Preview
Electronically Filed
5/24/2021 3:06 PM
Penny Clarkston, Smith County District Clerk
Reviewed By: Gina McClung
Case Name: Wilcox,Ashleagh
Case#: 48612529
Cause No: 21-0772-D
Child Protective Services (CPS) -Conservatorsh ip
The purpose of this form is to document the visitation schedule between the child(ren) and
participants listedbelow.
The caseworker is required to develop the visitation plan in collaboration with the participants. If
there are visitationand scheduling restrictions please make them known to the caseworker during
the development of the plan.
The visitation plan willbe reviewed upon request by the parent, DFPS or court but no later than
the next family service plan review.
Note to Parents: While your children are in DPFS custody, you can have contact with them
according to the plan outlined below, unless a court has ordered otherwise.
PARTICIPANTS INCLUDED IN THE VISIT(INCLUDING SIBLINGS)
IName(s) of Participants Phelps,Jamie Wilcox,Hayden
VISITATION SCHEDULE
Stage of Unsupervised - Parent(s) can be alone with child. No monitor is present during the
Supervision visit.
Low -Visitation where the monitor may be present for portion Parent(s)
of the visit.
would have time alone with their child.
Medium -Visitation with a monitor is close enough to observe the visit but isnot
required to hear everything that is said between the parent(s) and child. Parent(s)
may have some time alone with their childif the monitor ensures certain conditions
are satisfied
High -Child(ren) may not be removed from the presence of the monitor. Parent(s)
cannot be alone with their child(ren)
Phelps,Jamie
‘Vilcox,Hayden High
re there any limitations on visits?
Supervised Theraputic Visitation
Length of visit: 1 hour
Jisit Frequency: Biweekly
Day(s) and Time(s) of Visit: Nednesday 9AM-1OAM; or as determined and scheduled by Counselor
JisitLocation (options may DFPS Office 3303 Mineola Highway Tyler, TX 75702
include the home of the parents,
relatives, or foster parent; CPS
office;or agreed upon location):
Jisit Supervision (list all
persons Camella Jones, LPC (903) 283-7726
approved to supervise and their
contact information):
\dditional Supportive Adults (list N/A
05-1 8-2021 DFPS Paae 1 of 4
Case Name: Wilcox,Ashleagh
Case #: 48612529
Cause No: 21 -0772-0
ChiIciProtective Services (CPS) - Conservatorship
any adults that the parent would
likeCPS to consider to
supervise visits and aid in
ransportation):
If visits are supervised, address Supervised visits until otherwised determined by the Court, Department, and
vhat needs to occur for visits to or Counselor. The No Contact order need to be withdrawn.
have less/no supervision:
List other approved forms of N/A
contact (examples include email,
social media, texting, or phone
calls):
Rules and expectations for visits 1, If youare unable to attend a scheduled visit,you must notify your
(including any rules regarding caseworker or the person who is supervising the visit at least 24 hours prior
vho may come to the visit): to the visit.If anemergency prevents your attendance, please contact your
caseworker. 2. Do not whisper to Hayden or in other ways attempt to prevent
the one supervising the visit from hearing what you are saying. 3. Do not tell
Hayden he will be coming home soon. 4. Do NOT discuss your case or future
,isitationrequests in front of Hayden. 5. Do not argue in the visit with the
person supervising your visit. If you disagree or have a complaint, wait until
he visit is over and discuss it away from Hayden. No swearing, cursing, or
elling willbe tolerated at anytime. 6.The visit will end at any time Hayden
indicates that he is fearfulof continuing or at any time the person supervising
eels that there are concerns that warrant bringing the visit to aclose.
*****please Do not use your phone as entertainment for Hayden. This is
quality time to be spent with you that allows bonding.
Services provided to support N/A
,isitation(address services that
are being provided to the parent
to assist with the visits,such as
ransportation, snacks, activities,
etc.):
SIGNATURES
I participated in the development of this visitation plan and the Important Information for Parents about
Visitation was reviewed with me. Iunderstand the plan and the Important Information for Parents as
written.
Parent Signature: Date Signed:
05-1 8-2021 DFPS Paae 2 of 4
Case Name: Wilcox,Ashleagh
Case #: 48612529
Cause No: 21-0772-D
VISlTATION PLAN
Child Protective Services (CPS) - Conservatorship
‘Date Copy Provided: I
Signature Date Signed:g/j /2t2. I
I
#1Z4zZ Date Copy Provided:
I
DFP Case)
OD Date Signed:
5/14/2021 I
DFPS
arent
Supervisor:
Important Information for Parents about Visitation:
Date Signed:
5/24/2021
I
This information is provided to assist you in having pleasant and meaningful visits with your child
• It is veryimportant for you to attend every visit on time. If you do not do this, your child willbe
disappointed when they are at the visit and you are not. If you have a problem getting to the visit or know that
you are likely tobe late,contact your caseworker as soon as you can to inform the caseworker you will be
late or are having a problem getting to the visit.
• It is
best not to make promises to your child during visitation,but if you do make a promise, such as “next
time Isee you Iwillbring your favorite book from home,” make sure you fulfill that promise.
• You can bring toys, clothes and pictures from home to the visit, If you have questions about the
appropriateness of an item, contact your caseworker prior to the visit.
• Show your child affection (i.e.hugs and handholding) during the visit unless you have specifically been
ordered not toby the court or your caseworker.
• The visit willbe observed and there are two reasons for this: to ensure the safety and well-being of your
child, and to gather information that willhelp improve future visits.
• Your child may ask difficult questions such as “when can I come home?” You should not respond with a
specific date because that can change along the way and you don’t want to disappoint your child. A good
response could be “I hope itis soon, but I’m so glad Iget to see you now.” Your child will probably ask this
several times and possibly every time they talk to you.
• Your child may also not behave ina way you expect. If your childis fussy or upset, it may be because so
much change is happening inyour child’s life or your childis tiredor had a bad day. Take this opportunity to
positively comfort, support and talk to your child about what is going on in their life.
• If your childtalks to you about their foster parent or family, you should listenand respond ina positive
way. Although it may be difficult that your childcannot be with you right now, you should be as supportive as
possible of the foster parent or family because they are taking care of your child and it is
important that your
child not feel bad about that. If you do have a concern about the foster parent or family, do not discuss it with
your child or in front of your child. Inform the caseworker of your concerns after the visit,and if you have a
lawyer, you may want to discuss with them as well.
• If you have questions about the visit or what was observed during the visit, you should feelfree to ask
the person observing you. If theperson observing your visit uses a visitation observation form to document
what happens at the visit, you should be given a copy of that form.
• If you have questions about your case or future visits, ask your caseworker after the visit.
• Don’t talk to your child about your CPS case or caseworker during the visit.Use this opportunity to spend
time with your child and enjoy your child’s company. If your childasks questions about your case, suggest
05-1 8-202 1 DFPS Paae 3 of 4
Case Name: Wilcox,Ashleagh
Case #: 48612529
Cause No: 21 -0772-0
Child Protective Services (CPS) -Conservatorship
that the child ask the caseworker. If your child has an attorney ad litem or a CASA volunteer, you might also
suggest that your child ask them any case related questions.
You may have a difficult timeafter and between visits. Talk to people inyour life about how you are
feeling. It might even be a good idea to tell them about the visit ahead of time so you can have support ready
for you. At the end of your visit,goodbyes can be difficult for youand your child. During the last 5 minutes,
plan what you will do on your next visit together. Try putting it onpaper and lettingthe child take ithome with
them. During the visit you can give your child something from home or draw a picture with them so they have
something to hold onto in between visits.Do not prolong the goodbye as it will
make it harder for you and
your child.
If the visit didn’t go as youhad hoped or planned, don’t be hard on yourself! Learn about what you need
to improve and remember that there are no perfect parents. You just need to keep trying tobe the best
parent you can be for your child!
Q-1 -Q1 4 f4
Preview
Electronically Filed 5/24/2021 3:06 PM Penny Clarkston, Smith County District Clerk Reviewed By: Gina McClung Case Name: Wilcox,Ashleagh Case#: 48612529 Cause No: 21-0772-D Child Protective Services (CPS) -Conservatorsh ip The purpose of this form is to document the visitation schedule between the child(ren) and participants listedbelow. The caseworker is required to develop the visitation plan in collaboration with the participants. If there are visitationand scheduling restrictions please make them known to the caseworker during the development of the plan. The visitation plan willbe reviewed upon request by the parent, DFPS or court but no later than the next family service plan review. Note to Parents: While your children are in DPFS custody, you can have contact with them according to the plan outlined below, unless a court has ordered otherwise. PARTICIPANTS INCLUDED IN THE VISIT(INCLUDING SIBLINGS) IName(s) of Participants Phelps,Jamie Wilcox,Hayden VISITATION SCHEDULE Stage of Unsupervised - Parent(s) can be alone with child. No monitor is present during the Supervision visit. Low -Visitation where the monitor may be present for portion Parent(s) of the visit. would have time alone with their child. Medium -Visitation with a monitor is close enough to observe the visit but isnot required to hear everything that is said between the parent(s) and child. Parent(s) may have some time alone with their childif the monitor ensures certain conditions are satisfied High -Child(ren) may not be removed from the presence of the monitor. Parent(s) cannot be alone with their child(ren) Phelps,Jamie ‘Vilcox,Hayden High re there any limitations on visits? Supervised Theraputic Visitation Length of visit: 1 hour Jisit Frequency: Biweekly Day(s) and Time(s) of Visit: Nednesday 9AM-1OAM; or as determined and scheduled by Counselor JisitLocation (options may DFPS Office 3303 Mineola Highway Tyler, TX 75702 include the home of the parents, relatives, or foster parent; CPS office;or agreed upon location): Jisit Supervision (list all persons Camella Jones, LPC (903) 283-7726 approved to supervise and their contact information): \dditional Supportive Adults (list N/A 05-1 8-2021 DFPS Paae 1 of 4 Case Name: Wilcox,Ashleagh Case #: 48612529 Cause No: 21 -0772-0 ChiIciProtective Services (CPS) - Conservatorship any adults that the parent would likeCPS to consider to supervise visits and aid in ransportation): If visits are supervised, address Supervised visits until otherwised determined by the Court, Department, and vhat needs to occur for visits to or Counselor. The No Contact order need to be withdrawn. have less/no supervision: List other approved forms of N/A contact (examples include email, social media, texting, or phone calls): Rules and expectations for visits 1, If youare unable to attend a scheduled visit,you must notify your (including any rules regarding caseworker or the person who is supervising the visit at least 24 hours prior vho may come to the visit): to the visit.If anemergency prevents your attendance, please contact your caseworker. 2. Do not whisper to Hayden or in other ways attempt to prevent the one supervising the visit from hearing what you are saying. 3. Do not tell Hayden he will be coming home soon. 4. Do NOT discuss your case or future ,isitationrequests in front of Hayden. 5. Do not argue in the visit with the person supervising your visit. If you disagree or have a complaint, wait until he visit is over and discuss it away from Hayden. No swearing, cursing, or elling willbe tolerated at anytime. 6.The visit will end at any time Hayden indicates that he is fearfulof continuing or at any time the person supervising eels that there are concerns that warrant bringing the visit to aclose. *****please Do not use your phone as entertainment for Hayden. This is quality time to be spent with you that allows bonding. Services provided to support N/A ,isitation(address services that are being provided to the parent to assist with the visits,such as ransportation, snacks, activities, etc.): SIGNATURES I participated in the development of this visitation plan and the Important Information for Parents about Visitation was reviewed with me. Iunderstand the plan and the Important Information for Parents as written. Parent Signature: Date Signed: 05-1 8-2021 DFPS Paae 2 of 4 Case Name: Wilcox,Ashleagh Case #: 48612529 Cause No: 21-0772-D VISlTATION PLAN Child Protective Services (CPS) - Conservatorship ‘Date Copy Provided: I Signature Date Signed:g/j /2t2. I I #1Z4zZ Date Copy Provided: I DFP Case) OD Date Signed: 5/14/2021 I DFPS arent Supervisor: Important Information for Parents about Visitation: Date Signed: 5/24/2021 I This information is provided to assist you in having pleasant and meaningful visits with your child • It is veryimportant for you to attend every visit on time. If you do not do this, your child willbe disappointed when they are at the visit and you are not. If you have a problem getting to the visit or know that you are likely tobe late,contact your caseworker as soon as you can to inform the caseworker you will be late or are having a problem getting to the visit. • It is best not to make promises to your child during visitation,but if you do make a promise, such as “next time Isee you Iwillbring your favorite book from home,” make sure you fulfill that promise. • You can bring toys, clothes and pictures from home to the visit, If you have questions about the appropriateness of an item, contact your caseworker prior to the visit. • Show your child affection (i.e.hugs and handholding) during the visit unless you have specifically been ordered not toby the court or your caseworker. • The visit willbe observed and there are two reasons for this: to ensure the safety and well-being of your child, and to gather information that willhelp improve future visits. • Your child may ask difficult questions such as “when can I come home?” You should not respond with a specific date because that can change along the way and you don’t want to disappoint your child. A good response could be “I hope itis soon, but I’m so glad Iget to see you now.” Your child will probably ask this several times and possibly every time they talk to you. • Your child may also not behave ina way you expect. If your childis fussy or upset, it may be because so much change is happening inyour child’s life or your childis tiredor had a bad day. Take this opportunity to positively comfort, support and talk to your child about what is going on in their life. • If your childtalks to you about their foster parent or family, you should listenand respond ina positive way. Although it may be difficult that your childcannot be with you right now, you should be as supportive as possible of the foster parent or family because they are taking care of your child and it is important that your child not feel bad about that. If you do have a concern about the foster parent or family, do not discuss it with your child or in front of your child. Inform the caseworker of your concerns after the visit,and if you have a lawyer, you may want to discuss with them as well. • If you have questions about the visit or what was observed during the visit, you should feelfree to ask the person observing you. If theperson observing your visit uses a visitation observation form to document what happens at the visit, you should be given a copy of that form. • If you have questions about your case or future visits, ask your caseworker after the visit. • Don’t talk to your child about your CPS case or caseworker during the visit.Use this opportunity to spend time with your child and enjoy your child’s company. If your childasks questions about your case, suggest 05-1 8-202 1 DFPS Paae 3 of 4 Case Name: Wilcox,Ashleagh Case #: 48612529 Cause No: 21 -0772-0 Child Protective Services (CPS) -Conservatorship that the child ask the caseworker. If your child has an attorney ad litem or a CASA volunteer, you might also suggest that your child ask them any case related questions. You may have a difficult timeafter and between visits. Talk to people inyour life about how you are feeling. It might even be a good idea to tell them about the visit ahead of time so you can have support ready for you. At the end of your visit,goodbyes can be difficult for youand your child. During the last 5 minutes, plan what you will do on your next visit together. Try putting it onpaper and lettingthe child take ithome with them. During the visit you can give your child something from home or draw a picture with them so they have something to hold onto in between visits.Do not prolong the goodbye as it will make it harder for you and your child. If the visit didn’t go as youhad hoped or planned, don’t be hard on yourself! Learn about what you need to improve and remember that there are no perfect parents. You just need to keep trying tobe the best parent you can be for your child! Q-1 -Q1 4 f4