Bartow County Juvenile Court

BARTOW COUNTY JUVENILE COURT

FILED IN THE CLERK’S OFFICE ON

_____ DAY OF ______. 20____

______

DEPUTY CLERK

IN THE JUVENILE COURT OF BARTOW COUNTY

STATE OF GEORGIA

IN THE INTEREST OF:

______SEX: ___ DOB: ______CASE # ______

Child(ren) Under 18 Years of Age

INITIAL JUDICIAL REVIEW ORDER

The above and foregoing matter is before the Court on ______for a Judicial Review based upon the prior scheduling by the Court and in accordance to O.C.G.A. §15-11-216. In accordance to law, the hearing is being held within 75 days of the child(ren) being removed from his/her/their home; the date of removal was ______.

Based upon the evidence presented (the consent of the parties), the Court makes the following findings of fact by clear and convincing evidence. Specifically, the findings of fact documented herein, are intended to reflect the fact that the Court has considered all evidence and testimony offered by all parties, as well as nonparties entitled to notice and a right to be heard. O.C.G.A. §15-11-111(b)(2).

FINDINGS OF FACT

( ) Pursuant to O.C.G.A.§ 15-11-109, the child(ren)’s caregiver, foster parent(s), pre-adoptive parent(s) or relative(s) caring for the child(ren), ______, were notified of the date, time, and place of this Hearing at least 72 hours prior to the hearing.

( ) The child(ren)’s caregiver, foster parent(s), preadoptive parent(s) or relative(s) caring for the child(ren), ______, were not notified of the date and time of this hearing as follows:______

Present in / for Court were:

( ) Mother ______( ) Attorney ______

( ) Father of ______

(Legal) ______( ) Attorney ______

(Putative) ______( ) Attorney ______

( ) DFCS ______( ) SAAG ______

( ) Other Petitioner ______( ) Attorney ______

( ) CASA ______

( ) Child(ren) ______inside / outside courtroom

( ) Child(ren)’s Caregiver ______inside / outside courtroom

( ) Child(ren)’s Attorney ______

( ) Child(ren)’s Guardian ad litem ______

( ) Others ______

The following part(y)(ies) was not/were not present: ______He/She/They was/were (not) notified of the proceedings as follows: ______

______

The Permanency Plan(s) at the Time of this Review was / were (concurrently):

( ) Reunification with parent(s) ( ) Adoption ( ) Legal guardianship

( ) Placement in another planned permanent living arrangement

To wit: ______(can include placement with fit and willing relative)

The following referrals have been made to the mother toward her permanency plan of reunification:

( ) Alcohol and drug assessment

( ) Not in the case plan because has not been identified as necessary at this time

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) Alcohol and drug treatment

( ) Not in the case plan because has not been identified as necessary at this time

( ) Awaiting results of alcohol and drug assessment

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) Drug screens

( ) Not in the case plan because has not been identified as necessary at this time

( ) Awaiting results of alcohol and drug assessment

( ) Dates of screen/ Type of screen/ Results: ______

( ) Necessary referral not made prior to this hearing

( ) Psychological evaluation

( ) Not in the case plan because has not been identified as necessary at this time

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) Domestic violence assessment

( ) Not in the case plan because has not been identified as necessary at this time

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) This assessment will be part of a full psychological evaluation

( ) Counseling

( ) Not in the case plan because has not been identified as necessary at this time

( ) Awaiting results of psychological evaluation

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) Parenting

( ) Not in the case plan because has not been identified as necessary at this time

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) Parental capacity assessment

( ) Not in the case plan because has not been identified as necessary at this time

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) Referrals for Employment

( ) Not in the case plan because has not been identified as necessary at this time as the mother is employed

( ) Not in the case plan because has not been identified as necessary at this time at this time as the mother

receives a disability income

( ) Not in the case plan because has not been identified as necessary at this time as the mother is incarcerated

( ) Referral to the Department of Labor,19 Felton Place, Cartersville, GA, 770)387-3760, on ______

( ) ______

( ) Necessary referral not made prior to this hearing

( ) Housing

( ) Not in the case plan because has not been identified as necessary at this time as the mother has appropriate

housing

( ) Not in the case plan because has not been identified as necessary at this time as the mother is incarcerated

( ) Referral to the Housing Authority, 129 Aubrey Street, Cartersville, GA, 770)386-1464 on ______

( ) ______

( ) Necessary referral not made prior to this hearing

( ) Visitation: The mother’s visitation with her children is supervised/unsupervised as follows: ______

______

( ) Other: ______

( ) There is no case plan for reunification with the mother.

Of the referrals made to the mother:

( ) the mother has attended all appointments scheduled

( ) the mother has failed to attend some or all appointments; she has missed the following appointment(s) for the following reason(s): ______

______

( ) the mother has failed to schedule appointments from the following referral(s) for the following reason(s): ______

______

The compliance of the mother with her case plan for reunification has been:

(Not) (Completed) alcohol and drug assessment / Not required at this time

(Not) (Completed) Recommended a & d treatment (Underway) / Not required at this time

(Not) (Submitted) to drug screens / Not required at this time Results: ______

(Not) (Completed) psychological evaluation / Not required at this time

(Not) (Completed) domestic violence assessment/ Not required at this time

(Not) (Completed) Recommended counseling (Underway) / Not required a this time

(Not) (Completed) Parenting (Underway) / Not required at this time

(Not) Visiting Regularly ______

(Not) (Maintained) Stable and Safe Housing / Not an issue ______

(Not) (Maintained) Stable, Legal Income / Not an issue ______

(Not) Paying Child Support ______

OTHER: ______

( ) There is no case plan for reunification with the mother at this time.

The following referrals have been made to the father, ______, towards his case plan for reunification:

( ) Alcohol and drug assessment

( ) Not in the case plan because has not been identified as necessary at this time

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) Alcohol and drug Treatment

( ) Not in the case plan because has not been identified as necessary at this time

( ) Awaiting results of alcohol and drug assessment

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) Drug screens

( ) Not in the case plan because has not been identified as necessary at this time

( ) Awaiting results of alcohol and drug assessments

( ) Dates of screens/type of screens/Results: ______

( ) Necessary referral not made prior to this hearing

( ) Psychological evaluation

( ) Not in the case plan because has not been identified as necessary at this time

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) Domestic violence assessment

( ) Not in the case plan because has not been identified as necessary at this time

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) This assessment will be part of a full psychological evaluation

( ) Counseling

( ) Not in the case plan because has not been identified as necessary at this time

( ) Awaiting results of psychological evaluation

( ) Date scheduled: ______

( ) Name/Address of Provider: ______( ) Necessary referral not made prior to this hearing

( ) Parenting

( ) Not in the case plan because has not been identified as necessary at this time

( ) Date scheduled: ______

( ) Name/Address of Provider:______

( ) Necessary referral not made prior to this hearing

( ) Parental capacity assessment

( ) Not in the case plan because has not been identified as necessary at this time

( ) Date scheduled: ______

( ) Name/Address of Provider:______

( ) Necessary referral not made prior to this hearing

( ) Referrals for Employment

( ) Not in the case plan because has not been identified as necessary at this time as this father is employed

( ) Not in the case plan because has not been identified as necessary at this time as this father receives a

disability income

( ) Not in the case plan because has not been identified as necessary at this time as this father is incarcerated

( ) Referral to the Department of Labor, 19 Felton Place, Cartersville, GA, 770)387-3760, on ______

( ) ______

( ) Necessary referral not made prior to this hearing

( ) Housing

( ) Not in the case plan because has not been identified as necessary at this time as this father has appropriate housing

( ) Not identified in the case plan or necessary at this time as this father is incarcerated

( ) Referral to the Housing Authority, 129 Aubrey Street, Cartersville, GA, 770)386-1464, on ______

( ) ______

( ) Necessary referral not made prior to this hearing

( ) Visitation: The father’s visitation with his child(ren) is supervised/unsupervised as follows: ______

______

( ) DNA testing for paternity

( ) Not necessary as this father is the legal father

( ) Not necessary as prior genetic testing has established this father’s paternity

( ) Date scheduled: ______

( ) Name/Address of Provider: ______

( ) Necessary referral not made prior to this hearing

( ) Other: ______

______

( ) There is no case plan for reunification with this father.

Of the referrals made to the father, ______:

( ) this father has attended all appointments scheduled

( ) this father has failed to attend some or all appointments; he has missed the following appointment(s) for the following reason(s); ______

______

( ) this father has failed to schedule appointments from the following referral(s) for the following reason(s): ______

______

The compliance of the father, ______, with his case plan for reunification has been:

(Not) (Completed) alcohol and drug assessment / Not required at this time

(Not) (Completed) Recommended a & d treatment (Underway) / Not required at this time

(Not) (Submitted) to drug screens / Not required at this time Results: ______

(Not) (Completed) psychological evaluation / Not required at this time

(Not) (Completed) domestic violence assessment/ Not required at this time

(Not) (Completed) Recommended counseling (Underway) / Not required a this time

(Not) (Completed) Parenting (Underway) / Not required at this time

(Not) Visiting Regularly ______

(Not) (Maintained) Stable and Safe Housing / Not an issue ______

(Not) (Maintained) Stable, Legal Income / Not an issue ______

(Not) Paying Child Support ______

(Not) Established paternity / Not an issue

(Not) Legitimated the child / Not an issue

OTHER: ______

( ) There is no case plan for reunification with this father at this time.

10.

( ) The Department has made reasonable efforts to eliminate the need for removal of the child(ren) from the home and to reunify such child(ren) with the family at the earliest possible time as indicated by the referrals made supra.

( ) The Department has failed to make reasonable efforts to eliminate the need for removal of the child(ren) from the home and to reunify such child(ren) with the family at the earliest possible time. The reason for this finding is: ______

______

11.

The following referrals have been made for the child(ren) to assist toward reunification:

( ) Psychological evaluation (identify child(ren): ______)

( ) Not in the case plan because has not been identified as necessary at this time