In Re T.R. ( 2018 )


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  •                                                                                          09/17/2018
    IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    May 31, 2018 Session
    IN RE T.R. ET AL.
    Appeal from the Juvenile Court for Roane County
    No. 2017-JC-49     Terry Stevens, Judge
    ___________________________________
    No. E2017-02115-COA-R3-PT
    ___________________________________
    The Department of Children’s Services filed a petition to terminate the parental rights of
    J.E.R. (mother) and R.A.R. (father) with respect to their three children, T.E.R., M.A.R.,
    and T.Z.R. The trial court determined that clear and convincing evidence supported three
    grounds for terminating mother and father’s parental rights: (1) abandonment for failure
    to provide a suitable home; (2) substantial noncompliance with the permanency plan; and
    (3) persistence of conditions. By the same quantum of proof, the court determined that
    termination is in the best interest of the children. Mother appeals the trial court’s order
    terminating her rights.1 We affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court
    Affirmed; Case Remanded
    CHARLES D. SUSANO, JR., J., delivered the opinion of the court, in which D. MICHAEL
    SWINEY, C.J., and JOHN W. MCCLARTY, J., joined.
    Rachel S. Lambert, Knoxville, Tennessee, for the appellant, J.E.R.
    Herbert H. Slatery III, Attorney General and Reporter, and W. Derek Green, Assistant
    Attorney General, Nashville, Tennessee, for the appellee, Tennessee Department of
    Children’s Services.
    OPINION
    I.
    In April 2016, DCS received a referral for environmental neglect, medical neglect,
    severe educational neglect, and abandonment. After investigating the matter, DCS filed a
    petition for temporary legal custody, alleging the children to be dependent and neglected.
    1
    Father did not appeal.
    Later, mother and father stipulated to all of the facts alleged in DCS’s petition, except the
    allegation of sexual abuse.
    According to the petition, the children were in the care of their paternal
    grandmother when law enforcement officers arrived at the home. At the time, the
    children were seven, five, and three years old. The grandmother reported that mother and
    father had been out of town for approximately two weeks. She did not know their precise
    whereabouts or the nature of their trip. The petition also alleged that “all the windows in
    the home were boarded completely from the inside although they were not broken or
    damaged.” There were “roaches and insects everywhere, including the refrigerator where
    there was no food.” In fact, there were only a “few cans of vegetables” in the entire
    house. The home had electricity but the bathroom contained the home’s only light
    fixture. The bathroom did not have a sink and the toilet contained human excrement. In
    addition, “[t]he children were dirty and wearing clothing that did not appear[] to have
    been washed.” The middle child had “completely rotted teeth.” The grandmother told
    law enforcement that the oldest child had “never been to school, never been to a dentist[,]
    and never had any shots.” The children “reported that they all sleep with the
    grandmother in a twin size bed.” The children also informed DCS that father “threw
    [T.E.R.] against the wall in her car seat, punched [M.A.R.] in the stomach[,] and gave
    T.Z.R. a busted lip.”2
    Later, DCS amended its petition to include allegations of drug abuse and sexual
    abuse. Specifically, the amended petition stated that the children told their foster mother
    that their grandmother, mother, and father “would often take white goody powder up
    their nose” and that the children could “demonstrate how to do it if there is no straw to
    use because they have seen it done before.” T.E.R. also reported that her father had
    touched her inappropriately.
    Based on the foregoing allegations, on April 28, 2016, the trial court granted
    DCS’s petition for temporary legal custody and the children were removed from the
    home. The parents attended the preliminary hearing on May 2, 2016, but they failed to
    appear at the initial permanency meeting on May 24, 2016. As a result, DCS developed
    the permanency plan without the parents’ input. However, the parents did attend a
    subsequent permanency meeting on June 16, 2016. At that meeting, DCS explained the
    requirements of the permanency plan and the criteria for termination of parental rights.
    Mother and father agreed to the terms of the permanency plan and signed it. The plan
    was slightly revised on November 7, 2016, and March 2, 2017.
    On April 5, 2017, DCS filed a petition to terminate parental rights, alleging four
    2
    Although the parents stipulated to the facts as alleged in the petition (with the exception of the
    allegation of sexual abuse), mother and father later testified that the allegations of domestic violence were
    untrue or taken out of context.
    -2-
    grounds for termination: (1) abandonment for failure to support; (2) abandonment for
    failure to provide a suitable home; (3) substantial noncompliance with the permanency
    plan; and (4) persistence of conditions. A bench trial was held over the course of two
    days – June 28, 2017 and September 27, 2017. On the first day of trial, father testified;
    DCS later examined mother on direct. On the second day of trial, before any party
    testified, mother’s counsel made an oral motion for a continuance. She stated that, two
    days prior to the hearing, mother had informed her that she had been raped on August 31,
    2017. Counsel claimed to have medical records showing that mother went to the hospital
    to seek treatment for the self-reported rape; however, those records were never entered
    into evidence. According to mother’s counsel, mother believed that “she is mentally
    unable to testify in her defense or to assist in her defense through the trial today.”
    Consequently, counsel was requesting the continuance “to allow [mother] some more
    time to seek counseling and further mental health treatment . . . so that she is in a
    competent mental state . . . .” After an objection by DCS, the court denied mother’s
    motion.
    After closing arguments had concluded, mother’s counsel asked the court for
    permission to respond to opposing counsel’s observations about mother’s courtroom
    demeanor. The trial court denied her request because mother’s counsel failed to address
    the issue in her own closing argument. The court also stated the following:
    Just for the record, I’ll put my personal observations that
    [mother] has been consistently writing notes. She’s been
    quickly writing notes. She’s been speaking with [father]
    consistently throughout this whole time. The only time she
    didn’t is when she started crying and I gave her a little time to
    go out in the hall and compose herself. And she came back in
    and she again began completing notes and speaking with her
    counsel and speaking with [father]. We allowed her to have
    someone bring an inhaler into the courtroom, for whatever
    reason it’s there. She doesn’t seem impaired. She doesn’t
    seem lethargic. She seems very aware. She seems like she’s
    been very attentive the entire time. I’ve never seen her at any
    point not being engaged in what was going on. And at any
    point, I’ve not seen or heard anything that Ms. Lambert
    couldn’t understand what was being said to her throughout
    the entire thing. In fact, my observation is, is from the way
    that they were passing back – notes back and forth between
    [father] and [mother], that there was some sort of dialogue
    going on during the middle of the trial. So I do not feel, from
    my observations, that there is any concern of the Court that
    she is not competent today to the extent to assist you with the
    trial.
    -3-
    On October 6, 2017, the trial court entered an order terminating parental rights.
    The termination order reiterated the court’s findings relating to mother’s courtroom
    demeanor. Although the court did not find clear and convincing evidence for terminating
    mother’s parental rights on the ground of abandonment for failure to support,3 the court
    did find clear and convincing evidence to terminate mother’s rights on the other three
    grounds alleged by DCS. The court also found clear and convincing evidence that
    termination was in the best interest of the children. Mother appeals.
    II.
    Mother raises the following issues:
    Whether the trial court deprived mother of due process by
    denying her motion for a continuance.
    Whether the trial court erred in finding clear and convincing
    evidence to terminate parental rights on the ground of
    abandonment for failure to provide a suitable home.
    Whether the trial court erred in finding clear and convincing
    evidence to terminate parental rights on the ground of
    substantial noncompliance with the permanency plan.
    Whether the trial court erred in finding clear and convincing
    evidence to terminate parental rights on the ground of
    persistence of conditions.
    Whether the trial court erred in finding that clear and
    convincing evidence supports a finding that the termination of
    parental rights is in the best interest of the children.
    III.
    A parent has a fundamental right, based on both the federal and state constitutions,
    to the care, custody, and control of his or her child. Stanley v. Ill., 
    405 U.S. 645
    , 651
    (1972); In re Angela E., 
    303 S.W.3d 240
    , 250 (Tenn. 2010); Nash–Putnam v. McCloud,
    
    921 S.W.2d 170
    , 174-75 (Tenn. 1996). While this right is fundamental, it is not absolute.
    The State may interfere with a parent’s rights in certain circumstances. In re Angela E.,
    3
    The court did find that clear and convincing evidence supported terminating father’s parental
    rights on this ground.
    
    -4- 303 S.W.3d at 250
    . Our legislature has listed the grounds upon which termination
    proceedings may be brought. Tenn. Code Ann. § 36-1-113(g) (2017). Because
    termination proceedings are statutory, In re Angela 
    E., 303 S.W.3d at 250
    ; Osborn v.
    Marr, 
    127 S.W.3d 737
    , 739 (Tenn. 2004), a parent’s rights may be terminated only where
    a statutory basis exists. Jones v. Garrett, 
    92 S.W.3d 835
    , 838 (Tenn. 2002); In the
    Matter of M.W.A., Jr., 
    980 S.W.2d 620
    , 622 (Tenn. Ct. App. 1998).
    To terminate parental rights, a court must determine by clear and convincing
    evidence the existence of at least one of the statutory grounds for termination and that
    termination is in the child’s best interest. Tenn. Code Ann. § 36-1-113(c); In re
    Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002). “Clear and convincing evidence enables
    the fact-finder to form a firm belief or conviction regarding the truth of the facts, and
    eliminates any serious or substantial doubt about the correctness of these factual
    findings.” In re Bernard T., 
    319 S.W.3d 586
    , 596 (Tenn. 2010) (citations omitted).
    Unlike the preponderance of the evidence standard, “[e]vidence satisfying the clear and
    convincing standard establishes that the truth of the facts asserted is highly probable.” In
    re Audrey S., 
    182 S.W.3d 838
    , 861 (Tenn. Ct. App. 2005).
    Once a ground for termination is established by clear and convincing evidence, the
    trial court conducts a best interest analysis. In re Angela 
    E., 303 S.W.3d at 251
    (citing
    In re Marr, 
    194 S.W.3d 490
    , 498 (Tenn. Ct. App. 2005)). “The best interest[ ] analysis
    is separate from and subsequent to the determination that there is clear and convincing
    evidence of grounds for termination.” 
    Id. at 254.
    The existence of a ground for
    termination “does not inexorably lead to the conclusion that termination of a parent’s
    rights is in the best interest of the child.” In re C.B.W., No. M2005-01817-COA-R3-PT,
    
    2006 WL 1749534
    , at *6 (Tenn. Ct. App., filed June 26, 2006).
    We are required to review all of the trial court’s findings with respect to grounds
    and best interest. In re Carrington, 
    483 S.W.3d 507
    , 525-26 (Tenn. 2016) (“[W]e hold
    that in an appeal from an order terminating parental rights the Court of Appeals must
    review the trial court’s findings as to each ground for termination and as to whether
    termination is in the child’s best interest[ ], regardless of whether the parent challenges
    these findings on appeal.”).
    The Tennessee Supreme Court has stated our standard of review:
    An appellate court reviews a trial court’s findings of fact in
    termination proceedings using the standard of review in Tenn.
    R. App. P. 13(d). Under Rule 13(d), appellate courts review
    factual findings de novo on the record and accord these
    findings a presumption of correctness unless the evidence
    preponderates otherwise. In light of the heightened burden of
    proof in termination proceedings, however, the reviewing
    -5-
    court must make its own determination as to whether the
    facts, either as found by the trial court or as supported by a
    preponderance of the evidence, amount to clear and
    convincing evidence of the elements necessary to terminate
    parental rights. 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. Additionally, all other
    questions of law in parental termination appeals, as in other
    appeals, are reviewed de novo with no presumption of
    correctness.
    
    Id. at 523-24
    (internal citations omitted). “When a trial court has seen and heard
    witnesses, especially where issues of credibility and weight of oral testimony are
    involved, considerable deference must be accorded to . . . the trial court’s factual
    findings.” In re Adoption of S.T.D., No. E2007-01240-COA-R3-PT, 
    2007 WL 3171034
    ,
    at *4 (Tenn. Ct. App., filed Oct. 30, 2007) (citing Seals v. England/Corsair Upholstery
    Mfg. Co., Inc., 
    984 S.W.2d 912
    , 915 (Tenn. 1999)).
    IV.
    We first consider whether the trial court deprived mother of due process by
    denying her motion for a continuance. “[W]e will not disturb a trial court’s ruling on
    such a motion unless the record clearly shows abuse of discretion and prejudice to the
    party seeking a continuance.” In re Ashley M., No. E2009–00517–COA–R3–PT, 
    2009 WL 3103817
    , at *4 (Tenn. Ct. App., filed Sept. 29, 2009) (citing Blake v. Plus Mark,
    Inc., 
    952 S.W.2d 413
    , 415 (Tenn. 1997)). “A trial court abuses its discretion only when
    it applies an incorrect legal standard, or reaches a decision which is against logic or
    reasoning that causes an injustice to the party complaining.” 
    Id. (citing Eldridge
    v.
    Eldridge, 
    42 S.W.3d 82
    , 85 (Tenn. 2001)).
    Typically, in ruling on a motion to continue, the trial court should consider the
    following factors: “(1) the length of time the proceeding has been pending, (2) the reason
    for the continuance, (3) the diligence of the party seeking the continuance, and (4) the
    prejudice to the requesting party if the continuance is not granted.” In re Eric G., No.
    E2017–00188–COA–R3–PT, 
    2017 WL 4844378
    , at *4 (Tenn. Ct. App., filed Oct. 25,
    2017) (quoting Tidwell v. Burkes, No. M2015–01270–COA–R3–CV, 
    2016 WL 3771553
    ,
    at *5 (Tenn. Ct. App., filed July 8, 2016)). In parental termination cases, the court must
    also be mindful of the following statutory directives:
    The court shall ensure that the hearing on the petition takes
    place within six (6) months of the date that the petition is
    filed, unless the court determines an extension is in the best
    -6-
    interests of the child. . . .
    Tenn. Code Ann. § 36-1-113(k) (2017) (amended 2018).
    In all cases where the termination of parental rights or
    adoption of a child is contested by any person or agency, the
    trial court shall, consistent with due process, expedite the
    contested termination or adoption proceeding by entering
    such scheduling orders as are necessary to ensure that the
    case is not delayed, and such case shall be given priority in
    setting a final hearing of the proceeding and shall be heard at
    the earliest possible date over all other civil litigation other
    than child protective services cases arising under title 37,
    chapter 1, parts 1, 4 and 6.
    Tenn. Code Ann. § 36-1-124(a) (2017) (amended 2018).
    The first relevant factor to consider is “the length of time the proceeding has been
    pending.” In re Eric G., 
    2017 WL 4844378
    , at *4. Here, DCS filed the petition to
    terminate on April 5, 2017. Thus, the statutorily preferred six-month deadline for a final
    hearing was October 5, 2017. The trial began on June 28, 2017, but was continued for
    three months. Mother’s motion for an additional continuance came on September 27,
    2017, just days prior to the statutorily preferred deadline. Absent evidence that a
    continuance would be in the best interest of the children, this factor clearly weighs in
    favor of the trial court’s decision to deny mother’s motion.
    The second relevant factor to consider is the “reason for the continuance.” In re
    Eric G., 
    2017 WL 4844378
    , at *4. On the second day of trial, mother alleged that she
    was sexually assaulted on August 31, 2017, and therefore was “mentally unable to testify
    in her defense or to assist in her defense through the trial.” Regardless of whether and
    when the alleged sexual assault occurred, the critical question before the trial court was
    whether mother was competent to testify.
    This Court confronted a similar situation in In re Terry S.C., No. M2013–02381–
    COA–R3–PT, 
    2014 WL 3808911
    (Tenn. Ct. App., filed July 31, 2014). In that case,
    mother testified that she suffered from post-traumatic stress disorder, a mood disorder,
    and a sleep disorder, and that she had been receiving mental health counseling for two
    and a half years. 
    Id. at *15.
    In light of that testimony, mother’s counsel orally moved the
    court for a continuance so that mother could undergo a mental evaluation. 
    Id. In denying
    the motion for a continuance, the trial court stated the following in Terry:
    I don’t see anything to indicate that she is suffering from a
    mental condition to the extent that we need the mental
    -7-
    evaluation. She appears to be coherent. She appears to
    understand questions. She’s testified in a coherent manner. I
    think she understands why she’s here today. So I’m going to
    deny the motion and we’re going to move forward.
    
    Id. In reviewing
    the trial court’s decision in Terry, we observed that
    “[t]he question of witness competency is a matter for the trial
    court’s discretion, and the trial court’s decision will not be
    overturned absent abuse of that discretion.” State v. Nash,
    
    294 S.W.3d 541
    , 548 (Tenn. 2009) (citing State v. Caughron,
    
    855 S.W.2d 526
    , 538 (Tenn. 1993)). “Under Tennessee Rule
    of Evidence 601, “ ‘[e]very person is presumed competent to
    be a witness except as otherwise provided in these rules or by
    statute.’ ” 
    Id. Moreover, “[t]he
    granting of a continuance lies
    within the sound discretion of the trial court.” State v.
    Schmeiderer, 
    319 S.W.3d 607
    , 617 (Tenn. 2010) (citing State
    v. Odom, 
    137 S.W.3d 572
    , 589 (Tenn. 2004)).
    
    Id. We ultimately
    concluded that the trial court did not abuse its discretion by denying
    the mother’s motion for a continuance. Several facts informed our decision, but it was of
    “paramount[]” importance that “the juvenile court, with the benefit of hearing Mother’s
    testimony and observing her demeanor, found Mother to be coherent.” 
    Id. As in
    In re Terry S.C., the trial court in this case observed mother’s demeanor and
    found her to be “coherent,” “very aware,” and “very attentive.” The court also observed
    mother actively assisting her attorney throughout the trial by passing notes and speaking
    with her attorney and with father. If there was any doubt about mother’s competency to
    testify at the beginning of trial, that doubt surely diminished throughout the proceedings.
    We conclude that the trial court did not abuse its discretion in finding that mother was
    competent to testify. Therefore, factor two, “the reason for the continuance,” weighs in
    favor of the trial court’s ruling.
    The third relevant factor to consider is “the diligence of the party seeking the
    continuance.” In re Eric G., 
    2017 WL 4844378
    , at *4. Mother alleged that the alleged
    sexual assault occurred on August 31, 2017. Yet, it is undisputed that mother failed to
    inform her attorney of this fact until around September 25, 2017, two days prior to trial.
    Mother’s brief does not even attempt to argue that mother made a diligent effort to seek a
    continuance. This factor also weighs in favor of the trial court’s ruling.
    -8-
    Mother relies most heavily on factor four – the “prejudice to the requesting party if
    the continuance is not granted.” The thrust of mother’s argument is that the court’s ruling
    effectively prevented her from testifying, which caused severe prejudice to her case.
    Mother claims that if she had been able to testify in her own defense, she would have
    provided additional evidence that may have impacted the court’s findings. Because we
    have already held that the trial court did not abuse its discretion in finding that mother
    was competent to testify, we conclude that mother’s argument regarding this factor is
    without merit. A party in a civil case who is competent, but unwilling, to testify cannot
    thereafter complain of prejudice that may arise as a consequence of her failure to testify;
    in fact, our courts have long permitted the opposite inference:
    The conduct of the party in omitting to produce that evidence
    in elucidation of the subject–matter in dispute which is in his
    power and which rests peculiarly within his own knowledge
    frequently affords occasion for presumptions against him,
    since it raises strong suspicion that such evidence, if adduced,
    would operate to his prejudice.
    Fisher v. Travelers’ Ins. Co., 
    138 S.W. 316
    , 324 (Tenn. 1911) (internal citation omitted);
    see also Gulf Refining Co. v. Frazier, 
    83 S.W.2d 285
    , 303-04 (Tenn. Ct. App. 1934).
    Finally, relying on In re A’Mari B., 
    358 S.W.3d 204
    , 212 (Tenn. Ct. App. 2011),
    Mother argues that the trial court denied her due process because she was not permitted
    to “meaningfully participate” in her defense. DCS correctly observes that In re A’Mari
    B. is not applicable here. That case involved an incarcerated parent’s constitutional and
    statutory right to “meaningful access to the court and an opportunity to be heard.” 
    Id. (internal citation
    omitted); see also Tenn. Code Ann. § 36–1–113(f)(3) (providing that an
    “incarcerated parent . . . has the right to participate in the [termination] hearing . . .
    through personal appearance, teleconference, telecommunication or other means deemed
    by the court to be appropriate under the circumstances” (emphasis added)). We reject
    mother’s suggestion that In re A’Mari B. provides additional constitutional protection to
    non-incarcerated parents. The only process mother was due with respect to her motion
    was for the trial court to properly exercise its discretion.
    In light of the foregoing analysis, we hold that the trial court did not abuse its
    discretion in denying mother’s motion for a continuance. The court properly followed its
    statutory obligation to expedite termination proceedings in a manner that is consistent
    with due process. The evidence does not preponderate against the trial court’s factual
    findings.
    -9-
    V.
    The trial court identified three grounds for terminating mother’s parental rights:
    (A) abandonment for failure to provide a suitable home; (B) substantial noncompliance
    with the permanency plan; and (C) persistence of conditions. We now review each
    ground in turn.
    A.
    The ground of abandonment for failure to provide a suitable home is codified at
    Tenn. Code Ann. §§ 36-1-113(g)(1), -102(1)(A)(ii) (2017). This ground is triggered after
    a child has been adjudicated dependent and neglected, removed from the home, and
    for a period of four (4) months following the removal, the
    department or agency has made reasonable efforts to assist
    the parent or parents or the guardian or guardians to establish
    a suitable home for the child, but that the parent or parents or
    the guardian or guardians have made no reasonable efforts to
    provide a suitable home and have demonstrated a lack of
    concern for the child to such a degree that it appears unlikely
    that they will be able to provide a suitable home for the child
    at an early date. The efforts of the department or agency to
    assist a parent or guardian in establishing a suitable home for
    the child may be found to be reasonable if such efforts exceed
    the efforts of the parent or guardian toward the same goal,
    when the parent or guardian is aware that the child is in the
    custody of the department.
    Tenn. Code Ann. § 36-1-102(1)(A)(ii)(2017).
    In applying this statute, we have previously stated that
    [a] “suitable home requires more than a proper physical living
    location.” State v. C. W., No. E2007–00561–COA–R3–PT,
    
    2007 WL 4207941
    , at *3 (Tenn. Ct. App. Nov. 29, 2007). It
    requires that the home be free of drugs and domestic violence.
    
    Id. DCS’s efforts
    do not need to be “Herculean.” DCS is
    required to use its “superior insight and training to assist
    parents with the problems DCS has identified in the
    permanency plan, whether the parents ask for assistance or
    not.” State, Dep’t of Children’s Servs. v. Estes, 284 S.W.3d
    - 10 -
    790, 801 (Tenn. Ct. App. 2008). DCS does not bear the sole
    responsibility. Parents also must make reasonable efforts
    toward achieving the goals established by the permanency
    plan to remedy the conditions leading to the removal of the
    child. 
    Id. The burden
    is on the state to prove by clear and
    convincing efforts that its efforts were reasonable under the
    circumstances. 
    Id. In re
    Hannah H., No. E2013–01211–COA–R3–PT, 
    2014 WL 2587397
    , at *9 (Tenn. Ct.
    App., filed June 10, 2014).
    In this case, the trial court determined that there was clear and convincing
    evidence to terminate on the ground of abandonment for failure to provide a suitable
    home. First, the court identified April 29, 2016, to August 2[8], 2016 as the relevant
    four-month period. Mother correctly observes, however, that some of the trial court’s
    findings relate to events outside that four-month period. Nonetheless, we have previously
    explained that
    [t]he statutory language in question provides only that DCS
    must make reasonable efforts “for a period of four (4) months
    following the removal. . . .” Tenn. Code Ann. § 36–1–
    102(1)(A)(ii) (2005 & Supp. 2009) (emphasis added). A
    quick survey of this Court’s case law suggests that the Code
    does not limit the window during which DCS may satisfy its
    obligation to make reasonable efforts to the four-month
    period directly following statutory removal.
    In re Jakob O., No. M2016–00391–COA–R3–PT, 
    2016 WL 7243674
    , at *13 (Tenn. Ct.
    App., filed Sept. 20, 2016) (internal citations omitted); see also In re Billy T.W., No.
    E2016–02298–COA–R3–PT, 
    2017 WL 4317656
    , at *9 (Tenn. Ct. App., filed Sept. 27,
    2017) (holding that the courts “may consider the parents’ more recent behavior” in
    determining whether they demonstrated a lack of concern for the children). In light of
    this interpretation of the statute, the trial court did not err by considering facts that
    occurred after the four-month period immediately following removal.
    Next, the court found that DCS made reasonable efforts to assist mother in
    obtaining a suitable home. The evidence preponderates in favor of that factual finding.
    During the four months immediately following removal, DCS developed a permanency
    plan, attempted home visits, helped mother look for parenting classes, scheduled and paid
    for mental health and alcohol and drug assessments, and attempted to administer six drug
    screens. A DCS employee testified that she scheduled the mental health and alcohol and
    drug assessment with a provider that would go to the parents’ home because she knew
    transportation was an issue. In subsequent months, DCS continued to attempt home
    - 11 -
    visits and tried to schedule parenting classes, drug tests, and counseling sessions.
    Uncontradicted testimony established that two DCS employees gave mother their
    personal cell phone numbers “multiple times” and told mother, “[w]e will come pick you
    up, take you somewhere safe, help you get started with a brand new home, a brand new
    life, whatever you need.” These actions by DCS clearly demonstrate the department’s
    willingness to help mother obtain a suitable home. Cf. In re Nevada N., 
    498 S.W.3d 579
    ,
    596 (Tenn. Ct. App. 2016) (holding that DCS made reasonable efforts to assist mother in
    establishing a suitable home by performing multiple drug screens, maintaining consistent
    communication with mother, and coordinating her alcohol and drug assessments).
    The trial court also determined that mother failed to make reasonable efforts to
    provide a suitable home and demonstrated a lack of concern for the children.
    Specifically, the trial court determined that mother
    never requested to have any residence inspected for
    suitability, or even been present or available upon [DCS’s]
    request to inspect a residence. Further, the Respondent
    Mother has never been present at any address she has
    provided [DCS], when employees of [DCS] appeared
    unannounced. In fact, those residences were either padlocked
    or the employees were advised the Respondent Mother was
    not present and to not return.
    *       *      *
    The Respondent Father claimed to have purchased a trailer,
    and Respondent Mother agreed with this assertion. However,
    no proof has been provided to the Court [by DCS]. The
    Respondent Mother also claimed proof of a lease agreement
    for a lot, which in fact had been manipulated and actually was
    [paternal grandfather’s] lease agreement for a lot.4
    Additionally, the Respondent Mother claimed to have lived or
    spent time with family in Chattanooga; however, she never
    provided an address, requested a home visit or even
    confirmed such a potential long term place of residence.
    The Court finds that the Respondent Mother’s statements as
    to housing are incredible. There is no proof of stable housing.
    4
    This portion of the termination order states that the lease agreement was in the name of
    “Respondent Father.” Based on the court’s prior findings of fact as well as uncontradicted testimony
    given at trial, this appears to be a clerical error.
    - 12 -
    There is no proof that the Margrave address, from which the
    children were removed, has been made suitable for the
    children to return. In fact, Respondent Mother stated that
    there was at the least, still a bug problem at the residence.
    Most of the aforementioned findings are supported by the uncontradicted
    testimony presented by DCS at trial. However, it is unclear whether mother admitted to
    an ongoing bug problem. When mother was asked about bugs in her home, she merely
    stated that DCS offered to help her with the problem over two years ago, but “nobody
    ever showed up.”5 Additionally, mother testified, without contradiction, that she
    informed DCS that her grandmother’s home in Marion County, Tennessee, was a
    potential long term place of residence. Nevertheless, because the trial court considered
    mother’s statements relating to housing to be “incredible,” we assume that the trial court
    disbelieved mother’s testimony. We do not disturb that credibility determination. See In
    re Adoption of S.T.D., 
    2007 WL 3171034
    , at *4.
    Mother argues that the facts relied upon by the trial court do not clearly and
    convincingly support termination on the ground of abandonment for failure to provide a
    suitable home. In addition, mother argues that the trial court “improperly placed the
    burden of proof on [mother] to establish that she did have a suitable home instead of
    placing the burden of proof on [DCS] to show that she did not.” According to mother,
    DCS “did not present any proof about the condition of any of the homes lived in by
    [mother] from the time of removal to trial because no one from the Department had been
    in the homes.” Relying on In re Jimmy B., No. E2015–02070–COA–R3–PT, 
    2016 WL 2859180
    (Tenn. Ct. App., filed May 11, 2016), Mother concedes that her lack of
    cooperation might be relevant to her compliance with the permanency plan but she argues
    that DCS still has the burden to prove the ground of abandonment by clear and
    convincing evidence.
    In In re Jimmy B., this Court held that that DCS failed to prove the ground of
    persistence of conditions by clear and convincing evidence. 
    Id. at *8.
    In that case, the
    child’s removal was due, in part, to father’s issues with substance abuse. 
    Id. at *7.
    After
    removal, father failed to submit to drug screens and there was “no evidence in the record
    to suggest that Father has continued using drugs.” 
    Id. Accordingly, DCS
    was unable to
    present affirmative evidence that father’s substance abuse persisted at the time of
    termination. 
    Id. DCS argued
    that the father “should not be permitted to benefit from his
    lack of participation in the termination proceedings.” 
    Id. at *8.
    We rejected that
    argument, concluding the party seeking to terminate parental rights still has the burden of
    proving each ground by clear and convincing evidence “regardless of how difficult it may
    5
    Father’s testimony also failed to clearly establish the current state of the home. Although Father
    admitted that the home was infested with bugs when the children were removed, he also testified that the
    house had been treated for bugs and was “improving.”
    - 13 -
    be in some circumstances.” 
    Id. Importantly, however,
    we observed that
    a parent’s failure to cooperate or participate in such a manner
    may constitute grounds for termination under an alternative
    statutory provision, such as substantial noncompliance with
    permanency plans, which often overlaps factually with
    persistence of conditions but requires the parent to take
    affirmative actions to avoid termination. See Tenn. Code
    Ann. § 36–1–113(g)(2). We are therefore confident that our
    ruling will not encourage parents to engage in
    nonparticipation as a strategy to avoid termination.
    
    Id. at *8
    n.7 (emphasis added).
    Here, it is true that DCS did not present evidence affirmatively demonstrating the
    actual condition of mother’s home following the removal of the children; however, that
    fact is more relevant to the ground of persistence of conditions. See 
    id. In prior
    cases,
    we have held that a parent’s failure to cooperate with DCS is relevant to whether the
    parent made “reasonable efforts” to obtain suitable housing under Tenn. Code Ann. § 36-
    1-102(1)(A)(ii). See In re Matthew T., No. M2015–00486–COA–R3–PT, 
    2016 WL 1621076
    , at *9 (Tenn. Ct. App., filed Apr. 20, 2016) (citing In re Nicholas G., No.
    W2014–00309–COA–R3–PT, 
    2014 WL 3778813
    , at *6 (Tenn. Ct. App., filed July 31,
    2014) (holding that the parent’s failure to cooperate with DCS’s attempt to conduct a
    home study, in conjunction with other circumstances, provided clear and convincing
    evidence to support the ground of abandonment); In re Hannah H., 
    2014 WL 2587397
    ,
    at *9 (concluding that failure to provide a suitable home was established in part because
    the parent “did not provide documentation of housing or employment on a regular
    basis.”); State, Dept. of Children’s Servs., 
    2009 WL 605146
    , at *4 (“[T]he parent has a
    corresponding duty to communicate with the Department and to actively cooperate in [the
    efforts to establish a suitable home].”)). We hold, therefore, that the trial court did not
    improperly shift the burden of proof to mother merely by taking into account her
    perpetual unavailability.
    We also disagree with mother’s assertion that the evidence does not clearly and
    convincingly support the ground of abandonment for failure to provide a suitable home.
    We have already explained the many ways in which DCS made reasonable efforts to
    assist mother (immediately after removal and in the months that followed). We have also
    explained that the trial court properly considered mother’s evasive, and sometimes
    deceitful, behavior as evidence of her general lack of concern. Mother did take some
    positive steps, such as completing mental health and alcohol and drug assessments,
    passing some drug tests, and attending some mental health counseling sessions; however,
    as we discuss in the next section of this opinion, mother failed to substantially comply
    with the requirements of the permanency plan. Those failures also weigh in favor of the
    - 14 -
    trial court’s finding that mother did not take reasonable steps to provide a suitable home.
    For all these reasons, we conclude that there is clear and convincing evidence to
    terminate on the ground of abandonment for failure to provide a suitable home.
    B.
    Tenn. Code Ann. § 36-1-113(g)(2) (2017) allows for termination of parental rights
    when “[t]here has been substantial noncompliance by the parent or guardian with the
    statement of responsibilities in a permanency plan . . . .” In order to rely on this ground
    of termination, DCS must demonstrate that the permanency plan includes a “statement of
    responsibilities” that “clearly communicate[s] to the parent: ‘this is what you must do to
    regain custody of your child.’ ” In re Navada N., 
    498 S.W.3d 579
    , 603 (Tenn. Ct. App.
    2016) (citing In re Abigail F.K., No. E2012–00016–COA–R3–JV, 
    2012 WL 4038526
    , at
    *13 (Tenn. Ct. App., filed Sept. 14, 2012)). In addition, DCS must prove “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.” 
    Id. (citing In
    re M.J.B., 
    140 S.W.3d 643
    , 656-57 (Tenn. Ct. App. 2004)).
    After establishing the existence of a valid and enforceable permanency plan, DCS
    “must show 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.”
    
    Id. (citing In
    re 
    M.J.B., 140 S.W.3d at 657
    ). It is not sufficient to show “that a parent
    has not complied with every jot and tittle of the permanency plan.” 
    Id. (quoting In
    re
    
    M.J.B., 140 S.W.3d at 656
    ).
    In this case, the trial court found the permanency plan (as originally enacted and as
    amended) to be valid and enforceable. Specifically, the court found that the plan was
    ratified and approved by the Court as the Respondents were
    informed of its contents, which Dr. Brietstein claimed both
    had the mental ability to understand it’s [sic] requirements.
    The Permanency Plan is reasonable, and the requirements
    therein are reasonably related to remedying the conditions
    that necessitate foster care placement.
    Mother, on the other hand, argues that the permanency plan was invalid because it
    was “vague, complex, impossible and lacking in a clear statement of responsibilities. . . .”
    Specifically, mother compares the permanency plan in this case to the permanency plans
    that this Court found unacceptable in In re Abigail F.K. and In re Navada.
    In In re Abigail F.K., the permanency plan was “repetitive, confusing, and
    incomplete.” 
    2012 WL 4038526
    , at *12. For example, one lengthy sentence, variously
    described as a “description of concern” and part of the “underlying needs,” was repeated
    - 15 -
    at least twenty-eight times throughout the sixteen-page document. 
    Id. Although the
    plan
    listed various “action steps,” the plan did not contain a section explicitly labeled
    “statement of responsibilities.” 
    Id. at *13.
    We explained that the omission of a statement
    of responsibilities “is not a mere technicality.” 
    Id. The statute
    requires substantial
    compliance with “the statement of responsibilities in a permanency plan,” and “[i]t is
    difficult for the Court to find that Mother failed to substantially comply with the plan’s
    statement of responsibilities if the plan does not contain one.” In re Abigail F.K., 
    2012 WL 4038526
    , at *13 (emphasis in original).
    The permanency plan in In re Navada was “largely identical” to the plan in In re
    Abigail. In re Navada 
    N., 498 S.W.3d at 604
    . The plan used phrases like “description of
    concern,” “desired outcome,” and “action steps,” but it “fail[ed] to include a clear
    statement of responsibilities . . . .” 
    Id. at 604-05.
    Also, due to modifications, the record
    contained five permanency plans, each plan being approximately thirty pages. 
    Id. at 604.
    Finally, we observed that some of the action steps required of the parents were
    impossible for the parents to complete, at least while they lacked physical custody of the
    children. 
    Id. at 605
    n.17. For example, the parents could not ensure that the child would
    “participate in individual counseling,” “learn effective communication skills,” and
    “strengthen the bond with peers and adults,” while they lacked custody of the child. 
    Id. In our
    view, there are significant differences between the permanency plan in this
    case and the plans described above. Most importantly, the permanency plan in this case
    had a clearly labeled “statement of responsibilities” after each “description of concern”
    identified by DCS. Each section heading states: “Statement of Responsibilities: This
    section contains both the desired outcomes and action steps that together comprise the
    responsibilities of the parents and/or other responsible person(s) to achieve the
    permanency goals.” The “action steps” listed under each “statement of responsibilities”
    are clearly enumerated and plainly identify which parent is responsible for completing
    each task. The lack of a clear “statement of responsibilities” was fatal to the permanency
    plans in the cases discussed above. Here, however, that is a non-issue.
    Further, the permanency plan in this case was only revised twice and the revisions
    left the vast majority of the plan unchanged.6 Also, it is disingenuous for mother to argue
    that the plan required impossible tasks. DCS correctly points out that some of the action
    steps presupposed completion of other tasks. For example, one action step stated that
    “[t]he parents will utilize the new skills they learn in their parenting classes and apply
    them while parenting their children . . . .” Completion of that task was only impossible
    because mother never completed a single parenting class. The plan also specifically
    modified tasks that would be impossible while mother did not have custody of the
    children. For example, mother was required to schedule and maintain routine medical
    6
    The revisions incorporated recommendations from mother’s mental health and alcohol and drug
    assessments. They also addressed mother’s failure to consistently communicate with DCS.
    - 16 -
    and dental appointments for the children; however, the plan provided that “parents will
    demonstrate this ability while the children are not in their physical care by maintain[ing]
    a planner that keeps a log of all the children’s appointments/meetings . . . .”
    A preponderance of the evidence also suggests that mother had the ability to
    understand the requirements of the permanency plan. At the June 16 meeting, DCS
    explained to mother the purpose and requirements of the permanency plan. Mother
    agreed to and signed the plan. She then proceeded to complete at least some
    requirements of the plan.
    According to the trial court, Dr. Brietstein, who the parties stipulated was an
    expert, stated that mother had the mental ability to understand the plan’s requirements.
    After reviewing the trial transcript, it is clear that Dr. Brietstein was never directly asked
    about the permanency plan. However, Dr. Brietstein did state the following:
    I give an intelligence test or kind of what I call a brief
    intelligence test. [Mother is] not a dumb person by any
    means. In fact, she has average intelligence, which I think
    corresponds with the fact that she went to college, even
    though she dropped out. She has average intelligence. And
    so any deficit she might have in parenting ability is not due to
    the fact that she lacks intelligence.
    Later, the following exchange took place between counsel for DCS and Dr.
    Brietstein:
    Q.     You also stated in the history that there were several
    types of therapies and medications that [mother] had been
    given and started and just didn’t go through with; is –
    A.     Correct.
    Q.     – that correct?
    A.     Yes.
    Q. That’s not – that would have been by choice, not by her
    lack of intelligence or understanding of what she needed to
    do, how to get to her appointments, how to make a schedule
    or anything like that; is that your – would you be able to agree
    with that?
    A.     I would agree with that.
    - 17 -
    This testimony indicates that mother was of average intelligence and could most
    likely understand the permanency plan that she signed. That fact further distinguishes
    this case from In re Navada, where the court expressed concerns about the mother’s
    mental ability due to her difficulty reading 
    aloud. 498 S.W.3d at 604
    n.14. We therefore
    conclude that the trial court did not err in finding that the permanency plan was valid and
    enforceable against mother.
    Mother next argues that the trial court erred in finding that the evidence clearly
    and convincingly showed that mother’s noncompliance with the permanency plan was
    substantial. The permanency plan required parents to: complete a mental health
    assessment and follow all recommendations of the provider, complete an alcohol and
    drug assessment and follow all recommendations of the provider, submit to random drug
    screenings and bring any and all prescribed medications to the screenings, complete a
    parenting assessment, attend parenting classes, utilize the new skills they learn in their
    parenting classes, ensure that each child is enrolled and attends school, schedule and
    maintain children’s medical and dental appointments (or keep a log of those
    appointments when not responsible for the children’s physical care), obtain and maintain
    stable housing for three months, provide proof of housing, provide proof of legal income,
    willingly open home to DCS for home visits, maintain consistent (at least weekly)
    communication with DCS, attend all hearings and court dates, have a valid driver’s
    license, ensure access to legal transportation, and be a law-abiding citizen.7
    It is undisputed that mother completed alcohol and drug assessments,8 a mental
    health evaluation, and, after much delay, intensive outpatient treatment. It is also
    undisputed that mother had a valid driver’s license, that she attended some medication
    management and mental health counseling sessions, and that she passed a handful of drug
    tests. Finally, DCS admitted that mother provided a letter from a lawyer stating that
    mother had applied for disability benefits.
    It is also undisputed, however, that mother failed to maintain weekly
    communication with DCS, submit to multiple drug screens, attend the majority of the
    7
    At trial, a DCS caseworker could not recall all of these tasks from memory. Mother points to
    that testimony as evidence of the confusing nature of the permanency plan. If mother was required to
    memorize every requirement of the permanency plan, perhaps we would agree; however, mother had
    access to a written copy of the plan. As we previously explained, that written plan included an
    understandable statement of responsibilities associated with each of the department’s specific concerns.
    8
    The trial court incorrectly states that “Respondent Mother failed to resubmit to a new alcohol
    and drug assessment . . . .” The record shows that mother did submit to a second alcohol and drug
    assessment. DCS does not dispute that fact.
    - 18 -
    children’s medical appointments, attend a majority of visits with the children, attend
    multiple child and family team meetings, obtain stable housing for three months,
    willingly open her home to DCS for home visits, provide proof of legal income, and to
    take a single parenting class. Furthermore, mother consistently tested positive for
    prescription drugs but never produced proof of a prescription.9 She was also arrested for
    public intoxication and drug paraphernalia.
    The trial court did not specifically state which requirements of the permanency
    plan the court believed were the most important. Because the children were initially
    removed on account of environmental and medical neglect, it is evident that the
    requirements relating to obtaining housing and legal income were of extreme importance.
    Yet, mother failed to comply with those requirements. As discussed above, the trial court
    found mother’s testimony relating to housing to be “incredible.” All other evidence in
    the record suggests that mother failed to submit to home visits and even engaged in
    deception to present the appearance of stable housing. Although mother claimed that she
    was physically unable to work, she never presented medical records documenting her
    alleged ailments. She presented a letter stating that she applied for disability benefits, but
    she never presented proof of legal income.
    The degree to which mother complied with other requirements of the permanency
    plan is also troubling. Mother only attended mental health counseling “inconsistently.”
    She completed intensive outpatient treatment two months after she was supposed to
    complete the program. She failed to attend the majority of visits with the children, as
    well as their medical and dental appointments. She also refused or was unavailable for
    many drug screenings.
    In light of mother’s failure to comply with the most important aspects of the
    permanency plan as well as her half-hearted compliance with the plan’s other
    requirements, we conclude that the trial court did not err in finding clear and convincing
    evidence that mother failed to substantially comply with the permanency plan.
    C.
    The ground of persistence of conditions is codified at Tenn. Code Ann. § 36-1-
    113(g)(3) (2017), which provides:
    The child has been removed from the home of the parent or
    guardian by order of a court for a period of six (6) months
    9
    The trial court also found that mother “admitted on one occasion that she would test positive for
    cocaine, opiates, and THC.” That finding is supported by the testimony of two DCS employees;
    however, mother sharply refuted their testimony. Because the trial court did not make a credibility
    determination on this issue, it is unclear whether the court failed to consider mother’s testimony or simply
    rejected it.
    - 19 -
    and:
    (A) The conditions that led to the child’s removal or other
    conditions that in all reasonable probability would cause the
    child to be subjected to further abuse or neglect and that,
    therefore, prevent the child’s safe return to the care of the
    parent or parents or the guardian or guardians, still persist;
    (B) 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 parents or the guardian or guardians
    in the near future; and
    (C) 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
    The children were removed on April 28, 2016, due to allegations of
    environmental, medical, and educational neglect, substance abuse, domestic violence, and
    sexual abuse. The trial court found that
    The Respondent Mother has failed to show any progress
    toward addressing any of the issues that resulted in the
    children being removed, aside from checking the box of
    intensive outpatient treatment and inconsistent mental health
    and medicine management counseling . . . . As of September
    27, 2017, the children had been removed from her care for
    over fourteen months. . . . All conditions that resulted in the
    children being removed from the Respondent Mother persist
    today, as on April 28, 2016.
    Again relying on In re Jimmy B., 
    2016 WL 2859180
    (Tenn. Ct. App., filed, May
    11, 2016), mother argues that the trial court improperly shifted the burden by faulting
    mother for “fail[ing] to show any progress toward addressing any of the issues that
    resulted in the children being removed . . . .” She also argues that the evidence
    preponderates against a finding that persistent conditions existed.
    With respect to environmental neglect, mother testified that she currently lives in
    the home from which the children were removed. Father testified that the home was
    “improving” and mother agreed that “they’ve been working on it.” However, due to
    mother’s failure to cooperate with DCS home visits, DCS was unable to present evidence
    affirmatively contradicting that testimony. Although mother’s failure to cooperate with
    DCS is relevant to whether she made “reasonable efforts” to provide a suitable home and
    - 20 -
    whether she substantially complied with the permanency plan, 
    see supra
    Parts V.A and
    B, her actions do not relieve DCS of its burden to prove persistence of conditions by clear
    and convincing evidence. Cf. In re Jimmy B., 
    2016 WL 2859180
    , at *8. Because there
    is little evidence in the record concerning the current state of mother’s home, DCS has
    failed to prove by clear and convincing evidence that concerns about environmental
    neglect persist.
    Because mother has not had physical custody of the children, it is also
    inappropriate to say that there are still concerns about the children’s medical and
    educational well-being. DCS has adequately provided for those needs and, subsequent to
    removal, mother was never given an opportunity to demonstrate her ability to remedy
    those concerns.
    Nevertheless, DCS has presented clear and convincing evidence that mother
    continues to display signs of substance abuse. Throughout the proceedings, mother
    consistently tested positive for prescription drugs without providing proof of a
    prescription. In April 2017, soon after completing intensive outpatient treatment, mother
    was arrested for public intoxication and drug paraphernalia. We can identity no evidence
    in the record tending to suggest that this condition “will be remedied at an early date.”
    Tenn. Code Ann. § 36-1-113(g)(3)(B). Although mother did submit to a second alcohol
    and drug assessment following her arrest, she tested positive for prescription drugs on
    June 8, 2017. She also testified on the first day of trial that she had last taken prescription
    drugs “a couple of weeks ago.”
    Mother also testified that she currently lives in the same home as father. There are
    still unresolved factual questions about father’s alleged acts of domestic violence and
    sexual abuse. Although the trial court never made findings relating to the specific
    incidents alleged, the court did credit the testimony of Dr. Brietstein that father was a
    “powder-keg.” The trial court also found that father repeatedly failed drug tests and
    admitted to using illegal or non-prescribed narcotics, including just a couple of days
    before trial. In early 2017, father was also arrested for public intoxication and possession
    of drug paraphernalia. It is likely, therefore, that if the children are returned to mother,
    they will be living in a home where substance abuse and criminal activity is rampant.
    In addition, the evidence preponderates in favor of a finding that “other conditions
    that in all reasonable probability would cause the child to be subjected to further abuse or
    neglect . . . .” Tenn. Code Ann. § 36-1-113(g)(3)(A) (emphasis added). For instance,
    mother admitted at trial that she still does not have a job and has never reported a source
    of legal income to DCS. During the course of the termination proceedings, mother only
    paid $600.00 in child support out of the $2,700.00 she owed. Although the trial court
    determined that this failure to support was not “willful” for purposes of abandonment,
    mother’s lack of financial stability creates a reasonable probability that the children will
    be subjected to further neglect if they are returned to her. Although mother claims to
    - 21 -
    have filed for disability benefits, it is unlikely that mother’s financial hardships “will be
    remedied at an early date.” Tenn. Code Ann. § 36-1-113(g)(3)(B).
    As further explained in our best interest analysis, we also conclude that “[t]he
    continuation of the parent or guardian and child relationship greatly diminishes the
    child[ren]’s chances of early integration into a safe, stable, and permanent home.” Tenn.
    Code Ann. § 36-1-113(g)(3)(C). Accordingly, we hold that the trial court did not err in
    finding that clear and convincing evidence that termination is justified on the ground of
    persistence of conditions.
    VI.
    A.
    Because we have found statutory grounds warranting the termination of parental
    rights, we now focus on whether termination is in the best interest of T.E.R., M.A.R., and
    T.Z.R. We are guided by the following statutory factors as set forth in Tenn. Code Ann.
    § 36-1-113(i) (2017), which provides:
    In determining whether termination of parental or
    guardianship rights is in the best interest of the child pursuant
    to this part, the court shall consider, but is 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 interests 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;
    (5) The effect a change of caretakers and physical
    environment is likely to have on the child’s emotional,
    psychological and medical condition;
    - 22 -
    (6) Whether the parent or guardian, or other person residing
    with the parent or guardian, has shown brutality, physical,
    sexual, emotional or psychological abuse, or neglect toward
    the child, or another child or adult in the family or household;
    (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.
    “The above list is not exhaustive[,] and there is no requirement that all of the factors must
    be present before a trial court can determine that termination of parental rights is in a
    child’s best interest.” State Dep’t of Children’s Servs. v. B.J.N., 
    242 S.W.3d 491
    , 502
    (Tenn. Ct. App. 2007) (citing State Dep’t of Children’s Servs. v. P.M.T., No. E2006-
    00057-COA-R3-PT, 
    2006 WL 2644373
    , at *9 (Tenn. Ct. App., filed Sept. 15, 2006)). In
    addition, “[t]he child’s best interest must be viewed from the child’s, rather than the
    parent’s, perspective.” In re Marr, 
    194 S.W.3d 490
    , 499 (Tenn. Ct. App. 2005) (citing
    White v. Moody, 
    171 S.W.3d 187
    , 194 (Tenn. Ct. App. 2004)).
    B.
    Here, the trial court found that “there is no doubt” that mother loves the children.
    Likewise, the children interacted well with mother when she visited them. Thus, best
    interest factor (4) seems to weigh against termination. Nevertheless, we agree with the
    trial court that a host of other best interest factors weigh in favor of termination.
    Our prior analysis of mother’s failure to provide a suitable home and her
    substantial noncompliance with the permanency plan strongly suggests that best interest
    factors (1) and (2) weigh in favor of termination. DCS consistently made reasonable
    efforts to help mother maintain custody of the children and mother refused to effect a
    lasting adjustment in circumstances. Given mother’s inconsistent visitation with the
    - 23 -
    children (especially as the case progressed), best interest factor (3) weighs in favor of
    termination. Best interest factor (5), which concerns the effect of a potential change in
    caretakers, also favors termination. Although the children exhibited behavioral issues in
    some of their early foster home placements, a DCS employee testified that the children
    are now “doing very well” and have experienced “significant improvement” in their
    current placement. The children live with an elderly woman, who they call
    “Grandmother.” The foster mother is not willing to adopt because of her age, but DCS
    insists that she has done more than anyone else to improve the children’s behavioral
    issues. Best interest factor (6) is difficult to weigh due to unresolved factual questions
    surrounding father’s alleged acts of domestic violence and sexual abuse. However, other
    statutory factors also weigh in favor of termination. For example, mother continues to
    display signs of substance abuse, as does father (with whom she continues to live).
    Mother also failed to pay the required amount of child support.
    Taking into account the statutory best interest factors, we conclude that clear and
    convincing evidence supports the trial court’s finding that termination is in the best
    interest of the children.
    VII.
    The judgment of the trial court is affirmed. The costs on appeal are assessed to the
    appellant, J.E.R. This case is remanded, pursuant to applicable law, for enforcement of
    the trial court’s judgment and collection of costs assessed below.
    _______________________________
    CHARLES D. SUSANO, JR., JUDGE
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