was serious; she didn’t know how to handle
    it and he was abusing them.
    ....
    19.    The children have been present during incidents of
    domestic violence between the parents. On one
    occasion, [mother] was holding [the son] in her arms
    and [Respondent-Father] hit her with a broom.
    As Respondent-Father argues in his brief, the only competent evidence
    presented at the hearing to support these findings of fact was the testimony of the
    grandmother.   The grandmother testified that the mother called and texted on
    numerous instances about “what was going on,” and that whatever was going on was
    “serious.” In one such conversation, which occurred in September 2015, the mother
    reported to the grandmother that she had been a victim of physical and sexual abuse
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    Opinion of the Court
    at the hands of Respondent-Father, and that Respondent-Father “was hitting [the
    daughter] with a broomstick.” The grandmother testified that the mother told her
    that both the son and the daughter were present during instances of domestic
    violence between Respondent-Father and the mother.
    Hearsay is defined as a “statement, other than one made by the declarant while
    testifying at the trial or hearing, offered in evidence to prove the truth of the matter
    asserted.”   N.C. Gen. Stat. § 8C-1, Rule 801(c) (2015).         Hearsay evidence is
    inadmissible unless an exception to the hearsay rule applies. N.C.G.S. § 8C-1, Rule
    802.   While we agree with Respondent-Father that this testimony, to which
    Respondent-Father properly objected, was hearsay, we find that the testimony was
    properly admitted under N.C.G.S. § 8C-1, Rule 801.
    N.C.G.S. § 8C-1, Rule 801 provides, in relevant part:
    (d) Exception for Admissions by a Party-Opponent. – A
    statement is admissible as an exception to the hearsay rule
    if it is offered against a party and it is (A) his own
    statement, in either his individual or a representative
    capacity, or (B) a statement of which he has manifested his
    adoption or belief in its truth, or (C) a statement by a
    person authorized by him to make a statement concerning
    the subject[.]
    N.C. Gen. Stat. § 8C-1, Rule 801(d) (2015). Respondent-Father argues that the party
    opponent exception does not apply in this instance, because the statements in
    question were made by the mother, not by him. He also submits that the mother did
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    Opinion of the Court
    not make them in a representative capacity, and that he did not authorize or adopt
    her statements.
    We are not persuaded by Respondent-Father’s argument, as he appears to
    overlook the fact that the mother was also a party to the action, and her inaction was
    relevant to the issue of whether the children were abused or neglected. Our Supreme
    Court has stated that “[i]n determining whether a child is neglected, the
    determinative factors are the circumstances and conditions surrounding the child,
    not the fault or culpability of the parent.” In re Montgomery, 
    311 N.C. 101
    , 109, 
    316 S.E.2d 246
    , 252 (1984).
    This Court addressed a nearly identical issue in In re Hayden, 
    96 N.C. App. 77
    ,
    
    384 S.E.2d 558
     (1989). In Hayden, the respondent-father objected to out-of-court
    statements made by the mother and, on appeal, he argued that the statements did
    not fit within the party-opponent exception to the hearsay rule. This Court rejected
    the respondent-father’s argument in that case, and explained:
    At the hearing, the social workers were permitted to
    testify, over [the] respondent’s objections, as to his wife’s
    out-of-court statements to them that respondent did not
    properly care for the children, excessively disciplined them,
    abused illegal drugs and alcohol in their presence, and was
    violent in his behavior. [The r]espondent argues that these
    statements should have been excluded under Rule 802 in
    that they are hearsay, not within any exception. We
    disagree. [The mother] was a party to this action which
    was brought to determine whether her child [ ] was abused
    and neglected. Her statements to the social workers about
    [respondent’s] conduct can only be reasonably considered
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    Opinion of the Court
    as admissions by her that [the juvenile] was subjected to
    conduct in her presence which could be found to be abusive
    and neglectful. Within the context of this juvenile petition
    case, we hold that her statements were properly admitted
    pursuant to the provisions of Rule 801(d).
    Id. at 81, 
    384 S.E.2d at 560-61
    . Like the mother’s statements in Hayden, in the
    present case the mother was a party to the action that was brought to determine
    whether the children had been abused or neglected, and her statements were
    “reasonably considered as admissions by her that [the juvenile was] subjected to
    conduct in her presence which could be found to be abusive and neglectful.” 
    Id.
    Therefore, the mother’s statements were properly admitted pursuant to N.C.G.S. §
    8C-1, Rule 801(d).
    Respondent-Father also challenges findings of fact 13 and 14 as only supported
    by inadmissible hearsay. These findings state:
    13.      On September 8, 2015, the mother brought [the son]
    to a well-baby check-up and expressed her concerns
    to the doctor that the father was too rough with the
    child. Marks on [the son’s] neck and conjunctival
    hemorrhages (bloodshot eyes) were observed by the
    medical provider. [The son] was two (2) months old
    at the time. [The son] was sent to UNC Hospital
    Emergency Department for further testing.
    14.      The mother disclosed the same information to the
    Emergency Department doctor. A consult was
    requested from the Beacon Program which reviews
    cases of suspected child maltreatment. [The mother]
    repeated the same information to [nurse
    practitioner] Holly Warner from the Beacon
    Program, specifically that on separate occasions she
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    IN RE: J.M. & J.M.
    Opinion of the Court
    had witnessed [Respondent-Father] flicking [the
    son] under the chin, holding him upside down by his
    ankles, and punching him in the stomach.
    Respondent-mother failed to take steps to
    adequately protect [the son].
    As with findings of fact 12 and 19, Respondent-Father is correct that the testimony
    underlying findings of fact 13 and 14 were out-of-court statements made by the
    mother detailing Respondent-Father’s alleged abuse of the son. The statements were
    made by the mother to physicians during a well-child visit and a subsequent
    emergency room visit. We conclude that, contrary to Respondent-Father’s assertion,
    the testimony is a statement made for the purpose of medical diagnosis or treatment,
    an exception to the hearsay rule pursuant to N.C. Gen. Stat. § 8C-1, Rule 803.
    N.C.G.S. § 8C-1, Rule 803(4) provides, as relevant here:
    The following are not excluded by the hearsay rule, even
    though the declarant is available as a witness:
    ...
    (4) Statements for Purposes of Medical Diagnosis or
    Treatment--Statements made for purposes of medical
    diagnosis or treatment and describing medical history, or
    past or present symptoms, pain, or sensations, or the
    inception or general character of the cause or external
    source thereof insofar as reasonably pertinent to diagnosis
    or treatment.
    N.C. Gen. Stat. § 8C-1, Rule 803(4) (2015).
    Our Supreme Court has articulated a two-part inquiry to determine if
    testimony is admissible under the Rule 803(4) hearsay exception: “(1) whether the
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    declarant’s statements were made for purposes of medical diagnosis or treatment;
    and (2) whether the declarant’s statements were reasonably pertinent to diagnosis or
    treatment.” State v. Hinnant, 
    351 N.C. 277
    , 284, 
    523 S.E.2d 663
    , 667 (2000). With
    respect to the first prong, our Supreme Court has stated that “the trial court should
    consider all objective circumstances of record surrounding declarant’s statements in
    determining whether he or she possessed the requisite intent under Rule 803(4).” Id.
    at 288, 
    523 S.E.2d at 670
    .
    In the present case, the record establishes that the statements in question
    meet both of the Hinnant requirements. The statements made by the mother to the
    physician were made during the son’s well-child visit. Following that visit, the son
    was immediately sent to the UNC Hospital Emergency Department. At the hospital,
    the mother disclosed the same information to an ER physician and to a nurse
    practitioner. In each instance, we find the surrounding circumstances sufficient to
    show that the mother’s statements were made for the purpose of medical treatment
    and diagnosis and were related to such treatment and diagnosis.
    The first statement was made to a pediatrician at the son’s regular two-month
    well-child visit. At the visit, the mother was concerned about the son’s well-being,
    and the son’s pediatrician observed marks on the son’s neck and bloodshot eyes. The
    son’s pediatrician apparently was concerned enough about the injuries that he sent
    the son to the ER on the same day. There, the mother again disclosed the information
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    to a doctor and a nurse. In both instances, the statements were made to medical
    professionals in a hospital or medical clinic setting. At the time the statements were
    made, the extent of the son’s injuries were not known, and medical professionals were
    attempting to diagnose them. A medical history and inquiry into these observations
    would have been part of any physician’s attempt to diagnose the extent and cause of
    the son’s injuries. Therefore, we conclude that the statements satisfy both prongs of
    the Hinnant test.
    Respondent-Father argues that the statements do not satisfy the Rule 803(4)
    exception because (1) the mother was not the patient, and (2) she made the
    statements to exculpate herself, not obtain treatment. North Carolina Courts have
    not considered whether N.C.G.S. § 8C-1, Rule 803(4) allows hearsay statements by
    persons other than the patient obtaining treatment. However, we agree with other
    jurisdictions, which have held that such testimony is admissible under Rule 803(4)’s
    hearsay exception. “Under the medical diagnosis exception to the hearsay rule,
    statements made by a patient for purposes of obtaining medical treatment are
    admissible for their truth because the law is willing to assume that a declarant
    seeking medical help will speak truthfully to medical personnel.” Galindo v. United
    States, 
    630 A.2d 202
    , 210 (D.C. Ct. App. 1993). Like the District of Columbia Court
    of Appeals, “[w]e find no principled basis . . . not to apply the same rationale to a
    parent who brings a very young child to a doctor for medical attention; the parent has
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    Opinion of the Court
    the same incentive to be truthful, in order to obtain appropriate medical care for the
    child.” Id.; see also Sandoval v. State, 
    52 S.W.3d 851
    , 856-57 (Tex. Ct. App. 2001)
    (“[W]e conclude the fact that the information provided in the medical records came
    from complainant’s mother does not affect the admissibility of the statements therein
    [under Rule 803(4)]. . . . In circumstances where the parent is giving the information
    to assist in the diagnosis and treatment of the child, we think the reliability of the
    statements is very high.” (citation omitted)).
    In the present case, we note that the son was only two months old at the time
    his injuries were discovered and was thus unable to talk. Nothing in the plain
    language of Rule 803(4) or in Hinnant requires the declarant to be the patient, and
    Respondent-Father’s reading of the exception leads to an unworkable result — he
    would necessarily exclude any statements made in connection with medical diagnosis
    or treatment for any individual who is unable to speak. As DSS and the Guardian ad
    Litem (“GAL”) point out, the mother’s statements incriminate herself in addition to
    Respondent-Father, because they show she took no action to stop Respondent-Father
    or to protect the son. We perceive no limitation on allowing the parent of a child
    unable to relay his or her medical condition in the plain language of N.C.G.S. § 8C-1,
    Rule 803(4), and such an interpretation is not in conflict with our Supreme Court’s
    guidance in Hinnant. We therefore conclude that the statements made by the son’s
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    Opinion of the Court
    treating physician fall within N.C.G.S. § 8C-1, Rule 803(4)’s exception to the hearsay
    rule, and were properly admitted.
    2. Competent Evidence Determination
    Respondent-Father next challenges all or portions of findings of fact 7, 15, 17,
    and 18 as unsupported by competent evidence in the record.           These challenged
    findings (or portions thereof) state:
    7.     The family received in-home services beginning in
    March 2015, due to a finding of improper care based
    upon the mother disclosing that the father hit [the
    daughter].
    ....
    15.    A skeletal survey showed that [the son] had healing
    right tibia and fibula fractures. The child also had
    ear bruising, sub conjunctival hemorrhages,
    excoriation under the chin and tongue bruising.
    There was no history of falls, accidents or injuries to
    explain the injuries. A follow-up skeletal survey two
    weeks later revealed healing rib fractures which
    were probably ten (10) days to two weeks old. [The
    son’s] injuries were consistent with the instances
    described by the mother.
    ....
    17.    [The daughter], had not had a physical examination
    since the February 2015 CME [complete medical
    examination].
    18.    [The mother] witnessed [Respondent-Father]
    inappropriately disciplining [the daughter] by
    hitting her with a back scratcher leaving marks,
    slapping and hitting her in the mouth, and during
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    one incident slapping [the daughter’s] face so that
    her head hit the wall. The mother did not intervene
    to protect [the daughter] during any of these
    incidents.
    Review of a trial court’s adjudication of dependency, abuse, and neglect
    requires a determination as to (1) whether clear and convincing evidence supports
    the findings of fact, and (2) whether the findings of fact support the legal conclusions.
    In re Pittman, 
    149 N.C. App. 756
    , 763-64, 
    561 S.E.2d 560
    , 566 (citation omitted), disc.
    review denied, 
    356 N.C. 163
    , 
    568 S.E.2d 608
     (2002), cert. denied sub nom, Harris-
    Pittman v. Nash County Dept. of Social Servs., 
    538 U.S. 982
    , 
    155 L. Ed. 2d 673
     (2003).
    “In a non-jury neglect adjudication, 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 Helms, 
    127 N.C. App. 505
    , 511, 
    491 S.E.2d 672
    ,
    676 (1997) (citations omitted). If competent evidence supports the findings, they are
    “binding on appeal.” In re McCabe, 
    157 N.C. App. 673
    , 679, 
    580 S.E.2d 69
    , 73 (2003)
    (citations omitted).2
    As to finding of fact 7, Respondent-Father argues that DSS provided services
    based only on a “report,” but that no one actually determined the cause of the
    daughter’s injury before services were provided.                Therefore, Respondent-Father
    argues, the finding is unsupported by the evidence. We disagree. The children’s
    2 Appellees have filed a joint brief, in which they first argue that Respondent-Father’s appeal
    should be dismissed because it is moot. We find their arguments to be without merit and decline to
    address them.
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    grandmother testified that DSS became involved in the children’s lives after an
    incident in which Respondent-Father “had slapped [the daughter] in the eye” for no
    reason. The grandmother further testified that, while she was on the telephone with
    the mother one evening, she overheard an incident of domestic violence wherein
    Respondent-Father held a knife to the mother’s throat. The grandmother testified
    that she called 911 and remained on the line with the mother until the police arrived
    at the scene.
    In addition, a DSS social worker offered testimony that contact between DSS,
    the mother, and Respondent-Father began in February 2015 when “[DSS] received
    the report that [Respondent-Father] had slapped [the daughter] in the face resulting
    in injury to her eye.” DSS assessed a “substantiation of improper care,” and the case
    was transferred to “in-home services within [DSS] to continue to work with the family
    and identify needs.” We hold that this testimony serves as competent evidence to
    support the challenged finding of fact, which is therefore conclusive on appeal. In re
    Helms, 127 N.C. App. at 511, 
    491 S.E.2d at 676
    .
    As to finding of fact 15, Respondent-Father challenges the portion that states
    a follow-up “skeletal survey” was completed two weeks after the initial skeletal
    survey. Respondent-Father contends the follow-up survey was actually completed
    three weeks after the initial survey, and he argues the difference is significant,
    because it suggests that some of the son’s injuries occurred after Respondent-Father
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    had moved out of the family home and had no contact with the children. Therefore,
    he argues the one-week difference tends to prove that he did not abuse the son.
    Respondent-Father is correct in his assertion that the two skeletal surveys
    were three weeks apart, not two weeks apart, as the trial court found. The medical
    records in the record establish that the first occurred on 9 September 2015 and the
    second occurred exactly 21 days later, on 30 September 2015. However, we reject
    Respondent-Father’s argument that the time difference suggests he could not have
    been responsible for some of the son’s injuries. His theory is based on testimony from
    Holly Warner (“Warner”), the nurse practitioner who treated the son after he was
    referred to UNC Hospital. She testified as follows:
    When a rib fracture has just occurred, it’s a very small
    fracture in the rib, and therefore, they’re often not -- you’re
    not able to see it at all until it starts to heal, so -- which is
    about seven to 14 days, depending on which radiologist you
    ask and the age of the child.
    Respondent-Father argues that, if the rib fracture detected on 30 September 2015
    was seven to fourteen days old, the injury would have occurred between 16 and 23
    September 2015, by which time he had no contact with the children.
    Respondent-Father suggests Warner definitively stated that the fracture was
    seven to fourteen days old, but in reality, Warner hedged her testimony as to the age
    of fracture, and offered a general time frame.             Warner’s main point was that
    “oftentimes a fracture can be present but you cannot see it until it starts to heal.”
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    She then stated: “So if there is healing, the fracture is thought to be at least ten to 14
    days old.” (emphasis added). Using the term “at least” suggests a fracture could be
    more than fourteen days old when it is detected by a radiologist. Furthermore, as
    DSS and the GAL note, the overarching theme is that the son suffered multiple
    fractures that were in multiple stages of healing. We hold the portion of finding of
    fact 15 that states the son’s two skeletal surveys occurred two weeks apart to be
    unsupported by competent evidence, and we are not bound by that portion of the
    finding. However, we reject Respondent-Father’s argument as to finding of fact 15 in
    all other respects.
    Respondent next challenges finding of fact 17 as unsupported by competent
    evidence.   Respondent-Father, DSS, and the GAL all agree that this finding is
    erroneous. The evidence presented at the hearing showed the daughter had at least
    one physical examination after February 2015. We therefore are not bound by finding
    of fact 17. See In re McCabe, 
    157 N.C. App. 673
    , 679, 
    580 S.E.2d 69
    , 73 (2003).
    Finally, Respondent-Father challenges finding of fact 18, which details
    Respondent-Father’s improper discipline of the daughter, as unsupported by
    competent evidence. The details of Respondent-Father’s improper discipline of the
    daughter were memorialized in a Complete Medical Evaluation (“CME”) that was
    completed on the daughter in September 2015.              The CME was introduced into
    evidence at the hearing, and it appears that none of the parties objected to its
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    Opinion of the Court
    introduction. Therefore, we consider the CME to be competent evidence. See In re
    F.G.J., 
    200 N.C. App. 681
    , 693, 
    684 S.E.2d 745
    , 753-54 (2009) (holding that where the
    parties failed to raise an objection on hearsay grounds at trial, any objection was
    waived and the testimony in question must be considered competent evidence).
    Although the CME does not reference the daughter’s being hit with a “back
    scratcher,”3 the remainder of this finding is supported by the CME. We conclude that
    the portion of finding of fact 18 mentioning a back scratcher is not supported by
    competent evidence.         However, the remainder of the finding, which details
    Respondent-Father’s abuse of the daughter, is supported by competent evidence.
    III. Adjudication of the Son as an Abused Juvenile
    Next, we turn to Respondent-Father’s challenge to the trial court’s conclusion
    that the son was an abused juvenile. An abused juvenile is defined, in pertinent part,
    as one whose parent, guardian, custodian, or caretaker “[i]nflicts or allows to be
    inflicted upon the juvenile a serious physical injury by other than accidental
    means[.]”    N.C. Gen. Stat. § 7B-101(1) (2015).              Respondent-Father’s argument
    essentially rests on his challenges to various findings of fact that we rejected in the
    previous section. Respondent-Father argues that, without the challenged findings of
    fact, there is no support for the trial court’s conclusion that the son was abused.
    3  Details of the back scratcher incident apparently originate from the argument of DSS’s
    attorney at the hearing. During her opening and closing arguments, DSS’s attorney asserted that the
    CME “talks about an incident with [the daughter] being hit with a back scratcher.”
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    As discussed above, we have rejected Respondent-Father’s challenges to a
    majority of the findings of fact. The binding findings of fact establish that the son
    sustained multiple non-accidental injuries and Respondent-Father was responsible
    for the injuries. This Court has previously upheld adjudications of abuse where a
    child sustains non-accidental injuries, even where the injuries were unexplained. See
    In re C.M., 
    198 N.C. App. 53
    , 60-62, 
    678 S.E.2d 794
    , 798-99 (2009) (affirming abuse
    where the findings of fact established that the juvenile sustained a head injury that
    doctors testified was likely non-accidental, despite being unable to specify when or
    how the injury occurred); In re T.H.T., 
    185 N.C. App. 337
    , 345-46, 
    648 S.E.2d 519
    ,
    525 (2007), aff’d as modified, 
    362 N.C. 446
    , 
    665 S.E.2d 54
     (2008) (affirming
    adjudication of abuse where a juvenile sustained a non-accidental skull fracture and
    other injuries, the juvenile was in the physical custody of the mother, the mother’s
    explanations were not consistent with the injuries, and the mother failed to seek
    prompt medical attention). Given the binding findings of fact in the present case, we
    hold the trial court did not err in concluding that the son was an abused juvenile.
    IV. Adjudication of “Serious Neglect”
    Next, Respondent-Father argues the trial court erred in concluding that the
    daughter was “seriously neglected.” He contends that “seriously neglected” is not a
    statutory term used for adjudication pursuant to the juvenile code, and that “serious
    neglect” pertains only to a parent’s placement on the responsible individuals’ list,
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    IN RE: J.M. & J.M.
    Opinion of the Court
    which is not at issue here.        Therefore, he argues, the trial acted under a
    misapprehension of the law. We agree.
    N.C. Gen. Stat. § 7B-101(15) defines a neglected juvenile as
    A juvenile who does not receive proper care, supervision, or
    discipline from the juvenile’s parent, guardian, custodian,
    or caretaker; or who has been abandoned; or who is not
    provided necessary medical care; or who is not provided
    necessary remedial care; or who lives in an environment
    injurious to the juvenile’s welfare; or the custody of whom
    has been unlawfully transferred under G.S. 14-321.2; or
    who has been placed for care or adoption in violation of law.
    N.C. Gen. Stat. § 7B-101(15) (2015). A separate section of the juvenile code authorizes
    the North Carolina Department of Health and Human Services (“DHHS”) to
    “maintain a central registry of abuse, neglect, and dependency cases,” and also
    authorizes DHHS to “maintain a list of responsible individuals.” N.C. Gen. Stat. §
    7B-311(a)-(b) (2015).   The juvenile code defines “responsible individuals” as “[a]
    parent, guardian, custodian, or caretaker who abuses or seriously neglects a
    juvenile,” and defines “serious neglect,” in turn, as:
    Conduct, behavior, or inaction of the juvenile’s parent,
    guardian, custodian, or caretaker that evidences a
    disregard of consequences of such magnitude that the
    conduct, behavior, or inaction constitutes an unequivocal
    danger to the juvenile’s health, welfare, or safety, but does
    not constitute abuse.
    N.C. Gen. Stat. § 7B-101(18a), (19a) (2015) (emphasis added).
    In the present case, the trial court found the daughter to be “a child who is
    seriously neglected[] due to inappropriate discipline by [Respondent-Father] and
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    IN RE: J.M. & J.M.
    Opinion of the Court
    inaction by the mother which constituted an unequivocal danger to [the daughter’s]
    health, welfare or safety.” (emphasis added). As Respondent-Father contends, the
    trial court used the term “serious neglect” and also employed the statutory language
    of N.C.G.S. § 7B-101(19a). The term “serious neglect” pertains only to placement of
    an individual on the responsible individuals’ list and is not included as an option for
    adjudication in an abuse, neglect, or dependency action. The term is not used in any
    statutory section governing adjudicatory actions.         See N.C. Gen. Stat. §§ 7B-200
    (jurisdiction), -401(a) (pleadings), -802 (adjudicatory hearing), -805 (quantum of proof
    at adjudication).
    It appears the trial court was acting under a misapprehension of the law — the
    trial court used the definition of “serious neglect” in N.C.G.S. § 7B-101(19a),
    pertaining to the responsible individuals’ list, as opposed to the definition of “neglect”
    in N.C.G.S. § 7B-101(15), pertaining to an adjudication of neglect. Therefore, we
    reverse the trial court’s adjudication of “serious neglect” and remand the case for the
    trial court’s consideration of neglect within the proper statutory framework. See
    Capps v. Lynch, 
    253 N.C. 18
    , 22, 
    116 S.E.2d 137
    , 141 (1960) (“[W]here it appears that
    the judge below has ruled upon the matter before him upon a misapprehension of the
    law, the cause will be remanded to the superior court for further hearing in the true
    legal light.”) (internal quotation marks and citation omitted).
    V. Reunification Efforts
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    IN RE: J.M. & J.M.
    Opinion of the Court
    Finally, Respondent-Father argues the trial court erred in relieving DSS from
    making further reunification efforts without following any applicable statutory
    requirements. We agree. After the trial court concluded the adjudication hearing, it
    proceeded to a combined disposition and permanency planning hearing. The parties
    do not dispute the trial court’s authority to combine the hearings, or its authority to
    address both initial disposition and permanency planning in a single order. Rather,
    Respondent-Father only argues that the trial court failed to follow the statutory
    requirements before relieving DSS of further reunification efforts.
    N.C. Gen. Stat. § 7B-901(c) authorizes the elimination of reunification efforts
    at an initial disposition under limited circumstances.      N.C.G.S. § 7B-901(c), as
    relevant to the present case, provides:
    (c)    If the disposition order places a juvenile in the
    custody of a county department of social services, the court
    shall direct that reasonable efforts for reunification as
    defined in G.S. 7B-101 shall not be required if the court
    makes written findings of fact pertaining to any of the
    following, unless the court concludes that there is
    compelling evidence warranting continued reunification
    efforts:
    (1)   A court of competent jurisdiction has
    determined that aggravated circumstances
    exist because the parent has committed or
    encouraged the commission of, or allowed the
    continuation of, any of the following upon the
    juvenile:
    a.     Sexual abuse.
    b.     Chronic physical or emotional abuse.
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    IN RE: J.M. & J.M.
    Opinion of the Court
    c.     Torture.
    d.     Abandonment.
    e.     Chronic or toxic exposure to alcohol or
    controlled substances that causes
    impairment of or addiction in the
    juvenile.
    f.     Any other act, practice, or conduct that
    increased the enormity or added to the
    injurious consequences of the abuse or
    neglect.
    N.C. Gen. Stat. § 7B-901(c) (2015). In In re G.T., ___ N.C. App. ___, 
    791 S.E.2d 274
    (2016), this Court interpreted N.C.G.S. § 7B-901(c), and concluded that, in order for
    a court to cease reunification efforts at the initial disposition hearing, “the
    dispositional court must make a finding that [a] court of competent jurisdiction has
    determined that the parent allowed one of the aggravating circumstances to occur.”
    Id. at ___, 791 S.E.2d at 279. Relying upon the use of the phrase “has determined” in
    the statute, this Court elaborated:
    [It] is clear and unambiguous and that in order to give
    effect to the term “has determined” [in N.C.G.S. § 7B-
    901(c),] it must refer to a prior court order. The legislature
    specifically used the present perfect tense in subsections
    (c)(1) through (c)(3) to define the determination necessary.
    Use of this tense indicates that the determination must
    have already been made by a trial court—either at a
    previously-held adjudication hearing or some other
    hearing in the same juvenile case, or at a collateral
    proceeding in the trial court. The legislature’s use of the
    term “court of competent jurisdiction” also supports this
    position. Use of this term implies that another tribunal in
    a collateral proceeding could have made the necessary
    determination, so long as it is a court of competent
    jurisdiction.
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    IN RE: J.M. & J.M.
    Opinion of the Court
    Id. “Thus,” the Court concluded, “by our plain reading of the statute, if a trial court
    wishes to cease reunification efforts pursuant to N.C. Gen. Stat. § 7B-901(c)(1)[], it
    must make findings at disposition that a court of competent jurisdiction has already
    determined that the parent allowed the continuation of” one of the situations
    enumerated in N.C.G.S. § 7B-901(c)(1). In re G.T. at ___, 791 S.E.2d at 279 (emphasis
    added); see also N.C.G.S. §§ 7B-901(c)(1)(a)–(f).
    In the present case, the trial court’s order does not cite to N.C.G.S. § 7B-901(c).
    However, because the trial court ceased reunification efforts in an order entered
    following an initial disposition hearing, N.C.G.S. § 7B-901(c) was necessarily
    implicated. The trial court’s order concluded that “[r]eunification efforts clearly
    would be unsuccessful or would be inconsistent with the juvenile’s health or safety.
    Durham DSS should be relieved of further efforts to eliminate the need for the
    children to live outside the home.” This conclusion was based on a finding using the
    same wording.     Notably absent from the trial court’s disposition is any finding
    indicating that a previous court had determined one of the aggravating factors to be
    present. See N.C.G.S. § 7B-901(c)(1). The trial court’s finding of fact is insufficient
    to cease reunification efforts at an initial disposition hearing; under In re G.T., ___
    N.C. App. at ___, 791 S.E.2d at 279, the trial court’s order was required to include a
    finding “that a court of competent jurisdiction ha[d] already determined that” one of
    the circumstances listed in N.C.G.S. § 7B-901(c) was present. No court of competent
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    IN RE: J.M. & J.M.
    Opinion of the Court
    jurisdiction had made such a determination and, even if it had, the trial court did not
    make the required finding.
    We recognize that the trial court’s initial disposition order in the present case
    also served as its permanency planning order. N.C. Gen. Stat. § 7B-906.2(b) permits
    a trial court to cease reunification efforts following a permanency planning hearing:
    At any permanency planning hearing, the court shall adopt
    concurrent permanent plans and shall identify the primary
    plan and secondary plan. Reunification shall remain a
    primary or secondary plan unless the court made findings
    under G.S. 7B-901(c) or makes written findings that
    reunification efforts clearly would be unsuccessful or would
    be inconsistent with the juvenile’s health or safety.
    N.C. Gen. Stat. § 7B-906.2(b) (2015) (emphasis added). DSS and the GAL argue, and
    it appears, that the trial court was attempting to follow the requirements of N.C.G.S.
    § 7B-906.2(b) in ceasing reunification efforts, as the trial court’s finding and
    conclusion that eliminated reunification efforts track the language of that section.
    Notwithstanding the trial court’s effort, the plain statutory language of N.C.G.S. §
    7B-901(c) requires a trial court entering an initial dispositional order that places a
    juvenile in the custody of a county department of social services to “direct that
    reasonable efforts for reunification . . . shall not be required” only if the trial court
    “makes written findings of fact pertaining to” any of the circumstances listed in
    N.C.G.S. § 7B-901(c)(1)(a)-(f).
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    IN RE: J.M. & J.M.
    Opinion of the Court
    We find no merit in the argument that the clear command of N.C.G.S. § 7B-
    901(c) may be eluded in favor of the more lenient requirements of N.C.G.S. § 7B-
    906.2(b) simply by combining dispositional and permanency planning matters in a
    single order. Because the requirements of N.C.G.S. § 7B-901(c) were not met in the
    present case, and consistent with In re G.T., we vacate that portion of the trial court’s
    order that released DSS from further reunification efforts.
    AFFIRMED IN PART, REVERSED AND REMANDED IN PART; VACATED
    IN PART.
    Judges DIETZ and INMAN concur.
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