In re S.G. ( 2021 )


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  •                              STATE OF WEST VIRGINIA                                FILED
    SUPREME COURT OF APPEALS
    March 16, 2021
    EDYTHE NASH GAISER, CLERK
    SUPREME COURT OF APPEALS
    OF WEST VIRGINIA
    In re S.G.
    No. 20-0590 (Monongalia County 19-JA-74)
    MEMORANDUM DECISION
    Petitioner Mother K.G., by counsel Kristen D. Antolini, appeals the Circuit Court of
    Monongalia County’s July 2, 2020, order terminating her parental rights to S.G. 1 The West
    Virginia Department of Health and Human Resources (“DHHR”), by counsel Lee Niezgoda,
    filed a response in support of the circuit court’s order. The guardian ad litem (“guardian”), Jason
    E. Wingfield, filed a response on behalf of the child also in support of the circuit court’s order.
    On appeal, petitioner argues that the circuit court erred in finding probable cause for the removal
    of the child, granting the DHHR’s motion for a second psychological and parental fitness
    evaluation, and terminating petitioner’s parental rights without first granting her a post-
    adjudicatory improvement period.
    This Court has considered the parties’ briefs and the record on appeal. The facts and legal
    arguments are adequately presented, and the decisional process would not be significantly aided
    by oral argument. Upon consideration of the standard of review, the briefs, and the record
    presented, the Court finds no substantial question of law and no prejudicial error. For these
    reasons, a memorandum decision affirming the circuit court’s order is appropriate under Rule 21
    of the Rules of Appellate Procedure.
    Prior to the initiation of the instant proceedings, petitioner was the subject of child abuse
    and neglect proceedings with regard to three older children in 2017 based upon her involvement
    with a man who physically abused the children. There were also allegations that the children
    were exposed to domestic violence, nutritionally neglected, and that the home was unfit and
    1
    Consistent with our long-standing practice in cases with sensitive facts, we use initials
    where necessary to protect the identities of those involved in this case. See In re K.H., 
    235 W. Va. 254
    , 
    773 S.E.2d 20
     (2015); Melinda H. v. William R. II, 
    230 W. Va. 731
    , 
    742 S.E.2d 419
    (2013); State v. Brandon B., 
    218 W. Va. 324
    , 
    624 S.E.2d 761
     (2005); State v. Edward Charles
    L., 
    183 W. Va. 641
    , 
    398 S.E.2d 123
     (1990).
    1
    unsanitary. 2 Although petitioner was granted a post-adjudicatory improvement period, the
    improvement period was revoked for lack of progress. Petitioner eventually voluntarily
    relinquished her parental rights to those children at a dispositional hearing in January of 2019.
    Three months later, petitioner prematurely gave birth to S.G. The DHHR received a
    referral from hospital staff stating concerns that petitioner previously relinquished her parental
    rights to three other children and, because the prior case involved unsafe and unfit living
    conditions, the reporter had concerns about the current conditions of the home. Given these
    concerns and the extreme circumstances surrounding petitioner’s prior abuse and neglect
    proceeding, the DHHR filed the instant child abuse and neglect petition against petitioner in
    April of 2019. According to the DHHR, in light of petitioner’s past history with inappropriate
    people, it conducted a background check of her roommate, which revealed that the roommate’s
    parental rights to her own children were involuntarily terminated in 2007. A Child Protective
    Services (“CPS”) worker investigated petitioner’s prior case and learned that she had not
    completed parenting and adult life skills classes prior to her relinquishment of her parental rights
    and that petitioner’s psychological and parental fitness evaluation completed in 2018 required
    that she complete such classes before having the children returned to her care. Specifically, the
    DHHR alleged that petitioner had not demonstrated in her previous case that she had learned to
    properly parent, had not successfully completed parenting and adult life skills, nor “demonstrated
    an internalization of understanding how to parent.” In conclusion, the DHHR alleged that there
    was no reasonable alternative to the removal of the child due to petitioner’s inability to provide
    S.G. with the necessary care, attention, and supervision needed for a premature newborn child,
    and that petitioner failed to retain and apply any parenting skills previously taught in prior cases.
    Prior to the preliminary hearing, the DHHR submitted a court summary that explained
    that S.G. was born premature and suffered from several health issues that required intensive care.
    S.G. was deemed medically fragile, and the doctor ordered that she not be taken to public places
    other than doctor’s appointments. The DHHR also reported concerns arising from law
    enforcement’s responding to calls at petitioner’s address in January and February of 2019.
    Additionally, the report stated that petitioner had continued individual therapy sessions after she
    relinquished her parental rights in the 2017 case but continued to deny responsibility for the
    conditions of abuse and neglect in both the 2013 and 2017 cases during the therapy sessions.
    In late April of 2019, the circuit court held a contested preliminary hearing. The CPS
    worker testified consistently with the allegations in the petition and further explained that
    petitioner’s roommate who was to help care for S.G. had her own parental rights previously
    terminated for failing to feed her child. The worker further stated that the DHHR had spent
    $20,860.08 on services such as parenting and adult life skills sessions and transportation services
    for petitioner in the 2017 case. Additionally, the worker described a report from a DHHR
    provider from the 2017 case showing that petitioner failed to complete her parenting and adult
    life skills classes and had not made progress during the time she attended sessions. The worker
    also stated that the previous service provider expressed concerns with petitioner’s mental health.
    2
    The record also shows that petitioner had a prior child abuse and neglect case involving
    the same three children in 2013.
    2
    Finally, the worked explained that she sought emergency custody of the medically fragile
    newborn because of the history of petitioner’s 2017 case, which closed merely three months
    prior; petitioner’s apparent inability to parent as she made no progress in her parenting in the
    prior case; petitioner’s failure to acknowledge the abuse and neglect in the prior case; petitioner’s
    lack of positive changes since the prior case except for continuing individual therapy; and
    petitioner’s unsuitable home environment.
    On cross-examination by petitioner’s counsel, when asked whether the DHHR was
    required to file a petition when a parent previously relinquished parental rights to another child,
    the DHHR worker answered “[w]e are not required to, but it is up to the [DHHR] and also to
    look at the safety of the child” and that “we have to look at each case independently to see how
    far a person has come with the previous case and the knowledge we had before.” The worker
    further stated that petitioner had not sought independent parenting services since the prior case
    and, therefore, had not gained the knowledge and ability to parent S.G. Upon the guardian’s
    cross-examination, the CPS worker stated that the DHHR had a duty to investigate all referrals
    and that the DHHR received a referral from the hospital when S.G. was born. When asked to
    describe details of the conditions of abuse and neglect in petitioner’s prior 2017 case, the worker
    explained that one child was an infant who failed to thrive in petitioner’s case, resulting in
    deformities to his limbs, lack of muscle tone, and overall lack of development. She also stated
    that petitioner had no bond with that infant and that his head was misshaped from sitting in car
    seats for too long. Additionally, the prior case involved allegations of physical abuse as the
    children were excessively disciplined, locked in their rooms, and struck with objects, which left
    bruises. The worker also stated that petitioner’s home was unsanitary with garbage piled on the
    floors. When asked if petitioner had any CPS intervention prior to the 2017 case, the worker
    responded that petitioner had a previous removal in 2013 for child endangerment and physical
    abuse, but that the children were ultimately returned to her care.
    Next, petitioner testified that she obtained all required prenatal care for S.G., obtained all
    necessary items for S.G.’s care, continued individual therapy sessions, and by February of 2019,
    had finally accepted responsibility for her failures in the 2017 case because she “had a lot of time
    to think and stuff.” She further testified that her home was in “immaculate condition” and that
    her roommate moved out. When asked about the conditions of abuse in the prior case, she
    responded that there were no nutritional issues, only issues with the condition of the home.
    Ultimately, the circuit court found probable cause that the child was in imminent danger
    and that there were no reasonable alternatives to S.G.’s removal. In support of this finding, the
    circuit court explained that it based the ruling solely on the child at issue and not “on any prior
    rulings about the prior children.” The circuit court stated that its concerns were based solely on
    the “present problem” and “present situation,” and that the child was in imminent danger because
    of “its physical needs and going home with [petitioner] is not appropriate at this time.”
    Shortly after the preliminary hearing, the DHHR submitted a court summary indicating
    the S.G. suffered from additional health problems and remained extremely fragile. Further, the
    summary stated that petitioner was evicted from her home for failure to pay rent and that the
    DHHR was concerned with petitioner’s lack of income and stable housing. The summary stated
    that “[i]t is questionable as to whether or not [petitioner] can effectively parent such a young
    3
    infant with medical issues, frequent feedings, frequent doctor appointments, specialists that
    [S.G.] will need to see. It may be an issue for [petitioner] to meet her own personal needs.”
    In May of 2019, the circuit court held a hearing scheduled for adjudication, but instead
    granted petitioner’s motion for a preadjudicatory improvement period in light of petitioner’s
    obtaining parenting classes from the hospital and her promise to seek employment and housing.
    The terms of petitioner’s improvement period included her participation in multidisciplinary
    team (“MDT”) meetings, receiving and participating in adult life skills and parenting classes,
    signing all releases, and providing the MDT members with all necessary medical records. In
    August of 2019, the circuit court held a review hearing, wherein the DHHR reported that
    petitioner was largely complying with the terms and conditions of her improvement period, but
    the court nevertheless set the matter for adjudication.
    Petitioner participated in a psychological and parental fitness evaluation in August of
    2019 with Dr. Edward Baker. The report concluded that petitioner had the “parental capacity to
    care, protect, and change in order to provide adequately for her child” and assessed petitioner’s
    prognosis for doing so as “fair.” However, the report further indicated that petitioner’s “Child
    Abuse Potential Inventory” was invalid and “could not be meaningfully interpreted.” Unsatisfied
    with this conclusion, the DHHR moved to have a second opinion, arguing that Dr. Baker’s
    recommendation “greatly differed” from the recommendations in petitioner’s 2018 evaluation.
    Petitioner objected. However, the circuit court granted the DHHR’s motion, and in October of
    2019, petitioner underwent a second evaluation with Dr. Martin Boone, who concluded that
    petitioner currently lacked the parental capacity to care, protect, and provide for the child and
    that her prognosis for improvement was “guarded.”
    In December of 2019, the circuit court held an adjudicatory hearing. Petitioner stipulated
    that she failed to provide a safe and suitable home for the child by allowing inappropriate people
    to live in the home. The circuit court learned that in early December of 2019, petitioner allowed
    a man who was a registered sex offender move in and live with her. Petitioner moved for a post-
    adjudicatory improvement period, and the circuit court held the motion in abeyance.
    The circuit court held the dispositional hearing over the course of three days in March
    and May of 2020. At the hearings, the DHHR presented its court summary, which recommended
    the termination of petitioner’s parental rights based on the circumstances underlying the prior
    proceeding, petitioner’s failure to address her mental health issues, and the results of petitioner’s
    most recent psychological and parental fitness evaluation. First, Dr. Boone testified that despite
    petitioner’s best efforts to improve her parenting, she lacked the intellectual and cognitive ability
    to safely parent S.G. and that these deficits could not be remedied. A service provider who
    supervised visitations testified that petitioner failed to comprehend instructions, resulting in her
    inability to properly feed and care for the child. An independent service provider testified that
    petitioner had attended general parenting education classes since June of 2019.
    The DHHR case worker testified that she was petitioner’s case worker in the 2017 case
    that resolved in January of 2019.The DHHR worker stated that despite the receipt of extensive
    services over the years, petitioner remained unable to safely parent any child, let alone a
    premature newborn infant with many health issues. The guardian’s previously filed report
    4
    disclosed that petitioner continued to allow unsafe individuals in the home, including a sex
    offender. Dr. Baker then testified that petitioner had a low intellectual capacity but had the
    minimum cognitive ability necessary to parent. However, Dr. Baker clarified that petitioner had
    not been forthright during the evaluation he conducted, leading to inconclusive “faking good”
    results. Lastly, he stated that he was unaware of S.G.’s prematurity and special needs of care at
    the time of the evaluation and that his opinion may have changed had he known that information.
    The circuit court recessed and set another date to continue the proceedings.
    At the final dispositional hearing in May of 2020, petitioner testified that she was
    employed, had adequate housing, had the necessary supplies and items for S.G.’s care, and had
    explored options for S.G.’s daycare. She stated that she had participated in therapy since the
    prior CPS case and had participated in adult life skills and parenting education classes since June
    of 2019. Petitioner described which doctors she would take S.G. to for her healthcare needs.
    Next, S.G.’s foster mother testified that S.G. suffered from several congenital health issues,
    including a hemangioma in her ear canal that required daily medication to prevent hearing loss.
    She explained that the medication affects S.G.’s blood sugar, requiring the child’s levels to be
    closely monitored. Further, she stated that S.G. had acid reflux, which required special feeding
    techniques and a special formula blend. She stated that she gave detailed instructions to
    petitioner for feeding S.G. during supervised visitations, but petitioner failed to follow the
    directions, resulting in S.G. frequently vomiting at visits. Finally, the foster mother stated that on
    two occasions, S.G. was returned from visits with minor injuries from falling and bumping her
    head due to petitioner’s inability to supervise and care for her. Having reviewed the evidence
    presented, the circuit court denied petitioner’s motion for a post-adjudicatory improvement
    period and terminated her parental rights upon finding that there was no reasonable likelihood
    that she could correct the conditions of abuse and neglect in the near future and that termination
    was necessary for the child’s welfare. An order terminating petitioner’s parental rights was
    entered on July 2, 2020. 3
    The Court has previously established the following standard of review:
    “Although conclusions of law reached by a circuit court are subject to de
    novo review, when an action, such as an abuse and neglect case, is tried upon the
    facts without a jury, the circuit court shall make a determination based upon the
    evidence and shall make findings of fact and conclusions of law as to whether
    such child is abused or neglected. These findings shall not be set aside by a
    reviewing court unless clearly erroneous. A finding is clearly erroneous when,
    although there is evidence to support the finding, the reviewing court on the entire
    evidence is left with the definite and firm conviction that a mistake has been
    committed. However, a reviewing court may not overturn a finding simply
    because it would have decided the case differently, and it must affirm a finding if
    the circuit court’s account of the evidence is plausible in light of the record
    3
    The father’s parental rights were also terminated below. The permanency plan for the
    child is adoption by the same foster family as her siblings.
    5
    viewed in its entirety.” Syl. Pt. 1, In Interest of Tiffany Marie S., 
    196 W.Va. 223
    ,
    
    470 S.E.2d 177
     (1996).
    Syl. Pt. 1, In re Cecil T., 
    228 W. Va. 89
    , 
    717 S.E.2d 873
     (2011).
    On appeal, petitioner argues that the circuit court erred in finding probable cause that
    S.G. was in imminent danger. According to petitioner, at the time of S.G.’s removal, the DHHR
    stated only two concerns: petitioner previously relinquished her parental rights to three children
    three months prior and petitioner failed to complete parenting and adult life skills in the prior
    case. Petitioner contends that these concerns were inadequate to find probable cause as only
    involuntary terminations of parental rights require the DHHR to file a petition for subsequently
    born children. See In re George Glen B., Jr., 
    207 W. Va. 346
    , 352–53, 
    532 S.E.2d 64
    , 70–71
    (2000). Further, petitioner argues that she was treated unfairly as she previously relinquished her
    parental rights for the sole purpose of “protection” from future CPS involvement. We find,
    however, that these arguments do not entitle petitioner to relief.
    According to West Virginia Code § 49-4-602(a)(1), the circuit court may order the
    removal of a child if it finds that “there exists imminent danger to the physical well-being of the
    child” and “[t]here are no reasonably available alternatives to removal of the child, including, but
    not limited to, the provision of medical, psychiatric, psychological or homemaking services in
    the child’s present custody.” West Virginia Code § 49-1-201 defines “[i]mminent danger to the
    physical well-being of the child” to mean “an emergency situation in which the welfare or the
    life of the child is threatened.” This provision further delineates the following threatening
    conditions: nonaccidental trauma, physical abuse, nutritional and medical neglect, abandonment,
    substantial emotional abuse, the sale of a child, alcohol or drug impaired parenting, and “[a]ny
    other condition that threatens the health, life or safety of any child in the home.” 
    W. Va. Code § 49-1-201
    .
    Here, the record shows that the DHHR specifically relied upon the last provision when it
    removed S.G. from petitioner’s home. While petitioner is correct that two of the reasons stated
    by the DHHR within its petition for removal were petitioner’s very recent relinquishments to
    other children and her failure to address her deficiencies in parenting by completing a parenting
    course, petitioner ignores the other evidence presented at the preliminary hearing. Testimony
    established that additional reasons existed for the removal, including petitioner’s unsafe home
    with a roommate and proposed caregiver who previously had her parental rights terminated to
    her own children—one of the grounds for which was nutritional neglect of an infant. Further,
    testimony established that petitioner had done nothing to address her parenting deficiencies in
    the three months between her relinquishments and S.G.’s birth and that she failed to
    acknowledge any wrongdoing to her therapist. Additionally, the evidence established that S.G.
    was an extremely fragile premature infant who required specialized care. Most importantly, the
    record shows that the DHHR worker responded to an anonymous referral from hospital staff
    after S.G.’s birth. This is contrary to petitioner’s assertion that the DHHR treated her “unfairly”
    by filing a petition based upon the conditions of abuse and neglect that resulted in petitioner’s
    prior relinquishments and continued, unabated. In light of the overwhelming evidence that
    petitioner had not improved her ability to parent since her prior case, S.G. being an extremely
    6
    fragile newborn, and petitioner’s inappropriate home, we find no error in the circuit court finding
    probable cause that S.G. was in imminent danger.
    Next, petitioner argues that the circuit court erred by granting the DHHR’s motion for a
    second psychological and parental fitness evaluation when it was dissatisfied with petitioner’s
    favorable results in the first evaluation. Petitioner argues that the DHHR desired to create
    barriers to reunification with S.G. and sought a second expert to give a negative recommendation
    regarding petitioner’s ability to parent. Petitioner contends that the circuit court erred by
    allowing the DHHR to obtain multiple psychological evaluations “close in time together” until it
    “achieves the results that it wants.”
    West Virginia Code § 49-4-603(a)(1) provides as follows:
    At any time during proceedings under this article the court may, upon its own
    motion or upon motion of the child or other parties, order the child or other parties
    to be examined by a physician, psychologist or psychiatrist, and may require
    testimony from the expert, subject to cross-examination and the rules of evidence.
    According to the record, petitioner had undergone three court ordered psychological and parental
    fitness evaluations—one in 2018 in the prior proceeding and two during the instant proceeding.
    In its motion for the second evaluation, the DHHR explained that the petition was filed, in part,
    due to petitioner’s inability to parent as indicated by the recommendation of her 2018
    psychological and parental fitness evaluation, and that Dr. Baker’s recommendations and
    findings “differed greatly” from the 2018 evaluation. Furthermore, Dr. Baker’s evaluation
    indicated that petitioner was not forthright with her answers and the report further indicated that
    petitioner’s “Child Abuse Potential Inventory” was invalid and “could not be meaningfully
    interpreted.” Dr. Baker later confirmed these issues with his evaluation of petitioner during his
    testimony at the dispositional hearing. Specifically, Dr. Baker testified that petitioner’s lack of
    truthfulness led to inconclusive “faking good” results in the evaluation and that had he known of
    S.G.’s extreme needs of care, he would have factored that information into his evaluation, which
    could have changed the outcome. In light of the issues with Dr. Baker’s evaluation, we find no
    error in the circuit court’s granting of the DHHR’s motion for another updated psychological and
    parental fitness evaluation of petitioner.
    Finally, petitioner argues that the circuit court erred in terminating her parental rights
    without first granting her a post-adjudicatory improvement period. Petitioner contends that there
    was a reasonable likelihood that she could correct the conditions of abuse and neglect in the near
    future as she made substantial improvements in completing services and gave her full effort in
    the case. Additionally, she cites her “hard work with counseling, parenting, adult life skills, and
    employment” as proof that she experienced a substantial change of circumstances. Further,
    petitioner relies on Syllabus Point four of In re Billy Joe M., 
    206 W. Va. 1
    , 
    521 S.E.2d 173
    (1999), to argue that due to petitioner’s issues of intellectual incapacity, the DHHR was required
    to “make some additional efforts” to help petitioner with her ability to parent and that a
    “thorough effort” was not made by the DHHR as it failed to increase petitioner’s visitation to
    7
    allow her more time to learn how to take care of S.G. 4 Finally, petitioner argues that the DHHR
    did not make reasonable efforts to reunify petitioner with S.G.
    This Court has held that “a parent charged with abuse and/or neglect is not
    unconditionally entitled to an improvement period.” In re Emily, 
    208 W. Va. 325
    , 336, 
    540 S.E.2d 542
    , 553 (2000). West Virginia Code § 49-4-610(2)(B) provides that the circuit court may
    grant a parent a post-adjudicatory improvement period when the parent “demonstrates, by clear
    and convincing evidence, that the [parent] is likely to fully participate in the improvement
    period.” Because petitioner was previously granted a preadjudicatory improvement period, she
    must also demonstrate that since the initial improvement period, she has experienced a
    substantial change in circumstances. 
    W. Va. Code § 49-4-610
    (2)(D). However, the circuit court
    has discretion to deny an improvement period when no improvement is likely. See In re Tonjia
    M., 
    212 W. Va. 443
    , 448, 
    573 S.E.2d 354
    , 359 (2002). Most importantly, we have long held that,
    “when a parent cannot demonstrate that he/she will be able to correct the conditions of abuse
    and/or neglect with which he/she has been charged, an improvement period need not be awarded
    before the circuit court may terminate the offending parent’s parental rights.” Emily, 208 W. Va.
    at 336, 
    540 S.E.2d at 553
    .
    Contrary to petitioner’s argument, we find that she did not demonstrate that she
    experienced a substantial change in circumstances. While petitioner points out that she complied
    with many of the terms and conditions of her preadjudicatory improvement period, petitioner
    fails to acknowledge that she never demonstrated adequate parenting ability to take care of S.G.
    Critically, petitioner was unable to properly follow directions from the foster mother and
    properly feed S.G. in a way that accommodated her many dietary issues. Further, she dropped
    S.G. or failed to cradle her head, resulting in minor injuries. Additionally, the record shows that
    petitioner continued to allow inappropriate people to live in her home, which has been a concern
    since petitioner’s first CPS case. Most importantly, the circuit court found that the circumstances
    underlying petitioner’s prior abuse and neglect proceeding were still present in the current
    proceedings, namely petitioner’s inability to parent despite years of lengthy instruction,
    explanation, supervision, and coaching. Indeed, the instant case was initiated just three months
    after the prior abuse and neglect proceedings ended, during which time petitioner failed to make
    any substantial changes in her behavior, other than attending individualized therapy sessions,
    despite the provision of numerous services through her improvement period in the prior case. By
    petitioner’s own admission, she failed to comply with the terms and conditions of the prior
    4
    Syllabus Point four of In re Billy Joe M., 
    206 W. Va. 1
    , 
    521 S.E.2d 173
     (1999), provides
    [w]here allegations of neglect are made against parents based on
    intellectual incapacity of such parent(s) and their consequent inability to
    adequately care for their children, termination of rights should occur only after the
    social services system makes a thorough effort to determine whether the parent(s)
    can adequately care for the children with intensive long-term assistance. In such
    case, however, the determination of whether the parents can function with such
    assistance should be made as soon as possible in order to maximize the
    child(ren)’s chances for a permanent placement.
    8
    improvement period, ultimately prompting her decision to relinquish her parental rights to gain
    “protection” from CPS involvement with unborn S.G. Finally, petitioner’s prognosis for
    minimally adequate parenting was rated as “fair” in Dr. Baker’s evaluation and “guarded” in Dr.
    Boone’s evaluation. Given this evidence, we find no error in the circuit court’s decision to deny
    petitioner a post-adjudicatory improvement period.
    The above evidence likewise supports the termination of petitioner’s parental rights.
    Petitioner claims that the circuit court’s finding that there was no reasonable likelihood that she
    could correct the conditions of abuse or neglect in the near future was erroneous because she
    could correct the conditions if given additional time through an improvement period. West
    Virginia Code § 49-4-604(c)(6) provides that circuit courts are to terminate parental rights upon
    finding that there is “no reasonable likelihood that the conditions of neglect or abuse can be
    substantially corrected in the near future” and that termination is necessary for the children’s
    welfare. West Virginia Code § 49-4-604(d) provides that a circuit court may find that there is no
    reasonable likelihood that the conditions of abuse and neglect can be substantially corrected
    when the abusing parent has “demonstrated an inadequate capacity to solve the problems of
    abuse or neglect on their own or with help.”
    The record establishes that petitioner demonstrated an inadequate capacity to solve the
    problems of abuse or neglect either on her own or with help. As noted above, petitioner was
    granted a preadjudicatory improvement period in the current case, multiple services in her prior
    cases, and was provided with services aimed at correcting her parenting deficits. Petitioner was
    permitted to relinquish her parental rights at disposition in the 2017 case and, thereafter,
    continued to allow inappropriate people to live with her such that it would endanger S.G. While
    petitioner eventually found employment and obtained parenting and adult life skills classes, she
    failed to address her mental health issues and allowed a sex offender to move into her home. By
    continuing to engage with inappropriate partners, petitioner has demonstrated that one of the
    many conditions from the prior abuse and neglect proceeding continues unabated. Moreover,
    petitioner never demonstrated that she was able to properly take care of S.G. during supervised
    visitations, let alone juggle S.G.’s multitude of complex health issues. While petitioner points out
    that she put forth her best efforts, the evidence shows that petitioner remained unable to properly
    care for S.G. despite multiple improvement periods in multiple cases and nearly eight-years-
    worth of guidance, advice, coaching, and instruction from the DHHR and others. Therefore,
    contrary to petitioner’s arguments, it is clear that the lower court complied with our directive in
    Billy Joe M. to determine “as quickly as possible” whether petitioner could adequately care for
    the child with long-term assistance. Further,
    courts are not required to exhaust every speculative possibility of parental
    improvement before terminating parental rights where it appears that the welfare
    of the child will be seriously threatened, and this is particularly applicable to
    children under the age of three years who are more susceptible to illness, need
    consistent close interaction with fully committed adults, and are likely to have
    their emotional and physical development retarded by numerous placements.
    Syl. Pt. 1, in part, In re R.J.M., 
    164 W. Va. 496
    , 
    266 S.E.2d 114
     (1980). Based on this evidence,
    we cannot find that the circuit court erred in finding that there was no reasonable likelihood that
    9
    petitioner could correct the conditions of abuse or neglect in the near future, as petitioner
    demonstrated an inadequate capacity to solve her issues of impaired judgment on her own or
    with help.
    Insomuch as petitioner claims that she should have been granted a less-restrictive
    disposition to the termination of her parental rights, we have previously held that
    “[t]ermination of parental rights, the most drastic remedy under the
    statutory provision covering the disposition of neglected children, [West Virginia
    Code § 49-4-604] may be employed without the use of intervening less restrictive
    alternatives when it is found that there is no reasonable likelihood under [West
    Virginia Code § 49-4-604(d)] that conditions of neglect or abuse can be
    substantially corrected.” Syllabus point 2, In re R.J.M., 
    164 W.Va. 496
    , 
    266 S.E.2d 114
     (1980).
    Syl. Pt. 5, In re Kristin Y., 
    227 W. Va. 558
    , 
    712 S.E.2d 55
     (2011). Based on the foregoing, we
    find no error in the circuit court’s termination of petitioner’s parental rights.
    For the foregoing reasons, we find no error in the decision of the circuit court, and its
    July 2, 2020, order is hereby affirmed.
    Affirmed.
    ISSUED: March 16, 2021
    CONCURRED IN BY:
    Chief Justice Evan H. Jenkins
    Justice Elizabeth D. Walker
    Justice Tim Armstead
    Justice John A. Hutchison
    Justice William R. Wooton
    10