Tomas Jimenez v. State , 419 S.W.3d 706 ( 2013 )


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  • Opinion issued December 17, 2013.
    In The
    Court of Appeals
    For The
    First District of Texas
    ————————————
    NO. 01-12-00588-CR
    ———————————
    TOMAS JIMENEZ, Appellant
    V.
    THE STATE OF TEXAS, Appellee
    On Appeal from the 209th District Court
    Harris County, Texas
    Trial Court Case No. 1307334
    OPINION
    Appellant Tomas Jimenez was charged by indictment with aggravated
    sexual assault of an elderly person. The jury found Jimenez guilty and he was
    sentenced to eighteen years’ confinement. On appeal, Jimenez argues that the trial
    court erred in (1) refusing to submit the lesser-included offenses of indecent
    exposure and attempted aggravated sexual assault, (2) denying his motion to quash
    the indictment, and (3) submitting a mandatory presumption regarding lack of
    consent and refusing to submit the Texas Penal Code section 2.05 instruction
    regarding presumptions. We affirm.
    Background
    Jimenez, a janitor at Seven Acres Nursing Home, was charged with
    intentionally and knowingly causing the penetration of the mouth of the
    complainant, a person 65 years of age or older, with his sexual organ, and without
    her consent.
    The complainant was a resident of Seven Acres Nursing Home. On the day
    of the incident, Rita Ekome, the certified nursing assistant (CNA) at Seven Acres,
    entered the complainant’s room to serve the complainant lunch. Ekome testified
    that she found Jimenez in the complainant’s room when she arrived. Jimenez was
    standing in front of the complainant—who was sitting on the bed—with his penis
    inside the complainant’s mouth. Ekome testified that Jimenez’s penis was hard,
    and that he was moving back and forth with his eyes closed. Because his eyes
    were closed, Jimenez did not immediately realize that Ekome had entered the
    room. After Ekome made a noise, Jimenez opened his eyes and immediately put
    his penis back in his pants.
    2
    Ekome immediately notified her supervisor and brought her back to the
    complainant’s room, at which point they heard the complainant say “It’s my
    husband, it’s my husband.” Jimenez had not left the floor when Ekome returned
    with her supervisor; he was buffing the floor in the hallway outside of the
    complainant’s room. Seven Acres management convened a meeting in which
    Jimenez’s supervisor told him that Ekome reported seeing Jimenez with his penis
    in the complainant’s mouth. Jimenez responded “no, I was scratching,” and
    pointed to his pelvic area.
    A medical exam of the complainant revealed no injuries, bruises, pubic hair,
    or semen on her body. Swabs for DNA were taken from the crotch area of
    Jimenez’s underwear and from the complainant’s mouth.            A Houston Police
    Department Crime Laboratory DNA analyst testified that the only DNA found in
    the complainant’s mouth was her own. She also testified that when testing the
    swab from Jimenez’s underwear for a DNA profile, the laboratory obtained a
    mixture of at least two individuals, and one of the individuals was male and one
    was “consistent with” the complainant’s DNA. The analyst testified that Jimenez
    “cannot be excluded to the major component of this mixture” and the complainant
    “could also not be excluded as a possible contributor to the mixture.”
    On cross-examination, the analyst testified that she could not say with
    certainty that the complainant’s DNA was contained in the mixture and the
    3
    complainant’s DNA profile would occur in 1 in 610,000 people. The analyst
    testified that she could not determine whether the source of the other DNA found
    in Jimenez’s underwear was sweat, urine, or saliva. The analyst testified that she
    could not give a timeframe for when the DNA attributed to Jimenez was deposited
    and it was possible that Jimenez’s portion was not deposited at the same time as
    the other DNA. The analyst also testified that someone could deposit another
    person’s DNA to his own crotch area if he had the other person’s DNA on his hand
    from touching something that contained that person’s DNA.
    At the time of the incident, the complainant was 84 years old and was
    married to a man who was not Jimenez.           The complainant had Alzheimer’s
    dementia and lived in the nursing home’s secured unit for residents with moderate
    to severe dementia. Access to the unit was restricted and was limited to those who
    could enter a secure pass code on a keypad at the entry points.
    Jimenez’s supervisor testified that Jimenez completed special training to
    work in this unit, that he had a special code to access it, and that Jimenez worked
    almost exclusively in the unit, which was on the second floor. Jimenez had
    worked at the nursing home for approximately three years before the incident.
    The nursing home’s medical director testified that in her medical opinion,
    the complainant was not capable of appraising the nature of acts in 2010 because
    “her dementia had progressed to more of a severe state.” The complainant’s
    4
    daughter also testified that the complainant was “extremely forgetful” and did not
    “make a lot of sense” when having conversations, but she recognized her husband
    when he visited her.
    Jimenez filed a pretrial motion to quash the indictment, arguing that its first
    paragraph was unconstitutional. The indictment’s first paragraph stated that sexual
    assault occurred:
    (1) without the Complainant’s consent, namely the Defendant was an
    employee of a NURSING HOME, namely Seven Acres, where the
    Complainant was a resident, and the Complainant and Defendant were
    not married to each other;
    The first paragraph tracked the definition of “without consent” set forth in section
    22.011(b)(11) of the Texas Penal Code, which states that a sexual assault is
    without consent if:
    The actor is an employee of a facility where the other person is a
    resident, unless the employee and resident are formally or informally
    married to each other under Chapter 2, Family Code.
    TEX. PENAL CODE ANN. § 22.011(b)(11) (West 2011).
    Jimenez argued that section 22.011(b)(11) violates the presumption of
    innocence and relieves the State of the burden to prove the assault was without
    consent. Counsel argued that section 22.011(b)(11)
    pretty much guarantees guilt and it’s a conclusive presumption, in our
    opinion, establishing an element of crime that there wasn’t consent.
    It’s presumed there wasn’t consent just by the fact that he’s an
    employee there and she’s a resident there unless they’re married. And
    5
    our objection is it violates due process and that statute is
    unconstitutional . . .
    The trial court denied the motion to quash.
    At the charge conference, Jimenez again argued that section 22.011(b)(11)
    constituted a “conclusive” presumption on the consent issue that violated due
    process and objected to its inclusion in the charge. The trial court overruled
    Jimenez’s objection and his request that the charge include an instruction pursuant
    to section 2.05(a) of the Code of Criminal Procedure “to inform the jury how to
    deal with [the] presumption.” The trial court also denied Jimenez’s request to
    instruct the jury on the lesser-included offenses of attempted aggravated sexual
    assault and indecent exposure.
    During closing, Jimenez’s counsel argued that there was reasonable doubt
    about whether Jimenez committed the sexual assault as described by the CNA. He
    argued that Jimenez’s medical records showed Jimenez was unable to achieve and
    maintain an erection, and that this undermined Ekome’s claim that Jimenez’s penis
    was erect during the alleged assault. He argued that no physical evidence indicated
    a sexual assault occurred, because Jimenez’s DNA was not found in the
    complainant’s mouth. He also pointed out that Jimenez did not flee or otherwise
    exhibit consciousness of guilt. Thus, Jimenez’s defensive theory was to deny that
    the assault occurred; Jimenez’s counsel never suggested that the incident was
    consensual.
    6
    Lesser-Included Offenses
    In his first and second points of error, Jimenez argues that the trial court
    erred in refusing to submit two lesser-included offenses—indecent exposure and
    attempted aggravated sexual assault.
    A. Applicable Law
    An offense qualifies as a lesser-included offense of the charged offense if:
    (1) it is established by proof of the same or less than all the facts
    required to establish the commission of the offense charged;
    (2) it differs from the offense charged only in the respect that a less
    serious injury or risk of injury to the same person, property, or
    public interest suffices to establish its commission;
    (3) it differs from the offense charged only in the respect that a less
    culpable mental state suffices to establish its commission; or
    (4) it consists of an attempt to commit the offense charged or an
    otherwise included offense.
    TEX. CODE CRIM. PROC. ANN. art. 37.09 (West 2006). We employ a two-pronged
    test in determining whether a defendant is entitled to an instruction on a lesser-
    included offense. See Sweed v. State, 
    351 S.W.3d 63
    , 67 (Tex. Crim. App. 2011);
    Ex Parte Watson, 
    306 S.W.3d 259
    , 262–63 (Tex. Crim. App. 2009); see also Hall
    v. State, 
    225 S.W.3d 524
    , 535–36 (Tex. Crim. App. 2007). The first prong of the
    test requires the court to use the “cognate pleadings” approach to determine if an
    offense is a lesser-included offense of another offense. See 
    Watson, 306 S.W.3d at 271
    . The first prong is met if the indictment for the greater-inclusive offense
    7
    either: “(1) alleges all of the elements of the lesser-included offense, or (2) alleges
    elements plus facts (including descriptive averments, such as non-statutory manner
    and means, that are alleged for purposes of providing notice) from which all of the
    elements of the lesser-included offense may be deduced.” 
    Id. at 273.
    This is a
    question of law, and it does not depend on the evidence to be produced at trial.
    Rice v. State, 
    333 S.W.3d 140
    , 144 (Tex. Crim. App. 2011); 
    Hall, 225 S.W.3d at 535
    .
    The second prong asks whether there is evidence that supports submission of
    the lesser-included offense. 
    Hall, 225 S.W.3d at 536
    . “A defendant is entitled to a
    requested instruction on a lesser-included offense where . . . there is some evidence
    in the record that would permit a jury rationally to find that if the defendant is
    guilty, he is guilty only of the lesser-included offense.” 
    Id. (quoting Bignall
    v.
    State, 
    887 S.W.2d 21
    , 23 (Tex. Crim. App. 1994)). “In other words, the evidence
    must establish the lesser-included offense as ‘a valid, rational alternative to the
    charged offense.’” 
    Id. (quoting Forest
    v. State, 
    989 S.W.2d 365
    , 367 (Tex. Crim.
    App. 1999)). Anything more than a scintilla of evidence may be sufficient to
    entitle a defendant to a charge of a lesser-included offense, but it is not enough that
    the jury may disbelieve crucial evidence pertaining to the greater offense. 
    Id. (quoting Bignall
    , 887 S.W.2d at 23); Skinner v. State, 
    956 S.W.2d 532
    , 543 (Tex.
    Crim. App. 1997) (citing 
    Bignall, 887 S.W.2d at 24
    ). Rather, “there must be some
    8
    evidence directly germane to a lesser-included offense for the factfinder to
    consider before an instruction on a lesser-included offense is warranted.” 
    Skinner, 956 S.W.2d at 543
    (citing 
    Bignall, 887 S.W.2d at 24
    ).
    When reviewing a trial court’s decision to deny a requested instruction for a
    lesser-included offense, we consider the charged offense, the statutory elements of
    the lesser offense, and the evidence actually presented at trial. Hayward v. State,
    
    158 S.W.3d 476
    , 478 (Tex. Crim. App. 2005) (citing Jacob v. State, 
    892 S.W.2d 905
    , 907–08 (Tex. Crim. App. 1995).           “The credibility of the evidence, and
    whether it conflicts with other evidence, must not be considered in deciding
    whether the charge on the lesser-included offense should be given.” Dobbins v.
    State, 
    228 S.W.3d 761
    , 768 (Tex. App.—Houston [14th Dist.] 2007, pet. dism’d)
    (citing Saunders v. State, 
    840 S.W.2d 390
    , 391 (Tex. Crim. App. 1992)). If we
    find error and the appellant properly objected to the jury charge, we employ the
    “some harm” analysis. See Ngo v. State, 
    175 S.W.3d 738
    , 743 (Tex. Crim. App.
    2005).
    B. Indecent Exposure
    In his first point of error, Jimenez argues that the trial court abused its
    discretion by refusing to instruct the jury on the lesser included offense of indecent
    exposure.    Specifically, Jimenez contends the evidence that he was only
    9
    “scratching” constitutes more than a scintilla of evidence sufficient to permit a jury
    to rationally find him guilty of only indecent exposure.
    A person commits the offense of indecent exposure if he:
    (1) exposes his anus or any part of his genitals
    (2) with intent to arouse or gratify the sexual desire of any person, and
    (3) is reckless about whether another is present who will be offended or
    alarmed by his act.
    TEX. PENAL CODE ANN. § 21.08(a) (West 2011).
    A person commits the offense of aggravated sexual assault if he intentionally
    or knowingly causes the penetration of the mouth of another person, who is 65
    years of age or older, by the sexual organ of the actor, without that person’s
    consent. 
    Id. § 22.021(a)(1)(A)(ii),
    (a)(2)(C) (West Supp. 2013); 
    id. § 22.04(c)
    (West Supp. 2013).
    Citing Hendrix v. State, 
    150 S.W.3d 839
    , 850–51 (Tex. App.—Houston
    [14th Dist.] 2004, pet. ref’d), Jimenez contends that indecent exposure is a lesser-
    included offense of aggravated sexual assault. Hendrix recognized that indecency
    with a child may be a lesser included offense of aggravated sexual assault and
    noted that the question must be decided on a case by case basis. 
    Id. We need
    not decide whether indecent exposure is a lesser-included offense
    of aggravated sexual assault because Jimenez cannot satisfy the second prong of
    the test. The only evidence Jimenez cites in support of his claim that he could be
    10
    found guilty of only indecent exposure is his statement that he was “scratching”
    when Ekome walked into the complainant’s room. This evidence does not make
    conviction on indecent exposure a rational alternative because Jimenez’s claim that
    he was scratching himself denies that he exposed his penis with the “intent to
    arouse or gratify [his] sexual desire,” which are elements of indecent exposure.
    See TEX. PENAL CODE ANN. § 21.08(a); 
    Sweed, 351 S.W.3d at 68
    . Jimenez failed
    to adduce facts from which the elements of indecent exposure could be deduced.
    See 
    Hall, 225 S.W.3d at 536
    . Therefore, we conclude that Jimenez was not
    entitled to jury instructions on indecent exposure.
    We overrule Jimenez’s first point of error.
    C. Attempted Aggravated Sexual Assault
    In his second point of error, Jimenez contends that he was entitled to a jury
    instruction on the lesser-included offense of attempted aggravated sexual because
    his medical records demonstrate he had been unable to achieve and maintain an
    erection for eight years and, therefore, could not have penetrated the complainant.
    See TEX. PENAL CODE ANN. § 22.021(a)(1)(A)(ii), (a)(2)(C); 
    id. § 22.04(c)
    (A
    person commits the offense of aggravated sexual assault if he intentionally or
    knowingly causes the penetration of the mouth of another person, who is 65 years
    of age or older, by the sexual organ of the actor, without that person’s consent).
    11
    The Thirteenth Court of Appeals has previously considered, and rejected, a
    similar argument. See Wilson v. State, 
    905 S.W.2d 46
    , 48 (Tex. App.—Corpus
    Christi 1995, no pet.). The Wilson court explained:
    appellant could have been convicted if the jury found beyond a
    reasonable doubt that appellant penetrated complainant with any part
    of his penis. Simply because appellant may not have been able to
    have an erection, that possibility does not indicate that appellant did
    not penetrate complainant with his penis. If appellant placed his non-
    erect penis inside complainant, penetration still occurred.
    
    Id. We agree
    that Jimenez’s ability to achieve an erection is irrelevant. Though
    penetration is an element of aggravated sexual assault, erection is not. See id.;
    Thornton v. State, 
    734 S.W.2d 112
    , 113 (Tex. App.—Houston [1st Dist.] 1987, pet.
    ref’d) (penetration element of sexual assault may be accomplished with any part of
    accused’s body). Thus, we reject Jimenez’s argument that some evidence would
    permit a rational jury to find him guilty of only attempted aggravated sexual
    assault. See 
    Wilson, 905 S.W.2d at 48
    (holding appellant not entitled to instruction
    on attempted aggravated sexual assault, despite his testimony that he could not
    have achieved erection, because erection is not required for penetration).
    We overrule Jimenez’s second point of error.
    Motion to Quash
    In his third point of error, Jimenez contends that the trial court erred by
    denying his motion to quash the indictment. Jimenez contends the indictment
    12
    should have been quashed because it relieved the State of its burden to prove the
    assault was not consensual by incorporating Penal Code section 22.011(b)(11)’s
    definition of “without consent,” which Jimenez contends is unconstitutional.
    A. Standard of Review
    A pretrial motion to quash an indictment may be used only for a facial
    challenge to the constitutionality of a statute. State ex rel. Lykos v. Fine, 
    330 S.W.3d 904
    , 908–10 (Tex. Crim. App. 2011). To prevail on a facial challenge, a
    party must establish that the statute always operates unconstitutionally in all
    possible circumstances. State v. Rosseau, 
    396 S.W.3d 550
    , 557 (Tex. Crim. App.
    2013).    An “analysis of a statute’s constitutionality must begin with the
    presumption that the statute is valid and that the Legislature did not act arbitrarily
    or unreasonably in enacting it.” 
    Id. (citing Rodriguez
    v. State, 
    93 S.W.3d 60
    , 69
    (Tex. Crim. App. 2002)); TEX. GOV’T CODE ANN. § 311.021(1) (West 2013) (“In
    enacting a statute, it is presumed that compliance with the constitutions of this state
    and the United States is intended”). The individual challenging the statute has the
    burden to establish its unconstitutionality. 
    Id. (citing Lykos,
    330 S.W.3d at 911).
    We review the denial of a motion to quash an indictment de novo. Lawrence v.
    State, 
    240 S.W.3d 912
    , 915 (Tex. Crim. App. 2007).
    13
    B. Applicable Law
    A person commits the offense of aggravated sexual assault if he intentionally
    or knowingly causes the penetration of the mouth of another person, who is 65
    years of age or older, by the sexual organ of the actor, without that person’s
    consent. TEX. PENAL CODE ANN. § 22.021(a)(1)(A)(ii), (a)(2)(C); 
    id. § 22.04(c)
    .
    A sexual assault is without consent if “the actor is an employee of a facility where
    the other person is a resident, unless the employee and resident are formally or
    informally married.” 
    Id. § 22.011(b)(11);
    id. § 22.021(c). 
    An employee of a
    facility, as used in this section, “means a person who is an employee of a facility
    defined by Section 250.001, Health and Safety Code, or any other person who
    provides service for a facility for compensation, including a contract laborer.” See
    TEX. PENAL CODE ANN. § 22.011(c)(5); TEX. HEALTH & SAFETY CODE ANN.
    § 250.001(3) (West Supp. 2013) (including nursing home, custodial care home,
    and assisted living facility as definitions of “facility”).
    C. Analysis
    Here, the indictment alleged that Jimenez “unlawfully, intentionally and
    knowingly cause[ed] the penetration of the mouth of [complainant], a person at
    least sixty-five years of age with the sexual organ of [Jimenez], without
    [complainant’s] consent.” The indictment set out three ways in in which the jury
    could find the assault occurred “without consent:”
    14
    (1) the Defendant was an employee of a NURSING HOME, namely Seven
    Acres, where the Complainant was a resident, and the Complainant and
    Defendant were not married to each other;
    (2) the Defendant knew that as a result of mental disease and defect that the
    Complainant was, at the time of the sexual assault, incapable of
    appraising the nature of the act and of resisting the act; and
    (3) the Complainant had not consented and the Defendant knew the
    Complainant was unaware that the sexual assault was occurring.
    The first, which tracks the language of section 22.011(b)(11), is the one Jimenez
    challenges as an unconstitutional presumption.
    Jimenez contends that this “conclusive statutory presumption” violates his
    due process rights because it relieves the State of its burden to prove beyond a
    reasonable doubt that the assault was without consent. According to Jimenez,
    section 22.011(b)(11) unconstitutionally requires a jury to find lack of consent
    based solely on the fact that the complainant resided in a nursing home and was not
    married to Jimenez.
    Courts have upheld strict liability statutes designed to protect a certain class
    of people as long as the statute serves a legitimate government interest. See Scott
    v. State, 
    36 S.W.3d 240
    , 242 (Tex. App.—Houston [1st Dist.] 2001, pet. ref’d)
    (statute satisfies due process if it rationally furthers legitimate governmental
    interest). For example, the court in Scott held that the statutory rape provision of
    section 22.011 of the Texas Penal Code was constitutional and did not violate the
    appellant’s due process rights. 
    Id. The appellant
    argued that the statute was
    15
    unconstitutional because it permits conviction even in the absence of evidence that
    the defendant knew the victim was a minor. 
    Id. at 241–42.
    The Scott court held
    the statute does not violate due process because the Texas “legislature has a
    legitimate interest in protecting the health and safety of our children.” 
    Id. at 242;
    see also Byrne v. State, 
    358 S.W.3d 745
    , 752 (Tex. App.—San Antonio 2011, no
    pet.) (“As recognized by numerous state and federal courts, protection of minors
    from the improper sexual advances of adults is clearly a valid concern of our
    society and the government may impose strict liability statutes to encourage that
    practice.”).
    Section 22.011(b)(11) is similar insofar as it was enacted to protect the class
    of adults who reside in facilities, such as the elderly and the mentally ill, from
    abuse by employees of the facilities in which they reside. Because this is a
    legitimate government interest, we hold that Jimenez failed to rebut the
    presumption of the constitutionality of section 22.011(b)(11). See 
    Lykos, 330 S.W.3d at 908
    –09 (to prevail on facial challenge, appellant must show statute
    always operates unconstitutionally, in all possible circumstances); 
    Rodriguez, 93 S.W.3d at 69
    (analysis of statute’s constitutionality must begin with presumption
    that statute is valid and legislature did not act arbitrarily or unreasonably in
    enacting it); State v. Rosseau, 
    398 S.W.3d 769
    , 779 (Tex. App.—San Antonio
    2011) (concluding facial challenge in motion to quash “failed to rebut the
    16
    presumption of constitutionality by proving the statute operates unconstitutionally
    in all its applications, and can never be constitutionally applied to any defendant
    charged under section 22.011 under any set of facts and circumstances”), aff’d, 
    396 S.W.3d 550
    (Tex. Crim. App. 2013); 
    Byrne, 358 S.W.3d at 752
    (holding section
    22.011(a)(2)(A) did not violate appellant’s state or federal constitutional rights).
    Accordingly, we conclude that the trial court did not err by denying Jimenez’s
    motion to quash.
    We overrule Jimenez’s third point of error.
    Jury Charge
    In his fourth and fifth points of error, Jimenez argues that the trial court
    erred by (1) submitting an unconstitutional mandatory presumption regarding lack
    of consent and (2) failing to instruct the jury on its use of presumptions, as required
    by section 2.05 of the Texas Penal Code.
    A. Standard of Review
    In analyzing a jury-charge issue, our first duty is to decide if error exists.
    Middleton v. State, 
    125 S.W.3d 450
    , 453 (Tex. Crim. App. 2003) (en banc). Only
    if we find error, do we then consider whether an objection to the charge was made
    and analyze for harm. 
    Id. If there
    was error and the appellant objected to the error
    at trial, reversal is required if the error “is calculated to injure the rights of the
    defendant,” which has been defined to mean there is “some harm.” Almanza v.
    17
    State, 
    686 S.W.2d 157
    , 171 (Tex. Crim. App. 1985) (“an error which has been
    properly preserved by objection will call for reversal as long as the error is not
    harmless”). We “examine the relevant portions of the entire record to determine
    whether appellant suffered any actual harm as a result of the error.” Airline v.
    State, 
    721 S.W.2d 348
    , 352 (Tex. Crim. App. 1986) (en banc). We must reverse if
    we find “some actual, rather than merely theoretical, harm from the error.” Dickey
    v. State, 
    22 S.W.3d 490
    , 492 (Tex. Crim. App. 1999). It is more likely to find
    “some harm” when the error “go[es] to the central issue in the case.” See Allen v.
    State, 
    253 S.W.3d 260
    , 267 (Tex. Crim. App. 2008).
    B. Applicable Law
    “Presumptions and inferences are evidentiary devices and in criminal law
    parlance they are said to be either mandatory or permissive.” Willis v. State, 
    790 S.W.2d 307
    , 309 (Tex. Crim. App. 1990) (en banc). There are two types of
    mandatory presumptions: one requiring the fact finder to find an elemental fact
    upon proof of particular predicate facts and not allowing the trier of fact to find
    otherwise—a “conclusive presumption”—and one requiring the accused to
    disprove the elemental fact once the predicate fact has been established—a
    “rebuttable presumption.” 
    Id. By contrast,
    “[a] permissive presumption permits, but does not require, the
    fact finder to find a presumed fact upon proof of the predicate fact.” Garrett v.
    18
    State, 
    159 S.W.3d 717
    , 720 (Tex. App.—Fort Worth 2005), aff’d, 
    220 S.W.3d 926
    (Tex. Crim. App. 2007). A permissive presumption is not unconstitutional because
    it “allows, but does not require, the trier of fact to infer the elemental fact or
    ultimate fact from the predicate evidentiary fact or facts.” Tottenham v. State, 
    285 S.W.3d 19
    , 31 (Tex. App.—Houston [1st Dist.] 2009, pet. ref’d) (quoting 
    Garrett, 220 S.W.3d at 931
    n.5).
    Unless the trial court includes an instruction pursuant to section 2.05 of the
    Texas Penal Code in the jury charge, it is error to submit mandatory presumptions.
    See 
    id. Section 2.05(a)(2)
    provides:
    (2) if the existence of the presumed fact is submitted to the jury, the
    court shall charge the jury, in terms of the presumption and the
    specific element to which it applies, as follows:
    (A)that the facts giving rise to the presumption must be proven
    beyond a reasonable doubt;
    (B)that if such facts are proven beyond a reasonable doubt the jury
    may find that the element of the offense sought to be presumed
    exists, but it is not bound to so find;
    (C)that even though the jury may find the existence of such element,
    the state must prove beyond a reasonable doubt each of the other
    elements of the offense charged; and
    (D)if the jury has a reasonable doubt as to the existence of a fact or
    facts giving rise to the presumption, the presumption fails and the
    jury shall not consider the presumption for any purpose.
    TEX. PENAL CODE ANN. § 2.05(a)(2) (West 2011). As long as section 2.05 is
    incorporated into a jury charge that contains a presumption, the presumption will
    19
    be deemed a permissive one. 
    Tottenham, 285 S.W.3d at 31
    . Thus, a section 2.05
    instruction converts a mandatory presumption into a permissive presumption. 
    Id. Without a
    section 2.05 instruction, general language instructing the jury that
    it must find the defendant guilty beyond a reasonable doubt to convict and that the
    prosecution has the duty of proving each element beyond a reasonable doubt does
    not remedy a mandatory presumption. See 
    Garrett, 159 S.W.3d at 721
    (concluding
    charge omitted section 2.05 instruction where charge “instruct[ed] the jury that the
    prosecution ha[d] the duty of proving each and every element of the offense
    charged beyond a reasonable doubt,” “failure to do so require[d] acquittal,” and
    that the jury must find the knowledge element to convict); Neely v. State, 
    193 S.W.3d 685
    , 687 (Tex. App.—Waco 2006, no pet.) (holding general instructions
    regarding the presumption of innocence and burden of proof did not remedy
    omission of section 2.05 instruction). However, the State’s closing argument may
    convert a mandatory presumption into a permissive presumption if it “inform[s] the
    jury that the presumption could, in some circumstances, not apply.” 
    Tottenham, 285 S.W.3d at 31
    .
    C. Analysis
    1. The trial court erred by failing to provide a section 2.05 instruction.
    Jimenez contends that section 22.011(b)(11) is a mandatory presumption
    because it “reliev[es] the State of the burden of proving every element of the
    20
    offense, including lack of consent, beyond a reasonable doubt.”           The State
    contends that section 22.011(b)(11) is not a mandatory presumption because it “did
    not relieve the State’s burden of proof.”
    Section 22.011(b)(11) states that an assault is “without consent” if “the actor is
    an employee of a facility where the other person is a resident, unless the employee
    and resident are formally or informally married.”          TEX. PENAL CODE ANN.
    § 22.011(b)(11).
    Here, the charge stated that
    if you find from the evidence beyond a reasonable doubt that on or
    about the 5th day of January, 2010, in Harris County, Texas, the
    defendant, Tomas Jimenez, did then and there unlawfully,
    intentionally or knowingly cause the penetration of the mouth of
    [complainant], a person at least sixty-five years of age with the sexual
    organ of the defendant, without [complainant’s] consent, namely the
    defendant was an employee of a nursing home, namely Seven Acres,
    where [complainant] was a resident, and [complainant] and defendant
    were not married to each other . . . then you will find the defendant
    guilty of aggravated sexual assault, as charged in the indictment.
    In the same paragraph, the charge instructed that the jury would have to
    “find from the evidence beyond a reasonable doubt” that Jimenez was an employee
    of a facility where the complainant was a resident and Jimenez and the
    complainant were not married. See 
    id. Elsewhere the
    charge instructed the jury
    that “the prosecution has the burden of proving the defendant guilty and it must do
    so by proving each and every element of the offense charged beyond a reasonable
    doubt and if it fails to do so, you must acquit the defendant.”
    21
    Although the charge did not use the word “presumption” or “presume,” the
    charge required the jury to find the assault was “without consent” if it found two
    predicate facts: (1) that Jimenez was an employee of a facility where the
    complainant was a resident and (2) Jimenez and the complainant were not married.
    The trial court thus submitted a mandatory presumption and erred in failing to also
    submit a section 2.05 instruction along with it. See 
    Neely, 193 S.W.3d at 687
    ;
    
    Garrett, 159 S.W.3d at 720
    –21.
    2. Omission of the section 2.05 instruction was harmless.
    When inquiring whether a mandatory presumption caused harm where the
    error was preserved, “the relevant inquiry is ‘whether the evidence was so
    dispositive of [the element at issue] that a reviewing court can say beyond a
    reasonable doubt that the jury would have found it unnecessary to rely on the
    presumption.’” Alexander v. State, 
    757 S.W.2d 95
    , 100 (Tex. App.—Dallas 1988,
    pet. ref’d) (quoting Rose v. Clark, 
    478 U.S. 570
    , 583, 
    106 S. Ct. 3101
    , 3109
    (1986)).
    We note, first, that whether the assault was “without consent” was not a
    central issue in the case. Jimenez’s defensive theory at trial was not that the
    assault was consensual but, rather, that the assault did not occur.      Jimenez’s
    counsel argued for acquittal on the basis that the State had not offered physical
    evidence to corroborate Ekome’s testimony, Ekome’s testimony was unreliable,
    22
    and Jimenez did not exhibit consciousness of guilt. Thus, the central issue was
    whether Jimenez actually penetrated the complainant’s mouth with his penis.
    Second, although the trial court erred in giving section 21.011(b)(11)’s
    definition of “without consent” without an accompanying section 2.05 instruction,
    the charge included two other definitions of “without consent”:
    (1) the Defendant knew that as a result of mental disease and defect
    that the Complainant was, at the time of the sexual assault,
    incapable of appraising the nature of the act and of resisting the
    act;
    (2) the Complainant had not consented and the Defendant knew the
    Complainant was unaware that the sexual assault was occurring.
    We are persuaded beyond a reasonable doubt that the jury would have found
    it unnecessary to rely on the section 21.011(b)(11) presumption in light of the
    strong evidence supporting a finding of lack of consent under the first of these two
    alternative definitions. See 
    Rose, 478 U.S. at 583
    , 106 S.Ct. at 3109; 
    Alexander, 757 S.W.2d at 100
    .
    Seven Acres’ medical director testified that “[w]hen [the complainant] came
    into Seven Acres she had [a] level of dementia which was moderate at that time.
    She could not handle her own affairs at that time. She did not have the cognitive
    or the capacity really to make any decisions.” The medical director also testified
    that at the time of the assault, the complainant was incapable of appraising the
    nature of acts “because by then her dementia had progressed to more of a severe
    23
    state.” There was also evidence that Jimenez knew the complainant had severe
    Alzheimer’s dementia. Jimenez worked at the facility for approximately three
    years before the assault.    The medical director testified that the complainant
    resided on the secured Alzheimer’s unit and Jimenez’s supervisor testified that
    because Jimenez was assigned to that floor, he had received special training about
    Alzheimer’s patients. The record also reflects Jimenez’s written and initialed
    acknowledgment that he reviewed and understood Seven Acres’ policies, including
    residents’ rights.
    The State argued each definition of “without consent” to the jury in closing.
    The State argued it proved the mental disease definition
    because her treating physician [told the jury that the complainant] had
    cognitive impairment, that she stayed on the dementia unit, a secured
    floor, because they had to protect the residents. How do we know that
    the defendant knew she had a mental disease or defect? Because he
    took training. We heard about the training and the orientation that he
    had to go through [and] the documents that he signed as an employee.
    We learned that he worked exclusively on the second floor. He only
    worked with the dementia and Alzheimer’s patients. He had to sign
    an agreement as to what that meant. [The complainant’s treating
    physician] told us that [the complainant] was incapable of appraising
    the nature of the act. That’s enough.
    Having examined the record as a whole, we conclude the trial court’s error
    in failing to submit the 2.05 instruction does not warrant reversal. See Marioneaux
    v. State, No. 03-99-00515-CR, 
    2000 WL 1028101
    , at *3 (Tex. App.—Austin July
    27, 2000, pet. ref’d) (not designated for publication) (overruling appellant’s section
    24
    2.05 challenge on the basis that “presumption instruction did not contribute to the
    verdict” where conflicting evidence did not concern presumption and jury’s
    decision on conflicting evidence was independent of presumption); cf. Brewer v.
    State, No. 08-00-00424-CR, 
    2002 WL 266816
    , at *5–6 (Tex. App.—El Paso Feb.
    26, 2002, pet. ref’d) (not designated for publication) (holding trial court’s omission
    of section 2.05 instruction caused some harm where trial court submitted
    presumption regarding knowledge that victim was a peace officer and appellant’s
    defense was that he did not perceive he was shooting at police officers).
    We overrule Jimenez’s fourth and fifth points of error.
    Conclusion
    We affirm the trial court’s judgment.
    Rebeca Huddle
    Justice
    Panel consists of Chief Justice Radack and Justices Bland and Huddle.
    Publish. TEX. R. APP. P. 47.2(b).
    25