In re Alleyanna S. ( 2016 )


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  •                 IN THE COURT OF APPEALS OF TENNESSEE
    AT NASHVILLE
    Assigned on Briefs August 19, 2015
    IN RE ALLEYANNA S.
    Appeal from the Juvenile Court for Smith County
    No. 2014JV252 Michael W. Collins, Judge
    ________________________________
    No. M2015-00544-COA-R3-PT – Filed February 19, 2016
    _________________________________
    This appeal arises from the termination of a mother‟s and a father‟s parental rights. On a
    petition for dependency and neglect, the juvenile court on an emergency basis removed the
    child from the parents. The parents later stipulated that the child was dependent and
    neglected, and the court made a finding that the child was a victim of severe child abuse at
    the hands of both parents. More than seven months later, the Tennessee Department of
    Children‟s Services filed a petition to terminate parental rights based on the previous finding
    of severe child abuse by both parents and on the ground of willful abandonment for failure to
    support by the father. The trial court found clear and convincing evidence for both grounds
    and that it was in the best interest of the child to terminate parental rights. Both parents
    appeal. We affirm the termination of parental rights.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Juvenile Court Affirmed
    W. NEAL MCBRAYER, J., delivered the opinion of the Court, in which FRANK G. CLEMENT,
    JR., P.J., M.S., and ANDY D. BENNETT, J., joined.
    Jacquelyn M. Scott, Carthage, Tennessee, for the appellant, Nataley S.
    Brandon J. Cox, Smithville, Tennessee, for the appellant, Eddie S.
    Herbert H. Slatery III, Attorney General and Reporter, and Rachel E. Buckley, Assistant
    Attorney General, for the appellee, Tennessee Department of Children‟s Services.
    OPINION
    I. FACTS AND PROCEDURAL HISTORY
    Eddie S. (“Father”) and Nataley S. (“Mother”) are the parents of Alleyanna S. At the
    time of her birth, the Tennessee Department of Children‟s Services (“DCS”) received a
    referral based on concerns that Alleyanna had been exposed to drugs. Mother and Father
    both tested positive for opiates. Father claimed to have prescriptions for oxycodone and
    other pain medications. Mother admitted she had taken Father‟s oxycodone during her
    pregnancy.
    As a result of the referral, on February 7, 2014, DCS filed a petition in the Juvenile
    Court for Smith County, Tennessee, seeking to declare Alleyanna and her sibling1 dependent
    and neglected and requesting approval of a protective supervision plan. The protective
    supervision plan would have permitted the children to remain with Father and Mother subject
    to certain conditions and limitations. See Tenn. Code Ann. § 37-1-130(a)(1) (2014). DCS‟s
    approach changed, however, when it learned that Alleyanna‟s cord blood tested positive for
    oxycodone and hydrocodone. Based on the cord blood test results and a second referral
    concerning possible physical abuse to the sibling, DCS filed an amended petition to declare
    the children dependent and neglected, this time requesting temporary legal custody of
    Alleyanna.
    After a hearing, the juvenile court declared Alleyanna dependent and neglected. The
    court also found Alleyanna was a victim of severe child abuse, as defined by Tennessee Code
    Annotated § 37-1-102(b)(21),2 perpetrated by her parents. Both parents stipulated that
    Alleyanna was dependent and neglected and to the court‟s findings of fact. Neither parent
    appealed the final order.
    On March 20, 2014, DCS established an initial permanency plan, which was amended
    on August 19, 2014.3 Before the parents could regain custody of Alleyanna, they were
    required to show that they were drug-free, financially stable, and that their home was safe
    1
    Alleyanna S. has an older sibling who is not a party to this case.
    2
    “Severe child abuse” includes “[t]he knowing exposure of a child to or the knowing failure to protect
    a child from abuse or neglect that is likely to cause serious bodily injury or death and the knowing use of force
    on a child that is likely to cause serious bodily injury or death.” Tenn. Code Ann. § 37-1-102(b)(21) (2014).
    3
    The Petition to Terminate Parental Rights references a March 20, 2014 permanency plan that was
    ratified by the juvenile court on June 16, 2014. The only permanency plan in the record is dated August 19,
    2014.
    2
    and appropriate. To achieve these goals, the parents had the following relevant
    responsibilities: (1) participate in alcohol and drug assessments and follow any
    recommendations; (2) undergo random drug screens and pill counts; (3) provide a notarized
    medical affidavit from a medical provider listing all prescribed medications and dosages; (4)
    establish financial self-sufficiency and provide proof; and (5) maintain stable housing. The
    plan also required Mother to participate in a mental health assessment and follow all
    recommendations. Both parents were directed to pay child support. They were also required
    to provide “in kind items,” such as clothing and diapers, for Alleyanna.
    On September 25, 2014, DCS filed a petition to terminate both parents‟ parental rights
    in the juvenile court. DCS asserted multiple grounds for termination of parental rights in its
    petition but, at the hearing, chose to pursue only two grounds: severe child abuse and willful
    failure to support by Father.
    A. HEARING ON TERMINATION OF PARENTAL RIGHTS
    On February 4, 2015, the juvenile court held a hearing on the petition and heard the
    testimony of Mother, Father, two family service workers, and Alleyanna‟s foster mother
    (“Foster Mother”). Much of the testimony centered on compliance with the original
    permanency plan, particularly the requirements related to drug use, financial sufficiency, and
    housing.
    After Alleyanna was placed in DCS custody, both parents completed alcohol and drug
    assessments. Mother‟s assessment resulted in a referral for intensive outpatient treatment.
    Mother also began receiving mental health treatment from Mental Health Cooperative.4
    Mother only attended the drug and mental health programs sporadically. She dropped
    out of the program with Mental Health Cooperative in mid-April. That same month,
    Bradford Health Services, which provided drug addiction treatment, discharged Mother due
    to unexcused absences. Mother then tested positive for oxycodone in June. After a second
    alcohol and drug assessment recommended inpatient drug therapy, Mother was admitted to
    Buffalo Valley. She completed the drug addiction program on July 7 but tested positive for
    oxycodone and opiates on August 6. In August, Mother also learned that she was pregnant
    again.
    On September 15, 2014, Mother went to the emergency department of Vanderbilt
    University Medical Center. She told the hospital personnel she was pregnant and had been
    4
    Mother had been diagnosed with post-traumatic stress disorder and depression and had received
    mental health counseling at various times since she was fifteen years old.
    3
    snorting drugs. Mother was admitted to Vanderbilt for inpatient drug treatment, where she
    stayed until September 23. After her discharge, Mother started receiving mental health and
    drug addiction services from Vanderbilt on an outpatient basis. Since her admission to
    Vanderbilt, Mother‟s DCS drug screens have been negative.
    Although Father‟s initial alcohol and drug assessment did not recommend treatment
    and his March 2014 drug screen was negative, one of the family service workers testified to
    concerns over Father‟s drug use. According to her, every time she asked for a pill count,
    Father‟s “medications seemed to change.” In June 2014, Father tested positive for controlled
    substances for which he had no prescription. In August, Father had a clean drug screen even
    though he had been prescribed hydrocodone. In January 2015, Father tested positive for
    suboxone for which he produced a prescription.
    Father testified that he suffered from chronic neck and back pain for which he had
    been prescribed a variety of pain medications. In May 2014, Father sought treatment from
    Interventional Pain Center. According to medical records introduced as an exhibit at the
    hearing, Father failed drug tests at the clinic in May and September 2014 by testing positive
    for drugs for which he had no prescription. In May, Father tested positive for oxycodone,
    and in September, Father tested positive for lorazepam and hydrocodone. Ultimately, in
    October 2014, Interventional Pain Center discharged Father for multiple pain contract
    violations. For his part, Father claimed that he was unaware of the failed drug tests and that
    his violations of the pain contract were missing an appointment and failing to provide his pill
    bottle.
    Although he had seen three different medical providers for pain management, the
    family service workers testified that Father never provided a notarized affidavit from his
    providers listing his prescription medications and dosages. Providing such an affidavit was a
    requirement of the permanency plan. Father produced only one such affidavit, which he
    failed to have notarized.
    The testimony painted a bleak picture concerning the parents‟ finances. Neither
    parent paid child support while Alleyanna was in foster care. Mother never had a job or paid
    her own bills. She dropped out of school after the ninth grade, and as of the date of the
    hearing, she did not have a driver‟s license. During Mother‟s marriage, Father and his
    mother had been the primary means of support for Mother.
    The trial court heard conflicting testimony regarding Father‟s financial sufficiency.
    Father testified to working full time for a roofing company in March and April 2014. He
    initially claimed that he left the company when he injured his back on the job. Later, he
    claimed that he was discharged due to excessive absences. Father attributed those absences
    4
    to appointments he had to attend because of Alleyanna‟s removal.
    According to a family service worker, on August 1, 2014, Father reported he was
    working for “water control.” On September 3, Father said he was working at a detail shop in
    Gallatin. On September 10, Mother reported Father was working at an unspecified job in
    Ashland City. On September 30, Father reported to DCS that he was working full time for a
    roofing company, making $14 per hour. However, DCS never obtained verification of
    employment during this time period.
    Father claimed to have applied for social security disability benefits at some point in
    2014. Based on his belief that full-time employment would hinder his application, Father
    chose to only work “a little bit here and there, just to –– so we could get by.” Although he
    claimed he provided medical records to DCS evidencing his disability, a family service
    worker testified she had no documentation of Father‟s disability claim. Father admitted he
    never obtained a doctor‟s statement that he was physically unable to work.
    Father was questioned extensively about his ability to work prior to the petition for
    termination of parental rights. At different times, Father testified he could not work a full-
    time job because of neck pain, his use of pain medication, his application for social security
    disability benefits, and the multiple appointments necessary to meet the requirements of the
    permanency plan. When asked how he paid the bills during this time period, he stated “he
    was able to make money when he needed to.”
    Father testified he is currently employed detailing cars at an automobile dealership in
    Kentucky. He is paid $65 per car. Father provided DCS some handwritten receipts showing
    income of approximately $400 for December 2014 and January 2015. According to Father,
    he is now able to work full time because a change in his medications made him feel more like
    working.
    As for housing, the parents‟ living situation had changed over the course of the case.
    Soon after Alleyanna was born, her parents moved into a trailer park in Gallatin, Tennessee.
    The family service workers testified to some concerns about the residence, including a severe
    roach infestation, but the parents were evicted for nonpayment of rent on November 16,
    2014. After the eviction, Mother lived with various friends and relatives, and Father spent
    several weeks in jail in both Tennessee and Kentucky. With the help of family members, he
    posted a $5,000 bond, leading to his release on December 1, 2014.
    On December 15, 2014, the parents moved into subsidized housing in Glasgow,
    Kentucky, and on January 1, 2015, they signed a one-year lease. The parents did not notify
    DCS of their new address until January 13. They testified they moved to “get away from all
    5
    of the drama.” When asked why they did not move somewhere in Tennessee, Mother
    testified she really did not want to live in Tennessee. Both parents testified the Kentucky
    apartment is safe and appropriate for a toddler, but because the home was located out-of-
    state, DCS had been unable to assess the suitability of the home.5
    B. THE ORDER FOR TERMINATION OF PARENTAL RIGHTS
    The juvenile court found DCS had proven, by clear and convincing evidence, grounds
    for terminating both parents‟ parental rights. The court found termination appropriate
    because both parents had previously been found to have perpetrated severe child abuse.
    Further, the court found Father had abandoned the child by willfully failing to support her for
    the four months immediately preceding the filing of the petition to terminate. The court
    found Father: (1) was “able bodied and capable of working and supporting the child”; (2)
    “was aware of his duty to support the child”; (3) “has worked in the four months prior to the
    petition being filed”; and (4) “has not provided any of this income for the benefit of his
    child.”
    The court also found termination of parental rights to be in Alleyanna‟s best interest.
    The court pointed to several factors supporting this finding. The parents‟ “ongoing mental
    health and drug issues” had not been sufficiently remedied. The parents committed severe
    child abuse against both Alleyanna and a second unborn child. A change of caregiver would
    have a negative impact because Alleyanna has a meaningful relationship with the foster
    family, but not her parents. The parents‟ previous home was unsuitable, and the status of the
    current home could not be ascertained because of the parents‟ move to Kentucky. The court
    also noted parents‟ issues with criminal activity and controlled substances and found their
    mental or emotional state would be detrimental to the child. Finally, the parents had not paid
    child support consistent with the child support guidelines.
    II. ANALYSIS
    Both the state and the federal constitutions protect a parent‟s right to the custody of his
    or her own child. Stanley v. Illinois, 
    405 U.S. 645
    , 651 (1972); In re Angela E., 
    303 S.W.3d 240
    , 250 (Tenn. 2010). Termination proceedings are governed by statute. Tenn. Code Ann.
    § 36-1-113 (Supp. 2015). Only when a statutory ground for termination exists and
    termination is in the best interest of the child will a court interfere with this constitutionally
    protected right. In re Valentine, 
    79 S.W.3d 539
    , 546 (Tenn. 2002). The party seeking
    5
    One of the family service workers testified her superiors denied her request to visit the Kentucky
    apartment; however, she also explained DCS could request that a home study be performed by Kentucky
    authorities.
    6
    termination has the burden of proof. In re Audrey S., 
    182 S.W.3d 838
    , 861 (Tenn. Ct. App.
    2005). Both the existence of a statutory ground for termination and that termination is in the
    best interest of the child must be established by clear and convincing evidence. Tenn. Code
    Ann. § 36-1-113(c); In re 
    Valentine, 79 S.W.3d at 546
    .
    A. STANDARD OF REVIEW
    We review the juvenile court‟s findings of fact “de novo on the record, with a
    presumption of correctness of the findings, unless the preponderance of the evidence is
    otherwise.” In re Taylor B.W., 
    397 S.W.3d 105
    , 112 (Tenn. 2013). See Tenn. R. App. P.
    13(d). Next, we assess whether those facts constitute clear and convincing evidence that
    “one of the statutory grounds for termination exists and if so whether the termination of
    parental rights is in the best interests of the [child].” In re Adoption of Angela E., 
    402 S.W.3d 636
    , 639-40 (Tenn. 2013). “Clear and convincing evidence is „evidence in which
    there is no serious or substantial doubt about the correctness of the conclusions drawn from
    the evidence.‟” In re 
    Valentine, 79 S.W.3d at 546
    (quoting Hodges v. S.C. Toof & Co., 
    833 S.W.2d 896
    , 901 n. 3 (Tenn. 1992)).
    Here, both parents appeal. Mother does not challenge the trial court‟s finding that
    grounds exist to terminate her parental rights. Her appeal concerns the trial court‟s best
    interest analysis. Father, however, challenges both grounds for termination and whether
    termination is in the child‟s best interest. In addition, Father challenges the sufficiency of the
    juvenile court‟s order, and Mother raises an evidentiary issue. We address the court‟s order
    and the evidentiary issue first.
    B. SUFFICIENCY OF JUVENILE COURT‟S ORDER
    An integral part of the parental termination statute is the requirement for the trial court
    to make specific findings of fact and conclusions of law. See Tenn. Code Ann. § 36-1-113(k)
    (Supp. 2015). These findings are necessary to “facilitate appellate review” and to safeguard
    the important rights at stake in a termination proceeding. In re Angela 
    E., 303 S.W.3d at 251
    .
    If the requisite findings are not made, we must remand the case to the trial court with
    directions to make appropriate findings. 
    Id. at 255.
    Father complains that the trial court‟s
    order does not contain specific findings of fact as required by statute.
    We have determined the court‟s final order meets the requirements of Tennessee Code
    Annotated § 36-1-113(k). While we would prefer findings to be as detailed as possible, the
    court adequately stated the basis of its decision. See In re Robert B., No. W2012-00006-
    COA-R3-PT, 
    2012 WL 2849512
    , at *5 (Tenn. Ct. App. July 12, 2012) (rejecting the
    argument that the court‟s order lacked specific findings after looking at the order as a whole);
    7
    M.D. v. R.L.H., No. E2005-00324-COA-R3-PT, 
    2005 WL 3115874
    , at *4 (Tenn. Ct. App.
    Nov. 22, 2005) (finding court order met statutory requirements even though it was “quite
    sparse”).
    Father also complains that the court‟s entry of a proposed order submitted by counsel
    for DCS was contrary to its responsibility to decide this case independently. A trial court
    may adopt submitted findings of fact and conclusions of law as long as the adopted order
    reflects its own independent and deliberate decision making. Smith v. UHS of Lakeside, Inc.,
    
    439 S.W.3d 303
    , 315-316 (Tenn. 2014).
    Nothing here indicates that the juvenile court failed to exercise its own independent
    and deliberate decision making. In fact, the court was actively involved in the hearing and
    announced its decision from the bench before accepting counsel‟s offer to draft a proposed
    order. See In re Gabriel V., No. M2014-01500-COA-R3-JV, 
    2015 WL 3899409
    , at *10
    (Tenn. Ct. App. June 24, 2015) (rejecting the argument the final order did not represent an
    independent judgment because “the trial court judge was very involved with the trial of this
    case, interjecting during different witnesses‟ testimony to ask questions and clarify issues”).
    Any discrepancies between the court‟s statements from the bench and the final order were
    minor. To the extent that the order contains findings not explicitly made by the court at the
    conclusion of the hearing, the findings do not contradict the court‟s statements from the
    bench. Under these circumstances, we cannot conclude the findings in the order are anything
    other than the product of the court‟s own decision making.
    C. ADMISSION OF CASE REPORTS
    Mother argues the trial court erred in admitting the case reports written by the family
    service workers as an exhibit at the termination hearing. After Mother offered one favorable
    case report into evidence, DCS objected, arguing all of the case reports should be admitted
    for context, and the court agreed. Mother‟s sole objection below was that three of the reports
    should not have been admitted because they were created more than thirty days after the
    events reflected in the reports.
    The case reports are hearsay. See Tenn. R. Evid. 801(c). Under the hearsay rule,
    hearsay evidence is excluded except as otherwise provided by the rules or statute. Tenn. R.
    Evid. 802. Tennessee Rule of Evidence 803 includes a number of exceptions to the hearsay
    rule. At the hearing, both counsel for Mother and DCS treated the case reports as if they
    potentially fell within the business records exception. The business records exception has
    five requirements:
    1. The document must be made at or near the time of the event
    8
    recorded;
    2. The person providing the information in the document must
    have firsthand knowledge of the recorded events or facts;
    3. The person providing the information in the document must
    be under a business duty to record or transmit the information;
    4. The business involved must have a regular practice of making
    such documents; and
    5. The manner in which the information was provided or the
    document was prepared must not indicate that the document
    lacks trustworthiness.
    In re Demitrus M.T., No. E2009-02349-COA-R3-CV, 
    2011 WL 863288
    , at *19 (Tenn. Ct.
    App. Mar. 14, 2011); Tenn. R. Evid. 803(6). Mother‟s argument is that DCS failed to
    establish the first requirement of the business records exception.
    Whether or not the case reports were properly admitted under the business records
    exception, we conclude Mother‟s argument is unavailing. The admission or exclusion of
    evidence is a discretionary decision. In re Melanie T., 
    352 S.W.3d 687
    , 698 (Tenn. Ct. App.
    2011). However, a conclusion that a trial court abused its discretion and improperly admitted
    evidence does not end the inquiry. Even if the evidence is improperly admitted over
    objection, we must also determine whether the admission of the evidence affected “a
    substantial right of the party.” Tenn. R. Evid. 103.
    For all but three of the case reports, we conclude a substantial right of Mother was not
    affected by admission of the reports. In all but three instances, one of the two family service
    workers who testified at the hearing prepared the report, and therefore, Mother‟s counsel had
    the opportunity to question the declarants regarding their case reports.
    For the three reports not prepared by one of the testifying family service workers, we
    conclude that the admission of the reports was harmless error. See Tenn. R. App. P. 36(b)
    (“A final judgment from which relief is available and otherwise appropriate shall not be set
    aside unless, considering the whole record, error involving a substantial right more probably
    than not affected the judgment or would result in prejudice to the judicial process.”). The
    three reports were created on February 11 and 26, 2014, and relate to the initial referral
    regarding Alleyanna and her removal. As such, the case reports reflect matters that the
    parents stipulated to in the dependency and neglect proceeding. In addition, Mother has not
    9
    explained how any of the case reports impacted the outcome of the trial or prejudiced the
    judicial process. From our review of the court comments during the hearing and its order, we
    find no reference to the case reports. The court clearly stated that it was relying on the prior
    adjudication of severe abuse for one of the grounds for termination and the focus of the other
    ground for termination is not addressed in any of the reports. We also find no indication that
    the court relied on the case reports for its best interest determination.
    D. STATUTORY GROUNDS FOR TERMINATION
    1. Severe Child Abuse
    We have previously held a mother‟s drug use while pregnant may constitute severe
    child abuse to the unborn child. In re Benjamin M., 
    310 S.W.3d 844
    , 850 (Tenn. Ct. App.
    2009). We have also held a father who knows his wife is using drugs while pregnant can
    commit severe child abuse. In re Joshua E.R., No. W2011-02127-COA-R3-PT, 
    2012 WL 1691620
    , at *5-6 (Tenn. Ct. App. May 15, 2012).
    The trial court based its finding of severe child abuse solely on the Adjudicatory and
    Dispositional Hearing Order from the dependency and neglect proceeding. Father argues the
    trial court erred in relying solely on the previous finding. As we have said before, “[t]he
    most serious consequence of a finding that a parent has committed severe child abuse is that
    such a finding, in and of itself, constitutes a ground for termination of parental rights.” In re
    J.C.H., No. W2012-01287-COA-R3-PT, 
    2012 WL 6466631
    , at *10 (Tenn. Ct. App. Dec. 14,
    2012) (quoting Tenn. Dep’t of Children’s Servs. v. M.S., No. M2003-01670-COA-R3-CV,
    
    2005 WL 549141
    , at *10 (Tenn. Ct. App. Mar. 8, 2005)). “[O]nce the finding of severe child
    abuse in the dependency and neglect proceedings becomes final, „[t]he ground itself is
    proved . . . and the issue of whether abuse occurred is not re-litigated at the termination
    hearing.‟” 
    Id. (quoting Tenn.
    Dep’t of Children’s Servs., 
    2005 WL 549141
    at *10).
    The finding of severe child abuse is res judicata in this proceeding. See In re Heaven
    L.F., 
    311 S.W.3d 435
    , 439-40 (Tenn. Ct. App. 2010) (“Therefore, the issue of whether
    Mother committed severe child abuse is res judicata and the trial court properly found by
    clear and convincing evidence that Mother‟s parental rights should be terminated.”). As
    such, we find clear and convincing evidence that both parents committed severe child abuse
    against Alleyanna.
    2. Abandonment by Willful Failure to Support
    Termination of parental rights may be initiated on the basis of abandonment. Tenn.
    Code Ann. § 36-1-113(g)(1) (Supp. 2015). In this context, “[a]bandonment is defined as the
    10
    willful failure to visit, to support, or to make reasonable payments toward the support of the
    child during the four-month period preceding the filing of the petition to terminate parental
    rights.” In re Adoption of Angela 
    E., 402 S.W.3d at 640
    ; see also Tenn. Code Ann. § 36-1-
    102(1)(A)(i) (Supp. 2015). Here, because the petition was filed on September 25, 2014, the
    relevant four month period is May 24, 2014 to September 24, 2014. See In re Jacob C.H.,
    No. E2013-00587-COA-R3-PT, 
    2014 WL 689085
    , at *6 (Tenn. Ct. App. Feb. 20, 2014)
    (concluding that the day before the petition is filed is the last day in the relevant four-month
    period).
    Whether a parent failed to support a child is a factual question, but whether the failure
    was willful for the purposes of the parental termination statute is a question of law. In re
    Malaki E., M2014-01182-COA-R3-PT, 
    2015 WL 1384652
    , at *6 (Tenn. Ct. App. Mar. 23,
    2015). On appeal, Father does not dispute that he paid no child support during the relevant
    time period.6 Instead, Father argues his failure to pay was not willful.
    Mere failure to pay support is not enough. The failure to pay must be willful. Tenn.
    Code Ann. § 36-1-102(1)(A)(i). “The element of willfulness has been held to be both a
    statutory and a constitutional requirement.” In re C.T.B., No. M2009-00316-COA-R3-PT,
    
    2009 WL 1939826
    , at *4 (Tenn. Ct. App. July 6, 2009)). “Failure to visit or support a child
    is „willful‟ when a person is aware of his or her duty to visit or support, has the capacity to do
    so, makes no attempt to do so, and has no justifiable excuse for not doing so.” In re Audrey
    S., 
    182 S.W.3d 838
    , 864 (Tenn. Ct. App. 2005).
    The juvenile court, in determining Father willfully failed to support Alleyanna, did not
    rely on Father‟s income. The court found Father was able to work, did some work, and did
    not use any of his income to support his child. When a parent is able to work but is not
    seeking employment, the failure to pay support can be deemed willful. In re Aaron E., No.
    M2014-00125-COA-R3-PT, 
    2014 WL 3844784
    , at *6 (Tenn. Ct. App. Aug. 4, 2014). See In
    re Jacob A.G., No. E2012-01213-COA-R3-PT, 
    2013 WL 357573
    , at *5-6 (Tenn. Ct. App.
    Jan. 30, 2013) (finding willfulness where parent had not worked while her children were in
    state custody and the only evidence that parent sought employment was “her testimony that
    she submitted applications at „all the different places around town‟”); In re Austin D., No.
    E2012-00579-COA-R3-PT, 
    2013 WL 357605
    , at *12 (Tenn. Ct. App. Jan. 30, 2013) (finding
    mother‟s personal choice not to work contributed to the conclusion that she willfully failed to
    pay child support).
    6
    Father did provide some diapers, clothes and toys. The trial court found these gifts to be mere token
    support that did not meet Father‟s child support obligation. See In re Adoption of Angela 
    E., 402 S.W.3d at 641
    (“Token support payments are not sufficient to preclude a finding of a willful failure to support.”).
    11
    Clear and convincing evidence supports the trial court‟s determination that Father
    willfully failed to support his daughter. Father was aware of his obligation to support
    Alleyanna. The plan of care developed by DCS and the parents specifically addressed the
    need for the parents to pay child support, and a family service worker discussed the need to
    pay support with the parents at the child and family team meeting on March 20, 2014. Father
    had the capacity to pay support. He admitted he chose not to work full time but to take odd
    jobs to “get by.” In fact, he told a family service worker that he could work and make money
    when he needed to. Father had money for rent, utilities, gas, food, cigarettes, and pain
    medication but not the “extra money” to contribute to his daughter‟s care.
    Father also had no justifiable excuse for not paying child support. Father testified to a
    litany of reasons he could not work: his neck pain, his decision to apply for social security
    disability benefits, the effect of his pain medications, and his involvement in this case.
    However, he never produced medical evidence to DCS that he was physically unable to
    work, and the trial court credited none of the excuses. The court did not find Father to be a
    credible witness, which is an assessment we do not overturn on appeal “absent clear and
    convincing evidence to the contrary.” Hughes v. Metro. Gov’t of Nashville & Davidson
    Cnty., 
    340 S.W.3d 352
    , 360 (Tenn. 2011).
    E. BEST INTEREST
    As we have determined grounds exist for termination of parental rights, we now
    examine the best interest of Alleyanna. The focus of the best interest analysis is on the child,
    not the parent. In re Malaki E., 
    2015 WL 1384652
    at *12. Tennessee Code Annotated § 36-
    1-113(i) lists nine factors for courts to consider in determining whether it is in the child‟s best
    interest to terminate parental rights. Tenn. Code Ann. § 36-1-113(i) (Supp. 2015). The best
    interest analysis is a fact-intensive inquiry, and each case is unique. White v. Moody, 
    171 S.W.3d 187
    , 193-194 (Tenn. Ct. App. 2004). The court‟s job is to weigh the evidence in
    light of the statutory factors and any other relevant factors to determine the best interest of
    the child. 
    Id. The trial
    court found all but one of the statutory factors favor termination. Father and
    Mother argue the evidence does not support the trial court‟s findings of fact in its best
    interest analysis. We have reviewed the record, and while we do not find support for all of
    the trial court‟s findings, nevertheless, we agree that there was clear and convincing evidence
    that termination of parental rights is in Alleyanna‟s best interest.
    Factor (1) focuses on whether the parents have made such an adjustment in their lives
    that it would be safe to return the child to their care. Tenn. Code Ann. § 36-1-113(i)(1)
    (Supp. 2015). The trial court found Father‟s and Mother‟s “ongoing mental health and drug
    12
    issues” make it unsafe for Alleyanna to return to her parents. Mother has had a lifelong
    struggle with mental health, and while she was not using drugs at the time of the hearing, she
    has relapsed as recently as August 2014. Because Father has not met the medical affidavit
    requirement of the permanency plan, DCS has been unable to verify whether it is medically
    necessary for him to be taking pain medications and whether his use is in compliance with
    doctor‟s orders. While Father is correct the record does not support the finding he has mental
    health issues, he does have ongoing prescription drug issues that have not been remedied.
    Similarly, factor (2) requires the court to examine whether a lasting change appears
    reasonably possible, given the circumstances of the case and the efforts of the parties. 
    Id. § 36-1-113(i)(2).
    Here, the court found, despite reasonable efforts by DCS, the parents have
    not made a lasting adjustment. Mother argues she did not have enough time to make a lasting
    adjustment and DCS could have done more to help her. A family service worker testified she
    offered to assist Mother in accessing services in a variety of ways, but to no avail. Mother
    failed to take advantage of the services that were offered. Moreover, the parents chose to
    move to Kentucky, knowing DCS would be unable to provide services outside of the state.
    They cannot complain DCS should have done more to help them when DCS‟s ability to help
    was limited by their choice to move. Mother and Father have had a full year without the
    responsibility of caring for their daughter to focus on turning their lives around and have
    failed to make a lasting adjustment. While both parents have taken steps to remedy their
    issues, we agree with the juvenile court that factor (2) favors termination.
    Factors (3) and (4) concern whether the parents have had regular contact with their
    child and whether a meaningful relationship has been established. 
    Id. §§ 36-1-113(i)(3),
    (4).
    The court agreed Mother and Father have consistently visited Alleyanna but found no
    meaningful relationship had been established. Alleyanna went into foster care when she was
    seventeen days old. Foster Mother takes care of all of her needs. She only sees her parents
    once a week during supervised visitation. A family service worker testified that Alleyanna is
    a friendly child who will willingly go to most people, including her parents. However, she is
    eager to return to her foster family after each visit. The record supports the court‟s finding
    that Alleyanna has a meaningful relationship with her foster family, not her parents.
    The court also determined, under factor (5), a change of caretakers would negatively
    affect Alleyanna. 
    Id. § 36-1-113(i)(5).
    There was no testimony at the hearing as to the effect
    of a change of caregivers would have on Alleyanna. We find no evidence to support the
    court‟s finding.
    The next factor requires the court to consider whether the parent has abused the child
    at issue or another child in the household. 
    Id. § 36-1-113(i)(6).
    The trial court found this
    factor weighed against the parents because they committed severe child abuse against
    13
    Alleyanna and their second unborn child. The record supports the trial court‟s finding.
    Mother candidly admitted she took illegal drugs while pregnant and knew this was the same
    behavior that caused DCS to remove Alleyanna from her care. While Father contends there
    is no evidence he committed severe child abuse a second time, this factor still weighs against
    him because of his previous abuse of Alleyanna.
    Under factor (7), the court examines the parents‟ home to determine whether it is a
    safe environment for the child. As part of this inquiry, the court must determine whether
    there is criminal activity in the home or whether the parents‟ use of alcohol or controlled
    substances could render the parent unable to care for the child. 
    Id. § 36-1-113(i)(7).
    The
    court found the parents “still have issues with criminal activity and controlled substances in
    their home.” The only evidence in the record about the parents‟ home in Kentucky is the
    parents‟ testimony that the home is safe. We recognize the court found the parents‟
    testimony not credible. In the absence of a home study, however, this record does not have
    sufficient evidence to determine whether this factor weighs for or against the parents.
    Factor (8) requires an examination of the parents‟ mental and emotional state. 
    Id. § 36-1-113(i)(8).
    The court found the “parents‟ mental or emotional state would be
    detrimental to the child.” As discussed under factor (1), Mother is receiving treatment for
    ongoing mental health issues. The record is devoid of evidence on the impact her mental
    health would have on Alleyanna. The preponderance of the evidence does not support this
    finding.
    The final factor concerns whether the parents have paid child support. 
    Id. § 36-1-
    113(i)(9). The court found the parents have not paid child support during the pendency of
    this case. At least with respect to Father, ample evidence in the record supports this finding.
    As we have stated, the best interest analysis is an extremely fact-intensive inquiry.
    The trial court was not required to find all factors weigh against the parents. Depending on
    the facts of an individual case, one factor could have more relevance and weight than
    another. In re Audrey 
    S., 182 S.W.3d at 878
    . We recognize Mother and Father have taken
    steps toward sobriety and stability. However, our focus is on what is best for Alleyanna, not
    her parents. See In re Jayden G., No. W2014-00881-COA-R3-PT, 
    2014 WL 4922638
    , at *13
    (Tenn. Ct. App. Sept. 30, 2014) (noting Mother‟s “significant strides towards reunification”
    but holding the best interests of the child favored termination of parental rights); In re Keri
    C., 
    384 S.W.3d 731
    , 753 (Tenn. Ct. App. 2010) (acknowledging Mother‟s attempts to
    overcome her drug addiction but holding termination was in the child‟s best interest because
    mother did not have stable housing or employment).
    “One of the primary purposes for our statutory system of child removal, foster care,
    14
    and adoption is „to protect [children] from needless prolonged placement in foster care and
    the uncertainty it provides, and to provide them a reasonable assurance that, if an early return
    to the care of their parents is not possible, they will be placed in a permanent home at an
    early date.‟” In re Z.J.S., No. M2002-02235-COA-R3-JV, 
    2003 WL 21266854
    , at *17
    (Tenn. Ct. App. June 3, 2003) (quoting Tenn. Code Ann. § 37-2-401(a) (2014)). Mother and
    Father are currently not in a position to care for Alleyanna, who is at a critical stage in her
    development. She has a need for occupational, speech, and physical therapy. Her parents
    willingly moved out of state, knowing this action would prolong her time in foster care.
    They are asking the court to wait and see if they can maintain their current level of sobriety,
    provide a safe home, resolve criminal charges pending against Father in Kentucky, and
    obtain a steady income. They are aware DCS cannot provide them with any services outside
    of Tennessee. We can only speculate how long it will take to arrange a home study and
    unsupervised visitation through the appropriate Kentucky authorities. During this time,
    Alleyanna will continue to live in foster care. Under these circumstances, “we cannot agree
    that continuing, open-ended foster care is in [Alleyanna‟s] best interest.” 
    Id. III. CONCLUSION
    We find clear and convincing evidence that both parents committed severe child abuse
    and that Father abandoned his child by willfully failing to pay child support. We also find
    clear and convincing evidence that termination of Mother‟s and Father‟s parental rights is in
    the best interest of the child. Accordingly, we affirm the decision of the juvenile court.
    _________________________________
    W. NEAL MCBRAYER, JUDGE
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