Form 10-522C. Adjudicatory judgment and dispositional order.

(Uncontested/ICWA Version) STATE OF NEW MEXICO COUNTY OF _______________ __________________ JUDICIAL DISTRICT IN THE CHILDREN’S COURT STATE OF NEW MEXICO ex rel. CHILDREN, YOUTH AND FAMILIES DEPARTMENT No. __________ In the Matter of _______________________________, (a) Child(ren), and Concerning _______________________________, Respondent(s). ADJUDICATORY JUDGMENT AND DISPOSITIONAL ORDER AS TO _____________________ This matter came before the [Honorable __________] [Special Master __________], on _____________ (date) for adjudicatory hearing. The New Mexico Children, Youth and Families Department (CYFD) was represented by _____________, children’s court attorney. ______________ (name(s) of child(ren)) was/were [not] present [and] [but] was/were represented by ______________, (guardian ad litem/attorney). (Expand- modify as necessary) Respondent(s) ____________ was/were [not] present [by telephone] [and] [but] was/were represented by attorney _____________. (Expand- modify as necessary) The CASA was [not] present. (If applicable) A court certified interpreter did [not] provide interpretation services for the hearing. The Court has heard the [evidence] [stipulation of the parties], reviewed the pleadings, is fully advised in the matter, and FINDS: 1. The Court has jurisdiction over the subject matter of this cause and the parties in this cause, except _________________, who has/have not yet been served and has/have not otherwise made a voluntary appearance or waived service of summons.1 2. The Indian Child Welfare Act (ICWA) applies to ____________ (name(s) of child(ren)). 3. Pursuant to 25 U.S.C. § 1912(a), CYFD has provided written notification of these proceedings to ____________’s (name(s) of child(ren)) Indian tribe. 4. ____________’s (name(s) of child(ren)) Indian tribe has [not] appeared for this hearing. 5. The substitute care provider was notified of this hearing and was [not] present and given an opportunity to be heard. 6. Respondent ___________ does not contest the following allegations of the petition: (Select the appropriate allegation(s) and delete those not applicable.) a. ____________ (name(s) of child(ren)) has/have suffered or is/are at risk of suffering serious harm because of the action or inaction of the child(ren)’s parent guardian, or custodian, pursuant to Section 32A-4-2(B)(1) NMSA 1978. b. ____________ (name(s) of child(ren)) has/have suffered physical abuse, emotional abuse, or psychological abuse inflicted or caused by the child(ren)’s parent, guardian, or custodian, pursuant to Section 32A-4-2(B)(2) NMSA 1978. c. ____________ (name(s) of child(ren)) has/have suffered sexual abuse or sexual exploitation inflicted by the child(ren)’s parent, guardian, or custodian, pursuant to Section 32A-4-2(B)(3) NMSA 1978. d. ____________’s (name(s) of child(ren)) parent, guardian, or custodian has knowingly, intentionally, or negligently placed the child(ren) in a situation that may endanger the child(ren)’s life or health, pursuant to Section 32A-4-2(B)(4) NMSA 1978. e. ____________’s (name(s) of child(ren)) parent, guardian, or custodian has knowingly or intentionally tortured, cruelly confined, or cruelly punished the child(ren), pursuant to Section 32A-4-2(B)(5) NMSA 1978. f. ____________ (name(s) of child(ren)) has/have been abandoned by his/her/their parent, pursuant to Section 32A-4-2(E)(1) NMSA 1978. g. ____________ (name(s) of child(ren)) is/are without proper parental care and control or subsistence, education, medical or other care or control necessary for the child(ren)’s well-being because of the faults or habits of the child(ren)’s parent, guardian, or custodian, or the neglect or refusal of the child(ren)’s parent, guardian, or custodian, when able to do so, to provide them, pursuant to Section 32A-4-2(E)(2) NMSA 1978. h. ____________ (name(s) of child(ren)) has/have been physically or sexually abused, when the child(ren)’s parent, guardian, or custodian, knew or should have known of the abuse and failed to take reasonable steps to protect the child(ren) from further harm, pursuant to Section 32A-4-2(E)(3) NMSA 1978. i. The child(ren)’s parent, guardian, or custodian is unable to discharge his/her parental responsibilities to and for ____________ (name(s) of child(ren)) because of incarceration, hospitalization, or other physical or mental disorder or incapacity, pursuant to Section 32A-4-2(E)(4) NMSA 1978. j. ____________ (name(s) of child(ren)) has/have been placed for care or adoption in violation of the law by the child(ren)’s parent, guardian, or custodian, pursuant to Section 32A-4-2(E)(5) NMSA 1978. 7. (If applicable) Respondent ___________ does not contest the following aggravated circumstances: (Select the appropriate circumstances(s) and delete those not applicable.) a. ____________’s (name(s) of child(ren)) parent, guardian, or custodian has attempted, conspired to cause, or caused great bodily harm to the child(ren) or great bodily harm or death to the child(ren)’s sibling, pursuant to Section 32A-4-2(C)(1) NMSA 1978. b. ____________’s (name(s) of child(ren)) parent, guardian, or custodian has attempted, conspired to cause, or caused great bodily harm or death to another parent, guardian, or custodian of the child(ren), pursuant to Section 32A-4-2(C)(2) NMSA 1978. c. ____________’s (name(s) of child(ren)) parent, guardian, or custodian has attempted, conspired to subject, or has subjected the child(ren) to torture, chronic abuse or sexual abuse, pursuant to Section 32A-4-2(C)(3) NMSA 1978. d. ____________’s (name(s) of child(ren)) parent, guardian, or custodian had parental rights over a sibling of the child(ren) terminated involuntarily, pursuant to Section 32A-4-2(C)(4) NMSA 1978. 8. (Redo paragraphs 4 and 5 above for each Respondent entering into a no contest plea covered by this pleading, and adjust paragraph numbering as necessary.) 9. Pursuant to Rule 10-342(C) and (D) NMRA, the Court determines that: a. Respondent(s) ____________ understand(s) the allegations of the petition. b. Respondent(s) ____________ understand(s) the possible dispositions the Court may make if the allegations of the petition are found to be true. c. Respondent(s) ____________ understand(s) that he/she/they has/have the right to deny the allegations of the petition and to have a trial on the allegations. d. Respondent(s) ____________ understand(s) that by making the foregoing plea(s) of no contest that he/she/they is/are waiving his/her/their right to trial. e. The foregoing plea(s) of no contest is/are voluntary, not the result of force or threats or promises, and has/have been made after consultation with and advice of counsel. f. This/These plea(s) is/are not made for the purpose of a consent decree. g. Respondent(s) ____________ understand(s) that by entering a no-contest plea, the Court will enter a finding that, as to each Respondent entering a plea, ____________ (name(s) of child(ren)) is/are a/an [abused] [and] [neglected] child(ren) as defined in the Abuse and Neglect Act, and that such a finding can be used against Respondent(s) to establish that the child(ren) has/have been a/an [neglected] [and] [abused] child(ren) as defined in the Abuse and Neglect Act in the event the case proceeds to a hearing on a motion to terminate parental rights. h. The factual basis for the plea is as follows: ____________________. (Provide a concise statement of facts not being contested that fits with statutory definition(s) subject of the no contest plea.) 10. The parties stipulate, and the Court finds, that there is clear and convincing evidence, including testimony of a qualified expert witness, that the continued care of ____________ (name(s) of child(ren)) by Respondent(s) is likely to result in serious emotional or physical damage to the child(ren). 11. The parties stipulate, and the Court finds, that active efforts have been made to provide remedial services and rehabilitative programs designed to prevent the breakup of the Indian family and that these efforts were unsuccessful. 12. (Select appropriate option(s) and delete the rest) a. The treatment plan contained within the Family Treatment Plan and Predispositional Study, attached to this order as Exhibit A, is reasonable and should be ordered by the Court. b. The Court finds that reasonable efforts to preserve and reunify the family are not necessary as to Respondent _______________, as such efforts would be futile. c. Respondent ______________ has subjected ____________ (name of child(ren)) to aggravated circumstances. 13. Pursuant to Section 32A-4-22(A) NMSA 1978, the Court makes the dispositional findings of fact attached as Exhibit B and incorporated by reference into this order. 14. (The next three paragraphs are used only if CYFD retains legal custody of the child(ren).) ____________ (name(s) of child(ren)) is/are [not] placed in accordance with the placement preference of 25 U.S.C. § 1915(b) [but there is good cause to deviate from those placement preferences]. 15. (Select appropriate option and delete the rest) a. CYFD has made reasonable efforts to place siblings in custody together and they have been placed together. b. The siblings have not been placed together because ___________________, and the siblings have been provided reasonable visitation or other interaction, as follows: _____________. c. The siblings have not been provided reasonable visitation or other ongoing interaction because such visitation or other interaction would be contrary to the safety or well-being of any of the siblings because ______________. 16. ____________ (name(s) of child(ren)) has/have [not] been placed with a relative. CYFD has [not] made reasonable efforts to identify and locate all grandparents and other relatives and reasonable efforts to conduct home studies on any appropriate relatives expressing an interest in providing permanency for the child(ren).2 17. It is in the best interest of ____________ (name(s) of child(ren)) that he/she/they be in the legal custody of CYFD. 18. Visitation should be as set forth in the treatment plan adopted by the Court. 19. Respondent(s) should [not] sign the following releases as requested by CYFD:3 (List the requested releases) 20. Youth of the age of fourteen (14) and older should [not] sign the following releases as requested by CYFD:3 (List the requested releases) 21. Respondent(s) should [not] attend all school meetings regarding education for ____________ (name(s) of child(ren)). 22. The appointment(s) of ________________ as ____________’s (name(s) of child(ren)) educational decision maker and _______________ as ____________’s (name(s) of child(ren)) parent for the purposes of the Family Educational Rights and Privacy Act (FERPA) has/have been reviewed, and should [not] continue.4 (If not, identify who should make educational decisions and who should be considered a parent for purposes of FERPA. Repeat or modify if necessary.) THEREFORE, IT IS ORDERED, ADJUDGED, AND DECREED: 1. As to Respondent ________________, ________________ (name(s) of child(ren)) is/are a/an [abused] [and] [neglected] child(ren) as defined in the Children’s Code, as found above. (Repeat paragraph 1 above as necessary for each Respondent and adjust paragraph numbering.) 2. (Select appropriate custody option and delete the rest) a. Legal custody of ____________ (name(s) of child(ren)) shall be with CYFD for a period of up to two (2) years from the date of this order, subject to judicial review. b. Legal custody of ____________ (name(s) of child(ren)) shall be with Respondent(s) __________ with protective supervision in CYFD. c. Legal custody of ____________ (name(s) of child(ren)) shall be with _________ (formerly non-custodial parent) [with] [without] CYFD retaining protective supervision of the child(ren). 3. CYFD shall continue to place ____________ (name(s) of child(ren)) in accordance with ICWA. (This paragraph is used only if CYFD retains legal custody of the child(ren).) 4. The treatment plan is adopted, and CYFD shall make reasonable efforts to implement the treatment plan. 5. Respondent(s) ________________ shall make reasonable efforts to comply with the treatment plan and achieve the desired outcomes in the treatment plan. (Or, if futility of efforts or aggravated circumstances found for both Respondents, the Court will schedule a permanency hearing within thirty (30) days.) 6. Visitation shall be as set forth in the treatment plan. 7. CYFD and attorneys of record shall have, during the pendency of this case, access to all records and reports relating to investigation, treatment, and/or education. Further disclosure of records, reports, writings, or related information to third parties or persons is prohibited except as provided by Section 32A-4-33 NMSA 1978. 8. This matter shall be referred to the Child Support Enforcement Division of the New Mexico Human Services Department (CSED) for determination of ongoing child support as to Respondent(s) ____________. As required by federal and state law, Respondent(s) shall pay the reasonable costs of support and maintenance of the child that the parent(s) are financially able to pay as provided by Section 32A-4-26 NMSA 1978, and CYFD shall refer this matter to CSED for determination of ongoing support obligations. 9. Respondent(s) shall maintain regular communication with his/her/their attorney(s) and CYFD worker to inform him/her/themselves about the dates and times of any court hearings or meetings requiring his/her/their attendance. 10. (If applicable) A separate order shall issue [appointing] [changing] ____________’s (name(s) of child(ren)) educational decision maker and parent for the purposes of FERPA.4 11. Respondent(s) shall identify any and all relatives known to them who are or may be interested in providing permanency and/or placement for ____________ (name(s) of child(ren)). ________________________________ District Court Judge ______________________________________ (Add signature lines for all attorneys in the case)