In Re Madylynn C. ( 2021 )


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  •                                                                                                          09/30/2021
    IN THE COURT OF APPEALS OF TENNESSEE
    AT NASHVILLE
    Assigned on Briefs September 1, 2021
    IN RE MADYLYNN C. ET AL.
    Appeal from the Juvenile Court for Dickson County
    No. 02-20-022-TPR Michael Meise, Judge
    ___________________________________
    No. M2021-00184-COA-R3-PT
    ___________________________________
    This is a termination of parental rights case. Appellants, the children’s biological mother
    and father, appeal the trial court’s termination of their respective parental rights to the four
    children on the grounds of: (1) abandonment by an incarcerated parent by wanton
    disregard, 
    Tenn. Code Ann. §§ 36-1-113
    (g)(1) and 36-1-102(1)(A)(iv); (2) substantial non-
    compliance with the requirements of the permanency plans, 
    Tenn. Code Ann. § 36-1
    -
    113(g)(2); (3) persistence of the conditions that led to the children’s removal, 
    Tenn. Code Ann. § 36-1-113
    (g)(3)(A); (4) severe child abuse, 
    Tenn. Code Ann. § 36-1-113
    (g)(4); and
    (5) failure to manifest an ability and willingness to assume custody, 
    Tenn. Code Ann. §36
    -
    1-113(g)(14). Appellants also appeal the trial court’s determination that termination of
    their respective parental rights is in the children’s best interest. Discerning no error, we
    affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court
    Affirmed and Remanded
    KENNY ARMSTRONG, J., delivered the opinion of the court, in which J. STEVEN STAFFORD,
    P.J., W.S., and KRISTI M. DAVIS, J., joined.
    Jennifer Honeycutt and Raquel Avina Abel, Franklin, Tennessee, for the appellant, Afton
    C.1
    Nicole R. McLeod, Dickson, Tennessee, for the appellant, Preston S.
    Herbert H. Slatery, III, Attorney General and Reporter, and Lexie A. Ward, Assistant
    Attorney General, for the appellee, Tennessee Department of Children’s Services.
    1
    In cases involving minor children, it is the policy of this Court to redact the parties’ names to
    protect their identities.
    OPINION
    I. Background
    This case concerns four minor children: (1) Madylynn C. (d/o/b September 2006);
    (2) William S. (d/o/b August 2008); (3) Rylee S. (d/o/b August 2015); and (4) Carson S.
    (d/o/b January 2018). Appellant Afton C. (“Mother”) is the biological mother of the
    children. Appellant Preston S. (“Father,” and together with Mother, “Appellants”) is the
    biological father of William S., Rylee S., and Carson S. Matthew E. is the biological father
    of Madylynn C. In its final order, the Juvenile Court for Dickson County (“trial court”)
    held that, “Matthew E[.] surrendered his parental rights and the time to revoke his surrender
    has passed.” Matthew E. did not appeal this holding.
    Appellee Tennessee Department of Children’s Services (“DCS”) first became
    involved with this family in 2016, when it filed a petition for order controlling conduct and
    protective supervision. In the 2016 petition, DCS alleged that Madylynn, William, and
    Rylee were dependent and neglected based on the following: (1) Mother’s positive drug
    test while giving birth to Rylee; (2) Mother’s and Father’s actions of “melting down [drugs]
    and shooting up in the home;” (3) Mother and Father using methamphetamine in the home;
    and (4) a referral that Rylee had been tested for possible lead poisoning and was being
    medically neglected. The children were not removed in 2016, and the parents completed
    all services and requirements that were requested of them at that time.
    The instant case began in 2018 when DCS filed a dependency and neglect petition.
    The petition alleged drug exposure, lack of supervision, criminal activity, domestic
    violence, and both parents’ frequent incarcerations. Father also admitted that he was on
    drugs at the time of removal, and that he and Mother had no stable housing. On November
    15, 2018, the trial court placed custody with DCS. On November 28, 2018, a hair sample
    was collected from Carson, who was less than a year old; he tested positive for
    methamphetamine. On April 29, 2019, the children were adjudicated dependent and
    neglected, and Carson was found to be the victim of severe abuse perpetrated by Mother
    and Father, pursuant to 
    Tenn. Code Ann. § 37-1-102
    (27), due to his testing positive for
    methamphetamine and the Appellants’ knowing exposure of the child to illegal drugs. This
    finding was not appealed.
    Concerning Mother’s criminal history, since the children were removed to DCS
    custody, she has been incarcerated approximately six times. Mother’s longest period of
    incarceration, for methamphetamine related charges incurred after the children were in
    DCS custody, was from January 9, 2020 until July 18, 2020. During the custodial episode,
    Mother continued to incur new criminal charges after the children’s removal, including
    possession of drug paraphernalia, manufacturing illegal substances, selling
    methamphetamine, and failure to appear.
    -2-
    Concerning Father’s criminal history, prior to the children entering DCS custody,
    he was incarcerated for shoplifting and was released just days before the children were
    removed. After the children were removed from his custody, Father continued to
    participate in activities that resulted in additional incarcerations. During his testimony,
    Father admitted to using illegal drugs throughout the custodial episode. Prior to trial,
    Father’s most recent incarceration was from October 3, 2019 until he was released in
    February 2020 to complete his sentence at the Hope Center. Throughout the custodial
    episode, Father was incarcerated for numerous offenses, including violation of probation,
    shoplifting, and a failure to pay child support. As discussed in detail below, during the
    course of these proceedings, DCS worked with Appellants to create four permanency plans.
    On February 28, 2020, DCS filed a petition to terminate the parental rights of
    Mother and Father. The trial court held a hearing on November 19, 2020.2 By order of
    January 26, 2021, the trial court terminated Mother’s and Father’s parental rights on the
    grounds of: (1) abandonment by an incarcerated parent by wanton disregard; (2) substantial
    noncompliance with the requirements of the permanency plans; (3) persistence of the
    conditions that led to the children’s removal; (4) severe child abuse; and (5) and failure to
    manifest a willingness and ability to assume custody. The trial court also found that
    termination of Mother’s and Father’s parental rights is in the children’s best interests.
    Mother and Father appeal.
    II. Issues
    We restate the dispositive issues as:
    1. Whether there is clear and convincing evidence to support the trial court’s
    termination of Mother’s and/or Father’s parental rights on any of the
    statutory grounds found by the trial court.
    2. If so, whether there is clear and convincing evidence that termination of
    Mother’s and/or Father’s parental rights is in the children’s best interest.
    III. Standard of Review
    The Tennessee Supreme Court has previously explained that:
    A parent’s right to the care and custody of [his or] her child is among the
    oldest of the judicially recognized fundamental liberty interests protected by
    the Due Process Clause of the federal and state constitutions. Troxel v.
    Granville, 
    530 U.S. 57
    , 65 (2000); Stanley v. Illinois, 
    405 U.S. 645
    , 651
    (1972); In re Angela E., 
    303 S.W.3d 240
    , 250 (Tenn. 2010); In re Adoption
    2
    Mother received notice of the hearing but did not attend. However, her attorney was present.
    -3-
    of Female Child, 
    896 S.W.2d 546
    , 547-48 (Tenn. 1995); Hawk v. Hawk,
    
    855 S.W.2d 573
    , 578-79 (Tenn. 1993). But parental rights, although
    fundamental and constitutionally protected, are not absolute. In re Angela
    E., 
    303 S.W.3d at 250
    . “‘[T]he [S]tate as parens patriae has a special duty to
    protect minors. . . .’ Tennessee law, thus, upholds the [S]tate’s authority as
    parens patriae when interference with parenting is necessary to prevent
    serious harm to a child.” Hawk, 
    855 S.W.2d at 580
     (quoting In re Hamilton,
    
    657 S.W.2d 425
    , 429 (Tenn. Ct. App. 1983)); see also Santosky v. Kramer,
    
    455 U.S. 745
     (1982); In re Angela E., 
    303 S.W.3d at 250
    .
    In re Carrington H., 
    483 S.W.3d 507
    , 522-23 (Tenn. 2016) (footnote omitted). In
    Tennessee, termination of parental rights is governed by statute, which identifies
    “‘situations in which that state’s interest in the welfare of a child justifies interference with
    a parent’s constitutional rights by setting forth grounds on which termination proceedings
    can be brought.’” In re Jacobe M.J., 
    434 S.W.3d 565
    , 568 (Tenn. Ct. App. 2013) (quoting
    In re W.B., Nos. M2004-00999-COA-R3-PT, M2004-01572-COA-R3-PT, 
    2005 WL 1021618
    , at *7 (Tenn. Ct. App. Apr. 29, 2005) (citing 
    Tenn. Code Ann. § 36-1-113
    (g))).
    Thus, a party seeking to terminate a parent’s rights must prove: (1) the existence of one of
    the statutory grounds; and (2) that termination is in the child’s best interest. 
    Tenn. Code Ann. § 36-1-113
    (c); In re D.L.B., 
    118 S.W.3d 360
    , 367 (Tenn. 2003); In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002).
    Considering the fundamental nature of a parent’s rights and the serious
    consequences that stem from termination of those rights, a higher standard of proof is
    required in determining termination cases. Santosky, 
    455 U.S. at 769
    . As such, a party
    must prove statutory grounds and the child’s best interest by clear and convincing evidence.
    
    Tenn. Code Ann. § 36-1-113
    (c); In re Valentine, 
    79 S.W. 3d at 546
    . Clear and convincing
    evidence “establishes that the truth of the facts asserted is highly probable . . . and
    eliminates any serious or substantial doubt about the correctness of the conclusions drawn
    from evidence[,]” and “produces in a fact-finder’s mind a firm belief or conviction
    regarding the truth of the facts sought to be established.” In re M.J.B., 
    140 S.W.3d 643
    ,
    653 (Tenn. Ct. App. 2004).
    In termination of parental rights cases, appellate courts review a trial court’s factual
    findings de novo and accord these findings a presumption of correctness unless the
    evidence preponderates otherwise. Tenn. R. App. P. 13(d); In re Carrington H., 483
    S.W.3d at 523-24 (citing In re Bernard T., 
    319 S.W.3d 586
    , 596 (Tenn. 2010)); In re
    M.L.P., 
    281 S.W.3d 387
    , 393 (Tenn. 2009); In re A.M.H., 
    215 S.W.3d 793
    , 809 (Tenn.
    2007). The Tennessee Supreme Court has explained that:
    The trial court’s ruling that the evidence sufficiently supports termination of
    parental rights is a conclusion of law, which appellate courts review de novo
    with no presumption of correctness. In re M.L.P., 
    281 S.W.3d at
    393
    -4-
    (quoting In re [A.M.H.], 
    215 S.W.3d at 810
    ). Additionally, all other
    questions of law in parental termination appeals, as in other appeals, are
    reviewed de novo with no presumption of correctness. In re Angela E., 
    303 S.W.3d at 246
    .
    In re Carrington H., 483 S.W.3d at 524. With the foregoing in mind, we turn to our review.
    IV. Grounds for Termination of Parental Rights
    Although only one ground must be proven by clear and convincing evidence in order
    to terminate a parent or guardian’s parental rights, the Tennessee Supreme Court has
    instructed this Court to review every ground relied upon by the trial court to terminate
    parental rights in order to prevent “unnecessary remands of cases.” In re Angela E., 
    303 S.W.3d at
    251 n.14. Here, the trial court terminated Mother and Father’s respective
    parental rights on the same grounds: (1) abandonment by an incarcerated parent by wanton
    disregard; (2) substantial noncompliance with the requirements of the permanency plans;
    (3) persistence of the conditions that led to the children’s removal; (4) severe child abuse;
    and (5) and failure to manifest a willingness and ability to assume custody. We now turn
    to address each of these grounds.
    A. Abandonment by an Incarcerated Parent by Wanton Disregard
    The trial court found, by clear and convincing evidence, that Mother and Father
    abandoned the children. Tennessee Code Annotated section 36-1-113(g) provides:
    (g) Initiation of termination of parental or guardianship rights may be based
    upon any of the grounds listed in this subsection (g). The following grounds
    are cumulative and nonexclusive, so that listing conditions, acts or omissions
    in one ground does not prevent them from coming within another ground:
    (1) Abandonment by the parent or guardian, as defined in § 36-1-102, has
    occurred;
    As is relevant to this appeal, Tennessee Code Annotated section 36-1-102(1)(A)(iv) defines
    abandonment as follows:
    (iv) A parent or guardian is incarcerated at the time of the filing of a
    proceeding, pleading, petition, or amended petition to terminate the parental
    rights of the parent or guardian of the child who is the subject of the petition
    for termination of parental rights or adoption, or a parent or guardian has
    been incarcerated during all or part of the four (4) consecutive months
    immediately preceding the filing of the action and []:
    -5-
    ***
    (c) Has engaged in conduct prior to incarceration that exhibits a wanton
    disregard for the welfare of the child. . .
    This statutory provision “reflects the commonsense notion that parental
    incarceration is a strong indicator that there may be other problems in the home that
    threaten the welfare of the child.” In re Audrey S., 182 S.W.3d at 866. Incarceration itself
    does not satisfy the test for abandonment by wanton disregard; the court must find “by
    clear and convincing evidence that the parent’s pre-incarceration conduct displayed a
    wanton disregard for the welfare of the child.” Id. A “parent’s incarceration serves only
    as a triggering mechanism that allows the court to take a closer look at the child’s situation
    to determine whether the parental behavior that resulted in incarceration is part of a broader
    pattern of conduct that renders the parent unfit or poses a risk of substantial harm to the
    welfare of the child.” Id. “[P]robation violations, repeated incarcerations, criminal
    behavior, substance abuse, and the failure to provide adequate support or supervision for a
    child can, alone or in combination, constitute conduct that exhibits a wanton disregard for
    the welfare of the child.” Id. at 867-68.
    In its order terminating Appellants’ parental rights, the trial court found:
    The petition [to terminate Appellants’ parental rights] was filed on February
    28, 2020. The father testified that he was incarcerated from October of 2019
    through February of 2020. He also testified that he was incarcerated a few
    times throughout the case. The [DCS] caseworker, Tammy Lawler, testified
    that mother was incarcerated from January of 2020 through June of 2020.
    The record supports the trial court’s finding that both Mother and Father were incarcerated
    “during all or part of the four (4) consecutive months immediately preceding the filing of
    the action.” The trial court also found, by clear and convincing evidence, that Appellants’
    numerous incarcerations, criminal behavior, substance abuse, and general failure to support
    or supervise the children constituted “a wanton disregard for the welfare of the child[ren].”
    The record supports this conclusion.
    Before her January 9, 2020 through July 18, 2020 incarceration, Mother clearly
    engaged in conduct that exhibited a wanton disregard for the children’s welfare.
    Specifically, since the time the Children were placed in DCS custody, Mother has been
    incarcerated at least five times for various charges, including possession of drug
    paraphernalia, manufacturing illegal substances, selling methamphetamine, and failure to
    appear. In fact, prior to the current custodial episode, DCS was involved with the family in
    2016 based on allegations including: (1) Mother testing positive for drugs while giving
    birth to Rylee; (2) Mother’s and Father’s use of drugs in the home; and (3) potential lead
    poisoning of Rylee. The record shows that despite DCS’s reasonable efforts to assist her,
    -6-
    Mother failed to avail herself of the opportunity to address her drug use. Mother continued
    to test positive for drugs throughout these proceedings. As discussed in further detail
    below, despite attempts at recovery, Mother failed to maintain sobriety. This failure was
    likely due to Mother’s refusal to participate in either an intensive oupatient program, or an
    in-patient rehabilitation program. The record clearly and convincingly supports the trial
    court’s termination of Mother’s parental rights on the ground of abandonment by an
    incarcerated parent by wanton disregard.
    Concerning Father, he was incarcerated from October 3, 2019 until February 2020
    for violating his probation, shoplifting, and failure to pay child support. The record shows
    that, prior to his incarceration, Father engaged in conduct that exhibited a wanton disregard
    for the children’s welfare. In relevant part, Father testified:
    Q [to Father]. What criminal charges have you incurred since
    November 2019?
    A. Just shoplifting.
    Q. What were you in jail for from October to February of 2020?
    A. Violation of probation for the shoplifting and child support.
    Q. What did you do to violate your probation?
    A. Just didn’t report.
    Q. Would you agree that throughout the time your children have been
    in custody, you’ve been involved in a lot criminal activity?
    A. Not a lot but, yes, ma’am, criminal activity.
    Q. In and out of jail a lot?
    A. Yes, ma’am.
    Q. And a lot of drug use?
    A Yes, ma’am.
    Father’s candid testimony provides clear and convincing evidence to support the
    trial court’s finding that he has demonstrated a wanton disregard for the children’s welfare.
    In addition to his shoplifting and violation of probation charges, the record shows that
    several of Father’s incarcerations were due to the nonpayment of child support—both
    before and after DCS involvement—based on orders for these children and other children
    not subject to the case. In addition to these criminal matters, Father also admitted to using
    illegal drugs and, as contained in Trial Exhibit 33, tested positive for methamphetamine on
    December 28, 2018. Father was also subject to the 2016 DCS investigation, which was
    based on drug use in the home. From the totality of the circumstances, there is clear and
    convincing evidence to support the trial court’s termination of Appellants’ respective
    parental rights on the ground of abandonment by an incarcerated parent by wanton
    disregard.
    -7-
    B. Substantial Non-Compliance with the Requirements of the Permanency Plans
    The trial court found, by clear and convincing evidence, that Mother and Father’s
    respective parental rights should be terminated on the ground of failure to substantially
    comply with the requirements of the permanency plans. Tennessee Code Annotated section
    36-1-113(g)(2) provides that a parent’s rights may be terminated when “[t]here has been
    substantial noncompliance by the parent . . . with the statement of responsibilities in a
    permanency plan.”
    “[T]he permanency plans are not simply a series of hoops for the biological parent
    to jump through in order to have custody of the children returned.” In re C.S., Jr., et al.,
    No. M2005-02499-COA-R3-PT, 
    2006 WL 2644371
    , at *10 (Tenn. Ct. App. Sept. 14,
    2006). Rather,
    the requirements of the permanency plan are intended to address the
    problems that led to removal; they are meant to place the parent in a position
    to provide the children with a safe, stable home and consistent appropriate
    care. This requires the parent to put in real effort to complete the
    requirements of the plan in a meaningful way in order to place herself in a
    position to take responsibility for the children.
    Id.; accord In re Heaven J., No. W2016-00782-COA-R3-PT, 
    2016 WL 7421381
    , at *8
    (Tenn. Ct. App. Dec. 22, 2016). As discussed by this Court:
    Terminating parental rights based on 
    Tenn. Code Ann. § 36-1-113
    (g)(2)
    requires more proof than that a parent has not complied with every jot and
    tittle of the permanency plan. To succeed under 
    Tenn. Code Ann. § 36-1
    -
    113(g)(2), the Department must demonstrate first that the requirements of the
    permanency plan are reasonable and related to remedying the conditions that
    caused the child to be removed from the parent’s custody in the first place,
    In re Valentine, 
    79 S.W.3d 539
    , 547 (Tenn. 2002); In re L.J.C., 
    124 S.W.3d 609
    , 621 (Tenn. Ct. App. 2003), and second that the parent’s noncompliance
    is substantial in light of the degree of noncompliance and the importance of
    the particular requirement that has not been met. In re Valentine, 
    79 S.W.3d at 548-49
    ; In re Z.J.S., No. M2002-02235-COA-R3-JV, 
    2003 WL 21266854
    , at *12 (Tenn. Ct. App. June 3, 2003). Trivial, minor, or technical
    deviations from a permanency plan’s requirements will not be deemed to
    amount to substantial noncompliance. In re Valentine, 
    79 S.W.3d at 548
    .
    In re M.J.B., 
    140 S.W.3d at 656-57
    .
    Four permanency plans were created for Mother and Father on the following dates:
    January 23, 2019; August 14, 2019; February 19, 2020; and September 9, 2020. Both
    -8-
    Mother and Father participated in and signed the first plan and signed the criteria and
    procedures for termination. Although neither Mother nor Father participated in the
    development of the second or third plans, they did sign the criteria and procedures. Neither
    parent participated in the creation of the fourth plan. The requirements set out in all four
    plans remained largely the same. The requirements were that both Mother and Father were
    to: (1) complete an alcohol and drug assessment and follow all recommendations thereof;
    (2) submit to random drug screens and pass; (3) sign releases of information for DCS; (4)
    complete domestic violence classes and follow all recommendations thereof; (5) complete
    a mental health intake and follow all recommendations thereof; (6) resolve shoplifting and
    any other pending charges; and (7) complete parenting classes and follow all
    recommendations thereof. In addition to the foregoing requirements, under the third plan,
    Mother was to: (1) complete her discharge recommendations from rehabilitation by
    attending AA/NA meetings and obtaining a sponsor; and (2) participate in a second alcohol
    and drug assessment. Under the third plan, both Mother and Father were to complete
    psychological evaluations and follow all recommendations thereof.
    Throughout this case, DCS attempted to assist the Appellants in completing the
    foregoing requirements by: (1) requesting funding for services numerous times, over
    periods of several months for both parents; (2) attempting to stay in contact with the
    parents; and (3) providing transportation and general help. The trial court ratified all four
    of the permanency plans and found that the Appellants’ respective responsibilities
    thereunder were reasonably related to remedying the conditions that necessitated foster
    care. See In re Valentine, 
    79 S.W.3d at 547
     (“A trial court must find that the requirements
    of a permanency plan are reasonable and related to remedying the conditions which
    necessitate foster care placement.”) (internal quotations omitted).
    In its order terminating Appellants’ parental rights, the trial court found that Mother
    and Father failed to substantially comply with the foregoing requirements. Specifically,
    the trial court’s order states:
    The testimony of [Father] was that he did stay in contact with the
    caseworker, though certainly not as often as he should have. He testified that
    he is currently receiving services from Health Connect and also addressing
    his recovery, but that it has only been since December of 2019. He did admit
    that he had not completed the parenting classes, and he still had no stable
    housing once he was finished with recovery. He testified that during a large
    portion of the history of the case, he continued to use illegal drugs; however,
    he is addressing his drug issues now. He also testified that he never read his
    psychological evaluation. [Father] testified that he has not substantially
    complied with the task in the permanency plan.
    The caseworker testified that. . . mother did participate in a 28-day
    treatment program, but then continued to use drugs after she was released
    from treatment. She did not follow the recommendations upon release from
    -9-
    the program. The mother also has not proven that she has a suitable home.
    Throughout the case, she was in and out of jail. The mother and father were
    inconsistent as to visitation throughout the case.
    The Camelot caseworker testified that the parents’ visitation
    throughout the case was inconsistent, and that the visitations that did occur
    were not quality visits. She also testified that neither parent was consistent
    with parenting classes; with following through with their alcohol and drug
    classes; or attending their domestic violence classes. In fact, she had to
    discharge their case for noncompliance.
    The foster mother also testified that visitation was inconsistent. When
    she and her husband would take the children to visitation, the parents would
    often not show up.
    Therefore, the court finds by clear and convincing evidence that [the]
    ground [of failure to substantially comply with the requirements of the
    permanency plans] has been proven by clear and convincing evidence.
    The record supports the trial court’s findings. Ms. Lawler, the DCS caseworker,
    testified as follows concerning Mother’s lack of compliance with the requirements of the
    permanency plans:
    Q. Is [Mother] in substantial compliance with the tasks listed for her on the
    permanency plan?
    A. No.
    Q. What tasks has [Mother] completed?
    A. As far as I know, other than the one 28-day in CAAPS, that’s it. She
    completed the assessment, the psychological assessments.
    Q. But she did not follow the recommendations?
    A. No, she has not followed the recommendations.
    Q. And has she maintained contact with you?
    A. No.
    Q. Are you able to assist a parent who will not communicate with you?
    A It’s really, really hard.
    Ms. Lawler’s testimony is not disputed. Although Mother took the initial steps of
    completing a psychological assessment and a drug assessment, she failed to follow the
    recommendations of those assessments. Furthermore, although Mother completed twenty-
    eight (28) days in a rehabilitation facility, she failed to follow discharge recommendations
    and relapsed. When DCS attempted to assist her in enrolling in an intensive out-patient
    program, Mother did not participate; Mother also did not attend any in-patient
    rehabilitation. Ms. Lawler further testified that Mother failed to complete a parenting
    course, domestic violence classes, or a mental health intake. In short, it is clear that Mother
    failed “to address the problems that led to [the children’s] removal,” and failed “to put in
    real effort to complete the requirements of the plan in a meaningful way.” In re C.S., Jr.,
    - 10 -
    et al., 
    2006 WL 2644371
    , at *10. As such, there is clear and convincing evidence to support
    the trial court’s termination of Mother’s parental rights on the ground of substantial
    noncompliance with the requirements of the permanency plan.
    Turning to Father, the record indicates that he, too, failed to make significant efforts
    on his requirements under the permanency plans. In the first instance, Father waited more
    than one year to complete any of the permanency plan requirements. “This Court [has]
    previously recognized that a parent’s efforts to comply with a permanency plan after the
    filing of a petition to terminate can be ‘too little, too late.’” In re Maya R., No. E2017-
    01634-COA-R3-PT, 
    2018 WL 1629930
    , *6 (Tenn. Ct. App. Apr. 4, 2018). Still, Father
    failed to complete a parenting course, domestic violence course, a psychological
    evaluation, or an alcohol and drug assessment, and, although he submitted to a mental
    health intake, he failed to follow the recommendations thereof. As Father testified,
    Q [to Father]. Did you complete a mental health intake?
    A. Yes, ma’am.
    Q. Did you follow the recommendations for individual therapy?
    A No, ma’am. . . .
    ***
    Q. Have you ever participated in family therapy with your children?
    A. No, ma’am.
    Q. Did you complete your parenting classes?
    A. No, ma’am.
    ***
    Q. Would you agree that you have not substantially complied with the tasks
    listed on the permanency plan?
    A Yes, ma’am.
    From Father’s testimony, and the record as a whole, there is clear and convincing evidence
    to support the trial court’s termination of Father’s parental rights on the ground of failure
    to substantially comply with the requirements of the permanency plan.
    C. Persistence of the Conditions that Led to the Children’s Removal
    The trial court also terminated Appellants’ parental rights under Tennessee Code
    Annotated section 36-1-113(g)(3), a ground commonly referred to as “persistence of
    conditions.” In re Audrey S., 182 S.W.3d at 871. The persistence of conditions ground
    focuses “on the results of the parent’s efforts at improvement rather than the mere fact that
    he or she had made them.” Id. at 874. The goal is to avoid having a child in foster care for
    - 11 -
    a time longer than reasonable for the parent to demonstrate the ability to provide a safe and
    caring environment for the child. In re Arteria H., 
    326 S.W.3d 167
    , 178 (Tenn. Ct. App.
    2010), overruled on other grounds by In re Kaliyah S., 
    455 S.W.3d 533
    , 555 (Tenn. 2015).
    Thus, the question before the court is “the likelihood that the child can be safely returned
    to the custody of the [parent], not whether the child can safely remain in foster care.” In
    re K.A.H., No. M1999-02079-COA-R3-CV, 
    2000 WL 1006959
    , at *5 (Tenn. Ct. App. July
    21, 2000).
    There are several elements to the ground of persistence of conditions:
    (3)(A) The child has been removed from the home or the physical or legal
    custody of a parent or guardian for a period of six (6) months by a court order
    entered at any stage of proceedings in which a petition has been filed in the
    juvenile court alleging that a child is a dependent and neglected child, and:
    (i) The conditions that led to the child’s removal still persist, preventing the
    child’s safe return to the care of the parent or guardian, or other conditions
    exist that, in all reasonable probability, would cause the child to be subjected
    to further abuse or neglect, preventing the child’s safe return to the care of
    the parent or guardian;
    (ii) There is little likelihood that these conditions will be remedied at an early
    date so that the child can be safely returned to the parent or guardian in the
    near future; and
    (iii) The continuation of the parent or guardian and child relationship greatly
    diminishes the child’s chances of early integration into a safe, stable, and
    permanent home;
    (B) The six (6) months must accrue on or before the first date the termination
    of parental rights petition is set to be heard;
    
    Tenn. Code Ann. § 36-1-113
    (g)(3)(A). Each of the statutory elements must be established
    by clear and convincing evidence. In re Valentine, 
    79 S.W.3d at 550
    .
    In its order terminating Appellants’ parental rights, the trial court found:
    [Father] testified that he has not followed his psychological evaluation
    recommendations. The father also testified that once he is released from
    Hope Center Treatment Facility, he has not arranged for housing.
    The DCS caseworker testified that many of the issues in this case have
    not been remedied. There is no housing by either the father or the mother,
    and that all of the mother’s issues persist. Despite her 28 days in treatment,
    she continues to suffer from substance disorder. Therefore, the Court finds
    by clear and convincing evidence that [the] ground [of persistence of
    - 12 -
    conditions] has been proven.
    As discussed above, the children were removed from Appellants’ custody on
    November 15, 2018 due to alleged drug exposure, lack of supervision, criminal activity,
    domestic violence, and both parents’ frequent incarcerations. For many of the reasons
    previously discussed in this opinion, neither Appellant has sufficiently addressed the
    conditions that led to the children’s removal, much less remedied those conditions. Of
    primary concern is Appellants’ drug use and criminal activity. We have previously
    discussed the fact that, since the children were removed to DCS’ custody, Mother has
    continued to incur criminal charges, which have resulted in several periods of
    incarceration. In part, Mother’s criminal charges were related to the manufacture and sale
    of methamphetamine—a fact that clearly indicates that Mother failed to address her
    involvement with illegal drugs.
    Father also failed to address the issues that led to the children’s removal from his
    custody. Although Father was released from jail just days before the children were
    removed, since that time, he has participated in other criminal activities that resulted in
    more incarcerations. In addition, Father has failed to address his drug use and has
    continued to test positive for illegal substances during this custodial episode. From the
    totality of the circumstances, there is clear and convincing evidence to support the trial
    court’s termination of Appellants’ parental rights on the ground of persistence of the
    conditions that led to the children’s removal.
    D. Severe Child Abuse
    A trial court may terminate a parent’s rights if the parent “has been found to have
    committed severe child abuse . . . under any prior order of a court or is found by the court
    hearing the petition to terminate parental rights . . . to have committed severe child abuse
    against any child.” 
    Tenn. Code Ann. § 36-1-113
    (g)(4). Tennessee Code Annotated section
    37-1-102(b)(27) defines “Severe child abuse,” in relevant part, as:
    (E) Knowingly or with gross negligence allowing a child under eight (8)
    years of age to ingest an illegal substance or a controlled substance that
    results in the child testing positive on a drug screen, except as legally
    prescribed to the child; or
    (F) Knowingly allowing a child to be within a structure where any of the
    following controlled substances are present and accessible to the child. . . (iii)
    Methamphetamine . . .
    In its April 29, 2019 adjudicatory order on dependency and neglect, the trial court
    specifically held:
    - 13 -
    The Court further finds by clear and convincing evidence that Carson S[.]
    was a victim of severe abuse pursuant to Tenn. Code Ann. section 37-1-
    102[(b)](27) due to the knowing exposure to illegal drugs for which the child
    tested positive.
    Neither Mother nor Father appealed the finding of severe child abuse. See In re Trinity
    H., No. M2020-00440-COA-R3-PT, 
    2020 WL 5110312
    , at *10 (Tenn. Ct. App. Aug. 28,
    2020) (affirming ground based on a prior finding of severe child abuse perpetrated against
    a child’s siblings when “[t]he record contains no hint that Father ever appealed the finding
    of severe child abuse”). Because neither Appellant challenged the finality or the validity
    of the adjudicatory dependency and neglect order, the issue of severe child abuse is res
    judicata. See In re Dakota C.R., 
    404 S.W.3d 484
    , 497 (Tenn. Ct. App. 2012); In re Heaven
    L.F., 
    311 S.W.3d 435
    , 439-40 (Tenn. Ct. App. 2010) (holding that the res judicata doctrine
    applies “to prevent a parent from re-litigating whether [ ]he committed severe child abuse
    in a later termination of parental rights proceeding when such a finding had been made in
    a previous dependency and neglect action”) (citing State v. Tate, No. 01-9409-CV-00444,
    
    1995 WL 138858
    , at *5 (Tenn. Ct. App. Mar. 31, 1995)). Finally, we note that, although
    only one of these four children was found to be the victim of severe child abuse, the
    statutory ground allows termination when a parent commits severe child abuse “against
    any child.” 
    Tenn. Code Ann. § 36-1-113
    (g)(4) (emphasis added); see In re Trinity H.,
    
    2020 WL 5110312
    , at * 3 (affirming ground based on order adjudicating child’s siblings
    as victims of severe child abuse). Thus, clear and convincing evidence supports the trial
    court’s termination of Appellants’ parental rights to all four children on the ground of
    severe child abuse.
    E. Failure to Manifest a Willingness and Ability to Assume Custody
    Tennessee Code Annotated section 36-1-113(g)(14) provides a ground for
    termination of parental rights when
    [a] parent or guardian has failed to manifest, by act or omission, an ability
    and willingness to personally assume legal and physical custody or financial
    responsibility of the child, and placing the child in the person’s legal and
    physical custody would pose a risk of substantial harm to the physical or
    psychological welfare of the child[.]
    
    Tenn. Code Ann. § 36-1-113
    (g)(14).
    This ground for termination of parental rights requires the movant to establish two
    elements by clear and convincing evidence. In re Maya R., No. E2017-01634-COA-R3-
    PT, 
    2018 WL 1629930
    , at *7 (Tenn. Ct. App. Apr. 4, 2018) (citation omitted). Concerning
    the first element, DCS has the burden to prove that Mother and Father failed to manifest
    an ability and willingness to personally assume legal and physical custody or financial
    - 14 -
    responsibility of the Children. 
    Tenn. Code Ann. § 36-1-113
    (g)(14). The Tennessee
    Supreme Court has adopted the interpretation of section 36-1-113(g)(14) set out in In re
    Amynn K., No. E2017-11866-COA-R3-PT, 
    2018 WL 3058280
     (Tenn. Ct. App. June 20,
    2018); see In re Neveah M., No. M2019-00313-SC-R11-PT, 
    2020 WL 7258044
    , at *14
    (Tenn. Dec. 10, 2020) (citing In re Amynn K., 
    2018 WL 3058280
    , at *14). The
    interpretation adopted by our Supreme Court
    places a conjunctive obligation on a parent or guardian to manifest both an
    ability and willingness to personally assume legal custody or financial
    responsibility for the child. If a person seeking to terminate parental rights
    proves by clear and convincing evidence that a parent or guardian has failed
    to manifest either ability or willingness, then the first prong of the statute is
    satisfied.
    In re Neveah, 
    2020 WL 7258044
    , at *14. If the first element is met, then DCS must show
    that placing the children in Mother’s and/or Father’s custody poses “a risk of substantial
    harm to the physical or psychological welfare of the child[ren].” 
    Tenn. Code Ann. § 36-1
    -
    113(g)(14). In this case, the trial court held that DCS met its burden of proof as to both of
    these elements vis-à-vis both parents, to-wit:
    The proof has shown that the parents, specifically the mother, have continued
    to use drugs throughout the case. Both parents have been in and out of jail
    throughout the case. Both parents have failed to pay any child support. Both
    parents were inconsistent with their visitation throughout the case, and
    though the father is now improving and has begun to address his alcohol and
    drug issues, he has not yet obtained stable housing. Therefore, the court finds
    by clear and convincing evidence that [this] ground has been proven.
    For many of the foregoing reasons, the evidence supports the trial court’s findings.
    Clearly, neither Appellant has made any significant effort to address the issues that
    preclude custody. Both Appellants have continued to engage in criminal activity. Neither
    has stable housing, and they have not paid any support for these children. As such, neither
    Appellant has demonstrated an ability and willingness to assume custody.
    Turning to the second prong of this ground, i.e., that placing the children in Mother’s
    and/or Father’s custody poses “a risk of substantial harm to the physical or psychological
    welfare of the child[ren],” as discussed in further detail below, the record indicates that the
    children have no meaningful relationship with the Appellants. The Appellants are
    presently unable to provide a stable, crime-free environment for the children, and there is
    a question of whether the Appellants will be able to maintain any level of sobriety. In
    foster care, the children have made great strides. By all accounts, all four of the children
    are now well-adjusted and happy in their foster home, and the foster parents are anxious to
    adopt them. To place the children in the custody of either Appellant would clearly put
    - 15 -
    them at risk of psychological and physical harm. As such, there is clear and convincing
    evidence to support the trial court’s termination of Appellants’ parental rights on this
    ground.
    V. Best Interests
    When at least one ground for termination of parental rights has been established, the
    petitioner must then prove, by clear and convincing evidence, that termination of the
    parent’s rights is in the child’s best interest. In re Bernard T., 
    319 S.W.3d at
    606 (citing
    In re Adoption of A.M.H., 
    215 S.W.3d 793
     at 809). As the Tennessee Supreme Court
    explained:
    Facts considered in the best interest analysis must be proven by “a
    preponderance of the evidence, not by clear and convincing evidence.” In re
    Kaliyah S., 455 S.W.3d at 555 (citing In re Audrey S., 182 S.W.3d at 861).
    “After making the underlying factual findings, the trial court should then
    consider the combined weight of those facts to determine whether they
    amount to clear and convincing evidence that termination is in the child’s
    best interest[s].” Id. When considering these statutory factors, courts must
    remember that “[t]he child’s best interests [are] viewed from the child’s,
    rather than the parent’s, perspective.” In re Audrey S., 182 S.W.3d at 878.
    Indeed, “[a] focus on the perspective of the child is the common theme”
    evident in all of the statutory factors. Id. “[W]hen the best interests of the
    child and those of the adults are in conflict, such conflict shall always be
    resolved to favor the rights and the best interests of the child. . . .” 
    Tenn. Code Ann. § 36-1-101
    (d) (2017).
    In re Gabriella D., 
    531 S.W.3d 662
    , 681-82 (Tenn. 2017).
    The Tennessee Legislature has codified certain factors that courts should consider
    in ascertaining the best interest of the child in a termination of parental rights case. As is
    relevant to this appeal, these factors include, but are not limited to, the following:
    (1) Whether the parent or guardian has made such an adjustment of
    circumstance, conduct, or conditions as to make it safe and in the child’s best
    interest to be in the home of the parent or guardian;
    (2) Whether the parent or guardian has failed to effect a lasting adjustment
    after reasonable efforts by available social services agencies for such
    duration of time that lasting adjustment does not reasonably appear possible;
    (3) Whether the parent or guardian has maintained regular visitation or other
    contact with the child;
    (4) Whether a meaningful relationship has otherwise been established
    between the parent or guardian and the child;
    - 16 -
    (5) The effect a change of caretakers and physical environment is likely to
    have on the child’s emotional, psychological and medical condition;
    ***
    (7) Whether the physical environment of the parent’s or guardian’s home is
    healthy and safe, whether there is criminal activity in the home, or whether
    there is such use of alcohol, controlled substances or controlled substance
    analogues as may render the parent or guardian consistently unable to care
    for the child in a safe and stable manner;
    (8) Whether the parent’s or guardian’s mental and/or emotional status would
    be detrimental to the child or prevent the parent or guardian from effectively
    providing safe and stable care and supervision for the child; or
    (9) Whether the parent or guardian has paid child support consistent with the
    child support guidelines promulgated by the department pursuant to § 36-5-
    101.
    
    Tenn. Code Ann. § 36-1-113
    (i) (2018 Supp.). This list of factors is not exhaustive, nor does
    the statute “require a trial court to find the existence of each enumerated factor before it
    may conclude that terminating a parent’s rights is in the best interest of a child.” In re
    M.A.R., 
    183 S.W. 3d 652
    , 667 (Tenn. Ct. App. Aug. 11, 2005), perm. app. denied (Tenn.
    Nov. 21, 2005). Each termination of parental rights case includes different circumstances,
    and the consideration of a single factor or other factors outside those enumerated in the
    statute, may dictate the outcome of the best interest analysis. In re Audrey S., 182 S.W.3d
    at 877. As explained by this Court:
    Ascertaining a child’s best interests . . . does not call for a rote examination
    of each of 
    Tenn. Code Ann. § 36-1-113
    (i)’s [] factors and then a
    determination of whether the sum of the factors tips in favor of or against the
    parent. The relevancy and weight to be given each factor depends on the
    unique facts of each case. Thus, depending upon the circumstances of a
    particular child and a particular parent, the consideration of one factor may
    very well dictate the outcome of the analysis.
    White v. Moody, 
    171 S.W.3d 187
    , 194 (Tenn. Ct. App. 1994). However, “[w]hen
    considering the factors set forth in subdivision (i)(1), the prompt and permanent placement
    of the child in a safe environment is presumed to be in the child’s best interest.” 
    Tenn. Code Ann. § 36-1-113
    (i)(2).
    In its order terminating Mother and Father’s parental rights, the trial court made the
    following findings concerning the children’s best interests:
    - 17 -
    [T]he court finds that the mother has certainly made no lasting adjustments
    to remedy the conditions that existed when the children were removed, and,
    although the father has made recent adjustments by addressing his alcohol
    and drug issues, he has yet to find a permanent home for the children, and he
    has not addressed his mental health issues. The mother and the father have
    not maintained visitation throughout the case; therefore, even though they
    may have had a meaningful relationship with the children at one time, they
    certainly do not have a meaningful relationship now. In fact, the testimony
    of the foster mother is that the children, especially the younger children, refer
    to the foster parents as mom and dad. The children are currently in a stable
    and thriving environment in which all of their needs are being met. A change
    in caretakers at this point would be detrimental to their health and wellbeing.
    The children are in a loving, pre-adoptive home and they have a strong bond
    with the foster parents who are anxious to adopt the children. Therefore, the
    court finds by clear and convincing evidence it is in the best interest of the
    children that the parental rights of [Mother] and [Father] be terminated.
    The record supports the trial court’s finding that due to Appellants’ failure to visit or
    otherwise interact with the children, there is no meaningful relationship. As Ms. Lawler
    testified, initially Mother and Father were permitted two hours of visitation twice per
    month. Briefly, the visitation schedule was increased to two hours every week but then
    changed to four hours twice per month due to the extensive travel required of the children.
    To attend visitation, the children traveled two hours one way – four hours round-trip – to
    see Mother and Father. As such, Mother and Father were required to give twenty-four
    hours’ notice to confirm a visit because of the children’s commute. During his testimony,
    Father admitted that, between November 2018 and September 2019, nothing prevented him
    from visiting and that a caseworker offered to provide transportation to visits if he gave
    advanced notice. Yet, he did not take advantage of this offer. Furthermore, between
    November 2018 and May 2020, Mother and Father often missed scheduled visitations and
    did not call in advance to provide notice. As such, during the custodial episode, Mother
    attended only a couple of visits; while Father attended more visits than Mother, he was also
    inconsistent and sometimes failed to show up. The children’s foster mother testified that
    when the parents failed to show up for a visit, the children were “extremely upset” and
    would cry the entire two-hour trip back home. After these episodes, the children would
    demonstrate behavioral issues for several days. Likewise, when the Appellants failed to
    follow through with phone visits, the children would become upset. The foster mother
    testified that, after missed calls, the four children would go into a room together and “hug
    each other, and get each other through it.” The phone calls were eventually stopped because
    of how inconsistent Mother and Father were. In May 2020, a no-contact order was entered
    to halt the inconsistent visits. Mother last saw the children on October 12, 2019. Father
    last saw the children in September of 2019—nearly fourteen months prior to trial. Father
    did not send letters, cards, or gifts to the children. Mother also did not provide gifts to the
    children, but she did write one letter from jail. Both the case worker and the guardian ad
    - 18 -
    litem read Mother’s letter and determined that it was too inappropriate for the children to
    read.
    Meanwhile, the evidence shows that the children are thriving in their current foster
    home. All four children are bonded with the foster parents and call them either “mom and
    dad” or “mamaw and papaw.” The children initially struggled behaviorally in the foster
    home. Madylynn struggled with anger issues; William frequently talked back and was
    disrespectful; Rylee cried every night; and the children fought amongst themselves.
    However, the record shows that the children have made tremendous progress in the foster
    home and, at the time of trial, the foster mother and DCS caseworker noted that the children
    were very happy in their current placement. The foster parents ensure that the children
    receive trauma counseling and regular counseling to address any lingering issues they may
    have. Because of the stability they enjoy in the foster home, the children are now well
    adjusted. Madylynn has improved her communication skills. She is able to make friends
    easily and enjoys cheerleading and going to dances and football games. Since coming into
    foster care, William demonstrates respectful behavior. He enjoys football, fishing, and
    hiking. Likewise, Rylee no longer cries herself to sleep. She enjoys playing with dolls and
    her siblings. Carson is well adjusted and loves to play with his toys. The foster parents
    clearly provide the structure, routine, care, and affection that these children need. To
    remove them from their current placement would surely cause them emotional and
    psychological detriment. From the totality of the circumstances, there is clear and
    convincing evidence to support the trial court’s finding that termination of Appellants’
    respective parental rights is in the children’s best interests.
    VI. Conclusion
    For the foregoing reasons, we affirm the trial court’s order terminating the parental
    rights of both Mother and Father. The case is remanded for such further proceedings as
    may be necessary and are consistent with this opinion. Costs of the appeal are assessed
    one-half to Appellant, Afton C., and one-half to Appellant, Preston S. Because both Afton
    C. and Preston S. are proceeding in forma pauperis in this appeal, execution for costs may
    issue if necessary.
    s/ Kenny Armstrong
    KENNY ARMSTRONG, JUDGE
    - 19 -