WPC< BU*cM_WAhwf:nw҇)xnZzkB2l9$$G)b wPp: *" PS;qv]Mň#6W&K֜^kؓS F2AH~Izdt .#bgC46nrpS>N66S7d,q'7/l,7:4j;* t Ucôpk("!J>Utɵy>oSv)p.6𫖏VY㟽*4TF>Texd]!d㦉 ^9PgG^T,@"m(f,3q$ļDOsC@./;>&J~Lό 9D|]X0QBEG;O қ& ͦVCO!zLl}35q@RܒZ=K({M UW> 0 0<c 0d 02 05 0l<U'> 0FZ 0---b      U=>(B j ~         0 B VVVV h |         ***** <<<<< N b v       0r #~U NG %N   ^ w4 m  (\  `&Times New Roman64Heading 1    x (# XXXS\  `&Times New RomanS     8.` hp x (#8 S\  `&Times New RomanSXXX<:Default Para0.Header (#XXXS\  `&Times New RomanSA7X` hp x (#AS\  `&Times New RomanSXXX0m.Footer (#S\  `&Times New RomanSA7X` hp x (#AS\  `&Times New RomanS64Body Text)   x (#)&&&S\  `&Times New RomanSG=X` hp x (#GXXXS\  `&Times New RomanS:8Page Number'    0 .  dIN THE DISTRICT COURT OF COUNTY, KANSAS\  `&Times New Roman(e2$ 7!  XXXXXXXX  8DocumentManagement::ModifiedBooleanTRUE(e2$ 7!  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XXXXXXXX  _@**(219a   8XXdd8=XXdd=__ XXXX@@@ INTHEDISTRICTCOURTOF__________________COUNTY,KANSAS   INTHEINTERESTOF f  Name_____________________________     p   CaseNo._____________ >  DOB#XXX Xk#xx XXXX/#XXX X#xx XXXX/____A&#XXX X# XXXXԀmale&#XXX Xm# XXXXԀfemale *  Name_____________________________     p   CaseNo._____________  ` DOB#XXX X#xx XXXX/#XXX X#xx XXXX/____A&#XXX X# XXXXԀmale&#XXX X2# XXXXԀfemale  L  #XXX X# XXXXName_____________________________     p   CaseNo._____________ $  DOB#XXX X#xx XXXX/#XXX X#xx XXXX/____A&#XXX X# XXXXԀmale&#XXX X9# XXXXԀfemale   #XXX X# XXXX@   wX X*# XX w#INDIANCHILDWELFAREACT v  #XXX X#   * x (#X*XXXXXXXX      0 x (#X0PERMANENCYHEARINGORDERFORCHILDINNEEDOFCAREP   8 Ԍ  Ќ  $ XX$ XXXXXXXX    PursuanttoK.S.A.382203(a),382264XXXXԀ#XXXX # XXXXand25U.S.C.1901etseq.#XXX X #XXXX  #XXXXm #Separatejournalentrymustbeattached  XX(Orderspertainingtomorethanonechildmustincludefindingsspecifictoeachchildlistedinthecaption.) t   &J %    XX %&JNOWonthis% % ________%% dayof% & -  _____________-  %&N ,% ' -  ________-  %' ,theabovecaptionedmatters Z comeonbeforeJudge___________________forapermanencyhearing 0% ( %(aԀtoestablisha F permanencyplanand/or% ) *XXXX0%)Ԁforreviewoftheplanforpermanency,progressbeingmade 6 towardsthegoalsoftheplanandtheviabilityofthosegoals . "  XXX*X  TheCourtfindsthat &eachchildnamedaboveor&thechild___________________ is  anIndianchildasdefinedbytheIndianChildWelfareAct(ICWA)andnoticeasrequiredbyICWA  hasbeentimelyprovided.ApetitionrequestingthetransferofjurisdictiontotheTribe &hasnot | beenfiled&wasfiledandthetransferofjurisdictionwasdenied&wasfiledandthe l transferofjurisdictionwasdeclined ,andtheCourthasjurisdictiontoproceed. X  #*XXX X#XXX*X  Ajournalentryrecitingappearances,findingsandordersisattached.#*XXXX;# 4"  '"(#X'<   x (#"(#<*&J %X*X&J % %*&J      ݌̌3"(# X3XX %&J*XXXX    TheCourtXXX*X 0#*XXXX#Ԁapprovesandadoptstheproposedpermanencyplanastheplanfor #V" permanencyinthepresentmatterorXXX*X0#*XXXXe#Ԁdoesnotapprovetheproposedpermanencyplanand $F # ordersanewpermanencyplansubmittedtotheCourtwithin30days . %2!$   THECOURTFURTHERFINDSTHAT: '#& B% 4`  x (#"(#B% @ "US:! '%@  1. 4 % A %A"TheprogresstoachievethegoalsoftheformerpermanencyplanXXX*XԀ (#'   0 4 0` 4(#4(#0 ` (#` (# 0is0isnot adequateasto(Name)________________________________)$( (# (#   0 4 0` 4(#4(#0 ` (#` (# 0is0isnot adequateasto(Name)________________________________x*%) (# (#   0 4 0` 4(#4(#0 ` (#` (# 0is0isnot adequateasto(Name)________________________________.#*XXXX#h+&* (# (#   2. 4 % H 0%H ` a.0 Reasonableeffortshavebeenmadetoaccomplishthepermanencygoal(s)of   0% M %MԀreintegration0% N %NԀadoption0% O %OԀpermanentcustodianship0 placementwith  arelative0% Q %QԀotherplannedpermanentlivingarrangementof  ~ (Identify)________________________________________________________j (# (# ?" 4` (#,X?   4    `   (Specifybasisforfindingforeachchild.)% R _____________________________ V   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________B  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________.  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________ x (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________%R. d (# (# XXX*X@) or   <  N+ 4`  x (#4 (#N   4 % , %,;!00   ` b.0 (#(#Reasonableeffortssetoutinthepermanencyplanhavenotbeenmade.(Specify   basisforfindingforeachchild.)_____________________________  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#% - ______________________________________________________________  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________z  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________f (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________.0@"0@"(#(#%-"R (# (# N+ 4`  x (#4 XN% . %. &#*XXXX #@) or  * N+ 4`  x (#4 XN0  04(#(#04(#4(# 4 % S "&US:! 'US:! '&00(#(#%S ' ` c.0 (#(#0 (# (#Reasonableeffortstoreunifythechild(ren)andthefamilyarenotrequired ` becausereintegrationisnotaviablealternative.(Specifybasisforfindingfor L eachchild.)___________________________________________8 (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________$ (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________ (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________ (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________% T %T+. (# (# 0     3. 4 XXX*X 0#*XXXX/,#ԀActiveeffortshavebeenmadetoaccomplishthegoalofreintegration.orb(#(#    4 XXX*X0#*XXXX,#ԀActiveeffortstoreunifythechild(ren)andfamilyarenotrequired.or R     4 XXX*X0#*XXXX-#ԀActiveeffortstoreunifythechild(_ren_)andfamilyhavenotbeenmade. >!  0  04(#(#(Specifybasisforfindingforeachchild.)___________________________________ *"  ____________________________________________________________________ #t! _____________________________________________________________________$`"4(#4(#   4.0 4 Continuedoutofhomeplacement 0% X %X0Ԁisnecessary0% Y %Y80Ԁisnot necessary forthesafetyof:&$"%4(#4(# E" 4` (#4 XE0  04(#(#   4 NAME:% Z _____________________________________because XXX*X( completeonlyif is '#& necessaryischecked)#*XXXXh1#%Z(1_________________________________________________($'4(#4(# XXX*X  0 4 ____________________________________________________________________.N+ 4`  x (#4 (#N @"  @" #*XXXXZ2#)$(4(#4(# XXX*X   4 Continuedoutofhomeplacement 0isnecessary0isnot necessary forthesafetyof:#*XXXX3# ~*%)   0 4 NAME:% [ -  _______________________________________because XXX*X( completeonlyif @>"  @>" is n+&* necessaryischecked)#*XXXX4#%[|4_________________________________________________4(#4(#    4 _____________________________________________________________________.    XXX*X 4 Continuedoutofhomeplacement 0isnecessary0isnot necessary forthesafetyof:#*XXXXY6# z    4 NAME:% \ _______________________________________because XXX*X( completeonlyif j    4 isnecessaryischecked)#*XXXX7#%\E7Ԁ______________________________________________ Z    4 ______________________________________________________________________. F  H% 4  x (#4 XH% ^ %^B9    5. 4 Thechild(_ren_)sneeds 0% _ %_9Ԁare0% ` %`9Ԁarenot beingadequatelymet.   |  % a %aK:    6.0 4 XXX*XTheCourthasconsideredinstateandoutofstatepermanentplacementoptions.#*XXXX:#The  X  child(_ren_) XXX*X0 #*XXXXi;#Ԁ isXXX*XԀ0isnot #*XXXX;#Ԁinoutofstateplacement,andsuchplacement 0continues0  D  doesnotcontinue tobeappropriateandinthebestinterestofthechild(_ren_).4 4(#4(# Q+ `  x (#4 XQ% d %dF=    7. Q+ `  x (# XQ XXX*X0a. Reintegration 0maybe0continuestobe aviablealternativefor:   Q+ 4`  x (# XQ    4    `   (Checkappropriatestatusfromlistbelow:)   H% 4 X (#4 XH   4    `  NAME:*XXXX_______________________________  Status:01020304      4    `  NAME:% z _______________________________%z@  Status:01020304 z    4    `  NAME:%  _______________________________%{A  Status:01020304 f    4    `  (1) Thechild(_ren_)shouldnotbereintegrateduntilfurtherorderoftheCourt. R ].4`  x (# 4 X X]   4    `  (2) Thechild(_ren_)mayreturnhome 0%  %CԀimmediately0%  %Cwithatargetdate > W14`  x (#4 XW   4    `    of%   _____ -  %DԀ dayof ___________________ %  %PE,%  -   ______ -  %vE,0%  %EԀifthefollowing . Q( 4` (# 4 XQ   4    `    conditionsaremet :%  __________________________________________ |  @ 0  0(#(#04(#(#04(#4(#0` (#(#0 ` (#` (#0 (# (#0 (# (#___________________________________________________________l (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#0 (# (#___________________________________________________________X (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#0 (# (#___________________________________________________________%F.D (# (#    4    `  (3) Servicessetoutinthepermanencyplannecessaryforasafereturnofthe 0  W.4`  x (# 4 (#W `    child(_ren_)havenotbeenmadeavailabletotheparentwithwhom   `    reintegrationwasplanned.   W.4` "  x (# 4 XW   4    `  (4) "  Within30days,anewplanforreintegrationshouldbepreparedand  W.4`  x (# 4" XW   4    `    submittedtotheCourtwithmeasurablegoals,objectivesandtimeframes.    0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#0 (# (# XXX*Xor #*XXXXN#Z! (# (#   0 4 XXX*X0%  %qO  b.Reintegration 0maynotbe0#*XXXXNO#XXX*Xisnolonger aviablealternativefor:6#!4(#4(# Q+ 4`  x (#4 XQ XX#*  O#  *    4    `   #XX СP# (Checkappropriatestatusfromlistbelow:) XX &$" Q.4`  x (#4 XQ#XX СQ#   4    `  NAME:%  #*XXXXP#XXX*X______________________________________%R  Status:0%  %GS 1%  0%mSԀ2%  0 %S 3#*XXXXR#XXX*X  0#*XXXXS#XXX*XԀ4  %p #     4    `  NAME:#*XXXX2T#XXX*X______________________________________  Status:%  %3U#*XXXXT#XXX*X 0 1020 3#*XXXXwU#XXX*X XX #XX V#0 XX#*  U#  *  #XX SV#4  %\!$     4    `  NAME:#*XXXXV#XXX*X______________________________________0  Status:0 1020 3#*XXXXkW# XXX*X XXԀ #XX -X#0#*XXXXX#XXX*X  4#*XXXXX#&H"% T$ T$ T.4`  x (#4 XT   4    `  (1)0 Thechild(_ren_)isinastableplacementwitharelative.'4#& (# (#    4    `  (2) Servicessetoutinthepermanencyplannecessaryforasafereturnofthe ( $'  T.4`  x (#4 XT `    child(_ren_)havebeenmadeavailabletotheparentwithwhom ) %(  `    reintegrationwasplanned. *%)  `  (3)0 Eitheradoptionorpermanentcustodianshipmightbeinthebestinterestsof +&* thechild(_ren_)andtheCounty/DistrictAttorneyordesigneeshallfilea  pleadingtoterminateparentalrightsorapleadingtoestablishapermanent  custodianshipwithin30days.z (# (# _B, X 4 XB 0 " (4)0" " (#" (#Adoptionandpermanentcustodianshiphavebeenconsideredandthestatehas f documentedacompellingreasoninsupportofanotherplannedpermanent R livingarrangement.> " (#" (#  X 4  `  XXX*XdTHECOURTORDERSallprovidersofservices#*XXX X_#L  M   XXX*XԀ #*XXX X `#L  M   XXX*Xincludingeducationalservices#*XXX Xf`#L  M   XXX*X,  t treatment,#*XXX X`#L  M   XXX*Xeducation#*XXX XQa#L  M   XXX*XԀorcareofthechildandfamily,evenifnotspecificallyreferredto  d herein,toprovideinformation#*XXX Xa#L  M   XXX*Xincluding#*XXX Xb#L  M   XXX*XԀ#*XXX Xb#L  M   XXX*Xanyandalleducationalrecords#*XXX X6c#L  M   XXX*XԀtothesecretary,any  P  entityprovidingservicestothechildandfamily,counselforthepartiesincludingthecounty  <  ordistrictattorney,appointedCASA,CitizenReviewBoardmembers,thecourt,andeach (  othertotheextentneededtoensurethesafetyofthechild,preventfurtherabuseorneglect,   andtoprovideappropriatetreatment#*XXX Xc#L  M   XXX*X,careandservices#*XXX Xe#L  M   XXX*XԀtothechildandfamily.Thisorder   encompasses#*XXX X f#L  M   XXX*Xandcomplieswith#*XXX Xf#L  M   XXX*XԀtheprovisionsofthe#*XXX Xg#L  M   XXX*XFamilyEducationRightsandPrivacy   Act(20U.S.C.1232g;34_C.F.R._Ԁ99#*XXX X|g#L  M   XXX*XԀ#*XXX XLh#L  M   XXX*Xandthe#*XXX Xh#L  M   XXX*XԀPrivacyRuleoftheHealthInsurancePortability z  andAccountabilityActof1996(_HIPAA_),45_C.F.R._Ԁ164.512(e)(1).#*XXX Xi#d f ?, X, X?E   x (#, XE ` THECOURTFURTHERORDERSthismattersetfor%  -  ______________-  %j_____ * hearingbefore 0XXX*XԀtheCourt0#*XXXXdk#Ԁ XXX*Xthe#*XXX Xk#CRB XXX*XԀonthe________dayof______________,_____, t at-  ____:____ 0#*XXXXl#XXX*XԀa.m0#*XXXXl#XXX*XԀp.m .%  %,m d ? p x (# X?< rp x (#pX<#*XXXXm# XXX*X  ITISSOORDERED#*XXX Xn#THIS________dayof_____________________,_______-  . @ < p x (#rpX<_.3D (#pX3 `    __________________________ ~  ` 0 0 (# (#JudgeoftheDistrictCourt j ЀV (#(# @- B!  f+&* XXX*X@)Authority  K.S.A.382203(a),382264,25U.S.C.1901etseq. z __@'NotesonUse R  ` Thisistheshortformforuseinconjunctionwithajournalentrydraftedbycounsel *  thatrecitestheappearances,findingsandordersofthecourt.Form219b,thelongform,may  t beusedwithoutaseparatejournalentry,asitincludesarecitationofappearancesandspace  ` forfindingsandordersofthecourt.  L   ` SupremeCourtAdministrativeOrderNo.155appliesandrequirestheuseofthis  8  formoranotherformapprovedbytheSupremeCourtasmeetingASFArequirements. $  FailuretomakeandproperlydocumentthefindingsrequiredbyASFAwillresultintheloss   offederalfunding.Federalfundingisnotavailablewhenthecourtfindsreasonableefforts   havenotbeenmadeunlessthecourtalsofindstheeffortswerenotrequired.Thelossof   federalfundingcontinuesuntilthecourtfindsreasonableeffortshavebeenmadeorarenot v  requiredandthecourtsfindingsareproperlydocumented.Inadditiontothefindingsrelated b toreasonableeffortsrequiredbyASFAandKansaslaw,thecourtshoulddetermineifactive N effortstoreunifythechildandfamilyweremade. : Ѐ ` Apermanencyhearingshallbeheldwithin12monthsofthedatethechildentered & outofhomeplacement,andatleastevery12monthsthereafter.Ifthecourtfindsatanytime p otherthanduringapermanencyhearing(asinareviewhearing)thatreintegrationmaynot \ beaviablealternative,thenapermanencyhearingshallbeheldwithin30daysofthat H determination.Apermanencyhearingmaybeconductedbythecourtorbyacitizenreview 4 board.Thepurposeofthehearingistodetermineprogresstowardthegoalsofthe   permanencyplan,asdefinedbyK.S.A.382263.Noticeofapermanencyhearingisdictated   byK.S.A.382265.   ` Thecourt,afterhearingorbasedoncitizenreviewboardrecommendations,shall  determinewhetherthechildwillbereintegratedwithaparent,placedforadoption,placed r withapermanentcustodian,orplacedinanotherplannedpermanentlivingarrangement.As ^ setoutintheform,thecourtshallmakereasonableeffortsfindings.Uponfindingthat J  reintegrationcontinuestobeaviablealternative,thecourtmayrescindpriordispositional 6! ordersandenteranydispositionalorderauthorizedbythecode,ororderthatanew ""  reintegrationplanbeprepared.Uponfindingthatreintegrationisnolongeraviable #l! alternative,thecourtshallmaketheconsiderationsandfindingssetoutintheform.If #X" reintegrationisnotaviablealternativeandeitheradoptionorappointmentofapermanent $D # custodianmightbeinthebestinterestsofthechild,thenthecountyordistrictattorneyshall %0!$ fileamotiontoterminateparentalrightsoramotiontoappointapermanentcustodianwithin &"% 30days,andthecourtshallsetahearingonsuchmotionwithin90daysofthefilingofthe '#& motion. (#'  ` Whentheterm orstandsalonebetweenoptionalfindings/orders,morethanone )$( choicemaybechecked.Eachchoicecheckedmustbejustifiedasinstructed,e.g.specify n*%) basisforfinding.#*XXXX`p# Z+&* _XXX*X_