in the Interest of Z.A.S., a Child ( 2011 )


Menu:
  •                           COURT OF APPEALS
    SECOND DISTRICT OF TEXAS
    FORT WORTH
    NO. 02-11-00040-CV
    IN THE INTEREST OF Z.A.S.,
    A CHILD
    ----------
    FROM THE 323RD DISTRICT COURT OF TARRANT COUNTY
    ----------
    MEMORANDUM OPINION1
    ----------
    I. INTRODUCTION
    In three issues, Appellant Mother challenges the sufficiency of the
    evidence to support the trial court’s findings under subsections (D), (E), and (N)
    of Texas Family Code section 161.001(1), which resulted in the termination of
    her parental rights to Z.A.S. We will affirm.
    1
    See Tex. R. App. P. 47.4.
    II. FACTUAL AND PROCEDURAL BACKGROUND2
    Z.A.S. was born December 11, 2009. Mother said that Z.A.S.’s biological
    father was M.C. Because he is not a party to this appeal, the remainder of this
    background section will focus on Mother’s actions and inactions related to Z.A.S.
    A.    Mother Leaves Z.A.S. with a Stranger
    Missy Caddell testified that she knew Z.A.S. because he and Mother had
    stayed with her mother, Peggy.      Missy first met Mother around the end of
    December 2009 or the first of January 2010 at Peggy’s house.          Z.A.S. was
    approximately three weeks old. Missy understood that Mother was staying with
    Peggy because Mother did not have anywhere else to stay.
    Missy testified that she offered to watch three-week-old Z.A.S. so that
    Mother could go to a party around January 1, 2010. Mother took Missy up on her
    offer to babysit even though Mother did not know Missy’s name or where she
    lived and did not ask for that information. Missy thought she was keeping Z.A.S.
    for the night, but she ended up keeping him for three weeks. During the three
    weeks that Z.A.S. was with Missy, Mother was in and out of Peggy’s house, and
    each time Missy went there, Mother was already gone. Missy did not hear from
    Mother for a few weeks. After those three weeks, Missy took Z.A.S. to Peggy’s
    house, and Mother kept the baby for a night or two before Missy came and took
    2
    We recognize that some of the testimony is conflicting and inconsistent.
    This factual background section of our opinion, however, sets forth the testimony
    given, even when it is inconsistent.
    2
    him back with her. Missy stocked up on formula and diapers and furnished those
    necessities for Z.A.S.; Mother did not furnish any formula or diapers during that
    time.
    In February, after Z.A.S. had been with Mother at Peggy’s house for a few
    days, Missy took Z.A.S. to the doctor and then to Cook Children’s Hospital
    because he was ―really sick, really congested, and kind of having a hard time
    breathing.‖ Missy typed a letter, which Mother signed, allowing Missy to seek
    treatment for Z.A.S. at Cook Children’s. While Z.A.S. was at the hospital, he was
    put on an IV. Upon discharge, he was given a prescription for a nasal spray,
    which Missy had filled at a pharmacy. Missy said that Z.A.S. was later diagnosed
    with thrush while he was in her care.
    In early March, Mother’s boyfriend Matt called Missy around 10 or 11 p.m.
    and urged her to bring Z.A.S. to Mother and him.       Z.A.S. had already been
    bathed and was in bed because he had been sick, so Missy said that she would
    bring him the next day.     Matt texted threats to Missy regarding her and her
    children, so Missy decided to meet him at Peggy’s. Mother also texted Missy,
    but Mother acted reasonably in her texts.     Missy and her husband gathered
    Z.A.S. and his belongings and went to Peggy’s house to meet Mother. There was
    a small red car with three people in it parked at Peggy’s house, and an older
    couple got out, took Z.A.S., and drove away without taking Z.A.S.’s belongings.
    Mother spoke to the couple and said that she was going to meet up with them
    later that night, but Mother said that she did not know them that well. Mother
    3
    stayed at Peggy’s house when the couple drove off with three-month-old Z.A.S.
    Peggy told Mother that if she was going to drive Z.A.S. around all hours of the
    night in the cold, she could get her things and leave. So Mother packed her
    things that were at Peggy’s house and moved out.
    Although Mother did not appear concerned, Missy said that she was
    concerned because the couple was much older, Mother did not know them very
    well, their car did not look very reliable, and they appeared strung out. Missy and
    her husband called the police and asked them to follow the couple that night.
    Missy testified that she feared for Z.A.S. if he remained with Mother because of
    the people she associated with.
    The next time Missy saw Z.A.S. was when Mother called her to tell her that
    Z.A.S. was two months behind on his vaccinations and asked her to take him to
    the doctor. Missy picked up Mother and Z.A.S. from a junkyard,3 and Mother
    went with Missy to take Z.A.S. to get his shots. Missy saw Z.A.S. one other time
    when she picked up Mother at the junkyard and took her to the store to buy
    water.
    B.    Z.A.S.’s Removal
    Jeremy Dickinson, an investigator with CPS, testified that CPS received a
    referral on March 5, 2010, alleging neglectful supervision because shortly after
    Mother gave birth to Z.A.S., she had placed him with someone she had just met
    3
    Missy never went inside the residence at the junkyard.
    4
    and had not returned for two weeks. A second referral came in after the March 5
    referral, alleging that Mother had picked up Z.A.S. from the person she had left
    him with and had asked for money for food and diapers because she could not
    provide for him.4 With the second referral, Dickinson received an address and
    was asked to investigate on March 12, 2010.
    Dickinson went to the location of the address and found a trailer located on
    property that appeared to be a junkyard. Dickinson testified that it was ―very
    difficult‖ to navigate his way to the trailer because there was a ―countless
    amount[] of material from car parts to trash to everything.‖ Dickinson spoke with
    Mother inside the trailer, and she told him that the trailer had no electricity; he
    also noted that there were tools, trash, and random items scattered throughout
    the living room. Dickinson was not given permission to go past the living room,
    but he did not recall seeing any bottles, formula, or diapers. Mother stated that
    she ―was just staying there,‖ that she did not know who else was there, and that
    was why she did not want him to walk through the rest of the home. 5
    Mother retrieved Z.A.S. from the bedroom and would not let Dickinson
    examine him. Dickinson saw that the bedroom was ―extremely cluttered,‖ that it
    had a bed in it, and that there was not much room for anything else. It seemed to
    4
    Dickinson’s understanding was that shortly after Z.A.S. was born, Mother
    had placed Z.A.S. with Ms. Caddell’s mother Peggy, that Mother had come and
    picked him up, and that Mother had later placed Z.A.S. with Missy.
    5
    Mother did not report having another permanent address.
    5
    Dickinson that Mother thought the conditions of the home were suitable, but
    Dickinson had concerns about Z.A.S.’s physical safety based on the condition of
    the home.
    Dickinson discussed the referrals with Mother, and she said that Z.A.S.
    had stayed with friends and that he was on medication for thrush. Mother told
    him that she had only had Z.A.S. in her care for a few weeks.            Dickinson
    discussed CPS’s concern that there was substance abuse, and Mother admitted
    taking two prescription pills for which she did not have prescriptions;6 Mother told
    him that she had taken Vicodin one week prior to Dickinson’s visit and had taken
    Flexor, a muscle relaxer, about two or three days prior to his visit.       Mother
    submitted to a CPS oral swab test, which tested positive for methamphetamines
    and amphetamines. When Dickinson told Mother the results of the drug test,
    Mother denied having used drugs.
    Dickinson explained that—based on the condition of the home, the results
    of the drug test, and Mother’s admission that she was taking prescription drugs
    for which she did not have prescriptions—CPS needed to look into a safety
    placement for Z.A.S.     When Dickinson asked Mother the name of a family
    member for a voluntary placement, Mother did not give a name but instead
    picked up Z.A.S., went into the bedroom, shut the door, and told Dickinson to
    leave. Before exiting the trailer, Dickinson told Mother that they needed to find a
    6
    On cross-examination, Dickinson was not sure whether Mother had said
    that she did not have prescriptions.
    6
    placement for Z.A.S. and that he would have to discuss the case with his
    superiors.
    Dickinson went outside and contacted his supervisor and the program
    director assigned the case for Z.A.S. They told Dickinson to take custody of
    Z.A.S., and Dickinson contacted the Tarrant County Sheriff’s Department to alert
    them to the situation. Dickinson was outside on the phone for fifteen or twenty
    minutes, and during that time, two people entered the trailer. After the sheriff’s
    department arrived, a man named Gene identified himself as the owner of the
    property and gave Dickinson and the sheriff’s deputy permission to enter the
    residence.
    Once inside, Dickinson saw Mother crying as she cradled Z.A.S. and
    rocked back and forth.     Mother told Dickinson not to take her baby.        After
    Dickinson told Mother that they needed to take custody of Z.A.S. for his safety,
    Mother relented and gave Z.A.S., along with his medications, to Dickinson.
    Dickinson explained to Mother that a legal action had been filed, that CPS was
    involved, that Dickinson was the investigator assigned to the case, that there
    would be a court hearing the following day regarding CPS’s custody of Z.A.S.,
    and that a caseworker would give her a service plan and explain what was
    needed on Mother’s part for her to have Z.A.S. returned to her. Mother indicated
    that she would be willing to participate in CPS services to have her child returned
    to her.
    7
    After Dickinson removed Z.A.S., he observed that Z.A.S. was dirty and that
    his diaper was ―completely soiled with urine.‖ Mother did not ask to change
    Z.A.S.’s soiled diaper before she gave him to Dickinson. Z.A.S. was placed in a
    foster home.
    Mother appeared at the hearing on the day following the removal.
    Dickinson provided Mother with the phone numbers for the Drug Court Program
    so that she could see if she qualified for the program. To Dickinson’s knowledge,
    Mother did not follow through with the procedures to get into the Drug Court
    Program. Mother attended the visitations that Dickinson sat in on, and he did not
    have any concerns about her interactions with Z.A.S.
    Dickinson learned during his investigation that after Mother had left Z.A.S.
    with someone she considered a friend, the friend had to take Z.A.S. to the
    hospital for dehydration, and he had received an IV. Mother had no explanation
    for why Z.A.S. became dehydrated while he was in her care.
    At the conclusion of Dickinson’s investigation, he disposed of the case as
    reason to believe for neglectful supervision by Mother due to her positive drug
    test and her admission to using prescription drugs without prescriptions.
    Dickinson also made a finding of reason to believe for physical neglect by Mother
    due to the state of the home as well as the condition of Z.A.S., who was dirty,
    had an odor, and had a soiled diaper. Dickinson made an additional finding of
    8
    reason to believe for medical neglect by Mother due to not properly addressing
    Z.A.S.’s medical needs and not following through with medications. 7
    C.      Mother’s Caseworker
    Vicki L. Garza, the CPS caseworker assigned to Z.A.S.’s case, testified
    that she first contacted Mother at the show cause hearing on April 1, 2010.
    Garza told Mother that she would receive a service plan and explained that her
    service plan would encompass the services that she would be working in order to
    mitigate the issues, mainly her drug use, which had caused Z.A.S. to come into
    CPS’s care.
    1.   Mother’s Service Plan
    Garza told Mother that she was required to complete the service plan to
    show that she could take care of her son. Mother’s service plan required her to
    (1) remain in contact with Garza on a weekly basis, (2) provide a safe and secure
    house, (3) show that she could financially support Z.A.S., (4) attend weekly visits,
    (5) submit to a psychological evaluation and follow all recommendations of the
    therapist, (6) complete a drug and alcohol assessment, (7) submit to random
    drug tests, and (8) attend parenting classes. Garza went over the service plan
    with Mother, and Mother indicated that she understood the plan and was willing
    to comply. Garza encouraged Mother to follow through and set up her services,
    7
    Although Mother told Dickinson that she gave Z.A.S. medication for his
    thrush, Dickinson concluded that Mother was being medically neglectful by not
    resolving the thrush issue because Z.A.S. still had thrush at the time of the
    removal.
    9
    and Mother indicated that she would. Mother brought her boyfriend Matt to a
    meeting, and Garza asked him to participate in services; Matt refused and was
    very hostile toward Garza.
    Mother did not have any ―follow-through‖ on any of her services during the
    months of June and July, though she did make her weekly visits in July. Mother
    said that she did not have transportation, and Garza suggested that Mother take
    the bus. When Mother had no follow-through as of July, Garza told Mother that
    she was recommending termination, and Mother told Garza that she was going
    to do everything she could to get her son back. On August 18, 2010, Garza met
    with Mother in person, and Mother had still not followed through with any of the
    services that Garza had set up.      Mother continued to excuse her lack of
    performance, stating that she had no transportation. Garza testified that she had
    left bus passes at the CPS office, but Mother never picked them up.
    2.    Drug Court and Initial Drug Tests
    Garza talked to Mother about entering the Drug Court Program, and
    Mother indicated that she wanted to participate. Garza informed Mother that she
    needed to go to Recovery Resource and get in touch with Vickie Keys so that
    Mother could complete a drug assessment in order to find out if she was eligible
    for the Drug Court Program. Mother did not show for her appointment with Keys.
    When Garza met with Mother on July 8, Mother’s hands were dirty, her
    eyes were red, she smelled of marijuana, and she picked at her skin. To Garza,
    it appeared that Mother was high or had been high. Mother told Garza that she
    10
    had not used drugs since Z.A.S.’s removal, but an oral swab revealed the
    presence of methamphetamine, amphetamines, and marijuana.            Mother told
    Garza that the positive test was due to her teeth; Mother’s teeth showed severe
    tooth decay, and she believed methamphetamine was still in her teeth. Mother
    never brought in a note from a doctor saying that there was methamphetamine in
    her teeth that would cause her to test positive for drugs.
    After Mother’s visit with Z.A.S. on July 28, Garza talked to Mother about
    going to recovery. Mother said that she had no transportation. Garza offered to
    take Mother if she scheduled the appointment, but Mother never followed
    through. Mother tested positive for methamphetamine and amphetamines on
    July 28, and she continued to deny using drugs.
    Mother told Garza that she had used illegal drugs in the past and that her
    drug of choice was methamphetamine.             Mother never admitted to using
    methamphetamine or other illegal drugs during the case, and Mother had only
    one drug test that was negative. 8 Garza had been told by family members that
    Mother had an older son who did not live with Mother because of her drug use.
    3.    Psychological Evaluation
    Mother did not attend the psychological evaluation on May 1, 2010.
    Mother said that she could not get in touch with Dr. Ryan to set up a
    8
    According to the record, Garza gave Mother only one drug test that was
    not the oral-swab type, and the result of that test was negative for the presence
    of drugs.
    11
    psychological evaluation, so around May 24, Garza called to set up an
    appointment for Mother and was told that there were openings on May 31.
    Garza left a message for Mother at her stepmother’s and was told that Mother’s
    stepmother had not seen Mother for several weeks. Mother later called Garza
    and confirmed that she had received the message and stated that she would
    undergo the psychological evaluation on May 31. Mother did not show for that
    appointment.      Mother ultimately followed through with the psychological
    evaluation on January 6, 2011, which was four days before the termination trial
    started.
    4.    Move to Georgia
    During Mother’s September 9, 2010 visit, she took a drug test9 and
    informed Garza that she was going to Georgia because she ―needed to pull
    herself away from the environment so she could try to get stuff done.‖ Garza told
    her ―that it might be good for her because she couldn’t get clean here . . . but that
    to work services it would be hard.‖ Garza explained that if Mother left Texas,
    Garza would not be able to help her with services and that it would be Mother’s
    responsibility to work and pay for her services.
    After Mother moved to Georgia, she called Garza on September 11 and
    gave her the address where she was living at her mother’s, along with her
    9
    Garza was not allowed to testify as to the results because the trial court
    sustained an objection by the ad litem attorney representing the biological father.
    This was the first objection to the drug test results. All previous results came in
    without objection.
    12
    mother’s phone number. Mother had talked to CPS in Georgia, and they had
    given Mother a list of places that she could call to set up her own services.
    Mother had not set up any services at that time.
    Garza heard from Mother the next day on September 12 and encouraged
    her to be honest with her mother about why Z.A.S. had been removed, and
    Garza talked to Mother about her drug use.
    Garza heard from Mother on September 17 when she called to tell Garza
    that she had taken a drug test and that she was sending Garza the results.
    Garza told Mother that the drug test would not qualify as a random drug test
    because no one from CPS had requested it.
    Mother later called and said that she had undergone a drug and alcohol
    assessment and was sending the results, and Garza received the documents.
    After Garza reviewed the documents, she had concerns about the drug and
    alcohol assessment because Mother had told the provider that she had not used
    drugs in three years, which was inconsistent with what Mother had told Garza.
    Garza had a conversation with Mother about being honest with everybody
    because that was the only way that she was going to get the help that she
    needed in order to be considered to have Z.A.S. placed back with her.
    Mother called Garza on November 9 and informed her that she would be
    back in Texas on December 7, 2010, and that she would stay until January 8,
    2011. Garza reminded Mother that the final hearing was scheduled for January
    10, 2011. Mother said that she had set up a psychological evaluation for January
    13
    6, and Garza said that was a concern because it was so close to the final
    hearing. Garza noted that during Mother’s phone calls from Georgia, she never
    asked Garza about Z.A.S.
    5.    Back in Texas – Visits and Drug Tests
    Mother called Garza on December 7 and said that she was in Texas, and
    Garza scheduled a visit. During the December 10 visit, Z.A.S. was hesitant at
    first and cried because he had not seen Mother in several months. But once
    Mother began playing with him, he settled down. Garza talked to Mother after
    the visit, and Mother said that she would not be returning to Georgia; she wanted
    to stay and work her services.      Mother said that she had her psychological
    evaluation set up and requested phone numbers for the other services; Garza
    gave the phone numbers to her.
    Garza requested that Mother submit to a hair follicle test on December 10,
    but she did not go. Garza followed up with Mother on December 13, and Mother
    said that her initial transportation fell through and that the bus did not make it to
    the drug testing facility before it closed. Garza testified that Mother’s visit with
    Z.A.S. ended at 10:00 a.m., that she visited with Garza until 11:00 a.m., that the
    drug testing facility was only fifteen minutes away, and that it closed at 5:00 p.m.
    Garza requested that Mother go ahead and take the hair follicle test on
    December 13. On December 15, Garza followed up with Mother to find out why
    she did not take the hair follicle test on December 13, and Mother did not give
    Garza a reason.
    14
    On December 17, Mother arrived forty-five minutes late for her visit, so the
    visit did not occur.
    During the week of Christmas, Mother came to the CPS office and picked
    up bus passes.
    On December 20, Garza spoke with Mother on the phone and asked why
    she had been late for the December 17 visit, and Mother told Garza that the
    friend she was riding with had overslept. Garza told Mother that the office would
    be closed on December 24 and that the hour would be made up on December
    31. Mother did not show for the December 31 visit.
    Mother visited with Z.A.S. on January 7, 2011, and afterwards, Garza
    discussed her concerns about Mother’s relationship with Matt and the condition
    of the home. Mother became angry and walked out.
    6.        Housing
    Throughout the case, Mother lived at various addresses. At one point,
    Mother told Garza that she lived in a trailer in Lake Worth but did not give Garza
    the address. In July 2010, Mother was separated from Matt and was living with a
    gentleman who was giving her a place to live but who was threatening to kick her
    out.
    When Mother returned from Georgia, she gave Garza the address where
    she was staying, which belonged to her older son’s great uncle. Garza made a
    home visit on January 7, 2011, the Friday before the termination trial. When she
    arrived, Garza noted that there was ―stuff‖ stored on a porch that had a door. No
    15
    one answered when Garza knocked on the door.            Garza called the phone
    number that Mother had given her and was told that Mother was in a building at
    the back of the house; the person who answered the phone gave Garza
    permission to go to the back of the house.
    In the back yard, Garza observed several bags of trash, scattered toys,
    and two buildings, one of which had a padlock on it. Garza knocked on the door
    of one of the buildings, Mother yelled out, Garza identified herself and said she
    needed to talk to her, and Mother came to the door about five minutes later.
    Garza described the home as more of a storage building with a screen door on it.
    When Mother came to the door, the smell of stale cigarette smoke came out.
    Mother was wearing a pair of pajama bottoms though it was around 10:30 or
    11:00 a.m. when Garza visited. Garza noted that Mother’s fingernails were dirty,
    almost black.
    At first, Mother did not want Garza and her co-worker to come in because
    the house was ―a little messy.‖ When Garza told Mother that she needed to see
    where Z.A.S. would be living, Mother let her come in. Garza said that there were
    no lights on and that there was tape over the light switch; Garza did not check to
    see if the electricity was working. Garza did not remember seeing any windows
    and said that it was dark. She said that the room looked like it might have been a
    craft room at one time, but there was trash all over the floor. There were several
    old tube televisions that had been taken apart, and a bed, which Matt was in.
    When Garza asked if Mother was back together with Matt, she said no and that
    16
    he had only stayed the night. Garza did not recall seeing any place where there
    was running water. Mother said that she would be sleeping in the storage shed
    but that she would have access to the main house. Garza had concerns about
    the living conditions in the home and did not feel like it was a safe and stable
    home for Z.A.S.
    7.    Compliance
    Garza said that Mother had completed the drug assessment in Georgia
    and that, after she returned to Texas, Mother had completed the psychological
    evaluation and had set up parenting classes, which were supposed to start in
    January. Of the thirty-four visits available to Mother, she attended eighteen visits
    (missing twelve visits during the time she was in Georgia and four visits while she
    was in Texas), appeared under the influence at some visits, was late for two
    visits, and tried to go to sleep during two visits. Mother explained to Garza that
    she was not able to make her visits because she did not have transportation, but
    Garza noted that Mother was able to make it from Texas to Georgia and back
    and that bus passes had been made available to, but not picked up by, Mother
    until a few weeks before the termination trial.
    8.    Best Interest and Future Plans
    Garza testified that it was in Z.A.S.’s best interest for the trial court to
    terminate Mother’s parental rights to him because Mother’s conduct was still
    concerning, because she was still involved with people and still lived in an
    environment that was endangering to Z.A.S., and because Mother had not lived
    17
    in the home for very long at the time of the termination trial. Garza did not
    believe that Mother had addressed her drug abuse issues, and Garza believed
    that Mother’s drug-using lifestyle had been dangerous to Z.A.S. in the past and
    would still be dangerous to him. The Texas Department of Family and Protective
    Services (the Department) asked to be named as permanent managing
    conservator and stated that the plan for Z.A.S. was adoption by his foster family.
    D.     Mother’s Testimony
    1.    Explanation for Leaving Z.A.S. with a Stranger
    Mother testified that she had left Z.A.S. with Missy10 for a week in January
    but that Missy had brought Z.A.S. to Mother every day so that she could see him
    while she was moving from Arlington to Fort Worth to stay with Missy’s mom
    Peggy.     Mother admitted that it did not take her seven days to move her
    belongings but that Z.A.S. was with Missy for seven days.        Mother said that
    during those seven days, she did not use drugs. After the seven days, Mother
    got Z.A.S. back. Missy wanted to watch Z.A.S. one night, so Mother took him to
    her. The next morning, Missy brought Z.A.S. back to Mother and said that he
    had bronchitis, and Mother signed papers that Missy brought, allowing Missy to
    10
    ―Missy‖ is the only name that Mother knew the lady by. Mother
    interpreted Garza’s references to ―Ms. Caddell‖ as ―Missy‖ and said that Missy’s
    mother was Peggy. When Mother was asked how to spell Peggy’s last name,
    she said that she did not know what her last name was.
    18
    seek treatment for Z.A.S. while Mother moved. 11 Mother did not leave Z.A.S.
    with Missy other than those two times.12
    2.    Z.A.S.’s Removal
    Mother testified that she never told Dickinson that she had taken
    prescription drugs without a prescription.    Mother said that she had changed
    Z.A.S.’s diaper prior to the time that he was removed and that Dickinson saw her
    change Z.A.S.’s diaper. Mother said that she had food and diapers for Z.A.S. at
    her house but that Dickinson did not ask for those items when he removed Z.A.S.
    Mother testified that she gave Z.A.S. an oral antibiotic when he had thrush and
    that she sent the medication with him when he was removed.
    3.    Service Plan Compliance
    a.     Drug Issues
    Mother said that initially she had set up her parenting and psychological
    evaluation, but she was told to cancel those appointments because if she was
    accepted into the Drug Court Program, it would interfere. Mother wanted to get
    into the Drug Court Program because she thought it would help her get Z.A.S.
    11
    Mother said that Z.A.S. was with Missy ―a day or two before the
    dehydration or whatever was brought up.‖
    12
    According to Missy, from January 1 through March 5, Z.A.S. stayed with
    her all but four or five nights. Missy said that it was incorrect if Mother testified
    that she had left Z.A.S. with Missy for a stretch of seven nights and one other
    night. Missy said that it was also incorrect if Mother testified that Missy brought
    Z.A.S. to Mother every day. Missy left Z.A.S. at Peggy’s house with Mother for
    four or five days total during the January 1 to March 5 time period.
    19
    back. She believed that she had a drug problem when she was trying to get into
    the Drug Court Program, but at the time of trial, she no longer believed that she
    had a drug problem.
    Mother went to Recovery Resource and met with Vickie Keys, who told
    Mother that she was not a serious drug user and did not qualify for the Drug
    Court Program, stopped Mother’s assessment, and sent Mother to talk to Holly
    McFarland.     Mother said that she contacted McFarland at the Drug Court
    Program, and Mother was told that she needed to complete a drug assessment.
    Mother did not have transportation and did not finish the drug assessment in
    Texas.
    When Mother tested positive for drugs and was asked whether she was
    using drugs, Mother said, ―No. I was using drugs prior to them taking [Z.A.S.],
    but not during that, and I don’t -- I couldn’t go to the dentists to get -- I didn’t have
    enough money to pay for that to get them to check me in and see if that was the
    reason.‖ When asked why Mother thought her teeth had anything to do with her
    positive drug tests, Mother explained, ―Because of how often I used
    [methamphetamine] and how bad they are. They call it meth-mouth.‖ Mother
    testified that ―meth-mouth‖ meant that her teeth had decayed, that she was
    susceptible to infections in her mouth, that the methamphetamine had eaten the
    enamel off her teeth, and that she had lost teeth. Mother said that she started
    using    methamphetamine       at   age   twenty-one     and   that   she    had   used
    methamphetamine once or twice a month for a couple of months and had
    20
    stopped. Mother started using again at age twenty-seven and had used once a
    week for a couple of months. Mother started using again in February 2010 at
    age twenty-nine, approximately one month before Z.A.S. was removed, and had
    used only once or twice. When Mother was asked if she expected the trial court
    to believe that approximately twelve times of using methamphetamine would
    cause methamphetamine to remain in her teeth and cause her to test positive for
    drugs, she said, ―Well, that’s what I think, but, you know, I don’t know.‖
    Mother said that she never used methamphetamine while Z.A.S. was in
    the house. When Mother used methamphetamine in February 2010, Z.A.S. was
    at Missy’s, and Mother was at Rolling Meadows. However, Mother said that she
    did not leave Z.A.S. with Missy so that she could use drugs.
    Mother said that she was honest when she underwent the drug and
    alcohol assessment in Georgia and that she did not say that she had not used
    drugs in three years.      Mother said that as part of her drug and alcohol
    assessment, she was asked to take a twenty-hour drug class, which she
    completed. Mother forgot to give Garza the paperwork showing that she had
    completed the class. Initially, Mother could not articulate what she learned in the
    twenty-hour drug class, but she answered leading questions that she had learned
    that ―it’s always great to tell the truth‖ about everything, including her own drug
    use.
    Mother admitted that she had not undergone any treatment between the
    time that she had tried to get into the Drug Court Program and the trial; she did
    21
    not think that she needed any treatment. Mother said that she had tried not to
    use drugs before but that she had not counted the times that she had stopped
    using drugs; she guessed that she had stopped using drugs on her own two or
    three times but had always gone back to using.
    b.    Psychological Evaluation
    Mother said that she did not make her appointment with Dr. Parnell on
    May 1 for the psychological evaluation because she did not know that her
    appointment was scheduled for that date and that she missed the May 31
    appointment because she thought the office was closed for the holiday. Mother
    said that the doctor cancelled one of her appointments, though she could not
    recall the date,13 and she did not make another appointment for a while. Mother
    eventually saw Dr. Parnell on January 6, 2011.
    c.    Parenting Classes
    Mother looked into taking parenting classes in Georgia, but they had
    finished for the year and were not offering them again until January 11, 2011.
    Mother attempted to set up parenting classes when she returned to Texas, but
    she was not able to talk to the person in charge; the answering machine said that
    the person she needed to speak with would not be in until January 20, 2011.
    Mother said that her main issue with not going to parenting classes was due to
    13
    Garza testified that the doctor did not cancel an appointment.
    22
    lack of transportation, but she testified that she had better access to
    transportation with her new residence.
    d.    Housing
    When Mother got pregnant with Z.A.S. in March 2009, she lived with an
    ex-boyfriend in Sandy Beach RV Park in Fort Worth. She moved in September
    2009 to a friend’s house.    After Z.A.S. was born in December 2009, Mother
    moved to Peggy’s house.
    In February 2010, Mother moved to Rolling Meadows. Mother lived there
    until she left for Georgia in September 2010.
    Mother testified that she had been staying in the storage shed since
    December 6, 2010, when she returned to Texas.         Mother said that she was
    staying with Cecil and Amanda, who were the great uncle and cousin of Mother’s
    oldest child.14
    Mother explained that there was junk in the yard at the place she was
    living because it was a junkyard called Junkin’ Gene’s that collected scrap metal.
    Mother said that the room she was staying in was cluttered because the prior
    owner had left a lot of belongings, which were moved over to the side; the clutter
    14
    Mother testified that she had an eleven-year-old son named D.S. who
    lived with his father in Fort Worth. D.S. last lived with Mother in 2005 or 2006.
    Mother said that she visited him as often as possible but that she did not have a
    regular visitation schedule or a custody agreement. Mother said that she did not
    lose custody of D.S. because of her drug abuse; his father ―wanted him, so he
    has him.‖ Mother said that she wanted D.S. but did not have the means to take
    care of him. Mother said that she had not kept D.S. with her because she had
    ―been taking care of the other stuff‖ she needed to do before she got him.
    23
    was not so bad that Z.A.S. would be endangered from it. Mother said that there
    was running water and electricity in the house. Mother said that she slept in the
    storage building but that she would be staying in the main house after a room
    was remodeled. Mother said that she tried to get Garza to go into the main
    house but that Garza did not want to go in it. Mother said that she did not plan to
    raise Z.A.S. in the storage building but that the building was insulated and had
    electricity.
    Mother believed that she could provide Z.A.S. with a safe and stable home
    at Cecil and Amanda’s house if Z.A.S. was returned to Mother. Mother said that
    there would be a room for Z.A.S. in the house when the remodeling was done.
    e.    Employment
    During the two years prior to trial, Mother had worked for only a couple of
    months as a secretary for an auto repair and repossession service. Mother said
    that she had applied for jobs but that ―getting a job hasn’t been easy.‖ 15 Mother
    said that she had previously been employed from 2005 to 2007.
    Mother admitted that she was not employed at the time of the trial even
    though her service plan required her to obtain employment. Mother said that she
    was providing for herself by scrapping metal, which involved tearing apart
    equipment, and that is why there were parts in her home. Mother did not make
    any money in November; her mother provided for Mother while she was living in
    15
    Mother testified that her drug use had not affected her ability to obtain
    stable housing or employment.
    24
    Georgia. In December, Mother made $200 by scrapping, and she testified that
    she had already made $200 by scrapping during the first ten days in January.
    Mother believed that she would be able to provide for Z.A.S. through scrapping
    or another job and said that she had Cecil and Amanda’s support, but Mother did
    not specify how much financial support they gave her.
    f.    Visits
    Mother explained her absences from the visits, stating that Z.A.S. did not
    come a couple of times and that her visitations had been ―switched around a lot,
    different times, different days.‖   Mother admitted that she had missed twelve
    visits during the twelve weeks that she had spent in Georgia.
    g.    Overall Compliance
    Mother testified that she had been trying to complete her parenting classes
    but had not completed them at the time of the trial, that she had completed the
    drug assessment in September 2010 in Georgia, that she had completed the
    twenty-hour drug class in Georgia, and that she had completed the psychological
    evaluation on January 6, 2011. Mother testified that she had completed two of
    the three tasks on her service plan; she did not complete parenting classes. Also
    as part of her service plan, Mother maintained contact with Garza, was protective
    of Z.A.S. at the visitations, demonstrated the ability to bond with and nurture
    Z.A.S., and had obtained housing.
    25
    4.    Best Interest and Future
    Mother’s plans for Z.A.S. included giving him a stable environment,
    providing for him, and taking care of him. Mother believed that she could provide
    for Z.A.S. even though she did not have health insurance for herself and was
    dependent on someone for a home. Mother said that she was willing to continue
    her services after the trial and would complete the classes required by her
    service plan.
    Mother felt that Z.A.S. had a bond with her and that she had a bond with
    him. She thought that it was in Z.A.S.’s best interest for him to live with her.
    E.    Foster Mother’s Testimony
    The foster mother testified that Z.A.S. had been placed in her home
    around March 12, 2010. At the time he arrived in the foster home, Z.A.S. was
    ―very underweight‖ and had thrush. The foster mother testified that she took
    Z.A.S. to the doctor, and Z.A.S. weighed eight pounds at three months old.
    At the time of the trial, Z.A.S. was almost thirteen months old and weighed
    twenty-one pounds.     He was walking, talking, and thriving.       Early Childhood
    Intervention had evaluated him, and he did not need services. The foster mother
    testified that Z.A.S. was bonded with her family and that they wanted to adopt
    him.
    F.    Trial Court’s Ruling
    After hearing the above testimony, the trial court terminated Mother’s
    parental rights to Z.A.S. after finding by clear and convincing evidence that
    26
    Mother had knowingly placed or knowingly allowed the child to remain in
    conditions or surroundings that endangered the physical or emotional well-being
    of the child; had engaged in conduct or knowingly placed the child with persons
    who engaged in conduct that endangered the physical or emotional well-being of
    the child; had constructively abandoned the child who had been in the permanent
    or temporary managing conservatorship of the Department or an authorized
    agency for not less than six months and (1) the Department or authorized agency
    had made reasonable efforts to return the child to Mother, (2) Mother had not
    regularly visited or maintained significant contact with the child, and (3) Mother
    had demonstrated an inability to provide the child with a safe environment; and
    that termination of the parent-child relationship between Mother and Z.A.S. was
    in Z.A.S.’s best interest. Mother filed a motion for new trial, which was denied,
    and this appeal followed.
    III. LEGALLY AND FACTUALLY SUFFICIENT EVIDENCE OF CONDUCT AND
    ENVIRONMENTAL ENDANGERMENT TO SUPPORT TERMINATION ORDER
    In her first and second issues, Mother argues that there is legally and
    factually insufficient evidence to establish the termination grounds under family
    code section 161.001(1)(D) and (E). Mother focuses her argument on whether
    the evidence showed that she had a history of instability, a limited work history,
    housing problems, and a history of drug use.
    27
    A.     Burden of Proof and Standards of Review
    A parent’s rights to ―the companionship, care, custody, and management‖
    of her children are constitutional interests ―far more precious than any property
    right.‖ Santosky v. Kramer, 
    455 U.S. 745
    , 758–59, 
    102 S. Ct. 1388
    , 1397 (1982);
    In re M.S., 
    115 S.W.3d 534
    , 547 (Tex. 2003).         ―While parental rights are of
    constitutional magnitude, they are not absolute. Just as it is imperative for courts
    to recognize the constitutional underpinnings of the parent-child relationship, it is
    also essential that emotional and physical interests of the child not be sacrificed
    merely to preserve that right.‖ In re C.H., 
    89 S.W.3d 17
    , 26 (Tex. 2002). In a
    termination case, the State seeks not just to limit parental rights but to erase
    them permanently—to divest the parent and child of all legal rights, privileges,
    duties, and powers normally existing between them, except for the child’s right to
    inherit. See Holick v. Smith, 
    685 S.W.2d 18
    , 20 (Tex. 1985); Tex. Fam. Code
    Ann. § 161.206(b) (West 2008). We strictly scrutinize termination proceedings
    and strictly construe involuntary termination statutes in favor of the parent.
    
    Holick, 685 S.W.2d at 20
    –21; In re R.R., 
    294 S.W.3d 213
    , 233 (Tex. App.—Fort
    Worth 2009, no pet.).
    In proceedings to terminate the parent-child relationship brought under
    section 161.001 of the family code, the petitioner must establish one ground
    listed under subsection (1) of the statute and must also prove that termination is
    in the best interest of the child. Tex. Fam. Code Ann. § 161.001 (West Supp.
    2010); In re J.L., 
    163 S.W.3d 79
    , 84 (Tex. 2005).         Both elements must be
    28
    established; termination may not be based solely on the best interest of the child
    as determined by the trier of fact. Tex. Dep’t of Human Servs. v. Boyd, 
    727 S.W.2d 531
    , 533 (Tex. 1987).
    Termination decisions must be supported by clear and convincing
    evidence. Tex. Fam. Code Ann. §§ 161.001, 161.206(a). Evidence is clear and
    convincing if it ―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.‖       
    Id. § 101.007
    (West 2008).      Due process demands this heightened standard
    because termination results in permanent, irrevocable changes for the parent
    and child. In re J.F.C., 
    96 S.W.3d 256
    , 263 (Tex. 2002); see In re J.A.J., 
    243 S.W.3d 611
    , 616 (Tex. 2007) (contrasting standards for termination and
    modification).
    In evaluating the evidence for legal sufficiency in parental termination
    cases, we determine whether the evidence is such that a factfinder could
    reasonably form a firm belief or conviction that the grounds for termination were
    proven.    In re J.P.B., 
    180 S.W.3d 570
    , 573 (Tex. 2005). We review all the
    evidence in the light most favorable to the finding and judgment. 
    Id. We resolve
    any disputed facts in favor of the finding if a reasonable factfinder could have
    done so. 
    Id. We disregard
    all evidence that a reasonable factfinder could have
    disbelieved. 
    Id. We consider
    undisputed evidence even if it is contrary to the
    finding.   
    Id. That is,
    we consider evidence favorable to termination if a
    29
    reasonable factfinder could, and we disregard contrary evidence unless a
    reasonable factfinder could not. 
    Id. We cannot
    weigh witness credibility issues that depend on the appearance
    and demeanor of the witnesses, for that is the factfinder’s province. 
    Id. at 573,
    574. And even when credibility issues appear in the appellate record, we defer
    to the factfinder’s determinations as long as they are not unreasonable. 
    Id. at 573.
    In reviewing the evidence for factual sufficiency, we give due deference to
    the factfinder’s findings and do not supplant the judgment with our own. In re
    H.R.M., 
    209 S.W.3d 105
    , 108 (Tex. 2006). We determine whether, on the entire
    record, a factfinder could reasonably form a firm conviction or belief that Mother
    violated section 161.001(1)(D) or (E) and that the termination of the parent-child
    relationship would be in the best interest of the child. Tex. Fam. Code Ann.
    § 161.001; 
    C.H., 89 S.W.3d at 28
    . If, in light of the entire record, the disputed
    evidence that a reasonable factfinder could not have credited in favor of the
    finding is so significant that a factfinder could not reasonably have formed a firm
    belief or conviction in the truth of its finding, then the evidence is factually
    insufficient. 
    H.R.M., 209 S.W.3d at 108
    .
    B.    Law on Endangerment
    Endangerment means to expose to loss or injury, to jeopardize. 
    Boyd, 727 S.W.2d at 533
    ; In re J.T.G., 
    121 S.W.3d 117
    , 125 (Tex. App.—Fort Worth 2003,
    no pet.); see also In re M.C., 
    917 S.W.2d 268
    , 269 (Tex. 1996).          To prove
    30
    endangerment under subsection (D), the Department had to prove that Mother
    knowingly placed or allowed Z.A.S. to remain in conditions or surroundings that
    endangered his physical or emotional well-being. See Tex. Fam. Code Ann.
    § 161.001(1)(D); In re J.A.J., 
    225 S.W.3d 621
    , 625 (Tex. App.—Houston [14th
    Dist.] 2006) (op. on reh’g), judgm’t aff’d in part, rev’d in part, 
    243 S.W.3d 611
    (Tex. 2007).   Subsection (D) focuses on the suitability of the child’s living
    conditions. 
    J.A.J., 225 S.W.3d at 626
    . Thus, under subsection (D), it must be
    the environment itself that causes the child’s physical or emotional well-being to
    be endangered, not the parent’s conduct. 
    Id. at 627.
    Under subsection (E), the relevant inquiry is whether evidence exists that
    the endangerment of the child’s physical well-being was the direct result of
    Mother’s conduct, including acts, omissions, or failures to act. See 
    J.T.G., 121 S.W.3d at 125
    ; see also Tex. Fam. Code Ann. § 161.001(1)(E). Additionally,
    termination under 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. 
    J.T.G., 121 S.W.3d at 125
    ; see Tex. Fam. Code Ann.
    § 161.001(1)(E).   It is not necessary, however, that the parent’s conduct be
    directed at the child or that the child actually suffer injury. 
    Boyd, 727 S.W.2d at 533
    ; 
    J.T.G., 121 S.W.3d at 125
    . The specific danger to the child’s well-being
    may be inferred from parental misconduct standing alone. 
    Boyd, 727 S.W.2d at 533
    ; In re R.W., 
    129 S.W.3d 732
    , 738 (Tex. App.—Fort Worth 2004, pet. denied).
    Drug use and its effect on a parent=s life and her ability to parent may establish
    31
    an endangering course of conduct.         Dupree v. Tex. Dep’t of Protective &
    Regulatory Servs., 
    907 S.W.2d 81
    , 84 (Tex. App.—Dallas 1995, no writ). As a
    general rule, conduct that subjects a child to a life of uncertainty and instability
    endangers the child’s physical and emotional well-being. See In re S.D., 
    980 S.W.2d 758
    , 763 (Tex. App.—San Antonio 1998, pet. denied). To determine
    whether termination is necessary, courts may look to parental conduct occurring
    both before and after the child’s birth. In re D.M., 
    58 S.W.3d 801
    , 812 (Tex.
    App.—Fort Worth 2001, no pet.).
    C.    Evidence Is Legally and Factually Sufficient to Support
    Termination Order
    In determining whether the evidence is legally and factually sufficient to
    support termination of Mother’s parental rights pursuant to subsection (D) or (E),
    we look at whether Mother (1) knowingly placed or knowingly allowed Z.A.S. to
    remain in conditions or surroundings that endangered his physical or emotional
    well-being or (2) engaged in conduct or knowingly placed Z.A.S. with persons
    who engaged in conduct that endangered his physical or emotional well-being.
    See Tex. Fam. Code Ann. § 161.001(1)(D), (E). We will examine all of the
    evidence in the record, focusing on the allegations of Mother’s drug use,
    instability, limited employment, unsafe living conditions, and inability to care for
    Z.A.S.
    The record demonstrates that Mother used drugs and subjected Z.A.S. to
    others who appeared to have used drugs. On the day that Z.A.S. was removed,
    32
    Mother told Dickinson that she had taken Vicodin and Flexor; the testimony was
    unclear as to whether Mother told Dickinson that she did not have prescriptions
    for those two drugs. Despite the testimony regarding Mother’s prescription drug
    use, the results from an oral swab test clearly showed the presence of
    methamphetamine and amphetamines in Mother’s system that day, despite that
    Mother denied using drugs. After Z.A.S. was removed, Mother tested positive on
    two occasions for methamphetamine and amphetamines, and on one of those
    occasions, she also tested positive for marijuana; during the case, she had only
    one negative drug test. When Mother returned from Georgia, she failed to show
    up for two drug tests, which counted as if Mother had tested positive. See In re
    W.E.C., 
    110 S.W.3d 231
    , 239 (Tex. App.—Fort Worth 2003, no pet.) (stating that
    a factfinder may reasonably infer from a parent’s failure to attend scheduled drug
    screenings that the parent was avoiding testing because the parent was using
    drugs). Throughout the case, Mother denied using drugs. Mother firmly believed
    that she had ―meth-mouth,‖ despite only having used approximately twelve times,
    and said that the alleged methamphetamine in her teeth had caused her to test
    positive for methamphetamine. While the record appears to show that Mother
    was given confusing information about the particular order of the procedures
    necessary to get into the Drug Court Program, Mother failed to show up for her
    appointments and did not complete her drug evaluation until late in the case,
    leaving little time for her to get treatment.   Although Mother did complete a
    twenty-hour drug class, she did not attempt to get into a drug recovery program
    33
    and did not believe that she needed treatment, even though she admitted having
    quit using drugs on numerous occasions only to later return to using. Moreover,
    Mother allowed an older couple, who appeared to be strung out on drugs, to take
    care of Z.A.S. without her being present. This is some evidence that Z.A.S.’s
    emotional or physical well-being was endangered by Mother’s conduct.           See
    
    J.T.G., 121 S.W.3d at 125
    (holding parents’ and caregiver’s illegal drug use
    supported a finding that the child’s surroundings endangered her physical or
    emotional well-being); 
    D.M., 58 S.W.3d at 812
    –13 (holding evidence that mother
    had a drug problem supported endangerment finding under subsection (E)); In re
    T.D.L., No. 02-05-00250-CV, 
    2006 WL 302126
    , at *7–8 (Tex. App.—Fort Worth
    Feb. 9, 2006, no pet.) (mem. op.) (holding that mother’s prior course of conduct
    regarding her misuse of prescription drugs, her failure to take action to correct
    her drug problem, and her multiple failures of drug tests supported
    endangerment finding); In re B.S.W., No. 14-04-00496-CV, 
    2004 WL 2964015
    , at
    *6–7 (Tex. App.—Houston [14th Dist.] Dec. 23, 2004, no pet.) (mem. op.)
    (holding that mother’s history of illegal drug use before and after child was born,
    criminal activity, absence caused by imprisonment, and act of leaving child with a
    person mother barely knew supported endangerment finding).
    The record contains numerous examples of Mother’s instability and limited
    employment. As set forth above, Mother had worked only a couple of months as
    a secretary during the two years prior to the trial and was supporting herself by
    selling scrap metal at the time of the trial. Mother, however, had made only $400
    34
    at the time of trial by selling scrap metal. As a result, Mother had depended on
    others to provide diapers, formula, and housing and had moved frequently
    throughout the time the case was pending as her relationships with her
    benefactors ebbed and flowed. Additionally, while the case was pending, Mother
    moved to Georgia for twelve weeks, forfeiting twelve visits with her son. At the
    time of the trial, Mother had been back in Texas for only a month and thus did not
    have a history of stable housing. This is some evidence that Mother’s conduct,
    including omissions, endangered Z.A.S.’s physical or emotional well-being and
    that Mother exposed Z.A.S. to an unstable environment that endangered Z.A.S.’s
    physical or emotional well-being. See In re T.C., No. 10-10-00207-CV, 
    2010 WL 4983512
    , at *4–5 (Tex. App.—Waco Dec. 1, 2010, pet. denied) (mem. op.)
    (holding   that   although   there   were    recent   developments   that   showed
    improvements in mother’s stability, the trial court could reasonably have
    determined that any evidence of improvement was short-lived and outweighed by
    the extent of her prior history; thus, the evidence supported that mother, by living
    in fifteen locations among other things, had engaged in conduct that endangered
    child’s physical and emotional well-being); In re J.G.K., No. 02-10-00188-CV,
    
    2011 WL 2518800
    , at *39 (Tex. App.—Fort Worth June 23, 2011, no pet. h.)
    (mem. op.) (holding that mother’s having worked only two days in her life, having
    moved constantly, and having depended on others for basic necessities was
    some evidence that mother’s conduct, including omissions, endangered her
    child’s physical or emotional well-being and that mother exposed her child to an
    35
    unstable environment that endangered the child’s physical or emotional well-
    being).
    Additionally, the places that Mother chose for her family to live exhibited
    unsafe living conditions for children. When Z.A.S. was removed, he was living
    with Mother in a trailer at a junkyard; the trailer did not have electricity, tools and
    trash were scattered throughout the living room, and the bedroom was cluttered.
    At the time of the trial, Mother was living in a storage shed with no lights or
    running water. Trash and television parts littered the floor. Although Mother said
    that she had access to the main house on the property and that Z.A.S. would
    have a room in the main house when the remodeling was complete, the record
    did not contain evidence stating when the remodeling of the main house would
    be completed.       This is some evidence that Mother’s conduct, including
    omissions, created an environment that endangered Z.A.S.’s physical or
    emotional well-being.    See In re K.M.B., 
    91 S.W.3d 18
    , 25 (Tex. App.—Fort
    Worth 2002, no pet.) (holding that unsanitary conditions of mother’s home, which
    included roach and lice problems, animal feces, terrible odors, and general filth,
    supported endangerment finding); see also In re M.F., 
    173 S.W.3d 220
    , 224
    (Tex. App.—Dallas 2005, no pet.) (holding that child’s living conditions were
    unsafe and posed a danger where mother admitted that apartment was cluttered,
    full of trash, and had broken latch to balcony door).
    Moreover, the record demonstrates that Z.A.S. was subjected to
    inappropriate caregivers. When Z.A.S. was three weeks old, Mother left him with
    36
    a woman whose name and address she did not know. Missy, the stranger,
    thought she would watch Z.A.S. overnight, but Mother left him with her for three
    weeks. During the time that Missy kept Z.A.S., he became ill, and Mother signed
    papers allowing Missy to seek medical treatment for her son; Mother did not
    accompany them to the hospital.         Although the record contains conflicting
    evidence on how often Mother kept Z.A.S. from January 1, 2010, through March
    5, 2010, the record is clear that Z.A.S. suffered from bronchitis, dehydration, and
    thrush during this time period and that Mother was not the person seeking
    medical treatment for Z.A.S. At one point, Z.A.S. was two months behind on his
    shots, and Mother called Missy to take him to the doctor.         The record also
    disclosed that Z.A.S. weighed only eight pounds at three months of age.
    Additionally, as mentioned in the discussion on drug use above, Mother allowed
    an older couple, whom Mother did not know well, to take Z.A.S. late one evening
    even though they appeared to be strung out on drugs. The record also reveals
    that Mother, herself, was not an appropriate caregiver because she neglected
    Z.A.S.; he was dirty, had an odor, and had a soiled diaper at the time of his
    removal. This is some evidence that Mother’s conduct, as well as the conduct of
    those she exposed Z.A.S. to, endangered Z.A.S. See J.G.K., 
    2011 WL 2518800
    ,
    at *40 (holding that exposing children to inappropriate caregivers supported
    endangerment finding); see also In re S.H.A., 
    728 S.W.2d 73
    , 87 (Tex. App.—
    Dallas 1987, writ ref’d n.r.e.) (holding that evidence that parents did not properly
    feed the child and did not seek appropriate medical treatment for the child was
    37
    some evidence to support jury’s findings that parents engaged in conduct that
    endangered child’s physical or emotional well-being).
    Viewing all the evidence in the light most favorable to the termination
    judgment and disregarding all contrary evidence that a reasonable factfinder
    could disregard, we hold that some evidence exists that will support a factfinder’s
    firm conviction or belief that Mother violated subsections (D) and (E). We thus
    hold that the evidence is legally sufficient to support termination of Mother’s
    parental rights to Z.A.S. under subsections (D) and (E). See Tex. Fam. Code
    Ann. § 161.001(1)(D), (E); In re T.H., No. 02-07-00464-CV, 
    2008 WL 4831374
    , at
    *4–5 (Tex. App.—Fort Worth Nov. 6, 2008, no pet.) (mem. op.) (holding evidence
    legally sufficient to support trial court’s 161.001(1)(D) and (E) findings because
    evidence showed that father had engaged in conduct that subjected his children
    to a life of instability and uncertainty, including living at more than five residences
    over five years, living in residences that were ―genuinely dirty‖ and in disarray,
    and using illegal drugs); T.D.L., 
    2006 WL 302126
    , at *7–8 (holding evidence
    legally sufficient to support trial court’s finding on endangerment because
    evidence showed that mother had a history of misusing prescription drugs, took
    little or no action to correct the problem, failed three drug tests, and blamed her
    failure to comply with her service plan on lack of transportation).
    Moreover, viewing all of the evidence in a neutral light, the volume of
    evidence—set forth extensively above—that a reasonable factfinder could have
    credited in favor of subsections (D) and (E) findings is so significant that a
    38
    factfinder could reasonably have formed a firm conviction or belief of the truth of
    the allegations that Mother had violated subsections (D) and (E). See 
    H.R.M., 209 S.W.3d at 108
    ; 
    C.H., 89 S.W.3d at 28
    . We therefore hold that the evidence
    is factually sufficient to support termination of Mother’s parental rights to Z.A.S.
    under subsections (D) and (E). See Tex. Fam. Code Ann. § 161.001(1)(D), (E);
    T.H., 
    2008 WL 4831374
    , at *4–5 (holding evidence factually sufficient to support
    trial court’s 161.001(1)(D) and (E) findings); T.D.L., 
    2006 WL 302126
    , at *7–8
    (holding evidence factually sufficient to support trial court’s endangerment
    finding). We overrule Mother’s first and second issues.
    IV. CONCLUSION
    Having overruled all issues necessary to final disposition of this appeal, 16
    see Tex. R. App. P. 47.1, we affirm the trial court’s judgment terminating
    Mother’s parental rights to Z.A.S.
    SUE WALKER
    JUSTICE
    PANEL: DAUPHINOT, GARDNER, and WALKER, JJ.
    DELIVERED: August 25, 2011
    16
    Texas law provides that parental rights may properly be terminated when
    a trial court has made a finding under either section 161.001(1) or section
    161.003, plus a best interest finding under section 161.001(2). See 
    W.E.C., 110 S.W.3d at 240
    . Because we have held that termination was proper under section
    161.001(1)(D) and (E), we need not address Mother=s third issue in which she
    challenges the trial court=s termination of her parental rights based on a ground
    listed under section 161.001(1)(N).
    39