State v. Freeman ( 2021 )


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  •                        NOTICE: NOT FOR OFFICIAL PUBLICATION.
    UNDER ARIZONA RULE OF THE SUPREME COURT 111(c), THIS DECISION IS NOT PRECEDENTIAL
    AND MAY BE CITED ONLY AS AUTHORIZED BY RULE.
    IN THE
    ARIZONA COURT OF APPEALS
    DIVISION ONE
    STATE OF ARIZONA, Appellee,
    v.
    AARON ROMAN FREEMAN, Appellant.
    No. 1 CA-CR 19-0666
    FILED 1-19-2021
    Appeal from the Superior Court in La Paz County
    No. S1500CR201700259
    The Honorable Robert Duber II, Judge (Retired)
    AFFIRMED
    COUNSEL
    Arizona Attorney General’s Office, Phoenix
    By Casey D. Ball
    Counsel for Appellee
    Carr Law Office PLLC, Kingman
    By Sandra Carr
    Counsel for Appellant
    STATE v. FREEMAN
    Decision of the Court
    MEMORANDUM DECISION
    Judge Michael J. Brown delivered the decision of the Court, in which
    Presiding Judge Jennifer M. Perkins and Judge David B. Gass joined.
    B R O W N, Judge:
    ¶1             Aaron Roman Freeman appeals his convictions and sentences
    for first-degree felony murder, two counts of child abuse, and two counts
    of aggravated assault. The victim on all counts was A.S., Freeman’s three-
    year-old daughter. For the following reasons, we affirm.
    BACKGROUND
    ¶2              We view the evidence in the light most favorable to sustaining
    the jury’s verdicts, resolving all reasonable inferences against Freeman.
    State v. Felix, 
    237 Ariz. 280
    , 283, ¶ 2 (App. 2015).
    ¶3            Freeman worked at his step-grandfather’s tire shop, located
    in Ehrenberg, Arizona. Freeman went to work on Saturday, June 10, 2017,
    and A.S. went with him. On their way to the tire shop, they stopped at a
    drive-thru to get breakfast and at a convenience store to buy candy.
    ¶4             As shown by surveillance video from the tire shop, Freeman
    and A.S. arrived at the tire shop at around 11:15 a.m. After Freeman tossed
    A.S. her breakfast burrito, she ate it, and sat on the floor. Throughout the
    three-hour video, Freeman became increasingly violent in his interactions
    with A.S. He is seen pulling A.S. by her hair and grabbing her. A.S.
    appeared to ask for water, opened her mouth, and Freeman threw water in
    her face. Freeman also grabbed and twisted A.S.’s arm until she dropped
    to the ground. Later in the day, he hit her in the face, causing her to spin
    around and fall down onto a tire. Freeman later admitted in a police
    interview to “popp[ing]” A.S. in the mouth but claimed she had used a bad
    word and needed to be disciplined. Two and a half hours after arriving at
    the tire shop, Freeman led A.S. into a storage room. When A.S. put her arm
    through the door, Freeman used both arms to pull the door closed with
    A.S.’s hand in the door, smashing her hand in the door. A.S. appeared to
    scream out in pain and looked at her hand as she pulled it free. Freeman
    then pushed A.S. by the head into the storage room and out of the video
    frame for a few minutes. While this occurred, at one point the video shook.
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    ¶5             Freeman exited the storage room and returned with a blue
    towel. Freeman then continued to work while A.S. was in the room. He
    then returned to the room. As Freeman and A.S. left the room a short time
    later her hair appeared disheveled. Police later discovered a pool of A.S.’s
    blood on the floor of the room, blood splatter on the wall, and the blue towel
    with blood on it. Freeman later claimed that A.S. had a nosebleed from the
    heat.
    ¶6            Freeman and A.S. left the tire shop at 2:18 p.m. and drove to
    their home in Blythe, California, about 17 minutes away. After arriving,
    Freeman recorded a video of A.S. swimming naked in their pool. The 17-
    second video showed A.S. struggling to keep her head above water. She
    reached for the edge of the pool and Freeman pushed her hand away and
    told her “no, I said no. You’re swimming.”
    ¶7             Katie Mays, Freeman’s girlfriend at that time, arrived home
    from work around 6 p.m. She testified that when she arrived home, she
    noticed A.S. had problems walking. Freeman and Katie then called Katie’s
    sister-in-law, Kerry Mays, to seek advice because Kerry worked in the
    medical field. She did not answer so they called Freeman’s sister-in-law,
    Mariah, who was also in the medical field.
    ¶8            Freeman and Katie then took A.S. to the local hospital, Palo
    Verde, which is a small facility that lacks the ability to treat high-needs
    pediatric patients. While A.S. was in the hospital, Freeman and Katie left
    to get dinner and some belongings. Later in the evening, diagnostic testing
    revealed that A.S. had free air in her abdomen due to a perforated stomach.
    The hospital determined it was unable to meet A.S.’s needs and she needed
    to be transferred to a different hospital. Loma Linda Medical Center, in
    California, agreed to take A.S. as a patient. Typically, for a patient in A.S.’s
    condition, Loma Linda would use an air transport team to transport A.S.
    However, on June 10, 2017, an air transport was apparently not available
    because of a weather delay or equipment problem. This delayed the
    transport and A.S. did not arrive at Loma Linda until 7:21 a.m. on June 11.
    Her condition quickly declined and she died at 8:24 a.m.
    ¶9            Police began to examine the circumstances surrounding the
    child’s death. Because she died at the hospital in California, initially the
    Blythe police department investigated. After finding the footage of the tire
    shop in Arizona, the department reached out to the La Paz County Sheriff’s
    Department for help with the investigation.
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    STATE v. FREEMAN
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    ¶10          Police discovered a block of missing text messages from
    Freeman’s phone covering a four-hour window on June 10 and a block of
    text messages were also missing from Katie’s phone. Police were unable to
    recover any of those messages. Katie testified that Freeman had access to
    her phone while they were at the hospital and when they went out to eat.
    ¶11           Blythe’s chief of police, Coe, interviewed Freeman three days
    after A.S. died. The entire recorded interview was shown to the jury.
    Freeman admitted to previously leaving marks on A.S. and that he spanked
    her and made her cry. Freeman also told Coe he smacked A.S. in the mouth
    and threw a water bottle at her while at the tire shop. But Freeman could
    not remember grabbing A.S. by the hair or face that day, although he said
    it was something he would do. At the time of A.S.’s death, Freeman had
    been her custodial parent for nine months.
    ¶12           The State charged Freeman with 11 crimes, including felony
    murder. At trial, Freeman did not testify but defended in part on the theory
    that his family dog, a large black lab, ran into A.S. and knocked her down
    when she was outside by the pool. A nurse from Palo Verde Hospital and
    the forensic pathologist testified that A.S.’s stomach was ruptured from
    blunt force trauma. A veterinarian testified that while a large dog can
    knock a child down, he has never known it to be fatal. Dr. Foulad, a general
    surgery resident at Loma Linda, testified it would take significant force to
    rupture a stomach and compared it to popping a half-inflated balloon. He
    opined that being hit with a sledgehammer or tool is consistent with the
    amount of force necessary to cause such an injury.
    ¶13           The forensic pathologist testified that she found partially
    digested food within A.S.’s body. Based on her expertise, on average food
    takes two hours to digest. Between A.S. eating her breakfast burrito and
    entering the storage room with Freeman was just over two hours. The
    autopsy showed bruising and abrasions over many areas of A.S.’s body
    including her head, arm, lips, leg, and elbow. The jury was also shown the
    surveillance video of Freeman and A.S. at the tire shop. The portions
    without the two interacting were fast forwarded, but the jury had access to
    the entire video.
    ¶14            The jury found Freeman guilty of (Count 1) first-degree
    felony murder, (Count 2) second-degree murder, (Count 3) child abuse,
    (Count 4) aggravated assault, (Count 5) aggravated assault on a minor for
    rupturing A.S.’s stomach, (Count 8) child abuse (Count 9) aggravated
    assault for striking A.S. in the face, (Count 10) child abuse, and (Count 11)
    aggravated assault for smashing A.S.’s hand in the door. Freeman was
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    found not guilty of (Count 6) child abuse and (7) aggravated assault for
    kicking A.S. At sentencing, the superior court found that Counts 2 through
    5 were encompassed in Count 1 (felony murder) and therefore dismissed
    those counts. The court sentenced Freeman to various sentences, including
    life without parole, and he timely appealed.
    DISCUSSION
    A.     Territorial Jurisdiction
    ¶15            Freeman moved for acquittal under Arizona Rule of Criminal
    Procedure (“Rule”) 20, asserting the State failed to prove there was
    evidence that he “ruptured the victim’s stomach; and that goes to Counts
    [1] through [5].” On appeal, he argues the evidence in the record is
    insufficient to prove he inflicted the abdominal injury upon A.S. in Arizona
    and thus the court erred in denying his motion for judgment of acquittal.
    We address this argument only as to Count 1 because Counts 2 through 5
    were dismissed at sentencing.
    ¶16          Subject matter jurisdiction is determined under A.R.S. § 13-
    108, which provides as follows:
    A. This state has jurisdiction over an offense that a person
    commits by his own conduct or the conduct of another for
    which such person is legally accountable if:
    1. Conduct constituting any element of the offense or a result of
    such conduct occurs within this state; or
    ...
    B. When the offense involves a homicide, either the death of
    the victim or the bodily impact causing death constitutes a result
    within the meaning of subsection A, paragraph 1. If the body
    of a homicide victim is found in this state it is presumed that
    the result occurred in this state.
    A.R.S. § 13-108 (A)(1), (B) (emphasis added). As noted by our supreme
    court, “[i]n the very rare case in which jurisdiction is legitimately in issue
    because of contradicting jurisdictional facts, Arizona’s territorial
    jurisdiction must be established beyond a reasonable doubt.” State v.
    Willoughby, 
    181 Ariz. 530
    , 538 (1995). This is one of those rare cases.
    ¶17         We review de novo the denial of a motion made under
    Arizona Rule 20. State v. West, 
    226 Ariz. 559
    , 562, ¶ 15 (2011). “[T]he court
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    must enter a judgment of acquittal . . . if there is no substantial evidence to
    support a conviction.” Rule 20(a)(1). Viewing the evidence in the light most
    favorable to the State, substantial evidence means “such proof that
    reasonable persons could accept as adequate and sufficient to support a
    conclusion . . . beyond a reasonable doubt.” West, 226 Ariz. at 562, ¶ 16
    (quotations omitted). “Both direct and circumstantial evidence should be
    considered in determining whether substantial evidence supports a
    conviction.” Id. When the evidence allows reasonable minds to differ as to
    the inferences drawn from the facts, the superior court judge has no
    discretion to enter a judgment of acquittal. Id. at 563, ¶ 18.
    ¶18              To convict Freeman of felony murder, the State had to prove
    beyond a reasonable doubt that Freeman committed child abuse, and in the
    course of and in furtherance of that offense, he caused A.S.’s death. See
    A.R.S. § 13-3623; A.R.S. § 13-1105(A)(2). Child abuse under § 13-3623,
    subsection A, paragraph 1 states that “under circumstances likely to
    produce death or serious physical injury, any person who causes a child
    . . . to suffer physical injury . . . is guilty of an offense . . . if done intentionally
    or knowingly.”
    ¶19           Freeman and A.S. lived in California, and Freeman worked in
    Arizona. All the crimes charged against Freeman, including the felony
    murder count, were alleged to have occurred in Arizona at the tire shop.
    All testimony and evidence introduced was to prove the fatal injury took
    place in Arizona. The video evidence shows A.S. and Freeman entering the
    back room and when they were out of camera view the camera shook.
    Police discovered blood on the floor, blood splatter on the wall, and a towel
    with blood on it in the back room. Additionally, A.S.’s hair appeared in a
    different condition when she left the back room than when she arrived. The
    pathologist’s testimony established that A.S.’s stomach was likely ruptured
    roughly two hours after eating, given the time it takes for food to digest.
    The video shows A.S. and Freeman enter the back room roughly two hours
    after she ate her breakfast burrito. No evidence was presented to suggest
    that any element of felony murder took place in California. Because a
    reasonable jury could find that the fatal injury occurred in the storage room,
    the superior court did not err in denying Freeman’s Rule 20 motion.
    ¶20            Freeman challenges the jury instruction on territorial
    jurisdiction, asserting it was inadequate and confusing, and it failed to note
    that jurisdiction must be proven beyond a reasonable doubt. Because
    Freeman failed to object to the instruction at trial, we review solely for
    fundamental error.         Under this standard, Freeman must establish
    fundamental error by showing “(1) the error went to the foundation of the
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    STATE v. FREEMAN
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    case, (2) the error took from the defendant a right essential to his defense,
    or (3) the error was so egregious that he could not possibly have received a
    fair trial.” State v. Escalante, 
    245 Ariz. 135
    , 142, ¶ 21 (2018). If established
    under prongs one or two, the defendant must also show prejudice, while
    prejudice is assumed under prong three. 
    Id.
     The “defendant bears the
    burden of persuasion at each step.” 
    Id.
    ¶21            We view jury instructions as a whole to determine de novo
    whether a given instruction correctly states the law. State v. Abdi, 
    226 Ariz. 361
    , 363, ¶ 5 (App. 2011). The instruction at issue states:
    A person is legally accountable if he commits by his own
    conduct and his conduct constituted any element of the
    offense or a result of such conduct occurs within this state.
    When the offense involves a homicide, either the death of the
    victim or the bodily impact causing death constitutes a result
    within the meaning of this instruction.
    ¶22          The jury was also instructed on the elements of each count
    charged, the State’s responsibility to prove “each element of each charge
    beyond a reasonable doubt” and its burden to “prove guilt beyond a
    reasonable doubt based on the evidence.” In addition, the verdict form for
    Count 1 required a finding that “at least one element of the charge or result”
    occurred in Arizona.
    ¶23           We do not evaluate the jury instructions in a vacuum; we
    review them in context and in conjunction with closing arguments of
    counsel. See State v. Johnson, 
    205 Ariz. 413
    , ¶ 11 (App. 2003). Defense
    counsel repeatedly spoke to jurors about jurisdiction and their obligation to
    determine whether Freeman ruptured A.S.’s stomach in Arizona. Defense
    counsel pointed out that the jury instruction was confusing and “lawyerly”
    but nonetheless informed the jury it must determine the stomach was
    ruptured in Arizona to find Freeman guilty of Counts 1 through 5. Further,
    in the State’s closing argument, the prosecutor told the jury that the
    “ultimate question” about “where that ruptured stomach occurred is your
    decision.”
    ¶24           Although the jury instruction addressing jurisdiction was not
    clearly worded, the instructions as a whole and the arguments of counsel
    guided the jury to a legally consistent verdict. Thus, even assuming error
    occurred, the error was not fundamental.
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    STATE v. FREEMAN
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    B.     Theories of Second-Degree Murder
    ¶25           Freeman argues the jury instructions on second-degree
    murder (Count 2) for both knowingly and intentionally were wrong
    because he was only charged with committing the crime recklessly. The
    superior court found that Counts 2 through 5 were included in Count 1
    (first degree murder) and dismissed them as duplicitous.
    ¶26            As a matter of judicial restraint, we will consider an issue
    moot “when our action as a reviewing court will have no effect on the
    parties,” unless the matter presents an issue of “great public importance or
    one capable of repetition yet evading review.” See Cardoso v. Soldo, 
    230 Ariz. 614
    , 617, ¶ 5 (App. 2012). Given that our resolution of this issue would have
    no bearing on Freeman’s convictions or sentences, Freeman’s argument
    about the second-degree murder instruction is moot. And because the issue
    does not involve a matter of public importance that would evade review,
    we do not address it. See 
    id.
    C.     Non-unanimous Verdicts
    ¶27           Freeman argues his conviction for Count 1 (felony murder)
    must be reversed because the jurors may have relied on acts or omissions
    that took place in California. His argument lacks supporting evidence. The
    State’s only theory of A.S.’s death was that A.S. died after Freeman used
    blunt force trauma inflicted in the storage room of the tire shop in Arizona.
    There was no evidence presented that any of the abuse took place in
    California. And to the extent jurors believed any part of Count 1 did take
    place in California, it is sufficient that at least one element of the crime was
    committed in Arizona. See Willoughby, 
    181 Ariz. at 540
     (finding Arizona
    had jurisdiction when the murder was committed in Mexico, but the
    planning occurred in Arizona). Thus, no reasonable justification exists to
    believe the jury relied on any events that took place in California in
    convicting Freeman of felony murder.
    ¶28          To the extent Freeman raises this same issue as to Count 3, we
    do not address it because that count was dismissed. Similarly, we decline
    to address as moot Freeman’s argument that the verdict for Count 2 was
    compromised by an amendment to the indictment that failed to give him
    proper notice. Supra ¶ 26.
    D.     Causation
    ¶29           Freeman argues he was “entitled to an instruction on any
    theory of the case reasonably supported by the evidence,” State v. Shumway,
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    137 Ariz. 585
    , 588 (1983), and the superior court erred when it did not sua
    sponte give a superseding cause instruction. Freeman did not raise this
    issue at trial so we review for fundamental error only.
    ¶30             Even viewing the evidence at trial in the light most favorable
    to Freeman, the instruction would still not have been warranted. He argues
    that because medical staff did not transport A.S. to Loma Linda more
    quickly, the time taken to transport A.S. constituted a superseding event
    that proximately caused A.S.’s death. However, “[a]n intervening force is
    not a superseding cause if the original actor’s negligence creates the very
    risk of harm that causes the injury.” Young v. Envtl. Air Prods., Inc., 
    136 Ariz. 206
    , 212 (App. 1982), modified on other grounds and aff’d, 
    136 Ariz. 158
     (1983).
    Even assuming A.S. would have survived if she had been transported
    faster—although no evidence supports that theory—she would not have
    died had Freeman not ruptured her stomach. See State v. Ulin, 
    113 Ariz. 141
    ,
    143 (1976) (“Generally, one who unlawfully wounds another is held to the
    consequences flowing from such injury. Other contributing causes relieve
    the wrongdoer of the death of a victim only if they are the proximate cause
    of death.”). And the chain of causation is broken if there is medical
    malpractice only when the medical professional “was negligent and the sole
    cause of . . . death.” 
    Id.
    ¶31            Thus, the superior court did not commit fundamental error
    by failing to sua sponte instruct the jury on a superseding cause. See State
    v. Finch, 
    202 Ariz. 410
    , 415, ¶ 20 (2002), supplemented, 
    205 Ariz. 170
     (2003)
    (finding that when a shooting victim was not found quickly enough to save
    him proximate cause was not at issue because the gunshot wounds were
    the cause of death).
    E.     Predicate Felony
    ¶32            Freeman argues the child abuse ended when he took A.S. to
    the hospital, and because she died at the hospital, the evidence was
    insufficient to find her death occurred “in the course of or in furtherance of
    the predicate felony.” We review sufficiency of the evidence de novo. State
    v. Bible, 
    175 Ariz. 549
    , 595 (1993).
    ¶33           A person is guilty of first-degree murder if “in the course of
    and in furtherance of the offense or immediate flight from the offense, the
    person or another person causes the death of any person.” A.R.S. § 13-
    1105(A)(2) (emphasis added). Freeman seems to argue that the victim must
    die during the felony. We disagree. The State’s theory of the case was that
    during the ongoing child abuse at the tire shop, Freeman inflicted a fatal
    blow to A.S. by rupturing her stomach in the storage room. The State was
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    STATE v. FREEMAN
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    therefore required to prove that Freeman caused the death of A.S. by
    committing the predicate felony, child abuse. See A.R.S. § 13-1105(A)(2).
    Substantial evidence shows that in the course of committing felony child
    abuse, Freeman ruptured A.S.’s stomach, which in turn caused her death.
    F.     Failure to Seek Treatment
    ¶34            Freeman argues the evidence does not support Count 1 on a
    “failure to seek treatment theory.” But the State did not argue that theory
    at trial. Nor was Freeman charged with failing to seek treatment for A.S.
    Though he did wait to seek treatment for over five hours after he took A.S.
    to the storage room, no evidence was presented to suggest her death was
    caused by his failure to seek treatment. Instead, the State’s theory of the
    case was that Freeman caused A.S.’s death by assaulting her in the storage
    room. Thus, we reject Freeman’s suggestion that the State’s failure to prove
    this unasserted theory means Count 1 must be vacated based on lack of
    evidence.
    G.     Confrontation Clause
    ¶35            Freeman argues his right to confrontation was violated when
    Kerry Mays testified that while she was alone with A.S. at the hospital she
    asked A.S. what happened and A.S. responded, “Daddy.” Freeman did not
    object on either of these grounds at trial. Thus we review for fundamental
    error. See State v. Holder, 
    155 Ariz. 83
    , 85 (1987).
    ¶36            The Confrontation Clause of the Sixth Amendment states that
    “[i]n all criminal prosecutions, the accused shall enjoy the right . . . to be
    confronted with the witnesses against him . . . .” This clause prohibits the
    “admission of testimonial statements of a witness who did not appear at
    trial unless he was unavailable to testify, and the defendant had . . . a prior
    opportunity for cross-examination.” Crawford v. Washington, 
    541 U.S. 36
    ,
    53–54 (2004).
    ¶37           The court in Crawford left “for another day any effort to spell
    out a comprehensive definition of ‘testimonial.’” 
    Id. at 68
    . But the court
    clarified that testimonial statements include those that “would lead an
    objective witness reasonably to believe that the statement would be
    available for use at a later trial.” 
    Id.
     at 51–52 (citation omitted). Here, there
    is no indication A.S. thought her statement would later be used in a trial.
    State v. Damper, 
    223 Ariz. 572
    , 575–76, ¶ 12 (App. 2010) (holding that a text
    message was not testimonial because nothing “suggests [victim] intended
    or believed it might later be used in a prosecution or at a trial”). Further,
    “[s]tatements by very young children will rarely, if ever, implicate the
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    STATE v. FREEMAN
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    Confrontation Clause.” Ohio v. Clark, 
    576 U.S. 237
    , 247–48 (2015). Courts
    should also consider the questioner’s identity. Id. at 249 (finding it
    significant that the child made a disclosure to a teacher and not a law
    enforcement officer). A.S. made the comment to her father’s girlfriend’s
    sister, an aunt-like figure. See id. (“It is common sense that the relationship
    . . . is very different from that between a citizen and the police.”). Given
    these facts, the statements were not testimonial and did not violate
    Freeman’s right to confrontation.
    H.     Expert Witnesses
    ¶38            Freeman argues the court erred in allowing Kerry Mays and
    her husband, Austin Mays, to testify about bruises they saw on A.S. while
    at the hospital. Freeman contends the testimony was improperly admitted
    as expert testimony. Because he failed to object at trial, we review only for
    fundamental error.
    ¶39            “Lay witnesses may give opinion testimony, even as to the
    ultimate issue, when it is ‘rationally based on the perception of the witness
    and . . . helpful to a clear understanding of the witness’ testimony or the
    determination of a fact in issue.’” State v. Doerr, 
    193 Ariz. 56
    , 63, ¶ 26 (1998)
    (citing Ariz. R. Evid. 701). Contrary to Freeman’s assertion, Kerry and
    Austin testified as lay witnesses, not experts.
    ¶40            Further, Freeman fails to provide any explanation of how he
    was prejudiced except to say his defense was “gutted.” The testimony that
    A.S. had bruises was cumulative because there were many sources of other
    evidence that A.S. was often covered in bruises. The improper admission
    of evidence is harmless when the evidence is “entirely cumulative.” State
    v. Williams, 
    133 Ariz. 220
    , 226 (1982); see also State v. Romero, 
    240 Ariz. 503
    ,
    510, ¶ 17 (App. 2016) (“Cumulative evidence supports a fact ‘otherwise
    established by existing evidence’ . . . and it cannot be the very issue in
    dispute.”). A video of a police interview with Freeman was shown to the
    jury, in which Freeman told police that A.S.’s daycare had commented on
    the number of bruises on A.S. on her bottom, face, and head and scratches
    on her back. Autopsy photos showed various bruises and abrasions on
    A.S.’s body including her head, nose, mouth, chin, ear, arms, legs, and feet.
    In the video of A.S. swimming an abrasion on her nose is visible. Further,
    Kerry and Austin’s testimony that the bruises looked like A.S. had been
    grabbed is consistent with the video from the tire shop that showed
    Freeman grabbing or hitting A.S. numerous times. Thus, any testimony
    that she was often covered in bruises was cumulative and did not prejudice
    Freeman.
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    ¶41           Freeman contends it was error for Kerry Mays to describe
    A.S.’s breathing as “agonal.” Again, because Freeman did not object, he
    must establish fundamental error. Even assuming error occurred, Freeman
    provides no rationale for how this amounts to fundamental error or how a
    reasonable jury could have reached a different result without this
    testimony. See Escalante, 245 Ariz. at 144, ¶ 29.
    ¶42           Freeman also argues Dr. Foulad did not have the requisite
    training to opine on child abuse or the mechanism in which A.S. was injured
    given that he was “just over a year out of medical school.” Freeman
    contends the court fundamentally erred in allowing Foulad to testify as an
    expert. To be admissible, “expert testimony must (1) come from a qualified
    expert, (2) be reliable, (3) aid the triers of fact in evaluating and
    understanding matters not within their common experience, and (4) have
    probative value that outweighs its prejudicial effect.” State v. Moran, 
    151 Ariz. 378
    , 380–81 (1986). Foulad received his undergraduate and medical
    degrees from the University of California Los Angeles and was
    participating in general surgery residency training. Foulad testified that
    Loma Linda University Medical Center, where he was receiving such
    training, receives some of the highest numbers of child abuse cases of any
    hospital in the country. Foulad also explained he was part of the hospital’s
    pediatric surgery and trauma team. Although Foulad was only in his
    second year of residency, his training and expertise allowed him to testify
    about A.S.’s injuries and the mechanism of injury. The absence of
    additional qualifications goes to the weight of his testimony, not its
    admissibility. See State v. Delgado, 
    232 Ariz. 182
    , 186, ¶ 12 (App. 2013). The
    court did not err in allowing Foulad to testify as an expert.
    I.     Evidence of Past Bruising
    ¶43           Freeman argues the testimony given by a store clerk from the
    convenience store Freeman and A.S. frequented was improperly admitted.
    The store clerk testified about A.S.’s bruising and stated that A.S. seemed
    “afraid.” Before trial the State filed a motion in limine to allow the
    testimony, which Freeman opposed and the court denied. However, when
    the store clerk testified Freeman did not object. Thus, we review for
    fundamental error.
    ¶44           Because the court denied the State’s motion in limine, the
    testimony should have been stricken. Nonetheless, like the testimony about
    A.S.’s bruises given by Austin and Kerry Mays, ample other evidence was
    presented about the extensive bruising on A.S. and the statements were
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    STATE v. FREEMAN
    Decision of the Court
    cumulative. See supra, ¶ 40. Thus, Freeman is unable to show fundamental
    error occurred.
    ¶45             Concerning the testimony that A.S. seemed “afraid,” Freeman
    has not shown the error went to the foundation of his case, took away a
    right essential to his defense, or was so harmful he could not have received
    a fair trial. See Escalante, 245 Ariz. at 142, ¶ 21. Nor has Freeman established
    he was prejudiced by the error. Even without the isolated comment that
    A.S. seemed “afraid,” no reasonable jury could have reached a different
    result. See id. at ¶ 34.
    J.     Prosecutorial Misconduct
    ¶46           Freeman argues the prosecutor’s pervasive misconduct
    requires a new trial. Specifically, he contends the prosecutor (1) asked
    questions aimed at eliciting improper evidence, and (2) intentionally defied
    the court’s order excluding the evidence of past bruising. Prosecutorial
    misconduct is defined as “intentional conduct which the prosecutor knows
    to be improper and prejudicial.” State v. Martinez, 
    221 Ariz. 383
    , 393, ¶ 36
    (App. 2009) (quoting Pool v. Superior Court, 
    139 Ariz. 98
    , 108–09 (1984)). “To
    prevail on a claim of prosecutorial misconduct, a defendant must
    demonstrate that the prosecutor’s misconduct ‘so infected the trial with
    unfairness as to make the resulting conviction a denial of due process.’”
    State v. Hughes, 
    193 Ariz. 72
    , 79, ¶ 26 (1998) (quoting Donnelly v.
    DeChristoforo, 
    416 U.S. 637
    , 643 (1974)).
    ¶47           The instances Freeman points to include the testimony of
    Kerry Mays and the store clerk. The prosecutor asked Kerry, “[a]nything
    else during the second time you were at the hospital?” Kerry responded to
    the question by saying that A.S. responded, “Daddy,” when she was asked
    at the hospital what happened to her. And when the prosecutor had asked
    the store clerk if A.S. “appear[ed] to be in any pain, [or] having difficulty
    walking or breathing,” the clerk responded that A.S. seemed “afraid.” In
    neither of these instances is there evidence that the prosecutor engaged in
    conduct known to be improper and prejudicial. See Martinez, 221 Ariz. at
    393, ¶ 36.
    ¶48            The prosecutor also asked the clerk what she saw on A.S. and
    the clerk said she saw bruises. The prosecutor then asked about where the
    bruises were and what they looked like. While this was not permitted
    because it conflicted with the court’s ruling on the motion in limine, this
    brief questioning did not infect the trial with unfairness. See Hughes, 
    193 Ariz. at 79, ¶ 26
    .
    13
    STATE v. FREEMAN
    Decision of the Court
    ¶49           Freeman has failed to meet his substantial burden to prove a
    denial of his due process, even when all of the claimed instances of
    pervasive misconduct are viewed together. See 
    id.
     (“To determine whether
    prosecutorial misconduct permeates the entire atmosphere of the trial, the
    court necessarily has to recognize the cumulative effect of the
    misconduct.”).
    CONCLUSION
    ¶50          We affirm Freeman’s convictions and sentences.
    AMY M. WOOD • Clerk of the Court
    FILED: AA
    14