in the Interest of P.N.T., a Child v. Texas Department of Family and Protective Services ( 2019 )


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  • Affirmed and Opinion filed June 11, 2019.
    In The
    Fourteenth Court of Appeals
    NO. 14-18-01115-CV
    IN THE INTEREST OF P.N.T., A CHILD
    On Appeal from the 313th District Court
    Harris County, Texas
    Trial Court Cause No. 2017-04069J
    OPINION
    This accelerated appeal arises from a final decree in a suit in which
    termination of the parent-child relationship was at issue. Tex. Fam. Code Ann.
    § 109.002(a-1). The child is Paige.1 The appellants are her mother (K.M.), father
    (C.T.), and paternal grandparents (intervenors C.T. and F.T.). The trial court
    terminated Mother’s and Father’s parental rights and appointed the Texas
    Department of Family and Protective Services (the Department) to be Paige’s
    managing conservator.
    1
    We use pseudonyms or initials to refer to the children, parents, and other family members
    involved in this case. See Tex. Fam. Code Ann. § 109.002(d); Tex. R. App. P. 9.8(b)(2).
    Grandparents raise three issues: (1) the trial court lost jurisdiction and should
    have dismissed the case; (2) the trial court erred in denying them a jury trial; and
    (3) the trial court erred in appointing the Department, rather than them, as Paige’s
    conservator. Mother and Father both challenge the evidentiary sufficiency to support
    termination; neither challenges the trial court’s decision on conservatorship.
    We begin with the procedural issues raised by Grandparents. First, they did
    not preserve error regarding dismissal of the case. Any error in failing to dismiss this
    case would have resulted in only a voidable judgment, not a void judgment, so their
    failure to preserve error is dispositive of that issue. Second, the trial court did not
    abuse its discretion in denying Grandparents a jury trial because they did not timely
    demand a jury trial.
    Next, we turn to the substantive issues. Sufficient evidence supports the trial
    court’s findings that (1) Mother and Father endangered Paige, and (2) termination of
    their parental rights is in Paige’s best interest. Grandparents have not shown the trial
    court abused its discretion in appointing the Department as Paige’s managing
    conservator.
    Therefore, we affirm the trial court’s decree.
    DISMISSAL
    In their first issue, Grandparents contend the trial court should have dismissed
    the suit under section 263.401 of the Family Code, the statute that sets the deadline
    to begin trial in a termination case.
    The version of section 263.401 that governs this case2 states in relevant part:
    2
    Section 263.401 was amended effective September 1, 2017. Act of May 28, 2017, 85th Leg.,
    R.S., ch. 319, § 12, sec. 263.401, 2017 Tex. Sess. Law Serv. 716, 721 (codified at Tex. Fam. Code
    Ann. § 263.401(a)). The amended version applies only to suits filed on or after the effective date.
    
    Id. § 34,
    at 735. This suit was filed in August 2017, before the effective date. Therefore, the
    2
    (a) Unless the court has commenced the trial on the merits or granted
    an extension under Subsection (b) or (b-1), on the first Monday after
    the first anniversary of the date the court rendered a temporary order
    appointing the department as temporary managing conservator, the
    court shall dismiss the suit affecting the parent-child relationship filed
    by the department that requests termination of the parent-child
    relationship or requests that the department be named conservator of
    the child.
    Act of May 29, 2015, 84th Leg., R.S., ch. 944, § 38, sec. 263.401, 2015 Tex. Sess.
    Law Serv. 3268, 3283 (amended 2017; current version at Tex. Fam. Code Ann.
    § 263.401(a)). In plain English: with certain exceptions, the deadline to begin trial
    of a termination case is the Monday following the first anniversary of the day the
    trial court appointed the Department as the child’s temporary managing conservator.
    A party who seeks to enforce the one-year deadline must file a motion to dismiss
    before a trial on the merits commences. Act of May 27, 2007, 80th Leg., R.S., ch.
    866, § 3, sec. 263.402(b), 2007 Tex. Sess. Law Serv. 1837, 1838 (amended 2017;
    current version at Tex. Fam. Code Ann. § 263.402).3
    The trial court appointed the Department as Paige’s temporary managing
    conservator on August 22, 2017.4 Trial began on July 26, 2018, less than one year
    later. Accordingly, dismissal was not required because the trial began timely under
    section 263.401(a).
    On appeal, Grandparents contend trial did not really begin until October 22,
    2018. They assert the proceeding on July 26, 2018 was a sham trial, conducted solely
    dismissal deadline in this case is governed by the 2015 version of the statute. 
    Id. § 33,
    at 738.
    3
    As with section 263.401, the version of section 263.402 in effect as of the date of this opinion
    applies only to suits filed on or after September 1, 2017. Act of May 28, 2017, 85th Leg., R.S., ch.
    319, §§ 33, 34, 2017 Tex. Sess. Law Serv. 716, 735, 738.
    4
    Grandparents contend the trial court appointed the Department as Paige’s emergency temporary
    managing conservators on August 9, 2017, the day suit was filed. The record does not contain such
    an order. The docket sheet indicates two orders were signed on August 9 but does not suggest
    either order appointed the Department as Paige’s temporary managing conservator.
    3
    to circumvent the 12-month deadline. They filed a motion to dismiss on October 16,
    2018. If trial did not begin until October 22, 2018, they say, then their motion to
    dismiss was timely under section 263.401(b)(2), and the judgment is void.
    We first consider whether the trial court’s alleged error in not dismissing the
    case rendered the judgment void or merely voidable. “[A] judgment is void only
    when it is shown that the court had no jurisdiction of the parties or property, no
    jurisdiction of the subject matter, no jurisdiction to enter the particular judgment, or
    no capacity to act as a court.” Browning v. Placke, 
    698 S.W.2d 362
    , 363 (Tex. 1985).
    The dismissal dates in the version of section 263.401 applicable to this case are not
    jurisdictional. In re Dep’t of Family & Protective Servs., 
    273 S.W.3d 637
    , 641–42
    (Tex. 2009) (orig. proceeding). A judgment is not void merely because it was made
    after the dismissal dates in that version of section 263.401.
    If a judgment is merely voidable, challenges to that judgment are subject to
    the rules for preservation of error. See Roccaforte v. Jefferson Cty., 
    341 S.W.3d 919
    ,
    923 (Tex. 2011). To preserve a complaint for appellate review, the record must show
    (1) the complaint was made to the trial court by a timely and sufficiently specific
    request, objection, or motion, and (2) the trial court either ruled on the request,
    objection, or motion, or the trial court refused to rule and the complaining party
    objected to the refusal. Tex. R. App. P. 33.1(a). We assume for the sake of argument
    that Grandparents’ motion was timely. The record does not reflect that the trial court
    ruled on the motion, nor does it reflect that Grandparents sought a ruling but the trial
    court refused to rule. Grandparents did not mention the motion to dismiss when trial
    resumed on October 22. Based on these facts, we conclude Grandparents have not
    preserved error regarding dismissal. We overrule their first issue.
    JURY TRIAL
    Grandparents next contend the trial court erred in denying their request for a
    4
    jury trial. We review the trial court’s denial of a jury demand for an abuse of
    discretion. In re A.L.M.-F., No. 17-0603, __ S.W.3d __, 
    2019 WL 1966623
    , at *8
    (Tex. May 3, 2019). A trial court abuses its discretion when its decision is arbitrary,
    unreasonable, and without reference to guiding principles. 
    Id. We examine
    the entire
    record in our review. Mercedes-Benz Credit Corp. v. Rhyne, 
    925 S.W.2d 664
    , 666
    (Tex. 1996).
    The right to a jury trial is guaranteed by the Texas Constitution. Tex. Const.
    art. I, § 15 (“The right of trial by jury shall remain inviolate.”). The existence of a
    substantive right is distinct from the procedures constitutionally required to protect
    that right. A.L.M.-F., 
    2019 WL 1966623
    , at *8. Demand for a jury trial in a civil case
    is governed by Texas Rule of Civil Procedure 216. The rule requires both a written
    request and, unless otherwise provided by law, payment of a fee. See Tex. R. Civ. P.
    216. The written request must be filed a reasonable time before the date set for trial
    on the non-jury docket, but not less than 30 days in advance. Tex. R. Civ. P. 216(a).
    Grandparents filed a written jury demand and paid the jury fee on July 24,
    2018. Trial was set to begin two days later, on July 26. Grandparents did not comply
    with rule 216(a) because they did not make their request at least 30 days in advance
    of the trial setting. Accordingly, the trial court did not abuse its discretion in denying
    their request for a jury trial.
    Similar to their claim for dismissal, in which they argued the July 26 trial was
    a sham, Grandparents contend the trial setting for July 26 was also a sham. For that
    reason, they say, their jury request was timely under rule 216 because it was made
    more than 30 days in advance of the real trial setting of October 22. Accepting their
    contention as true only for the sake of argument, we nevertheless conclude
    Grandparents did not preserve error. To preserve a complaint about the denial of a
    jury trial, the complaining party must object when the trial court proceeds with a
    5
    bench trial. In re K.M.H., 
    181 S.W.3d 1
    , 16 (Tex. App.—Houston [14th Dist.] 2005,
    no pet.) (supp. op. on reh’g). Grandparents did not object to the trial court’s
    conducting a bench trial. Therefore, they did not preserve any error in the denial of
    a jury trial. We overrule their second issue.
    TERMINATION AND CONSERVATORSHIP
    We now turn Mother’s and Father’s challenges to termination and
    Grandparents’ challenge to conservatorship.
    I.    Evidence
    The following witnesses testified at trial: Department investigative
    caseworker Shaun Santiago; two deputy sheriffs from Montgomery County, Troy
    Moseley and Cody Lowry; Paige’s therapist, Diane Vines; the psychologist who
    evaluated Paige, Andrew Brams, Ph.D.; Father’s therapist, Kelly Landry; Mother;
    Father; Grandmother; Grandfather; Department conservatorship caseworker
    Victoria Palmer; Paige’s guardian ad litem, Susan Arredondo; Father’s common-law
    wife, Dana; child welfare and placement expert Lisa McCartney; and Paige’s foster
    mother.
    The exhibits admitted into evidence without objection include: Santiago’s
    pretrial removal affidavit; photos of Paige; Paige’s medical records; criminal records
    concerning Mother’s boyfriend, Luke, who was accused of causing the injuries to
    Paige that began this case; Paige’s educational records; documentation regarding
    Mother’s and Father’s attendance and completion of parenting classes; records from
    one of Father’s therapists; police records regarding Father; drug and alcohol test
    results for Grandparents; Grandmother’s medical records; the Department’s report
    of Grandparents’ home study; photos of Grandparents’ home; and a status report by
    the Department. On the Department’s request and without objection from the other
    parties, the trial court took judicial notice of all the orders in this case. Admitted over
    6
    Mother’s and Father’s objection were family service plans the Department created
    for them; a report of Brams’ psychological evaluation of Paige; photos of Father;
    and printouts of text messages between Father and Dana.
    A.     Events leading to removal and this lawsuit
    The Department received a referral on a Sunday in July 2017 alleging physical
    abuse and medical neglect of Paige, then six years old. Paige presented at the hospital
    with severe bruises on her face, arms, and knees, allegedly due to falling while
    standing in the bathtub.
    1.     Paige’s injuries
    Santiago and J. Rouse, an investigator for the Harris County Sheriff’s Office,
    each observed Paige at the hospital. Santiago’s description is taken from his affidavit
    and his testimony. Rouse’s description is taken from the criminal complaint against
    Luke regarding Paige’s injuries.
    Santiago saw Paige was “covered with bruises.” Specifically, she had large
    bruises on her forehead and the side of her face, both arms, and both legs. Her face
    and one of her knees appeared swollen. She had black eyes. And she had “clumps of
    hair” missing, leaving bald patches on her head. Santiago testified, “[T]here is no
    way, in my experience, that a child could receive that many bruises from one or two
    falls in the bathtub.”
    Rouse observed Paige to have “swollen red marks to her forehead, bruising
    under each eyes [sic], and bruising to her elbows.” Rouse reviewed Paige’s medical
    records. They indicated she had “6 contusions to her face to include ‘swelling to the
    forehead.’” According to the records, Paige told a child life specialist that “[she] was
    hurt on purpose, the wall did it.” The records state Paige’s injuries were not
    consistent with self-injury.
    7
    2.    Mother’s account
    a.      Mother’s statements at the hospital
    Santiago and Rouse both interviewed Mother at the hospital. The facts in this
    section are taken from Santiago’s affidavit and testimony and the criminal complaint
    against Luke.
    Statements to Santiago. Santiago testified that as soon as he entered Paige’s
    hospital room, “[Mother] immediately said, It wasn’t me. She fell in the shower. I
    was at work.” According to Santiago’s affidavit, Mother offered him the following
    version of events leading up to Paige’s hospitalization.
    Paige had been with Grandparents and was set to be returned to Mother at her
    apartment on Saturday. Mother had to go to work, so she instructed Grandparents to
    drop Paige off with Luke. She told Santiago that Luke had begun watching Paige on
    his own just the previous week. When Mother called home, Paige was watching
    television and seemed happy. Luke called Mother around 7:00 p.m. to report Paige
    had urinated on herself. Mother told Santiago that Paige was fully potty-trained and
    had never urinated on herself.
    “A short while later,” Luke called Mother’s work again and left word with a
    co-worker of an emergency at home. Mother was too busy with customers to take
    the call or call him back. She left work around 10:00 p.m., and she did not talk to
    Luke until she got home.
    Once home, Luke told Mother what had happened. Luke said he directed
    Paige to shower to wash off the urine. He said Paige got undressed behind the shower
    curtain, then handed him her clothes. He gave Paige a sponge with soap. At that
    point, Luke told Mother, Paige became upset and screamed for Mother, and during
    her distress she fell, hitting her head twice on the way down. Luke said he “bear
    8
    hugged” Paige to calm her down, then put her to bed. Santiago asked if Mother was
    comfortable with Luke bear hugging her naked daughter, and Mother emphatically
    said no.
    Upon hearing what happened, Mother went to Paige’s bedroom. Mother told
    Santiago she did not see bruises on Paige’s head. Still, Mother wanted to take Paige
    to the hospital, she told Santiago, but she did not because Paige was “difficult to
    wake up.” She said it did not occur to her to call 911. Mother said she stayed up all
    night and checked on Paige frequently. She also told Santiago that Paige had been
    diagnosed as “mentally disturbed.” Mother said Paige hits herself against the wall,
    causing bruises, and pulls out her hair.
    Mother took Paige to a regional hospital at noon the following day, Sunday.
    At some point that afternoon, Paige was transferred to a hospital in the Houston
    Medical Center.
    Statements to Rouse. According to Rouse, Mother said she had “left for work
    that afternoon leaving [Paige] in the care of [Luke] . . . , who is her fiancé.” When
    she returned home that night, Mother told Rouse, she saw Paige had the injuries
    Rouse observed. Luke reportedly told Mother he was helping Paige take a shower
    when she “became angry and began hitting her head on the wall,” so he “had to bear
    hug [her] to prevent her from hitting her head further.” Mother said Luke told her
    Paige “pulled away and landed on her elbows and knees.” Mother took Paige to the
    hospital after Paige complained of a headache the following day.
    b.    Mother’s trial testimony
    At trial, Mother changed her account. She said Father was supposed to have
    custody of Paige for all of July, though Grandparents frequently took care of her for
    him. Even though Grandparents should have returned Paige to Father after their visit,
    Father allegedly had told Mother the previous evening that he had his “own life,”
    9
    and Paige was “[Mother’s] problem.” Mother testified she did not know
    Grandparents would bring Paige to her apartment, and she found out only when she
    called home and Luke said Paige was watching television. Grandmother
    corroborated that testimony when she confirmed she and Grandfather brought Paige
    to Mother’s apartment at Father’s direction.
    Mother testified Luke texted her, not called her, about Paige’s urination. She
    said she responded by instructing Luke to tell Paige to “change herself” and Mother
    would “take care” of her in the morning, by which she meant she would bathe her.
    She explained she does not let Paige in the bathtub by herself.
    At some point thereafter, Mother testified, Luke called the store where she
    worked and said he needed to speak with Mother. She testified he did not say there
    was an emergency. Mother was not alarmed, she explained, because Luke “always
    called [her] job.” Just as she had told Santiago at the hospital, she testified she was
    too busy to talk to Luke at the time. But contrary to her statement to Santiago that
    she did not communicate with Luke until she got home, at trial she testified she
    texted Luke later, asking him if Paige was okay. He allegedly responded Paige was
    fine and he had given her a warm rag and told her to wash herself.
    Paige was already asleep when Mother got home close to midnight. As Mother
    walked in the door, Luke told her Paige had slipped but did not say she had slipped
    in the bathtub. Rather, he “just said she fell and—he said it was outside she hurted
    [sic] her knees and that was it.” Mother testified Paige falls down a lot, is “klutzy,”
    and has balance problems. As a result, she said, Paige normally has bruises on her
    knees. Counsel for the Department asked Mother if Paige’s forehead was bruised.
    Mother responded:
    A.     Honestly, I didn’t even check, like, they didn’t tell me she was
    injured—he didn’t tell me she was injured. He just told me she
    10
    slipped and that was it.
    ...
    Q.     But having somebody tell you your 6-year-old child, who never
    has accidents, has [urinated on] herself, didn’t raise enough
    concern for you to go and check on her; is that correct?
    A.     I guess not.
    It is not clear whether Mother looked in on Paige but did not inspect for bruises or
    did not see Paige at all. Regardless, Mother testified she did not try to wake Paige.
    On cross-examination, Mother was asked about the discrepancy between her
    testimony and Santiago’s testimony that Mother told him she tried but was unable
    to wake Paige. She insisted Santiago was lying. If she had tried but could not wake
    Paige up, Mother testified, she would have taken her to the hospital.
    The next morning, Paige, in a position in which Mother did not have a full
    view of Paige’s head, told Mother her head hurt. Mother testified:
    I said, Well, let me get you some Tylenol. She moved her hand and I
    said—I’m not going to lie—I said a cuss word. I said, What the—
    happened? And she says, Oh, I fell. Remember? I said, No. I said, I was
    just told you hurt your knee that was it.
    Mother gave Paige Tylenol, then Luke drove them to the hospital.
    Mother testified she does not believe falling in a bathtub, even falling twice,
    could have caused Paige’s injuries. If she could go back in time, she said, she would
    have woken Paige.
    3.     Paige’s account
    Santiago interviewed Paige while Mother was in the room. He described Paige
    as “still very scared.” According to Santiago’s affidavit, Paige first told him she fell
    in the bathtub. She said she was in the bathtub because she needed to take a shower
    11
    because she had urinated on herself. Paige said Luke was making her stand in the
    corner because he was angry with her. She needed to use the bathroom and ended
    up urinating on herself. As she stood in the bathtub, Luke handed her a sponge, and
    she fell. Paige told Santiago she did not know how she fell and could not remember.
    At trial, Santiago called attention to how Paige changed her story: “She said that she
    had fallen in the shower. And then she changed to say that she had peed herself. That
    [Luke] had yelled at her. . . . And that he had placed her in the shower and her mom
    wasn’t there so she fell in the shower.”
    4.     Luke’s account
    Luke told Santiago he and Mother began dating in September 2016 and moved
    in together in March 2017. Contrary to Mother’s assertion that Luke had been
    watching Paige for only a week, Luke told Santiago he had been watching Paige on
    his own for two or three months. He said she had no bruises or marks when
    Grandparents dropped her off. Luke contended the only methods of punishment he
    practices on Paige are making her stand in the corner or taking away her phone.
    Luke offered the following account. He asked Paige to pick up her toys, but
    Paige talked back to him, then had a temper tantrum in which she banged her head
    against the wall. He took her eyeglasses so they would not break and put her in
    another part of the apartment. She kept banging her head against the wall, and then
    she urinated on herself. He believed she was having a seizure. But he could not
    explain his belief, admitting Paige had never had a seizure before. He also echoed
    Mother’s statement that Paige had not urinated on herself previously. Luke told
    Santiago that Paige fell on the floor, so he picked her up, carried her to the bathroom,
    and put her in the shower. He said Paige disrobed behind the shower curtain and
    gave him her clothes. He then turned on the water and gave her a sponge with soap.
    The affidavit does not reflect what, if anything, Luke said happened after he handed
    12
    Paige the sponge.
    Luke told Santiago he sent Paige to bed and checked on her every 30 minutes
    or so because he knew she was injured. Still, he admitted, it never occurred to him
    to take her to the hospital. Luke said he did not consume alcohol before the incident
    in question but drank four or five beers around 9:30 p.m.
    5.     Mother’s departure from the hospital
    Santiago confronted Mother about the discrepancies between her and Luke’s
    versions of events. Mother became extremely agitated, saying the Department was
    “trying to pin this” on her. She also said Luke was moving out, and she insisted she
    “needed to be there.” Mother left the hospital before Paige was discharged. Paige
    could not be placed with Father due to his criminal history. She was placed in a
    parental child safety placement (PCSP) with Grandparents. Santiago testified he had
    no problem with that placement at that time.
    6.     Paige’s interview at the Child Assessment Center
    Paige was interviewed five days later at the Child Assessment Center.
    Santiago and Rouse both watched the interview. During that interview, she disclosed
    that Luke banged her head against the wall, which made her urinate on herself. She
    said he threw her into the bathtub, then yelled at her to get out, then dragged her out
    of the bathtub and pushed her to the floor. She told the interviewer her body felt sad
    when he pushed her to the floor. Rouse believed Paige to be “reliable and credible.”
    Santiago called Mother that day and told her the Department would be seeking
    custody of Paige. Mother became very irate and denied abusing Paige. Santiago
    assured her the Department did not believe she physically abused Paige but did
    believe she failed to timely seek medical attention for her daughter. Mother denied
    Luke abused Paige, saying Luke is a good man and Paige is easily influenced to say
    13
    whatever people want her to say. When Santiago reiterated that the evidence
    implicated Luke, Mother said, “Go f*** yourself and I will get a lawyer and see you
    in court.”
    At trial, Mother denied her denial. She said she did not tell Santiago that Luke
    could not have hurt Paige. She said she believes Luke caused Paige’s injuries. She
    also testified, “The night . . . Mr. Santiago told me I could not have my daughter[,] I
    called [Luke] and told him to get his stuff out and get his kid out and get out of my
    apartment.”
    7.      Removal and this lawsuit
    A month to the day after Paige was hospitalized, the Department removed
    Paige and filed this lawsuit for protection of a child, conservatorship, and
    termination. The record does not reflect what precipitated the filing at that time.
    The trial court conducted a full adversary hearing two weeks later, after which
    it named the Department as Paige’s temporary managing conservator. Paige
    remained with Grandparents. About six weeks later, the trial court signed an order
    approving the family service plans the Department created for Mother and Father
    and requiring the parents to comply with their respective plans.
    B.      Paige
    1.      Before and shortly after removal
    Paige was significantly developmentally delayed before she came into care.
    Child placement specialist Lisa McCartney testified Paige could not read and did not
    know numbers.
    Paige had lice at Grandparents’ home. They worked hard to eradicate the lice,
    but the outbreak was ongoing when she arrived at her foster home. The foster mother
    described Paige as frail and underweight at that time. Paige also arrived with “4-inch
    14
    blades” in her suitcase. The record does not reflect where she got the knives.
    Emotionally, the foster mother testified, Paige was very nervous.
    According to Paige’s foster mother, “Everybody noticed her delays right
    away, between the doctor and the school.” It took Paige “a while to kind of process
    information and then reply to somebody.” Speech therapy, occupational therapy, and
    special education services were already in place, but they were not appropriate for
    Paige’s needs.
    The foster mother testified Paige would return to her home “very upset” after
    a family visit, reporting “a lot of acting out, screaming for hours at a time.” It is not
    clear if the upsetting visits were with Mother, Father, Grandparents, or all of them.
    2.     Therapy
    Diane Vines had been Paige’s therapist for about a year at the time of trial.
    Vines estimated Paige had at least 20 therapy sessions with her.
    Vines recalled her first meeting with Paige. Grandparents brought her to the
    session and stayed in the room. Paige was hypervigilant, keeping her eyes wide open.
    She had a hard time saying anything. Vines also noted Paige moved slowly, what
    Vines termed “psychomotor retardation.” When Vines would ask her a question,
    Paige would look to Grandparents. Though Paige never said she was afraid of them,
    Vines believed Paige feared Grandparents: “It was her facial expression, it was her
    body language, it was her inability to respond, to relax.” Vines agreed children can
    be apprehensive the first time they see a therapist, even for a few sessions, but “not
    to that degree.” She testified, “Her presentation was not normal, not even for a first
    session. . . . She appeared extremely uncomfortable.” Paige’s demeanor was “very
    guarded,” according to Vines, and she was “[v]ery closed and withdrawn.” Still,
    Vines testified, she had no concerns at that time with Paige’s placement with
    Grandparents. That was the only time Vines saw Grandparents.
    15
    Paige was “a different child” when she arrived for the second session,
    according to Vines. Her foster mother brought her that time. Vines described Paige
    as “less terrified, less dysregulated,” and overall more relaxed and open. She smiled
    and talked. When Vines asked her questions, Paige answered some on her own and
    looked to her foster mother for reassurance or answers on others. Vines called the
    difference in Paige’s demeanor between the first and second sessions “striking.”
    Even with that progress, Paige struggled to feel comfortable in therapy. Most
    children take several sessions to get used to therapy, Vines said, but Paige took
    “[m]any, many, many months.” Vines practices play therapy, and Paige “had a hard
    time playing, period. She had a hard time being in the room with the door closed.”
    Vines testified it is not normal for a six-year-old child to have a hard time playing in
    therapy once they acclimate to the format.
    Lack of trust is the biggest challenge Vines observed in Paige. She explained:
    “She’s appeared to be scared to death of pretty much everything. She is still a little
    reticent. She—it took me a long time for her to be able to have therapy in the room
    with the door shut without the foster mother there.” Vines said Paige had made
    progress, to be sure, but was not ready to be discharged. Vines’ therapy goals for
    Paige are “trust and relationships and reduce symptomatic behavior.”
    Paige told Vines how she was treated by the various adults involved in this
    case. She confirmed she had not been sexually abused. She said Luke hit her and, in
    what appear to be Vines’ words, “smacked her around.” Father, she told Vines on
    several occasions, was “mean,” and she did not like it when he and Dana fought.
    Paige mentioned “name calling” by Grandparents, but Vines did not elaborate. Paige
    made no outcries regarding Mother, nor did she suggest Mother knew of Luke’s
    abuse.
    16
    3.     Psychological evaluation
    Andrew Brams evaluated Paige in various realms, using both quantitative and
    qualitative assessments. She scored in the range for “borderline intellectual
    functioning,” with an IQ between 70 and 75. He testified a child with an IQ in that
    range will “likely have difficulties of [sic] certain aspects of daily living skills and
    academic prowess.” Paige will need educational help for the foreseeable future.
    Personality testing revealed Paige struggles to organize her thoughts. Brams
    said she may see aspects of her world in a “very simplistic fashion.” When asked if
    Paige was “easily coachable,” Brams answered, “[S]he may have difficulty
    distinguishing between what is realistic and what someone else’s impressions are.”
    He opined Paige will likely find transitions hard and “may be fearful of transitions
    as she has little control or predictability of that experience.”
    Brams was asked about the effects on a child of being in a home with verbal
    and physical abuse. He explained:
    There is [sic] a lot of issues that go along with that. One is that there is
    a question of destructive modeling to the child that you can be
    dysregulating in your approach to dealing with your anger. It also
    creates potential issues with bonding and it creates issues with the
    ability to trust and to overall use emotions in constructive ways.
    Children with these type [sic] of histories that come from these
    environments tend to have difficulties connecting with others and often
    use anger, distance, [and] aggression to be able to keep themselves safe.
    Brams recommended Paige’s caregivers provide as much continuity, predictability,
    and structure in the home as possible. If behavior problems were to arise, he
    suggested they provide some sort of behavioral contract by which she could earn
    rewards for different types of pro-social behaviors. Brams testified Paige needs
    ongoing psychotherapy, at least two or three times per month, to help her with
    17
    “integration closure of any possible experiences that she may have had that were
    construed as traumatic or very stressful.” Further, he opined, Paige may benefit from
    a psychiatric evaluation regarding selective attention issues he perceived.
    4.    Academic records
    A report card for Paige’s kindergarten year, 2016–17, shows Paige was
    “emerging – exploring concept” or “still developing – showing progress” in most
    subject areas. “Emerging” is defined as “a stage in which children develop an
    awareness of their surroundings and exhibit a need for more instruction and
    interaction with objects, people, events and concepts.” “Still developing” means “a
    stage in which children develop an understanding of the components and attributes
    of their surroundings and exhibit a need for more practice with objects, people,
    events and concepts.” She changed school districts before first grade. Her first
    quarter report card for first grade indicates Paige was functioning in most areas at a
    “below basic” level, defined as “working below grade level standard; needs strong
    instructional support.”
    Two Admission, Review, and Dismissal (ARD) Committee meetings were
    held in October 2017 to build Paige’s Individualized Education Program (IEP).
    According to the IEP report, Grandparents attended the first meeting in early
    October, and no parent or guardian attended the second at the end of the month. The
    report includes the following statement:
    [Paige] is a first grade student at [school name omitted] who qualifies
    for special education services as a student with an Emotional
    Disturbance.
    “Emotionally disturbed” is the phrase Mother used to describe Paige’s diagnosis to
    Santiago in the hospital. The report goes on to detail Paige’s specific strengths and
    weaknesses and establish an educational plan to meet her needs.
    18
    C.     Mother
    1.     Relationship with Luke
    Mother met Luke in September 2016, and they moved in to an apartment
    together in April 2017. Luke has two children; their mother has custody of them, but
    they visited Luke at the apartment he shared with Mother. She knew Luke had “some
    DWIs” and “maybe [a] possession” conviction in his criminal history. She testified,
    “I mean, he had one beer around me, like, maybe a day,” and she also said Luke told
    her he stopped drinking.
    Before the incident giving rise to this case, Mother never knew of Luke to hit
    or abuse Paige or his own daughters in any way. Paige never suggested to Mother
    that Luke was hurting her.
    Mother testified she is no longer engaged to Luke or in contact with him or
    his family. She said she later discovered Luke’s location from his friends and passed
    that information on to the detective assigned to the criminal case.
    2.     Service plan
    The Department created a service plan for Mother with many goals, including:
    protect Paige from harm; put Paige’s needs ahead of her own; protect Paige from
    future abuse or neglect; and understand the serious nature of the situation that placed
    Paige in Department custody. To help her achieve those goals, Mother’s service plan
    required her to, among other things: “show extreme protective ability” of Paige; not
    allow Luke to live in her home; ensure Luke has no physical or verbal contact with
    Paige; complete parenting classes; participate in a psychosocial evaluation and
    follow all the evaluator’s recommendations; participate in individual therapy; and
    maintain and provide proof of stable employment and safe housing.
    Caseworker Palmer testified Mother completed all requirements of her service
    19
    plan except providing proof of employment and stable housing. However, Palmer
    admitted she knew Mother was working at Traveler’s Inn and living with her aunt.
    Palmer testified about qualitative shortcomings as well; she said Mother had not
    demonstrated she understood the severity of why Paige was under Department care
    or believed Paige’s outcries of abuse.
    3.    Willingness and ability to care for Paige
    In July 2016, a year before the events giving rise to this case, Paige was
    visiting Grandparents and Father and returned to Mother’s home with bruises.
    Mother texted Grandparents asking, “Where the hell did these bruises come from?”
    Paige’s pediatrician reported the bruises to the Department. Mother said she
    cooperated with the Department’s investigation because she believed “there was
    abuse and neglect at the hands of” Father and Dana.
    Mother’s inaction a year later concerned three professionals involved in this
    case. The two Department caseworkers, Santiago and Palmer, testified Mother’s
    inaction regarding Paige’s injuries endangered Paige. Santiago said Mother
    minimized and was in denial about the seriousness of the incident. He characterized
    her inaction as medical neglect. McCartney testified Mother failed to protect Paige
    from abuse and neglect by allowing Paige to be around “dangerous individuals.”
    McCartney said Mother displayed “a pattern of engaging in relationships with
    people who are abusive and potentially harm her child.”
    McCartney also commented on Mother’s inaction regarding Paige’s delays.
    Paige’s pediatrician reportedly referred her to a neurologist and for an Early Child
    Intervention (ECI) evaluation, neither of which Mother pursued. On cross-
    examination, Mother’s lawyer asked if McCartney was aware Paige had been
    transferred to a different school and both Mother and Grandparents had been
    working with the school district for two years to ensure Paige received the services
    20
    she needed. McCartney said she could not answer that question with a yes or no.
    Guardian ad litem Susan Arredondo expressed concern about Mother’s
    parental abilities, citing Mother’s changing version of events before Paige arrived at
    the hospital. Arredondo said, “[W]e have grave concerns that she is still not
    admitting to why [Paige] came into care.”
    Grandmother testified she did not know if it was safe for Paige to return to
    Mother.
    D.     Father
    1.     Physical and verbal abuse
    Father admitted his anger “gets the best of him” sometimes. The record
    contains evidence of domestic violence and verbally abusive behavior against Paige,
    Dana’s children, Mother, and Dana. Grandfather said he sees “anger issues” in
    Father but never directed toward Paige. His therapist, Kelly Landry, testified Father
    was participating in a Battery Intervention and Prevention Program (BIPP) of his
    own volition, not to fulfill a court requirement.
    Mother testified Father choked her while she was holding Paige. She also
    confirmed he curses at her, Mother, at visitations. She described Father as “kind of”
    a violent man.
    The Department received four referrals regarding Father between May and
    July 2016: three alleging physical abuse (including the one made by Paige’s
    pediatrician) and one alleging sexual abuse. All but the one involving Paige were
    ruled out. The record suggests Dana’s children were the subject of the other three
    referrals. Father contended Dana made those referrals in retaliation for arguments
    they were having. Paige told Palmer she saw Father hurt Dana and Dana’s daughter,
    Mallory. (Paige also alleged Dana punched her, Paige, but the record does not
    21
    indicate when that allegation was made or when the alleged assault occurred.)
    Paige told Mother’s father that Father hit her with a belt and pinched her. That
    was the incident for which Paige’s pediatrician called the Department in July 2016.
    When asked at trial what that case was about, Father responded, “I have no idea.”
    He denied physically abusing Paige.
    In August 2017, Montgomery County Sheriff’s Office deputies responded to
    two calls from Dana less than 24 hours apart. In both, Dana alleged Father committed
    physical violence against her and her son, Michael. Dana had bruises that were
    consistent with her allegations. Father was not in the home when Deputy Troy
    Moseley responded to the second call. Had he been there, Moseley testified, Moseley
    probably would have arrested him for family violence.
    Another deputy investigated an allegation against Father in October 2017, this
    time by Dana’s daughter, Mallory. Mallory said Father choked her. The responding
    deputy, Cody Lowry, did not see evidence to support the allegation. Lowry spoke to
    Father briefly on the phone and asked him to meet. Father refused, saying he had
    warrants. Lowry assured him he had no outstanding warrants, but Father still
    declined. Although criminal charges were not filed, the Department found reason to
    believe Mallory’s allegation.
    The record contains undated print-outs of the following text messages Father
    allegedly sent Dana:
    FATHER: Keep it up and I will come back and I’ll beat your f******
    head in (asterisks in original)
    DANA:        I’m just a useless fat whore to use for your punching bag.
    Goodbye
    DANA:        Go ahead now I have a threat to show the cops. Thanks for
    that in writing
    22
    FATHER: Go ahead f****** b**** I f****** hate you I will
    f****** kill you b****. Go have your phone all you
    f****** want to b**** . . . . (asterisks in original)
    Father admitted sending other texts admitted into evidence but denied sending these.
    Dana testified she and Father were still together at the time of trial.
    2.     Behavior regarding people of other races
    Father used racial slurs against and in reference to another caseworker,
    including calling her a n*****. He testified he used that language because he “was
    mad.” He admitted he sent this text message to Dana about that caseworker:
    FATHER: She’s trying everything she can do to try and f*** my
    world up but she’s not doing s*** to [Mother] that really
    abused her (asterisks added)
    DANA:         Yeah and she is going to try to get her nose into my case.
    I’m not about to let that happen.
    FATHER: Get on the god dasm [sic] phone then with her that n*****
    is dead I’m done with her I’m f*** her [up] (asterisks
    added)
    He admitted posting Nazi symbols on his Facebook page. When asked why,
    he answered, “I went through phases in life.” He denied going through a “white
    supremacy phase,” though, and he insisted a tattoo of a cross on his chest that
    resembled the Nazi symbol he posted did not symbolize white supremacy. He said
    he removed the photos from Facebook.
    3.     Therapy
    Father had two therapists over the course of this case. The second, Landry,
    had been counseling him for seven months at the time of trial. He was supposed to
    have two to four sessions per month but had only nine sessions total.
    Landry testified about her initial impressions:
    23
    [H]e was angry, impulsive. Had a hard time, kind of, managing his
    emotions. So, one of the things that we were trying to work on was his
    anger management, kind of, managing his impulses. We talked about
    parenting skills and things like that.
    Father struggled with understanding why his rights could be terminated, Landry said,
    because he was not the one who hurt Paige. She said she could understand his
    frustration. When Landry assessed Father, she recommended he undergo a
    psychiatric evaluation for possible medication management.
    At some point, Landry provided the Department with a written report of her
    concerns with Father. The document does not appear to have been offered into
    evidence, but Landry testified about it. She confirmed using the following
    descriptors of Father in her report: “aggressive,” “impulsive,” “demeaning and
    controlling,” “easily angered and lashes out verbally towards his girlfriend,” “more
    than once uses profanity,” “fails to take any responsibility,” and “explosive temper.”
    Father has made “minimal” progress in therapy, according to both Landry and
    Father. She offered this example:
    He still gets very verbally aggressive. He lashes out. He will pace back
    and forth. He will yell. He will cuss. He will walk out, slam doors. So,
    when I say very little, it may be before I couldn’t even get him to calm
    down at all. Now, I can give him maybe 10 minutes or 15 minutes and
    he will at least maybe come back in the room with me.
    Landry attributed Father’s slow growth to his continued denial that he commits
    domestic violence. Her therapy goals for Father are admitting he commits domestic
    violence, parenting skills, anger management, and impulse control. She has not
    discharged him from therapy.
    4.    Service plan
    Father’s service plan was similar to Mother’s; the primary difference was
    Luke was not implicated in Father’s plan. Palmer testified Father completed all the
    24
    requirements of his service plan except individual therapy, which he was still
    attending, and providing proof of stable employment and housing. Father testified,
    however, he worked consistently and lived with Dana throughout this case, even
    though his name was not on the lease. Arredondo confirmed Father had been
    working consistently but had not provided appropriate documentation of
    employment. Palmer believed Father, like Mother, did not understand the gravity of
    the events that put Paige under Department care.
    5.     Willingness and ability to care for Paige
    Father’s relationship with Mother ended four or five years before trial. Their
    custody of Paige was governed by a standard possession order, under which Father
    had Paige the first, third, and fifth weekends of every month and a full month in the
    summer. Father said he did not remember that he was supposed to have Paige for
    one summer month, and he did not remember taking Paige for a full month at any
    time. He lived with Grandparents for “a long time,” so Paige also stayed in their
    house during his periods of custody. Child support payments are deducted from his
    paycheck. He did not recall the exact amount he pays monthly; he estimated $200.
    Father testified he was aware Paige had significant delays emotionally,
    physically, and intellectually. He did not take her to a doctor or seek other treatment
    regarding those delays.
    Father said he did not like that Luke was living with Paige. When asked if he
    did anything about it, Father responded, “What am I supposed to do to [sic] that?”
    Arredondo worried Father’s lack of impulse control coupled with Paige’s
    frequent “emotional breakdowns” spelled disaster because he would not be able to
    manage them. She also expressed concern about the effect on Paige of the volatility
    of Father’s relationship with Dana.
    25
    Palmer believed Father is a threat to Paige, but she acknowledged she had not
    seen him hurt or mistreat Paige. McCartney agreed Father had not demonstrated
    willingness and ability to protect Paige:
    He has been involved in a number of [Department] cases involving
    [abuse of] children, including his stepchildren. He is aggressive and has
    . . . threatened a [Department] worker, has threatened his current
    paramour, or wife. He has also threatened the mother of the child before
    and engaged in domestic violence.
    [Paige] . . . also presented at her pediatrician’s with marks on her
    buttocks that she said [Father] pinched her bottom and hit her with a
    belt.
    Grandmother was asked if was safe to return Paige to Father. She responded,
    “Not at this time, no.”
    E.     Grandparents
    Grandparents have been married for roughly 30 years. Father is
    Grandmother’s son from her previous marriage. That marriage ended in divorce in
    California. Custody of Father and Grandmother’s other son was awarded to their
    father. The record suggests the ex-husband alleged Grandmother was “taking too
    many pills,” an allegation Grandmother denied.
    1.     Grandmother’s medications
    Grandmother testified she has had chronic back pain since 2002 due to her
    hysterectomy. She underwent back surgery seven times. A letter signed by her doctor
    listing her prescribed medications was admitted into evidence. Her prescriptions to
    treat “chronic pain syndrome and injury of nerve root” include Fentanyl (one patch
    every 48 hours); acetaminophen-hydrocodone bitartrate (325 mg–10 mg 3
    times/day); Neurontin: (400 mg 4 times/day); carisoprodol (brand name Soma) (350
    mg 3 times/day); Provigil (200 mg 2 times/day); and amitriptyline (100 mg 2 pills
    26
    at bedtime). She was also prescribed alprazolam (brand name Xanax) for anxiety
    and major depressive disorder. The letter states Grandmother signed a pain
    management contract “as required.” At trial, Grandmother said she takes her
    medication as prescribed but does not take the full dose if she does not need it.
    Grandmother contended she is fully able to care for Paige and manage her
    household while on her medications. Father and Grandfather echoed that assertion
    in their testimony. Grandmother testified she drives regularly, her doctor knows she
    drives, and her driver’s license has no restrictions.
    But Dana offered a different opinion. She testified:
    A.       [Grandmother] is on some pretty strong medication where I have
    seen her not be able to be woken up. I’ve seen her stumbling,
    needing help getting to her bed. So, I would be concerned with
    being able to take care of a child.
    Q.       Has that happened many times or just a few?
    A.       Quite a few times in my three years of knowing them.
    On cross-examination, Dana admitted that, save for one visit the previous month,
    she had not been to Grandparents’ home in two years. She also acknowledged she
    willingly left her baby in Grandmother’s care “before this happened.”
    Grandmother testified she does not drink alcohol. She tested positive for
    alcohol during this case but contended the positive result was from cough syrup she
    ingested the previous evening. She voluntarily submitted to a breathalyzer three
    times per day for 30 days and never tested positive.
    Palmer testified Paige made a disclosure about Grandmother’s drinking. Paige
    heard a song with the words “drink” and “drunk.” Paige then said, “My Jammie does
    that.” Palmer stated, “She said her Jammie drinks and gets drunk and she can’t carry
    her to bed.”
    27
    Arredondo raised her concern about the level of alcohol in Grandmother’s
    system when she tested positive: 2,790 nanograms per milliliter of ethyl glucuronide,
    a metabolite of alcohol. Arredondo testified she consulted with Bruce Jefferies, who
    operates a drug testing facility, about whether Grandmother’s test result could be
    attributed to cough syrup. Jefferies reportedly asked Arredondo if Grandmother had
    ingested the entire bottle of cough syrup.
    2.    Paige’s removal from Grandparents’ home
    Near the end of October 2017, the trial court ordered Paige to be moved from
    Grandparents’ care within 24 hours. Testimony at trial suggests Paige was moved
    because Father had been at Grandparents’ home in violation of a court order. Such
    an order does not appear in the record, nor did any witness testify about the terms of
    such an order. Father and Grandparents testified no order was violated because Paige
    was not there when Father visited; she was in school.
    3.    Willingness and ability to care for Paige
    Paige loved Grandparents. When she was released from the hospital and saw
    Grandmother, Santiago testified, Paige “lit up and everything changed . . . . She went
    up and gave grandma a big hug.” Grandfather testified he and Grandmother will
    adopt Paige if needed and raise her through adulthood. He said they are financially
    stable and able to meet all of Paige’s needs. Photos offered by Grandparents show
    Paige smiling and playing with a little girl from Grandparents’ neighborhood.
    Grandmother testified about the last visit they had with Paige. She said Paige
    climbed into her lap and said, “Jammie, I want to hide in the back of the truck and
    go home with you.” From Palmer’s perspective, though, the visit “didn’t go very
    well.” Palmer said Grandparents were “taunting [Paige] with gifts” by telling her
    they would celebrate Christmas when she returned to their home, asking her if she
    wanted to go on vacation to Florida, and promising her they would take her to the
    28
    mall and she could choose anything she wanted. On the recommendations of
    Department supervisors, Paige’s therapist, Arredondo, and Paige’s attorney ad litem,
    Palmer discontinued the visits with Grandparents.
    Several people were confident Grandparents could care for and protect Paige,
    even from Father. Mother testified, “[Grandfather] doesn’t care. He’ll protect
    [Paige].” Theresa Watts, a volunteer with Child Advocates, Inc. (the agency that
    employs Arredondo) formerly assigned to this case, reportedly believed Paige
    should stay with Grandparents. Santiago testified he had no concerns about
    Grandparents when he placed Paige with them.
    Palmer, Arredondo, and McCartney disagreed, and eventually Santiago came
    to share their view. They believed it was not in Paige’s best interest to be placed with
    Grandparents. Palmer and Arredondo both said they were concerned by the amount
    of medication Grandmother was taking, though they admitted they are not experts
    in pain management. They also expressed concern that Grandfather, due to his work
    schedule, would not be available to take care of Paige and the task would fall
    primarily to Grandmother. McCartney was troubled by the fact that Grandmother
    lost custody of her children in California. Palmer, Arredondo, and McCartney had
    not visited Grandparents’ home.
    F.     Foster mother
    Paige was placed with her foster mother after she was removed from
    Grandparents’ home. Vines reported Paige said she wants to stay with her foster
    mother and does not want to live with Mother, Father, or Grandparents. Palmer
    agreed, noting Paige had expressed the same desire to her. Palmer also said Paige
    had not asked her about Grandparents in the 10 months Palmer had been assigned to
    the case.
    Palmer, Arredondo, and McCartney all testified Paige’s best interest would be
    29
    served by staying with her foster mother. Palmer described Paige’s relationship with
    her foster mother:
    Friendly, [Paige] engages with her really well. She talks to [Paige] like
    a child should be talked to. She’s warm and friendly and [Paige] seems
    to respond really well to her.
    Arredondo added:
    There is a lot of trust. She has been placed there for a little under a year.
    She was placed there since October of last year, and a lot of trust, a lot
    of communication between the two. [Paige] is strongly dependent on
    the foster parent. There’s a lot of laughter.
    McCartney commented on Paige’s significant improvement during her time
    with her foster mother. Arredondo said the foster mother had been active in ensuring
    Paige received all the services she needed:
    She has been up and down to the school. She’s been [making sure] that
    all of her ARD, her IEP meetings take place, and making sure that all
    of the goals are meeting all of her needs. She’s been fighting for
    occupational [and] speech . . . therapy services. . . .
    Vines believed Paige should remain with the foster mother. Based on her
    observations, Vines testified, the foster mother is meeting “if not exceeding” all of
    Paige’s needs. Brams testified that, based on his limited observation, the foster
    mother appeared to have “created adequate boundaries and interacted with [Paige]
    in a constructive and appropriate manner.”
    The foster mother testified she and Paige had formed a significant bond during
    their year together. They loved one another. In her opinion, Paige felt safe and secure
    with her. She wants to adopt Paige if the parents’ rights are terminated. The foster
    mother noted the other foster children in her home called her by her name, but Paige,
    of her own accord, elected to call her “mom.”
    30
    G.     Trial court’s findings
    The trial court found Mother engaged in the conduct described in subsections
    D (endangerment by environment), E (endangerment by conduct), and O (failure to
    comply with court order) of section 161.001(b)(1) and found Father engaged in the
    conduct described in subsections E and O. The court additionally found termination
    of Mother’s and Father’s parental rights was in Paige’s best interest. The trial court
    appointed the Department to be Paige’s managing conservator. Mother, Father, and
    Grandparents timely appealed.
    II.   Termination
    A.     Burdens of proof and standards of review
    Involuntary termination of parental rights is a serious matter implicating
    fundamental constitutional rights. See In re G.M., 
    596 S.W.2d 846
    , 846 (Tex. 1980);
    In re J.E.M.M., 
    532 S.W.3d 874
    , 879 (Tex. App.—Houston [14th Dist.] 2017, no
    pet.). However, the child’s emotional and physical interests must not be sacrificed
    to preserve parental rights. In re C.H., 
    89 S.W.3d 17
    , 26 (Tex. 2002).
    Parental rights may be terminated if clear and convincing evidence shows
    (1) the parent committed an act described in section 161.001(b)(1) of the Family
    Code, and (2) termination is in the best interest of the child. Tex. Fam. Code Ann.
    § 161.001(b)(1), (2). Only one predicate finding under section 161.001(b)(1), along
    with the best-interest determination, is necessary to support termination. In re A.V.,
    
    113 S.W.3d 355
    , 362 (Tex. 2003). “‘Clear and convincing evidence’ means the
    measure or degree of proof that will produce in the mind of the trier of fact a firm
    belief or conviction as to the truth of the allegations sought to be established.” Tex.
    Fam. Code Ann. § 101.007. This high burden reflects the severity of termination.
    The heightened burden of proof results in heightened standards of review for
    31
    evidentiary sufficiency:
     Legal sufficiency. We consider all the evidence in the light most favorable to the
    finding to determine whether a reasonable fact finder could have formed a firm
    belief or conviction that its finding was true. We assume the fact finder resolved
    disputed facts in favor of its finding if a reasonable fact finder could do so, and
    we disregard all evidence a reasonable fact finder could disbelieve. In re J.F.C.,
    
    96 S.W.3d 256
    , 266 (Tex. 2002).
     Factual sufficiency. We consider and weigh all the evidence, including disputed
    or conflicting evidence, to determine whether a reasonable fact finder could have
    formed a firm belief or conviction that its finding was true. We consider whether
    disputed evidence is such that a reasonable fact finder could not have resolved
    that dispute in favor of its finding. 
    C.H., 89 S.W.3d at 25
    .
    The fact finder is the sole arbiter when assessing the credibility and demeanor
    of witnesses. In re A.B., 
    437 S.W.3d 498
    , 503 (Tex. 2014); In re H.R.M., 
    209 S.W.3d 105
    , 109 (Tex. 2006) (per curiam). We may not second-guess the fact finder’s
    resolution of a factual dispute by relying on disputed evidence or evidence the fact
    finder “could easily have rejected as not credible.” In re L.M.I., 
    119 S.W.3d 707
    ,
    712 (Tex. 2003).
    B.     Predicate ground for termination: endangerment
    Mother’s and Father’s first and second issues challenge the legal and factual
    sufficiency of the evidence to support the trial court’s findings under subsections D,
    E, and O of section 161.001(b)(1). For the reasons that follow, we conclude
    sufficient evidence supports the subsection D finding as to Mother and the
    subsection E finding as to Father. We therefore do not review the subsection E
    finding as to Mother or the subsection O finding as to either parent.
    1.     Legal standards
    If a parent has had his or her parental rights terminated based on a finding
    under section 161.001(b)(1)(D) or (E), that finding may serve as the basis for a future
    32
    termination of parental rights. Tex. Fam. Code Ann. § 161.001(b)(1)(M) (allowing
    termination if parent “had his or her parent-child relationship terminated with respect
    to another child based on a finding that the parent’s conduct was in violation of
    Paragraph (D) or (E) or substantially equivalent provisions of the law of another
    state”). Because subsection M alone provides a sufficient basis to terminate parental
    rights based on a previous subsection D or E finding, due process concerns, coupled
    with the requirement for a meaningful appeal, mandate a court of appeals affirming
    a termination on either subsection D or E provide the details of its analysis. See In
    re N.G., No. 18-0508, __ S.W.3d __, 
    2019 WL 2147263
    , at *4 (Tex. May 17, 2019).
    “To endanger” means to expose a child to loss or injury or to jeopardize a
    child’s emotional or physical health. See In re M.C., 
    917 S.W.2d 268
    , 269 (Tex.
    1996) (per curiam); In re S.R., 
    452 S.W.3d 351
    , 360 (Tex. App.—Houston [14th
    Dist.] 2014, pet. denied). Subsection D requires a finding that the parent “knowingly
    placed or knowingly allowed the child to remain in conditions or surroundings which
    endanger the physical or emotional well-being of the child.” Tex. Fam. Code Ann.
    § 161.001(b)(1)(D). Subsection E requires a finding that the parent “engaged in
    conduct or knowingly placed the child with persons who engaged in conduct which
    endangers the physical or emotional well-being of the child.” 
    Id. § 161.001(b)(1)(E).
    In evaluating endangerment under subsection D, we consider the child’s
    environment before the Department obtained custody of the child. See In re J.R., 
    171 S.W.3d 558
    , 569 (Tex. App.—Houston [14th Dist.] 2005, no pet.). Under subsection
    E, however, courts may consider conduct both before and after the Department
    removed the child from the home. See 
    S.R., 452 S.W.3d at 361
    .
    1.     Mother: endangerment by environment (161.001(b)(1)(D)
    Endangerment under subsection D may be established by evidence related to
    the child’s environment. 
    S.R., 452 S.W.3d at 360
    . “Environment” refers to the
    33
    acceptability of living conditions, as well as a parent’s conduct in the home. In re
    W.S., 
    899 S.W.2d 772
    , 776 (Tex. App.—Fort Worth 1995, no writ). A child is
    endangered when the environment creates a potential for danger that the parent is
    aware of but consciously disregards. See In re E.R.W., 
    528 S.W.3d 251
    , 264 (Tex.
    App.—Houston [14th Dist.] 2017, no pet.); In re S.M.L., 
    171 S.W.3d 472
    , 477 (Tex.
    App.—Houston [14th Dist.] 2005, no pet.). Inappropriate, abusive, or unlawful
    conduct by a parent or other persons who live in the child’s home can create an
    environment that endangers the physical and emotional well-being of a child as
    required for termination under subsection D. In re M.R.J.M., 
    280 S.W.3d 494
    , 502
    (Tex. App.—Fort Worth 2009, no pet.). Conduct implying awareness of an
    endangering environment shows endangerment. 
    S.M.L., 171 S.W.3d at 477
    .
    Luke, Mother’s live-in boyfriend or perhaps fiancé, abused Paige badly
    enough to warrant her hospitalization. Mother may not have intended Luke to be
    alone with Paige, but he was alone with her, and Mother knew that before Luke hurt
    Paige. Mother also knew her fully potty-trained six-year-old daughter urinated on
    herself in Luke’s care, and she elected not to go home or investigate further.
    Mother offered varying accounts of the incident. Santiago said Mother told
    him she knew there was an emergency but believed she could not leave work. At
    trial, she testified she did not know there was an emergency. Santiago said Mother
    told him she tried but could not wake Paige. At trial, she testified she did not try to
    wake her and did not see the bruises on her face. As the sole arbiter of a witness’
    credibility, the trial court was free to believe the evidence that Mother was aware of
    but disregarded an emergency and/or that she was aware of but delayed seeking
    medical treatment for Paige’s injuries. The trial court could also consider the fact
    Mother changed her story.
    Mother swore she had no reason to believe Luke was abusive or Paige would
    34
    be in danger with him. But she knew he had been convicted of driving while
    intoxicated more than once and still drank alcohol. Luke admitted drinking four or
    five beers while he was taking care of Paige before Mother came home. The trial
    court could have inferred Mother was or should have been aware Luke posed a
    danger to Paige, even if she did not know the specific danger.
    The evidence supports an inference that Mother consistently minimized the
    risk Paige faced. Palmer testified Mother did not appear to understand the severity
    of why Paige was under Department care or even believe Paige’s outcries of abuse.
    Further, the trial court could consider Mother’s acquiescence in allowing Paige to
    stay with Father, theoretically for a full month, despite suspecting he physically
    abused Paige in the past. Mother did not suggest she tried to impose additional
    safeguards for Paige during her time with Father, such as seeking to modify the
    possession order or asking Grandparents to supervise Father.
    Considering all the evidence in the light most favorable to the finding, we
    conclude the trial court could have formed a firm conviction or belief that Mother
    endangered Paige under subsection D. The evidence is therefore legally sufficient to
    support that finding. Our factual sufficiency analysis takes into account many
    disputed facts, including whether Mother knew or should have known of the
    emergency at home and of her daughter’s injuries. Even considering those disputed
    facts, we conclude the evidence is factually sufficient to support the subsection D
    finding, because the trial court could have reasonably resolved those disputes in
    favor of that finding.
    2.     Father: endangerment by conduct (161.001(b)(1)(E))
    Under subsection E, the evidence must show the endangerment was the result
    of the parent’s conduct, including acts, omissions, or failure to act. In re J.T.G., 
    121 S.W.3d 117
    , 125 (Tex. App.—Fort Worth 2003, no pet.). Termination under
    35
    subsection E must be based on more than a single act or omission; the statute requires
    a voluntary, deliberate, and conscious course of conduct by the parent. 
    Id. A court
    properly may consider actions and inactions occurring both before and after a child’s
    birth to establish a “course of conduct.” In re S.M., 
    389 S.W.3d 483
    , 491–92 (Tex.
    App.—El Paso 2012, no pet.). While endangerment often involves physical
    endangerment, the statute does not require that conduct be directed at a child or that
    the child actually suffers injury; rather, the specific danger to the child’s well-being
    may be inferred from parents’ misconduct alone. Tex. Dep’t of Human Servs. v.
    Boyd, 
    727 S.W.2d 531
    , 533 (Tex. 1987); In re R.W., 
    129 S.W.3d 732
    , 738–39 (Tex.
    App.—Fort Worth 2004, pet. denied). A parent’s conduct that subjects a child to a
    life of uncertainty and instability endangers the child’s physical and emotional well-
    being. In re A.L.H., 
    515 S.W.3d 60
    , 92 (Tex. App.—Houston [14th Dist.] 2017, pet.
    denied).
    “Domestic violence, want of self-control, and propensity for violence may be
    considered as evidence of endangerment.” In re J.I.T.P., 
    99 S.W.3d 841
    , 845 (Tex.
    App.—Houston [14th Dist.] 2003, no pet.); accord 
    S.R., 452 S.W.3d at 361
    .
    Violence does not have to be directed toward the child or result in a final conviction.
    “Texas courts routinely consider evidence of parent-on-parent physical abuse in
    termination cases without specifically requiring evidence that the conduct resulted
    in a criminal conviction.” In re V.V., 
    349 S.W.3d 548
    , 556 (Tex. App.—Houston
    [1st Dist.] 2010, pet. denied); see also 
    S.M.L., 171 S.W.3d at 479
    .
    A parent’s abuse of a child endangers that child but also endangers other
    children the parent may have in his care. See In re E.C.R., 
    402 S.W.3d 239
    , 248
    (Tex. 2014). When determining if a child is at risk for abuse or neglect by her parent,
    the parent’s treatment of other children must be considered: “Part of [the risk]
    calculus includes the harm suffered or the danger faced by other children under the
    36
    parent’s care.” 
    Id. The record
    is replete with evidence of domestic violence and child abuse by
    Father. Mother testified Father choked her as she held Paige. Dana called the police
    several times alleging Father had assaulted her. At least one of those allegations
    would likely have led to an arrest. The Department and law enforcement investigated
    reports of Father’s physical abuse of Dana’s children. The sheriff’s deputy did not
    find evidence to support Dana’s daughter’s allegation that Father choked her, but the
    Department found reason to believe he did. Paige reported she saw Father hurt Dana
    and Dana’s daughter. And she made an outcry of Father’s abuse of herself, alleging
    he hit her with a belt and pinched her.
    The trial court also heard evidence Father angers easily, lacks impulse control,
    and has an “explosive temper.” Consistent with Landry’s report that Father lashes
    out at Dana, text messages Father sent Dana are riddled with expletives and threats:
    “Keep it up and I will come back and I’ll beat your f****** head in,” and “Go ahead
    f****** b**** I f****** hate you I will f****** kill you b****. Go have your
    phone all you f****** want to b**** . . . .” He also threatened a Department
    caseworker: “[T]hat n***** is dead I’m done with her I’m f*** her [up].”
    Father denied most of the allegations of abuse, and he denied sending the
    message about the caseworker. As the sole arbiter when assessing the credibility and
    demeanor of a witness, the trial court was free to discredit Father’s self-serving
    testimony. See 
    H.R.M., 209 S.W.3d at 109
    .
    Applying the applicable standards of review, we conclude the evidence is
    legally and factually sufficient to support the trial court’s finding under subsection
    E regarding Father.
    37
    C.     Best interest
    1.     Legal standards
    Termination must be in the child’s best interest. Tex. Fam. Code Ann.
    § 161.001(b)(2). Texas courts presume two conditions to be in a child’s best interest:
    (1) prompt, permanent placement in a safe environment, 
    id. § 263.307(a);
    and
    (2) remaining with the child’s natural parent. In re U.P., 
    105 S.W.3d 222
    , 230 (Tex.
    App.—Houston [14th Dist.] 2003, pet. denied) (op. on reh’g). The best-interest
    analysis focuses on the child, not the parent. In re K-A.B.M., 
    551 S.W.3d 275
    , 287
    (Tex. App.—El Paso 2018, no pet.).
    Courts may consider these non-exclusive factors, known as the Holley factors,
    in the best-interest analysis: the desires of the child; the physical and emotional needs
    of the child now and in the future; the physical and emotional danger to the child
    now and in the future; the parental abilities of the persons seeking custody; the
    programs available to assist those persons seeking custody in promoting the best
    interest of the child; the plans for the child by the individuals or agency seeking
    custody; the stability of the home or proposed placement; acts or omissions of the
    parent that may indicate the existing parent-child relationship is not appropriate; and
    any excuse for the parent’s acts or omissions. Holley v. Adams, 
    544 S.W.2d 367
    ,
    371–72 (Tex. 1976). This list of factors is not exhaustive, and evidence is not
    required on all the factors to support a finding that termination is in the child’s best
    interest. In re D.R.A., 
    374 S.W.3d 528
    , 533 (Tex. App.—Houston [14th Dist.] 2012,
    no pet.). The Family Code also identifies factors the court may consider in evaluating
    a parent’s willingness and ability to provide the child with a safe environment. Tex.
    Fam. Code Ann. § 263.307(b). Finally, evidence supporting the statutory predicate
    of termination is relevant to the best-interest analysis. 
    S.R., 452 S.W.3d at 366
    .
    38
    2.      Application
    Paige’s desires and needs. Grandmother testified Paige told her at their last
    visit, some eight months before trial, that she wanted to “hide in the back of the truck
    and go home with you.” Vines, Palmer, and the foster mother testified Paige said she
    wants to live with the foster mother.
    With an IQ of 70–75, Paige will likely struggle with some aspects of daily
    living and academic prowess, according to Brams. He testified she will need
    educational help for the foreseeable future, and the ARD report from the fall of 2017
    suggests the same.
    The evidence supports an inference that Paige’s parents were not meeting her
    educational needs. McCartney testified Mother had not followed up on referrals
    Paige’s doctor made to a neurologist and for an ECI assessment. Father testified he
    knew of Paige’s delays but did not seek consultation or treatment for them. We note,
    though, that Grandparents attended one of two ARD meetings noted in the record,
    and the second meeting was held after Paige was removed from their home.
    By contrast, the foster mother was said to be meeting Paige’s educational
    needs fully. Arredondo testified the foster mother ensured ARD meetings occurred
    and the IEP met Paige’s needs. She also had been fighting to obtain occupational
    and speech therapy for Paige.
    Endangerment by Mother and Father. Evidence supporting termination
    under the grounds listed in section 161.001(b)(1) can be considered in support of a
    finding that termination is in the child’s best interest. See 
    C.H., 89 S.W.3d at 27
    .
    Accordingly, the evidence of Mother’s and Father’s endangerment of Paige,
    discussed above, is relevant to the best-interest analysis.
    Service plan. Both parents completed the majority of their service plans.
    39
    Palmer testified Mother and Father both failed to provide proof of stable housing
    and employment. But Palmer admitted she knew Mother was working at a motel and
    living with a relative. Arredondo admitted Father had been working “consistently,”
    and it was undisputed he lived with Dana throughout this case. Father’s only other
    deficiency was not completing individual therapy. However, his therapist testified
    Father is not ready to be discharged. It is unreasonable to equate a parent who does
    not engage in therapy at all with a parent whose therapist indicates more therapy is
    needed.
    Willingness and ability to care for Paige. The record indicates Mother has
    shown varying degrees of protective capacity for Paige. In the summer of 2016,
    Mother cooperated with the Department as it investigated bruises on Paige. The next
    summer, Mother took little to no action upon hearing Paige had urinated on herself
    and there was an emergency at home. Palmer and Arredondo both worried Mother
    did not grasp the seriousness of how Paige came to be under Department care.
    Father, the record suggests, may not be able to protect and care for Paige due
    to his deep-seated anger and his lack of impulse control, particularly given her
    frequent “emotional breakdowns.” The Department also found reason to believe he
    had physically abused Paige in the summer of 2016 and Mallory a year later.
    Grandparents unquestionably are willing to care for Paige. No evidence
    suggests Grandfather is unable to take care of Paige. Grandmother, on the other
    hand, raised a few red flags. First, Palmer, Arredondo, and McCartney all worried
    about the amount of medication she was taking. Grandfather, Grandmother, and
    Father all testified her medication does not prevent her from taking proper care of
    Paige, but Dana testified she saw Grandmother stumbling and unrousable.
    Grandmother denied drinking alcohol and attributed her positive test result to cough
    syrup, but her result caused a lab operator to ask if she had ingested the entire bottle
    40
    of cough syrup. McCartney also expressed concern that Grandmother lost custody
    of her sons.
    The foster mother is willing and able to take care of Paige. Vines testified the
    foster mother appeared to be meeting “if not exceeding” Paige’s needs. Brams said
    the foster mother appeared to have established adequate boundaries and interacted
    with Paige appropriately. Neither Palmer nor Arredondo had any concerns about the
    foster mother or her home.
    Programs available. Paige receives special education services from her
    school district. There is no evidence about other programs available to assist Mother,
    Father, Grandparents, or the foster mother in parenting Paige.
    Stability of proposed placement. The Department intends for Paige to remain
    in her foster home so the foster mother can adopt her. As discussed, all the evidence
    shows the foster placement is safe and stable.
    Acts or omissions and any excuses for them. Mother contended she did not
    know Paige was hurt, and she would have woken Paige and taken her to the hospital
    had she known. Father explained his Nazi postings on his Facebook page by saying,
    “I went through phases in life.”
    D.       Conclusion on termination
    Applying the applicable standards of review, we conclude the evidence is
    legally and factually sufficient to support the trial court’s finding that Mother and
    Father endangered Paige under subsections D and E, respectively, of section
    161.001(b)(1). Accordingly, we do not review the trial court’s findings under
    subsections E and O for Mother or subsection O for Father. 
    A.V., 113 S.W.3d at 362
    .
    We likewise conclude the evidence is legally and factually sufficient to support the
    trial court’s finding that termination of Mother’s and Father’s parental rights is in
    41
    Paige’s best interest. We overrule Mother’s and Father’s issues.
    III.   Conservatorship
    In their third issue, Grandparents complain of the trial court’s decision to
    appoint the Department, rather than them, as Paige’s permanent managing
    conservator.
    A.      Burden of proof and standards of review
    The Texas Family Code creates a rebuttable presumption that a parent will be
    named a child’s managing conservator unless the court finds that such appointment
    would not be in the child’s best interest “because the appointment would
    significantly impair the child’s physical health or emotional development.” Tex.
    Fam. Code Ann. § 153.131(a). If the trial court terminates the parent-child
    relationship with respect to both parents or to the only living parent, “the court shall
    appoint a suitable, competent adult, the Department of Family and Protective
    Services, or a licensed child-placing agency as managing conservator of the child.”
    Tex. Fam. Code Ann. § 161.207(a). “The best interest of the child shall always be
    the primary consideration of the court in determining the issues of
    conservatorship[.]” Tex. Fam. Code Ann. § 153.002.
    Termination of parental rights and appointment of a non-parent as sole
    managing conservator are two distinct issues, differing in elements, standards of
    proof, and standards of review. Compare Tex. Fam. Code Ann. § 161.001 with Tex.
    Fam. Code Ann. § 153.131(a); see also In re J.A.J., 
    243 S.W.3d 611
    , 615–17 (Tex.
    2007). Unlike those necessary to support termination of parental rights, the facts
    necessary to appoint a non-parent as sole managing conservator need be established
    by a mere preponderance of the evidence. See Tex. Fam. Code Ann. § 105.005;
    
    J.A.J., 243 S.W.3d at 616
    . Likewise, the standard of review for the appointment of
    a non-parent as sole managing conservator is less stringent than the standard of
    42
    review for termination of parental rights. 
    J.A.J., 243 S.W.3d at 616
    . We review a
    trial court’s appointment of a non-parent as sole managing conservator for abuse of
    discretion only. 
    Id. Therefore, we
    reverse the trial court’s appointment of a non-
    parent as sole managing conservator only if we determine the appointment is
    arbitrary or unreasonable. 
    Id. Because both
    parents’ rights had been terminated, the trial court was required
    under section 161.207 of the Family Code to appoint a “suitable, competent adult,”
    the Department, or another permissible agency as Paige’s managing conservator. See
    In re C.N.S., No. 14–14–00301–CV, 
    2014 WL 3887722
    , at *13 (Tex. App.—
    Houston [14th Dist.] Aug. 7, 2014, no pet.) (mem. op.). The appointment may be
    considered a “consequence of the termination.” In re L.G.R., 
    498 S.W.3d 195
    , 206
    (Tex. App.—Houston [14th Dist.] 2016, pet. denied).
    B.     Application
    As discussed, several red flags were raised about Grandparents as a possible
    placement for Paige. Grandmother was taking many medications, including several
    narcotic painkillers. Some evidence suggests the medication impaired her ability to
    take care of Paige. There is also evidence of a high level of an alcohol metabolite in
    her system, and it appears attribution of that level to a typical dosage of cough syrup
    is unreasonable. We must defer to the fact finder’s implicit assessment of credibility
    and demeanor of witnesses as well as its resolution of factual disputes. See 
    L.M.I., 119 S.W.3d at 712
    . Grandfather himself appeared willing and able to take care of
    Paige. However, his work schedule was such that the primary responsibility for
    Paige would likely fall to Grandmother.
    Because Grandparents have not shown the trial court’s decision was arbitrary
    or unreasonable, we find the trial court did not abuse its discretion in appointing the
    Department, rather than them, as Paige’s managing conservator. We overrule
    43
    Grandparents’ third issue.
    CONCLUSION
    We affirm the trial court’s final decree.
    /s/    Jerry Zimmerer
    Justice
    Panel consists of Justices Christopher, Bourliot, and Zimmerer.
    44