Juan J. Martinez v. State ( 2016 )


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  • Opinion issued November 17, 2016
    In The
    Court of Appeals
    For The
    First District of Texas
    ————————————
    NO. 01-15-00823-CR
    ———————————
    JUAN J. MARTINEZ, Appellant
    V.
    THE STATE OF TEXAS, Appellee
    On Appeal from the 506th District Court
    Grimes County, Texas
    Trial Court Case No. 17,543
    MEMORDANDUM OPINION
    A jury found Juan J. Martinez guilty of one count of aggravated sexual assault
    of a child and two counts of indecency with a child. The trial court found true the
    State’s enhancement allegation that Martinez had a prior conviction for sexual
    assault of a child and assessed Martinez’s punishment at life confinement. In nine
    issues, Martinez contends that his convictions should be reversed because:
    (1) the evidence was not sufficient to permit the jury to find him guilty of the
    three charged offenses;
    (2) the evidence was not sufficient to permit the trial court to find that the
    enhancement allegation was true;
    (3) the trial court erred by excluding evidence that the complainant’s mother
    knew of sexual misconduct by another person in her home;
    (4) the trial court erred by admitting his prior conviction for sexual assault
    during the guilt-innocence phase of the trial;
    (5) the trial court erred by admitting the resume of the State’s forensic expert
    and the expert’s testimony about the complainant’s credibility; and
    (6) the trial court erred by admitting a pediatric nurse practitioner’s report
    regarding the complainant’s sexual assault examination.
    We affirm the trial court’s judgments of conviction.
    Background
    A grand jury indicted Martinez for one count of aggravated sexual assault of
    a child and two counts of indecency with a child.            See TEX. PENAL CODE
    §§ 21.11(a)(1), (c)(1), 22.021(a)(1)(B)(i), (2)(B). All three counts concerned the
    same child, his 13-year-old daughter. The indictment included an enhancement
    2
    paragraph alleging that Martinez had previously been convicted of a felony sexual
    assault of another child in Colorado.
    Before trial, the court held a hearing regarding the admissibility of two of the
    State’s exhibits. The first was a certified copy of a Sentence Order issued by a Kit
    Carson County, Colorado, district court finding Juan Jose Martinez guilty of
    violating Section 18-3-402(1)(e) of the Colorado Criminal Code. That statute
    provides that a person commits misdemeanor sexual assault if he “knowingly inflicts
    sexual intrusion or sexual penetration” on another who is at least 15 years of age but
    less than 17 years of age if the person is at least 10 years older and the two are not
    married to one another.1 COLO. REV. STAT. § 18-3-402(1)(e), (3). The second
    exhibit was an undated letter on Texas Department of Public Safety letterhead
    advising that conviction for specified Colorado offenses requires registration as a
    sex offender under Texas law. The trial court found that this evidence was likely to
    be admitted at trial and that it was adequate to support a jury finding that Martinez
    committed the Colorado offense.
    Several witnesses testified at trial for the State. The defense presented none.
    1
    Though it is a misdemeanor under Colorado law, this offense is treated as a felony
    in Texas for purposes of sentencing enhancement so long as its elements are
    substantially similar to designated Texas offenses. See TEX. PENAL CODE
    § 12.42(c)(2)(B)(v). One of the designated Texas offenses is so-called statutory
    rape. See 
    id. §§ 12.42(c)(2)(B)(ii),
    22.011(a)(2), (c)(1). Martinez does not
    dispute the substantial similarity of this Texas offense’s elements.
    3
    The State’s first witness was Veronica, the complainant’s stepmother.2
    Martinez was Veronica’s husband at the time of the offenses for which he was
    indicted. She had six children of her own; Veronica, Martinez, and these six children
    were under one roof when Martinez’s own daughter, the complainant, came to live
    with them in the summer of 2011. The complainant shared a bedroom with
    Veronica’s daughter, who was seven or eight years old at the time.
    Veronica testified that she and her younger daughter were both heavy sleepers.
    But at around 5:00 on the morning of November 2, 2013, Veronica awoke and
    noticed that Martinez was not in the living room, where he usually slept. She looked
    for him and found him asleep in the complainant’s bed, shirtless and with his arms
    wrapped around her with her face pressed against his chest. Veronica said they
    “looked like lovers,” rather than a father and daughter. She ripped the covers off of
    them and heatedly demanded an explanation from Martinez. Martinez explained
    that he went to sleep in the girls’ room because he was hot and the air conditioning
    cooled that area. Veronica testified that the air conditioning cools the living room
    too and that when she found Martinez in the girls’ room he was under a “really,
    really thick” blanket. She was upset, so she left and went to the store.
    2
    We refer to the complainant simply as “the complainant” and to her stepmother
    using the pseudonym “Veronica.”
    4
    Later in the afternoon, Veronica began questioning the complainant and the
    complainant started shaking and tearing up.        The complainant began crying
    hysterically when Veronica asked if Martinez was touching her. The complainant
    told her that Martinez touched her on her arms, legs, stomach, and breasts. Veronica
    took the children to her brother’s house and then confronted Martinez and told him
    he had to leave. He went inside to gather some of his possessions and Veronica
    called the Navasota Police Department.        Police officers arrived shortly after
    Veronica’s call, spoke to both her and Martinez, and issued Martinez a criminal
    trespass warning. Veronica brought all of the children back to the home later that
    day after Martinez left.
    The complainant told Veronica more the next day. Veronica testified that the
    complainant was crying and said that Martinez had been touching her for about a
    year and a half. The complainant told her that his abuse escalated over time. At
    first, Martinez would simply lay down with her. He subsequently began touching
    her stomach, breasts, and bottom.
    The complainant continued to live with Veronica through November and
    December 2013. Veronica testified that the complainant became “more distant” and
    that “she was always in her room crying, always huddled in a ball.” Veronica
    discovered that the complainant “was cutting herself.” When Veronica discovered
    the cutting, the complainant revealed to her that Martinez had had sexual intercourse
    5
    with her. The complainant told Veronica that Martinez had become more sexually
    aggressive by the time the abuse was discovered.          In response to these new
    revelations, Veronica again called and met with police officers, who told her to take
    the complainant to a forensic examiner and a sexual assault nurse examiner.
    Veronica also testified that Martinez told her that he previously was convicted
    of the sexual assault of a 17-year-old girl in Colorado. But Veronica did not know
    the details of the crime. She said that Martinez told her that “he went to jail for it”
    but did not have to register as a sex offender.
    On cross-examination, Veronica acknowledged that she did not notice
    anything amiss before she found Martinez sleeping with the complainant and that
    her knowledge of the underlying events was based on what the complainant told her
    in large part. She agreed that she told law enforcement officers that the complainant
    had said that Martinez had intercourse with her at least 20 times. Veronica also
    acknowledged that she filed for divorce from Martinez before the allegations of
    sexual intercourse emerged.
    Officer J. Tielke of the Navasota Police Department testified next. He and his
    partner responded to Veronica’s November 2 call. When he arrived at the residence,
    he identified Martinez by his driver’s license and spoke with him and Veronica, who
    were both upset. Veronica told Tielke that Martinez had inappropriately touched his
    13-year-old daughter. Martinez told Tielke that “he was getting kicked out of the
    6
    house” because Veronica “caught him in bed with his daughter,” though he claimed
    that he was “laying on top of the covers” and merely “showing her affection and
    giving her a hug at the time.”
    Officer Tielke discussed the situation with Martinez near another officer’s
    vehicle and this discussion was video recorded by his own vehicle’s dash camera
    while the audio was partially recorded by his body microphone; this video was
    admitted into evidence and played for the jury. In the video, Martinez denied
    touching his daughter in an inappropriate fashion. Officer Tielke issued Martinez a
    criminal trespass warning, but did not arrest him. On cross-examination, Tielke
    conceded that he did not have any knowledge of the events other than what he was
    told.
    The State then called A. Klawinsky, with the Navasota Police Department,
    who investigated the allegations concerning Martinez. Klawinsky scheduled a
    forensic interview of the complainant, which Klawinsky remotely viewed on a
    television monitor. During this interview, she learned of Martinez’s prior offense in
    Colorado and she subsequently contacted Colorado law enforcement agencies and
    obtained their reports regarding the offense.
    Several days later, Klawinsky interviewed Martinez at the police station.
    Martinez voluntarily spoke with her and another investigator for about 35 minutes.
    He was Mirandized and their conversation was recorded on video. This recorded
    7
    interview was admitted into evidence and played for the jury. During the interview,
    Martinez initially denied any wrongdoing and claimed that any touching of his
    daughter involved no more than fatherly affection. As the interview progressed,
    however, Martinez’s story changed. He denied touching his daughter’s breasts or
    vagina throughout, but he also contended that, if he ever touched her inappropriately,
    it was unintentional. Martinez later reiterated that any inappropriate touching was
    unintentional and explained that he just did not know how to show his daughter that
    he loved her. He repeatedly denied having ever been in bed with his daughter under
    the blanket, but he subsequently admitted that he was under the blanket with her
    when Veronica found him in his daughter’s bed. In addition, he eventually stated
    that he realized afterward that he had been wrong in the way he held his daughter
    that morning. Martinez further admitted that he became aroused while lying down
    with his daughter on another occasion and that he had left her bed three or four other
    times to forestall any inappropriateness. At one point he exclaimed, “I need
    counseling.”
    Klawinsky conferred with the district attorney’s office, and a warrant was
    issued for Martinez’s arrest for indecency with a child. After Martinez was arrested,
    Veronica contacted Klawinsky with new information, specifically that Martinez had
    sexual intercourse with the complainant. In response, Klawinsky scheduled another
    forensic interview of the complainant and a sexual assault examination, which were
    8
    conducted in January 2014. Klawinsky remotely viewed the interview but not the
    examination. After this additional investigation, the grand jury indicted Martinez.
    On cross-examination, Klawinsky acknowledged that her only sources of
    information were Veronica, Martinez, and the complainant.                 She further
    acknowledged that she did not directly speak with the complainant.
    Jane Riley, a pediatric nurse practitioner, testified next. She performed a
    sexual assault examination on the complainant in January 2014. She identified the
    form she filled out as she made her examination of the complainant and the State
    offered it into evidence. Over the defense’s hearsay objection, the trial court
    admitted the form. Riley first took a general medical history from the complainant.
    The complainant told Riley that she had some difficulty sleeping, and that she was
    angry at her father. The complainant also told her that she did not want to talk to
    anyone or do anything and that she previously had been cutting herself. When Riley
    asked the complainant what happened to her, she stated that “all he did was touch
    me” but then said “there was one time he did go all the way.” The complainant
    indicated that intercourse hurt and that she was sore the morning after. Riley then
    performed a physical examination. She testified that an examination of the female
    genitalia will not necessarily reveal signs of sexual intercourse or injury. In the
    complainant’s case, Riley did not see any signs of injuries or indications that she had
    been sexually assaulted. What she saw, however, was “not inconsistent” with the
    9
    complainant’s account. Riley’s final diagnostic impression was that the complainant
    gave her “a history consistent with sexual assault and that her exam was normal,
    which does not rule out that the sexual assault happened.”
    On cross-examination, Riley agreed that her physical examination did not
    reveal any visible indication of sexual activity. Nor were there any visible signs of
    sexual abuse. Riley conceded that her conclusions ultimately were based on what
    the complainant told her. She further acknowledged that she had testified in many
    cases and that part of her training concerned how to present herself before a jury.
    Cameron Collins, the forensic examiner who interviewed the complainant in
    November 2013 and January 2014, then took the stand. She testified that she had
    conducted and observed about 600 interviews and had worked in the field of forensic
    interviewing for about five years. Collins identified a copy of her resume, which
    listed her professional training and activities, and the State offered it into evidence.
    Over the defense’s relevance objection, the trial court admitted it. Collins testified
    that abused children may go through several stages when the abuse is discovered,
    which can include denial, tentative or limited disclosure, active or full disclosure,
    recantation, and reaffirmation. She stated that not every child goes through all of
    these stages, but that “they’ll go through maybe two or three of those at least.”
    Because disclosure is a process, it is not uncommon for children to fail to disclose
    all of the details at once. Collins also discussed the phenomenon of delayed
    10
    disclosure, which occurs when “the abuse has been happening for quite some time”
    and the child eventually decides to “talk about what’s been happening.” Collins
    opined that children have various reasons for not coming forward sooner, such as
    the trust they place in a loved one who is abusing them, threats of harm, fear that
    they will be disbelieved, and fear of the consequences of divulging the abuse.
    With respect to the complainant, Collins testified that no one raised any
    concerns with her about coaching before the interviews. Nor did she detect any signs
    of coaching. Though Collins and the complainant discussed a number of events that
    occurred between the complainant and Martinez, Collins’s trial testimony on direct
    examination focused on one in particular.         During the first interview, the
    complainant told Collins that Martinez had rubbed her vagina. The complainant said
    that Martinez came into her bedroom around 2:00 a.m. and told her to scoot over so
    that he could lie down next to her. When he did so, Martinez pulled her “very tight
    to him” and the complainant could feel his erection pressing against her. Martinez
    began rubbing her arms and then her side, back, stomach, and breasts. He then
    proceeded to rub her legs, first on the outside of her pajama bottoms, then on the
    inside of them. Eventually, Martinez placed his fingers inside of her underwear and
    rubbed her vagina. The complainant specified that there was skin-to-skin contact
    and provided details indicating that this contact was not momentary or accidental.
    11
    Collins initially testified about the second interview in general terms, noting
    that it took place because the complainant had disclosed new information. Collins
    opined that this sort of disclosure of details over time was typical. The complainant’s
    demeanor differed somewhat between the two interviews. In the first interview, she
    was comfortable when talking about everyday life but became withdrawn, stopped
    making eye contact, and began crying when the subject turned to her abuse. In the
    second interview, she was much more withdrawn and drew herself into a ball—with
    her knees pulled up, head down, and arms wrapped around her.
    Collins subsequently testified about the specifics of the second interview. The
    complainant told her that Martinez had “intercourse” with her. Collins asked her
    what she meant by “intercourse” and the complainant “described it as when a man
    puts his private in a girl’s,” specifically in her “vagina.” The complainant also
    described specific details about this encounter, including Martinez’s actions before
    intercourse and the positioning of their bodies. Because Collins did not understand
    exactly what the complainant meant, she had the complainant show her using dolls.
    The complainant said she noticed blood afterwards and was sore the following day.
    Collins testified that a child simply may be more comfortable disclosing some
    details to one person than to another. The complainant expressed to Collins that she
    was afraid no one would believe her and worried about being separated from
    Veronica as a result of the allegations. In addition, Collins clarified that she does
    12
    not concern herself with inconsistences between what the child says and what law
    enforcement officers may have told her. However, if the child herself is inconsistent
    in what she says during the interview, Collins asks follow-up questions about those
    inconsistencies.
    The State’s final witness was the complainant, who was 15 at the time of trial.
    The complainant testified that when Martinez began touching her it started out as
    unobjectionable “cuddling.” But it progressed with him rubbing her over her
    clothing and then under her shirt and closer to her “privates.” Martinez put his hand
    under her shirt and touched her breasts and also under her clothes and touched her
    “private part.” He eventually had sexual intercourse with her. The complainant said
    she did not want to talk about it after it happened. She was worried that doing so
    would destroy her family and that she would lose her family.
    On cross-examination, the complainant acknowledged that Martinez and
    Veronica had begun to have marital difficulties at some point. She also agreed that
    she had hoped the family would stay together. The complainant agreed that, in
    addition to her testimony, she had talked to a number of people about what had
    happened to her, but she did not recall all of their names. When asked about the
    nature of the inappropriate touching, the complainant stated that Martinez touched
    her on her “private part” and clarified that she meant her “vagina.” She said this
    occurred in the room she shared with her stepsister at night when everyone was
    13
    sleeping. She could not recollect the time of year. She had on her sleeping clothes
    at the time—a big t-shirt and some pajama pants. She was wearing underwear;
    sometimes she wore a bra as well. She also testified that she remembered Martinez
    having intercourse with her, but again could not remember the time of year when
    this happened. The complainant testified that both she and Martinez were clothed.
    Martinez lay behind her and pulled her clothes down to her knees, and then had
    intercourse with her. She recalled telling Veronica that this had happened many
    times, but she did not recall telling her that it happened 20 times. However, the
    complainant testified that Martinez did have intercourse with her often and that
    sometimes she would be facing him and sometimes not.
    After the State’s witnesses testified, both sides rested and made closing
    arguments. In their closing arguments, both sides argued that the verdict essentially
    turned on whether the jury believed the complainant. The jury found Martinez guilty
    on all three counts. The trial court entered separate judgments of conviction for each
    count, found the enhancement allegation of the indictment to be true, and assessed
    Martinez’s   punishment     at   life confinement.       See   TEX. PENAL CODE
    § 12.42(c)(2)(B)(v). Martinez appeals.
    14
    Discussion
    A.     Evidentiary sufficiency
    In his first three issues, Martinez contends that the proof is not sufficient to
    support his convictions for aggravated sexual assault of a child and indecency with
    a child. In his sixth issue, he contends that the proof is not sufficient to support the
    State’s enhancement allegation about the Colorado conviction for sexual assault.
    1.     Standard of review and applicable law
    We apply the legal standard for sufficiency of the proof stated in Jackson v.
    Virginia, 
    443 U.S. 307
    (1979). Gear v. State, 
    340 S.W.3d 743
    , 746 (Tex. Crim. App.
    2011); Pena v. State, 
    441 S.W.3d 635
    , 640 (Tex. App.—Houston [1st Dist.] 2014,
    pet. ref’d). Under this standard, we “must consider all of the evidence in the light
    most favorable to the verdict and determine whether, based on that evidence and
    reasonable inferences therefrom, a rational fact finder could have found the essential
    elements of the crime beyond a reasonable doubt.” 
    Gear, 340 S.W.3d at 746
    . We
    cannot substitute our judgment for that of the jury by reevaluating the weight or
    credibility of the evidence; instead, we defer to the jury’s resolution of conflicts in
    the evidence. Isassi v. State, 
    330 S.W.3d 633
    , 638 (Tex. Crim. App. 2010). Under
    this standard, the proof “is insufficient under four circumstances: (1) the record
    contains no evidence probative of an element of the offense; (2) the record contains
    a mere ‘modicum’ of evidence probative of an element of the offense; (3) the
    15
    evidence conclusively establishes a reasonable doubt; or (4) the acts alleged do not
    constitute the criminal offense charged.” Ryser v. State, 
    453 S.W.3d 17
    , 25 (Tex.
    App.—Houston [1st Dist.] 2014, pet. ref’d).
    A person commits the offense of aggravated sexual assault of a child if, among
    other things, he intentionally or knowingly causes the penetration of the sexual organ
    of someone younger than 14 years of age. TEX. PENAL CODE § 22.021(a)(1)(B)(i),
    (2)(B). The uncorroborated testimony of the child suffices to support a conviction
    for aggravated sexual assault. TEX. CODE CRIM. PROC. art. 38.07(a), (b)(1); Johnson
    v. State, 
    419 S.W.3d 665
    , 671 (Tex. App.—Houston [1st Dist.] 2013, pet. ref’d).
    Likewise, uncorroborated outcry testimony—the testimony of another regarding the
    child’s disclosure of the sexual assault—suffices to support a conviction. Eubanks
    v. State, 
    326 S.W.3d 231
    , 241 (Tex. App.—Houston [1st Dist.] 2010, pet. ref’d).
    A person commits the offense of indecency with a child if, among other
    things, he touches the breast or genitals of someone younger than 17 years of age
    with the intent to arouse or gratify the sexual desire of anyone. TEX. PENAL CODE
    § 21.11(a)(1), (c)(1). Touching a child through her clothing is encompassed by the
    offense. 
    Id. § 21.11(c)(1).
    The required intent may be inferred from the surrounding
    circumstances. Navarro v. State, 
    241 S.W.3d 77
    , 79 (Tex. App.—Houston [1st
    Dist.] 2007, pet. ref’d). The uncorroborated testimony of either the child or an outcry
    16
    witness suffices to support a conviction for indecency with a child. Jones v. State,
    
    428 S.W.3d 163
    , 169 (Tex. App.—Houston [1st Dist.] 2014, no pet.).
    To establish a prior conviction, the State must prove beyond a reasonable
    doubt that a conviction exists and that the defendant was the person convicted. Tate
    v. State, 
    414 S.W.3d 260
    , 265 (Tex. App.—Houston [1st Dist.] 2013, no pet.). This
    may be proven by various means, including documentary proof of the conviction
    that has enough information to establish the defendant’s identity. Jimenez v. State,
    
    446 S.W.3d 544
    , 549 (Tex. App.—Houston [1st Dist.] 2014, no pet.). Witness
    testimony may bridge evidentiary gaps in the documentary proof of the conviction
    or the identity of the defendant as the person convicted. Id.; Orsag v. State, 
    312 S.W.3d 105
    , 116–19 (Tex. App.—Houston [14th Dist.] 2010, pet. ref’d).
    2.    Analysis
    (a)    Aggravated sexual assault and indecency with a child
    Martinez contends that extensive conflicts in the evidence rendered the jury
    unable to find him guilty beyond a reasonable doubt. He argues that the testimony
    of the witnesses varied and that the complainant’s account changed over time and
    lacked details about when and where she was sexually abused. He further argues
    that the dates of two of the offenses alleged in the indictment are impossible because
    they postdate the complainant’s outcry.
    17
    Martinez does not dispute that the complainant was 13 years old at the time
    of the offenses. The complainant testified that Martinez rubbed her breasts and
    vagina and had intercourse with her. Though she could not recall the dates on which
    she was abused, she said it happened several times in the room she shared with her
    stepsister at night while the family was asleep. This testimony alone is sufficient to
    support Martinez’s convictions on all three counts. See 
    Jones, 428 S.W.3d at 169
    ;
    
    Eubanks, 326 S.W.3d at 241
    . But the complainant’s testimony did not stand alone;
    Veronica and Collins both testified about the outcries the complainant made
    regarding Martinez’s sexual abuse. Veronica additionally discovered Martinez lying
    asleep in the complainant’s bed and holding her in in what Veronica characterized
    as a lover’s embrace. Finally, Martinez himself corroborated the complainant’s
    allegations to an extent in his recorded interview, in which he acknowledged being
    in his daughter’s bed multiple times, being under the blanket with her once, and
    being aroused on another occasion.
    Martinez nevertheless contends that conflicts in the witnesses’ testimony
    render it insufficient. He argues that while Veronica told authorities that the
    complainant said he had sexual intercourse with her at least 20 times, the
    complainant did not make this allegation to anyone else or testify that Martinez had
    sex with her this many times at trial. Martinez points out that the complainant told
    Collins of just one alleged instance of sexual intercourse. He further argues that
    18
    while Collins was aware of the discrepancy concerning the number of instances of
    intercourse, she made no effort to resolve this factual conflict during her interview
    and testified that both stories—one instance and 20 instances—could be true.
    Martinez maintains that a jury’s ability to weigh witness credibility is not unlimited
    and asserts that the conflicts in the evidence are so significant that no reasonable jury
    could find him guilty of the charged offenses based on this proof.
    The record undermines Martinez’s characterization of the witnesses’
    testimony. While the complainant did not recall telling Veronica that Martinez had
    sex with her 20 times, the complainant did testify that Martinez had sexual
    intercourse with her often. Similarly, while Collins agreed that she did not attempt
    to reconcile the factual accounts provided by different people, she explained that this
    was because her questioning focuses on what the child says during an interview.
    Collins further explained that she does ask follow-up questions of the child if the
    child says inconsistent things during an interview. In addition, Collins clarified that
    two differing accounts about the number of instances of abuse can both be true
    because a child simply may not be giving a full account during an interview and
    reiterated that the disclosure of sexual abuse is a process that occurs over time.
    Martinez does not cite any authority for the proposition that evidentiary conflicts
    may be so pronounced as to render them beyond the jury’s evaluation. We hold that
    19
    any inconsistencies or credibility issues were for the jury to resolve. 
    Isassi, 330 S.W.3d at 638
    .
    Martinez’s complaint about the dates of the offenses likewise does not require
    reversal. The indictment alleges that he touched the breast and genitals of the
    complainant on or about November 10, 2013.           The proof at trial, however,
    established that Veronica ejected Martinez from the family home on November 2.
    But this variance is immaterial because the indictment alleges that Martinez
    inappropriately touched the complainant “on or about” November 10. When the
    State alleges an offense occurred “on or about” a specific date, it may prove the
    offense “was committed on a date different from that alleged in the indictment” so
    long as it predates the presentment of the indictment and the expiration of any
    applicable statute of limitations. Thomas v. State, 
    444 S.W.3d 4
    , 9 (Tex. Crim. App.
    2014). All of the evidence at trial concerned sexual abuse alleged to have taken
    place before Martinez’s departure from the family home.
    We overrule Martinez’s first, second, and third issues.
    (b)    Prior conviction for sexual assault of a child
    Martinez contends that the proof was insufficient to find he had previously
    been convicted of the sexual assault of a child in Colorado. He argues that the State
    offered no documentary proof of the conviction into evidence and that it did not
    present any witnesses who connected him with the prior conviction.
    20
    Martinez’s contentions are not supported by the record. After Klawinsky’s
    testimony, the State sought to admit the Colorado Sentence Order. The defense
    objected on several grounds, including an objection that any probative value the
    order had was substantially outweighed by the danger of unfair prejudice. The trial
    court held the order was admissible under Article 38.37 of the Code of Criminal
    Procedure and admitted a certified copy of it, which was published to the jury. The
    order stated the court and case number, identified the defendant as a Juan Jose
    Martinez who was born on May 28, 1977, and recited that he had been found guilty
    after pleading guilty to violating “18-3-402(1)(e) – Sex Assault – 10-year age
    differen.” and jailed for the offense. The State also connected Martinez with the
    Colorado offense with other evidence:
    ●   Veronica’s testimony that Martinez told her he had been convicted for
    sexual assault in Colorado and jailed;
    ●   Tielke’s testimony that he confirmed Martinez’s identity via his driver’s
    license, including his birthdate of May 28, 1977;
    ●   Klawinsky’s    videotaped    interview with    Martinez in    which   he
    acknowledged his prior incarceration in Colorado; and
    ●   Klawinsky’s testimony that she obtained the Sentence Order from Colorado
    law enforcement agencies after learning of the conviction.
    21
    Taken together this proof suffices to permit a factfinder to find beyond a reasonable
    doubt that Martinez was convicted of the offense referenced in the Sentence Order.
    See 
    Jimenez, 446 S.W.3d at 549
    ; 
    Orsag, 312 S.W.3d at 116
    –19.
    We overrule Martinez’s sixth issue.
    B.     Evidentiary rulings
    Martinez complains that the trial court erred in several of its evidentiary
    rulings. In his fourth issue, he contends that the trial court should have permitted
    him to question Veronica about the sexual misconduct of one of her sons. In his
    fifth issue, Martinez contends that the evidence of his prior Colorado conviction
    should have been excluded because its probative value was outweighed by it
    potential for unfair prejudice. In his seventh and eighth issues, he maintains that the
    trial court erred by allowing Collins’s resume into evidence and by permitting her to
    opine on the complainant’s credibility. In Martinez’s ninth issue, he contends that
    the court erred by admitting Riley’s sexual assault examination report.
    1.     Standard of review
    To preserve an evidentiary error for appellate review, a party must timely
    object with specificity in the trial court unless the specific ground for the objection
    is apparent from context. TEX. R. EVID. 103(a); TEX. R. APP. P. 33.1(a). The error
    that the party asserts on appeal must conform to the objection made at trial. Clark
    v. State, 
    365 S.W.3d 333
    , 339 (Tex. Crim. App. 2012).
    22
    A trial court’s ruling on the admissibility of evidence is reviewed for an abuse
    of discretion. Tillman v. State, 
    354 S.W.3d 425
    , 435 (Tex. Crim. App. 2011);
    Robbins v. State, 
    88 S.W.3d 256
    , 259–60 (Tex. Crim. App. 2002). Under this
    standard, we must uphold its ruling so long as it is within the zone of reasonable
    disagreement; we may not reverse solely because we would have ruled otherwise.
    
    Tillman, 354 S.W.3d at 435
    ; 
    Robbins, 88 S.W.3d at 260
    . Even if the trial court stated
    an invalid basis for its ruling, we must uphold the ruling if it is correct on any
    applicable theory. Osbourn v. State, 
    92 S.W.3d 531
    , 538 (Tex. Crim. App. 2002).
    2.    Analysis
    (a)    Sexual misconduct of another person
    Martinez contends his counsel should have been allowed to question Veronica
    about an incident in 2010 in which one of her sons allegedly sexually abused one of
    her other children because, according to defense counsel, the earlier incident would
    have made her more watchful. The trial court excluded the proposed testimony after
    hearing it outside of the presence of the jury. Martinez argues on appeal that this
    testimony was relevant to Veronica’s credibility, given her testimony that she had
    not noticed anything amiss before she discovered Martinez in bed with the
    complainant.
    To be admissible, evidence must be relevant. TEX. R. EVID. 402. Evidence is
    relevant if “it has any tendency to make a fact more or less probable than it would
    23
    be without the evidence” and that fact “is of consequence in determining the action.”
    TEX. R. EVID. 401. Thus, when assessing the relevance of particular evidence, courts
    must consider the purpose for which the proof is being introduced. Layton v. State,
    
    280 S.W.3d 235
    , 240 (Tex. Crim. App. 2009). It is essential that there be a direct or
    logical connection between the proof and the proposition sought to be proven. 
    Id. The credibility
    of the State’s witnesses is relevant at trial. See McDuff v. State,
    
    939 S.W.2d 607
    , 617 (Tex. Crim. App. 1997). But the trial court’s conclusion that
    the testimony of alleged sexual abuse of another child in the home was not relevant
    to Veronica’s credibility or any other issue in the case was not an unreasonable one.
    This 2010 incident involved neither Martinez nor the complainant. It occurred
    before the complainant moved in with the family. The defense did not contend that
    the complainant misidentified her abuser; it contended that the abuse did not happen.
    Thus, neither the 2010 incident nor Veronica’s knowledge about it made a fact of
    consequence more or less probable. See Rivera v. State, 
    130 S.W.3d 454
    , 460 (Tex.
    App.—Corpus Christi 2004, no pet.) (affirming exclusion of incident of sexual abuse
    not involving defendant or complainant that defendant sought to introduce to prove
    complainant’s mother’s mental state). The trial court therefore did not abuse its
    discretion by excluding this evidence.
    We overrule Martinez’s fourth issue.
    24
    (b)    Colorado conviction for sexual assault
    Martinez argues that the evidence concerning his prior Colorado conviction
    for sexual assault should have been excluded under Rule 403. He argues that in
    cases like this one, in which the verdict turns on witness credibility due to the
    absence of physical evidence, proof that the defendant committed other sexual
    offenses against children is substantially more prejudicial than probative. He further
    argues that rigorous application of Rule 403 is especially important in this context
    to ensure that defendants are not tried merely for being criminals or bad persons in
    general, a risk which Article 38.37 exacerbates by disabling the application of Rules
    404 and 405 in trials for sexual offenses against children.
    In trials for sexual offenses against children, the defendant’s commission of a
    separate sexual offense against a child may be admitted “for any bearing the
    evidence has on relevant matters, including the character of the defendant and acts
    performed in conformity with the character of the defendant,” notwithstanding Rules
    404 and 405 of the Rules of Evidence. TEX. CODE CRIM. PROC. art. 38.37, § 2(b).
    Proof of a separate offense, however, arguably may be excluded if its probative value
    is substantially outweighed by its potential for unfair prejudice. TEX. R. EVID. 403.3
    3
    This court has applied Rule 403 to Article 38.37. See Wysack v. State, No. 01-
    13-00683-CR, 
    2015 WL 4366245
    , at *9 (Tex. App.—Houston [1st Dist.] July
    16, 2015, pet. ref’d) (mem. op., not designated for publication); Victorian v. State,
    No. 01-13-01004-CR, 
    2015 WL 3915966
    , at *4 (Tex. App.—Houston [1st Dist.]
    June 25, 2015, pet. ref’d) (mem. op., not designated for publication). The State
    25
    If a defendant objects to extraneous-offense evidence under Rule 403, then
    the trial court must weigh the relevance of the evidence against its prejudicial impact.
    Johnston v. State, 
    145 S.W.3d 215
    , 219–20 (Tex. Crim. App. 2004). But it “need
    not conduct a formal hearing or even announce on the record that it has mentally
    conducted this balancing test.” Cruz v. State, 
    122 S.W.3d 309
    , 313 (Tex. App.—
    Houston [1st Dist.] 2003, no pet.). Rule 403 favors admissibility of relevant
    evidence and carries with it a presumption that probative evidence is more probative
    than prejudicial. Hajjar v. State, 
    176 S.W.3d 554
    , 562 (Tex. App.—Houston [1st
    Dist.] 2004, pet. ref’d). Moreover, because proof of prior sexual abuse of a child is
    especially probative of a defendant’s propensity to sexually abuse another one, “the
    Rule 403 balancing test normally will not favor the exclusion of evidence of the
    defendant’s prior sexual assaults of children.” Alvarez v. State, 
    491 S.W.3d 362
    ,
    371 (Tex. App.—Houston [1st Dist.] 2016, pet. ref’d).
    When applying this balancing test, factors we consider include: (1) how
    compellingly the evidence of the other crime makes a fact of consequence more or
    less probable; (2) the evidence’s potential to affect the jury in an irrational and
    incurable way; (3) the degree of delay and distraction caused by the presentation of
    this extraneous evidence; and (4) the proponent’s need for the particular evidence in
    light of the other admissible proof. Santellan v. State, 
    939 S.W.2d 155
    , 169 (Tex.
    does not dispute Rule 403’s applicability.
    26
    Crim. App. 1997); 
    Hajjar, 176 S.W.3d at 561
    .           If these factors, “viewed as
    objectively as possible, lead to the conclusion that the danger of unfair prejudice
    substantially outweighed the probative value of the proffered evidence,” we “should
    declare that the trial court erred in failing to exclude it.” Montgomery v. State, 
    810 S.W.2d 372
    , 392 (Tex. Crim. App. 1991) (op. on reh’g).
    In Alvarez, this court rejected the very arguments that Martinez asserts here.
    There we concluded that evidence of the commission of other sexual offenses against
    children was highly probative precisely because the case otherwise turned on witness
    
    credibility. 491 S.W.3d at 371
    . Consequently, the trial court reasonably could have
    concluded both that the Colorado conviction was compelling proof of Martinez’s
    guilt and that the State had significant need of this evidence. Furthermore, as we
    explained in Alvarez, it is not irrational for jurors to draw conclusions about a
    defendant’s guilt based on proof that he sexually abused other children. 
    Id. In addition,
    we also concluded that proof of the other offenses was prejudicial, but not
    unfairly so. 
    Id. Therefore, the
    trial court could have reasonably concluded that the
    Colorado conviction would not affect the jury in an irrational manner. We note that,
    as in Alvarez, Martinez does not identify any particular facts about the Colorado
    offense that made proof of it uniquely or unfairly prejudicial. See 
    id. Nor does
    he
    contend that proof of the Colorado offense caused substantial delay or distraction
    with respect to the offenses for which he was standing trial. Viewed objectively,
    27
    none of the four Rule 403 factors weigh in Martinez’s favor. On this record we
    cannot conclude that the danger of unfair prejudice associated with the Colorado
    conviction substantially outweighed its probative value. Thus, the trial court did not
    abuse its discretion under Rule 403. See 
    Montgomery, 810 S.W.2d at 392
    .
    We overrule Martinez’s fifth issue.
    (c)    Cameron Collins’s resume
    At trial, defense counsel objected to the admission of Collins’s resume on the
    ground that it was irrelevant. On appeal, Martinez argues that the resume’s sole
    conceivable relevance concerned whether Collins was an expert, which was a
    decision for the trial court to make rather than the jury.
    To the extent that Martinez complains that the trial court abdicated its role as
    gatekeeper by admitting Collins’s resume and deferring to the jury’s assessment of
    her expertise, he made no objection about her qualifications. Thus, he has not
    preserved for appellate review any complaints relating to her qualifications or the
    admissibility of her testimony as an expert. TEX. R. EVID. 103(a); TEX. R. APP. P.
    33.1(a); Martinez v. State, 
    22 S.W.3d 504
    , 507 (Tex. Crim. App. 2000).
    We overrule Martinez’s seventh issue.
    (d)    Testimony about the credibility of the complainant
    Martinez contends that Collins improperly testified in support of the
    complainant’s credibility. In particular, he argues that Collins’s testimony that
    28
    children sometimes deny they were abused or recant allegations of abuse was
    improper. Martinez likewise argues that it was improper for Collins to testify that
    there was no indication that the complainant had been coached.
    Defense counsel did not object at trial to the testimony Martinez complains
    about on appeal. Thus, Martinez has not preserved any potential error with respect
    to this testimony. TEX. R. EVID. 103(a); TEX. R. APP. P. 33.1(a); Oliver v. State, 
    32 S.W.3d 300
    , 303–04 (Tex. App.—San Antonio 2000, pet. ref’d).
    We overrule Martinez’s eighth issue.
    (e)   Riley’s sexual assault examination report
    At trial, defense counsel objected that Riley’s sexual assault report, which
    included statements the complainant made to her during the examination as well as
    Riley’s conclusions, contained “hearsay conclusions.” The State responded that the
    report came within the exception for statements made for purposes of medical
    diagnosis or treatment and the trial court agreed with the State. See TEX. R. EVID.
    803(4). Citing Garcia v. State, 
    126 S.W.3d 921
    (Tex. Crim. App. 2004), Martinez
    contends on appeal that this hearsay exception is inapplicable.        In particular,
    Martinez argues that none of the statements made in the report—whether they are
    the complainant’s statements or Riley’s—were made for the purpose of medical
    diagnosis or treatment. Martinez contends that the report was instead made “as part
    of an investigation into allegations of a criminal offense.”
    29
    Hearsay—a statement not made by the declarant while testifying at trial that
    a party offers into evidence for the truth of the matter asserted—is generally
    inadmissible. TEX. R. EVID. 801(d), 802. However, this general prohibition does
    not bar a statement made for and reasonably pertinent to medical diagnosis or
    treatment that “describes medical history, past or present symptoms or sensations;
    their inception; or their general cause.” TEX. R. EVID. 803(4). This exception may
    encompass medical records documenting the sexual abuse of children. See, e.g.,
    Sandoval v. State, 
    52 S.W.3d 851
    , 856–57 (Tex. App.—Houston [1st Dist.] 2001,
    pet. ref’d) (trial court did not err in admitting medical records in their entirety).
    Riley was a pediatric nurse practitioner. In that role, she performed “medical
    exams on children who are suspected of being physically or sexually abused.” She
    examined the complainant. As part her examination, she completed an eight-page
    report.   The report included the complainant’s relevant medical history, the
    complainant’s description of the alleged abuse, the results of Riley’s physical
    examination of the complainant, and Riley’s diagnostic impressions.
    We reject Martinez’s contention that Riley’s sexual assault examination of the
    complainant was part of a criminal investigation and therefore not made for the
    purpose of medical diagnosis or treatment. We have previously recognized that the
    purpose of these sexual assault examinations is to ascertain whether the child was
    sexually abused and whether the child needs medical attention. Sandoval, 
    52 S.W.3d 30
    at 857. The contents of Riley’s report reflect that she examined the complainant in
    order to make this diagnosis and determine if treatment was required. In addition,
    Riley testified that she did not consider herself an arm of law enforcement. She
    examined the complainant in her capacity as a pediatric nurse practitioner. That
    Riley’s examination of the complainant and her report memorializing the
    examination was relevant to the law enforcement officers who were investigating
    the complainant’s allegations of sexual abuse does not strip the examination of its
    medical purpose. Consequently, Garcia is distinguishable. There the Court of
    Criminal Appeals held that Rule 803(4) was inapplicable to statements that the
    defendant’s wife made to an employee of a battered woman’s shelter because there
    was no evidence that she went to the shelter for the purpose of receiving a medical
    diagnosis or treatment or that she received a diagnosis or treatment from the shelter’s
    
    employees. 126 S.W.3d at 927
    . In contrast, Riley’s sexual assault examination
    report reflects this purpose on its face. Thus, the trial court did not abuse its
    discretion in admitting her report into evidence over the defense’s hearsay objection.
    We overrule Martinez’s ninth issue.
    31
    Conclusion
    We affirm the trial court’s judgments of conviction.
    Rebeca Huddle
    Justice
    Panel consists of Chief Justice Radack and Justices Higley and Huddle.
    Do not publish. TEX. R. APP. P. 47.2(b).
    32