In re Q.S. , 2023 Ohio 712 ( 2023 )


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  • [Cite as In re Q.S., 
    2023-Ohio-712
    .]
    COURT OF APPEALS OF OHIO
    EIGHTH APPELLATE DISTRICT
    COUNTY OF CUYAHOGA
    IN RE Q.S., ET AL.                           :
    :              No. 111416
    Minor Children                               :
    :
    [Appeal by D.P., Mother]                     :
    JOURNAL ENTRY AND OPINION
    JUDGMENT: AFFIRMED
    RELEASED AND JOURNALIZED: March 9, 2023
    Civil Appeal from the Cuyahoga County Court of Common Pleas
    Juvenile Division
    Case Nos. AD21909146, AD21909147, AD21909148, and AD21909149
    Appearances:
    D.P., pro se.
    Michael C. O’Malley, Cuyahoga County Prosecuting
    Attorney, and Zachary J. LaFleur, Assistant Prosecuting
    Attorney, for appellee.
    EILEEN A. GALLAGHER, J.:
    Appellant-mother D.P. (“Mother”), pro se, appeals from the decision of
    the Cuyahoga County Court of Common Pleas, Juvenile Division (the “juvenile
    court”) granting temporary custody of four of her children to appellee, the Cuyahoga
    County Division of Children and Family Services (“CCDCFS” or “the agency”). For
    the reasons that follow, we affirm.
    I. Factual Background and Procedural History
    This appeal involves four of Mother’s children: Q.S., Hers.S., Herb.S.
    and L.S. H.S. (“Father”) is the father of the four children.
    On October 14, 2021, CCDCFS refiled a complaint for neglect,
    dependency and temporary custody of the children,1 along with a motion for
    predispositional temporary custody. As it relates to Mother, the refiled complaint
    alleged: (1) the children have mental-health and behavioral issues, including
    exhibiting inappropriate sexualized behaviors with each other, that Mother is
    “unable to adequately address”; (2) Mother had not consistently ensured that the
    children receive recommended treatment and medication to address their
    emotional and behavioral issues; (3) Mother lacks the parenting skills necessary to
    address the children’s behavioral needs, fails to properly supervise the children and
    minimizes the risks associated with the children’s inappropriate sexualized
    behavior; (4) Mother has mental-health issues that interfere with her ability to
    provide a safe and appropriate home for the children; (5) Mother has substance-
    abuse issues with marijuana that interfere with her ability to provide adequate
    parental care and (6) Mother has two older children who were removed from her
    1 A prior complaint for neglect, dependency and temporary custody of each of the
    children was filed on July 16, 2021 (Cuyahoga J.C. Nos. AD21906069, AD21906070,
    AD21906071, and AD21906072). On July 15, 2021, the children were removed from
    Mother’s home and placed in the emergency custody of the agency pursuant to an ex parte
    telephonic order. The case was not resolved within statutory time limits and was
    dismissed and refiled. The children have remained in the continuous custody of the
    agency since their removal on July 15, 2021.
    care and committed to the permanent custody of CCDCFS due in part to her mental
    health and substance-abuse issues.
    With respect to Father, the complaint alleged: (1) Father has exposed
    the children to sexually explicit materials; (2) there is a conflict between Father and
    the children that prevents him from providing adequate parental care for them and
    (3) Father has a prior conviction for domestic violence.          Mother denied the
    allegations of the complaint and objected to the agency’s request for continued
    predispositional temporary custody of the children, arguing that the children should
    be returned to her care. Father likewise denied the allegations of the complaint but
    stipulated to the agency’s request for continued predispositional temporary custody
    of the children.
    A. Emergency Custody Hearing
    On October 15, 2021, the magistrate conducted a Zoom hearing to
    determine whether there was a need for the children to remain in predispositional
    temporary custody pending proceedings on the refiled complaint (the “emergency
    custody hearing”).    At the time of the hearing, the children had been in the
    emergency temporary custody of the agency for three months. Attorney Salvatore
    Amata (“Attorney Amata”) with the Cuyahoga County Office of the Public Defender
    represented Mother at the emergency custody hearing.
    CCDCFS case worker, Gail Elmore, and Mother testified at the
    emergency custody hearing. At the time of the hearing, L.S. was seven years old,
    Herb.S. and Hers.S. were eight years old and Q.S. was nine years old.
    1. Testimony by Agency’s Witness
    Elmore testified that the children were removed from Mother’s care on
    Thursday, July 15, 2021, following an incident that had occurred three or four days
    earlier in which the children had engaged in sexualized behaviors with each other.
    Elmore stated that, on the evening of July 14, 2021, the agency received an
    anonymous report (through the agency hotline) that the children had been engaged
    in sexualized behaviors while at home with Mother. Elmore stated when she spoke
    with Mother about the incident the following day, Mother told Elmore that the
    children had informed her that an incident had occurred the prior weekend in which
    two of the children had engaged in sexualized behaviors with each other and that
    she planned to discuss the incident at the family counseling session scheduled for
    later that week. Elmore further indicated that, when she spoke with the children
    about the incident, the children confirmed both that (1) the incident had occurred
    and (2) Mother was “aware of these behaviors.”
    Elmore testified that the July 2021 incident was not the first incident
    involving sexualized behaviors among the children. Elmore stated that sexualized
    behaviors of the children was an “ongoing issue” and that she had been working with
    the family to address the issue since March or April 2020, when she was assigned
    the case by the agency’s sex abuse department.
    Elmore testified that when she was assigned the case, Mother and the
    children were engaged in individual counseling through Family Solutions. Elmore
    stated that she referred the family to Ohio Guidestone’s Protect Program, i.e., a
    program that provides “specific counseling and therapy for children [who] exhibit
    sexualized behavior to assist them with understanding what’s appropriate, what’s
    not, and things like that * * * moving the children toward learning healthy
    relationships so that they are safe amongst themselves and that are safe around
    other children” and “tr[ies] to help support mom to keep the children safe from each
    other and other children.”
    Elmore testified that the agency had received other “referrals” related
    to sexualized behavior among the children in January or February 2021, in April or
    May 2021 and in late June 2021. Elmore stated that the June 2021 referral resulted
    from a disclosure by one of the children to Mother (during a family counseling
    session) that the children had been engaging in sexualized behaviors with one
    another.
    Elmore testified that the agency did not seek immediate removal of the
    children from Mother’s care after the agency received the referrals but, instead,
    continued to work with Mother. Elmore indicated that services were provided to
    Mother to educate Mother how to better manage and supervise the children to
    prevent such behaviors, including using “line-of-sight supervision” and making
    room changes so the children could be more closely monitored in the home.
    Elmore stated that, when asked about the reported sexualized
    behaviors of the children during a staffing conducted on July 16, 2021, Mother
    responded that she had “tried to do her best with monitoring the children” but that
    she had to wash clothes and do other things and “could not watch the children all
    the time.”
    Elmore testified that, in July 2021, there were also concerns regarding
    Mother’s proper administration of prescription medication to the children, the
    children’s “lack of regularity” in attending school and Mother’s use of marijuana to
    manage issues with her mental health. With respect to the administration of
    medication, Elmore stated that although the children had been prescribed different
    dosages of a certain medication to be administered at different times, Mother was
    administering medication to all the children from a single bottle (rather than filling
    their individual prescriptions).   Elmore further indicated that one doctor had
    removed himself from the case because the children’s prescriptions were not being
    picked up timely. With respect to Mother’s marijuana use, Elmore stated that, in
    late May 2021, she made an unannounced home visit to Mother’s home and noticed
    a strong smell of marijuana. When she asked Mother about it, Mother replied that
    she had been smoking marijuana “to calm down.” Elmore indicated that the
    children were at home and there was no one else was present to supervise the
    children while Mother was smoking marijuana. Elmore stated that, following that
    home visit, she referred Mother for a substance-abuse assessment and drug screens.
    Elmore indicated that, after several requests, Mother submitted to a urine screen
    that was positive for marijuana. She stated that Mother refused to provide a hair
    sample.
    Elmore testified that Mother completed a dual diagnosis assessment,
    i.e., a substance abuse and mental-health assessment, with Moore Consulting that
    resulted in a recommendation for dual diagnosis programming, which Mother
    completed. Elmore indicated that, as part of the Moore Consulting programming,
    Mother submitted to regular urine screens that indicated that Mother’s THC levels
    were “reducing” but that Mother still needed to submit to random urine screens.
    Elmore stated that Mother had also been referred for a psychological evaluation and
    a personality assessment due to concerns regarding a “personality disorder” and
    that Mother still needed to complete the psychological evaluation (and comply with
    any related recommendations). Elmore indicated that Mother had completed a
    parenting program, but that she had not yet seen “demonstrated behavior that
    would support successful completion of the program.”
    Elmore testified that, at that time, Mother had weekly visitation with
    all four children at the Jane Edna Hunter Building but that these visits had been
    “challenging.” She stated that Mother told the children during the visits that no one
    was protecting them and that their foster parents were not taking good care of them,
    that Mother repeatedly called the children’s father a pedophile in front of them and
    that Mother had to be frequently redirected not to discuss inappropriate topics with
    the children. Elmore indicated that Mother also had a difficult time managing her
    children’s behavior at visits. She noted that the children would run around, hide
    and try to slide down the banisters, but that Mother did not intervene to manage the
    children’s behavior. Elmore stated that she began to take another person with her
    on supervised visits so that she could make sure the children were kept safe. She
    indicated that Mother had moved into a new home in September 2021 and that, once
    supportive visitation coaches were assigned, they would be moving towards
    supervised visitation in Mother’s home.
    Elmore stated that all the children had been diagnosed with ADHD
    and that some of the children had also been diagnosed with PTSD, conduct disorder
    and oppositional defiant disorder. She stated that services were in place through
    Family Solutions to address those issues.
    Elmore testified that the agency’s concerns, at that time, were the
    correct administration of the children’s medicine, regular school attendance,
    Mother’s ability to control the children’s behaviors in the home and Mother’s ability
    to keep the children safe from one another while the family was participating in the
    Protect Program. Elmore indicated that the family had not “benefit[ted] entirely”
    from the services that had been provided when the children were in Mother’s care
    because, due to “a lot of chaos in the home,” they were “not able to really be effective
    with their treatments” and that, despite the services in place, the children were still
    engaged in sexualized behaviors.
    Elmore testified that after the children were removed from Mother’s
    home, they were placed in individual therapeutic foster homes so that they would
    not be able to act inappropriately with one another. She stated that the children
    would remain in those placements if emergency custody was continued. She
    indicated that there were other, older children in most of the foster homes and that
    no inappropriate sexualized behaviors had been observed while the children were in
    their foster homes.
    Elmore testified that another child, S.H., who was then 17, had not
    been removed from Mother’s home. She stated that S.H. had been participating in
    the Protect Program, was involved in sports and other school activities, was doing
    well academically and “had made such great progress” that it was “not necessary to
    remove him from the home.”
    With respect to the children’s wishes, Elmore stated that, at times, the
    children stated that they wanted to return home to Mother and that, at other times,
    they stated they wanted to remain in their foster homes.
    2. Testimony by Mother
    Mother testified at the emergency custody hearing. She testified that
    she had moved into a new, appropriate home in August 2021 and that the children’s
    sleeping arrangements would be consistent with the sleeping arrangements
    requested by the agency.      Mother stated that she had been participating in
    counseling through Family Solutions since 2018 and that she also participated in
    weekly counseling at Ohio Guidestone. Mother stated that she initially sought
    counseling for the children through Beech Brook after they began “expos[ing]
    themselves in the classroom to other children and things of that nature” following
    “some abusiveness in the home.” Mother indicated that, in September 2019, the
    children began receiving both therapy and case management services through
    Family Solutions and that the agency later referred the children to counseling
    services through the Protect Program. Mother stated that she was not required to
    participate in the Protect Program herself but that she worked with each of her
    children’s therapists “so they could teach me the tools that they were teaching the
    children so I could reinforce them in between sessions.”
    Mother claimed that she always properly administered medication to
    her children and that because the children received “combination doses” of the same
    medication, she could properly administer medication to all the children without
    filling all their individual prescriptions, thereby reducing the number of pill bottles
    accessible in the home. Mother stated that she had received training regarding the
    medication issue, that she now understood the importance of filling (and
    administering medicine from) each child’s prescriptions and that she would do so
    going forward.
    Mother admitted that she had smoked marijuana on April 24, 2021,
    the date of one of Elmore’s home visits. Mother denied that the visit was an
    “unannounced” home visit. She stated that Elmore had called her and asked if she
    could stop by and that Mother responded that it was “a perfect time” for a visit.
    Mother stated that, at that time, her daughter had just made “severe allegations” of
    abuse. She indicated that she told Elmore that she had smoked marijuana to “aid in
    the coping of my PTSD” and “assist with me coping with the allegations.” Mother
    acknowledged that she was the only person supervising the children when she used
    marijuana. Mother stated that, at the time, she did not have a prescription for
    medical marijuana, but that, at Elmore’s suggestion, she later obtained a medical
    marijuana card. Mother denied that she was a “regular” user or “a substance abuser
    of any kind” and stated that her marijuana use in April 2021 was an “isolated
    incident.”
    Mother testified that she tested positive for marijuana in May 2021
    and that, after the children were removed from her care in July 2021, Moore
    Consulting recommended that she complete a six-week nonintensive substance-
    abuse program that required complete abstinence from all substances and weekly
    urine screenings. Mother stated that she completed that program as well as a
    mental-health assessment. Mother indicated that THC levels in her urine were
    declining as she was being tested. Mother claimed that she has “always cooperated”
    with the agency and has been compliant with “whatever recommendations” were
    made by the agency.
    With respect to the July 2021 incident, Mother testified that she was
    in the basement doing laundry on July 11, 2021 when Herb.S. came downstairs and
    told her that he thought “there’s something getting ready to happen” and that she
    “need[ed] to get upstairs right away.”     Mother stated that she “ran upstairs
    immediately,” that the children told her that Hers.S. “made a request of his sister”
    and that she “immediately” contacted Elmore, who told her “to set up some
    emergency session with the providers,” which she did. Mother stated that she
    contacted Regina Moses at Family Solutions and that Moses told Mother to “hold
    tight until Wednesday,” the day of the family’s next scheduled appointment, and
    Moses would then “teach [her] more tools [she] could use throughout the week.”
    Mother testified that this “did not happen” and that, instead, on Wednesday, July
    14, 2021, Moses, came to her home and “assaulted” L.S. on the arm several times.
    Mother indicated that while the two women were “in a very vicious argument about
    her hitting my daughter,” Moses “grabbed” one of her sons by the arm and “shook”
    him. Mother stated that she called Elmore and Elmore told her not to call the police,
    but “to call it into the hotline and she would support the apprehension of * * *
    Moses.” Mother indicated that she did so and that Moses then phoned in a “scathing
    allegation” to the hotline, i.e., “[w]e called in on each other,” which prompted the
    immediate removal of the children from Mother’s care.
    Mother testified that the July 2021 incident was “the first incident in
    a very long time.” She stated that in March 2021, one of the boys had tried to look
    around the shower curtain while his sister was bathing, so she instituted a new policy
    that no one is permitted to be upstairs when someone else is using the bathroom.
    She stated that the June 2021 referral involved a report that Mother had herself
    called in. Mother indicated that a new case manager, Anthony Moses (husband of
    Regina Moses), had recommended that she “call in an allegation describing the
    nature of abuse that we had experienced by [Father] and to have the investigation
    reopened” and that she did so.
    3. Recommendation of the Guardian Ad Litem
    Following the presentation of the evidence, the guardian ad litem set
    forth her recommendation that, “[d]ue to the complexity of this case,” temporary
    custody be granted to the agency. The guardian ad litem further requested that an
    attorney be appointed for the children because “they have made both statements,
    that they do like their placement and that they do wish to return to their mother.”
    4. Decision Granting Predispositional Temporary Custody
    The magistrate granted the agency’s motion for predispositional
    temporary custody, setting forth his findings on the record, in relevant part, as
    follows:
    The Court does note here that this is a probable cause hearing
    and does find that there is probable cause for the removal of the
    children from the home.
    It’s therefore ordered that predispositional temporary custody is
    granted.
    The Court finds that there has been uninterrupted
    predispositional [custody] since July 15th of 2021. * * * The Court finds
    that the continued residence in the home of the mother at this time
    would be contrary to the children’s best interest and welfare.
    The Court finds that the children are currently placed in a foster
    home. They’re all in individual homes, therapeutic foster homes.
    The Court also finds that the Agency is investigating a relative for
    possible placement of the children, a paternal aunt.
    The Court does find that reasonable efforts have been made, and
    it’s also gonna find that mother has done an awful lot of programming
    in this.
    I still find probable cause for the removal and I question the
    benefit so far that mother has obtained from all this programming.
    Mother and children have been referred and they’ve been
    involved in counseling. The children have been involved in the Protect
    Program. Mother has been referred to AOD and urine screens through
    Moore Counseling.
    She’s completed the Moore Counseling, completed a parenting
    program. We’ve got a Supportive Visitation Coach through Ohio
    Guidestone that’s just started.
    Mother has been referred for a psychological [evaluation] at the
    Juvenile Court, but the concerns of this Court deal with the medication
    disbursement to the children properly, the control, the behavior in the
    home, especially the sexualized behavior, the attending school
    regularly, and concerns of mother’s properly supervised the children.
    I’m finding those concerns and this finding based on a probable
    cause standard. If this was a different standard, I don’t know if this
    Court would make these findings.
    On October 15 and 18, 2021, the magistrate issued written journal
    entries setting forth his decision. The magistrate also ordered the appointment of
    separate counsel for the children and that the agency file a case plan within 30 days.
    On October 21, 2021, CCDCFS filed a case plan for the family. The
    case plan required Mother to (1) complete a psychological evaluation; (2) actively
    participate in mental-health services and comply with all treatment and medication
    recommendations; (3) actively participate in parenting classes and follow provider
    recommendations and (4) demonstrate an ability to meet her children’s needs, to
    appropriately supervise and manage her children’s behavior and to keep them safe
    from future abuse or neglect. The case plan required Father to (1) complete a
    psychological evaluation and comply with any recommendations, (2) complete a
    domestic violence/anger management program and (3) complete an alcohol and
    drug assessment. The case plan provided for supervised visitation with the children
    each week. The stated permanency goal was reunification with Mother.
    Mother thereafter filed, pro se: (1) an “affidavit” in which Mother
    asserted, among other things, that the guardian ad litem had never seen, met or had
    any conversation with any of the children and “knowingly willfully and deliberately
    bore false witness, abused her position of trust and * * * purposefully made a false
    statement concerning the children’s interest during an official proceeding,” (2) an
    “Objection to Complaint and Emergency Custody” and “Amendment to Objection”
    in which Mother claimed that Elmore “has no information that [the] children are
    neglected and need to be detained”; (3) a “Motion to Set Aside the Magistrate’s
    Order” in which Mother argued that the magistrate’s order should be set aside and
    the children “release[d]” to her care because she had “taken further steps to heighten
    home security and keep medications secure,” she would “continue any
    recommendations” made as to the children and the children had been “traumatized,
    horrified, and devastated by [their] foster care experience”; (4) a “Motion to Set
    Aside[:] Ineffective Assistance of Counsel” in which Mother accused Attorney Amata
    of   “unprofessional   conduct,”   “negligence   towards    the   proceeding,”    and
    “preoccupation with background activities” and (5) a “Motion to Remove WOR Gail
    Elmore and GAL Cynthia Morgan,” in which Mother alleged that Elmore and the
    children’s guardian ad litem had made “false statements” and that Elmore had
    “become abusive to the children.” In support of her filings, Mother set forth
    numerous alleged facts that were not in the record from the emergency custody
    hearing.
    The juvenile court denied Mother’s motions, overruled Mother’s
    objections and affirmed, approved and adopted the magistrate’s decision granting
    predispositional temporary custody to the agency.
    On November 9, 2021, Mother (represented by new counsel, Edward
    Palm (“Attorney Palm”)) filed a motion to dismiss the complaint against her because
    “[s]he has done what the State has asked her to do.” Mother asserted that, during
    the pendency of the prior cases, she had been “working a case plan with the social
    worker” and “had taken steps to address her issues by completing a behavior
    modification class and a six-week non-intensive outpatient program for her
    marijuana use.” Mother further asserted that “[t]here does not seem to be any
    allegations by the State that the children are in any physical danger by being with
    the Mother” and “assure[d]” the juvenile court that “the children will not be in any
    sort of danger should the Court dismiss these cases against her and return her
    children to her.” The juvenile court held the motion in abeyance.
    B. Adjudicatory Hearing
    An adjudicatory hearing was scheduled for January 4, 2022. On
    January 4, 2022, Father’s counsel made an oral motion for continuance. The motion
    for continuance was granted, and the parties executed a “Waiver of Ninety Day
    Statutory Time Requirement” (the “90-day waiver”). The 90-day waiver, signed by
    both Mother and her counsel, stated:
    We the undersigned, having been fully advised of our rights under Ohio
    Law, do hereby knowingly and voluntarily waive the right to have this
    matter heard within ninety (90) days of filing as required by Ohio
    Revised Code [Section] 2151.35(B)(1).
    We further expressly consent to and request this Court to continue this
    matter for resolution beyond the ninety (90) day limit in the interests
    of justice.
    We hereby formally waive the right to move this Court to dismiss said
    Complaint without prejudice for the reason that said matter has not
    been resolved within the ninety (90) day limit as referenced above.
    The adjudicatory hearing was reset for February 7, 2022.
    On February 7, 2022, the magistrate conducted an in-person
    adjudicatory hearing. Mother was represented by Attorney Palm at the hearing.
    Prior to commencement of the hearing, Mother made an oral motion requesting that
    the court conduct an in camera interview of the children. The magistrate granted
    the request and indicated that it would proceed with adjudication but that it would
    conduct the in camera interview prior to disposition.
    Marvin Bishop, Tabitha Mazza, J’nae Bennett, Elmore and Ardell
    Moore testified for CCDCFS at the adjudicatory hearing. Mother testified on her
    behalf at the hearing.
    1. Testimony by the Agency’s Witnesses
    Bishop, a short-term services worker in the agency’s special
    investigations unit, testified that, in February 2021, while working for the agency’s
    sex abuse unit, he assisted in investigating a sex abuse referral involving an
    allegation that one of Q.S.’s brothers had touched her vaginal area while she was in
    the bathtub. Bishop stated that he first reached out to the CCDCFS worker of record,
    Elmore and then conducted a forensic interview of each of the children. He stated
    that Q.S. confirmed the allegation and further disclosed that she had been touched
    in her vaginal area by Father more than 100 times when she was one or two years
    old. Q.S. told Bishop that she remembered Father inappropriately touching her
    when she was one or two years old and that Mother had also told her that Father
    had “touched [her] there.” With respect to his forensic interviews of the other
    children, Bishop testified that the brother denied touching Q.S. However, all the
    children stated that they had been touched inappropriately by Father multiple times
    when they were one or two years old, based on their own memories and what Mother
    had told them.    Bishop indicated that the allegations regarding Father were
    determined to be unsubstantiated.
    Bishop stated that, based on his experience, he doubted a child could
    have memories from when he or she was one year old and that, in his view, the
    children’s disclosures about being touched by Father when they were one or two
    years old were not “credible disclosure[s].” However, he indicated that he did find
    the children’s statements credible when they “all said the same thing about [what]
    my mom told me.” He testified that, when interviewing the children, “there was no
    detail as to what actually happened” when they were one or two years old; “[i]t was
    just that they were touched * * * at 1 or 2 years old multiple times.” He indicated
    that he believed the children had been “influenced” or “coached” with “those
    answers that they provided.”
    Mazza, a CCDCFS sex abuse worker, testified that in June 2021, she
    investigated a report that the children had been sexually abused by Father. As part
    of her investigation, Mazza interviewed Mother, Father and each of the children.
    Mazza stated that when she arrived at Mother’s home, Mother pulled
    up in a van, asked Mazza who she was and why she was there, told Mazza she had to
    leave and to get off her property and then began “yelling extremely loud” at her, in
    the presence of the children, “about the sexual acts that occurred towards her
    children allegedly by dad * * * like putting his privates in their mouths and things of
    that nature.” She stated that it was “concerning” to the agency that “the kids were
    around and consistently hearing those details of what [allegedly] happened to them
    when they were younger.”
    Mazza testified that when she interviewed Mother, Mother claimed
    that Father had sexually abused the children “historically,” “when they were
    younger,” but that “[t]here wasn’t anything specific” in terms of when this allegedly
    occurred. Mazza stated that there were no “recent allegations” of abuse and that
    Father, at that time, had not been visiting the children. She stated that when she
    spoke with Q.S., Q.S. said that “when she was really young and really little,” Father
    told her that “it was okay to suck his private” and that she remembered this. When
    Mazza spoke with Hers.S. and Herb.S., the boys informed her that, when they were
    younger, Father had exposed himself in front of the children, “pulling his private out
    in front of them” and “swung it around.” Mazza indicated that L.S. denied “anything
    ever sexual occurring to her by anybody.”
    Mazza testified that, when she was at Mother’s residence, the children
    were outside “running around,” running down the street and sitting in the street,
    climbing trees, acting “rambunctious” — “[l]ike normal children” — but “unable to
    really be redirected.” She stated that Mother did nothing to attempt to curb this
    conduct and that Mazza had to direct a child to get out of the street.
    Mazza testified that she spoke with Father who denied the allegations
    against him and claimed that Mother was asserting false allegations to retaliate
    against him. Mazza stated that Mother and her oldest son — who was not involved
    in the case — had reported that Father liked to show that child pornography when
    he was younger.
    Mazza testified that the allegations of abuse by Father were
    unsubstantiated by the agency, that there were no safety concerns related to Mother
    or Father at that time and that she did not believe any “sexual abuses ever occurred
    with the kids.”
    Bennett, a short-term worker in the agency’s sex abuse unit, testified
    that she investigated a report intake allegation received on December 30, 2021 that
    L.S. had seen Father naked during a virtual visit. Bennett stated that during her
    investigation, she spoke with L.S. and her foster parent (who was present during the
    virtual visits) and that they both denied that there had never been any inappropriate
    interactions with Father or Mother during the virtual visits. Bennett indicated that
    the report intake allegation was considered unsubstantiated but that she was not
    aware of anyone having seen or heard Mother “put[ting] the child up to these
    allegations.”
    Elmore, in large part, reiterated the testimony she provided at the
    emergency custody hearing. Elmore testified that she first became involved with the
    family in April 2020 due to allegations of sexualized behavior among the children.
    She stated that, at that time, Mother and the children were engaged in services
    through Family Solutions and that the children were also engaged in counseling
    services through their school. Elmore indicated that when she stepped in, she
    coordinated services for the family and referred them to the Protect Program to
    address the children’s sexualized behaviors. Elmore stated that paternity had been
    established for each of the four children and that Father was the established father
    for each child.
    Elmore testified that, in July 2021, the agency had concerns about
    Mother’s ability to keep the children safe from sexualized behaviors, her ability to
    ensure their regular attendance at school, her ability to properly administer the
    children’s medication and her use of substances. She indicated that the agency
    decided to file its initial complaint after a referral was called in to the agency alleging
    two of the children had been engaged in sexual activities with one another. Elmore
    stated that when the referral came in, she conferred with Mother and a staffing was
    conducted, in which Mother participated, to discuss what had occurred. Elmore
    testified that, during the staffing, the agency raised concerns regarding Mother’s
    ability to keep the children safe from sexualized behaviors in the home and that
    Mother responded that she was “overwhelmed” and could not “keep her eyes on the
    children all of the time.” Elmore stated that it was “of great concern” that Mother
    was not able to prevent the children from engaging in sexualized behaviors with each
    other.
    Elmore explained that the July 2021 incident was not the first incident
    of sexualized behavior among the children and that, to address these issues,
    bedrooms were changed in the home and Mother was to implement “line-of-sight
    supervision” of the children at all times. She stated that despite these interventions,
    Mother “struggled with managing her children’s [sexual] behaviors,” and the
    children’s sexualized behaviors with each other persisted.
    Elmore testified that Mother had alleged that Father had engaged in
    sexual conduct with his children and had “taught” his children various sexualized
    behaviors when they were younger. Elmore stated that when she discussed Mother’s
    allegations with the children, the children would always say, “I remember — my
    mom told me I remember when I was 1 my dad touched me over 100 times.” In
    other words, the children never stated directly that something had been done to
    them; they stated only “what they had been told or what they thought they believed.”
    Elmore indicated that, in her view, the children did believe they had been sexually
    abused by Father. Elmore stated that Father had not been engaged in counseling
    services with the children and that the agency would not be comfortable placing the
    children in Father’s care given the children’s belief that Father had sexually abused
    them and “nothing had happened to potentially alleviate their beliefs on this issue.”
    Elmore testified that after she was assigned to the case, she reached
    out to Father and met with him. Elmore stated that Father told her that he left the
    home when the children “were about 3-4” and, at the time of their meeting, he had
    not seen the children in several years due to “some domestic violence that had
    occurred between the parents” but that he loved his children and wanted to see
    them. Elmore stated that when she discussed Mother’s allegations of sexual abuse
    with Father, he “kinda broke down,” “was in tears” and told her that he never
    touched his children but that he “did have an issue with pornography,” i.e., that he
    had watched pornography in the presence of the children when they were very young
    but for which he received treatment. Elmore indicated that she verified with one of
    the providers that Father had, in fact, received treatment but did not know when the
    treatment had occurred. Elmore stated that Father became reengaged with the
    children in August 2021.
    Elmore testified that, “[m]any, many times” Mother discussed
    inappropriate “sexual things” in the presence of the children and would “[p]retty
    regularly” state “negative things” about Father in front of the children, e.g., that he
    was a “pedophile” or a “child molester” and that “he had taught her children these
    horrible things.” Elmore stated that when Mother made such statements, she would
    attempt to redirect Mother and tell her that she must not say such things in front of
    the children.
    Elmore testified that she did not know whether Mother had personally
    observed sexualized behaviors among the children. Elmore indicated that Mother
    had reported to her that the children told Mother about these behaviors. Elmore
    stated that she personally observed an incident in October 2021 in which one of the
    children pulled another against her and was “rubbing” or “grinding” his body against
    hers after they got out of the car for a visit. Mother was not present at that time.
    Elmore testified that she had discussed “everyone’s concern”
    regarding the children’s ongoing sexualized behaviors with each of the children
    directly. She stated that Q.S. responded, “I’m not listening to you. I’m gonna do
    what I want to do.” Elmore indicated that she believes Q.S. understands the concern
    regarding such behaviors but that there was “still more work that needed be done
    with the service provider.” Elmore stated that Q.S. is “very smart” and “very strong-
    willed” and “will do what she wants to do.” Elmore indicated that the agency had
    not had an opportunity to observe Mother’s implementation of parenting skills that
    could be used to “prevent that from happening.”
    With respect to the agency’s concerns regarding Mother’s substance
    use, Elmore described a “relatively unannounced home visit” in May 2021, when she
    called Mother and told Mother that she was in the area and was stopping by. She
    said that when she arrived at the home, the children were outside, running around
    unsupervised and that Mother was in the house. When she approached the house,
    Elmore smelled marijuana and asked Mother if she had just smoked marijuana.
    Elmore testified that Mother replied that she had been smoking marijuana because
    she was “very upset” by a conversation she had with the children the prior evening
    in which “they were discussing the things that their father had done to them.”
    Elmore stated that Mother did not have a medical marijuana card at that time but
    obtained one in October 2021. Elmore denied that she had a conversation with
    Mother regarding obtaining a medical marijuana card and stated that she did not
    know what medical condition the marijuana was supposed to treat.
    Elmore testified that, following the May 2021 visit, the agency referred
    Mother to a dual diagnosis program. She indicated that Mother completed the
    substance abuse portion of that program.
    With respect to Mother’s mental health, Elmore stated that Mother
    had been engaged in mental-health services before the agency filed its initial
    complaint and that Mother had informed her that she had PTSD. Elmore indicated
    that she had additional concerns regarding Mother’s mental health because when
    she would tell Mother something, it did not appear that Mother understood what
    was being said “the way it was put out there” because “[t]he answers [she] would get
    back would not be related to the question that [she] asked.” Elmore stated that she
    referred Mother for further evaluation based on the clinician’s report from the dual
    diagnosis program but that she did not know the outcome of that evaluation because
    she was transferred from the case.
    With respect to the children’s education, Elmore testified that children
    were not attending school regularly, that more than 75 percent of school
    assignments were not completed or submitted and that, due to missed classes, the
    children had been held back. She stated that each of the children had some form of
    mental-health issue, including PTSD, oppositional defiant disorder or conduct
    disorder.
    Elmore testified that Mother and Father had been having separate
    weekly in-person visits with the children at the Jane Edna Hunter Building and that
    the visits usually involved all four children. Elmore indicated that the parents had
    separate visits due to the prior domestic violence issue and the fact that Mother had
    stated she did not feel safe in the presence of Father. Elmore stated that during visits
    with Mother, “the children were very active, difficult to redirect, defiant,
    oppositional, writing on tables,” “running around, sometimes hitting each other,
    throwing backpacks over the banister, sliding down banisters.” Elmore stated that
    she was concerned for the safety of the children during visits because the children
    were “so active” and “very hard to redirect” and indicated that Mother was not
    effective in her efforts to redirect the children. Elmore indicated that she, a coworker
    and at least two other individuals from Ohio Guidestone would supervise each visit.
    Elmore stated that the children were “a little different” during their visits with
    Father, i.e., they were “not as active and running around,” Father was able to redirect
    the children “a little bit better” and they listened to Father “a little bit better.”
    Elmore testified that, when interacting with Mother during visits, she
    “could not have a conversation really with [Mother] about case planning, progresses,
    things like that” because Mother would accuse her of “hitting her or * * * saying
    derogatory things.”
    Elmore stated that Mother had two older children who had been
    removed from her custody due to mental-health issues and substance abuse. She
    indicated that the agency was granted permanent custody of one of the children and
    that the other child was placed in the legal custody of someone other than Mother.
    Moore, a clinical supervisor at Ohio Guidestone and a licensed
    independent social worker and independent chemical dependency counselor,
    became involved with the family after the children were removed from Mother’s
    home in July 2021. She stated that the children received services through Ohio
    Guidestone’s Protect Program, “a treatment program that focuses on sexual[ly]
    inappropriate behaviors amongst juveniles.”
    Moore testified that she did not provide services to Mother directly,
    but rather, supervised a team that provided Protect services for the family. Moore
    stated that, in that role, she spoke with Mother three times on the phone and met
    with her once in person. She indicated that Mother was “understandably” “tearful”
    and “overwhelmed with the whole process of the kids being removed.” Moore
    explained she had concerns regarding Mother’s “reasoning or reality” regarding the
    sexualized behaviors the children were exhibiting and recommended that Mother
    engage in mental-health services. She stated that there had been “six, seven calls
    within a year to DCFS about inappropriate behavior” and that she “was wondering
    whether [Mother] had the skills needed to continue to keep the kids safe.”
    2. Mother’s Testimony
    Mother testified that Q.S., Herb.S., Hers.S. and L.S. had been
    previously involved with the agency in 2016 and 2019. She stated that in March
    2020, two workers from the CCDCFS sex abuse unit had sought to “close the case.”
    Mother indicated that she had, at that time, asked the agency to work with Cleveland
    Heights police to apprehend Father and protect the family from “[Father’s] stalking
    and other broken people that call into the hotline with false allegations,” but the
    agency failed to do so.
    Mother claimed that the children were “taken away” from her after
    the children were “assaulted by a case manager and that manager phoned in a false
    allegation to the hotline.” Mother stated that, at that time, the children were
    receiving counseling at Beech Brook because the children “definitely were having
    some over-sexualized behaviors” and had “already informed the teachers at their
    school that they had been sexually abused by their father” and she “wanted to ensure
    the success of [the] children in the future.” Mother indicated that she had also had
    “regular bouts” of “intensive therapy” “here and there,” to address issues related to
    her experiences as a victim of domestic violence and a “victim of abuse.” Mother
    stated that she was not engaged in mental-health counseling in July 2021, when the
    initial complaint was filed, because her therapist had just resigned her position but
    that she thereafter reengaged in counseling services with Moore Consulting and
    Ohio Guidestone. Mother stated that the only “mental issue” she has is PTSD.
    Mother testified that Father was arrested in August 2015 and that he
    had, thereafter, “made attempts” to return to the household, but she obtained a
    restraining order against him. She further testified that Father had “cancelled his
    [c]hild [s]upport [o]rder” in 2014 such that she had been the “sole parent” and “sole
    provider” of the children “pretty much from 2015-2021.”
    Mother admitted that she used marijuana in May 2021 before
    obtaining a medical marijuana card but claimed that it was a “one-time incident.”
    She stated that, because there was no active court case at that time, she was under
    no obligation to allow Elmore into her home, but did so, knowing that she had just
    smoked marijuana.
    Although Mother admitted that she had used and tested positive for
    marijuana, she denied that she had a substance-abuse problem and stated that she
    had completed a substance-abuse program through Moore Counseling. She stated
    that   she   obtained    a   medical    marijuana    card    from    a   doctor    at
    Ohiomarijuanacard.com at Elmore’s “urging” and that she informed the doctor that
    she needed a medical marijuana card for PTSD and because “it was recommended
    by my caseworker that I get one.”       Mother testified she continues to smoke
    marijuana “[j]ust as needed per my doctor.”
    Mother testified that she has taken two parenting classes, claims that
    she has the necessary parenting skills to parent her children and stated that Elmore
    and others had “praised” her parenting skills. Mother denied that the children were
    in any danger living with her. She stated that she does not hit her children and that
    she is “very active with” and “encourage[s]” her children.
    Mother denied that she had “coached” the children “to say what they
    need to say to social workers and people like that” about abuse by Father. She stated
    that the children told her about their Father’s behavior and that the children also
    reported the behavior to their counselors at Beech Brook, who then reported the
    sexual abuse through the agency hotline. She indicated that she did not believe L.S.
    remembered the abuse that allegedly occurred but that Herb.S. and Hers.S. did.
    Mother stated that although Father left the home before 2015, the abuse continued
    after 2015 because “[o]ther people let [Father] have access to the children,”
    including an aunt, whom she had trusted at that time.
    Mother testified that she had witnessed Father abusing the children
    sometime prior to 2015, before he moved out. She stated that she reported the abuse
    to police at the time and “continue[s] to report it.” Mother denied that she ever told
    the children that Father had molested them but stated, “[M]e and my children have
    been in counseling and therapy for quite some time * * * . We’ve had quite a bit of
    uncomfortable conversations to promote healing * * * [w]ith the therapist and
    without.”   Mother indicated that she had personally witnessed the children
    demonstrating sexualized behaviors, including exposing themselves in public and
    making videos.     When asked whether she agreed the children needed more
    supervision to make sure they do not act out sexually, Mother disagreed and stated
    that “they need more therapy * * *[,] more family therapy, more counseling. We
    need to work together and have these difficult, uncomfortable conversations, and
    that’s how you get to the path of healing, by working through it.”
    Mother denied that she ever told the agency that she could not
    supervise the children. She stated that she believed she could supervise the children
    at all times and that she had a security system in the home with cameras in every
    room.
    3. Adjudication Decision
    On February 8, 2022, the magistrate issued his decision, finding that
    the allegations of the complaint had been proven by clear and convincing evidence
    and adjudicating the children to be neglected and dependent. On February 24,
    2022, Mother filed, pro se, objections to the magistrate’s decision, listing various
    facts that she contended had been established (or had not been established) through
    testimony at the hearing and arguing that the evidence presented did not support
    the magistrate’s findings of neglect and dependency. On February 25, 2022, the
    juvenile court affirmed, approved and adopted the magistrate’s decision.
    C. In Camera Interview
    On March 8, 2022, the magistrate conducted an in camera interview
    of the four children. The children’s guardian ad litem and the children’s attorney
    were present for the in camera interview.
    D. Dispositional Hearing
    The juvenile court conducted a dispositional hearing on March 18,
    2022. Mother was represented by Attorney Palm at the dispositional hearing. At
    the outset of the hearing, Attorney Palm requested a continuance based on “some
    things” Mother had told him the day of the hearing that he thought “should be
    looked into a little bit further.” A short recess was taken to discuss the issue. No
    further information was provided on the record regarding the issue and when the
    proceeding was back on the record, the hearing went forward. Per the parties’
    agreement, the evidence presented at the adjudicatory hearing was incorporated
    into the record of the dispositional hearing. Michael Bokmiller and Sierra Whatley
    offered further testimony on the agency’s behalf, Teniel Cleveland offered further
    testimony on Mother’s behalf and the guardian ad litem presented her
    recommendation at the dispositional hearing. Father stipulated to the disposition
    of temporary custody.
    At the time of the dispositional hearing, L.S. was eight years old,
    Herb.S. and Hers.S. were nine years old and Q.S. was ten years old.
    1. Testimony by the Agency’s Witnesses
    Bokmiller, a supervisor in the agency’s sex abuse unit, testified that
    his unit investigated a referral, received on December 31, 2021, alleging that L.S. had
    told Mother that she had seen Father naked during a virtual visit. Bokmiller stated
    that Bennett investigated the allegation and that she spoke with L.S. and L.S.’s foster
    parent regarding the alleged incident and the foster parents for the other children to
    see if they had witnessed anything similar. He indicated that the allegation was
    determined to be unsubstantiated.
    Bokmiller testified that L.S. denied the allegation, that Q.S.’s foster
    parent told Bennett that Q.S. did not have virtual visits (only telephone calls) with
    Father, that Hers.S.’ foster parent told Bennett that Hers.S. did not have contact
    with Father at that time and that Herb.S.’s foster parent told Bennett that she
    overheard Mother telling Herb.S. that Father had been naked during a call with his
    sister and that Herb.S. should not tell anyone about it.
    Whatley, a CCDCFS case worker, testified that she was assigned to the
    case in December 2021. She stated that the case plan objectives for Father included
    completing a mental-health assessment and an anger management assessment. She
    testified to Father’s completion of case plan services, but stated there is a “strained
    relationship” between Father and the children due to Father’s limited contact with
    the children after he left the family home in 2015 and the fact that “[s]ome of the
    kids do believe something did happen to them.” She indicated that the agency
    wanted to see Father repair his relationship with the children before considering
    placing any of the children with him.
    Whatley testified that the current case plan objectives for Mother
    involved mental-health services and parenting services. Whatley indicated that
    before she was assigned to the case, the case plan also included substance-abuse
    services, but that Mother had completed substance-abuse programming and such
    services were no longer part of the case plan. Whatley could not say whether
    substance use was a continuing concern for Mother. She noted that, although
    Mother has a medical marijuana card, it had been reported that Mother was
    smoking marijuana during one of her virtual counseling sessions. Whatley did not
    know what condition the medical marijuana was prescribed to treat.
    With respect to the parenting component of Mother’s case plan,
    Whatley testified that Mother had completed a parenting program through Ohio
    Guidestone on January 31, 2022, but that the agency was concerned “whether she
    benefitted from it or not.”
    Whatley testified that when COVID numbers increased in December
    2021, the Jane Edna Hunter Social Services building, where supervised were
    conducted, was closed. Accordingly, in-person supervised visits were suspended
    until February 1, 2022.       During that time, phone visits or video visits were
    conducted.
    Whatley testified that, during virtual visits and telephone calls with
    Mother,2 Mother would “sometimes say[] inappropriate things to the children that
    [would] really get the children stressed out” or “make[] them uncomfortable” and
    would yell at the case worker or foster parents. She provided several examples of
    this conduct. She stated that, during calls with Herb.S., Mother told Herb.S. that
    L.S. had witnessed Father on a virtual call naked and that “he needs to tell everybody
    what his father did to him,” causing Herb.S. to go to school “stressed out saying that
    he was really overwhelmed by the news that he got from his mother.” During calls
    with L.S., Mother reportedly told L.S. “it’s ok to be mean” and that she “[didn’t] have
    2 Whatley stated that Q.S. and L.S. also had virtual visits or calls with Father during
    this time period but that the boys said Mother told them they were not supposed to talk
    to Father and they “didn’t want to call their father.”
    to like the foster parents,” following which L.S. “would kind of be mean to the other
    kids in the home and other kids in school.” During a virtual Zoom visit with Hers.S.,
    Mother claimed that the pharmacy had contacted her and told her that Hers.S.’
    foster parent was not giving him his medication. When Hers.S.’ foster parent, who
    had overheard Mother, contradicted her, Mother began to yell at the foster father.
    Whatley, who was present for the virtual visit, stated that she redirected Mother and
    that Mother calmed down but that, following that visit, Hers.S. was “very upset” and
    stated “he wanted to run away.”
    Whatley indicated that the most concerning incident, however,
    involved a call Mother had with Q.S. on January 31, 2022. During the call, Mother
    reportedly told Q.S. that “she needs to tell everybody how her father’s penis was in
    her mouth” and “kept saying it to the point that [Q.S.] got so uncomfortable that she
    hung up the phone and didn’t want to talk anymore.”
    Whatley stated that, following the call, she raised the inappropriate
    nature of Mother’s communications with Mother “to try to kind of reason with her
    to see why it wasn’t appropriate.” Whatley indicated that “there was just no
    reason[ing]” with Mother and that Mother said that “uncomfortable conversations
    * * * are part of healing” and that “she’s gonna keep telling her daughter to talk about
    the penises that was in her mouth.”
    Whatley explained the agency’s ongoing concern regarding Mother’s
    parenting skills as follows:
    It’s one thing to complete a service, you know, attend every
    course, every class, but are you benefiting because we bring to her
    attention that these conversations make her children uncomfortable or
    stressed out and so we try to redirect her, and I can’t redirect her.
    She told me to only speak when spoken to. So yes, she’s taken it, but is
    it fair to keep retraumatizing the kids with the same thing? * * * Those
    things, the trauma or anything the kids been going through, it should
    be unpacked in a therapeutic manner, not yelling and saying tell
    everybody how a penis was in your mouth. That’s just not appropriate.
    Whatley testified that when she was attempting to speak with Mother
    regarding her inappropriate communications with her children, Mother was “more
    focused” on getting the agency to assist the police in apprehending Father than
    listening to Whatley’s concerns. Whatley stated that she was not aware of any open
    police investigation involving Father.
    Following the January 31, 2022 incident, the agency made an
    emergency amendment to the case plan suspending all communications between
    Mother and the children. Whatley stated that before the agency would consider
    restarting visits with Mother, it would need to see a change in behavior, i.e., an
    understanding that visitation is a time to interact with the children and ask them
    about things they are doing, not using the visit to talk about Father. She stated that
    if in-person visits were to resume, the visits would not only be supervised by
    Whatley, but also representatives from Ohio Guidestone and supportive services,
    who would assist with parenting techniques and appropriate redirection and
    discipline.
    With respect to the mental-health services component of Mother’s
    case plan, Whatley testified that Mother had been receiving weekly individual
    counseling through Ohio Guidestone but that her therapist believed Mother needed
    more intensive therapy and services and had referred Mother to Ohio Guidestone’s
    Act Team. Whatley indicated that the therapist had made “clinical findings” of
    displaying delusions, grandiose delusions, schizoaffective paranoia and irrational
    thought and thinking. Whatley stated that Mother had not been prescribed any
    medication because Mother told her therapist she would not take medication.
    Whatley testified that the children were, at that time, in four separate
    foster homes. She indicated that the children have phone calls with each other and
    that two of the children see each other frequently because their foster parents are
    friends. She stated that all the children receive individual counseling and that since
    they have been in agency custody, they have progressed in their services “a lot.” She
    indicated that the three younger children had been recently “stepped down” from
    the Protect Program to “just regular counseling” and that none of the children had
    displayed any sexualized behaviors while in their foster placements. Whatley noted
    that all the children have IEPs and were making progress in school.
    Whatley testified that she had not yet visited Mother’s home but that
    the prior case worker, Elmore, had visited the home and found it to be appropriate.
    Whatley stated that she was instructed not to go to Mother’s home “due to the
    threats [Mother] had made toward the previous worker and myself.” Whatley
    indicated that she had filed a police report following threats Mother made in a
    voicemail message.
    Whatley stated that the agency did not believe Mother was yet in a
    position to be reunified with her children and that it would like to see Mother
    participate in the Act Team therapy “to address whatever it is that she has going on”
    and improve her interactions with the children to have “more positive visits,” “more
    positive communications” with the children before they were reunified.
    At the conclusion of her testimony, the magistrate asked Whatley to
    further explain what the agency is “looking for” to restart visitations with Mother.
    Whatley responded:
    [H]er therapist said she has an irrational thought process. Also her
    therapist shared that [Mother] don’t take any accountability.
    So some accountability or even being able to be redirected to
    understand why these conversations in this manner is not appropriate
    or helpful for the children.
    If the children are reporting that they’re stressed out or they’re
    uncomfortable, then maybe this is not a good idea. Regardless if you
    believe that uncomfortable conversations is a part of healing, they’re
    not healing when they’re going to school and crying and reporting that
    they’re stressed out. That’s not healing, and it’s not helpful to the
    children.
    Like we have them in all this counseling and every time they
    [hear] the same thing, we’re sending them back * * * to unpack
    everything that they just heard from a visit or heard from a phone call.
    So we want them to progress. So maybe they don’t need counseling
    anymore. To a point that if something like this is ever mentioned, they
    don’t feel like they have to go to school crying or they’re saying that
    they’re stressed out or comfortable.
    2. Testimony by Mother’s Witness
    Cleveland testified that she and Mother “kinda grew up together” and
    that Mother was “like a sister” to her. She stated that, in her view, although Mother
    had “made some mistakes” when she was younger, Mother had “become an
    outstanding parent.” Cleveland stated that the children were “good” when they were
    in Mother’s custody except “they were exhibiting behaviors of sexual abuse in the
    community” and “speaking explicitly about things that had happened to them.” She
    stated that, when this occurred, Mother “started reaching out to different counseling
    services trying to get some help” and that “she was always doing everything she
    could to get her children help.”
    Cleveland testified that Mother had an appropriate home for the
    children, that she had never seen Mother abuse the children and that Mother made
    sure the children attended school.
    3. Recommendation of the Guardian Ad Litem
    On December 22, 2021, the children’s guardian ad litem filed a written
    report recommending that temporary custody of the children be granted to the
    agency to “allow[] further therapy/educational counseling for each child as well as
    therapy/educational counseling for both parents,” which could be “followed by
    family counseling.” After the agency presented its closing argument, the children’s
    guardian ad litem also stated her recommendation on the record at the temporary
    custody hearing.
    The children’s guardian ad litem explained that her recommendation
    was based on five considerations: (1) to give Mother time to participate in the Act
    Team therapeutic services, (2) to give Father time to repair his relationship and
    increase his visitation with the children, (3) to give each child time to increase their
    therapeutic services, (4) to give Mother time to improve her parenting skills and (5)
    because each child is doing very well in placement. She noted, however, that all four
    children were in Level 4 placements and that it was “quite unusual” for all children
    to be placed separately.
    4. Decision Granting Temporary Custody to the Agency
    After hearing brief closing arguments from Mother’s counsel and
    counsel for the children and stating that he would take the children’s “wishes” as
    expressed during the in camera interview “into consideration,” the magistrate
    granted temporary custody of the children to the agency. The magistrate found that
    the agency had made reasonable efforts to eliminate the continued removal of the
    children from the home or make it possible for the children to return home and that
    returning to Mother’s custody would, at that time, be contrary to the children’s best
    interest. The magistrate also made the following specific findings:
    The specific findings of this Court is that the father has been engaged
    in mental health and anger management and he’s completed through
    Moore Counseling, has appropriate counseling, but he has to re-
    establish his relationship with the children.
    Mother has completed her parenting at Ohio Guidestone, although
    there are concerns of her benefiting from that counseling. Mental
    health, she’s engaged at Ohio Guidestone. Visitation was suspended
    due to inappropriate comments made to the children. Substance
    abuse. There was a completed AOD assessment. The children are
    involved in a Protect Program and have individual counseling. They
    are progressing in services. * * * The Agency shall ensure that the
    children are enrolled in school and ensure that the children attend
    school on a daily basis with no unexcused absences, which I believe is
    occurring.
    The magistrate approved the amended case plan and indicated that
    he would not be lifting the suspension of visits between Mother and the children at
    that time. He ordered that (1) “neither parent is to make any derogatory remarks
    about each other” and (2) when Mother’s visitation is reinstated, she “is not to have
    any discussions with these children concerning any sexual conduct,” finding that
    “that is extremely destructive to these children at this time.” On March 21, 2022,
    the magistrate filed written decisions setting forth his findings.
    That same day, Attorney Palm filed a motion to withdraw his
    representation of Mother on the ground that “[t]he relationship between client and
    counsel has deteriorated to the extent that counsel can no longer represent his
    client.” The juvenile court granted the motion, finding that “good cause exists for
    the request.”    The order granting the motion further stated that Mother was
    responsible for retaining counsel for future hearings, that she could complete a
    financial disclosure form if she believed she would qualify for court-appointed
    counsel and that failure to do so would be “deemed as a waiver of counsel.”
    On March 22, 2022, Mother filed, pro se, an “objection/motion to
    set aside the magistrate’s order,” asserting that Whatley was “a liar” for claiming that
    Mother had threatened her and attaching a copy of a “call for service report” from
    Chagrin Valley Dispatch dated February 2, 2022 that had not been introduced into
    evidence at the hearing. The juvenile court denied Mother’s motion/objection and
    affirmed, approved and adopted the magistrate’s March 21, 2022 decision granting
    temporary custody of the children to the agency.
    Mother appealed, raising the following nine assignments of error for
    review:
    The trial court erred and abused its discretion when it did not cite in
    writing the emergency that caused the removal of four beautiful well-
    cared-for children from an excellent and stable home under case
    number 21906069-72.
    The court abused its discretion when it failed to cite in writing the end
    of the emergency and reunification orders under case number
    21906069-72 and allowed the Agency to refile under a different statute
    case 21909146-9.
    The trial court erred erroneously and abused its discretion when it cited
    reasonable efforts had been made to prevent removal of the children
    and then cited the services referred after removal as unsuccessful.
    The trial court erred erroneously and severely abused its discretion
    when it claimed the “best interest” of the children is to remain
    incarcerated in the system.
    The court did abuse its discretion when it overruled the mother’s
    objections and motions including the motion for ineffective assistance
    of counsel and to remove perjurers.
    The trial court erred when it forced the mother to be repeatedly assisted
    by ineffective counsel. The court erred and knew the Mother hired
    counsel who began to collude with it against the best interest of the
    children.
    The trial court erred erroneously when it made rulings based on
    perjury.
    The trial court erred erroneously in due process when Mother’s
    attorney Ed Palm scared the Mother and lied to her regarding a 90 day
    waiver based on lies attorney Jean Brandt had told it.
    The trial court was prejudiced and in error when it heard the
    children[’s] allegations of abuse by their father in chambers and
    disregarded them.
    For ease of discussion, we address Mother’s assignments of error out
    of order and together where appropriate.
    II. Law and Analysis
    As an initial matter, we note that Mother’s brief contains no citations
    to the record, minimal citations to supporting legal authority and no separate
    argument with respect to her seventh assignment of error. In addition, many of
    Mother’s arguments are convoluted and, at times, difficult to follow. As this court
    has previously observed:
    “We recognize that a pro se litigant may face certain difficulties when
    choosing to represent oneself. Although a pro se litigant may be
    afforded reasonable latitude, there are limits to a court’s leniency.
    Henderson v. Henderson, 11th Dist. Geauga No. 2012-G-3118, 2013-
    Ohio-2820, ¶ 22. Pro se litigants are presumed to have knowledge of
    the law and legal procedures, and are held to the same standard as
    litigants who are represented by counsel. In re Application of Black
    Fork Wind Energy, L.L.C., 
    138 Ohio St.3d 43
    , 
    2013-Ohio-5478
    , 
    3 N.E.3d 173
    , ¶ 22.”
    In re C.T-T., 8th Dist. Cuyahoga No. 107059, 
    2019-Ohio-3362
    , ¶ 9, quoting Saeed v.
    Greater Cleveland Regional Transit Auth., 8th Dist. Cuyahoga No. 104617, 2017-
    Ohio-935, ¶ 7. An appellate court “may disregard” an assignment of error presented
    for review if the appellant fails to identify in the record the error on which the
    assignment of error is based, fails to cite to any legal authority in support of an
    assignment of error or fails to argue an assignment of error separately in the brief,
    as required under App.R. 16(A)(7). App.R. 12(A)(2); Story v. Story, 8th Dist.
    Cuyahoga No. 109850, 
    2021-Ohio-2439
    , ¶ 29. “An appellate court is ‘not obliged to
    construct or develop arguments’ to support an appellant’s assignment of error and
    ‘will not “guess at undeveloped claims on appeal.’”” Story at ¶ 30, quoting State v.
    Jacinto, 
    2020-Ohio-3722
    , 
    155 N.E.3d 1056
    , ¶ 56 (8th Dist.), quoting McPherson v.
    Goodyear Tire & Rubber Co., 9th Dist. Summit No. 21499, 
    2003-Ohio-7190
    , ¶ 31.
    ‘“If an argument exists that can support [an] assigned error, it is not this court’s duty
    to root it out.’” Strauss v. Strauss, 8th Dist. Cuyahoga No. 95377, 
    2011-Ohio-3831
    ,
    ¶ 72, quoting Cardone v. Cardone, 9th Dist. Summit Nos. 18349 and 18673, 
    1998 Ohio App. LEXIS 2028
    , 22 (May 6, 1998); see also Rodriguez v. Rodriguez,
    Cuyahoga App. No. 91412, 
    2009-Ohio-3456
    , ¶ 7 (“[I]t is not the duty of an appellate
    court to search the record for evidence to support an appellant’s argument as to any
    alleged error.”).
    Nevertheless, because cases are best decided on their merits,
    although we disregard and overrule Mother’s seventh assignment of error due to the
    lack of any separate argument, we employ our discretion to address Mother’s
    remaining assignments of error, to the extent we are able to discern them.
    We also note that, throughout her appellate brief, Mother has
    referenced various alleged facts that are not part of the record in this appeal. In
    reviewing an appellant’s claims of error, an appellate court is limited to the facts and
    evidence set forth in the record of appeal and cannot consider facts outside that
    record. See App.R. 9; App.R. 12(A)(1)(b); In re K.K., 4th Dist. Highland Nos. 21CA1
    and 21CA2, 
    2021-Ohio-3338
    , ¶ 16, fn. 3 (“It is simply not permissible on direct
    appeal to consider matters outside of the record.”); Morgan v. Eads, 
    104 Ohio St.3d 142
    , 
    2004-Ohio-6110
    , 
    818 N.E.2d 1157
    , ¶ 13 (“[A] bedrock principle of appellate
    practice in Ohio is that an appeals court is limited to the record of the proceedings.”);
    Herron v. Herron, 9th Dist. Summit No. 29683, 
    2021-Ohio-2223
    , ¶ 19 (‘“Matters
    outside the record cannot be used to demonstrate error,’”), quoting In re J.C., 
    186 Ohio App.3d 243
    , 
    2010-Ohio-637
    , 
    927 N.E.2d 69
    , ¶ 15 (9th Dist.). Accordingly, this
    court’s review is limited to the record before us. In considering Mother’s remaining
    assignments of error, we limit our review to the facts and evidence in the appellate
    record.
    A. Predispositional Temporary Custody
    In her first and second assignments of error, Mother challenges the
    juvenile court’s decision granting predispositional temporary custody of the
    children to the agency.3 Mother asserts that the juvenile court “erred and abused its
    discretion” in granting the agency’s motion for predispositional temporary custody
    because it “did not cite in writing the emergency [that] caused the removal of the
    children,” did not “make a plan to return the children,” “did not weigh all facts” and
    3 Mother expressly references the case numbers of the prior cases (Cuyahoga J.C.
    Nos. AD21906069-AD21906072) in her first two assignments of error. As such, it is not
    entirely clear whether Mother is challenging the juvenile court’s decision to grant
    emergency custody of the children to the agency in the cases that are the subject of this
    appeal or in the prior cases. Because the juvenile court’s decision in the prior cases is
    outside the scope of this appeal, we address only the juvenile court’s decision in the cases
    that are the subject of this appeal.
    “overlooked the truth and the actual circumstance which prompted the CCDCFS to
    set a staffing and remove the children” — which Mother contends was “the assault
    by the case manager Regina Moses and her false allegation to the hotline.”
    The juvenile court’s orders granting predispositional temporary
    custody of the children to the agency were interim, temporary orders. As such, the
    agency argues that “[i]nsofar as [Mother] seeks to challenge the propriety of the pre-
    dispositional temporary custody orders made in these matters, this issue is moot”
    because “these orders have been superseded by the trial court’s final dispositional
    orders.”
    We note that this court has stated that assignments of error related
    to temporary custody orders “are rendered moot by the final determination of
    custody.” Barry v. Rolfe, 8th Dist. Cuyahoga Nos. 88459, 88460, 88676, 88680-
    86, and 88908-11, 
    2008-Ohio-3131
    , ¶ 39; cf. V.C. v. O.C., 8th Dist. Cuyahoga No.
    109988, 
    2021-Ohio-1491
    , ¶ 46; In re C.T-T., 8th Dist. Cuyahoga No. 107059, 2019-
    Ohio-3362, ¶ 10; see also O’Conner v. Stires, 12th Dist. Fayette No. CA2017-04-008,
    
    2017-Ohio-8929
    , ¶ 12 (even if appellate court were to find juvenile court had erred
    in granting temporary custody to agency, such error had no bearing on the ultimate
    outcome of the case because the temporary custody order had been superseded by
    the juvenile court’s final custody determination). However, we also note that
    specific requirements must be met before a child can be properly removed from his
    or her home and placed in the emergency custody of the agency, see, e.g., R.C.
    2151.31 — challenges to which might not necessarily be mooted by subsequent
    custody orders. We need not resolve that issue here because even if we were to
    consider the merits of Mother’s first and second assignments of error, we would find
    those assignments of error meritless. See In re G.G., 8th Dist. Cuyahoga Nos. 111322
    and 111324, 
    2022-Ohio-3821
    , ¶ 35-40 (considering whether the record contained
    sufficient evidence for the juvenile court’s predispositional temporary custody
    orders in appeal of judgments granting temporary custody of the children to
    CCDCFS).
    In this case, following a hearing, the juvenile court determined that
    there was probable cause for the continued removal of the children from Mother’s
    home and that return of the children to Mother’s home would, at that time, be
    “contrary to the [children’s] best interest and welfare.” In its written journal entries,
    the juvenile court identified the specific “concerns” that led to its determination that
    granting predispositional temporary custody to the agency (i.e., continuing
    predispositional temporary custody from the prior cases) was in the children’s best
    interest, i.e., “concerns” regarding (1) Mother’s proper disbursement of medication
    to the children, (2) Mother’s proper supervision of the children and ability to
    “control” their sexualized behaviors in the home and (3) the children’s failure to
    attend school regularly.
    The juvenile court further found that the agency had made
    reasonable efforts to prevent the removal of the children from the home, to eliminate
    the continued removal of the children from the home or to make it possible for the
    children to return home based on (1) referrals of Mother and the children for
    counseling, (2) the children’s involvement in the Protect Program and (3) referrals
    for Mother for a parenting program, an alcohol and drug assessment and related
    programming through Moore Counseling, a supportive visitation coach and a
    psychological evaluation at the court’s diagnostic clinic.
    As detailed above, each of these findings was supported by ample
    competent, credible evidence presented at the emergency custody hearing and the
    recommendation of the children’s guardian ad litem.          The agency presented
    evidence — corroborated by Mother’s testimony — that despite her knowledge of
    prior incidents of sexual behavior among the children, Mother had failed to
    adequately supervise the children, resulting in the children engaging in continued
    incidents of sexualized behaviors with each other in Mother’s home. When asked
    why she failed had implement the line-of-sight supervision regarding which she had
    been instructed, Mother indicated that she could not watch the children “all the
    time.”     The agency also presented evidence of Mother’s failure to properly
    administer medication to the children, issues with the children’s regular school
    attendance and Mother’s nonprescription marijuana use at home, as a coping
    mechanism, when the children were under her care, without another caregiver
    present.
    Mother has not shown that the juvenile court abused its discretion
    or otherwise erred in granting predispositional temporary custody to the agency.
    Simply because the juvenile court ruled against Mother does not mean it “did not
    weigh all facts” or “overlooked the truth.”       We overrule Mother’s first two
    assignments of error.
    B. 90-Day Waiver
    In her eighth assignment of error, Mother contends that she was
    denied due process because (1) Father’s attorney “lied to the court” and said that
    Father could not appear for the January 4, 2022 temporary custody hearing because
    he had COVID-19 (when, in fact, he was “at work” and had “purposefully skipped
    the hearing”) and (2) Attorney Palm “scared” Mother into signing the 90-day waiver
    (by telling her that “if she did not sign it, the county would refile and it would be
    much longer than 90 days before she could get children back”) such that she signed
    the waiver “under duress.”
    Mother’s written waiver, in which she “knowingly and voluntarily
    waived her right to have the case heard within 90 days as required by R.C.
    2151.35(B)(1),” was signed by Mother and her counsel and filed with the juvenile
    court. There is nothing in the record to support Mother’s claim that Father’s counsel
    “lied to the court” or that Mother executed the 90-day waiver under duress. We
    overrule Mother’s eighth assignment of error.
    C. Temporary Custody Determination
    Mother’s third, fourth, fifth and ninth assignments of error relate to
    the juvenile court’s decision granting temporary custody of the children to the
    agency. Mother challenges the juvenile court’s findings that (1) reasonable efforts
    were made to prevent the removal of the children from the home, to eliminate the
    continued removal of the children from the home or to make it possible for the
    children to return home, (2) the services provided to the family were “unsuccessful”
    and (3) granting temporary custody to the agency was in the children’s best interest.
    Mother also contends that, in granting temporary custody to the agency, the juvenile
    court improperly “disregarded” the children’s “allegations of abuse by their father”
    as “reported to the magistrate” during the in camera interview and that the juvenile
    court’s decision was improperly based on “perjury” by “county workers,” the
    children’s guardian ad litem and Father’s attorney.
    In this case, the juvenile court granted temporary custody of the
    children to the agency after the children were adjudicated neglected and
    dependent.4 If a child has been adjudicated neglected or dependent, the juvenile
    court may order the child placed in the temporary custody of CCDCFS if it finds such
    a disposition to be in the best interest of the child based on a preponderance of the
    evidence. R.C. 2151.353(A)(2)(a); In re K.E., 8th Dist. Cuyahoga No. 111443, 2022-
    Ohio-3333, ¶ 22; In re A.S., 8th Dist. Cuyahoga No. 105651, 
    2018-Ohio-1085
    , ¶ 18.
    When choosing among the dispositional alternatives authorized by
    R.C. 2151.353(A), “the juvenile court is to be mindful of the stated purpose of R.C.
    Chapter 2151, which is to provide for the ‘care, protection, and mental and physical
    development of children.’” In re G.G., 
    2022-Ohio-3821
    , at ¶ 44, quoting R.C.
    4 Based on our reading of Mother’s appellate brief, Mother does not specifically
    challenge the juvenile court’s findings that the children were neglected and dependent on
    appeal. Accordingly, we do not further address those findings here.
    2151.01(A). “Whenever possible, the child is to remain in a family environment and
    the child should be separated from the child’s parents only when necessary for the
    child’s welfare.” In re G.G. at ¶ 44, citing R.C. 2151.01(A) and In re C.F., 
    113 Ohio St.3d 73
    , 
    2007-Ohio-1104
    , 
    862 N.E.2d 816
    , ¶ 29. However, the court’s primary
    concern always remains the best interest of the child. In re Ka.C., 8th Dist.
    Cuyahoga Nos. 102000, 102002, 102005, and 102006, 
    2015-Ohio-1158
    , ¶ 19, citing
    In re S.M., 2d Dist. Montgomery No. 24539, 
    2011-Ohio-6710
    , ¶ 3.
    On appeal, we examine the record to determine whether the juvenile
    court’s decision is supported by competent, credible evidence that satisfies the
    required standard of proof. “An award of temporary custody to a public or private
    children’s services agency is substantially different from an award of permanent
    custody, where parental rights are terminated.” In re Ka.C. at ¶ 20. Although the
    parents lose temporary custody of the child, they “retain[] residual parental rights,
    privileges, and responsibilities.” 
    Id.
     Further, the parents’ right to regain custody of
    the child is not permanently foreclosed. In re M.J.M., 8th Dist. Cuyahoga No.
    94130, 
    2010-Ohio-1674
    , ¶ 12. “Because a granting of temporary custody does not
    divest parents of their fundamental parental rights, the parent can continue to fight
    for their children.” In re Lu.M-R, 10th Dist. Franklin No. 21AP-681, 2022-Ohio-
    4779, ¶ 25. For this reason, the less restrictive “preponderance of the evidence”
    standard is applied in temporary custody cases as opposed to the “clear and
    convincing evidence” standard applied in permanent custody cases. In re G.G. at
    ¶ 47-48; In re Ka.C. at ¶ 20. ‘“Preponderance of the evidence’ means ‘evidence that
    is more probable, more persuasive, or of greater probative value.’” In re C.V.M., 8th
    Dist. Cuyahoga No. 98340, 
    2012-Ohio-5514
    , ¶ 7, quoting In re D.P., 10th Dist.
    Franklin No. 05AP-117, 
    2005-Ohio-5097
    , ¶ 52; In re G.G. at ¶ 48.
    Although an award of temporary custody to a children’s services
    agency must be supported by the preponderance of the evidence, the juvenile court
    ‘“has substantial discretion in weighing the considerations involved in making the
    determination regarding a child’s best interest.’” In re G.G., 
    2022-Ohio-3821
    , at
    ¶ 45, quoting In re S.M., C.M., & D.M., 2d Dist. Montgomery No. 24539, 2011-Ohio-
    6710 at ¶ 4. There is no specific test or set of criteria that must be applied to
    determine what is in a child’s best interest when considering temporary custody as
    a dispositional alternative following an adjudication of abuse, neglect or
    dependency. In re G.G., 9th Dist. Summit No. 29952, 
    2022-Ohio-1654
    , ¶ 33.
    Nevertheless, courts have held that the best-interest factors set forth in R.C.
    2151.414(D)(1) and/or 3109.04(F)(1) — to the extent they are relevant — may be
    instructive in making that determination. See, e.g., 
    id.
     We review a juvenile court’s
    best-interest analysis for an abuse of discretion. See, e.g., In re G.G., 2022-Ohio-
    3821, at ¶ 46.
    Following a thorough review of the record, we conclude that the
    juvenile court’s decision to award temporary custody to CCDCFS was supported by
    the preponderance of the evidence and was not against the manifest weight of the
    evidence and that the juvenile court did not abuse its discretion in determining that
    it was in the children’s best interest to grant temporary custody of the children to
    the agency. There is no evidence in the record to support Mother’s claim that the
    juvenile court relied on “perjured” testimony in deciding to grant temporary custody
    of the children to the agency. Ample competent, credible evidence in the record
    supports the juvenile court’s decision.
    Here, the agency presented evidence that, although Mother had
    engaged in a number of services, including substance-abuse programming,
    parenting classes and individual and family counseling, Mother had not yet shown
    that she had sufficiently benefited from those services to resolve the concerns that
    led to the children being removed from the home. Evidence was presented that
    Mother continued to have difficulty controlling her children’s behavior during
    supervised visits and continued to have inappropriate conversations with her
    children regarding the children’s alleged sexual abuse by Father that caused the
    children to cry and feel “uncomfortable” and “stressed.” Whatley testified that
    although the agency had discussed Mother’s inappropriate communications with
    Mother and had attempted to reason with and redirect Mother towards more
    appropriate topics of conversation, Mother refused to acknowledge the negative
    impact her communications were having on the children or to alter her behavior.
    Indeed, as of the date of the hearing, visitation between Mother and the children had
    been suspended due to Mother’s continued inappropriate communications with the
    children and insistence, despite agency efforts to reason with and redirect Mother,
    that “uncomfortable conversations * * * are part of healing” and that “she’s gonna
    keep telling [Q.S.] to talk about the penises that was in her mouth.”
    The agency also presented evidence that Mother’s therapist had
    referred Mother for more intensive therapy and mental-health services based on
    “clinical findings” of displaying delusions, grandiose delusions, schizoaffective
    paranoia and irrational thought and thinking and concerns regarding Mother’s
    failure to “take accountability” for her actions. As of the time of the hearing, Mother
    was on a waiting list to receive more intensive therapy and services from Ohio
    Guidestone’s Act Team.
    In determining that temporary custody was in the children’s best
    interest, the record reflects that the juvenile court also considered the guardian ad
    litem’s recommendation that temporary custody be granted to the agency and the
    children’s wishes as expressed to the magistrate during the in camera interview.
    There is nothing in the record to support Mother’s contention that the juvenile court
    impermissibly “disregarded” statements made by the children during the in camera
    interview when granting temporary custody to the agency.
    Mother also challenges the juvenile court’s finding that reasonable
    efforts were made to eliminate the continued removal of the children from the home
    or make it possible for the children to return home. However, the record clearly
    supports the juvenile court’s “reasonable efforts” finding. In general, “reasonable
    efforts” means “‘[t]he state’s efforts to resolve the threat to the child before removing
    the child or to permit the child to return home after the threat is removed.’” In re
    C.F., 
    113 Ohio St.3d 73
    , 
    2007-Ohio-1104
    , 
    862 N.E.2d 816
    , ¶ 28, quoting Will L.
    Crossley, Defining Reasonable Efforts: Demystifying the State’s Burden Under
    Federal Child Protection Legislation, 12 B.U.Pub.Int.L.J. 259, 260 (2003).
    “‘Reasonable efforts means that a children’s services agency must act diligently and
    provide services appropriate to the family’s need to prevent the child’s removal or as
    a predicate to reunification.’” In re H.M.K., 3d Dist. Wyandot Nos. 16-12-15 and 16-
    12-16, 
    2013-Ohio-4317
    , ¶ 95, quoting In re D.A., 6th Dist. Lucas No. L-11-1197, 2012-
    Ohio-1104, ¶ 30. In other words, the agency must use reasonable efforts to help
    remove the obstacles preventing family reunification.        In re C.B.C., 4th Dist.
    Lawrence Nos. 15CA18 and 15CA19, 
    2016-Ohio-916
    , ¶ 76, citing Bean, Reasonable
    Efforts: What State Courts Think, 36 U.Tol.L.Rev. 321, 366 (2005).
    What constitutes “reasonable efforts” varies with the circumstances.
    In re C.B.C. at ¶ 76. “The issue in a reasonable-efforts determination is not whether
    the agency could have done more, but whether the agency’s case planning and efforts
    were reasonable and diligent under the circumstances of the case.” In re A.F., 8th
    Dist. Cuyahoga No. 110503, 
    2021-Ohio-4519
    , ¶ 35. “Reasonable efforts” does not
    mean “‘all available efforts.’” In re J.B., 8th Dist. Cuyahoga No. 109039, 2020-Ohio-
    3675, ¶ 21, quoting In re Lewis, 4th Dist. Athens No. 03CA12, 
    2003-Ohio-5262
    , ¶ 16.
    In determining whether reasonable efforts were made, “the child’s health and safety
    shall be paramount.” R.C. 2151.419(A)(1).
    In this case, concerns regarding Mother’s mental health, substance
    use, parenting skills and Mother’s ability to provide a safe and appropriate
    environment for the children were the primary obstacles preventing Mother’s
    reunification with the children. The record shows that CCDCFS made reasonable
    efforts to reunite the family by implementing a case plan that included referrals for
    substantial services to address these concerns, including individual counseling for
    each of the children, family counseling and Protect Program services specifically
    designed to address the children’s sexualized behaviors to keep the children safe
    from each other and around other children, as well as substance-abuse
    programming, mental-health services, parenting classes and a supportive visitation
    coach for Mother.
    Although Mother clearly loves her children, has a strong bond with
    them and has actively engaged in a number of services in an attempt to meet the
    objectives of her case plan, the evidence in the record strongly supports the juvenile
    court’s conclusion that additional work remains to be done to resolve the concerns
    that led to the children being removed from the home before the children can be
    safely reunified with Mother.
    Accordingly, the juvenile court did not err or abuse its discretion in
    granting temporary custody of the children to the agency. We overrule Mother’s
    third, fourth, fifth and ninth assignments of error.
    D. Ineffective Assistance of Counsel
    In her sixth assignment of error, Mother contends that she was
    denied the effective assistance of counsel.
    “The right to counsel, guaranteed in juvenile proceedings by R.C.
    2151.352 and by Juv.R. 4, includes the right to the effective assistance of counsel.”
    In re I.R., 
    2021-Ohio-3103
    , 
    179 N.E.3d 138
    , ¶ 83 (8th Dist.). To establish ineffective
    assistance of counsel, the represented party must demonstrate: (1) deficient
    performance by counsel, i.e., that counsel’s performance fell below an objective
    standard of reasonable representation, and (2) that counsel’s errors prejudiced the
    party, i.e., a reasonable probability that but for counsel’s errors, the outcome would
    have been different. Strickland v. Washington, 
    466 U.S. 668
    , 687-688, 694, 
    104 S.Ct. 2052
    , 
    80 L.Ed.2d 674
     (1984); State v. Bradley, 
    42 Ohio St.3d 136
    , 
    538 N.E.2d 373
     (1989), paragraphs two and three of the syllabus; In re I.R. at ¶ 84. “Reasonable
    probability” is “probability sufficient to undermine confidence in the outcome.”
    Strickland at 694. Mother has not met her burden here.
    Three of the five attorneys Mother claims provided ineffective
    assistance — Zen Canady, Becky Blair and Denise Ferguson — did not represent
    Mother in the cases that are the subject of this appeal. With respect to the remaining
    attorneys, Attorney Amata (who represented Mother at the emergency custody
    hearing) and Attorney Palm (who represented Mother at the adjudicatory and
    dispositional hearings), Mother claims that Attorney Amata’s performance was
    deficient because he “refused to even look at the evidence” and that Attorney Palm
    “withheld evidence * * * from the court,” “lied to Mother” regarding Mother’s ability
    to testify at the dispositional hearing and the existence of a possible “plea
    agreement” and failed to retain expert witnesses, file “requested discoveries” and
    make appropriate objections during the adjudicatory and dispositional hearings.
    The record does not support Mother’s claims. There is nothing in the record to
    suggest that either attorney was not prepared for the hearings in this case. The
    transcript from the hearings shows that both Attorney Amata and Attorney Palm
    effectively cross-examined the agency’s witnesses, raised appropriate objections and
    zealously advocated on Mother’s behalf. Further, even assuming there was some
    deficiency in her counsel’s performance, Mother has not shown that she was
    prejudiced by any such alleged deficiency. As detailed above, substantial competent
    credible evidence was presented supporting the juvenile court’s decision to grant
    temporary custody of the children to the agency.
    Mother’s sixth assignment of error is overruled.
    Judgment affirmed.
    It is ordered that appellee recover from appellant the costs herein taxed.
    The court finds there were reasonable grounds for this appeal.
    It is ordered that a special mandate issue of this court directing the Cuyahoga
    County Common Pleas Court, Juvenile Division, to carry this judgment into
    execution.
    A certified copy of this entry shall constitute the mandate pursuant to Rule
    27 of the Rules of Appellate Procedure.
    EILEEN A. GALLAGHER, JUDGE
    KATHLEEN ANN KEOUGH, P.J., and
    LISA B. FORBES, J., CONCUR