                               Fourth Court of Appeals
                                      San Antonio, Texas
                                                 OPINION

                                         No. 04-18-00709-CR

                                          Kayro MORENO,
                                              Appellant

                                                   v.

                                         The STATE of Texas,
                                               Appellee

                     From the 406th Judicial District Court, Webb County, Texas
                                Trial Court No. 2015CRS001128D4
                            Honorable Oscar J. Hale Jr., Judge Presiding

Opinion by:       Patricia O. Alvarez, Justice

Sitting:          Rebeca C. Martinez, Justice
                  Patricia O. Alvarez, Justice
                  Luz Elena D. Chapa, Justice

Delivered and Filed: February 26, 2020

AFFIRMED

           Kayro Moreno was convicted of continuous sexual abuse of D.C., a child. On appeal, he

argues that the trial court erred by (1) allowing bolstering testimony by a State’s expert,

(2) allowing the jury to consider evidence outside the date range charged in the indictment, and

(3) overruling his objection to expert testimony on the victim’s symptoms of post-traumatic stress

disorder (PTSD). We affirm the trial court’s judgment.
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                                           BACKGROUND

       Kayro Moreno was the boyfriend of D.C.’s mother when D.C. was very young. D.C. met

Moreno when D.C. was almost five years old. When D.C. was six years old, Moreno started to

say things to D.C., such as, “You’re ugly,” and, “Your mom doesn’t love you.” In 2010, when

D.C. was nearly eight years old, Moreno forced D.C. to have sex with him, which hurt her

physically and caused her emotional trauma. D.C. testified that Moreno forced her to have sex

with him more than fifteen times between the time when she was seven years old (2010) and when

she was ten years old (2013).

                                BOLSTERING TESTIMONY BY EXPERT

       In his first issue, Moreno complains of improper bolstering.

A.     Additional Background

       At trial, the State called Dr. Piña, a forensic psychologist, to testify about his review of

D.C.’s case and his interaction with D.C. Dr. Piña testified that D.C.’s account of the events

remained consistent throughout the case.

       On cross-examination, the defense challenged Dr. Piña’s testimony on the ground that Dr.

Piña had not watched the video of D.C.’s forensic interview. In his answer, Dr. Piña described his

role in a multidisciplinary team meeting, comprised of agencies such as Child Protective Services,

law enforcement, medical personnel, and prosecutors, where each agency presented information

relevant to a child abuse case. He explained that this meeting allowed the team members an

opportunity to test the strength of each case.

       Dr. Piña finished his answer by stating that the team did not “want someone to be falsely

accused. Or if we’re not sure, for myself, beyond a reasonable doubt, there is no doubt in my

mind.” Moreno objected to Dr. Piña’s testimony.




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        Outside the presence of the jury, Moreno argued that Dr. Piña had improperly commented

on D.C.’s credibility and Moreno’s guilt by testifying that he was convinced of the case beyond a

reasonable doubt. The trial court disagreed that Dr. Piña meant that he was convinced of Moreno’s

guilt and believed instead that Dr. Piña’s testimony more generally referred to the multidisciplinary

team’s process.

        The trial court asked Moreno, “What would you want me to tell them?” Moreno asked that

Dr. Piña’s beyond-a-reasonable-doubt statement be struck from the record, and for a statement to

disregard the struck comment.

        The trial court agreed to strike the challenged testimony by instructing the prosecution to

not refer to it in closing:

        Certainly, I’ll strike it to where the State can’t use that testimony in closing or
        referring back to the witness said, “By way of example, we wouldn’t want someone
        to be falsely accused beyond a reasonable doubt.” They can’t refer back to that.
        So I’ll strike it from the record in that regard, yes, so it won’t be misused.

        The court asked if there was anything further, and Moreno said there was not. The trial

court did not direct the jury to disregard Dr. Piña’s beyond-a-reasonable-doubt testimony, and

Moreno neither objected to the omission nor requested a jury instruction on the issue.

B.      Standard of Review

        “Preservation of error is a systemic requirement on appeal.” Wilson v. State, 311 S.W.3d

452, 473 (Tex. Crim. App. 2010) (quoting Ford v. State, 305 S.W.3d 530, 532 (Tex. Crim. App.

2009)). If an issue has not been preserved for appeal, this court will not address its merits. Id.

C.      Applicable Law

        To preserve a claim of error, a party must make a timely request, objection, or motion in

the trial court, followed by either a ruling or a refusal to rule by the trial court. See TEX. R. APP.

P. 33.1(a); Landry v. State, 706 S.W.2d 105, 109 (Tex. Crim. App. 1985) (citing Washington v.



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State, 484 S.W.2d 721, 724 (Tex. Crim. App. 1972)). When a trial court refuses (or omits) to rule

on an objection, to preserve a claim of error, a party must object to the trial court’s refusal to rule.

See TEX. R. APP. P. 33.1(a); Taylor v. State, 148 S.W.3d 592, 596 (Tex. App.—Fort Worth 2004,

pet. ref’d); Lockett v. State, 16 S.W.3d 504, 506 (Tex. App.—Houston [1st Dist.] 2000, pet. ref’d).

Similarly, when a trial court’s ruling on an objection is not clear, a party must timely request

clarification or risk waiver. See TEX. R. APP. P. 33.1(a); Phillips v. Bramlett, 288 S.W.3d 876, 883

(Tex. 2009); Lockett, 16 S.W.3d at 506.

D.     Analysis

       It is undisputed that the trial court granted Moreno’s objection to strike Dr. Piña’s beyond-

a-reasonable-doubt testimony, but it was silent as to any jury instruction. Moreno did not request

any further clarification or change. See Phillips, 288 S.W.3d at 883; Lockett, 16 S.W.3d at 506.

The record shows the trial court resolved the issue by ordering the State not to mention Dr. Piña’s

beyond-a-reasonable-doubt testimony in closing but not by directing the jury to disregard it.

        Moreno did not call the trial court’s attention to its failure to direct the jury to disregard

Dr. Piña’s beyond-a-reasonable-doubt testimony nor did he object to the trial court’s failure to give

such instruction or, for that matter, seek a clarification of its ruling. See TEX. R. APP. P. 33.1(a);

Phillips, 288 S.W.3d at 883; Lockett, 16 S.W.3d at 506. Indeed, after the trial court ordered the

State not to use Dr. Piña’s comment in closing, Moreno did not pursue the matter further. See

TEX. R. APP. P. 33.1(a); Landry, 706 S.W.2d at 109 (citing Washington, 484 S.W.2d at 724).

        We conclude that Moreno failed to preserve a claim of error for the trial court’s ruling. See

TEX. R. APP. P. 33.1(a); Phillips, 288 S.W.3d at 883; Landry, 706 S.W.2d at 109; Lockett, 16

S.W.3d at 506. We overrule Moreno’s first issue.




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              ALLOWING THE JURY TO CONSIDER DATES OUTSIDE THE INDICTMENT

          In his second issue, Moreno argues that the jury charge should have been limited to the

dates of continuous sexual abuse listed in the indictment.

A.        Additional Background

          The State’s indictment, presented on August 5, 2015, accused Moreno of Continuous

Sexual Abuse of a Child from August 24, 2010, to August 24, 2012.

          Before trial, the State asked the court to amend the indictment to include the period of

abuse through 2013. Though the State submitted a motion a little more than a year before trial,

the State did not make this request in court until after jury selection. The trial court denied the

State’s motion to amend the indictment but invited the State to argue its case to the jury.

          During trial, D.C. testified to abuses that occurred when she was in the second grade (2010)

and when she was almost nine years old, about to start fourth grade (2011). She identified a photo

of when she was in the second grade as an accurate depiction of when the abuse began (2010).

D.C. testified that the abuse stopped when she was ten years old, about to complete fifth grade

(2013).

          Before the jury was charged, Moreno objected to the jury being permitted to consider

evidentiary facts all the way up to indictment presentment on August 5, 2015, arguing that the date

discrepancy was too great compared to the indictment range. The trial court ruled that relevant

case law supported the discrepancy and that the State could argue to the jury that incidences

described in testimony happened “on or about” the dates listed in the indictment.

          The charge ultimately read as follows:

          Now if you find from the evidence beyond a reasonable doubt that from on
          or about the 24th day of August, A.D., 2010 through the 24th day of August,
          A.D., 2012, and anterior to the presentment of this indictment, in Webb
          County, Texas, the defendant, KAYRO MORENO, as alleged in the
          indictment, did then and there during a period that was 30 or more days in


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       duration, when the defendant was 17 years of age or older, commit two or
       more acts of sexual abuse against a child younger than 14 years of age, then
       you will find the defendant guilty of the offense of Continuous Sexual
       Abuse of a Child as alleged in the indictment.

B.     Standard of Review

       “We review claims of jury charge error under the two-pronged test set out in Almanza v.

State, 686 S.W.2d 157, 171 (Tex. Crim. App. 1985) (op. on reh’g),” superseded on other grounds

as stated in Rodriguez v. State, 758 S.W.2d 787, 788 (Tex. Crim. App. 1988). Kuhn v. State, 393

S.W.3d 519, 524 (Tex. App.—Austin 2013, pet. ref’d) (citing Swearingen v. State, 270 S.W.3d

804, 808 (Tex. App.—Austin 2008, pet. ref’d)). “Our first duty in analyzing a jury-charge issue

is to decide whether error exists.” Ngo v. State, 175 S.W.3d 738, 743 (Tex. Crim. App. 2005); see

Swearingen, 270 S.W.3d at 808. “If error exists, we then evaluate the harm caused by the error.”

Swearingen, 270 S.W.3d at 808 (citing Ngo, 175 S.W.3d at 743).

       To the degree that this issue turns on the sufficiency of the indictment, we review the record

de novo. See State v. Moff, 154 S.W.3d 599, 601 (Tex. Crim. App. 2004); Pollock v. State, 405

S.W.3d 396, 403 (Tex. App.—Fort Worth 2013, no pet.).

C.     Applicable Law

           It is a longstanding rule that the State is not required to prove that an offense
       was committed on the date alleged in the indictment (whether or not the words ‘on
       or about’ are used) but may prove that the offense was committed on any date prior
       to the return of the indictment and within the period of limitations.

Martin v. State, 335 S.W.3d 867, 873 (Tex. App.—Austin 2011, pet. ref’d) (citing Klein v. State,

273 S.W.3d 297, 304 n. 5 (Tex. Crim. App. 2008)); accord Sledge v. State, 953 S.W.2d 253, 255‒

56 (Tex. Crim. App. 1997).

       Continuous Sexual Abuse of Young Child or Children, Act of May 18, 2007, 80th Leg.,

R.S., ch. 593, § 1.17, 2007 Tex. Gen. Laws 1120, 1127 (codified at TEX. PENAL CODE ANN.

§ 21.02), has no period of limitations. TEX. CODE CRIM. PRO. ANN. art. 12.01 (providing “no


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limitation” for “continuous sexual abuse of young child or children under Section 21.02”); Baez v.

State, 486 S.W.3d 592, 595 (Tex. App.—San Antonio 2015, pet. ref’d). 1

        In a continuous sexual abuse case, if evidentiary facts exceed the date range in the

indictment, that testimony can be considered to show the continuous nature of the abuse. See

Kuhn, 393 S.W.3d at 525–29; Martin, 335 S.W.3d at 876. Where the record establishes numerous

sexual contacts between an accused and a victim that exceed the scope of the indictment, a jury

may rationally infer that the date range element of continuous sex abuse has been met. See Kuhn,

393 S.W.3d at 525; Martin, 335 S.W.3d at 876.

        Notice to a defendant to prepare a defense is sufficient if the indictment tracks the statutory

language in the continuous sexual abuse statute and describes the various predicate acts of sexual

abuse that the defendant is alleged to have committed during a minimum 30-day period. See

Buxton v. State, 526 S.W.3d 666, 677‒83 (Tex. App.—Houston [1st Dist.] 2017, pet. ref’d);

Pollock, 405 S.W.3d at 404 (ruling that the State’s allegation that the continuous sexual abuse

began on or about a certain date was sufficient to allow the defendant to prepare his defense); see

also Sledge, 953 S.W.2d at 256 (stating that an indictment alleging that continuous sexual abuse

began “on or about” a certain date is sufficient to give the defendant notice of the charge against

him).

D.      Analysis

        Here, the State’s burden was to prove the elements of the offense within the timeline

delineated by its indictment, August 24, 2010, through August 24, 2012. The State was permitted

to have D.C. testify to dates that exceeded the indictment timeframe. See Kuhn, 393 S.W.3d at



1
 The only date limitation would be the effective date for the Continuous Sexual Abuse of a Child statute, September
1, 2007, but no allegations in Moreno’s case actually precede that date. See Gomez v. State, 459 S.W.3d 651, 660
(Tex. App.—Tyler 2015, pet. ref’d); Kuhn, 393 S.W.3d at 524.


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529; Martin, 335 S.W.3d at 876. By having D.C. testify regarding her abuse from 2010 to 2013,

the State necessarily presented evidence of abuse from August 24, 2010, through August 24, 2012.

       Notably, Moreno’s defense did not depend upon the accuracy of the dates listed in the

indictment. He testified that he cared for D.C. from August 24, 2010, until August 24, 2013, but

that he did not sexually abuse her. Thus, Moreno placed D.C.’s credibility in issue and not the

dates of his interactions with her. Moreno’s defense did not suffer from any lack of notice.

       We overrule Moreno’s second issue.

                           EXPERT TESTIMONY ON SYMPTOMS OF PTSD

       In his third issue, Moreno complains that the trial court erred by allowing Jennifer Masters

to testify as an expert to symptoms of PTSD.

A.     Additional Background

       At trial, the State called Jennifer Masters, a licensed professional counselor (LPC) with

fourteen years of experience with abused children, to testify on behaviors of sexually abused

children, symptoms of PTSD, and her experience working with D.C. Masters, who at the time of

her testimony was the clinical director of the Children’s Advocacy Center, testified that, in order

to be qualified to do her work, she was required to have a master’s degree in psychology or a

counseling-related area plus 3,000 hours of supervised training. She also testified that it was not

her practice to diagnose clients with PTSD but that she could describe symptoms of the disorder

in them. Based on this testimony, the trial court permitted Masters to testify as an expert as long

as she did not comment on D.C.’s truthfulness.

       Moreno challenged Masters’s ability to diagnose PTSD on two alternate grounds: first, that

she was not qualified; and second, that her testimony on PTSD would inappropriately bolster

D.C.’s testimony. The trial court found Masters’s proffered PTSD testimony to be analogous to

expert testimony on behaviors or symptoms consistent with child abuse, which it considered to be


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admissible testimony. The trial court then allowed Masters to testify as an expert on PTSD but

prohibited her from testifying about D.C.’s truthfulness.

       Masters testified that she spent about twelve hours counseling with D.C. over the course

of several years.    She administered the Trauma Symptom Checklist for Children to better

understand what symptoms of trauma that D.C. was experiencing. From counseling with D.C.,

Masters most strongly noted D.C.’s avoidance as a symptom of PTSD. Specifically, D.C. avoided

talking to Masters about the abuse by using coping mechanisms such as sarcasm and humor. D.C.

also showed anxiety and fearfulness, both symptoms of PTSD.

B.     Standard of Review

       “We review the trial court’s decision to admit or exclude scientific expert testimony under

an abuse of discretion standard.” Reyes v. State, 274 S.W.3d 724, 729 (Tex. App.—San Antonio

2008, pet. ref’d) (citing Sexton v. State, 93 S.W.3d 96, 99 (Tex. Crim. App. 2002)); see Hinojosa

v. State, 4 S.W.3d 240, 251 (Tex. Crim. App. 1999). We will uphold the trial court’s decision as

long as it is within the zone of reasonable disagreement, based on the evidence presented and the

requirements of Rule 702 of the Texas Rules of Evidence. See Kelly v. State, 824 S.W.2d 568,

574 (Tex. Crim. App. 1992) (citing Montgomery v. State, 810 S.W.2d 372, 391 (Tex. Crim. App.

1990)); Reyes, 274 S.W.3d at 729 (citing Sexton, 93 S.W.3d at 99).

C.     Applicable Law

       Admissibility of expert testimony depends on whether a proposed expert possesses

“scientific, technical, or other specialized knowledge [that] will help the trier of fact to understand

the evidence or to determine a fact in issue.” TEX. R. EVID. 702; accord Yount v. State, 872 S.W.2d

706, 709 (Tex. Crim. App. 1993); Duckett v. State, 797 S.W.2d 906, 914 (Tex. Crim. App. 1990),

disapproved on other grounds by Cohn v. State, 849 S.W.2d 817, 818 (Tex. Crim. App. 1993).

“No rigid formula exists for determining whether a particular witness is qualified to testify as an


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expert.” Duran v. State, 163 S.W.3d 253, 258 (Tex. App.—Fort Worth 2005, no pet.); Matson v.

State, 819 S.W.2d 839, 852 n.10 (Tex. Crim. App. 1991). Therefore, the trial court must evaluate

a proffered expert’s qualifications and weigh their proposed testimony to decide whether it is

reliable and relevant to an issue in the case. See Nenno v. State, 970 S.W.2d 549, 561 (Tex. Crim.

App. 1998), overruled on other grounds by State v. Terrazas, 4 S.W.3d 720 (Tex. Crim. App.

1999); Kelly, 824 S.W.2d at 572.

         Psychologists and counselors have been found to provide reliable, relevant testimony in

child sexual abuse cases, specifically regarding PTSD. See Johnson v. State, 432 S.W.3d 552, 557

(Tex. App.—Texarkana 2014, pet. ref’d); Zinger v. State, 899 S.W.2d 423, 432 (Tex. App.—

Austin 1995), rev’d on other grounds, 932 S.W.2d 511 (Tex. Crim. App. 1996); but see Lane v.

State, 257 S.W.3d 22 (Tex. App.—Houston [14th Dist.] 2008, pet. ref’d) (disapproving testimony

by a social worker that the victim suffered from PTSD due to sexual abuse). Mental health

professionals are in a unique position to explain victim behavior as it pertains to a disorder (PTSD)

that is not commonly understood among laypersons. Zinger, 899 S.W.2d at 432 (citing Duckett,

797 S.W.2d at 917). And much like evidence from a physical examination, testimony by a

qualified expert that corroborates the occurrence of sexual abuse does not constitute commentary

on a victim’s credibility because it “does not point a finger” at the accused. Johnson, 432 S.W.3d

at 556. 2




2
  Unpublished Texas cases approving expert testimony on PTSD and other behavioral indications of abuse in child
sexual abuse cases include Drzymalla v. State, No. 04-16-00722-CR, 2018 WL 280419 (Tex. App.—San Antonio Jan.
3, 2018, no pet.) (mem. op., not designated for publication) (concluding that testimony by a qualified expert that
corroborates the occurrence of sexual abuse does not constitute commentary on a victim’s credibility); Melder v. State,
No. 12-12-00400-CR, 2014 WL 1922570, at *7 (Tex. App.—Tyler May 14, 2014, pet. ref’d) (mem. op., not designated
for publication) (ruling that LPCs may diagnose mental but not physical disorders, and that PTSD is a recognized
mental disorder), and Bailey v. State, No. 2-05-394-CR, 2007 WL 79544, at *6 (Tex. App.—Fort Worth Jan. 11, 2007,
pet. ref’d) (mem. op., not designated for publication) (upholding the admissibility of expert testimony about the
victim’s PTSD and treatment by an experienced licensed social worker and psychotherapist as reliable).


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       “Bolstering” is an outmoded objection from common law that may fall under Rule 403 if

some evidence amounts to improper commenting on a victim’s truthfulness. See Cohn, 849

S.W.2d at 819‒20. The key to admissibility remains the same across these cases: the expert

witness must be qualified in their field, use tools and methods from their field, draw conclusions

based on those qualifications and methods, and not comment on victim credibility. See Johnson,

432 S.W.3d at 557; Lane, 257 S.W.3d at 27; Zinger, 899 S.W.2d at 432. To that end, a court must

be vigilant to exclude testimony that unfairly prejudices a defendant under Rule 403 or that

improperly decides an issue for the jury in violation of Rule 702. See Yount, 872 S.W.2d at 711;

Cohn, 849 S.W.2d at 819‒20. But an expert’s testimony based on specialized knowledge and

relevant data that does not directly comment on credibility is unlikely to meet the threshold of

undue prejudice, even if it may corroborate the victim’s testimony and weigh against the

defendant. See Yount, 872 S.W.2d at 712 n.9; see also Cohn, 849 S.W.2d at 820; Johnson, 432

S.W.3d at 556.

D.     Analysis

       Here, the trial court qualified Masters as an expert (for the subjects she testified to having

experience with) based on her advanced degree, supervisory position of therapy at the Children’s

Advocacy Center, and fourteen years of experience. See TEX. R. EVID. 702; Yount, 872 S.W.2d at

709; Duckett, 797 S.W.2d at 914. Furthermore, the trial court considered Masters’s proffered

testimony to be relevant based, in part, on the fact that her expertise was in working with child

victims of sexual abuse.

       Masters relied on an assessment tool and her training and experience to describe D.C.’s

experience as symptomatic of trauma, and she did not directly comment on D.C.’s truthfulness.

See Johnson, 432 S.W.3d at 556; Zinger, 899 S.W.2d at 432; see also Cohn, 849 S.W.2d at 818.

Masters’s testimony helped place D.C.’s behavior and symptoms in the context of child sexual


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trauma assessment, which could help the jury determine what weight and credibility to give to

D.C.’s testimony. See Johnson, 432 S.W.3d at 554; Zinger, 899 S.W.2d at 432.

       Adopting the reasoning from Johnson and Zinger, we conclude that it was up to the jury to

decide if the symptoms that Masters described really did help them understand the victim’s

testimony and demeanor and whether these apparent symptoms actually reflected prior trauma

caused by Moreno. See Johnson, 432 S.W.3d at 554; Zinger, 899 S.W.2d at 432.

       Having considered the evidence in light of Rule 702 and the applicable case law, we

conclude that the trial court’s decision to admit Masters’s testimony on PTSD was within the zone

of reasonable disagreement. See TEX. R. EVID. 702; Johnson, 432 S.W.3d at 556; Zinger, 899

S.W.2d at 432. We overrule Moreno’s third issue.

                                           CONCLUSION

       Because Moreno failed to ask the trial court for clarification or for a jury instruction to

disregard Dr. Piña’s beyond-a-reasonable-doubt testimony after the trial court ordered the State

not to refer to it, Moreno failed to preserve a claim of error for improper bolstering.

       Next, because the State may present evidence that exceeds the date of the indictment up to

the date of its presentment to the defendant in cases of Continuous Sexual Abuse of a Child,

Moreno’s complaint that the jury charge allowed the jury to improperly consider evidence past the

date in the indictment is overruled.

       Finally, because the trial court’s admission of expert testimony regarding the victim’s

PTSD symptoms is supported by the record and relevant case law, Moreno’s complaint regarding

the reliability and relevance of Jennifer Masters’s testimony is overruled.

       We affirm the trial court’s judgment.

                                                   Patricia O. Alvarez, Justice

Publish


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