Joseph Prestiano v. State ( 2019 )


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  • Opinion issued August 20, 2019
    In The
    Court of Appeals
    For The
    First District of Texas
    ————————————
    NO. 01-17-00763-CR
    ———————————
    JOSEPH PRESTIANO, Appellant
    V.
    THE STATE OF TEXAS, Appellee
    On Appeal from the 119th District Court
    Tom Green County, Texas
    Trial Court Case No. B-16-0472-SA
       Pursuant to the Texas Supreme Court’s docket equalization powers, this appeal
    was transferred from the Third Court of Appeals to this court on October 9, 2017.
    See TEX. GOV’T CODE § 73.001; Order Regarding Transfer of Cases From Courts
    of Appeals, Misc. Docket No. 17-9128 (Tex. Sept. 28, 2017). We are unaware of
    any conflict between the precedent of that court and that of this court on any
    relevant issue. See TEX. R. APP. P. 41.3.
    OPINION ON REHEARING
    Joseph Prestiano has moved for rehearing of our March 26, 2019 opinion and
    judgment. We deny his motion for rehearing, withdraw our opinion and judgment of
    March 26, 2019, and substitute the following opinion and judgment in its place.
    Prestiano appeals from three judgments of conviction for aggravated sexual
    assault of a child younger than six years old. He contends that:
    (1) as to the third count in the indictment only, the evidence is legally
    insufficient to sustain his conviction, in which the State alleged that he
    penetrated the child’s mouth with his penis;
    (2) the trial court erred in overruling his hearsay objections to a picture of sex
    toys drawn by the child during therapy and her counselor’s testimony that
    the child drew the toys to explain what Prestiano did to her; and
    (3) his trial lawyer rendered ineffective assistance by not lodging a hearsay
    objection to the therapist’s testimony about the child’s use of dolls and
    drawings to communicate the circumstances of her abuse.
    We reject Prestiano’s evidentiary and ineffective-assistance claims. As to the
    third count, we agree that the evidence is legally insufficient to prove beyond a
    reasonable doubt that Prestiano penetrated the child’s mouth with his penis. The
    evidence is sufficient, however, to sustain a conviction for the lesser-included
    offense of aggravated sexual assault by contact. We thus reform his judgment of
    conviction under the third count to reflect a conviction for the lesser-included
    offense, affirm his other two judgments of conviction, and remand to the trial court
    for a new punishment hearing as to the reformed conviction for the lesser-included
    offense.
    2
    BACKGROUND
    Prestiano was indicted for three counts of aggravated sexual assault of a child
    younger than six years old. See TEX. PENAL CODE § 22.021(a)(1)(B), (a)(2)(B). All
    counts concerned a girl for whom he babysat. In the first count, the State alleged that
    Prestiano contacted the child’s sexual organ with his mouth. See 
    id. § 22.021(a)(1)(B)(iii).
    In the second count, the State alleged that he contacted the
    child’s sexual organ with his penis. See 
    id. In the
    third count, the State alleged that
    Prestiano penetrated the child’s mouth with his penis. See 
    id. § 22.021(a)(1)(B)(v).
    Prestiano pleaded not guilty, and the case was tried to the bench.
    The child was seven years old when she took the stand. She testified that
    Prestiano sexually abused her. Specifically, the child stated that he would touch her
    “private part and stuff.” She clarified that by “private part” she meant her “pee-pee.”
    Prestiano would touch her there with “weird toys and his hands” and sometimes his
    mouth. She said that he put the toys inside of her—that is, that Prestiano would put
    them in her “private part.” She initially could not recall what the toys looked like but
    did remember drawing a picture of them in therapy. Subsequently, however, she
    recalled that one of the toys “was green and it vibrated when he pressed a button or
    something.” When shown a photo of the green device and another vibrator, she
    recognized both. He kissed her on the mouth and on her “private part.” She also said
    that he made her touch his “private part” sometimes, including with her finger and
    3
    mouth. When she referred to his “private part” she meant the body part used to go
    “pee-pee.” She stated that he would slide his private part “up and down on my private
    part.” She also said that “gray stuff” came out of his “private part.” She said that he
    abused her “a lot.”
    The child’s mother also testified. Her daughter made her outcry to her mother,
    disclosing Prestiano’s abuse, several days after Christmas 2015, when she was five
    years old. The mother testified that her daughter was “a little fearful” and was “afraid
    she would get in trouble.” The child indicated to her mother that Prestiano touched
    her genitals with his tongue. When the mother asked her daughter if “she wanted to
    see a policeman” about the abuse, the child “started crying and said that she didn’t
    want to be arrested.” Her mother contacted Child Protective Services so that a
    uniformed officer would not be directly involved. Her daughter was interviewed by
    a child advocate, while a police officer listened in from another room.
    The child subsequently began seeing a therapist, Vickie Purdy, who likewise
    testified. Purdy is a licensed professional counselor. She treated the child weekly
    from February through April 2016. Purdy stated that the child “had a lot of anxiety
    and fear, some feelings of guilt that she hadn’t said anything for so long.” The child
    “had nightmares and drew pictures.” Because the child was so young, Purdy
    primarily used “non-directive, child-centered play therapy.” Over defense counsel’s
    objection, Purdy testified that the child demonstrated with dolls what had happened
    4
    to her. Purdy also testified over objection about a drawing the child made of “some
    toys that had been used with her.”
    Law enforcement officers seized two vibrators—one lime green and the other
    black with multihued rhinestones—from Prestiano’s home during a search. A
    forensic analyst with the Texas Department of Public Safety analyzed the sex toys
    for DNA. Two samples taken from the green vibrator showed that DNA from two
    people were present, and the child could not be excluded as a “possible contributor”
    to this mixture of DNA. Two samples from the other vibrator showed mixtures of
    DNA from two and three people respectively. The child could not be excluded from
    these samples, either.
    Prestiano took the stand in his own defense. He testified that he babysat the
    child “quite a bit” at her parents’ home. He denied touching her inappropriately,
    kissing her “anywhere that would have seemed inappropriate,” or using a vibrator
    on her. He acknowledged that the green and black vibrators were his. As an
    explanation for the DNA evidence, Prestiano stated that the child discovered the
    green vibrator after going through his backpack, which he usually carried with him.
    He was not certain if she also had come across the black vibrator, or how she did so
    if she did, but indicated that it also was in his backpack. He testified that he had not
    realized that the vibrators were in the backpack, explaining that he thought that he
    “had thrown those out more than once” but that they kept turning up. He said that
    5
    the vibrators “may have been in there for years” and that he had “thought they were
    long gone.” When the child found the green vibrator and showed it to him, Prestiano
    told her that it was a “toy lipstick” but she nonetheless asked: “‘Is it for,’ and
    motioned down.” Prestiano explained that that he had seen the child use her own
    toys “on her genitals.” According to him, the child asked him questions of an adult
    or sexual nature that made him uncomfortable “quite frequently.” He further testified
    that the child was generally naked at home, saying that it “was rare that she ever had
    clothes on.”
    The trial court found Prestiano guilty of the three counts, and it entered
    separate judgments of conviction for each one. It assessed his punishment at 50 years
    of confinement on each count and ordered that the sentences run concurrently.
    DISCUSSION
    I.    Legal Sufficiency
    Prestiano contends that there is insufficient evidence to sustain his conviction
    for the third count of aggravated sexual assault of a child, in which the State alleged
    that he penetrated the child’s mouth with his penis. The State disagrees but further
    responds that if the court agrees with Prestiano, it should reform his conviction to
    one for aggravated sexual assault of a child by contact. Prestiano contends that the
    court cannot do so because aggravated sexual assault of a child by contact is not a
    lesser-included offense of aggravated sexual assault of a child by penetration.
    6
    A.     Standard of review and applicable law
    In a legal-sufficiency review, we view the evidence in the light most favorable
    to the judgment to determine whether a rational factfinder could have found the
    essential elements of the crime beyond a reasonable doubt. Gear v. State, 
    340 S.W.3d 743
    , 746 (Tex. Crim. App. 2011) (relying on Jackson v. Virginia, 
    443 U.S. 307
    (1979)). In a bench trial, when the trial court sits as the sole factfinder, it alone
    assesses the credibility of the witnesses and decides how much weight to give each
    witness’s testimony, which it may choose to believe or disbelieve in whole or part.
    Joseph v. State, 
    897 S.W.2d 374
    , 376 (Tex. Crim. App. 1995); Hernandez v. State,
    
    538 S.W.2d 127
    , 131 (Tex. Crim. App. 1972). We defer to the trial court’s resolution
    of conflicts in the evidence. Isassi v. State, 
    330 S.W.3d 633
    , 638 (Tex. Crim. App.
    2010).
    The statute criminalizing aggravated sexual assault of a child sets forth several
    distinct offenses. Vick v. State, 
    991 S.W.2d 830
    , 833 (Tex. Crim. App. 1999). A
    person may commit an aggravated sexual assault of a child in several ways,
    including by intentionally or knowingly causing:
    ●    the child’s mouth to contact his penis, or
    ●    the penetration of the child’s mouth by his penis,
    if the child is younger than 14 years of age, regardless of whether the person knew
    the child’s age. See TEX. PENAL CODE § 22.021(a)(1)(B), (a)(2)(B); Smith v. State,
    7
    
    340 S.W.3d 41
    , 48 (Tex. App.—Houston [1st Dist.] 2011, no pet.). The
    uncorroborated testimony of the child is sufficient, standing alone, to support a
    conviction. Gonzalez v. State, 
    522 S.W.3d 48
    , 57 (Tex. App.—Houston [1st Dist.]
    2017, no pet.). The child need not directly and explicitly testify as to contact or
    penetration with the same clarity and ability of an adult witness to prove these facts
    beyond a reasonable doubt. See Villalon v. State, 
    791 S.W.2d 130
    , 133–35 (Tex.
    Crim. App. 1990).
    B.     Analysis
    In the third count of the indictment, the State alleged that Prestiano
    intentionally penetrated the child’s mouth with his penis. The child’s testimony was
    the supporting evidence on this subject. In response to questions posed by the State,
    the child testified as follows:
    Q. Did any part of you ever touch his private part?
    A. I think my finger and my mouth, but he forced me to do it.
    Q. You’re not in trouble, babe.
    A. I know.
    Q. Okay. So, did his private part touch your mouth? Did it ever go
    inside of your mouth?
    A. I think it just touched it a little bit.
    ***
    Q. His private part touched your mouth?
    A. Yes, I think.
    8
    “Penetration” is not defined by statute. The Court of Criminal Appeals has
    therefore afforded this term its ordinary meaning in the context of aggravated sexual
    assault, noting that it means “to enter into” or “to pass through.” Green v. State, 
    476 S.W.3d 440
    , 447 (Tex. Crim. App. 2015) (quoting Vernon v. State, 
    841 S.W.2d 407
    ,
    409 (Tex. Crim. App. 1992)). This definition distinguishes penetration from “mere
    contact with the outside of an object.” 
    Vernon, 841 S.W.2d at 409
    ; accord Villa v.
    State, 
    417 S.W.3d 455
    , 461–62 (Tex. Crim. App. 2013). Penetration of the mouth
    thus occurs whenever an object parts the lips and passes into or through them. See,
    e.g., Dixon v. State, 
    886 S.W.2d 852
    , 856 (Tex. App.—Beaumont 1994, pet. ref’d)
    (female defendant who forced child to perform oral sex on her penetrated child’s
    mouth with her sexual organ as her labia was in child’s mouth); see also 
    Vernon, 841 S.W.2d at 408
    –10 (evidence that defendant inserted finger into child’s outer
    labia but not into vagina sufficed to prove penetration); Sherbert v. State, 
    531 S.W.2d 636
    , 637 (Tex. Crim. App. 1976) (insertion of penis between labia suffices
    to show penetration even if vagina not entered).
    The child testified that Prestiano touched her mouth with his penis. Touching
    ordinarily connotes contact. See IslasMartinez v. State, 
    452 S.W.3d 874
    , 877–79
    (Tex. App.—Dallas 2014, pet. ref’d) (undefined term “contact” synonymous with
    “touching” in context of aggravated sexual assault). Because the word “mouth”
    encompasses not only the lips but also the tongue, gums, teeth, and cavity containing
    9
    these parts, the child’s testimony that Prestiano touched her mouth with his penis
    conceivably could mean either contact or penetration. See Johnson v. State, 
    882 S.W.2d 39
    , 41 (Tex. App.—Houston [1st Dist.] 1994, pet. ref’d) (affording
    statutorily undefined term “mouth” its ordinary meaning in context of aggravated
    sexual assault). When asked whether Prestiano touched her mouth with his penis or
    placed it inside her mouth, however, the child responded that his penis “just touched
    it a little bit.” Viewed in the context of these questions distinguishing between
    touching the mouth and placement inside of the mouth, the child’s testimony—even
    allowing for her young age and limited ability to articulate the nature of Prestiano’s
    sexual abuse—cannot support a finding of penetration. On this record, a factfinder
    could do no more than speculate as to whether penetration or mere contact occurred,
    and the factfinder “is not permitted to draw conclusions based on speculation
    because doing so is not sufficiently based on facts or evidence to support a finding
    beyond a reasonable doubt.” Temple v. State, 
    390 S.W.3d 341
    , 360 (Tex. Crim. App.
    2013); see also Hooper v. State, 
    214 S.W.3d 9
    , 16 (Tex. Crim. App. 2007)
    (“Speculation is mere theorizing or guessing about the possible meaning of facts and
    evidence presented.”).
    We thus hold that legally insufficient proof supports Prestiano’s conviction
    under count three of the indictment for aggravated sexual assault by penetration.
    10
    C.     Reformation
    Prestiano contends that the legal insufficiency of the evidence as to the third
    count requires us to reverse that conviction and render a judgment of acquittal.
    Rather than acquit Prestiano, the State contends that we must reform his conviction
    to the offense of aggravated sexual assault by contact, which the State argues is a
    lesser-included offense of aggravated sexual assault by penetration. Prestiano replies
    that aggravated sexual assault by contact is not a lesser-included offense.
    When an appellate court finds the evidence legally insufficient to prove an
    element of the charged offense, but the factfinder necessarily found the defendant
    guilty of a lesser-included offense for which the evidence is sufficient, the appellate
    court must reform the judgment to reflect conviction for the lesser-included offense.
    Lee v. State, 
    537 S.W.3d 924
    , 927 (Tex. Crim. App. 2017). An offense is a lesser-
    included offense of another if, among other things, “it is established by proof of the
    same or less than all of the facts required to establish the commission of the offense
    charged.” TEX. CODE CRIM. PROC. art. 37.09(1). To decide whether Prestiano’s
    conviction for aggravated sexual assault by penetration should be reformed to a one
    for aggravated sexual assault by contact, we therefore must answer two questions:
    (1) in convicting Prestiano of aggravated sexual assault by penetration, must
    the trial court sitting as factfinder have necessarily found every element
    required to convict him of aggravated sexual assault by contact; and
    (2) is there legally sufficient evidence to support a conviction for aggravated
    sexual assault by contact?
    11
    See Thornton v. State, 
    425 S.W.3d 289
    , 300 (Tex. Crim. App. 2014). If we answer
    these questions in the affirmative, then we must reform Prestiano’s conviction as the
    State advocates. 
    Id. Otherwise, we
    must render a judgment of acquittal as to the third
    count as Prestiano advocates. See 
    id. The State
    maintains that we must answer the first question in the affirmative
    because the offenses of aggravated sexual assault by contact and aggravated sexual
    assault by penetration differ only in the degree of physical invasion involved, with
    the latter always factually subsuming the former. See TEX. PENAL CODE §
    22.021(a)(1)(B)(ii), (v) (penile penetration of the mouth versus penile contact with
    the mouth); Maldonado v. State, 
    461 S.W.3d 144
    , 149 (Tex. Crim. App. 2015)
    (noting that “penetration cannot physically occur in the absence of contact”). We
    agree with the State.
    Though criminalized by the same statute and subject to the same range of
    punishment, aggravated sexual assault by contact is a lesser-included offense of
    aggravated sexual assault by penetration because the only thing separating the two
    offenses is the degree of physical invasion. See TEX. PENAL CODE
    § 22.021(a)(1)(B)(ii), (v); 
    Maldonado, 461 S.W.3d at 149
    ; see also Hicks v. State,
    
    372 S.W.3d 649
    , 657–58 (Tex. Crim. App. 2012) (holding that “the range of
    punishment is irrelevant in deciding whether an offense is a lesser-included offense”
    and concluding that reckless aggravated assault was lesser-included offense of
    12
    intentional or knowing aggravated assault even though offenses are criminalized by
    same statute and impose same range of punishment); Ex parte Pruitt, 
    233 S.W.3d 338
    , 348 (Tex. Crim. App. 2007) (acts of genital-to-genital contact incidental to or
    subsumed by acts of penetration “are lesser-included offenses of these incidents of
    penetration”). The trial court necessarily found every element required to convict
    Prestiano of aggravated sexual assault by contact because its elements and the
    elements of aggravated sexual assault by penetration are identical but for the
    distinction between contact and penetration and “penetration cannot physically
    occur in the absence of contact.” 
    Maldonado, 461 S.W.3d at 149
    ; see also Jourdan
    v. State, 
    428 S.W.3d 86
    , 97 (Tex. Crim. App. 2014) (defendant could not have
    penetrated child’s sexual organ without first contacting it and therefore jury that
    found penetration necessarily would have found contact as well).
    As to the second question, the child testified that Prestiano touched her mouth
    with his penis. Her testimony is legally sufficient evidence to support a conviction
    for aggravated sexual assault by contact. See 
    Gonzalez, 522 S.W.3d at 57
    . Having
    answered both questions in the affirmative, we must reform the judgment to reflect
    a conviction for this lesser-included offense rather than rendering a judgment of
    acquittal as to count three. See 
    Thornton, 425 S.W.3d at 300
    .
    13
    II.   Hearsay Objections
    Prestiano contends that the trial court erred in overruling his hearsay objection
    to a picture of two vibrators that the child drew in therapy. He likewise contends that
    the trial court erred in admitting Purdy’s testimony that the child drew the vibrators
    to show Purdy the sex toys that Prestiano used on the child. The State responds that
    the drawing and Purdy’s characterization of it are not hearsay or else are admissible
    under the exception for then-existing mental, emotional, or physical condition. The
    State further responds that any possible error in admitting the drawing and Purdy’s
    testimony about it was harmless.
    A.     Standard of review and applicable law
    We review evidentiary rulings for abuse of discretion. Gonzalez v. State, 
    544 S.W.3d 363
    , 370 (Tex. Crim. App. 2018). A trial court abuses its discretion if its
    ruling is outside the zone of reasonable disagreement. 
    Id. But even
    if an evidentiary
    ruling is erroneous, it is not a ground for reversal unless it affected the defendant’s
    substantial rights. TEX. R. APP. P. 44.2(b); Coble v. State, 
    330 S.W.3d 253
    , 280 (Tex.
    Crim. App. 2010). Substantial rights are affected if the error had a substantial and
    injurious influence on the judgment. 
    Coble, 330 S.W.3d at 280
    .
    Hearsay—out-of-court statements offered for their truth—are generally
    inadmissible. See TEX. R. EVID. 801–02; Sanchez v. State, 
    354 S.W.3d 476
    , 484
    (Tex. Crim. App. 2011). An exception to this general rule exists for statements
    14
    expressing the speaker’s then-existing state of mind or emotional, sensory, or
    physical condition, but this exception does not encompass statements of “memory
    or belief to prove the fact remembered or believed.” TEX. R. EVID. 803(3); see
    Martinez v. State, 
    17 S.W.3d 677
    , 688 (Tex. Crim. App. 2000) (declarant’s out-of-
    court statement that she was afraid of defendant admissible under state-of-mind
    exception); Gibbs v. State, 
    819 S.W.2d 821
    , 837 (Tex. Crim. App. 1991) (declarant’s
    out-of-court statement not admissible under state-of-mind exception because it was
    nothing more than a statement of memory to prove fact remembered).
    B.     Analysis
    The child testified that Prestiano showed her the sex toys and inserted them
    into her vagina. She independently recalled the green one in her testimony. The
    actual vibrators were admitted into evidence without objection, as was a photograph
    of them. The child recognized both vibrators when she was shown the photograph.
    The child’s drawing depicts two vibrators, one of which is green. It also
    contains handwritten notes; however, the copy in the record is illegible, there was
    no testimony as to the notes’ content, and the parties do not discuss the notes in their
    briefs. The child testified that she made the drawing in therapy. But the State did not
    introduce the drawing into evidence during her testimony. Her therapist, Purdy,
    identified the drawing and explained that the child “wanted to show me some toys
    that had been used with her.” At this point, defense counsel objected that Purdy’s
    15
    testimony was hearsay, and the trial court sustained the objection. After asking Purdy
    whether this drawing and several others were indicative of the child’s “then existing
    state of mind and emotional condition,” the State again offered the drawing of the
    toys into evidence. When the State did so, defense counsel again objected:
    Your Honor, I’m objecting to this. This was done over two months after
    the initial outcry, and I believe that it’s improper bolstering. It’s
    allowing the child witness to testify again through her counselor, and I
    would object to it.
    The trial court overruled this objection. Purdy then explained once again that the
    child said that “she wanted to draw pictures of some toys that were used.” Defense
    counsel objected again, stating that both the drawing and Purdy’s testimony had
    “nothing to do with [the child’s] state of mind.” The prosecutor rejoined that,
    “State’s position is that it has everything to do with her state of mind. That’s why
    she was in there in the first place. It’s what she has had to work through from that
    moment to now.” The trial court overruled the defense’s objection.
    Whether “bolstering” remains a valid objection is in doubt. See Rivas v. State,
    
    275 S.W.3d 880
    , 886–87 (Tex. Crim. App. 2009). Even if valid, a “bolstering”
    objection might not preserve error as to hearsay. See 
    id. (“bolstering” is
    an inherently
    ambiguous objection with roots in multiple evidentiary rules, including the hearsay
    rule); see also Williams v. State, 
    927 S.W.2d 752
    , 763 (Tex. App.—El Paso 1996,
    pet. ref’d) (“bolstering” objection did not preserve contention that videotape was not
    admissible under hearsay exclusion for prior consistent statements offered to rebut
    16
    charge of recent fabrication or improper influence or motive). But see State v.
    Balderas, 
    915 S.W.2d 913
    , 919 (Tex. App.—Houston [1st Dist.] 1996, pet. ref’d)
    (“Bolstering is generally a hearsay objection used when a party improperly offers
    evidence to support an unimpeached witness or to add credence or weight to earlier-
    introduced evidence.”). Assuming that Prestiano’s “bolstering” objection preserved
    his hearsay argument about the drawing for appeal, however, the admission of the
    drawing into evidence is not a ground for reversal.
    We agree with Prestiano that the drawing is hearsay. The definition of hearsay,
    which generally consists of out-of-court statements offered in evidence for the truth
    of the matter asserted, encompasses “nonverbal conduct that a person intended as a
    substitute for verbal expression.” TEX. R. EVID. 801(a), (d). The child made this
    drawing to communicate with her therapist about what had happened to her and thus
    her drawing was nonverbal conduct as defined in the hearsay rule. See TEX. R. EVID.
    801(a); McMinn v. State, 
    558 S.W.3d 262
    , 269 (Tex. App.—Houston [14th Dist.]
    2018, no pet.) (distinguishing decision that held child’s drawing made in therapy
    was hearsay). Accordingly, unless an exception to the hearsay rule applies, the
    child’s drawing is inadmissible hearsay. See TEX. R. EVID. 802.
    The State contends that the hearsay exception for then-existing mental,
    emotional, or physical condition applies to the drawing. See TEX. R. EVID. 803(3).
    But this exception contains its own exception. Under Rule 803(3), a statement
    17
    regarding the witness’s then-existing state of mind or emotional, sensory, or physical
    condition remains subject to exclusion under the hearsay rule if it is “a statement of
    memory or belief to prove the fact remembered or believed.” Id.; see Delapaz v.
    State, 
    228 S.W.3d 183
    , 207 (Tex. App.—Dallas 2007, pet. ref’d) (statements of
    memory or belief offered to prove fact remembered or believed are themselves
    excepted from state-of-mind exception to hearsay rule). The relevance of the child’s
    drawing at trial was as an expression of her memory to prove the fact remembered,
    specifically that Prestiano used sex toys on her. Thus, the drawing is not admissible
    under the hearsay exception for then-existing mental, emotional, or physical
    condition. See TEX. R. EVID. 803(3); Glover v. State, 
    102 S.W.3d 754
    , 762–63 (Tex.
    App.—Texarkana 2002, pet. ref’d) (mother’s testimony as to her underage
    daughter’s out-of-court statements about sex with defendant not admissible under
    Rule 803(3) as purpose of evidence was to prove that defendant had sex with
    daughter); cf. Salazar v. State, 
    127 S.W.3d 355
    , 362–63 (Tex. App.—Houston [14th
    Dist.] 2004, pet. ref’d) (sexually abused children’s statements in therapy that they
    were sad, angry, and fearful were admissible under hearsay exception for then-
    existing state of mind).
    It is possible that evidence like the child’s drawing could be admitted under
    another exception to the hearsay rule. Our concurring colleague contends that the
    hearsay exception for statements made for medical diagnosis or treatment applies.
    18
    See TEX. R. EVID. 803(4). We decline to decide whether this exception applies under
    the circumstances of this case, however, for two interrelated reasons. First, the State
    did not urge this exception at trial and has neither cited Rule 803(4) nor argued that
    it applies on appeal. Second, because the State did not urge Rule 803(4) below, the
    record lacks the evidentiary predicate required to assess the drawing’s admissibility
    under this exception. See Taylor v. State, 
    268 S.W.3d 571
    , 588–91 (Tex. Crim. App.
    2008) (statements made by sexually abused children in therapy admissible under
    Rule 803(4) on showing that they were aware that their statements were made for
    diagnosis or treatment and that proper diagnosis or treatment depended on their
    truthfulness as well as showing that particular statements at issue were pertinent to
    diagnosis or treatment such that reasonable therapists would rely on these statements
    in diagnosing and treating patients); accord Munoz v. State, 
    288 S.W.3d 55
    , 58–60
    (Tex. App.—Houston [1st Dist.] 2009, no pet.). We therefore proceed to consider
    whether the admission into evidence of the drawing, which was hearsay for which
    the State failed to establish an applicable hearsay exception, was harmful. See
    Martinez v. State, 
    178 S.W.3d 806
    , 815–16 (Tex. Crim. App. 2005) (remanding to
    court of appeals to conduct harm analysis where State failed to carry its burden to
    show applicability of exception to hearsay rule).
    When the drawing is considered in the context of the entire record, we are
    confident that its admission did not affect Prestiano’s substantial rights. The child
    19
    testified about the vibrators and Prestiano’s use of them independently of the
    drawing. Her drawing of the sex toys was introduced only after she had testified
    about them. The vibrators themselves, as well as a photograph of them, were
    admitted into evidence without objection. Though he denied using the sex toys on
    the child, Prestiano conceded that he had them with him on at least one occasion
    when babysitting her. On this record, the child’s drawing was cumulative and was
    the least damning evidence on this subject. We hold that its admission was harmless
    beyond a reasonable doubt. See Brooks v. State, 
    990 S.W.2d 278
    , 287 (Tex. Crim.
    App. 1999) (any error in admitting hearsay was “harmless in light of other properly
    admitted evidence proving the same fact”); Lamerand v. State, 
    540 S.W.3d 252
    , 257
    (Tex. App.—Houston [1st Dist.] 2018, pet. ref’d) (any error in admission of medical
    report containing statements made by child to doctor was harmless given that child
    herself testified without objection about sexual abuse and identified defendant as
    perpetrator); Quinonez-Saa v. State, 
    860 S.W.2d 704
    , 707 (Tex. App.—Houston [1st
    Dist.] 1993, pet. ref’d) (even if autopsy photos were not rendered admissible under
    exceptions to hearsay rule, their admission was harmless because they were
    cumulative).
    Purdy’s explanation of the drawing—that the child made it because she
    wanted to show Purdy “toys that had been used with her”—is inadmissible hearsay
    for the same reason that the drawing itself is inadmissible. As with the drawing,
    20
    however, we are confident that when viewed in light of the entire record, the
    admission of this testimony did not affect Prestiano’s substantial rights. The
    objectionable testimony consists of a single-sentence answer made in response to
    one question. By the time Purdy testified about the drawing’s purpose, the child
    already had testified about the vibrators. She testified that Prestiano had sexually
    abused her with these sex toys. The vibrators themselves and a photograph of them
    had been admitted into evidence. Further, without objection, the child herself had
    testified that she drew the sex toys in therapy with her counselor. On this record, we
    conclude that Purdy’s testimony did not have a substantial and injurious influence
    on the judgment and therefore was harmless. See 
    Coble, 330 S.W.3d at 280
    .
    III.   Ineffective Assistance
    Prestiano contends that his trial attorney rendered ineffective assistance by
    failing to object to Purdy’s testimony about the child’s use of dolls and drawings to
    communicate about the sexual abuse during counseling and several of the child’s
    drawings that were admitted as exhibits. He argues that this evidence was hearsay
    and that no exception to the hearsay rule was applicable. The State responds that
    defense counsel’s performance was not deficient because the evidence was
    admissible. The State further contends that, even if deficient, defense counsel’s
    performance did not adversely affect the outcome of Prestiano’s trial.
    21
    A.     Standard of review and applicable law
    We assess claims of ineffective assistance under the test articulated by the
    United State Supreme Court in Strickland v. Washington, 
    466 U.S. 668
    (1984).
    Lopez v. State, 
    343 S.W.3d 137
    , 142 (Tex. Crim. App. 2011). Under this test,
    Prestiano must establish two elements. First, he must prove by a preponderance of
    the evidence that his lawyer’s representation fell below an objective standard of
    reasonableness under prevailing professional norms. 
    Id. Second, he
    must show that
    his lawyer’s deficient performance prejudiced his defense by demonstrating that
    there is a reasonable probability that the result would have differed or a probability
    that suffices to undermine confidence in the outcome. 
    Id. We must
    presume that Prestiano’s lawyer discharged his duties within
    prevailing professional norms and made the choices he did based on sound trial
    strategy. 
    Id. at 142–43;
    Macias v. State, 
    539 S.W.3d 410
    , 415–16 (Tex. App.—
    Houston [1st Dist.] 2017, pet. ref’d). Thus, we cannot find that Prestiano’s lawyer
    rendered ineffective assistance unless the trial record affirmatively demonstrates that
    his performance was deficient when viewed in the context of the totality of the
    representation and without the benefit of hindsight. 
    Lopez, 343 S.W.3d at 142
    –43. If
    such evidence of deficiency is lacking, we must assume that his lawyer’s choices
    resulted from trial strategy if any reasonably sound strategic motivation is
    conceivable. 
    Id. at 143.
    22
    B.     Analysis
    Prestiano moved for a new trial but did not assert ineffective assistance of
    counsel. The trial record therefore is silent as to his lawyer’s decision not to object
    to portions of Purdy’s testimony and the corresponding exhibits.
    The Court of Criminal Appeals addressed a similar ineffective-assistance
    claim on a similarly silent record in Lopez. A jury convicted Lopez of aggravated
    sexual assault of a child and assessed punishment at 50 years’ 
    confinement. 343 S.W.3d at 139
    . At trial, three witnesses testified as to what the child told them about
    the same events. 
    Id. at 140.
    Thus, the testimony of two of these witnesses was
    improper, constituting inadmissible hearsay that merely bolstered the child’s own
    testimony. Id.; see also TEX. CODE CRIM. PROC. art. 38.072. On appeal, Lopez
    complained of his trial lawyer’s failure to invoke the provisions of Article 38.072 to
    limit the amount of hearsay admitted against 
    him. 343 S.W.3d at 140
    . The record
    was “silent as to trial counsel’s reason for not objecting to the improper testimony.”
    
    Id. The State
    responded with several possible theories, including the possibility that
    Lopez’s trial lawyer may have made a tactical decision to allow all three witnesses
    to testify in order to expose inconsistencies in the child’s outcries. 
    Id. at 141.
    The
    Court of Criminal Appeals held that, because the record was silent as to defense
    counsel’s reason for allowing the similar testimony without objection, Lopez failed
    to show that his lawyer’s performance was deficient. See 
    id. at 143–44;
    see also
    23
    
    Macias, 539 S.W.3d at 417
    (despite State’s concession that doctor’s opinion
    testimony as to child’s truthfulness was improper, defendant failed to prove his
    lawyer rendered ineffective assistance where trial record was silent as to counsel’s
    reason for not objecting).
    As in Lopez, it is conceivable that Prestiano’s trial lawyer made a strategic
    decision to refrain from objecting to Purdy’s hearsay testimony about the child’s
    statements, and the corresponding exhibits, to reveal any inconsistencies in the
    child’s account of the sexual abuse. On this record, we must assume that Prestiano’s
    lawyer’s inaction resulted from a tactical choice to incur the risk posed by the
    hearsay in exchange for the opportunity to expose inconsistencies in the child’s
    testimony and to challenge her credibility. Prestiano has not controverted the strong
    presumption that his lawyer’s performance was within prevailing professional norms
    and his ineffective assistance claim therefore fails because he has not proven by a
    preponderance of the evidence that his lawyer’s performance was deficient. See
    
    Lopez, 343 S.W.3d at 143
    –44; 
    Macias, 539 S.W.3d at 417
    .
    CONCLUSION
    We reform Prestiano’s judgment of conviction under the third count of the
    indictment to reflect a conviction for the lesser-included offense of aggravated
    sexual assault of a child by contact and affirm his judgments of conviction under the
    other two counts of the indictment. We remand to the trial court for a new
    24
    punishment hearing. See 
    Lee, 537 S.W.3d at 927
    (“When an appellate court finds
    the evidence insufficient to establish an element of the charged offense, but the jury
    necessarily found the defendant guilty of a lesser offense for which the evidence is
    sufficient, the appellate court must reform the judgment to reflect the lesser-included
    offense and remand for a new punishment hearing.”); Flores v. State, 
    888 S.W.2d 187
    , 193 (Tex. App.—Houston [1st Dist.] 1994, pet. ref’d) (holding that, while it
    was reasonable to expect that trial court would assess same punishment for lesser-
    included offense, remand for new punishment hearing was required because court
    of appeals could not say so with certainty).
    Gordon Goodman
    Justice
    Panel consists of Justices Keyes, Lloyd, and Goodman.
    Justice Keyes, concurring in part and dissenting in part.
    Publish. TEX. R. APP. P. 47.2(b).
    25