                    In The
              Court of Appeals
Sixth Appellate District of Texas at Texarkana
        ______________________________

              No. 06-11-00121-CV
        ______________________________




      IN THE INTEREST OF I.H.R., A CHILD




      On Appeal from the County Court at Law
              Lamar County, Texas
              Trial Court No. 78772




    Before Morriss, C.J., Carter and Moseley, JJ.
   Memorandum Opinion by Chief Justice Morriss
                                            MEMORANDUM OPINION

            When Amanda Gail Riley’s daughter, I.H.R., was born July 28, 2009, Amanda’s

stepfather, radiologist Billy Parkhill, was present and saw I.H.R.’s poor post-partum condition,

including her seizure activity. At the trial of this parental rights termination suit filed by

Amanda’s sister, Janna Davis, Parkhill testified, in part to what he saw and in part to the meaning

of the medical records of Amanda and I.H.R., and Amanda’s parental rights to I.H.R. were

terminated.         On appeal, Amanda complains about Parkhill’s testimony and argues that the

evidence is insufficient to prove that she endangered the physical or emotional well-being of

I.H.R.1 We affirm the trial court’s judgment because (1) no error was preserved concerning

Parkhill’s testimony and (2) sufficient evidence shows Amanda endangered I.H.R.2

(1)         No Error Was Preserved Concerning Parkhill’s Testimony

            Parkhill testified, before any objection had been lodged, that the seizures experienced by

I.H.R. were ―due to drugs in her system.‖ I.H.R.’s medical records were also admitted through




1
 After I.H.R.’s father, Ricky Riley, executed an affidavit of relinquishment of parental rights, the trial court terminated
his parental rights in a suit filed by the Texas Department of Family and Protective Services (TDFPS) May 26, 2010.
Davis intervened in that suit and was appointed sole managing conservator of I.H.R. while Amanda was appointed
possessory conservator with rights to supervised visitation. On October 15, 2010, Davis sought to terminate
Amanda’s parental rights to I.H.R. on the grounds that she (1) knowingly placed or knowingly allowed the child to
remain in conditions or surroundings that endangered her physical or emotional well-being, (2) engaged in conduct or
knowingly placed the child with persons who engaged in conduct that endangered her physical or emotional
well-being, or (3) was the cause of I.H.R. being born addicted to alcohol or a controlled substance other than a
controlled substance legally obtained by prescription.
2
    Amanda does not appeal the finding by the trial court that termination was in the best interest of I.H.R.


                                                              2
him without objection.3 Parkhill explained he was familiar with the care and treatment that would

be necessary for I.H.R. ―[i]n a general way medically.‖ At this point, Amanda’s counsel, Chris

Fitzgerald, objected, and the following exchange occurred:

              MR. FITZGERALD: -- if she’s going to qualify him as an expert -- or
        where we’re going with this testimony. I have no problem with the introduction of
        medical records, but I don’t feel it appropriate for Mr. Parkhill to opine as to --

                THE COURT: Well, now, it’s my understanding, just so I’m correct, that
        Dr. Parkhill is, in fact, a medical doctor. Doctor, do I understand you -- you have
        -- you have an M.D. degree --

                 WITNESS: I do --

                 THE COURT: -- is that correct?

                 WITNESS: -- yes.

               THE COURT: And you’ll be testifying from these records in a -- in a
        general sense --

                 WITNESS: Yes.

                 THE COURT: -- is that correct?

                 WITNESS: Yes.

                 THE COURT: Am I -- am I correct, Ms. Hodgkiss?

                 MS. HODGKISS: That’s correct, Your Honor.
3
 I.H.R.’s medical records were filed with the court with an affidavit of authentication executed by the director of
health information management for Medical City of Dallas. They reflected that I.H.R. suffered ―in utero methadone
exposure,‖ convulsions, and experienced newborn drug withdrawal syndrome. On the day after I.H.R.’s birth,
Amanda tested positive for ―cannabinoids, methadone, diphenhydramine, lidocaine, fluoxetime, promethazine, and
mepivacaine.‖ I.H.R. also tested positive for methadone and marihuana. On August 4, 2009, Amanda tested
positive for ―THC, Opiates, Barbiturates, [and] methadone.‖ While it appears the methadone was prescribed to
Amanda, Davis believed she was taking excess doses.

                                                        3
On voir dire, Amanda’s counsel established that Parkhill was not a pediatrician, that he does not

normally encounter children that have been born with drugs in their system, and that he had an

interest in I.H.R. However, Parkhill stated, ―I will look at the medical records as a doctor, but I

don’t know that I can put a spin on it. I mean, the medical record is what it is. . . . I can interpret

the medical record. That’s -- I think I have an ability to do that.‖ Counsel replied, ―Right. And

I don’t -- I don’t question your ability as a physician, sir. I don’t.‖ Although it was established

that Parkhill was an interested witness, the following exchange clarified the nature of the

testimony:

                Q.      But as it relates to the medical record, other than I guess explaining
        what is in the record, is that -- is that -- is that what you would enlighten us to?

                 A.       I would be happy to do that.

                MR. FITZGERALD: Okay. Well, Judge, we’ll stipulate to the records,
        and -- but I do object to Mr. -- Dr. Parkhill.

The court allowed Parkhill to continue to testify, finding ―that he is qualified to read these medical

records and any bias or motive that he might have I think would go to the weight on his testimony

rather than the admissibility of the same.‖

        On appeal, Amanda does not complain of Parkhill’s ability to read and interpret the

medical records generally.4 Amanda argues that Parkhill was not a qualified witness ―on the

subject of the medical records of Appellant and the child.‖

4
 Amanda was required to object below if she believed Parkhill’s testimony exceeded the scope of reading the medical
records.

                                                        4
        ―To preserve error as to the admission of evidence, a party must make a timely objection

and state the specific grounds for the desired ruling, if the grounds are not apparent from the

context.‖ Moon v. Spring Creek Apartments, 11 S.W.3d 427, 432 (Tex. App.—Texarkana 2000,

no pet.); see TEX. R. APP. P. 33.1. ―If a party fails to make a timely and specific objection, error is

not preserved and the complaint is waived.‖ Id. (citing Bushell v. Dean, 803 S.W.2d 711, 712

(Tex. 1991) (op. on reh’g)). From this record, it appears that counsel’s objection was mixed:

partly a challenge to Parkhill’s lack of expertise in pediatric matters or in matters related to the

effects of drugs on unborn or newly born children and partly his potential interest and bias.5 We

do not read Amanda’s challenge as an attack on Parkhill’s qualifications to read and interpret the

medical records generally.

        Next, from the trial court’s questioning, it appeared that the intent was to have Parkhill

testify from the medical records only in a general sense. On appeal, Amanda complains that

Parkhill was not qualified to testify that her marihuana use ―caused the child to exhibit withdrawal

symptoms.‖ This objection was not preserved below. An objection must be timely to preserve

error. TEX. R. APP. P. 33.1. Parkhill testified from the outset that the seizures experienced by

I.H.R. were ―due to drugs in her system.‖ Amanda’s subsequent objection stated above, even if it

was specific enough to preserve any complaint on appeal, was untimely as it relates to the



5
 Amanda does not complain on appeal about the admission of any specific portions of Parkhill’s testimony. Also, no
further objection to Parkhill’s testimony was made during trial, other than an overall, unspecified objection to his
offering opinion testimony as an expert witness.

                                                         5
connection between drugs in Amanda’s system and I.H.R.’s seizures.6 The later, more explicit,

testimony by Parkhill that I.H.R. was born with marihuana in her system, endangering her

physically, also came in without objection.

         We overrule this point of error.

(2)      Sufficient Evidence Shows Amanda Endangered I.H.R.

         To terminate an individual’s parental rights to his or her child,7 Davis had to prove, and the

trial court was required to find, by clear and convincing evidence (1) that the parent has engaged

in one of the statutory grounds for termination and (2) that termination is in the child’s best



6
 After the general objection to Parkhill as an expert was overruled, albeit limited to ―reading‖ the medical records,
Parkhill testified to a number of arguably ―expert‖ matters beyond the scope of the matters found in the medical
records, without objection: (A) It would not be normal for a hospital to give a newborn child marihuana or
methadone, so I.H.R. must have been born with them in her system; (B) those drugs commonly cause seizures in a
newborn from withdrawal; (C) such seizures can cause permanent damage such as learning disabilities, severe mental
deficiencies, and neurological problems; (D) I.H.R. was so bad, she had to be given morphine to stop the seizures; and
(E) drug addiction frequently causes the developmental delays found in I.H.R.
7
 A parent’s rights to ―the companionship, care, custody, and management‖ of his or her children are constitutional
interests ―far more precious than any property right.‖ Santosky v. Kramer, 455 U.S. 745, 758–59 (1982); In re M.S.,
115 S.W.3d 534, 547 (Tex. 2003). Decisions from Texas courts show great respect for the biological bond between
parent and child, recognizing ―that the natural right which exists between parents and their children is one of
constitutional dimensions.‖ In re J.W.T., 872 S.W.2d 189, 194–95 (Tex. 1994) (quoting Wiley v. Spratlan, 543
S.W.2d 349, 352 (Tex. 1976)); In re J.J., 911 S.W.2d 437, 439 (Tex. App.—Texarkana 1995, writ denied). However,
the Texas Supreme Court has also recognized that ―the rights of natural parents are not absolute; protection of the child
is paramount. . . . The 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) (citing J.W.T., 872 S.W.2d at 195). The child’s
emotional and physical interests must not be sacrificed merely to preserve parental rights. In re C.H., 89 S.W.3d 17,
26 (Tex. 2002).
          A termination case seeks to erase parental rights permanently—to divest the parent and child of all legal
rights, privileges, duties, and powers normally existing between them, except for the child’s right to inherit. TEX.
FAM. CODE ANN. § 161.206(b) (West 2008); Holick v. Smith, 685 S.W.2d 18, 20 (Tex. 1985). We strictly scrutinize
termination proceedings in favor of the parent. In re S.K.A., 236 S.W.3d 875, 900 (Tex. App.—Texarkana 2007), pet.
denied, 260 S.W.3d 463 (Tex. 2008) (citing Holick, 685 S.W.2d at 20).


                                                           6
interest.8 TEX. FAM. CODE ANN. § 161.001 (West Supp. 2011); C.H., 89 S.W.3d at 23; In re

J.L.B., 349 S.W.3d 836, 846 (Tex. App.—Texarkana 2011, no pet.). The clear-and-convincing

burden of proof9 has been 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.‖ C.H., 89 S.W.3d at 23; see TEX. FAM. CODE ANN. § 101.007 (West 2008); In re

J.O.A., 283 S.W.3d 336, 344 (Tex. 2009). Thus, in reviewing termination findings, we determine

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

about the truth of Davis’ allegations. C.H., 89 S.W.3d at 25.

            In a legal sufficiency review, termination findings are given appropriate deference. See

J.F.C., 96 S.W.3d at 266; Smith v. Tex. Dep’t of Protective & Regulatory Servs., 160 S.W.3d 673,

679 (Tex. App.—Austin 2005, no pet.). In such cases, we consider all the evidence in the light

most favorable to the findings to determine whether the fact-finder could reasonably have formed

a firm belief or conviction that the grounds for termination were proven. In re J.P.B., 180 S.W.3d

570, 573 (Tex. 2005); J.F.C., 96 S.W.3d at 266; J.L.B., 349 S.W.3d at 846. We assume that the

fact-finder resolved disputed facts in favor of the finding if a reasonable fact-finder could do so

and disregard evidence that the fact-finder may have reasonably disbelieved or whose credibility

may reasonably be doubted. J.P.B., 180 S.W.3d at 573. We also disregard all evidence that a

reasonable fact-finder could have disbelieved. Id.

8
    As noted, the best-interest prong is not challenged on appeal.
9
    Due process demands this heightened standard. In re J.F.C., 96 S.W.3d 256, 263 (Tex. 2002).

                                                             7
          The inquiry in a factual sufficiency review is ―whether the evidence is such that a factfinder

could reasonably form a firm belief or conviction about the truth of [Davis’] allegations.‖ C.H.,

89 S.W.3d at 25; see J.L.B., 349 S.W.3d at 846. We consider whether disputed evidence is such

that a reasonable fact-finder could not have resolved that disputed evidence in favor of its finding.

C.H., 89 S.W.3d at 28.         If, in weighing the disputed evidence, the fact-finder could have

reasonably resolved the conflicts to form a firm conviction that Davis’ allegations concerning the

grounds for termination were true, then the evidence is factually sufficient and the termination

findings must be upheld. Id. at 18–19; see also J.F.C., 96 S.W.3d at 266. In applying this

standard in light of the ―clear and convincing‖ language required by Section 161.001 of the Texas

Family Code, we must be careful not to ―be so rigorous that the only fact-findings that could

withstand review are those established beyond a reasonable doubt.‖ In re R.A.L., 291 S.W.3d

438, 443 (Tex. App.—Texarkana 2009, no pet.) (quoting In re H.R.M., 209 S.W.3d 105, 108 (Tex.

2006)).

          Only one predicate finding under Section 161.001(1) of the Texas Family Code is

necessary to support a judgment of termination when there is also a finding that termination is in

the child’s best interest. A.V., 113 S.W.3d at 362; In re K.W., 335 S.W.3d 767, 769 (Tex.

App.—Texarkana 2011, no pet.); In re N.R., 101 S.W.3d 771, 775 (Tex. App.—Texarkana 2003,

no pet.). ―If multiple predicate grounds are found by the trial court, we will affirm based on any

one ground because only one is necessary for termination of parental rights.‖ K.W., 335 S.W.3d



                                                    8
at 769. The grounds alleged in Davis’ petitions are specified in Section 161.001(1)(D), (E), and

(R). We conclude that ground (E) is sufficiently proven.

       Ground (E) alleged that Amanda engaged in conduct which endangered the physical or

emotional well-being of I.H.R. Endanger ―means to expose to loss or injury.‖ In re N.S.G., 235

S.W.3d 358, 367 (Tex. App.—Texarkana 2007, no pet.) (citing Tex. Dep’t of Human Servs. v.

Boyd, 727 S.W.2d 531, 533 (Tex. 1987)). This statutory ground for termination ―refers only to

the parent’s conduct, as evidenced not only by the parent’s acts, but also by the parent’s omissions

or failures to act.‖ Id. at 366–67 (quoting In re S.K., 198 S.W.3d 899, 902 (Tex. App.—Dallas

2006, pet. denied)).

       ―The conduct to be examined includes what the parent did both before and after the child

was born.‖ Id. ―To be relevant, the conduct does not have to have been directed at the child, nor

must actual harm result to the child from the conduct.‖ Perez v. Tex. Dep’t of Protective &

Regulatory Servs., 148 S.W.3d 427, 436 (Tex. App.—El Paso 2004, no pet.) (citing Dupree v. Tex.

Dep’t of Protective & Regulatory Servs., 907 S.W.2d 81, 84 (Tex. App.—Dallas 1995, no writ);

N.S.G., 235 S.W.3d at 367). Termination under this ground must be based on more than a single

act or omission; a voluntary, deliberate, and conscious course of conduct by the parent is required.

Perez, 148 S.W.3d at 436 (citing In re K.M.M., 993 S.W.2d 225, 228 (Tex. App.—Eastland 1999,

no pet.); Boyd, 727 S.W.2d at 533; N.S.G., 235 S.W.3d at 367. ―The specific danger to the child’s




                                                 9
well-being need not be established as an independent proposition, but may be inferred from

parental misconduct.‖ Id.; In re N.K., 99 S.W.3d 295, 300 (Tex. App.—Texarkana 2003, no pet.).

       ―[C]onduct that subjects a child to a life of uncertainty and instability endangers the

physical and emotional well-being of a child. Drug use and its effect on a parent’s life and h[er]

ability to parent may establish an endangering course of conduct.‖ J.L.B., 349 S.W.3d at 348

(quoting N.S.G., 235 S.W.3d at 367–68); see Perez, 148 S.W.3d at 436.

       Amanda’s mother, Gail Parkhill, testified that Amanda had a problem with substance

abuse since the age of fourteen. In the past, Amanda had been arrested for driving under the

influence of marihuana several times, as well as driving while under the influence of Ambien, had

been addicted to prescription medication, and had crossed the border to Mexico to fill false

prescriptions forged on her doctor-grandfather’s stolen prescription pad. In addition to alcohol,

marihuana, and prescription medication, Amanda had admitted to Gail her use of heroin, other

opiates, and crack cocaine. While Amanda would abstain from drug use after periodic spells in

drug rehabilitation, Gail testified, ―[S]he always went back to it.‖

       When Amanda became pregnant, Gail inquired about her drug problem. Gail noticed she

still ―would fall asleep talking to you. She would miss the seat. You know, things that it would

be obvious she was not -- not in control of herself. She at that time then really quit seeing me very

much.‖ Mitch Gilbert, who also supervised child visitation, also testified Amanda slept through

her visits several times. Amanda admitted to falling asleep during a visitation because she was



                                                 10
―coming off drugs.‖ Amanda’s doctors recommended drug counseling, but she failed to seek

treatment.

       After I.H.R. was born, Gail found that the house Amanda was renting from her was

―filthy,‖ and ―infested with fleas‖ due to the presence of two malnourished cats who Gail

described as ―skin and bones.‖ Gail evicted Amanda on also finding ―needles, lots of needles

hidden‖ in the home.      I.H.R. was released from the hospital to Amanda.           Several weeks

thereafter, she was removed by Child Protective Services and placed with Davis due to suspected

drug use. Amanda started using crack cocaine ―again around . . . before Christmas of . . . 2010.‖

―Four or five weeks‖ before the termination hearing, Amanda told Gail she did not have ―any place

to go, that these people were kicking her out on the street.‖

       Judith Lyle Flavin, a teacher at a junior college, testified that she had ―known Amanda

since she was 17‖ and that she had a problem with drugs. Flavin attempted to assist Amanda after

I.H.R.’s birth, but decided it was of no avail after discovering Amanda was taking methadone and

had been arrested after police found marihuana and drug paraphernalia in her home. Flavin

testified that Amanda was filling a prescription for Methadone subsequent to her release from jail,

but was selling it to people to make money. Flavin told the court that, after her release,

       we had great hope that she would be improved, but she would -- on a few instances
       she would come to my house, and she would just collapse . . . and want to sleep.
       And I would say, Amanda, what have you taken, because she would just barely be
       coherent. And she would say, I’m just taking my prescriptions. But her
       prescriptions, if that were all she was taking, they were having a real serious effect
       on her ability to function.


                                                 11
Eventually, Amanda admitted to Flavin that she had been to a drug dealer’s house to get crack

cocaine, that she had been using crack cocaine, and that she was suicidal.

       Amanda testified that she was living at ―Models of the Maker‖ shelter for the third time.

She was able to obtain employment briefly with Court Appointed Special Advocates, but ―was on

drugs‖ and was fired. She admitted to prostituting herself in order to obtain drugs, with the most

recent occurrence taking place one month before the termination hearing. Amanda agreed at the

hearing that she was in no condition to provide a home to the child and could not currently support

I.H.R. She admitted that she had been using crack cocaine ―[o]n and off for a year and two

months‖ and that her last use of the drug was two weeks before the termination hearing. When

asked if her conduct was dangerous to the child, Amanda replied, ―I think that if I had her with me,

of course. All of my visits have been supervised. I’ve not been using right before my visit or

during my visit or anything like that.‖ She further stated that she was not in a position to care for

the child and that she was ―not here trying to get her back. I’m not here even trying to get

visitation with her. I’m here just because I don’t want to be excluded altogether from her life.‖

Amanda admitted that she smoked marihuana the day before the child was born and that she used it

throughout her pregnancy. She also agreed that I.H.R. was born addicted to methadone and

marihuana, that it caused I.H.R. problems, and that I.H.R. ―had a seizure right after she was born.‖

       We find the evidence both legally and factually sufficient to support the finding that

Amanda engaged in conduct which endangered the physical or emotional well-being of I.H.R.


                                                 12
Because only one predicate finding under Section 161.001(1) of the Texas Family Code is

necessary to support a judgment of termination, and since Amanda does not challenge the

best-interest finding, we overrule her points of error complaining of insufficient evidence.

       We affirm the trial court’s judgment.


                                                     Josh R. Morriss, III
                                                     Chief Justice

Date Submitted:        March 8, 2012
Date Decided:          March 9, 2012




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