Opinion issued September 26, 2014.
In The
Court of Appeals For The
First District of Texas ———————————— NO. 01-14-00322-CV ——————————— IN RE A.M.B., S.M.B., A.M.B., F.M.B A/K/A F.B., S.M.B. A/K/A S.M., AND M.M.B., CHILDREN
On Appeal from the 314th District Court Harris County, Texas Trial Court Case No. 2013-01651J
MEMORANDUM OPINION
B.B. and H.I., a father and mother, appeal the trial court’s termination of
their parental rights to their children. Each contends that the evidence is legally
and factually insufficient to support the findings that they engaged in conduct that
endangered the physical or emotional well-being of the children. See TEX. FAM. CODE ANN. § 161.001(1)(E) (West 2014). They further contend that the evidence
is legally and factually insufficient to support the finding that either parent allowed
the children to remain in conditions or surroundings which endangered the
children’s physical or emotional well-being. See id. § 161.001(1)(D). Finally,
they contend that the evidence does not support the trial court’s finding that
termination of their parental rights is in the children’s best interest. We hold that
legally and factually sufficient evidence supports the trial court’s findings; we
therefore affirm the terminations.
Background
In early March 2013, the parents had five children under six years of age,
and the mother was in late pregnancy of a sixth child. Eleven-month-old H.B. was
their youngest child. H.B. could crawl and pull herself up by holding onto
furniture, but she could not yet walk independently. One day, the mother noticed
that H.B. was having difficulty breathing before putting her down for a nap. When
the mother returned an hour and forty minutes later, she discovered that H.B. was
not breathing. She woke the father and brought him to H.B. The father told the
mother that H.B. was dead. The mother called 911.
Patrol officers from the Houston Police Department arrived at the family
home in response to the call. The mother led them to the bedroom, where officers
found H.B.’s body. The right side of the baby’s torso, her right thigh, and her right
2 forearm had several large burned areas; someone had covered the areas with a
pasty whitish substance. The burns were so bad that the deeper layers of flesh
were exposed.
The burns occurred four days before H.B.’s death. Through an interpreter, 1
the parents initially told police that the mother had been away using the bathroom
when one of the other children pulled a pot of boiling water from the range and
spilled it onto the H.B., who was crawling in the kitchen. In a later version of the
story, the baby was crawling and bumped into the range, causing the pot of boiling
water to fall from the stove and splash onto the baby. The baby’s injuries were not
consistent with the latter explanation. The police questioned one of the older
children; her answers also were inconsistent with the baby’s injuries.
The officers further questioned the mother, and she again changed her story,
explaining that one of the other children had ignited a paper napkin within the open
oven and set the baby’s clothing on fire. Neither HPD nor CPS found the
proffered explanations plausible.
The father insisted that he was not home when H.B. was burned. He told
investigators that the mother told him about the incident over the telephone.
According to the father, the mother said that when she returned from the bathroom,
H.B.’s clothes were on fire. When the father arrived at home, he was surprised to
1 The parents are from Somalia and speak little English.
3 see such a large burn on H.B. He asked the mother how H.B.’s clothes caught on
fire, but she only cried and did not give him an explanation.
The father bought cocoa butter lotion to treat the burns. A family friend
provided acetaminophen capsules to the father. The mother mixed an unspecified
amount of powdered acetaminophen into the cocoa butter lotion and applied the
mixture to the burns. The father stated that he did not know that the mother put
acetaminophen in the lotion. A bowl containing the lotion-acetaminophen mixture
was found in the baby’s room. The officers also found 50 or 60 empty gel
capsules, a large, half-empty bottle of 500-milligram acetaminophen capsules, and
an opened bottle of over-the-counter cough syrup. The parents denied giving the
baby the cough syrup.
Before H.B.’s injury, the parents had taken their children to the doctor for
other ailments and checkups. The parents had taken H.B. to the doctor a few
months earlier for breathing problems and a cough. But, the parents explained,
they did not seek medical treatment for H.B.’s burns because their knowledge of
medicine was “wasn’t that good” and they were fearful of what might happen if
medical personnel knew that the child had been burned. The mother testified that
she feared that the child who lit the paper napkin on fire would be in trouble, and
she was afraid if the authorities learned about the incident, her children would be
taken away.
4 Dr. P. Gumpeni, an Assistant Deputy Chief Medical Examiner for Harris
County, provided expert testimony concerning the baby’s autopsy, and the trial
court admitted photographs of the child demonstrating the severity of the burns.
The baby’s blood showed an extremely high level of acetaminophen. The blood
also contained bromphenaramine, dextromethorphan, and dextrorphan, the active
ingredients in the over-the-counter cough syrup. The autopsy revealed that the
cause of the baby’s death was acute acetaminophen toxicity with liver failure
following unexplained scald burns. In his opinion, the failure to seek medical
attention for the baby constituted medical neglect. The death was ruled a
homicide. 2
According to his testimony, the baby had second- to third-degree burns
covering about 15 percent of her body. Dr. Gumpeni further testified that the baby
had bronchial pneumonia, consistent with an acute infection and most likely the
result of the burns. In Dr. Gumpeni’s opinion, a reasonable person would have
promptly obtained medical treatment for a child with these severe burns. The
doctor further opined that, if the baby had received medical treatment for the burns,
then she would not have died.
The Child Protective Services’ investigator testified that the parents’ home
appeared clean and well cared-for. The surviving children appeared clean and
2 The mother is currently under felony indictment alleging injury to a child.
5 well-fed, but the investigator testified that they were withdrawn and
uncommunicative. The two oldest children refused to be interviewed by the HPD
detectives, the CPS investigator, or the interviewer at the Children’s Assessment
Center. The children’s older cousin told the CPS investigator that the children
rarely speak with him either.
CPS took the surviving children into custody and placed them with their
maternal grandparents. After the mother gave birth to M.B. in April 2013, CPS
also took her into custody and placed her in foster care. By the time of the trial,
CPS had identified a friend of the family who was willing and able to care for her,
and the trial court ordered her to be placed with the friend.
The mother testified at the termination trial that H.B. sustained the burns
when her young brother lit a napkin from within an open oven, and he caught his
sister’s clothes on fire. She admitted that that she told inconsistent stories about
what happened to protect the other child and avoid termination of her parental
rights.
Discussion
I. Standard of Review
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, 102 S. Ct. 1388, 1397 (1982);
6 accord In re E.R., 385 S.W.3d 552, 563 (Tex. 2012) (quoting Santosky). A
termination decree is complete, final, irrevocable, and divests for all time that
natural right as well as all legal rights, privileges, duties, and powers with respect
to each other except for the child’s right to inherit. Holick v. Smith, 685 S.W.2d
18, 20 (Tex. 1985). We strictly scrutinize termination proceedings and strictly
construe the involuntary termination statutes in favor of the parent. Id. However,
“the rights of natural parents are not absolute,” and “[t]he 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) (internal quotation omitted). Recognizing that a
parent may forfeit his or her parental rights by their acts or omissions, the primary
focus of a termination suit is protection of the child’s best interests. Id.
In a case to terminate parental rights under section 161.001, the Department
must prove, by clear and convincing evidence, (1) that the parent committed one or
more of the enumerated acts or omissions, justifying termination and (2) that
termination is in the best interest of the child. TEX. FAM. CODE ANN. § 161.001; In
re J.O.A., 283 S.W.3d 336, 345 (Tex. 2009). Clear and convincing evidence is
“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.” In re J.O.A., 283
S.W.3d at 344. “Only one predicate finding under section 161.001(1) is necessary
to support a judgment of termination when there is also a finding that termination
7 is in the child’s best interest.” In re A.V., 113 S.W.3d at 362. Thus, if the trial
court’s judgment relies on multiple predicate grounds, we may affirm on any one
of those grounds. In re D.S., 333 S.W.3d 379, 388 (Tex. App.—Amarillo 2011, no
pet.); In re S.N., 272 S.W.3d 45, 49 (Tex. App.—Waco 2008, no pet.).
In reviewing the legal sufficiency of the evidence in a parental-rights-
termination case under section 161.001, we look at all the evidence to determine
whether the evidence, viewed in the light most favorable to the finding, is such that
the factfinder could reasonably have formed a firm belief or conviction about the
truth of the issues on which the Department bore the burden of proof. In re J.P.B.,
180 S.W.3d 570, 573 (Tex. 2005) (per curiam); In re J.F.C., 96 S.W.3d 256, 266
(Tex. 2002). We defer to the trial court as fact-finder and resolve disputed facts in
favor of its finding if a reasonable factfinder could do so. In re J.P.B., 180 S.W.3d
at 573; In re J.F.C., 96 S.W.3d at 266; Jordan v. Dossey, 325 S.W.3d 700, 712–13
(Tex. App.—Houston [1st Dist.] 2010, pet. denied).
Termination findings withstand a factual sufficiency challenge if the
evidence is such that a reasonable factfinder could form a firm belief or conviction
that the statutory grounds for termination exist. In re C.H., 89 S.W.3d 17, 18–19
(Tex. 2002). To reverse a case on factual insufficiency grounds, “the reviewing
court must detail the evidence relevant to the issue of parental termination and
8 clearly state why the evidence is insufficient to support a termination finding by
clear and convincing evidence.” Id. at 19.
II. Evidentiary sufficiency
In their separate appeals, the mother and the father contend that the evidence
is legally and factually insufficient to support termination of their parental rights
under Texas Family Code sections 161.001(1)(D) and (E). Each of these
provisions provides a basis for terminating parental rights because of child
endangerment. “‘To endanger’ means to expose a child to loss or injury or to
jeopardize a child’s emotional or physical health.” Jordan, 325 S.W.3d at 723; In
re T.N., 180 S.W.3d 376, 383 (Tex. App.—Amarillo 2005, no pet.) (citing In re
M.C., 917 S.W.2d 268, 269 (Tex. 1996)). A child is endangered when the
environment creates a potential for danger that the parent disregards. Jordan, 325
S.W.3d at 721; In re M.R.J.M., 280 S.W.3d 494, 502 (Tex. App.—Fort Worth
2009, no pet.).
“Although ‘endanger’ means more than a threat of injury or the possible ill
effects of a less-than-ideal environment, it is not necessary that the conduct be
directed at the child or that the child actually suffers injury.” In re T.N., 180
S.W.3d at 383 (citing In re M.C., 917 S.W.2d at 269); see also In re J.O.A., 283
S.W.3d at 345 (holding that endangering conduct is not limited to actions directed
toward child); Jordan, 325 S.W.3d at 723 (holding that danger to child need not be
9 established as independent proposition and may be inferred from parental
misconduct even if conduct is not directed at child and child suffers no actual
injury); Walker v. Tex. Dep’t of Family & Protective Servs., 312 S.W.3d 608, 616–
17 (Tex. App.—Houston [1st Dist.] 2009, pet. denied) (explaining that relevant
conduct may occur either before or after child’s removal from home).
While both subsections D and E focus on endangerment, they differ
regarding its source and proof. Subsection 161.001(1)(D) provides that a “court
may order termination of the parent-child relationship if the court finds by clear
and convincing evidence . . . that the parent has . . . knowingly placed or
knowingly allowed the child to remain in conditions or surroundings which
endanger the physical or emotional well-being of the child.” TEX. FAM. CODE
ANN. § 161.001(1)(D). This provision focuses on the child’s living environment,
rather than the parent’s conduct. In re S.M.L., 171 S.W.3d 472, 477 (Tex. App.—
Houston [14th Dist.] 2005, no pet.); see In re J.T.G., 121 S.W.3d 117, 125 (Tex.
App.—Fort Worth 2003, no pet.). Parental conduct nevertheless remains relevant
because it may produce an endangering environment. See Jordan, 325 S.W.3d at
721.
Subsection 161.001(1)(E) provides that a parent’s rights can be terminated
when she 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
10 child.” TEX. FAM. CODE ANN. § 161.001(1)(E). The parent’s conduct must cause
the endangerment, and the endangerment must be the result of a voluntary,
deliberate, and conscious course of conduct by the parent rather than a single act or
omission. Jordan, 325 S.W.3d at 723; In re J.T.G., 121 S.W.3d at 125.
The relevant inquiry is whether evidence exists that the parent’s conduct—
including acts, omissions, and failures to act, both before and after the birth of the
child—directly endangered the child’s physical well-being. In re J.W., 152 S.W.3d
200, 205 (Tex. App.—Dallas 2004, pet. denied); see Tex. Dep’t of Hum. Servs. v.
Boyd, 727 S.W.2d 531, 533–34 (Tex. 1997); In re D.M., 58 S.W.3d 801, 812 (Tex.
App.—Fort Worth 2001, no pet.). Parental conduct may be relevant even if it does
not involve the child or result in actual harm to the child. In re D.M., 58 S.W.3d at
811; see also Jordan, 325 S.W.3d at 723 (“The relevant inquiry is whether
evidence exists that a parental course of conduct endangered the child’s physical or
emotional well-being.”).
The Department presented evidence that the parents were neglectful in
failing to seek health care for H.B. over the course of four days, and administered a
lethal dose of acetaminophen, contrary to its indicated use. The evidence shows
that both the mother and the father knew the baby had suffered serious burns at or
near the time they occurred, and the photographs depict grave injuries. Neither
parent sought professional medical attention for the baby over the course of the
11 four days between the injury and the baby’s death, even though the child
experienced extreme pain during that time. The reason the parents gave for not
taking the baby for medical treatment had to do with their fear of government
involvement, not because of any mistaken belief concerning the baby’s condition.
Instead of taking the baby for medical treatment, the father obtained over-
the-counter medication, which the mother applied to the burns. The decision to
add acetaminophen to the cocoa butter lotion after having applied the cocoa butter
lotion alone shows an awareness that the baby was in pain and needed more
serious medication, as does the administration of cough syrup. The father denied
having tried to treat the baby with these medications, and the mother denied giving
the baby cough syrup. In the presence of evidence to the contrary, their denials
show a consciousness that the baby was not improving in their care and that she
needed professional medical attention in the days before her death.
“[T]he manner in which a parent treats other children in the family can be
considered in deciding whether that parent engaged in a course of conduct that
endangered the physical or emotional well-being of a child.” Cervantes-Peterson
v. Tex. Dep’t of Family & Protective Servs., 221 S.W.3d 244, 253 (Tex. App.—
Houston [1st Dist.] 2006, no pet.). Viewing all of this evidence in a light most
favorable to the trial court’s findings, we hold that a reasonable factfinder could
form a firm belief or conviction that the parents (1) knowingly placed or
12 knowingly allowed their children to remain in conditions or surroundings which
endangered their physical or emotional well-being and (2) engaged in conduct or
knowingly placed their children with persons who engaged in conduct that
endangered J.L.’s physical or emotional well-being. TEX. FAM. CODE ANN.
§ 161.001(1)(D), (E); see In re J.L., 163 S.W.3d 79, 87 (Tex. 2005)
In contending that the evidence is factually insufficient to support the
termination of their parental rights, the parents point to Dr. Gumpeni’s testimony
that it may have been possible for the baby to eat and walk after experiencing these
burns, which a lay person might perceive as a sign that the child is improving.
They also cite argument of counsel on the issue. No evidence in the record,
however, indicates that the parents observed H.B. walking or eating solid food
after she suffered the burns, and while it may be possible that an 11-month-old
with severe burns could nonetheless move, the photographs reveal that any
movement would necessarily cause severe pain. See Dunn v. Dunn, 177 S.W.3d
393, 398 (Tex. App.—Houston [1st Dist.] 2005, pet. denied) (disregarding
counsel’s representation based on rule that arguments of counsel are not evidence).
Counsel’s statements are not evidence that would undermine the trial court’s firm
belief or conviction supporting its endangerment findings.
13 A. Children’s best interest A strong presumption exists that a child’s best interest is served by
maintaining the parent–child relationship. In re L.M., 104 S.W.3d 642, 647 (Tex.
App.—Houston [1st Dist.] 2003, no pet.). In Holley v. Adams, the Texas Supreme
Court provided a nonexclusive list of factors that the trier of fact in a termination
case may use in determining the best interest of the child. 544 S.W.2d 367, 371–
72 (Tex. 1976). These factors include (1) the desires of the child; (2) the emotional
and physical needs of the child now and in the future; (3) the emotional and
physical danger to the child now and in the future; (4) the parental abilities of the
individuals seeking custody; (5) the programs available to assist these individuals
to promote the best interest of the child; (6) the plans for the child by these
individuals or by the agency seeking custody; (7) the stability of the home or
proposed placement; (8) the acts or omissions of the parent that may indicate that
the existing parent–child relationship is not a proper one; and (9) any excuse for
the acts or omissions of the parent. Id. These factors are not exhaustive, and there
is no requirement that DFPS prove all factors as a condition precedent to parental
termination. In re C.H., 89 S.W.3d at 27; Adams v. Tex. Dep’t of Family &
Protective Servs., 236 S.W.3d 271, 280 (Tex. App.—Houston [1st Dist.] 2007, no
pet.).
14 1. The children’s desires, physical and emotional needs, and the emotional and physical danger to the children, now and in the future.
The children are too young to state their desires. The CPS worker testified
that, when he met the five older children, they were withdrawn and did not speak,
even to their cousin. While they were clean and adequately nourished, they
appeared to have suffered from neglect. Since moving to live with their
grandparents, the children are much less withdrawn and appear happy and healthy.
Their schools and family members noticed a significant improvement in the
children’s demeanor and behavior. The grandparents wish to adopt the children
and are committed to their care for the long term.
At the time of trial, M.B., born after the incident, was eleven months old and
in foster care. The Department did not place this child with the grandparents
because they did not have the resources to care for the baby in addition to the five
older children. The Department reported that the baby was meeting her milestones
and doing well in foster care. The Department identified a family friend willing
and ready to care for her and raise the baby as her own, and the trial court has
approved the proposed placement.
15 2. Parental ability and programs available to assist in promoting the children’s best interests.
The mother has completed a parenting course, and she testified that she
would not hesitate to obtain medical care for a child in the future. The father did
not testify. At the time of the criminal investigation, the father denied knowing
that the mother mixed the acetaminophen into the cocoa butter and applied it to
H.B.’s wounds, but the evidence of the surrounding circumstances supports a
contrary inference. The Department attributed the children’s neglect to both the
mother and the father because both were present in the home. This factor does not
undermine the trial court’s finding that termination is in the children’s best interest.
3. Stability of the home or proposed placement.
The evidence showed that the five older children are well-adjusted to their
placement with their grandparents. The grandparents are committed to caring for
the children on the long term. They nurture the children’s connection with their
culture and their religion, and the children remain part of the close-knit Somali
community. The CPS caseworker testified that the grandparents intend to adopt
the children and are appropriate and capable of providing the children with a safe,
secure, protective, and nurturing environment which will meet the children’s short-
and long-term needs. As managing conservator, CPS will continue to assist the
grandparents with the children’s care as they become more familiar with the
children’s healthcare providers and schools.
16 The baby, M.B., will be placed another member of the Somali community
who is also a family friend. That person stated she will raise the baby as her own.
M.B. will have the opportunity to interact with her siblings and grandparents while
getting the nurturing she needs. This Holley factor weighs in favor of the trial
court’s best-interest determination.
4. The acts or omissions of the parents and any excuse for such acts or omissions.
The trial court considered that an incident like the one that resulted in H.B.’s
death was not likely to recur. But the mother gave inconsistent explanations for
H.B.’s burns. The medical examiner testified that a reasonable person would have
sought immediate medical attention for such severe burns. The parents’
explanation for not seeking medical attention disregarded the seriousness of H.B.’s
condition and did not take her welfare into account. The parents proffered no
excuse for administering H.B. a lethal dose of acetaminophen, contrary to its
indicated use. A criminal prosecution is ongoing. This Holley factor supports
termination of parental rights.
17 Conclusion
Based on the evidence adduced at the termination hearing, the trial court
reasonably could have formed a firm conviction that the parents’ conduct had
endangered their children and termination of the parents’ rights was in the
children’s best interest. We therefore affirm the judgment of the trial court.
Jane Bland Justice
Panel consists of Justices Higley, Bland, and Sharp.