Alice Annette Steele v. State

Court of Appeals of Texas·Decided March 23, 2015·No. 05-13-00930-CR·Published

Opinion

AFFIRM; and Opinion Filed March 19, 2015.

Court of Appeals

S In The

Fifth District of Texas at Dallas No. 05-13-00930-CR

ALICE ANNETTE STEELE, Appellant V.

THE STATE OF TEXAS, Appellee

On Appeal from the 194th Judicial District Court Dallas County, Texas

Trial Court Cause No. F-0845120-M

MEMORANDUM OPINION

Before Justices Fillmore, Schenck, 1 and Chief Justice Thomas, Retired 2 Opinion by Justice Schenck Appellant Alice Annette Steele was indicted for the offense of intentionally or knowingly

injuring a child. A jury convicted appellant of the lesser-included offense of recklessly injuring a child, and sentenced her to 20 years’ imprisonment. In three issues, appellant asserts the trial court erred by overruling her objections to improper questioning of a witness and improper closing argument. We affirm the trial court’s judgment. Because all dispositive issues are settled in law, we issue this memorandum opinion. TEX. RS. APP. P. 47.2(a), 47.4.

1 The Honorable Justice David J. Schenck succeeded Justice Michael O’Neill, a member of the original panel, following Justice O’Neill’s retirement. Justice Schenck has reviewed the briefs and the record before the Court.

2 The Honorable Linda Thomas, Chief Justice of the Court of Appeals for the Fifth District of Texas—Dallas, Retired, sitting by assignment.

BACKGROUND

On February 16, 2008, K.S. and her two-year-old brother went to stay at appellant’s home for a few days while their parents were at the hospital for the birth of a new baby. K.S. was 14 months old. On February 25, 2008, the children were still at appellant’s home in her care. On that morning, appellant called 911 to report that K.S. had been choking on a toy and was unresponsive. Paramedics arrived and called for additional help from the Richardson Fire Department. K.S. was taken to Richardson Regional Medical Center, where the emergency room doctor determined that K.S. needed treatment that was not available there. K.S. was taken by care flight to Children’s Medical Center of Dallas, where she underwent brain surgery for a subdural hematoma. As a result of her injuries, K.S. suffered brain damage and blindness. K.S. eventually returned home, but died on December 11, 2008, from complications of her injury.

Appellant was indicted for injury to a child on April 21, 2008. Trial commenced in June, 2013. The jury heard testimony of some forty witnesses over the course of nine days. The evidence at trial included a videotaped interview of appellant by the Richardson police and appellant’s written statement, both made on February 25, 2008, after K.S. had been taken to the hospital. In these statements, appellant explained that she got up and drove her daughter to school, leaving K.S. and her brother at home asleep. When appellant returned, K.S. was still asleep, but woke up shortly after and was coughing. Appellant, who has a medical assistant certificate, thought K.S. was choking. Appellant stated that she patted K.S.’s back and then put her finger in K.S.’s throat and pulled out a small blue “Lego” toy. K.S. “went limp,” and appellant called 911. Appellant gave this explanation to the 911 dispatcher and the paramedics as well as the police.

Emergency personnel who responded on February 25 testified at trial, including the 911 dispatcher, paramedics, and firefighters from the Richardson Fire Department. A recording of the

911 call was played for the jury. Five police officers who were involved in the case also testified, as well as three doctors who examined or treated K.S. Through the testimony of these witnesses, the State developed evidence that K.S.’s injuries were not consistent with choking; the blue Lego was never found; and appellant’s explanation changed in the course of questioning, to add that K.S. bit her when she pulled out the Lego, causing appellant to turn around and bump K.S.’s head against a door jamb. Medical testimony established that K.S. suffered a massive subdural hematoma, which the emergency room doctor defined as “blood on the outside of the brain.”

The jury heard evidence that K.S. suffered a bump on her forehead earlier in the week, causing a visible raised abrasion. The evidence also showed that there was no other mark visible on K.S.’s head except a small red mark on the back of her head observed by the neurosurgeon immediately before surgery. Appellant offered the testimony of three experts at trial to interpret this evidence. Dr. Janice Ophoven and Dr. John Plunkett, specialists in forensic pathology, are both medical doctors. The third expert, John Lloyd, has a Ph.D. in ergonomics and is a brain injury specialist. These experts testified that two minor injuries (the first bump on the head and a later minor bump on the door jamb consistent with appellant’s explanation) could have been the cause of K.S.’s massive subdural hematoma. They also testified that a small injury could cause massive bleeding, and any severe impact would leave at least some mark on the skin. Dr. Ophoven concluded that in her opinion, “there is not verifiable evidence that this child’s injuries were the result of inflicted trauma or child abuse.” Dr. Plunkett testified that a child with a head injury could have a “lucid interval” of hours or days before showing symptoms. He further explained that the size of a subdural hematoma does not correlate with the amount of impact or force that caused the injury; a minor impact could cause a large subdural hematoma. He, too, concluded that although K.S. had a traumatic brain injury, he “would not call it intentional.”

Four doctors testified on behalf of the State. Dr. Gregory Lachar, the emergency room doctor who treated K.S.; Dr. Angela Price, the neurosurgeon who operated on K.S.; and Dr. Matthew Cox, a specialist in child abuse pediatrics who examined K.S. during her hospitalization at Children’s Medical Center, all testified regarding the nature and extent of K.S.’s injuries, as well as the treatment required. The fourth doctor, Dallas County Medical Examiner Reade Quinton, conducted an autopsy on K.S. in December 2008.

Dr. Price testified that when K.S. arrived at Children’s, “she was almost very close to dying.” Immediate surgery was necessary to control the bleeding in K.S.’s brain. Dr. Price described massive swelling of K.S.’s brain. She testified that “[t]he most probable set of circumstances is that this subdural occurred within two to three hours” before K.S. arrived at the emergency room, and “anything over six hours” would be improbable. She testified it was “very improbable” that the subdural hematoma occurred and continued to bleed over a 72-hour period before K.S. showed any symptoms. The symptoms observed by the paramedics and the emergency room doctor suggested “that she is rapidly progressing,” so that the most probable time the injury occurred was within a few hours of the paramedics’ arrival. Dr. Cox testified that K.S.’s injury could not have been caused by a “minor impact”; it “had to be a severe and violent event.” Dr. Quinton testified that the cause of K.S.’s death was blunt-force injury to the head and the subsequent consequences of that injury. He classified her death as a homicide. He also testified that “[t]he history of the LEGO in the airway did not really fit the findings that were found at that time”; “we are also talking about massive swelling of the brain and subdural hematoma, which wouldn’t be caused by just airway obstruction.” He testified that “progressive” injuries, worsening over the course of a few days, were possible, but not without accompanying symptoms, which K.S. did not display.

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