                      IN THE COURT OF APPEALS OF IOWA

                                      No. 18-0855
                               Filed September 12, 2018


IN THE INTEREST OF A.S., T.S., and K.R.,
Minor Children,

A.R., Mother,
       Appellant.
________________________________________________________________


       Appeal from the Iowa District Court for Polk County, Rachael E. Seymour,

District Associate Judge.



       A mother appeals the juvenile court’s termination of her parental rights.

AFFIRMED.




       Laura J. Lockwood of Hartung & Schroeder, LLP, Des Moines, for appellant

mother.

       Thomas J. Miller, Attorney General, and Mary A. Triick, Assistant Attorney

General, for appellee State.

       Nicole Garbis Nolan of Youth Law Center, Des Moines, guardian ad litem

for minor children.




       Considered by Potterfield, P.J., and Bower and McDonald, JJ.
                                             2


BOWER, Judge.

       A mother appeals the termination of her parental rights. We find termination

is in the children’s best interests. We affirm the decision of the juvenile court.

       I.      Background Facts & Proceedings

       A.R. is the mother of A.S., born in 2007; T.S., born in 2009; and K.R., born

in 2014. R.S. is the father of A.S. and T.S. D.R. is the father of K.R.

       In 2016, the mother began using controlled substances in the home,

following several years of sobriety.1 On September 30, 2016, the mother took the

oldest child to a house which had just been subject to a police search yielding

significant quantities of controlled substances. The mother was searched on the

scene and found to be in possession of controlled substances. Law enforcement

arrested the mother and contacted the Iowa Department of Human Services

(DHS), which took custody of A.S. An order for temporary removal was requested

and granted for all three children.2 The children were placed with a maternal aunt

and uncle. The court ordered drug screens of the children, and K.R. tested positive

for the presence of illegal drugs.

       On November 28, the court adjudicated the children as in need of

assistance (CINA) pursuant to Iowa Code section 232.2(6)(c)(2), (n), and (o)

(2016), and ordered supervised visitation and Family Safety, Risk, and

Permanency (FSRP) services. In late December, the children were moved from


1
   A.S. and T.S. had previously been removed from A.R.’s care in 2011 due to the mother’s
failure to supervise and continued contact with an individual who had sexually abused one
of the children. The mother successfully completed an outpatient substance-abuse
treatment program. The case was closed, and the children returned to the mother’s care
in 2012.
2
   At the time of removal, R.S. was incarcerated by the State of Iowa for a drug conviction,
and D.R. was in federal prison on drug charges.
                                         3


their maternal aunt and uncle’s home to their maternal grandfather’s home. At a

January 2017 disposition hearing, the court found the children’s caretakers were

not following the court’s orders, including therapy for the children, and modified

their placements. A.S. and T.S. were placed with a foster family, and K.R. was

placed with the paternal grandmother. All three children began therapy.

       Between October 2016 and October 2017, the mother entered eight

different treatment programs. The mother successfully completed two intensive

treatment programs, but failed to complete aftercare. The mother requested a

transfer of the CINA case to the recovery court program in February 2017, but was

unsuccessfully discharged for missing drug screens and being non-compliant. The

mother was inconsistent in her interactions with the children prior to a treatment

program she began in October 2017. She struggled to reach her visitations on

time, and sometimes did not appear. Prior to her last inpatient treatment program,

the mother’s periodic drug tests sometimes came up positive, sometimes negative,

but were almost all provided days after the request from DHS or her treatment

programs.

       R.S. was released from prison at the beginning of October 2016.          He

demonstrated progress in addressing his substance-abuse issues in late 2016 and

early 2017.    Beginning in spring 2017, DHS allowed R.S. extended and

unsupervised visits with A.S. and T.S. By September, the children were allowed

to stay overnight with their father, and the mother would visit them at the father’s

home. In September, the father requested a modification of placement to move

the children to his care. At his next drug screen, the father tested positive for
                                              4


controlled substances. He relapsed into addiction and ceased any visitation or

contact with the children.

        The court held a permanency hearing on September 15, October 19, and

November 1, 2017. In a pre-hearing report, DHS recommended a six-month

extension for the mother to demonstrate successful completion of treatment, with

the fathers as an alternate placement. The guardian ad litem for the children

recommended termination of the mother’s rights. On September 15, the first day

of the hearing, both the parents tested positive for controlled substances. In

October, the mother entered an inpatient treatment program, which she was still in

at the time of trial. However, the court found that due to the mother’s lack of

progress and the father’s relapse and lack of recent contact, the permanency goal

for the children would be changed to termination.

        On December 11, the State filed a petition to terminate the parents’ rights.

The court reunited the siblings in January by placing K.R. with the same foster

family as A.S. and T.S.

        On January 5, 9, 19, and February 7, 2018, the court held a termination

hearing. The court heard testimony from R.S.,3 the mother, therapists for A.S. and

T.S., the FSRP and DHS workers, and personnel from the treatment facility the

mother was in at the time. The court also spoke with A.S. and T.S. R.S. admitted

to relapsing into heavy drug use and testified he could not resume custody of the

children at that time. Both therapists expressed a need for the mother to be

successfully sober in the community prior to reunification. The mother and the



3
    R.S. only appeared the first day of the hearing.
                                            5


personnel from her treatment center testified about the types of treatment and

therapy she had been participating in since October 2017. A.S. and T.S. did not

express to the court a desire to be reunified with the mother.

       The court, prior to its ruling, was informed that on March 3, 2018, the mother

left her inpatient treatment program without discussing her departure with any of

her counselors or center staff members. Up until her departure, the mother’s

treatment was going well. The program discharged her with a “maximum benefit

discharge.”

       On April 30, the court terminated the mother’s parental rights to the children

under Iowa Code section 232.116(1)(f) and (h) (2017).4 The mother appeals.

       II.     Standard of Review

       The scope of review is de novo. In re D.W., 791 N.W.2d 703, 706 (Iowa

2010). Clear and convincing evidence is needed to establish the grounds for

termination. In re J.E., 723 N.W.2d 793, 798 (Iowa 2006). Where there is clear

and convincing evidence, there is no serious or substantial doubt about the

correctness of the conclusion drawn from the evidence. In re D.D., 653 N.W.2d

359, 361 (Iowa 2002). The paramount concern in termination proceedings is the

best interests of the child. In re K.C., 660 N.W.2d 29, 32 (Iowa 2003).

       III.    Reasonable Efforts

       The mother claims to have been denied reasonable efforts toward

reunification. Iowa requires DHS make every reasonable effort to return children


4
   The juvenile court terminated the rights of R.S. under Iowa Code section 232.116(1)(e)
and (f). R.S. filed a timely notice of appeal, but failed to file a petition on appeal. The
supreme court dismissed R.S.’s appeal on June 6, 2018. The juvenile court terminated
the rights of D.R. under Iowa Code section 232.116(1)(e) and (h). D.R. did not appeal.
                                        6


to the parents consistent with the best interests of the child.        Iowa Code

§ 232.102(7); In re C.B., 611 N.W.2d 489, 493 (Iowa 2000). The State must show

reasonable efforts have been made to reunify the children with the parent. In re

L.M., 904 N.W.2d 835, 839 (Iowa 2017). However, the parent has a responsibility

to object to inadequate services early enough for changes to be made, and must

request the additional services at the proper time. Id. at 839–40. The proper time

for a challenge to services provided includes at the removal, the entry of a

permanency plan, and later review hearings, and must be made to the court. In re

C.H., 652 N.W.2d 144, 148 (Iowa 2002). The reasonable efforts required are those

designed to eliminate the cause of the removal and allow children to safely return

to the parent’s care. C.B., 611 N.W.2d at 493.

      The mother now claims she was denied a number of services, but only

informed the court of claims regarding the frequency and location of visitations,

and desire for more frequent DHS staffing meetings. Any other reasonable efforts

claims are waived. The mother’s FSRP-supervised visits with the children were

limited by her failures to confirm visits or to appear on time for visits, and were

located proximate to the children’s location. The requirements for confirmation and

cancellations were reasonable given the mother’s history of missing visits

throughout the CINA proceedings. We also note the mother regularly visited the

children with the father or K.R.’s relative placement in addition to the State-

supervised visits. The mother continued to meet with the DHS worker the months

professional staffing meetings were not available, and the mother continued to

receive services.
                                         7


       The court and DHS were clear from the beginning of the CINA proceedings

that reunification required the mother be substance free, address her mental-

health issues, and have a safe and stable home for the children. The juvenile court

found DHS offered reasonable efforts at reunification through services addressing

the issues that led to the removal. We find the State made reasonable efforts to

help the mother establish a home the children could be returned to consistent with

their best interests.

       IV.    Sufficiency of the Evidence

       The court terminated the mother’s parental rights to A.S. and T.S. under

Iowa Code section 232.116(1)(f), and K.R. under Iowa Code section 232.116(1)(h).

Subsection (f) allows the court to terminate parental rights when the children are

four years of age or older, adjudicated CINA, have been out of their parent’s

custody for twelve of the last eighteen months, and clear and convincing evidence

exists showing the children cannot be returned to the custody of the parent.

Subsection (h) applies when the child is three years old or younger, adjudicated

CINA, has been out of the home for six of the past twelve months, and the child

cannot be immediately returned to the parent’s custody.

       The threshold issues of age and CINA adjudication, and length of removal

are unarguably met. All three children have been removed from the mother’s care

since September 30, 2016, and have not had any trial periods in her care. The

mother failed to maintain a period of sobriety outside a highly structured treatment

environment. The district court found the mother minimized her harmful behaviors,

chose to continue negative associations, had not addressed mental-health issues

known since 2011, failed to demonstrate she could maintain sobriety in the
                                         8


community, and delayed engaging in recommended services until the permanency

hearing. The therapists for the older two children testified it would be harmful to

place the children with the mother without demonstrated sobriety in the community,

which she has continuously failed to show. The State demonstrated by clear and

convincing evidence that the children could not be returned to the mother’s

custody.

       V.     Extension

       The mother requests a six-month extension to work toward reunification

with the children. To extend the permanency determination, the juvenile court

must be able to “enumerate the specific factors, conditions, or expected behavioral

changes which comprise the basis for the determination that the need for removal

of the child from the child’s home will no longer exist at the end of the additional

six-month period.” Iowa Code § 232.104(2)(b). While the law requires a “full

measure of patience with troubled parents,” that patience is part of the process of

chapter 232. C.B., 611 N.W.2d at 494. The patience afforded a parent can turn

into an intolerable hardship for the children. In re S.J., 620 N.W.2d 522, 526 (Iowa

Ct. App. 2000). An extension is appropriate if the need for removal will no longer

exist at the end of the extension. See In re A.A.G., 708 N.W.2d 85, 92 (Iowa Ct.

App. 2005).

       DHS recommended a six-month extension in September 2017 based on the

mother’s progress. That day, the mother tested positive for controlled substances,

with another positive test in October when she entered treatment. After making

progress in treatment, the mother left the program after the termination hearing

without notifying the program or providing a plan for living in the community. Given
                                        9


the mother’s failure to address her substance-abuse and mental-health issues in

a long-term and consistent manner in the eighteen months between initial removal

and the termination order, we find no basis to conclude the need for removal would

no longer exist at the end of the extension and an extension is not warranted.

      VI.    Best Interests

      The mother claims termination of her parental rights is not in the children’s

best interests.   In determining children’s best interests, we “give primary

consideration to the child[ren]’s safety, to the best placement for furthering the

long-term nurturing and growth of the child[ren], and to the physical, mental, and

emotional condition and needs of the child[ren].” Iowa Code § 232.116(2); In re

A.S., 906 N.W.2d 467, 474 (Iowa 2018). We consider the children’s long-range as

well as immediate best interests. In re T.P., 757 N.W.2d 267, 269 (Iowa Ct. App.

2008). Once a ground for termination has been proven, we cannot deprive children

of permanency on the hope a parent will learn to be responsible and reliable. In

re A.B., 815 N.W.2d 764, 777–78 (Iowa 2012).

      We find termination of the mother’s parental rights to be in the children’s

best interests. The mother waited until termination was imminent before applying

herself to maintaining sobriety. Throughout the proceedings, she had continuing

contact with those using controlled substances or otherwise posing a danger. She

has demonstrated an inability to follow through with any of her treatment programs

by continuing care and maintaining sobriety in the community. The children have

expressed a desire for—and have a right to—a permanent, safe home free of

controlled substances.
                                     10


      For the above reasons, we affirm the juvenile court’s termination of the

mother’s parental rights.

      AFFIRMED.
