In re Interest of Trevor S.
CourtNebraska Court of Appeals
Date FiledAugust 4, 2026
DocketA-25-811
StatusPublished
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Full Opinion
Nebraska Supreme Court Online Library
www.nebraska.gov/apps-courts-epub/
08/04/2026 08:15 AM CDT
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Nebraska Court of Appeals Advance Sheets
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IN RE INTEREST OF TREVOR S. ET AL.
Cite as 34 Neb. App. 412
In re Interest of Trevor S., Jr., et al.,
children under 18 years of age.
State of Nebraska, appellee and cross-appellee, v.
Trevor S., Sr., appellant, and Chyna B.,
appellee and cross-appellant.
___ N.W.3d ___
Filed August 4, 2026. No. A-25-811.
1. Juvenile Courts: Appeal and Error. An appellate court reviews juve-
nile cases de novo on the record and reaches its conclusions indepen-
dently of the juvenile court’s findings.
2. Rules of Evidence: Hearsay. A declarant’s out-of-court statement
offered for the truth of the matter asserted is inadmissible unless it falls
within a definitional exclusion or statutory exception.
3. ____: ____. Neb. Evid. R. 803(4), Neb. Rev. Stat. § 27-803(4) (Cum.
Supp. 2024), is based on the notion that a person seeking medical atten-
tion will give a truthful account of the history and current status of his
or her condition in order to ensure proper treatment.
4. ____: ____. Whether a statement was both taken and given in contem-
plation of medical diagnosis or treatment is a factual finding in deter-
mining the admissibility of the evidence under Neb. Evid. R. 803(4),
Neb. Rev. Stat. § 27-803(4) (Cum. Supp. 2024).
5. Rules of Evidence: Hearsay: Proof. Statements having a dual medical
and investigatory purpose are admissible under Neb. Evid. R. 803(4),
Neb. Rev. Stat. § 27-803(4) (Cum. Supp. 2024), only if the proponent
of the statements demonstrates that (1) the declarant’s purpose in mak-
ing the statements was to assist in the provision of medical diagnosis or
treatment and (2) the statements were of a nature reasonably pertinent to
medical diagnosis or treatment by a medical professional.
6. Juvenile Courts: Jurisdiction: Parental Rights. The purpose of the
adjudication phase is to protect the interests of the child. The parents’
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Cite as 34 Neb. App. 412
rights are determined at the dispositional phase, not at the adjudica-
tion phase.
7. Juvenile Courts: Jurisdiction: Proof. At the adjudication stage, in
order for a juvenile court to assume jurisdiction of minor children under
Neb. Rev. Stat. § 43-247(3)(a) (Cum. Supp. 2024), the State must prove
the allegations of the petition by a preponderance of the evidence.
8. Juvenile Courts: Parental Rights: Words and Phrases. “Proper
parental care” under Neb. Rev. Stat. § 43-247(3)(a) (Cum. Supp. 2024)
includes providing a home, support, subsistence, education, and other
care necessary for the health, morals, and well-being of the child. It
commands that the child not be placed in situations dangerous to life or
limb, and not be permitted to engage in activities injurious to his or her
health or morals.
Appeal from the Separate Juvenile Court of Douglas County:
Mary M.Z. Stevens, Judge. Affirmed.
Nicholas E. Wurth, of Law Offices of Nicholas E. Wurth,
for appellant.
Hailey Russell, Deputy Douglas County Attorney, for appel-
lee State of Nebraska.
Thomas C. Riley, Douglas County Public Defender, and
Nicole J. Tegtmeier for appellee Chyna B.
Riedmann, Chief Judge, and Bishop and Freeman, Judges.
Riedmann, Chief Judge.
I. INTRODUCTION
Trevor S., Sr., appeals, and Chyna B. cross-appeals, the
order of the separate juvenile court of Douglas County adju-
dicating their eight children. Finding no error, we affirm the
order of the juvenile court.
II. BACKGROUND
1. Removal of Children
On April 22, 2025, law enforcement was dispatched to a
library in Omaha, Nebraska, due to reports that there were
children in a van in the parking lot and it was unknown if
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they were homeless or had slept in the van overnight. The
windows of the van were covered with blankets, and an offi-
cer made contact with Trevor. Trevor confirmed his wife and
children were in the vehicle, stating that they were not from
Nebraska but had been there for about a week. Trevor informed
officers that the family was driving to another state but had
stayed in Omaha the night before because their teenage son
had run away. At the time officers contacted the family, there
were seven remaining children in the van. The children’s ages
ranged from 1 to 13 years old.
There was a smell of “bad body odor,” and some of the chil-
dren had dirty clothing, matted hair, and teeth that appeared
rotted. Officers learned that Trevor S., Jr. (Trevor Jr.), was the
child that had run away. Officers did not observe car seats in
the van, and at least three of the children required car seats.
Trevor was arrested for child neglect and for a warrant on
a charge from Lancaster County. When searched, officers
located methamphetamine on Trevor’s person. Chyna was
arrested for child neglect. The children were removed from
Trevor’s and Chyna’s care.
2. Medical Examinations and
Forensic Interviews
Some of the children had medical examinations after being
removed from Trevor’s and Chyna’s custody, and some were
forensically interviewed. The examinations occurred shortly
after the children were removed from Trevor’s and Chyna’s
custody, but the forensic interviews happened months later.
Trevor Jr., born in May 2010, had a physical examination
on April 29, 2025, and was forensically interviewed on July
7. Aylah S., born in October 2011, had a physical examina-
tion on April 29, 2025, and was forensically interviewed on
July 7. Aaneiyah S., born in September 2012, was forensically
interviewed on July 7, 2025. Thai S., born in April 2018, had
a medical examination on May 2, 2025, and was forensi-
cally interviewed on June 6. Aa’ziyahn S., born in January
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2021, was medically examined on May 2, 2025. The medical
examinations revealed that Thai and Aa’ziyahn had “pretty
significant dental decay.” Several of Thai’s molars were rot-
ted badly enough that they looked broken. Thai also had a
speech impediment. Trevor Jr. had cavities.
Makenzie Mantz forensically interviewed four of the chil-
dren. When Mantz conducts interviews, she and a member
of the medical staff will introduce themselves to the child
prior to the interview. During their interviews, the children
were told that they may have a medical examination after
the interview and that what they discussed in the interview
would be shared with a nurse to help with the examination.
The children agreed to tell the truth, although Trevor Jr. stated
there were two specific topics that he would not be honest
about. Mantz told Trevor Jr. that if it was hard to tell the
truth about something then he should tell her and they would
discuss it. After the interviews, Trevor Jr. declined to have
a medical examination, but he had not informed Mantz that
he was going to decline during the interview. Thai did not
receive a medical examination after his interview because the
medical provider determined that nothing new was shared in
the forensic interview. Both Aylah and Aaneiyah had medical
examinations after their forensic interviews.
The interviews revealed that all eight children had been
living in the van with Trevor and Chyna. When the family
needed to shower, they would use gas stations or camping
sites and sometimes go to an outreach center, hotels, or a
friend’s home. They would use the bathrooms at stores, gas
stations, or use a “porta potty.” However, sometimes Chyna
would not allow the children to enter a store to use a rest-
room because the children looked “messy,” and instead they
would use a “porta potty” in the van. They would wash their
clothes at laundromats. All four of the children reported that
to earn money, some of the children would panhandle. Aylah
said it was her idea to panhandle because they needed to
wash clothes.
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Although the children all reported having food, Trevor Jr.
stated that sometimes he did not get to eat as much as he
wanted, and Thai confirmed there were times when he was
hungry and not able to get food and he would “act up.” Both
Trevor Jr. and Thai recalled that the temperature in the van
could get very hot. Thai stated that there were times when
Trevor and Chyna would leave the children and play “slots.”
Aylah and Aaneiyah said the children attended online school
when they had access to the internet, but Trevor Jr. stated they
had stopped attending online school sometime in 2024. Thai
reported he had not been to school.
3. Petitions and Adjudication
The State filed a petition and supplemental petition alleg-
ing the children were within the provisions of Neb. Rev. Stat.
§ 43-247(3)(a) (Cum. Supp. 2024) because they lacked proper
parental care by reasons of the faults or habits of Trevor and
Chyna. Specifically, the State alleged that law enforcement
responded to a well-being check; found the children living
out of a van; the children had “dirty clothing, bad body odor,
matted hair, and rotten teeth”; that the children said they
had not eaten or had water in 2 days; that Trevor and Chyna
were booked into jail on multiple counts of child neglect;
that Trevor and Chyna had failed to provide the children
with safe, stable, and/or appropriate housing; that Trevor and
Chyna had failed to provide proper parental care, support,
supervision, and/or safety to the children; and that due to the
allegations, the children were at risk of harm. The State also
alleged that Trevor’s current and/or prior use and/or posses-
sion of alcohol and/or controlled substances put the children
at risk of harm.
At the adjudication hearing, as relevant to this appeal,
both Trevor and Chyna objected to the forensic interviews on
the basis that they were hearsay. The juvenile court received
the interviews into evidence. The juvenile court found that the
children were within the provisions of § 43-247(3)(a) by a
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Cite as 34 Neb. App. 412
preponderance of the evidence. However, it dismissed the alle-
gation that officers were advised that the children had not eaten
or drank anything for 2 days due to lack of evidence. Trevor
appeals, and Chyna cross-appeals.
III. ASSIGNMENTS OF ERROR
Trevor assigns that the juvenile court erred in (1) admitting
the forensic interviews of the children into evidence over his
objections and (2) finding that the State met its burden of proof
by offering sufficient evidence to adjudicate the minor children
under § 43-247(3)(a). Chyna assigns that the juvenile court
erred in (1) admitting the forensic interviews of the children,
as well as the testimony of Mantz and two medical profession-
als, into evidence over her objections and (2) finding sufficient
evidence to adjudicate the children under § 43-247(3)(a). As
Chyna’s arguments supporting her assigned errors are similar
to Trevor’s arguments, we address them together.
IV. STANDARD OF REVIEW
[1] An appellate court reviews juvenile cases de novo on
the record and reaches its conclusions independently of the
juvenile court’s findings. See In re Interest of Xandria P., 311
Neb. 591, 973 N.W.2d 692 (2022).
V. ANALYSIS
1. Forensic Interviews
Both Trevor and Chyna assign that the juvenile court erred
in admitting the forensic interviews of the children into evi-
dence over their objections. Chyna also assigns that the juve-
nile court erred in admitting the testimony of Mantz and two
medical professionals who examined the children into evi-
dence. We find that the juvenile court did not err in admitting
the interviews or the testimony into evidence because they fell
within the medical purpose exception to the hearsay rule.
[2] A declarant’s out-of-court statement offered for the
truth of the matter asserted is inadmissible unless it falls
within a definitional exclusion or statutory exception. In re
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IN RE INTEREST OF TREVOR S. ET AL.
Cite as 34 Neb. App. 412
Interest of Xandria P., supra. Neb. Evid. R. 803(4), Neb.
Rev. Stat. § 27-803(4) (Cum. Supp. 2024), provides that a
statement is not excluded by the hearsay rule if it is “made
for purposes of medical diagnosis or treatment and describ-
ing medical history, or past or present symptoms, pain, or
sensations, or the inception or general character of the cause
or external source thereof insofar as reasonably pertinent to
diagnosis or treatment.”
[3,4] Rule 803(4) is based on the notion that a person seek-
ing medical attention will give a truthful account of the history
and current status of his or her condition in order to ensure
proper treatment. See In re Interest of Xandria P., supra (dis-
cussing § 27-803(3) (Reissue 2016)). The Nebraska Supreme
Court has held that statements made to a forensic interviewer
in a medical setting may be admissible under rule 803(4) even
though the interview has the partial purpose of assisting law
enforcement. See State v. Vigil, 283 Neb. 129, 810 N.W.2d
687 (2012). The fundamental inquiry to determine whether
statements, made by a declarant who knew law enforcement
was listening, had a medical purpose is if the challenged
statement has some value in diagnosis or treatment, because
the patient would still have the requisite motive for providing
the type of sincere and reliable information that is important
to that diagnosis and treatment. In re Interest of Xandria P.,
supra. Whether a statement was both taken and given in con-
templation of medical diagnosis or treatment is a factual find-
ing in determining the admissibility of the evidence under rule
803(4). See In re Interest of Xandria P., supra.
[5] Mantz explained that some goals of a forensic interview
include gathering information from children about alleged
abuse for law enforcement investigations, as well as infor-
mation for medical treatment and mental health referrals.
Statements having a dual medical and investigatory purpose
are admissible under rule 803(4) only if the proponent of
the statements demonstrates that (1) the declarant’s purpose
in making the statements was to assist in the provision of
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IN RE INTEREST OF TREVOR S. ET AL.
Cite as 34 Neb. App. 412
medical diagnosis or treatment and (2) the statements were of
a nature reasonably pertinent to medical diagnosis or treatment
by a medical professional. See In re Interest of Xandria P., 311
Neb. 591, 973 N.W.2d 692 (2022).
Under rule 803(4), the admissibility of a victim’s statements
in a recording is not distinct from the admissibility of the
statements themselves. See In re Interest of Xandria P., supra.
The fundamental inquiry when considering a declarant’s intent
is whether the statement was made in legitimate and reason-
able contemplation of medical diagnosis or treatment. Id.
Under rule 803(4), the appropriate state of mind of the declar-
ant may be reasonably inferred from the circumstances; such a
determination is necessarily fact specific. See In re Interest of
Xandria P., supra.
Chyna argues that much of the case law discussing this
hearsay exception relates to sexual assault, which “present[s]
a clear nexus between statements made in the forensic inter-
view and medical treatment – the physical nature and contact
of an alleged sexual assault, often warrants further medical
attention.” Brief for appellee on cross-appeal at 21. However,
nothing in the statute or case law limits this exception to
statements made to forensic interviewers related only to sex-
ual assault. A child who has been subject to past physical
abuse, such as certain types of discipline, could be in as much
need of medical treatment as a child victim of sexual assault.
We reject this limitation on the application of the medical
purpose exception.
(a) Declarant’s Purpose
Based on the circumstances, it can be reasonably inferred
that the children’s purpose when making the statements was
to assist in obtaining medical diagnosis or treatment. Mantz
stated that the center where the interviews occurred offers
foster care examinations, as well as medical examinations
that happen after interviews. The children received foster
care examinations at the same place where they were later
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IN RE INTEREST OF TREVOR S. ET AL.
Cite as 34 Neb. App. 412
forensically interviewed, so they were aware that medical
examinations occurred there.
During the interview, each child was told that he or she
may have a medical examination and that the information
from the interview would be shared with a nurse. Mantz
also informed the children that they were there to make sure
each child was safe and healthy. She also impressed upon the
children the importance of telling the truth in the interview.
Trevor Jr. specified two topics that he would not be honest
about. Mantz told him that if it was hard to tell the truth about
something, then he should tell her and they would discuss it.
The other children confirmed they would tell the truth during
the interviews.
During his interview, Trevor Jr. stated he thought he had
been told he was there for questions and a physical. Although
Trevor Jr. declined to have a medical examination after his
interview, he did not decline it prior to, or during, the inter-
view. Thai did not have a medical examination because a
medical provider determined that no new information was
collected in the interview and did not warrant an examination.
Both Aylah and Aaneiyah received medical examinations fol-
lowing their interviews. Even if, as Trevor argues, there was
no evidence the children made allegations of abuse that would
have informed their understanding of why they were being
interviewed or examined, the children were still aware that
they may be receiving medical treatment and that the infor-
mation from the interview would be shared with a medical
provider. They were also aware that telling the truth during
the examination was important.
Trevor and Chyna argue that because the children received
medical examinations prior to their forensic interviews, the
interviews were not for a medical purpose. One of the medical
professionals who had performed some of the examinations
stated that in her training and experience, it was standard
protocol that children entering foster care received an initial
medical examination.
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IN RE INTEREST OF TREVOR S. ET AL.
Cite as 34 Neb. App. 412
Although the children received medical examinations prior
to their forensic interviews, they were all aware that they could
have another medical examination following the interview and
that the information from the interview would be shared with
a medical provider. Mantz confirmed that the procedure and
disclosures regarding medical examinations still occur even if
a child later declined to be examined. The children still had
the same motivation to tell the truth in the interviews because
they were aware their statements were intended to be used to
receive medical treatment, even if they later did not receive
an examination. From the circumstances, it can reasonably
be inferred that the children’s purpose in making the state-
ments was to assist in the provision of medical diagnosis or
treatment. See In re Interest of Xandria P., 311 Neb. 591, 973
N.W.2d 692 (2022).
(b) Pertinent to Diagnosis or Treatment
The State also was required to show that the statements
were of a nature reasonably pertinent to diagnosis or treatment
by a medical professional. In the interviews, the children were
asked questions regarding their living situations and how the
financial needs of the family were met, as well as questions
about schooling, eating, and hygiene. They were also asked
about the disciplinary practices Trevor and Chyna employed
when the children misbehaved. Whether the children’s nutri-
tional and other physical needs were met, the discipline prac-
tices were employed, and their hygiene and schooling needs
were met were all issues that could require additional medical
or mental health care. The same is true with the children’s
panhandling to earn money to support the family. The infor-
mation gathered during the forensic interviews was relevant
to determining what medical and mental health care needs the
children may have had. The medical providers’ reliance on
this information is evinced by the decision not to reexamine
Thai following his interview.
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IN RE INTEREST OF TREVOR S. ET AL.
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Chyna argues that the necessary information had been gath-
ered during the medical examinations, which had occurred
when the children entered foster care, and that the forensic
interviews “were much more indicative of a fishing expedi-
tion for additional evidence in criminal and civil prosecutions
than interviews conducted for a legitimate medical purpose.”
Brief for appellee on cross-appeal at 27-28. Mantz did not
recall being provided with summaries of the medical exami-
nations the children received when they were first taken into
foster care prior to conducting the forensic interviews. She
could not have conducted a “fishing expedition” for additional
evidence when she was unaware of the information that had
previously been gathered. This reinforces that Mantz’ goal in
the forensic interviews was to determine whether the children
were in need of medical or mental health care based upon the
circumstances described by the children.
From the circumstances surrounding the interviews, it can
reasonably be inferred that the children’s purpose in making
the statements was to assist in the provision of medical diag-
nosis or treatment. The statements were of a nature reasonably
pertinent to the diagnosis or treatment by a medical profes-
sional. Just as the juvenile court stated it would give weight
only to statements relevant and related to medical diagnosis
or treatment, an appellate court disregards inadmissible or
improper evidence in its de novo review. See In re Interest of
Xandria P., supra. Upon our de novo review, we determine
the juvenile court did not err in admitting the forensic inter-
views or the testimony from Mantz and the medical profes-
sionals into evidence. This assignment of error fails.
2. Adjudication
[6,7] Both Trevor and Chyna assign that the juvenile
court erred in finding that the State met its burden of proof
by offering sufficient evidence to adjudicate the minor chil-
dren under § 43-247(3)(a). The purpose of the adjudication
phase is to protect the interests of the child. In re Interest of
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Xandria P., 311 Neb. 591, 973 N.W.2d 692 (2022). The par-
ents’ rights are determined at the dispositional phase, not at
the adjudication phase. Id. At the adjudication stage, in order
for a juvenile court to assume jurisdiction of minor children
under § 43-247(3)(a), the State must prove the allegations of
the petition by a preponderance of the evidence. In re Interest
of Xandria P., supra.
[8] Here, the State alleged that the children lacked proper
parental care by reason of the faults or habits of Trevor and
Chyna. “Proper parental care” under § 43-247(3)(a) includes
providing a home, support, subsistence, education, and other
care necessary for the health, morals, and well-being of the
child. In re Interest of Jeremy U. et al., 304 Neb. 734, 936
N.W.2d 733 (2020). It commands that the child not be placed
in situations dangerous to life or limb, and not be permitted
to engage in activities injurious to his or her health or mor-
als. Id.
Determining whether a juvenile lacks proper parental care
by reason of the faults or habits of his or her parent is a
two-step inquiry. See id. The first step is to determine if the
juvenile is lacking proper parental care, whether such care is
being provided by a parent, a guardian, or a custodian. Id. If
the juvenile is not lacking that type of care (and there is no
definite risk of harm), adjudication under this provision of
§ 43-247(3)(a) is improper. See In re Interest of Jeremy U. et
al., supra. If, on the other hand, the juvenile is lacking such
care, the court should proceed to the second step: Does that
condition result from the fault or habits of the juvenile’s par-
ent, guardian, or custodian? Id. If the answer to that question is
also yes, then the juvenile court should take jurisdiction of the
juvenile and proceed to a proper disposition. Id.
The evidence the State presented established that the chil-
dren lacked proper parental care due to the faults or habits of
Trevor and Chyna and were at risk of harm. The eight children
were living in a van with Trevor and Chyna. Trevor told offi-
cers the family had been in Nebraska for about a week, but
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he had a charge in Lancaster County with an offense date of
January 25, 2025, approximately 3 months prior. Other evi-
dence presented indicated that the family had been in Nebraska
for as long as 10 months. Although three of the children
required car seats, officers did not observe any in the van.
Trevor had methamphetamine on his person when arrested.
Officers observed a strong smell of body odor and some of the
children had dirty clothes and matted hair. The children would
use a “porta potty” in the van when they looked too “messy”
to go into stores to use the bathroom.
Thai had molars that had rotted badly enough that parts
of the teeth were missing, Aa’ziyahn had significant dental
issues, and Trevor Jr. had cavities. Thai stated he had never
been to a doctor. Aaneiyah reported that a certain allergy
medicine was “pretty good” because it would help with sleep
or with allergies, and she would take it “a lot.” Although the
children all reported having food, Trevor Jr. stated he did not
always get to eat as much as he wanted, and Thai confirmed
there were times he was hungry and not able to eat and he
would “act up.”
Aylah and Aaneiyah reported they participated in online
school, but Trevor Jr. stated that they had stopped online school
sometime in 2024. The children panhandled to earn money.
Thai recalled the children being left alone while Trevor and
Chyna would “play slots.” Both Trevor Jr. and Thai stated
the van could get very hot. Overall, the evidence showed the
children lacked proper parental care by reason of the faults or
habits of Trevor and Chyna and were at risk of harm.
Trevor argues that “[w]hen the State alleges only lack of
parental care through the faults or habits of a parent, the
adjudication of the parent cannot be premised on facts specifi-
cally covered by the other, uncharged, grounds for adjudica-
tion under §43-247(3)(a).” Brief for appellant at 24. Chyna
advances a similar argument. In support of this argument,
Trevor relies on In re Interest of Jeremy U. et al., 304 Neb.
734, 936 N.W.2d 733 (2020). In that case, the State argued
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that “lack[ing] proper parental care” under § 43-247(3)(a)
included abandonment, but the court found the argument
unpersuasive. Id. Because § 43-247(3)(a) included abandon-
ment as a separate ground, the court determined that “lack[ing]
proper parental care” under the statute focused on something
other than abandonment, which the State had not alleged. See
In re Interest of Jeremy U. et al., supra.
Since homelessness and destitution are listed as separate
grounds for adjudication under the statute, Trevor argues it is
improper to consider evidence directly related to those issues
because the State did not allege them as bases for adjudica-
tion. Chyna argues that the State could not rely on evidence
that “would more naturally prove up” other, uncharged bases
to establish the children lacked proper parental care. Brief
for appellee on cross-appeal at 30. But here, the children
were not adjudicated because they were homeless or desti-
tute through no fault of Trevor or Chyna. Rather, they were
adjudicated because the State presented evidence that, due to
the faults or habits of Trevor and Chyna, they lacked proper
parental care and were at risk of harm. Although the evidence
presented may have established the children were homeless
and destitute, it also proved the allegation in the petitions.
The evidence further established that the older children had
experienced harm resulting from the lack of proper parental
care. This included poor hygiene, dental issues, and incon-
sistent schooling, as well as having to panhandle to earn money
to support the family. The younger children, being in the same
environment, are at risk of experiencing that same harm. The
Nebraska Juvenile Code does not require a juvenile court to
wait until disaster has befallen a minor child before the court
may acquire jurisdiction. See In re Interest of Prince R., 308
Neb. 415, 954 N.W.2d 294 (2021). The State showed that the
children lack proper parental care through the faults or habits
of Trevor and Chyna and are at risk of harm. The juvenile court
did not err in finding the children to be within the provisions of
§ 43-247(3)(a). This assignment of error fails.
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VI. CONCLUSION
We find that the juvenile court did not err in admitting in
evidence the forensic interviews or the testimony related to
them. The juvenile court did not err in finding that the children
fell within the provisions of § 43-247(3)(a). We affirm the
order of the juvenile court.
Affirmed.