State v. Warman , 2017 Ohio 244 ( 2017 )


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  • [Cite as State v. Warman, 2017-Ohio-244.]
    IN THE COURT OF APPEALS
    TWELFTH APPELLATE DISTRICT OF OHIO
    BUTLER COUNTY
    STATE OF OHIO,                                    :
    Plaintiff-Appellee,                       :     CASE NO. CA2016-02-029
    :           OPINION
    - vs -                                                     1/23/2017
    :
    RYAN J. WARMAN,                                   :
    Defendant-Appellant.                      :
    CRIMINAL APPEAL FROM BUTLER COUNTY COURT OF COMMON PLEAS
    Case No. CR2015-10-1600
    Michael T. Gmoser, Butler County Prosecuting Attorney, Michael Greer, Government
    Services Center, 315 High Street, 11th Floor, Hamilton, Ohio 45011, for plaintiff-appellee
    Christopher P. Frederick, 300 High Street, Suite 550, Hamilton, Ohio 45011, for defendant-
    appellant
    HENDRICKSON, J.
    {¶ 1} Defendant-appellant, Ryan Warman, appeals his conviction in the Butler
    County Court of Common Pleas for rape. For the reasons discussed below, we affirm
    Warman's conviction.
    {¶ 2} At the time of the offense, KG6 and KG5, sisters, lived with their father
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    ("Father") and stepmother in Trenton, Ohio.1 Their mother ("Mother") had scheduled
    visitations with them. Mother lived with Warman in Trenton, Ohio, at her father's house.
    {¶ 3} Mother worked, which sometimes required Warman to pick up KG6 and KG5
    from Father's home at the beginning of Mother’s visitation. As relevant to the charges
    involved in this case, Warman picked up the children on June 5, 2015, to begin their two-
    week visitation with Mother. Following the visit, KG6 revealed to Father and stepmother that
    Warman had showed her his penis and that she and KG5 played the "ring pop game" with
    Warman.        After contacting police, Father and stepmother took KG6 and KG5 to the
    Mayerson Center, a child advocacy center located in Cincinnati Children's Hospital. There,
    Tracy Colliers, a social worker, interviewed both KG6 and KG5.
    {¶ 4} KG6 and KG5 told Colliers about the ring pop game. KG6 said she saw
    Warman's "wiener" and that "he said it was a blue ring pop but it was his wiener." KG5 said
    that she "tasted" Warman's "wiener" lots of times. The interviews were video-recorded and
    were observed live by a police detective in a different room.
    {¶ 5} Following the interviews, the detective asked Warman to speak with him at the
    police station. Warman voluntarily spoke with the police officer and waived his Miranda
    rights. Warman denied that he sexually abused the girls and denied any knowledge of the
    ring pop game.
    {¶ 6} In October 2015, a Butler County grand jury indicted Warman on two counts of
    rape in violation of R.C. 2907.02(A)(1)(b), both felonies of the first degree. Count one
    alleged the rape of KG6. Count two alleged the rape of KG5. The case proceeded to a jury
    trial in January 2016.
    {¶ 7} KG6 testified that Warman picked her up in a car at Father’s house, where they
    1. Six and five refer to the girls' ages.
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    had just received ring pops.2 Both KG6 and KG5 were seated in the back of Warman's car,
    along with their four-year-old brother and a young child of Warman's.
    {¶ 8} Warman stopped the car at a "gas store," parked in the back and looked
    around. Warman then had KG6 move up to the front of the car and they played the ring pop
    game. He tied one of his grey shirts around her head. She had to "duck" and then Warman
    put his "wiener" in her mouth.
    {¶ 9} When asked to describe what "duck" meant, KG6 indicated by bending. She
    said when she bent over she was close to Warman's pants. Warman told her to "twirl all
    around" his penis with her tongue, which she did.
    {¶ 10} KG6 testified that Warman then attempted to get KG5 to play the ring pop
    game. He tied Mother's orange shirt around KG5's head. But KG5 would not "duck." So
    Warman returned to KG6 and put his penis in her mouth again. Warman told KG6 not to tell
    anyone about the game. They then drove to Warman's mother's house.
    {¶ 11} KG5 testified that she watched KG6 and Warman play the ring pop game. It
    happened at the "parking store" while she ate a ring pop and watched. According to KG5,
    Warman tied a shirt around KG6's face, put his "wiener" in KG6's mouth and used his hand
    to "bump" KG6's head "up and down, up and down." KG5 denied that she played the ring
    pop game.
    {¶ 12} Colliers testified concerning her interviews of KG6 and KG5 at the Mayerson
    Center. During her testimony, and over defense counsel's objection, the state was permitted
    to play the video of the KG6 interview in its entirety. During the interview, KG6 told Colliers
    that she played the ring pop game with Warman at a "drive thru." She said that Warman
    tried to play the game with KG5. Warman put a shirt around her eyes but she could see his
    2. Ring pops are suckers with the candy portion attached to a plastic ring that can be worn by a child as if they
    are wearing ring jewelry.
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    "wiener" through a "line on the bottom." Warman told her to "duck." He also told her "it was
    a blue ring pop but it was his wiener." Warman told her to "taste something off his wiener." It
    was food but she could not recall what it was. Then she recalled it was "chips."3
    {¶ 13} During Colliers' cross-examination, defense counsel played the KG5 interview
    video.4 In the interview, KG5 told Colliers that she "tasted" Warman's wiener "a lot of times."
    She also stated that she "tasted food and someone's wiener."
    {¶ 14} Father and stepmother testified next. According to the couple, Warman picked
    up KG6 and KG5 from their home on June 5, 2015. The girls returned on or around June 21.
    On July 6, 2015, one of the children in the household told stepmother that KG6 was asking
    her younger brother to show her his penis. When confronted, KG6 told stepmother that
    Warman showed her his penis so she thought it was okay. She then told them about the ring
    pop game.
    {¶ 15} At the close of the state's evidence, Warman moved for acquittal under
    Crim.R. 29. With respect to counts one and two, defense counsel argued that the state failed
    to present sufficient proof of venue in Butler County. With respect to count two (the alleged
    rape of KG5), counsel argued that the state failed to present sufficient evidence that a rape
    occurred. The court overruled the motion.
    {¶ 16} Warman's parents testified in his case in chief. They live on the east side of
    Middletown, Butler County, Ohio. Warman's mother said she saw Warman, KG6, and KG5
    at around 9:00 p.m. on June 5 and that neither child appeared distraught. Warman's mother
    stated that she had never observed Warman behave inappropriately around children and that
    he treated KG6 and KG5 as if they were his own.
    3. There is no transcription of the video in the record and the quality of the audio makes it difficult to discern
    precisely whether KG6 said "chips" or something else.
    4. Defense counsel specifically moved to admit the video as an exception to hearsay pursuant to Evid.R. 803(4),
    despite having argued that KG6 video was inadmissible under the same rule.
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    {¶ 17} Warman then took the stand and stated that he picked up KG6 and KG5 from
    Father's home because Mother was at work. He stated that the children were eating ring
    pops when he arrived. According to Warman, he took the children to four locations after
    leaving Father’s home. First, they went to a park in Trenton where the children played for an
    hour. Then they went to a restaurant called Checkers and had ice cream. After that, they
    went to Jacot Park in Middletown. Finally, he took them briefly to his parents' house in
    Middletown before returning to Mother's home in Trenton. Warman denied raping KG6 and
    KG5.
    {¶ 18} The jury convicted Warman of count one, the rape of KG6. The jury found
    Warman not guilty of the alleged rape of KG5. The court sentenced Warman to an indefinite
    prison term of fifteen years to life.
    {¶ 19} Warman assigns four errors for our review.
    {¶ 20} Assignment of Error No. 1
    {¶ 21} THE TRIAL COURT VIOLATED MR. WARMAN'S RIGHTS TO DUE
    PROCESS AND FAIR TRIAL WHEN IT OVERRULED HIS JUDGEMENT FOR ACQUITTAL
    UNDER CRIMINAL RULE 29.
    {¶ 22} Even though the jury found him not guilty of count two, i.e., the alleged rape of
    KG5, Warman argues that the court erred in overruling his Crim.R. 29 motion for acquittal.
    Warman argues that rational jurors could not have concluded that he was guilty of raping
    KG5 because KG5 testified that she did not play the ring pop game. Furthermore, Warman
    argues that allowing the jury to consider count two prejudiced him with respect to his
    conviction for the rape of KG6. Finally, Warman argues that the state failed to prove venue.
    We address each argument in turn.
    Sufficiency of the Evidence
    {¶ 23} Appellate review of the denial of a Crim.R. 29 motion requires a sufficiency of
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    the evidence review. We examine the evidence admitted at trial to determine whether such
    evidence, viewed in a light most favorable to the prosecution, would convince the average
    mind of the defendant's guilt beyond a reasonable doubt. State v. Jones, 12th Dist. Butler
    No. CA2012-03-049, 2013-Ohio-150, ¶ 17.
    {¶ 24} This court concludes that there was sufficient evidence admitted during the
    state's case to allow count two to be decided by the jury. Ironically, Warman himself
    introduced key evidence that supported the trial court’s decision to overrule his motion.
    During Colliers' testimony, defense counsel played the KG5 interview video. During the
    interview, KG5 tells Colliers that she "tasted" Warman's wiener "a lot of times."
    {¶ 25} Viewed in a light most favorable to the prosecution, this evidence was
    sufficient to permit rational jurors to conclude beyond a reasonable doubt that Warman was
    guilty of raping KG5. That KG5 testified otherwise at trial clearly affects the weight to be
    afforded to KG5's statement in the interview. However, a court does not weigh the evidence
    when assessing the sufficiency of the evidence. Accordingly, this argument is meritless.
    Compromised Verdicts
    {¶ 26} Warman contends that allowing the jury to decide count two prejudiced him
    because it subjected him to the possibility of a compromised jury verdict. Warman argues
    that the jury found him guilty of the rape of KG6 (a charge he argues was supported by little
    evidence) as a compromise for finding him not guilty of the rape of KG5 (a charge he asserts
    was supported by no evidence).
    {¶ 27} Warman cites several Ohio Supreme Court decisions that discuss
    compromised verdicts. These cases involved courts instructing jurors on lesser-included
    offenses where the facts admitted at trial could never establish the elements of the lesser-
    included offense. One concern set forth in those cases is that juries could improperly decide
    to lessen punishment even in a case where they would find the defendant guilty of the
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    greater offense. Another concern is that juries could decide to convict a defendant of a
    lesser offense even though the defendant was not guilty of that offense, so as to leave the
    courtroom with a cleaner conscience. See, e.g., State v. Nolton, 
    19 Ohio St. 2d 133
    (1969).
    {¶ 28} The rationale in Nolton and the other compromised verdict cases is not
    applicable in this case. There was evidence admitted at trial to support both counts.
    Accordingly, it was proper to instruct the jury on both counts.
    {¶ 29} Moreover, there is no indication that the jury engaged in any compromise. The
    evidence against Warman for the rape of KG6 was strong and the jury convicted him. The
    evidence against Warman for the rape of KG5 was weak, and the jury found him not guilty.
    Accordingly, we find this argument meritless.
    Venue
    {¶ 30} Warman argues that the court erred in overruling his Crim.R. 29 motion
    regarding the state's failure to offer sufficient evidence establishing that the rape occurred in
    Butler County. Warman contends that neither KG6 or KG5 could testify where the offense
    occurred, variously describing the location as a "gas store," a "drive-thru" and a "parking
    store." The state argues that the evidence showed that Warman's trip with the children
    necessarily began and ended in Butler County, which was sufficient to permit jurors to
    determine venue.
    {¶ 31} Venue – which must be proven beyond a reasonable doubt – may be
    established circumstantially. State v. Birt, 12th Dist. Butler No. CA2012-02-031, 2013-Ohio-
    1379, ¶ 27. This court concludes that there was sufficient evidence to allow rational jurors to
    determine beyond a reasonable doubt that the rape of KG6 occurred in Butler County. It was
    undisputed that Warman picked up KG6 at Father’s home in Trenton and that Trenton was
    located in Butler County. KG6 testified that Warman drove her and the other children to a
    "gas store" where she was raped. After that, they drove to Warman's parents' house, which
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    the evidence established was in Middletown, Ohio. The state also submitted evidence
    indicating that one would necessarily stay in Butler County when travelling from Trenton to
    Middletown. Therefore, the court did not err in denying Warman's Crim. R. 29 motion for
    acquittal for failure to offer sufficient evidence of venue. The first assignment of error is
    overruled.
    {¶ 32} Assignment of Error No. 2:
    {¶ 33} THE TRIAL COURT VIOLATED MR. WARMAN'S FEDERAL AND STATE
    CONSTITUTIONAL RIGHTS TO DUE PROCESS AND FAIR TRIAL WHEN IT FAILED TO
    INSTRUCT THE JURY WITH A LESSER INCLUDED INSTRUCTION.
    {¶ 34} Warman argues that the court should have instructed the jury on gross sexual
    imposition on count one, as a lesser-included offense of rape. Warman contends that KG6's
    testimony concerning her physical contact with his penis was inconsistent, that during the
    Mayerson Center interview she variously stated that she tasted food off his penis, or licked
    his penis, or touched his penis. Warman argues that this evidence, viewed in a light most
    favorable to him, warranted a jury instruction on gross sexual imposition, which requires proof
    of "sexual contact" rather than "sexual conduct."
    {¶ 35} Jury instructions are matters left to the sound discretion of the trial court. State
    v. Tucker, 12th Dist. Butler No. CA2010-10-263, 2012-Ohio-139, ¶ 23. Therefore, this court
    reviews the trial court's decision refusing to provide the jury with a requested jury instruction
    for an abuse of discretion. An abuse of discretion implies that the court's decision was
    unreasonable, arbitrary, or unconscionable. 
    Id. {¶ 36}
    Rape of a person under 13 is prohibited by R.C. 2907.02(A)(1)(b). The statute
    requires the perpetrator to engage in "sexual conduct" with the victim. Fellatio is a form of
    "sexual conduct." R.C. 2907.01(A). The Revised Code does not define "fellatio," however,
    this court has previously defined it as "a sexual act in which the mouth or lips come into
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    contact with the penis." State v. Vansickle, 12th Dist. Fayette No. CA2013-03-005, 2014-
    Ohio-1324, ¶ 88. The Ohio Jury Instructions define fellatio as "a sexual act committed with
    the penis and the mouth." Ohio Jury Instructions, CR Section 507.02(A)(1), comment 5.
    {¶ 37} Gross sexual imposition only requires proof of "sexual contact" with the victim,
    which is defined as: "any touching of an erogenous zone of another, including without
    limitation the thigh, genitals, buttock, pubic region, or, if the person is a female, a breast, for
    the purpose of sexually arousing or gratifying either person." R.C. 2907.01(B).
    {¶ 38} The evidence submitted at trial is the "crucial" component in determining
    whether to instruct jurors on a lesser-included offense. State v. Wine, 
    140 Ohio St. 3d 409
    ,
    2014-Ohio-3948, ¶ 21. A charge on a lesser-included offense is required only where the
    evidence presented at trial would reasonably support both an acquittal on the charged
    offense and a conviction on the lesser-included offense. In reviewing for the appropriateness
    of a lesser-included offense instruction, we must view the evidence in a light most favorable
    to the defendant. 
    Id. {¶ 39}
    At trial, KG6 testified that Warman put his penis in her mouth and told her to
    "twirl all around it" with her tongue, which she did. In addition, KG5 testified that she watched
    Warman put a shirt over KG6’s face and put his wiener in her mouth. This evidence
    establishes fellatio and supports Warman's conviction for rape.
    {¶ 40} We do not view KG6's testimony at the Mayerson Center to have required the
    court to instruct the jury on gross sexual imposition. KG6 told Colliers she played the ring
    pop game and "it was a blue ring pop but it was his wiener." She also said she had to taste
    food off his wiener but could not recall what food it was. KG6's statements during the
    interview indicate to us that Warman used the ring pop game as the means to coerce a six
    year old into fellating him. Given KG6's and KG5’s trial testimony, there is nothing in this
    record that would reasonably suggest an acquittal on the rape charge but a conviction on
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    gross sexual imposition. In this case, the evidence was such that the jurors would either
    believe the girls’ testimony and find Warman guilty of rape, or not believe their testimony and
    find Warman not guilty. Accordingly, the second assignment of error is overruled.
    {¶ 41} Assignment of Error No. 3:
    {¶ 42} THE TRIAL COURT VIOLATED MR. WARMAN'S FEDERAL AND STATE
    CONSTITUTIONAL RIGHTS TO DUE PROCESS AND FAIR TRIAL WHEN IT ADMITTED
    INADMISSIBLE HEARSAY TESTIMONY.
    {¶ 43} Warman argues that the trial court erred when it allowed the state to play
    Colliers' Mayerson Center interview of KG6. The court admitted the videotape pursuant to
    Evid.R. 803(4), the hearsay exceptions for statements made for the purpose of medical
    diagnosis or treatment. Warman argued that the interview was primarily a tool for the police
    investigation and was not for medical purposes.
    {¶ 44} At a pretrial motions hearing on the issue, Warman presented the testimony of
    a psychologist with experience in child sexual abuse issues. The psychologist testified that
    Mayerson Center interviews were designed for fact gathering in order to verify the credibility
    of allegations of sexual abuse. The psychologist further opined that Mayerson Center
    interviews were not like normal medical interviews because police were involved in the
    process.
    {¶ 45} The state called Colliers as a witness. She testified that she conducted
    "forensic" interviews at the Mayerson Center, and was trained to use non-leading methods of
    interrogation. On cross-examination, Colliers testified that she does not diagnose illnesses.
    KG6 and KG5 received no medical treatment after the interviews.
    {¶ 46} The admission or exclusion of evidence by the trial court is reviewed under an
    abuse of discretion standard. State v. Robb, 
    88 Ohio St. 3d 59
    , 68 (2000). Hearsay is
    defined as "a statement, other than one made by the declarant while testifying at the trial or
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    hearing, offered in evidence to prove the truth of the matter asserted." Evid.R. 801(C).
    Hearsay is generally not admissible unless an exception applies. Evid.R. 802. Evid.R.
    803(4) provides an exception to the hearsay rule as follows: "statements made for purposes
    of medical diagnosis or treatment and describing medical history, or past or present
    symptoms, pain, or sensations, or the inception or general character of the cause or external
    source thereof insofar as reasonably pertinent to diagnosis or treatment."
    {¶ 47} Hearsay statements made to a social worker may be admissible if they are
    made for purposes of medical diagnosis or treatment. State v. Muttart, 
    116 Ohio St. 3d 5
    ,
    2007-Ohio-5267. The Ohio Supreme Court considered the admissibility of statements given
    during interviews at child advocacy centers in State v. Arnold, 
    126 Ohio St. 3d 290
    , 2010-
    Ohio-2742. Arnold noted that these types of interviews seek to elicit two types of statements:
    statements for the purposes of medical diagnosis and treatment and forensic statements. 
    Id. at ¶
    33.
    {¶ 48} Arnold focused on the admissibility of these statements under the
    Confrontation Clause and not under Evid.R. 803(4). However, Arnold is instructive in
    identifying whether statements made to a social worker are primarily medical or forensic.
    Child-victim's statements that were necessary for medical diagnosis included the child's
    statements regarding the identity of the perpetrator, the type of abuse alleged, the time frame
    of the alleged abuse, and the identification of the areas where the child had been touched.
    
    Id. at ¶
    32, 38. On the other hand, statements such as the child's assertion that the offender
    shut and locked the door before raping her, the child's description of where others were in the
    house at the time of the rape, the child's statement that the offender removed her underwear,
    and the child's description of the offender's boxer shorts, were statements relating primarily to
    the investigation. 
    Id. at ¶
    34, 36.
    {¶ 49} In the present case, Colliers testified that she conducted forensic interviews of
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    KG6 and KG5, which were video-recorded. A detective watched the interviews from another
    room, however, neither KG5 or KG6 were aware of the police presence. Colliers conducted
    the interview on her own and was not talking to the detective during the interview except for
    one instance where she left KG6's interview to momentarily speak with the detective before
    resuming. After the interviews were over, Colliers discussed with the family the availability of
    further medical or mental health evaluation.
    {¶ 50} With respect to KG6's interview, the video was over an hour long and was
    played in its entirety for the jury. The video begins with Colliers asking general questions of
    KG6 regarding safety. Colliers later asks KG6 questions concerning her knowledge about
    male and female anatomy, and asked her to identify body parts, including genitalia, on
    anatomically correct depictions of a nude girl and boy. Eventually, Colliers asks KG6 about
    the ring pop game. KG6 tells Colliers she played the ring pop game "one time" at a "drive-
    thru." She identifies where she was located in the car when she played the game and where
    her siblings were located. She describes how Warman tried to play the ring pop game with
    her sister. She tells Colliers that Warman told her not to tell her mommy about the ring pop
    game. She describes seeing Warman's penis. She also states that she had to put a shirt
    around her eyes and that Warman told her to "duck." Finally, she states that Warman told
    her to taste some food on his penis but she forgot what kind of food it was.
    {¶ 51} Under Arnold, KG6's statements concerning the specifics of the sexual act she
    performed, i.e., how many times she did it, her physical interaction with his penis, and
    "ducking," were primarily for the purpose of medical treatment. However, the remaining
    information in the interview, including where the car was located, where she and her siblings
    were situated in the car, and that she had a shirt around her eyes were statements drawn
    from her primarily for a forensic or investigative purpose. Because these statements were
    not primarily for medical diagnosis or treatment they should not have been admitted under
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    the Evid.R. 803(4) hearsay exception.
    {¶ 52} Accordingly, some of the statements KG6 made in the interview did not fall
    under the hearsay exception for medical diagnosis or treatment, and therefore the admission
    of those statements was error to the extent that they were offered to prove the truth of the
    matter they asserted. However, such error was harmless as the state presented ample
    evidence other than the video-recorded interview to sustain Warman's conviction for the rape
    of KG6. Crim.R. 52(A); see State v. Richardson, 12th Dist. Clermont Nos. CA2014-03-023,
    CA2014-06-044, and CA2014-06-045, 2015-Ohio-824, ¶ 38. As will be discussed in greater
    detail in the next assignment of error, KG6 testified concerning the ring pop game and
    graphically described how Warman raped her. Her testimony was far more descriptive than
    what she discussed with Colliers during the interview. Accordingly, we are convinced that the
    jury necessarily relied on KG6's testimony rather than her recorded statements in concluding
    that Warman was guilty of raping her. Accordingly, the third assignment of error is overruled.
    {¶ 53} Assignment of Error No. 4:
    {¶ 54} MR. WARMAN'S CONVICTION AS TO COUNT ONE WAS AGAINST THE
    MANIFEST WEIGHT OF THE EVIDENCE.
    {¶ 55} Warman argues that his conviction for raping KG6 was against the manifest
    weight of the evidence. He contends that KG6 and KG5 lacked credibility and that their trial
    testimony was inconsistent with what they said in the Mayerson Center interviews. Warman
    argues that KG6 appeared normal to Warman's parents immediately after the alleged rape
    occurred and that KG6 did not disclose the abuse until much later. Warman also contends
    that the evidence indicates that KG6's and KG5's testimony may have been tainted or
    influenced by Father and stepmother. Finally, Warman points out that his witnesses testified
    that he was a wonderful father and had a great relationship with both KG6 and KG5.
    {¶ 56} In determining whether a judgment is against the manifest weight of the
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    evidence, an appellate court must look at the entire record, weigh the evidence and all
    reasonable inferences, consider the credibility of witnesses, and determine whether in
    resolving conflicts in the evidence, the trier of fact clearly lost its way and created such a
    manifest miscarriage of justice that the conviction must be reversed and a new trial ordered.
    State v. Cooper, 12th Dist. Butler No. CA2010-05-113, 2011-Ohio-1630, ¶ 7. The
    discretionary power to grant a new trial should be exercised only in exceptional cases where
    the evidence weighs heavily against the conviction. State v. Thompkins, 
    78 Ohio St. 3d 380
    ,
    387 (1997).
    {¶ 57} After a thorough review of the record, we find that Warman's conviction for
    raping KG6 was not against the manifest weight of the evidence. At trial, KG6 convincingly
    described being raped in terms a six year old would use to convey sexual abuse. She
    testified that Warman parked in the back of a "gas store." He looked around before he
    began the abuse. Warman had her move into the front seat, tied a shirt around her eyes,
    told her to "duck," then put his penis in her mouth. She explained that "duck" meant to bend
    over. He instructed her to "twirl all around" his penis with her tongue, which she did. KG6
    also described how Warman stopped raping her and attempted to rape KG5, who refused to
    "duck." So he raped KG6 again.
    {¶ 58} KG5 corroborated KG6's testimony.          KG5 also used child-like terms to
    describe the abuse. KG5 testified that she watched the ring pop game but did not play
    because she did not want to. She saw Warman's "wiener" go into KG6's mouth and that he
    "bumped" KG6's head "up and down, up and down."
    {¶ 59} The jury found KG6's and KG5's testimony believable and we defer to the
    factfinder with respect to credibility determinations. Warman argues that KG6's Mayerson
    Center statement about "tasting" food off of his penis was inconsistent with her description of
    fellatio at trial, but we do not find the interview to be inconsistent. KG6's statements about
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    food could explain Warman's method of coercing KG6 to fellate him. This is corroborated by
    KG6's interview statement that "[Warman] said it was a blue ring pop but it was his wiener."
    Moreover, to the extent that there were any inconsistencies in the Mayerson Center
    interviews and the victims' trial testimony, the jury was able to view both videos in their
    entirety and could consider the effect of any perceived inconsistencies during their
    deliberations.
    {¶ 60} Warman's argument that KG6's and KG5's testimony could have been
    "tainted" or "influenced" by Father and stepmother was presented in Warman's defense but
    there was no credible evidence to support this theory. The length of time it took KG6 to
    report the abuse was not unusual especially given Warman's admonition not to tell anyone.
    Warman's reputation as a good father and his pre-existing relationship with the children was
    also presented to the jury but has little bearing on whether the jury believed KG6's testimony.
    The jury could accept both that he had a reputation as a good father and had a good
    relationship with KG6 but nevertheless raped her. In sum, we do not find that the jury lost its
    way or created such a manifest miscarriage of justice that Warman's conviction must be
    reversed. Consequently, the fourth assignment of error is overruled.
    {¶ 61} Judgment affirmed.
    M. POWELL, P.J., concurs.
    PIPER, J., concurs separately.
    PIPER, J., concurring separately.
    {¶ 62} I concur with the majority in overruling Warman’s third assignment of error but
    my analysis concludes it was not an error for the trial court to admit into evidence KG6's
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    Butler CA2016-02-029
    entire out-of-court statement.5
    {¶ 63} As the committee note attendant to Evid.R. 803(4) suggests, the medical
    diagnosis or treatment hearsay exception should not be a conduit through which matters of
    no medical significance would be admitted. Yet, this court has noted the important "dual
    role" of nurses and social workers who interview children alleging sexual abuse. State v.
    Rose, 12th Dist. Butler No. CA2011-11-214, 2012-Ohio-5607, ¶ 42. The committee note
    attendant to Evid.R. 803(4) also suggests that the information elicited for purposes of medical
    treatment is not inadmissible at a later trial merely because that information subsequently
    serves the purpose of a criminal prosecution. When offered, or elicited, for the primary
    purpose of medical diagnosis or treatment, the artificial distinctions between the dual
    purposes served are to be avoided.
    {¶ 64} The majority opinion suggests it was an error for the trial court to admit certain
    sentences within KG6's statement as they identify who else may have been present, the
    physical proximity of each person to one another, and where the abuse took place. To parse
    out these sentences as being solely testimonial, or forensic, and not reasonably pertinent for
    medical purposes seems misguided.
    {¶ 65} "Easy" conversation with a little person often makes that child feel more
    comfortable and thus more likely to discuss difficult topics. Factual conversation leading up
    to the sensitive subjects involving sexual contact or conduct helps in obtaining important
    information. Similarly, showing interest in a child’s conversation also makes it easier for
    5. Warman’s third assignment of error does not argue a violation of the Confrontation Clause but merely that
    Evid.R. 803(4) required the trial court to exclude KG6's out-of-court video statement. Warman does not argue a
    violation of the Confrontation Clause because "when the declarant appears for cross-examination at trial, the
    Confrontation Clause places no constraints at all on the use of * * * prior testimonial statements." Crawford v.
    Washington, 
    541 U.S. 36
    , 
    124 S. Ct. 1354
    (2004), fn. 9. It is the "opportunity" for cross-examination that the
    Confrontation Clause guarantees. State v. Arnold, 
    147 Ohio St. 3d 138
    , 2016-Ohio-1595, ¶ 68. KG6 did, in fact,
    testify and was cross-examined and Warman's trial counsel had possession of her out-of-court statement prior to
    trial thereby possessing the opportunity for cross-examination. See State v. Louis, 4th Dist. Scioto No.
    15CA3693, 2016-Ohio-7596, ¶ 51.
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    Butler CA2016-02-029
    some young people to talk about difficult subjects. Some in the legal community seem to
    propose the trained facilitators of treatment for those sexually abused avoid peripheral facts.
    This is unworkable.
    {¶ 66} Conversation is often necessary in order to approach difficult topics and
    cannot be discussed bluntly or in isolation.6 Children are oriented to time, space, and
    distance very differently than adults. Discussing occurrences sequentially often aids children
    in their reporting accuracy. Ensuring accuracy to the greatest extent possible is reasonably
    pertinent to medical diagnosis and treatment. Since Colliers was a properly trained specialist
    working on behalf of the medical team at the Mayerson Center, and apparently followed
    appropriate protocol, I cannot find the information the majority determines was an error for
    the trial court to admit into evidence was an abuse of discretion on the trial court's part.
    {¶ 67} A trial court has broad discretion in admitting or excluding evidence, and a trial
    court's ruling in admitting evidence will be upheld absent an abuse of discretion. Rose, 2012-
    Ohio-5607, ¶ 41. "The salient inquiry when determining whether a hearsay statement is
    admissible under Evid.R. 803(4) is whether the statement was made for purposes of
    diagnosis or treatment rather than for some other purpose." 
    Id. at ¶
    42, citing State v.
    Muttart, 
    116 Ohio St. 3d 5
    , 2007-Ohio-5267, ¶ 47. Admission of evidence pursuant to Evid.R.
    803(4) pivots on when, how, and under what circumstances the out-of-court statements are
    generated in order to determine the purpose for which it was generated; it does not pivot on
    its subsequent use.
    {¶ 68} Several factors are considered when determining the purpose of a child's
    6. Interviewing children is a unique challenge particularly with children victimized by abuse of a sexual nature.
    This challenge is often assigned to social workers and nurses with specialized training. The setting, technique,
    nature of harm, and means to elicit and evaluate information is both an art and a science, and the subject of
    numerous treatises. See, e.g., Clow, Throwing a Toy Wrench in the "Greatest Legal Engine": Child Witnesses
    and the Confrontation Clause, 92 Wash. U. L. Rev. 793 (2015); Russell, Documentation and Assessment of
    Children's Forensic Interview Statements, 16 Widener L. Rev. 305 (2010); see also Ohio v. Clark, 576 U.S. ___,
    
    135 S. Ct. 2173
    (2015).
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    Butler CA2016-02-029
    statements made to either a nurse or social worker regarding sexual abuse. The factors are
    fact-dependent and may include the following:
    1) Whether the child was questioned in a leading or suggestive
    manner;
    2)     Whether there is a motive to fabricate, such as a pending legal
    proceeding or bitter custody battle;
    3)     Whether the child understood the need to tell the physician the
    truth;
    4)     Whether the age of the particular child making the statements
    suggest the absence or presence of an ability to fabricate;
    5)     Whether the child was consistent in her declarations; and
    6)     The manner in which a physician or medical provided elicited
    or pursued a disclosure of abuse by a child victim as shown by
    evidence of the proper protocol for interviewing children
    alleging sexual abuse.
    Muttart at ¶ 49.
    {¶ 70} The inception of sexual abuse activities includes the general character of its
    cause and its source as well as any associated symptoms, pain, or sensations. Evid.R.
    803(4). Obviously, explanations of sexual abuse will involve facts and details, some at the
    end of the day more relevant than others to later diagnosis or treatment. Simply because
    facts gathered for medical reasons may eventually be less significant, does not mean that
    they were not originally offered, or generated, for pertinent medical purposes rather than for
    the purposes of preserving testimony for criminal prosecution.
    {¶ 71} Narrative accounts can be reasonably pertinent in establishing a potential
    diagnosis or treatment. Even though the victim's narrative account offered to medical
    personnel can subsequently be used by law enforcement in a criminal prosecution does not
    prevent the statement from being admitted into evidence pursuant to Evid.R. 803(4). State
    v. Thomas, 8th Dist. Cuyahoga No. 101202, 2015-Ohio-415, ¶ 24.
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    Butler CA2016-02-029
    {¶ 72} A description of an abusive encounter has consistently been determined to be
    within the scope of statements offered for medical treatment or diagnosis. State v. Diaz, 8th
    Dist. Cuyahoga No. 103878, 2016-Ohio-5523, ¶ 33-34. A narrative account containing
    peripheral details as the victim recounts abusive activities can be made for the primary
    purpose of medical diagnosis or treatment. State v. Williams, 1st Dist. Hamilton No. C-
    140199, 2015-Ohio-3968, ¶ 31-34.
    {¶ 73} "[F]acts associated with the rape are relevant for medical diagnosis and
    treatment * * *. A patient's statements concerning how the alleged rape occurred can be
    relevant to show the 'general cause or external source thereof insofar as reasonably
    pertinent to diagnosis or treatment * * *.'" Diaz at ¶ 34, citing State v. Menton, 7th Dist.
    Mahoning No. 07 MA 70, 2009-Ohio-4640, ¶ 51 (holding that a description of how a sexual
    assault took place was part of the victim's medical history).
    {¶ 74} For example, the majority takes exception to medical personnel ascertaining
    that KG6's sexual abuse occurred while she was blindfolded. Certainly, such fact could aid in
    explaining to medical providers KG6's injuries, sensations, pain or the lack thereof, or her
    limited ability to report the same in determining potential medical needs. If the victim had
    been blind it would be relevant. Then too, it should be relevant if the victim was artificially
    blinded.   Assessing a child's reporting abilities and determining the facts surrounding
    allegations, and how such allegations occurred, are prudent factual inquiries and are
    reasonably pertinent to potential medical purposes. While medical treatment occurs in a
    sterile environment, it is not one without the need for context.
    {¶ 75} Even Warman's expert testified at a motion in limine that sexual abuse
    interviews taking place at the Mayerson Center were unique. He acknowledged the need for
    fact-gathering in order to substantiate allegations and ascertain credibility for purposes of
    diagnosis and treatment. Even if Warman's assignment of error had focused on the
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    Butler CA2016-02-029
    Confrontation Clause instead of just Evid.R. 803(4), we should take note that the United
    States Supreme Court in assessing an individual's constitutional right to confront one's
    accuser has "never suggested * * * that the Confrontation Clause bars the introduction of all
    out-of-court statements that support the prosecution's case. Instead, we ask whether a
    statement was given with the 'primary purpose of creating an out-of-court substitute for trial
    testimony.'" Clark, 
    135 S. Ct. 2173
    , 2183, citing Michigan v. Bryant, 
    562 U.S. 344
    , 358, 
    131 S. Ct. 1143
    (2011).
    {¶ 76} In reviewing the factors found in Muttart, and examining our record, I cannot
    find the context in which the sexual abuse occurred or how it occurred, was unnecessary, or
    not pertinent for medical diagnosis or treatment within the purview of Evid.R. 803(4).
    Similarly, if an analysis as found in Arnold involving the Confrontation Clause becomes
    relevant I would find KG6's statement to Colliers at the Mayerson Center to be offered and
    elicited primarily for the purposes of medical treatment and not as a substitute for trial
    testimony. See Clark at id.7
    {¶ 77} Even if KG6's statement should be scrutinized for specific content, or portions,
    our appellate review should note that Warman's counsel neither at trial or upon appeal
    argued any specific content, portions, or pieces of KG6's statement were inadmissible. At
    trial, defense counsel made no objections specific to the sentences the majority now extracts
    as objectionable. Similarly, Warman's appellate counsel made no argument directed to the
    parsed sentences the majority singles out as inadmissible. Therefore, the state has never
    had an opportunity to suggest why such statements were reasonably pertinent to medical
    diagnosis or treatment. Therefore, I find it impossible to determine the trial court committed
    an error in its evidentiary ruling. Since Warman's trial counsel gave a general objection to
    7. Arnold gives guidance to the majority’s analysis. However, the circumstances in Arnold involved a child victim
    who did not give testimony at trial.
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    Butler CA2016-02-029
    KG6's out-of-court statement coming into evidence but did not object to any particular content
    or sentences, I would find any claimed error as to such content or sentences waived.
    {¶ 78} As a concluding note, I find it somewhat disingenuous that Warman's counsel
    suggests that KG6's out-of-court statement should not be admitted pursuant to Evid.R.
    803(4) where Warman's counsel at trial admitted KG5's out-of-court statement into evidence
    pursuant to Evid.R. 803(4). Warman's trial counsel did not ask for any type of redaction at
    trial and Warman's appellate counsel did not suggest the trial court erred in failing to redact
    KG6's statement. Therefore, the trial court did not commit an error in failing to redact
    portions of KG6's statement as suggested by the majority opinion.
    {¶ 79} While I concur with the majority opinion in all other matters, I write separately
    as to the third assignment of error because the trial court admitted KG6's entire statement
    because it was reasonably pertinent to the medical diagnosis or treatment of KG6 and
    admitted properly pursuant to Evid.R. 803(4).
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