In Re Adrian M.-M. ( 2019 )


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  •                                                                                                     10/30/2019
    IN THE COURT OF APPEALS OF TENNESSEE
    AT JACKSON
    Assigned on Briefs October 1, 2019
    IN RE ADRIAN M.-M., ET AL.
    Appeal from the Chancery Court for Obion County
    No. 33512    W. Michael Maloan, Chancellor
    No. W2019-00931-COA-R3-PT
    This appeal concerns termination of parental rights. The Tennessee Department of
    Children’s Services (“DCS”) filed a petition in the Chancery Court for Obion County
    (“the Trial Court”) seeking to terminate the parental rights of Emily M. M.-A. (“Mother”)
    to her minor children Adrian, Maribel, Alisiana, and Elena (“the Children”).1 The
    Children had been exposed to methamphetamine in Mother’s care. After trial, the Trial
    Court entered an order terminating Mother’s parental rights to the Children on the
    grounds of abandonment by failure to provide a suitable home; abandonment by failure to
    visit; substantial noncompliance with the permanency plan; severe child abuse; and,
    being sentenced to more than two years’ imprisonment for child abuse. The Trial Court
    also found that termination of Mother’s parental rights is in the Children’s best interest.
    On appeal, Mother argues that she has made improvements such that termination of her
    parental rights is not in the Children’s best interest. First, apart from the grounds of
    failure to visit and failure to provide a suitable home, which we reverse, we affirm the
    grounds for termination found by the Trial Court. Regarding best interest, we find that
    Mother has no meaningful relationship with the Children and that her purported
    improvements are insufficient. The evidence is clear and convincing that termination of
    Mother’s parental rights is in the Children’s best interest. We affirm, in part, and,
    reverse, in part, the judgment of the Trial Court.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Chancery Court
    Affirmed, in Part, and Reversed, in Part; Case Remanded
    D. MICHAEL SWINEY, C.J., delivered the opinion of the court, in which FRANK G.
    CLEMENT, JR., P.J., M.S. and KENNY W. ARMSTRONG, J., joined.
    1
    DCS also sought to terminate the parental rights of Dionisio M.-A., the Children’s legal father, and
    William M., alleged by Mother to be the biological father of Alisiana and Elena. The Trial Court
    terminated the parental rights of both men. Neither man is a party on appeal. This appeal concerns
    Mother’s parental rights only.
    Cristy C. Cooper, Martin, Tennessee, for the appellant, Emily M. M.-A.
    Herbert H. Slatery, III, Attorney General and Reporter, and Amber L. Seymour, Assistant
    Attorney General, for the appellee, the Tennessee Department of Children’s Services.
    OPINION
    Background
    In February 2017, the Children were removed from Mother’s custody on the basis
    of domestic violence and drug abuse in the home.2 Mother and the Children tested
    positive for methamphetamine. Afterwards, Mother was charged with aggravated child
    abuse. In October 2017, Mother pled guilty to four counts of attempted aggravated child
    abuse for which she received a sentence of eight years for each count running
    concurrently. The sentence was suspended, and Mother was placed on supervised
    probation. In November 2017, the Juvenile Court for Obion County (“the Juvenile
    Court”) found the Children dependent and neglected and victims of severe child abuse.
    Mother moved to Ohio, and the Children remained in Tennessee with a foster family.
    Three permanency plans were fashioned for Mother with her participation over the
    course of the case. Taken together, Mother’s responsibilities under the plans included:
    pass consecutive drug screens; participate in any classes offered in jail; maintain contact
    with DCS; update DCS of any changes of contact information within 24 hours; complete
    a parenting assessment and follow all recommendations; complete a mental health intake
    and an A & D assessment; and, address domestic violence issues through counseling.
    In May 2018, DCS filed a petition in the Trial Court seeking to terminate Mother’s
    parental rights to the Children. DCS alleged multiple grounds for termination:
    abandonment by failure to provide a suitable home; abandonment by failure to visit;
    abandonment by failure to support; persistent conditions; substantial noncompliance with
    the permanency plan; severe child abuse; and, being sentenced to more than two years’
    imprisonment for child abuse. This case was tried in April 2019. At the beginning of
    trial, DCS stated that it would not be proceeding with the ground of failure to support.
    Two witnesses testified at trial. First to testify was Brian Hill (“Hill”), a family
    service worker for DCS. Hill was the Children’s case manager. Hill testified that the
    Children were removed from Mother’s home in February 2017. Mother and the Children
    tested positive for methamphetamine. Mother, who was incarcerated from March 31,
    2
    Adrian was born in February 2010; Maribel in August 2013; Alisiana in September 2015; and, Elena in
    January 2017.
    -2-
    2017 to May 4, 2017, went into rehab at Buffalo Valley for 28 days. After her time in
    rehab, Mother moved to Ohio where she has friends and family. Hill testified that it was
    explained to Mother that her move to Ohio would make DCS’s task of assisting her more
    difficult. Hill, who took over the case in May of 2018, stated that Mother had two
    different addresses on his watch, and for a period she was out of touch with him. Hill
    testified that no ICPC home study had been conducted on Mother because she moved so
    frequently. Regarding visitation, Hill stated that Mother had visited the Children six
    times for a total of twelve hours in the course of two years. When asked if Mother had
    completed all of her permanency plan responsibilities, Hill testified: “No, ma’am,
    because she failed to complete a parenting assessment, she failed to complete mental
    health intake with the A and D assessment and to address domestic violence and
    counseling.” Regarding DCS’s efforts, Hill stated:
    Q. What reasonable efforts has the Department provided to the mother from
    the time of the removal until this termination was filed?
    A. Well, the mother entered rehab through our criminal court and since she
    didn’t sign a release, the department was not able to work with her or
    provide any additional services for the first 28 days. However, since that
    time, the department has offered to set up parenting. We have attempted to
    schedule a parenting assessment and pay for it. We have offered to assist in
    finding housing here in Tennessee, to pay for drug screens, to conduct an
    ICPC home study on her home in Ohio. We have offered gas cards and
    hotels for the mother to use to come down and visit the children. We have
    communicated with service providers in Ohio to explain the services
    mother needed to complete on the permanency plan. We have offered
    regular monthly visitation for the mother.
    Q. Since the children have been removed from the mother, she has not
    corrected the situation to make herself a suitable home to care for the
    children; has she?
    A. No, ma’am. Her moving to Ohio directly afterwards impeded her ability
    to work services with the department.
    With respect to the Children’s foster family, Hill testified:
    Q. Are the children currently in an adoptive placement?
    A. They are.
    Q. How long have the children been in this adoptive placement?
    A. They have been there since coming into custody.
    Q. And 2 of the minor children were extremely young when they came into
    custody, 1 and 1/2 years old, 6 weeks old. So would it be fair to say the
    foster home is the only home they have known at this point in their lives?
    -3-
    A. Yes, ma’am.
    Q. Would it be detrimental to the minor children for there to be a change in
    placement?
    A. Yes, ma’am.
    Q. Do the children have a meaningful relationship with their mother?
    A. The oldest two children, Adrian and Maribel, I would say they love their
    mother. They are excited whenever she does come visit with then but I
    wouldn’t characterize it as a meaningful relationship. I would say they are
    more so bonded with one another and the foster mom.
    Q. So you would say the children have a bond with the foster parents?
    A. Yes. And the foster family.
    Hill concluded his direct examination by testifying that Mother had made no
    lasting changes to her lifestyle or conduct and that she had failed to demonstrate an
    ability to provide a safe and stable home for the Children.
    On cross-examination, Hill stated it was possible that Mother’s case could have
    been referred to Ohio, but that he never implemented such a referral. Hill testified,
    however, that “[w]e have worked with the mother and spoken to service providers there
    in Ohio.” Hill could not identify the providers’ names but stated that they could be found
    in the file. Hill stated further that he was unaware of any friends or relatives Mother had
    in Tennessee. Hill acknowledged that Mother had passed three or four drug screens and
    attended a rehab program.
    Continuing his testimony, when asked if Mother brought any gifts on her visits,
    Hill stated: “No, ma’am. And the visit that I supervised I had an issue with her being on
    the phone facetiming.” Regarding whether he had ever spoken with Mother about
    seeking services in Ohio, Hill stated that “she told me on several occasions that she was
    starting” but “whenever I would ask her the name of where she was going and if she
    signed paperwork for me to get that information, she was not able to provide that name.”
    Hill testified that on each visit to Tennessee, Mother was provided gas cards and hotel
    rooms.
    Next and last to testify was Mother, who participated by telephone from Ohio.
    Mother stated that she had successfully completed inpatient rehab at Buffalo Valley and
    had a follow-up A & D outpatient treatment. Mother testified: “I have been doing the
    process, I have been receiving A and D, counseling 101, and it is through an organization
    here in Ohio called Anazo. I have mentioned it many of times to my case worker and I
    did sign a medical, like a report, through Anazo.” Mother stated that she lived with her
    mother, son, and older brother. Mother testified that her mother’s address was always
    effective as a means of reaching her. When asked if she had provided DCS with proof of
    -4-
    her A & D, parenting classes, and mental health counseling, Mother stated “[n]o” because
    “[t]hey don’t give me paperwork.”
    Continuing her testimony, Mother stated that she worked at a factory prior to her
    pregnancy. Mother testified that she then had a “bowel/intestine rupture” in her stomach,
    so she cannot sit or travel. Mother stated that she could return to work after her
    pregnancy. Regarding contact with the Children, Mother stated that she spoke to them by
    phone at least every Sunday. Mother described her relationship with the Children as
    “good.” Mother testified that traveling from Ohio to Tennessee and back was difficult.
    Mother stated that she brought the Children gifts, such as shoes, when she visited them.
    Concluding her testimony, Mother offered a host of excuses for why she did not
    complete her services, hold a job for long, maintain a stable residence, or visit the
    Children more often:
    Q. Have you completed any of those services that you state you are
    working on?
    A. No. I still do that.
    Q. So for a period of 2 years, you have been working on these services but
    you haven’t completed a single one?
    A. Yes, because my probation department said I needed to continue to do
    that, that’s why. There is not a date for completion. I have to continue to
    do them.
    Q. If the department had contacted the facility that you claim that you are
    receiving these services at and they say you missed 10 scheduled
    appointments, would that be accurate?
    A. Yes.
    Q. Why are you missing those appointments?
    A. I was in the hospital. I just got out. That is why I am not there. I have
    been in the hospital, I moved, and you know I started working. Since my
    kids have been gone, I have had 3 different jobs. So I am working and had
    to reschedule my appointments because I am trying to work.
    Q. Where have you worked in the time period since your children have
    been removed?
    A. I have worked at healthcare, I was working dietary in there and I got
    fired because -- I had just got hired in there, I wasn’t even working like 2
    weeks there. Then I had to come to Court in Tennessee. They told me they
    had to let me go because I had just started. So I ended up leaving there so
    they didn’t fire me. I worked at Autoplex, that is where I was working at
    when I went to the hospital and had emergency surgery. I got put on -
    because I had to lift a 70 pound box that was --
    -5-
    Q. Right. Where was your third job?
    A. Then I worked at Taco Bell. I worked there for awhile. Then I was
    working --
    Q. So you have had 4 jobs?
    A. Yes.
    Q. Did you earn minimum wage at all of those jobs?
    A. Yes.
    Q. And you still could not send any child support for any of your children?
    A. No. I could barely provide for myself.
    Q. And how long have you been living at the address you are living at now?
    A. I have been living here for awhile. I moved in and moved back.
    Q. You have actually moved and moved back several times; is that true?
    A. Yes.
    Q. Why have you been moving in and out of that home?
    A. Because it is crowded that is why. I sleep on the sofa, that’s why.
    Q. So there is really no room for your children in that home; is that correct?
    A. Yes, that is correct. There is no room here. I knew that.
    Q. In the other homes you have lived in, you weren’t able to provide those
    addresses to the department, were you?
    A. Yes, I did.
    Q. Are you sure about that?
    A. Yes, I did. One was . . . Canton, Ohio, and the other one was Woodville,
    Ohio. I supplied both of them.
    Q. You don’t recall telling Mr. Hill on August 28th, 2018 that you had
    recently moved in with a roommate but you could not recall the address?
    A. I gave him the address. He had the address. That would have been the .
    . . -- they had it - they sent me mail there.
    Q. What grades are your children who attend school in?
    A. Which children that I have or the ones there?
    Q. The four children that we are in Court about today?
    A. Adrian is in 2nd and Maribel she goes to pre-school/kindergarten. The
    other 2 go to daycare.
    Q. What about Maribel?
    A. Maribel is the one I am talking about. She goes to kindergarten.
    Q. What about Adrian?
    A. 2nd grade.
    Q. Who are their teachers?
    A. That I don’t know.
    Q. What are their grades?
    -6-
    A. I do know Adrian was struggling. They have one working with him.
    There was a time they were struggling because Adrian was stealing things
    so they were talking to Adrian about that. Yes.
    Q. What are your children’s hobbies?
    A. These questions were never ever asked until today. There are times I
    don’t get to know everything because Miss [W.] is very busy with them.
    She has a busy life.
    Q. Alright, and you don’t get to know everything because you don’t bother
    for the last 2 years -
    A. I only get -
    Q. You don’t know everything about your children because you have only
    bothered over the course of more than 2 years to come see them for 12
    hours. Would that be fair?
    A. It is a 10 hour trip there and a 10 hour trip back. Does it look like I have
    all the money in the world to travel all the time? All you want to say is I
    don’t come see them. You know what, at least I accepted custody more
    than their father ever did and I saw them all of the time.
    MS. SIMPSON: Nothing further, Your Honor.
    THE COURT: Anything further, Ms. Cooper?
    MS. COOPER: No, Your Honor.
    THE COURT: Anything, Ms. Mueller?
    MS. MUELLER: No, sir.
    [MOTHER]: All they can do is worry about me for 2 years and 12 hours to
    see them. They want to fight with me about it now.
    THE COURT: Alright, ma’am, that is enough. Your testimony is at an end.
    In May 2019, the Trial Court entered its final judgment terminating Mother’s
    parental rights. The Trial Court found, by clear and convincing evidence, the grounds of
    abandonment by failure to provide a suitable home; abandonment by failure to visit;
    substantial noncompliance with the permanency plan; severe child abuse; and, being
    sentenced to more than two years’ imprisonment for child abuse. The Trial Court found
    also that termination of Mother’s parental rights is in the Children’s best interest. In its
    final judgment, the Trial Court stated, in part:
    The minor children were removed from the legal and physical
    custody of [Mother] on February 22, 2017, after the Department had made
    reasonable efforts to prevent this removal. Testimony was that the
    Department originally became involved with this family and filed a Petition
    for an Order Controlling Conduct and for Protective Supervision, on
    February 8, 2017, in an attempt to work services with the family to prevent
    removal of the children. However, Mr. Hill testified that there was no
    -7-
    substantial compliance with these court ordered services prior to the
    removal of the children a few weeks later. The relevant four month time
    frame here is from February 23, 2017 until June 23, 2017, which is the first
    four months after the removal of the children from [Mother’s] custody.
    The evidence presented in this matter show that [Mother] has made no
    reasonable efforts to provide a suitable home for her minor children during
    the initial four months after the removal or at any throughout this case. The
    evidence shows that the mother was incarcerated from March 31, 2017 until
    May 4, 2017, at which time she was released to attend rehab. After leaving
    rehab in late May of 2017, she moved immediately to Ohio. Her testimony
    was that she has moved addresses several times during the course of this
    case since being in Ohio even, and is currently residing with her mother
    where there is not enough space for her and her children to reside. She
    moved from Tennessee to Ohio first around the end of May 2017,
    according to the testimony provided, despite being advised that this would
    make working services with the Department more difficult.                 The
    Department made reasonable efforts to assist the mother in this matter,
    including offering parenting classes; attempting to schedule a parenting
    assessment and pay for this assessment; offering to assist with finding
    housing in Tennessee if she desired to remain or move back here; offering
    drug screens; requesting ICPC home studies to be conducted in Ohio;
    offering gas cards and hotel rooms to the mother for visitation with the
    children; communicating with service providers in Ohio regarding the
    services the mother needed to complete on the permanency plan; and
    explored all relative options provided by the mother in Ohio. The mother
    did enter into Buffalo Valley for rehab through her criminal charges, but
    did not sign a release for the Department to communicate or work with her
    while she was in this rehab program. Testimony provided was that upon
    leaving the program at Buffalo Valley, the mother returned to Ohio, where
    she has continuously lived since. The mother’s own testimony was that she
    has not completed any other services either in Tennessee or in Ohio. The
    mother testified she had begun services in Ohio, but offered several excuses
    as to why she had not complete these over the last two years. The mother
    has not, after more than two years, managed to complete the things
    necessary for her to have a safe and suitable home for these minor children,
    and therefore it does not appear that she will be able to do so at any time in
    the near future.
    Testimony was presented that the permanency plans created, ratified,
    and found to be reasonably related to the reasons for the removal in this
    matter required [Mother] to complete the following action steps: pay child
    support; have regular scheduled visits that are positive and appropriate;
    -8-
    pass consecutive drug screens (urine, hair follicle, nail and mouth swab);
    participate in classes provided by the jail if available; maintain contact with
    the FSW and update the FSW with any changes in contact information
    (phone number, address, etc.) within 24 hours of change; complete a
    parenting assessment and follow all recommendations; complete a mental
    health intake with an A&D assessment and follow all recommendations;
    and address domestic violence during counseling. Mr. Hill testified that
    [Mother] participated by phone in the making of that permanency plan, and
    that the plan was ratified by the juvenile court. Mr. Hill also testified that
    while the mother did go to Buffalo Valley for A&D issues, she did not sign
    a release for the Department to have access to her records there, so
    compliance could not be monitored. Testimony was that the mother did
    submit to 3-4 drug screens, but that it was difficult to do random drug
    screens as the Department could only administer them when the mother
    came to Tennessee for planned visits. The testimony from Mr. Hill was
    that the mother has not done the mental health intake, the parenting
    assessment, nor has she addressed domestic violence issues in counseling.
    When questioned about what services she had done while in Ohio, the
    mother testified that though she has worked on some services throughout
    the time she has been there, she has completed no services over the course
    of the last two years. The mother presented no evidence as to any services
    she has enrolled in or completed during the entirety of this case. The
    mother participated in every permanency plan created in this matter, and
    was aware of the requirements set forth for her in each plan.
    As to the ground of persistent conditions, the children have been in
    custody for approximately 26 months now, but the mother has lived in Ohio
    for the majority of that time period. The Department has failed to prove
    this ground by clear and convincing evidence. There has not been enough
    evidence presented as to the living conditions of the mother in Ohio for this
    ground to be satisfied.
    The court will address the grounds of severe child abuse and the
    mother’s sentence for child abuse together. The Obion County Juvenile
    Court found, as the evidence presented shows, that the mother was the
    perpetrator of severe abuse against the minor children due to all of them
    failing drug screens for methamphetamine. This has been shown without
    controversy. Further, the mother pled guilty to four counts of attempted
    aggravated child abuse in the Obion County Circuit Court, and was
    sentenced to 8 years, to be served on supervised probation, for each count.
    All four certified judgments were entered without objection, and these
    judgments show that the mother was indeed sentenced to a period of 2
    -9-
    years of greater for a child abuse charge. This is uncontested as a ground
    against the mother, [Mother].
    The final ground alleged against [Mother] is the ground of
    abandonment-failure to visit. It was established in testimony that these
    children have been in custody since February 22, 2017, which is
    approximately 26 months as of this hearing date. The Department has
    offered the mother gas cards for transportation, as well as hotel
    accommodations when she came to visit. Despite this offer, the testimony
    was uncontroverted that the mother has only exercised 12 hours of
    visitation over the course of the 26 month period the children have been in
    custody. There was testimony that the mother has had phone calls with the
    minor children throughout the case, but the Court finds that this is not
    substantial contact with the minor children due to their ages. This contact
    was token at best, if even that. The mother acknowledged that she had not
    visited more than what the Department testified to—the 12 hours over the
    course of the case—and offered no explanation for why she did not other
    than some medical issues she had recently had and her mother’s inability to
    bring her. [Mother] took no personal responsibility for not visiting more
    with her minor children.
    The Court concludes, based upon evidence set forth above, that there
    is clear and convincing evidence to support grounds for termination of the
    Respondent, [Mother’s], parental rights under T.C.A. §36-1-113(g).
    ***
    The evidence presented shows by clear and convincing evidence that
    the mother has not consistently worked services with the Department to
    address any of the issues or concerns identified as reasons the children were
    initially removed from her. The mother has had 26 months to work
    services, and testified herself she had never completed the mental health
    services, the parenting services, the parenting assessment, and had not
    established a safe and stable home for her and the children. The mother did
    attend Buffalo Valley for her alcohol and drug issues, but never signed a
    release for the Department to see what she completed and did there. The
    mother has passed drug screens that the Department could give her, but
    these were in the mother’s control as they could only be given when she
    appeared in Tennessee.
    Testimony was provided that the Department did provide reasonable
    efforts to the mother to assist with making lasting changes in her lifestyle
    and conduct, as set forth in the findings for the grounds above. The
    Department even testified that they explained on several occasions to the
    -10-
    mother the difficulty her relocating to Ohio would create in providing
    services to her.
    The testimony was unrefuted that changing caregivers at this stage
    of their lives would have a detrimental effect on the minor children, as they
    are extremely bonded to the foster family, and have a warm loving
    relationship with the foster mother. The minor children have no
    meaningful relationship with [Mother]. When she was questioned about
    the children, she could not identify their teachers and could not identify
    what their hobbies were. [Mother] has not made an effort to know her
    children and have a relationship with them since they were removed on
    February 22, 2017. It would be extremely detrimental to move them from
    the foster home that wishes to adopt them, and the home where they are all
    placed together. The foster family wishes to adopt the minor children, and
    to remove them from this safe and loving home at this point in their life
    would be harmful to their well-being. The foster mother is the only parent
    the youngest two minor children have ever really known, after being placed
    there for approximately 2 years.
    [Mother] has shown little or no interest in the welfare of the minor
    children, and she has failed to maintain any type of consistent contact with
    the minor children. [Mother] chose to put her own welfare and interests
    above those of her minor children, as she almost immediately moved to
    Ohio once her criminal issues here were resolved. The children had no
    relatives left in Tennessee when the mother moved to Ohio. Though the
    Department offered regular visitation to [Mother], including offering to
    provide assistance with transportation expenses and with a hotel room,
    [Mother] rarely took the Department up on this offer.
    The Court does not have enough information about the mother’s
    current living environment to know if it would be safe and healthy for the
    minor children or whether there is illegal activity or drug/alcohol use in the
    home, and therefore, this factor weighs neither for or against the best
    interests analysis.
    The mother has not participated in the mental health services
    recommended by the Department, nor has she submitted to the parenting
    assessment requested by the Department; therefore, the Court cannot
    determine at this time if the mother’s mental or emotional state would be
    detrimental to the children or determine if she could provide safe and stable
    care and supervision for the minor children.
    Based on the foregoing, the Court concludes by clear and convincing
    evidence that termination as to Respondent, [Mother], is in the minor
    children’s best interests.
    -11-
    Mother timely appealed to this Court.
    Discussion
    Although not stated exactly as such, Mother raises the following single issue on
    appeal: whether the Trial Court erred by finding that termination of her parental rights is
    in the Children’s best interest.
    As our Supreme Court has instructed regarding the standard of review in parental
    rights termination cases:
    A parent’s right to the care and custody of her child is among the
    oldest of the judicially recognized fundamental liberty interests protected
    by the Due Process Clauses of the federal and state constitutions.3 Troxel v.
    Granville, 
    530 U.S. 57
    , 65, 
    120 S. Ct. 2054
    , 
    147 L. Ed. 2d 49
    (2000); Stanley
    v. Illinois, 
    405 U.S. 645
    , 651, 
    92 S. Ct. 1208
    , 
    31 L. Ed. 2d 551
    (1972); In re
    Angela E., 
    303 S.W.3d 240
    , 250 (Tenn. 2010); In re Adoption of Female
    Child, 
    896 S.W.2d 546
    , 547-48 (Tenn. 1995); Hawk v. Hawk, 
    855 S.W.2d 573
    , 578-79 (Tenn. 1993). But parental rights, although fundamental and
    constitutionally protected, are not absolute. In re Angela 
    E., 303 S.W.3d at 250
    . “‘[T]he [S]tate as parens patriae has a special duty to protect minors .
    . . .’ Tennessee law, thus, upholds the [S]tate’s authority as parens patriae
    when interference with parenting is necessary to prevent serious harm to a
    child.” 
    Hawk, 855 S.W.2d at 580
    (quoting In re Hamilton, 
    657 S.W.2d 425
    , 429 (Tenn. Ct. App. 1983)); see also Santosky v. Kramer, 
    455 U.S. 745
    , 747, 
    102 S. Ct. 1388
    , 
    71 L. Ed. 2d 599
    (1982); In re Angela 
    E., 303 S.W.3d at 250
    . “When the State initiates a parental rights termination
    proceeding, it seeks not merely to infringe that fundamental liberty interest,
    but to end it.” 
    Santosky, 455 U.S. at 759
    , 
    102 S. Ct. 1388
    . “Few
    consequences of judicial action are so grave as the severance of natural
    family ties.” 
    Id. at 787,
    102 S. Ct. 1388
    ; see also M.L.B. v. S.L.J., 
    519 U.S. 102
    , 119, 
    117 S. Ct. 555
    , 
    136 L. Ed. 2d 473
    (1996). The parental rights at
    stake are “far more precious than any property right.” 
    Santosky, 455 U.S. at 758-59
    , 
    102 S. Ct. 1388
    . Termination of parental rights has the legal
    effect of reducing the parent to the role of a complete stranger and of
    “severing forever all legal rights and obligations of the parent or guardian
    3
    U.S. Const. amend. XIV § 1 (“[N]or shall any State deprive any person of life, liberty, or property,
    without due process of law . . . .”). Similarly, article 1, section 8 of the Tennessee Constitution states
    “[t]hat no man shall be taken or imprisoned, or disseized of his freehold, liberties or privileges, or
    outlawed, or exiled, or in any manner destroyed or deprived of his life, liberty or property, but by the
    judgment of his peers or the law of the land.”
    -12-
    of the child.” Tenn. Code Ann. § 36-1-113(l)(1); see also 
    Santosky, 455 U.S. at 759
    , 
    102 S. Ct. 1388
    (recognizing that a decision terminating
    parental rights is “final and irrevocable”). In light of the interests and
    consequences at stake, parents are constitutionally entitled to
    “fundamentally fair procedures” in termination proceedings. 
    Santosky, 455 U.S. at 754
    , 
    102 S. Ct. 1388
    ; see also Lassiter v. Dep’t of Soc. Servs. of
    Durham Cnty., N.C., 
    452 U.S. 18
    , 27, 
    101 S. Ct. 2153
    , 
    68 L. Ed. 2d 640
              (1981) (discussing the due process right of parents to fundamentally fair
    procedures).
    Among the constitutionally mandated “fundamentally fair
    procedures” is a heightened standard of proof – clear and convincing
    evidence. 
    Santosky, 455 U.S. at 769
    , 
    102 S. Ct. 1388
    . This standard
    minimizes the risk of unnecessary or erroneous governmental interference
    with fundamental parental rights. Id.; In re Bernard T., 
    319 S.W.3d 586
    ,
    596 (Tenn. 2010). “Clear and convincing evidence enables the fact-finder
    to form a firm belief or conviction regarding the truth of the facts, and
    eliminates any serious or substantial doubt about the correctness of these
    factual findings.” In re Bernard 
    T., 319 S.W.3d at 596
    (citations omitted).
    The clear-and-convincing-evidence standard ensures that the facts are
    established as highly probable, rather than as simply more probable than
    not. 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).
    Tennessee statutes governing parental termination proceedings
    incorporate this constitutionally mandated standard of proof. Tennessee
    Code Annotated section 36-1-113(c) provides:
    Termination of parental or guardianship rights must be based
    upon:
    (1) A finding by the court by clear and convincing evidence that
    the grounds for termination of parental or guardianship rights
    have been established; and
    (2) That termination of the parent’s or guardian’s rights is in the
    best interests of the child.
    This statute requires the State to establish by clear and convincing proof
    that at least one of the enumerated statutory grounds4 for termination exists
    4
    Tenn. Code Ann. § 36-1-113(g)(1)-(13).
    -13-
    and that termination is in the child’s best interests. In re Angela 
    E., 303 S.W.3d at 250
    ; In re F.R.R., III, 
    193 S.W.3d 528
    , 530 (Tenn. 2006); In re
    Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002). “The best interests analysis is
    separate from and subsequent to the determination that there is clear and
    convincing evidence of grounds for termination.” In re Angela 
    E., 303 S.W.3d at 254
    . Although several factors relevant to the best interests
    analysis are statutorily enumerated,5 the list is illustrative, not exclusive.
    The parties are free to offer proof of other relevant factors. In re Audrey 
    S., 182 S.W.3d at 878
    . The trial court must then determine whether the
    combined weight of the facts “amount[s] to clear and convincing evidence
    that termination is in the child’s best interest.” In re Kaliyah S., 
    455 S.W.3d 533
    , 555 (Tenn. 2015). These requirements ensure that each parent
    receives the constitutionally required “individualized determination that a
    parent is either unfit or will cause substantial harm to his or her child before
    the fundamental right to the care and custody of the child can be taken
    away.” In re Swanson, 
    2 S.W.3d 180
    , 188 (Tenn. 1999).
    Furthermore, other statutes impose certain requirements upon trial
    courts hearing termination petitions. A trial court must “ensure that the
    hearing on the petition takes place within six (6) months of the date that the
    petition is filed, unless the court determines an extension is in the best
    interests of the child.” Tenn. Code Ann. § 36-1-113(k). A trial court must
    “enter an order that makes specific findings of fact and conclusions of law
    within thirty (30) days of the conclusion of the hearing.” 
    Id. This portion
              of the statute requires a trial court to make “findings of fact and conclusions
    of law as to whether clear and convincing evidence establishes the
    existence of each of the grounds asserted for terminating [parental] rights.”
    In re Angela 
    E., 303 S.W.3d at 255
    . “Should the trial court conclude that
    clear and convincing evidence of ground(s) for termination does exist, then
    the trial court must also make a written finding whether clear and
    convincing evidence establishes that termination of [parental] rights is in
    the [child’s] best interests.” 
    Id. If the
    trial court’s best interests analysis “is
    based on additional factual findings besides the ones made in conjunction
    with the grounds for termination, the trial court must also include these
    findings in the written order.” 
    Id. Appellate courts
    “may not conduct de
    novo review of the termination decision in the absence of such findings.”
    
    Id. (citing Adoption
    Place, Inc. v. Doe, 
    273 S.W.3d 142
    , 151 & n.15 (Tenn.
    Ct. App. 2007)).
    5
    Tenn. Code Ann. § 36-1-113(i).
    -14-
    B. Standards of Appellate Review
    An appellate court reviews a trial court’s findings of fact in
    termination proceedings using the standard of review in Tenn. R. App. P.
    13(d). In re Bernard 
    T., 319 S.W.3d at 596
    ; In re Angela 
    E., 303 S.W.3d at 246
    . Under Rule 13(d), appellate courts review factual findings de novo on
    the record and accord these findings a presumption of correctness unless
    the evidence preponderates otherwise. In re Bernard 
    T., 319 S.W.3d at 596
    ; In re M.L.P., 
    281 S.W.3d 387
    , 393 (Tenn. 2009); In re Adoption of
    A.M.H., 
    215 S.W.3d 793
    , 809 (Tenn. 2007). In light of the heightened
    burden of proof in termination proceedings, however, the reviewing court
    must make its own determination as to whether the facts, either as found by
    the trial court or as supported by a preponderance of the evidence, amount
    to clear and convincing evidence of the elements necessary to terminate
    parental rights. In re Bernard 
    T., 319 S.W.3d at 596
    -97. The trial court’s
    ruling that the evidence sufficiently supports termination of parental rights
    is a conclusion of law, which appellate courts review de novo with no
    presumption of correctness. In re 
    M.L.P., 281 S.W.3d at 393
    (quoting In re
    Adoption of 
    A.M.H., 215 S.W.3d at 810
    ). Additionally, all other questions
    of law in parental termination appeals, as in other appeals, are reviewed de
    novo with no presumption of correctness. In re Angela 
    E., 303 S.W.3d at 246
    .
    In re Carrington H., 
    483 S.W.3d 507
    , 521-24 (Tenn. 2016) (footnotes in original but
    renumbered).
    Clear and convincing evidence supporting any single ground will justify a
    termination order. E.g., In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002). Mother has
    not challenged any of the grounds for termination found against her. Our Supreme Court,
    however, has instructed “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.” In re Carrington 
    H., 483 S.W.3d at 525-26
    (footnote omitted). As such, we review each of the grounds for termination.
    Five grounds for termination of parental rights were found against Mother,
    consisting of the following:
    (g) Initiation of termination of parental or guardianship rights may be based
    upon any of the grounds listed in this subsection (g). The following
    grounds are cumulative and nonexclusive, so that listing conditions, acts or
    -15-
    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;
    (2) There has been substantial noncompliance by the parent or guardian
    with the statement of responsibilities in a permanency plan pursuant to title
    37, chapter 2, part 4;
    ***
    (4) The parent or guardian has been found to have committed severe child
    abuse as defined in § 37-1-102, under any prior order of a court or is found
    by the court hearing the petition to terminate parental rights or the petition
    for adoption to have committed severe child abuse against the child who is
    the subject of the petition or against any sibling or half-sibling of such
    child, or any other child residing temporarily or permanently in the home of
    such parent or guardian;
    (5) The parent or guardian has been sentenced to more than two (2) years’
    imprisonment for conduct against the child who is the subject of the
    petition, or for conduct against any sibling or half-sibling of the child or
    any other child residing temporarily or permanently in the home of such
    parent or guardian, that has been found under any prior order of a court or
    that is found by the court hearing the petition to be severe child abuse, as
    defined in § 37-1-102. Unless otherwise stated, for purposes of this
    subdivision (g)(5), “sentenced” shall not be construed to mean that the
    parent or guardian must have actually served more than two (2) years in
    confinement, but shall only be construed to mean that the court had
    imposed a sentence of two (2) or more years upon the parent or guardian;
    Tenn. Code Ann. § 36-1-113(g)(1)-(2), (4)-(5) (2017).6
    As to abandonment, the Trial Court found that two forms—failure to visit and
    failure to provide a suitable home—were proven:
    6
    We apply the parental rights termination statutes as they existed on May 23, 2018 when DCS filed its
    petition.
    -16-
    (1)(A) For purposes of terminating the parental or guardian rights of a
    parent or 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 or parents or the guardian or guardians of the child who is the
    subject of the petition for termination of parental rights or adoption, that the
    parent or parents or the guardian or guardians either have willfully failed to
    visit or have willfully failed to support or have willfully failed to make
    reasonable payments toward the support of the child;
    (ii) The child has been removed from the home of the parent or parents or
    the guardian or guardians 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 or parents or the guardian or guardians to establish a suitable home
    for the child, but that the parent or parents or the guardian or guardians
    have made no reasonable efforts to provide a suitable home and have
    demonstrated a lack of concern for the child to such a degree that it appears
    unlikely that they will be able to provide a suitable home for the child at an
    early date. The efforts of the department or agency to assist a parent or
    guardian in establishing a suitable home for the child may be found to be
    reasonable if such efforts exceed the efforts of the parent or guardian
    toward the same goal, when the parent or guardian is aware that the child is
    in the custody of the department;
    Tenn. Code Ann. § 36-1-102 (1)(A)(i)-(ii) (2017).
    As an initial matter, DCS concedes the ground of abandonment by failure to visit.
    Based on our review of the record, we agree that the evidence for this ground, while some
    exists, does not rise to the level of clear and convincing. In light of DCS’s concession
    and our own review of the record, we reverse the ground of abandonment by failure to
    visit.
    -17-
    Regarding the ground of failure to provide a suitable home, the Children were
    removed from Mother’s home on February 22, 2017 and later adjudicated dependent and
    neglected. The relevant four month time-frame for this ground is February 23, 2017 until
    June 22, 2017. Mother was incarcerated for part of this period, from March 31, 2017
    until May 4, 2017. In late May 2017, Mother moved to Ohio, complicating DCS’s efforts
    to assist her. The Trial Court found that DCS made reasonable efforts to assist Mother.
    However, the findings made by the Trial Court do not, in our judgment, track specifically
    enough to DCS’s efforts in the relevant four months. Certainly, Mother has not been
    diligent in preparing a suitable home for the Children at any point, but we cannot just
    ignore the statutory period for examining DCS’s efforts. We also are mindful that
    Mother was incarcerated during part of that period, naturally hindering her ability to
    provide a suitable home. Given these facts, we find that the evidence does not rise to the
    level of clear and convincing necessary to prove this ground. We reverse the ground of
    failure to provide a suitable home.
    The next ground we review is that of substantial noncompliance with the statement
    of responsibilities in the permanency plans. Mother took part in rehab and passed certain
    drug screens. However, as found by the Trial Court and testified to by Hill, Mother
    failed to complete mental health services, the parenting assessment, or address domestic
    violence issues in counseling. The responsibilities contained in the permanency plans
    were reasonably related to the conditions necessitating the Children’s removal from
    Mother’s home, namely drug abuse and domestic violence. Mother’s failure to adhere to
    her responsibilities under the permanency plans in these crucial respects represents
    substantial noncompliance. The evidence does not preponderate against the Trial Court’s
    findings relative to this issue. We further have no basis to disturb the Trial Court’s
    implicit credibility determinations. We find, as did the Trial Court, that the ground of
    substantial noncompliance was proven by clear and convincing evidence.
    Another ground found against Mother was that of severe child abuse. In
    November 2017, the Juvenile Court entered an order finding the Children dependent and
    neglected and victims of severe child abuse perpetrated by Mother, stating as pertinent:
    [T[here is clear and convincing evidence that the minor children are
    dependent and neglected and victims of severe abuse pursuant to TCA 39-
    15-401(b) and (c)(1), 39-15-402(a)(2) and 37-1-102(b)(22)(C) based upon
    the mother and the minor children all testing positive for methamphetamine
    and based upon the mother being charged with aggravated child abuse and
    neglect under TCA 39-15-402.
    Under Tenn. Code Ann. § 36-1-113(g)(4), this prior order finding severe child abuse
    constitutes a ground for termination of parental rights. Mother has raised no argument as
    -18-
    to the finality or validity of the order. Indeed, Mother has not contested any ground at all.
    We find, as did the Trial Court, that the ground of severe child abuse was proven by clear
    and convincing evidence.
    The fifth and final ground for termination we review is that of being sentenced to
    more than two years’ imprisonment for child abuse. Mother pled guilty to four counts of
    attempted aggravated child abuse, a class B felony, and received eight years of
    supervised probation for each count to be served concurrently. The record contains
    copies of the convictions. The crime for which Mother was convicted, attempted
    aggravated child abuse at Tenn. Code Ann. § 39-15-402, falls within the definition of
    severe child abuse at Tenn. Code Ann. § 37-1-102 as required by the applicable ground
    for termination of parental rights, Tenn. Code Ann § 36-1-113(g)(5). See In re Kason C.,
    No. M2013-02624-COA-R3-PT, 
    2014 WL 2768003
    , at *4 (Tenn. Ct. App. June 17,
    2014), no appl. perm. appeal filed. We find, as did the Trial Court, that the ground of
    being sentenced to more than two years’ imprisonment for child abuse was proven by
    clear and convincing evidence.
    The final issue we address is whether the Trial Court erred by finding that
    termination of Mother’s parental rights is in the Children’s best interest. When at least
    one ground is proven, courts then consider a number of statutory factors in determining
    whether termination of parental rights is in a child’s best interest:
    (i) In determining whether termination of parental or guardianship rights is
    in the best interest of the child pursuant to this part, the court shall consider,
    but is not limited to, the following:
    (1) Whether the parent or guardian has made such an adjustment of
    circumstance, conduct, or conditions as to make it safe and in the child’s
    best 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;
    -19-
    (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.
    Tenn. Code Ann. § 36-1-113(i) (2017).
    Mother argues that it is not in the Children’s best interest for her parental rights to
    be terminated. In support of her position, Mother points to Hill’s testimony that the two
    older children love her. Mother asserts that she visited the Children when she was
    financially and physically able to do so. Mother states further that she always maintained
    telephone communication with the Children. As to her move to Ohio, Mother states that
    she effectively had no choice as that is where her system support is and she would be
    homeless if she had remained in Tennessee.
    Respectfully, Mother’s argument is unavailing. The few positives put forward by
    Mother pale in comparison to the negatives as regards preserving her parental rights.
    While Mother points to Hill’s testimony about the older children loving her, she omits
    what Hill stated next when he testified that “[t]hey are excited whenever she does come
    visit with then but I wouldn’t characterize it as a meaningful relationship. I would say
    they are more so bonded with one another and the foster mom.” Mother’s testimony
    bears out this assessment. When asked questions about details of the Children’s lives at
    trial, Mother became defensive, and it is evident that she is a remote figure to them.
    -20-
    To the extent Mother took some positive steps, such as going to rehab, she is to be
    commended but it is not enough. The Trial Court made detailed findings as to the
    Children’s best interest, including:
    The mother has had 26 months to work services, and testified herself she
    had never completed the mental health services, the parenting services, the
    parenting assessment, and had not established a safe and stable home for
    her and the children. The mother did attend Buffalo Valley for her alcohol
    and drug issues, but never signed a release for the Department to see what
    she completed and did there. The mother has passed drug screens that the
    Department could give her, but these were in the mother’s control as they
    could only be given when she appeared in Tennessee.
    In view of these findings, which the evidence does not preponderate against,
    Mother’s efforts at effecting lasting change were half-hearted and insufficient. The
    Children were removed from Mother’s home because they were exposed to
    methamphetamine and domestic violence. Mother has pled guilty to attempted
    aggravated child abuse involving the Children. It was incumbent upon Mother to make
    significant changes to rectify the dangerous conditions in her life, dangers that impacted
    the Children in a serious way, to help ensure that those conditions would not resurface.
    Mother has not done so, despite DCS’s efforts to assist. Mother has paid no child
    support. She has minimally visited with the Children in person. Instead, she has offered
    excuses, which the Trial Court clearly did not credit. Meanwhile, the evidence is
    uncontroverted that the Children are in a suitable foster home. Prolonging the Children’s
    limbo is not in their best interest when, after two years, Mother still has not made
    demonstrable, lasting change.
    The evidence does not preponderate against the Trial Court’s detailed factual
    findings relative to the Children’s best interest, in consideration of each of the statutory
    factors. We find by clear and convincing evidence, as did the Trial Court, that
    termination of Mother’s parental rights is in the Children’s best interest. Apart from the
    grounds of abandonment for failure to visit and failure to provide a suitable home, which
    we reverse, we affirm the judgment of the Trial Court terminating Mother’s parental
    rights to the Children.
    -21-
    Conclusion
    The judgment of the Trial Court is affirmed, in part, and reversed, in part, and this
    cause is remanded to the Trial Court for collection of the costs below. The costs on
    appeal are assessed against the Appellant, Emily M. M.-A., and her surety, if any.
    ____________________________________
    D. MICHAEL SWINEY, CHIEF JUDGE
    -22-