In Re The Dependency Of J.t.r., Abigail Rocco, App v. Dshs State Of Washington ( 2016 )


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  •          IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
    In the Matter of the Dependency of             )
    )        No. 74624-3-1
    J.T.R. DOB: 3/22/07                            )        (consolidated with No.
    J.J.R. DOB: 09/2/05                            )        74625-1-1)
    )                                         Coq C)
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    )        DIVISION ONE                            xt
    STATE OF WASHINGTON,                           )                                         r7-1
    DEPARTMENT OF SOCIAL AND                       )        UNPUBLISHED OPINION'
    HEALTH SERVICES,                               )                                   X".                r"
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    )                                         (f) rri
    Respondent,               )                                                r"J
    )                                         C.>
    v.                               )                                               <
    )
    ABIGAIL ROCCO,                                 )
    Appellant.                )        FILED: November 14, 2016
    )
    APPELWICK, J. — appeals the order terminating her parental rights to her sons
    J.J.R. and J.T.R. She contends the Department failed to prove that (1) all necessary
    and available services capable of correcting her parental deficiencies were provided;
    (2) there was little likelihood that her parental deficiencies could be remedied in the
    near future; and (3) that termination was in the best interest of the children. Rocco
    also argues that the juvenile court violated her due process rights by failing to provide
    adequate notice of an alleged parental deficiency. Substantial evidence supports the
    relevant findings, and Rocco fails to demonstrate a due process violation. We affirm.
    No. 74624-3-1/2
    FACTS
    Abigail Rocco is the mother of J.J.R. (born 9-2-2005) and J.T.R. (born 3-22-
    2007). J.J.R. suffers from epilepsy and is currently enrolled in special education
    classes.'
    J.J.R. and J.T.R. lived with Rocco until November 2013. Between 2008 and
    2012, the Department of Social and Health Services (Department) received several
    Child Protective Services (CPS) referrals regarding Rocco's possible drug use,
    negligent treatment of the children, and the presence of unsafe individuals in the
    home. In several instances, the Department intervened temporarily and provided
    voluntary family preservation services.
    In the fall 2013, Rocco and the children moved from Arlington to Seattle and
    lived with Terrance Maynard, Rocco's boyfriend. On November 5, 2013, the
    Department investigated a report that J.J.R. and J.T.R. had missed a week of school.
    The mother explained that J.J.R. received two black eyes when he fell following a
    seizure. Rocco asked the school not to contact CPS.
    When J.J.R. returned to school, school employees noticed that he had a
    healing abrasion on his left cheek and redness in his left eye. When asked how it
    happened, J.J.R. responded "Terrence" and gestured that Maynard had punched him
    in the face. J.T.R. told Department social workers that both Rocco and Maynard hit
    the children with a belt. He confirmed that when he says "dad," he means Maynard.
    ' The court's decisions terminating the parental rights of J.J.R.'s and J.T.R.'s
    fathers are not at issue in this appeal.
    -2-
    No. 74624-3-1/3
    J.T.R. also said that Rocco and Maynard told him not to talk about what goes on at
    home because it is "their business." J.T.R. made similar disclosures to a nurse at
    Swedish Medical Center.
    Rocco maintained that J.J.R. and J.T.R. were lying and denied that she or
    Maynard used physical discipline. She claimed that she had separated from
    Maynard and had no further relationship with him.
    The Department removed J.J.R. and J.T.R. from Rocco's care. On January
    10, 2014, Rocco stipulated to the entry of a dependency order. Among other things,
    the disposition order required Rocco to complete random urinalysis testing (UA).
    Because of Rocco's history of trauma and sexual abuse as a child, the court ordered
    her to complete a psychological evaluation with parenting component and follow any
    mental health and parenting treatment recommendations. Rocco successfully
    completed the UA testing.
    Social worker Ashley Shelby initially referred Rocco to Dr. Tatyana Shepel for
    a psychological and parenting assessment.            Rocco eventually canceled the
    appointment, which was scheduled for June 2014. Because Dr. Shepel was not
    available for a new appointment within a reasonable time, Shelby referred Rocco to
    Dr. Steve Tutty.
    Rocco met with Dr. Tutty several times for the evaluation between August 11
    and October 8, 2104. Tully also observed one of Rocco's visits with J.J.R. and
    J.T.R.
    -3-
    No. 74624-3-1/4
    Based on a variety of tests, Tully diagnosed Rocco with posttraumatic stress
    disorder (PTSD), consistent with the abusive history that Rocco experienced until she
    was 14. Tutty also noted a "rule out" for paranoid personality traits, requiring further
    information to diagnose.
    Tutty found that Rocco had adequate cognitive and executive functioning and
    that J.J.R. and J.T.R. were closely bonded with her. He concluded, however, that
    Rocco did not appear to be amenable to services in light of her CPS history and
    paranoia personality assessment inventory. As a result, she likely lacked sufficient
    insight into her psychological challenges and currently posed a moderate risk for
    failing to protect the safety and best interests of the children. Tutty believed that
    Rocco required a "significant amount of structure and oversight to engage and
    complete treatment services."
    Tutty recommended that Rocco complete counseling sessions with a therapist
    skilled in trauma-focused cognitive behavioral treatment (TF-CBT). In addition, he
    recommended that Rocco schedule an appointment with a medication provider for
    assessment of psychotropic medications to reduce her levels of paranoia and
    vigilance. Tutty believed that Rocco would benefit from a specialized parenting class.
    Tutty completed his evaluation on October 16, 2014, and submitted it to the
    Department. Dependency review orders entered in December 2014 and early
    February 2015 expressly included Tutty's recommendations for trauma-focused
    cognitive behavioral therapy and the assessment of psychotropic medication as
    -4-
    No. 74624-3-1/5
    additional court ordered services. The record does not explain the Department's
    failure to provide the evaluation to Rocco or to discuss it with her before February.
    Melissa Hoogendoorn, the assigned social worker from October 2014 to April
    2015, discussed Tutty's recommendations with Rocco by phone in February 2015.
    Hoogendoorn and Rocco initially considered Sound Mental Health for the services,
    but then agreed that Community Psychiatric Clinic (CPC) would be more convenient
    for Rocco for the counseling and medication assessment.
    Hoogendoorn met with Rocco at the Department office on March 17, 2015,
    and again discussed Tutty's recommendations. Hoogendoorn handed Rocco a
    service letter summarizing Tutty's recommendations, including TF-CBT and
    medication management, and including contact information for CPC.
    Rocco told Hoogendoorn that she had "gone to an agency at some point" and
    was told that she did not need therapy. When Hoogendoorn learned that Rocco had
    apparently not mentioned Tutty's evaluation and recommendation to the agency, she
    advised Rocco to sign a release of information so that the Department could provide
    Tutty's evaluation:
    We again talked about the recommendations from Dr. Tutty's
    evaluation. We talked about going to Community Psychiatric Clinic for
    the trauma-focused CBT and being evaluated for medication there. We
    talked about how it would be important for Ms. Rocco to sign a release
    of information so that I could make—so that 1 or her social worker could
    make sure that CPC had a copy of the evaluation from Dr. Tutty so that
    there would be clear information as to what the Department's concerns
    were regarding her mental health. And, we talked a little bit about her
    trauma past and how that was impacting her decision as to whether or
    not to engage in services.
    -5-
    No. 74624-3-1/6
    Rocco informed Hoogendoorn that she was not going to participate in TF-CBT
    therapy because she "felt like all she would be doing is talking about her past and the
    sexual abuse" and believed that "she was already past that." Rocco became
    increasingly upset and began screaming. She insisted that she was not going to
    participate in TF-CBT, accused Hoogendoorn of ignoring the abuse that J.J.R. and
    J.T.R. were experiencing in their foster home, and stormed out of the building.
    Cecilie Han replaced Hoogendoorn as the children's social worker in April
    2015. Han arranged for Rocco to participate in the required specialized parenting
    course, which Rocco successfully completed. Han also discussed the court ordered
    mental health and medication services with Rocco, who indicated that she did not
    need the services because she had participated in mental health therapy as a child.
    But, when Rocco indicated that she had been denied counseling services,
    Han contacted CPC. Han learned that CPC had denied services because Rocco did
    not endorse any mental health symptoms. In June 2015, after Han provided a copy
    of Tutty's evaluation and additional information, CPC agreed to offer services if
    Rocco demonstrated a willingness to engage. Office of Public Defense social worker
    ,
    Alise Hegle also assisted Rocco and encouraged her to participate in the court
    ordered therapy.
    In July 2015, Rocco participated in an intake appointment, and CPC accepted
    her for services. The CPC diagnosis for Rocco was major depressive disorder.
    On August 21, 2015, Rocco told Jessica Blanche, the court appointed special
    advocate (CASA), that her children were in dependency because the nurses at their
    -6-
    No. 74624-3-1/7
    school lied and falsely accused her and Maynard of abuse. Rocco told Blanche that
    she had been denied counseling and did not need counseling or mental health
    treatment of any kind.
    In mid-September 2015, Rocco began counseling sessions with Emily Miller, a
    licensed therapist at CPC. As part of the treatment plan, Rocco identified her goals
    as "getting a driver's license, continuing with school, and getting custody of her
    children back."
    Han met with Rocco at a shared planning meeting on September 29, 2015. At
    the meeting, Rocco appeared to agree to participate in both TF-CBT and the
    medication assessment. In a subsequent series of e-mails, however, Rocco
    questioned whether she needed a medication evaluation.
    Han testified that Rocco had not made progress in correcting the primary
    parental deficiency that led to the removal of J.J.R. and J.T.R.:
    it concerns me that Ms. Rocco does not believe that she does need
    mental health services. I believe that it—a significant piece to making
    progress in mental health therapy is self-awareness and understanding
    that some sort of change needs to take place, or willingness for a
    change to take place. And I don't feel that—I don't feel like that's
    something that's present here in this case. I feel like in assessing
    through, kind of, all the case history, and my interactions with Ms.
    Rocco, I feel that her mental health has really impacted her children
    and put them at risk.
    The Department petitioned for termination of Rocco's parental rights on June
    22, 2015. At the time of the termination trial, which began on October 27, 2015,
    Rocco had completed five sessions with Miller. Rocco also stated that she had
    signed up for a trauma-based group session in November 2015.
    -7-
    No. 74624-3-1/8
    Miller testified that she had "begun discussing" TF-CBT with Miller and had
    started the "psychoeducation" module in the last session. Miller explained that the
    psychoeducation module involved addressing "risk factors that make a person
    vulnerable to certain types of trauma." The safety planning module of TF-CBT, which
    seeks to minimize those risk factors, is usually done as one of the last modules.
    Miller acknowledged that TF-CBT therapy could take up to a year and anticipated
    working with Rocco for a year. Miller testified that Rocco was aware of the process
    for arranging the medication assessment, but she informed Miller "that she is not
    interested in medication management at the moment."
    Rocco testified extensively over the course of the four day trial. She claimed
    that she had long wondered why the Department removed J.J.R. and J.T.R. from her
    care and always got a "runaround" when she tried to find out. Rocco repeatedly
    denied she needed therapy to address trauma because she completed that therapy
    when she was young. Rocco now planned to complete the therapy so that she could
    regain custody of J.J.R. and J.T.R.
    Rocco claimed that Maynard had never physically abused the children and
    that J.J.R. and J.T.R. were lying. She remained reluctant, however, to address why
    the children would repeat such lies. At one point, she asserted the police had
    coerced the children into making the allegations. When the court pressed her for an
    explanation, Rocco suggested that the children were angry with her after they were
    wrongfully evicted from their Arlington apartment.
    -8-
    No. 74624-3-1/9
    Rocco acknowledged that she lived in Maynard's apartment from around
    November 2013 to November 2014, but denied having any current relationship him.
    Rocco agreed that the Department could conduct a surprise visit to her home, "as
    long as it's not on the weekends." The Department presented evidence that
    Maynard's benefit checks were being sent to her current address and that Maynard
    had provided the Department with Rocco's address.
    Rocco denied that she delayed complying with the court-ordered counseling
    and medication requirements. She asserted that when she first contacted CPC in
    February 2015, the interviewer determined that she did not qualify for counseling,
    even though she showed the intake assessor Tutty's evaluation and disclosed her
    history of abuse. Rocco claimed that she continued to contact CPC for counseling,
    but without success. Rocco also asserted that when CPC finally accepted her, the
    interviewer said, "[O]kay, we're going to lie about this and say that you're depressed
    so that you can get the services that you need."
    Sophie Keefe-Bullock, a Department social worker, supervised Rocco's twice
    weekly visits with J.J.R. and J.T.R. during most of the dependency period. For the
    most part, Keefe-Bullock found that Rocco's visits were appropriate. Keefe-Bullock's
    primary concern involved Rocco's hypervigilance about the children's health and
    bodies. During the visits, Rocco was frequently checking the boys for marks, small
    scratches, bug bites, and bruises in a way that "put the boys on edge about their own
    bodies." After looking at the marks, Keefe-Bullock had no concerns that the children
    were being harmed at their foster home.
    -9-
    No. 74624-3-1/10
    At trial, Dr. Tufty explained how TF-CBT could help Rocco manage her PTSD:
    Well, it's targeting the traumatic memories and helping the individual
    better manage those memories when they resurface, whether that be,
    you know, through dreams or through the waking state. Typically
    individuals with PTSD have a lot of recollections of those traumatic
    experiences, and as a result, avoid people, situations that remind them
    of those events. They maintain a—a pretty rigid hypervigilant stance,
    so they're very tense, anxious. They have a lot of negative emotions,
    negative cognitions. It's very impairing.
    In preparing his evaluation, Tutty was unable to consider Rocco's participation
    in the MMPI-11 (Minnesota Multiphasic Personality Inventory-2), a widely used
    personality test, because her answers indicated a "positive impression management"
    that led to an invalid result. Rocco's answers indicated that she was "attempting to
    manipulate how others view her character." Similarly, Rocco's profile for the Child
    Abuse Potential Inventory, which measures risk for committing future child abuse,
    was also invalid because of her positive impression management.
    Tutty identified trust issues, Rocco's significant tension, and her displayed
    hypervigilance as problems that could impair her ability to engage in and complete
    services. Rocco told Tutty that J.J.R. received his black eyes when he fell following a
    seizure. Rocco explained that J.J.R. first fell backwards and injured one side of his
    face. After he stood up, J.J.R. then fell back down and injured the other side of his
    face. Based on his experience in treating both children and adults with seizure
    disorders, Dr. Tutty found Rocco's explanation not plausible.
    -10-
    No. 74624-3-1/11
    Rocco requested that the termination decision be deferred for 90 days to
    assess whether the treatment would be effective. The court did not defer the
    decision.
    On November 24, 2015, following a four day trial, the juvenile court entered
    findings of fact, conclusions of law, and an order terminating Rocco's parental rights
    in J.J.R. and J.T.R. The court found much of Rocco's testimony not credible,
    including her account of why CPC denied her requests for services and her claim that
    she was no longer in contact with Maynard. Rocco appeals.
    ANALYSIS
    Parents have fundamental liberty and privacy interests in the care and custody
    of their children. In re Welfare of A.J.R., 
    78 Wash. App. 222
    , 229, 
    896 P.2d 1298
    (1995); Santoskv v. Kramer, 
    455 U.S. 745
    , 753, 
    102 S. Ct. 1388
    , 
    71 L. Ed. 2d 599
    (1982). When determining whether to terminate parental rights, Washington courts
    follow a two-step process. First, the Department must prove the following six
    statutory requirements by clear, cogent, and convincing evidence:
    (a) That the child has been found to be a dependent child;
    (b) That the court has entered a dispositional order pursuant to
    RCW 13.34.130;
    (c) That the child has been removed . . . from the custody of the
    parent for a period of at least six months pursuant to a finding of
    dependency;
    (d) That the services ordered under RCW 13.34.136 have been
    expressly and understandably offered or provided and all necessary
    services, reasonably available, capable of correcting the parental
    deficiencies within the foreseeable future have been expressly and
    understandably offered or provided;
    -11-
    No. 74624-3-1/12
    (e) That there is little likelihood that conditions will be remedied
    so that the child can be returned to the parent in the near future. . . .
    (f) That continuation of the parent and child relationship clearly
    diminishes the child's prospects for early integration into a stable and
    permanent home.
    RCW 13.34.180(1); see also In re Welfare of A.B., 
    168 Wash. 2d 908
    , 911, 
    232 P.3d 1104
    (2010); RCW 13.34.190.
    Second, if the Department proves the six termination factors, the court then
    determines, by a preponderance of the evidence, if termination is in the child's best
    interests. RCW 13.34.190(1)(b).
    Where, as here, the trial court has weighed the evidence, our review is limited
    to determining whether substantial evidence supports the court's findings of fact and
    whether those findings support the court's conclusions of law. In re Dependency of
    P.D., 
    58 Wash. App. 18
    , 25, 
    792 P.2d 159
    (1990). "Evidence is substantial if it is
    sufficient to persuade a fair-minded person of the truth of the declared premise." In
    re Welfare of S.J., 
    162 Wash. App. 873
    , 881, 
    256 P.3d 470
    (2011). Clear, cogent, and
    convincing evidence exists when the evidence shows the ultimate fact at issue to be
    highly probable. In re Dependency of K.R., 
    128 Wash. 2d 129
    , 141, 
    904 P.2d 1132
    (1995).
    I.   All Necessary and Available Services
    Rocco contends that the Department failed to prove it offered or provided her
    with all necessary services capable of correcting her parental deficiencies as required
    -12-
    No. 74624-3-1/13
    by RCW 13.34.180(1)(d). The Department must offer services that are specifically
    tailored to each individual's needs. In re Dependency of T.R., 
    108 Wash. App. 149
    ,
    161, 
    29 P.3d 1275
    (2001).
    Rocco does not dispute that the Department offered or provided the necessary
    mental health services. She argues, however, that the Department failed to provide
    reasonably competent case management services from October 2014, when Dr.
    Tutty completed his evaluation, through February and March 2015, when social
    worker Melissa Hoogendoorn provided oral and written referrals for mental health
    services. Rocco claims that Hoogendoorn unreasonably delayed providing her with
    Dr. Tutty's evaluation and then failed to provide her with competent assistance in
    accessing the services. Rocco maintains that the 3-4 month delay hindered her
    access to the crucial mental health services and "derailed" her efforts to address her
    parental deficiencies in time for trial.
    The court was clearly concerned by the Department's delay in providing Rocco
    with referrals following Tutty's evaluation. But the court also found
    The mother understood that she needed to consistently engage in the
    services offered by the Department to reunify with her children. She
    acknowledged during testimony at trial that she knew she needed to
    engage in TF-CBT and seek an evaluation for medication management.
    Until just before trial began, the mother did not make a reasonable
    attempt to engage in these recommended services. Her explanation for
    not enrolling in counseling earlier because she was "denied" services
    was not credible. Ms. Rocco testified that, even though she told the
    intake assessor that she had to have counseling as a condition to
    getting her children back, she was told that she did not need counseling
    because in her intake questionnaire she denied that she had thoughts
    of suicide or harming others. Ms. Rocco explained when she sought
    counseling at CPC a second time, shortly before trial, that the intake
    -13-
    No. 74624-3-1/14
    assessor told her that she was going to "lie" in order to allow Ms. Rocco
    to qualify for counseling services. This testimony also was not credible.
    The record establishes that Hoogendoorn reviewed Tutty's recommendations
    and the service requirements with Rocco by telephone and in person in February and
    March 2015. Rocco repeatedly acknowledged that she understood the court-ordered
    requirements for TF-CBT and medication management and understood where to
    request the services. But throughout the dependency, she told social workers that
    she did not need therapy and, more specifically, that she would not participate in
    medication management. At the conclusion of the March 2015 meeting with
    Hoogendoorn, Rocco stormed out after insisting that she would not participate in TF-
    CBT.
    On appeal, Rocco claims that she "acted promptly" on the Department's
    referral. But, Rocco's testimony about her efforts to obtain services from CPC was
    inconsistent and contradictory, and the court found her account not credible. An
    appellate court does not make credibility determinations or weigh evidence on
    review. In re Welfare of C.B., 
    134 Wash. App. 942
    , 953, 
    143 P.3d 846
    (2006); see also
    In re Dependency of K.S.C., 
    137 Wash. 2d 918
    , 925, 
    976 P.2d 113
    (1999) (because the
    trial judge has the advantage of viewing the witnesses, deference to the court's
    findings is of particular importance in deprivation hearings).
    Rocco apparently indicated to Hoogendoorn that she had requested services
    from CPC in February 2015 without providing Dr. Tutty's evaluation or explaining her
    diagnosis of PTSD. But, Rocco testified that she was denied services at CPC during
    her first intake assessment in February 2015 because she did not endorse mental
    -14-
    No. 74624-3-1/15
    health issues, even though she shared Tutty's evaluation. Rocco claimed that she
    then made repeated requests for services at CPC that were denied for the same
    reason. When CPC finally accepted her after a second assessment in July or August
    2015, Rocco stated that the intake assessor said she would lie about the diagnosis in
    order to provide services.
    Based on its credibility assessment and the other evidence of Rocco's
    reluctance to participate in TF-CBT and medication management, despite her
    understanding of their importance, the court could reasonably conclude that Rocco
    effectively refused to engage in the necessary services, or failed to make serious and
    reasonable efforts, until shortly before trial. Cf. In re Dependency of T.R., 108 Wn.
    App. at 163 ("When a parent is unwilling or unable to make use of the services
    provided, [the Department] is not required to offer still other services that might have
    been helpful."). Contrary to Rocco's arguments, the court's findings, when viewed in
    their entirety, do not reflect a material misunderstanding of the chronology of events.
    Clear, cogent, and convincing evidence supports the court's determination that the
    Department offered or provided all necessary services capable of correcting her
    parental deficiencies.
    II.   Little Likelihood that Conditions Would be Remedied in the Near Future
    Rocco contends the Department failed to prove there was little likelihood that
    conditions would be remedied so that the children could be returned in the near
    future. RCW 13.34.180(1)(e). The focus of this requirement is whether the identified
    deficiencies have been corrected. See In re Welfare of M.R.H., 
    145 Wash. App. 10
    , 27,
    -15-
    No. 74624-3-1/16
    
    188 P.3d 510
    (2008). What constitutes "near future" necessarily depends on the
    specific circumstances of each case, including the child's age and placement
    circumstances. 
    C.B., 134 Wash. App. at 954
    ; see also In re A.W., 
    53 Wash. App. 22
    , 32,
    
    765 P.2d 307
    (1988) ("Although 1 year may not be a long time for an adult decision
    maker, for a young child it may seem like forever."). "A parent's unwillingness to avail
    herself of remedial services within a reasonable period is highly relevant to a trial
    court's determination as to whether the State has satisfied RCW 13.34.180(1)(e)." In
    re Welfare of T.B., 
    150 Wash. App. 599
    , 608, 
    209 P.3d 4975
    (2019).
    Rocco maintains that at the time of trial, she was engaged in mental health
    services and beginning to gain insight into her challenges. She also points to Dr.
    Tutty's testimony that 90 days would be a reasonable time in which to determine
    whether she was making progress in her treatment. She argues that it was
    fundamentally unfair for the Department to delay her referral for three months and
    then penalize her for not remedying parental deficiencies in the "near future."
    Dr. Tutty's testimony regarding an additional amount of time to assess Rocco's
    progress was premised both on her participation in the TF-CBT and willingness to
    see a medication provider. At the time of trial, Rocco had participated in one session
    of TF-CBT. And, although Rocco indicated she was now willing to participate in a
    medication assessment, her therapist testified that she was currently "not interested"
    in medication management.
    Moreover, the evidence was undisputed that Rocco would likely need at least
    9 to 12 months to complete TF-CBT, with the safety planning module not occurring
    -16-
    No. 74624-3-1/17
    until the end of the program. The Department witnesses testified that Rocco had
    shown no improvement and that her mental health issues continued to negatively
    affect her ability to care for J.J.R. and J.T.R.
    The children's CASA, Jessica Blanche, testified that given the fact that J.J.R.
    and J.T.R., had already been in foster care for two years, any additional delay would
    be detrimental. Blanche acknowledged that a deferral of the termination decision for
    no more than 90 days would not be "extremely detrimental," but she believed that any
    further delay would be emotionally detrimental to the children. Blanche strongly
    questioned Rocco's motivation for her late participation in court ordered treatment
    and her ability to utilize those services to improve her parenting deficiencies. As late
    as August 21, 2015, Rocco told Blanche that she had tried to go to counseling but
    was denied. Rocco also told Blanche that she did not need counseling or mental
    health treatment of any kind.
    Substantial evidence supports the court's determination that there was little
    likelihood that Rocco would correct her parental deficiencies in the near future.
    III.   Continuation of the Parent-Child Relationship
    Rocco contends the Department failed to establish that continuation of the
    parent and child relationship clearly diminished the children's prospects for early
    integration into a stable and permanent home. RCW 13.34.180(f). But, this
    contention rests solely on the assertion that the Department failed to provide all
    necessary services. As set forth above, the Department provided all necessary
    services. We therefore reject Rocco's argument.
    -17-
    No. 74624-3-1/18
    IV.    Best Interests of the Children
    Rocco contends the court erred when it determined that termination of her
    parental rights was in the best interests of the children. RCW 13.34.190(1)(b). As
    Rocco notes, it is undisputed that the children have a strong bond with her and
    always demonstrate warmth and affection during her visits. Rocco also relies on the
    testimony of Delilah Bruskas, a legal nurse consultant. Bruskas testified that
    termination of the attachment between a child and primary caregiver "is going to be
    potentially developmentally destructive because all subsequent developmental
    stages of childhood are built upon that."
    Whether termination of parental rights is in the best interest of the child is a
    fact specific inquiry. In re Welfare of Aschauer, 
    93 Wash. 2d 689
    , 695, 
    611 P.2d 1245
    (1980). The record here clearly demonstrates that Rocco loves and cares for her
    children, and that they have a strong attachment to her. But "[w]hen the rights of
    basic nurture, physical and mental health, and safety of the child and the legal rights
    of the parents are in conflict, the rights and safety of the child should prevail." RCW
    13.34.020.
    At the time of trial, J.J.R. and J.T.R. had been in foster care for two years.
    Because of her untreated mental health issues, Rocco was unable to provide a safe
    home for them in the near future. Although she had just participated in the first
    session of the court ordered TF-CBT, Rocco had not yet even scheduled the required
    medication assessment. The Department's witnesses testified that after two years in
    foster care, J.J.R. and J.T.R. needed stability and permanency. Because Rocco's
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    No. 74624-3-1/19
    therapy was going to take 9 to 12 months and the outlook for success was unclear,
    the out children faced the" 'limbo of foster care for an indefinite period.' " 
    T.R., 108 Wash. App. at 167
    (quoting 
    A.W., 53 Wash. App. at 33
    ). Substantial evidence established
    that termination was in the best interests of the children.
    V.    Due Process
    Rocco challenges the following finding of fact:
    Ms. Rocco does not appear to have a support system in place to assist
    her with parenting or with her mental health challenges. She has
    described her own mother as "controlling" and 'vindictive" - as someone
    who has repeatedly contacted Ms. Rocco's neighbors and Ms. Rocco's
    landlord to "spread lies" about the mother. The only testimony Ms.
    Rocco offered about a support system was that she reads her bible
    when she feels depressed and she will call up a friend and they will
    read the bible to each other over the phone.
    Rocco contends that she was never notified that a failure to have a support
    system constituted a parental deficiency that could justify termination of her parental
    rights. She argues that the juvenile court's reliance on this alleged parental
    deficiency therefore violated her due process rights. In re Dependency of A.M.M.,
    
    182 Wash. App. 776
    , 779, 
    332 P.3d 500
    (2014) (termination order relying on parental
    deficiency not identified in the dependency or termination petitions violated due
    process).
    The challenged finding is one of 13 that the court entered in support of its
    determination that there was little likelihood that the conditions resulting in
    dependency would be remedied in the near future. The finding accurately
    summarized Rocco's testimony. Among other things, Rocco characterized her
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    No. 74624-3-1/20
    mother as "controlling and vindictive" and accused her of spreading lies to CPS and
    abusing J.J.R. and J.T.R.
    Viewed in their entirety, the findings establish that court relied solely on
    Rocco's failure to remedy her untreated mental health issues as the parental
    deficiency warranting termination. Rocco does not identify anything in the record or
    the parties' arguments suggesting that lack of a support system was a parental
    deficiency that she needed to correct. The court's reliance on this circumstance as
    one of many reasons for determining that Rocco would be unable to remedy her
    mental health issues in the near future did not identify an additional parental
    deficiency requiring separate notice. Rocco fails to demonstrate a due process
    violation.
    Affirmed.
    WE CONCUR:
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