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XcXXXXcXXXc  _@**(170c   8cXXdd8=cXXdd= XcXXXc@@@ INTHEDISTRICTCOURTOF__________________COUNTY,KANSAS   INTHEINTERESTOF f  Name_____________________________     p   CaseNo._____________ >  DOB#XcXX XcK#xx XcXXXc/#XcXX Xc#xx XcXXXc/____A&#XcXX Xc# XcXXXcԀmale&#XcXX XcM# XcXXXcԀfemale *  Name_____________________________     p   CaseNo._____________  ` DOB#XcXX Xc#xx XcXXXc/#XcXX Xc}#xx XcXXXc/____A&#XcXX Xc# XcXXXcԀmale&#XcXX Xc# XcXXXcԀfemale  L  #XcXX Xc_# XcXXXcName_____________________________     p   CaseNo._____________ $  DOB#XcXX Xc#xx XcXXXc/#XcXX Xc#xx XcXXXc/____A&#XcXX Xc# XcXXXcԀmale&#XcXX Xc# XcXXXcԀfemale   #XcXX Xcf# XcXXXc#XcXX Xc#   * x (#X*XcXXXcXcXXXc       0 x (#X0 uXXc*#XcX u#PERMANENCYHEARINGORDERAFTERCRBHEARING   Ԍ v  Ќ  $ XX$ XcXXXcXcXXXc    XXcXcXPursuanttoK.S.A.382264#XXcT #  CRBreportmustbeattached  (Orderspertainingtomorethanonechildmustincludefindingsspecifictoeachchildlistedinthecaption.) `   &E %    XcX %&ENOWonthis% % ________%% dayof% & _____________%&= ,% ' -  ________-  %'v ,theabovecaptionedmatters F comeonforadoptionoftheCitizenReviewBoardpermanencyhearingrecommendationswhichare 2 attached.    THECOURTFINDSjurisdictionandvenueareproper.Noticetoparties,interestedparties  andthoserequiredtoreceivenoticehasbeengivenasrequiredbylaw.   XcXXXc  #XcXX XcX# XcXXXcTheCourtfindsthattheIndianChildWelfareAct(ICWA)#XcXX Xc# XcXXXcԀisnotapplicable.#XcXX Xc # XcXXXcԀ#XcXX Xcu# XcXXXcԀ(IfICWAis \ applicableuseform_219c.)#XcXX Xc#_ H  XcXXXcԀ 4 #XcXX Xcp#  TheCourt,havingreviewedthefileandrecommendationsoftheCitizenReviewBoard,  ~  0approvesandadoptstheproposedpermanencyplanastheplanforpermanencyinthe  !j presentmatteror0doesnotapprovetheproposedpermanencyplanandordersanew !V  permanencyplansubmittedtotheCourtwithin30days. "B!    THECOURTFURTHERFINDSTHAT: $ # 9% 4`  x (#X9% @ "US:! '%@  1. 4 Theprogresstoachievethegoalsoftheformerpermanencyplan %!$   0 4 0` 4(#4(#0 ` (#` (# 0% E %EԀis0% F %FԀisnot adequateasto(Name)________________________________&!% (# (#   0 4 0` 4(#4(#0 ` (#` (# 0is0isnot adequateasto(Name)________________________________'"& (# (#   0 4 0` 4(#4(#0 ` (#` (# 0is0isnot adequateasto(Name)________________________________.B% 4`  x (#,XBt(#' (# (# H+ 4`  x (#,XH% G %Go  2. 4 % H 0%H  0 ` a.0 ` (#` (#Reasonableefforts havebeenmadetoaccomplishthepermanencygoal(s)ofd)$( (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#0 % M %MԀreintegration 0 % N %NԀadoption 0% O %OI permanentcustodianship0 % P %PԀ placementwith P*%) arelative0% Q %QԀotherplannedpermanentlivingarrangementof (Identify)___@+&* (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________0,'+ (# (# E" 4` (#4 XE   4    `   (Specifybasisforfindingforeachchild.)% R ________________________________  _  0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________ (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________z (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________f (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________%R.R (# (# @) or  *  N+ 4`  x (#4 (#N   4 % U %U00   ` b.0 (#(#Reasonableeffortssetoutinthepermanencyplan havenotbeenmade.(Specify  ` basisforfindingforeachchild.)____________________________________ L  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________% V  8  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________$  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________.0@"0@"(#(#%V   (# (# @) or  v  0  04(#(#04(#4(# 4 % 5 "&US:! 'US:! '&00(#(#%5$ ` c.0 (#(#0 (# (#Reasonableeffortstoreunifythechild(ren)andthefamilyarenotrequired N becausereintegrationisnotaviablealternative.(Specifybasisforfinding.) : _____________________________________________________________& (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________p (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________\ (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________H (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________% K %K(.4 (# (# N+ 4`  x (#4 XNN+ 4`  x (#4 XN% W %W)0     3. 4 Continuedoutofhomeplacement 0 % X %X*Ԁisnecessary 0 % Y %YH*Ԁisnot necessary forthesafetyof: (#(# E" 4` (#4 XE0  04(#(#   4 NAME:_____________________________________because ( completeonlyif is  necessaryischecked)_________________________________________________4(#4(#   0 4 ____________________________________________________________________z4(#4(# 0  04(#(#Continuedoutofhomeplacement 0 isnecessary 0 isnot necessary forthesafetyof:f4(#4(# E" 4` (#4 (#E  0 4 NAME:% [ -  _______________________________________because ( completeonlyif is V  necessaryischecked)%[-_________________________________________________F!4(#4(#    4 ____________________________________________________________________ 2"     4 Continuedoutofhomeplacement 0 isnecessary 0 isnot necessary forthesafetyof: #|! E" 4` (#4 (#E0  04(#(#NAME:% \ _______________________________________because ( completeonlyif is $l" necessaryischecked)%\#0Ԁ_________________________________________________$\ #4(#4(#    4 ____________________________________________________________________. %H!$ H% 4  x (#4 (#H% ^ %^1  4. 4 Thechild(ren)sneeds 0% _ %_)2Ԁare0% ` %`R2Ԁarenot beingadequatelymet.  &4"%  % a %a2  5.0 4 TheCourthasconsideredinstateandoutofstatepermanentplacementoptions.The '$#& child(_ren_) 0is0isnot inoutofstateplacement,andsuchplacement 0continues0 ($' doesnotcontinue tobeappropriateandinthebestinterestofthechild(_ren_).)%(4(#4(# Q+ `  x (#4 XQ% d %d4  6. Q+ `  x (# XQ 0a.Reintegration 0maybe0continuestobe aviablealternativefor: *%) H" 4 X XHXXc    4    `   XcX (Checkappropriatestatusfromlistbelow:)#XXcw6# +&* &E %   4   XcX %&E ` NAME:*XcXXXc___________________________________  Status:01020304     4    ` NAME:___________________________________  Status:01020304     4    ` NAME:___________________________________  Status:01020304 z    4    ` (1) Thechild(ren)shouldnotbereintegrateduntilfurtherorderoftheCourt. f Z.4`  x (# 4 XZ   4    ` (2) Thechild(_ren_)mayreturnhome 0%  %:Ԁimmediately0%  %:withatargetdateof%   _____ -  %;Ԁ  R    4    `   dayof ___________________ %  %;,%  -   ______ -  %<,0%  %V<Ԁifthefollowingconditionsaremet :%   B     4    `   ______________________________________________________________ 2   @ 0  0(#(#04(#(#04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________ | (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________ h (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________%<. T  (# (#    4    ` (3) Servicessetoutinthecaseplannecessaryforasafereturnofthe  @   T.4`  x (#4 XT `   child(ren)havenotbeenmadeavailabletotheparentwithwhom ,   `   reintegrationwasplanned.    ` (4)0 Within30days,anewplanforreintegrationshouldbepreparedand  (# (#  `   submittedtotheCourtwithmeasurablegoals,objectivesandtimeframes   ̀@- XcXX*Xcor #*XcXXXcB#Ԉ j XcXX*Xc0%  %XC ` b.Reintegration 0maynotbe#*XcXXXc5C#XcXX*XcԀ0#*XcXXXcC#XcXX*XcԀisnolonger #*XcXXXcD#Ԁaviablealternativefor: Z  `     (Checkappropriatestatusfromlistbelow:)*X*Xc J #*XcX*E#0 ` 0 ` T$` T$ 0 T$ T$NAME:%  XcXX*Xc___________________________________%E  Status:0%  %5F 1%  0%[FԀ2%  0 %F 30 #*XcXXXcE#XcXX*Xc4XXc#*F#* 6 T$ T$ #XcXF#  `    NAME:#*XcXXXc;G#XcXX*Xc___________________________________  Status:%  %XH#*XcXXXcH#XcXX*Xc 0 1020 3#*XcXXXcH#XcXX*XcXXc #XcX%I#0 #*XcXXXcI#XcXX*Xc4XXc  " #XcXI#  `    NAME:#*XcXXXcI#XcXX*Xc___________________________________Status:0 1020 3#*XcXXXc~J#ԀXcXX*Xc0 #*XcXXXc K#Ԁ4 l W.4`  x (# 4 XW "  N   z (1)Thechild(ren)isinastableplacementwitharelative. X  "  N   z (2)0  ServicessetoutinthecaseplannecessaryforasafereturnoftheD(#(# E 4 z X4 XE `      z child(ren)havebeenmadeavailabletotheparentwithwhom 0  `      z reintegrationwasplanned.   `  0 0 (# (#0 (# (#0z (# (#  z (3)Eitheradoptionorpermanentcustodianship mightbeinthebest  interestsofthechild(ren)andtheCounty/DistrictAttorneyordesignee  Z14`  x (# 4 z XZshallfileapleadingtoterminateparentalrightsorapleadingto  establishapermanentcustodianshipwithin30days.rz (#z (# E" N X 4 XE0 " 0N " (#" (#0 N (#N (#0z (# (#(4)Permanentcustodianshipandadoptionhavebeenconsideredandthe ^  statehasdocumentedacompellingreasoninsupportofanotherplanned J! permanentlivingarrangement.XcXX*Xc   :  "  @"  @"  @"  @" 6" z (#z (#  >7.ThepreviousordersofthisCourt0 shallcontinueinfullforceandeffect 0 exceptas "#! herebymodified 0 areherebyrescindedandthefollowingordersarehereby $p" issuedpursuanttoK.S.A.382255 :______________________________________ %` # 0  ___________________________________________________________________%P!$(#(# 0  ___________________________________________________________________&<"%(#(# 0  ___________________________________________________________________.'(#&(#(#   %  %$U9" B'" N X9 X  THECOURTFURTHERFINDS: )%(   ______________________________________________________________________ *%)   ______________________________________________________________________ z+&*   ______________________________________________________________________    _______________________________________________________________.   z %  %zW  THECOURTFURTHERORDERSthatthefollowingCRBrecommendations,setoutinthe f attachedreport,areadoptedastheorderoftheCourt:(Listtheadoptedrecommendationsin R fullorbythenumberscorrespondingtothoseinthereport.) >    #*XcXXXcQ#XcXX*Xc_______________________________________________________________________ *    _______________________________________________________________________  t   _______________________________________________________________________  `   _______________________________________________________________________.  L    8    #*XcXXXc Y#XcXX*XcTHECOURTFURTHERORDERSallprovidersofservices,treatmentorcareofthechild $  andfamily,evenifnotspecificallyreferredtoherein,toprovideinformationtothesecretary,   anyentityprovidingservicestothechildandfamily,counselforthepartiesincludingthe   countyordistrictattorney,appointedCASA,CitizenReviewBoardmembers,thecourt,and   eachothertotheextentneededtoensurethesafetyofthechild,preventfurtherabuseor v  neglect,andtoprovideappropriatetreatmenttothechildorfamily.Thisorderencompasses b theprovisionsofthePrivacyRuleoftheHealthInsurancePortabilityandAccountabilityAct N of1996(HIPAA),45C.F.R.164.512(e)(1).#*XcXXXc[#XcXX*Xc : #*XcXXXc^#XcXX*Xc & < rp x (#" B'<  #*XcXXXc^#XcXX*Xc< rp x (#rpX<  THECOURTFURTHERORDERSthismattersetfor%  -  ______________-  % `_____hearing p before 0#*XcXXXc|_#XcXX*XcԀtheCourt0#*XcXXXc`#XcXX*XcԀ#*XcXXXca# XcXX*Xcthe#*XcXX XcIa#XcXX*XcCRB #*XcXXXca#XcXX*XcԀonthe________dayof______________,_____,at \ -  ________ 0#*XcXXXca#XcXX*XcԀa.m0#*XcXXXcb#XcXX*XcԀp.m .%  %b L #*XcXXXcb#XcXX*Xc< p x (#rpX< < < rp x (#pX<#*XcXXXcXc# XcXX*Xc  ITISSOORDERED#*XcXX Xc'd#XcXX*XcTHIS________dayof_____________________,_______-  . ( < p x (#rpX<   `    ..  @-0` pXpX0   `   p ____________________________#*XcXXXcd#XcXX*Xc z    `   p   p 󀀀JudgeoftheDistrictCourt f  R  #*XcXXXcDf#XcXX*Xc@)Authority >!  *"  K.S.A.382264. #t!  $`"  $L # @'NotesonUse %8!$  > &$"%  X   ThisistheformforusewhenaCitizenReviewBoardhasconductedapermanencyhearing. '#& TheCRBreport,withrecommendations,mustbeattached,andnootherjournalentryisrequiredor (#' advised. )$(   SupremeCourtAdministrativeOrderNo.155appliesandrequirestheuseofthisformor v*%) anotherformapprovedbytheSupremeCourtasmeetingASFArequirements.Failuretomake_and b+&* properlydocumentthefindingsrequiredbyASFAwillresultinthelossoffederalfunding.Federal  fundingisnotavailablewhenthecourtfindsreasonableeffortshavenotbeenmadeunlessthecourt  alsofindstheeffortswerenotrequired.Thelossoffederalfundingcontinuesuntilthecourtfinds z reasonableeffortshavebeenmadeorarenotrequiredandthecourtsfindingsareproperly f documented. R   Whenacourthasreasontobelieveachildinvolvedinachildinneedofcareproceedingis >  anIndianchild,ICWAapplies;noticerequirements,findingsandprocedurearedictatedbyICWA, *  andtheICWAforms(Forms210!223)mustbeused.Thecircumstancesunderwhichacourthas  t reasontobelieveachildisanIndianchildinclude,butarenotlimitedto,thefollowing:anyparty  ` tothecase,Indiantribe,oragencyinformsthecourtthatthechildisanIndianchild;anyagency  L  involvedinchildprotectionservicesorfamilysupporthasdiscoveredinformationsuggestingthat  8  thechildisanIndianchild;thechildgivesthecourtreasontobelieveheorsheisanIndianchild; $  theresidenceofthechild,parent(s),orcustodianisknowntobeapredominantlyIndiancommunity;   aparentofthechildisenrolledinatribe;oranofficerofthecourthasknowledgethatthechildmay   beanIndianchild.RemovalofanIndianchildfromthehomeisprohibitedwithoutthespecific   findingsrequiredbyICWAeitherenteredwiththeorderofremoval,orwithin90daysiftheremoval v  wasduetoanemergency.DepartmentoftheInterior,BIAGuidelinesforStateCourts,IndianChild b CustodyProceedings. N   Apermanencyhearingshallbeheldwithin12monthsofthedatethechildenteredoutof : homeplacement,andatleastevery12monthsthereafter.Ifthecourtfindsatanytimeotherthan & duringapermanencyhearing(asinareviewhearing)thatreintegrationmaynotbeaviable p alternative,thenapermanencyhearingshallbeheldwithin30daysofthatdetermination.A \ permanencyhearingmaybeconductedbythecourtorbyacitizenreviewboard.Thepurposeofthe H hearingistodetermineprogresstowardthegoalsofthepermanencyplan,asdefinedbyK.S.A.38 4 2263.NoticeofapermanencyhearingisdictatedbyK.S.A.382265.     Thecourt,basedoncitizenreviewboardrecommendations,shalldeterminewhetherthechild   willbereintegratedwithaparent,placedforadoption,placedwithapermanentcustodian,orplaced  inanotherplannedpermanentlivingarrangement.Assetoutintheform,thecourtshallmake  reasonableeffortsfindings.Uponfindingthatreintegrationcontinuestobeaviablealternative,the r courtmayrescindpriordispositionalordersandenteranydispositionalorderauthorizedbythecode, ^ ororderthatanewreintegrationplanbeprepared.Uponfindingthatreintegrationisnolongera J  viablealternative,thecourtshallmaketheconsiderationsandfindingssetoutintheform.If 6! reintegrationisnotaviablealternativeandeitheradoptionorappointmentofapermanentcustodian ""  mightbeinthebestinterestsofthechild,thenthecountyordistrictattorneyshallfileamotionto #l! terminateparentalrightsoramotiontoappointapermanentcustodianwithin30days,andthecourt #X" shallsetahearingonsuchmotionwithin90daysofthefilingofthemotion. $D #   Whentheterm orstandsalonebetweenoptionalfindings/orders,morethanonechoicemay %0!$ bechecked.Eachchoicecheckedmustbejustifiedasinstructed,e.g.specifybasisforfinding. &"% #*XcXXXc4g#XcXX*Xc  #*XcXXXc{#XcXX*Xc uXXc#XcX u|##*XcXXXc{#XcXX*Xc