United States v. Patrick Wandahsega , 924 F.3d 868 ( 2019 )


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    Pursuant to Sixth Circuit I.O.P. 32.1(b)
    File Name: 19a0097p.06
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT
    UNITED STATES OF AMERICA,                              ┐
    Plaintiff-Appellee,   │
    │      No. 18-1219
    >
    v.                                               │
    │
    │
    PATRICK ROY WANDAHSEGA,                                │
    Defendant-Appellant.     │
    ┘
    Appeal from the United States District Court
    for the Western District of Michigan at Marquette.
    No. 2:16-cr-00020-1—Paul Lewis Maloney, District Judge.
    Argued: May 1, 2019
    Decided and Filed: May 21, 2019
    Before: CLAY, GILMAN, and KETHLEDGE, Circuit Judges.
    _________________
    COUNSEL
    ARGUED: Clare E. Freeman, THE FEDERAL DEFENSE GROUP, P.L.L.C., La Porte, Texas,
    for Appellant. Austin J. Hakes, UNITED STATES ATTORNEY’S OFFICE, Grand Rapids,
    Michigan, for Appellee. ON BRIEF: Clare E. Freeman, THE FEDERAL DEFENSE GROUP,
    P.L.L.C., La Porte, Texas, for Appellant. Hannah N. Bobee, UNITED STATES ATTORNEY’S
    OFFICE, Marquette, Michigan, for Appellee.
    _________________
    OPINION
    _________________
    RONALD LEE GILMAN, Circuit Judge. Patrick Roy Wandahsega was convicted by a
    jury of abusive sexual contact, in violation of 
    18 U.S.C. § 2244
    (a)(5), after Wandahsega’s
    No. 18-1219                      United States v. Wandahsega                                 Page 2
    then-six-year-old son, H.D.W., told his grandmother and several others that Wandahsega had
    touched him inappropriately. On appeal, Wandahsega argues that the district court erred in
    allowing H.D.W. to testify by closed-circuit television (CCTV). He also challenges several of
    the district court’s evidentiary rulings at trial, the court’s denial of his motion for a mistrial, and
    the court’s denial of his motion for a judgment of acquittal based on the alleged insufficiency of
    the evidence.     Finally, Wandahsega contends that his sentence is both procedurally and
    substantively unreasonable. For the reasons set forth below, we AFFIRM all aspects of the
    district court’s judgment.
    I. BACKGROUND
    A. Factual background
    At the time of the events in question, Wandahsega and H.D.W., who are both Native
    Americans, lived on the Hannahville Reservation in Michigan. After his mother’s death, H.D.W.
    began splitting his time between his maternal grandparents’ home and Wandahsega’s apartment.
    Wandahsega struggles with substance abuse, having participated in institutional substance-abuse
    treatment programs on at least four occasions. While Wandahsega participated in treatment,
    H.D.W. stayed with his maternal grandparents.
    In December 2015, two days after H.D.W. returned to his father’s care after Wandahsega
    had completed a period of substance-abuse treatment, H.D.W. allegedly told his maternal
    grandmother, Elizabeth Gudwer, that he and Wandahsega “did PK . . . a couple of nights ago.”
    When Gudwer asked H.D.W. what he meant by “PK,” H.D.W. looked down, pointed to his groin
    area, and said, “just like dad and his girlfriend do.” Gudwer then called Hannahville Child
    Protective Services (CPS), where a worker told her to contact law enforcement.                    Law
    enforcement in turn told her to take H.D.W. to CPS. A CPS worker at the Hannahville Tribal
    Council, Betsy Ruleau, conducted a forensic interview during which H.D.W. did not disclose any
    abuse.
    After H.D.W.’s interview with Ruleau, he returned to his father’s care. That evening,
    Tonya Maycroft, the mother of Wandahsega’s other children, visited Wandahsega’s home to ask
    H.D.W. if he wanted to decorate a Christmas tree with his half-siblings. H.D.W. ran up to
    No. 18-1219                      United States v. Wandahsega                               Page 3
    Maycroft and told her that his father was doing “inappropriate” and “bad things” to him. At that
    point, Maycroft did not know that H.D.W. had alerted Gudwer to similar behavior. Maycroft
    brought H.D.W. to her home, asked him additional questions, called law enforcement, and spoke
    to Gudwer. She then took H.D.W. to the emergency room of the local hospital, where they were
    met by a police officer.
    At the hospital, H.D.W. told Nurse Stacy Smith that his dad “did something bad” to him
    twice. He also told Dr. Alex Judy that his dad had touched his penis and put a finger up his
    rectum several days prior to his hospital visit. H.D.W. said that this had happened on two
    separate occasions. As for physical injuries, H.D.W. said that the alleged assault had hurt a little,
    but that it did not cause bleeding and that he was not currently in pain. Dr. Judy asked H.D.W. if
    he could examine H.D.W.’s anus and genital area, but H.D.W. refused. Because H.D.W. said
    that he was not currently in pain, Dr. Judy did not press him any further. Dr. Judy then ordered
    urine testing to rule out the possibility of sexually transmitted diseases (STDs).
    The day after H.D.W.’s hospital visit, Ruleau conducted a second forensic interview,
    during which H.D.W. disclosed that Wandahsega had sexually abused him. H.D.W.’s disclosure
    was consistent with what he had told Gudwer and Maycroft. That same day, FBI Special Agent
    John Fortunato and a local detective, Justin Hansen, went to Wandahsega’s apartment to
    interview him, but they ended the interview early because Wandahsega appeared to be under the
    influence of drugs or alcohol. They returned the next day and conducted a recorded interview
    with Wandahsega. He denied touching his son, but also said that he sometimes blacks out from
    drinking and therefore did not know what, if anything, he might have done to H.D.W.
    Wandahsega consented to a search of his apartment and to the seizure of bed sheets, three
    pairs of H.D.W.’s underwear, and a blanket from Wandahsega’s bedroom, where H.D.W. usually
    slept. He also consented to providing a DNA sample by cheek swab. The Michigan State Police
    Forensic Laboratory subsequently found saliva on the inside rear portion of a pair of H.D.W.’s
    underwear, and testing established that the saliva contained a mixture of both H.D.W.’s and
    Wandahsega’s DNA.
    No. 18-1219                        United States v. Wandahsega                             Page 4
    B. Procedural background
    A federal grand jury proceeded to indict Wandahsega. He was charged with aggravated
    abuse of a child under twelve-years old, in violation of 
    18 U.S.C. § 2241
    (c), and with abusive
    sexual contact with a child under twelve-years old, in violation of 
    18 U.S.C. § 2244
    (a)(5).
    1.        Pretrial motions
    Prior to trial, the government filed a motion under 
    18 U.S.C. § 3509
    (b)(1) to let H.D.W.
    testify through CCTV. A magistrate judge held a hearing and heard testimony from a social
    worker about whether H.D.W. would be able to testify in front of his father. H.D.W. also
    testified at the hearing and said that he would be scared to testify with Wandahsega present.
    After the hearing, the magistrate judge concluded (1) that H.D.W. would be unable to testify in
    front of his father because of fear, and (2) that there was a substantial likelihood that H.D.W.
    would suffer emotional trauma if forced to do so.             Accordingly, the magistrate judge
    recommended granting the government’s motion and allowing H.D.W. to testify at trial via two-
    way CCTV. Wandahsega did not object to the Report and Recommendation, which the district
    court adopted.
    The government filed two additional motions in limine. First, it filed a motion for the
    admission of H.D.W.’s statements to Nurse Smith and Dr. Judy at the emergency room. The
    government based its request on Rule 803(4) of the Federal Rules of Evidence, which provides
    an exception to the rule against hearsay for statements made for medical diagnosis or treatment.
    Second, it filed a motion for the admission of H.D.W.’s statements to Gudwer and Maycroft
    under Rule 807 of the Federal Rules of Evidence, the residual hearsay exception. That motion
    also sought the admission of a video recording of Ruleau’s second interview with H.D.W.
    Wandahsega opposed both motions. The magistrate judge ultimately recommended that the
    evidentiary issues be dealt with at trial after H.D.W.’s testimony and after the initial testimony of
    Nurse Smith and Dr. Judy.            After review, the district court adopted the Report and
    Recommendation.
    No. 18-1219                     United States v. Wandahsega                               Page 5
    2.      The trial
    As its first witness, the government called H.D.W. H.D.W. was questioned in a room
    separate from the jury and Wandahsega, and his testimony was transmitted to the jury by CCTV.
    He testified that he no longer lives with his father because Wandahsega “did something bad to
    [him]” while he was “in [his] bedroom” in Wandahsega’s apartment.               H.D.W. said that
    Wandahsega touched H.D.W.’s privates—where he “poop[s] and pee[s]”—more than one time
    and that H.D.W. was telling the truth when he spoke to Nurse Smith, Dr. Judy, and Ruleau.
    Finally, H.D.W. testified that he preferred living with his grandparents to living with his father,
    and that he was upset with his father for drinking.
    The district court then addressed several outstanding evidentiary issues outside the
    presence of the jury, including the motions in limine that the magistrate judge had not resolved.
    First, the court addressed the admission of H.D.W.’s hearsay statements to Gudwer about his
    father doing “PK” with him like his father and his father’s girlfriend did. Applying the four-part
    test delineated by Rule 807 of the Federal Rules of Evidence, the court found that H.D.W.’s
    statements to Gudwer were admissible because they were spontaneous and therefore reliable.
    Gudwer then testified about her exchange with H.D.W. and what she did in response.
    The district court next addressed the admission of H.D.W.’s hearsay statements to
    Maycroft when she picked him up from Wandahsega’s apartment to decorate a Christmas tree.
    Because H.D.W.’s initial statement to Maycroft that his father was doing bad things to him was
    spontaneous, the court found it to be reliable and therefore admissible under Rule 807. But the
    court found that H.D.W.’s responses to Maycroft’s follow-up questions were inadmissible
    hearsay that did not fall under Rule 807’s exception. Maycroft’s testimony was therefore limited
    to H.D.W.’s initial spontaneous statement to her and what she did in response to H.D.W.’s
    statement.
    The district court then addressed the statements that H.D.W. made to Nurse Smith and
    Dr. Judy at the hospital with the government assuring the court that those witnesses would testify
    that their questions to H.D.W. were pertinent to medical diagnosis and treatment.            After
    reviewing the relevant caselaw, the court held that Nurse Smith’s and Dr. Judy’s testimony about
    No. 18-1219                     United States v. Wandahsega                               Page 6
    H.D.W.’s statements at the hospital would be admissible under Rule 803(4) if a proper
    foundation was laid. Nurse Smith and Dr. Judy proceeded to testify about their exchanges with
    H.D.W. at the hospital.
    Finally, the district court addressed the recording of H.D.W.’s second forensic interview
    with Ruleau. The court found that the interview did not contain the same indicia of reliability as
    H.D.W.’s statements to Gudwer and Maycroft, so it concluded that the interview was
    inadmissible hearsay. Ruleau, however, later testified in a general manner that H.D.W. disclosed
    abuse during that interview, and that what H.D.W. told her was consistent with what he had
    previously told Gudwer and Maycroft.
    An additional evidentiary issue arose on the second day of trial. Wandahsega sought to
    show the jury a video of a supervised visit between H.D.W. and Wandahsega that occurred
    several months after H.D.W.’s allegations. In that video, H.D.W. interacted well with his father
    and hugged him. The district court concluded that the video did not fall under any exception to
    the rule against hearsay and that it was therefore inadmissible. Although the video itself was not
    admitted, Ruleau, who supervised the visit, testified about the visit and confirmed that H.D.W.
    and Wandahsega hugged and got along well.
    The remainder of the government’s fact witnesses were law-enforcement officers.
    Special Agent Fortunato and Detective Hansen testified about their interview of Wandahsega and
    the collection of evidence from Wandahsega’s apartment. In response to a question about
    whether he was aware of Wandahsega’s drinking problem before he arrived at Wandahsega’s
    apartment, Fortunato commented about a “prior incident where [Wandahsega] had passed out
    and he had engaged in a homosexual act.” Officer Gregory Kurtz, the Hannahville officer who
    received Gudwer’s initial complaint against Wandahsega, also testified briefly about his
    conversation with Gudwer and the events that resulted from that call.
    The government next presented several expert witnesses.           They included forensic
    scientists at the Michigan State Police forensic laboratory, who explained the results of the fluid
    and DNA testing done on H.D.W.’s underwear. A child-adolescent forensic interviewer with the
    FBI testified about the legitimacy of the techniques used in Ruleau’s interviews of H.D.W.
    No. 18-1219                     United States v. Wandahsega                               Page 7
    Finally, a toxicology expert testified about blackouts, alcohol’s effect on short-term memory, and
    a person’s ability to complete certain tasks while intoxicated.
    Near the end of the government’s case, Wandahsega moved for a mistrial based on
    Fortunato’s statement about Wandahsega passing out and engaging in a homosexual act.
    Wandahsega argued that Fortunato had made the statement to prejudice the jury. The district
    court ruled that Fortunato’s statement was responsive to the question that Wandahsega’s counsel
    had asked, but gave counsel the opportunity to stipulate to striking the statement from the record.
    When the parties did not stipulate to striking the statement, the court denied the motion for a
    mistrial. Wandahsega also moved for a judgment of acquittal at the end of the government’s
    case, which the court denied.
    At trial, Wandahsega did not testify or call any witnesses. After four days of trial, the
    jury convicted Wandahsega of abusive sexual contact under 
    18 U.S.C. § 2244
    (a)(5), but
    acquitted him of aggravated abuse of a child under 
    18 U.S.C. § 2241
    (c).
    3.      Sentencing
    The United States Probation Office prepared and filed a Presentence Report (PSR) prior
    to Wandahsega’s sentencing. Section 2A3.4(c)(1) of the United States Sentencing Guidelines
    provides that if an offense involves “criminal sexual abuse or attempt to commit criminal sexual
    abuse,” then the sentencing court should apply § 2A3.1 of the Guidelines. The PSR therefore
    recommended applying § 2A3.1 to calculate Wandahsega’s offense level because his conduct
    involved criminal sexual abuse. Applying § 2A3.1, the PSR recommended an offense level of
    36. The PSR also recommended applying a five-level enhancement for engaging in a pattern of
    prohibited sexual conduct under § 4B1.5(b)(1) of the Guidelines, resulting in an offense level of
    41.
    Wandahsega objected to the PSR’s Guidelines calculation and reiterated his objections at
    his sentencing hearing. Both parties presented evidence to the district court, after which the
    court made factual findings and overruled Wandahsega’s objections. The court agreed with the
    PSR’s recommendations of an offense level of 41 and determined that the advisory Guideline
    range was 360 months to life imprisonment. But the court granted Wandahsega’s request for a
    No. 18-1219                     United States v. Wandahsega                             Page 8
    four-level downward variance because it concluded that a sentence within the Guideline range
    was “greater than necessary” under 
    18 U.S.C. § 3553
    (a). Accordingly, Wandahsega’s offense
    level dropped from 41 to 37, and the final advisory Guideline range was 235 to 293 months’
    imprisonment. The court imposed a sentence of 288 months. Wandahsega filed a notice of
    appeal on the same day that the court entered its judgment.
    II. ANALYSIS
    A. Standards of review
    The issues in the present case involve multiple standards of review. As a general matter,
    we review the district court’s factual findings under the clear-error standard. United States
    v. Katzopoulos, 
    437 F.3d 569
    , 574 (6th Cir. 2006). “[L]egal conclusions are reviewed de novo.”
    United States v. Smith, 
    182 F.3d 473
    , 476 (6th Cir. 1999).
    Evidentiary rulings are reviewed under the abuse-of-discretion standard. United States
    v. Phibbs, 
    999 F.2d 1053
    , 1078 (6th Cir. 1993). The abuse-of-discretion standard also applies to
    the district court’s decision not to grant Wandahsega’s motion for a mistrial, see United States
    v. Forrest, 
    17 F.3d 916
    , 919 (6th Cir. 1994), and to the reasonableness of Wandahsega’s
    sentence, see United States v. Studabaker, 
    578 F.3d 423
    , 430 (6th Cir. 2009).
    B. H.D.W.’s testimony through CCTV
    The district court allowed H.D.W. to testify through CCTV after the magistrate judge
    held a hearing and issued a Report and Recommendation on the issue. Wandahsega argues that
    the court erred in allowing H.D.W. to testify outside of the courtroom because (1) the magistrate
    judge’s factual finding that H.D.W. was “unable to testify because of fear” and that there was “a
    substantial likelihood, established by expert testimony, that the child would suffer emotional
    trauma from testifying,” see 
    18 U.S.C. § 3509
    (b)(1)(B), constituted clear error, and (2) the
    CCTV testimony violated Wandahsega’s constitutional rights to confront the witnesses against
    him and to the due process of law.
    In response, the government points out that Wandahsega failed to object to the magistrate
    judge’s Report and Recommendation.        It also contends that the magistrate judge’s factual
    No. 18-1219                      United States v. Wandahsega                              Page 9
    findings did not constitute clear error and that H.D.W.’s testimony did not violate Wandahsega’s
    constitutional rights.
    In this circuit, the failure to object to a magistrate judge’s Report and Recommendation
    results in a waiver of appeal on that issue as long as the magistrate judge informs the parties of
    the potential waiver. United States v. Walters, 
    638 F.2d 947
    , 949–50 (6th Cir. 1981); see also
    Thomas v. Arn, 
    474 U.S. 140
    , 155 (1985) (holding that the Sixth Circuit’s waiver rule is within
    its supervisory powers). This court may, however, “decline to apply the waiver rule where the
    district court’s error is so egregious that failure to permit appellate review would work a
    miscarriage of justice.” United States v. 1184 Drycreek Rd., 
    174 F.3d 720
    , 726 (6th Cir. 1999);
    see also Thomas, 474 U.S. at 155 (“[B]ecause the [Walters] rule is a nonjurisdictional waiver
    provision, the Court of Appeals may excuse the default in the interest of justice.”).
    Wandahsega does not dispute that he failed to object to the magistrate judge’s Report and
    Recommendation regarding H.D.W.’s CCTV testimony. Nor does he dispute that the Report and
    Recommendation included an explicit notice to the parties that objections “must be served on
    opposing parties and filed with the Clerk of the Court within fourteen (14) days of receipt of this
    Report and Recommendation,” and that “[f]ailure to file timely objections constitutes a waiver of
    any further right to appeal.” Rather, Wandahsega argues that not excusing the default would
    result in a miscarriage of justice because utilizing CCTV “violates the Sixth Amendment in
    eviscerating the bedrock guarantee of confrontation.”
    Wandahsega has not provided a sufficient reason for us to excuse his waiver in the
    interest of justice. The fact that his constitutional rights are at issue does not in and of itself
    make our decision to decline to entertain his waived arguments a miscarriage of justice. See,
    e.g., United States v. Sullivan, 
    431 F.3d 976
    , 984 (6th Cir. 2005) (holding that a challenge to a
    denial of a Fourth Amendment motion to suppress was waived for failure to object to the Report
    and Recommendation); Trzebuckowski v. City of Cleveland, 
    319 F.3d 853
    , 855 (6th Cir. 2003)
    (holding that a challenge to a dismissal of a due-process claim was waived for failure to object to
    the Report and Recommendation).
    No. 18-1219                     United States v. Wandahsega                              Page 10
    Moreover, even if Wandahsega were allowed to contest the district court’s decision to let
    H.D.W. testify by CCTV, each of his arguments would fail. The magistrate judge’s factual
    findings that (1) H.D.W. was unable to testify in front of his father because of fear, and (2) there
    was a substantial likelihood that he would suffer emotional trauma from testifying in front of his
    father, were not clearly erroneous. H.D.W. told both the magistrate judge and the government’s
    expert witness that he would be scared to testify in front of his father. And the expert witness,
    who had extensive experience in assessing trauma in children who have been sexually abused,
    formed an individualized opinion that H.D.W. would suffer trauma if he had to testify in front of
    Wandahsega.
    Finally, Wandahsega contends that H.D.W.’s CCTV testimony violated Wandahsega’s
    constitutional rights to confront the witnesses against him and to due process. But the Supreme
    Court held in Maryland v. Craig, 
    497 U.S. 836
     (1990), that such CCTV testimony is
    constitutional as long as the government “makes an adequate showing of necessity.” 
    Id. at 855
    .
    In response to Craig, Congress passed 
    18 U.S.C. § 3509
    , which codifies Craig’s requirement
    that the trial court “hear evidence and determine whether use of [CCTV] is necessary to protect
    the welfare of the particular child witness who seeks to testify” and whether “the child witness
    would be traumatized . . . by the presence of the defendant.” 
    Id.
     at 855–56.
    Although various courts and scholars have struggled to reconcile Craig with the Court’s
    subsequent holding in Crawford v. Washington, 
    541 U.S. 36
     (2004) (ruling that the
    Confrontation Clause prohibits the admission of testimonial out-of-court statements unless the
    witness is unavailable and the defendant had a prior opportunity for cross-examination),
    Crawford did not overturn Craig. See United States v. Cox, 
    871 F.3d 479
    , 492 (6th Cir. 2017)
    (Sutton, J., concurring) (“Crawford did not overturn Craig. And Craig governs us here, as junior
    courts may not overrule the handiwork of their superiors.”). We are therefore bound by Craig,
    and because the district court’s decision to allow H.D.W. to testify by CCTV complied with the
    requirements of Craig and § 3509, Wandahsega’s constitutional argument fails.
    No. 18-1219                     United States v. Wandahsega                             Page 11
    C. Hearsay testimony of Dr. Judy and Nurse Smith
    Wandahsega next challenges numerous evidentiary rulings made during his trial. First,
    he challenges as hearsay the admission of Dr. Judy’s and Nurse Smith’s testimony, in which they
    discussed what H.D.W. told them at the hospital. The district court allowed both witnesses to
    testify about what H.D.W. told them under the “statement made for medical diagnosis or
    treatment” exception to the rule against hearsay. See Fed. R. Evid. 803(4).
    Rule 803(4) provides that a hearsay statement that “(A) is made for—and is reasonably
    pertinent to—medical diagnosis or treatment; and (B) describes medical history; past or present
    symptoms or sensations; their inception; or their general cause” is “not excluded by the rule
    against hearsay.” Wandahsega contends that the district court abused its discretion in admitting
    the testimony of Dr. Judy and Nurse Smith regarding H.D.W.’s statements to them because
    Maycroft, according to Wandahsega, took H.D.W. to the hospital for investigatory purposes
    rather than for medical treatment.
    The record does not support Wandahsega’s contention. Nurse Smith testified at trial that,
    in response to her question to H.D.W. about why he was at the emergency room, H.D.W. told her
    that “[his] dad did something bad to [him] twice.” That statement is hearsay, but Nurse Smith
    explained that asking patients “what brings them [to the emergency room] to be seen” is an
    important part of the triage process “[b]ecause it helps [the staff] determine what type of needs
    they need medically, physically, mentally, and how fast they go in the back to be evaluated by a
    physician.” She also testified that when someone arrives at the emergency room and says that
    they have been sexually assaulted, the identity of the perpetrator is important because it would
    affect their diagnosis and treatment in terms of mental-health or emotional-health concerns.
    The record reflects that Nurse Smith “undertook her interviews for the primary purpose
    of medical diagnosis, rather than for some other purpose, such as determining whether to notify
    state authorities of suspected abuse . . . ; deciding whether a protective order was necessary to
    ensure the [child’s] safety, . . . ; or obtaining evidence.” See United States v. Kappell, 
    418 F.3d 550
    , 556–57 (6th Cir. 2005). Nurse Smith never indicated that she was speaking with H.D.W.
    for any purpose other than to determine how to proceed with his medical treatment. The district
    No. 18-1219                      United States v. Wandahsega                            Page 12
    court therefore did not abuse its discretion in concluding that the government had laid a proper
    foundation for Nurse Smith’s testimony and that her testimony was admissible under Rule
    803(4).
    Next, Dr. Judy testified that H.D.W. related that his father “had touched him
    inappropriately, touched his penis and put his finger up his rectum on occasion.” Dr. Judy then
    decided that he needed to determine whether H.D.W. had suffered any physical injuries from the
    assault or contracted any STDs. Wandahsega argues that because Dr. Judy never physically
    examined H.D.W., the latter’s statements to Dr. Judy were not made for medical diagnosis or
    treatment. But Dr. Judy explained that he sought H.D.W.’s consent to be examined, and that
    H.D.W. refused. Because H.D.W. said that he was not currently in pain, Dr. Judy did not press
    him any further.
    The record supports the district court’s conclusion that Dr. Judy’s conversation with
    H.D.W. was for the purpose of medical diagnosis or treatment. Although Dr. Judy never
    examined H.D.W., he asked questions to determine the urgency of a physical examination and
    ultimately concluded that making H.D.W. uncomfortable was unnecessary.              Dr. Judy also
    ordered STD tests based on the information that H.D.W. had given him. The fact that a police
    officer accompanied Maycroft and H.D.W. to the emergency room does not change the nature of
    Dr. Judy’s questions. In fact, Dr. Judy never indicated that he spoke with the police officer about
    H.D.W.’s statements.
    Wandahsega nevertheless argues that, in order for the hearsay statements of a “very
    young declarant” to be admissible under Rule 803(4), the child must display the “selfish
    subjective motive” necessary to establish the reliability of his statements to medical personnel.
    In other words, Wandahsega argues that the record must demonstrate that the child understood
    that he or she was speaking with medical personnel for the purpose of medical treatment. He
    cites United States v. Turning Bear, 
    357 F.3d 730
    , 738 (8th Cir. 2004), for this proposition. The
    district court directly addressed Wandahsega’s argument, concluding that the Eighth Circuit
    precedent does not control because, in Kappell, the Sixth Circuit “clearly [did] not adopt that
    prong of the Eighth Circuit opinion.”
    No. 18-1219                       United States v. Wandahsega                              Page 13
    In Kappell, this court affirmed the admission of children’s statements to a
    psychotherapist and a social worker without analyzing whether the children understood the
    medical context of the interaction. Kappell, 
    418 F.3d at 557
    . The district court therefore
    correctly concluded that Turning Bear is not persuasive authority. And even if Turning Bear
    were deemed applicable to the present case, which it is not, Nurse Smith and Dr. Judy both
    testified that they were wearing scrubs and nametags while speaking with H.D.W. Dr. Judy
    explained to H.D.W. that he was a physician and asked if he could perform a physical exam.
    Nurse Smith explained that she was a nurse. These circumstances support the proposition that
    H.D.W. understood that he should tell the truth because he was at the hospital speaking with
    medical personnel for the purpose of medical diagnosis and treatment. We therefore conclude
    that the court did not abuse its discretion in admitting the hearsay testimony of Dr. Judy and
    Nurse Smith.
    D. Hearsay testimony of Gudwer and Maycroft
    Wandahsega’s second evidentiary challenge is to the admission of testimony from
    Gudwer and Maycroft that included hearsay statements from H.D.W. accusing his father of
    sexual abuse. The district court ultimately admitted the hearsay statements under Rule 807(a) of
    the Federal Rules of Evidence, the “residual exception” to the rule against hearsay.
    Rule 807(a) provides that
    [u]nder the following circumstances, a hearsay statement is not excluded by the
    rule against hearsay even if the statement is not specifically covered by a hearsay
    exception in Rule 803 or 804: (1) the statement has equivalent circumstantial
    guarantees of trustworthiness; (2) it is offered as evidence of a material fact; (3) it
    is more probative on the point for which it is offered than any other evidence that
    the proponent can obtain through reasonable efforts; and (4) admitting it will best
    serve the purposes of these rules and the interests of justice.
    Regarding the first factor of Rule 807(a)’s four-part test, Wandahsega’s brief highlights
    reliability issues when children are interviewed about potential abuse, including potential
    inaccuracies due to suggestive questioning techniques and children’s general motivation to
    please their interviewers.
    No. 18-1219                      United States v. Wandahsega                           Page 14
    The Supreme Court listed the following factors as particularized guarantees of
    trustworthiness in the context of child sexual abuse: “(1) spontaneity; (2) consistent repetition;
    (3) the mental state of the declarant; (4) the use of terminology unexpected of a child of similar
    age; and (5) the lack of a motive to fabricate.” Stuart v. Wilson, 
    442 F.3d 506
    , 522 (6th Cir.
    2006) (citing Idaho v. Wright, 
    497 U.S. 805
    , 821–22 (1990)). As the district court explained
    during its application of Rule 807(a) at trial, H.D.W.’s statements to Gudwer and Maycroft were
    reliable because they were not made in an interview setting. During the course of a normal
    conversation with Gudwer, H.D.W. stated that he and his father “did PK.” That statement was
    both spontaneous and used terminology (“doing PK”) unexpected of a child of a similar age.
    And each of Gudwer’s follow-up questions—“What is PK?” and “What do you mean?”—were
    nonleading. See id. at 523 (stating that questions that “were not leading or suggestive” are more
    likely to be trustworthy).
    Similarly, when H.D.W. told Maycroft that his father was doing bad things to him, he had
    just run up to greet her after she arrived at his home. As the district court concluded, such a
    “spontaneous statement . . . has some equivalent circumstantial guarantees of trustworthiness.”
    The court also limited Gudwer’s testimony to that spontaneous statement, and did not allow her
    to testify about H.D.W.’s answers to her follow-up questions. The spontaneity of H.D.W.’s
    statements, in tandem with the fact that H.D.W. consistently repeated his accusations to Gudwer,
    Nurse Smith, Dr. Judy, Ruleau, and the jury, support the proposition that H.D.W.’s initial
    statement to Maycroft was also trustworthy under the first part of Rule 807(a)’s test. See id. at
    522 (listing consistent repetition as a particularized guarantee of trustworthiness).
    Wandahsega, however, argues that the testimony of Gudwer and Maycroft was not
    trustworthy under the first prong of Rule 807’s test because both witnesses dislike Wandahsega
    and therefore had a reason to cast him in a negative light. But Wandahsega’s counsel had the
    opportunity to cross-examine both Gudwer and Maycroft about their respective relationships
    with Wandahsega, and the jury had the opportunity to evaluate their credibility.
    Wandahsega next contends that the third prong of Rule 807(a)’s test was not met.
    Because H.D.W. himself testified at trial, Wandahsega argues that H.D.W.’s hearsay statements
    to Gudwer and Maycroft were not the most probative evidence available as to whether
    No. 18-1219                     United States v. Wandahsega                            Page 15
    Wandahsega abused him. But H.D.W.’s statements to Gudwer and Maycroft are more probative
    regarding Wandahsega’s conduct than H.D.W.’s testimony alone. At trial, the only detail that
    H.D.W. was able to provide about the alleged abuse was that Wandahsega had touched his
    privates more than one time. He said that he did not remember when the alleged abuse had
    happened, but when he spoke to Gudwer he told her that it had happened “a couple of nights
    ago.” Gudwer’s testimony therefore filled in details of H.D.W.’s testimony that were highly
    probative.
    Regarding H.D.W.’s statement to Maycroft, she was the person who took H.D.W. to the
    hospital. Her testimony about those events would have been disjointed and incomplete if she had
    not been able to explain that H.D.W. first told her that his father had done something bad to him.
    And the district court was careful to “draw the line” at H.D.W.’s first statement to Maycroft,
    excluding any statements that did not “really advance the ball too much” in terms of
    probativeness. In sum, the district court did not abuse its discretion in admitting H.D.W.’s
    hearsay statements to Gudwer and Maycroft under the residual hearsay exception.
    E. Video of H.D.W.’s supervised visit with Wandahsega
    Wandahsega’s third evidentiary challenge is to the district court’s decision to deny
    Wandahsega the opportunity to present to the jury a video of a supervised visit between H.D.W.
    and Wandahsega. In the video, H.D.W. and Wandahsega had a visit at the Hannahville CPS
    Office while the present case was under investigation, and H.D.W. hugged and interacted well
    with Wandahsega. Wandahsega sought to admit the video to demonstrate that H.D.W. was not
    afraid of his father. The district court concluded that the video did not fall under any exception
    to the rule against hearsay, but it allowed Wandahsega’s counsel to cross-examine Ruleau, who
    supervised the visit, about what happened. Ruleau testified that, during the visit, H.D.W. and
    Wandahsega hugged and got along well for 30 or 40 minutes.
    Wandahsega contends that the district court abused its discretion by not allowing the
    video to be played for the jury because Rule 106 of the Federal Rules of Evidence provides that
    “[i]f a party introduces all or part of a writing or recorded statement, an adverse party may
    require the introduction, at that time, of any other part—or any other writing or recorded
    No. 18-1219                      United States v. Wandahsega                              Page 16
    statement—that in fairness ought to be considered at the same time.” But the government did
    not introduce any portion of the video in question, making Rule 106 inapplicable. Rule 106,
    furthermore, does not transform inadmissible hearsay into admissible evidence. United States
    v. Costner, 
    684 F.2d 370
    , 373 (6th Cir. 1982) (“Rule 106 is intended to eliminate the misleading
    impression created by taking a statement out of context . . . ; it is not designed to make
    something admissible that should be excluded.”). Because the video falls under no exception to
    the rule against hearsay, Rule 106 provides no help to Wandahsega.
    Wandahsega also argues that the video should have been admitted under Rule 807(a), the
    residual hearsay exception. But Wandahsega failed to establish, either at trial or in his brief, that
    the video met the four requirements of Rule 807(a): that the statement (1) has “circumstantial
    guarantees of trustworthiness;” (2) “is offered as evidence of a material fact;” (3) “is more
    probative on the point for which it is offered than any other evidence; and (4) “will serve the
    purposes of the rules of evidence and the interests of justice.” Specifically, Wandahsega failed
    to explain why Ruleau’s testimony about the visit was less probative than the video. The district
    court therefore did not abuse its discretion in excluding the video of H.D.W.’s supervised visit
    with Wandahsega.
    F. Wandahsega’s motion for a mistrial
    Wandahsega next argues that the district court abused its discretion by denying his
    motion for a mistrial after Special Agent Fortunato, one of the officers who interviewed
    Wandahsega the day after H.D.W.’s hospital visit, testified that he “knew about a prior incident
    where [Wandahsega] had passed out and . . . engaged in a homosexual act.” Fortunato’s
    testimony was in response to the following question from Wandahsega’s counsel: “And you
    were aware, were you not, before you even went [to Wandahsega’s home] that he had a
    significant drinking problem?”
    Wandahsega argued at trial that Fortunato’s testimony was not responsive to the question
    and was meant to prejudice the jury against Wandahsega. He therefore moved for a mistrial
    based on “prosecutorial misconduct on the part of the agent.” The court denied the motion
    because it concluded that Fortunato’s testimony was responsive to the question that
    No. 18-1219                     United States v. Wandahsega                            Page 17
    Wandahsega’s counsel had asked him.        Wandahsega’s counsel did not move to strike the
    statement from the record or attempt to reach an agreement with the government to do so.
    On appeal, Wandahsega contends that Fortunato’s testimony violated his due-process
    right to a fair trial and that Fortunato’s testimony “may have been injected intentionally to
    prejudice Mr. Wandahsega.” This court has adopted a two-step approach for determining when
    prosecutorial misconduct warrants a new trial. First, we must “consider whether the prosecutor’s
    conduct and remarks were improper.” United States v. Carter, 
    236 F.3d 777
    , 783 (6th Cir.
    2001). If the conduct was improper, “the court must then consider and weigh four factors in
    determining whether the impropriety was flagrant and thus warrants reversal[:] . . . (1) whether
    the conduct and remarks of the prosecutor tended to mislead the jury or prejudice the defendant;
    (2) whether the conduct or remarks were isolated or extensive; (3) whether the remarks were
    deliberately or accidentally made; and (4) whether the evidence against the defendant was
    strong.” 
    Id.
    Wandahsega has the better argument on the first step of this analysis. The question was
    whether Fortunato was aware of Wandahsega’s drinking problem, and the response about
    Wandahsega engaging in a homosexual act was not responsive to that question. But even
    assuming that Fortunato’s testimony was improper and prejudicial, the balance of the remaining
    factors weighs against a mistrial. The remark was isolated and not extensive. Fortunato did not
    expound upon the alleged homosexual act, even when asked to do so on recross examination by
    Wandahsega’s counsel, and no other witness discussed Wandahsega’s sexual orientation after
    Fortunato’s testimony.
    In addition, the remainder of the evidence against Wandahsega was strong.            Five
    witnesses testified that H.D.W. told them about the sexual abuse, and H.D.W. himself testified
    about that abuse. In sum, the district court did not abuse its discretion in denying Wandahsega’s
    motion for a mistrial.
    G. Sufficiency of the evidence
    Wandahsega’s final evidentiary challenge relates to the proof supporting his conviction
    for abusive sexual conduct under 
    18 U.S.C. § 2244
    (a)(5).          He points to various alleged
    No. 18-1219                      United States v. Wandahsega                               Page 18
    deficiencies: (1) the possibility that the DNA evidence found on H.D.W.’s underwear was
    contaminated when it was transferred by the police or in the wash; (2) the reliability of child
    witnesses; (3) the witnesses’ “controversial relationships” with Wandahsega; (4) a lack of
    testimony that Wandahsega engaged in sexual contact with H.D.W., as opposed to generally
    doing “something bad” to him; and (5) a lack of evidence surrounding Wandahsega’s specific
    intent to engage in sexual activity with H.D.W. Wandahsega moved for a judgment of acquittal
    under Rule 29 of the Federal Rules of Criminal Procedure at trial, which the district court denied.
    “[W]hen the sufficiency of the evidence is challenged on appeal, the standard of review 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.’”
    United States v. Swidan, 
    888 F.2d 1076
    , 1080 (6th Cir. 1989) (emphasis in original) (quoting
    Jackson v. Virginia, 
    443 U.S. 307
    , 319 (1979)). The elements of abusive sexual contact under
    
    18 U.S.C. § 2244
    (a)(5) are: (1) knowingly engaging in sexual contact with another person; (2) at
    the time of the sexual contact, the other person had not yet reached the age of twelve years; and
    (3) the sexual contact occurred within the territorial jurisdiction of the United States.         By
    stipulation, the parties agreed that the only element at issue was whether Wandahsega had
    engaged in sexual contact with H.D.W. “[T]he term ‘sexual contact’ means the intentional
    touching, either directly or through the clothing, of the genitalia, anus, groin, breast, inner thigh,
    or buttocks of any person with an intent to abuse, humiliate, harass, degrade, or arouse or gratify
    the sexual desire of any person.” 
    18 U.S.C. § 2246
    (3)
    Even without the DNA evidence or H.D.W.’s direct testimony, the government produced
    sufficient evidence to allow a rational trier of fact to find beyond a reasonable doubt that
    Wandahsega knowingly engaged in sexual contact with H.D.W. Gudwer testified that when she
    spoke with H.D.W. about “PK,” he looked down and pointed to his groin area and said, “just like
    dad and his girlfriend do.” And Dr. Judy testified that H.D.W. told Dr. Judy that his (H.D.W.’s)
    dad “had touched him inappropriately, touched his penis and put his finger up his rectum on
    occasion.”
    Regarding Gudwer’s, Maycroft’s, and H.D.W.’s “controversial relationships” with
    Wandahsega, all were cross-examined about any alleged bias against him. Ultimately, the jury
    No. 18-1219                     United States v. Wandahsega                               Page 19
    believed their testimony, and “[a]ll reasonable inferences and resolutions of credibility are made
    in the jury’s favor.” See United States v. Washington, 
    702 F.3d 886
    , 891 (6th Cir. 2012). The
    fact that Gudwer, Maycroft, and H.D.W. might have been biased against Wandahsega does not
    render their testimony insufficient for a conviction. See United States v. Bailey, 
    444 U.S. 394
    ,
    414–15 (1980) (“It is for [jurors] and not for appellate courts, to say that a particular witness
    spoke the truth or fabricated a cock-and-bull story.”). The jury was entitled to credit their
    testimony, which was wholly consistent with the rest of the evidence presented at trial.
    Finally, Wandahsega contends that the government failed to prove that Wandahsega
    knew that he was engaging in sexual conduct with H.D.W. because, if he did engage in such
    conduct, it could have occurred during an alcohol-related blackout. But as the government’s
    expert witness testified, “you are up on your feet, you’re moving, you’re doing actions, but you
    are not recording those memories” during a blackout. This is in contrast to “passing out,” when
    one is “unconscious” and in “a comatose state.” Blackouts accordingly affect one’s ability to
    store and retrieve memories of events that occurred during the blackout but, according to the
    government’s expert witness, do not affect one’s ability to complete intentional acts or to
    differentiate right from wrong. The jury therefore had sufficient evidence to rationally conclude
    that Wandahsega knew that he was engaging in sexual conduct with H.D.W., even if he had been
    blacked out at the time. Accordingly, the district court did not err in denying Wandahsega’s
    motion for a judgment of acquittal.
    H. Wandahsega’s sentence
    We now turn to Wandahsega’s challenges to his sentence. He makes three challenges to
    the procedural reasonableness of his sentence, and one challenge to its substantive
    reasonableness.
    A sentence is procedurally reasonable if the district court “(1) properly calculated the
    applicable advisory Guidelines range; (2) considered the other [18 U.S.C.] § 3553(a) factors as
    well as the parties’ arguments for a sentence outside the Guidelines range; and (3) adequately
    articulated its reasoning for imposing the particular sentence chosen, including any rejection of
    the parties’ arguments for an outside-Guidelines sentence and any decision to deviate from the
    No. 18-1219                      United States v. Wandahsega                              Page 20
    advisory Guidelines range.” United States v. Bolds, 
    511 F.3d 568
    , 581 (6th Cir. 2007). If the
    court’s sentence was procedurally sound, then we “consider the sentence’s substantive
    reasonableness under an abuse-of-discretion standard, taking into account the totality of the
    circumstances, including the extent of a variance from the Guidelines range.” Gall v. United
    States, 
    552 U.S. 38
    , 51 (2007). For sentences within the Guidelines range, we “may, but [are]
    not required to, apply a presumption of reasonableness.” Id.
    1.      Enhancement for a pattern of prohibited sexual conduct
    Wandahsega first argues that his sentence is procedurally flawed because enhancing his
    offense level under § 4B1.5(b)(1) of the Sentencing Guidelines was not supported by a
    preponderance of the evidence. Section 4B1.5(b)(1) provides for a five-level enhancement when
    “the defendant’s instant offense of conviction is a covered sex crime . . . and the defendant
    engaged in a pattern of activity involving prohibited sexual conduct.” A defendant engages “in a
    pattern of activity involving prohibited sexual conduct if[,] on at least two separate occasions, the
    defendant engaged in prohibited sexual conduct with a minor.” U.S. Sentencing Guidelines
    Manual § 4B1.5 cmt. n.4(B)(i).
    Wandahsega argues that the evidence does not support a finding of at least two separate
    occasions of prohibited sexual conduct with H.D.W., and further argues that the district court
    erred in counting as one occasion the very conduct underlying the crime of conviction. Counting
    the conduct underlying the crime of conviction as one instance of conduct supporting the
    application of § 4B1.5, he argues, amounts to impermissible “double counting” because
    Wandahsega’s base offense level already accounts for the offense of conviction.
    But according to the Sentencing Commission’s commentary to § 4B1.5, “[a]n occasion of
    prohibited sexual conduct may be considered . . . without regard to whether the occasion
    occurred . . . during the course of the instant offense.” U.S. Sentencing Guidelines Manual
    § 4B1.5 cmt. n.4(B)(ii). Binding caselaw also supports the proposition that the two required
    occasions of prohibited sexual conduct for § 4B1.5(b)(1)’s enhancement may include the instant
    offense of conviction. See United States v. Al-Cholan, 
    610 F.3d 945
    , 954 n.4 (6th Cir. 2010)
    (“These two separate occasions [for § 4B1.5(b)(1)’s enhancement] may include the instant
    No. 18-1219                       United States v. Wandahsega                             Page 21
    offense, and prior occasions need not have resulted in a conviction to qualify.” (internal
    quotation marks omitted)); see also United States v. Broxmeyer, 
    699 F.3d 265
    , 285 (2d Cir.
    2012) (“[The defendant’s] conviction on Count Three clearly provides one of the two occasions
    of prohibited sexual conduct necessary to establish a pattern of activity.”). Wandahsega has
    cited no contrary authority, aside from the dissent in Broxmeyer. The district court therefore did
    not err in counting the conduct underlying Wandahsega’s conviction for the purposes of applying
    § 4B1.5(b)(1).
    Wandahsega also argues that a preponderance of the evidence does not support a finding
    of a pattern of activity involving prohibited sexual conduct. At trial, however, H.D.W. testified
    that his father had touched his genitals more than one time on different days. Dr. Judy further
    testified that H.D.W. said that Wandahsega had touched him on two separate occasions a number
    of days before going to the hospital. And during H.D.W.’s second forensic interview with
    Ruleau, which was not admitted at trial but was presented at the sentencing hearing, H.D.W.
    reaffirmed that his father had touched him multiple times. The district court’s factual finding
    that Wandahsega had engaged in a pattern of prohibited sexual conduct with H.D.W. was
    therefore not clearly erroneous.
    2.        Enhancement based on acquitted conduct
    In his second procedural challenge to his sentence, Wandahsega contends that the district
    court erred in using conduct for which he was acquitted (aggravated sexual abuse) to enhance his
    sentence under § 2A3.4(c)(1) of the Guidelines. Section 2A3.4(c)(1) of the Guidelines provides
    that if an offense involves “criminal sexual abuse or attempt to commit criminal sexual abuse,”
    then the sentencing court should apply § 2A3.1 of the Guidelines.            Section 2A3.1, which
    addresses sentencing for criminal sexual abuse, provides for a base offense level of 30, whereas
    § 2A3.4, which addresses sentencing for abusive sexual contact, provides for a base offense level
    of 20. Sexual abuse consists of, among other things, “knowingly . . . engag[ing] in a sexual act
    with another person if that other person is . . . incapable of appraising the nature of the conduct.”
    
    18 U.S.C. § 2242
    (2)(A). Criminal sexual abuse involves a sexual act rather than sexual contact.
    See 
    18 U.S.C. § 2242
    . A sexual act is defined as:
    No. 18-1219                     United States v. Wandahsega                             Page 22
    (A) contact between the penis and the vulva or the penis and the anus, and for
    purposes of this subparagraph contact involving the penis occurs upon
    penetration, however slight;
    (B) contact between the mouth and the penis, the mouth and the vulva, or the
    mouth and the anus;
    (C) the penetration, however slight, of the anal or genital opening of another by a
    hand or finger or by any object, with an intent to abuse, humiliate, harass,
    degrade, or arouse or gratify the sexual desire of any person; or
    (D) the intentional touching, not through the clothing, of the genitalia of another
    person who has not attained the age of 16 years with an intent to abuse,
    humiliate, harass, degrade, or arouse or gratify the sexual desire of any
    person.
    
    Id.
     § 2246(2).
    The district court applied § 2A3.1 to calculate Wandahsega’s offense level because he
    was charged with aggravated sexual abuse in addition to abusive sexual contact. It concluded
    that, although Wandahsega had been acquitted of aggravated sexual abuse, the government had
    proven by a preponderance of the evidence that Wandahsega had committed such abuse. The
    court based this conclusion on H.D.W.’s testimony and his statements to other witnesses:
    At one point he describe[d] the act that [Wandahsega] was perpetrating on him to
    the point where it caused pain. That’s in the context of a discussion about his butt
    hole being hurt. He also talk[ed] about contact with his, where his pee comes out
    and where his poop comes out. And he described [Wandahsega] using his hands
    to accomplish that, those sexual acts.
    Wandahsega contends that (1) “the use of acquitted conduct to enhance a sentence defies
    notions of justice,” and (2) the allegations of sexual abuse were not proven by a preponderance
    of the evidence. He cites dissenting opinions and an out-of-circuit district court opinion to
    highlight the alleged injustice of using acquitted conduct to determine a defendant’s sentence.
    But controlling caselaw explicitly allows sentencing courts to consider such acquitted conduct.
    In United States v. Watts, 
    519 U.S. 148
     (1997), for example, the Supreme Court held that “a
    jury’s verdict of acquittal does not prevent the sentencing court from considering conduct
    underlying the acquitted charge, so long as that conduct has been proved by a preponderance of
    the evidence.” 
    Id. at 157
    . An en banc panel of this court similarly held that “the district court’s
    consideration of acquitted conduct in sentencing passes constitutional muster . . . insofar as
    No. 18-1219                     United States v. Wandahsega                              Page 23
    enhancements based on acquitted conduct do not increase a sentence beyond the maximum
    penalty provided by the United States Code.” United States v. White, 
    551 F.3d 381
    , 386 (6th Cir.
    2008) (en banc). Because the district court determined that the government had proven by a
    preponderance of the evidence that Wandahsega committed criminal sexual abuse and did not
    sentence Wandahsega beyond the maximum penalty provided for by the statute, the court
    correctly concluded that it could consider the sexual abuse for which Wandahsega was acquitted
    in determining his sentence.
    Nor did the district court commit clear error in determining that the government had
    proven by a preponderance of evidence that Wandahsega had committed criminal sexual abuse
    by engaging in sexual acts with H.D.W. H.D.W. testified that his father had touched H.D.W.’s
    privates—where he “poop[s] and pee[s].” And Dr. Judy testified that H.D.W. said that, a
    number of days prior to H.D.W.’s hospital visit, Wandahsega had touched H.D.W.’s “penis and
    put his finger up his rectum on occasion.” Those incidents fit within the definition of a sexual
    act, which includes “the penetration, however slight, of the anal or genital opening of another by
    a hand or finger or by any object, with an intent to abuse, humiliate, harass, degrade, or arouse or
    gratify the sexual desire of any person.” 
    18 U.S.C. § 2246
    (2)(C). And because H.D.W. was
    “incapable of appraising the nature of the conduct” at six years of age, the government proved by
    at least a preponderance of the evidence that Wandahsega committed sexual abuse. See 
    id.
    § 2242(2)(A).
    Even without the DNA evidence, which Wandahsega contends was “essentially
    meaningless,” the district court found that H.D.W. was credible.         See Anderson v. City of
    Bessemer City, 
    470 U.S. 564
    , 574 (1985) (“Where there are two permissible views of the
    evidence, the factfinder’s choice between them cannot be clearly erroneous.”); United States v.
    Esteppe, 
    483 F.3d 447
    , 452 (6th Cir. 2007) (“We afford the district court’s credibility
    determinations regarding witness testimony great deference . . . .”). The district court therefore
    did not err in applying § 2A3.1 of the Guidelines to Wandahsega’s sentence.
    No. 18-1219                      United States v. Wandahsega                               Page 24
    3.      Special assessment under the Justice for Victims of Trafficking Act
    Wandahsega’s third procedural challenge to his sentence concerns the imposition of a
    $5,000 special assessment under the Justice for Victims of Trafficking Act (JVTA) of 2015,
    
    18 U.S.C. § 3014
    (a)(2). The JVTA provides that, in addition to the standard special assessment
    against those convicted of felonies under 
    18 U.S.C. § 3013
    , “the court shall assess an amount of
    $5,000 on any non-indigent person or entity convicted of an offense under . . . chapter 109A
    (relating to sexual abuse).” 
    Id.
     § 3014(a)(2). Defendants have “20 years after the release from
    imprisonment” to pay the assessment. Id. §§ 3014(g), 3613(b). At sentencing, the district court
    imposed the special assessment without making a detailed factual finding of Wandahsega’s
    nonindigence, but “detailed findings are not necessary where it can be inferred that the district
    court considered the defendant’s ability to pay and other factors required by law.” See United
    States v. Powell, 423 F. App’x 602, 610–11 (6th Cir. 2011).
    Wandahsega contends that the district court erred in imposing the JVTA special
    assessment because he was indigent at the time of sentencing. He was found eligible for
    court-appointed counsel in the district court, and the court determined that he would be unable to
    pay a fine. Moreover, the PSR stated that Wandahsega has never had a job earning more than
    $10 per hour, that he has no assets other than a checking account containing $200, and that he
    has $30,000 in outstanding medical bills. But the PSR also said that Wandahsega “believes he
    will obtain employment with Hannahville Indian Community upon his release.”                 The PSR
    therefore concluded that, although Wandahsega could not “satisfy a lump sum payment in the
    advisory fine range,” he “may be able to make incremental payments towards a financial
    sanction.”
    Because Wandahsega did not object to the $5,000 special assessment before the district
    court, he “may obtain relief on appeal only if the error is ‘plain’ and ‘affects substantial rights.’”
    See United States v. Vonner, 
    516 F.3d 382
    , 385 (6th Cir. 2008) (en banc) (quoting Fed. R. Crim.
    P. 52(b)). Section 3014 does not define the term “indigent,” but this court has held that in
    assessing indigency, the court must resolve two basic questions:             “(1) Is the defendant
    impoverished now; and (2) if so, does the defendant have the means to provide for himself so
    that he will not always be impoverished?” United States v. Shepherd, -- F.3d --, No. 18-3993,
    No. 18-1219                     United States v. Wandahsega                              Page 25
    
    2019 WL 1925640
    , at *3 (6th Cir. May 1, 2019) (emphasis in original). We may therefore
    consider a defendant’s future earning potential in determining indigency. 
    Id.
    Wandahsega argues that he is currently impoverished due to his outstanding debts and
    lack of assets. He further contends that his substance-abuse and mental-health issues impede his
    future ability to earn money, as does a federal sex-offense conviction on his record. Contrary to
    his argument, however, the PSR states that Wandahsega “believes he will obtain employment
    with Hannahville Indian Community upon his release.” And Wandahsega does not address why
    he would be unable to earn money while incarcerated. See United States v. King, 466 F. App’x
    484, 489–90 (6th Cir. 2012) (upholding the imposition of a fine despite the defendant’s current
    lack of ability to pay it, where he could participate in the Bureau of Prisons’ Financial Program
    to work the fine off). Even if Wandahsega should be classified as impoverished now, and even if
    he earns only a minimum hourly wage when released from prison, he has not demonstrated that
    he will be unable to pay the assessment in increments over a twenty-year period.
    Furthermore, the fact that Wandahsega qualified for court-appointed counsel “is
    probative but not dispositive of whether [he] is indigent under § 3014.” Shepherd, 
    2019 WL 1925640
    , at *4. District courts may appoint counsel to defendants if they are “financially unable
    to obtain adequate representation,” 18 U.S.C. § 3006A(a), but “the standard of financial inability
    is ‘something less than indigency or destitution.’” Brown v. United States, 716 F. App’x 488,
    492 (6th Cir. 2017) (quoting United States v. Harris, 
    707 F.2d 653
    , 660 (2d Cir. 1983)).
    “Indigency is a more dire condition than simply living paycheck-to-paycheck: it summons the
    thought of one who earns no paycheck at all and instead relies on others for life’s basic
    necessities.” Shepherd, 
    2019 WL 1925640
    , at *3.
    Finally, the JVTA special assessment is not discretionary. See 
    18 U.S.C. § 3014
    (a)(2)
    (“[T]he court shall assess an amount of $5,000 on any non-indigent person . . . .” (emphasis
    added)). It is akin to a fine imposed as part of a sentence. For fines under the Sentencing
    Guidelines, the district court “shall” impose a fine and the defendant bears the burden of proving
    indigency. U.S. Sentencing Guidelines Manual § 5E1.2. Wandahsega has failed to show that the
    district court plainly erred in concluding that he failed to meet that burden. He has also failed to
    No. 18-1219                      United States v. Wandahsega                              Page 26
    demonstrate that any alleged error by the district court affected his substantial rights, as required
    under the plain-error standard.
    4.      Substantive reasonableness of the sentence
    Finally, Wandahsega contends that his 288-month (24-year) sentence is substantively
    unreasonable because it is excessive in light of the purposes of sentencing. For a sentence to be
    substantively reasonable, “it must be proportionate to the seriousness of the circumstances of the
    offense and offender, and sufficient but not greater than necessary, to comply with the purposes”
    of § 3553(a). United States v. Vowell, 
    516 F.3d 503
    , 512 (citation and internal quotation marks
    omitted).    This court applies a rebuttable presumption of substantive reasonableness to a
    within-guidelines sentence. Vonner, 
    516 F.3d at 389
    . Demonstrating that a below-Guidelines
    sentence is unreasonable “is even more demanding.” United States v. Curry, 
    536 F.3d 571
    , 573
    (6th Cir. 2008).
    Wandahsega has not explained why the district court’s sentence is not proportionate to
    the seriousness of the offense for which he was convicted, nor has he explained in more than a
    conclusory manner why the sentence is greater than necessary to comply with the purposes of
    § 3553(a).   In fact, the district court departed from the Sentencing Guidelines and varied
    downward four levels when sentencing Wandahsega because it found that the Guidelines range
    of 360 months to life imprisonment was “greater than necessary.”
    To determine the sentence, which ended up being 72 months below the Guidelines range,
    the district court carefully considered each of the factors set out in § 3553(a) and explained the
    reasoning behind the sentence.       Wandahsega therefore has not met his heavy burden of
    demonstrating that his below-Guidelines sentence is unreasonable. The district court therefore
    did not abuse its discretion in sentencing Wandahsega to 288 months of imprisonment.
    III. CONCLUSION
    For all of the reasons set forth above, we AFFIRM all aspects of the district court’s
    judgment.
    

Document Info

Docket Number: 18-1219

Citation Numbers: 924 F.3d 868

Judges: Clay, Gilman, Kethledge

Filed Date: 5/21/2019

Precedential Status: Precedential

Modified Date: 10/19/2024

Authorities (26)

Gall v. United States , 128 S. Ct. 586 ( 2007 )

united-states-v-real-property-located-at-1184-drycreek-road-granville , 174 F.3d 720 ( 1999 )

Troy R. Stuart v. Julius Wilson, Warden , 442 F.3d 506 ( 2006 )

United States v. Anastasios S. Katzopoulos , 437 F.3d 569 ( 2006 )

United States v. Riyaid Swidan , 888 F.2d 1076 ( 1989 )

Idaho v. Wright , 110 S. Ct. 3139 ( 1990 )

United States v. Bailey , 100 S. Ct. 624 ( 1980 )

Jackson v. Virginia , 99 S. Ct. 2781 ( 1979 )

United States v. Timothy Wade Forrest , 17 F.3d 916 ( 1994 )

United States v. John L. Harris , 707 F.2d 653 ( 1983 )

United States v. Albert J. Kappell , 418 F.3d 550 ( 2005 )

United States v. Vowell , 516 F.3d 503 ( 2008 )

United States v. Studabaker , 578 F.3d 423 ( 2009 )

United States v. Watts , 117 S. Ct. 633 ( 1997 )

United States v. Nicholas Turning Bear, Iii, Also Known as ... , 357 F.3d 730 ( 2004 )

united-states-v-robert-phibbs-92-5509-victor-rojas-92-551292-5523 , 999 F.2d 1053 ( 1993 )

United States v. Curry , 536 F.3d 571 ( 2008 )

United States v. Bolds , 511 F.3d 568 ( 2007 )

United States v. W. R. Walters, United States of America v. ... , 638 F.2d 947 ( 1981 )

United States v. Roquel Allen Carter , 236 F.3d 777 ( 2001 )

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