Jv-445 Form - Parental Rights Terminated Permanent Plan Of Adoption Order Page 3
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4JV-445
CHILD'S NAME:
CASE NUMBER:
13.
Child not yet placed with prospective adoptive parent or a guardian
a.
The child has identified the following as an individual important to him or her:
(name):
(1)
(2) (name):
b.
The county agency
has
has not
made efforts to identify individuals who are important to the child,
consistent with the child's best interest.
c.
The county agency
has
has not
made efforts to maintain the child's relationships with the
individuals who are important to the child, consistent with the child's best interest.
d.
The county agency
has
has not
made efforts to identify a prospective adoptive parent or a legal
guardian for the child.
e.
To identify individuals who are important to the child and to maintain the child's relationships with those
individuals, the county agency must provide the services
as stated on the record.
(1)
(2)
as follows:
f.
To identify a prospective adoptive parent or a legal guardian for the child, the county agency must provide the
services
as stated on the record.
(1)
(2)
as follows:
14.
The services provided to the child have been
adequate.
a.
not adequate.
b.
Education
15. a. The child's educational needs
are
are not
being met.
b. The child's physical needs
are
are not
being met.
c. The child's mental health needs
are
are not
being met.
d. The child's developmental needs
are
are not
being met.
The additional services, assessments, and/or evaluations the child requires to meet the unmet needs specified in item 15 or
16.
other concerns are:
a.
stated in the social worker's report.
b.
specified here:
The following persons are ordered to take the steps necessary for the child to begin receiving the services, assessments,
17.
and/or evaluations identified in item 16:
a.
Social worker.
b.
Surrogate parent (name):
c.
Educational representative (name):
d.
Other (name):
The child's education placement has changed since the last review hearing.
18.
a.
The child's educational records, including any evaluation regarding a disability, were requested by the child's new
school within two business days of the request to enroll, and those records were provided by the child's former
school to the child's new school within two business days of the receipt of the educational records request.
b.
The child is enrolled in school.
c.
The child is attending school.
JV-445 [Rev. July 1, 2011]
FINDINGS AND ORDERS AFTER POSTPERMANENCY HEARING—
Page 3 of 4
PARENTAL RIGHTS TERMINATED; PERMANENT PLAN OF ADOPTION
(Welf. & Inst. Code, § 366.3)
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