State of Tennessee v. Jennifer Lopez and Sergio H. Gonzalez ( 2015 )


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  •            IN THE COURT OF CRIMINAL APPEALS OF TENNESSEE
    AT NASHVILLE
    Assigned on Briefs September 10, 2015
    STATE OF TENNESSEE v. JENNIFER LOPEZ AND SERGIO H.
    GONZALEZ
    Appeal from the Criminal Court for Davidson County
    No. 2012-A-435    J. Randall Wyatt, Jr., Judge
    No. M2014-01701-CCA-R3-CD – October 16, 2015
    _____________________________
    Following a jury trial, Jennifer Lopez (“Defendant Lopez”) was convicted of one count of
    aggravated child neglect, and her ex-boyfriend, Sergio H. Gonzalez (“Defendant
    Gonzalez”) was convicted of two counts of aggravated child neglect in connection with
    severe abdominal injuries received by Defendant Lopez‟s two-year-old son, N.L, in
    September 2011.1 On appeal, Defendant Gonzalez argues that: (1) the trial court erred in
    denying his motion to suppress his September 27, 2011 interview with lead investigator,
    Detective Pilarski; (2) the trial court erred in allowing the State to introduce evidence of
    N.L.‟s bruises; (3) the trial court erred in preventing Defendant Gonzalez from
    impeaching Detective Pilarski with evidence from the detective‟s personnel file; (4) the
    evidence was insufficient to support his convictions; and (5) the trial court erred when it
    sentenced Defendant Gonzalez to twenty years for one of his aggravated child neglect
    convictions. Defendant Lopez argues that: (1) the trial court erred in failing to strike
    “improper statements made by the State‟s attorney in closing arguments”; (2) the
    evidence was insufficient to support her conviction; and (3) the trial court erred when it
    sentenced her to seventeen years. Discerning no error, we affirm the judgments of the
    trial court.
    Tenn. R. App. P. 3 Appeal as of Right; Judgments of the Criminal Court Affirmed
    ROBERT L. HOLLOWAY, JR., J., delivered the opinion of the Court, in which THOMAS T.
    WOODALL, P.J., and ROBERT W. WEDEMEYER, J., joined.
    Manuel B. Russ (on appeal), Nashville, Tennessee, and Brian T. Boyd (at trial),
    Brentwood, Tennessee, for the appellant, Jennifer Marie Lopez.
    1
    Consistent with the policy of this court, minors are identified by their initials.
    Jeffrey T. Daigle, Nashville, Tennessee, for the appellant, Sergio H. Gonzalez.
    Herbert H. Slatery III, Attorney General and Reporter; Andrew C. Coulam, Assistant
    Attorney General; Victor S. Johnson III, District Attorney General; and Brian Holmgren,
    Assistant District Attorney General, for the appellee, State of Tennessee.
    OPINION
    Factual and Procedural Background
    The Davidson County Grand Jury indicted the Defendants with the following
    charges:
    Count                Charge                                   Defendant
    1           Aggravated Child Abuse                      Defendant Gonzalez
    2          Aggravated Child Neglect                    Defendant Gonzalez
    3          Aggravated Child Neglect        Defendant Gonzalez and Defendant Lopez
    Trial
    At trial, notes taken by a social worker, Alisa Lisbon, and a nurse practitioner,
    Carrie Donnell, who interviewed each of the Defendants individually were read into the
    record without objection from the Defendants. The notes established that on September
    22, 2011, N.L. lived with his mother, Defendant Lopez, and his mother‟s then-boyfriend,
    Defendant Gonzalez, as well as his sisters, four-year-old A.L. and six-month-old G.G.
    Although Defendant Gonzalez was not the biological father of N.L. or A.L., he acted as a
    father figure in their lives, and Defendant Gonzalez would watch the children while
    Defendant Lopez was at work at Travel Lodge. Defendant Lopez described N.L. as a
    “„difficult child‟ who wants to be „into everything and fights with his older sister.‟”
    Often, A.L. bit, kicked, and hit N.L. The Defendants disciplined the children by
    spanking them “on the hand or the bottom.” Defendant Gonzalez had noticed some
    bruises on N.L. before September 22, 2011, but he attributed the bruises to A.L. kicking
    and biting N.L. Defendant Lopez told Ms. Donnell that she had not noticed any bruises
    on N.L. in the week before N.L. became ill, but she thought A.L. could have bruised N.L.
    -2-
    On the evening of September 21, 2011, N.L. ate a normal dinner, and Defendant
    Lopez put the children to bed before she left for work. She returned to the home after her
    shift the next morning and went to sleep. N.L. woke up around 8:00 a.m. on September
    22 and was “running around.” Around 10:00 a.m. or 11:00 a.m., Defendant Gonzalez left
    the house to meet a lady from church to pick up mattresses for the children, and he
    reported that he was gone approximately one hour. Before he left, Defendant Gonzalez
    locked N.L. and A.L. in Defendant Lopez‟s bedroom, and he instructed A.L. not to let
    N.L. go into the kitchen. While Defendant Gonzalez was gone, N.L. began to vomit
    “watery brown liquid.” When Defendant Gonzalez returned home, he found a “big
    mess” in the kitchen and A.L. watching television. N.L. was lying with Defendant Lopez
    on Defendant Lopez‟s bed. Defendant Gonzalez stated in his interview that Defendant
    Lopez was awake with N.L. when he returned home. However, Defendant Lopez stated
    in her interview with Ms. Donnell that Defendant Gonzalez woke her up to tell her that
    N.L. was vomiting. N.L. was lethargic for most of the day, which was unusual for him.
    Defendant Lopez told Ms. Donnell that N.L. only wanted to lie down and that he would
    moan whenever someone touched him or tried to pick him up. N.L. refused to eat and
    vomited about seven or eight times during the day. N.L. was able to drink small amounts
    of juice and soda but was unable to keep the liquid down. Defendant Lopez also reported
    that N.L. had fallen down at one point in the afternoon but stood back up without
    difficulty.
    At some point, the Defendants went to the store to buy N.L. anti-nausea
    medication because N.L. was complaining of a stomachache. Also, Defendant Lopez
    called Vanderbilt Children‟s Hospital Emergency Department, but the hospital would not
    give her advice over the phone and instructed her to bring N.L. in “if he looked worse.”
    Defendant Lopez thought N.L.‟s condition was improving, so she did not take him to the
    emergency room. When asked if she contacted N.L.‟s pediatrician, Defendant Lopez
    stated that she did not know how to contact the pediatrician after hours.
    Defendant Lopez took N.L. and A.L. to work with her on the evening of
    September 22, 2011, so that she could keep an eye on N.L. While there, N.L. tried to
    drink some Pedialyte, but he was unable to keep it down. That night, Defendant Lopez
    called Southern Hills Medical Center a number of times to make sure there would not be
    a long wait if she brought N.L. to the emergency room. Approximately 5:00 a.m. on
    September 23, 2011, Defendant Lopez took N.L. to the vending machine to try to coax
    him to eat, and N.L. collapsed on the floor next to the vending machine. At that point,
    Defendant Lopez took N.L. to Southern Hills Medical Center, where he was admitted and
    then transferred to Vanderbilt Children‟s Hospital.
    Following these interviews, Ms. Lisbon referred the case to the Department of
    Children‟s Services because of N.L.‟s “significant unexplained injuries.” On cross-
    -3-
    examination, Ms. Lisbon stated that she would consider Defendant Lopez to be a
    responsible person because she was nineteen years old at the time N.L. was injured, was
    taking care of three young children as well as her seventeen-year-old sister, and was
    holding down a job.
    Detective Jacob Pilarski of the Metro-Nashville Police Department testified that he
    received a report from Vanderbilt Children‟s Hospital about a child who had suffered
    abdominal injuries. He spoke with Defendant Lopez and Defendant Gonzalez at
    Vanderbilt Children‟s Hospital on September 23, 2011, and made an audio recording of
    those interviews. Those recordings were played for the jury.
    In her interview with Detective Pilarski, Defendant Lopez recalled that she had
    taken N.L. to her sister‟s house on September 21, 2011, but N.L. did not get out of the
    car. She went to work that evening and returned home on the morning of September 22.
    While Defendant Lopez was lying down in her bedroom, Defendant Gonzalez left to pick
    up some mattresses from a lady from their church. Defendant Lopez recalled that, at this
    time, all the children were still asleep. When Defendant Gonzalez returned home, he
    woke up Defendant Lopez to tell her that N.L. was throwing up. Defendant Lopez
    cleaned up N.L. and spent the day watching him. She reported that N.L. was lethargic,
    did not want to eat, and was not able to keep anything down. That evening Defendant
    Lopez took N.L. and A.L. to work with her in order to monitor N.L.‟s condition. She
    recalled that N.L.‟s stomach was “hard” and she thought that he was constipated because
    he had not gone to the bathroom all day. She said she did not believe Defendant
    Gonzalez would have hurt N.L. She did not know what caused N.L.‟s injuries, and she
    denied causing the injuries herself.
    In his initial interview with Detective Pilarksi, Defendant Gonzalez admitted that
    he lost his temper on the morning of September 22, 2011, and that he struck N.L. once,
    harder than normal, in N.L.‟s side. Defendant Gonzalez said he thought he may have
    caused N.L.‟s injuries, but he maintained that he loved N.L and did not mean to hurt N.L.
    After Defendant Gonzalez‟s interview, Detective Pilarski spoke with Defendant Lopez
    and she said, “I just have to forgive [Defendant Gonzalez] because N.L. is all right and is
    going to be fine.” Defendant Gonzalez was arrested later that day.
    Detective Pilarski interviewed Defendant Gonzalez again on September 27, 2011,
    and an audio-video recording was made of that interview. That recording was also
    played for the jury. In that interview, Defendant Gonzalez repeatedly denied hitting N.L.
    hard enough to cause N.L.‟s injuries. He maintained that he spanked N.L. with an open
    hand, and he gestured to the side of his torso to show where he spanked N.L. In response
    to Defendant Gonzalez‟s gesture, Detective Pilarski gestured to his own side and noted
    that the side of the torso was where the liver was located and that N.L.‟s liver had been
    injured. At this time Defendant Gonzalez did not try to clarify that, when he gestured to
    -4-
    his side, he was trying to say he spanked N.L. on the hip or bottom as opposed to the
    torso. Later in the interview, Defendant Gonzalez used a doll to show that he hit N.L.
    once, not very hard, on his back with an open hand. Also, Defendant Gonzalez made
    several suggestions as to other causes for N.L.‟s injuries. He insinuated that Defendant
    Lopez hit N.L. after he had left the house to get the mattresses, but he claimed that he did
    not know whether Defendant Lopez caused the injuries because he was not present at the
    time. He stated that A.L. often pushed N.L. very hard, hit him, and threw things at him.
    Defendant Gonzalez also hypothesized that someone could have hit N.L. when he was
    being watched by Defendant Lopez‟s sister, April, and her boyfriend during the day on
    September 21. Finally, he said both N.L. and A.L. knew how to open the front door, and
    he suggested that N.L. got out of the house and fell, thereby causing his own injuries.
    Defendant Gonzalez insisted that he loved N.L. and that he did not cause N.L.‟s injuries.
    In the course of his investigation, Detective Pilarski verified that Defendant Lopez
    was at work at Travel Lodge in the early morning hours of September 21 and 22, 2011.
    Detective Pilarski also investigated the phone records for the Defendants‟ shared cell
    phone.
    On cross-examination, Detective Pilarski admitted that he had not received any
    formal training about internal abdominal injuries or how bruising occurs, but he
    maintained that he learned how such injuries can occur during his experience with the
    police department. Based on his experience, he did not believe N.L.‟s abdominal injuries
    were caused accidentally or by fighting with his four-year-old sister. Detective Pilarski
    stated that he could not separate the bruising on N.L‟s legs and arms from N.L.‟s
    abdominal injuries, but he noted that the bruising occurred during the same time frame as
    the other injuries because neither Defendant Lopez nor Defendant Gonzalez mentioned
    any bruising before the incident which caused N.L.‟s injuries. However, Detective
    Pilarski also admitted that it was feasible that the bruising could have happened “purely
    through accidental means” and independent of the cause of N.L.‟s other injuries.
    Detective Pilarski also recalled that Defendant Gonzalez gave several alternative theories
    for how N.L. was injured, including falling down the stairs or a TV falling on him.
    Detective Pilarksi went to the Defendants‟ home and observed that there was no broken
    TV or TV on the ground.
    On redirect examination, Detective Pilarski noted that there was no indication that
    N.L. had an abdominal injury before September 22, 2011. Additionally, he noted that the
    phone records from the Defendants‟ cell phone showed that someone called Southern
    -5-
    Hills Medical Center from that phone at 3:18 a.m., 3:42 a.m., and 4:00 a.m. on September
    23, 2011.2
    Doctor Deborah Lowen, a child abuse pediatrician at Vanderbilt Children‟s
    Hospital, testified that N.L. had just turned two years old when he was brought to the
    hospital. Dr. Lowen took photos of N.L.‟s injuries, examined N.L., coordinated with his
    surgeons, and verified N.L.‟s medical history with the nurse practitioner. At the time,
    N.L. was unable to speak because he was in a coma and on a ventilator. Southern Hills
    Medical Center had performed an emergency intubation on N.L. before transferring him
    to Vanderbilt Children‟s Hospital.
    In reviewing N.L.‟s medical history, Dr. Lowen did not notice any prior serious
    injuries. The records from Southern Hills Medical Center showed that N.L. was admitted
    at 5:25 a.m. on September 23, 2011. Lab reports showed that N.L. was “near death”
    when he was brought to Southern Hills. Dr. Lowen explained that the pH level in N.L.‟s
    blood should have been 7.4 but his pH level was 6.6, which was an “almost not
    survivable level of acidity.” N.L. had inadequate blood flow to many areas of his body,
    and his liver and pancreas function were “abnormal.” N.L.‟s blood pressure, after
    medication, was 65/32, a result of severe shock. N.L. was completely nonresponsive, his
    pupils were dilated, and his eyes were sunken. His heart rate was low, the blood flow to
    his skin and extremities was low, and he had bruises on his body. N.L. was also
    experiencing “agonal respirations,” a condition where N.L. would take irregular, gasping
    breaths. Dr. Lowen explained that patients experiencing agonal respirations might take
    one to two breaths per minute. Conversely, a child breathing regularly would take twenty
    to twenty-four breaths per minute. She stated that it was not possible to tell how long
    N.L. had been experiencing agonal respirations but it was clear from his labs that N.L.
    had been in shock for “quite some time.” Dr. Lowen opined that N.L. collapsed at Travel
    Lodge because he “didn‟t have enough blood pressure to stand up or function at all.”
    Dr. Lowen photographed the bruises on N.L.‟s body, which were located on the
    back and side of N.L.‟s left upper arm, his left thigh, right forearm near the wrist, the
    back of his right thigh, and the back of his knee. He also had a bite mark on his arm. Dr.
    Lowen could not determine when the bruises occurred and did not know whether the
    bruises were caused by a single or multiple instances of trauma. However, she stated that
    the bruises were not the type of injuries a child would sustain from “normal household
    play” because they were not located in places that are normally injured when children
    fall. Instead, the bruises “gave further concern about the possibility of abuse.” Dr.
    Lowen also noted a bruise on N.L.‟s lower back and stated that “truncal bruises [were]
    2
    The phone records for the Defendants‟ cell phone show that the calls to which Detective Pilarski
    was referring were “terminating” calls. The phone record lists calls as either “terminating” or “outgoing,”
    but there is nothing in the record which explains what constitutes a “terminating” call.
    -6-
    relatively rare in typical accidental play, accidental falls, and play with siblings” and they
    were an additional cause for concern.
    Dr. Lowen stated N.L. had also sustained internal injuries—his small intestine was
    perforated, his liver was lacerated, and his pancreas was injured. Based on the different
    locations of the injuries, Dr. Lowen opined that they were caused by multiple, direct
    blows to N.L.‟s abdomen. Because of the force needed to inflict the injuries, Dr. Lowen
    did not believe that N.L. could have injured himself by running around the house or
    falling into an object or piece of furniture, and she stated that there was nothing in N.L.‟s
    history that would provide an accidental cause for the injuries. Further, Dr. Lowen stated
    that N.L.‟s injuries were not consistent with the reports that he fought with his four-year-
    old sister. However, they were consistent with an adult punching or kicking N.L. in the
    stomach or possibly throwing N.L. onto something that would push his abdomen in with
    enough force to crush his intestines against his spine.
    When N.L. was taken into surgery, doctors discovered that he had “a massive
    amount of fluid” in his abdominal cavity. He also had a discharge that develops on an
    abdominal injury as it tries to heal itself. Based on the discharge, Dr. Lowen determined
    that the injury did not happen within the few hours before N.L. was brought to the
    hospital.
    Dr. Lowen explained that, when a child sustains a perforation of their small
    intestine, they cannot eat normally. Therefore, because N.L.‟s history showed that he ate
    normally at dinner on September 21, she concluded that he had not sustained the injury
    before then. However, Dr. Lowen stated that the symptoms N.L. experienced the next
    day—vomiting, lethargy, and refusal to eat—were exactly what she would expect from a
    patient with a perforated small intestine. Dr. Lowen explained that, immediately after
    N.L.‟s small intestine was perforated, he would experience immediate and persistent
    abdominal pain and would vomit. While N.L. may have become thirsty due to
    dehydration, he would not have wanted to eat, and he would not have been able to keep
    anything down. Over time, N.L.‟s symptoms would worsen, and his ability to stand and
    walk would diminish over the course of a couple of hours after the injury. Dr. Lowen
    recalled that Defendant Lopez reported that she had noticed that N.L.‟s abdomen was
    “getting big.” Dr. Lowen explained that a “rigid belly” was a symptom of inflammation
    in the lining of the abdomen that was caused by the contents of his intestines leaking into
    his abdominal cavity.
    Dr. Lowen stated that it was very important that N.L. be taken for medical
    treatment for his injuries. Because such a long time had passed between N.L.‟s initial
    injuries and the time he was brought to the hospital, N.L. sustained secondary brain
    injuries due to lack of blood flow and oxygen. Based on the severity of N.L.‟s brain
    injuries, Dr. Lowen estimated that N.L. started sustaining the brain injuries more than an
    -7-
    hour before he was brought to Southern Hills Medical Center, but she could not give an
    exact time. However, she stated that the brain injury “definitely would have been
    avoided” if N.L. had been brought to the hospital on the day that he sustained the
    abdominal injury. Consequently, the brain injury was a direct result of the delay in
    seeking medical care. Dr. Lowen explained that N.L.‟s condition could improve but his
    brain injury was permanent.
    Based on the totality of N.L.‟s injuries, Dr. Lowen concluded that N.L. was the
    victim of child physical abuse. Additionally, she concluded that medical neglect resulted
    in N.L.‟s brain injury.
    On cross-examination, Dr. Lowen explained that she could not determine when
    N.L. sustained the bruises because bruises heal at different rates based on the individual.
    She agreed that N.L.‟s bruises could have been caused by fighting with his four-year-old
    sister. Dr. Lowen admitted that N.L.‟s symptoms were similar to symptoms of viral
    illnesses, such as the flu or meningitis. Initially, a lay person may not have recognized
    the severity of N.L.‟s injuries. However, at some point a “prudent caregiver” would think
    something else was wrong as N.L.‟s symptoms progressed to recurrent vomiting,
    progressive lethargy, and falling down. Once N.L. started experiencing agonal
    respirations, it would have been clear to a lay person that they should seek medical care
    immediately. Dr. Lowen did not know how long N.L. had been experiencing agonal
    respirations before he was taken to Southern Hills Medical Center. Dr. Lowen agreed
    that, initially, it would have been rational for a person to treat N.L.‟s symptoms with
    Pedialyte, nausea medication, Tylenol, and monitoring of the child. During redirect
    examination, Dr. Lowen explained that N.L.‟s symptoms would have worsened
    throughout the day and, at some point, it would have become obvious to his caretaker that
    he needed medical attention, regardless of that caretaker‟s level of medical training or
    lack thereof.
    Pedro Lopez, Defendant Lopez‟s father, testified that he lived with Defendant
    Lopez until August 2011 and that Defendant Gonzalez moved into their home in 2009.
    During the time Mr. Lopez lived in the home, he never observed any injuries or bruises
    on N.L. Mr. Lopez stated that he would occasionally take Defendant Lopez‟s children to
    the doctor for shots and checkups and once he took N.L. to an “audio therapist.”
    Defendant Lopez would sometimes accompany them, and she always supported the
    children receiving medical treatment. Mr. Lopez provided financial support for
    Defendant Lopez, and on September 21 or 22, he wired her $3,000.
    Defendant Lopez called Mr. Lopez eight times on the afternoon of September 22,
    although Mr. Lopez did not answer all of those calls. Mr. Lopez recalled that Defendant
    Lopez told him that N.L. was “really sick and throwing up” and that Defendant Lopez
    was going to buy N.L. some anti-vomiting medication and Pedialyte. Mr. Lopez advised
    -8-
    Defendant Lopez that she should take N.L. to the hospital. At 4:38 a.m. 3 on September
    23, Defendant Lopez called Mr. Lopez again to inform him that N.L. had collapsed at
    Travel Lodge. Mr. Lopez told Defendant Lopez to take N.L. to the hospital. Mr. Lopez
    stated that Defendant Lopez never indicated whether N.L.‟s stomach was rigid or firm
    and she did not tell Mr. Lopez how many times N.L. had vomited on September 22. She
    never described N.L. as lethargic, and she never described N.L.‟s falling down.
    On cross-examination, Mr. Lopez described N.L. as physically healthy and a “very
    active” child. Mr. Lopez also recalled that A.L. would often push N.L. and the two
    children would fight and hit each other. Prior to September 2011, N.L.‟s doctors had
    never identified any abdominal bruises or injuries on N.L. Mr. Lopez recalled that N.L.
    and his siblings were loved; they were always clothed and fed, had a bed to sleep in, and
    had toys. Defendant Lopez would discipline the children by spanking them. Mr. Lopez
    recalled that Defendant Lopez dropped out of school when she was fourteen years old.
    Mr. Lopez stated that he thought Defendant Lopez was a good mother to her children;
    when she called Mr. Lopez, she sounded concerned about N.L.‟s health. Mr. Lopez
    never observed either Defendant Lopez or Defendant Gonzalez hit the children outside of
    normal spanking.
    On redirect examination, Mr. Lopez stated that Defendant Lopez was capable of
    recognizing when her children were in need of medical treatment and she was able to
    take them to the doctor on her own. Mr. Lopez also stated that he was present when a
    woman named Jacqueline4 yelled at Defendant Gonzalez to “stop pushing [G.G., N.L.‟s
    infant sister.]” Further, Mr. Lopez recalled that Defendant Gonzalez would cuss at the
    children in Spanish when he spanked them. Mr. Lopez explained that he thought cussing
    while spanking a child was abusive because the cussing would make the parent more
    angry.
    After closing its case-in-chief, the State delivered an election of offenses, stating
    that Count 1 referred to Defendant Gonzalez “caus[ing] a liver laceration and a separate
    jejunal5 tear to [N.L.] on September 22, 2011[]”; Count 2 referred to the same conduct
    and was presented as an alternative theory to Count 1; Count 3 referred to Defendants
    Gonzalez and Lopez‟s failure “to obtain appropriate medical care for [N.L.‟s] worsening
    medical condition between September 22, 2011[,] and September 23, 2011[,] resulting in
    [N.L.] going into shock, collapsing, and suffering a separate hypoxic injury to his brain.”
    3
    Mr. Lopez was able to recall the exact times of the phone calls by referencing the phone records
    for the cell phone Defendant Lopez shared with Defendant Gonzalez. We note that the 4:38 a.m. phone
    call is labeled as a “terminating” call.
    4
    Jacqueline‟s last name is not included in the record, so we must use her first name in this
    opinion. We intend no disrespect.
    5
    The jejunum is a section of the small intestines.
    -9-
    Defendant Gonzalez testified that he dropped out of school in the tenth grade. At
    the time N.L. fell ill, Defendant Gonzalez was unemployed, so he watched the children
    while Defendant Lopez was at work. Defendant Gonzalez acted as a father figure to all
    the children and stated that he loved them. Defendant Gonzalez sometimes would
    discipline the children by spanking them with an open hand or a sandal or by making
    them sit on the couch. Defendant Gonzalez stated that he never injured the children when
    he spanked them and that he did not kick them. Defendant Gonzalez recalled that N.L.
    would often fight with A.L. and that she would sometimes bruise N.L. by throwing toys
    at him, biting him, and hitting him. Also, N.L. would often eat things he found on the
    floor, so Defendant Gonzalez tried to keep the house clean so that N.L. would not
    swallow something that would make him sick.
    On September 22, 2011, Defendant Lopez was in her room, trying to sleep. N.L.
    woke up at around 8:00 a.m. and was running around the house. N.L. was trying to get
    into some cabinets in the kitchen and was trying to take food out of the refrigerator, so
    Defendant Gonzalez spanked N.L. “in the hip side of the buttocks area.” Defendant
    Gonzalez admitted that he told Detective Pilarski that he spanked N.L. harder than
    normal that day, but Defendant Gonzalez explained that Detective Pilarski had used those
    words and Defendant Gonzalez had simply agreed with the statement. Defendant
    Gonzalez insisted that he did not hit N.L. hard enough to injure him and that he never
    intended to injure N.L. Defendant Gonzalez recalled that N.L. started crying after he
    spanked him, but he claimed that N.L. “would always cry like that when he couldn‟t do
    what he wanted.” Defendant Gonzalez said he was not angry when he spanked N.L. on
    September 22, 2011.
    After he spanked N.L., Defendant Gonzalez placed N.L. in the bedroom with
    Defendant Lopez and left to meet a lady from their church to pick up some mattresses.
    Defendant Gonzalez recalled that he left between 8:00 a.m. and 9:00 a.m., and he
    returned home around 1:30 p.m. When Defendant Gonzalez returned, he saw that N.L.
    was lying on the floor with vomit all over his clothes and that he was not running around
    like he normally did. Defendant Lopez told him that she did not know why N.L. was
    sick, but she believed that he may have eaten or drunk something out of the refrigerator
    that made him sick. Defendant Gonzalez was home for approximately ten to fifteen
    minutes, and when he left, N.L. still had not been cleaned up.
    Defendant Gonzalez took his mother‟s truck to the mechanic and then returned the
    truck to his mother‟s house. He stayed at his mother‟s house until 4:00 p.m. or 5:00 p.m.,
    when Mr. Lopez called him to tell him that he had wired some money to a Western Union
    in Wal-Mart. Defendant Gonzalez returned home at 5:30 p.m., and N.L.‟s condition
    appeared to be the same as it had been at 1:30 p.m. Defendant Gonzalez asked Defendant
    Lopez about N.L.‟s condition, and Defendant Lopez told him that N.L. was constipated.
    - 10 -
    Around 6:00 p.m., both Defendants took the children to Wal-Mart to pick up the
    money Mr. Lopez had sent to them. After that, they went to Burger King to try to get
    N.L. to eat some food. N.L. tried to drink some of the juice they bought for him, but he
    vomited it up. At that point, Defendant Gonzalez told Defendant Lopez that he thought
    they should take N.L. to the hospital. However, from Burger King, the Defendants went
    to Defendant Gonzalez‟s mother‟s house to pay her some money they owed her and then
    went to Walgreens to buy N.L. some Pedialyte and liquid Tylenol. After that, they went
    to a store to buy food for dinner. When they returned home, Defendant Lopez put some
    Tylenol drops into N.L.‟s Pedialyte. N.L. drank it and began to look better, but shortly
    after drinking the Pedialyte, he vomited it up. At this point, Defendant Gonzalez again
    suggested that they take N.L. to the hospital. Instead, Defendant Lopez decided to take
    N.L. to work with her so that she could watch him and take him to the hospital if his
    condition worsened. She went to work around 8:00 p.m. or 9:00 p.m. Defendant
    Gonzalez stated that he trusted Defendant Lopez‟s judgment because she was N.L.‟s
    mother.
    Defendant Lopez called Defendant Gonzalez several times during the night with
    updates on N.L.‟s condition. She told Defendant Gonzalez that she had given N.L. some
    medicine and that he was starting to look better. However, Defendant Lopez called again
    to tell Defendant Gonzalez that she had taken N.L. to Southern Hills Medical Center
    because N.L.‟s condition had gotten worse. Later, Defendant Lopez called Defendant
    Gonzalez to tell him that N.L. was being transported to Vanderbilt and that she would
    pick up Defendant Gonzalez on her way to Vanderbilt.
    On cross-examination, Defendant Gonzalez stated that he was did not cause the
    injuries to N.L. Defendant Gonzalez denied ever having lied about the events on
    September 22, 2011. He stated that he could not remember whether he had possession of
    the Defendants‟ shared cell phone the night Defendant Lopez took N.L. to work with her.
    However, he clearly remembered Defendant Lopez calling him from Travel Lodge with
    updates on N.L.‟s condition and then calling him again from Southern Hills Medical
    Center to tell him that N.L. was being transported to Vanderbilt Children‟s Hospital.
    Defendant Gonzalez explained that he suggested taking N.L. to the hospital several times
    because N.L. kept vomiting the medicine they were giving him. However, Defendant
    Lopez made the decision not to take N.L. to the hospital. Defendant Gonzalez never
    observed N.L. fall down on September 22, and the only time he heard of N.L.‟s falling
    was when he collapsed at Travel Lodge.
    Defendant Gonzalez stated that he did not know who had injured N.L. because he
    was not in the house when it happened. Defendant Gonzalez acknowledged that he was
    the only person who had admitted to hitting N.L. on September 22, and he admitted that
    he told Detective Pilarski that he had struck N.L. on the side. However, he maintained
    - 11 -
    that he was trying to tell Detective Pilarski that he had spanked N.L. on the backside.
    Defendant Gonzalez claimed that he did not understand everything during his
    conversation with Detective Pilarski because they were speaking in English at the time
    and Detective Pilarksi would not let Defendant Gonzalez finish explaining “how
    everything happened.”
    After deliberation, the jury was unable to reach a verdict for Count 1, and the trial
    court declared a mistrial as to that count of the indictment. In Count 2, the jury found
    Defendant Gonzalez guilty of aggravated child neglect. In Count 3, the jury found both
    Defendant Gonzalez and Defendant Lopez guilty of aggravated child neglect.
    Sentencing Hearing
    Michelle Hendricks testified that she was the foster mother to N.L. and his two
    sisters, A.L. and G.G., and that she was currently in the process of adopting them. A.L.
    and G.G. came to live with Ms. Hendricks in September 2011, and N.L. came into her
    home when he was released from the hospital in October 2011. Shortly after the girls
    came to live with Ms. Hendricks, A.L. told her about times when Defendant Lopez and
    Defendant Gonzalez would fight. At times, A.L. tried to stop the fighting, and she
    indicated that, on at least one occasion, someone called the police. A.L. also described
    situations where she and N.L. had been kicked, hit, and had shoes thrown at them. She
    also described being “choked out” by someone who put their fingers around her neck
    until she went to sleep. A.L. stated that “a lot of things didn‟t happen to [G.G.]” because
    she was a baby. Ms. Hendricks described A.L. as being very withdrawn about these
    events and recalled that A.L. did not speak about the events with any emotion. When
    A.L. first came to live with Ms. Hendricks, she had symptoms of trauma and was
    enrolled in Centerstone for Post-Traumatic Stress Disorder. After she had completed that
    program, A.L. participated in therapy at the Child Advocacy Center. Ms. Hendricks
    stated that A.L. still struggled with some residual effects from her experience, but she
    noted that A.L. was becoming less withdrawn and no longer flinched whenever someone
    reached toward her face or moved quickly toward her.
    N.L. came into Ms. Hendricks home after he was released from the hospital.
    Eventually, his condition improved to the point where he was able to enroll in therapeutic
    day care, where he received occupational therapy, physical therapy, and speech therapy.
    Ms. Hendricks worked in tandem with N.L.‟s therapists to continue his treatment at
    home. Mr. Hendricks explained that N.L. required such therapy because he had sustained
    severe cognitive and physical damage as a result of his injuries. He had to learn how to
    walk again and had to develop his speech again. Ms. Hendricks recalled that, initially,
    she had to watch N.L. very carefully because he had what was called “drunk man
    syndrome,” which compromised his sense of balance and caused him to stumble. Also,
    when N.L. was released from the hospital he was paralyzed on his left side. With
    - 12 -
    treatment, N.L.‟s balance had improved, and he had regained full use of the left side of
    his body. However, N.L. still had frontal lobe damage and memory issues, and he was
    enrolled in a full-time special education class. Ms. Hendricks stated that she hoped N.L.
    would be able to progress out of the special education program, but there was no
    indication that such goal would happen in the near future. N.L. continued to see a
    neurologist, but the doctor could not tell how much N.L.‟s brain injury would impact his
    life in the future.
    Ms. Hendricks reported that N.L. underwent additional surgeries for his physical
    injuries since he was released from the hospital. During N.L.‟s initial surgery in
    September 2011, part of his lower bowel had to be removed because it had decayed. N.L.
    had to undergo another surgery in 2013 because scar tissue from the initial surgery was
    blocking his bowel, preventing him from passing anything or keeping anything down.
    N.L.‟s doctors told Ms. Hendricks that it was not uncommon for children who suffered
    abdominal injuries to have to undergo corrective surgery as they grow. Also, N.L. had
    suffered a fall, which required corrective surgery. Ms. Hendricks anticipated that she
    would have to continue to provide N.L. with specialized care throughout his juvenile
    years. She explained that he would struggle in school and with cognitive activities for the
    rest of his life.
    Defendant Gonzalez testified that he wished “none of this had happened.” He
    stated that he did not intend to harm N.L. in any way and that “even though [he] whipped
    [N.L.], [he] never thought that all of this would happen to [N.L.].” Defendant Gonzalez
    confirmed he was a legal resident of the United States, but he explained that “there [was]
    a good chance” that his immigration status would be revoked and he would be deported
    back to El Salvador as a result of his convictions. Defendant Gonzalez acknowledged
    that he had two prior convictions for violation of the driver‟s license law and one
    conviction for criminal trespass. However, aside from those three convictions, he had
    never been in trouble. He stated that he had never been charged with assault or any
    violent crime. Defendant Gonzalez told the court that he felt that he deserved a second
    opportunity. He noted that his mother and siblings were present in court to support him,
    and he stated that he was going to do whatever he could to regain custody of his daughter,
    G.G.
    On cross-examination, Defendant Gonzalez maintained that he only spanked N.L.
    once and that he spanked him “softly.” He said he was sorry N.L. was injured, but he
    denied causing the injuries. He claimed he would never have done what he was accused
    of and that he did not know who injured N.L. because he was not at home at the time. He
    denied that he or Defendant Lopez ever kicked, hit, choked, or threw things at A.L. or
    N.L. However, Defendant Gonzalez stated that he was not accusing A.L. of making up
    the things she told Ms. Hendricks. He noted that Defendant Lopez‟s father also lived in
    - 13 -
    the house but said he was not accusing Mr. Lopez of abusing the children. Defendant
    Gonzalez denied ever having a physical altercation with Defendant Lopez and claimed
    that “[t]here was never violence in the house.” When asked if Defendant Lopez was
    lying when she told the presentence report investigator that there was domestic violence
    in the home, Defendant Gonzalez stated, “Well, I don‟t know what she may have told that
    person, I can‟t.” Defendant Gonzalez explained that he thought he deserved a second
    chance “[b]ecause [he] didn‟t do those things to [N.L.] that caused those injuries.”
    Defendant Lopez stated that she was nineteen years old at the time N.L. fell ill and
    that she had dropped out of school in the ninth grade. She was raising three children and
    had maintained employment. She always made sure her children were fed, clothed, and
    had a place to live. When N.L. began to show symptoms, her first instinct was to
    medicate him. At the time, she was doing everything she knew how to do to help N.L.
    She thought he had a virus, and she had no idea that the delay in taking N.L. to the
    hospital would cause permanent injuries.
    On cross-examination, Defendant Lopez stated that there were instances of
    domestic violence in the household “a couple of times a week” and that Defendant
    Gonzalez was the primary aggressor. The violence would often occur when the children
    were present in the home, and the children witnessed some of the incidents. However,
    Defendant Lopez said A.L. never tried to intervene. Also, she claimed that N.L. only had
    one bruise when he was taken to the hospital. Even though she had been in the
    courtroom during Ms. Hendrick‟s testimony, Defendant Lopez denied hearing A.L.‟s
    statements that she and N.L. were hit, kicked, and choked while they lived in the home.
    In a written sentencing order, the trial court noted the testimony from the
    sentencing hearing and “fully credit[ed]” Ms. Hendrick‟s testimony. Conversely, the trial
    court found that Defendant Gonzalez‟s testimony was “self-serving and his credibility
    questionable at best” and that Defendant Lopez did not provide a satisfactory explanation
    for why she waited to take N.L. to the hospital.
    The trial court found that two enhancement factors applied to Defendant Gonzalez.
    First, Defendant Gonzalez had “a previous history of criminal convictions or criminal
    behavior, in addition to those necessary to establish the appropriate range” based on the
    testimony from Ms. Hendricks and Defendant Lopez about domestic violence. However,
    the court stated that it was not giving great weight to Ms. Hendrick‟s hearsay testimony
    about the violence in the home. Instead, the trial court relied on details of Defendant
    Gonzalez‟s violent behavior that were included in the presentence report. The trial court
    also acknowledged that Defendant Gonzalez did not have any other prior criminal history
    apart from his two driving violations and conviction for criminal trespass. Second, the
    trial court found that Defendant Gonzalez abused a position of private trust because he
    acted as N.L.‟s father figure. The trial court applied Defendant Gonzalez‟s legal
    - 14 -
    immigration status as a mitigating factor but gave it “very little weight.” The trial court
    also considered the discretionary consecutive sentencing factors and found that
    consecutive sentences were warranted based on the fact that Defendant Gonzalez was “a
    dangerous offender whose behavior indicates little or no regard for human life and no
    hesitation about committing a crime in which the risk to human life is high.”
    Consequently, the trial court ordered consecutive sentences of twenty years for
    Count 2 and fifteen years for Count 3 for an effective thirty-five-year sentence. The trial
    court stated that “this aggregate sentence is the minimum sentence necessary to reflect
    the severity of the offenses committed and to protect the public.”
    As to Defendant Lopez‟s sentence, the trial court found that the same two
    enhancement factors applied to her conviction. First, she had “a previous history of
    criminal convictions or criminal behavior, in addition to those necessary to establish the
    appropriate range.” The trial court noted that, while Defendant Lopez had a juvenile
    record, none of her prior offenses would have been felonies if she were tried as an adult.
    However, the trial court noted that Defendant Lopez had one prior conviction for a
    driving offense and that she admitted in the presentence report to using cocaine and
    marijuana in the past. Second, the trial court found that Defendant Lopez abused a
    position of private trust when she delayed in seeking medical care for N.L. As to
    mitigating factors, the trial court noted that Defendant Lopez was less culpable than
    Defendant Gonzalez and that she had been victimized in the past. After weighing the
    factors, the trial court sentenced Defendant Lopez to seventeen years for her conviction in
    Count 3.
    The Defendants filed timely motions for new trial, which were denied. Their
    timely appeals followed.
    Analysis
    Defendant Gonzalez’s Motion to Suppress
    Defendant Gonzalez contends that, because English is not his first language, he
    did not knowingly and voluntarily waive his rights under Miranda v. Arizona, 
    384 U.S. 436
    (1966), when Detective Pilarksi read the waiver form in English. Defendant
    Gonzalez acknowledges that Detective Pilarski offered to have the Miranda waiver form
    translated into Spanish, but Defendant Gonzalez argues that Detective Pilarksi “never
    waited for an affirmative or negative response from [Defendant Gonzalez] regarding his
    understanding of those rights and the consequence of waiving them.” The State argues
    that Detective Pilarksi‟s previous interview with Defendant Gonzalez showed that
    Defendant Gonzalez had no difficulties understanding and communicating in English
    - 15 -
    and, therefore, Defendant Gonzalez‟s waiver of his Miranda rights was valid. We agree
    with the State.
    Prior to trial, Defendant Gonzalez filed a motion to suppress his audio-recorded
    statement based on a claim that he did not knowingly waive his Miranda rights, even
    though the waiver form was signed by him. Specifically, Defendant Gonzalez asserted
    that his primary language was Spanish and, even though Detective Pilarski offered to
    have someone translate the Miranda waiver, he never waited for Defendant Gonzalez to
    answer whether he wanted a translator. Defendant Gonzalez argued that Detective
    Pilarski should have made more of an effort to ensure that Defendant Gonzalez
    understood the rights he was waiving.
    At the motion to suppress hearing, Detective Pilarski testified that he interviewed
    Defendant Gonzalez on September 23, 2011, at Vanderbilt Hospital. That interview
    lasted at least an hour, and Defendant Gonzalez spoke with Detective Pilarski in English.
    Detective Pilarski noted that Defendant Gonzalez spoke English “fairly well” and that he
    did not recall experiencing any difficulties communicating with Defendant Gonzalez.
    After the interview, Defendant Gonzalez was taken into custody.
    Detective Pilarski interviewed Defendant Gonzalez again on September 27, 2011.
    At that time, Detective Pilarski advised Defendant Gonzalez of his Miranda rights by
    reading a Miranda Rights Waiver form in English. Detective Pilarski reported that he did
    not use a translator when speaking with Defendant Gonzalez but recalled that Defendant
    Gonzalez did not experience any difficulty communicating in English in his prior
    interview. Defendant Gonzalez signed the Miranda rights waiver form at the beginning
    of the September 27, 2011 interview.
    On cross-examination, Detective Pilarski stated that he offered to have the
    Miranda rights read in Spanish6 but Defendant Gonzalez declined. Detective Pilarski did
    not offer to have an interpreter in the interview because he knew from the September 23,
    2011 interview that Defendant Gonzalez spoke and understood English. Detective
    Pilarski also admitted that, before Defendant Gonzalez signed the Miranda waiver form,
    he asked what Detective Pilarski wanted to discuss and Detective Pilarski responded that
    he wanted to talk about N.L.
    The trial court noted from the bench that Defendant Gonzalez appeared to be
    nervous and uncomfortable when he signed the Miranda waiver, but the court also said
    6
    It is not clear from Detective Pilarksi‟s testimony whether he offered to have someone read the
    Miranda waiver form in Spanish or whether he offered to provide Defendant Gonzalez with a form that
    was written in Spanish. However, the video recording of the interview clearly shows that Detective
    Pilarski offered to have someone read the form in Spanish.
    - 16 -
    that any person would experience some degree of nervousness and discomfort before a
    police interrogation. In a written order, the trial court accredited Detective Pilarski‟s
    testimony and accepted the detective‟s conclusion that “there was no communication
    issue between [Detective Pilarski] and [Defendant Gonzalez].” Detective Pilarski clearly
    offered to have the Miranda waiver form read in Spanish, and even though Defendant
    Gonzalez never verbally refused the offer, the trial court found that the Defendant “freely
    chose to proceed” without having his rights translated into Spanish. Additionally, the
    trial court specifically rejected Defendant Gonzalez‟s claim that he did not understand the
    Miranda rights due to a language barrier. The court noted that it was clear Defendant
    Gonzalez spoke English proficiently because at no point during “the very lengthy
    interview” did it appear that Defendant Gonzalez had difficulty understanding or
    communicating with Detective Pilarski.
    The applicable standard of review for suppression issues is well-established. A
    trial court‟s findings of fact are binding on this court unless the evidence in the record
    preponderates against them. State v. Echols, 
    382 S.W.3d 266
    , 277 (Tenn. 2012) (citing
    State v. Odom, 
    928 S.W.2d 18
    , 23 (Tenn. 1996)). “Questions of credibility of the
    witnesses, the weight and value of the evidence, and resolution of conflicts in the
    evidence are matters entrusted to the trial judge as the trier of fact.” 
    Id. The prevailing
    party is entitled to the strongest legitimate view of the evidence adduced at the
    suppression hearing and all reasonable and legitimate inferences that may be drawn
    therefrom. 
    Id. The trial
    court‟s application of law to the facts is reviewed under a de
    novo standard with no presumption of correctness. 
    Id. (citing State
    v. Walton, 
    41 S.W.3d 75
    , 81 (Tenn. 2001)). When reviewing a trial court‟s ruling on a motion to suppress, this
    court may consider the entire record, including the proof presented at the suppression
    hearing as well as at trial. State v. Thacker, 
    164 S.W.3d 208
    , 248 (Tenn. 2005); State v.
    Walton, 
    41 S.W.3d 75
    , 81 (Tenn. 2001); State v. Henning, 
    975 S.W.2d 290
    , 297-99
    (Tenn. 1998).
    Both the United States and Tennessee Constitutions protect against compelled
    self-incrimination. U.S. Const. amend. V; Tenn. Const. art. I, § 9. In order to protect
    criminal defendants from self-incrimination, the United States Supreme Court has ruled
    that “the prosecution may not use statements, whether exculpatory or inculpatory,
    stemming from custodial interrogation of a defendant unless it demonstrates the use of
    procedural safeguards effective to secure the privilege against self-incrimination.”
    
    Miranda, 384 U.S. at 444
    ; 
    Walton, 41 S.W.3d at 82
    . As part of those safeguards, police
    are required to inform persons who are subjected to custodial interrogation: “(1) that they
    have the right to remain silent; (2) that any statement made may be used as evidence
    against them; (3) that they have the right to the presence of an attorney during
    questioning; and (4) that if they cannot afford an attorney, one will be appointed for them
    prior to questioning, if so desired.” Miranda, 
    384 U.S. 444
    . The requirement of the
    - 17 -
    Miranda warnings “must be strictly enforced, but only in those situations in which the
    concerns that motivated the decision are implicated.” State v. Goss, 
    995 S.W.2d 617
    , 629
    (Tenn. 1998) (citing Illinois v. Perkins, 
    496 U.S. 294
    , 296 (1990)).
    A defendant may waive his rights under Miranda if such waiver is voluntary,
    knowing, and intelligent. State v. Echols, 
    382 S.W.3d 266
    , 280 (Tenn. 2012). To
    determine whether a defendant waived his rights voluntarily, knowingly, and
    intelligently, courts must look at the totality of the circumstances. 
    Id. Relevant factors
    include:
    the age and background of the defendant; his education and intelligence
    level; his reading and writing skills; his demeanor and responsiveness to
    questions; his prior experience with the police; any mental disease or
    disorder; any intoxication at the time of the waiver; and the manner, detail,
    and language in which the Miranda rights were explained.
    
    Id. 280-81. In
    this case, neither party disputes the fact that Defendant Gonzalez‟s September
    27, 2011 interview was a custodial interrogation. Instead, Defendant Gonzalez contends
    that the waiver of his Miranda rights was not voluntary, knowing, and intelligent. The
    record clearly shows that Detective Pilarski interviewed Defendant Gonzalez at the
    hospital for at least an hour in English. During that interview, Detective Pilarski did not
    have any trouble communicating with Defendant Gonzalez. Further, the lengthy
    September 27, 2011, interview was conducted in English, and Defendant Gonzalez did
    not appear to have trouble understanding Detective Pilarski. Even though Detective
    Pilarski offered to have the form read in Spanish, a review of the video from the
    September 27, 2011 interview shows that Defendant Gonzalez made no indication that he
    did not understand the waiver form before he signed it. While Defendant Gonzalez did
    not specifically accept or reject Detective Pilarski‟s offer to have the form read in
    Spanish, we agree with the trial court‟s conclusion that Defendant Gonzalez “freely chose
    to proceed” without a Spanish translation of the Miranda rights. The trial court properly
    determined that Defendant Gonzalez understood his Miranda rights as they were read in
    English and that he voluntarily, knowingly, and intelligently waived those rights. He is
    not entitled to relief.
    Photos of N.L.’s Bruises
    Next, Defendant Gonzalez argues that the trial court erred when it allowed the
    State to introduce photos of N.L.‟s bruises. He contends that the photos were not relevant
    because they did not relate to N.L.‟s abdominal injuries and the bruises were not
    attributable to Defendant Gonzalez. Additionally, Defendant Gonzalez claims that the
    - 18 -
    photos‟ prejudicial impact outweighed their probative value. The State argues that the
    photos were relevant for the jury to evaluate Dr. Lowen‟s testimony and to determine
    whether the Defendants should have noticed the bruises and suspected that N.L.‟s
    condition was caused by something other than a virus. Further, the State contends that
    the photos carried “very little danger of unfair prejudice.” We agree with the State.
    Prior to trial, Defendant Gonzalez argued that photos of N.L.‟s bruises were not
    probative evidence of N.L.‟s abdominal injuries. The State argued that the photos of the
    bruises indicated a repetitive pattern of trauma, which suggested that N.L.‟s injuries were
    caused by something other than by accidental means. Further, the State claimed that the
    bruises rebutted Defendant Gonzalez‟s claim that he only struck N.L. one time and not
    very hard. Finally, the State contended that, because the bruises were located on readily
    observable places on N.L.‟s body, Defendants Gonzalez and Lopez would have seen
    them and known that N.L. needed medical attention. The trial court found that the photos
    were relevant to the case and allowed them to be used during Dr. Lowen‟s direct
    examination.
    In order to be admitted into evidence, a photograph must be relevant to an issue
    that the jury must decide. State v. Thomas, 
    158 S.W.3d 361
    , 394 (Tenn. 2005); see also
    Tenn. R. Evid. 402. “[E]vidence is relevant if it helps the trier of fact resolve an issue of
    fact.” State v. James, 
    81 S.W.3d 751
    , 757 (Tenn. 2002) (quoting Neil P. Cohen, et al.,
    Tennessee Law of Evidence § 4.01[4], at 4-8 (4th ed. 2000)); see also Tenn. R. Evid. 401.
    However, Rule 403 of the Tennessee Rules of Evidence provides, “Although relevant,
    evidence may be excluded if its probative value is substantially outweighed by the danger
    of unfair prejudice, confusion of the issues, or misleading the jury, or by considerations
    of undue delay, waste of time, or needless presentation of cumulative evidence.” “Unfair
    prejudice” is defined as “[a]n undue tendency to suggest decision on an improper basis,
    commonly, though not necessarily, an emotional one.” State v. Banks, 
    564 S.W.2d 947
    ,
    951 (Tenn. 1978) (quoting Advisory Committee Note to Federal Rule of Evidence 403).
    “[T]he admissibility of photographs lies within the discretion of the trial court,” whose
    ruling “will not be overturned on appeal except upon a clear showing of an abuse of
    discretion.” 
    Id. at 949.
    In this case, Dr. Lowen testified as to the location of N.L.‟s bruises and stated that
    they were not the type of bruises that resulted from normal household play because they
    were not located on parts of the body that are hit during such activity. Further, the
    photographs were relevant to the question of whether Defendant Gonzalez had abused
    N.L. and whether either Defendant should have suspected that N.L.‟s condition resulted
    from something other than a virus. The photos depict close-up views of the bruises on
    N.L.‟s body and are not particularly graphic or gruesome. Accordingly, the photos‟
    - 19 -
    probative value was not outweighed by any unfair prejudice. The trial court did not
    abuse its discretion when it allowed the State to introduce the photos into evidence.
    Impeachment Evidence
    Defendant Gonzalez also argues that the trial court erred when it denied his
    attempt to impeach Detective Pilarski with extrinsic evidence from Detective Pilarski‟s
    personnel file showing that the detective previously had been reprimanded. The State
    argues that the trial court correctly found that the evidence was not probative of Detective
    Pilarski‟s character for truthfulness.
    In a jury-out hearing, Defendant Gonzalez argued that he should be able to
    impeach Detective Pilarski‟s testimony with excerpts from his personnel file. In an offer
    of proof, Detective Pilarski testified that he had previously been disciplined for failure to
    adhere to the policy and rules for writing police reports. He explained that he had
    arrested an individual who had admitted to swallowing a small amount of cocaine and
    another officer helped Detective Pilarski fill out the paperwork associated with the arrest.
    The night of the arrest, Detective Pilarski filled out the arrest report, which included the
    detail that the arrestee had swallowed a small amount of cocaine, and the other officer
    wrote the offense report. However, when Detective Pilarski reviewed the offense report,
    he noted that it was “not correct.” Detective Pilarski rewrote the offense report,
    excluding the detail that the arrestee had swallowed some cocaine and discarded the other
    officer‟s original offense report. Ultimately, Detective Pilarski was questioned as to why
    he threw away the original offense report, and he was disciplined because he had not
    included everything in the rewritten offense report that he had included in the arrest
    report. Detective Pilarski explained that he was not disciplined for dishonest conduct but
    simply because he did not put all the necessary information into the offense report.
    Detective Pilarski could not remember whether the report that he discarded included
    information about the arrestee swallowing cocaine.
    The trial court noted that the documents from Detective Pilarski‟s personnel file
    would not be admissible impeachment evidence because Tennessee Rule of Evidence
    608(b) does not allow extrinsic evidence to be admitted to prove specific instances of
    conduct. Further, the trial court found that testimony about the reprimand could not be
    used to impeach Detective Pilarski because it did not go to Detective Pilarski‟s character
    for truthfulness. Additionally, the trial court found that any possible relevance would be
    outweighed by the danger of unfair prejudice.
    “Tennessee Rule of Evidence 608(b) provides that specific instances of conduct
    may be used to impeach a witness during cross-examination if the conduct is probative of
    the witness‟s character for truthfulness or untruthfulness.” State v. Julio Ramirez, No.
    M2009-01617-CCA-R3-CD, 
    2011 WL 2348464
    , at *13 (Tenn. Crim. App. Jun. 8, 2011),
    - 20 -
    perm. app. denied (Tenn. Sept. 21, 2011). Before a witness may be cross-examined on
    specific instances of conduct, the trial court must, upon request, hold a hearing outside
    the jury‟s presence and must determine that the alleged conduct has probative value and
    that a reasonable factual basis exists for the inquiry. Tenn. R. Evid. 608(b)(1). However,
    “[i]f the witness denies the conduct, the party proffering the evidence must be satisfied
    with that response and may not seek to prove the conduct by extrinsic evidence.” Julio
    Ramirez, 
    2011 WL 2348464
    , at *13; Tenn. R. Evid. 608(b). When the trial court
    complies with the procedural requirements of Rule 608(b), we review the trial court‟s
    decision under an abuse of discretion standard. Julio Ramirez, 
    2011 WL 2348464
    , at
    *14.
    In this case, it is not clear from Defendant Gonzalez‟s brief whether he argues that
    the trial court erred by not allowing him to use extrinsic evidence as proof of the
    reprimand or that the trial court improperly restricted him from cross-examining
    Detective Pilarski about his reprimand. Initially, we note that Defendant Gonzalez could
    not have used extrinsic evidence to impeach Detective Pilarski‟s testimony. Rule 608(b)
    explicitly states that specific instances of conduct may not be proven by extrinsic
    evidence, unless the specific instance of conduct is a prior conviction for a crime as
    provided in Tennessee Rule of Evidence 609. Tenn. R. Evid. 608(b). A job-related
    reprimand is not a prior conviction for a crime. Therefore, Defendant Gonzalez would
    not have been allowed to introduce extrinsic evidence of the reprimand even if the trial
    court had allowed him to ask Detective Pilarski about the reprimand.
    Further, we do not believe the trial court abused its discretion when it ruled that
    Detective Pilarski‟s reprimand was not relevant to his character for truthfulness or
    untruthfulness. Detective Pilarski explained that he was reprimanded because he failed to
    follow department policies which required him to include all of the information from the
    arrest report in the offense report, not because of any dishonest conduct. Moreover,
    Detective Pilarksi included the detail about the arrestee swallowing the package of
    cocaine in his arrest report, which was completed at roughly the same time as the offense
    report. Accordingly, we conclude that the trial court did not abuse its discretion when it
    determined that the reprimand in Detective Pilarski‟s personnel file was not probative of
    his character for truthfulness or untruthfulness. Defendant Gonzalez is not entitled to
    relief on this issue.
    Improper Prosecutorial Comments
    Defendant Lopez argues that her right to a fair trial was violated when the
    prosecutor expressed his personal belief or opinion as to Defendant‟s Lopez‟s guilt and
    intentionally mislead the jury as to the inferences it could draw by mischaracterizing
    Defendant Lopez‟s defense. The State argues that the prosecutor was responding to
    Defendant Lopez‟s argument and did not commit misconduct during closing argument.
    - 21 -
    In his opening statement, Defendant Lopez‟s counsel described Defendant Lopez
    as a loving mother who had been “nothing but vigilant about [N.L.]” He also noted that
    Defendant Lopez was the sole wage earner, supporting Defendant Gonzalez and her three
    children. At the end of his opening statement, Defendant Lopez‟s counsel made the
    following remark:
    Ladies and gentlemen, we are born into this world and our
    circumstances are our circumstances, but to be told that you didn‟t do
    enough when you were doing everything you could, that goes beyond the
    pale.
    Then, during the State‟s initial closing argument, the following exchange
    occurred:
    [THE STATE]: The defendants don‟t claim that they are guilty of less
    serious crimes. They walked into this courtroom, they entered pleas of not
    guilty, and you heard [Defendant] Gonzalez take the stand and say,
    yesterday, [“]I‟m not guilty of anything. I‟m falsely accused. I shouldn‟t
    even be here.[”] You heard [Defendant] Lopez‟[s] lawyer say this is a joke
    that she is indicted for these offenses.
    [DEFENDANT LOPEZ‟S COUNSEL]: Objection. That misstates any
    testimony whatsoever.
    THE COURT: The jury heard that. I don‟t know whether that was said or
    not, but the jury can consider that. This is argument. This is not proof, but
    if that was said and the jury have [sic] found what he said to be correct, if
    not, then that is your decision.
    [THE STATE]: I will put up [Defendant Lopez‟s counsel‟s] quote in just a
    few minutes.
    Later in its initial closing argument, the State referred to Defendant Lopez‟s counsel‟s
    opening statement and said:
    According to [Defendant Lopez‟s counsel], “[Defendant] Lopez
    rushed [N.L.] to the hospital just like any other mother would do.” “What
    more could she have done,” he told you, and then “this goes beyond the
    pale to be told that she is guilty of neglect.” In other words, the State
    charging her, her being arrested for neglect, goes beyond the pale.
    Well, if you think we are doing the wrong thing by indicting these
    defendants, by bringing this case before the jury, then by all means send
    - 22 -
    that message through your verdict, but I don‟t think that you are going to
    look at this evidence and draw that conclusion.
    The State then went on to summarize the testimony presented at trial.
    During his closing argument, Defendant Lopez‟s counsel made the following
    statement:
    . . . I want to start by addressing something that was said in the district
    attorney‟s close. He said that I called this a joke. I‟m sorry he said that. I
    didn‟t say that. He said he was going to show you my quote. That quote
    did not say that I called this a joke. I‟ve checked with the court reporter, I
    never used that word. It‟s offensive and it strikes at the very heart of who I
    am. I‟m a father. I‟m an officer of this court and that is offensive, so I
    apologize that he did that.
    I didn‟t say that and this isn‟t a joke. I‟m defending this woman‟s
    life. There is nothing funny about that, nothing at all. I‟ve lived with this
    case for so long, I‟m sorry he said that, that‟s not true.
    During the State‟s final closing argument, the prosecutor made the following
    comment:
    I‟m not going to apologize to [Defendant Lopez‟s counsel] for my
    comment about a joke, because a joke in the context that I used is not
    something that‟s funny, in the context in which he refers to our conduct in
    prosecuting his client is that we are irresponsible. The detectives are
    irresponsible. His client, again, did no wrong and therefore it‟s a joke to
    proceed against her.
    It‟s not a laughing matter[,] and we think very long and very hard
    and very carefully about who we are going to bring to court, because we
    know that we have to convince [twelve] people of what we are alleging.
    The burden is on us. In the reality of my world the reality of the kinds of
    cases that I prosecute is a very simple one, good people do bad things a lot.
    Loving and caring parents cross over the line and kids get injured and
    sometimes die a lot.
    In the order denying Defendant Lopez‟s motion for new trial, the trial court found
    that the prosecutor‟s comments were “acceptable argument” because one definition of
    “joke” was “something not to be taken seriously.” Further, the trial court found that,
    - 23 -
    even if the remark was improper, it was not so prejudicial as to invalidate Defendant
    Lopez‟s conviction.
    Closing argument “is a valuable privilege that should not be unduly restricted.”
    State v. Smith, 
    527 S.W.2d 737
    , 739 (Tenn. 1975). Attorneys are given wide latitude
    when arguing before the jury, and the trial court has broad discretion in controlling their
    arguments, which will be reversed only upon an abuse of discretion. State v. Thomas,
    
    158 S.W.3d 361
    , 412-13 (Tenn. 2005). “However, closing argument must be temperate,
    must be predicated on evidence introduced during the trial of the case and must be
    pertinent to the issues being tried.” 
    Id. at 413.
    The State is more limited in what it may
    argue because it must seek justice as opposed to merely advocate. 
    Id. We have
    recognized five general areas of prosecutorial misconduct in closing argument: (1)
    intentionally misstating the evidence or misleading the jury as to the inferences it may
    draw; (2) expressing personal beliefs or opinions as to the truth or falsity of any
    testimony or as to the defendant‟s guilt; (3) inflaming or attempting to inflame the
    passions or prejudices of the jury; (4) injecting broader issues other than guilt or
    innocence of the defendant; and (5) arguing or referring to facts outside the record unless
    such facts are matter of common public knowledge. State v. Goltz, 
    111 S.W.3d 1
    , 6
    (Tenn. Crim. App. 2003).
    Improper argument constitutes reversible error if “the conduct was so improper or
    the argument so inflammatory that it affected the verdict to the [defendant‟s] detriment.”
    
    Id. at 5.
    To determine the prejudicial impact of any misconduct, this court should
    consider: (1) the facts and circumstances of the case; (2) any curative measures
    undertaken by the court and the prosecutor; (3) the intent of the prosecution; (4) the
    cumulative effect of the improper conduct and any other errors in the record; and (5) the
    relative strength and weakness of the case. Judge v. State, 
    539 S.W.2d 340
    , 344 (Tenn.
    Crim. App. 1976).
    In this case, although the comments of both attorneys were immature and
    unnecessary, we are unable to conclude that the prosecutor‟s statements rose to the level
    of prosecutorial misconduct as described in Goltz. As the trial court noted, Merriam-
    Webster‟s Dictionary defines “joke” as (1) “something said or done to provoke laughter”
    or (2) “something not to be taken seriously.” While Defendant Lopez‟s counsel did not
    use the term “joke” in his opening argument, he did say that the charges brought against
    Defendant Lopez were “beyond the pale,” implying that it was ridiculous to charge
    Defendant Lopez in light of her circumstances. In his rebuttal argument, the prosecutor
    clarified that it used the word “joke” to illustrate Defendant Lopez‟s counsel‟s view that
    the decision to charge Defendant Lopez was irresponsible and not taken seriously—he
    did not use the term to imply that the charges were in any way humorous. Therefore, we
    cannot conclude that the prosecutor mislead the jury by mischaracterizing the remarks of
    - 24 -
    Defendant Lopez‟s counsel. Further, we do not believe the prosecutor‟s comments
    expressed the prosecutor‟s personal beliefs about Defendant Lopez‟s guilt or innocence.
    In fact, the prosecutor invited the jury to return a verdict of not guilty if, after looking at
    the evidence in the record, it believed that Defendant Lopez should not have been
    charged. Although he did express doubt that the jury would acquit Defendant Lopez, his
    statement was based on the evidence presented at trial, not his personal opinion.
    Even if the prosecutor‟s comments were improper, we do not believe that the
    comments were “so improper . . . or inflammatory that it affect the verdict to the
    [defendant‟s] detriment.” See 
    Goltz, 111 S.W.3d at 5
    . In response to Defendant Lopez‟s
    objection, the trial court noted that arguments were not evidence, and the trial court
    instructed the jury during the jury charge that “[s]tatements, arguments, and remarks of
    counsel are intended to help you in understanding the evidence and applying the law, but
    they are not evidence.” Moreover, Dr. Lowen described the severe injuries N.L. suffered
    as well as the force necessary to inflict those injuries. Additionally, she testified that,
    while N.L.‟s symptoms may have mimicked viral symptoms initially, eventually his
    condition would have worsened throughout the day to the point where any prudent
    caregiver would have known that medical attention was necessary, regardless of that
    person‟s level of medical knowledge. Accordingly, in light of such evidence, we
    conclude that any error in the prosecutor‟s closing argument was harmless, and
    Defendant Lopez is not entitled to relief.
    Sufficiency of the Evidence
    Both Defendants challenge the sufficiency of the evidence supporting their
    convictions. Our standard of review for a sufficiency of the evidence challenge is
    “whether, after viewing the evidence in the light most favorable to the prosecution, any
    rational trier of fact could have found the essential elements of the crime beyond a
    reasonable doubt.” Jackson v. Virginia, 
    443 U.S. 307
    , 319 (1979) (emphasis in original);
    see also Tenn. R. App. P. 13(e). Questions of fact, the credibility of witnesses, and
    weight of the evidence are resolved by the fact finder. State v. Cabbage, 
    571 S.W.2d 832
    , 835 (Tenn. 1978), superseded on other grounds by Tenn. R. Crim. P. 33 as stated in
    State v. Moats, 
    906 S.W.2d 431
    , 434 n.1 (Tenn. 1995). This court will not reweigh the
    evidence. 
    Id. Our standard
    of review “is the same whether the conviction is based upon
    direct or circumstantial evidence.” State v. Dorantes, 
    331 S.W.3d 370
    , 379 (Tenn. 2011)
    (quoting State v. Hanson, 
    279 S.W.3d 265
    , 275 (Tenn. 2009)) (internal quotation marks
    omitted).
    A guilty verdict removes the presumption of innocence, replacing it with a
    presumption of guilt. State v. Bland, 
    958 S.W.2d 651
    , 659 (Tenn. 1997); State v. Tuggle,
    
    639 S.W.2d 913
    , 914 (Tenn. 1982). The defendant bears the burden of proving why the
    evidence was insufficient to support the conviction. 
    Bland, 958 S.W.2d at 659
    ; Tuggle,
    - 25 
    - 639 S.W.2d at 914
    . On appeal, the “State must be afforded the strongest legitimate view
    of the evidence and all reasonable inferences that may be drawn therefrom.” State v.
    Vasques, 
    221 S.W.3d 514
    , 521 (Tenn. 2007).
    A person commits child neglect when that person “knowingly abuses or neglects a
    child under eighteen (18) years of age so as to adversely affect the child‟s health and
    welfare[.]” Tenn. Code Ann. § 39-15-401(b) (Supp. 2011). As charged in the
    indictment, “[a] person commits the offense of . . . aggravated child neglect . . . who
    commits . . . child neglect, as defined in § 39-15-401(b) . . . and: (1) [t]he act of . . .
    neglect . . . results in serious bodily injury to the child.” Tenn. Code Ann. § 39-15-
    402(a)(1) (Supp. 2011). If the victim is under the age of eight years old, aggravated child
    neglect is a Class A felony. Tenn. Code Ann. § 39-15-402(b) (Supp. 2011).
    In short, child neglect is composed of three essential elements: “(1) a person
    knowingly must neglect a child; (2) the child‟s age must be within the applicable range
    set forth in the statute; and (3) the neglect must adversely affect the child‟s health and
    welfare.” State v. Sherman, 
    266 S.W.3d 395
    , 404 (Tenn. 2008). In order to establish
    neglect, the State must first show that a defendant owed a legal duty to the child. 
    Id. A defendant
    may be subject to criminal liability for child neglect when the defendant stands
    in loco parentis to the child. 
    Id. at 405.
    A person stands in loco parentis when that
    person assumes the full responsibilities of a parent. 
    Id. at 406
    (citing Norton v. Ailor,
    
    124 Tenn. 563
    , 566 (1883) (stating that when a stepfather admits a child into his
    household, he assumes “the obligation of the father as respects the support of his minor
    child”)).
    Further, child neglect is a nature-of-conduct offense, not a result-of-conduct
    offense. State v. Ducker, 
    27 S.W.3d 889
    , 897 (Tenn. 2000). The statute merely requires
    that the act of neglecting the child must be knowing. 
    Id. By way
    of illustration, a
    defendant satisfies the mens rea for child neglect when he or she knowingly leaves a
    child in a car for more than eight hours, but the mens rea requirement is not satisfied if he
    or she was unaware the child was present in the car at the time. 
    Id. After the
    knowing
    mens rea is established, then the next inquiry is whether the child suffered an adverse
    effect to the child‟s health or welfare. 
    Id. If the
    child has suffered an adverse health
    effect as a result of defendant‟s knowing neglect, then the defendant has committed child
    neglect, regardless of whether the defendant knew what the result of the neglect would
    be. 
    Id. a. Defendant
    Gonzalez
    Defendant Gonzalez argues that the State failed to establish the requisite mens rea
    to convict him of aggravated child neglect. Specifically, he contends that, because the
    State could not attribute N.L.‟s bruises to Defendant Gonzalez‟s conduct, evidence of
    - 26 -
    N.L.‟s bruises was insufficient to show that Defendant Gonzalez knew or should have
    known that his conduct would result in serious bodily injury to N.L. Defendant Gonzalez
    was convicted of two counts of aggravated child neglect—the first for causing N.L.‟s
    internal injuries and the second for failing to obtain medical care for N.L. Defendant
    Gonzalez claims that the State could not affirmatively prove that Defendant Gonzalez
    caused N.L.‟s injuries. However, the State simply needed to prove that Defendant
    Gonzalez knowingly neglected N.L. on September 22-23, 2011, and the neglect resulted
    in serious bodily injury to N.L. See 
    Sherman, 266 S.W.3d at 404
    .
    The proof showed that N.L. was two years old at the time of the incident.
    Defendant Gonzalez stated that he acted as a “father figure” in the children‟s lives.
    Further, Defendant Gonzalez admitted during his September 27, 2011, interview that he
    struck N.L. once in the side, harder than normal, and Defendant Gonzalez testified at trial
    that he spanked N.L. on the morning of September 22, 2011. Further, Dr. Lowen
    testified that, based on N.L.‟s injuries, he was struck more than once and with force
    equivalent to being hit or kicked by an adult or thrown against furniture with enough
    force to crush his intestines against his spine.
    After Defendant Gonzalez struck N.L., he placed N.L. in Defendant Lopez‟s care
    and left the home. When he returned, N.L. was covered in vomit. Defendant Gonzalez
    admitted that he received updates about N.L.‟s condition throughout the day and that he
    suggested taking N.L. to the hospital. However, he deferred to Defendant Lopez‟s
    decision not to take N.L. to the hospital. Dr. Lowen testified that N.L.‟s condition would
    have worsened throughout the day, progressing to the point that any prudent caretaker
    would have sought medical attention. When N.L. was finally taken to the hospital, he
    was “near death” and had suffered serious abdominal and brain injuries.
    Based on this proof, any rational jury could have found that Defendant Gonzalez
    owed a legal duty to N.L. Further, there was sufficient evidence for the jury to conclude
    that Defendant Gonzalez did not simply spank N.L., but knowingly struck N.L. with
    enough force to cause N.L.‟s injuries and then left him in Defendant Lopez‟s care (the
    mens rea for Count 2). Further, the jury could conclude that Defendant Gonzalez
    knowingly declined to seek medical attention for N.L. (the mens rea for Count 3). Based
    on Dr. Lowen‟s testimony, the jury could determine that Defendant Gonzalez‟s conduct
    adversely affected N.L.‟s health and welfare, resulting in serious bodily injury.
    Moreover, the evidence clearly showed that N.L. was under eighteen years old.
    Accordingly, the evidence was sufficient to support Defendant Gonzalez‟s convictions
    for aggravated child neglect.
    - 27 -
    b. Defendant Lopez
    Defendant Lopez claims that no reasonable jury could have found that she
    knowingly neglected N.L. by failing to obtain appropriate medical care for his injuries
    when she spent the day of September 22, 2011, trying to get N.L. to eat and drink, buying
    him medicine, calling medical providers for advice, and observing N.L.‟s condition.
    Defendant Lopez also asserts that, based on the information she had available and her
    own observations, she would not have been aware that N.L. would suffer serious bodily
    injury as a result of her conduct. However, as noted above, child neglect is a nature-of-
    conduct offense, not a result-of-conduct offense. See 
    Ducker, 27 S.W.3d at 897
    . The
    statute did not require Defendant Lopez to know that N.L. would suffer serious bodily
    injury; it simply required that she knowingly declined to seek medical treatment for N.L.
    See 
    id. In this
    case, Defendant Lopez owed a duty to N.L. as his mother. See 
    Sherman, 266 S.W.3d at 405
    . She knew that N.L. was sick and that his stomach was “hard” but
    failed to take him to the doctor for medical treatment until he had collapsed. At that
    point, N.L. had suffered serious abdominal and brain injuries. Dr. Lowen stated that,
    while it would have been reasonable to treat N.L.‟s symptoms as a virus initially, his
    condition would have gotten progressively worse as the day went on. According to Dr.
    Lowen, eventually a prudent caregiver would have recognized that N.L. needed medical
    attention, regardless of that caregiver‟s medical knowledge or lack thereof. She also
    stated that N.L.‟s brain injury was a direct result of the delay in seeking medical care.
    Based on this proof, any rational juror could conclude that N.L.‟s condition had
    continued to worsen despite Defendant Lopez‟s efforts to treat it and that Defendant
    Lopez knowingly declined to seek medical attention for N.L. Further, a rational juror
    could conclude that N.L. was under the age of eighteen and that Defendant Lopez‟s
    failure to seek medical attention adversely affected N.L.‟s health and welfare, resulting in
    serious bodily injury. Accordingly, the evidence is sufficient to support Defendant
    Lopez‟s conviction for aggravated child neglect.
    Sentencing
    Both Defendants also claim the trial court erred when setting the length of their
    sentences. Although the statutory language continues to describe the applicable appellate
    review for sentencing decisions as de novo with a presumption of correctness, Tenn.
    Code Ann. § 40-35-401 (2010), the 2005 revisions to the Sentencing Act “effectively
    abrogated the de novo standard of appellate review.” State v. Bise, 
    380 S.W.3d 682
    , 707
    (Tenn. 2012). Following the 2005 amendments, sentences imposed within the statutory
    range that reflect a proper application of the purposes and principles of sentencing are
    reviewed under an abuse of discretion standard with a presumption of reasonableness. 
    Id. A finding
    of abuse of discretion “„reflects that the trial court‟s logic and reasoning was
    improper when viewed in light of the factual circumstances and relevant legal principles
    - 28 -
    involved in a particular case.‟” State v. Shaffer, 
    45 S.W.3d 553
    , 555 (Tenn. 2001)
    (quoting State v. Moore, 
    6 S.W.3d 235
    , 242 (Tenn. 1999)). “[A] trial court‟s
    misapplication of an enhancement or mitigating factor does not remove the presumption
    of reasonableness from its sentencing determination.” 
    Bise, 380 S.W.3d at 709
    .
    Moreover, when a sentence is reviewed for an abuse of discretion with a presumption of
    reasonableness, this court may not disturb the sentence even if it had preferred a different
    result. See State v. Carter, 
    254 S.W.3d 335
    , 346 (Tenn. 2008).
    In determining the proper sentence, the trial court must consider: (1) the evidence,
    if any, received at the trial and the sentencing hearing; (2) the presentence report; (3) the
    principles of sentencing and arguments as to sentencing alternatives; (4) the nature and
    characteristics of the criminal conduct involved; (5) evidence and information offered by
    the parties on the mitigating and enhancement factors set out in Tennessee Code
    Annotated sections 40-35-113 and -114; (6) any statistical information provided by the
    administrative office of the courts as to sentencing practices for similar offenses in
    Tennessee; and (7) any statement the defendant made in the defendant‟s own behalf
    about sentencing. See Tenn. Code Ann. § 40-35-210; State v. Taylor, 
    63 S.W.3d 400
    ,
    411 (Tenn. Crim. App. 2001). The trial court must also consider the potential or lack of
    potential for rehabilitation or treatment of the defendant in determining the sentence
    alternative or length of a term to be imposed. Tenn. Code Ann. § 40-35-103 (2010).
    To facilitate meaningful appellate review, the trial court must state on the record
    the factors it considered and the reasons for imposing the sentence chosen. Tenn. Code
    Ann. § 40-35-210(e) (2014); 
    Bise, 380 S.W.3d at 706
    . However, “[m]ere inadequacy in
    the articulation of the reasons for imposing a particular sentence . . . should not negate the
    presumption [of reasonableness].” 
    Bise, 380 S.W.3d at 705-06
    . The party challenging
    the sentence on appeal bears the burden of establishing that the sentence was improper.
    Tenn. Code Ann. § 40-35-401 (2010), Sentencing Comm‟n Cmts.
    a. Defendant Gonzalez
    Defendant Gonzalez argues that the trial court erred when it imposed a twenty-
    year sentence in Count 2 based on the finding that Defendant Gonzalez had a prior
    history of criminal convictions or criminal behavior, in addition to those necessary to
    establish the appropriate range. Defendant Gonzalez claims that the trial court‟s finding
    was based on his three prior misdemeanor convictions and hearsay testimony regarding
    domestic abuse in the home. He contends that the misdemeanor convictions should have
    been given “slight weight” and that the trial court‟s reliance on hearsay testimony was
    error because he was not allowed to confront A.L. about her allegations of abuse and
    domestic violence.
    - 29 -
    When setting Defendant Gonzalez‟s sentence, the trial court found that Defendant
    Gonzalez had a prior history of criminal convictions or criminal behavior, in additional to
    those necessary to establish the appropriate range. See Tenn. Code Ann. § 40-35-114(1)
    (2010). Specifically, the trial court stated, “The [c]ourt finds that there is evidence of
    previous criminal behavior, such as abuse and domestic violence on the part of
    [Defendant Gonzalez]; although the [c]ourt acknowledges that [Defendant Gonzalez]
    does not have any prior convictions other than those two driving violations and a criminal
    trespass conviction. In light of this history, the court will consider enhancement factor
    (1).” The court also noted that it was not placing “great weight” on hearsay evidence
    about abuse and domestic violence but instead relied on reports of abuse and domestic
    violence that were included in the presentence report. The trial court also found that the
    sentence should be enhanced based on the fact that Defendant Gonzalez abused a position
    of private trust. See Tenn. Code Ann. § 40-35-114(14) (2010).
    Defendant Gonzalez claims that the trial court placed too much weight on his prior
    misdemeanor convictions. However, after the 2005 amendments to the Sentencing Act,
    the claim that a trial court improperly weighed the enhancement and mitigating factors is
    no longer a ground for appeal. 
    Carter, 254 S.W.3d at 344
    . In any event, it does not
    appear from the record that the trial court placed much weight on Defendant Gonzalez‟s
    prior convictions at all. Instead, it focused on the reports that Defendant Gonzalez
    exhibited criminal behavior in the form of abuse and domestic violence. Defendant
    Gonzalez claims that the only proof of domestic violence was hearsay evidence of A.L.‟s
    statements from Ms. Hendricks and the presentence report. However, Defendant
    Gonzalez overlooks the fact that Defendant Lopez testified at the sentencing hearing that
    there was domestic violence in the home; that Defendant Gonzalez was the primary
    aggressor; and that the children sometimes witnessed incidents of domestic violence.
    Further, in sentencing, the court may consider any evidence that it “deems to be
    trustworthy and probative,” regardless of it admissibility under the rules of evidence.
    State v. Mackey, 
    553 S.W.2d 337
    , 344 (Tenn. 1977); State v. Hawk, 
    688 S.W.2d 467
    ,
    472 (Tenn. Crim. App. 1985); State v. Cadle, 
    634 S.W.2d 623
    , 627 (Tenn. Crim. App.
    1982). Therefore, admission of A.L.‟s statement through Ms. Hendricks and the
    presentence report was not error. Moreover, the trial court found that a second
    enhancement factor—that Defendant Gonzalez abused a position of private trust—
    applied in addition to his history of criminal conduct. The record also shows that the trial
    court considered the purposes and principles of sentencing and imposed a sentence within
    the applicable range. Therefore, we conclude that the trial court did not abuse its
    discretion in sentencing Defendant Gonzalez to twenty years in Count 2.
    Defendant Gonzalez also claims that his rights under the Confrontation Clause
    were violated by introduction of hearsay evidence about A.L.‟s allegations of abuse and
    domestic violence. However, this court has previously held that neither the federal nor
    - 30 -
    state constitutional right to confrontation applies to sentencing hearings. State v. William
    Edwin Harris, No. M2008-01685-CCA-R3-CD, 
    2009 WL 1871919
    , at *6 (Tenn. Crim.
    App. Jun. 20, 2009), perm. app. denied (Tenn. Nov. 30, 2009). Accordingly, Defendant
    Gonzalez is not entitled to relief on this issue.
    b. Defendant Lopez
    Defendant Lopez argues that the trial court erred when it enhanced her sentence to
    seventeen years because it improperly considered an inapplicable enhancement factor,
    failed to give proper weight to mitigating factors, and improperly considered the
    principles and purposes of sentencing.
    The trial court found that two enhancement factors applied to Defendant Lopez—
    namely that she had a previous history of criminal convictions or criminal behavior, in
    addition to those necessary to establish the range and that she abused a position of private
    trust. See Tenn. Code Ann. § 40-35-114(1), (14) (2010). In regard to the first
    enhancement factor, the trial court acknowledged that Defendant Lopez had prior
    juvenile convictions but none of those convictions would have been felonies had she been
    charged as an adult. However, the trial court also noted that Defendant Lopez admitted
    in the presentence report to using cocaine and marijuana in the past. Regarding
    mitigating factors, the trial court noted that Defendant Lopez was less culpable than
    Defendant Gonzalez and that she had been victimized in the past. Further, the trial court
    found that the seventeen-year sentence was “the minimum sentence necessary to reflect
    the severity of the offense committed and to protect the public.”
    The record in this case shows that the trial court considered the principles and
    purposes of sentencing and imposed a sentence within the applicable range. Contrary to
    Defendant Lopez‟s claim, it does not appear that the trial court improperly applied the
    first enhancement factor when it found that she had a prior history of criminal convictions
    or criminal behavior. The trial court‟s order indicates that it did not rely on Defendant
    Lopez‟s juvenile record to support this enhancement factor. Instead, application of that
    enhancement factor was supported by Defendant Lopez‟s admission that she had used
    cocaine and marijuana in the past. See State v. Carico, 
    968 S.W.2d 280
    , 288 (Tenn.
    1998) (trial court properly considered evidence of prior criminal behavior to enhance
    defendant‟s sentence even though defendant has no criminal conviction for such
    behavior). Further, the trial court found that a second enhancement factor applied to
    Defendant Lopez, providing further support for a longer sentence. Regarding Defendant
    Lopez‟s claim that the trial court failed to give proper weight to the mitigating factors,
    such claim is no longer a ground for appeal. 
    Carter, 254 S.W.3d at 344
    . Finally, the trial
    court explicitly found that the seventeen-year sentence was “the minimum sentence
    necessary to reflect the severity of the offense committed and to protect the public.” The
    - 31 -
    trial court did not abuse its discretion when imposing a seventeen-year sentence for
    Defendant Lopez‟s conviction. Defendant Lopez is not entitled to relief.
    Conclusion
    For the aforementioned reasons, the judgments of the trial court are affirmed.
    _________________________________
    ROBERT L. HOLLOWAY, JR., JUDGE
    - 32 -