People v. Turner CA4/2 ( 2021 )


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  • Filed 11/29/21 P. v. Turner CA4/2
    NOT TO BE PUBLISHED IN OFFICIAL REPORTS
    California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
    publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication
    or ordered published for purposes of rule 8.1115.
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    FOURTH APPELLATE DISTRICT
    DIVISION TWO
    THE PEOPLE,
    Plaintiff and Respondent,                                      E073852
    v.                                                                      (Super.Ct.No. FSBSS802420)
    RICHARD DALE TURNER,                                                    OPINION
    Defendant and Appellant.
    APPEAL from the Superior Court of San Bernardino County. Lorenzo R.
    Balderrama. Affirmed.
    Barbara A. Smith, under appointment by the Court of Appeal, for Defendant and
    Appellant.
    Xavier Becerra, Attorney General, Lance E. Winters, Chief Assistant Attorney
    General, Julie L. Garland, Assistant Attorney General, Michael Pulos and Britton B.
    Lacy, Deputy Attorneys General, for Plaintiff and Respondent.
    1
    Appellant Richard Turner is a 63-year-old man diagnosed with pedophilic disorder
    and antisocial personality disorder incarcerated in a state hospital due to his prior
    convictions for child molestation. In June 2008, the People brought a petition under
    Welfare and Institutions Code section 6600 et seq., to have Turner recommitted as a
    sexually violent predator (SVP). After considerable delay, they supported their petition at
    trial in 2019 with the testimony of two experts who said they had concluded Turner met
    the statutory definition of an SVP and he posed a significant risk of reoffending if
    released. A jury found the allegations that Turner met the criteria for being designated an
    SVP to be true, and the trial judge ordered Turner committed to a state mental hospital
    for an indeterminate term.
    Turner argues—as his trial counsel did before and during the trial—that the
    People’s experts, when explaining their conclusions, improperly related to the jury
    numerous case-specific out-of-court statements concerning the details of Turner’s
    offenses, uncharged incidents of molestation, as well as information about his conduct
    while incarcerated and his medical condition. He points us to the California Supreme
    Court’s recent admonition that, “[i]f an expert testifies to case-specific out-of-court
    statements to explain the bases for his opinion, those statements are necessarily
    considered by the jury for their truth, thus rendering them hearsay. Like any other hearsay
    evidence, it must be properly admitted through an applicable hearsay exception [or] . . .
    the evidence can be admitted through an appropriate witness and the expert may assume
    2
    its truth in a properly worded hypothetical question in the traditional manner.” (People v.
    Sanchez (2016) 
    63 Cal.4th 665
    .)
    Turner argues the case-specific instances of hearsay in his case were not covered
    by a recognized exception to the hearsay rule and the facts contained in them were not
    independently proven by competent evidence. He concludes the evidence should have
    been excluded and argues the jury finding must be reversed because the admission of the
    hearsay evidence was prejudicial.
    Turner’s trial counsel objected to the admission of this evidence by motion before
    trial and renewed the objection repeatedly throughout trial. In each case, the trial judge
    overruled the objection and noted that further objection would be futile. Turner argues
    these remarks as to the futility of the objections was improper commentary by the trial
    judge which created the impression that he was allying himself with the People. He says
    the judge deprived him of due process and a fair trial by conducting himself in that
    manner.
    We conclude the most damaging hearsay statements the experts recounted in
    setting out the basis for their opinions were admissible under the exception to the hearsay
    rule for admissions of parties to litigation, since the details about his past incidents of
    child molestation (charged and uncharged) and his scouting behavior while on parole
    came from Turner’s own statements made to psychologists and a parole officer. The
    remaining instances of hearsay Turner challenges were harmless. We also conclude the
    trial court did not commit misconduct by noting the defense objections were “futile.”
    3
    That designation was something Turner’s trial counsel requested as a safeguard against
    his forfeiting the objection by failing to restate it later in the proceedings.
    We therefore affirm the judgment and Turner’s civil commitment as an SVP.
    I
    FACTS
    The basic facts about why Turner is being held in a state hospital after the
    completion of his prison term and subjected to proceedings under the SVP Act are
    straightforward and not at issue in this appeal.
    In 1977, he was convicted of committing a lewd and lascivious act on a child
    under 14 years old for molesting a five-year-old girl. He was sentenced to Patton State
    Hospital and discharged in 1982. Then, in 1991, he was convicted of two counts of lewd
    and lascivious acts on children under 14 years old for molesting two girls, one six years
    old and one eight years old. He was sentenced for those offenses to five years in prison
    and paroled in 1994.
    After his release, the Legislature enacted the Sexually Violent Predators Act
    (SVPA), which became effective on January 1, 1996. (People v. Roberge (2003) 
    29 Cal.4th 979
    , 984.) The SVPA allows for the involuntary civil commitment of sex
    offenders after they have completed their prison terms if they’re found to be sexually
    violent predators. (Ibid.)
    Turner was returned to prison in 1998 after a conviction for an offense that did not
    involve child molestation and sentenced to seven years in prison. He was released in June
    4
    2004, but returned to prison when he violated his parole in March 2005 by failing to
    attend sex offender treatment. He was released again in July 2005, but violated his parole
    the next month by going to a place where children congregate. He’s been in custody at
    Coalinga State Hospital since that time. When his term was due to end, the People filed a
    petition for his civil commitment as a sexually violent predator under the SVPA.
    A. Dr. William Damon’s Evaluation of Turner
    Dr. William Damon is a licensed clinical psychologist who works as an SVP
    evaluator for the California Department of State Hospitals. He performed two evaluations
    of Turner, one in 2015 and a second in 2019. Both times, he determined Turner meets the
    statutory criteria and is a sexually violent predator.
    Dr. Damon first testified about Turner’s qualifying offenses. He identified the
    conviction in 1977 for molesting a five-year-old girl as the first qualifying offense. He
    related that the police report said Turner found the girl playing air hockey by herself in a
    bowling alley and lured her outside saying he wanted her company while waiting for the
    bus. He took her into an alley and kissed her vaginal area and buttocks. She called out for
    her father, who arrived and detained Turner. Dr. Damon also reported that in 2005 Turner
    had told another psychologist the same basic story—that he took the girl outside by a
    trash bin and fondled her and orally copulated her. Damon interviewed Turner about the
    offense himself. Turner told him he was playing pinball in the bowling alley when a
    seven- or eight-year-old girl approached him. He said he picked her up so she could play
    5
    the game and later took her outside by a trash can where he touched her buttocks under
    her clothes.
    Dr. Damon identified the two 1991 convictions for molesting the six- and eight-
    year old girls on separate occasions as the second and third qualifying offenses. Dr.
    Damon related that those incidents occurred when Turner took advantage of being alone
    with them in a car at a drive-in movie theater. He fondled the buttocks of one child and
    the chest of the other. Dr. Damon said he learned some details about the incidents by
    reviewing reports by two other psychologists from 2005. The psychologists’ reports said
    Turner admitted he had intentionally squeezed one child’s buttocks and the other child’s
    chest and he was sexually excited by the contact. He told another psychologist he had
    seen one of the children three times in his life, was turned on by the girls, and that he was
    surprised by the reaction and had not planned to molest them.
    Dr. Damon also testified about facts that indicated there was a likelihood Turner
    would reoffend. He based his ultimate opinion on interviews he conducted with Turner
    but also on evidence from prior written reports and evaluations. From those, Dr. Damon
    related case-specific out-of-court statements to the jury in explaining his conclusions.
    Dr. Damon testified about Turner’s problems complying with conditions of parole.
    He said Turner’s file indicated he had violated his parole in March 2005 by failing to
    attend sex offender treatment and again in July 2005 for contacting children. Dr. Damon
    said he learned from a parole officer report that Turner had admitted he frequented
    swimming pools in apartment complexes where children were known to congregate.
    6
    Dr. Damon also testified at length about Turner’s prior statements to other
    psychologists about his history of child molestation, including numerous offenses for
    which he’d been neither caught nor punished. In 2004, Turner told Dr. Owen that he was
    turned on by controlling and dominating children. In 2005, he told Dr. Davis and Dr.
    Schwartz he had 15 child molestation victims and described eight of them in detail to Dr.
    Davis. In 1985, he told Dr. McSpeedan he had 15 child molestation victims and said he
    had touched their genitals and orally copulated one. In 2005, he told Dr. Clipson he had
    15 child victims between the ages of six and 15. He also told Dr. Clipson he was sexually
    aroused during the incidents. He said he often masturbated to fantasies of touching the
    victims, he was attracted to the shape and figures of kids aged eight to 14, and he thought
    kids shouldn’t wear tight clothes. In 2004, he told Dr. Davis he had had fantasies about
    female children until a few years prior, and that about 40 percent of his fantasies involved
    kids aged six to 13.
    Dr. Damon testified about details of some of those incidents taken from the prior
    psychologist reports. Dr. Damon said Turner told Dr. Davis about a child he molested in
    the mid-1970s, a nine-year-old girl who was probably a cousin. He told Dr. Davis she
    was very attractive and reported that they “played doctor” in the back of a car. He said he
    pretended to examine her vaginal area, which aroused him. Dr. Damon reported Turner
    told Dr. Davis he had molested a seven- or eight-year-old girl who lived near him. He
    said he knew her parents from church, but he didn’t have a relationship with her. He said
    he fondled her vagina five times over a week.
    7
    Dr. Damon also reported Turner’s conflicting statements about the incident that
    resulted in a conviction in 1976 for misdemeanor annoying or molesting a child. In 1985,
    Turner told Dr. McSpeedan the girl was 10 years old and a stranger, and he had put his
    hand in her pants and touched her vagina and buttocks. He told Dr. Clipson in 2005 that
    the victim was an 11- or 12-year-old stranger, and that he had fondled every part of her
    he could. However, in 2004, he told Dr. Davis he was fishing off a pier and heard some
    children argue, and ended up taking a walk with the girl. He told Dr. Davis all they did
    was talk. Dr. Damon asked Turner about the incident, and Turner said he met a “7- or 8-
    year-old white female stranger, and he said that he walked with her to the end of the jetty.
    He hugged her, and he said that he touched her butt over her—over and under her clothes.
    He said the incident lasted about 30 minutes. He reported being a little turned on by her.
    And when I asked him if he played doctor with this victim, this was the one that he
    admitted that he had, and he said that he did a little—a little physical exam by touching
    her privates, and he admitted touching her vagina and butt skin-to-skin.”
    According to Dr. Damon, the fact that Turner repeatedly offended even after
    having been caught and punished in the 1970s indicated a high risk he would reoffend.
    “He’s had three detections and sanctions for molesting prepubescent children. And so
    that, again, is relevant to his Pedophilic Disorder diagnosis. It’s also relevant to risk in
    terms of the fact that he continues to offend despite sanction. He offends when he’s on
    supervised release for a prior sexual offense. He offends despite being sent to a
    psychiatric hospital for five years as a mentally disordered sex offender. He offends
    8
    despite being registered as a sex offender. So there’s all these barriers that are put in
    place to hopefully prevent future offending that have not worked for Mr. Turner.”
    Dr. Damon then testified that having an unstable employment history and
    relationship history are factors indicating a propensity to reoffend. He said Turner told
    him he had held multiple jobs but never stayed at any one job for longer than two years.
    Dr. Damon also introduced evidence indicating Turner had an unstable relationship
    history. The evidence came mostly from Turner’s own conflicting statements to other
    psychologists. Turner told Dr. Owen in 2004 he was married to a woman named Brenda,
    and their twin children were killed in a car accident. Turner told Dr. Schwartz in 2004
    that he had been married once, to a woman named Susan. He told Dr. Davis in 2004 that
    his wife and three children were killed in a car accident, and he had a second marriage
    later. Turner had told Dr. McSpeedan he had lived with a woman named Debbie.
    According to Dr. Damon, Turner also made conflicting statements about having a
    daughter named Tabitha. A social work progress note made from 2018 mentioned
    Turner’s adult daughter Tabitha had a miscarriage and lost twins. An interdisciplinary
    note from the same year in 2018 indicated Turner told a staff member his daughter had
    her arm amputated after she was shot in a Las Vegas mass shooting. However, according
    to Dr. Damon, none of the past evaluators ever mentioned a daughter named Tabitha. Dr.
    Damon said these inconsistencies indicated chronic deception and presented a risk factor,
    making it difficult to trust Turner when he said he no longer fantasizes about children.
    9
    Dr. Damon also testified Turner had a history of institutional behavioral problems,
    which he said was another factor indicating a risk that Turner would reoffend. Dr. Damon
    communicated the contents of two interdisciplinary notes made in November 2015,
    which said Turner punched a wall in anger during therapy group sessions. He related
    another disciplinary note from March 2016, which said Turner had a verbal altercation
    with another patient and swore at a staff member. He testified about a progress note from
    September 2017, which described another altercation Turner had with a patient. Dr.
    Damon testified that the various behavioral problems documented by other doctors and
    staff at Coalinga State Hospital reflected poorly on Turner’s ability to self-regulate. He
    said this kind of incident showed verbal aggression and emotional instability, which were
    risk factors for reoffending.
    Dr. Damon also testified about Turner’s poor participation in sex offender
    treatment. He said Turner told Dr. Davis in 2004 that he did not participate in sex
    offender treatment. Dr. Damon asked Turner whether that was true, and Turner
    confirmed it was. Dr. Damon testified Turner’s first parole revocation, in 2005, was for
    failure to participate in sex offender treatment while on parole. He also testified Turner’s
    medical records over the past 13 years indicated inconsistent attendance and that he
    didn’t complete homework assignments and dropped out of treatment without completing
    it.
    Finally, Dr. Damon testified about Turner’s medical condition and relied on and
    related information from Turner’s medical records. Dr. Damon said Turner had reported
    10
    chest pains to other doctors and told him he had suffered heart attacks in 2001 and in
    2002. However, he reported Turner’s medical records didn’t show he had suffered heart
    attacks, and in 2014 his treatment plan ruled out heart disease. Dr. Damon said treatment
    notes from August 2014 indicated Turner admitted using complaints of chest pain to
    obtain attention from staff members. Dr. Damon also offered the details of four
    interdisciplinary notes made by unidentified medical personnel during 2015 and 2016.
    Dr. Damon concluded Turner was malingering with regard to his heart problems. “[O]ver
    several years, he’s complained of chest pains for secondary gain, including attention,
    leaving the hospital to see the outside world, getting better food, et cetera.” Ultimately,
    Dr. Damon said he did not find evidence of medical problems that would prevent Turner
    from reoffending.
    Dr. Damon concluded Turner presented an above average risk of reoffending if
    released and concluded Turner qualified as a sexually violent predator.
    B. Dr. Joseph Lockhart’s Evaluation of Turner
    Dr. Joseph Lockhart is a licensed clinical psychologist and SVP evaluator for the
    Department of State Hospitals. He conducted a replacement evaluation of Turner,
    interviewing him in February 2017. Dr. Lockhart opined Turner met all three SVP
    criteria. Like Dr. Damon, he concluded the qualifying offenses from 1977 and 1991 met
    the first SVP criterion. He concluded Turner also met the second SVP criterion because
    Turner suffered from pedophilic disorder and antisocial personality disorder.
    11
    Dr. Lockhart related information he had gleaned from the reports of prior
    psychologists as support for his conclusions about Turner’s history of offending. He
    testified Turner had reported to Dr. Davis of having between 15 to 30 child molestation
    victims. He testified about the details Turner provided to Dr. McSpeedan about the
    molestation of a five year old in the 1970s—that he had orally copulated the girl on a
    trash bin outside the bowling alley. Dr. Lockhart said he also interviewed Turner about
    the 2005 parole officer’s report, and Turner told him he would visit swimming pools and
    amusement parks in part to gratify his sexual interest in children. Dr. Lockhart testified
    that Turner’s long history of offenses shows a stable sexual interest in children, for
    purposes of his SVP evaluation.
    Dr. Lockhart concluded Turner’s participation in sex offender treatment was
    inadequate. He described the 12-week training modules used in Coalinga Hospital for sex
    offender treatment, noting Turner had failed to progress further than partial completion of
    module one. He said Turner initially told him he had participated in groups and other sex
    offender treatment, but when confronted with the lack of records documenting such
    treatment, Turner admitted he hadn’t really attended those groups until a few weeks
    before their discussion.
    Dr. Lockhart discounted Turner’s version of his employment, relationship, and
    sexual history because it was full of inconsistencies. He concluded the events Turner
    identified could not fit into a coherent timeline, were very unlikely, or varied too
    dramatically to be credited. He gave as an example Turner’s statements about his
    12
    daughter Tabitha, who he identified as his primary social contact. He sometimes called
    Tabitha his biological daughter, but other times called her his stepdaughter. He said he
    spoke with her daily but couldn’t provide her contact information. Turner also said he
    had a son but was inconsistent about whether the son was alive or dead. The work history
    Turner described to Dr. Lockhart included jobs such as military officer, tow truck driver,
    and carnival ride jockey, but the work dates conflicted with the times Turner was
    incarcerated in state hospital.
    Dr. Lockhart testified Turner’s institutional behavior was relevant to his
    propensity to reoffend. He reported that between 2010-2015, Turner’s records showed
    few significant behavioral problems, but said Turner had since showed an increasing
    pattern of behavioral problems. Dr. Lockhart said Turner’s records indicated he had been
    sent to the hospital 13 times for chest pain during the year 2018, however the tests didn’t
    show any cardiac abnormalities.
    Dr. Lockhart said he had considered whether protective factors might mitigate
    Turner’s risk of reoffending. These factors could include advanced age, participation in
    sex offender treatment, or presence in the community without committing any sex
    offenses. He concluded Turner didn’t possess any protective factors.
    Dr. Lockhart concluded Turner posed a high risk of reoffending if released. He
    had a long history of child molestation, an ongoing sexual interest in children, had not
    participated sufficiently in sex offender treatment, and lacked an adequate release plan.
    13
    C. Dr. Robert Owen’s Evaluation of Turner
    Dr. Robert Owen is a clinical psychologist who conducted SVP evaluations of
    Turner in 2004, 2005, and 2018. Though he agreed Turner met the first two SVP criteria,
    he opined Turner did not meet the third criterion because there was little risk that Turner
    would reoffend if released.
    Dr. Owen testified Turner’s age was a significant protective factor in preventing
    his risk of reoffending. He said it was statistically unlikely for men in Turner’s age group
    to act out sexually, due to the natural decline in testosterone and sex drive as men age. He
    also pointed to Turner’s declining health as a preventative factor. He noted Turner had
    multiple joint replacements, hip replacements, and multiple cardiac catheterizations.
    Dr. Owen discussed a new, large study which found 96 percent of the men studied
    did not reoffend. The study indicated the instrument commonly used to assess risk of
    reoffending among sex offenders overestimated the risk by a factor of two. Based on the
    conclusions of that study, Dr. Owen said, Turner’s probability of reoffending would be
    only 3.4 percent.
    D. The Verdict
    A jury apparently credited the testimony of Dr. Damon and Dr. Lockhart over that
    of Turner’s own expert and found he met the criteria for being designated an SVP to be
    true. The trial judge ordered Turner committed to a state mental hospital for an
    indeterminate term.
    Turner filed a timely notice of appeal.
    14
    II
    ANALYSIS
    A. Admission of Hearsay Through Expert Testimony
    Turner argues the trial judge erred by allowing Dr. Damon and Dr. Lockhart to
    relate hearsay evidence to the jury throughout the trial. He argues such testimony was
    pervasive and prejudicial, and violated the rule stated in People v. Sanchez, supra, 
    63 Cal.4th 665
     (Sanchez) that experts may not relate the contents of case-specific hearsay
    unless it falls under a hearsay exception or is established through other admissible
    evidence.
    1. SVP Act background
    The SVPA allows for the involuntary civil commitment of sex offenders after they
    have completed their prison terms if they’re found to be sexually violent predators.
    (People v. Roberge, 
    supra,
     29 Cal.4th at p. 984.) For an offender to be subject to civil
    commitment, the People must prove beyond a reasonable doubt the offender (1) suffered
    a conviction for at least one qualifying sexually violent offense, (2) has a diagnosed
    mental disorder that makes them a danger to the health and safety of others, and (3) the
    mental disorder makes it likely they will engage in future predatory acts of sexually
    violent criminal behavior if released from custody. (Welf. & Inst. Code, §§ 6600, 6603,
    6604, unlabeled statutory citations refer to this code; People v. Shazier (2014) 
    60 Cal.4th 109
    , 126.)
    15
    “[T]he People may prove the first element—the existence and details underlying
    the commission of the predicate offense(s)—by introducing documentary evidence,
    including, but not limited to, preliminary hearing transcripts, trial transcripts, probation
    and sentencing reports, and evaluations by the State Department of State Hospitals.”
    (People v. Yates (2018) 
    25 Cal.App.5th 474
    , 477 (Yates) [cleaned up]; see also § 6600,
    subd. (a)(3).) “The Act thus contains a broad hearsay exception for the documentary
    evidence described in the statute as well as for the multiple-level hearsay statements
    contained in such documents in order to relieve victims of the burden and trauma of
    testifying about the details of the crimes underlying the prior convictions, which may
    have occurred many years in the past.” (Yates, at p. 477 [cleaned up].)
    The People may prove the defendant has a diagnosed mental disorder that makes
    them a danger to the health and safety of others through the testimony of experts. (Yates,
    supra, 25 Cal.5th at 477.) “To prove at trial that a defendant suffers from a mental
    disorder, the People have one or more experts evaluate the defendant to make a diagnosis.
    A trial court may order an alleged SVP to submit to a mental examination by an expert
    retained by the People [citation]; however, defendants often refuse to meet with the
    expert. The diagnosis is therefore frequently based on documentary evidence such as
    state hospital records, police reports, probation reports, and prison records.” (People v.
    Roa (2017) 
    11 Cal.App.5th 428
    , 444-445.) “This process may be repeated multiple times
    over several years in order to satisfy the requirement that, at the time of trial, the person
    16
    has ‘a currently diagnosed mental disorder.’” (Yates, at p. 478; see also § 6600, subd.
    (a)(3).)
    “For the third element, the People must show that, if released, the alleged SVP
    will likely engage in sexually violent criminal behavior due to the diagnosed mental
    disorder. [Citations.] The Act requires proof of a clear link between the second and third
    elements; that is, the finding of future dangerousness must be shown to derive from ‘a
    currently diagnosed mental disorder characterized by the inability to control dangerous
    sexual behavior.’ [Citations.] Again, in the SVP trial the People will present expert
    testimony—usually based on diagnostic tools that predict future violent sexual
    behavior—to establish the alleged SVP’s dangerousness and likelihood to reoffend.”
    (Yates, supra, 25 Cal.5th at p. 478.)
    2. Hearsay and People v. Sanchez
    “Hearsay, defined as an out-of-court statement by someone other than the
    testifying witness offered to prove the truth of the matter stated, is generally inadmissible
    unless it falls under an exception. [Citations.] Documents like reports, criminal records,
    hospital records, and memoranda—prepared outside the courtroom and offered for the
    truth of the information they contain—are usually themselves hearsay and may contain
    multiple levels of hearsay, each of which is inadmissible unless covered by an
    exception.” (Yates, supra, 25 Cal.5th at p. 482.)
    “The hearsay rule has traditionally not barred an expert’s testimony regarding his
    general knowledge in his field of expertise.” (Sanchez, supra, 63 Cal.4th at p. 676.)
    17
    Expert witnesses may offer opinions based on any matter, including special knowledge,
    skill, experience, training, and education, “whether or not admissible, that is of a type that
    reasonably may be relied upon” by experts in the field. (Evid. Code, § 801, subd. (b).)
    Until recently, expert witnesses were permitted to relate case-specific hearsay to the jury,
    as long as the trial judge instructed the jury they could consider the information only for
    its effect on the expert’s opinion, not for its truth. (Yates, supra, 25 Cal.App.5th at p.
    482.)
    That changed when the Supreme Court issued its Sanchez opinion. That decision
    “preserved an expert’s ability to rely on and cite ‘background information accepted in
    [their] field of expertise,’ as well as an expert’s ability to rely on and ‘tell the jury in
    general terms’ that he or she relied upon hearsay evidence.” (Yates, supra, 25
    Cal.App,5th at p. 482; see also Sanchez, supra, 63 Cal.4th at p. 676, 685.) However, the
    Court determined an expert’s recitation of case-specific facts—“those relating to the
    particular events and participants alleged to have been involved in the case being tried”—
    must have a firmer foundation because its introduction as support for the expert’s opinion
    necessarily underwrites its truth. (Yates, at pp. 482-483.) As a result, the Sanchez court
    held an expert may not relate such case-specific facts to the jury unless they are within
    the expert’s personal knowledge, fall under a hearsay exception, or have been
    independently established by competent evidence. (Sanchez, at pp. 676-677, 686.)
    Now, case-specific hearsay an expert relates to the jury as true is not admissible
    unless a proper foundation has been laid for its admission under an applicable hearsay
    18
    exception. “Alternatively, the evidence can be admitted through an appropriate witness
    and the expert may assume its truth in a properly worded hypothetical question in the
    traditional manner.” (Sanchez, supra, 63 Cal.4th at p. 684.) Though Sanchez is a criminal
    case, this rule applies to civil cases, including SVP cases. (People v. Roa, supra, 
    11 Cal.App.5th 428
    .) The portion of Sanchez addressing the sixth amendment right to
    confront witnesses against you does not apply because “[t]here is no right to
    confrontation under the state and federal confrontation clause in civil proceedings.”
    (People v. Otto (2001) 
    26 Cal.4th 200
    , 214.) However, an SVP defendant does have
    1
    confrontation rights under the due process clause. (Ibid.)
    There’s no dispute over whether Turner suffered qualifying convictions or has a
    qualifying diagnosed mental disorder. All three prior child molestation convictions
    qualify as predicates for treating him as a sexually violent predator. (§ 6600, subd. (b).)
    And the evidence of those offenses was admissible. Section 6600, subdivision (a)(3),
    permits the People to establish “[t]he existence of any prior convictions . . . with
    documentary evidence. The details underlying the commission of an offense that led to a
    prior conviction, including a predatory relationship with the victim, may be shown by
    documentary evidence, including, but not limited to, preliminary hearing transcripts, trial
    transcripts, probation and sentencing reports, and evaluations by the State Department of
    State Hospitals.” (See also People v. Burroughs (2016) 
    6 Cal.App.5th 378
    , 409.) Because
    the existence and details of the predicate offenses had been independently established by
    1 Turner  invokes his due process rights, but doesn’t argue separately for this as a
    basis for reversal.
    19
    admissible documentary evidence, “the experts were permitted to relate the facts to the
    jury as the basis of their opinions,” consistent with Sanchez. (Burroughs, at p. 403.)
    As for the issue of his qualifying mental disorder, all three experts who testified at
    his trial—two for the People and one for Turner—diagnosed him with pedophilic
    disorder. Dr. Lockhart opined that Turner also has antisocial personality disorder, which
    he believes contributes to Turner’s offending behaviors.
    The real dispute in this case concerns the evidence that Turner’s mental disorder
    makes it likely he will commit sexually violent predatory offenses if he is released from
    the state hospital. The People’s experts conclude he is likely to reoffend and related to the
    jury several out-of-court statements that served as the basis for their conclusions.
    Turner’s expert concluded he is not likely to reoffend, primarily because of his age and
    poor physical health.
    3. Turner’s admissions about acts of molestation and proximity to youth
    The most damaging evidence against Turner came in the form of his admissions to
    psychologists that he had committed offenses against numerous children and his
    descriptions of several incidents. He told at least five psychologists other than the
    testifying experts that he had molested about 15 children over the years. He also provided
    factual details about the incidents that were not part of the documentary record.
    Separately, he admitted to a parole officer he had scouted swimming pools where
    children congregated so he could swim with them.
    20
    Turner argues it was error for the trial court to allow the psychologists who
    testified to relate the contents of his statements which were contained in psychological
    evaluations conducted by other psychologists. He identifies as objectionable Dr. Damon’s
    testimony about Turner’s statements (i) to Dr. Davis and Dr. McSpeedan admitting he
    had molested approximately 15 children, (ii) to Dr. Davis and Dr. Clipson about the
    details of the molestation of two girls in 1991, (iii) to Dr. Davis providing details about
    eight incidents of uncharged molestation, and (iv) to Dr. Davis and Dr. McSpeedan
    describing his offense against the girl in Oceanside in the mid-1970s. He also objects that
    Dr. Damon testified “he had relied on the evaluations of various other doctors in order to
    perform his risk assessment.”
    We find these objections to be meritless. In the first place, Sanchez, explicitly does
    not bar an expert witness from relying on hearsay evidence. As we’ve already noted,
    Sanchez reaffirmed an expert’s reliance on and citation of background information
    accepted in their field of expertise, including “to rely on and ‘tell the jury in general
    terms’ that he or she relied upon hearsay evidence.” (Yates, supra, 25 Cal.App.5th at
    p. 482; see also Sanchez, supra, 63 Cal.4th at p. 676, 685.) Thus, Dr. Damon’s reliance
    on the reports of psychologists itself is not a problem. The question is whether he
    improperly related to the jury the facts Turner related to the other psychologists—
    especially the number of prior victims, the details of his predation, and his comments
    about his attraction to children.
    21
    Turner also objects to testimony by Dr. Damon and Dr. Lockhart about the reasons
    his parole was revoked. Dr. Damon told the jury, based on parole officers’ reports, that
    Turner was arrested in November 1998 for felony domestic violence, convicted in March
    2
    1999 under Penal Code 273.5, and sentenced to seven years in prison. He said Turner
    was paroled in June 2004, but his parole was revoked twice, first in March 2005 for
    repeatedly missing required sex offender treatment, and again in August 2005 for
    frequenting areas where children gather.
    Both Dr. Damon and Dr. Lockhart related to the jury statements Turner made to
    his parole agent after the second violation. According to Dr. Damon, the agent said
    Turner told her “He saw a pool with kids. He went home and got his swim trunks, and he
    returned and went to the pool with the children, and he said that he did that two days in a
    row. He said that he knew he was wrong, but he was hot, and he told her that he needed
    more treatment than just three days a week, that he needed it daily because of his
    thoughts.” Dr. Lockhart reported the same facts.
    We conclude Dr. Damon and Dr. Lockhart were permitted to relate the statements
    Turner made to his psychologists and to the parole officer under the hearsay exception for
    party admissions. “Evidence of a statement is not made inadmissible by the hearsay rule
    when offered against the declarant in an action to which he is a party in either his
    2 Turner objects to Dr. Damon’s testimony about his nonqualifying offenses—his
    misdemeanor conviction for annoying or molesting a child in 1976 and his felony spousal
    abuse conviction in 1998. However, the details of the 1976 offense came in as Turner’s
    admissions to Dr. Damon and others. And Dr. Damon did not testify regarding any
    details about the spousal abuse incident, limiting himself to the fact that he had been
    convicted and incarcerated for spousal abuse.
    22
    individual or representative capacity, regardless of whether the statement was made in his
    individual or representative capacity.” (Evid. Code, § 1220.) An “admission” is a
    statement made by a party relevant to any fact in dispute. (Legg v. United Beneficial Life
    Ins. Co. (1951) 
    103 Cal.App.2d 228
    , 229; People v. Panky (1978) 
    82 Cal.App.3d 772
    ,
    777.)
    Here, Turner admitted committing numerous acts of child molestation to five
    nontestifying psychologists who had evaluated him previously. He also admitted to
    scouting areas that would allow him access to children while on parole. The prior
    offenses and the acts that show continuing interest in children are undoubtedly relevant to
    the question whether Turner poses an ongoing risk to the public if he’s released. Dr.
    Damon and Dr. Lockhart both testified to that effect. Since Turner is a party to this SVP
    proceeding, his prior statements are admissible under the exception to the hearsay rule for
    party admissions. (Yates, supra, 25 Cal.App.5th at p. 485; see also People v. Monreal
    (1997) 
    52 Cal.App.4th 670
    , 676 [holding “probation report . . . contain[ed] admissions by
    defendant to the probation officer about the circumstances of the offense. Such a
    statement qualifies as admissible hearsay under Evidence Code section 1220”],
    disapproved on other grounds by People v. Trujillo (2006) 
    40 Cal.4th 165
    , 178-179.)
    It’s also notable that Turner also told Dr. Damon and Dr. Lockhart several of the
    same details in his interviews with them. Dr. Lockhart interviewed Turner about the
    parole revocation, and Turner confirmed he visited swimming pools and did so in part to
    gratify his sexual interest in children. Turner described to Dr. Damon his molestation of a
    23
    girl in Oceanside in the mid-1970s, including that he had touched her buttocks under her
    clothes and “played doctor” by touching her vagina and buttocks skin to skin.
    We conclude the trial judge did not err by permitting Dr. Damon and Dr. Lockhart
    to convey to the jury the contents of Turner’s own statements about the prior incidents of
    child molestation and more recent acts of scouting behavior.
    Turner objects most strongly to Dr. Lockhart’s testimony that Turner told another
    psychologist that he had molested between 15 and 30 children, which is a much higher
    estimate of the number of his victims. However, the inconsistency is relevant to the
    weight the jury should accord the evidence, not whether his admission falls under an
    exception to the hearsay rule and could be related to the jury.
    4. Evidence of disciplinary incidents and incidents of malingering
    Turner also objects to Dr. Damon’s testimony relating facts about his conduct in
    the state hospital, which were contained in various treatment and disciplinary notes kept
    by hospital staff members. The trial judge ruled these records fell under the business
    records exception to the hearsay rule, so Dr. Damon was permitted to relate their contents
    to the jury.
    Dr. Damon said Turner’s records included treatment notes by hospital staff
    describing hostile altercations involving Turner. One note said Turner “was yelling at a
    peer. A staff member heard him and told him to stop and think about what he was doing,
    and [Turner] became verbally aggressive.” “He said, Fuck you. And the staff member
    held out his or her hand to get Mr. Turner’s ID, and Mr. Turner hit the staff member’s
    24
    hand, and the staff member said that was being assaultive. And then he threw the ID at
    the person, and I think it hit the staff member’s leg or something like that.” Another note
    said Tuner was trying to find a staff member who would do something for him and went
    from staff member to staff member when he received a negative response. When a staff
    member told him to stop “staff shopping,” he cursed at them. On a third occasion, another
    patient asked hospital staff to help get Turner out of his room because he feared Turner
    would steal something. When the staff member intervened, Turner shouted, “I can be
    anywhere I fucking want. You cannot tell me where the fuck I can be.”
    Turner also objects to Dr. Damon’s testimony relating facts about his apparent
    malingering based on further incident reports. A report from 2015 indicated Turner
    complained of chest pains and was taken to a medical facility, where he received an EKG
    with a normal result. This conduct represented a pattern for Turner. Damon said the
    incident reports showed he had made similar complaints 14 times in 2017 and 12 times in
    2018. Dr. Damon said a physician’s note on one of these occasions indicated the doctor
    told Turner he thought he was “crying wolf,” and Turner had agreed. Ultimately, Dr.
    Damon said he came to the same conclusion and said he didn’t find evidence Turner’s
    medical problems which would prevent him from reoffending.
    The business records exception to the hearsay rule permits admission of hearsay if
    the proponent establishes certain foundation requirements, namely that “(a) The writing
    was made in the regular course of a business; [¶] (b) The writing was made at or near the
    time of the act, condition, or event; [¶] (c) The custodian or other qualified witness
    25
    testifies to its identity and the mode of its preparation; and [¶] (d) The sources of
    information and method and time of preparation were such as to indicate its
    trustworthiness.” (Evid. Code, § 1271; see also People v. Zavala (2013) 
    216 Cal.App.4th 242
    , 246.)
    Documents like hospital records often are deemed admissible as business records
    when a custodian of records or other qualified witness provides proper authentication to
    meet the foundational requirements of the hearsay exception. (In re R.R. (2010) 
    187 Cal.App.4th 1264
    , 1280.) Compliance with a subpoena duces tecum may dispense with
    the need for a live witness if the records are produced by the custodian or other qualified
    witness along with an affidavit as described in Evidence Code section 1561. (Evid. Code,
    § 1560, subd. (b); In re R.R., at p. 1280.) The affidavit must include “[a] description of
    the mode of preparation of the records” and a statement that “[t]he affiant is the duly
    authorized custodian of the records or other qualified witness and has authority to certify
    the records” and “[t]he records were prepared by the personnel of the business in the
    ordinary course of business at or near the time of the act, condition, or event.” (Evid.
    Code, § 1561, subd. (a)(1), (3), (5).) The trial judge has broad discretion to determine
    whether a party has laid a proper foundation for admission of business records, and we
    won’t disturb an exercise of such discretion absent a showing of abuse. (Zavala, supra,
    216 Cal.App.4th at pp. 245-246.)
    26
    As the People argue, unlike in the Yates and Roa cases Turner relies on, in this
    case the prosecution did put the documentary record into evidence. (See People v. Roa,
    supra, 11 Cal.App.5th at p. 452 [“The experts in this case testified extensively about
    case-specific facts they obtained from the investigator’s reports . . . [However, the]
    reports themselves were not admitted into evidence” so admitting “expert testimony
    relating case-specific facts about these incidents was error”].) The documents the experts
    relied on and related to the jury in this case were part of the record. Indeed, many of the
    key documents were admissible under section section 6600, subdivision (a), regardless of
    the hearsay rule, for the purpose of establishing the predicate offenses. It’s for this
    reason, presumably, Turner does not argue the People failed to establish his qualifying
    convictions. But the same records aren’t necessarily admissible to prove Turner is likely
    to offend again if released. To use the documents for that purpose, and for the
    prosecution experts to relate their contents to the jury, the People were required to
    establish that a hearsay exception applied.
    Here, they attempted to establish the documents qualified as business records
    under the terms of an agreement between the district attorney’s office and the public
    defender’s office. According to the prosecution, this agreement sought to dispense with
    litigation over the foundation for certain records in all their SVP cases on a global basis.
    “[T]he People do have a global stipulation with Public Defender’s office as to business
    and official records under 1271 and the official records provisions, which I cannot recall
    off the top of my heard at the moment. So regardless of—of any custodians of records
    27
    declarations, we have a global stipulation that we’ve been offering under—as a common
    understanding for quite some time.”
    But the terms of the stipulation were not introduced to the court, and it’s not clear
    what the stipulation purported to establish. Before trial, the prosecutor represented that
    the stipulation “establishes the authentication with regard to the documents themselves,
    but beyond that [cross-talk] we have to—each side has to establish a hearsay [cross-talk]
    exception with regard to whatever comes in from the records that is a statement.” It
    appears from defense counsel’s comments that he believed the stipulation established the
    documents were authentic, not that they qualified as business records. And defense
    counsel objected the documents couldn’t come in as evidence without a custodian of
    records declaration. The parties didn’t resolve that question satisfactorily at trial. As a
    result, we are concerned that the trial judge did not have an adequate basis for deciding
    the hospital and medical records at issue here qualify as business records. However,
    we’re also concerned Turner has not adequately raised and argued for excluding the
    documents, since he focuses almost exclusively on reasons for excluding Dr. Damon’s
    testimony and has not raised the problems with the purported stipulation as a separate
    basis for overturning the trial judge’s ruling.
    In any event, we need not decide whether the trial judge erred by allowing the
    psychologists to relay the content of the hospital records to the jury. As we’ve noted,
    many of the key documents in this case were admissible under section 6600, subdivision
    (a), regardless of the hearsay rule, to establish the predicate offenses. And as we’ve
    28
    discussed in part II.A.3. ante, nearly all of the most damning evidence related to the
    likelihood Turner would reoffend came in the form of Turner’s own admissions to the
    psychologists or the parole officer. The information the psychologists related from the
    hospital records is of peripheral importance—meaning the testimony was not prejudicial.
    We reverse the admission of expert testimony in violation of Sanchez only if it is
    reasonably probable the jury would have returned a verdict more favorable to Turner.
    (People v. Roa, supra, 11 Cal.App.5th at p. 455.) Though the prosecution used the
    evidence about Turner’s altercations with staff and other patients to demonstrate his
    propensity to reoffend, it was of minor importance placed beside the remaining
    overwhelming evidence. Dr. Damon explained noncompliance with supervision is just
    one risk factor in reoffending. He said he concluded Turner was likely to reoffend
    because of the “specialization of his offending, the persistence of his offending, the age
    of onset of his offending,” and the fact he is an above-average risk offender at his age
    using the standard diagnostic tool. Dr. Damon also emphasized Turner’s high number of
    victims, his high-risk behavior while on supervised release, his history of reoffending,
    and his failure to reduce his risk through treatment. Indeed, Turner’s own psychologist
    acknowledged the seriousness of his history, and admitted Turner had engaged in high-
    risk conduct while on parole just months after he previously opined Turner was not likely
    to reoffend.
    29
    We therefore conclude any error in allowing the psychologists to relate the
    contents of the hospital records relating to his altercations and medical condition was
    3
    harmless. (See People v. Flint (2018) 
    22 Cal.App.5th 983
    , 1002-1006.)
    B. Judicial Misconduct Through Commentary on Objections
    Turner argues the trial judge committed misconduct by repeatedly commenting
    that his attorney’s objections were futile. He argues this is a case where “the trial court
    persists in making discourteous and disparaging remarks to the defendant’s counsel” that
    “it has transcended so far beyond the pale of judicial fairness as to render a new trial
    necessary.” (People v. Mahoney (1927) 
    201 Cal. 618
    , 626-627.)
    Turner’s attorney repeatedly objected to the testimony of the People’s experts on
    the grounds discussed in part II.A., ante. “No matter the objection, the court repeatedly
    overruled defense objections, and characterized further objection as ‘futile.’” Turner sets
    out 25 examples of such exchanges at length in his opening brief. One will suffice to give
    the flavor. The prosecutor asked one expert, “Did [Turner] tell Dr. Davis in 2004 about a
    child molestation in the mid 70s?” Defense counsel interjected, “And just for the record,
    I’m going to renew my in limine objections.” The court responded, “And I’ll . . . overrule
    them and note that further objection would be futile.” Defense counsel responded,
    “Thank you.”
    3 Turner lists as problematic the psychologists’ use of the risk assessment tool
    (Static 99-R). However, he doesn’t adequately explain the objection, and we therefore
    deem it waived. (People v. Stanley (1995) 
    10 Cal.4th 764
    , 793; Cal. Rules of Court, rule
    8.204(a)(1)(B).)
    30
    On appeal, Turner leaves out the fact that his trial counsel requested that the trial
    judge note further objection would be futile and the trial judge’s comments merely
    complied with that request. He also omits the fact that trial counsel thanked the trial judge
    for the ruling on almost every occasion. The reason is clear. As Turner acknowledges in
    attempting to justify his failure to object at trial to the judicial misconduct, counsel
    normally must object to a trial error to preserve the issue for appeal. However, an
    appellate court may consider errors if objection would have been futile. (See People v.
    Boyette (2002) 
    29 Cal.4th 381
    , 432, [timely objection not required to preserve issue for
    appeal if objection would have been futile].)
    It’s for that reason that defense counsel asked the trial judge to note that repeating
    the objection each time the issue arose at trial wasn’t necessary after the trial judge
    initially ruled on the objections before trial. “I will try to . . . make a brief record when
    [cross-talk] come in, but just would the Court order that my objections under [the] Fifth
    and Sixth amendments, Sanchez due process be held against . . . any of my client’s
    statements that are introduced under this guise without any further objection?” The trial
    judge responded, “I will order that those objections are continuing, and that further
    expression of the objections would be futile, but that they are noted as to all the
    statements, that, for the record, the defense counsel does object strenuously to those
    statements [cross-talk] at trial.” Trial counsel was taking out an insurance policy in case
    he neglected to object at some later point. By reiterating the futility, the trial judge was
    endorsing the policy, not commenting on trial counsel’s ability or choices.
    31
    We conclude these comments, which were uniformly civil and made for the
    benefit of defendant at defense counsel’s request, were not discourteous or disparaging in
    the least, and therefore that there was no judicial misconduct.
    III
    DISPOSITION
    We affirm the verdict.
    NOT TO BE PUBLISHED IN OFFICIAL REPORTS
    SLOUGH
    J.
    We concur:
    RAMIREZ
    P. J.
    MILLER
    J.
    32