JV-667 CHILD'S NAME: CASE NUMBER: CUSTODIAL AND OUT-OF-HOME PLACEMENT DISPOSITION ATTACHMENT THE COURT FINDS AND ORDERS 1. a. b. 2. a. b. c. 3. a. b. The maximum time the child may be confined in secure custody for the offenses sustained in the petition before the court is (specify): in the petition before the court, with the terms of all previously sustained petitions known to the court aggregated, is (specify): The child is committed to (specify): and is to report to (name): with credit for (specify): days served. days by months in juvenile hall a.m. p.m. on (date): and is remanded forthwith. Continuance in the home is contrary to the child's welfare. The welfare of the child requires that physical custody be removed from the parent or guardian. (Check only if applicable): The child's parent or guardian has failed or neglected to provide, or is incapable of providing, proper maintenance, training, and education for the child. The child has been on probation in the custody of the parent or guardian and has failed to reform. c. Continuance in the home is contrary to the child's welfare. 4. 5. a. b. 6. a. Probation is granted the authority to authorize medical, surgical, or dental care under Welfare and Institutions Code section 739. Reasonable efforts to prevent or eliminate the need for removal have been made. have not been made. The probation officer will ensure provision of reunification services, and the following are ordered to participate in the reunification services specified in the case plan: Mother Biological father Presumed father Legal guardian Alleged father b. (1) (2) Indian custodian Other (specify): because the court finds by clear Reunification services do not need to be provided to (name): and convincing evidence that (check one) reunification services were previously terminated for that parent or not offered under section 300 et seq. of the Welfare and Institutions Code. that parent has been convicted of murder of another child of the parent voluntary manslaughter of another child of the parent aiding, abetting, attempting, conspiring, or soliciting to commit murder or manslaughter of another child of the parent felony assault resulting in serious bodily injury to the child or another child of the parent. the parental rights of that parent regarding a sibling of the child have been terminated involuntarily. The child is ordered to continued in the care, custody, and control of the probation officer for placement in a suitable relative's home or in a foster or group home. The following are ordered to meet with the probation officer on a monthly basis: Mother Alleged father Biological father Indian custodian Legal guardian Other (specify): Presumed father (3) c. d. e. The child is ordered to obey all reasonable directives of placement staff and probation. The child is not to leave placement without the permission of probation or placement staff. Page 1 of 2 Form Approved for Optional Use Judicial Council of California JV-667 [Rev. January 1, 2016] CUSTODIAL AND OUT-OF-HOME PLACEMENT DISPOSITION ATTACHMENT Welfare and Institutions Code, §§ 702, 706.6, 725, 727, 727.2; Cal. Rules of Court, rules 5.785, 5.790, 5.795 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com JV-667 CHILD'S NAME: CASE NUMBER: 6. f. (1) (2) The child is to be placed out of state at the following (name and address): In-state facilities are unavailable or inadequate to meet the needs of the child. The state Department of Social Services or its designee has performed initial and continuing inspection of the facility and has certified that it meets all California licensure standards, or has granted a waiver based on a finding that there is no adverse impact to health and safety. The requirements of section 7911.1 of the Family Code are met. Pending placement, the child is detained in juvenile hall. If being housed in another county, please specify county: The child is placed on home supervision in the home of (a) (b) (c) (d) parent (name): parent (name): legal guardian (name): other (name and address): and is subject to electronic monitoring. mother mother father father (3) g. h. i. j. k. l. The parent or legal guardian must cooperate in the completion and signing of necessary documents to qualify the child for any medical or financial benefits to which the child may be entitled. The county is authorized to pay for care, maintenance, clothing, and incidentals at the approved rate. The likely date by which the child may be returned to and safely maintained in the home or another permanent plan selected is (specify date): The right of the parent or guardian to make educational decisions for the child is specifically limited. Order Designating Educational Rights Holder (form JV-535) will be completed and transmitted. The child has been ordered into a placement described by title IV-E of the Social Security Act. 7. a. b. The date the child entered foster care is: removed from his or her home. (1) (2) , which is 60 days after the day the child was An exception applies to the standard calculation of the date the child entered foster care because the child has been detained for more than 60 days. Therefore, the date the child entered foster care is today's date of: . the child has been in a ranch, camp, or other institution for more than 60 days and is now being ordered into an eligible placement. The date the child enters foster care will be the date he or she is moved into the eligible placement facility, which is anticipated to be: . at the time the wardship petition was filed, the child was a dependent of the juvenile court and in an out-of-home placement. Thus, the date entered foster care is unchanged from the date the child entered foster care in dependency court. That date is: . (3) 8. a. b. c. 9. The child is committed to the care, custody, and control of the probation office for placement in the county juvenile ranch, camp, forestry camp, or: for: months days. until the requirements of the program have been satisfactorily completed. If being housed in another county, please specify: The child is committed to the Department of Corrections and Rehabilitation, Division of Juvenile Justice, and Commitment to the California Department of Corrections and Rehabilitation, Division of Juvenile Facilities (form JV-732) will be completed and transmitted. Date: JUDICIAL OFFICER JV-667 [Rev. January 1, 2016] CUSTODIAL AND OUT-OF-HOME PLACEMENT DISPOSITION ATTACHMENT Page 2 of 2 American Lega