FL-341(D)
PETITIONER: Damani Amiri Hashim                                                              CASE NUMBER:
         RESPONDENT: Sheraina Marie Logan
                                                                                                       24TRPT00036
  OTHER PARENT/PARTY:
                                    ADDITIONAL PROVISIONS—PHYSICAL CUSTODY ATTACHMENT
TO                Petition       Response          Request for Order            Responsive Declaration to Request for Order
                  Stipulation and Order for Custody and/or Visitation of Children   ✖   Findings and Order After Hearing or Judgment
                  Custody Order—Juvenile—Final Judgment                        Other (specify):
The additional provisions to physical custody apply to (specify parties):                 Petitioner       Respondent            Other Parent/Party
1.           Notification of parties' current address.                   Petitioner       Respondent           Other Parent/Party
             must notify all parties within (specify number):                  days of any change in his or her
             a. address for              residence          mailing           work         e-mail
             b. telephone/message number at            home          cell phone          work          the children's schools
                The parties may not use such information for the purpose of harassing, annoying, or disturbing the peace of the other or
                invading the other's privacy. No residence or work address is needed if a party has an address with the State of
                California's Safe at Home confidential address program.
2.           Notification of proposed move of child. Each party must notify the other (specify number):               days before any
             planned change in residence of the children. The notification must state, to the extent known, the planned address of the
             children, including the county and state of the new residence. The notification must be sent by certified mail, return receipt
             requested.
3.           Child care.
             a.       The children must not be left alone without age-appropriate supervision.
             b.       The parties must let each other know the name, address, and phone number of the children's regular child-care
                      providers.
4.           Right of first option of child care. In the event any party requires child care for (specify number):            hours or more
             while the children are in his or her custody, the other party or parties must be given first opportunity, with as much prior
             notice as possible, to care for the children before other arrangements are made. Unless specifically agreed or ordered by the
             court, this order does not include regular child care needed when a party is working.
5.           Canceled visitation (parenting time).
             a.      If the noncustodial party fails to arrive at the appointed time and fails to notify the custodial party that he or she will
                     be late, then the custodial party need wait for only (specify number):            minutes before considering the
                     visitation (parenting time) canceled.
             b.           If the noncustodial party is unable to exercise visitation (parenting time) on a given occasion, he or she must notify
                          the custodial party (specify):
                                 at the earliest possible opportunity.
                                 Other (specify):
             c.           If the children are ill and unable to participate in the scheduled visitation (parenting time), the custodial party must
                          give the noncustodial party (specify):
                                 as much notice as possible.
                                 A doctor's excuse.
                                 Other (specify):
6.     ✖      Phone contact between parties and children.
             a.           The children may have telephone access to the parties               and the parties may have telephone access to the
                          children at reasonable times, for reasonable durations.
             b.     ✖     The custodial parent must make the child available for the following scheduled telephone contact (specify child's
                          telephone contact with each party):
                            Supervised telephonic or video visits with the child for a duration of 10-15 minutes in duration, five days per week.
             c.           No party or any other third party may listen to, monitor, or interfere with the calls.
                                                                                                                                                 Page 1 of 2
Form Approved for Optional Use
Judicial Council of California
                                    ADDITIONAL PROVISIONS—PHYSICAL CUSTODY ATTACHMENT                                       Family Code, §§ 3003, 3024, 3083
                                                                                                                                          www.courts.ca.gov
FL-341(D) [Rev. July 1, 2016]
                                                                                                                                         FL-341(D)
             PETITIONER: Damani Amiri Hashim                                                             CASE NUMBER:   24TRPT00036
            RESPONDENT: Sheraina Marie Logan
     OTHER PARENT/PARTY:
7.     ✖      No negative comments. The parties will not make or allow others to make negative comments about each other or about
              their past or present relationships, family, or friends within hearing distance of the children.
8.     ✖      Discussion of court proceedings with children. Other than age-appropriate discussion of the parenting plan and the
              children's role in mediation or other court proceedings, the parties will not discuss with the children any court proceedings
              relating to custody or visitation (parenting time).
9.     ✖      No use of children as messengers. The parties will communicate directly with each other on matters concerning the
              children and may not use the children as messengers between them.
10.    ✖      Alcohol or substance abuse. The         ✖    petitioner       respondent         other parent/party may not consume
              alcoholic beverages, narcotics, or restricted dangerous drugs (except by prescription) within (specify number): 24 hours
              before or during periods of time with the children        and may not permit any third party to do so in the presence of the
              children.
11.           No exposure to cigarette or medical marijuana smoke. The parties will not expose the children to secondhand cigarette
              or medical marijuana smoke.
12.           No interference with schedule of any party without that party's consent. The parties will not schedule activities for the
              children during the other party's scheduled visitation (parenting time) without the other party's prior agreement.
13.           Third-party contact.
              a.                The children will have no contact with (specify name):
              b.                The children must not be left alone in the presence of (specify name):
14.           Children's clothing and belongings.
              a.                Each party will maintain clothing for the children so that the children do not have to make the exchanges with
                                additional clothing.
              b.                The children will be returned to the other party with the clothing and other belongings they had when they arrived.
15.           Log book. The parties will maintain a "log book" and make sure that the book is sent with the children between their
              homes. Using businesslike notes (no personal comments), parties will record information related to the health, education,
              and welfare issues that arise during the time the children are with them.
16.           Terms and conditions of order may be changed. The terms and conditions of this order may be added to or changed as
              the needs of the children and parties change. Such changes will be in writing, dated and signed by the parties; each party
              will retain a copy. If the parties want a change to be a court order, it must be filed with the court in the form of a court
              document.
17.    ✖      Other (specify):
                Per Judge Eto's ruling , Petitioner must complete the requirements outlined in Penal Code section 1203.097 including but
                not limited to a batterer's program and community service as determined by the court...
                Petitioner must also complete the requirements imposed by the criminal court including but not limited to 52 domestic
                violence classes.
                 Petitioner's counsel failed to abide by Judge Eto's ruling that Petitioner's counsel meet and confer with Respondent's
                counsel to negotiate any changes to the visitation provisions. Petitioner's counsel failed to discuss the matter with
                Respondent's counsel, notwithstanding Respondent's counsel repeated attempts to contact Petitioner's counsel via
                telephone, email and certified mail. For that reason, Respondent's counsel objects to any filings by Petitioner's counsel
                with the court.
FL-341(D) [Rev. July 1, 2016]                                                                                                               Page 2 of 2
                                         ADDITIONAL PROVISIONS—PHYSICAL CUSTODY ATTACHMENT
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