affirming 25-point score when the infant victim had subdural bleeding, repeated seizures, and retinal hemorrhaging severe enough to require speedy transfer to a larger hospital
How later courts described this case
- affirming 25-point score when the infant victim had subdural bleeding, repeated seizures, and retinal hemorrhaging severe enough to require speedy transfer to a larger hospital
Written by the judges who cited it.
The opinion
If this opinion indicates that it is “FOR PUBLICATION,” it is subject to
revision until final publication in the Michigan Appeals Reports.
STATE OF MICHIGAN
COURT OF APPEALS
PEOPLE OF THE STATE OF MICHIGAN, UNPUBLISHED
October 27, 2022
Plaintiff-Appellant,
v No. 357826
Macomb Circuit Court
COLLIN CHRISTOPHER QUINT, LC No. 2019-002969-FC
Defendant-Appellee.
In re CAQ, Minor. No. 360666
Macomb Circuit Court
Family Division
LC No. 2018-000312-NA
Before: LETICA, P.J., and SERVITTO and HOOD, JJ.
PER CURIAM.
These consolidated appeals involve legal proceedings stemming from severe injuries
sustained by CAQ, then 10 weeks old, that were discovered after CAQ had been left in father’s
care.1 In Docket No. 357826, the prosecution appeals by leave granted2 the sentence imposed on
father (255 days’ incarceration and 24 months’ probation) as a result of his no-contest plea
conviction of second-degree child abuse, MCL 750.136b(3). We agree that the trial court erred in
its scoring of offense variables (OVs) 3 (physical injury to victim) and 7 (aggravated physical
1
Father is the defendant in Docket No. 357826 and respondent in Docket No. 360666.
2
People v Quint, unpublished order of the Court of Appeals, entered October 25, 2021 (Docket
No. 357826).
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abuse) and that correct scoring of these variables increases father’s recommended minimum-
sentence guidelines range, thereby requiring resentencing.
In Docket No. 360666, petitioner appeals by leave granted3 an order finding that
termination of father’s parental rights was not in CAQ’s best interests. Petitioner argues that the
trial court erred by placing too much weight on the alleged bond between CAQ and father, as the
bond was outweighed by the serious, life-altering injuries father inflicted and the risk of future
abuse. We are definitely and firmly convinced that the trial court’s best-interest finding rises to
the level of clear error. We therefore reverse the order appealed in Docket No. 360666 and remand
for entry of an order terminating father’s parental right to the minor child.
I. BACKGROUND
The events leading up to the initiation of the child protection proceedings are largely
undisputed. Mother4 went to work early in the morning on August 1, 2018, leaving CAQ in
father’s care. CAQ had an “episode” that day, during which he appeared to go limp. Panicked,
father called the paternal grandfather for advice and was instructed to call CAQ’s primary care
doctor. Father tried to do so, but the doctor’s office was closed for lunch hours. By that time,
CAQ was alert again and appeared normal—the incident was apparently short lived. When mother
got home from work, they were able to contact CAQ’s doctor, who advised them to take CAQ to
Beaumont Hospital for a head ultrasound. Mother and father took CAQ to Beaumont as advised,
where he was diagnosed with breath holding spells. The treating physicians instructed the parents
to monitor CAQ and, if he had another episode, they should blow on his face, turn him on his side,
or put a wet wash cloth on his face. After a chest x-ray revealed no concerns, CAQ was discharged.
Father took CAQ home and put him to bed without incident.
CAQ had one or two additional breath holding episodes on August 2, 2018, so father blew
on his face as instructed by the emergency physicians at Beaumont. CAQ became alert again.
Mother and the maternal grandmother arrived at the apartment around noon, where mother, father,
and the maternal grandmother discussed going to another hospital for a second opinion since
Beaumont did not perform the ultrasound recommended by CAQ’s family doctor. During this
conversation, mother noticed CAQ’s leg shaking. Believing that he was cold, she wrapped him in
a swaddle. While father and the maternal grandmother were installing a car seat base so they could
all go to the hospital together, CAQ began shaking or convulsing and appeared to be having a
seizure. The maternal grandmother called 911, and CAQ was transported by ambulance to
McLaren Hospital. After the emergency room staff stabilized CAQ, he was transferred to
Children’s Hospital for further examination and treatment.
3
In re CAQ Minor, unpublished order of the Court of Appeals, entered May 5, 2022 (Docket No.
360666). This order also consolidated these appeals on the Court’s own initiative. Id.
4
Mother was initially a respondent in the child protective proceedings, but the trial court
determined that petitioner failed to establish grounds for exercising jurisdiction with respect to
mother and dismissed her from the petition.
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At Children’s Hospital, a head CT scan showed bilateral subdural fluid collection and
evidence of an acute subdural hematoma on the right side of CAQ’s brain. A subsequent
ophthalmological examination revealed extensive multilayer retinal hemorrhages, including
severe vitreous hemorrhages. An MRI performed 12 days after CAQ’s admission reflected
evidence of an acute subdural hematoma and substantial damage to the parenchyma. The
radiologist who interpreted the MRI also identified what he believed to be evidence of ligamentous
injury to CAQ’s cervical spine, though this opinion was refuted by defense experts. The treating
physicians and experts presented by petitioner at the adjudication trial were all of the opinion that
CAQ’s injuries were caused by nonaccidental head trauma (NAHT), with several of them agreeing
that the injuries could have been caused by violent shaking or a repeated, forceful back and forth
motion. The defense experts, on the other hand, believed CAQ’s injuries were secondary to
previously asymptomatic birth trauma.
After the trial court in the child protective proceedings adjudicated father, father pleaded
no contest to second-degree child abuse in his criminal proceedings. The statutory sentencing
guidelines recommended a minimum-sentence range of 0 to 17 months, and the trial court imposed
a sentence in the middle of this range—255 days in jail and two years’ probation. The child
protective proceedings continued with several additional hearings regarding the termination
petition, after which the trial court found that father caused CAQ’s injuries and there was a
reasonable likelihood of injury in the future, such that his parental rights could be terminated under
MCL 712A.19b(3)(b)(i) (parent’s act caused physical injury or abuse), (j) (reasonable likelihood
of harm), (k)(iii) (parent abused child involving battering, torture, or other severe physical abuse),
and (k)(v) (parent abused child involving life-threatening injury). Nonetheless, the trial court
declined to terminate father’s parental rights because it determined that doing so was not in CAQ’s
best interests.
II. SCORING ERRORS
In Docket No. 357826, the prosecution argues that the trial court erred in its scoring of OVs
3 and 7. We agree.
“This Court reviews the sentencing court’s scoring of a sentencing guidelines variable for
clear error.” People v Armstrong, 305 Mich App 230, 242; 851 NW2d 856 (2014). “The trial
court’s findings are clearly erroneous if, after we have reviewed the entire record, we are definitely
and firmly convinced that it made a mistake.” Id.
In determining the minimum sentencing range recommended by the statutory sentencing
guidelines, the trial court must score the variables “by reference to the record,” and its findings
must be supported by a preponderance of the evidence. People v Osantowski, 481 Mich 103, 111;
748 NW2d 799 (2008). The record evidence includes “the contents of a [presentence investigation
report], plea admissions, and testimony presented at a preliminary examination.” People v
McChester, 310 Mich App 354, 358; 873 NW2d 646 (2015). Reasonable inferences arising from
the record evidence may also be relied upon by the trial court. People v Barnes, 332 Mich App
494, 499; 957 NW2d 62 (2020).
OV 3 addresses physical injury to the victim. MCL 777.33(1). If “[l]ife threatening or
permanent incapacitating injury occurred to a victim,” the court must assess 25 points. MCL
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777.33(1)(c). Only 10 points are to be assessed for “[b]odily injury requiring medical
treatment . . . .” MCL 777.33(1)(d). This Court has previously adopted the dictionary definition
of “life-threatening” for purposes of this variable, which defines the term as “capable of causing
death : potentially fatal.” People v Chaney, 327 Mich App 586, 589; 935 NW2d 66 (2019)
(quotation marks and citation omitted). The focus of the inquiry is not on the defendant’s actions,
but rather on the nature of the victim’s injuries. Id. at 590. In Chaney, the trial court assessed 25
points because the victim sustained serious burn wounds that required lengthy hospitalization and
multiple procedures. Id. Because there was no evidence that the victim’s “life was placed at risk
or more general evidence that the injury suffered was by nature life-threatening,” the trial court
clearly erred by scoring 25 points. Id. at 591. In this case, the trial court assessed 10 points for
OV 3, reasoning that CAQ’s were undoubtedly serious, but not “life threatening” and it was
unclear whether CAQ’s injuries would be permanent.
Although a panel of this Court opted to consolidate these appeals, we remain mindful that
the lower court proceedings were not consolidated, thereby limiting the record from which the trial
court could make findings in support of its sentencing guidelines scoring. In their appellate briefs,
both the prosecution and father rely on testimony from their respective experts during the trial in
the child protective proceedings. Both parties, at the direction of the trial court during a May 25,
2021 hearing, provided similar summaries of the expert testimony in their sentencing
memorandums, but it does not appear that the relevant transcripts were actually produced for the
trial court’s consideration at sentencing.
Considering only the record in the criminal case, the trial court had very limited
information available to it. Father did not make any relevant admission in the context of his no-
contest plea. The agent’s description of the offense from father’s presentence investigation report
notes that CAQ was diagnosed with “cervical ligament damage, shoulder ligament damage, retinal
hemorrhage, brain hemorrhage and physical brain damage.” It also asserts that the attending
physician at Children’s Hospital deemed CAQ’s injuries nonaccidental and consistent with signs
of child abuse, possibly in the form of shaken baby syndrome. The victim-impact statement from
the maternal grandmother reports that CAQ was involved in physical, occupational, and speech
therapies, had weakness on the left side of his body, and used a walker, but was able to feed himself
and crawl to the bathroom for toilet training.
The only other significant source of information available to the trial court was the
preliminary examination testimony, wherein mother testified about the circumstances leading up
to CAQ’s hospitalization, and Dr. Bradley Tilford described CAQ’s condition during his
hospitalization. According to Dr. Tilford’s preliminary examination testimony, CAQ was
transferred to the Children’s Hospital emergency department from an outside hospital. He
continued to have repeated seizures and was treated with an antiseizure medication. Because the
medication could cause respiratory problems, CAQ was intubated before being admitted to the
pediatric intensive care unit. A CT scan revealed evidence of an acute subdural hematoma, and
the later MRI reflected bilateral subdural fluid collections and injury to the brain parenchyma that
involved significant “volume loss of the brain.” CAQ also had bilateral diffuse multilayer retinal
hemorrhages and some evidence of a ligamentous injury in his cervical spine.
Although Dr. Tilford did not specifically identify CAQ’s injuries as life threatening, such
a conclusion is easily inferred from the nature of CAQ’s injuries and the treatment those injuries
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necessitated. Without suggesting that all brain injuries or seizures are life threatening, CAQ’s
condition was serious enough that his medical providers determined the antiseizure medication
was warranted, even with the attendant risks of respiratory failure. That CAQ’s physicians were
willing to assume a risk that was itself potentially fatal implies that CAQ’s injuries were life
threatening in the normal course and support a score of 25 points for OV 3. Despite the limited
record evidence, we are left with a definite and firm conviction that the trial court erred by failing
to assess 25 points for OV 3 on the basis of CAQ’s life-threatening injuries. MCL 777.33(1)(c);
Chaney, 327 Mich App at 589-591. See also People v McFarlane, 325 Mich App 507, 533; 926
NW2d 339 (2018) (affirming 25-point score when the infant victim had subdural bleeding,
repeated seizures, and retinal hemorrhaging severe enough to require speedy transfer to a larger
hospital).
OV 7 addresses aggravated physical abuse. MCL 777.37. MCL 777.37(1)(a) directs the
trial court to assess 50 points if it finds “[a] victim was treated with sadism, torture, excessive
brutality or similarly egregious conduct designed to substantially increase the fear and anxiety a
victim suffered during the offense.” “For purposes of OV 7, excessive brutality means savagery
or cruelty beyond even the usual brutality of a crime.” People v Rosa, 322 Mich App 726, 743;
913 NW2d 392 (2018) (quotation marks and citation omitted). The trial court declined to assess
any points under this variable, reasoning that the evidence did not meet the “extremely high” bar
necessary for a 50-point score.
As it did below, the prosecution relies principally on this Court’s opinion in McFarlane,
325 Mich App 507, to support its position that 50 points should have been assessed for OV 7. The
defendant in McFarlane was convicted of first-degree child abuse involving his nine-week-old
daughter. Id. at 512. The victim’s injuries included subdural bleeding, a suspected tibia fracture,
and retinal hemorrhages. Id. at 515. This Court determined that the trial court did not clearly err
by assessing 50 points under OV 7 because the victim sustained subdural hemorrhages that were
not necessary to constitute first-degree child abuse and there was evidence suggesting that the
defendant caused those injuries by violently shaking or throwing the victim. Id. at 534. According
to this Court, the severity of the victim’s injuries implied that she was “treated with brutality in
excess of that which necessarily accompanies the commission of first-degree child abuse.” Id.
The facts at hand are indeed analogous to McFarlane in terms of the injuries sustained by
the respective victims and the evidence concerning causation. As noted above, the evidence before
the trial court indicated that CAQ’s injuries included an acute subdural hematoma, retinal
hemorrhaging, distinct injury to the brain parenchyma, and a possible ligamentous injury to his
cervical spine. Dr. Tilford testified that these injuries were likely caused by NAHT, and father’s
presentence investigation report noted that the injuries were consistent with shaken baby syndrome
and may have been inflicted over a period of days. Relevant to this case, a defendant is guilty of
second-degree child abuse if he or she by “knowingly or intentionally commit[ted] an act likely to
cause serious physical or mental harm to a child regardless of whether harm results.” MCL
750.136b(3)(b). The nature of the injuries involved in this case fall within the statutory definition
of “serious physical harm,” but are not necessarily involved in every case of second-degree child
abuse. See McFarlane, 325 Mich App at 534. See also MCL 750.136b(1)(f) (including brain
damage and subdural hemorrhage or hematoma within the scope of serious physical harm). Like
in McFarlane, there was evidence here that CAQ’s injuries were caused by violent shaking leading
to what was once commonly known as shaken baby syndrome. Considering the obvious parallels
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between this case and McFarlane, we conclude the trial court clearly erred by failing to assess 50
points under OV 7.
As scored by the trial court, father had zero prior record variable points and 20 OV points,
placing him in the A-II cell of the Class C sentencing grid, which recommends a minimum
sentence between 0 and 17 months. Had the trial court correctly assessed 25 points for OV 3 and
50 points for OV 7, father’s guidelines score would have placed him in the A-VI cell, and his
recommended minimum-sentence range would have been 29 to 57 months. MCL 777.64. Because
the erroneous scoring of OVs 3 and 7 altered father’s recommended minimum-sentence range, we
vacate his sentence and remand for resentencing. People v Francisco, 474 Mich 82, 91-92; 711
NW2d 44 (2006).
III. CAQ’S BEST INTERESTS
In Docket No. 360666, the prosecution challenges the trial court’s finding that termination
of father’s parental rights was not in CAQ’s best interests. This Court reviews the trial court’s
findings regarding a child’s best interests for clear error. In re White, 303 Mich App 701, 713;
846 NW2d 61 (2014). “A finding is clearly erroneous if the reviewing court is left with a definite
and firm conviction that a mistake has been made.” In re LaFrance Minors, 306 Mich App 713,
723; 858 NW2d 143 (2014). We are persuaded that the court clearly erred in this regard.
In cases involving certain forms of aggravated abuse, the Legislature has chosen to require
petitioner to seek termination of the perpetrator’s parental rights at the initial disposition. MCL
722.638(2). In doing so, however, it explicitly incorporated the standard procedure for termination
proceedings set forth in MCL 712A.19b. Id. (“[T]he department shall include a request for
termination of parental rights at the initial dispositional hearing as authorized under section 19b of
chapter XIIA of 1939 PA 288, MCL 712A.19b.”). Thus, even in cases involving aggravated abuse,
termination of parental rights can only be ordered “[i]f the court finds that there are grounds for
termination of parental rights and that termination of parental rights is in the child’s best
interests . . . .” MCL 712A.19b(5) (emphasis added). See also In re Ferranti, 504 Mich 1, 16; 934
NW2d 610 (2019) (describing procedures for child protective proceedings).
At the best-interest stage, the trial court’s focus must be on the child, rather than the parent.
In re Schadler, 315 Mich App 406, 411; 890 NW2d 676 (2016). “In deciding whether termination
is in the child’s best interests, the court may consider the child’s bond to the parent, the parent’s
parenting ability, the child’s need for permanency, stability, and finality, and the advantages of a
foster home over the parent’s home.” In re Olive/Metts Minors, 297 Mich App 35, 41-42; 823
NW2d 144 (2012) (citations omitted). The respondent’s domestic violence and visitation history
are also relevant considerations. White, 303 Mich App at 714. Although a child’s placement with
a relative caregiver must be considered and generally weighs against termination, In re
Gonzales/Martinez, 310 Mich App 426, 434; 871 NW2d 868 (2015), CAQ was placed with
mother, who does not qualify as a “relative” for purposes of these proceedings, Schadler, 315 Mich
App at 413.
The trial court noted that there was obviously a bond between father and CAQ, that father’s
parenting ability was an open question, and that permanence and finality were not big factors in
light of CAQ’s placement with mother. The court also acknowledged that father was convicted of
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second-degree child abuse, but did not place significance on father’s failure to admit responsibility
for CAQ’s injuries. On that point, the trial court commented, “[W]e are making our best judgment
as to what happened but we were not there.” We infer from this comment that the trial court was
reluctant to reach a negative inference on the basis of father continuing to maintain his innocence.
The court also observed that father was not provided services in this case and appeared to consider
that the providing of services to father would allow all to find out whether father might not pose a
risk to CAQ in the future.
To the extent petitioner argues the evidence did not support the trial court’s finding
regarding the parent-child bond, its position is unpersuasive. Petitioner’s contention that the
foster-care worker—the only “qualified witness” did not observe a bond is unsupported by the
record. The foster-care worker testified that CAQ’s communication deficits made it difficult to
assess his connection with father, but ultimately opined that “there is a bond between them.”
Moreover, the foster-care worker only supervised a handful of parenting-time visits, while mother
was involved in every visit. Although mother believed father’s claim of innocence and was clearly
biased in his favor, there was no evidence suggesting that she misrepresented or exaggerated
CAQ’s strong bond with father. Moreover, we are confident that the trial court was cognizant of
mother’s bias and took it into account in determining the weight to afford her testimony.
Petitioner further argues that termination was appropriate because the risk of future harm
to CAQ outweighed the importance of his bond with father. It is well settled that a parent-child
bond may be outweighed by other considerations regarding a child’s best interests, and our caselaw
is replete with opinions affirming termination of parental rights despite evidence of a bond. See,
e.g., In re Rippy, 330 Mich App 350, 361-362; 948 NW2d 131 (2019); In re Jones, 316 Mich App
110, 120-121; 894 NW2d 54 (2016); In re Brown/Kindle/Muhammad Minors, 305 Mich App 623,
638; 853 NW2d 459 (2014).
Petitioner directs this Court’s attention to In re VanDalen, 293 Mich App 120; 809 NW2d
412 (2011), a case involving nonaccidental injuries in which this Court affirmed termination of
parental rights. In that case, LV was hospitalized at the time of his two-week checkup because of
concerns regarding oral lesions. Id. at 123. A skeletal survey obtained during LV’s hospitalization
revealed a tibia fracture that appeared to be consistent with child abuse. Id. The respondents were
unable to account for the lesions or fracture. Id. After the trial court assumed jurisdiction, the
respondent-mother admitted to the foster-care worker and LV’s relative caregiver that the
respondent-father engaged in troubling behavior like covering LV’s nose and pulling on LV’s legs.
Id. at 124. Moreover, while the respondent-mother cooperated with services and diligently
pursued reunification, the respondent-father was noncompliant, and it was made clear to the
respondent-mother that his lack of cooperation could be problematic in her case if they remained
together. Id. The respondents ended their relationship, and the respondent-mother asked that LV
never be left alone with the respondent-father. Id. LV was eventually returned to the respondent-
mother’s care. Id. at 125. The court dismissed its jurisdiction over LV and entered a custody order
regarding the respondent-father’s parenting time. Id.
Unknown to the caseworker, the respondents had reunited around the same time that the
court dismissed jurisdiction. Id. at 125. The respondent-mother became pregnant with the
respondents’ second child several months later. Id. at 126. After leaving the younger child, DV,
in the respondent-father’s care, the respondent-mother found DV on the floor, whimpering,
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whining, and unable to wake up. Id. at 126-127. The respondents disagreed about whether DV
needed medical attention and ultimately decided not to take her to the hospital. Id. at 127. DV
continued to act abnormally the following day, but they did not take the child to the doctor until
three days later. Id. at 128. DV began having seizures at the doctor’s office and was immediately
taken to the hospital. Id. Subsequent testing revealed brain damage, retinal hemorrhaging, and
numerous fractures of varying ages in her ribs, back, leg, and toes. Id. at 129. A child abuse
pediatrician opined that DV’s injuries were the result of shaken baby syndrome “caused by more
than one episode of ‘severe shaking,’ which could have been fatal,” and that DV would likely have
“permanent brain damage resulting in motor problems, problems with the use of her arms or legs,
or both, delayed walking, problems with decreased strength and tone, likely physical and cognitive
delays or impairments, and possible vision damage.” Id. at 129-130. This Court affirmed the trial
court’s best-interest determination, reasoning that “[c]ompelling evidence indicated that the
children would not be safe in respondents’ custody considering that both children suffered
unexplained injuries consistent with serious abuse while in respondents’ primary care.” Id. at 141.
This case is similar in terms of the injuries involved and the parents’ initial inability to
explain how those injuries occurred. It is also distinguishable, in that the VanDalen respondents
were provided services but appeared not to benefit from those services, and the VanDalen
children’s need for permanence and stability strongly favored termination because they were
thriving with foster parents who wished to adopt them. In this case, the court did not find grounds
to exercise jurisdiction over CAQ with respect to mother, and he was returned to her care after the
adjudication trial. Thus, as the trial court noted, CAQ does not want for permanence or stability—
he has both with mother and a strong family support system.
Nevertheless, it cannot be ignored that CAQ is still a young child, made even more
vulnerable than before due to the injuries inflicted upon him by father. Incredibly, father testified
he did not believe CAQ had any special needs, despite the numerous medical records, testimony,
and services provided to CAQ clearly establishing the contrary. In addition, during the course of
the proceedings, father was in a serious accident while under the influence of alcohol and illegal
drugs and suffered a traumatic brain injury as a result. While the accident is concerning by itself,
even more concerning is that father did not disclose to either his examining psychologist or
psychiatrist that he was highly intoxicated when the accident occurred. While it is true that father
was not provided with services in this matter to address any substance abuse issue he may have,
the fact remains that when his son was undergoing a plethora of services to address the injuries
that the trial court found father had inflicted upon him, father elected to engage in behavior that
was contrary to his well-being. And, although father was not provided with services in this matter,
he also did little to nothing on his own to establish that termination was not CAQ’s best interests.
Considering the full record and the preponderance of the evidence standard applicable to a best-
interest analysis (see In re Moss, 301 Mich App 76, 90; 836 NW2d 182 (2013)), we are left with
a definite and firm conviction that the trial court erred by declining to terminate father’s parental
rights.
IV. CONCLUSION
In Docket No. 357826, we vacate father’s sentence and remand for resentencing consistent
with this opinion. In Docket No. 360666, we reverse the trial court’s finding that termination of
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father’s parental rights was not in CAQ’s best interests and remand for entry of an order
terminating father’s parental right to the minor child. We do not retain jurisdiction.
/s/ Anica Letica
/s/ Deborah A. Servitto
/s/ Noah P. Hood
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