Confidential in accordance with Penal Code Section 11167.5 and/or WIC Sections 827 and 10850. Jurisdiction/Disposition Report 01/28/2002 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Santa Clara County Social Services Agency / Norma Doctor Sparks, Director 1725 Technology Drive San Jose, California 95110 (408) 369-4013 C182 Jennifer Hubbs DFCS No. 0C0000 SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CLARA 115 Terraine Street, San Jose, California 95110 JURISDICTION/ DISPOSITION REPORT Hearing Date Hearing Time Dept./Room Hearing Type/Subtype 01/28/2002 08:30am D-67 Jurisdiction/Disposition IN THE MATTER OF Name Date of Birth Age Sex Court Number Ernestina O 10/09/2000 1 F JD SUMMARY RECOMMENDATION This worker respectfully recommends that the petitions be sustained, and that Ernestina be found to come within the provisions and descriptions of Welfare and Institutions code section 300 (b). This worker further recommends that Ernestina be placed out of the home, and that both parents receive Family Reunification Services. CHILD’S WHEREABOUTS Ernestina remains in an Emergency Satellite Home (ESH) licensed through Santa Clara County since 12/31/01.
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Confidential in accordance with Penal Code Section 11167.5 and/or WIC Sections 827 and 10850.
Jurisdiction/Disposition Report 01/28/2002
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Santa Clara County Social Services Agency / Norma Doctor Sparks, Director 1725 Technology Drive San Jose, California 95110 (408) 369-4013 C182 Jennifer Hubbs DFCS No. 0C0000
SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CLARA
115 Terraine Street, San Jose, California 95110
JURISDICTION/ DISPOSITION REPORT Hearing Date Hearing Time Dept./Room Hearing Type/Subtype 01/28/2002 08:30am D-67 Jurisdiction/Disposition
IN THE MATTER OF
Name Date of Birth Age Sex Court Number Ernestina O 10/09/2000 1 F JD
SUMMARY RECOMMENDATION
This worker respectfully recommends that the petitions be sustained, and that Ernestina be found to
come within the provisions and descriptions of Welfare and Institutions code section 300 (b). This
worker further recommends that Ernestina be placed out of the home, and that both parents receive
Family Reunification Services. CHILD’S WHEREABOUTS
Ernestina remains in an Emergency Satellite Home (ESH) licensed through Santa Clara County since
12/31/01.
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PARENTS/LEGAL GUARDIANS
Name/ Birthdate
Address/ Phone
Relationship/ To Whom
Stella C 05/28/1981
Harmon Ave #2A San Jose, CA 95126 (408)
Mother/ Ernestina
Ernest O 07/20/1971
Everdale Dr. San Jose, CA 95148 CA
Father/ Ernestina
ATTORNEYS Name Address/
Phone Representing
Family Legal Advocates 31 N Second St. #335 San Jose, CA 95113 408-995-0442
Ernest O
Office of Dependency Counsel 31 N Second St. #330 San Jose, CA 95113 408-995-0687
Stella C
District Attorney 225 W Julian St. San Jose, CA 95110 408-299-2203
Ernestina O
INDIAN CHILD WELFARE ACT STATUS On 1/2/02, this worker asked the mother if she had any Native American or Eskimo Heritage, and she
stated “No.”
On 1/2/02, this worker asked the father if he had any Native American or Eskimo heritage and he
reported that he has Apache in his background.
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Based on this information, Notice has been sent to the following tribes (please see attached
documentation):
Tribe Date of Delivery per receipt
Response - Eligible? Yes/No
Comment
Apache Tribe of Oaklahoma White Mountain Apache Tribal Council Yavapai-Apache Community Council Tonto Apache Tribal Council Jicarilla Apache Nation Mescalero Apache Tribe Fort Sill Apache Tribe of Oklahoma Bureau of Indian Affairs REASON FOR HEARING
This case appears on today’s calendar for a Jurisdictional/Dispositional Hearing. A copy of the 1st
amended petition is attached hereto. PATERNITY/LEGAL RELATIONSHIPS
At the Initial Hearing on 1/4/02, the Court conducted a paternity hearing and found Mr. O to be the
legal father of Ernestina. FAMILY LAW STATUS
There is no known Family Law history. PRIOR CHILD WELFARE HISTORY
There are two prior referrals regarding Ernestina:
5/10/01 –general neglect
A report was made that Ernestina, age 7 months, is considered medically fragile and the mother has
missed multiple important medical appointments.
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An Emergency Response (ER) Social Worker assessed the situation, making contact with the family
and various medical professionals. The ER Social Worker met with the mother and the paternal
grandmother, who stated that bus passes sent to the mother had been “intercepted” by other family
members. The mother and grandmother were “briefed” on the “legal parental responsibilities” to
seek medical attention for the child. The mother was also advised of possible Court intervention.
The ER Social Worker also spoke to the maternal grandmother, who advised him she was going to
have the mother move in with her instead of with the paternal grandmother. She indicated that there
was a drug “ambiance” at the other home, and that she would be better able to help the mother get
Ernestina to her medical appointments.
At a subsequent follow up visit, the mother and child were living with the maternal grandmother, and
both stated a priority making sure Ernestina made it to her appointments. Mother had continued
support from VMC and PHN Social Workers. The case was closed.
1/26/01 – general neglect
Referent called to report concern for 3-month-old Ernestina who had not been brought to four
medical appointments (12/14/00, 12/29/00, 1/4/01, and 1/26/01). Failure to follow up with medical
treatment could place the child at serious risk of physical harm due to her hypothyroidism.
An ER Social Worker made an unannounced home visit, meeting with the mother and the maternal
grandmother. The child was current on her immunizations, and mother admitted she missed a
Thyroid appointment due to the child having a “cold.”
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The ER Social Worker made a follow up visit, and met with the father and the mother. She
confirmed the Thyroid specialist appointment had been rescheduled. The mother was provided with
bus passes for February and March to assist with making it to appointments.
The mother had extended family support. The case was closed. CRIMINAL HISTORY
Criminal history for the mother, Stella C, is as follows:
Date: Charge: Disposition:
7/15/2001 HS 11357 (B) possession of marijuana charges pending
**** warrant issued 8/30/2001
Criminal history for the father, Ernest O, is as follows:
Date: Charge: Disposition: 4/16/2001 HS 11550(B) use/under infl of controlled sub convicted (M) 4/7/2000 HS 11377 possession controlled substance convicted (F) HS 11550(A) use/under infl of controlled sub convicted (M) 3/16/98 HS 11550 use/under infl of controlled sub convicted (M) 3/5/98 VC 23152(B) driving under the influence dismissed lack suff evidence HS 11550 use/under infl of controlled sub dismissed lack suff evidence 9/6/97 VC 40508(A) failure to appear convicted (M) 5/5/97 MC 9.10.800 non-compliance for solid waste convicted (M) 1/5/96 VC 14601.1(A) driving without a license convicted (M) 7/17/95 PC 602(o) trespass on closed lands convicted (M) 6/10/95 MC 10.20.140(A) Loiter in parking lot dismissed interest of justice 1/16/94 PC 496 receive known stolen property prior booking (F) VC 14601.1(A) prior booking (M)
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9/11/93 PC 647(F) public drunk prior booking VC 40508(A) failure to appear convicted (M) VC 40508(B) failure to pay fine convicted (M) 5/30/93 PC 647(F) public drunk convicted (M) 2/20/93 PC 459/460(B) burglary, first /second degree dismissed view of plea PC 496 receive known stolen property convicted (F) PC 602(L) trespass/occupy w/o owner consent previously convicted VC 40508(B) failure to pay fine traffic – non report disp JURISDICTION
Allegation b-1 b-1 On 12/31/01, San Jose Police Officers placed the child, Ernestina O, age 14 months, in
protective custody pursuant to a protective custody warrant issued because of severe medical neglect while in the care of her mother, Stella C;
Supporting Evidence
Attached and considered part of this report is San Jose Police Department (SJPD) Juvenile Contact
Report (JCR) dated 12/31/01, case number 00-000-0000, completed by officer Melliken (Badge #
3591). The JCR indicates that Ernestina was placed in protective custody pursuant to a protective
custody warrant issued by the Juvenile Court. Ernestina was located at the home of the maternal
grandmother. Also present were the maternal grandmother, Ms. G, and her boyfriend, Mr. F, as well
as their two children. The SJPD officers arrested Ms. G and Mr. F due to outstanding warrants, and
their children were placed in protective custody as well as Ernestina.
Attached and considered part of this report is a copy of the signed proof of the protective custody
warrant for Ernestina. Allegations b-2 through b-3 b-2 further, the mother has failed to recognize the serious nature of her child’s medical
condition and has not followed through with essential medical appointments for the child, despite telephone reminders and multiple efforts by the hospital social worker to provide transportation;
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b-3 further, the child suffers from congenital hypothyroidism, which is a low thyroid hormone level, a condition that requires daily medication, frequent follow-up doctor visits and medical testing. If left untreated, the child is at risk of significant medical complications. The child has already developed complications such as failure to thrive, microcephaly, and developmental delays because of the mother’s inability to provide appropriate care;
Supporting Evidence
Attached and considered part of this report is the Investigative Narrative completed by ER Social
Worker, Ms. W. The ER Social Worker indicates that she had contact with several members of
Ernestina’s treatment team, all of who expressed concern about the mother’s failure to provide
appropriate medical treatment for the child. The treatment team expressed concern that they had tried
to engage the extended family members (maternal and paternal) with the necessary care for Ernestina
as well, to no avail.
The ER Social Worker obtained written statements from most of the treatment team, and the letters
are attached and considered part of this report. The letters are summarized as follows:
A. Dr. Antonia Z – pediatrician. Dr. Z indicates that Ernestina suffers from Hypothyroidism,
which is “a very serious disease that requires daily medication, frequent follow-up doctor
visits and blood draws to check thyroid levels.” Dr. Z stated, “I am concerned about
Ernestina’s mother’s ability to care for her.” The mother “failed to show up for six visits”
with Dr. Z, as well as “multiple other appointments at specialty clinics.” According to Dr.
Z, “Ernestina is currently failure to thrive, based on my last examination of her on
September 27, 2001, since her mother has missed subsequent follow-up appointments
with me.” Furthermore, “Ernestina is growing below the 5th percentile and currently
exhibits signs of developmental delay.” Dr. Z writes, “I have discussed several times with
Ernestina’s mother the importance of keeping regular appointments as well as the
specialty clinic appointments to help ensure her adequate growth and development.
Despite daily involvement with a public health nurse and assistance by the endocrinology
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social worker, it is my opinion that Ernestina’s mother has not been able to adequately
provide appropriate stimulation and sustenance for optimal growth and development.”
B. Dr. Bruce B – Endocrinology specialist – Dr. B expresses concern in his letter about the
mother missing appointments for Ernestina, as well as her current and preferable TSH and
T4 levels. Dr. B writes, “It is extremely important that thyroid hormone levels be
maintained in a normal range for normal neurological development.” This is critical as
“the brain is dependent upon thyroid hormone for normal growth, particularly during the
first 2-3 years.” Dr. B further states that when the mother has come to visits she has
presented with symptoms of her own consistent with being “profoundly hyperthyroid” and
she was referred to an adult endocrinologist. He indicates the mother had a T3 level of
776 on 10/11/01, when normal is “up to 200.”
C. Ms. W, MSW- Pediatric Specialty Clinic Social Worker at Valley Medical Center –
Ms. W writes, “Ernestina failed to show for 14 medical specialty visits since March 12,
2001.” Specifically, the mother made it to three of eight scheduled endocrinology visits.
Ms. W states, “I provided her (the mother) taxi vouchers, sent taxis to her home, gave her
bus passes, mailed bus passes to her home.” In addition she called many times (“when
phone not disconnected”) to reminded the mother (Stella C), the paternal grandmother
(Lucille D) and the maternal grandmother (Sandra G) of medical appointments, educating
them regard the importance of appointment to the welfare of Ernestina. Ms. W also
expressed concern that the mother would arrive “without diaper supplies and with food on
Ernestina’s face and in her hair. Stella herself sometimes appeared dirty and illkept.”
Besides the mother’s own symptoms of being ill (“very thin, bony, sweaty, with droopy
eyelids and labored breathing), Ms. W indicates that the mother has “having a hard time
tracking or focusing seriously.” Ms. W writes, “Her appearance and behavior led me to
question her competency to care for Ernestina.” Furthermore, she expressed concern for
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the mother’s judgment, as the mother “always seemed to think that Ernestina was just fine
and very smart.”
D. Kristy N, LCSW – Social Worker III with the Public Health Department - Ms. N writes
that she has been working with the family along with Public Health Nurse, Charis S. The
family was referred to her because of non-compliance of the mother with her own medical
treatment, as well as the need to provide the family with practical assistance such as
housing, food, room and board, etc. Ms. N indicates, “I have provided transportation and
assistance for Stella to her medical appointments, SSI office, DMV for a photo ID, Birth
Record’s office for birth certificates, etc.” According to Ms. N, “These appointments
were only completed due to me calling to remind her, wake her up, and drive her to
appointments, in hopes that her medical condition would be stabilized and she would be
able to seek her own medical care and adequately care for her child.” Ms. N expressed
concern that the mother has her own medical issues (“extremely fatigued, breathes
heavily, and has a large goiter on her neck”) as well as being difficult to arouse, and often
being asleep at one or two o’clock in the afternoon. The mother, “forgets almost all of her
medical appointments and loses paperwork needed for these appointments.” Furthermore,
“Without assistance, I do not believe that she could follow through on her own with
Ernestina’s or her own medical appointments.” The mother “frequently” leaves the child
with the maternal grandmother, who is “very difficult to work with.” She refused to
provide information, refused to allow the professionals into the house, etc. On at least one
occasion, she was “threatening and intimidating,” after which Ms. N did not return to the
home. During the times she was there, she observed the home to be “always in disarray
with clothing, papers, and food containers scattered throughout with scarcely any floor
space cleared.” Ms. N indicates that she was concerned about the mother’s ability to
follow through on appointments, which “compromises her ability to care for Ernestina.”
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E. Charis S – Public Health Nurse (PHN) – Ms. S indicates in her letter that she became
involved with the family in January of 2001 due to concerns about the mother’s lack of
compliance with Ernestina’s medical appointments, especially the endocrinology
appointments. The PHN indicates that when there was no phone, she or someone on her
staff would go to the home personally to try to engage the mother. Ms. S indicates that
the mother suffers from her own condition, which “appeared to be interfering with her
judgment.” Ms. S also indicates that the mother did not have much support from the
extended family members during this time. When the mother moved to the home of the
maternal grandmother, things did not improve as the maternal grandmother interfered with
several of the key people trying to help the mother. Ernestina continued to show
symptoms such as poor muscle tone and being “well below fifth percentile for height and
weight.”
F. Dr. Patrick C – Center for Child Protection- Dr. C reviewed Ernestina’s case and
indicates that Ernestina was born premature due to complications from maternal
hyperthyroidism and incomplete prenatal care. She continues to exhibit hypothyroidism,
which can lead to “profound mental retardation,” as well as other concerns. According to
Dr. C, “To date, Ernestina’s mother has not been able to bring her to the medical
appointments with enough regularity to provide her with proper care.” Furthermore, “The
lack of compliance with the recommended medical care and monitoring poses a clear and
imminent danger to Ernestin(a).” In addition, “Ms. C’s inability to meet with
Ernestin(a)’s medical needs clearly constitutes medical neglect.”
During an interview with the mother on 1/2/02 via telephone, Ms. C stated, “When I was making
appointments they gave me the runaround with the doctors due to Medical (insurance).” She further
stated that she was never sent any appointment reminders.
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On 1/8/02, this worker interviewed the mother at the Union Ave. office of the Department of Family
and Children’s Services (DFCS). She denied that she was sent reminders for her appointments, or for
Ernestina’s. She stated that Dr. Z, Ernestina’s pediatrician, has been “giving me problems since the
beginning. She’s been on my ass.” The mother stated that some of the appointments were missed
because there were appointments with both doctors at the same time. She stated that some of the 14
appointments missed must be confused with her own.
Allegations b-4 b-4 further, the mother has a substance abuse problem which interferes with her ability to
provide a safe and stable living environment for her child; further, the mother has an active warrant for her arrest relating to a 7/15/01 arrest for HS 11357 (B) possession of marijuana;
Supporting Evidence
Please see previous section titled Criminal History for details regarding the mother’s warrant.
Attached and considered part of this report is a Voluntary drug test result dated 1/4/02 for Ms. C.
The results indicate that Ms. C tested positive for PCP and Marijuana. Also attached and considered
part of this report is the confirmation results for this specimen.
On 1/4/02, this worker discussed the mother’s positive results with her, and she stated that she had
not used PCP for the last 6 months. She admitted that she used marijuana within the last week.
On 1/8/02, this worker interviewed the mother at the Union Ave. office. The mother stated that she
wants a program to help her with her substance abuse problem. In reviewing the allegations
regarding her substance abuse issue, she admits that using drugs have contributed to her inability to
provide necessary and appropriate medical care.
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Attached and considered part of this report is the substance abuse assessment for Ms. C, completed
on 1/14/02 by Ms. Donna B. The mother told Ms. B that she began using alcohol at 12 years old,
marijuana at 13 years old, PCP at 14 years old, and amphetamines from age 15 to 17 years old. She
admitted to using Marijuana on New Years Eve and to using PCP “one month ago.” She was referred
to Blossoms Intensive Outpatient treatment program. It is important to note that during her
assessment, Ms. C denied she had a drug problem.
Allegation b-5 b- further, the father has been advised of the mother’s failure to meet the child’s medical
needs, but has been unable ameliorate the situation; Supporting Evidence
The ER Social Worker contacted the father during the previous referral (1/26/01) – See previous
section titled Prior Child Welfare History for details.
On 01/10/02, this worker spoke to Social Worker Susan W via telephone. Ms. W indicated that she
did not have very much contact with Mr. O, but the Public Health Nurse did have some. She stated
that she knows the PHN advised Mr. O of appointments that Ernestina would then not show up for.
Mr. O was also advised of the concerns about the severity of the illness of both the mother and the
child. Ms. W stated that Mr. O did not participate in Ernestina’s medical care, and he did not attend
medical appointments with the child.
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Allegation b-6 b-6 further, the father has a history of felony and misdemeanor convictions for charges
including but not limited to battery with serious bodily injury, false identification to peace officer, burglary (first degree), trespass/occupy property without owner consent, receive known stolen property, use/under the influence controlled substance, and possession of controlled substance. He was most recently released from jail in October of 2001 after being convicted for under the influence of PCP;
Supporting Evidence
Please refer to prior section titled Criminal History for details regarding the arrests and convictions
for Mr. O, who has 12 misdemeanor and three felony convictions.
During a telephone interview with the father on 1/2/02, Mr. O admitted that he has a criminal history
related to drugs. He stated that the last time he was arrested was “last year.” He stated that he was
released from Elmwood in October. He denied being on probation at this time.
Allegation b-7 b-7 further, the father has a history of substance abuse, which contributes to his inability to
provide a safe and stable living environment for the child; Supporting Evidence
During a telephone interview with the father on 1/2/02, Mr. O stated that he has a history of
substance abuse. He stated that his drug of choice was PCP, however he stated he has not used PCP
since he was last arrested. Mr. O stated that he did a drug treatment program while he was
incarcerated at Elmwood, but admitted that he is still using marijuana. Mr. O stated that his last
marijuana use was “a few days ago.”
Attached and considered part of this report is a voluntary drug test, dated 1/4/02, which indicated that
Mr. O tested positive for marijuana.
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On 1/23/02, during a telephone conversation with this worker, Mr. O admitted he had continued to
use marijuana up to, and including, “last week.” Mr. O was eager to begin his drug treatment
program, and wanted to remain clean and sober. He stated that he understood how important it was
to be honest about his substance abuse issue.
On 1/8/02, this worker interviewed the mother at the Union Ave. office of DFCS. The mother stated
that she believes the father has a substance abuse problem, “but he won’t go to a program unless you
tell him to.” The mother indicated that Mr. O uses marijuana and PCP, as well as alcohol sometimes.
Attached and considered part of this report is the substance abuse assessment for Mr. O, dated
1/14/02, completed by Ms. Donna B. Mr. O told Ms. B that he has been using alcohol and marijuana
since age 14. He has been using PCP for about 14 years, with his last use “a couple of weeks ago.”
He has been recommended for outpatient treatment as he “appears willing and motivated to make
changes that will help him remain clean.”
DISPOSITION Social Study/Family Assessment
Problems Requiring Intervention and Possible Causes:
Both the mother and the child have severe medical conditions that need constant monitoring
and treatment. In addition, both parents have substance abuse issues that need to be treated.
The mother has a warrant for her arrest, and the father has a significant criminal history.
Relevant Social, Cultural, and Physical Factors:
Psychosocial history of the mother:
Stella Flore C is a Hispanic woman who was born on May 28, 1981 at Santa Clara Valley
Medical Center, in San Jose, CA. Her mother, Sandra G, and her father, Jerry C, were both 17
years old at the time of her birth. She was a depended of the Court herself from 1992 until
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1998. Primarily her maternal grandmother raised her, although she returned to her mother’s
care as an out of control teenager. Her biological father is in jail serving a 25-year sentence.
The mother reports that she has had no other illnesses or injuries in her life besides the
hyperthyroidism. She attended school until the 10th grade, at which time she “just stopped.”
She has never worked, and is not receiving any financial aid although she has applied for SSI.
The mother states that she has known Mr. O, Ernestina’s father, for about 5 years, and they
have been “together” for about two years. Eventually she and Mr. O plan on getting married.
Psychosocial history of the father:
This worker has not met with the father as of this writing, other than the initial meeting on the
day of the Detention Hearing. Mr. O did not return this worker’s message to schedule an
appointment until 1/22/02. Mr. O indicated he had been ill for a while, and unable to visit
Ernestina or to make an appointment with this worker. It is important to note that an office
appointment has been scheduled for 1/25/02, and Mr. O has already followed through on
referrals provided to him. Any additional information obtain by this worker will be forwarded
to the Court as soon as possible.
Family Strengths:
There are many strengths in this family. The mother and father have stated clearly that they
love their child, and are willing to work with DFCS in order to do whatever it takes to have her
returned to them. Both parents have been open and honest with the substance abuse assessor,
and have appropriate treatment programs already established. Despite her own issues, the
mother did manage to get Ernestina to at least some of her medical appointments. Both sides
of the extended family state they love Ernestina, and want what is best for her.
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Family’s Perception of Their Needs:
The mother has stated several times to this worker that she is looking at this reunification
period as a chance to get her own medical needs taken care of, as well as her substance abuse
problem. She has already started her own treatment, and is following through on most of the
referrals provided to her.
As of this writing, the father has not met with this worker, and there is no available statement.
He has made it clear during telephone conversations with this worker that he and the mother
need to work out some of their issues so that Ernestina can come back to live with them.
Child Regarding: Ernestina
Medical:
Ernestina was born at 30 weeks gestation. She was born on 10/9/00, when her due date was
12/15/00. She was in the Neonatal Intensive Care Unit at Good Samaritan Hospital from birth
until 11/28/00. Her admitting diagnosis was respiratory distress, possible sepsis, and
prematurity. She was not anemic or septic, however she was micro cephalic. In addition, she
had hyperbilirubinemia (elevated bilirubin level), hypothyroidism (low thyroid level), and
dysmorphology (short fingers, short neck, pedal edema, microcephaly, and widely spaced
nipples). Currently, Ernestina is 14 months old. She weighs approximately 16 pounds, and
she is 27 ¼ inches tall. She is below the 5th percentile for her age in both categories. She has
one tooth.
When Ernestina was discharged, she was to see her pediatrician within one week, an
Endocrinologist (Dr. B) within three weeks, and a genetics consultation as soon as possible.
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Attached and considered part of this report is the Discharge Summary from Good Samaritan
Hospital dated 11/28/00.
Ernestina needs to be seen by the following specialists:
1. Endocrinologist for Hypothyroidism
2. Genetics specialist for “Irregular Facies”
3. Audiology and Ear, Nose, and Throat due to frequent ear infections
4. Developmental Specialist due to her ex-premie status and developmental concerns
5. Early Start due to Developmental concerns
6. A Pediatrician for ongoing basic medical needs
Ernestina needs to have regular blood tests to monitor her thyroid condition, and she needs a
CAT scan due to having an odd shaped head. Developmental:
Developmentally, Ernestina is experiencing significant delays in most areas. She is not
walking yet, and does not stand alone. She does crawl. She is not communicating with words
yet, although she maintains eye contact well. Attached and considered part of this report is the
Denver Developmental assessment, completed by Public Health Nurse Teresa F, dated 1/8/02. Educational:
Ernestina is too young for this section to apply, although she is eligible for Early Start services
due to her special needs. The mother previously accessed early Start services, and this worker
is in the process of re-instating them. Ernestina will need IEP services when she becomes
school age due to her special medical and developmental needs. The mother holds the
educational rights for the child.
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Mental & Emotional Status:
Ernestina is a sweet child, who goes easily to new people to be held. Therapy is not
recommended for her at this time due to her age and developmental issues. However, this
worker has applied for Victim Witness funds for Ernestina, and her claim is pending.
Child’s Safety In Home
The child is not safe in the care of her mother and father due to the serious medical needs that she has
and her parents in ability to meet those needs due to their substance abuse. There is no reasonable
means by which the child could be maintained safely in the home.
Consideration Of Relative Placements
Maternal grandmother, Sandra G, contacted this worker and requested that she be considered as a
placement for Ernestina. Ms. G indicated that she had been the primary caretaker for Ernestina for
the last several months. This worker advised Ms. G that there were several reasons she could not be a
placement for Ernestina. They are as follows:
1. Ms. G has a criminal and child welfare history, which precludes her from meeting State
adoption guidelines, a requirement for concurrent planning.
2. Ms. G has her own current child welfare issue, as her own children were placed in protective
custody on the day that Ernestina was.
3. Ms. G has current criminal charges pending after an altercation with her child’s teacher.
4. Ms. G indicates that she was the caretaker for the child a lot during the last six months or
more, during the time the child consistently missed her medical appointments.
5. Ms. G has failed to cooperate with medical professionals on Ernestina’s treatment team.
The paternal grandmother, Lucille D, has also been considered for a relative placement. Ms. D has
been involved with Ernestina and her mother since birth. She appears to be one of the main support
people for the mother, and the mother is involved with other extended family members too. Ms. D
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has indicated that she is supportive of Court intervention, supportive of reunification, willing to
follow all Court orders, and also willing to be a concurrent planning home. She has participated in a
relative assessment, and has been deemed an appropriate placement for Ernestina. During visits with
Ernestina, the paternal grandmother is loving and attentive, and often supportive and/or corrective of
the mother’s actions.
This worker does have a few concerns. Ms. D tends to minimize the parents’ issues, especially the
father’s. She has also been fairly unstable with her living arrangements, having been evicted from
her last home in San Jose, then living with her mother in Sacramento, then coming back here. She
has only been in her new apartment for about one or two weeks. This worker is also concerned that
she states she did not know the mother was not following through with medical appointments,
however she was contacted by DFCS and hospital staff of the situation on more than one occasion.
She is a very nice person, who states she has no problem calling the police if something with the
parents goes wrong, however she was present when the father physically abused his 11-year-old niece
and she did nothing but tell him to “stop it.” Moreover, she asked the niece not to call the police on
the father, and this was documented in the police report.
This worker has an additional concern, which is that Ms. D forgot when our appointment to meet
was, so she called to confirm the time. However, then she showed up approximately 20 minutes late
to our appointment. Considering the high number of critical medical appointments Ernestina needs,
this is a concern.
The grandmother has one old misdemeanor conviction on her criminal history, which requires a
Director’s Exception. However, given the above concerns, this worker recommends further
assessment and stabilization of the family prior to placing the child with the paternal grandmother.
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Out Of Home Placement Regarding: Ernestina
Current Placement:
Ernestina’s placement is both necessary and appropriate. She is in an ESH foster home, and
she is adjusting well. The foster mother is ensuring that Ernestina make it to all of her medical
appointments, and visitations. The child is eating and sleeping, and she responds to the
soothing of the foster parent. She is getting along with the other children in the home. Sibling Placement: Ernestina has no siblings. Independent Living Plan Services:
Independent Living Plan Services are not appropriate at this time as Ernestina is an infant and
not eligible for services. Visitation
The visitation order from the Initial Hearing is a minimum of one time per week for two hours,
supervised. Home Supervision Social Worker Mary Bardell Mainville is currently supervising visits
at the Union Ave. office of DFCS.
The mother has consistently attended all visits with Ernestina, usually arriving early so she can
request voluntary drug testing. The paternal grandmother has accompanied her for all but one of the
visits. On 1/18/02, the mother advised this worker that she would be starting her radiation treatment
for her thyroid condition, and she would be unable to be around any people, especially children, for at
least 10 days.
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As of this writing, the father has only attended the first supervised visit with Ernestina, which was
held the same day as the Initial Hearing. It should be noted that he arrived ½ hour late for that visit,
choosing to come by bus while the mother was transported by the paternal grandmother. The mother
advised this worker that Mr. O was “sick” and unable to attend the next visit (1/11/02), and he was
attending his outpatient treatment program during the visit on 1/18/02.
On 1/23/02, Mr. O stated he would be present at the visit on 1/25/02.
The plan for step-down visitation for this family is to start with observed visits with Home
Supervision or Clover House while the parents engage in the appropriate treatment. The Department
will consider alternatives to this level of visitation in the future, such as supervision by an appropriate
relative.
Reasonable Efforts
This worker has made the following reasonable efforts since the case was assigned:
1. In person interview with the mother
2. In person interview of paternal grandmother, Lucille D
3. Telephone interview of maternal grandmother, Sandra G
4. Collateral contact with Ernestina’s medical team
5. Observed supervised visit with mother and paternal grandmother
6. Arranged appointment for parents to received Substance Abuse Assessment
7. Provided parents for referrals for parenting, substance abuse, and domestic violence treatment
8. Arranged supervised visitation
9. Arranged voluntary drug testing
10. Provided bus passes for both parents
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Referral to Child Support Services
Pursuant to Welfare and Institutions Code section 17552 the undersigned social worker has
determined that it is in the child’s best interest to not make a referral to the Department of Child
Support Services (DCSS) for reimbursement of foster care costs, and the undersigned social worker
has notified DCSS accordingly.
Parents’ cooperation since Initial Hearing:
The mother has attended all visitations with Ernestina, as well as all office appointments with this
worker. She made and kept a medical appointment for herself, and has begun the necessary treatment
for her hyperthyroidism. She attended her scheduled substance abuse assessment, and plans to begin
her outpatient treatment program when her medical doctor clears her to be around people again. As
of this writing, she has not taken care of the warrant for her arrest, but states that she plans to do so.
The father kept his scheduled substance abuse assessment, and followed through on the subsequent
treatment recommendations. He has started outpatient treatment at West Valley Stride, and his intake
appointment was 1/18/02 at 10:30 a.m. Confirmation of the intake appointment is attached and
considered part of this report. Concurrent Planning
On 1/8/02, this worker advised the mother of her right to relinquish the child for adoption if an
adoption agency is willing to accept her relinquishment. The mother declined to exercise this right.
This worker has discussed concurrent planning with the mother since the case was assigned. In
addition, this worker discussed concurrent planning with all relatives requesting to be considered for
placement of Ernestina.
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Assessment/Evaluation
Appearing before the Court for a Jurisdictional/Dispositional hearing is Ernestina O, along with her
mother, Stella C, and her father, Ernest O. This is the first time Ernestina has been before the Court,
and she does not have any siblings.
As mentioned previously in this report, this family does have strengths. It is very obvious that
Ernestina is loved by all of her family members, especially by her parents. Ms. C has already started
working on her own medical issues, and has followed through on referrals provided by this worker,
including her alcohol and drug assessment. She plans to take care of her warrant, and enter drug
treatment, as soon as she is medically able. Mr. O has stated clearly that he wants to participate in
Ernestina’s life, and he has also promptly followed up on his referrals. He has already started
treatment for his substance abuse issue, and has been honest with this worker about his continued
drug use. Ernestina is a beautiful little girl who is sweet and easily smiles. She has adjusted well to
her foster home, and responds to the affection of her foster mother. She has started to blossom in the
foster home.
It will be important for this family to build on their strengths, as there are several issues that must be
addressed before the child can be safely returned to their care. It is this worker’s assessment that
Ernestina has not been receiving appropriate care or supervision for a very long time. There are
obviously many reasons for this, first and foremost being the mother’s own medical condition.
The mother has never really gotten the support she needs from her own family. She has never had
the chance to be taken care of appropriately, so she never learned how to take care of herself. In not
learning how to take care of herself, she has not been able to learn how to take care of her child. In
addition, her own medical condition leaves her with little or no energy to care for a special needs
child.
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Added to the mother’s medical condition is the substance abuse issue. This problem only exacerbates
an already fragile condition. Substance abuse is a part of her family culture as well, considering this
is one of the issues for which her own mother lost custody of her and her siblings when they were
younger. The mother, unfortunately, has minimal insight into the extent of her problem, or the
impact of the substance abuse on her medical condition. Even more important is the impact on the
child.
Both parents come from a chaotic environment, as both of their families of origin have issues around
domestic violence. Although the parents deny domestic violence, and there are no police incidents
involving domestic violence between them, there are several red flags. Domestic violence is an area
in these parents’ lives that needs further assessment, and possible treatment. If this were not done
now, the risk to everyone’s emotional and physical safety in the future would be jeopardized.
In addition to his own family of origin issues, the father has grown up in neighborhood where gangs
and drugs are part of the normal “culture” as well. Mr. O has two different gang related tattoos –
“norte” and “NSJ.” The mother states that Mr. O is not in a gang, and never has been, but this worker
questions that, given the above information. Mr. O is going to have to do some major restructuring of
his thinking and planning process if he is going to stabilize his life, remain free from drugs, and
obtain stable employment and housing for his family.
Another issue that needs to be address by the parents is the relationship between the two of them.
They are giving themselves, each other, and this worker mixed messages about their intention to be
together or not. It is this worker’s assessment that they need to do some individual and eventually
some couples counseling to deal with this issue. The reason this is so important is because they need
to be able to parent Ernestina together or separately, but either way they need to work together as a
united team.
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This worker recommends a case plan for both parents that include a parenting class and substance
abuse treatment (including testing and NA/AA meetings) for both of them. This worker also
recommends a domestic violence assessment for each parent, and that they should follow all the
treatment recommendations. This worker also recommends a psychological evaluation for the
mother, as her medical condition may have caused some psychological and/or cognitive changes that
would qualify her for SSI benefits that have been previously denied to her. The psychological
evaluation was recommended by her medical team, as well as by Ms. B, who did her substance abuse
assessment.
Some of the mother’s services need to be staggered; otherwise she will be easily overwhelmed by
everything she must accomplish. First and foremost, the mother must address her medical needs,
then her substance abuse issues.
This worker has every expectation that if the parents will successfully complete the elements of their
case plan, they shall successfully reunify with Ernestina within the legal timeline.
Case Plan
The case plan is attached and considered part of this report. Attachments The attachments identified in this report are attached hereto and incorporated herein by this reference. Recommendation