People v. Cousin CA2/4 ( 2021 )


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  • Filed 10/5/21 P. v. Cousin CA2/4
    NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS
    California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions
    not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion
    has not been certified for publication or ordered published for purposes of rule 8.1115.
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    SECOND APPELLATE DISTRICT
    DIVISION FOUR
    THE PEOPLE,                                                     B307746
    Plaintiff and Respondent,                              (Los Angeles County
    Super. Ct. No.BA462241)
    v.
    WYAUNTE COUSIN,
    Defendant and Appellant.
    APPEAL from a judgment of the Superior Court of
    Los Angeles County, Kathleen Kennedy, Judge. Affirmed.
    Emry J. Allen, under appointment by the Court of Appeal,
    for Defendant and Appellant.
    Xavier Becerra, Attorney General, Lance E. Winters, Chief
    Assistant Attorney General, Susan Sullivan Pithey, Assistant
    Attorney General, Stephanie A. Miyoshi and Eric J. Kohm,
    Deputy Attorneys General, for Plaintiff and Respondent.
    A jury convicted appellant Wyaunte Cousin of four counts
    of rape and one count of robbery against victims Emily and
    Debra.1 Appellant raises multiple issues on appeal. First, he
    contends the court erred in admitting Debra’s preliminary
    hearing testimony based on a finding that she was unavailable as
    a witness pursuant to Evidence Code section 1291 after she
    refused to testify at trial. Second, he argues that the court
    improperly instructed the jury using CALCRIM No. 1191B
    regarding his propensity to commit sexual offenses. Third, he
    challenges the admission of testimonial hearsay statements made
    by the victims during their sexual assault examinations. Fourth,
    he asserts that his sentence was unconstitutional and failed to
    consider his youth as a factor in mitigation. We conclude
    appellant has not established prejudicial error. We therefore
    affirm.
    PROCEDURAL HISTORY
    On September 13, 2018, appellant was charged by
    information with four counts of forcible rape, two each against
    Debra and Emily (Pen. Code, § 261, subd. (a)(2); counts one
    through four),2 and two counts of second degree robbery, one each
    against Debra and Emily (§ 211; counts five and six). The
    information further alleged as to the rape counts that appellant
    was convicted of committing a specified sexual offense against
    more than one victim (§ 667.61, subds. (b), (e)(4)), and that he
    1 We refer to the victims and civilian witnesses by their first
    names to protect their privacy interests. (Cal. Rules of Court,
    rule 8.90(b).)
    2 All further statutory references are to the Penal Code
    unless otherwise indicated.
    2
    personally inflicted great bodily injury in the commission of the
    rape counts against Emily (§ 667.61, subds. (a), (d)(6)).
    On April 22, 2019, the jury found appellant guilty on all
    four rape counts and the robbery count as to Debra (counts one
    through five). The jury further found the special allegations true.
    The jury acquitted appellant of count 6, the robbery charge
    against Emily.
    Because the jury found true the allegations under section
    667.61, appellant was sentenced on counts one through four
    pursuant to the “One Strike” law, an alternative, harsher
    sentencing scheme that applies to specified felony sex offenses.
    (People v. Anderson (2009) 
    47 Cal.4th 92
    , 102; § 667.61.) The
    court sentenced appellant to a total of 70 years to life plus 16
    years in state prison, as follows: 25 years to life on count three
    pursuant to section 667.61, subdivisions (a) and (d)(6), 15 years to
    life as to each of counts one, two, and four, pursuant to section
    667.61, subdivisions (b) and (e)(4), to run consecutively to count
    three, and one year on count five. The sentence also included a
    15 year sentence for an unrelated charge.3 Appellant timely
    appealed.
    3In 2016, appellant pled no contest to an unrelated
    carjacking (§ 207(a)) and was sentenced to 15 years in prison.
    Pursuant to section 1170.1, subdivision (a), the court here
    pronounced a single determinate term of 16 years, combining the
    one-year sentence imposed in this case and the previously-
    imposed 15-year term.
    3
    FACTUAL BACKGROUND
    I.     Prosecution Evidence
    A.    Rape of Emily
    1.    Emily’s testimony
    Emily testified that at the time of the incident in April
    2016 she was 19 years old and homeless, sometimes “bouncing . .
    . from house-to-house,” and sometimes living on the streets.
    Around 9:20 p.m. on April 26, 2016, she was outside a Kentucky
    Fried Chicken restaurant in the city of North Hills, sending a
    text message to her friend Rajon. She messaged Rajon that she
    wanted to “get high and just hang out.” She had
    methamphetamine with her, but did not have a pipe.
    As she stood outside the restaurant, appellant drove up in a
    white SUV and parked next to her. Appellant got out of the car
    and went into the restaurant. When he came out, he asked
    Emily her name. Emily responded that it was “Milli.” Appellant
    said, “I remember you. I had met you before.” Emily said she did
    not recognize him, and appellant responded that he met her “with
    Rajon and Rajon’s uncle.” Emily testified that she began to trust
    him a bit more after he correctly identified her friend Rajon, even
    though she did not recall meeting him before. Appellant asked
    what she was doing and Emily said she was trying to get high but
    did not have enough money to buy a pipe. Appellant told her “I
    have the rest that you need. Let’s go.”
    Emily got into the front passenger seat of appellant’s car
    and they drove a few blocks to a gas station, where appellant
    bought a pipe. Next, they parked in a parking lot and smoked
    methamphetamine. Afterward, appellant continued to drive
    them around, ignoring Emily’s repeated suggestions to drop her
    off.
    4
    Appellant drove into an industrial area, pulled over, and
    asked to smoke out of the pipe again. Emily received a message
    on her phone from Rajon and she responded, telling Rajon that
    she was “with some guy you know,” but was “trying to go” and
    wanted to “meet up right now.” She told appellant that Rajon
    was at a nearby park, and appellant agreed to take her there.
    Emily texted Rajon she had been repeatedly asking appellant to
    leave, and that he was supposed to drop her off. The prosecution
    introduced Emily’s text messages with Rajon at trial.
    Emily testified that at some point she realized that
    appellant “was not going to drop me off or—any time soon.” She
    told appellant, “You are on like some other shit,” and opened the
    door to leave. Appellant grabbed her wrist and said, “close the
    fucking door, bitch.” Emily testified that she was very scared and
    recalled “kind of just going into survival mode, kind of just going
    along with it.” She closed the car door and appellant hit her on
    the left side of her face. After that, appellant grabbed her by the
    neck and began squeezing hard. She felt like “my whole face was
    on fire, and it felt like it was going to explode.” She tried to
    scream but “no air was coming in. No sounds were coming out.”
    She started to kick and then lost consciousness. When she woke
    up, her pants were pulled down and appellant had his penis in
    her vagina. She started crying and saying “this is the worst
    thing that’s ever happened to me,” over and over. Appellant said,
    “Stop crying, bitch. It’s weird.”
    Appellant told Emily to go into the backseat of the car, but
    she could not move her body. Appellant moved her onto the
    backseat on her stomach. He followed her, reinserted his penis
    and began raping her again. Emily recalled crying and telling
    appellant, “Please don’t kill me.” Appellant told her he would not
    5
    kill her if she did not tell anyone. She estimated that he
    continued to rape her in the back seat for “at least an hour.”
    After he stopped, she told him she needed to get out of the car.
    Appellant noticed that she had blood on her face, and said, “I
    don’t know why you have blood on your face; I didn’t hit you.”
    Emily wiped her face and then appellant said she could go.
    Emily got out of the car, leaving behind her phone, a phone
    charger, and one of her shoes. Appellant immediately drove
    away.
    Emily estimated she was unconscious for about an hour
    during the assault, because she could see her watch when
    appellant moved her to the back seat. After appellant drove
    away, she ran to a nearby apartment of an acquaintance. There,
    she took a shower and borrowed some clothing. She did not
    attempt to call the police because of the threats from appellant.
    She called her father and told him what happened. She asked
    him to pick her up.
    Her father arrived at the apartment with the police. She
    asked if she could answer their questions inside her father’s car,
    because she was scared appellant would drive by and see her.
    She told the police that she was smoking weed, rather than
    methamphetamine, because she did not want to get in trouble
    with her father. Otherwise she told the truth.
    Emily went to the hospital and then to a rape clinic for a
    sexual assault examination. She testified that following the
    incident, she experienced a lot of pain in her tongue, neck, and
    head. At trial, she identified several photographs of her injuries
    taken at the rape clinic a few hours after the assault. She
    explained to the jury that she had red marks on her cheek and
    lip, her face was swollen, her neck was bruised, and that the
    6
    whites of her eyes were red from appellant hitting and strangling
    her. She also discussed a photograph showing that her tongue
    was swollen and bruised. She identified a photograph of the
    sweater she was wearing, which had blood on the neckline and
    shoulder, and her pants; she noticed after she regained
    consciousness in appellant’s car that her pants were a little wet,
    but she did not know why.
    While she was at the clinic, she used the clinic’s computer
    to send a message to Rajon, telling him: “He choked me out when
    I tried to leave. I can’t even begin to explain. He fucking raped
    me, dude. He choked me. I couldn’t fucking breathe, and I tried
    to fight back. I broke his window, but I woke up an hour later
    and the bitch was fucking raping me. I was crying, dude. I
    couldn’t move.” She testified that appellant told her during the
    assault that she had cracked his windshield, and she thought it
    must have happened when she was kicking before passing out.
    Emily met with Rajon a few days later and gave him a
    description of her assailant and his vehicle. Rajon said that
    description matched someone with the nickname “Junkyard
    Dog.” As they talked further, Emily recalled briefly meeting
    appellant about four or five months before at a gathering with
    friends.
    A few months later, Emily identified appellant from a
    photographic lineup as looking similar to her assailant. In
    August 2017, Emily spoke to the police again while she was in a
    rehabilitation facility. She admitted to smoking
    methamphetamine rather than marijuana at the time of the
    assault.
    2.    Guy and Rajon
    Emily’s father, Guy, testified that she called him between
    7
    2:00 and 2:30 a.m. on April 27, 2016. She was crying, told him
    she had been raped, and asked him to pick her up. Emily did not
    want to call the police, but Guy called 911. Then he went to pick
    Emily up. He testified that when he saw Emily, she was walking
    slowly, shaking, and crying. The whites of her eyes were a deep
    red, she had red bruises and scratches on her neck, and her
    tongue was swollen and discolored, making it difficult for her to
    talk.
    The prosecution played the recording of Guy’s 911 call at
    trial. Guy told the operator that Emily had called him and said
    she had been raped and choked.
    Rajon testified that he was texting with Emily on April 26,
    2016 around 9:30 p.m. because they were trying to meet. At one
    point, she stopped responding. Then, around 5:00 a.m. the next
    morning, he got another text from Emily saying she had been
    raped. He met with Emily about 10 to 12 hours later, and she
    described her assailant. From that description, he thought it was
    “Junkyard Dog,” whom he identified in court as appellant. Rajon
    had also seen appellant in the area in a white SUV, the day
    before or the day of the assault. Rajon testified that he met
    appellant twice through Rajon’s uncle. He recalled seeing
    appellant meet Emily once, briefly, a couple of days prior to the
    assault.
    3.     Investigation
    Officer Lance Novak of the Los Angeles Police Department
    (LAPD) met with Emily at her friend’s apartment. He described
    Emily as “visibly upset,” shaken, scared, and looking like “she
    had been beaten up.” Her eyes were so bloodshot that “you
    couldn’t see the whites of her eyes, more or less.”
    8
    The police took Emily to a clinic in Northridge for a sexual
    assault examination. Novak observed remotely while Emily was
    interviewed by medical personnel. He confirmed that the
    statements Emily gave the nurse were “the same general story”
    she had given him.
    Marilyn Stotts, a nurse practitioner, performed the sexual
    assault examination on Emily at the Northridge Center for
    Assault Treatment Services. Emily reported to Stotts that she
    had ingested marijuana within the past 72 hours and showered
    after the attack. Emily estimated losing consciousness for an
    hour during the assault. She reported pain in her tongue, mouth,
    neck, and shoulder. Emily told Stotts that appellant strangled
    her and hit her in the jaw. Stotts noticed that Emily had injuries
    consistent with strangulation, including the scleral hemorrhages
    in both eyes (resulting in reddened whites of the eye), as well as
    injuries to her clavicle and neck, and a cluster of bruising on her
    arm about the size of fingerprints. Stotts also noted bruising,
    punctures, and swelling on Emily’s tongue. Stotts opined that
    strangulation could cause a seizure, which would be consistent
    with Emily’s tongue injuries if she bit her tongue while seizing.
    She also noted cuts and abrasions to Emily’s genitalia.
    Stotts opined that the injuries she observed were consistent
    with the report Emily gave. She also noted some wetness in the
    underwear and pants Emily was wearing at the time of the
    assault. Stotts did not know whether it was urine, but testified
    that loss of bladder function could occur after about 15 seconds of
    strangulation.
    LAPD Detective Esther Myape met with Emily at the rape
    treatment clinic on April 27, 2016. Myape testified that Emily
    was exhausted, upset, and crying. Two months later, Emily
    9
    identified appellant from a six-pack photographic lineup The
    vaginal swabs taken from Emily during her sexual assault
    examination contained semen that matched appellant’s DNA.
    B.    Rape of Debra
    1.    Debra’s testimony
    Debra testified at the preliminary hearing on August 30,
    2018 and her testimony was read at trial. Debra testified that
    she was 18 years old at the time of the incident on April 28, 2016.
    That evening, she was working as a prostitute at the corner of
    Figueroa and Manchester in Los Angeles. As she walked down
    the street, appellant pulled up alongside her in a small white
    Jeep and offered her $100 for a “date.” Debra got into the front
    seat of the car and appellant began to drive. She noticed a tattoo
    on the right side of his face.
    After driving for some time, appellant pulled into an alley.
    He parked the passenger side of the car against a fence, which
    made Debra uncomfortable because she was unable to get out of
    the car. She asked him for the money and he laughed and said
    he did not have any money. Debra testified that she tried not to
    panic, and asked him, “So are you going to rape me?” He
    responded, “I’m going to rape you.”
    Appellant told Debra to get into the back seat of the car
    and she complied because she was “already stuck.” As she did so,
    she took off her long acrylic nails because “I was going to fight
    him.” Appellant followed into the backseat and began trying to
    choke Debra. She tried to push him off of her. Appellant then
    punched her in her left eye so hard that she was “out. I just took
    – I laid there.” Debra started to cry and appellant kept telling
    her to shut up. She asked him to put on a condom but he refused.
    He then inserted his penis into her vagina. Debra testified that
    10
    she was afraid he would kill her if she fought back. After a few
    minutes of raping her, appellant ejaculated inside her, then fell
    asleep on top of her. She could not move with his weight on her.
    After a few hours, he woke up and put his penis inside her vagina
    again. Debra began to cry again and then she threw up.
    Appellant made her clean it up. Afterward, he asked her, “Are
    you going to tell on me? . . . . Because if you are, then let me
    know, so I could kill you now.” Debra said she would not.
    Appellant took $20 out of her purse and also read her name aloud
    from a card in her purse. He also took her cell phone.
    Appellant let Debra out of the car and drove away. She
    tried to see his license plate but could not, because her eye was
    “all fucked up.” Debra got on the bus to go home. A woman came
    up to her on the bus and asked what was wrong. Debra told her
    that she had been assaulted. The woman called the police and
    told Debra not to disclose that she was a prostitute “because if
    you tell them that, they won’t help you.”
    When the police arrived, Debra did not tell them she had
    been working as a prostitute. Instead, she said that “some guys
    kidnapped me.”
    2.     Investigation
    LAPD officer Cody Silva responded on April 28, 2016 to the
    911 call regarding Debra. She spoke to a witness, Akeisha, who
    said that she had called 911 for Debra. Officer Silva also spoke to
    Debra, and noticed that she was crying, extremely upset, and
    that her left eye was swollen. Debra told Silva that she had been
    forced into a car by two men.4
    4After both victims identified appellant as the assailant,
    the cases were coordinated. Detective Myape interviewed Debra
    11
    Amy Adler is a nurse practitioner at the rape treatment
    center in Santa Monica. She conducted a sexual assault
    examination on Debra on April 28, 2016. Adler testified that
    when Debra arrived, her left eye was swollen shut. The area
    around her eye was swollen, bruised, and tender and she
    complained of pain on the left side of her face. Debra reported
    vomiting twice during the assault. Debra also said that the
    assailant hit her in the face and threatened to kill her. Debra
    reported three instances of penile-vaginal penetration; Adler
    testified that Debra had an abrasion and tenderness in her
    vaginal area. Adler opined that her examination findings were
    consistent with Debra’s statements regarding the assault.
    LAPD detective Irma Castillo was the primary investigator
    for Debra’s case. Castillo testified that when she met with Debra
    following her sexual assault examination, Debra gave a
    description of the suspect and told her that the assailant had
    kept her cell phone. The next day, April 29, 2016, detectives
    tracked the phone’s GPS and located appellant, who matched the
    description given by Debra, including facial tattoos. Appellant
    had Debra’s cell phone in his pocket. LAPD officers brought
    Debra to the location where they had detained appellant. She
    identified him as her assailant and the police arrested him.
    Testing of the genital swabs taken from Debra during her sexual
    assault examination detected semen matching appellant’s DNA.
    II.    Defense Evidence
    Appellant did not present any affirmative evidence at trial.
    in October 2017, and Debra admitted she was working as a
    prostitute on the evening of the assault and was not kidnapped
    as she initially reported.
    12
    DISCUSSION
    I.       Admission of Debra’s Preliminary Hearing Testimony
    Appellant contends that the trial court improperly found
    Debra unavailable for trial and thereafter admitted her
    preliminary hearing testimony. He argues that the use of this
    testimony violated his rights to due process and confrontation.
    He also argues that, at a minimum, the court should have found
    Debra to be “infirm” and ordered a conditional examination
    pursuant to section 1336. We conclude the court properly
    admitted the testimony.
    A.     Background
    Debra testified at the preliminary hearing on August 30,
    2018, as detailed above, and defense counsel cross-examined her.
    Defense counsel’s questions focused on the defense theory that
    appellant and Debra engaged in consensual sex and appellant
    then refused to pay her the agreed-upon amount.
    The parties presented opening statements at trial on April
    15, 2019. On April 17, in the middle of the prosecution’s case, the
    prosecution moved to admit Debra’s preliminary hearing
    testimony under Evidence Code sections 240 and 1291. The
    prosecution reported that Debra had been a cooperative witness
    until April 15, when she refused to be transported to court and
    stated she did not want to testify or see appellant again. She
    subsequently refused all further efforts at contact.
    The court held a due diligence hearing on April 17, 2019, at
    which the prosecution presented multiple witnesses. Detective
    Myape testified as the investigating officer currently assigned to
    Debra’s case. On April 5, she served Debra with a subpoena for a
    court appearance on April 9, 2019. At the time, Debra was
    cooperative, as she had been since the beginning of the case, and
    13
    appeared to be willing to come to court. It turned out Debra was
    not needed that day, so Myape made arrangements to meet with
    Debra on April 15 to prepare for her trial testimony. Debra
    agreed to be picked up by Detective Jeffrey Allen and driven to
    the courthouse for the meeting. Myape sent her a reminder on
    the day of the meeting. She got no response, which was unusual,
    as Debra always responded quickly to texts and calls.
    On April 15, at the time of the planned meeting, Myape
    asked Christine Von Helmolt from the sex crimes division in the
    District Attorney’s office to meet Debra at the courthouse. Von
    Helmolt testified that Detective Allen called her around 3:00 p.m.
    from Debra’s apartment and advised that Debra was not willing
    to come with him to court. Von Helmolt spoke with Debra over
    the phone; Debra stated that she was having child care issues
    and family problems, that “she wasn’t willing to come, that she
    wasn’t feeling it, and she wasn’t going to come.” Von Helmolt
    testified that she offered “a number of solutions to the problems
    [Debra] presented,” including providing child care, meeting with
    a victim advocate to discuss services for her family problems, and
    assuring Debra that all she had to do that day was review the
    preliminary hearing transcript in preparation for trial. Debra
    responded “very negatively. She kept insisting that she is not
    feeling it. She’s not coming.” In the middle of this conversation,
    Debra handed the telephone back to Allen, refused to talk
    further, and refused to go with him.
    After court proceedings that day, Myape went to Debra’s
    residence. Myape testified that she arrived around 7:00 p.m. and
    Debra answered the door. Debra told Myape that she did not
    want to come to court and slammed the door. Myape spoke
    through the door for several minutes, trying to reassure Debra
    14
    that “I wanted to talk to her about what was going on with her;
    that I could help her.” Debra opened the door again, started
    crying, said she did not want to be on the stand testifying again,
    and “she did not want to be in the same room with the defendant
    again. She didn’t want to look at him.” Debra said she had
    already testified once and did not understand why that was not
    enough. Myape gave her some cupcakes she had brought and a
    subpoena to appear the next day, April 16. Debra took them and
    closed the door.
    Myape texted Debra later that night that she was
    concerned about her and what she was going through, and offered
    to take her to talk to a victim’s advocate the next morning. There
    was no response. The next morning, she went to Debra’s
    residence and was informed by the security guard that Debra had
    just left. Myape called and texted Debra but received no
    response. She also went to the daycare where Debra took her
    child. She saw Debra’s child there, but did not see Debra. Myape
    asked the apartment building security guard to call if Debra
    came home. She received a call from the guard around 10:00 a.m.
    and sent Detective Danetta Menifee and her partner to the
    apartment.
    Detective Menifee testified that she and her partner went
    to Debra’s residence around 11:00 a.m. on April 16 to try to make
    contact. They knocked on Debra’s door and could hear a TV on
    inside, but there was no answer. Menifee also called Debra’s
    phone several times, but there was no answer and no voicemail.
    Detective Castillo, the initial investigating officer on
    Debra’s case, also went to Debra’s residence on April 16 to try to
    convince her to come to court. She testified that she and another
    detective arrived around 1:30 p.m. The security guard directed
    15
    them to Debra’s apartment and said that Debra was home.
    Castillo knocked on the door for about 15 minutes and heard the
    television volume increase, but no one answered the door. They
    found out from the security guard that the apartment did not
    have a landline. They also contacted the building manager; he
    provided the phone number for Debra’s stepfather, who lived
    with Debra. Castillo called and spoke with the stepfather, who
    was not home at the time, and asked him to contact Debra and
    have her come to the door. He refused, stating that “Debra did
    not want to come to court.” Castillo testified that she continued
    speaking to him for several more minutes and finally persuaded
    him to ask Debra to come out of the apartment to speak to
    Castillo in person. Castillo went back to the apartment and
    knocked again, calling out to Debra to come out and speak with
    her. No one came out. The detectives left around 2:30 p.m.
    Castillo also called Debra’s phone five times and left messages,
    and left her business card at the apartment. She never received
    any response from Debra.
    Detective Menifee and her partner returned to Debra’s
    residence around 5:00 p.m. on April 16, hoping to catch Debra
    when she left the building to pick up her child from the daycare
    facility. They did not see Debra and there was no answer on her
    phone. They also went to the daycare facility and spoke with an
    employee. The employee reported that Debra should arrive prior
    to their closing time at 6:00 pm. Menifee and her partner waited;
    later, they saw a man leaving the daycare with a child matching
    the description for Debra’s child. They followed the man and
    child back to Debra’s apartment, where they saw Debra’s
    stepfather in the lobby. The stepfather complained that the
    detectives were harassing him and Debra, and that Debra did not
    16
    want to testify. Menifee explained how important Debra’s
    testimony was, but the stepfather repeated that Debra did not
    want to testify, and if that meant appellant “gets out of prison, he
    gets out of prison.” Menifee had no further contact with Debra or
    her stepfather after that.
    Detective Myape texted Debra at the end of the day on
    April 16, informing her that the court had issued a bench
    warrant for her appearance, but was holding it until the following
    day, so Debra had another chance to come to court. Myape again
    offered Debra transportation. She also sent the message to
    Debra’s stepfather. She received no response to either text
    message.
    Gregory Hernandez, an investigator for the District
    Attorney’s office, testified that he arrived at Debra’s residence
    around 6:00 a.m. on April 17, waited outside for about 30
    minutes, then knocked at her door. There was no response. He
    waited in the hallway for another 35 minutes, then saw Debra’s
    stepfather, who reluctantly agreed to get Debra from the
    apartment. When Debra came out, Hernandez explained that it
    was important for her to come to court. Debra stated that she did
    not want to go to court. Hernandez recorded this encounter and
    the prosecutor played the video of this exchange during the due
    diligence hearing.
    The court then heard argument on the due diligence issue.
    The prosecutor pointed out that Debra had previously been
    cooperative, attended the preliminary hearing, and maintained
    contact with the detectives. The prosecution knew where Debra
    lived and properly served her with trial subpoenas. Thus, she
    argued that the prosecution had not failed to secure Debra’s
    attendance; rather, the issue was “a question of her not wanting
    17
    to testify here in court.” She also argued that Hernandez, “if
    authorized, could have arrested her this morning and brought her
    before the court. However, the court would be powerless to
    compel her to testify.”5 The prosecutor contended that Debra had
    made it very clear that she did not want to be in court, “to be in
    the same room as the defendant and to testify again. There
    really is nothing else we can do to compel her to come to court
    and testify.”
    Defense counsel responded that the evidence “indicates
    that [Debra] probably is suffering from a post-traumatic stress
    syndrome as a result of the rape. And I think that arguably one
    could argue that that makes her mentally infirm.” Defense
    counsel argued that the court should order a conditional
    examination pursuant to section 1335. The court disagreed,
    stating that “a conditional examination is one that occurs
    basically prior to a trial. It usually takes place in a courtroom,
    not in some remote place. And it’s video-taped and recorded. The
    jury is not here . . . . But the defendant is present. . . . It’s not
    something that you do during a trial.” The court also found that
    defense counsel was not qualified to offer an opinion regarding
    whether Debra was suffering from post-traumatic stress. The
    court continued: “I’m certainly not prepared to reach a diagnosis
    about the witness or to make a determination that she is
    mentally infirm. [¶] So I just don’t see how this conditional
    5Code of Civil Procedure section 1219, subdivision (b)
    provides: “Notwithstanding any other law, a court shall not
    imprison or otherwise confine or place in custody the victim of a
    sexual assault or domestic violence crime for contempt if the
    contempt consists of refusing to testify concerning that sexual
    assault or domestic violence crime.”
    18
    examination has application to the situation that we’re in now.”
    The court agreed with the prosecution that even if Hernandez
    forcibly brought Debra to court, “I cannot find her in contempt,
    nor could I imprison her for not testifying. . . . [¶] So I don’t
    really know what reasonably could be done.”
    Defense counsel reiterated that appellant’s rights could be
    protected by having a conditional examination. The court
    responded that “there is no conditional examination. We are in
    trial.” The prosecutor pointed out that even with a conditional
    examination, appellant would be present, and that Debra “made
    clear to Detective Myape that she does not want to be in the same
    room as the defendant, nor does she want to talk about the
    assault again.” Defense counsel suggested that appellant “could
    have waive[d] his presence” at a conditional examination. The
    court asked “are you suggesting now that your client is willing to
    waive his presence . . . so that she could testify in front of the
    jury? Are you really suggesting that?” Defense counsel said no.
    The court concluded “that the prosecution has exercised
    due diligence” to secure Debra’s presence, but that she was
    unavailable as a witness. Accordingly, the court allowed the
    prosecution to read the transcript of her testimony from the
    preliminary hearing.
    B.    Analysis
    The state and federal constitutions afford a criminal
    defendant the right to confront the prosecution’s witnesses. (U.S.
    Const., 6th Amend.; Cal. Const., art. I, § 15.) That right is not
    absolute, however; under certain circumstances, the prosecution
    may introduce a witness’s out-of-court statements at trial.
    (People v. Herrera (2010) 
    49 Cal.4th 613
    , 621 (Herrera).)
    Evidence Code section 1291 sets forth the requisite
    19
    circumstances. Under that statute, a witness’s prior testimony is
    not rendered inadmissible if (1) “the declarant is unavailable as a
    witness,” and (2) the “party against whom the former testimony
    is offered was a party to the action or proceeding in which the
    testimony was given and had the right and opportunity to cross-
    examine the declarant with an interest and motive similar to that
    which he has at the hearing.” (Evid. Code, § 1291, subd. (a)(2).)
    Here, appellant contends the prosecution did not establish the
    first element.
    A witness is unavailable when he or she is “[a]bsent from
    the hearing and the proponent of his or her statement has
    exercised reasonable diligence but has been unable to procure his
    or her attendance by the court’s process.” (Evid. Code, § 240,
    subd. (a)(5); see also People v. Valencia (2008) 
    43 Cal.4th 268
    ,
    291-292 [in determining due diligence “California law and federal
    constitutional requirements are the same.”].) To establish the
    exercise of reasonable or due diligence and unavailability, “the
    prosecution must show that its efforts to locate and produce a
    witness for trial were reasonable under the circumstances
    presented.” (Herrera, 
    supra,
     49 Cal.4th at p. 623.)
    There is no “‘mechanical definition’” of reasonable diligence;
    the term “[r]easonable diligence, often called ‘due diligence’ in
    case law, ‘connotes persevering application, untiring efforts in
    good earnest, efforts of a substantial character.’” (People v.
    Cogswell (2010) 
    48 Cal.4th 467
    , 477 (Cogswell); People v. Cromer
    (2001) 
    24 Cal.4th 889
    , 904 (Cromer).) “A witness who is absent
    from a trial is not ‘unavailable’ in the constitutional sense unless
    the prosecution has made a ‘good faith effort’ to obtain the
    witness’s presence at the trial.” (Herrera, 
    supra,
     49 Cal.4th at p.
    622, citations omitted.) “‘The length[ ] to which the prosecution
    20
    must go to produce a witness . . . is a question of reasonableness.’
    The ultimate question is whether the witness is unavailable
    despite good-faith efforts undertaken prior to trial to locate and
    present that witness.’” (Ibid.)
    We “‘defer to the trial court’s determination of the historical
    facts of what the prosecution did to locate an absent witness,’”
    and “‘independently review whether those efforts amount to
    reasonable diligence sufficient to sustain a finding of
    unavailability.’” (People v. Thomas (2011) 
    51 Cal.4th 449
    , 503.)
    Applying this mixed standard of review, we conclude that the
    trial court did not err in finding that the prosecution exercised
    reasonable diligence to produce Debra.
    Appellant contends that the trial court should have taken
    further steps to assess Debra’s willingness to testify, including
    bringing her to court despite her express refusal. We find
    Cogswell, supra, 
    48 Cal.4th 467
     on point. There, the victim,
    Lorene, was visiting California from Colorado when she was
    sexually assaulted by Cogswell. She testified at the preliminary
    hearing, but refused to return to California for trial. (Id. at p.
    471.) The prosecution sought to compel her attendance through a
    process set forth in the Uniform Act to Secure the Attendance of
    Witnesses from without the State in Criminal Cases (§ 1334 et
    seq.) (Uniform Act), under which a Colorado court issued a
    subpoena to the victim. (Cogswell, 
    supra,
     48 Cal.4th at p. 472.)
    The victim refused to appear at trial and the prosecutor
    explained to the court that the victim had said “that she has had
    as much of this matter as she can possibly handle. . . . And she
    has emotional issues with coming back here to court.” (Id. at p.
    473.) The trial court declared her unavailable and permitted the
    prosecution to introduce her preliminary hearing testimony.
    21
    (Ibid.)
    The Court of Appeal reversed, finding that to establish
    reasonable diligence, the prosecution was required to use the
    provision of the Uniform Act allowing the court to detain and
    transport the victim to California. (Cogswell, supra, 48 Cal.4th
    at p. 474.) The Supreme Court disagreed, concluding that the
    prosecution had used reasonable diligence in attempting to
    obtain the witness’s presence at trial. (Id. at p. 473.) The court
    held that Code of Civil Procedure section 1219, subdivision (b) did
    not prohibit the prosecution from invoking the Uniform Act’s
    “custody-and-delivery provision,” but conversely, the prosecution
    was not required to do so before it could establish due diligence.
    (Id. at pp. 476-477.) The court reasoned, “To have a material
    witness who has committed no crime taken into custody, for the
    sole purpose of ensuring the witness’s appearance at a trial, is a
    measure so drastic that it should be used sparingly. (See, e.g.,
    State v. Reid (1976) 
    114 Ariz. 16
    , 
    559 P.2d 136
    , 145 [‘Confinement
    of a witness, even for a few days, not charged with a crime, is a
    harsh and oppressive measure which we believe is justified only
    in the most extreme circumstances.’].) Confinement would be
    particularly problematic when, as in this case, the witness is a
    sexual assault victim.” (Cogswell, supra, 48 Cal.4th at p. 477–
    478.) The court identified potential concerns, including that
    “sexual assault victims are particularly likely to be traumatized
    because of the nature of the offense,” and that “[e]ven fewer such
    crimes would be reported if sexual assault victims could be jailed
    for refusing to testify against the assailant.” (Id. at p. 478.)
    The Cogswell court thus concluded that “the prosecution
    acted reasonably when it chose not to request—even though
    permitted under the Uniform Act’s custody-and-delivery
    22
    provision—to have sexual assault victim Lorene taken into
    custody and transported from Colorado to California to testify at
    defendant’s trial.” (Cogswell, supra, 48 Cal.4th at p. 478.) Given
    the victim’s repeated refusals to testify despite issuance of a valid
    subpoena, the court found it was “highly unlikely that had
    Lorene been taken into custody, she would have become a
    cooperative witness. . . . Having spoken directly to Lorene, the
    prosecutor was in the best position to assess the strength of her
    determination not to testify at defendant’s trial. Based on that
    assessment, the prosecutor could reasonably conclude that
    invoking the Uniform Act’s custody-and-delivery provision would
    not have altered Lorene’s decision not to testify again about the
    sexual assault, and thus it would have been a waste of time and
    resources.” (Id. at p. 479.)
    We reach the same conclusion here, finding that
    “confinement of a sexual assault victim to ensure her presence at
    the assailant’s trial would . . . not be a reasonable means of
    securing the witness’s presence.” (Cogswell, 
    supra,
     48 Cal.4th at
    p. 479.) Numerous individuals from the district attorney’s office
    and the LAPD called and visited Debra as soon as she began
    refusing to come to court and continued their efforts multiple
    times over the course of three days, attempting to address her
    concerns and convince her to testify against appellant at trial.
    They also made the same pleas to Debra’s stepfather, explaining
    the importance of her testimony to the case. When they could not
    locate Debra, they continued to attempt to reach her by phone,
    through her building’s employees, her stepfather, and at her
    child’s daycare center. Despite these attempts, Debra repeatedly
    stated that she would not testify again, becoming visibly upset
    and stating that she did not want to be in the same room as
    23
    appellant. She also took steps to avoid further contact with the
    prosecution, refusing to answer her phone or come to the door,
    and sending someone else to pick up her child from daycare.
    Under these circumstances, we agree with the trial court’s
    conclusion that the prosecution exercised due diligence in its
    efforts to secure Debra as a trial witness. After repeated
    attempts to convince Debra, “the prosecutor was in the best
    position to assess the strength of her determination not to
    testify.” (Cogswell, supra, 48 Cal.4th at p. 479.) Moreover, it was
    not error for the trial court to find under Cogswell that the
    drastic step of taking Debra into custody and transporting her to
    court was not necessary to demonstrate due diligence.
    We are not persuaded otherwise by appellant’s assertion
    that simply because Debra lived in California, taking her into
    custody, bringing her to court, and forcing her into the same room
    as her assailant would involve “relatively minimal (compared to
    Cogswell) effort or trauma to the victim.” Appellant’s suggestion
    that the rationale of Cogswell is only applicable to “a truly
    extreme case” is belied by the language of that decision and is not
    supported by citation to any authority. The prosecution here
    presented evidence of extensive efforts to persuade Debra to
    testify, which were met with absolute resistance from the
    witness. The trial court was entitled to rely on the prosecution’s
    assessment and did not err in concluding that forcing an already
    upset sexual assault victim to come to court was unwarranted
    and unlikely to produce her cooperation.
    Appellant also contends that the trial court erred in
    denying his request for a conditional examination of Debra
    pursuant to section 1336. “In all criminal cases, ‘other than those
    for which the punishment may be death’ (§ 1335, subd. (a)), the
    24
    prosecution may apply for a court order compelling a material
    witness to submit to a conditional examination if the witness ‘is
    about to leave the state, or is so sick or infirm as to afford
    reasonable grounds for apprehension that he or she will be
    unable to attend the trial, or is a person 65 years of age or older,
    or a dependent adult’ (§ 1336, subd. (a).)” (People v. McCoy (2013)
    
    215 Cal.App.4th 1510
    , 1519.) The party requesting the
    conditional examination must submit an affidavit stating, among
    other things, that “the witness is about to leave the state, or is so
    sick or infirm . . . that he or she will not be able to attend the
    trial. . . .” (§ 1337, subd. (d)(1).) During the conditional
    examination, the defendant has the right to be present with
    counsel. (§ 1340, subd. (a).)
    We find no error in the trial court’s refusal to order a
    conditional examination of Debra during trial. In his opening
    brief, appellant cited no authority supporting his contention that
    a conditional examination could be employed where a sexual
    assault victim has been declared unavailable mid-trial. In reply,
    he cites People v. Foy (2016) 
    245 Cal.App.4th 328
    , 341-342 as
    support. “Obvious reasons of fairness militate against our
    considering this poorly developed and untimely argument.”
    (Garcia v. McCutchen (1997) 
    16 Cal.4th 469
    , 482, fn. 10.)
    Moreover, appellant’s belatedly-cited case is inapposite. In
    People v. Foy, supra, at pp. 328, 339-340, a conditional
    examination was taken over a month before trial because the
    witness to a robbery had moved out of the state. In addition, it
    was not error for the court to conclude that Debra would have
    been just as unwilling to testify during a conditional examination
    as she would have at trial, particularly given appellant’s
    presence.
    25
    II.    CALCRIM No. 1191B
    Appellant contends the trial court erred by instructing the
    jury that it could use a charged sexual offense to find a
    propensity to commit sexual offenses, based on a modified version
    of CALCRIM No. 1191B. Based on this instruction, he asserts
    that the jury might have found he committed one of the charged
    offenses beyond a reasonable doubt and then “bootstrapped” that
    finding to convict him of other offenses without making the
    requisite finding that he committed each offense beyond a
    reasonable doubt. We find no error.
    A.     Background
    The trial court instructed the jury with a modified version
    of CALCRIM No. 1191B as follows: “[The] People presented
    evidence that the defendant committed the crime of Rape as
    charged in Count One through Four. [¶] If the People have
    proved beyond a reasonable doubt that the defendant committed
    one or more of these crimes, you may, but are not required to,
    conclude from that evidence that the defendant was disposed or
    inclined to commit sexual offenses, and based on that decision,
    also conclude that the defendant was likely to commit and did
    commit the other sex offense charged in this case. [¶] If you find
    that the defendant committed one of these crimes, that
    conclusion is only one factor to consider along with all the other
    evidence. It is not sufficient by itself to prove that the defendant
    is guilty of the other crime. The People must still prove each
    charge beyond a reasonable doubt.” Defense counsel did not
    object to the instruction.
    B.     Legal framework
    “Character evidence, sometimes described as evidence of a
    propensity or disposition to engage in a type of conduct, is
    26
    generally inadmissible to prove a person’s conduct on a specified
    occasion.” (People v. Villatoro (2012) 
    54 Cal.4th 1152
    , 1159
    (Villatoro), citing Evid. Code, § 1101, subd. (a).) However, the
    Legislature has created a specific exception to the rule against
    admitting character evidence in cases involving sexual offenses.
    (Evid. Code, § 1108, subd. (a) (§ 1108(a)); see also Villatoro,
    supra, 54 Cal.4th at p. 1159.)
    As relevant here, section 1108(a), provides, “In a criminal
    action in which the defendant is accused of a sexual offense,
    evidence of the defendant’s commission of another sexual offense
    or offenses is not made inadmissible by Section 1101, if the
    evidence is not inadmissible pursuant to Section 352.” “Enacted
    in 1995, section 1108 ‘implicitly abrogates prior decisions of this
    court indicating that “propensity” evidence is per se unduly
    prejudicial to the defense.’” (Villatoro, supra, 54 Cal.4th at p.
    1160, quoting People v. Falsetta (1999) 
    21 Cal.4th 903
    , 911
    (Falsetta).)
    In Villatoro, supra, 54 Cal.4th at p. 1160, our Supreme
    Court considered whether section 1108 permitted using evidence
    of other charged sexual offenses as well as uncharged offenses.
    The court concluded that it did, reasoning that “nothing in the
    language of section 1108 restricts its application to uncharged
    offenses. Indeed, the clear purpose of section 1108 is to permit
    the jury’s consideration of evidence of a defendant’s propensity to
    commit sexual offenses.” (Id. at p. 1164; see also Falsetta, 
    supra,
    21 Cal.4th at p. 915 [“[C]ase law clearly shows that evidence that
    [a defendant] committed other sex offenses is at least
    circumstantially relevant to the issue of his disposition or
    propensity to commit these offenses.”].) Thus, the court
    concluded: “In light of this clear purpose, we perceive no reason
    27
    why the Legislature would exclude charged sexual offenses from
    section 1108’s purview, and no indication that it did so in either
    the text of section 1108 or its legislative history. Whether an
    offense is charged or uncharged in the current prosecution does
    not affect in any way its relevance as propensity evidence.”
    (Villatoro, supra, 54 Cal.4th at p. 1164.)
    C.    Analysis
    Appellant contends that instructing the jury with
    CALCRIM No. 1191B violated his due process rights.
    Preliminarily, respondent argues that appellant forfeited this
    argument by failing to object at trial. Failure to object to
    instructional error forfeits the issue on appeal unless the error
    affects a defendant’s “substantial rights.” (§ 1259; People v. Flood
    (1998) 
    18 Cal.4th 470
    , 482, fn. 7; People v. Felix (2008) 
    160 Cal.App.4th 849
    , 857.) The question is whether the error
    resulted in a miscarriage of justice under People v. Watson (1956)
    
    46 Cal.2d 818
     (Watson). (People v. Arredondo (1975) 
    52 Cal.App.3d 973
    , 978.)
    Here, appellant argues that the purported instructional
    error implicates his substantial rights; moreover, to the extent
    that his counsel’s failure to object worked a forfeiture, he
    contends that his counsel rendered ineffective assistance. We
    address his contentions on the merits to determine whether there
    was an impairment of his substantial rights or ineffective
    assistance of counsel. (See People v. Felix, supra, 160
    Cal.App.4th at p. 858; People v. Anderson (2007) 
    152 Cal.App.4th 919
    , 927.)
    Appellant’s contention that CALCRIM No. 1191B lowered
    the prosecution’s burden of proof is squarely foreclosed by the
    holding in Villatoro, supra, 
    54 Cal.4th 1152
    . There, the court
    28
    considered and approved a modified version of CALCRIM No.
    1191B substantially similar to the one given here. (Id. at p.
    1167.) The court concluded that “the instruction clearly told the
    jury that all offenses must be proven beyond a reasonable doubt,
    even those used to draw an inference of propensity. Thus, there
    was no risk the jury would apply an impermissibly low standard
    of proof.” (Id. at p. 1168.) Indeed, the Villatoro court expressly
    rejected the suggestion appellant raises here that the jury might
    not be able to engage in the “mental gymnastics” required to
    understand the applicable burden of proof. (Ibid.) Thus, the
    court concluded that “[t]he modified version of CALCRIM No.
    1191 did not impermissibly lower the standard of proof or
    otherwise interfere with defendant’s presumption of innocence.”
    (Ibid.)
    Appellant acknowledges Villatoro, but appears to suggest
    that we follow the dissent. We are bound to follow the Supreme
    Court’s decision. (People v. Johnson (2012) 
    53 Cal.4th 519
    , 527-
    528; Auto Equity Sales, Inc. v. Superior Court of Santa Clara
    County (1962) 
    57 Cal.2d 450
    , 455.) Appellant’s claim of
    unfairness here parallels the objections of the dissenters in
    Villatoro that the instruction would permit the “bootstrapping of
    verdicts” and the possibility that the jury might “‘simply conclude
    that because it found the defendant guilty of one count, he must
    be guilty of the others.’” (Villatoro, supra, 54 Cal.4th at pp. 1170,
    1175, 1179, conc. & dis. opn. of Corrigan, J.) However, the
    majority disagreed, concluding that the instruction “did not
    permit the jury to convict defendant of one count based simply on
    its guilty ‘verdict’ on any other counts. [Citation.] It is not the
    verdict itself, but rather the jury’s factual finding that defendant
    has committed a sex offense, that the jury relies on to draw an
    29
    inference of disposition or propensity.” (Id. at p. 1165.) The court
    also noted that the instruction, like the one given here, “affirmed
    that evidence that the defendant committed a charged offense ‘is
    not sufficient by itself to prove the defendant is guilty of another
    charged offense.’” (Ibid.)
    Appellant also argues that the admission of propensity
    evidence was unduly prejudicial, citing Evidence Code section
    352. But apart from his general objection over the use of a
    charged offense under section 1108, appellant has not articulated
    any error by the trial court based on Evidence Code section 352 in
    admitting evidence of two similar attacks that occurred only two
    days apart. (See Villatoro, supra, 54 Cal.4th at pp. 1168-1169
    [finding that evidence of two similar attacks “was highly
    probative of defendant’s propensity to commit such crimes, and
    its value substantially outweighed any prejudice”].)6
    III.   Admission of Hearsay Statements
    Appellant argues that the court erred in admitting the
    reports of the sexual assault examinations conducted by nurse
    practitioners Stotts and Adler because they contained “highly
    prejudicial hearsay.” Specifically, he objects to the portion of the
    reports containing statements made by the victims. We conclude
    that even if the reports were admitted in error, any error was
    harmless.
    A.    Factual Background
    During trial, both Stotts and Adler testified that they
    completed a state-mandated form as part of their sexual assault
    6Because we find no error, we need not address appellant’s
    contention that his attorney’s failure to preserve this claim
    constituted ineffective assistance of counsel.
    30
    examination protocol. These forms included a sexual assault
    history of the patient, which Stotts and Adler testified that they
    used to guide the subsequent physical examination and also to
    assist them in reaching an opinion as to whether the examination
    results were consistent with what the patient reported.
    When the prosecutor began to question Stotts regarding the
    form she completed for Emily, defense counsel objected “on the
    grounds of hearsay as to anything said by the victim.” He argued
    that the report included a narrative of what the victim said had
    occurred and that it was no “different than a police report which
    is typically objectionable as hearsay.” The prosecutor countered
    that the statements were “used by the expert in order to guide
    her . . . medical examination. And she also used it to form her
    opinion that the exam was consistent with the history, and that
    is a non-hearsay purpose for these statements.” The court ruled
    that the evidence was admissible because it was “not really
    offered for the truth of the matter; it’s offered for how the expert
    then conducts the examination and reaches an opinion. And you
    can even cross-examine her on the point that she doesn’t know
    whether the patient is telling the truth.” Defense responded “ok”
    and questioning continued.
    Later, during her testimony, Stotts acknowledged that it
    was not her job to judge if what the patient told her was true.
    She also testified that the primary purpose of the sexual assault
    examination was to gather evidence to give to the police. The
    custodian of records for the Santa Monica rape treatment center
    also testified that the forms were used to collect evidence for law
    enforcement purposes.
    Defense counsel did not object when the prosecutor
    questioned Adler regarding the form she completed for Debra’s
    31
    examination. However, at the close of evidence, defense counsel
    objected to the admission of both forms into evidence. He again
    asserted hearsay grounds, arguing that the forms were “akin to a
    police report” and “clearly intended for law-enforcement
    purposes, not for treatment or diagnosis.” The prosecutor
    reiterated that the statements were offered for a non-hearsay
    purpose as the nurse practitioners used them to “guide their
    examination as well as to conclude whether or not the exam is
    consistent with the history.” The court overruled the objection,
    but stated that it would instruct the jury on the limited purpose
    of the evidence and that defense counsel was free to argue that
    the “experts’ opinions aren’t reliable because the information that
    was given to them is not true.”
    The jury was instructed that the relevant exhibits “contain
    alleged statements from Emily [ ] and Debra [ ] made to a Nurse
    Practitioner at the time of a sexual assault examination. Those
    statements are not offered for their truth, but rather to show the
    basis for any opinions expressed by the nurse practitioner.” The
    jury was also instructed that it could consider that evidence only
    for that purpose and “for no other.”
    B.    Legal Standards
    Appellant contends that the sexual assault examination
    reports were inadmissible hearsay and should have been
    excluded. Respondent asserts that the reports were admissible
    as business records under Evidence Code section 1271.
    A trial court’s ruling on the admissibility of evidence,
    including one that turns on the hearsay nature of the evidence, is
    reviewed under the abuse of discretion standard. (People v.
    Waidla (2000) 
    22 Cal.4th 690
    , 725.) Hearsay is “evidence of a
    statement that was made other than by a witness while testifying
    32
    at the hearing and that is offered to prove the truth of the matter
    stated.” (Evid. Code, § 1200, subd. (a).) Hearsay is inadmissible
    unless it falls under an exception. (Id., subd. (b).)
    Pursuant to Evidence Code section 1271, certain business
    records can be excepted from the hearsay rule. Admissible
    business records are those “writings made in the regular course
    of business, at or near the time of the event, and created through
    sources of information and a method of preparation reflecting its
    trustworthiness.” (People v. Sanchez (2016) 
    63 Cal.4th 665
    , 695,
    fn. 21 (Sanchez).) However, when a business record “is not made
    to facilitate business operations but, instead, is primarily created
    for later use at trial, it does not qualify as a business record.”
    (Ibid., citation omitted.)
    Documents may also contain several layers of hearsay. “An
    emergency room report, for example, may record the observations
    made by the writer, along with statements made by the patient.
    If offered for its truth, the report itself is a hearsay statement
    made by the person who wrote it. Statements of others, related
    by the report writer, are a second level of hearsay. Multiple
    hearsay may not be admitted unless there is an exception for
    each level.” (Sanchez, supra, 63 Cal.4th at p. 675.)
    C.     Analysis
    We are not persuaded that respondent has established the
    admissibility of the reports as business records. First, the
    testimony by Stotts, Adler, and the custodian of records
    suggested that the state-mandated forms were generated
    primarily for law enforcement purposes and use as evidence in a
    court, rather than as a medical record, which may disqualify
    them as business records. (See Sanchez, supra, 63 Cal.4th at p.
    695, fn. 21; People v. McVey (2018) 
    24 Cal.App.5th 405
    , 415
    33
    [police reports were not subject to business records hearsay
    exception because “‘the regularly conducted business activity is
    the production of evidence for use at trial’”], quoting Melendez-
    Diaz v. Massachusetts (2009) 
    557 U.S. 305
    , 321.)
    Second, the findings and observations of the nurse
    practitioners recorded on the forms constituted only the first
    layer of hearsay. Respondent ignores the fact that the
    statements the victims made to Stott and Adler, which they in
    turn recorded on the forms, made up a second, distinct layer of
    hearsay for which an independent hearsay exception was
    required. (Sanchez, supra, 63 Cal.4th at p. 675.) Respondent
    offers no grounds apart from the business records exception to
    admit the victims’ statements. However, as we discuss post, any
    error in admitting these statements was harmless.
    We note that even where hearsay is properly admitted
    pursuant to an exception for purposes of state law, it may
    nonetheless violate the Sixth Amendment’s confrontation clause.
    (Crawford v. Washington (2004) 
    541 U.S. 36
    , 53-54 (Crawford)
    [holding that the admission of testimonial hearsay violates the
    confrontation clause unless the declarant is unavailable for trial
    and the defendant had a prior opportunity to cross-examine the
    declarant].) Appellant made a passing reference to
    “confrontation” in his appellate briefing, but did not properly
    raise the argument on appeal that the admission of the victims’
    statements violated Crawford.
    Moreover, appellant did not properly preserve an objection
    on this basis at trial. Instead, defense counsel objected only on
    the basis that the statements were hearsay; neither counsel nor
    the court raised the issue of a federal constitutional violation.
    Thus, we conclude that even if he had properly raised it on
    34
    appeal, appellant would have forfeited this claim. (People v.
    Redd (2010) 
    48 Cal.4th 691
    , 730–731 [the defendant “did not
    raise an objection below based upon the confrontation clause, and
    therefore has forfeited this claim”]; People v. Raley (1992) 
    2 Cal.4th 870
    , 892 [hearsay objection did not preserve
    confrontation clause argument for appeal], superseded by statute
    on other grounds as stated in People v. Brooks (2017) 
    3 Cal.5th 1
    ,
    63, fn. 8; see also People v. Holmes (2012) 
    212 Cal.App.4th 431
    ,
    435–436 [confrontation clause objection preserved only “where ...
    the context makes clear that the court and opposing counsel were
    aware that the confrontation clause was the basis of the hearsay
    objection”].)
    Because appellant has not preserved an objection based on
    a federal constitutional violation, any error in admitting the
    sexual assault reports at trial is an issue of state law only and is
    subject to the harmless-error analysis under Watson, supra, 46
    Cal.2d at p. 836. (People v. Leach (1975) 
    15 Cal.3d 419
    , 445.)
    Under this standard, we reverse a conviction only where “it is
    reasonably probable that a result more favorable to [the
    defendant] would have been reached in the absence of the error.”
    (Watson, supra, at p. 836.)7
    Here, it is not reasonably probable the jury would have
    reached a different result had the court excluded the sexual
    assault examination reports, particularly the victims’ statements
    during the examination. Emily testified in great detail regarding
    the assault by appellant, and Debra’s preliminary testimony was
    read at trial. The central details provided by both women of the
    7Indeed, given the strength of the evidence here, we would
    find any error harmless under any standard.
    35
    incidents were corroborated in multiple ways—other witnesses
    (both civilian and police) confirmed that Emily and Debra had
    reported being assaulted and raped that night, Emily
    contemporaneously sent text messages to her friend with the
    same statements, photographs of their injuries matched their
    descriptions of the incidents, and genital swabs taken from both
    victims revealed semen containing appellant’s DNA. Moreover,
    both women independently identified appellant as their assailant
    and described similar incidents, bolstering the credibility of each
    victim’s account, as there was no indication they had ever met.
    Indeed, even absent the victims’ statements, the nurse
    practitioners’ testimony regarding their observations of the
    victims’ injuries further supported the convictions. Thus, any
    error was harmless.
    IV. Sentencing
    Appellant contends the matter must be remanded for
    resentencing because the trial court “failed to afford mitigating
    weight to appellant’s youth.” We disagree.
    A.     Factual Background
    At the sentencing hearing, the trial court indicated it had
    read and considered the prosecution’s sentencing memorandum,
    the probation officer’s report, and the Static 99 R assessment
    report, which it described as a “diagnostic tool that is utilized to
    predict future dangerousness of a defendant who is accused of
    committing sexually violent offenses.” The court stated that
    appellant was assessed at “a level 7 which is well above average
    risk to re-offend. . . . I will say that in all of the Static 99 reports
    that I have seen over the years, this is the highest number that
    I’ve ever seen in a report of this nature. And it speaks to the
    dangerousness of Mr. Cousin[ ] and his likelihood to re-offend if
    36
    given the opportunity.”
    Defense counsel asked the court to consider factors
    including appellant’s age and family circumstances at the time of
    the incidents. Appellant was 19 at the time he committed the
    rapes. Defense counsel also argued that the victims were “not
    normal” victims because “one of them is a prostitute” and the
    other was involved in “the use of drugs,” and therefore the
    circumstance of the offenses were “somewhat different than if
    this was just a willy-nilly rape of a person out on the street.” The
    court rejected this argument as “incredibly offensive . . . and
    offensive to women, all women, including myself and the other
    women that are in this courtroom.”
    When imposing appellant’s sentence, the court stated that
    “there are 18 year-olds and there are 18 year-olds. And the
    defendant that I see before me in court has been no stranger to
    the criminal justice system over the years.” The court noted that
    there had been unsuccessful efforts to rehabilitate appellant as a
    juvenile and that he had already incurred multiple convictions as
    an adult. Additionally, the court found that although appellant
    may have experienced adverse circumstances in his life, he “has
    apparently decided that that entitles him to . . . victimize
    whomever he wishes to. And he does that on a fairly consistent
    basis. [¶] And he’s a big guy. . . . And these women were no
    match for him and his forcible conduct.” The court noted the very
    high risk based on the assessment tool that appellant would
    continue to commit “offenses of this nature in the future and
    victimize other women.”
    The court acknowledged that appellant’s age was the only
    possible mitigating factor, but concluded that, “considering the
    sophistication and the dangerousness that he’s displayed, it
    37
    doesn’t seem to be a mitigating factor here.” Further, the court
    found that aggravating circumstances clearly outweighed the
    mitigating circumstances, based on the vulnerability of the
    victims, the violence involved, the failure of other efforts,
    including appellant’s failure to comply with the terms and
    conditions of probation, and the increasing seriousness of his
    crimes, all “indicate that increased penalty is appropriate.”
    However, the court noted that appellant could be entitled to an
    early parole hearing because of his age and could potentially earn
    an early release “if he is able to change his life around.”
    B.    Analysis
    Appellant argues that the court was required to account for
    his youth8 when determining his sentence but refused to do so.
    He further contends that the resulting imposition of a sentence of
    70 years to life plus 16 years is the functional equivalent of life
    without parole and thus constitutes cruel and unusual
    punishment in violation his Eighth Amendment rights.
    Appellant relies on a line of cases holding that the law
    requires children to be treated differently from adults for
    sentencing purposes, including Graham v. Florida (2010) 
    560 U.S. 48
     (Graham), Roper v. Simmons (2005) 
    543 U.S. 551
     (Roper),
    Miller v. Alabama (2012) 
    567 U.S. 460
     (Miller), and People v.
    Caballero (2012) 
    55 Cal.4th 262
     (Caballero). In Graham, the
    Unites Stated Supreme Court held that sentencing a juvenile to
    life without the possibility of parole for a nonhomicide offense
    8 We note that in his appellate briefing, appellant
    alternately contends that he was 18 or 19 years old at the time of
    the offenses; the evidence in the record demonstrates that he was
    19.
    38
    violates the Eighth Amendment’s prohibition of cruel and
    unusual punishment. (Graham, supra, 560 U.S. at p. 79.) The
    court noted the “fundamental differences between juvenile and
    adult minds” and that juveniles are “more capable of change than
    are adults.” (Id. at p. 68; see also Miller, 
    supra,
     567 U.S. at p.
    479 [“the Eighth Amendment forbids a sentencing scheme that
    mandates life in prison without possibility of parole for juvenile
    offenders”].) In Caballero, supra, 55 Cal.4th at p. 268, the
    California Supreme Court applied these principles to hold that an
    aggregate determinate sentence of over 100 years violated
    Graham’s requirement that “a state must provide a juvenile
    offender ‘with some realistic opportunity to obtain release’ from
    prison during his or her expected lifetime.” The court also laid
    out specific mitigating circumstances that must be considered by
    a sentencing court before determining at what point juveniles can
    seek parole, including their age and their physical and mental
    development. (Id. at pp. 268-269.)
    This line of cases does not apply to appellant, who was over
    18 at the time of the offenses. He argues that the rationale
    should still apply because he was “indistinguishable from a
    ‘juvenile’” with respect to brain development. This argument has
    repeatedly been made and rejected. While “[d]rawing the line at
    18 years of age is subject . . . to the objections always raised
    against categorical rules . . . [, it] is the point where society draws
    the line for many purposes between childhood and adulthood.”
    (Roper, supra, 543 U.S. at p. 554.) Moreover, the age of 18 “is the
    line the high court has drawn in its Eighth Amendment
    jurisprudence.” (People v. Gutierrez (2014) 
    58 Cal.4th 1354
    , 1380;
    see also People v. Argeta (2012) 
    210 Cal.App.4th 1478
    , 1482
    [“Making an exception for a defendant who committed a crime
    39
    just five months past his 18th birthday opens the door for the
    next defendant who is only six months into adulthood. Such
    arguments would have no logical end, and so a line must be
    drawn at some point.”].)
    Appellant acknowledges this “bright line” but argues that
    we should ignore it and apply the same consideration as in
    Graham and its progeny to his case. We cannot. (People v.
    Johnson, supra, 53 Cal.4th at pp. 527-528.) Because appellant
    was over 18 years of age at the time of the offenses, we conclude
    that his sentence is not cruel and/or unusual under Graham,
    Roper, Miller, or Caballero.
    DISPOSITION
    The judgment is affirmed.
    NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS
    COLLINS, J.
    We concur:
    MANELLA, P. J.
    CURREY, J.
    40