In Re Aryana S. ( 2020 )


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  •                                                                                          05/21/2020
    IN THE COURT OF APPEALS OF TENNESSEE
    AT KNOXVILLE
    Assigned on Briefs April 2, 2020
    IN RE ARYANA S.
    Appeal from the Circuit Court for Meigs County
    No. 2018-AD-2     Michael S. Pemberton, Judge
    ___________________________________
    No. E2019-01267-COA-R3-PT
    ___________________________________
    Lacy B. and Quentin B. (collectively, “Petitioners”) filed a petition for adoption and to
    terminate the parental rights of the mother, Morgan S. (“Mother”), to the minor child,
    Aryana S. (“the Child”). The Trial Court found that Petitioners had proven by clear and
    convincing evidence that the grounds of abandonment by failure to support and severe
    child abuse existed for termination of Mother’s parental rights but that termination of her
    rights was not in the Child’s best interest. Discerning no reversible error, we affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court
    Affirmed as Modified; Case Remanded
    D. MICHAEL SWINEY, C.J., delivered the opinion of the court, in which ANDY D.
    BENNETT and CARMA DENNIS MCGEE, JJ., joined.
    Wencke West, Cleveland, Tennessee, for the appellants, Quentin B. and Lacy B.
    J. Patrick Henry, Kingston, Tennessee, for the appellee, Morgan S.
    OPINION
    Background
    While Mother was pregnant with the Child, she tested positive for illegal drugs on
    several occasions.     Specifically, Mother tested positive in May 2016 for
    methamphetamine, amphetamines, and THC. In June 2016, Mother tested positive for
    amphetamines and THC. Mother had a prenatal appointment with her doctor in June
    2016, wherein they discussed concerns of Mother’s illegal drug use. Thereafter, Mother
    tested positive for methamphetamine in September 2016. In January 2017, Mother tested
    positive for THC.
    The Child was born in January 2017. Following her birth, the Child tested
    positive on a meconium drug test for THC. While at the hospital, Mother used
    methamphetamine and was breastfeeding the Child. Mother subsequently tested positive
    on a drug screen for methamphetamine. The Child began experiencing withdrawal
    symptoms, was diagnosed with Neonatal Abstinence Syndrome, and was transferred to
    the Neonatal Intensive Care Unit at the University of Tennessee Medical Center.
    Upon the Child’s release from the hospital, the McMinn County Juvenile Court
    (“Juvenile Court”) removed the Child from Mother’s custody and placed the Child in the
    custody of Lacy B. (“Great Aunt”). Mother’s contact with the Child was to be
    supervised. An adjudicatory hearing was held in March 2017, and Mother waived her
    right to an adjudicatory hearing and stipulated to the facts in the petition as being true,
    which included Mother’s failed drug tests during her pregnancy, her drug use at the
    hospital while breastfeeding, and the Child’s withdrawal symptoms and diagnosis of
    Neonatal Abstinence Syndrome. The Juvenile Court, therefore, found that the Child was
    dependent and neglected. Based on those same facts, the Juvenile Court found that
    Mother had severely abused the Child.
    In January 2017, DCS developed a non-custodial permanency plan with Mother,
    which required Mother to complete mental health treatment for manic depressive bipolar
    disorder and anxiety, complete an alcohol and drug assessment and follow all
    recommendations, comply with random drug testing and pill counts, not associate with
    any known drug users or dealers, obtain and maintain stable housing, obtain and maintain
    a legal source of income, cooperate with DCS and other service providers, maintain
    regular visitation with the Child, financially support the Child, comply with all court
    orders, comply with the rules and regulations of DCS and the laws of Tennessee, and
    comply with these requirements in an expeditious manner. In its March 2017
    adjudicatory hearing order, the Juvenile Court found that the requirements for Mother in
    the proposed permanency plan were reasonably related to the conditions necessitating
    removal and were in the Child’s best interest. The Juvenile Court ordered that custody of
    the Child remain with Great Aunt and closed the dependency and neglect case.
    A subsequent non-custodial permanency plan appears in the record developed in
    June 2017. This plan required Mother to complete an alcohol and drug assessment and
    follow recommendations; complete a mental health assessment and follow
    recommendations; comply with random drug screens and hair follicle drug tests; maintain
    appropriate housing, employment, and transportation; and continue with counseling and
    aftercare.
    -2-
    Following the Juvenile Court action, Great Aunt married Quentin B. (“Great
    Uncle”). Mother had filed two petitions in Juvenile Court seeking to regain custody of
    the Child. One was denied after Mother was not present for the hearing. The second
    petition was not adjudicated due to the filing of this termination action.1 In April 2018,
    Petitioners filed their petition for adoption and termination of Mother’s parental rights to
    the Child in the Meigs County Circuit Court (“Trial Court”). The termination petition
    requested termination of Mother’s parental rights on the statutory grounds of persistent
    conditions, severe child abuse, abandonment by failure to visit, abandonment by failure
    to support, and failure to manifest an ability and willingness to assume custody of the
    Child. They subsequently filed an amended petition in August 2018, which included the
    same grounds as to Mother as in the original petition.
    The Trial Court conducted a trial in February 2019. In its June 2019 order, the
    Trial Court determined that Petitioners had proven by clear and convincing evidence the
    grounds of severe child abuse and abandonment by failure to financially support the
    Child. However, the Trial Court found that termination of Mother’s parental rights was
    not in the Child’s best interest. Concerning its best interest analysis, the Trial Court
    found as follows:
    While the testimony as to the family background and “grounds” for
    termination was of some length, the testimony as to the best interest prong
    was not, although certainly a fair amount of the testimony overlaps into
    both considerations. Some of the testimony as to the jobs and incomes of
    the parties is certainly of import as to best interests analysis. By way of
    additional proof on the issue, the Petitioners basically took the position that
    continuing to reside in their home would ensure that the child has a stable
    environment. Both Petitioners testified that the child was doing well, is
    well adjusted and cared for and is being taught right from wrong. This court
    has no reason to doubt the Petitioners in this regard. The Petitioners
    testified that they are also worried about [Mother] relapsing into drug use.2
    1
    The record is unclear whether the second custody petition was not adjudicated and remained pending or
    whether the petition was dismissed for lack of jurisdiction due to the filing of the termination action. The
    Juvenile Court’s order is not included in the record on appeal.
    2
    The concern about a relapse for recovering addicts is a very real concern and one this court shares.
    However, based upon the steps/actions [Mother] has taken since removal, this court is of the opinion that
    [Mother] has addressed her addiction and has, for the time being, overcome the addiction. There exists no
    guarantees that [Mother] will remain clean and maintain her sobriety. This court is not returning the child
    to [Mother]. The only issue before this court is whether to terminate [Mother’s] parental rights. The
    Order of the McMinn County Juvenile Court as to temporary custody remains in effect. To seek return of
    her child to her custody, [Mother] must file the appropriate petition in that court.
    -3-
    In addition to her other testimony set out herein, [Mother] countered
    by arguing that this court should preserve the family unit that is essential to
    physical and psychological well-being of children, in addition to the
    testimony set out above.
    ***
    This court will review each of [the best interest] factors individually.
    Subsection (i)(1) mandates this court to consider “[w]hether 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.” As should be apparent from this court’s
    findings of fact and conclusions thus far, this court finds that [Mother] has
    made such adjustment(s) to make her home safe and in the child’s best
    interests. She has admitted her past mistakes, most importantly to herself,
    has successfully completed drug rehabilitation, has obtained suitable
    employment, transportation and housing and went back to school and
    obtained her [C.N.A.] certification. Additionally, the proof was clear at
    trial that [Mother] was no longer associating with the type of people she
    was at the time of conception of this child as well as during and
    immediately after her birth.3
    The second statutory consideration is that of “[w]hether 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.” Tenn. Code Ann. § 36-1-
    113(i)(2). Other than the creation of the Non-Custodial Family Parenting
    Plan, based upon the proof introduced at trial, this court is unsure what
    efforts were made by “available social services agenc[ies]” to effect lasting
    adjustments. However, as noted above, [Mother] made the efforts herself.
    From the proof, the entire reason for removal of the child in the first place
    was that of [Mother’s] drug use and its sequelae. Per the only proof before
    the court on the issue, [Mother] testified that she has been “sober” since
    shortly after the birth of the child and has attended drug counseling and
    treatment. When determining whether a “lasting adjustment” is made, the
    best a court can do is to evaluate any change from the time of the
    3
    The court would note that while it is not terminating the parental rights of the mother, it is also not
    returning the child to its mother. The McMinn County Juvenile Court removed the child from the mother
    on a temporary basis and retains jurisdiction for that purpose. Therefore, if the mother wishes to have the
    child returned to her, she will have to take the proper steps in McMinn County Juvenile Court.
    -4-
    occurrence of the conduct to the present. Together with [Mother’s]
    successful efforts as to achieving and maintaining her sobriety, [Mother]
    has, as noted above, gone back to school and gotten her [C.N.A.]
    certification, acquired suitable housing and transportation and has made
    what appears to the court to have been a significant change in lots, if not
    all, aspects of her life. When evaluating the change in her life from the date
    of the child’s birth to the present, this court finds that [Mother] has made
    the requisite “lasting adjustment,” at least to date.
    The court’s conclusion as to the third statutory consideration, that of
    maintaining regular visitation or other conduct with the children, are the
    same as its conclusions as to the alleged ground of termination of
    abandonment-failure to visit. While recognizing that there may be some
    “daylight” between a ground for termination, i.e., abandonment-failure to
    visit, and best interest consideration of “maintaining regular visitation or
    other conduct with the children,” the court here finds that the analysis set
    out above as to termination of abandonment for failure to visit is applicable
    here. Therefore, the court does not find that the Petitioners have carried
    their burden as to this consideration.[4]
    4
    Concerning the ground of abandonment by failure to visit, the Trial Court found as follows:
    As to the ground of abandonment-failure to visit, the proof was clear that
    [Mother] exercises her twice weekly supervised visitation. The Petitioners argue that
    such visitation is perfunctory in nature and that [Mother] sleeps while at the visits. It was
    clear to the court that to the extent a relationship exists between [Mother] and [Great
    Aunt], it is, at best a strained one. [Mother’s] visitation with her child was supervised by
    her grandmother and not by the Petitioners, who were not present for any of the
    visitation. While there exists no question that [Mother] exercised the visitation made
    available to her, as noted above, some questions exist as to the quality of that visitation.
    Of note, the grandmother did not testify, although the Petitioners introduced the hearsay
    statements of the grandmother as to the “sleeping” issue without objection. However,
    [Mother] denied the allegations as to the perfunctory nature of the visits and testified that
    she exercised all of the visitation that she was permitted and that she was attentive during
    the visitation. As to credibility, this court finds [Mother] to have been a credible witness
    at trial. The basis for this finding is comprised of several observations by the court.
    First, [Mother] did not deny or minimize her past drug use and past mistakes. Rather, she
    was candid about her drug use and how long it had lasted. She did not evade questions,
    even those questions for which the answers were not helpful to her position.
    Additionally, the court observed her demeanor as she testified. She did not appear to the
    court to be angry or disrespectful toward Petitioners’ counsel and appeared to be
    genuinely sorry for her past actions and their impact on others. Therefore, this court
    finds the testimony of [Mother] as to the visits with the child to be more probative than
    that of the hearsay declarations of the grandmother and finds that the Petitioners have not
    proven by clear and convincing evidence the ground of abandonment for failure to visit
    as contemplated by Tenn. Code Ann. 36-1-113(g)(1).
    -5-
    Next, Tenn. Code Ann. § 36-1-113(i)(4) instructs the court to
    determine “[w]hether a meaningful relationship has otherwise been
    established between the parent or guardian and the child.” As should be
    obvious from the discussion above as to visitation, it is difficult for this
    court to state whether a meaningful relationship exists or not. [Mother] was
    obviously limited in her opportunities to visit and has therefore been
    limited in her ability to establish a meaningful relationship. [Mother]
    exercised what visitation was offered and the court has already found that
    the above “third factor” mitigates in favor of [Mother]. However, the proof
    at trial was not sufficient for this court to state whether such a relationship
    exists. However, this court will state that based upon the limited visitation
    permitted, the establishment of a meaningful relationship would have been
    difficult.5
    However, [Mother] is the natural parent of the child, whereas the
    Petitioners are the great aunt and uncle and legal custodians and [Mother]
    has complied with the non-custodial permanent parenting plan. This court
    has serious and grave concerns as to terminating the parental rights of a
    parent who has largely or totally complied with the terms of a non-custodial
    permanent parenting plan to which she, [Great Aunt] and DCS agreed to.
    Not only does termination under such circumstance strike this court as
    being fundamentally unfair to the parent, this court has serious and grave
    concerns as to how such a ruling would impact the efforts of DCS. If
    termination of parental rights can occur despite the parents’ compliance
    with an agreed to non-custodial permanent parenting plan, what good are
    such plans?      Further, termination under such circumstances would
    hamstring the efforts of DCS and render such agreements to be no more
    than a sham agreement which need not be honored or complied with. This
    court is unwilling to take such a position in light of sufficient facts
    demonstrating substantial compliance with the agreed to non-custodial
    permanent parenting plan.
    That having been said, this court has no question that the Petitioners
    have provided the children at issue herein with a loving and safe home.
    This court also has no question that the child has prospered in the
    Petitioners’ home and that the Petitioners, and their children, have become
    5
    As noted above, this court can only decide whether the termination of parental rights is appropriate or
    not appropriate based upon the proof at trial. The decision as to the return of the child from the
    “temporary custody” of the Petitioners to [Mother] will have to be made by the McMinn County Juvenile
    Court.
    -6-
    extremely attached to each other. However, the court finds that the
    Petitioners have not carried their burden as to this statutory consideration.
    Next, courts are instructed to consider “[t]he effect a change of
    caretakers and physical environment is likely to have on the child’s
    emotional, psychological and medical condition.” Tenn. Code Ann. § 36-1-
    113(i)(5). No expert proof was introduced on this issue. Indeed, there was
    scant proof on the issue from the parties. What is clear to this court from
    the proof is that the child has been with the Petitioners from the time she
    left the hospital until the date of the Order.6 This court has no doubt that
    this child has bonded with its temporary custodians and has a much greater
    bond with them than she does her mother. This court would be less than
    candid if it did not acknowledge that it was concerned about a change being
    detrimental to her emotional and psychological wellbeing. Yet, this court
    also recognizes the importance of the natural parent and child relationship
    and that termination of the relationship could also be detrimental to the
    child’s long term emotional and psychological wellbeing. Therefore, while
    acknowledging that the proof on this issue preponderates in favor of the
    Petitioners, it does not rise to the level of clear and convincing proof.
    As previously discussed, based upon the proof presented at trial, the
    court finds that [Mother’s] prenatal, perinatal and post-natal drug use to
    meet the requirements of the sixth (6th) statutory factor, set out at Tenn.
    Code Ann. § 36-1-113(i)(6).
    As to the seventh (7th) factor, set out at Tenn. Code Ann. § 36-1-
    113(i)(7), the proof was that [Mother] has obtained suitable, healthy and
    safe housing. The guardian ad litem reported that he had visited both the
    homes of the Petitioners and [Mother] and found both to be suitable in
    terms of housing. Once again, the testimony of the mother and the report of
    the guardian ad litem established that [Mother’s] home was suitable, safe
    and healthy. The Petitioners submitted no proof to the contrary. The
    Petitioners did establish that a man, perhaps a one-time or on and off
    boyfriend of [Mother] had resided in the home for a period of time after the
    birth of the child. There was some indication from the proof that this
    “boyfriend” may have been involved in the use of illicit drugs. [Mother]
    testified that this “boyfriend” was in [Mother’s] home for a short period of
    time after she obtained the residence. However, she testified that he had
    6
    As noted above, the child will continue to reside with the Petitioners until further Order of the McMinn
    County Juvenile Court.
    -7-
    not resided or visited there in quite some time. Therefore, the court finds
    that the proof on this factor mitigates in favor of [Mother].7
    As to the eighth factor, set out in Tenn. Code Ann. § 36-1-113(i)(8),
    no specific proof was introduced as to the mental and/or emotional status of
    any of the parties herein. With that said, the court did observe the parties
    during the course of the trial and, in that short time frame, observed nothing
    of concern in that regard.
    As to the ninth (9th) and final consideration set out in Tenn. Code
    Ann. § 36-1-113(i)(9), the court finds the proof to be clear and convincing
    that [Mother] has failed to pay child support for her child since her birth.
    As noted above, as to the actual terms of the Non-Custodial Family
    Parenting Plan, the court finds them to be of significance in respect to its
    “best interest” analysis and decision. The parties herein and DCS were
    signatories on the Plan. Here the proof in this case was clear to the court
    that [Mother] complied with most of the above plan of action, and exceeded
    some of the requirements.8 Since the removal of her child, [Mother]
    attended community college and obtained her [certified nursing assistant]
    certificate. As a result, at the time of trial she had found stable
    employment. This led to the acquisition of appropriate housing and
    transportation.9 She testified that . . . while she was no longer in
    alcohol/drug aftercare, she had successfully completed a program and that
    she remains sober. Additionally, [Mother] submitted evidence that she had
    completed a parenting course as well. All of the above has led to [Mother]
    meeting the “desired outcome” of the Non-Custodial Family Parenting
    Plan, namely, that she “complete all requirements, follow through with all
    recommendations, provide evidence that she will be able to provide a safe,
    stable, drug free environment.”
    7
    Once again, the presence or lack thereof of others in [Mother’s] home may become an issue in any
    subsequent proceedings in the McMinn County Juvenile Court.
    8
    No documentary proof was entered as to the Alcohol and Drug Assessment and completion of the hair
    follicle test. However, the court would note that [Mother] is employed in the health care field as a
    [certified nursing assistant] and, per her testimony, was required to submit to pre-employment drug
    testing.
    9
    [Mother] testified that she had obtained suitable housing and transportation. This fact was confirmed by
    the report of the guardian ad litem.
    -8-
    This court is of the opinion that terminating the parental rights of a
    parent who has met or exceeded the requirements placed upon her by a
    Juvenile Court and DCS would not only be fundamentally unfair, but would
    also set an extremely bad precedent. Such a precedent would not only
    render the efforts of DCS to effectuate real and positive change on the part
    of parents, it would render Agreed Family Parenting plans useless. If
    courts could proceed to terminate parental rights where parents had
    complied with such plans, then why bother with the plans in the first place.
    In this case, we have a mother who had been involved with drugs for
    a long time and her involvement finally caught up with her, and her
    newborn child. As a result, [Mother] put her child at risk and her parental
    rights at risk. As stated above, if the story ended here, the court would
    terminate [Mother’s] parental rights. However, [Mother] has taken the
    right steps, at least to date and has become, albeit belatedly, a productive
    member of society.
    The question becomes whether she should be stripped of her right to
    be a parent based upon her previous “sins.” This court thinks not. There
    are certainly previous “sins” that, in and of themselves, are enough to
    justify termination of parental rights. In particular the court is referencing
    certain sex and physical abuse crimes where the child is the victim. That is
    not the case here. Like the Petitioners, this court is concerned with the
    possibility of [Mother] relapsing into drug use and the effect that would
    have on her as well as this child. But, parental rights are not terminated
    based upon what might happen in the future. To terminate the parental
    rights of a parent who has obviously erred and been punished, but then who
    has done everything asked of them is not a position this court will take.
    Doing so could very well remove the primary incentive for people such as
    [Mother] to take the steps she has taken and become a productive member
    of society.
    Therefore, this court is convinced that the reuniting of parent and
    child is the appropriate choice here. The court is also convinced that the
    Petitioners have provided the child with a safe and stable home and, had
    [Mother] not taken the steps she did, would have certainly been suitable
    adoptive parents. However, the court is constrained to point out that the
    proof before it was that the placement of the child was a voluntary
    placement, agreed to by [Mother] with the above conditions being required
    to have been met prior to return of the child.
    -9-
    In sum, this court has no question that the Petitioners have provided
    the child at issue herein with a loving and safe home. This court also has
    no question that this child has prospered in the Petitioners’ home and that
    the Petitioners, and their children, have become extremely attached to the
    child. Given the epidemic of drug abuse in our country, and specifically
    the prevalence of babies being born addicted to drugs, people willing to
    step up and serve as custodians of these babies are of utmost importance in
    our society and should not just be thanked, they should be applauded.
    However, these people are temporary custodians of the child. While they
    may later seek to become the adoptive parents of the child, as the
    petitioners here have, they are not the child’s parent or parents during the
    period of time they are serving as custodians. While it is fairly common
    that the temporary custodians later become the legal parents of the child
    through adoption, such is usually the case when the natural parents fail to
    confront, address and remedy the issues that resulted in their children being
    removed from their custody and placed with the temporary custodians.
    Unfortunately, this court has seen enough of these cases to know that more
    often than not, the natural parents fail to take the necessary steps and the
    temporary custodians become the adoptive parents.
    (Footnotes in original but renumbered) (other internal citations omitted). Petitioners
    timely appealed to this Court.
    Discussion
    Although not stated exactly as such, Petitioners raises the following issue for our
    review: whether the Trial Court erred by finding that Petitioners had not established by
    clear and convincing evidence that termination of Mother’s parental rights was in the best
    interest of the Child.
    With regard to the termination of parental rights, our Supreme Court has
    instructed:
    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.10 Troxel
    v. Granville, 
    530 U.S. 57
    , 65, 
    120 S. Ct. 2054
    , 
    147 L. Ed. 2d 49
    (2000);
    10
    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.”
    - 10 -
    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
    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
    - 11 -
    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 grounds11 for termination exists
    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,12 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
    11
    Tenn. Code Ann. § 36-1-113(g)(1)-(13).
    12
    Tenn. Code Ann. § 36-1-113(i).
    - 12 -
    interests of the child.” Tenn. Code Ann. § 36-1113[sic](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)).
    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
    .
    - 13 -
    In re Carrington H., 
    483 S.W.3d 507
    , 521-24 (Tenn. 2016) (footnotes in original but
    renumbered).
    Additionally, the Trial Court is the arbiter of witness credibility of those who
    testify live before it. As our Supreme Court has instructed:
    When credibility and weight to be given testimony are involved,
    considerable deference must be afforded to the trial court when the trial
    judge had the opportunity to observe the witnesses’ demeanor and to hear
    in-court testimony. Estate of Walton v. Young, 
    950 S.W.2d 956
    , 959 (Tenn.
    1997) (quoting Randolph v. Randolph, 
    937 S.W.2d 815
    , 819 (Tenn. 1996)).
    Because trial courts are able to observe the witnesses, assess their
    demeanor, and evaluate other indicators of credibility, an assessment of
    credibility will not be overturned on appeal absent clear and convincing
    evidence to the contrary. Wells v. Bd. of Regents, 
    9 S.W.3d 779
    , 783
    (Tenn. 1999).
    Hughes v. Metro. Gov’t of Nashville and Davidson County, 
    340 S.W.3d 352
    , 360 (Tenn.
    2011).
    Although the parties have not raised grounds as an issue on appeal, our Supreme
    Court 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 507
    , 525-26
    (footnote omitted).
    First, we will address the statutory ground of severe child abuse. As this Court has
    previously stated:
    Tennessee Courts have determined that parents can be held to answer for
    prenatal conduct that causes severe abuse to later-born child. In In re
    M.J.J., No. M2004-02759-COA-R3-PT, 
    2005 WL 873305
    (Tenn. Ct. App.
    Apr.14, 2005), a pregnant mother gave birth to a child who, like herself,
    tested positive at birth for methamphetamines and opiates. The child was
    born with tremors, but otherwise developed normally. Despite the fact that
    the child developed well, the court notes that “the healthy development of
    the child in this case does not diminish the severity of the harm to which
    the child was exposed.”
    Id. at *8.
    This Court affirmed the trial court’s
    finding that, “by taking this illegal controlled substance [of
    methamphetamines], Mother had exposed [the child] to a substantial risk of
    great bodily injury.”
    Id. The court
    concluded that “the record clearly
    - 14 -
    supports the trial court’s finding that Mother’s prenatal drug use constituted
    severe child abuse for purposes of parental rights termination.”
    Cornelius v. State, Dep’t of Children’s Servs., 
    314 S.W.3d 902
    , 910 (Tenn. Ct. App.
    2009).
    During the adjudicatory hearing in the Juvenile Court proceedings, Mother
    stipulated to the facts in the dependency and neglect petition against her, which included
    Mother’s failed drug tests during her pregnancy, her drug use at the hospital while
    breastfeeding, the Child’s withdrawal symptoms following birth, and the Child’s
    diagnosis of Neonatal Abstinence Syndrome. Mother acknowledged during the
    termination trial that she had waived the adjudicatory hearing and had agreed during the
    dependency and neglect action that the facts in the dependency and neglect petition were
    true. Mother again acknowledged at the termination trial that the facts in that petition
    were true. The dependency and neglect petition and the adjudicatory hearing order were
    admitted as exhibits in the termination trial. Despite her stipulation to the facts in the
    dependency and neglect petition, Mother denied using methamphetamine throughout her
    entire pregnancy and stated that she stopped before her first doctor’s appointment but that
    it was still in her system. Mother further testified at trial that she used illegal drugs
    following the Child’s birth while breastfeeding the Child. The evidence does not
    preponderate against any of the Trial Court’s findings relevant to this ground. We find
    and hold, as did the Trial Court, that Petitioners have proven the ground of severe child
    abuse by clear and convincing evidence.
    We next address the ground of abandonment by failure to visit. Petitioners filed
    an original and an amended petition in this matter. Both petitions contained the same
    grounds against Mother, including abandonment by failure to support the Child. As such,
    the correct four-month period would be immediately prior to the original petition. See In
    re Ava M., No. E2019-01675-COA-R3-PT, slip op. at 21-23 (Tenn. Ct. App. May 20,
    2020); In re P.G., No. M2017-02291-COA-R3-PT, 
    2018 WL 3954327
    , at *7 (Tenn. Ct.
    App. Aug. 17, 2018), no appl. perm. appeal filed. We note that the original petition was
    filed in April 2018 and that the relevant statute in effect at that time concerning
    abandonment stated as follows in pertinent part:
    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
    - 15 -
    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[.]
    Tenn. Code Ann. § 36-1-102(1)(A) (2017). The version of Tennessee Code Annotated §
    36-1-102(1)(A)(i) in effect in April 2018 required that a parent’s failure to support be
    willful. This Court has held that “‘[f]ailure to support a child is ‘willful’ when a person is
    aware of his or her duty to support, has the capacity to provide the support, makes no
    attempt to provide support, and has no justifiable excuse for not providing the support.’”
    In re M.L.D., 
    182 S.W.3d 890
    , 896 (Tenn. Ct. App. 2005).
    Concerning this statutory ground, the Trial Court found that the proof presented
    was “clear that [Mother’s] efforts in this regard fall short of what is expected under the
    law.” The Trial Court acknowledged that there was no order requiring Mother to pay
    support and that there was no request for support from Petitioners and correctly
    determined that the lack of such an order does not prevent the Court from finding this
    ground. The absence of a court order requiring a parent to pay child support does not
    negate that parent’s obligation to pay support. See In re M.A.C., No. M2007-01981-
    COA-R3-PT, 
    2008 WL 2787763
    , at *5 (Tenn. Ct. App. July 17, 2008) (“Though Mother
    was not under a court order setting support for her children, such an order is not
    required.”). However, the Trial Court failed to make findings of fact identifying the
    relevant four-month period. Even assuming the Trial Court’s findings encompassed the
    four-month period, the Trial Court also failed to make findings of fact concerning
    Mother’s willfulness in not paying support. Under the statute in effect when the petition
    was filed, Petitioners had the burden of showing Mother’s willfulness. As such, we
    reverse this ground for termination of Mother’s parental rights.
    Because the Trial Court did not find that clear and convincing evidence existed to
    terminate Mother’s parental rights on the grounds of abandonment by failure to visit,
    persistent conditions, and failure to manifest an ability and willingness to assume custody
    of the Child and no party has raised those grounds as an issue, we are not required by In
    re Carrington to address them. See In re Carrington H., 
    2016 WL 819593
    , at *13
    (instructing this Court to “review the trial court’s findings as to each ground for
    termination” and the best interest analysis).
    Next, we will address Petitioners’ argument of whether the Trial Court erred by
    determining that termination of Mother’s parental rights was not in the Child’s best
    interest. Tennessee Code Annotated § 36-1-113(i) provides a set of non-exclusive factors
    courts are to consider in determining whether termination of parental rights is in a child’s
    best interest:
    - 16 -
    (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;
    (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
    - 17 -
    (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) (Supp. 2019).
    With regard to making a determination concerning a child’s best interest, our
    Supreme Court has instructed:
    When conducting the best interests analysis, courts must consider
    nine statutory factors listed in Tennessee Code Annotated section 36-1-
    113(i). These statutory factors are illustrative, not exclusive, and any party
    to the termination proceeding is free to offer proof of any other factor
    relevant to the best interests analysis. In re Carrington 
    H., 483 S.W.3d at 523
    (citing In re Audrey S., 
    182 S.W.3d 838
    , 878 (Tenn. Ct. App. 2005)).
    Facts considered in the best interests analysis must be proven by “a
    preponderance of the evidence, not by clear and convincing evidence.” In
    re Kaliyah 
    S., 455 S.W.3d at 555
    (citing In re Audrey 
    S., 182 S.W.3d at 861
    ). “After making the underlying factual findings, the trial court should
    then consider the combined weight of those facts to determine whether they
    amount to clear and convincing evidence that termination is in the child’s
    best interest[s].”
    Id. When considering
    these statutory factors, courts must
    remember that “[t]he child’s best interests [are] viewed from the child’s,
    rather than the parent’s, perspective.” In re Audrey 
    S., 182 S.W.3d at 878
    .
    Indeed, “[a] focus on the perspective of the child is the common theme”
    evident in all of the statutory factors.
    Id. “[W]hen the
    best interests of the
    child and those of the adults are in conflict, such conflict shall always be
    resolved to favor the rights and the best interests of the child. . . .” Tenn.
    Code Ann. § 36-1-101(d) (2017).
    Ascertaining a child’s best interests involves more than a “rote
    examination” of the statutory factors. In re Audrey 
    S., 182 S.W.3d at 878
    .
    And the best interests analysis consists of more than tallying the number of
    statutory factors weighing in favor of or against termination. White v.
    Moody, 
    171 S.W.3d 187
    , 193-94 (Tenn. Ct. App. 2004). Rather, the facts
    and circumstances of each unique case dictate how weighty and relevant
    each statutory factor is in the context of the case. See In re Audrey 
    S., 182 S.W.3d at 878
    . Simply put, the best interests analysis is and must remain a
    factually intensive undertaking, so as to ensure that every parent receives
    individualized consideration before fundamental parental rights are
    terminated. In re Carrington 
    H., 483 S.W.3d at 523
    . “[D]epending upon
    the circumstances of a particular child and a particular parent, the
    - 18 -
    consideration of one factor may very well dictate the outcome of the
    analysis.” In re Audrey 
    S., 182 S.W.3d at 878
    (citing White v. 
    Moody, 171 S.W.3d at 194
    ). But this does not mean that a court is relieved of the
    obligation of considering all the factors and all the proof. Even if the
    circumstances of a particular case ultimately result in the court ascribing
    more weight—even outcome determinative weight—to a particular
    statutory factor, the court must consider all of the statutory factors, as well
    as any other relevant proof any party offers.
    In re Gabriella D., 
    531 S.W.3d 662
    , 681-82 (Tenn. 2017).
    The Trial Court considered the factors in Tennessee Code Annotated § 36-1-113(i)
    in making its decision. Pursuant to factors (1) and (2), the Trial Court found that Mother
    had made an adjustment to her circumstances that had made her home safe and in the
    Child’s best interest. The Trial Court found that Mother had admitted her past mistakes,
    completed drug treatment, obtained her C.N.A. certification, and obtained suitable
    employment, transportation, and housing.13 The Trial Court further found that Mother
    was no longer associating with inappropriate people as she had been when the Child was
    removed from her custody. The Trial Court found that according to the proof presented
    at trial, Mother had been sober since shortly after the Child’s birth. Petitioners did not
    present evidence that demonstrated ongoing drug use by Mother after the Child was
    removed from Mother. As such, the Trial Court found that Mother had, at the time of
    trial, made a lasting adjustment in her circumstances.
    Concerning factor (3), the Trial Court found that this factor weighed in favor of
    Mother and that Mother had exercised her visitation twice a week. Although Petitioners
    argued that the visitation was perfunctory in nature and that Mother had slept at these
    visits, the Trial Court found the hearsay evidence presented by Petitioners to be less
    credible than Mother’s testimony concerning visitation. Pursuant to factor (4), the Trial
    Court found that Mother had limited ability to visit the Child and that she had limited
    ability to develop a relationship with the Child. Therefore, the Trial Court found that the
    evidence presented “was not sufficient for this court to state whether such a relationship
    exists” between Mother and the Child.
    As to factor (5), the Trial Court recognized that the Child had been in Great Aunt’s
    custody since the Child left the hospital following her birth and that the Child had bonded
    with Petitioners. The Trial Court acknowledged that the Child had “a much greater bond
    with [Petitioners] than she does with [Mother].” Although acknowledging this bond and
    the concern that such a change in caretakers would have a detrimental effect on the
    13
    The Trial Court found that Mother had obtained her L.P.N. certification but the evidence before the
    Court demonstrated that Mother actually obtained her C.N.A. certification.
    - 19 -
    Child’s emotional and psychological wellbeing, the Trial Court recognized the
    importance of the Child’s relationship with her biological parent and that termination of
    that relationship also could be detrimental to the Child’s long-term emotional and
    psychological wellbeing.
    Concerning factor (6), the Trial Court found that Petitioners had presented
    evidence sufficient to prove that Mother’s “prenatal, perinatal and post-natal drug use”
    had satisfied this factor as to whether Mother had “shown brutality, physical, sexual,
    emotional or psychological abuse or neglect toward the child.” The Trial Court found as
    to factor (7) that Mother had obtained a suitable, healthy, and safe home and that
    Petitioners had not submitted proof to the contrary. Concerning factor (8), the Trial
    Court found that no specific proof was presented concerning the parties’ mental or
    emotional state. As relevant to factor (9), the Trial Court found that Mother had not
    financially supported the Child since her birth.
    The evidence presented does not preponderate against the Trial Court’s findings of
    fact concerning best interest. However, in its best interest analysis, the Trial Court
    seemed to place great emphasis on its concern with terminating the parental rights of a
    parent who has “largely or totally complied” with the requirements of a permanency plan.
    The Trial Court stated as follows:
    Not only does termination under such circumstance strike this court as
    being fundamentally unfair to the parent, this court has serious and grave
    concerns as to how such a ruling would impact the efforts of DCS. If
    termination of parental rights can occur despite the parents’ compliance
    with an agreed to non-custodial permanent parenting plan, what good are
    such plans?     Further, termination under such circumstances would
    hamstring the efforts of DCS and render such agreements to be no more
    than a sham agreement which need not be honored or complied with. This
    court is unwilling to take such a position in light of sufficient facts
    demonstrating substantial compliance with the agreed to non-custodial
    permanent parenting plan.
    The best interest analysis is to be conducted according to the child’s best interest, not the
    parent’s. See In re Gabriella 
    D., 531 S.W.3d at 681
    . While relevant, a parent’s
    compliance with the requirements on a permanency plan is not the sole determinative
    factor when making a decision in a termination of parental rights case. Instead, the
    parent’s efforts are one of many factors to be considered by a trial court when making its
    decision concerning best interest.
    Based on the evidence presented to the Trial Court and as found by the Trial
    Court, Mother has made significant progress in turning her life around. We note the high
    - 20 -
    standard of clear and convincing evidence applicable to termination of parental rights
    cases. “‘Clear and convincing evidence’ is ‘evidence in which there is no serious or
    substantial doubt about the correctness of the conclusions drawn from the evidence.’” In
    re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002). Despite the Trial Court’s apparent
    emphasis on Mother’s progress on the requirements of the permanency plan, we find and
    hold, as did the Trial Court, that the entirety of the proof presented did not rise to the
    level of clear and convincing evidence that termination of Mother’s rights was in the
    Child’s best interest. We find no reversible error in the Trial Court’s decision not to
    terminate Mother’s parental rights.
    Conclusion
    The judgment of the Trial Court is affirmed as modified, and this cause is
    remanded to the Trial Court for collection of the costs assessed below. The costs on
    appeal are assessed against the appellants, Lacy B. and Quentin B., and their surety, if
    any.
    _________________________________
    D. MICHAEL SWINEY, CHIEF JUDGE
    - 21 -