AFFIRMED; Opinion Filed June 20, 2016.




                                                              In The
                                           Court of Appeals
                                    Fifth District of Texas at Dallas
                                                        No. 05-15-00787-CR

                                            ROY LEE TANNER, Appellant
                                                       V.
                                           THE STATE OF TEXAS, Appellee

                                On Appeal from the 204th Judicial District Court
                                             Dallas County, Texas
                                     Trial Court Cause No. F-1476344-Q

                                          MEMORANDUM OPINION
                                      Before Justices Bridges, Evans, and O'Neill1
                                               Opinion by Justice Evans
          Roy Lee Tanner appeals his conviction for aggravated sexual assault of a child. In two

issues, appellant contends the trial court erred in allowing impermissible hearsay evidence to be

presented to the jury and the evidence is insufficient to support his conviction. We affirm the

trial court’s judgment.

                                                            BACKGROUND

          Appellant is the father of two girls, A.T. and E.T. On June 28, 2014, Child Protective

Services (“CPS”) was contacted because A.T. and E.T. were found sleeping in a car in a motel

parking lot. A.T. was five years old and E.T. was three years old. CPS removed the girls from


   1
       The Hon. Michael J. O'Neill, Justice, Assigned




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appellant’s custody and placed them in foster care. The girls’ mother was living in another state

at the time.

        The girls were eventually placed with Shaun and Rocky Baker who have a licensed group

foster home. Shaun stated that both girls were happy and affectionate and quickly began calling

her “mom.” Within a week after arriving at the Bakers, the girls had a scheduled visit with

appellant. When Shaun told E.T. that she would be visiting her father, Shaun noticed that E.T.

became withdrawn and appeared nervous and scared. When E.T. returned from the visit, she

was very quiet and wanted her sister who had gone back to school.

        That afternoon, when A.T. returned from school, she and E.T. sat on the couch to watch

cartoons. When Shaun entered the room, she heard E.T. say to A.T. “I told Mom what Dad does

to us.” Shaun stated she believed E.T. waited for her to come into the room to make the

statement. According to Shaun, A.T. appeared scared and shocked. A.T. first responded, “I

don’t know what you are talking about.” But the girls continued to talk, becoming more and

more upset, until A.T. stated, “But he’ll kill me.” At that point, Shaun stated, both girls were

“fully balling their eyes out.” Shaun reported the abuse to Child Protective Services and took the

girls to Children’s Hospital in Dallas for a sexual assault medical examination.

        The sexual assault medical examinations were performed by Sandra Onyinanya, a nurse

examiner. As part of the exam, Onyinanya spoke with Shaun about the girls’ history. After

conducting a medical examination of A.T., Onyinanya stated there was no evidence of trauma to

her anus or genitals. Onyinanya stated this was common, however, because the tissue in those

areas heals quickly. Onyinanya also found no evidence of trauma to E.T.

        Approximately two weeks later, Shaun took the girls to see a child and family therapist,

Terri Liticker. During the initial meeting, Shaun stayed in the room with A.T. According to




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Liticker, when she began to ask A.T. about the alleged sexual abuse, A.T. crawled into Shaun’s

lap, turned her head, and started crying. Liticker stated this behavior indicated that A.T. had

suffered that type of trauma. When Shaun told Liticker what A.T. had told her, A.T. cried and

stated that she had told Shaun about it, but she didn’t want to talk. She told Shaun, “You tell

her.”

        Shaun related that A.T. told her appellant had touched her private parts and A.T. used the

word “pee pee.” Shaun said A.T. had described acts that sounded like full intercourse and said

appellant “put his conditioner in her.” Liticker stated the terms “pee pee” and “conditioner”

were A.T.’s words and not Shaun’s. Liticker stated that A.T. was emotional the whole time

Shaun was speaking and cried most of the time. Liticker also said that, although A.T. was afraid

of her at first, she quickly sought comfort by crawling into her lap which indicated A.T. had

inappropriate boundaries. Liticker indicated that, in later conversations when she spoke with

A.T. alone, A.T. expressed concern about appellant being put in jail and asked whether dads go

to jail “if little kids tell.” A.T. expressed feelings that she cared about appellant but was also

scared of him. Liticker stated it was not unusual for children to recant accusations when they

realize the consequences of their statements.

        Sometime after Shaun reported the alleged abuse, Detective Dior-Ali Cupid of the Dallas

Police Department child abuse unit was assigned to the case. Cupid immediately scheduled a

forensic interview of A.T. The interview was conducted by Nakisha Biglow at the Dallas

Children’s Advocacy Center with Detective Cupid present.

        During the interview, A.T. told Biglow that appellant would pour “conditioner” on her

hair and on her “vagina” and that the “conditioner” would come from his “vagina.” A.T. also

told Biglow that appellant took her clothes off, put his finger in her butt, and wiggled it. A.T.




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said it hurt when appellant did this and when she told him to stop, he refused. A.T. stated that

appellant also left her alone with a friend of his who took naked pictures of her. A.T. said that,

when she visited appellant, he would tell her that he didn’t love her and didn’t want to see her

anymore. Biglow also spoke to E.T., but Biglow stated E.T. did not disclose any abuse and told

her that she did not know about anything happening to her sister.

         Detective Cupid later interviewed appellant. Appellant told Detective Cupid, among

other things, that when A.T. was one or two years old he put his finger inside her anus to help

her with a hard stool. Appellant also told the detective that he once left A.T. with a friend at his

residence. When he later developed some pictures off a camera he found, he said there were

pictures of A.T. and his friend naked.

         In late 2014, A.T. and E.T. were removed from the Bakers’ care and placed with

appellant’s brother and his wife, Roketa and Lavon Tanner. In February 2015, the Tanners took

A.T. to see a new therapist, Lola McGee. Although Liticker informed the Tanners that she

wanted to help A.T. transition to the new therapist by communicating with her and transferring

A.T.’s records over, the Tanners never sent Liticker the consent forms necessary for that to

occur.

         McGee stated the referral she received said that A.T. had been sexually abused by her

father. But when she asked A.T. about inappropriate touching, A.T. denied that her father

touched her in a sexually inappropriate manner. Approximately four months later, during an

interview at which members of the district attorney’s office were present, A.T. denied that

anyone had ever touched her private parts, hurt her private parts, or touched her anywhere they

were not supposed to touch her.




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       Appellant was indicted for aggravated sexual assault of a child. Specifically, the State

alleged that appellant “did unlawfully then and there intentionally and knowingly cause the

penetration of the anus of [A.T.], a child, who was not then the spouse of defendant, by an

object, to-wit: the finger of defendant, and at the time of the offense, the child was younger than

six years of age.” Appellant pleaded not guilty. Following a jury trial, appellant was convicted

and sentenced to forty years’ confinement. This appeal followed.

                                                 ANALYSIS

A. Hearsay Evidence

       In his first issue, appellant contends the trial court erred in permitting impermissible

hearsay evidence to go before the jury. The evidence about which appellant complains is the

clinical record and testimony of Onyinanya, the nurse examiner. In both the clinical record and

her testimony, Onyinanya related Shaun’s statements to her about A.T.’s history before A.T.’s

medical examination. Onyinanya testified Shaun told her about various acts of sexual abuse that

A.T. alleged appellant had committed. She further testified that she gathered this information

from Shaun because A.T.’s history is what would guide her diagnosis and treatment. Appellant

objected to admission of the evidence stating,

       Defense will object to [the clinical record] as hearsay within hearsay with regards
       to statements from the foster mother to medical personnel as to hearsay within
       that document. She’s not the outcry witness. She’s already been on the stand to
       testify. I’ve had the opportunity to cross-examine her, but I cannot cross-examine
       her on those statements. That makes it hearsay, and we object to its admission.

After the trial court overruled the objection, appellant asked for a running objection as to

Onyinanya’s testimony about “statements from the foster mom.”

       Onyinanya testified that A.T. told Shaun appellant touched her and her sister “down

there” daily. Appellant also “put his hands on his pee pee and moved them in and out” until

conditioner came out and he would make the girls drink it. According to Onyinanya, A.T. told


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Shaun that whenever appellant was on top of her “it felt like he was ripping her apart” and

“sometimes he put conditioner inside of her, and it leak[ed] out of her when he took his pee pee

out.” A.T. also told Shaun appellant would do the same things to E.T. and she could hear E.T.

screaming in pain. Finally, A.T. told Shaun appellant threatened to kill her if she told.

        Appellant’s argument on appeal is largely a recitation of case law regarding the

confrontation clause preceded by the statement that “appellant was not afforded the opportunity

to question the complainant.” But appellant’s objection at trial was not that he was unable to

question A.T. Rather, appellant objected that he was supposedly unable to cross-examine Shaun,

a witness at trial, about her statements to Onyinanya.2 When an issue raised on appeal does not

comport with the objection made at trial, nothing is preserved for review. See TEX. R. APP. P.

33.1.

        As for appellant’s complaint that the evidence at issue was inadmissible hearsay,

appellant merely cites without any analysis Texas Rule of Evidence 803(4).                   Rule 803(4)

provides an exception to the hearsay rule for statements made for purposes of medical diagnosis

or treatment. See TEX. R. EVID. 803(4). Appellant does not make any argument or cite any

authority to show why the exception he cites would not apply in this case. Under the rule,

statements by a child’s parent or guardian to a medical practitioner relating allegations of sexual

abuse may not be excluded by the rule against hearsay. See Sandoval v. State, 52 S.W.3d 851,

856–57 (Tex. App.—Houston [1st Dist.] 2001, pet. ref’d).

        Furthermore, the majority of the information related by Onyinanya in her clinical report

and testimony was repetitive of the testimony provided by several other witness including Shaun,

    2
      See Segura v. State, 05-15-00032-CR, 2015 WL 8273712, at *3 (Tex. App.—Dallas Dec. 8, 2015, no. pet.)
(no violation of Confrontation Clause where person who made statements recorded in medical record of sexual
assault nurse examiner testified during trial) (mem. op., not designated for publication).




                                                   –6–
Biglow, and Liticker. These witnesses testified without objection that A.T. told them appellant

abused both her and her sister, made “conditioner” come out of his genitals, put the

“conditioner” inside her vagina, committed acts with her that hurt and “sounded like full

intercourse,” and threatened to kill her if she told anyone. Accordingly, even if the admission of

Onyinanya’s report and testimony was erroneous, it would not constitute reversible error because

the same or similar evidence was admitted without objection at another point in the trial. See

Mayes v. State, 816 S.W.2d 79, 88 (Tex. Crim. App. 1991).

       Appellant notes that Onyinanya’s testimony did not relate to “the actual allegations of the

indictment, which alleged penetration of A.T.’s anus.” To the extent appellant is attempting to

raise a relevancy complaint, he made no objections regarding the relevancy of the evidence at

trial. Accordingly, he has not preserved this issue for review. See Ibarra v. State, 11 S.W.3d

189, 197 (Tex. Crim. App. 1999). We resolve appellant’s first issue against him.

B. Sufficiency of the Evidence

       In his second issue, appellant challenges the sufficiency of the evidence to support his

conviction.   When an appellant challenges the sufficiency of the evidence to support a

conviction, we review all the evidence in the light most favorable to the verdict to determine

whether any rational trier of fact could have found the essential elements of the offense beyond a

reasonable doubt. Wise v. State, 364 S.W.3d 900, 903 (Tex. Crim. App. 2012). Evidence is

sufficient if “the inferences necessary to establish guilt are reasonable based upon the cumulative

force of all the evidence when considered in the light most favorable to the verdict.” Id. If the

evidence is conflicting, we presume that the factfinder resolved the conflicts in favor of the

prosecution and defer to that determination.” Id. We defer to the trier of fact’s determinations of




                                               –7–
witness credibility and the weight to be given their testimony. See Brooks v. State, 323 S.W.3d

893, 899 (Tex. Crim. App. 2010).

       Appellant argues the evidence is insufficient because A.T. recanted her accusations and

the evidence presented at trial that he committed sexual assault as alleged in the indictment was

“scant.” We disagree. Although A.T. recanted her accusation, the jury was free to disbelieve the

recantation. See Chambers v. State, 805 S.W.2d 459, 461 (Tex. Crim. App. 1991). A.T.

recanted her accusations only after she was removed from the foster family to whom she made

her initial outcry and had lived with appellant’s brother and his wife for several months. The

evidence showed that A.T. cared about her father and was afraid he would go to jail based on

what she said.    Liticker, A.T.’s therapist, stated it was not unusual for children to recant

statements when they realize the consequences of what they have said.

       Before she lived with the Tanners, A.T.’s statements to others about appellant’s acts of

abuse and the terms she used were consistent. A child victim’s outcry statement alone can be

sufficient to sustain a conviction for aggravated sexual assault. See Kimberlin v. State, 877

S.W.2d 828, 831 (Tex. App.—Fort Worth 1994, pet. ref’d). There is no requirement that the

outcry testimony be corroborated or substantiated by the victim or independent evidence. Id. at

832. Even though corroboration is not required, A.T.’s allegation that appellant put his finger in

her anus was confirmed by appellant, as was her statement his friend took naked pictures of her.

       Appellant suggests that some of the acts A.T. told others he committed were “factually

impossible” and “cast doubt” on other things she said. Appellant is essentially challenging

A.T.’s credibility. This Court may not re-evaluate the weight and credibility of the record

evidence and thereby substitute our judgment for that of the jury in this case. See Williams v.

State, 235 S.W.3d 742, 750 (Tex. Crim. App. 2007). After reviewing the evidence under the




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applicable standard of review, we conclude the evidence is sufficient to sustain appellant’s

conviction. We resolve appellant’s second issue against him.

                                           CONCLUSION

       Based on the foregoing, we affirm the trial court’s judgment.



                                                    /David Evans/
                                                    DAVID EVANS
Do Not Publish                                      JUSTICE
TEX. R. APP. P. 47.1
150787F.U05




                                              –9–
                               Court of Appeals
                        Fifth District of Texas at Dallas
                                      JUDGMENT

ROY LEE TANNER, Appellant                              On Appeal from the 204th Judicial District
                                                       Court, Dallas County, Texas
No. 05-15-00787-CR         V.                          Trial Court Cause No. F-1476344-Q.
                                                       Opinion delivered by Justice Evans. Justices
THE STATE OF TEXAS, Appellee                           Bridges and O'Neill participating.

       Based on the Court’s opinion of this date, the judgment of the trial court is AFFIRMED.


Judgment entered this 20th day of June, 2016.




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