Brian Victorian v. State ( 2015 )


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  •                                                                                  ACCEPTED
    01-13-01004-CR
    FIRST COURT OF APPEALS
    HOUSTON, TEXAS
    2/18/2015 4:07:14 PM
    CHRISTOPHER PRINE
    CLERK
    No. 01-13-01004-CR
    In the
    FILED IN
    Court of Appeals             1st COURT OF APPEALS
    For the                     HOUSTON, TEXAS
    First District of Texas         2/18/2015 4:07:14 PM
    CHRISTOPHER A. PRINE
    At Houston                        Clerk
    
    No. 1363644
    In the 182nd District Court
    Of Harris County, Texas
    
    BRIAN VICTORIAN
    Appellant
    V.
    THE STATE OF TEXAS
    Appellee
    
    STATE’S APPELLATE BRIEF
    
    DEVON ANDERSON
    District Attorney
    Harris County, Texas
    KATIE DAVIS
    Assistant District Attorney
    Harris County, Texas
    State Bar Number: 24070242
    davis_katie@dao.hctx.net
    1201 Franklin Street, Suite 600
    Houston, Texas 77002
    Telephone: (713) 755-5826
    Fax Number: (713) 755-5809
    ORAL ARGUMENT REQUESTED ONLY IF REQUESTED BY APPELLANT
    STATEMENT REGARDING ORAL ARGUMENT
    Pursuant to TEX. R. APP. P. 39, the State requests oral argument only if oral
    argument is requested by the appellant.
    IDENTIFICATION OF THE PARTIES
    Counsel for the State:
    Devon AndersonDistrict Attorney of Harris County
    Katie DavisAssistant District Attorney on appeal
    Angela SmithAssistant District Attorneys at trial
    Appellant or Criminal Defendant:
    Brian Victorian
    Counsel for Appellant:
    Kurt B. Wentz—Counsel on appeal
    Yvonne Burton—Counsel at trial
    Trial Judge:
    Honorable Jeannine BarrJudge of 182nd District Court
    Honorable Don Burgess—Visiting Judge at trial
    i
    TABLE OF CONTENTS
    Page
    STATEMENT REGARDING ORAL ARGUMENT ................................................i
    IDENTIFICATION OF THE PARTIES ....................................................................i
    TABLE OF CONTENTS .......................................................................................... ii
    INDEX OF AUTHORITIES.................................................................................... iii
    STATEMENT OF THE CASE .................................................................................. 1
    STATEMENT OF FACTS ........................................................................................ 1
    SUMMARY OF THE ARGUMENT ........................................................................ 6
    REPLY TO APPELLANT’S FIRST POINT OF ERROR ........................................ 7
    I.   Standard of Review and Applicable Law......................................................7
    II. The evidence is legally sufficient to support the appellant’s conviction for
    aggravated sexual assault of a child. ...............................................................9
    REPLY TO APPELLANT’S SECOND AND THIRD POINTS OF ERROR ....... 17
    I.    Standard of Review .....................................................................................18
    II. The trial court did not abuse its discretion in admitting the appellant’s
    extraneous sexual abuse of Jane into evidence..............................................19
    A. Jane’s testimony that the appellant touched and fondled her on other
    occasions was more probative than unfairly prejudicial. .............................21
    B. The extraneous evidence that the appellant repeatedly touched Jane, as
    presented through the testimony of Isaac and the medical records, Isaac was
    more probative than unfairly prejudicial. .....................................................26
    III. The appellant was not harmed by the trial court’s admission of the
    extraneous conduct. .......................................................................................31
    CONCLUSION ........................................................................................................ 33
    CERTIFICATE OF SERVICE AND COMPLIANCE ........................................... 34
    ii
    INDEX OF AUTHORITIES
    CASES
    Adames v. State,
    
    353 S.W.3d 854
    (Tex. Crim. App. 2011) ...............................................................7
    Albrecht v. State,
    
    486 S.W.2d 97
    (Tex. Crim. App. 1972) ...............................................................19
    Apolinar v. State,
    
    155 S.W.3d 184
    (Tex. Crim. App. 2005) .............................................................18
    Austin v. State,
    
    222 S.W.3d 801
    (Tex. App.—
    Houston [14th Dist.] 2007, pet. ref’d) ..................................................................28
    Beam v. State,
    
    447 S.W.3d 401
    (Tex. App.—
    Houston [14th Dist.] 2014, no pet.)............................................................... 23, 29
    Blackwell v. State,
    
    193 S.W.3d 1
    (Tex. App.—
    Houston [1st Dist.] 2006, pet. ref’d) ....................................................................25
    Broxton v. State,
    
    909 S.W.2d 912
    (Tex. Crim. App. 1995) .............................................................30
    Burke v. State,
    
    371 S.W.3d 252
    (Tex. App.—
    Houston [1st Dist.] 2011, pet. ref’d) ....................................................... 22, 23, 28
    Cardenas v. State,
    
    30 S.W.3d 384
    (Tex. Crim. App. 2000) .................................................................9
    Chambers v. State,
    
    805 S.W.2d 459
    (Tex. Crim. App. 1991) .............................................................15
    Clayton v. State,
    
    235 S.W.3d 772
    (Tex. Crim. App. 2007) .................................................. 8, 13, 17
    Garcia v. State,
    
    563 S.W.2d 925
    (Tex. Crim. App. 1978) .............................................................14
    Geesa v. State,
    
    820 S.W.2d 154
    (Tex. Crim. App.1991) ................................................................8
    iii
    Gigliobianco v. State,
    
    210 S.W.3d 637
    (Tex. Crim. App. 2006) .............................................................20
    Gonzalez v. State,
    
    337 S.W.3d 473
    (Tex. App.—
    Houston [1st Dist.] 2011, pet. ref’d) ......................................................................9
    Green v. State,
    
    934 S.W.2d 92
    (Tex. Crim. App. 1996) ...............................................................
    18 Greene v
    . State,
    
    287 S.W.3d 277
    (Tex. App.—
    Eastland 2009, pet. ref’d) .....................................................................................22
    Guevara v. State,
    
    152 S.W.3d 45
    (Tex. Crim. App. 2004) ...............................................................23
    Guzman v. State,
    
    955 S.W.2d 85
    (Tex. Crim. App. 1997) ...............................................................18
    Hinds v. State,
    
    970 S.W.2d 33
    (Tex. App.—
    Dallas 1998, no pet.) ............................................................................................20
    Hinojosa v. State,
    
    995 S.W.2d 955
    (Tex. App.—
    Houston [14th Dist.] 1999, no pet.)......................................................................24
    Hooper v. State,
    
    214 S.W.3d 9
    (Tex. Crim. App. 2007) ...................................................................8
    In re R.R.,
    
    373 S.W.3d 730
    (Tex. App.—
    Houston [14th Dist.] 2012, pet. filed) ........................................................... 13, 15
    Jackson v. Virginia,
    
    443 U.S. 307
    (1979) .........................................................................................7, 17
    Johnson v. State,
    
    419 S.W.3d 665
    (Tex. App.—
    Houston [1st Dist.] 2013, pet. ref’d) ................................................. 10, 12, 13, 31
    Johnson v. State,
    
    871 S.W.2d 183
    (Tex. Crim. App. 1993) ...............................................................8
    Johnson v. State,
    
    967 S.W.2d 410
    (Tex. Crim. App. 1998) .............................................................31
    iv
    Johnston v. State,
    
    230 S.W.3d 450
    (Tex. App.—
    Fort Worth 2007, no pet.) .....................................................................................16
    Jones v. State,
    
    119 S.W.3d 412
    (Tex. App.—
    Fort Worth 2003, no pet.) .............................................................................. 24, 25
    Laster v. State,
    
    275 S.W.3d 512
    (Tex. Crim. App. 2009) ...............................................................9
    Lee v. State,
    
    176 S.W.3d 452
    (Tex. App.—
    Houston [1st Dist.] 2004)
    aff’d, 
    206 S.W.3d 620
    (Tex. Crim. App. 2006) ...................................................12
    Lockhart v. State,
    
    847 S.W.2d 568
    (Tex. Crim. App. 1992) .............................................................19
    Lopez v. State,
    
    884 S.W.2d 918
    (Tex. App.—
    Austin 1994, pet. ref’d) ....................................................................................8, 30
    Losada v. State,
    
    721 S.W.2d 305
    (Tex. Crim. App. 1986) .............................................................16
    Martin v. State,
    
    176 S.W.3d 887
    (Tex. App.—
    Fort Worth 2005, no pet.) .....................................................................................32
    Martines v. State,
    
    371 S.W.3d 232
    (Tex. App.—
    Houston [1st Dist.] 2011, no pet.) ........................................................... 20, 27, 30
    Martinez v. State,
    
    190 S.W.3d 254
    (Tex. App.—
    Houston [1st Dist.] 2006, pet. ref’d) ....................................................................27
    Massey v. State,
    
    933 S.W.2d 141
    (Tex. Crim. App. 1996) .............................................................29
    McCoy v. State,
    
    10 S.W.3d 50
    (Tex. App.—
    Amarillo 1999, no pet.) ................................................................................. 25, 29
    Mechler v. State,
    
    153 S.W.3d 435
    (Tex. Crim. App. 2005) .............................................................21
    v
    Montgomery v. State,
    
    810 S.W.2d 372
    (Tex. Crim. App. 1990) ................................................ 21, 22, 30
    Monzon v. State,
    991 S.W2d 841 (Tex. Crim. App. 1991) ..............................................................21
    Morales v. State,
    
    32 S.W.3d 862
    (Tex. Crim. App. 2000) ...............................................................32
    Motilla v. State,
    
    78 S.W.3d 352
    (Tex. Crim. App. 2002) ........................................................ 31, 32
    Paulson v. State,
    
    28 S.W.3d 570
    (Tex. Crim. App. 2000) .................................................................8
    Pool v. State,
    
    981 S.W.2d 467
    (Tex. App.—
    Waco 1999, pet. ref’d)..........................................................................................23
    Powell v. State,
    
    194 S.W.3d 503
    (Tex. Crim. App. 2006) .............................................................17
    Proctor v. State,
    
    356 S.W.3d 681
    (Tex. App.—
    Eastland 2011, pet. ref’d) .....................................................................................15
    Reed v. State,
    
    158 S.W.3d 44
    (Tex. App.—
    Houston [14th Dist.] 2005, pet. ref’d) ....................................................................8
    Richert v. State,
    01-10-00901-CR, 
    2012 WL 3775979
    (Tex. App.—
    Houston [1st Dist.] Aug. 30, 2012)
    cert. denied, 
    134 S. Ct. 1317
    (2014) ....................................................................14
    Rodriguez v. State,
    
    104 S.W.3d 87
    (Tex. Crim. App. 2003) ...............................................................27
    Shepherd v. State,
    
    273 S.W.3d 681
    (Tex. Crim. App. 2008) .............................................................18
    Sims v. State,
    
    84 S.W.3d 805
    (Tex. App.—
    Houston [1st Dist.] 2002, no pet.) ........................................................................18
    Solomon v. State,
    
    49 S.W.3d 356
    (Tex. Crim. App. 2001) ...............................................................31
    vi
    State v. Maldonado,
    
    176 S.W.3d 419
    (Tex. App.—
    Houston [1st Dist.] 2004, no pet.) ................................................................. 18, 
    19 Taylor v
    . State,
    
    920 S.W.2d 319
    (Tex. Crim. App. 1996) .............................................................24
    Temple v. State,
    
    390 S.W.3d 341
    (Tex. Crim. App. 2013) ...........................................................7, 8
    Tinker v. State,
    
    148 S.W.3d 666
    (Tex. App.—
    Houston [14th Dist.] 2004, no pet.)......................................................................14
    Valtierra v. State,
    
    310 S.W.3d 442
    (Tex. Crim. App. 2010) .............................................................19
    Waddell v. State,
    
    873 S.W.2d 130
    (Tex. App.—
    Beaumont 1994, pet. ref’d) ..................................................................................25
    Williams v. State,
    
    235 S.W.3d 742
    (Tex. Crim. App. 2007) .............................................................15
    Williams v. State,
    
    301 S.W.3d 675
    (Tex. Crim. App. 2009) .............................................................18
    Williamson v. State,
    
    356 S.W.3d 1
    (Tex. App.—
    Houston [1st Dist.] 2010, pet. ref’d) ....................................................................28
    Worley v. State,
    
    870 S.W.2d 620
    (Tex. App.—
    Houston [1st Dist.] 1994, pet. ref’d) ....................................................................27
    Wyatt v. State,
    
    23 S.W.3d 18
    (Tex. Crim. App. 2000) .................................................................16
    STATUTES
    TEX. CODE CRIM. PROC ANN.
    art. 57.01 (4) (West 2010) ......................................................................................1
    TEX. CODE CRIM. PROC. ANN.
    art. 38.07 (West supp. 2014) ................................................................................12
    vii
    TEX. CODE CRIM. PROC. ANN.
    art. 38.37, § 1(b) (West supp. 2014) ............................................................. 20, 32
    TEX. CODE CRIM. PROC. ANN.
    art. 38.37, § 2(b) (West supp. 2014) ....................................................................20
    TEX. CODE CRIM. PROC. ANN.
    art. 57.02(h) (West supp. 2014) .............................................................................1
    TEX. CODE CRIM. PROC. ANN.
    art. 57.03(d) (West 2010) .......................................................................................1
    TEX. PENAL CODE § 22.021(a)(1)(B) (West supp. 2014) ..........................................9
    TEX. PENAL CODE ANN. § 22.021 (West supp. 2014) ..............................................23
    RULES
    TEX. R. APP. P. 33.1 .......................................................................................... 26, 27
    TEX. R. APP. P. 39....................................................................................................... i
    TEX. R. APP. P. 44.2(b) .............................................................................................31
    TEX. R. EVID. 103(a) ......................................................................................... 26, 27
    TEX. R. EVID. 404(b) ................................................................................................19
    viii
    TO THE HONORABLE COURT OF APPEALS:
    STATEMENT OF THE CASE
    The State charged the appellant with one count of aggravated sexual assault
    of a child under fourteen years of age enhanced by one prior felony conviction, and
    the jury found the appellant guilty (CR –7-8, 18, 1364, 136-37; 6 RR 4-5). The trial
    court sentenced him to forty-five years in the Texas Department of Criminal
    Justice, Institutional Division (CR – 136-37; 7 RR 11-12). The appellant filed a
    timely notice of appeal, and the trial court certified that he had the right to appeal
    (CR – 139-40).
    STATEMENT OF FACTS
    The appellant began inappropriately touching Jane1 when she was nine years
    old (4 RR 63). The appellant is Jane’s biological father, and they lived together in
    an apartment with Jane’s mother and Jane’s younger sister (4 RR 10, 58). Jane’s
    1
    A person “who has access to or obtains the name, address, telephone number, or other
    identifying information of a victim younger than 17 years of age may not release or disclose the
    identifying information to any person who is not assisting in the investigation, prosecution, or
    defense of the case.” TEX. CODE CRIM. PROC. ANN. art. 57.02(h) (West supp. 2014). The term
    “victim” means a person who was the subject of: “(A) an offense the commission of which leads
    to a reportable conviction or adjudication under Chapter 62; or (B) an offense that is part of the
    same criminal episode, as defined by Section 3.01, Penal Code, as an offense described by
    Paragraph (A).” TEX. CODE CRIM. PROC. ANN. art. 57.01 (4) (West 2010). The release or
    disclosure of such information to any person is a class C misdemeanor. TEX. CODE CRIM. PROC.
    ANN. art. 57.03(d) (West 2010). Therefore, the pseudonym “Jane” will be used for the victim in
    this case.
    mother worked during the day, and the appellant stayed home with the girls (4 RR
    35, 67).
    The first time something happened, Jane woke up, and her clothes were on
    wrong: her pants were backwards, and her shirt was inside out (4 RR 62). Another
    time, when Jane came home from school and lay in her bed wearing a t-shirt and
    shorts, the appellant came into her room (4 RR 63-4). He lay next to Jane and got
    on top of her (4 RR 64). In 2012, the abuse escalated; the appellant touched Jane’s
    breasts and buttocks with his hand (4 RR 72). He would also touch her “middle
    part” with his hand and “middle part” (4 RR 72).
    In August 2012, while Jane’s mother was at work, the appellant came into
    Jane’s room and got on top of her (4 RR 77-8). He slid his hand onto her “middle
    part” and moved it around for a couple of seconds (4 RR 77-8). Then he moved his
    hand up to her breasts, under her clothes (4 RR 78). The appellant unzipped and
    took off his pants and put his “middle part” inside her “middle part” (4 RR 79-81).
    This hurt Jane (4 RR 81). Jane tried to push and kick the appellant, but he held her
    down (4 RR 81-2). Jane’s sister banged on the door, but the appellant covered
    Jane’s face with a pillow (4 RR 79-80). Jane knew the appellant was finished when
    she felt something warm on her genitals, and saw something white on her stomach
    (4 RR 83-4). She took a shower because it felt wrong (4 RR 84). She then went
    2
    back to her room and locked the door so the appellant could not come in (4 RR
    85). Jane was eleven years old (4 RR 54).
    Jane began cutting herself with a razor blade because of all she was “going
    through” (4 RR 61, 65, 157-58). Jane’s mother noticed she had some discipline
    problems at school in 2011 (4 RR 36-8). See (St. Ex. #2 – Jane’s school records).
    During that year, Jane was angry with the appellant and no longer wanted to go to
    the store with him on Sundays, even though that was something she had always
    done (4 RR 33). And by summer 2012, Jane’s mother noticed that she became
    angrier and withdrawn (4 RR 38).
    The appellant’s penis penetrated Jane’s vagina four different times (4 RR
    164). See (St. Ex. #4). Jane was inappropriately touched “overall” by the appellant
    five times; the last time occurring several days before she finally told her friends at
    Keller Middle School in September 2012 (4 RR 64-5, 71-2, 165-66). See (St. Ex.
    #4). Jane told three friends at school about her father sexually assaulting her after
    one of the girls shared that she had been molested (4 RR 65). She told because she
    was tired of the abuse (4 RR 167). Her friends told the school counselor, but Jane
    denied the abuse (4 RR 66). Jane was afraid to tell because she still had to go home
    to where the appellant would be (4 RR 66). Instead, Jane told a made-up story
    about a man grabbing her at the bus stop (4 RR 66).
    3
    On September 6, 2012, Brittany Brown, a sexual abuse investigator with
    CPS, went to speak with Jane at school (3 RR 16; 4 RR 66). Jane also told Brown
    the made-up story about the man grabbing her at the bus stop (3 RR 18; 4 RR 67).
    Jane repeated this story because she wanted it all to go away (4 RR 67). But Brown
    continued her investigation because Jane’s explanations did not make sense (3 RR
    19). She recognized that sometimes kids are hesitant to talk with her because they
    think CPS will remove them from their families (3 RR 29-30).
    On September 12, 2012, Detective Tim Brinson with the Pasadena Police
    Department Juvenile Sex Crimes division met with Jane (3 RR 49, 54). Jane was
    very upset and emotional; she cried during their conversation (3 RR 55). At first
    Jane denied any abuse from her father and told Brinson the made-up story (4 RR
    67). But later when confronted with the previous outcry to her friends, Jane told
    him what happened (4 RR 67). Jane told Brinson that the appellant touched her
    breasts and buttocks (4 RR 67). And she told him what the appellant was going to
    do to her at home (4 RR 67).
    Brinson took Jane to the Children’s Assessment Center (CAC) where she
    was forensically interview by Susan Odhiambo (3 RR 56-7; 4 RR 68-9, 71, 114).
    During the interview, Jane made very little eye contact, looked down, and was
    emotional as she described the details of the abuse by the appellant (4 RR 126).
    Jane told Odhiambo the details of what was going on at home with the appellant (4
    4
    RR 71, 126, 129-31). Finally, Jane told Odhiambo all the details of the appellant’s
    abuse (4 RR 89). Jane told her because it was “finally time” and she “felt safe”
    since the appellant would not be able to go home with her (4 RR 89).
    On September 13, 2012, Dr. Reena Isaac, a child abuse pediatrician,
    conducted a comprehensive forensic medical evaluation of Jane at the CAC (4 RR
    141-42, 153). See (St. Ex. #4 – CAC Medical Records). Isaac took a complete
    medical history from both Jane and her mother (4 RR 153-59). Isaac learned that
    Jane recently had a bad temper and had gone through a period of self-mutilation (4
    RR 157-58). Jane told Isaac she was sexually touched on her vagina and breasts by
    the appellant over the past year (4 RR 162-68). Jane told Isaac that the appellant’s
    penis penetrated her vagina more than one time (4 RR 163-64). Jane was tearful
    discussing the abuse with Isaac (4 RR 156). Although there were no signs of
    trauma during Jane’s exam, Isaac was not surprised because the female sexual
    organ is meant to take trauma, and it heals quickly (4 RR 171-73).
    After Jane told her friends at school about the appellant sexually assaulting
    her, “one of the girls told a lot of people” and other students were talking about the
    abuse (4 RR 87-8). Other students began “making fun of her, writing ugly things
    on her folder, [and] bullying her.” (4 RR 49). Because of this, Jane’s mother took
    her out of Keller Middle and homeschooled her until she began at another school
    5
    in January 2013 (4 RR 28, 87-8). Jane later moved and did well at a different
    school (4 RR 30-31, 89).
    Jane’s mother and the appellant did not have any marital issues prior to the
    allegations (4 RR 11). She did not want to believe the allegations because she
    loved her husband, but she was supportive of Jane (4 RR 48). And although she
    was surprised by the allegations, Jane’s mother realized that she missed some signs
    that something was wrong: Jane’s anger towards the appellant, finding the
    appellant in Jane’s room at night with the door locked, Jane not wanting to go to
    the store with the appellant, and Jane complaining that her vagina hurt and seeing a
    tear (4 RR 33-6).
    SUMMARY OF THE ARGUMENT
    The evidence admitted in this case was legally sufficient to enable a rational
    factfinder to find each element of the offense of aggravated sexual assault of a
    child, including Jane’s account of the sexual assault by the appellant, giving due
    deference to the jury’s role as the factfinder and judge of the credibility of the
    evidence, and reviewing the record in the light most favorable to the guilty verdict.
    The trial court did not abuse its discretion in admitting the extraneous acts of
    touching and fondling during Jane’s testimony or the medical records under Rule
    403 because the probative value outweighed any unfair prejudice. Furthermore, the
    appellant failed to preserve any complaint regarding Isaac’s testimony or the
    6
    number of times Jane was sexually assaulted by the appellant as mentioned in the
    medical records.
    REPLY TO APPELLANT’S FIRST POINT OF ERROR
    In the appellant’s first point of error, he argues that the evidence presented in
    his case was legally insufficient to convince any rational factfinder beyond a
    reasonable doubt that he committed the offense of aggravated sexual assault of a
    child.
    I.    Standard of Review and Applicable Law
    Every criminal conviction must be supported by legally sufficient evidence
    that each element of the offense is proven beyond a reasonable doubt. Jackson v.
    Virginia, 
    443 U.S. 307
    , 315 (1979); Adames v. State, 
    353 S.W.3d 854
    , 853 (Tex.
    Crim. App. 2011). In order to determine whether this standard has been met, an
    appellate court reviews all the evidence in the light most favorable to the verdict
    and decides whether, based on that evidence and reasonable inferences, a rational
    factfinder could have found each essential element of the crime beyond a
    reasonable doubt. 
    Jackson, 443 U.S. at 319
    (finding that “the relevant question is
    whether, after viewing the evidence in light most favorable to the prosecution, any
    rational trier of fact could have found the essential elements of the crime beyond a
    reasonable doubt.”) (emphasis in original); Temple v. State, 
    390 S.W.3d 341
    , 360
    (Tex. Crim. App. 2013); Reed v. State, 
    158 S.W.3d 44
    , 46 (Tex. App.—Houston
    7
    [14th Dist.] 2005, pet. ref’d). This applies equally to the analysis of direct or
    circumstantial evidence in the record. 
    Reed, 158 S.W.3d at 47
    .
    Circumstantial evidence alone can be sufficient to establish guilt, and is
    analyzed the same as direct evidence in the record. 
    Temple, 390 S.W.3d at 359
    (“A
    criminal conviction may be based upon circumstantial evidence.”); Hooper v.
    State, 
    214 S.W.3d 9
    , 13 (Tex. Crim. App. 2007) (noting “[c]ircumstantial evidence
    is as probative as direct evidence in establishing the guilt of an actor” and that
    “circumstantial evidence alone can be sufficient to establish guilt.”); Clayton v.
    State, 
    235 S.W.3d 772
    , 778 (Tex. Crim. App. 2007) (same). Not every fact has to
    point to the defendant’s guilt, rather “it is enough if the conclusion is warranted by
    the combined and cumulative force of all the incriminating circumstances.”
    
    Temple, 390 S.W.3d at 359
    (quoting Johnson v. State, 
    871 S.W.2d 183
    , 186 (Tex.
    Crim. App. 1993)); see 
    Clayton, 235 S.W.3d at 778
    . When conflicts appear in the
    record a reviewing court must presume the trier of fact resolved the conflict in
    favor of the verdict and should defer to that resolution. 
    Id. at 360.
    The jury’s role is to “weigh the evidence, to judge the credibility of the
    witnesses, and to choose between the conflicting theories of the case.” Lopez v.
    State, 
    884 S.W.2d 918
    , 921 (Tex. App.—Austin 1994, pet. ref’d) (citing Geesa v.
    State, 
    820 S.W.2d 154
    , 159 (Tex. Crim. App.1991) (overruled in part on other
    grounds by Paulson v. State, 
    28 S.W.3d 570
    (Tex. Crim. App. 2000))); see also
    8
    Gonzalez v. State, 
    337 S.W.3d 473
    , 480 (Tex. App.—Houston [1st Dist.] 2011, pet.
    ref’d) (finding a rational juror could believe the appellant sexually assaulted the
    complainant in resolving conflicting testimony between what the complainant
    testified to and what she told the sexual-assault-examination nurse)
    This Court’s role is not to simply compare an appellant’s analysis of the
    evidence against the State’s analysis of the same evidence. Cardenas v. State, 
    30 S.W.3d 384
    , 389 (Tex. Crim. App. 2000). Rather, this Court must uphold the
    verdict unless a factfinder does not act rationally. Laster v. State, 
    275 S.W.3d 512
    ,
    517-518 (Tex. Crim. App. 2009) (stating this Court’s role is to guard against this
    “rare occurrence” where a jury acts irrationally).
    II.    The evidence is legally sufficient to support the appellant’s
    conviction for aggravated sexual assault of a child.
    The jury concluded beyond a reasonable doubt that on or about August 15,
    2012, the appellant intentionally or knowingly caused the sexual organ of Jane, a
    person younger than fourteen years of age, to contact his sexual organ (CR – 18,
    134, 136). TEX. PENAL CODE § 22.021(a)(1)(B) (West supp. 2014). The record
    contains abundant evidence from which the jury could rationally find each element
    of aggravated sexual assault of a child beyond a reasonable doubt.
    The appellant was left alone with Jane during the months surrounding the
    charging date of the assault (4 RR 34-5, 85). The appellant is Jane’s biological
    father and lived in the same apartment as Jane in August 2012 (4 RR 9-10, 58).
    9
    Jane and her mother testified that because her mother worked during the day the
    appellant stayed home with the kids (4 RR 34-5, 85). Jane testified her mother left
    for work at 7:00 a.m. and came home around 6:00 p.m. (4 RR 98). Thus, the
    appellant had access to Jane. See Johnson v. State, 
    419 S.W.3d 665
    , 671 (Tex.
    App.—Houston [1st Dist.] 2013, pet. ref’d) (finding victim’s testimony of sexual
    assault was corroborated by the testimony of every witness including the appellant
    showed he had access to the complainant).
    Jane testified that the appellant sexually assaulted her multiple times (4 RR
    62-4, 72-85). Jane told the jury that the appellant touched “all the parts of her
    body” – her breast, buttocks and “middle part” (4 RR 67-8, 72). She testified that
    the appellant touched her “middle part” with his hand and his “middle part” (4 RR
    73-4). Jane explained that both her “middle part” and his “middle part” are used for
    peeing (4 RR 72, 74). Using anatomically correct dolls, Jane pointed to the genitals
    of both the female and male doll when referring to their middle parts (4 RR 74,
    78). She testified the first time it happened she woke up and her pants were on
    backwards, and shirt on inside out (4 RR 62). She testified the last time the
    appellant sexually abused her was the day before she told her friends at school in
    September 2012 (4 RR 71-2).
    She described a time that the appellant assaulted her in August 2012 in detail
    (4 RR 72, 74-85). She testified while her mom was at work she was in her room
    10
    laying down watching television on her bed, and the appellant came into her room
    and lay next to her (4 RR 74-6, 85). She testified that the appellant got on top of
    her, slid his hand down her pants onto her “middle part” and moved it around (4
    RR 77-9). She testified that the appellant then moved his hand to her breasts (4 RR
    78). She explained that he touched her breasts underneath her clothes (4 RR 78).
    Jane testified that her sister began to bang on the door and described that the
    appellant put a pillow over her face (4 RR 81). She told the jury that the appellant
    held her down, unzipped and removed his pants, and forced his middle part inside
    of her middle part (4 RR 80-81). Jane testified that this hurt (4 RR 81). She stated
    that she tried to push and kick the appellant, but that he did not stop (4 RR 81-2).
    She testified that the appellant stopped when “he finished” and described that she
    felt something warm at her vagina (4 RR 82-4). Jane explained “it” was also on her
    stomach, and “it” was white, but did not state she saw where “it” came from (4 RR
    83-4). Jane testified that afterwards she took a shower to clean everything off
    because it felt wrong (4 RR 85).
    Jane testified she did not tell her mom because the appellant was there, and
    she was scared (4 RR 85, 100). Jane explained that she did not think her mother
    would believe her (4 RR 100). She finally told her friends at school after another
    girl shared that she was molested (4 RR 91-2). Although she later denied the abuse
    to several adults, Jane explained she told Odhiambo because she felt safe the
    11
    appellant would not go home with her (4 RR 89-90). In Jane’s forensic interview at
    the CAC and her medical examination by a child abuse pediatrician, she was able
    to provide these same details of abuse (4 RR 128-31; 162-64). See (St. Ex. #4).
    Jane’s testimony that the appellant placed his “middle part” inside of her “middle
    part”2 met each element aggravated sexual assault of a child; thus, was sufficient to
    support the jury’s verdict. See 
    Johnson, 419 S.W.3d at 671-72
    (holding the
    victim’s testimony that the appellant inserted his finger into her vagina itself
    satisfied the elements of aggravated sexual assault of a child and was sufficient to
    support a conviction).
    The appellant argues Jane’s testimony is not sufficient to sustain a
    conviction because there were not enough specific details. (App’nt Brf. 16-17). But
    Jane’s testimony met each element of aggravated sexual assault of a child. And the
    testimony of a single witness may be legally sufficient to support a conviction of a
    criminal offense. See TEX. CODE CRIM. PROC. ANN. art. 38.07 (West supp. 2014)
    (stating that a conviction under Chapter 21, among other enumerated provisions, of
    the Texas Penal Code may be supported by the uncorroborated testimony of the
    victim of the sexual offense); Lee v. State, 
    176 S.W.3d 452
    , 455 (Tex. App.—
    Houston [1st Dist.] 2004), aff’d, 
    206 S.W.3d 620
    (Tex. Crim. App. 2006) (holding
    2
    Jane used the term “middle part” to refer to their genitals; Isaac testified that Jane told her the
    appellant put his penis inside her vagina and that the vagina and penis are sexual organs (4 RR
    74, 78, 159-60).
    12
    “[t]he testimony of a child victim alone is sufficient to support a conviction for
    indecency with a child.”); see also In re R.R., 
    373 S.W.3d 730
    , 734-35 (Tex.
    App.—Houston [14th Dist.] 2012, pet. filed) (holding “a rational factfinder could
    have found that [the appellant] intentionally or knowingly caused the penetration
    of a child’s sexual organ” based only on the victim’s testimony that the appellant
    “stuck his penis in my vagina”).
    Additionally, the determination of what weight to give that testimony is
    within the sole province of the jury when it turns on credibility and demeanor.
    
    Clayton, 235 S.W.3d at 778
    . The evidence on appeal must be viewed in the light
    most favorable to the jury’s verdict. 
    Id. Viewing Jane’s
    testimony in the light most
    favorable to the jury’s decision, it is sufficient to support a rational finding that she
    was assaulted by the appellant. Id.; 
    Johnson, 419 S.W.3d at 671
    .
    Moreover, other witnesses corroborated Jane’s testimony. Jane’s mother
    testified that during this time, Jane’s feelings towards the appellant changed, and
    she observed Jane was withdrawn, depressed, and angry (4 RR 31-2, 34-5, 38).
    Jane began to cut herself (4 RR 32). She testified that one time she woke up in the
    middle of the night to find the appellant in the girls’ room with the door locked (4
    RR 33-4). Additionally, she recalled a time during the summer of 2012 that Jane
    complained of pain in her private area, and she observed a tear (4 RR 36).
    13
    Furthermore, both Odhiambo and Isaac’s testimony reflected that Jane told
    them similar details of abuse and that she was emotional when she described what
    happened to her (4 RR 126, 156). Laird testified that Jane showed signs and
    symptoms of sexual abuse (4 RR 191). Although corroboration is not required and
    no other witness testified to the specific acts of abuse, the evidence corroborated
    Jane’s testimony surrounding the acts. See Richert v. State, 01-10-00901-CR, 
    2012 WL 3775979
    at *5 (Tex. App.—Houston [1st Dist.] Aug. 30, 2012) cert. denied,
    
    134 S. Ct. 1317
    (2014) (mem. op., not designated for publication) (recognizing the
    jury could have reasonably found the appellant committed two or more acts of
    aggravated sexual assault of a child from the complainant’s testimony regarding
    the abuse, her mother’s testimony regarding visits to the appellant and the outcry
    witness’s testimony of the complainant’s account of the sexual abuse).
    The appellant argues that there is no physical evidence of abuse. But
    physical evidence is not required. See Garcia v. State, 
    563 S.W.2d 925
    , 928 (Tex.
    Crim. App. 1978) (holding that victim’s testimony was sufficient to prove sexual
    contact occurred despite a lack of physical evidence); Tinker v. State, 
    148 S.W.3d 666
    , 669 (Tex. App.—Houston [14th Dist.] 2004, no pet.) (noting despite the lack
    of DNA evidence, the complainant’s testimony alone was sufficient to support the
    jury’s verdict that sexual contact did occur).
    14
    The appellant argues that Jane’s testimony should be discounted because it is
    not credible. (App’nt Brf. 16-17). But, attacks on the complainant’s credibility
    have “no bearing on [a reviewing court’s] sufficiency analysis.” In re 
    R.R., 373 S.W.3d at 735
    (citing Williams v. State, 
    235 S.W.3d 742
    , 750 (Tex. Crim. App.
    2007)); see also Chambers v. State, 
    805 S.W.2d 459
    , 461 (Tex. Crim. App. 1991)
    (holding the jury, as factfinder, was free to disbelieve the complainant’s
    recantation; it “is entitled to judge the credibility of witnesses, and can choose to
    believe all, some, or none of the testimony presented by the parties.”). Jane
    testified she understood the difference between a truth and a lie and promised to
    tell the truth (4 RR 56-7).
    The appellant specifically points to evidence that Jane provided conflicting
    statements to multiple witnesses. (App’nt Brf. 16-17). But the jury was free to
    believe or disbelieve all or any part of Jane’s testimony and conclude that any
    inconsistencies were inconsequential. Proctor v. State, 
    356 S.W.3d 681
    , 684 (Tex.
    App.—Eastland 2011, pet. ref’d) (holding sufficient evidence to prove the
    appellant was guilty of aggravated sexual assault of a child in spite on
    inconsistencies in the victim’s testimony). Although Jane did not immediately
    outcry and denied the abuse to her mother, to the school counselor, to CPS, and to
    Detective Brinson, she did tell everything to Odhiambo and Isaac (4 RR 89, 128-
    31, 162-64). See Johnston v. State, 
    230 S.W.3d 450
    , 455-56 (Tex. App.—Fort
    15
    Worth 2007, no pet.) (recognizing that delayed outcry is common in abused
    children and something the jury could have resolved in finding the appellant guilty
    of sexual assault of a child).
    Additionally, the appellant contends that Jane’s testimony is inconsistent
    because she told Odhiambo that she felt something warm on her genitals and
    stomach, but that she told Isaac nothing came out of the appellant’s middle part (4
    RR 84-5, 131, 164). (App’nt Brf. 18). But the appellant assumes Jane, an eleven-
    year-old girl, knew where the “white stuff” came from. Jane never discussed that
    with Odhiambo, and Isaac’s question specifically asked her if anything came out of
    his middle part (4 RR 164). See (St. Ex. #4). Regardless, as previously stated, this
    would merely be a conflict for the factfinder to resolve and the jury was free to
    believe this testimony or not. See Wyatt v. State, 
    23 S.W.3d 18
    , 30 (Tex. Crim.
    App. 2000) (noting “reconciliation of conflicts in the evidence is within the
    exclusive province of the jury.” (quoting Losada v. State, 
    721 S.W.2d 305
    , 309
    (Tex. Crim. App. 1986)).
    Moreover, the appellant’s contentions that Jane copied her friends are
    neither appropriate for a sufficiency review nor are they supported by the record.
    See (App’nt Brf. 16-17). First, there is nothing in the record that supports Jane’s
    recount of abuse “mirrored” her friend’s molestation (4 RR 65, 91-2). See (App’nt
    Brf. 16). The record does not contain how her friend was molested or that she was
    16
    molested the same way. Second, the appellant’s argument that Jane cut herself to
    be like her friends is not supported by the record. (App’nt 16-17). Neither Jane nor
    her mother testified that her cutting was because her friends were doing it (4 RR
    32, 61). The only mention of friends also cutting was in Dr. Isaac’s medical notes.
    See (St. Ex. #4). In fact, Jane testified she cut herself because she was “going
    through a lot at the time” (4 RR 61). And Laird testified that cutting can be an
    expression of feelings (4 RR 192).
    Reviewing the record in the light most favorable to the jury’s verdict, and
    allowing for the credibility determinations and logical inferences that the jury was
    permitted to make from the evidence, there is sufficient evidence for a rational trier
    of fact to have concluded beyond a reasonable doubt that the appellant was guilty
    of each element of aggravated sexual assault of a child. See 
    Clayton, 235 S.W.3d at 778
    -79 (noting that when a record supports conflicting inferences, a reviewing
    court presumes that the factfinder resolved the conflict in favor of their verdict);
    Powell v.State, 
    194 S.W.3d 503
    , 508 (Tex. Crim. App. 2006); 
    Jackson, 443 U.S. at 319
    . Thus, the appellant’s first point of error should be overruled.
    REPLY TO APPELLANT’S SECOND AND THIRD POINTS OF ERROR
    In the appellant’s second point of error, he argues that the trial court erred by
    allowing evidence of extraneous conduct between the appellant and Jane of
    touching and fondling during Jane’s testimony. (App’nt Brf. 18). In the appellant’s
    17
    third point of error, he argues that the trial court erred by allowing extraneous
    evidence of touching and intercourse through the testimony and medical records of
    Isaac. (App’nt Brf. 23-4). Because both points of error challenge the admissibility
    of extraneous acts of abuse by the appellant they will be addressed together.
    I.     Standard of Review
    A trial court’s ruling on the admissibility of an extraneous offense is
    reviewed under an abuse of discretion standard. Williams v. State, 
    301 S.W.3d 675
    ,
    687 (Tex. Crim. App. 2009); Shepherd v. State, 
    273 S.W.3d 681
    , 684 (Tex. Crim.
    App. 2008); Apolinar v. State, 
    155 S.W.3d 184
    , 186 (Tex. Crim. App. 2005). A
    trial judge whose ruling is within the “zone of reasonable disagreement” should not
    be reversed. Green v. State, 
    934 S.W.2d 92
    , 101-102 (Tex. Crim. App. 1996). The
    reviewing court must view the evidence in the light most favorable to the trial
    court’s ruling, giving the trial court almost total deference on its findings of
    historical fact that find support in the record. Guzman v. State, 
    955 S.W.2d 85
    , 89
    (Tex. Crim. App. 1997). Where the trial court does not make express findings of
    fact, a reviewing court will assume that the trial court made “implicit findings that
    support its ruling, provided those implied findings are supported by the record.”
    State v. Maldonado, 
    176 S.W.3d 419
    , 421 (Tex. App.—Houston [1st Dist.] 2004,
    no pet.); Sims v. State, 
    84 S.W.3d 805
    , 807-08 (Tex. App.—Houston [1st Dist.]
    2002, no pet.); 
    Ross, 32 S.W.3d at 856
    . A reviewing court must affirm the trial
    18
    court’s ruling if it is correct on any theory of law applicable to the case and is
    reasonably supported by the record. 
    Maldonado, 176 S.W.3d at 421
    ; Valtierra v.
    State, 
    310 S.W.3d 442
    , 447 (Tex. Crim. App. 2010).
    II.    The trial court did not abuse its discretion in admitting the
    appellant’s extraneous sexual abuse of Jane into evidence
    Evidence of an extraneous offense is not generally admissible to prove the
    character of a defendant in order to show that the defendant acted in conformity
    with that character. See Lockhart v. State, 
    847 S.W.2d 568
    , 570 (Tex. Crim. App.
    1992); TEX. R. EVID. 404(b). But extraneous offenses may be admitted for other
    purposes, such as to prove “motive, opportunity, intent, preparation, plan,
    knowledge, identity, or absence of mistake or accident.” 
    Id. Additionally, evidence
    of extraneous offenses that are “indivisibly connected to the charged offense and
    necessary to the State’s case in proving the charged offense” may be admissible for
    contextual purposes. 
    Id. at 571;
    Albrecht v. State, 
    486 S.W.2d 97
    , 100 (Tex. Crim.
    App. 1972) (recognizing background evidence was admitted “[t]o show the context
    in which the criminal act occurred … under the reasoning that events do not occur
    in a vacuum and that the jury has a right to hear what occurred immediately prior
    to and subsequent to the commission of the act so that they may realistically
    evaluate the evidence.”).
    Specific to child abuse cases, Article 38.37 of the Texas Code of Criminal
    procedure allows for extraneous offenses “committed by the [appellant] against the
    19
    child who is the victim of the alleged offense shall be admitted for its bearing on
    relevant matters, including: (1) the state of mind of the [appellant] and the child;
    and (2) the previous and subsequent relationship between the [appellant] and the
    child.” TEX. CODE CRIM. PROC. ANN. art. 38.37, § 1(b) (West supp. 2014)3
    (emphasis added); Hinds v. State, 
    970 S.W.2d 33
    , 35 (Tex. App.—Dallas 1998, no
    pet.) (“By enacting article 38.37, the legislature in effect determined that, in certain
    sexual abuse cases, evidence of “other crimes, wrongs, or acts” committed by the
    accused against the child victim are relevant and admissible under rule 402.”).
    Although otherwise irrelevant evidence may become relevant under Article
    38.37, that evidence may still be excluded under Rule 403 if its probative value is
    substantially outweighed by its danger of unfair prejudice. See TEX. R. EVID. 403;
    Martines v. State, 
    371 S.W.3d 232
    , 248 (Tex. App.—Houston [1st Dist.] 2011, no
    pet.). Unfair prejudice “refers to a tendency to suggest decision on an improper
    basis, commonly, though not necessarily, an emotional one.” Gigliobianco v. State,
    
    210 S.W.3d 637
    , 641 (Tex. Crim. App. 2006).
    A Rule 403 balancing test or analysis includes, but is not limited to,
    consideration of four relevant factors: (1) the probative value of the evidence; (2)
    the potential to impress the jury in some irrational yet indelible way; (3) the time
    3
    Amended September 1, 2013 to add that a separate, enumerated offense of child abuse may be
    admitted in the trial for any bearing the evidence has on relevant matters, including the character
    of the defendant and acts performed in conformity with the character of the defendant. TEX.
    CODE CRIM. PROC. ANN. art. 38.37, § 2(b) (West supp. 2014) (emphasis added).
    20
    needed to develop the evidence; and (4) the proponent’s need for the evidence.
    Mechler v. State, 
    153 S.W.3d 435
    , 440 (Tex. Crim. App. 2005); Monzon v. State,
    991 S.W2d 841, 847 (Tex. Crim. App. 1991). A trial court has broad discretion to
    determine      whether      evidence      is    admissible.     Montgomery        v.    State,
    
    810 S.W.2d 372
    , 386, 390 (Tex. Crim. App. 1990). “Rule 403 favors admissibility
    of relevant evidence, and the presumption is that relevant evidence will be more
    probative than prejudicial.” 
    Id. at 389.
    A.     Jane’s testimony that the appellant touched and fondled her
    on other occasions was more probative than unfairly
    prejudicial.
    The appellant argues that the trial court abused its discretion in allowing
    Jane to testify to extraneous acts of touching and fondling by the appellant because
    the probative value of that testimony was substantially outweighed by its unfair
    prejudice. (App’nt Brf. 18-21). Specifically, he complains about Jane’s testimony
    regarding three4 separate extraneous events: (1) the first time she was abused
    where she woke up with her pants on backwards and shirt inside out (4 RR 62); (2)
    a time that she came home from school, changed into a t-shirt and basketball shorts
    and the appellant came into her room and lay with her (4 RR 63-4); and (3) when
    the appellant touched her breast and buttocks (4 RR 67). (App’nt Brf 21-2). But the
    4
    Although at trial the appellant objected to Jane’s testimony regarding all noticed extraneous
    offenses, on appeal he does not complain about Jane’s testimony regarding the appellant’s hand
    touching or penetrating her genitals (4 RR 51, 72-3, 77-8). (App’nt Brf. 18-23).
    21
    probative values of each of these extraneous acts were not substantially
    outweighed by their unfairly prejudicial effect.
    The first two complained-of extraneous acts demonstrated the relationship
    between Jane and the appellant before he began sexually assaulting her, and they
    were not so inflammatory to impress the jury in some irrational manner. See
    
    Montgomery, 810 S.W.2d at 395
    (noting that “other crimes, wrongs, or acts” are
    impermissible when they create “unfair prejudice” and invites the jury to “convict
    on a moral or emotional basis rather than as a reasoned response to the relevant
    evidence.”). In fact, her testimony about finding her clothes were on wrong did not
    include her father touching her and she did not know how her clothes became that
    way (4 RR 62). Moreover, her detailed description of the August 2012 offense
    likely overshadowed any inflammatory response the jury may have had to these
    acts. See id.; Burke v. State, 
    371 S.W.3d 252
    , 256 (Tex. App.—Houston [1st Dist.]
    2011, pet. ref’d) (finding the complainant’s testimony of extraneous offenses was
    likely overshadowed by his description of the underlying offense – the appellant
    putting his hands around his throat, causing pain); see also Greene v. State, 
    287 S.W.3d 277
    , 285 (Tex. App.—Eastland 2009, pet. ref’d) (“To constitute an
    extraneous offense, the evidence must show a crime or bad act and must connect
    the defendant to it.”) (citing Lockhart v. State, 
    847 S.W.2d 568
    , 573 (Tex. Crim.
    App. 1992)).
    22
    Additionally, there was not an excessive amount of time spent developing
    the first two acts. It was only a couple of questions and three pages of the record,
    whereas a majority of her testimony was spent on the charged offense (4 RR 62-4,
    72-85). Cf. Beam v. State, 
    447 S.W.3d 401
    , 405 (Tex. App.—Houston [14th Dist.]
    2014, no pet.) (noting that the State spent significant time developing the
    extraneous act calling multiple witnesses and presenting medical records).
    Furthermore, the State had no other evidence that it could similarly illustrate the
    relationship between Jane and the appellant, the progression of abuse, and the
    appellant’s state of mind. See TEX. PENAL CODE ANN. § 22.021 (West supp. 2014).
    (requiring proof that aggravated sexual assault was done “intentionally or
    knowingly”); Guevara v. State, 
    152 S.W.3d 45
    , 50 (Tex. Crim. App. 2004) (“Intent
    may also be inferred from circumstantial evidence such as acts, words, and the
    conduct of the appellant.”).
    Jane’s testimony regarding the appellant touching and fondling her breasts
    and buttocks not only provided context for the jury to understand how the sexual
    abuse started, it showed how the offense related directly to their previous
    relationship and states of mind (4 RR 67). See 
    Burke, 371 S.W.3d at 256
    (holding
    that evidence of the appellant’s previous molestations of the complainant was
    probative of their relationship); Pool v. State, 
    981 S.W.2d 467
    , 469 (Tex. App.—
    Waco 1999, pet. ref’d) (holding that sexual assaults and subsequent pregnancy by
    23
    the appellant against the complainant after her seventeenth birthday were
    admissible under Article 38.37); Hinojosa v. State, 
    995 S.W.2d 955
    , 957 (Tex.
    App.—Houston [14th Dist.] 1999, no pet.) (evidence of extraneous acts committed
    by the appellant against the child, including numerous incidents of sexual, verbal,
    and physical abuse of the child victim, showed their previous and subsequent
    relationship as well as their states of mind).
    Although the touching of Jane’s breast and buttocks undoubtedly carries
    some emotional weight, it was less heinous than the charged offense of rape;
    therefore, it was not likely to create such prejudice in the minds of the jurors that
    they would have been unable to limit their consideration of the evidence to its
    proper purpose. See Jones v. State, 
    119 S.W.3d 412
    , 422 (Tex. App.—Fort Worth
    2003, no pet.) (holding evidence of an extraneous victim was less heinous than the
    charged acts and therefore were not likely to create such prejudice in the minds of
    the jury) (citing Taylor v. State, 
    920 S.W.2d 319
    , 323 (Tex. Crim. App. 1996)).
    Additionally, the jury charge contained a limiting instruction that minimized
    any prejudicial effect of the extraneous evidence (CR – 130). See Beam, 
    447 S.W.3d 401
    at 405 (noting that any impermissible inference from extraneous
    conduct can be minimized through a limiting instruction); Lane v. State, 
    933 S.W.2d 504
    , 520 (Tex. Crim. App. 1996) (same). Moreover, similar to the first two
    extraneous acts, a review of the record shows that the State did not spend an
    24
    excessive amount of time5 developing this extraneous offense (4 RR 67-8). McCoy
    v. State, 
    10 S.W.3d 50
    , 54 (Tex. App.—Amarillo 1999, no pet.).
    Finally, contrary to the appellant’s contention that he did not present a
    defensive theory, his cross-examinations and closing argument introduced the
    theory that Jane fabricated the whole incident (3 RR 28-30, 68; 4 RR 41, 43, 47,
    92-4, 96-7, 99-101, 179, 195, 198; 5 RR 10-16). (App’nt Brf. 22); see Blackwell v.
    State, 
    193 S.W.3d 1
    , 11-12 (Tex. App.—Houston [1st Dist.] 2006, pet. ref’d)
    (holding extraneous offenses were admissible to rebut the appellant’s defensive
    theory created in cross-examination and argument). Therefore, the State needed
    this evidence to rebut that theory. See 
    Jones, 119 S.W.3d at 423
    (holding that
    extraneous sexual assaults of the child victim were a logical and necessary rebuttal
    of major defense theory of fabrication); Waddell v. State, 
    873 S.W.2d 130
    , 136
    (Tex. App.—Beaumont 1994, pet. ref’d) (same). Thus, the danger of unfair
    prejudice did not substantially outweigh the probative value of the extraneous act.
    
    McCoy, 10 S.W.3d at 54
    (overruling the appellant’s Rule 403 challenge that “the
    only reason the State wanted the extraneous offense in this case was to show that
    [the appellant] was a child molester.”). The appellant’s second point of error
    should be overruled.
    5
    The State was careful not to discuss the extraneous fondling with other witnesses besides Jane
    and Dr. Isaac. See (3 RR 46, 68) (notifying the trial court that the appellant had opened the door
    to discuss the extraneous offenses during cross-examination of Brinson and allowing the
    appellant to withdraw the question); (4 RR 112-13) (informing the trial court that the State would
    not be eliciting testimony from Odhiambo regarding the extraneous offenses).
    25
    B.     The extraneous evidence that the appellant repeatedly touched
    Jane, as presented through the testimony of Isaac and the
    medical records, Isaac was more probative than unfairly
    prejudicial.
    The appellant argues that the trial court abused its discretion in admitting
    evidence of extraneous acts of touching and intercourse through Isaac’s testimony
    and the medical records under Rule 403. (App’nt Brf. 23-4). During a bench
    conference outside the presence of the jury, the appellant objected to portions of
    State’s Exhibit #4 (4 RR 138-39). He objected specifically to a question on page
    five of the record, “How many times were you touched overall by him
    inappropriately?”, and to Jane’s answer, “Like, five times.” (4 RR 138-39). He also
    objected specifically to the questions and answers regarding the timing of the first
    and last act of abuse (4 RR 139). The appellant argued that both questions were
    more prejudicial than probative, which the trial court overruled (4 RR 139).
    But the appellant failed to object to Isaac’s testimony6 itself (4 RR 138-39).
    Therefore, to the extent Isaac’s testimony addressed the extraneous offenses, the
    appellant has waived his right to complain. See TEX. R. APP. P. 33.1; TEX. R. EVID.
    103(a). The appellant argues that Isaac’s testimony was prejudicial because it
    “quantified the number of times that misconduct occurred.” (App’nt Brf. 25).
    Specifically, that it “increased the number of times there was penetration from one
    6
    The State recognizes, however, that most of Dr. Isaac’s testimony regarding Jane’s exam
    appears to be read from the medical record (4 RR 151-74).
    26
    to four.” (App’nt Brf. 25). But again the appellant failed to object to that specific
    question in State’s Exhibit #4, and thus error is waived (4 RR 138-39). See TEX. R.
    APP. P. 33.1; 
    Martines, 371 S.W.3d at 248
    . Additionally, the appellant never
    objected to any discussion regarding extraneous acts of “intercourse” (4 RR 138-
    39). Therefore, only his objections to specific questions in the medical records
    were preserved. See TEX. R. APP. P. 33.1; TEX. R. EVID. 103(a).
    Regardless, quantifying the amount of times the appellant sexually touched
    Jane was not extraneous offense evidence, but simply evidence of multiple
    occurrences of the indicted offense. See Worley v. State, 
    870 S.W.2d 620
    , 622
    (Tex. App.—Houston [1st Dist.] 1994, pet. ref’d) (finding, in aggravated sexual
    assault of a child case, that the victim’s testimony the appellant molested him “at
    least over a hundred times” did not constitute evidence of extraneous offenses);
    Martinez v. State, 
    190 S.W.3d 254
    , 262 (Tex. App.—Houston [1st Dist.] 2006, pet.
    ref’d) (holding that testimony from the victim’s medical examination revealed the
    appellant had touched her in the vaginal and anal areas “many times” was not
    evidence of extraneous offenses) (citing Rodriguez v. State, 
    104 S.W.3d 87
    , 90
    (Tex. Crim. App. 2003)).
    Nevertheless, the evidence on how many times Jane was “touched overall”
    in State’s Exhibit #4 was more probative than unfairly prejudicial. The evidence
    provided context to Isaac’s diagnosis based on the totality of the physical or
    27
    psychological trauma Jane suffered (4 RR 167). And, as previously stated, the
    amount of times Jane was touched by the appellant demonstrated his treatment of
    her, his mental state, their relationship, the progression of abuse and provided
    context for the jury. See Austin v. State, 
    222 S.W.3d 801
    , 808-9 (Tex. App.—
    Houston [14th Dist.] 2007, pet. ref’d) (noting under Rule 403 that medical records
    including evidence that siblings were also victims of Munchausen Syndrome by
    Proxy was critical to showing motive and to providing context to crime); 
    Burke, 371 S.W.3d at 257-58
    (holding the extraneous sexual assaults of the complainant
    by the appellant was probative of their relationship and increased the probability he
    would have felt confident to assault the complainant again).
    Additionally, the details of these additional times of abuse were neither
    provided in the records nor discussed by Isaac. See (St. Ex. #4). Although knowing
    that the abuse happened more than one time could have evoked emotion from the
    jurors, it was not so much to irrationally influence them. Cf. 
    Austin, 222 S.W.3d at 809
    (finding that voluminous medical records of extraneous times the appellant
    repeatedly induced and falsified illnesses in her children could have affected the
    jury in an emotional way). And, as previously stated, the trial court provided a
    limiting instruction (CR –130). See Williamson v. State, 
    356 S.W.3d 1
    , 24 (Tex.
    App.—Houston [1st Dist.] 2010, pet. ref’d) (finding no unfair prejudice in medical
    records containing extraneous acts when it was clear from the State’s presentation
    28
    of the evidence that it was offered to explain the motivating forces and to provide
    context for the offense, the State did not go through the records, and the court
    provided a limiting instruction).
    Moreover, the State spent relatively little time developing the evidence and
    did not mention it in closing argument (4 RR 165-66). Finally, the State needed the
    evidence to show the appellant’s intent, their relationship, and Jane’s mental state.
    It also helped corroborate Jane’s testimony and rebut the defensive theory that she
    lied. See 
    Beam, 447 S.W.3d at 405
    (holding the extraneous evidence of medical
    records and testimony of an additional sexual assault by the appellant was
    necessary because both sides contested the commission of the charged offense).
    Thus, the trial court did not abuse its discretion in admitting the evidence, and the
    appellant’s third point of error should be overruled.
    Furthermore, any complaint concerning the admission of the extraneous acts
    of touching and intercourse were waived by the appellant’s failure to object to the
    same or similar evidence admitted at another point in the trial. See Massey v. State,
    
    933 S.W.2d 141
    , 149 (Tex. Crim. App. 1996); Mayes v. State, 
    816 S.W.2d 79
    , 88
    (Tex. Crim. App. 1991); McCoy v. State, 
    10 S.W.3d 50
    , 54 (Tex. App.—Amarillo
    1999, no pet.). Here, the appellant failed to object to the “referral report” portion of
    the medical records, which states that the appellant penetrated her vagina with his
    penis at least three times (4 RR 159). See (St. Ex. #4). And the appellant failed to
    29
    object to the note that Jane told Isaac he touched her “middle part” with his hand
    on page five of the medical records (4 RR 139, 163-64). See (St. Ex. #4). Thus, the
    appellant waived any complaint by the failure to objection to similar testimony.
    Accordingly, the appellant’s third point of error should be dismissed.
    Finally, although it is unclear if the appellant complains on appeal about the
    admissibility of the indication of fondling as the alleged sexual conduct on page six
    of the medical records, any complaint under Rule 403 was not preserved. (App’nt
    Brf. 23-4). The appellant’s only objection to the evidence at trial was that “it is
    going into an extraneous [offense] and not the case-in-chief that’s before the Court
    today.” (4 RR 139). And a specific Rule 403 objection must be raised to preserve
    error; it is not implicitly contained in either relevancy or 404(b) objections.
    
    Montgomery, 810 S.W.2d at 388-89
    ; see also Broxton v. State, 
    909 S.W.2d 912
    ,
    918 (Tex. Crim. App. 1995) (holding to preserve error for appellate review, a
    complaint on appeal must comport with the objection at trial, and an objection
    stating one legal theory may not be used to support a different legal theory on
    appeal); 
    Martines, 371 S.W.3d at 248
    (holding an appellate issue based on alleged
    violation of Rule 403 must be preceded by specific objection). Therefore, the
    appellant has waived his right to complain about the indication of fondling under
    Rule 403.
    30
    III.   The appellant was not harmed by the trial court’s admission of
    the extraneous conduct.
    Under Rule 44.2(b) of the Texas Rules of Appellate Procedure, any non-
    constitutional “error, defect, irregularity, or variance that does not affect substantial
    rights must be disregarded.” TEX. R. APP. P. 44.2(b). Courts have determined that
    substantial rights are not affected by the erroneous admission of evidence “if the
    appellate court, after examining the record as a whole, has fair assurance that the
    error did not influence the jury, or had but a slight effect.” Motilla v. State, 
    78 S.W.3d 352
    , 355 (Tex. Crim. App. 2002); Solomon v. State, 
    49 S.W.3d 356
    , 365
    (Tex. Crim. App. 2001); Johnson v. State, 
    967 S.W.2d 410
    , 417 (Tex. Crim. App.
    1998).
    Here, there was substantial evidence to support the appellant’s guilt. See
    
    Motilla, 78 S.W.3d at 358
    (finding the weight of the evidence of the defendant’s
    guilt is a factor to be considered in a harm analysis). Jane testified in detail about
    the appellant penetrating her vagina with his penis, and although not necessary to
    support a conviction, the other witnesses’ testimony corroborated her testimony (4
    RR 54-90). 
    Johnson, 419 S.W.3d at 671-72
    (holding the victim’s testimony that
    the appellant inserted his finger into her vagina itself satisfied the elements of
    aggravated sexual assault of a child and was sufficient to support a conviction).
    The evidence of the actual rape was abundant.
    31
    Additionally, the extraneous acts showed the relationship between Jane and
    the appellant, how he first tested the waters with fondling, and how it escalated to
    sex (5 RR 21). See 
    Motilla, 78 S.W.3d at 359
    (citing Morales v. State, 
    32 S.W.3d 862
    , 867 (Tex. Crim. App. 2000)) (finding that another factor in the harm analysis
    is “the character of the alleged error and how it might be considered in connection
    with other evidence in the case.”); TEX. CODE CRIM. PROC. ANN. art. 38.37, § 1(b)
    (West supp. 2014). It also rebutted the defensive arguments that she lied and that
    she only said she was molested to be like her friend (5 RR 11-14, 16).
    Moreover, the State did not emphasize the extraneous conduct. See Martin v.
    State, 
    176 S.W.3d 887
    , 898, 903 (Tex. App.—Fort Worth 2005, no pet.) (noting
    that the State did not even mention the objected-to testimony in its closing and
    therefore holding the trial court’s error in admitting the testimony in question was
    harmless) (citing 
    Motilla, 78 S.W.3d at 358
    ). Finally, the trial court provided a
    limiting instruction regarding testimony of extraneous offenses in the jury charge,
    which required proof beyond a reasonable doubt and limited consideration only for
    purposes of determining state of mind and relationship; it is presumed the jury
    followed those instructions absent evidence to the contrary (CR—130). See 
    id. Therefore, it
    is unlikely that the extraneous fondling or lying next to her in bed had
    more than a slight effect on the jury’s verdict. Thus, the appellant’s second and
    third points of error should be overruled.
    32
    CONCLUSION
    It is respectfully submitted that all things are regular and the conviction
    should be affirmed.
    DEVON ANDERSON
    District Attorney
    Harris County, Texas
    /S/ _ Katie Davis
    KATIE M. DAVIS
    Assistant District Attorney
    Harris County, Texas
    1201 Franklin Street, Suite 600
    Houston, Texas 77002
    Telephone (713) 755-5826
    Fax Number (713) 755-5809
    Davis_Katie@dao.hctx.net
    State Bar Number: 24070242
    33
    CERTIFICATE OF SERVICE AND COMPLIANCE
    This is to certify that: (a) the word count function of the computer program
    used to prepare this document reports that there are 8,200 words in it; and (b) a
    copy of the foregoing instrument will be served by efile.txcourts.gov to:
    Kurt B. Wentz
    5629 Cypress Creek Parkway
    Suite 115
    Houston, TX 77069
    281-587-0088
    kbsawentz@yahoo.com
    /S/ _Katie Davis_________
    KATIE M. DAVIS
    Assistant District Attorney
    Harris County, Texas
    1201 Franklin Street, Suite 600
    Houston, Texas 77002
    Telephone (713) 755-5826
    Fax Number (713) 755-5809
    Davis_Katie@dao.hctx.net
    State Bar Number: 24070242
    Date: February 18, 2015
    34