Com. v. Bennett, B. ( 2023 )


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  • J-S41036-22
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    COMMONWEALTH OF PENNSYLVANIA               :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    :
    v.                             :
    :
    :
    BRIAN PHILIP BENNETT                       :
    :
    Appellant               :   No. 615 MDA 2022
    Appeal from the Judgment of Sentence Entered November 10, 2021
    In the Court of Common Pleas of Franklin County Criminal Division at
    No(s): CP-28-CR-0000782-2018
    COMMONWEALTH OF PENNSYLVANIA               :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    :
    v.                             :
    :
    :
    BRIAN PHILLIP BENNETT                      :
    :
    Appellant               :   No. 616 MDA 2022
    Appeal from the Judgment of Sentence Entered November 10, 2021
    In the Court of Common Pleas of Franklin County Criminal Division at
    No(s): CP-28-CR-0001927-2018
    BEFORE:      LAZARUS, J., MURRAY, J., and STEVENS, P.J.E.*
    MEMORANDUM BY STEVENS, P.J.E.:                        FILED JANUARY 06, 2023
    Appellant Brian Phillip Bennett appeals from the judgment of sentence
    entered by the Court of Common Pleas of Franklin County after a jury
    convicted Appellant of involuntary manslaughter, endangering the welfare of
    a child (two counts), delivery of a controlled substance, criminal use of a
    ____________________________________________
    *   Former Justice specially assigned to the Superior Court.
    J-S41036-22
    communication facility, and possession of drug paraphernalia. Appellant
    challenges the sufficiency and weight of the evidence supporting his
    involuntary manslaughter conviction and asserts that the trial court abused
    its discretion in imposing his sentence. We affirm.
    Appellant was charged with third-degree murder along with the
    aforementioned offenses in connection with the untimely death of L.S.
    (“Child”), the three-year-old daughter of Appellant’s girlfriend, Brittany
    Higgins. As discussed infra, Child died after ingesting methamphetamine and
    buprenorphine, which Appellant and Higgins admitted to possessing.1
    Appellant proceeded to a joint jury trial along with Thomas Stephen Keogh,
    the individual accused of acting as the supplier for the drug distribution ring
    that ultimately sold and delivered the drugs that led to Child’s death.2
    The tragic factual background in this case was described in great detail
    by the trial court in its March 21, 2022 opinion. We will summarize the
    undisputed facts that were developed over multiple days at Appellant’s trial.
    ____________________________________________
    1 Higgins, who was charged as a co-defendant, entered a nolo contendere plea
    to third-degree murder and received a sentence of ten to twenty years’
    imprisonment for her role in Child’s death. Higgins entered a cooperation
    agreement with the prosecution and testified against Appellant at his trial.
    2 Keogh was convicted of delivery of a controlled substance, corrupt
    organizations, drug delivery resulting in death, and criminal use of
    communication facility. Keogh received an aggregate sentence of 12 years, 1
    month to 24 years, 2 months’ incarceration. Keogh’s appeal (docketed at 585
    MDA 2022) has been resolved in a separate decision.
    The Commonwealth also prosecuted multiple other individuals who pled
    guilty to their role in the drug distribution ring and testified against Appellant
    and Keogh after signing cooperation agreements.
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    On Saturday, January 6, 2018, at approximately 8:00 p.m., emergency
    personnel were summoned to an apartment in Greencastle Borough based on
    the report of an “unconscious toddler.” Notes of Testimony (N.T.), 9/8/21, at
    23. Higgins called 9-1-1 to report she had discovered three-year-old Child,
    lying in her bed, cold and stiff and with bruises on her face. Id. at 21.
    When emergency medical technicians (EMTs) arrived at the home, they
    discovered Child lifeless, lying on her back on a bed in a bedroom near the
    kitchen. Id. at 34-35. EMT Richard Wertman indicated he did not believe the
    child had died recently as rigor mortis had already set in. Id. at 35-36.
    When Corporal Ismail El-Guemra of the Pennsylvania State Police
    responded to the scene and was informed Child was deceased, he observed
    that Child had dark areas around her mouth and did not appear to have been
    cared for properly. Id. at 29. While speaking with Higgins and Appellant,
    Corporal El-Guemra noted that both adults appeared to be distressed, but
    noticed Appellant was in even more stress. Id. at 27.
    The Forensics Services Unit of the State Police collected evidence and
    took photographs of the scene as well as Child’s condition and the markings
    on her face. Id. at 41. Child was wearing a pink Hello Kitty shirt, was lying on
    a mattress without sheets, and her head was surrounded by stuffed animals.
    Id. at 47; N.T., 9/10/21, at 16-17. One of the investigators thought it was
    strange that Child was laying on a mattress without sheets and expressed
    concern that the bedroom could have been staged. Id. at 47.
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    Dr. Samuel Land conducted Child’s autopsy and found no evidence of
    significant disease, infection, bacteria, virus, or organisms that could have
    been responsible for Child’s death. Id. at 95-119. Dr. Land determined Child
    did not have any significant internal trauma or broken bones and asserted the
    bruises on Child’s head were not the cause of her death. Id. at 100-103, 110-
    11.3 Dr. Land noted that the dark coloration on Child’s face was postmortem
    injury caused by “gastric contents,” most likely vomit, that had splashed on
    her face and had been there for “some time.” Id. at 107-109.
    Dr. Land sent samples of Child’s blood for toxicological testing, which
    revealed the presence of methamphetamine (18 nanograms/milliliter) and
    buprenorphine in her system (1.2 nanograms/milliliter). Id. at 67-68, 80, 95-
    97. Methamphetamine, a stimulant that is almost always used illegally, can
    elevate blood pressure and temperature, and can lead to seizures or misfiring
    of the heart. Id. at 96, 116. Buprenorphine is a semi-synthetic opioid used to
    treat opioid abuse and withdrawal symptoms. Id. at 96-97. Buprenorphine is
    sold as Suboxone or Subutex tablets that dissolve under the tongue;
    Suboxone contains naloxone whereas Subutex does not. Id. at 72, 99. Child’s
    toxicology tests did not reveal the presence of naloxone. Id. at 95.4
    ____________________________________________
    3 Dr. Land noted Child had a black eye as well as bruising to her left chin,
    which he opined was an unusual pattern of injury for a three-year-old. N.T.,
    9/8/21, at 111-113. Dr. Land also discovered a bruise on Child’s face which
    he attributed to an open hand slap mark. Id.
    4 The prosecution presented testimony of forensic toxicologists that tested
    Child’s blood samples. Dr. Robert Middleburg of NMS Labs testified that blood
    testing does not always detect the presence of naloxone as it might be in such
    a small quantity that it cannot be measured. N.T., 9/8/21, at 72-73.
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    Based on his professional training, education, and experience, Dr. Land
    concluded with a reasonable degree of medical certainty that Child’s cause of
    death was mixed substance toxicity of methamphetamine and buprenorphine,
    neither of which was prescribed to Child. Id. at 114-117. Dr. Land indicated
    either drug could have been lethal to Child, but stated there was no way to
    differentiate which drug ultimately caused her death. Id. at 102.
    When police initially interviewed Appellant and Higgins, Higgins told
    police that she was unsure of how Child had died as she was sick in bed all
    day with the flu on January 6, 2018, and she believed that Appellant was
    caring for Child. N.T., 9/9/22, at 21-22, 36.
    However, when officers presented Higgins and Appellant with toxicology
    reports noting the presence of drugs in Child’s system, Higgins and Appellant
    confessed that they were high on methamphetamine (“meth”) the night of
    January 5, 2018 to the morning of January 6, 2018, the time period in which
    Child likely ingested the drugs. Id. at 30-33.
    Higgins admitted to police that she and Appellant regularly used meth
    in the home they shared with her two children: L.H., her nine-year old son,
    and Child, her three-year old daughter. Id. at 30, 43-46. While Higgins had
    been prescribed Suboxone and Appellant was prescribed Subutex, the couple
    would share both of these drugs. Id. at 50-51, 112-13, 117, 129.
    Higgins told police that she purchased meth on January 5, 2018 from
    Rodney (Allen) Mower, who delivered it to their residence at 5:00 p.m. Id. at
    32-33, 47-48. Higgins conceded that she and Appellant bought meth to share
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    J-S41036-22
    together on numerous occasions from Mower and other individuals. Id. at 47,
    87-88. As Mower had just received a large amount of meth from his supplier,
    Mower cut the meth on their kitchen table to measure it out into individual
    packages. Id. at 69-76. When asked if the action in cutting the meth had left
    “teeny tiny particles … on [her] kitchen table at some point that Friday night,”
    Higgins admitted it was possible. Id. at 76.
    Higgins believed Child was in the living room behind a baby gate when
    Mower delivered the meth. Id. Once Higgins received the meth, she went into
    her bedroom to use the drugs and did not return that evening. Id. at 47-49.
    As Higgins was extremely dehydrated and malnourished from drug use, it
    would take her hours to find a vein to inject the meth. Id. at 47. When she
    finally injected herself, Higgins entered a trans-like state, and had sexual
    intercourse with Appellant. Id. at 56-57. After Higgins came down from her
    high, she crashed as she had gone days without sleep. Id. at 57.
    Although Higgins woke around 9 or 10 a.m. the next morning to an
    alarm she had set to take care of the kids, Appellant turned off the alarm and
    told her he would take care of the children that day. Id. Appellant woke
    Higgins up several hours later around 6-7 p.m. and brought her food he had
    purchased from McDonald’s. Id. at 54-59. When Higgins asked where the
    children were, Appellant indicated that Child appeared to be sleeping and L.H.
    was at his grandmother’s house. Id.
    Higgins went into Child’s bedroom at 8 p.m to wake her up. Id. at 49.
    At that point, Higgins had not seen Child for more than 24 hours since she
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    injected the meth the previous evening and had not checked on her. Id. When
    Higgins discovered Child was cold, stiff, unresponsive, and with bruises on her
    body, she began to scream and asked Appellant, “[w]hat did you do?” Id. at
    56, 61. Appellant responded with surprise, put his head in his hands, and
    claimed that he did not know what happened. Id. at 61. Thereafter, Higgins
    used her cell phone to call 9-1-1. Id. at 63.
    Higgins noted that she found Child lying face up on the mattress without
    sheets but surrounded by stuffed animals. Id. at 54. Higgins did not notice
    any vomit near Child. Id. Higgins recalled that there was a sheet on Child’s
    bed on the night of January 4, 2018 and asserted she always had sheets on
    Child’s bed as the mattress was a plastic material. Id. at 54-55. Higgins
    claimed she did not put Child to bed on January 5, 2018. Id.
    While Higgins denied cleaning up the bedroom after finding Child
    unresponsive, she admitted that she “probably” threw drugs away before first
    responders arrived. Id. at 55-56. Higgins did not suspect that L.S. died from
    ingesting drugs, but believed the marks on Child’s face were bruises that had
    something to do with her death.
    Higgins shared that she was careful to keep her meth and Suboxone in
    a small wooden jewelry box in her bedroom. Id. at 89-90. She found it helpful
    to store the drugs in her bedroom as she only typically used them there as it
    was so difficult for her to find a vein to do so. Id. at 68. She also kept her
    drugs concealed so Appellant would not use them. Id. at 91.
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    In comparison, Appellant would keep his drugs on his person so that he
    could use it when he wished and to keep it from Higgins. Id. at 90. Higgins
    indicated that Appellant would inject his drugs “wherever he needed to” and
    would use meth in multiple areas of the home, even in the kitchen or living
    room where the children were. Id. at 68.
    Higgins felt Appellant was not careful with his drug use as he often left
    drugs in areas accessible to the children; Higgins addressed her concern with
    Appellant out of fear that her children would find the drugs. Id. at 92. On one
    of those occasions, Appellant left a needle full of drugs on the kitchen counter
    where Higgins’ son found it and asked what it was. Id. at 92-93. Higgins
    realized Child could have easily found it as well. Id.
    Higgins consented to a search of her cell phone. Id. at 65. At trial, the
    prosecution introduced text messages from Higgins to Appellant that were
    sent prior to Child’s death. In one message, Higgins wrote, “[s]he always ends
    up with marks like that when we do [meth] and I space out. Are you sure you
    didn’t get rough with her or something in the last few days[?]” Id. at 159.
    Appellant responded that he had no idea what happened to Child. Id.
    In a text message one month before Child’s death, Higgins wrote “you
    cannot ever leave shit out like this[,]” and sent Appellant a picture of his
    nightstand next to his bed, where he had left a spoon and Q-tips which were
    used to absorb drugs and presumably had drug residue on them. Id. at 160-
    61. Higgins then wrote “what if [Child] would have eaten it and overdosed
    before she woke me up this morning … you could have killed my child.” Id. at
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    161-62. Higgins continued on, “[i]f you want to be her parent you’ve got to
    start thinking like a fucking parent.” Id. at 162.
    Sergeant Aaron Martin testified that officers conducted a second search
    of Appellant and Higgins’ apartment after receiving Child’s toxicology reports
    and recovered both drugs and paraphernalia. Id. at 229. Specifically, police
    discovered a white powdery substance on the night table, in a syringe, and on
    the floor next to Appellant’s side of the bed. Id. at 232-34. Officers also found
    packaging for buprenorphine and naloxone tablets, as well as Q-tips, syringes,
    glassine baggies, foil wrappers used for smoking, and smoking devices made
    of glass and metal. Id. at 234-239.
    Trooper Lindsay Trace, the lead investigator, testified as to his role in
    conducting interviews with Appellant after Child’s death and the electronic
    evidence obtained from Appellant’s cell phone. N.T., 9/10/21, at 7-8. Trooper
    Trace indicated that Appellant eventually confessed to using meth the night of
    January 5, 2018 and early morning of January 6, 2018. In addition, Trooper
    Trace recalled that Appellant shared that he put the children to bed on the
    night of January 5th because Higgins was sick in her room.
    Trooper Trace testified that investigators recovered deleted videos from
    Appellant’s phone taken the morning of January 6, 2018. Id. at 105. The first
    video, taken at 10:18 a.m. shows Appellant standing over Child as she lay in
    bed. N.T., 9/13/21, at 5. The second video, taken at 11:18 a.m., scanned
    Child’s body and showed her wearing a red shirt, which was different than the
    Hello Kitty shirt Child was wearing when she was found by first responders.
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    J-S41036-22
    Id. at 5-6, 11-12; N.T., 9/8/21, at 47. In addition, in the video, there were
    no stuffed animals on Child’s bed, but first responders found numerous stuffed
    animals on her bed when they found Child deceased. N.T., 9/8/21, at 12-13.
    Trooper Trace testified that Child’s room looked different in the video than
    when he had arrived at the scene. Id. at 15.
    Trooper Trace obtained Appellant’s internet search records for the
    morning of January 6, 2018, which showed two searches on how to shock the
    heart back into rhythm, three searches for toddler not breathing, limp body,
    and eight searches for toddler CPR. Id. at 39. There were no searches for child
    ingestion of Subutex, Suboxone, or buprenorphine. Id.
    Dr. Kathryn Crowell, a pediatrician at Penn State Hershey Children’s
    Hospital, testified as an expert in child abuse and neglect. When viewing
    photographs of Child’s bruises on her body, Dr. Crowell believed such injuries
    were caused by “blunt force trauma” and repetitive abuse, opining that
    someone struck Child with more force than should have been used with
    “general caretaking and day-to-day activities.” N.T., 9/9/21, 14, 19-20.
    The prosecution presented testimony of Brittany Baker, an acquaintance
    of Appellant and Higgins who sold them meth and also abused controlled
    substances. Baker indicated that on January 6, 2018, the day Child was
    discovered deceased, she met with Appellant on two separate occasions to sell
    him meth, once at approximately 10 a.m. and again in the evening. Id. at
    180-83. When Baker asked where Higgins was, Appellant told her that Higgins
    and the kids were sick and sleeping. Id. at 182.
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    Appellant testified in his own defense at trial. He characterized himself
    as a “functioning drug addict” that was able to hold employment. N.T.,
    9/15/21, at 59-60. He recalled that on the evening of January 5, 2018, Mower
    delivered meth to the apartment Appellant shared with Higgins and her
    children. Id. at 61-62. Appellant described the meth as the size of a baseball
    and the largest amount of meth he had ever seen. Id. Appellant agreed Mower
    weighed and divided the meth on the couple’s kitchen table. Id. at 63-64.
    Appellant admitted that he and Higgins started to inject the meth after
    Mower left, but Higgins went into her bedroom to do so. Id. at 65-66.
    Appellant believed the children were behind a baby gate in the living room
    when the meth was delivered and claimed he put them to bed around 11 p.m.
    Id. Appellant alleged for the first time at trial that Higgins went into Child’s
    bedroom thirty minutes after he had put her to bed. Id. at 68. Appellant did
    not sleep at all the evening, but stayed awake having sexual intercourse with
    Higgins until 5 or 6 a.m. Id. at 71.
    When Appellant checked on Child at approximately 10 a.m., he found
    her unresponsive, cold, and blue. Id. at 72-73. He attempted to slap her to
    “see what’s going on” and believed she might have been deceased. Id.
    Appellant claimed that he tried to give Child CPR and did not realize Child had
    ingested drugs. Id. at 74-77. Appellant testified that there was no vomit on
    Child and denied changing her clothes. Id. When asked if Higgins had changed
    Child’s clothes, he responded, “it would have had to have been.” Id.
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    Appellant asserted that he took videos of Child in her bed accidentally
    and subsequently deleted it, not because he wanted to obstruct the
    investigation, but simply because he did not realize what the video was. Id.
    at 79-80. After finding Child unresponsive, Appellant admitted that he did not
    call an ambulance, but instead went to purchase more meth. Id. at 82-83.
    Appellant claimed that he did not know Child had ingested drugs, but
    learned she died from drug toxicity when one of the troopers told him. Id. at
    76-77. Appellant admitted to his drug use at the home he shared with the
    children, but claimed he and Higgins had “separate stashes” of drugs and
    denied ever leaving drugs or drug paraphernalia unattended. Id. at 95. When
    asked if he was responsible for Child’s death, he responded that “I used meth,
    absolutely. It was in her system absolutely but did we both have separate
    stashes, did I leave with some left on the table by me, no.” Id. at 85.
    At the conclusion of the trial, the jury acquitted Appellant of third-degree
    murder, but convicted him on the remaining charges. On November 10, 2021,
    trial court sentenced Appellant to the following terms of imprisonment: 60-
    120 months for involuntary manslaughter, two terms of 36-72 months for
    endangering the welfare of a child, 30-60 months for unlawful delivery, 18-36
    months for criminal use of a communication facility, and 6-12 months for
    possession of drug paraphernalia. As all these sentences ran consecutively
    (with the exception of the paraphernalia charge), Appellant received an
    aggregate sentence of 180-360 months’ (15-30 years’) imprisonment.
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    J-S41036-22
    On November 22, 2021, Appellant filed timely post-sentence motions,5
    which the trial court denied on March 22, 2022. On April 18, 2022, Appellant
    filed timely notices of appeal and subsequently complied with the trial court’s
    direction to file a concise statement of errors complained of on appeal
    pursuant to Pa.R.A.P. 1925(b).
    Appellant raises the following issues for our review on appeal (stated
    verbatim):
    1. Whether the evidence presented at trial was legally insufficient
    to establish that [Appellant’s] actions/inaction was a direct
    cause of death where the Commonwealth’s expert opined that
    the cause of death was mixed drug toxicity?
    2. Whether [Appellant’s] conviction for Involuntary Manslaughter
    was against the weight of the evidence where the
    Commonwealth’s theory at trial was the deceased child
    accidentally ingested two separate narcotics? In the
    alternative, Bennett’s failure to render aid (which is belied by
    the record) was not a direct cause of the child’s death from
    multiple drug toxicity and the verdict shocks one’s sense of
    justice?
    3. Whether the trial court erred in sentencing outside the
    aggravated range was manifestly and unduly harsh as the
    sentencing scheme employed by the Court on all convictions
    was tantamount to a sentence for third-degree murder – a
    charge Appellant was acquitted of by the jury. Especially in
    light of the fact that the for-profit narcotics dealer
    ([Appellant’s] co-defendant at trial) was given substantially
    less time for a more serious conviction)?
    Appellant’s Brief, at 8 (renumbered for ease of review).
    ____________________________________________
    5 Appellant’s post-sentence motions were timely filed on Monday, November
    22, 2021. See 1 Pa.C.S.A. § 1908 (whenever the last day of any … period
    shall fall on a Saturday or Sunday, or on any day made a legal holiday…, such
    day shall be omitted from the computation).
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    In the first two issues, Appellant challenges the sufficiency and weight
    of the evidence supporting his conviction for involuntary manslaughter. We
    begin by noting the difference between sufficiency and weight claims:
    The distinction between a claim challenging the sufficiency of
    evidence and a claim challenging the weight of evidence is critical.
    A motion for a new trial on the grounds that the verdict is contrary
    to the weight of the evidence concedes that there is sufficient
    evidence to sustain the verdict but claims that “notwithstanding
    all the facts, certain facts are so clearly of greater weight that to
    ignore them or to give them equal weight with all the facts is to
    deny justice.” A claim challenging the sufficiency of the evidence,
    however, asserts that there is insufficient evidence to support at
    least one material element of the crime for which Appellant has
    been convicted.
    Commonwealth v. Arias, __A.3d __, 
    2022 PA Super 202
     (Pa.Super. 2022)
    (quoting Commonwealth v. Lyons, 
    833 A.2d 245
    , 258 (Pa.Super. 2003)
    (citation omitted)).
    When reviewing a challenge to the sufficiency of the evidence, our
    standard of review is as follows:
    In reviewing a sufficiency of the evidence claim, we must
    determine whether the evidence admitted at trial, as well as all
    reasonable inferences drawn therefrom, when viewed in the light
    most favorable to the verdict winner, are sufficient to support all
    elements of the offense. Commonwealth v. Moreno, 
    14 A.3d 133
     (Pa.Super. 2011). Additionally, we may not reweigh the
    evidence or substitute our own judgment for that of the fact
    finder. Commonwealth v. Hartzell, 
    988 A.2d 141
     (Pa. Super.
    2009). The evidence may be entirely circumstantial as long as it
    links the accused to the crime beyond a reasonable doubt.
    Moreno, 
    supra at 136
    .
    Commonwealth v. Juray, 
    275 A.3d 1037
    , 1042 (Pa.Super. 2022) (citations
    omitted).
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    J-S41036-22
    The Crimes Code provides that an individual “is guilty of involuntary
    manslaughter when as a direct result of the doing of an unlawful act in a
    reckless or grossly negligent manner, or the doing of a lawful act in a reckless
    or grossly negligent manner, he causes the death of another person.” 18
    Pa.C.S.A. § 2504(a). In other words, “involuntary manslaughter requires 1) a
    mental state of either recklessness or gross negligence[,] and 2) a causal
    nexus between the conduct of the accused and the death of the victim.”
    Commonwealth v. Fabian, 
    60 A.3d 146
    , 151 (Pa.Super. 2013) (quoting
    Commonwealth v. McCloskey, 
    835 A.2d 801
    , 806 (Pa.Super. 2003)).
    Specifically, Appellant limits his sufficiency challenge to argue that there
    was insufficient evidence that his conduct was a legal cause of Child’s death.
    As the autopsy revealed that Child’s cause of death was mixed substance
    toxicity, Appellant claims the prosecution failed to show how Child
    simultaneously ingested both meth and buprenorphine and could not prove
    which drug ultimately was the cause of Child’s death.
    As to the meth, Appellant denies that Child accessed his stash of meth
    as he testified that he did not leave his meth unattended. With respect to the
    buprenorphine, Appellant also contends that the prosecution failed to present
    any evidence as to how Child accessed this drug. Further, Appellant argues
    that Child could not have ingested Subutex, the brand of buprenorphine
    Appellant was prescribed as Child did not have naloxone in her system.
    In addition, while Appellant admits that he failed to seek emergency
    assistance for Child when he found her lifeless on the morning of January 6,
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    2018, he asserts there is no evidence that the delay in contacting medical
    personnel resulted in Child’s death.
    In reviewing similar claims, this Court has held that:
    “It is undisputed that the Commonwealth must prove a direct
    causal relationship between the acts of a defendant and the
    victim's death.” Commonwealth v. Long, 
    425 Pa.Super. 170
    ,
    
    624 A.2d 200
    , 203 (1993). “Criminal responsibility is properly
    assessed against one whose conduct was a direct and substantial
    factor producing the death.” Commonwealth v. McCloskey, 
    835 A.2d 801
    , 807 (Pa.Super. 2003) (citing Commonwealth v.
    Nicotra, 
    425 Pa.Super. 600
    , 
    625 A.2d 1259
    , 1260 (1993)). “This
    is true even though ‘other factors combined with that conduct to
    achieve the result.’” 
    Id.
     Additionally:
    In order to impose criminal liability, causation must be direct
    and substantial. Defendants should not be exposed to a loss
    of liberty based on the tort standard which only provides
    that the event giving rise to the injury is a substantial factor.
    Although typically the tort concept refers to only substantial
    and not to direct and substantial as in the criminal context,
    the additional language in the criminal law does not provide
    much guidance. Therefore, criminal causation has come to
    involve a case-by-case social determination; i.e., is it just
    or fair under the facts of the case to expose the defendant
    to criminal sanctions. In other words, was the defendant's
    conduct so directly and substantially linked to the actual
    result as to give rise to imposition of criminal liability or was
    the actual result so remote and attenuated that it would be
    unfair to hold the defendant responsible for it?
    Commonwealth v. Rementer, 
    410 Pa.Super. 9
    , 
    598 A.2d 1300
    ,
    1304–05 (1991). “In seeking to define the requirement that a
    criminal defendant's conduct be a direct factor in the death of
    another, the courts of this Commonwealth have held that ‘so long
    as the defendant's conducted started the chain of causation which
    led to the victim's death, criminal responsibility for the crime of
    homicide may properly be found.’” McCloskey, 
    835 A.2d at
    808
    (citing Nicotra, 
    supra).
    ***
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    J-S41036-22
    “[I]t has never been the law of this Commonwealth that
    criminal responsibility must be confined to a sole or
    immediate cause of death.” Commonwealth v. Skufca, 
    457 Pa. 124
    , 
    321 A.2d 889
    , 894 (1974) (citation omitted). “Criminal
    responsibility is properly assessed against one whose
    conduct was a direct and substantial factor in producing
    the death even though other factors combined with that
    conduct to achieve the result.” 
    Id.
    Fabian, 
    60 A.3d at 152
     (emphasis added).
    Our review of the record in this case shows the Commonwealth met its
    burden of proving beyond a reasonable doubt that Appellant’s conduct was a
    direct and substantial factor in causing Child’s death. While Child’s autopsy
    results revealed Child’s cause of death was mixed substance toxicity of meth
    and buprenorphine, Appellant and Higgins admitted they regularly possessed
    and used both of these substances in the home they shared with Child.
    More specifically, Appellant and Higgins admitted that they purchased
    and used meth on the evening of January 5, 2018, just hours before Child was
    found lifeless in her bed. Appellant and Higgins conceded that their seller,
    Mower, cut a large amount of meth on their kitchen table, an area accessible
    to Child. Although Appellant and Higgins asserted that Child was behind a
    baby gate when the meth was delivered, they admitted that after Child was
    placed in her bedroom that night to go to sleep, Child could leave her bedroom
    and was not restricted from entering the kitchen.
    With respect to Child’s ingestion of buprenorphine, Appellant asserts
    that Child must have accessed Higgins’s Suboxone tablets (and not Appellant’s
    Subutex tablets) as toxicology reports showed that Child did not have
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    J-S41036-22
    naloxone in her system. However, this argument is based on Appellant’s faulty
    premise that Subutex contains naloxone and Suboxone does not. In reality,
    as suggested by its name, Suboxone contains naloxone and buprenorphine,
    whereas Subutex is merely buprenorphine. As such, this contention actually
    works against the defense as the absence of naloxone in the toxicology reports
    would suggest that Child ingested Subutex, the brand of buprenorphine
    prescribed to Appellant.6
    Despite the fact that no individual witnessed Child ingesting meth or
    buprenorphine before her death, the jury was free to consider the
    circumstantial evidence to conclude that Child accessed these substances that
    were in Appellant’s possession and control. Appellant admitted that there were
    no other sources of meth other than the amount he and Higgins purchased
    from Mower that evening.
    Appellant’s claim that Child could not have accessed the drugs in his
    “stash” is belied by the record. In addition to the fact that Appellant and
    Higgins may have left drug residue on the kitchen table the night before Child
    ingested meth, Higgins had confronted Appellant on multiple prior occasions
    when he recklessly left drugs and paraphernalia in areas accessible to her
    children and Higgins had expressed concern for their safety. Appellant
    ____________________________________________
    6 Nevertheless, the absence of naloxone in Child’s blood is not dispositive as
    forensic toxicologists testified that naloxone is often not measured in testing
    as it may be present in amounts too small to detect. Moreover, Appellant and
    Higgins shared their buprenorphine prescriptions with each other.
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    J-S41036-22
    admitted that he used his drugs in multiple areas of the house whereas Higgins
    claimed she confined her drug use to her bedroom.
    Moreover, other circumstantial evidence points to Appellant’s culpability
    including the fact that he was the individual who put the children to bed on
    January 5, 2018. Appellant wanted the children to go to bed so that he and
    Higgins could do meth and have sexual intercourse. While Appellant told police
    that Higgins remained in her bedroom from the night of January 5th and the
    majority of the day on January 6th, Appellant conceded that he did not sleep
    the entire night, turned off Higgins’s alarm in the morning, and told her he
    would take care of the children.
    Appellant’s phone contained videos that showed he found Child
    unresponsive in the morning of January 6th. While his internet search history
    revealed inquiries about child CPR, Appellant did not seek emergency care to
    help Child. Instead, after finding Child in this state, Appellant left the home
    on two occasions to purchase more meth and fast food. Appellant admitted he
    did not tell Higgins about Child’s condition, which Higgins did not discover until
    the evening of January 6th, after which she called 9-1-1.
    Further, first responders discovered Child in a scene that had been
    manipulated since the recording of the videos on Appellant’s phone that
    morning. Child’s clothes had been changed and stuffed animals had been
    staged on her bed, which did not have any sheets.
    Reviewing    the   evidence   in   the   light   most   favorable   to   the
    Commonwealth as the verdict winner, we conclude that there was sufficient
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    J-S41036-22
    evidence to allow the jury to infer that Appellant’s reckless conduct caused
    Child’s death. Therefore, there is no merit to his sufficiency challenge.
    Appellant also claims his involuntary manslaughter conviction is not
    supported by the weight of the evidence. Our standard of review for challenges
    to the weight of the evidence is well-established:
    The essence of appellate review for a weight claim appears to lie
    in ensuring that the trial court's decision has record support.
    Where the record adequately supports the trial court, the trial
    court has acted within the limits of its discretion.
    A motion for a new trial based on a claim that the verdict is against
    the weight of the evidence is addressed to the discretion of the
    trial court. A new trial should not be granted because of a mere
    conflict in the testimony or because the judge on the same facts
    would have arrived at a different conclusion. Rather, the role of
    the trial judge is to determine that notwithstanding all the facts,
    certain facts are so clearly of greater weight that to ignore them
    or to give them equal weight with all the facts is to deny justice.
    An appellate court's standard of review when presented with a
    weight of the evidence claim is distinct from the standard of review
    applied by the trial court. Appellate review of a weight claim is a
    review of the exercise of discretion, not of the underlying question
    of whether the verdict is against the weight of the evidence.
    Commonwealth v. Windslowe, 
    158 A.3d 698
    , 712 (Pa.Super. 2017)
    (citations omitted).
    In raising this claim on appeal, Appellant simply asks this Court to find
    the jury’s verdict was against the weight of the evidence. Appellant does not
    cite to this Court’s standard of review in evaluating whether the trial court
    abused its discretion in denying his challenge to the weight of the evidence.
    In a recent decision, a panel of his Court in Commonwealth v. Rogers,
    
    259 A.3d 539
    , 541 (Pa.Super. 2021), appeal denied, 
    280 A.3d 866
     (Pa. 2022),
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    J-S41036-22
    found that the appellant did not properly mount an abuse-of-discretion attack
    against the trial court's decision to deny his challenge to the weight of the
    evidence, when the appellant failed to cite the correct standard review and
    “demonstrate how the trial court's ruling overrode the law, was manifestly
    unreasonable, or the product of bias, prejudice, ill-will or partiality.” Id. at
    542. As such, this Court was dismissed the weight claim as the appellant did
    not show that an abuse of discretion had occurred.
    Similarly, in this case, Appellant does not acknowledge the distinction
    between the standards of review applied by trial courts and appellate courts
    to claims challenging the weight of the evidence. Appellant simply asks this
    Court to set aside the jury’s verdict, which he characterizes as “so contrary to
    the evidence as to shock one’s sense of justice.” Appellant’s Brief, at 32.
    However, we may not conduct a de novo review of whether the jury’s
    verdict shocked the trial court’s conscience, but must defer to the trial court’s
    discretion. As Appellant has made no attempt to assess whether the trial court
    abused its discretion, we must dismiss his challenge to the weight of the
    evidence as meritless.
    Lastly, Appellant claims that the trial court’s sentencing scheme, which
    included multiple consecutive sentences in the aggravated range of the
    guidelines, was manifestly and unduly harsh. In reviewing challenges to the
    trial court’s sentencing discretion, we are mindful that:
    Challenges to the discretionary aspects of sentencing do not
    entitle an appellant to an appeal as of right. Prior to reaching the
    merits of a discretionary sentencing issue[, w]e conduct a four-
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    J-S41036-22
    part analysis to determine: (1) whether appellant has filed a
    timely notice of appeal, see Pa.R.A.P. 902 and 903; (2) whether
    the issue was properly preserved at sentencing or in a motion to
    reconsider and modify sentence, see Pa.R.Crim.P. 720; (3)
    whether appellant's brief has a fatal defect, Pa.R.A.P. 2119(f); and
    (4) whether there is a substantial question that the sentence
    appealed from is not appropriate under the Sentencing Code, 42
    Pa.C.S.A. § 9781(b).
    Commonwealth v. Manivannan, 
    186 A.3d 472
    , 489 (Pa.Super. 2018)
    (quotation marks, some citations, and emphasis omitted).
    Appellant filed a timely notice of appeal and preserved numerous
    sentencing claims in a timely post-sentence motion. Appellant’s brief contains
    a statement pursuant to Pa.R.A.P. 2119(f) in which he asserts that the trial
    court (1) imposed aggravated range sentences without considering mitigating
    factors and Appellant’s rehabilitative needs, and (2) ran multiple sentences at
    the top of the guideline ranges consecutively. Appellant’s Brief, at 16-17.
    In addition, to obtain review of a challenge to the discretionary aspects
    of a sentence, the appellant must raise also raise a substantial question that
    the sentence violates either the Sentencing Code or any fundamental
    sentencing norm. Commonwealth v. Banks, 
    198 A.3d 391
    , 401 (Pa.Super.
    2018). We make the substantial-question determination based on the
    contents of the Rule 2119(f) statement. Commonwealth v. Mouzon, 
    812 A.2d 617
    , 621-22 n. 14 (Pa. 2002) (noting that an “appellate court decides
    whether to review the discretionary portions of a sentence by reviewing the
    Rule 2119(f) statement”) (emphasis and citation omitted).
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    J-S41036-22
    This Court has held that a claim that the trial court imposed an
    aggravated range sentence without consideration of mitigating circumstances
    raises a substantial question for our review. Commonwealth v. Felmlee,
    
    828 A.2d 1105
    , 1107 (Pa.Super. 2003) (en banc). In addition, this Court has
    found that “a substantial question exists when the issue is whether the
    decision to sentence consecutively raises the aggregate sentence to, what
    appears upon its face to be, an excessive level in light of the criminal
    conduct[.]” Commonwealth v. Bankes, ___A.3d___, 
    2022 PA Super 212
    (Pa.Super. 2022) (quoting Commonwealth v. Gonzalez-DeJusus, 
    994 A.2d 595
    , 598-99 (Pa.Super. 2010)).
    In light of the foregoing, we conclude that Appellant's claim that the trial
    court failed to consider his rehabilitative needs and mitigating factors upon
    fashioning its aggravated range sentences along with his challenge to the
    imposition of his consecutive sentences as unduly excessive, each raises a
    substantial question. Thus, we proceed to address the merits of his sentencing
    claims.7 Commonwealth v. Swope, 
    123 A.3d 333
    , 340 (Pa.Super. 2015).
    Our standard of review of a sentencing claim is as follows:
    ____________________________________________
    7 Appellant also baldly claims that the trial court’s sentence is excessive when
    compared to (1) the sentence given to his co-defendant, Keogh and (2) the
    penalty for a third-degree murder conviction for which Appellant was
    acquitted. Appellant did not raise these claims in his Rule 2119(f) statement
    or develop analysis to support his arguments on appeal. We find these claims
    waived for lack of development. Commonwealth v. Antidormi, 
    84 A.3d 736
    (Pa.Super. 2014) (“[a]s Appellant has cited no legal authorities nor developed
    any meaningful analysis, we find this issue waived for lack of development”).
    - 23 -
    J-S41036-22
    Sentencing is a matter vested in the sound discretion of the
    sentencing judge, and a sentence will not be disturbed on appeal
    absent a manifest abuse of discretion. In this context, an abuse
    of discretion is not shown merely by an error in judgment. Rather,
    the appellant must establish, by reference to the record, that the
    sentencing court ignored or misapplied the law, exercised its
    judgment for reasons of partiality, prejudice, bias or ill will, or
    arrived at a manifestly unreasonable decision.
    Commonwealth v. Shugars, 
    895 A.2d 1270
    , 1275 (Pa.Super. 2006).
    Pursuant   to   Section   9721(b)   of    the   Sentencing   Code,    courts
    “shall follow the general principle that the sentence imposed should call for
    confinement that is consistent with 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.” 42 Pa.C.S.A. §
    9721(b). “[T]he court shall make as part of the record, and disclose in open
    court at the time of sentencing, a statement of the reason or reasons for the
    sentence imposed.” Id. Nevertheless, “[a] sentencing court need not
    undertake a lengthy discourse for its reasons for imposing a sentence or
    specifically reference the statute in question.” Commonwealth v. Crump,
    
    995 A.2d 1280
    , 1283 (Pa.Super. 2010).
    Rather, the record as a whole must reflect the sentencing court’s
    consideration of the facts of the case and the defendant’s character. 
    Id.
     “In
    particular, the court should refer to the defendant’s prior criminal record, his
    age,   personal    characteristics   and   his    potential   for   rehabilitation.”
    Commonwealth v. Griffin, 
    804 A.2d 1
    , 10 (Pa.Super. 2002).
    - 24 -
    J-S41036-22
    Appellant’s claim that the trial court failed to consider mitigating factors
    and his need for rehabilitation is belied by the record. Notably, the trial court
    had the benefit of a pre-sentence investigation (PSI) report prior to
    sentencing. “[W]here the trial court is informed by a pre-sentence report, it is
    presumed that the court is aware of all appropriate sentencing factors and
    considerations, and that where the court has been so informed, its discretion
    should not be disturbed.” Commonwealth v. Ventura, 
    975 A.2d 1128
    , 1135
    (Pa.Super. 2009) (citation omitted). In addition, we can assume the court was
    aware of the relevant information regarding Appellant’s character and weighed
    those considerations along with mitigating statutory factors. Commonwealth
    v. Hill, 
    210 A.3d 1104
    , 1117 (Pa.Super. 2019) (internal quotation marks and
    citation omitted).
    The sentencing transcript also shows that the trial court noted on the
    record that it had considered multiple mitigating factors such as Appellant’s
    “substance use history, criminal history, employment history, his version of
    events, and the many letters of support that were provided.” N.T. Sentencing,
    11/10/21, at 50. The trial court specifically noted the following:
    [Appellant], I do think that the fact you have so many individuals
    who have taken the time to write me very thoughtful[,] caring
    letters, leads me to believe when this is all over you have a loving,
    supportive family and community to return to, and that I urge you
    to rely on the strength of these individuals as you continue to deal
    with the consequences of your behavior.
    Id. at 59-60.
    - 25 -
    J-S41036-22
    The trial court also recognized Appellant’s need for rehabilitation as it
    noted Appellant was “in the throes of his addiction” when he arranged two
    drug transactions after finding Child was unresponsive instead of contacting
    emergency personnel. Id. In imposing the sentence, the trial court directed
    that Appellant submit to a drug and alcohol assessment and undergo
    treatment and periodic testing as a condition of the sentence.
    In its decision denying Appellant’s post-sentence motion, the trial court
    recognized Appellant had admitted to participating in two drug transactions
    after Child’s death and expressed remorse. However, the trial court noted that
    Appellant in his trial testimony had attempted to minimize his role in Child’s
    death and had not been fully truthful even when presented with the
    prosecution’s evidence.
    We also reject Appellant’s claim that the trial court’s sentencing scheme
    was “manifestly and unduly harsh” in that it chose to impose multiple
    aggravated range sentences and run them consecutively. It is well established
    that the trial court has discretion to impose its sentences consecutively or
    concurrently to other sentences being imposed at the same time or to
    sentences already imposed. See 42 Pa.C.S.A. § 9721(a); Commonwealth v.
    Wright, 
    832 A.2d 1104
    , 1107 (Pa.Super. 2003) (recognizing that “the trial
    [court] may determine whether, given the facts of a particular case, a
    sentence should run consecutive to or concurrent with another sentence being
    imposed”).
    - 26 -
    J-S41036-22
    This Court has declined to disturb a consecutive sentencing scheme
    unless the aggregate sentence is “grossly disparate” to the defendant's
    conduct, or “viscerally appear[s] as patently unreasonable.” Gonzalez-
    Dejusus, 
    994 A.2d at 599
    .
    Our review of the record leads us to conclude that it was reasonable for
    the trial court to run Appellant’s individual aggravated range sentences
    consecutively to impose an aggregate term of 15-30 years’ imprisonment. The
    trial court considered the gravity of Appellant’s offenses and their impact on
    the victim and the community. The untimely death of three-year old Child
    “turned her family’s lives upside down” in the “most horrific set of
    circumstances anyone could ever envision having to live through.” N.T.
    11/10/21, at 45; Trial Court Opinion (T.C.O.), 3/21/22, at 44-45.
    The trial court explained its rationale for imposing aggravated range
    sentences:
    [Appellant,] I have sentenced you in this way. Some of these
    sentences are at the top of the standard range – top of the
    aggravated range. I need for you to understand that I made this
    determination based on the evidence I heard. A little girl died on
    your watch.
    The single most damning and disturbing piece of evidence that I
    saw, and I would suggest, perhaps, the jury say, was the video
    that you likely were not aware you took or probably would have
    tried to get rid of it, of you entering [Child’s] bedroom, trying to
    wake her by slapping her, and then leaving.
    A period of time elapsed, 12 hours, during which that little girl laid
    on her bed. I don’t know if she was already dead when you tried
    to slap her or if she was in a severely compromised state, but
    what I do know is that for that period of time between you
    - 27 -
    J-S41036-22
    entering her bedroom and finding her in that state and her mother
    eventually calling 911, you did nothing.
    You may have performed searches, and there was evidence to
    suggest you performed searches on the internet to figure out how
    to resuscitate her, but you never called people who could have
    helped.
    Instead, in the throes of your addiction, you arranged two
    separate drug deliveries. I find that to be cold, callous, hard-
    hearted, and the kind of behavior of someone who is completely
    devoid of any ability to provide care of a child.
    These are the circumstances. I also saw evidence of a series of
    bruises, text messages from [Child’s] mother to you, that lead me
    to believe that [Child] was subjected to abusive behavior over a
    course of conduct.
    So these are the reasons I’m imposing the sentence that I have
    imposed.
    N.T., 11/10/21, at 58-60.
    We conclude that Appellant’s aggregate sentence of 15 to 30 years’
    imprisonment is not patently unreasonable or grossly disparate to the criminal
    conduct proven in this case. We also decline to find that the trial court was
    required to give Appellant a volume discount for the numerous crimes for
    which he was convicted. See Commonwealth v. Clary, 
    226 A.3d 571
    , 581
    (Pa.Super. 2020) (emphasizing that “defendants convicted of multiple
    offenses are not entitled to a ‘volume discount’ on their aggregate sentence”).
    Accordingly, our review of the record, party briefs, trial court opinion,
    and relevant authority uncovers no reason to disturb the trial court's discretion
    in imposing its sentence. See Shugars, 
    supra
     (“[s]entencing is a matter
    vested in the sound discretion of the sentencing judge, and a sentence will
    not be disturbed on appeal absent a manifest abuse of discretion”).
    - 28 -
    J-S41036-22
    For the foregoing reasons, we affirm the judgment of sentence.
    Judgment of sentence affirmed.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 01/06/2023
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