in the Interest of A. J. R., a Child ( 2009 )


Menu:
  •                                    NUMBER 13-08-00607-CV
    COURT OF APPEALS
    THIRTEENTH DISTRICT OF TEXAS
    CORPUS CHRISTI - EDINBURG
    IN THE INTEREST OF A.J.R., A CHILD
    On appeal from the 377th District Court of Victoria County, Texas.
    MEMORANDUM OPINION
    Before Chief Justice Valdez and Justices Yañez and Benavides
    Memorandum Opinion by Justice Benavides
    On September 23, 2008, the trial court held a non-jury trial concerning the
    termination of the parent-child relationship between Mary F. and A.J.R.1 On October 14,
    2008, the trial court signed a written order terminating the parent-child relationship. Mary
    F. appeals, arguing that: (1) the evidence does not demonstrate that the State made
    reasonable efforts to return A.J.R. or provide her with a service plan, and there is no
    1
    To protect the privacy of the individuals involved, we use initials in place of real nam es. See T EX .
    R. A PP . P. 9.8.
    evidence that the requirement was waived; (2) the trial court abused its discretion in finding
    by clear and convincing evidence that Mary F. had engaged in conduct or knowingly placed
    A.J.R. with persons who engaged in conduct which endangered A.J.R.’s physical or
    emotional well-being; (3) the trial court erred by admitting testimonial evidence regarding
    Mary F.’s and A.J.R.’s medical and drug tests; (4) the trial court erred in finding that her
    womb, ovaries, and uterus are deadly weapons and in ordering that she be surgically
    sterilized; and (5) the trial court erred in relying on two prior termination orders when
    terminating her parent-child relationship with A.J.R. We modify the judgment and affirm
    it as modified.
    I. BACKGROUND
    Mary F. is the mother of D.J.E., A.J.E., A.R.R., and R.R. D.J.E., A.J.E., and R.R.
    tested positive for drugs at birth.    Additionally, R.R. was born with severe medical
    problems, including cerebral palsy, withdrawals, stomach cramping, and a protein digestion
    disorder, among other issues. On December 21, 2006, subsequent to the births of D.J.E.,
    A.J.E., and A.R.R., Mary F. pleaded guilty to “endangering [a] child” and “unlawful delivery
    of controlled substance in penalty group 1.” See TEX . PENAL CODE ANN . § 22.041 (Vernon
    Supp. 2008); TEX . HEALTH & SAFETY CODE ANN . § 481.112 (Vernon 2003). Based on those
    pleas, the trial court ordered deferred adjudication for five years and ten years,
    respectively. On April 8, 2008, the trial court terminated Mary F.’s rights to R.R., and on
    May 9, 2008, the trial court terminated her rights to D.J.E., A.J.E., and A.R.R. This Court
    upheld those terminations.2
    2
    See In re D.J.E., Nos. 13-08-00349-CV, 13-08-00350-CV, 2008 W L 5196608, at *11 (Tex.
    App.–Corpus Christi Dec. 11, 2008, no pet.).
    2
    On May 24, 2008, Mary F. gave birth to her fifth child, A.J.R. Mary Hermis, an
    investigator with Child Protective Services, testified that she was called on to investigate
    Mary F. Mary F. confirmed that she had ingested cocaine at least a week prior to giving
    birth to A.J.R., and A.J.R. tested positive for cocaine at the time of her birth. Hermis noted
    that A.J.R.’s urine and meconium tested positive for cocaine.3 Additionally, Mary F. tested
    positive for cocaine twice during her pregnancy with A.J.R. and received “limited prenatal
    care.”
    The Texas Department of Family Protective Services (“TDFPS”) removed A.J.R.,
    who had yet to be discharged from the hospital. Upon removal from Mary F. and discharge
    from the hospital, A.J.R. was placed in foster care through the TDFPS. Subsequent to the
    removal, Hermis arranged for Mary F. to visit A.J.R. at the TDFPS’s office, which was the
    only time Mary F. and Hermis had face-to-face contact after the removal. Mary F. did not
    contact Hermis again.
    Sonia Cantu-Gonzales, a legal worker for Child Protective Services, also testified.
    She was the legal caseworker assigned to A.J.R.’s case. On June 30, 2008, the TDFPS
    obtained a determination of aggravated circumstances which waived the requirement that
    the TDFPS make reasonable efforts to return A.J.R. to Mary F. Cantu-Gonzales stated
    that A.J.R. does not require any special medical attention, and that there was no indication
    that Mary F.’s positive tests for cocaine had caused any negative effects to A.J.R.
    Although Mary F. was incarcerated the majority of the time Cantu-Gonzalez was working
    the case, Mary F. made one attempt to visit with A.J.R. during this time. Mary F. indicated
    3
    Meconium is the “first stool of newborn infants.” “W hat is Meconium Aspiration,” available at
    http://www.kidsgrowth.com /resources/articledetail.cfm ?id=927 (last visited July 14, 2009).
    3
    to Cantu-Gonzalez that she had to go to rehabilitation as part of her deferred adjudication
    for her prior guilty pleas to delivery of a controlled substance and endangerment to a child.
    Cantu-Gonzalez also testified that Joe R., the purported father of A.J.R., had not been
    established to be the father via a paternity test. Even so, the TDFPS was seeking to have
    him named a possessory conservator of A.J.R. Joe R. had weekly visits with A.J.R.
    Stacie Marthiljohni, a court appointed special advocate (“CASA”), stated that Mary
    F. did not regularly attend rehabilitation. As the CASA caseworker assigned to Mary F.’s
    four other children, Marthiljohni informed her that R.R.’s medical problems were due to
    Mary F.’s drug use and that cocaine use during pregnancy can “severely impact a child.”
    Marthiljohni testified that termination of Mary F.’s parent-child relationship with A.J.R. would
    be in A.J.R.’s best interest.
    At the conclusion of the hearing, the trial court orally terminated the parent-child
    relationship between Mary F. and A.J.R. It appointed the TDFPS as permanent managing
    conservator and Joe R. as possessory conservator. Additionally, the trial court orally found
    that Mary F.’s womb, uterus, and ovaries, in the manner that she has applied them, are
    deadly weapons and orally ordered Mary F. to be surgically sterilized. On October 14,
    2008, the trial court entered a written order of termination. This appeal ensued.
    II. EVIDENCE RELATING TO WAIVER OF SERVICE PLAN AND TERMINATION ORDER
    In her first issue, Mary F. argues that: (1) the evidence does not demonstrate that
    the State made reasonable efforts to return A.J.R. or provide her with a service plan; and
    (2) there is no evidence that the requirement in (1) was waived. See TEX . FAM . CODE ANN .
    §§ 262.201, 262.2015 (Vernon 2008). In her fifth issue, Mary F. asserts that the trial court
    4
    erred in relying on two prior termination orders when terminating her parent-child
    relationship with A.J.R. See 
    id. § 161.001(1)(D),
    (E) (Vernon 2008).
    A.     Applicable Law
    Under the Texas Family Code, the State can remove an allegedly abused child from
    his or her parent based “on information furnished by another that has been corroborated
    by personal knowledge of facts and all of which taken together would lead a person of
    ordinary prudence and caution to believe that there is an immediate danger to the physical
    health or safety of the child.” 
    Id. § 262.104(a)(2)
    (Vernon 2008). However, the State must
    hold a full adversary hearing within fourteen days of removing the child to determine
    whether there is just cause to keep the child from his or her parents. 
    Id. § 262.201(a).
    The State must file a service plan within forty-five days of being appointed as
    temporary managing conservator of the removed child. 
    Id. § 263.101
    (Vernon 2008). The
    service plan should specify what measures the parents should take in ensuring that their
    child can be returned to them. 
    Id. § 263.102
    (Vernon 2008). The State must also make
    a reasonable effort to return the child to her parents, unless there is a substantial risk of
    danger to the child in doing so. 
    Id. § 262.201(b)(3).
    One way the court may waive these duties of the State is to find that “Aggravated
    Circumstances” exist:
    The court may waive the requirement of a service plan and the requirement
    to make reasonable efforts to return the child to a parent and may accelerate
    the trial schedule to result in a final order for a child under the care of the
    department at an earlier date than provided by Subchapter D, Chapter 263,
    if the court finds that the parent has subjected the child to aggravated
    circumstances.
    
    Id. § 262.2015(a).
    Two ways in which a court may find under subsection (a) that the child
    5
    has been subjected to aggravated circumstances by the parent are if:
    (5)    the parent’s parental rights with regard to another child have been
    involuntarily terminated based on a finding that the parent’s conduct
    violated Section 161.001(1)(D) or (E) [or if]
    ....
    (7)    the parent’s parental rights with regard to two other children have
    been involuntarily terminated.
    
    Id. § 262.2015(b)(5),
    (7).
    Family code sections 161.001(1)(D) and (E) provide that parental rights may be
    terminated if 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” or “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(1)(D),
    (E).
    B.     Standard of Review
    Appellate courts review termination of parental rights cases under an abuse of
    discretion standard. Turner v. Lutz, 
    685 S.W.2d 356
    , 359 (Tex. App.–Austin 1984, no writ).
    “To determine whether a trial court abused its discretion, we must decide whether the trial
    court acted without reference to any guiding rules or principles; in other words, we must
    decide whether the act was arbitrary or unreasonable.” In the Interest of D.W., 
    249 S.W.3d 625
    , 647 (Tex. App.–Fort Worth 2008, pet. denied) (citing Downer v. Aquamarine
    Operators, Inc., 
    701 S.W.2d 238
    , 241-42 (Tex. 1985)). Merely because an appellate court
    may decide a matter differently from the evidence presented at trial does not constitute an
    abuse of discretion by the trial court. See 
    id. “An abuse
    of discretion does not occur
    6
    where the trial court bases its decisions on conflicting evidence.” 
    Id. (citing In
    re Barber,
    
    982 S.W.2d 364
    , 365 (Tex. 1998) (orig. proceeding)). “Furthermore, an abuse of discretion
    does not occur as long as some evidence of substantive and probative character exists to
    support the trial court’s decision.” In the Interest of M.N.G., 
    147 S.W.3d 521
    , 530 (Tex.
    App.–Fort Worth 2004, pet. denied) (citing Butnaru v. Ford Motor Co., 
    84 S.W.3d 198
    , 211
    (Tex. 2002)).
    C.     Discussion
    1.       Waiver of Service Plan
    In her first issue, Mary F. argues that the record is conflicting regarding whether the
    court ordered a service plan or whether such a service plan was waived due to a finding
    of aggravated circumstances. On June 6, 2008, the TDFPS moved for a “Hearing and
    Determination of Aggravated Circumstances.” In its motion, the TDFPS asserted that Mary
    F.’s rights to four other children had been terminated and moved the court to waive the
    requirement that TDFPS make reasonable efforts to return A.J.R. On June 30, 2008, the
    trial court held a hearing and signed a “Temporary Order Following Adversary Hearing,”
    which required Mary F. to, “pursuant to § 263.106 Texas Family Code [sic], . . . comply with
    each requirement set out in [TDFPS’s] original, or any amended, service plan during the
    pendency of [this] suit.” No service plan for Mary F. appears in the record.
    On July 2, 2008, based on the TDFPS’s June 30, 2008 “Motion for Hearing and
    Determination of Aggravated Circumstances,” the trial court signed an “Order Determining
    Aggravated Circumstances.” The trial court found that Mary F. previously had four children
    who, at each child’s birth, tested positive for drugs, and it also found that she tested
    7
    positive for drugs at the birth of each of those children.4 Her parental rights regarding
    those children had been terminated under family code sections 161.001(D) or (E). See
    TEX . FAM . CODE ANN . § 161.001(D), (E). The trial court ordered that “the requirement of a
    service plan and the requirement to make reasonable efforts to return the child to [Mary
    F.] are waived . . . .”
    Based on the findings in the record, we conclude that the trial court did not abuse
    its discretion. The trial court made the requisite findings under section 262.2015 that Mary
    F.’s rights to other children had been involuntarily terminated under section 161.001(1)(E)
    or (D) and that her rights to two other children had been terminated.                                See 
    id. § 262.2015(b)(5),
    (7). Because we find that the trial court’s waiver order was proper, we do
    not address Mary F.’s arguments concerning whether the evidence demonstrates that the
    State made reasonable efforts to return A.J.R. or to provide her with a service plan. We
    overrule Mary F.’s first issue.
    2.       Prior Termination Orders
    In her fifth issue, Mary F. challenges the trial court’s reliance on two prior orders of
    termination in making its aggravated circumstances finding and in ordering termination in
    the present case.5 Mary F. asserts that, because the two prior orders were on appeal at
    4
    According to the record of the term ination hearing, Mary F. had four children prior to giving birth to
    A.J.R. However, the record indicates that only three of those four children tested positive at birth for drugs.
    Her parent-child rights were term inated as to all four children, as found by the trial court in the present case.
    Mary F. does not challenge the order on those grounds, thus we do not consider this issue on appeal. See
    T EX . R. A PP . P. 38.1(f).
    5
    The two orders are appellate cause num bers 13-08-00349-CV and 13-08-00350-CV. On Decem ber
    11, 2008, we consolidated the two orders on appeal and affirm ed the judgm ent of the trial court. In re D.J.E.,
    Nos. 13-08-00349-CV, 13-08-00350-CV, 2008 W L 5196608, at *1 n.2 (Tex. App.–Corpus Christi Dec. 11,
    2008, no pet.).
    8
    the time of the termination order in the present case, the trial court could not find, by a
    clear and convincing standard, that these terminations occurred. Essentially, she argues
    that the trial court abused its discretion in concluding that the previous involuntary
    terminations of Mary F.’s parent-child relationship with her other children were sufficient
    evidence to support a finding that she had previously endangered her children and violated
    sections 161.001(1)(D) or (E) of the family code.         See TEX . FAM . CODE ANN . §
    161.001(1)(D), (E).
    In addressing a similar issue, the Fort Worth Court of Appeals stated,
    We hold that, when a prior decree of termination as to another child is
    properly admitted into evidence, the [TDFPS] need not reestablish that the
    parent’s conduct with respect to that child was in violation of sections
    161.001(1)(D) or (E). The [TDFPS] need only show that the Appellant’s
    rights were terminated as to her other children based on findings that she
    violated sections (D) and (E).
    In re J.M.M., 
    80 S.W.3d 232
    , 243 (Tex. App.–Fort Worth 2002, pet. denied) (emphasis in
    original), disapproved on other grounds, In re J.F.C., 
    96 S.W.3d 256
    (Tex. 2002). In
    J.M.M., the predecessor agency to TDFPS offered a prior order of termination which
    terminated the defendant’s parental rights to a child other than J.M.M. The Fort Worth
    Court of Appeals noted that the prior termination order tracked the language of section
    161.001(1)(D) and (E) and was admitted without objection. Id.; see TEX . FAM . CODE ANN .
    § 161.001(1)(D), (E).
    In the present case, two prior orders of termination tracked the language of section
    161.001(1)(D) and (E) and were offered and admitted into evidence without objection. At
    the time of the termination order in the present case, these two orders were on appeal,
    which slightly distinguishes this case from J.M.M. However, section 109.002(c) of the
    9
    family code states:
    An appeal from a final order, with or without a supersedeas bond, does not
    suspend the order unless suspension is ordered by the court rendering the
    order. The appellate court, on a proper showing, may permit the order to be
    suspended, unless the order provides for the termination of the parent-child
    relationship in a suit brought by the state or a political subdivision of the state
    permitted by law to bring the suit.
    TEX . FAM . CODE ANN . § 109.002(c) (Vernon 2008). There is no order of suspension in the
    record, and because the orders terminate Mary F.’s parent-child relationship with her other
    children, we cannot suspend the orders. Therefore, at the time of the termination in the
    present case, the two prior orders of termination were in full effect. See In re S.S.G., 
    208 S.W.3d 1
    , 3 (Tex. App.–Amarillo 2006, pet. denied) (noting that once a judgment is
    reversed, it is nullified, “leaving it as if it had never been rendered other than as to further
    rights of appeal”) (citing Ex parte Rutherford, 
    556 S.W.2d 853
    , 854 (Tex. Civ. App.–San
    Antonio 1977, no writ) (“It is, therefore, clear that, while the appeal was pending, the order
    [determining conservatorship] remained in full effect . . . .”)).
    We conclude, as did the Fort Worth Court of Appeals, that because the two prior
    orders were properly admitted into evidence and were in full effect at the time of the
    termination of Mary F.’s parent-child relationship with A.J.R., TDFPS “need not reestablish
    that [Mary F.’s] conduct with respect to [the children] was in violation of sections
    161.001(1)(D) or (E).” See In re 
    J.M.M., 80 S.W.3d at 243
    ; see also TEX . FAM . CODE ANN .
    § 161.001(1)(D), (E). Thus, the evidence before the trial court that Mary F.’s parent-child
    rights to other children were terminated for violating sections 161.001(1)(D) or (E) was
    sufficient, and the trial court did not abuse its discretion by relying on the two prior
    termination orders. See In re 
    J.M.M., 80 S.W.3d at 243
    ; see also TEX . FAM . CODE ANN . §
    10
    161.001(1)(D), (E). We overrule Mary F.’s fifth issue.
    III. SUFFICIENCY OF THE EVIDENCE
    In her second issue, Mary F. argues that the trial court abused its discretion in
    finding by clear and convincing evidence that Mary F. had engaged in conduct or knowingly
    placed A.J.R. with persons who engaged in conduct which endangered the physical or
    emotional well-being of A.J.R. See TEX . FAM . CODE ANN . § 161.001(1)(E).
    A.     Standard of Review
    In hearings regarding the termination of parental rights, due process requires that
    the State prove its case for termination by clear and convincing evidence. In re J.F.C., 
    96 S.W.3d 256
    , 263 (Tex. 2002) (citing Santosky v. Kramer, 
    455 U.S. 745
    , 769 (1982); In re
    G. M., 
    596 S.W.2d 846
    , 847 (Tex. 1980)). “This intermediate standard falls between the
    preponderance standard of ordinary civil proceedings and the reasonable doubt standard
    of criminal proceedings.” In re 
    D.M.F., 283 S.W.2d at 129
    (citing In re G.M., 
    596 S.W.2d 846
    , 847 (Tex. 1980); In re K.W., 
    138 S.W.3d 420
    , 425 (Tex. App.–Fort Worth 2004, pet.
    denied)). The clear and convincing standard is defined as 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 (Vernon 2008).
    Taking this elevated standard of review into consideration, an appellate court
    reviewing the legal sufficiency of the evidence in a parental termination case must
    determine whether a fact-finder could reasonably form a firm belief or conviction that the
    grounds for termination were proven. In re 
    J.F.C., 96 S.W.3d at 265-66
    . All evidence
    should be reviewed “in the light most favorable to the judgment.” 
    Id. at 266.
    This means
    11
    that an appellate court must assume that the fact-finder resolved any disputed facts in
    favor of its finding if a reasonable fact-finder could have done so. An appellate court must
    also disregard all evidence that a reasonable fact-finder could have disbelieved. City of
    Keller v. Wilson, 
    168 S.W.3d 802
    , 827 (Tex. 2005). “If [an appellate court] determines that
    no reasonable factfinder could form a firm belief or conviction that the matter that must be
    proven is true, then that court must conclude that the evidence is legally insufficient.” In
    re 
    J.F.C., 96 S.W.3d at 266
    .
    Similarly, the clear and convincing standard of review in a parental termination
    hearing requires a higher level of evidence in order to be factually sufficient. See In re
    C.H., 
    89 S.W.3d 17
    , 25 (Tex. 2002). Under the more common factual sufficiency of the
    evidence standard, “a court determines if a finding is so against the great weight and
    preponderance of the evidence that it is manifestly unjust, shocks the conscience, or
    clearly demonstrates bias.” 
    Id. at 25
    (citing Pool v. Ford Motor Co., 
    715 S.W.2d 629
    , 635
    (Tex. 1986)). In contrast, “the appellate standard for reviewing termination findings is
    whether the evidence is such that a fact-finder could reasonably form a firm belief or
    conviction about the truth of the State’s allegations.” 
    Id. Therefore, in
    reviewing the factual sufficiency of the evidence in a parental rights
    termination, “[w]e must determine whether, on the entire record, a fact-finder could
    reasonably form a firm conviction or belief that the parent violated a provision of section
    161.001(1) and that the termination of the parent’s parental rights would be in the best
    interest of the child.” In re M.C.T., 
    250 S.W.3d 161
    , 168 (Tex. App.–Fort Worth 2008, no
    pet.) (citing In re 
    C.H., 89 S.W.3d at 28
    ). “If, in light of the entire record, the disputed
    12
    evidence that a reasonable fact-finder could not have credited in favor of the finding is so
    significant that a fact-finder could not have reasonably formed a firm belief or conviction
    in the truth of its finding, then the evidence is factually insufficient.” 
    Id. (citing In
    re H.R.M.,
    
    209 S.W.3d 105
    , 108 (Tex. 2006)).
    B.     Applicable Law
    In order for a court to terminate the parent-child relationship, it must find two
    essential elements. In re J.L., 
    163 S.W.3d 79
    , 84 (Tex. 2005). First, the parent must have
    committed one of the prohibited acts listed in section 161.001(1) of the family code. 
    Id. (citing TEX
    . FAM . CODE ANN . § 161.001(1)). Second, it must be in the child’s best interest
    to terminate the parental rights. 
    Id. (citing TEX
    . FAM . CODE ANN . § 161.001(2)). “Both
    elements must be established; termination may not be based solely on the best interest
    of the child as determined by the trier of fact.” In re D.M.F., 
    283 S.W.3d 124
    , 129 (Tex.
    App.–Fort Worth 2009, pet. filed) (op. on reh’g) (citing Tex. Dep’t of Human Servs. v. Boyd,
    
    727 S.W.2d 531
    , 533 (Tex. 1987)).
    A parent violates section 161.001(1) when the parent has “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. . . .” TEX . FAM . CODE ANN . § 161.001(1)(E).
    C.     Discussion
    Mary F. contends that the evidence presented at the termination hearing was neither
    legally nor factually sufficient to show, by clear and convincing evidence, that she violated
    section 161.001(1)(E) of the family code by engaging in conduct which endangered the
    physical or emotional well-being of A.J.R. “Under subsection (E), the relevant inquiry is
    13
    whether evidence exists that the endangerment of the child’s physical well-being was the
    direct result of the parent’s conduct, including acts, omissions, or failures to act.” In re
    J.T.G., 
    121 S.W.3d 117
    , 125 (Tex. App.–Fort Worth 2003, no pet.) (citing In re R.D., 
    955 S.W.2d 364
    , 368 (Tex. App.–San Antonio 1997, pet. denied); Dupree v. Tex. Dep’t of
    Protective & Regulatory Servs., 
    907 S.W.2d 81
    , 83-84 (Tex. App.–Dallas 1995, no writ)).
    A mother’s drug use during pregnancy may be sufficient evidence of endangerment to her
    child. 
    Id. at 125.
    Mary F. argues that there was not sufficient evidence to support the State’s
    accusations of her drug use during her pregnancy with A.J.R. Hermis testified that A.J.R.
    tested positive at birth for cocaine in both her urine and meconium. Hermis also stated that
    Mary F. tested positive for cocaine twice during her pregnancy with A.J.R.
    Mary F. also argues that even if both she and A.J.R. tested positive for cocaine
    during her pregnancy and at birth, this was not sufficient evidence to prove that she
    endangered A.J.R.’s well-being because A.J.R. was not physically harmed by Mary F.’s
    drug use. While “‘endanger’ means more than a threat of metaphysical injury or the
    possible ill effects of a less-than-ideal family environment, it is not necessary that the
    conduct be directed at the child or that the child actually suffers injury.” 
    Boyd, 727 S.W.2d at 533
    . Instead, one is “endangered” when exposed to loss or injury or placed in jeopardy.
    
    Id. Although A.J.R.
    did not suffer any actual physical harm, the evidence clearly shows
    that Mary F. exposed A.J.R. to loss or injury and jeopardized her well-being when she
    abused cocaine during her pregnancy with A.J.R. Therefore, Mary F. violated Section
    161.001(1)(E) by endangering A.J.R.’s physical or emotional well-being.
    14
    Having viewed all of the evidence in the light most favorable to the judgment, we
    conclude that a fact-finder could have reasonably formed a firm belief or conviction that
    Mary F. “engaged in conduct or knowingly placed [A.J.R.] with persons who engaged in
    conduct which endangers the physical or emotional well-being of [A.J.R.] . . . .” See TEX .
    FAM .CODE ANN . § 161.001(1)(E); In re 
    J.F.C., 96 S.W.3d at 265-66
    . Additionally, viewing
    the entire record, we conclude that a reasonable fact-finder could form a firm belief or
    conviction that Mary F. violated family code section 161.001(1)(E). See In re 
    M.C.T., 250 S.W.3d at 168
    . Because, based on a clear and convincing standard, the evidence is
    legally and factually sufficient to support the trial court’s determination that Mary F. violated
    section 161.001(1)(E), the trial court did not abuse its discretion in so finding. We overrule
    Mary F.’s second issue.
    IV. TESTIMONY OF MICHELLE HERMIS
    In her third issue, Mary F. argues that the trial court committed error by “admitting
    testimonial evidence of [Mary F.’s] or [A.J.R.’s] medical and drug test results at birth
    because the sponsoring witness, Michelle Hermis, was not qualified to give an expert
    opinion on the positive or negative results of the testing or the length of time the cocaine
    had been in [Mary F.’s] system.” During direct examination, Hermis testified that Mary F.
    had indicated that she “had ingested cocaine at least a week prior to giving birth” to A.J.R.
    Additionally, Hermis stated that A.J.R. tested positive for cocaine at birth.
    While being cross examined by A.J.R.’s representative, Hermis again acknowledged
    that A.J.R. tested positive for cocaine both in her urine and meconium. Hermis suggested
    that a positive test for cocaine in the meconium indicates a long-term use while the baby
    15
    is in utero and that such a result also establishes that cocaine was used more than three
    times.
    While Mary F. did not object to any of the foregoing testimony, she did object to the
    next question, which was, “[The cocaine is] kind of built up in the baby, in the baby’s
    system?”       Mary F. objected on grounds that Hermis was testifying beyond her
    qualifications. The State notes that the trial court overruled the objection, and Hermis
    continued with her discussion of Mary F.’s cocaine use and other issues concerning
    A.J.R.’s safety.
    “It is a well-settled principle that to preserve error for review on appeal, a defendant
    must object timely, specifically, and receive an adverse ruling at trial.” Jaynes v. State, 
    216 S.W.3d 839
    , 850 (Tex. App.–Corpus Christi 2006, no pet.) (citing TEX . R. APP. P. 33.1(a);
    Turner v. State, 
    805 S.W.2d 423
    , 431 (Tex. Crim. App. 1991)). “A trial court’s erroneous
    admission of evidence will not require reversal when other such evidence was received
    without objection, either before or after the complained-of ruling.” 
    Id. (citing Leday
    v. State,
    
    983 S.W.2d 713
    , 718 (Tex. Crim. App. 1998)). We conclude that, because evidence
    concerning the presence of cocaine in A.J.R.’s urine and meconium and concerning Mary
    F.’s drug use was “received without objection” prior to Mary F.’s objection, even if the trial
    court erred in admitting the evidence, which we do not decide, such error would not require
    reversal. 
    Id. Mary F.’s
    third issue is overruled.
    V. SURGICAL STERILIZATION
    In her fourth issue, Mary F. asserts that the trial court erred in finding that her womb,
    16
    ovaries, and uterus are deadly weapons and in ordering that she be surgically sterilized.6
    The State agrees. See TEX . PENAL CODE ANN . § 1.07(a)(17) (Vernon Supp. 2008) (defining
    “deadly weapon”). However, the State disagrees with Mary F.’s “effort to raise this mistake
    by the [trial court] to a level of an error in the termination of parental rights.”
    Because the State concedes that the trial court erred in ordering that Mary F. be
    surgically sterilized and in finding that her ovaries, womb, and uterus were deadly
    weapons, we delete that portion of the trial court’s order requiring the surgical sterilization
    and the deadly weapon finding.                  See Matter of C.P., 
    925 S.W.2d 151
    , 152 (Tex.
    App.–Austin 1996, writ denied) (vacating conviction on certain offenses upon State’s
    concession that those offenses were lesser included offenses of other offenses on which
    defendant was convicted); see also Randle v. State, No. 05-07-00849-CR, 
    2008 WL 933424
    , at *1 (Tex. App.–Dallas Apr. 08, 2008, no pet.) (vacating a trial court’s order
    because the State conceded error). Because “[o]nly one statutory predicate finding under
    [s]ection 161.001 is necessary to support a judgment of termination when there is also a
    finding that termination is in the best interest of the children,” In re R.S., 
    252 S.W.3d 550
    ,
    553 (Tex. App.–Texarkana 2008, no pet.), we agree with the State that Mary F. cannot
    raise this error to overcome the termination order. In addition to the deadly weapon
    finding, the trial court found that termination is in A.J.R.’s best interest and that Mary F.
    violated sections 161.001(E) and 161.001(M). See TEX . FAMILY CODE ANN . §§ 161.001(E),
    6
    The trial court’s written term ination order does not m ention sterilization; the trial judge orally ordered
    the surgery. The written term ination order does, however, contain the trial judge’s finding that Mary F.’s
    “uterus and ovaries in their m anner and use are deadly weapons.” (Em phasis om itted). The State does not
    dispute that the trial court orally ordered the surgery. See T EX . R. A PP . P. 38.1(g) (“[T]he court will accept as
    true the facts stated unless another party contradicts them .”).
    17
    (M). Therefore, we find that the trial court did not err in terminating Mary F.’s parental
    rights even if it did err by finding that her ovaries, womb and uterus were deadly weapons.
    We sustain in part and overrule in part Mary F.’s fourth issue.
    VI. CONCLUSION
    Having overruled Mary F.’s first, second, third and fifth issues, we affirm the
    judgment of the trial court as to those issues. Regarding Mary F.’s fourth issue, we delete
    that portion of the trial court’s order requiring her surgical sterilization and the finding that
    her ovaries, uterus, and womb are deadly weapons, and modify the judgment accordingly
    without these provisions. We affirm the remainder of the trial court’s judgment.
    ______________________________
    GINA M. BENAVIDES,
    Justice
    Memorandum Opinion delivered and
    filed this the 20th day of August, 2009.
    18