JV-402 CHILD'S NAME: CASE NUMBER: VISITATION ATTACHMENT: GRANDPARENT 1. Anyone who appears to be under the influence of alcohol or any controlled substance will not be allowed to participate in a scheduled visitation with the child. The visitation supervisor may terminate the visit if this order is violated. Matters relating to the allegations of the petition or issues related to the child's placement are not to be discussed with the child during visits except under the guidance of a counselor in a therapeutic setting. The visitation supervisor may terminate the visit if this order is violated. Contact between the child and grandparent a. Contact between the child and the maternal grandmother maternal grandfather other maternal grandparent (specify): is in the best interest of the child at this time and will serve to strengthen family ties. (1) In-person visitation (a) Unsupervised (b) Supervised by the (i) county agency other (specify): Frequency and duration (i) (ii) (iii) (iv) Location (i) (iii) (e) times per week for a total of times per month for a total of An overnight visit every week Other (specify): County agency visitation facility Other (specify): hours per week hours per month every other week (iii) (ii) foster family agency 2. 3. (c) (d) (ii) Foster family agency facility Transportation of the child to and from the visits will be provided by the (i) (ii) county agency. foster family agency (iii) other (specify): Other orders concerning in-person visitation (specify): (f) (2) Other types of contact permitted (specify): (3) Contact restrictions The following contact between the child and the maternal grandmother maternal grandfather other maternal grandparent (specify): is not in the best interest of the child at this time and the specified person is to have no such contact with the child: (a) (c) In-person contact Telephone contact (b) Written communication Page 1 of 2 Form Approved for Optional Use Judicial Council of California JV-402 [Rev. January 1, 2007] VISITATION ATTACHMENT: GRANDPARENT Welfare and Institutions Code, § 361.2; Cal. Rules of Court, rule 5.670 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com JV-402 CHILD'S NAME: CASE NUMBER: 3. b. Contact between the child and the paternal grandmother paternal grandfather other paternal grandparent (specify): is in the best interest of the child at this time and will serve to strengthen family ties. (1) In-person visitation (a) Unsupervised (b) Supervised by the (i) county agency (iii) other (specify): Frequency and duration (i) (ii) (iii) (iv) Location (i) (iii) (e) times per week for a total of times per month for a total of An overnight visit every week Other (specify): County agency visitation facility Other (specify): (ii) hours per week hours per month every other week (ii) foster family agency (c) (d) Foster family agency facility Transportation of the child to and from the visits will be provided by the (ii) (i) county agency. foster family agency. (iii) other (specify): Other orders concerning in-person visitation (specify): (f) (2) Other types of contact permitted (specify): (3) Contact restrictions The following contact between the child and the paternal grandmother paternal grandfather other paternal grandparent (specify): is not in the best interest of the child at this time and the specified person is to have no such contact with the child: (a) (b) In-person contact Written communication (c) Telephone contact 4. Other (specify): JV-402 [Rev. January 1, 2007] VISITATION ATTACHMENT: GRANDPARENT Page 2 of 2