In re M.S.K. , 2023 Ohio 316 ( 2023 )


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  • [Cite as In re M.S.K., 
    2023-Ohio-316
    .]
    COURT OF APPEALS OF OHIO
    EIGHTH APPELLATE DISTRICT
    COUNTY OF CUYAHOGA
    IN RE M.S.K.                                   :
    :           No. 111974
    A Minor Child                                  :
    :
    [Appeal by D.K., Mother]                       :
    JOURNAL ENTRY AND OPINION
    JUDGMENT: AFFIRMED
    RELEASED AND JOURNALIZED: February 2, 2023
    Civil Appeal from the Cuyahoga County Court of Common Pleas
    Juvenile Division
    Case No. AD22904957
    Appearances:
    Dawn Snyder Attorney at Law, LLC, and Dawn Snyder, for
    appellant.
    Michael O’Malley, Cuyahoga County Prosecuting
    Attorney, and Joseph C. Young, Assistant Prosecuting
    Attorney, for appellee.
    FRANK DANIEL CELEBREZZE, III, P.J.:
    Appellant D.K. (“Mother”) appeals the judgment of the Cuyahoga
    County Juvenile Court terminating her parental rights and awarding permanent
    custody of her minor child, M.S.K., to the Cuyahoga County Division of Children and
    Family Services (“CCDCFS” or “agency”). After a thorough review of the applicable
    law and facts, we affirm the judgment of the juvenile court.
    I. Factual and Procedural History
    M.S.K. was born on January 11, 2022, at 29 weeks’ gestation, and tested
    positive for cocaine when he arrived at the hospital following his birth at home.
    Mother also tested positive for cocaine at that time.
    M.S.K. was discharged and placed in a foster home on April 20, 2022.
    The foster parents had received the training required by the hospital in order to care
    for M.S.K.’s health issues.
    In May 2022, the agency filed a complaint alleging that M.S.K. was
    abused and dependent and requesting permanent custody be awarded to CCDCFS.
    An adjudicatory hearing was held in July 2022, where Mother stipulated to an
    amended complaint, and M.S.K. was adjudicated abused and dependent. The
    matter was continued for a dispositional hearing, prior to which Mother filed a
    motion asking the court to place M.S.K. in the temporary custody of CCDCFS.
    A dispositional hearing was held in August 2022, where Mother
    appeared with her counsel. The agency presented the testimony of social worker
    Terri Fulton. The guardian ad litem (“GAL”) also testified and presented her report.
    Ms. Fulton testified to the case plan implemented in this matter, which
    included services for mental health, substance abuse, and basic needs. With regard
    to the substance abuse aspect, Mother initially declined any agency referrals but
    contacted Women’s Recovery Center on her own. She underwent an alcohol or other
    drugs (“AOD”) assessment and was referred to an Intensive Outpatient Program
    (“IOP”). She was unsuccessfully discharged from the program in April 2022 due to
    her lack of contact and engagement with Woman’s Recovery Center.
    Mother then contacted another organization, The Centers, and
    underwent an AOD assessment at the end of June 2022. She was again referred to
    an IOP and completed one individual session in July 2022 before she was
    unsuccessfully discharged at the end of July due to her lack of engagement and
    contact with them.
    She underwent several drug screens, testing positive for marijuana and
    cocaine in January 2022, testing negative in February, and then testing positive
    twice for cocaine, with the most recent screen occurring on March 3, 2022. Ms.
    Fulton stated that Mother had not satisfied the substance abuse aspect of the case
    plan, and that the agency remained concerned with her substance abuse because she
    had not demonstrated sobriety and had failed to follow through with treatment
    recommendations.
    Ms. Fulton testified as to the mental health aspect of Mother’s case
    plan. Mental health services were made a part of the case plan because Mother
    reported that she had been diagnosed with depression and PTSD. Mother had
    completed a mental health assessment but had not engaged in any of the
    recommended counseling. She had two psychiatry appointments scheduled but
    failed to show.
    Ms. Fulton testified that when the agency had attempted to discuss the
    substance abuse and mental health issues with Mother, she would tell them that she
    would call them later but then never followed up.
    Finally, Ms. Fulton testified as to the basic needs aspect of Mother’s
    case plan. Basic needs in this matter included shelter, stable housing, and basic
    infant supplies. Mother had obtained a bassinet from the Community Collab, but
    the agency believed that was the only baby supply Mother had.
    Ms. Fulton stated that Mother has not had stable housing. She has
    lived at her mother’s house and at the residences of her employment supervisor and
    someone that she described as her sponsor. The agency was only able to verify the
    apartment Mother shared with her supervisor.
    Ms. Fulton then testified as to M.S.K.’s medical issues, which required
    careful monitoring of his heart rate and oxygen levels. After spending 99 days in the
    NICU, M.S.K. was sent to the foster home on a cardiorespiratory monitor that
    alerted his caregivers if his heart rate or breathing dropped too low. He was taken
    off the monitor at the end of June 2022, but his doctor expressed concern that now
    whoever is supervising M.S.K. would not be alerted that his heart rate or respirations
    were dropping.
    Mother had four in-person visits with M.S.K. from the end of May to
    the middle of June. M.S.K.’s doctor was concerned about him traveling to, and being
    at, the visits with untrained personnel.        Mother attended M.S.K.’s doctor
    appointment at the end of June and was able to speak with the doctor about M.S.K.’s
    health issues.
    Ms. Fulton was also present at the doctor appointment and stated that
    Mother was very jittery and could not sit still; she was bouncing while holding
    M.S.K., which is not good for him. M.S.K. has severe gastroesophageal reflux
    disease (“GERD”), and a lot of movement can cause him to spit up. Ms. Fulton
    stated that the formula that M.S.K. had drank during the visit ended up coming back
    up.
    Ms. Fulton stated that during the visit, it did not appear that Mother
    understood the severity of M.S.K.’s issues. She argued with the doctor and tried to
    get him to change his opinion about M.S.K. traveling to the visits. M.S.K. had an
    additional appointment on August 11, 2022, which Mother was notified about but
    did not attend. At this appointment, Ms. Fulton asked the doctor for his opinion
    about M.S.K. being transported for visits. The doctor stated that because of M.S.K.’s
    severe GERD, it was not safe for him to be in a car seat for long distances and he felt
    that it was not in M.S.K.’s best interest to have the visits. The concern is that because
    of the GERD, M.S.K. might potentially aspirate some formula, which could be life-
    threatening. The ride to visit with mother was 1 ½ hours each way because the foster
    home is located in Holmes County, and the visits were held at a library in Cleveland.
    Ms. Fulton testified regarding Mother’s visits with M.S.K.          She
    attempted to do virtual visits with Mother and M.S.K. in July and August. Ms.
    Fulton ensured that Mother had the proper video call application on her phone to
    be able to engage in the virtual visit, but Mother did not appear. Ms. Fulton called
    her several times during each scheduled visit, but Mother did not answer.
    Ms. Fulton further testified that Mother has two older children who
    are in the permanent custody of the agency and another whose father has legal
    custody of him. The first child, J.K., was adjudicated neglected in 2018 due to
    Mother’s substance abuse and mental health concerns. Permanent custody was
    awarded to the agency in September 2019 because of Mother’s continued substance
    abuse.
    The second child, P.L.-K., was adjudicated neglected and dependent
    in 2019. Mother tested positive for cocaine and marijuana at the time of P.L.-K.’s
    birth. Permanent custody of P.L.-K. was awarded to the agency in October 2019 also
    due to Mother’s continued substance abuse.
    When asked what the barrier to reunification with M.S.K. was, Ms.
    Fulton stated it was Mother’s continued substance use as well as her lack of mental
    health engagement. Ms. Fulton stated that the agency chose to seek permanent
    custody rather than temporary custody because of Mother’s history involving the
    permanent custody of the two older children.
    On cross-examination, Ms. Fulton stated that Mother had not been
    aware that she was pregnant at the time of M.S.K.’s birth. He was born in the
    bathtub of her home, and Mother performed CPR on him until paramedics arrived.
    Cross-examination further elicited testimony that Mother’s mother
    had cancer and that Mother was one of her primary caregivers. Ms. Fulton stated
    that Mother did not express any difficulty with being able to manage the care of her
    sick mother and the IOP. Ms. Fulton only learned that Mother’s mother was sick
    with cancer the week prior to the hearing.
    Ms. Fulton acknowledged that Mother cared for M.S.K. appropriately
    during her supervised visits, including changing his diaper and feeding him from a
    bottle. In addition, Ms. Fulton agreed that Mother was currently employed and on
    the CMHA wait list for housing.
    The GAL provided a written report to the court and further testified
    regarding her recommendation. She recommended that M.S.K. be committed to the
    temporary custody of the agency. The GAL acknowledged that she had also been the
    GAL on the cases of the older children who had been placed in the agency’s
    permanent custody and was familiar with the circumstances of the cases. She noted
    that in the prior cases, Mother did not engage in any case plan services.
    The GAL stated that she has seen changes in Mother and that it is very
    clear that Mother wants the opportunity to be reunified with M.S.K. She noted that
    Mother believes it is in M.S.K.’s best interest to remain in agency custody so that she
    can have additional time to achieve the case plan objectives. Ms. Fulton also
    mentioned     that   Mother    was    arrested   in   June    2022    for   disorderly
    conduct/intoxication and also has a felony-drug-possession charge from February
    2021.   A capias was issued for Mother’s failure to appear on these charges.
    Notwithstanding the pending charges, the GAL stated that she believes that Mother
    would be able to provide a legally secure placement for M.S.K. within the time
    allotted for temporary custody.
    Following the hearing, the court denied Mother’s motion for
    temporary custody, granted the motion for permanent custody to CCDCFS, and
    terminated Mother’s parental rights. The trial court made the following findings:
    The Court finds that the allegations of the complaint as amended [have]
    been proven by clear and convincing evidence.
    The Court further finds that the child is not abandoned or orphaned,
    and has not been in the temporary custody of a public children services
    agency or private child placing agency under one or more separate
    orders of disposition for twelve or more months of a consecutive
    twenty-two month period.
    There are no relatives of the child who are able to take permanent
    custody.
    The Court further finds that following placement of the child outside
    the child’s home and notwithstanding reasonable case planning and
    diligent efforts by the agency to assist the parent to remedy the
    problems that initially caused the child to be placed outside the home,
    the parent has failed continuously and repeatedly to substantially
    remedy the conditions causing the child to be placed outside the child’s
    home; paternity has not been established.
    The chronic mental illness, chronic emotional illness, mental
    retardation, physical disability, or chemical dependency of the parent
    is so severe that it makes the parent unable to provide an adequate
    permanent home for the child at the present time and, as anticipated,
    within one year.
    The Court further finds that:
    The parent has placed the child at substantial risk of harm two or more
    times due to alcohol or drug abuse and was discharged from treatment
    two or more times after a case plan issued requiring treatment of the
    parent was journalized as part of a dispositional order issued with
    respect to the child or an order was issued by another court requiring
    treatment of the parent;
    The alleged father has abandoned the child;
    The mother has had parental rights terminated with respect to a sibling
    of the child and the parent has failed to provide clear and convincing
    evidence to prove, that notwithstanding the prior termination, the
    parent can provide a legally secure permanent placement and adequate
    care for the health, welfare and safety of the child;
    The parent for any reason is unwilling to provide food, clothing, shelter,
    and other basic necessities for the child or to prevent the child from
    suffering physical, emotional, or sexual abuse or physical, emotional,
    or mental neglect.
    The parent has committed abuse against the child and the court
    determines that the seriousness, nature, or likelihood of recurrence of
    the abuse or neglect makes the child’s placement with the child’s parent
    a threat to the child’s safety. Child has special needs.
    Upon considering the interaction and interrelationship of the child
    with the child’s parent; the age of the child; the custodial history of the
    child; 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; and the report of the Guardian ad Litem; the Court
    finds by clear and convincing evidence that a grant of permanent
    custody is in the best interests of the child and the child cannot be
    placed with one of the child’s parents within a reasonable time and
    should not be placed with either parent.
    ***
    The Court finds that the child’s continued residence in or return to the
    home of Mother, [D.K.,] to be contrary to the child’s best interest.
    Mother filed the instant appeal, raising two assignments of error for
    our review:
    1. The trial court erred when it awarded permanent custody to CCDCFS
    as the decision is against the manifest weight and is not supported by
    clear and convincing evidence.
    2. The trial court abused its discretion when it granted permanent
    custody to CCDCFS when a disposition of temporary custody was
    available.
    II. Law and Argument
    The right to raise one’s own child is “‘an essential and basic civil
    right.’” In re N.B., 8th Dist. Cuyahoga No. 101390, 
    2015-Ohio-314
    , ¶ 67, quoting In
    re Hayes, 
    79 Ohio St.3d 46
    , 48, 
    679 N.E.2d 680
     (1997); see also In re Murray, 
    52 Ohio St.3d 155
    , 157, 
    556 N.E.2d 1169
     (1990), quoting Santosky v. Kramer, 
    455 U.S. 745
    , 753, 
    102 S.Ct. 1388
    , 
    71 L.Ed.2d 599
     (1982) (a parent has a “‘fundamental liberty
    interest’ in the care, custody, and management” of his or her child). However, this
    right is not absolute. It is “‘always subject to the ultimate welfare of the child, which
    is the polestar or controlling principle to be observed.’” In re L.D., 
    2017-Ohio-1037
    ,
    
    86 N.E.3d 1012
    , ¶ 29 (8th Dist.), quoting In re Cunningham, 
    59 Ohio St.2d 100
    , 106,
    
    391 N.E.2d 1034
     (1979).
    Because termination of parental rights is “‘the family law equivalent
    of the death penalty in a criminal case,’” In re J.B., 8th Dist. Cuyahoga No. 98546,
    
    2013-Ohio-1704
    , ¶ 66, quoting In re Hoffman, 
    97 Ohio St.3d 92
    , 
    2002-Ohio-5368
    ,
    
    776 N.E.2d 485
    , ¶ 14, it is “an alternative of last resort.” In re Gill, 8th Dist.
    Cuyahoga No. 79640, 
    2002-Ohio-3242
    , ¶ 21. It is, however, “sanctioned when
    necessary for the welfare of a child.” In re M.S., 8th Dist. Cuyahoga Nos. 101693 and
    101694, 
    2015-Ohio-1028
    , ¶ 7, citing In re Wise, 
    96 Ohio App.3d 619
    , 624, 
    645 N.E.2d 812
     (9th Dist.1994). “‘All children have the right, if possible, to parenting
    from either natural or adoptive parents which provides support, care, discipline,
    protection and motivation.’” In re J.B. at ¶ 66, quoting In re Hitchcock, 
    120 Ohio App.3d 88
    , 102, 
    696 N.E.2d 1090
     (8th Dist.1996). Where parental rights are
    terminated, the goal is to create “a more stable life for the dependent children” and
    to “facilitate adoption to foster permanency for children.” In re N.B. at ¶ 67, citing
    In re Howard, 5th Dist. Tuscarawas No. 85 A10-077, 
    1986 Ohio App. LEXIS 7860
    ,
    5 (Aug. 1, 1986).
    A juvenile court’s decision to grant permanent custody will not be
    reversed as being against the manifest weight of the evidence when the record
    contains competent, credible evidence by which it could have found that the
    essential statutory elements for an award of permanent custody have been
    established. In re B.P., 8th Dist. Cuyahoga Nos. 107732 and 107735, 2019-Ohio-
    2919. Before a juvenile court can terminate parental rights and grant permanent
    custody of a child to CCDCFS, it must satisfy the two-prong test set forth in R.C.
    2151.414. First, the juvenile court must find by clear and convincing evidence that
    one of the following conditions set forth in R.C. 2151.414(B)(1)(a) through (e) exists:
    (a) The child is not abandoned or orphaned, has not been in the
    temporary custody of one or more public children services agencies or
    private child placing agencies for twelve or more months of a
    consecutive twenty-two-month period, or has not been in the
    temporary custody of one or more public children services agencies or
    private child placing agencies for twelve or more months of a
    consecutive twenty-two-month period if, as described in division (D)(1)
    of section 2151.413 of the Revised Code, the child was previously in the
    temporary custody of an equivalent agency in another state, and the
    child cannot be placed with either of the child’s parents within a
    reasonable time or should not be placed with the child's parents.
    (b) The child is abandoned.
    (c) The child is orphaned, and there are no relatives of the child who
    are able to take permanent custody.
    (d) The child has been in the temporary custody of one or more public
    children services agencies or private child placing agencies for twelve
    or more months of a consecutive twenty-two-month period, or the child
    has been in the temporary custody of one or more public children
    services agencies or private child placing agencies for twelve or more
    months of a consecutive twenty-two-month period and, as described in
    division (D)(1) of section 2151.413 of the Revised Code, the child was
    previously in the temporary custody of an equivalent agency in another
    state.
    (e) The child or another child in the custody of the parent or parents
    from whose custody the child has been removed has been adjudicated
    an abused, neglected, or dependent child on three separate occasions
    by any court in this state or another state.
    In this case, the trial court made the finding that the child could not be
    placed with his parent within a reasonable time or should not be placed with Mother
    pursuant to R.C. 2151.414(B)(1)(a). For the R.C. 2151.414(B)(1)(a) factor, R.C.
    2151.414(E) enumerates 15 factors for the court to consider. In re L.C., 8th Dist.
    Cuyahoga No. 111053, 
    2022-Ohio-1592
    , ¶ 47. Pursuant to R.C. 2151.414(E), if the
    court determines, by clear and convincing evidence, that one or more of the (E)(1)-
    (15) factors exist, the court shall enter a finding that the child cannot be placed with
    either parent within a reasonable time or should not be placed with either parent.
    In the case herein, the trial court found the presence of (E)(1), (2), (9), (11), (14), and
    (15). The pertinent portions of the statute states as follows:
    (1) Following the placement of the child outside the child’s home and
    notwithstanding reasonable case planning and diligent efforts by the
    agency to assist the parents to remedy the problems that initially
    caused the child to be placed outside the home, the parent has failed
    continuously and repeatedly to substantially remedy the conditions
    causing the child to be placed outside the child’s home. In determining
    whether the parents have substantially remedied those conditions, the
    court shall consider parental utilization of medical, psychiatric,
    psychological, and other social and rehabilitative services and material
    resources that were made available to the parents for the purpose of
    changing parental conduct to allow them to resume and maintain
    parental duties.
    (2) Chronic mental illness, chronic emotional illness, intellectual
    disability, physical disability, or chemical dependency of the parent
    that is so severe that it makes the parent unable to provide an adequate
    permanent home for the child at the present time and, as anticipated,
    within one year after the court holds the hearing pursuant to division
    (A) of this section or for the purposes of division (A)(4) of section
    2151.353 of the Revised Code;
    ***
    (9) The parent has placed the child at substantial risk of harm two or
    more times due to alcohol or drug abuse and has rejected treatment two
    or more times or refused to participate in further treatment two or
    more times after a case plan issued pursuant to section 2151.412 of the
    Revised Code requiring treatment of the parent was journalized as part
    of a dispositional order issued with respect to the child or an order was
    issued by any other court requiring treatment of the parent.
    ***
    (11) The parent has had parental rights involuntarily terminated with
    respect to a sibling of the child pursuant to this section or section
    2151.353 or 2151.415 of the Revised Code, or under an existing or
    former law of this state, any other state, or the United States that is
    substantially equivalent to those sections, and the parent has failed to
    provide clear and convincing evidence to prove that, notwithstanding
    the prior termination, the parent can provide a legally secure
    permanent placement and adequate care for the health, welfare, and
    safety of the child.
    ***
    (14) The parent for any reason is unwilling to provide food, clothing,
    shelter, and other basic necessities for the child or to prevent the child
    from suffering physical, emotional, or sexual abuse or physical,
    emotional, or mental neglect.
    (15) The parent has committed abuse as described in section 2151.031
    of the Revised Code against the child or caused or allowed the child to
    suffer neglect as described in section 2151.03 of the Revised Code, and
    the court determines that the seriousness, nature, or likelihood of
    recurrence of the abuse or neglect makes the child’s placement with the
    child’s parent a threat to the child’s safety.
    Only one of the enumerated factors under R.C. 2151.414(E) is required
    to exist for the court to make the finding that “‘the child cannot be placed with either
    parent within a reasonable time or should not be placed with either parent.’” In re
    L.W., 8th Dist. Cuyahoga No. 107708, 
    2019-Ohio-1343
    , ¶ 29, quoting In re Glenn,
    
    139 Ohio App.3d 105
    , 113, 
    742 N.E.2d 1210
     (8th Dist.2000), and citing In re R.M.,
    8th Dist. Cuyahoga Nos. 98065 and 98066, 
    2012-Ohio-4290
    , ¶ 14 (the existence of
    only one factor will support the court’s finding that the child cannot be reunified
    with the parent within a reasonable time).
    Pursuant to R.C. 2151.414(E)(1), the juvenile court found that Mother
    failed continuously and on numerous occasions to substantially remedy the
    conditions that had caused the removal of M.S.K. The record reveals that Mother
    failed to fully comply with substance abuse treatment and mental health services
    pursuant to her case plan. Further, Mother had failed drug screens and had not
    submitted to a drug screen since March 2022. Moreover, Mother remained in need
    of appropriate housing.
    Mother argues that she has engaged in services both in and outside of
    the case plan.    Under R.C. 2151.414(E)(1), the issue is not whether Mother
    substantially complied with the case plan, but whether Mother remedied the
    conditions that caused the child’s removal. 
    Id.,
     citing In re J.B., 8th Dist. Cuyahoga
    No. 98546, 
    2013-Ohio-1704
    , at ¶ 90.
    Under R.C. 2151.414(E)(2), the juvenile court found that Mother
    suffers from chronic chemical dependency that rendered her unable to provide
    M.S.K. with an adequate permanent home.           In addition to the caseworker’s
    testimony that the agency had lingering concerns about Mother’s substance abuse,
    the caseworker also testified that two of M.S.K.’s siblings had previously been
    adjudicated neglected and ordered placed in the permanent custody of CCDCFS
    based upon Mother’s substance abuse and mental health issues. At the time of trial,
    Mother had not demonstrated to the agency any level of sobriety. In addition,
    Mother had been arrested in June 2022 for disorderly conduct/intoxication.
    The juvenile court found under R.C. 2151.414(E)(11) that Mother had
    her parental rights involuntarily terminated with respect to two older siblings of
    M.S.K. In 2019, the agency was granted permanent custody of two of the child’s
    siblings. Mother does not dispute this fact but argues that she has made changes
    and has shown the ability to support herself by working.
    The juvenile court also found pursuant to R.C. 2151.414(E)(14) that
    Mother was unwilling to provide a safe and secure home for the child or prevent him
    from suffering emotional or mental neglect.         Mother acknowledges that the
    caseworker testified that the only supply Mother had obtained for M.S.K. was a
    bassinet.   However, Mother maintains that M.S.K. “had an unexpected and
    traumatic arrival into this world — he was born at 29 weeks gestation and Mother
    did not even know that she was pregnant.” We understand that under these
    circumstances, Mother could certainly not be expected to be prepared for an infant;
    however, at the time of trial, M.S.K. was seven months old and Mother had made no
    showing that she had obtained basic infant supplies.
    The evidence presented supports the juvenile court’s finding that
    despite the agency’s efforts to reunify the child with Mother, Mother was not
    amenable to services and failed to remedy the conditions that caused the child to be
    placed outside the home. Standing alone, this evidence is sufficient to satisfy the
    first prong of the two-part analysis. Nevertheless, the juvenile court also found that
    Mother had chronic chemical dependency, had her parental rights involuntarily
    terminated with respect to the child’s siblings for reasons similar to those in the
    instant case, and that Mother was unwilling to provide for the basic necessities of
    the child.
    We note that the court also made a finding under R.C. 2151.414(E)(9)
    that
    [t]he parent has placed the child at substantial risk of harm two or more
    times due to alcohol and drug abuse and was discharged from
    treatment two or more times after a case plan issued requiring
    treatment of the parent was journalized as part of a dispositional order
    issued with respect to the child or an order was issued by any other
    court requiring treatment of the parent[.]
    The court further made a finding under R.C. 2151.414(E)(15) that
    [t]he parent has committed abuse against the child and the court
    determines that the seriousness, nature, or likelihood of recurrence of
    the abuse or neglect makes the child’s placement with the child’s parent
    a threat to the child’s safety. Child has special needs.
    There is no support in the record for either of the above findings (with
    the exception that M.S.K. does have special needs). While Mother and M.S.K. tested
    positive for cocaine at his birth, M.S.K. has not been in Mother’s care since that day
    and consequently could not have been abused or placed in substantial harm by her.
    However, because only one factor is necessary to establish the first prong, and we
    have determined that the court properly made four other findings, these erroneous
    findings are harmless and may be disregarded.
    We find the record clearly and convincingly supports these findings
    and the juvenile court’s ultimate determination under R.C. 2151.414(B)(1)(a) that
    M.S.K. could or should not be placed with Mother within a reasonable time.
    Once the first prong is met, the juvenile court must find by clear and
    convincing evidence that granting permanent custody to the agency is in the best
    interest of the child. R.C. 2151.414(B)(1). “Clear and convincing evidence” is that
    measure or degree of proof that “produce[s] in the mind of the trier of fact a firm
    belief or conviction as to the facts sought to be established.” Cross v. Ledford, 
    161 Ohio St. 469
    , 
    120 N.E.2d 118
     (1954), paragraph three of the syllabus; In re M.S., 8th
    Dist. Cuyahoga Nos. 101693 and 101694, 
    2015-Ohio-1028
    , at ¶ 8. A juvenile court’s
    decision to grant permanent custody will not be reversed as being against the
    manifest weight of the evidence “if the record contains some competent, credible
    evidence from which the court could have found that the essential statutory
    elements for permanent custody had been established by clear and convincing
    evidence.” In re A.P., 8th Dist. Cuyahoga No. 104130, 
    2016-Ohio-5849
    , ¶ 16.
    We review a juvenile court’s determination of a child’s best interest
    under R.C. 2151.414(D) for abuse of discretion. In re D.A., 8th Dist. Cuyahoga No.
    95188, 
    2010-Ohio-5618
    , ¶ 47. An 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).
    In determining the best interest of a child at a hearing held pursuant
    to R.C. 2151.414(A)(1), the juvenile court must consider all relevant factors,
    including, but not limited to, the following:
    (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 one or more public children services
    agencies or private child placing agencies 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 any of the factors in divisions (E)(7) to (11) of this section
    apply in relation to the parents and child.
    R.C. 2151.414(D)(1).
    A juvenile court is required to consider each relevant factor under R.C.
    2151.414(D)(1) in making a determination regarding permanent custody, but
    “[t]here is not one element that is given greater weight than the others pursuant to
    the statute.” In re Schaefer, 
    111 Ohio St.3d 498
    , 
    2006-Ohio-5513
    , 
    857 N.E.2d 532
    ,
    ¶ 56. This court has previously stated that only one of these enumerated factors
    needs to be resolved in favor of the award of permanent custody. In re Moore, 8th
    Dist. Cuyahoga No. 76942, 
    2000 Ohio App. LEXIS 3958
     (Aug. 31, 2000), citing In
    re Shaeffer Children, 
    85 Ohio App.3d 683
    , 
    621 N.E.2d 426
     (3d Dist.1993). Further,
    the Supreme Court of Ohio has clarified that “R.C. 2151.414(D)(1) does not require
    a juvenile court to expressly discuss each of the best-interest factors in R.C.
    2151.414(D)(1)(a) through (e). Consideration is all the statute requires.” In re A.M.,
    
    166 Ohio St.3d 127
    , 
    2020-Ohio-5102
    , 
    184 N.E.3d 1
    , ¶ 31.
    Upon careful review of the entire record, including the court’s findings
    as outlined above, we do not find that the juvenile court abused its discretion in
    determining that permanent custody was in the child’s best interest.
    R.C. 2151.414(D)(1)(a) relates to the interaction and interrelationship
    of the child with various significant individuals in the child’s life, including parents,
    siblings, relatives, and foster caregivers. The record reflects that Mother had in-
    person visits with M.S.K. where she cared for him appropriately, but she failed to
    engage in scheduled virtual visits. She only attended one of M.S.K.’s medical
    appointments and argued with the doctor to attempt to get him to change his mind
    about M.S.K. traveling to visits. Further, when Mother was holding M.S.K. at the
    appointment, she continually bounced the child after being advised by the nurse to
    hold him still due to his severe GERD.
    There was very little testimony regarding M.S.K.’s foster family. The
    record does reflect that the foster family was trained to care for M.S.K.’s serious
    medical issues.
    Because M.S.K. was only seven months old at the time of trial and
    therefore unable to express his wishes, it was appropriate for the court to consider
    the GAL’s recommendation with regard to custody. The court was not required to
    follow her recommendation, though. “[A] juvenile court is not compelled to follow
    the recommendation of the guardian ad litem; the decision of what is in a child’s
    best interest is for the juvenile court upon a consideration of all the evidence
    presented.” In re C.T., 8th Dist. Cuyahoga No. 110303, 
    2021-Ohio-2274
    , ¶ 80, citing
    In re M.W., 
    2017-Ohio-8580
    , 
    101 N.E.3d 95
    , ¶ 24 (8th Dist.); In re T.S., 8th Dist.
    Cuyahoga No. 92816, 
    2009-Ohio-5496
    , ¶ 34.
    R.C. 2151.414(D)(1)(c) relates to the child’s custodial history. There is
    no dispute that, at the time of trial, M.S.K. had been in the custody of the agency for
    five months — since his discharge from the hospital when he was approximately
    three months old.
    R.C. 2151.414(D)(1)(d) concerns the child’s need for a legally secure
    placement and whether that can be achieved without a grant of permanent custody.
    The trial court in this case found that M.S.K. could not be placed with Mother within
    a reasonable time or should not be placed with her. Specifically, the trial court made
    findings under R.C. 2151.414(E) including Mother’s failure to remedy the problems
    that caused the child to be placed outside the home, her chronic chemical
    dependency, and her unwillingness to provide basic necessities to M.S.K. “‘Once a
    court determines, by clear and convincing evidence, that one of the enumerated
    factors exists, the court must enter a finding that the child cannot or should not be
    placed with either of his parents within a reasonable time.’” In re R.A., 8th Dist.
    Cuyahoga No. 110541, 
    2021-Ohio-4126
    , ¶ 43, quoting In re Glenn, 139 Ohio App.3d
    at 113, 
    742 N.E.2d 1210
    .
    Under R.C. 2151.414(D)(1)(e), the juvenile court was to consider
    whether any of the factors in divisions (E)(7) to (11) of R.C. 2151.414 applied in
    relation to Mother and the child. Under this section, the court noted that M.S.K.’s
    father had abandoned him and that Mother’s parental rights had been terminated
    with regard to two of M.S.K.’s older siblings.
    The juvenile court’s findings were supported by the testimony
    presented at trial. We find that the juvenile court did not abuse its discretion in
    determining that permanent custody was in the best interest of the child. Mother’s
    first assignment of error is overruled.
    In her second assignment of error, Mother argues that the trial court
    abused its discretion in granting permanent custody to the agency when a
    disposition of temporary custody was available. She contends that reunification
    between Mother and M.S.K. was possible because Mother has demonstrated a
    change in behavior and motivation.          Mother further points to the GAL’s
    recommendation of temporary custody, noting that she testified that Mother would
    be able to complete her case plan if was given additional time.
    Mother appears to argue that the court erred because “usually” the
    court will award temporary custody before moving to permanent custody. However,
    there are two ways an agency may obtain permanent custody. In re J.F., 2018-Ohio-
    96, 
    102 N.E.3d 1264
    , ¶ 44 (8th Dist.), citing In re E.P., 12th Dist. Fayette Nos.
    CA2009-11-022 and CA2009-11-023, 
    2010-Ohio-2761
    , ¶ 22. “An agency may first
    obtain temporary custody of the child and then file a motion for permanent custody
    under R.C. 2151.413.” 
    Id.
     “Or, an agency may request permanent custody as part of
    its original abuse, neglect, or dependency complaint under R.C. 2151.353(A)(4)” as
    in this case. 
    Id.
    There is no statutory requirement that a child must first be placed into
    temporary custody prior to an order of permanent custody. “‘[R.C. 2151.414(B)]
    does not make the availability of a placement that would not require a termination
    of parental rights an all-controlling factor. The statute does not even require the
    court to weigh that factor more heavily than other factors.’” In re N.R., 8th Dist.
    Cuyahoga No. 110144, 
    2021-Ohio-1589
    , ¶ 42, quoting In re Schaefer, 
    111 Ohio St.3d 498
    , 
    2006-Ohio-5513
    , 
    857 N.E.2d 532
    , at ¶ 64.
    The trial court found that M.S.K. could not be placed with Mother
    within a reasonable time or should not be placed with her and that permanent
    custody was in M.S.K.’s best interest. As outlined above, we determined that these
    findings were supported by clear and convincing evidence. Accordingly, we find no
    abuse of discretion by the juvenile court in awarding permanent custody and
    declining to grant temporary custody. Mother’s second assignment of error is
    overruled.
    III. Conclusion
    After thoroughly reviewing the entire record, we affirm the juvenile
    court’s judgment granting permanent custody of the child to CCDCFS. The juvenile
    court’s judgment was not against the manifest weight of the evidence, and it did not
    abuse its discretion in declining to award temporary custody rather than permanent
    custody. Clear and convincing evidence supported the juvenile court’s findings and
    determination that permanent custody was in the best interest of M.S.K.
    Judgment affirmed.
    It is ordered that appellee recover from appellant costs herein taxed.
    The court finds there were reasonable grounds for this appeal.
    It is ordered that a special mandate be sent to said court to carry this judgment
    into execution.
    A certified copy of this entry shall constitute the mandate pursuant to Rule 27
    of the Rules of Appellate Procedure.
    _________________________________________
    FRANK DANIEL CELEBREZZE, III, PRESIDING JUDGE
    EILEEN A. GALLAGHER, J., and
    EILEEN T. GALLAGHER, J., CONCUR
    KEYWORDS
    #111974 – In re M.S.K.
    Termination of parental rights; permanent custody; manifest weight of the
    evidence; competent, credible evidence; R.C. 2151.414; clear and convincing
    evidence; child could not or should not be placed with parent; failure to
    substantially remedy the conditions causing removal; chronic chemical
    dependency; involuntary termination of other siblings; best interest of the child;
    abuse of discretion; guardian ad litem recommendation; temporary custody.
    The juvenile court’s judgment awarding permanent custody to the agency was not
    against the manifest weight of the evidence, and it did not abuse its discretion in
    declining to award temporary custody rather than permanent custody. Clear and
    convincing evidence supported the juvenile court’s findings and determination
    that permanent custody was in the best interest of M.S.K.