State v. Anderson ( 2014 )


Menu:
  • An unpublished opinion of the North Carolina Court of Appeals does not constitute
    controlling legal authority. Citation is disfavored, but may be permitted in accordance
    with the provisions of Rule 30(e)(3) of the North Carolina Rules of Appellate Procedure.
    NO. COA13-1105
    NORTH CAROLINA COURT OF APPEALS
    Filed: 6 May 2014
    STATE OF NORTH CAROLINA
    v.                                      Onslow County
    No. 11 CRS 55657–61
    LARRY WAYNE ANDERSON
    Appeal by defendant from judgments entered 12 April 2013 by
    Judge Charles H. Henry in Onslow County Superior Court.                       Heard
    in the Court of Appeals 3 February 2013.
    Attorney General Roy Cooper, by Assistant Attorney General
    Linda Kimbell, for the State.
    Parish & Cooke,           by   James     R.   Parish,     for    defendant-
    appellant.
    HUNTER, JR., Robert N., Judge.
    Defendant Larry Wayne Anderson (“Defendant”) appeals from
    judgments entered on 12 April 2013.                 Defendant argues (i) the
    trial court erred in denying his motion to dismiss in 11 CRS
    55659, (ii) the trial court violated Defendant’s rights under
    the confrontation clause of the United States and North Carolina
    Constitutions, and (iii) the trial court committed plain error
    -2-
    in admitting certain statements by a treating physician in this
    child abuse case.         After careful review, we find no plain error.
    I. Facts & Procedural History
    On 11 September 2012 the Onslow County Grand Jury indicted
    Defendant on charges of felony child abuse inflicting serious
    mental injury (“ISMI”), felony child abuse inflicting serious
    bodily injury (“ISBI”), and contributing to the delinquency or
    other condition of a minor (“CDM”) against J.H. (“Antonio”)1 and
    J.B. (“Corey”).         The same day, Defendant was indicted on charges
    of accessory after the fact of child abuse and CDM against his
    biological       daughter,    K.A.    (“Violet”).            Defendant      was     also
    indicted    on    11    September    2012    on    charges    of    assault    with   a
    deadly    weapon       inflicting   serious       injury,    ISBI,   CDM,     and    two
    counts of ISMI against another stepchild, S.B. (“Benjamin”).                          On
    13    November     2012,     the    Onslow    County        Grand    Jury     indicted
    Defendant    on    charges     of    ISMI,    ISBI,     and    CDM    against       W.B.
    (“Dakota”).2       Defendant pled not guilty to all charges.                        The
    charges came on for trial at the 8 April 2013 session of Onslow
    Count Superior Court.          The trial transcript tended to show the
    following facts.
    1
    Pseudonyms are used to protect the identities of the children
    involved in this case.
    2
    Collectively, we refer to all five children as “the children.”
    -3-
    Samual    Brown      (“Mr.    Brown”)      is   the    biological     father    of
    Benjamin, Corey, and Dakota, whom he fathered with his former
    wife, Mrs. Janet Anderson (“Mrs. Anderson”).                     Mr. Brown, an Army
    serviceman, was deployed to Afghanistan in February 2009.                              In
    November 2009, while Mr. Brown was still in Afghanistan, Mr.
    Brown    and    Mrs.    Anderson      separated.         Mr.    Brown    paid    spousal
    support    after       he   and     Mrs.    Anderson     separated.3         Mr.    Brown
    unsuccessfully asked Mrs. Anderson for primary custody of his
    children after he returned home.                    Mr. Brown continued placing
    phone calls to his children while he was deployed and after he
    returned home.
    On 9 July 2011, Mr. Brown spoke with Benjamin over the
    phone.         Mr.   Brown    said     his    son      was    “hysterical,      crying.”
    Benjamin told Mr. Brown that Defendant “tied me up and duct-
    taped my mouth.”            Mr. Brown told Benjamin to hand the phone to
    his ex-wife Mrs. Anderson, whom he told “I want the kids, and I
    want them now.         That way, I can take care of them and make sure
    they’re    happy.”           Mr.    Brown    then      called    the    Onslow     County
    Department of Social Services                 (“DSS”)        and filed a report of
    abuse.
    3
    Mrs. Anderson later married Defendant on 1 November 2010.
    -4-
    Mr. Brown was stationed in Alaska at the time of the phone
    call and made arrangements to move to Fort Bragg, where his
    children lived, in August 2011.          When he moved to Fort Bragg,
    Mr. Brown’s children were already in foster care, and he was
    able to regain custody about three weeks after moving to North
    Carolina.    Mr. Brown also attempted to gain custody of Antonio,
    but was unsuccessful.
    Mr. Brown noticed that his children were “different” after
    he   regained   custody   of   them.     Mr.   Brown   said   Benjamin   was
    “[s]cared of anybody he didn’t know,” and that he would attach
    himself to Mr. Brown whenever Benjamin went to a new place or
    met new people.    Mr. Brown said Benjamin was afraid of Defendant
    and that Benjamin thought Defendant “was going to come get him.”
    Mr. Brown said Corey was “scared of any man, period, besides
    me.”    Benjamin, Corey, and Dakota would “[w]ake up screaming”
    because “they were afraid of their nightmares.”           Benjamin banged
    his head against walls, scratched himself, and jumped out of a
    second floor window at Mr. Brown’s home.          Mr. Brown said he was
    unable to properly care for Benjamin.            Benjamin ran away from
    home and Mr. Brown called DSS for help.           Mr. Brown then agreed
    to put Benjamin in foster care because he said he “couldn’t help
    -5-
    him the way he needed to be helped.”                           Mr. Brown remained in
    contact with Benjamin, calling him every week.
    Mr. Brown moved to Illinois with Corey and Dakota after he
    was discharged under the Army’s Family Care Plan.                         After moving
    to Illinois, Mr. Brown visited often with his close friend, Mr.
    Larry Aldrich.       Mr. Brown said when Corey and Dakota first met
    Larry Aldrich, they “panicked” because they couldn’t understand
    the     difference    between      Larry     Aldrich           and   Defendant,     Larry
    Anderson.        Mr. Brown said it took about four months for Corey
    and Dakota to become comfortable with anyone named Larry.                            Mr.
    Brown also said Dakota, who was four at the time of trial, only
    began    speaking    after    moving       from        North    Carolina,    and    began
    toilet    training    at    age    four.         Mr.    Brown     said   Corey    remains
    uncomfortable around anyone she does not know and will cling to
    anyone familiar who is nearby.
    Pediatrician         Tolly    Williams            Garrett      (“Dr.    Garrett”)
    testified next at trial.             Dr. Garrett observed interviews and
    physical examinations of the children.                         Dr. Garrett said that
    there     were     “clear    indicators          that      [Benjamin],       [Antonio],
    [Corey], and [Violet] all had been physically abused.”                                Dr.
    Garrett said the evidence of physical abuse was less clear with
    Dakota, but that DSS “felt like he had clearly been neglected,
    -6-
    as had the other four.”             Dr. Garrett described the harm as
    “severe” and repetitive with likely permanent or long-lasting
    effects on the five children.           Dr. Garrett said “the harm came
    from a caregiver” which causes longer term damage than damage
    from an unknown person.
    Dr.    Garrett     described    DSS’s    interview      of    the     children.
    Antonio said he “was hit across the chest by [Defendant]” with a
    mini-blind stick and was punished by standing in the corner with
    his hands behind his back and not being allowed to eat lunch.
    Before     Antonio    disclosed     these     details,    he      needed     several
    reassurances that he could safely speak about these punishments.
    Antonio recounted Benjamin jumping from the second-story window.
    When asked why Benjamin jumped, Antonio said he thought Benjamin
    wanted to commit suicide.            Antonio, Benjamin, and Corey said
    Defendant repeatedly kicked Benjamin in the genitals while bound
    and that Benjamin had his mouth taped shut by Defendant.                       Corey
    told her interviewer that “Daddy not like [Benjamin].”4
    Antonio    also    said   Corey    had    her   mouth     duct-taped      as   a
    punishment and that Defendant “attempted to attach [Corey] to a
    ceiling fan.”        Antonio said Corey was “teased or tormented with
    4
    Several of the children referred to Defendant as “Daddy” or
    “Dad.”
    -7-
    a laser light.”      Dr. Garrett recounted several other details of
    possible abuse:
    There were reports of the children turning
    over a trash can to get food and then
    getting in trouble for that.    The children
    had dead bolts put on their bedroom door.
    They were locked in their bedrooms.     That
    was confirmed by Social Workers and law
    enforcement, that the dead bolts were on the
    outside of the doors; the children were
    locked inside the room at night, which of
    course, is unsafe due to fire hazard, that
    sort of thing, but also, they couldn’t get
    up to go to the bathroom.
    There were reports of children urinating in
    the vents and things like that because they
    couldn’t get out to go to the bathroom, and
    they were deprived of food. [Antonio]’s
    report clearly said the rule was, “Don’t get
    into stuff,” and, “No, we don’t get lunch.”
    Dr. Garrett also described evidence of abuse to Dakota.
    She said Dakota had “multiple bruises,” some of which resulted
    from “an incident with a dog,” where Dakota was left outside and
    a dog wrapped its dog chain around Dakota’s neck.                  Dakota’s
    physical examination found a “festering infection in his foot”
    and that Dakota was “noticeably developmentally delayed.”
    Dr. Garrett discussed interviews with an adult roommate who
    lived   with   the   Andersons   for   a   time,   Alicia   Everhart     (“Ms.
    Everhart”).       Ms.   Everhart   told    her     interviewers   that    the
    children were not fed enough, that their bedroom doors were
    -8-
    locked, and that “the house reeked of urine because the children
    were   voiding        in     the    vents.”         Ms.    Everhart      also    told    her
    interviewers that Benjamin was struck with the mini-blind rod,
    that       the    children     were    infrequently         bathed,       and    that   the
    children were “not allowed to go outside and play.”
    A     neighbor,        Michelle        Edwards       (“Ms.     Edwards”)         told
    interviewers         about    two    events     that      Dr.   Garrett    described      as
    “concerning.”         The first involved
    several of the children being forced to
    carry weights off of a weight bar, running
    up and down the driveway in summer heat.
    She reported that when the children fell or
    stopped and sat down they were yanked up and
    yelled at to continue running. She reported
    this event continued in spite of the fact
    that Mr. and Mrs. Anderson were aware that
    she was watching.
    Ms. Edwards also said she saw a separate event where Defendant
    was “carrying and throwing out furniture into a pile.”                                   Ms.
    Edwards described Defendant screaming next to one of the nearby
    children, and that Defendant proceeded to “chop up and destroy
    that   furniture.”            The     event    seemed      to   involve     an    argument
    between          Defendant    and     Mrs.    Anderson.           From     the    evidence
    collected, Dr. Garrett concluded that Antonio, Benjamin, Corey,
    and Dakota all suffered emotional harm from their interactions
    with Defendant, specifically saying that DSS “characterized that
    -9-
    we felt like the children had suffered at both the hands of Mrs.
    Anderson and [Defendant] separately, as well as together.”                   Dr.
    Garrett    recommended     treatments     and    that   Defendant     have    no
    contact with any of the children.
    Mr. Brown took his children to two psychologists on Fort
    Bragg’s campus; Dr. Sharon Cooper (“Dr. Cooper”) and Ms. Linda
    Giles, who both testified at trial.             Dr. Cooper, a developmental
    and   forensic     pediatrician,   diagnosed       Benjamin   as    physically
    abused, neglected, and psychologically maltreated.                  Dr. Cooper
    also opined that Benjamin suffered from post-traumatic stress
    disorder and insomnia.       Dr. Cooper further opined that Corey and
    Dakota suffered from severe psychological problems.
    Ms. Giles is a child therapist at Fort Bragg who treated
    Corey and Dakota.        Ms. Giles said Corey and Dakota “were the
    worst children I had seen at Fort Bragg at that point, with the
    symptoms they had, both psychologically and physically.”                     Ms.
    Giles     said    the   children   were   malnourished,       had    distended
    stomachs, thin hair, thin bone structure, that they had worms,
    that their digestive systems were “not working properly,” and
    that their “eating and defecating was -- was a problem.”
    Psychologist Laurie Hawkins (“Ms. Hawkins”) testified next
    at trial.        Ms. Hawkins also worked with Benjamin and diagnosed
    -10-
    him with post-traumatic stress disorder and attention deficit
    hyperactivity     disorder.          Ms.   Hawkins     completed     a     “trauma
    narrative” with Benjamin, which is a therapeutic device designed
    to   allow   a   child   to   tell    their   story.     In   this       exercise,
    Benjamin would say a sentence telling his life story and then
    stop to allow Ms. Hawkins to record his statements.                Ms. Hawkins
    then would read the statements back to Benjamin, as well as to
    his foster mother.       Ms. Hawkins read aloud Benjamin’s narrative,
    which said
    Hi. My name is [Benjamin].   I am six years
    old.        I   live   with    Ms.   Fieena
    Terree(phonetic), and Taylor.    I like my
    home because it has fantastic stuff to play
    with. Ms. Fieena cooks good. My favorite is
    spaghetti and Oodles of Noodles and hot
    dogs. I live here because I got treated bad
    in my other home with Larry and Janet.    I
    hate them a lot because they spanked me
    every day.
    . . . .
    When I lived with Larry and Janet, Larry
    spanked me. He does to me and [Antonio] and
    [Corey] and [Dakota]. He puts all of us in
    the same room because we were bad, and
    locked us in. We would try to get out. Me
    and [Antonio] found a secret way to get out,
    out the window. Larry is at work and Janet
    is asleep. He tied my arms and legs up. I
    rolled to the window and got untied. I went
    out the window and broke into Janet’s room
    and sneaked in the kitchen and got food. Me
    and my brothers and sister ate the food and
    we all sneaked out.     Larry hit me in my
    -11-
    face. I was thinking, “I am super-mad at
    Larry,” and I hated him.   One time he tied
    me up and taped my mouth for a long time
    until I got strong. I was thinking I wanted
    to punch him in the stomach. Janet knew he
    taped my mouth.   Janet let him do it.   One
    time Janet pushed Larry on me.     Larry was
    very superbad. Janet was just a little bad.
    Larry is in jail and the policeman is next
    to the gate so he can’t get out.    He is in
    jail because he spanked me and that’s called
    bad. Child abuse. Janet is in jail because
    she is bad and hurt us.      It was not my
    fault. It was the grown-ups’ fault. I have
    learned in therapy to tell Ms. Lorri about
    my feelings. I am always happy every time I
    come.
    Nancy Johnson (“Ms. Johnson”) testified next for the State.
    Ms.   Johnson      is   a   social    worker   and   worked    with   Antonio     in
    Jacksonville in 2012.          Ms. Johnson started working with Antonio
    after   he   had    been    removed    to   foster   care     and   said    she   was
    attempting to help Antonio testify in the case.                       Ms. Johnson
    said Antonio’s symptoms began to increase when the subject of
    testifying was discussed, that he began to soil his bed and have
    nightmares.        Antonio expressed fear of Larry to Ms. Johnson,
    saying “[t]hey’ll get me.             It doesn’t matter what anybody does.
    They’ll get me.”
    Gerald    and     Michelle      Edwards,   the    Andersons’         neighbors
    testified at trial and recounted the two incidents discussed at
    the earlier interview with DSS.                Defendant’s former roommate,
    -12-
    Ms. Everhart testified next.             Ms. Everhart stated that she saw
    the children being hit with the mini-blind rod and being thrown
    around.       Ms. Everhart said Defendant hit Benjamin “[m]aybe twice
    a day, depending on the situation of what was going on” and that
    Defendant hit Benjamin nearly every day.                         Ms. Everhart said
    Defendant became enraged when Antonio and Benjamin got into a
    trashcan at the home, hitting both children with the mini-blind
    rod.    Ms. Everhart said she saw Defendant and Mrs. Anderson lock
    the children in their bedroom and that they were not allowed to
    leave the room to use the bathroom or for any reason.
    Ms. Everhart also recounted that Benjamin and Antonio once
    “emptied      the    trash   and   brought     it   into   [their]     bedroom    and
    dumped it out all over the floor and they were eating out of the
    trash can.”         Ms. Everhart said the Andersons punished Benjamin
    and Antonio for this, making them clean up the trash and hitting
    them.      Ms. Everhart also said that while she lived with the
    Andersons, all five of their children lived in the same room
    that    had    a    deadbolt   lock.     Ms.    Everhart     moved     out   of   the
    Anderson      residence      because   the   fighting      and    violence   between
    Defendant and Mrs. Anderson continued to escalate.
    Tina Morris (“Ms. Morris”), a social worker with Onslow
    County DSS, testified.             Ms. Morris arrived at the Andersons’
    -13-
    home after receiving a request to perform a family assessment
    from    Antonio’s    school.      After    Ms.   Morris     arrived,   Antonio
    returned from school, lifted his shirt, and showed Ms. Morris a
    scar on his chest and his arm.            When Ms. Morris asked who gave
    him    the   scar,   Antonio   pointed    to   Defendant.      Defendant   was
    present at the meeting and said “Who me?” Mrs. Anderson said
    “No” and looked at Antonio.        Antonio then said a child at school
    gave him the scar.
    Prior to Antonio getting home, Defendant told Ms. Morris
    that Benjamin and Antonio were fighting, and that Benjamin had
    hit Antonio with the mini-blind rod.               Ms.      Morris also said
    Corey had a bruise on her cheek, which she said she had due to a
    fall at a McDonalds.       Ms. Morris performed a follow up interview
    at Antonio’s school a week later.          Antonio told Ms. Morris about
    the trash incident and that Defendant hit him with a mini-blind
    rod.    Ms. Morris took photographs of Antonio’s injuries.
    Jamie Johnson (“Ms. Johnson”) testified next at trial.              Ms.
    Johnson was a DSS Investigator who was sent to the Andersons’
    home on 13 July 2011.          Ms. Johnson spoke with the children and
    said that Benjamin told her his mouth had been duct-taped and
    that his wrists and ankles were tied behind his back in his
    bedroom.     Antonio said Benjamin was tied up and that “when he’s
    -14-
    tied, he gets kicked in the nuts and pecker.”           The children also
    recounted being locked in their room, being spanked, and being
    bound.   Ms. Johnson also said the children’s room did not have a
    doorknob, and that the room could be secured by its exterior
    locking deadbolt.      Ms. Johnson said there were exterior locks on
    the windows in the children’s room and that the home smelled of
    urine.    Based   on    her   observations,   Ms.    Johnson   called   her
    supervisor and asked Defendant to leave the home that evening.
    The children were taken to the Child Advocacy Center on 25 July
    2011 and were thereafter placed in foster care.
    The State next called Matthew Herring (“Mr. Herring”), who
    lived with Defendant in 2010.        Mr. Herring testified about the
    mini-blind rod incident, saying “[Defendant] went in and I heard
    a loud pop, and he came back with a curtain rod in his hand.
    And then [Benjamin] came out with a -- crying, and had a welt on
    his left side on his arm and his chest.             Mr. Herring said that
    Defendant punished his children “a little bit more excessive[ly]
    than what should have been.”        Mr. Herring said Defendant would
    pin Benjamin and Antonio’s hands behind their back, sit on their
    back, and place them face down in pillows to keep them from
    screaming.
    -15-
    Onslow County Social Worker Scottie Hampton (“Mr. Hampton”)
    was the State’s final witness.               Mr. Hampton said he was assigned
    to work with the children on 12 September 2011.                            Mr. Hampton
    first met Corey and Dakota in foster care on 30 August 2011 and
    said   they      were   anxious      and    looked    pale     during      the    visit.
    Benjamin was also present and needed encouragement that he would
    be safe.      Mr. Hampton described Benjamin’s fears and need to
    “escape,” such as not being able to close doors and a desire to
    exit rooms through windows.                Mr. Hampton said Benjamin required
    extensive        supervision      and       care,     ultimately        requiring      a
    transition into a therapeutic foster home to meet his needs.
    Mr. Hampton also said that Violet and Antonio were placed into
    traditional foster care homes.
    The State rested its case.             The State dismissed the charges
    of   ISBI   in    11    CRS   55657     (concerning         Corey),   11    CRS    55658
    (concerning       Antonio),    and    11     CRS    55659    (concerning      Dakota).
    Defendant requested that the trial court dismiss the ISMI charge
    and CDM charge in those three cases, which was denied.                            In 11
    CRS 55660 (concerning Violet), the State dismissed the accessory
    after the fact to a felony charge.                   Defendant moved to dismiss
    the CDM charge in 11 CRS 55660, which the trial court denied.
    In 11 CRS 55661 (concerning Benjamin), the charge of assault
    -16-
    with a deadly weapon inflicting serious injury and one of the
    two ISMI charges were dismissed.                 Defendant moved to dismiss the
    ISBI charge, the second ISMI charge, and the CDM charge.                          The
    trial court denied Defendant’s motion.
    Defendant testified           at trial.        Defendant said      he was a
    caregiver to the children and said “I did spank the kids.                          I
    believe in corporal punishment.             I was spanked as a child.        So I
    would use a belt, a hand, a flip flop.                      I even spanked the
    children with a blind rod on their butts before.                   So, I mean, I
    believe      in    spankings   to    correct       the   child   when   there’s    a
    problem.”         Defendant said he spanked Benjamin from once a day to
    two times a day, depending on his behavior.                 Defendant also said
    he was abused as a child by his biological father and that his
    father used his “hand, belt, a switch, anything he could find.”
    Defendant said he was dishonest with social workers who came to
    his home because he was afraid “of being told that I was just
    like [Defendant’s father]” and that he was afraid people would
    say he was abusive.
    Defendant said Antonio and Benjamin “had gotten into the
    trash one day and I sat there and went to the room and proceeded
    to   spank    [Antonio]    with     the   blind     rod.”    Defendant    said    he
    -17-
    usually spanked the children on the [b]utts,” but that he may
    have accidentally hit the child on the chest.
    Defendant      discussed         his   issues    with   Benjamin,        saying
    Benjamin      “was    more    difficult.         When    I   first     met    him   and
    everything, I knew he had issues.                      Me and Janet had arg --
    talked about that and things of that nature.”                  Defendant said he
    had to spank Benjamin more than the others.                          Defendant said
    Benjamin had a problem of hitting his brothers and sisters,
    necessitating        punishment.          Defendant     testified      that    he   had
    “popped [Benjamin] in the mouth” and that he hit Antonio in the
    mouth on accident.
    Defendant said he never sat on the children except times
    where he was “playing around.”                Defendant also said “there was
    plenty   of    food    in    the   house.”       Defendant     said    he     and   Mrs.
    Anderson “had to put locks on the door” because the “kids were
    getting into things” and to keep the children safe.                           Defendant
    locked the children in their room every night until he had to go
    to work.      Defendant also said that the children wet the bed and
    that   the    couple    tried      to   use   plastic    liners   to    protect     the
    mattresses, but that the children would play with the plastic
    bed lining.          Defendant attributed the            home’s urine or fecal
    smell to the family dog.                Defendant also said he did not kick
    -18-
    any of the children in the genitals on purpose.                         Defendant said
    he did not physically abuse the children, but that he felt “kind
    of bad” about the mini-blind rod incident.                            Defendant denied
    making    the    children      run   up   and    down        the     driveway       carrying
    weights.
    After testifying, Defendant renewed his motions to dismiss,
    which were denied.          The jury found Defendant guilty of all the
    remaining    charges     not    previously       dismissed,          except     a    finding
    that   Defendant    was     guilty      of   the    lesser-included             charge    of
    misdemeanor child abuse rather than felony child abuse in 11 CRS
    55659.     The trial court entered a judgment sentencing Defendant
    to an active sentence of 100 to 147 months in prison.                           Defendant
    gave notice of appeal in open court on 12 April 2013.
    II. Jurisdiction & Standard of Review
    Defendant appeals as of right from a decision of the trial
    court.    N.C. Gen. Stat. §§ 7A–27(b), 15A–1444(a) (2013).
    Defendant    first      argues     that     the       trial    court     erred     in
    denying his motion to dismiss in 11 CRS 55659.                               “This Court
    reviews    the   trial    court’s     denial       of    a   motion     to    dismiss     de
    novo.”     State v. Smith, 
    186 N.C. App. 57
    , 62, 
    650 S.E.2d 29
    , 33
    (2007).     “The test to be applied in ruling on a defendant’s
    motion to dismiss is whether the State has produced substantial
    -19-
    evidence of each and every element of the offense charged, or a
    lesser-included     offense,     and    substantial         evidence   that      the
    defendant committed the offense.”               State v. Chamberlain, ___
    N.C. App. ___, ___, 
    753 S.E.2d 725
    , 729 (2014).                 “If substantial
    evidence   exists   supporting     [the]      defendant’s     guilt,     the   jury
    should be allowed to decide if the defendant is guilty beyond a
    reasonable doubt.”        State v. Fowler, 
    353 N.C. 599
    , 621, 
    548 S.E.2d 684
    , 700 (2001), cert. denied, 
    535 U.S. 939
     (2002).
    Defendant moved to dismiss a charge of felony child abuse
    at trial in 11 CRS 55659 at the close of the State’s evidence
    and at the trial’s conclusion.            The jury was instructed on the
    charge of misdemeanor child abuse and Defendant did not object
    to the jury instructions.         Defendant did not move to set aside
    the verdict finding him guilty of misdemeanor child abuse.
    The State argues that because Defendant did not move to set
    aside the verdict or object to the misdemeanor child abuse jury
    instruction, the present case is not properly before this Court.
    We disagree and hold that Defendant preserved the issue via his
    motion to dismiss at trial.            See State v. Powell, 
    299 N.C. 95
    ,
    98, 
    261 S.E.2d 114
    , 117 (1980) (“Upon defendant’s motion for
    dismissal,    the   question     for    the    Court   is    whether     there    is
    substantial    evidence    (1)    of    each    essential      element    of     the
    -20-
    offense charged, or of a lesser offense included therein, and
    (2) of defendant’s being the perpetrator of such offense. If so,
    the motion is properly denied.”(emphasis added)).
    Under de novo review, we examine the case with new eyes.
    “[D]e novo means fresh or anew; for a second time, and an appeal
    de novo is an appeal in which the appellate court uses the trial
    court’s     record    but     reviews    the    evidence      and   law    without
    deference to the trial court’s rulings.”                Parker v. Glosson, 
    182 N.C. App. 229
    , 231, 
    641 S.E.2d 735
    , 737 (2007) (quotation marks
    and citations omitted).           “Under a de novo review, the court
    considers      the   matter    anew     and    freely    substitutes      its   own
    judgment for that of the lower tribunal.”                 Craig v. New Hanover
    Cnty. Bd. of Educ., 
    363 N.C. 334
    , 337, 
    678 S.E.2d 351
    , 354
    (2009) (quotation marks and citation omitted).
    Defendant next argues the trial court committed plain error
    by   violating       his      constitutional      right       to    cross-examine
    witnesses.      Defendant did not object to this issue at trial, nor
    does he seek review under Rule 2 in his brief.                      “[A] party’s
    failure   to    properly      preserve   an    issue    for   appellate     review
    ordinarily justifies the appellate court’s refusal to consider
    the issue on appeal.”           Dogwood Dev. & Mgmt. Co. v. White Oak
    Transp. Co., 
    362 N.C. 191
    , 195–96, 
    657 S.E.2d 361
    , 364 (2008).
    -21-
    Appellate courts may suspend the requirements of the Rules of
    Appellate       Procedure         when     necessary     to     “prevent      manifest
    injustice to a party.”               N.C. R. App. P. 2.            Such suspensions
    must be made cautiously, and only in exceptional circumstances.
    See   Dogwood,       362   N.C.    at    196,   
    657 S.E.2d at 364
    .      Because
    Defendant does not invoke Rule 2 in his brief and based on our
    review of the record and transcripts, we refrain from invoking
    Rule 2, as we do not find that reviewing Defendant’s assignment
    of    error     would      prevent       manifest     injustice.          Accordingly,
    Defendant’s second assignment of error is without merit.
    Defendant’s third and fourth assignments of error concern
    admission       of    testimony          into   evidence.          Both     challenged
    statements were not objected to at trial.                   “When an issue is not
    preserved in a criminal case, we apply plain error review.”
    State v. Streater, 
    197 N.C. App. 632
    , 639, 
    678 S.E.2d 367
    , 372
    (2009).       Plain error is explained in State v. Lawrence, 365 N.C
    506, 
    723 S.E.2d 506
     (2012):
    For error to constitute plain error, a
    defendant    must    demonstrate   that   a
    fundamental error occurred at trial.     To
    show that an error was fundamental, a
    defendant must establish prejudice that,
    after examination of the entire record, the
    error had a probable impact on the jury’s
    finding that the defendant was guilty.
    Moreover, because plain error is to be
    applied   cautiously   and    only  in  the
    -22-
    exceptional case, the error will often be
    one that seriously affects the fairness,
    integrity or public reputation of judicial
    proceedings.
    
    Id. at 518
    , 
    723 S.E.2d at 334
     (quotation marks and citations
    omitted).    Plain error is “normally limited to instructional and
    evidentiary error.”     Lawrence, 365 N.C. at 516, 
    723 S.E.2d at 333
    .    As assignments of error three and four are evidentiary,
    plain error review is appropriate.
    III. Analysis
    A. Motion to Dismiss
    Defendant was charged with felony child abuse under 
    N.C. Gen. Stat. § 14-318.4
    (a) (2013), which provides
    A parent or any other person providing care
    to or supervision of a child less than 16
    years of age who intentionally inflicts any
    serious physical injury upon or to the child
    or who intentionally commits an assault upon
    the child which results in any serious
    physical injury to the child is guilty of a
    Class D felony, except as otherwise provided
    in subsection (a3) of this section.
    “Serious    physical   injury”   is   defined    by   the   statute   as
    “[p]hysical injury that causes great pain and suffering.              The
    term includes serious mental injury.”           
    N.C. Gen. Stat. § 14
    -
    318.4(d)(2) (2013).
    Synthesizing the statute into elements, there must be a (i)
    parent or other caregiver (ii) supervising a child under 16 that
    -23-
    (iii) intentionally (iv) inflicts (v) serious physical injury or
    commits an assault on the child.               We are only concerned with
    elements    three,    four,   and    five.      Taken    in    the    light      most
    favorable    to     the    State,    substantial      evidence       shows    those
    elements are met.
    After leaving Defendant’s custody, Dakota was fearful of
    many individuals whom he came into contact with.                      When Dakota
    was almost three, he was not toilet trained and could not speak.
    Dr.   Garrett     testified   that    Dakota    was    deprived      of   food   and
    exhibited extreme developmental delays.               Dr. Garrett said Dakota
    had a foot infection when she saw him.                Dr. Garrett said Dakota
    had bruises around his neck, apparently from a dog chain being
    wrapped    around    it.      Dr.    Cooper    testified      that    Dakota     was
    significantly developmentally delayed, including an inability to
    use utensils, to pick up food with his hands, or to walk.                         Ms.
    Giles testified that Dakota was malnourished with thin hair and
    bone structure, had worms, and had a malfunctioning digestive
    system.     Ms. Giles said Dakota could not speak, was not toilet
    trained, and had diarrhea so severe that it required medical
    attention.      Ms. Everhart testified that she saw Defendant pick
    Dakota up and throw him around.                Defendant testified that he
    ensured that all of the children, including Dakota, were locked
    -24-
    in   their    room   at    night.      Defendant    admitted    to    hitting   his
    children with whatever was close by, although he did say that he
    did not discipline Dakota often.                The foregoing, amongst other
    testimony,     provides     substantial        evidence   of   the    later   three
    elements, making the trial court’s denial of Defendant’s motion
    to dismiss proper.
    B. Plain Error
    Defendant next argues that the trial court committed plain
    error by allowing Dr. Garrett’s testimony that the children were
    harmed by a caregiver and that the harm came from Defendant and
    Mrs. Anderson, separately and together.                We disagree.
    Dr. Garrett testified that the examinations performed at
    the child advocacy center led her and her team to believe that
    “all   five    of    the    children    had     been   subjected     to   repeated
    physical abuse and neglect.”            Dr. Garrett described the abuse as
    severe and causing long-lasting damage to the children.                         Dr.
    Garrett said that “the harm came from a caregiver” and that “if
    children are abused by a caregiver, that is more damaging to the
    child long-term than damage that comes from an unknown person.”
    At the close of Dr. Garrett’s testimony, she stated that “[w]e
    characterized that we felt like the children had suffered at
    both the hands of Mrs. Anderson and [Defendant] separately, as
    -25-
    well as together.”           Defendant did not object to any of these
    statements at trial.
    In State v. Stancil, 
    355 N.C. 266
    , 
    559 S.E.2d 788
     (2002),
    the Supreme Court held per curiam that it was not plain error to
    admit an expert opinion that a victim had in fact been sexually
    abused absent a proper foundation where there was “overwhelming”
    evidence of the defendant’s guilt, including symptoms of sexual
    abuse five days after the incident and intense and immediate
    emotional trauma after the incident.             State v. Stancil, 
    146 N.C. App. 234
    ,    240,    
    552 S.E.2d 212
    ,     215–16   (2001),       per    curiam
    modified and aff’d, 
    355 N.C. 266
    , 
    559 S.E.2d 788
    .                        As such,
    because the evidence was “overwhelming” in that case, any error
    in admitting improper expert opinion did not amount to plain
    error.   
    Id.
    State v. Brigman, 
    178 N.C. App. 78
    , 
    632 S.E.2d 498
     (2006),
    also involved plain error review and held that a physician’s
    statement      “that     these     children       suffered      sexual        abuse”
    perpetrated by the defendant was improper.                    
    Id.
     at 91–92, 
    632 S.E.2d at 507
    .     However,   this       Court   again    found    the    other
    evidence against the defendant in Brigman was overwhelming and
    concluded that the second prong of the plain error standard,
    that there was not a “reasonable possibility that a different
    -26-
    result would have been reached by the jury.”               
    Id.
     (citation and
    quotation marks omitted).
    Defendant cites several cases to support his argument that
    Dr.   Garrett’s   testimony     was   improper         expert   testimony    of
    Defendant’s guilt.       See State v. Wilkerson, 
    295 N.C. 559
    , 
    247 S.E.2d 905
     (1978); Brigman, 
    178 N.C. App. 78
    , 
    632 S.E.2d 498
    ;
    State v. Figured, 
    116 N.C. App. 1
    , 
    446 S.E.2d 838
     (1994); State
    v. Huang, 
    99 N.C. App. 658
    , 
    394 S.E.2d 279
    , disc. review denied,
    
    327 N.C. 639
    , 
    399 S.E.2d 127
     (1990).                 Defendant’s reliance on
    these authorities is misplaced.
    In Wilkerson, the Supreme Court held that the physician did
    not express any opinion of the defendant’s guilt or innocence.
    
    295 N.C. at 570
    , 
    247 S.E.2d at 911
     (“Nowhere in the record did
    either physician express or purport to express an opinion as to
    defendant’s guilt or innocence.”).             The Supreme Court cautioned
    that the physicians in that case should not have been allowed to
    testify that the victim’s injury was caused by any particular
    activity or class of activities.               
    Id.
        However, the evidence
    disputed in that case was not reviewed under the plain error
    standard,   nor   were   the   results    in    Figured    or   Huang.      Id.;
    Figured, 116 N.C. App. at 8, 
    446 S.E.2d at 843
     (holding that
    expert opinion testimony was inadmissible without engaging in
    -27-
    plain error review); Huang, 
    99 N.C. App. at 666
    , 
    394 S.E.2d at 284
     (holding that a psychologist’s testimony that “explicitly
    implicated”    the    defendant    was        erroneously     admitted    without
    engaging in plain error review).                As such, while these cases
    found that expert testimony was improperly allowed, the cases
    did not consider whether admission of that evidence created a
    probable effect upon the verdict, as required under plain error
    review.
    Here, the situation is analogous to Stancil and Brigman.
    While   it   was   error   for   Dr.   Garrett     to    state   that    harm   was
    perpetrated by a caregiver and that Defendant had harmed the
    children, we find there was “overwhelming evidence” to suggest
    that there was not a reasonable probability that a different
    result would have been reached by the jury.                 The State presented
    twelve witnesses at trial, amongst whom included pediatricians,
    social workers, therapists, the biological father of three of
    the children, two neighbors, and two of Defendant’s roommates.
    These     witnesses    provided        extensive        evidence,    interviews,
    eyewitness accounts, and documentation of abuse by Defendant,
    catalogued at length supra.            For example, Defendant’s roommate
    Ms. Everhart testified that Defendant locked his children in
    their bedroom and told her not to release them.                     Ms. Everhart
    -28-
    said Defendant threw Dakota around, that he hit Benjamin as much
    as twice a day, and that he struck Benjamin and Antonio with a
    mini-blind rod on the chest.          Extensive evidence was presented
    concerning the children’s malnourishment, the smell of urine in
    the home, and      other incidents of abuse.        Further,   Defendant
    admitted to striking his children and locking the five children
    in a single bedroom nightly.           As such, overwhelming evidence
    existed showing that admission of Dr. Garrett’s testimony would
    not   have    a   probable   impact    on   the   jury’s   verdict,   and
    Defendant’s argument is overruled.
    IV. Conclusion
    For the reasons stated above, we find
    NO PLAIN ERROR.
    Chief Judge Martin and Judge ELMORE concur.
    Report per Rule 30(e).