In re A.F. , 2012 Ohio 1137 ( 2012 )


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  • [Cite as In re A.F., 
    2012-Ohio-1137
    .]
    IN THE COURT OF APPEALS OF OHIO
    THIRD APPELLATE DISTRICT
    MARION COUNTY
    IN THE MATTER OF:
    A. F.,                                              CASE NO. 9-11-27
    ADJUDGED ABUSED CHILD,
    [TIFFANY FLOURNOY -                                 OPINION
    MOTHER/APPELANT].
    Appeal from Marion County Common Pleas Court
    Family Division
    Trial Court No. 2008 AB 0138
    Judgment Affirmed
    Date of Decision: March 19, 2012
    APPEARANCES:
    Raymond A. Grogan, Jr. for Appellant
    John A. Minter for Appellee, MCCSB
    Case No. 9-11-27
    ROGERS, J.
    {¶1} Mother-Appellant,            Tiffany        Flournoy     (“Tiffany”),       appeals      the
    judgment of the Court of Common Pleas of Marion County, Family Division,
    granting permanent custody of her daughter, A.F., to Marion County Children
    Services (“MCCS”).1 On appeal, Tiffany contends that the trial court erred in
    finding that MCCS made reasonable efforts to reunite her and A.F.; that the trial
    court’s judgment granting MCCS permanent custody of A.F. was not in A.F.’s
    best interest and was against the manifest weight of the evidence; and, that the trial
    court erred when it found that A.F. could not be returned to her in a reasonable
    time. Based on the following, we affirm the judgment of the trial court.
    {¶2} A.F. was born on October 24, 2008. On December 5, 2008, MCCS
    filed a complaint alleging that A.F. was a neglected, abused, and dependent child
    as defined by R.C. 2151.03, R.C. 2151.031, and R.C. 2151.04, respectively. The
    complaint alleged that “[A.F.] * * * tested positive for cocaine at birth.”
    Complaint, p. 3. The complaint further alleged that “[t]hroughout the pregnancy,
    Tiffany consistently tested positive for marijuana and cocaine.” 
    Id.
    {¶3} On December 10, 2008, the trial court, upon its own motion,
    appointed Robert Cordrick (“Cordrick”), to serve as a guardian ad litem (“GAL”)
    for A.F.
    1
    A.F.’s biological father, Persey Shaw, has neither filed a separate notice of appeal with this Court, nor
    was he included in Tiffany’s notice of appeal.
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    {¶4} On February 2, 2009, the matter proceeded to an adjudication hearing.
    During the hearing, Tiffany stipulated that A.F. was an abused child. February 18,
    2009 Judgment Entry. Based on Tiffany’s stipulation, the trial court dismissed all
    other complaints without prejudice. Also on this day, the trial court approved and
    adopted the case plan submitted by MCCS.
    {¶5} In June 2010, MCCS filed a motion for permanent custody pursuant to
    R.C. 2151.353 and R.C. 2151.414.
    {¶6} The permanent custody hearing was divided into three separate
    hearings. The first hearing occurred on November 3, 2010, the second occurred
    on May 20, 2011, and the last hearing occurred on May 26, 2011.
    {¶7} Carrie Rashleigh (“Rashleigh”), an intake investigator with MCCS,
    testified that in December 2008 she was employed as a caseworker with MCCS.
    Rashleigh testified that she was assigned to A.F.’s case at its inception and served
    as the caseworker until April 2010.      Randy Lee (“Lee”), a caseworker with
    MCCS, testified that he was assigned to A.F.’s case in April 2010.
    {¶8} Rashleigh testified that on January 13, 2009, A.F. was removed from
    Tiffany’s custody and placed in foster care with Richard and Melissa Harrison
    (collectively “the Harrisons”). A.F. has resided with the Harrison’s throughout the
    case.
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    {¶9} Rashleigh testified that she and Tiffany discussed possible alternative
    placements for A.F. In particular, they discussed Tiffany’s brothers, Marcus and
    William, Tiffany’s sister, Tara, and a family friend, Wanda.                           According to
    Rashleigh, Tara was not interested in taking A.F. and Marcus was not an
    appropriate placement due to his criminal history. As for William and Wanda,
    Rashleigh testified that initially each was interested in being a placement for A.F.
    However, Rashleigh explained that MCCS, through no fault of its own, lost
    contact with William and Wanda before they completed the placement evaluation.
    {¶10} Rashleigh testified that on February 2, 2009, she and Tiffany
    developed a case plan designed to remedy the concerns that caused A.F.’s
    removal.2 The case plan outlined four concerns and the means by which those
    concerns were to be remedied. Three of the concerns focused on Tiffany.3 The
    case plan also outlined a visitation plan. Rashleigh testified that in order to assist
    Tiffany in achieving the case plan’s requirements MCCS maintained contact with
    Tiffany, conducted in-person meetings with Tiffany, provided Tiffany with bus
    tickets, and made necessary referrals.
    {¶11} The first concern outlined in the case plan addressed Tiffany’s
    inability to be self-sufficient and her lack of appropriate housing. In order to
    2
    An amended case plan was filed on August 24, 2010. Lee testified that except for the requirement that
    Tiffany obtain a psychological evaluation the amended case plan did not modify the concerns, the means by
    which those concerns were to be remedied, or the visitation plan outlined in the original case plan.
    3
    For purposes of this appeal, discussion of the second concern is unnecessary as it outlines steps the
    Harrisons, not Tiffany, needed to take to ensure A.F.’s basic needs were met.
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    remedy Tiffany’s inability to be self-sufficient, the case plan directed Tiffany to
    complete the following, in relevant part:
    1. Within 90 days of the court stamp on this case plan, Tiffany
    will obtain and maintain legal and stable employment to a level
    capable for self sufficiency (sic). February 2, 2009 Case Plan, p. 2.
    {¶12} Rashleigh testified that she mailed Tiffany a local job list and that
    Tiffany actively sought employment. Rashleigh testified that in July 2009 Tiffany
    obtained employment with Marion Business Solutions, but left the position
    because her income was insufficient. Rashleigh testified that Tiffany obtained
    employment with Marion Business Solutions again in September 2009, but left the
    position shortly thereafter. Rashleigh testified that as of April 2010, Tiffany had
    not maintained employment. During the May 20, 2011 hearing, Tiffany testified
    that she began working for Healthcare Depot in April 2010. Tiffany testified that
    she remained employed with Healthcare Depot, but was not working any hours.
    {¶13} In order to remedy the lack of appropriate housing, the case plan
    directed Tiffany to complete the following, in relevant part:
    5. Within 90 days of the court stamp on this plan, Tiffany will
    obtain and maintain Agency approved housing * * *. February 2,
    2009 Case Plan, p. 2.
    {¶14} Initially, Tiffany lived at 216 Wallace (“Wallace residence”) in
    Marion. Rashleigh testified that she conducted several home visits of the Wallace
    residence and determined that the residence was not suitable for A.F. Tiffany
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    subsequently moved to 399 ½ North Main Street (“North Main residence”) in
    Marion. Rashleigh, however, testified that she was not able to conduct a home
    visit of the North Main residence.
    {¶15} Lee testified that Tiffany initially was unable to provide him with a
    permanent address.      Tiffany informed Lee that she applied to Fairview
    Apartments. Lee testified that he sent a letter of recommendation to the manager
    of Fairview Apartments on Tiffany’s behalf. Sometime after Lee sent the letter of
    recommendation, Tiffany obtained housing at Fairview Apartments. Lee testified
    that Tiffany’s residence at Fairview Apartments was appropriate.
    {¶16} During the May 20, 2011 hearing, Tiffany testified that she moved
    back to the North Main residence in March 2011. Tiffany explained that she
    shares the residence with her boyfriend. Tiffany testified that her boyfriend had
    been incarcerated for trafficking controlled substances, but insisted that “he has a
    different life.” May 20, 2011 Hearing Tr., p. 321. Tiffany testified that Lee
    attempted to conduct a home visit of the North Main residence, but she requested
    that he not come because her boyfriend was recovering from an accident.
    {¶17} The third concern outlined in the case plan addressed Tiffany’s
    substance abuse. In order to remedy her substance abuse, the case plan directed
    Tiffany to complete the following, in relevant part:
    1.   Tiffany will complete an AOD assessment * * *.
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    2. Tiffany will follow any and all recommendation (sic)
    stemming from the AOD assessment and complete alcohol and
    drug treatment prior to reunification.
    3. * * *
    4. Tiffany will abstain from using illegal substances * * *.
    5. Tiffany will submit to random drug and alcohol screens, as
    deemed necessary by the caseworker. Failure to screen on the
    date requested will be considered a “dirty” or “positive” test.
    February 2, 2009 Case Plan, p. 4.
    {¶18} Initially, Tiffany was scheduled to complete an alcohol and drug
    assessment (“AOD assessment”) at the Marion Area Counseling Center
    (“MACC”). Rashleigh testified that Tiffany missed the AOD assessment, as well
    as several subsequent AOD assessments.        In June 2009, Tiffany contacted
    Rashleigh and inquired about inpatient treatment. Rashleigh testified that she
    informed Tiffany that she was aware of two programs that offered inpatient
    treatment, Stepping Stones in Portsmouth, Ohio, and Foundations in Marion,
    Ohio.    Rashleigh testified that Tiffany was interested in Foundations so she
    referred Tiffany to Foundations. Rashleigh learned that Tiffany would have to
    complete an AOD assessment to be admitted to Foundations. Rashleigh testified
    that MACC would not conduct an AOD assessment of Tiffany due to her prior
    missed appointments. Rashleigh testified that she considered referring Tiffany to
    Journey Offender Services (“Journey”) to complete an AOD assessment. MACC,
    however, informed Rashleigh that even if Journey referred Tiffany to Foundations,
    Tiffany would still have to complete an AOD assessment with MACC. In light of
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    this information, Rashleigh determined that referring Tiffany to Journey for an
    AOD assessment was “pointless” because Tiffany was prohibited from completing
    an AOD assessment at MACC, due to her prior missed appointments. November
    3, 2010 Hearing Tr., p. 45.
    {¶19} Though MACC prohibited Tiffany from completing an AOD
    assessment, Rashleigh testified that she attempted to convince MACC to conduct
    an AOD assessment of Tiffany. Rashleigh testified that she contacted Elaine Ring
    (“Ring”), an employee with MACC, on several occasions. As a result of her
    conversations with Ring, Rashleigh testified that MACC permitted Tiffany to
    return for an AOD assessment.
    {¶20} Rachel McPherson (“McPherson”), a mental health and substance
    abuse counselor with MACC, testified that she conducted an AOD assessment of
    Tiffany on October 30, 2009. The AOD assessment revealed that Tiffany used
    alcohol, marijuana, and cocaine. Based on the results of the AOD assessment,
    McPherson testified that she and Tiffany developed an individual service plan
    (“ISP”). The ISP consisted of individual counseling, group counseling, Phase One
    Group (“POG”), Pre-Intensive Outpatient Group (“pre-IOG”), and Intensive
    Outpatient Group (“IOG”). McPherson testified that Tiffany completed POG and
    began, but did not complete, Pre-IOG. As a result, McPherson testified that
    Tiffany could not begin IOG. During the November 3, 2010 hearing, McPherson
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    testified that her last contact with Tiffany occurred on April 2, 2010. On June 4,
    2010, MACC closed Tiffany’s case due to her lack of attendance.              Though
    Tiffany’s case was closed, Lee testified that he sent a letter to Ring in an effort to
    determine whether Tiffany could return to MACC to continue treatment. State’s
    Exhibit D. In response to his letter, Lee testified that Ring informed him that
    Tiffany could return to MACC for treatment.
    {¶21} During the May 20, 2011 hearing, McPherson testified that her first
    contact with Tiffany after the November 2010 hearing occurred in March 2011.
    McPherson explained that Tiffany came to MACC for an AOD assessment to
    reactivate her case. McPherson testified that in April 2011 Tiffany was evaluated
    to determine whether she could participate in inpatient treatment. The evaluation
    stated that Tiffany would be appropriate for Foundations. McPherson explained
    that the evaluation did not specify whether inpatient or outpatient treatment was
    more appropriate, as Foundations offers both inpatient and outpatient services.
    McPherson continued that to her knowledge Tiffany was interested in outpatient
    treatment, not inpatient treatment.
    {¶22} Julie McGinnis (“McGinnis”), a specialized dockets coordinator with
    the Family Dependency Treatment Court in Marion County, testified that
    Tiffany’s attorney, Larry Heiser, contacted her to schedule an appointment for
    Tiffany. The initial appointment was scheduled for March 17, 2010. McGinnis
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    explained that during the initial appointment she would have informed Tiffany
    about the Family Dependency Treatment Court program. McGinnis testified that
    Tiffany did not attend the initial appointment.       McGinnis testified that she
    attempted to contact Tiffany on several occasions to reschedule the appointment,
    but Tiffany did not return her calls. Then, in May 2010, McGinnis testified that
    Tiffany visited her at the Family Dependency Treatment Court. After Tiffany’s
    visit, McGinnis testified that she renewed her attempts to schedule Tiffany for an
    appointment, but explained that she never again heard from Tiffany.
    {¶23} Cynthia Wall (“Wall”), a probation officer with the Marion
    Municipal Court, testified that she was Tiffany’s probation officer. Wall testified
    that Tiffany was on five years’ probation. As of November 3, 2010, the terms of
    Tiffany’s probation required her to complete, in relevant part, court approved drug
    and alcohol counseling and prohibited her from consuming or possessing
    controlled substances. Wall testified that on November 12, 2010, Tiffany tested
    positive for cocaine and marijuana. As a result, Tiffany was sentenced to serve 73
    days in jail. Wall testified that on April 4, 2011, Tiffany again tested positive for
    cocaine. As a result, Tiffany was sentenced to serve 30 days in jail. Wall testified
    that Tiffany was scheduled to begin treatment at Foundations on May 17, 2011.
    When Tiffany arrived at Foundations she refused to submit to a drug screen.
    Consequently, Foundations denied Tiffany admission. Wall visited Tiffany later
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    that day, at which time Tiffany admitted that she recently used cocaine and
    marijuana.
    {¶24} Throughout the case, Tiffany was administered several random drug
    screens.     Rashleigh testified that between March 2009 and April 2010, she
    attempted to administer twenty random drug screens to Tiffany. Tiffany, however,
    only submitted to sixteen drug screens. Of those sixteen drug screens, Rashleigh
    testified that Tiffany tested positive for controlled substances seven times. Lee
    testified that between May 2010 and October 2010, he attempted to administer
    eight random drug screens to Tiffany. Of those eight drug screens, Lee testified
    that Tiffany tested positive for controlled substances six times.
    {¶25} The fourth concern outlined in the case plan addressed Tiffany’s
    need to monitor A.F.’s physical, cognitive, and social development. In order to
    remedy this concern, the case plan directed Tiffany to complete the following, in
    relevant part:
    3. Tiffany will attend and complete parenting classes * * *.
    4. If deemed necessary, Tiffany will obtain a psychological
    evaluation by an Agency approved evaluator * * *, and follow
    through with any and all recommendations made by the
    psychological assessor.4 February 2, 2009 Case Plan, p. 5.
    4
    The amended case plan simply omitted the phrase “[i]f deemed necessary.” See August 24, 2010 Case
    Plan, p. 5.
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    {¶26} During the November 3, 2010 hearing, Rashleigh and Lee each
    testified that Tiffany completed the parenting classes. During the same hearing,
    however, Lee testified that Tiffany had not completed a psychological evaluation.
    {¶27} Kimberly Stark (“Stark”), a clinical psychologist, testified that she
    conducts psychological evaluations for MCCS.               Stark explained that a
    psychological evaluation consists of two parts, a clinical interview and
    psychological testing. Stark testified that Lee referred Tiffany to her in July 2010.
    Stark conducted a clinical interview with Tiffany in August 2010. Stark and
    Tiffany scheduled a follow-up appointment to conduct the psychological testing,
    but Tiffany did not attend the appointment.         During the November 3, 2010
    hearing, Stark testified that she attempted to reschedule several times, but Tiffany
    did not return to complete the psychological testing. During the May 20, 2011
    hearing, Stark testified that she has made repeated attempts to schedule Tiffany for
    an appointment since the November 2010 hearing. Despite her efforts, Stark
    testified that Tiffany has not returned to complete the psychological evaluation.
    {¶28} The case plan also outlined a visitation plan. The visitation plan
    provided that Tiffany have supervised visitation with A.F. once a week. Initially,
    the visitation period was scheduled to occur between 9:30 a.m. and 11:30 a.m.
    Lee testified that he noticed Tiffany was having difficulty arriving for visitation on
    time. Lee testified that, as a result, he moved the visitation period back.
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    {¶29} Between January 2009 and October 2010, there were 97 scheduled
    visits with A.F. State’s Exhibit B. Tiffany, however, did not attend 39 of those
    visits. 
    Id.
     Though Rashleigh and Lee each testified that several of the missed
    visits were outside of Tiffany’s control, they explained that a majority of the
    missed visits were not accompanied by a reasonable explanation.
    {¶30} During the May 20, 2011 hearing, Carol Buxton, a case aid
    employed with MCCS, testified that between November 2010 and May 2011,
    there were 28 scheduled visits with A.F. State’s Exhibit E. Tiffany, however, did
    not attend 25 of those visits. 
    Id.
    {¶31} During the November 3, 2010 hearing, Rashleigh and Lee each
    testified that Tiffany did not satisfy many of the requirements outlined in the case
    plan. Specifically, Tiffany did not maintain adequate employment, secure an
    appropriate residence, complete substance abuse treatment, abstain from drugs and
    alcohol, or complete a psychological evaluation. Rashleigh testified that A.F.
    bonded with Tiffany and the Harrisons. Rashleigh explained that A.F. appeared
    comfortable with Tiffany and was excited to see Tiffany.         Rashleigh further
    explained that the Harrisons were attentive to A.F.’s needs and A.F. expressed
    affection towards them. Lee also testified that A.F. bonded with Tiffany and the
    Harrisons. Lee explained that A.F. is doing “fantastic” with the Harrisons, that
    their relationship is “great,” and that she would call the Harrisons “mommy and
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    daddy.” November 3, 2010 Hearing Tr., p. 169. Rashleigh and Lee testified that
    granting MCCS permanent custody of A.F. is in her best interest. Lee testified
    that if MCCS were granted permanent custody of A.F., her current placement with
    the Harrisons is a possible long-term placement, because the Harrisons are a
    “foster-to-adopt home.” Id. at p. 170.
    {¶32} Cordrick testified that he served as A.F.’s GAL since the inception of
    the case. Cordrick testified that A.F. appeared to be bonded to Tiffany and the
    Harrisons. Though Cordrick personally observed A.F. and the Harrisons together,
    he admitted that he learned of A.F.’s bond with Tiffany via conversations with the
    Harrisons. Cordrick continued that MCCS made reasonable efforts to reunite
    Tiffany and A.F. Though MCCS made reasonable efforts, Cordrick testified that
    he did not believe MACC adequately explored the option of inpatient treatment
    with Tiffany. Cordrick also testified that several of the visits Tiffany missed were
    caused by transportation issues outside of Tiffany’s control.         Despite this
    testimony, Cordrick recommended that A.F. be placed in MCCS’s permanent
    custody. Cordrick explained that his recommendation primarily stemmed from
    Tiffany’s substance abuse and missed visits. Cordrick testified that Tiffany was
    given “every opportunity” to take part in some treatment program. May 26, 2011
    Hearing Tr., p. 358. Additionally, Cordrick testified that Tiffany did not have a
    reasonable explanation for many of the visits she did not attend.
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    {¶33} In June 2011, the trial court filed its judgment entry granting MCCS
    permanent custody of A.F. In doing so, the trial court found that MCCS made
    reasonable efforts to reunite A.F. and Tiffany, pursuant to R.C. 2151.419; that the
    record contained clear and convincing evidence that A.F. could not be placed with
    Tiffany within a reasonable time nor should A.F. be placed with Tiffany, pursuant
    to R.C. 2151.414(B)(1)(a); and, that the record contained clear and convincing
    evidence that placing A.F. in MCCS’s permanent custody is in her best interest,
    pursuant to R.C. 2151.414(D)(1).
    {¶34} It is from this judgment Tiffany appeals, presenting the following
    assignments of error for our review.
    Assignment of Error No. I
    THE TRIAL COURT ERRED IN FINDING WITH CLEAR
    AND CONVINCING EVIDENCE THAT MARION COUNTY
    CHILDREN SERVICES MADE REASONABLE EFFORTS TO
    ASSIST MOTHER TO REMEDY THE PROBLEM THAT
    CAUSED THE CHILD TO BE REMOVED.
    Assignment of Error No. II
    THE TRIAL COURT ERRED IN FINDING THAT IT WAS IN
    THE CHILD’S BEST INTEREST TO GRANT THE MOTION
    FILED BY MARION COUNTY CHILDREN SERVICES AND
    GRANTED MARION COUNTY CHILDREN SERVICES
    PERMANENT CUSTODY OF THE CHILD AGAINST THE
    MANIFEST WEIGHT OF THE EVIDENCE.
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    Assignment of Error No. III
    THE TRIAL COURT ERRED WHEN IT FOUND THAT THE
    CHILDREN (sic) COULD NOT BE RETURNED TO MOTHER
    IN A REASONABLE TIME PURSUANT TO OHIO REVISED
    CODE SECTION 2151.414(E).
    {¶35} Due to the nature of Tiffany’s assignments of error, we elect to
    address her second and third assignments of error together.
    Assignment of Error No. I
    {¶36} In Tiffany’s first assignment of error, she contends that the trial court
    erred in finding that MCCS made reasonable efforts to reunite her and A.F.
    Specifically, Tiffany contends that MCCS did not make reasonable efforts to assist
    her in gaining admission to an inpatient treatment program; that McPherson did
    not consider the possibility of inpatient treatment; that MCCS’s expectations of
    her were unrealistic; and, that MCCS did not facilitate visitation between her and
    A.F. We disagree.
    Law
    {¶37} “R.C. 2151.419 imposes a duty on the part of children services
    agencies to make reasonable efforts to reunite parents with their children where
    the agency has removed the children from the home.” In re Sorg, 3d Dist. No. 5-
    02-03, 
    2002-Ohio-2725
    , ¶ 13, citing In re Brown, 
    98 Ohio App.3d 337
    , 344 (3d
    Dist. 1994).   “The agency bears the burden of showing that it made such
    reasonable efforts.” In re Sorg at ¶ 13, citing R.C. 2151.419(A)(1).
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    {¶38} “Case plans are the tool that child protective service agencies use to
    facilitate the reunification of families who * * * have been temporarily separated.”
    In re Evans, 3d Dist. No. 1-01-75 (Oct. 30, 2001). To that end, case plans
    establish individualized concerns and goals, along with steps that the parties and
    the agency can take to achieve reunification. 
    Id.,
     citing R.C. 2151.412. Agencies
    have an affirmative duty to diligently pursue efforts to achieve the goals in the
    case plan. 
    Id.
     “Nevertheless, the issue is not whether there was anything more
    that [the agency] could have done, but whether the agency’s case planning and
    efforts were reasonable and diligent under the circumstances of [the] case.” In re
    Leveck, 3d Dist. Nos. 5-02-52, 5-02-53, 5-02-54, 
    2003-Ohio-1269
    , ¶ 10.
    Analysis
    {¶39} First, Tiffany contends that MCCS did not make reasonable efforts to
    assist her in gaining admission to an inpatient treatment program. Tiffany focuses
    on Rashleigh’s statement that it was “pointless” to refer her to Journey for an
    AOD assessment. Tiffany maintains that Rashleigh’s statement demonstrates that
    MCCS did not make reasonable efforts to reunite her with A.F.
    {¶40} Rashleigh’s testimony that it would have been “pointless” to refer
    Tiffany to Journey for an AOD assessment does not demonstrate a lack of
    reasonable effort. First, referral to Journey was rendered “pointless” as a result of
    Tiffany’s actions and/or inaction. To be accepted into Foundation’s inpatient
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    treatment program, Tiffany needed to complete an AOD assessment with MACC.
    MACC, however, prohibited Tiffany from completing an AOD assessment as a
    result of her prior missed appointments. Consequently, referral to Journey was
    “pointless” because of Tiffany’s prior missed appointments.        Second, despite
    Rashleigh’s testimony that referral to Journey would have been “pointless,” the
    record reveals that MCCS made efforts to convince MACC to conduct an AOD
    assessment of Tiffany. As a result of the MCCS’s efforts, MACC agreed to
    conduct an AOD assessment of Tiffany.            In light of the foregoing, we find
    Tiffany’s first contention is without merit.
    {¶41} Next, Tiffany contends that McPherson did not consider the
    possibility of inpatient treatment.            Tiffany contends that despite the
    recommendation that she receive inpatient treatment, McPherson continued to
    offer her outpatient treatment. As a result, Tiffany contends that MCCS’s efforts
    concerning her treatment were unreasonable.
    {¶42} Though Tiffany contends that McPherson’s decision to continue with
    outpatient treatment is indicative of MCCS’s unreasonable efforts, Tiffany
    overlooks the fact that McPherson is not an agent of MCCS, but an employee of
    MACC. Consequently, this contention does not demonstrate that MCCS’s efforts
    were unreasonable. See In re Jo.S., 3d Dist. Nos. 5-11-16, 5-11-17, 2011-Ohio-
    6017, ¶ 33; In re Van Atta, 3d Dist. No. 5-05-03, 
    2005-Ohio-4182
    , ¶ 12.
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    Furthermore, the record reveals that there was no recommendation for inpatient
    treatment. The recommendation Tiffany alludes to stems from an evaluation that
    occurred in April 2011. The evaluation noted that Tiffany would be appropriate
    for Foundations, which offers both inpatient and outpatient treatment. There was
    no testimony or evidence that the evaluation recommended Tiffany receive
    inpatient treatment. In fact, McPherson testified that Tiffany preferred outpatient
    treatment. Accordingly, we find Tiffany’s second contention is without merit.
    {¶43} Next, Tiffany contends that MCCS’s expectations of her were
    unrealistic. Tiffany contends that she was not given a reasonable opportunity to
    complete the requirements in the amended case plan.         In particular, Tiffany
    contends that she was afforded approximately sixty days (i.e. from the day the
    amended case plan was filed to the first day of the permanent custody hearing) to
    complete requirements which were to be completed within ninety days.
    {¶44} Though the amended case plan was filed approximately sixty days
    prior to the November 3, 2010 permanent custody hearing, Tiffany was given a
    reasonable opportunity to satisfy the amended case plan’s requirements. The
    amended case plan was identical to the original case plan in every way except for
    a slight alteration to the requirement that Tiffany obtain a psychological
    evaluation. Due to the similarity between the original and amended case plans, we
    look to the filing date of the original case plan in determining whether MCCS gave
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    Tiffany a reasonable opportunity to complete the case plan’s requirements. The
    original case plan was filed on February 2, 2009. Accordingly, Tiffany had one
    year and nine months to complete the requirements. This period of time was more
    than reasonable to complete the case plan’s requirements. See In re Nice, 
    141 Ohio App.3d 445
    , 456-57 (7th Dist. 2001). Accordingly, we find Tiffany’s third
    contention is without merit.
    {¶45} Last, Tiffany contends that MCCS did not make reasonable efforts to
    facilitate visitation between her and A.F. In particular, Tiffany contends that
    MCCS did nothing to alleviate issues with transportation to the visitation site.
    {¶46} Review of the record reveals that MCCS made reasonable efforts to
    facilitate visitation. Rashleigh testified that MCCS provided Tiffany with bus
    tickets. Lee testified that when he noticed Tiffany having difficulty arriving for
    visitation on time, he moved the visitation period back. Despite these efforts,
    Tiffany still did not attend numerous scheduled visits. While Rashleigh and Lee
    testified that several of the missed visits were outside of Tiffany’s control, they
    explained that a majority of the missed visits were not accompanied by a
    reasonable explanation. Given the foregoing, we find Tiffany’s final contention is
    without merit.
    {¶47} Aside from Tiffany’s contentions, review of the record reveals that
    MCCS made reasonable and diligent efforts to reunite Tiffany and A.F.              In
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    Case No. 9-11-27
    addition to the efforts discussed above, the record reveals that MCCS maintained
    contact with Tiffany, conducted in person meetings with Tiffany, and made
    referrals. In addition to these services, there is evidence that MCCS tailored its
    efforts to assist Tiffany in meeting specific requirements, i.e. Rashleigh sent
    Tiffany a local job list, and Lee sent a letter of recommendation to Fairview
    Apartments on Tiffany’s behalf.
    {¶48} In light of the foregoing, we find that MCCS made reasonable and
    diligent efforts to reunite Tiffany and A.F. Accordingly, we overrule Tiffany’s
    first assignment of error.
    Assignments of Error Nos. II & III
    {¶49} In Tiffany’s second and third assignments of error, she contends that
    the trial court’s decision to grant MCCS permanent custody of A.F. was not in
    A.F.’s best interest, and the trial court erred in finding that A.F. could not be
    returned to her in a reasonable time. We disagree.
    Standard of Review
    {¶50} “It is well recognized that the right to raise a child is an ‘essential’
    and ‘basic’ civil right.” In re Hayes, 
    79 Ohio St.3d 46
    , 48 (1997), citing In re
    Murray, 
    52 Ohio St.3d 155
    , 157 (1990). Parents have a fundamental liberty
    interest in the care, custody, and upbringing of their children. In re Murray;
    Santosky v. Kramer, 
    455 U.S. 745
    , 753, 
    102 S.Ct. 1388
     (1982). However, a
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    Case No. 9-11-27
    natural parent’s rights are not absolute. In re Thomas, 3d Dist. No. 5-03-08, 2003-
    Ohio-5885, ¶ 7. “It is plain that the natural rights of a parent are not absolute, but
    are always subject to the ultimate welfare of the child, which is the polestar or
    controlling principle to be observed.” In re Cunningham, 
    59 Ohio St.2d 100
    , 106
    (1979), quoting In re R.J.C., 
    300 So.2d 54
    , 58 (Fla.App.1974).
    {¶51} Permanent custody determinations made under R.C. 2151.414 must
    be supported by clear and convincing evidence. In re Baby Girl Doe, 
    149 Ohio App.3d 717
    , 
    2002-Ohio-4470
    , ¶ 89 (6th Dist.), citing In re Hiatt, 
    86 Ohio App.3d 716
    , 725 (4th Dist. 1993). “Clear and convincing evidence is the measure or
    degree of proof that will produce in the mind of the trier of fact a firm belief or
    conviction as to the allegations sought to be established. It is intermediate, being
    more than a mere preponderance, but not to the extent of such certainty as required
    beyond a reasonable doubt as in criminal cases. It does not mean clear and
    unequivocal.” In re Estate of Haynes, 
    25 Ohio St.3d 101
    , 104 (1986).
    {¶52} When “the degree of proof required to sustain an issue must be clear
    and convincing, a reviewing court will examine the record to determine whether
    the trier of fact had sufficient evidence before it to satisfy the requisite degree of
    proof.” Cross v. Ledford, 
    161 Ohio St. 469
    , 477 (1954), citing Ford v. Osborne,
    
    45 Ohio St. 1
     (1887). Thus, we are required to determine whether the trial court’s
    determination was supported by sufficient credible evidence to satisfy the requisite
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    Case No. 9-11-27
    degree of proof, In re McCann, 12th Dist. No. CA2003-02-017, 
    2004-Ohio-283
    , ¶
    12, citing In re Starkey, 
    150 Ohio App.3d 612
    , 
    2002-Ohio-6892
    , ¶ 16, and, absent
    an abuse of discretion, the trial court’s decision must be upheld. In re Robison, 3d
    Dist. No. 5-07-41, 
    2008-Ohio-516
    , ¶ 8, citing Masters v. Masters, 
    69 Ohio St.3d 83
    , 85 (1994). A trial court will be found to have abused its discretion when its
    decision is contrary to law, unreasonable, not supported by the evidence, or
    grossly unsound. See State v. Boles, 2d Dist. No. 23037, 
    2010-Ohio-278
    , ¶ 17-18,
    citing Black’s Law Dictionary (8 Ed.Rev.2004) 11. When applying the abuse of
    discretion standard, a reviewing court may not simply substitute its judgment for
    that of the trial court. Blakemore v. Blakemore, 
    5 Ohio St.3d 217
    , 219 (1983).
    Law
    {¶53} “Once a child has been adjudicated dependent, neglected, or abused
    and temporary custody has been granted to a children services agency, the agency
    may file a motion for permanent custody * * *.” In re Esparza, 3d Dist. Nos. 9-
    06-25, 9-06-27, 
    2007-Ohio-113
    , ¶ 25. In determining whether to grant the agency
    permanent custody, the trial court must conduct a two-pronged analysis. In re
    D.M., 3d Dist. Nos. 5-09-12, 5-09-13, 5-09-14, 
    2009-Ohio-4112
    , ¶ 31. The trial
    court must determine, by clear and convincing evidence, whether any provisions
    enumerated in R.C. 2151.414(B)(1) are present. In re Goodwin, 3d Dist. No. 17-
    08-12, 
    2008-Ohio-5399
    , ¶ 21. R.C. 2151.414(B)(1) states, in relevant part:
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    Case No. 9-11-27
    (B)(1) * * * the court may grant permanent custody of a child to
    a movant if the court determines * * * by clear and convincing
    evidence, * * * that any of the following apply:
    (a) The child is not abandoned or orphaned, has not been in
    the temporary custody of one or more public children services
    agencies or private child placing agencies for twelve or more
    months of a consecutive twenty-two-month period, or has not
    been in the temporary custody of one or more public children
    services agencies or private child placing agencies for twelve or
    more months of a consecutive twenty-two-month period if, as
    described in division (D)(1) of section 2151.413 of the Revised
    Code, the child was previously in the temporary custody of an
    equivalent agency in another state, and the child cannot be
    placed with either of the child’s parents within a reasonable time
    or should not be placed with the child’s parents.
    ***
    (d) The child has been in the temporary custody of one or more
    public children services agencies or private child placing
    agencies for twelve or more months of a consecutive twenty-two-
    month period, or the child has been in the temporary custody of
    one or more public children services agencies or private child
    placing agencies for twelve or more months of a consecutive
    twenty-two-month period and, as described in division (D)(1) of
    section 2151.413 of the Revised Code, the child was previously in
    the temporary custody of an equivalent agency in another state.
    (Emphasis added.)
    {¶54} In determining whether R.C. 2151.414(B)(1)(a) applies, the trial
    court must consider the factors enumerated in R.C. 2151.414(E). In re Goodwin at
    ¶ 23. If one or more of the factors enumerated in R.C. 2151.414(E) is found to be
    present by clear and convincing evidence, the trial court shall find that the child
    cannot be placed with the parents within a reasonable period of time or should not
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    Case No. 9-11-27
    be placed with the parents.    Id.; see also In re D.M. at ¶ 33.      The factors
    enumerated in R.C. 2151.414(E) are, in relevant part:
    (1) Following the placement of the child outside the child’s
    home and notwithstanding reasonable case planning and diligent
    efforts by the agency to assist the parents to remedy the
    problems that initially caused the child to be placed outside the
    home, the parent has failed continuously and repeatedly to
    substantially remedy the conditions causing the child to be
    placed outside the child’s home. In determining whether the
    parents have substantially remedied those conditions, the court
    shall consider parental utilization of medical, psychiatric,
    psychological, and other social and rehabilitative services and
    material resources that were made available to the parents for
    the purpose of changing parental conduct to allow them to
    resume and maintain parental duties.
    ***
    (4) The parent has demonstrated a lack of commitment toward
    the child by failing to regularly support, visit, or communicate
    with the child when able to do so, or by other actions showing an
    unwillingness to provide an adequate permanent home for the
    child;
    ***
    (13) The parent is repeatedly incarcerated, and the repeated
    incarceration prevents the parent from providing care for the
    child.
    {¶55} If the trial court determines that any provision enumerated in R.C.
    2151.414(B)(1) applies, the trial court must determine, by clear and convincing
    evidence, whether granting the agency permanent custody of the child is in the
    child’s best interest. In re D.M. at ¶ 33; In re K.H., 3d Dist. No. 5-10-06, 2010-
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    Case No. 9-11-27
    Ohio-3801, ¶ 30. In making this determination, R.C. 2151.414(D)(1) directs the
    trial court to consider the following non-exclusive factors:
    (a) The interaction and interrelationship of the child with the
    child’s parents, siblings, relatives, foster caregivers and out-of-
    home providers, and any other person who may significantly
    affect the child;
    (b) The wishes of the child, as expressed directly by the child or
    through the child’s guardian ad litem, with due regard for the
    maturity of the child;
    (c) The custodial history of the child, including whether the
    child has been in the temporary custody of one or more public
    children services agencies or private child placing agencies for
    twelve or more months of a consecutive twenty-two-month
    period, or the child has been in the temporary custody of one or
    more public children services agencies or private child placing
    agencies for twelve or more months of a consecutive twenty-two-
    month period and, as described in division (D)(1) of section
    2151.413 of the Revised Code, the child was previously in the
    temporary custody of an equivalent agency in another state;
    (d) The child’s need for a legally secure permanent placement
    and whether that type of placement can be achieved without a
    grant of permanent custody to the agency;
    (e) Whether any of the factors in divisions (E)(7) to (11) of this
    section apply in relation to the parents and child.
    Analysis
    {¶56} Initially, we note that while the trial court applied R.C.
    2151.414(B)(1)(a) in determining the first prong, it could have also applied R.C.
    2151.414(B)(1)(d), as neither party disputed the fact that A.F. has been in MCCS’s
    temporary custody for twelve or more months of a consecutive twenty-two-month
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    Case No. 9-11-27
    period. This fact alone would have satisfied the first prong. Since, however, the
    trial court applied R.C. 2151.414(B)(1)(a) in determining the first prong of the
    custody analysis, we will address the merits of Tiffany’s third assignment of error,
    challenging the trial court’s finding that A.F. cannot be placed with her in a
    reasonable period of time and should not be placed with her.
    {¶57} Citing R.C. 2151.414(B)(1)(a), the trial court determined that the
    State established the existence of several factors enumerated in R.C. 2151.414(E)
    by clear and convincing evidence. In particular, the trial court found that MCCS
    presented evidence establishing the existence of R.C. 2151.414(E)(1), (4), and
    (13).   Based on the following, we find that the trial court did not abuse its
    discretion, as its finding was supported by clear and convincing evidence.
    {¶58} During the November 3, 2010 hearing, Rashleigh testified that as of
    April 2010, Tiffany did not complete many of the case plan’s requirements.
    Specifically, Rashleigh testified that Tiffany did not maintain employment
    sufficient to support her and A.F., obtain suitable housing, complete treatment for
    her substance abuse, or abstain from drugs. During the same hearing, Lee testified
    that since April 2010 Tiffany obtained employment with Healthcare Depot and
    obtained suitable housing at Fairview Apartments. Lee, however, also testified
    that Tiffany did not complete a psychological evaluation, complete treatment for
    her substance abuse, or abstain from drugs.
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    Case No. 9-11-27
    {¶59} During the May 20, 2011 hearing, testimony revealed that Tiffany
    still did not complete substance abuse treatment or a psychological evaluation.
    Testimony also revealed that Tiffany was not working any hours at Healthcare
    Depot and recently moved out of Fairview Apartments.     Tiffany testified that Lee
    attempted to visit her current residence, but she discouraged such visits because
    her live-in boyfriend, who had a history of drug trafficking, was recovering from
    an accident.
    {¶60} Furthermore, the record contains evidence that Tiffany did not attend
    numerous visits with A.F. There were a total of 125 scheduled visits between
    Tiffany and A.F. Of the 125 scheduled visits, Tiffany did not attend 64 of those
    visits. While several of the visits Tiffany missed were outside of her control, a
    majority of the visits Tiffany missed were not accompanied by a reasonable
    explanation.
    {¶61} Last, the record reveals that Tiffany was incarcerated on two separate
    occasions during the pendency of the case.
    {¶62} Based on the evidence presented, we find that there was clear and
    convincing evidence that A.F. could not be placed with Tiffany in a reasonable
    time and should not be placed with Tiffany.
    {¶63} In considering the child’s best interests, the trial court found that
    granting MCCS permanent custody of A.F. was in her best interest. Based on the
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    Case No. 9-11-27
    following, we find that the trial court did not abuse its discretion, as its finding
    was supported by clear and convincing evidence.
    {¶64} Several months after A.F.’s birth, in January 2009, A.F. was
    removed from Tiffany’s custody and placed in foster care with the Harrisons. A.F.
    has remained in the Harrisons’ care throughout the pendency of the case. Since
    A.F.’s removal, Tiffany’s interaction with A.F. has been limited to supervised
    visitation, which was scheduled to occur once a week. Throughout the case,
    Tiffany did not attend numerous visits without a reasonable explanation. Despite
    Tiffany’s spotty visitation history, Rashleigh and Lee each testified that A.F.
    bonded with Tiffany. Rashleigh explained that A.F. appeared comfortable with
    Tiffany and was excited to see her.
    {¶65} As for A.F.’s relationship with the Harrisons, Rashleigh and Lee
    each testified that A.F. bonded with the Harrisons. Rashleigh explained that the
    Harrisons are attentive to A.F.’s needs, and A.F. expressed affection towards the
    Harrisons. Lee explained that A.F. is doing “fantastic” with the Harrison’s, that
    their relationship is “great,” and that A.F. calls the Harrisons “mommy and
    daddy.” November 3, 2010 Hearing Tr., p. 169. Similarly, Cordrick testified that,
    based on personal observations, A.F. has a strong bond with the Harrisons.
    {¶66} Next, the record demonstrates that A.F. is too young to express her
    own wishes concerning permanent custody. Consequently, Cordrick expressed
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    Case No. 9-11-27
    A.F.’s wishes. Cordrick was reluctant in making his recommendation. Cordrick’s
    reluctance was primarily based on his belief that MACC did not adequately
    explore inpatient treatment with Tiffany, and his observation that several of the
    visits Tiffany missed were outside of her control. Despite Cordrick’s reluctance,
    he recommended that MCCS be granted permanent custody of A.F. Cordrick’s
    recommendation was grounded in belief that MCCS made reasonable efforts to
    reunite Tiffany and A.F.; that Tiffany was given every opportunity to take part in a
    treatment program; and, that Tiffany missed numerous scheduled visits with A.F.
    without reasonable explanation.
    {¶67} Next, as discussed above, the record demonstrates that A.F. has been
    in MCCS’s temporary custody for twelve or more months of a consecutive twenty-
    two-month period.
    {¶68} Last, the record demonstrates that due to A.F.’s young age she is in
    need of a secure placement. Based on the record, Tiffany cannot serve as a secure
    placement. To her credit, Tiffany completed parenting classes and demonstrated
    some initiative in seeking employment, appropriate housing, and beginning
    treatment. After more than two years, however, Tiffany failed to complete many
    of the case plan’s key requirements. Though Tiffany is currently employed, she
    testified that she is not working any hours. Consequently, her employment is not
    sufficient to support her and A.F. At one point, Tiffany resided at Fairview
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    Case No. 9-11-27
    Apartments, which Lee deemed appropriate. However, Tiffany has since moved
    to another residence and has not allowed Lee to conduct a home visit to determine
    whether the residence is appropriate. Tiffany began, but did not complete, a
    psychological evaluation. Similarly, Tiffany began, but did not complete, the
    treatment program at MACC, nor did she take part in the Family Dependency
    Treatment Court program. Instead, Tiffany abused drugs throughout the case,
    which resulted in her repeated incarceration. Taken together, Tiffany’s failure to
    remedy the concerns outlined in the case plan demonstrate that she is not a secure
    placement for A.F.
    {¶69} MCCS also determined that none of the alternative placements
    provided by Tiffany were secure placements. Marcus had an extensive criminal
    history. Tara was not interested in taking A.F. William and Wanda began the
    process of being considered as a placement for A.F., but MCCS, through no fault
    of its own, lost contact with them before they completed the placement evaluation.
    {¶70} Given the foregoing, we find that there was clear and convincing
    evidence supporting the trial court’s finding that granting MCCS permanent
    custody of A.F. is in her best interest.
    {¶71} Accordingly, we find that the trial court did not abuse its discretion
    by granting MCCS permanent custody of A.F., as there was clear and convincing
    evidence to support its decision.
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    Case No. 9-11-27
    {¶72} Therefore, we overrule Tiffany’s second and third assignments of
    error.
    {¶73} Having found no error prejudicial to Appellant herein, in the
    particulars assigned and argued, we affirm the judgment of the trial court.
    Judgment Affirmed
    PRESTON and WILLAMOWSKI, J.J., concur.
    /jlr
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