Fill and Sign the Order of Adjudication and Dispositionpermanency Order Form

_________ COUNTY JUVENILE COURT FILED IN THE CLERK’S OFFICE ON _____ DAY OF ______________. 20______________________________________ DEPUTY CLERKIN THE JUVENILE COURT OF _____________ COUNTY STATE OF GEORGIA IN THE INTEREST OF:__________________________ SEX: ___ DOB: __________ CASE # _____________________________________________SEX: ___ DOB: __________CASE # _____________________________________________SEX: ___ DOB: __________ CASE # _____________________________________________SEX: ___ DOB: __________ CASE # ___________________Child(ren) Under 18 Years of Age ORDER OF ADJUDICATION and DISPOSITION/PERMANENCY ORDERThe above and foregoing matter came before the Court on __________________, for an Adjudicatory Hearing based upon a Petition filed by the Georgia Department of Human Resources by and through the ____________ County Department of Family and Children Services alleging the above named child(ren) continue(s) to be deprived and requesting that temporary custody and control of said child(ren) continue in the Department. Based upon the evidence presented, the Court makes the following Findings of Fact and Conclusions of Law by clear and convincing evidence. FINDINGS OF FACT 1. ( )Pursuant to O.C.G.A. §15-11-58(p), the child(ren)’s custodian, foster parent(s), preadoptive parent(s) or relative(s) caring for the child(ren) were notified of the date and time of the Hearing. 2. Present in / for Court were:( ) Mother ___________________________ ( ) Attorney _______________________________ 2( )Father of __________________________(Legal) ___________________________ ( ) Attorney _______________________________ (Putative) _________________________( ) Attorney _______________________________ ( )Father of __________________________(Legal) ___________________________ ( ) Attorney _______________________________ (Putative) __________________________( ) Attorney _______________________________ ( )DFACS ____________________________ ( ) SAAG _________________________________( )Other Petitioner _____________________ ( ) Attorney _______________________________( )Guardian ad Litem _____________________________________ ( ) Other ________________________________________________ The following part(y)(ies) was not/were not present: ____________________________________ ______________________________________________________________________________________He/She/They was/were (not) notified of the proceedings as follows: _____________________________________________________________________________________________________________________ 3. The Permanency Plan(s) at the Time of this Hearing was / were (concurrently): ( )Reunification with parent(s) ( )Adoption ( ) Legal guardianship( )Placement with a fit and willing relative( )Placement in another planned permanent living arrangement To wit: ___________________________________________ 4. The child(ren) is/are of the age and sex and has/have the name(s) set forth above. (The child(ren) is/are (a) resident(s) of __________ County, Georgia. 5. The child(ren) were removed from his/her/their home on ___________________, which is the date the Court is using as the date the child(ren) entered foster care. 3 6. The child(ren) is/are (a) deprived child(ren) for the following reasons: ________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________ 7. ( )Reasonable efforts have been made to finalize the permanency plan(s) in effect. Those efforts were: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ( )DFACS has not made reasonable efforts to finalize the permanency plan(s) in effect in that: ___________________ __________________________________________________________________________________________________________________________________________________________________________________________ 8. The compliance of the mother with the case plan for reunification has been: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________The compliance of the father with the case plan for reunification has been: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________( )There is no case plan for reunification at this time. 4 9. In accordance with O.C.G.A. §15-11-58(p), the Court considered the oral or written testimony offered by the parent(s), the custodian, the foster parent(s), and/or any preadoptive parents or relatives providing care for the child(ren) along with all testimony and evidence presented in this case. 10. ( ) There has been insufficient compliance with the case plan for reunification to permit reunification at this time. ( ) Although the mother / father has/have actively participated in the case plan for reunification and has/have worked diligently to improve her/his/their circumstances, immediate reunification is not feasible because __________________________________________________________________________________________________________________________________________________________________________________________________________________________( ) The mother / father has/have substantially complied with the case plan for reunification and has/have accomplished the goals required by the Court. The Court finds that the child(ren) can be safely returned home at this time. 11. ( )Returning to the home would be contrary to the welfare of the child(ren) because:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________( )It would be in the best interest of the child(ren) to be returned to the home of the parent(s) at this time because: ______________________________________________________________________________________________________________________________________________________________________________________________________ 12. ( )DFACS intends to petition for termination of parental rights by ________________.( ) DFACS does not intend to petition for termination of parental rights but to continue to pursue reunification.( ) DFACS does not intend to petition for termination of parental rights. There is a compelling reason that the filing of a termination petition would not be in the child’s best interests in that: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 13. ( ) The child(ren)’s out-of-state placement continues to be appropriate and in the best interest of the child(ren). 5 14. ( )The child(ren) being at least 14 years of age, the Court finds that the following services are needed to assist the child(ren) to make a transition from foster care to independent living:1.Enrollment in an independent living program.2.__________________________________________________________________________________________3.__________________________________________________________________________________________ CONCLUSIONS OF LAW The Court has subject matter jurisdiction over this action and personal jurisdiction over the child(ren), mother and (legal) (biological) (putative) father. Venue is proper in this Court. ( )This/These child(ren) is/are (a) deprived child(ren) as defined in O.C.G.A. §15-11-2(8)(A) in that he/she/they is/are without proper parental care or control, subsistence, education as required by law, or other care or control necessary for his/her/their physical, mental or emotional health or morals.( )The child(ren) is/are no longer deprived.( ) The ____________ County Department of Family and Children Services made reasonable efforts to finalize the permanency plan(s) in place.( ) The ____________ County Department of Family and Children Services failed to make reasonable efforts to finalize the permanency plan(s) in place.( ) Return to the home would be contrary to the welfare of the child(ren) and continued removal of the child(ren) from the home is in the child(ren)'s best interest.( )Continued removal of the child(ren) from the home is not in the children)'s best interest. Any of the “Findings of Fact” herein which should have been properly classified by the Court as “Conclusions of Law” shall be considered as “Conclusions of Law” and any “Conclusions of Law” which should have been properly classified as “Findings of Fact” shall be considered as “Findings of Fact.” 6 DISPOSITION ( )The Court HEREBY ORDERS that temporary custody and control of said child(ren) be and hereby is continued with the Georgia Department of Human Resources through the ___________ County Department of Family and Children Services.( ) The Petition for Extension is HEREBY DENIED. The child(ren) is/are returned to the custody of the parents. ( )IT IS FURTHER ORDERED that while said child(ren) is/are in the custody of the ____________ County Department of Family and Children Services the parents of said child(ren) shall participate in the Judicial Citizen Panel Review program or Judicial Review as directed and the ____________ County Department of Family and Children Services is HEREBY directed to furnish the Court or the Judicial Citizen Review Panels all information in its possession concerning the family, including but not limited to psychological evaluations performed on the child(ren), the parents or any other extended family member if available.The Permanency Plan for the child(ren) is as follows: ( ) Reunification with _________________ no later than: _____________________________ ( )Adoption following Termination of Parental Rights. Petition to be filed no later than: __________________( ) Referral for Legal Guardianship no later than: ___________________________________( )Placement with a fit and willing relative. Motion to be filed no later than: ___________________________( )Compelling reason why none of the foregoing options would be in the best interest of the child(ren): ____________________________________________________________________________________________________________________________________________________________________________________ ( ) Permanent placement in another planned permanent living arrangement to be finalized no later than: ____________ This planned permanent living arrangement is as follows: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 7 _____________________________________________________________________________________ ( )Reunification services are in place and shall continue until termination of parental rights or until otherwise ordered.( )The Department of Family and Children Services shall provide the services specified in Paragraph 14 supra to assist the child(ren) to make a transition from foster care to independent living. IT IS FURTHER ORDERED that the mother and the father shall notify the Clerk of this Court of any change in address within 72 hours of the change. IT IS FURTHER ORDERED that the _______________ County Department of Family and Children Services is authorized to obtain for said child(ren) physical examinations, ordinary medical care, and such additional medical treatment and care which, in the opinion of a licensed physician, is necessary for the care and well being of the child(ren).This Order shall expire on ____________________, unless sooner terminated by Order of this Court.IT IS SO ORDERED this _____ day of _________________, 20____.____________________________________ JUDGE _____________ County Juvenile Court [Note: This Order is used after a child has been in foster care longer than one Extension.]