The kids were starved. The dogs were well-fed

David Louise Turpin_FT_Worth_TX_Home_CBS11

Meanwhile, their children are now being hospitalized for malnutrition and - for some - cognitive impairment from physical abuse.

A limited staff is now working with those victims trying to develop their own bond with the siblings, Corona Regional Medical Center CEO Mark Uffer added. "But this had been going on even before they had children".

Now, people all over the world are wondering what will happen to the children, and what the future holds for them.

Uffer said patients notice if their doctors appear "hopeless", "so we picked the most positive, upbeat, caring, consistent individuals to care for them and I'm sure that they can feel that".

Parents David Turpin, 56, and Louise Turpin, 49, who were arrested and detained, have pleaded not guilty to charges including multiple counts of torture, child abuse, dependent adult abuse and false imprisonment dating to 2010.

Prosecutors say the baby, now 2 years old, is the only one of the 13 children who appeared well-fed and looked after.

He said that the kids have never seen a dentist.

Judge Michael Donner ordered each defendant to remain held on $12million (£8.6million) bail and set the next hearing in the case for February 23.

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David and Louise Turpin are both from Princeton, West Virginia, relatives say.

An April 2016 photograph shows the same smiling children and the couple wearing jeans and red t-shirts that read "Thing 1", "Thing 2", "Thing 3" and so on - a take on the mischievous siblings in the popular Dr Seuss book "The Cat in the Hat".

All the victims except for the toddler are severely malnourished, Hestrin said, adding that the eldest victim - a 29-year-old woman - weighs only 82 pounds.

Uffer described the victims' conditions as "not so different than a prisoner of war".

Parks also told ABC News that the CPS office in Riverside is an advocate of sibling adoption, so there would be an effort to keep the siblings together. Even more heartening: "They're hopeful that life will get better for them after this event", he shared. "So we are providing that environment ... in terms of the teaching, training, educating, nourishing emotionally and physically".

California couple David and Louise Turpin abused their 13 kids for eight years.

Perris Union High School District Superintendent Grant Bennett said his district is not told when a private school is operating in the district.

Sharon Ontiveros, 63, stopped by the house with her 3-year old granddaughter, who left a stuffed animal with dozens of others on the front walkway.

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Research into the journals likely will have to wait until the Turpins' criminal case is resolved, and only if the writings are released to academics, Pennebaker said.

"So it's affected the staff".

Neighbours in Perris, where modest but well maintained homes are tightly packed on suburban streets, said they were stunned by the arrests. "It becomes very personal to you". So it does stay with you.

"Sure, we're saying we should have known, but behind closed doors you don't know what's going on", she told the Associated Press. She said that she was "shocked" and didn't see "any type of abuse" of their children.

"The response was immediate and it has been tremendous", Orr said. Hestrin said that David Turpin also was charged with a lewd act on a child by force or fear of duress.

The pair have pleaded not guilty to all charges.

Patricia Costales, chief executive of The Guidance Centre, a California-based nonprofit that provides children with mental health therapy, said of the younger children: "Their brains are still adapting, they're still forming, they're still developing their understanding of the world".

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