In Re: Stephen B. ( 2013 )


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  •                 IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    Assigned on Briefs May 31, 2013
    IN RE STEPHEN B. ET AL.
    Appeal from the Juvenile Court for Campbell County
    No. J2012-279     Joseph M. Ayers, Judge
    No. E2012-02575-COA-R3-PT-FILED-JULY 31, 2013
    This is a termination of parental rights case focusing on the minor children (“the Children”)
    of Tammy S. (“Mother”). Upon order of the Campbell County Juvenile Court entered
    September 19, 2011, the Children were taken into emergency protective custody by the
    Tennessee Department of Children’s Services (“DCS”) due to unsanitary conditions in the
    family home and concerns regarding inappropriate supervision and medical neglect of one
    of the Children. DCS filed a petition seeking to terminate Mother’s parental rights on July
    11, 2012. The petition alleged several statutory grounds for termination, including
    abandonment based on willful failure to visit the Children, abandonment based on failure to
    provide a suitable home, persistent conditions, and substantial noncompliance with the
    permanency plan. Following a bench trial conducted October 4, 2012, the trial court
    terminated Mother’s parental rights after finding by clear and convincing evidence that (1)
    Mother had abandoned the Children due to her failure to provide a suitable home, (2) Mother
    had failed to substantially comply with the permanency plan, and (3) the conditions leading
    to the Children’s removal persisted. The trial court further found that termination of
    Mother’s parental rights was in the Children’s best interest. Mother has appealed. We
    affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court
    Affirmed; Case Remanded
    T HOMAS R. F RIERSON, II, J., delivered the opinion of the Court, in which C HARLES D.
    S USANO, J R., P.J., and D. M ICHAEL S WINEY, J., joined.
    Jordan Long, Knoxville, Tennessee, for the appellant, Tammy S.
    Robert E. Cooper, Jr., Attorney General and Reporter, and Leslie Curry, Assistant Attorney
    General, Nashville, Tennessee, for the appellee, Tennessee Department of Children’s
    Services.
    OPINION
    I. Factual and Procedural History
    Mother has two minor children: Stephen, now age ten, and Tyler, age three. DCS has
    been significantly involved with this family for several years, dating back to at least 2004.
    DCS received numerous referrals regarding Mother’s oldest son, Austin, who attained the
    age of majority in 2011. The prior referrals concerning Mother involved allegations of
    environmental neglect, lack of proper supervision, medical neglect, physical abuse, and
    substantial risk of sexual abuse. Custody of Austin and Stephen was judicially removed in
    2004 due to medical neglect and environmental issues. In approximately 2008 or 2009,
    Austin and Stephen began living with their maternal aunt and uncle, with Mother residing
    there intermittently. In 2010, Austin reported to DCS that his stepfather, Lewis S., hit him
    in the back and also struck another minor who was visiting in the home.1
    DCS Child Protective Services received a report approximately one week later that
    Lewis S. had physically assaulted Mother in the presence of Tyler. At that time, Mother and
    Lewis S. were lodging in a motel with Tyler. Mother reported that she and Lewis S. had
    argued regarding their finances. The incident resulted in Lewis S. throwing a bottle toward
    her. When Mother attempted to use the telephone to call for help, Lewis S. seized the
    telephone and wrapped the cord around Mother’s neck.2 At this point, DCS petitioned the
    Juvenile Court for a restraining order prohibiting Lewis S. from having any contact with the
    Children. A no-contact order was entered. The Child Protective Services (“CPS”) worker
    assigned to the case discussed the ramifications of the order with Mother and Lewis S. The
    CPS worker also explained generally the process Lewis S. should follow to have the order
    dismissed, which included completing an anger management course, obtaining a mental
    health evaluation, and attending parenting classes. Lewis S. was also required to undergo
    an alcohol and drug assessment, having recently tested positive for marijuana and
    methamphetamine.
    On September 13, 2011, CPS received a separate referral regarding Stephen.
    Stephen’s school reported that he had been experiencing an ongoing problem with defecating
    1
    Lewis S. is the biological father of Tyler but not the biological father of Mother’s other two
    children. Lewis S.’s parental rights regarding Tyler were terminated in a separate judicial proceeding.
    2
    Mother later recanted her story regarding the telephone, but both she and Lewis S. admitted that
    he threw a bottle at her.
    -2-
    on himself several times daily. The school also noted being unable to contact anyone from
    the child’s family to bring clean clothes. With reference to the referral, the CPS worker went
    to the school to interview Stephen. Stephen related that his stomach hurt constantly, and that
    when he reported this problem to his aunt and Mother, they did not believe him. When the
    CPS worker subsequently visited the home to interview Mother, she found the conditions of
    the aunt’s home where the Children were residing to be deplorable. She described the
    presence of cockroaches “everywhere,” stating that the family’s food supply was infested.
    The Children were feeding themselves from cereal boxes that contained cockroaches. In
    addition, the bathroom presented a large hole in the floor; the toilet was filled with feces.
    The Children were dirty and unkempt, smelling of smoke and urine.
    Further, Mother admitted to the CPS worker that she had been aware of Stephen’s
    stomach condition for about one month, but due to not feeling overly concerned, “had not
    gotten around” to taking Stephen to the doctor. Mother acknowledged that custody of Austin
    had been removed in 2004 by reason of a similar problem when the child had to undergo a
    surgical procedure to have an impaction removed.
    By order of the Juvenile Court, the Children were taken into protective custody by
    DCS. They were subsequently adjudicated dependent and neglected due to their living
    conditions and because Mother had attempted to “reunify the children with Lewis [S.] against
    whom there is a no contact order.” A permanency plan was developed on October 19, 2011,
    wherein Mother was required, inter alia, to visit the Children at least 4.3 hours per month,
    obtain a mental health assessment and follow any recommendations, abide by the no-contact
    order entered against Lewis S., complete parenting classes, and demonstrate appropriate
    parenting skills. A second permanency plan was developed in May 2012, which plan
    contained substantially identical parental responsibilities.
    DCS filed a petition seeking termination of Mother’s parental rights on July 11, 2012.
    The petition alleged several grounds for termination, including abandonment based on willful
    failure to visit the Children, abandonment based on failure to provide a suitable home,
    persistent conditions, and substantial noncompliance with the permanency plan. Following
    a bench trial on October 4, 2012, the trial court terminated Mother’s parental rights upon
    finding by clear and convincing evidence that (1) Mother had abandoned the Children due
    to her failure to provide a suitable home, (2) she had failed to substantially comply with the
    permanency plans, and (3) the conditions leading to removal persisted. The trial court
    further found that termination of Mother’s parental rights was in the Children’s best interest.
    Mother timely appealed.
    -3-
    II. Issues Presented
    Mother presents the following issues for our review, which we have restated slightly:
    1.     Whether the trial court erred in finding that Mother was in substantial
    noncompliance with the permanency plans.
    2.     Whether DCS made reasonable efforts to reunite Mother and the
    Children.
    3.     Whether the trial court erred in finding that the conditions leading to
    removal still persisted at the time of trial.
    4.     Whether the trial court erred in finding that Mother abandoned her
    Children by failing to provide a suitable home.
    5.     Whether termination of Mother’s parental rights was in the Children’s
    best interest.
    III. Standard of Review
    In a termination of parental rights case, this Court has a duty to determine “whether
    the trial court’s findings, made under a clear and convincing standard, are supported by a
    preponderance of the evidence.” In re F.R.R., III, 
    193 S.W.3d 528
    , 530 (Tenn. 2006). The
    trial court’s findings of fact are reviewed de novo upon the record, accompanied by a
    presumption of correctness unless the evidence preponderates against those findings. Id.;
    Tenn. R. App. P. 13(d). Questions of law, however, are reviewed de novo with no
    presumption of correctness. In re Bernard T., 
    319 S.W.3d 586
     (Tenn. 2010). The trial
    court’s determinations regarding witness credibility are entitled to great weight on appeal and
    shall not be disturbed absent clear and convincing evidence to the contrary. See Jones v.
    Garrett, 
    92 S.W.3d 835
    , 838 (Tenn. 2002).
    “Parents have a fundamental constitutional interest in the care and custody of their
    children under both the United States and Tennessee constitutions.” Keisling v. Keisling, 
    92 S.W.3d 374
    , 378 (Tenn. 2002). It is well established, however, that “this right is not absolute
    and parental rights may be terminated if there is clear and convincing evidence justifying
    such termination under the applicable statute.” In re Drinnon, 
    776 S.W.2d 96
    , 97 (Tenn. Ct.
    App. 1988) (citing Santosky v. Kramer, 
    455 U.S. 745
    , 
    102 S. Ct. 1388
    , 
    71 L. Ed. 2d 599
    (1982)). As our Supreme Court has instructed:
    -4-
    In light of the constitutional dimension of the rights at stake in
    a termination proceeding under Tenn. Code Ann. § 36-1-113,
    the persons seeking to terminate these rights must prove all the
    elements of their case by clear and convincing evidence. Tenn.
    Code Ann. § 36-1-113(c); In re Adoption of A.M.H., 215 S.W.3d
    at 808-09; In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002).
    The purpose of this heightened burden of proof is to minimize
    the possibility of erroneous decisions that result in an
    unwarranted termination of or interference with these rights. In
    re Tiffany B., 
    228 S.W.3d 148
    , 155 (Tenn. Ct. App. 2007); In re
    M.A.R., 
    183 S.W.3d 652
    , 660 (Tenn. Ct. App. 2005). Clear and
    convincing evidence enables the fact-finder to form a firm belief
    or conviction regarding the truth of the facts, In re Audrey S.,
    
    182 S.W.3d 838
    , 861 (Tenn. Ct. App. 2005), and eliminates any
    serious or substantial doubt about the correctness of these
    factual findings. In re Valentine, 79 S.W.3d at 546; State Dep’t
    of Children’s Servs. v. Mims (In re N.B.), 
    285 S.W.3d 435
    , 447
    (Tenn. Ct. App. 2008).
    In re Bernard T., 319 S.W.3d at 596.
    IV. Substantial Noncompliance with Permanency Plans
    The trial court, inter alia, terminated Mother’s parental rights on the statutory ground
    that she failed to substantially comply with the reasonable responsibilities set out in her
    permanency plans. Tennessee Code Annotated § 36-1-113(g)(2) (Supp. 2012) provides, as
    relevant to this action:
    (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 non-exclusive, so that listing conditions, acts or omissions
    in one ground does not prevent them from coming within another ground:
    ...
    (2) There has been substantial noncompliance by the parent or
    guardian with the statement of responsibilities in a permanency
    plan pursuant to the provisions of title 37, chapter 2, part 4.
    The permanency plans in this case required Mother to: (1) visit the Children regularly
    -5-
    each month, (2) obtain a mental health assessment and follow any recommendations, (3)
    abide by the no-contact order regarding Lewis S. and the Children, and (4) complete
    parenting classes and demonstrate appropriate parenting skills.
    In its findings regarding Mother’s efforts under the permanency plans, the trial court
    stated in relevant portion:
    Both permanency plans provided that [Mother] would obtain a mental health
    evaluation. DCS testified that [Mother] had a prior mental health assessment
    from a previous case and they told her she could use that mental health
    evaluation if the documentation was provided. [Mother] and DCS testified
    that [Mother] previously signed a medical release for Ridgeview. Both plans
    further provided that [Mother] would participate in parenting classes.
    Testimony indicated that she has completed the parenting classes.
    [Mother] did not make any efforts, until recently, to obtain stable housing. She
    continued to reside in the home where the children were removed for a period
    of time. She also lived with friends and in other locations that had bed bugs.
    She did not make any attempts at finding a home until August, 2012. She
    testified that she knew she needed a home but was financially unable to do so
    until recently. [Mother] testified that she recently obtained employment and
    would receive her first paycheck soon. [Mother] has been with Lewis [S.] on
    most occasions when DCS has been to visit. She claims they are divorcing,
    however, she has no proof of said divorce. [Mother] and Lewis [S.] have never
    made any attempt to have the no contact order lifted. Further [Mother] appears
    to have the attitu[de] that Lewis [S.] should be allowed around the children.
    [Mother] has stated that her current home is not appropriate for the minor
    children. Although the expected outcome achievement date is November 14,
    2012, there is little likelihood that [Mother] will complete all of the goals on
    the permanency plan. [Mother’s] home cannot be suitable as long as Lewis [S.]
    is in the home, and he has failed to resolve his own issues. That alone, is a
    fundamental requirement in this case. Therefore, [Mother] is in substantial
    noncompliance with the permanency plan and DCS has established by clear
    and convincing evidence that the Respondent has failed to substantially
    comply with the permanency plans developed in this case.
    The proof adduced at trial supports these findings. Mother was required to obtain a
    mental health assessment and follow all recommendations. She expressed a desire to utilize
    a mental health assessment she had obtained before the Children were removed from her
    custody to satisfy this requirement. The evidence established that she never offered any
    -6-
    documentation regarding this prior assessment to DCS, and she never provided any proof
    regarding same at trial. The only assessment that Mother demonstrated having completed
    was accomplished on August 23, 2012. This was more than a month after the termination
    petition was filed and nearly one year after the Children were taken into protective custody.
    Evidence of this assessment, however, was never supplied to DCS.
    Mother reported to the DCS family service worker that she had been attending therapy
    at Ridgeview. When the DCS worker attempted to verify this information, she was informed
    that Mother had not attended Ridgeview since prior to the Children’s removal. Further,
    Mother had never completed therapy; she had simply stopped attending sessions. The DCS
    worker testified that she repeatedly reminded Mother of the need to have a new assessment
    performed because she believed it was the most important requirement in the permanency
    plans. She attempted to provide Mother with referrals for completing this task. Mother
    refused the assistance, stating that she would simply return to Ridgeview.
    Similarly, the plans required Mother to abide by the 2010 no-contact order regarding
    Lewis S. and the Children. Although Mother represented to DCS that she and Lewis S. were
    working with an attorney to seek its dismissal, the no-contact order remained in effect at the
    time of trial. The evidence established that Mother was still living with Lewis S.
    intermittently throughout these proceedings. She also had forced Stephen to talk to Lewis
    S. on the telephone, telling him they were going to be a “big happy family again.”
    Furthermore, Mother delivered a greeting card to the Children during a visit that was signed,
    “Love Mommy and Daddy.” Mother voiced her lack of understanding as to why the no-
    contact order was in effect. Her testimony clearly demonstrated that she held no intention
    of abiding by the court’s directive.
    As the trial court determined, Mother also failed to obtain alternative housing until
    approximately two weeks before trial. Even then, as she conceded, the home was not suitable
    for the care of the Children by reason of a lack of furniture other than a couch. The DCS
    family service worker stated that this apartment likewise presented evidence of cockroaches
    and that a meager amount of food was observed when she visited. Although the requirement
    of having suitable housing was not explicitly listed in the permanency plans, such was
    certainly implied, as the plans referenced the Children’s removal due in part to environmental
    concerns. The environmental conditions and housing were identified as obstacles to
    reunification. Mother testified that she understood her responsibility to obtain proper
    housing to regain custody of the Children.
    Mother was also required to visit regularly with the Children, at least 4.3 hours per
    month. She failed to do so. As the DCS family service worker explained, Mother
    accomplished no visits between March 14, 2012, and June 11, 2012. In the months preceding
    -7-
    this time frame, Mother attended an average of one visit per month, often failing to appear
    for visits or canceling at the last minute. The DCS worker could not locate Mother to
    schedule a visit for August 2012. Mother also failed to appear for a scheduled visit in
    September 2012. Therefore, the only permanency plan requirement with which Mother
    complied was the completion of parenting classes. DCS arranged and paid for these classes
    to be performed in Mother’s home. Despite completing the classes, Mother failed to engage
    the Children during visitation or otherwise demonstrate appropriate parenting techniques.
    The evidence in this case does not preponderate against the trial court’s determination, by
    clear and convincing evidence, that Mother’s parental rights should be terminated upon the
    statutory ground of substantial noncompliance with the permanency plans.
    V. Reasonable Efforts by DCS
    Mother contends that DCS did not make reasonable efforts to reunify her with the
    Children. As this Court has previously stated:
    [I]n the absence of aggravating circumstances, [DCS] is statutorily required to
    make reasonable efforts to reunite a family after removing children from their
    parents’ custody. Tenn. Code Ann. § 37-1-166(a)(2), (g)(2) (2005); In re
    M.E., No. M2003-00859-COA-R3-PT, 
    2004 WL 1838179
    , at *9 (Tenn. Ct.
    App. Aug.16, 2004), perm. app. denied (Tenn. Nov. 8, 2004); In re C.M.M.,
    
    2004 WL 438326
    , at * 7. Because of this obligation, the Department must not
    only establish each of the elements in Tenn. Code Ann. § 36-1-113(g)(3)(A),
    it must also establish by clear and convincing evidence that it made reasonable
    efforts to reunite the family and that these efforts were to no avail. In re
    C.M.M., 
    2004 WL 438326
    , at *7 n. 27, *8.
    While the Department’s reunification efforts need not be “herculean,” the
    Department must do more than simply provide the parents with a list of
    services and send them on their way. In re C.M.M., 
    2004 WL 438326
    , at *7.
    The Department’s employees must use their superior insight and training to
    assist the parents in addressing and completing the tasks identified in the
    permanency plan.
    For the purpose of proceedings such as this one, the Department’s
    reunification efforts are “reasonable” if the Department has exercised
    “reasonable care and diligence . . . to provide services related to meeting the
    needs of the child and the family.” Tenn. Code Ann. § 37-1-166(g)(1) (2005).
    The reasonableness of the Department’s efforts depends upon the
    circumstances of the particular case. The factors that courts use to determine
    -8-
    the reasonableness of the Department’s efforts include: (1) the reasons for
    separating the parent from his or her children, (2) the parent’s physical and
    mental abilities, (3) the resources available to the parent, (4) the parent’s
    efforts to remedy the conditions that required the removal of the children, (5)
    the resources available to the Department, (6) the duration and extent of the
    parent’s remedial efforts, and (7) the closeness of the fit between the
    conditions that led to the initial removal of the children, the requirements of
    the permanency plan, and the Department’s efforts.
    The Department does not have the sole obligation to remedy the conditions
    that required the removal of children from their parents’ custody. When
    reunification of the family is a goal, the parents share responsibility for
    addressing these conditions as well. Thus, parents desiring the return of their
    children must also make reasonable and appropriate efforts to rehabilitate
    themselves and to remedy the conditions that required the Department to
    remove their children from their custody.
    In re Giorgianna H., 
    205 S.W.3d 508
    , 518-19 (Tenn. Ct. App. 2006) (other internal citations
    omitted).
    In the instant action, DCS made substantial efforts to reunite this family after removal
    of the Children from Mother’s custody. DCS facilitated visits between Mother and the
    Children by transporting the Children, as well as assisting Mother with her own
    transportation through provision of a gas card and a referral to East Tennessee Human
    Resources Agency (“ETHRA”). DCS developed two permanency plans with Mother,
    providing her with a referral to obtain a mental health assessment. DCS arranged and paid
    for parenting classes to be performed in Mother’s home. Additional departmental efforts
    included attempting to maintain contact with Mother when she could be located and often
    initiating contact to schedule visitation in the absence of communication from Mother. DCS
    explained the effect of the no-contact order to Mother as well as the steps necessary to seek
    its dismissal. Mother was repeatedly warned not to have Lewis S. involved with the
    Children. DCS made at least three home visits to Mother’s residence. On one visit the
    worker was denied entry, allegedly due to bedbug infestation.
    It should also be noted that DCS made substantial efforts to prevent removal of the
    children, all to no avail. See Tenn. Code Ann. §37-1-166. DCS had been involved with
    Mother for a number of years. During a prior custody episode, many services had been
    offered to Mother to support her efforts to appropriately parent the Children. The services
    provided in the past included instruction on how to properly clean house, prevent insect
    infestation, do laundry, and store food. In 2010, the assigned CPS worker met with Mother
    -9-
    and prepared a plan of tasks Mother needed to accomplish to improve her situation. The
    strategy included obtaining her eyeglasses, a driver’s license, and a GED through her
    employment. The worker further provided Mother with information on how to fulfill these
    tasks. She later reported that after four months Mother had completed none of these
    responsibilities. Although the CPS worker put services in place for Mother to receive
    training on conflict resolution and budgeting, Mother failed to avail herself of such
    opportunities.
    As stated above, parents also bear responsibility in making reasonable efforts to
    rehabilitate themselves and to remedy the conditions that necessitated removal of children
    from parental custody. See Giorgianna H., 205 S.W.3d at 518-19. Mother utterly failed in
    this responsibility. Viewing the situation in its entirety, the trial court found that DCS had
    made reasonable efforts to assist Mother in reuniting her family. We agree. In significant
    measure, Mother did not take advantage of DCS’s reasonable efforts. As this Court has
    previously stated:
    Reunification is a “two-way street,” and the law does not require DCS to
    carry the entire burden of this goal. DCS cannot reasonably be expected to
    do everything for a parent.
    In re A.R., No. W2008-00558-COA-R3-PT, 
    2008 WL 4613576
     at *16 (Tenn. Ct. App. Oct.
    13, 2008). We conclude that the efforts expended by DCS in this case were reasonable. This
    issue is without merit.
    VI. Persistent Conditions
    Tennessee Code Annotated § 36-1-113(g)(3) provides the following as an alternate
    ground for termination of parental rights:
    (3) 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 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(s) or guardian(s), still persist;
    (B) There is little likelihood that these conditions will be
    -10-
    remedied at an early date so that the child can be safely returned
    to the parent(s) or guardian(s) 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 . . . .
    By its order terminating Mother’s parental rights, the trial court, inter alia, found that
    the requirements of this statutory section had been satisfied:
    In the instant case, there is clear and convincing evidence that the conditions
    that led to the removal still persist. The minor children were removed due to
    environmental neglect issues in the home and the fact that the mother intended
    to take the minor children to reside with Lewis [S.] in violation of a Campbell
    County Juvenile Court Order. [Mother] still does not have an appropriate
    home for the children by her own admission. Further, although [Mother] has
    stated that she has filed for divorce from Lewis [S.], he is at the home every
    time DCS makes a home visit. [Mother] has stated that Lewis [S.] loves the
    children and she does not seem to understand why he cannot be around them.
    Further, the home still has roaches. There is little chance that these conditions
    will be remedied soon. DCS has made reasonable efforts to assist [Mother] to
    remedy the conditions.
    The evidence supports these findings. The Children were removed from the home by
    court order on September 19, 2011, due primarily to the poor living conditions and Mother’s
    failure to abide by the no-contact order regarding Lewis S. and the Children. At the time of
    trial over one year later, these conditions still persisted. Mother continued to live in the
    unsuitable home until late summer 2012, some nine to ten months following the Children’s
    removal. The DCS worker visiting this home in May 2012 found similarly deplorable
    conditions to exist. Mother was subsequently homeless for a period of time. She did not
    apply for public housing until August 2012. Although obtaining an apartment approximately
    two weeks prior to trial with rent assistance from Ridgeview, she admitted that this residence
    was not suitable for the Children due to a lack of furniture. Mother also acknowledged that
    there was a cockroach concern when she moved into the apartment, a fact confirmed by the
    DCS worker who observed the situation when she visited the home two days before the
    termination trial. The DCS worker indicated that there was very little food in the home as
    well.
    Further, Lewis S. was present in the home during the most recent visit by the DCS
    worker. This was also the situation during prior unannounced visits. The DCS worker
    -11-
    explained that Lewis S. was present often when she spoke to Mother by telephone. Although
    Mother maintained at trial that she was separated from Lewis S. and in the process of
    obtaining a divorce, there was no corroborating proof of this assertion. Mother’s testimony
    demonstrated several significant facts, including (1) she and Lewis S. knew the steps
    necessary to seek dismissal of the no-contact order, but never pursued them; (2) she
    entertained the idea of moving to Florida with Lewis S. and the Children after the no-contact
    order was entered; (3) she continued to live with Lewis S. intermittently during the pendency
    of these proceedings; (4) she held a power of attorney for Lewis S. at the time of trial; (5) she
    continued to approach the Children on Lewis S.’s behalf; and (6) in May 2012, after Stephen
    disclosed sexual abuse allegations against Lewis S., she spoke to Stephen by telephone,
    telling him, “Lewis loves you, Lewis would never hurt you . . . why are you saying those
    things about him?”
    From our review of Mother’s trial testimony, we determine that she clearly did not
    understand or appreciate that Lewis S. presented a danger to the Children and therefore
    should not be in their company. Mother’s representation that she was divorcing Lewis S. was
    not supported by the totality of the evidence. Mother repeatedly represented to the DCS
    worker during the pendency of the proceedings that she and Lewis S. intended to seek a
    dismissal of the no-contact order in order to live together. Mother did not take appropriate
    steps to remove Lewis S. from her life and appeared unwilling to do so. She had also failed,
    by her own admission, to maintain a home suitable for the Children by the time of trial. As
    such, it would not be safe for the Children to be returned to her. We conclude that the
    conditions leading to removal of the Children still persisted at the time of trial, more than a
    year following. We further conclude that those conditions were unlikely to be remedied at
    an early date such that the Children could be safely returned to Mother.
    There was also sufficient proof that continuation of the parent-child relationship
    would greatly diminish the Children’s chances of early integration into a safe, stable, and
    permanent home. The DCS worker testified that Stephen’s stomach issues had resolved
    since being placed into state custody. After visiting with Mother, however, Stephen
    experienced significant regressive behavior, defecating on himself for the first time in
    months. He also acted out in aggression toward his brother. This proof demonstrates that
    continuation of the relationship with Mother would greatly diminish the Children’s chances
    of early integration into a safe, stable, and permanent home. See, e.g., State Dep’t of
    Children’s Servs. v. M.P., 
    173 S.W.3d 794
    , 807 (Tenn. Ct. App. 2005). The evidence in this
    case does not preponderate against the trial court’s determination, by clear and convincing
    evidence, that Mother’s parental rights should be terminated upon the ground of persistent
    conditions.
    -12-
    VII. Abandonment by Failure to Provide a Suitable Home
    Tennessee Code Annotated § 36-1-113(g)(1) (Supp. 2012) provides, as an additional
    statutory ground for termination:
    (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 non-exclusive, 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 . . . .
    Tennessee Code Annotated § 36-1-102(1)(A)(ii) (2010) defines abandonment, in relevant
    part, as:
    The child has been removed from the home of the parent(s) or guardian(s) as
    the result of a petition filed in the juvenile court in which the child was found
    to be a dependent and neglected child, as defined in § 37-1-102, and the child
    was placed in the custody of the department or a licensed child-placing agency,
    that the juvenile court found, or the court where the termination of parental
    rights petition is filed finds, that the department or a licensed child-placing
    agency made reasonable efforts to prevent removal of the child or that the
    circumstances of the child’s situation prevented reasonable efforts from being
    made prior to the child’s removal; and for a period of four (4) months
    following the removal, the department or agency has made reasonable efforts
    to assist the parent(s) or guardian(s) to establish a suitable home for the child,
    but that the parent(s) or guardian(s) 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 . . . .
    By its order terminating Mother’s parental rights, the trial court, inter alia, found that
    the requirements of this statutory section had also been satisfied:
    [Mother] did not make any efforts to provide a suitable home for the children
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    until after the Petition to Terminate Parental Rights was filed. She waited until
    August, 2012, to obtain her own apartment. She also waited until August,
    2012, to get on any waiting lists for other possible residences. Prior to that
    time, she continued to reside in the home from which the children were
    removed, without resolving the environmental neglect issues in that home.
    She did not have stable housing for a period of time, and resided with friends.
    [Mother] testified that her current apartment is not currently appropriate for the
    minor children. She testified that there are currently roaches in the home and
    the home is without any furniture other than a couch. Further, one of the other
    homes where she resided had bed bugs. [Mother] stated that she filed [for]
    divorce from Lewis [S.], however, she did not have any documentation or
    proof that the divorce was filed. However, Lewis [S.] was at her home two (2)
    days before court, and he has been present on other occasions when the
    department visited. Her demeanor and testimony during trial indicates that she
    does not believe that there is anything wrong with Lewis. [S.] being around her
    children.
    Again, the evidence supports these findings. Parental custody of the Children was
    removed in September 2011. The Children were subsequently found to be dependent and
    neglected at a hearing on November 10, 2011. As previously stated, DCS made reasonable
    efforts to assist Mother in establishing a suitable home for the Children during a period of
    more than four months following their removal. Mother, however, made no reasonable
    efforts to provide a suitable home. She instead demonstrated a lack of concern for the
    Children’s home environment. Mother did not actively seek visitation with the Children,
    often did not appear at scheduled visits, and did not interact with the Children appropriately
    during such parenting time. Further, the proof showed that Mother seldom inquired as to the
    Children’s welfare and did not attend medical or other appointments. Mother’s lack of
    concern has been of such degree that it appears unlikely that she will be able to provide a
    suitable home for the Children at an early date.
    Mother failed to make a reasonable effort to obtain a suitable home for the Children
    during the year the Children were in state custody before the termination trial. She obtained
    an apartment only two weeks before trial, this being two months after the petition to
    terminate her parental rights was filed. In addition, that apartment was not an appropriate
    home for the Children, as discussed at length in prior sections. We conclude that the
    evidence does not preponderate against the trial court’s determination, by clear and
    convincing evidence, that Mother’s parental rights should be terminated upon the ground of
    abandonment by failure to provide a suitable home.
    -14-
    VIII. Best Interest of Children
    When a parent has been found to be unfit by establishment of a ground for
    termination, as here, the interests of parent and child diverge, and the focus shifts to what is
    in the child’s best interest. In re Audrey S., 182 S.W.3d at 877. Tennessee Code Annotated
    § 36-1-113(i) (Supp. 2012) provides a list of factors the trial court is to consider when
    determining if termination is in the child’s best interest. This list is not exhaustive, and the
    statute does not require the court to find the existence of every factor before concluding that
    termination is in a child’s best interest. In re Audrey S., 182 S.W.3d at 878. Further, the best
    interest of a child must be determined from the child’s perspective and not the parent’s.
    White v. Moody, 
    171 S.W.3d 187
    , 194 (Tenn. Ct. App. 2004).
    Tennessee Code Annotated § 36-1-113(i) lists the following factors for consideration:
    (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;
    (5) The effect a change of caretakers and physical environment is likely to
    have on the child’s emotional, psychological and medical condition;
    (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
    -15-
    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.
    In this case, the trial court appropriately made findings regarding the above-listed
    statutory factors, finding factors 1, 2, 6, and 7 to be determinative:
    The Respondent has not made such an adjustment of circumstance, conduct,
    or conditions as to make it safe and in the children’s best interest to be in the
    home of the Respondent. The Respondent still has unresolved mental health
    issues as well as the need for a suitable home. The home is currently not ready
    for the children and Lewis [S.] is still an active participant in [Mother’s] life.
    It would not be in the best interests of the children to return to the
    Respondent’s care.
    The Respondents have 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. [Mother] has not
    addressed her mental health issues, still does not have appropriate housing, and
    is still involved with Lewis [S.] even after DCS has provided some assistance
    before and after the removal of the minor children for over one (1) year. The
    minor child Stephen has disclosed that Lewis [S.] has sexually molested him.
    It is not safe for the minor children to reside in the home because [Lewis S.]
    is still present. Further, Lewis [S.] has had a domestic violence history that at
    least one of the minor children has witnessed. [Mother] does not seem willing
    or able to keep the minor children away from Lewis [S.].
    These findings are supported by the evidence adduced at trial. We agree that Mother
    has not made a significant adjustment to her circumstances or conduct so as to make it safe
    for the Children to be with her. Further, due to the length of time DCS has been attempting
    to help Mother, an adjustment does not reasonably appear possible. Although Mother has
    visited with the Children, albeit not regularly, there was no proof that a meaningful
    relationship existed between Mother and the Children. A change of caretakers and physical
    environment would have a detrimental effect on the Children’s emotional and psychological
    -16-
    well-being, based on Stephen’s disclosure of possible abuse and his regression in behavior
    after visiting with Mother. As the trial court found, Mother appeared desirous of keeping
    Lewis S. as a part of her life, despite the previous physical abuse he inflicted upon her and
    her oldest child and despite the sexual abuse allegations voiced against him by Stephen.
    Mother did not maintain a safe and suitable home for the Children. She also failed
    to comply with the requirement that she obtain a mental health assessment until
    approximately one month before trial; ostensibly, her mental health issues, if any, had not yet
    been addressed. Finally, there was no proof regarding whether Mother had paid any child
    support. Reviewing the evidence in light of the statutory factors, the trial court did not err
    in finding clear and convincing evidence that termination of Mother’s parental rights was in
    the best interest of the Children.
    IX. Conclusion
    The judgment of the trial court terminating the parental rights of Mother is affirmed.
    Costs on appeal are taxed to the appellant, Tammy S. This case is remanded to the trial
    court, pursuant to applicable law, for enforcement of the trial court’s judgment and collection
    of costs assessed below.
    _______________________________
    THOMAS R. FRIERSON, II, JUDGE
    -17-