WARREN COUNTY, OHIO COMMON PLEAS COURT JUVENILE DIVISION In the Matter of ) Case No. ____________________________ : ______________________________________________ ) Hearing Date:_________________________ (DoB:_________________; SSN: __________________) : Alleged Unruly Delinquent Child Adult ) JUDGMENT ENTRY PRESENT:______________________________________________________________________________________ ATTORNEY ________________________________________________representing Warren County Prosecutor ATTORNEY ________________________________________________representing DEFENDANT ATTORNEY ________________________________________________representing__________________________ THIS MATTER IS BEFORE THE COURT FOR: Detention Hearing Pretrial Hearing Disposition Hearing Arraignment Hearing Adjudicatory Hearing Other____________ The within Complaint(s) and allegations therein were read and explained to subject, parent(s)/guardian(s)/custodian(s), as well as consequences of his/her plea thereto. The subject, parent(s)/guardian(s)/custodian(s) were advised of his/her constitutional and procedural rights, including the right to legal counsel. Juv. R. 4(A); Juv. R. 29(B), (D). The right to counsel was waived Counsel was requested by subject Subject granted one (1) week to obtain counsel Subject may complete indigency forms for court-appointed counsel and return within seven (7) days or the right to courtappointed counsel may be decreed waived. Subject entered the following plea to: CNT ORC DISMISS AMEND ORC ADMIT/ GUILTY DENY/ N.G. UNRULY /N.C. DELQ FINE SUSPEND COST $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Court being satisfied that the admissions entered herein were made voluntarily with understanding of the nature of the allegations, the consequences of the admission and that the party is waiving the right to challenge witnesses and evidence, to remain silent and introduce evidence at the adjudicatory hearing. It is ORDERED, ADJUDGED and DECREED that subject be committed to/placed on/obtain: ODYS for a minimum term of _____ and a maximum period not to exceed the child’s attainment of age 21; MHYC. Child shall reasonably progress, successfully complete and benefit from the program. Other______________________________________ Issue Recall Warrant Hold in Detention Juv. R. 7 No contact with:______________________________ Assessment and Follow Recommendations: Drug and Alcohol Mental Health MYHC Presentence Investigation Sex Offender YOLSI Suspended Commitment to: ___________________________ ___________________________ Administrative Supervision Reporting Probation Intensive Probation Monitored Time Drug and Alcohol Monitoring (No Use Permitted) Curfew:_______________ p.m. Community Service: ____ hours Restitution_________________ Obtain _________-Time Employment Full Disclosure Polygraph House Arrest Electronically Monitored House Arrest Obtain High School Diploma Obtain GED O.L. Suspension until_____________________ Day Reporting YES Anger Management Drug and Alcohol: Education Intervention It is further ORDERED, ADJUDGED and DECREED that: It is further ORDERED, ADJUDGED and DECREED that the matter shall be scheduled for ________________________ on the _____ day of _______________, 20___ at ____:____ ____.m. _____________________________________________ MIKE POWELL, Judge The undersigned hereby acknowledge receipt of a copy of this Judgment Entry. ____________________________ Juvenile ____________________________ Parent/Guardian/Custodian ____________________________ Attorney/GaL CASE DISPOSITION:_____________________STATUS:______________ American LegalNet, Inc. www.USCourtForms.com ADDENDUM TO JUDGMENT ENTRY The Court finds that said child could benefit from being committed to the legal custody of □ the Ohio Department of Youth Services □ Mary Haven Youth Center for care and rehabilitation and that said commitment is the least restrictive form of treatment, which is appropriate. Court further finds that continuation in the child’s own home would be contrary to the said child’s interest or welfare for the reasons detailed in this Court’s decision journalized this date which is adopted and incorporated herein. It is further ORDERED that the minor child be placed in the temporary custody of Warren County Juvenile Court for placement at Mary Haven Youth Center for care and rehabilitation pursuant to Ohio Revised Code section 2152.19(A)(2). The custodial parent shall be responsible to provide and maintain all clothing, medical, dental, optical and prescription expenses incurred on behalf of subject child during said placement. Based upon the Court’s finding that the child has _________________________________________________________________, the Court hereby invokes the commitment in Case Number _______________ to the Ohio Department of Youth Services previously suspended on ________________. Pursuant to Section 2152.16 of the Ohio Revised Code it is ORDERED by the Court that the minor child is hereby committed to the legal custody of the Ohio Department of Youth Services for institutionalization for an indefinite term consisting of a minimum period of ___________________ and a maximum period not to exceed the subject’s attainment of twenty-one (21) years of age. The Court finds that it is in the best interest of defendant that (s)he be committed to Mary Haven Youth Center for residential treatment. The Court further finds that reasonable efforts have been made to prevent removal of defendant from defendant’s home, to eliminate defendant’s continued removal from his/her home and to make it possible to return the defendant to his/her home. Those reasonable efforts include: ____________________________________________________________________________; but same is not now in the child’s best interests due to _______________________________________________________________________________________. The child’s programming in Mary Haven Youth Center shall include sex offender treatment and a referral for a complete psychiatric evaluation. The Court finds that subject’s custodial parent(s) reside in the ___________________ School District, and the Court therefore ORDERS, pursuant to Section 3313.64(C)(2)(a) of the Ohio Revised Code, that the said district shall bear the costs of educating this subject during this placement. The Court further ORDERS the said district to release all school records, immunization records, and transcripts of minor child to the Ohio Department of Youth Services. It is further ORDERED that subject shall be detained in the Warren County Juvenile Detention Center pursuant to Rule 7, Ohio Rules of Juvenile Procedure, for his own safety and welfare and that of the public, pending transportation to the Ohio Department of Youth Services. It is further ORDERED that a social history shall be prepared to include court record, family history, personal history, school and attendance records, and such other pertinent studies and material, and transmitted to the Ohio Department of Youth Services. It is further ORDERED that mental health evaluations shall accompany the DIR. It is further ORDERED by the Court that a Warrant to Convey be issued to the Warren County Sheriff, to convey and deliver said child to said place of commitment and that due return thereof be made to this Court. It is further ORDERED that Ohio Department of Youth Services shall reduce the minimum period of institutionalization that was ordered herein by __________ total number of days that the child has been so held in detention prior to this commitment and by __________ total number of days that the child has been held in detention subsequent to the order of commitment but prior to the transfer of physical custody of the child to the department as required by Ohio Revised Code Section 2152.18(B). The Court further ORDERS that copies of all reports from assessments completed upon this youth by the Ohio Department of Youth Services are made available to this Court upon the completion of the intake process. It is further ORDERED that subject minor child shall receive substance abuse treatment, sex offender and/or treatment while in the custody of the Ohio Department of Youth Services/Mary Haven Youth Center. mental health/ psychiatric Parent(s) shall appear for Income Examination on _______________________________ at ____:____ ____.m. for purposes of establishing an appropriate order for child support during period of child’s out-of-home placement. Clerk is directed to serve notice and order for production of documents on parent(s) by ordinary mail. It is further ORDERED that the child support obligation of ________________________ whose date of birth is ______________ and whose social security number is ____________________ to the Warren County Juvenile Court for the child’s placement in Mary Haven Youth Treatment Center shall be TERMINATED effective ______________ (the day the subject child was placed in the Warren County Juvenile Detention Center). It is further ORDERED that the child support obligation of said obligor(s) to the Warren County Juvenile Court for the child’s placement at Ohio Department of Youth Services shall be REINSTITUTED effective _______________ (the day the subject child was transport from the Warren County Juvenile Detention Center to Ohio Department of Youth Services). Pursuant to Civ. R. 58, the Court Orders the clerk to serve upon all parties not in default for failure to appear notice of the judgment and its date of entry upon the journal. Within three days of entering the judgment upon the journal, the clerk shall serve the parties in a manner prescribed by Civ. R. 5(B) and note the service in the appearance docket. American LegalNet, Inc. www.USCourtForms.com