Gerardo Rodriguez v. the State of Texas ( 2022 )


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    IN THE
    TENTH COURT OF APPEALS
    No. 10-21-00147-CR
    GERARDO RODRIGUEZ,
    Appellant
    v.
    THE STATE OF TEXAS,
    Appellee
    From the 19th District Court
    McLennan County, Texas
    Trial Court No. 2016-21-C1
    MEMORANDUM OPINION
    In six issues, appellant, Gerardo Rodriguez, challenges his convictions for one
    count of injury to a child by an act and one count of injury to a child by omission. See
    TEX. PENAL CODE ANN. § 22.04(a). We affirm.
    Background
    Rodriguez was initially charged by indictment with one count of injury to a child,
    L.R., by omission for failure to seek proper medical care causing serious bodily injury.
    See id. § 22.04(a)(1). He was later reindicted with one count of injury to L.R. by omission
    for failure to seek proper medical care causing serious bodily injury (“Count 1”) and one
    count of injury to L.R. by act causing serious bodily injury and/or serious mental
    deficiency, impairment, or injury (“Count 2”).1 See id. § 22.04(a)(1)-(2).
    Both counts were submitted to the jury using language mirroring that which was
    contained in the two-count re-indictment. The jury found Rodriguez guilty in both
    counts and assessed punishment for each count at life imprisonment with a $10,000 fine.
    Rodriguez appeals both convictions.
    Venire Member’s Improper Remarks
    1   Specifically, the two-count indictment provided the following:
    [O]n or about the 3rd day of April, 2015, in said county and state did then and there
    intentionally and knowingly, by omission, cause serious bodily injury to [L.R.], a child 14
    years of age or younger, by failing to seek proper medical care, and the Defendant had a
    legal duty to act, namely, as the infant’s parent after the infant sustained skull fractures,
    retinal hemorrhages and bruises to his face, anus and leg.
    COUNT II
    And it is further presented in and to said Court that the said GERARDO RODRIGUEZ,
    in the County of McLennan and State aforesaid on or about the 3rd day of April, 2015, did
    then and there intentionally and knowingly cause serious bodily injury and/or serious
    mental deficiency, impairment or injury to [L.R.], a child 14 years of age or younger, by
    striking and/or hitting and/or slamming and/or shaking [L.R.] causing skull fractures
    and/or retinal hemorrhages and/or bruising to his face, leg and anus.
    (Emphasis in original).
    Rodriguez v. State                                                                                      Page 2
    In his fifth issue, Rodriguez contends that the trial court erred by denying his
    request for a mistrial during voir dire based on improper remarks made by a potential
    juror that spoiled the remaining panel.
    APPLICABLE LAW
    We review the denial of a motion for mistrial under an abuse-of-discretion
    standard. Archie v. State, 
    221 S.W.3d 695
    , 699-700 (Tex. Crim. App. 2007). Under this
    standard, we uphold the trial court’s ruling as long as the ruling is within the zone of
    reasonable disagreement. 
    Id.
     “‘A mistrial is a device used to halt trial proceedings when
    error is so prejudicial that expenditure of further time and expense would be wasteful
    and futile.’” Wood v. State, 
    18 S.W.3d 642
    , 648 (Tex. Crim. App. 2000) (quoting Ladd v.
    State, 
    3 S.W.3d 547
    , 567 (Tex. Crim. App. 1999)). It is appropriate only for “a narrow class
    of highly prejudicial and incurable errors.” Id.; see Hawkins v. State, 
    135 S.W.3d 72
    , 77
    (Tex. Crim. App. 2004). Therefore, a trial court properly exercises its discretion to declare
    a mistrial when, due to the error, “an impartial verdict cannot be reached” or a conviction
    would have to be reversed on appeal due to “an obvious procedural error.” Wood, 
    18 S.W.3d at 648
    ; see Ladd, 
    3 S.W.3d at 567
    .
    DISCUSSION
    When the trial court asked the venire panel if anyone had ever served on a criminal
    jury, Venireperson 65 offered the following response in the presence of the entire venire
    panel:
    Rodriguez v. State                                                                     Page 3
    VENIREPERSON 65:             Yes, sir. I’m [P.M.]. I’m pretty sure this
    Defendant has been locked up since 2015. I’m
    pretty sure I processed him in quite a few times
    in the McLennan County jail, Jack Harwell
    Detention Center.
    THE COURT:                   In [sic] that where you work, sir?
    VENIREPERSON 65:             That’s where I’d been working, sir.
    THE COURT:                   Is there anything about that interaction that
    would prevent you from being fair and
    impartial and listening only to the evidence in
    the case?
    VENIREPERSON 65:             Just from a part of his demeanor—his demeanor
    and attitude towards whenever we processed
    him in, it would.
    THE COURT:                   So you couldn’t be fair in this particular case?
    VENIREPERSON 65:             No, sir.
    The trial court and the parties then continued to ask questions of other members of the
    venire panel. Defense counsel did not object at the time when Venireperson 65 offered
    his remarks.
    Later, at the break for lunch and outside the presence of the venire panel, defense
    counsel complained about Venireperson 65:
    [Defense counsel]: Yes, Your Honor. Juror 65 earlier made comments to
    the jury—
    THE COURT:          Right.
    [Defense counsel]: —that included him saying that multiple times he had
    contact with him as an employee of the McLennan
    Rodriguez v. State                                                                     Page 4
    County jail. I would make a motion to strike that juror
    first.
    [The State]:         And the State’s not opposed to that.
    [Defense counsel]: Additionally, I would ask that there be an instruction,
    if any—if they—if a panel is sat today as to
    disregarding his comments.
    [The State}:         And State has no objection to that.
    When asked about the timing of the instruction, defense counsel indicated that he wanted
    the trial court to wait until a jury was impaneled to provide an instruction that “anything
    said by a venire panel member during voir dire is not evidence.” Defense counsel then
    moved for a mistrial based on “spoliation of this panel.” The trial court denied defense
    counsel’s motion for mistrial. Further, when asked two days later, on the day of trial, if
    he still wanted an instruction regarding Venireperson 65, defense counsel stated: “I do
    not. I do not, Judge. I thought about it. I thought about it a lot. And it’s over.”
    When a party requesting a mistrial does not first seek a lesser remedy—usually a
    judge’s instruction to the jury to disregard what they heard—reversal is inappropriate if
    any prejudice could have been cured by a less drastic alternative. See Young v. State, 
    137 S.W.3d 65
    , 69-70 (Tex. Crim. App. 2004). An instruction to disregard usually cures any
    prejudice. Gonzalez v. State, 
    455 S.W.3d 198
    , 206 (Tex. App.—Houston [14th Dist.] 2014,
    pet. ref’d). There is an appellate presumption that an instruction to disregard will be
    obeyed. See Gardner v. State, 
    730 S.W.2d 675
    , 696 (Tex. Crim. App. 1987). An instruction
    Rodriguez v. State                                                                    Page 5
    fails to cure prejudice when the instruction fails to “leave the jury in an acceptable state
    to continue the trial.” Young, 
    137 S.W.3d at 69
    .
    Although defense counsel requested an instruction to disregard, he requested that
    the trial court delay instructing the jury until the jury was impaneled. Without the benefit
    of a curative instruction, defense counsel moved for a mistrial and later rescinded his
    request for an instruction to disregard. Defense counsel’s actions are the functional
    equivalent of requesting a mistrial first without seeking a lesser remedy. Accordingly,
    we must determine whether an instruction to disregard would have sufficed. See Archie,
    
    221 S.W.3d at 699
    ; see also Young, 
    137 S.W.3d at 69-70
    .
    We find nothing in this record demonstrating that an instruction to disregard
    would not have cured any prejudice. Venireperson 65’s bias had nothing to do with
    mistreating children, which was the basis of this case. Furthermore, it is particularly
    telling that defense counsel ultimately decided to rescind his request for an instruction,
    believing that any jury bias stemming from Venireperson 65’s remarks had dissipated
    over time. Based on our review of the record, we conclude that the trial court did not
    abuse its discretion by denying Rodriguez’s motion for mistrial.              We overrule
    Rodriguez’s fifth issue.
    Exclusion of Evidence
    In his fourth issue, Rodriguez asserts that the trial court abused its discretion by
    excluding Rios’s purported admission to spiritualist Obdulia Figueroa that she had hit
    Rodriguez v. State                                                                    Page 6
    L.R. at an unspecified time. Rodriguez argues that the exclusion of this statement
    deprived him of his right to present a complete defense. We hold that Rodriguez failed
    to preserve this complaint.
    To preserve a complaint for appellate review, the record must show that the
    appellant presented the complaint to the trial court “with sufficient specificity to make
    the trial court aware of the complaint, unless the specific grounds were apparent from
    the context.” TEX. R. APP. P. 33.1(a)(1)(A). The point of error on appeal must comport
    with the objection made at trial. Thomas v. State, 
    723 S.W.2d 696
    , 700 (Tex. Crim. App.
    1986) (en banc). Rodriguez does not direct us to, nor have we found, a place in the record
    where he brought this complaint based upon a constitutional violation to the attention of
    the trial court and obtained an adverse ruling.
    Appellant’s constitutional right to a meaningful opportunity to present a complete
    defense stems from the Due Process Clause of the Fourteenth Amendment and the
    Compulsory Process and Confrontation Clauses of the Sixth Amendment and is a right
    subject to procedural default. Anderson v. State, 
    301 S.W.3d 276
    , 280 (Tex. Crim. App.
    2009); Broxton v. State, 
    909 S.W.2d 912
    , 918 (Tex. Crim. App. 1995) (holding that appellant
    failed to preserve his claim that he was denied the right to present a defense and the right
    to due process and due course of law because he did not make that objection at trial).
    Because Rodriguez did not object to the exclusion of Figueroa’s testimony based on the
    Rodriguez v. State                                                                    Page 7
    deprivation of his right to present a complete defense, Rodriguez failed to preserve this
    issue for appellate review. We overrule Rodriguez’s fourth issue.
    Sufficiency of the Evidence
    In his first issue, Rodriguez contends that the evidence is insufficient to support
    his conviction in Count 1 for injury to a child by omission because he did not know L.R.
    was injured. In his second issue, Rodriguez challenges the sufficiency of the evidence
    supporting his conviction in Count 2 for injury to a child by an act.
    STANDARD OF REVIEW
    The Court of Criminal Appeals has expressed our standard of review of a
    sufficiency issue as follows:
    When addressing a challenge to the sufficiency of the evidence, we consider
    whether, after viewing all of the evidence in the light most favorable to the
    verdict, any rational trier of fact could have found the essential elements of
    the crime beyond a reasonable doubt. Jackson v. Virginia, 
    443 U.S. 307
    , 319,
    
    99 S. Ct. 2781
    , 
    61 L. Ed. 2d 560
     (1979); Villa v. State, 
    514 S.W.3d 227
    , 232 (Tex.
    Crim. App. 2017). This standard requires the appellate court to defer “to
    the responsibility of the trier of fact fairly to resolve conflicts in the
    testimony, to weigh the evidence, and to draw reasonable inferences from
    basic facts to ultimate facts.” Jackson, 
    443 U.S. at 319
    , 
    99 S. Ct. 2781
    . We may
    not re-weigh the evidence or substitute our judgment for that of the
    factfinder. Williams v. State, 
    235 S.W.3d 742
    , 750 (Tex. Crim. App.
    2007). The court conducting a sufficiency review must not engage in a
    “divide and conquer” strategy but must consider the cumulative force of
    all the evidence. Villa, 514 S.W.3d at 232. Although juries may not
    speculate about the meaning of facts or evidence, juries are permitted to
    draw any reasonable inferences from the facts so long as each inference is
    supported by the evidence presented at trial. Cary v. State, 
    507 S.W.3d 750
    ,
    757 (Tex. Crim. App. 2016) (citing Jackson, 
    443 U.S. at 319
    , 
    99 S. Ct. 2781
    ); see
    also Hooper v. State, 
    214 S.W.3d 9
    , 16-17 (Tex. Crim. App. 2007). We presume
    that the factfinder resolved any conflicting inferences from the evidence in
    Rodriguez v. State                                                                          Page 8
    favor of the verdict, and we defer to that resolution. Merritt v. State, 
    368 S.W.3d 516
    , 525 (Tex. Crim. App. 2012). This is because the jurors are the
    exclusive judges of the facts, the credibility of the witnesses, and the weight
    to be given to the testimony. Brooks v. State, 
    323 S.W.3d 893
    , 899 (Tex. Crim.
    App. 2010). Direct evidence and circumstantial evidence are equally
    probative, and circumstantial evidence alone may be sufficient to uphold a
    conviction so long as the cumulative force of all the incriminating
    circumstances is sufficient to support the conviction. Ramsey v. State, 
    473 S.W.3d 805
    , 809 (Tex. Crim. App. 2015); Hooper, 
    214 S.W.3d at 13
    .
    We measure whether the evidence presented at trial was sufficient
    to support a conviction by comparing it to “the elements of the offense as
    defined by the hypothetically correct jury charge for the case.” Malik v.
    State, 
    953 S.W.2d 234
    , 240 (Tex. Crim. App. 1997). The hypothetically
    correct jury charge is one that “accurately sets out the law, is authorized by
    the indictment, does not unnecessarily increase the State's burden of proof
    or unnecessarily restrict the State's theories of liability, and adequately
    describes the particular offense for which the defendant was tried.” Id.; see
    also Daugherty v. State, 
    387 S.W.3d 654
    , 665 (Tex. Crim. App. 2013). The “law
    as authorized by the indictment” includes the statutory elements of the
    offense and those elements as modified by the indictment. Daugherty, 387
    S.W.3d at 665.
    Zuniga v. State, 
    551 S.W.3d 729
    , 732-33 (Tex. Crim. App. 2018).
    FACTS
    On April 3, 2015, Rodriguez cared for eight-week-old L.R. while the child’s
    biological mother, Candace Rios, was working a shift at McDonald’s. Rios stated that
    Rodriguez had intended to drop L.R. off at her grandparents’ house, but no one was
    home. When she left for work, there was no one else at the house, except for Rodriguez
    and L.R.
    Rios’s timecard showed, and her manager confirmed, that her shift began at 6:46
    a.m. and ended at 3:39 p.m. on the day in question. However, Rios’s manager, Joe
    Rodriguez v. State                                                                        Page 9
    Summers, testified that throughout her shift, Rios ran “back and forth from the register
    area to the restroom, coming back and forth crying, emotionally upset several times
    throughout her shift to the point where she left.” Summers recounted that Rios appeared
    upset about phone conversations that she had with someone who was later identified as
    Rodriguez.
    After completing her shift at McDonald’s, Rios returned home and assumed caring
    for L.R. Rodriguez informed Rios that L.R. had thrown up; Rodriguez had given L.R. a
    bath; and Rodriguez had changed L.R.’s diaper. Shortly after Rios arrived at home,
    Rodriguez left. Rios was at the house with L.R. for about an hour and a half. At this time,
    Rios tried to take a nap, but L.R. was crying, fussy, and refused to drink his formula. Rios
    took L.R. to her grandparents’ house.
    When Rios arrived at her grandparents’ house, her uncle, her siblings, her mother,
    and her grandfather were present. Rios’s sister, Marcela Garcia, recalled that L.R. was
    “fussy, crying . . . . It looked like something was wrong with him . . . .” Rios’s mother
    approached L.R. and noticed that he was running a fever. Rios, her mother, and her uncle
    took L.R. to Providence Hospital in Waco, Texas, because it was too late to “get to the
    clinic at that time.” Rodriguez arrived at the hospital later.
    Dr. Daniel Elwell, an emergency-room doctor who previously worked at
    Providence Hospital, examined L.R. Dr. Elwell recalled that Rodriguez had stated that
    L.R. had been “crying nonstop,” vomited, and had not eaten since vomiting. L.R.
    Rodriguez v. State                                                                   Page 10
    presented with a fever and a concerning pulse rate of 184.            During the physical
    examination of L.R., Dr. Elwell discovered that L.R. had a small hematoma on his head,
    a palpable skull fracture, and other bruises. L.R. appeared listless to Dr. Elwell, and Dr.
    Elwell ultimately concluded that, without medical intervention, L.R.’s condition would
    have rapidly declined and L.R. may not have survived. Rios and Rodriguez, who were
    both present at the hospital, were told of L.R.’s condition. Rodriguez was “just standing
    there, as if it was not a surprise,” and Rios started crying and was “visibly upset.”
    Because his condition was worsening, L.R. was transported by helicopter to McLane
    Children’s Hospital in Temple, Texas, and was immediately intubated and placed on a
    ventilator.
    Paula Wilson, a nurse at McLane Children’s Hospital, recounted that L.R.’s chief
    complaints were “left parietal skull fracture, acute subdural hematoma, chronic subdural
    hematoma, temporal fracture.” Nurse Wilson also observed numerous other bruises on
    L.R. She spoke with Rodriguez about what happened that day and recalled Rodriguez
    noting the following:
    I stayed home. I gave him a bottle. He slept. I gave him a bottle, he slept.
    He threw up. I bathed him. I left for the grandma’s with the baby, but
    nobody was home. Then I gave him a bottle again. The baby threw up, so
    I have [sic] him a bath. I put him in the crib. I left him in the crib when his
    mother got home. I went to a friend’s body shop. The baby was home with
    his mother. The mother said they were going to the hospital because the
    baby was having [a] fever.
    Rodriguez v. State                                                                       Page 11
    Rodriguez denied noticing anything wrong with L.R. However, Nurse Wilson said it
    was noteworthy that eight-week-old L.R. threw up twice because “it could be an indicator
    if the baby was sick, if they’re not tolerating their feeding.”
    Dr. Erica Ward, medical director of the child protection team at McLane Children’s
    Hospital, testified that a CT scan of L.R.’s head revealed that L.R. had a skull fracture that
    was pulling apart because of “[u]nderlying pressure around the brain swelling.” Indeed,
    L.R. had two skull fractures. Dr. Ward also observed that L.R. had bruising around the
    anus and on the right side of the forehead. According to Dr. Ward, this bruising is “very,
    very uncommon to see . . . on a child this age. And a bruise in any location on a child this
    age is very concerning.”
    Dr. Eric Stern, a pediatric emergency medicine doctor that previously worked at
    McLane Children’s Hospital and treated L.R. on the evening in question, commented that
    “any traumatic brain injury can increase your chance for seizures. This child had
    significant traumatic brain injury. And so the concern would be that any further seizure
    activity would increase the risk of, you know, secondary or further damages to the brain.”
    Dr. Stern also opined that a brain scan of L.R. showed bleeding on the brain. Doctors
    were unable to precisely date the bleeding. Dr. Stern emphasized that with the injuries
    L.R. sustained, “it was critical that the patient receive care as soon as possible. Not just
    in terms of living or dying. But also in terms of the ultimate long-term neurologic injury
    Rodriguez v. State                                                                     Page 12
    that the child would have.” Dr. Stern further noted that “this patient obviously was at
    risk for a very—for a very significant long-term disability from the injuries received.”
    On cross-examination, Dr. Stern viewed a video that Rodriguez had sent to
    relatives while caring for L.R. that day, and Dr. Stern noted that the video showed L.R.
    was lethargic and that “this baby was obviously having significant posturing motor
    activity, shaking. So they were having significant stimulation. But their eyes were closed.
    There was some purposeful movement in the middle of the video and some noises. But
    it’s strange that the baby was not more awake during that.” Dr. Stern also stated, “based
    on the appearance in the video, I think that is obviously that to me that the child had
    sustained—sustained a significant medical problem, in this case a traumatic brain injury
    that was causing super abnormal behavior in the video.” Both Dr. Stern and Dr. Ward
    testified that it would have been apparent to any adult around the child that something
    was wrong, and that medical attention was needed.
    Dr. Ryan Laschober, a family medicine physician, testified that he examined L.R.
    on April 2, 2015, for spitting up. Dr. Laschober’s documentation reflected “a normal
    follow-up for spitting up.” Dr. Laschober did not notate any bruising on L.R. at the time
    of the examination.
    COUNT 1 OF THE INDICTMENT
    In Count 1, Rodriguez was charged with injury to a child by omission by
    intentionally or knowingly causing serious bodily injury to L.R. A person commits the
    Rodriguez v. State                                                                  Page 13
    offense of injury to a child if he “intentionally, knowingly, or recklessly with criminal
    negligence by act or intentionally, knowingly, or recklessly by omission, causes to a
    child . . . serious bodily injury.” TEX. PENAL CODE ANN. § 22.04(a)(1); Jefferson v. State, 
    189 S.W.3d 305
    , 312 (Tex. Crim. App. 2006). Under section 22.04(e), causing bodily injury by
    an omission, i.e., a failure to act, is a first-degree felony when the actor “intentionally or
    knowingly” failed to act. TEX. PENAL CODE ANN. § 22.04(e). “Serious bodily injury” is
    defined as “bodily injury that creates a substantial risk of death or that causes death,
    serious permanent disfigurement, or protracted loss or impairment of the function of any
    bodily member or organ.” Id. § 1.07(46); see also id. § 1.07(8) (defining bodily injury as
    “physical pain, illness, or any impairment of physical condition”).
    A parent has a statutory duty to care for, control, protect, and provide food and
    medical care for a child. TEX. FAM. CODE ANN. § 151.001(a)(2)-(3) (providing that “[a]
    parent of a child has [enumerated] rights and duties,” including “the duty of care, control,
    protection, and reasonable discipline of the child” and “the duty to support the child,
    including providing the child with clothing, food, shelter, medical and dental care, and
    education”); see TEX. PENAL CODE ANN. § 22.04(d) (“For purposes of an omission that
    causes a condition described by Subsection (a)(1), (2), or (3), the actor has assumed care,
    custody, or control if the actor has by act, words, or course of conduct acted so as to cause
    a reasonable person to conclude that the actor has accepted responsibility for protection,
    food, shelter, or medical care for a child . . . .”).
    Rodriguez v. State                                                                      Page 14
    A person acts intentionally with respect to the result of his conduct when it is his
    conscious objective or desire to cause the result. TEX. PENAL CODE ANN. § 6.03(a). A
    person acts knowingly with respect to a result of his conduct when he is aware that his
    conduct is reasonably likely to cause the result. Id. § 6.03(b). Injury to a child is a result-
    oriented offense requiring a mental state that relates not to the specific conduct but to the
    result of that conduct. See Stuhler v. State, 
    218 S.W.3d 706
    , 718 (Tex. Crim. App. 2007).
    The evidence is sufficient to support a conviction for injury to a child by omission if the
    State proves either that a defendant intended to cause the injury through his omission or
    that he was aware that his omission was reasonably certain to cause the injury. Proo v.
    State, 
    587 S.W.3d 789
    , 809-10 (Tex. App.—San Antonio 2019, pet. ref’d). In other words,
    knowingly causing the child’s injury requires evidence that the defendant was aware
    with reasonable certainty that the result of serious bodily injury or death would have
    been prevented had the defendant performed the act that was omitted. Payton v. State,
    
    106 S.W.3d 326
    , 329 (Tex. App.—Fort Worth 2003, pet. ref’d). Mental state is rarely
    proved through direct evidence and almost always depends on circumstantial evidence.
    Hart v. State, 
    89 S.W.3d 61
    , 64 (Tex. Crim. App. 2002). Intent may be inferred from any
    facts which tend to prove their existence, including the acts, words, and conduct of the
    accused, as well as the method of committing the crime and the nature of the wounds
    inflicted on the complainant. See Guevara v. State, 
    152 S.W.3d 45
    , 50 (Tex. Crim. App.
    2004); see also Patrick v. State, 
    906 S.W.2d 481
    , 487 (Tex. Crim. App. 1995).
    Rodriguez v. State                                                                      Page 15
    Under the hypothetically correct jury charge for the offense alleged in Count 1, the
    State was required to prove that Rodriguez, while having a statutory duty to act on L.R.’s
    behalf, intentionally or knowingly by omission caused L.R. serious bodily injury by
    failing to seek proper medical care. See TEX. PENAL CODE ANN. § 22.04(a)(1).
    As noted above, the evidence showed that, while in Rodriguez’s care, L.R.
    vomited twice, cried non-stop, and had not eaten. Nurse Wilson opined that the vomiting
    was an indicator that L.R. might have been sick and in need of medical attention. The
    medical testimony also established that L.R. had palpable skull fractures and multiple
    bruises on his body that were not present on April 2, 2015, when Dr. Laschober examined
    L.R. With respect to L.R.’s injuries to his skull, Dr. Stern testified that it was critical for
    L.R. to receive medical care as soon as possible, not only in terms of living or dying, but
    also to mitigate long-term neurologic injury. Dr. Stern further testified that a video taken
    of L.R. by Rodriguez while L.R. was in Rodriguez’s care on the day in question revealed
    that L.R. had sustained a traumatic brain injury that caused “super abnormal behavior”
    that would have been apparent to an adult that medical attention was needed. Further,
    the jury could have reasonably inferred that the skull fractures and bruises would have
    been visible to Rodriguez when he bathed L.R. Observation of bruising on L.R. is of
    importance because Dr. Ward noted that any bruising on a child of this age would be
    “very concerning.” Moreover, the evidence established that even though L.R.’s condition
    worsened throughout the day, Rodriguez did not seek medical care for L.R.; rather, he
    Rodriguez v. State                                                                      Page 16
    returned L.R. to Rios. See Proo, 587 S.W.3d at 810 (noting that the causal link between the
    defendant’s failure to act and the serious bodily injury may be proven through reasonable
    inference based on the evidence); see also Baldwin v. State, 
    264 S.W.3d 237
    , 242 (Tex. App.—
    Houston [1st Dist.] 2008, pet. ref’d) (“A jury may reasonably infer that the defendant
    intentionally, not accidentally, inflicted the injury when the defendant fails to render aid
    known to be needed.”).
    Based on the foregoing, we conclude that there was sufficient evidence for the jury
    to conclude that Rodriguez intentionally or knowingly failed to seek medical care for
    L.R.’s injuries and that his failure to do so caused L.R. serious bodily injury.        See
    Desormeauux v. State, 
    362 S.W.3d 233
    , 241 (Tex. App.—Beaumont, no pet.) (holding that
    the jury could reasonably conclude that the failure to seek medical treatment caused
    incrementally greater injury increasing the risk of death where the child was in obvious
    physical distress and having difficulty breathing, but rather than seek medical treatment,
    the defendant shook the child repeatedly to wake him up); Johnston v. State, 
    150 S.W.3d 630
    , 637 (Tex. App.—Austin 2004, no pet.) (holding that there was legally sufficient
    evidence that the defendant’s omission caused serious bodily injury where the defendant
    delayed the child’s medical treatment for several days while the child’s health visibly
    deteriorated and the child’s condition was critical when he was examined at the hospital
    due to dehydration and buildup of stomach secretions); see also Wright v. State, 
    494 S.W.3d 352
    , 361 (Tex. App.—Eastland 2015, pet. ref’d) (noting that the existence or nonexistence
    Rodriguez v. State                                                                   Page 17
    of a causal connection, in an injury-to-a-child-by-omission case, is a question for the jury’s
    determination) (citations omitted). We overrule Rodriguez’s first issue.
    COUNT 2 OF THE INDICTMENT
    In Count 2, Rodriguez was charged with injury to a child by an act causing serious
    bodily injury and/or serious mental deficiency, impairment, or injury. Before addressing
    the sufficiency of the evidence to support Count 2, we must address a problem with the
    indictment that flowed to the jury charge in this case. Although not raised specifically in
    the trial court or on appeal, this problem affects the analysis of the sufficiency of the
    evidence supporting Count 2.
    As mentioned earlier, the Court of Criminal Appeals has observed that section
    22.04 of the Texas Penal Code is a result-of-conduct type of offense. See Stuhler, 
    218 S.W.3d at 718
     (noting that prior cases have “regarded the gravamen of the offense of
    injury to a child to be, not the particular conduct that caused the injury, but the resulting
    injury that the conduct caused”). Section 22.04(a) prescribes three results of conduct
    injuring a child: (1) serious bodily injury; (2) serious mental deficiency, impairment, or
    injury, or (3) bodily injury. See TEX. PENAL CODE ANN. § 22.04(a). For purposes of
    deciding whether a jury had to be unanimous with respect to a verdict under any one
    Rodriguez v. State                                                                     Page 18
    subsection, the Stuhler Court concluded that each subsection constituted a distinct
    offense.2 Stuhler, 
    218 S.W.3d at 718-19
    .
    Recently, in Nawaz v. State, the Court of Criminal Appeals extended the Stuhler
    analysis involving jury unanimity for the subsections set out in section 22.04(a) to double
    jeopardy. 
    2022 Tex. Crim. App. LEXIS 418
    , at **12-13 (Tex. Crim. App. June 22, 2022)
    (“Having found the various theories of criminal liability set out in the subsections of
    Section 22.04(a) to constitute different offenses for jury unanimity purposes in Stuhler, we
    perceive no basis to construe the statute any differently for purposes of double jeopardy.”
    (internal citations & quotations omitted)).
    As it relates to the sufficiency analysis of Count 2, what is clear from Stuhler and
    Nawaz is that the Court of Criminal Appeals treats each subsection of section 22.04(a) as
    separate and distinct offenses. Stuhler and Nawaz impact our analysis of Count 2 in this
    case because the State alleged two separate and distinct offenses—that Rodriguez caused
    serious bodily injury to L.R. under section 22.04(a)(1) and/or serious mental deficiency,
    impairment, or injury under section 22.04(a)(2). Or, in other words, the State alleged two
    different offenses within the same count—Count 2. When this happens, the indictment
    is said to be duplicitous. See Brock v. State, 
    495 S.W.3d 1
    , 6 (Tex. App.—Waco 2016, pet.
    ref’d) (“’Duplicity’ is the technical fault of uniting two or more distinct and separate
    2Rodriguez does not raise a jury-unanimity complaint on appeal, nor does he complain about the
    indictment or the jury charge in this case.
    Rodriguez v. State                                                                           Page 19
    offenses in the same count of an indictment. The rule against duplicitous indictments is
    based on the proposition that a defendant must receive fair notice of the charge against
    which he must defend.” (internal citations omitted)); see also TEX. CODE CRIM. PROC. ANN.
    art. 21.24(a) (“Two or more offenses may be joined in a single indictment, information, or
    complaint, with each offense stated in a separate count, if the offenses arise out of the
    same criminal episode . . . .”).
    However, despite what appears to be a duplicitous indictment as to Count 2, the
    record does not reflect that defense counsel objected or moved to quash the indictment.
    See TEX. CODE CRIM. PROC. ANN. art. 1.14(b) (providing that if a defendant does not object
    to a defect, error, or irregularity of form or substances in an indictment before the date
    on which trial on the merits begins, he waives the right to object and may not raise the
    objection on appeal or in any post-conviction proceeding); see also Faulks v. State, 
    528 S.W.2d 607
    , 608-09 (Tex. Crim. App. 1975) (concluding that appellant failed to preserve
    his complaint that the indictment was duplicitous by failing to file a written motion to
    quash, even though an oral motion to quash was made immediately prior to trial); see also
    Sanchez v. State, 
    928 S.W.2d 255
    , 257 (Tex. App.—Houston [14th Dist.] 1996, no pet.)
    (stating that an objection is required to preserve a misjoinder error in the indictment);
    Skillern v. State, 
    890 S.W.2d 849
    , 872 (Tex. App.—Austin 1994, pet ref’d) (holding that
    duplicity in the indictment may not be raised on appeal without timely objection prior to
    trial).
    Rodriguez v. State                                                                 Page 20
    Although the State’s section 22.04(a)(1) and (a)(2) allegations should have been
    indicted as separate counts under Stuhler and Nawaz, because defense counsel did not
    object to the indictment, we will consider the sufficiency of the evidence supporting the
    section 22.04(a)(1) and (a)(2) allegations in Count 2 of the indictment.
    The State’s Section 22.04(a)(2) Allegation
    Under a hypothetically correct jury charge corresponding to the State’s section
    22.04(a)(2) allegation in Count 2, the State was required to prove beyond a reasonable
    doubt that Rodriguez, by an act, caused serious mental deficiency, impairment, or injury
    to L.R., a child. See TEX. PENAL CODE ANN. § 22.04(a)(2). As recounted above, Dr.
    Laschober examined L.R. on April 2, 2015, for spitting up. At that time, neither Dr.
    Laschober nor his nurses observed L.R. with any significant injuries. Furthermore,
    Rodriguez’s friend, Abraham Lizama, testified that he saw Rodriguez with L.R. from
    about 10:00 a.m. to 11:00 a.m. on April 3, 2015, when Rodriguez arrived at Ivan Lizama’s
    mechanic shop to help. Abraham recalled that L.R. “seemed fine.”
    Rodriguez testified that he put L.R. down for a nap around 1:00 p.m. on April 3,
    2015, and that L.R. began to wake up around 2:30 or 2:45 p.m. on the same day. By the
    time L.R. had begun to wake up, Rodriguez recalled that he was taking pictures and a
    video of L.R. for relatives. The video taken by Rodriguez was admitted into evidence.
    Dr. Stern reviewed the video and noted that the video showed that L.R. had sustained a
    traumatic brain injury that caused “super abnormal behavior” that would have been
    Rodriguez v. State                                                                Page 21
    apparent to an adult. Thus, the jury could have reasonably inferred that L.R. was injured
    sometime between 11:00 a.m. and when the video was taken at around 2:30 p.m. The jury
    could have also reasonably inferred that Rodriguez caused L.R.’s serious mental
    deficiency, impairment, or injury because it is undisputed that L.R. was in Rodriguez’s
    sole care during this time period.3 See Bearnth v. State, 
    361 S.W.3d 135
    , 140 (Tex. App.—
    Houston [1st Dist.] 2011, pet. ref’d) (“Texas case law is replete with holdings that when
    an adult defendant has had sole access to a child at the time [the child’s] injuries are
    sustained, the evidence is sufficient to support a conviction for injury to a child, or
    murder if the child dies.” (quoting Garcia v. State, 
    16 S.W.3d 401
    , 405 (Tex. App.—El Paso
    2000, pet. ref’d))); see also Byrd v. State, No. 09-12-00234-CR, 
    2013 Tex. App. LEXIS 5967
    ,
    at **11-12 (Tex. App.—Beaumont May 15, 2013, no pet.) (mem. op., not designated for
    publication) (concluding that the evidence was sufficient to support a conviction for
    injury to a child where the child’s mother left the child in the defendant’s care in a healthy,
    normal condition and the defendant was the only adult with the child from the time the
    mother left that morning until she returned in the afternoon to find the child severely
    injured).
    3 Additional indicia of guilt that the jury could have reasonably considered were Rodriguez’s lack
    of reaction at the hospital when told about L.R.’s injuries, as well as testimony from Derek Thiele, formerly
    a sergeant with the Waco Police Department, who learned during the investigation that Rios had told her
    friend that “she would take the blame so Gerardo wouldn’t get sent back,” and testimony that Rios was
    pressured by Rodriguez’s family to take the blame so Rodriguez would not “lose his papers.”
    Rodriguez v. State                                                                                   Page 22
    Moreover, Dr. Stern emphasized that the bleeding on L.R.’s brain could cause
    long-term neurological problems. Indeed, L.R.’s adoptive mother noted that L.R. has had
    multiple surgeries to drain excess fluids from his skull and to remedy seizures and that
    L.R.’s brain injuries required a VP shunt4 to drain excess fluid. L.R.’s adoptive mother
    also testified that L.R. is in special classes, has ADHD and OCD making it hard for him
    to focus, and that he is developmentally delayed because of the injuries he sustained. We
    therefore conclude that there was sufficient evidence to conclude that Rodriguez
    intentionally or knowingly caused serious mental deficiency, impairment, or injury to
    L.R. See TEX. PENAL CODE ANN. § 22.04(a)(2); see also Nawaz, 
    2022 Tex. Crim. App. LEXIS 418
    , at *17 (concluding that there was sufficient evidence to support injury to a child by
    causing serious mental deficiency where the evidence showed diffuse brain bleeding that
    caused the child’s developmental delays); Franco v. State, No. 13-14-00108-CR, 
    2016 Tex. App. LEXIS 6340
    , at **18-21 (Tex. App.—Corpus Christi June 16, 2016, no pet.)
    (concluding that there was sufficient evidence to establish serious mental injury where
    4   In her testimony, L.R.’s adoptive mother described the VP shunt as follows:
    So what it is, it’s a—it’s an object that he has right here on the right side of his skull. And
    then he has a line that goes all of the way from the back of his skull and then it goes all of
    the way down to his—where his bladder is. Our brain, or I guess our skull—our brain is—
    drains our excess liquid normally. But because of the injury that he sustained, that VP
    shunt is what helps him drain the excess liquid from—from his—from his skull. Because
    it is stops malfunction—if it malfunctions, it stops working, his head will—it’ll start filling
    up and then it’s not draining anywhere. And so he’ll start having a headache. And just—
    it’ll get worse from there if I don’t seek medical attention for him. So it’s basically keeping
    him alive.
    Rodriguez v. State                                                                                       Page 23
    the child was diagnosed with post-traumatic stress disorder and attention deficit disorder
    as a result of the conduct of the defendant).
    The State’s Section 22.04(a)(1) Allegation
    Because at least one allegation under section 22.04 contained in Count 2 is
    supported by sufficient evidence, and because the indictment and charge used the
    conjunctive and disjunctive “and/or” when referencing the two allegations, we need not
    address the sufficiency of the evidence supporting the State’s section 22.04(a)(1)
    allegation that Rodriguez intentionally and knowingly injured L.R. by an act causing
    serious bodily injury. See TEX. R. APP. P. 47.1, 47.4; Stuhler, 
    218 S.W.3d at 718-19
    ; see also
    Nawaz, 
    2022 Tex. Crim. App. LEXIS 418
    , at **14-15 (“The allowable units of prosecution
    in this case are determined by how many separate and discrete statutorily defined types
    of injurious results Appellant’s act or conduct caused. It does not matter how many acts
    or incidents of abuse it may have taken him to inflict those distinct statutorily defined
    injuries.”). Accordingly, we overrule Rodriguez’s second issue.
    Double Jeopardy
    In his third issue, Rodriguez asserts that his convictions for injury to a child by an
    act and injury to a child by omission violate the Double Jeopardy Clause of the Fifth
    Amendment of the United States Constitution. See U.S. CONST. amend. V.
    “The Double Jeopardy Clause of the Fifth Amendment . . . protects an accused
    against . . . multiple punishments for the same offense.” Evans v. State, 
    299 S.W.3d 138
    ,
    Rodriguez v. State                                                                     Page 24
    140-41 (Tex. Crim. App. 2009). A double-jeopardy claim must generally be raised in the
    trial court to preserve error for appellate review. Gonzalez v. State, 
    8 S.W.3d 640
    , 643- 46
    (Tex. Crim. App. 2000); Rangel v. State, 
    179 S.W.3d 64
    , 70 (Tex. App.—San Antonio 2005,
    pet. ref’d). However, a double-jeopardy claim may be raised for the first time on appeal
    when (1) the undisputed facts show the double-jeopardy claim violation is clearly
    apparent from the face of the record, and (2) enforcement of the usual rules of procedural
    default serves no legitimate State purpose. See Gonzalez, 
    8 S.W.3d at 643
    ; see also Rangel,
    
    179 S.W.3d at 70
    .
    [W]hen separate theories for an offense are issued to the jury disjunctively,
    a double jeopardy violation is not clearly apparent on the face of the record
    if one of the theories charged would not constitute a double jeopardy
    violation and there is sufficient evidence to support that valid theory. The
    fact that the jury’s verdict could have relied on a theory that would violate
    the Double Jeopardy Clause is not sufficient to show a constitutional
    violation “clearly apparent on the face of the record.”
    Langs v. State, 
    183 S.W.3d 680
    , 687 (Tex. Crim. App. 2006) (citing Gonzalez, 
    8 S.W.3d at 641-43
    ) (emphasis in original).
    “When separate and distinct offenses occur in the same transaction, the protection
    against double jeopardy does not apply. Urtado v. State, 
    333 S.W.3d 418
    , 424 (Tex. App.—
    Austin 2011, pet. ref’d) (citing Spradling v. State, 
    773 S.W.2d 553
    , 556 (Tex. Crim. App.
    1989)). “Thus, if two different attacks occur, even if close in time, a defendant may be
    charged with separate assaults.” 
    Id.
     (citing Teeter v. State, No. PD-1169-09, 
    2010 Tex. Crim. App. LEXIS 1206
    , at *24 (Tex. Crim. App. Sept. 22, 2010) (holding that a double-jeopardy
    Rodriguez v. State                                                                     Page 25
    violation occurred where charges of assault by threat and attempted capital murder were
    both based on a single act of pointing a gun at the victim); Sanchez v. State, 
    269 S.W.3d 169
    , 171 (Tex. App.—Amarillo 2008, pet. ref’d) (holding no double-jeopardy violation
    occurred where the defendant was charged with both assault by causing bodily injury
    and assault by threat against the same victim because, “[t]hough rather close in time, the
    latter arose after a break from the former”)).
    Here, Rodriguez did not object in the trial court on double-jeopardy grounds.
    Further, because the evidence supported at least two separate and distinct offenses
    (injury to a child by omission causing serious bodily injury and injury to a child by act
    causing serious mental deficiency, impairment, or injury), we cannot say that Rodriguez’s
    double-jeopardy claim is apparent from the face of the record. See Stuhler, 
    218 S.W.3d at 718-19
    ; Gonzalez, 
    8 S.W.3d at 643
    ; Rangel, 
    179 S.W.3d at 70
    ; see also Nawaz, 
    2022 Tex. Crim. App. LEXIS 418
    , at **12-13. As such, Rodriguez has not properly preserved his double-
    jeopardy claim. See Langs, 
    183 S.W.3d at 687
    ; Gonzalez, 
    8 S.W.3d at 641-43
    ; see also
    Spradling, 
    773 S.W.2d at 556
    ; Urtado, 
    333 S.W.3d at 424
    ; Sanchez, 
    269 S.W.3d at 171
    . We
    overrule Rodriguez’s third issue.
    Rodriguez’s Motion for New Trial
    In his sixth issue, Rodriguez argues that the trial court erred by not granting him
    a hearing on his motion for new trial, where reasonable grounds existed that potentially
    entitled him to relief. We disagree.
    Rodriguez v. State                                                                   Page 26
    We review the trial court’s denial of a hearing on a motion for new trial for an
    abuse of discretion, and we reverse only if the decision was so clearly wrong as to lie
    outside the zone within which reasonable persons might disagree. Smith v. State, 
    286 S.W.3d 333
    , 339 (Tex. Crim. App. 2009). The purposes of a hearing on a motion for new
    trial are to: (1) determine whether the case should be retried; and (2) prepare a record for
    presenting issues on appeal if the motion is denied. 
    Id. at 338
    . A hearing on a motion for
    new trial court is not an absolute right. 
    Id.
     A hearing is not required when matters raised
    in the motion for new trial are subject to being determined from the record. 
    Id.
     But a trial
    judge abuses his discretion in failing to hold a hearing on a motion for new trial when the
    motion and accompanying affidavits (1) raise matters that are not determinable from the
    record, and (2) establish reasonable grounds showing that the defendant could
    potentially be entitled to relief. Hobbs v. State, 
    298 S.W.3d 193
    , 199 (Tex. Crim. App. 2009).
    To establish the existence of reasonable grounds showing he could be entitled to
    relief, the defendant is required to support his motion for new trial with an affidavit,
    either of the defendant or someone else, specifically setting out the factual basis for the
    claim. Smith, 
    286 S.W.3d at 339
    . The affidavit need not establish a prima facie case, or
    even reflect every component legally required to establish relief. 
    Id.
     It is sufficient if a
    fair reading of it gives rise to reasonable grounds in support of the claim. 
    Id.
     But
    affidavits that are conclusory in nature and unsupported by facts do not provide the
    requisite notice of the basis for the relief claimed; thus, no hearing is required. 
    Id.
    Rodriguez v. State                                                                        Page 27
    In his motion for new trial, Rodriguez asserted four grounds: (1) that he was
    deprived of critical testimony from a material witness, Figueroa; (2) the trial court
    deprived him of his Sixth Amendment right to present a defense by excluding and
    redacting text messages purportedly proving his innocence; (3) statements made by
    Venireperson 65 deprived him of the right to a fair and impartial jury; and (4) the jury’s
    verdict is contrary to the law and evidence. In support of his motion for new trial,
    Rodriguez included declarations from trial counsel and the adopted mother of L.R.
    The issues of Figueroa’s testimony and the commentary provided by Venireperson
    65 were both argued extensively at trial and were ruled on during trial. Furthermore, we
    have rejected both arguments earlier in this opinion. The record also shows that the State
    objected to admitting any text messages that had not been translated into English.
    Defense counsel responded, “I can agree with that. And I’ll read only the English texts.
    I’m gonna focus on the timeline. But for now, I ask that D1 be admitted.” The trial court
    admitted the text messages “without referring to the ones that are in Spanish.” Defense
    counsel never sought to translate or admit any of the Spanish language messages. And
    finally, the trial court, having presided over the trial, was able to determine whether a
    hearing was necessary to address Rodriguez’s claim that the jury’s verdict was contrary
    to the law and evidence. See Waller v. State, 
    931 S.W.2d 640
    , 644 (Tex. App.—Dallas 1996,
    no pet.) (“A ‘verdict’ that is contrary to ‘the law and the evidence’ raises issues that the
    Rodriguez v. State                                                                   Page 28
    trial court can determine from the record. The trial court did not abuse its discretion by
    overruling appellant’s motion for new trial without first conducting a hearing.”).
    Based on the foregoing, we cannot say that the trial court abused its discretion by
    denying Rodriguez’s request for a hearing on his motion for new trial. See Smith, 
    286 S.W.3d at 339
    . This is because all the complaints raised in Rodriguez’s motion for new
    trial are subject to being determined from the record. See 
    id.
     As such, we overrule
    Rodriguez’s sixth issue.
    Conclusion
    Having overruled all of Rodriguez’s issues, we affirm the judgments of the trial
    court.
    STEVE SMITH
    Justice
    Before Chief Justice Gray,
    Justice Johnson, and
    Justice Smith
    Affirmed
    Opinion delivered and filed August 31, 2022
    Do not publish
    [CRPM]
    Rodriguez v. State                                                                   Page 29