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JV-430
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name):

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

CHILD'S NAME:

FINDINGS AND ORDERS AFTER SIX-MONTH PREPERMANENCY HEARING
(Welf. & Inst. Code, § 366.21(e)) 1. Six-month prepermanency hearing a. Date: b. Department: c. Judicial officer (name): d. Court clerk (name): h. Party (name): (1) Child: (2) Mother: (3) Father--presumed: (4) Father--biological: (5) Father--alleged: (6) Legal guardian: (7) Indian custodian: (8) De facto parent: (9) County agency social worker: (10) Other (specify): i. Others present in courtroom: (1) Court Appointed Special Advocate (CASA) volunteer (name): (2) Other (name): (3) Other (name): 2. The court has read and considered and admits into evidence: a. b. c. d. Report of social worker dated: Report of CASA volunteer dated: Other (specify): Other (specify):

CASE NUMBER:

e. Court reporter (name): f. Bailiff (name): g. Interpreter (name and language): Present Attorney (name): Present Appointed today

BASED ON THE FOREGOING AND ON ALL OTHER EVIDENCE RECEIVED, THE COURT FINDS AND ORDERS: 3. a. b. Notice of the date, time, and location of the hearing was given as required by law. For child 10 years of age or older who is not present: The child received proper notice of his or her right to attend the hearing.

Page 1 of 5 Form Approved for Optional Use Judicial Council of California JV-430 [Rev. January 1, 2007]

FINDINGS AND ORDERS AFTER SIX-MONTH PREPERMANENCY HEARING
(Welf. & Inst. Code, § 366.21(e))

Welfare and Institutions Code, § 366.21(e); Cal. Rules of Court, rule 5.710 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com

JV-430
CHILD'S NAME:
CASE NUMBER:

4. a. b.

may be an Indian child, and notice of the proceeding and the right of the tribe to intervene is The child was provided as required by law. Proof of such notice was filed with this court. There is reason to believe that the child may be of Indian ancestry, and notice of the proceedings was provided to the Bureau of Indian Affairs as required by law. Proof of such notice was filed with this court. A Court Appointed Special Advocate is appointed for the child.

5.

6. Paternity a. The court inquired of the mother others (names and relationships):

as to the identity and address of all presumed or alleged fathers. All alleged fathers present during the hearing who had not previously submitted a Statement Regarding Paternity (Juvenile Dependency) (form JV-505) were provided with and ordered to complete form JV-505 and submit it to the court. b. The clerk of the court is ordered to provide the notice required by Welf. & Inst. Code, § 316.2 to (1) alleged father (name): (2) alleged father (name): (3) alleged father (name):

Advisements and waivers 7. The court has informed and advised the mother presumed father other (specify): biological father alleged father legal guardian Indian custodian child

of the following: the right of each parent or guardian and the child to be present and to be represented by counsel at every stage of the proceedings and, if any of these parties is financially unable to retain counsel, any right to appointed counsel that exists, subject to the court's right to seek reimbursement; the right to assert the privilege against self-incrimination; the right to confront and cross-examine the persons who prepared the reports or documents submitted to the court by the petitioner and the witnesses called to testify against the parent, legal guardian, or Indian custodian; the right to subpoena witnesses; and the right to present evidence on his or her own behalf. 8. The mother biological father legal guardian presumed father alleged father Indian custodian other (specify): has knowingly and intelligently waived the right to a court trial on the issues, the right to assert the privilege against self-incrimination, the right to confront and cross-examine adverse witnesses, the right to subpoena witnesses, and the right to present evidence on his or her own behalf.

Siblings 9. 10. The child does not have siblings under the court's jurisdiction. The child does have siblings under the court's jurisdiction. a. The nature of the relationship between the child and the child's siblings is (1) stated on the record. (2) described in the social worker's report. (3) other (specify):

JV-430 [Rev. January 1, 2007]

FINDINGS AND ORDERS AFTER SIX-MONTH PREPERMANENCY HEARING
(Welf. & Inst. Code, § 366.21(e))

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JV-430
CHILD'S NAME:
CASE NUMBER:

10.

b. (1)

Developing or maintaining the sibling relationship with the siblings named below is appropriate. (a) (name): (d) (name): (b) (name): (e) (name): (c) (name): (f) (name):

Developing or maintaining the sibling relationship with the siblings named below is not appropriate. (a) (name): (d) (name): (b) (name): (e) (name): (c) (name): (f) (name): (3) The basis for the finding in this item b. is stated on the record. (a) (b) described in the social worker's report. other (specify): (c) c. The impact of the sibling relationships on the child's placement and planning for legal permanence is (1) stated on the record. (2) described in the social worker's report. (3) other (specify): 11. 12. The child and all of the child's siblings under the court's jurisdiction are placed together in the same home. The child and all of the child's siblings under the court's jurisdiction are not placed together in the same home. a. Efforts are being made to place the child and the following siblings together. (1) Child's siblings: (d) (name): (a) (name): (e) (name): (b) (name): (f) (name): (c) (name): (2) The reasons the child and these siblings are not placed together and the efforts being made to do so are (a) stated on the record. (b) described in the social worker's report. (c) other (specify): b. Efforts to place the child with the following siblings are not appropriate. (1) Child's siblings: (a) (name): (b) (name): (c) (name): (2) The reasons that efforts to place the child with these siblings are not appropriate are (a) stated on the record. (b) described in the social worker's report. (c) other (specify): The frequency and nature of the visitation between the child and child's siblings who are not placed together are (1) stated on the record. (2) described in the social worker's report. (3) other (specify):

(2)

c.

JV-430 [Rev. January 1, 2007]

FINDINGS AND ORDERS AFTER SIX-MONTH PREPERMANENCY HEARING (Welf. & Inst. Code, § 366.21(e))

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JV-430
CHILD'S NAME:
CASE NUMBER:

Efforts 13. The county agency has a. has not b. complied with the case plan by making reasonable efforts to return the child to a safe home through the provision of reasonable services designed to aid in overcoming the problems that led to the initial removal and continued custody of the child, and by making reasonable efforts to complete whatever steps are necessary to finalize the permanent placement of the child. 14. The child is may be an Indian child, and a. by clear and convincing evidence active efforts were made to provide remedial services and rehabilitative programs designed to prevent the breakup of this Indian family, and these efforts were unsuccessful. b. active efforts were not made to provide remedial services and rehabilitative programs designed to prevent the breakup of this Indian family.

15. The following persons have made the indicated level of progress toward alleviating or mitigating the causes necessitating placement: Adequate Substantial Excellent None Minimal a. b. c. d. e. f. 16. Mother Presumed father Biological father Legal guardian Indian custodian Other (specify): Child 16 years of age or older: a. b. c. The services set forth in the case plan include those needed to assist the child in making the transition from foster care to independent living. The services set forth in the case plan do not include those needed to assist the child in making the transition from foster care to independent living. To assist the child in making the transition to independent living, the agency must add to the case plan and provide the services (1) set forth on the record. (2) as follows:

17. Placement and services are ordered as set forth in (check appropriate box and attach indicated form): Six-Month Prepermanency Attachment: Child Reunified (Welf. & Inst. Code, § 366.21(e)) (form JV-431), which is a. attached and incorporated by reference. b. c. Six-Month Prepermanency Attachment: Reunification Services Continued (Welf. & Inst. Code, § 366.21(e)) (form JV-432), which is attached and incorporated by reference. Six-Month Prepermanency Attachment: Reunification Services Terminated (Welf. & Inst. Code, § 366.21(e)) (form JV-433), which is attached and incorporated by reference. Contact with the child is ordered as set forth in (check appropriate box and attach indicated form): a. Visitation Attachment: Parent, Legal Guardian, Indian Custodian, Other Important Person (form JV-400). Visitation Attachment: Sibling (form JV-401). b. Visitation Attachment: Grandparent (form JV-402). c.

18.

19. All prior orders not in conflict with this order remain in full force and effect. 20. Other findings and orders: a. See attached. (Specify): b.

JV-430 [Rev. January 1, 2007]

FINDINGS AND ORDERS AFTER SIX-MONTH PREPERMANENCY HEARING
(Welf. & Inst. Code, § 366.21(e))

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JV-430
CHILD'S NAME:
CASE NUMBER:

21.

The next hearing is scheduled as follows: Hearing date: a. b. c. d. e. Time: Dept: Room:

In-home status review hearing (Welf. & Inst. Code, § 364) 12-month permanency hearing (Welf. & Inst. Code, § 366.21(f)) Selection and implementation hearing (Welf. & Inst. Code, § 366.26) Postpermanency hearing (Welf. & Inst. Code, § 366.3) Other (specify):

22.

The petition is dismissed. Jurisdiction of the court is terminated. All appointed counsel are relieved of the duty to provide further representation.

23. Number of pages attached:

Date:
JUDGE JUDGE PRO TEMPORE COMMISSIONER REFEREE

JV-430 [Rev. January 1, 2007]

FINDINGS AND ORDERS AFTER SIX-MONTH PREPERMANENCY HEARING
(Welf. & Inst. Code, § 366.21(e))

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