DCPP VS. S.P. AND R.D., IN THE MATTER OF E.D. (FN-15-0068-19, OCEAN COUNTY AND STATEWIDE) (RECORD IMPOUNDED) ( 2021 )


Menu:
  •                                       RECORD IMPOUNDED
    NOT FOR PUBLICATION WITHOUT THE
    APPROVAL OF THE APPELLATE DIVISION
    This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the
    internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.
    SUPERIOR COURT OF NEW JERSEY
    APPELLATE DIVISION
    DOCKET NO. A-1795-19
    NEW JERSEY DIVISION
    OF CHILD PROTECTION
    AND PERMANENCY,
    Plaintiff-Respondent,
    v.
    S.P.,
    Defendant,
    and
    R.D.,
    Defendant-Appellant.
    ________________________
    IN THE MATTER OF E.D.,
    a minor.
    ________________________
    Argued March 1, 2021 – Decided May 11, 2021
    Before Judges Sabatino and Gooden Brown.
    On appeal from the Superior Court of New Jersey,
    Chancery Division, Family Part, Ocean County, Docket
    No. FN-15-0068-19.
    Patricia Nichols, Assistant Deputy Public Defender,
    argued the cause for appellant (Joseph E. Krakora,
    Public Defender, attorney; Patricia Nichols, on the
    briefs).
    Amy Melissa Young, Deputy Attorney General, argued
    the cause for respondent (Gurbir S. Grewal, Attorney
    General, attorney; Melissa H. Raksa, Assistant
    Attorney General, of counsel; Amy Melissa Young, on
    the brief).
    Nancy P. Fratz, Assistant Deputy Public Defender,
    argued the cause for minor (Joseph E. Krakora, Public
    Defender, Law Guardian, attorney; Meredith Alexis
    Pollock, Deputy Public Defender, of counsel; Nancy P.
    Fratz, of counsel and on the brief).
    PER CURIAM
    Defendant R.D.1 appeals from the November 22, 2019 Family Part order
    terminating litigation following a fact-finding hearing that resulted in a finding
    that he abused or neglected his then nine-month-old son, E.D.,2 within the
    meaning of N.J.S.A. 9:6-8.21. The finding was based on evidence that E.D.
    accidentally ingested an unknown substance on June 29, 2018, while in the care
    1
    We use initials to protect the child's privacy. R. 1:38-3(d)(12).
    2
    E.D. was born in September of 2017.
    A-1795-19
    2
    of defendant and his biological mother, S.P., 3 as a result of which E.D. suffered
    an overdose, was administered the opioid treatment Narcan, without which he
    could have died, and was hospitalized. A urine test conducted on E.D. at the
    hospital was positive for opiates, and defendant tested positive for a similar type
    of substance both before and after the incident. We affirm.
    On October 25, 2018, the Division of Child Protection and Permanency
    (Division) filed a verified complaint against defendant seeking a finding of
    abuse or neglect under Title 9 and an order placing E.D. in the care and
    supervision of the Division under Title 30 in connection with the June 29, 2018
    incident. A fact-finding hearing was conducted on April 2, 2019, during which
    the Division presented four witnesses and numerous documentary exhibits.
    Specifically, Little Egg Harbor police officer Jason Way testified about his
    response to the couple's apartment on June 29, 2018, after being dispatched on
    a 9-1-1 call regarding an infant in respiratory distress; Division caseworkers
    Rachel Clayton and Maria Bravo authenticated the Division's records and
    testified about the Division's involvement with the family after receiving the
    referral from the Little Egg Harbor Police Department; and Steven Kairys, M.D.,
    3
    No finding of abuse or neglect was sought or made against S.P.
    A-1795-19
    3
    M.P.H., testified as an expert in the area of child abuse and pediatrics. 4
    Defendant neither testified nor presented any witnesses on his own behalf.
    At the hearing, Officer Way testified that when he arrived at the apartment
    complex on the evening of June 29, he was met outside by S.P., defendant, and
    a neighbor. S.P. was "carrying the infant," who "appeared lifeless" and "limp"
    with "pinpoint pupils, shallowed breathing, and a rapid pulse." Defendant told
    Way "he believe[d] . . . his uncle was counting Percocets . . . where the child
    was playing and may have dropped one" that the child then "ingested." Based
    on his training, Way recognized that E.D. "was suffering from an overdose of
    an opiate." Thus, he promptly "[d]eployed Narcan" on the scene and rode to the
    hospital with the infant and S.P. in the ambulance that had been dispatched with
    the 9-1-1 call. After "about [fifteen] minutes," E.D. "started coming around a
    little bit" and became "more responsive" while en route to the hospital. Another
    officer promptly reported the incident to the Division.
    As a result of the referral, that night, Caseworker Clayton responded to
    Southern Ocean Medical Center (Southern) where E.D. had been transported and
    4
    Dr. Kairys was qualified as an expert without objection.
    A-1795-19
    4
    spoke to S.P.5 S.P. told Clayton that while she was cleaning the living room in
    the apartment, she "noticed" that E.D., who was playing in an adjoining play
    area, "was moving his mouth around." She "swiped her finger back and forth"
    in his mouth, but he did not appear to be "chewing on anything." However, "a
    few moments later, [E.D.] began to act very lethargic [and] limp, [and] his eyes
    were rolling in his head." In addition, E.D. "had . . . a bowel movement, which
    . . . was concerning" for S.P. "because he had already gone that day and typically
    [stuck] to his schedule" of going "once a day." After S.P. consulted with
    defendant, who was also "concerned," both she and her neighbor called 9-1-1
    and "then went downstairs" to "wait[] outside for the ambulance to come."
    Given the allegation that E.D. may have ingested some type of opiate,
    Clayton asked S.P. if there was drug use in the home. S.P. responded that
    defendant had "a history of [h]eroin abuse, but . . . to the best of her knowledge,
    he had been clean for the last two years and was being treated by a [m]ethadone
    program." Speculating about the possible source of the substance E.D. had
    ingested, S.P. told Clayton that defendant's uncle "who ha[d] a prescription for
    Percocets . . . had walked through the home earlier in the day" and may have
    5
    Clayton testified that when she arrived at the hospital, S.P. and E.D. "were
    both covered in charcoal because . . . [E.D.] had been given charcoal to help
    empty his stomach."
    A-1795-19
    5
    "dropped a Percocet." S.P. further surmised that "the neighbor who[m] she
    believe[d] receive[d] a prescription for narcotic pain medication" may have
    "dropped something as well."
    Upon learning from S.P. that defendant was at the couple's apartment,
    Clayton traveled there to interview him. When questioned about his drug use,
    defendant told Clayton that, contrary to S.P.'s belief, "he had only been clean
    for the last two months." When defendant was asked to sign a release for records
    from his methadone program at John Brooks Recovery Center (John Brooks),
    "he indicated that it would return a positive . . . [drug] screen . . . as early as two
    months [prior]." However, he "adamantly [denied] current [drug] use or that
    there [were] any drugs . . . on his person at that time that could [have] fallen on
    the floor" of the apartment. Based on his drug use history, defendant confirmed
    that the symptoms E.D. exhibited were consistent with an opiate overdose and
    also "identified his uncle and the neighbor" to Clayton as possible sources of the
    substance E.D. ingested.
    E.D. was transferred from Southern to Jersey Shore University Medical
    Center (Jersey Shore) at approximately 10:45 p.m. that night for further
    monitoring. He was discharged from Jersey Shore the following day. Prior to
    E.D.'s discharge, a safety protection plan was implemented in the home
    A-1795-19
    6
    requiring that both parents be supervised by designated relatives while the
    investigation was ongoing.
    On July 2, 2018, Caseworker Bravo met with S.P. and administered a urine
    screen which was negative for illicit drugs.6 Bravo arranged for defendant to
    come to the office on July 6, 2018, for drug screening, but defendant failed to
    report. As a result, on July 10, 2018, Bravo made an unannounced visit to the
    apartment and spoke to defendant. Once again, defendant "denied . . . kn[owing]
    . . . how [E.D.] got the . . . substance," indicated that he had started drug
    treatment seven months prior, and reiterated that he had one positive drug screen
    for opiates approximately two months prior.
    Bravo arranged for defendant to undergo drug screening on two other
    occasions, July 12 and 19, 2018, but, again, defendant failed to appear. Bravo
    was also informed by defendant's counselor at John Brooks that defendant tested
    positive for opiates on July 10 and 23, and August 2, 2018. Due to defendant's
    record of ongoing drug use and continuous failure to undergo drug screening as
    requested by the Division, on August 3, 2018, the Division revised the safety
    protection plan, requiring defendant to move out of the couple's home and have
    6
    S.P. continued to test negative for illicit drugs throughout the investigation.
    A-1795-19
    7
    supervised visitation with E.D. in a public setting while the investigation
    continued.
    On August 7, 2018, Bravo spoke to defendant again to obtain contact
    information for the uncle who had been identified by both defendant and S.P. as
    a possible source of the substance E.D. ingested.         However, during that
    conversation, contrary to his prior statement, defendant told Bravo "that the
    uncle didn't bring anything because he was not in the house." 7 Defendant also
    reiterated that he did not know "how [E.D.] got the substance."
    After rescheduling defendant for a substance abuse evaluation three times,
    on August 9, 2018, defendant finally underwent a comprehensive substance
    abuse evaluation as requested by the Division. During the evaluation, defendant
    "reported being clean for [two-and-one-half] years up until [his] recent relapse"
    "at the end of October 2017," which prompted him to leave John Brooks in
    November 2017. Defendant also disclosed an extensive history of substance
    abuse involving the use of illicit substances as well as prescription medications.
    7
    During Bravo's July 2, 2018 meeting with S.P., S.P. had also retracted her
    prior statement about defendant's uncle and told Bravo that he was not in the
    house on the date of the incident.
    A-1795-19
    8
    Specifically, defendant "admitted to using pills[,] . . . heroin," 8 and "cocaine."
    He told the evaluator that he "last use[d] . . . cocaine [two] weeks ago" and
    "heroin [one] week ago." 9 He "stated that he grew up with drug addicted
    parents" and "witness[ed] his father overdose [three] times as a child." He
    explained that he was "working with his father" and would "smok[e] crack
    cocaine with him" "after work." He stated he was "hiding [his] drug use from
    [his] paramour[]," S.P., who was not using drugs and had no "history of drug
    abuse." Defendant told the evaluator that after "using with [his] parents after
    work," he would "stay[] in Atlantic City until he no longer was high and then
    return[] home to [his] paramour and infant." He said that he had "overdosed [on
    heroin] in December 2017 but no one knew except for his parents," who "were
    using with him," and "his sister" who "picked him up" from the hospital.
    Defendant further reported returning to John Brooks around April 2018
    and resuming his methadone dosing but "failing [several] urine screens . . . for
    opiates."   Specifically, defendant "tested positive for cocaine, opiates, and
    8
    Defendant explained that after "building up a tolerance to pills," he "began
    us[ing] . . . heroin via nasal inhalation," and then "progress[ed] to intravenous
    use."
    9
    Defendant "reported recent daily use of heroin" in conjunction with his
    methadone dosing.
    A-1795-19
    9
    prescribed [m]ethadone" on March 16, April 9, April 25, June 19, July 10, July
    23, and August 2, 2018. He also tested positive for fentanyl on April 9 and 25,
    2018. A urine drug screen collected during his evaluation on August 9, 2018,
    was also "positive for cocaine and [prescribed m]ethadone."
    Regarding the June 29 incident, defendant told the evaluator that he never
    brought drugs into the couple's home. Although he speculated that E.D. "must
    have found a Percocet under the couch" and denied knowing the source of the
    pill, defendant reported that S.P. "was prescribed Percocet . . . following her gall
    bladder surgery, [the] maternal grandmother [was] prescribed Percocet . . . for
    back pain, and [the] neighbor," who was "helping [S.P.] with [the] baby [on a
    daily basis] following her surgery" was "also prescribed Percocet . . . for pain
    relief." Following the evaluation, defendant was diagnosed with severe opioid
    use disorder and moderate cocaine use disorder and recommended for intensive
    outpatient drug treatment.
    Bravo interviewed the maternal grandmother and confirmed that she was
    prescribed Tramadol and Percocet. However, she denied ever bringing the
    medications to the couple's home. Bravo also interviewed the neighbor who
    confirmed that she was prescribed "Oxycodone . . . and Hydro morphine for
    back pain and . . . cysts" but denied taking her medications to the couple's home.
    A-1795-19
    10
    At the Division's request, Dr. Kairys conducted a medical evaluation of
    E.D. on July 5, 2018, and issued a report dated July 9, 2018, and an addendum
    dated August 20, 2018. Kairys testified that during the evaluation, defendant
    explained to him the circumstances surrounding E.D.'s admission to the hospital,
    informed him about his methadone treatment, and speculated about the
    "possibility" of E.D. obtaining "Oxycontin" from "somebody [who] had visited
    the house." Kairys reviewed the lab results of the urine sample taken from E.D.
    at Jersey Shore which "was positive for opiates" and "negative for aspirin or for
    Tylenol."    He also reviewed "[t]he blood test" which "was negative for
    acetaminophen."
    Kairys opined that based on the level of acetaminophen reported, "it [was]
    unlikely" that E.D. ingested "Tramadol" which "is an acetaminophen
    combination," or "Percocet." Kairys testified that ingestion of Percocet would
    normally result in a finding of acetaminophen in the urine. He testified further
    that
    being positive for opiates generally indicates that the
    child had to ingest either [c]odeine, [m]orphine, or . . .
    some form of [h]eroin. All those are the ones that are
    positive for opiates. All the synthetic narcotics, like
    Oxycontin or Vicodin, . . . or [f]entanyl, even
    methadone do not test positive for just opiates unless
    there [is] a huge amount taken for the Oxycontin. So,
    in general, [the lab results] narrow[] down what could
    A-1795-19
    11
    [have been] taken to either [c]odeine, narcotic of some
    sort, a [m]orphine narcotic or [h]eroin.[10]
    Kairys explained that based on the information provided to him by
    defendant during the initial evaluation, "[he] was perplexed" and "at a loss" as
    to "what actually did occur" because neither defendant's methadone nor a
    dropped Oxycontin pill would have been "a likely cause" for E.D.'s reaction.
    Kairys explained that while one Oxycontin pill "could [have] caused [E.D.'s]
    symptoms," it would not result in a "positive" urine screen. However, when
    Kairys subsequently learned from the Division that "[defendant] had tested
    positive . . . for [c]ocaine, [m]ethadone, [c]odeine, and [f]entanyl," then he
    concluded that "one of those was a much more likely source for the narcotic that
    [E.D.] ingested." As a result, Kairys amended his opinion to conclude that "the
    accidental ingestion . . . occurred from something [defendant] had probably
    dropped on the floor."
    Kairys defined "accidental" as E.D. "pick[ing] . . . up" the narcotic
    "because it had dropped on the floor," and "put[ting] it in his mouth," as opposed
    to "somebody actually giving it to him." Kairys also explained that although
    10
    According to Kairys, "[c]odeine is a pill" and "[m]orphine could be a pill."
    Kairys was unaware whether "[h]eroin comes in a pill form."
    A-1795-19
    12
    E.D. "had no symptoms" when he evaluated him, depending on the quantity of
    ingestion,11 and without the administration of Narcan, E.D. could have gone into
    respiratory depression and developed major complications that "could [have]
    been life threatening." Defendant presented no competing expert testimony at
    the hearing to counter Dr. Kairys' findings.
    At the conclusion of the investigation, the Division substantiated the
    allegations of abuse or neglect against defendant based on the fact that
    defendant's ongoing drug use created a condition requiring E.D. to be
    hospitalized. See N.J.A.C. 3A:10-7.3(c)(1) (providing for an administrative
    finding that an allegation of abuse or neglect is substantiated "if the
    preponderance of the evidence indicates that a child is an 'abused or neglected
    child' as defined in N.J.S.A. 9:6-8.21 and either the investigation indicates the
    existence of any of the circumstances in N.J.A.C. 3A:10-7.4 or . . . the
    aggravating and mitigating factors listed in N.J.A.C. 3A:10-7.5"); see also
    N.J.A.C. 3A:10-7.4(a)(3) (requiring a substantiated finding when the
    11
    Kairys testified that "[t]he urine test [was] a screening test" that did not report
    "quantity" but only reported "that there was some . . . of that narcotic in [E.D.'s]
    urine." Therefore, it was impossible for Kairys to quantify what E.D. had
    ingested. Additionally, according to Kairys, "in general," opiates are effective
    for "four to eight hours" and "opiates usually last in the urine for a number of
    hours and then disappear."
    A-1795-19
    13
    investigation indicates "[t]he infliction of injury or creation of a condition
    requiring a child to be hospitalized or to receive significant medical attention") .
    Following the fact-finding hearing, in an oral opinion, the judge found
    that the Division met its burden "by a preponderance of the evidence" that
    defendant "abused or neglected" E.D. within the meaning of N.J.S.A. 9:6-
    8.21(c)(4)(b).    Based on the testimony of the four witnesses, the judge
    determined "[t]here [was] no doubt that on June 29th of 2018, [E.D.], who [was]
    less than one[-]year[-]old, ingested some type of illicit substance that caused
    him to suffer pinpoint pupils, . . . rapid pulse, [and] shallowed breathing. He
    was lethargic and actually limp in his mother's arm[s]." The judge conti nued
    that E.D. "had to be administered Narcan, and was subsequently hospitalized."
    After he was administered Narcan, "it took a good [fifteen] minutes for [E.D.]
    to come back to some semblance of normalcy," and E.D.'s urine test at the
    hospital "was positive for opiates." The judge found further that at the time of
    the incident, "[defendant] was in a caretaking role and was testing positive both
    before and after the incident . . . for a . . . similar type of substance."
    The judge acknowledged that "no one has said that . . . [defendant] at any
    time . . . intentionally gave his son some type of substance that caused these
    symptoms." The judge explained:
    A-1795-19
    14
    What happened was an accidental ingestion by
    [E.D.] However, the circumstances surrounding that
    accidental ingestion is where this [c]ourt finds that
    [defendant] did indeed display gross negligence. It
    does not [make] sense, especially in light of the
    testimony that only [defendant] and [S.P.] were home
    with the child when he had this reaction, that somebody
    walking through the home, accidentally dropped a pill
    out of their pocket or that they were counting pills . . .
    and one could have possibly fallen on the ground,
    especially in light of Dr. Kairys's testimony that
    Tramadol or Vicodin or none of those types of
    substances could have caused the positive urine result
    for opiates. Most likely, according to Dr. Kairys's
    unopposed testimony[, it] would be [caused by]
    [c]odeine or [m]orphine.
    After scrutinizing the witnesses' testimony, defendant's August 9, 2018
    substance abuse evaluation, and defendant's admissions to the evaluator, the
    judge concluded:
    It is very clear from the testimony of the workers,
    as well as from the substance abuse evaluation and also
    the fact that [defendant] was not consistent with what
    he had initially told the worker that the uncle dropped
    a pill, . . . . that the evidence is more likely than not
    that whatever substance [E.D.] ingested was a result of
    . . . the current drug use by . . . [defendant].
    It was an accidental ingestion by [E.D.], but it
    was grossly negligent on . . . [the part] of [defendant]
    because he was using drugs at the time and [E.D.] was
    able, somehow, nobody knows how, to ingest
    something that was left there by [defendant], not by
    somebody passing through the home at any time.
    A-1795-19
    15
    [Defendant] also refused to come in for several urine
    tests in July.
    The judge entered a memorializing order and this appeal followed.
    On appeal, defendant raises the following arguments for our
    consideration:
    THE TRIAL COURT'S JUDGMENT FAILS TO
    SATISFY R. 1:7-4, AS IT DOES NOT IDENTIFY
    THE STATUTORY ELEMENTS ANALYZED BY
    THE COURT OR CONTAIN CORRECT LEGAL
    CONCLUSIONS; IN LIGHT OF THESE ERRORS
    AND THE INEFFECTIVENESS OF TRIAL
    COUNSEL,    THE    JUDGMENT    MUST    BE
    REVERSED. (NOT RAISED BELOW).
    A.   The Court Issued a Judgment on a
    Cause of Action Completely Different
    From That Pled in the Complaint.
    B.    The Evidence Adduced at the Fact[-
    ] Finding Trial Did Not Support any Title
    9 Cause of Action.
    C.    [Defendant] Did Not Receive
    Effective Assistance of Counsel in
    Challenging the State's Case.
    D.    The Trial Judge Failed To Recognize
    That the Proof at Trial Did Not Sustain the
    Complaint and Failed to Tether the Facts
    [S]he Did Find to Any Title 9 Cause of
    Action.
    The Law Guardian joins with the Division in opposing the appeal.
    A-1795-19
    16
    I.
    "[B]ecause of the family courts' special jurisdiction and expertise in
    family matters, appellate courts should accord deference to family court
    factfinding." N.J. Div. of Youth & Family Servs. v. M.C. III, 
    201 N.J. 328
    , 343
    (2010) (quoting Cesare v. Cesare, 
    154 N.J. 394
    , 413 (1998)).             "Moreover,
    appellate courts 'defer to the factual findings of the trial court because it has the
    opportunity to make first-hand credibility judgments about the witnesses who
    appear on the stand; it has a feel of the case that can never be realized by a
    review of the cold record.'" Id. at 342-43 (quoting N.J. Div. of Youth & Family
    Servs. v. E.P., 
    196 N.J. 88
    , 104 (2008)). Thus, "[f]indings by the trial judge are
    considered binding on appeal when supported by adequate, substantial and
    credible evidence." Pascale v. Pascale, 
    113 N.J. 20
    , 33 (1988) (alteration in
    original) (quoting Rova Farms Resort, Inc. v. Inv'rs Ins. Co., 
    65 N.J. 474
    , 484
    (1974)).
    "Although we defer to the trial court's findings of fact, especially when
    credibility determinations are involved, we do not defer on questions of law."
    N.J. Div. of Youth & Family Servs. v. V.T., 
    423 N.J. Super. 320
    , 330 (App. Div.
    2011) (citing N.J. Div. of Youth & Family Servs. v. R.L., 
    388 N.J. Super. 81
    ,
    88-89 (App. Div. 2006)). Nonetheless, "[t]he judgment of a trial court in a
    A-1795-19
    17
    family-related matter 'should not be overthrown except upon the basis of a
    carefully reasoned and factually supported . . . determination, after canvassing
    the record and weighing the evidence, that the continued viability of the
    judgment would constitute a manifest denial of justice.'" N.J. Div. of Youth &
    Family Servs. v. N.S., 
    412 N.J. Super. 593
    , 616-17 (App. Div. 2010) (alteration
    in original) (quoting In re Adoption of a Child by P.F.R., 
    308 N.J. Super. 250
    ,
    255 (App.Div.1998)).
    Pertinent to this appeal, "[a]buse and neglect actions are controlled by the
    standards set forth in Title Nine of the New Jersey Statutes." N.J. Div. of Youth
    & Family Servs. v. P.W.R., 
    205 N.J. 17
    , 31 (2011). The purpose of a fact-
    finding hearing is "to determine whether the child is . . . abused or neglected. . .
    ." N.J.S.A. 9:6-8.44. "[T]he safety of the child shall be of paramount concern
    . . . ." N.J.S.A. 9:6-8.28(a), -8.31(a), -8.32. "If the facts are sufficient to sustain
    the complaint, the court will enter an order finding that the child is an abused or
    neglected child and set forth the ground for such finding." N.S., 
    412 N.J. Super. at
    615 (citing N.J.S.A. 9:6-8.50(a)). In making a finding of abuse or neglect, a
    court considers "the totality of the circumstances, since '[i]n child abuse and
    neglect cases the elements of proof are synergistically related.'" V.T., 423 N.J.
    A-1795-19
    18
    Super. at 329 (quoting N.J. Div. of Youth & Family Servs. v. C.H., 
    414 N.J. Super. 472
    , 481 (App. Div. 2010)).
    Regarding "the quantum of proof required in a fact-finding hearing
    brought under Title Nine, it is well established that [the Division] must prove
    that the child is 'abused or neglected' by a preponderance of the evidence, and
    only through the admission of 'competent, material and relevant evidence.'"
    P.W.R., 
    205 N.J. at 32
     (citation omitted) (quoting N.J.S.A. 9:6-8.46(b)). "Under
    the preponderance standard, 'a litigant must establish that a desired inference is
    more probable than not. If the evidence is in equipoise, the burden has not been
    met.'" Liberty Mut. Ins. Co. v. Land, 
    186 N.J. 163
    , 169 (2006) (quoting Biunno,
    Weissbard & Zegas, Current N.J. Rules of Evidence, cmt. 5(a) on N.J.R.E.
    101(b)(1) (2005)). "The evidence must demonstrate that the offered hypothesis
    is a rational inference, that it permits the trier[] of fact to arrive at a conclusion
    in a preponderance of probabilities to common experience." N.S., 
    412 N.J. Super. at 615
     (alteration in original) (quoting In re Estate of Reininger, 
    388 N.J. Super. 289
    , 298 (Ch. Div. 2006)).
    An "[a]bused or neglected child" includes a minor child
    whose physical, mental, or emotional condition has
    been impaired or is in imminent danger of becoming
    impaired as the result of the failure of his parent . . . to
    exercise a minimum degree of care . . . in providing the
    A-1795-19
    19
    child with proper supervision or guardianship, by
    unreasonably inflicting or allowing to be inflicted
    harm, or substantial risk thereof, . . . or by any other
    acts of a similarly serious nature requiring the aid of the
    court. . . .
    [N.J.S.A. 9:6-8.21(c)(4)(b).]
    "It is difficult to marshal direct evidence of parental abuse and neglect
    because of the closed environment in which the abuse most often occurs and the
    limited ability of the abused child to inculpate the abuser." N.J. Div. of Youth
    & Family Servs. v. S.S., 
    275 N.J. Super. 173
    , 179 (App. Div. 1994).
    Consequently, in a fact-finding hearing under Title 9,
    proof of injuries sustained by a child or of the condition
    of a child of such a nature as would ordinarily not be
    sustained or exist except by reason of the acts or
    omissions of the parent or guardian shall be prima facie
    evidence that a child of, or who is the responsibility of
    such person is an abused or neglected child.
    [N.J.S.A. 9:6-8.46(a)(2).]
    "[N]on-intentional conduct is sufficient to warrant a finding of abuse if
    the injury to the child is demonstrated." N.J. Div. of Youth & Family Servs. v.
    S.S., 
    372 N.J. Super. 13
    , 24 (2004) (citing G.S. v. Dep't of Human Servs., 
    157 N.J. 161
    , 175-82 (1999)). Because intent is not required to find abuse under
    Title 9, the trial court must determine "[w]hether a parent . . . has failed to
    exercise a minimum degree of care . . . in light of the dangers and risks
    A-1795-19
    20
    associated with the situation." G.S., 
    157 N.J. at 181-82
    . To that end, a parent
    "fails to exercise a minimum degree of care when he or she is aware of the
    dangers inherent in a situation and fails adequately to supervise the child or
    recklessly creates a risk of serious injury to that child." 
    Id. at 181
    . "When a
    cautionary act by the [parent] would prevent a child from having his or her
    physical, mental or emotional condition impaired, that [parent] has failed to
    exercise a minimum degree of care as a matter of law." 
    Id. at 182
    .
    Significantly, "minimum degree of care" refers to conduct that is "grossly
    or wantonly, negligent, but not necessarily intentional." 
    Id. at 178
    . "Conduct is
    considered willful or wanton if done with the knowledge that injury is likely to,
    or probably will, result." 
    Ibid.
     (citing McLaughlin v. Rova Farms, Inc., 
    56 N.J. 288
    , 305 (1970)). "Because risks that are recklessly incurred are not considered
    unforeseen perils or accidents in the eyes of the law, actions taken with reckless
    disregard for the consequences also may be wanton or willful." 
    Ibid.
     "Where
    an ordinary reasonable person would understand that a situation poses dangerous
    risks and acts without regard for the potentially serious consequences, the law
    holds him responsible for the injuries he causes" and "[k]nowledge will be
    imputed to the actor." Id. at 178-79.
    A-1795-19
    21
    "Thus, under a wanton and willful negligence standard, a person is liable
    for the foreseeable consequences of [his] actions, regardless of whether []he
    actually intended to cause injury." Id. at 179. "[T]he inquiry should focus on
    the harm to the child and whether that harm could have been prevented had the
    guardian performed some act to remedy the situation or remove the danger." Id.
    at 182. If a parent's act or omission does not meet the "minimum degree of care"
    required by law, the substantiated finding must stand. Ibid.; see also N.J. Div.
    of Youth & Family Servs. v. T.B., 
    207 N.J. 294
    , 306-09 (2011) (reaffirming the
    G.S. test).
    Applying these principles, we agree with the judge that defendant abused
    or neglected E.B. within the meaning of N.J.S.A. 9:6-8.21(c)(4)(b) and reject
    defendant's contentions that the judge's "findings [were] unsupported by either
    evidence or statutory elements." Instead, the preponderance of the evidence
    demonstrated that E.B. was injured by ingesting opiates he found on the floor of
    the couple's home while under their care. Unbeknownst to S.P., defendant, who
    had a drug history, had relapsed and tested positive for opiates on June 19 and
    July 10, approximately ten days before and ten days after the June 29 incident.
    Despite his denials about bringing drugs into the home, which denials were
    undermined by his false claims to S.P. and Division caseworkers about the onset
    A-1795-19
    22
    of his relapse, the evidence supported the conclusion that based on his
    documented drug use, it was more probable than not that defendant was the
    source of the opiates E.B. ingested. Indeed, rather than relying "solely on
    supposition and speculation" as defendant asserts, the judge properly applied the
    governing "preponderance standard" in determining that the "desired inference
    [was] more probable than not." N.S., 
    412 N.J. Super. at 615
    .
    It was undisputed that the child's ingestion was accidental. However,
    intent was not required to support a finding of abuse or neglect on the part of
    defendant. "Even an isolated unintentional injury may form the basis for a
    finding of neglect where the intrinsic danger of the situation is obvious." G.S.,
    
    157 N.J. at 180
    . As the judge found, defendant's failure to exercise a minimum
    degree of care resulted in him recklessly causing injury to E.B. by his active
    drug use and constituted grossly negligent conduct. In that regard, we reject
    defendant's contention that "the judge did not tether her factual or legal
    conclusions to any specific Title 9 cause of action." On the contrary, the judge's
    factual findings, to which we owe deference, are supported by substantial,
    credible evidence adduced at the hearing, and the judge's legal conclusion that
    defendant's acts did not meet the "minimum degree of care" required by N.J.S.A.
    9:6-8.21(c)(4)(b) was sound. "When a cautionary act by the [parent] would
    A-1795-19
    23
    prevent a child from having his . . . physical . . . condition impaired, that [parent]
    has failed to exercise a minimum degree of care as a matter of law." G.S., 
    157 N.J. at 182
    .
    Defendant argues that "the State failed at trial to resolve th[e] basic
    dispute" regarding the source and type of substance and suggests that this failure
    was fatal to the State's case. We emphatically reject this argument for several
    reasons.
    First, the danger that an infant may be seriously injured by having access
    to an opiate, regardless of the specific type, is readily apparent. That danger
    was realized when E.B. ingested an opiate that resulted in an overdose with the
    ensuing administration of Narcan and hospitalization.             Second, although
    defendant and S.P. speculated that the substance may have been accidentally
    dropped by others who had access to the home — specifically, the neighbor,
    defendant's uncle, and the maternal grandmother — all three were ruled out by
    Dr. Kairys' uncontroverted expert testimony, defendant's and S.P.'s subsequent
    exoneration of the uncle, and caseworker interviews during which the neighbor
    and the maternal grandmother both denied bringing any substances into the
    couple's home. Further, because defendant's credibility regarding his drug use
    was undermined by his positive drug tests at John Brooks, his claim that he never
    A-1795-19
    24
    brought drugs into the home was rendered suspect and unreliable to refute the
    Division's proofs.
    Defendant also raises procedural challenges, arguing for the first time on
    appeal that "no statutory provision of Title 9 had been pled." According to
    defendant, "[t]here was a surprise substitution of a Title 9 trial and judgment
    from a Title 30 complaint without any pleading of any of the nine Title 9 causes
    of action." We disagree.
    Procedurally, "[f]ollowing an investigation, the Division initiates the civil
    action seeking an adjudication of abuse or neglect by filing a complaint in the
    Family Part, pursuant to N.J.S.A. 9:6-8.33." N.J. Div. of Youth & Family Servs.
    v. P.C., 
    439 N.J. Super. 404
    , 413 (App. Div. 2015). "The complaint must
    adequately notify a defendant of all charges." Ibid.; see also P.W.R., 
    205 N.J. at 36-37
     (2011). Because "[t]he fact-finding hearing is a critical element of the
    abuse and neglect process," it "must be conducted 'with scrupulous adherence to
    procedural safeguards.'" P.C., 439 N.J. Super. at 413 (quoting N.J. Div. of
    Youth & Family Servs. v. G.M., 
    198 N.J. 382
    , 401 (2009)). To that end, "[a]t a
    minimum, 'due process requires that a parent charged with abuse or neglect have
    adequate notice and opportunity to prepare and respond.'" 
    Id. at 412
     (quoting
    N.J. Div. of Youth & Family Servs. v. T.S., 
    429 N.J. Super. 202
    , 213
    A-1795-19
    25
    (App.Div.2013)); see also N.J. Div. of Youth & Family Servs. v. B.M., 
    413 N.J. Super. 118
    , 126-27 (App.Div.2010) (noting that a defendant must be apprised
    by such notice of the matters at issue and be afforded an "adequate opportunity"
    to respond and prepare for trial).
    Here, all procedural safeguards were scrupulously followed.              The
    complaint specified that the "action [was] brought by the Division pursuant to
    [N.J.S.A.] 9:6-8.21 et seq. and [N.J.S.A.] 30:4C-12 and [Rule] 5:12-1 et seq. for
    the protection and best interests of [E.D.]" Further, the complaint was filed as
    a result of defendant "fail[ing] to ensure the health and safety of [E.D.]" and
    "endangering the welfare of [E.D.]"          Additionally, the allegations in the
    complaint delineated the circumstances surrounding E.D.'s ingestion of opiates
    on June 29 as well as the Division's investigation and ensuing involvement with
    the family, including "requiring [defendant] to remain out of the home" due to
    his documented record of ongoing drug use and non-compliance with services.
    Finally, in the prayer for relief, "the Division request[ed] an order placing . . .
    [E.D.] in the care and supervision of the Division and, or, such other relief as
    . . . provided by law, specifically [N.J.S.A.] 9:6-8.21 et seq. and [N.J.S.A.]
    30:4C-12, and . . . in the best interest of the child."
    A-1795-19
    26
    "A complaint . . . is not required to spell out the legal theory upon which
    it is based." Farese v. McGarry, 
    237 N.J. Super. 385
    , 390 (App. Div. 1989).
    "Its necessary contents are only 'a statement of the facts on which the claim is
    based, showing that the pleader is entitled to relief, and a demand for judgment
    for the relief to which he deems himself entitled.'" 
    Ibid.
     (quoting R. 4:5-2). We
    are satisfied that the Division's complaint, which included allegations of conduct
    amounting to abuse or neglect against defendant within the meaning of N.J.S.A.
    9:6-8.21, provided defendant with adequate notice and his contention to the
    contrary is belied by the record. 12
    Defendant seems to also suggest without support that the earlier
    administrative finding of abuse or neglect pursuant to N.J.A.C. 3A:10-7.3(c)(1),
    following the Division's investigation, precluded a later adjudication by the
    court that E.D. was an abused or neglected child or rendered it unnecessary.
    However, N.J.A.C. 3A:10-7.3(g) expressly provides that "[p]ursuant to N.J.S.A.
    9:6-1 et seq., the Superior Court, Chancery Division, has jurisdiction to
    12
    Notably, at the show cause hearing conducted on October 29, 2018, following
    the filing of the complaint, the judge determined "that the Division having care
    and supervision of [E.D. was] necessary to avoid an ongoing risk to [his] life,
    safety or health" because defendant was "actively using illicit substances; [E.D.]
    allegedly found a pill and ingested heroin or morphine; [E.D.] had to be treated
    with Narcan and [was] hospitalized."
    A-1795-19
    27
    adjudicate determinations that a child is an abused or neglected child" in
    conjunction with any administrative finding by the agency. See N.J.A.C. 3A:10-
    7.3(h)(1) (providing that the agency retains "the administrative authority" to
    "[d]etermine whether an allegation . . . determined to be abuse or neglect by the
    Superior Court, Chancery Division, is established or substantiated"). Moreover,
    litigation was not terminated until November 22, 2019, when the judge
    determined based on defendant's compliance with drug treatment services that
    reunification of the family was appropriate and termination of the litigation was
    "in the child's best interest." Thus, we discern no deficiency in the pleading or
    the proceedings.
    We next address defendant's claim that his attorney was ineffective for
    failing "to move to dismiss the Title 30 complaint for failure to state a cause of
    action," failing "to object to the admission of Dr. Kairys's ultimate issue opinion
    of neglect," failing "to highlight to the court that the State failed to prove where
    the pill came from or even what the pill was," and failing "to move for
    reconsideration or to vacate the judgment" after the judgment was issued.
    "[A] defendant has a right to [the effective assistance of] counsel when a
    complaint is filed against him or her charging abuse and neglect and threatening
    the individual's parental rights." N.J. Div. of Youth & Family Servs. v. B.H.,
    A-1795-19
    28
    
    391 N.J. Super. 322
    , 345 (App. Div. 2007) (citing N.J.S.A. 9:6-8.43(a)). In
    determining whether that right has been violated, we apply the test "as set forth
    . . . in Strickland [v. Washington, 
    466 U.S. 668
     (1984)]." Id. at 346; see N.J.
    Div. of Youth & Family Servs. v. B.R., 
    192 N.J. 301
    , 308-09 (2007) (adopting
    the Strickland test in parental termination cases).
    Specifically,
    (1) counsel's performance must be objectively deficient
    i.e., it must fall outside the broad range of
    professionally acceptable performance; and (2)
    counsel's deficient performance must prejudice the
    defense i.e., there must be "a reasonable probability
    that, but for counsel's unprofessional errors, the result
    of the proceeding would have been different."
    [B.R., 
    192 N.J. at 307
     (quoting Strickland, 
    466 U.S. at 694
    ).]
    The Strickland standard is "highly deferential," and "a court must indulge
    a strong presumption that counsel's conduct falls within the wide range of
    reasonable professional assistance; that is, the defendant must overcome the
    presumption that, under the circumstances, the challenged action 'might be
    considered sound trial strategy.'" B.R., 
    192 N.J. at 307-08
     (quoting Strickland,
    
    466 U.S. at 689
    ). To establish the elements of an ineffective-assistance-of-
    counsel claim, "appellate counsel must provide a detailed exposition of how the
    trial lawyer fell short and a statement regarding why the result would have been
    A-1795-19
    29
    different had the lawyer's performance not been deficient. That will include the
    requirement of an evidentiary proffer in appropriate cases." Id. at 311.
    Applying this standard, we reject each of defendant's ineffective
    assistance of counsel (IAC) claims in turn.       First, because we discern no
    deficiency in the pleading or the proceedings, a motion to dismiss the complaint
    would have failed. Similarly, given our conclusion that the judgment was
    supported by the evidence and the law, defendant would not have prevailed on
    a motion for reconsideration or a motion to vacate the judgment. "[I]t is not
    ineffective assistance of counsel for defense counsel not to file a meritless
    motion. . . ." State v. O'Neal, 
    190 N.J. 601
    , 635 (2007) (citation omitted).
    Further, in summations, defense counsel forcefully argued to the judge:
    the issue with this case is unfortunately . . . there was
    an accident where the child ingested something. The
    issue is, though, you don't know exactly what . . . and I
    think most problematic is Dr. Kairys's report where he
    essentially changes his position based upon additional
    information the Division obtains from John Brooks
    regarding my client's substance abuse history. I think
    there has to be something more as far as the Division's
    proof.
    We don't know what the child took. There were
    other people in the home . . . but I think there has to be
    something more in these types of cases.
    ....
    A-1795-19
    30
    Dr. Kairys was not able to . . . indicate how long the
    half-life of any substances is and I think it's . . . purely
    within the realm of possibility that a child can get into
    something that was left or . . . fell from someone's
    pocket that doesn't have any bearing on . . . what my
    client did and any type of grossly negligent manner.
    Clearly, defendant's assertion that defense counsel was ineffective for failing "to
    highlight to the court that the State failed to prove where the pill came from or
    even what the pill was" is belied by the record.
    Finally, we consider defendant's claim that defense counsel was
    ineffective for failing "to object to the admission of Dr. Kairys'[s] ultimate issue
    opinion of neglect." Under N.J.R.E. 702, expert testimony "in the form of an
    opinion" is admissible "[i]f scientific, technical, or other specialized knowledge
    will assist the trier of fact to understand the evidence or to determine a fact in
    issue. . . ." Under N.J.R.E. 704, such testimony "is not objectionable because it
    embraces an ultimate issue to be decided by the trier of fact." Indeed, "experts
    can offer reliable opinion testimony about the ultimate issue at trial." Jacober
    v. St. Peter's Med. Ctr., 
    128 N.J. 475
    , 497 (1992). This is common in Title 9
    and Title 30 cases, in which the Division, Law Guardian, and defendants
    frequently seek experts who offer opinions as to the satisfaction or non -
    satisfaction of the pertinent statutory criteria.
    A-1795-19
    31
    Here, Dr. Kairys' opinion was neither objectionable nor inadmissible.
    Thus, defendant has failed to establish the elements required to prevail on any
    of his IAC claims.
    Defendant's remaining arguments lack sufficient merit to warrant further
    discussion. R. 2:11-3(e)(1)(E).
    Affirmed.
    A-1795-19
    32