DCPP VS. L.T. AND J.L.-G. IN THE MATTER OF THE GUARDIANSHIP OF C.I.T.,J.D.T.,  AND K.M.T.(FG-12-79-16, MIDDLESEX COUNTY AND STATEWIDE)(RECORD IMPOUNDED)(CONSOLIDATED) ( 2017 )


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  •                              RECORD IMPOUNDED
    NOT FOR PUBLICATION WITHOUT THE
    APPROVAL OF THE APPELLATE DIVISION
    This opinion shall not "constitute precedent or be binding upon any court."
    Although it is posted on the internet, this opinion is binding only on the
    parties in the case and its use in other cases is limited. R.1:36-3.
    SUPERIOR COURT OF NEW JERSEY
    APPELLATE DIVISION
    DOCKET NO. A-5099-15T3
    A-5390-15T3
    NEW JERSEY DIVISION OF CHILD
    PROTECTION AND PERMANENCY,
    Plaintiff-Respondent,
    v.
    L.T. and J.L.-G.
    Defendants-Appellants.
    ______________________________
    IN THE MATTER OF THE
    GUARDIANSHIP OF C.I.T.,
    J.D.T., and K.M.T.,
    Minors.
    ______________________________
    Submitted May 10, 2017 – Decided June 22, 2017
    Before Judges Lihotz, Hoffman and Whipple.
    On appeal from Superior Court of New Jersey,
    Chancery Division, Family Part, Middlesex
    County, Docket No. FG-12-79-16.
    Joseph E. Krakora, Public Defender, attorney
    for   appellant   L.T.  (Marc   D.  Pereira,
    Designated Counsel, on the brief).
    Joseph E. Krakora, Public Defender, attorney
    for appellant J.L.-G. (James D. O'Kelly,
    Designated Counsel, on the brief).
    Christopher S. Porrino, Attorney General,
    attorney for respondent (Melissa Dutton
    Schaffer, Assistant Attorney General, of
    counsel; Kimberly Ann Eaton, Deputy Attorney
    General, on the brief).
    Joseph E. Krakora, Public Defender, Law
    Guardian, attorney for minors (Rachel E.
    Seidman, Assistant Deputy Public Defender, on
    the brief).
    PER CURIAM
    Defendants, L.T. (Laura) and J.L.-G. (John) appeal from a
    July 8, 2016 judgment of guardianship terminating their parental
    rights.1   We affirm.
    Laura is the biological mother of Caryn, Josh, and Kristy.
    John is the biological father of Kristy;2 Laura and John have been
    together for more than ten years.       Laura has a tenth grade
    education, and suffers from some cognitive limitations.    John was
    born in Honduras and immigrated to the United States in 1985.
    In 2010, the Division of Child Protection and Permanency
    (Division) received a referral because Josh was psychiatrically
    hospitalized for the second time for behavioral issues.            On
    1
    We use pseudonyms to protect the identity of the parties and
    their children.
    2
    The fathers of Caryn and Josh have not been identified and are
    not parties to this appeal.
    2                          A-5099-15T3
    September 20, 2013, a neighbor reported the family to the Division.
    The neighbor was afraid for the children who appeared dirty and
    hungry, and who feared Laura and John because they hit them.     The
    neighbor also reported bed bugs in the home. The neighbor reported
    Caryn complained John was looking at her chest, which made her
    uncomfortable, and Caryn kept a journal documenting her fear of
    Laura and John.
    When the Division caseworker arrived to investigate, the
    caseworker noted Josh had bruises and small circular marks on his
    legs, which Josh said resulted because he often falls.          Josh
    reported John hits him with his hand and pulls his hair out.    Josh
    reported John makes him sit in "time out" for four hours, and John
    curses and makes his mother cry. During the caseworker's interview
    with Caryn, she reported John "always yells at us" and makes her
    cry and feel scared and nervous.    Caryn reported John makes her
    uncomfortable when he talks about how Caryn is "developing." Caryn
    admitted she kept a journal but gave it to the neighbor.       Caryn
    also reported John hit Kristy and pulled out Josh's hair.    Kristy
    reported John hit her on the arm.
    On September 26, 2013, Laura met privately with the Division's
    domestic violence liaison.   Laura complained John listens to her
    phone calls, does not provide her enough money to pay the bills,
    threatens her, and threatens to take Kristy to Honduras.
    3                           A-5099-15T3
    On September 30, Laura called the Division because Josh kicked
    Caryn and might have broken her finger.         The Division helped Laura
    access services for Josh.        On October 2, 2013, Margaret DeLong,
    Psy.D.,    conducted   a   psychological   evaluation      of    Josh     and
    recommended he participate in individual counseling and have no
    further contact with John.
    On October 8, 2013, the landlord locked the family out of
    their apartment and they had nowhere to go.            When the Division
    caseworker went to the family home, she found the family in their
    car.    The Division conducted an emergency removal and placed the
    children with the maternal grandparents.
    On October 11, 2013, the court placed the children in the
    custody, care, and supervision of the Division.         The court ordered
    Laura to submit to a neuropsychological evaluation, parenting
    classes, multicultural services, and family counseling.          The court
    also   ordered   psychological    evaluations    for   Caryn   and   Kristy;
    individual counseling and assignment of a mentor for Josh; and
    ordered John to attend a psychological evaluation, counseling at
    the Batters Intervention Program, and parenting classes.
    Dr. DeLong evaluated Kristy and Caryn on October 23, 2013.
    Caryn told Dr. DeLong she was "happy" to be away from John because
    she "no longer ha[s] to suffer and see hitting and arguments."
    She disclosed John used to rub her back and massage her and would
    4                                A-5099-15T3
    try to touch her stomach but it made her uncomfortable.           Caryn
    reported she was comfortable seeing her mother about once a week.
    When asked why only once a week, Caryn responded, "Any time she
    would come to see me, she would always have a problem with things."
    Dr. DeLong recommended Caryn participate in individual counseling,
    recreational and therapeutic activities with peers, participate
    in a mentoring program, and have supervised therapeutic visits
    with her mother.    She recommended Caryn have no further contact
    with John.
    Kristy told Dr. DeLong John hit her in the head, hits her
    brother, and yells and curses at her siblings and mother.        Kristy
    reported she wants to live with her grandmother, but still wished
    to visit John and Laura. Dr. DeLong recommended Kristy participate
    in   individual   play   therapy,   recreational   and/or   therapeutic
    activities with peers, a mentoring program, and have therapeutic
    supervised visits with John and Laura.
    John had supervised visitation with Kristy, but was denied
    visits with the other children.      Laura had weekly visits with all
    three children.
    In November 2013, Jonathan H. Mack, Psy.D., conducted a
    neuropsychological and psychological evaluation of Laura.            Dr.
    Mack opined Laura "presents as having moderate neurocognitive
    dysfunction with significant underlying brain damage."        Dr. Mack
    5                           A-5099-15T3
    diagnosed    Laura    with   a   mild    intellectual     disability,         major
    neurocognitive       disorder     due    to    multiple     etiologies,          and
    personality    change    and/or    development        variant    due   to     brain
    injury/damage. Dr. Mack found Laura incapable of being a minimally
    effective parent and to be effective, she would need to separate
    from John and would need massive support.               Dr. Mack recommended
    ongoing   psychiatric     evaluations       and   treatment,     psychological
    therapy with a neuropsychologist, anger management and parenting
    classes, and "in-home, ongoing and frequent parental supervision."
    Around this time, Josh underwent a psychiatric evaluation
    with Vivian Shnaidman, M.D.             He told Dr. Shnaidman "all the
    problems started" when John moved in with the family.                           Josh
    reported he wants to live with his mother, "but . . . can't because
    of [John]."   Additionally, Josh reported John blames the children
    for not being able to keep a job because "the kids annoy him and
    he has to go to the kids' school."            Dr. Shnaidman opined Josh was
    "extremely hyperactive but not inattentive," and with "appropriate
    treatment,    including      psychotherapy      and   possibly    medication,"
    Josh's prognosis was good.         Dr. Shnaidman recommended Josh see a
    board-certified child psychiatrist on a regular basis.
    John underwent a psychological evaluation by Helen Raytek,
    Psy.D., on December 2, 2013.            Dr. Raytek recommended Laura and
    John attend parenting skills training and family therapy, and the
    6                                   A-5099-15T3
    Division should not return the children to Laura and John's care
    "unless they make significant progress in parent-training and
    family    therapy."      Dr.   Raytek       recommended   any   steps    toward
    reunification must be slow and gradual.
    Laura and John did not have a place to live and in January
    2014, were still sleeping in their truck.             On January 30, 2014,
    John and Laura were finally placed in a shelter, but in May 2014,
    Laura's application for housing through Middlesex Board of Social
    Services was denied because John failed to complete WorkFirst.                 On
    May 28, 2014, Laura told the caseworker she and John were homeless
    again.     The Division learned John's residency card would expire
    on August 31, 2014, and John would not qualify to renew his visa
    because of his arrest history.       Laura and John's participation in
    Division services deteriorated because of their homelessness.
    John and Laura missed the January 23 and 30, 2014 visits.
    John     missed   two   batterer's   counseling       sessions.     Catholic
    Charities contacted the Division on February 6, 2014, reporting
    John and Laura were on the wait list for supervised visitations.
    Around this time, John obtained employment but eventually quit
    while Laura continued to be unemployed.
    The Title Nine fact-finding hearing took place on February
    26, March 21, and May 2, 2014.              The court found John failed "to
    exercise a minimum degree of care and supervision by allowing the
    7                               A-5099-15T3
    children    to    witness   acts    of     domestic      violence,    berating      the
    children,    [and]    using    excessive         means   of    punishment      on   the
    children."       Laura was found to not have abused or neglected the
    children.    The court ordered the matter to remain open as a Title
    30 matter in order for the Division to provide services to the
    children and Laura.
    On October 22, 2014, the court entered a permanency order
    finding Laura and John had not complied or completed the court
    ordered services and approved the placement of the children with
    the   grandmother     under    a    plan    of   kinship      legal   guardianship.
    However, on April 1, 2015, the children were removed from the
    grandmother's home because the grandmother did not report Caryn
    was   cutting     herself     and   did    not    disclose      there   were     other
    individuals residing in her home, among other concerns.                             The
    children were subsequently placed in a resource home.
    Laura and John missed scheduled visits in April and May 2015,
    and cancelled their family counseling appointment.                      On May 21,
    2015, Mark Mina, a Clinical Social Worker supervising the family's
    counseling, wrote to the Division about the family's progress.
    Mina reported Laura's insight and judgment as a parent were
    impaired based upon her repeated requests to have the children
    back despite being homeless and unemployed.                       Mina noted the
    children appeared emotionally distant from their mother, and did
    8                                   A-5099-15T3
    not express any signs of excitement or happiness when they greet
    her.     Mina opined John needed to learn how to control his anger
    and improve his communication skills.               He found "the parents'
    ability to care for their children is questionable."
    In June 2015, the Division mailed rule out letters to three
    maternal aunts.     Laura informed the caseworker she and John were
    still living out of their car.
    Bonding evaluations of Laura and the three children were
    conducted by Karen D. Wells, Psy.D., on June 30, 2015.                 Dr. Wells
    reported it was clear to the children Laura had "substantially
    failed    to   provide   them   with   a   safe    environment   and    has   not
    prioritize[d] their well-being above her desire to remain in a
    relationship     that     is    recognized    by    them   as    abusive      and
    dysfunctional."     Laura told Dr. Wells the children would be coming
    back to her because she refused to sign anything relinquishing her
    parental rights.         Dr. Wells considered Caryn more cognitively
    advanced than Laura and testified "the children seem to recognize
    that [Laura] values the maintenance of her relationship with [John]
    above all, including them being remitted in her care."
    Dr. Wells found "little to no indication that a parent-child
    bond exists between the children" and Laura.                    She found the
    children did not view her as their primary psychological parent,
    and concluded Laura is "unable to independently parent, as she
    9                                 A-5099-15T3
    requires guidance to attend to her own needs, lacks the capacity
    for good reasoning and solid judgment, and is limited in her
    capacity to appreciate the impact of her behaviors and choices to
    herself and her children."         As such, Dr. Wells recommended the
    Division pursue permanency for the children independent of Laura.
    Dr. Wells found the children would not suffer irreparable and
    enduring psychological harm if not reunified with their mother.
    Dr. Wells also conducted a bonding evaluation between John
    and Kristy.      While noting Kristy feels comfortable with John, Dr.
    Wells found no secure bond as Kristy "knows that he is not her
    primary custodial caregiver and has not attended to her basic
    physical needs for close to two years." Kristy has a psychological
    and emotional bond to John, but that bond was fluid and there was
    no indication Kristy becomes distressed when separated from him.
    Dr. Wells opined John "lack[s] an understanding and appreciation
    of a child's development, with little leniency granted when a
    child does not comply consistent with his expectations."                  Dr.
    Wells concluded Kristy needed permanency independent of John and
    placement with her maternal siblings was critical.
    On August 25, 2015, Mina reported to the Division that
    Kristy's emotional attachment towards John was improving through
    participation in family counseling.            Mina stated John was gaining
    more   control    over   his   anger,    but   additional   improvement   was
    10                           A-5099-15T3
    necessary.     Mina noted Laura was still having trouble engaging
    with the children, though she was more relaxed and willing to
    communicate.    He noted, however, the children expressed no signs
    of excitement or happiness when they see their mother.
    On   August     31,   2015,   the    court    approved    the   Division's
    permanency plan for termination of parental rights followed by
    adoption.    On September 18, 2015, the children were placed in a
    new resource home, where they remain.              On December 16, 2015, the
    Division filed a complaint for guardianship.
    Dr. Wells conducted updated bonding evaluations on May 10,
    2016, between the children and Laura, wherein each child expressed
    an interest in being adopted by the resource parents.                Dr. Wells
    opined the children lack a significant bond with Laura and despite
    the weekly contact, the bond had not improved.                  She found the
    children did not relate to Laura as a maternal figure and do not
    "initiate communication with her, seek her attention, approval or
    comfort."      Dr.   Wells   concluded      none    of   the   children     would
    "experience irreparable and enduring psychological harm" were all
    contact with Laura permanently severed.
    Dr. Wells thought the child-parent bond between the children
    and the resource parents was "remarkable" after only nine months
    of the children living with them and noted "[t]here is no question
    that [the children] find their relationships to be highly valued
    11                                   A-5099-15T3
    and important."      Dr. Wells concluded if the relationship between
    the resource parents and the children were terminated, they would
    experience       "grave     and    severe         enduring    and     irreparable
    psychological and emotional harm."
    Dr. Wells concluded Laura's "ability to function in an adult-
    like manner is extremely deficient" and "any child placed in her
    care would be susceptible to risk of harm, with such likelihood
    increasing when stress is present."               Because of Laura's cognitive
    deficiencies and submissive behaviors, Dr. Wells found "[t]here
    are   no   indications      that   [Laura]        presently   or    will    in       the
    foreseeable future, be able to provide even minimal parental care"
    to her children.     She concluded reuniting the children with Laura
    would pose emotional and psychological harm.
    Dr. Wells also conducted an updated bonding evaluation of
    John and Kristy.     Dr. Wells noted during their interaction, Kristy
    did not seem interested in engaging with John.                   Dr. Wells opined
    the parental relationship between John and Kristy is beginning to
    wane since the first bonding evaluation nine months prior.                           Dr.
    Wells found there to be no indication Kristy wants to be reunited
    with John and has expressed her interest in being adopted by the
    resource     parents.       According       to    Dr.   Wells,     John    has       not
    demonstrated any progress to stabilize his life, despite the
    services   and    support    offered    to       him.   Therefore,        Dr.     Wells
    12                                       A-5099-15T3
    concluded John "cannot provide adequate and appropriate parental
    care and responsibility for" Kristy.
    The guardianship trial occurred on June 14, and 15, 2016.
    Two division caseworkers, Monica Gordon and Natasha Freeman, as
    well as Dr. Wells, testified on behalf of the Division.                  John
    testified   on   his   own   behalf,    but   no   other   party   presented
    additional evidence or witnesses.         Gordon described the list of
    services the Division provided Laura and John, including, domestic
    violence counseling, referrals to the Batterer's Intervention
    program, and parenting classes.
    Freeman was the adoption caseworker since October 2015.              She
    testified Laura and John were still living in their car, John was
    supposed to provide her paystubs from his employer to prove his
    employment, and she did not believe Laura was working.               Freeman
    testified about the children's frustration with having visitation
    and their desire to no longer have visits.          As to her observations
    of supervised visitations, she expressed while there had been some
    positive interactions, both Laura and John did not seem engaged
    in their visits.       As for the services the Division provided,
    Freeman testified Laura made some progress in the individual
    neuropsychological counseling but was unable to apply what she
    learned to real life scenarios and only secured a minimal benefit.
    13                                A-5099-15T3
    Dr. Wells, who the judge found credible, testified both Laura
    and John "lacked the capacity to be able to effectively parent."
    Specifically, Dr. Wells testified that even if Laura and John were
    able to find somewhere to live with the children, the concern is
    "about their functioning and their capacity to meet the demands
    . . . [of] parenting day to day."       Noting a bond between Kristy
    and John remained "intact," Dr. Wells testified the bond was waning
    and even if their relationship were somehow able to improve, Kristy
    would be negatively affected by her separation from her siblings
    and her resource parents.    In contrast to the children's bond with
    John and Laura, the bond between the children and the resource
    parents was "intact and secure."
    John testified the Division never assisted them in securing
    housing, despite being court ordered to do so.         John stated he has
    two different employment opportunities in both New Jersey and
    Pennsylvania   and   each   employer   would   allow    him   to   rent    an
    apartment, as he would either be doing mechanic work for the one
    and maintenance work for the other.        When questioned in court,
    John could not provide any specific information about either job.
    Because the judge found the Division had established all four
    prongs by clear and convincing evidence, the court ordered the
    14                                A-5099-15T3
    termination of Laura and John's parental rights.     A judgment of
    guardianship was entered on July 8, 2016. These appeals followed.3
    Our review of a trial judge's findings and decision to
    terminate parental rights is limited.   N.J. Div. of Youth & Family
    Servs. v. M.M., 
    189 N.J. 261
    , 278-79 (2007).   We will not reverse
    the family court's termination decision "when there is substantial
    credible evidence in the record to support the court's findings."
    N.J. Div. of Youth & Family Servs. v. E.P., 
    196 N.J. 88
    , 104
    (2008).
    We defer to the trial court's credibility findings and fact-
    findings because of its expertise in family matters and its ability
    to develop a "feel of the case that can never be realized by review
    of the cold record."   N.J. Div. of Youth & Family Servs. v. M.C.
    III, 
    201 N.J. 328
    , 342-43 (2010) (citation omitted).   We will not
    disturb these findings unless they are "so wide of the mark that
    the judge was clearly mistaken."     N.J. Div. of Youth & Family
    Servs. v. G.L., 
    191 N.J. 596
    , 605 (2007).
    Parents have a constitutionally protected right to raise
    their biological children, even if placed in foster care.     In re
    Guardianship of J.C., 
    129 N.J. 1
    , 9-10 (1992) (citing Santosky v.
    Kramer, 
    455 U.S. 745
    , 
    102 S. Ct. 1388
    , 
    71 L. Ed. 2d 599
    (1982)).
    3
    On August 19, 2016, we entered an order consolidating both
    appeals.
    15                           A-5099-15T3
    The State may act to protect the welfare of the children, but this
    is a limited authority, applying to circumstances where the parent
    is unfit or the child has been harmed.   
    Id. at 10;
    N.J.S.A. 30:4C-
    12.   To prevail in a proceeding to terminate parental rights, the
    Division must establish each element of the "best interests test":
    (1) The    child's    safety,   health,  or
    development has been or will continue to be
    endangered by the parental relationship;
    (2) The parent is unwilling or unable to
    eliminate the harm facing the child or is
    unable or unwilling to provide a safe and
    stable home for the child and the delay of
    permanent placement will add to the harm.
    Such harm may include evidence that separating
    the child from his resource family parents
    would cause serious and enduring emotional or
    psychological harm to the child;
    (3) The division has made reasonable efforts
    to provide services to help the parent correct
    the circumstances which led to the child’s
    placement outside the home and the court has
    considered alternatives to termination of
    parental rights; and
    (4) Termination of parental rights will not
    do more harm than good.
    [N.J.S.A. 30:4C-15.1(a).]
    These four prongs "relate to and overlap with one another to
    provide a comprehensive standard that identifies a child's best
    interests."    In re Guardianship of K.H.O., 
    161 N.J. 352
    , 348
    (1999).   The State must prove each prong of this test by clear and
    convincing evidence.   N.J. Div. of Youth & Family Servs. v. A.W.,
    16                          A-5099-15T3
    
    103 N.J. 591
    , 612 (1986).             Courts may not use presumptions of
    parental     unfitness   and    any   "doubts     must    be   resolved   against
    termination of parental rights."            
    K.H.O., supra
    , 161 N.J. at 347.
    I.
    Laura and John argue the Division did not establish by clear
    and    convincing    evidence    the    children's       health,     safety,    and
    development was and continued to be endangered by the parental
    relationship.       We disagree.
    The first prong of the best interests test requires the
    Division to prove the child's safety, health, or development has
    been    or   will    continue    to    be    endangered        by   the   parental
    relationship.       N.J.S.A. 30:4C-15.1(a)(1).           The focus of the first
    prong is not necessarily upon a single incident, but on "the effect
    of harms arising from the parent-child relationship over time on
    the child's health and development."              
    K.H.O., supra
    , 161 N.J. at
    348.    Additionally, the harm to the child need not be physical,
    but    can   also    include    "[s]erious       and   lasting      emotional     or
    psychological harm . . . as the result of the action or inaction
    of their biological parents."           In re Guardianship of K.L.F., 
    129 N.J. 32
    , 44 (1992) (citing In re Guardianship of J.C., 
    129 N.J. 1
    , 18 (1992)).
    The inability of parents to provide day-to-day nurturing for
    their child for a prolonged period of time is a harm which may
    17                                  A-5099-15T3
    satisfy the first prong of the best interests test. 
    K.H.O., supra
    ,
    161 N.J. at 356 (citing 
    A.W., supra
    , 103 N.J. at 604-611).         We
    have said, "When the condition or behavior of a parent causes a
    risk of harm, such as impermanence of the child's home and living
    conditions, and the parent is unwilling or incapable of obtaining
    appropriate treatment for that condition, the first subpart of the
    statute has been proven."   N.J. Div. of Youth & Family Servs. v.
    H.R., 
    431 N.J. Super. 212
    , 223 (App. Div. 2013).        Additional
    considerations include whether "the delay in securing permanency
    continues or adds to the child's harm."    
    K.H.O., supra
    , 161 N.J.
    at 348-49 (citing N.J.S.A. 30:4C-15.1(a)(2)).
    There is clear and convincing evidence in the record to
    support finding Laura has been and continues to be unwilling to
    eliminate the harm facing her children.   The children were removed
    from her care after reports of physical and emotional abuse by
    John and reports the family was living in their car.   She refused
    to separate herself from John and did not show a willingness to
    resolve the negative impact John has on the children's lives,
    despite assuring the Division of her intentions to leave him at
    the beginning of the investigation.   The record establishes the
    children were disinterested in their visits and Laura's cognitive
    deficits hindered her ability to provide for the children's basic
    needs.   Despite the services provided by the Division, Laura
    18                           A-5099-15T3
    remains   unemployed    and   the   record     establishes   she   has    not
    benefitted from those services.       Laura's reliance on John and her
    unwillingness to obtain employment has and will continue to place
    the children at risk of harm.
    The Division also provided John with numerous services with
    little effect.      Dr. Wells found John blamed others for his own
    problems and "lacked insight into his own behaviors."              John was
    found to have been abusive to all three children, but blamed Josh
    for the Division being involved in their lives. All three children
    reported John's verbal and physical abuse inside the home.                The
    evidence in the record clearly and convincingly establishes prong
    one as to John.
    Both John and Laura, over a three-year period, failed to
    remediate   their   homelessness    and    unemployment.      Despite     the
    services and assistance of the Division, Laura and John have
    continued to place the children at risk of harm.         We are therefore
    satisfied the court correctly concluded the Division established
    prong one by clear and convincing evidence.
    II.
    Laura and John argue the Division failed to establish prong
    two as they both actively engaged in Division services.            We reject
    their premise.
    19                               A-5099-15T3
    The second prong of the best interests test considers whether
    "[t]he parent is unwilling or unable to eliminate the harm facing
    the child or is unable or unwilling to provide a safe and stable
    home for the child and the delay of permanent placement will add
    to the harm."      N.J.S.A. 30:4C-15.1(a)(2).      This inquiry looks not
    only to whether a parent is fit, but also to whether he or she can
    become fit within time to perform parental functions. 
    J.C., supra
    ,
    129 N.J. at 10.      Notably, facts supporting the first prong of the
    best interests test also inform and may support the second prong
    "as part of the comprehensive basis for determining the best
    interests of the child."       In re Guardianship of D.M.H., 
    161 N.J. 365
    , 379 (1999).
    The statute directs "[s]uch harm may include evidence that
    separating the child from his resource family parents would cause
    serious    and   enduring   emotional    or   psychological   harm   to   the
    child[.]"        N.J.S.A.   30:4C-15.1(a)(2).      Our   courts   recognize
    "reunification becomes increasingly difficult with the passage of
    time because a child may develop bonds with his or her foster
    family and gain a sense of permanency."          
    M.M., supra
    , 189 N.J. at
    291.      This is particularly true where biological parents are
    inattentive to their children, thereby encouraging them to bond
    with their foster families.         
    K.H.O., supra
    , 161 N.J. at 352.
    Comparative evaluations of a child's relationship with her or his
    20                               A-5099-15T3
    foster parents and biological parents are generally necessary and
    relevant to a proper analysis of both the second and fourth prongs
    of the best interests test.       N.J. Div. of Youth & Family Servs.
    v. A.R., 
    405 N.J. Super. 418
    , 440 (App. Div. 2009).           The record
    is replete with efforts by the Division to assist both parents in
    resolving their parental deficits.
    Laura argues the record does not support the finding she is
    cognitively    deficient   and   cannot   remediate   the   harm   to   her
    children.     She argues she has completed the tenth grade, has one
    year left to complete her GED, has held employment in the past,
    and has been able to care for her children since their birth
    without incident.    Laura states she completed all services and did
    everything she could to obtain housing and employment.             Despite
    Laura's claims, the record supports a finding Laura has been
    unwilling or unable to remediate the harm the children faced.
    Laura was unwilling to look for employment, as she believed she
    would obtain disability benefits, despite job opportunities being
    available.     Laura also could have obtained social services for
    housing, but her application was denied because she wanted to live
    with John, who failed to complete WorkFirst and whose visa was in
    the process of being renewed.        Laura's housing situation could
    have been remediated if not for Laura's unwillingness to separate
    herself from John.
    21                              A-5099-15T3
    Most importantly, not only was Laura unwilling to separate
    herself from John in order to obtain housing, she was unwilling
    to end her relationship with John at the expense of her children.
    If the children were returned to her care, she would be unable to
    protect them from the harsh physical discipline John had previously
    inflicted.   Despite knowing her children did not want to have
    contact with John, Laura continued the relationship.
    John insisted his problems were caused by the children and
    then perpetuated by the Division.     John argues he actively engaged
    in Division services and the Division did not demonstrate he had
    limited cognitive functioning.      Dr. Wells testified John viewed
    others as the cause of his problems and therefore believed it was
    the responsibility of others to fix those problems.        Dr. Wells
    opined John's cognitive functioning was low to below average and
    no additional services could be provided to John to improve his
    judgment.
    Additionally, Dr. Wells testified Laura and John would be
    unable to help the children cope with the loss of the resource
    parents if the children were reunited with them.           Dr. Wells
    testified if the children were removed from the resource parents,
    it would be "devastating" for the children.      While a waning bond
    still existed between Kristy and John, all three children needed
    permanency and the record demonstrates that even with additional
    22                           A-5099-15T3
    services, Laura and John will not be able to remediate the harm
    to the children.     There is more than enough evidence in the record
    to support a finding under prong two.
    III.
    Laura argues she was provided with "boilerplate" Division
    services, while John argues he was provided a case plan the
    Division    knew   would   be    unsuccessful;     therefore,      the    Division
    failed to satisfy prong three.           We disagree.
    In order to satisfy the requirements of N.J.S.A. 30:4C-
    15.1(a)(3),    the   Division     must     prove   that    it    has   undertaken
    "reasonable efforts to provide services to help the parent correct
    the circumstances which led to the child's placement outside the
    home and the court considered alternatives to termination of
    parental rights."     Reasonable efforts include helping the parent
    develop a plan for appropriate services; providing the agreed upon
    services in furtherance of family reunification; periodically
    informing the parent of the child's progress, development and
    health; and facilitating appropriate visitation.                 N.J.S.A. 30:4C-
    15.1(c).
    What     constitutes       "reasonable     efforts"        depends   on    the
    circumstances of the removal.         N.J. Div. of Youth & Family Servs.
    v. A.G., 
    344 N.J. Super. 418
    , 435 (App. Div. 2001), certif. denied,
    
    171 N.J. 44
    (2002). The failure or lack of success of such efforts
    23                                   A-5099-15T3
    does not foreclose a finding that the Division met its statutory
    burden to try to reunify the child with the family. 
    D.M.H., supra
    ,
    161    N.J.    at    393.     The    Division     need      not   continue    services
    indefinitely; even with reasonable efforts, the Division may not
    be able to salvage a parental relationship.                    N.J. Div. of Youth &
    Family Servs. v. F.M., 
    211 N.J. 420
    , 452 (2012).
    Laura    argues       the    Division     did     not      provide    her     with
    neuropsychological counseling until almost a year and a half after
    it    was   initially       recommended.        That   is    true,    but    Dr.   Wells
    testified Laura would not have benefitted from such counselling
    because Laura's cognitive functioning was too limited.
    Laura argues the Division focused solely on her cognitive
    limitations, ignoring the fact she completed all Division services
    and said she would move away from John.                      The Division provided
    Laura with psychological evaluations, psychiatric evaluations,
    parenting training, counseling and support services, family and
    individual          counseling,      domestic     violence         counseling,        and
    neuropsychological           counseling.        The      Division     also    provided
    transportation to the visitations, transportation to services,
    assisted      with    Division      of   Development     Disabilities        (DDD)    and
    Division of Vocational Rehabilitation (DVR) applications, family
    team meetings and case planning, and coordinated with social
    24                                  A-5099-15T3
    services agencies.        The Division provided Laura and John with
    services over a three-year period that were beyond "boilerplate."
    While Laura did participate in Division services, the record
    establishes Laura did not advance despite those services.                She
    remained homeless and unemployed, and was no closer to providing
    her children with a safe and stable home than she was when the
    children were removed.      Despite Laura's claims she was willing to
    move away from John, she continued to stay with him and wanted to
    bring John to visits with Caryn and Josh.                The Division made
    reasonable efforts to provide Laura with services, ranging from
    domestic    violence   classes     to   assisting   in   filling   out   DDD
    applications, but ultimately, Laura was unwilling or unable to
    apply what she had learned in counseling to real life situations.
    John argues the Division focused the case plan only as to
    Laura.    John also argues the Division only assisted Laura with the
    DDD and DVR applications.        John was not eligible for DDD benefits
    because he does not suffer from a mental disability, therefore the
    Division    could   not   have    assisted   him    in   filling   out   the
    applications. In addition, John was not qualified for DVR benefits
    because he did not complete WorkFirst and his visa was about to
    expire.    Therefore, the Division did not unfairly assist Laura
    over John; John was not eligible for the same services.             Besides
    the assistance with the applications, John was provided with the
    25                             A-5099-15T3
    same services as Laura.           Therefore, the Division made reasonable
    efforts in order to provide John with services.
    The    court    considered     alternatives       to      termination.         The
    Division attempted to find the suspected fathers of Caryn and
    Josh, whose names were provided by Laura; however, the named
    fathers were ruled out by a paternity test.                       Additionally, the
    Division sent three rule out letters to three maternal aunts who
    could    not    take    the   three    children.            As   for    the    maternal
    grandmother, the Division removed the children from her care after
    it was discovered she was allowing two adult men to live in her
    home    and    she    did   not   report   to      the   police     a   neighbor      had
    inappropriately touched Caryn or that Caryn was self-harming.
    Despite Laura's arguments the Division should have provided the
    maternal grandmother with more services, the record supports a
    finding that the Division made reasonable efforts in seeking
    alternatives to termination of Laura and John's parental rights.
    As   such,     the    Division    established       prong     three     by    clear   and
    convincing evidence.
    IV.
    Finally, we reject Laura and John's argument termination of
    parental rights will do more harm than good;                           therefore, the
    Division has not established prong four.
    26                                       A-5099-15T3
    To satisfy the fourth prong, the Division must prove by clear
    and convincing evidence that "[t]ermination of parental rights
    will not do more harm than good."    N.J.S.A. 30:4C-15.1(a)(4).   The
    court must determine "whether a child's interest will be best
    served by completely terminating the child's relationship with
    that parent."   
    E.P., supra
    , 196 N.J. at 108.      "The crux of the
    fourth statutory subpart is the child's need for a permanent and
    stable home, along with a defined parent-child relationship."
    
    H.R., supra
    , 431 N.J. Super. at 226 (citation omitted).    Where the
    child is living with foster parents, the court balances           the
    relationship of the child with both the biological and foster
    parents.   
    K.H.O., supra
    , 161 N.J. at 355.     The question is not
    whether the child will suffer any harm; rather, the question is
    whether "the child will suffer a greater harm from the termination
    of ties with her natural parents than from the permanent disruption
    of her relationship with her foster parents."      
    Ibid. To answer that
    question requires expert inquiry as to the strength of each
    relationship.   
    Ibid. Dr. Wells' unrebutted
    opinion was the children do not view
    Laura as a maternal figure, lacked a significant bond with her,
    and the children did not seek her attention, approval or comfort.
    Moreover, the children all verbalized a wish to be adopted by
    their resource parents.   Josh stated that he "never knew a mom and
    27                           A-5099-15T3
    dad until [he] knew [the resource parents]."          Dr. Wells concluded
    there   were   "no   indications   that   if   all   contact    were    to    be
    permanently     severed,   would   any    of   the   children    experience
    irreparable and enduring psychological harm."
    Dr. Wells warned of harm that would occur to the children if
    they were removed from their resource parents.           Dr. Wells stated
    the bond between the children and the resource parents after only
    nine months was "remarkable," especially noting the behavioral and
    emotional progress Josh has made since being in their care.                  Dr.
    Wells testified if Josh were removed from the resource parents,
    she feared his behavior would regress and he would begin to exhibit
    the same aggressive behavior he exhibited while living with John
    and Laura.     Dr. Wells found the resource parents would be able to
    remedy any harm caused by the termination of Laura and John's
    parental rights and concluded if the children were removed from
    the resource parents they would experience "grave and severe
    enduring and irreparable psychological and emotional harm."
    The bond between John and Kristy was thought to be waning and
    there was no indication Kristy wanted to be reunited with John,
    and she too expressed a significant interest in being adopted by
    the resource parents.       Dr. Wells concluded John was unable to
    provide for Kristy's needs in the long term.          Dr. Wells testified
    Kristy was relieved at the end of the evaluation because she
    28                                  A-5099-15T3
    believed it was the last time she would have to see her biological
    parents.   Therefore, if the bond between John and Kristy were to
    be severed it would not do more harm than good.   Based on all of
    the evidence in the record, the trial court correctly found the
    Division satisfied its burden under prong four.     We discern no
    reason to disturb that determination.
    Affirmed.
    29                          A-5099-15T3