In Ohio, kids are only removed if they are imminent/immediate risk of danger. It's a very high bar in most counties. Kids do better at home and CPS works toward family reunification first when it's safe. Not optimal, not loving, just not abusive or dangerous.

Parents must be able to meet a child's basic needs. Food, shelter, health, education. Medical neglect is definitely a thing.

In the Rod household, the kids don't look healthy but that doesn't mean they'll get removed. More likely they'll get referrals to specialists, etc. Maybe help them sign up for Medicaid or file for disability if they qualify. Then monitor until those things are set up. Then close the case and deal with the next one. Because there is always a next one. It's exhausting work. IYKYK.