in the Interest of K.M.-J. AKA K.M-J and D.A.R.-J. v. Department of Family and Protective Services ( 2015 )


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  • Opinion issued September 8, 2015
    In The
    Court of Appeals
    For The
    First District of Texas
    ————————————
    NO. 01-15-00253-CV
    ———————————
    IN THE INTEREST OF K.M.-J. AND D.A.R.-J
    On Appeal from the 314th District Court
    Harris County, Texas
    Trial Court Case No. 2012-06289J
    MEMORANDUM OPINION
    After a bench trial, the trial court terminated the parental rights of appellant,
    H.J., to her minor children, K.M.-J. and D.A.R.-J., and named the Texas
    Department of Family and Protective Services (“DFPS”) sole managing
    conservator. See TEX. FAM. CODE ANN. § 161.001 (West 2014). In three issues on
    appeal, H.J. contends (1) the trial court abused its discretion by admitting medical
    records that contained reports of medical professionals who were never designated
    as experts by DFPS; and (2) that the evidence was legally and factually sufficient
    to support the termination of her parental rights. We affirm.
    BACKGROUND
    H.J. lived with her boyfriend, Jorge, in an apartment with her three-year-old
    son, Joseph,1 her two-year-old daughter, K.M.-J., and her 10-month-old son,
    D.A.R.-J. Jorge testified that he was the father of the two youngest children, but
    he was not Joseph’s father. H.J. testified that Joseph’s father was Jose Martinez,
    and that he was deported when she filed a domestic abuse claim against him.
    The Death of Joseph and H.J.’s Inconsistent Statements
    On November 4, 2012, H.J. called an ambulance to pick up her son, Joseph,
    at 4 a.m. Joseph died en route to Texas Children’s Hospital. H.J. told the forensic
    nurse that Joseph had fallen the previous day at the park. The nurse noted bruising
    that could be consistent with a fall, but also noticed injuries not consistent with a
    fall, such as bruising behind his ears, looped bruises on his legs, and bruises on his
    back.
    An autopsy performed the next day showed that Joseph died as a result of
    blunt-force trauma to the torso, which left several contusions on the right side of
    his chest and upper abdomen, and caused a ruptured intestine resulting in bacterial
    1
    For purposes of this opinion, we refer to all minors either by initials or a ficticious
    name. See TEX. R. APP. P. 9.8.
    2
    sepsis and peritonitis. Other injuries included abrasions to the forehead and face,
    contusions of the right cheek, left shoulder, and right thigh, and a superficial
    laceration of the lip.
    Because of Joseph’s death, DFPS received a referral and sent an investigator
    to speak with H.J. H.J. told the investigator that on the day before Joseph’s death,
    she and the children got up, had breakfast, and went to the park. She stated that
    K.M.-J. was chasing Joseph, and he tripped over his untied shoelace. H.J. said she
    washed the scratch on his forehead and the children resumed playing for a few
    more hours before they went home. H.J. fed the children and then put them to bed
    at 9 p.m.—Joseph did not eat much, but he appeared fine. At around 4:00 a.m.,
    H.J. got up to use the bathroom and heard Joseph moaning and pointing to his side.
    She called 911, and after some delay, EMS arrived to take Joseph to the hospital.
    Jorge told police much of the same story, but admitted to “playfully hitting”
    Joseph in the stomach. He denied hitting Joseph hard enough to hurt him. H.J.
    admitted to seeing Jorge hit Joseph in a playful manner on the Friday before
    Joseph died on Sunday.
    Police prepared a probable cause affidavit for Jorge’s arrest, alleging that
    Jorge admitted to “play boxing” with Joseph. H.J. told police that on Friday,
    November 2, 2012, she heard Joseph cry, and when she went to check on him,
    3
    Jorge said that he was “play boxing” with Joseph and hit him in the stomach.
    Jorge was ultimately charged with Joseph’s murder.
    At a preliminary hearing in this case, H.J. testified about the “play boxing”
    as follows:
    They were playing as if they were fighting, boxing like. And they
    were playing fine. I didn’t stop them or call the attention because the
    play was, you know, fine. And then I went to the kitchen to prepare
    food. And then I—when I heard him cry is when I came out and ask
    him what happened and why was he crying. He said that he was sorry
    he didn’t mean to hit him or hurt him. And I picked him up to—sat
    him down to eat.
    When asked again whether she saw Jorge hit Joseph, H.J. stated, “Frankly, I didn’t
    see that. I was in the kitchen.” When asked about the bruises on Joseph’s legs,
    H.J. said that her friend’s older children had hit him with sticks. She had earlier
    told DFPS investigators that one of the bruises had been on Joseph his whole life,
    that the bruises behind his ears were likely caused by K.M.-J. fighting with him,
    and that the bruises on his legs were from playing on ride-on toys, and were not
    caused by a belt or cord.
    At trial, H.J. denied ever seeing Jorge “play boxing” with Joseph, and
    testified that she “said that because I felt pressured because I felt completely
    pressured to see my son laying there and I had to say something—to the—to see
    your son laying down there, laying down there dead.” The following exchange
    then took place at trial during H.J.’s testimony:
    4
    Q: Now, one important point here is that you made a very big
    inconsistent statement. And the testimony here is that you did it on
    two occasions; one to the police officer and one to the [DFPS]
    investigator?
    A: Yes.
    Q: And today, you are telling this Court that the father never was play
    boxing with this child?
    A: Yes.
    Q: Explain why you felt pressure to making an inconsistent statement?
    A: Because at that very day when I was seeing my child dead, I didn’t
    know what to say because the man told me that if I didn’t say
    anything I was going to be put in jail.
    Q: Who was the man that said that to you?
    A: The one that brought the detective over.
    Q: Do you know his name? Do you know who he was?
    A: No.
    Q. Was he a police officer?
    A: They were detectives.
    Q: Are you telling this Court that you felt the pressure to say
    something that may explain what happened to this child?
    A: Yes, because he was telling me, if you don’t help me, you can go
    to jail.
    The trial court then asked H.J. if, the last time she had testified before the court,
    she had made up the story about the play boxing with her boyfriend, and H.J.
    5
    responded, “Yes.” When the trial court questioned H.J. about making up the story,
    the following exchange took place:
    [Trial Court]: You could have used any other person that’s ever had
    contact with your son, but you used your boyfriend. I want to know
    why you used your boyfriend?
    [H.J.]: It was the only thing that occurred to me. The only thing that
    came to my mind.
    Evidence of Abuse or Neglect of K.M.-J.
    Because of Joseph’s death, both of the other children were examined at
    Texas Children’s Hospital on November 5th, and K.M.-J’s medical records were
    entered into evidence at trial. K.M.-J. had swelling of the right ankle and x-rays
    showed a healing fracture. When asked about K.M.-J.’s broken ankle, H.J. said
    that the child took a bath on Saturday before Joseph’s death, and that she injured
    her ankle stepping out of the tub. When asked why she had not told DFPS about
    the injury when she was first questioned, H.J. claimed that “she was nervous and
    forgot.” K.M.-J.’s aunt told doctors that the injury was over a month old and that
    the child was standing on the toilet seat and injured it when she fell into the toilet.
    The aunt thought K.M.-J. had reinjured the ankle, but she did not know any details.
    The medical records state that “[t]he patient has clear injury apparent to anyone
    and medical treatment not obtained. This is consistent with abuse and neglect.”
    The doctor also noted “multiple injuries without explanation,” and “injuries of
    6
    different ages.”    The doctor also stated that “[t]here is also extensive callus
    formation involving [the] right tibia and fibula [that] indicated repeated trauma.”
    ADMISSION OF MEDICAL RECORDS
    In her first issue on appeal, H.J. contends the trial court erred by admitting
    Exhibit 17—K.M.-J’s medical records from Texas Children’s Hospital—“which
    contained opinions of experts that were never disclosed in response to a timely
    served request under TRCP 194.2(f).”2 Specifically, H.J. argues that the medical
    records contained opinions by Doctors Penelope Louis and Victor Seghers, and
    that those doctors were never identified as testifying experts pursuant to Texas
    Rule of Civil Procedure 194.2(f), which provides:
    A party may request disclosure of any or all of the following:
    ....
    (f) for any testifying expert:
    (1) The expert’s name, address, and telephone number;
    (2) the subject matter on which the expert will testify;
    (3) The general substance of the expert’s mental
    impressions and opinion and a brief summary of the
    basis for them, or if the expert is not retained by,
    2
    When DFPS offered the medical records into evidence, H.J.’s counsel objected as
    follows:
    I object to Exhibit 17 on the basis that this document has just
    recently been provided to me and it contains opinions from doctors
    that were not identified in response to my disclosure request.
    7
    employed by, or otherwise subject to the control of
    the responding party, documents reflecting such
    information[.]
    TEX. R. CIV. P. 194.2(f). DFPS responded only that the records were nonetheless
    admissible as business records, and the trial court admitted the records, including
    the records of Doctors Louis and Seghers.
    If a party discovers its responses to written discovery are incomplete, it must
    amend or supplement its responses “to the extent that the written discovery sought
    the identification of persons with knowledge of relevant facts, trial witnesses, or
    expert witnesses.” See TEX. R. CIV. P. 193.5(a). A party that fails to supplement a
    response in a timely manner may not introduce in evidence the material or
    information that was not timely disclosed or offer the testimony of a witness who
    was not timely identified, unless the trial court finds that (1) there was good cause
    for the failure to timely supplement; or (2) the failure to timely supplement the
    discovery response will not unfairly surprise or unfairly prejudice the other party.
    TEX. R. CIV. P. 193.6(a)(1)(2). The burden of establishing good cause or lack of
    unfair surprise or prejudice is on the party seeking to introduce the evidence or call
    the witness. TEX. R. CIV. P. 193.6(b).
    The trial court may grant a continuance to cure unfair surprise or prejudice
    caused by a failure to comply with this rule. See TEX. R. CIV. P. 193.6(c). Even if
    a party fails to establish “good cause” a trial court has the power to consider other
    8
    options, including granting a continuance. See id.; see also PR Investment &
    Specialty Retailers, Inc. v. State, 
    251 S.W.3d 472
    , 480 (Tex. 2008) (“Even where a
    party fails to establish good cause for its failure to timely amend discovery
    responses, the court may grant a continuance to allow for supplementation of
    discovery responses or further discovery in response to the supplementation.”).
    Standard of Review
    We review a trial court’s ruling on discovery matters for an abuse of
    discretion. Bodnow Corp. v. City of Hondo, 
    721 S.W.2d 839
    , 840 (Tex. 1986);
    Adams v. Allstate County Mut. Ins. Co., 
    199 S.W.3d 509
    , 513 (Tex. App.—
    Houston [1st Dist.] 2006, pet. denied). Likewise, we review the admission of
    evidence under an abuse of discretion standard. In re J.P.B., 
    180 S.W.3d 570
    , 575
    (Tex. 2005). A trial court abuses its discretion when it acts unreasonably or
    arbitrarily, without reference to any guiding principles. Beaumont Bank, N.A. v.
    Buller, 
    806 S.W.2d 223
    , 226 (Tex. 1991).
    Erroneous admission or exclusion of evidence requires reversal if the error
    probably caused the rendition of an improper judgment. State v. Cent. Expressway
    Sign Assocs., 
    302 S.W.3d 866
    , 870 (Tex. 2009); Nissan Motor Co. v. Armstrong,
    
    145 S.W.3d 131
    , 144 (Tex. 2004). The Texas Supreme Court has recognized the
    impossibility of prescribing a specific test to determine whether a particular error is
    harmful and entrusts that determination to the sound discretion of the reviewing
    9
    court. Cent. 
    Expressway, 302 S.W.3d at 870
    . In conducting a harm analysis, we
    review the entire record. Cent. 
    Expressway, 302 S.W.3d at 870
    ; 
    Nissan, 145 S.W.3d at 144
    ; Tex. Dep’t of Transp. v. Able, 
    35 S.W.3d 608
    , 617 (Tex. 2000).
    “[I]t is not necessary for the complaining party to prove that ‘but for’ the exclusion
    of evidence, a different judgment would necessarily have resulted.” McCraw v.
    Maris, 
    828 S.W.2d 756
    , 758 (Tex. 1992). The complaining party must only show
    “that the exclusion of evidence probably resulted in the rendition of an improper
    judgment.” 
    Id. “[E]xclusion or
    admission of evidence is likely harmless if the
    evidence was cumulative” or if “the rest of the evidence was so one-sided that the
    error likely made no difference in the judgment.” Cent. 
    Expressway, 302 S.W.3d at 870
    ; see also Reliance Steel & Aluminum Co. v. Sevcik, 
    267 S.W.3d 867
    , 873
    (Tex. 2008).
    Analysis
    Even if we assume that the trial court erred by admitting K. M.-J.’s medical
    records, which contained information about her healing, but untreated broken ankle
    from doctors who were never designated as witnesses, we nonetheless conclude
    that, after considering the record as a whole, the admission of the evidence was
    harmless.
    First, we note that there was other, unobjected-to evidence that referred to
    K.M.-J.’s broken ankle. In Exhibit 8, the Department’s Removal Affidavit, Craig
    10
    Lightfoot alleged that “[t]he Department is concerned that [Joseph] sustained
    trauma to his intestines that led to his death, that [K.M.-J.] has an untreated broken
    ankle, and the possible trauma to [D.A.R.-J.].” Exhibit 11, the Mother’s Family
    Service Plan, likewise refers to the injury by stating, “[K.M.-J.] has a healing ankle
    fracture and [D.A.R.-J] had abnormalities in his CT scan. Both children are
    developmentally delayed. The parents took no measures to get their children
    treatment.”    Exhibit 12, Jorge’s Family Service Plan, contained similar
    information. And, on November 20, 2012, Craig Lightfoot testified at a pretrial
    hearing about the reasons the children were removed from H.J.’s home, and
    included information about K.M.-J.’s “healing fracture,” and H.J.’s explanation
    thereof. Therefore, information about K.M.-J.’s broken ankle was before the trial
    court in other, unobjected-to evidence, in addition to Exhibit 17, her medical
    records containing the opinions of the undesignated doctors.
    Secondly, while the information about K.J.-J.’s untreated ankle was certainly
    relevant to the issue of child endangerment, far more persuasive and important was
    the evidence that Joseph was killed after “play boxing” with Jorge, that H.J. knew
    about the “play boxing,” but neglected initially to tell police, and that, even after
    admitting to seeing the “play boxing,” recanted and claimed that she did not know
    that Jorge had hit Joseph. Evidence that H.J. knew of injuries to Joseph but failed
    to protect him or immediately seek treatment was much more relevant to the
    11
    endangerment issue, and, even without evidence of K.M.-J.’s ankle injury, it is
    probable that the same judgment would have been reached by the trial court, given
    that a child’s death occurred.
    But most importantly, we note that the trial court, by continuing the trial for
    eight months after the medical records were introduced, effectively granted a
    continuance that cured the alleged error. The purpose of Rule 194.2 is to give the
    opposing party sufficient information about an expert’s opinion to prepare to cross-
    examine the expert and to prepare rebuttal evidence. See Pro Plus, Inc. v. Crosstex
    Energy Servs., L.P., 
    388 S.W.3d 689
    , 705 (Tex. App.—Houston [1st Dist.] 2012),
    aff’d, 
    430 S.W.3d 384
    (Tex. 2014). Here, trial began on January 30, 2014, and,
    after the admission of the medical records and two witnesses—the custodian of the
    records and H.J.—the trial was adjourned and did not resume until October 7,
    2014. Even if Doctors Harris and Seghers had not been properly designated as
    experts in response to the H.J.’s request for disclosure, defense counsel knew that
    their records had been admitted in the trial, and had over eight months to prepare to
    cross-examine them or to obtain rebuttal evidence. Thus, error, if any, caused by
    the trial court’s admission of the medical records after DFPS’s failure to timely
    designate the physicians as expert witnesses was harmless. See TEX. R. APP. P.
    33.1.
    Accordingly, we overrule H.J.’s first issue on appeal.
    12
    SUFFICIENCY OF THE EVIDENCE
    In her second issue on appeal, H.J. argues that the evidence is legally and
    factually insufficient to support the trial court’s findings that she (1) allowed the
    children to remain in conditions or surroundings which endangered the children’s
    physical or emotional well-being or (2) engaged in conduct or placed the child with
    someone who engaged in conduct that endangered the physical or emotional well-
    being of her children. See TEX. FAM. CODE ANN. § 161.001(1)(D), (1)(E). Further,
    in her third issue, H.J. contends that the evidence is legally and factually
    insufficient to support the trial court’s finding that termination of her parental
    rights is in the children’s best interest. See 
    id. § 161.001(2).
    Standard of Review
    A parent’s natural right to the “companionship, care, custody, and
    management” of his or her children is of constitutional dimension and is an interest
    “far more precious than any property right.” Santosky v. Kramer, 
    455 U.S. 745
    ,
    758–59, 
    102 S. Ct. 1388
    , 1397 (1982); accord In re E.R., 
    385 S.W.3d 552
    , 563
    (Tex. 2012) (quoting Santosky); see Holick v. Smith, 
    685 S.W.2d 18
    , 20 (Tex.
    1985). A termination decree is complete, final, irrevocable, and divests for all time
    that natural right as well as all legal rights, privileges, duties, and powers between
    parents and their children except for the child’s right to inherit. 
    Holick, 685 S.W.2d at 20
    . We strictly scrutinize termination proceedings and strictly construe
    13
    the involuntary termination statutes in favor of the parent. See 
    id. However, “the
    rights of natural parents are not absolute,” and “[t]he rights of parenthood are
    accorded only to those fit to accept the accompanying responsibilities.” In re A.V.,
    
    113 S.W.3d 355
    , 361 (Tex. 2003) (quoting In re J.W.T., 
    872 S.W.2d 189
    , 195
    (Tex. 1994)). Recognizing that a parent may forfeit his or her parental rights by
    his or her acts or omissions, the primary focus of a termination suit is protection of
    the child’s best interests. See 
    id. In a
    case to terminate parental rights under section 161.001, the Department
    must prove, by clear and convincing evidence, (1) that the parent committed one or
    more of the enumerated acts or omissions justifying termination and (2) that
    termination is in the best interest of the child. TEX. FAM. CODE ANN. § 161.001;
    see In re J.O.A., 
    283 S.W.3d 336
    , 344–45 (Tex. 2009). Clear and convincing
    evidence is “proof that will produce in the mind of the trier of fact a firm belief or
    conviction as to the truth of the allegations sought to be established.” In re 
    J.O.A., 283 S.W.3d at 344
    (quoting TEX. FAM. CODE ANN. § 101.007 (West 2014)). “Only
    one predicate finding under section 161.001(1) is necessary to support a judgment
    of termination when there is also a finding that termination is in the child’s best
    interest.” In re 
    A.V., 113 S.W.3d at 362
    . Thus, if the trial court’s judgment relies
    on multiple predicate grounds, we may affirm on any one of those grounds. In re
    14
    D.S., 
    333 S.W.3d 379
    , 388 (Tex. App.—Amarillo 2011, no pet.); In re S.N., 
    272 S.W.3d 45
    , 49 (Tex. App.—Waco 2008, no pet.).
    In reviewing the legal sufficiency of the evidence in a parental-rights-
    termination case under section 161.001, we look at all the evidence to determine
    whether the evidence, viewed in the light most favorable to the finding, is such that
    the factfinder could reasonably have formed a firm belief or conviction about the
    truth of the issues on which DFPS bore the burden of proof. In re J.P.B., 
    180 S.W.3d 570
    , 573 (Tex. 2005) (per curiam); In re J.F.C., 
    96 S.W.3d 256
    , 266 (Tex.
    2002). We defer to the trial court as fact-finder and resolve disputed facts in favor
    of its finding if a reasonable factfinder could do so. See In re 
    J.F.C., 96 S.W.3d at 266
    ; Jordan v. Dossey, 
    325 S.W.3d 700
    , 713 (Tex. App.—Houston [1st Dist.]
    2010, pet. denied).
    Termination findings withstand a factual sufficiency challenge if the
    evidence is such that a reasonable factfinder could form a firm belief or conviction
    that the statutory grounds for termination exist. In re C.H., 
    89 S.W.3d 17
    , 18–19
    (Tex. 2002). To reverse a case on factual insufficiency grounds, “the reviewing
    court must detail the evidence relevant to the issue of parental termination and
    clearly state why the evidence is insufficient to support a termination finding by
    clear and convincing evidence.” 
    Id. at 19.
    15
    Evidentiary Sufficiency That H.J. Engaged in Endangering Conduct
    In her second issue, H.J. contends that the evidence is legally and factually
    insufficient to support termination of her parental rights under Texas Family Code
    section 161.001(1)(E). This provision provides a basis for terminating parental
    rights because of child endangerment. “‘To endanger’ means to expose a child to
    loss or injury or to jeopardize a child’s emotional or physical health.” 
    Jordan, 325 S.W.3d at 723
    ; accord In re T.N., 
    180 S.W.3d 376
    , 383 (Tex. App.—Amarillo
    2005, no pet.) (citing In re M.C., 
    917 S.W.2d 268
    , 269 (Tex. 1996) (per curiam)).
    “Although ‘endanger’ means more than a threat of metaphysical injury or
    the possible ill effects of a less-than-ideal environment, it is not necessary that the
    conduct be directed at the child or that the child actually suffers injury.” In re
    
    T.N., 180 S.W.3d at 383
    (citing In re 
    M.C., 917 S.W.2d at 269
    ); see Tex. Dep’t of
    Human Servs. v. Boyd, 
    727 S.W.2d 531
    , 533–34 (Tex. 1987); see also In re 
    J.O.A., 283 S.W.3d at 345
    (holding that endangering conduct is not limited to actions
    directed toward child); 
    Jordan, 325 S.W.3d at 723
    (holding that danger to child
    need not be established as independent proposition and may be inferred from
    parental misconduct even if conduct is not directed at child and child suffers no
    actual injury); Walker v. Tex. Dep’t of Family & Protective Servs., 
    312 S.W.3d 608
    , 616–17 (Tex. App.—Houston [1st Dist.] 2009, pet. denied) (explaining that
    relevant conduct may occur either before or after child’s removal from home).
    16
    Under subsection 161.001(1)(E), a parent’s rights can be terminated when
    she has “engaged in conduct or knowingly placed the child with persons who
    engaged in conduct which endangers the physical or emotional well-being of the
    child.” TEX. FAM. CODE ANN. § 161.001(1)(E). The parent’s conduct must cause
    the endangerment, and the endangerment must be the result of a voluntary,
    deliberate, and conscious course of conduct by the parent rather than a single act or
    omission. 
    Jordan, 325 S.W.3d at 723
    ; In re J.T.G., 
    121 S.W.3d 117
    , 125 (Tex.
    App.—Fort Worth 2003, no pet.). The parent’s conduct does not, however, have to
    be directed at a specific child, as “the manner in which a parent treats other
    children in the family can be considered in deciding whether that parent engaged in
    a course of conduct that endangered the physical or emotional well-being of a
    child.” Cervantes–Peterson v. Tex. Dep’t of Family & Protective Servs., 
    221 S.W.3d 244
    , 253 (Tex. App.—Houston [1st Dist.] 2006, no pet.).
    The relevant inquiry is whether evidence exists that the parent’s conduct—
    including acts, omissions, and failures to act—directly endangered the child’s
    physical well-being. See In re 
    J.T.G., 121 S.W.3d at 125
    ; In re D.M., 
    58 S.W.3d 801
    , 811–12 (Tex. App.—Fort Worth 2001, no pet.). Parental conduct may be
    relevant even if it does not involve the child or result in actual harm to the child.
    See 
    Boyd, 727 S.W.2d at 533
    –34; In re 
    D.M., 58 S.W.3d at 811
    .
    17
    As H.J. admits in her brief, the evidence “show[s] that [Jorge] struck
    [Joseph] in the abdomen with such force that it result[ed] in his death,” but
    contends “there was no evidence she was aware that he was capable of inflicting
    such a horrific injury[,]” and that “this record contains scant evidence that [H.J.]
    knew or should have known that [Jorge] was capable of striking [Joseph] with such
    force that it would cause his death.”
    H.J. also admits in her brief that she “gave patently inconsistent statements
    as to whether or not she saw [Jorge] play boxing with [Joseph].” And, at the time
    of trial, she denied that any play boxing ever occurred, even though Jorge himself
    had admitted to it in his statement to police. The medical examiner concluded that
    the perforated intestine was caused by a “substantial strike in the torso.” From the
    evidence presented, the trier of fact could have concluded that the play boxing did,
    in fact, occur, that H.J. saw it or knew about it, and that it was a much more
    substantial blow than that described by either H.J. or Jorge. By minimizing, or
    even denying, the severity of the blow that killed Joseph right up until the time of
    trial, H.J. shows a willingness to protect Jorge over even the well-being of her own
    children.
    There was also evidence that H.J. was untruthful or deceptive about other
    injuries the children suffered. When asked about the bruises on Joseph’s legs, she
    claimed both that he was born with them and that her friend’s older children had
    18
    hit him with sticks. There was also evidence that K.M.-J. had a broken ankle when
    she was examined the day after Joseph’s death, and H.J. had never sought
    treatment for it.
    From the evidence regarding Joseph’s death, including H.J.’s questionable
    testimony about the same, the factfinder had a sufficient basis to conclude that H.J.
    “engaged in conduct or knowingly placed the child with persons who engaged in
    conduct which endangers the physical or emotional well-being of the child.” TEX.
    FAM. CODE ANN. § 161.001(1)(E); see 
    Jordan, 325 S.W.3d at 724
    (“Abusive and
    violent criminal conduct by a parent can produce an environment that endangers
    the well-being of a child.”). There was evidence from which the trial court could
    reasonably conclude that she failed to obtain critical medical care for her children’s
    injuries. Even if the abuse was at the hands of Jorge, and not H.J., she has shown
    no willingness to remove him from the children’s lives, but has, instead, changed
    her testimony to protect him, now claiming that she never saw Jorge hit Joseph,
    even playfully. At trial, H.J. denied ever injuring her children or seeing Jorge
    injure them. However, in light of H.J.’s conflicting statements about the incident,
    the trial court was entitled to disbelieve her claim. See In re 
    J.P.B., 180 S.W.3d at 575
    (stating factfinder was entitled to disbelieve father’s claim that he did not
    know about child’s injuries). Thus, we conclude that the evidence is legally and
    factually sufficient to support the trial court’s finding under section 161.001(1)(E).
    19
    Because we conclude that the evidence is both legally and factually
    sufficient to support the trial court’s finding under section 161.001(1)(E), and
    because a finding as to any one of the acts or omissions enumerated in section
    161.001(1) is sufficient to support termination, we need not address H.J.’s issue
    challenging the trial court’s findings under section 161.001(1)(D). See In re 
    A.V., 113 S.W.3d at 362
    ; In re 
    D.S., 333 S.W.3d at 388
    ; 
    Walker, 312 S.W.3d at 618
    ; In
    re 
    S.N., 272 S.W.3d at 49
    . However, we must still determine whether the evidence
    was sufficient to support the trial court’s finding that termination was in the
    children’s best interest, pursuant to section 161.001(2).
    Evidentiary Sufficiency of Best–Interest Findings
    In her third issue, H.J. contends that the evidence is legally and factually
    insufficient to support the trial court’s finding that termination of her parental
    rights is in her children’s best interest. See TEX. FAM. CODE ANN. § 161.001(2).
    “A strong presumption exists that a child’s best interest are served by maintaining
    the parent-child relationship.” In re L.M., 
    104 S.W.3d 642
    , 647 (Tex. App.—
    Houston [1st Dist.] 2003, no pet.). In Holley v. Adams, the Texas Supreme Court
    provided a nonexclusive list of factors that the trier of fact in a termination case
    may use in determining the best interest of the child. 
    544 S.W.2d 367
    , 371–72
    (Tex. 1976). These factors include (1) the desires of the child; (2) the emotional
    and physical needs of the child now and in the future; (3) the emotional and
    20
    physical danger to the child now and in the future; (4) the parental abilities of the
    individuals seeking custody; (5) the programs available to assist these individuals
    to promote the best interest of the child; (6) the plans for the child by these
    individuals or by the agency seeking custody; (7) the stability of the home or
    proposed placement; (8) the acts or omissions of the parent that may indicate that
    the existing parent-child relationship is not a proper one; and (9) any excuse for the
    acts or omissions of the parent. 
    Id. These factors
    are not exhaustive, and there is
    no requirement that DFPS prove all factors as a condition precedent to parental
    termination. See In re 
    C.H., 89 S.W.3d at 27
    ; Adams v. Tex. Dep’t of Family &
    Protective Servs., 
    236 S.W.3d 271
    , 280 (Tex. App.—Houston [1st Dist.] 2007, no
    pet.).
    The Children’s Desires
    Both children are under the age of four and are suspected of being
    developmentally delayed. As such, DFPS was unable to ascertain the desires of
    the children. Though the children were both too young to express their desires,
    there was evidence that they were bonded with H.J. and that she loved them.
    However, evidence of H.J.’s love for the children is not evidence of the desires of
    the children themselves. See In re. X.R.L., 
    461 S.W.3d 633
    , 640 (Tex. App.—
    Texarkana 2015, no pet.). Further, evidence that a child loves a parent is only
    marginally relevant to a best interest finding. In re D.W., 
    445 S.W.3d 913
    , 926
    21
    (Tex. App.—Dallas 2014, pet. denied); In re M.H., 
    319 S.W.3d 137
    , 150 (Tex.
    App.—Waco 2010, no pet.). This factor, thus, is neutral at best.
    Parental Abilities of the Individuals Seeking Custody; Programs Available
    to Assist Those Seeking Custody; Stability of the Placement
    At the time of trial, H.J. had completed her family service plan and had
    stable housing and a job. Caseworker Arshield testified that by the time of trial the
    mother had done everything required by the family service plan, except she had not
    come to “as many [therapy] sessions as the therapist would like.” Arshield also
    testified that H.J. could meet the physical and emotional needs of the children.
    Consequently, these factors weigh in favor of not terminating H.J.’s parental rights.
    Plans for the Children by those Seeking Custody
    Nothing in the record indicates what H.J.’s plan would be for the children’s
    future. However, the Department has formulated future plans for both children.
    The last Department progress chart says that D.A.R.-J. had started a head start
    school program, and was attending twice monthly physical therapy. K.M.-J. is
    attending speech therapy twice a month to help her become more verbal. K.M.-J.
    is also being closely monitored for possible psychiatric trauma and disorders
    related to the abuse in H.J.’s home.      The Department has had a psychiatric
    evaluation done, and is awaiting the results to know how to proceed.
    Consequently, this factor weighs in favor of termination.
    22
    The Children’s Present and Future Emotional and Physical Needs
    The need for stability and permanence is an important consideration for a
    child’s present and future physical and emotional needs. In re J.D.B., 
    435 S.W.3d 452
    , 468 (Tex. App.—Dallas 2014, no pet.); In re T.G.R.–M., 
    404 S.W.3d 7
    , 17
    (Tex. App.—Houston [1st Dist.] 2013, no pet.) (“Stability is important in a child’s
    emotional and physical development.”). The record supports a finding that the
    children have repeatedly been placed in unstable home environments. There is
    evidence that Joseph’s father was abusive; H.J. testified that he tried to kill her on
    one occasion, and at the time of trial, she was afraid that he would return, even
    though he had been deported. And, there was sufficient evidence for the trial court
    to conclude that H.J.’s second boyfriend, Jorge, was also abusive. Jorge admitted
    to “play boxing,” with Joseph, but the medical evidence contradicts that by
    showing that Joseph suffered a substantial blow to the abdomen, thereby rupturing
    his intestine.
    Both children have been characterized as developmentally delayed, and
    K.M.-J. requires speech therapy, and may require ongoing psychiatric care. While
    H.J. has maintained a home and a job, her financial resources are limited. At the
    time the children were removed from H.J.’s home there were three children and
    two adults living in a one-bedroom apartment. After the children were taken from
    the home, H.J. missed two visitations because she could not afford a taxi ride.
    23
    H.J. also has limited familial resources. Although H.J. gave the names of
    several family members who might be able to take the children after they were
    removed from her home, most of the relatives were unreachable. An aunt was
    eventually reached and the children were placed with her, but she returned the
    children to DFPS within a week of their placement. Finally, H.J. has no assistance
    in caring for the children. One father was unreachable, the other was deported for
    domestic violence against H.J., and the last father is incarcerated after being
    charged with the murder of one of H.J.’s three children.
    Given that H.J. will have to provide and care for these children
    independently, has very limited financial and familial support, and considering that
    these children have more emotional and physical needs than an average child, it
    would be very difficult for H.J. to meet her children’s special needs.
    Consequently, this factor weighs in favor of termination.
    Present and Future Emotional & Physical Danger to the Childrens’
    Interests and Parental Ability
    As to the third and fourth Holley factors, “‘[e]vidence of past misconduct or
    neglect can be used to measure a parent’s future conduct.’” In re Z.M., 
    456 S.W.3d 677
    , 689 (Tex. App.—Texarkana 2015, no pet.) (quoting In re I.R.K.–N.,
    No. 10–13–00455–CV, 
    2014 WL 2069281
    , at *7 (Tex. App.—Waco May 15,
    2004, pet. denied) (mem. op.) (citing Williams v. Williams, 
    150 S.W.3d 436
    , 451
    24
    (Tex. App.—Austin 2004, pet. denied); Ray v. Burns, 
    832 S.W.2d 431
    , 435 (Tex.
    App.—Waco 1992, no writ) (“Past is often prologue.”)).
    A factfinder may, however, infer from a parent’s past conduct endangering a
    child’s well-being that similar conduct may recur in the future if the child is
    returned to the parent. Williams v. Williams, 
    150 S.W.3d 436
    , 451 (Tex. App.—
    Austin 2004, pet. denied). DFPS presented evidence of H.J.’s history of lying to
    cover up abuse to her children. H.J.’s children were removed from her home after
    her three-year-old child, Joseph, was killed.       After an investigation, it was
    determined the child died from blunt force trauma to his torso.        Police later
    indicted the live-in boyfriend of H.J., Jorge, for the murder of Joseph. DFPS filed
    for temporary custody of the two remaining children after Jorge and H.J. said Jorge
    had punched Joseph that night while play boxing, then gave conflicting accounts of
    what happened before Joseph died, and neither could offer a plausible explanation
    as to how the trauma occurred. At trial, H.J. recanted and said Jorge never hit
    Joseph. DFPS also learned that H.J.’s former live-in boyfriend, Martinez-Morales,
    had physically abused her and had been deported for that reason.
    Here, H.J. has a history of living with abusive men. One of H.J.’s children
    has died as a result of blunt force trauma caused by a man with whom H.J. chose to
    live. This factor weighs in favor of termination.
    25
    The acts or omissions of the parents and any excuse for such acts or
    omissions
    H.J. had the opportunity when she testified to clarify what happened to
    Joseph that caused his death, and she did not do that. Instead, the evidence is that
    she delayed in obtaining medical care and was evasive as to the cause of his
    injuries. Nothing in the record indicates that H.J. had a justification for her actions.
    Conclusion
    Viewing all the evidence in the light most favorable to the judgment, we
    conclude that a factfinder could have formed a firm belief or conviction that
    termination of H.J.’s parental rights was in K.M.-J.’s and D.A.R.-J.’s best interest.
    See TEX. FAM. CODE ANN. § 161.001(2); 
    J.F.C., 96 S.W.3d at 265
    –66. Viewing
    the same evidence in a neutral light, the disputed evidence is not so significant as
    to prevent a factfinder from forming a firm belief or conviction that termination of
    H.J.’s parental rights was in K.M.-J.’s and D.A.R.-J.’s best interest. See TEX. FAM.
    CODE ANN. § 161.001(2); 
    J.F.C., 96 S.W.3d at 265
    –66. Accordingly, we hold that
    the evidence is legally and factually sufficient to support the trial court’s finding
    that termination of H.J.’s parental rights was in K.M.-J.’s and D.A.R.-J.’s best
    interest.
    Accordingly, we overrule H.J’s third issue.
    26
    CONCLUSION
    We affirm the trial court’s order terminating H.J.’s parental rights.
    Sherry Radack
    Chief Justice
    Panel consists of Chief Justice Radack and Justices Bland and Huddle.
    27