In re A.T. , 2019 Ohio 3527 ( 2019 )


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  • [Cite as In re A.T., 2019-Ohio-3527.]
    IN THE COURT OF APPEALS OF OHIO
    SECOND APPELLATE DISTRICT
    MONTGOMERY COUNTY
    :
    :
    IN RE: A.T., E.G., & D.G.                      :   Appellate Case Nos. 28332 & 28355
    :
    :   Trial Court Case Nos. 2016-4187
    :                      2016-4188
    :                      2016-4189
    :
    :   (Appeal from Common Pleas Court –
    :   Juvenile Division)
    ...........
    OPINION
    Rendered on the 30th day of August, 2019.
    ...........
    MATHIAS H. HECK, JR., by SARAH E. HUTNIK, Atty. Reg. No. 0095900, Montgomery
    County Prosecutor’s Office, Appellate Division, Montgomery County Courts Building, 301
    West Third Street, 5th Floor, Dayton, Ohio 45422
    Attorney for Appellee
    MARSHALL G. LACHMAN, Atty. Reg. No. 0076791, 75 North Pioneer Boulevard,
    Springboro, Ohio 45066
    Attorney for Appellant/Father
    SARA M. BARRY, Atty. Reg. No. 0090909, 1139 Holly Avenue, Dayton, Ohio 45410
    Attorney for Appellant/Mother
    .............
    -2-
    FROELICH, J.
    {¶ 1} Following the parents’ separate objections to a magistrate’s decision, the
    juvenile court awarded permanent custody of three-year-old D.G.1 to the Montgomery
    County Department of Job and Family Services, Children Services Division (“the
    Agency”), and legal custody of D.G.’s siblings, 12-year-old A.T. and two-year-old E.G.,2
    to the non-family guardians (“Mr. & Mrs. H”) with whom A.T. and E.G. had been living for
    more than two years. Mother, who is the parent of all three children, and Father, who is
    the “legal”3 parent of D.G. and E.G.,4 filed separate appeals from that judgment, which
    appeals have been consolidated before this Court. The judgment of the trial court will be
    affirmed.
    Factual and Procedural Background
    {¶ 2} The Agency first became involved with Mother and her three children in or
    about January 2015, following a referral related to A.T.’s repeated absences from school.
    An investigation found that the home where Mother and the children were living was “very
    cluttered,” with “little room for an adult to move or a child to play.” (See Case No. 2016-
    4189, Doc. #73, p. 2. 5 ) Other concerns also were recorded, including the “dirty and
    1
    D.G. has turned four since the date of that decision.
    2
    E.G. has turned three since the date of that decision.
    3 The record does not state whether Father is D.G. and E.G.’s biological father; however,
    the children do not share his or Mother’s last name.
    4
    A.T.’s father was a party before the juvenile court but did not appeal the trial court’s
    judgment and is not a party here.
    5
    Several documents appear in the record of more than one of the trial court cases, but
    the document numbering in the cases differs. Except as otherwise noted, document
    citations refer to the documents as they are numbered in Case No. 2016-4189.
    -3-
    unkempt” appearance of both A.T. and D.G., the two older children. (Id.) However,
    removal of the children was not found to be warranted at that time.
    {¶ 3} On June 29, 2016, when Mother’s mother (“Maternal Grandmother”) dropped
    A.T. and D.G. at daycare, she told the staff that D.G. had a “sunburn” on his bandaged
    left leg. Upon unwrapping that leg, staff at the daycare saw what appeared to be “a severe
    second degree burn” that was “not consistent with a sunburn.” (Id.) The daycare
    contacted the Agency, which contacted Mother and the police. Both A.T. and D.G.
    immediately were placed in the Agency’s emergency custody. D.G. was transported to
    the hospital, where Mother met with an Agency representative and “gave several different
    stories as to what had happened” to D.G.’s leg, none of which was consistent with the
    injury. (Id.) The Agency also became aware of an earlier injury to D.G., evidenced by a
    large bruise at the base of D.G.’s skull detected by daycare staff on June 1, 2016.
    {¶ 4} E.G., an infant, also was removed from Mother’s care and transferred to the
    Agency’s emergency custody at that time. E.G. was placed with non-relative caregiver
    Mrs. H, while A.T. initially was placed with a different caregiver.6 On June 30, 2016, the
    Agency filed an abuse, neglect and dependency complaint as to D.G., as well as neglect
    and dependency complaints as to A.T. and E.G. By interim order entered that day, the
    juvenile court granted temporary custody of E.G. and A.T. to their respective caregivers
    and temporary custody of D.G. to the Agency. (Doc. #69.)
    {¶ 5} Shortly thereafter, the Agency filed an initial case plan with a stated goal of
    returning all three children to parental custody. (Doc. #67.) The case plan noted that
    6
    When that caregiver’s home later failed to pass a home inspection, A.T. also was placed
    with Mrs. H.
    -4-
    Mother “appear[ed] to love her children very much” and “ha[d] a strong support system.”
    (Id.) However, the plan also noted that Mother acknowledged experiencing mental health
    issues, lacked independent housing, had limited income, lived in “deplorable” conditions,
    and was in a relationship with Father, who had been convicted of domestic violence
    against Maternal Grandmother and also had two recent child endangering charges.7
    {¶ 6} The plan set specific objectives for both Mother and Father. Mother was to
    1) obtain and maintain stable housing, 2) obtain and maintain sufficient income to support
    her family, 3) follow up with recommended mental health counseling and comply with any
    recommendations, including as to medication, and 4) complete a parenting and
    psychological evaluation and follow through with all recommendations. Father was to 1)
    comply with all conditions of his probation and receive no new criminal charges, 2)
    successfully complete a domestic violence/batterer’s intervention program, 3) follow
    through with mental health counseling and medication as indicated, 4) successfully
    complete a parenting and psychological evaluation and follow through with all
    recommendations, and 5) have stable income and housing and “financially and
    emotionally support his children.” (Id.) Both Mother and Father signed the plan document.
    {¶ 7} On August 24, 2016, a guardian ad litem (“GAL”) appointed as to all three
    children filed a report with the juvenile court. The GAL reported that A.T. had been moved
    to live with Mr. and Mrs. H and that both A.T. and E.G. appeared to feel comfortable there.
    D.G. was in a different home with a foster family. According to the GAL, A.T. stated that
    Mother “can’t take care of the [babies] she has.” (Doc. #60, p. 2.) The GAL reported that
    7 Neither the identity of the children involved nor the outcome of those charges appears
    in the record.
    -5-
    A.T. also recently had “disclosed instances of abuse” by Father (who is not A.T.’s father.)
    Mother reportedly no longer was in a relationship with Father, but had begun a new
    relationship. The GAL stated that although A.T. said she “missed” Mother, A.T. did not
    want to return to Mother’s custody. Mother frequently was late for supervised visits, but
    did attend those visits and “appeared to care for” the children. (Id.) The GAL
    recommended that the Agency’s temporary custody of D.G. be extended; that Mrs. H be
    granted temporary custody of A.T.; that Mrs. H’s temporary custody of E.G. be extended;
    and that Father be ordered to have no contact with A.T.
    {¶ 8} Following a hearing on August 30, 2016, the juvenile court adjudicated A.T.
    and E.G. dependent and neglected children; adjudicated D.G. a dependent, neglected,
    and abused child; granted temporary custody of A.T. and E.G. to Mrs. H through July 1,
    2017; and granted temporary custody of D.G. to the Agency through July 1, 2017. (Doc.
    #58.) The court also approved the previously-filed case plan.
    {¶ 9} A semi-annual review conducted by the Agency in November 2016 reflected
    that Mother was living with Maternal Grandmother and was engaged to marry a convicted
    sex offender (not Father). (Doc. #55.) Mother was maintaining “sporadic” contact with the
    children and was in counseling, but her income was insufficient to meet the children’s
    needs. The review concluded that Mother had made “very little progress” on her case
    plan. (Id., p. 6.) Father had been investigated for sexual abuse allegations involving A.T.
    He had participated in some domestic violence classes, but had not followed through on
    mental health referrals.
    {¶ 10} A similar review conducted in May 2017 showed that Mother was compliant
    with mental health services and had completed parenting classes, but continued to lack
    -6-
    independent housing, staying either with her boyfriend (the convicted sex offender) or
    with Maternal Grandmother. (Doc. #54.) Father was residing with his girlfriend, had no
    income, had missed multiple parenting classes and had not completed a batterer’s
    program, was “inconsistent with his mental health provider,” did not consistently visit his
    children, and had “voiced the possibility of moving to Oklahoma.” (Id., p. 2.) The May 2017
    review concluded that a “level of risk” remained as to placing the children with Mother,
    and that Father had made “marginal progress” toward his case plan objectives. (Id., p. 4.)
    The Agency recommended that all three children remain in their current placements, but
    suggested that “a permanency review” might be needed “based on time frames.” (Id.)
    {¶ 11} Thereafter, the Agency filed a motion for a first extension of temporary
    custody as to D.G. (Doc. #53), as well as motions for first extensions of temporary custody
    to non-relatives with respect to both E.G. and A.T. (See 
    id., Case Nos.
    2016-4188 and
    2016-4187, Doc. #47.) All three motions were supported by affidavits attesting that
    Mother had made “some progress” and/or Father had made “minimal progress” on their
    respective case plan objectives, but detailing shortfalls that the Agency believed to
    warrant extensions of the children’s existing temporary custody placements. (Doc. #53;
    Case Nos. 2016-4188 and 2016-4187, Doc. #47.) Following an August 15, 2017 hearing,
    the juvenile court granted the motions and extended the temporary custody orders as to
    all three children through December 31, 2017. (Doc. #42.)
    {¶ 12} On October 31, 2017, the Agency filed motions, again with supporting
    affidavits, seeking second extensions of temporary custody as to all three children. The
    following month, the Agency conducted its semi-annual review. The report of that review
    chronicled a variety of medical issues afflicting each child, including A.T.’s diagnoses of
    -7-
    post traumatic stress disorder (PTSD) and attention deficit hyperactivity disorder (ADHD)
    and her hospitalizations due to self harm and flashbacks; E.G.’s diagnoses of celiac8
    disease and “global developmental delays” and his participation in speech, occupational,
    and physical therapy; and D.G.’s diagnoses of Chiara malformation and developmental
    delays and his participation in speech, occupational, and physical therapy. (Doc. #39.)
    The report disclosed that Mother’s visits with A.T. had been “suspended” and that Father
    was “no longer involved” in visits with E.G. and D.G. (Id.)9 Mother continued to have visits
    with both boys, although D.G. displayed “very flat effect” [sic] during those visits. Mother
    had no independent housing and worked “only a few hours a week.” She recently had
    completed a parenting psychological assessment, based on which the assigned
    psychologist “did not support unification.” (Id.) Father had completed a parenting class
    and a program for batterers, but he had no known income or stable housing, he had not
    completed a parenting psychological assessment or anger management, and he was
    “refusing to take medications.” (Id.) Father was on probation as a result of “threatening
    the case worker and the deputy” during a supervised visit, and he had not been in contact
    with the Agency since.
    {¶ 13} The review concluded that the existing placements of all three children
    remained safe and appropriate. Based on Mother’s recent psychological assessment
    results, the Agency on November 28, 2017 moved for permanent legal custody of D.G.
    8
    E.G.’s condition was incorrectly identified in this report as “Silica disease.” (Doc. #39, p.
    2); but see Doc. #42, p. 3 (“E.G. has been formally diagnosed with Celiac disease”).
    9
    The Agency report indicated that Father’s visits with E.G. were “on hold” because Father
    had “missed so many visits.” (Doc. #39.) It further related that Father had “acted out” at
    one visit and “threatened the Case worker and deputy.” (Id.)
    -8-
    (who remained with the same foster family), and that legal custody of A.T. and E.G. be
    given to Mr. and Mrs. H, their existing custodians.
    {¶ 14} In a report filed on November 29, 2017, the children’s GAL described her
    recent individual visits with each child. (Doc. #37.) A.T. was struggling in school and with
    “delicate” mental health after revealing incidents of past sexual and psychological abuse.
    (Id., p. 3.) The GAL reported that A.T. had not seen Mother in over a year based on the
    recommendation of A.T.’s psychologist, who believed that visits with Mother were triggers
    for A.T.’s “mental health crises” (i.e., “episodes of hospitalization and/or breakdowns”);
    such episodes could be triggered by visits or voice communications with Mother, or “even
    if [A.T.] is only reminded of [Mother] by smell o[r] the mention of her name.” (Id.)
    {¶ 15} The GAL described E.G. as “clean and happy,” but “atypical in appearance.”
    (Id.) According to the GAL, E.G. was “extremely small for his age and ha[d] not reached
    many of his age[-]related goals.” (Id.) E.G. was deemed “likely * * * [to] require special
    services for the foreseeable future.” (Id.) D.G. had undergone surgery for Chiari
    malformation and was progressing well physically, but was at risk for developmental
    disabilities. The GAL described D.G. as “walking * * *[,] playing * * *[,] well cared for and
    content.” (Id.) All three children reportedly were bonded with their caregivers. Both boys
    continued to have visits with Mother.
    {¶ 16} Mother missed her first appointment with the GAL, but did appear for a
    rescheduled appointment. Mother expressed determination to “fight for all three of her
    children,” and said she believed that her separation from A.T. was not in A.T.’s best
    interest. Mother had attended medical appointments for and visits with both E.G. and D.G.
    and asserted that she was “learning to engage” with them. (Id.) Mother continued to live
    -9-
    with Maternal Grandmother and work part-time. She had no contact with Father or with
    A.T.’s father. Mother said she “would have taken action” had she realized that A.T. was
    being sexually abused. (Id., p. 4.) Mother denied being in a relationship, but said she had
    a helpful “friend,” the man previously identified as her boyfriend and a sex offender. (Id.)
    Mother claimed, however, that the friend’s conviction “was a mistake.” (Id.) She said she
    would be willing to “remov[e] him from her life” if necessary to reunite with her children.
    (Id.)
    {¶ 17} A.T. reportedly told the GAL that she did “not wish to return to the care of
    her mother” and wished to remain with Mr. and Mrs. H. (Id., p. 5.) The GAL expressed
    “multiple concerns” about reunifying any of the children with Mother, including a concern
    that Mother was “cohabitating with a sex offender despite her denial.” (Id.) Mother told the
    GAL that she (Mother) would have “no concern leaving the children, including A.T.,” in
    that man’s care while Mother was at work. (Id.) The GAL also was concerned about
    Mother’s “minimiz[ing] A.T.’s trauma” and Mother’s lack of awareness at the time of the
    alleged abuse. Further, the GAL doubted Mother’s ability to consistently schedule and
    attend the children’s necessary appointments. “Most importantly,” the GAL doubted
    Mother’s ability to provide adequate parental care for the medical, developmental, and/or
    mental health issues of all three children.
    {¶ 18} The GAL’s report subsequently was amended after A.T. again was treated
    at the emergency room for flashbacks following contact “with Mother and other maternal
    relatives.” (Doc. #26, p. 2.) The GAL opined that “contact with mother is detrimental to
    [A.T.]’s mental health well-being.” (Id.)
    {¶ 19} The matter was scheduled for a dispositional hearing on January 31, 2018
    -10-
    as to the pending motions for permanent and legal custody. (Doc. #36)
    a. Agency’s Evidence
    {¶ 20} On January 31, 2018, a juvenile court magistrate held a hearing at which
    both Mother and Father appeared. D.G.’s foster mother (“Foster Mother”) testified that
    D.G. had been living with her since June 2016, when he was just over one year old. Foster
    Mother said that when D.G. arrived in her care, he “was covered * * * in bug bites[,]10
    * * * had a large burn on his leg[, * * * and had] light bruising sporadically on his body.”
    (Tr., Vol. I, p. 16.) She said he later had “chronic ear infections” and was “sick almost
    continuously,” eventually leading her to take him to an immunology specialist. (Id., p. 21.)
    Foster Mother said that D.G. had been hospitalized three times for various ailments while
    in her care. (Id., p. 25.) One of those was for brain surgery in November 2016, to treat
    Chiari malformation, a condition in which part of D.G.’s brain protruded out of his skull
    and “down in his neck.” (Id., p. 23.) She said that D.G. would need continued monitoring
    for that condition in order to detect headaches, balance issues, speech impairment, or
    other altered motor functioning that could be signs of a new problem. (Id., pp. 23-24.)
    {¶ 21} Foster Mother also expressed concern about D.G.’s “emotional state.” (Id.,
    p. 16.) She said that from the time he arrived in her home, D.G. behaved differently than
    other foster children for whom she had cared. For example, when she tried to put D.G. to
    sleep, “[h]e just kept waking up and jerking * * *.” (Id.) She opined that D.G. “didn’t [seem
    to] feel like it was safe to go to sleep.” (Id.) In addition, “it would take an hour to change
    his diaper because he would fight so violently”; “[h]e would claw at me. He would kick at
    10
    Foster Mother indicated that recurring bug bites on D.G. later were diagnosed as
    scabies. (Tr., Vol I, pp. 18-19.)
    -11-
    me, and he would scratch. He would like be swinging his arms, trying to hit me. * * * [H]e
    acted like someone who was afraid of everything.” (Id., p. 17.) At the time of the hearing,
    D.G. continued to have behavioral outbursts “[m]ultiple times a week,” including hitting
    adults and other children. (Id., p. 27.) D.G. had begun to see a counselor for help with
    managing those issues. (Id.)
    {¶ 22} Foster Mother described developmental delays that affected D.G. When he
    arrived in her care, “[h]e couldn’t sit up yet on his own. * * * He wasn’t walking.” (Id., p.
    16.) He could “kind of” crawl, but not a “normal crawl”; “his balance was really bad,” and
    “he would fall over” when trying to sit up. (Id.) At the time of the hearing, D.G. was
    participating in speech therapy, physical therapy, and occupational therapy, and was
    “catching up, but * * * still somewhere between six and twelve months behind where he
    should be for his age.” (Id., pp. 19-20.) Foster Mother said that D.G. had been diagnosed
    with “complex developmental trauma” that contributed to his delays. (Id., pp. 20, 28-29.)
    {¶ 23} Foster Mother said that she and her husband were interested in adopting
    D.G. They had two biological children, one of whom was grown and out of the house, and
    two other adopted children. (Id., p. 32.) Foster Mother said that D.G. was “really * * *
    attached” to the other children in the home. She described D.G. as being “like our birth
    child. * * * We just really love him.” (Id., p. 31.)
    {¶ 24} Dr. Rhonda Lilley, a clinical psychologist, appeared as the Agency’s expert
    witness. Dr. Lilley testified that she met with Mother on three occasions – on December
    22, 2016, with Mother alone, and again in March and June 2017, when D.G. and E.G.
    also were present with Mother. During the first meeting, Dr. Lilley conducted a clinical
    interview to learn about Mother’s background, “what led her to be involved with Children
    -12-
    Services,” “her issues and concerns,” and to “explore [Mother’s] mental history[,] and
    * * * strengths and weaknesses as a parent.” (Id., pp. 42-43.) Mother also was asked to
    complete various psychological tests at that time. (Id., p. 43.)
    {¶ 25} During the two later visits, Dr. Lilley focused on observing Mother’s
    interactions with D.G. and E.G. She said that the March 2017 visit was “very brief * * *
    because of the distress of one of the children.” (Id.) The June 2017 visit then was
    scheduled to allow Dr. Lilley to witness more interaction with the children. At that time,
    Dr. Lilley also sought updated information about Mother’s employment, housing, and life.
    {¶ 26} Dr. Lilley identified a report she prepared based upon her clinical interview
    with, and her observations and testing of, Mother. (State’s Exh. 1.) The report recorded
    Dr. Lilley’s assessment that Mother displayed “excessive” defensiveness, indicative of a
    person “who tends to deny a lot of responsibility for [her] behavior.” (Id., p. 48.) Dr. Lilley
    said that Mother’s “limited insight” into her “dysfunctional” behavior could affect her
    parenting ability, leaving Mother less likely to “see a reason to change” and “more likely
    to make decisions that are in [her] own best interest rather than in the interest of [her]
    children.” (Id., pp. 49-50.) Dr. Lilley termed that “a significant concern,” manifested
    through examples such as Mother’s blaming A.T. for causing D.G.’s leg burns by placing
    him in a swing, and Mother’s defending Father instead of advocating for A.T. with respect
    to A.T.’s allegations of sexual abuse. (Id., pp. 50-51.) Dr. Lilley noted that at the time of
    the interview, Mother was involved with a man who “had a history of sexual abuse of a
    minor,” yet Mother claimed the prior abuse history was not her partner’s fault because
    “the child had lied about her age.” (Id., pp. 52-53.) Dr. Lilley expressed concern about
    Mother’s failure to acknowledge the “red flag” indicating that the man posed a potential
    -13-
    risk to her children. (Id., p. 53.) Dr. Lilley said that Mother’s pattern with regard to people
    she brought into her life “creates a high risk factor” as to “providing a safe environment
    for her children[,] * * * where the child’s interest and needs are primary rather than
    secondary.” (Id., p. 53-54.)
    {¶ 27} As to the results of the Parenting Stress Index (“PSI”) test Mother
    completed, Dr. Lilley noted that Mother did not identify any life stressors, despite “not
    having a job,” her children being absent from her home, A.T.’s refusal to visit Mother, and
    D.G.’s having recently been diagnosed with Chiari malformation. (Id., pp. 55-56.) Dr. Lilley
    stated that Mother’s failure to recognize those factors as stressors could indicate a lack
    of empathy or ability to make accommodations. She said that Mother did report feeling
    “strongly bonded with her children.” (Id., p. 56.)
    {¶ 28} Dr. Lilley said that on another psychological test, Mother described “feelings
    of persecution” related to the custody issues with her children. (Id., p. 59.) Mother “did
    express regret” about her selection of partners around her children and about having A.T.
    “assume some of the parenting responsibilities” while A.T. lived with Mother. (Id.)
    {¶ 29} According to Dr. Lilley, her interview with Mother revealed that Mother “had
    some very difficult life experiences,” including abuse, that “likely have affected her
    emotional well-being” and her parenting. (Id., p. 60.) Mother reported “a long pattern of
    * * * living with her mother, trying to live on her own unsuccessfully, and then back living
    with her mother.” (Id., p. 61.) As of June 2017, Mother again was living with Maternal
    Grandmother. Mother provided no history of long-term stability in housing or employment.
    Dr. Lilley observed that “it’s very hard to provide a stable environment for your children if
    you don’t have a stable residence, if you don’t have a stable income from which to support
    -14-
    them. Those are two critical elements in providing a safe and consistent environment” for
    one’s children. (Id.) Dr. Lilley concluded that Mother tended “to be dependent upon
    others,” including “considerable dependency” on Father during their relationship, as well
    as dependency on Maternal Grandmother. (Id., pp. 61-62.)
    {¶ 30} Regarding her observations of Mother with D.G. and E.G., Dr. Lilley
    reported that Mother arrived 30 minutes late for the March 31, 2017 visit. While awaiting
    Mother’s arrival, Dr. Lilley observed E.G. and D.G. engaging in “very positive” interactions
    with their caregivers. (Id., p. 63.) After Mother arrived, however, E.G., the younger son,
    was “so distressed” to be separated from his caregiver that Dr. Lilley “terminated the
    parent/child interaction.” (Id., p. 62.)
    {¶ 31} During the rescheduled June 23, 2017 visit, Dr. Lilley began with Mother
    and the caregivers in the same room with E.G. and D.G. When the caregivers left, E.G.
    “whined a little bit, but * * * did not act distressed.” (Id., p. 64.) Dr. Lilley said the boys at
    first exhibited “no reaction” to Mother’s presence; “They didn’t run to her. They didn’t smile
    in greeting with her.” (Id., p. 66.) E.G. eventually engaged in play with Mother, while D.G.
    “played more independently;” D.G. “didn’t avoid contact” with Mother, but “he didn’t
    actively engage her” in play. (Id., p. 65.) Although Dr. Lilley felt that Mother initially did not
    react “very proactively,” she later “did a good job of getting each one of the kids a toy to
    play with.” (Id.) It was Dr. Lilley’s understanding that A.T. had refused to participate in the
    March and June 2017 visits with Mother.
    {¶ 32} Based on her observations during the June 2017 visit, Dr. Lilley concluded
    that Mother “was bonded with her sons, * * * cared very much about them, and * * * wanted
    to have a relationship with them.” (Id., p. 66.) However, E.G. and D.G. “did not
    -15-
    demonstrate a strong attachment or even a strong bond” to Mother. (Id.)
    {¶ 33} Dr. Lilley diagnosed Mother as having an adjustment disorder with both
    depression and anxiety, as well as a personality disorder, “undifferentiated with
    dependency features.” (Id., p. 67.) She opined that the combination of those disorders
    created “significant concerns” regarding Mother’s “decision making, problem solving,
    [and] tendency to make decisions that are in [Mother’s] own best interests.” (Id., p. 68.)
    Dr. Lilley stated that such “entrenched” behaviors amount to “risk factors for * * * an
    environment where the parent’s needs may come first rather than the child’s, where the
    parent’s need for love and security may come at the expense of the child’s needs for
    safety and security.” (Id.) She testified that caring for children with special needs “would
    increase and exacerbate the risk.” (Id., p. 70.)
    {¶ 34} Dr. Lilley said she hoped that with “adequate treatment,” Mother “could
    overcome some of the problematic aspects of her personality dynamics,” but “it is not a
    short term process.” (Id., p. 68-69.) Dr. Lilley opined that such entrenched characteristics
    “aren’t cured in * * * even six months of counseling” (Id., p. 69.) On cross-examination,
    she termed the prospect of Mother overcoming such issues in five months “[h]ighly
    unlikely” and “very doubtful.” (Id., pp. 70, 71.)
    {¶ 35} Also on cross-examination, Dr. Lilley stated that “the issue was never
    whether [Mother] loved her children or whether she wanted to parent them. The issue
    was capacity to parent, which is where I found her lacking.” (Id., p. 73.) She noted that
    since A.T.’s birth, Mother
    has failed to demonstrate financial stability, interpersonal stability,
    relationship stability; has consistently made choices that were in the best
    -16-
    interest of herself rather her children. That’s a ten-year period. For every
    ten years of dysfunction, we need almost an equivalent amount of intensive
    therapy * * * so that we can say this person is not a risk factor for themselves
    and/or for their children.
    (Id., pp. 73-74.)
    {¶ 36} On re-direct, Dr. Lilley reiterated that, as a “[g]eneral rule,” in order to expect
    significant progress, “for every year of dysfunction, we want at least a year or two of
    intensive therapy. Not months or weeks. Years.” (Id., p. 76.)
    {¶ 37} The Agency’s final witness was Cathie Stokes, a child services caseworker
    who had been involved with Mother and her family “off and on since January 2015.” (Id.,
    p. 78.) Stokes said the Agency opened a case in October 2015 after a referral alleged
    “deplorable conditions in [Mother’s] home” and raised concerns about A.T.’s school
    attendance. (Id.) The investigation at that time found Mother’s home to be “in pretty poor
    shape,” but not bad enough to warrant A.T.’s removal. (Id., p. 79.) Instead, the Agency
    developed a case plan “to work with [M]other to address the concerns.” (Id.) Ultimately,
    however, the children were removed from the home in June 2016, and had not returned
    to Mother’s care or the care of their respective fathers since.
    {¶ 38} Stokes testified that when the children were removed in June 2016, A.T.
    was placed with a relative, D.G. was placed in foster care, and E.G. was placed with Mrs.
    H, a non-relative caregiver. In August 2016, after the relative proved unable to pass a
    home study, A.T.’s placement was changed to the home of Mr. and Mrs. H, where A.T.’s
    brother E.G. already was living. D.G. had remained in the same foster home since June
    2016, and E.G. and A.T. had remained with Mr. and Mrs. H.
    -17-
    {¶ 39} Stokes said that Foster Mother lived in a large home with adequate space
    for D.G., and that Foster Mother had expressed interest in adopting D.G. Stokes said that
    from her observations, D.G. appeared to be “[v]ery much” bonded with both Foster Mother
    and her husband, as well as with their biological and adopted children. (Id., p. 82.)
    Although Stokes testified that D.G. had special needs, including Chiari malformation and
    related brain issues, global developmental delays, and complex developmental trauma,
    Stokes had no concerns about his foster parents’ ability to meet those needs. She said
    D.G. recently had started to see a psychologist.
    {¶ 40} Stokes expressed similar confidence in E.G.’s and A.T.’s placement with
    Mr. and Mrs. H, despite each child’s special needs. She said that A.T. had been in
    counseling one or two times a week for seven months for PTSD and anxiety. Stokes said
    that, because A.T. “has experienced so much trauma,” counselors “are using trauma-
    focused cognitive behavioral therapy” to help her work through that trauma. (Id., p. 85.)
    According to Stokes, A.T. had had “multiple emergency room visits” and been
    hospitalized twice, most recently in the fall of 2017, due to experiencing “flashbacks”
    where she became “out of touch with reality, [wa]s in danger of hurting herself, bec[a]me
    aggressive with herself and others.” (Id., pp. 84, 86-87.) Stokes said that A.T.’s therapist
    had recommended that A.T temporarily not have contact with Mother because Mother
    seemed to be a “trigger” for those flashbacks. (Id., p. 85.) A.T. had begun taking
    prescribed medication to help address her condition, and “seem[ed] to be doing better.”
    (Id., p. 87.)
    {¶ 41} Stokes said that A.T. had “struggled for the past semester” in school due to
    the consequences of her flashbacks. A.T. was in an online school program and on an IEP
    -18-
    due her special needs. Again, Stokes said that A.T. “seem[ed] to be doing better” on her
    new medication. (Id., p. 90.) Stokes testified that A.T. also had been referred for genetic
    testing for “possible genetic issues,” and that both A.T. and E.G. were being examined
    for “possible alcohol-related neuro developmental disorders.” (Id., p. 84.)
    {¶ 42} Turning to E.G., Stokes testified that he was “in physical, occupational[,]
    and speech therapy for some global developmental delays.” (Id., p. 88.) She said that
    E.G. also had been diagnosed with celiac disease, hearing issues, weakness on one side
    of his body, and “vestibular ataxia, where his balance is off.” (Id.) Stokes said she had no
    concerns about the ability of Mr. and Mrs. H to meet E.G.’s special needs.
    {¶ 43} Stokes stated that the Agency was seeking permanent custody of D.G. She
    confirmed that the goal of the original case plan developed by the Agency had been
    reunification of each child with Mother or his or her respective father. (Id., pp. 92-93.)
    Stokes testified that Mother had agreed to the case plan’s objectives for her, including
    that Mother continue to attend counseling; have a medication evaluation and follow
    through with any recommendations; complete a parenting and psychological evaluation
    and follow through with any recommendations; obtain and maintain stable income and
    housing; complete a parenting education class; sign releases of information to the
    Agency; visit the children regularly; and attend the children’s medical, educational, and
    mental health appointments, as recommended by the providers. The counseling and
    medication objections were included because Mother “admitted that she had experienced
    mental health issues,” and later was diagnosed with adjustment disorder. (Id., p. 94.) No
    medication had been recommended for Mother, and she had been mostly compliant with
    counseling. (Id., p. 95.)
    -19-
    {¶ 44} Stokes said that the Agency supported Dr. Lilley’s recommendations. (Id.,
    pp. 96-97.) Mother had been employed for over eight months in the same part-time job
    and admitted that her income was not sufficient to provide for the children’s needs.
    According to Stokes, she had been referring Mother for other job opportunities for over a
    year and a half, “but I don’t believe she ever did follow through,” except with one call to
    Goodwill. (Id., p. 99.) Mother previously had one long-term job that she quit due to the
    length of her commute, but Mother “wasn’t getting very many hours” at that job. (Id.)
    {¶ 45} Stokes said Mother currently reported living “part of the time with [Maternal
    Grandmother] and part of the time with” a male friend whom Mother previously had
    identified as a registered sex offender. (Id., pp. 100, 102.) Maternal Grandmother’s home
    was the same home with which the Agency had concerns when the family first was
    referred. Stokes testified that despite “significant progress” in cleaning up that house, the
    house was “fairly small” and cluttered, leading to continued concerns about cleanliness,
    space, and safety, especially for the two younger children. (Id., p. 101.) Although Mother
    “declined” to allow an Agency home visit to her male friend’s home, the Agency had
    “significant concern” about his conviction, which involved a minor. (Id., pp. 102-103.)
    Stokes had referred Mother for low-income housing, but Mother had not yet secured
    independent housing.
    {¶ 46} Mother had completed parenting classes and a one-day class “about
    helping children in times of stress.” (Id., p. 105.) Mother also had signed forms to release
    information to the Agency, attended the children’s appointments as recommended by
    their health care providers, and consistently participated in supervised visitation with E.G.
    and D.G. Stokes said she had witnessed Mother make progress in her interactions with
    -20-
    her sons. Mother had not seen A.T. in about a year, and Stokes said the Agency
    supported the recommendations of A.T.’s therapist that no visitation occur. Stokes said
    A.T. told her “that she doesn’t want to visit [Mother], but sometimes she feels like she
    might want to talk to her.” (Id., p. 109.) Going forward, the Agency would recommend
    visitation between A.T. and Mother as deemed appropriate by A.T.’s therapist. As to E.G.,
    Stokes said the Agency believed future visitation with Mother should be supervised due
    to E.G.’s “special dietary restrictions” and developmental delays. (Id.)
    {¶ 47} Turning to Father, Stokes testified that his original case plan was amended
    after he was convicted of menacing for threatening Stokes both at the Agency and during
    an August 2017 visit with D.G. She said that when Father learned that E.G. was absent
    from that visit due to illness, Father “became very agitated” and “began using vulgar and
    obscene language in a very loud manner.” (Id., p. 114.) Father’s “verbally aggressive”
    behavior continued after several warnings to calm down due to the presence of other
    children and families. (Id., pp. 114-115.) When Stokes attempted to take D.G. from the
    room for his safety, Father “threatened to harm me by punching me. * * * He threatened
    me several times.” (Id., p. 115.) As a result, anger management classes were added to
    Father’s case plan. Stokes said she orally notified Father that such an addition would be
    made, but that a copy of the amended plan mailed to Father’s address was returned.
    {¶ 48} According to Stokes, Father had been “inconsistent” with visitations even
    before that incident. (Id., p. 130.) She said E.G. and D.G. seemed to be “very
    uncomfortable and distressed” at the beginning of the visits they did have with Father.
    (Id., p. 131.) She credited Father for trying to engage the boys with toys, but she said that
    the boys remained “very reserved” with him, and preferred to stay near her.
    -21-
    {¶ 49} As to Father’s case plan objectives, Stokes testified that Father had refused
    to sign releases, but had submitted written verification of his completion of a parenting
    class and a domestic violence class. Stokes had been unable to contact Father since
    September 2017 and did not know if he had completed anger management. She said that
    since their last contact, letters mailed to two different addresses for Father had been
    returned, and the return on an attempt at personal service indicated that Father did not
    live at the most recent address the Agency had for him. Stokes had not been to that
    address because she was advised not to complete home visits with Father after the
    menacing charge. Father remained on probation, but Stokes believed that he had been
    compliant with regard to criminal court proceedings. Stokes had no verification of Father’s
    having completed a mental health assessment in accordance with the case plan, of his
    compliance with receiving mental health services, or of his completion of a parenting and
    psychological evaluation. She also had no verification of Father’s employment or income,
    or of his having acquired independent housing.
    {¶ 50} Asked about alternative placements, Stokes said that Mother had
    suggested her niece as a possible caregiver for D.G., but the Agency was concerned
    about the niece’s ability to manage D.G.’s special needs. Further, it was unknown whether
    Mother’s niece could pass a home study, and Stokes said D.G. did not have a strong
    bond with Mother’s niece prior to his current placement. Due to D.G.’s “attachment
    issues,” Stokes expressed reluctance to place D.G. with someone with whom he currently
    had “no relationship.” (Id., p. 131.) The Agency was not aware of other placement options
    and recommended that D.G “remain where he is,” with permanent custody of D.G. being
    granted to the Agency. (Id., pp. 134-135.) Similarly, Stokes recommended that legal
    -22-
    custody of A.T. and E.G. be granted to Mr. and Mrs. H. Stokes opined that the children’s
    best interest would be served by those placements, where “they are having all of their
    basic and special needs met.” (Id., p. 135.)
    {¶ 51} On cross-examination, Stokes denied that she had received messages from
    Father or had any other contact with him since September 2017.
    b. Father’s Evidence
    {¶ 52} When the hearing continued on February 22, 2018, Father testified that he
    was working part-time at a sandwich shop. In the preceding year, he had worked in a
    series of jobs, each for a month or more. He did not have independent housing, but was
    “staying with friends” while waiting for a house to “open[ ] up.” (Trial Tr., Vol. II, p. 7.)
    Father said he was “in [the] process of doing a full psych evaluation” and had completed
    an anger management class, but he had not completed a parenting and psychological
    examination. (Id., pp. 7-8.) Father was nearing completion of his probation. He said he
    had not attended appointments for D.G. and E.G., and had not had visitation with them
    since August 2017, because he had not been informed of opportunities to do so. He said
    he had left messages for Stokes and was waiting for her to return his calls.
    {¶ 53} Father said he would like to have E.G. removed from the custody of Mr. and
    Mrs. H and placed in the Agency’s custody, and he would like to have D.G. also removed
    from his existing placement, so that the brothers could be placed together. Father said he
    was “not being told [by Mrs. H] about anything that’s going on,” and that he was not
    permitted to be with E.G. if A.T. also would be there. (Id., p. 11.) Father blamed Stokes
    for his failure to have completed his remaining case plan objectives. He provided
    examples of ways in which Stokes allegedly had treated Mother more favorably than
    -23-
    Father during the Agency’s involvement.
    {¶ 54} On cross-examination, Father denied that another organization had tried to
    contact him to arrange visits with his sons outside the Agency. He said he had been
    unable to comply with visitation because he “d[id]n’t know what’s going on.” (Id., p. 15.)
    Father said his current part-time job paid about $7.00 per hour, plus tips. He said he had
    been terminated from one job in 2017 due to an injury and left another job due to illness,
    but he was unable to provide documentation of his income and employment history. (Id.,
    p. 18.) Father stated “it’s probably been six or seven years” since he had his “own place”;
    “[one] can’t really, you know, settle down and have a place if * * * every two or three
    weeks you’re moving to a different place just so you can experience life and learn * * *
    things.” (Id., p. 21.)
    {¶ 55} Father said he had tried “on several occasions” to contact Stokes, but she
    never returned his calls. (Id., p. 19.) He said his telephone number had been unchanged
    for over a year and that Stokes had that number. He also indicated that two telephone
    numbers the GAL had for him were not familiar; “I mean, [they] might have been one of
    my friend’s numbers that I may have given as an * * * extra contact, but * * * neither one
    of those have [sic] ever been my phone number.” (Id., pp. 40-41.)
    {¶ 56} Father again said that he was “in [the] process” of obtaining a psychological
    evaluation, but he had not provided any documentation to the Agency. (Id., pp. 22-23.)
    He said he had provided documentation as to the mental health services he was
    receiving. Father admitted to having threatened to knock Stokes unconscious,11 and to
    11
    Stokes later was re-called to rebut Father’s version of that incident. (See Trial Tr., Vol.
    2, pp. 41-44, 49-53.)
    -24-
    having had a protective order in 2013 as to a different Agency caseworker. He said he
    had completed a one-day anger management class in January 2018, but had not provided
    documentation to the Agency.
    {¶ 57} Father acknowledged that both E.G. and D.G. had special needs, but said
    he did not know what those special needs were; “I’ve never been told.” (Id., p. 36.)
    Because Mrs. H once was “extremely upset” when Father gave E.G. one of D.G.’s bottles
    during a visit, Father was aware that E.G. “is on a special diet.” (Id., pp. 36-37.) Having
    heard the testimony of D.G.’s Foster Mother regarding D.G.’s special needs, Father said
    he “would do pretty much the same thing she was doing” in terms of taking D.G. to
    appointments or to the hospital for an emergency. Father said he was trying to obtain
    another job so he could afford a car. He indicated his belief that he could meet all of D.G.’s
    needs if he were made aware of them.
    {¶ 58} Mother presented no hearing testimony. The magistrate asked to hear from
    the children’s GAL, who recommended that all three children remain in their existing
    placements. The magistrate took the matter under advisement, but asked Mr. and Mrs.
    H, who were present for the hearing, to sign paperwork affirming their willingness to
    assume legal custody of A.T. and E.G. if that were to be the decision.
    c. Decision
    {¶ 59} On March 8, 2018, the magistrate issued a decision granting permanent
    custody of D.G. to the Agency. (Doc. #25.) In the same filing, the juvenile court adopted
    the magistrate’s decision and advised the parties of their time to file objections. (Id., p. 9.)
    On the same date, the magistrate and the court entered similar decisions granting Mr.
    and Mrs. H legal custody of both A.T. and E.G. (Case No. 2016-4188, Doc. #22.)
    -25-
    {¶ 60} Father and Mother filed separate objections to the custody decisions, and
    also requested extensions of time to file supplemental objections after they had received
    and reviewed transcripts of the hearing testimony. The Agency, too, requested additional
    time to reply to the parents’ objections after reviewing the hearing transcripts. Two
    volumes of transcripts were filed on October 3, 2018; supplemental objections were filed
    thereafter.
    {¶ 61} On March 12, 2019, the juvenile court issued a final decision that overruled
    Mother’s and Father’s separate objections to the magistrate decision; granted permanent
    custody of D.G. to the Agency, and granted legal custody of A.T. and E.G. to Mr. and Mrs.
    H. Mother was granted parenting time with A.T. as approved by A.T.’s therapist, and
    monitored visitation with E.G. “as approved by the parties.” Father was granted
    supervised parenting time with E.G.
    d. Appeals
    {¶ 62} Separately, both Mother and Father appeal from the trial court’s judgments.
    Father sets forth two assignments of error:
    1) The trial court erred in finding that clear and convincing evidence was
    presented showing that permanent custody of D.G. to [the Agency] was in
    the best interest of the child.
    2) The trial court erred in granting legal custody of E.G. to non-relative
    caregivers.
    {¶ 63} Mother’s appeal advances three assignments of error:
    1) Mother received ineffective assistance of counsel due to their [sic] failure
    to object to hearsay testimony in a permanent custody trial, and the trial
    -26-
    court erred in considering that evidence.
    2) [The Agency] failed to make reasonable efforts to reunify children and
    Mother prior to the permanent and legal custody motions.
    3) The trial court erred in finding there was clear and convincing evidence
    that permanent custody to [the Agency] is in the best interest of D.G., and
    in finding that a preponderance of the evidence existed for an award of legal
    custody of A.T. and E.G.
    {¶ 64} Those appeals were consolidated before this Court. We will address the
    issues in the order most conducive to our analysis.
    Standard of Review
    {¶ 65} An appellate court will not reverse an award of legal or permanent custody
    of a child absent an abuse of discretion by the juvenile court. See In re M.O., 2d Dist.
    Montgomery No. 26457, 2015-Ohio-2430, ¶ 7 (applying abuse of discretion standard to
    award of legal custody); In re K.W., 
    185 Ohio App. 3d 629
    , 2010-Ohio-29, 
    925 N.E.2d 181
    ,
    ¶ 15 (2d Dist.) (applying abuse of discretion standard to decision granting permanent
    custody and terminating parental rights).The term “abuse of discretion” implies that the
    court’s decision was unreasonable, arbitrary or unconscionable. Blakemore v.
    Blakemore, 
    5 Ohio St. 3d 217
    , 219, 
    450 N.E.2d 1140
    (1983).
    {¶ 66} If the juvenile court’s decision as to a child’s best interest is not supported
    by competent, credible evidence, that decision is unreasonable, and we may reverse. In
    re Starks, 2d Dist. Darke No. 1646, 2005-Ohio-1912, ¶ 17, citing In re Nice, 141 Ohio
    App.3d 445, 455, 
    751 N.E.2d 552
    (7th Dist.2001). However, “the discretion which a trial
    court enjoys in custody matters should be accorded the utmost respect, given the nature
    -27-
    of the proceeding and the impact the court’s determination will have on the lives of the
    parties concerned.” Miller v. Miller, 
    37 Ohio St. 3d 71
    , 74, 
    523 N.E.2d 846
    (1988). Because
    “[t]he knowledge a trial court gains through observing the witnesses and the parties in a
    custody proceeding cannot be conveyed to a reviewing court by a printed record[,] * * *
    the reviewing court in such proceedings should be guided by the presumption that the
    trial court’s findings were indeed correct.” (Citations omitted.) 
    Id. Mother’s 1st
    Assignment of Error - Ineffective Assistance of Counsel
    {¶ 67} In her first assignment of error, Mother contends that she was denied the
    effective assistance of counsel by her trial attorney’s failure to object to hearsay evidence
    introduced through the testimony of D.G.’s foster mother. Mother argues that Foster
    Mother’s testimony “tainted” the permanent custody proceeding (Brief of Appellant,
    Mother, p. 13), in part by suggesting that Mother may have caused D.G.’s special needs.
    Mother also faults her trial attorney for failing to “present any evidence to contradict
    [Foster Mother’s] testimony,” or to “question” that witness. (Id., p. 12.)
    {¶ 68} The constitutional right to the effective assistance of counsel generally does
    not attach in civil actions. D.O.I.T., L.L.C. v. Bd. of Wright Dunbar Technology Academy,
    2d Dist. Montgomery No. 23250, 2011-Ohio-4538, ¶ 5, citing Wolford v. Wolford, 184 Ohio
    App.3d 363, 2009-Ohio-5459, 
    920 N.E.2d 1052
    , ¶ 32 (4th Dist.) (“ ‘A complaint of
    ineffective assistance of counsel is not a proper ground on which to reverse the judgment
    of a lower court in a civil case that does not result in incarceration * * * ’ ”); Phillis v. Phillis,
    
    164 Ohio App. 3d 364
    , 2005-Ohio-6200, 
    842 N.E.2d 555
    , ¶ 53 (5th Dist.); Novello v.
    Novello, 7th Dist. Noble No. 10 NO 378, 2011-Ohio-2973, ¶ 23 (“The Sixth Amendment
    guarantees a defendant effective counsel in criminal prosecutions. There is no such
    -28-
    guarantee in civil actions.”). However, given that “the permanent termination of parental
    rights has been described as ‘the family law equivalent of the death penalty,’ ” parents
    are entitled to the effective assistance of counsel in permanent custody actions. In re S.A.,
    2d Dist. Clark No. 07-CA-110, 2008-Ohio-2225, ¶ 7-8, quoting In re Hayes, 
    79 Ohio St. 3d 46
    , 48, 
    679 N.E.2d 680
    (1997).
    {¶ 69} To establish ineffective assistance of counsel, a defendant must
    demonstrate both that trial counsel’s conduct fell below an objective standard of
    reasonableness and that the errors were serious enough to create a reasonable
    probability that, but for the errors, the outcome of the case would have been different.
    See Strickland v. Washington, 
    466 U.S. 668
    , 
    104 S. Ct. 2052
    , 
    80 L. Ed. 2d 674
    (1984);
    State v. Bradley, 
    42 Ohio St. 3d 136
    , 141-142, 
    538 N.E.2d 373
    (1989). Hindsight is not
    permitted to distort the assessment of what was reasonable in light of counsel’s
    perspective at the time, and a debatable decision concerning trial strategy cannot form
    the basis of a finding of ineffective assistance of counsel. State v. Cook, 
    65 Ohio St. 3d 516
    , 524-525, 
    605 N.E.2d 70
    (1992); State v. Fields, 2017-Ohio-400, 
    84 N.E.3d 193
    ,
    ¶ 38 (2d Dist.). Trial counsel also is entitled to a strong presumption that his or her conduct
    falls within the wide range of reasonable assistance. Strickland at 689.
    {¶ 70} The record does not support a conclusion that Mother’s trial attorney
    provided constitutionally deficient representation. Mother identifies no evidence that her
    attorney purportedly could have presented that would have countered Foster Mother’s
    testimony about D.G.’s special needs. Notably, Mother does not contend that D.G. does
    not experience the medical, psychological and/or developmental challenges about which
    Foster Mother testified. Further, although the juvenile court did refer to a portion of Foster
    -29-
    Mother’s testimony in its final decision, including her testimony about D.G.’s diagnosis
    with and surgery for Chiari malformation (Judge’s Final Appealable Order, pp. 5-6), the
    trial court did not intimate that Mother was responsible for causing D.G.’s special needs
    or that any such supposition was a basis for its decision. When a matter is tried to a judge
    without a jury, we presume that the court considered only proper evidence in reaching its
    decision, unless the record indicates otherwise. See Brunett v. Brunett, 2d Dist. Clark No.
    2016-CA-14, 2017-Ohio-307, ¶ 19, citing In re C.C., 2d Dist. Montgomery No. 26864,
    2016-Ohio-1417, ¶ 26; Mason v. Swartz, 
    76 Ohio App. 3d 43
    , 55, 
    600 N.E.2d 1121
    (6th
    Dist.1991). Here, even if the hearsay evidence Mother identifies were objectionable, the
    admission of that evidence “was harmless beyond a reasonable doubt.” See In re C.C. at
    ¶ 26.
    {¶ 71} Mother’s first assignment of error is overruled.
    Mother’s 2nd Assignment of Error – Deficient Reunification Efforts
    {¶ 72} Mother next argues that the Agency did not undertake reasonable efforts to
    reunify her with her children. She claims the evidence demonstrates that she achieved
    most of her case plan objectives, and she faults the Agency for seeking legal and
    permanent custody determinations before allowing Mother sufficient time to undergo “the
    sort of counseling Dr. Lilley recommended.” (Brief of Appellant, Mother, pp. 14-15.) That
    assignment of error is not well taken.
    {¶ 73} The Supreme Court of Ohio has held that, “except for a few narrowly defined
    exceptions, the state must have made reasonable efforts to reunify the family prior to the
    termination of parental rights.” In re C.F., 
    113 Ohio St. 3d 73
    , 2007-Ohio-1104, 
    862 N.E.2d 816
    , ¶ 21. “If the agency has not established that reasonable efforts have been made
    -30-
    prior to the hearing on a motion for permanent custody, then it must demonstrate such
    efforts at that time.” 
    Id. at ¶
    43.
    {¶ 74} “ ‘Reasonable efforts means that a children’s services agency must act
    diligently and provide services appropriate to the family’s need * * * as a predicate to
    reunification.’ ” In re N.M., 2d Dist. Montgomery No. 26693, 2016-Ohio-318, ¶ 53, quoting
    In re H.M.K., 3d Dist. Wyandot Nos. 16-12-15, 16-12-16, 2013-Ohio-4317, ¶ 95, quoting
    In re D.A., 6th Dist. Lucas No. L-11-1197, 2012-Ohio-1104, ¶ 30. “ ‘Reasonable efforts’
    does not mean all available efforts. Otherwise, there would always be an argument that
    one more additional service, no matter how remote, may have made reunification
    possible.” 
    Id., quoting In
    re K.M., 12th Dist. Butler No. CA 2004-02-052, 2004-Ohio-4152,
    ¶ 23.
    {¶ 75} In this case, the record demonstrates that the Agency did make reasonable
    efforts to reunify the family prior to moving for permanent custody of D.G. On the date of
    the permanent custody motion, D.G. had been living with Foster Mother for about 18
    consecutive months. Throughout that time, the Agency accommodated Mother’s visits
    with her children, assisted her in finding a parenting education class, directed her to a
    psychologist for a recommended parenting and psychological assessment, and
    monitored and encouraged Mother’s compliance with her mental health counseling
    appointments. The Agency also provided Mother with multiple referrals for employment
    and housing opportunities. Despite those referrals, Mother had not acquired full-time
    employment, nor had she secured an independent living situation. Rather, she continued
    to live in Maternal Grandmother’s home that the Agency previously had determined to be
    too small and cluttered to provide a safe, appropriate environment for her children.
    -31-
    Additionally, Mother acknowledged that her part-time employment did not generate
    enough income to meet the children’s financial needs.
    {¶ 76} Further, Mother continued to maintain some form of ongoing close
    relationship with a former boyfriend with whom Mother at times had lived and who had
    been convicted of a sex offense involving a minor. Although Mother once expressed a
    willingness to end that friendship if necessary in order to regain custody of her children,
    Mother also had told the children’s GAL that Mother would have “no concern leaving the
    children, including A.T.,” in that man’s care while Mother was at work. (Doc. #37, p. 5.)
    The potential risk posed to the children by Mother’s continued association with that friend
    was not the product of any failure in the Agency’s reunification efforts. In more than one
    instance where a mother failed to complete her established case plan objectives, this
    court has determined that “it was [the mother], not [the children’s services agency], who
    failed to make reasonable efforts” to facilitate family reunification. See In re S.S., 2d Dist.
    Miami No. 2011-CA-07, 2011-Ohio-5697, ¶ 42; In re A.W., 2d Dist. Montgomery No.
    21309, 2006-Ohio-2103, ¶ 25. In the latter case, our conclusion was based in part on the
    mother’s ongoing relationship with a sex offender. In re A.W. at ¶ 25. The record supports
    a similar conclusion in this case.
    {¶ 77} Additionally, and perhaps most significantly, Dr. Lilley’s assessment of
    Mother’s parenting and psychological test results revealed that Mother suffered from
    psychological conditions likely to continue to impair her ability to safely and effectively
    parent her children. (See Trial Tr., Vol. I, p. 67.) Dr. Lilley conveyed “significant concerns”
    that Mother’s “entrenched” behaviors created “an environment where [Mother]’s needs
    may come first rather than the child[ren]’s” and her “need for love and security may come
    -32-
    at the expense of the child[ren]’s needs for safety and security.” (Id.) Dr. Lilley testified
    that the risk posed to the children would be “increase[d] and exacerbate[d]” due to the
    children’s special needs. (Id., p. 70.) Further noting that Mother had exhibited a pattern
    of dysfunctional behavior for a period of at least 10 years, Dr. Lilley opined:
    For every ten years of dysfunction, we need almost an equivalent amount
    of intensive therapy * * * so that we can say this person is not a risk factor
    for themselves and/or for their children.
    ***
    * * * [F]or every year of dysfunction, we want at least a year or two of intensive
    therapy. Not months or weeks. Years.”
    (Trial Tr., Vol. I, pp. 73-74, 76.)
    {¶ 78} The Agency cannot be said to have failed to undertake reasonable efforts
    at reunification simply because it did not choose to await the 10-to-20 years of intensive
    therapy that Dr. Lilley recommended as necessary before the children potentially could
    be returned safely to Mother’s care. We have held that a juvenile court does not err by
    awarding permanent custody to a non-parent where the record does not demonstrate that
    an additional extension of temporary custody would have enabled the parent to complete
    his or her case plan objectives. See In re E.K., 2d Dist. Montgomery No. 26897, 2016-
    Ohio-5052, ¶ 8-14. Based on Dr. Lilley’s testimony, the record does not support a
    conclusion that extending temporary custody of any of the three children would have
    enabled Mother to assume custody of D.G., A.T. or E.G. within a reasonable time.
    {¶ 79} Mother’s second assignment of error is overruled.
    Father’s 1st/Mother’s 3rd Assignment of Error - Permanent Custody of D.G.
    -33-
    {¶ 80} Both Mother and Father contend that the juvenile court erred in awarding
    permanent custody of D.G. to the Agency. They argue that clear and convincing evidence
    did not support the court’s determination that a permanent custody award was in D.G.’s
    best interest. Mother additionally suggests that “the trial court’s decision was against the
    manifest weight of the evidence.” (Brief of Appellant, Mother, p. 16.) The record does not
    bear out their contentions.
    a. Law Governing Permanent Custody Determinations
    {¶ 81} The United States Supreme Court has stated that a parent’s interest in the
    care, custody, and control of his or her children “is perhaps the oldest of the fundamental
    liberty interests recognized by” that court. Troxel v. Granville, 
    530 U.S. 57
    , 65, 
    120 S. Ct. 2054
    , 
    147 L. Ed. 2d 49
    (2000). Unless they forfeit the right through specific conduct,
    “suitable” parents have a “paramount” right to the custody of their minor children. In re
    Perales, 
    52 Ohio St. 2d 89
    , 97, 
    369 N.E.2d 1047
    (1977). Still, “the natural rights of a parent
    are not absolute, but are always subject to the ultimate welfare of the child, which is the
    polestar or controlling principle to be observed.” (Citation omitted.) In re Cunningham, 
    59 Ohio St. 2d 100
    , 106, 
    391 N.E.2d 1034
    (1979).
    {¶ 82} Pursuant to R.C. 2151.414(B)(1)(d), if a child has been in the temporary
    custody of a children services agency for 12 or more months of a consecutive 22-month
    period, the juvenile court may grant permanent custody of that child to the agency upon
    a determination that permanent custody is in the child’s best interest. Because an award
    of permanent custody is “ ‘a drastic remedy’ ” that “involves the termination of parental
    rights,” permanent custody determinations must be based upon clear and convincing
    evidence. In re S.M., 2d Dist. Montgomery No. 24539, 2011-Ohio-6710, ¶ 4, fn.1, quoting
    -34-
    In re A.W., 2d Dist. Montgomery No. 21309, 2006-Ohio-2103, ¶ 6; see also R.C.
    2151.414(B)(1) and (E). “Clear and convincing evidence” is “ ‘the measure or degree of
    proof that will produce in the mind of the trier of fact a firm belief or conviction as to the
    allegations sought to be established.’ ” In re Rose, 2017-Ohio-694, 
    85 N.E.3d 498
    , ¶ 19
    (2d Dist.), quoting In re Estate of Haynes, 
    25 Ohio St. 3d 101
    , 104, 
    495 N.E.2d 23
    (1986).
    “Clear and convincing” means “more than a mere preponderance,” but less than “clear
    and unequivocal.” 
    Id. In determining
    a child’s “best interest” under R.C. 2151.414(B)(1), a court must
    consider the factors set forth at R.C. 2151.414(D)(1). Those factors include:
    (a) The interaction and interrelationship of the child with the child’s parents,
    siblings, relatives, foster caregivers and out-of-home providers, and any
    other person who may significantly affect the child;
    (b) The wishes of the child, as expressed directly by the child or through the
    child’s guardian ad litem, with due regard for the maturity of the child;
    (c) The custodial history of the child, including whether the child has been
    in the temporary custody of [an agency] * * * for twelve or more months of
    a consecutive twenty-two-month period* * *;
    (d) The child’s need for a legally secure permanent placement and whether
    that type of placement can be achieved without a grant of permanent
    custody to the agency;
    (e) [Whether additional factors listed at R.C. 2151.414(E)(7)-(11) apply].
    R.C. 2151.414(D)(1).
    b. Analysis
    -35-
    {¶ 83} Father   and    Mother    both   admit      that,   in   accordance   with   R.C.
    2151.414(B)(1)(d), D.G. had been in the Agency’s temporary custody for 12 or more
    months of a consecutive 22-month period before the Agency filed for permanent custody.
    As a result, the juvenile court was empowered to grant permanent custody of D.G. to the
    Agency based on “clear and convincing evidence” that D.G.’s best interest would be
    served by such an award. See 
    id. In determining
    D.G.’s best interest, the court properly
    considered the relevant factors enumerated at R.C. 2151.414(D)(1). Further, the record
    demonstrates that clear and convincing evidence supports the juvenile court’s
    determination that an award of permanent custody to the Agency was in D.G.’s best
    interest, and the court’s decision was not against the manifest weight of the evidence.
    R.C. 2151.414(D)(1)(a) –interaction/interrelationship of child with others
    {¶ 84} The juvenile court determined that evidence of D.G.’s close connection to
    his foster family weighed in favor of his remaining in that placement. The court cited both
    the caseworker’s observations about D.G.’s bond with his entire foster family and Foster
    Mother’s testimony that she viewed D.G. “like our birth child.”
    {¶ 85} In contrast, the evidence indicated that D.G. had not demonstrated a bond
    to Father. Father’s protracted absence from visitations with D.G., along with testimony
    regarding D.G.’s “attachment” issues, was evidence tending to further support a
    conclusion that a close relationship did not exist between the two. While Mother was
    consistent with visitation and did appear to be genuinely bonded to her son, the juvenile
    court did not err by failing to conclude that such relationship outweighed D.G.’s interest
    in retaining his bond with his long-time foster family.
    {¶ 86} Although Mother contends that “the only evidence regarding D.G.’s
    -36-
    interactions was found in * * * inadmissible hearsay,” the record belies that claim. Cathie
    Stokes testified to her personal observations of D.G.’s positive interactions with Foster
    Mother, her husband, and the rest of D.G.’s foster family. (Trial Tr., Vol. 1, pp. 81-83.)
    Similarly, Foster Mother testified about her personal attachment to D.G. and her
    observations of his interactions with her entire family. Credible, competent, clear and
    convincing evidence supported the juvenile court’s assessment regarding this factor.
    R.C. 2151.414(D)(1)(b) –child’s wishes
    {¶ 87} Given that D.G. was less than three years old at the time of the permanent
    custody hearing, he was too young to express his wishes in accordance with R.C.
    2151.414(D)(1)(b). The court properly so found. This factor had no bearing on the court’s
    decision.
    R.C. 2151.414(D)(1)(c) –child’s custodial history
    {¶ 88} The lengthy duration of D.G.’s placement with his foster family was a factor
    that, while not dispositive in isolation, weighed in favor of permanent custody under R.C.
    2151.414(D)(1)(c). D.G. was 13 months old when he was removed from Mother’s custody
    in June 2016; by the date of the court’s original permanent custody decision in March
    2018, D.G. had spent nearly two-thirds of his life in the sole custody of his foster family.
    The court’s assessment of that factor was supported by clear and convincing evidence.
    R.C. 2151.414(D)(1)(d) –child’s need for secure permanent placement
    {¶ 89} The juvenile court placed great emphasis on D.G.’s need for “a legally
    secure permanent placement” and on the court’s perception that neither Father nor
    Mother was able to provide a home environment consistent with that goal, whereas D.G.’s
    foster family was. Clear and convincing evidence of D.G.’s multiple medical, emotional,
    -37-
    and developmental challenges, and of Father’s and Mother’s ongoing lack of adequate
    and stable employment and housing, as well as their own mental health challenges,
    supported the court’s determination.
    {¶ 90} The court summarized Foster Mother’s testimony about the many physical
    and emotional problems that affected D.G. when he first came into her care, as well as
    her testimony about numerous additional problems that had surfaced throughout D.G.’s
    time in her home. Among those were D.G.’s brain surgery in November 2016 to treat
    Chiari malformation, and multiple other hospitalizations during 2016. The court noted
    Foster Mother’s statement that D.G. saw a doctor for illness up to 10 times per month,
    and her description of regular “behavioral outbursts” where D.G. would hit other children
    and adults or “target” other children at daycare. The court noted that D.G. was in
    “intensive psychotherapy” as well as speech, physical, and occupational therapy for
    developmental delays and emotional issues expected to cause ongoing academic and
    other concerns.
    {¶ 91} The juvenile court noted that reunification of D.G. with either Mother or
    Father was the initial goal of the original case plan, but nonetheless found that an award
    of permanent custody to the Agency was in D.G.’s best interest. On that point, the court
    stated:
    Neither parent has made significant progress on [his or her] case plan
    objectives. [D.G.] is in need of a legal secure permanent placement and is
    currently placed in a foster-to-adopt home. [D.G.] is bonded with his current
    foster family. * * * Placement with either Mother or * * * [F]ather is not possible
    within a reasonable time due to their failure to remedy problems that initially
    -38-
    caused the children to be placed outside the home.
    * * * The Court finds there are no other willing or able relatives for
    placement for [D.G.]. Mother sent information to the Agency about a niece
    the day before the hearing. The Agency did not have an opportunity to
    explore that option. The Agency would be concerned with that placement due
    to [D.G.]’s special needs, as well as his attachment issues and not having a
    relationship with the niece. The caseworker noted that [D.G.] may have had
    occasional visits with this individual, but was unaware of a bonded
    relationship. The caseworker did meet the niece at the beginning of the case,
    but has not had an opportunity to vet her.
    The Agency is unaware of any other potential placements. [D.G.] is
    adoptable. [D.G.]’s current foster family has been identified as a potential
    adoptive placement. If permanent custody were granted, the case would be
    transferred to an adoptions unit where a matching conference would be held
    with the [foster parents] since they expressed an interest in adopting.
    (Citations omitted.) (Judge’s Final Appealable Order, pp. 20-21.)
    {¶ 92} Mother has not disputed any particular factual finding made by the court as
    to this factor. Although she does assert that she “could have provided a permanent
    placement” for D.G. and that Dr. Lilley’s opinion about needed treatment was “[t]he only
    barrier” to that result, clear and convincing evidence supports the juvenile court’s
    conclusion that Mother still lacked suitable housing, sufficient income, and the ability to
    reliably meet D.G.’s substantial medical and other needs that his foster family had been
    managing well.
    -39-
    {¶ 93} In contrast, Father asserts that “no evidence * * * establish[es] that [he] was
    in any way responsible for the situation that initially led to the children’s removal from their
    mother’s care.” Irrespective of that assertion, it also is true that Father has directed us to
    no evidence in the record that undermines the court’s conclusion that assigning
    permanent custody to the Agency was in D.G.’s best interest. Although Father alleges
    that any lack of progress on his case plan stemmed from his “contentious relationship”
    with the Agency, the juvenile court was entitled to reject that explanation as lacking
    credibility, and/or to determine that Father alone was responsible for any “contentious
    relationship.” Furthermore, Father’s hearing testimony did not evince a present ability to
    provide an appropriate and secure placement for D.G. In fact, Father at that time stated
    not that he wished to gain custody of D.G., but only that he wished D.G. to be removed
    from D.G.’s current foster home, with no suggestion for an alternate placement.
    {¶ 94} Given the extensive evidence of Father’s demonstrated pattern of
    “aggressive tendencies,” long-term lack of stable employment and housing, failure to
    diligently pursue his case plan objectives, and history of repeated missed visitation, the
    juvenile court did not err by concluding that clear and convincing evidence demonstrated
    that D.G.’s best interest under R.C. 2151.414(D)(1)(d) weighed in favor of an award of
    permanent custody to the Agency.
    R.C. 2151.414(D)(1)(e) –other factors
    {¶ 95} Finally, under R.C. 2151.414(D)(1)(e), the juvenile court determined that the
    additional factor listed under R.C. 2151.414(E)(10) applied with regard to Father, whom
    the court found had “abandoned” D.G. by failing to visit or contact the child for a period of
    -40-
    more than 90 days. (Judge’s Final Appealable Order, p. 17, citing R.C. 2151.011(C)).12
    Again, clear and convincing evidence supports the juvenile court’s conclusion. Father
    admitted that he had not visited either D.G. or E.G. since August 2017. Although Father
    attempted to blame the missed visits on the Agency’s failure to communicate with him,
    we must defer to the juvenile court’s apparent determination that Father’s explanation
    was not credible.
    {¶ 96} Based on the record, we conclude that clear and convincing evidence
    supported the juvenile court’s determination that D.G.’s best interest warrants his
    placement in the Agency’s permanent custody.
    Manifest Weight of the Evidence
    {¶ 97} Finally, contrary to Mother’s suggestion, the trial court’s conclusion
    regarding D.G.’s best interest was not against the manifest weight of the evidence. A trial
    court’s permanent custody decision “ ‘will not be overturned as against the manifest
    weight of the evidence if the record contains competent, credible evidence by which the
    court could have formed a firm belief or conviction that the essential statutory elements
    for a termination of parental rights have been established.’ ” In re S.J., 2d Dist.
    Montgomery No. 25551, 2013-Ohio-3653, ¶ 27, quoting In re A.U., 2d Dist. Montgomery
    No. 22264, 2008-Ohio-186, ¶ 15. “ ‘[I]issues relating to the credibility of witnesses and the
    weight to be given the evidence are primarily for the trier of fact.’ ” 
    Id., quoting In
    re A.J.S.,
    2d Dist. Miami No. 2007 CA 2, 2007-Ohio-3433, ¶ 22. For the reasons discussed above,
    we conclude that competent, credible evidence supported the juvenile court’s
    12
    That section states in part: “For the purposes of this chapter, a child shall be presumed
    abandoned when the parents of the child have failed to visit or maintain contact with the
    child for more than ninety days * * *.”
    -41-
    conclusions.
    {¶ 98} Father’s first assignment of error is overruled, and Mother’s third
    assignment of error is overruled as to the juvenile court’s permanent custody decision
    regarding D.G.
    Father’s 2nd/Mother’s 3rd Assignment of Error - Legal Custody of E.G.
    {¶ 99} Father and Mother advance similar separate challenges to the juvenile
    court’s award of legal custody of E.G. to his non-relative caregivers, Mr. and Mrs. H.
    Father argues that the court’s decision was “unreasonable” given Father’s “significant
    progress on his case plan,” while Mother faults the court for relying on Dr. Lilley’s
    psychological assessment of Mother’s parenting abilities. Neither argument is well taken.
    a. Law Governing Legal Custody Awards
    {¶ 100} A juvenile court may award legal custody of a dependent child to a parent
    or to any other person who is proposed as a legal custodian. In re A.F., 2018-Ohio-310,
    
    103 N.E.3d 1260
    , ¶ 51 (2d Dist.), citing R.C. 2151.353(A)(3). When making a legal
    custody determination under R.C. 2151.353, the juvenile court must apply the “best
    interest of the child” standard set forth at R.C. 3109.04(F)(1). In re Poling, 
    64 Ohio St. 3d 211
    , 
    594 N.E.2d 589
    (1992), paragraph two of the syllabus; see also R.C. 2151.23(F)(1)
    (requiring juvenile court to exercise its jurisdiction in child custody matters in accordance
    with R.C. 3109.04 and other code sections); In re R.H.B., 2d Dist. Clark Nos. 2015-CA-
    12, 2015-CA-14, 2016-Ohio-729, ¶ 2 (“the best interest of the child is the court’s primary
    consideration” in awarding legal custody).
    {¶ 101} Under R.C. 3109.04(F)(1), the factors a court must consider in determining
    a child’s best interest include the parents’ wishes; the child’s wishes, if expressed to the
    -42-
    court during an interview; the child's interaction with parents, siblings, and others who
    may significantly affect the child's best interests; the child’s adjustment to his or her home,
    school, and community; and the mental and physical health of all persons involved. In re
    D.S., 2d Dist. Clark No. 2013 CA 51, 2014-Ohio-2444, ¶ 9. “[B]lood relationship” and
    “family unity” may be relevant, but are not controlling. 
    Id. {¶ 102}
    An award of legal custody must be based on a preponderance of the
    evidence. In re A.F. at ¶ 53. “Preponderance of the evidence simply means ‘evidence
    which is of a greater weight or more convincing than the evidence which is offered in
    opposition to it.’ ” 
    Id., quoting In
    re Starks, 2d Dist. Darke No. 1646, 2005-Ohio-1912,
    ¶ 15, and Black's Law Dictionary 1182 (6th Ed. 1998).
    b. Analysis
    {¶ 103} Although “[a] parent’s case-plan compliance is relevant * * * to the best-
    interest determination, * * * it is not dispositive.” In re A.K., 2d Dist. Montgomery No.
    27575, 2017-Ohio-8100, ¶ 11, citing In re T.S., 2017-Ohio-482, 
    85 N.E.3d 225
    , ¶ 13 (2d
    Dist.). “The statutory best-interest factors may justify an award of legal custody to
    someone other than a parent, or even the termination of parental rights, despite a parent’s
    completion of all case-plan objectives.” 
    Id., citing In
    re T.S. at ¶ 12. Thus, irrespective of
    either parent’s progress on his or her case plan objectives here, the juvenile court was
    not precluded from awarding legal custody of E.G. to someone other than Mother or
    Father. Additionally, the record supports the juvenile court’s conclusion that Father had
    not substantially complied with his case plan objectives.
    {¶ 104} In deciding the Agency’s motion for an award of legal custody of E.G., the
    juvenile court properly analyzed the “best interest” factors set forth at R.C. 3109.04(F)(1).
    -43-
    A preponderance of the evidence supported the court’s conclusion that E.G.’s best
    interest warranted awarding legal custody to his existing caregivers, Mr. and Mrs. H.
    Because E.G. was only 19 months old at the time of the custody hearing, he was unable
    to express his own wishes as to his future placement. The factor under R.C.
    3109.04(F)(1)(b) therefore had no bearing on the court’s decision. Similarly, the factors
    listed under R.C. 3109.04(F)(1)(f)-(j), most of which relate to custody disputes between
    parents, were not relevant as to the court’s decision in this case.
    {¶ 105} As to R.C. 3109.04(F)(1)(c), the record contains, and the court considered,
    significant evidence regarding E.G.’s interactions with his parents, siblings, and foster
    family. Caseworker Stokes testified that she personally had observed E.G.’s bond with
    and positive response to the care provided by Mr. and Mrs. H, in whose home E.G.’s
    sister, A.T., also lived. In contrast, E.G. had experienced only sporadic interaction with
    Father, and none since August 2017. Although E.G.’s interactions with Mother were
    positive and more regular, a preponderance of the evidence supported a conclusion that
    the R.C. 3109.04(F)(1)(c) factor weighed in favor of legal custody to Mr. and Mrs. H.
    {¶ 106} E.G. was too young to attend school, but the evidence showed that he had
    adjusted well to Mr. and Mrs. H’s home, despite multiple medical and developmental
    challenges. The family was managing E.G.’s celiac disease with a special diet and had
    enrolled him in physical, occupational, and speech therapy to address various health
    concerns. Father testified that he was aware that E.G. had special needs, but not familiar
    with their implications. He knew that E.G. was on a restricted diet only because he once
    had given E.G. a bottle (belonging to D.G.) that contained formula E.G. was not supposed
    to consume. Although Father expressed a willingness to take E.G. to appointments, he
    -44-
    had not attended any such appointments in the past, and he did not own a car. Mother
    had attended some medical appointments for E.G. and was more familiar with his care.
    Still, a preponderance of the evidence supported a determination that E.G.’s best interest
    as measured under R.C. 3109.04(F)(1)(d) and (e) favored a grant of legal custody to Mr.
    and Mrs. H.
    {¶ 107} Only as to the one remaining factor - R.C. 3109.04(F)(1)(a), regarding the
    parents’ wishes – could a preponderance of the evidence be said to weigh against an
    award of legal custody to Mr. and Mrs. H. Even as to that factor, Father’s wish as stated
    at the hearing was not that Father receive custody of E.G., but rather that custody be
    awarded to the Agency. (See Trial Tr., Vol. II, p. 11.) The court did not err by concluding
    that a preponderance of the evidence did not support an effectuation of Father’s stated
    preference. Further, in conducting a best interest analysis, “the focus * * * is on the child,
    not the parent.” In re A.K., 2d Dist. Montgomery No. 27575, 2017-Ohio-8100, at ¶ 11.
    Despite Mother’s wish to have E.G. returned to her custody, a preponderance of the
    evidence supported the juvenile court’s conclusion that E.G.’s best interest warranted an
    award of legal custody to Mr. and Mrs. H, who had been fulfilling E.G.’s needs since June
    2016 and who seemed best positioned to serve his future needs.
    {¶ 108} For the foregoing reasons, Father’s second assignment of error is
    overruled, and Mother’s third assignment of error is overruled as to the juvenile court’s
    award of legal custody of E.G. to Mr. and Mrs. H.
    Mother’s 3rd Assignment of Error – Legal Custody of A.T.
    {¶ 109} Finally, Mother alone challenges the juvenile court’s award of legal custody
    of A.T. to Mr. and Mrs. H. Our review confirms that the trial court considered the proper
    -45-
    factors in determining A.T.’s best interest in accordance with R.C. 3109.04(F)(1), and
    further confirms that a preponderance of evidence supported the trial court’s
    determination that an award of legal custody of A.T. to Mr. and Mrs. H was in A.T.’s best
    interest.
    {¶ 110} The record reflects that the trial court appropriately considered the
    testimony regarding A.T.’s desire, as expressed to the court-appointed GAL, to remain in
    the care and custody of Mr. and Mrs. H. See R.C. 3109.04(F)(1)(b). A.T. was 12 years
    old at the time of the legal custody decision, and the GAL viewed A.T. as mature enough
    to reach an informed opinion regarding her preferences. Further, the court properly
    considered the reported opinion of A.T.’s therapist that A.T. should not be in Mother’s
    presence for the sake of A.T.’s mental health. See R.C. 3109.04(F)(1)(e). Undisputed
    evidence indicated that A.T. suffered from PTSD and anxiety as a result of trauma she
    suffered while in Mother’s custody, leading to “multiple emergency room visits” and two
    hospitalizations when A.T. experienced “flashbacks” where she was in danger of hurting
    herself and others. (Trial Tr., pp. 84, 86-87.) A.T.’s therapist was said to have opined that
    Mother was a “trigger” for A.T.’s mental health crises. (Id., p. 85.) A preponderance of
    evidence thus suggested that A.T.’s mental and physical well-being weighed heavily
    against a return to Mother’s custody.
    {¶ 111} A preponderance of the evidence also supported a conclusion that Mr. and
    Mrs. H would be better able than Mother to address A.T.’s challenges with schoolwork.
    See R.C. 3109.04(F)(1)(d). Additionally, A.T. was reported to be bonded with Mr. and
    Mrs. H, and her brother E.G. also was present in their household. See R.C.
    3109.04(F)(1)(c). Finally, Dr. Lilley’s testimony regarding Mother’s own mental health
    -46-
    challenges also suggested that A.T.’s best interest would be furthered by remaining in
    Mr. and Mrs. H’s home rather than returning to Mother’s care. See R.C. 3109.04(F)(1)(e).
    {¶ 112} In challenging the award of legal custody as to A.T., Mother cites only Dr.
    Lilley’s inability to observe Mother’s interacting with A.T. and the juvenile court’s reliance
    on hearsay testimony as to why visitations between A.T. and Mother were not occurring.
    The trial court did not err by considering hearsay evidence for purposes of a legal custody
    determination. See Juv.R. 34(B)(2) (during a dispositional hearing, “the court may admit
    evidence that is material and relevant, including, but not limited to, hearsay * * *”). The
    court also had ample evidence from the personal observations of sources other than Dr.
    Lilley regarding A.T.’s positive interactions with her non-familial custodians, and a
    preponderance of the evidence demonstrated good cause for A.T. not to be made
    available for observation while interacting with Mother.
    {¶ 113} Mother’s third assignment of error is overruled as to the juvenile court’s
    award of legal custody of A.T. to Mr. and Mrs. H.
    Conclusion
    {¶ 114} The final judgments of the juvenile court will be affirmed.
    .............
    WELBAUM, P.J. and DONOVAN, J., concur.
    Copies sent to:
    Mathias H. Heck
    Sarah E. Hutnik
    Marshall G. Lachman
    -47-
    Sara M. Barry
    Hon. Helen Wallace
    

Document Info

Docket Number: 28332 & 28355

Citation Numbers: 2019 Ohio 3527

Judges: Froelich

Filed Date: 8/30/2019

Precedential Status: Precedential

Modified Date: 4/17/2021