In Re Kailyn B. ( 2022 )


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  •                                                                                                               10/17/2022
    IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    July 19, 2022 Session
    IN RE KAILYN B.
    Appeal from the Chancery Court for Campbell County
    No. 2016-CV-171 Elizabeth C. Asbury, Chancellor
    ___________________________________
    No. E2021-00809-COA-R3-PT
    ___________________________________
    Mother appeals the termination of her parental rights. In addition to disputing the grounds
    for termination and best interest, Mother argues that the petition was fatally flawed, and
    Petitioners should not have been allowed to amend after the close of their proof. We
    conclude that the trial court did not err in deciding the case on its merits because the
    amendments were not prejudicial to Mother and remedied the petition’s deficiencies. We
    further conclude that clear and convincing evidence was presented of both the grounds for
    termination and that termination was in the child’s best interest. As such, we affirm the
    decision of the trial court.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Chancery Court Affirmed
    and Remanded
    J. STEVEN STAFFORD, P, J., W.S., delivered the opinion of the court, in which D. MICHAEL
    SWINEY, C.J. and THOMAS R. FRIERSON, II, J., joined.
    Kevin W. Shepherd, Maryville, Tennessee, for the appellant, Brittany M. R.
    Kristie N. Anderson, Jacksboro, Tennessee, for the appellee, Dustin L. B., and Ali F. B.
    OPINION
    I. FACTS AND PROCEDURAL HISTORY
    Respondent/Appellant Brittany M. R.1 (“Mother”) and Petitioner/Appellee Dustin
    L. B. (Father) are unmarried parents of minor child Kailyn B., born in October 2008. When
    1
    In cases involving termination of parental rights, it is this Court’s policy to remove the full names.
    of children and other parties to protect their identities.
    Mother and Father ended their relationship, the child remained in the primary custody of
    Mother. Father was granted co-parenting time and paid court-ordered child support.
    Both Mother and Father admit being addicted to drugs, such as cocaine, early in
    their relationship. In or around June 2010, Father participated in rehabilitation therapy and
    ceased his drug use. By her own admission, Mother continued with her drug use and began
    abusing heroin and other opioids, including Hydrocodone and Roxicodone.2
    During this time where her drug use was escalating, Mother retained custody of the
    child. In late 2014, Gypsy F. (“Grandmother”), Mother’s grandmother, i.e., the child’s
    maternal great-grandmother, became aware that the child was missing significant amounts
    of kindergarten. This truancy, coupled with Mother’s escalating drug use, led Grandmother
    to contact Father about seeking custody of the child.
    On November 24, 2014, Father filed an emergency custody petition in Knox County
    Juvenile Court (“the juvenile court”) alleging the child to be dependent and neglected while
    in the care of Mother. After a January 14, 2015 hearing, the juvenile court entered an
    interim order placing the child in Father’s custody. The order reflected that Mother had
    been served with the petition but had not responded or appeared. Mother was incarcerated
    in Blount County for approximately three months, beginning in February 2015.
    A second hearing regarding the emergency custody petition was held on April 30,
    2015. Both Father and Mother appeared with counsel. Pursuant to an oral stipulation by
    Mother, the juvenile court found that the child was dependent and neglected as a result “of
    the Mother’s current incarceration and as a result of the Mother having issues with
    substance abuse[.]” In the final order, the child was placed in the legal and physical custody
    of Father. Father’s then-fiancé, now-wife, Petitioner/Appellee Ali F. B. (“Stepmother,” and
    together with Father, “Petitioners”) was authorized to consent to any medical decisions
    regarding the child. Mother was granted co-parenting time, to be
    strictly supervised by [Grandmother] at the home of the supervisor or in an
    appropriate public place approved by the Father. The dates, times, and length
    for co-parenting time shall be by agreement between the Father and the
    supervisor. The Mother shall not be entitled to any overnight co-parenting
    time with the child. The Mother shall not have anyone else with her during
    the supervised co-parenting time.
    2
    See State v. Smith, No. M2020-00181-CCA-R3-CD, 
    2021 WL 1382584
     (Tenn. Crim. App. Apr.
    13, 2021) (expert testimony describing both heroin and hydrocodone as opioids); State v. Dye, No. M2018-
    01191-CCA-R3-CD, 
    2019 WL 5172275
    , at *4 (Tenn. Crim. App. Oct. 15, 2019) (expert testimony that
    “Hydrocodone is an opiate and central nervous system depressant” and “the effects of heroin would be
    similar to the effects of hydrocodone”); New Jersey Div. Child Prot. & Permanency v. J.B., No. A-4795-
    14T1, 
    2017 WL 2979342
    , at *2 (N.J. Super. App. Div. July 13, 2017) (per curiam) (expert testimony
    explaining that Roxicodone is the brand name of a synthetic opiate also referred to as “Roxies”).
    -2-
    Mother was also given a list of specific tasks to be completed prior to petitioning to modify
    the visitation agreement. Among other requirements aimed at stabilizing her domestic
    situation, Mother was to attend parenting classes, obtain an honest alcohol and drug
    assessment, and exercise regular visitation with the child.
    Father filed a petition to establish Mother’s child support obligation on March 4,
    2015. Mother failed to appear for the August 24, 2015 hearing. The juvenile court’s order
    established that Mother was to pay $253.00 per month beginning September 1, 2015.
    Father’s prior obligation was also terminated. The order was eventually filed in August
    2016, but designated nunc pro tunc to August 24, 2015.
    On or about May 29, 2015, Mother entered a guilty plea to a Class E felony for false
    reporting, a Class A misdemeanor for theft of property under $500.00, and a Class D felony
    for theft of property over $1,000.00. Mother testified that she successfully completed a
    total sentence of three and a half years supervised probation on these charges.3
    Father and Stepmother filed a petition for adoption and termination of parental
    rights in the Chancery Court for Campbell County (“the trial court”) on October 28, 2016.
    The petition alleged that Mother’s parental rights should be terminated on the grounds of
    abandonment, noncompliance with a permanency plan or a plan of care, and persistence of
    conditions.4 Petitioners’ motion to permit notice by publication was granted by order of
    November 15, 2016. Mother failed to answer or appear and the trial court entered a final
    decree of adoption on April 27, 2017.
    3
    Mother’s three-month incarceration beginning in February 2015 appears to have been pre-trial
    detention related to these charges.
    4
    Petitioners may also have attempted to raise Tennessee Code Annotated § 36-1-113(g)(14) as
    grounds for termination. That section calls for termination when:
    A legal parent or guardian has failed to manifest, by act or omission, an ability and
    willingness to personally assume legal and physical custody or financial responsibility of
    the child, and placing the child in the person's legal and physical custody would pose a risk
    of substantial harm to the physical or psychological welfare of the child.
    
    Tenn. Code Ann. § 36-1-113
    (g)(14). In their petition, Petitioners argued that Mother’s “parental rights shall
    be terminated in that [she is] unfit, or, alternatively, that substantial harm to the child will result if
    [Mother’s] parental rights are not terminated.” This is not a perfect analog to the statutory ground. The trial
    court’s treatment of this allegation is also confusing. Section 36-1-113(g)(14) is not addressed in the trial
    court’s findings of fact or conclusions of law. That section is, however, cursorily addressed in the trial
    court’s final judgment as being found as a ground for termination by clear and convincing evidence. Neither
    party has raised the inclusion of section (g)(14) in the final judgment as an issue on appeal or otherwise
    provided any argument as to its applicability to the case-at-bar, so we will not tax the length of this Opinion
    with substantial discussion of the arguably alleged ground.
    -3-
    Mother filed a petition to modify visitation in the juvenile court in September 2018,
    including exhibits in support of her allegation that she had satisfied the juvenile court’s
    June 2015 requirements. Then, on March 18, 2019, Mother filed a motion to unseal the
    child’s adoption file along with a petition to set aside the adoption and termination order.
    By order of July 19, 2019, the trial court granted the motion to unseal and permitted Mother
    to file her petition to set aside. Therein, Mother argued that the final decree of adoption
    was void because the trial court granted the order of publication when Petitioners’ motion
    lacked the statutorily-required affidavit of diligent search or inquiry. Petitioners responded
    to Mother’s motion and Mother answered Petitioners’ initial petition for adoption and
    termination. By order of March 16, 2020, designated nunc pro tunc to October 18, 2019,
    the trial court declared the 2017 final decree of adoption void and ordered a new trial on
    the termination petition. Visitation with the child was neither ordered nor prohibited,
    pending the new trial.
    The trial regarding the termination of Mother’s parental rights was held on three
    separate dates: July 22, 2020, August 25, 2020, and April 14, 2021. Although each party
    called witnesses on their behalf, the bulk of the proof consisted of Mother’s and Father’s
    testimony. Mother admitted that the juvenile court’s pre-modification requirements were
    not fully met prior to the October 2016 petition for adoption and termination. Most were
    not completed until she filed her petition to modify in 2018, and some remained unsatisfied
    even by the time of trial. Mother admitted that she had not been honest about her prior
    opioid use during her alcohol and drug assessment, had not completed the mental health
    treatment recommended as part of the assessment, and had not executed any release of the
    assessment to Father or the others indicated in the juvenile court’s order. Mother also
    testified that the singular parenting class she attended in 2018 was not scheduled through
    the juvenile court as directed.
    Mother denied receiving notice of the child support petition while incarcerated in
    the Blount County Jail but admitted to knowing that Father’s child support obligation had
    been terminated. Mother further acknowledged that she owed a financial responsibility to
    support the child. Mother explained that she has had stable housing since 2016 and
    currently lives with her husband, their child together, and her two stepchildren. Mother
    testified that she currently has a steady income, noting also that at the time of trial her
    husband was unemployed but receiving veteran’s benefits. It was established that Mother
    worked intermittently from 2013 through 2015 and in 2017, and that her boyfriend from
    2013 to 2016 provided her with roughly $180.00 per day to fund her pain pill habit.
    Mother acknowledged that she was in active addiction while the child was in her
    custody prior to November 2014. Mother testified that her heroin use ended after she was
    released from jail in 2015 and that she ended her regular Roxicodone use in September
    2016, but continued to take pills as necessary to combat withdrawal symptoms until she
    quit “cold turkey” in October 2016. Mother testified that she is currently prescribed
    Oxycodone and Gabapentin for lower back pain related to a car accident when she was
    -4-
    seventeen.5 Mother agreed that she will sometimes drive with her children in the car after
    taking the medication. Mother further testified that she did not disclose to the prescribing
    institution that she was previously addicted to pain medication.
    Mother testified that she visited with the child under Grandmother’s supervision
    approximately six times between the issuance of the permanent custody order in 2014 and
    July 2016. Mother also testified that she made numerous attempts to contact Father and the
    child by phone but was denied access by Father. Mother admitted that there were times the
    child was visiting with Grandmother during which Mother was abusing drugs and did not
    see the child. Mother explained that she did not want to take the child away from Father
    and Stepmother, but only wanted to reestablish their relationship.
    Father also testified. Father explained that he has stable income and housing, and
    had been sober for ten years. Father testified that Mother visited with the child only one
    additional time between when he obtained custody in January 2015 and the final visit in
    July 2016. Father further testified that Mother contacted him a few times after the July
    2016 visit and was able to speak with the child, but that Mother did not request any further
    visitation. Father described the growth seen in the child after being placed in his custody,
    as well as the child’s close relationship with Stepmother and Stepmother’s parents. Father
    testified that the child had not asked after Mother or Mother’s family since he received
    custody. Father opined that the child would be negatively affected if a relationship was
    reestablished with Mother.
    At the close of Petitioners’ proof on August 25, 2020, counsel for Mother made an
    oral motion for involuntary dismissal6 and submitted a memorandum in support. Mother
    argued that the Petitioners had not (1) proven abandonment within the relevant four-month
    period prescribed by statute; (2) filed the putative father registry statement; (3) included in
    the petition certain required statistical information about the child’s previous addresses or
    the notice required by Tennessee Rule of Civil Procedure 9A; or (4) proven noncompliance
    5
    Oxycodone is an opioid similar to Hydrocodone. See Dye, 
    2019 WL 5172275
    , at *4 (expert
    testimony that “[H]ydrocodone is not the same as [O]xycodone, although the drugs have similar effects”);
    Russell v. Dana Corp., No. M2015-00800-SC-R3-WC, 
    2016 WL 4136548
    , at *8 (Tenn. Workers Comp.
    Panel Aug. 1, 2016) (per curiam) (finding physician’s replacement of a “hydrocodone prescription with the
    more powerful opioid, oxycodone” to be improper in response to “various instances of misuse”).
    Gabapentin is a controlled substance prescribed for nerve pain. See State v. Franklin, No. E2019-01047-
    CCA-R3-CD, 
    2020 WL 2570030
    , at *2 (Tenn. Crim. App. May 21, 2020) (expert testimony).
    6
    We note that while Mother’s motion was called a “Motion for Directed Verdict” and referred to
    as such throughout the record in this case, it would more properly be categorized as a Motion for Involuntary
    Dismissal under Tennessee Rule of Civil Procedure 41.02. See McAdams v. McAdams, No. E2019-02150-
    COA-R3-CV, 
    2020 WL 4723762
    , at *2 (Tenn. Ct. App. Aug. 13, 2020) (“A Rule 50 motion for a directed
    verdict differs markedly from a Rule 41.02(2) motion for involuntary dismissal. The most obvious
    difference between the two is that a motion for a directed verdict has no place in a bench trial while a motion
    for involuntary dismissal has no place in a jury trial.”) (citing Burton v. Warren Farmers Co-op., 
    129 S.W.3d 513
    , 520 (Tenn. Ct. App. 2002)).
    -5-
    with a permanency plan, as none existed as defined under statute. On September 22, 2020,
    Petitioners filed a motion for leave to amend their petition to include the notice required
    by Tennessee Rule of Civil Procedure 9A.
    After considering Mother’s motion and Petitioners’ response and motion to amend,
    the trial court explained in its September 30, 2020 opinion that there was enough proof to
    go forward on the abandonment issue, Petitioners had substantially complied with the
    statistical information statute, and Mother would not be prejudiced by allowing Petitioners
    to include the Rule 9A notice. The trial court also allowed the late filing of the putative
    father registry statement but agreed with Mother that there was no permanency plan at
    issue. Petitioners then filed their second motion for leave to amend, adding to the petition
    information regarding the child’s residency over the previous five years, on April 7, 2021,
    prior to the presentment of Mother’s proof.
    On May 3, 2021, the trial court issued its findings of fact and conclusions of law.
    As to Petitioner’s second motion to alter or amend, the trial court did not specifically state
    that the motion was granted, but rather ruled that there had been “compliance with
    providing other statutorily required averments in the pleadings.” The trial court then
    concluded that two grounds for termination—abandonment by both willful failure to visit
    and willful failure to support—had been proven by clear and convincing evidence,7 and
    that termination of Mother’s parental rights was in the best interest of the child. The final
    judgment terminating Mother’s parental rights was entered July 1, 2021. The judgment
    reflected the trial court’s findings of abandonment by failure to support and failure to visit,
    as well as termination of Mother’s rights being in the best interest of the child. Mother filed
    her notice of appeal to this Court on July 15, 2021.
    II. ISSUES RAISED
    As we perceive it, this appeal involves two procedural issues and two substantive
    issues:
    1. Whether the trial court erred in granting Petitioners’ motions to amend after the
    close of their proof.
    2. Whether the trial court erred in not dismissing the petition based on its cumulative
    deficiencies.
    3. Whether the trial court erred in finding grounds for termination by clear and
    convincing evidence.
    4. Whether the trial court erred in finding it to be in the best interest of the child to
    terminate Mother’s parental rights.
    III. ANALYSIS
    7
    The trial court specifically found that Petitioners failed to prove persistence of conditions.
    -6-
    A.
    We begin with Mother’s procedural arguments that the trial court erred by allowing
    Petitioners to cure the deficiencies in the petition rather than dismissing the petition at the
    close of Petitioners’ proof. Mother argues that the petition was defective in three main
    respects.8 Mother first contends that the petition failed to comply with Tennessee Code
    Annotated section 36-1-113(d)(3)(A)(i)9 in that the petition was filed before the putative
    father registry was consulted. Mother further argues that the petition did not contain certain
    statistical information concerning the residences of the child during the previous five years
    as required by Tennessee Code Annotated section 36-6-224.10 Finally, Mother argues that
    the petition failed to include the notice required by Tennessee Rule of Civil
    Procedure 9A.11
    8
    Mother initially discusses the deficiency relating to the Petitioners’ service by publication that
    lead to the April 27, 2017 final decree of adoption. However, the trial court agreed with Mother’s petition
    to set aside that order, and voided the final decree based on improper service. Mother also points to
    Petitioners’ reference to a permanency plan as evidence of the petition’s deficiency. The trial court
    acknowledged that a permanency plan as defined in Tennessee Code Annotated section 37-2-402(9) was
    inapplicable to this case and granted Mother’s motion for involuntary dismissal on that ground. As such,
    section 36-1-113(g)(2) was not a basis for the trial court’s termination of Mother’s parental rights.
    9
    The statute in effect when the petition was filed read in pertinent part:
    (3)(A) The petition, or allegations in the adoption petition, shall contain a verified
    statement that:
    (i) The putative father registry maintained by the department has been consulted within ten
    (10) working days of the filing of the petition and shall state whether there exists any claim
    on the registry to the paternity of the child who is the subject of the termination or adoption
    petition[.]
    
    Tenn. Code Ann. § 36-1-113
     (2016).
    10
    The statute provides in pertinent part:
    (a) Subject to the provisions of § 36-4-106(b), in a child-custody proceeding, each party,
    in its first pleading or in an attached affidavit, shall give information, if reasonably
    ascertainable, under oath, as to the child's present address or whereabouts, the places where
    the child has lived during the last five (5) years, and the names and present addresses of
    the persons with whom the child has lived during that period. . . .
    
    Tenn. Code Ann. § 36-6-224
    .
    11
    Rule 9A reads:
    In addition to meeting all other applicable rules governing the filing of pleadings,
    any complaint or petition seeking a termination of parental rights shall contain the
    following notice: “Any appeal of the trial court's final disposition of the complaint
    or petition for termination of parental rights will be governed by the provisions of
    Rule 8A, Tennessee Rules of Appellate Procedure, which imposes special time
    limitations for the filing of a transcript or statement of the evidence, the completion
    -7-
    Mother argues that the culmination of multiple deficiencies in the petition was not
    simply harmless error and the order allowing adoption and termination should be set aside.
    In support of her argument, Mother looks to In re Natalie R.C., No. E2011-01185-COA-
    R3-PT, 
    2011 WL 4924170
     (Tenn. Ct. App. Oct. 18, 2011), a termination case involving a
    petition with similar deficiencies. There, the parties agreed that the petition to terminate
    the father’s parental rights was missing the required notice of special appellate timing in
    termination cases, the required statement about consulting the putative father registry, the
    required statistical information regarding the child’s residence, and the required language
    regarding the effect of termination. 
    Id.
     at *2–4. Mother correctly quotes this Court in its
    conclusion that: “[h]owever technical these omissions may seem, given the number of
    omissions considered in the context of a termination of parental rights, they may not be
    overlooked or excused.” Id. at *5. Yet Mother omits the very next sentence which reads:
    “We, however, do not agree with Father that these defects are fatal and require the petition
    to be dismissed.” Id. Instead, this Court determined the defects to be “such that they can
    be corrected . . . if given the opportunity[.]” Id. The order terminating the father’s rights
    was therefore vacated and the case was remanded to allow the petitioner the chance to
    remedy the deficiencies in her petition. Id. Thus, the case stands for the exact opposite
    proposition as Mother would have us believe—in the face of multiple deficiencies,
    petitions for termination of parental rights may be amended rather than dismissed. And
    unlike in In re Natalie R.C., the Petitioners here corrected the deficiencies in their petition
    prior to the final judgment.
    Petitioners’ first motion for leave to amend involved adding to their petition the
    notice required by Tennessee Rule of Civil Procedure 9A and was filed September 22,
    2020. Because Mother was represented by competent counsel, the trial court found no
    prejudice to Mother in allowing Petitioners to amend the petition to include the Rule 9A
    notice. Petitioners’ second motion to amend was filed April 7, 2021, and included statistical
    data about the child’s previous addresses as required by Tennessee Code Annotated section
    36-6-224. The motion was never expressly granted by the trial court. In its September 30,
    2020 opinion, the trial court acknowledged the missing information but found that
    Petitioners had substantially complied with the statute. Then, when the motion to amend
    was discussed prior to Mother putting on her proof, the trial court referred the parties to
    the September opinion, explaining that, “[a]s far as I’m concerned, that’s been addressed.”
    Later, in its May 3, 2021 opinion, the trial court acknowledged Petitioners’ compliance
    with “statutorily required averments.” Taken together, these statements indicate that the
    trial court found that Petitioners could amend their petition to include the missing
    information and that the resulting amended petition was sufficiently compliant with the
    and transmission of the record on appeal, and the filing of briefs in the appellate
    court, as well as other special provisions for expediting the appeal. All parties must
    review Rule 8A, Tenn. R. App. P., for information concerning the special
    provisions that apply to any appeal of this case.”
    Tenn. R. Civ. P. 9A.
    -8-
    statutory requirements such that any remaining deficiencies were not fatal. Cf. Morgan
    Keegan & Co. v. Smythe, 
    401 S.W.3d 595
    , 608 (Tenn. 2013) (“[W]hen construing orders
    and judgments, effect must be given to that which is clearly implied, as well as to that
    which is expressly stated.”).
    Both of Petitioners’ amendments fall under Tennessee Rule of Civil Procedure
    15.01. The admonition that “leave [to amend a pleading] shall be freely given when justice
    so requires” in Rule 15.01 reflects Tennessee’s “history of favoring amendments.” City of
    Oak Ridge v. Levitt, 
    493 S.W.3d 492
    , 499 (Tenn. Ct. App. 2015). Indeed, “Tennessee law
    and policy have always favored permitting litigants to amend their pleadings to enable
    disputes to be resolved on their merits rather than on legal technicalities.” Hardcastle v.
    Harris, 
    170 S.W.3d 67
    , 80 (Tenn. Ct. App. 2004) (collecting cases dating to 1814). So
    while the decision to permit an amendment is discretionary, the mandatory language of
    Rule 15.01 “substantially lessens the exercise of pre-trial discretion on the part of a trial
    judge.” Blackwell v. Sky High Sports Nashville Operations, LLC, 
    523 S.W.3d 624
    , 656
    (Tenn. Ct. App. 2017) (quoting Branch v. Warren, 
    527 S.W.2d 89
    , 91 (Tenn. 1975)).
    In addressing motions to amend, trial courts have been directed to “consider several
    factors, including ‘undue delay in filing the amendment, lack of notice to the opposing
    party, bad faith by the moving party, repeated failure to cure deficiencies by previous
    amendments, undue prejudice to the opposing party, and the futility of the amendment.’”
    
    Id.
     (quoting Gardiner v. Word, 
    731 S.W.2d 889
    , 891–92 (Tenn. 1987)). Of these, the
    potential prejudicial effect of the proposed amendment is the most important to the trial
    court’s analysis. Hardcastle, 
    170 S.W.3d at
    81 (citing 6 Charles A. Wright et al., Federal
    Practice and Procedure § 1487 (3d ed. 2022) (addressing consideration of motions to
    amend under the identical rule of federal civil procedure)). Mother argues that both motions
    should have been denied based on undue delay, repeated failure to cure deficiencies, and
    undue prejudice.
    Delay alone is insufficient to justify denying a motion to amend. March v. Levine,
    
    115 S.W.3d 892
    , 909 (Tenn. Ct. App. 2003) (citing Moore v. City of Paducah, 
    790 F.2d 557
    , 562 (6th Cir. 1986)). Yet, unexplained delay coupled with other factors, like prior
    knowledge of facts underlying a newly-added cause of action or undue prejudice to the
    other party, could constitute such undue delay as to proscribe amendment. 
    Id.
     (citations
    omitted). Thus, even in its contemplation of other factors, a trial court must consider an
    amendment’s prejudicial effect. A trial court’s analysis of the prejudicial effect of a
    proposed amendment is a fact-intensive exercise. Hardcastle, 
    170 S.W.3d at 81
    . The court
    must consider how its decision whether to grant the request to amend would affect the
    parties, requiring an inquiry into “(1) the hardship on the moving party if the amendment
    is denied; (2) the reasons for the moving party’s failure to include the claim, defense, or
    other matter in its earlier pleading; and (3) the injustice to the opposing party should the
    motion to amend be granted.” 
    Id.
     (citing Wright, et al., supra, at § 1487).
    -9-
    A trial court’s decision on a motion to amend is reviewed under an abuse of
    discretion standard. Blackwell, 523 S.W.3d at 656 (citing Fann v. City of Fairview, 
    905 S.W.2d 167
    , 175 (Tenn. Ct. App. 1994)). Therefore, we “presume that the trial court’s
    discretionary decision is correct, and we consider the evidence in the light most favorable
    to the decision.” Wright ex rel. Wright v. Wright, 
    337 S.W.3d 166
    , 176 (Tenn. 2011)
    (citations omitted). Here, the evidence supports allowing Petitioners to amend.
    Some of the relevant factors certainly weigh against allowing the amendment in this
    case. For one, Petitioners, to this day, have never offered any explanation for the delay in
    filing a correct petition. And they needed two amendments to achieve a substantially
    correct petition. On the other hand, however, there is no allegation that Petitioners were
    acting in bad faith. Moreover, Petitioners did file both their amendments shortly after
    Mother’s motion for involuntary dismissal brought this matter to their attention. This is far
    earlier than the petitioner in In Re Natalie, who was given an opportunity to correct
    deficiencies in her petition for the first time after an appeal. 
    2011 WL 4924170
    , at *5. And
    the hardship faced by Petitioners if the amendment was not granted is harsh; their petition,
    which alleges that the parent of a child abandoned that child and has no relationship with
    her, would be denied on a technicality.
    What is more, the trial court found that these technical deficiencies had no effect on
    Mother. In other words, Mother suffered no prejudice due to the technical deficiencies. The
    trial court’s finding is in line with the holdings of other cases that amending a termination
    petition to include the Rule 9A notice is not prejudicial to responding parties and that
    failure to include the notice is harmless error. In re Bentley D., No. E2016-02299-COA-
    R3-PT, 
    2018 WL 1410903
    , at *4 (Tenn. Ct. App. Mar. 21, 2018) (finding no prejudice
    where neither original petition or amendment contained Rule 9A notice); In re J.G.H., Jr.,
    No. W2008-01913-COA-R3-PR, 
    2009 WL 2502003
    , at *12 (Tenn. Ct. App. Aug. 17,
    2009) (holding that “the trial court did not err in denying Mother’s oral motion to dismiss
    or in allowing the [petitioners] to file an amendment to their petition to include the required
    notice”); In re S.R.M., No. E2008-01359-COA-R3-PT, 
    2009 WL 837715
    , at *15 (Tenn.
    Ct. App. Mar. 27, 2009) (“Father was not prejudiced by any initial noncompliance with
    Tenn. R. Civ. P. 9A. Any error was harmless and does not require reversal. The Juvenile
    Court did not err in allowing DCS to amend the petition.” (citation omitted)). Under these
    circumstances, the trial court’s decision to allow Petitioners the opportunity to correct the
    deficiencies in their petition was a reasonable “choice among several acceptable
    alternatives.” Lee Med., Inc. v. Beecher, 
    312 S.W.3d 515
    , 524 (Tenn. 2010). As such, the
    trial court did not abuse its discretion in allowing these amendments. Given the
    amendments, Mother’s arguments that the petition lacked either the required Rule 9A
    notice or necessary statistical information such that it should have been dismissed are
    without merit.
    The only remaining deficiency raised by Mother is the failure to include the
    statement regarding the putative father registry. In its response to Mother’s motion to
    - 10 -
    dismiss, the trial court allowed Petitioners to late file the statement.12 Petitioners allege that
    the statement was filed before the completion of trial. The trial court acknowledged that
    the statement was in the court file in its findings of fact and conclusions of law. The
    statement does not, however, appear in the record designated upon appeal. “In the absence
    of a transcript or statement of the evidence, we conclusively presume that the findings of
    fact made by the trial court are supported by the evidence and are correct.” In re M.L.D.,
    
    182 S.W.3d 890
    , 895 (Tenn. Ct. App. 2005) (citing J.C. Bradford & Co. v. Martin Constr.
    Co., 
    576 S.W.2d 586
    , 587 (Tenn. 1979)). Here, without the benefit of a full appellate
    record, we are unable to adequately review the trial court’s finding that the statement was
    filed. Thus, we cannot dispute that the petition’s deficiencies were fully remedied prior to
    the issuance of the trial court’s final judgment. Because Petitioners were properly given a
    chance to correct their petition and have done so, the trial court did not err in not dismissing
    the petition but resolving the case on its merits.
    B.
    We move next to the substantive issues, namely the trial court’s findings that clear
    and convincing evidence supported termination of Mother’s parental rights. Parental rights
    are “among the oldest of the judicially recognized fundamental liberty interests protected
    by the Due Process Clauses of the federal and state constitutions.” In re Carrington H.,
    
    483 S.W.3d 507
    , 521 (Tenn. 2016) (collecting cases). In Tennessee, termination of parental
    rights is governed by statute, which identifies “situations in which the state’s interest in the
    welfare of a child justifies interference with a parent’s constitutional rights by setting forth
    grounds on which termination proceedings can be brought.” In re Jacobe M.J., 
    434 S.W.3d 565
    , 568 (Tenn. Ct. App. 2013) (quoting In re W.B., Nos. M2004-00999-COA-R3-PT,
    M2004-01572-COA-R3-PT, 
    2005 WL 1021618
    , at *7 (Tenn. Ct. App. Apr. 29, 2005)).
    “[P]arents are constitutionally entitled to fundamentally fair procedures in parental
    termination proceedings.” In re Carrington H., 483 S.W.3d at 511. These procedures
    include “a heightened standard of proof—clear and convincing evidence.” Id. at 522
    (citation omitted); accord In re Addalyne S., 
    556 S.W.3d 774
    , 782 (Tenn. Ct. App. 2018)
    (“Considering the fundamental nature of a parent’s rights, and the serious consequences
    that stem from termination of those rights, a higher standard of proof is required in
    determining termination cases.”).
    Thus, a party seeking to terminate a parent’s rights must prove by clear and
    convincing evidence (1) the existence of at least one of the statutory grounds in section
    36-1-113(g), and (2) that termination is in the child’s best interest. In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002). The clear and convincing evidence standard applicable here
    is “more exacting than the ‘preponderance of the evidence’ standard, although it does not
    12
    The admissibility of evidence rests squarely within the sound discretion of the trial court and will
    not be disturbed absent clear abuse. Young v. Young, 
    971 S.W.2d 386
    , 392 (Tenn. Ct. App. 1997)
    (collecting cases).
    - 11 -
    demand the certainty required by the ‘beyond a reasonable doubt’ standard. In re S.R.C.,
    
    156 S.W.3d 26
    , 29 (Tenn. Ct. App. 2004) (citation omitted). “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 Carrington H., 483 S.W.3d at 522. The standard “ensures that the
    facts are established as highly probable, rather than as simply more probable than not.” Id.
    (citing In re Audrey S., 
    182 S.W.3d 838
    , 861 (Tenn. Ct. App. 2005); In re M.A.R., 
    183 S.W.3d 652
    , 660 (Tenn. Ct. App. 2005)).
    In termination cases, appellate courts review a trial court’s factual findings de novo
    and accord these findings a presumption of correctness unless the evidence preponderates
    otherwise. See Tenn. R. App. P. 13(d); In re Carrington H., 483 S.W.3d at 523–24. “The
    trial court’s ruling that the evidence sufficiently supports termination of parental rights is
    a conclusion of law, which appellate courts review de novo with no presumption of
    correctness.” In re Carrington H., 483 S.W.3d at 524 (citation omitted).
    1. Grounds for Termination
    Mother does not expressly raise the issue that the trial court erred in finding clear
    and convincing evidence of grounds for termination. Instead, she mentions the trial court’s
    finding of abandonment within her discussion of the petition’s procedural deficiencies. We
    will nevertheless address each of the grounds for termination discussed by the trial court.
    See id. at 525–26 (holding 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 interests, regardless of whether the
    parent challenges these findings on appeal”). The grounds at issue in this appeal are
    therefore: (1) abandonment based on willful failure to visit and (2) abandonment based on
    willful failure to support.13
    Tennessee Code Annotated section 36-1-113(g)(1) provides abandonment by a
    parent as a ground for the termination of parental rights. In turn, Tennessee Code Annotated
    section 36-1-102 defines the term “abandonment.” At the time the termination petition was
    filed, in October 2016, abandonment was defined, in pertinent part, as follows:
    For purposes of terminating the parental or guardian rights of a parent or
    13
    We again note that Petitioners may have attempted to raise a failure to manifest the ability or
    willingness to assume custody or responsibility for the child as a ground for termination in their petition.
    However, the ground was not argued at trial or addressed in the parties’ briefs. Thus, even if the ground
    had been raised, it has since been abandoned. Furthermore, no additional findings of fact or conclusions of
    law regarding this ground appear in the record. See 
    Tenn. Code Ann. § 36-1-113
    (k) (requiring specific
    findings of fact and conclusions of law in termination orders). We therefore decline to review this ground
    further, as although In re Carrington H. directs us to address each ground found by the trial court, we do
    not interpret that directive as requiring such a fruitless endeavor.
    - 12 -
    parents or a guardian or guardians of a child to that child in order to make
    that child available for adoption, “abandonment” means that:
    (i) For a period of four (4) consecutive months immediately preceding the
    filing of a proceeding or pleading to terminate the parental rights of the
    parent . . . of the child who is the subject of the petition for termination
    of parental rights or adoption, that the parent . . . either [has] willfully
    failed to visit or [has] willfully failed to support or [has] willfully failed
    to make reasonable payments toward the support of the child[.]
    
    Tenn. Code Ann. § 36-1-102
    (1)(A) (2016). That section further provided that a willful
    failure to visit consists of “the willful failure, for a period of four (4) consecutive months,
    to visit or engage in more than token visitation[.]” 
    Id.
     § 36-1-102(1)(E). “Token visitation”
    was defined as visitation that “constitutes nothing more than perfunctory visitation or
    visitation of such an infrequent nature or of such short duration as to merely establish
    minimal or insubstantial contact with the child[.]” Id. § 36-1-102(1)(C). In this case, the
    four-month period at issue spans from June 28, 2016, to October 27, 2016.
    Mother first finds fault with the trial court’s finding of a willful a failure to visit
    because she had visited with the child within the four-month period prescribed by statute.
    Our analysis of this issue is somewhat complicated because the proof at trial as to visitation
    was not strictly limited to the four-month period at issue. Both parties agree that at least
    one visit did take place during this period, in July 2016. Father’s testimony is that there
    may have been one additional visit during the four-month period, as he said that another
    visit occurred in either May or June 2016.14 Regardless, Father testified that both visits
    were improper based on Mother’s failure to comply with the juvenile court’s restrictions.
    Grandmother acknowledged that there were two incidents involving Mother’s visitation
    with the child not following the juvenile court’s order, although she was unable to say
    exactly when Mother visited. So then, at best, Father testified that Mother participated in a
    maximum of two visits during the four-month period, with both marred by misconduct.
    In contrast, Mother testified that she had actually visited with the child six or seven
    times after Father received custody, with the final visit being in July 2016. Mother’s
    testimony was unclear as to when the other visits occurred and she provided no proof other
    than her testimony to support the number of visits. Faced with this dispute, the trial court
    chose to credit the testimony of Father and Grandmother over that of Mother. The trial
    court is the “arbiter of witness credibility of those who testify live before it.” In re Hope
    G., No. E2021-01521-COA-R3-PT, 
    2022 WL 4391897
    , *6 (Tenn. Ct. App. Sept. 23,
    2022). A trial court’s determination of issues that hinge on witness credibility should be
    afforded “considerable deference.” 
    Id.
     (quoting Kelly v. Kelly, 
    445 S.W.3d 685
    , 692 (Tenn.
    14
    Father further testified that these were the only two visits that Mother had with the child in the
    approximately five-year period from his January 2015 receipt of custody until trial in 2020.
    - 13 -
    2014)). “[A]ppellate courts will not re-evaluate a trial judge’s assessment of
    witness credibility absent clear and convincing evidence to the contrary.” Wells v.
    Tennessee Bd. of Regents, 
    9 S.W.3d 779
    , 783 (Tenn. 1999).
    Here, Mother has not presented clear and convincing evidence to overturn the trial
    court’s credibility findings on this issue. For one, Mother’s testimony was entirely unclear
    as to when any of these alleged visits took place. Moreover, Mother conceded that she has
    previously been dishonest about her efforts to comply with the juvenile court’s order in
    order to regain custody. Finally, it appears that there is no dispute that Mother failed to
    engage in any visitation after July 2016. Thus, at the very least, Mother failed to engage in
    any visitation for approximately three out of the four months that make up the relevant
    four-month period. Given the other proof in the record, including the testimony of Father
    and Grandmother, the trial court did not abuse its discretion in discrediting Mother’s
    unsubstantiated testimony. Thus, the trial court’s finding that Mother participated in one or
    possibly two visits during the four-month period is affirmed.
    The record further supports the trial court’s finding that Mother’s efforts were token
    during this time frame. According to the proof presented, at some point in July 2016,
    Mother, Grandmother, various other family members, and the child went to lunch and a
    movie. There is no indication that Mother and the child were able to cultivate a meaningful
    relationship in the roughly two-hour visit while watching a movie with other family
    members present. Other than the failure to follow the juvenile court’s supervision
    requirements there is no indication in the record that the previous visit was any more
    significant. Thus, even if we view the evidence in the light most favorable to Mother and
    say the earlier visit was within the relevant period, the dearth of earlier visits coupled with
    a purely perfunctory July 2016 visit supports the trial court’s finding that the visitation
    within the relevant four-month period was merely “token” within the meaning of
    Tennessee Code Annotated section 36-1-102(1)(C) (2016). See, e.g., In re Matthew T., No.
    M2015-00486-COA-R3-PT, 
    2016 WL 1621076
    , at *12 (Tenn. Ct. App. Apr. 20, 2016)
    (four visits in a four-month period constituted token visitation); In re E.L.R., No. E2014-
    00394-COA-R3-PT, 
    2014 WL 6735394
    , at *7 (Tenn. Ct. App. Dec. 1, 2014), perm. app.
    denied (Tenn. Feb. 25, 2015) (seeing the child five times in the four month period was
    token visitation); In re Joseph G., No. E2012-2501-COA-R3-PT, 
    2013 WL 3964167
    , at
    *9 (Tenn. Ct. App. July 31, 2013) (weekly visits for only two of the four months
    constituted token visitation); In re Hope A. A., No. E2012-01209-COA-R3-PT, 
    2013 WL 1933026
    , at *11 (Tenn. Ct. App. May 10, 2013) (five visits for a total of ten hours was
    insufficient); In re Keri C., 384 S.W.3d at 750 (four or five visits was token visitation).
    Mother argues, however, that any failure to visit after July 2016 was the result of
    Father’s interference and thus not willful as required by statute.15 Mother argued at trial
    15
    The current version of this statute does not include willfulness in the definition of abandonment.
    
    Tenn. Code Ann. § 36-1-102
    (1)(A) (2022). Instead, it provides an affirmative defense to a charge of
    - 14 -
    that she made numerous attempts to speak with the child and was prevented from doing so
    by Father. Father denied preventing Mother from speaking to the child when she called,
    and further argued that neither Mother nor Grandmother requested any visitation after the
    July 2016 visit. Citing her failure to seek visitation from 2016 until 2018, the trial court
    found that Mother’s failure to engage in more than token visitation was willful.
    “A parent’s failure to visit a child is considered willful when the parent is aware of
    his or her duty to visit, has the capacity to visit, makes no attempt to visit, and has no
    justifiable excuse for his or her failure to visit.” In re Hope G., 
    2022 WL 4391897
    , at *8
    (citing In re Audrey S., 
    182 S.W.3d at 864
    ). Willful conduct is “the product of free will
    rather than coercion.” In re Audrey S., 
    182 S.W.3d at 863
    . Therefore, a parent’s “[f]ailure
    to visit . . . is not excused by another person’s conduct unless the conduct actually prevents
    the person with the obligation from performing his or her duty, or amounts to a significant
    restraint of or interference with the parent’s efforts to support or develop a relationship
    with the child.” 
    Id. at 864
     (citations omitted).
    Mother testified that she attempted to call and speak with the child on numerous
    occasions but was rebuffed by Father each time. Mother also testified she purchased a cell
    phone for the child, which Father discarded. In contrast, Father testified that Mother had
    called only one or two times after the July 2016 visit and was able to speak with the child
    each instance. Father testified that no further requests for visitation were made by either
    Mother or Grandmother during any of these calls. Father did not, however, deny that he
    discarded the phone purchased for the child.
    Under these circumstances, we must affirm the trial court’s finding as to willfulness.
    Faced with Father’s testimony that Mother never attempted to set up visitation after July
    2016, Mother once again offered no proof beyond her unsupported testimony. Importantly,
    Grandmother did not claim to have attempted to facilitate visitation between Mother and
    the child only to rebuffed by Father. Given our earlier discussion of Mother’s credibility
    on this issue, the trial court was therefore well within its discretion to credit Father’s
    testimony that Mother did not attempt to visit after July 2016. In re Hope G., 
    2022 WL 4391897
    , *6.
    Father’s decision to discard the child’s cell phone, while relevant, does not alter our
    conclusion. For one, the juvenile court’s order makes clear that all visitation scheduling
    was to go through Father. It does not appear unreasonable for him to rely on the prior order
    and insist that communication go through him. Moreover, Father’s decision to not allow
    the cell phone does not amount to a significant restraint on Mother’s ability to visit. In fact,
    abandonment that the failure to visit or support was not willful. 
    Id.
     § 36-1-102(1)(I) (2022). The statute in
    effect at the time the petition was filed included willfulness in its definition of abandonment. Thus,
    Petitioners needed to prove Mother’s abandonment was willful by clear and convincing evidence to meet
    their burden of proof. Id. § 36-1-102(1)(A) (2016).
    - 15 -
    Mother admitted that she sometimes chose to do illegal drugs rather than visit with her
    child and that she continued to use illegal drugs regularly well into the four-month period.
    Under these circumstances, the evidence does not preponderate against the trial court’s
    finding that Mother willfully failed to engage in more than token visitation with her child
    in the relevant four-month period. Accordingly, we affirm the trial court’s termination of
    Mother’s rights on the ground of abandonment by willful failure to visit.
    The second ground for termination of Mother’s parental rights involved
    abandonment by willful failure to support. At the time the petition was filed, willful failure
    to support involved a “willful failure, for a period of four (4) consecutive months, to
    provide monetary support or the willful failure to provide more than token payments
    toward the support of the child” 
    Tenn. Code Ann. § 36-1-102
    (1)(D) (2016). There is no
    dispute that Mother has not made any payments toward child support to date. The question,
    therefore, is whether Mother’s failure to support the child was willful. “A parent’s failure
    to support is ‘willful’ when the parent (1) knows of his or her duty to support, (2) has the
    ability to provide support, (3) makes no effort to provide support, and (4) has no justifiable
    reason for not providing support.” In re Jeremiah N., No. E2016-00371-COA-R3-PT,
    
    2017 WL 1655612
     (Tenn. Ct. App. May 2, 2017) (citing In re Audrey S., 
    182 S.W.3d at 864
    ).
    As to the first, third, and fourth elements of willfulness, Mother blames her
    nonpayment of the court-ordered child support on a lack of notice based on her
    incarceration. Mother was incarcerated in Blount County for approximately three months
    beginning in February 2015. The child support hearing took place August 24, 2015. The
    order entered August 12, 2016 reflected that Mother was not in attendance but that a copy
    was sent to two of her last known addresses. Mother also admitted that she knew that
    Father’s child support obligation was terminated, which took place at the same hearing
    initiating Mother’s obligation. Mother further testified that she knew the child needed
    financial support. Regardless of Mother’s actual notice of her court-ordered child support
    obligation, parents are “presumed to have knowledge of a parent’s legal obligation to
    support such parent’s child.” 
    Tenn. Code Ann. § 36-1-102
    (1)(H) (2016). Mother’s
    argument in this regard is, respectfully, without merit.
    As to the second willfulness element, Mother claims that there was no proof
    presented that she was actually able to provide financial support. Petitioners argue that
    Mother chose to spend the money she had access to during the relevant period on illegal
    drugs, rather than on supporting the child. We agree with Petitioners.
    This Court has determined that evidence showing the parent worked only
    intermittently during the relevant period is insufficient on its own to establish the parent’s
    ability to pay support. In re Addalyne S., 556 S.W.3d at 789 (citing In re T.W., No. E2017-
    00317-COA-R3-PT, 
    2018 WL 1831109
    , at *8 (Tenn. Ct. App. Apr. 17, 2018)). Generally,
    an ability to pay requires proof of both income and expenses. 
    Id.
     (collecting cases).
    - 16 -
    Similarly, the purchase of illegal drugs alone is insufficient to prove that Mother’s failure
    to provide support was willful. 
    Id.
     at 788 (citing In re Kira G., No. 2016-01198-COA-R3-
    PT, 
    2017 WL 1395521
    , at *6 (Tenn. Ct. App. April 18, 2017) (“Although illegal drug abuse
    and the purchase or sale of illegal drugs may well be relevant to determining whether a
    parent willfully has failed to support his or her child while supporting his or her drug use,
    illegal drug activity by itself does not establish willfulness.”)).
    However, In re Addalyne S. is factually distinguishable from the present case.
    There, the mother was gainfully employed during the relevant period, although no evidence
    in the record described the mother’s hourly pay or weekly hours worked. 
    Id.
     Instead, the
    evidence showed that the mother was able to buy general necessities as well as illegal
    drugs. 
    Id.
     This Court determined that illegal drug use was not enough on its own to
    establish willful failure to support when the mother was also making gifts to the child. Id.
    at 789.
    The proof in this case, however, is different: Mother had consistent access to
    significant amounts of money and none of it was put toward supporting the child.
    Specifically, Mother’s testimony established that she was receiving considerable amounts
    of money before and during the relevant four-month period and spent that money on illegal
    drugs rather than provide any financial support to the child. Mother testified that her
    boyfriend from 2013 through late 201616 provided her with roughly $180.00 per day to
    fund her pain pill addiction, as well as additional money for “[a]nything [she] wanted.”
    This period of time clearly encompasses the relevant four-month period. Mother testified
    that there was nothing prohibiting her from employment during the relevant four-month
    period, but that it was a choice not to work. Furthermore, it was established that Mother
    was living with and supported by either family or boyfriends during the relevant period.
    Together, the information in the record establishes that Mother chose to spend
    significant amounts of money on daily drug use yet provided no financial support to the
    child at all. Under these circumstances, we believe that the evidence was sufficient to
    eliminate any serious or substantial doubt as to Mother’s capacity to support the child
    during the relevant time. Coupled with Mother’s knowledge of her obligation to support
    the child and her continued failure to provide even token support, we conclude that there
    was clear and convincing evidence that Mother’s failure to support the child was willful.
    Thus, the trial court’s termination of Mother’s rights on the ground of abandonment by
    failure to support is affirmed.
    2. Best Interest
    Because we have determined that at least one statutory ground has been proven for
    terminating Mother’s parental rights, we must now decide if Petitioners have proven, by
    16
    We emphasize that this is not Mother’s now-husband.
    - 17 -
    clear and convincing evidence, that termination of Mother’s rights is in the child’s best
    interest. 
    Tenn. Code Ann. § 36-1-113
    (c); White v. Moody, 
    171 S.W.3d 187
    , 192 (Tenn. Ct.
    App. 1994). The factors that courts should consider in ascertaining the best interest of
    children include, but are not limited to, the following:
    (1) Whether the parent or guardian has made such an adjustment of
    circumstance, conduct, or conditions as to make it safe and in the child’s
    best interest to be in the home of the parent or guardian;
    (2) Whether the parent or guardian has failed to effect a lasting adjustment
    after reasonable efforts by available social services agencies for such
    duration of time that lasting adjustment does not reasonably appear
    possible;
    (3) Whether the parent or guardian has maintained regular visitation or
    other contact with the child;
    (4) Whether a meaningful relationship has otherwise been established
    between the parent or guardian and the child;
    (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 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.
    T.C.A. § 36-1-113(i) (2016).17 “This list is not exhaustive, and the statute does not require
    a trial court to find the existence of each enumerated factor before it may conclude that
    terminating a parent’s rights is in the best interest of a child.” In re M.A.R., 
    183 S.W.3d at
    17
    The current version of this statute includes eleven additional factors to be considered. 
    Tenn. Code Ann. § 36-1-113
    (i)(1) (2022). Neither party asserts that the revised version of the statute is applicable in
    this case, so we will refer to the factors in place at the time the petition was filed. We use the 2016 version
    of section 36-1-113(i) throughout this Opinion.
    - 18 -
    667 (citations omitted). Likewise, determining a child’s best interest does not entail simply
    conducting “a rote examination” of each factor and then totaling the number of factors that
    weigh for or against termination. In re Audrey S., 
    182 S.W.3d at 878
    . Instead, the
    “relevancy and weight to be given each factor depends on the unique facts of each case.
    Thus, depending upon the circumstances of a particular child and a particular parent, the
    consideration of one factor may very well dictate the outcome of the analysis.” 
    Id.
     (citing
    White, 171 S.W.3d at 194).
    The factual findings made in connection with the best interest analysis “must be
    proven by a preponderance of the evidence, not by clear and convincing evidence.” In re
    Kaliyah S., 
    455 S.W.3d 533
    , 555 (Tenn., 2015) (citing In re Audrey S., 
    182 S.W.3d at 861
    ). “After making the underlying factual findings, the trial court should then consider
    the combined weight of those facts to determine whether they amount to clear and
    convincing evidence that termination is in the child’s best interest.” 
    Id.
     (citations omitted).
    In this case, no delicate balancing of the factors is required. Virtually all of the statutory
    factors militate, more or less heavily, in favor of terminating Mother’s parental rights, one
    of the factors is inapplicable, and only one of the factors weighs against termination.
    Factors (3), (4), (5), and (9) weigh most heavily in favor of terminating Mother’s
    rights. It is likely true that Mother had a meaningful relationship with the child prior to
    Father obtaining custody, when the child was approximately seven. However, the child is
    now approximately fourteen years old. It has been more than six years since Mother’s last
    visit with the child in July 2016. The child has not seen Mother for roughly half of her life.
    See 
    Tenn. Code Ann. § 36-1-113
    (i)(3). The testimony at trial was that the child calls
    Stepmother “Mom” and has not asked about Mother or Mother’s family since going to live
    with Father and Stepmother. At this point, no meaningful relationship remains between
    Mother and the child. See 
    id.
     § 36-1-113(i)(4). It is therefore highly likely that
    reintroducing the child to Mother now would have serious negative effects on the child’s
    emotional or psychological condition. See id. § 36-1-113(i)(5); see also In re Jaydin A.,
    No. M2018-02145-COA-R3-PT, 
    2019 WL 6770494
    , at *8 (Tenn. Ct. App. Dec. 12, 2019)
    (“Although no proof was specifically presented that a change in caretakers would be
    harmful to the child, common sense dictates that removing a child from the only family she
    has ever known and placing her with a stranger who has historically chosen to put his own
    desires ahead of the child’s needs would cause harm to the child.”). And regardless of her
    knowledge of her court-ordered obligation to do so, Mother has yet to provide any financial
    support toward the care or wellbeing of the child despite her admitted knowledge that the
    child needs to be supported. See 
    Tenn. Code Ann. § 36-1-113
    (i)(9).
    Factors (1), (6), and (7), while requiring a closer consideration, also weigh in favor
    of terminating Mother’s parental rights. The trial court acknowledged that Mother has
    taken significant steps to improve her situation and the evidence supports these findings.
    Mother has stable housing and gainful employment. Mother has another child and is a
    stepparent to her husband’s two children. See 
    id.
     § 36-1-113(i)(1). There has been no
    - 19 -
    further criminal activity or incidents of domestic violence, and Mother has ceased use of
    illegal drugs. See id. § 36-1-113(i)(6), (7). However, Mother now has a prescription for
    pain pills similar to those to which she was previously addicted. While her current use of
    controlled substances may be legal, considering Mother’s pattern of prevarication
    regarding her drug use—both during her court-ordered drug and alcohol assessment and to
    the prescribing pain clinic—this Court has serious misgivings about Mother’s continued
    use of opioids. See id. § 36-1-113(i)(7); In re Navada N., 
    498 S.W.3d 579
    , 595 (Tenn. Ct.
    App. 2016) (“[A] suitable home requires more than a proper physical living location. It
    requires that the home be free of drugs and domestic violence.” (internal quotation
    omitted)). We further note that the child was removed from Mother’s custody due to issues
    of neglect caused by Mother’s drug use. See 
    Tenn. Code Ann. § 36-1-113
    (i)(6). Moreover,
    even Mother’s attempt to regain visitation came years after the cessation of visitation when
    Mother still had not accomplished the requirements set forth by the juvenile court. In
    particular, neither the alcohol and drug assessment nor the parenting classes were
    completed properly. We have held in similar circumstances that such effort is simply “too
    little, too late.” See In re Emily N.I., No. E2011-01439-COA-R3-PT, 
    2012 WL 1940810
    ,
    at *16 (Tenn. Ct. App. May 30, 2012) (explaining that the parents’ “refusal to complete a
    number of the requirements until after the termination petition was filed . . . was simply
    ‘[t]oo little, too late’” given the length of time the child had been removed from the parents’
    custody); In re A.W., 
    114 S.W.3d 541
    , 546 (Tenn. Ct. App. 2003) (holding that the
    mother’s improvement only a few months prior to trial was “[t]oo little, too late”).
    Factor (2), regarding lasting adjustment after reasonable efforts by social services,
    was found by the trial court to be inapplicable to the case at hand. The evidence supports
    this finding as rehabilitative efforts by social services were not at issue. See 
    Tenn. Code Ann. § 36-1-113
    (i)(2). Therefore, this factor does not carry any weight here.
    The trial court also found factor (8), regarding the parent’s mental and/or emotional
    status, to be inapplicable. However, no proof was presented that Mother’s mental or
    emotional status would be detrimental to the child or prevent Mother from effectively
    providing safe and stable care and supervision. See 
    id.
     § 36-1-113(i)(8). Thus, factor (8)
    would actually weigh against terminating Mother’s rights. See, e.g., In re Jayda J., No.
    M2020-01309-COA-R3-PT, 
    2021 WL 3076770
    , at *28 (Tenn. Ct. App. July 21, 2021)
    (holding that because no evidence was presented as to a factor, the factor weighed against
    termination); In re Taylor B.W., 
    397 S.W.3d 105
    , 113 (Tenn. 2013) (affirming the holding
    that the absence of proof as to a factor meant the factor did not favor termination).
    Thus, while not all the factors in this case favor termination equally, more factors
    weigh in favor of termination than weigh against it. But we do not determine the best
    interest of a child merely by totaling the number of factors that weigh for or against
    termination; instead, that determination often depends on the relevancy and weight of each
    factor. See In re I.E.A., 
    511 S.W.3d 507
    , 518 (Tenn. Ct. App. 2016) (quoting In re Audrey
    S., 
    182 S.W.3d at 878
    ). Mother has not visited with the child since July 2016 or provided
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    financial support since the child was placed in Father’s custody in 2015. Moreover, the
    child has developed a close relationship with Stepmother over the last several years and no
    longer has a meaningful relationship with Mother, such that she would be negatively
    affected by reestablishing contact with Mother. Here, from the child’s perspective, we must
    conclude that the most important factors are the lack of meaningful relationship between
    the child and Mother and the detrimental effect that a change in caretakers would cause.
    See In re Addalyne S., 556 S.W.3d at 795–96 (“This Court has previously indicated that
    in some cases the lack of a meaningful relationship between a parent and child is the most
    important factor[.]”). With all of the above considerations in mind, we conclude that there
    was clear and convincing evidence to establish that termination of Mother’s parental rights
    was in the best interest of the child. Accordingly, we affirm the trial court’s ultimate
    decision to terminate Mother’s parental rights.
    IV. CONCLUSION
    Based on the foregoing, the judgment of the Chancery Court for Campbell County
    is affirmed and this cause is remanded for further proceedings as are necessary and
    consistent with this Opinion. Costs are taxed to Appellant, Brittany M. R., for which
    execution may issue, if necessary.
    S/ J. Steven Stafford
    J. STEVEN STAFFORD, JUDGE
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