P.M. v. L.M. ( 2020 )


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  • J-S05002-20
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    P.M.                                       :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    Appellant               :
    :
    v.                                         :
    :
    L.M.                                       :
    :
    :   No. 1637 MDA 2019
    Appeal from the Order Entered September 6, 2019
    In the Court of Common Pleas of Centre County Civil Division at No(s):
    2017-2654
    BEFORE: SHOGAN, J., KUNSELMAN, J., and MUSMANNO, J.
    MEMORANDUM BY SHOGAN, J.:                               FILED MARCH 20, 2020
    P.M. (“Father”) appeals pro se from the order1 that granted L.M.
    (“Mother”) sole legal custody of R.M., born in October of 2008, shared legal
    custody of M.M., born in March of 2014, (collectively, “the Children”), and
    primary physical custody of the Children.2 The order also granted Mother’s
    ____________________________________________
    1  The subject order was entered September 6, 2019, granting in part and
    denying in part the relief requested in Father’s motion for reconsideration of
    the order dated April 22, 2019, and entered April 23, 2019. Although the
    order is dated September 5, 2019, it was not entered until September 6, 2019.
    Our appellate rules designate the date of entry of an order as “the day on
    which the clerk makes the notation in the docket that notice of entry of the
    order has been given as required by Pa.R.C.P. 236(b).” Pa.R.A.P. 108(b).
    Further, our Supreme Court has held that “an order is not appealable until it
    is entered on the docket with the required notation that appropriate notice
    has been given.” Frazier v. City of Philadelphia, 
    735 A.2d 113
    , 115 (Pa.
    1999).
    2 R.M. is the biological son of Mother and the adopted son of Father. M.M. is
    the biological son of both parents.
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    relocation petition, and ordered that the Children did not need to be
    vaccinated. Upon review, we affirm.
    The record reveals the following background. The parties were married
    in October of 2013 and at that time, lived together in State College,
    Pennsylvania. Petition for Change of Venue, 4/25/18, at 1-2. From July of
    2014 until August of 2016, the family lived in Qatar. 
    Id. From September
    of
    2016 through December of 2016, the parties resided in Centre County,
    Pennsylvania. 
    Id. In December
    of 2016, Mother temporarily moved with the
    Children to Crawford County, Pennsylvania, but returned to Centre County in
    January of 2017. 
    Id. The parties
    then lived together in Centre County from
    January of 2017 until April of 2017, when they separated following the filing
    of a protection from abuse (“PFA”) petition by Mother against Father, and the
    filing of a PFA petition by Father against Mother. 
    Id. On July
    18, 2017, Father filed a complaint for custody. On August 16,
    2017, Father filed an emergency petition for special relief regarding school
    choice.     On August 23, 2017, Mother filed objections to the emergency
    petition. On August 25, 2017, the court entered an order granting Father
    supervised visits with the Children at the Centre County Child Access Center.
    On August 25, 2017, the court appointed a guardian ad litem (“GAL”) for the
    Children.
    On September 25, 2017, Father filed a petition for psychological and
    custody evaluations, contending that Mother suffered from obsessive
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    compulsive disorder and was attempting to alienate the Children from him.
    On October 2, 2017, the court granted Father’s petition for psychological
    evaluations and dismissed his emergency petition as moot. On October 10,
    2017, Mother filed a cross-complaint for custody and a petition for relocation.
    On March 2, 2018, Father filed a petition to modify custody and a
    petition for contempt of custody order against Mother. On April 25, 2018,
    Mother filed a petition to change venue and modify the supervised visitation
    schedule. On May 2, 2018, Father filed a second petition for contempt. On
    May 16, 2018, Father filed a petition for emergency custody and, on June 6,
    2018, a petition to amend his filings and terminate his temporary PFA. The
    court denied Father’s petition for emergency custody on June 7, 2018. On
    June 22, 2018, Mother filed a motion for special relief. On July 16, 2018, the
    court denied Mother’s petition for change of venue. On July 26, 2018, Mother
    filed a motion for reconsideration and petition to confirm relocation.      On
    July 27, 2018, Father filed an answer in opposition and his own motion for
    special relief.
    On September 7, 2018, the court denied Mother’s petition to confirm
    relocation, denied Mother’s motion for reconsideration, granted Mother’s
    motion to modify the custody order and appointed Bobbi Dawley-Kissman,
    M.A. (“Ms. Kissman”), to perform the custody evaluation and Anna Mercatoris,
    M.A., as the Children’s counselor, and denied Mother’s motion to modify
    supervised visitation.
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    On October 1, 2018, the court granted Father’s petition for disobedience
    of custody order in part, and ordered Mother to provide Father with
    information regarding the Children’s medical, dental, and educational care,
    and their extracurricular activities; denied Father’s petition for civil contempt;
    denied Father’s petition to amend the custody filings; and ordered that Father
    could have Skype contact with M.M. via an appointed counselor.                 On
    January 22, 2019, Father filed a petition for special relief, seeking
    amendments to the custody order, including that Mother be required to
    vaccinate the Children.
    The court held custody hearings on February 11, February 12, and
    March 4, 2019. Father represented himself during these hearings and testified
    on his own behalf.     Father presented the testimony of Ms. Kissman, the
    custody evaluator; and H.C., a family friend.      Mother testified on her own
    behalf and presented the testimony of Charles Kroboth, Esquire, the GAL; J.S.,
    a family friend; Anna Mercatoris, M.M.’s counselor; Kristin Palmer, a
    caseworker for Centre County CYS; M.F., a friend of Mother; Robert Iddings,
    Ph.D., R.M.’s counselor; and Brittany Mears, Ph.D., Mother’s counselor.
    In an order dated April 22, 2019, and entered on April 23, 2019, the
    court issued its custody determination granting shared legal custody of M.M.
    to both parents, sole legal custody of R.M. to Mother, and primary physical
    custody of both Children to Mother. On May 3, 2019, Father filed a motion for
    reconsideration requesting a reversal of the reduction in visiting hours with
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    M.M., changes in the summer visitation schedule, and changes in the
    overnight schedule.        He also requested that he be given full access to
    information concerning R.M.; full parental access with respect to R.M.’s
    school; that he be provided all information regarding providers of sports and
    recreation; and that Father and Mother be instructed to follow a medical
    practitioner’s instructions, including vaccinations and other prescription
    medications. On May 6, 2019, the court expressly granted reconsideration; a
    hearing on the motion was scheduled for June 5, 2019, but was continued to
    September 4, 2019.
    On September 4, 2019, the court held a hearing on the reconsideration
    motion and, on September 5, 2019, issued an order granting, in part, the
    requested relief, and denying, in part, the requested relief. Father was given
    access to R.M.’s educational and medical records and information as to his
    extracurricular activities. Dr. Robert Iddings was to provide a report to the
    court within thirty days as to his recommended plan and any progress in
    reunification between R.M. and Father. On October 2, 2019, Father timely
    filed a notice of appeal and a Pa.R.A.P. 1925(b) concise statement of errors
    complained of on appeal.3
    ____________________________________________
    3  Father properly filed his notice of appeal pursuant to Valley Forge Ctr.
    Assocs. v. Rib-It/K.P., Inc., 
    693 A.2d 242
    , 243 (Pa. Super. 1997) (stating
    that trial court could retain its ability to review its order for thirty days only if
    a petition for reconsideration has been timely filed and the court has entered
    an order expressly granting the motion). “[T]he 30-day appeal period is tolled
    only by a timely order ‘expressly granting’ reconsideration.” 
    Id. at 245.
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    On appeal, Father raises the following issues for our review:
    1. Should Mother have sole judicial custody of R.M.?
    2. Should the children be vaccinated?
    3. Should only Father and not Mother have to ensure that M.M.
    takes all his prescribed medications given physical custody is
    primarily granted to Mother?
    See Father’s Brief at 5.4,5
    The scope and standard of review in custody matters is as follows:
    In reviewing a custody order, our scope is of the broadest type
    and our standard is abuse of discretion. We must accept findings
    of the trial court that are supported by competent evidence of
    record, as our role does not include making independent factual
    determinations. In addition, with regard to issues of credibility
    and weight of the evidence, we must defer to the presiding trial
    judge who viewed and assessed the witnesses first-hand.
    However, we are not bound by the trial court’s deductions or
    inferences from its factual findings. Ultimately, the test is whether
    the trial court’s conclusions are unreasonable as shown by the
    evidence of record. We may reject the conclusions of the trial
    court only if they involve an error of law, or are unreasonable in
    light of the sustainable findings of the trial court.
    With any child custody case, the paramount concern is the best
    interests of the child. This standard requires a case-by-case
    assessment of all the factors that may legitimately affect the
    physical, intellectual, moral and spiritual well-being of the child.
    M.J.M. v. M.L.G., 
    63 A.3d 331
    , 334 (Pa. Super. 2013).
    ____________________________________________
    4   We have reordered Father’s issues for ease of disposition.
    5  In its April 22, 2019 opinion and order, the trial court addressed the best
    interests of the Children regarding the relocation aspect of the order.
    However, because Father did not challenge relocation in his Pa.R.A.P. 1925(b)
    statement or in his brief, we will not address this issue.
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    Prior to addressing the merits of Father’s appeal, we must first
    determine whether he has preserved his issues for review. Tucker v. R.M.
    Tours, 
    939 A.2d 343
    , 346 (Pa. Super. 2007) (citing Commonwealth v.
    Wholaver, 
    903 A.2d 1178
    (Pa. 2006) (holding this Court may sua sponte
    determine whether issues have been properly preserved for appeal).
    Pennsylvania Rule of Appellate Procedure 2111 outlines the required elements
    of an appellant’s brief.   With regard to the argument section of the brief,
    Pa.R.A.P. 2119 provides, in relevant part, as follows:
    (a) General rule. The argument shall be divided into as many
    parts as there are questions to be argued; and shall have at the
    head of each part--in distinctive type or in type distinctively
    displayed--the particular point treated therein, followed by such
    discussion and citation of authorities as are deemed pertinent.
    (b) Citations of authorities. Citations of authorities in briefs
    shall be in accordance with Pa.R.A.P. 126 governing citations of
    authorities.
    (c) Reference to record. If reference is made to the pleadings,
    evidence, charge, opinion or order, or any other matter appearing
    in the record, the argument must set forth, in immediate
    connection therewith, or in a footnote thereto, a reference to the
    place in the record where the matter referred to appears (see
    Pa.R.A.P. 2132).
    (d) Synopsis of evidence. When the finding of, or the refusal
    to find, a fact is argued, the argument must contain a synopsis of
    all the evidence on the point, with a reference to the place in the
    record where the evidence may be found.
    (e) Statement of place of raising or preservation of issues.
    Where under the applicable law an issue is not reviewable on
    appeal unless raised or preserved below, the argument must set
    forth, in immediate connection therewith or in a footnote thereto,
    either a specific cross-reference to the page or pages of the
    statement of the case which set forth the information relating
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    thereto as required by Pa.R.A.P. 2117(c), or substantially the
    same information.
    Pa.R.A.P. 2119(a)-(e).
    “[W]here an appellate brief fails to provide any discussion of a claim
    with citation to relevant authority or fails to develop the issue in any other
    meaningful fashion capable of review, that claim is waived.” In re W.H., 
    25 A.3d 330
    , 339 n.3 (Pa. Super. 2011); In re M.Z.T.M.W., 
    163 A.3d 462
    , 465-
    466 (Pa. Super. 2017); see also Estate of Haiko v. McGinley, 
    799 A.2d 155
    , 161 (Pa. Super. 2002) (appellant must support each issue raised by
    discussion and analysis of pertinent authority; without discussion of law in
    appellate brief, appellant hampers this Court’s review and risks waiver; “It is
    not this Court’s function or duty to become an advocate for the appellant”).
    Furthermore, Pa.R.A.P. 2101 provides:
    Briefs and reproduced records shall conform in all material
    respects with the requirements of these rules as nearly as the
    circumstances of the particular case will admit, otherwise they
    may be suppressed, and, if the defects are in the brief or
    reproduced record of the appellant and are substantial, the appeal
    or other matter may be quashed or dismissed.
    We have held that an appeal may be dismissed and/or quashed where
    the deficiencies of the appellant’s brief are such that we are unable to conduct
    a meaningful review. Karn v. Quick & Reilly, Inc., 
    912 A.2d 329
    , 337 (Pa.
    Super. 2006).    While this Court construes the filings of a pro se litigant
    liberally, “any person choosing to represent himself in a legal proceeding
    must, to a reasonable extent, assume that his lack of expertise and legal
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    training will be his undoing.” Wilkins v. Marsico, 
    903 A.2d 1281
    , 1284–
    1285 (Pa. Super. 2006) (finding sufficient grounds to quash appellant’s pro se
    appeal due to deficiencies in his brief, but ultimately declining to do so).
    In the instant case, Father’s brief is not compliant with Pa.R.A.P. 2111
    or 2119. His argument consists of numbered and lettered bullet statements.
    Father’s Brief at 8-13. Father cites to no case law, statute, or other legal
    authority to support his arguments. Father fails to provide a synopsis of the
    evidence and does not consistently cite to the places in the record where his
    argument is supported. Although he is a pro se litigant, Father is required to
    follow the Rules of Appellate Procedure. Because Father has failed to do so,
    we find that he has waived his issues for purposes of appeal. 
    W.H., 25 A.3d at 339
    n.3; 
    M.Z.T.M.W., 163 A.3d at 465-466
    ; 
    Wilkins, 903 A.2d at 1284
    -
    1285. Even if we did not find waiver, however, we would find Father’s issues
    to be without merit.
    “[W]hen making a custody award, ‘[t]he court shall delineate the
    reasons for its decision on the record in open court or in a written opinion or
    order.’”   
    M.J.M., 63 A.3d at 335
    .       Section 5328(a) of the Custody Act
    delineates the factors to be considered by the court:
    (a) Factors.--In ordering any form of custody, the court shall
    determine the best interest of the child by considering all relevant
    factors, giving weighted consideration to those factors which
    affect the safety of the child, including the following:
    (1) Which party is more likely to encourage and permit
    frequent and continuing contact between the child and
    another party.
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    (2) The present and past abuse committed by a party or
    member of the party’s household, whether there is a
    continued risk of harm to the child or an abused party and
    which party can better provide adequate physical
    safeguards and supervision of the child.
    (2.1) The information set forth in section 5329.1(a) (relating
    to consideration of child abuse and involvement with
    protective services).
    (3) The parental duties performed by each party on behalf
    of the child.
    (4) The need for stability and continuity in the child’s
    education, family life and community life.
    (5) The availability of extended family.
    (6) The child’s sibling relationships.
    (7) The well-reasoned preference of the child, based on the
    child’s maturity and judgment.
    (8) The attempts of a parent to turn the child against the
    other parent, except in cases of domestic violence where
    reasonable safety measures are necessary to protect the
    child from harm.
    (9) Which party is more likely to maintain a loving, stable,
    consistent and nurturing relationship with the child
    adequate for the child’s emotional needs.
    (10) Which party is more likely to attend to the daily
    physical, emotional, developmental, educational and special
    needs of the child.
    (11) The proximity of the residences of the parties.
    (12) Each party’s availability to care for the child or ability
    to make appropriate child-care arrangements.
    (13) The level of conflict between the parties and the
    willingness and ability of the parties to cooperate with one
    another. A party’s effort to protect a child from abuse by
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    another party is not evidence of unwillingness or inability to
    cooperate with that party.
    (14) The history of drug or alcohol abuse of a party or
    member of a party’s household.
    (15) The mental and physical condition of a party or
    member of a party’s household.
    (16) Any other relevant factor.
    23 Pa.C.S. § 5328(a).
    Father’s brief essentially covers the following issues: whether the court
    erred in granting Mother sole legal custody of R.M.; in concluding that the
    Children did not need to be vaccinated; and in failing to order Mother to also
    give M.M. all of his medications. Father’s Brief at 8-12. Father also argues
    that there are “substantial factual errors and biased elicitation of facts in the
    order.” Father’s Brief at 11-12.
    We first address Father’s claims of “factual errors” to the extent these
    allegations impact the issues Father raises in his Statement of the Questions
    Involved. Father argues that Mother engaged in parental alienation, and he
    contends that the trial court ignored the custody evaluator’s observations.
    Father’s Brief at 12-13.    Father points to two paragraphs in the custody
    evaluation prepared by Ms. Kissman, introduced at the hearing as Exhibit A,
    in support of his argument:
    One of the general rules that the courts should consider, among
    other factors, is which parent is more likely to encourage, permit,
    [and] allow frequent and continuing contact, and physical access
    between the non-custodial parent and the child. It is this
    examiner’s opinion that [Father] is the parent who is more likely
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    to engage in these behaviors, while [Mother] appears to be more
    negative and sabotaging in her co-parenting.
    and
    Father makes allegations that he believes Mother is attempting to
    alienate [R.M.] from him. While this examiner believes these
    allegations are serious and have merit, the best course of
    treatment, at this time, would be counseling. Unfortunately,
    alienation is difficult to prove, but it is this examiner’s belief that
    [R.M.’s] perception of his relationship with his father is skewed at
    this time. It is hoped[,] through therapeutic intervention, that the
    goal of reunification can be accomplished.
    Father’s Brief at 12-13 (emphasis omitted).6
    In addressing this issue, the trial court observed:
    Father filed for [c]ustody modification seeking sole physical
    custody in part because of his allegations of Mother’s interference
    with his ability to contact and see the children. . . . Father has
    had no contact with R.M. since April 2017. He continues to have
    supervised visitation with M.M. at the Child Access Center (CAC).
    Mother often reschedules or misses visitations for varying
    reasons, and Father has also missed several visitations. Mother
    does not always inform Father about doctor’s appointments and
    school events. Mother has been hesitant to allow frequent and
    continuing contact of the [C]hildren with Father due to incidents
    of abuse by Father.
    Father believes Mother has actively engaged in alienating
    him from the [C]hildren. However, the [c]ustody [e]valuator, as
    well as three experts, all confirm there is no parental alienation
    by Mother.
    Trial Court Opinion, 4/22/19, at 1-2.
    ____________________________________________
    6 The first custody factor is which party is more likely to encourage and permit
    frequent and continuing contact between the child and the other party. 23
    Pa.C.S. § 5328(a)(1).
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    The trial court noted several factors in favor of and against each parent:
    both parents have missed visitations, Mother does not always inform Father
    about doctor’s appointments and school events, and Mother does not wish to
    have frequent contact between the Children and Father due to alleged
    incidents of abuse by Father. Trial Court Opinion, 4/22/19, at 1-2. While
    Ms. Kissman opined that Father was more likely to encourage and permit
    contact, this testimony was only part of the evidence presented and
    considered by the trial court.         On cross-examination, Ms. Kissman
    acknowledged that she had not spoken to Centre County CYS, and had little
    information regarding the domestic violence alleged between the parties,
    which Ms. Kissman acknowledged would potentially change her opinion. N.T.,
    2/11/19, at 35-42.     In fact, the trial court determined that Ms. Kissman
    “acknowledged that she did not speak with CYS and had little information on
    the alleged domestic violence between Mother and Father which could change
    her opinions and recommendations.” Trial Court Opinion, 4/22/19, at 6-7.
    Dr. Iddings, Dr. Mears, and Ms. Anna Mercatoris all testified that they did not
    perceive parental alienation in this case. N.T., 2/12/19, at 25, 133-134, 198-
    199. We defer to the trial court’s assessment of the weight of the evidence,
    and as the court’s findings are supported by the record, we will not disturb
    them. 
    M.J.M., 63 A.3d at 334
    .
    Father next argues that the court did not acknowledge that Father filed
    a PFA against Mother, and contends that his first wife did not file a PFA against
    him. Father’s Brief at 11-12. The second custody factor identifies present
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    and past abuse committed by a party or member of the party’s household,
    whether there is a continued risk of harm to the child or an abused party, and
    which party can better provide adequate physical safeguards and supervision
    of the child. 23 Pa.C.S. § 5328(a)(2).
    With regard to this factor, the trial court observed:
    Mother filed a Protection From Abuse petition (PFA) against
    Father in April 2017 alleging Father abused her and R.M. She
    claimed on one occasion Father pushed her and she fell and hurt
    her shoulder, and that he pushed and shoved her other times.
    Both boys saw this happen. Mother alleged both physical and
    verbal abuse by Father over the years, including when they were
    in Qatar. She said he had violent rages and a temper which
    worsened over the years and was becoming a pattern. He
    primarily abused R.M., whom he adopted prior to the parties
    temporarily moving to Qatar: [Father] dropped [R.M.] on his head
    on a marble floor and made him do sit ups for minor infractions.
    [Mother] also claimed Father threatened R.M. by saying “If you go
    in there [P.M.’s (Father’s daughter’s) room] I’ll have to remove
    you physically and don’t blame me if you break your leg.” Father
    admitted making such a statement, but stated it was a conditional
    statement only.
    Mother further alleges Father favored his daughter P.M. over
    all of them, and P.M. was disrespectful and abusive to her and the
    boys. The boys claim P.M. pinched them. Father disputes these
    claims, and alleges it was Mother who was in fact abusive to P.M.
    and Father.
    Evidence was also presented that Father was abusive to his
    first wife, [R.G.] Although [R.G.] denied any abuse, she filed a
    PFA against him when she initially left him and indicated in her
    pleadings that she ‘fled the home in November 2010 due to
    threats of violence made by Plaintiff.’ [R.G.] signed a verification
    for this statement in 2012, but denied it was true at this custody
    hearing.
    Trial Court Opinion, 4/22/19, at 2-3.
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    Mother introduced the emergency custody complaint filed by R.G., which
    R.G. admitted she had signed and verified. N.T., 2/11/19, at 115-117. In the
    custody complaint, R.G. verified that she had fled the marital home due to
    threats of violence by Father. Mother’s Ex. 1, at 1-2. It is unclear from the
    record whether R.G. actually filed a PFA against Father. However, the trial
    court’s characterization of R.G.’s custody complaint as a PFA is harmless error
    given that the facts at issue was R.G.’s allegations of abuse, which were
    introduced by way of the custody complaint and cross-examination. 
    Id. at 115-117.
    With regard to Father’s arguments alleging the trial court’s emphasis on
    Father’s actions rather than Mother’s actions, there were testimony and
    pleadings throughout the case that both Mother and Father had filed PFAs
    against each other. Father testified regarding Mother’s abuse of him and of
    P.M. N.T., 2/11/19, at 128-129, 141-148, 161-164. Mother also testified
    regarding the abuse from Father against her and R.M. N.T., 2/12/19, at 92-
    109. As noted, the court is free to assess the weight of the evidence and
    make credibility determinations, which will not be disturbed on appeal, as long
    as they are supported by the record. Because the trial court’s determinations
    are supported by the record, we decline to find that the trial court abused its
    discretion in failing to find the second custody factor in favor of Father.
    
    M.J.M., 63 A.3d at 334
    .7
    ____________________________________________
    7   Father does not raise specific challenges to the remaining custody factors.
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    Having addressed these claims, we consider Father’s contention that the
    court erred in granting sole legal custody of R.M. to Mother. Father’s Brief at
    9-10. Father argues that no evidence established that he acted in anything
    but R.M.’s best interest, and notes that both the custody evaluator and the
    GAL proposed shared custody.           
    Id. Initially, we
    note that Father’s
    characterization of the evidence is inaccurate.       The evidence, in fact,
    established the opposite conclusion.
    Kristin Palmer, CYS intake worker, testified that she received a referral
    regarding the family in April 2017. N.T., 2/12/19, at 30. Ms. Palmer spoke
    to R.M. regarding his statements that Father had threatened to break his leg
    and that he had been dropped on his head. 
    Id. at 31.
    R.M. also stated that
    he had been hit and pinched by P.M. and that Father had hurt Mother’s arm
    or shoulder. 
    Id. at 31-32,
    40. Although Mother did not want to cooperate at
    first, she confirmed to Ms. Palmer R.M.’s accusations.     
    Id. at 33.
      Father
    denied the allegations. 
    Id. at 33.
    At that point, a PFA was filed, but because
    Father was going to be away for the summer, CYS determined that there was
    no need to open a case for services. 
    Id. at 34.
    CYS’s recommendations were
    that Father have supervised visitation with M.M. and no contact with R.M. until
    R.M.’s counselor thought contact was in R.M.’s best interest.       
    Id. at 35.
    Nevertheless, the abuse report was determined to be valid. 
    Id. at 36-37.
    Attorney Charles Kroboth testified that he has been the GAL for the
    Children since August of 2017. See N.T., 2/11/19, at 215. He testified that
    as of the date of the hearing, it was his opinion that the Children should not
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    be uprooted and moved again. 
    Id. at 219-220.
    Attorney Kroboth opined,
    based upon his observations of the family and after speaking to various
    counselors, that it was in the Children’s best interests for supervised visitation
    for only M.M. to continue on a modified basis.                
    Id. at 220-227.
    Attorney Kroboth stated he did not believe that Ms. Kissman had a full
    understanding of the dynamics of the case. 
    Id. at 228.
    Attorney Kroboth
    opined that shared legal custody would be appropriate, but would let the court
    decide the appropriate parenting plan. 
    Id. at 233-235.
    M.F., Mother’s friend, testified that she had known Mother and R.M. for
    over ten years. N.T., 2/12/19, at 46-48. Her son and R.M. are best friends.
    
    Id. M.F. previously
    witnessed Father discipline R.M.; if R.M. did not respond
    to questions about his homework within a certain amount of time, Father
    yelled “severely” at R.M. 
    Id. at 54-55.
    M.F. Facetimed with Mother while the
    family was living in Qatar and became worried about her after witnessing
    Mother in tears during several conversations. 
    Id. at 50-51.
    M.F. noticed a
    difference in R.M.’s demeanor after he returned from Qatar; he seemed
    withdrawn and quiet. 
    Id. at 50.
    M.F. testified that R.M. was fearful of adults
    after his return. 
    Id. R.M. confided
    in M.F. that in Qatar, Father held R.M. by
    his feet above the marble floor and dropped him. 
    Id. at 51.
    R.M. also confided
    in M.F. that Father had threatened to break R.M.’s legs if he went into P.M.’s
    room. 
    Id. After that
    conversation, M.F. was so concerned for R.M.’s safety
    that she called CYS. 
    Id. at 52.
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    Mother testified that while the family was in Qatar, Father threatened to
    take away her visa and keep the Children with him in Qatar. N.T., 2/12/19,
    at 71. Mother testified that shortly after arriving in Qatar, Father became
    angry with her for refusing to ride in a car, and pushed and shoved her while
    she was holding M.M. 
    Id. at 100.
    Mother also testified regarding another
    incident in Qatar where she heard R.M. crying. 
    Id. When she
    went running
    to him, R.M. said, “He threw me on the floor on my head,” and that it hurt.
    
    Id. R.M. cried
    for hours. 
    Id. at 100-101.
    Mother tried to leave the apartment
    with the Children, but when Father realized they were trying to leave, Father
    ran at them, grabbed R.M., and dragged him one-half the distance of the
    apartment. 
    Id. at 101.
    Mother wanted to leave Qatar but, since Father was
    her and the boys’ sponsor, he would be notified if she tried to leave the
    country. 
    Id. at 102.
    Mother testified regarding other incidents where Father hid her car keys
    to prevent her from leaving or physically abused and shoved her.          N.T.,
    2/12/19, at 102-103. Mother described an incident that occurred in Qatar
    where Father was “destroying” R.M.’s bedroom in a rage, and when she tried
    to stop him, Father bruised her arms and torso.         
    Id. at 104.
       Mother
    photographed the bruises. 
    Id. Mother testified
    that after returning to State
    College, Pennsylvania, Father continued to push and shove her, threatened to
    take the Children away from her, threatened to vaccinate the Children, and
    refused to allow Mother access to the Internet or to call her parents. 
    Id. at 107.
    Mother also testified that Father forced R.M. to do sit ups and yelled at
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    J-S05002-20
    him during homework for not doing it correctly or quickly enough. 
    Id. at 119-
    120.
    Mother described an incident leading to the filing of the PFA petition
    where she attempted to get around Father in the laundry room, and after
    some argument, he shoved her hard to the floor. N.T., 2/12/19, at 93-94.
    R.M. witnessed the incident.     
    Id. at 95.
       Father then began to kick shoes
    around the house and the Children witnessed that. 
    Id. Mother temporarily
    left the home after the incident and when she returned, she heard Father
    yelling at R.M. and threatening to break R.M.’s leg. 
    Id. at 97-98.
    Mother
    testified that she wanted to leave the house again, but Father and P.M. were
    blocking the stairs, so she took the Children into the bedroom and locked the
    door and kept them in the room all night. 
    Id. at 98.
    Mother denied ever
    physically abusing Father or P.M. 
    Id. at 99.
    Dr. Robert Iddings testified that he is a licensed psychologist specializing
    in working with children who have suffered trauma. N.T., 2/12/19, at 127.
    Dr. Iddings became involved with R.M. in November of 2017 to address R.M.’s
    issues with anxiety, which manifested as nightmares, inability to sleep in his
    own bed, difficulty socializing at school, hypervigilance, and physical
    complaints. 
    Id. at 130.
    R.M. told Dr. Iddings that Father engaged in harsh
    discipline and threatened to take R.M. away from Mother, and that R.M.
    witnessed Father knocking Mother to the ground. 
    Id. at 131.
    R.M. also stated
    that Father had pushed R.M. to the ground and thrown all of his belongings
    on the floor.    
    Id. Dr. Iddings
    diagnosed R.M. with a moderate case of
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    J-S05002-20
    adjustment disorder with anxiety. 
    Id. at 130.
    Dr. Iddings was not of the
    opinion that R.M. was the subject of parental alienation.     
    Id. at 133-134.
    Dr. Iddings testified that R.M. was now sleeping in his own bed, seemed
    calmer, and was doing well athletically, socially, and academically. 
    Id. at 134.
    R.M. still had no desire to have contact with Father. 
    Id. at 135.
    Dr. Iddings
    believed “[R.M.] has the skills to be resilient enough to have at least limited
    contact with his dad at this time. Whether he could tolerate ongoing, you
    know, unsupervised contact, I am not sure.” 
    Id. at 139-140.
    Dr. Brittany Mears testified that she is Mother’s counselor and that
    Mother had related incidents of abuse by Father against Mother and the
    Children. N.T., 2/12/19, at 214-217. Mother had suffered trauma, and her
    actions and responses are consistent with having suffered domestic abuse.
    
    Id. Father admitted
    to telling R.M. that if R.M. went into P.M.’s room, Father
    would remove him and “I might have to take you out physically and don’t
    blame me if you break your leg.”        N.T., 2/11/19, at 157-158.       Father
    characterized this statement as “conditional”. 
    Id. at 157,
    160. Father also
    admitted that he had made R.M. do physical exercise as a punishment, but
    claimed that this had occurred only once. 
    Id. at 170-172.
    Father maintained
    that Centre County CYS recommended that he should have supervised
    visitation with M.M. and no contact with R.M.        
    Id. at 188-189.
        Father
    acknowledged pushing Mother, although he claimed that it was in self-
    defense. 
    Id. at 191-192.
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    J-S05002-20
    As 
    noted supra
    , the paramount concern in child-custody cases is the
    best interest of the child and requires a case-by-case assessment of all factors
    that may affect the physical, intellectual, moral, and spiritual well-being of the
    child. 
    M.J.M., 63 A.3d at 334
    . The trial court considered all of the evidence
    presented, which established that Father had abused R.M., that R.M. suffered
    intense anxiety as a result of that abuse, and that R.M. was not yet prepared
    to resume a relationship with Father. The court considered Mother’s testimony
    and other evidence that Father was controlling and abusive, and the toxic
    relationship and high-conflict level between both parents such that parents
    are almost completely unable to communicate.         While Father was granted
    access to R.M.’s medical and educational records, the evidence did not
    establish that granting joint legal custody of R.M. was in the child’s best
    interests. Accordingly, the court did not err in granting sole legal custody to
    Mother while reunification therapy was ongoing. 
    M.J.M., 63 A.3d at 334
    .
    We address Father’s remaining two issues together, as they are
    intertwined. Father contends the court erred in ordering that neither of the
    Children needed to be vaccinated at this juncture.        Father’s Brief at 8-9.
    Additionally, Father argues that because Mother has primary physical custody
    of M.M., the court erred in ordering that Father alone give M.M. all prescribed
    medications. 
    Id. Pursuant to
    the Pennsylvania Administrative Code, children who would
    otherwise be required to be immunized need not be immunized if the parent
    “objects in writing to the immunization on religious grounds or on the basis of
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    J-S05002-20
    a strong moral or ethical conviction similar to a religious belief.” 28 Pa. Code
    § 23.84. As noted above, Father cites to no case law or statutory authority in
    support of his contentions.
    Furthermore, Dr. James Mansberger, the family pediatrician of R.M. and
    M.M., testified that in his opinion, all children should be vaccinated pursuant
    to the Center for Disease Control recommendations. N.T., 3/4/19, at 4-8.
    However, Dr. Mansberger stated that from working with Mother over the last
    few years, he understands that she has a considerable amount of anxiety and
    distress regarding vaccines due to her belief that her first child’s death was
    vaccine-related. 
    Id. at 8.
    Dr. Mansberger did not have enough proof to say
    that the Children would have any vaccine-related problems, nor did he have
    enough history of the first child to corroborate if vaccines were related to that
    child’s death. 
    Id. He explained
    that he and Mother would “agree to disagree”
    on the subject. 
    Id. Moreover, Dr.
    Mansberger testified that at no time during
    his meetings with Father prior to the separation did Father request that the
    Children be vaccinated. 
    Id. at 11.
    Dr. Mansberger agreed that Pennsylvania
    allows parents to choose not to vaccinate their children. 
    Id. at 12.
    Mother introduced evidence that Father did not object to the Children
    remaining unvaccinated prior to the parties’ separation and that he was using
    this issue as a threat in an attempt to coerce Mother to settle the custody
    issues. In fact, Father admitted that he sent an email to Mother in which he
    stated that if custody issues were settled, no one had to be vaccinated. N.T.,
    2/11/19, at 202-205.
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    J-S05002-20
    Here, the trial court noted the evidence presented, namely that
    Dr. Mansberger believed the Children should be vaccinated and knew of no
    reason that they should not be vaccinated. Trial Court Opinion, 4/22/19, at
    8. The court further noted the vaccination exemption law in Pennsylvania.
    
    Id. Thus, the
    court concluded that R.M. and M.M. need not be vaccinated “at
    this time, due to the circumstances.” 
    Id. The court
    left open the option to
    order vaccination in the future. 
    Id. Accordingly, we
    conclude that the trial
    court did not abuse its discretion. 
    M.J.M., 63 A.3d at 334
    .
    With regard to Father’s challenge to the trial court’s directive that
    “Father shall ensure that M.M. takes all of his prescribed medications,” Father
    makes the following assertions:
    a.     Given that Mother has primary physical custody of
    M.M. this is physically impossible for Father to ensure.
    b.    No evidence has been provided that Father is against
    medications.   On the contrary, Mother has argued against
    vaccinations and continues to be against Western Medicine. . . .
    c.    Father’s motion for reconsideration to either delete
    the unimplementable [sic] (by father) instruction (#7 of the order)
    of the court or to amend it to make Father and Mother both
    responsible for M.M. taking all his medicines was denied by Judge
    Ruest.
    d.    Under the Pennsylvania constitution, Father and
    Mother have an expectation of equal treatment by the [c]ourt.
    Given the lack of evidence in this matter of any negligence with
    respect to giving medicine by Father to any child . . . and the fact
    that M.M[.]’s health (as well as R.M.’s) are ensured by both taking
    their prescribed medications, Judge Ruest’s exempting Mother
    from Item #7 is in error.
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    J-S05002-20
    Father’s Brief at 10-11.
    In addressing this issue, the trial court observed:
    For reasons stated fully on page 8 of the [c]ourt’s Opinion and
    Order, the [c]ourt was not willing to Order the [C]hildren to be
    vaccinated. The [c]ourt’s acquiescence to [Father’s] request to
    order [Mother] to administer all prescribed medications would
    have been akin to ordering [Mother] to vaccinate the [C]hildren.
    At the time of the hearing on [Father’s] motion for
    reconsideration, the [c]ourt was not willing to reverse its decision.
    Further, the [c]ourt was satisfied by the evidence presented to it
    that [Mother] had substantially complied with administering all
    prescribed medications to the minor children, with the exception
    of the vaccinations. Thus, it was not necessary to order [Mother]
    to ensure both children take all of their prescribed medications.
    Trial Court Opinion, 10/24/19, at 2.
    Thus, the trial court acknowledged that Mother had complied with
    administering prescription medications, with the exception of vaccinations, to
    the Children. We do not interpret the trial court’s order to relieve Mother of
    her obligation to continue to provide M.M.’s prescription medications. In fact,
    in her brief, Mother states:
    To the extent Father’s issue is any prescribed medications, then
    common sense would dictate that both parties when they have
    custody of M.M. would make sure that the child takes the
    recommended dosage. To the extent Father infers from this issue
    that vaccinations should be included, then it is believed that the
    [c]ourt has already dealt with this issue appropriately. Your
    undersigned did not read the Order such that Mother would not
    be required to make sure that M.M. takes any prescribed
    medications[.]
    Mother’s Brief at 15. Thus, the trial court’s order does not mean that only
    Father, and not Mother, is required to provide M.M. his prescription
    medications.    Mother understands her continuing obligation to provide
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    J-S05002-20
    prescription medications to M.M. As such, had we not found waiver, we would
    conclude that there is no merit to Father’s claim. Accordingly, we decline to
    find that the court abused its discretion. 
    M.J.M., 63 A.3d at 334
    . For the
    foregoing reasons, the September 6, 2019 order is affirmed.
    Order affirmed.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 03/20/2020
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