In Re Katelynn S. ( 2021 )


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  •                    IN THE COURT OF APPEALS OF TENNESSEE
    AT NASHVILLE
    Assigned on Briefs October 1, 2020
    IN RE KATELYNN S. ET AL.
    Appeal from the Juvenile Court for Davidson County
    No. PT250133        Sheila Calloway, Judge
    ___________________________________
    No. M2020-00606-COA-R3-PT
    ___________________________________
    The Tennessee Department of Children’s Services filed a petition to terminate a mother’s
    parental rights based on abandonment by failure to provide a suitable home; substantial
    noncompliance with permanency plans; failure to remedy persistent conditions; and failure
    to manifest an ability and willingness to assume custody of the child. The trial court
    granted the petition, finding that the Department proved all alleged grounds by clear and
    convincing evidence and that terminating the mother’s parental rights was in the best
    interests of the child. We affirm.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court Affirmed
    KRISTI M. DAVIS, J., delivered the opinion of the court, in which FRANK G. CLEMENT, JR.,
    P.J., M.S., and ARNOLD B. GOLDIN, J., joined.
    C. Michael Cardwell, Nashville, Tennessee, for the appellant, Amber S.
    Herbert H. Slatery III, Attorney General and Reporter, and Amber L. Seymour, Assistant
    Attorney General, for the appellee, Tennessee Department of Children’s Services.
    OPINION
    BACKGROUND
    Amber S. (“Mother”)1 gave birth to Jordan S. in August 2006 and to Jayce R. in
    May 2012.2 Jordan’s father is deceased, and Jayce’s father is currently incarcerated.
    1
    This Court has a policy of protecting the identity of children in parental termination cases by
    initializing the last names of parties and witnesses, as appropriate.
    2
    Although this action is styled In re Katelynn S. et al., Katelynn S. is not at issue in this appeal.
    Mother’s interactions with the Tennessee Department of Children’s Services (“the
    Department” or “DCS”) date back to at least 2014. In August of that year, the Department
    received a referral concerning Mother for lack of supervision of Jordan and Jayce (“the
    Children”) and their two older siblings. In April 2015, the Davidson County Juvenile Court
    (“the trial court”) entered an agreed order adjudicating the Children and their siblings
    dependent and neglected by Mother based on her lack of supervision and prescription drug
    abuse. Legal custody of the Children remained with Mother, but the Children were placed
    with their maternal grandmother under an Immediate Protection Agreement.
    On May 11, 2016, DCS filed an emergency petition to adjudicate the Children
    dependent and neglected. The petition followed an April 2016 referral alleging that Mother
    had exposed the Children to drugs. During the investigation, Mother tested positive for
    cocaine and methadone. The trial court ordered that the Children remain with their
    maternal grandmother to allow Mother to address her substance abuse issues, with the
    condition that Mother would not be allowed unsupervised contact with the Children.
    On August 11, 2017, following a motion for emergency review filed by DCS, the
    trial court adjudicated the Children dependent and neglected and placed them under the
    Department’s custody, finding that the case manager had been unable to contact the
    Children since April 2017 and that the Children had “possibly been exposed to illegal drugs
    as well as tuberculosis, and should be tested accordingly.” The trial court also found that
    the Children’s maternal grandmother had “given deceptive/untrue information in an
    apparent attempt to prevent DCS and the court from locating the children.” The Children
    have remained in foster homes continuously since their removal and were initially placed
    with the M. Family from October 2018 to April 2019. In April 2019, the Children were
    placed in separate homes, as recommended by their counselors, but have maintained
    contact with each other through phone calls and monthly visits.
    On January 29, 2018, the trial court ratified an initial family permanency plan, dated
    September 6, 2017. The permanency plan had the goal of “return to parent or exit with
    kin/relative” and listed the following issues: Mother’s drug use, parenting skills, and
    mental health, as well as children’s truancy and medical neglect. The plan had an expected
    “achievement date” of August 2018 and required Mother to: (1) complete and follow
    recommendations of an alcohol and drug assessment and sign a release of information of
    the assessment to DCS, her attorney, and the guardian ad litem; (2) submit to random drug
    screens; (3) complete and follow recommendations of a mental health assessment and sign
    a release of information of the assessment to DCS, her attorney, and the guardian ad litem;
    (4) complete and follow recommendations of parenting assessments; (5) obtain and
    maintain income and stable housing; (6) maintain a minimum of four hours per month of
    in-person supervised visitation with the Children; and (7) maintain regular contact with
    -2-
    DCS. 3 In January 2019, the trial court set Mother’s support for the Children at $107.00
    per month per child to commence on February 1, 2019.
    On June 19, 2019, DCS filed in the trial court a petition to terminate the parental
    rights of Mother and Jayce’s father with respect to the Children.4 As to Mother, the petition
    alleged four grounds for termination: (1) abandonment by failure to establish a suitable
    home; (2) substantial noncompliance with the permanency plan; (3) persistent conditions
    preventing return of the Children; and (4) failure to manifest an ability and willingness to
    assume custody or financial responsibility of the Children. The petition also alleged that
    terminating Mother’s parental rights was in the Children’s best interests. The trial court
    appointed a guardian ad litem for the Children and counsel for Mother.
    On August 14, 2019, after an evidentiary hearing on an emergency motion filed by
    the guardian ad litem, the trial court entered an order suspending Mother’s visitation and
    telephonic communication with the Children. The motion had been prompted by an
    incident in March 2019 during which Mother attended Jordan’s basketball championship
    game while under the influence of drugs. The trial court’s order suspending visitation
    noted that Mother had tested positive for drugs twice earlier in the year.
    The trial court heard DCS’s petition for termination on February 5, 6, 11, and 12,
    2020. The Department called as witnesses DCS caseworkers Brittney Easley and Rachel
    Teeters and foster parents Dana N. and Jessica T. Mother testified on her own behalf and
    presented the testimony of Christy Shaw, caseworker with social services agency Monroe
    Harding, and Rhonda Pendergrass, Jayce’s mental health counselor.
    Ms. Easley was the assigned caseworker from the time the Children came into DCS
    custody in August 2017 until Ms. Teeters took over the case in June 2018. Ms. Easley
    stated that Jordan tested positive for marijuana upon being brought into custody. She stated
    that Mother was compliant with the permanency plan “early on like from August until say
    December of 2017.” Ms. Easley said that Mother was already receiving survivor’s social
    security income from Jordan’s deceased father and counseling through Behavioral Health
    Group (“BHG”). She began conducting drug screens of Mother after learning that the
    screens given by BHG were not random. Mother tested positive for marijuana one time
    and negative on a different occasion. Ms. Easley took the Children to Mother’s home for
    visits and said most visits went smoothly. Sometimes, however, Mother did not show for
    scheduled visits or left before the visits were over. Ms. Easley observed that although
    Mother would promise the Children that they would be reunified, she had a pattern of
    disappearing “for a little while” before remerging to “demand visits with the children.”
    3
    Subsequent permanency plans dated March 23, 2018 and August 1, 2018, respectively had the
    same requirements and were ratified by the trial court.
    4
    Jayce’s father is not a party to this appeal. We will reference him only as needed for context.
    -3-
    Ms. Easley arranged for Youth Villages Services to provide at-home parenting education
    for Mother, but the classes were terminated because of Mother’s noncompliance. Although
    Mother later completed a parenting assessment in December 2017, Ms. Easley testified that
    the lack of success with parenting training impacted the Department’s ability to return the
    Children to Mother and to change Mother’s visitation from supervised to unsupervised.
    Ms. Teeters testified that she was responsible for the Children’s case from June 2018
    to October 2019. She corroborated Ms. Easley’s testimony that the Department began
    screening Mother after discovering that the drug screens provided by BHG were not
    random. Ms. Teeters said that Mother was doing well until she tested positive for
    methamphetamine and amphetamines in January 2019 and that Mother admitted to her that
    she had used drugs over the Christmas holiday. She verified that Mother began working
    in March or April 2019. According to Ms. Teeters, Mother did not visit the Children in
    February 2019 and visited maybe once in March 2019. That same month, Ms. Teeters
    explained, Jordan had a basketball championship game, which Jayce, the M. Family, Ms.
    Teeters, and Jordan’s therapist attended. Mother arrived a couple of hours late, appeared
    disoriented, and was “going in and out.” She “made a really big scene to the point where
    we had to have visits suspended.” Ms. Teeters said that at the game, Mother initially
    refused to submit to a drug screen but later had an oral swab that tested positive for
    methamphetamine and ethanol. Jordan’s demeanor on the basketball court changed, and
    he became “extremely anxious, like fidgeting, touching his face.” The guardian ad litem
    filed a petition to suspend visitation, which the trial court granted. Although Mother could
    regain visitation by obtaining alcohol and drug and mental health assessments, as outlined
    in the permanency plan, Mother had not complied with those tasks by the time Ms. Teeters
    was off the case in October 2019. Ms. Teeters added that Mother tested positive for cocaine
    after a drug screening in June or July 2019. Mother did not have a mental health assessment
    while Ms. Teeters was on the case. Ms. Teeters admitted that she did not set up a mental
    health assessment for Mother. She said her focus was to assist Mother with completing an
    alcohol and drug assessment and reaching unsupervised visitation, and she did not want to
    “press everything at once.”
    In Ms. Teeter’s view, the Children seemed to have a bond with Mother during her
    visits in Fall 2018, but “it’s hard to say whether the bond is still there.” During Ms. Teeters’
    time with the case, Mother was not able to progress from supervised to unsupervised
    visitation and did not attend Individualized Education Plan (“IEP”) meetings for Jordan or
    Centers of Excellence (“COE”) meetings concerning Jayce’s therapy. Mother, said Ms.
    Teeters, “couldn’t see her children’s behaviors as problems.” In addition, Ms. Teeters
    observed a constant string of multiple adults going in and out of Mother’s home, an issue
    that played a role in the Children’s initial removal. Mother always denied that these
    individuals were staying at the home but did not provide Ms. Teeters with information she
    requested about them. Ms. Teeters explained that DCS was concerned with Mother’s
    ability to supervise the children and had concerns about her home environment and her
    -4-
    drug use. She said that although Mother tried to visit the Children, buy them gifts, and
    complete some assessments, there is little likelihood that these conditions will be remedied
    at an early date.
    Ms. Teeters also testified about the Children’s challenges and progress. She said
    they have received counseling for trauma since they came into the Department’s custody.
    Jayce told Ms. Teeters that when the police came to her home, she was told to hide along
    with other people in the crawl space of the home. Jayce, who was seven at the time of trial,
    still wets herself at night, has “issues touching herself, “ and “knows a lot about that world
    of sex.” DCS attempted to keep the Children together, but they were placed separately in
    April 2019 because “they disrupted [joint] placements multiple times” and “blamed each
    other for a lot of what’s happened to them.” Jordan was placed with Dana N. and Jayce
    with Jessica T. and her family. The foster parents participate consistently in the IEP and
    COE meetings. Ms. Teeters stated that the Children “are the most stable they’ve ever been,
    and they’re doing the best that they’ve ever been doing that I’ve known them . . . I think
    that the best is for them to stay where they are and to be adopted.”
    Ms. Teeters expressed that when she first took the case, she had high hopes because
    Mother had “done a lot of things and she’s made a lot of effort.” However, she said, “the
    reality is we’re sitting here at two-and-a-half years, and it’s just this long, drawn out story
    of ups and downs and not being able to show that sobriety and stability long term.” Ms.
    Teeters summarized, “I’ve seen [Mother] make serious progress and then fall short, and
    make serious progress and then fall off.” She remained concerned about Mother relapsing,
    not providing supervision, and having strangers living in the home.
    Ms. N. became Jordan’s foster mother in April 2019. She is a single foster mother;
    only Ms. N. and Jordan live in her household. She said that although Jordan is doing well
    in the eighth grade, he still has a fourth or fifth grade reading level. He plays football,
    basketball, and baseball. Jordan is receiving needed services but struggles with shutting
    down when he gets frustrated. Recently, he has progressed to talk with Ms. N. about “stuff
    that’s going on at school” and the break up with his girlfriend. According to Ms. N., she
    has texted Mother at least once a week since November 2019, sending her photos of
    Jordan’s activities. Mother texts back but does not ask about how Jordan is doing in school
    or in therapy. Mother has sent gifts for Jordan, but often they were not the proper size or
    items that he wanted or requested. Ms. N. maintains regular contact with Jayce’s foster
    mother, Ms. T, and they coordinate sibling visits. Ms. N. said that she loves Jordan and
    would like to adopt him given the opportunity.
    Ms. T. has been Jayce’s foster mother since April 2019. She is a therapist and lives
    with her husband and their two biological daughters. Ms. T. said Jayce has become their
    “middle” daughter. Jayce is doing well academically but sometimes struggles with peer
    relationships and has bullied other children. Jayce goes to counseling on a weekly basis
    -5-
    and enjoys it. Ms. T. confirmed that Jayce still wets the bed, wears a pull-up every night,
    and is, at times, “very hypersexual . . . and . . . dance[s] very inappropriate[ly] for a seven-
    year-old.” Jayce has told Ms. T. that when the police came to her home, Mother and her
    older sisters would tell her to “be very quiet or the police will take you away.” Ms. T. did
    not have direct contact with Mother but sent her pictures and report cards through Ms. N.
    She confirmed that Mother has not participated in COE meetings. Like Ms. N., Ms. T.
    said that Mother sent gifts to Jayce four or five times, including shoes in the incorrect size,
    crayons or markers, a nightgown not appropriate for a seven-year-old girl, an extra-large
    men’s shirt, coloring books, tampons, and other “odds-and-ends stuff.” Ms. T. and her
    husband have been talking about adopting Jayce. She said she loves Jayce, but she is not
    sure if she is ready to adopt her given Jayce’s ongoing trauma issues.
    Mother testified that at the time the Children were placed under the Department’s
    custody, she was living with her boyfriend, the Children, and her other kids at a house
    owned by her grandmother. She confirmed receiving around $400 per month in social
    security survivor’s benefits from her deceased husband, independent of what Jordan
    receives. Mother said she was regularly visiting the Children a couple of times a month
    during the fall of 2017. Concerning her substance abuse, Mother said she began attending
    BHG for treatment in the fall of 2017 and received sessions with counselors, three to four
    random drug screens per month, and methadone. Mother said she completed an alcohol
    and drug assessment, as well as a mental health assessment, in December 2017. She did
    not think there were any recommendations from the assessments. Mother stated that she
    has not used cocaine since 2009 or alcohol since 2018; has never used amphetamines or
    benzodiazepines; and has been on methadone for five years through BHG. She said that
    BHG will taper off the methadone when she feels “substantially ready.” Mother
    maintained that the 2019 positive screen for cocaine was wrong. Mother also testified,
    however, that she was using “Roxies” and pain pills in 2015. The record contains court
    orders stating that Mother admitted using drugs in 2015, tested positive for cocaine in June
    2019, and tested positive for amphetamines and methamphetamine in January 2019.
    Mother said she did not complete a second alcohol and drug assessment until November
    2019 because she had just taken a job and could not take leave; she said that assessment
    did not provide any recommendations. She added that she has been attending NA meetings
    since the beginning of 2020. Concerning the incident at Jordan’s basketball game in March
    2019, Mother said that she had taken muscle relaxers and driven three hours from a family
    funeral to get to there that day. She said that she refused to take a urine test because she
    had just gone to the bathroom and that the mouth swab came back positive for
    methamphetamine because of the medicine she was taking. Mother admitted she recalls
    “very vaguely” Jordan’s reaction during the incident.
    Mother admitted to having no interaction with the Children’s counselors about their
    emotional and mental health issues. She stated she had a good bond with Jayce and Jordan
    until her visitation was suspended and that Jordan enjoyed riding ATVs and playing video
    -6-
    games with her. As to Jayce’s bed wetting, Mother explained that she and her other
    daughters also had the same problem until reaching puberty. Mother stated she believes
    she can take care of the Children. She had worked for Wendy’s for about a year and for
    Dollar Tree for about six months, and she is now able to take time off to complete drug
    screens and address other items in the permanency plan. Mother emphasized that she had
    given gifts to the kids through Ms. Shaw, including $100 for Jordan’s birthday. She added
    that no one lives with her now and that she has a driver license, a vehicle, and medical
    insurance.
    Ms. Shaw, caseworker with Monroe Harding, testified that she began working on
    the Children’s case in December 2018. Her role included staying connected with the foster
    parents, visiting the foster homes, and working with DCS to address the Children’s needs.
    Ms. Shaw said that in early 2019, Mother’s visits with the Children were supervised by
    their foster parents, the M. Family. Mother attended Jordan’s basketball practices and
    Jayce’s cheerleading practices and went to church with the M. Family before her visitation
    was suspended. Mother began contacting Ms. Shaw about twice a month in the fall of 2019
    to ask how the Children were doing and if they needed anything. Ms. Shaw did not directly
    observe interactions between Mother and the Children. She said that the Children seemed
    happy in their current foster homes and appeared the most stable since she took the case.
    Ms. Shaw testified that Jordan excels in sports and that Jayce is in dance class, gymnastics,
    Girl Scouts, and church activities.
    Ms. Pendergrass has been Jayce’s mental health counselor since April 2019. She
    testified that Jayce is terrified of police and has been provisionally diagnosed with
    adjustment disorder with anxiety and depression due to trauma and neglect. When Jayce
    first came to counseling, she was very anxious about being abandoned and would cling to
    her foster parents. Jayce also worries about her mom and the people in her family. Jayce
    told Ms. Pendergrass that she learned behaviors such as lying and stealing from Mother.
    Ms. Pendergrass confirmed that Jayce displays inappropriate behavior for her age, such as
    trying “to take her shirt off, [and] putting her hands down her pants . . . in gymnastics
    meetings.” However, Jayce has made “tremendous progress” in therapy, now using words
    not just gestures to communicate. Ms. Pendergrass emphasized that consistency is very
    important with trauma victims and noted that Ms. T. has never missed an appointment.
    Ms. Pendergrass has not interacted with Mother but said that Mother did not show for two
    scheduled calls. Ms. Pendergrass stated that having contact with Mother would not be
    beneficial for Jayce; she recommended against phone calls with Mother because they
    would result in “an emotional roller-coaster, and . . . would probably set [Jayce] back more
    than move her forward.” According to Ms. Pendergrass, Jayce is adjusting well in her
    current foster home and has reported feeling loved and cared for. She recommended that
    Jayce remain with Ms. T.: “I think it’s gone on too long. That’s why I’m really hoping that
    this home works out, because I think so much of her anxiety is that she’s just had so many
    inconsistent things between being moved and changes for any small child.”
    -7-
    On March 20, 2020, the trial court entered a final order terminating Mother’s
    parental rights. The trial court found that there was clear and convincing evidence of the
    four termination grounds alleged by DCS. After making specific findings as to the nine
    statutory factors, the trial court also found that terminating Mother’s parental rights was in
    the best interests of the Children. Mother timely appealed.
    ISSUES PRESENTED
    We summarize the issues presented by Mother as follows: Whether the trial court
    erred in concluding that DCS proved by clear and convincing evidence each of the four
    statutory grounds for termination it alleged and that terminating Mother’s parental rights
    is in the best interests of the Children.
    STANDARD OF REVIEW
    Our Supreme Court has explained that:
    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. Troxel v.
    Granville, 
    530 U.S. 57
    , 65, 
    120 S. Ct. 2054
    , 
    147 L.Ed.2d 49
     (2000); Stanley
    v. Illinois, 
    405 U.S. 645
    , 651, 
    92 S. Ct. 1208
    , 
    31 L.Ed.2d 551
     (1972); In re
    Angela E., 
    303 S.W.3d 240
    , 250 (Tenn. 2010); In re Adoption of Female
    Child, 
    896 S.W.2d 546
    , 547–48 (Tenn. 1995); Hawk v. Hawk, 
    855 S.W.2d 573
    , 578–79 (Tenn. 1993). But parental rights, although fundamental and
    constitutionally protected, are not absolute. In re Angela E., 
    303 S.W.3d at 250
    . “‘[T]he [S]tate as parens patriae has a special duty to protect minors....’
    Tennessee law, thus, upholds the [S]tate’s authority as parens patriae when
    interference with parenting is necessary to prevent serious harm to a
    child.” Hawk, 
    855 S.W.2d at 580
     (quoting In re Hamilton, 
    657 S.W.2d 425
    ,
    429 (Tenn. Ct. App. 1983)); see also Santosky v. Kramer, 
    455 U.S. 745
    , 747,
    
    102 S. Ct. 1388
    , 
    71 L.Ed.2d 599
     (1982); In re Angela E., 
    303 S.W.3d at 250
    .
    In re Carrington H., 
    483 S.W.3d 507
    , 522–23 (Tenn. 2016). Tennessee Code Annotated
    section 36-1-113 provides the various grounds for termination of parental rights. In re
    Jacobe M.J., 
    434 S.W.3d 565
    , 568 (Tenn. Ct. App. 2013); see also 
    Tenn. Code Ann. § 36
    -
    1-113(g). “A party 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.” 
    Id.
     (citing 
    Tenn. Code Ann. § 36-1-113
    (c)).
    In light of the substantial interests at stake in termination proceedings, the
    heightened standard of clear and convincing evidence applies. In re Carrington H., 483
    -8-
    S.W.3d at 522 (citing Santosky, 
    455 U.S. at 769
    ). This heightened burden “minimizes the
    risk of erroneous governmental interference with fundamental parental rights[,]” and
    “enables the fact-finder to form a firm belief or conviction regarding the truth of the
    facts[.]” 
    Id.
     (citing In re Bernard T., 
    319 S.W.3d 586
    , 596 (Tenn. 2010)). “The clear-and-
    convincing-evidence standard ensures that the facts are established as highly probable,
    rather than as simply more probable than not.” 
    Id.
     (citing In re Audrey S., 
    182 S.W.3d 838
    ,
    861 (Tenn. Ct. App. 2005)). Accordingly, the standard of review in termination of parental
    rights cases is as follows:
    An appellate court reviews a trial court’s findings of fact in termination
    proceedings using the standard of review in Tenn. R. App. P. 13(d). In re
    Bernard T., 
    319 S.W.3d at 596
    ; In re Angela E., 
    303 S.W.3d at 246
    .
    Under Rule 13(d), appellate courts review factual findings de novo on the
    record and accord these findings a presumption of correctness unless the
    evidence preponderates otherwise. In re Bernard T., 
    319 S.W.3d at 596
    ; In
    re M.L.P., 
    281 S.W.3d 387
    , 393 (Tenn. 2009); In re Adoption of A.M.H., 
    215 S.W.3d 793
    , 809 (Tenn. 2007). In light of the heightened burden of proof in
    termination proceedings, however, the reviewing court must make its own
    determination as to whether the facts, either as found by the trial court or as
    supported by a preponderance of the evidence, amount to clear and
    convincing evidence of the elements necessary to terminate parental
    rights. In re Bernard T., 
    319 S.W.3d at
    596–97. The trial court’s ruling that
    the evidence sufficiently supports termination of parental rights is a
    conclusion of law, which appellate courts review de novo with no
    presumption of correctness. In re M.L.P., 
    281 S.W.3d at 393
     (quoting In re
    Adoption of A.M.H., 
    215 S.W.3d at 810
    ). Additionally, all other questions of
    law in parental termination appeals, as in other appeals, are reviewed de novo
    with no presumption of correctness. In re Angela E., 
    303 S.W.3d at 246
    .
    In re Carrington H., 483 S.W.3d at 523–24.
    We give considerable deference to a trial court’s findings about witness credibility
    and the weight of oral testimony, as the trial court had the opportunity to see and hear the
    witnesses. State Dep’t of Children’s Servs. v. T.M.B.K., 
    197 S.W.3d 282
    , 288 (Tenn. Ct.
    App. 2006). Where an issue “hinges on the credibility of witnesses, the trial court will not
    be reversed unless there is found in the record clear, concrete, and convincing evidence
    other than the oral testimony of witnesses which contradict the trial court’s findings.” 
    Id.
    (citing Galbreath v. Harris, 
    811 S.W.2d 88
    , 91 (Tenn. Ct. App. 1990)); see also Franklin
    Cnty. Bd. of Educ. v. Crabtree, 
    337 S.W.3d 808
    , 811 (Tenn. Ct. App. 2010) (“If the trial
    court’s factual determinations are based on its assessment of witness credibility, this Court
    will not reevaluate that assessment absent clear and convincing evidence to the contrary.”).
    -9-
    DISCUSSION
    In order to terminate parental rights, a trial court must find by clear and convincing
    evidence that: (1) statutory grounds for termination of parental and guardianship rights
    have been established, and (2) termination is in the best interests of the child. See 
    Tenn. Code Ann. § 36-1-113
    (c). We begin our analysis by reviewing whether the proof presented
    at trial constitutes clear and convincing evidence of each ground for termination listed in
    the trial court’s Final Order.
    I.      Grounds for termination
    A.     Abandonment – Failure to Provide a Suitable Home
    Tennessee Code Annotated section 36-1-113(g) lists abandonment, as defined in
    section 36-1-102, as a ground for terminating parental rights. 
    Tenn. Code Ann. § 36-1
    -
    113(g)(1) (2017 & Supp. 2018). Section 36-1-102 provides that abandonment occurs,
    among other instances, when
    (a) The child has been removed from the home or the physical or legal
    custody of a parent or parents . . . by a court order at any stage of proceedings
    in which a petition has been filed in the juvenile court alleging that a child is
    a dependent and neglected child, and the child was placed in the custody of
    the department or a licensed child-placing agency;
    (b) The juvenile court found . . . 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
    (c) For a period of four (4) months following the physical removal, the
    department or agency made reasonable efforts to assist the parent or parents
    . . . to establish a suitable home for the child, but that the parent or parents
    have not made reciprocal 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 . . . in establishing a suitable home for the child shall be found to be
    reasonable if such efforts equal or exceed the efforts of the parent . . . toward
    the same goal, when the parent . . . is aware that the child is in the custody of
    the department[.]
    
    Id.
     § 36-1-102(1)(A)(ii)(a)-(c).
    - 10 -
    To terminate parental rights under this ground, the trial court must find “that a parent
    failed to provide a suitable home for his or her child even after DCS assisted that parent in
    his or her attempt to establish a suitable home.” In re Jamel H., E2014-02539-COA-R3-
    PT, 
    2015 WL 4197220
    , at *6 (Tenn. Ct. App. July 13, 2015). A suitable home requires
    “‘more than a proper physical living location.’” In re Daniel B., No. E2019-01063-COA-
    R3-PT, 
    2020 WL 3955703
    , at *4 (Tenn. Ct. App. July 10, 2020) (quoting Tenn. Dep’t of
    Children’s Servs. v. C.W., No. E2007-00561-COA-R3-PT, 
    2007 WL 4207941
    , at *3 (Tenn.
    Ct. App. Nov. 29, 2007)). A suitable home also requires that “[a]ppropriate care and
    attention be given to the child,” In re Matthew T., No. M2015-00486-COA-R3-PT, 
    2016 WL 1621076
    , at *7 (Tenn. Ct. App. Apr. 20, 2016), and that the home “be free of drugs
    and domestic violence,” In re Hannah H., No. E2013-01211-COA-R3-PT, 
    2014 WL 2587397
    , at *9 (Tenn. Ct. App. June 10, 2014).
    DCS must make “reasonable efforts” to assist the parent by doing more than simply
    providing a list of service providers. In re Matthew T., 
    2016 WL 1621076
    , at *7. The
    Department should utilize its superior resources in assisting a parent to establish a suitable
    home, but “[its] efforts do not need to be ‘Herculean.’” In re Hannah H., 
    2014 WL 2587397
    , at *9 (citing Dep’t of Children’s Servs. v. Estes, 
    284 S.W.3d 790
    , 801 (Tenn. Ct.
    App. 2008), overruled on other grounds by In re Kaliyah S., 
    455 S.W.3d 533
     (Tenn.
    2015)); see also In re Matthew T., 
    2016 WL 1621076
    , at *7. Although the parent is
    required to make “reasonable efforts” to establish a suitable home, “successful results” are
    not required. In re D.P.M., No. M2005-02183-COA-R3-PT, 
    2006 WL 2589938
    , at *10
    (Tenn. Ct. App. Sept. 8, 2006).
    In the present case, on May 11, 2016, DCS filed an emergency petition to adjudicate
    the Children dependent and neglected after receiving a referral that Mother had exposed
    the Children to drugs. The Children were placed with their maternal grandmother to allow
    Mother to address her substance abuse issues, with the condition that Mother would not
    have unsupervised contact with the Children. On August 11, 2017, the trial court
    adjudicated the Children to be dependent and neglected5 and placed them in the custody of
    the Department, finding that the case manager—despite repeated and significant efforts—
    had been unable to contact the Children since April 2017, that the Children had “possibly
    been exposed to illegal drugs as well as tuberculosis,” and that the Children’s maternal
    grandmother had “given deceptive/untrue information in an apparent attempt to prevent
    DCS and the court from locating the children.” Ms. Easley, the Children’s first caseworker,
    testified that she set up at-home parenting education for Mother and personally performed
    random drug screens on Mother. Ms. Teeters, who took over from Ms. Easley, visited
    Mother’s home several times and observed “a constant string of multiple adults” coming
    5
    The trial court had previously adjudicated the Children to be dependent and neglected by Mother
    due to lack of supervision and prescription drug abuse in an agreed order entered on April 15, 2015. At that
    time, however, the Children were not placed in the custody of the Department.
    - 11 -
    in and out each time she visited. She was not able to obtain from Mother any confirming
    information on the identity of these individuals. Ms. Teeters also arranged for and followed
    up with Mother to complete an alcohol and drug assessment. We find, as did the trial court,
    that the Department made reasonable efforts to assist Mother with establishing a suitable
    home following removal of the Children. See 
    Tenn. Code Ann. § 36-1-102
    (1)(A)(ii)(c).
    Mother argues that she made reciprocal reasonable efforts to provide a suitable
    home for the Children during the four months immediately following their removal in
    August 2017. 
    Id.
     We agree. Ms. Easley stated that Mother had stable housing and
    participated in treatment for her substance abuse issues through BHG during the months of
    August to December 2017. Mother completed specific repairs to the home identified by
    the Department as necessary to make the home a safe place for the Children. She also
    completed a parenting assessment in December 2017. These actions of Mother show
    reasonable efforts to address her drug use and make her home physically safe for the
    Children immediately following removal. However, our inquiry does not end there. The
    statutory four-month period during which the Department must make reasonable efforts
    and the parent reciprocate them is not limited to the four months immediately following
    removal. In re Jakob O., No. M2016-00391-COA-R3-PT, 
    2016 WL 7243674
    , at *13
    (Tenn. Ct. App. Dec. 15, 2016) (stating that “the proof necessary to support termination
    under this ground need not be limited to any particular four-month period after removal”).
    Although we recognize that Mother initially made efforts to provide a suitable home, when
    considering the entire post-removal period, we find that she “demonstrated a lack of
    concern for the [Children] to such a degree that it appears unlikely that [she] will be able
    to provide a suitable home for the [Children] at an early date.” 
    Id.
    Establishing a suitable home involves more than providing a safe physical space.
    Here, Mother was specifically required to make reciprocal reasonable efforts to provide
    appropriate care and a drug-free home for the Children. See In re Matthew T., 
    2016 WL 1621076
    , at *7; In re Hannah H., 
    2014 WL 2587397
    , at *9. While DCS engaged with
    Mother during the entirety of the custodial period to assist her with addressing and meeting
    the Children’s educational and psychological needs, Mother made little to no effort in these
    areas. Paramount to our analysis here is the testimony of caseworkers and foster parents
    alike that Mother was not involved in COE meetings concerning the Children’s counseling
    needs, nor was she involved in IEP sessions addressing the Children’s academic needs. In
    addition, Ms. Easley and Ms. Teeters both testified that Mother had a pattern of
    inconsistency, disappearing for weeks at a time. We also cannot ignore that—despite
    Mother’s early efforts—her drug use resulted in the trial court suspending her visits with
    the Children. Against this backdrop, we conclude that the trial court did not err in
    concluding that this ground for termination was proven by clear and convincing evidence.
    - 12 -
    B.     Substantial Noncompliance with Permanency Plan
    Tennessee Code Annotated section 36-1-113(g) provides that parental rights may
    also be terminated on the ground of “substantial noncompliance by the parent . . . with the
    statement of responsibilities in a permanency plan.” 
    Tenn. Code Ann. § 36-1-113
    (g)(2).
    Making this determination entails “more than merely counting up the tasks in the plan to
    determine whether a certain number have been completed.” In re Carrington H., 483
    S.W.3d at 537 (citing In re Valentine, 
    79 S.W.3d 539
    , 547 (Tenn. 2002)). This ground
    cannot be established simply by showing “that a parent has not complied with every jot
    and tittle of the permanency plan.” In re Ronon G., No. M2019-01086-COA-R3-PT, 
    2020 WL 249220
    , at *8 (Tenn. Ct. App. Jan. 16, 2020) (quoting In re M.J.B., 
    140 S.W.3d 643
    ,
    656 (Tenn. Ct. App. 2004)). “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
    .
    DCS bears the burden of showing “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.” In re M.J.B., 
    140 S.W.3d at
    656 (citing In re
    Valentine, 
    79 S.W.3d at 547
    ; In re L.J.C., 
    124 S.W.3d 609
    , 621 (Tenn. Ct. App. 2003));
    accord 
    Tenn. Code Ann. § 37-2-403
    (a)(2)(C) (“Substantial noncompliance by the parent
    with the statement of responsibilities provides grounds for the termination of parental rights
    . . . if the court finds the parent was informed of its contents, and that the requirements of
    the statement are reasonable and are related to remedying the conditions that necessitate
    foster care placement.”). DCS must also establish “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.” In re M.J.B., 
    140 S.W.3d at 656
     (citations omitted).
    If the trial court does not make a finding with respect to the reasonableness of the parent’s
    responsibilities under the permanency plan, the reviewing court must review this issue de
    novo. See In re Valentine, 
    79 S.W.3d at 547
    .
    Here, the trial court ratified an initial permanency plan in January 2018, finding the
    plan’s requirements reasonable and in the best interests of the Children. The plan required
    Mother to complete and follow recommendations of alcohol and drug, mental health, and
    parenting assessments, respectively; submit to random drug screens; obtain and maintain
    income to support the Children; obtain and maintain stable housing; maintain supervised
    visitation with the Children; and maintain regular contact with DCS. We find that these
    requirements sufficiently relate to the issues prompting the children’s initial removal—
    Mother’s substance abuse and supervision of the Children.
    DCS proved by clear and convincing evidence that Mother’s noncompliance with
    her responsibilities under the permanency plan was substantial. Ms. Easley testified that
    Mother was mostly compliant with the permanency plan until about December 2017.
    - 13 -
    Mother completed a parenting assessment that month, and Ms. Easley arranged for Mother
    for parenting classes at Mother’s home. However, the classes were terminated after Mother
    became noncompliant. Ms. Easley administered a drug screen after learning that the ones
    given by BHG were not random, and Mother tested positive for marijuana. Ms. Teeters
    testified that in August 2018, she began discussing with Mother the importance of fulfilling
    her responsibilities under the permanency plan to maintain her parental rights. According
    to Ms. Teeters, Mother admitted to using drugs during Christmas 2018 and tested positive
    for amphetamines and methamphetamines in January 2019. She also tested positive for
    cocaine in July 2019. Mother’s visitation with the Children was suspended in August 2019,
    after the drug screen given at Jordan’s game in March 2019 was positive for
    methamphetamine and alcohol. Mother had the opportunity to resume visitation by
    obtaining alcohol and drug and mental health assessments, but she had not so done by the
    time Ms. Teeters was off the case in October 2019. Although Mother disputed at trial the
    results of the March and July positive drug screens, without any corroborating evidence,
    we must defer to the trial court’s implicit resolution of credibility issues in favor of the
    Department’s witnesses. See T.M.B.K., 
    197 S.W.3d at 288
    .
    The proof also establishes that Mother did not fulfill her obligation to support the
    Children. In addition to being gainfully employed since March or April 2019 and working
    two jobs since the summer of 2019, Mother affirmed she receives social security survivor’s
    benefits of approximately $400 per month. Yet, by the time of trial in February 2020, she
    had made child support payments only for about eight weeks in the summer of 2019. No
    explanation was given for the lack of support. Both Ms. N. and Ms. T. testified that Mother
    sent gifts to the Children from time to time, but the gifts often included clothing and shoes
    in incorrect sizes and items not age-appropriate for seven-year-old Jayce.
    Mother appears to have complied with the permanency plan for a handful of months
    immediately after the Children were removed from her custody. Thereafter, however,
    Mother did not comply with the plan’s requirements with respect to drug use, support of
    the Children, various assessments, and visitation. We affirm the trial court’s conclusion
    that DCS proved this ground for termination by clear and convincing evidence.
    C.     Failure to Remedy Persistent Conditions
    Tennessee Code Annotated section 36-1-113(g) explains that a person’s parental
    rights can be terminated when:
    The child has been removed from the home or the physical or legal custody
    of a parent . . . for a period of six (6) months by a court order entered at any
    stage of proceedings in which a petition has been filed in the juvenile court
    alleging that a child is a dependent and neglected child, and:
    - 14 -
    (i) The conditions that led to the child’s removal still persist, preventing the
    child’s safe return to the care of the parent . . . or other conditions exist that,
    in all reasonable probability, would cause the child to be subjected to further
    abuse or neglect, preventing the child’s safe return to the care of the parent .
    ..;
    (ii) 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
    (iii) The continuation of the parent . . . and child relationship greatly
    diminishes the child’s chances of early integration into a safe, stable, and
    permanent home.
    
    Tenn. Code Ann. § 36-1-113
    (g)(3)(A). The purpose of the persistence of conditions
    ground “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 Navada N., 
    498 S.W.3d 579
    , 605 (Tenn. Ct. App. 2016).
    Consequently, “[t]he failure to remedy the conditions which led to the removal need not be
    willful.” 
    Id.
     (citing In re T.S. and M.S., No. M1999-01286-COA-R3-CV, 
    2000 WL 964775
    , at *6 (Tenn. Ct. App. July 13, 2000)). Even if not willful, “[a] parent’s continued
    inability to provide fundamental care to a child . . . constitutes a condition which prevents
    the safe return of the child to the parent’s care.” 
    Id.
     (citing In re A.R., No. W2008-00558-
    COA-R3-PT, 
    2008 WL 4613576
    , at *20 (Tenn. Ct. App. Oct. 13, 2008)).
    The Children were removed from Mother’s custody in August 2017, more than six
    months before DCS filed the petition to terminate her parental rights in June 2019. The
    removal was based upon concerns of drug exposure and parenting issues stemming from
    Mother’s drug use. Mother’s substance abuse issues persist. The record shows that DCS
    was involved with the Children as far back as August 2014 because of Mother’s drug use.
    Three years later, in August 2017, the trial court placed the Children in the Department’s
    custody following a referral that Mother had exposed the Children to drugs. Sadly, Jordan
    tested positive for marijuana at that time. In 2019, Mother tested positive for drug use in
    January, March, and July. Likewise, Mother’s parenting and supervision issues remain
    unresolved. Although Mother has resided in the same home for a number of years and
    made repairs to make the home safe, her own actions prevented her from making progress
    with visitation and eventually led the trial court to suspend visitation altogether. Ms.
    Easley explained that Mother’s lack of success with completing parenting training
    impacted the Department’s ability to change visits to the Children from supervised to
    unsupervised. Ms. Teeters noted that DCS was concerned with Mother’s ability to
    supervise the Children given her drug use.
    - 15 -
    In August 2019, at the request of the Children’s guardian ad litem, the trial court
    suspended Mother’s visitation and telephonic communication with the Children. The
    suspension followed an incident in which Mother showed up more than one hour late to
    Jordan’s basketball championship game, was under the influence of drugs, refused to
    submit to a drug screen, and eventually tested positive for ethanol and methamphetamines.
    This incident is indicative not only of Mother’s lingering drug use after the Children were
    removed from her custody, but also of the impact that her drug use has on her ability to
    parent and supervise the Children. Moreover, Mother’s failure to obtain the alcohol and
    drug and mental health assessments that would allow her to regain visitation with the
    Children illustrate a persisting inability to parent.
    We conclude, as the trial court did, that the conditions that caused the Children’s
    removal persist and that there is little likelihood that they will change any time soon—
    given their unabated presence for over five years and Mother’s lack of consistent progress.
    We also find that these conditions hamper the Children’s stability. Jayce’s mental health
    counselor expressly recommended against telephone calls between Jayce and Mother to
    avoid possible setbacks in Jayce’s progress. Both caseworkers and foster parents testified
    that the Children are stable and doing the best they have ever done in their current
    placements. We see no reason to disturb that dynamic. The trial court correctly determined
    that this ground for termination was proven by clear and convincing evidence.
    D.     Failure to Manifest an Ability and Willingness to Assume Custody
    Tennessee Code Annotated section 36-1-113(g)(14) provides an additional ground
    for termination:
    A 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.
    This ground requires clear and convincing proof of two elements. In re Maya R., No.
    E2017-01634-COA-R3-PT, 
    2018 WL 1629930
    , at *7 (Tenn. Ct. App. Apr. 4, 2018). The
    petitioner must first prove that the parent has failed to manifest an ability and willingness
    to personally assume legal and physical custody or financial responsibility of the child.
    
    Tenn. Code Ann. § 36-1-113
    (g)(14). The petitioner must then prove that placing the child
    in the custody of the parent poses “a risk of substantial harm to the physical or
    psychological welfare of the child.” 
    Id.
     As to the first element, our Supreme Court has
    adopted the interpretation of section 36-1-113(g)(14) set forth in In re Amynn K., No.
    E2017-01866-COA-R3-PT, 
    2018 WL 3058280
     (Tenn. Ct. App. June 20, 2018). See In re
    Neveah M., No. M2019-00313-SC-R11-PT, 
    2020 WL 7258044
    , at *14 (Tenn. Dec. 10,
    - 16 -
    2020) (citing In re Amynn K., 
    2018 WL 3058280
    , at *13). That is, that the statute requires
    “a parent to manifest both an ability and willingness” to personally assume legal and
    physical custody or financial responsibility for the child. 
    Id.
     Therefore, if a party seeking
    termination of parental rights establishes that a parent or guardian “failed to manifest either
    ability or willingness, then the first prong of the statute is satisfied.” 
    Id.
    Here, the proof establishes that Mother failed to manifest both an ability and a
    willingness to assume custody and financial responsibility of the Children. Although
    Mother was receiving survivor’s benefits and obtained gainful employment in early 2019,
    by the time of trial she had provided financial support for only a few weeks. We do not
    view the gifts she sent from time to time as evidencing a willingness to assume financial
    responsibility of the Children. Rather, we find that Mother was able but unwilling to
    assume financial responsibility of the Children. In the same vein, we find that Mother’s
    failure to take the steps necessary to regain the ability to visit the Children after the trial
    court suspended visitation indicates a lack of willingness to assume custody. Moreover,
    Mother’s unsupported assertions that her positive drug screens were incorrect cast doubt
    on her willingness to take responsibility for her actions, including parenting the Children.
    Nor are we persuaded that Mother has the ability to assume custody of the Children.
    Although very early in the custodial period Mother completed an alcohol and drug
    assessment and made physical repairs to her home, she has continued to struggle with drug
    use, has been unable to progress from supervised to unsupervised visitation, and has failed
    to financially support the Children. As Ms. Teeters aptly stated, “the reality is we’re sitting
    here at two-and-a-half years, and it’s just this long, drawn out story of ups and downs and
    not being able to show that sobriety and stability long term.” Mother asks this Court to
    look at the potential for future improvement, but we must consider whether she has
    manifested an ability through her actions (or omissions) prior to termination to assume
    custody and financial responsibility of the Children. We conclude she has not.
    Based on these findings, we also conclude that returning the Children to Mother’s
    custody would place them at risk of “substantial harm to the[ir] physical or psychological
    welfare.” The Children have been the most stable they have been in their current
    placements. Ms. Pendergrass—Jayce’s mental health counselor and Mother’s own
    witness—did not think that having contact with Mother would be “the most positive thing
    [for Jayce,] in the sense that it sort of puts her in a roller-coaster of thinking that she’s going
    to immediately go to her mom’s.” Indeed, Ms. Pendergrass recommended that Jayce stays
    where she is if possible, and Jayce has told her the same. We agree with the trial court that
    DCS also proved this ground by clear and convincing evidence.
    II.     Best interests of the children
    In addition to proving at least one statutory ground for termination, a party seeking
    - 17 -
    to terminate a parent’s rights must prove by clear and convincing evidence that termination
    is in the child’s best interests. See 
    Tenn. Code Ann. § 36-1-113
    (c). Indeed, “a finding of
    unfitness does not necessarily require that the parent’s rights be terminated.” In re Marr,
    
    194 S.W.3d 490
    , 498 (Tenn. Ct. App. 2005) (citing White v. Moody, 
    171 S.W.3d 187
    (Tenn. Ct. App. 2004)). Rather, our termination statutes recognize that “not all parental
    conduct is irredeemable[,]” and that “terminating an unfit parent’s parental rights is not
    always in the child’s best interests.” 
    Id.
     As such, the focus of the best interests analysis is
    not the parent but the child. Id.; see also White, 
    171 S.W.3d at 194
     (“[A] child’s best
    interest must be viewed from the child’s, rather than the parent’s, perspective.”).
    Tennessee Code Annotated section 36-1-113(i) provides nine factors for analyzing
    best interests:
    (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
    - 18 -
    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.
    This list is non-exhaustive. In re Marr, 
    194 S.W.3d at 499
    . “Ascertaining 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.” 
    Id.
     “The relevancy and weight to be given each factor depends on the
    unique facts of each case.” 
    Id.
     “Thus, depending upon the circumstances of a particular
    child and a particular parent, the consideration of one factor may very well dictate the
    outcome of the analysis.” 
    Id.
     (citing In re Audrey S., 
    182 S.W.3d at 877
    ).
    In its final order, the trial court set forth the facts relevant to analysis of each of the
    nine statutory factors and concluded that terminating Mother’s parental rights was in the
    best interests of the Children. Mother argues that the evidence preponderates against the
    trial court’s conclusion. We disagree.
    We acknowledge that Mother lived consistently in the same home and had, by the
    time of trial, maintained regular employment for over a year. However, as the trial court
    noted, her drug use issues persist. The record reflects that Mother tested positive for
    various substances several times after the Children were removed from her custody. In
    addition, she did not complete the parenting training recommended after her parenting
    assessment as required under the permanency plan. The record also documents the efforts
    made by DCS and other social services agencies to assist Mother in overcoming her
    challenges. Under these circumstances, the trial court did not err in finding that Mother’s
    circumstances and conduct had not improved so as to make it safe for the Children to live
    with her and that lasting adjustment does not reasonably appear possible. See 
    Tenn. Code Ann. § 36-1-113
    (i)(1)-(2).
    As to regular visitation with the Children, see 
    id.
     § 36-1-113(i)(3), Mother asserts
    that she did so “regularly . . . until her visitation was suspended.” However, we cannot
    overlook the fact that her supervised visitations never progressed to unsupervised and were
    ultimately suspended as a result of Mother’s own actions—her failure to complete tasks
    required under the permanency plan and her unabated drug use. Moreover, Ms. Teeters
    testified that Mother could have regained visitation by obtaining alcohol and drug and
    mental health assessments as outlined in the permanency plan but did not. This factor also
    weighs against Mother.
    As the trial court noted, we find that the proof shows a bond between Mother and
    - 19 -
    the Children. See id. § 36-1-113(i)(4). Both Children spent the majority of their lives in
    Mother’s custody; they were not placed with the Department until August 2017 at the ages
    of eleven and five, respectively. Further, the case workers testified that Jayce continued to
    hope, at least until recently, that she would return to Mother’s care. The trial court
    questioned, however, whether a “long-lasting” relationship could continue between Mother
    and Children given that that the Children have now been in foster care for more than two
    years and that Mother has been unable to visit them due to her own actions. Ultimately,
    we find that this factor is not determinative. However, we have little trouble concluding
    that removing the Children from their respective foster homes is likely to be detrimental to
    them. See id. § 36-1-113(i)(5). Ms. Teeters testified that she observed Mother being unable
    to achieve stability by making progress and then falling off. Ms. Easley described Mother’s
    pattern of disappearing for a couple of weeks. Ms. Pendergrass, Jayce’s mental health
    counselor, recommend against phone calls with Mother. In contrast, both caseworkers and
    Ms. Pendergrass observed that the Children are stable and adjusting well in their foster
    homes and that it would be best for them to remain in their placements and be adopted.
    Jordan and Jayce’s foster parents corroborated the progress the Children have made under
    their care. We find that the lack of stability Mother has demonstrated would not serve the
    best interests of the Children as they continue to navigate needed services for their
    emotional, physical, and academic well-being.
    In this case, the Children’s exposure to drugs is the primary evidence of physical
    abuse and neglect by Mother. See id. § 36-1-113(i)(6). We agree with the trial court that
    Mother has not been able to resolve this issue. Mother tested positive for drug use several
    times after these termination proceedings began and such use clearly appears to impact her
    ability to provide proper care for the Children. See id. § 36-1-113(i)(7). Mother has been
    unable to complete the prescribed parenting training because of her own noncompliance.
    All of these issues cast serious doubts on her ability to provide “safe and stable care and
    supervision.” Id. § 36-1-113(i)(8). As to child support payments, see id. § 36-1-113(i)(9),
    we have already noted Mother’s shortfalls. Mother offered no explanation for her failure
    to provide support in accordance with DCS guidelines. Based on the above, the trial court
    correctly found that terminating Mother’s parental rights is in the Children’s best interests.
    CONCLUSION
    We affirm the judgment of the Davidson County Juvenile Court and tax the costs of
    this appeal to the Appellant, Amber S., for which execution may issue if necessary.
    _________________________________
    KRISTI M. DAVIS, JUDGE
    - 20 -