in the Interest of Z.G., a Child ( 2021 )


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  •              In the
    Court of Appeals
    Second Appellate District of Texas
    at Fort Worth
    ___________________________
    No. 02-19-00352-CV
    ___________________________
    IN THE INTEREST OF Z.G., A CHILD
    On Appeal from the 360th District Court
    Tarrant County, Texas
    Trial Court No. 360-536127-13
    Before Sudderth, C.J.; Womack and Wallach, JJ.
    Memorandum Opinion by Chief Justice Sudderth
    MEMORANDUM OPINION
    I. Introduction
    In its judgment in this modification suit affecting the parent-child relationship
    (SAPCR), the trial court appointed Appellee J.K., Zachary’s1 maternal grandmother
    (Grandma), as his sole managing conservator and set out the terms of supervised
    visitation with Appellant Father and Appellee Mother2 as Zachary’s possessory
    conservators.
    In four issues, Father appeals, complaining that the trial court abused its
    discretion (1) by ordering supervised possession instead of a less-restrictive means of
    protecting Zachary’s best interest; (2) by failing to order a possession plan through
    which Father could eventually have unsupervised possession; (3) by granting
    overlapping rights of possession to Mother and Father on Zachary’s birthday; and (4)
    by including fact findings in the final order that could expose Father to
    embarrassment. We delete the findings from the trial court’s judgment and affirm the
    judgment as modified.
    II. Background
    Sometime in the autumn of 2010, Father and Mother engaged in sexual
    intercourse, resulting in her pregnancy with Zachary.
    1
    We use pseudonyms for the child’s name and for his family’s names to
    preserve his privacy. See 
    Tex. Fam. Code Ann. § 109.002
    (d).
    2
    Mother has adopted Grandma’s appellate brief.
    2
    Some months later, in February 2011, Father met his future wife, Renee. In
    June 2011, Zachary was born early and spent a month in a neonatal intensive care
    unit. Because he had tested positive for methamphetamine at birth, when Zachary
    was released from the NICU, Child Protective Services (CPS) placed him with
    Grandma.3 When Mother completed her child safety plan, she moved back in with
    Grandma and Zachary.4
    According to Grandma, after Zachary’s birth, Mother sent photos of and
    messages about Zachary to Father, who ignored them. Mother said that CPS had also
    contacted Father when Zachary was born. However, Father said he learned that
    Zachary was his son only two months before he married Renee in June 2012 and that
    Zachary was one-and-a-half years old before the State “had [him] do a DNA test.”
    Once the DNA test confirmed that Zachary was his son, Father initially asked for his
    parental rights to be terminated but then changed his mind. Renee described Father’s
    thought of terminating his parental rights to Zachary as “very short lived.”5
    3
    At the time of trial, Grandma had been a flight attendant for 22 years and had
    taken care of Zachary before Mother completed her child safety plan in 2012.
    Through the time of trial Grandma’s son Martin, Mother’s brother, lived with
    Grandma and helped her with Zachary when she travelled for work. Martin had
    voluntarily relinquished his parental rights to his daughter, who lived in Oklahoma.
    4
    Mother lived with Grandma’s friend Eleanor until she completed her child
    safety plan. Eleanor also helped Grandma with childcare.
    5
    Father has a daughter with his ex-wife, to whom he pays child support. Renee
    has two older children. In August 2013, Renee and Father bought a four-bedroom,
    three-bathroom house. Renee’s son moved out of the house after he graduated from
    3
    A. Procedural History
    Mother and Zachary lived with Grandma through 2013, when the Office of the
    Attorney General sought to locate Father for child support. The OAG sued Father,
    and the litigation continued in 2013 and 2014. During that time both Mother and
    Father vied for sole managing conservatorship of Zachary. 6
    After Mother suffered a drug relapse in March 2014, Grandma took custody of
    Zachary. In mid-April 2014, Grandma and Father became Zachary’s temporary
    managing conservators, and during that time, Zachary lived with Father four days a
    week and with Grandma three days a week while Grandma supervised Mother’s
    possession.     They eventually went to a one-week-on/one-week-off possession
    schedule.     In April 2016, Father started his own business, an air-conditioning
    company, of which he was the sole employee.
    The parties mediated a settlement agreement, and in December 2017, the trial
    court entered an agreed final order incorporating the MSA, which gave Father
    possession of Zachary on the first, third, fourth, and fifth weekends of each month;
    required Mother to submit to random drug tests at Father’s request through June 24,
    high school in 2015 or 2016 and was living with his paternal grandparents at the time
    of the trial. Father said that Renee’s son had developed a drug problem after high
    school but denied that they had evicted him because of it.
    6
    The OAG nonsuited in June 2015.
    4
    2020; and provided that if Mother tested positive, she would have no possession of
    Zachary until further court order.
    In February 2018, after Renee told him that Mother was behaving erratically
    when they exchanged Zachary, Father asked Mother to take a drug test. When
    Mother tested positive for methamphetamine, Father filed a petition to modify, asking
    the court to appoint him as Zachary’s sole managing conservator, to make him the
    person with the exclusive right to designate Zachary’s primary residence, and to order
    Mother to pay child support. See 
    Tex. Fam. Code Ann. § 156.102
    (a), (b)(1). Father
    took possession of Zachary, removed him from his Northwest ISD kindergarten, and
    enrolled him in McKinney ISD.
    At the end of May 2018, Mother asked the trial court to order Father to take a
    drug test. On June 19, 2018, the trial court ordered Father to do so by June 22. After
    Father’s June 22 five-panel hair test was positive for cocaine, Grandma filed a petition
    in intervention, seeking to be appointed as Zachary’s sole managing conservator or to
    be named his joint managing conservator with Mother and asking for both parents to
    be ordered to pay child support to her. In the affidavit sponsoring her petition,
    Grandma alleged that between May 22, when Mother had moved the court to order
    Father to take a drug test, and June 26, Father had “drastically changed his appearance
    in that he shaved all hair from his head, his beard, his arms, and his chest[,]
    complaining of eczema, which clearly raise[d] a red flag for drug use given his recent
    positive hair drug screen for cocaine.”
    5
    The trial court granted Grandma temporary sole managing conservatorship in
    August 2018 but reserved the issue of child support until trial.
    B. Evidence at Trial
    The evidence at trial addressed Zachary’s medical and educational situation, as
    well as how Father disciplined him, both parents’ drug use, the possibility of parental
    alienation, and how the parties communicated and participated in Zachary’s life.
    1. Zachary’s Medical Condition
    When he was about three years old, Zachary was diagnosed with encopresis,7 or
    fecal incontinence (leaking stool), which had troubled him since his birth. Zachary’s
    fecal incontinence caused him to develop granuloma gluteale infantum, a rare form of
    7
    Encopresis, another name for fecal incontinence,
    is the repeated passing of stool (usually involuntarily) into clothing.
    Typically it happens when impacted stool collects in the colon and
    rectum: the colon becomes too full and liquid stool leaks around the
    retained stool, staining the underwear. . . .
    Encopresis usually occurs after age 4, when a child has already learned to
    use a toilet. In most cases, soiling is a symptom of chronic constipation.
    Far less frequently it occurs without constipation and may be the result
    of emotional issues.
    Encopresis may be frustrating for parents—and embarrassing for the
    child. However, with patience and positive reinforcement, treatment for
    encopresis is usually successful.
    Mayo Foundation for Medical Education & Research, Encopresis,
    https://www.mayoclinic.org/diseases-conditions/encopresis/symptoms-causes/syc-
    20354494 (last visited March 29, 2021).
    6
    contact dermatitis8 caused by incontinence of liquid stool.9 When Zachary leaked
    stool, the skin around the leak became painful and, according to Mother, “burned and
    red and swollen.”
    Zachary endured daily accidents in his underwear until he started seeing Dr.
    Bankole Osuntokun, a pediatric gastroenterologist at Cook Children’s Medical Center,
    who prescribed a daily regimen of MiraLAX,10 in addition to his regular pediatrician,
    Dr. Stephen Weis.11
    According to Grandma, Father was told about Zachary’s bowel problems when
    he first met the child, but Father had been dismissive, had blamed Zachary’s diet, and
    8
    Contact dermatitis “is a red, itchy rash caused by direct contact with a
    substance or an allergic reaction to it. The rash isn’t contagious or life-threatening,
    but it can be very uncomfortable.” Mayo Foundation for Medical Education &
    Research,       Contact        Dermatitis,     https://www.mayoclinic.org/diseases-
    conditions/contact-dermatitis/symptoms-causes/syc-20352742 (last visited March 29,
    2021).
    9
    See Nadya A. Al-Faraidy & Sahar H. Al-Natour, A Forgotten Complication of
    Diaper Dermatitis: Granuloma Gluteale Infantum, 17 J. Fam. & Cmty. Med. 107, 107–09
    (2010) (defining granuloma gluteale infantum as “a rare condition . . . presenting as
    asymptomatic cherry red nodules in the diaper area appearing in the setting of primary
    irritant     contact    dermatitis”),     https://www.ncbi.nlm.nih.gov/pmc/articles/
    PMC3045094/ (last visited March 29, 2021).
    10
    MiraLAX is an osmotic laxative used to soften and ease stool through the
    colon. MiraLAX, “MiraLAX is Different,” https://www.miralax.com/miralax-is-
    different (last visited March 29, 2021).
    11
    Some of Zachary’s medical records with Dr. Weis were admitted into
    evidence “for the purpose of showing the pattern” of Zachary’s past and continuing
    gastric issues.
    7
    had proposed a number of alternative diagnoses, such as food allergies. During the
    trial, Father confirmed his belief that Zachary’s diet was the cause of his fecal
    incontinence and claimed that a doctor had suggested a dietary change.12
    Dr. Weis noted during Zachary’s March 25, 2014 appointment that the child
    had “approximately 30 bright red painful papules on a erythematous scaly base that
    extend[ed] 15 cm around the perianus circumferentially[, and which were] exquisitely
    painful” when touched. He also noted during that appointment that it would be
    difficult to make progress treating Zachary’s medical conditions without consistency
    in treatment. Grandma told Dr. Weis that Dr. Osuntokun had said that Zachary was
    avoiding defecation because of pain, and an X-ray of Zachary’s abdomen that was
    taken at Cook Children’s Medical Center confirmed a large amount of fecal material
    present throughout his colon.
    Although Zachary’s condition had improved by October 2014, in December
    2014, Mother told Dr. Weis that each time she picked him up from Father’s custody,
    Zachary would seep stool and that Father had threatened to report her to CPS based
    on an opinion he had received from Dr. Louis Coates, a pediatrician that Father had
    consulted.13 Dr. Weis conversed with Dr. Coates and explained to him that as a result
    12
    Renee testified that she did not know all of the details about Zachary’s
    medical issues but said that diet seemed to help.
    Dr. Coates testified that he had received documentation from Dr. Weis in
    13
    December 2014. He did not recall talking about it with Father. Father had not
    informed him that Zachary had been seeing a specialist in Fort Worth.
    8
    of the X-rays at Cook Children’s Medical Center and a biopsy to rule out other causes
    of dermatitis, Zachary had been diagnosed with granuloma gluteale infantum in
    conjunction with his fecal incontinence. The two doctors discussed the fact that “the
    parents do not trust each other and as a result [Zachary’s] regime is different with
    each parent. Each parent apparently believes that what the other parent is doing is
    causing the problem.” Once Dr. Weis explained the entire situation to Dr. Coates,
    Dr. Coates told Dr. Weis that he would encourage Father to give Zachary his daily 17-
    gram dose of MiraLAX and to cooperate with the bowel training.
    But at Zachary’s follow-up appointment with Dr. Weis, Zachary was once
    more “covered with stool” and the medical staff “could not visualize the anal verge or
    perianus” until they cleaned him in the sink with warm water, revealing that he had
    “bright red erythematous papules that [were] exquisitely sensitive to touch extending
    4–5 cm around his anal verge.” Dr. Weis noted that this was still an improvement
    from when he had initially seen Zachary in March 2014, when Zachary had around 30
    papules, because that amount had been reduced to “approximately 15–20.”
    Father testified that Zachary had seen Dr. Osuntokun three or four times but
    that Father had not been present at any of those visits because he was either working
    or had “something going on with [his] business.”        He nonetheless insisted that
    nothing was more important than Zachary and agreed that he probably should have
    attended those appointments.     He said that it had not occurred to him to ask
    Grandma to reschedule the appointments so that he could attend.
    9
    Grandma testified that when Father took custody of Zachary in February 2018,
    she had asked him to please “take care of [Zachary’s] bottom” but that he told her, “I
    don’t deal with that anymore. I just send him to his room.” Grandma said that when
    Father had Zachary from February to July 2018, “every Saturday morning, we’d pick
    him up at 10:00 o’clock, and we would have to take him home, wash his clothes, give
    him a bath, and put medicine on him” because Father had not been giving Zachary
    his MiraLAX or keeping him clean.
    Father said that CPS had contacted him in May 2018 based on allegations of
    neglect relating to Zachary’s fecal incontinence and that Zachary had come to him
    from Mother or Grandma with soiled pants.14 At CPS’s request, Father took Zachary
    to see Dr. Coates shortly thereafter, but he did not tell Mother or Grandma that CPS
    had contacted him or that he had taken Zachary to see Dr. Coates. CPS closed the
    case after investigating, but Father did not know what CPS’s disposition had been.15
    Father testified that Zachary’s fecal incontinence had improved while in his
    care from February to July 2018:
    Father took a photo of Zachary’s feces-soaked shorts, and the photo was
    14
    admitted into evidence.
    15
    After investigating a child abuse or neglect allegation, CPS will assign one of
    five possible dispositions: (1) reason to believe (based on a preponderance of the
    evidence); (2) ruled out; (3) unable to complete; (4) unable to determine; or (5)
    administrative closure. In re E.C., No. 02-20-00022-CV, 
    2020 WL 2071755
    , at *2 n.5
    (Tex. App.—Fort Worth Apr. 30, 2020, no pet.) (mem. op.) (referencing 
    40 Tex. Admin. Code § 700.511
    (b) (Tex. Dep’t of Family & Protective Servs., Disposition of
    the Allegations of Abuse or Neglect)).
    10
    Q. When you had [Zachary] in your primary care from February
    until July, did he experience any problems pooping in his pants?
    A. He did at the beginning.
    Q. And then what happened?
    A. Towards the middle to end of May, end of June, we weren’t
    having any issues at that time.
    But Grandma offered into evidence three photos of Zachary’s naked bottom that she
    had taken on April 28, 2018; May 1, 2018; and July 20, 2018 that indicated otherwise.16
    The trial court admitted these photos into evidence as Exhibits I-16, I-17, and I-18.
    Though Exhibit I-16, the April 28, 2018 photo, has poor resolution, it is
    unarguably clear that the child’s skin, in the area from his anus to around 2 inches
    from the anus, is extremely red and swollen, with what appear to be raised, deep red
    lesions on both sides of the anus. The remains of loose fecal matter can be seen
    around the entire area.
    Exhibit I-17, the May 1, 2018 photo, also has poor resolution but shows that
    the child’s skin in the area from his anus to an inch to two inches of skin around the
    anus is red and swollen, with the same raised lesions in the April 28, 2018 photograph,
    along with the remains of loose fecal matter around the entire area.
    The July 20, 2018 photo, Exhibit I-18, has substantially better resolution than
    the first two photographs and shows significantly less swelling and redness and only
    Grandma said that the photos showed how Zachary’s bottom usually looked
    16
    when he returned to her after a stay with Father.
    11
    one mild lesion, but it still depicts red and pink areas of swelling that expand from the
    child’s anus to at least an inch from the anus. Grandma said that she took this photo
    after the trial court allowed her to take Zachary from Father’s primary custody.
    During cross-examination by Grandma’s counsel, Father claimed that he could
    not remember many details concerning his son’s medical situation:
    Q. Were you not advised that this child in 2014 was seeing a
    specialist for fecal incontinence and encopresis?
    A. They had gone to see a doctor is all I knew. Nothing was ever
    given to me in documentation.
    Q. Did you ever inquire as to why are you taking my son to a
    doctor?
    A. Yes.
    Q. What were you told?
    A. That was four years ago, and I can’t tell you.
    Q. You have no idea?
    A. It has been four years ago. I can’t remember.
    Q. Are you aware that your son suffers from a rare skin disease?
    A. What is that?
    Q. Well, haven’t you seen the poop in his pants?
    A. Yes, ma’am.
    Q. Haven’t you seen the fact that this child, when he poops in his
    pants, his bottom becomes inflamed and red with giant lesions that are
    bloody?
    12
    A. Yes, ma’am.
    Q. Haven’t you seen that?
    A. I have seen it when he hasn’t been taken care of, yes.[17]
    ....
    Q. Do you understand that your son is seeing Dr. Osuntokun and
    he has prescribed that your son takes Mira[LAX]; is that correct?
    A. Yes, ma’am.
    Q. And the Mira[LAX] empties out his little intestines, so he will
    not have the diarrhea or the leakage, which causes the lesions, is that
    correct, or do you even know?
    A. Ma’am, I’m not a doctor. I know what a laxative is, yes.
    Q. But you know he is supposed to be taking Mira[LAX]; is that
    correct?
    A. It comes with us every time we pick him up.[18]
    Q. Have you, at any point since this child has been seeing this
    specialist at Cook’s per Judge Riek’s orders, have you failed to give him
    the Mira[LAX]?
    A. I have not failed to give it to him.[19]
    Q. Have you told this child that his doctors are stupid and he
    doesn’t need the Mira[LAX]?
    17
    During the first day of trial, Father admitted that with regard to Zachary’s
    fecal-incontinence symptoms, “He has had some dirty drawers.”
    Grandma testified that every time she took Zachary to the exchange, she gave
    18
    Renee two packets of MiraLAX for Zachary to take on Saturday and Sunday.
    19
    According to licensed professional counselor Dr. Gina Galloway, one month
    before trial Zachary told her that Father did not regularly give him his MiraLAX.
    13
    A. No, ma’am.
    Q. Have you told this child that [Grandma] and [Mother] don’t
    know how to take care of him and that all he needs are fruits and
    vegetables and a different diet?
    A. No, ma’am.
    Q. Do you recall telling Dr. Coates on 5/15/18 that he had a rash
    on his bottom and this is when you had custody of him . . . because of
    [bowel-movement] accidents?
    A. We had to, yes.
    Q. Do you not remember and did he have those lesions at that
    time on his bottom?
    A. He did not have lesions at that time.
    Q. But he had a bad rash, correct?
    A. No, ma’am.
    ....
    Q. . . . Do you recall telling the child that all doctors are quacks?
    A. No, ma’am.
    Q. When [Grandma] and/or [Mother] in the past have given you
    drugs, prescription drugs for the child, have you followed those
    instructions?
    A. Yes, ma’am.
    Q. If you were aware in 2014 that this child was seeing a specialist,
    did you tell Dr. Coates that the child was seeing a specialist, so there
    wouldn’t be some t[y]pe of conflict with regard to the child’s medicine?
    A. Ma’am, I don’t know that.
    14
    Q. You don’t know?
    A. No.
    Q. Would you have reported, when you took your son in --
    normally, they ask if the child is on any medications. Do you recall that?
    A. Ma’am, that is five years ago. I do not know.
    2. Discipline
    Zachary began seeing Dr. Galloway in May 2016, when he was almost five
    years old. Dr. Galloway said that Mother had brought Zachary to her because
    Zachary had been resistant to going to Father’s house. Zachary’s counseling notes
    with Dr. Galloway from June 9, 2016, to March 20, 2019, were admitted into evidence
    without objection.20
    Zachary’s counseling notes reflect that Zachary told Dr. Galloway that Father
    called him names but that Renee told Father to stop when he called Zachary cuss
    words. Dr. Galloway noted, “Dad called him a ‘bull shit.’” Renee testified that the
    only time she had ever heard Father call Zachary something inappropriate was the
    time he called him “Poopy Pants.” Father acknowledged that he had called Zachary
    “Poopy Pants,” but he said that he did not regularly call Zachary that. Father said that
    20
    In his reply brief, Father complains that Zachary’s statements to Dr. Galloway
    are hearsay. However “[i]nadmissible hearsay admitted without objection may not be
    denied probative value merely because it is hearsay.” Tex. R. Evid. 802; see In re I.C.,
    No. 02-15-00300-CV, 
    2016 WL 1394539
    , at *11 (Tex. App.—Fort Worth Apr. 7,
    2016, no pet.) (per curiam) (mem. op.) (“[U]nobjected-to hearsay is, as a matter of
    law, probative evidence.”).
    15
    he had only called Zachary by that name once “and had a conversation afterwards
    about it.” As he explained, because “kids are extremely mean to each other when they
    get a hint of something they can pick on a child for,” through this conversation, he
    demonstrated to his son how he expected his son would be bullied because of his
    fecal incontinence. Although Father admitted that he was unaware whether Zachary
    had been made fun of at school because of the problem, he wanted his son “to realize
    that is what kids were going to start calling him.”
    Zachary told Dr. Galloway that Father was “mean” and that he spanked him
    “all the time,” particularly when he leaked stool into his clothing,21 which Zachary told
    her he could not control, stating, “[I]t just comes out.” At one point in September
    2016, Zachary asked Dr. Galloway, “Can you tell the judge that my dad spanks me
    when I poop in my pants?”22 Zachary also told Dr. Galloway that he hated Father for
    spanking him, particularly when he spanked him with a belt, and for not letting him
    watch television.
    21
    At his October 11, 2016 appointment, Zachary told Dr. Galloway that Father
    had spanked him when he had pooped in his pants at school. In June 2017, Zachary
    told Dr. Galloway that Father spanked him with a belt when he pooped his pants, and
    Mother showed Dr. Galloway photos of Zachary’s bruises from the spankings. In
    July 2017, Zachary told Dr. Galloway that Father was still spanking him with a belt for
    pooping in his pants.
    22
    Dr. Galloway said that what Zachary had asked her “sounds like these parents
    have very much involved this child in the litigation process, and that’s . . . just not
    appropriate for children to be involved in.” In November 2018, Zachary reported to
    Dr. Galloway that Father smoked in front of him “a lot” and had “lied to the judge”
    by saying that he did not smoke in front of Zachary.
    16
    Dr. Galloway made two CPS referrals23 about Zachary.           The first was in
    December 2016, relating to possibly excessively harsh discipline by Father, for
    spanking with a belt and leaving marks.24 The second was after an April 2018 session
    during which Zachary told Dr. Galloway that Father would not clean his bottom and
    made him do it himself. Dr. Galloway reported Father to CPS for “neglect due to
    [Zachary’s] hygiene issues in his genital area.”25
    Dr. Galloway said that Zachary regularly reported what sounded like excessive
    or harsh discipline for things that were outside of his control26 and that they regularly
    discussed Zachary’s feeling intimidated by Father. Dr. Galloway said that with regard
    to Zachary’s reporting about why he was being punished, he had told her that
    sometimes he was punished for having a bowel movement in his pants, “even though
    As a licensed professional, Dr. Galloway was required to make a report to
    23
    CPS if she believed that Zachary had been harmed or was being abused. See 
    Tex. Fam. Code Ann. § 261.101
    (b).
    In 2017, Mother told Dr. Galloway that Zachary’s school had reported Father
    24
    to CPS because he had marks where Father had spanked him with a belt for pooping
    his pants.
    Dr. Galloway assumed that her CPS reports had been either ruled out or
    25
    found undetermined because CPS had not taken any action.
    26
    Zachary’s first-grade teacher testified that Zachary had a good sense of humor
    and was a very conscientious student. She said that she had no concerns about any
    disciplinary problems with him. Zachary’s kindergarten teacher had noted on May 17,
    2018, that Zachary was strong in math and science, was “a very happy child who is
    attentive and wants to do his best,” and was successful in his
    “social/emotional/behavioral skills.”
    17
    that was outside of his control,” and sometimes he was punished “for not telling
    [Father] that he had had a bowel movement in his pants, and so [Father] would say he
    had lied to him.”27
    In April 2018, Zachary reported to Dr. Galloway that he had been grounded
    when he lied to Father about pooping his pants but told her that he lies because he is
    scared of how Father will respond. He also told her that Father would not let him
    take extra clothes to school for when he pooped his pants because Father did not
    think that he needed them.28 By August 2018, Zachary reported to Dr. Galloway that
    Father was no longer spanking him.
    During the 2019 trial, Father said that he had “probably swatted [Zachary] on
    the butt once or twice” but that he had “[a]bsolutely” never used a belt when
    disciplining him. When the trial judge asked Father if he had ever spanked Zachary
    for pooping in his pants, Father replied, “No, ma’am.” On cross-examination, when
    asked whether it would surprise him to know that Zachary had told Dr. Galloway that
    27
    At the December 21, 2016 session, Zachary told Dr. Galloway that Father
    had spanked him with a belt after Renee “tattled” on him and that he had gotten in
    trouble with Father for pooping his pants.
    28
    Zachary’s first-grade teacher was aware of Zachary’s medical problem but said
    it had not been an issue in her classroom. She said, “I think one time maybe
    [Grandma] had said that he had an accident coming home from school, but I don’t
    think it’s really been – to my knowledge, he hasn’t had but maybe one or two this
    year, I think, maybe.”
    18
    he had spanked him a number of times with a belt, Father said that it would. Renee
    said that she had never seen Father spank Zachary, with or without a belt.
    3. Dyslexia
    Zachary’s kindergarten teacher noted in Zachary’s school records that Father
    had told her that he was dyslexic and that there was a family history of dyslexia.
    Zachary was tested for dyslexia by McKinney ISD in May 2018, but Father did not tell
    Grandma or Mother about the school meeting addressing it because “[i]t was a last
    minute deal before they were closing school” for the summer, “[b]ecause we were
    going through the Court case,” and because he “probably forgot to call [Mother] and
    tell her.” But Zachary’s school records reflect that the meeting was held on June 4,
    2018, and that Father had received notice of the meeting on May 23, 2018. McKinney
    ISD diagnosed Zachary as having dyslexia. Grandma testified that she had not known
    about Zachary’s dyslexia diagnosis until Father testified about it at an August 2018
    hearing.
    Other than when he had strep throat, Zachary’s school attendance had been
    good,29 and he had won the Grit Award during the fall term, an “award for a child
    that shows perseverance in something they maybe have struggled [with] in the past.”30
    29
    Grandma testified that Zachary had received 3 perfect attendance awards.
    Zachary struggled with reading because of his dyslexia, and Father said that he
    30
    and Renee had worked with Zachary on his reading.
    19
    4. Drug Use
    Mother, who was 41 years old at the time of the trial, had been a drug addict
    for 12 years, and she tested positive for drugs at least twice during the litigation.
    Mother said that she had lived on and off with Grandma for her whole life but that
    she had never used drugs in Grandma’s house.
    Father said that he had used cocaine 20 years ago but not since then,
    notwithstanding the results from his June 22, 2018 hair-strand test, which was positive
    for cocaine and benzoylecgonine, a byproduct of cocaine decomposition.                  He
    attributed his positive hair-strand drug test to his having been exposed to cocaine
    when working on customers’ air-conditioning units because he “[c]rawl[ed] through
    families’ attics to get to their AC units,” where he changed air filters, cleaned the units,
    and performed preventive maintenance.            Father’s July 25, 2018 toenail test was
    negative for any drugs.
    Mother’s expert toxicologist, Dr. Gary Wimbish, reviewed Father’s drug tests
    and said that based on the quantity reflected in the lab report,31 he did not think
    Father could have tested positive for cocaine and benzolecgonine from merely passive
    or incidental exposure.
    Father’s June 22, 2018 drug-test results showed that benzolecgonine was
    31
    detected at 270 pg/mg (picograms per milligram) and that cocaine was detected at
    1,134 pg/mg. Norcocaine and cocaethylene were not detected.
    20
    In response to questions by the trial judge, Dr. Wimbish testified that Father’s
    explanation was improbable and unrealistic:
    THE COURT: So, if someone was like an air conditioner
    repairman, and I guess he was in someone’s attic and got contact from
    cocaine from, I don’t know, what, someone’s air conditioner, okay? Is
    that even possible, first of all?
    [Dr. Wimbish]: Anything is possible.
    THE COURT: Okay. Is it probable?
    [Dr. Wimbish]: No.
    ....
    THE COURT: Let’s just say cocaine was in someone’s air
    conditioning system so much that it produced a positive for cocaine,
    wouldn’t like everybody in the household be -- that is a lot of cocaine.
    [Dr. Wimbish]: It would be a big box of it.
    THE COURT: Okay. Is that a realistic story?
    [Dr. Wimbish]: No.
    Dr. Wimbish noted that hair and nail tests measure different time frames but
    are both reliable when performed by a certified laboratory. Because of the difference
    in the amount of time needed to harvest hair versus toenails, Dr. Wimbish said that it
    was theoretically consistent for someone who had used cocaine on May 25 to test
    positive for cocaine through a hair test on June 22 and negative on a toenail test on
    July 25.
    21
    Father’s expert Dwain Fuller, a forensic toxicologist, said that the cocaine
    metabolite benzoylecgonine—which was found in Father’s June 22 hair sample—was
    not a true marker that proved ingestion because it is an automatic chemical
    breakdown of cocaine and that it would be more important to find norcocaine,
    ecgonine metyl ester, or hydroxyl metabolites because these are produced when liver
    and blood enzymes act upon cocaine, proving ingestion. He was not sure whether
    Father’s positive hair-strand test had reported hydroxyl metabolites but said that there
    had been no norcocaine or cocathylene found in the test results. In Fuller’s opinion,
    the possibility of passive exposure could not be ruled out, and he explained that the
    chance of testing positive from one’s hair was much higher than from one’s toenail
    because hair is more readily exposed to everything in the environment, whereas
    “[u]nless you walk around barefooted on a carpet that has got cocaine on it, which is
    possible in some environments,” a toenail is less likely to be environmentally exposed
    to a drug. As Fuller stated, in
    [a]n air conditioning system, as everybody probably is aware, air is pulled
    constantly out of the house through a filter and then pushed back
    through the ducts and such, so it collects a lot of the household dust and
    particulate matter. So someone sticking [his] head in the place where
    that filter exists or in the ducts, if cocaine had been used in that house in
    the past or whatever, it would not surprise me that you could get
    exposed to cocaine. We are talking about a very, very small amount of
    cocaine here.
    22
    Fuller explained that hair is porous, so washing it after environmental exposure to
    cocaine could actually lead to its absorption into the hair’s shaft.32
    When asked if he believed Father’s account, Fuller explained why he
    found Father’s story plausible:
    You know, a few years ago, I would say, no, but I have seen so many of
    these cases now where people are positive for cocaine in their hair, and
    there is no other evidence they have used, so I’d say I think it is a
    plausible story. I don’t know -- believe it or not, I don’t know him, I
    have never met him, so I really don’t know. I tell you what does cause
    me concern is the fact that the toenail one month later is negative . . . I
    really don’t know if he used or not, to tell you the truth, but would say
    that there is nothing in his test that precludes his story.
    Fuller conceded that the lack of metabolites did not mean that Father had not used
    cocaine.
    Renee said that she had never known Father to be a drug user, that she had
    never seen him use any drugs, that she had never used drugs, and that she did not
    believe that Father had ingested cocaine.
    Father’s drug tests after June 22, 2018, were negative. However, both Father
    and Mother failed to comply with the trial court’s August 3, 2018 “continuous sweat
    patch testing” requirement, which was to be ongoing “until further order of the
    court.” After Father testified that it had not been explained to him how frequently he
    was to get the sweat patch, the trial court challenged his assertion:
    32
    Fuller referenced a 2014 article from the Journal of Analytical Toxicology
    entitled, “Analysis of Extensively Washed Hair from Cocaine Users and Drug
    Chemists to Establish New Reporting Criteria.”
    23
    THE COURT: . . . The Order does say “continue sweat patch
    testing until further order of the Court”. Was that ambiguous to you?
    [Father]: No, ma’am.
    THE COURT: Did the Court ever order you to stop doing sweat
    patch testing?
    [Father]: No, ma’am.
    Father said that he had submitted to two or three sweat patch tests,33 that he had
    taken a sweat patch each time he had taken a drug test, and that all of the tests had
    been negative.
    5. Parental Alienation
    Dr. Galloway defined parental alienation as when someone close to the child
    attempts to negatively affect the child’s relationship with a parent by bad-mouthing
    that parent. She said that it could also include planting information in the child’s
    mind about things that have not happened, such as false abuse allegations, and that it
    could be “as small as eye rolls when the other parent’s name is mentioned.” Dr.
    Galloway noted cases of pure alienation rarely occur and that there might more
    typically be a combination of alienation and bad behavior by the parent who is being
    alienated. In July 2017, Zachary told Dr. Galloway that Father had told him that
    33
    Father’s drug-test results were admitted into evidence and showed that his
    sweat patches were collected and tested on August 8, 2018 (negative), and November
    8, 2018 (negative).
    24
    Mother was his “baby mama” and that Renee was Zachary’s “mom.” Dr. Galloway
    said that the “baby mama” comment would fit under the definition of alienation.
    In November 2018, Zachary told Dr. Galloway that he felt very angry when
    Father talked to Grandma in a mean voice. In January 2019, Zachary told Dr.
    Galloway that Father had told him that Grandma was old and would die soon. He
    also reported that Father would not give him all of his MiraLAX and that Father told
    him that Grandma “is stupid[;] he needs vegetables to help him poop.” He said that
    Father told him that it was Grandma’s fault that Zachary could not accompany him to
    a deer lease because Father went during Grandma’s time of possession.
    Father denied having told Zachary that it was Grandma’s fault that he could
    not go to the deer lease with him. He denied having talked about Mother and
    Grandma in front of Zachary and denied having told Zachary that Mother was a drug
    addict and a loser or having told Zachary that Grandma—who was 64 years old at the
    time of the trial—was old, sick, and going to die soon. Renee claimed that Father did
    not speak negatively about Mother or Grandma and was “very, very careful about
    what he says” because he did not “want to say anything to get in trouble with this
    whole thing going on.”
    Dr. Galloway testified that Zachary had never reported anything of concern
    regarding Grandma and Mother but that she had concerns about what Zachary had
    reported to her about whether he received his medicine at Father’s house. She had no
    concerns that Zachary had been coached, pressured, or manipulated by Grandma or
    25
    Mother but was concerned about how Zachary was disciplined when in Father’s care.
    Dr. Galloway opined that Zachary knew the difference between the truth and a lie.34
    Dr. Galloway described the relationship between Zachary and Father as
    unpredictable, stating,
    It seems that [Zachary] wants a good relationship with [Father]. He’s
    talked to me about wanting to play with [Father], wanting to spend time
    with [Father] and getting upset if [Father] says that he’s tired or busy. So
    I know that he wants to engage with him, although he regularly discusses
    feeling intimidated by him. So I think that he has mixed feelings related
    to his relationship with [Father].
    Dr. Galloway had been treating Zachary for anxiety related to his family
    dynamic, noting that he had had a lot of inconsistency in his life:
    He’s lived with Dad, lived with Mom. He’s been back with Dad. Now
    he’s with Grandma. And for a child that’s been shuffled around like that
    and due to instances of dysfunction or unhealthiness with either or both
    parents, it can create a lot of insecurity and anxiety. It just feels like their
    world is not stable.
    6. Communication and Participation
    With regard to communication about Zachary’s school, Grandma testified that
    she had tried to communicate with Father by text and email but that he would not
    respond, explaining, “I don’t get a response back, so I just send him everything that
    the school sends me.” During his March 15, 2019 testimony, Father claimed that
    34
    Zachary’s first-grade teacher said that Zachary told the truth most of the time,
    but she noted that there had been occasions when he had not, such as when he tried
    to make sure that he finished his work as quickly as those around him and claimed to
    have finished work that he had not finished.
    26
    Grandma had not sent him any emails since August 2018. Father’s testimony was
    contradicted, however, by Grandma’s December 2018 and January 2019 emails to
    Father, which were admitted into evidence and which showed that
    • On December 26, 2018, Grandma notified Father that she had signed Zachary up
    for basketball starting on February 24, 2019;
    • On January 8, 2019, Grandma forwarded to Father the school’s “First Grade
    News” for that week;
    • On January 11, 2019, Grandma notified Father that Zachary had been sick and
    went to the doctor that day and informed him of the dates and times of Zachary’s
    next two appointments with Dr. Galloway;
    • On January 18, 2019, Grandma forwarded Zachary’s grades to Father;
    • On January 23, 2019, Grandma notified Father of an appointment change with Dr.
    Galloway and of Zachary’s next appointment with Dr. Osuntokun;
    • On January 25, 2019, Grandma sent Father the “First Grade News” from
    Zachary’s school for the week of January 28–February 1;
    • On January 30, 2019, Grandma sent to Father Zachary’s mid-year Developmental
    Reading Assessment report;
    • On February 2, 2019, Grandma informed Father that Zachary had been diagnosed
    with strep throat; and
    • On February 8, 2019, Grandma forwarded to Father the “First Grade News” for
    February 11–February 15.
    As to Zachary’s school activities, Father offered various excuses for his lack of
    participation. Father said that he did not go to Zachary’s first day of school in 2018
    because he was working, although his failure to attend the evening meet-the-teacher
    27
    event on August 23 was unexplained.35 He claimed that he had not ordered any
    school pictures because he “didn’t know they offered them.”36 He claimed he was not
    informed about the parent-teacher conference and the school’s open house and that
    he knew nothing about any awards.37 Likewise, Father said that he had not been
    notified about other meetings at Zachary’s school. Father admitted that he did not
    know who Zachary’s teacher was and had never met her.38 When questioned by the
    trial judge, “Did you ever pick up the phone and talk to the school and say how is my
    son doing?” Father replied, “I didn’t, ma’am. I know it is an excuse. I just -- I did
    not do it.”
    As to Zachary’s extracurricular activities, Father testified that Zachary’s
    basketball games were on Sundays but that “the last couple of times [Zachary] didn’t
    want to go.” This excuse was contradicted by Dr. Galloway, whose notes indicated
    The trial court admitted into evidence Grandma’s August 9, 2018 text to
    35
    Father listing Zachary’s upcoming dentist and counseling appointments, the August
    23, 2018 meet-the-teacher night, and Zachary’s next appointment with Dr.
    Osuntokun.
    The January 28–February 1 “First Grade News” that Grandma sent to Father
    36
    announced that February 6 was picture day.
    In the January 8–11 “First Grade News,” Developmental Reading
    37
    Assessment Testing was listed as occurring January 8–January 25; awards were
    announced as taking place in the gym on January 11 at 9 a.m. The February 11–
    February 15 “First Grade News” announced that awards would be presented on
    February 22 in class at 9 a.m.
    Zachary’s first-grade teacher likewise said that she had never met Father, had
    38
    never spoken with him on the phone, and had never had contact with him by email.
    28
    that during his February 25, 2019 counseling session, Zachary had related that even
    though he had told Father that he wanted to go to his basketball game, Father had
    sent Grandma a text saying that Zachary did not want to go.
    Father admitted that while Zachary was in Grandma’s possession from August
    2018 to February 2019, he had never called Grandma and asked to speak with
    Zachary or to discuss with her how Zachary was doing. Father explained this by
    stating, “’There [was] nothing to say at this point.” Father said that the reason he had
    not taken an active role since Zachary had started living with Grandma was his desire
    to minimize conflict with Grandma and his expectation that Zachary would not “be
    there that long.”
    Father never took Zachary to any appointment with Dr. Galloway although he
    had communicated with her by phone a couple of times regarding billing and
    scheduling. Father defended this by pointing out that Zachary’s appointments were
    set for 3:00 in the afternoon, when it was “hard to make it through traffic and get
    there on time and [when he was] having to deal with customers.”               While he
    acknowledged that his son’s situation was important, he stated that in some situations,
    a customer’s air conditioning needs would trump Zachary’s counseling because
    “people [were] without air” and he could not reschedule customer business.39
    39
    Father said that his work varied from week to week but that he could visit
    anywhere from 1 to 35 homes in a week and that he was on call “24 hours a day,
    seven days a week.”
    29
    Mother testified that Father did not seem interested in taking an active role in
    raising Zachary because although he had been invited to everything Zachary had been
    involved in—baseball, soccer, basketball, and school activities—he had attended none
    of these activities since December 2018. She said that she had no idea why Father
    wanted to be Zachary’s primary conservator but opined that it was because Father did
    not want her to have Zachary or to have to pay child support.40 Father acknowledged
    that since August 2018, when Grandma had been named Zachary’s temporary sole
    managing conservator, he had neither provided financial support for Zachary nor
    inquired if Zachary needed anything.
    With regard to Father’s finances, Father initially had no idea how much he had
    earned in 2018 before expenses, and the trial court chastised him for having failed to
    provide a profit-and-loss statement. A week before trial resumed on April 3, 2019,
    Father and Renee had an income statement prepared using bank statements, invoices,
    and receipts. Father testified he had the financial wherewithal to support Zachary
    even though he might not be able to show on paper that his business was profitable.
    Renee generally paid for their expenses.41
    40
    Father said that he was willing to waive any financial support from Mother.
    41
    When asked about Father’s testimony that he had not been financially
    assisting Grandma to take care of Zachary, Renee replied, “First of all, we didn’t
    know that she needed some financial help,” and then pointed out that they were “still
    paying for a lot of things for him, and [that they were] paying for attorneys.”
    30
    7. Plans for the Child
    Mother testified that it would be in Zachary’s best interest for Grandma, not
    Father, to be his primary managing conservator.
    Father acknowledged that Zachary had lived with Grandma for most of his life
    but said that a parent should take care of him. When asked at trial if Zachary was
    happy, Father replied, “As far as I know.” He said that he believed Zachary was
    comfortable in his house.42 He said that he had missed none of his court-awarded
    possession since Grandma had obtained custody. Father said “absolutely” when
    asked whether he wanted to spend as much time as possible with Zachary.
    Father acknowledged that he did not get along with Mother and Grandma.
    Father also accused Grandma of leaving Zachary alone when she worked overnight.43
    And he complained that Grandma was disrespectful of him and would not look at
    him or acknowledge him.
    42
    During his February 25, 2019 session, Zachary told Dr. Galloway that Father
    “got really mad at the tv and smashed it with a hammer, then threw it in the pool.”
    Father and Renee both denied that this had occurred.
    Grandma testified that on average, she takes two or three trips a week, and
    43
    since August 2018, she had mostly been working “turns” so that she was not away at
    night. She had increased her work hours but said that Martin took care of Zachary
    when she had to travel overnight, and Father does not complain on appeal about
    Grandma’s receiving managing conservatorship. According to Grandma, it had not
    occurred to her to ask Father if he would be willing to take care of Zachary when she
    was away.
    31
    Grandma said that she did not have a problem with Father but that “he had a
    problem with [Mother] when [Mother] had [Zachary],” and she observed that he
    seemed to have a problem with her. Grandma said, “I’ve said ‘Hi’ to him when we’ve
    met to – to drop [Zachary] off, and he doesn’t speak, so I just decided just not to talk
    anymore.” Renee attributed the animosity between Father and Grandma to the
    stressful litigation and observed that both sides needed to find common ground for
    Zachary’s sake.
    Renee testified that she had a great relationship with Zachary and that she got
    along with Grandma and Mother. She said she did the majority of pickups and drop-
    offs because it was easier on Zachary, observing, “I know [Zachary] can see if there is
    any -- even if there [are] not any words exchanged, [Zachary] knows. If there is any
    conflict he knows; he is smart, you know, so he knows, so I try to keep the peace as
    much as I can. I want everybody to be comfortable.”
    Renee testified that it would be in Zachary’s best interest for Father to have
    custody, stating,
    I know [Father] is a good father. I have seen it. I know he is a good
    man. I know that we have a stable home. We are both there, you know,
    we are both there for him and when we had him before, [Father] was
    very involved. I really honestly think that [Zachary] should be with us.
    Renee opined that Father and Zachary had a great relationship that had improved as
    Zachary had gotten older. She said that Zachary was obsessed with board games and
    32
    wanted “to beat daddy at anything.” Mother liked Renee and said that they got along
    well. Father agreed that Mother and Renee co-parented well.
    Grandma said that Zachary liked to ride his bike, to jump on his trampoline, to
    watch YouTube, and to make slime. He played age-appropriate, G-rated video games
    and played baseball in the fall, basketball in the winter, and soccer in the spring.
    Grandma described a typical day for them when she had an overnight trip scheduled:
    “I’m home all day. I pick him up at 3:00 o’clock, and then we do his spelling and his
    reading. I fix his dinner, and then I leave around 7:30, between 7:30 and 8:00. I fly
    either to L.A. [or Tulsa] and then turn around and come back. I’m back by 5:00 in the
    morning.” Grandma said that she was gone two nights a week but one of those
    nights was on a weekend when Zachary was with Father. If her flight did not arrive in
    time for her to make sure Zachary would get to school on time, Martin, who had a
    valid driver’s license and no CPS involvement, would make sure that Zachary got to
    school on time.
    Grandma said that when Zachary was with Father, Father was fine but that she
    did not think that Zachary was fine with Father. “[Zachary] has – since he’s been two
    and a half, from the very first night he spent the night with [Father], he cries every
    time he goes over there, every time.”
    Grandma testified that she believed it was in Zachary’s best interest to have
    limited time with Father—twice a month, on Saturdays and Sundays—because
    Zachary did not want to go there on Fridays. Grandma explained that she had asked
    33
    for sole managing conservatorship because she loved Zachary and had been with him
    since the day he was born, that he was safe with her, that he had a stable home with
    her, and that he loved the school that he attended when living with her.
    Zachary told Dr. Galloway that he loved living with Grandma but showed her
    a “thumbs down” when she asked him about his time with Father, and in more than
    one counseling session, he told her that he did not want to live with Father and
    expressed that he hated Father because Father used to spank him, was mean to him,
    and yelled at him.    He also resented Father for having removed him from his
    Northwest ISD kindergarten during the preceding school year. He complained that
    Father would not take him to his baseball games because Father wanted him to play
    baseball where Father lived and that Father got mad when Zachary told him that he
    did not want to live with him.
    C. Closing Arguments and the Trial Court’s Judgment
    During closing arguments, Father argued that Mother’s drug addiction made
    her a poor choice for managing conservatorship, that Dr. Galloway’s records showed
    a “systematic pattern” of how Mother and Grandma had tried to push Father out of
    Zachary’s life, that Zachary’s statements to Dr. Galloway were unreliable, that Father
    had a great home with a wonderful wife, and that Father had not used cocaine
    because the true metabolic indicators were not present.
    Mother argued that Father was only seeking managing conservatorship so that
    he could avoid paying child support and that he hated Grandma and had carried on
    34
    the litigation to thwart her. Grandma argued that Father “would have had to have
    been changing air-conditioning filters for a week in a crack house in order for that
    amount of cocaine to be in his system” and that the focus should be on who could
    best meet Zachary’s needs.
    At the conclusion of trial,44 the trial court appointed Grandma as Zachary’s sole
    managing conservator, named Mother and Father as possessory conservators, and
    ordered both parents to pay child support to Grandma. In the order, the trial court
    found that appointment of Grandma as Zachary’s sole managing conservator was in
    the child’s best interest and that appointing Mother and Father as Zachary’s managing
    conservators
    would substantially endanger . . . [Zachary’s] physical health or emotional
    development, which finding of endangerment is based in part, but not in
    whole, on the following issues:
    1. [Mother’s] past drug use and continued drug use of illegal drugs
    despite a finding that [Mother] has made efforts to deal with her
    addiction but has been unable to do so;
    2. [Father’s] use of cocaine;
    3. [Father’s] failure to admit to and deal with his use of illegal drugs;
    4. [Father’s] refusal to cooperate with [Grandma];
    5. [Father’s] lack of engagement with the child . . . for substantial
    periods, even with full knowledge this case was pending;
    The trial court conducted the bench trial in a piecemeal fashion, hearing
    44
    evidence on March 15, 2019; April 3, 2019; and May 1, 2019.
    35
    6. [Father’s] lack of financial support for the child; and
    7. [Father’s] and [Mother’s] refusal to comply with this Court’s drug
    testing order.
    Because Mother and Father were appointed possessory conservators, the trial
    court set out the terms of their supervised possession of Zachary. See 
    Tex. Fam. Code Ann. § 153.006
    (c) (stating that, as to possessory conservators, the court “shall specify
    and expressly state in the order the times and conditions for possession of or access
    to the child, unless a party shows good cause why specific orders would not be in the
    best interest of the child”).45 The order stated that its terms would be in effect until
    Zachary turned 18 or was otherwise emancipated. But see 
    id.
     § 156.101(a)(1)–(2)
    (providing for modification of order establishing conservatorship or possession and
    access based on the child’s best interest and either a material and substantial change in
    circumstances of the child, a conservator, or other party affected by the order or when
    the child is at least 12 years old and has expressed his preferences to the court in
    chambers).
    45
    Father was given the second and fourth weekends of each month; spring
    vacation “every other two years (i.e., 2021, 2022, 2024, 2025[,] etc[.])”; two weeks of
    summer possession; Christmas holidays in odd-numbered years; Thanksgiving in
    even-numbered years; and Father’s Day. Mother was given the first and third
    weekends; spring vacation “every year not designated for [Father]”; two weeks of
    summer possession; Christmas holidays in even-numbered years; Thanksgiving in
    odd-numbered years; and Mother’s Day. See generally 
    Tex. Fam. Code Ann. § 153.312
    (setting out standard possession schedule for parents who reside 100 miles or less
    apart).
    36
    The trial court’s order specified that the parties could mutually agree to
    possession in advance but, in the absence of mutual agreement, they would have
    possession as set out in the trial court’s modified possession order. The order further
    required that Father’s access to Zachary during his periods of possession
    be continuously supervised by [his wife, Renee], which means that
    [Renee] shall be in the same home or building with the child and be
    within hearing range of the child at all times during [Father’s] periods of
    possession. For purposes of this order as it relates to supervised
    possession, “eyes-on” supervision is not required, but hearing range
    supervision is required.
    Similarly, the order required that Mother’s access be continuously supervised by
    Grandma, within hearing range.
    With regard to Zachary’s birthday, the trial court’s order stated,
    If a parent is not otherwise entitled under this Modified Possession
    Order to present possession of the child on the child’s birthday, that
    parent shall have possession of the child beginning at 6:00 p.m. and
    ending at 8:00 p.m. on that day, provided that that parent picks up the
    child from [Grandma’s] residence and returns the child to that same
    place.
    See 
    id.
     § 153.314(4) (stating that the parent not otherwise entitled to present
    possession on the child’s birthday under the standard possession order “shall have
    possession of the child beginning at 6 p.m. and ending at 8 p.m. on that day, provided
    that the parent picks up the child from the residence of the conservator entitled to
    possession and returns the child to that same place”); see also id. § 153.253 (stating that
    the trial court shall render an order that grants periods of possession of the child as
    similar as possible to those provided by the standard possession order if the work
    37
    schedule or other special circumstances of the managing conservator, possessory
    conservator, or the child make the standard order unworkable or inappropriate).
    D. Findings of Fact
    Upon Father’s request, the trial court filed findings of fact and conclusions of
    law. In Finding 27, the trial court elaborated on its conclusion that appointing him as
    managing conservator would substantially impair Zachary’s physical health or
    emotional development “for the following reasons and other reasons presented at
    trial”:
    a. the preponderance of the evidence indicates that [Father] used
    cocaine during the pendency of the case;
    b. [Father] failed to admit and deal with his use of illegal drugs in that
    [Father] contended his positive drug screen for cocaine was a result
    of [Father’s] employment as an air conditioning mechanic;
    c. [Father] failed to wear a continuous sweat patch after August 3, 2018,
    as ordered by the Court;
    d. [Father] failed to cooperate with [Grandma] as it related to the child’s
    care, and more specifically;
    e. [Father] failed to respond to any of [Grandma’s] e-mails or texts as
    they related to the following:
    (1) The child’s medical care and notice of appointments;
    (2) The child’s counseling sessions;
    (3) The child’s school activities; and
    (4) The child’s extracurricular activities;
    f. [Father] refused to talk to [Grandma] when the child was exchanged
    between the parties;
    38
    g. [Father] refused to cooperate with [Grandma] in caring for the child
    when [Grandma] had primary possession of the child.
    h. [Father] failed to take an active interest in the child for substantial
    periods, even with full knowledge this case was pending, and, more
    specifically:
    i. [Father] failed to attend the child’s school events such as the child’s
    two Admission, Review and Dismissal (ARD) meetings, his award
    ceremonies, his 1st day at school, and school lunches;
    j. [Father] failed to attend the child’s extracurricular activities or take
    the child to said activities during his periods of possession.
    k. [Father] did not know the name of the child’s current teacher . . . and
    had never talked to her.
    l. After [Grandma] was appointed temporary sole managing
    conservator of the child in August 2018, [Father] never called or
    spoke to the child on the telephone while the child was in
    [Grandma’s] possession.
    m. [Father] failed to provide financial support for the child during the
    pendency of the case, and, more specifically:
    n. [Father] failed to provide [Grandma] with any financial support to
    assist [Grandma] with the child’s needs after [Grandma] was
    appointed temporary non-parent sole managing conservator of the
    child.
    o. [Father] failed to personally participate in the child’s counseling
    sessions with Dr. Gina Galloway, the court appointed counselor for
    the child, except that [Father] did pay 50% of Dr. Galloway’s fees for
    said sessions.
    p. [Father] failed to acknowledge the child’s medical diagnosis of
    Overflow Fecal Incontinence (encopresis) and a rare skin disease
    called Granuloma Gluteal Infantum initially made by Dr. Stephen
    Weis and subsequently by Bankole Osuntokun, M.D., a
    gastroenterologist at Cook Children’s [Medical Center,] and his
    failure to follow the instructions of that doctor.
    39
    q. [Father’s] taking the child to the pediatrician for a medical opinion
    without sharing with that doctor the findings of the pediatric
    gastroenterologist that had been treating the child for a long period
    of time;
    r. [Father] failed to attend any of the child’s medical appointments
    scheduled by [Grandma] after August 3, 2018, or participate in any
    manner with regard to the child’s diagnosis of fecal incontinence;
    s. [Mother] does not believe it is in the best interest of the child that
    [Father] be appointed managing conservator of the child;
    The trial court also found that placing Zachary with Father unsupervised would
    constitute a threat to Zachary’s physical health or emotional development. The trial
    court found that there had been competing experts with regard to the meaning of
    Father’s drug test, found Dr. Wimbish more credible than Fuller, and noted that there
    was no evidence that the articles cited by Fuller were peer-reviewed or otherwise
    generally accepted in the scientific community.
    The trial court also made findings regarding Dr. Galloway’s counseling, noting
    that Zachary had reported to her that Father had hit him with a belt “for pooping in
    his pants,” that his relationship with Father was not good, that he did not like Father
    because Father was “mean and harsh with him,” that Father sporadically did not give
    him his medicine, and that he wanted to live with Grandma and Mother.
    III. Discussion
    A child’s best interest must always be the court’s primary consideration in
    determining the issues of a parent’s possession and access. See id. § 153.002; see also
    40
    Holley v. Adams, 
    544 S.W.2d 367
    , 371–72 (Tex. 1976). Indeed, the state’s public policy
    is to assure that a child will have frequent and continuing contact with parents who
    have shown the ability to act in his best interest and to provide a safe, stable, and
    nonviolent environment for him. 
    Tex. Fam. Code Ann. § 153.001
    (a). Accordingly,
    the court may limit the rights and duties of a parent appointed as a conservator upon
    a written finding that such a limitation is in the child’s best interest. 
    Id.
     § 153.072.
    But an order that imposes restrictions or limitations on a parent’s right to possession
    of or access to his or her child “may not exceed those that are required to protect the
    best interests of the child.” Id. § 153.193.
    A. Standard of Review
    We review the trial court’s decisions on possession of a child for an abuse of
    discretion. K.T. v. M.T., No. 02-14-00044-CV, 
    2015 WL 4910097
    , at *3 (Tex. App.—
    Fort Worth Aug. 13, 2015, no pet.) (mem. op.). A trial court abuses its discretion if it
    acts without reference to any guiding rules or principles—that is, if its act is arbitrary
    or unreasonable. Low v. Henry, 
    221 S.W.3d 609
    , 614 (Tex. 2007); Cire v. Cummings, 
    134 S.W.3d 835
    , 838–39 (Tex. 2004). An appellate court cannot conclude that a trial court
    abused its discretion merely because the appellate court would have ruled differently
    in the same circumstances. E.I. du Pont de Nemours & Co. v. Robinson, 
    923 S.W.2d 549
    ,
    558 (Tex. 1995); see also Low, 221 S.W.3d at 620.
    A trial court abuses its discretion by ruling without supporting evidence. Ford
    Motor Co. v. Garcia, 
    363 S.W.3d 573
    , 578 (Tex. 2012). But no abuse of discretion
    41
    occurs when the trial court decides based on conflicting evidence, so long as some
    substantive and probative evidence supports its decision. Unifund CCR Partners v.
    Villa, 
    299 S.W.3d 92
    , 97 (Tex. 2009); Butnaru v. Ford Motor Co., 
    84 S.W.3d 198
    , 211
    (Tex. 2002) (op. on reh’g).
    Legal and factual sufficiency are not independent grounds of error in this
    context; rather, they are relevant factors in deciding whether the trial court abused its
    discretion.46 K.T., 
    2015 WL 4910097
    , at *3. In determining whether there has been
    an abuse of discretion because the evidence is legally or factually insufficient to
    support the trial court’s decision, we consider whether the trial court had sufficient
    information upon which to exercise its discretion and then whether it erred in its
    application of that discretion. 
    Id.
     The traditional sufficiency review is involved in
    answering the first question47 and whether the trial court made a reasonable decision
    in answering the second. 
    Id.
    As with jury findings, a trial court’s fact findings on disputed issues are not
    46
    conclusive, and when the appellate record contains a reporter’s record, an appellant
    may challenge those findings for evidentiary sufficiency. Catalina v. Blasdel, 
    881 S.W.2d 295
    , 297 (Tex. 1994). We review the sufficiency of the evidence supporting
    challenged findings using the same standards that we apply to jury findings. 
    Id.
    47
    In determining whether legally sufficient evidence supports a finding, we must
    consider evidence favorable to the finding if a reasonable factfinder could and must
    disregard contrary evidence unless a reasonable factfinder could not. Cent. Ready Mix
    Concrete Co. v. Islas, 
    228 S.W.3d 649
    , 651 (Tex. 2007); City of Keller v. Wilson, 
    168 S.W.3d 802
    , 807, 827 (Tex. 2005). We indulge “every reasonable inference deducible from
    the evidence” in support of the challenged finding. Gunn v. McCoy, 
    554 S.W.3d 645
    ,
    658 (Tex. 2018). Anything more than a scintilla of evidence is legally sufficient to
    42
    We must be cognizant that the trial court is in a better position to decide issues
    in custody cases because it observed the demeanor of the parties and their witnesses
    and had the opportunity to evaluate each conservator’s claims. 
    Id. at *5
    . We thus
    defer to the trial court’s resolution of underlying facts and to its credibility
    determinations. In re A.L.E., 
    279 S.W.3d 424
    , 427 (Tex. App.—Houston [14th Dist.]
    2009, no pet.). “Most orders arising from a suit affecting the parent-child relationship
    will not be disturbed on appeal unless the complaining party can demonstrate a clear
    abuse of discretion.” In re J.R.P., 
    526 S.W.3d 770
    , 777 (Tex. App.—Houston [14th
    Dist.] 2017, no pet.).
    B. Possession
    The Holley best-interest factors may be considered with regard to possession
    and access decisions. In re B.O., No. 02-16-00485-CV, 
    2017 WL 2590571
    , at *24 (Tex.
    App.—Fort Worth June 15, 2017, no pet.) (mem. op.).             These factors used to
    determine the child’s best interest are nonexclusive and may include the child’s
    support a finding. Cont’l Coffee Prods. Co. v. Cazarez, 
    937 S.W.2d 444
    , 450 (Tex. 1996);
    Leitch v. Hornsby, 
    935 S.W.2d 114
    , 118 (Tex. 1996).
    When reviewing an assertion that the evidence is factually insufficient to
    support a finding, we set aside the finding only if, after considering and weighing all
    the pertinent record evidence, we determine that the credible evidence supporting the
    finding is so weak, or so contrary to the overwhelming weight of all the evidence, that
    the finding should be set aside and a new trial ordered. Pool v. Ford Motor Co., 
    715 S.W.2d 629
    , 635 (Tex. 1986) (op. on reh’g); Cain v. Bain, 
    709 S.W.2d 175
    , 176 (Tex.
    1986); Garza v. Alviar, 
    395 S.W.2d 821
    , 823 (Tex. 1965). The factfinder is the sole
    judge of the witnesses’ credibility and the weight to be given to their testimony.
    Golden Eagle Archery, Inc. v. Jackson, 
    116 S.W.3d 757
    , 761 (Tex. 2003).
    43
    desires, the child’s current and future emotional and physical needs, the child’s current
    and future emotional and physical dangers, the parental abilities of those seeking
    custody and their plans for the child, and the acts or omissions of a parent that may
    indicate that the parent-child relationship is not a proper one, along with any excuse
    for such acts or omissions. Holley, 544 S.W.2d at 371–72.48
    1. Supervised Possession
    In his first issue, Father argues that the trial court abused its discretion by
    ordering that he have only supervised possession of Zachary because the evidence is
    insufficient to support that order when there are less-restrictive ways to protect the
    child’s best interest. Father complains that the trial court’s dislike of him “was
    apparent at numerous points during the trial” and speculates that this dislike “may
    have led the trial court to cross into punishing [him] instead of protecting the child, in
    turn resulting in overly restrictive limits on [his] parental rights.”
    Father asserts that the trial court justified its order requiring supervised
    possession on “three broad categories of facts” set out in Fact Finding 27(a)–(r), supra:
    Father’s positive drug test, Zachary’s medical condition, and Father’s “alleged lack of
    involvement in the months between temporary orders and trial.” He complains that
    “these categories do not, individually or collectively, support the trial court’s order for
    supervised visitation” and that less restrictive alternatives were available to protect
    48
    Father argues that “[t]o the extent they are relevant, the Holley factors also do
    not justify the trial court’s order for supervised visitation.”
    44
    Zachary’s best interest. Father argues that the behavior the trial court found troubling
    “could be, and should be, addressed through less-restrictive means such as court-
    ordered counseling or directives to follow doctors’ recommendations.”
    We disagree that the trial court was required to consider less-restrictive means.
    A trial court may place conditions on a parent’s access, such as supervised visitation, if
    necessary for the child’s best interest. B.O., 
    2017 WL 2590571
    , at *24. The question,
    then, is whether ordering within-hearing-range supervised possession exceeds what is
    necessary to protect Zachary’s best interest, based on the evidence presented at trial.
    As set out above and explained below, the record contains ample evidence of a nexus
    between the parties’ parental abilities and the child’s best interest (his desires and
    current and future emotional and physical needs) sufficient to support the trial court’s
    order. See Holley, 544 S.W.2d at 371–72.
    Regardless of the sufficiency of that evidence, Father nonetheless challenges
    the sufficiency of the evidence to support the trial court’s findings that he refused to
    acknowledge Zachary’s medical diagnosis, that he took Zachary to a doctor without
    sharing a prior diagnosis from a different doctor, that he did not attend medical
    appointments after Grandma was appointed sole managing conservator in August
    2018, and that he sporadically failed to give Zachary his medicine.
    But as we have set out above, in extensive detail, the record reflects evidence
    from which the trial court could reasonably conclude that Father did not believe in
    Zachary’s medical diagnoses, notwithstanding the medical and photographic evidence,
    45
    and that Father had failed to follow the medical protocol of giving Zachary his
    MiraLAX to help regulate his bowel issues, resulting in Zachary’s continued fecal
    incontinence and painful blisters on his bottom from lack of hygienic care until
    Grandma was given temporary custody of him in August 2018.49 From the evidence
    in the record, the trial court also could have reasonably concluded that Father did not
    attend any of Zachary’s medical appointments or ask to have them rescheduled to a
    more convenient time for him, even though he had received Grandma’s messages
    about them. As the trier of fact, the trial court was not obligated to believe Father’s
    testimony about his compliance with Zachary’s medication.
    Father argues that if the trial court had been “legitimately concerned that [he]
    would not give [Zachary] the medicine as requested by the child’s doctor,” it could
    have ordered him to do so instead of imposing supervised possession. But the record
    reflects that Father had already demonstrated his recalcitrance in following—or his
    inability to understand—the trial court’s orders during the course of the case, for
    example, with regard to “continuous” sweat patch testing. Rather than punishing
    Father, the trial court could have concluded that supervision by Renee would be easier
    and more acceptable to Father than being subjected to possible contempt for violating
    specific court-ordered requirements that he might not fully appreciate or understand.
    49
    Father claims that the evidence is conflicting with regard to his treatment of
    the child’s medical condition, but the photographs of Zachary’s bottom that were
    admitted into evidence showed the condition of the child’s bottom after he had been
    in Father’s care.
    46
    Further, the record supports the trial court’s conclusion that it would be in
    Zachary’s best interest for Renee to supervise Father’s possession because of evidence
    of Father’s having punished Zachary for medical matters that the child could not
    control by spanking him—with or without a belt—and that Father had been mean
    and harsh to him. But cf. Baltzer v. Medina, 
    240 S.W.3d 469
    , 475 (Tex. App.—Houston
    [14th Dist.] 2007, no pet.) (holding that record was devoid of evidence to support
    finding child’s mother had a history or pattern of physical abuse or neglect of the
    child or any other basis to deviate from the standard possession order guidelines and
    order that her visitation be supervised).
    The record also reflected that Father had called Zachary names, including one
    directly referring to his medical condition, and that Zachary had told Dr. Galloway
    that Father had made unkind remarks about Mother and Grandma to him, all things
    that the court could have believed Father was less likely to do if Renee was within
    earshot.   And while the trial court could have ordered Father to participate in
    counseling, see 
    Tex. Fam. Code Ann. § 153.010
    (a), we cannot say that the trial court
    abused its discretion by opting not to in light of the priorities Father demonstrated
    during the trial, i.e., that the needs of his customers took priority over Zachary’s
    counseling sessions and other activities.
    47
    Accordingly, we conclude that the trial court did not abuse its discretion by
    requiring Father’s possession of Zachary to be supervised by Renee,50 and we overrule
    Father’s first issue.
    2. Specific Steps
    In his second issue, Father argues that the trial court abused its discretion by
    failing to order a possession plan by which he could eventually have unsupervised
    possession, arguing that this would have been a better option than requiring him to
    file a new lawsuit to avoid supervised possession in the future. See 
    id.
     § 156.101(a).
    We again disagree.
    In contrast to this private action, when a child is removed from his parents by
    the Department of Family and Protective Services (DFPS), the court is required to
    review DFPS’s visitation plans and render an appropriate order. See id. § 263.109(a).
    Upon such review, if the court finds that visitation is not in the child’s best interest,
    the court “shall render an order that: (1) states the reasons for finding that visitation is
    not in the child’s best interest; and (2) outlines specific steps the parent must take to
    be allowed to have visitation with the child.” Id. § 263.109(b). And in such a case, if
    50
    Because we conclude the medical-related evidence is sufficient to support the
    trial court’s decision, we do not reach Father’s argument that there is no evidence or
    insufficient evidence to support the trial court’s drug-related findings. See Tex. R.
    App. P. 47.1. We likewise do not reach Father’s challenges to the trial court’s finding
    that he was inattentive of Zachary during the months that Grandma had sole
    managing conservatorship, although—as set out above—there is ample evidence in
    the record to support this latter finding. See id.
    48
    the visitation order requires supervision to protect the child’s health and safety, the
    order must also “outline specific steps the parent must take to have the level of
    supervision reduced.” Id. § 263.109(c).
    But in non-DFPS cases like this one, ordered restrictions on a parent’s right of
    possession simply “may not exceed those that are required to protect the best interest
    of the child.” Id. § 153.193. Section 153.193 contains no similar provision requiring
    the trial court to provide an outline of specific steps to take to reduce restrictions. Cf.
    id. § 153.004(d-1)(1)–(2) (allowing trial court to design a possession order to protect
    the child’s safety and well-being when a parent has a history of domestic violence or
    sexual abuse), § 263.109(c). Rather, for orders deviating from a standard possession
    order, the trial court “shall be guided by” the standard-possession-order guidelines but
    may consider the child’s age, development status, circumstances, needs, and best
    interest; the conservators’ circumstances; and “any other relevant factor.”             Id.
    § 153.256. While Section 153.193 does not envision a complete denial of access—
    which is not the case here—even a severe restriction or limitation is permissible if it is
    in the child’s best interest because the child’s best interest “is the primary
    consideration in determining issues of possession and access.” Chad Lee S. v. Melinda
    A.S., No. 02-14-00135-CV, 
    2015 WL 7820584
    , at *11 n.7 (Tex. App.—Fort Worth
    Dec. 3, 2015, no pet.) (mem. op.).
    Father refers us to Newell v. Newell to support his argument against restrictions
    and in favor of specific steps. 
    349 S.W.3d 717
    , 719–23 & n.3 (Tex. App.—Fort
    49
    Worth 2011, no pet.). In that case, the father was ordered in the divorce decree to
    pass random drug-and-alcohol testing up to three times a year for five years to be
    entitled to unrestricted possession of his child. 
    Id. at 718, 720
    . He did not contest the
    drug-testing requirement but argued that the evidence was insufficient to support the
    alcohol-testing requirement and that the restriction exceeded that required to protect
    the child’s best interest. 
    Id. at 720
    . We eliminated the alcohol-testing requirement
    because it “effectively required [the father] to abstain from any alcohol consumption”
    for 80 to 92 hours preceding possession of his child when there was only “limited
    evidence” in the record about his alcohol use. 
    Id. at 721
    . For example, there was no
    evidence in the record that he had ever been drunk around his child, that he was
    drinking to the point of intoxication at the time of the trial, that his current or past
    alcohol use had ever been detrimental to his ex-wife or the child, that he ever drove
    after drinking, that his personality changed when he drank, or that consuming alcohol
    within 92 hours prior to having possession of his child would in any way negatively
    affect her best interest. 
    Id. at 722
    .
    One of this court’s justices concurred based on how the restriction was worded
    because he thought there was sufficient evidence to support the restriction if the
    timing were made clearer. 
    Id.
     at 723–24 (McCoy, J., concurring). The final panel
    member dissented, concluding that the trial court’s ordering the father to take three
    random alcohol tests per year within 12 hours of possessing his child was neither
    arbitrary nor unreasonable. 
    Id. at 724
     (Livingston, C.J., dissenting).
    50
    Newell involved unique facts and certainly does not stand for the proposition
    that the trial court must include specific steps in a non-DFPS case involving
    restrictions on possession. Cf. 
    id. at 721
    . The trial court could have opted to include
    specific steps, but we will not second guess its decision when there has been no clear
    abuse of discretion.51 See In re F.A., No. 02-16-00156-CV, 
    2017 WL 632913
    , at *7
    (Tex. App.—Fort Worth Feb. 16, 2017, no pet.) (mem. op.) (holding, when parent
    complained that the trial court abused its discretion by terminating his possession and
    access without specifying how he might regain it in the future, that Chapter 156 of the
    Family Code “provides Father a sufficient roadmap for seeking modification of the
    order in the future”).
    Further, there was extensive evidence for the trial court to consider with regard
    to Father’s possession of Zachary, particularly Father’s demonstrated lack of interest
    in his son’s academic and sports activities and care of his hygiene.52 Implicit in the
    51
    Father insists that the trial court “should have instead ordered [him] to have a
    certain number of negative [drug] tests or a certain period of months or years of
    negative [drug] tests so that the restrictions on [his] rights as a parent can be removed
    without more litigation” and that “[a]ny number of orders could address the child’s
    medical condition or school activities without imposing supervised possession.” But
    we have already addressed Father’s demonstrated inability to understand or follow the
    trial court’s orders.
    52
    The trial court did not make an express finding that Father had abused or
    neglected Zachary, and there was no evidence that CPS had found the kind of abuse
    or neglect sufficient to warrant the State’s involvement beyond mere investigation. Cf.
    
    Tex. Fam. Code Ann. § 153.004
    (e) (stating that it is a rebuttable presumption that it is
    not in the child’s best interest for a parent to have unsupervised visitation if credible
    evidence is presented of a history or pattern of past or present child neglect or abuse
    51
    trial court’s findings was that if Father rectified the detailed list of “failures,” less
    restrictive measures might be available through modification in the future.53 We
    overrule Father’s second issue.
    3. Birthday Possession
    In his third issue, Father complains that the trial court abused its discretion by
    giving him and Mother overlapping rights of possession on Zachary’s birthday.
    Unless there is a subsequent modification, because the trial court assigned to
    Father the second and fourth weekends of each month, in 2024 and 2025—when
    Father has possession of Zachary—Mother will get to spend from 6 p.m. to 8 p.m.
    with Zachary on Zachary’s birthday, while Father has him for the rest of his birthday
    weekend. But as Father correctly points out, for all other years until 2029, when
    Zachary turns 18, Zachary’s birthday will fall on a weekday, when he is in Grandma’s
    by that parent). “Abuse” and “neglect” under Section 153.004 are defined by Section
    261.001. 
    Id.
     § 153.004(g)(1). Section 261.001’s definitions of “abuse” and “neglect”
    are considerably broader and more serious than merely being “mean” to a child or
    failing to take care of his blistered bottom. See id. § 261.001(1)(A)–(M), (4)(A).
    Rather, these definitions require observable and material impairments in the child’s
    growth, development, or psychological functioning; physical injuries that result in
    substantial harm; criminal activities, including child trafficking; child abandonment; or
    failing to provide the child with the basic necessities of life. See id.
    53
    Although Father complains that seeking modification will require him to file a
    fourth lawsuit in the future and that, if Renee ever divorces him, he will have to file a
    new lawsuit to obtain a different supervisor, these concerns are either minimal or
    speculative at best when compared to the child’s best interest. We also note that
    divorce is a material change that would support modification. See A.L.E., 
    279 S.W.3d at 429
    .
    52
    possession and when neither parent is otherwise entitled to possession. Thus, unless
    he, Mother, and Grandma can mutually agree to alternative arrangements, Mother and
    Father will have overlapping rights of possession for two hours on Zachary’s birthday
    during all years except 2024 and 2025.
    But there is no legal requirement for the trial court to conform its order to
    Father’s desires to have exclusive, nonoverlapping possession of Zachary on his
    birthday.54 See 
    Tex. Fam. Code Ann. § 153.314
    (4) (setting out standard possession
    order language regarding possession on a child’s birthday). And there is no abuse of
    discretion when Father could seek enforcement if Mother or Grandma tried to
    prevent him from seeing Zachary during the hours of 6 p.m. and 8 p.m. on Zachary’s
    birthday. Rather, as pointed out by Grandma, “Asking parents to cooperate with each
    other for 2 hours once a year is not too much for the trial court to ask, and is certainly
    in the best interest of the child.” We agree with Grandma. If nothing else, the
    birthday-possession provision gives the parties a meaningful opportunity to learn how
    to cooperate and for Father to demonstrate to the trial court that he can cooperate
    with Mother and Grandma for Zachary’s best interest. Accordingly, we overrule
    Father’s third issue.
    In his reply brief, Father compares the language in the order’s birthday
    54
    paragraph with his right to possession in the Father’s Day paragraph and Mother’s
    right to possession in the Mother’s Day paragraph to argue that the birthday
    paragraph grants a conflicting exclusive right of possession, ignoring that the respective
    parent-day carve-outs are exceptions to the normal possession schedule as specifically
    designated by the trial court.
    53
    C. Fact Findings in the Judgment
    In his final issue, Father asserts that the trial court erred by including fact
    findings within the final order,55 informing anyone who has possession of, access to,
    or decision-making rights for the child—which might include Zachary’s daycare and
    healthcare providers—of the trial court’s findings that Father had used cocaine, had
    refused to acknowledge and address his illegal drug use, did not cooperate with
    Grandma, and failed to engage with Zachary. Father refers us to Texas Rule of Civil
    Procedure 299a, which states that findings of fact “shall not be recited in a judgment”
    and shall instead “be filed with the clerk of court as a document or documents
    separate and apart from the judgment.” Tex. R. Civ. P. 299a; see Howe v. Howe, 
    551 S.W.3d 236
    , 246 (Tex. App.—El Paso 2018, no pet.) (“Rule 299a expressly forbids
    findings of fact in a judgment.”).
    To the extent that Father preserved this complaint for our review, see In re S.V.,
    No. 05-17-01294-CV, 
    2019 WL 1529379
    , at *4 (Tex. App.—Dallas Apr. 9, 2019, no
    pet.) (mem. op.); Howe, 
    551 S.W.3d at 247
    ,56 we have previously noted that when, as
    55
    Father challenges the seven findings on endangerment that the trial court
    included on pages 3 and 4 of the final order.
    56
    The trial court signed the final SAPCR order on August 29, 2019, but it issued
    a “Judge’s Rendition” on May 13, 2019, setting out the same findings that are
    complained of on appeal, and Father’s trial counsel filed a request for findings of fact
    and conclusions of law two weeks later. After the SAPCR order was signed, the
    findings request became timely. See Tex. R. Civ. P. 296, 306c. Father’s appellate
    counsel filed a timely notice of past due findings of fact and conclusions of law on
    September 24, 2019, see Tex. R. Civ. P. 297, but no motion to modify or correct the
    54
    here, the abuse-of-discretion standard of review applies to the trial court’s ruling,
    findings of fact and conclusions of law that comply with the civil procedure rules are
    not required. Green v. Garrett, No. 02-03-00045-CV, 
    2004 WL 912671
    , at *2 (Tex.
    App.—Fort Worth Apr. 29, 2004, no pet.) (mem. op.). In Green, a parent—who had
    been held in contempt for failing to pay child support and who was then released on
    community supervision—complained on appeal that the trial court had “improperly
    included findings of fact and conclusions of law” in the release order instead of in a
    separate document pursuant to Rule 299a. 
    Id.
     at *1–2. We held that his reliance on
    Rule 299a was misplaced and that the trial court had not abused its discretion by
    including those findings when the applicable statute required certain findings in child
    support enforcement orders. 
    Id.
     at *2 (citing 
    Tex. Fam. Code Ann. § 157.166
    ); see also
    Martinez Jardon v. Pfister, 
    593 S.W.3d 810
    , 824–25 (Tex. App.—El Paso 2019, no pet.)
    (stating, in divorce-and-SAPCR suit, that “[t]he mere inclusion of findings in the Final
    Decree is not error”).
    Of course, as pointed out by Father, the order at issue here, a final SAPCR
    order, is different from the one in Green and has different statutory requirements with
    regard to findings. The required contents of a final SAPCR order (except in a
    termination-of-parental-rights case) are set out in Family Code Section 105.006, which
    judgment to exclude the fact findings contained within the order. Cf. Howe, 
    551 S.W.3d at 247
     (“Even though Rule 299a does not permit findings to be contained in
    the judgment, because no one raised that complaint below, we accept any findings in
    the judgment as the findings of fact for the purposes of this appeal.”).
    55
    “provides a framework for what [such] final orders must say.” In re R.R.K., 
    590 S.W.3d 535
    , 540 (Tex. 2019). A final SAPCR order must contain (with certain
    exceptions to avoid harassment or abuse) each party’s social security and driver’s
    license numbers, current residence and mailing addresses, home and work phone
    numbers, and the name and work address of each party’s employer, as well as a
    boldfaced, capitalized, or underlined notification that the contact information must be
    updated within 60 days of an intended change. See 
    Tex. Fam. Code Ann. § 105.006
    (a),
    (c), (e). If the order includes child support or possession-or-access provisions, it must
    also prominently feature statutory warnings stating the legal consequences of failing to
    comply with the order’s terms, i.e., enforcement litigation, including contempt
    proceedings.   
    Id.
     § 105.006(d).   Possession provisions require the inclusion of a
    statutory notice to peace officers of their right to use reasonable efforts to enforce
    child custody terms. Id. § 105.006(e-1). Child support provisions require a notice of
    how the court may modify the order. Id. § 105.006(e-2). Finally, if a party alleged
    child abuse or neglect, the court may include in the final order a finding on whether
    the party who made the allegation knew it was false. Id. § 105.006(h). Section
    105.006 does not require the inclusion of any other findings.
    And while the court must “state in writing the specific reasons for the variance
    from the standard order” when possession is contested and varies from the standard
    possession order, since September 1, 2017, there is no longer a requirement that those
    56
    findings be included in the order itself.57 See id. § 153.258(a). The trial court’s order
    here was rendered after September 1, 2017, so the 2017 change to the law applies.
    Act of May 19, 2017, 85th Leg., R.S., ch. 421, §§ 14–15, 
    2017 Tex. Sess. Law Serv. 1131
    . Under the current statute, the request for findings “must conform to the Texas
    Rules of Civil Procedure.”58 
    Tex. Fam. Code Ann. § 153.258
    (b); see In re A.A.M., No.
    14-05-00740-CV, 
    2007 WL 1558701
    , at *3 n.3 (Tex. App.—Houston [14th Dist.] May
    31, 2007, no pet.) (mem. op.) (“In the absence of a requirement that specific findings
    of fact be included in the trial court’s order, findings included in a judgment cannot
    57
    Prior to September 1, 2017, Section 153.258 stated,
    Without regard to Rules 296 through 299, Texas Rules of Civil
    Procedure, in all cases in which possession of a child by a parent is
    contested and the possession of the child varies from the standard
    possession order, on written request made or filed with the court not
    later than 10 days after the date of the hearing or on oral request made in
    open court during the hearing, the court shall state in the order the specific
    reasons for the variance from the standard order.
    Act of Apr. 6, 1995, 74th Leg., R.S., ch. 20, § 1, 
    1995 Tex. Gen. Laws 113
    , 152
    (emphasis added), amended by Act of May 19, 2017, 85th Leg., R.S., ch. 421, § 9, 
    2017 Tex. Sess. Law Serv. 1130
     (current version at 
    Tex. Fam. Code Ann. § 153.258
    ).
    58
    Some Family Code provisions expressly require orders to contain findings,
    such as protective orders, see 
    Tex. Fam. Code Ann. § 261.504
    ; visitation and other
    orders in cases brought by DFPS, see 
    id.
     §§ 263.109(b), .202(a)–(b), (e); orders issued
    when a court finds that a suit for modification has been filed frivolously or has been
    designed to harass a party, see id. § 156.005; certain child support orders, see id.
    §§ 154.302(a), .183(b); and—as referenced above in our discussion of Green—
    enforcement orders, see id. § 157.166(b). Other Family Code provisions may require
    specific, statutorily-identified findings upon a party’s request, such as net resource
    findings in a child support order. See id. § 154.130.
    57
    form the basis of a claim on appeal.”); In re B.P.H., 
    83 S.W.3d 400
    , 410 (Tex. App.—
    Fort Worth 2002, no pet.) (stating that the trial court did not err by signing and
    entering findings of fact that did not comport with the judgment because the
    judgment should not have included findings and the separately filed findings
    controlled for purposes of appeal); Frommer v. Frommer, 
    981 S.W.2d 811
    , 814 (Tex.
    App.—Houston [1st Dist.] 1998, pet. dism’d) (holding that findings recited in the
    judgment “cannot form the basis of a claim on appeal”).
    The findings at issue were made in support of the trial court’s overarching
    finding that modifying the prior order would be in Zachary’s best interest and that
    appointing either parent as his managing conservator would “substantially endanger”
    his “physical health or emotional development.” This language parallels that which is
    required in an affidavit to support a motion to modify the designation of the person
    having the exclusive right to determine a child’s primary residence within one year of
    an earlier order. See 
    Tex. Fam. Code Ann. § 156.102
    (a), (b)(1).59 And the court “may
    limit the rights and duties of a parent appointed as a conservator if the court makes a
    written finding that the limitation is in the best interest of the child.” 
    Id.
     § 153.072; see
    also id. § 153.191 (stating that the court shall appoint a parent as a possessory
    conservator “unless it finds that the appointment is not in the best interest of the
    The previous SAPCR was based on the parties’ December 13, 2017 MSA.
    59
    Just over two months later, Father filed his petition to modify.
    58
    child and that parental possession or access would endanger the physical or emotional
    welfare of the child”).
    Accordingly, based on the above, a trial court can make a generic, statutory
    finding in the final SAPCR order with regard to conservatorship and best interest
    without abusing its discretion or violating Rule 299a. See, e.g., Briones v. Carreon, No.
    04-02-00933-CV, 
    2003 WL 21338475
    , at *1 (Tex. App.—San Antonio June 11, 2003,
    pet. denied) (mem. op.) (holding no abuse of discretion when divorce decree’s
    language was “standard form language that is either required by the Texas Family
    Code or otherwise normally used in divorce decrees”).
    But the question before us, to the extent that it has been preserved and can be
    raised, is whether the trial court abused its discretion by making unrequired specific
    factual findings in the SAPCR order to support its best interest and conservatorship
    determinations. Cf. In re J.C.R., No. 13-18-00491-CV, 
    2020 WL 3396603
    , at *5 n.4
    (Tex. App.—Corpus Christi–Edinburg June 18, 2020, no pet.) (mem. op.) (noting that
    “the trial court’s order contained a written finding [under Section 153.072] that the
    modifications were in the ‘best interest’ of the children”).
    In light of the record before us, we think that the trial court abused its
    discretion by including unrequired specific factual findings in the SAPCR order, but
    not for the reasons argued by Father.60 That is, the law and public policy here do not
    Father argues in his reply brief that, with the findings included in it, the order
    60
    59
    act to protect Father’s best interest or how he is viewed by others with access to
    Zachary. Rather, the additional, unrequired, specific, and factual information has the
    potential to violate Zachary’s privacy, contrary to Zachary’s best interest, which is the
    overarching concern in the trial court and on appeal.
    Accordingly, we sustain Father’s final issue and correct the trial court’s
    judgment to delete all seven numbered findings on pages 3–4 of the final order.61
    This portion of the judgment should now read substantially as follows: “The Court
    further finds that appointment of the parents would substantially endanger the
    child[’]s physical health or emotional development.            THEREFORE, IT IS
    ORDERED that the Intervenor[’]s requested relief in her Intervention for
    Modification is GRANTED.” See In re K.N.C., 
    276 S.W.3d 624
    , 628 (Tex. App.—
    Dallas 2008, no pet.) (modifying decree by deleting and replacing terms).
    will inform the child’s school, daycare, healthcare providers, and others
    that the trial court found that [Father] allegedly used cocaine, refused to
    acknowledge and deal with his use of illegal drugs, does not cooperate
    with [Grandma], refuses to acknowledge the child’s medical condition,
    and failed to engage with the child. Only the parties need to know or
    should ever know the reasons the trial court ruled the way it did.
    61
    We note that the findings will remain in the record because they are
    duplicated in the trial court’s separately filed findings of fact.
    60
    IV. Conclusion
    Having sustained Father’s final issue, we affirm the trial court’s judgment as
    modified.
    /s/ Bonnie Sudderth
    Bonnie Sudderth
    Chief Justice
    Delivered: April 1, 2021
    61
    

Document Info

Docket Number: 02-19-00352-CV

Filed Date: 4/1/2021

Precedential Status: Precedential

Modified Date: 4/17/2021