FABE, Justice.
I. INTRODUCTION
This appeal arises out of the superior court's finding that A.R. was a child in need of aid under AS 47.10.010(a)(6) because she suffered substantial physical neglect. A.R.'s parents, C.R. and O.R., contend that subsection (6) requires the State to show both that they physically neglected A.R. and that A.R. was physically harmed by their neglect. Because we previously held in D.H. v. State, Department of Health Social Services that subsection (6) does not require a finding of actual harm, we affirm.
929 P.2d 650 (Alaska 1996).
II. FACTS AND PROCEEDINGS
C.R. (formerly C.K.) is A.R.'s mother and O.R. is A.R.'s father. They were previously before this court in O.R. v. State, Department of Health Social Services, in which they appealed the termination of their parental rights over A.R. We discussed the relevant facts and proceedings in that appeal as follows:
932 P.2d 1303 (Alaska 1997).
See id. at 1305.
A.R. was born nine weeks prematurely on June 11, 1994. She tested positive for cocaine and suffered from respiratory difficulties, including strep pneumonia. Because of her health problems, she remained in the hospital's neo-natal intensive care unit until July 5, 1994, and required hospitalization three more times in the next four months. A year after her birth, A.R. underwent surgery to correct her breathing difficulties. The surgery minimized most of her respiratory problems, but she remains vulnerable to serious illness and attention disorders.
A.R. is C.K.'s eighth child. The two children born to C.K. prior to A.R. also tested positive for cocaine at birth. DHSS removed all of C.K.'s other children in 1991 and 1992 and placed them under the guardianship of relatives in other states. O.R. has two other children who live with their mother in another state. O.R. and C.K. are not married.
DHSS initially took emergency custody of A.R. on June 13, 1994, two days after her birth, because she tested positive for cocaine. On June 15, 1994, in response to a petition by DHSS, C.K. and O.R. stipulated to ninety days temporary custody with the state. The court extended custody at a review hearing on September 13, 1994, until a trial on November 28, 1994, on DHSS's petition for adjudication of A.R. as a child in need of aid (Adjudication Trial).
There was little visitation between A.R. and her parents in the more than five months between A.R.'s birth and the adjudication trial. Although C.K. and O.R. appear to have visited the child regularly during the three weeks that she remained in the hospital after her birth, their visits almost entirely ceased after she was discharged. Between July 5 and November 28, C.K. visited only twice, once in July and once in September, and O.R. visited only once, accompanying C.K. on the July visit.
In its findings and order following the November 28, 1994 trial, the superior court stated that it found this "lack of visitation by either parent . . . troubling because it means that neither of them could possibly have established a relationship with A.R. with so little contact." The court further noted A.R.'s "special medical needs which require careful attention and care from her primary care takers" and stated that "[n]either [C.] K. or [sic] [O.] R. is capable of providing that level of attention and care at this time."
Based on these findings, the court determined that A.R. was a child in need of aid "in that she has no one able or willing to care for her at this time and she has effectively been abandoned, whether or not her parents' abandonment of her was conscious or intended." The court awarded custody of A.R. to DHSS for one year. In its order, the court stated that "[i]t is essential that each parent get treatment for his or her own needs as soon as possible and begin to establish contact with the child so that they can learn what her needs are and how to provide for them." Furthermore, a stipulation signed by O.R. and given to C.K.'s attorney stated that DHSS would "consider filing a petition to terminate parental rights" if C.K. and O.R. had not made "progress toward being able to demonstrate [they are] capable of caring for" A.R.
Despite this warning, however, C.K. did not visit A.R. in the next five months. She also failed to follow through on a recommendation
to obtain treatment for her substance abuse problem. On April 29, 1995, C.K. was arrested for violation of probation and selling cocaine. At the time of the termination trial she was incarcerated and awaiting sentencing.
Shortly after the adjudication trial, O.R. was arrested and incarcerated until February 5, 1995. While in jail, he had one visit with A.R. in January 1995. After his release from jail, however, he did not visit A.R. until he was again incarcerated in May 1995 on charges of sexual abuse of a minor, distributing alcohol to a minor, and misconduct involving weapons.
There were occasional obstacles to visitation during the time between A.R.'s initial discharge from the hospital and the time at which both parents were incarcerated. Between December 6 and December 20, C.K.'s social worker was on leave, and between December 16 and January 1, A.R. left the state with her foster parent. DHSS also canceled several visits in January for reasons beyond C.K. and O.R.'s control. This left, however, approximately seventy-seven scheduled visits that C.K. missed when she was not in jail and about seventy scheduled visits O.R. missed when he was not in jail.
In the five months after they were both incarcerated, C.K. and O.R. each had three visits with A.R. Bureaucratic delays, A.R.'s surgery in June, and a trip to Florida with her foster parents apparently made it impossible for A.R. to visit the jail more frequently.
On June 1, 1995, DHSS filed a Petition for Termination of Parental Rights, alleging abandonment. After a five-day trial beginning October 30, 1995, Judge Mary E. Greene terminated the parental rights of C.K. and O.R. and placed A.R. in the custody of DHSS for the purpose of finding her a permanent home.
We affirmed the superior court's ruling that C.R. and O.R. had physically abandoned A.R. under former AS 47.10.010(a)(2)(A), and remanded for additional findings as to whether relatives of A.R. were willing and available to care for her.
See id. at 1312.
Following the remand, Superior Court Judge Mary E. Greene allowed the State to withdraw the ground of abandonment and assert the ground of physical neglect under AS 47.10.010(a)(6) as the basis for adjudicating A.R. a child in need of aid. An evidentiary hearing was held on June 17, 1997. The next day, the superior court announced from the bench its decision to terminate O.R.'s and C.R.'s parental rights based on its finding of substantial neglect. On July 11, 1997, the court entered an order terminating parental rights under subsection (6).
Pursuant to a 1996 amendment, former subsections (a)(2)(A)-(F) are now designated as AS 47.10.010(a)(1)-(6). Ch. 59, § 17, SLA 1996. For simplicity's sake, we will refer to the current statutory numbering.
O.R. appealed the superior court's order. The State then moved for a remand of the appeal in light of our recent decisions in R.J.M. v. State and A.M. v. State. We remanded the matter to the trial court for the purpose of (1) reviewing the July 11, 1997 order in light of our recent decisions, or (2) indicating that no such review and reconsideration was necessary.
946 P.2d 855 (Alaska 1997).
945 P.2d 296 (Alaska 1997).
On remand, the superior court found that review and reconsideration were not necessary. But "in an abundance of caution," the superior court clarified its July 11, 1997 order, emphasizing that because A.R.'s parents had "not provided for her physical needs," A.R. had suffered substantial physical neglect under subsection (6). C.R. and O.R. appeal the superior court's finding, arguing that A.R. never suffered harm as a result of conditions created by them. Their appeals have been consolidated.
III. DISCUSSION
A.
Standard of Review
We review the superior court's factual findings on the issue of termination under the clearly erroneous standard. Factual findings are clearly erroneous if "review of the entire record leaves this court with a definite and firm conviction that a mistake had been made." Whether the superior court's findings comport with AS 47.10.010(a)(6) is a question of law that we review de novo. We are aware that termination of parental rights is "a drastic measure. The private interest of a parent whose parental rights may be terminated is of the highest order."
B.
The Superior Court Did Not Err by Ruling that A.R. Suffered Substantial Physical Neglect under AS 47.10.010(a)(6).
See R.J.M. v. State, 946 P.2d 855, 860-61 (Alaska 1997) (citation omitted).
Id. at 861 n. 6 (citation omitted).
See id. at 861 (citation omitted).
In re J.L.F. K.W.F., 828 P.2d 166, 170 (Alaska 1992) (citation omitted), overruled on other grounds by In re S.A., 912 P.2d 1235, 1239 (Alaska 1996).
Under AS 47.10.010(a)(6), a court may find a minor to be a child in need of aid because the child has "suffered substantial physical abuse or neglect as a result of conditions created by the child's parent, guardian, or custodian." C.R. and O.R. contend that subsection (6) requires a showing that "the child was physically harmed in determining whether the child has suffered physical neglect." They also maintain that because A.R. has been in state care for most of her life, even if she was physically harmed, it was the department, not her parents, that breached its duty to care for her. We disagree with both contentions.
D.H. v. State, Department of Health Social Services controls our analysis. The facts of the case at hand closely resemble those in D.H. When T.H. was born to D.H., T.H. tested positive for cocaine. The State took emergency custody of T.H. shortly after birth because of her positive toxicology and concerns for her safety. With her parents' approval, T.H. was placed with her grandparents. Although D.H. was allowed to visit T.H. daily, her visits were sporadic and the superior court stated that D.H. made "no real bonding efforts" and that "no significant nurturing" occurred. Despite its finding that T.H. was well cared for by her grandparents, the superior court determined that T.H. was a child in need of aid under AS 47.10.010(a)(6). D.H. appealed, arguing that the State's evidence of abuse or neglect was insufficient under subsection (6). In urging affirmance, the State contended that D.H. had failed to make any sustained effort "to establish a parent-child relationship with [T.H.] by remaining available to provide for her daily care." We held that D.H.'s conduct supported the superior court's finding of substantial neglect:
929 P.2d 650 (Alaska 1996).
See id. at 652.
Id. at 652 n. 4.
See id.
See id. at 653.
See id.
Id.
The superior court determined that by failing to take responsibility for T.H. or to make any appreciable effort to do so, D.H. substantially neglected her daughter. We conclude that the court had an ample evidentiary basis for adjudicating T.H. a child in need of aid pursuant to [AS 47.10.010(a)(6)]. Thus, the superior court's finding is not clearly erroneous.
Significantly, we did not require the State to show that T.H. was harmed by D.H.'s neglect. Instead, we upheld the finding of physical neglect under subsection (6) based upon D.H.'s conduct and despite D.H.'s claim that T.H. was "a physically healthy child." Our inquiry focused on D.H.'s neglectful conduct, not on whether her conduct actually harmed T.H.
Id. at 653 n. 10.
In the case at hand, the superior court similarly concluded that A.R. suffered substantial physical neglect because her parents "have not provided for her physical needs for any period during her life." The superior court emphasized that A.R.
went from the hospital into foster care because of the actions of her parents in failing to provide for her physical needs. They did not learn how to care for her respiratory problems while she was in the hospital. They did not visit her to provide the physical touching needed by a newborn. They did not learn how to care for her respiratory problems after her release from the hospital; they could not meet her physical medical care needs.
Moreover, the superior court determined that "[w]hile [A.R.] remained in foster care, her parents continued to ignore all her needs, including her physical needs. They did not attempt to make efforts to gain physical custody so that they could provide for her physical needs. They did not even maintain visits." Thus, the court concluded that O.R. and C.R. "substantially neglected the physical needs of [A.R.]" and that she "has thus suffered substantial physical . . . neglect as a result of conditions created by the child's parents. . . . They did not feed her, house her, take her to the doctor or the hospital, bathe her, or provide for her physical care. They completely neglected her physical needs."
Like D.H., C.R. and O.R. have failed "to take responsibility for [A.R.] or to make any appreciable effort to do so." According to the superior court, they were not "responsive to [A.R.'s] needs," failed to establish any parent-child bond and were not "there for [her] in any sense of the word" during her first few months of life. In light of these circumstances, we conclude that the superior court's finding of substantial physical neglect under subsection (6) is entirely consistent with our holding in D.H. and not clearly erroneous.
D.H., 929 P.2d at 654.
The dissent believes that the conduct of O.R. and C.R. cannot support a child-in-need-of-aid finding under subsection (6) because "[t]he State did not present any evidence that A.R. suffered or was at risk for substantial physical harm as a result of her parents' actions or omissions. . . ." Dissent at 21. In support of this position, it points to the holding of R.J.M. v. State that subsection (6) concerns only substantial physical neglect, not emotional neglect. But R.J.M. did not overrule the holding of D.H., and in the case before us, the superior court specifically found that A.R. "suffered substantial physical neglect by her parents," as required by R.J.M.
946 P.2d 855 (Alaska 1997).
Moreover, our examination and discussion of the common definitions of the terms "abuse" and "neglect" in R.J.M. support our conclusion that a child need not have experienced physical harm to have suffered physical neglect. As we noted in R.J.M., " 'abuse' and 'neglect' are corollary terms. Both imply the potential for infliction of harm; the former word generally denotes potentially harmful action, while the latter generally denotes potentially harmful inaction." Thus, the emphasis of the inquiry is on the possibility of harm to the child due to neglectful parental conduct, not on the harm itself. Under subsection (6), the State is not required to wait to intervene until a child has been harmed; rather, the provision's use of the term "neglect" indicates that parental conduct causing the potential for harm suffices to trigger state action. Certainly A.R. suffered the potential for infliction of physical harm due to the neglectful conduct of her parents and their utter failure to meet or make provision for her physical needs.
946 P.2d at 862 (emphasis added).
The dissent also expresses concern that parents who have entrusted their child to the care of relatives in a "physically healthy environment" might be charged with neglectful conduct under subsection (6). But the definition of physical neglect discussed in R.J.M. clearly would not encompass this situation; such parental conduct could not be described as "potentially harmful inaction."
C.R. and O.R. also argue that because A.R. has been in state care for most of her life, any harm she suffered resulted from the State's breach of its duty to A.R., not from their negligence. Given our conclusion that under subsection (6) A.R. may be adjudicated a child in need of aid based on her parents' neglectful conduct without regard to whether she was actually harmed, this argument fails.
IV. CONCLUSION
The superior court's finding that A.R. is a child in need of aid pursuant to AS 47.10.010(6) and its order terminating the parental rights of C.R. and O.R. are AFFIRMED.
EASTAUGH, J., concurring.
MATTHEWS, C.J., with whom COMPTON, J., joins, dissenting.