In re: N.H., C.H., and B.H. , 241 W. Va. 648 ( 2019 )


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  •              IN THE SUPREME COURT OF APPEALS OF WEST VIRGINIA
    January 2019 Term
    FILED
    _____________________
    May 17, 2019
    released at 3:00 p.m.
    No. 18-0845                       EDYTHE NASH GAISER, CLERK
    _____________________                  SUPREME COURT OF APPEALS
    OF WEST VIRGINIA
    IN RE: N.H., C.H., and B.H.
    __________________________________________________________
    Appeal from the Circuit Court of Jackson County
    Honorable Lora A. Dyer, Judge
    Civil Action Nos. 16-JA-22, 16-JA-23, and 16-7A-24
    AFFIRMED AND REMANDED WITH DIRECTIONS
    _________________________________________________________
    Submitted: April 24, 2019
    Filed: May 17, 2019
    Lauren A. Estep, Esq.                                        Erica Brannon Gunn, Esq.
    Public Defender Corporation                                  Spencer, West Virginia
    Ripley, West Virginia                                        Guardian ad litem
    Attorney for Petitioner C.R.
    Patrick Morrisey, Esq.
    Attorney General
    Charleston, West Virginia
    Lee Niezgoda, Esq.
    Assistant Attorney General
    Fairmont, West Virginia
    Attorneys for Respondent DHHR
    JUSTICE HUTCHISON delivered the Opinion of the Court.
    SYLLABUS BY THE COURT
    1.      “Although parents have substantial rights that must be protected, the
    primary goal in cases involving abuse and neglect, as in all family law matters, must be the
    health and welfare of the children.” Syl. Pt. 3, In re Katie S., 198 W.Va. 79, 
    479 S.E.2d 589
    (1996).
    2.      “‘In a contest involving the custody of an infant the welfare of the
    child is the polar star by which the discretion of the court will be guided.’ Syl. Pt. 1, State
    ex rel. Cash v. Lively, 155 W.Va. 801, 
    187 S.E.2d 601
    (1972).” Syl. Pt. 4, In re J.S., 233
    W.Va. 394, 
    758 S.E.2d 747
    (2014).
    3.      “At the conclusion of the improvement period, the court shall review
    the performance of the parents in attempting to attain the goals of the improvement period
    and shall, in the court’s discretion, determine whether the conditions of the improvement
    period have been satisfied and whether sufficient improvement has been made in the
    context of all the circumstances of the case to justify the return of the child.” Syl. Pt. 6, In
    re Carlita B., 185 W.Va. 613, 
    408 S.E.2d 365
    (1991).
    4.      “In making the final disposition in a child abuse and neglect
    proceeding, the level of a parent’s compliance with the terms and conditions of an
    improvement period is just one factor to be considered. The controlling standard that
    i
    governs any dispositional decision remains the best interests of the child.” Syl. Pt. 4, In re
    B.H., 233 W.Va. 57, 
    754 S.E.2d 743
    (2014).
    5.     “[C]ourts are not required to exhaust every speculative possibility of
    parental improvement before terminating parental rights where it appears that the welfare
    of the child will be seriously threatened[.]” Syl. Pt. 1, in part, In re R.J.M., 164 W.Va. 496,
    
    266 S.E.2d 114
    (1980).
    6.     “Where there has been a prior involuntary termination of parental
    rights to a sibling, the issue of whether the parent has remedied the problems which led to
    the prior involuntary termination sufficient to parent a subsequently-born child must, at
    minimum, be reviewed by a court, and such review should be initiated on a petition
    pursuant to the provisions governing the procedure in cases of child neglect or abuse set
    forth in West Virginia Code §§ 49–6–1 to –12 (1998) [now West Virginia Code § 49-4-
    601 to -610]. Although the requirement that such a petition be filed does not mandate
    termination in all circumstances, the legislature has reduced the minimum threshold of
    evidence necessary for termination where one of the factors outlined in West Virginia Code
    § 49–6–5b(a) (1998) [now West Virginia Code § 49-4-605(a) (2015)] is present.” Syl. Pt.
    2, In the Matter of George Glen B., Jr., 205 W.Va. 435, 
    518 S.E.2d 863
    (1999).
    7.     “In civil abuse and neglect cases, the legislature has made DHHR the
    State’s representative. In litigations that are conducted under State civil abuse and neglect
    ii
    statutes, DHHR is the client of county prosecutors. The legislature has specifically
    indicated through W.Va. Code § 49–6–10 (1996) [now W.Va. Code § 49-4-502 (2015)]
    that prosecutors must cooperate with DHHR’s efforts to pursue civil abuse and neglect
    actions. The relationship between DHHR and county prosecutors under the statute is a pure
    attorney-client relationship. The legislature has not given authority to county prosecutors
    to litigate civil abuse and neglect actions independent of DHHR. Such authority is granted
    to prosecutors only under State criminal abuse and neglect statutes. Therefore, all of the
    legal and ethical principles that govern the attorney-client relationship in general, are
    applicable to the relationship that exists between DHHR and county prosecutors in civil
    abuse and neglect proceedings.” Syl. Pt. 4, State ex rel. Diva P. v. Kaufman, 200 W.Va.
    555, 
    490 S.E.2d 642
    (1997).
    8.     “In cases involving the abuse and neglect of children, when it appears
    from this Court’s review of the record on appeal that the health and welfare of a child may
    be at risk as a result of the child’s custodial placement, regardless of whether that placement
    is an issue raised in the appeal, this Court will take such action as it deems appropriate and
    necessary to protect that child.” Syl. Pt. 6, In re Timber M., 231 W.Va. 44, 
    743 S.E.2d 353
    (2013).
    9.     “When an abuse and neglect petition is brought based solely upon a
    previous involuntary termination of parental rights to a sibling pursuant to West Virginia
    Code § [49-4-605(a)(3) (2015)], prior to the lower court’s making any disposition
    iii
    regarding the petition, it must allow the development of evidence surrounding the prior
    involuntary termination(s) and what actions, if any, the parent(s) have taken to remedy the
    circumstances which led to the prior termination(s).” Syl. Pt. 4, In the Matter of George
    Glen B., Jr., 205 W.Va. 435, 
    518 S.E.2d 863
    (1999).
    10.    “‘Prior acts of violence, physical abuse, or emotional abuse toward
    other children are relevant in a termination of parental rights proceeding, are not violative
    of W.Va.R.Evid. 404(b), and a decision regarding the admissibility thereof shall be within
    the sound discretion of the trial court.’ Syl. Pt. 8, In re Carlita B., 185 W.Va. 613, 
    408 S.E.2d 365
    (1991).” Syl. Pt. 3, In the Matter of George Glen B., Jr., 205 W.Va. 435, 
    518 S.E.2d 863
    (1999).
    iv
    HUTCHISON, Justice:
    The petitioner, C.R.,1 appeals the August 29, 2018, disposition order of the
    Circuit Court of Jackson County terminating her parental rights to her three oldest children,
    N.H., C.H., and B.H. In this appeal, the petitioner contends that the circuit court erred by
    finding that it was contrary to the best interests of the children to be returned to her custody
    even though she successfully completed her post-adjudicatory improvement period. Both
    respondents, the West Virginia Department of Health and Human Resources (“DHHR”)
    and the guardian ad litem, maintain that termination of the petitioner’s parental rights was
    warranted despite her compliance with the services provided during her improvement
    period.
    Upon consideration of the parties’ briefs and oral arguments, the submitted
    appendix record, and the pertinent authorities, we find no error. Accordingly, for the
    reasons set forth below, the circuit court’s disposition order terminating the petitioner’s
    parental rights to N.H., C.H., and B.H. is affirmed. However, we remand this case to the
    circuit court for further proceedings because the record indicates that the petitioner gave
    birth to a fourth child shortly before the disposition order was entered by the circuit court.
    As discussed below, when a child is born to a parent whose parental rights to another child
    1
    As in all cases involving sensitive facts and minor children, we use initials to
    identify the parties. See W.Va. R. App. Proc. 40(e); see also State v. Edward Charles L.,
    183 W.Va. 641, 645 n.1, 
    398 S.E.2d 123
    , 127 n.1 (1990).
    1
    have been previously terminated, our statutory and case law require the circuit court to
    determine whether the problems that led to the prior involuntary termination have been
    sufficiently remedied or whether the parental rights to the subsequently-born child should
    be terminated.
    I. Facts and Procedural Background
    When the DHHR initiated this abuse and neglect proceeding in March 2016,
    N.H., C.H., and B.H. were living with the petitioner and her boyfriend, M.L.2 In the abuse
    and neglect petition, the DHHR alleged that the children’s health and safety were at
    imminent risk because of the petitioner’s illegal drug use and their exposure to domestic
    violence between the petitioner and M.L. Specifically, the petition indicated that N.H., the
    oldest child,3 had disclosed that her mother “has ‘chill pills’ to help her calm down” and
    that her mother “mostly just sleeps forever.” The DHHR asserted that the petitioner’s drug
    use was causing her to neglect the psychological treatment and education of her children,
    particularly that of C.H., who is autistic, by, among other things, not providing the school
    with the requisite medical documentation so that proper education services could be
    2
    M.L. is not the biological father of the children, but he was made a respondent in
    the proceeding below and the abuse and neglect petition was amended to include his four
    biological children from a prior relationship. The biological fathers of N.H., C.H., and
    B.H. were also made respondents, and their parental rights to their respective children were
    terminated. M.L., M.L’s children, and the biological fathers of N.H., C.H., and B.H. are
    not parties in this appeal.
    3
    When the petition was filed, the children were seven, five, and four years old.
    2
    provided. The petition further asserted that the petitioner had not been present to meet her
    children at the bus stop on multiple occasions, necessitating their return to school until they
    were picked up by a parent or guardian. In one instance, the petitioner could not be located,
    and an aunt had to come and get the children.
    With respect to the domestic violence allegations, the petition stated that the
    children had disclosed that M.L. broke the television and a vase during arguments with
    their mother. N.H. reported that the petitioner told her that “[M.L.] is going to burn us”
    and that she attempted to break up the fights by “trying to talk [M.L.] out of beating up her
    mother” or screaming to alert someone when she was unsuccessful. B.H. reported that
    “[M.L.] told his mommy that he was going to kill her.” Upon the filing of the abuse and
    neglect petition, the children were removed from the home and placed in foster care.
    The petitioner waived her right to a preliminary hearing and, subsequently,
    stipulated to the allegations set forth in the petition. The petitioner admitted that “she has
    a drug abuse issue which has negatively impacted her parenting[.]” She further
    acknowledged that there had been domestic violence in the home while the children were
    present. Upon the court’s acceptance of the stipulated adjudication, the petitioner filed a
    motion for a post-adjudicatory improvement period, which was granted on August 8, 2016.
    3
    Thereafter, the court granted the petitioner a three-month extension so she could complete
    an Intensive Outpatient Program (“IOP”) for her drug addiction.4
    Following multiple review hearings, the circuit court entered an order April
    11, 2018, regarding the petitioner’s completion of her post-adjudicatory improvement
    period.5 In that order, the circuit court concluded that
    [t]he weight of the evidence demonstrates [the
    petitioner] has substantially complied with the terms and
    conditions of her improvement period;6 the only evidence
    suggesting deficient compliance is [the petitioner] having
    remained on Subutex,7 but she rebutted such by presenting
    reliable testimony that she did so only at the direction of her
    physician.
    4
    It was later determined that the petitioner did not qualify for an IOP because she
    did not meet the addiction qualifications. Instead, she participated in relapse prevention
    classes and counseling, which were approved by the multidisciplinary team.
    5
    The order indicates that hearings regarding the petitioner’s completion of her
    improvement period were held on December 4, 2017, December 15, 2017, and February
    16, 2018. Transcripts of those hearings were not included in the appendix record submitted
    with this appeal.
    6
    During her improvement period, the petitioner was required to undergo a parental
    fitness evaluation and follow the recommendations of such evaluation; undergo a substance
    abuse evaluation; complete a drug abuse rehabilitation program; participate in victim’s
    impact counseling; participate in parenting and adult life skills classes; submit to random
    drug screening; and participate in supervised visitation with her children.
    7
    While the circuit court indicated that the petitioner was taking Subutex, the
    medication is referred to as Suboxone in other instances in the record. As this Court has
    previously noted, “[b]oth of these medications are used to wean persons addicted to
    [narcotics] and to lessen withdrawal symptoms . . . . See generally Drug Identification Bible
    2014/2015 Edition 881 (2014/2015) (describing both ‘Subutex’ and ‘Suboxone’ as the
    ‘[b]rand names for a Schedule III medication used to treat narcotic addiction’).” In re
    A.L.C.M., 239 W.Va. 382, 386 n.7, 
    801 S.E.2d 260
    , 264 n. 7 (2017).
    4
    (Footnotes added). With regard to the petitioner’s continued use of Subutex, the order
    indicated that the petitioner tried to stop taking the medication in June 2017. However, she
    was pregnant at the time with her fourth child and was hospitalized for nausea and vomiting
    caused by her withdrawal from the medication. According to the circuit court’s order, the
    petitioner’s obstetrician testified that it was safer for her to continue to take the Subutex
    during her pregnancy so he referred her to a clinic that provided a step-down regime to
    have her off the medication within a year. At the final improvement period review hearing,
    the petitioner testified that she was still taking Subutex but indicated she expected to be
    weaned from the medication soon.
    Thereafter, the circuit court scheduled the final disposition hearing, and the
    DHHR filed a motion to terminate the petitioner’s parental rights. Disposition hearings
    were held on July 5, and July 13, 2018.8 On August 29, 2018, the circuit court entered the
    disposition order terminating the petitioner’s parental rights to N.H., C.H., and B.H., setting
    forth the following findings:
    The Court has heard evidence herein of the [] children’s
    need for substantial ongoing care from various providers:
    [C.H.] is a non-verbal, autistic child, requiring much care,
    close supervision, and frequent medical and therapeutic
    appointments. [B.H.] suffers from both serious behavioral
    issues and health problems which have necessitated trips to
    medical providers all over the State. [N.H.] suffers from
    anxiety and depression, which require counseling and
    psychiatric care. Contrary to the needs of her children, [the
    petitioner] has not acquired a driver’s license during the
    8
    Transcripts of the disposition hearings were not included in the appendix record.
    5
    pendency of this case, and still relies on others for
    transportation. Furthermore, despite the children’s need for
    medical treatment and care, [the petitioner] made no attempt[]
    to attend any such appointments during this case, nor did she
    call the [DHHR] to check on the welfare of her children. And
    despite [the petitioner’s] stated desire to reclaim custody of her
    children, by her own testimony, [the petitioner] has made no
    attempt to acquire any knowledge of the specific physical
    maladies which afflict her children, in spite of the [DHHR’s]
    resources that have been made available to her for that purpose.
    In short, [the petitioner] has not taken advantage of the
    significant amount of time afforded to demonstrate a
    willingness to meet the needs of these children.
    Also, the children continue to display a fear of and a
    desire to have no contact with [M.L.] with whom [the
    petitioner] maintains an ongoing relationship. Although the
    Court recognizes the unquestioned right of an individual to
    pursue such a relationship, the Court observes [the petitioner]
    has chosen to pursue her relationship with [M.L.] such that she
    has been hindered in correcting the conditions of abuse and
    neglect at issue in this case.
    Upon entry of the disposition order, the petitioner filed this appeal.
    II. Standard of Review
    Our standard of review for abuse and neglect cases is well established. In
    syllabus point one of In the Interest of Tiffany Marie S., 196 W.Va 223, 
    470 S.E.2d 177
    (1996), this Court held:
    Although conclusions of law reached by a circuit court
    are subject to de novo review, when an action, such as an abuse
    and neglect case, is tried upon the facts without a jury, the
    circuit court shall make a determination based upon the
    evidence and shall make findings of fact and conclusions of
    law as to whether such child is abused or neglected. These
    findings shall not be set aside by a reviewing court unless
    clearly erroneous. A finding is clearly erroneous when,
    6
    although there is evidence to support the finding, the reviewing
    court on the entire evidence is left with the definite and firm
    conviction that a mistake has been committed. However, a
    reviewing court may not overturn a finding simply because it
    would have decided the case differently, and it must affirm a
    finding if the circuit court’s account of the evidence is plausible
    in light of the record viewed in its entirety.
    With this standard in mind, we consider the parties’ arguments.
    III. Discussion
    A. N.H., C.H., and B.H.
    In this appeal, the petitioner argues that because she successfully completed
    her improvement period, the circuit court erred by not finding that it was in the children’s
    best interests to be returned to her custody. According to the petitioner, the only concern
    expressed by CPS worker Morgan Perrine at the disposition hearing pertained to her
    continued use of Subutex. However, Ms. Perrine acknowledged that the petitioner never
    failed a drug screen during the pendency of the proceeding and that she had been directed
    by her physician to slowly wean from the Subutex because of her pregnancy and
    subsequent breastfeeding of her newborn. With respect to the domestic violence, the
    petitioner points out that M.L. underwent counseling and anger management training
    during the proceeding and successfully completed his improvement period such that his
    custodial visitation arrangement he had with his biological children was restored.9
    9
    During oral argument, the DHHR noted that rather than completing the usual
    thirty-week program for anger management, M.L. only completed a two-week online
    course.
    7
    Therefore, the petitioner maintains that there was no clear and convincing evidence that
    that it would be unsafe to return her children to her custody.
    Conversely, the DHHR and guardian ad litem argue that termination of
    petitioner’s parental rights was warranted despite her compliance with services during her
    post-adjudicatory improvement period because she failed to change her overall attitude and
    approach to parenting, which was necessary for reunification with her children. In that
    regard, the respondents point out that the evidence established that the children were still
    traumatized by the domestic violence they witnessed and remained afraid of M.L. Yet, the
    petitioner continued her relationship with M.L., became pregnant, and gave birth to his
    child during the course of this proceeding. The respondents contend that the petitioner’s
    lack of insight into how her relationship with M.L. has affected her children shows that she
    failed to change her overall attitude and approach to parenting. The respondents further
    argue that the petitioner failed to make the necessary changes with regard to her substance
    abuse because she was still using Suboxone at the time of the final disposition hearing,
    reflecting her failure to understand the urgency to become drug free so that her children
    could be safely returned to her care. Finally, the respondents argue that the petitioner failed
    to make meaningful changes to show that she has the ability to provide proper care for her
    children given their special needs. They note that the petitioner remained disengaged and
    disinterested in the special needs of her children throughout the proceeding below, never
    asking to attend any of their medical appointments or even expressing concern when she
    was told that one of her children could possibly have a brain tumor. In sum, the respondents
    8
    maintain that the circuit court properly determined, based upon all the evidence, that the
    best interests of the children necessitated the termination of the petitioner’s parental
    rights.10
    It has long been established that “although parents have substantial rights that
    must be protected, the primary goal in cases involving abuse and neglect, as in all family
    law matters, must be the health and welfare of the children.” Syl. Pt. 3, In re Katie S., 198
    W.Va. 79, 
    479 S.E.2d 589
    (1996). Indeed, “‘[i]n a contest involving the custody of an
    infant the welfare of the child is the polar star by which the discretion of the court will be
    guided.’ Syl. Pt. 1, State ex rel. Cash v. Lively, 155 W.Va. 801, 
    187 S.E.2d 601
    (1972).”
    Syl. Pt. 4, In re J.S., 233 W.Va. 394, 
    758 S.E.2d 747
    (2014). Accordingly, this Court has
    held that
    [a]t the conclusion of the improvement period, the court
    shall review the performance of the parents in attempting to
    attain the goals of the improvement period and shall, in the
    court’s discretion, determine whether the conditions of the
    improvement period have been satisfied and whether sufficient
    improvement has been made in the context of all the
    circumstances of the case to justify the return of the child.
    10
    The guardian ad litem also notes that this is a not a case where additional time for
    improvement could be granted because the children had been in foster care for twenty-
    seven months at the time of the disposition hearing, exceeding the statutory time frame for
    improvement periods. See W.Va. Code § 49-4-610(9) (2015) (setting time limit for
    improvement periods to preclude child from being in foster care more than fifteen months
    of last twenty-two months absent compelling circumstances).
    9
    Syl. Pt. 6, In re Carlita B., 185 W.Va. 613, 
    408 S.E.2d 365
    (1991) (emphasis added). As
    we have explained, “the ultimate goal [of an improvement period] is restoration of a stable
    family environment, not simply meeting the requirements of the case plan.” W.Va. Dep’t
    of Human Serv. v. Peggy F., 184 W.Va. 60, 64, 
    399 S.E.2d 460
    , 464 (1990). Consequently,
    [t]he question at the dispositional phase of a child abuse
    and neglect proceeding is not simply whether the parent has
    successfully completed his or her assigned tasks during the
    improvement period. Rather, the pivotal question is what
    disposition is consistent with the best interests of the child.
    In re Francis J.A.S., 213 W.Va. 636, 646, 
    584 S.E.2d 492
    , 502 (2003). In other words,
    [i]n making the final disposition in a child abuse and
    neglect proceeding, the level of a parent’s compliance with the
    terms and conditions of an improvement period is just one
    factor to be considered. The controlling standard that governs
    any dispositional decision remains the best interests of the
    child.
    Syl. Pt. 4, In re B.H., 233 W.Va. 57, 
    754 S.E.2d 743
    (2014).
    In this case, the circuit court found that although the petitioner had
    substantially complied with the terms and conditions of her improvement period, she still
    “demonstrated an inadequate capacity to solve the problems of abuse and neglect” and that
    reunification was not in the best interests of the children. Upon review of the record, we
    find that the evidence supports the circuit court’s findings. Despite the improvement
    period, the petitioner failed to demonstrate a willingness to meet the needs of her children
    and the ability to correct the conditions of abuse and neglect. In particular, the petitioner
    made no attempt to educate herself about her children’s medical and psychological
    10
    diagnoses and never obtained a driver’s license so that she could take them to their doctors’
    appointments. The final order indicates that during the disposition hearing, the petitioner
    was asked what she had learned about autism since the beginning of the proceeding. She
    replied, “During this case, nothing.” When asked why she had not taken any steps to
    prepare herself to maintain the level of care her children had received during the pendency
    of this case, the petitioner said, “I guess, I never really thought about it.”
    It is also evident that the petitioner failed to understand her children’s fear of
    M.L. and desire to have no further contact with him. According to the record, the children
    were too afraid to participate in family counseling with M.L. during the improvement
    period. In addition, N.H. testified11 that she was afraid that if she went home she would
    get hurt. She also stated that she was did not think her brother and sister would be safe,
    either. 12 Referring to M.L., N.H. explained that “he beat my mom up and I always got in
    the middle of it and I didn’t [sic] want to go back there, because I’m afraid it’s going to
    happen again.” When asked what M.L. did to her mommy, N.H. replied, “punch[ed] her
    in the face and choke[d] her.” When asked if she ever got hurt, N.H., testified, “Almost . .
    11
    Prior to disposition, the circuit court received in camera testimony from N.H. As
    this Court has explained, “[c]ases involving children must be decided not just in the context
    of competing sets of adults’ rights, but also with a regard for the rights of the child(ren) . .
    . and [therefore, the children’s] own feelings and emotional attachments should be taken
    into consideration by the lower court.” In the Matter of Brian D., 194 W.Va. 623, 636, 
    461 S.E.2d 129
    , 142 (1995).
    12
    According to the guardian ad litem, N.H. has also expressed concern for the safety
    of the baby, i.e., the petitioner’s fourth child who was born during course of this case.
    11
    . when I was trying to get them away from each other I almost got punched [by M.L.].”
    Although the petitioner was aware of her children’s fear of M.L. and indicated at the
    beginning of the case that she would end her relationship with M.L. so her children could
    be returned to her custody, she did not do so. Instead, she pursued her relationship with
    M.L. and gave birth to his child while this case was pending before the circuit court.
    In sum, while the record shows the petitioner made some changes in order to
    comply with the requirements of her case plan, it also reflects that the petitioner did not
    modify her behavior to correct the conditions of abuse and neglect. “We have recognized
    that it is possible for an individual to show compliance with specific aspects of the case
    plan while failing to improve . . . [the] overall attitude and approach to parenting.” In re
    B.H., 233 W.Va. at 
    65, 754 S.E.2d at 751
    (additional quotations and citations omitted).
    Such is the case here. Simply put, in the context of all the circumstances, the petitioner
    failed to make sufficient improvement to justify the return of her children. See Carlita B.,
    185 W.Va. at 
    616, 408 S.E.2d at 368
    , syl. pt. 6. This Court has explained, “[i]n the difficult
    balance which must be fashioned between the rights of the parent and the welfare of the
    child[ren], the paramount and controlling factor must be the child[ren]’s welfare.” 
    Id. at 629,
    408 S.E.2d at 381. To that end, “courts are not required to exhaust every speculative
    possibility of parental improvement before terminating parental rights where it appears that
    the welfare of the child will be seriously threatened[.]” Syl. Pt. 1, in part, In re R.J.M., 164
    W.Va. 496, 
    266 S.E.2d 114
    (1980). Accordingly, for the reasons set forth above, we affirm
    12
    the circuit court’s August 29, 2018, disposition order terminating the petitioner’s parental
    rights to her three oldest children.
    In light of our decision affirming the termination of the petitioner’s parental
    rights to N.H., C.H., and B.H., the DHHR must make every effort to obtain permanency
    for these children as soon as possible. According to the status updates filed with this Court
    pursuant to Rule 11(j) of the Rules of Appellate Procedure, the children are currently
    residing in three separate foster homes in close proximity to one another, and each foster
    family has expressed a willingness to adopt the child placed in their care and to facilitate
    visitation between children. Given that these children have been in foster care for more
    than three years, the need for each child to have a stable and permanent home cannot be
    overstated.
    Rule 39(b) of the Rules of Procedure for Child and Abuse and Neglect
    Proceedings requires:
    At least once every three months until permanent
    placement is achieved as defined in Rule 6, the court shall
    conduct a permanent placement review conference, requiring
    the multidisciplinary treatment team to attend and report as to
    progress and development in the case, for the purpose of
    reviewing the progress in the permanent placement of the
    child.
    Moreover, permanent placement for the children must occur within twelve months of the
    date of the disposition order. As this Court has held:
    13
    [t]he [twelve]-month period provided in Rule 43 of the West
    Virginia Rules of Procedures for Child Abuse and Neglect
    Proceedings for permanent placement of an abused and
    neglected child following the final dispositional order must be
    strictly followed except in the most extraordinary
    circumstances which are fully substantiated in the record.
    Syl. Pt. 6, In re Cecil T., 228 W.Va. 89, 
    717 S.E.2d 873
    (2011).
    It is well established that “an adoptive home is the preferred permanent out-
    of-home placement.” Syl. Pt. 2, in part, State v. Michael M., 202 W.Va. 350, 
    504 S.E.2d 177
    (1998). Consequently,
    [i]n determining the appropriate permanent out-of-
    home placement of a child under [West Virginia Code § 49-4-
    604(b)(6) (2015)], the circuit court shall give priority to
    securing a suitable adoptive home for the child and shall
    consider other placement alternatives, including permanent
    foster care, only where the court finds that adoption would not
    provide custody, care, commitment, nurturing and discipline
    consistent with the child’s best interests or where a suitable
    adoptive home can not be found.
    
    Id. at 352,
    504 S.E.2d at 179, syl. pt. 3. Obviously, “[t]he guardian ad litem’s role in abuse
    and neglect proceedings does not actually cease until such time as the child is placed in a
    permanent home.” Syl. Pt. 5, James M. v. Maynard, 185 W.Va. 648, 
    408 S.E.2d 400
    (1991).
    B. Petitioner’s Fourth Child
    As noted above, the petitioner gave birth to another child during the
    pendency of this case. However, that child was not included in the proceeding below.
    14
    While no party assigned any error in that regard, we cannot ignore the fact that this child
    is now living in the same household from which N.H., C.H., and B.H. were removed. This
    Court has made clear that
    [w]here there has been a prior involuntary termination
    of parental rights to a sibling, the issue of whether the parent
    has remedied the problems which led to the prior involuntary
    termination sufficient to parent a subsequently-born child
    must, at minimum, be reviewed by a court, and such review
    should be initiated on a petition pursuant to the provisions
    governing the procedure in cases of child neglect or abuse set
    forth in West Virginia Code §§ 49–6–1 to –12 (1998) [now
    West Virginia Code § 49-4-601 to -610]. Although the
    requirement that such a petition be filed does not mandate
    termination in all circumstances, the legislature has reduced the
    minimum threshold of evidence necessary for termination
    where one of the factors outlined in West Virginia Code § 49–
    6–5b(a) (1998) [now West Virginia Code § 49-4-605(a)
    (2015)] is present.
    Syl. Pt. 2, In the Matter of George Glen B., Jr., 205 W.Va. 435, 
    518 S.E.2d 863
    (1999);
    see also W.Va. Code § 49-4-605(a)(3) (2015) (requiring DHHR to file abuse and neglect
    petition when “the parental rights of the parent to another child have been terminated
    involuntarily”).
    Given the record in this case, we find it extremely troubling that no action
    was taken after the fourth child was born to amend the abuse and neglect petition to include
    that child in the proceeding below, nor was any petition filed with regard to that child after
    the disposition order was entered by the circuit court. During oral argument in this case,
    the DHHR indicated that although it requested that the petition be amended, the county
    prosecutor declined to do so. This Court has made it abundantly clear that prosecuting
    15
    attorneys must fully and promptly cooperate with the DHHR as mandated by West Virginia
    Code § 49-4-502 (2015). That statute provides:
    It is the duty of every prosecuting attorney to cooperate
    fully and promptly with persons seeking to apply for relief,
    including copetitioners with the department, under this article
    in all cases of suspected child abuse and neglect; to promptly
    prepare applications and petitions for relief requested by those
    persons, to investigate reported cases of suspected child abuse
    and neglect for possible criminal activity; and to report at least
    annually to the grand jury regarding the discharge of his or her
    duties with respect thereto.
    
    Id. Accordingly, this
    Court has held:
    [i]n civil abuse and neglect cases, the legislature has
    made DHHR the State’s representative. In litigations that are
    conducted under State civil abuse and neglect statutes, DHHR
    is the client of county prosecutors. The legislature has
    specifically indicated through W.Va. Code § 49-6-10 (1996)
    [now W.Va. Code § 49-4-502 (2015)] that prosecutors must
    cooperate with DHHR’s efforts to pursue civil abuse and
    neglect actions. The relationship between DHHR and county
    prosecutors under the statute is a pure attorney-client
    relationship. The legislature has not given authority to county
    prosecutors to litigate civil abuse and neglect actions
    independent of DHHR. Such authority is granted to
    prosecutors only under State criminal abuse and neglect
    statutes. Therefore, all of the legal and ethical principles that
    govern the attorney-client relationship in general, are
    applicable to the relationship that exists between DHHR and
    county prosecutors in civil abuse and neglect proceedings.
    Syl. Pt. 4, State ex rel. Diva P. v. Kaufman, 200 W.Va. 555, 
    490 S.E.2d 642
    (1997). In
    other words, “prosecutors [are not] statutorily entrusted with independent enforcement of
    civil abuse and neglect proceedings. To the contrary . . . the State ha[s] reposed that
    responsibility upon the DHHR.” 
    Id. at 565,
    490 S.E.2d at 652. See also In re Ashton M.,
    228 W.Va. 584, 589, 
    723 S.E.2d 409
    , 414 (2012) (observing that prosecuting attorney had
    16
    duty to convey DHHR’s recommendation in abuse and neglect proceeding to the court
    because of attorney-client relationship). Thus, in this case, the prosecutor should have
    complied with the DHHR’s request and amended the abuse and neglect petition to include
    the petitioner’s fourth child in the proceeding below.
    Because an abuse and neglect petition has not been filed with respect to the
    petitioner’s fourth child despite the statutory and case law requirements, we are remanding
    this case to the circuit court for further proceedings in that regard. As we have held,
    [i]n cases involving the abuse and neglect of children,
    when it appears from this Court’s review of the record on
    appeal that the health and welfare of a child may be at risk as a
    result of the child’s custodial placement, regardless of whether
    that placement is an issue raised in the appeal, this Court will
    take such action as it deems appropriate and necessary to
    protect that child.
    Syl. Pt. 6, In re Timber M., 231 W.Va. 44, 
    743 S.E.2d 353
    (2013); see also In re A.N., 241
    W.Va. 275, 
    823 S.E.2d 713
    (2019) (remanding for re-evaluation of appropriateness of
    allowing father to retain custody of his son where father’s parental rights to his daughter
    were terminated). Upon remand, the circuit court shall order the State to immediately file
    an abuse and neglect petition with respect to the petitioner’s fourth child in accordance
    with West Virginia Code § 49-4-605(a)(3).
    In remanding this case, we take no position with regard to the ultimate
    resolution as to petitioner’s fourth child. Syllabus point four of In re George B. holds:
    17
    When an abuse and neglect petition is brought based
    solely upon a previous involuntary termination of parental
    rights to a sibling pursuant to West Virginia Code § [49-4-
    605(a)(3) (2015)], prior to the lower court’s making any
    disposition regarding the petition, it must allow the
    development of evidence surrounding the prior involuntary
    termination(s) and what actions, if any, the parent(s) have
    taken to remedy the circumstances which led to the prior
    termination(s).
    
    Id. at 437,
    518 S.E.2d at 865, syl. pt. 4. However, the circuit court should be mindful that
    “[p]rior acts of violence, physical abuse, or emotional
    abuse toward other children are relevant in a termination of
    parental rights proceeding, are not violative of W.Va. R. Evid.
    404(b), and a decision regarding the admissibility thereof shall
    be within the sound discretion of the trial court.” Syl. Pt. 8, In
    re Carlita B., 185 W.Va. 613, 
    408 S.E.2d 365
    (1991).
    In re George B., 205 W.Va. at 
    437, 518 S.E.2d at 865
    , syl. pt. 3.
    IV. Conclusion
    Accordingly, for the reasons set forth above, the disposition order entered on
    August 29, 2018, terminating the petitioner’s parental rights to N.H., C.H., and B.H. is
    affirmed, and this case is remanded to the circuit court for further proceedings consistent
    with this opinion, including the immediate filing of an abuse and neglect petition as set
    forth herein. The Clerk is directed to issue the mandate forthwith.
    Affirmed and remanded with directions.
    18