DCPP v. J.R.-R. AND G.R.-S., IN THE MATTER OF THE GUARDIANSHIP OF A.R.-R. AND G.J.R.-S. (FG-06-0015-19 and FG-06-0056-19, CUMBERLAND COUNTY AND STATEWIDE) (RECORD IMPOUNDED) (CONSOLIDATED) ( 2022 )


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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    NOT FOR PUBLICATION WITHOUT THE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 NOS. A-1127-20
    A-1202-20
    NEW JERSEY DIVISION
    OF CHILD PROTECTION
    AND PERMANENCY,
    Plaintiff-Respondent,
    v.
    J.R.-R. and G.R.-S.,
    Defendants-Appellants.
    __________________________
    IN THE MATTER OF THE
    GUARDIANSHIP OF A.R.-R.
    and G.J.R.-S., minors.
    __________________________
    Argued May 31, 2022 – Decided August 12, 2022
    Before Judges Rose and Enright.
    On appeal from the Superior Court of New Jersey,
    Chancery Division, Family Part, Cumberland County,
    Docket Nos. FG-06-0015-19 and FG-06-0056-19.
    Laura M. Kalik, Designated Counsel, argued the cause
    for appellant J.R.-R. (Joseph E. Krakora, Public
    Defender, attorney; Laura M. Kalik, on the briefs).
    Beth Anne Hahn, Designated Counsel, argued the cause
    for appellant G.R.-S. (Joseph E. Krakora, Public
    Defender, attorney; Beth Anne Hahn, on the briefs).
    Amy Melissa Young, Deputy Attorney General, argued
    the cause for respondent (Matthew J. Platkin, Acting
    Attorney General, attorney; Melissa H. Raksa,
    Assistant Attorney General, of counsel; Amy Melissa
    Young, on the brief).
    Noel C. Devlin, Assistant Deputy Public Defender,
    argued the cause for minors (Joseph E. Krakora, Public
    Defender, Law Guardian, attorney; Meredith Alexis
    Pollock, Deputy Public Defender, of counsel; Noel C.
    Devlin, of counsel and on the brief).
    PER CURIAM
    In these consolidated appeals, defendants J.R.-R. (Jenny) and G.R.-S.
    (George) separately challenge the termination of parental rights to their sons,
    A.R.-R. (Alex) and G.J.R.-S. (Gabriel).1 The Division of Child Protection and
    Permanency (the Division) brought the within guardianship action pursuant to
    N.J.S.A. 30:4C-11 to -15.4, after filing an abuse or neglect action under N.J.S.A.
    1
    We use initials and pseudonyms for defendants, their children, and the
    resource parents to protect their privacy interests. R. 1:38-3(d)(12). We also
    refer to defendants and the resource parents by first names for the convenience
    of the reader. We intend no disrespect in doing so.
    A-1127-20
    2
    9:6-8.21 to -8.73. The Title Nine case led to a trial court finding abuse or neglect
    by a preponderance of the evidence. We upheld that finding on appeal; our
    Supreme Court reversed.2
    Defendants' petitions for certification in the Title Nine action were filed
    and granted after the guardianship trial started. Although the Court's opinion
    did not issue until nearly ten months after the entry of a final and amended
    judgment of guardianship, the parties agreed during the guardianship trial to
    proceed as if the Court already had ruled in defendants' favor.            Through
    extensive negotiations, counsel made prodigious efforts to exclude or limit the
    use of certain evidence to ensure the guardianship judge's decision was not
    influenced by the trial court's Title Nine finding.
    Defendants contend the efforts of counsel to limit what evidence the
    guardianship judge could consider failed, and reversal of the December 3 and
    December 22, 2020 guardianship judgments is warranted.               We disagree,
    persuaded the termination decision was not tainted by the initial Title Nine
    finding but instead, flowed from the judge's appropriate analysis of whether
    2
    N.J. Div. of Child Prot. & Permanency v. J.R.-R & G.R.-R., Nos. A-490-18
    and A-491-18 (App. Div. Oct. 28, 2019), rev'd and remanded, 
    248 N.J. 353
    (2021). Defendants advise G.R.-S. was improperly designated as "G.R.-R." in
    the Title Nine action and ensuing appeals.
    A-1127-20
    3
    defendants were capable of parenting Gabriel and Alex well after Gabriel was
    injured as an infant. Thus, we affirm the challenged judgments.
    I.
    To place the legal issues in context, we recount, chronologically, the
    significant facts, not only from the testimony adduced at trial but the heavily
    redacted record before us.
    Defendants came separately to the United States from Guatemala. Both
    primarily spoke Popti, a rare Mayan language. Jenny, now forty-two, grew up
    in an agrarian society, did not attend school, and never learned to read or write.
    George, now thirty-nine, attended school in Guatemala up to the fourth grade.
    Defendants met in 2015 and began a committed relationship. Their sons,
    Gabriel and Alex, were born in May 2016 and September 2018, respectively.
    In March 2017, when Gabriel was nearly eleven months old, he was
    running a fever for a couple of days and vomiting. By the time defendants
    brought him to his pediatrician, Gabriel was in respiratory distress. The infant
    was transported by ambulance to Inspira Medical Center in Vineland. From
    there, he was transferred to the Nemours/Alfred I. duPont Hospital for Children
    in Delaware, where he was diagnosed with bacterial meningitis, retinal
    hemorrhages, bilateral subdural hematomas, acute hypoxic respiratory failure,
    A-1127-20
    4
    sepsis and septic shock.     Hospital staff noted Gabriel had bruises on his
    forehead, temple, ear and eyelid, as well as small linear abrasions on the right
    side of his face, inside his left ear, and in a neck skinfold. Based on a subsequent
    skeletal survey, Gabriel also was diagnosed with an ulna fracture of the right
    forearm that had not fully healed.
    Gabriel's condition prompted a referral to the Division.          During the
    Division's investigation, defendants claimed to have no knowledge of how
    Gabriel was hurt, but suggested he hit himself in the head with a remote control.
    They also represented they were Gabriel's sole caregivers.
    In April 2017, the Division filed a Title Nine complaint, seeking custody
    of Gabriel.    The Division alleged the infant's medical condition became
    emergent due to defendants' delay in taking him to a doctor, and he had some
    unexplained bruising. It also expressed concern about defendants' cognitive
    capacity for safe parenting. The court placed Gabriel in the Division's custody
    and granted defendants weekly supervised visitation.
    Seven days later, Gabriel was discharged from the hospital and placed
    with non-relative resource parents, A.R. (Art) and S.R. (Sue). Upon his release
    from the hospital, Gabriel had to wear a neck collar and needed appointments
    A-1127-20
    5
    with various specialists, including healthcare providers specializing in
    ophthalmology and neurosurgery.
    According to Rosalyn Soler, a Division caseworker, Gabriel was placed
    with Art and Sue because of their childcare experience and ability to handle
    Gabriel's medical needs. While exploring options for Gabriel's placement, the
    Division asked defendants if any friend or family member could care for Gabriel.
    Jenny offered her sister and brother, but these individuals were "ruled out."3 The
    record is devoid of any other names defendants provided for Gabriel's
    placement.
    In April 2017, with defendants' consent, Gabriel traveled to Alabama with
    his resource parents, and met Sue's niece, M.S. (Mary), as well as her husband,
    T.C. (Ted). Thereafter, Mary and Ted routinely enjoyed extended visits with
    Gabriel. And once Alex was born, Mary and Ted also visited with the younger
    child. Typically, Mary and Ted visited with the boys once a month.
    In May 2017, Gabriel was airlifted to duPont Hospital due to swelling in
    his brain. He underwent emergency surgery to place a shunt in his head and
    drain fluid from his brain. The following month, he was admitted to the hospital
    3
    When the Division later sought to reassess Gabriel's maternal aunt and uncle,
    it could not contact them, as they purportedly returned to Guatemala.
    A-1127-20
    6
    twice for issues related to his medical condition.         Gabriel also required
    occupational and speech therapy and needed to wear a helmet due to concerns
    about him falling. 4
    The Division arranged for defendants to undergo a series of parental
    capacity evaluations with Dr. Katherine Pérez-Rivera. During the first set of
    evaluations of the couple in 2017, Dr. Pérez-Rivera noted Jenny was "unclear as
    to why [Gabriel] was hospitalized" earlier that year. Also,
    when asked at what age did [Gabriel] sit up, crawl,
    walk, talk, eat solids, [Jenny] did not provide any
    answers. Instead, the Popti translator informed [Dr.
    Pérez-Rivera] that [Jenny] was acknowledging
    understanding the questions, but would only answer
    that this was her first child ever and that she was a new
    parent . . . and . . . had very limited education.
    Dr. Pérez-Rivera determined Jenny's cognitive abilities were "poor."
    When she evaluated George, Dr. Pérez-Rivera noted he also was "unclear
    as to why" Gabriel was hospitalized in March 2017. George told her that the
    day before Gabriel was hospitalized, he came home from work and "knew
    [Gabriel] had a fever because [the child] was hot." George consulted with a
    roommate about "what he should give" Gabriel for his condition and the
    4
    Gabriel was medically required to wear a helmet until May 2019.
    A-1127-20
    7
    roommate advised George to "wait it out" until he saw the pediatrician the next
    day. George admitted to following the roommate's advice. George stated he
    had no way to take Gabriel's temperature then, having never owned a
    thermometer. Further, George advised Dr. Pérez-Rivera he had no knowledge
    of who caused Gabriel's injuries, but he "underscored . . . it could not have been
    [Jenny]," as he believed Jenny was an effective caretaker. The doctor opined
    George's cognitive abilities were in the "very poor" range.
    Subsequently, Dr. Pérez-Rivera recommended Division services be
    provided to defendants in Spanish, with the assistance of a Popti interpreter, and
    that the Division refer defendants for private parenting lessons with Kathy
    Agosto, a therapist. Agosto spoke Spanish, and the record reflects defendants
    partially understood this language, although George was more fluent than Jenny.
    Agosto agreed to conduct therapy sessions with the assistance of a Popti
    interpreter to facilitate defendants' understanding during the sessions.      She
    began working with the couple in September 2017, and within a month, she was
    utilizing the services of a Popti interpreter.
    By November 2017, Agosto provided a treatment summary noting
    defendants were "always cooperative and engaged" in sessions, but "their
    knowledge and experience with parenting [was] limited." They advised Agosto
    A-1127-20
    8
    "this [was] their first child and . . . neither of them had ever helped care for a
    sibling in the past."
    Agosto recommended Jenny begin some type of educational program,
    such as a literacy program. The therapist also shared "a few free apps" with
    defendants to assist them in parenting and informed them of programs provided
    through local libraries. Although Agosto was unsure if defendants could access
    the recommended programs, "due to their lack of identification documents," she
    confirmed there was an online Popti translation website to help Jenny "begin her
    language instruction." Agosto hoped if defendants could "read the Spanish
    language, elementary parenting texts might be found for them." Further, she
    encouraged defendants to learn more about parenting from family members who
    were parents themselves because defendants were "ignorant of the most basic
    child rearing techniques."
    In December 2017, Agosto issued another treatment summary. She noted
    the Popti interpreter assisting defendants was "very helpful," but defendants
    continued to display a "very limited general fund of knowledge."           Agosto
    encouraged Jenny to learn the alphabet and "practic[e] her letters since she [was]
    unable to write her name." Agosto believed Jenny needed to "move beyond" her
    lack of a formal education "if she expect[ed] to care for a child." Further, Agosto
    A-1127-20
    9
    suggested George should retrieve Spanish books from the library, if possible;
    she knew of no books on parenting in Popti. Agosto also advised George to
    consider enrolling in an English as a Second Language (ESL) class offered at a
    nearby library.
    During the next two months, Agosto informed Jenny of a free ESL
    program nearby where she could "obtain a picture book with . . . words in
    Spanish and . . . English." Further, she instructed defendants on: the use of a
    thermometer in case Gabriel ran a fever; how to download apps on their "Smart
    Phone"; and how to plot out a bus route, considering defendants did not drive or
    have a car. Agosto described therapy sessions as "slow work due to . . . many
    cultural challenges." Although she stated defendants "need[ed] much more"
    than what she could offer them in weekly hourly sessions, she confirmed
    "[m]ultimodal modalities of instruction will continue to be explored."         She
    hesitated to recommend defendants' reunification with Gabriel, as the child was
    expected to "continue to have very serious medical needs."
    When Agosto learned Jenny was pregnant with Alex, Agosto encouraged
    defendants to "utilize the internet and their supports in the community to
    augment their understanding . . . of parenting and gain[] familiarity with all they
    will need to guide and nurture their children." Additionally, she told defendants
    A-1127-20
    10
    it was necessary for them "to demonstrate parenting competence," because the
    Division would want to ensure their home was a "safe environment," particularly
    since it had been unable to determine who or what caused Gabriel's injuries.
    In March 2018, the court found reunification might soon be possible
    because defendants were "engaged in services." Contemporaneously, Agosto
    advised the Division she could not assist defendants any longer because they
    had "plateaued."    However, considering the Division's prior difficulty in
    securing a willing provider to work with the existing English to Spanish to Popti
    interpretation system, and Agosto's experience in assisting migrant workers, the
    Division persuaded Agosto to resume working with defendants months later.
    At the Division's behest, Dr. Pérez-Rivera re-evaluated defendants for
    parental capacity when Gabriel was about twenty-three months old. In George's
    April 2018 evaluation, the doctor preliminarily noted George communicated
    with her in Spanish, having advised he was fluent and comfortable in speaking
    this language during their sessions. She reported George "expressed himself in
    Spanish effortlessly and quite adequately."
    George advised Dr. Pérez-Rivera that Jenny was four months pregnant.
    He also disclosed for the first time she had two other children from a prior
    relationship, and those children were living in Guatemala. He apologized for
    A-1127-20
    11
    not revealing this information sooner, explaining the lack of disclosure was "due
    to a misunderstanding."
    Although George acknowledged he was not Gabriel's primary caretaker
    before the child's removal, he told Dr. Pérez-Rivera that Gabriel "skipped
    crawling and started walking at [seven] months." He also stated Gabriel "began
    sitting up at [seven] months." Asked about this discrepancy, George simply
    stated Gabriel was his first child. When the doctor further probed his knowledge
    of developmental milestones, George stated children generally begin to walk at
    about eighteen months, "babble" between eighteen months and two years old,
    and could only be understood at age three. Dr. Pérez-Rivera noted George could
    not explain why milestones he reported for Gabriel were "considerably
    inconsistent with his reports on the developmental milestones of the typical
    developing child."
    Dr. Pérez-Rivera geared part of her clinical interview to exploring
    George's "present understanding of [Gabriel's] . . . significant injuries." In that
    regard, she stated George claimed Gabriel was a "healthy and typically
    developing child" and Jenny felt the same way. When the doctor asked George
    to explain what would happen if Gabriel sustained a blow to his head without
    his helmet, George replied this would not be good for his son "since he had a
    A-1127-20
    12
    fever and had to go to the hospital." George also admitted that because he did
    not know the English language he was "unable to communicate with [Gabriel's]
    treatment providers."
    During Jenny's second parental capacity evaluation, Dr. Pérez-Rivera
    reported Jenny demonstrated an "improved ability to understand and speak
    Spanish," but remained "best able to express herself" in Popti. According to the
    doctor, Jenny "denied understanding why [Gabriel] was found eligible for Early
    Intervention Services . . . [and] denied understanding why [the child was]
    wearing a helmet." Although she was informed the helmet was needed to protect
    Gabriel's head, "this did not make sense to her as she [saw] him as a healthy
    boy." Jenny also told the doctor she was "confident she was able to care for"
    Gabriel. When the doctor asked Jenny to tell her about "all the children she had
    ever birthed, [Jenny] reported that [Gabriel] was her only child" and that she
    was pregnant with her second child.
    Jenny was observed with Gabriel during her evaluation. Dr. Pérez-Rivera
    noted Jenny placed the toddler on her lap facing away from her and "she rarely
    made any verbalizations through the [twenty-five] minutes that they were
    together, and only made eye contact with him when she was facing him while
    feeding him." The doctor found while Jenny "successfully fed [Gabriel], she
    A-1127-20
    13
    sometimes did not read the nonverbal cues" the child gave Jenny, "such as not
    being interested in feeding all at once."
    Dr. Pérez-Rivera also observed defendants jointly with Gabriel. She
    prompted the couple to change Gabriel's diaper. When they complied, the doctor
    saw George pushing and pulling Gabriel's penis. She further noted George
    began a game insinuating that he had pulled [Gabriel's]
    penis off[,] followed by a gesture in which he tossed the
    penis into the air. This went on for about [forty-five]
    seconds. [Jenny] was observed laughing throughout all
    this. She was also observed touching [Gabriel's] penis
    and pushing it inwards, albeit only once.
    Dr. Pérez-Rivera notified caseworker Soler about this incident.
    After conducting the second set of evaluations, Dr. Pérez-Rivera issued
    reports on each defendant, noting George's parenting capacity had improved
    since the first evaluation. She recommended, in part, that he receive a copy of
    Jenny's April 2018 parental capacity evaluation because he still "perceive[d] . . .
    [Jenny] as being a 'good caretaker,' which [was] contrary to" the doctor's
    findings.   Dr. Pérez-Rivera also highlighted the importance of sharing her
    findings with George due to the impending birth of the couple's second child.
    Dr. Pérez-Rivera recommended any services be modified to account for
    George's "extremely limited cognitive functioning" and that the Division
    consider the results of her updated evaluation in deciding whether it should
    A-1127-20
    14
    "retain [its] present case goal, which was reported to be 'Termination of Parental
    Rights.'"
    Regarding Jenny, Dr. Pérez-Rivera recommended services be geared to
    "take into consideration her limited cognitive functioning," that Jenny receive
    assistance in learning how to read, write, and become fluent in Spanish, and the
    Division "consider out of home placement for" Gabriel. Further, the doctor
    concluded Jenny withheld information from her and Agosto about having given
    birth to two children in Guatemala, and that Jenny had not told George she gave
    birth to a third child in the United States in 2014.5
    In April and May 2018, Art and Sue advised the Division they wanted
    Gabriel to remain in their family. They also informed the Division Mary wanted
    to adopt Gabriel, but if this was not allowed, they would adopt Gabriel. The
    5
    The record reflects the Division learned about Jenny's three older children in
    February 2018, when it received a referral confirming Jenny initiated prenatal
    care for her unborn child, Alex. That month, Soler asked Jenny about the son
    she birthed in 2014 but Jenny denied this child existed. Soler pressed the issue
    and told Jenny the Division might request a DNA test to rule out she was this
    child's mother. At that point, Jenny pleaded with Soler and her supervisor, in
    Spanish, "[p]lease do not do this. [George] does not know about that child and
    if he finds out[,] he will leave me. . . . I gave birth to this child and gave him
    away." Upon further investigation, the Division determined Jenny had not seen
    or contacted her son since his birth in 2014.
    A-1127-20
    15
    following June, Mary confirmed to Soler she was interested in adopting not only
    Gabriel, but Jenny's unborn child.
    II.
    On June 5, 2018, following the conclusion of a five-day bench trial during
    which Drs. Allan DeJong and Joseph Scheller testified for the Division and
    defendants respectively, the trial court found by a preponderance of evidence
    defendants abused or neglected Gabriel while he was in their care, per N.J.S.A.
    9:6-8.21.6 J.R.-R., 248 N.J. at 364-65. The trial court's finding was based on
    the burden-shifting paradigm adopted in Division of Youth & Family Services
    v. D.T., 
    229 N.J. Super. 509
     (App. Div. 1988), the use of which the Court
    6
    N.J.S.A. 9:6-8.21 provides, in relevant part, that an abused or neglected child
    is one
    whose parent or guardian . . . (1) inflicts or allows to be
    inflicted upon such child physical injury by other than
    accidental means which causes . . . protracted
    impairment of physical or emotional health . . . (4)
    or . . . whose physical, mental, or emotional condition
    has been impaired or is in imminent danger of
    becoming impaired as the result of the failure of his [or
    her] parent or guardian . . . to exercise a minimum
    degree of care . . . in providing the child with proper
    supervision or guardianship, by unreasonably inflicting
    or allowing to be inflicted harm, or substantial risk
    thereof . . . .
    [N.J.S.A. 9:6-8.21(c)(1), (4).]
    A-1127-20
    16
    declared was structural error when it invalidated the finding. J.R.-R., 248 N.J.
    at 365, 377-78.
    Once the factfinding trial ended, the trial court accepted the Division's
    change in permanency plan for Gabriel for termination of defendants' parental
    rights. The court found services provided by the Division had not significantly
    improved defendants' ability to provide safe parenting.
    In July 2018, Art and Sue again advised the Division that Mary was
    looking to adopt Gabriel but if that was not possible, they would "keep" Gabriel.
    The next month, the Division instituted the guardianship action, and Gabriel's
    Title Nine action was terminated.
    Additionally, during an order to show cause hearing in August 2018, the
    Law Guardian expressed concern that defendants repeatedly removed Gabriel's
    helmet during supervised visits. Based on this representation, the same judge
    who conducted the Title Nine trial directed Gabriel's helmet not to be removed
    during supervised visits without court order. The judge stated he would lift this
    restriction once a medical professional recommended it.
    III.
    Alex was born in September 2018. A Division caseworker reported Jenny
    did not know how to hold or burp Alex. The caseworker noted Jenny failed to
    A-1127-20
    17
    support the baby's head when she held him and when the caseworker placed the
    infant on Jenny's shoulder to be burped, Jenny patted Alex's bottom until the
    caseworker corrected her. During Jenny's subsequent visit with both children in
    September 2018, a caseworker continually reminded her how to hold Alex.
    Also, the caseworker educated Jenny on how to prepare the baby's formula after
    Jenny stated she was unsure how to do so.
    Six days after Alex's birth, the Division instituted a Title Nine action,
    alleging the newborn was at risk from the same inadequate parenting that
    remained a concern for Gabriel. The court granted the Division's request for
    care and supervision of Alex, permitted the Division to place the infant with Art
    and Sue (where Gabriel continued to live), and granted defendants weekly
    supervised visitation with the newborn.        That same day, Jenny asked a
    caseworker if she could get her children back if she explained "what happened"
    to Gabriel; but Jenny declined to disclose any details about Gabriel's injuries at
    that time.
    In October 2018, a caseworker asked Jenny if she and George had time to
    think about whether "they wanted to tell the Division what happened with"
    Gabriel. Jenny replied she wanted to talk with George "so they can figure out
    how to communicate it." However, George separately confirmed he wanted to
    A-1127-20
    18
    discuss what happened to Gabriel.
    George revealed Jenny went to work with him in March 2017 and the
    couple left Gabriel with "the lady" who watched the baby. When defendants
    subsequently retrieved Gabriel and noticed the infant's condition, they suspected
    the child fell while in the babysitter's care. George apologized for not disclosing
    this sooner, explaining defendants had not wanted "the lady" to get into trouble.
    He subsequently told a caseworker he and Jenny "should have been honest from
    the beginning as they [had] been away from their children a lot longer than they
    thought" they would be.
    The Division interviewed the babysitter after defendants identified her by
    name; she admitted watching Gabriel when he was three and four months old
    but denied injuring him. She also advised the caseworker there were issues with
    defendants' parenting. The Division was unable to conclude Gabriel was injured
    while in the babysitter's care.
    During a court hearing in October 2018, the Deputy Attorney General
    (DAG) notified the judge that bonding and psychological evaluations were
    scheduled, and defendants had begun a new "one-on-one parenting education"
    program named "Casa Prac." Counsel also advised the judge defendants had
    A-1127-20
    19
    disclosed Gabriel was injured while in his babysitter's care. In response to this
    development, the judge stated:
    I have absolutely no recollection throughout the course
    of this entire procedure, FN and FG, 7 of hearing
    anything about a babysitter. My recollection and
    understanding of the entire case since this court has
    been involved is that both parents have consistently
    stated that they had no idea what happened.
    That was not just to the Division but that was to
    medical personnel, when [Gabriel] was . . . being
    treated by the . . . neurologist at the . . . facility. So,
    this is news to the court.
    [(Emphasis added).]
    Considering the status of the case and anticipating the guardianship trial
    would soon commence, the Law Guardian asked the judge not only to order
    defendants and the children's resource parents in New Jersey to participate in
    bonding evaluations, but also to allow Mary and Ted to be included in the
    process. Defendants' attorneys objected, expressing concern Gabriel would be
    "farm[ed] out . . . to another state," namely Alabama, where Mary and Ted
    continued to live. Defense counsel questioned why Gabriel was not being
    removed from his existing placement if Art and Sue no longer wanted to adopt.
    7
    The judge's mention of "FN" and "FG" matters refers to the Title Nine and
    Title Thirty proceedings, respectively.
    A-1127-20
    20
    The Law Guardian asked the judge not to foreclose the option of having
    Gabriel placed with Mary and Ted, arguing, "[s]ome of our clients have no
    options and we have two." Referring to Alex, the judge asked, "[w]hat about
    the sibling? There's [a Title Nine case]. Is the sibling being considered with . . .
    alternate parent[s] . . . [o]r are we looking to . . . separate the siblings?" The
    DAG represented Mary and Ted "would be willing to take both" children.
    Additionally, the DAG assured the court and counsel there was no plan for
    Gabriel to be moved at that time. She stated,
    the idea that [Art and Sue] don't want to adopt him is
    ridiculous. We've been saying all along that they will
    adopt him; they were just proposing another plan. As
    [the Law Guardian] said, there's two plans for this child
    and the court can determine which plan is more
    appropriate at the guardianship trial.
    After argument concluded, the judge ordered that Gabriel not be moved
    "out-of-state without [him] . . . or some other Superior Court judge signing off
    on it." Also, anticipating defendants' parental rights might be terminated and a
    judge would need to determine "who may be able to mitigate whatever harm is
    done to the child," the judge directed the bonding evaluations to include not only
    Gabriel's resource parents but "the potential out-of-state adoptive family."
    Further, the judge directed any evaluations of the New Jersey and
    Alabama resource parents be kept separate, not "intermingl[ed,]" so as "to keep
    A-1127-20
    21
    it clean." He also allowed defendants time to request a "follow-up assessment
    by their own expert" and offered to consider a "motion in limine . . . as to . . .
    the admissibility of" the report of the Division's expert "concerning the alternate
    placement." Additionally, over defendants' objection, the judge ordered without
    prejudice that Mary and Ted could be present for an upcoming mediation session
    between Art, Sue, and defendants. The judge stated, "[t]here's no harm to
    mediation. Nobody is forced to agree to anything."
    In November and December 2018, Art and Sue confirmed to Dr. Pérez-
    Rivera during bonding evaluations they remained willing to adopt Gabriel
    should defendants' parental rights be terminated, and they were willing to adopt
    Alex if he became legally free. Around this time, Alabama licensed Mary and
    Ted as resource parents.
    IV.
    On January 22, 2019, after the parties engaged in mediation, defendants
    agreed to a voluntary surrender their parental rights to Gabriel to Art and Sue.
    With the benefit of counsel, defendants testified their identified surrender was
    made knowingly and voluntarily. The judge credited their testimonies and
    accepted the surrender.
    A-1127-20
    22
    The next month, Art and Sue told a Division caseworker that after they
    adopted Gabriel, they planned to keep his name, albeit with a different spelling.
    They also advised the caseworker that if they became incapacitated, Mary was
    prepared to assume the role of Gabriel's caretaker. In March 2019, Art and Sue
    informed their caseworker they were in contact with their adoption attorney.
    Around this time, Dr. Pérez-Rivera assessed defendants' parental skills
    relative to Alex. Following her evaluation, Dr. Pérez-Rivera issued a report
    stating, "[i]t is highly recommended . . . [the Division] continue to pursue the
    present case goal, which is 'Termination of Parental Rights.'"
    In April 2019, the judge approved the Division's permanency plan to
    pursue termination of defendants' parental rights as to Alex, followed by
    adoption. The judge found "[b]oth parents lack the minimum level of parenting
    ability to safely care for the child despite the provision of numerous services by
    the Division." Once the Division filed a guardianship complaint relative to
    Alex, the judge terminated the corresponding Title Nine action.
    V.
    At a hearing in June 2019, counsel alerted the judge that while undergoing
    counseling with a Division provider, defendants claimed they did not realize
    they surrendered their parental rights to Gabriel. The judge responded, "there’s
    A-1127-20
    23
    not one shred of credible evidence that would cause this court, then or now, to
    determine that [defendants] were . . . misled by either one of their attorneys."
    He added, the surrender was "knowing and voluntary . . . with the advice of good
    counsel." The judge also noted defendants testified they were "satisfied with
    the services of their attorneys" and they "indicated . . . they had sufficient time
    to discuss this matter with their attorneys." Nevertheless, because he could not
    foreclose the possibility of vacating the surrender, the judge directed new
    counsel to assume defendants' representation. Approximately two weeks later,
    successor attorneys were appointed for defendants.
    Subsequently, the Law Guardian moved to vacate the identified surrender,
    claiming Art and Sue currently wished to withdraw from consideration as
    Gabriel's primary adoptive parents, due to their age, health issues, and the
    number of children they already had. According to the Law Guardian, Art and
    Sue hoped Gabriel and Alex would be adopted by Mary and Ted.
    On August 19, 2019, the judge granted the Law Guardian's request to
    vacate the identified surrender, without objection from the defense or the
    Division. At that hearing, defense counsel alleged Art and Sue "perpetrate[d] a
    fraud on the court"; counsel requested a plenary hearing to address the resource
    parents' "material misrepresentations." Jenny's attorney specifically urged the
    A-1127-20
    24
    court not to permit visits between the boys and Mary and Ted, arguing the couple
    should not "benefit from any misrepresentations . . . given to" the court.
    Further, George's attorney contended the judge should place the boys in a
    different New Jersey resource home where they might be adopted. But neither
    defense attorney offered the name of an individual who might serve as an
    alternative placement. By this time, Gabriel had been in placement for almost
    two-and-a-half years and Alex had been in placement for close to a year.
    The Law Guardian denied Art and Sue misrepresented their intentions
    about Gabriel. She argued that at the time of the identified surrender, Art and
    Sue anticipated adopting Gabriel and "would still adopt . . . if [the court] decided
    that the out-of-state relatives were not appropriate, or acceptable . . . because
    they love and are committed to these children."
    After recapping defendants' testimony from the identified surrender
    hearing, the judge reiterated his finding that defendants "fully understood . . .
    they were surrendering irrevocably their rights to be the parents . . . of
    [Gabriel]." Also, in response to the Law Guardian's requests that he appoint
    guardians ad litem for defendants and have them undergo competency
    evaluations — requests not supported by the defense — the judge stated, "there
    is not any competent evidence before this court that suggests . . . [defendants]
    A-1127-20
    25
    do not have the competency to assist in their own cases, and adequate[ly]
    participate in this litigation." The judge noted defendants had "faithfully and
    regularly engaged with their . . . service providers . . . and [been] cooperative
    with the court."
    Further, the judge rejected defendants' requests for a plenary hearing and
    the elimination of visits between the children and Mary and Ted. He found Art
    and Sue had "always held themselves out, up until recently to be the primary
    adoptive parents. It was not a secret. It was discussed not only in chambers but
    placed on the record that there were these relatives from Alabama that were
    interested in adopting [Gabriel] as well." He added, "[i]t was always expressed
    to this court both in chambers and on the record that [Art and Sue] were the
    primary adoptive parents, but were clearly open to having the folks from
    Alabama be the backup plan." Moreover, the judge stated he was "not . . .
    looking to have an 'I got you' moment for individuals who have done nothing
    but put the children's best interest at heart."
    However, because the judge found the identified surrenders were
    "predicated on the understanding" Art and Sue, "either together [or] individually
    would adopt," and they no longer were willing to be the primary adoptive
    A-1127-20
    26
    parents, the judge vacated the surrender, reinstated Gabriel's case under the
    guardianship docket and consolidated it with Alex's guardianship case.
    Based on the Division's revised plan to terminate defendants' parental
    rights, followed by adoption with either Art and Sue or Mary and Ted, the judge
    also ordered any outstanding bonding evaluations to include the boys' current
    New Jersey resource parents as well as their prospective resource parents in
    Alabama. Importantly, before concluding the hearing, the judge stated:
    [Alex] and [Gabriel] have only known [Art] and [Sue]
    as their resource parents . . . since [Gabriel's] initial
    removal as well as [Alex's] initial removal shortly after
    his birth, and due to regular visits and interaction, [the
    boys] also are to some degree familiar with the resource
    parents in Alabama.
    I find short of an emergent need for removal, that
    neither [Gabriel] nor [Alex] should be removed or
    separated from these current resource parents, or those
    other two folks from Alabama, providing that the
    appropriate checks and balances under state law and
    interstate law [are] satisfied.
    These children are not to be removed to any other
    home other than those four individuals, absent
    emergency, operation of law, or further order of the
    court. I find . . . that is what's in the best interest of the
    children to at least maintain some semblance of the
    status quo.
    If the Division in the meantime removes those
    children to Alabama, the Division will be solely
    responsible for providing [Jenny] and [George]
    A-1127-20
    27
    with . . . supervised visitation as to both of those
    children or either of those children once a week. They
    are entitled to supervised visitation.        [Gabriel's]
    visitation is immediately reinstated. All visitation with
    [Gabriel] and [Alex] shall be supervised and conducted
    at least once a week effective immediately.
    [(Emphasis added).]
    Unfortunately, the August 19 order did not fully capture the judge's
    directives and only stated, in part, "[s]hort of an emergency removal, [Alex] and
    [Gabriel] shall not be removed from their current resource parents." Stated
    differently, the order made no mention of the judge having allowed the boys to
    be placed with their prospective resource parents in Alabama.
    Several weeks later, the Division removed the children to Alabama to
    reside with Mary and Ted. When the parties next appeared in court in October
    2019, defense counsel asked a newly assigned judge to conclude the children's
    move to Alabama was contrary to the August 19 order as no subsequent order
    had been entered on an emergent basis to allow the move. Understandably, the
    Law Guardian and Division disagreed, claiming defendants' position was
    inconsistent with what the prior judge ordered. The Law Guardian urged the
    court to "listen[] to CourtSmart or . . . hav[e] a conversation with [the judge who
    presided over the August 19 hearing]" to resolve the dispute.
    A-1127-20
    28
    Relying on the language contained in the August 19 order, the newly
    assigned judge expressed "concern about the way this took place short of an
    emergency." However, she declined to order the boys' return to New Jersey, and
    later directed a recording of the August 19 hearing to be released to counsel.
    The judge also granted the joint request of the Law Guardian and the
    DAG, with consent of defendants' counsel, to modify the children's weekly
    visitation schedule.    Specifically, the judge ordered defendants to have
    supervised visits twice a month over long weekends, so visits would occur on a
    Friday and the following Monday, understanding the boys would be flown to
    New Jersey for the visits.     As Jenny's attorney aptly noted, this modified
    schedule "still essentially work[ed] out to once a week."
    At a hearing conducted a few weeks later, the judge found the Division's
    permanency plan for the boys' adoption by their Alabama resource parents was
    "appropriate and acceptable." She scheduled the guardianship trial to commence
    later that month. Also, without objection from defense counsel, the judge
    executed an amended August 19 order "to correct the portion of the order
    regarding [the children's] removal to the State of Alabama." The amended order
    accurately reflected the prior judge's decision and provided, in part, "[s]hort of
    an emergency removal, [the children] shall not be removed from their current
    A-1127-20
    29
    resource parents or the potential resource parents in Alabama." (Emphasis
    added).
    In anticipation of trial, Dr. Alan Lee conducted psychological evaluations
    of defendants.     He also performed bonding evaluations between them and
    Gabriel and Alex. Each evaluation was conducted with the assistance of a Popti
    interpreter. Further, the doctor conducted bonding evaluations between Mary,
    Ted, and the boys.
    Noting defendants' cultural and language barriers, Dr. Lee opted to test
    defendants for their psychological evaluations using only non-verbal IQ scales;
    he found both parents achieved a score of "0.1 percentile . . . meaning
    essentially 99.9% of all other people obtain[ed] a score higher" than them. The
    doctor concluded these scores placed defendants in the "intellectually deficient
    classification."
    Dr. Lee opined Jenny had "rather significant cognitive and intellectual
    limitations," "very chronic impairments in her cognitive and intellectual
    functioning," "significant difficulties accurately perceiving, interpreting and
    comprehending events around her," "poor problem[-]solving skills," and "[h]er
    knowledge of parenting and childrearing [was] remarkably poor, despite
    A-1127-20
    30
    having . . . children of very different ages born to her." He concluded Jenny's
    "prognosis for significant and lasting change is poor."
    Similarly, following George's psychological evaluation, Dr. Lee found
    George had "significant cognitive and intellectual limitations," was "prone to
    poor judgment and decision making" and "[h]is knowledge of parenting and
    childrearing [was] deficient and poor." The doctor also determined George's
    "prognosis for significant and lasting changes" was poor.
    Because Dr. Lee opined Jenny and George were "not supported as . . .
    independent caretaker[s] of the minor children at this time and within the
    foreseeable future," he recommended "permanency planning for the minor
    children besides reunification" to their birthparents. Dr. Lee also concluded
    defendants should undergo neurological evaluations "to survey for structural or
    organic etiology" for their "personal benefit, but not for the purpose[] of
    reunification."
    After Dr. Lee conducted his comparative bonding evaluations, he
    concluded the boys did
    not have a significant and positive psychological
    attachment or bond with [their birthparents]; related to
    this, there is a low risk of either child suffering severe
    and enduring psychological or emotional harm if the
    child[ren]'s attachment and relationship with [their
    birthparents] is permanently ended. Both children are
    A-1127-20
    31
    in the process of forming a significant and positive
    psychological attachment and bond with the proposed
    caretakers, [Ted] and [Mary], and assuming all else
    equal and the additional passage of time with the
    children living with them, the children are expected to
    form a significant and positive psychological
    attachment and bond with . . . [Ted] and [Mary], and
    then be at a significant risk of suffering severe and
    enduring psychological or emotional harm if the
    child[ren]'s attachment and relationship with [Ted] and
    [Mary] is then permanently ended. . . . Permanency is
    unlikely to be achieved with [Jenny] or [George].
    Permanency can be readily achieved with the proposed
    caretakers, [Ted] and [Mary], who have stated their
    wish and desire to provide permanent care, and to adopt
    the children if they are legally free for the same. This
    is the most supported permanency plan . . . .
    Notably, Dr. Lee was aware and considered that when he performed the
    bonding evaluations in August 2019, Gabriel had not visited with defendants in
    several months, due to the preceding identified surrender. But Dr. Lee also knew
    Alex continually visited with defendants since birth, and neither child had lived
    with Mary or Ted on a full-time basis.
    VI.
    The guardianship trial commenced in November 2019 before another
    newly assigned judge. During the trial, the Division called various witnesses,
    including Dr. Lee, the only expert to testify, and caseworker Soler. The Law
    A-1127-20
    32
    Guardian called Agosto and Art as witnesses, and Jenny testified on her own
    behalf.
    All counsel stipulated to Dr. Lee's expertise in clinical psychology, and
    he testified his opinions were provided within a reasonable degree of
    psychological certainty.    Consistent with his earlier evaluations, Dr. Lee
    testified that if Gabriel and Alex were returned to defendants, and despite that
    Alex had no significant medical needs, both boys would be at a "heightened
    risk" for having their medical, educational, and nurturing needs neglected.
    Dr. Lee stressed the boys were "very young, helpless, dependent children"
    "who count on the adult providing consistency, stability, protection, nurturance
    and support," yet with Jenny's "very low cognitive and intellectual functioning,"
    it was likely Jenny's "ability to consistently meet the needs of these very young
    children" would be jeopardized. He stated her impulse control disorder would
    likely compromise her ability to be a minimally adequate parent to the young
    boys, and her dependent personality would affect her capacity to parent. Dr.
    Lee opined Jenny's "capacity to cope" was "poor," her level of insight was
    "[v]ery limited," and she "struggle[d] in following through, even when given
    very clear directions."
    A-1127-20
    33
    The doctor also observed Jenny's answers to questions about
    developmental milestones for children generally were "rather erroneous." By
    way of example, he noted that when he asked her when most children start to
    walk, she initially responded "three or four years. And then she changed her
    answer saying it was five or six years. And then she said it might be one year."
    Additionally, Dr. Lee testified Jenny "struggled with some fairly unstable
    residence[s] in recent times" and "relocated a number of times in recent years."
    Noting Jenny received various services from the Division for well over two
    years by the time of his evaluation, Dr. Lee opined Jenny would not "become a
    minimally adequate parent within the foreseeable future." He concluded her
    "cognitive and intellectual issues are essentially lifelong. And they are not
    amenable to any kind of significant changes."
    Dr. Lee testified, too, that despite her cognitive deficits, Jenny said she
    felt ready to care for Gabriel and Alex on a full-time basis. Further, she
    communicated "it was her plan . . . not [to] use outside childcare services, but
    instead to be at home with the children . . . and [George] would work." Dr. Lee
    testified he "did not support [Jenny] . . . being an independent caretaker of either
    of these children."
    A-1127-20
    34
    Additionally, Dr. Lee testified that because George had "some significant
    cognitive and intellectual limitations" he "did not support either child" being in
    George's independent care and he was unable to support George "as an
    independent caretaker . . . within the foreseeable future."
    Dr. Lee deemed George's perception of situations as well as his basic
    views and beliefs to be "rather immature," and "often times . . . very simplistic."
    Further, Dr. Lee stated George's stress tolerance was "limited" and he was
    "easily overwhelmed." Despite George's limitations, he, too, told Dr. Lee he
    "was ready to take both . . . children on a full-time basis." George also informed
    the doctor of his intent to continue working and have Jenny provide childcare
    for Gabriel and Alex if he were reunified with the boys.
    Turning to his bonding evaluations, Dr. Lee reiterated he "did not support
    reunification of either child with either birth parent." He testified "there is not
    a significant bond of either child with either birth parent. So[,] there's [a] low
    risk of severe and enduring harm for either child if their relationship with birth
    mother and birth father is permanently ended."
    Dr. Lee testified, too, there currently "was not a significant and positive
    bond that was solidified for either [Gabriel] or [Alex] with [Mary or Ted]" but
    "there was and is a likelihood of the children solidifying that bond with [Mary
    A-1127-20
    35
    and Ted] in the coming months, especially if the children live with [Mary and
    Ted]."
    In December 2019, Art testified. He stated that before he received Gabriel
    into his home, he was told the infant "had shaken baby syndrome." Jenny's
    attorney objected to the "shaken baby" reference. The judge ruled, "I am not
    going to accept that for the truth of its content. It's what he was told." Further,
    the judge clarified, "what really matters here . . . is what he thought, not a back
    doorway to get in a diagnosis that otherwise . . . is not evidential at this point."
    Art also testified that before Gabriel was placed in his home, he was told
    Gabriel had a neck brace and "was going to need some follow-up visits and . . .
    some extensive care." Art stated "[t]here was [sic] a couple of times that
    [Gabriel] had to be hospitalized during his first summer" and was flown to
    duPont to have "an inner cranial shunt . . . placed." Jenny's attorney again
    objected to Art testifying about Gabriel's injuries; the judge overruled the
    objection, stating,
    if you're caring for a child, you need to know if a shunt
    was installed, for whatever reason, so that you are then
    made properly aware of what to be looking for while
    the shunt is still in. And that's very different than the
    witness indicating why a shunt was needed.
    She added, "head injuries can be accidental of course."
    A-1127-20
    36
    Art testified there "generally wasn't a week that went by that there wasn't
    some type of . . . appointment with a doctor . . . [a]nd there was early
    intervention" for Gabriel, including occupational and speech therapy. Art also
    confirmed that after Gabriel was placed in his home, Mary and Ted traveled to
    see the infant monthly and "FaceTim[ed] daily or every other day" to engage
    with Gabriel. He stated the couple also "immediately flew up and were . . . at
    [his] home" after Alex was placed with Art and Sue. Art testified he and his
    wife "are very connected with these two young boys," adding, "we will adopt
    them if that's the . . . remedy."
    On cross-examination, Art was asked when he and his wife decided it
    would be better for Mary and Ted to adopt the children. He answered, "[i]t was
    shortly after the identified surrender," explaining, "we have eight children and
    we wanted to move forward and do what was best for [Gabriel] and [Alex]."
    Before the trial continued in January 2020, the judge was informed
    Gabriel was showing signs of distress during visits with defendants.          She
    allowed the Division to terminate Gabriel's visits "if he [was] distressed and
    inconsolable and [defendants] and/or the caseworker [could] not redirect
    [Gabriel] into engaging in the visit." As the trial progressed and the judge heard
    similar concerns about Alex's reaction to supervised visits, the judge entered
    A-1127-20
    37
    broader orders to allow visits to be curtailed if both children were "distressed or
    inconsolable" and neither defendants nor a caseworker could "redirect the
    children into engaging in the visit."
    The Law Guardian called Agosto to testify in January 2020. Agosto
    confirmed she used a Popti interpreter during her therapy sessions with
    defendants even though by the time the trial commenced, they had "greatly
    expanded their knowledge of Spanish." Agosto also testified she used written
    materials, including "Nurturing Parenting Program[,]" in her sessions with
    defendants and "began to use . . . simpler text" with defendants because "[t]he
    simpler text had a lot of illustrations and very few words on a page. And it was
    very easy to follow."
    Agosto stated that when she asked defendants to tell her what they learned
    from their therapy sessions, "[t]hey gave a standard answer that they would not
    hit their children, and they would talk to them, if they needed to discipline
    them." Agosto testified defendants "were not able to give back some of the
    several parenting techniques and ideas that I was trying to give to them." She
    tried to explain materials to defendants again, but "also . . . used videos and . . .
    some other things to explain some of the ideas [she] was trying to give them" to
    A-1127-20
    38
    afford defendants "a variety of ways of learning some of the material that [she]
    was trying to present to them." Agosto stated:
    I encouraged [defendants] to talk to other parents in
    their family, to utilize TV shows . . . . I encouraged
    them to use their smartphone to go on the internet to
    learn about how children develop. What to do if your
    baby has a fever. I encouraged them to expand their
    general fund of knowledge by taking ESL classes and
    by expanding their social network, so . . . they would
    interface with other families. I tried to use . . . many
    different ways of communicating with them . . . . I
    found that there was a Popti app on the phone. I
    encouraged them to get books from the library. I told
    them how [they] could get a library card . . . . So, I
    tried to be quite thorough in my attempts to help them
    understand what they needed to effectively parent their
    children, not just relying on the book.
    Agosto was asked if she was alerted to any concerns about defendants'
    supervised visits with the boys. She recalled a Division worker advising her to
    "address the issue of fondling because [the Division] had a concern that
    [George] had been fondling [Gabriel's] penis during a supervised parenting
    evaluation." Further, Agosto noted that "[o]n another occasion, the Division
    asked [her] to address a concern that [George] had inserted his tongue into
    [Alex's] mouth"; when she did so, George responded, "but he's my flesh and
    blood, I just love him so much." George subsequently agreed not to fondle
    Gabriel's penis or put his tongue in Alex's mouth after Agosto explained this
    A-1127-20
    39
    type of behavior was "stimulating" to a child. Agosto also stated, "there was
    another concern that was brought up when the family removed the helmet for
    [Gabriel], which he require[d] for his medical condition."
    Asked on direct examination if Agosto knew of "any other modality" of
    treatment she could recommend for defendants to "improve their parenting to a
    standard where they could be reunited with their children," Agosto answered, "I
    don't believe so." On cross-examination, she admitted she was "frustrated . . .
    as a clinician" because of defendants' "inability to understand . . . the primal
    concern of this case." She stated that while she tried to help defendants "be
    better equipped to be parents[,] . . . they were not getting the primary concept of
    protection of children." On re-direct, Agosto confirmed her "main concern" was
    defendants "did not understand risk factors."
    When Soler testified for the Division, she confirmed she was a
    permanency worker and an adoption worker between 2017 and 2019. She stated
    the Division used a Popti interpreter to assist defendants with "all services and
    evaluations."    According to Soler, such services included "evaluations,
    psychologicals, bondings, parenting, individual counseling, and . . . [providing]
    updates on their children." Soler affirmed the Division also provided defendants
    with "parenting skills training," transportation, and visitation.
    A-1127-20
    40
    Additionally, Soler stated Gabriel was placed with his New Jersey
    resource parents because Gabriel "needed a resource parent . . . familiar with
    kids that are medically fragile. And . . . [Art's] resource family was." Soler also
    testified defendants failed to provide the Division with the names of individuals
    who could care for Gabriel, other than Jenny's sister and brother. She stated
    these two relatives were "ruled out" because "they all were living in the same
    home. They couldn't offer an explanation as to [Gabriel's] injuries either."
    When Soler testified Gabriel's doctors suspected he was abused, Jenny's
    attorney objected. The judge overruled the objection, finding Soler's statement
    was not "offered for the truth of its contents, but . . . offered to show why the
    Division became involved." As Soler's testimony continued and she attempted
    to explain what the Division learned about Gabriel's injuries, Jenny's attorney
    again objected. The judge observed:
    This is almost a razor edge of information that's
    going to be an issue throughout the litigation of this
    matter. Which is whether these injuries are inflicted
    within a reasonable degree of medical certainty or not.
    Which is a very different issue than who inflicted, or
    even trying to narrow down who inflicted them.
    But to artificially have testimony about the
    Division's involvement, medical care, after-care
    needed, and a range of issues that come with any kind
    of serious medical intervention for any human being.
    A-1127-20
    41
    To pretend that some of the treatable injuries just
    spontaneously appeared makes the record skewed.
    So, I'm going to rule on your standing objection
    by saying that it's not intended to create any inference
    that the parties or somebody they were responsible
    for . . . being with their child, and so they're responsible
    vicariously for the actions of that other person.
    That['s] . . . not what's inferred by describing the nature
    of the injuries.
    The judge made clear she understood the restricted purpose of Soler's testimony,
    highlighting it was "not being introduced to make an inference that [defendants]
    caused or allowed the injury to be caused by some third person."
    As Soler's testimony continued, she stated that once Alex was born and
    defendants learned he would not be released to their care, they asked the
    Division, "if we tell you what happened to [Gabriel], would [we] be able to take
    [Alex] home?" Soler recalled defendants later advised the Division Gabriel was
    injured in his babysitter's care.     She affirmed George "gave a couple of
    explanations [as] to what could have happened to [Gabriel] while . . . the
    babysitter was caring for him," such as the infant falling down the stairs.
    However, Soler testified the Division's investigation did not lead it to conclude
    the babysitter abused Gabriel.
    Soler also described the supervised visits the Division offered defendants.
    She stated that after the identified surrenders were vacated and visits with
    A-1127-20
    42
    Gabriel were reinstated, he would become upset during visits and "hide." "[H]e
    would cry that he wanted to go home" and "throw objects in the room." Soler
    testified she also noticed "[t]here was a lot of overfeeding" during the visits,
    "the kids climbed the ledge of the window" where visits occurred, and Gabriel
    would jump on the couch "standing up," compelling a caseworker to tell
    defendants "you have to tell him to get down." Soler stated defendants would
    not address this type of misbehavior "without prompting from the Division."
    Further, Soler noted "there were times . . . the parents were taking
    [Gabriel's] helmet off . . . during the visits.   So, they had to be redirected
    multiple times, don't take the helmet off."       Also, Soler stated during one
    supervised visit, George put his tongue in Alex's mouth and was "flickering the
    tongue inside his mouth." She said George did this after he "turned away . . .
    from the supervisor, so the supervisor couldn't see what he was doing. But the
    supervisor saw him through the mirror that was in the room . . . [a]nd was able
    to tell him to stop."      Despite these incidents, Soler testified when she
    investigated alternative service providers for defendants' benefit, they told her
    they did not want to pursue additional counseling because "they didn't feel they
    needed any counseling. . . . They stated they had to work, and due to work
    obligations, . . . they weren't interested in any counseling."
    A-1127-20
    43
    According to Soler, defendants' proposed plan for reunification was
    George "would continue to go to work and [Jenny] would be left in the caretaker
    role" for the children. Soler believed defendants did not have "any other friends
    or family members that could assist with caring for the children."
    When Soler was asked how the boys were adjusting to their placement in
    the Alabama resource home, she testified she visited the boys there and "both
    seemed very comfortable and happy in the home." She attested neither child
    exhibited any behavioral issues after the move, and she was unaware of any
    concerns resulting from the Alabama placement. Also, Soler stated Mary and
    Ted wished to adopt both children.
    Following Soler's testimony, George's attorney notified the judge of an
    agreement between counsel to modify the boys' visitation schedule again. Per
    the attorneys' stipulation, visits were to occur every third week moving forward,
    on Fridays, Saturdays, and Mondays, for two hours each day. George's attorney
    explained this modification would "save the children from flying back and forth
    on those other weeks."
    Unfortunately, soon thereafter, visits shifted to a remote format, due to
    the pandemic. Accordingly, Soler and her colleagues facilitated weekly phone
    and video visits for defendants and the boys as the trial progressed.
    A-1127-20
    44
    Due to the pandemic, the hearing on April 30, 2020 proceeded remotely.
    Importantly, counsel utilized this hearing to address multiple potential
    redactions to an exhibit containing Gabriel's medical records from the time of
    his hospitalization in March 2017.8 Counsel extensively discussed redactions to
    this exhibit while exploring the idea of not producing their medical experts from
    the Title Nine trial, i.e., Drs. DeJong and Scheller, for the ongoing guardianship
    trial. In that vein, counsel specifically addressed an offer from the DAG and the
    Law Guardian to refrain from trying to prove who caused or inflicted Gabriel's
    injuries or that defendants' delay in seeking treatment for Gabriel's March 2017
    injuries "rose to the level of Title Nine abuse or neglect."
    During the hearing, George's attorney told the judge, "I still have yet to
    hear . . . there [are] no longer any issues of abuse and neglect." The judge
    responded the offer from the Law Guardian or DAG "doesn't mean there aren't
    issues of abuse or neglect, right[? T]hat's what prong one is, but they're not
    trying to prove that [Gabriel's] injuries were inflicted." The Law Guardian
    8
    The record reflects the judge stepped off the bench for a period during the
    April 30 hearing, without objection from counsel. During this time, the
    attorneys continued their negotiations regarding redactions to Gabriel's medical
    records.
    A-1127-20
    45
    agreed, stating, "there's a risk of harm which falls within neglect, which is part
    of prong one, but inflicted injuries [are] off the table."
    Jenny's attorney remarked, "what I'm hearing right now, the DAG [is]
    taking abuse and neglect 'off the table.'" The judge interjected, "hold on, . . . it
    would almost be as though she's dismissing her case . . . if she says I can't prove
    prong one, so I don't think that's exactly what she meant. I think she meant
    inflicted injury, is that correct?"      The DAG concurred with the judge's
    understanding and confirmed she would not try to establish the four prongs of
    the best interest test by trying to prove defendants inflicted injury upon Gabriel.
    The DAG explained,
    prong one . . . does not have to be within the confines
    of abuse and neglect . . . . [I]t's a substantial risk of
    harm[. O]r prong one is . . . has the child been
    endangered by the relationship[.           T]hat doesn't
    necessarily require a Title [Nine] finding . . . so, . . . I
    will agree that probably the more accurate word is
    inflicted injury, and we will take that off [the table].
    The DAG and Law Guardian further tentatively agreed they would not seek to
    prove by clear and convincing evidence a third-party inflicted Gabriel's injury.
    The judge continued to address this issue, explaining, "the Division can
    prove the first prong [under N.J.S.A. 30:4C-15.1] without proving Title [Nine]
    abuse and neglect . . . . Title [Nine] neglect is different than other forms of
    A-1127-20
    46
    neglect and they're not trying to prove Title [Nine] neglect." The DAG again
    concurred with the judge's analysis.
    In summing up the proposal from the DAG and the Law Guardian with
    respect to Gabriel's medical records, the judge stated,
    so therefore, . . . you're not trying to get in [the medical
    records] to prove that the parents either caused [the
    injury] recklessly or knowingly or certainly purposely,
    nor are you trying to prove that, based on the injury, the
    parents delayed at bringing the child for medical care.
    Once again, the DAG and Law Guardian agreed with the judge's
    assessment of their proposal. But the Law Guardian stressed she would not
    consent to an order limiting her case if defense counsel still intended to call Dr.
    Scheller, explaining, "I'm not agreeing to let go of the idea of causation unless
    Dr. Scheller's not coming in. . . . [W]e're working towards something, but [the
    defense] today is saying, 'oh, I'm not agreeing that Dr. Scheller's not coming
    in.'"
    Following up on the judge's request to have the DAG communicate where
    she stood, subject to the Law Guardian's "proviso," the DAG stated she and the
    Law Guardian
    now . . . would say [they] tentatively agree . . . they
    will not . . . seek to prove causation of injury by [the]
    parents nor to prove injury inflicted by the parents, and
    the Division and Law Guardian tentatively agree they
    A-1127-20
    47
    will not seek to prove a delay in seeking medical
    attention.
    The judge clarified, "[F]or said injury . . . right?" and the DAG replied, "Yes."
    The DAG added, "[a]ny reference in prior testimony to the infliction or
    causation is not for the truth of [the] matter but [for] understanding of the issues
    and for the provision of services."
    When the hearing ended, the judge entered an order, attempting to reflect
    the status of the parties' negotiations. The order provided, in part:
    On the condition that Dr. Scheller will not testify
    [for the defense], the Law Guardian and Division will
    not seek to prove causation of injury by the parents nor
    to prove injuries were inflicted [on Gabriel] by parents.
    The Law Guardian and the Division will not seek to
    prove that the parents delayed in seeking medical
    attention for the injuries.
    Any references in prior testimony regarding the
    infliction or causation of injuries are not for the truth of
    the matter but for the witness's understanding of issues
    and for the provision of services.
    ....
    This matter shall return on May 19, 2020 . . . for
    an additional case management conference. . . .
    Counsel shall be prepared to argue any remaining
    objections to evidence. Counsel shall also be prepared
    to argue whether Dr. Scheller will testify. . . .
    ....
    A-1127-20
    48
    Negotiations with counsel to continue.
    [(Emphasis added).]
    When the matter returned to court in May 2020, the judge conducted
    another case management conference and entered an order which simply stated,
    in part:
    Defense no longer plans to call Dr. Scheller to
    testify, given counsel's stipulation to P-46[, Gabriel's
    Medical Records from duPont,] and in light of the
    representation by the DAG and the Law Guardian that
    they no longer seek to prove infliction or causation of
    injuries, fault of the parents[,] or failure to seek medical
    care.
    In the ensuing months, counsel learned the Supreme Court granted
    certification on Gabriel's Title Nine case. Accordingly, during a July 2020
    hearing, defense counsel sought to adjourn the guardianship trial until there was
    a decision by the Supreme Court on that matter.            The DAG objected to
    postponing the trial, stressing that while the source of Gabriel's injuries was
    unknown,
    that was not the only issue, not even the most prominent
    issue. The issue is that after the injury occurred, the
    Division started services with the parents, which
    included . . . a number of different services provided.
    And throughout that time, the experts said that
    [defendants] were unable to parent either child, and
    that's including [Alex], who has no medical issues.
    A-1127-20
    49
    ....
    . . . [W]e don't need that abuse or neglect finding
    for prong one because . . . more importantly, we've
    shown that the parents are just not capable, . . . given
    years of services.
    The judge denied defendants' adjournment request without prejudice.
    Because reversal of the abuse or neglect decision remained possible and
    witnesses who had testified indicated an awareness of Gabriel's injuries, during
    the July 2020 proceeding, counsel addressed what further redactions, if any,
    should be made to existing exhibits. They also discussed the purpose for which
    exhibits should be considered by the judge. The judge considered the parties'
    evidentiary issues at length and entered an order that day, itemizing in great
    detail the exhibits which were to be redacted and objections she overruled. Also,
    the judge detailed, where applicable, which "statements [in exhibits] were not
    offered to prove the infliction or causation . . . of injuries, or delay of medical
    care," and noted certain statements "would be limited to show Agosto's
    understanding of then current medical recommendations," while others were
    "not offered for the truth of the matter asserted."
    Trial resumed in October 2020 with Jenny testifying in person. During
    her direct examination, Jenny testified she was "worr[ied] about the well[-]being
    of [her] children. And what happened to [her] child, . . . the babysitter is to
    A-1127-20
    50
    blame for." She also stated if the children were returned to her, she would "stop
    working because [she] would like to take care of them."
    Asked how many children she had, Jenny answered, "four children. Two
    in Guatemala and the other two are [Gabriel] and [Alex] here." Jenny denied
    giving birth to any other child.     Based on this testimony, Jenny's attorney
    promptly asked for a sidebar conference and for George to leave the courtroom.
    The judge accommodated the sidebar, during which George's attorney stated, "I
    believe that this witness may have perjured herself and . . . [Jenny's attorney] is
    trying to cure that by not having my client in the room." The judge denied the
    request from Jenny's attorney to have George exit the courtroom.
    As Jenny's direct examination continued, her attorney asked Jenny to
    describe what she learned during parenting classes with Agosto.              Jenny
    answered, "you don't leave children alone in a room because they can be scared
    by something and I believe that you have to watch your children all the time."
    Regarding opportunities she had for further counseling, Jenny admitted she was
    no longer in therapy, but claimed this was "[b]ecause the people who are in
    charge told us that we were finished with the therapist and . . . didn't have to go
    back anymore."
    A-1127-20
    51
    On cross-examination, Jenny conceded Soler offered her additional
    counseling opportunities and other services multiple times, but she declined
    those services. When counsel inquired if Agosto "at any point" told her she
    "learned all the skills necessary to successfully parent on [her] own," Jenny
    answered, "Yes."
    Jenny also admitted to the DAG during cross-examination that she lied
    about the child she birthed in 2014. She stated, "I want to apologize for my
    behavior today. I lied in the beginning because I was afraid that [acknowledging
    the child] would prevent me from getting [Gabriel and Alex] . . . back."
    When George's attorney cross-examined Jenny, he asked her, "what is best
    for your children?" The following exchange occurred:
    Jenny: Yes, I do want the best for my children. But,
    we're getting older and as we get older time is going by.
    There come[s] a time when I take care of my children
    now but then as they get older and I'm older they will
    take care of me. I will be depending on them.
    [George's attorney]: . . . [L]et me try that again. What
    do you think is best for your children?
    Jenny: The truth is I'm here in this courtroom because
    I love my children. I love my family. I love my
    children. And, one day when I am old, they will take
    care of me.
    A-1127-20
    52
    Following Jenny's testimony, George chose not to testify, and defendants called
    no other witnesses.
    VII.
    On December 3, 2020, the judge issued a lengthy oral decision,
    accompanied by a conforming judgment, finding the Division proved all four
    prongs under N.J.S.A. 30:4C-15.1(a) by clear and convincing evidence. The
    judge also terminated defendants' visits with Gabriel and Alex.
    As she rendered her opinion, the judge outlined her credibility findings.
    She found Dr. Lee "very credible"; the judge also credited the testimony of
    Agosto and Soler but found Jenny's testimony "demonstrate[d a] substantial lack
    of credibility in terms of lying to stay out of trouble."
    Ten days later, the judge denied Jenny's order to show cause seeking
    restoration of visits. On December 22, 2020, the judge executed an amended
    final guardianship order, amplifying her oral decision and addressing
    defendants' objections to the initial guardianship decision. The amended order
    left the termination decision intact.
    Each party appealed from the guardianship judgments; we consolidated
    their appeals. Further, we denied: Jenny's motion to restore visitation pending
    A-1127-20
    53
    appeal; George's request for a stay pending a decision by the Supreme Court in
    the Title Nine action; and his motion for summary disposition.
    In September 2021, the Court unanimously reversed the Title Nine
    decision and remanded the matter to the trial court for a new hearing. J.R.-R.,
    248 N.J. at 378. In doing so, the Court rejected the burden-shifting paradigm
    enunciated in D.T., 229 N.J. Super. at 517, which had allowed trial courts in
    certain Title Nine cases to apply the doctrine of conditional res ipsa loquitur to
    shift the burden of proof to the parents to prove their non-culpability, J.R.-R.,
    248 N.J. at 372-73.
    VIII.
    On appeal, Jenny raises the following overlapping arguments:
    POINT I. THE TRIAL COURT'S DECISION MUST
    BE REVERSED BECAUSE [THE DIVISION]
    FAILED TO ESTABLISH BY CLEAR AND
    CONVINCING EVIDENCE THAT TERMINATION
    WAS IN THE BEST INTERESTS OF THE
    CHILDREN UNDER N.J.S.A. 30:4C-15 AND N.J.S.A.
    30:4C-15.1.
    A. The Trial Court Erred in Finding that the Division
    Had Demonstrated, By Clear And Convincing
    Evidence, That the Safety, Health or Development of
    the Children Had Been or Would Continue to be
    Endangered by the Parental Relationship with Their
    Mother.
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    54
    1. The trial court erroneously disregarded the
    parties' explicit agreement that medical neglect was
    "off the table" and instead used it to demonstrate
    parental incapacity to satisfy prong one, severely
    prejudicing Jenny's defense.
    2. Dr. Lee rendered an inadmissible net opinion
    regarding Jenny's cognitive limitations and inability to
    parent.
    3. The trial court improperly relied on Dr. Lee's
    net opinion concluding that Jenny was unable to parent
    while disagreeing with him regarding his determination
    that Jenny was cognitively disabled.
    B. The Trial Court Erred in Finding that [The Division]
    Had Demonstrated, By Clear And Convincing
    Evidence, That Jenny Was Unwilling or Unable to
    Eliminate the Harm Facing Her Children.
    1. Jenny persevered with services despite being
    faced with a hostile service provider who held
    unreasonable expectations.
    2. Jenny's lack of familiarity with American
    parenting mores and values did not demonstrate mental
    incapacity sufficient to satisfy prong [two].
    3. [The Division] failed to demonstrate that
    separating the children from their current resource
    parents would cause serious and enduring harm.
    C. The Court Erred In Holding That [The Division]
    Proved That It Had Made Reasonable Efforts To
    Provide Services To Help Jenny Reunify With Her
    Children Because [The Division's] Own Expert and
    Service Provider Admitted That The Services Offered
    Were Inappropriate And Inadequate.
    A-1127-20
    55
    1. [The Division's] [o]wn [e]xpert and [s]ervice
    [p]rovider admitted that the services offered were
    inappropriate, inadequate, and not sufficiently tailored
    to meet Jenny's need.
    2. [The Division] failed to provide adequate visitation.
    D. The Trial Court Erred In Concluding That [the
    Division] Had Demonstrated, by Clear and Convincing
    Evidence, That The Termination Of Jenny's Parental
    Rights Would Not Do More Harm Than Good.
    1.      [The Division] [i]mpeded Jenny [f]rom
    [m]aintaining [a] [b]ond [s]trong [e]nough [t]o
    [s]urvive [fourth] [p]rong [a]nalysis.
    2. The court erred by denying Jenny a plenary hearing
    to explore the legality of the proposed private
    placement adoption that [the Division] had
    countenanced.
    3. The court's reliance on the deterioration in the
    quality of the visits after a seven[-]month gap in visits,
    due entirely to [the Division] and the removal of the
    children to another state, was improper.
    POINT II.    THE PROCEEDINGS BELOW
    DEPRIVED JENNY OF DUE PROCESS (Not Raised
    Below).
    A. The Court Substantially Prejudiced The Defense By
    Not Informing the Parents That [It] Would Rely On
    Evidence Of Medical Neglect To Satisfy Prongs One
    And Two [of N.J.S.A. 30:4C-15.1(a)].
    B. The Substantial Culture And Language Barriers,
    Exacerbated By The Covid-19 Pandemic, Infringed On
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    56
    Jenny's Due Process Right To Participate In Her Own
    Defense.
    George raises the following contentions for our consideration:
    POINT I. THE TRIAL COURT'S DECISION MUST
    BE REVERSED BECAUSE [THE DIVISION]
    FAILED TO ESTABLISH BY CLEAR AND
    CONVINCING EVIDENCE THAT TERMINATION
    OF GEORGE'S PARENTAL RIGHTS WAS IN THE
    BEST INTERESTS OF THE CHILDREN.
    A. The Trial Court Erred in Finding [the Division]
    Demonstrated by Clear and Convincing Evidence that
    the Children's Safety, Health, or Development Have
    Been or Will Continue to be Endangered by Their
    Parental Relationship with Their Father.
    B. The Trial Court Erred in Finding that [the Division]
    Demonstrated by Clear and Convincing Evidence that
    George Was Unwilling or Unable to Eliminate the
    Harm Allegedly Facing His Children or Was Unable or
    Unwilling to Provide Them a Safe and Stable Home;
    [the Division] Did Not Prove Separating the Children
    from the Foster Parents Would Cause Them Serious and
    Enduring Emotional or Psychological Harm.
    C. The Court Erred in Holding [the Division] Proved by
    Clear and Convincing Evidence that it Made
    Reasonable Efforts to Provide Services to Help George
    Correct the Circumstances that Led to His Children's
    Placement Outside the Home.
    D. The Court's Determination [that] Termination of
    George's Parental Rights Will Not Do More Harm Than
    Good Was in Error.
    A-1127-20
    57
    POINT II. GEORGE WAS DENIED DUE PROCESS
    BECAUSE THE COURT WRONGLY RELIED UPON
    EXCLUDED EVIDENCE; CULTURAL AND
    LINGUISTIC BARRIERS, AS WELL AS THE
    PANDEMIC, CONTRIBUTED TO SAME.
    Defendants' arguments are unavailing.
    Our scope of review on appeal from an order terminating parental rights
    is limited. N.J. Div. of Youth & Fam. Servs. v. G.L., 
    191 N.J. 596
    , 605 (2007)
    (citing In re Guardianship of J.N.H., 
    172 N.J. 440
    , 472 (2002)). We will uphold
    a trial court's factual findings if they are "supported by adequate, substantial,
    and credible evidence." N.J. Div. of Youth & Fam. Servs. v. R.G., 
    217 N.J. 527
    ,
    552 (2014) (citing N.J. Div. of Youth & Fam. Servs. v. E.P., 
    196 N.J. 88
    , 104
    (2008)). "We accord deference to factfindings of the family court because it has
    the superior ability to gauge the credibility of the witnesses who testify before
    it and because it possesses special expertise in matters related to the family."
    N.J. Div. of Youth & Fam. Servs. v. F.M., 
    211 N.J. 420
    , 448 (2012) (citing
    Cesare v. Cesare, 
    154 N.J. 394
    , 413 (1998)). No deference is given to the court's
    legal interpretations, which we review de novo. N.J. Div. of Youth & Fam.
    Servs. v. I.S., 
    202 N.J. 145
    , 183 (2010).
    It is axiomatic that parents have a constitutionally protected right to the
    care, custody, and control of their children. F.M., 
    211 N.J. at 447
    . That right,
    A-1127-20
    58
    however, is not absolute. In re Guardianship of K.H.O., 
    161 N.J. 337
    , 347
    (1999); see also R.G., 217 N.J. at 553. "It is a right tempered by the State's
    parens patriae responsibility to protect children whose vulnerable lives or
    psychological well-being may have been harmed or may be seriously
    endangered by a neglectful or abusive parent." F.M., 
    211 N.J. at
    447 (citing
    E.P., 
    196 N.J. at 102
    ). At times, a parent's interest must yield to the State's
    obligation to protect children from harm. N.J. Div. of Youth & Fam. Servs. v.
    G.M., 
    198 N.J. 382
    , 397 (2009). "[C]hildren must not languish indefinitely in
    foster care while a birth parent attempts to correct the conditions that resulted
    in an out-of-home placement." N.J. Div. of Youth & Fam. Servs. v. S.F., 
    392 N.J. Super. 201
    , 209-10 (App. Div. 2007) (citing N.J. Div. of Youth & Fam.
    Servs. v. C.S., 
    367 N.J. Super. 76
    , 111 (App. Div. 2004)).
    The Legislature created a statutory test for a trial court to determine
    whether a parent's rights must be terminated in the child's best interests.
    Therefore, per N.J.S.A. 30:4C-15.1(a), the Division must satisfy the following
    four prongs by clear and convincing evidence:
    (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
    A-1127-20
    59
    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; [9]
    (3) The [D]ivision 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.
    The four prongs of the best interests test are not independent of one
    another. N.J. Div. of Child Prot. & Permanency v. T.D., 
    454 N.J. Super. 353
    ,
    379 (App. Div. 2018). Instead, they "are interrelated and overlapping," N.J.
    Div. of Youth & Fam. Servs. v. R.L., 
    388 N.J. Super. 81
    , 88 (App. Div. 2006)
    (citing K.H.O., 
    161 N.J. at 348
    ), and should form "a composite picture" of what
    is in the best interests of the child, N.J. Div. of Youth & Fam. Servs. v. M.M.,
    9
    Effective July 2, 2021, the Legislature enacted L. 2021 c. 154, amending laws
    pertaining to the standards for terminating parental rights and the placement of
    children with relatives or kinship guardians. N.J.S.A. 30:4C-15.1(a)(2) was
    amended to exclude from consideration the harm to children caused by removal
    from their resource parents. We discern no reason to apply the revised statute
    retrospectively. See James v. N.J. Mfrs. Ins. Co., 
    216 N.J. 552
    , 563 (2014)
    (recognizing generally statutes should be applied prospectively).
    A-1127-20
    60
    
    189 N.J. 261
    , 280 (2007) (quoting N.J. Div. of Youth & Fam. Servs. v. F.M.,
    
    375 N.J. Super. 235
    , 259 (App. Div. 2005)). Parental fitness is the crucial issue.
    K.H.O., 
    161 N.J. at 348
    . Ultimately, "the purpose of termination is always to
    effectuate the best interests of the child, not the punishment of the parent." 
    Id. at 350
    .
    Prongs One and Two
    Prongs one and two of the best interests test "are related to one another,
    and evidence that supports one informs and may support the other as pa rt 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). When considering the first
    prong of the best interests test, the court's focus is not "on a single or isolated
    harm or past harm," but rather "on the effect of harms arising from the parent -
    child relationship over time on the child's health and development." K.H.O.,
    161 N.J. at 348. Harm to other children may also be considered when analyzing
    the risk of harm to a particular child. N.J. Div. of Youth & Fam. Servs. v. R.M.,
    
    347 N.J. Super. 44
    , 68 (App. Div. 2002).
    Turning to the second prong, "the inquiry centers on whether the parent is
    able to remove the danger facing the child." F.M., 
    211 N.J. at
    451 (citing
    K.H.O., 161 N.J. at 352). "Prong two may . . . be satisfied if 'the child will suffer
    A-1127-20
    61
    substantially from a lack of . . . a permanent placement.'" Ibid. (quoting K.H.O.,
    161 N.J. at 363); see also C.S., 
    367 N.J. Super. at 111
     ("[T]he . . . statute[]
    reflect[s] reforms acknowledging the need for permanency of placements by
    placing limits on the time for a birth parent to correct conditions in anticipation
    of reuniting with the child."). Thus, continued delay in termination and in
    permanent placement can increase the harms identified pursuant to the first
    prong. See D.M.H., 161 N.J. at 379. "In other words, the issue becomes whether
    the parent can cease causing the child harm before any delay in permanent
    placement becomes a harm in and of itself." N.J. Div. of Youth & Fam. Servs.
    v. A.G., 
    344 N.J. Super. 418
    , 434 (App. Div. 2001).
    Termination of parental rights may be supported by evidence "that the
    parent substantially caused, directly or indirectly, the harm to the child." N.J.
    Div. of Youth & Fam. Servs. v. D.M., 
    414 N.J. Super. 56
    , 81 (App. Div. 2010).
    It is well settled that "harm" in this context is not limited to physical harm. See
    In re Guardianship of K.L.F., 
    129 N.J. 32
    , 44 (1992) (holding "[s]erious and
    lasting emotional or psychological harm to children as the result of the action or
    inaction of their biological parents can constitute injury sufficient to authorize
    the termination of parental rights").       Therefore, "courts must consider the
    potential psychological damage that may result from reunification as the
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    62
    'potential return of a child to a parent may be so injurious that it wo uld bar such
    an alternative.'" N.J. Div. of Youth & Fam. Servs. v. L.J.D., 
    428 N.J. Super. 451
    , 480-81 (App. Div. 2012) (quoting N.J. Div. of Youth & Fam. Servs. v.
    A.W., 
    103 N.J. 591
    , 605 (1986)). Even when the parents are not blameworthy
    because they were "short-changed by either nature or society," the second prong
    is satisfied when their behavior "indicates a further likelihood of harm to the
    child in the future." A.W., 
    103 N.J. at 615-16
    . "Courts need not wait to act until
    a child is actually irreparably impaired by parental inattention or neglect" before
    concluding these prongs are satisfied. D.M.H., 161 N.J. at 383 (citing A.W.,
    
    103 N.J. at
    616 n.14).
    Satisfaction of prong two often requires expert testimony that the parent's
    behavior put the child "in substantial jeopardy to physical or mental health," and
    there is no "realistic likelihood that the parent[] would ever be capable of caring
    for the children." A.W., 
    103 N.J. at 607, 614
    . The court may also consider
    expert testimony that, despite the parent's good intentions, the parent's cognitive
    limitations or mental health issues are sufficiently severe to prevent him or her
    from providing minimally adequate parenting in a safe and stable environment.
    A.G., 344 N.J. Super. at 440.
    A-1127-20
    63
    The failure of a parent to provide a "permanent, safe, and stable home"
    engenders significant harm to a child. D.M.H., 161 N.J. at 383; see also M.M.,
    
    189 N.J. at 293
     (upholding the trial court's termination of a father's parental
    rights where his wife, who had the intellectual functioning of a seven-year-old,
    created a dangerous and destabilizing environment). Similarly, "[a] parent's
    withdrawal of . . . solicitude, nurture, and care for an extended period of time is
    in itself a harm that endangers the health and development of the child."
    D.M.H., 161 N.J. at 379 (citing K.H.O., 161 N.J. at 352-54). Such withdrawal
    constitutes a "failure to provide even minimal parenting . . . ." Ibid.
    Guided by these standards, we are satisfied the judge did not abuse her
    discretion in finding the Division met its burden in showing by clear and
    convincing evidence defendants' ongoing parental incapacity harmed their
    children and they were unable to mitigate that harm. N.J.S.A. 30:4C-15.1(a)(1)
    and (2).
    In addressing prong one, the judge recounted how Gabriel's injuries in
    March 2017 prompted the Division's involvement. But, consistent with the
    stipulations of counsel during the April and May 2020 case management
    conferences, the judge made clear she was not considering who might have
    caused or inflicted Gabriel's injuries, nor how the injuries may have been
    A-1127-20
    64
    exacerbated by defendants' delay in seeking medical care prior to Gabriel's
    March 2017 hospitalization. Instead, the judge stressed, "[a]ny information
    about whether [Gabriel's injuries were] inflicted or accidental or related to the
    child's reaction to . . . a very high fever, sepsis, meningitis . . . is immaterial
    because the issue was withdrawn from the court."
    The judge then properly focused on what occurred after Gabriel's
    hospitalization.   She noted defendants reported to the Division that Jenny
    "was . . . the only . . . caretaker of the child when this condition developed and
    that in terms of anybody who could've cared for the child[,] it was only mom
    and dad." Thus, "the investigat[ive] steps that the Division took were limited in
    the scope to that situation." The judge observed that "about [eighteen months]
    after the initial injury," "the parents revealed . . . they knew their child had
    sustained traumatic injury because of some type of [f]all at his babysitter's. And
    they gave that babysitter's name and indicated when they found out" what
    happened to the child. The judge concluded these
    subsequent developments in terms of the new
    information provided by the parents after [Alex] was
    born, [are] relevant to . . . [defendants'] flawed
    decision-making. And that flawed decision-making is
    relevant to the entire prong one and prong two proofs
    of the Division in terms of what the parents . . .
    learned . . . and [their] judgments in the future
    regarding the care of both of their children.
    A-1127-20
    65
    Highlighting defendants' ongoing parental incapacity, the judge found
    defendants
    demonstrated throughout this litigation, mom more
    than dad, that they didn't really understand how a fever
    caused [Gabriel's] injuries. They didn't understand the
    shunt in [his] brain. They didn't understand, despite
    explanation, including in Popti, . . . much about what a
    brain bleed is. . . . But they . . . really didn't get how a
    blunt force trauma impacts on a child's care, what the
    various medical interventions were, and then what
    follow-up was needed so the child would heal perfectly
    and . . . the parents [were] not forthright about the facts
    that would've helped them learn more about how the
    child was hurt in the way that he was.
    To illustrate her point, the judge continued by referencing Gabriel's need
    for surgery in May 2017, some two months after his initial hospitalization. She
    stated:
    So[,] for example, with respect to the shunt, . . . the
    child was hospitalized and with [a] fever which may or
    may not be related to the brain swelling or bleeding, or
    inflammation of some type that required the shunt to
    relieve pressure[.] [T]he parents didn't demonstrate any
    understanding of why there was a little helmet on this
    child, which was to prevent him from falling so he
    wouldn't be reinjured . . . or the shunt wouldn't be
    affected.
    ....
    But dad definitely removed the child's helmet
    without authorization July 3, 2018, July 10, 2018, [and]
    A-1127-20
    66
    June 26, 2018 during visits . . . [and] there's references
    to his removal of the helmet at a recent visit and [he
    was] told . . . more about why he shouldn't do it. . . .
    So, the court notes it's more than . . . three times.[10]
    . . . [T]he helmet should've been in place from May 21,
    2017 to May 21 of 2019. . . . When the parents were
    asked about the helmet, they said, "well, it just makes
    his head feel better."
    The judge also concluded that despite defendants having met with a
    Division nurse and caseworker, with the assistance of a Popti interpreter, to
    review Gabriel's medical and developmental care, defendants exhibited nothing
    more than "the most simplistic understanding of the severe injury [Gabriel]
    sustained [and] the coordinated and highly professional care he required as a
    result."
    Additionally, the judge found once Gabriel's condition became "somewhat
    stabilized . . . after the shock, hospitalizations, and the spiking fevers resolved,"
    defendants "opted not to go" to Gabriel's Early Intervention evaluation, even
    though the service was "not dependent on income," and "it could've been such a
    rich source of information for the defendants. . . . That would've been a . . . start
    10
    In her amplified opinion, the judge stated that according to the Division's case
    notes, there were "numerous dates when the helmet was removed by the parents
    despite frequent admonitions not to. Those dates included 10/10/17, 11/27/17,
    3/6/18, 4/17/18, 6/26/18, 7/3/18, 7/10/18 and 7/18/18."
    A-1127-20
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    to understanding the nature of this child's injuries and healing process." In her
    amplified opinion, the judge added that defendants "did not then and still do not
    express an understanding of how important that evaluation was to secure
    necessary therapies to avoid developmental delays related to [Gabriel's ]
    injuries."   She found, too, that defendants, "up to and during the trial[,]
    continue[d] not to evidence even a basic understanding of the work [Gabriel]
    and the therapists were doing through the [E]arly Intervention programming,
    notwithstanding discussions the Division and Agosto had with them."
    Further, the judge concluded that during the two years it took to resolve
    Gabriel's injuries, defendants "really weren't able to take care of him with his
    unique needs" and they "didn't make progress" despite receiving various
    recommendations from their caseworker and Dr. Pérez-Rivera.
    In her amplified opinion, the judge questioned "[w]hether the parties
    would make future judgments about their children's well-being and protection
    as flawed as the ones which resulted in neither of them telling service providers,
    the court[,] or medical care providers for over eighteen months what they later
    said they knew of the circumstances of [Gabriel's] injuries." She found "[t]he
    decision to remain silent was joint [and] . . . demonstrated no understanding of
    the importance [for] care providers to have as clear as possible an understanding
    A-1127-20
    68
    of the mechanics of the child's injury." The judge expressed concern that "[a]
    similar omission, caused by [naiveté], distrust or defensiveness, regarding any
    future harm the children might sustain while in [defendants'] care, could put that
    child at risk of great harm."     Critically, although defendants claimed they
    refrained from reporting Gabriel's babysitter to the Division because they relied
    on her telling them they would have Gabriel back in three months and "not to
    worry," the judge found defendants "knew that this was an impediment to
    [Gabriel's] reunification with them."
    The judge emphasized she was not looking at the facts of the case "as the
    Division trying to backdoor some type of proof that the parents must have [hurt
    Gabriel] or . . . lie[d] about the babysitter." She reasoned:
    It is not necessary. It is not proper for me to do that. I
    am not doing that.
    I want to make that crystal clear. But it doesn't
    leave the issue irrelevant. [Gabriel] is not a child in a
    vacuum where his most central needs [for] the two
    years after his hospitalization can be ignored simply
    because the court is not looking at the question or
    relying on any inferences whatsoever, that the parents
    recklessly hurt this child or recklessly without regard
    for his well-being didn't disclose [what] happened to
    him.
    In steering clear of a Title Nine analysis and noting she had not reviewed
    the factfinding decision in the preceding Title Nine matter, the judge highlighted
    A-1127-20
    69
    this was "[n]ot a blameworthy situation" and she was "not inferring [defendants]
    caused the injury or recklessly delayed treatment," for Gabriel; instead, her
    focus remained on defendants' parental incapacity in that "they didn't understand
    that this child needed to be seen."
    The judge concluded defendants made "some progress" in parenting while
    the Title Thirty litigation was pending, but she determined they had not
    progressed sufficiently "to be able to provide [Alex], let alone [Gabriel ,] with a
    safe and stable home."       The judge specifically found Jenny "denied that
    [Gabriel] had any special needs" and she "had no real working knowledge . . .
    of what was done on his behalf."
    Further, the judge credited and gave "meaningful weight" to Dr. Lee's
    testimony that defendants had a limited understanding of their children's
    developmental milestones. She also found defendants "never made any progress
    with understanding what" their children needed by way of discipline. By way
    of example, she determined that as Gabriel became older and was "running
    around, the parents really [did] not know[] what to do." She noted defendants
    did not correct Gabriel's behavior when he was "hitting a parent or climbing
    up . . . furniture in the visitation area . . . or balking on the ground in a lack of
    cooperation."
    A-1127-20
    70
    Although the judge found "visitation sessions were adequate with respect
    to parent-child affectionate interaction," she concluded the
    sessions did not evidence significant improvement
    regarding     safety    monitoring[,]      development[,]
    knowledge[,] or structure during the life of the
    children's case and safety reminders were made by the
    [Division] staff with some frequency even in the
    controlled setting of the visitation room.             The
    deterioration in the quality of the children's visits [was]
    not clearly observable until the children's placement
    was moved to their current pre-adopt home in
    Alabama[,] which occurred in late August of 2019.
    That move overlapped [Gabriel's] increasing ability to
    speak, and the language he had learned was English.
    Additionally, the judge found "[t]he tongue incident" initiated by George
    during a supervised visit with Alex was "significant[]" because George failed to
    recognize this behavior would be "violating a boundary with the child that . . .
    could interfere with the child's comfort level and relationship." Likewise, she
    noted George was corrected during a supervised visit when he and Jenny played
    with Gabriel's penis during a diaper change for "about [forty-five] seconds."
    The judge stated, "I don't want to overemphasize those two incidents, but they
    do reflect [defendants'] understanding of parenting."
    Turning to Jenny's "failure to inform professionals providing her
    parenting training that she was not a 'first-time' mother," the judge found Jenny
    "insisted . . . she had no prior experience raising children during the first six
    A-1127-20
    71
    months of the [Division's] case" and "only reluctantly confirmed the existence
    of these children after confronted with her medical history as she provided it in
    medical records in the [D]ivision's possession." The judge credited Agosto's
    testimony that her parenting education approach with Jenny was based on
    Jenny's misrepresentation she was a "first-time mother" and if Agosto "had
    known that mother had older children[,] she could have incorporated mother' s
    specific prior experiences with raising those children in her parenting education
    dialogue and examples." Moreover, the judge credited Dr. Lee's opinion that
    Jenny's prior experience with her own children, who were ten and fourteen years
    old when Jenny immigrated to the United States, "should have provided her with
    more knowledge."
    Further emphasizing defendants' demonstrated inability to parent Gabriel
    and Alex, the judge found George was "told . . . numerous times throughout this
    litigation . . . that mom was really a lot less ready than [he] would be to parent
    and interact with . . . [the boys]." By way of example, the judge stated "it was
    clear that the defendant father was more capable of identifying hazards[,] such
    as some choking hazards[,] and of communicating with the children non-
    verbally, despite language barriers. Mother demonstrated difficulty in having
    [Gabriel] follow routine parental direction during visits, as compared to father."
    A-1127-20
    72
    Thus, the judge was struck by the fact that after defendants were told there were
    concerns about Jenny's deficits, they "never deserted the plan" that if
    reunification occurred, "mother would remain in the home with the children and
    father would work outside of the home[,] as was the case before the Division's
    involvement."
    The judge's findings on prongs one and two are not only amply supported
    in the record, but also are bolstered by the unrefuted testimony of Dr. Lee, the
    lone expert in the case. As we have discussed, Dr. Lee never wavered in his
    opinion defendants were not minimally adequate parents and would be unable
    to overcome their significant parenting deficits in the foreseeable future .
    To the extent defendants argue the judge improperly considered the cause
    of Gabriel's injuries and defendants' delay in securing medical treatment for his
    injuries when she analyzed prongs one and two, despite agreements reached
    between counsel mid-trial, such contentions are belied by the record.
    As is evident from her oral decision and amplified judgment, the judge
    did not arrive at her termination decision by relying on who or what caused
    Gabriel's injuries in March 2017, nor did she rely on any delay in treatment
    Gabriel experienced in March 2017.          Instead, she focused on defendants'
    subsequent lack of understanding of the child's injuries, their ongoing inability
    A-1127-20
    73
    to do what was necessary to help Gabriel heal as he recovered from his injuries,
    and how their parental incapacity also would impact Alex, though the younger
    child did not suffer from a medical condition.
    As the judge succinctly noted in the sections of her amplified decision
    addressing prongs one and two, there were various "examples of the risk of harm
    presented by [defendants] not understanding the extent of [Gabriel's]
    injuries . . . despite numerous discussions with [a Division] caseworker and
    [Agosto]." She illustrated her point by noting defendants "were never able to
    describe . . . the purpose of the helmet was to protect the child's head from re-
    injury in a fall or from running into furniture." Thus, in assessing defendants'
    inability to ameliorate harm to their children, the judge found "the extent of
    [Gabriel's] injuries and the details of his after[-]injury care . . . were not
    understood by the parents at the time of the injury and . . . are still not
    understood."
    We are persuaded the judge's nuanced analysis is consistent with the
    stipulations reached by counsel and sanctioned by the judge during case
    management conferences held in April and May 2020. As the judge correctly
    noted in her amplified statement of reasons, counsel agreed mid-trial that
    allegations in the FG complaint that [defendants]
    inflicted the injuries which resulted in [Gabriel's 2017]
    A-1127-20
    74
    hospital admission . . . either purposely, knowingly[,]
    or with reckless disregard of the risk of such injury
    would be withdrawn from the Division's termination of
    parental rights . . . complaint and proofs. . . .
    Additionally, the allegation that the parent[s'] delay in
    seeking treatment for [Gabriel] rose to the level of Title
    Nine abuse or neglect by purposely, knowingly[,] or in
    disregard of risk of serious harm failing to act, was also
    withdrawn.       Related evidential redactions were
    prepared and . . . . [t]he agreement was confirmed, on
    the record, . . . on April 30, 2020. 11 During this
    conference the court and counsel dialogued so as to
    clarify whether the stipulation was intended to allow
    evidence of the delay in obtaining treatment to be part
    of the Division[']s remaining [p]rong [one] proofs.
    More specifically, a [p]rong [one] theory that the child's
    safety, health[,] and development had been or would
    continue to be endangered by the parental relationship
    because the parents did not quickly seek medical care
    and lacked the capacity to know how to safely and
    adequately parent could be presented. The parties
    acknowledged that the stipulations and related
    redactions would allow that evidence of the delay and
    related issues of the parent[s'] understanding of the
    severity of the child's symptoms could remain as part
    of the [Division's] case.         Evidence previously
    introduced regarding the circumstances immediately
    before and reasons for the child's hospitalization would
    11
    We recognize the record indicates any agreement reached on April 30 was
    tentative. This fact does not alter our analysis because once defense counsel
    stipulated during the May 2020 case management conference that it was
    unnecessary to have Dr. Scheller testify, the parameters for how Gabriel's
    injuries could be considered by the court were finalized. Also, it is evident any
    remaining redactions approved by the judge during the May 2020 proceeding
    were based on the stipulations reached between counsel during the April and
    May 2020 case management conferences.
    A-1127-20
    75
    remain in the record but only as relevant to the issue of
    parenting capacity and decision making.
    The subsequent withdrawals of evidence and
    witnesses[,] as well as redactions to the Division's case
    notes . . . and other documentation were consistent with
    counsel's agreement.
    The language of the [o]rder confirming the
    stipulations did not include all of the detail outlined
    above.
    [(Emphasis added).]
    Prong Three
    N.J.S.A. 30:4C-15.1(a)(3) requires the Division make "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 to "consider[] alternatives
    to termination of parental rights[.]"        Although the judge here found "the
    Division . . . prove[d] the two parts of the third prong by clear and convincing
    evidence," defendants contend the Division failed to provide adequate services
    for the purpose of reunification. Again, we disagree.
    "Experience tells us that even [the Division's] best efforts may not be
    sufficient to salvage a parental relationship." F.M., 
    211 N.J. at 452
    . Moreover,
    "if the Division ha[s] been deficient in the services offered to" a parent, reversal
    is not necessarily "warranted, because the best interests of the child controls[]"
    A-1127-20
    76
    the ultimate determination. N.J. Div. of Youth & Fam. Servs. v. F.H., 
    389 N.J. Super. 576
    , 621 (App. Div. 2007).
    Here, the judge found the Division established the third prong of the best
    interests test, in part, because "[t]he Division provided numerous family team
    meetings and always had the counselor there. . . . [T]his provider really got to
    know and care about this family. . . . [T]hat came through in Ms. Agosto's
    testimony. Ms. Soler did as well." Further, the judge found Dr. Pérez-Rivera's
    evaluations and recommendations provided defendants with necessary
    information to assist them in parenting.
    The judge specifically noted, Agosto provided "weekly bi-lingual
    parenting counseling . . . from the inception of the case until January of 2020,"
    albeit with "breaks in service," and "[h]er sessions were conducted with the
    assistance of a Popti interpreter through [a] language line." The judge also found
    Agosto
    spoke frankly and plainly to the parents about
    parenting, using a simplified curriculum which they
    seemed to understand. However, information they
    learned did not appear to be retained over time, such as
    the importance and reasons for the child's . . .
    helmet . . . or the range of developmental stages for
    children.        She    shared     Dr.   Pérez-Rivera's
    recommendations       and     repeatedly     encouraged
    [defendants] to take advantage of free English as a
    second language and literacy courses . . . . The court
    A-1127-20
    77
    observed that Ms. Agosto's attendance at [Division]
    Family Team Meetings . . . allowed for hands-on
    collaboration . . . with the assistance of a Popti
    interpreter [which] was a sound plan to assure that the
    parents had input into their counseling and services
    plans, understood what they were expected to do and
    had a mechanism to have their questions and concerns
    addressed. . . . [Agosto's] recommendations regarding
    the parents obtaining more practical literacy skills
    w[ere] specific in terms of the location of classes . . .
    and how to utilize the internet to obtain a range of . . .
    parenting      videos[,]    including      Popti-Spanish
    interpreting and basic parenting issues and ideas. . . .
    [V]isitation sessions frequently document dad being
    able to use his phone to play games and watch movies
    with [Gabriel] during visits. . . .       [A]nd mother
    expressed that she had in fact used the internet to access
    videos about how to parent and found them helpful.
    The judge also noted
    [t]hroughout 2020 . . . the . . . caseworker repeatedly
    asked . . . [d]efendants whether she could refer them to
    parenting classes and they continually and politely
    declined. They explained that they did not feel they
    needed more information to parent. They also stated
    that they had to work and could not participate in
    services as a result.
    Regarding the boys' placements, both in New Jersey and then Alabama,
    the judge concluded the Division engaged in "concurrent planning," whereby
    [t]he goal was reunification for the parents. But . . .
    early in the litigation, it was known that ultimately, . . .
    should the Division seek and the court grant a . . .
    termination of parental rights[,] . . . at the request of the
    then current resource home, who was willing to adopt,
    A-1127-20
    78
    and apparently still are, . . . that a judge . . . might very
    well be asked to approve moving the children out of
    state to Alabama, which of course, . . . ultimately
    happened.
    The judge determined it was reasonable for the Division to initially place
    Gabriel with his New Jersey resource parents, despite that this was "[n]ot a
    Spanish speaking home." She found Art and Sue "had a lot of experience with
    caring for a child who had serious issues that required medical monitoring,
    appointments, follow[-]up, careful observations, [and] careful implementation
    of various recommendations from healthcare providers to assure that he healed
    well. . . . That's why they were chosen."
    Although the judge expressed "it would've been helpful for there to be
    more candor" about what Art, Sue, Mary, and Ted had planned for Gabriel and
    Alex, she declined to find any resource parent had "unclean hands." Further,
    she found the Division documented the resource parents' plans "over and over
    again." The judge also found no fault with her predecessor's decision to allow
    the boys' move to Alabama, noting when that decision was made, it was
    anticipated a trial would be conducted "soon" and "nobody could've predicted
    this pandemic."
    To the extent certain other services or activities were not offered to
    defendants, the judge found defendants
    A-1127-20
    79
    did not progress to be able to safely manage the needs
    of their children who were at two different
    developmental stages, either out[]doors or in a public
    place such as a park or public library. Mobility out of
    doors was impacted because simultaneous interpreters
    were needed in Spanish and Popti . . . . Additionally,
    the parents struggled with ideas for visitation activities
    even in the more sheltered setting of the [Division]
    office.
    The judge rejected defendants' argument the Division should have
    explored other options for "an in-home or community-based parenting service,"
    concluding "[n]o further specific viable service, able to utilize the necessary
    simultaneous Popti-Spanish and English double interpreting was identified
    during this litigation" and "identifying such a unique service was not caused by
    lack of reasonable effort by the [Division]." Moreover, the judge determined
    the Division's services "were coordinated" and "had a reasonable potential to
    succeed." While she acknowledged the Division's efforts "did not succeed," she
    found that did "not mean that the efforts weren't reasonable." Our review of the
    record convinces us the judge's findings on prong three are well-supported by
    competent credible evidence.
    As to the remaining requirement under prong three, for the sake of
    completeness, we note defendants do not contest the Division considered the
    two placement options they offered. Also, defendants do not identify a viable
    A-1127-20
    80
    placement alternative overlooked by the Division after Jenny's brother and sister
    were "ruled out." Thus, we cannot conclude the judge abused her discretion in
    finding the Division established both elements of the third prong by clear and
    convincing evidence.
    Prong Four
    The fourth prong of the statute requires the court to determine that
    termination "will not do more harm than good." N.J.S.A. 30:4C-15.1(a)(4). It
    serves as a "'fail-safe' inquiry guarding against an inappropriate or premature
    termination of parental rights." F.M., 
    211 N.J. at 453
     (quoting G.L., 
    191 N.J. at 609
    ). "The question ultimately is not whether a biological mother or father is a
    worthy parent, but whether a child's interest will best be served by completely
    terminating the child's relationship with th[e] parent." E.P., 
    196 N.J. at 108
    .
    Typically, as to this prong, "the [Division] . . . offer[s] testimony of a well[-
    ]qualified expert who has had [a] full opportunity to make a comprehensive,
    objective, and informed evaluation of the child's relationship with both the
    natural parents and the foster parents." F.M., 
    211 N.J. at 453
     (quoting M.M.,
    
    189 N.J. at 281
    ).
    A child "deeply needs association with a nurturing adult[,]" and a sense
    of "permanence in itself is an important part of that nurture[.]" A.W., 103 N.J.
    A-1127-20
    81
    at 610. "When a parent has exposed a child to continuing harm through abuse
    or neglect and has been unable to remediate the danger to the child, and when
    the child has bonded with foster parents who have provided a nurturing and safe
    home," the termination of parental rights "likely will not do more harm than
    good." E.P., 
    196 N.J. at 108
    . The child's need for permanency and stability
    emerges as a central factor. K.H.O., 161 N.J. at 357.
    The ultimate determination on the fourth prong cannot be made simply by
    showing "the child has bonded with foster parents who have provided a
    nurturing and safe home," or that terminating parental rights "likely will not do
    more harm than good" because it would provide the child with the benefit of a
    "permanent placement with a loving family." E.P., 
    196 N.J. at 108
    . Nor can it
    be made simply upon finding that the bond with the foster parent is stronger than
    the bond with the biological parent, because that is an expected result of an early
    or lengthy removal. G.L., 
    191 N.J. at 608-09
    . Termination is only appropriate
    when the absence of permanency would cause harm, and when the parent is
    unlikely in the reasonably foreseeable future to become capable of primary
    caregiving for the child without risking harm. L.J.D., 
    428 N.J. Super. at
    483-
    87. That is the case here.
    A-1127-20
    82
    As the judge noted, she was able to "look at the length of the placement,
    [and] its impact on the child[ren's] ability to be secure, and develop in a known
    foreseeable home." She also accepted Dr. Lee's testimony that Gabriel and Alex
    were "on a path to bond with" Mary and Ted, and found the Division proved
    Mary and Ted were "able, and willing, and committed to mitigating any harm to
    the children from having their relationship with their parents severed." But
    significantly, she also found "compelling" Dr. Lee's testimony that he did not
    envision defendants being able to adequately provide for their children now or
    in the foreseeable future.
    Acknowledging      defendants    experienced    an   "unusual    visitation
    arrangement" and endured breaks in visits over the life of the case, particularly
    during the pandemic, the judge stressed these "breaks are not such that they
    independently created this situation which cause[d] the parents not to be able to
    – at this moment – provide a safe and adequate home for the children." She also
    emphasized defendants' visitation sessions "did not evidence significant
    improvement regarding safety monitoring[,] development[,] knowledge[,] or
    structure during the life of the children's case and safety reminders were made
    by [Division] staff with some frequency even in the controlled setting of the
    visitation room." (Emphasis added).
    A-1127-20
    83
    Because the record makes clear: Gabriel and Alex were in placement from
    the time they were infants; Gabriel and Alex were in the process of bonding with
    their Alabama resource parents when Dr. Lee evaluated them and predicted they
    would bond with Mary and Ted within several months; the boys continued to
    thrive in the care of Mary and Ted long after Dr. Lee conducted his bonding
    evaluations; Mary and Ted wished to adopt both boys; and Dr. Lee concluded
    defendants remained incapable of parenting the boys now and in the foreseeable
    future, we are satisfied the judge properly concluded termination would not do
    more harm than good.
    Due Process
    Turning to defendants' due process arguments, we note due process
    generally "requires adequate notice and a fair opportunity to be heard." N.J.
    Div. of Child Prot. & Permanency v. K.S., 
    445 N.J. Super. 384
    , 390 (App. Div.
    2016) (quoting N.J. Div. of Youth & Fam. Servs. v. M.Y.J.P., 
    360 N.J. Super. 426
    , 464 (App. Div. 2003)). In cases involving the termination of parental rights
    specifically, "[w]hen the State moves to destroy weakened familial bonds, it
    must provide the parents with fundamentally fair procedures." 
    Ibid.
     (quoting
    Santosky v. Kramer, 
    455 U.S. 745
    , 753-54 (1982)).          Although "it is well
    established as a matter of due process principle that procedural requirements are
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    more demanding in parental termination cases than in ordinary civil actions,"
    due process "is a flexible concept and calls for such procedural protections as
    the particular situation demands." M.Y.J.P., 
    360 N.J. Super. at 464, 467
    .
    Guided by these standards, we are convinced defendants due
    process claims are without merit.      R. 2:11-3(e)(1)(E).    Indeed, the record
    establishes they received adequate procedural protections, including fair notice
    and an opportunity to be heard. Moreover, it is evident from the record that each
    judge tasked with presiding over this complex guardianship matter consistently
    accommodated defendants' cultural and language barriers, ensured interpreter
    issues were resolved for defendants' benefit, and addressed complications
    arising from the pandemic in a timely manner while also ensuring services
    continued to be coordinated through the Division.
    In sum, we perceive no basis to disturb the judge's factual findings nor her
    legal determinations under N.J.S.A. 30:4C-15.1(a). To the extent we have not
    specifically addressed any of defendants' remaining arguments, we are
    satisfied they are without sufficient merit to warrant discussion in this opinion.
    R. 2:11-3(e)(1)(E).
    Affirmed.
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