# in Re Patti J. Wagner, as Guardian of Jenny Wagner, an Incapacitated Adult

> Texas Court of Appeals, 1st District (Houston) · September 8, 2015

URL: https://www.frixlaw.com/law-library/cases/4068071

## Case

- **Court:** Texas Court of Appeals, 1st District (Houston)
- **Decided:** September 8, 2015
- **Precedential status:** Published
- **Opinion:** Opinion
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

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## Opinion text

ACCEPTED
01-15-00774-CV
FIRST COURT OF APPEALS
HOUSTON, TEXAS
9/8/2015 6:53:36 PM
CHRISTOPHER PRINE
CLERK

No. __________________

FILED IN
IN THE FIRST COURT OF APPEALS 1st COURT OF APPEALS
HOUSTON, TEXAS
HOUSTON, TEXAS
9/8/2015 6:53:36 PM
CHRISTOPHER A. PRINE
Clerk
IN RE PATTI J. WAGNER, AS GUARDIAN OF JENNY WAGNER,
AN INCAPACITATED ADULT,
Relator.

Original Proceeding from the 269th District Court,
Harris County, Texas, Trial Court Cause No. 2009-40925
Honorable Dan Hinde, Presiding

RELATOR’S RECORD IN SUPPORT OF
PETITION FOR WRIT OF MANDAMUS
VOLUME III OF III

TERRY & THWEATT, P.C. BECK REDDEN LLP
L. Lee Thweatt Russell S. Post
State Bar No. 24008160 State Bar No. 00797258
lthweatt@terrythweatt.com rpost@beckredden.com
Joseph D. Terry Constance H. Pfeiffer
State Bar No. 24013618 State Bar No. 24046627
jterry@terrythweatt.com cpfeiffer@beckredden.com
One Greenway Plaza, Suite 100 William R. Peterson
Houston, TX 77046-0102 State Bar No. 24065901
(713) 600-4710 wpeterson@beckredden.com
(713) 600-4706 (Fax) Parth S. Gejji
State Bar No. 24087575
pgejji@beckredden.com
1221 McKinney, Suite 4500
Houston, TX 77010
(713) 951-3700
(713) 951-3720 (Fax)

COUNSEL FOR RELATOR
INDEX TO RELATOR’S MANDAMUS RECORD

Page

Volume I

Plaintiffs’ Second Amended Petition (April 25, 2011) ...................................000001

Order Granting Leave to File Third Party Action (August 19, 2011) .............000010

Defendants’ Combined Third Amended Answer (October 5, 2011)...............000011

Second Amended Plea in Intervention (October 12, 2011) .............................000020

Defendants’ Motion for Leave to File Third Amended Answer & First
Amended Answer to Plea in Intervention, and Response to Plaintiff &
Intervenor’s Joint Motion to Strike (October 17, 2011) ..................................000029

Order Granting Leave to File Pleading Signed (October 17, 2011) ................000046

Plaintiff and Intervenor’s Joint Motion for Entry of Final Judgment
(November 18, 2011) .......................................................................................000047

Response to Plaintiff and Intervenor’s Joint Motion for Entry of Final
Judgment (December 13, 2011) .......................................................................000079

Plaintiff’s Brief in Support of Motion for Judgment (December 15, 2011) ....000096

Volume II

Intervenor’s Brief in Support of Motion for Judgment Based Upon
Jury Award (January 10, 2012) ........................................................................000148

Defendants’ Response to Plaintiff Wagner’s Brief in Support of
Motion for Judgment (January 11, 2012) ........................................................000169

Final Judgment (January 13, 2012)..................................................................000249

Motion for Judgment Notwithstanding the Verdict or In the
Alternative, Motion for New Trial (February 13, 2012) .................................000252
Volume III

Supplement to Defendants’ Motion for Judgment Notwithstanding the
Verdict Or, In the Alternative, Motion for New Trial (March 5, 2012) ..........000297

Intervenor’s Response to Defendants’ Motion for Judgment
Notwithstanding the Verdict Or, In the Alternative, Motion for New
Trial (March 6, 2012) .......................................................................................000312

Plaintiff’s Response to Defendants’ Motion for JNOV, New Trial and
To Modify, Correct or Reform the Judgment (March 7, 2012) .......................000322

Intervenor’s Brief on Defendant’s Challenge to the Factual
Sufficiency of the Jury Verdict that Esperanza Arzola Was Not
Negligent (March 16, 2012) .............................................................................000410

Plaintiff’s Brief on Jury’s Failure to Find Negligence in Question 1
(March 16, 2012)..............................................................................................000419

Defendants’ Brief on Jury’s Failure to Find Negligence on Esperanza
Arzola (March 23, 2012)..................................................................................000471

Order Setting Aside Final Judgment (March 27, 2012) ..................................000480

Motion for Reconsideration of Order Granting New Trial (April 10,
2012) ................................................................................................................000481

Defendants’ Response to Plaintiff’s Motion for Reconsideration of
Order Granting New Trial (May 1, 2012)........................................................000497

Reply in Support of Motion for Reconsideration of Order Granting
New Trial (May 3, 2012) .................................................................................000507

Order Denying Plaintiffs’ Motion for Reconsideration of Order
Granting New Trial (May 4, 2012) ..................................................................000515

Order Denying Motion to Dismiss (August 23, 2012) ....................................000516

Notice of Appeal of Anthonia Uduma (August 24, 2012)...............................000517
ii
Mandate ............................................................................................................000520

Hearing transcript of Pretrial Motions, Voir Dire, Statement of Facts
from October 17, 2011......................................................................................000522

Hearing transcript of Jury Trial from October 18, 2011 ..................................000875

Hearing transcript of Jury Trial from October 19, 2011 ..................................001195

Hearing transcript of Motion for Entry of Judgment from
January 13, 2012 ............................................................................................0001417

Verification

Respectfully submitted,

BECK REDDEN LLP

By: /s/ Russell S. Post
Russell S. Post
State Bar No. 00797258
rpost@beckredden.com
Constance H. Pfeiffer
State Bar No. 24046627
cpfeiffer@beckredden.com
William R. Peterson
State Bar No. 24065901
wpeterson@beckredden.com
Parth S. Gejji
State Bar No. 24087575
pgejji@beckredden.com
1221 McKinney, Suite 4500
Houston, TX 77010
(713) 951-3700
(713) 951-3720 (Fax)

TERRY & THWEATT, P.C.
L. Lee Thweatt
State Bar No. 24008160
iii
lthweatt@terrythweatt.com
Joseph D. Terry
State Bar No. 24013618
jterry@terrythweatt.com
One Greenway Plaza, Suite 100
Houston, TX 77046-0102
(713) 600-4710
(713) 600-4706 (Fax)

Counsel for Relator

iv
CERTIFICATE OF SERVICE
I hereby certify that on September 8, 2015, a true and correct copy of the
above and foregoing Relator’s Record in Support of Petition for Writ of
Mandamus was forwarded to all counsel of record by the Electronic Filing Service
Provider, if registered, otherwise by email, as follows:

Jim Plummer Michael D. Hudgins
Amar Raval Nicole James Petrelli
PLUMMER & KUYKENDALL THE HUDGINS LAW FIRM, P.C.
4203 Montrose Blvd., Suite 270 24 Greenway Plaza, Suite 2000
Houston, TX 77006 Houston, TX 77046
jplummer@plummerlawyers.com mhudgins@hudgins-law.com
araval@plummerlawyers.com npetrelli@hudgins-law.com
Counsel for Real Parties in Interest Counsel for Real Parties in Interest

/s/ Russell S. Post
Russell S. Post

v
NO. 2009-40925

PATTI J. WAGNER, AS GUARDIAN § IN THE DISTRICT COURT
OF JENNI WAGNER, AN §
INCAPACITATED ADULT, §
Plaintiff, §
§
v. § HARRIS COUNTY, T E X A S
§
FOUR J'S COMMUNITY LIVING §
CENTER, INC., ANTHONIA UDUMA, §
AND GODFREY UDUMA, §
Defendants. § 269TH JUDICIAL DISTRICT

SUPPLEMENT TO DEFENDANTS' MOTION FOR JUDGMENT
NOTWITHSTANDING THE VERDICT OR,
IN THE ALTERNATIVE. MOTION FOR NEW TRIAL

TO THE HONORABLE JUDGE OF SAID COURT:

Defendants, Four J's Community Living Center, I c. and Anthonia Uduma,

supplement their Motion for Judgment Notwithstanding the Verdict or, In the Alternative,

Motion for New Trial, as follows:

Defendants supplement their Motion for Judgment Notwithstanding the Verdict or,

In the Alternative, Motion for New Trial with the attached evidence:

1. Revised affidavit of Ms. Debra Little Smith;

2. Affidavit of Ms. Marianne Reat, Custodian of Records for Texas
Department of Aging and Disability Services, with attached Contract
#001007724.

Supplement to Motion for Judgment Notwithstanding
the Verdict or, In the Alternative, Motion for New Trial 1

000297
Respectfully submitted,

PLUMMER & KUYKENDALL

James C. Plummer
Texas Bar No. 16075700
4203 Montrose Boulevard, Suite 270
Houston, Texas 77006
Telephone 713 .522.2887
Facsimile 713 .522.3605

THE HOLMAN LAW FIRM, P .C.

sfDavid W. Holman
David W. Holman
Texas Bar No. 09902500
24 Greenway Plaza, Suite 2000
Houston, Texas 77046
Telephone 713 .400.4840
Facsimile 713.400.4841

Attorneys for Defendants

Supplement to Motion for Judgment Notwithstanding
the Verdict or, In the Alternative, Motion for New Trial 2

000298
CERTIFICATE OF SERVICE

I hereby certify that on March 5, 2012:

This document was filed via Texas.gov electronic filing system, and the required
number of copies was forwarded to the Court by regular mail or express mail.

This document was forwarded to the following via Texas.gov electronic filing system
and/or electronic mail:

Attorneys for Plaintiff
Mr. L. Lee Thweatt Mr. Russell S. Post
Mr. Joseph D. Terry Ms. Constance H. Pfeiffer
TERRY & THWEATT, P.C. BECK, REDDEN & SECREST, LLP
One Greenway Plaza, Suite 100 1221 McKinney, Suite 4500
Houston, Texas 77046 Houston, Texas 77010-2010
Telephone 713.600.4710 Telephone 713.951.3700
Facsimile 713.600.4706 Facsimile 713.951.3720

Attorneys for Intervenor
Mr. Shelton Sparks
Ms. Tiffany Harvey
SHELTON SP ARKS & ASSOCIATES
706 Cordell Street
Houston, Texas 77009
Telephone 713.862.5533 Facsimile 713.862.4913

s/David W. Holman
David W. Holman

Supplement to Motion for Judgment Notwithstanding
the Verdict or, In the Alternative, Motion for New Trial 3

000299
APPENDIX

Tab Document

A Affidavit of Debra Little Smith (revised)

B Affidavit of Ms. Marianne Reat, Custodian of Records for Texas
Department of Aging and Disability Services, with attached Contract
#001007724

Supplement to Motion for Judgment Notwithstanding
the Verdict or, In the Alternative, Motion for New Trial 4

000300
A

Affidavit of Debra Little Smith (revised)

000301
.......\~'''
•~, ;JEXAS
~~Department of Aging COMMISSIONER

~"" and Disability S.ervices Chris Traylor

STATE OF TEXAS §
COUNTY OF TRAVIS §

Before me, the undersigned authority, on this day appeared Debra Little Smith, who being by me
duly sworn, deposed as follows:

1. ''My name is Debra little Smith. I am of sound mind and capable of making this
affidavit. I have personal knowledge of th~ facts stated herein and they are true
and correct.

2. I am the Manager for Waive.r Survey and Certification, which is a unit within
Regulatory Services at the Texas Department of Aging and Disability Services.
My job duties include managing tbe unit that certifies Home and Community-
based Services (HCS) and Texas Horne Living (TxHmL) contracts. RCS and
TxHmL are home aud community-based services waiver programs for persons
with intellectual or developmental disabilities adopted in accordance with Section
1915(c) of the federal Social Security Act.

3. Pursuant to my authority, I have investigated the status of Four J's Community
Living Ce.nter, Inc. Contract # 001007724 to determine its certification history.
This is the HCS contract that serves waiver contract area #5, which inelude·s
Harris County.

4. From that investigation, I found that this Four J's HCS contract has been certified
continuously by the State of Texas since the contract was issued on March 12,
2004. This means this Four J's HCS contra.ct was certified by the State of Texas
on September 4, 2008, and this HCS contract is certified by the State of Texas
today.

Notary without Bond

SWORN TO AND SUBSCRIBED before me on this the / ~ay o.f ~' 2012.

~~
T~
Notary Public, State of .
. '·
70l"W. 51stSt. * P.O. Box 149030 *Austin, Texas 78714-9030 * (512)438-3011 * www.dads,slil.te.i:ic.us
An Equ.?I Opporiunity EmplO'!f!t and Provider
000302
B

Affidavit of Ms. Marianne Reat,
Custodian of Records for Texas Department of Aging
and Disability Services,
with attached Contract #001007724

000303
STATE OF TEXAS §
§ DOCUMENT CERTIFICATION
COUNTY OF TRAVIS §

Before me, the undersigned authority, en this day appeared Marianne Reat, who being by me duly
.sworn, deposed as follows:

'"My name is Marianne Real. I am of sound mind, capable of making this affidavit, and personally
.acquainted with the 'facts herein stated. I am the Managing Attorney, Litigation Services Unit, Leg·a1
Services S~ctiqn for the Texas Department of Aging and Disability Services (DADS). The
:Commissioner of the Texas Department of Aging and Disability Services has delegated to me the
authority to serve as custodian of the documents referred to herein below for the Texas Department
of Aging and Disability Services.

Pursuant to this authority, I have attached hereto a true and correct copy of I pages:

Contract Records for
Four J's Community Living Centers, Inc.
Contract# 001007124

The Texas Department of Aging and Disability Ser\iices keeps the at'tached records in the regular
course of business. It was fn the regular course of business for an employee or representative of
the Texas Department of Aging and Disability Services or its predecessor agency, with knowledge of
the act or event, to make the record or to transmit information thereof to be.included in sucn re.cord,
and the record was made at or near the. time or reasonably soon thereafter; or, in the case of
documentation given to DADS by another entity; It was in the regular course of business for an
employee or representative ·of the Texas Department of Aging and Disability Serviees or its
predecessor agency to receive the. r~cord .and place it In files of the. Department. The attached
re·cords are exact dt1plicates of the originaJ, except where information may have been deleted or
redacted pursuant to -the requirements of law."
.
~!/}1tU1 d.~·/1--vv.~-~ i
( /..!l_tl-f.
Marianne Reat
Custodian of Records

SWORN TO ANO SUBSCRIBED before me on this the .2nd day of February, 2012.

LAURA MULL
Nota.ry Public, State of Texas
~otary Public
STATE Or TEXAS
Commission Exp.11·02·2014
' Notary without Bond

000304
Medicaid Provider Agreement
For The Provision Of
HCS Program Services

Component Number 86V Vendor Number 001007724
The Texas Department of Mental Health and Mental Retardation or its successor (the Department)
and Four J's Community Living Centers, Inc. (the Program Provider) hereby enter into this
.Medicaid Provider Agreement for the Provision of Horne and Community-Based Services (HCS)
Program Services (this Agreement) for the considerations set forth herein.

This Agreement is effective the 12th day of March, 2004, and will continue in force until terminated
in accordance with the tenns of this Agreement.

I.
The Department is the Texas state agency responsible for operating the HCS Program administered
under §1915(c) of the Social Security Act.

The Program Provider is provisionally certified or ce1tified by the Depaitment as a qualified HCS
Program provider to provide HCS Program services to individuals enrolled by the Depaitmentin the
HCS Program (Individuals) residing in those counties within the Department's Waiver Contract Area
5 (WCA 5) that ai·e set forth under Vendor# 001007724in the Depaitment' s Automated Enrollment
and Billing System (the counties served).

II.
The Program Ptovider agrees to:
A. Provide the following HCS Program service components, defined in Attachment A, as authorized
by each Individual's Individual Plan of Care (IPC):

1) Case Management;
2) Counseling and Therapies;
3) Nursing Care;
4) Residential Assistance;
5) Day Habilitation;
6) Supp01ted Employment;
7) Adaptive Aids;
8) Minor Home Modifications;
9) Dental Services; and
10) Respite Care;

to Individuals, up to the number set forth under Vendor# 001007724, CARE Screen# C70, in the
Department's Automated Enrollment and Billing System. These service components will be
provided in accordance with applicable state laws and rnles, including but not limited to the 25
Texas Administrative Code (I'AC) Chapters 409 and 419; applicable federal laws and regulations,
including but not limited to the Code of Federal Regulations (CfR) Title 42, Parts 440, 441, 455 and
456;

B. Provide Case Management using only one or more persons employed by, not contracting with,
the Program Provider;

C. Maintain continuous certification from the Depaitment as a qualified HCS Program provider;
2004

000305
HCS Provider Agreement
Page2 of7

D. Keep its application for participation in the HCS Program current by informing the Department
in writing of any changes to the information contained in its application, including but not limited
to, the counties served, changes in ownership or control, federal tax identification number, and
addresses, at least ten days prior to making such changes;

E. Upon request by the Department, execute, submit to the Department and comply with the
Department's computer security agreement;
"
F. Accept the cm1ent HCS reimbursement rate or the rate as it may hereafter be amended, as
payment in full for perfo1mance under this Agreement, and to make no additional charge to the
Individual, any member of the Individual's family, or any other source, including a third party payor,
except as allowed by federal and state laws, rules, regulations and the Medicaid State Plan. In
addition, the Program Provider agrees that, in accordance with 42 CFR §433.145 and Human
Resources Code §32.033, an Individual assigns to the Depaitment his or her rights to payments and
recovery from third parties;

G. Manage an Individual's personal funds at the request of the Individual. This includes
maintaining a financial account for Individuals who entrust personal funds to the Program Provider
and maintaining a separate detailed record of all deposits and expenditures for each Individual. The
Individuals' personal funds will not be commingled with the Program Provider's funds;

H. Submit claims for payment, including electronic claims, in accordance with billing guidelines
and procedures promulgated by the Department. The Program Provider certifies that infmmation
submitted regarding claims will be tlue, accurate, and complete, and that such infmmation can be
verified by source documents from which data entry is made by the Program Provider. Further, the
Program Provider understands that payment of the claim will be from federal and state funds and that
any falsification or concealment of a material fact may be prosecuted under federal and state laws;

I. Allow the Depmtment to adjust payments made to the Program Provider, without notice, for
plior overpayment or underpayment to the Program Provider, except as provided in paragraph II.J;

J. Refund to the Department any "ove1payment" (as defined in 42 CFR §433.304) to the Program
Provider. Such refund will be made within 60 days following the Program Provider's discovery of
the overpayment or the Program Provider's receipt of a notice of such discovery from the
Depmiment, whichever is sooner;

K. Cooperate with and assist the Depaitment and any state and federal agency charged with the duty
of identifying, investigating, sanctioning, or prosecuting suspected fraud and abuse;

L. Disclose information on ownership and control, information related to business transactions and
information on persons convicted of crimes in accordance with 42 CFR Part 455, Subpart B, and
provide such information on request to the Department, the Texas Department of Human Services
or its successor (TDHS), Texas Health and Human Services Commission (HHSC), the Texas
Department of Health or its successor (TDH), the Texas Depruiment of Family and Protective
Services (DFPS), the Texas Attorney General Medicaid Fraud Control Unit (AG Medicaid Fraud),
or the United States Department of Health and Human Services (USHHS);

2004

000306
HCS Provider Agreement
Page3 of7

M. Provide the following information to the Department, through the Department's Automated
Enrollment and Billing System, each calendar quarter and when the information changes:

1) The Program Provider's business address and telephone number;
2) The name of the Program Provider's chief executive officer;
3) A telephone number at which the Program Provider's chief executive officer or designated
representative can be reached during and after normal business hours; and
4) The name, if any, physical address and telephone number of all residences of Individuals in
which HCS Program services are provided and in which the Program Provider or the
residential assistance provider hold a property interest;

N. As provided by 42 CFR §431.107, keep any records necessary to disclose the extent of services
provided by the Program Provider to Individuals (including Individuals' clinical records) and, on
request, provide to the Depai1ment, HHSC, AG Medicaid Fraud, or USHHS, any such records and
any information regarding payments claimed by the Program Provider under this Agreement;

0. Provide any information, records, or copies thereof, required by this Agreement at no cost to the
state or federal authority requesting such information or records;

P. Keep all records required by paragraph II. N. of this Agreement until one of the following occurs,
whichever is the latest:

1) six years elapse from the date the records were created;
2) any audit exception or litigation involving the records is resolved; or
3) for records concerning an individual under 18 years of age, the individual becomes 21
years of age.

Q. Allow representatives of the Department, or the local mental retm·dation authority as its designee,
HHSC, TDHS, TDH, DFPS, AG Medicaid Fraud, and USHHS, full and free access to the Program
Provider staff, Individuals, and all locations where the Program Provider delivers HCS Program
services;

R. Allow the AG Medicaid Fraud and HHSC to conduct interviews of the Program Provider's
employees; subcontractors and their employees, witnesses, and Individuals without the Program
Provider's representative or the Program Provider's legal counsel present unless the person
voluntarily requests that the representative be present. The Program Provider's employees,
subcontractors and their employees, witnesses, and Individuals must not be coerced by the Program
Provider or the Program Provider's representative to accept representation by the Program Provider
and the Program Provider agrees that no retaliation will occur against a person who denies the
Program Provider's offer of representation. Nothing in this Agreement limits a person's right to
counsel of his or her choice. Requests for interviews are to be complied within the form and manner
requested. The Program Provider wiJI ensure by contract or other means that its employees and
subcontractors over whom the Program Provider has control cooperate fully in any investigation
conducted by the AG Medicaid Fraud and/at HHSC. Subcontractors are those persons or entities
who provide medical goods or services for which the Program Provider bills the Medicaid program
or who provide billing, administrative, or management services in connection with Medicaid-covered
services;

2004

000307
HCS Provider Agreement
Page 4of7

S. Comply with applicable state laws and mies, including but not limited to 25 TAC Chapters 409
and 419, and 1 TAC Chapter 355, Subchapter F; applicable federal Jaws and regulations, including
but not limited to 42 CFR Parts440, 441, 455, and 456, and 45 CFR Parts 46, 80, 84, 90, and 91;

T. Comply with the HCS Service Definitions & Billing Guidelines and any amendments thereto,
and the HCS Provider Manual and any amendments thereto, after such manual is provided to the
Program Provider;

U. Comply with the Civil Rights Act of 1964, §504 of the Rehabilitation Act of 1973, the
Immigration Reform and Control Act of 1986, and the Americans with Disabilities Act of1990;

V. Comply with the Texas Health and Safety Code, §85.113 relating to workplace and
confidentiality guideli_nes regarding AIDS and HIV;

W. Comply with Executive Order (E.O.) 11246, Equal Employment Opportunity, E.O. 11375,
Amending Executive Order No. 11246, Relating to Equal Employment Opportunity, and 41 CFR Part
60, Office ofFederal Contract Compliance Programs, Equal Employment Opportunity, Department
of Labor;

X. Comply with 42 United States Code (USC) §7401 et seq., the Clean Air Act, and 33 USC §1251
et seq., the Federal Water Pollution Control Act, and all applicable standards, orders and regulations
issued pursuant to those acts;

Y. Comply with 31 USC §1352, Limitations 011 Use of Appropriated Funds to Influence Certain
Federal Contracting and Financial Transactions, and 45 CFR Pait 93, New Restrictions 011
Lobbying. In accordance with these provisions, the Program Provider will: (a) execute and submit
to the Department, Form 2047, Ce11ification Regarding Federal Lobbying, upon execution of this
Agreement; (b) execute and file with the Deprutment, Standard Fo1m-ILL, Disclosure Regarding
Lobbying, if applicable; and (c) require compliance with 31 USC §1352 and.45 CFR Patt 93 by
participants in lower tier transactions, if applicable;

Z. Comply with 45 CFR Prut 76, Govemmemwide Debamzent and Suspension (Nonprocurement)
and Govemme1itwide Requiremellts for Dmg-Free Workplace (Grants). In accordance with these
regulations, the Program Provider will: (a) execute and submit to the Department, Form 2046,
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier
Covered Transactions upon execution of this Agreement; (b) provide written notice to the
Department if at any time the Program Provider learns that its ce1tification is e1TOneous when
submitted or has become erroneous by reason of changed circumstances; and (c) require compliance
with 45 CFR Part 76 by participants in lower tier covered transactions;

AA. Comply with the Hea1th Insurance Pmtability and Accountability Act of 1996 (HJPAA);
specifically, the Standards for Privacy of Individually Identifiable HeaJth Information, 45 CFR Parts
160 and 164, Standards for Electronic Transactions, 45 CFR Parts 160 and 162, and Secmity
Standards, 45 CFR Parts 160, 162, and 164;

BB. Comply with all HCS Policy Letters promulgated by the Department that are received by the
Program Provider after the effective date of this agreement;

CC. Notify the Deprutment in writing at least 10 days prior to declaring bankruptcy; and
2004

000308
HCS Provider Agreement
Page 5 of7

DD. Rep01t to the Department, through the Department's Automated Enrollment and Billing
System, within 30 days following the end of each calendar month, the reportable data, by type, for
that calendar month. The types of reportable data are descdbed in Attachment B.

III.
By execution of this Agreement, the Program Provider certifies and agrees:
A. That the Program Provider is cu1Tent in its payment of any required Texas franchise tax. If the
Program Provider becomes delinquent in the payment of .its Texas franchise tax during the term of
this Agreement, payment to the Program Provider may be withheld by the Comptroller of Public
Accounts until such delinquency is remedied;
B. That; under Texas Family Code §231.006, the Program Provider is not ineligible to receive the
payments specified in this Agreement (Texas Family Code §231.006 states that a child supp01t
obligor who is more than 30 days delinquenfin paying child support and a business entity in which
the obligor is a sole proprietor, prutner, shareholder, or owner with an ownership interest of at least
25% are not eligible to receive payments from state funds under a contract to provide property,
materials, or services, or receive a state-funded grant or loan.);
C. That the Program Provider has not been excluded or debmTed from participation in any state or
federal health care program, including any Title XVm (Medicare) or Title XIX (Medicaid) program,
under the provisions of §1128(a) or (b) of the Social Security Act [42 U.S.C.§1320a-7(a) or (b)) or
Executive Order 12549. The Program Provider will notify the Depaitment within 10 days of the date
it receives notice that any action is being taken against the Program Provider or any individual or
entity defined under the provisions of§ 1128(b)(8) or (15) which could result in exclusion of the
Program Provider from a Medicaid Program; and
D. That the Program Provider will provide wdtten notice to the Department if, during the te1m of
this Agreement, the Program Provider learns that any of the certifications made by the Program
Provider in this Agreement are or have become inaccurate.
IV.
The Department agrees to:
A. Pay the Program Provider, in accordance with applicable state and federal laws, rules, and
regulations, the cmTent HCS reimbursement rate or the rate as it may hereafter be amended, for HCS
Program services provided to hldividuals; and
B. Provide an administrative hearing to the Program Provider, in accordance with state and federal
laws, rules, and regulations, concerning an adverse action taken by the Department.
v.
The Department and the Program Provider mutually agree that:
A. Payment by the Department to the Program Provider under this Agreement is contingent upon
the Program Provider's maintaining certification as a qualified HCS Program provider, availability
of appropriated funds and federal financial participation, operation of the HCS Program by the
Department, and the Program Provider's compliance with the tenns of this Agreement. No payment
2004

000309
HCS Provider Agreement
Page 6 of7

will be made to the Program Provider under this Agreement for HCS Program services provided to
persons who are not eligible for or enrolled by the Depaitment in the HCS Program at the time such
services are delivered;

B. This Agreement is subject to all state and federal laws, mies, and regulations relating to fraud
and abuse in health care and the Medicaid Program;

C. This Agreement may be terminated:

1) by agreement between the Department and the Program Provider;
2) by the Program Provider upon sixty days wdtten notice to the Depruiment of the Program
Provider's intent to terminate this Agreement;
3) by the Department for reasons set forth in federal or state laws, rnles or regulations;
4) by the Department if the Program Provider fails to comply with the te1ms of this Agreement,
including but not limited to failure of the Program Provider to maintain ce1tification as a
qualified HCS Program provider;
5) by the Department or the Program Provider, subject to the equitable settlement of their
respective obligations, if federal or state laws, rules, or regulations are enacted, amended,
repealed, or judicially interpreted so as to render the fulfillment of this Agreement by either
party unfeasible or impossible and the Department and the Program Provider cannot agree
upon amendments to this Agreement necessary to comply with such changes to laws, rules
or regulations;
6) by the Department if a cettification made by the Program Provider in this Agreement is false
or becomes inaccurate; or
7) by the Depa11ment for good cause;

D. The Department will notify the Program Provider in writing if the Department decides to
terminate this Agreement. The Department will provide the Program Provider an opportunity for
a heating to appeal the Department's decision to tetminate this Agreement. If the Program Provider
makes a timely request for a heating, the Depmtment will not terminate this Agreement pending sµch
hearing. If the final determination of a heating is favorable to the Depmtment, termination of this
Agreement will be effective on the date specified in the Depatiment's notice of te1mination or as
specified in the decision of the administrative law judge;

E. If the Department decides to temtinate this Agreement, the Depmtment will withhold payments
to the Program Provider under this Agreement in accordance with Texas Human Resources Code,
§32.034, as of the date specified for such withholding in the Department's notice of termination.
If the Program Provider requests a hearing to appeal the Department's decision to tetminate this
Agreement, and the final decision of the hearing is favorable to the Department or if the Program
Provider does not request a hearing, payments withheld under this paragraph will not be made to the
Program Provider;

F. The Deprutment may place payments due to the Program Provider under this Agreement on
vendor hold for reasons set fo11h in federal or state laws, mles or regulations, or if the Program
Provider fails to comply with the tetms of this Agreement;

G. Nothing in this Agreement will be constrned to require the Department to enter into a new
agreement with the Program Provider, or to renew or extend this Agreement;

2004

000310
HCS Provider Agreement
Page7 of7

H. If the Department amends·the HCS Service Definitions & Billing Guidelines, the RCS Bitling
and Payment Review Protocol or the HCS Provider Manual, it will notify the Program Provider of
such amendments. The Program Provider will ucknowledge the receipt of such amendments t>y
executing and submitting the fonn provided by the Department by certified mail to the address
indicated on sucb fonn. The Department may place payments due to the Program Provider under
this Agreement on v.endor hold as provided in paragraph V.F. of this Agreement if the Program
Provider fails to ex~ute and submit such fonn within twenty (20) days of the date of the notice;

I. Assignment by the Program Proviaer of this Agreement must be in accordance with 25 TAC
§419.710;

J. In the event any provision o.f this Agreement becomes unenforceable or void, such will not
invalidate any other provision of 1his Agreement;

K. The venue for miy cause of action initiated by the Department or the Program Provider related
to this Agreement will be Trnvis County,_Texas; and

L. Any notice, f;t.C:knowlec1gment, or disclosure required to be given to the Department by the
Ptogram Provider under this Agreement will be delivered in person or by certified mail, retum
-receipt requested, to the following person and address:

Associate Director for Vendor Operations, Medicaid Administration
Texas Department of Mental Health and Mental Retardation
P.O. Box 12668
Austin, Tex.as 78711-2668

Any ·notice 1·equired to be given to the Program Provider by the Department ~nder this Agreement
will be in writing, ta, the most current b1,1siness address provided by the Program Provider on its
-application for participation in the HCS Program and, except the notice .referenced in p,aragraph
V.H., delivered in person. or by certified mail, return receipt requested;

TEXAS DEPARTMENT OF MENTAL
HEALTHANDMENTALRE A1l

b, &if
(Date) (Authorize ignature) (Date)
•nal goals, and needs necessary to allow Esperanm to continue to reside in
the community and prevent her rc-institutionull~tion .

ENROLLMENT lNFQBMATION
Esperanza was enrolled in Four J's Communlly Living Centers Jnc. Home and
Community Based Services program on Aueust 8, 2005 from Corpus Christi Stare
School. Espcro.n:m is not adjudicated incompetent by the court ~cm, 1111d tbcrcforc, is-
her own legaJ guardian. Esperama's Righls of the Individual were reviewed with her at
the time of her enrollment and address 3gofo during this stnffing.

Esperan?.a and her slate school IDT arranged for Esperanza to visit numerous HCS
programs and she c;hosc Four J's Commwlity Living Ccntc.rs, lnc. 10 provide her HCS
service!. £.5peron:z.a•s choice of residence MFalimcssed. She requested a 4-bed HCS

------
residence. Her preference was for a four-bedroom, two-bothroom home in a resid~n1ial
neighborhood and the 8354 S. Meadow Bird Circle Drive home was ch~cn. The

~ PLAiNTJFF'S
: EXHIBIT
l &f tj

000438
NAME: Esperanza Arwla
PAGE2
Individual Service Plan CASE NUMBER: 140

neighborhood offers access to community facilities such as the grocery store, post office,
restaurants, recreation and shopping.

BACKGROUND INFORMATION
According to previous reports, Esperanza was born at home in Durango, Mexico with an
attending midwife. The pregnancy was normal with no exposure to tobacco; alcohol or
any other drugs. Birth was full term, labor and delivery was also normal. The breathing
was spontaneous and the birth weight not recorded.

No neonatal problems were noted. Developmental milestones were met at the following
times: Esperanza crawled at eight months, spoke her first words as eighteen months,
walked at two years ofage and was toilet trained at two and a half years of age. Mental
retardation was first noted at the age nine as a result of a testing at school. At that time,
she was assessed and placed in special education classes due to the handicapping
condition of mental retardation. It is reported that Esperanza would fight with other
children because she had difficulty understanding them. When Esperanza transferred to
Middle School, she had irregular attendance and then stop going to school. While at
Richmond State School, Esperanza was enrolled in Lamar Consolidated School District
and attended classes there for four hours per day.

The history obtained from Richmond State School reveals that at age 12, Esperanza was
admitted to the hospital overnight for sexual abuse~ No further details of this incident
were available nor the perpetrator ofthe abuse situation identified. Esperanza stated· that
she began drinking beer at age 14 and indicates that she has had experience with tobacco,
cocaine and other substances. Esperanza stated she has had multiple sexual partners.
Records also indicatethatshehashad several sexually transmitted diseases ill the past
and possibly has traded sexual favors for drugs.

She is the third of seven children born to Margarita Arzola and Jose del la Luz Arzola.
Mrs. Arzola worked as a housekeeper and Mr. Arzola worked as a construction worker,
Her siblings are as follow: Felipe, Ernesto, Norma, Maricruz, Leobardo, and Pedro
Arzola. Four of her siblings were placed in foster care. One family has adopted the two
sisters and the two brothers by another family/ Esperanza's parents moved to Dallas from
Mexico in 1992. (Family may still be residing in Dallas or may have returned to
Mexico.) Records indicate that Esperanza was emotionally, physically, and sexually
abused by both biological parents to the extent of their parental rights being terminated in
November of J998. Esperanza accused her father of sexually abusing her on several
occasions and Esperanza has no desire to resume relationship with her father. Records
from TDPRS also indicated that Esperanza's mother, Margarita Arzola, may have
prostituted Esperanza in the past, or at least, failed to protect her from engaging in risky
sexual behaviors. Records from TDPRS indicated that they first became aware of a
neglectful situation involving the Arzola children in 1993 following a report by a
neighbor. According to the reports, Mrs. Arzola was aware that her husband was
sexually abusing the children, but continuq4Jp. Y~i with him. At Esperimza' s previous
placement, Richmond State School, they a'ffoweaperiodic phone contact between her and
her parents, in spite of the requested restriction from the LAR, Dallas County Child

000439
NAME: Esperanza Ar.wla PAGE3
Individual Service Plan CASE NUMBER: 140

Protective Services. As a result, Esperanza exhibited sever bouts of self~abuse and
depression. Reportedly, the parents would verbally assault Esperdflza, blaming her for
their termination of parental rights and for the scrutiny of law enforcement into their
home. In addition, her parents facilitated an unauthorized departure from Richmond,
where they picked her up and took her back to the Dallas area. It was at this time when
Esperanza became infected with herpes as a result of the sexual activitybetween her and
her father. Esperanza reportedly was hospitalized in DeSoto, Texas in 1995 to treat
sexual abuse. She had multiple contacts with Dallas Juvenile Justice Department for
running away, evading arrest, and manifestation of prostitution, probation violation, and
assault. She has a long history of multiple placements:
• Letot Center 9/12-9/17/97
• YMCA Casa Del Los Amigos Shelter, eloping after three weeks placement
• Returned to Letot Center
• Buckner Center in Dallas 10/97, eloping after two or three weeks
• Haven Residential Treatment Center until 11/4/97
• Kaufman County (Texas)Children's Emergency Shelter for ten days
• East Texas Open Door (Marshall, Texas) tintil 4/17/98
• WiUoughly Juvenile Center in Marshall
• Dallas County Juvenile Detention Center witil 7/13/98
• Richmond (Texas) State School 7/13/98-7/11/00
• Corpus Christi (Texas) State School l l/12/0J..,8/8/05 (placed at San Antonio [Texas]
State Hospital 9/16-10/14/04 after using scissors to attemptto stab a staff member)

DETERMINATION OF MENTAL RETARDATION
The most current psychological evaluation dated 12/01/04 indicates that Esperanza was
tested on 01108/98 utilizing the Woodcock-Munoz where she received a Broad Cognitive
Ability LSTD Score of 45. The Wechsler Intelligence Scale for Children was used on
05115198. Esperanza's scores were as follows: VIQ
of HCS and generic services. She is able to give informed consent or register complaints.
She is able to exercise her rights by receiving and opening mail and expressing her wants
and needs.

The team agrees that Esperanza is capable of being her own legal guardian and the IDT
has agreed that the Esperanza has an advocate, Luz Carver, who continues to assist
Esperanza with her decision-making. Therefore, no application for a legal guardian is
necessary at this time.

CASE MANAGEMENT
Case Management services were identified in the amount of 12 months during the
previous IPC plan year. As at 08/03/08 12 months have been utilized for coordination of
the development and implementation of Esperanza's ISP, coordination of the delivery of
her IPC, coordination and monitoring of the delivery of her waiver and generic services,
integration of various aspects of services delivered under the waiver and through other
resources, recording of her progress, maintenance of her records and arrangement of
transportation.

DISCUSSION AND DELIBERATION:
Case manager infom1ed the IDT that the 12 months allotted for case management last
year were·utilized to monitor the following objectives:

O The Case manager will monitor all services at least quarterly: Quarterly
reviews were completed on October 2, 2007, January 3, 2008, April 2, 2008
and July 2, 2008. Services reviewed included Case Management, Residential
Support Services, Nursing, Day Habilitation, Vision~ Annual Physical
Examination, Dental, Lab work, Immunization, Weight and Blood Pressure,
Psychiatry and Psychology. No significant problems were addressed during
this year. Case manager addressed the issues as they arose.

0 The Case Manager will meet face to face with Esperanza ArLola at least
monthly: The following Face to Face contacts were made this past year:
• 09/01107-At the Riverside Hospital.
• 10/1/07- At Four J activity Center.
• l 1/01/07- At Esperanza's residence.
• 12/01/07- At the Four J activity Center.
• OI/02/08-At Esperanza's residence.
• 02/01/08- At the Four J activity Center.
• 03/01/08-At Esperamsis 1~35 Berctta CT residence.
• 04/01/08- At Case Manager's office.
• 05/01108- At Esperanza's residence.

000443
NAME: Esperanza Arzola PAGE?
Individual Service Plan CASE NUMBER: 140
• 06/02/08 At the Four J activity Center.
• 07101108 At Esperanza's Residence.
• 08/01/08 At Case Manager's office

o Case Manager will coordinate/monitor non-waiver services as needed when
identified in the ISP to support a personal outcome: No non-waiver services
this quarter.

This plan year the IDT is recommending 12 months of Case Management of this IPC-
period. Case Management will be utilized to provide for coordination of the development
and implementation of Esperanw's ISP, coordination of the delivery of her IPC~
coordination and monitoring of the delivery of her waiver and generic services~
integration of various aspects of services delivered under the waiver and through other
resources, recording of her progress, maintenance of her records and arrangement of
transportation.

RECOMMENDATION:
J. Continue 12 mo!lthS of case management services for the implementatiop. of
the services identified above.
2. Complete a mlementation and inservice of staff.
• 2 Hours for attendance at II::J¥i£e\i'lfiig in order to review progress on
behavior therapy progran1, review recommendations, discuss ideas for
revisions, and discuss issues related to psychological well being.

000455
NAME: Esperanza Arzola PAGE19
Individual Service Plan CASE NUMBER: 140

DISCUSSIONS AND DELIBERATIONS=
The team reviewed the psychologist Behavior Therapy Program. The team agreed that a
Behavior Therapy Program targeting deceleration of aggression, self-injury, property
destruction, and eloping would be implemented. The recommendations were accepted .

•JUSTIFICATION FOR SERVICES:
The team agreed that 6 hours of psychology services is justified based on Es,peranza's
need for quarterly monitoring (4 hours) as well as attendance at IDT meeting in order to
review progress on the behavior therapy program, review recommendations, discuss ideas
for revisions. and discuss issues related to psychological well-being (2 hour).

DENTAL
Dental service was ordered in the am.ount of$240.00 for current lPC plan year. Through
08/1/08, $240.00 dental services have been utilized. The IDT has agreed that $300.00 of
dental service would be on the IPC this plan year.

On 10/10/07, Esperanza was seen by the. dentist Dr. Beans fordental examination and.
cleaning. On evaluation the general condition ofteeth good, condi#on of gums fair, Mild
gingivitis noted. Oral hygiene fair. Recall appointment given in 6 months.

On 04/15/08, Esperanza was seen by the Dentist Dr. Beans for dental examination and
cleaning. The general condition of teeth good, Conditions of gums fair.. Mild gingivitis
noted. Oral hygiene good. A return visit given in 6 months.

RECOMMENDATIONS:
1. Esperanza should complete a six moth dental exam/cleaning with· Dr. Bean,
dentist, by 10/08 and as needed/recommended by the dentist through 08/2009.
2. Esperanza's IPC should reflect $300 for dental.

DISCUSSION AND DELIBERATIONS:
'lne reviewed Esperanza's past dental record from Corpus Christi State School and
recommendations were accepted.

JUSTIFICATION FOR SERVICES:
The team agrees that $300.00 for dental services is justified based Esperanza's need for
dental exams and cleanings. It is routine community practice to obtain a cleaning and
exam every 6 months in order to maintain and monitor good oral hygiene. Each dental
examination and cleaning costs $150.00. Therefore two procedures will require $300.00.
Esperanza does not have any other means to cover the cost of these services other than
her personal funds. Therefore, this servic~Si~~treplace existing natural supports or
other non-program sources as these supports and source are not available.

000456
NAME: Esperanza Arzola PAGE20
Individual Service Plan CASE NUMBER: 140

ADDITIONAL ISSUES ADDRESSED BY THE INTERDISCIPLINARY TEAM
1. Is Esperanza's current legal status appropriate in that she can make informed
decisions regarding her health, safety, and welfare and express choice and
preference as it relates to her service needs? Yes. An assessment of
Esperanza's legal status was completed by the case manager on 8/1/08 and
addressed by the IDT at the annual meeting. The IDT has agreed that
Esperanza is capable of making informed deeisions regarding her health,
safety, and welfare as well as expressed her choice and preferences.
2. ls Esperanza's HCS enrollment appropriate considering her choices and needs?
Yes, Esperanza bas expressed her choice and needs and has agreed that she
should be enrolled into HCS. The IDT agrees that the HCS program can
meet Esperanza's needs as outlined in this report.
3. Is Esperanza's current residence type of Residential Support Services appropriate
considering her choices and needs? Yes, Esperanza expressed her wishes to
receive Residential Support Services in her present home to meet her needs
and outcomes. In regards to her needs,. the residential type is appropriate
with an awake staff to ensure her health, safety, and welfare as describe in
this report.
4. Were Esperanza's preferences regarding the location of the home and furnishings
in the home in which she resides promoted? Yes, Esperanza expressed her
preferences for her to continue to live in her present home with her
furnishing. She informed the team that everything regarding the residence
was tO her liking.
5. Were Esperanza's preferences regarding a housemate promoted? Yes, Esperanza
bas agreed to the current housemates living in her residence at this time.
6. Do the residence, neighborhood, and community in which Esperanza resides meet
her needs and choices and provide an environment that assures her health, safety
and welfare? Yes. Esperanza's needs arc met in her current environment.
Esperanza does not have any special needs. The IDT reviewed the
Environmental Safety Checklist completed on 6/12/08. The environment
assures her health, safety and welfare.
7, Does Esperanza require any adaptive aids at this time? No. Esperanza does not
require any adaptive aids at this time.
8. Does Esperanza require any minor home modifications at this time? No.
Esperanza does not require any minor home modifications at this time.
9. Has the Interdisciplinary Team addressed the use of ongoing community services
and resources to meet Esperanza's needs? Yes. The team has considered the
use of ongoing community services and resources to meet as many of
Esperanza's needs as possible in the same way and during the same hours as
these generic services are used by the community at large. Esperanza's
Medicaid card will be used for the purchase of her medications as needed.
Esperanza's family is not able to provide ongoing routine services to her in
place of HCS sen•ices. EsperanzarJg~-m» have any other friends, church, or
community organizations that arc abteviO contribute to meeting her waiver
needs.

000457
NA.t\1E: Esperanza Arzola PAGE21
Individual Service Plan CASE NUMBER: 140
10. Did the case manager infom1 IDT members about transfer options available, that
they have a right to transfer Esperanza Arzola to another provider at anytime?
Yes. The team reviewed and discussed with Esperanza Arzola and his JegaI
Guardian the transfer options available. Esperanza Arzola and his IDT chose
to remain with Four J's as the provider.

CONSUMER'S STRENGTHS
1. Esperanza's health is stable.
2. Esperanza has an advocate.
3. Esperanza can perform most of her self-help skills.
4. Esperanza is toilet trained.
5. Esperanza is ambulatory.
6. Esperanza is able to feed herself.
7. Espemnza can read and write.

TRAINING AND SERVICE OUTCOME
I. RESIDENTIAL ASSISTANCE 'l'R.AJNING O'{JTCOMES
A. RESIDENTIAL ASSISTANCE
GOAL #I: Daily Living Skills
OBJECTIVE #1: Esperanza will dr~ss up her bed once daily
CRITERIA; with no mor:e than 4 verbal. prompts eac.h session., 20 of 30
successful sessions per month for 3 months. The number of
promptings will. be reduced any quarter that Esperanza consistently
meets criteria until she can accomplish the task independently.

GOAL#II: Household Maintenance skills
OBJECTIVE# I: Esperanza will tidy up her bedroom.
CRITERIA: Once weekly with no more than 4 verbal prompts, 3 of 4
successful sessions per month for 3 months. The number of
promptings will be reduced at the end of any quarter that
Esperanza consistently meets criteria until she can accomplish the
task independently.

Il. DAY HABILITATION TRAINING OUTCOMES
GOAL #1: AVOIDING AND RESOLVING CONFLICTS
OBJECTIVE #1: Esperanza will ignore offensive behaviors of others, once daily
independently, 10 of 20 successful sessions per month for 3
months.

GOAL#2: EXERCISE SKILLS
OBJECTIVE # 1: Esperanza will exercise in the a.m and p.m for 30 mins once daily
with 4 verbal prompts, 10 of 20 successful sessions per month for
3 months.
DEF201

000458
NAME: Esperanza ArLola PAGE 22
Individual Service Plan CASE NUMBER: 140

TRAINING AND SERVICE OUTCOMES
III. SERVICE GOALS
GOAL #1: PHYSICAL EXAM AND LABWORK
STRATEGY: The nurse will ensure that Esperdllza obtains a physical with lab
work by 09/2008.

GOAL#2: PPD SKIN TEST
STRATEGY: The nurse will ensure that Esperanza completes a PPD skin test by
09/2008.

GOAL#3: WELL WOMAN EXAM
STRATEGY: The nurse will ensure that Esperanza completes a well woman
exam by 112009.

GOAL#4: DENTAL EXAM AND CLEANING
STRATEGY: The nurse will ensure that Esperanza completes a dental exam and
cleaning by 10/2008 and as needed/recommended by the dentist
through 08/2009.

GOAL#S: PSYCHIATRIST
STRATEGY: The nurse will ensure that Esperanza completes all follow~up visits
with the psychiatrist as needed/recommended through 08/2009.

G0AL#6: VISION EXAMINATION
STRATEGY: The nurse will ensure that Esperanza obtains an annual vision
exam by 05/2009.

GOAL#7: DEPO~PROVERA lNJECTIONS
STRATEGY: The nurse will ensure that Esperanza obtains·a Depo~Provera
injection by l 0/05 and every three months thereafter through
08/2006.

GOAL#8: SELF ADMINISTRATION OF MEDICATION ASSESSMENT
STRATEGY: The nurse will complete a Self Administration of Medication
Assessment for Esperanza by 7108.

GOAL#9: PSYCHOLOGY QUARTERLIES
STRATEGY: The psychology will complete quarterly reviews on Esperanza's
BTP to address her targeted behavior through 08/2009.

DEF202

000459
ESPERANZA ARZOLA #140- DOB 02/14/1983
DATE OF ADMISSION 08/08/05
16335 BERETTA COURT'
MISSOURI CITY, TX 77489

ESPERANZA'S DIAGNOSIS
Mild Mental Retardation, Dysthymia) Polysubstance Abuse, and Personality Disorder
wjth features of Borderline, Histrionic and Antisocial, Morbid Obesity, Seizure Oisorder,
andDeformity, right foot {calcaneal varus). Esperanza does have a history of seizure but
has not had one since December 2002.

Diet: Weight maintenance di~t with fresh fruit snack at I O.OOam.
Important things to know about
Esperanza:
1. Esperanza's health is stable.
2. Esperanzahas•an advocate.
3. Esperanza is toilettrained.
4. Esperanza is.fully ambulatory.
5. EsperaIIZa is able to feed herself.
6. Esperanza is a legally completed adult.
7. Espi:;ranza can verl?alize her wants and needs.
8. Esperanza has mild visual impainfient (20/25 bilateral visual acuity, related to
hyperopia that can be corrected with glasses).
9. Esperanza has a moderate- to- severe mixed hearing loss for the right ear and
moderate ...:.to-mild conductive hearing loss for th.e left ear.
10. Esperanza communicates in complex sentences and complies with complex
requests in English and SpaniSh.
11. Esperanza independently performs all self- care tasks (i.e. dressing, bathing,
grooming, and tooth brushing). although staff may occasionally be required to
assist her to perfonn them.
12. Esperanza is toilet trained with occasional enuresis.
13. Esperanza actively participates in training and socjal activities,
14. Esperanza frequently initiates· interactions with staff and other consumers.
15. Esperanza has limited reading and writing skills.
16. Esperanza performs simple food preparation tasks.
17. Esperanza can travel independently on a city bus.
DEF203
Likes and Dislikes~

000460
Likes.
l. Esperanza likes going to dances, parks and movies.
2. Esperanza enjoys listening to the radio.
3. Esperanza enjoys watching movies.
4. Esperanza likes conversing with peers.
5. Esperanza enjoys playing video games.
6. Esperanza likes working on the computer.
7. Esperanza likes to wear her hair short
8. Esperanza likes to wear jeans, t~shirts and shorts.
9. Esperanza enjoys sports and likes to play basketball, volleyball, and kickball.
10. Esperanza enjoys cooking and can operate stove and microwave.
11. Esperanza enjoys Mexican, Chinese and sea food.
12. Esperanza likes going out to eat.

Dislikes:
1. Esperanza dislikes being talked to disrespectfully.
2. Esperanza dislikes BBQ and oven fried chicken.
3. Esperanza dislikes having to wait for anything she requests.

Behaviors:
1. Esperanza is non~compliant most of the time.
2. Inappropriate behaviors observed were elopement; fighting with staff and
consumers, destroying property, and verbally abusing staffand peers.
3. Esperanw has a history of illicit drug use, sexual promiscuity, sexual abuse,
suicidal attempts, pica, mood swings and non compliance.
4. Esper.mza participates in a behavior therapy program targeting deceleration of
aggression, self injury, property destruction, and eloping

DEF204

000461
TABB

000462
rte 01$lA IC J CllAI hr I 2otl9 15: 21 P. 0 I

ANJJE RJ:BECCA ELLIOTT
! Dlatrfot dlerk
i &tat. of TitQ•
f
Olfnty of Fort Bend

Fa>c Number: 113.779.9759 •

Attention: DR. KAREN GAi.LAHER~INCLAJR

.I
Oate: March I, 2009 •
Number of p19H faxed lnclud~g thJa page: 8

OIVll/CRIMfNAkl~~~~
4 ; )"'2.I I.
Cause No. ... ~l
tp ;
STATe OF TEXAS v•. 9~ERANZAV.·ARZOLA
i

OTHER INFQRMA TION; :
INDICTMENT AND M~OION
. ORDER 81JOOE8TINCI INCOMPl!TENOY,
MENTAL R6TAROATI AN NSANllY AND fU!QUE8T l'OR
!XAMIN~
1
• \ .
From:
Ot,._. Olt* Ot~ HlL\.YOAvd

CBlMtJAJ..ftl TUftd I
t
Rtc:elVtd BY:-------'~------- 0.tit._ __ _ _ _ __
cpNPJDENJWJTY NOJIOE
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..

000463
FOC DISTRICT ClERK Mar S 2009 15:26 P.02

S-1:17:1 ....,;
{{f 1 1451l1D~)
TIIE STATE OF TEXAS § IN TllE DISTIUCT COURT
I
v. I 268™ JUDIClAL DISTRICT
ESPERANZA V. ARZOLA
'
•
§ FORT BEND COUNTY, TEXAS

MOTIQN SQGGE§JJN(i~O)fPE~)',M.JtNTAL R!'rABPA'fl9.tl
AN!> RiiA&TYVJ!lii REO!mSI l.QB.EXAMIN6tION
TO THE HONORABl..E JUDGE ~FSA.JD COURT2

Now comes Bspera~ v:, Al'zola 1 Defendant, Md ftles this motion suggesting

inoompotonoy, mental retardation *d Jnsanity and request ibt exam!nt\tion of Bsperanz.a V.

Arz:ola. Dofendsnt. will respect to the. issue of'thc compatenoy, mental rctardstJoD
, and insanity of
Dofondant t() stand trial herein, und $owa as follows:

1. There Js an wuc in ·~ oausc regarding whother Dcflmdant la 0 compotcnt" to

stand crial herein, as such term is ciafined by Article 46B.003 of tho Texas Code of Crtminal
Prooedute.
Il
l. Request is hereby rruide that one or more disi.n~ated experts be appointed aa

provided by Article 46B of the Texas Code of Cnminal Prooedure to examine Defendant with
.
; .
.
regard to the comtietency of Def\lndab.t to stand trial p.nd DtJfendari.i•s m6nud status and lnsanlty.

3. Request Is further made for Defendant to be examined by a psychiatrist OMlJEB FOR ASETTI!Ui
On - - - - - - - - - - • 2009, tho Dofbndant filed a Motion Susgesting

Inc¢mpctoncyJ Mental .Retardation 1d Josentty .and Request for Bxa.minatlon. The Court finds

that the party is entltl~d to a he.arm~ on this matter, and it fs THEREFORE OR.PER.ED that a.

hearing on. this motion is eet for_~;------~ at _ _ __

JUDGE PRESIDING

2
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l
I
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I
000465
rec OISTRI Cf ClCRK Mer 6 2009 lS:?9
.
.... ~­
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Q/~7/
N0.51170

THE STATE OF TEXAS § IN THE DISTRICT COURT
§
v. t l68T" JUDICIAL DISTRICT
I
ESPERANZA V. ARZOLA 0 trORT BIND COUNTY, TEXAS
ORDQ

, 2009, camo to be oonsfdored E3petwa V. As:;ola's
Motion Sussostlng Incompolouoy~ Mental
.

o\'aluetiona.

Q
UJ
-u.
..J

3

000466
fBC OISTRICT CLERK Mar 6 2009 15:29 P.05

vs.

o.o~n.t 02/14 1983 UN wo.1 00135041
ARSON INTEND DAMAGE
niQ'llY oJl,>;l\oi:i DA Jlli1J\Y NO.I 08253002
HAB:I'l'~T/P4ACE .OF WOR.SHIB / Fi
CJ\UBll NO; 6. .MW!8'r DJl'Rt 09/06/2008
Di '1'1\ZO:t' COin\~ NOi · . SD• September o~, 2008

. G. J. ·WITNijSSES I

IN T~E N~E •AND SY AUTHOR!'rY QF TtlE STA'tE OF '.rS-XAS:
i .
The dU.ly o~gani·~ec\ Or~.nd Jurfr · o.f . f:ort ~.~n~ County, T~X~e,, prtlse1:1ta in t: .e
Dia.tric·t COUl;t of For~ Bend 'C('.\Linty, T~xt'u1, that in ·Fort aenQ. co1..mty·; Texa ,
2SP.IPANZA A2Z:OLA, nerea.fter s~yled the Defena1mt, h~reto.for-~ o.n or about
S~pt~er 04, 2ooe, di.d then ~d t.here
!
~ PARAORAP~ A

start a fire with intent to de.mage or destroy a hnbitation owned or
occupied by .Ant.onia Ueci
er 04 1 . 2009 1 did th~n ~nd ther~ intentionally, know1n$ly, a
reck.leaely cause bodily injurr to JENNY WAGNER by starting a fire with \
oigarette lighter to a pJ.ece o'f. paper on· a bed i.nside a :t"esid.ence located
16,335 Beretta tt., Missouri C!ty, Texas, in wnic~ Jenny Wagner was looat \
at the time which the eaid fi~e was ignited, and. tba defendant did then a
thfl)re u.ee and exhibi.t a deadlyt weapon, to-witi f.~re and a oiga.rette l:ighte ,
that in the manner of its use (Ind intended use was capable of causing aerie a
b~dily injury or death, durin~ the commission of said assault. u::i ~- • \
; 0 • p.;
I

9 ~. l::tV1' i
=
\
\

Suite 100
Houston, TX 77046

Russell Post, Esq.
Connie Pfeiffer, Esq.
Beck, Redden & Secrest, 11..P
1221 McKinney St., Suite 4500
Houston, TX 77010

James C. Plummer

-2-

000518
'b. 5213

Local Rule Notice of and Assignment
of Related Case In Original Proceedings

As required by the Local Rules Relating to Assignment of Related
Cases to and Transfers of Related Cases between the First and Fourteenth
Courts of Appeals, I certify that the following related appeal or original
proceeding has been previously filed in either the First or Fourteenth Court of
Appeals:

X None

D Caption:

Trial court
case number:

Appellate court
case number:

[Signature of certifying attorney or prose party]

[Date]

Note: See Local Rules for the definitions of "underlying case,') "related," and
"previously filed."

000519
y

MANDATE

Court of Appeals
First District of Texas
NO. 01-12-00796-CV

ANTHONIA UDUMA, Appellant

V.
PATTI J. WAGNER, AS GUARDIAN OF JENNY WAGNER, AN INCAPACITATED
ADULT, Appellee

Appeal from the 269th District Court of Harris County. (Tr. Ct. No. 2009-40925).

TO THE 269TH DISTRICT COURT OF HARRIS COUNTY, GREETINGS:

Before this Court, on the 27th day of August 2014, the case upon appeal to revise or
to reverse your judgment was determined. This Court made its order in these words:
This case is an appeal from the interlocutory order
signed by the trial court on August 23, 2012. After submitting
the case on the appellate record and the arguments properly
raised by the parties, the Court holds that there was no
reversible error in the trial court’s order. Accordingly, the
Court affirms the trial court’s order.

The Court orders that the appellant, Anthonia Uduma,
pay all appellate costs.

000520
The Court orders that this decision be certified below
for observance.

Judgment rendered August 27, 2014.

Panel consists of Justices Jennings, Sharp, and Brown.
Opinion delivered by Justice Sharp.

WHEREFORE, WE COMMAND YOU to observe the order of our said Court in
this behalf and in all things to have it duly recognized, obeyed, and executed.

September 4, 2015
Date CHRISTOPHER A. PRINE
CLERK OF THE COURT

000521
1

1 REPORTER'S RECORD
VOLUME I
2
TRIAL COURT CAUSE NO. 2009-40925
3

4 )
PATTI J. WAGNER, as ) IN THE DISTRICT COURT
5 Guardian of JENNY ANN )
WAGNER, an Incapacitated )
6 Adult )
) OF HARRIS COUNTY, TEXAS
7 V. )
)
8 FOUR J'S COMMUNITY LIVING )
CENTER, INC., ANTHONIA )
9 UDUMA and GODFREY UDUMA ) 269TH JUDICIAL DISTRICT

10

11

12 ------------------------------

13 PRETRIAL MOTIONS, VOIR DIRE,

14 STATEMENT OF FACTS

15 ------------------------------

16

17

18

19 On the 17th day of October, 2011, the following

20 proceedings came on to be heard in the above-entitled

21 and numbered cause before the Honorable Dan Hinde, Judge

22 presiding, held in Houston, Harris County, Texas;

23 Proceedings reported by machine shorthand.

24 Annette Peltier, CSR, RPR, CLR
Deputy Official Court Reporter
25 Harris County, Texas

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000522
Volume 1
2

1 A P P E A R A N C E S

2 FOR THE PLAINTIFF, PATTI J. WAGNER, as Guardian of JENNY
ANN WAGNER, an Incapacitated Adult:
3
MR. L. LEE THWEATT
4 TBA NO. 24008160
MR. JOSEPH TERRY
5 TBA NO. 24013618
Terry & Thweatt, P.C.
6 One Greenway Plaza, Suite 100
Houston, Texas 77046
7 Phone: 713.600.4710

8
FOR THE INTERVENOR:
9
MR. SHELTON SPARKS
10 TBA NO. 06507160
Shelton Sparks & Associates
11 706 Cordell Street
Houston, Texas 77009
12 Phone: 713.862.4913

13
FOR THE DEFENDANTS:
14
MR. JAMES C. PLUMMER
15 TBA NO. 16075700
Plummer & Kuykendahl
16 4203 Montrose, Suite 270
Houston, Texas 77006
17 Phone: 713.522.3605

18

19

20

21

22

23

24

25

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000523
Volume 1
3

1 I N D E X

2 VOLUME I

3 Page Vol.

4 Announcements......................... 4 1
Pretrial Motions...................... 12 1
5 Voir Dire by the Court................ 54 1
Juror Instructions to the Panel....... 60 1
6 Voir Dire by the Plaintiff............ 67 1
Voir Dire by the Intervenor........... 88 1
7 Voir Dire by the Defendant............ 115 1
Jury Seated........................... 227 1
8 Jury Instructions..................... 231 1
Plaintiff's Opening Statement......... 242 1
9 Intervenor's Opening Statement........ 254 1
Defendant's Opening Statement......... 265 1
10
Plaintiff's Witnesses
11 PATTI WAGNER
Direct Examination by Plaintiff... 275 1
12 Direct Examination by Intervenor.. 304 1
Cross-Examination by Defendant.... 312 1
13 Redirect Examination by Plaintiff. 325 1

14 Adjournment........................... 352 1
Court Reporter's Certification........ 353 1
15
EXHIBITS PREADMITTED
16 Plaintiff's
1-33, 35-37, 39-40, 43-37, 50-53...... 48 1
17
Intervenor's
18 1, 2, 4-8, 10, 11, 15-24.............. 49 1

19 Defendant's
2-4, 7, 10-12, 15, 16, 18-25, 36, 37,
20 59, 64, 66-68, 70..................... 50 1

21

22

23

24

25

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000524
Volume 1
4

1 THE COURT: All right. This is Cause

2 Number 2009-40925, Patti J. Wagner, as Guardian of Jenny

3 Wagner, an Incapacitated Adult, et al, versus Four J's

4 Community Living Center, Inc., et al.

5 Can I have appearances, please, for the

6 record?

7 MR. THWEATT: Good morning, Your Honor.

8 Lee Thweatt and Joe Terry for the plaintiff,

9 Patti Wagner, and on behalf of her daughter,

10 Jenny Wagner.

11 THE COURT: All right.

12 MR. SPARKS: Shelton Sparks and

13 Tiffany Harvey for the Intervenor.

14 THE COURT: All right.

15 MR. PLUMMER: Jim Plummer and

16 Amar Raval for the defendants, Four J's Community --

17 Community Centers, and Anthonia Uduma.

18 THE COURT: All right. Thank you.

19 MR. PLUMMER: And our legal assistant,

20 Ms. Trevino.

21 THE COURT: Thank you.

22 All right. Plaintiffs ready for trial?

23 MR. THWEATT: Yes, Your Honor.

24 THE COURT: Intervenors ready for

25 trial?

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000525
Volume 1
5

1 MR. PLUMMER: Yes, Your --

2 THE COURT: Excuse me. Intervenors

3 ready for trial?

4 MR. SPARKS: Yes, Your Honor.

5 THE COURT: Defense ready for trial?

6 MR. PLUMMER: Yes, Your Honor.

7 We do have a motion that --

8 THE COURT: We're going to take that up

9 in a moment. All right?

10 All right. First things first. I

11 think we've already talked about this, the time limits.

12 I've set this for four days. So each side will get

13 seven hours to present their own witnesses and

14 cross-examine the opposing side's witnesses.

15 Let's talk here briefly: Mr. Thweatt,

16 Mr. Sparks, how much time do you need for voir dire?

17 MR. THWEATT: Your Honor, my partner,

18 Joe Terry's going to be handling voir dire.

19 MR. TERRY: 35, 40 minutes, Your Honor,

20 will be fine.

21 THE COURT: And is that just for

22 yourself or to be split with Mr. Sparks?

23 MR. TERRY: Just for myself, Your

24 Honor.

25 MR. SPARKS: Judge, I think no more

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000526
Volume 1
6

1 than 20 minutes.

2 THE COURT: How much time do you need,

3 Mr. Plummer?

4 MR. PLUMMER: Judge, I believe 35, 40

5 minutes will be fine.

6 THE COURT: All right. What I'll give

7 is 50 minutes for plaintiffs and intervenors to split

8 and 50 minutes, equal time, for you.

9 Do y'all want any warnings, a

10 five-minute warning or anything like that?

11 MR. TERRY: Sure, Your Honor. That

12 would be fine.

13 THE COURT: Well, do you want a

14 five-minute warning?

15 MR. TERRY: Yes, sir.

16 MR. SPARKS: Yes, sir.

17 THE COURT: Do you want a warning,

18 Mr. Plummer?

19 MR. PLUMMER: Yes, Your Honor. Five

20 minutes will be fine for me.

21 THE COURT: Mr. Thweatt, how much time

22 do you need for opening statement?

23 MR. THWEATT: I think about 40 minutes

24 would be --

25 THE COURT: You need 40 minutes on this

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000527
Volume 1
7

1 one?

2 MR. THWEATT: I'll cut it down to 30,

3 Judge.

4 THE COURT: Mr. Sparks?

5 MR. SPARKS: 20 minutes.

6 THE COURT: All right. I'll give

7 plaintiffs and intervenors 45 minutes total.

8 Do y'all, again, want a warning of any

9 kind?

10 MR. SPARKS: Yes.

11 MR. THWEATT: Yes.

12 THE COURT: 45 minutes sufficient,

13 Mr. Plummer?

14 MR. PLUMMER: More than sufficient,

15 Your Honor.

16 THE COURT: Do you want a warning?

17 MR. PLUMMER: Yes, Your Honor.

18 THE COURT: Five minutes.

19 MR. PLUMMER: Five minutes is plenty.

20 THE COURT: And we'll worry about the

21 time limits for closing argument when we get there.

22 Just to let y'all know what to expect:

23 With our new jury facility right next door, we expect --

24 I expect to get the jury here by about 9:30, maybe, at

25 the latest, 9:45. So we've got a lot of work to do in

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000528
Volume 1
8

1 the next 40 minutes because I don't make them wait.

2 As soon as we get the jury cards, they

3 will be distributed to you. If we're still in the

4 middle of arguing motions in limine and whatnot, they'll

5 be handed to you. If we're done, obviously, you'll have

6 more time to do that. But we'll get those cards to you

7 as soon as we get them.

8 Once they arrive in the hall, they need

9 some time to use the restroom and whatnot. We'll break

10 what we're doing here, and I will go out and greet them

11 in the hallway informally to welcome them to the court,

12 thank them for their service, and encourage them to

13 speak up during voir dire. That will give y'all a few

14 extra minutes to go over their cards.

15 Then we'll bring them in. Counsel will

16 conduct their voir dire examination from that podium

17 that's standing right there. The court reporter will be

18 over kind of behind where Mr. Plummer is, along the rail

19 to the gallery. So I can't have y'all walking back and

20 forth back there, especially since my court reporter,

21 unfortunately, is injured. I don't want anyone tripping

22 over her injured foot.

23 So you'll conduct your voir dire from

24 that podium. We'll do the entire panel examination.

25 Don't worry about motions to strike for cause during the

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000529
Volume 1
9

1 panel examinations. Just do your panel examination and

2 then we'll take a break for the panel while we'll call

3 back any jurors who you need to bring back for an

4 individual interview.

5 What will happen is when Mr. Plummer's

6 done with his panel examination, I'll call the lawyers

7 up here, then I'll ask you to give me just the numbers

8 of any jurors that you need to call back for an

9 individual interview. So be thinking about that. Don't

10 wait until I call you up to start thinking about who

11 y'all need to talk to again.

12 Unless I ask for an explanation, you

13 don't need to give me an explanation. Just give me the

14 numbers. Then we'll do the break while we're bringing

15 them back in one by one.

16 Again, don't worry about motions to

17 strike for cause during the individual interviews.

18 Let's just get all those individual interviews taken

19 care of. Then after that, we'll worry about motions to

20 strike for cause.

21 I'll ask you again, each -- each party,

22 give me the numbers of any jurors that you're moving to

23 strike for cause. Again, unless I ask you for an

24 explanation, don't start giving me your argument

25 because, basically, I want to see if there are any

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000530
Volume 1
10

1 double or triple strikes of people who, you know, looks

2 like everybody agrees on.

3 Then I'll ask you, okay, do you agree

4 on any of plaintiff's, do you agree on any defendants',

5 and then we'll argue the ones that are in dispute.

6 After that, you'll get about 10 to 15

7 minutes to do your peremptories, and I will bring the

8 jury back in and impanel the jury.

9 I've brought -- I've ordered a panel of

10 48 jurors; so it will start from Juror Number 1 to my

11 extreme right on the front row of the gallery, all the

12 way to Juror Number 16 on the front row to my extreme

13 left. We start with Juror Number 17 on the second row

14 and go all the way to Juror Number 32, and then Juror

15 Number 33 on the far right, all the way to Juror Number

16 48. So that's how we'll handle that.

17 One thing we do here, you're going to

18 find out, if you haven't already figured out, I value

19 the jury's time very highly and I try to make sure that

20 we use their time as efficiently as possible. So we're

21 going to be working very hard to make sure that as much

22 of the time during the day is spent with them in the

23 box, presenting witnesses, evidence, and argument to

24 them, as possible.

25 Sometimes, obviously, we have to

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000531
Volume 1
11

1 have -- we have to have conferences outside the presence

2 of the jury. We have some unique technology here that

3 allows us to do that without having to shuffle the jury

4 back and forth to the jury room or without requiring us

5 to whisper up here under our breaths and it also allows

6 us to have the conferences on the record. It's a white

7 noise system.

8 What will happen is I will turn on the

9 white noise system, y'all will come up here, you'll

10 speak directly and in a regular voice towards this

11 microphone here. I'll speak towards my microphone. The

12 court reporter will be able to record it.

13 Meanwhile, the speakers over the jury

14 box will be broadcasting white noise; so all the jurors

15 can hear is white noise. I've interviewed every jury

16 after every trial I've had in this court to make sure it

17 works; and every time they told me they could not

18 understand what was being said between the lawyers and

19 the judge during these conferences. It's an amazing

20 timesaver, and it allows us to get through that stuff

21 pretty quickly. This is what it sounds like,

22 incidentally.

23 All right. I didn't look too closely

24 at your charges. If y'all are all in agreement on the

25 charge, that's one thing; it will be easy. If y'all

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000532
Volume 1
12

1 haven't agreed on the charge, I'll need you to each

2 e-mail your latest version of the charge to Mr. Garibay

3 in Word format so that I can put the charge together as

4 quickly as possible. His e-mail is on the website, the

5 Justex website; so it should be pretty easy. Make sure

6 you cc the opposing counsel and whatnot.

7 I know we've got some motions to take

8 care of. Before we do that, have y'all discussed your

9 motions in limine, your exhibits, your deposition

10 objections to winnow down what's truly in dispute and

11 what y'all can agree on?

12 MR. THWEATT: Yes.

13 PRETRIAL MOTIONS

14 THE COURT: All right. The first one

15 we're going to take up is Plaintiff and Intervenor's

16 Joint Motion to Strike Defendant's Combined Third

17 Amended Answer and Defendant's First Amended Answer,

18 Plea in Intervention.

19 And I gather that what I was handed

20 just before we started, entitled Defendant's Motion for

21 Leave to File Third Amended Answer and First Amended

22 Answer to Plea in Intervention, is also on the table.

23 Do I understand that correctly?

24 MR. PLUMMER: Correct, Judge.

25 THE COURT: All right. Let's start

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000533
Volume 1
13

1 with the Motion to Strike.

2 Mr. Thweatt, do you want to present

3 this or, Mr. Sparks, are you going to present this?

4 MR. THWEATT: I'll be happy to present

5 it, Your Honor.

6 As the Court has seen from our motion

7 submitted, we object to the untimely filing of the

8 defendant's amended answers submitted on October the

9 5th, 2011. The Court's pleadings deadline in this case

10 expired on December the 3rd, 2010; and the discovery

11 cutoff expired back in February of 2011.

12 Under Rule 63, there has to be -- well,

13 Rule 63 very plainly permits late amendments, provided

14 leave is sought. I would note that there was no leave

15 sought until this morning, I believe.

16 And I believe in our motion we've

17 stated the surprise that these late amendments present

18 to us.

19 Essentially, Judge, we're having a

20 dispute about whether this is a Chapter 74 medical

21 malpractice case or not. We don't believe that the

22 facts of this case to this point in any of the pleadings

23 or the depositions that have been exchanged indicate

24 that it is a medical malpractice case.

25 It's a case about fire. It does not

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000534
Volume 1
14

1 involve the delivery of medicine. There's no doctor or

2 nurse or the administration of any kind of healthcare at

3 issue in this case.

4 We were surprised to see that

5 Chapter 74 was being invoked. Mr. Plummer has noted in

6 his response that I did file on behalf of plaintiff

7 expert reports that were submitted, basically to guard

8 against the possibility that this Court might consider

9 it as a Chapter 74 claim.

10 Just the fact that this case involves a

11 Chapter 74 healthcare provider does not, by necessity,

12 mean that it's a Chapter 74 claim. And the remedy for

13 not filing expert reports in a case that can be

14 considered a healthcare liability claim -- we don't

15 believe that it is; but if the Court later determined

16 that it was, would be dismissal with prejudice.

17 So we have a catch 22 decision to make

18 there. We made it. Nonetheless, just because we have

19 made it -- we certainly did not submit expert reports

20 that were filed by any physician, any nurse, nothing

21 like that. What we submitted were expert reports from a

22 gentleman who works at the Center for Mental Retardation

23 here in Houston and the fire -- the former fire chief

24 here in town.

25 We just don't believe that these

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000535
Volume 1
15

1 defenses should be applicable. They're way late on

2 this, nobody's conducted discovery on this, and the

3 reason for that is because the discovery deadline and

4 all the deadlines that you enforced in your Motion for

5 Summary Judgment -- or their Motion for Summary

6 Judgment, which you denied, is untimely.

7 I well remember the first time I was

8 before you, Your Honor, in this case. You emphasized to

9 me the importance of deadlines in this case; and we've

10 tried to comply with those since then, especially so.

11 Beyond that, everything is stated in

12 our motion; and we don't think that these answers ought

13 to be -- or these defenses should be before this Court.

14 THE COURT: How does asserting the

15 damage caps in Chapter 74, which is basically, I

16 think -- isn't that the effect that allowing the answers

17 to have -- that it's the only consequence of allowing

18 the answers, is it raises this prospect of the damage

19 caps? Is there anything else that Chapter 74 would do

20 to change this case?

21 MR. THWEATT: That's certainly one of

22 them.

23 I'm not exactly clear from their

24 answer. They say that the plaintiff and intervenor

25 failed to comply with the other provisions of

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000536
Volume 1
16

1 Chapter 74. I'm not exactly sure what they mean by

2 that. They haven't defined exactly what they mean in

3 their answer or -- and, for that reason, I don't know

4 what the other consequences could be.

5 I do know that there is a section --

6 and we've cited this in our motion -- that a Chapter 74

7 case requires a physician to testify on causation.

8 There's a section in the code of that.

9 We did not designate a physician

10 because we don't believe that this is a Chapter 74

11 healthcare liability claim; and the only way we could

12 overcome that prejudice now, Judge, is to ask for more

13 time. We're not going to do that. I don't expect the

14 Court would grant that anyway at this late point.

15 That's certainly one way that we could be prejudiced and

16 they would be prejudiced, potentially, if the Court

17 determines, or a later Court determines on appeal,

18 determines that expert testimony's required to establish

19 causation in this case.

20 Maybe it won't be, and maybe it will

21 be. But that's an open question that could have

22 potential implications after this trial concludes; so it

23 is a big issue for us. It's something that, on the

24 current state of the evidence in the pleadings, could

25 not have been anticipated; and that's certainly one of

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000537
Volume 1
17

1 the reasons why we objected to it.

2 And I think I've highlighted that as a

3 potential reason in the draft order --

4 THE COURT: Okay. Well, I'm trying to

5 get down to the brass tacks of what the consequences of

6 allowing an amendment to assert Chapter 74 would be

7 since, obviously, they've long since waived any right to

8 move to dismiss for an inadequate expert report.

9 So I mean, you know, you've argued that

10 it reshapes the litigation. You've told me that it may

11 require you to present a -- a specific kind of expert on

12 causation, and there's the damage caps.

13 Is there anything else of consequence

14 to the effect of Chapter 74 on this case if they're

15 allowed to keep this amendment?

16 MR. THWEATT: Yes, there is.

17 We have two defendants in this case.

18 Ms. Anthonia Uduma is being sued in her capacity as a

19 property owner; and she owns -- she was the 100 percent

20 owner of the property that burned and we also have her

21 company that she owns 100 percent, Four J's Community

22 Living Center, Inc.

23 Let's assume for the sake of argument,

24 Your Honor, that the jury comes back and they say it's

25 50/50 or they say it's more of a liability case against

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000538
Volume 1
18

1 Four J's than it is against Ms. Uduma.

2 In that case, in addition to the caps,

3 we're going to have to reshape the way we're going to

4 present our evidence to make sure that more liability is

5 placed on Ms. Uduma so that she is jointly and severally

6 liable for any verdict that this jury renders.

7 And that's -- that's a different animal

8 than coming in here and just trying a premises case,

9 just trying a Chapter 74 case against the defendant,

10 Four J's Community Living Center, Incorporated.

11 And we'll do our best to do that,

12 Judge; but, I mean, they submitted this October the 5th.

13 And, you know, 12 days before trial it is not -- we

14 couldn't have conducted any discovery, as it was. But

15 that -- Mr. Sparks and I have discussed it is going to

16 require a reshifting of emphasis during the evidentiary

17 portion of this trial to establish the liability, not

18 just damages, to make sure that most of the liability is

19 established on Ms. Uduma so that she's jointly and

20 severally liable because, if not, it may be a pure

21 victory.

22 We might have -- let's say the jury

23 comes back and says 90 percent on Four J's. Well, then

24 we're left with a damage award that's capped and another

25 defendant who's only ten percent on the hook for -- if

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000539
Volume 1
19

1 at all because of joint and several liability.

2 So that's a pretty significant

3 strategic shift, in our view. It does have consequences

4 for both the plaintiff and the intervenor. I'm hoping

5 I've made that argument on behalf of both of us.

6 If there's anything else that needs to

7 be added...

8 MR. SPARKS: Yes.

9 THE COURT: Anything to add?

10 MR. SPARKS: No, sir.

11 THE COURT: All right. Mr. Plummer,

12 your response?

13 MR. PLUMMER: Judge, first of all, you

14 know, I don't dispute the late filing. I mean, I -- we

15 acknowledge that.

16 When we took over, we looked at the

17 file. And years ago what we -- they said, I would have

18 agreed with, that this is not a Chapter 74 case. But it

19 is now -- under the current Court's interpretation of

20 Chapter 74, this is clearly a Chapter 74 case.

21 I gave the Court -- and I'll give the

22 Court another copy. I've given counsel a copy of a

23 July, 2011, opinion by the Texas Supreme Court involving

24 a nursing home that was sued because of a spider bite.

25 And the Court determined -- and

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1 particularly the language in defining a health liability

2 claim -- that not just medical negligence applies, but

3 safety issues in the statute apply. Okay? And that

4 included that nursing home that does similar work as us.

5 Now, Mr. Thweatt has also commented --

6 and I want to direct this quickly -- about the dismissal

7 with prejudice result.

8 The Court's correct that they have

9 timely filed expert reports. There's no requirement, as

10 I understand it, for any doctors' opinions or any

11 healthcare providers' opinions. The special issues that

12 they've crafted are appropriate, as far as I can tell on

13 these facts in this case. Okay? So there would not be

14 that result.

15 There is -- the only result I -- of

16 Chapter 74 would be the damage cap, number one, and

17 number two, there's the -- the -- we've raised

18 limitations against the intervenor and there's a --

19 there's a portion of the limitations statute in the

20 Medical Liability Act that would apply, but we don't

21 think we need that on the facts of this case. I think

22 we're entitled to limitations -- to assert our

23 limitations to the defense and succeed on that,

24 regardless of which one applies.

25 But it is clearly a Chapter 74 case,

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1 Judge.

2 And I want to give the Court two other

3 cases; Marks versus St. Luke's Hospital, which is 2008,

4 and Diversicare, which is 2005. I've highlighted all

5 these; and I think counsel has highlighted copies, also.

6 One's a nursing home; one's a bad bed

7 in a hospital. But they're all premises cases, just

8 like this.

9 THE COURT: And what is your argument

10 that Four J's falls within the statutory definition of a

11 healthcare provider?

12 MR. PLUMMER: Just like -- first of

13 all, they're governed by the Health and Safety Code and

14 the Texas Administrative Code, Section 40 -- I mean,

15 Title 40, Section 9.151. That's number one. And it

16 sets out the criteria for their -- the governance of

17 that operation of a group home. That's number one.

18 Number two, they do the same sort of

19 thing as a nursing home. There are people there who

20 don't necessarily have health problems but are attended

21 to healthwise, we deliver medications, we -- our -- our

22 customers and our clients are daily medicated, when

23 appropriate and as instructed by a physician. They get

24 psychotherapy. They get physical therapy. They get

25 vocational training. They get the same sorts of things

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1 as people in a nursing home would, the difference being

2 that our clientele are mentally retarded and have

3 developmental disabilities, physical disabilities, and

4 in a nursing home folks are -- tend to be older and on

5 the decline. Okay? But other than that, it's the exact

6 same circumstance as a nursing home.

7 And the -- and the Court's opinion in

8 the initial case I've given the Court is directly on

9 point.

10 And then on the surprise issue, I

11 believe the way the expert reports were prepared -- and

12 we've attached the first two pages of those experts'

13 report. Each one says I have been informed by

14 Mr. Thweatt that this is the Chapter 74 claim and,

15 therefore, I'm doing my expert report consistent with

16 the requirements of Chapter 74. So there's no surprise,

17 none whatsoever. The proof is the same, that they have

18 to make in this case, as they would in a Chapter 74

19 case. And the issues, the jury issues, the issues that

20 go to the jury are exactly the same.

21 So I -- I am not sure -- perhaps had we

22 gone to trial without raising this, I would have waived

23 my entitlement to invoke Chapter 74; but the legislature

24 has been clear and the Supreme Court has been clear that

25 it applies in this context.

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1 Some people might call it expansive,

2 but it doesn't matter because that's what the Court

3 says. And we would ask the Court leave to file our

4 amended answers and assert the appropriate Chapter 74

5 against principally the damage cap.

6 THE COURT: Do you have a license,

7 certification, registration, or charter from the State

8 of Texas?

9 MR. PLUMMER: Yes, Your Honor.

10 THE COURT: Where is that? Is that

11 attached to your Motion for Leave?

12 MR. PLUMMER: It is not attached to my

13 Motion for Leave. What do we have -- in may be one of

14 our exhibits.

15 Our operation is approved by DADS. And

16 what's DADS again? The Department of Aging and

17 Disabilities.

18 We're also governed by -- we're a part

19 of the Home and Community-Based Services Program out of

20 the Department of Health.

21 THE COURT: I asked do you have a

22 license, certification, registration, or charter by the

23 State of Texas.

24 MR. PLUMMER: We have a charter as a

25 corporation, Judge. We have a license to operate our

Cause No. 2009-40925, Wagner Vs. Four J's, et al 000544
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1 group home.

2 I did not attach one to the -- to

3 the -- to the response, but I believe we may have

4 something that shares that with the Court.

5 Judge, let me give you what we have as

6 Exhibit 1 and Exhibit 3. These aren't the

7 certifications that license us to operate; but they are

8 certifications that identify our capacity, particularly

9 Exhibit 3 -- excuse me -- I think particularly

10 Exhibit 1. But we can certainly get that for the Court

11 this morning; and we certainly have testimony of that to

12 bring, Your Honor.

13 I also have, Judge, a copy of Chapter 9

14 of the -- of the Texas Administrative Code that also

15 governs us.

16 THE COURT: Mr. Thweatt, if bites from

17 bugs in one's bed are considered healthcare liability

18 claims, why isn't this -- why doesn't [sic] the facts

19 alleged in this case come under the Supreme Court's

20 understanding of the healthcare liability claim?

21 Mr. Thweatt: Because of this language

22 here, Your Honor, which the Supreme Court has -- has not

23 rejected.

24 I've cited this in our motion, the case

25 of Valley Baptist Medical Center versus Stradley, a case

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1 out of the Corpus Christi Court of Appeals, similar

2 cases also out of the Austin Court of Appeals and the

3 Houston First Court of Appeals.

4 It says as follows: (Reading) We hold

5 that a safety claim can be categorized as a healthcare

6 liability claim only when it is against a healthcare

7 provider or physician or a claimed departure from

8 accepted standards of safety directly related to

9 healthcare. Holding otherwise and finding all safety

10 claims against healthcare providers or physicians to be

11 healthcare liability claims, regardless of whether they

12 directly relate to healthcare, would be an arbitrary and

13 legislatively unauthorized expansion of the healthcare

14 liability statute.

15 I think the other distinguishing

16 factor, Your Honor, in those cases that Mr. Plummer has

17 handed to you, there were not two defendants. There was

18 not a separate premises owner. In this case there is.

19 We have the owner of the company,

20 Ms. Anthonia Uduma, who owned this facility, personally

21 and 100 percent herself, and then we have this company.

22 And that's a very important factor that's different in

23 these cases that Mr. Plummer has cited.

24 THE COURT: Mr. Plummer?

25 MR. PLUMMER: Judge, with regard to

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1 Ms. Uduma, I think he's correct. Chapter 74 wouldn't

2 apply. She's just a premises owner. She owns the

3 building.

4 With regard to the case cited by

5 counsel, the three cases that we've given the Court

6 prevail over that case. That was a court of appeals

7 opinion.

8 The spider bite case was clearly a

9 premises type case.

10 THE COURT: No. The Supreme Court held

11 it's a healthcare liability case.

12 MR. PLUMMER: I understand, but the

13 issue was maintaining the safety of the premises.

14 One of the allegations they said is you

15 didn't keep the premise free from insects, you didn't

16 use pesticides on a regular basis to protect against

17 that. That was the kind of issue that they raised.

18 And the Court said, sorry, safety, that

19 portion of the definition of a health liability claim

20 involving safety, an undefined term in the statute, is

21 broad.

22 And where you have a claim against a

23 facility that provides healthcare, in its context it

24 includes the broader premises issues related to safety.

25 And then the Diversicare case also says

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1 the same thing, and that was decided by the Court in

2 2005.

3 And then, of course, the other one that

4 I mentioned and cited similarly involved claims that

5 traditionally we would not consider health liability

6 claims but the Court has read the statute broadly to

7 encompass them. It doesn't encompass Ms. Uduma. It

8 does encompass Four J's Community Center.

9 THE COURT: All right. Y'all give me

10 five minutes. I'll be right back.

11 (Break taken from 9:04 a.m. to

12 9:10 a.m.)

13 THE COURT: Mr. Thweatt, Mr. Sparks, do

14 y'all want a continuance?

15 MR. PLUMMER: No.

16 MR. THWEATT: No, Your Honor.

17 THE COURT: Mr. Sparks?

18 MR. SPARKS: No.

19 THE COURT: Okay. All right. Motion

20 to Strike is denied. The Motion for Leave is granted.

21 I'll ask you again: Do you want a continuance?

22 MR. THWEATT: No, Your Honor.

23 MR. SPARKS: No.

24 THE COURT: And I just wanted to make

25 sure -- I wasn't trying to game y'all or anything. I

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1 believed you the first time, but I didn't want you to

2 think that how I was going to rule is going to depend on

3 whether he said you wanted a continuance or not. And

4 that's why I was asking again, just to make sure.

5 MR. SPARKS: Judge, could I be

6 correct -- you said the Motion to Strike was --

7 THE COURT: Denied.

8 MR. SPARKS: -- denied?

9 THE COURT: Motion for Leave to amend

10 is granted.

11 MR. SPARKS: Then we do want a

12 continuance, Judge.

13 THE COURT: How much time do you need?

14 MR. SPARKS: 40 days.

15 THE COURT: 40 days? I don't know if

16 I've got trial time.

17 In light of the -- Mr. Sparks' request

18 for a continuance, which I am going to grant,

19 Mr. Thweatt do you have anything to say on how much time

20 you need for a continuance?

21 MR. THWEATT: Judge, may I confer with

22 Mr. Sparks?

23 THE COURT: Yes.

24 (Off the record conference.)

25 MR. THWEATT: Your Honor, one question

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1 of clarification: Is your ruling applicable to both

2 defendants or just to Four J's Community Living Center

3 in light of Mr. Plummer's comments to the Court?

4 THE COURT: Mr. Plummer, are you --

5 MR. PLUMMER: Judge, primarily to

6 Four J's. It doesn't apply to Ms. Uduma.

7 THE COURT: So you're not asserting

8 Chapter 74 as to Ms. Uduma?

9 MR. PLUMMER: Well, as the -- as the

10 owner of the property.

11 THE COURT: Well, what does that mean?

12 She's a defendant. Is -- are you going to claim any --

13 any defenses, any rights, any applicability of

14 Chapter 74 to Ms. Uduma?

15 MR. PLUMMER: No, Your Honor.

16 THE COURT: All right.

17 MR. SPARKS: Then if that's the case,

18 we won't -- we won't need the continuance, Judge.

19 THE COURT: All right. Okay. So let's

20 move on. We've got to move quickly here.

21 First of all, I've got plaintiff's

22 Motion in Limine, defendant's Motion in Limine. I

23 didn't see an intervenor's Motion in Limine.

24 Did you have any Motions in Limine?

25 MR. SPARKS: No, we didn't, Judge.

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1 We'll adopt those from the plaintiff.

2 THE COURT: All right. Looking first

3 at the Motions in Limine of the plaintiff, which of

4 these do you contest, Mr. Plummer?

5 MR. PLUMMER: Mr. Raval will respond,

6 Your Honor.

7 THE COURT: Which do you contest?

8 MR. RAVAL: Your Honor, 23 and 24.

9 THE COURT: All right. So plaintiff's

10 Motions 1 through 22 are granted as agreed.

11 23, Mr. Thweatt? This is your motion,

12 isn't it?

13 MR. THWEATT: It is, Your Honor. I

14 think the facts in this case may show -- well, they will

15 show, if the Court permits it, that Ms. Wagner entered

16 into a foster care agreement with Four J's Community

17 Living Center after this fire; and we don't believe

18 that's relevant.

19 We also believe that such agreements

20 will improperly introduce collateral source into this

21 case. There's a number of issues related to Social

22 Security, Medicaid, those types of things, that could

23 flow from that; and that's the basis of our motion in

24 that regard.

25 THE COURT: How would the collateral

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1 source evidence come into play if that agreement comes

2 into evidence?

3 MR. THWEATT: Well, there's been

4 description from Ms. Wagner in her testimony that

5 she received Social Security benefits. She's a

6 Medicaid -- her daughter's a Medicaid recipient. That's

7 what we're worried about here.

8 She's now the guardian, just at

9 Four J's used to be -- I'm sorry -- just as -- the

10 caretaker just as Four J's used to be. We don't want

11 the jury knowing about collateral source because of --

12 THE COURT: But my question is: How

13 does the October 2nd, 2008, agreement raise collateral

14 source? I don't understand the connection to the

15 collateral source.

16 MR. THWEATT: Because it's referenced

17 within the agreement.

18 THE COURT: Okay. So the payments from

19 the Social Security.

20 MR. THWEATT: Yes.

21 THE COURT: I see. All right.

22 Response?

23 MR. RAVAL: Your Honor, I think we can

24 redact anything, as necessary, in the agreement. Second

25 of all, the main reason we're objecting to this -- for

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1 one thing, we plan to discuss the agreement and

2 Ms. Wagner's care after the fire. It goes directly to

3 the issue of damages and mental anguish.

4 Second of all, we do plan on -- if not

5 the agreement itself, a portion of the agreement, it

6 talks about the rights of the patient and the rights of

7 the individual. That's something that predates the

8 fire. But specifically regarding this agreement, it

9 is -- we believe we can redact any issue about payment

10 and that it is relevant to her continuing care.

11 THE COURT: How is it relevant? What

12 material issue or fact is made more likely or less

13 likely by the admission of this agreement into evidence?

14 MR. RAVAL: The agreement is relevant

15 to show -- it goes to her damages. It goes to her

16 mental anguish damages, that -- and the testimony we

17 expect that is going to come forward about what her

18 behavior was like after the fire, what -- what her

19 sleeping patterns were, and other things.

20 The -- again, the agreement itself,

21 with payment redacted, we believe, is relevant to --

22 THE COURT: How is the agreement itself

23 relevant? What does it matter that after the

24 agreement -- or after the fire there was an agreement

25 between Four J's and -- and Ms. Wagner?

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1 MR. RAVAL: The fact that she was

2 willing to continue staying on with Four J's for a

3 period after the fire of about eight or nine months or

4 getting treatment and care from people connected to

5 Four J's is relevant to the damage issue.

6 THE COURT: How? I -- you're not --

7 just telling me it's relevant isn't showing me it's

8 relevant.

9 How does that make any issue about

10 damages more likely or less likely?

11 MR. RAVAL: If -- if she were -- in

12 some way blamed Four J's for what happened, it is less

13 likely that she would have continued getting services

14 from employees or people connected to Four J's. She

15 continued to do so for a period after the fire of about

16 eight or nine months.

17 THE COURT: So the fact that she

18 continued to do business means that the plaintiff didn't

19 have any damages?

20 MR. RAVAL: No. It goes strictly to

21 the mental anguish damages, that if she blamed Four J's

22 for what happened in the fire, it's more likely that she

23 would have stopped employing them. She, in fact,

24 continued to employ them and use their services. That

25 is relevant to mental anguish.

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1 THE COURT: Mr. Thweatt, any response?

2 MR. THWEATT: Well, the testimony at

3 her deposition, Judge, was that she continued to use

4 them -- her services because, really, she didn't know

5 where else to turn, not because she was satisfied or

6 happy with the services that had been provided,

7 particularly up to the fire on September 4th, 2008.

8 So we certainly dispute that there's

9 any sort of ratification that -- of Four J's by our

10 client postfire, and we just feel like it's going to be

11 evidence that's not going to be contributing to any sort

12 of fact at issue.

13 What matters here is what happened on

14 September 4th, 2008, not what happened subsequent to

15 that.

16 THE COURT: All right. 23 is granted.

17 24, Mr. Thweatt?

18 MR. THWEATT: Your Honor, there was an

19 investigation into this fire by a State agency. I think

20 the outcome of that investigation was inconclusive, and

21 we don't believe that an agency's determination, even if

22 it were conclusive or -- or it found no negligence on

23 behalf of Four J's, is something that the jury should be

24 considering in this case. It's not relevant. Even if

25 it is somehow relevant, it's substantially more

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1 prejudicial than probative.

2 A State agency is, in my mind, very

3 similar to a law enforcement agency investigating a car

4 accident. The Courts routinely exclude those unless

5 there's some sort of proper foundation laid for those,

6 and it's just -- it's just not something we think the

7 jury ought to be concerning themselves with in this

8 case.

9 THE COURT: So your -- the grounds of

10 your objection are what, relevance?

11 MR. THWEATT: Relevance, inadmissible

12 hearsay, and 403. That's what I cited.

13 THE COURT: Response?

14 MR. RAVAL: Intervenor is attempting in

15 their exhibits to admit parts of this [sic] statements

16 from some of the witnesses that were interviewed by the

17 State agency that conducted this investigation.

18 So some of these apparent hearsay

19 statements are being attempted to be admitted as

20 evidence.

21 Second of all, the report itself, we

22 agree, is not determinative of any issue with regard to

23 negligence but it's instructive to the jury. The fact

24 that the results were inconclusive shows that there's

25 not some kind of adverse finding against Four J's.

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1 The jury's entitled to understand that

2 there was an investigation done, people were

3 interviewed, what they said, what they told the -- what

4 the agency was told by these employees and other

5 witnesses, and what the end result was.

6 THE COURT: Why does it matter to the

7 jury -- since the end result was it was inconclusive,

8 why does it matter to the jury? How does it help the

9 jury?

10 MR. RAVAL: Otherwise, the jury may

11 make the inference that there was some kind of adverse

12 result.

13 THE COURT: Well, are you asking to

14 exclude the investigation or just the report?

15 MR. THWEATT: The report, the

16 investigation's conclusions, all of it. We don't want

17 any of it.

18 THE COURT: No evidence that there was

19 an investigation?

20 MR. THWEATT: That's correct, not by

21 the Texas Department of Aging and Disability Services.

22 MR. RAVAL: In addition, Your Honor, we

23 believe that their experts relied on this agency report

24 in making some of their conclusions.

25 MR. THWEATT: My experts haven't

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1 testified. They haven't been deposed in this case, and

2 we're not sure what -- what they're going to say about

3 that at all. And we'll certainly abide by the Court's

4 ruling.

5 THE COURT: 24 is granted if -- and

6 this is just an order in limine. So if for some reason

7 you feel like a door has been opened or you need to get

8 into it, you can ask to approach the bench and we'll

9 take it up again.

10 MR. RAVAL: Yes, Your Honor.

11 THE COURT: All right. Turning to

12 defendant's Motions in Limine, which are in dispute?

13 MR. THWEATT: Your Honor, we've agreed

14 to defendant's Motion in Limine 2 and 3. I believe

15 there are five of them.

16 THE COURT: Well, I've got -- the

17 Motions in Limine from defendants I've got were filed

18 March 11th. Are these your latest and greatest?

19 MR. RAVAL: Your Honor, we filed an

20 amended Motion in Limine sometime last week.

21 THE COURT: And do you have a copy for

22 me?

23 MR. RAVAL: I do, Your Honor.

24 THE COURT: Okay. So you agree to 2

25 and 3?

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1 MR. THWEATT: We do, Your Honor.

2 THE COURT: Mr. Sparks, is that

3 consistent with your view?

4 MR. SPARKS: Just a second, Your Honor.

5 Yes, sir.

6 THE COURT: Okay. So 2 and 3 are

7 granted as agreed. Start with Number 1.

8 MR. RAVAL: Your Honor, regarding

9 Number 1, it's our understanding that Ms. Wagner used a

10 wheelchair accessible van before the fire because of her

11 existing disabilities. If there's a request for damages

12 pertaining to or retrofitting a wheelchair accessible

13 van out of some kind of claim about injuries related to

14 the fire, it's our contention that was a preexisting

15 condition and that is not evidence of damages related to

16 this fire.

17 THE COURT: There's a dispositive

18 motion. That's denied.

19 4?

20 MR. RAVAL: Your Honor, one of the

21 witnesses that we've -- will appear will -- by

22 deposition is Dr. Karen Gollaher. She conducted a site

23 evaluation of Esperanza Arzola, the person who started

24 the fire in this case, one of the clients at the home.

25 Any conclusions or competency

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1 evaluations by Dr. Gollaher strictly pertain to the

2 criminal trial and Ms. Arzola not being competent to

3 stand trial. That's not relevant to what happened --

4 what goes on in this trial, and also we say it's overly

5 prejudicial under Rule 403.

6 THE COURT: How is it unfairly

7 prejudicial?

8 MR. RAVAL: A determine --

9 determination that Ms. Arzola was unfit to stand trial

10 in a criminal trial has nothing to do with whether or

11 not she's a responsible third party in this case. It's

12 a different standard of proof.

13 THE COURT: So, she was declared

14 incompetent to stand trial? She wasn't -- she wasn't

15 diagnosed as criminally insane or anything like that?

16 Is that what you're saying?

17 MR. RAVAL: That's my understanding,

18 Your Honor.

19 THE COURT: Okay.

20 MR. RAVAL: And to this day, she has

21 not stood trial.

22 THE COURT: Response?

23 MR. THWEATT: Your Honor, she can't be

24 determined, according to Dr. Gollaher's testimony, as

25 criminally insane until there is a determination that

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1 she's competent to stand trial. And Dr. Gollaher was

2 appointed by the criminal district court in Fort Bend

3 County to determine whether or not she was capable

4 mentally of understanding the charges against her, of

5 assisting with her defense, and Dr. Gollaher determined

6 that she was not.

7 From that point, she was sent to a

8 psychiatric institution, where she remains today, and

9 will be there forever until qualified personnel

10 determine that she's competent to stand trial.

11 So I just wanted to provide some

12 background on that for the Court.

13 They are -- they have designated

14 Esperanza Arzola as a responsible third party; and I

15 believe the evidence in this case, at least in the

16 depositions thus far, indicates that they believe she is

17 solely responsible for the fire.

18 Because of their position, we think

19 it's very important that the jury know -- I mean, I --

20 if -- were I them, I'd be waving around the indictment

21 and the criminal charges throughout this trial.

22 If they're going to do that, I think we

23 need to be permitted to respond to that and to rebut it

24 with a showing that, look, that was a charge based upon

25 law enforcement, not upon any psychiatric or

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1 psychological evaluation of this woman.

2 There's a lot that they knew about

3 Ms. Arzola before the fire, and we'll address that.

4 This issue is important to us, to show that, look,

5 they're trying to blame somebody who's been determined

6 incompetent to stand trial for something that they had a

7 duty to prevent and care for. And that's our position.

8 MR. RAVAL: May I respond, Your Honor?

9 THE COURT: Just a moment. I'm trying

10 to get my arms wrapped around this.

11 She's been declared incompetent to

12 stand trial. This declaration occurred sometime after

13 the fire.

14 MR. THWEATT: Correct.

15 THE COURT: You're saying that's not

16 relevant; is that right?

17 MR. RAVAL: That's correct, Your Honor.

18 THE COURT: Okay. Mr. Thweatt, how is

19 her postfire competency relevant to any of the claims or

20 defenses in this case?

21 MR. THWEATT: Because the psychologist

22 who made that determination, as part of the

23 decision-making process, reviewed her entire

24 psychological profile, much of which -- well, all of

25 which occurred before the fire.

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1 And then she also conducted an

2 interview in the prison. That's what occurred after the

3 fire. But the vast majority of it that she took into

4 consideration and referenced in her report was prefire

5 conduct, prefire behavior that Esperanza Arzola

6 described.

7 And most of that -- much of that came

8 from Four J's, Judge. She went and got it from

9 Ms. Arzola's defense -- criminal defense attorney who

10 had Four J's as a reference. So she considered that

11 when she made her determination; and we think because of

12 that, her determination is highly probative on the issue

13 of whether or not Ms. Arzola should be blamed or --

14 responsible for this fire.

15 THE COURT: And do I understand your

16 argument is that really comes up because they're going

17 to -- you believe that Defense is going to try and

18 convince the jury that she is 100 percent to blame for

19 this or that, because there was a criminal act, they're

20 somehow absolved of liability for any of their

21 responsibility? I'm trying to understand.

22 MR. THWEATT: Well, I think the

23 pleadings -- the pleadings that they have filed, Judge,

24 say that the criminal act absolves them from punitive

25 damage responsibility. They've certainly have pled

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1 that.

2 But in terms of the ultimate liability

3 question, Ms. Uduma has testified that she does not

4 believe that she personally is responsible for the fire

5 or that her company is -- is responsible for the fire.

6 And her testimony indicates unequivocally that Esperanza

7 Arzola is the reason why these injuries resulted.

8 THE COURT: I'm going to deny Number 4.

9 Your reply?

10 MR. RAVAL: Your Honor, related to that

11 issue, we believe it's irrelevant, where Ms. Arzola is

12 currently located. The fact that she is currently not

13 competent to stand trial or that she is awaiting the

14 ability to stand criminal trial or where she is is not

15 relevant to anything in this trial.

16 THE COURT: Response, Mr. Thweatt?

17 MR. THWEATT: I think the sole

18 evidentiary issue there, Your Honor, is that she is

19 still -- there was some suggestion by prior counsel for

20 the defendant that Ms. Arzola could be out on the

21 streets, the charges could have been dismissed. We

22 don't know exactly what happened to her. That was the

23 comment in a deposition, and that's just not true.

24 Ms. Arzola is presently

25 institutionalized; and the only evidentiary issue there

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1 is that I don't want them suggesting to this jury that

2 she's never stood trial, she's never faced charges,

3 anything like that. It's a small point, but it depends

4 on how expansive that limiting motion is read by the

5 Court. That's my concern.

6 I don't want them suggesting that, you

7 know, there's never been a determination on whether she

8 did it or not and that kind of thing. That's my worry

9 there.

10 THE COURT: 5 will be granted.

11 Obviously, if for some reason we need to talk about her

12 current location, you can approach the bench, and we can

13 revisit that.

14 MR. THWEATT: Thank you, Your Honor.

15 THE COURT: By the way, Mr. Sparks, I

16 apologize. I didn't ask for your input on any of this.

17 Did you have anything to add on anything?

18 MR. SPARKS: I didn't, Judge.

19 THE COURT: I apologize.

20 MR. SPARKS: Except for the fact,

21 Judge, in the -- the issue regarding the competency and

22 the sanity. I think you may have raised what Mr. --

23 Dr. Gollaher indicated under the Code of Criminal

24 Procedure is that in order for her to make a

25 determination of sanity, she'd first have to make the

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1 determination that she was competent.

2 And if a determination of incompetency

3 is made, they can't even evaluate the issue of sanity.

4 So that situation was something she could not consider.

5 THE COURT: All right. Thank you. All

6 right.

7 Turning to exhibit lists... I've got

8 the exhibit list of plaintiff, Patti J. Wagner, as

9 guardian of Jenny Ann Wagner which was filed, looks

10 like, March 11th.

11 Is this your latest and greatest,

12 Mr. Thweatt?

13 MR. THWEATT: No, Your Honor. We have

14 an amended exhibit list. The only change, we've added

15 Exhibit 58.

16 THE COURT: Do you have a copy of your

17 latest and greatest for me?

18 MR. THWEATT: I do.

19 THE COURT: While he's doing that, I've

20 got the second amended exhibit list of intervenor,

21 Wylette Taylor, filed October 11th.

22 Mr. Sparks, is this your latest and

23 greatest?

24 MR. SPARKS: It is, Judge.

25 THE COURT: And then from Defense I've

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1 got an October 13th first amended exhibit list. Is that

2 your latest and greatest?

3 MR. RAVAL: Your Honor, we have a

4 second amended; but the only difference is we withdrew

5 some exhibits.

6 THE COURT: Okay. Do you have a copy

7 of your second amended for me, or is it in your notebook

8 that you submitted?

9 MR. RAVAL: I believe it is.

10 THE COURT: Okay. That's fine. I got

11 it. I just want to make sure I'm up to speed.

12 All right. First things, we're going

13 to look at Plaintiff's exhibits. My practice is I admit

14 exhibits that are not objected to pretrial. If there's

15 an objection, usually we just do those exhibits the

16 old-fashioned way during the course of trial unless it's

17 truly one of those objections that I can rule on without

18 foundational testimony, like whether or not it was

19 responsive to a particular discovery request and,

20 therefore, should have been disclosed or whatnot.

21 So looking at the second amended

22 exhibit list of Plaintiff, can you tell me which ones

23 you do not object to?

24 MR. RAVAL: We agree to Exhibits 1

25 through 33, 35, 36, 37, 39 and 40, 43 through 48.

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1 MR. THWEATT: By the way, I should have

2 said, we withdraw Plaintiff's Exhibit 48, Your Honor.

3 THE COURT: All right. Please

4 continue.

5 MR. RAVAL: 50, 51, 52, 53, and that's

6 all of them. We have objections to the remaining

7 exhibits.

8 THE COURT: Okay. Lois, will you let

9 the jury know we'll be about another ten minutes,

10 please.

11 Okay. So Plaintiffs agree to 1 through

12 33, 35 to 37, 39 to 40 -- I'm sorry. Defendants agree

13 to 1 to 33, 35 to 37, 39 to 40, 43 through 47, and 50 to

14 53?

15 MR. RAVAL: Correct, Your Honor.

16 THE COURT: All right. Then do you

17 want to offer those into evidence, Mr. Thweatt?

18 MR. THWEATT: I do.

19 THE COURT: Am I pronouncing that

20 correctly?

21 MR. THWEATT: It's Thweatt, Your Honor.

22 THE COURT: Excuse me. I'll get it

23 right by the end of trial.

24 MR. THWEATT: Thank you, Your Honor.

25 THE COURT: So 1 through 33, 35 to 37,

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1 39 to 40, 43 to 47, and 50 to 53 are admitted.

2 (Plaintiff's Exhibits 1 through 33, 35

3 through 37, 39, 40, 43 through 47 and 50 through 53 are

4 offered and received in evidence.)

5 MR. RAVAL: Your Honor, we're also okay

6 with 58, the stipulation.

7 THE COURT: 58 is admitted.

8 (Plaintiff's Exhibit 58 is offered and

9 received in evidence.)

10 THE COURT: Okay. Next we'll look at

11 the Intervenor's.

12 MR. SPARKS: Judge, if I may, you asked

13 me about -- if the second was the latest and greatest.

14 Actually, I have a fourth that we need to disclose. I

15 want to give you that copy there.

16 THE COURT: Okay. Sure. Thank you.

17 All right. Looking at Intervenor's

18 fourth amended exhibit list, can you tell me which ones

19 you agree to?

20 MR. RAVAL: Your Honor, we're agreeing

21 to Exhibits 1, 2, 4 through 8, 10 through 12, and 15

22 t

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/4068071. Public record. Not legal advice.
