In Re: Kelty F. ( 2020 )


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  •                                                                                                           04/24/2020
    IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    Assigned on Briefs March 4, 2020
    IN RE KELTY F.
    Appeal from the Circuit Court for Hamblen County
    No. 18CV065         Thomas J. Wright, Judge
    ___________________________________
    No. E2019-01383-COA-R3-PT
    ___________________________________
    This is a termination of parental rights case. The child at issue was removed after her
    umbilical cord blood tested positive at birth for methamphetamine and amphetamine.
    The trial court found, by clear and convincing evidence, that mother’s parental rights
    should be terminated on the grounds of abandonment by the willful failure to visit and the
    willful failure to provide a suitable home for the child, substantial noncompliance with
    the permanency plans, persistence of conditions, and failure to manifest an ability and
    willingness to assume custody or financial responsibility of the child. The trial court
    further found, by clear and convincing evidence, that termination was in the best interests
    of the child. Having reviewed the record on appeal, we affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court Affirmed and
    Remanded
    ARNOLD B. GOLDIN, J., delivered the opinion of the court, in which FRANK G. CLEMENT,
    JR., P.J., M.S., and, JOHN W. MCCLARTY J., joined.
    Gerald T. Eidson, Rogersville, Tennessee, for the appellant, Tracy F.
    Herbert H. Slattery, III, Attorney General and Reporter; Jordan K. Crews, Assistant
    Attorney General, for the appellee, Tennessee Department of Children’s Services.
    OPINION
    I. BACKGROUND AND PROCEDURAL HISTORY
    The child at issue in this case, K.F. (“the Child”)1, was born on November 14,
    1
    In cases involving minor children, it is this Court’s policy to redact names sufficient to protect
    the children’s identities.
    2016 to Tracy F. (“Mother”) and Joseph F. (“Father”)2. Upon her birth, the Child’s
    umbilical cord blood tested positive for methamphetamine and amphetamine. On
    December 30, 2016, Mother and Father submitted to urine drug screens, and both tested
    positive for methamphetamine. The Child was removed from their custody later that day.
    Within the first month after the Child was removed from Mother’s and Father’s custody,
    Mother informed April Hensley, the DCS family service worker assigned to this case,
    that she was moving to Virginia to live with her parents.
    On January 4, 2017, the Tennessee Department of Children’s Services (“DCS”)
    filed a petition alleging that the Child was dependent and neglected based on the parents’
    positive drug screens and the fact that the Child’s umbilical cord blood had tested
    positive at birth. Additionally, DCS alleged that the Child was the victim of severe child
    abuse. On March 22, 2017, the Hamblen County Juvenile Court (the “juvenile court”)
    adjudicated the Child dependent and neglected and found that Mother had subjected the
    Child to severe child abuse because she “knowingly and recklessly used illicit drugs . . .
    during a time that she knew she was pregnant with the [C]hild while also knowing that
    her actions were likely to cause serious bodily injury or death to the [C]hild.”.
    Additionally, the juvenile court ordered that the Child remain in DCS custody. Mother
    appealed the severe-abuse finding to the Hamblen County Circuit Court (the “trial court”)
    on March 31, 2017.
    On January 26, 2017, DCS developed a permanency plan for Mother.3 Under the
    plan, Mother was required to, among other things: pay all child support as required by the
    courts or child support enforcement; attend all scheduled visits and conduct herself in an
    appropriate manner during such visits; complete parenting classes; submit to random
    drug screens; demonstrate appropriate caregiving during all interactions with the Child;
    maintain a budget and provide a copy of all bills and all income; complete alcohol and
    drug, mental health, and psychological assessments; obtain and maintain a legal source of
    income and provide proof thereof; ensure that all of the Child’s educational needs are
    met; obtain and maintain safe and stable housing and provide proof thereof; and allow
    DCS to conduct home studies. Mother, however, was noncompliant with the majority of
    her responsibilities set out in the permanency plan throughout the custodial period,
    especially those pertaining to her drug use and visitation. Mother admitted that she
    continued to use drugs following the Child’s removal. Moreover, on March 22, 2017,
    Mother again tested positive for methamphetamine and amphetamine, and she refused
    two drug screens in July 2017 and one in October 2017. Mother did submit to a hair-
    follicle drug screen on January 30, 2018—and tested positive for methamphetamine and
    amphetamine—but that was the last time Mother submitted to a drug screen. As to
    2
    Father did not appeal the termination of his parental rights to the Child and is not a party to this
    appeal.
    3
    A second permanency plan was developed for Mother on November 8, 2017.                        Mother’s
    responsibilities under the second plan remained virtually unchanged from the first.
    -2-
    Mother’s visitation, DCS offered her 46 visits throughout the custodial period, but she
    only attended 15. 13 of those 15 visits occurred during the first year of the custodial
    period. Additionally, in December 2017, Ms. Hensley arranged and received funding for
    therapeutic visitations in order to assist Mother in dealing with the Child’s behavioral
    issues during the visits. Eight therapeutic visitations were offered, but Mother only
    attended one. Accordingly, the therapeutic visitations were cancelled in May 2018 due to
    Mother’s noncompliance. At the time of trial on May 6, 2019, Mother had not visited the
    Child since June 20, 2018.
    On May 2, 2018, DCS filed a petition with the trial court to terminate the parental
    rights of Mother and Father (the “Petition”). DCS sought termination on six grounds: (1)
    abandonment by failure to visit the Child; (2) abandonment by failure to find a suitable
    home; (3) substantial noncompliance with the permanency plan; (4) persistence of
    conditions; (5) severe child abuse; and (6) failure to manifest an ability to parent. Upon
    DCS’s motion, the trial court consolidated Mother’s severe-abuse appeal—from the
    juvenile court’s April 13, 2017 dependency and neglect order—with the Petition.
    Following a trial that was conducted on May 6, 2019, and, on July 5, 2019, the trial court
    issued its order, wherein it terminated Mother’s and Father’s parental rights to the Child
    on the grounds of abandonment by failure to visit the Child, abandonment by failure to
    find a suitable home, substantial noncompliance with the permanency plan, persistence of
    conditions, and failure to manifest an ability to personally assume custody of the Child.
    The trial court, however, found that DCS failed to prove the ground of severe child abuse
    by clear and convincing evidence.4 Additionally, the trial court found that termination of
    Mother’s and Father’s parental rights was in the best interest of the Child. Mother timely
    filed this appeal.
    II. ISSUES PRESENTED
    There are two dispositive issues on appeal, which we restate as follows:
    1. Whether there is clear and convincing evidence to support at least one of the
    five grounds found by the trial court for termination of Mother’s parental
    rights.5
    4
    Specifically, the trial court concluded that DCS “failed to prove that Mother ‘knowingly’
    exposed her unborn child to methamphetamine” because Mother had testified that she stopped using
    drugs when she discovered that she was pregnant.
    5
    While Mother does not challenge the trial court’s findings as they pertain to the grounds for
    termination, the Tennessee Supreme Court has instructed this Court to “review a trial court’s findings
    regarding all grounds for termination and whether termination is in a child’s best interests, even if a
    parent fails to challenge these findings on appeal.” In re Carrington H., 
    483 S.W.3d 507
    , 511 (Tenn.
    2016).
    -3-
    2. If so, whether there is clear and convincing evidence to support the trial
    court’s determination that termination of Mother’s parental rights is in the
    Child’s best interests.
    III. STANDARD OF REVIEW
    Under both the United States and Tennessee Constitutions, a parent has a
    fundamental right to the care, custody, and control of his or her child. Stanley v. Illinois,
    
    405 U.S. 645
    , 651 (Tenn. 1972); Nash-Putnam v. McCloud, 
    921 S.W.2d 170
    , 174 (Tenn.
    1996). Thus, the state may interfere with parental rights only when a compelling interest
    exists. 
    Nash-Putnam, 921 S.W.2d at 174-75
    (citing Santosky v. Kramer, 
    455 U.S. 745
    (1982)). Our termination statutes identify “those 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 W.B., Nos.
    M2004-00999-COA-R3-PT, M2004-01572-COA-R3-PT, 
    2005 WL 1021618
    , at *7
    (Tenn. Ct. App. Apr. 29, 2005) (citing Tenn. Code Ann. § 36-1-113(g)). A person
    seeking to terminate parental rights must prove both the existence of one of the statutory
    grounds for termination and that termination is in the child’s best interest. Tenn. Code
    Ann. § 36-1-113(c); In re D.L.B., 
    118 S.W.3d 360
    , 367 (Tenn. 2003); In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002).
    Because of the fundamental nature of a parent’s rights and the grave consequences
    of the termination of those rights, courts must require a higher standard of proof in
    deciding termination cases. 
    Santosky, 455 U.S. at 769
    . Accordingly, both the grounds
    for termination and that termination of parental rights is in the child’s best interests must
    be established by clear and convincing evidence. Tenn. Code Ann. § 36-3-113(c)(1); In
    re 
    Valentine, 79 S.W.3d at 546
    . Clear and convincing evidence “establishes that the truth
    of the facts asserted is highly probable . . . and eliminates any serious or substantial doubt
    about the correctness of the conclusions drawn from the evidence.” In re M.J.B., 
    140 S.W.3d 643
    , 653 (Tenn. Ct. App. 2004). Such evidence “produces in a fact-finder’s mind
    a firm belief or conviction regarding the truth of the facts sought to be established.”
    Id. In view
    of the heightened standard of proof in termination of parental rights cases,
    a reviewing court must modify the customary standard of review in Tennessee Rule of
    Appellate Procedure 13(d). As to the trial court’s findings of fact, our review is de novo
    with a presumption of correctness unless the evidence preponderates otherwise. Tenn. R.
    App. P. 13(d). We must then determine whether the facts, as found by the trial court or
    as supported by the preponderance of the evidence, clearly and convincingly establish the
    elements necessary to terminate parental rights. Jones v. Garrett, 
    92 S.W.3d 835
    , 838
    (Tenn. 2002).
    -4-
    IV. GROUNDS FOR TERMINATION OF PARENTAL RIGHTS
    As noted earlier, the trial court relied on five statutory grounds in terminating
    Mother’s parental rights: (1) abandonment by failure to visit the Child; (2) abandonment
    by failure to find a suitable home; (3) substantial noncompliance with the permanency
    plan; (4) persistence of conditions; and (5) failure to manifest an ability to parent.
    Although only one ground must be proven by clear and convincing evidence in order to
    terminate a parent’s rights, the Tennessee Supreme Court has instructed this Court to
    review every ground relied upon by the trial court to terminate parental rights in order to
    prevent “unnecessary remands of cases.” In re Angela E., 
    303 S.W.3d 240
    , 251 n.14
    (Tenn. 2010). Accordingly, we will review each of the foregoing grounds on which the
    trial court relied in terminating Mother’s parental rights.
    A. Abandonment by Willful Failure to Visit and Willful Failure to Provide a
    Suitable Home
    The trial court found by clear and convincing evidence that Mother’s parental
    rights should be terminated on the ground of abandonment by willful failure to visit and
    willful failure to provide a suitable home pursuant to Tennessee Code Annotated sections
    36-1-113(g)(1) and 36-1-102(1)(A)(i)-(ii).6 In pertinent part, Tennessee Code Annotated
    section 36-1-113(g) provides:
    (g) Initiation of termination of parental or guardianship rights may be based
    upon any of the grounds listed in this subsection (g). The following grounds
    are cumulative and nonexclusive, so that listing conditions, acts or
    omissions in one ground does not prevent them from coming within another
    ground:
    (1) Abandonment by the parent or guardian, as defined in § 36-1-102, has
    6
    As this Court noted in a previous opinion:
    Effective July 1, 2018, the General Assembly has amended Tennessee Code
    Annotated § 36-1-102(A) to substitute the phrase, “proceeding, pleading, petition, or any
    amended petition,” in place of “proceeding or pleading.” See 2018 Tenn. Pub. Acts, Ch.
    875, § 1 (H.B. 1856). Pursuant to the same amendment, the words, “willful” and
    “willfully,” have been deleted wherever they previously appeared in subsection - 102(1),
    and a new subsection, -102(1)(I), has been added, providing that the “absence of
    willfulness” shall be an affirmative defense to abandonment for failure to visit or support,
    for which “[t]he parent or guardian shall bear the burden of proof.” See
    id. at §
    2.
    In re J’Khari F., M2018-00708-COA-R3-PT, 
    2019 WL 411538
    , at *4 (Tenn. Ct. App. Jan. 31, 2019).
    Since the Petition in this case was filed in May 2018, prior to the amendment to the statute, we will
    confine our analysis in this Opinion to the version of Tennessee Code Annotated § 36-1-102 in effect at
    that time.
    -5-
    occurred[.]
    Tenn. Code Ann. § 36-1-113(g)(1). As is relevant here, Tennessee Code Annotated
    section 36-1-102 defines abandonment as follows:
    (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). Here, DCS filed the Petition on May 2, 2018,
    and Mother was not incarcerated during the four months preceding the filing.
    Accordingly, we look to the four-month period immediately preceding this date.
    In In re Audrey S., this Court discussed willfulness in the context of termination of
    parental rights cases:
    The concept of “willfulness” is at the core of the statutory definition
    of abandonment. A parent cannot be found to have abandoned a child
    under Tenn. Code Ann. § 36-1-102(1)(A)(i) unless the parent has either
    -6-
    “willfully” failed to visit or “willfully” failed to support the child for a
    period of four consecutive months . . . . In the statutes governing the
    termination of parental rights, “willfulness” does not require the same
    standard of culpability as is required by the penal code. Nor does it require
    malevolence or ill will. Willful conduct consists of acts or failures to act
    that are intentional or voluntary rather than accidental or inadvertent.
    Conduct is “willful” if it is the product of free will rather than coercion.
    Thus, a person acts “willfully” if he or she is a free agent, knows what he or
    she is doing, and intends to do what he or she is doing . . . .
    The willfulness of particular conduct depends upon the actor’s
    intent. Intent is seldom capable of direct proof, and triers-of-fact lack the
    ability to peer into a person’s mind to assess intentions or motivations.
    Accordingly, triers-of-fact must infer intent from the circumstantial
    evidence, including a person’s actions or conduct.
    In re Audrey S., 
    182 S.W.3d 838
    , 863–64 (Tenn. Ct. App. 2005) (internal citations and
    footnotes omitted).
    The trial court found that Mother abandoned the Child by willfully failing to visit
    her during the four months preceding the filing of the Petition to terminate her parental
    rights. A parent willfully abandons his or her child by failing to visit them if he or she
    fails to engage in more than mere “token visitation” with the child. Tennessee Code
    Annotated section 36-1-102 defines “token visitation” as visitation that, under the
    individual circumstances of the case, “constitutes nothing more than perfunctory
    visitations or visitation of such an infrequent nature or of such short duration as to merely
    establish minimal or insubstantial contact with the child[.]” Tenn. Code Ann. § 36-1-
    102(1)(C).
    Here, during the relevant statutory period, Mother visited the child only once—on
    January 18, 2018—and the trial court found that the visit was only token visitation.
    Accordingly, Mother’s failure to visit the Child clearly constitutes abandonment as
    defined by the statute. Mother, however, maintains on appeal that her failure to visit was
    not willful. Specifically, Mother states that, “[d]espite the distance to be traveled while
    she lived in Virginia, she was never offered the option to visit with her child by video
    chat or Facetime” and that DCS never attempted to assist her with transportation. The
    trial court disagreed with Mother’s assertions, stating that, while “Mother claimed that
    living in Virginia created difficulties in scheduling visitation[,] Mother had access to
    transportation.” Specifically, the trial court stated as follows in its oral findings of fact:
    I find that the failure to visit was willful. During the year that you [Mother]
    had several visits, you were able to access not only how to do the visits, but
    access transportation to get there. You testified about all the places that
    -7-
    you worked. So, you were making money. And you certainly had the
    ability to work. And you didn’t have any expenses for a significant part of
    that period of time . . . . You were living at your parents’ house. And
    sometimes you could get them to drive you and sometimes you couldn’t,
    but there are other forms of transportation.
    After our review of the record, we agree with the trial court that Mother’s failure to visit
    was willful. Mother attempts to paint her failure to visit as being out of her control. See
    In re A.M.H., 
    215 S.W.3d 793
    , 810 (Tenn. 2006) (“[A] parent who attempted to visit and
    maintain relations with his child, but was thwarted by the acts of others and
    circumstances beyond his control, did not willfully abandon his child.”); see also In re
    M.L.P., 
    281 S.W.3d 387
    , 393 (Tenn. 2009) (“A parent’s failure to visit may be excused
    by the acts of another only if those acts actually prevent the parent from visiting the child
    or constitute a significant restraint or interference with the parent’s attempts to visit the
    child.”). Here, Mother does not point to any acts by DCS that “thwarted” or “actually
    prevented” her from visiting the Child. Moreover, the record reflects that Mother failed
    to cooperate with DCS and never asked for assistance to be provided to her. Ms. Hensley
    testified as follows:
    Q: How many times did she [Mother] refuse to give you information?
    A: Almost every time that I asked for information.
    Q: How many times did she avoid answering direct questions?
    A: Almost every time that I asked.
    Q: How many times did she say DCS—that she did not need DCS’s help?
    A: I know of at least two occasions.
    Q: Okay. Did she ever ask you for a bus ticket to get form Virginia to
    Tennessee to visit [the Child]?
    A: No.
    Accordingly, we conclude that there was clear and convincing evidence to establish that
    Mother abandoned the Child by willfully failing to visit her during the relevant statutory
    period.
    The trial court also found that Mother abandoned the Child by willfully failing to
    provide a suitable home. This Court has previously noted that “[a]n essential element of
    this ground for termination is proof that ‘[t]he child has been removed from the home of
    the parent . . . 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 . . . .’” In re Aiden R., No. E2015-01799-COA-
    R3-PT, 
    2016 WL 3564313
    , at *7 (Tenn. Ct. App. June 23, 2016) (quoting Tenn. Code
    Ann. § 37-1-102(1)(A)(ii)). “[T]he mere suggestion or possibility of an order
    adjudicating the child dependent and neglected is not good enough.” In re R.L.M., No.
    E2013-02723-COA-R3-PT, 
    2015 WL 389635
    , at *3 (Tenn. Ct. App. Jan. 29, 2015).
    -8-
    Here, upon DCS’ petition, the juvenile court found that the Child was dependent
    and neglected, and, on December 30, 2016, the Child was removed from Mother’s
    custody. Additionally, the juvenile court found that, “based on an assessment of the
    family and the [C]hild’s circumstances, it was reasonable to make no effort to maintain
    the [C]hild in the home.” Further, the record reflects that DCS made reasonable efforts to
    assist Mother in establishing a suitable home for the Child. Ms. Hensley testified that,
    throughout the custodial period, she requested and received funding for Mother’s alcohol
    and drug assessments, provided Mother with a list of local job-assistance programs and
    local resources in Virginia, including information on housing, employment, food stamps,
    and mental health providers.
    While there is evidence of DCS’s efforts, there is little, if any, evidence that
    Mother reciprocated those efforts, especially with regard to her substance abuse
    issue and unstable housing situation. DCS’s efforts to assist a parent in
    establishing a suitable home for the child may be found to be reasonable “if such
    efforts exceed the efforts of the parent or guardian toward the same goal, when the
    parent or guardian is aware that the child is in the custody of the department[.]”
    Tenn. Code Ann. § 36-1-102(1)(A)(ii). Similarly, as this Court has stated,
    “parents desiring the return of their children must also make reasonable and
    appropriate efforts to rehabilitate themselves and to remedy the conditions that
    required [DCS] to remove their children from custody.” In re Shameel S., No.
    E2014-00294-COA-R3-PT, 
    2014 WL 4667571
    , at *5 (Tenn. Ct. App. Sept. 19,
    2014). After the Child’s removal, Mother advised DCS that she was moving back
    to Virginia to live with her parents. Throughout the custodial period, however,
    Mother never allowed Ms. Hensley to engage with or contact her parents, which,
    in turn, prevented DCS from determining the home’s suitability for the Child.
    Specifically, Ms. Hensley testified that, when she tried to procure such
    information, “[Mother] got very upset and stated that she did not want her family
    involved in the case at all and she stated that she would rather have her child in
    foster care than living with her parents.” Further, Ms. Hensley testified that she
    was never entirely sure of Mother’s whereabouts, stating that Mother was “kind of
    hard to keep up with” and that she traveled “back and forth several times from
    Virginia to Tennessee.” With respect to Mother’s lack of stable housing, Ms.
    Hensley testified as follows: “[Mother] would occasionally tell me she was staying
    with some friends at this time and then staying somewhere else another time. She
    always considered her parents’ house as her residence, but she kind of told me one
    time that’s where her clothes stayed.” Ms. Hensley even testified that Mother had
    represented to her that she was homeless on multiple occasions. As to her
    substance abuse issue, Mother admitted that she had used methamphetamine on
    multiple occasions following the Child’s removal.7 Mother tested positive for
    7
    Specifically, Mother testified as follows:
    -9-
    methamphetamine and amphetamine in March 2017 and refused two drug screens
    in July 2017. Mother last submitted to a drug screen in January 2018 and tested
    positive for methamphetamine and amphetamine.
    After our review of the record, we agree with the trial court’s finding that there is
    clear and convincing evidence that Mother abandoned the Child by failing to provide a
    suitable home, despite reasonable efforts made by DCS to assist her in doing so.
    Moreover, we find that it appears unlikely that Mother can establish a suitable home for
    the Child at an early date. Throughout the custodial period, Mother did not adequately
    address her unstable housing and substance abuse issues. Accordingly, we affirm the
    trial court’s finding, by clear and convincing evidence, that Mother abandoned the Child
    pursuant to Tennessee Code Annotated section 36-1-102(1)(A)(ii) by willfully failing to
    provide a suitable home for the Child.
    B. Substantial Noncompliance with Permanency Plan
    The trial court also based its termination of Mother’s parental rights on her failure
    to comply with the permanency plans developed by DCS. Tennessee Code Annotated
    section 36-1-113(g)(2) provides that grounds for termination may exist when “[t]here has
    been substantial noncompliance by the parent or guardian with the statement of
    responsibilities in a permanency plan[.]” Tenn. Code Ann. § 36-1-113(g)(2). As this
    Court has previously explained:
    Terminating parental rights based on Tenn. Code Ann. § 36-1-113(g)(2)
    requires more proof than that a parent has not complied with every jot and
    tittle of the permanency plan. To succeed under Tenn. Code Ann. § 36-1-
    113(g)(2), the Department must demonstrate first that the requirements of
    the permanency plan are reasonable and related to remedying the conditions
    that caused the child to be removed from the parent’s custody in the first
    place, and second that the parent’s noncompliance is substantial in light of
    the degree of noncompliance and the importance of the particular
    requirement that has not been met. Trivial, minor, or technical deviations
    from a permanency plan’s requirements will not be deemed to amount to
    substantial noncompliance.
    In re 
    M.J.B., 140 S.W.3d at 656
    –57 (internal citations omitted). Additionally, because
    Q: Do you recall how many times you used methamphetamines since [the Child]
    was in custody?
    A: Maybe a handful.
    ....
    Q: More than five?
    A: Probably more than five.
    - 10 -
    determining whether substantial noncompliance exists is a question of law, we review the
    issue de novo with no presumption of correctness. In re 
    Valentine, 79 S.W.3d at 548
    .
    Here, the first permanency plan was developed for Mother on January 26, 2017
    and ratified by the juvenile court on March 22, 2017; the second permanency plan was
    developed on November 8, 2017 and ratified on March 26, 2018. As noted above, the
    primary issues underlying the Child’s removal were those pertaining to Mother’s
    substance abuse and unstable housing situation. Accordingly, the permanency plans’
    responsibilities requiring Mother to submit to drug screens and to complete alcohol, drug,
    and mental health assessments were reasonably related to Mother’s substance abuse
    issue. Similarly, the plans’ responsibilities requiring Mother to obtain and maintain safe
    and stable housing, to provide proof thereof, and to allow DCS to enter the home and
    conduct home studies were reasonably related to Mother’s unstable housing situation.
    As previously noted, however, Mother admitted to using methamphetamines on
    multiple occasions following the Child’s removal, and she refused multiple drug screens
    throughout the custodial period. Mother never completed a psychological assessment,
    despite DCS’ efforts in obtaining funding for the assessment and notifying Mother when
    such funding was approved. As to the permanency plans’ responsibilities pertaining to
    visitation, Mother was offered 46 visits, but she attended only 15.8 Further, Mother did
    not comply with the plans’ responsibilities pertaining to her unstable housing situation.
    Mother considered her parents’ home in Virginia as her primary residence—despite
    bouncing around from place to place—but never permitted DCS to contact her parents or
    to conduct a home study at their home. Additionally, Mother testified that she moved in
    with Father’s ex-stepmother in Morristown, Tennessee in January 2019, but she never
    responded to DCS’ request to conduct a home study there, either. Mother completed very
    few of her responsibilities under the permanency plans, and, more significantly, she
    failed to comply with the responsibilities aimed at addressing her substance abuse issue
    and unstable housing situation. Accordingly, we affirm the trial court’s finding, by clear
    and convincing evidence, that, pursuant to Tennessee Code Annotated section 36-1-
    113(g)(2), Mother was substantially noncompliant with her responsibilities under the
    permanency plans.
    C. Persistence of Conditions
    The trial court also relied on Tennessee Code Annotated section 36-1-113(g)(3) as
    a ground for terminating Mother’s parental rights, which provides that parental rights
    may be terminated when the child has been removed from the home of the parent by
    order of a court for a period of six months and:
    (A) The conditions that led to the child’s removal or other conditions that in
    8
    Moreover, of the 15 visits she did attend, Mother ended at least three of them early.
    - 11 -
    all reasonable probability would cause the child to be subjected to further
    abuse or neglect and that, therefore, prevent the child’s safe return to the
    care of the parent . . . still persist;
    (B) There is little likelihood that these conditions will be remedied at an
    early date so that the child can be safely returned to the parent . . . in the
    near future; and
    (C) The continuation of the parent . . . and child relationship greatly
    diminishes the child’s chance of early integration into a safe, stable and
    permanent home.
    Tenn. Code Ann. § 36-1-113(g)(3). The purpose behind the persistence of conditions
    ground for terminating parental rights is “to prevent the child’s lingering in the uncertain
    status of foster child if a parent cannot within a reasonable time demonstrate an ability to
    provide a safe and caring environment for the child.” In re Arteria H., 
    326 S.W.3d 167
    ,
    178 (Tenn. Ct. App. 2010). In In re Mickia J., this Court held that, “as a threshold
    requirement for applicability of the ground of persistence of conditions in termination of
    parental rights cases, the child must not only have been adjudicated dependent and
    neglected, but he or she must also have been removed from the defendant parent’s
    home.” In re Mickia J., No. E2016-00046-COA-R3-PT, 
    2016 WL 5210794
    , at *5 (Tenn.
    Ct. App. Sept. 19, 2016). Here, the trial court adjudicated the Child dependent and
    neglected and a victim of severe child abuse, and the Child was removed from Mother’s
    custody and placed in the custody of DCS on December 30, 2016.
    In its order terminating Mother’s and Father’s parental rights, the trial court found
    that Mother had not properly addressed her substance abuse issue and unstable housing
    situation. With respect to the former, the trial court found, in relevant part, that
    [the Child] was in foster care for approximately two (2) and a half years at
    the time of the hearing. She was removed from her parents[’] care and
    custody because of drug abuse. After her removal, the parents moved to
    Virginia. Other conditions arose that prevented the parents from regaining
    custody, such as homelessness and unemployment . . . . Mother continued
    to test positive for methamphetamine throughout the early stages of this
    custodial episode incident, and even admitted to occasionally using
    methamphetamine . . . . Furthermore, by her own admission, Mother
    refused to submit to any drug screens until DCS required the foster mother
    to do the same. While Mother adamantly denies that she is a drug addict,
    this Court is unconvinced by her words. Mother has provided no proof that
    she has addressed her substance abuse problem[.].
    Moreover, the trial court found that the conditions that led to the Child’s removal still
    existed, preventing the Child from returning safely to the custody of Mother. We agree.
    - 12 -
    As noted throughout this opinion, and as specifically noted by the trial court in its
    termination order, one of the primary concerns underlying the Child’s removal was
    Mother’s substance abuse. However, at the time of trial on May 6, 2019, this concern
    still persisted. Mother admitted to using methamphetamine on multiple occasions
    following the Child’s removal, and she failed9 and refused multiple drug screens
    throughout the custodial period. Other concerns underlying the Child’s removal also
    persisted. Mother failed to complete a psychological assessment; she failed to provide
    DCS with the necessary information and access in order to determine whether her living
    situation was stable and, thus, suitable for the Child; and, while she did tell Ms. Hensley
    that she was gainfully employed, she failed to provide proof of such employment.
    Mother’s failures persisted throughout a two-and-a-half-year period, from the Child’s
    removal on December 30, 2016 to the date of the trial on May 6, 2019. While
    “[p]ersistence of conditions focuses ‘on the results of the parent’s efforts at improvement
    rather than the mere fact that he or she had made them[,]’” Mother, here, put forth
    minimal effort to improve the conditions that led to the Child’s removal and, thus, has
    little, if any, results to show for it. Accordingly, we agree that the evidence clearly and
    convincingly establishes the elements necessary to terminate Mother’s parental rights on
    the ground of persistence of conditions.
    D. Failure to Manifest an Ability and Willingness to Assume Custody
    Lastly, the trial court relied on Tennessee Code Annotated section 36-1-113(g)(14)
    as a ground for terminating Mother’s parental rights, which provides that a parent’s rights
    may be terminated if that parent
    has failed to manifest, by act or omission, an ability and willingness to
    personally assume legal and physical custody or financial responsibility of
    the child, and placing the child in the person’s legal and physical custody
    would pose a risk of substantial harm to the physical or psychological
    welfare of the child.
    Tenn. Code Ann. § 36-1-113(g)(14). This ground for termination requires DCS to
    establish two elements by clear and convincing proof. In re Maya R., No. E2017-01634-
    COA-R3-PT, 
    2018 WL 1629930
    , at *7 (Tenn. Ct. App. Apr. 4, 2018). As to those
    elements, this Court has stated the following:
    DCS must prove that [the parent] failed to manifest “an ability and
    willingness to personally assume legal and physical custody or financial
    responsibility of the child[ren].” DCS must then prove that placing the
    children in [the parent’s] “legal and physical custody would pose a risk of
    9
    Notably, the last drug screen to which Mother submitted was on January 30, 2018—within the
    relevant statutory period. She tested positive for both methamphetamine and amphetamine.
    - 13 -
    substantial harm to the physical or psychological welfare of the child[ren].”
    Id. at *7-8
    (internal citations omitted).
    As to the first element, “[a]bility focuses on the parent’s lifestyle and
    circumstances[,]” In re Serenity W., No. E2018-00460-COA-R3-PT, 
    2019 WL 511387
    , at
    *6 (Tenn. Ct. App. Feb. 8, 2019), and “[p]arents demonstrate willingness by attempting
    to overcome the obstacles that prevent them from assuming custody or financial
    responsibility for the child.” In re Cynthia P., No. E2018-01937-COA-R3-PT, 
    2019 WL 1313237
    , at *8 (Tenn. Ct. App. Mar. 22, 2019). Here, Mother made little effort to adjust
    her lifestyle and circumstances. She admitted to using methamphetamines multiple times
    during the custodial period, she failed to complete a psychological assessment, she never
    provided DCS with proof of income, and she never provided DCS with the necessary
    access or information regarding her living situation. This same evidence supports our
    conclusion that placing the Child in Mother’s custody “would pose a risk of substantial
    harm to the physical or psychological welfare of the [C]hild.” Tenn. Code Ann. § 36-1-
    113(g)(14). Further, while Mother failed to address the concerns that led to the Child’s
    removal, the Child has been living with her current pre-adoptive foster family—the same
    family with whom the Child has lived since she was one month old, which, by the time of
    trial, had been two-and-a-half years. In In re Amynn K., we determined that placing the
    child at issue in the legal and physical custody of her father would pose a risk of
    substantial harm to her physical and psychological welfare, one reason being because
    “the Child had been placed with the foster parents for four years and had developed a
    bond with them.” In re Amynn K., No. E2017-01866-COA-R3-PT, 
    2018 WL 3058280
    , at
    *15 (Tenn. Ct. App. June 20, 2018). Here, the Child had lived with the foster family for
    two-and-a-half years following her removal from Mother’s custody soon after the Child’s
    birth. Moreover, Robin Franklin, the Child’s foster mother who has five children of her
    own, testified that the Child has adjusted well and interacts well with everybody in the
    home. Ms. Franklin also testified that the Child refers to her and her husband as
    “mommy” and “daddy”. Based on the evidence presented, we conclude that DCS has
    proven by clear and convincing evidence that Mother failed to manifest an ability and
    willingness to personally assume legal and physical custody or financial responsibility of
    the Child and that placing the Child in Mother’s legal and physical custody would pose a
    risk of substantial harm to the physical or psychological welfare of the Child.
    Accordingly, and considering our affirmance of the other four statutory grounds at issue,
    we affirm the trial court’s findings regarding the existence of the five statutory grounds
    for termination of Mother’s parental rights.
    V. BEST INTERESTS
    Having found at least one statutory ground on which to sustain termination of
    Mother’s parental rights, we must now consider whether DCS has proven by clear and
    convincing evidence that termination of Mother’s parental rights is in the Child’s best
    interests. See Tenn. Code Ann. § 36-1-113(c)(2). Once the court has determined that the
    - 14 -
    parent is unfit based on clear and convincing evidence that one or more of the grounds for
    termination exists, the interests of the parent and child diverge, and the interests of the
    child become the court’s paramount consideration. In re Audrey 
    S., 182 S.W.3d at 877
    .
    If the interests of the parent and the child conflict, the court must always resolve the
    conflict in favor of the rights and best interests of the child. Tenn. Code Ann. § 36-1-
    101(d). Tennessee Code Annotated section 36-1-113(i) sets forth the following list of
    factors to be considered when determining a child’s best interests in a termination of
    parental rights case:
    (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.
    Tenn. Code Ann. § 36-1-113(i). Because long-term foster care is disfavored, “many of
    the statutory best interest factors relate to the likelihood that the child will be able to
    leave foster care and return to the parent’s home in the near future.” In re Adoption of
    J.A.K., No. M2005-02206-COA-R3-PT, 
    2006 WL 211807
    , at *4 (Tenn. Ct. App. Jan. 26,
    2006). If that likelihood is remote, “the best interest of the child often lies in termination
    - 15 -
    of parental rights so that the child can attain the security and stability of a permanent
    home through adoption.”
    Id. Here, the
    trial court found by clear and convincing evidence that it was in the best
    interest of the Child to terminate Mother’s parental rights. Specifically, it found as
    follows, in relevant part:
    Based upon the evidence, the overriding interest is the [C]hild’s
    stability. [The Child] has remained in the same foster home since her
    removal. The foster mother, Ms. Franklin, is attentive to her medical needs
    and is devoted to ensuring that the [C]hild has the best opportunities
    possible for normalcy. In order for this to be attained, [the Child] requires
    consistency and stability. There is no question her needs are met in her
    current foster home. She has bonded well with her foster parents and their
    other children. Mr. and Ms. Franklin love her and wish to adopt her.
    The hallmark of the parents’ history during the course of this case is
    instability. Mother and Father have bounced in and out of the [C]hild’s
    life. They have bounced from home to home. Mother’s had several
    different jobs. She claims that she does not have a drug problem, but
    continues to use methamphetamine.
    After our review of the record, we agree with the trial court and conclude that Mother has
    failed to make any lasting adjustment that would allow for reunification with the Child,
    and, as such, the best interest factors weigh in favor of terminating Mother’s parental
    rights.
    DCS became involved with Mother and the Child after receiving three referrals
    alleging that the Child had been exposed to drugs.10 On December 30, 2016, Mother and
    Father submitted to drug screens, and both tested positive for methamphetamine, and the
    Child was removed from their custody and placed in the custody of DCS later that day.
    Mother has admitted that she continues to use drugs; she has not allowed DCS to conduct
    a home study, and she has failed to comply with or complete several of the permanency
    plans’ requirements ; she has failed to exercise regular visitation, and, as a result, has no
    meaningful relationship with the Child .11 Accordingly, Mother has failed to show that
    she can provide a healthy and safe physical environment for the Child, and we find that
    changing caretakers and the Child’s physical environment would likely have a negative
    effect on the Child’s psychological well-being.
    10
    The first and second referrals were screened out, the first because Mother and Father reportedly
    lived in Wise County, Virginia, and the second because the referral did not contain information regarding
    their location.
    11
    In fact, Ms. Franklin testified that, at some of the visits Mother did attend, the Child “was
    scared” and that there was “very limited interaction.”
    - 16 -
    Mother argues on appeal that, “while the Court examined each of the nine
    factors[,]” it “did not make findings of facts of all the factors that the Court listed in it’s
    [sic] oral findings.” Specifically, Mother argues that the trial court “failed to make full
    findings of facts on factor [sic] 3, 4, 5, 7, and 8 as to whether they would weigh in favor
    or against the termination being in the [C]hild’s best interest.” We disagree. Firstly, as
    this Court has previously stated, “[a]scertaining a child’s best interests does not call for a
    rote examination of each of Tenn. Code Ann. § 36-1-113(i)’s nine factors and then a
    determination of whether the sum of the factors tips in favor of or against the parent.” In
    re Audrey 
    S., 182 S.W.3d at 878
    . Moreover, because “[t]he relevancy and weight to be
    given each factor depends on the unique facts of each case[,]” 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
    v. Moody,
    
    171 S.W.3d 187
    , 194 (Tenn. Ct. App. 2004)). Secondly, we find that the trial court’s oral
    findings of fact, announced from the bench following the trial on May 6, 2019, as well as
    those contained in its final order, issued on July 5, 2019, are very detailed and sufficient.
    Mother also makes numerous other arguments as to why the trial court erred in its
    best interest analysis. For example, Mother argues that she completed an alcohol and
    drug assessment. However, satisfying a responsibility in a permanency plan does not
    make up for the fact that Mother (1) admitted to using methamphetamines on multiple
    occasions following the Child’s removal and (2) refused multiple drug screens
    throughout the custodial period. Mother also argues that she was employed at Subway
    and that, at the time of trial, she had recently been hired by Home Health Care. Again,
    however, Mother neglects important facts. While the permanency plans required Mother
    to obtain stable employment, they also required her to provide proof thereof—such as by
    providing at least three months of paystubs—which Mother never did. Mother also
    argues that DCS “never considered contacting the sister agency in Virginia to see what
    services they could assist the mother in completing.” Ms. Hensley, however, testified
    that she personally put together a packet with information regarding resources in
    Virginia. Specifically, Ms. Hensley testified as follows:
    Q: Can you tell the Court what you did as far as your efforts to help her
    while she was in Virginia?
    A: Yes. While she was in Virginia, I went on to a Google search and I
    looked up providers in Virginia and sent her almost like a community
    resources packet that I made up on my own.
    Q: Uh-huh. And what, what was included in that packet?
    A: Housing information, like SNAP information for Food Stamps, job
    employment places, and also like mental health providers.
    In light of the foregoing, we are satisfied that the record contains clear and convincing
    evidence that terminating Mother’s parental rights is in the Child’s best interests.
    - 17 -
    VI. CONCLUSION
    For the foregoing reasons, the judgment of the trial court is hereby affirmed.
    _________________________________
    ARNOLD B. GOLDIN, JUDGE
    - 18 -