                                   NUMBER 13-08-00607-CV

                                    COURT OF APPEALS

                       THIRTEENTH DISTRICT OF TEXAS

                           CORPUS CHRISTI - EDINBURG


                          IN THE INTEREST OF A.J.R., A CHILD


   On appeal from the 377th District Court of Victoria County, Texas.



                              MEMORANDUM OPINION
     Before Chief Justice Valdez and Justices Yañez and Benavides
             Memorandum Opinion by Justice Benavides

        On September 23, 2008, the trial court held a non-jury trial concerning the

termination of the parent-child relationship between Mary F. and A.J.R.1 On October 14,

2008, the trial court signed a written order terminating the parent-child relationship. Mary

F. appeals, arguing that: (1) the evidence does not demonstrate that the State made

reasonable efforts to return A.J.R. or provide her with a service plan, and there is no



          1
            To protect the privacy of the individuals involved, we use initials in place of real nam es. See T EX .
R. A PP . P. 9.8.
evidence that the requirement was waived; (2) the trial court abused its discretion in finding

by clear and convincing evidence that Mary F. had engaged in conduct or knowingly placed

A.J.R. with persons who engaged in conduct which endangered A.J.R.’s physical or

emotional well-being; (3) the trial court erred by admitting testimonial evidence regarding

Mary F.’s and A.J.R.’s medical and drug tests; (4) the trial court erred in finding that her

womb, ovaries, and uterus are deadly weapons and in ordering that she be surgically

sterilized; and (5) the trial court erred in relying on two prior termination orders when

terminating her parent-child relationship with A.J.R. We modify the judgment and affirm

it as modified.

                                      I. BACKGROUND

       Mary F. is the mother of D.J.E., A.J.E., A.R.R., and R.R. D.J.E., A.J.E., and R.R.

tested positive for drugs at birth.    Additionally, R.R. was born with severe medical

problems, including cerebral palsy, withdrawals, stomach cramping, and a protein digestion

disorder, among other issues. On December 21, 2006, subsequent to the births of D.J.E.,

A.J.E., and A.R.R., Mary F. pleaded guilty to “endangering [a] child” and “unlawful delivery

of controlled substance in penalty group 1.” See TEX . PENAL CODE ANN . § 22.041 (Vernon

Supp. 2008); TEX . HEALTH & SAFETY CODE ANN . § 481.112 (Vernon 2003). Based on those

pleas, the trial court ordered deferred adjudication for five years and ten years,

respectively. On April 8, 2008, the trial court terminated Mary F.’s rights to R.R., and on

May 9, 2008, the trial court terminated her rights to D.J.E., A.J.E., and A.R.R. This Court

upheld those terminations.2


       2
        See In re D.J.E., Nos. 13-08-00349-CV, 13-08-00350-CV, 2008 W L 5196608, at *11 (Tex.
App.–Corpus Christi Dec. 11, 2008, no pet.).

                                              2
         On May 24, 2008, Mary F. gave birth to her fifth child, A.J.R. Mary Hermis, an

investigator with Child Protective Services, testified that she was called on to investigate

Mary F. Mary F. confirmed that she had ingested cocaine at least a week prior to giving

birth to A.J.R., and A.J.R. tested positive for cocaine at the time of her birth. Hermis noted

that A.J.R.’s urine and meconium tested positive for cocaine.3 Additionally, Mary F. tested

positive for cocaine twice during her pregnancy with A.J.R. and received “limited prenatal

care.”

         The Texas Department of Family Protective Services (“TDFPS”) removed A.J.R.,

who had yet to be discharged from the hospital. Upon removal from Mary F. and discharge

from the hospital, A.J.R. was placed in foster care through the TDFPS. Subsequent to the

removal, Hermis arranged for Mary F. to visit A.J.R. at the TDFPS’s office, which was the

only time Mary F. and Hermis had face-to-face contact after the removal. Mary F. did not

contact Hermis again.

         Sonia Cantu-Gonzales, a legal worker for Child Protective Services, also testified.

She was the legal caseworker assigned to A.J.R.’s case. On June 30, 2008, the TDFPS

obtained a determination of aggravated circumstances which waived the requirement that

the TDFPS make reasonable efforts to return A.J.R. to Mary F. Cantu-Gonzales stated

that A.J.R. does not require any special medical attention, and that there was no indication

that Mary F.’s positive tests for cocaine had caused any negative effects to A.J.R.

Although Mary F. was incarcerated the majority of the time Cantu-Gonzalez was working

the case, Mary F. made one attempt to visit with A.J.R. during this time. Mary F. indicated


         3
          Meconium is the “first stool of newborn infants.” “W hat is Meconium Aspiration,” available at
http://www.kidsgrowth.com /resources/articledetail.cfm ?id=927 (last visited July 14, 2009).

                                                   3
to Cantu-Gonzalez that she had to go to rehabilitation as part of her deferred adjudication

for her prior guilty pleas to delivery of a controlled substance and endangerment to a child.

Cantu-Gonzalez also testified that Joe R., the purported father of A.J.R., had not been

established to be the father via a paternity test. Even so, the TDFPS was seeking to have

him named a possessory conservator of A.J.R. Joe R. had weekly visits with A.J.R.

       Stacie Marthiljohni, a court appointed special advocate (“CASA”), stated that Mary

F. did not regularly attend rehabilitation. As the CASA caseworker assigned to Mary F.’s

four other children, Marthiljohni informed her that R.R.’s medical problems were due to

Mary F.’s drug use and that cocaine use during pregnancy can “severely impact a child.”

Marthiljohni testified that termination of Mary F.’s parent-child relationship with A.J.R. would

be in A.J.R.’s best interest.

       At the conclusion of the hearing, the trial court orally terminated the parent-child

relationship between Mary F. and A.J.R. It appointed the TDFPS as permanent managing

conservator and Joe R. as possessory conservator. Additionally, the trial court orally found

that Mary F.’s womb, uterus, and ovaries, in the manner that she has applied them, are

deadly weapons and orally ordered Mary F. to be surgically sterilized. On October 14,

2008, the trial court entered a written order of termination. This appeal ensued.

      II. EVIDENCE RELATING TO WAIVER OF SERVICE PLAN AND TERMINATION ORDER

       In her first issue, Mary F. argues that: (1) the evidence does not demonstrate that

the State made reasonable efforts to return A.J.R. or provide her with a service plan; and

(2) there is no evidence that the requirement in (1) was waived. See TEX . FAM . CODE ANN .

§§ 262.201, 262.2015 (Vernon 2008). In her fifth issue, Mary F. asserts that the trial court



                                               4
erred in relying on two prior termination orders when terminating her parent-child

relationship with A.J.R. See id. § 161.001(1)(D), (E) (Vernon 2008).

A.     Applicable Law

       Under the Texas Family Code, the State can remove an allegedly abused child from

his or her parent based “on information furnished by another that has been corroborated

by personal knowledge of facts and all of which taken together would lead a person of

ordinary prudence and caution to believe that there is an immediate danger to the physical

health or safety of the child.” Id. § 262.104(a)(2) (Vernon 2008). However, the State must

hold a full adversary hearing within fourteen days of removing the child to determine

whether there is just cause to keep the child from his or her parents. Id. § 262.201(a).

       The State must file a service plan within forty-five days of being appointed as

temporary managing conservator of the removed child. Id. § 263.101 (Vernon 2008). The

service plan should specify what measures the parents should take in ensuring that their

child can be returned to them. Id. § 263.102 (Vernon 2008). The State must also make

a reasonable effort to return the child to her parents, unless there is a substantial risk of

danger to the child in doing so. Id. § 262.201(b)(3).

       One way the court may waive these duties of the State is to find that “Aggravated

Circumstances” exist:

       The court may waive the requirement of a service plan and the requirement
       to make reasonable efforts to return the child to a parent and may accelerate
       the trial schedule to result in a final order for a child under the care of the
       department at an earlier date than provided by Subchapter D, Chapter 263,
       if the court finds that the parent has subjected the child to aggravated
       circumstances.

Id. § 262.2015(a). Two ways in which a court may find under subsection (a) that the child


                                             5
has been subjected to aggravated circumstances by the parent are if:

       (5)    the parent’s parental rights with regard to another child have been
              involuntarily terminated based on a finding that the parent’s conduct
              violated Section 161.001(1)(D) or (E) [or if]

              ....

       (7)    the parent’s parental rights with regard to two other children have
              been involuntarily terminated.

Id. § 262.2015(b)(5), (7).

       Family code sections 161.001(1)(D) and (E) provide that parental rights may be

terminated if the parent “knowingly placed or knowingly allowed the child to remain in

conditions or surroundings which endanger the physical or emotional well-being of the

child” or “engaged in conduct or knowingly placed the child with persons who engaged in

conduct which endangers the physical or emotional well-being of the child.”           Id. §

161.001(1)(D), (E).

B.     Standard of Review

       Appellate courts review termination of parental rights cases under an abuse of

discretion standard. Turner v. Lutz, 685 S.W.2d 356, 359 (Tex. App.–Austin 1984, no writ).

“To determine whether a trial court abused its discretion, we must decide whether the trial

court acted without reference to any guiding rules or principles; in other words, we must

decide whether the act was arbitrary or unreasonable.” In the Interest of D.W., 249 S.W.3d

625, 647 (Tex. App.–Fort Worth 2008, pet. denied) (citing Downer v. Aquamarine

Operators, Inc., 701 S.W.2d 238, 241-42 (Tex. 1985)). Merely because an appellate court

may decide a matter differently from the evidence presented at trial does not constitute an

abuse of discretion by the trial court. See id. “An abuse of discretion does not occur


                                            6
where the trial court bases its decisions on conflicting evidence.” Id. (citing In re Barber,

982 S.W.2d 364, 365 (Tex. 1998) (orig. proceeding)). “Furthermore, an abuse of discretion

does not occur as long as some evidence of substantive and probative character exists to

support the trial court’s decision.” In the Interest of M.N.G., 147 S.W.3d 521, 530 (Tex.

App.–Fort Worth 2004, pet. denied) (citing Butnaru v. Ford Motor Co., 84 S.W.3d 198, 211

(Tex. 2002)).

C.     Discussion

       1.       Waiver of Service Plan

       In her first issue, Mary F. argues that the record is conflicting regarding whether the

court ordered a service plan or whether such a service plan was waived due to a finding

of aggravated circumstances. On June 6, 2008, the TDFPS moved for a “Hearing and

Determination of Aggravated Circumstances.” In its motion, the TDFPS asserted that Mary

F.’s rights to four other children had been terminated and moved the court to waive the

requirement that TDFPS make reasonable efforts to return A.J.R. On June 30, 2008, the

trial court held a hearing and signed a “Temporary Order Following Adversary Hearing,”

which required Mary F. to, “pursuant to § 263.106 Texas Family Code [sic], . . . comply with

each requirement set out in [TDFPS’s] original, or any amended, service plan during the

pendency of [this] suit.” No service plan for Mary F. appears in the record.

       On July 2, 2008, based on the TDFPS’s June 30, 2008 “Motion for Hearing and

Determination of Aggravated Circumstances,” the trial court signed an “Order Determining

Aggravated Circumstances.” The trial court found that Mary F. previously had four children

who, at each child’s birth, tested positive for drugs, and it also found that she tested



                                              7
positive for drugs at the birth of each of those children.4 Her parental rights regarding

those children had been terminated under family code sections 161.001(D) or (E). See

TEX . FAM . CODE ANN . § 161.001(D), (E). The trial court ordered that “the requirement of a

service plan and the requirement to make reasonable efforts to return the child to [Mary

F.] are waived . . . .”

        Based on the findings in the record, we conclude that the trial court did not abuse

its discretion. The trial court made the requisite findings under section 262.2015 that Mary

F.’s rights to other children had been involuntarily terminated under section 161.001(1)(E)

or (D) and that her rights to two other children had been terminated.                                See id. §

262.2015(b)(5), (7). Because we find that the trial court’s waiver order was proper, we do

not address Mary F.’s arguments concerning whether the evidence demonstrates that the

State made reasonable efforts to return A.J.R. or to provide her with a service plan. We

overrule Mary F.’s first issue.

        2.       Prior Termination Orders

        In her fifth issue, Mary F. challenges the trial court’s reliance on two prior orders of

termination in making its aggravated circumstances finding and in ordering termination in

the present case.5 Mary F. asserts that, because the two prior orders were on appeal at


        4
            According to the record of the term ination hearing, Mary F. had four children prior to giving birth to
A.J.R. However, the record indicates that only three of those four children tested positive at birth for drugs.
Her parent-child rights were term inated as to all four children, as found by the trial court in the present case.
Mary F. does not challenge the order on those grounds, thus we do not consider this issue on appeal. See
T EX . R. A PP . P. 38.1(f).

        5
          The two orders are appellate cause num bers 13-08-00349-CV and 13-08-00350-CV. On Decem ber
11, 2008, we consolidated the two orders on appeal and affirm ed the judgm ent of the trial court. In re D.J.E.,
Nos. 13-08-00349-CV, 13-08-00350-CV, 2008 W L 5196608, at *1 n.2 (Tex. App.–Corpus Christi Dec. 11,
2008, no pet.).



                                                        8
the time of the termination order in the present case, the trial court could not find, by a

clear and convincing standard, that these terminations occurred. Essentially, she argues

that the trial court abused its discretion in concluding that the previous involuntary

terminations of Mary F.’s parent-child relationship with her other children were sufficient

evidence to support a finding that she had previously endangered her children and violated

sections 161.001(1)(D) or (E) of the family code.         See TEX . FAM . CODE ANN . §

161.001(1)(D), (E).

       In addressing a similar issue, the Fort Worth Court of Appeals stated,

       We hold that, when a prior decree of termination as to another child is
       properly admitted into evidence, the [TDFPS] need not reestablish that the
       parent’s conduct with respect to that child was in violation of sections
       161.001(1)(D) or (E). The [TDFPS] need only show that the Appellant’s
       rights were terminated as to her other children based on findings that she
       violated sections (D) and (E).

In re J.M.M., 80 S.W.3d 232, 243 (Tex. App.–Fort Worth 2002, pet. denied) (emphasis in

original), disapproved on other grounds, In re J.F.C., 96 S.W.3d 256 (Tex. 2002). In

J.M.M., the predecessor agency to TDFPS offered a prior order of termination which

terminated the defendant’s parental rights to a child other than J.M.M. The Fort Worth

Court of Appeals noted that the prior termination order tracked the language of section

161.001(1)(D) and (E) and was admitted without objection. Id.; see TEX . FAM . CODE ANN .

§ 161.001(1)(D), (E).

       In the present case, two prior orders of termination tracked the language of section

161.001(1)(D) and (E) and were offered and admitted into evidence without objection. At

the time of the termination order in the present case, these two orders were on appeal,

which slightly distinguishes this case from J.M.M. However, section 109.002(c) of the

                                            9
family code states:

       An appeal from a final order, with or without a supersedeas bond, does not
       suspend the order unless suspension is ordered by the court rendering the
       order. The appellate court, on a proper showing, may permit the order to be
       suspended, unless the order provides for the termination of the parent-child
       relationship in a suit brought by the state or a political subdivision of the state
       permitted by law to bring the suit.

TEX . FAM . CODE ANN . § 109.002(c) (Vernon 2008). There is no order of suspension in the

record, and because the orders terminate Mary F.’s parent-child relationship with her other

children, we cannot suspend the orders. Therefore, at the time of the termination in the

present case, the two prior orders of termination were in full effect. See In re S.S.G., 208

S.W.3d 1, 3 (Tex. App.–Amarillo 2006, pet. denied) (noting that once a judgment is

reversed, it is nullified, “leaving it as if it had never been rendered other than as to further

rights of appeal”) (citing Ex parte Rutherford, 556 S.W.2d 853, 854 (Tex. Civ. App.–San

Antonio 1977, no writ) (“It is, therefore, clear that, while the appeal was pending, the order

[determining conservatorship] remained in full effect . . . .”)).

       We conclude, as did the Fort Worth Court of Appeals, that because the two prior

orders were properly admitted into evidence and were in full effect at the time of the

termination of Mary F.’s parent-child relationship with A.J.R., TDFPS “need not reestablish

that [Mary F.’s] conduct with respect to [the children] was in violation of sections

161.001(1)(D) or (E).” See In re J.M.M., 80 S.W.3d at 243; see also TEX . FAM . CODE ANN .

§ 161.001(1)(D), (E). Thus, the evidence before the trial court that Mary F.’s parent-child

rights to other children were terminated for violating sections 161.001(1)(D) or (E) was

sufficient, and the trial court did not abuse its discretion by relying on the two prior

termination orders. See In re J.M.M., 80 S.W.3d at 243; see also TEX . FAM . CODE ANN . §

                                               10
161.001(1)(D), (E). We overrule Mary F.’s fifth issue.

                              III. SUFFICIENCY OF THE EVIDENCE

       In her second issue, Mary F. argues that the trial court abused its discretion in

finding by clear and convincing evidence that Mary F. had engaged in conduct or knowingly

placed A.J.R. with persons who engaged in conduct which endangered the physical or

emotional well-being of A.J.R. See TEX . FAM . CODE ANN . § 161.001(1)(E).

A.     Standard of Review

       In hearings regarding the termination of parental rights, due process requires that

the State prove its case for termination by clear and convincing evidence. In re J.F.C., 96

S.W.3d 256, 263 (Tex. 2002) (citing Santosky v. Kramer, 455 U.S. 745, 769 (1982); In re

G. M., 596 S.W.2d 846, 847 (Tex. 1980)). “This intermediate standard falls between the

preponderance standard of ordinary civil proceedings and the reasonable doubt standard

of criminal proceedings.” In re D.M.F., 283 S.W.2d at 129 (citing In re G.M., 596 S.W.2d

846, 847 (Tex. 1980); In re K.W., 138 S.W.3d 420, 425 (Tex. App.–Fort Worth 2004, pet.

denied)). The clear and convincing standard is defined as the “measure or degree of proof

that will produce in the mind of the trier of fact a firm belief or conviction as to the truth of

the allegations sought to be established.” TEX . FAM . CODE ANN . § 101.007 (Vernon 2008).

       Taking this elevated standard of review into consideration, an appellate court

reviewing the legal sufficiency of the evidence in a parental termination case must

determine whether a fact-finder could reasonably form a firm belief or conviction that the

grounds for termination were proven. In re J.F.C., 96 S.W.3d at 265-66. All evidence

should be reviewed “in the light most favorable to the judgment.” Id. at 266. This means


                                               11
that an appellate court must assume that the fact-finder resolved any disputed facts in

favor of its finding if a reasonable fact-finder could have done so. An appellate court must

also disregard all evidence that a reasonable fact-finder could have disbelieved. City of

Keller v. Wilson, 168 S.W.3d 802, 827 (Tex. 2005). “If [an appellate court] determines that

no reasonable factfinder could form a firm belief or conviction that the matter that must be

proven is true, then that court must conclude that the evidence is legally insufficient.” In

re J.F.C., 96 S.W.3d at 266.

       Similarly, the clear and convincing standard of review in a parental termination

hearing requires a higher level of evidence in order to be factually sufficient. See In re

C.H., 89 S.W.3d 17, 25 (Tex. 2002). Under the more common factual sufficiency of the

evidence standard, “a court determines if a finding is so against the great weight and

preponderance of the evidence that it is manifestly unjust, shocks the conscience, or

clearly demonstrates bias.” Id. at 25 (citing Pool v. Ford Motor Co., 715 S.W.2d 629, 635

(Tex. 1986)). In contrast, “the appellate standard for reviewing termination findings is

whether the evidence is such that a fact-finder could reasonably form a firm belief or

conviction about the truth of the State’s allegations.” Id.

       Therefore, in reviewing the factual sufficiency of the evidence in a parental rights

termination, “[w]e must determine whether, on the entire record, a fact-finder could

reasonably form a firm conviction or belief that the parent violated a provision of section

161.001(1) and that the termination of the parent’s parental rights would be in the best

interest of the child.” In re M.C.T., 250 S.W.3d 161, 168 (Tex. App.–Fort Worth 2008, no

pet.) (citing In re C.H., 89 S.W.3d at 28). “If, in light of the entire record, the disputed



                                             12
evidence that a reasonable fact-finder could not have credited in favor of the finding is so

significant that a fact-finder could not have reasonably formed a firm belief or conviction

in the truth of its finding, then the evidence is factually insufficient.” Id. (citing In re H.R.M.,

209 S.W.3d 105, 108 (Tex. 2006)).

B.     Applicable Law

       In order for a court to terminate the parent-child relationship, it must find two

essential elements. In re J.L., 163 S.W.3d 79, 84 (Tex. 2005). First, the parent must have

committed one of the prohibited acts listed in section 161.001(1) of the family code. Id.

(citing TEX . FAM . CODE ANN . § 161.001(1)). Second, it must be in the child’s best interest

to terminate the parental rights. Id. (citing TEX . FAM . CODE ANN . § 161.001(2)). “Both

elements must be established; termination may not be based solely on the best interest

of the child as determined by the trier of fact.” In re D.M.F., 283 S.W.3d 124, 129 (Tex.

App.–Fort Worth 2009, pet. filed) (op. on reh’g) (citing Tex. Dep’t of Human Servs. v. Boyd,

727 S.W.2d 531, 533 (Tex. 1987)).

       A parent violates section 161.001(1) when the parent has “engaged in conduct or

knowingly placed the child with persons who engaged in conduct which endangers the

physical or emotional well-being of the child. . . .” TEX . FAM . CODE ANN . § 161.001(1)(E).

C.     Discussion

       Mary F. contends that the evidence presented at the termination hearing was neither

legally nor factually sufficient to show, by clear and convincing evidence, that she violated

section 161.001(1)(E) of the family code by engaging in conduct which endangered the

physical or emotional well-being of A.J.R. “Under subsection (E), the relevant inquiry is


                                                13
whether evidence exists that the endangerment of the child’s physical well-being was the

direct result of the parent’s conduct, including acts, omissions, or failures to act.” In re

J.T.G., 121 S.W.3d 117, 125 (Tex. App.–Fort Worth 2003, no pet.) (citing In re R.D., 955

S.W.2d 364, 368 (Tex. App.–San Antonio 1997, pet. denied); Dupree v. Tex. Dep’t of

Protective & Regulatory Servs., 907 S.W.2d 81, 83-84 (Tex. App.–Dallas 1995, no writ)).

A mother’s drug use during pregnancy may be sufficient evidence of endangerment to her

child. Id. at 125.

       Mary F. argues that there was not sufficient evidence to support the State’s

accusations of her drug use during her pregnancy with A.J.R. Hermis testified that A.J.R.

tested positive at birth for cocaine in both her urine and meconium. Hermis also stated that

Mary F. tested positive for cocaine twice during her pregnancy with A.J.R.

       Mary F. also argues that even if both she and A.J.R. tested positive for cocaine

during her pregnancy and at birth, this was not sufficient evidence to prove that she

endangered A.J.R.’s well-being because A.J.R. was not physically harmed by Mary F.’s

drug use. While “‘endanger’ means more than a threat of metaphysical injury or the

possible ill effects of a less-than-ideal family environment, it is not necessary that the

conduct be directed at the child or that the child actually suffers injury.” Boyd, 727 S.W.2d

at 533. Instead, one is “endangered” when exposed to loss or injury or placed in jeopardy.

Id. Although A.J.R. did not suffer any actual physical harm, the evidence clearly shows

that Mary F. exposed A.J.R. to loss or injury and jeopardized her well-being when she

abused cocaine during her pregnancy with A.J.R. Therefore, Mary F. violated Section

161.001(1)(E) by endangering A.J.R.’s physical or emotional well-being.



                                             14
       Having viewed all of the evidence in the light most favorable to the judgment, we

conclude that a fact-finder could have reasonably formed a firm belief or conviction that

Mary F. “engaged in conduct or knowingly placed [A.J.R.] with persons who engaged in

conduct which endangers the physical or emotional well-being of [A.J.R.] . . . .” See TEX .

FAM .CODE ANN . § 161.001(1)(E); In re J.F.C., 96 S.W.3d at 265-66. Additionally, viewing

the entire record, we conclude that a reasonable fact-finder could form a firm belief or

conviction that Mary F. violated family code section 161.001(1)(E). See In re M.C.T., 250

S.W.3d at 168. Because, based on a clear and convincing standard, the evidence is

legally and factually sufficient to support the trial court’s determination that Mary F. violated

section 161.001(1)(E), the trial court did not abuse its discretion in so finding. We overrule

Mary F.’s second issue.

                            IV. TESTIMONY OF MICHELLE HERMIS

       In her third issue, Mary F. argues that the trial court committed error by “admitting

testimonial evidence of [Mary F.’s] or [A.J.R.’s] medical and drug test results at birth

because the sponsoring witness, Michelle Hermis, was not qualified to give an expert

opinion on the positive or negative results of the testing or the length of time the cocaine

had been in [Mary F.’s] system.” During direct examination, Hermis testified that Mary F.

had indicated that she “had ingested cocaine at least a week prior to giving birth” to A.J.R.

Additionally, Hermis stated that A.J.R. tested positive for cocaine at birth.

       While being cross examined by A.J.R.’s representative, Hermis again acknowledged

that A.J.R. tested positive for cocaine both in her urine and meconium. Hermis suggested

that a positive test for cocaine in the meconium indicates a long-term use while the baby



                                               15
is in utero and that such a result also establishes that cocaine was used more than three

times.

         While Mary F. did not object to any of the foregoing testimony, she did object to the

next question, which was, “[The cocaine is] kind of built up in the baby, in the baby’s

system?”       Mary F. objected on grounds that Hermis was testifying beyond her

qualifications. The State notes that the trial court overruled the objection, and Hermis

continued with her discussion of Mary F.’s cocaine use and other issues concerning

A.J.R.’s safety.



         “It is a well-settled principle that to preserve error for review on appeal, a defendant

must object timely, specifically, and receive an adverse ruling at trial.” Jaynes v. State, 216

S.W.3d 839, 850 (Tex. App.–Corpus Christi 2006, no pet.) (citing TEX . R. APP. P. 33.1(a);

Turner v. State, 805 S.W.2d 423, 431 (Tex. Crim. App. 1991)). “A trial court’s erroneous

admission of evidence will not require reversal when other such evidence was received

without objection, either before or after the complained-of ruling.” Id. (citing Leday v. State,

983 S.W.2d 713, 718 (Tex. Crim. App. 1998)). We conclude that, because evidence

concerning the presence of cocaine in A.J.R.’s urine and meconium and concerning Mary

F.’s drug use was “received without objection” prior to Mary F.’s objection, even if the trial

court erred in admitting the evidence, which we do not decide, such error would not require

reversal. Id. Mary F.’s third issue is overruled.

                                  V. SURGICAL STERILIZATION

         In her fourth issue, Mary F. asserts that the trial court erred in finding that her womb,



                                                16
ovaries, and uterus are deadly weapons and in ordering that she be surgically sterilized.6

The State agrees. See TEX . PENAL CODE ANN . § 1.07(a)(17) (Vernon Supp. 2008) (defining

“deadly weapon”). However, the State disagrees with Mary F.’s “effort to raise this mistake

by the [trial court] to a level of an error in the termination of parental rights.”

         Because the State concedes that the trial court erred in ordering that Mary F. be

surgically sterilized and in finding that her ovaries, womb, and uterus were deadly

weapons, we delete that portion of the trial court’s order requiring the surgical sterilization

and the deadly weapon finding.                  See Matter of C.P., 925 S.W.2d 151, 152 (Tex.

App.–Austin 1996, writ denied) (vacating conviction on certain offenses upon State’s

concession that those offenses were lesser included offenses of other offenses on which

defendant was convicted); see also Randle v. State, No. 05-07-00849-CR, 2008 WL

933424, at *1 (Tex. App.–Dallas Apr. 08, 2008, no pet.) (vacating a trial court’s order

because the State conceded error). Because “[o]nly one statutory predicate finding under

[s]ection 161.001 is necessary to support a judgment of termination when there is also a

finding that termination is in the best interest of the children,” In re R.S., 252 S.W.3d 550,

553 (Tex. App.–Texarkana 2008, no pet.), we agree with the State that Mary F. cannot

raise this error to overcome the termination order. In addition to the deadly weapon

finding, the trial court found that termination is in A.J.R.’s best interest and that Mary F.

violated sections 161.001(E) and 161.001(M). See TEX . FAMILY CODE ANN . §§ 161.001(E),


         6
          The trial court’s written term ination order does not m ention sterilization; the trial judge orally ordered
the surgery. The written term ination order does, however, contain the trial judge’s finding that Mary F.’s
“uterus and ovaries in their m anner and use are deadly weapons.” (Em phasis om itted). The State does not
dispute that the trial court orally ordered the surgery. See T EX . R. A PP . P. 38.1(g) (“[T]he court will accept as
true the facts stated unless another party contradicts them .”).



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(M). Therefore, we find that the trial court did not err in terminating Mary F.’s parental

rights even if it did err by finding that her ovaries, womb and uterus were deadly weapons.

We sustain in part and overrule in part Mary F.’s fourth issue.

                                       VI. CONCLUSION

       Having overruled Mary F.’s first, second, third and fifth issues, we affirm the

judgment of the trial court as to those issues. Regarding Mary F.’s fourth issue, we delete

that portion of the trial court’s order requiring her surgical sterilization and the finding that

her ovaries, uterus, and womb are deadly weapons, and modify the judgment accordingly

without these provisions. We affirm the remainder of the trial court’s judgment.




                                                       ______________________________
                                                       GINA M. BENAVIDES,
                                                       Justice

Memorandum Opinion delivered and
filed this the 20th day of August, 2009.




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