Court Opinion

ID: 3124366
Source: CourtListenerOpinion
Date Created: 2015-10-16 14:52:10.31756+00
Date Added: 2024-06-11T11:53:08.987898
License: Public Domain

NUMBER 13-08-688-CR

COURT OF APPEALS

THIRTEENTH DISTRICT OF TEXAS

CORPUS CHRISTI - EDINBURG 

 

BRIAN FELLERS, 				                   	          Appellant,

v.

THE STATE OF TEXAS,						           Appellee.
 

On appeal from the 36th District Court 
of San Patricio County, Texas.
 

MEMORANDUM OPINION

Before Justices Rodriguez, Benavides, and Vela

Memorandum Opinion by Justice Vela

 Appellant, Brian Fellers, and a co-defendant, Martha Vasquez, were indicted for the
first-degree felony offense of causing serious bodily injury to a child by omission.  See Tex.
Penal Code. Ann. § 22.04(a)(1), (e) (Vernon Supp. 2009-2010).  The jury convicted him
of the offense and assessed punishment at eighteen years' imprisonment, plus a $2,000
fine.  By three issues, appellant complains of charge error and challenges the legal and
factual sufficiency of the evidence to support his conviction.  We affirm. (1)
I. Factual Background

A. State's Evidence
	Appellant and his ex-wife had two sons, M.F. and J.F.  In 2007, he obtained custody
of both children, and he, along with three-year-old M.F., and two-year-old J.F. began living
with his girlfriend, Martha Vasquez, at her parents' home in Gregory, Texas.  In the evening
of November 6, 2007, appellant, Martha, M.F., and J.F. went to Sinton, Texas to return a
lawnmower to appellant's mother, who testified appellant told her J.F. "had thrown up and
that Martha was cleaning him up and that he wanted to go real quick and go back to go
home."
	Martha's sister, Angelica Vasquez, testified that when appellant, Martha, M.F., and
J.F. returned home from Sinton, appellant gave J.F. a bath and that she saw J.F. throw up
water on three occasions that evening-twice in the presence of Martha and appellant. 
Angelica stated that J.F. looked "[s]ick" and "sad."
	When Angelica's boyfriend, Courtney Greer, arrived at the Vasquez home that
evening, he saw that J.F. "looked a little pale" and "sick."  He saw Martha take J.F. into the
bathroom, where J.F. threw up a "yellowish" substance.  Courtney testified that J.F. told
him, "'My tummy hurts.'"  Later, Courtney saw Martha and appellant in their bedroom with
J.F.  Courtney testified that J.F. looked pale but "didn't seem like anything was wrong." 
Courtney testified that he asked J.F. how he felt and that J.F. said "his stomach hurt." 
Courtney testified that appellant and Martha said they would take J.F. to the doctor "in the
morning if he's not doing any better."  He also testified that J.F. had a bruise "on his
forehead from when he fell, and one from when he scratched himself."  He said that the
fall occurred on Halloween night.  He said that three or four days before J.F. died, J.F.
received a bruise on the back of his legs from sitting in a chair.
	In the early morning of November 7, 2007, Courtney, who spent the night at the
Vasquez home, saw Martha, M.F., and J.F. inside their bedroom.  Angelica testified that
about 7:00 a.m. that morning, she saw Martha holding J.F., who was "pale and just limp." 
Martha handed J.F. to Angelica and called both 9-1-1 and appellant, who had gone to
work.  Courtney gave J.F. mouth-to-mouth resuscitation, and he testified that when
appellant arrived at the Vasquez home, appellant "took a look at [J.F.] and he asked what
was wrong and we said we didn't know."
	At 7:31 a.m., J.F. arrived at the hospital via EMS and was treated there by Dr. Saiad
Mustafa.  Medical personnel gave J.F. chest compressions and medications, but Dr.
Mustafa pronounced him dead at 7:46 a.m.
	On the day J.F. died, Karen Diaz, a justice of the peace for San Patricio County,
spoke to appellant at the emergency room.  She  testified he told her that before he left for
work that morning, he "checked on [J.F.] . . . and that his [J.F.'s] breathing was labored and
that he was breathing real heavy through his nose. . . ."
	Stephanie Pierce, who worked for Bay to Bay Early Childhood Intervention, testified
that the day after J.F. died, she asked Martha about J.F.'s death.  She stated that Martha
told her, "[I]t was a regular day until about 6:00 P.M. . . .  [J.F.] had eaten fish sticks during
the mealtime and had a corn dog later and she said he just began throwing up. . . .  [T]hey
were getting ready for bed and [J.F.] continued to throw up."  Pierce testified that when she
asked Martha why they did not take J.F. to the emergency room, Martha said, "[T]hey didn't
take him because she was afraid that hospital staff would see a bruise on his leg and
report it to C.P.S."  Martha told Pierce that J.F. "kept throwing up until around 11:00 or 12
o'clock and she [Martha] told Brian [appellant] that she didn't care.  'I don't care,' you know. 
'We need to take him, Brian.'"  Martha told Pierce that she fell asleep so they all went to
bed.  Pierce said that Martha told her "that earlier in the morning of the 7th of November
around 6:30--6:00 to 6:30 . . . [J.F.] began throwing up again" and that "he went into
convulsions."  When he went into convulsions, "they called 9-1-1 . . . ."
	After J.F. died, appellant provided the police with a recorded statement (2) concerning
the events surrounding the death.  Appellant stated that on the afternoon of November 6,
2007, Martha called him at work and told him that J.F. had thrown up.  That evening, he
gave J.F. a shower and knew that he was throwing up.  He said that either Martha or
Angelica gave J.F. some Tylenol.  The next morning, he left for work between 5:00 and
5:30.  Before he left for work, he said that J.F. was "fine."
	Dr. Ray Fernandez, the Nueces County Medical Examiner, performed the autopsy
and found numerous bruises and abrasions on the child's left and right upper forehead, left
eye, left upper eye lid, right cheek, left and right jaws, left eyebrow, right and left upper
arms, left forearm, right and left lower abdomen, right and left lower back, left and right
thighs, right knee, left and right buttocks, lower right hip, left calf, and right and left lower
legs.  He testified that "blunt trauma," not a blood disorder, caused these injuries and that
some of the bruising to the legs and face could have resulted from efforts to save his life. 
The internal examination of the abdominal cavity revealed "bleeding just below the
pancreas" and a quarter-inch "tear of the tissue."  The abdominal cavity, which should
contain no free fluid, contained 275 cc's of fluid.  He stated there was "trauma to the
abdomen, causing the tearing inside the abdomen; causing bleeding inside the abdomen;
causing the fluid and the inflammation to build up in the abdomen."  He stated the cause
of death was "blunt force abdominal injuries."  He said the range of time in which the
abdominal trauma occurred would be anywhere from twelve hours up to two or three days
and that from the time J.F. sustained this blunt-force abdominal trauma, he would have
started exhibiting symptoms such as pain and vomiting.  Vomiting and the loss of fluid
inside the abdomen would make J.F. dehydrate and want to drink water.  When the
prosecutor asked him whether J.F.'s injuries could have been treated, he said, "I would say
early on, the chances for treatment and survival are good.  Later, chances are not good." 
He said the injury that caused J.F.'s death was "serious bodily injury" not consistent with
falling off of a bed or falling onto the handlebars of a tricycle.
	Dr. Nancy Harper, a pediatrician who served as the medical director for the CARE (3)
Team at Driscoll Children's Hospital, reviewed photos of J.F.'s body that were taken after
he died.  She testified the bruises on both sides of his head "represent[ed] two episodes
of trauma" and did "not appear consistent with accidental injury."  She said the bruising to
the backs of J.F.'s thighs had "[l]inear patterns," which "are often seen when children get
hit with objects such as belts, looped cords, or other things that would leave a line-like
distribution of bruising."  When asked if this bruising could occur from the child sitting in a
chair, she said, "No.  Otherwise we'd have lots of children with that."  However, she said
"it would be possible" for J.F. "[t]o obtain these bruises if he were forced to sit in a chair." 
She said the bruising to his right buttock "appear[ed] patterned," meaning that "[i]t looks
like it was caused by . . . a tool or a hand."  She said that the bruising to J.F.'s abdomen
is "not what be [sic] normally see with normal childhood play, . . . ."  She stated that "[t]he
majority of children with abdominal injuries from bicycles and handlebars are over four
years of age and that handlebar injury to the abdomen would not result in two bruises, one
on either side of the abdomen.  Rather, that injury "would result in more of an abdomen
sort of injury towards the center, upper part of the abdomen."  She did not see any sort of
bruising on the center part of J.F.'s abdomen.  She said that if J.F. had "been presented
early enough" to the emergency room, he would have been treated for his injuries.
	On cross-examination, Dr. Harper testified that "[t]he majority of children, when they
sustain injuries from resuscitation, have perhaps abrasions, small bruises perhaps to the
chest and face, and around their airway from intubation."  She stated that if she had
evaluated J.F., she would have noted that he had bruising "not consistent with normal
childhood activity and I would have said that it was consistent with physical abuse."  She
said that "the majority of [J.F.'s] bruises are from direct impact and trauma."
B. Defense Evidence
	Dr. Charles Harvey, a forensic pathologist and the former Galveston County Medical
Examiner, testified J.F. had twenty-three bruises and fourteen abrasions on his body.  He
stated that about seventeen of the bruises are similar in size and that "[m]ost of them are
compatible with the sort of patterns that are laid down by gripping fingers."  When defense
counsel asked him, "Is that consistent, in your opinion, with life-sustaining efforts that would
be employed on [J.F.]?", he said, "In the emergency room and before, yes, sir; it can be." 
He said that the bruises on the back of the thighs were not consistent with recent trauma
and that the bruises on J.F.'s lower abdomen were compatible with recent injury.  He said
that his findings with respect to the abdominal bruising were consistent with the findings
by Dr. Fernandez.  He said that trauma to J.F.'s "buttock area" looked "relatively fresh" and
had "a slight pattern to it.  Parallel, linear lines.  It could be compatible with a hand."  He
said that when a person has "septic shock" or "sepsis," a "lesser amount of pressure than
usual" will be needed to create bruising in the skin.  He opined that a tricycle or scooter
"could have" caused the trauma to J.F.'s abdomen.  He explained that "serious injuries can
occur to kids from a low-energy type injury; that a child falling on handlebars of bicycles .
. . can . . . do significant injury to the inter-abdomen area."
	Dr. John Glanasnik, a pediatrician who worked at the Student Health Center at the
University of Alabama-Tuscaloosa, testified that some of the bruises on J.F.'s body,
especially on his elbow, forehead, cheeks, and legs, resulted from "purpuric bleeding . . .
into the skin, loss of blood from the vascular system into the skin."  He said that when a
person has an injury to the bowel or an infection in the abdomen, "germs" get in the
bloodstream and produce toxins, which cause "bruise-like bleeding into the skin," which is
"part of the septic process, or sepsis process."  He said that these "lesions" or bruises
"could have developed" on J.F.'s body over a period of one to three hours.  He did not
"think they would have at all been present necessarily the evening before [J.F.'s death]." 
He agreed with Dr. Fernandez's finding that J.F. suffered blunt-force injury to the abdomen. 
He opined that J.F. did not comport with the definition of an abused child, stating "[H]e was
well-nourished."  He said that "in my opinion, the unfolding of events is consistent with a
low-energy impact force to the abdomen setting off intestinal injury. . . .  I don't see
anything on that autopsy that allows one to say that this is homicide versus accidental." 
He stated that the weight of a child falling on solid objects can result in significant damage
to the intestines.  He opined that some of the bruising on J.F.'s body resulted from "life-saving techniques."  When defense counsel asked him, "[I]s it unusual for parents to--kid
has a tummy ache, for them to give him some medicine and just put them to bed?", he
said, "No, sir. . . .  [I]f a child throws up three or four or five times in the evening, the first
medical assumption is going to be had [sic] a stomach viral flu or had some bad food, . .
. ."  He further stated, "I don't see that, you know, every time a child throws up four times
he's supposed to go to the emergency room in the middle of the night and be seen by a
pediatrician.  I don't know that that's the standard of care in the country" and "I don't see
that when a two-year old throws up three or four or five times in the course of an evening
and says his stomach hurts that that's necessarily going to be profoundly alarming to most
parents."  He stated that the abdominal injury that led to J.F.'s death could have been
caused by the child falling onto the handlebars of a bicycle or scooter.
	Martha Vasquez's father, Angel Vasquez, Sr., testified that M.F. and J.F. played with
tricycles.  The day before J.F. died, Mr. Vasquez arrived home about 8:30 p.m. and was
told that J.F. had vomited when coming back from Sinton.  He testified that J.F. had two
bruises; "one on the lower end of the cheek and one on the buttock area."  He said that
J.F. looked "normal" when he saw him at 9:00 p.m., and he did not think that Martha and
appellant "should have taken him to the doctor then."  He said that J.F. did not "look as
though he needed to be rushed to the hospital[.]"  However, when defense counsel asked
him, "So if he's just vomiting up food and water and had a little tummy ache, do you think
you would have taken him to the doctor that night?", he said, "Well, I believe so; yes."  Mr.
Vasquez left for work at 6:25 a.m. the following morning,   Before he left for work, he saw
J.F. sleeping and testified that "[e]verything looked normal."
	Rodrigo Rodriguez testified that one evening in early November 2007, he saw
appellant, M.F. and J.F. at a home in Sinton.  He saw both children playing.  Neither child
looked sick.
 II. Discussion

A. Serious Bodily Injury to a Child by Omission
	We first address issues two and three wherein appellant contends the evidence is
legally and factually insufficient to support his conviction.    
	1. Standard of Review-Legal Sufficiency
	"When conducting a legal sufficiency review, a court must ask whether 'any rational
trier of fact could have found the essential elements of the crime beyond a reasonable
doubt'--not whether 'it believes that the evidence at trial established guilt beyond a
reasonable doubt.'"  Laster v. State, 275 S.W.3d 512, 517 (Tex. Crim. App. 2009) (quoting
Jackson v. Virginia, 443 U.S. 307, 318-19 (1979)) (emphasis in original).  "In doing so, we
assess all of the evidence 'in the light most favorable to the prosecution.'"  Id. (quoting
Jackson, 443 U.S. at 319).  "After giving proper deference to the fact finder's role, we will
uphold the verdict unless a rational fact finder must have had reasonable doubt as to any
essential element."  Id. at 518.
	Our review of a legal and factual sufficiency challenge should be examined under
the principles of review for a hypothetically correct jury charge.  Grotti v. State, 273 S.W.3d
273, 280-81 (Tex. Crim. App. 2008).  "'Such a charge [is] one that accurately sets out the
law, is authorized by the indictment, does not unnecessarily increase the State's burden
of proof, or unnecessarily restrict the State's theories of liability, and adequately describes
the particular offense for which the defendant was tried.'"  Villarreal v. State, 286 S.W.3d
321, 327 (Tex. Crim. App. 2009) (quoting Malik v. State, 953 S.W.2d 234, 240 (Tex. Crim.
App. 1997)).  The law as authorized by the indictment means the statutory elements of the
charged offense as modified by the charging instrument.  See Curry v. State, 30 S.W.3d
394, 404 (Tex. Crim. App. 2000).
	The indictment alleged, in relevant part, that appellant:

	intentionally or knowingly, by act or omission, cause[d] serious bodily injury
to [J.F.], a child 14 years of age or younger, by failing to seek medical
treatment for the said [J.F.] for blunt force trauma, and . . . [appellant] had a
legal or statutory duty to act, namely [appellant] was a parent of [J.F.]; . . . .
 
	a. Applicable Law
	Under the Texas Penal Code, "[a] person commits an offense [of injury to a child]
if he intentionally, knowingly, recklessly, or with criminal negligence, by act or intentionally,
knowingly, or recklessly by omission, causes to a child, . . .:  (1) serious bodily injury[.]" 
Tex. Penal Code Ann. § 22.04(a)(1); Jefferson v. State, 189 S.W.3d 305, 312 (Tex. Crim.
App. 2006).  A child is a person fourteen years of age or younger.  Tex. Penal Code Ann.
§ 22.04(c)(1).  "Serious bodily injury' means bodily injury that creates a substantial risk of
death or that causes death, . . . ."  Id. § 1.07(a)(46).
	"'[A]ct or omission' constitute the means of committing the course of conduct
element of injury to a child."  Jefferson, 189 S.W.3d at 312.  "Injury to a child by omission
is a 'result of conduct' offense."  Williams v. State, 294 S.W.3d 674, 684 (Tex.
App.-Houston [1st Dist.] 2009, pet. ref'd).  "[T]he essential element or focus of the statute
is the result of the defendant's conduct (in this case, serious bodily injury to a child) and
not the possible combinations of conduct that cause the result."  Jefferson, 189 S.W.3d at
312, see Alvarado v. State, 704 S.W.2d 36, 39 (Tex. Crim. App. 1985) (stating that
because injury-to-a-child statute does not specify the "nature of conduct," the conduct is
inconsequential to its commission as long as "the conduct (whatever it may be is voluntary)
and done with the required culpability to effect the result the Legislature has specified")
(emphasis in original).

	The evidence is sufficient to support appellant's conviction for injury to a child by
omission under section 22.04(a) of the penal code if the State proves either that he
intended to cause the injury through his omission or that he was aware that his omission
was reasonably certain to cause the injury.  Johnston v. State, 150 S.W.3d 630, 636 (Tex.
App.-Austin 2004, no pet.); Dusek v. State, 978 S.W.2d 129, 134 (Tex. App.-Austin 1998,
pet. ref'd).  A person acts intentionally, or with intent, with respect to a result of his conduct
"when it is his conscious objective or desire to engage in the conduct or cause the result." 
Tex. Penal Code Ann. § 6.03(a) (Vernon 2003).  "A person acts knowingly, or with
knowledge, with respect to a result of his conduct when he is aware that his conduct is
reasonably certain to cause the result."  Id. § 6.03(b).  The jury may infer both knowledge
and intent from any facts that tend to prove the existence of these mental states, including
the defendant's acts, words, or conduct and from the nature of the wounds inflicted on the
victim.  Hart v. State, 89 S.W.3d 61, 64 (Tex. Crim. App. 2002).  The requisite culpable
mental state may also be inferred from the surrounding circumstances.  Ledesma v. State,
677 S.W.2d 529, 531 (Tex. Crim. App. 1984).
	b. Analysis
	Dr. Fernandez testified there was "trauma to the abdomen, causing the tearing
inside the abdomen; causing bleeding inside the abdomen; causing the fluid and the
inflammation to build up in the abdomen."  When asked if J.F.'s injuries could have been
treated, he stated, "I would say early on, the chances for treatment and survival are good. 
Later, chances are not good."  The evidence showed appellant did not seek medical
treatment for J.F.  Thus, a rational jury could reasonably conclude that J.F. suffered a
serious bodily injury as a result of appellant's failure to seek medical treatment for him.

	Dr. Fernandez testified "blunt trauma" caused the injuries to J.F.'s body and that
some of the bruising to the legs and face could have resulted from efforts to save his life. 
Dr. Nancy Harper testified that if she had evaluated J.F., she would have noted that he had
bruising "not consistent with normal childhood activity and I would have said that it was
consistent with physical abuse."  She stated that "the majority of [J.F.'s] bruises are from
direct impact and trauma."
	Angelica Vasquez testified that during the evening preceding J.F.'s death, appellant
gave him a bath.  Thus, a rational jury could reasonably conclude that by giving J.F. a bath,
appellant would have seen the bruises on his lower abdomen as well as the other bruises
and abrasions on his body.  Furthermore, a rational jury could reasonably conclude that
because appellant knew J.F. was throwing up, knew he was sick, knew his stomach hurt,
knew he had the bruises to his lower abdomen and other parts of his body, and knew J.F.
had "labored" breathing and was "breathing real heavy through his nose" the following
morning, appellant would have known that J.F. had suffered some type of blunt-force
trauma to his body.
	The State presented evidence showing appellant knew about and discussed J.F.'s
medical condition with Martha and that they did not take him to the hospital for fear that a
bruise on his body would be discovered.  We note that appellant and Martha told Courtney
they would take J.F. to the doctor "in the morning if he's not doing any better."  When
Stephanie Pierce asked Martha why they did not take J.F. to the emergency room, Martha
told her that "they didn't take him because she was afraid that hospital staff would see a
bruise on his leg and report it to C.P.S."  Even though this evidence leads to the conclusion
that appellant's objective in failing to provide medical treatment to J.F. was to avoid
detection rather than to inflict injury upon him, it also shows he was aware of J.F.'s medical
condition and the need to take him to a hospital.  J.F.'s sickly and sad appearance,
stomach ache, continuous vomiting, extensive bruising to his body, and his labored
breathing on the morning of his death provide ample evidence to support a jury's
determination that appellant was aware that his failure to provide medical treatment to J.F.
for his blunt-force trauma was reasonably certain to cause serious bodily injury.  See
Johnston, 150 S.W.3d at 636 (stating that although evidence leads to the conclusion
defendant's "objective in failing to provide medical care was to avoid detection rather than
inflict injury upon [the child], it also shows that [defendant] was aware of [the child's] dire
medical condition and the need to take him to the hospital."); see Guevara v. State, 152
S.W.3d 45, 50 (Tex. Crim. App. 2004) (stating that "[m]otive is a significant circumstance
indicating guilt.").  Furthermore, appellant made inconsistent statements about the state
of J.F.'s physical condition.  In his recorded statement, he told the police that before he left
for work, J.F. was "fine."  However, Judge Diaz testified that when she spoke to him shortly
after J.F.'s death, he told her that before he left for work, he "checked on [J.F.] . . . and that
his [J.F.'s] breathing was labored and that he was breathing real heavy through his nose.
. . ."  Inconsistent statements are probative of wrongful conduct and are also a
circumstance of guilt.  Id.
	We conclude that, viewing the evidence in the light most favorable to the verdict, a
rational trier of fact could have found the essential elements of serious bodily injury to a
child by omission beyond a reasonable doubt.  Therefore, there is legally sufficient
evidence to support the jury's verdict that appellant caused serious bodily injury to J.F. by
omission.  

	2. Standard of Review-Factual Sufficiency
	In a factual-sufficiency review, the only question to be answered is:  "Considering
all of the evidence in a neutral light, was a jury rationally justified in finding guilt beyond a
reasonable doubt?"  Grotti, 273 S.W.3d at 283.  Evidence can be deemed factually
insufficient in two ways:  (1) "the evidence supporting the conviction is 'too weak' to support
the fact finder's verdict;" or (2) "considering conflicting evidence, the fact finder's verdict is
'against the great weight and preponderance of the evidence.'"  Laster, 275 S.W.3d at 518
(quoting Watson v. State, 204 S.W.3d 404, 414-15 (Tex. Crim. App. 2006)).  When a court
of appeals conducts a factual-sufficiency review, it must defer to the jury's findings.  Id. 
The court of criminal appeals has "set out three 'basic ground rules' implementing this
standard."  Id. (quoting Watson, 204 S.W.3d at 414).  First, the appellate court must
consider all of the evidence in a neutral light, as opposed to in a light most favorable to the
verdict.  Id.  Second, the appellate court "may only find the evidence factually insufficient
when necessary to 'prevent manifest injustice.'"  Id.  (quoting Cain v. State, 958 S.W.2d
404, 407 (Tex. Crim. App. 1997)).  Third, the appellate court must explain why the
evidence is too weak to support the verdict or why the conflicting evidence greatly weighs
against the verdict.  Id.  Although the verdict is afforded less deference during a factual-sufficiency review, an appellate court is not free to "override the verdict simply because it
disagrees with it."  Id.
	The contrary evidence showed:  (1) no one saw either appellant or Martha abuse
J.F.; (2) the bruises on J.F.'s body could have been caused either by techniques used to
save his life or by septic shock; (3) the fact that a young child like J.F. is throwing up and
has a stomach ache does not mean the parents need to take the child to a doctor or
emergency room; (4) J.F.'s abdominal injury could have resulted from a fall on a scooter
or tricycle; (5) M.F. and J.F. played with tricycles; (6) on the morning of his death, J.F. was
asleep in the bedroom where appellant and Martha slept; (7) on the morning J.F. died,
appellant went to work and was not present when J.F. became so sick that Martha called
9-1-1, and (8) appellant saw J.F. before leaving for work and saw he was "fine."  
	The record contains conflicting testimony with respect to how J.F. received the many
bruises and abrasions to his body and how he suffered the blunt-force trauma.  However,
the existence of contrary evidence is not enough to support a finding of factual
insufficiency.  Lee v. State, 186 S.W.3d 649, 655 (Tex. App.-Dallas 2006, pet. ref'd); see
Goodman v. State, 66 S.W.3d 283, 287 (Tex. Crim. App. 2001).  The jury was free to
accept or reject all or any portion of any witness's testimony.  Adelman v. State, 828
S.W.2d 418, 421 (Tex. Crim. App. 1992); see Tex. Code Crim. Proc. Ann. art. 38.04
(Vernon 1979); see also Williams, 294 S.W.3d at 684 (stating that "[a]ny conflict in the
testimony concerning the severity, extent, and cause of [the child's] injuries . . . was for the
jury to resolve.").  As the Goodman court observed, "just as a fact finder . . . is not required
to believe either the Cretan Liar or any one of the boy scouts, so the jury was not required
to credit [alternative] explanations, regardless of how reasonable they may be."  Goodman,
66 S.W.3d at 287.
	Considering all the evidence in a neutral light, we hold that the evidence is not so
weak that the verdict is clearly wrong and manifestly unjust and is, thus, factually sufficient
to support the conviction.  See Watson, 204 S.W.3d at 414.  Issues two and three are
overruled.
C. Charge Error
	In issue one, appellant contends the trial court erred by failing to sua sponte charge
the jury at the guilt-innocence phase with an instruction limiting the specific culpable mental
state to be applied.  Appellant's counsel did not object to the charge.
	We analyze charge error according to the two-step test announced in Almanza v.
State, 686 S.W.2d 157, 171-74 (Tex. Crim. App. 1985) (op. on reh'g).  First, we determine
if error exists in the charge.  Next, if error exists, we determine whether appellant was
harmed sufficiently to require reversal.  Id.
	In McQueen v. State, the court of criminal appeals pointed out that section 6.03 of
the Texas Penal Code delineates three "conduct elements" that may be involved in a
crime:  (1) the nature of the conduct; (2) the result of the conduct; and (3) the
circumstances surrounding the conduct.  781 S.W.2d 600, 603 (Tex. Crim. App. 1989). 
"Injury to a child by omission is a 'result of conduct' offense."  Williams, 294 S.W.3d at 684. 
When, as in this case, the offense is a "result of conduct" crime, the abstract portion of the
charge should limit the definitions of "intentionally" or "knowingly" to the "result of conduct"
element.  Skillern v. State, 890 S.W.2d 849, 869 (Tex. App.-Austin 1994, pet. ref'd).
	Here, the charge defined the terms "intentionally" and "knowingly" as they related
to the result of the conduct:

A person acts intentionally, or with intent, with respect to a result of his
conduct when it is his conscious objective or desire to cause the result.

A person acts knowingly, or with knowledge, with respect to a result
of his conduct when he is aware that his conduct is reasonably certain to
cause the result.

The trial court did not give the full statutory definitions of "intentionally" and "knowingly;"
rather, it focused strictly on "the result of his conduct or causing the result."  See Tex.
Penal Code Ann. § 6.03(a), (b).  Because the charge limited the definitions of
"intentionally" and "knowingly" to the specific culpable mental states for a result-oriented
offense, we conclude the charge is not erroneous.  Issue one is overruled.
III. Conclusion

	We affirm the trial court's judgment.
 
 
							ROSE VELA	
							Justice

Do not publish.
Tex. R. App. P. 47.2(b).

Delivered and filed the 24th
day of June, 2010.
1. This appeal does not involve Martha Vasquez.  Her appeal is before this Court under a separate
cause number.
2. The State introduced appellant's recorded statement into evidence as State's exhibit 28.
3. This is an acronym for "Child Abuse Resource and Evaluation."