47-671 Oasis St., Indio, CA 92201 30755-D Auld Rd. Ste. 1226, Murrieta, CA 92563 9991 County Farm Rd., Riverside, CA 92503 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) TELEPHONE NO.: FOR COURT USE ONLY FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): CHILD’S NAME: CASE NUMBER: Hearing Date: Time: Department: IT IS HEREBY STIPULATED BY THE PARTIES TO THE ABOVE-ENTITLED MATTER THAT: 1. The parties waive their appearance and a reporter’s transcript for this hearing. 2. Notice was given as required by law. 3. For the child[ren] ten years of age or older who is/are not present. The child[ren] received proper notice of their right to attend the hearing. 4. The court has read and considered the social worker’s report and recommendation dated and report of any court appointed advocate dated . 5. The child[ren] shall be continued as dependent[s] of the court pursuant to Welfare and Institutions Code Section 300, subsection[s] A B C D E F G H I J 6. The child[ren]’s care, custody and control remains with the Director of DPSS. 7. The child[ren] shall be continued in suitable relative care, with an able and willing non-related extended family member, licensed shelter, foster home, or suitable facility able to meet the child[ren]’s needs. 8. The child[ren]’s out-of-home placement is necessary and the current placement is appropriate. 9. The child is on runaway status. DPSS has made reasonable efforts to locate the child. 10. The child[ren] is/are placed outside the State of California and that Out-Of-State placement does continue to be the most appropriate placement and is in the child[ren]’s best interest 11. DPSS has complied with the ase lan by making reasonable efforts, including whatever steps are necessary to make and finalize the permanent placement of the child[ren]. 12. The services provided to the child[ren] have been adequate. Adopted for Mandatory Use Riverside Superior Court RI-JV020 [Rev. / /11] American LegalNet, Inc. www.FormsWorkFlow.com CHILD’S NAME: CASE NUMBER: 13. DPSS has made reasonable efforts that are consistent with the child[ren]’s best interest to maintain the relationship between the child[ren] who is/are ten years old or older and a designated important person in the child[ren]’s life. 14. Medical, mental, dental, surgical, mental health care/testing as required is authorized. DPSS is authorized to collect reimbursement pursuant to W&IC § 903 et seq. 15. The permanent plan selected below is appropriate and is ordered the permanent plan: return home adoption legal guardianship planned permanent living arrangement with a specific goal of . 16. The likely date by which the agency will finalize placement of the child[ren] and/or the child[ren]’s specific goal will be achieved is . 17. The extent of progress made by the mother towards alleviating or mitigating the causes necessitating placement has been not applicable parental rights terminated none minimal moderate substantial. 18. The extent of progress made by the father towards alleviating or mitigating the causes necessitating placement has been Not applicable Parental rights terminated none minimal moderate substantial. 19. The court has read and considered the case plan and it is approved as written. 20. The child[ren] do/does have siblings under the court’s jurisdiction and the sibling relationship have been maintained pursuant to W&IC § 16002. 21. For children twelve and over, the child was actively involved in the development of the case plan including planning for the child’s permanent placement. The child was given the opportunity to review, sign, and receive a copy of the case plan. 22. For children twelve and over, the child was not actively involved in the development of the case plan including planning permanent placement because the child was unable, unavailable, or unwilling to participate. 23. For children sixteen and over, 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. 24. The next Post-Permanency Planning Review Hearing is set on at 8:00 a.m. in Department . A compelling reason exists for not setting a W&IC 366.26 hearing in that such a hearing is not in the best interest of the child[ren] because the child[ren] is/are not a proper subject for adoption at this time and has/have no one currently willing or appropriate to accept legal guardianship. A permanent plan of legal guardianship or adoption may be appropriate, and the matter is order set for a hearing pursuant to W&IC 366.26 on in Department . DPSS and/or a licensed county adoption agency shall prepare an assessment report as described in W&IC 366.22(b). The clerk’s office is ordered to give notice pursuant to CRC 5.695(f)(18). 25. Additional orders requested: Adopted for Mandatory Use Riverside Superior Court RI-JV020 [Rev. / /11] American LegalNet, Inc. www.FormsWorkFlow.com CHILD’S NAME: 26. CASE NUMBER: All prior orders not in conflict shall remain in full force and effect. (ATTORNEY FOR CHILD[REN]) (DPSS ATTORNEY/COURT OFFICER) (ATTORNEY FOR MOTHER) (ATTORNEY FOR FATHER OF:) (ATTORNEY FOR FATHER OF:) (ATTORNEY FOR FATHER OF:) ORDER BASED ON THE COURT’S REVIEW OF THE SOCIAL WORKER’S REPORT AND RECOMMENDATIONS, ADDENDUMS AND ANY COURT-APPOINTED ADVOCATE REPORT, THE COURT MAKES EACH OF THE FINDINGS AND ORDERS SPECIFIED IN THIS STIPULATION AND FURTHER ORDERS THAT THIS STIPULATION RE: POSTPERMANENCY PLANNING HEARING BE FILED AND INCORPORATED BY REFERENCE AND ATTACHED AS A PART OF THE FILE IN THIS MATTER. (DATE) (JUDICIAL OFFICER) I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: (TYPE OR PRINT NAME OF ATTORNEY PARTY MAKING DECLARATION) (SIGNATURE) Adopted for Mandatory Use Riverside Superior Court RI-JV020 [Rev. / /11] American LegalNet, Inc. www.FormsWorkFlow.com