OPINION
This is an appeal by D.H. from an involuntary termination of her parental rights. Appellant urges five points of error. She challenges the trial court’s entering certain findings in alternative form, as well as the legal sufficiency of the evidence. She also alleges the court severed the parent-child relationship based solely on a determination of the children’s best interest. We affirm.
Appellant is 27 years old and the natural mother of M.H., age nine; L.H., age four; and A.H., age three. M.H. is a severely handicapped child afflicted with cerebral palsy. The other two children are not handicapped, although each has a history of medical problems associated with neglect. Galveston County Children’s Protective Services of [hereinafter “G.C.C.P.S.”] has been involved with appellant since 1979, when M.H. was six months old. G.C. C.P.S. held temporary managing conserva-torship of M.H. for six months between 1979 and 1980, and has held temporary managing conservatorship of all three children since late 1984. G.C.C.P.S. filed original and amended petitions to terminate appellant’s relationship with the three children as well as their relationship with the men alleged to be their fathers. Both petitions sought involuntary termination pursuant to the grounds enumerated in Tex.Fam. Code § 15.02(1)(A-F) & (2) (Vernon 1986). 1
The court terminated appellant’s parental rights in each of the children after a bench trial. The court’s order reflects supporting findings which track the grounds for involuntary termination of Tex.Fam.Code § 15.02(1)(D) & (E), as well as a finding that termination of appellant’s right would be in the children’s best interest, see § 15.02(2). The children’s mother, D.H., appeals from that order.
In her first point of error appellant alleges the trial court erred by failing to positively state which alternative findings had occurred. Appellant complains of the following findings in the court’s order:
*426 [Appellant e]ngaged in conduct or knowingly place the children with persons who engaged in conduct which endangers [sic] the physical or emotional well-being of the children;
Knowingly placed or knowingly allowed the children to remain in conditions or surroundings which endangers [sic] the physical or emotional well-being of the children; (emphasis added)
By relying on
In re S.H.,
Such conduct alleged is that on or about the months of June and July, 1984, D.H. failed to provide the adequate nutrients to her child, A.H., which resulted in a failure to thrive condition;
Additional conduct alleged is that on or about December, 1983, January and February, 1984, D.H. Failed to provide adequate supervision for her child, L.H. which resulted in the endangerment of his health. It is also alleged that D.H. failed to provide the proper follow-up medical advice which endangered the health of the child, L.H.
Further conduct alleged is that on or about June and July, 1984, D.H. failed to provide adequate therapy and follow through of medical advice that endangered M.H.’s health.
A parent whose rights are involuntarily terminated is entitled to sufficiently specific findings on which to base an appeal.
In re S.H.,
Because the trial court entered the additional findings of specific acts of conduct indicated above, we distinguish appellate decisions which have resulted in a remand for additional findings. In both
Juan A. v. Dallas County Child Welfare,
Before responding to appellant’s remaining points of error, we note the clear and
*427
convincing standard of proof which governs involuntary termination cases. Tex.Fam.Code § 11.15(b). To satisfy that standard, the proof presented in support of terminating D.H.’s parental rights must have produced a firm belief or conviction in the mind of the trier of fact, here the trial court, that the G.C.C.P.S.’s assertions were true.
See
Tex.Fam.Code § 11.15(c);
Clark v. Dearen,
In her second, third, and fourth points of error, appellant alleges there is no evidence to support the trial court’s findings which track § 15.02(1)(E), (D),
&
(2) respectively. “No evidence” points of error raise questions of law; they address the legal sufficiency of the evidence to support a trial court’s findings.
See Glover v. Texas General Indemnity Co.,
Appellant’s second point of error challenges the legal sufficiency of the evidence supporting the trial court’s^ findings pursuant to § 15.02(1)(E) of the Family Code. She contends no evidence shows she engaged in conduct which endangered her children’s physical or emotional well-being, or placed her children with persons who did so. We disagree.
Appellant incorrectly maintains that because G.C.C.P.S. failed to establish aggressive behavior or conduct on her part, it therefore failed to establish that she abused her children emotionally or physically. Appellant relies on
Higgins v. Dallas County Child Welfare Unit, 544
S.W.2d 745 (Tex.Civ.App.—Dallas 1976, no writ). In
In re S.H.A.,
The Texas Supreme Court decided
Texas Department of Human Services v. Boyd,
Boyd and In re S.H.A. clearly demonstrate that in order to sustain an involuntary termination pursuant to § 15.02(1)(E), *428 evidence offered by the party seeking termination need not rise to the level of either actual aggressive conduct resulting in emotional or physical injury or actual and concrete threat of emotional or physical injury. Appellant’s complaint that the record fails to establish actual aggressive conduct on her part is therefore without merit.
We have reviewed the record in response to appellant’s contention that there is no evidence to support the trial court’s § 15.02(1)(E) determinations. We conclude that ample evidence supports the conclusion that appellant’s own conduct endangered her children by jeopardizing their physical and emotional health and exposing them to significant health risks, or that the conduct of those with whom she left them did so.
Boyd,
The court found that appellant’s failure to provide adequate supervision resulted in injury to her son L.H. At age eight months he bit into an electrical cord and burned the flesh from his lips. The record supports the inference that the roommate whom appellant said was watching him did not provide adequate supervision. In addition to leaving the children alone or with inadequate supervision, the record clearly demonstrates that appellant’s own conduct endangered their health and well-being. Although appellant realized the severity of M.H.’s handicaps, and recognized the need to exercise his limbs to prevent contractures, the record shows that his muscular contractures grew so much worse due to her failure to exercise his limbs that his physicians told her surgical correction might be necessary. Further, although the school bus came repeatedly to her door to transport M.H. to the school program that would have provided therapy for him, appellant consistently failed to send him to school. M.H. weighed only twenty-two pounds, the size of a normal one year old, at age five. Appellant failed to require L.H. to wear a specially fitted face mask that would have prevented the surgery later performed to separate his lips which had fused together. Although the record shows that her daughter A.H.’s diarrhea began when she was only a week old, appellant failed to keep a doctor’s appointment arranged by the caseworker who noticed the infant’s condition. When A.H.’s condition ultimately resulted in hospitalization at age one month, her diarrhea cleared up after one day and she regained her seventy-fifth percentile birth weight after deteriorating to the fifth percentile weight noted on her admission to the hospital. Both physicians who treated A.H. testified that she suffered not only from diarrhea, but also from a failure to thrive associated with neglect.
The record demonstrates that appellant consistently missed follow-up sessions for both A.H. and L.H., as well as M.H.’s therapy and her own counselling sessions. Several witnesses testified to appellant’s severe lack of emotional stability, which Texas courts have recognized as a factor contributing to endangerment sufficient to terminate parental rights.
See, e.g., Davis v. Travis County Child Welfare Unit,
*429 We find that the record clearly supports the trial court’s finding that appellant engaged in a course of conduct which endangered her children’s physical or emotional well-being or placed them with others who did so, and therefore overrule the second point of error.
In her third point of error appellant maintains there is no evidence to support the trial court’s finding, pursuant to § 15.02(1)(D) of the Family Code, that she knowingly placed her children in conditions or surroundings that endangered their physical or emotional health. We cannot agree.
Unlike § 15.02(1)(E), which addresses parental conduct, § 15.02(1)(D) addresses the child’s surroundings and environment.
In re S.H.A.,
We find the record legally sufficient to support the trial court’s finding that appellant knowingly placed, or allowed her children to remain in, an endangering environment. Specific instances include a caseworker’s testifying that she found M.H. and L.H. alone in a room in which an unprotected wall-mounted heater was shooting out flames. M.H. was five at the time and L.H. not yet one. The same caseworker testified that Homemaker Services workers assigned to appellant's home often reported her missing. Once when appellant left her handicapped son M.H. alone in a house which she acknowledged was overrun by ants, he experienced anaphylactic shock due to his extensive ant bites and required emergency resuscitation.
Although there is less direct evidence concerning the effect of the children’s environment on the infant A.H., we find sufficient evidence to show that the environment appellant provided for her children had adverse effects on A.H. G.C.C.P.S. succeeded in gaining temporary managing conservatorship of A.H. when she was about six months old. The record demonstrates that the physicians who treated her for diarrhea and failure to thrive were concerned about her environment. Moreover, there was testimony that appellant consistently failed to keep the Homemaker Services appointments which were designed to help her improve the children’s environment as well as her own parenting skills. There was evidence that the children and their living quarters were often filthy, as well as evidence that she failed to make improvements in the environment which caseworkers recommended. Ultimately, during the fall of 1984, when all three children were with appellant, she refused to admit G.C.C.P.S. caseworkers who sought to monitor the home situation. Finally, because testimony at trial shows that appellant failed to improve the parenting skills, which had resulted in such an unsafe environment for M.H. and L.H., we conclude the trial court properly inferred that the environment was equally risky for A.H. during the first six months of her life.
Boyd,
Because we find the evidence legally sufficient to support termination of appellant’s parental rights in all three children pursuant to § 15.02(1)(D) of the Family Code due to an environment which endangered their physical and emotional well-being, we overrule appellant’s third point of error.
We next address appellant’s fourth and fifth points of error in which she challenges the trial court’s finding that termination of her parental rights served the children’s best interest. The fourth point challenges the legal sufficiency of evidence to support the court’s best interest finding. In her fifth point she maintains the court erroneously severed her parental rights by evaluating only the children’s best interest.
*430
We disagree with both contentions. Section 15.02(2) of the Family Code requires a trial court to buttress § 15.02(1) findings of acts or omissions with an additional finding that termination of parental rights is in the children’s best interest.
See also, Holley v. Adams,
With respect to M.H., her handicapped child, appellant’s own testimony established he would do better to continue in the care of G.C.C.P.S. Furthermore, in briefing her fourth point of error to this court, appellant concedes there was testimony tending to show her “acts and omissions” which endangered the emotional or physical well-being of all three children. A parent’s acts or omissions which show lack of a proper parent-child relationship are one of many possible factors Texas courts recognize as affecting the best interest of the child.
See Holley,
Appellant bases her fifth point of error on remarks concerning the children’s best interest which the trial court made when it announced its decision to terminate her parental rights at the close of trial. She argues her parental rights were severed based
only
on a finding of the children’s best interest in violation of Tex.Fam.Code § 15.02(2) and
Holley,
The judgment of the trial court is affirmed.
Notes
. All statutory references are to the 1986 edition of the Texas Family Code.
