State v. C.D.S. , 2021 Ohio 4492 ( 2021 )


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  • [Cite as State v. C.D.S., 
    2021-Ohio-4492
    .]
    IN THE COURT OF APPEALS OF OHIO
    TENTH APPELLATE DISTRICT
    State of Ohio,                                     :
    Plaintiff-Appellee,               :
    No. 20AP-355
    v.                                                 :             (C.P.C. No. 18CR-1256)
    [C.D.S.],                                          :           (REGULAR CALENDAR)
    Defendant-Appellant.              :
    D E C I S I O N
    Rendered on December 21, 2021
    On brief: [G. Gary Tyack], Prosecuting Attorney, and
    Sheryl L. Prichard, for appellee. Argued: Sheryl L. Prichard.
    On brief: Carpenter, Lipps & Leland, LLP, Kort Gatterdam,
    and Eric P. Henry, for appellant. Argued: Kort Gatterdam.
    APPEAL from the Franklin County Court of Common Pleas
    MENTEL, J.
    {¶ 1} Defendant-appellant, C.D.S., appeals a judgment of the Franklin County
    Court of Common Pleas convicting him, pursuant to a jury verdict, of one count of
    kidnapping and five counts of rape. For the reasons that follow, we affirm.
    I. FACTS AND PROCEDURAL HISTORY
    {¶ 2} On March 15, 2018, a Franklin County Grand Jury indicted appellant of one
    count of kidnapping in violation of R.C. 2905.01 (Count 1), a felony of the first degree; and
    five counts of rape in violation of R.C. 2907.02, felonies of the first degree (Counts 2
    through 6). All of the offenses alleged in the indictment involve sexual abuse allegations
    related to a minor child, L.A., between March 29, 2016 through March 28, 2017. Appellant
    entered a not guilty plea on March 28, 2018.
    {¶ 3} The case proceeded to a jury trial on February 24, 2020. At the onset of the
    proceedings, the trial court addressed the outstanding plea offer by the state and ensured
    No. 20AP-355                                                                                 2
    appellant intended to proceed with trial. The trial court entertained a statement by
    appellant regarding his trial counsel and investigator. According to appellant, trial counsel
    failed to meet with him as often as he would like and stated, "I'm willing to do my case pro
    se or try to get pro bono to get my case heard the correct way to where everybody's informed,
    such as myself and my family, and not left in the dark about things until a couple hours
    before a court date." (Feb. 24-25, 2020 Tr. Vol. I at 9.) The trial court advised appellant
    not to proceed pro se as these were serious offenses.          The trial court explained its
    expectations as to any litigant, whether an attorney or an individual representing himself
    pro se, to comport with rules of evidence and criminal procedure. The trial court stated
    that appellant has had multiple court dates and multiple continuances noting that prior to
    another trial date appellant terminated his previous attorney and retained the present
    counsel. (Tr. Vol. I at 10.) Given the age and seriousness of the case, the trial court was not
    inclined to continue the matter as it was time to proceed since the delay was becoming a
    disservice to the victim in the case. Appellant made no express request to represent himself,
    and the parties proceeded with voir dire. The following evidence was adduced at trial.
    {¶ 4} The state first called G.B. to testify. G.B. is the mother of the three minor
    children involved in this case, S.A., T.RN., and L.A. G.B. testified that the girls have been
    in foster care on multiple occasions because of her drug and criminal history. G.B. stated
    that the fathers of the girls are not involved in their lives. The first time the children were
    in foster care was with M.W. In 2013, the children were placed with appellant and T.RL.,
    neighbors that lived across the street from G.B. G.B. was allowed visitation during this
    time. G.B. stated that she is now employed, and the children are living with her at home.
    G.B. learned of L.A.'s allegations against appellant while housed in Franklin County
    Community Based Correctional Facility ("CBCF") in 2017. G.B. stated that she was not the
    legal custodian of the children at the time.
    {¶ 5} Under cross-examination, G.B. acknowledged that she had made a claim that
    "[T.RN.] told me that [appellant] hit her in the nose and his son told me that [appellant] hit
    her in the nose, I called them." (Feb. 25-26, 2020 Tr. Vol. II at 278.) The incident was
    investigated, and the children were ultimately returned to T.RL. and appellant. G.B. stated
    that there was no prior indication from L.A. or the other girls of inappropriate behavior by
    appellant and T.RL. The children came home to live with G.B. in February 2018.
    No. 20AP-355                                                                                                  3
    {¶ 6} E.P. testified she has been a foster parent for four years. E.P. testified
    generally about the responsibility of a foster parent and how the girls came to be in her care.
    On March 22, 2017, the children were placed with E.P., but they continued to visit with
    T.RL. and appellant. (Tr. Vol. II at 350.) According to E.P., the girls were "very nervous"
    before the first visit. (Tr. Vol. II at 295.) E.P. stated that on or about August 16, 2017, L.A.
    disclosed to her the sexual abuse by appellant. (Tr. Vol. II at 296.) E.P. stated that she
    reported the allegation. On September 12, 2017, E.P. took L.A. to Nationwide Children's
    Hospital.1 The girls stayed with E.P. for nearly one year before returning to live with their
    mother. According to E.P., the girls wanted her to adopt them, and they did not trust their
    mother. (Tr. Vol. II at 365-69.)
    {¶ 7} Dr. Megan Letson testified that she is a pediatrician at Nationwide Children's
    Hospital at the Center for Family Safety and Healing. Dr. Letson is board certified through
    the American Board of Pediatrics in both general pediatrics and child abuse pediatrics.
    Dr. Letson testified generally as to her evaluation of suspected child maltreatment and
    abuse. Dr. Letson explained the medical forensic interview process and how it is utilized in
    medical diagnosis and treatment. Dr. Letson testified that she performed an examination
    of L.A on September 12, 2017. The process took approximately two hours, and L.A. tested
    negative for all sexually transmitted diseases and no injuries were noted in the examination.
    No DNA samples were taken as the last contact occurred months prior to the examination.
    L.A. indicated a past history of suicidal ideation and a history of cutting her body.
    Dr. Letson indicated that her finding of a normal genital examination was still consistent
    with an allegation of sexual abuse as 90 to 96 percent of examinations of sexual abuse have
    normal findings. (Tr. Vol. II at 330.) On cross-examination, Dr. Letson acknowledged that
    she could not confirm that L.A. was sexually assaulted based on the physical exam alone.
    (Tr. Vol. II at 339-40.)
    {¶ 8} L.A. testified that she previously lived with her mother before moving to
    foster care when she was four years old. (Tr. Vol. II at 378.) The last time L.A. was removed
    from her mother's home, L.A. went to live with T.RL. and appellant. L.A. lived with
    appellant for approximately three years before being removed in 2017. According to L.A.,
    1 Due to a scheduling conflict, E.P. was recalled for cross-examination after the testimony of Dr. Megan Letson.
    No. 20AP-355                                                                                  4
    the house included two bedrooms, a bathroom, a basement, a living room, and dining room.
    Initially, the girls all lived in the same bedroom. After approximately six months, L.A. made
    a room in the basement and the other two girls stayed upstairs. (Tr. Vol. II at 384.) The
    sisters were initially allowed to go to L.A.'s room in the basement before appellant forbid
    them from going down there. (Tr. Vol. II at 385.) L.A. stated that they were initially happy
    to live with appellant and T.RL., but the dynamic changed.
    {¶ 9} L.A. testified that appellant began to sexually abuse her when she was 13
    years old. (Tr. Vol. II at 387.) According to L.A., the first time was during movie night when
    appellant began to touch her body. Appellant's actions eventually progressed to oral sex
    then vaginal penetration with his penis. (Tr. Vol. II at 388.) L.A. stated that this would
    mostly occur in the basement. L.A. testified that the first instance of rape occurred when
    she was cleaning her room in the basement, and "he climbed on top of me and he held my
    head into a pillow. That's when he started." (Tr. Vol. II at 389.) L.A. testified that appellant
    proceeded to put his penis into her vagina. L.A. described other times appellant would
    perform oral sex by "put[ting] his mouth to [her] vagina or like if [her] mouth is on his * * *
    penis." (Tr. Vol. II at 392.) L.A. stated that appellant would force off her pants and
    underwear. (Tr. Vol. II at 455.) Appellant would hold her down by her arms onto the bed
    and hold her head on the pillow. (Tr. Vol. II at 394-95.) L.A. also testified that appellant
    on multiple occasions would use his hands to touch and penetrate her vagina with his
    fingers. (Tr. Vol. II at 417-18.) According to L.A., this would occur in the basement when
    everyone was asleep, at school, or when T.RL. was at the doctor. L.A. stated that appellant
    used a condom at first but stopped and made her get on birth control. (Tr. Vol. II at 397-
    98.) L.A. testified that the sexual abuse would cause her pain and vaginal bleeding. (Tr.
    Vol. II at 400.) L.A. testified that this continued on multiple occasions up until she was
    removed from the home to live with E.P.
    {¶ 10} L.A. stated that the sexual abuse primarily occurred downstairs and upstairs
    only "[m]aybe like twice." (Tr. Vol. II at 393.) On one of those occasions, L.A. had a doctor's
    appointment and stayed home from school. According to L.A., appellant raped her
    vaginally with his penis while in the living room on the couch. (Tr. Vol. II at 393.) L.A.
    testified that she could not tell her sisters and dealt with the pain through self-harm by
    cutting. (Tr. Vol. II at 396.) L.A. stated that she did not want this incident to happen and
    No. 20AP-355                                                                                  5
    did not know when it would occur. L.A. testified that she was not permitted to stay upstairs
    with her sisters and that she was scared of appellant. (Tr. Vol. II at 401, 418.)
    {¶ 11} When L.A. lived with E.P., there was a day she was having a difficult time
    after school, and E.P. calmed her down while they talked in the bathroom. L.A. testified
    that she then disclosed to E.P. the sexual abuse by appellant. After speaking with E.P., L.A.
    stated that she felt relieved to have told someone that she trusted. (Tr. Vol. II at 408.) After
    L.A. disclosed the sexual abuse, the visits with T.RL. and appellant stopped. (Tr. Vol. II at
    406.) L.A. described the interview at Nationwide Children's Hospital and identified
    appellant in the courtroom. (Tr. Vol. II at 416.) L.A. denied any desire at that time to live
    with G.B. (Tr. Vol. II at 413-16.)
    {¶ 12} Under cross-examination, L.A. stated she lived with T.RL. and appellant
    before being placed with M.W. in Reynoldsburg. L.A. was removed from the home while
    her sisters stayed. (Tr. Vol. II at 433.) L.A. was placed in another foster home before going
    back to appellant and T.RL. (Tr. Vol. II at 433.) L.A. conceded that it was her desire at that
    time to return to appellant's and T.RL.'s home where she stayed for approximately three
    years. (Tr. Vol. II at 433-34.) L.A. acknowledged that she did not speak to T.RL., her sisters,
    counselors, or anyone at school about the rapes until after speaking with E.P. L.A. noted
    that appellant has a scar on his stomach that runs horizontally below his navel. (Tr. Vol. II
    at 434.)
    {¶ 13} During re-direct examination, L.A. clarified the timeline of events stating that
    she was initially placed with appellant and T.RL. in 2013 when she was 11 years old. (Tr.
    Vol. II at 449.) L.A. lived with M.W. toward the beginning of placement and then with
    appellant and T.RL. after the completion of the case plan. (Tr. Vol. II at 450-51.) The
    allegations against appellant took place in 2016 when she was 14 years old. (Tr. Vol. II at
    451.) L.A. was placed with E.P. in 2017 when she was 15 years old. L.A. stated her desire to
    live with appellant and T.RL. was before returning to the home and does not want to stay
    with them ever again.
    {¶ 14} T.RN. testified that she lived with her sisters at T.RL. and appellant's home
    for approximately three years. T.RN. stated there were a lot of arguments and not much
    freedom. (Tr. Vol. II at 464.) T.RN. stated all the girls lived in a single room before
    "[Appellant] moved [L.A.] downstairs." (Tr. Vol. II at 465.) T.RN. stated that she was not
    No. 20AP-355                                                                                 6
    permitted to go into the basement. T.RN. would only go to the basement to visit L.A. when
    appellant was gone. (Tr. Vol. II at 466.) According to T.RN., L.A. never disclosed to her
    what happened during that time. When the girls lived with E.P., they would still visit
    appellant and T.RL. T.RN. stated that appellant withheld the girls' clothes and would only
    give them a few items each visit. (Tr. Vol. II at 470.) During cross-examination, T.RN.
    testified that T.RL. and appellant would argue and get into physical confrontations. (Tr.
    Vol. II at 473.) T.RN. noted that L.A. also wanted her own room at the time. (Tr. Vol. II at
    474.)
    {¶ 15} S.A. testified that initially living with appellant and T.RL. was good but went
    downhill. (Feb. 27 to Mar. 2, 2020 Tr. Vol. III at 499.) After a while, appellant became
    aggressive toward T.RN. and her. (Tr. Vol. III at 500.) S.A. stated that she was not allowed
    to go to the basement to visit L.A. and would go down there only after appellant left the
    house. (Tr. Vol. III at 508.) S.A. stated that appellant would comment about her body
    stating, "[her] boobs and like they were small. He would make comments about [L.A.]'s
    body figure were bigger than ours and better looking than ours." (Tr. Vol. III at 508.)
    According to S.A., L.A. was depressed living with appellant and T.RL. and excited about
    leaving their house. (Tr. Vol. III at 510.)
    {¶ 16} On cross-examination, S.A. acknowledged that T.RL. and appellant would
    take them to family events and out for activities. S.A. stated that T.RL. would not go to the
    basement, and L.A. and appellant would do the laundry. (Tr. Vol. III at 520.) S.A. stated
    that when she got into some trouble at school, T.RL. and appellant would yell at her. In
    response to a question of whether she spoke with anyone at school about issues at home,
    S.A. testified appellant hit her before going to school, and she had bled through her pants,
    which elicited questions from the counselor. (Tr. Vol. III at 522.)
    {¶ 17} Prior to the testimony of Kerri Wilkinson, a forensic interviewer and licensed
    social worker, the state informed the court that it intended to play the video interview
    between L.A. and Wilkinson, and it included potentially prejudicial statements toward
    appellant. To remedy this issue, the state provided a redacted version of the interview
    without the identified portions. There was no objection to the state's use of the video at that
    time.
    No. 20AP-355                                                                               7
    {¶ 18} Wilkinson testified that she is a forensic interviewer and licensed social
    worker at Nationwide Children's Hospital. Wilkinson interviews children when there are
    allegations of abuse. Wilkinson testified that when a patient comes to the center, the child
    will go through registration, their medical information is taken, an interview, and then a
    medical exam is done by a physician or nurse practitioner. (Tr. Vol. III at 543-44.)
    Wilkinson testified as to conducting an interview with L.A. on September 12, 2017. (Tr. Vol.
    III at 552-53.) Wilkinson stated the forensic interview was recorded and identified the
    video as an exhibit in the courtroom. The video was played for the jury. Wilkinson resumed
    her testimony and noted that it is common for children to disclose information over time.
    "So disclosure is a process. So it's certainly not uncommon for a child to come in during the
    interview and give us information about what has happened to his or her body and then
    when that child starts counseling -- as an example, when they start to develop [a]
    relationship with someone over, you know, over time there is certainly a chance that that
    child or that patient may give more information about things that have happened to their
    body." (Tr. Vol. III at 562.)
    {¶ 19} The state rested its case and moved to admit its exhibits. Appellant's counsel
    objected to the admission of the evidence arguing that he was not allowed an opportunity
    to question L.A. about the video. The trial court admitted the exhibits over appellant's
    objection. The trial court noted that the video was provided in discovery and appellant
    could have questioned L.A. about the video at that time. Appellant moved for a judgment
    of acquittal pursuant to Crim.R. 29 arguing that the state had failed to meet its burden of
    proof. Appellant argued there was no physical evidence and contended that the case was
    based on hearsay statements. The trial court overruled the motion finding that there was
    sufficient evidence in the record that the state had met its burden at that time.
    {¶ 20} Paul Bailey testified that he was the principal at Westmoor Middle School
    when S.A. and T.RN. were students. (Tr. Vol. III at 603.) L.A. was not enrolled at the school
    during this time.     Bailey stated that appellant and T.RL. attended parent-teacher
    conferences, and he did not observe any signs of physical abuse or neglect in S.A. or T.RN.
    at school. On cross-examination, Bailey conceded he does not have a specific recollection
    of how many parent-teacher conferences appellant and T.RL. attended or recall meeting
    No. 20AP-355                                                                                   8
    with them at any of these parent-teacher nights. Bailey also acknowledged that signs of
    abuse do not always manifest in visible ways.
    {¶ 21} Prior to reconvening the jury for the start of appellant's case, the state
    informed the court that it had discovered appellant violated the separation order for anyone
    to not speak about the specifics of the trial with potential witnesses. The state argued that
    appellant had made multiple phone calls to potential witnesses since the beginning of the
    trial.   The state identified telephone conversations between appellant and potential
    witnesses such as his mother, M.G., and T.RL. that exceeded the separation order. The
    state asked that the witnesses not be able to testify, or alternatively, that the trial court
    provide a jury instruction. The trial court ruled that there was a violation of the previous
    order of separation of witnesses reasoning that appellant was aware of the separation order,
    and appellant knew he should not speak to potential witnesses or attempt to get
    information to the potential witnesses. (Tr. Vol. III at 635.) The trial court found that it
    would be within his power to exclude the witnesses but instead elected to provide an
    instruction to the jury. Prior to T.RL.'s testimony, the trial court provided the jury the
    following instruction:
    Ladies and gentlemen of the jury, prior to the beginning of this
    trial, the Court placed an order called a separation of witnesses.
    The order instructs the parties that any person that will testify
    is to remain outside the courtroom until called to testify. The
    order also instructs that witnesses are not to discuss their
    testimony with anyone while this case is still pending. * * * This
    order was violated. The witness about to testify was provided
    information about witnesses and evidence that has already
    been presented in this courtroom. You may use this
    information to test the credibility or believability of this
    witness' testimony.
    (Tr. Vol. III at 643-44.)
    {¶ 22} T.RL. testified that she has been married to appellant since 2012 at which
    time she lived across the street from G.B. and the girls. T.RL. stated that she obtained
    temporary custody of the children and ended up getting full custody in fall 2014. (Tr. Vol.
    III at 650, 654.) The custody lasted for three and one-half years. (Tr. Vol. III at 654.) T.RL.
    stated that she took the girls to see G.B. at least once a week. (Tr. Vol. III at 658.) According
    to T.RL., all three girls lived in one room before L.A. requested that she move to the
    No. 20AP-355                                                                                               9
    basement. T.RL. testified that she took the girls on activities like roller skating and watched
    movies. T.RL. stated that the decision to put L.A. on birth control was a family decision.
    (Tr. Vol. III at 666.) After the girls were removed from custody, T.RL. stopped visiting the
    girls because they would not commit to when they were coming home, and she was never
    denied visits by children services. (Tr. Vol. III at 670.) According to T.RL., she did not
    know anything about the allegations against her husband until law enforcement executed
    a warrant for his arrest. According to T.RL., she was always home unless she had a doctor's
    appointment. T.RL. stated that the girls were first removed based on an allegation by G.B.,
    then several years later, they were removed by children services, but T.RL. and appellant
    were allowed visitation for several months. (Tr. Vol. III at 701.)
    {¶ 23} On cross-examination, T.RL. conceded that appellant and L.A. did most of
    the laundry in the house since she has a foot injury. T.RL. stated that she only did laundry
    in the basement a few times because appellant complained she did not use enough bleach.
    (Tr. Vol. III at 708-09.) T.RL. acknowledged that she spoke with appellant as to what
    witnesses testified to in court. (Tr. Vol. III at 714.)
    {¶ 24} The parties entered a stipulation regarding the testimony of Ciera Johnson.
    Johnson was a case worker for the National Youth Advocacy Program and supervised the
    case involving G.B. and her children in 2014. Johnson had contact with appellant and
    T.RL., and the girls were happy to live with them and had no complaints at that time. (Tr.
    Vol. III at 728.)2
    {¶ 25} Appellant rested and moved to admit his exhibits, which were admitted
    without objection from the state. Appellant at that time moved for judgment of acquittal
    pursuant to Crim.R. 29, which was denied by the trial court.
    {¶ 26} On March 5, 2020, the jury returned guilty verdicts on all six counts. The
    trial court ordered a presentence investigation and set the case for a sentencing hearing.
    On June 24, 2020, the trial court imposed a term of incarceration of 8 years on 3 of the rape
    convictions to run consecutively and the remaining counts to run concurrently, for a total
    term of 24 years as well as classifying appellant as a Tier III sexual offender.
    {¶ 27} Appellant filed a timely appeal on July 15, 2020.
    2Counsel for appellant objected to not allowing the case to be continued to allow Johnson to appear at trial,
    which was overruled by the trial court.
    No. 20AP-355                                                        10
    II. ASSIGNMENTS OF ERROR
    {¶ 28} Appellant assigns the following as trial court error:
    [1.] THE ADMISSION OF OTHER-ACTS TESTIMONY AND
    EVIDENCE VIOLATED EVIDENCE RULES 403 AND 404
    AND APPELLANT'S RIGHTS TO DUE PROCESS AND TO A
    FAIR TRIAL AS GUARANTEED BY THE UNITED STATES
    AND OHIO CONSTITUTIONS.
    [2.] THE ADMISSION OF HEARSAY FROM THE ALLEGED
    VICTIM, WHEN THE ALLEGED VICTIM ALSO TESTIFIED,
    CONSTITUTED      IMPROPER    BOLSTERING,   WAS
    NEEDLESSLY      CUMULATIVE,    AND    VIOLATED
    APPELLANT'S RIGHTS TO DUE PROCESS AND TO A FAIR
    TRIAL AS GUARANTEED BY THE UNITED STATES AND
    OHIO CONSTITUTIONS.
    [3.] THE TRIAL COURT ERRED BY REFUSING TO ALLOW
    THE IMPEACHMENT OF THE ALLEGED VICTIM
    REGARDING PRIOR FALSE ACCUSATIONS OF SEXUAL
    MISCONDUCT CONTRARY TO APPELLANT'S STATE AND
    FEDERAL CONSTIUTIONAL RIGHTS TO PRESENT A
    DEFENSE, TO CROSS EXAMINATION, AND TO DUE
    PROCESS.
    [4.] APPELLANT WAS DEPRIVED OF HIS RIGHTS TO A
    FAIR TRIAL AND DUE PROCESS CONTRARY TO THE
    FIFTH AND FOURTEENTH AMENDMENTS TO THE
    UNITED STATES CONSTIUTION AND ARTICLE I, SECTION
    16 OF THE OHIO CONSITUTION BECAUSE A DOCTOR
    PRESENTED OPINION TESTIMONY INDICATING THE
    ALLEGED VICTIM WAS NOT LYING ABOUT THE
    INCIDENT.
    [5.] THE ADMISSION OF EVIDENCE AND INSTRUCTION
    TO THE JURY REGARDING APPELLANT AND A DEFENSE
    WITNESS VIOLATING THE TRIAL COURT'S ORDER FOR
    THE     SEPARATION   OF   WITNESSES   VIOLATED
    APPELLANT'S RIGHTS TO DUE PROCESS AND TO A FAIR
    TRIAL AS GUARANTEED BY THE UNITED STATES AND
    OHIO CONSTITUTIONS.
    [6.] THE TRIAL COURT ERRED BY FAILING TO PROVIDE
    MATERIAL INFORMATION TO DEFENSE COUNSEL FROM
    CONFIDENTIAL     RECORDS   THEREBY     DEPRIVING
    APPELLANT OF DUE PROCESS AND A FAIR TRIAL.
    No. 20AP-355                                                                               11
    [7.] THE TRIAL COURT ERRED BY NOT CONDUCTING A
    SUFFICIENT INQUIRY INTO APPELLANT'S SELF-
    REPRESENTATION REQUEST CONTRARY TO THE
    UNITED STATES AND OHIO CONSTITUTIONS.
    [8.] APPELLANT WAS DEPRIVED OF THE EFFECTIVE
    ASSISTANCE OF TRIAL COUNSEL IN VIOLATION OF
    APPELLANT'S RIGHTS UNDER THE SIXTH AND
    FOURTEENTH AMENDMENTS TO THE UNITED STATES
    CONSTITUTION, AND SECTION 10 AND 16, ARTICLE I OF
    THE OHIO CONSTITUTION.
    [9.] THE TRIAL COURT VIOLATED APPELLANT'S RIGHTS
    TO DUE PROCESS AND A FAIR TRIAL WHEN IT ENTERED
    A JUDGMENT OF CONVICTION BASED ON INSUFFICIENT
    EVIDENCE AND AGAINST THE MANIFEST WEIGHT OF
    THE EVIDENCE IN VIOLATION OF APPELLANT'S RIGHTS
    UNDER      THE    UNITED   STATES   AND     OHIO
    CONSTITUTIONS.
    III. LEGAL ANALYSIS
    A. Appellant's First Assignment of Error
    {¶ 29} In his first assignment of error, appellant argues the trial court erred in the
    admission of other-acts testimony that violated Evid.R. 403 and 404.
    {¶ 30} As a preliminary matter, some evidence identified in appellant's first
    assignment of error was allowed over trial counsel's objection whereas other evidence was
    never objected to during trial. As the standard of review changes based on whether
    appellant preserved the issue at trial, we will address each piece of evidence through the
    requisite standard of review.
    1. Other-Acts Evidence (Objected to at Trial)
    {¶ 31} Evidence of other acts of a defendant, distinct from those for which the
    defendant is on trial, are generally not admissible when the intent is to show the defendant's
    character, or propensity to commit crime. See State v. Armengau, 10th Dist. No. 14AP-
    679, 
    2017-Ohio-4452
    , ¶ 69, citing Evid.R. 404(B); R.C. 2945.59; State v. Curry, 
    43 Ohio St.2d 66
     (1975); State v. DeMarco, 
    31 Ohio St.3d 191
     (1987). Such evidence may, however,
    be "admissible for other purposes, such as proof of motive, opportunity, intent,
    preparation, plan, knowledge, identity, or absence of mistake or accident." Armengau at
    ¶ 70, citing Evid.R. 404(B). The Supreme Court of Ohio has found that Evid.R. 404(B) and
    No. 20AP-355                                                                              12
    R.C. 2945.59 are to be read in conjunction with each other. State v. Williams, 
    134 Ohio St.3d 521
    , 
    2012-Ohio-5695
    . In Williams, the Supreme Court has set forth a three-part test
    for a trial court to conduct in determining the admission of other-acts evidence:
    The court must consider (1) whether the other-acts evidence is
    relevant under Evid.R. 401, i.e., whether it tends to make the
    existence of any fact of consequence to the determination of the
    action more or less probable than it would be without the
    evidence, (2) whether the evidence is presented to prove a
    person's character to show conduct in conformity therewith, or
    whether it is presented for a legitimate other purpose, and
    (3) whether the probative value of the evidence is substantially
    outweighed by the danger of unfair prejudice, Evid.R. 403.
    However, "the rule affords broad discretion to the trial judge
    regarding the admission of other acts evidence." [Williams] at
    ¶ 17.
    State v. Tench, 
    156 Ohio St.3d 85
    , 
    2018-Ohio-5205
    , ¶ 139, citing Williams at ¶ 20.
    {¶ 32} Generally, the admission of other-acts evidence under Evid.R. 404(B) falls
    within the broad discretion of the trial court. State v. Caldwell, 10th Dist. No. 18AP-814,
    
    2019-Ohio-3015
    , ¶ 35. Abuse of discretion requires more than an error of law or judgment,
    but implies that the trial court's decision was unreasonable, arbitrary, or unconscionable.
    Blakemore v. Blakemore, 
    5 Ohio St.3d 217
    , 219 (1983). This court will not reverse an
    evidentiary decision outside an abuse of discretion that resulted in material prejudice. 
    Id.,
    quoting State v. Peterson, 10th Dist. No. 12AP-646, 
    2013-Ohio-1807
    , ¶ 21. "[A]n improper
    evidentiary admission under Evid.R. 404(B) may be deemed harmless error on review
    when, after the tainted evidence is removed, the remaining evidence is overwhelming."
    State v. Morris, 
    141 Ohio St.3d 399
    , 
    2014-Ohio-5052
    , ¶ 32; State v. Williams, 
    6 Ohio St.3d 281
    , 290 (1983), quoting Harrington v. California, 
    395 U.S. 250
    , 254 (1969).
    {¶ 33} Evid.R. 403(A) states: "[a]lthough relevant, evidence is not admissible if its
    probative value is substantially outweighed by the danger of unfair prejudice, of confusion
    of the issues, or of misleading the jury." The trial court is granted broad discretion in
    discerning the probative value of evidence against the potential danger of unfair prejudice
    against a defendant under an Evid.R. 403 analysis. State v. Bethel, 
    110 Ohio St.3d 416
    ,
    
    2006-Ohio-4853
    , ¶ 171. A trial court's determination under Evid.R. 403 is also reviewed
    No. 20AP-355                                                                                  13
    under an abuse of discretion analysis. 
    Id.,
     citing State v. Yarbrough, 
    95 Ohio St.3d 227
    ,
    
    2002-Ohio-2126
    , ¶ 40.
    {¶ 34} At trial, appellant objected to the admission of the state's exhibit 2A after the
    video had been played for the jury arguing he could not cross-examine the witness with the
    video. The trial court noted that appellant had the video in discovery and could have used
    it to cross-examine L.A. when she testified. We find the trial court's reasoning reasonable
    as there was no preclusion against appellant utilizing the exhibit during L.A.'s testimony.
    To claim after the fact that such an opportunity was not available is disingenuous at best.
    Moreover, the state, on its own accord, redacted portions of the video prior to its use at trial.
    This was discussed with the trial court giving appellant ample opportunity to interject as to
    parts of the video it perceived as prejudicial. As such, the trial court did not abuse its
    admission on that basis.
    {¶ 35} Next, appellant argues the trial court erred in allowing other-acts evidence
    during S.A.'s testimony. S.A. testified to the environment in the home and stated that
    appellant hit her and her sister, T.RN. The record indicates that trial court sustained the
    objection and instructed the jury to disregard S.A.'s testimony that she was choked. After
    careful review of the record, we find that the trial court did not abuse its discretion. S.A.'s
    initial testimony that there were disputes in the home provided a permissible purpose for
    showing the environment at the home and whether the children wanted to be in the home,
    which was at issue during the trial. As to the objected testimony, the trial court instructed
    the jury to disregard these statements. The jury presumed to follow the court's instruction
    to disregard evidence. State v. Walburg, 10th Dist. No. 10AP-1087, 
    2011-Ohio-4762
    , ¶ 53,
    citing State v. Noling, 
    98 Ohio St.3d 44
    , 
    2002-Ohio-7044
    , ¶ 39. While the initial objected
    to testimony was not struck from the record, the statement was brief and would constitute
    harmless error on review as, after the tainted evidence is removed, the remaining evidence
    of guilt is overwhelming. Accordingly, the trial court did not abuse its discretion as to its
    ruling on the objected to other-acts testimony.
    2. Other-Acts Testimony (Not Objected to at Trial)
    {¶ 36} Appellant argues that the trial court erred in allowing testimony that
    constituted other-acts evidence throughout the trial. In the instances we will examine,
    counsel for appellant failed to object to the testimony at issue. Consequently, the objection
    No. 20AP-355                                                                               14
    was not preserved on appeal absent a finding of plain error. Crim.R. 52(B) states: "[p]lain
    errors or defects affecting substantial rights may be noticed although they were not brought
    to the attention of the court." Plain error does not occur unless, "but for the error, the
    outcome of the trial clearly would have been otherwise." State v. Long, 
    53 Ohio St.2d 91
    ,
    97 (1978). This court will only recognize plain error under exceptional circumstances, with
    the utmost caution, and only to prevent a miscarriage of justice. State v. Collins, 10th Dist.
    No. 20AP-119, 
    2021-Ohio-1663
    , ¶ 11. " 'For an error to be a "plain error" under Crim.R.
    52(B), it must satisfy three prongs: (1) there must be an error, meaning a deviation from a
    legal rule, (2) the error must be "plain," meaning an "obvious" defect in the trial
    proceedings, and (3) the error must have affected "substantial rights," meaning the error
    must have affected the outcome of the trial.' " 
    Id.,
     quoting State v. J.L.H., 10th Dist. No.
    19AP-369, 
    2019-Ohio-4999
    , ¶ 11, citing State v. Barnes, 
    94 Ohio St.3d 21
    , 27 (2002). In
    order to constitute plain error, "the error must be obvious on the record, palpable, and
    fundamental such that it should have been apparent to the trial court without objection."
    State v. Gullick, 10th Dist. No. 13AP-26, 
    2013-Ohio-3342
    , ¶ 3, citing State v. Tichon, 
    102 Ohio App.3d 758
    , 767 (9th Dist.1995).
    {¶ 37} The Supreme Court in assessing the "substantial rights" prong has found that
    a defendant asserting plain error must show a "reasonable probability" that an identified
    obvious error resulted in prejudice, i.e., that " 'the probability of a different result is
    "sufficient to undermine confidence in the outcome" of the proceeding.' " (Internal citation
    omitted.) State v. Williams, 10th Dist. No. 19AP-824, 
    2021-Ohio-3006
    , ¶ 53, quoting State
    v. Battle, 10th Dist. No. 18AP-728, 
    2019-Ohio-2931
    , ¶ 22-23, quoting Tench at ¶ 218; see
    also State v. Phillips, 10th Dist. No. 14AP-79, 
    2014-Ohio-5162
    , ¶ 105, citing State v.
    Waddell, 
    75 Ohio St.3d 163
    , 166 (1996).
    {¶ 38} First, appellant alleges that the statement that appellant would argue and
    cheat on his wife in exhibit 2A was improper other acts testimony. In addition to the
    potential need to know about appellant's promiscuity for medical diagnosis and treatment,
    infra at ¶ 54-56, the statement is intertwined with the charged conduct at issue. Other-acts
    testimony is often intertwined with charged conduct and is needed often to provide a
    "complete picture of what occurred." State v. Wilkinson, 
    64 Ohio St.2d 308
     (1980). The
    Supreme Court stated background evidence was admissible if the "other acts" were
    No. 20AP-355                                                                               15
    "inextricably related" to the crime charged and if the "challenged evidence plays an integral
    part in explaining the sequence of events and is necessary to give a complete picture of the
    alleged crime." State v. Thompson, 
    66 Ohio St.2d 496
    , 498 (1981), citing Wilkinson. Here,
    the allegation of appellant having affairs, or the arguments between appellant and T.RL.,
    provide immediate background of the alleged act that provides background for the charged
    offenses.   State v. Grimm, 12th Dist. No. CA2018-10-071, 
    2019-Ohio-2961
     (finding
    statements by defendant that he wanted to fight other people and fled the scene provided
    the immediate background of the alleged act). L.A. alleged that appellant would get into
    fights with T.RL. then leave the home. When appellant came home he would sneak into the
    basement to initiate the sexual abuse of L.A. This describes appellant's scheme, plan,
    motive, and opportunity for the abuse.        Regardless, even if the other-acts evidence
    presented at trial was erroneous, appellant cannot overcome plain error as the verdict in
    this case would not have changed by the exclusion of the allegations of arguments in the
    home.    State v. Lyons, 9th Dist. No. 03CA0023-M, 
    2003-Ohio-5783
    , ¶ 29 (finding
    admission of evidence of previous fights was erroneous but harmless pursuant to Crim.R.
    52 based on the weight of the evidence against defendant).
    {¶ 39} Next, appellant contends the trial court erred in allowing L.A. to testify that
    appellant showed her pornography and that appellant asked her to obtain nude pictures of
    her friends. We disagree that this constitutes plain error. Testimony as to appellant
    showing L.A. nude photographs indicates a continuing course of sexual activity with L.A.
    that was relevant to and used for the purpose of demonstrating appellant's opportunity,
    plan, and his "grooming" of L.A. for later sexual activity. " 'Grooming refers to deliberate
    actions taken by a defendant to expose a child to sexual material; the ultimate goal of
    grooming is the formation of an emotional connection with the child and a reduction of the
    child's inhibitions in order to prepare the child for sexual activity.' " Williams at ¶ 20,
    quoting United States v. Chambers, 
    642 F.3d 588
    , 593 (7th Cir.2011). These statements
    are relevant as they show how appellant normalized sexual behavior. It is well-established
    law in Ohio that testimony as to appellant's grooming of the victim is relevant information
    for a non-propensity purpose. See Armengau at ¶ 72; State v. Thomas, 2d Dist. No. 27362,
    No. 20AP-355                                                                                           16
    
    2018-Ohio-4345
    , ¶ 32.3 Therefore, we find no error as to L.A.'s testimony regarding
    pornography and nude photographs.
    {¶ 40} Appellant next argues that there were occasions of sexual abuse recounted by
    L.A. that were not charged in the indictment. Ohio appellate courts have found that a trial
    court did not error in permitting a child victim to testify as to unindicted sexual abuse
    because the testimony was minimal, vague, and did not prejudice the appellant. State v.
    Hernandez, 8th Dist. No. 104976, 
    2018-Ohio-738
    , ¶ 50; Thomas at ¶ 58 (finding the trial
    court did not err in allowing testimony from the victim as to the unindicted acts at issue
    were not extensively discussed, minimal, and vague). Here, L.A. stated that she could not
    be sure how many times appellant raped her while she lived at his home. The statements
    were often vague and minimal to the charged offenses. These allegations were also
    inextricably linked to the charged offenses as they were part of the same scheme or plan of
    abuse. Given the references to uncharged offenses were vague and minimal we cannot say
    allowing this testimony constitutes plain error.
    {¶ 41} Appellant argues that the testimony of his past sexual activity violates R.C.
    2907.02(D), commonly referred to as "Ohio's rape shield law," which controls the
    introduction of evidence related to sexual history of either the victim or defendant in a sex
    offense case. The statute states as to evidence of a defendant's past sexual activity reads:
    Evidence of specific instances of the defendant's sexual activity,
    opinion evidence of the defendant's sexual activity, and
    reputation evidence of the defendant's sexual activity shall not
    be admitted under this section unless it involves evidence of the
    origin of semen, pregnancy, or disease, the defendant's past
    sexual activity with the victim, or is admissible against the
    defendant under section 2945.59 of the Revised Code, and only
    to the extent that the court finds that the evidence is material
    to a fact at issue in the case and that its inflammatory or
    prejudicial nature does not outweigh its probative value.
    R.C. 2907.02(D).
    3We note that the use of pornography was also potentially permissible for medical treatment and diagnosis.
    State v. Watts, 10th Dist. No. 15AP-951, 
    2016-Ohio-5386
    , ¶ 23 (finding that to the extent that statements
    related to a child's exposure to pornography can be considered a form of sexual abuse, the statements are
    relevant to the child's treatment and diagnosis).
    No. 20AP-355                                                                            17
    {¶ 42} R.C. 2945.59 provides that:
    In any criminal case in which the defendant's motive or intent,
    the absence of mistake or accident on his part, or the
    defendant's scheme, plan, or system in doing an act is material,
    any acts of the defendant which tend to show his motive or
    intent, the absence of mistake or accident on his part, or the
    defendant's scheme, plan, or system in doing the act in
    question may be proved, whether they are contemporaneous
    with or prior or subsequent thereto, notwithstanding that such
    proof may show or tend to show the commission of another
    crime by the defendant.
    {¶ 43} It is well-settled law that R.C. 2945.59 must be read in harmony with Evid.R.
    404(B). Williams, 
    2012-Ohio-5695
    , at ¶ 16. While there is a statutory presumption that
    past sexual conduct by a defendant may not be admitted, the statute is subject to the same
    exceptions as other evidence under Evid.R. 404(B) and R.C. 2945.59. Armengau at ¶ 78-
    79. For the reasons given as to the use of such evidence under Evid.R. 404(B) and R.C.
    2945.59, the testimony of appellant's prior sexual conduct did not violate the rape shield
    statute or constitute plain error.
    {¶ 44} Appellant relies on State v. Hartman, 
    161 Ohio St.3d 214
    , 
    2020-Ohio-4440
    .
    A brief review is instructive. In Hartman, the defendant was charged with raping an adult
    female acquaintance. The prosecutor introduced evidence that the defendant sexually
    abused his stepdaughter when she was a child. The Supreme Court affirmed the court of
    appeals reversal that other-acts evidence should not have been admitted at trial.
    {¶ 45} The present case is distinguishable from Hartman as the other acts described
    at trial occurred with L.A. or based on her knowledge from living with appellant. The acts
    introduced in Hartman were wholly unrelated and several years apart.
    {¶ 46} We do note that trial counsel for appellant not only did not object to
    purported other-acts evidence but, in fact, used it as part of its strategy in the case.
    Appellant's trial counsel asked S.A. if she spoke to anyone at school about issues in the
    home, and she stated she spoke to her counselor "after the last time [appellant] hit [her]"
    when she "was bleeding so bad, [she] bled through [her] pants and [the counselor]
    question[ed] it." (Tr. Vol. III at 522.) Also on cross-examination, T.RL. was asked about
    arguments and fighting between appellant and T.RL. (Tr. Vol. II at 473.) While T.RL.
    conceded that she may have hit the girls one or two times for discipline she contended that
    No. 20AP-355                                                                               18
    she provided the girls a safe and loving home. (Mar. 3-5, 2020 Tr. Vol. IV at 712.) By
    eliciting the other-acts testimony from the girls, trial counsel appears to have tried to
    discredit their testimony, and by implication L.A.'s allegations of abuse. Appellant's
    counsel also appeared to use other-acts testimony to argue that T.RL. and appellant
    provided a loving home and that the abuse allegations were based on the girl's efforts to
    reconcile with the mother. G.B. stated that she made a claim of abuse, but it was later
    disproven. (Tr. at Vol. II 277-78.) Appellant's counsel later called the principal as to
    allegations of abuse by appellant. Bailey stated that appellant and T.RL. attended parent-
    teacher conferences, and he did not observe any signs of physical abuse or neglect in S.A.
    or T.RN. at school. It is also reasonable that appellant's counsel, given the nature of the
    allegations, did not want to highlight the testimony by objecting to these allegations given
    his later use of the testimony. Hartman at ¶ 67 ("Depending on the nature of the other-
    acts evidence and the context in which it is used, defense counsel may as a matter of strategy
    wish to avoid highlighting the evidence for the jury.").
    {¶ 47} The most problematic aspects of the identified testimony are the specific
    instances of physical violence by appellant against the girls. While not overly relevant to
    the allegations at issue, they likely fall under impermissible other-acts testimony. However,
    we cannot find that these statements constituted plain error as the error was not necessarily
    obvious given the need to establish the environment of the abuse. The girls testified that
    the appellant was more aggressive towards S.A. and T.RN. than L.A. indicating that the
    sexual abuse was a sort of reward and prevented L.A. from that type of physical violence.
    Also, as set forth in the preceding paragraph, opposing counsel used many of these specific
    acts as part of his strategy to discredit various witnesses' testimony making it less obvious
    in the record whether the error was apparent to the trial court without objection. Moreover,
    appellant's substantial rights were not affected as we are not convinced that the outcome of
    the trial was affected as there remains ample evidence of appellant's guilt based on the
    testimony of L.A.
    {¶ 48} Appellant's first assignment of error is overruled.
    B. Appellant's Second Assignment of Error
    {¶ 49} In appellant's second assignment of error, he argues that the trial court erred
    in admitting the state's exhibit 2A, a video recording of L.A.'s interview with Wilkinson.
    No. 20AP-355                                                                                 19
    Specifically, appellant argues that the statements in the video constitute impermissible
    hearsay evidence and do not qualify under medical diagnosis or treatment hearsay
    exceptions. Appellant also argues that even if parts of the video did qualify under the
    medical diagnosis exception, the remaining aspects the video were needlessly cumulative
    and prejudicial under Evid.R. 403.
    {¶ 50} Generally, this court will affirm the trial court's admission or exclusion of
    evidence absent a finding of an abuse of discretion and that the defendant was materially
    prejudiced. State v. Hughes, 10th Dist. No. 14AP-360, 
    2015-Ohio-151
    , ¶ 41, quoting State
    v. Darazim, 10th Dist. No. 14AP-203, 
    2014-Ohio-5304
    , ¶ 16. An error in the admission of
    evidence is grounds for reversal only in cases where the appellant's substantial rights were
    affected, or substantial justice appears to not have been done. Jarvis v. Hasan, 10th Dist.
    No. 14AP-578, 
    2015-Ohio-1779
    , ¶ 70, citing Faieta v. World Harvest Church, 10th Dist. No.
    08AP-527, 
    2008-Ohio-6959
    , ¶ 73. "To show an evidentiary ruling has affected a substantial
    right, the party must demonstrate that the alleged error impacted the final determination
    of the case." Jarvis at ¶ 70, citing Lips v. Univ. of Cincinnati College of Medicine, 10th Dist.
    No. 12AP-374, 
    2013-Ohio-1205
    , ¶ 49, citing Campbell v. Johnson, 
    87 Ohio App.3d 543
    , 551
    (2d Dist.1993).
    {¶ 51} As an initial matter, trial counsel for appellant failed to object to the playing
    of the video. Once the video was played for the jury, counsel objected, arguing that he was
    not able to cross-examine the victim on her statements in the video. Accordingly, we will
    review the admission of the video based on appellant's ability to cross-examine L.A. under
    an abuse of discretion and all remaining arguments will be reviewed under a plain error
    analysis. State v. McKinney, 10th Dist. No. 13AP-211, 
    2013-Ohio-5394
    , ¶ 20, citing Crim.R.
    52(B) (finding appellant did not object at the trial level on particular grounds presented on
    appeal forfeiting all but plain-error review).
    {¶ 52} Regarding appellant's argument that he was not able to cross-examine the
    witness, as also set forth in our analysis of appellant's first assignment of error, we agree
    with the trial court that the video was available to appellant prior to trial, and it could have
    been used in cross-examination. We also note that L.A. testified at trial and was subject to
    cross-examination, and as such, the Confrontation Clause does not preclude use of her
    earlier statements. State v. Land, 
    129 Ohio St.3d 512
    , 
    2011-Ohio-4215
    , ¶ 113, quoting
    No. 20AP-355                                                                                                  20
    Crawford v. Washington, 
    541 U.S. 36
     (2004), fn. 9 ("[W]hen the declarant appears for
    cross-examination at trial, the Confrontation Clause places no constraints at all on the use
    of his prior testimonial statements. * * * The Clause does not bar admission of a statement
    so long as the declarant is present at trial to defend or explain it."). Because appellant was
    present and available at trial to explain her statements in the video, the Confrontation
    Clause is not implicated.4 As such, the trial court did not abuse its discretion in admitting
    the video on that basis.
    {¶ 53} Evid.R. 801(C) defines "hearsay" as "a statement, other than one made by the
    declarant while testifying at the trial or hearing, offered in evidence to prove the truth of
    the matter asserted."          Evid.R. 803 provides certain exceptions to the hearsay rule,
    regardless of whether the declarant is available as a witness. Evid.R. 803(4) states that an
    out-of-court statement is not excluded hearsay testimony if it is "made for the 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." It is well-
    established law that statements made by a child to identify an individual for sexual abuse
    is relevant to diagnosis and treatment of a child. State v. Dever, 
    64 Ohio St.3d 401
    , 413
    (1992). These statements provide a treating physician information as to any potential
    injuries the child may have, preventing future abuse, and identify any potential emotional
    abuse of the child. Id. at 413.
    {¶ 54} This court considered a similar issue in C.C.B. finding the trial court did not
    err in allowing the video recording of the Nationwide Children's Hospital forensic interview
    into evidence. We wrote:
    [T]he Supreme Court has "classified information regarding the
    identity of the perpetrator, the type of abuse alleged, the
    identification of the areas where the child had been touched
    and the body parts of the perpetrator that had touched her, as
    well as the time frame of the abuse, as statements for diagnosis
    and treatment because that information allowed the doctor or
    nurse to determine whether to test the child for sexually
    4We also note that, for the reasons set forth in our analysis of appellant's second assignment of error infra, the
    statements made by L.A. do not offend the Confrontation Clause as the interview was used for medical
    diagnosis and treatment. "Statements made to interviewers at child-advocacy centers that are made for
    medical diagnosis and treatment are nontestimonial and are admissible without offending the Confrontation
    Clause." State v. Arnold, 
    126 Ohio St.3d 290
    , 
    2010-Ohio-2742
    , paragraph two of the syllabus.
    No. 20AP-355                                                                             21
    transmitted diseases, and to identify any trauma or injury
    sustained during the alleged abuse."
    State v. C.C.B., 10th Dist. No. 18AP-782, 
    2019-Ohio-3631
    , ¶ 36, quoting In re C.S., 10th
    Dist. No. 11AP-667, 
    2012-Ohio-2988
    , ¶ 14, citing State v. Arnold, 
    126 Ohio St.3d 290
    , 2010-
    Ohio-2742, ¶ 32.
    {¶ 55} In the present case, Wilkinson, a forensic interviewer and licensed social
    worker at Nationwide Children's Hospital, interviewed L.A. as to allegations of sexual
    abuse. L.A. described the nature of the abuse by appellant, identified the areas where she
    was touched and penetrated as well as areas of appellant's body that touched her. L.A.
    discussed the timeline for the abuse as well as the circumstances that would lead to
    appellant coming down to the basement to initiate the abuse. These statements help to
    direct the medical examination and treatment of L.A. going forward. As such, the video of
    the forensic interview falls squarely under the medical diagnosis and treatment exception
    under Evid.R. 803(4). Even if small portions of the video do not fall under medical
    diagnosis and treatment exception, the error is harmless as L.A. was available and testified
    at trial as to the sexual abuse allegations. " '[T]he admission of hearsay is harmless error
    where the declarant was also a witness and examined regarding matters identical to those
    contained in the hearsay statements.' " State v. F.R., 10th Dist. No. 14AP-440, 2015-Ohio-
    1914, ¶ 37, quoting State v. Smith, 2d Dist. No. 20828, 
    2006-Ohio-45
    , ¶ 16, citing State v.
    Allen, 2d Dist. No. 1390 (May 24, 1996); State v. Loch, 10th Dist. No. 02AP-1065, 2003-
    Ohio-4701, ¶ 16, citing State v. Tomlinson, 
    33 Ohio App.3d 278
    , 281 (12th Dist.1986)
    (finding the admission of hearsay was harmless when the declarant is cross-examined on
    the same subject matters and the erroneous evidence is cumulative in nature).
    {¶ 56} Appellant next contends that, because the examination identified no physical
    injuries, the video does not implicate the medical diagnosis exception. This argument is
    unpersuasive as Wilkinson had no previous knowledge as to what, if any, injuries L.A.
    sustained prior to the interview. Appellant also argues that L.A.'s statements do not meet
    the medical exception because Wilkinson is not a physician. This argument is also without
    merit as the exception is extended to social workers as long as the purpose of the statement
    is part of the initiation of medical diagnosis or treatment. C.C.B. at ¶ 35, citing State v.
    Jordan, 10th Dist. No. 06AP-96, 
    2006-Ohio-6224
    , ¶ 20.
    No. 20AP-355                                                                               22
    {¶ 57} Appellant argues that even if parts of the interview fall under Evid.R. 803(4),
    the video was needlessly cumulative and prejudicial. After careful review of the video, we
    find that the trial court did not commit plain error in admission of the video on these
    grounds. The trial court has broad discretion in allowing evidence and addressing any
    redundancy in the context of a minor testifying of sexual abuse. C.C.B. at ¶ 27, citing State
    v. Issa, 
    93 Ohio St.3d 49
    , 64 (2001) ("trial court has broad discretion in the admission of
    evidence, and unless it has clearly abused its discretion and the defendant has been
    materially prejudiced thereby, an appellate court should not disturb the decision of the trial
    court")(Citation omitted.); Jordan at ¶ 9 (finding no abuse of discretion in admitting
    testimony over hearsay objection as social worker's "description of [child victim's]
    comments during the interview paralleled [the victim's] subsequent testimony at trial");
    State v. Sheldon, 12th Dist. No. CA2013-12-018, 
    2014-Ohio-5488
    , ¶ 35 (concluding that in
    the child sex abuse context "cumulative evidence is not necessarily inadmissible").
    (Citations omitted.)
    {¶ 58} In the case sub judice, the vast majority of the video falls under the medical
    diagnosis or treatment hearsay exception. Other aspects of the video, as discussed more
    extensively in the first assignment of error, constitute permissible testimony as to
    background, motive, and grooming of the victim. Error in the admission of testimony could
    be considered harmless where the testimony is cumulative of other admitted testimony.
    Arnold at ¶ 8, citing State v. Conway, 
    109 Ohio St.3d 412
    , 
    2006-Ohio-2815
    , ¶ 59
    (concluding that any error in admitting statements were harmless as the testimony was
    cumulative of other properly admitted testimony); State v. Holloman, 10th Dist. No. 06AP-
    01, 
    2007-Ohio-840
    , ¶ 3. "An error in the admission of evidence is harmless beyond a
    reasonable doubt if the remaining evidence, standing alone, constitutes overwhelming
    proof of defendant's guilt." State v. Simpson, 10th Dist. No. 01AP-757, 
    2002-Ohio-3717
    ,
    ¶ 38, citing Williams, 6 Ohio St.3d at 290. Again, we note that the state took efforts to
    remove potentially prejudicial aspects of the video by redacting portions of the interview.
    Accordingly, even if parts the video were duplicative, the evidence was properly admitted
    and any minor statements that do not fall under the exception cannot overcome plain error
    analysis as there is overwhelming evidence to support the guilty verdict.
    {¶ 59} Appellant's second assignment of error is overruled.
    No. 20AP-355                                                                               23
    C. Appellant's Third Assignment of Error
    {¶ 60} In appellant's third assignment of error, he argues that the trial court erred
    in failing to allow impeachment evidence of the victim as to alleged prior false accusations
    of sexual misconduct.
    {¶ 61} The Supreme Court has found that Ohio's rape shield statute, R.C.
    2907.02(D), does not apply when a prior allegation can be proven by the defense to be
    totally false or unfounded and the evidence may be admitted under Evid.R. 608(B). State
    v. Boggs, 
    63 Ohio St.3d 418
     (1992) ("R.C. 2907.02 prohibits only evidence of 'sexual
    activity' of the victim. Because prior false accusations of rape do not constitute 'sexual
    activity' of the victim, the rape shield law does not exclude such evidence."). The Boggs
    court stated that the trial court has the discretion in allowing cross-examination if it is
    "clearly probative of truthfulness or untruthfulness." Id. at 421. If the individual answers
    in the affirmative and an in-camera hearing is conducted, the trial court still has discretion
    to determine if the defense counsel may proceed. "Under no circumstances would the
    defense be permitted to introduce extrinsic evidence." Id. at 422, citing Evid.R. 608(B).
    This court reviews a trial court's ruling on the admissibility of evidence for an abuse of
    discretion. State v. Myers, 10th Dist. No. 02AP-1187, 
    2003-Ohio-4135
    , ¶ 64.
    {¶ 62} Appellant argues that "by implication" L.A.'s prior visits to the Child
    Advocacy Center ("CAC") were for suspected maltreatment. (Appellant's Brief at 26.)
    Counsel for appellant, however, did not proffer testimony that the prior allegations of
    sexual abuse were totally unfounded. The burden is on the defense to demonstrate that the
    prior alleged accusations were "totally false and unfounded." Boggs at 423. Appellant
    asked L.A. whether she had been abused in the past. Before L.A. could answer, the state
    objected to the question, which was sustained by the trial court. (Tr. Vol. II at 422.)
    Accordingly, there is insufficient evidence for the argument that L.A. made false allegations
    of sexual abuse in the record.
    {¶ 63} Evid.R. 608(B) states:
    Specific instances of the conduct of a witness, for the purpose
    of attacking or supporting the witness's character for
    truthfulness, other than conviction of crime as provided in
    Evid. R. 609 may not be proved by extrinsic evidence. They
    may, however, in the discretion of the court, if clearly probative
    No. 20AP-355                                                                               24
    of truthfulness or untruthfulness, be inquired into on cross-
    examination of the witness (1) concerning the witness's
    character for truthfulness or untruthfulness * * *.
    {¶ 64} Appellant essentially argues on appeal that the trial court erred in precluding
    him from searching for evidence of false accusations of rape through in-camera questioning
    of L.A. R.C. 2907.02 does not require a court to compel such an inquiry. "[U]nder Evid.R.
    608(B), a party generally cannot prove by extrinsic evidence specific instances of the
    conduct of a witness for the purpose of attacking the witness's character for truthfulness.
    Although Evid.R. 608(B) did not impede the court's ability to hear extrinsic evidence at an
    in-camera hearing, it also did not compel the court to make the victim and parents testify
    during such a hearing." McKinney at ¶ 20. While appellant contends it could have
    impeached L.A. with evidence related to purported false allegations, that argument is far
    from certain.
    {¶ 65} As to Boggs, the Supreme Court addressed the issue as to "whether the rape
    shield provisions of R.C. 2907.02(D) prohibit a defendant from cross-examining an alleged
    rape victim about prior false rape accusations she is alleged to have made." Id. at 420. The
    Boggs court held, Evid.R. 608(B) allows, in the trial court's discretion, cross-examination
    on specific instances of conduct "if clearly probative of truthfulness or untruthfulness." Id.
    at paragraph one of the syllabus. Only in cases "where an alleged rape victim admits on
    cross-examination that she has made a prior false rape accusation, the trial judge shall
    conduct an in-camera hearing to ascertain whether sexual activity was involved and, as a
    result, cross-examination on the accusation would be prohibited by R.C. 2907.02(D), or
    whether the accusation was totally unfounded and therefore could be inquired into
    pursuant to Evid.R. 608(B)." (Emphasis added.) Id. at paragraph two of the syllabus.
    {¶ 66} Here, L.A. did not answer the question as to whether she had made similar
    accusations in the past, and trial counsel did not provide an adequate evidentiary basis
    during its discussion with the trial court to support his claim. This court does not find
    Boggs to require trial courts to permit in-camera questioning of the victim as to alleged
    false accusations of sexual activity without evidence the victim even made such an
    accusation. See McKinney at ¶ 37 ("The purpose of a Boggs hearing is for the trial court to
    determine the extent of cross-examination, not for a defendant to gather impeachment
    No. 20AP-355                                                                              25
    evidence in the first instance."); State v. Delozier, 10th Dist. No. 94APA02-250 (Nov. 17,
    1994) (concluding the trial court did not err under Boggs in prohibiting testimony about
    victim's alleged false allegation of sexual abuse where defendant's trial counsel did not
    present evidence to indicate it had anything to substantiate the existence of the allegation
    other than hearsay evidence). As such, the trial court did not abuse its discretion in
    precluding appellant from asking L.A. as to purported claims of prior false allegations as
    appellant failed to demonstrate an adequate basis for the argument.
    {¶ 67} Appellant's third assignment of error is overruled.
    D. Appellant's Fourth Assignment of Error
    {¶ 68} In appellant's fourth assignment of error, he argues that the trial court erred
    in allowing Dr. Letson to present opinion testimony that showed the victim was telling the
    truth about the sexual abuse. Specifically, appellant argues Dr. Letson's testimony
    constituted improper vouching for L.A.'s claims of sexual abuse by appellant. As counsel
    for appellant failed to object to the testimony, we review this assignment of error under a
    plain error analysis. Long at 97; Crim.R. 52(B).
    {¶ 69} After careful review of the testimony at issue, we are not persuaded that Dr.
    Letson provided a personal opinion as to the truthfulness of L.A.'s accusations. Dr. Letson
    testified as to the forensic interview procedure and to L.A.'s examination. Dr. Letson
    concluded that there were no physical findings from the examination. Dr. Letson explained
    that this was normal as 90 to 96 percent of cases involving sexual abuse have no physical
    findings. Dr. Letson acknowledged that she could not confirm the sexual abuse based on
    the physical examination alone. Dr. Letson is qualified to testify as to the physical
    examination and her statement that the examination was consistent with L.A.'s testimony
    does not indicate a finding of credibility but that the testimony is not, in and of itself,
    inconsistent. Appellant seems to acknowledge as much later in his brief writing, "Dr.
    Letson examined L.A. and could not substantiate or confirm any of L.A.'s allegations."
    (Appellant's Brief at 58.)
    {¶ 70} Appellant relies on State v. Boston, 
    46 Ohio St.3d 108
     (1989), to support his
    argument. A brief review of the case is instructive. In Boston, the defendant was alleged to
    have molested his 2-year-old daughter. The victim in the case, although deemed able to tell
    the truth and communicate, refused to testify. The child's physician testified at trial that
    No. 20AP-355                                                                                26
    the child had not fantasized her abuse in effect stating that the victim's statements were
    truthful. Id. at 128. The Supreme Court found that the trial court committed reversible
    error in allowing the expert's testimony as to the veracity of the child's statements.
    {¶ 71} We find Boston is distinct from the instant case. First, unlike in Boston, L.A.
    testified at trial. "Boston does not apply when the child victim actually testifies and is
    subjected to cross-examination." (Internal quotations omitted.) State v. Roush, 10th Dist.
    No. 12AP-201, 
    2013-Ohio-3162
    , ¶ 61, quoting State v. Benjamin, 8th Dist. No. 87364,
    
    2006-Ohio-5330
    , ¶ 19, quoting State v. Curren, 5th Dist. No. 04 CA 8, 
    2005-Ohio-4315
    ,
    ¶ 26. When a minor victim testifies at trial, the jury may make their own determination of
    credibility of the victim compared to the minor in Boston where there was no independent
    reliability to save the testimony from the expert witness that improperly vouched for the
    child. Id. at ¶ 16. As such, even if we were to find that Dr. Letson's testimony amounted to
    improper bolstering, any error in admitting expert testimony regarding the veracity of
    L.A.'s testimony is harmless as the jury could perceive L.A. and decide for themselves the
    credibility of her testimony. Hughes at ¶ 49. Given trial counsel failed to object at trial, we
    cannot find plain error in this instance.
    {¶ 72} Appellant's fourth assignment of error is overruled.
    E. Appellant's Fifth Assignment of Error
    {¶ 73} In appellant's fifth assignment of error, he alleges that the trial court abused
    its discretion instructing the jury that T.RL. "was provided information about witnesses and
    evidence that has already been presented in this courtroom" and the jury "may use this
    information to test the credibility or believability of this witness' testimony." (Tr. Vol. III
    at 634-37; 643-44.)
    {¶ 74} The trial court has broad discretion to separate witnesses under Evid.R. 615.
    As set forth in Evid.R. 615(A), "at the request of a party the court shall order witnesses
    excluded so that they cannot hear the testimony of other witnesses, and it may make the
    order of its own motion." The purpose of the Evid.R. 615 order is to ensure a witness'
    testimony is based on his/her personal knowledge instead of what he or she may hear from
    another witness. State v. Waddy, 10th Dist. 87AP-1159 (Nov. 2, 1989). "The spirit of the
    separation order is violated if counsel or a spectator briefs a witness upon other witnesses'
    testimony." Id., citing State v. Snowden, 
    7 Ohio App.3d 358
     (10th Dist.1982). The trial
    No. 20AP-355                                                                                   27
    court's ruling concerning the separation of witnesses and sanctions for failure to comply
    with a separation order are reviewed under an abuse of discretion analysis. State v.
    Williams, 10th Dist. No. 16AP-350, 
    2018-Ohio-974
    , ¶ 29, quoting State v. Smith, 
    49 Ohio St.3d 137
    , 142 (1990).
    {¶ 75} In the present case, the trial court ordered the separation of witnesses as
    follows:
    If there's anyone that's going to testify in this matter they are to
    remain outside until such time as they are to testify. They are
    not to discuss their testimony with anyone until this case is
    over.
    I'm going to ask counsel to notify all your witnesses that there
    is a separation order in place; that they are to remain outside;
    and that they are not to discuss their testimony with anyone.
    (Tr. Vol. I at 221.)
    {¶ 76} During the trial, the state argued that appellant violated this order by
    speaking to several individuals, including T.RL., disclosing the testimony of witnesses from
    the trial. The state played portions of calls between appellant and the witnesses to support
    its position that the order had been violated. The state requested that the witnesses be
    excluded from testifying or, alternatively, the jury be instructed that appellant violated the
    court's order to not discuss testimony with anyone until the case is over. Appellant posited
    that the calls were attempts to arrange witnesses to come to testify at trial and objected to
    the exclusion of any witnesses as it would prejudice appellant's ability to present its case.
    The trial court concluded that appellant violated the separation order but allowed T.RL. to
    testify with an instruction that she "was provided information about witnesses and evidence
    that has already been presented in this courtroom" and that the jury "may use this
    information to test the credibility or believability of this witness' testimony." (Tr. Vol. III at
    634-37, 643-44.)
    {¶ 77} After careful review of the record, we find the trial court's use of the
    instruction was not an abuse of discretion. At the start of trial, the court imposed a
    separation order that all potential witnesses are not to discuss their testimony with anyone.
    While a defendant is permitted to speak to witnesses generally and assist with
    arrangements for them to appear at trial, the trial court concluded that appellant's
    No. 20AP-355                                                                                  28
    statements to T.RL., and other potential witnesses, exceeded that limitation. The trial court
    stated "clearly [appellant] thought that getting a timeline to [T.RL.] was something that
    would be significant and so making efforts, based upon the recordings to do that, get that
    information to her. So the Court * * * does find a clear violation of its previous order of
    separation of witnesses in this matter." (Tr. Vol. III at 635.) T.RL. later acknowledged as
    much, stating that she discussed with appellant the prior testimony of witnesses from the
    trial. (Tr. Vol. III at 714.) As noted by the trial court, once it finds a violation of the order
    of separation, it may exclude the witness from testifying. Instead, the trial court elected to
    provide an instruction prior to T.RL.'s testimony. The instruction was a straightforward
    assessment of the facts and was a reasonable remedy given the nature of the telephone calls.
    The trial court, despite appellant's efforts to relay information to T.RL. during the telephone
    calls, was cognizant of the potential prejudice to appellant of excluding witnesses altogether
    and even elected to not indicate in the instruction whether it was appellant or the state that
    committed the Evid.R. 615 violation. The instruction merely stated that a violation
    occurred.
    {¶ 78} Appellant's reliance on State v. Murphy, 7th Dist. No. 19 MA 0018, 2019-
    Ohio-5462, is misplaced. In Murphy, the prosecutor communicated with a witness during
    a lunch break between her cross and redirect examination. The trial court declared a
    mistrial but denied the defendant's motion to dismiss. The Seventh District Court of
    Appeals affirmed the trial court's denial of the motion to dismiss on double jeopardy
    grounds and concluded that there was no prosecutorial misconduct intentionally calculated
    to cause a mistrial. The trial court found that the record indicated the prosecutor's conduct
    was not nefarious or intended, which defense counsel agreed. Murphy at ¶ 21. In addition
    to the obvious distinctions between the role of a prosecutor and the appellant in the case,
    Murphy is distinct as the discussion was during a break not prior to the start of her
    testimony. The trial court in Murphy had also not expressly forbid communication
    between anyone during the break in the victim's testimony or restrict the prosecutor's
    access to the victim prior to redirect examination. Murphy at ¶ 20. Here, the trial court
    concluded that appellant was aware of the separation order, and appellant knew he was
    precluded from discussing trial testimony with potential witnesses in the case. Given the
    factual distinctions between the cases, we find Murphy inapplicable.
    No. 20AP-355                                                                                29
    {¶ 79} Even if there was an error in providing the instruction there was no prejudice
    as T.RL.'s testimony was largely contextual and did not refute L.A.'s allegations of sexual
    abuse. T.RL. testified that she rarely entered the basement, confirmed appellant's scar on
    his naval, and that L.A. never previously informed her of any of the allegations against
    appellant. While the trial court referenced the jail calls at sentencing, our review of the
    record indicates that this statement was in reference to appellant's actions that led to the
    Evid.R. 615 violation instead of what appellant alleges as a factor the jury considered in
    reaching its verdict. The trial court appeared to indicate the jail calls demonstrate appellant
    was trying to manipulate witnesses to help his defense, not a consideration by the jury in
    reaching the verdict. As the jury never heard the jail calls there is no way for them to have
    considered them in their deliberations.
    {¶ 80} Accordingly, we overrule appellant's fifth assignment of error.
    F. Appellant's Sixth Assignment of Error
    {¶ 81} In appellant's sixth assignment of error, he contends that the trial court erred
    in excluding subpoenaed case records regarding G.B. and her children from Franklin
    County Children Services and the National Youth Advocate Program.
    {¶ 82} Pursuant to R.C. 5153.17, children services agency records are confidential.
    However, these records may be available in discovery if the trial court, after an in-camera
    inspection, determines: the records are relevant and necessary to the case, whether there
    is good cause shown by the moving party, and whether the admission outweighs
    confidentiality concerns identified in R.C. 5153.17 and 2151.421(H)(1). Child Care Provider
    Certification Dept. v. Harris, 8th Dist. No. 82966, 
    2003-Ohio-6500
    , ¶ 11, citing Johnson
    v. Johnson, 
    134 Ohio App.3d 579
    , 585 (3d Dist.1999).
    {¶ 83} The trial court's ruling on a pretrial motion to quash a subpoena is generally
    reviewed under an abuse of discretion. Ohio Elections Comm. v. Ohio Chamber of
    Commerce, 
    158 Ohio App.3d 557
    , 
    2004-Ohio-5253
    , ¶ 18 (10th Dist.), citing Petro v. N.
    Coast Villas Ltd., 
    136 Ohio App.3d 93
    , 96 (9th Dist.2000). Here, the trial court conducted
    an in-camera inspection and determined that none of the information could be used at trial.
    The trial court addressed the issue before trial, stating:
    I indicated to NYAP [National Youth Advocate Program] and I
    indicated to the attorney representing NYAP and the attorney
    representing Children Services to turn the information over to
    No. 20AP-355                                                                             30
    me. And then what happens is that I do an inspection of the
    documents and the records to find out if there's any
    information in those records that are relevant to the issues in
    this trial.
    After reviewing a ton of documents, I indicated to the attorneys
    that the information that's within the file is not any information
    that could be used at trial.
    Mr. Billing has asked me on a number of occasions about using
    certain information which I've already indicated to him would
    be inappropriate in this case.
    You know, things like a child's -- what the child is going through
    based upon the fact that the child is in foster care, okay, that's
    irrelevant to the issues in this case. You can't say because the
    child's gone through foster care that I can now testify -- or
    excuse me, I can now cross-examine her on all of the treatment
    that she's received, all the counseling that she's received, all the
    programs that she's been engaged in, what's been going on with
    her in school. No. It's my responsibility to make sure that only
    relevant information is produced at trial.
    (Tr. Vol. I at 13-14.)
    {¶ 84} While appellant preserved the issue for appellate review, he failed to request
    that the records be placed under seal. As such, we are unable to review the records on
    appeal. Pursuant to App.R. 12(A)(1)(b), this court is limited to determining an appeal based
    on the record as provided in App.R. 9. As stated in State v. Smith, 10th Dist. No. 16AP-772,
    
    2017-Ohio-7740
    , ¶ 25, citing State v. Newman, 6th Dist. No. E-11-065, 
    2013-Ohio-414
    , ¶ 7-
    8, appeal not accepted, 
    135 Ohio St.3d 1471
    , 
    2013-Ohio-2512
    :
    Although it is the duty of all of the participants during trial to
    ensure that a proper appellate record is being created, Crim.R.
    22 and State v. Lewis, 2d Dist. No. 23850, 
    2011-Ohio-1411
    ,
    ¶ 28, ultimately appellant bears the duty to demonstrate where
    error occurs on the record. App.R. 9(B) and State v. Perry, 
    101 Ohio St.3d 118
    , 
    2004 Ohio 297
    , 
    802 N.E.2d 643
    , ¶ 6,
    quoting State v. Fisher, 
    99 Ohio St.3d 127
    , 
    2003 Ohio 2761
    , 
    789 N.E.2d 222
    , ¶ 7. Without a complete record, the appellate court
    must presume the regularity of the proceedings and the validity
    of the judgment. State ex rel. Hoag v. Lucas Cty. Bd. of
    Elections, 
    125 Ohio St.3d 49
    , 
    2010-Ohio-1629
    , 
    925 N.E.2d 984
    ,
    ¶ 12, and State v. Prince, 
    71 Ohio App.3d 694
    , 698, 595 N.E.2d
    No. 20AP-355                                                                                     31
    376 (4th Dist.1991), citing Knapp v. Edwards Laboratories, 
    61 Ohio St.2d 197
    , 199, 
    400 N.E.2d 384
     (1980).
    If an appealable issue arises during trial, appellant has a duty
    to proffer contrary evidence in order for the appellate court to
    have a record to review the issue. Evid.R. 103(A)(2) and State
    v. Chapin, 
    67 Ohio St.2d 437
    , 444, 
    424 N.E.2d 317
    (1981). Correspondingly, appellant has a duty to ensure that all
    of the evidence considered by the court is entered into the
    record and transmitted to the court of appeals or to take action
    to correct or supplement the record pursuant to App.R. 9 if
    there is an error or omission. State v. Tyler, 
    50 Ohio St.3d 24
    ,
    41, 
    553 N.E.2d 576
     (1990), superseded by constitutional
    amendment in part on other grounds as stated in State v.
    Smith, 
    80 Ohio St.3d 89
    , 103, 
    1997-Ohio-355
    , 
    684 N.E.2d 668
    (1997), fn. 4 and Maseck v. Lindav Properties, 1st Dist. No. C-
    050528, 
    2006-Ohio-3721
    , ¶ 11. Otherwise, the appellate court
    must find that appellant waived any error that might have been
    reflected in the omitted record. Smith at 41. Compare In re
    Holmes, 
    104 Ohio St.3d 664
    , 
    2004-Ohio-7109
    , 
    821 N.E.2d 568
    ,
    ¶ 19-20 (appellant does not waive any error if the omission in
    the record is due to the error of the court personnel and not
    appellant).
    {¶ 85} In the case sub judice, although the record contains some discussion as to the
    substance of the subpoenaed case records regarding G.B. and her children from Franklin
    County Children Services and the National Youth Advocate Program, the records were not
    placed under seal and are not available in the record. Accordingly, we cannot say that
    appellant has met his burden of demonstrating error on appeal as to the trial court's
    decision to quash the subpoenaed records. App.R. 16(A)(1) through (7). From what we can
    surmise in the record, however, based on the available information, the trial court's
    determination to preclude the use of the records at trial was not an abuse of discretion. The
    trial court's statement that the records of "what the child is going through based upon the
    fact that the child is in foster care, okay, that's irrelevant to the issues in this case. You can't
    say because the child's gone through foster care that I can now testify -- or excuse me, I can
    now cross-examine her on all of the treatment that she's received, all the counseling that
    she's received, all the programs that she's been engaged in, what's been going on with her
    in school. No. It's my responsibility to make sure that only relevant information is produced
    at trial." (Tr. Vol. I at 14.) The trial court's assessment of its role when conducting in-
    No. 20AP-355                                                                               32
    camera inspections of such sensitive records is accurate and, based on the limited
    information available in the record, not an unreasonable basis to exclude the subpoenaed
    records.
    {¶ 86} Appellant's sixth assignment of error is overruled.
    G. Appellant's Seventh Assignment of Error
    {¶ 87} In appellant's seventh assignment of error, he argues that the trial court erred
    in failing to inquire into appellant's request to represent himself at trial.
    {¶ 88} The Sixth Amendment to the United States Constitution protects a criminal
    defendant's right to self-representation reading: "In all criminal prosecutions, the accused
    shall * * * have the Assistance of Counsel for his defence." The Ohio Constitution, Article I,
    Section 10, similarly provides that "[i]n any trial, in any court, the party accused shall be
    allowed to appear and defend in person and with counsel." The right to counsel " 'implicitly
    embodies a "correlative right to dispense with a lawyer's help." ' " State v. Obermiller, 
    147 Ohio St.3d 175
    , 
    2016-Ohio-1594
    , ¶ 26, quoting State v. Martin, 
    103 Ohio St.3d 385
    , 2004-
    Ohio-5471, ¶ 23, quoting Adams v. United States ex rel. McCann, 
    317 U.S. 269
    , 279 (1942).
    This right to counsel is frustrated when counsel is compelled upon a defendant that is not
    willing to accept the attorney to advocate on his behalf in the proceeding.
    {¶ 89} The United States Supreme Court wrote:
    The Sixth Amendment does not provide merely that a defense
    shall be made for the accused; it grants to the accused
    personally the right to make his defense. It is the accused, not
    counsel, who must be "informed of the nature and cause of the
    accusation," who must be "confronted with the witnesses
    against him," and who must be accorded "compulsory process
    for obtaining witnesses in his favor." Although not stated in the
    Amendment in so many words, the right to self-representation
    -- to make one's own defense personally -- is thus necessarily
    implied by the structure of the Amendment. The right to defend
    is given directly to the accused; for it is he who suffers the
    consequences if the defense fails.
    Faretta v. California, 
    422 U.S. 806
    , 819-20 (1975).
    {¶ 90} Subsequent to Faretta, the Supreme Court of Ohio found the "[t]he Sixth
    Amendment, as made applicable to the state by the Fourteenth Amendment, guarantees
    that a defendant in a state criminal trial has an independent constitutional right of self-
    No. 20AP-355                                                                                 33
    representation and that he may proceed to defend himself without counsel when he
    voluntarily, and knowingly and intelligently elects to do so." State v. Gibson, 
    45 Ohio St.2d 366
     (1976), paragraph one of the syllabus, citing Faretta. When a criminal defendant
    unambiguously asserts his right to self-representation it is the trial court's duty to conduct
    a Faretta inquiry to determine if the defendant is knowingly and intelligently waiving his
    or her right to counsel. Obermiller at ¶ 30, citing United States v. Cromer, 
    389 F.3d 662
    ,
    682-83 (6th Cir.2004). The Supreme Court of Ohio also concluded that a trial court's denial
    of the right to self-representation, when the right is "properly invoked," constitutes
    reversible error. State v. Reed, 
    74 Ohio St.3d 534
    , 535 (1996), citing McKaskle v. Wiggins,
    
    465 U.S. 168
    , 177 (1984), fn. 8. See State v. Dean, 
    127 Ohio St.3d 140
    , 
    2010-Ohio-5070
    ,
    ¶ 74 (finding it was an abuse of discretion for the trial court to refuse defendant the right to
    proceed pro se in a capital case if the defendant properly invokes the right to self-
    representation).
    {¶ 91} Whether a defendant "properly invokes" the right to self-representation is
    critical to determine if the trial court committed reversible error by refusing defendant the
    right to proceed pro se. A defendant must "unequivocally and explicitly invoke" his
    intention to assert his right to self-representation. State v. Cassano, 
    96 Ohio St.3d 94
    ,
    
    2002-Ohio-3751
    , ¶ 38. This ensures that a criminal defendant does not " 'tak[e] advantage
    of and manipulat[e] the mutual exclusivity of the rights to counsel and self-
    representation.' " Obermiller at ¶ 29, quoting United States v. Frazier-El, 
    204 F.3d 553
    ,
    559 (4th Cir.2000). Accordingly, courts must " 'indulge in every reasonable presumption
    against waiver' " of the right to counsel. Obermiller at ¶ 29, quoting Brewer v. Williams,
    
    430 U.S. 387
    , 404 (1977). Regardless, if a criminal defendant has unequivocally and
    expressly requested to proceed pro se, a defendant can later waive that request by
    acquiescing to representation by counsel. Obermiller at ¶ 31, citing Cassano at ¶ 42, citing
    McKaskle at 182.
    {¶ 92} We note that when this case began, appellant was initially represented by a
    different attorney and indicated in a letter to the trial court that he wished to retain new
    counsel as it appeared that trial counsel was just trying to "plead him out." (June 20, 2018
    Bond Hearing Tr. at 3.) Appellant later retained new trial counsel and the case was
    continued. On October 24, 2019, appellant sent the court another letter, writing that he
    No. 20AP-355                                                                                 34
    was concerned the investigator was not locating all his potential witnesses. Prior to trial,
    appellant complained to the trial court that counsel failed to meet with him as often as he
    would like and stated, "I'm willing to do my case pro se or try to get pro bono to get my case
    heard the correct way to where everybody's informed, such as myself and my family, and
    not left in the dark about things until a couple hours before a court date." (Tr. Vol. I at 9.)
    The trial court then advised appellant not to proceed pro se as these were serious offenses
    and explained its expectations as to comporting with rules of evidence and criminal
    procedure. The trial court noted that appellant had also previously sought new counsel
    before trial. (Tr. Vol. I at 10.) The trial court concluded that given the age and seriousness
    of the case it was time to proceed to trial as it was becoming a disservice to the victim in the
    case. Prior to swearing in the jury, the trial court again asked appellant and counsel, after
    additional time to meet with each other, whether they intended to move forward with the
    trial. Trial counsel indicated that they were ready to proceed with the case. (Tr. Vol. II at
    124.)
    {¶ 93} After careful review of the record, we find that appellant did not properly
    invoke, or even request, to represent himself at trial. Appellant's comments before the court
    amount to general complaints of his attorney but do not constitute an unequivocal and
    express invocation to represent himself in the case. While appellant relies on Faretta, the
    instant case is distinct as appellant did not make the requisite request to proceed pro se but
    only appeared to generally critique trial counsel's purported deficiencies in his
    representation. At no point was counsel forced upon appellant. Arguendo, even if
    comments to the trial court constituted an unequivocal and express request to proceed pro
    se, appellant waived that request by acquiescing to representation by counsel. Obermiller
    at ¶ 31, citing Cassano at ¶ 42, citing McKaskle at 182.
    {¶ 94} Because appellant never properly invoked his desire to proceed pro se, the
    trial court did not need to engage in a Faretta inquiry to determine if the appellant
    knowingly and intelligently waived his right to counsel. The trial court in this instance
    addressed the identified critiques of appellant's counsel's representation allowing them to
    confer as to the case and the state's outstanding plea offer before the trial commenced. As
    the right to self-representation was not properly invoked, appellant was not denied the right
    to self-representation.
    No. 20AP-355                                                                                35
    {¶ 95} Appellant's seventh assignment of error is overruled.
    H. Appellant's Eighth Assignment of Error
    {¶ 96} In appellant's eighth assignment of error, he alleges that trial counsel was
    ineffective in violation of his rights under the Sixth and Fourteenth Amendments to the
    United States Constitution, and Article I, Sections 10 and 16 of the Ohio Constitution.
    {¶ 97} In Strickland v. Washington, 
    466 U.S. 668
     (1984), the United States
    Supreme Court established a two-part test to consider ineffective assistance of counsel. The
    Supreme Court of Ohio has adopted the Strickland test to resolve whether counsel's
    representation was ineffective. State v. Bradley, 
    42 Ohio St.3d 136
    , 142 (1989) (writing the
    standard under the Ohio Constitution is "essentially the same as the one enunciated by the
    United States Supreme Court in Strickland").
    {¶ 98} First, the defendant must demonstrate that trial counsel's representation was
    outside the range of professionally competent assistance and, accordingly, deficient.
    Strickland at 687. In determining claims of deficient representation, "a court must indulge
    a strong presumption that counsel's conduct falls within the wide range of reasonable
    professional assistance; that is, the defendant must overcome the presumption that, under
    the circumstances, the challenged action 'might be considered sound trial strategy.' " Id. at
    689, quoting Michel v. Louisiana, 
    350 U.S. 91
    , 101 (1955). Second, the defendant must
    demonstrate that trial counsel's deficient representation resulted in prejudice to the
    defense and deprived the defendant of a fair trial. Strickland at 687. To establish prejudice,
    a defendant must show "there is a reasonable probability that, but for counsel's
    unprofessional errors, the result of the proceeding would have been different. A reasonable
    probability is a probability sufficient to undermine confidence in the outcome." Id. at 694.
    When the allegations of ineffective assistance are based on trial counsel's failure to file a
    motion, the appellant must show that "(1) the motion was meritorious or likely to be
    granted, and (2) that there was a reasonable probability that the verdict would have been
    different had the motion been made." Armengau at ¶ 100, citing State v. Raver, 10th Dist.
    No. 02AP-604, 
    2003-Ohio-958
    , ¶ 63, citing State v. Santana, 
    90 Ohio St.3d 513
     (2001),
    and State v. Lott, 
    51 Ohio St.3d 160
     (1990).
    {¶ 99} Appellant contends that trial counsel was deficient in the following ways: (1)
    counsel failed to object to other-acts evidence; (2) failed to object to the hospital interview
    No. 20AP-355                                                                                  36
    before it was played for the jury; (3) failed to file a pretrial motion to address L.A.'s alleged
    prior false accusations; (4) expressed sympathy and failure to object to evidence of
    sympathy to L.A. and her family; (5) failed to object or move to strike hearsay statements;
    (6) failure to object to improper vouching of L.A.; (7) failure to object to references to the
    word "victim" and erred by using the word "victim"; (8) failure to ensure that trial court
    sealed the subpoenaed confidential records; and (9) cumulative error. We will address each
    allegation in turn.
    {¶ 100} Appellant first argues counsel was ineffective in failing to object to other-
    acts evidence. As set forth in the first assignment of error, we concluded that much of the
    evidence would have been permissible regardless of whether counsel had objected at trial.
    Moreover, trial counsel utilized other-acts evidence as part of his trial strategy in
    undermining the credibility of the sisters. However, the allowance of specific instances of
    violence by appellant into the record would qualify under the first prong of Strickland as
    outside the range of professionally competent assistance and, accordingly, deficient.
    However, appellant cannot meet the second prong as there is not a reasonable probability
    that, but for counsel's unprofessional errors, the result of the proceeding would have been
    different. As such, appellant fails to meet the second prong of Strickland.
    {¶ 101} Next, appellant argues trial counsel was ineffective for failing to object to
    hearsay evidence from the hospital interview before the video was played for the jury. For
    the reasons set forth in our analysis of the second assignment of error, we find this
    argument also unpersuasive. Briefly, as appellant had an opportunity to cross-examine
    L.A. on the video, but failed to do so, there is no Confrontation Clause issue. The video was
    permissible as most of the interview fell under the medical diagnosis and treatment
    exception to the hearsay rule. As other evidence in the video was admissible outside the
    hearsay issue, any other potentially impermissible hearsay was harmless as appellant had
    an opportunity to cross-examine L.A. regarding the video and matters identical to that
    contained in the hearsay statements. F.R., at ¶ 37, quoting Smith, 
    2006-Ohio-45
    , at ¶ 16,
    citing Allen. We also note that it is conceivable that the lack of objections to the video while
    it was played could have been considered part of trial counsel's strategy as continually
    objecting would bring additional attention to the video bolstering L.A.'s credibility.
    "Tactical or strategic trial decisions, even if ultimately unsuccessful, will not substantiate a
    No. 20AP-355                                                                                 37
    claim of ineffective assistance of counsel." State v. Ryan, 10th Dist. No. 08AP-481, 2009-
    Ohio-3235, ¶ 77, citing In re M.E.V., 10th Dist. No. 08AP-1097, 
    2009-Ohio-2408
    , ¶ 34. As
    such, we are not convinced that the first prong of Strickland is met. Regardless, appellant
    fails to demonstrate that the second prong of Strickland is satisfied as, even excluding the
    video, L.A. provided persuasive testimony that was never refuted by appellant.
    Accordingly, appellant has not demonstrated that trial counsel's deficient representation
    resulted in prejudice to the defense and deprived the him of a fair trial.
    {¶ 102} Next, appellant argues that trial counsel was ineffective for failing to file a
    pretrial motion to address L.A.'s alleged prior false accusations. There is insufficient
    evidence in the record to explain the basis for the alleged prior false accusations and
    appellant's counsel failed to proffer evidence that L.A. made prior false statements. "There
    must be sufficient basis in the record * * * upon which the court can decide that error."
    (Emphasis sic.) Hungler v. Cincinnati, 
    25 Ohio St.3d 338
    , 342 (1986). It is well-established
    law that an appeals court is limited to the record of the proceedings from trial. Morgan v.
    Eads, 
    104 Ohio St.3d 142
    , 
    2004-Ohio-6110
    , ¶ 13. " 'It is impossible for a reviewing court to
    determine on direct appeal whether ineffective assistance of counsel occurred where the
    allegations of ineffectiveness are based upon evidence outside of the record.' " State v.
    Prophet, 10th Dist. No. 14AP-875, 
    2015-Ohio-4997
    , ¶ 32, quoting State v. Farwell, 12th
    Dist. No. CA2001-03-041, 
    2002-Ohio-1912
    , citing State v. Cooperrider, 
    4 Ohio St.3d 226
    ,
    228 (1983). Because trial counsel's claim of prior false allegations is outside the record of
    proceedings before this court, it is impossible for this court to review appellant's allegations
    of ineffectiveness.
    {¶ 103} Appellant argues that counsel was ineffective in expressing sympathy to
    L.A. and her family and failing to move to strike expressions of sympathy by the state. We
    disagree. "There are countless ways to provide effective assistance in any given case. Even
    the best criminal defense attorneys would not defend a particular client in the same way."
    Strickland at 689. In determining ineffective assistance of counsel, a reviewing court must
    make every effort to avoid distorting effects of hindsight. Strickland at 689. Given the
    nature of the allegation and the age of L.A., cross-examination of a minor for sexual abuse
    can often be perceived by the jury as aggressive or harsh. Here, appellant commented that
    he was "glad" L.A. was able to reunite with her mother and that her life appeared to be
    No. 20AP-355                                                                                   38
    "looking up." (Tr. Vol. II at 449; Tr. Vol. III at 529.) It is conceivable, and likely, to think a
    jury would look favorably on his concern and statements of L.A. and her sisters reuniting
    with G.B. At the very least, it falls in the acceptable range of trial strategy. Appellant next
    contends statements made to G.B. on her sobriety were improper stating he congratulated
    her "for doing well now" and "glad your children are doing well." (Tr. Vol. II at 269.) Again,
    it is reasonable trial strategy to think counsel was trying to gain favor with the jury by
    demonstrating a friendly demeanor especially after cross-examining G.B. on her drug
    dependency issues, which led to her children being placed in foster care. As to not objecting
    to the prosecutor's statements, it is conceivable to think additional objections could bring
    more attention to the testimony.
    {¶ 104} Appellant also argues counsel was ineffective in failing to object to E.P.'s
    characterization of the sisters as "survivors." After review of the transcript, we do not find
    this as deficient as the statement appears in reference to the multiple times the children
    were placed in foster care and removed from their mother. The jury was aware the sisters
    did not have a father in their lives and G.B. was in and out of jail. Further, objecting to
    E.P.'s characterization of the girls as honest would have likely drawn more attention to the
    statement than it would have deserved. The jury heard testimony that E.P. wanted to adopt
    the girls and has a strong relationship with them to this day. Any claim by appellant that it
    was improper bolstering of the sisters, and by extension L.A., is tenuous and certainly did
    not result in a reasonable probability that it would undermine confidence in the verdict.
    {¶ 105} Next, appellant argues counsel was ineffective based on failing to object to
    hearsay statements in E.P.'s testimony as to the behavior of the girls and attitude toward
    appellant and T.RL. E.P. testified generally as to her observations and the girls lack of
    desire to visit with appellant. The statement by E.P. as to L.A. crying in the bathroom was
    objected to and sustained by the trial court. Appellant also identifies statements by G.B.
    conveyed to her from T.RN. However, these statements while hearsay, are far from
    meaningful evidence in the case in which there are kidnapping and multiple counts of rape.
    Moreover, all these individuals testified to the same evidence at trial. " '[T]he admission of
    hearsay is harmless error where the declarant was also a witness and examined regarding
    matters identical to those contained in the hearsay statements.' " F.R. at ¶ 37, quoting
    Smith, 
    2006-Ohio-45
    , ¶ 16, citing Allen.          Even considering all these statements as
    No. 20AP-355                                                                                 39
    impermissible hearsay and deficient under the first prong of Strickland, they are fleeting
    remarks in the context of a protracted jury trial. As such, we do not find that there is a
    reasonable probability that this would undermine confidence in the outcome.
    {¶ 106} Appellant also contends that trial counsel was ineffective for failing to
    object to improper vouching. This issue is extensively discussed in appellant's fourth
    assignment of error. As set forth previously, we are not persuaded that Dr. Letson provided
    her personal opinion on the truthfulness of L.A.'s claims of sexual abuse. Dr. Letson
    testified as to the interview procedure and to L.A.'s examination. Dr. Letson concluded that
    the examination was normal and there were no physical findings from the examination.
    Dr. Letson stated that this was typical as in 90 to 96 percent of sexual abuse cases there are
    no physical findings. Dr. Letson noted that she could not confirm the sexual abuse based
    on the physical examination alone. As such, we do not find appellant has met his burden
    under Strickland.
    {¶ 107} Appellant next argues that counsel was ineffective in allowing the use of the
    word "victim" at trial. Specifically, appellant argues that counsel was ineffective for failing
    to object to the prosecutor's use of the word "victim" in voir dire, witnesses use of the word
    "victim" in reference to L.A., defense counsel's use of the word "victim" at trial, and jury
    instructions referring to L.A. as a "victim."
    {¶ 108} After careful review of the record, the state and witnesses did not use the
    word "victim" at trial in place of L.A. or in an immediate reference to her as the victim in
    the case. The prosecutor referred to his unit as "special victim's unit." (Tr. Vol. I at 24, 49,
    77-78, 108-09.) Next, E.P. made a general remark that she took L.A. to her examination
    stating that they went to the building at Nationwide Children's Hospital where "victims of
    assault" are processed. (Tr. Vol. II at 357.) Next, the state made a reference to a "victim
    advocate" present at the CAC interview. (Tr. Vol. III at 545.) Wilkinson also used the word
    "victim" but in reference to the fact that victims delaying their disclosures of abuse is not
    uncommon. Appellant's trial counsel made a general reference to law enforcement needing
    to question a victim. (Tr. Vol. III at 569.) In closing statements, the state made a general
    reference to "victims of sexual abuse" taking time to open upon and report abuse. (Tr. Vol.
    III at 739.) Finally, the use of the word "victim" in the jury instruction mirrors the statutory
    definitions of rape and kidnapping. Compare Tr. Vol. IV at 768 ("the defendant by force or
    No. 20AP-355                                                                                 40
    threat restrained L.A. of her liberty for the purposes of engaging in sexual activity with the
    victim against the victim's will") to R.C. 2905.01(A)(4) ("[n]o person, by force * * * shall * *
    * restrain the liberty of the [victim] * * * [t]o engage in sexual activity, as defined in [R.C.
    2907.01], with the victim against the victim's will"; Tr. Vol. IV at 771 ("defendant engaged
    in sexual conduct with another and the defendant purposely compelled the other person to
    submit by force or threat of force. The State need not prove that the victim physically
    resisted") to R.C. 2907.02(C)("[n]o person shall engage in sexual conduct with another
    when the offender purposely compels the other person to submit by force or threat of force.
    * * * A victim need not prove physical resistance to the offender in prosecutions under this
    section"). These references do not suggest a finding of appellant's guilt or undermine the
    fairness of the trial as they are either broad references, titles as in the case of the victim
    advocate, or an accurate reflection of the statutory language at issue in the case.
    {¶ 109} Appellant relies on our decision in State v. Almedom, 10th Dist. No. 15AP-
    852, 
    2016-Ohio-1553
    , finding repeated references to the complaining witness as a "victim"
    constituted error telling the jury that the complaining witness was truthful when claiming
    that the sexual abuse occurred. This court addressed a similar argument in State v. Nichols,
    10th Dist. No. 19AP-113, 
    2020-Ohio-4362
    , writing: "[f]irst and foremost, in Almedom, the
    offending references to the witnesses as 'victims' were made by the trial judge, not the
    prosecutor. While a trial judge must remain detached and neutral in any matter before the
    court, the prosecutor is not constrained by any such obligation of neutrality." Id. at ¶ 39,
    citing State v. Harper, 10th Dist. No. 01AP-201 (Dec. 31, 2001). It is also conceivable that
    defense counsel did not want to bring further attention to the issue as part of the trial
    strategy by insinuating appellant did not trust the jury's ability to identify the word "victim"
    as a reference to a complaining witness.
    {¶ 110} Furthermore, even if appellant had objected to the statements in closing
    arguments there would be no error. A prosecutor during closing argument may comment
    on " 'what the evidence has shown and what reasonable inferences may be drawn
    therefrom.' "   Lott at 165, quoting State v. Stephens, 
    24 Ohio St.2d 76
    , 82 (1970).
    Identifying L.A. or making a general reference to victims of abuse opening up over time in
    closing argument would constitute commentary on the evidence shown at trial and,
    therefore, would not be improper. Regardless, as both parties used the term it is hard to
    No. 20AP-355                                                                               41
    identify what, if any, prejudice appellant suffered as a result. Moreover, while appellant
    also identifies some instances where his trial counsel used the word "victim" in voir dire
    and in his opening statement, appellant fails to demonstrate that this amounts to prejudice
    sufficient to satisfy the second prong of Strickland, namely that there is a reasonable
    probability that objection could have resulted in a different outcome of the trial.
    {¶ 111} Appellant next argues counsel was ineffective for failing to ensure the trial
    court sealed confidential records. As set forth previously, " '[i]f an appealable issue arises
    during trial, appellant has a duty to proffer contrary evidence in order for the appellate
    court to have a record to review the issue. Correspondingly, appellant has a duty to ensure
    that all of the evidence considered by the court is entered into the record and transmitted
    to the court of appeals or to take action to correct or supplement the record pursuant to
    App.R. 9 if there is an error or omission.' " (Internal citations omitted.) Smith, 2017-Ohio-
    7740, at ¶ 25, quoting Newman, 
    2013-Ohio-414
    , at ¶ 7-8. Again, because the contents of
    the record are outside the record of proceedings before this court, it is impossible for this
    court to review appellant's allegations of ineffectiveness.
    {¶ 112} Finally, appellant argues counsel was ineffective based on the cumulative
    error during the trial. "Under the doctrine of accumulated error, a conviction will be
    reversed when the cumulative effect of errors in a trial deprives a defendant of a fair trial
    even though each of the instances of trial-court error does not individually constitute cause
    for reversal." (Citation omitted.) State v. Pickens, 
    141 Ohio St.3d 462
    , 
    2014-Ohio-5445
    , ¶
    230, overruled in part on other grounds, State v. Bates, 
    159 Ohio St.3d 156
    , 2020-Ohio-
    634, ¶ 35. Errors that are harmless individually, when considered together, may violate a
    defendant's right to a fair trial. State v. Norman, 10th Dist. No. 12AP-505, 2013-Ohio-
    1908, ¶ 61. However, " 'errors cannot become prejudicial by sheer weight of numbers.' "
    State v. Bryan, 
    101 Ohio St.3d 272
    , 
    2004-Ohio-971
    , ¶ 211, quoting State v. Hill, 
    75 Ohio St.3d 195
    , 212 (1996). There is no doubt that appellant did not receive a perfect trial. The
    volume of alleged error in appellant's brief, however, is more of a statement of counsel's
    thoroughness than a reflection of prejudice to appellant. While we agree that appellant
    identifies several aspects of trial counsel's overall performance that could be considered
    deficient under the first prong of Strickland, we are nonetheless unable to find that
    appellant has demonstrated that, but for counsel's performance on these issues, the
    No. 20AP-355                                                                                  42
    outcome of the trial would have been different. Despite trial counsel's failure to object at
    various points in the trial, we do not find appellant can overcome the fact that L.A. testified
    clearly as to the nature of the sexual abuse, and her testimony was consistent with all the
    other evidence in the case. In light of L.A.'s testimony, we conclude appellant is unable to
    demonstrate the requisite prejudice under the second prong of Strickland. Therefore, trial
    counsel's actions as well as trial court error, cumulatively or in isolation, did not deprive
    appellant of his right to a fair trial.
    {¶ 113} We overrule appellant's eighth assignment of error.
    I. Appellant's Ninth Assignment of Error
    {¶ 114} In appellant's ninth assignment of error, he argues that there was
    insufficient evidence presented at trial and that the verdict was against the manifest weight
    of the evidence.
    {¶ 115} The legal standard of sufficiency of the evidence "tests whether the evidence
    introduced at trial is legally sufficient to support a verdict." State v. Cassell, 10th Dist. No.
    08AP-1093, 
    2010-Ohio-1881
    , ¶ 36, citing Thompkins at 386. Whether the evidence
    presented at trial is legally sufficient to support the verdict is a question of law, not fact.
    State v. Fabal, 10th Dist. No. 20AP-86, 
    2021-Ohio-1793
    , ¶ 20, quoting State v. Kurtz, 10th
    Dist. No. 17AP-382, 
    2018-Ohio-3942
    , ¶ 15, citing Thompkins at 386. When resolving
    whether the evidence is legally sufficient, " '[t]he relevant inquiry is whether, after viewing
    the evidence in a light most favorable to the prosecution, any rational trier of fact could
    have found the essential elements of the crime proven beyond a reasonable doubt.' " State
    v. Robinson, 
    124 Ohio St.3d 76
    , 
    2009-Ohio-5937
    , ¶ 34, quoting State v. Jenks, 
    61 Ohio St.3d 259
     (1991), paragraph two of the syllabus, following Jackson v. Virginia, 
    443 U.S. 307
    (1979). In a sufficiency of the evidence analysis, "appellate courts do not assess whether
    the prosecution's evidence is to be believed but whether, if believed, the evidence supports
    the conviction." Kurtz at ¶ 16, citing Yarbrough at ¶ 79-80.
    {¶ 116} Conversely, while sufficiency of the evidence tests the adequacy of whether
    the evidence presented is legally sufficient to support the verdict as a matter of law, the
    standard of manifest weight of the evidence considers the evidence's effect of inducing
    belief. Cassell at ¶ 38, citing State v. Wilson, 
    113 Ohio St.3d 382
    , 
    2007-Ohio-2202
    , ¶ 25,
    citing Thompkins at 386. Even if there is sufficient evidence to support a verdict, a
    No. 20AP-355                                                                                43
    reviewing court may still conclude that a judgment is against the manifest weight of the
    evidence.   State v. McCombs, 10th Dist. No. 15AP-245, 
    2015-Ohio-3848
    , ¶ 3, citing
    Thompkins at 387.
    {¶ 117} An appellate court reviewing a manifest weight challenge "may not merely
    substitute its view for that of the trier of fact, but must review 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. Harris, 10th Dist. No. 13AP-770, 
    2014-Ohio-2501
    , ¶ 22, citing
    Thompkins at 387, citing State v. Martin, 
    20 Ohio App.3d 172
    , 175 (1st Dist.1983). An
    appellate court should reserve reversal of a conviction as being against the manifest weight
    of the evidence for the most "exceptional case in which the evidence weighs heavily against
    the conviction." (Internal quotations omitted.) State v. Cervantes, 10th Dist. 18AP-505,
    
    2019-Ohio-1373
    , ¶ 27.
    {¶ 118} When considering a manifest weight of the evidence argument, the
    reviewing court may consider the credibility of the witnesses. State v. Cattledge, 10th Dist.
    No. 10AP-105, 
    2010-Ohio-4953
    , ¶ 6. However, this court is guided by the presumption
    that, " '[the jury] is best able to view the witnesses and observe their demeanor, gestures
    and voice inflections, and use these observations in weighing the credibility of the proffered
    testimony.' " 
    Id.,
     quoting Seasons Coal Co. v. Cleveland, 
    10 Ohio St.3d 77
    , 80 (1984).
    Disagreement over the credibility of a witness is not a sufficient reason to reverse a
    judgment on manifest weight grounds. State v. G.G., 10th Dist. No. 12AP-188, 2012-Ohio-
    5902, ¶ 7. Therefore, we give the jury's determination of witness credibility great deference.
    State v. Redman, 10th Dist. No. 10AP-654, 
    2011-Ohio-1894
    , ¶ 26, citing State v. Jennings,
    10th Dist. No. 09AP-70, 
    2009-Ohio-6840
    , ¶ 55; State v. Covington, 10th Dist. No. 02AP-
    245, 
    2002-Ohio-7037
    , ¶ 28.
    {¶ 119} In the present case, the jury found appellant guilty of five counts of rape in
    violation of R.C. 2907.02 and one count of kidnapping in violation of R.C. 2905.01. As set
    forth in R.C. 2907.02,"[n]o person shall engage in sexual conduct with another when the
    offender purposely compels the other person to submit by force or threat of force. * * *
    Whoever violates this section is guilty of rape, a felony of the first degree." R.C.
    No. 20AP-355                                                                                  44
    2907.02(A)(2) and (B). Pursuant to R.C. 2907.01(A), "[s]exual conduct" is defined in
    relevant part as "vaginal intercourse between a male and female; * * * fellatio, and
    cunnilingus between persons regardless of sex; and, without privilege to do so, the
    insertion, however slight, of any part of the body or any instrument, apparatus, or other
    object into the vaginal or anal opening of another. Penetration, however slight, is sufficient
    to complete vaginal or anal intercourse." R.C. 2907.01(C) defines " '[s]exual activity' means
    sexual conduct or sexual contact, or both." Kidnapping is proscribed by R.C. 2905.01, which
    states in relevant part, "[n]o person, by force, threat * * * shall * * * restrain the liberty of
    the other person* * * [t]o engage in sexual activity, as defined in [R.C. 2907.01], with the
    victim against the victim's will." R.C. 2905.01(A)(4).
    {¶ 120} In the present case, L.A. testified to living with T.RL. and appellant for
    approximately three years before being removed in 2017. L.A. described the house included
    two bedrooms, a bathroom, a basement, a living room, and dining room. Initially, the girls
    all lived in the same bedroom. After about six months, L.A. was moved to the basement,
    and her sisters were not permitted to visit. L.A stated the abuse started when she was 13
    years old. According to L.A., the first time was during movie night when appellant began
    to touch her body. L.A. stated that appellant's actions progressed from oral sex to vaginal
    penetration with his penis. L.A. testified that the first time occurred when she was cleaning
    her room in the basement. "[H]e climbed on top of me and he held my head into a pillow.
    That's when he started." (Tr. Vol. II at 389.) L.A. testified that this would occur in the
    basement when everyone was asleep, at school, or when T.RL. was at the doctor. Appellant
    initially used a condom but stopped after he made L.A. get on birth control. According to
    L.A., appellant would force off her pants and underwear and hold her down by her arms
    onto the bed holding her head on the pillow. L.A. testified that the sexual abuse would
    cause her pain and vaginal bleeding.
    {¶ 121} L.A. described other times appellant would perform oral sex on her stating,
    "he [would] put[] his mouth to [her] vagina or like my mouth is on his * * * penis." (Tr. Vol.
    II at 392.) L.A. stated that the abuse primarily occurred downstairs and upstairs "maybe
    like twice." (Tr. Vol. II at 393.) On one of these occasions, L.A. stated appellant raped her
    vaginally with his penis while in the living room on the couch. L.A. also testified that
    appellant on multiple occasions would use his hands to touch and penetrate her vagina.
    No. 20AP-355                                                                                 45
    L.A. noted that appellant has a scar on his stomach that runs horizontally below his navel.
    L.A. testified that this abuse continued until she was removed from the home to live with
    E.P.
    {¶ 122} L.A.'s testimony is consistent with other witnesses at trial. T.RL. testified
    that she would seldomly go into the basement because of a foot injury. Both T.RN. and S.A.
    confirmed that they were not permitted to enter the basement and had to sneak down there
    to see their sister when appellant was not home. The testimony of a sole witness, if believed
    by the trier of fact, is sufficient to support a conviction. State v. Strong, 10th Dist. No.
    09AP-874, 
    2011-Ohio-1024
    , ¶ 42, citing State v. Dunn, 5th Dist. No. 2008-CA-00137,
    
    2009-Ohio-1688
    , ¶ 133. When considering the sufficiency of the evidence, "[t]he court
    essentially assumes the state's witnesses testified truthfully and determines whether that
    testimony satisfies each element of the crime." State v. Davis, 10th Dist. No. 18AP-921,
    
    2019-Ohio-4692
    , ¶ 38, citing State v. Bankston, 10th Dist. No. 08AP-668, 
    2009-Ohio-754
    ,
    ¶ 4. Here, L.A. testified appellant by force, or threat of force, restrained her for the purpose
    of engaging in sexual activity against her will. L.A. also stated that appellant compelled her
    to submit by force, or threat of force, to sexual conduct with her, through vaginal and digital
    penetration, cunnilingus, and fellatio.     It was the province of the jury to assess the
    credibility of L.A. and to resolve which aspects of her testimony it found credible. After
    careful review of the record, considering the evidence in favor of the state, as required for a
    sufficiency of the evidence analysis, we conclude that the state presented enough evidence
    to support conviction for rape and kidnapping.
    {¶ 123} As to the manifest weight of the evidence argument, appellant argues that
    other-acts evidence and improper bolster contributed to the conviction. As set forth in the
    first two assignments of error as well as the eighth assignment of error, much of these
    statements provide some permissible purpose and, even outside those statements, there is
    clear evidence of guilt against appellant in this case.
    {¶ 124} Appellant argues that the case comes down to L.A.'s credibility as she did
    not discuss any of the allegations prior to her disclosure to E.P., with her sisters, school
    officials, T.RL., or G.B. Appellant argues that L.A.'s credibility is questionable given the
    testimony from her and her sisters compared to T.RL. as to their home life, care of the girls,
    and the decision to get birth control. Appellant also notes that there was no physical
    No. 20AP-355                                                                                46
    evidence in the case and Dr. Letson could not substantiate or confirm any of L.A.'s
    allegations based on her physical examination alone.
    {¶ 125} A lack of physical evidence, alone, does not sustain a conviction against a
    manifest weight challenge. State v. Flores-Santiago, 8th Dist. No. 108458, 2020-Ohio-
    1274, ¶ 37, citing State v. Rusnak, 7th Dist. No. 15 JE 0002, 
    2016-Ohio-7820
    , ¶ 30; Thomas
    at ¶ 25. Furthermore, the jury was presented with testimony by T.RL. as to L.A.'s
    motivations and desire to move back with her and appellant after the girls were initially
    removed from the home. The jury heard from the other sisters as to their lack of knowledge
    of the sexual abuse until L.A.'s disclosure to E.P. It is within the trier of fact to determine
    the credibility of L.A. and the other witnesses. In a manifest weight review, an appellate
    court must "bear in mind the trier of fact's superior, first-hand perspective in judging the
    demeanor and credibility of witnesses." State v. Mickens, 10th Dist. No. 08AP-626, 2009-
    Ohio-1973, ¶ 30. We find that the jury is in the best position to determine the credibility of
    L.A. by considering her manner and demeanor, as well as any inconsistences in her
    testimony. Accordingly, we cannot conclude this case presents a scenario where the jury
    clearly lost its way and created such a manifest miscarriage of justice that the conviction
    must be reversed, and a new trial ordered.
    {¶ 126} For the foregoing reasons, we conclude that appellant's convictions of rape
    and kidnapping were based on sufficient evidence and not against the manifest weight of
    the evidence.
    {¶ 127} Accordingly, we overrule appellant's ninth assignment of error.
    IV. CONCLUSION
    {¶ 128} Having overruled appellant's nine assignments of error, we affirm the
    judgment of the Franklin County Court of Common Pleas.
    Judgment affirmed.
    BROWN and SADLER, JJ., concur.
    _____________