In re J.A. , 424 P.3d 913 ( 2018 )


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    2018 UT App 29
    THE UTAH COURT OF APPEALS
    STATE OF UTAH, IN THE INTEREST OF J.A. AND C.A.,
    PERSONS UNDER EIGHTEEN YEARS OF AGE.
    C.A.,
    Appellant,
    v.
    STATE OF UTAH,
    Appellee.
    Amended Opinion 1
    No. 20160201-CA
    Filed February 15, 2018
    Second District Juvenile Court, Ogden Department
    The Honorable Sherene T. Dillon
    No. 1118574
    Jason B. Richards, Attorney for Appellant
    Sean D. Reyes and John M. Peterson, Attorneys
    for Appellee
    Martha Pierce, Guardian ad Litem
    JUDGE MICHELE M. CHRISTIANSEN authored this Opinion, in
    which JUDGES KATE A. TOOMEY and DAVID N. MORTENSEN
    concurred.
    1. This Amended Opinion replaces the Opinion in Case No.
    20160201-CA issued on December 7, 2017. After our original
    opinion issued, the State of Utah and the Guardian ad Litem
    filed petitions for rehearing, and we called for a response. We
    grant the petitions for the limited purpose of removing one
    footnote and deny the petitions in all other respects.
    In re J.A.
    CHRISTIANSEN, Judge:
    ¶1     C.A. (Father) appeals from the juvenile court’s
    adjudication order, in which the court found that Father had
    severely abused one of his children and neglected both of them.
    We affirm.
    BACKGROUND 2
    ¶2    Father and A.Z. (Mother) had two children—J.A. (Older
    Child) and C.A. (Younger Child). Older Child was born in
    November 2012, and Younger Child was born in April 2015.
    ¶3     On July 21, 2015, Mother left for work around 7:30 a.m.,
    leaving Father at home to care for the children. Younger Child
    was awake and smiling when Mother left.
    ¶4     According to Father, Younger Child took a nap from 9:30
    to 11:30 a.m., and both children took naps around 1:00 p.m. As
    Father watched television, he heard a “choking” sound coming
    from Younger Child’s room and went to check on him. Father
    took Younger Child into the living room. Younger Child was
    limp and did not appear to be breathing. According to Father, he
    unsuccessfully attempted CPR and called 911.
    ¶5     The first responding officer observed that Younger Child
    was nonresponsive, that his arms were “straight out in front” of
    him, that his “hands were locked,” and that he had very shallow
    breathing. The officer later testified that Father told him that he
    “shook [Younger Child] a little bit” to try to clear his airways.
    2. We recite the facts as found by the juvenile court. See In re
    O.D., 
    2006 UT App 382
    , ¶ 2 n.1, 
    145 P.3d 1180
    .
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    ¶6     An ambulance transported Younger Child to a local
    hospital, where a CT scan revealed that he had a subdural
    hematoma. The hospital requested an airlift to Primary
    Children’s Medical Center (PCMC), where doctors stabilized
    Younger Child and performed additional tests and scans on him.
    The additional testing revealed that Younger Child had two
    subdural hematomas, one older and one more recent. He also
    had retinal hemorrhaging, fractured ribs, and a neck injury. The
    incident ultimately left Younger Child with significant and
    permanent brain damage.
    ¶7     Police obtained search warrants for the family’s house
    and for the parents’ cell phones. After conferring with physicians
    at PCMC, who ultimately concluded that Younger Child’s
    injuries were the result of nonaccidental trauma, police officers
    arrested Father. The State obtained a warrant to take both
    children into custody and filed a verified petition alleging abuse
    and neglect based on the July 21, 2015 incident.
    ¶8     The police extracted several text messages from each
    parent’s cell phone. A detective (Detective) sifted through the
    texts and compiled the ones he believed were relevant to the
    investigation. For example, in a June 24, 2015 text to Mother,
    Father stated, “I think you should take the kids. He is getting me
    to a new level.” Mother responded, “[D]o whatever you need to
    get away and take a break.” And in a June 27, 2015 text, Father
    sent Mother a picture of a bruise on Younger Child’s neck.
    Mother responded with “W.T.F.” and “OMG . . . that is a really
    bad bruise.”
    ¶9     In December 2015, the juvenile court held a four-day
    adjudication trial. Father testified that he watched the children
    about half of the time. Father added that Younger Child had
    choking issues from birth and had also been diagnosed with acid
    reflux. He denied ever “shaking” Younger Child, stating that he
    only ever “slight[ly] bounce[d]” Younger Child to help him clear
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    his airways. In an apparent attempt to explain Younger Child’s
    rib injuries, Father testified that about a week before the
    incident, Mother had been driving and was forced to slam on the
    brakes to avoid a collision. Father testified that Younger Child
    was sleeping in the car at the time and did not wake up or cry.
    ¶10 Regarding Younger Child’s neck injury, Father described
    an incident in which Older Child had allegedly tripped over
    Younger Child. Father stated that Younger Child seemed
    “startled” after Older Child tripped over him, but that he did not
    cry. Father told Mother about the incident via text message.
    Father admitted that he had initially lied to her about what had
    happened; he told her that Younger Child had gotten the bruise
    by lying on his pacifier. Father also discussed his text messages
    with Mother regarding a bruise on Younger Child’s forehead
    and stated that the forehead bruise came from the same tripping
    incident. Father acknowledged that Younger Child’s injuries
    were “pretty severe,” but he denied causing them.
    ¶11 The first responding officer testified about what he had
    witnessed when he arrived at the family’s house on the day of
    the incident. Although the first responding officer testified that
    Father admitted he “shook [Younger Child] a little bit” to try to
    get him to respond, another officer stated that Father told him
    that Father had “jiggled and bounced” Younger Child and
    “flatly” denied shaking Younger Child. While he was in the
    house, the first responding officer heard a sound coming from
    another room. When he opened the door he found Older Child,
    who had been locked inside the room with a child-proof lock.
    The room smelled like urine. Father was upset that the officer
    had opened Older Child’s door and stopped the officer from
    talking to Older Child. Father told Older Child to “remember
    what I told you.” The officer described the family’s house as
    “cluttered” but “not overly dirty.”
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    ¶12 A second responding officer testified that he observed
    Father arguing with the first responding officer about why he
    had opened Older Child’s bedroom door. The second officer
    testified that Father was more concerned with the police
    presence than with Younger Child’s welfare. Father asked the
    first responding officer to leave several times, stating that he
    “didn’t want police there.”
    ¶13 The first responding officer further testified that he had
    executed the warrant to seize the parents’ cell phones. The
    officer stated that he had taken the phones, turned them off,
    removed the batteries, and given them to detectives.
    ¶14 Detective testified that a “data dump” was performed on
    the phones and that he had been provided with two thumb
    drives containing “all of the content from those phones.”
    Detective       “looked     through    all   the   messages,      the
    pictures, . . . [and] the videos and put the content together for the
    text messages leading up to and the day of the incident that
    occurred.” He testified that he “didn’t include all of the texts” in
    his police report; he only included “texts [he] felt [were] relevant
    to this case and with communication between [Father] and
    [Mother] or anybody else that would have had anything to do
    with [Younger Child] and [his] health and well-being.”
    ¶15 Three medical experts testified at the trial. The head of the
    Safe and Healthy Families Team at PCMC (Doctor) testified for
    the State. Doctor testified generally about “shaken baby
    syndrome” and clarified that it was properly referred to as
    “abusive head trauma.” Doctor testified that none of the parents’
    explanations adequately accounted for Younger Child’s injuries.
    ¶16 Doctor testified in detail about Younger Child’s injuries.
    She testified that Younger Child suffered retinal hemorrhages in
    both of his eyes and that “this particular pattern where it’s in
    multiple layers of the retina and goes all the way out to the aura
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    In re J.A.
    is specific—not entirely specific, but very specific for rotational
    injury by shaking.” Doctor observed that Younger Child’s CT
    scan showed that he had an older subdural hematoma, but she
    testified that it was unlikely that the newer hematoma was a “re-
    bleed of the chronic ones” based on Younger Child’s symptoms.
    Doctor also testified regarding other possible causes for Younger
    Child’s injuries, but she stated that “nothing seemed to fit the
    pattern of anything other than abusive head trauma and
    physical abuse to explain all of [Younger Child’s] injuries.”
    Doctor explained that a baby like Younger Child “would have
    symptoms immediately after having sustained these injuries.”
    ¶17 A board-certified radiologist (Radiologist) testified for the
    State regarding Younger Child’s rib fractures. He testified that x-
    rays showed calcification of Younger Child’s rib fractures, which
    is indicative of healing. He also testified that the fractures would
    not have been caused by Father’s attempts at CPR. Radiologist
    testified that Younger Child’s rib injuries appeared to be “about
    seven to fourteen days” old as of the July 21, 2015 incident. He
    ruled out rickets as the cause of Younger Child’s rib injuries. 3
    ¶18 At the close of the State’s case-in-chief, Father moved for
    involuntary dismissal pursuant to rule 41(b) of the Utah Rules of
    Civil Procedure. Father argued that the State had failed to
    provide clear and convincing evidence that he was responsible
    for Younger Child’s injuries. Father also argued that the Juvenile
    Court Act was unconstitutional as applied to him. The court
    denied Father’s motion for involuntary dismissal and took his
    3. “Rickets is the softening and weakening of bones in children,
    usually because of an extreme and prolonged vitamin D
    deficiency.” Mayo Clinic, Rickets, https://www.mayoclinic.org/
    diseases-conditions/ rickets/ symptoms-causes/syc-20351943
    [https://perma.cc/N26A-C7PW].
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    constitutional argument under advisement, stating that it would
    decide those issues after all of the evidence had been presented.
    ¶19 Thereafter, Father’s expert (Father’s Expert) testified that
    all of Younger Child’s subdural hematomas were the result of a
    “re-bleed” from a subdural hematoma that likely occurred
    during Younger Child’s birth, combined with rickets. Father’s
    Expert acknowledged that, while he had considerable experience
    as an emergency room physician, he had no special training in
    diagnosing child abuse and was not a trained radiologist. On
    rebuttal, Doctor disagreed with Father’s Expert that Younger
    Child’s newer subdural hematoma was the result of a “re-bleed.”
    Doctor explained that the entire collection of Younger Child’s
    injuries, including subdural hematomas, 360-degree multilayer
    retinal hemorrhaging, neck injury, and rib fractures, could
    reasonably be explained only by traumatic shaking incidents.
    ¶20 In March 2016, the juvenile court entered an order
    adjudicating both children as neglected by the parents. The court
    found that Younger Child had suffered two rib fractures within
    a two-week period surrounding his “acute injuries.” In addition,
    the court found that Younger Child had been severely abused by
    Father. The court rejected Father’s argument regarding the
    constitutionality of the Juvenile Court Act.
    ¶21 On January 6, 2017, the juvenile court terminated Father’s
    parental rights on the grounds that (1) Father had “abandoned
    his children and failed to show the normal interest of a natural
    parent”; (2) Father had “severely abused or neglected” the
    children; (3) Father was an “unfit or incompetent parent[]”;
    (4) Father had “been unable or unwilling to remedy the
    circumstances that caused the children to be in an out-of-home
    placement” and there was a “substantial likelihood that [he
    would] not be capable of exercising proper and effective parental
    care in the near future”; (5) Father’s actions constituted a failure
    of parental adjustment; and (6) Father had “made only token
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    efforts to support or to communicate with the children.” As far
    as this court is aware, Father has not appealed from the juvenile
    court’s order terminating his parental rights in the children.
    Father’s appeal in this case is from the juvenile court’s order
    adjudicating the children as abused and neglected.
    ISSUES AND STANDARDS OF REVIEW
    ¶22 First, Father contends that the juvenile court erred by
    denying his motion for involuntary dismissal. When reviewing
    the denial of a motion for involuntary dismissal, we review the
    juvenile court’s factual findings and inferences for clear error
    and its legal conclusions for correctness. Brady v. Park, 
    2013 UT App 97
    , ¶ 14, 
    302 P.3d 1220
    .
    ¶23 Second, Father contends that the juvenile court erred by
    denying his motion to find that the Juvenile Court Act (the Act)
    is unconstitutional. More specifically, Father argues that the Act
    is unconstitutional because it “fails to properly outline the
    elements of committing severe child abuse.” In a related but
    separate argument, Father further argues that the Act is
    unconstitutional because it “does not require the juvenile court
    to make any type of finding regarding the mental intent of the
    purported perpetrator of severe abuse.” “‘Constitutional
    challenges to statutes present questions of law, which we review
    for correctness.’” Jones v. Jones, 
    2013 UT App 174
    , ¶ 7, 
    307 P.3d 598
     (quoting State v. Green, 
    2004 UT 76
    , ¶ 42, 
    99 P.3d 820
    ), aff’d,
    
    2015 UT 84
    , 
    359 P.3d 603
    . “Nevertheless, ‘legislative enactments
    are presumed to be constitutional, and those who challenge a
    statute or ordinance as unconstitutional bear the burden of
    demonstrating its unconstitutionality.’” 
    Id.
     (quoting Green, 
    2004 UT 76
    , ¶ 42).
    ¶24 Third, Father contends that the juvenile court erred by
    “allowing text messages to be read into the record without any
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    foundation.” We review the juvenile court’s interpretation and
    application of a rule of evidence for correctness. See Utah Dep’t of
    Transp. v. TBT Prop. Mgmt., Inc., 
    2015 UT App 211
    , ¶ 15, 
    357 P.3d 1032
    ; see also State v. Griffin, 
    2016 UT 33
    , ¶ 14, 
    384 P.3d 186
    (applying a correctness standard to “legal questions underlying
    the admissibility of evidence” (citation and internal quotation
    marks omitted)).
    ANALYSIS
    I. Father’s Motion for Involuntary Dismissal
    ¶25 Father contends that “[t]he juvenile court committed error
    in denying [his mid-trial] motion for involuntary dismissal
    under [Utah Rule of Civil Procedure] 41(b).” According to
    Father, the juvenile court should have granted his motion
    because the State “did not establish that Father caused [Younger
    Child’s] severe injuries, but rather only offered circumstantial
    evidence that [Younger Child’s] injuries may have been caused
    by Father.”
    ¶26 In a bench trial, after the plaintiff “has completed the
    presentation of his evidence[,] the defendant . . . may move for a
    dismissal on the ground that upon the facts and the law the
    plaintiff has shown no right to relief.” Utah R. Civ. P. 41(b)
    (2015) 4; see also Grossen v. DeWitt, 
    1999 UT App 167
    , ¶ 8, 
    982 P.2d 581
     (“In the context of a bench trial, . . . where there is no jury
    4. Utah Rule of Civil Procedure 41 was amended in November
    2016. “[T]he 2016 amendments move a central provision of
    paragraph (b) from [rule 41] to Rule 52(e).” Utah R. Civ. P. 41
    (2017) advisory committee note to 2016 amendments; see also 
    id.
    R. 52(e) (2017). For clarity, we cite the rule that was in effect at
    the time Father made his motion.
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    verdict, the directed verdict’s counterpart is a motion to
    dismiss.”). “Under Rule 41(b), the court may dismiss if (1) the
    claimant has failed to introduce sufficient evidence to establish a
    prima facie case, or (2) the trial court is not persuaded by that
    evidence.” Grossen, 
    1999 UT App 167
    , ¶ 8 (citation and internal
    quotation marks omitted).
    ¶27 Father asserts that his motion was “based upon a lack of
    evidence to support the allegation that he had directly inflicted
    injury on [Younger Child]. No forensic evidence, further
    eyewitness testimony, nor any confession from Father that he
    shook or abused [Younger Child] was offered.” Thus, according
    to Father, “the State failed to establish a prima facie case that
    [Younger Child’s] injuries [were] a direct result of the Father and
    being in his care.” “[T]he determination of whether a party has
    made out a prima facie case is a question of law which we
    review for correctness, affording no deference to the trial court’s
    judgment.” Brady v. Park, 
    2013 UT App 97
    , ¶ 48, 
    302 P.3d 1220
    (citation and internal quotation marks omitted). “A prima facie
    case has been made when evidence has been received at trial
    that, in the absence of contrary evidence, would entitle the party
    having the burden of proof to judgment as a matter of law.” 
    Id.
    (citation and internal quotation marks omitted).
    ¶28 As a preliminary consideration, we note that Father
    appears to be arguing that circumstantial evidence is insufficient
    as a matter of law to survive a motion for involuntary dismissal.
    Indeed, according to Father, the evidence that he caused
    Younger Child’s injuries “was only circumstantial at best.”
    ¶29 The State concedes that its case “was largely based upon
    circumstantial evidence.” But it is well-settled that circumstantial
    evidence may be sufficient in both criminal and civil
    proceedings. See, e.g., Desert Palace, Inc. v. Costa, 
    539 U.S. 90
    , 100
    (2003) (“Circumstantial evidence is not only sufficient, but may
    also be more certain, satisfying and persuasive than direct
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    In re J.A.
    evidence.” (citation and internal quotation marks omitted)); 
    id.
    (“The adequacy of circumstantial evidence also extends beyond
    civil cases; we have never questioned the sufficiency of
    circumstantial evidence in support of a criminal conviction, even
    though proof beyond a reasonable doubt is required.”); State v.
    MacNeill, 
    2017 UT App 48
    , ¶ 57, 
    397 P.3d 626
     (“[T]he idea that
    circumstantial evidence is necessarily less convincing and of less
    value than direct evidence is a misstatement of the law.”
    (ellipsis, citation, and internal quotation marks omitted)); In re
    Z.D., 
    2007 UT App 33
    , ¶¶ 14–15, 
    156 P.3d 844
     (affirming the
    juvenile court’s conclusion that the father nonaccidentally
    injured the child where testimony indicated that the child was in
    the father’s sole care when the child’s injury occurred and the
    father “provided no nonaccidental explanation for [the child’s]
    injury”).
    ¶30 Father contends that the State “did not establish that
    Father caused [Younger Child’s] severe injuries.” After
    reviewing the record, we conclude that the State presented
    sufficient circumstantial evidence demonstrating that Father
    caused Younger Child’s severe injuries. 5
    5. The parties have not addressed whether we should only
    review the evidence up to the time that the juvenile court denied
    Father’s motion for involuntary dismissal, i.e., at the conclusion
    of the State’s case-in-chief, or whether we should review the
    entire record before us. See State v. Kihlstrom, 
    1999 UT App 289
    ,
    ¶ 9, 
    988 P.2d 949
     (observing, where the defendant’s appeal
    focused on the denial of a motion to dismiss at the close of the
    State’s case-in-chief, that the court’s “review of the sufficiency of
    the evidence is limited to the evidence adduced by the
    prosecution in its case-in-chief”). But see State v. McCallie, 
    2016 UT App 4
    , ¶¶ 42, 44, 
    369 P.3d 103
     (suggesting that the Utah
    Supreme Court adopted the waiver rule in State v. Stockton, 
    310 P.2d 398
     (Utah 1957), and observing that under the waiver rule,
    (continued…)
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    ¶31 Mother testified that on the day of the incident, Younger
    Child was awake and smiling when she left for work. The
    children were then in Father’s exclusive care. When first
    responders arrived several hours later, Younger Child was
    nonresponsive, his arms were “straight out in front” of him, his
    “hands were locked,” and he had very shallow breathing.
    According to the first responding officers, Father was more
    concerned that police were in his house and that they tried to
    talk with Older Child than he was with Younger Child’s welfare.
    ¶32 A CT scan revealed that Younger Child had two subdural
    hematomas, one older and one newer. He also had retinal
    hemorrhages in both of his eyes and rib fractures. Doctor
    testified that Younger Child’s injuries were life-threatening and
    that “the one explanation that explains everything is that
    [Younger Child] was abused, that he was shaken.”
    ¶33 Father asserts, and the State appears to agree, that
    Younger Child’s rib injuries had occurred at least two weeks
    prior to the incident in question. The evidence bears this out.
    Radiologist testified that x-rays showed calcification of Younger
    Child’s rib fractures, which is indicative of healing. He also
    testified that the fractures would not have been caused by
    Father’s attempts at CPR. Radiologist opined that Younger
    (…continued)
    “if the defendant elects to introduce evidence following the
    denial of a motion for a judgment of acquittal, appellate review
    of the defendant’s conviction encompasses all of the evidence
    presented to the jury, irrespective of the sufficiency of evidence
    presented during the state’s case-in-chief” (citation and internal
    quotation marks omitted)), cert. granted, 
    384 P.3d 567
     (Utah
    2016). In arguing that the juvenile court erred in denying his
    motion for involuntary dismissal, Father relies only on the
    evidence presented in the State’s case-in-chief. We follow suit.
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    Child’s rib injuries appeared to be “about seven to fourteen
    days” old as of the July 21, 2015 incident. He also ruled out
    rickets as the cause of Younger Child’s rib injuries. Father asserts
    that, apart from Younger Child’s rib injuries being an older
    injury, “[n]o testimony was offered by the State or [DCFS] to
    show who was caring for [Younger Child] during that specific
    time period.” While this may be true, we ultimately agree with
    the State that even if Younger Child’s rib injuries could have
    been caused by someone other than Father, there was sufficient
    evidence demonstrating “that [Younger Child] suffered the final
    acute life-threatening injury while in the sole care of [Father].”
    ¶34 Doctor testified that Younger Child had “chronic, so
    older, subdural hemorrhages on each side of his head” and “a
    newer subdural hemorrhage on the right side of his head going
    up over the top and covering the part of the brain that is in the
    front and on the side of his head on the right.” She stated that
    the most common cause for a subdural hematoma is trauma and
    that it was significant that Younger Child had hemorrhages on
    both sides of his head, because with abusive head trauma, “most
    commonly it is on both sides of the head.” Doctor clarified that
    “[l]ess commonly, but still frequently[,] it’s on one side of the
    head.” She further testified that about “40 to 50 percent of babies
    with no symptoms at all” can have a subdural hemorrhage that
    is caused by the birthing process, but “that is generally
    gone . . . by about a month of age.” According to Doctor, it was
    not likely that Younger Child’s newer hematoma was the result
    of a “re-bleed of the chronic ones” based on the symptoms he
    had when he was admitted to PCMC: “This is what we see with
    new trauma.” Doctor acknowledged that a “birth trauma related
    subdural hematoma” could be mistaken for abusive head
    trauma, but she stated that she would have noticed that because
    “[w]hen chronic subdurals re-bleed, the clinical picture is not
    one of devastation, of symptomatic problems like [Younger
    Child] had, like limpness, like seizures, like poor breathing. It’s
    without symptoms.”
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    ¶35 Doctor refuted Father’s explanation for Younger Child’s
    neck bruise, testifying that the bruise looked “like something
    was squeezing [his] neck or a t-shirt was pulled on.” She further
    testified that it was unlikely that the incident where Mother had
    slammed on the car brakes caused any of Younger Child’s
    injuries, observing that the parents had told her that Younger
    Child slept through the incident and did not cry.
    ¶36 Regarding the retinal hemorrhages in each of Younger
    Child’s eyes, Doctor testified that “this particular pattern where
    it’s in multiple layers of the retina and goes all the way out to the
    aura is specific—not entirely specific, but very specific for
    rotational injury by shaking.” She discussed other possible
    causes of retinal hemorrhaging and stated that she always
    considers other possibilities besides abuse or trauma in making a
    diagnosis.
    ¶37 Doctor also testified regarding other possible causes for
    Younger Child’s injuries generally, including bleeding disorders,
    metabolic disorders, “benign extra axial fluid of infancy,” and
    growth curves of the head, but she further stated that “nothing
    seemed to fit the pattern of anything other than abusive head
    trauma and physical abuse to explain all of [Younger Child’s]
    injuries.” Doctor explained that a baby “would have symptoms
    immediately after having sustained these injuries.” She further
    stated that, as of the time of trial, Younger Child was receiving
    seizure treatment, had to be fed via a “gastrostomy tube” due to
    his trouble with swallowing “because of his brain trauma,” had
    left-sided cerebral palsy, and that “there were signs of
    encephalomalacia starting,” i.e., “where the brain has died.” She
    stated that it was her opinion that Younger Child had permanent
    brain damage.
    ¶38 Mother’s father (Grandfather) testified that Father told
    him at the hospital that “they were going to pin this on him” and
    that both parents “started making . . . up stories to go with
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    whatever the doctor just said.” For example, “when the doctor
    was saying, that there was a problem [with Younger Child’s]
    ribs, . . . they thought they were broken. . . . [Father and Mother]
    started, well it could have been from this, and . . . they were just
    changing their stories to match whatever was being said.”
    According to Grandfather, Father and Mother also asked
    Grandfather’s “son and . . . [Mother’s sister] to tell [Grandfather]
    a story—to tell [him] about an accident—that they didn’t know
    anything about” to explain how Younger Child received his
    injuries.
    ¶39 In addition, the record indicates that prior to the incident
    in question, there were no major concerns listed in Younger
    Child’s medical records other than a reference to acid reflux. The
    officer who interviewed Father at the hospital testified that
    Father had told him that Younger Child “had been in for a well
    child check within the last several weeks and the baby checked
    out fine.” Although Mother and Father testified that Younger
    Child had choking episodes, neither Grandfather nor Mother’s
    sister had ever witnessed one of these alleged choking spells.
    And in any event, Doctor testified that she did not think that
    choking would have “cause[d] the subdural hemorrhages or the
    retinal hemorrhages or the rib fractures.”
    ¶40 Based on the foregoing, we conclude that there was
    sufficient circumstantial evidence demonstrating that Father was
    responsible for Younger Child’s severe injuries. The record
    indicates that Younger Child was fine when Mother left for work
    on the day of the incident, that Younger Child was in Father’s
    exclusive care throughout the day, and that by the time Father
    called 911, Younger Child had suffered life-threatening injuries
    that have left him with permanent brain damage. Although
    Father denied shaking Younger Child, he failed to provide a
    reasonable alternative explanation for Younger Child’s
    devastating injuries. Accordingly, the juvenile court correctly
    denied Father’s motion for involuntary dismissal.
    20160201-CA                     15                
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    In re J.A.
    II. The Constitutionality of the Act
    ¶41 Father next contends that “[t]he juvenile court committed
    error in denying [his] motion to deem the Act unconstitutional,
    on its face and as applied to him, since it fails to properly outline
    the elements of committing severe child abuse.” More
    specifically, Father asserts that “the Act is not narrowly tailored
    to achieve the statutory interest of protecting children, because
    the Act does not outline what particular elements must be
    proven for the court to enter a finding of ‘abuse’ or ‘severe
    abuse’ against a parent or caregiver. It lists no physical act, no
    mental state, no guidance at all.” In support of this argument,
    Father asserts that the Act is unconstitutionally vague.
    ¶42 The juvenile court adjudicated Older Child as neglected
    and Younger Child as neglected and severely abused. As Father
    correctly observes, the court’s adjudication of Younger Child as
    severely abused gave rise to a statutory presumption that
    reunification services would not be provided to Father. Section
    78A-6-312(20) of the Act provides, in relevant part,
    There is a presumption that reunification services
    should not be provided to a parent if the court
    finds, by clear and convincing evidence, that any of
    the following circumstances exist:
    ....
    (e) the minor suffered severe abuse by the parent
    or by any person known by the parent, if the
    parent knew or reasonably should have known
    that the person was abusing the minor; [or]
    (f) the minor is adjudicated an abused child as a
    result of severe abuse by the parent, and the court
    finds that it would not benefit the minor to pursue
    reunification services with the offending parent[.]
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    Utah Code Ann. § 78A-6-312(20)(e), (f) (LexisNexis Supp. 2016).
    Father asserts that this presumption against reunification
    services “is devastating to a parent, because it virtually begins
    the process that will ultimately end in the permanent
    deprivation of his/her parental rights.” Father contends that the
    Act fails to “outline what elements must be proven for a parent
    to be found liable for child abuse in a civil context,” and that it is
    therefore “not narrowly tailored to achieve an important
    government purpose.”
    ¶43 “[T]he interest of parents in the care, custody, and control
    of their children . . . is perhaps the oldest of the fundamental
    liberty interests recognized by [the United States Supreme]
    Court.” Jones v. Jones, 
    2013 UT App 174
    , ¶ 10, 
    307 P.3d 598
    (alterations and omission in original) (quoting Troxel v. Granville,
    
    530 U.S. 57
    , 65 (2000) (plurality opinion)), aff’d, 
    2015 UT 84
    , 
    359 P.3d 603
    . “Parents have a fundamental right ‘to make decisions
    concerning the care, custody, and control of their children.’” 
    Id.
    (quoting Troxel, 
    530 U.S. at 66
    ). “The Utah Constitution similarly
    protects this fundamental right. ‘In a long line of precedent, [the
    Utah Supreme Court] has recognized parental rights as a
    fundamental component of liberty protected by article I, section
    7 [of the Utah Constitution].’” 
    Id. ¶ 11
     (alterations in original)
    (quoting Jensen ex rel. Jensen v. Cunningham, 
    2011 UT 17
    , ¶ 72, 
    250 P.3d 465
    ). Consequently, “[a] statute that infringes upon this
    ‘fundamental’ right is subject to heightened scrutiny and is
    unconstitutional unless it (1) furthers a compelling state interest
    and (2) the means adopted are narrowly tailored to achieve the
    basic statutory purpose.” Jensen, 
    2011 UT 17
    , ¶ 72 (citation and
    additional internal quotation marks omitted).
    ¶44 “It is equally well established, however, that although
    ‘fundamental,’ parental rights are not absolute. A parent’s rights
    must be balanced against the state’s important interest in
    protecting children from harm.” 
    Id. ¶ 74
    ; see also In re J.P., 
    648 P.2d 1364
    , 1382 (Utah 1982) (Stewart, J., dissenting) (“[T]he
    20160201-CA                      17                
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    In re J.A.
    correlative of parental rights is parental duties. When parents
    fail to, or are incapable of, performing their parental obligations,
    the child’s welfare must prevail over the right of the parent.”);
    see also 
    id. at 1381
     (“[O]nce the welfare of the child is threatened,
    it is the child’s welfare, not the interest of the parents, which
    predominates.”).
    ¶45 Father does not dispute that the State has a compelling
    interest in protecting children from abuse and neglect. See
    generally Utah Code Ann. § 62A-4a-201(2) (LexisNexis Supp.
    2016) (“It is also the public policy of this state that children have
    the right to protection from abuse and neglect, and that the state
    retains a compelling interest in investigating, prosecuting, and
    punishing abuse and neglect . . . . There may be circumstances
    where a parent’s conduct or condition is a substantial departure
    from the norm and the parent is unable or unwilling to render
    safe and proper parental care and protection. Under those
    circumstances, the state may take action for the welfare and
    protection of the parent’s children.”); Jones, 
    2013 UT App 174
    ,
    ¶ 26 (“The classic justification for state intervention in the
    parent-child relationship is to protect a child who is an abused
    child, neglected child, or dependent child[.]” (citation and
    internal quotation marks omitted)); In re S.A., 
    2001 UT App 307
    ,
    ¶ 25, 
    37 P.3d 1166
     (observing that “the State’s interest in . . . a
    child potentially at risk of abuse or neglect, is of prime import”).
    Rather, he focuses on the second prong of the heightened-
    scrutiny test, i.e., whether the Act is “narrowly tailored to
    achieve the basic statutory purpose.” See Jensen, 
    2011 UT 17
    ,
    ¶ 72. The question is therefore whether the Act is narrowly
    tailored to attain the compelling legislative goal of protecting
    children from abuse and neglect.
    ¶46 In attempting to answer this question, Father asserts that
    the Act is unconstitutionally vague because it fails to give
    adequate notice of that conduct which is proscribed. Father
    argues that the Act “lists no physical act, no mental state, no
    20160201-CA                      18                
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    guidance at all.” “Vagueness questions are essentially
    procedural due process issues, i.e., whether the statute
    adequately notices the proscribed conduct.” State v. MacGuire,
    
    2004 UT 4
    , ¶ 14, 
    84 P.3d 1171
     (citation and internal quotation
    marks omitted). “[T]he Utah Supreme Court has held that a
    statute is not unconstitutionally vague if it is sufficiently explicit
    to inform the ordinary reader what conduct is prohibited and
    does so in a manner that does not encourage arbitrary and
    discriminatory enforcement.” 6 State v. Krueger, 
    1999 UT App 54
    ,
    ¶ 23, 
    975 P.2d 489
    .
    ¶47 Based on the Act’s definitions of abuse, harm, and severe
    abuse, we conclude that the Act is “sufficiently explicit to inform
    the ordinary reader what conduct is prohibited.” See 
    id.
     Section
    78A-6-105 of the Act defines “[a]buse,” in relevant part, as
    “nonaccidental harm of a child.” Utah Code Ann. § 78A-6-
    105(1)(a)(i) (LexisNexis Supp. 2016). “Harm” means, in relevant
    part, “physical or developmental injury or damage.” Id. § 78A-6-
    105(19)(a). And “‘[s]evere abuse’ means abuse that causes or
    threatens to cause serious harm to a child.” Id. § 78A-6-105(37).
    ¶48 While the Act does not draw a bright line between abuse
    and severe abuse, it is evident from the definitions of abuse and
    severe abuse that severe abuse is something more than “simple”
    abuse. The fact that the Act does not describe specific physical
    acts that constitute abuse versus severe abuse does not render
    the Act unconstitutionally vague. See generally People v. D.A.K.,
    
    596 P.2d 747
    , 751 (Colo. 1979) (“An ordinarily reasonable parent
    can understand what it means to ‘abuse’ and ‘mistreat’ a child.
    Fundamental fairness does not require a statute to enumerate in
    all-encompassing examples, or exactly described acts, precisely
    6. Father does not argue that the Act promotes arbitrary and
    discriminatory enforcement. See State v. Krueger, 
    1999 UT App 54
    , ¶ 23, 
    975 P.2d 489
    .
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    how poorly a parent can treat a child before risking losing
    parental rights.”); Simons v. Department of Human Services, 
    2011 ND 190
    , ¶ 30, 
    803 N.W.2d 587
     (“A statute is not
    unconstitutionally vague merely because it does not specifically
    state all of the various ways it may be violated.”).
    ¶49 Indeed, in In re L.P., 
    1999 UT App 157
    , 
    981 P.2d 848
    , this
    court observed that because “all children, parents and
    circumstances are different,” “the broad definition of an abused
    child . . . is necessary, and . . . the focus of the juvenile court
    should be on evidentiary findings to determine whether, by clear
    and convincing evidence, a child has suffered or been threatened
    with nonaccidental physical or mental harm.” 
    Id. ¶ 7
     (emphasis
    added) (citation and internal quotation marks omitted). The
    court further observed that because there is “a myriad of
    circumstances with countless permutations, which may or may
    not justify intervention of the juvenile court, it is essential that the
    definition of an abused child remain broad so the juvenile court can
    effectively apply section [78A-6-103(1)(c)].” 7 
    Id.
     (emphasis
    added); see also Simons, 
    2011 ND 190
    , ¶ 31 (concluding, in the
    context of a vagueness challenge to a child abuse statute, that
    “[t]he statute need not set out in explicit detail all factual
    scenarios that would fall within its reach; it need only give
    adequate and fair warning, when measured by the common
    understanding and practice of a ‘reasonable person,’ of the
    proscribed conduct”). Although the Act does not “set out in
    explicit detail all factual scenarios that would fall within its
    reach,” we nevertheless conclude that the Act’s definitions of
    abuse and severe abuse provide the kind of notice that enables
    7. As previously discussed, section 78A-6-103(1)(c) provides the
    juvenile court with exclusive, original jurisdiction in proceedings
    concerning “an abused child, neglected child, or dependent
    child, as those terms are defined in Section 78A-6-105.” Utah
    Code Ann. § 78A-6-103(1)(c) (LexisNexis 2012).
    20160201-CA                       20                 
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    ordinary readers to understand what conduct is statutorily
    prohibited. 8 See Simons, 
    2011 ND 190
    , ¶ 31. The Act defines
    “harm” and requires that the harm be nonaccidental. Supra ¶ 47.
    Moreover, with regard to the facts of this case, Father does not
    argue that his behavior, which resulted in Younger Child’s
    permanent brain damage, somehow fell on the “safe” side of the
    severe-abuse line; indeed, Father acknowledged below that
    Younger Child’s injuries were “pretty severe.”
    ¶50 Because the Act is sufficiently explicit to inform the
    ordinary reader what conduct is prohibited, it is not
    unconstitutionally vague. See Krueger, 
    1999 UT App 54
    , ¶ 23.
    ¶51 Father also argues that “the Act [is] unconstitutional
    because it does not require any proof or evidence of mental
    intent when making a finding of abuse against a parent.” The
    8. As a general matter, we note that the Act is not
    unconstitutionally overbroad, because it does not prohibit any
    constitutionally protected behavior. “Statutory overbreadth . . . is
    a substantive due process question which addresses the issue of
    whether the statute in question is so broad that it may not only
    prohibit unprotected behavior but may also prohibit
    constitutionally protected activity as well.” Board of Comm'rs of
    Utah State Bar v. Petersen, 
    937 P.2d 1263
    , 1268 (Utah 1997)
    (omission in original) (citation and internal quotation marks
    omitted).    Section    78A-6-105(1)(c)     specifically   exempts
    “reasonable discipline or management of a child” from the
    definition of abuse, and thus the Act does not prohibit protected
    behavior, i.e., the Act does prohibit parents from reasonably
    disciplining their children and a parent’s use of reasonable
    discipline may not provide the basis for a finding that a child has
    been abused. See generally In re L.P., 
    1999 UT App 157
    , ¶ 15, 
    981 P.2d 848
     (Bench, J., concurring) (“[O]ur common law dictates
    that reasonable discipline by a parent cannot constitute abuse.”).
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    State, on the other hand, contends that “the civil offense of child
    abuse is based on a child’s status as abused, not on the parent’s
    intent to harm the child,” and that “[t]he purpose of civil child
    welfare adjudication does not require a parent to form specific
    intent prior to committing abuse.” We agree with the State.
    ¶52 In making his argument, Father observes that the statute
    governing child abuse in criminal proceedings “mandates that
    the prosecutor prove intent beyond a reasonable doubt when
    alleging severe abuse”:
    Any person who inflicts upon a child serious
    physical injury or, having the care or custody of
    such child, causes or permits another to inflict
    serious physical injury upon a child is guilty of an
    offense as follows:
    (a) if done intentionally or knowingly, the
    offense is a felony of the second degree;
    (b) if done recklessly, the offense is a felony
    of the third degree; or
    (c) if done with criminal negligence, the
    offense is a class A misdemeanor.
    Utah Code Ann. § 76-5-109(2) (LexisNexis 2012).
    ¶53 Utah courts have previously recognized that “the focus of
    a criminal trial is quite different than that of a child welfare
    proceeding.” In re C.B., 
    2013 UT App 7
    , ¶ 11, 
    294 P.3d 670
    .
    A child welfare proceeding “is a civil proceeding designed by
    our legislature to protect the child and to assist the family in
    resolving difficulties that endanger the child. It is not a criminal
    trial of the accused abuser.” In re Z.D., 
    2006 UT 54
    , ¶ 56, 
    147 P.3d 401
     (Wilkins, J., concurring in the result). Accordingly, Utah
    courts have declined to apply criminal statutes in civil child
    20160201-CA                     22                
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    In re J.A.
    welfare proceedings. See, e.g., In re L.P., 
    1999 UT App 157
    , ¶ 6,
    
    981 P.2d 848
     (“It is incumbent upon the juvenile court to apply
    the proper definition from the appropriate statute. . . . [W]e are
    not reviewing a criminal case and therefore criminal statutes
    are inapplicable. . . . Here, we are reviewing a juvenile court
    proceeding held to determine whether that court may
    assert jurisdiction over [the child], and the concept of varying
    definitions for varying purposes is not foreign to
    our jurisprudence.” (citation omitted)); In re A.R., 
    1999 UT 43
    ,
    ¶¶ 18–20, 
    982 P.2d 73
     (rejecting the petitioner’s argument that a
    child protection proceeding was “quasi-criminal in nature,”
    observing that “[t]he primary focus of and sole statutory
    justification for child protection proceedings is to protect the
    interests of children who are neglected or abused,” and
    concluding that “the Fourth Amendment exclusionary rule is
    inapplicable to child protection proceedings” given the “purpose
    of the exclusionary rule, as well as the State’s interest in
    protecting children”); Ibarra v. Holder, 
    736 F.3d 903
    , 905 (10th Cir.
    2013) (“The purpose of civil definitions is to determine when
    social services may intervene. The purpose of criminal
    definitions is to determine when an abuser is criminally
    culpable.”). Based on the foregoing, we conclude that the
    juvenile court appropriately declined to apply the criminal
    definition of child abuse to the case at hand.
    ¶54 Moreover, we disagree with Father’s assertion that the
    Act “does not require any proof or evidence of mental intent.”
    As previously discussed, the Act defines abuse, in relevant part,
    as “nonaccidental harm of a child.” Utah Code Ann. § 78A-6-
    105(1)(a)(i) (LexisNexis Supp. 2016). The term “nonaccidental”
    encompasses anything that is not an accident. Thus, the parent
    may cause the abuse intentionally, knowingly, or recklessly.
    Although Father asks this court to determine which specific
    mental state applies in the civil child-abuse context, we think the
    term “nonaccidental” appropriately encompasses the three
    relevant mental states. This reading of the Act comports with the
    20160201-CA                      23                
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    State’s compelling interest in protecting children from abuse and
    neglect; so long as the abuse was caused by the intentional,
    knowing, or reckless acts of the parent, the Act applies to the
    child.
    ¶55 Because the Act’s definitions are sufficiently explicit to
    inform an ordinary reader what conduct is prohibited, we
    conclude that the Act is not unconstitutionally vague. And
    because the Act protects only those children who have been
    nonaccidentally abused or nonaccidentally severely abused by
    their parents, we conclude that the Act is narrowly tailored to
    attain the compelling legislative goal of protecting children from
    abuse. 9 The juvenile court therefore did not err in denying
    Father’s motion to deem the Act unconstitutional.
    III. The Text Messages
    ¶56 Lastly, Father contends that “[t]he juvenile court
    committed error in allowing text messages to be read into the
    record without the proper foundation and chain of custody.”
    Father also observes that “[t]he text messages that had been
    testified to were only those messages selected by [Detective] that
    he felt were important” and asserts that “the text messages were
    taken out of context and did not contain sufficient evidence to
    support a finding of authenticity or identification.”
    9. A statute is not narrowly tailored when it affects a class of
    persons greater than necessary to vindicate the identified
    compelling interest of the state. See Ward v. Rock Against Racism,
    
    491 U.S. 781
    , 799–800 & n.7 (1989) (noting that “a complete ban
    on handbilling would be substantially broader than necessary to
    achieve the interests justifying it” and therefore would not be
    narrowly tailored). We note that Father has not identified any
    class of persons other than those intended by the Act that are
    affected by the presumption against reunification services.
    20160201-CA                    24               
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    ¶57 Father and the State both treat the text messages as
    admitted evidence. Father contends that they were not properly
    authenticated under rule 901 of the Utah Rules of Evidence
    while the State responds that the parents’ testimony constituted
    sufficient authentication. However, the text messages were not
    formally admitted into evidence. When they were discussed,
    Father objected to their use, but the juvenile court denied his
    objections on the ground that the text messages were not being
    admitted into evidence. Indeed, at one point in the proceedings,
    the juvenile court ruled that the text messages could not be
    admitted into evidence. Nevertheless, the juvenile court relied
    upon them and concluded in its findings that they contradicted
    the parents’ other testimony in some respects. We conclude that
    it was improper for the juvenile court to rely on the text
    messages as evidence when they had not been received into
    evidence.
    ¶58 We next consider whether the improper use of the text
    messages was sufficiently prejudicial to undermine our
    confidence in the court’s findings and conclusions of law. Rule
    61 of the Utah Rules of Civil Procedure provides,
    No error in either the admission or the exclusion of
    evidence . . . is ground for granting a new trial or
    otherwise disturbing a judgment or order, unless
    refusal to take such action appears to the court
    inconsistent with substantial justice. The court at
    every stage of the proceeding must disregard any
    error or defect in the proceeding which does not
    affect the substantial rights of the parties.
    Utah R. Civ. P. 61. An error is harmless when it is “sufficiently
    inconsequential that we conclude there is no likelihood that the
    error affected the outcome of the proceedings.” Crookston v. Fire
    Ins. Exchange, 
    817 P.2d 789
    , 796 (Utah 1991) (citation and internal
    quotation marks omitted).
    20160201-CA                     25               
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    ¶59 The juvenile court relied on the text messages to conclude
    that Father “was frustrated while caring for his child.” The court
    noted, “Both parents testified that this was not true, however,
    the text messages read to the court and the lies admitted to by
    [Father] make their testimony not credible.” Thus, the effect of
    the text messages was to establish that Father was frustrated
    with Younger Child. This frustration was part of the
    circumstantial evidence showing that Father was responsible for
    Younger Child’s injuries.
    ¶60 However, even discounting the frustration, there was
    extensive other evidence that Younger Child’s injuries were
    caused by Father. For example, Younger Child was “awake and
    smiling” and “did not appear to have any problems” when
    Mother left the house but was severely injured when 911 was
    called in the afternoon. Father was the only caretaker present in
    the interim. As noted above, the core question in the abuse
    adjudication was not whether Father intentionally (versus
    knowingly or recklessly) abused Younger Child but rather
    whether Younger Child had suffered nonaccidental severe abuse
    at all while in Father’s care. See supra ¶¶ 53–54. While Father’s
    frustration could well have been probative as to the former point
    because it relates to Father’s intent, such frustration is much less
    probative as to the latter question. Put another way, regardless
    of whether Father intended to abuse Younger Child, there was
    abundant other evidence suggesting that Younger Child did
    indeed suffer nonaccidental severe abuse while in Father’s
    exclusive care.
    ¶61 Because Father’s frustration was not central to the court’s
    determination that Younger Child had suffered nonaccidental
    severe abuse, the improper “admission” of the text messages
    suggesting such frustration does not undermine our confidence
    in that determination.
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    CONCLUSION
    ¶62 For the foregoing reasons, the order of the juvenile court
    is affirmed.
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