In re B.B.
Docket C-250428
Court of record · Indexed in NoticeRegistry archive · AI-enriched for research
- Filed
- Jurisdiction
- Ohio
- Court
- Ohio Court of Appeals
- Type
- Opinion
- Case type
- Family
- Disposition
- Affirmed
- Judge
- Crouse
- Citation
- 2026-Ohio-1268
- Docket
- C-250428
Appeal from a juvenile court order denying a mother’s motion to modify a prior dispositional order awarding legal custody to father
Summary
The First District Court of Appeals affirmed the juvenile court’s denial of a mother’s 2024 motion to regain legal custody of her two children, B.B. and R.W. The juvenile court and magistrate found the mother failed to prove changed circumstances since the 2018 legal-custody disposition to father. The court concluded the evidence (photos, medical summaries, and testimony) did not substantiate abuse or medical neglect by father nor show missed medical care produced harmful consequences sufficient to overcome the statutory presumption of permanency for juvenile-court custody orders.
Issues Decided
- Whether the mother established changed circumstances sufficient to modify a juvenile-court legal-custody order under R.C. 2151.42(B)
- Whether the record supported findings that father had abused or medically neglected the children while in his custody
- Whether missed medical appointments by father amounted to a change in circumstances that would require reallocation of legal custody
Court's Reasoning
The court concluded that under R.C. 2151.42(B) a juvenile-court dispositional custody order is presumed permanent, and modification requires facts arising after the order showing a change in the child’s or custodian’s circumstances that makes modification necessary for the child’s best interest. The magistrate and juvenile court found the mother did not produce competent, credible evidence that father abused the children or that missed medical appointments caused harmful effects. Because the threshold for changing a juvenile dispositional custody order favors permanency, the evidence was insufficient to justify modifying custody.
Authorities Cited
- R.C. 2151.42(B)
- R.C. 2151.353(A)(3)
- In re B.J.2009-Ohio-6485 (1st Dist.)
Parties
- Appellant
- Mother (appellant, pro se)
- Respondent
- Father
- Plaintiff
- Hamilton County Department of Job and Family Services (HCJFS)
- Judge
- Crouse, Judge (author)
Key Dates
- Original HCJFS involvement
- 2016-01-01
- Children adjudicated dependent
- 2017-01-01
- Parenting-time suspension order
- 2021-12-01
- Mother moved to modify custody
- 2024-06-01
- Hearing on motions
- 2025-01-01
- Appeal judgment entry/date on journal
- 2026-04-08
What You Should Do Next
- 1
Consult an attorney about appellate preservation
If the mother believes a legal error occurred, she should consult counsel immediately to determine whether there are preserved legal issues for a further appeal or other post-judgment relief and the applicable deadlines.
- 2
Gather stronger evidence
If the mother intends to seek custody again, she should collect medical records, sworn witness statements, and expert evaluations that document harmful consequences or ongoing neglect to meet the higher evidentiary threshold under R.C. 2151.42(B).
- 3
Consider alternative relief or services
She may pursue motions for supervised parenting time or seek involvement of HCJFS to monitor medical care and appointments, which could protect the children’s welfare while preserving the current custody arrangement.
Frequently Asked Questions
- What did the court decide?
- The appeals court affirmed the juvenile court’s denial of the mother’s request to regain legal custody, finding she did not prove changed circumstances needed to modify the prior juvenile-court custody order.
- Who is affected by this decision?
- The decision affects the mother, father, and the two children (B.B. and R.W.), leaving legal custody with the father as previously ordered.
- Why didn’t the court transfer custody despite photos and missed appointments?
- The court found the evidence did not reliably show father abused the children or that missed medical visits produced harmful consequences; under the statute governing juvenile dispositional custody, there is a strong presumption of permanency that the mother’s evidence failed to overcome.
- Can the mother appeal again?
- An appellate remedy would be limited; further appeal would typically require raising legal errors preserved in the record. The opinion notes father did not file a responsive brief, but it affirms the juvenile court’s factual findings and legal conclusion.
The above suggestions and answers are AI-generated for informational purposes only. They may contain errors. NoticeRegistry assumes no responsibility for their accuracy. Consult a qualified attorney before relying on them.
Full Filing Text
[Cite as In re B.B., 2026-Ohio-1268.]
IN THE COURT OF APPEALS
FIRST APPELLATE DISTRICT OF OHIO
HAMILTON COUNTY, OHIO
IN RE: B.B. & R.W. : APPEAL NO. C-250428
TRIAL NO. F/16/2192 Z
:
:
JUDGMENT ENTRY
:
This cause was heard upon the appeal, the record, and appellant’s brief.
For the reasons set forth in the Opinion filed this date, the judgment of the trial
court is affirmed.
Further, the court holds that there were reasonable grounds for this appeal,
allows no penalty, and orders that costs be taxed under App.R. 24.
The court further orders that (1) a copy of this Judgment with a copy of the
Opinion attached constitutes the mandate, and (2) the mandate be sent to the trial
court for execution under App.R. 27.
To the clerk:
Enter upon the journal of the court on 4/8/2026 per order of the court.
By:_______________________
Administrative Judge
[Cite as In re B.B., 2026-Ohio-1268.]
IN THE COURT OF APPEALS
FIRST APPELLATE DISTRICT OF OHIO
HAMILTON COUNTY, OHIO
IN RE: B.B. & R.W. : APPEAL NO. C-250428
TRIAL NO. F/16/2192 Z
:
:
OPINION
:
Appeal From: Hamilton County Juvenile Court
Judgment Appealed From Is: Affirmed
Date of Judgment Entry on Appeal: April 8, 2026
Appellant Mother, pro se.
OHIO FIRST DISTRICT COURT OF APPEALS
CROUSE, Judge.
{¶1} Eight years ago, the Hamilton County Juvenile Court awarded legal
custody of B.B. and R.W. to father. The court suspended appellant mother’s parenting
time three years later, after R.W. suffered an unexplained, serious injury while in her
care. The order now on appeal denied mother’s motion to regain custody of B.B. and
R.W., in which mother contended that father had denied mother parenting time,
allowed the children to be injured, and neglected the children’s medical care. We
conclude that the juvenile court did not abuse its discretion when it found that mother
had failed to show changed circumstances that would justify a custody modification.
So we affirm.
I. BACKGROUND
{¶2} B.B. and R.W. are the children of mother and father (collectively,
“parents”). B.B. was 11 years old and R.W. was 14 years old at the time of the
proceedings before the magistrate below. The juvenile court found that “R.W. is
diagnosed with autism, is non-verbal, and has cerebral palsy.”
A. Prior History
{¶3} The Hamilton County Department of Job and Family Services
(“HCJFS”) became involved with the family in 2016, after an incident in which mother
used a taser on father in a grocery store in front of B.B. Both children were adjudicated
“dependent” in January 2017. HCJFS took temporary custody and placed the children
with their paternal grandmother. Two years later, father was awarded legal custody
with arrangements for parenting time for mother, per agreement.
{¶4} In March 2020, father filed to terminate mother’s parenting time. While
that motion was pending, R.W. suffered a traumatic injury while in mother’s care,
resulting in an orbital fracture around his eye and seizures. Following the incident,
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OHIO FIRST DISTRICT COURT OF APPEALS
R.W. was hospitalized and placed on a ventilator. The same night, B.B. exhibited
bruising on her face. The causes of the children’s injuries remain unclear.
{¶5} Following a hearing on father’s motion, the magistrate suspended
mother’s parenting time. The juvenile court approved this order over mother’s
objections in a December 2021 order, which we affirmed in Wilfong v. Bush,
2023-Ohio-1256 (1st Dist.).
B. January 2025 Hearing
{¶6} Since the magistrate entered the December 2021 order, father has
maintained sole legal custody of the children. He has, during much of this period,
allowed B.B. and R.W. to stay with mother from time to time—though with decreasing
frequency, and not for several months prior to the hearing.
{¶7} In June 2024, mother moved for legal custody of B.B. and R.W. In
October, she moved to modify the court’s order regarding parenting time. Father did
not appear at the January 2025 hearing on these motions. Mother appeared pro se and
called two witnesses apart from herself.
{¶8} Mother’s first witness was the children’s maternal uncle. He testified
that he had never met or spoken with B.B. and R.W., but that he did not believe mother
to be a bad mother.
{¶9} The second witness was mother’s friend and neighbor, who said that she
had allowed B.B. and R.W. to play with her grandchildren while B.B. and R.W. were
in mother’s care. This neighbor testified that mother was a “great mother” and a
“Godly person,” and that she had never seen the children be aggressive or self-harm
while in mother’s care.
{¶10} When mother took the stand, she testified about her concerns that B.B.
and R.W. were being mistreated, injured, neglected, and/or denied proper medical
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OHIO FIRST DISTRICT COURT OF APPEALS
care while with father.
{¶11} Some of mother’s evidence focused on an incident in November 2023,
when R.W. apparently became aggressive with paternal grandmother and B.B. Mother
was contacted, and mother, in turn, called 9-1-1. When officers arrived, R.W. was calm
and the officers were told that he would be taken to Cincinnati Children’s Hospital.
Mother introduced a police report of that incident.
{¶12} Mother also introduced a police report detailing an incident on June 14,
2024, during which B.B. refused to leave with father. Given father’s legal custody, this
created an issue. Mother called the police and all parties eventually agreed that B.B.
could go home with paternal grandmother.
{¶13} Mother offered other evidence and testimony that, when mother had
received B.B. and R.W. from father, mother had sometimes noticed small injuries and
wounds. The injuries included what mother referred to as burn marks on R.W.’s chest,
back, and wrist, as well as wounds on R.W.’s arms and legs. She also described a “knot”
on R.W.’s head and marks behind R.W.’s ears. Mother submitted photographs of these
injuries. Mother further averred that she had found fecal matter in R.W.’s hair and on
his person. She introduced photos allegedly showing this.
{¶14} Mother also offered evidence in support of her claim that father was not
providing proper medical care. For example, mother submitted a medical-visit
summary from B.B.’s physical on September 2, 2023, stating that the doctor had
recommended a follow-up in six months to address hormonal and development
concerns, “as dad denied referral.” The summary goes on to say that B.B. “[n]ever
came to app[ointment]t,” so the doctor provided a “referral to [an] Endo[crinologist]
for evaluation . . . per mother request.” Another medical-visit summary described
father taking B.B. to the endocrinologist “with mom on speaker phone” on September
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OHIO FIRST DISTRICT COURT OF APPEALS
28, 2023. This summary also notes that B.B. expressed some “concern . . . in going
home with dad,” though the context for this sentence is not clear from the printout. A
September endocrinology summary stated that B.B. should follow up in six months.
But mother submitted a screenshot of her MyChart phone application, which showed
that had B.B. missed an endocrinology appointment in March 2024.
{¶15} Mother expressed similar concerns about R.W. missing medical
appointments. She produced a letter from West Side Pediatrics, captioned “1st No
Show Letter,” which notified the “Parent/Guardian of [R.W.]” that R.W. had missed a
doctor’s appointment on June 19, 2023, without notifying the office. And mother
noted that, following the November 2023 incident described in the police report,
officers had been told that R.W. would be taken to Cincinnati Children’s Hospital. But,
mother testified, father did not take R.W. to Children’s; instead, they went to West
Side Pediatrics the same day. A report from the West Side Pediatrics visit states that,
despite concerns about R.W.’s left ear, the doctor could not examine it due to R.W.’s
“agitation and aggression.” Finally, mother introduced a doctor-visit summary from
October 2024 stating that father had declined a second dose of the HPV vaccine for
R.W., as well as COVID and influenza vaccines.
{¶16} Following the January 2025 hearing, the magistrate conducted an in-
camera interview with B.B.1
C. Decision, Objections & Judgment
{¶17} The magistrate denied mother’s motion to modify the prior custody
order, because he found that no change in circumstances justified a change in custody
under R.C. 3109.04(E)(1)(a). First, the magistrate held that father’s denial of
1 We have reviewed the sealed transcript from this interview, but, like the magistrate and juvenile
court, decline to summarize its contents.
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OHIO FIRST DISTRICT COURT OF APPEALS
parenting time to mother during the preceding year could not justify reallocating
custody, because father had not been required to allow mother parenting time
following the 2021 decision. Second, the magistrate did “not find after a review of the
testimony and evidence presented there is sufficient evidence to substantiate Mother’s
allegations of abuse against the children.”
{¶18} The magistrate did find some evidence of “alleged medical neglect,” but
only to the extent that “Father has failed to follow up with some medical
appointments,” the necessity and consequences of which mother failed to establish.
The magistrate also “considered the injuries depicted in the pictures in considering
whether there is reason to believe Father has acted in a manner resulting in a child
being an abused or a neglected child,” but did not find that the possibility of neglect
amounted to a change in circumstances for statutory purposes.
{¶19} After denying the motion to modify custody, the magistrate also found
that an alteration of the parenting-time order was not in the children’s best interest
under R.C. 3109.051(D).
{¶20} Mother filed objections to this decision. She contended that the
magistrate had not adequately considered father’s alleged medical neglect and the
prior allegations of abuse against father. The juvenile court held a hearing, at which
father appeared, and then overruled mother’s objections and approved the
magistrate’s decision. In explaining its decision, the juvenile court first stated it
deferred to the magistrate’s credibility determinations, then found that the
magistrate’s decision was supported by the weight of the evidence and in accordance
with law. After conducting its independent review, the juvenile court concluded that
“the testimony presented and evidence admitted [were] insufficient to show a
sufficient change of circumstances” to warrant a change in custody. And, like the
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OHIO FIRST DISTRICT COURT OF APPEALS
magistrate, the juvenile court found that the best-interest factors cut against changing
the parenting-time order.
II. ANALYSIS
{¶21} Mother appeals the juvenile court’s order. Her sole assignment of error
attacks only the portion of the juvenile court’s order declining to grant her full custody,
and does not challenge the portion denying her motion to modify or reinstate
parenting time.2 Father has not filed a responsive brief.
{¶22} Custody determinations do not extinguish a noncustodial parent’s
parental rights. Rather, a noncustodial parent retains residual rights, including the
right to seek modification or termination of the legal-custody order. In re J.S.,
2024-Ohio-4887, ¶ 13 (1st Dist.), citing In re R.G.M., 2024-Ohio-2737, ¶ 16.
{¶23} Because the General Assembly has entrusted the context-sensitive task
of apportioning rights and duties among parents and custodians to the juvenile court’s
sound discretion, our review is limited to asking whether the court abused that
discretion. In re J.S. at ¶ 14. A trial court abuses its discretion when its decision or
reasoning process is unreasonable, arbitrary, or unconscionable. Id. at ¶ 14; State v.
Beasley, 2018-Ohio-16, ¶ 12. A juvenile court’s legal-custody determination is
unreasonable, arbitrary, or unconscionable if the court’s findings “are not supported
by competent and credible evidence.” In re J.S. at ¶ 14.
A. Applicable Statute
{¶24} B.B. and R.W. were adjudicated dependent, and father was initially
awarded legal custody pursuant to R.C. 2151.353(A)(3). R.C. 2151.42(B) governs a
2 Mother’s full assignment of error reads as follows: “The trial court erred in the courts [sic] abuse
of discretion by not granting Mother full custody. The trail [sic] court’s decision in this case was
unreasonable because it ignored substantial evidence and placed both children especially a non-
verbal disabled child, R.W. and B.B. at continuous risk.”
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OHIO FIRST DISTRICT COURT OF APPEALS
request to “modify or terminate” an “order of disposition under division (A)(3) of
section 2151.353 . . . of the Revised Code granting legal custody of a child to a person.”
The juvenile court analyzed mother’s motion for custody under R.C. 3109.04. This was
incorrect. R.C. 3109.04(E) governs only the modification of a prior “decree allocating
parental rights and responsibilities for the care of children” issued as part of a divorce,
separation, annulment, or similar proceeding. See R.C. 3109.04(E)(1)(a); see also
R.C. 3109.04(A), (D)(1)(d), and (L)(2). But when a juvenile court adjudicates a child
“abused, neglected, or dependent,” it does not award custody as part of a “decree,” as
described in R.C. 3109.04, but as part of an “order[] of disposition” under
R.C. 2151.353(A) and 2151.35(B)(3). This court has squarely held that
R.C. 2151.42(B)—not R.C. 3109.04(E)—applies when seeking to modify a legal-
custody award in such a dispositional order. See In re B.J., 2009-Ohio-6485, ¶ 20 (1st
Dist.).
{¶25} Under R.C. 2151.42(B), a juvenile court may not “modify or terminate”
a dispositional order awarding legal custody “unless it finds, based on facts that have
arisen since the order was issued or that were unknown to the court at that time, [1]
that a change has occurred in the circumstances of the child or the person who was
granted legal custody, and [2] that modification or termination of the order is
necessary to serve the best interest of the child.” Although these two requirements bear
a striking similarity to the requirements set forth in R.C. 3109.04(E)(1)(a), they differ
in four important ways.
{¶26} First, R.C. 2151.42(B) limits whose changed circumstances a court may
consider. Under R.C. 3109.04(E)(1)(a), a court can consider changes in “the
circumstances of the child, the child’s residential parent, or either of the parents
subject to a shared parenting decree.” (Emphasis added.) R.C. 2151.42(B) omits
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OHIO FIRST DISTRICT COURT OF APPEALS
nonresidential/noncustodial parents from its list and refers only to changes in “the
circumstances of the child or the person who was granted legal custody.” Thus, we
have said that under R.C. 2151.42(B) a juvenile court must “limit[]” its “change-in-
circumstances determination to two individuals: (1) ‘the child’ or (2) ‘the person who
was granted legal custody.’” In re B.J. at ¶ 18, quoting R.C. 2151.42(B).
{¶27} Second, R.C. 2151.42(B) provides that a disposition order awarding
legal custody under R.C. 2151.353(A)(3) is “intended to be permanent in nature.” This
presumptive permanency “furthers the legislative policy of providing stability and
security for children and preventing arbitrary or frequent changes in custody.” In re
R.G.M., 2024-Ohio-2737, at ¶ 22. R.C. 3109.04(E)(1)(a) contains no similar language.
See In re James, 2007-Ohio-2335, ¶ 26 (noting that such language “does not appear
in R.C. 3109.04(E)(1)”). Instead, R.C. 3109.04(E)(1)(a)(iii) permits a change of
residential parent if, in light of the changed circumstances, (1) the “harm likely to be
caused by a change of environment is outweighed by the advantages of the change of
environment to the child” and (2) the change would be in the child’s best interest. By
imposing a presumption of permanency in R.C. 2151.42(B), rather than allowing for a
change of custody if the benefits outweigh the harms, the General Assembly has placed
an additional thumb on the scale in favor of a prior custody disposition under
R.C. 2151.353(A)(3). See In re James at ¶ 26 (noting that R.C. 2151.42 “is more
compelling on the issue of permanency than is R.C. 3109.04(E)(1)”).
{¶28} Third, R.C. 3109.04(E) allows a court to modify a decree designating a
residential parent (i.e., awarding legal custody) based on the current residential
parent’s consent or the child’s integration into a nonresidential parent’s family, so long
as the change would be in the child’s best interest. See R.C. 3109.04(E)(1)(a)(i) and
(ii). R.C. 2151.42 contains no comparable provisions permitting modification of a
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OHIO FIRST DISTRICT COURT OF APPEALS
dispositional order based on consent or familial-integration.
{¶29} Fourth, unlike R.C. 3109.04(E)(1)(a), which requires a court to consider
the factors in R.C. 3109.04(F) when making best-interest determinations, R.C. 2151.42
includes no list of best-interest factors. This and other courts have therefore held that
a “juvenile court may look to the factors in R.C. 2151.414(D)(1) or 3109.04(F) for
guidance.” In re J.S., 2024-Ohio-4887, at ¶ 11 (1st Dist.), citing In re M/E,
2021-Ohio-450, ¶ 19 (1st Dist.); accord In re R.P., 2025-Ohio-656, ¶ 26 (4th Dist.).
B. Changed Circumstances
1.
{¶30} Mother’s argument below rested on three alleged changes in the
circumstances: (1) father’s decision to deny her time with the children, (2) father’s
alleged abuse of the children, and (3) father’s alleged medical neglect of the children.
The magistrate rejected all three arguments and held that there had not been a change
in circumstances sufficient to warrant modifying custody. The juvenile court approved
that decision, and we now hold that it did not abuse its discretion in doing so.
{¶31} First, the magistrate and juvenile court rejected the premise that
mother could gain custody based on father’s decision to deny her parenting time,
because mother was not legally entitled to parenting time. Her court-ordered
parenting time had been suspended in 2021, so any parenting time she had been
receiving was at father’s discretion. We cannot say that the juvenile court abused its
discretion by finding that these were not changed circumstances sufficient to modify
the prior custody disposition.
{¶32} Second, the magistrate found insufficient evidence to substantiate
mother’s allegations of physical abuse against the children. The juvenile court did not
abuse its discretion in adopting this finding.
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OHIO FIRST DISTRICT COURT OF APPEALS
{¶33} We have reviewed mother’s testimony and the magistrate’s in-camera
interview with B.B. We have also reviewed the photographs in evidence, which do
show some concerning injuries on R.W.’s arms, legs, and chest. But there is no
admitted evidence that father has physically abused B.B. or R.W. since becoming
involved with HCJFS. Nor is there record evidence of how R.W. experienced these
various injuries. Nor does the record contain evidence explaining the degree to which
such injuries might be unavoidable or expected for individuals with disabilities like
R.W.’s, even when adequately supervised.
{¶34} The same is true of the images purporting to show R.W. with feces on
his person. The worst of these images were captured while R.W. was in father’s care,
but we have little context for what led to them. At the hearing on mother’s objections
to the magistrate’s decision, father acknowledged (although not under oath) that R.W.
had gone “through a phase of playing with his poop” during which he would “pull[] it
out, put it on the wall, put it in his hair.” Without further evidence that these incidents
led to health consequences or lasted long enough to constitute obvious neglect, we
cannot say that the juvenile court was obligated to find that father had abused or
neglected R.W.
{¶35} Given the magistrate’s opportunity to see and interview the witnesses,
including mother, and given the magistrate’s familiarity with the case, we cannot say
the juvenile court abused its discretion when it adopted the magistrate’s finding that
the children were not subjected to abuse while in father’s care.
{¶36} Third, the magistrate did credit mother’s evidence suggesting that
father had “failed to follow up with some medical appointments.” The magistrate
concluded, however, that this did not demonstrate a sufficient change in
circumstances because mother “failed to establish the necessity of the follow up
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OHIO FIRST DISTRICT COURT OF APPEALS
appointments, or that the child[ren] have suffered ill effects of the missed follow up
appointments.” The juvenile court did not disturb this finding.
{¶37} The juvenile court did not abuse its discretion in holding that father’s
failure to follow up with some medical appointments did not constitute a change in
circumstances sufficient to warrant an adjustment of legal custody. Father did
apparently miss several appointments. Nevertheless, the children seem to regularly
see their doctors. And while the small number of appointments missed did involve
some important developmental issues, they did not concern obviously life-threatening
maladies. Without evidence of significant stakes or consequences, the magistrate
could reasonably conclude that these few missed appointments could not amount to a
change in circumstances sufficient to warrant modifying the custody order.
2.
{¶38} The juvenile court’s factual determinations were neither arbitrary nor
unreasonable. However, as we have already explained, those determinations were
made under the wrong standard. Still, we cannot say that this constituted reversible
error in this case because application of the proper standard would, if anything, have
made mother’s task below even harder.
{¶39} As we have already explained, R.C. 2151.42(B) places an additional
thumb on the scale in favor permanency. Because the magistrate and juvenile court
applied R.C. 3109.04(E)(1)(a)(iii), they necessarily found that mother had failed to
show that, due to changed circumstances, “[t]he harm likely to be caused by a change
of environment [was] outweighed by the advantages of the change of environment to
the child.” That bar was lower than the one imposed by R.C. 2151.42, which, as
explained above, “is more compelling on the issue of permanency than is
R.C. 3109.04(E)(1).” See In re James, 2007-Ohio-2335, at ¶ 26. The juvenile court
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OHIO FIRST DISTRICT COURT OF APPEALS
could not logically have found that mother had failed to meet her burden under
R.C. 3109.04(E)(1)(a)(iii), but nevertheless believed she could have overcome the
presumption in favor of permanency under R.C. 2151.42.
{¶40} Accordingly, we hold that the juvenile court did not err in denying
mother’s motion to modify custody, notwithstanding its application of the wrong
statutory standard.
III. CONCLUSION
{¶41} Without a sufficient change in circumstances there can be no
modification of custody under R.C. 2151.42(B)—and the juvenile court reasonably
found no change in circumstances here. We therefore overrule mother’s sole
assignment of error without needing to address any best-interest factors. And because
mother’s assignment of error dealt only with the portion of the juvenile court’s order
concerning custody, we need not address its denial of her motion for additional
parenting time. The judgment of the juvenile court is therefore affirmed.
Judgment affirmed.
ZAYAS, P.J., and BOCK, J., concur.
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