Com. v. Quinones, C. ( 2017 )


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  • J-A13019-17
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    COMMONWEALTH OF PENNSYLVANIA               :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    :
    v.                              :
    :
    :
    CRYSTAL QUINONES                           :
    :
    Appellant                :   No. 2661 EDA 2015
    Appeal from the Judgment of Sentence July 10, 2015
    In the Court of Common Pleas of Lehigh County
    Criminal Division at No(s): CP-39-CR-0003123-2014
    BEFORE:      LAZARUS, J., OTT, J. and FITZGERALD, J.*
    MEMORANDUM BY OTT, J.:                              FILED SEPTEMBER 26, 2017
    Crystal Quinones appeals from the judgment of sentence imposed July
    10, 2015, in the Lehigh County Court of Common Pleas.             The trial court
    sentenced Quinones to an aggregate term of eight and one-half to 17 years’
    imprisonment, following her jury conviction of two counts of aggravated
    assault and one count of endangering the welfare of a child (“EWOC”),1 for
    injuries she inflicted on her four-month-old daughter, N.C. Quinones raises
    four arguments on appeal: (1) the Commonwealth breached a pretrial
    agreement to proceed only on a charge of EWOC; (2) the evidence was
    insufficient to support her convictions of aggravated assault; (3) the trial
    ____________________________________________
    *
    Former Justice specially assigned to the Superior Court.
    1
    18 Pa.C.S. §§ 2702(a)(8), and (a)(9), and 4304.
    J-A13019-17
    court erred in prohibiting her from presenting evidence of her good
    character; and (4) the sentence imposed was manifestly excessive. For the
    reasons below, we affirm.
    The evidence presented during Quinones’s jury trial is summarized by
    the trial court as follows:
    [O]n January 24, 2014, [Quinones] dropped off her four (4)
    month old baby daughter, [N.C.],4 at Maria Bermudez’s
    apartment.5 Ms. Bermudez is a day care provider who provides
    day care services out of her residence located in center city
    Allentown. On this morning, [N.C.] was sleeping when she
    arrived at the day care facility. [N.C.] was buckled in her car
    seat, still wearing her hat and winter coat. Prior to leaving,
    [Quinones] instructed Ms. Bermudez to keep an eye on [N.C.]’s
    arm because it was sore. Later that morning, [Quinones] called
    Ms. Bermudez to inquire about [N.C.]       As [N.C.] was still
    sleeping, Ms. Bermudez removed the baby from the car seat and
    began to take off [N.C.]’s coat. Ms. Bermudez immediately
    noticed that something was wrong. [N.C.] screamed and her
    arm went limp. Ms. Bermudez advised [Quinones] over the
    telephone that the baby needed to be taken immediately to the
    emergency room.
    __________
    4
    [N.C.] was born [i]n October [], 2013.
    5
    [Quinones] also dropped off her three (3) year       old
    daughter, J.H., born [i]n November [], 2010, at this   day
    care facility as well. [Quinones] had been utilizing   the
    services of Ms. Bermudez for approximately three       (3)
    weeks prior to this date.
    __________
    As instructed by Ms. Bermudez, [Quinones] left work and
    came to retrieve [N.C.] to transport her to the Lehigh Valley
    Health Network Pediatric Clinic, an outpatient care facility
    located at 17th and Chew Streets, Allentown.6      [Quinones]
    explained to the healthcare provider that the baby was not
    moving her left arm and that she was in pain and fussy. She
    stated that a box fan had fallen on the baby two (2) nights
    -2-
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    before, but that the baby did not cry. [N.C.] was examined, and
    the doctor noted that her arm was swollen and deformed and
    that the baby was not moving it. Consequently, an x-ray of the
    baby’s left arm was ordered.7 The x-ray revealed an acute (0 to
    3 days old) mid-shaft transverse fracture of the left humerus,
    and that the fracture was in a bone that was already starting to
    heal. As a result of the findings of this x-ray, [N.C.] was
    referred to the Emergency Room8 to be hospitalized for a
    complete work up to determine if the baby was a victim of other
    previous trauma.
    __________
    6
    At the end of the day, the older daughter was retrieved
    by a member of [Quinones’s] family.
    7
    The x-ray included the humerus, radius, and ulna of the
    left arm.
    8
    While in the ER, [Quinones] stated that a box fan fell on
    [N.C.] two (2) nights ago and that she cried for a few
    minutes until it resolved.
    __________
    A complete skeletal survey was performed. There was
    evidence that [N.C.] had suffered broken bones in the past,
    including: (1) a transverse fracture to the humerus that was
    about five (5) to six (6) weeks old. (This fracture would have
    required a lot of force to have occurred. A box fan falling on the
    baby’s entire body one (1) month prior, as recounted by
    [Quinones], would have caused multiple injuries to the baby and
    not just one (1) isolated fracture. Also, a gentle step on the
    baby’s arm when [Quinones] walked backwards from the kitchen
    would not have caused such a fracture as [Quinones] suggested.
    However, an adult-force “stomp” could have done it.           This
    fracture would have caused the baby to cry immediately.); (2) a
    previous break to the left femur (thigh) that was 15 to 35 days
    old. (Symptoms would have been exhibited at the time of this
    event, which would have included crying, irritability, fussy, not
    using this limb. These symptoms would have been obvious to a
    caretaker.); (3) a previous broken right tibia (shin bone) that
    was 15 to 35 days old. (The force needed to [have caused] such
    a break would have been a wrenching or grabbing or shearing
    force, and the baby would have reacted immediately. Again, the
    symptoms would have been obvious to a caretaker); and (4) a
    previous broken left tibia (shin bone) that was 15 to 35 days old.
    -3-
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    (The force needed to have caused such a break would have been
    a wrenching or grabbing or shearing force, and the baby would
    have reacted immediately. Again, the symptoms would have
    been obvious to a caretaker). After four (4) days of being in the
    hospital, [N.C.] was discharged to foster care on January 28,
    2014.9
    __________
    9
    [N.C.] was taken for a follow up at the Lehigh Valley
    Health Network Pediatric Clinic for a repeat skeletal survey
    on February 20, 2014. No new fractures were noted or
    observed at that time. This finding was of interest to Dr.
    [Debra] Esernio-Jenssen, an expert in the field of
    pediatrics and child abuse pediatrics, as [N.C.] was now
    older and more mobile and at greater risk for injury.
    However, while in foster care, she did not suffer any new
    injury.
    __________
    Detective Melissa Gogel of the Special Victims’ Unit of the
    Allentown Police Department received a referral from the Lehigh
    County Office of Children and Youth Services with regard to
    [N.C.] on January 24, 2014, concerning child abuse allegations.
    Consequently, on or before January 29, 2014, Detective Gogel
    interviewed [Quinones] at the Government Center in Allentown,
    Lehigh County, Pennsylvania.       [Quinones] was informed by
    Detective Gogel that she was free to leave at any time.
    [Quinones] provided background information to Detective Gogel,
    such as that she moved from Florida approximately seven (7)
    months ago and was living with her step brother and sister-in-
    law at the Congress Apartments located [on] East Market Street,
    [] Allentown. [Quinones] related that she was a single mother
    and that she had just begun a new job three (3) weeks ago. As
    the primary caretaker10 of her two (2) daughters, she needed to
    utilize Ms. Bermudez’s day care once she obtained employment.
    __________
    10 Detective Gogel spoke with [Quinones’s] stepbrother,
    Saire Castro, Jr., on January 31, 2014. He confirmed that
    [Quinones] was the primary caretaker of her two (2)
    daughters and that she took them everywhere with her
    because she did not trust others to watch her children. He
    also stated that [Quinones’s] boyfriend did not live at the
    apartment, but that he was there most of the time.
    -4-
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    [Quinones’s] boyfriend, Ricardo Maldonado, also confirmed
    that [Quinones] never left her children alone.
    __________
    With regard to the multiple injuries on [N.C.], [Quinones]
    initially told Detective Gogel that at approximately 3:00 A.M. on
    January 24, 2014, a box fan had fallen into the “pack and play”
    in which [N.C.] was sleeping.11 She stated that the baby cried,
    and that she grabbed the baby by both arms and pulled her to
    her.12 [Quinones] related that she did not see any injuries on
    [N.C.], but the next morning she was fussy. When Detective
    Gogel confronted [Quinones] and stated that a box fan weighing
    less than two (2) pounds could not cause such injuries,
    [Quinones’s] story evolved. [Quinones] then explained that
    when she was rushing to get ready for work,13 the baby’s arm
    got stuck in her pajama top while she was dressing [N.C.], and
    she roughly yanked it out. The baby cried, but [Quinones]
    thought that the baby was hungry.14 This interview was not
    recorded.
    __________
    11
    [Quinones] indicated that although it was January, she
    used the box fan because it was hot at night.
    12
    A later reenactment on January 29, 2014, of this event
    with [Quinones] demonstrated that the baby was almost
    entirely covered by the box fan that allegedly had fallen on
    her.
    13
    [Quinones] stated that mornings typically are hectic
    and that she is always running late and having to rush
    around.
    14
    [Quinones’s] brother testified that on January 24,
    2014, he heard the baby loudly crying that morning.
    __________
    Detective Gogel informed her partner, Detective John
    Buckwalter15 of the Allentown Police Department, assigned to the
    Special Victims’ Unit, that [N.C.] has suffered multiple fractures
    over the course of her short life. She further explained that
    [Quinones] only had an explanation for one (1) occurrence that
    began as a “box fan story” and morphed into an “arm pull” while
    changing [N.C.]’s clothing. Consequently, Detective Buckwalter
    conducted a second interview of [Quinones] on March 7, 2014,
    at the Government Center in Allentown. Again, this was a non-
    -5-
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    custodial interview in which [Quinones] was advised that she
    was free to leave.       During this interview, [Quinones] told
    Detective Buckwalter that when she was changing [N.C.] out of
    her pajamas, she heard and felt a “pop.” [Quinones] adamantly
    informed Detective Buckwalter that she was the sole caretaker of
    her daughters, and never shifted blame to another individual.
    [Quinones] was cold and calm during the interview and was
    evasive when confronted with the fact that [N.C.] had suffered
    from multiple fractures on her arms and legs.            Many of
    [Quinones’s] answers included, “I don’t know.”          However,
    [Quinones] did indicate that in the past a large cleaning bin that
    was packed with clothing and books was stacked in the bedroom
    and it fell and landed on [N.C.]’s leg. She was aware that [N.C.]
    was injured at that time, but she did not seek medical treatment
    because she thought that she could handle it herself.           In
    addition, [Quinones] told Detective Buckwalter that one time
    when she was in the kitchen on the telephone, she backed up
    and stepped on [N.C.]’s arm while the baby was sleeping on the
    floor. Again, [Quinones] did not seek medical treatment because
    she thought that she could handle it herself. [Quinones] thought
    that perhaps this action caused a previous fracture.          This
    interview was not recorded.
    __________
    15
    Detective Buckwalter was on vacation at the time of
    the initial interview with [Quinones].        Consequently,
    Detective Gogel had to brief Detective Buckwalter as to
    what transpired in the initial interview[.]
    __________
    Debra Esernio-Jenssen, M.D., Medical Director of the Child
    Protection Team for Lehigh Valley Health Network, was deemed
    by this Court to be an expert in the field of pediatrics and child
    abuse pediatrics without opposition by the defense. Dr. Esernio-
    Jenssen testified that [N.C.] had no complications or trauma at
    birth and that the configuration and density of her bones were
    normal. [N.C.]’s growth and development were normal. Dr.
    Esernio-Jenssen explained that a transverse fracture is a
    “through and through” fracture. This type of fracture can be
    caused by a three (3) part bending or a direct/chopping blow.
    Children’s bones are harder to fracture because they are more
    elastic and can bend. They heal more quickly than adult bones.
    Consequently, it requires a tremendous amount of force to cause
    a transverse fracture in an infant. Dr. Esernio-Jenssen opined
    that the level of pain associated with such a fracture would be
    -6-
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    the highest level of pain. Any movement of the bone would have
    caused pain and therefore the baby would not have moved the
    arm. The symptoms would have been immediate to the injury
    and the symptoms would have been obvious.
    In addition, Dr. Esernio-Jenssen stated in her expert
    opinion that a plastic box fan falling on the infant would not have
    caused such an injury. However, Dr. Esernio-Jenssen opined
    that a forceful pull of the arm in which a related “pop” is heard
    would be consistent with a transverse fracture. Furthermore, if
    no treatment was sought for such a fracture, the lack of action
    could lead to permanent ill-effects. The concerns would be soft
    tissue injury, nerve injury, localized infection, and blood flow
    issues. Other long term effects could be the mal-union of the
    bone, fat embolism syndrome,16 bone infection and the loss of
    function. In addition, a delay in treatment (which includes
    hours) could also cause the aforementioned risks, including life-
    threatening events such as bone infection, or permanent loss of
    function from long term nerve injury.             Therefore, it was
    17
    imperative to seek treatment without delay.
    __________
    16
    A fat embolism is a blo[od] clot that could cause death.
    17
    [Quinones] stated that she had concerns that [N.C.]’s
    three (3) year old sister, J.H., caused injuries to [N.C.] by
    dropping her. However, Dr. Esernio-Jenssen opined that a
    three (3) year old girl, weighing 29 pounds and 36 inches
    tall would have difficulty lifting her 12 pound sister. In
    addition, even if J.H. had been able to lift [N.C.] off the
    ground and dropped her, Dr. Esernio-Jenssen stated that
    the injuries suffered by [N.C.] are not consistent with this
    scenario. J.H. is short and therefore [N.C.] would have hit
    her hea[]d first. Also, Dr. Esernio-Jenssen noted that J.H.
    is not strong enough to yank a baby’s arm with the
    required force to cause a transverse fracture. Rather,
    adult force, with strength and muscle mass, is necessary
    to fracture an infant’s bone.
    __________
    Dr. Esernio-Jenssen opined to a reasonable degree of
    medical certainty that [N.C.] was a victim of physical abuse.
    Indeed, [N.C.] was only fifteen (15) weeks old at the time of the
    transverse fracture to her left humerus, and she was not mobile.
    A baby’s bones have great elasticity and consequently significant
    -7-
    J-A13019-17
    and repeated force is needed to cause a transverse fracture.
    Also, [N.C.] has normal bones as evidenced by the skeleton
    survey and blood tests, and there is no family history of any
    bone disorders in [N.C.]’s family. Finally, [N.C.] has not suffered
    any further injury while she has been in foster care.
    Trial Court Opinion, 7/30/2015, at 4-10.
    Quinones was initially charged with one count of EWOC. On March 30,
    2015, she entered a guilty plea to that charge, in exchange for a minimum
    sentence of not more than 12 months’ imprisonment. However, on May 13,
    2015, at the scheduled sentencing hearing, Quinones withdrew her plea.
    Two days later, on May 15, 2015, the Commonwealth filed an amended
    information, charging Quinones with two counts of aggravated assault and
    one count of EWOC. Quinones filed a motion objecting to the amendment
    on May 28, 2015, asserting, inter alia, it violated an agreement her counsel
    made with the Commonwealth that if she waived her right to a preliminary
    hearing, the Commonwealth would not amend the charges to include
    aggravated assault. See Motion Objecting to the Commonwealth’s Amended
    Information, 5/28/2015, at 1. She further claimed she waived her right to a
    preliminary hearing in reliance on this agreement.             The trial court
    subsequently denied Quinones’s objection.2 On June 1, 2015, the court also
    entered an order granting a Commonwealth motion in limine to preclude
    ____________________________________________
    2
    Quinones also filed a motion in limine requesting the court exclude any
    statements she made during the entry of her guilty plea. See Motion in
    Limine, 6/1/2015. The trial court granted that motion on June 1, 2015.
    -8-
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    Quinones’s parents “from offering character evidence, as the defense has
    failed to articulate why proper character evidence should be permitted in this
    case.”3 Order, 6/1/2015.
    The case proceeded to a jury trial. On June 3, 2015, the jury returned
    a verdict of guilty on all charges. On July 10, 2015, the trial court sentenced
    Quinones to a term of five to 10 years’ imprisonment on one count of
    aggravated assault, and a consecutive term of three and one-half to seven
    years’ imprisonment on the charge of EWOC.             The second count of
    aggravated assault merged for sentencing purposes.         On July 20, 2015,
    Quinones filed a post-sentence motion, which the trial court denied on July
    29, 2015. This timely appeal followed.4
    ____________________________________________
    3
    The record does not contain a written motion filed by the Commonwealth,
    nor do the notes of testimony from June 1, 2015, reflect an oral motion in
    limine. Moreover, Quinones’s response similarly was not recorded.
    4
    On August 31, 2015 (docketed September 1, 2015), the trial court ordered
    Quinones to file a concise statement of errors complained of on appeal
    pursuant to Pa.R.A.P. 1925(b). Quinones complied with the court’s directive
    and filed a concise statement on September 25, 2015. The trial court
    entered an order on September 29, 2015, stating that its July 30, 2015,
    opinion in support of its order denying Quinones’s post-sentence motions
    was dispositive of the issues raised on appeal.
    Thereafter, on April 29, 2016, Quinones filed a motion in this Court
    seeking to vacate the briefing schedule and remand for the filing of a
    supplemental concise statement. See Motion to Vacate Briefing Schedule
    and Remand to the Court Below, 4/29/2016. Specifically, appellate counsel
    averred that some of the relevant transcripts were unavailable at the time
    trial counsel filed the original concise statement, and trial counsel failed to
    include certain issues in the concise statement. See 
    id. On May
    17, 2016,
    this Court, by per curiam order, granted Quinones’s application. Thereafter,
    (Footnote Continued Next Page)
    -9-
    J-A13019-17
    In her first issue on appeal, Quinones argues the Commonwealth
    breached a pretrial agreement that it would proceed only on a charge of
    EWOC if Quinones waived her right to a preliminary hearing.              See
    Quinones’s Brief at 25. As she candidly admits, “Pennsylvania Courts have
    not addressed the enforceability of agreements regarding waivers of
    preliminary hearings.” 
    Id. at 26.
    Accordingly, Quinones urges this Court to
    look to case law regarding the enforceability of guilty plea agreements, and
    maintains the Commonwealth should be bound by its promise. See 
    id. (“An executed
    pre-trial agreement stands on equal footing.     Valid agreements,
    once executed and accepted by a court are binding.”). Although Quinones
    recognizes the agreement is not memorialized in the record, she contends
    “the record reflects sufficient evidence to establish the existence of the
    agreement” and the Commonwealth’s subsequent breach after she withdrew
    her guilty plea, “strongly suggests a motive of retribution.” 
    Id. at 29,
    30.
    Lastly, Quinones insists that if she “had believed the Commonwealth would
    have breached, she would not have withdrawn her plea.”        
    Id. at 30-31.
    Consequently, she requests this Court dismiss the aggravated assault
    charges. See 
    id. at 31.
    _______________________
    (Footnote Continued)
    counsel filed a supplemental concise statement on July 8, 2016, and the trial
    court filed a supplemental opinion on July 18, 2016.
    - 10 -
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    Preliminarily, we note the Commonwealth contends the particular issue
    raised on appeal is waived. See Commonwealth’s Brief at 14-15. We are
    constrained to agree.
    In her motion objecting to the Commonwealth’s amended information,
    Quinones     argued     the   Commonwealth         never   sought   the   trial   court’s
    permission before filing an amended information pursuant to Pa.R.Crim.P.
    564, and added the new charges “with the purpose of keeping [Quinones]
    and her counsel from focusing on the present original charge” of EWOC.
    Motion Objecting to the Commonwealth’s Amended Information, 5/28/2015,
    at 2-3.      On appeal, however, Quinones contends the Commonwealth
    breached a purported agreement that if Quinones waived her right to a
    preliminary hearing, the Commonwealth would not amend the information to
    include charges of aggravated assault.5              See Quinones’s Brief at 25.
    Because trial counsel failed to raise this specific claim in his objection before
    the trial court, we find it is waived on appeal.6             See Pa.R.A.P. 302(a)
    ____________________________________________
    5
    We note, too, that this “agreement” does not appear anywhere in the
    certified record. However, in its brief, the Commonwealth appears to
    endorse Quinones’s contention that the parties did enter into such an
    agreement before the preliminary hearing. See Commonwealth’s Brief at
    16.
    6
    We note the trial court did not address the purported agreement in its
    opinion. Rather, it focused on Quinones’s argument that the Commonwealth
    failed to seek court approval before amending the criminal complaint. See
    Trial Court Opinion, 7/30/2015, at 20-21.
    - 11 -
    J-A13019-17
    (“Issues not raised in the lower court are waived and cannot be raised for
    the first time on appeal.”).
    Nevertheless, we note that even if Quinones had preserved this issue
    for appeal, we would conclude she is entitled to no relief.            Indeed,
    Quinones’s argument ignores Pennsylvania Rule of Criminal Procedure 541,
    which provides, in relevant part:
    (A) The defendant who is represented by counsel may waive the
    preliminary hearing at the preliminary arraignment or at any
    time thereafter.
    ****
    (2) If the defendant waives the preliminary hearing by way of an
    agreement, made in writing or on the record, and the agreement
    is not accomplished, the defendant may challenge the sufficiency
    of the Commonwealth’s prima facie case.
    Pa.R.Crim.P. 541(A)(2).
    Here, Quinones maintains she waived her right to a preliminary
    hearing based upon the Commonwealth’s agreement that it would not
    pursue charges of aggravated assault.        However, after she withdrew her
    initial guilty plea, the Commonwealth filed an amended information which
    included two counts of aggravated assault.         At that time, if Quinones
    believed the Commonwealth had breached its agreement, her remedy would
    have been to demand a preliminary hearing on the amended charges
    pursuant to Pa.R.Crim.P. 541(A)(2).          She declined to do so.       See
    Commonwealth v. Murray, 
    502 A.2d 624
    , 630 (Pa. Super. 1985)
    (“Logically, a new preliminary hearing is foolish once the evidentiary trial is
    - 12 -
    J-A13019-17
    completed without reversible error.”), appeal denied, 
    523 A.2d 1131
    (Pa.
    1987).
    Furthermore, we reject Quinones’s contention that the appropriate
    remedy at this time would be to discharge her convictions of aggravated
    assault.    While Quinones attempts to compare her pre-trial agreement
    waiving a preliminary hearing to a pre-trial guilty plea agreement, we find
    the analogy lacking.       Indeed, “the purpose of a preliminary hearing in a
    court case is not to decide guilt or innocence; but rather to determine
    whether the Commonwealth has presented a prima facie case which is
    legally sufficient to hold the accused for court.”          Commonwealth v.
    Rogers, 
    610 A.2d 970
    , 972 (Pa. Super. 1992).                While Quinones was
    deprived of her opportunity to challenge the Commonwealth’s prima facie
    case before trial, she was later found guilty of those charges, beyond a
    reasonable doubt, by a jury.           See 
    Murray, supra
    .    Accordingly, she is
    entitled to no relief.
    Next, Quinones challenges the sufficiency of the evidence supporting
    her conviction of aggravated assault under Subsection 2702(a)(9), causing
    serious bodily injury to a child less than 13 years old.7     See 18 Pa.C.S. §
    ____________________________________________
    7
    We note Quinones does not challenge her conviction of aggravated assault
    under Subsection 2702(a)(8), which states that a person is guilty of
    aggravated assault if she “attempts to cause or intentionally, knowingly or
    recklessly causes bodily injury to a child less than six years of age, by a
    person 18 years of age or older[.]” 18 Pa.C.S. § 2702(a)(8) (emphasis
    added). Accordingly, she implicitly concedes the evidence was sufficient to
    (Footnote Continued Next Page)
    - 13 -
    J-A13019-17
    2702(a)(9).     Specifically, Quinones asserts the Commonwealth conceded
    that she did not intend to cause serious bodily injury to N.C., and the
    evidence did not support a finding that N.C. actually suffered serious bodily
    injury as defined in the Pennsylvania Crimes Code. See Quinones’ Brief at
    32-35.
    Our review of a challenge to the sufficiency of the evidence is guided
    by the following:
    There is sufficient evidence to sustain a conviction when
    the evidence admitted at trial, and all reasonable inferences
    drawn therefrom, viewed in the light most favorable to the
    Commonwealth as verdict-winner, are sufficient to enable the
    fact-finder to conclude that the Commonwealth established all of
    the elements of the offense beyond a reasonable doubt. The
    Commonwealth may sustain its burden “by means of wholly
    circumstantial evidence.” Further, we note that the entire trial
    record is evaluated and all evidence received against the
    defendant is considered, being cognizant that the trier of fact is
    free to believe all, part, or none of the evidence.
    Commonwealth v. Martin, 
    101 A.3d 706
    , 718 (Pa. 2014) (internal citation
    omitted), cert. denied, 
    136 S. Ct. 201
    (U.S. 2015).
    Subsection 2702(a)(9) of the aggravated assault statute provides that
    a person is guilty of aggravated assault if she “attempts to cause or
    intentionally, knowingly or recklessly causes serious bodily injury to a child
    less than 13 years of age, by a person 18 years of age or older.” 18 Pa.C.S.
    _______________________
    (Footnote Continued)
    establish she inflicted “bodily injury” on her daughter. See 18 Pa.C.S. §
    2301 (defining “bodily injury” as “[i]mpairment of physical condition or
    substantial pain”).
    - 14 -
    J-A13019-17
    § 2709(a)(9). Here, Quinones maintains the Commonwealth conceded that
    she did not intend to harm her child.8             See Quinones’s Brief at 32.
    Moreover, Quinones does not dispute the evidence was sufficient to establish
    she acted knowingly or recklessly. Rather, her sole claim on appeal is that
    the evidence was insufficient to support the jury’s determination that N.C.
    suffered “serious bodily injury.” 
    Id. at 33.
    The Crimes Code defines “serious bodily injury” as:
    Bodily injury which creates a substantial risk of death or which
    causes serious, permanent disfigurement, or protracted loss or
    impairment of the function of any bodily member or organ.
    18 Pa.C.S. § 2301. Quinones argues the “various fractures” N.C. sustained
    did not rise to the level of serious bodily injury.     Quinones’s Brief at 33.
    Rather, she asserts the evidence established N.C. suffered only “bodily
    ____________________________________________
    8
    We note the Commonwealth indicated, during closing argument that
    Quinones “didn’t intend to cause this fracture.” N.T., 6/3/2015, at 174.
    However, the trial court later charged the jury on both causing serious
    bodily injury and attempting to cause serious bodily injury, and Quinones
    did not object to the charge. See 
    id. at 196.
    (“To find the defendant guilty
    of this offense you must find that … the defendant caused or attempted to
    cause serious bodily injury to [N.H.].” (emphasis added); 
    id. at 200.
    Therefore, based on the court’s instructions, the jury could have found
    Quinones guilty either because she caused serious bodily injury to N.H., or
    she attempted to do so, although no serious bodily injury resulted. See
    N.T., 6/3/2015, at 207-208 (trial court explaining the discrepancy to counsel
    and noting this might have caused “some confusion to the jury”).
    Nevertheless, because we conclude the evidence was sufficient to establish
    N.C. suffered serious bodily injury, we need not consider whether evidence
    also established that Quinones attempted to cause serious bodily injury to
    N.C.
    - 15 -
    J-A13019-17
    injury” which is defined as “[i]mpairment of physical condition or substantial
    pain.” 18 Pa.C.S. § 2301.        Quinones maintains:
    Although counter-intuitive, the fact that a broken bone
    occurs in a child so young makes the injury less severe than the
    same break in an adult. Adults heal much more slowly. … Dr.
    [Esernio-]Jenssen’s testimony establishes bodily injury only,
    nothing more. N.C. suffered no permanent injury. She did not
    face a substantial risk of death and at most each fracture
    resulted impairment for no more than a week, and possibly as
    long as four days (N.T. 6/2/2015 at 56) (broken limbs in infants
    can heal without noticeable impairment [] “within four to seven
    days”). Dr. [Esernio-]Je[n]ssen also testified N.C. was “fine”
    within a month after being removed from Quinones’s care (N.T.
    6/2/2015 at 35-36, 66). This included the fractures which were
    not immediately diagnosed as they healed quickly and well on
    their own. N.C. experienced substantial pain, but substantial
    pain for a short while and then some immobility for several days
    is not serious injury, resulting in a felony one grading.
    Dr. [Esernio-]Jenssen’s testimony regarding N.C.’s injuries
    aligns neatly with the definition of bodily injury, not [serious
    bodily injury]. There is no doubt the jury was swayed by the
    horrors of child abuse and the need to avenge the pain caused to
    a child. This emotional reaction, while understandable, has little
    place in defining our crimes and what constitute a first degree
    felony.[9]
    Quinones’ Brief at 34-35.
    In concluding the evidence was sufficient to establish N.C. suffered
    “serious bodily injury,” the trial court opined:
    On January 24, 2014, [N.C.] suffered a transverse fracture of
    her left humerus. The force necessary to inflict such a fracture
    on this infant was tremendous due to the elasticity of her infant
    ____________________________________________
    9
    We note that Quinones’s conviction of aggravated assault under Subsection
    2702(a)(8), which she does not challenge on appeal, is graded as a second
    degree felony. 18 Pa.C.S. § 2702(b).
    - 16 -
    J-A13019-17
    bones. Also, the pain associated with a transverse fracture
    would have been at the highest level of pain and the baby would
    not have been able to move her arm while in a fractured state.
    If no treatment was sought for such a fracture, the lack of action
    could lead to permanent ill-effects. The concerns would be a
    soft tissue injury, nerve injury, localized infection, and blood flow
    issues. Other long term effects could be the mal-union of the
    bone, fat embolism syndrome which could be fatal, bone
    infection which could be fatal and loss of function. In addition, a
    delay in treatment (which includes hours) could also cause
    and/or increase the likelihood of the aforementioned risks,
    including life-threatening events such as bone infection, or
    permanent loss of function from long term nerve injury.
    Therefore, it was imperative to seek treatment without delay.
    Trial Court Opinion, 7/30/2015, at 18-19.
    Our review of the record reveals ample support for the jury’s verdict.
    Quinones focuses on Dr. Esernio-Jenssen’s testimony that a broken limb in
    an infant can heal within “four to seven days.” Quinones’s Brief at 34. She
    argues, therefore, that N.C. did not “face a substantial risk of death” or
    prolonged impairment sufficient to support a finding that the child suffered
    “serious bodily injury.” 
    Id. However, we
    find Quinones has misconstrued
    the doctor’s testimony.
    Dr.   Esernio-Jenssen    explained      that   the   “through-and-through”
    transverse fracture in N.C.’s humerus was a “significant fracture” and
    required a “tremendous amount of force” due to the elasticity of the infant’s
    bones.   N.T., 6/2/2015, at 30.   She further testified that after the injury,
    N.C. “would not be moving that part of [her] arm at all … because any kind
    of motion … would be very painful.”       
    Id. at 31.
         Moreover, contrary to
    Quinones’s characterization, Dr. Esernio-Jenssen did not testify that N.C.’s
    - 17 -
    J-A13019-17
    numerous fractures each healed in less than a week. Rather, she explained
    that as “new bone starts being laid down,” which can occur in four to seven
    days, the infant “could appear completely normal” since the acute pain
    would have subsided.10        
    Id. at 56
    (emphasis added). She did not testify,
    however, that the fracture would have completely healed at that time.
    Indeed, N.C. was hospitalized for four days following diagnosis of the
    transverse fracture which precipitated the investigation herein.    See 
    id. at 81.
    Accordingly, we conclude the evidence was sufficient for the jury to find
    N.C., who experienced at least five significant bone fractures between the
    time she was two months old and four months old,11 suffered from a
    ____________________________________________
    10
    This could explain why the physicians who examined N.C. in the
    emergency room on December 21, 2013, and at the doctor’s office on
    January 9, 2014, found no signs of the prior fractures. Dr. Esernio-Jenssen
    testified:
    [I]f a caregiver is not providing a history that, “I’m concerned
    my baby is not moving her left leg or her left arm,” a medical
    professional is just examining a situation routinely, not likely
    palpating every single bone, but looking overall at the body of an
    infant.
    
    Id. at 56
    -57. Indeed, N.C. was diagnosed with oral thrush during the
    December 2013 emergency room visit, and the January 9, 2014, office visit
    was a follow-up for that diagnosis. See 
    id. at 21;
    N.T., 6/3/2015, at 15.
    Therefore, those two examinations were not focused on the victim’s
    musculoskeletal system.
    11
    Dr. Esernio-Jenssen testified all of the injuries occurred between
    December 10, 2013, and January 24, 2014. See N.T., 6/2/2015, at 77-79.
    Moreover, she stated the pediatric radiologist who had reviewed N.C.’s
    skeletal survey with her was “pretty confident” the infant had suffered three
    additional fractures during the same time frame. 
    Id. at 90.
    - 18 -
    J-A13019-17
    “protracted loss or impairment of the function of [a] bodily member,”
    namely her arms and legs. 18 Pa.C.S. § 2301.
    In her penultimate claim, Quinones contends the trial court erred in
    granting the Commonwealth’s motion in limine precluding her from offering
    reputation evidence that she was a “good and careful parent.” Quinones’s
    Brief at 35. She emphasizes that evidence of a defendant’s good character
    may, alone, establish reasonable doubt, and the court’s failure to allow her
    parents to testify regarding her reputation as a good parent was reversible
    error. See 
    id. at 36-38.
    Our standard of review is well-settled:
    When ruling on a trial court’s decision to grant or deny a motion
    in limine, we apply an evidentiary abuse of discretion standard of
    review. Commonwealth v. Bozyk, 
    987 A.2d 753
    , 755–756
    (Pa.Super.2009) (quoting Commonwealth v. Owens, 
    929 A.2d 1187
    , 1190 (Pa.Super.2007)). The admission of evidence is
    committed to the sound discretion of the trial court, and a trial
    court’s ruling regarding the admission of evidence will not be
    disturbed on appeal “unless that ruling reflects ‘manifest
    unreasonableness, or partiality, prejudice, bias, or ill-will, or
    such lack of support to be clearly erroneous.’” 
    Id. (quoting Commonwealth
            v.   Einhorn,     
    911 A.2d 960
    ,   972
    (Pa.Super.2006)).
    Commonwealth v. Minich, 
    4 A.3d 1063
    , 1068 (Pa. Super. 2010).
    Preliminarily, we must bear in mind:
    Evidence of good character is to be regarded as evidence of
    substantive fact just as any other evidence tending to establish
    innocence and may be considered by the jury in connection with
    all the evidence presented in the case on the general issue of
    guilt or innocence.
    - 19 -
    J-A13019-17
    Commonwealth v. Harris, 
    785 A.2d 998
    , 1000 (Pa. Super. 2001), appeal
    denied, 
    847 A.2d 1279
    (Pa. 2004).       Indeed, this Court has acknowledged
    good character evidence “is so important that failure to present available
    character witnesses may constitute ineffective assistance of counsel if there
    is no reasonable basis for such failure.” Commonwealth v. Buterbaugh,
    
    91 A.3d 1247
    , 1264 (Pa. Super. 2014) (en banc), appeal denied, 
    104 A.3d 1
    (Pa. 2014).
    Pennsylvania Rule of Evidence 404 permits a defendant to offer
    evidence at trial of a “pertinent trait.”      Pa.R.E. 404(a)(2)(A).     “[O]ur
    Supreme Court has interpreted the term ‘pertinent’ to refer to a character
    trait that is relevant to the crime charged against the accused.”      
    Minich, supra
    , 4 A.3d at 1071. Recently, this Court acknowledged that testimony
    regarding a defendant’s reputation as a “good father” was permissible
    character evidence “pertinent to rebut a charge that the [defendant] abused
    children under his care” when he was charged with EWOC. Commonwealth
    v. Reyes-Rodriguez, 
    111 A.3d 775
    , 782 n.6 (Pa. Super. 2015), appeal
    denied, 
    123 A.3d 331
    (Pa. 2015).
    However, Pennsylvania Rule of Evidence 405 clarifies that evidence of
    a pertinent character trait may be proven only “by testimony about the
    person’s reputation.”    Pa.R.E. 405(a).      Neither testimony regarding a
    witness’s personal opinion that the defendant possesses a certain character
    trait, nor specific instances of the defendant’s conduct relevant to that trait,
    is admissible to establish a defendant’s good character. Pa.R.E. 405(a), (b).
    - 20 -
    J-A13019-17
    The trial court explained the basis for its ruling precluding Quinones’s
    character evidence as follows:
    [Quinones] intended to call her mother and father to offer
    character evidence purporting that [Quinones] is a good mother
    and that they have never seen [her] act negligently towards her
    daughter, [N.C.] After argument in which [Quinones] failed to
    articulate why such character evidence should be permitted in
    this case, this Court found this evidence not to be admissible.
    Indeed, this Court concluded that it was improper character
    evidence offered for the purpose of suggesting that [Quinones]
    could not have committed the offenses with which she was
    charged. This Court notes that evidence of a defendant’s good
    moral character must be made through reputation evidence.
    This is because “character evidence is not the opinion of one
    person or even a handful of persons, but must represent the
    consensus of the community.” Commonwealth v. Keaton, 
    615 Pa. 675
    , 715, 
    45 A.3d 1050
    , 1074 (Pa. 2012). As such, the
    witnesses’ personal opinions based on specific incidents of good
    conduct are improper character evidence because they do not
    represent the consensus of the community.            This Court
    concluded that testimony alleging that the witness saw
    [Quinones] being a good mother on certain occasions was
    improper evidence to prove that [Quinones] acted in conformity
    therewith on other occasions.       Consequently, [Quinones’s]
    mother and father were properly precluded from offering
    character evidence, but were permitted by this Court to testify
    as fact witnesses for the defense.
    Trial Court Opinion, 7/30/2015, at 15-16.
    We detect no abuse of discretion on the part of the trial court.     As
    Quinones candidly admits, “no record exists of any motion being made, the
    grounds for the objection, the offer of proof presented, or the ruling being
    placed on the record other than the one sentence order.” Quinones’s Brief
    at 35 n.6. While she recognizes “trial counsel had a duty to make an offer of
    proof to preserve the claim for appeal[,]” Quinones insists that “it should be
    - 21 -
    J-A13019-17
    apparent that [her] parents … would be capable of testifying to her
    reputation as a parent.” 
    Id. Indeed, she
    points to the trial testimony of her
    father that he frequented her home while other people were present to
    support her claim that he could have testified to her reputation as a good
    mother. See 
    id. at 36.
    We find no relief is warranted. It was Quinones’s duty to establish the
    admissibility and relevancy of her proposed character evidence. See Pa.R.E.
    103(a)(2). The trial court found Quinones failed to do so, in that her offer of
    proof consisted only of “the witnesses’ personal opinions [of Quinones’s good
    character] based on specific instances of good conduct[.]”         Trial Court
    Opinion, 7/30/2015, at 16. As noted above, the only permissible character
    testimony would have been concerning Quinones’s reputation in the
    community as a good mother. We have no reason to question the court’s
    representation of Quinones’s deficient offer of proof. Further, we decline to
    presume, as Quinones requests, that either of her parents could have
    testified regarding her good reputation in the community.         Accordingly,
    Quinones’s third issue fails.
    Lastly, Quinones challenges the discretionary aspects of her sentence.
    Specifically, she argues the trial court imposed a sentence (1) outside the
    guidelines range without providing sufficient reasons on the record, and (2)
    which is manifestly excessive and violates the Sentencing Code.           See
    Quinones’s Brief at 39, 41-42.
    - 22 -
    J-A13019-17
    A challenge to the discretionary aspects of a sentence is not absolute,
    but rather, “must be considered a petition for permission to appeal.”
    Commonwealth v. Best, 
    120 A.3d 329
    , 348 (Pa. Super. 2015) (quotation
    omitted). To reach the merits of a discretionary issue, this Court must
    determine:
    (1) whether the appeal is timely; (2) whether Appellant
    preserved [the] issue; (3) whether Appellant’s brief includes a
    concise statement of the reasons relied upon for allowance of
    appeal with respect to the discretionary aspects of sentence; and
    (4) whether the concise statement raises a substantial question
    that the sentence is appropriate under the sentencing code.
    Commonwealth v. Edwards, 
    71 A.3d 323
    , 329-330 (Pa. Super. 2013)
    (citation omitted), appeal denied, 
    81 A.3d 75
    (Pa. 2013).
    Quinones complied with the procedural requirements for this appeal by
    filing a timely post-sentence motion seeking modification of her sentence,
    and a subsequent notice of appeal, and by including in her appellate brief a
    statement of reasons relied upon for appeal pursuant to Commonwealth v.
    Tuladziecki, 
    522 A.2d 17
    (Pa. 1987), and Pa.R.A.P. 2119(f). Therefore, we
    must determine whether she has raised a substantial question justifying our
    review.
    A defendant raises a substantial question when she “advances a
    colorable argument that the sentencing judge’s actions were either: (1)
    inconsistent with a specific provision of the Sentencing Code; or (2) contrary
    to   the   fundamental   norms   which   underlie   the   sentencing   process.”
    Commonwealth v. Proctor, 
    156 A.3d 261
    , 273 (Pa. Super. 2017)
    - 23 -
    J-A13019-17
    (quotation omitted). A claim that the trial court imposed a sentence outside
    the guideline range without providing sufficient reasons on the record raises
    a substantial question for our review. See 
    id. Furthermore, an
    allegation
    that the resulting sentence was unreasonable also raises a substantial
    question that the sentence violates a specific provision of the Sentencing
    Code.    See 42 Pa.C.S. § 9781(c)(3).      Accordingly, we will proceed to an
    evaluation of Quinones’s claims on appeal.
    We begin by emphasizing “the proper standard of review when
    considering whether to affirm the sentencing court’s determination is an
    abuse of discretion.”    Commonwealth v. Walls, 
    926 A.2d 957
    , 961 (Pa.
    2007).
    The rationale behind such broad discretion and the
    concomitantly deferential standard of appellate review is that the
    sentencing court is “in the best position to determine the proper
    penalty for a particular offense based upon an evaluation of the
    individual circumstances before it.”         Simply stated, the
    sentencing court sentences flesh-and-blood defendants and the
    nuances of sentencing decisions are difficult to gauge from the
    cold transcript used upon appellate review.        Moreover, the
    sentencing court enjoys an institutional advantage to appellate
    review, bringing to its decisions an expertise, experience, and
    judgment that should not be lightly disturbed. Even with the
    advent of the sentencing guidelines, the power of sentencing is a
    function to be performed by the sentencing court. Thus, rather
    than cabin the exercise of a sentencing court’s discretion, the
    guidelines merely inform the sentencing decision.
    
    Id. at 961-962
    (internal citations and footnote omitted).
    Accordingly, the sentencing guidelines are merely advisory, and a trial
    court has the discretion to impose a sentence in excess of the guideline
    - 24 -
    J-A13019-17
    ranges. See Commonwealth v. Bowen, 
    55 A.3d 1254
    , 1264 (Pa. Super.
    2012), appeal denied, 
    64 A.3d 630
    (Pa. 2013).        However, when the court
    does so, it “must provide in open court a contemporaneous statement of
    reasons in support of its sentence.” 
    Id. See 42
    Pa.C.S. § 9721 (when
    imposing an appropriate sentence, a court must consider “the protection of
    the public, the gravity of the offense as it relates to the impact on the life of
    the victim and on the community, and the rehabilitative needs of the
    defendant.”). Indeed,
    [Section 9721] requires a trial judge who intends to sentence a
    defendant outside of the guidelines to demonstrate on the
    record, as a proper starting point, [its] awareness of the
    sentencing guidelines. Having done so, the sentencing court
    may deviate from the guidelines, if necessary, to fashion a
    sentence which takes into account the protection of the public,
    the rehabilitative needs of the defendant, and the gravity of the
    particular offense as it relates to the impact on the life of the
    victim and the community, so long as [it] also states of record
    the factual basis and specific reasons which compelled [it] to
    deviate from the guideline range.
    
    Id. (quotation omitted).
    Furthermore, Section 9781 of the Sentencing Code provides that an
    appellate court must vacate a sentence, and remand for resentencing, if it
    finds “the sentencing court sentenced outside the sentencing guidelines and
    the sentence is unreasonable.”     42 Pa.C.S. § 9781(c)(3).      In making this
    determination, the appellate court must consider:
    (1) The nature and circumstances of the offense and the history
    and characteristics of the defendant.
    (2) The opportunity of the sentencing court to observe the
    defendant, including any presentence investigation.
    - 25 -
    J-A13019-17
    (3) The findings upon which the sentence was based.
    (4) The guidelines promulgated by the commission.
    42 Pa.C.S. § 9781(d).             “When a sentencing court has reviewed a
    presentence investigation report [“PSI”], we presume that the court properly
    considered and weighed all relevant factors in fashioning the defendant’s
    sentence.”     Commonwealth v. Baker, 
    72 A.3d 652
    , 663 (Pa. Super.
    2013), appeal denied, 
    86 A.3d 231
    (Pa. 2014).
    Quinones first asserts the trial court failed to provide adequate reasons
    on the record for imposing a sentence outside the guidelines range.         We
    note our review of the record reveals no mention of the applicable standard
    guideline ranges for Quinones’s crimes. However, the court did state during
    the sentencing hearing that the sentences imposed were “in and actually
    beyond the aggravated range” of the guidelines. N.T., 7/10/2015. To that
    end, Quinones states in her brief that the standard range for her conviction
    of EWOC was three to 12 months’ imprisonment. See Quinones’s Brief at
    38. Accordingly, she maintains the sentence imposed for that crime, three
    and one-half to seven years, was more than triple the standard range.12
    See id.
    ____________________________________________
    12
    Based on the court’s comment at sentencing, we infer the sentence for
    aggravated assault was within the aggravated range of the guidelines. We
    also note both sentences were within the statutory maximum limits. See 18
    Pa.C.S. § 1103 (statutory maximum for first degree felony is not more than
    20 years, and for third degree felony is not more than seven years).
    - 26 -
    J-A13019-17
    Here, the trial court was clearly aware of the guideline ranges since it
    had the benefit of a PSI, and acknowledged, during the sentencing hearing,
    that one of the sentences imposed was “beyond the aggravated range.”
    N.T., 7/10/2015, at 33.     The court also stated that it was imposing a
    sentence outside of the guidelines “as a result of the defendant being in the
    position of the mother of the victim; that the child was not only under the
    age according to the statute but was 15 weeks old and suffered repeated
    injuries, not just this one incident[; and t]he defendant is a danger to her
    children.” 
    Id. Quinones contends
    this reasoning is insufficient because the factors
    the trial court relied upon to “justify its enhancement are necessary
    elements of EWOC and typical in many cases.” Quinones’s Brief at 41. See
    18 Pa.C.S. § 4304(a)(1) (“A parent, guardian or other person supervising
    the welfare of a child under 18 years of age, or a person that employs or
    supervises such a person, commits an offense if he knowingly endangers the
    welfare of the child by violating a duty of care, protection or support.”).
    Indeed, the fact that the defendant is the child’s mother is required by the
    statute.   Further, Quinones asserts the fact that the victim suffered
    “repeated injuries” was already considered by the court when it graded the
    offense as a felony of the third degree. See 18 Pa.C.S. § 4304(b) (“[W]here
    there is a course of conduct of endangering the welfare of a child, the
    offense constitutes a felony of the third degree.”). Furthermore, Quinones
    emphasizes her children have been removed from her care, so that it is
    - 27 -
    J-A13019-17
    unclear how she could be a danger to them.       Therefore, she argues the
    court’s stated considerations “cannot support the sentence.”      Quinones’s
    Brief at 41.
    Our review of the entire transcript from the sentencing hearing reveals
    the trial court provided sufficient reasons for its imposition of a sentence
    outside the guidelines range for the conviction of EWOC. Indeed, the court
    made the following statement immediately before announcing its sentence:
    Obviously, cases dealing with trauma to children are very serious
    and are very, very disturbing.
    I don’t think that when you gave birth that it was in your
    mind that you were going to start beating your child. However,
    that’s what happened. I shouldn’t say beating. I should say
    breaking her bones.
    And this is a baby who was born completely normal, no
    trauma, no injuries, no trauma from birth. Everything was rosy
    for her future, with one exception. She was born to you. And
    you were, in my opinion, overwhelmed with having two children,
    trying to work.
    I don’t believe for a second that your boyfriend caused any
    of those injuries and that is the beauty of a trial, because you
    get to see people come up here and testify. And the jury gets to
    decide who they believe and who they don’t believe. And they
    believed your boyfriend. And he came across as credible.
    You came across as a liar. Almost everything you said on
    the witness stand about what happened to your baby was
    contradicted by credible medical experts. Every three weeks, as
    I calculated it, there was another broken bone.
    For 15 weeks that that child was with you, her life was a
    nightmare.
    To believe that she was some giggly, bubbly baby is
    ridiculous. The medical evidence was that the pain was of the
    highest level. That means screaming. That means an inability
    to move these limbs. That means that for 15 weeks of that
    - 28 -
    J-A13019-17
    child’s life she was in almost constant pain.   So you live with
    that.
    And you want to come in here and talk to me about how I
    need to worry about the baby that you are now carrying.[13]
    That was your choice. So I don’t factor that in at all. It has
    nothing to do with your sentencing.
    The baby was swollen and deformed from these injuries
    every time there was a break. There were both shins that were
    broken, the femur, the arm, twice. No one threatened you.
    That’s not true.
    This letter that you wrote after you were convicted is eight
    pages of nonsense. Nonsense.
    Your own brother said that you were the only one that
    ever cared for that baby. …
    The transverse fracture, the one that she’s showing you
    the picture of, that is a through and through complete break.
    Baby’s bones are flexible. They bend. They bounce,
    pretty much. The amount of force that is required to do a
    transverse fracture is significant. And that was done on your
    own baby by you.
    The rest of your family, that’s their job. I take no issue
    with the family supporting her. That’s what you do. But don’t
    be fooled. The facts are what they are.
    N.T., 7/10/2015, at 30-32.
    Accordingly, it is evident from the court’s comments during the
    hearing that the trial court considered the unique facts of this case when it
    imposed a sentence outside the guidelines range for EWOC.       Although the
    statute requires that the defendant be “[a] parent, guardian or other person
    ____________________________________________
    13
    Quinones was pregnant with a third child at the time of the sentencing
    hearing.
    - 29 -
    J-A13019-17
    supervising the welfare of a child under 18 years of age,”14 here, the court
    emphasized Quinones was the mother of the very young victim, who was
    only between two and four months old when she suffered numerous broken
    bones at the hands of the defendant.
    Moreover, while the court did already consider the fact that there was
    “a course of conduct of endangering the welfare of a child” when it graded
    the crime as a third-degree felony, again, the question is one of degree. 18
    Pa.C.S. § 4304(b).       Indeed, placing one’s child in a situation in which the
    child might be injured, is different than repeatedly breaking the bones of a
    baby.     Accordingly, we conclude the trial court provided sufficient reasons
    for imposing a sentence above the aggravated range for EWOC.
    Quinones also contends, however, that the aggregate sentence
    imposed by the trial court was unreasonable. Again, we disagree. As the
    court explained above, Quinones caused N.C. to suffer at least five broken
    bones when the child was between two and four months’ old.            The court
    credited the expert testimony of Dr. Esernio-Jenssen, who testified the
    infant’s pain would have been at the “highest level,” and noted that
    Quinones’s testimony describing N.H. as “some giggly, bubbly baby is
    ridiculous.” N.T., 7/10/2015, at 31. The court further stated its belief that
    Quinones was a liar, evidenced by her attempt to shift the blame for the
    ____________________________________________
    14
    18 Pa.C.S. § 4304(a)(1).
    - 30 -
    J-A13019-17
    child’s injuries to her then boyfriend. See 
    id. at 30.
    Moreover, even after
    her conviction, Quinones refused to take responsibility for her actions,
    stating only, “I really do wish I would have took [sic] her to the hospital
    right away.” 
    Id. at 20.
    Accordingly, considering the factors listed in Section
    9781(d) – including the fact that the baby suffered at least five broken
    bones before she was four months old and the trial court’s explicit finding
    that Quinones lied during her testimony – we cannot conclude the sentence
    imposed, although harsh, was either an abuse of discretion or unreasonable
    under the circumstances.
    Judgment of sentence affirmed.
    Lazarus, J., joins in this decision.
    Fitzgerald, J., concurs in the result.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 9/26/2017
    - 31 -