Interest of L.T. & D.T., minors, Appeal of: A.Z. , 158 A.3d 1266 ( 2017 )


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  • J-A01014-17
    
    2017 Pa. Super. 93
    IN THE INTEREST OF: L.T. AND D.T.,            IN THE SUPERIOR COURT OF
    MINOR CHILDREN ADJUDICATED                          PENNSYLVANIA
    DEPENDENT
    APPEAL OF: A.Z., NATURAL MOTHER
    No. 1032 WDA 2016
    Appeal from the Order Entered June 6, 2016
    In the Court of Common Pleas of Erie County
    Civil Division at No(s): 25 and 26 2016
    IN THE INTEREST OF: L.T. AND D.T.,            IN THE SUPERIOR COURT OF
    MINOR CHILDREN ADJUDICATED                          PENNSYLVANIA
    DEPENDENT
    v.
    APPEAL OF: A.Z., NATURAL MOTHER
    No. 1035 WDA 2016
    Appeal from the Order Entered June 16, 2016
    In the Court of Common Pleas of Erie County
    Civil Division at No(s): 26 2016
    BEFORE: BOWES, OLSON AND STRASSBURGER,* JJ.
    OPINION BY BOWES, J.:                              FILED APRIL 07, 2017
    A.Z. (“Mother”) appeals from the respective orders entered on June 6,
    2016, wherein the juvenile court changed the permanent placement goals of
    * Retired Senior Judge assigned to the Superior Court.
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    her two children, L.T. and D.T., from reunification to adoption. 1 In addition,
    Mother appeals the June 16, 2016 order that awarded Erie County Office of
    Children and Youth Services (“CYS”) authority to make all medical
    determinations, including end of life decisions, relating to D.T.2 We reverse
    the permanency review order relating to L.T., dismiss the appeal from the
    order relating to D.T.’s end of life decisions, and remand for further
    proceedings.
    L.T. and D.T. were born during October 2014 and September 2015,
    respectively.     D.T. died on July 15, 2016 as a result of non-accidental
    traumatic brain injuries sustained during February 2016, while in the care of
    N.T. (“Father”).3      Specifically, then-four-month-old D.T. sustained a skull
    fracture and hematoma on the right side of his brain. The child presented at
    UPMC Hamot in Erie, Pennsylvania, unresponsive and in critical condition due
    ____________________________________________
    1
    Mother concedes that the goal change order relating to D.T. is moot
    because that child is now deceased.       See Mother’s brief at 30 n.10.
    Accordingly, we address only the portion of the juvenile court order relating
    to L.T.
    2
    While Mother purports to appeal the June 16, 2016 order as to both
    children, the certified record confirms that the pertinent order related only to
    D.T. and was entered at 26 of 2016, the action number corresponding to
    D.T. The court did not enter a correlating order at L.T.’s action number.
    3
    Father was ultimately arrested and charged with criminal homicide,
    aggravated assault, simple assault, and endangering welfare of children. As
    of the date of this opinion, Father remained incarcerated while awaiting trial.
    He did not appeal either of the orders we address herein.
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    to elevated intracranial pressure.             He was subsequently transferred to
    Children’s Hospital in Pittsburgh. The physicians characterized D.T.’s injuries
    as near-fatal child abuse.
    CYS obtained protective custody of the siblings and filed petitions
    alleging that L.T. and D.T. were dependent under § 6302 of the Juvenile Act,
    in that they lacked proper parental care and control. On March 16, 2016,
    Mother and Father stipulated to the adjudications of dependency for the
    reasons that CYS stated in its petitions.                 Significantly, aggravated
    circumstances were neither alleged in the dependency petitions nor found by
    the trial court to exist against either parent.4 The juvenile court awarded
    CYS legal and physical custody of the children. D.T. remained in a medically
    induced coma at Children’s Hospital of Pittsburgh, where he was expected to
    remain hospitalized indefinitely.        CYS placed L.T. in kinship care with her
    maternal grandmother (“Grandmother”).
    The court-ordered permanency goal was reunification, and the juvenile
    court granted Mother a pair of two-hour supervised visitations with L.T. per
    week at Grandmother’s home. However, Mother, who was recovering from
    ____________________________________________
    4
    The statutory definition of aggravated circumstances incudes situations
    where, “[t]he child or another child of the parent has been the victim of
    physical abuse resulting in serious bodily injury, sexual violence or
    aggravated physical neglect by the parent.” 42 Pa.C.S. § 6302. Instantly, a
    finding of aggravated circumstances against Mother or Father would have
    effectively alleviated CYS’s obligation to employ reasonable efforts to reunify
    the children with that parent.
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    an automobile collision that Father intentionally caused, was prohibited from
    residing in the home with her daughter. Mother was granted visitation with
    D.T. “as often as she is able to visit” the medical facility.     Dispositional
    Order, 4/8/16, at 3.     Although the Commonwealth had not yet leveled
    criminal charges against Father, the juvenile court suspended Father’s
    visitation with D.T. indefinitely and precluded Father from supervised
    visitation with L.T. until he demonstrated compliance with the sobriety and
    parenting components of the court-ordered services.       Prior to making any
    progress toward the visitation prerequisite, Father was arrested in the
    underlying criminal case and confined to county jail. Given the seriousness
    of the dependency case, the juvenile court fashioned an abbreviated
    calendar and scheduled the first permanency review hearing on June 1,
    2016, approximately thirty days from the date of the dispositional order.
    At the outset of the June 2016 hearing, CYS noted the presence in the
    court room of an unidentified media outlet and objected to its participation in
    the closed juvenile proceeding. The respective guardians ad litem for both
    children, Mother, and Father all joined the agency’s objection. The juvenile
    court overruled the collective objections noting that, “given the fact that this
    case already [garnered] a significant amount of media attention because of
    [Father’s] criminal cases[,]” no compelling state interest existed to close the
    court room. N.T., 6/1/16, at 4. Accordingly, the juvenile court permitted
    the media to attend the permanency review hearing. 
    Id. at 6.
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    Next, in addressing the proposed testimony of D.T.’s nurse regarding
    the child’s status, treatment, and prognosis, the trial court noted, sua
    sponte, that it was contemplating changing both children’s permanency
    goals from reunification to adoption.      Specifically, the court stated, “The
    agency is recommending a goal of reunification, but from what I’m looking
    at in the summary [prepared by the CYS caseworker], I am not sure I’ll go
    along with it.    So for all intents and purposes this is a change of goal
    hearing.” 
    Id. at 7.
    During the hearing, CYS presented the testimony of Patty Bush, the
    CYS caseworker assigned to the family, and Tina Ferraro, the director of
    Project   First   Step,   the   organization   tasked   with   providing   Mother
    reunification and visitation services.   As 
    noted supra
    , D.T.’s nurse testified
    about his current condition, and Mother testified on her own behalf. Distilled
    to its essence, the combined testimony from the agency’s two witnesses
    branded Mother as immature, possessing a mentality of entitlement, and
    dependent upon others for satisfying routine obligations.          For example,
    expecting to be evicted from subsidized housing on the day of the hearing
    due to the non-payment of utilities, both witnesses stressed that Mother
    resided in squalor and lacked any concrete plans to obtain suitable housing.
    In sum, Mother did not demonstrate the urgency that Ms. Bush and Ms.
    Ferraro believed the situation demanded.
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    However, the witnesses both testified that, while Mother’s current
    situation   remained   unacceptable,    she   had   made    an   effort   toward
    reunification during the brief period that they were involved in the case.
    Specifically, Ms. Bush stated that Mother started, but had not yet completed,
    a psychological evaluation and parenting and domestic violence programs.
    Indeed, CYS’s petition for a permanency hearing and the summary that Ms.
    Bush prepared for the juvenile court in anticipation of that hearing
    recommended that the agency continue providing Mother reunification
    services. During the hearing, however, she expanded the recommendation
    to include “looking for an adoptive resource for [L.T.]” 
    Id. at 38.
    Similarly, Ms. Ferraro indicated that Mother had not progressed in the
    one month that she had been in the program. She had various interactions
    with Mother, including the intake interview and two supervised visitations
    with L.T.     Ms. Ferraro characterized Mother’s demeanor as agitated and
    defensive, and she noted her primary concern that Mother appeared to lack
    motivation.     Nonetheless, Ms. Ferraro did not recommend terminating
    services at that juncture. To the contrary, she stated, “I will work with her
    as long as she’s willing to work on herself.” 
    Id. at 72.
    At the close of evidence, the juvenile court invited brief argument
    about the children’s permanency goals. It stated, “I’m certainly not leaving
    the goal of reunification.” 
    Id. at 101.
       Mother and Father persisted in
    arguing that reunification was an appropriate goal in light of the fact that the
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    family had only been in service for two and one-half months.        Similarly,
    L.T.’s guardian ad litem recommended concurrent goals of reunification and
    adoption because the dependency proceeding was in an early stage. 
    Id. at 105
    (“Having said that, we are only two and a half months in[.]”). D.T.’s
    guardian ad litem advocated changing the goals to adoption.       
    Id. at 105
    .
    Likewise, while CYS’s pre-hearing filings recommended continuing the goals
    of reunification, following the hearing, the agency argued to change the
    goals to adoption.    Thereafter, the trial court announced its intention to
    change the children’s permanency goals to adoption.      Two days later, the
    juvenile court entered a permanency review order memorializing the goal
    change and directing CYS to cease its services to Mother, including
    visitations, and to pursue the termination of parental rights. Mother filed a
    timely appeal and a concomitant statement of errors complained of on
    appeal pursuant to Pa.R.C.P. 1925(b).
    Meanwhile,      as   the   dependency   matter   proceeded   toward   the
    permanency hearing that resulted in the goal change, D.T.’s guardian ad
    litem, Stephen George, Esquire, filed and withdrew multiple petitions
    seeking the juvenile court’s guidance concerning D.T.’s end-of-life decisions.
    Attorney George filed the most recent iteration of his entreaty on June 10,
    2016, with the benefit of the medical testimony presented during the
    permanency hearing.       During the ensuing hearing on Attorney George’s
    petition, it was revealed that D.T. was technologically dependent, i.e.,
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    required specialized medical equipment for life support, but he was not in an
    emergent state that required “heroic efforts . . . to sustain his life.” N.T.,
    6/16/16, at 5. Albert Veverka, Esquire, the attorney representing Children’s
    Hospital of Pittsburgh, characterized D.T.’s condition as neither requiring nor
    precluding a do not resuscitate (“DNR”) order.             He summarized the
    perspective of the supervising physician, Robert Clark, M.D., as follows: “If
    . . . a mother or father . . . came . . . and said . . . [‘]I want a DNR,[’] [Dr.
    Clark] would say . . . [‘]Okay, we can do that.[’]”      
    Id. However, “[i]f
    the
    same situation arose and the parents . . . said . . . [‘]I don’t want a DNR at
    this point, [Dr. Clark] would say . . . [‘]Okay, I respect that [too’]. He is of
    the opinion that[,] at this point in time[,] we’re not in that emergent
    circumstance where a DNR is absolutely necessary or absolutely not
    necessary.” 
    Id. At the
    close of the hearing, the juvenile court entered an order
    confirming that the prior award of legal custody in favor of CYS included the
    responsibility over “all medical decisions, . . . including end-of-life decisions,
    in the best interest of the dependent child, [D.T.].”         Trial Court Order,
    6/16/16, (unnumbered at 2). The juvenile court reasserted that Mother was
    not only prohibited from contacting D.T. directly, but that she also was
    precluded from contacting Children’s Hospital for updates on his condition.
    Eventually, the juvenile court relented and permitted Mother one final
    visitation with her son prior to his death.        Trial Court Order, 7/14/16.
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    Mother filed a timely appeal from the June 16, 2016 order, which we
    consolidated with her earlier appeal from the order changing the children’s
    permanency goals to adoption.
    Mother presents five issues for our review:
    A.    Whether the juvenile court committed an abuse of
    discretion and/or error of law when it permitted, over unanimous
    objection, the presence of the media at the permanency review
    hearing held on June 1, 2016.
    B.    Whether the juvenile court committed an abuse of
    discretion and /or error of law when the agency petitioned for a
    change of goal and the juvenile court considered the change of
    goal without providing adequate notice to the parties that a
    change of goal was to be contemplated at the permanency
    review hearing held on June 1, 2016.
    C.    Whether the juvenile court committed an abuse of
    discretion and/or error of law when it determined the current
    permanency goal of reunification was no longer feasible and
    dispensed with the goal of reunification after only one (1) month
    and twenty-seven (27) days when the record failed to support a
    conclusion that it was in the best interest of the minor child to
    change the goal.
    D.    Whether the juvenile court committed an abuse of
    discretion and/or error of law when it determined that visitation
    should cease between the appellant and the minor children
    following the change of goal to adoption when the record failed
    to support a conclusion that it was in the best interests of the
    minor children to no longer have visitation with their mother.
    E.    Whether the juvenile court committed an abuse of
    discretion and/or error of law when it denied the appellant the
    opportunity to participate in the medical decision making for the
    minor children. In the alternative, whether the juvenile court
    was manifestly unreasonable when it denied the appellant the
    opportunity to participate in the medical decision making for the
    minor children. In the alternative, whether the juvenile court
    deprived the appellant of her rights under the United States and
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    Pennsylvania constitutions when it denied her the right to
    participate in the care and control of her minor children in
    violation of due process of law.
    Mother’s brief at 3.
    At the outset, we address whether the trial court erred in permitting
    the media to attend the June 1, 2016 permanency review hearing.5           We
    review the juvenile court’s decision for an abuse of discretion. In re M.B.,
    
    819 A.2d 59
    , 61 (Pa.Super. 2003) (“When an appeal challenges a trial
    court's decision to grant or deny access to judicial proceedings, we will
    reverse only if we find that the trial court abused its discretion.”).
    Pursuant to 42 Pa.C.S. § 6336(d), except for a declaration of contempt
    of court or one of the enumerated circumstances that are implicated in
    delinquency proceedings, “the general public shall be excluded from hearings
    under this chapter.”         The provision continues, “Only the parties, their
    counsel, witnesses, the victim and counsel for the victim, other persons
    accompanying a party or a victim for his or her assistance, and any other
    ____________________________________________
    5
    Neither CYS nor D.T.’s guardian ad litem addressed this issue. L.T.’s
    guardian ad litem argues unconvincingly that the issue is moot, ostensibly
    because the consequences of the court’s determination on the June 1, 2016
    hearing cannot be undone. This argument ignores the continuing nature of
    dependency proceedings in that permanency review hearings are scheduled
    at least once every six months until the dependency case is closed. Thus,
    unless we confront the issue at this juncture, the media will have continued
    access to L.T.’s dependency proceedings, subject only to the reversal of the
    juvenile court’s attitude.   Hence, we address the merits of Mother’s
    argument.
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    person as the court finds have a proper interest in the proceeding or in the
    work of the court shall be admitted by the court.” 
    Id. Hence, it
    is beyond
    cavil that the statutory framework promotes confidentiality.
    In In re 
    M.B., supra
    , this Court addressed whether the press could
    access a dependency proceeding.       Citing the Juvenile Act approvingly, we
    found that § 6336(d) “demonstrate[d] our legislature's compelling interest in
    safeguarding children involved in juvenile proceedings.”          
    Id. at 62.
    However, referring to an official comment to § 6336(d) specifying that
    reporters were within the class of people with a “proper interest” in
    attending dependency proceedings, we observed that a juvenile court may
    elect at its discretion to grant the press access.   
    Id. at 65.
      We found a
    rebuttable constitutional presumption that juvenile court proceedings, like
    most other judicial proceedings, are open to the public, and concluded that
    juvenile courts “possess an inherent power to control access to their
    proceedings and may deny access when appropriate.” 
    Id. at 60,
    62–63.
    However, we also recognized that the rebuttable presumption of openness is
    not absolute, and the juvenile courts may still deny access if they find that
    confidentiality serves an important governmental interest and no less
    restrictive means exist to serve that interest.
    We explained the applicable resolution of the contrasting dynamics
    between the presumption of openness and the court's inherent power to
    control access as follows:
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    In this case, where the constitutional presumption of
    openness applies and where the trial court has exercised its
    discretion to close the proceedings, we employ a constitutional
    analysis [to determine whether the court's decision was an
    abuse of discretion]. Once an interested party, such as the
    press, seeks access to such proceedings, the party seeking to
    keep the proceedings closed may rebut the presumption of
    openness by demonstrating that: (1) the denial of public access
    serves an important governmental interest, and (2) no less
    restrictive means to serve that interest exists. To satisfy these
    requirements, the party seeking closure must demonstrate that
    the material is the kind of information that the courts will protect
    and that there is good cause for the order to issue. A party
    establishes good cause by showing that opening the proceedings
    will work a clearly defined and serious injury to the party seeking
    closure. We have emphasized that only a compelling government
    interest justifies closure and then only by a means narrowly
    tailored to serve that interest. Ultimately, the decision whether
    to grant or deny public access is within the sound discretion of
    the trial court.
    
    Id. at 63–64
    (internal citations and quotations omitted).          In sum, we
    concluded that the protection of minors from psychological and emotional
    harm and the trauma and embarrassment associated with testifying in public
    were compelling interests that militated in favor of privacy concerns. 
    Id. at 64,
    65. We also reasoned that, unlike delinquency proceedings, dependent
    children have not brought attention upon themselves and therefore “the
    public’s interest is less keen than it is in delinquency proceedings.” 
    Id. at 65
    n.5.   In addition, this Court observed the informal and non-adversarial
    nature of dependency hearings and highlighted the chilling effect that
    publicity associated with open proceedings would have upon the testimony
    of caseworkers and service providers. 
    Id. at 64.
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    In addressing this issue in its Pa.R.A.P. 1925(a) opinion, the juvenile
    court concluded that Mother “failed to show a compelling reason why the
    hearing ought to be closed.” Trial Court Opinion, 8/10/16, at 16. The court
    initially reasoned that Mother did not have standing to challenge the media’s
    presence on behalf of the children, presumably because they had been
    adjudicated dependent, and that she failed to demonstrate an injury to
    herself.   Thereafter, the court provided an alternative basis to reject
    Mother’s argument on its merits, which was the children’s ages.
    The juvenile court’s rationale demonstrates its misapprehension of the
    relevant concerns regarding the children’s interests that we stressed in In
    re 
    M.B., supra
    .     First, despite the juvenile court’s suggestion to the
    contrary, Mother was not required to assert that she would suffer harm as a
    result of opening the proceedings. As we 
    explained supra
    , the focus of the
    constitutional analysis is the effect of the media’s intrusion upon the
    children. Therefore, any reference to Mother’s privacy rights is misplaced.
    Second, regardless of the dependency adjudication, Mother’s parental rights
    remained intact.   Thus, she retained a fundamental interest in the care,
    custody, and control of L.T. and D.T., including the preservation of privacy
    concerns and the prevention of psychological and emotional harm flowing
    from the invasion of their privacy rights.   Hence, we reject the juvenile
    court’s conclusion that Mother lacked standing to object to the media’s
    presence at the dependency hearing.
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    Moreover, we also find unpersuasive the trial court’s alternative
    argument addressing the merits of Mother’s complaint. Essentially, the trial
    court determined, “given the media attention this case received because of
    the criminal charges filed against the father, and the young age of the
    children, allowing the press to be present at the review hearing posed little
    or no danger their privacy interests would be invaded more than had already
    taken place.”   Trial Court Opinion, 8/10/16, at 16.      Noting the children’s
    respective ages and the fact that D.T. is now deceased, the juvenile court
    reasoned that the children would not suffer psychological and emotional
    harm as a result of the media’s intrusion.      For the following reasons, we
    disagree with the juvenile court’s conclusion that the intrusion would not
    cause psychological or emotional harm.
    Preliminarily, we note that this case is procedurally defective.
    Typically, in situations involving hearings that are closed to the public by
    statute, the party seeking access to the closed proceedings files a petition to
    open the hearing, and upon notice of the petition, the party seeking to keep
    the record closed is tasked with rebutting the presumption of openness
    under the two-pronged test we 
    discussed supra
    .         See e.g., In re 
    M.B., supra
    ; In re J.B., 
    39 A.3d 421
    (Pa.Super 2012). This procedure did not
    occur in the case at bar.
    Presently, the still unidentified media outlet neglected to file a petition
    announcing its request to open the closed proceeding. It just appeared at
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    the scheduled permanency review hearing. Then, without prior notice to the
    parties, the juvenile court acknowledged the media’s presence and asked the
    parties if they wanted to address that issue.        Thereafter, the parties
    uniformly objected to the media’s participation, and the court questioned,
    “How do we know really know that the media is going to invade the privacy
    of the children. . . [?]” N.T., 6/1/16, at 5. Then, after rebuffing an attempt
    by the guardian ad litem for L.T. to explain the legislatures’ interest in
    enacting the confidentiality component of § 6336(d), the juvenile court
    invoked its interpretation of In re M.B., and purported to balance the
    children’s privacy rights against the public interest in disclosure and
    determined, “given the attention the media has already given to this case,
    [the collective objections do not demonstrate] how the public interest is
    overridden here.” N.T., 6/1/16, at 6. Having found that the public interest
    prevailed over the children’s privacy rights, the juvenile court did not
    confront whether a less restrictive means existed to protect the children's
    privacy rights other than the total closure of the dependency proceedings.
    The procedural defects in this case are manifest. By failing to require
    the media to provide a written petition to open the dependency hearing, or
    even issue notice of its request, the juvenile court denied the parties to the
    dependency proceeding an opportunity to prepare a measured response that
    addressed the relevant aspects of the constitutional analysis. The juvenile
    court’s abridged, impromptu discussion regarding the merits of opening the
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    dependency hearing to the media was insufficient in light of the nuanced
    evaluation of the countervailing interests that we outlined in In re M.B., and
    ultimately proved to be a disservice to the children’s privacy interest.
    Moreover, we reject the juvenile court’s argument that publicizing the
    dependency proceedings was harmless due to potential dissemination of
    information during Father’s corresponding criminal matter. At its core, the
    trial court’s reasoning is premised upon the notion that the related criminal
    case had revealed all of the facts previously hidden. The logical foundation
    of that rationale is faulty.   First, the premise ignores the reality that the
    majority of the information discussed during closed permanency review
    hearings is wholly irrelevant to the Commonwealth’s case against Father or
    his defense, and therefore, it would not be disclosed in the criminal
    proceedings.    For instance, pursuant to § 6351(e), permanency review
    hearings address, inter alia, the feasibility and compliance with the
    permanency plan, the date by which permanency goals might be achieved
    and whether placement continues to be best suited to the child’s safety,
    protection and physical, mental and moral welfare. In addition, the juvenile
    court must also determine the appropriateness and continuing necessity for
    placement, the appropriateness of the current placement goal, and the date
    by which the placement goal might be achieved.         In scenarios where the
    children do not testify, this information is gleaned from the testimony
    provided by parents, foster parents, caseworkers and service providers.
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    Father’s criminal case, which the juvenile court cited as the main
    reason    for   permitting   the   media’s   participation   in   the    dependency
    proceedings, would not reveal these confidential aspects of L.T.’s and D.T.’s
    lives because they are irrelevant to the criminal matter.                 As Mother
    accurately notes, this Court rejected the juvenile court’s precise rationale
    regarding the superseding effect of concomitant open criminal proceedings
    on a dependent child’s privacy rights, and it characterized the assertion as
    “spurious.” In re 
    M.B., supra
    at 64. We explained, “While it is true that the
    children's names and certain details about their family life have been
    publicized, we believe . . . that the fact that they have received some
    publicity enhances their need for privacy now.” 
    Id. In addition
    we endorsed
    the trial court’s observation, “the more information that is revealed, the
    more stress the children experience, the more they are stigmatized,
    embarrassed, and subject to whispers and speculation.” 
    Id. at 65
    (citation
    omitted).
    Stated plainly, the existence of a related criminal matter is not the
    dispositive consideration. As noted, few of the highly personal facts that are
    essential to the permanency review determination in this case would be
    subject to disclosure during Father’s criminal proceedings. Furthermore, the
    harm     stemming    from    the   continued   dissemination      of    this   delicate
    information in open dependency proceedings overrides the public’s interest
    in disclosure. We stressed this latter concept in outlining the parameters of
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    the two-prong constitutional analysis in In re 
    M.B., supra
    at 64 quoting In
    re T.R., 556 N.E.2d 439,451 (Oh. 1990), “Intense publicity surrounding the
    events   which   have      brought   a    child   into   the   juvenile   court   may
    psychologically harm the child, making it more difficult, if not impossible, for
    the child to recover from those events.”           In addition to highlighting the
    chilling effect that open dependency hearings would have upon a witness’s
    willingness to speak candidly about the child’s best interest, this Court noted
    that publicity “is inconsistent with the nonadversarial nature of juvenile
    proceedings.” 
    Id. at 64
    (quoting San Bernardino County Dep't. of Pub.
    Social Servs. v. Superior Ct., 
    283 Cal. Rptr. 332
    (Cal.App. 1991) (“Private
    hearings were not intended to simply avoid publicity and its resulting stigma,
    but were also part and parcel of the informal and nonadversarial nature of
    juvenile court hearings.”)); see also 
    T.R., 556 N.E.2d at 448
    –49 (juvenile
    courts differ from courts of general jurisdiction in that “[h]earings are
    informal, and based on an inquisitorial model rather than an adversarial
    one”).
    For all of the foregoing reasons, we find that the juvenile court abused
    its discretion in permitting the unidentified media member’s access to the
    closed dependency proceedings without first requiring a formal petition,
    notice, and the opportunity for the parties to prepare an informed response
    to satisfy their burden of persuasion regarding both prongs of the
    constitutional analysis.     Moreover, the juvenile court exaggerated the
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    significance of Father’s criminal trial in reasoning that the public had already
    garnered much of the confidential information that would be disclosed in the
    ongoing dependency proceedings. Thus, we direct the juvenile court to close
    the dependency proceedings consistent with § 6336(d). If, upon subsequent
    petition, notice, and measured argument beyond the existence of a related
    criminal matter, the juvenile court finds that the presumption of openness is
    unrebutted, the court may enter an appropriate order at that juncture.
    Next, we address Mother’s contention that the trial court erred in
    changing the children’s permanent placement goals from reunification to
    adoption.     The appropriate standard of review of a juvenile court's
    permanency determination is as follows:
    In cases involving a court’s order changing the [court-ordered]
    goal . . . to adoption, our standard of review is abuse of
    discretion. To hold that the trial court abused its discretion, we
    must determine its judgment was manifestly unreasonable, that
    the court disregarded the law, or that its action was a result of
    partiality, prejudice, bias or ill will. While this Court is bound by
    the facts determined in the trial court, we are not tied to the
    court’s inferences, deductions and conclusions; we have a
    responsibility to ensure that the record represents a
    comprehensive inquiry and that the hearing judge has applied
    the appropriate legal principles to that record. Therefore, our
    scope of review is broad.
    In re S.B., 
    943 A.2d 973
    , 977 (Pa.Super. 2008) (citations omitted); see
    also In re R.J.T., 
    9 A.3d 1179
    , 1190 (Pa. 2010).
    In In re A.K., 
    936 A.2d 528
    , 534 (Pa.Super. 2007), this Court
    stressed that the focus of dependency proceedings is upon the best interest
    - 19 -
    J-A01014-17
    of the children and that those considerations supersede all other concerns,
    “including the conduct and the rights of the parent.”        Again, in In the
    Interest of D.P., 
    972 A.2d 1221
    , 1227 (Pa.Super. 2009), we explained, “In
    a change of goal proceeding, the best interests of the child, and not the
    interests of the parent, must guide the trial court, and the parent’s rights are
    secondary.” 
    Id. Likewise, this
    Court has held, “a child’s life simply cannot
    be put on hold in the hope that the parent will summon the ability to handle
    the responsibilities of parenting.” In re N.C., 
    909 A.2d 818
    ,824 (Pa.Super.
    2006) (quoting In re Adoption of M.E.P., 
    825 A.2d 1266
    , 1276 (Pa.Super.
    2003)).
    With those principles in mind, we outline the relevant considerations
    set forth in the Juvenile Act regarding permanency planning:
    Pursuant to § 6351(f)[6] of the Juvenile Act, when
    considering a petition for a goal change for a dependent child,
    ____________________________________________
    6
    During permanency review hearings, trial courts must address the
    following considerations relevant to the child’s well-being.
    (f) Matters to be determined at permanency hearing.—
    At each permanency hearing, a court shall determine all of the
    following:
    (1) The continuing necessity for and appropriateness of
    the placement.
    (2) The appropriateness, feasibility and extent of
    compliance with the permanency plan developed for the
    child.
    (Footnote Continued Next Page)
    - 20 -
    J-A01014-17
    _______________________
    (Footnote Continued)
    (3) The extent of progress made toward alleviating the
    circumstances which necessitated the original placement.
    (4) The appropriateness and feasibility             of   the
    current placement goal for the child.
    (5) The likely date by which the placement goal for the
    child might be achieved.
    (5.1) Whether reasonable efforts were made to finalize
    the permanency plan in effect.
    (6) Whether the child is safe.
    ....
    (9) If the child has been in placement for at least 15 of the
    last 22 months or the court has determined that
    aggravated circumstances exist and that reasonable efforts
    to prevent or eliminate the need to remove the child from
    the child’s parent, guardian or custodian or to preserve
    and reunify the family need not be made or continue to be
    made, whether the county agency has filed or sought to
    join a petition to terminate parental rights and to identify,
    recruit, process and approve a qualified family to adopt the
    child[.]
    ....
    (f.1)     Additional    determination.--Based        upon    the
    determinations made under subsection (f) and all relevant
    evidence presented at the hearing, the court shall determine one
    of the following:
    (1) If and when the child will be returned to the
    child's parent, guardian or custodian in cases where the
    (Footnote Continued Next Page)
    - 21 -
    J-A01014-17
    the juvenile court is to consider, inter alia: (1) the continuing
    necessity for and appropriateness of the placement; (2) the
    extent of compliance with the family service plan; (3) the extent
    of progress made towards alleviating the circumstances which
    necessitated the original placement; (4) the appropriateness and
    feasibility of the current placement goal for the children; (5) a
    likely date by which the goal for the child might be achieved; (6)
    the child's safety; and (7) whether the child has been in
    placement for at least fifteen of the last twenty-two months.
    In re A.B., 
    19 A.3d 1084
    , 1088-89 (Pa.Super. 2011). Additionally, courts
    must consider whether reasonable efforts were made to finalize the
    permanency plan in effect. See 42 Pa.C.S. § 6351(f)(5.1).
    Mother’s first challenge to the goal change order asserts trial court
    error in failing to provide formal notice that the court was considering
    _______________________
    (Footnote Continued)
    return of the child is best suited to the safety, protection
    and physical, mental and moral welfare of the child.
    (2) If and when the child will be placed for
    adoption, and the county agency will file for termination
    of parental rights in cases where return to the child's
    parent, guardian or custodian is not best suited to the
    safety, protection and physical, mental and moral welfare
    of the child.
    ....
    (g) Court order.--On the basis of the determination made
    under subsection (f.1), the court shall order the
    continuation, modification or termination of placement or
    other disposition which is best suited to the safety, protection
    and physical, mental and moral welfare of the child.
    42 Pa.C.S. § 6351(f)(1)-(6) and (9), (f.1) (1) and (2), (g) (emphases
    added).
    - 22 -
    J-A01014-17
    changing the permanency goals to adoption. Relying upon select segments
    of the Pennsylvania Dependency Benchbook (“Dependency Benchbook”)7,
    she argues that the juvenile court should have first waited for CYS to file a
    petition for goal change and then provide notice to the parties that the
    petition would be addressed at the ensuing permanency review hearing.
    Mother relies primarily upon the following passage:
    “Best Practice – Goal Change Initiation”
    While not required by Pennsylvania statute or rule of court,
    the request to change a goal can come in many forms. The
    official change in goal by the court is most commonly initiated by
    the agency. This is typically done by the agency petitioning the
    court for a permanency hearing with notice they are requesting a
    goal change.
    Additionally, nothing precludes the court from initiating a
    change of goal. In some counties the judge informs all the
    parties at the Permanency Hearing that a hearing to change the
    goal will occur at the next scheduled Permanency Hearing. It is
    particularly beneficial to provide all parties with the date of the
    upcoming goal change hearing to prevent any issues of parties
    not receiving appropriate notice.
    See Pennsylvania Dependency Benchbook 2nd at § 13-3, Office of Children
    and Families in the Courts (2014).
    ____________________________________________
    7
    The Pennsylvania Dependency Benchbook is a compendium on
    Pennsylvania dependency law that provides an overview of the subject for
    juvenile court judges to refer to while presiding over a case. It is not “a
    substitute for statutory, procedural or other legal authority.” See
    Pennsylvania Dependency Benchbook, Office of Children and Families in the
    Courts, 2010.
    - 23 -
    J-A01014-17
    Mother asserts that, since neither of the foregoing scenarios outlined
    in the “Best Practices” notation occurred herein, the juvenile court failed to
    provide adequate notice that a goal change was contemplated and that it
    was error to change the children’s goals with deficient notice. We disagree.
    It is irrelevant that the juvenile court’s decision to change the
    permanency goals did not follow a typical procedural course. As the notation
    that Mother seeks to invoke states explicitly, there is no statutory
    requirement that a juvenile court must provide express notice that it is
    contemplating a goal change. Indeed, while Mother is correct in noting that
    the Dependency Benchbook refers to goal change hearings, the Juvenile Act
    does not discuss goal change hearings or mention the phrase “goal change”
    at all. In In re R.J.T., supra at 1183 n.6, our Supreme Court highlighted
    that the phrase “goal change,” is used as a term of art that is synonymous
    with   the   juvenile   court’s   mandated   determination   regarding   “the
    continuation, modification or termination of placement” that a juvenile court
    must render pursuant to 42 Pa.C.S. § 6351 (f), (f.1), and (g) at the
    conclusion of every permanency hearing. 
    Id. (“We conclude
    that an order
    to continue, modify, or terminate the current placement, as required by the
    statute, is synonymous with a decision to continue or change the
    permanency plan goal.”).
    Moreover, while Mother concedes that the Juvenile Act authorizes
    juvenile courts to alter permanency goals sua sponte, she focuses on the
    - 24 -
    J-A01014-17
    Dependency Benchbook’s notation that, having initiated the issue, some
    judges elect to schedule a goal change hearing during the next scheduled
    permanency review hearing. She reasons that, since the juvenile court did
    not provide advance notice that it was going to contemplate the goal change
    at the June 2016 hearing, the court erred in addressing that issue. Mother is
    mistaken. While it is clear from the foregoing notation that the authors of
    the Dependency Benchbook recommend that trial courts issue prior notice of
    a goal change, the statute forewarns the parties that the issue will be
    addressed as a matter of course during every permanency review hearing.
    Regardless of the Dependency Benchbook’s observation concerning the
    scheduling preferences of “some” judges, the Juvenile Act remains the
    dispositive authority in dependency cases. As we discussed, supra, § 6351
    of the Juvenile Act directs that a juvenile court not only consider the
    appropriateness   and   feasibility   of   a   child’s   current   goal   during   the
    permanency review hearings, it also mandates that the court enter an order
    addressing whether to continue, modify or terminate placement.               See 42
    Pa.C.S. § 6351 (f)(4), (f.1), and (g). Hence, despite Mother’s complaint that
    she was not provided notice that a goal change would be at issue during the
    June 2016 permanency review hearing, a review of the current goal’s
    feasibility is a required component of every permanency review hearing.
    The certified record confirms that the juvenile court issued Mother formal
    - 25 -
    J-A01014-17
    notice of the June 1, 2016 permanency review hearing.       Accordingly, her
    challenge fails.
    Having found no error regarding notice, we address the merits of
    Mother’s assertion that the trial court erred in changing L.T.’s permanency
    goal from reunification to adoption after only approximately two months of
    services. She contends that the decision to change L.T.’s permanency goals
    ran contrary to the Juvenile Act’s foremost purpose “to preserve the unity of
    the family whenever possible [.]” 42 Pa.C.S.§ 6301(b)(1). Similarly, citing
    the statutory requirement pursuant to §6351(f)(9), that an agency typically
    must request a goal change when a child has been in care for fifteen to
    twenty-two months, Mother contends that the act “contemplate[s] remedies
    . . . that extend fifteen (15) to twenty-two (22) months.” Mother’s brief at
    38. Thus, she argues the juvenile court’s decision to change her daughter’s
    permanency goal was procedurally premature.
    Similarly, invoking the Dependency Benchbook’s discussion concerning
    early stages of dependency, Mother asserts that the juvenile court should
    have utilized the June 2016 permanency review hearing to consider her
    initial progress and to make minor adjustments to the permanency plan. In
    addition, highlighting the May 19, 2016 court summary that Ms. Bush
    prepared and CYS submitted in anticipation of the permanency hearing,
    Mother observed that she was compliant with the plan and had initiated the
    recommended services.       Furthermore, the agency recommended the
    - 26 -
    J-A01014-17
    continuation of her reunification efforts. Hence, she concludes the juvenile
    court’s decision to change L.T.’s permanency goal to adoption after only two
    months was hasty.     For the reasons that follow, we reverse the juvenile
    court order changing the goal from reunification to adoption.
    In addressing these issues, the juvenile court first correctly highlighted
    that Mother’s reliance upon the fifteen-to-twenty-two-month period is
    misplaced in that the Juvenile Act does not prohibit it from altering a child’s
    permanency goal at any time that the court determines that reunification is
    no longer viable and that another more appropriate goal exists. Next, the
    court attempted to bolster its position by citing to In re 
    D.P., supra
    and In
    re M.S., 
    980 A.2d 612
    (Pa.Super. 2009), two cases where this Court
    affirmed juvenile court goal change orders at the dispositional phase.
    First, we agree with the trial court’s characterization of the Juvenile
    Act’s timing requirements.    It is beyond cavil that the fifteen-to-twenty-
    month period outlined in § 6351 is not a prerequisite to a goal change, but
    rather, an aspirational target in which to attain permanency. See 42 Pa.C.S.
    § 6351(f.1)(9) (“If the child has been in placement for at least 15 of the last
    22 months . . . [the court must determine] whether the county agency has
    filed or sought to join a petition to terminate parental rights[.]”).     Thus,
    Mother’s citation to that provision for the proposition that she was entitled to
    the full extent of the fifteen-to-twenty-two month term is unpersuasive.
    - 27 -
    J-A01014-17
    Nevertheless, the juvenile court’s reliance upon In re D.P. and In re
    M.S. is plainly misplaced.     In re D.P. involved an extensive procedural
    history spanning ten years between the agency’s initial involvement with the
    family and the goal change order.      Also, unlike the case at bar, the facts
    underlying our review of In re D.P. included a prior adjudication of
    dependency and reunification as well as an express finding of aggravated
    circumstances against one of the parents.         In addition, the agency was
    actively involved with the family for approximately three years between the
    pertinent adjudication of dependency during September 2005 and the July
    2008 dispositional order granting the goal change.
    Our holding in In re 
    M.S., supra
    , may appear to support the juvenile
    court’s positon insofar as we affirmed a juvenile court’s order establishing
    adoption as the initial permanency goal. However, upon closer inspection,
    the perceived support is ephemeral. Like the facts underlying our review of
    In re 
    D.P., supra
    , the pertinent aspects of In re 
    M.S., supra
    , included “a
    longstanding relationship. . . going back approximately 12 years” as well as
    the trial court’s implicit finding that Mother’s failure to protect the child from
    repeated sexual assaults “by at least one but in all likelihood more than one
    of her brothers” constituted aggravated circumstances that warranted
    setting adoption as the initial permanency goal for the 12-year-old child. 
    Id. at 613,
    614-615.
    - 28 -
    J-A01014-17
    More importantly, unlike the case at bar, our review of the certified
    record in In re M.S. supported the juvenile court’s finding. We explained
    that the mother’s “apathy and indolence in taking corrective measures
    [were] the root problems of [that] case, [and that her inaction] smack[ed]
    squarely in the face of achieving M.S.'s best interests.” 
    Id. at 618.
    Indeed,
    our citation to the In re D.P. Court’s reasoning in In re M.S. provides a
    conspicuous illustration of why the juvenile court’s reliance upon those cases
    is misplaced herein. In affirming the court’s purportedly abrupt invocation of
    adoption in In re M.S., this Court recounted approvingly, “It is not
    reasonable to suggest that after many fruitless years of providing services to
    Mother that the Agency should be expected to continue providing the same
    services over and over again.”       
    Id. quoting In
    re 
    D.P., supra
    at 1231.
    Instantly, however, as we explain, infra, the facts do not demonstrate the
    futility of CYS’s reunification efforts, and more importantly, it does not reveal
    a prolonged exhaustion of reunification resources.           To the contrary, CYS
    provided Mother services for no more than three months. Thus, neither of
    these cases supports the legal principle for which they were cited, i.e., that
    this   Court   routinely   affirms   goal   change   order    following   truncated
    reunification efforts.
    As indicated in the preceding discussion, our review of the record
    sustains neither the juvenile court’s finding that “[r]eunification is not a
    viable option in this case” nor its determination that “the safety and
    - 29 -
    J-A01014-17
    wellbeing of L.T. is seriously threatened by Appellant's inability to take
    responsibility for herself, her failure to address problems with domestic
    violence, her homelessness and deplorable home conditions when she did
    have housing.” Trial Court Opinion, 8/10/16, at 21.
    In rendering its decision, the trial court focused primarily on the
    brutality of D.T.’s severe physical injuries, Mother’s belief that Father was
    not capable of inflicting the savage beating upon their infant son, and the
    immaturity and perceived lack of urgency that twenty-one-year-old Mother
    revealed during the hearing. The trial court discounted Mother’s compliance
    with the agency’s plan and the progress that she achieved during the short-
    lived period that she received reunification services. More importantly, the
    juvenile court disregarded the undisputed evidence that L.T. thrived during
    the brief period that she was placed in Grandmother’s kinship care, that
    Mother and L.T. shared a close bond, and that it was in the child’s best
    interest to continue reunification efforts.
    The record bears out Mother’s compliance in light of the circumstances
    that she faced in this case.        Recall that Mother was required to: 1)
    participate in a psychological evaluation to determine any mental health
    deficiencies   and   follow   treatment   recommendations;   2)   complete   an
    approved parenting program; 3) attend medical appointments; 4) attend
    visitations regularly and demonstrate appropriate parenting; 5) complete a
    - 30 -
    J-A01014-17
    domestic violence program; 6) maintain safe and stable housing; and 7)
    execute necessary releases.
    Unfortunately for Mother, she struggled to maintain safe and stable
    housing.   The record confirms that Mother has lived in squalor for the
    duration of the agency’s involvement with the family and that she
    anticipated being evicted from her subsidized residence on the date of
    thepermanency review hearing. On the verge of homelessness, Mother still
    rebuffed Ms. Ferraro’s attempts to register her into a temporary shelter,
    apparently because she did not want to be confined to the city of Erie
    without access to transportation.   Mother informed both caseworkers that
    she intended to reside with a neighbor temporarily until she and her new
    boyfriend could obtain a residence together.     Along with the severity of
    D.T.’s injuries and its interpretation of Mother’s poor attitude, Mother’s
    housing predicament was among the juvenile court’s primary motivations for
    the goal change.
    While the certified record plainly supports the juvenile court’s finding
    that Mother failed to satisfy the housing requirement, the court’s rationale
    discounted Mother’s physical limitations due to injuries stemming from a
    recent automobile collision.   Ms. Bush testified during the hearing that
    Mother suffered extensive injuries, some of which required surgery, to her
    collar bone, ribs, and shoulder from the car accident.      
    Id. at 44.
       The
    injuries limited the use of one arm and affected her ability to clean her home
    - 31 -
    J-A01014-17
    without assistance.      
    Id. In fact,
    Ms. Bush testified that Mother had
    complained that she could barely care for herself with the use of only one
    arm.     
    Id. Rather than
    appreciate the reality of Mother’s physical
    impairment,     the   juvenile   court   twice    chastised   Mother   for   blaming
    Grandmother’s inability to help her with housekeeping for the condition of
    the home.      Trial Court Opinion, 8/10/16, at 8.       Likewise, while Mother’s
    makeshift housing arrangement was inadequate and her plan for stable
    housing was still uncertain, those deficiencies did not demonstrate Mother’s
    long-term inability to reunite with L.T. Thus, although the record supports
    this aspect of the juvenile court’s finding, under the circumstances of this
    case, we do not believe that Mother’s housing predicament is a basis to
    change the dependency goal from reunification to adoption.
    With regard to the remaining objectives, Mother made moderate
    progress during the two months that she received services. She executed
    the necessary releases and regularly attended supervised visitations with
    L.T.   N.T., 6/1/16, at 40.       Mother demonstrated appropriate parenting
    behavior, and even though L.T. recognized Grandmother as the primary
    caretaker, Mother’s bond with her daughter was evident. 
    Id. at 41,
    53-54,
    65. Hence, those aspects of the plan were satisfied.
    In addition to satisfying the visitation and clerical components of the
    goals that we documented above, Mother completed the initial portion of her
    psychological evaluation on May 10, 2016. However, as Ms. Bush explained
    - 32 -
    J-A01014-17
    during the evidentiary hearing, Mother could not attend the scheduled
    follow-up session scheduled for May 19, 2016, because she had been
    subpoenaed as a witness at Father’s preliminary hearing on that date. N.T.,
    6/1/16, at 34, 45.    The appointment was rescheduled for June 6, 2016,
    approximately one week after the permanency review hearing.             
    Id. at 34.
    Thus, she was compliant with this aspect of services.
    Likewise,   Mother   was    compliant     with   the   domestic     violence
    component. Ms. Bush indicated that Mother enrolled in a twenty-four week
    domestic violence program and attended the first three classes. 
    Id. at 35;
    CYS Case Summary, 5/19/16, at 8. Further, Ms. Bush testified that Mother
    advised her that she recognized that her relationship with Father was toxic
    and that she terminated it. N.T., 6/1/16, at 32.
    Mother also satisfied her obligation to enroll in a parenting education
    program.   She began Project First Step on May 5, 2016.         While Mother’s
    personality initially clashed with the assigned caseworker, Ms. Ferraro, who
    found mother defensive, agitated and resistant to independence, she had
    completed approximately one month in the program prior to the hearing.
    Significantly, although Ms. Ferraro stressed Mother’s deficiencies, she did not
    recommend terminating services and stated that she was committed to work
    with Mother as long as she stayed committed to the program. 
    Id. at 72.
    In   sum,   notwithstanding    Mother’s      well-documented      parenting
    deficiencies, she complied with services during the brief reunification period
    - 33 -
    J-A01014-17
    and her bond with L.T. was further evidence that continued reunification
    efforts were in the child’s best interest.    As the guardian ad litem for L.T.
    opined in her brief in support of Mother’s position,
    As Guardian Ad Litem for the minor child, I am not clearly
    convinced that reunification is not a viable option in this case.
    Mother had made some progress in the two months between the
    Dispositional Hearing and the Permanency Hearing, and it is
    worth noting that during those two months, she herself was
    injured and she was struggling to cope with a traumatically
    injured child.
    Given the circumstances, I cannot, as Guardian Ad Litem
    state that changing the goal to adoption is in the child's best
    interests. That is a determination that will come with time;
    adequate time to determine whether Mother is genuinely
    motivated and capable. Two months is simply not enough time
    to make that determination.
    L.T.’s Brief at 13-14.
    We agree with the foregoing insofar as the juvenile court’s decision to
    change L.T.’s permanency goal from reunification to adoption after only two
    months under the facts of this case is tantamount to abuse of discretion.
    While the juvenile court branded Mother as an immature 21-year old who
    has yet to exhibit self-reliance or independence, the certified record is more
    revealing.   Mother is no longer romantically involved with Father, and
    through her domestic violence program, she recognized that the children did
    not deserve to be victimized by Father’s aggression. Likewise, the certified
    record confirms that Mother maintained a loving relationship with both
    - 34 -
    J-A01014-17
    children and exhibited appropriate parenting skills during the supervised
    visitations with D.T. and L.T.
    Despite lacking a driver’s license she secured transportation from Erie
    County to Pittsburgh to sit with D.T. regularly while he was in Children’s
    Hospital. Even after Father demolished the family vehicle, Mother persisted,
    cobbled together resources, and with the assistance of CYS, family, and
    friends, she continued to make the two-hour trek to Pittsburgh to visit her
    son. Similarly, as it relates to L.T., the record not only demonstrates that
    Mother maintained regular visitation, the case workers identified a close
    bond between Mother and L.T., who has never showed any sign of abuse.
    Plainly, this is not a case where it is obvious that an uninterested parent is
    wasting reunification resources while a child languishes in foster care.
    Mother made some progress during the brief period of reunification, and it is
    in L.T.’s best interest to grant Mother a legitimate          opportunity to
    demonstrate that reunification is viable. Accordingly, we reverse the order
    altering L.T.’s permanency goal from reunification to adoption.8
    Next, Mother assails the juvenile court’s decision to terminate her
    supervised visitations with L.T. She argues that the record does not sustain
    ____________________________________________
    8
    At a minimum, the juvenile court should consider concurrent permanency
    goals that would permit CYS to develop simultaneous reunification and
    adoption plans.
    - 35 -
    J-A01014-17
    the trial court’s finding that the abrupt cessation of visitation was in her
    daughter’s best interest.       Mother asserts that the trial court’s rationale in
    support of its decision ignored the relevant best-interest factors that it was
    required to consider pursuant to our discussion in In the Interest of M.B.,
    
    674 A.2d 702
    (Pa.Super. 1996).9
    Our standard of reviewing a juvenile court’s visitation order depends
    on the child’s goal.      When reunification is contemplated, a juvenile court
    cannot deny or reduce visitation absent a “grave threat” to the dependent
    child. 
    Id. at 705
    (“As a usual rule, parental visitation is not denied except
    where a grave threat to the child can be shown”).                  This standard
    “underscores the importance of each parent's maintaining a meaningful and
    sustaining relationship with the child.” 
    Id. In contrast,
    when the goal is an
    alternative to reunification, the juvenile court may limit or deny visitation as
    long as the reduction satisfies the best interest of the child. This alternative
    standard recognizes that when reunification is unlikely, the parent-child
    relationship is no longer paramount. 
    Id. We have
    indicated that “The ‘best
    interests’ standard, in this context, is less protective of parents' visitation
    ____________________________________________
    9
    This Court fashioned the best-interest factors to guide the trial courts in
    the absence of statutory guidelines concerning parental visitation of
    dependent children when the the goal is no longer reunification. See In the
    Interest of 
    M.B., supra
    at 705-706, n.3 (“The Juvenile Act does not
    contain any guidelines or suggestions for granting or reducing visitation once
    the child has been adjudicated dependent and removed from his/her natural
    parents.”).
    - 36 -
    J-A01014-17
    rights than the ‘grave threat’ standard.”      In re L.V., 
    127 A.3d 831
    (Pa.Super. 2015) (quoting In re C.J., 
    729 A.2d 89
    , 95 (Pa.Super. 1999)).
    We explained this dichotomy as follows:
    When the child is in foster care, the grave threat standard
    supports the goal of family reunification as provided in the
    Juvenile Act.      Allowing visitation except in extreme
    circumstances encourages continued parental interest and
    contact in order to prepare the child and family for eventual
    reunification.
    However, when the court finds that reunification is no
    longer the goal, the grave threat standard is not a proper guide,
    and must be replaced by a standard that recognizes that the
    natural family is not likely to be a viable entity.
    
    Id. at 705
    -706 (citation omitted).
    In light of our finding that the juvenile court erred in altering the
    permanency goal from reunification to adoption, we do not confront the
    merits of Mother’s assertion that the court was required to address the best-
    interest factors outlined in In the Interest of M.B. Instead, we remand the
    matter for the juvenile court to address the issue of visitation pursuant to
    the grave threat standard, i.e. whether Mother “demonstrates a severe
    mental or moral deficiency that constitutes a grave threat to the child.” In
    re C.B., 
    861 A.2d 287
    , 294 (Pa.Super. 2004).
    Mother’s final issue challenges the juvenile court’s June 16, 2016 order
    confirming CYS’s authority, as the legal and physical custodian pursuant to §
    6357, to make end-of-life decisions in D.T.’s best interest. The appeal from
    this order was docketed at 1035 WDA 2016.          Mother’s argument is a
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    confused presentation of distinct constitutional principles.   Initially, Mother
    asserts that the juvenile court’s order infringed upon her parental rights.
    Mother’s brief at 47. While she frames the initial inquiry as requiring strict
    scrutiny, she failed to provide any legal argument in support of her positon
    that the denial of her right to participate in the decision making process
    under the relevant circumstances would not pass constitutional muster. 
    Id. Instead, she
    levels an alternate complaint that the juvenile court violated
    her due process rights because it failed to conduct an evidentiary hearing
    prior to confirming the agency’s statute-based authority over D.T.’s end-of-
    life medical decisions. 
    Id. at 48.
    The guardian ad litem for D.T. attempts to counter Mother’s elusive
    constitutional challenges; however, CYS and the trial court both contend that
    the issue regarding the agency’s authority to make end-of-life medical
    decisions for D.T. is moot because the infant is deceased. The guardian ad
    litem for L.T. declined to address the issue, presumably because she
    understood that the order did not apply to L.T.
    Upon review, we find the appeal docketed at 1035 WDA 2016 is moot.
    In In re J.A., 
    107 A.3d 799
    (Pa.Super. 2015) we recently reiterated the
    relevant legal framework as follows:
    As a general rule, an actual case or controversy must exist at all
    stages of the judicial process, or a case will be dismissed as
    moot. An issue can become moot during the pendency of an
    appeal due to an intervening change in the facts of the case or
    due to an intervening change in the applicable law. In that case,
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    J-A01014-17
    an opinion of this Court is rendered advisory in nature. An issue
    before a court is moot if in ruling upon the issue the court cannot
    enter an order that has any legal force or effect.
    
    Id. at 811
    quoting In re D.A., 
    801 A.2d 614
    , 616 (Pa.Super. 2002) (en
    banc).
    Presently, the appeal is moot because the only child that was subject
    to the order is now deceased.    Thus, any decision rendered in this appeal
    would be entirely advisory.     Mother and the guardian ad litem for D.T.
    recognize that the appeal is technically moot, but relying upon our
    discussion in In re 
    J.A., supra
    , they both assert that the appeal is excepted
    from the mootness doctrine because it raises an issue that is prone to
    repetition yet likely to evade review. We disagree.
    In In re J.A., we confronted a pair of technically moot appeals and
    found that they were excepted from the mootness doctrine. The first appeal
    was from a juvenile court order that appointed KidsVoice as the medical
    guardian of a dependent child. However, after the child’s mother filed her
    notice of appeal, the juvenile court entered a subsequent order terminating
    the appointment.   Hence, as we pointed out in In re 
    J.A., supra
    at 811,
    “[t]he juvenile court's [latter] order . . . effectively granted the relief
    requested [in Mother’s appeal.]” Thus, it was moot.
    Nevertheless, reasoning that the juvenile court could reverse its
    course and re-appoint KidsVoice as the child's medical guardian, we found
    the issue capable of repetition. 
    Id. at 812.
    Similarly, noting the fluidity of
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    J-A01014-17
    the child’s best interest throughout the juvenile court proceedings, we
    determined that the issue of whether the appointment of a medical guardian
    was in the best interest of the child at any given time was apt to evade
    review. 
    Id. We employed
    a similar analysis to the second appeal, which pertained
    to an order entered before the court reversed itself. During an evidentiary
    hearing, the juvenile court precluded mother from presenting testimony in
    support of her desire to regaining medical decision-making rights from
    KidsVoice. Invoking Pa.R.A.P. 1701, the juvenile court rebuffed the evidence
    concerning the propriety of the appointment of KidsVoice because the issue
    was pending on appeal.       As noted, the court subsequently withdrew the
    appointment.    In order to evade the mootness doctrine and address the
    issue regarding the juvenile court's decision to reverse itself on the
    applicability of Rule 1701, the Court in In re J.A. reasoned that the juvenile
    court’s   reversals   were   prone   to   repetition   and   that   the   fact-based
    determination of the child’s ongoing medical needs was likely to evade
    review. 
    Id. at 812.
    As noted, both Mother and the guardian ad litem for D.T. seek to apply
    this rationale in order to circumvent the mootness doctrine. The crux of our
    reasoning in In re J.A., was that best-interest determinations are
    dependent upon up-to-date facts that are fluid over the course of the
    dependency proceedings and are therefore necessarily apt to evade review.
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    J-A01014-17
    See id at 812 (“the question of what is in a child's best interest is a fluid
    concept, potentially changing throughout the life of a dependency case”).
    This reasoning is misplaced herein.
    Unlike the fact-based determinations regarding a child’s best interest
    that we found to be apt to evade review in In re J.A., the issue in the case
    at bar involves the functional determination of the juvenile court’s statutory
    authority to empower CYS to make end-of-life decisions under 23 Pa.C.S. §
    6357. There are no nuanced factual considerations in the case. The issue
    regarding whether § 6327 authorizes the juvenile court to act in this matter
    raises a question of law, not L.T.’s best interest. Accordingly, the issue is
    not inclined to evade review due to any perceived fluidity.
    Additionally, we observe that the issue also is not likely to evade
    review under a typical mootness analysis. Instantly, Mother neglected to file
    in the juvenile court either a petition to stay the court’s June 16, 2016 order
    pending her appeal or an injunction prohibiting CYS from making a final end-
    of-life     determination   for   the   child.    Pointedly,   subject   to   limited
    circumstances that are not applicable herein, “[a]n order that grants or
    denies, . . . an injunction” may be appealed as of right.           See Pa.R.A.P.
    311(a)(4).
    Similarly, even after filing her notice of appeal, Mother could have, but
    did not, petition this Court for a writ of supersedeas. Mother even declined
    to seek any form of stay upon receiving notice of CYS’s ultimate decision to
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    J-A01014-17
    remove D.T. from the ventilator.       If granted, these entreaties would have
    enabled appellate review of the issue while an actual case or controversy still
    existed.   Thus, contrary to the arguments leveled by Mother and the
    guardian ad litem for D.T., this issue is not prone to repetition yet likely to
    evade review. Indeed, Mother’s inaction, rather than some latent difficulty
    with the appellate process, is the principal reason that the July 16, 2016
    order is now moot.
    For all of the foregoing reasons, we reverse the juvenile court order
    appealed at 1032 WDA 2016 that changes L.T.’s placement goals from
    reunification to adoption and close the dependency proceedings consistent
    with § 6336(d) and our discussion in In re 
    M.B., supra
    . We dismiss the
    appeal docketed at 1035 WDA 2016 as moot.                 Case remanded for
    proceedings consistent with the opinion. Jurisdiction relinquished.
    Judge Olson joins the opinion.
    Judge Strassburger files a concurring and dissenting opinion.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 4/7/2017
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