In re Interest of Jay'Oni W. , 31 Neb. Ct. App. 302 ( 2022 )


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    Nebraska Court of Appeals Advance Sheets
    31 Nebraska Appellate Reports
    IN RE INTEREST OF JAY’ONI W. ET AL.
    Cite as 
    31 Neb. App. 302
    In re Interest of Jay’Oni W. et al.,
    children under 18 years of age.
    State of Nebraska, appellee, v.
    Breyonna W., appellant.
    ___ N.W.2d ___
    Filed August 30, 2022.   No. A-21-990.
    1. Juvenile Courts: Evidence: Appeal and Error. An appellate court
    reviews juvenile cases de novo on the record and reaches its conclu-
    sions independently of the findings made by the juvenile court below.
    However, when the evidence is in conflict, an appellate court may
    consider and give weight to the fact that the juvenile court observed the
    witnesses and accepted one version of the facts over another.
    2. Parental Rights: Proof. Terminating parental rights requires both clear
    and convincing evidence that one of the statutory grounds enumerated in
    
    Neb. Rev. Stat. § 43-292
     (Reissue 2016) exists and clear and convincing
    evidence that termination is in the best interests of the children.
    3. Evidence: Words and Phrases. Clear and convincing evidence means
    and is that amount of evidence which produces in the trier of fact a
    firm belief or conviction about the existences of a fact to be proven. It
    is more than a preponderance of evidence, but less than proof beyond a
    reasonable doubt.
    4. Parental Rights: Proof. 
    Neb. Rev. Stat. § 43-292
    (7) (Reissue 2016)
    operates mechanically and does not require the State to adduce evidence
    of any specific fault on the part of the parent.
    5. ____: ____. Any one of the bases for termination codified by 
    Neb. Rev. Stat. § 43-292
     (Reissue 2016) can serve as a basis for termination of
    parental rights when coupled with evidence that termination is in the
    best interests of the children.
    6. Parental Rights. When a parent is unable or unwilling to rehabilitate
    himself or herself within a reasonable period of time, the child’s best
    interests require termination of parental rights.
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    IN RE INTEREST OF JAY’ONI W. ET AL.
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    7. Parental Rights: Time. The 15-month condition contained in 
    Neb. Rev. Stat. § 43-292
    (7) (Reissue 2016) provides a reasonable timetable for
    parents to rehabilitate themselves.
    8. Parental Rights. Children cannot, and should not, be suspended in fos-
    ter care or be made to await uncertain parental maturity.
    Appeal from the Separate Juvenile Court of Douglas County:
    Amy N. Schuchman, Judge. Affirmed.
    Thomas C. Riley, Douglas County Public Defender, and
    Lauren A. Walag for appellant.
    Kristin Huber, Deputy Douglas County Attorney, and
    Traemon Anderson, Senior Certified Law Student, for appellee.
    Pirtle, Chief Judge, and Bishop and Welch, Judges.
    Pirtle, Chief Judge.
    INTRODUCTION
    Breyonna W. appeals from an order of the separate juvenile
    court of Douglas County terminating her parental rights with
    respect to one of her minor children, Jasmine W. For the rea-
    sons that follow, we affirm.
    BACKGROUND
    We are tasked with reviewing the termination of Breyonna’s
    parental rights with respect to her daughter Jasmine, born in
    2013. However, Jasmine is only one of three children involved
    in the underlying juvenile court proceedings, as Breyonna is
    also the biological mother of Jasmine’s two younger sisters,
    Ja’Niyah W., born in 2018, and Jay’Oni W., born in 2020. All
    three children resided with Breyonna until they were removed
    from Breyonna’s care in March 2020. Thereafter, all three
    children were placed together in a kinship foster home, and
    despite Ja’Niyah’s being placed with her father for a period
    of time, all three children remained placed together as of the
    termination hearings in September and October 2021. As far as
    we are aware, all three children continue to reside together in
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    IN RE INTEREST OF JAY’ONI W. ET AL.
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    31 Neb. App. 302
    a kinship foster home, and Breyonna’s parental rights remain
    intact with respect to Ja’Niyah and Jay’Oni. Thus, while
    Ja’Niyah and Jay’Oni will be discussed only as necessary to
    address Breyonna’s claims with respect to Jasmine, this case
    presents the rather unique circumstance of three siblings that
    have experienced more or less the same progression through
    the juvenile court system, yet only one of the three has so
    far been subjected to the termination of her mother’s paren-
    tal rights.
    The present case arose out of an incident on March 22,
    2020, in which Breyonna reportedly sent her mother a message
    threatening to kill Ja’Niyah because Ja’Niyah called Breyonna
    a “‘FAT ASS Bitch.’” In response, Breyonna’s mother called
    law enforcement to conduct a welfare check of the three chil-
    dren, and the responding officers observed the following:
    The house had trash piled up in the corners, trash
    and dirt all over the floor making it difficult to move
    around, open containers of food and beverages were lit-
    tered around the entire house, dirty laundry was piled
    up in every room, the bathroom had not been cleaned in
    sometime [sic], used femine [sic] hygeine [sic] products
    were on the floor, unknown bugs were crawling around
    the bathroom, the floors and walls had been drawn on and
    damaged, mold was observed in open containers, there
    was one bed for all 4 people, and the house smelled of
    stale and old food.
    All the children were dressed in dirty clothes and did
    not smell clean.
    On March 24, 2020, based on the foregoing, the State filed
    an ex parte motion for immediate temporary custody and a
    juvenile petition alleging that the three children came within
    the meaning of 
    Neb. Rev. Stat. § 43-247
    (3)(a) (Reissue 2016),
    in that they lacked proper parental care by reason of the fault
    or habits of Breyonna. The juvenile court granted the ex parte
    motion and ordered the Nebraska Department of Health and
    Human Services to take temporary custody of the children.
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    Cheyenne Wilson, who was the case manager for this fam-
    ily throughout the life of the case, later testified that all three
    children were initially placed in the home of Breyonna’s
    grandmother. The children remained in that home from March
    to December 2020, at which point they were placed in the
    home of Jasmine’s paternal great-aunt. Although Ja’Niyah
    was apparently placed for a time in the home of her father,
    Wilson testified that at the time of the termination hearings, all
    three children were placed in the home of Jasmine’s paternal
    great-aunt.
    On April 1, 2020, the court found probable cause to sup-
    port the State’s juvenile petition and ordered that the chil-
    dren remain in the temporary custody of the department.
    Additionally, the court entered a number of orders regarding
    services for Breyonna and the children. The court ordered that
    Breyonna “shall have reasonable rights of agency supervised
    family time/visitation as arranged by the [department]” and
    “invited” Breyonna to engage in a number of additional serv­
    ices. The court further ordered that “St. Francis is to arrange
    and provide for services for [Breyonna] as she has indicated
    she is willing to participate in these services.”
    On June 11, 2020, Breyonna admitted to “Count I-B and
    Count I-C” of the juvenile petition in exchange for the State’s
    dismissal of the remaining counts. Specifically, Breyonna
    admitted that “[o]n or about March 22, 2020, law enforce-
    ment officials observed the family home . . . to be in a filthy,
    unwholesome condition placing said juveniles at risk of harm,”
    and that she “has failed to provide proper parental care, sup-
    port and/or supervision for said juveniles.” Thus, the juvenile
    court entered an order finding, by a preponderance of the
    evidence, that all three children were within the meaning
    of § 43-247(3)(a). The court ordered that Breyonna “shall”
    attend a psychiatric appointment for medication evaluation,
    complete a parenting assessment, participate in family support
    services, participate in agency supervised visitation, complete
    a co-occurring evaluation, and sign releases of information
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    “between her probation officer and St. Francis.” On July
    30, the juvenile court additionally ordered Breyonna to par-
    ticipate in parent-child interactive therapy with Jay’Oni and
    Jasmine, undergo a psychological evaluation with a parenting
    assessment, undergo a psychiatric evaluation, maintain a stable
    source of income, maintain adequate housing, participate in
    a domestic violence course, and submit to random urinalysis
    drug testing.
    On December 2, 2020, the juvenile court entered an order
    largely reiterating the previously ordered services, with the
    exception of the psychological evaluation and the co-occurring
    evaluation, as Breyonna completed those evaluations in October
    and November 2020 respectively. As a result of the psychologi-
    cal evaluation, Breyonna was recommended to participate in
    trauma-based therapy, which the court added to the ordered
    services. As a result of the co-occurring evaluation, Breyonna
    was recommended to participate in “Level 2.1 [o]utpatient
    treatment,” which the court added to the ordered services. On
    March 29, 2021, the juvenile court entered an order reiterating
    the same ordered services. Although the ordered services still
    included a psychiatric evaluation, Wilson later testified that
    Breyonna completed the psychiatric evaluation in February
    2021 and that she was recommended “to continue with medi-
    cation management and to take the prescribed medication and
    return on a monthly basis.”
    On April 7, 2021, the guardian ad litem for the children
    filed an ex parte motion to suspend visitation. The motion
    was based on an affidavit from a “visitation and family sup-
    port worker” “outlining her concerns regarding [Breyonna’s]
    visitation, including [Breyonna’s] being unable to control her
    emotions during visits, repeatedly inspecting [Ja’Niyah] for
    marks on her body and in her vaginal region, apparent dete-
    riorating mental health, and signs of being under the influ-
    ence.” On April 8, the juvenile court granted the motion of the
    guardian ad litem and entered an ex parte order suspending
    visitation. On May 12, the court entered an order finding that
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    IN RE INTEREST OF JAY’ONI W. ET AL.
    Cite as 
    31 Neb. App. 302
    “upon agreement of the parties, [Breyonna] shall be allowed
    to have visitation with [Jay’Oni, Ja’Niyah, and Jasmine] in the
    form of virtual visitation.” Visitation was set to occur once a
    week, with increased frequency “at the discretion of the case
    manager.” As of the first termination hearing, visitation had
    not increased beyond once a week, and visits continued to
    occur virtually.
    On June 28, 2021, the State filed a motion for termina-
    tion of Breyonna’s parental rights with respect to Jay’Oni and
    Jasmine only. The motion alleged that Jay’Oni and Jasmine
    came within the meaning of 
    Neb. Rev. Stat. § 43-292
    (2), (6),
    and (7) (Reissue 2016). The motion did not identify any fac-
    tual basis with respect to the allegations under § 43-292(2) and
    (7). With respect to the allegation under § 43-292(6), the State
    listed the court-ordered services that it believed Breyonna had
    not successfully completed, alleging that Breyonna had failed
    to do the following: (1) participate in parent-child interactive
    therapy; (2) obtain and maintain a stable and legal source of
    income; (3) maintain safe, appropriate, and adequate hous-
    ing; (4) participate in trauma-focused therapy; (5) submit to
    urinalysis testing; (6) participate in “Level 2.1 [o]utpatient
    treatment”; (7) participate in supervised visitation; and (8)
    follow recommendations of the psychiatric evaluation. The
    State thus alleged that terminating Breyonna’s parental rights
    with respect to Jay’Oni and Jasmine was in the best interests
    of the children. Breyonna made her first appearance on the
    motion for termination on July 1, at which time she entered,
    and the court accepted, a plea of denial to the allegations in the
    motion. On July 6, the juvenile court entered an order largely
    reiterating the ordered services for Breyonna, except Breyonna
    was no longer ordered to participate in parent-child interac-
    tive therapy.
    On September 22, 2021, the court held the first of two
    hearings on the motion for termination of Breyonna’s paren-
    tal rights with respect to Jay’Oni and Jasmine. Wilson was
    the only witness to testify at the first termination hearing. At
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    the start of the hearing, the court indicated that “[w]e are
    here for adjudication on the motion for termination of paren-
    tal rights regarding Jay’Oni and Jasmine.” However, it was
    eventually revealed that the termination proceedings actually
    pertained to Jasmine alone, given that an appearance had been
    entered by Jay’Oni’s biological father.
    With regard to the court order that Breyonna maintain
    adequate housing, Wilson testified that “Breyonna has con-
    sistently reported that she has had housing . . . . The big-
    gest concern was the appropriateness of the housing.” Wilson
    testified that family support services was “assigned to assist
    Breyonna with different housing goals.” Wilson testified that
    Breyonna initially worked with her family support worker to
    address the safety and cleanliness of the home; however, at
    some point, “the goals shifted, as Breyonna . . . was under
    the impression that she wasn’t going to be able to stay in that
    apartment, in that residence much longer, and it started shifting
    towards applying for different housing services.” Wilson testi-
    fied that when she asked to go inside Breyonna’s residence,
    Breyonna “often told [her] that the home is not appropriate
    and she doesn’t want me to come inside.” Wilson testified
    that Breyonna “seems to understand and acknowledge that she
    needs to address her housing situation.” However, Breyonna
    continued to reside in the same residence at the time of the ter-
    mination hearings, and there was no indication that Breyonna
    had made progress toward establishing a home which was safe
    and suitable for the children.
    With regard to the court order that Breyonna maintain
    a stable source of income, Wilson testified that Breyonna
    “reported on a couple different times that she has worked
    at different locations and was also trying to apply for dis-
    ability.” Wilson testified that throughout the pendency of
    this case, Breanna worked at three different businesses. With
    respect to two of the businesses, there was no evidence as to
    the time period during which Breyonna was working at those
    locations. With respect to the third, Wilson testified only that
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    Breyonna worked there for “a month or two.” According to
    Wilson, Breyonna reported that she was fired from the third
    business because “she had been late numerous times to work
    but that she also wore the wrong clothing for work.” With
    respect to disability, Wilson testified that Breyonna worked
    with her family support worker to complete an application,
    but “the next steps required from disability had not been com-
    pleted and so Breyonna was needing to reapply.”
    As mentioned above, Breyonna was ordered to participate
    in Level 2.1 outpatient treatment as recommended by the
    co-occurring evaluation completed in November 2020. Wilson
    testified Level 2.1 outpatient treatment is “for both group ses-
    sions and individual sessions a couple times a week, two to
    three times a week.” Wilson testified that Breyonna arranged
    to participate in treatment at the Douglas County Community
    Mental Health Center (CMHC), and her first appointment was
    sometime in April 2021. Wilson testified that Breyonna went to
    at least “a couple” additional appointments at CMHC and did
    not report any issues.
    At some point, Wilson contacted CMHC and a “treat-
    ment provider” recommended to her that Breyonna complete
    an updated chemical dependency evaluation, “as there was
    concern that maybe the Level 2.1 outpatient [treatment] was
    not sufficient for Breyonna.” An updated chemical depen-
    dency evaluation recommended that Breyonna participate in
    residential treatment. Wilson testified that “Breyonna was not
    resistant to going” and that “[s]he was open to getting help
    through a residential treatment facility.” Breyonna arranged
    to participate in residential treatment at “Stephen Center”
    beginning on August 25, 2021. However, Wilson testified
    that Breyonna was unsuccessfully discharged from Stephen
    Center on September 6 because Breyonna “felt [a peer] had
    made a threat to her. . . . Breyonna had talked with staff at
    the Stephen Center [and] did not feel it was handled appropri-
    ately. Breyonna had made a statement that she could possibly
    burn the place down.”
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    After being discharged from Stephen Center, Breyonna
    arranged for residential treatment at “Family Works.”
    Breyonna was scheduled to begin treatment at Family Works
    on September 21, 2021, the day prior to the September 22
    hearing. However, Breyonna did not show up to Family Works
    as scheduled. Wilson testified that Breyonna would need to
    call Family Works to set up a new appointment, but it is
    unclear if that was ever done.
    With regard to the court order that Breyonna participate in
    trauma-focused therapy, Wilson testified that such would have
    been completed “at the same time” as Breyonna’s chemical
    dependency treatment. Wilson testified that “we had already
    had the recommendation for her treatment for substance use
    and [trauma-focused] therapy would have and could have
    been completed during that time in both treatments.” This
    would seem to suggest that Breyonna was supposed to par-
    ticipate in trauma-focused therapy as part of her Level 2.1
    outpatient treatment at CMHC and then her residential treat-
    ment at Stephen Center and, prospectively, at Family Works.
    However, there was no mention of trauma-focused therapy in
    those contexts. Wilson ultimately testified that Breyonna did
    not participate in trauma-focused therapy, although Wilson tes-
    tified that Breyonna appeared to understand the importance of
    both “chemical dependency and trauma-focused treatment” and
    “was willing to engage in those services.”
    As mentioned above, Breyonna completed the court-ordered
    psychiatric evaluation in February 2021 and, according to
    Wilson, was recommended to “continue with medication man-
    agement and to take the prescribed medication and return on a
    monthly basis.” Wilson testified that Breyonna was “willing to
    participate” with that recommendation; however, Wilson sug-
    gested that Breyonna was somewhat ambivalent about taking
    her medications and attending appointments. Wilson testified
    as follows:
    Breyonna indicated at times that she was not taking her
    medication. There were times where she reported she
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    would — she liked taking her medication. There were
    times she reported she didn’t like her medication and that
    she didn’t want to take it. That it made her feel different.
    And I had suggested she talk with her doctor and return to
    other appointments. Breyonna had reported that she had
    gone to some of those appointments but was not always
    consistent in taking her medication.
    Wilson added, “I believe [Breyonna] has an appointment
    scheduled [in October], but I believe it has been at least a cou-
    ple months before — since she has been to that appointment.”
    Wilson testified that she last spoke to staff at the psychiatrist’s
    office in August 2021, and they told Wilson that Breyonna
    “did not attend every appointment that was on a monthly basis
    but had attended some of them.” Wilson also testified that
    Breyonna reported she was taking her medication at Stephen
    Center but “had not been taking it once leaving.”
    With regard to supervised visitation, Wilson testified that
    due to the COVID-19 pandemic, the initial visits were entirely
    virtual. Wilson testified that in-person visits began in “June
    or July of 2020.” Wilson testified that the initial virtual vis-
    its occurred “maybe three to five times a week,” and once
    in-person visits began, they were scheduled for “about three
    times a week.” Wilson testified that Breyonna’s visits were
    initially supervised through an agency called Apex, but that
    Breyonna was discharged in “June or July of 2020” due to her
    lack of participation in visits.
    Wilson also testified that Breyonna was incarcerated on two
    different occasions during this case, and Wilson confirmed
    that Breyonna was not able to participate in any visits, virtual
    or otherwise, while incarcerated. Wilson testified Breyonna
    was initially incarcerated for “around a month” due to “an
    altercation with a person she had been in a relationship with.”
    Wilson’s testimony indicates that the first period of incar-
    ceration occurred sometime between July and August 2020.
    According to Wilson, Breyonna was incarcerated a second time
    for “just shy of two weeks” due to a violation of probation.
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    Wilson testified that Breyonna was on probation for child
    abuse and neglect as a result of the incident that resulted in
    the children’s removal, and she was incarcerated for violating
    probation requirements such as complying with juvenile court
    orders, working toward reunification, and refraining from sub-
    stances. It is unclear when the second period of incarceration
    occurred, although Wilson indicated elsewhere that Breyonna
    spent “some time in jail” around June or July 2021.
    After Breyonna was discharged from visitations through
    Apex, Wilson testified that visits recommenced with an agency
    called Capstone after Breyonna was released from jail, which,
    despite the testimony above, Wilson indicated was not until
    November 2020. Wilson testified that the Capstone workers
    reported some difficult behaviors from Jasmine and Ja’Niyah
    during visits, adding that both Breyonna and the visitation
    workers had difficulty redirecting the children. Due to diffi-
    culties controlling all three children at the same time, Wilson
    testified that visits were split such that Breyonna visited with
    Jasmine and Jay’Oni at one time and with Ja’Niyah at another
    time. Wilson further testified that, at some point, Capstone
    communicated additional concerns “regarding consistency and
    just quality of the visits, conversations that were happening
    during visits.”
    Wilson testified that Capstone continued to supervise visits
    at the time of the termination hearings, which, in accordance
    with the court’s May 12, 2021, order, were occurring once a
    week through a virtual platform. When asked about the pur-
    pose for the order limiting visits to one virtual visit a week,
    Wilson testified it was due to an incident in March 2021 in
    which Breyonna had “interrogated Jasmine regarding whether
    or not she was taking her own ADHD medication.” According
    to Wilson, “[t]he visitation worker had stated that she had tried
    to redirect this conversation but Breyonna continued and this
    brought Jasmine to tears, really struggling with why her mom
    did not believe her and why this was happening.” Wilson testi-
    fied that she spoke to Breyonna about this incident and that
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    Breyonna stated “she did ask Jasmine but Jasmine never cried
    and . . . she didn’t understand why that was an issue.”
    A second motion to suspend visitation was filed on September
    30, 2021, and attached thereto was an affidavit in which the
    visitation worker attested that a September 17 virtual visit was
    cut short due to “the rapid decline” in the children’s moods.
    The visitation worker added that it was “very clear Breyonna
    . . . was on substances and unable to withstand any conversa-
    tion with the youth.” The visitation worker further attested that
    a September 24 virtual visit was similarly cut short after “the
    good natured mood among the youth rapidly changed to chaos
    and crying.”
    A significant amount of time at the first termination hearing,
    and nearly the entirety of the second termination hearing, was
    spent discussing court-ordered drug testing and Breyonna’s
    compliance therewith. Wilson testified that Breyonna was ini-
    tially referred for drug testing with an agency called “Owens
    & Associates.” Wilson testified that Breyonna did not par-
    ticipate in “the majority” of her drug tests through Owens &
    Associates. According to Wilson, Breyonna reported “on mul-
    tiple occasions that she was willing to test but she didn’t want
    to because she would be positive for marijuana.” Breyonna
    ultimately participated in only 4 out of 16 tests attempted from
    August 30 to November 4, 2020. In the first three completed
    tests, Breyonna tested “presumptive positive” for marijuana
    and negative for all other drugs. In the fourth completed test,
    Breyonna tested negative for all drugs. Breyonna was dis-
    charged from Owens & Associates on November 5, 2020, for
    missing 12 out of 16 attempted tests. Notably, Wilson testified
    that Breyonna was discharged in “August of 2020,” but the
    testimony of a supervisor from Owens & Associates and the
    related exhibit clearly refuted that testimony.
    Wilson testified that Breyonna was subsequently referred
    for drug testing with Capstone and that such testing occurred
    in August 2020. However, a supervisor from Capstone testi-
    fied that Breyonna began testing with it in November, which
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    is consistent with her discharge from Owens & Associates.
    He testified that Breyonna was ultimately discharged in June
    2021 for lack of participation and that during those 6 months,
    Breyonna participated in only 3 of 85 attempted tests. However,
    the exhibit he prepared shows only the attempted tests from
    February through June 2021. This may be explained by the fact
    that Capstone briefly discharged Breyonna in January before
    “immediately” accepting the referral again that same month.
    Thus, it appears the supervisor from Capstone prepared only
    the records from the second period of testing, and during that
    period of time, there is only a record of one completed test
    which was negative for all substances.
    While the actual results were not entered into evidence, the
    record nevertheless indicates that Breyonna tested positive
    for methamphetamine at least once during the first period of
    testing with Capstone. Wilson testified that she approached
    Breyonna about one of the November 2020 test results and
    that Breyonna reported “her neighbor may have laced her joint
    with methamphetamine.” Moreover, on December 2, the juve-
    nile court ordered that “Saint Francis Ministries shall ascertain
    from [Breyonna’s] chemical dependency evaluator whether or
    not a higher level of care is warranted, given her recent posi-
    tive test for methamphetamine.”
    After being discharged from Capstone in June 2021,
    Breyonna was referred again to Owens & Associates. Breyonna
    was eventually discharged from Owens & Associates in August,
    due to her entering residential treatment at Stephen Center. In
    those 2 months with Owens & Associates, Breyonna com-
    pleted 7 of 12 attempted tests. In the first six completed tests,
    Breyonna tested negative for all drugs. In the seventh com-
    pleted test, Breyonna tested “presumptive positive” for meth-
    amphetamine and negative for all other drugs.
    Regarding Jasmine’s progress during the case, Wilson tes-
    tified that Jasmine was diagnosed with “ADHD,” and when
    Wilson first met her, Jasmine “was very hyperactive. She
    was very difficult to have a conversation with. She could
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    not sit still. She was very disrespectful towards her great-
    grandmother, . . . her foster parent.” Wilson also pointed out
    that Jasmine was “very rough with her younger sisters” and
    that she “appeared as if she had a lot of responsibility and
    knew a lot that kids her age are typically not responsible
    for.” Wilson saw Jasmine on a monthly basis, and when she
    last saw Jasmine in September 2021, she noticed “significant
    improvements, even in school, being able to identify letters
    and read on her own. She is excited about school. She is able
    to sit down and actually be very calm and have a conversa-
    tion.” Wilson said that Jasmine “really made a lot of progress
    in being able to understand and verbalize things that she wants
    and that she needs.” Further, Jasmine was “much more age-
    appropriate with her siblings at this time.”
    Wilson ultimately testified to her opinion that it would be
    in Jasmine’s best interests for Breyonna’s parental rights to
    be terminated. As to the basis of that opinion, Wilson testified
    as follows:
    Throughout my time working with Breyonna and Jasmine,
    Breyonna has not shown an ability to be consistent or
    meet the needs of Jasmine. She has not made significant
    progress in this case to address her own mental health
    and substance use needs to put herself in a position to
    parent her child. I have seen Jasmine make such huge
    progress in the time that she has been able to be in foster
    care and be in a position where she is getting not only
    some stability and consistency but the ability to not have
    to parent her younger siblings and to be a kid and focus
    on her school and the things that she wants to do and
    enjoys to do.
    With regard to Jasmine’s input, Wilson testified that “[s]he
    says she loves her mom, she misses her mom, she’s very wor-
    ried about her mom, and wants her mom to get help.”
    After adducing the urinalysis-related testimony of the
    supervisor from Owens & Associates and the supervisor from
    Capstone at the second termination hearing, the State rested
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    and submitted the matter on the evidence without argument.
    The guardian ad litem for the children did not adduce any evi-
    dence or provide any argument. The defense provided a brief
    argument, emphasizing Breyonna’s cooperation and engage-
    ment with services and asserting that the State failed to meet
    its burden to terminate parental rights.
    On November 15, 2021, the juvenile court entered an order
    terminating Breyonna’s parental rights with respect to Jasmine
    only. The court found that the State had proved, by clear and
    convincing evidence, statutory bases for termination under
    § 43-292(2), (6), and (7) and that termination of Breyonna’s
    parental rights was in the best interests of Jasmine. With regard
    to the allegations under § 43-292(6), the court found that each
    was true by clear and convincing evidence, except the court
    dismissed allegations (1) and (6) above. The court thus termi-
    nated Breyonna’s parental rights with respect to Jasmine, and
    Breyonna brought this appeal.
    ASSIGNMENTS OF ERROR
    Breyonna assigns that the juvenile court erred in terminating
    her parental rights because the State failed to prove by clear
    and convincing evidence that Jasmine was within the mean-
    ing of § 43-292(2), (6), and (7) and because the State failed to
    prove by clear and convincing evidence that termination was in
    the best interests of Jasmine.
    STANDARD OF REVIEW
    [1] An appellate court reviews juvenile cases de novo on
    the record and reaches its conclusions independently of the
    findings made by the juvenile court below. In re Interest
    of Mateo L. et al., 
    309 Neb. 565
    , 
    961 N.W.2d 516
     (2021).
    However, when the evidence is in conflict, an appellate court
    may consider and give weight to the fact that the juvenile court
    observed the witnesses and accepted one version of the facts
    over another. 
    Id.
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    ANALYSIS
    [2,3] Under Nebraska law, terminating parental rights
    requires both clear and convincing evidence that one of the
    statutory grounds enumerated in § 43-292 exists and clear and
    convincing evidence that termination is in the best interests
    of the children. See In re Interest of Donald B. & Devin B.,
    
    304 Neb. 239
    , 
    933 N.W.2d 864
     (2019). Clear and convinc-
    ing evidence means and is that amount of evidence which
    produces in the trier of fact a firm belief or conviction about
    the existences of a fact to be proven. In re Interest of Kindra
    S., 
    14 Neb. App. 202
    , 
    705 N.W.2d 792
     (2005). Further, clear
    and convincing evidence is more than a preponderance of evi-
    dence, but less than proof beyond a reasonable doubt. 
    Id.
    Statutory Grounds for Termination.
    [4,5] The State alleged a number of statutory grounds for ter-
    mination, including § 43-292(7), which allows for termination
    when “[t]he juvenile has been in an out-of-home placement for
    fifteen or more of the most recent twenty-two months.” Section
    43-292(7) operates mechanically and does not require the State
    to adduce evidence of any specific fault on the part of the par-
    ent. See In re Interest of Mateo L. et al., 
    supra.
     Any one of the
    bases for termination codified by § 43-292 can serve as a basis
    for termination of parental rights when coupled with evidence
    that termination is in the best interests of the children. In re
    Interest of Leyton C. & Landyn C., 
    307 Neb. 529
    , 
    949 N.W.2d 773
     (2020).
    In this case, the juvenile court found that Jasmine came
    within the meaning of § 43-292(7). Based on our de novo
    review of the record, we also find clear and convincing evi-
    dence that Jasmine came within the meaning of § 43-292(7).
    Jasmine was removed from Breyonna’s care and custody in
    March 2020 and never returned. On appeal, Breyonna con-
    cedes that Jasmine has been in foster care beyond the statutory
    timeframe set forth in § 43-292(7). Thus, there is no doubt
    that Jasmine came within the meaning of § 43-292(7), and
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    Breyonna’s assignment of error regarding statutory grounds
    for termination is without merit.
    Best Interests.
    Based on our de novo review of the record, we conclude
    the juvenile court did not err in finding clear and convinc-
    ing evidence that termination of Breyonna’s parental rights
    was in Jasmine’s best interests. We arrive at this conclusion
    because the evidence regarding Breyonna’s continued drug
    use, lack of income, lack of suitable housing, and overall lack
    of progress toward reunification raises serious concerns about
    Breyonna’s parental fitness and her ability to rehabilitate her-
    self within a reasonable period of time. Additionally, Jasmine
    had made “significant improvements” since being removed
    from Breyonna’s care. Where Jasmine had been “hyperactive,”
    difficult to converse with, unable to sit still, and “very rough
    with her younger sisters” when she was initially removed from
    Breyonna’s care, Jasmine had improved in foster care to being
    able to understand and verbalize things better, she could sit
    down and calmly have a conversation, and she was “much
    more age-appropriate with her siblings.”
    [6-8] When a parent is unable or unwilling to rehabilitate
    himself or herself within a reasonable period of time, the
    child’s best interests require termination of parental rights. In
    re Interest of Leyton C. & Landyn C., 
    supra.
     The 15-month
    condition contained in § 43-292(7) provides a reasonable time-
    table for parents to rehabilitate themselves. In re Interest of
    Leyton C. & Landyn C., 
    supra.
     Furthermore, children cannot,
    and should not, be suspended in foster care or be made to await
    uncertain parental maturity. In re Interest of Alec S., 
    294 Neb. 784
    , 
    884 N.W.2d 701
     (2016).
    After 18 months of court-supervised rehabilitation efforts,
    Breyonna has failed to make meaningful progress toward put-
    ting herself in a position to parent her children. Breyonna
    failed to participate in the vast majority of court-ordered
    drug testing, and of the tests that were completed, many were
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    positive for substances. Breyonna apparently held three differ-
    ent jobs during the 18 months of proceedings, yet she failed
    to maintain any of those positions for an extended period of
    time. Despite the condition of Breyonna’s residence being the
    primary basis for the children’s removal, Breyonna remained
    in that residence at the time of the termination hearings, and
    despite the efforts of family support services, there was no
    indication that the condition of the residence had improved.
    Breyonna never progressed beyond supervised visitation with
    the children, and visitation workers repeatedly expressed con-
    cerns about Breyonna’s behavior during visits and the negative
    impact that such behavior had on the children. Breyonna’s con-
    duct during visitation ultimately resulted in her being limited to
    one virtual visit per week. Altogether, the record demonstrates
    clear and convincing evidence of present parental unfitness,
    and despite ample opportunity, Breyonna failed to take mean-
    ingful steps toward rehabilitating herself. Thus, we affirm the
    order of the juvenile court terminating Breyonna’s parental
    rights as to Jasmine.
    As a cautionary note, we point out that the record in this
    case is lacking evidence that would have been helpful to our
    de novo review of Jasmine’s best interests. Aside from a single
    affidavit discussing two virtual visits, the record is devoid of
    evidence adduced directly from individuals who were actu-
    ally present for visits between Breyonna and the children.
    Wilson testified that she had never been present at any of the
    visits, and her testimony was limited to reiterating general-
    ized concerns reported to her from visitation workers. Our
    ability to assess the nature of visits is further impacted by the
    absence of any documentary evidence such as periodic court
    reports or notes from visitation workers. As such, we are reli-
    ant on Wilson’s recollection of those reports to conduct our de
    novo review.
    Moreover, while Wilson suggested that Breyonna was not
    adequately addressing her psychiatric needs, the record is
    inexplicably devoid of any evidence regarding Breyonna’s
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    psychiatric diagnoses, prescription medications, or treatment
    goals. At oral argument, the State indicated that this was
    because Breyonna failed to sign releases of information such
    that Wilson was not able to obtain this information. However,
    the record refutes that claim. Wilson specifically testified to
    speaking directly with Breyonna’s psychiatrist and getting
    periodic updates on Breyonna’s “compliance with appoint-
    ments.” Wilson further testified that she never had an issue
    with Breyonna’s declining to sign a release of information in
    this case.
    Perhaps most importantly, there was no testimony or other
    evidence regarding the impact that terminating Breyonna’s
    parental rights may or may not have on Jasmine, especially
    considering the fact that Breyonna’s parental rights remained
    intact with respect to Jasmine’s younger sisters who were both
    placed with Jasmine in the same foster home. The State failed
    to adduce evidence directly from many of the people most
    able to testify as to Jasmine’s present condition and future
    well-being. See In re Interest of Aaron D., 
    269 Neb. 249
    , 
    691 N.W.2d 164
     (2005) (observing that State failed to present testi-
    mony or other evidence from therapists, family support work-
    ers, foster parents, and others who directly observed parties).
    Rather, the State relied primarily on a single caseworker who
    testified that she saw Jasmine only once a month.
    As the present case illustrates, evidence that a parent is
    presently unfit, when coupled with a demonstrated inability
    or unwillingness to rehabilitate oneself within a reasonable
    period of time, can supply the information necessary to deter-
    mine the best interests of the child. However, it must not be
    forgotten that the focus of a termination proceeding is the
    juvenile, not the parent. See 
    id.
     Thus, evidence of parental
    deficiencies should not be adduced to the exclusion of addi-
    tional evidence relevant to the present condition and future
    well-being of the child.
    In In re Interest of Alec S., 
    294 Neb. 784
    , 
    884 N.W.2d 701
    (2016), the Nebraska Supreme Court was presented with a
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    record that was similarly lacking certain evidence relevant to
    the best interests analysis. In that case, the court observed that
    while filling in the gaps could have aided appellate review,
    the lack of all the “‘gory details’” does not necessarily mean
    the State failed to meet its burden of proof. Id. at 795, 884
    N.W.2d at 708. Likewise, in this case, we conclude that the
    State satisfied its burden of proof despite failing to adduce
    evidence that could have aided our de novo review.
    CONCLUSION
    For the foregoing reasons, we affirm the order of the juve-
    nile court terminating Breyonna’s parental rights to Jasmine.
    Affirmed.