Order on Review Hearing (CHINS) (ORRVH) - Page 1 of 3 WPF JU 05.0500 (07/2018) - RCW 13.32A.190 Superior Court of Washington County of Juvenile Court In the Interest of: D.O.B.: N o : Order on Review Hearing (CHINS) (ORRVH) Clerk222s Action Required. Paragraphs 3.1, 3.3, 3.4 I. Hearing 1.1 A review hearing was held in the child in need of services (CHINS) proceeding regarding the above-named child on . (Date) 1.2 Persons appearing were: Child Child222s Lawyer Parent Parent222s Lawyer DCYF Case Worker State222s Lawyer Probation Counselor Other 1.3 The child222s parent Department of Children, Youth, and Families requested dismissal of the out-of-home placement order because it is not feasible for the department to provide services, due to one or more of the following circumstances: The child has been absent from court-approved placement for 30 consecutive days or more. The parents or the child, or all of them, refuse to cooperate with available and appropriate intervention aimed at reunifying the family. The Department of Children, Youth, and Families has exhausted all available and appropriate resources that would result in reunification. 1.4 Testimony was taken. 1.5 The court advised the parties of their rights under RCW 13.32A.190. II. Findings The court finds: 2.1 Child222s Indian status: Does not apply because the petition was not filed by Department of Children, Youth, and Families. American LegalNet, Inc. www.FormsWorkFlow.com Order on Review Hearing (CHINS) (ORRVH) - Page 2 of 3 WPF JU 05.0500 (07/2018) - RCW 13.32A.190 There is not a reason to know the child is an Indian child as defined in RCW 13.38.040 and 25 U.S.C. 247 1903(4), and the Federal and Washington State Indian Child Welfare Acts do not apply to this proceeding. There is a reason to know the child is an Indian child as defined in RCW 13.38.040 and 25 U.S.C. 247 1903(4), and the Federal and Washington State Indian Child Welfare Acts apply do not apply to this proceeding. The notice required under RCW 13.38.070 and 25 U.S.C. 247 1912(a) has has not been given. 2.2 Reasonable efforts have been have not been made to reunify the family and make it possible for the child to return home. 2.3 Out-of-home placement should be terminated because: The court has reasonable grounds to believe that the parents have made reasonable efforts to utilize services and resolve the conflict, and the court has reason to believe that the child222s refusal to return home is capricious. It is not feasible for the Department of Children, Youth, and Families to provide services due to one or more of the following circumstances: The child has been absent from court-approved placement for 30 consecutive days or more. The parents or the child, or all of them, refuse(s) to cooperate with available, appropriate intervention aimed at reunifying the family. The Department of Children, Youth, and Families has exhausted all available and appropriate resources that would result in reunification. 2.4 Out-of-home placement should be continued. 2.5 Other provisions: III. Order The court orders that: 3.1 The petition is dismissed. Out-of-home placement is terminated and the child shall return to the parental home on or before . (Date) Out-of-home placement is continued. The order of (Date) shall continue in full force and effect. is modified as follows: American LegalNet, Inc. www.FormsWorkFlow.com Order on Review Hearing (CHINS) (ORRVH) - Page 3 of 3 WPF JU 05.0500 (07/2018) - RCW 13.32A.190 3.2 The person or agency having custody of the child shall have full power to authorize and provide all necessary, routine and emergency medical, dental, or psychological care as recommended by the child222s treating doctor or psychologist. 3.3 A review hearing shall be held: On: at a.m./p.m. (Date) (Time) At: Court, Room/Department Address: 3.4 A copy of this order and notice of hearing shall be given to all parties by: . Dated: Judge/Commissioner Presented by: Signature Child Type or Print Name/Title/WSBA No. Parent DCYF Parent Attorney for Mother Type or Print Name/WSBA No. Attorney for Father Type or Print Name/WSBA No. Notice A party who fails to comply with the terms of this order may be found in contempt. American LegalNet, Inc. www.FormsWorkFlow.com