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Order of Disposition (CHINS) (ORD) - Page 1 of 3WPF JU 05.0400 (07/2013) - RCW 13.32A.179 SUPERIOR COURT OF WASHINGTONCOUNTY OF _______________________ JUVENILE COURT In the Interest of:D.O.B.: No: ORDER OF DISPOSITION (CHINS)(ORD) Clerk’s Action Required. Paragraphs 3.1, 3.2, 3.5, 3.6 I. HEARING 1.1 After proper notice, a disposition hearing was held on _____________________________ (Date) to consider the disposition following approval of a Child in Need of Services (CHINS) Petition regarding the above-named child.1.2Persons appearing were:  Child Child’s LawyerParent Parent’s LawyerDSHS Case Worker State’s LawyerProbation Counselor Other_________________________________ 1.3 Testimony was taken. II. FINDINGS The court finds:2.1 Child’s Indian status:  Does n ot a pply b eca use t h e p etit io n w as n ot f ile d b y Department of Social and Health Services. The child is not an Indian child as defined in RCW 13.38.040.  The child is an Indian child as defined in RCW 13.38.040, the Indian Child Welfare Act  applies  does not apply, and the notice required under RCW 13.38.070  has  has n ot b een g iv e n. 2.2  A fact finding hearing was held and the CHINS petition was approved.2.3  The court has received the disposition recommendations from all parties, including the Department of Social and Health Services.2.4  An at-risk-youth petition has been filed by the parents and consolidated with this action. Order of Disposition (CHINS) (ORD) - Page 2 of 3WPF JU 05.0400 (07/2013) - RCW 13.32A.179 2.5 The court finds by clear, cogent and convincing evidence that:  out-of-home placement is in the child’s best interest as it is contrary to the welfare of the child to remain in or be returned to the child’s home; it is in the child’s interest to be placed in foster care; the parents have not requested out-of-home placement;the parents have not exercised any other right listed in RCW 13.32A.160(1)(e); the child has made reasonable efforts to resolve the problem that led to the filing of the petition; the filing of the petition has been resolved by delivery of services to the family during continued placement of the child in the parental home;reasonable efforts have been made to prevent or eliminate the need for removal of the child from the child’s home and to make it possible for the child to return home; and a suitable out-of-home placement resource is available. 2.6  The parents have requested out-of-home placement.2.7 There no longer is a reason to approve the CHINS petition. III. ORDER It is ordered that:3.1The petition is dismissed, and the child shall return or remain at home.  The Department of Social and Health Services shall submit a dispositional plan.The at-risk-youth petition filed by the parents and consolidated with this proceeding is approved and the CHINS petition is dismissed. The Department of Social and Health Services shall review the matter for purposes of filing a dependency action under Chapter 13.34 RCW. The child shall be placed or remain for a period not to exceed 90 days from the date of this order, in out-of-home placement, as follows:  With Name: ____________________________________ Telephone: ____________________________________Address:____________________________________ ____________________________________  The Department of Social and Health Services for placement in foster care. The Department shall have placement and care authority over the child, with authority to place the child and to provide services to the child and family. Legal custody of the child remains with the child’s parent.  Conditions of Supervision . The child shall comply with the following conditions of supervision: . Order of Disposition (CHINS) (ORD) - Page 3 of 3WPF JU 05.0400 (07/2013) - RCW 13.32A.179 DSHS Recommendations. The recommendations set forth in the disposition plan submitted by the Department of Social and Health Services are adopted:in their entirety.with the following amendments: . 3.2Support payments by the child’s parents are: ordered in the amount of $_____________ per month, beginning _________________. not ordered at this time. 3.3 The person or agency having custody of the child shall have full power to authorize and provide all necessary, routine and emergency medical, dental, or psychological care as recommended by the child’s treating doctor or psychologist.3.4 Other provisions: . 3.5 A review hearing shall be held: On: _____________________________ (Date) at ______________________ a.m./p.m.At: _____________________________ Court, Room/Department __________________Address: __________________________________________________ __________________________________________________ 3.6A copy of this order and notice of hearing shall be given to all parties by: ___________________.Dated: _______________________ ____________________________________________ Judge/Commissioner Presented by:_______________________________ ______________________________________Signature Child______________________________________________________________________Type or Print Name/Title/WSBA No.Parent_______________________________ ______________________________________DSHS Parent_______________________________Attorney for Mother Attorney for Father________________________________Type or Print Name/WSBA No. Type or Print Name/WSBA No. NOTICE A PARTY WHO FAILS TO COMPLY WITH THE TERMS OF THIS ORDER MAY BE FOUND IN CONTEMPT.