People v. Jackson CA1/4 ( 2022 )


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  • Filed 8/18/22 P. v. Jackson CA1/4
    NOT TO BE PUBLISHED IN OFFICIAL REPORTS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 This opinion has not been certified for publication or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
    FIRST APPELLATE DISTRICT
    DIVISION FOUR
    THE PEOPLE,
    Plaintiff and Respondent,
    A159545
    v.
    JONATHAN JACKSON,                                                     Contra Costa County
    Super. Ct. No. 51705987)
    Defendant and Appellant.
    An 81-year-old woman died six months after she was severely beaten
    and brutally sexually assaulted. Through DNA evidence, defendant Jonathan
    Jackson was implicated in the crimes. A jury convicted Jackson of first degree
    felony murder, rape, kidnapping to commit rape, and forcible penetration by
    a foreign object. The trial court sentenced him to life without the possibility of
    parole. On appeal, Jackson raises numerous claims of error, including the
    exclusion of an exculpatory statement made by the victim before she died,
    insufficient evidence regarding the cause of death, insufficient evidence of
    separate acts of sexual penetration, prosecutorial misconduct, and imposition
    of a parole revocation fine. Jackson contends the cumulative effect of these
    errors denied him a fair trial and due process. Additionally, he challenges the
    constitutionality of the felony-murder special-circumstances law. With the
    exception of the parole revocation fine, which the People agree must be
    stricken, we affirm the judgment.
    1
    I. FACTS
    A.    Prosecution Case
    1.    Brutal Sexual Assault of Jane Doe
    In 2012, 81-year-old Jane Doe1 lived at an independent senior living
    center on San Pablo Avenue in El Cerrito. Those who knew her described her
    as “vibrant” and independent; she was able to cook and clean for herself. She
    regularly participated in activities at the residence. Doe also liked to walk in
    the mornings, typically from her residence to Central Avenue. El Cerrito
    police officers who patrolled Doe’s neighborhood would see her walking “up
    and down” the west side of San Pablo Avenue, between 3:00 a.m. and 6:00
    a.m., during the work week. Her walks were a “couple miles” round trip and
    often took her past the Big O Tires store on San Pablo Avenue.
    On January 28, 2012, at approximately 9:20 a.m., El Cerrito police
    received a dispatch call that a “female needed help” at the Big O Tires store.
    The responding officer found Doe, curled up in a fetal position, slumped over
    some used tires, on the side of the business, covered in blood. He immediately
    told dispatch to send medical help as Doe had extensive injuries. She had
    blood on her face and jacket and in her hair, and there was blood on the
    ground and on the nearby walls. Her pants were pulled down below her
    buttocks, and her underwear was found inside one of the tires. She was
    wearing her left shoe and sock but missing her right ones. Doe had scrapes on
    her side, hip, and legs, and it appeared she had been dragged across the
    cement.
    1 Pursuant to the California Rules of Court, rule 8.90(b)(4), (10), (11),
    governing “Privacy in Opinions,” we refer to the victim as Jane Doe and
    certain witnesses by their initials.
    2
    Police located Doe’s missing shoe which was located on the roof of the
    tire store. A human tooth and fecal matter were found at the scene. Human
    hair was adhered to some of the tires. The area in which Doe and her clothing
    were found was between 74 and 82 feet from the sidewalk on San Pablo
    Avenue. The shoe Doe was wearing had visible drag marks on its outer side.
    The shoe found on the roof had black scuff marks on its top. Her underwear
    had “black scuffing” on it as well. No condoms or condom wrappers were
    found at the scene.
    2.    Doe’s Extensive Injuries
    Doe was airlifted to John Muir Hospital in Walnut Creek. She was
    semi-conscious when she arrived at the hospital and was unable to speak.
    Doe was examined by a sexual assault nurse, who collected evidence, and
    took photographs.2 She was intubated and a hard collar stabilized her neck.
    Her face was extremely swollen and discolored, her eyes were swollen shut,
    and there were extensive injuries to her face, particularly bruising, swelling,
    abrasions and lacerations to the right side of her face. Her hands were
    abraded and bruised, with additional injuries to the ring finger on her right
    hand. Her hips, buttocks, lower back, legs, knees, ankles, and feet were
    bruised and lacerated, including areas where the skin was completely
    abraded away. Her external genitalia were torn lacerated, abraded and
    bruised. Her vaginal wall was torn in multiple places, including a five-
    centimeter laceration, such that fat cells from under her skin were visible
    and her bowels were intruding into her vagina. The blunt force injuries to her
    vagina and cervix were consistent with a forcible sexual assault.
    2As Doe was unable to consent to the examination, a court order was
    obtained.
    3
    In her 36-year career, the nurse who had examined Doe had performed
    over 1,000 sexual assault exams. Doe’s injuries were the worst she had ever
    observed either while performing exams or in training. The nurse testified
    that the blunt force trauma could have been caused by a penis or by a “hard
    blunt object.” Due to the extensive injuries and active bleeding, a sponge was
    used to collect the fluid evidence in Doe’s vagina.
    The doctor who treated Doe noted her injuries included a brain bleed,
    multiple abrasions and contusions, rib fractures and a laceration to her head.
    The skin was cut in multiple directions and some of the tears of her vaginal
    wall were so extensive that vaginal reconstructive surgery was required. The
    vaginal wall had ruptured through to the abdomen so that her internal
    organs were protruding into the vagina and potentially transferring bacteria
    from the vagina back into the abdomen, putting her at risk for sepsis. The
    doctor did not know whether an “instrument or a body part” caused the
    rupture.
    When Doe’s family was first allowed to see her, Doe was unrecognizable
    to them. Her face was swollen and she had tubes connected to her face and an
    IV connected to her body. Doe was unconscious for a few weeks. Even after
    regaining consciousness, she could only partially open her eyes for brief
    periods. She initially could not speak. When she did begin to speak again, she
    said things that did not make sense. She was never again able to care for
    herself, dress herself, walk, cook or even go to the bathroom by herself.
    3.    Doe’s Death
    On February 17, 2012, Doe was discharged from the hospital and sent
    to a rehabilitation facility. Then, on March 10, 2012, she was admitted to an
    acute rehabilitation facility at John Muir Hospital. On March 23, 2012, she
    4
    suffered a fall at the facility. A brain scan revealed a subdural hematoma
    that previously had not been detected.
    On April 15, 2012, Doe was transferred to the emergency department
    at John Muir Hospital as a result of a change in mental status and
    hematemesis, which is vomiting blood. The physician who performed the
    endoscopy concluded the upper gastrointestinal bleeding and resulting
    vomiting was caused by a cancerous tumor.
    While at John Muir Hospital, another head scan was performed, which
    was consistent with the March scan. However, the decision was made to
    perform surgery to remove blood clots that had formed in her skull as a result
    of the subdural hematomas.
    On May 2, 2012, Doe was released to a care facility. Then, on June 5,
    2012, Doe was admitted to a hospice center, where she later died on July 31,
    2012.
    An autopsy conducted on August 1, 2012 revealed that Doe’s subdural
    hematomas had been drained using burr holes in the skull to reduce pressure
    from building up on the surface of her brain. Dr. Arnold Josselson, the
    forensic pathologist who conducted the autopsy, explained that subdural
    hematoma can cause an inability to swallow, and loss of ability to walk
    unassisted, care for one’s self, and feed one’s self. Doe had a slow-growing
    superficial tumor, about an inch and a half in diameter where her esophagus
    connected to her stomach. Dr. Josselson opined the tumor, which was only on
    the surface of the esophagus, had not spread and would have been treatable
    but for the head injury. Doe had fluid in her lungs and one of the lungs was
    partially firm, indicating pneumonia. A feeding tube had been inserted
    because she had been unable to feed herself. In 2012, the pathologist opined
    that Doe died of pneumonia, brought on by her head trauma and the tumor.
    5
    She had been in good cardiovascular condition, indicating regular exercise,
    there was no evidence of recent stroke activity, and her internal organs were
    normal. Dr. Josselson also noted that her knees were scarred. Dr. Josselson
    refined his conclusions about cause of death in 2017, upon review of medical
    reports that either were not yet available or which he had not seen in 2012.
    The burr holes were created due to subdural hematomas that developed from
    the subdural hygroma that was diagnosed upon Doe’s initial admission to the
    hospital. In 2012, Doe had sustained a severe traumatic brain injury
    categorized as a three on the Glasgow Coma Scale, which is generally
    associated with a poor outcome, such as disability or death. CAT scans had
    shown bleeding on the surface of the brain, bleeding inside the cavities of the
    brain, and fluid between the covering of the brain and the brain itself,3 which
    became a subdural hematoma. Due to the traumatic brain injury, Doe was
    never able to resume daily living activities outside of a hospital setting. The
    traumatic brain injury would have caused amnesia and disorientation as well
    as decreased balance and coordination. Brain tissue loss is also accelerated
    by traumatic brain injury. Moreover, the traumatic brain injury was the
    reason that her tumor could not be treated. Thus while the immediate cause
    of death was pneumonia, it became clear that pneumonia was the result of
    the traumatic brain injury (she was unable to swallow, leading to aspiration
    pneumonia, confined to a nursing home, which also made her prone to
    pneumonia) and the tumor, which was untreatable because of the traumatic
    brain injury. She had no problems swallowing before the traumatic brain
    3 Dr. Josselson explained that many radiologists refer to hygromas, the
    collections of spinal fluid in the brain, as chronic, because the hygromas are
    already pooled in the brain at the time of their observations, but hygromas
    can form as a result of injury and the current literature indicates the use of
    the term “chronic” is misleading and should be avoided in this context.
    6
    injury. The manner of death, which is determined by the coroner, not the
    pathologist, was listed as “undetermined.”
    4.    DNA Evidence and Jackson’s Subsequent Arrest
    The DNA from the sperm in the vaginal sponge from Doe’s sexual
    assault evidence kit was isolated to create a profile of the major contributor
    to the male DNA. The minor contributor was the victim. The male profile was
    uploaded into the Combined DNA Index System known as CODIS on June 7,
    2012. Based on the testing and examination, there did not appear to be a
    third contributor to the vaginal sponge sample, just appellant as a major
    contributor and the victim as a minor contributor. A microscopic examination
    did not reveal any particles that normally would be associated with the use of
    a condom.
    On September 1, 2016, Pittsburg police arrested Jackson for driving a
    stolen vehicle and transported him to the Martinez detention facility. On
    September 22, 2016, police were alerted that Jackson was a potential match
    to the DNA sample collected from Doe. A reference DNA sample was taken
    from Jackson pursuant to a warrant. A profile was developed from the buccal
    swab reference sample from Jackson and compared to the profile created in
    2012. The profiles matched. The probability of another perfect match would
    be one in 140 quintillion for Caucasians, one in 40 quintillion for Hispanics,
    and one in 63 quintillion for African-Americans. Mathematically speaking, an
    additional match would not be expected to exist on Earth or even a billion
    Earths.
    B.    Defense Case
    1.    Jackson
    Jackson described himself as a sexual experimentalist, interested in
    bondage, role playing, posting sex acts on the internet and attending public
    7
    sex clubs, but he denied engaging in nonconsensual sex. “Prior to January 28,
    2012,” however, he had never had a sexual interest in older people or dead
    bodies. He was recovering alcoholic who “still dabbled a little” in 2012. He
    regularly used alcohol, marijuana, acid and cocaine, and had prior
    experiences with methamphetamine and LSD.
    On the night of January 27, 2012, Jackson was hanging out at his
    cousin Anthony Trotter’s apartment along with others, including another
    cousin, Romero Wiley. They were all drinking alcohol. Jackson got very
    drunk. At some point during the night, Jackson went to a nearby liquor store
    on San Pablo Avenue to buy more alcohol and returned. After getting into a
    fight with one of his cousins, Jackson decided to leave but could not find his
    phone. He thought he might have lost it when he went to the liquor store and
    went looking for it. As he left, he took “a tab of acid,” which made “everything
    kinda surreal.” Jackson stopped at the Big O Tire Center to urinate in a dark
    corner. After relieving himself, he noticed a woman laying over some tires.
    He assumed she was dead because she was not moving. With his pants not
    quite pulled up from relieving himself, Jackson “shuffled” over to where the
    woman was. He began to use his right hand to touch her vagina while holding
    his penis in his left hand. Although necrophilia was not one of his sexual
    experimentations in the past, he found himself aroused. While still holding
    his penis in his left hand, he started touching her vagina with his right hand.
    He became sexually aroused. At some point he ejaculated, with the semen
    getting onto his hand, and also switched the hand that he used to touch her.
    Jackson denied raping or beating Doe, but took “responsibility for using
    [his] finger to sexually penetrate [Doe] without her consent and against her
    will.” He also possibly touched Doe’s vagina with this left hand. Having not
    8
    found his phone, Jackson went back to his cousin’s apartment and used his
    cousin’s phone to call his mother to pick him up.
    2.       Necrophilia Expert
    Dr. Charles Moser testified that necrophilia is a recognized sexual
    attraction. It is usually opportunistic. People aroused by the dead do not
    typically kill to create the condition that feeds the desire. Their arousal is
    more often triggered when presented with a corpse, and necrophiliacs might
    even take jobs that give them access to the deceased. Sexual arousal by the
    deceased can occur in people who have never been diagnosed with
    necrophilia. Moreover, experiencing one sexually uncommon desire (such as
    bondage and exhibitionism) can lead to others, even if the triggered arousal
    does not rise to the level of a paraphilia. Experiencing one form of sexually
    deviant behavior makes people more open to be aroused by other kinds. And
    the use of alcohol and drugs, which lower inhibitions, make such arousal even
    more likely.
    3.       Diagnostic Radiologist
    Dr. Joan Reynolds, a diagnostic radiologist, read the CT scans of Doe’s
    head taken after she was admitted to John Muir Hospital on the day of her
    attack. She did not detect severe swelling of the brain or a midline shift,
    which would result from pressure on the brain moving it out of its usual
    position and affecting oxygen supply. She did detect some signs of brain
    atrophy, which would be expected in a woman the victim’s age. She detected
    “chronic subdural hygromas,” noting that all hygromas are “chronic,”
    meaning that the fluid has “been there for a while.” She attributed the
    hygromas to atrophy, opining that the space created by the atrophy had filled
    with spinal fluid over time, rather than as a result of the head trauma. She
    did not compare the CT scan she was reading to any other scans of the
    9
    victim’s head, taken before or later, and was unable to determine when the
    hygromas formed, or what further brain damage developed after the injury.
    She acknowledged that in the elderly, in particular, head injuries can worsen
    over time after trauma. Whether atrophy of the brain can be caused by
    traumatic brain injury was a “clinical question” she was not qualified to
    answer. The full body scan of Doe also showed two broken ribs.
    4.    Neuropsychologist
    Dr. Randall Yee, a neuropsychologist, evaluated Doe on three occasions:
    February 1, March 13, and April 25, 2012. He had no prior medical records,
    only those generated at John Muir Hospital, which showed a subarachnoid
    hemorrhage and an intracranial hemorrhage. On February 1, Doe had
    trouble processing, paying attention, and concentrating. It was difficult for
    her daughter to understand what Doe was saying. Doe responded to
    questions, but not always appropriately. She had only a vague recall of the
    assault, knew she was in the hospital, but not the month or day. Her
    daughter reported her mother’s memory problems were much worse after the
    assault than the age-related forgetfulness her mother had experienced before
    the assault. By the second evaluation, on March 13, Doe was in a
    rehabilitation area and, although she still had significant cognitive deficits,
    she was able to speak more easily and at least complete the evaluation. She
    was still well below her baseline of before the head trauma, but was showing
    some progress. She was processing very slowly and could not do simple
    arithmetic. Dr. Yee was aware she had taken a fall while in the
    rehabilitation area. He believed she had recently had surgery to reduce
    pressure on the brain. She had declined from when he saw her in March.
    On cross-examination, Dr. Yee agreed that physical and mental decline,
    a reduced ability to fight off and recover from health challenges, impaired
    10
    cognition, physical dysfunction, loss of balance, and a tendency to acquire
    pneumonia can all accompany a traumatic brain injury. His impressions
    section in that final report included the observation that she had suffered the
    original traumatic brain injury, then had a fall on the rehabilitation unit
    which resulted in subacute frontal subdural hematomas on top of the earlier
    existing hematomas. Following cross-examination, defense counsel tried to
    impeach his own witness. Dr. Yee was rehabilitated by the prosecution.
    5.    Forensic Pathologist
    A forensic pathologist, Dr. Judy Melinek, reviewed the autopsy reports
    and noted the finding of the coroner that the cause of death was
    undetermined. She believed the cancer caused Doe’s death and that an
    accurate death certificate would describe the cause as “natural.” She
    disagreed with Dr. Josselson, the pathologist who conducted the autopsy,
    that the pneumonia could be directly traced back to the head trauma. In her
    opinion Doe died of pneumonia “due to cancer of the gastroesophageal
    junction.” She did agree that subdural hygromas, under certain conditions,
    can turn into subdural hematomas, which produce pressure on the brain and
    need to be drained. She also agreed that the subarachnoid hemorrhage
    increased during the 12 hours between the first and second CT scans, but
    characterized that as a minor change. Dr. Melinek interpreted the fluid in the
    brain to have filled in spaces caused by a pre-existing “mild” atrophy, and
    believed the patient had healed from the traumatic injury within a month,
    but that the tumor remained and it was the tumor that contributed to the
    onset of pneumonia. Despite the additive effects of the slow bleeds into the
    brain, she believed the subsequent falls caused the brain injuries (subdural
    hematomas) noted on the autopsy report, and that draining the hematomas
    solved that problem before she died.
    11
    On cross-examination, Dr. Melinek explained that she assumed the
    esophageal cancer was already causing swallowing problems before the
    assault, but perhaps Doe had not reported the trouble, despite the finding of
    “no dysphagia” a month before the assault in medical reports Dr. Melinek
    reviewed for her testimony. Dr. Melinek knew Doe walked regularly but did
    not recall the distance was over two miles per day. Dr. Melinek attributed
    Doe’s inability to ever walk again, dress, fix her own food and go to the
    bathroom herself, not to the traumatic injuries she received in the sexual
    assault, but to a weakened state caused by old age, mini strokes that had not
    noticeably affected her independence, and the underlying conditions, like
    high blood pressure, COPD, and type 2 diabetes, that she was effectively
    treating with medication. Recognizing, in part, but discounting that it was
    the fragile condition Doe was in because of the sexual assault and head
    trauma that prevented surgery or radiation for the esophageal cancer,
    Dr. Melinek concluded that since the cancer probably existed before the
    assault, Doe would ultimately have died of cancer anyway, so she died of
    natural causes.
    Dr. Melinek agreed that her conclusions were based, in part, on
    Dr. Yee’s second report that noted: “her family thinks the patient is close to
    or at her cognitive baseline. As mentioned, the patient may have been
    somewhat impaired given reports by her daughter of some memory
    difficulties at baseline.” However, Dr. Yee’s final report, which was consistent
    with his testimony, indicated: “Per the patient’s daughter, the patient
    currently seems to be less than 50 percent of her cognitive baseline.”
    12
    II. DISCUSSION
    A.    Exclusion of Doe’s Statement
    Jackson contends the trial court erred by excluding Doe’s description of
    her assailant as an Asian and not a Black male, possibly 19 or 20 years old.
    Jackson, who is Black and 37 years old at the time of trial, claims the court
    prejudicially erred by excluding these exculpatory statements as
    untrustworthy.
    1.    Pretrial Proceeding
    Prior to trial, Jackson moved to include three statements by Doe
    describing her assailant—one made on February 16, 2012 and two made on
    April 1, 2012.
    At the in limine hearing, Doe’s daughter described her mother before
    the assault as living an independent life, walking every day for exercise,
    cooking her own meals, negotiating public transit to get around, visiting
    friends, attending church, getting herself to appointments, and generally
    being as sharp as a tack, mentally. She never used a cane or had any memory
    problems. After the assault, Doe was unconscious for almost two weeks, then
    when she first regained consciousness, she could not move her body or lift her
    head. She was in constant pain, was not able to speak or remember anything
    about the attack, stared blankly at her daughter without appearing to
    recognize her, and barely made eye contact with her family. She regained her
    ability to speak, but remained very confused, and would make spontaneous
    statements about things that were untrue. For example, when she saw a
    male nurse walk by, she said knew him and that his father was a good friend
    from church. The nurse, however, was a total stranger and his family did not
    attend Doe’s church. Her general weakness, inability to swallow (requiring
    feeding tubes), confusion, confabulation, and limited speaking ability
    13
    continued until her death. The first time her mother spoke of the attack, she
    said the man who assaulted her had dark hair. She did not say he was Asian.
    She did not deny he was Black.
    On February 16, 2012, not quite three weeks after the assault,
    Lieutenant Gard, then a detective, interviewed Doe when she was at John
    Muir Hospital. He interviewed her for 18 minutes with the aid of a Korean
    language interpreter. “There were lapses in some of her responses where her
    responses became unintelligible.” “The interview was slow . . . [and] she
    wasn’t all there mentally.” “She was obviously in a lot of pain. She had just
    come out of a coma. Just to get basic responses took effort from myself, the
    interpreter, and her daughter.” Doe was confused, disoriented, and had many
    IV devices and feeding tubes attached to her. Doe described her attacker as
    “Asian looking,” in the first interview, but not specifically Asian, and as
    “possibly mixed” in a second interview, six weeks later, on April 1, 2012. She
    reported in the first interview that the man asked for money, but had not
    attacked her until she walked on further, turned around and headed home,
    passing him again. In the second interview, she said that she refused to give
    him money because she only had bus fare and he attacked her immediately,
    striking her on the head.
    Lieutenant Gard explained Doe still had large memory gaps at the time
    of the second interview, and some questions had to be explained to her
    multiple times before she showed any signs of comprehension. It was not a
    successful interview from an investigative perspective, but there were no
    other leads. There were responses that just did not add up. For example, she
    described her assailant as her son’s age, but then said that age was 19, even
    though her sons were in their fifties.
    14
    2.    Trial Court Ruling
    The trial court ruled that Doe’s pretrial description of her attacker was
    inadmissible on the grounds that it was unreliable and untrustworthy. The
    court explained: “[I]t is clear from the testimony of her daughter and
    Lieutenant Gard, as well as the medical records submitted, that [Doe]
    suffered significant injuries, including head trauma. There is no dispute that
    she was in a coma for a period of time. She never fully recovered from her
    injuries as she lived out the remainder of her life in various medical
    treatment and rehabilitation centers before passing away.” The court noted
    that Doe’s condition after the attack contrasted from her daughter’s
    description of her as “mentally sharp and physically active” before the attack.
    Medical records showed she sustained a subarachnoid hemorrhage and
    described her as “disoriented and confused” and noted that, at one point, she
    was confused about the year and suffering from “cognitive impairment.”
    Although the court expressed some concern about the timeliness of the
    April 1 interviews, it explained that most cases discuss the “timeliness” issue
    in terms of an “opportunity to reflect and fabricate,” but here: “[Doe] was
    unavailable to law enforcement and medical personnel for weeks in terms of
    describing the injury. [¶] . . . [T]his time lapse did not give her time to
    fabricate a story, as she was comatose for a period of time and unable to
    speak with anyone. There is no evidence to suggest [Doe] had any motive to
    fabricate a story or to lie about what she recalled in terms of the attack.”
    3.    Applicable Law and Standard of Review
    Pursuant to Evidence Code section 1370, subdivision (a), a hearsay
    statement that “purports to narrate, describe, or explain the infliction or
    threat of physical injury upon the declarant” is not made inadmissible by the
    hearsay rule if the following conditions are met: (1) the witness was
    15
    unavailable; (2) the statement was made at or near the time the injury was
    inflicted; and (3) the circumstances under which the statement was made
    indicate its trustworthiness. The issue in this case turns on whether Doe’s
    statements could be deemed trustworthy.
    “Broadly speaking, an appellate court applies the abuse of discretion
    standard of review to any ruling by a trial court on the admissibility of
    evidence.” (People v. Waidla (2000) 
    22 Cal.4th 690
    , 717.) The parties disagree
    about the proper standard of review. Jackson exhaustively advocates for an
    independent review, while the People, without responding to Jackson’s
    argument, assert, in a single sentence, that the appropriate standard of
    review is abuse of discretion.
    Jackson relies on cases that have independently reviewed questions of
    trustworthiness in other contexts. (See, e.g., People v. Cromer (2001) 
    24 Cal.4th 889
    , 898-901 (Cromer) [de novo review of prior recorded statement
    under Evid. Code, § 1291]; People v. Kons (2003) 
    108 Cal.App.4th 514
    , 524
    [independently reviewing trustworthiness of hearsay statement under Evid.
    Code, § 1370 for confrontation clause purposes]; People v. Tatum (2003) 
    108 Cal.App.4th 288
    , 296 [independently reviewing trustworthiness finding for
    hearsay statement of unavailable elder abuse victim under Evid. Code,
    § 1380]; People v. Robert V. (2001) 
    93 Cal.App.4th 1350
    , 1374 [same for
    hearsay statement describing child abuse under Evid. Code, § 1360].)
    Jackson cites Cromer for the proposition that whether a witness’s out-
    of-court statement is “trustworthy”—for the purposes of assessing whether it
    qualifies as a hearsay exception—poses a mixed question of law and fact to
    which the independent standard of review has been found to apply. Cromer,
    supra, 24 Cal.4th at page 898, citing Lilly v. Virginia (1999) 
    527 U.S. 116
    ,
    136, explains: “[A]s with other fact-intensive, mixed questions of
    16
    constitutional law, . . . ‘[i]ndependent review is . . . necessary . . . to maintain
    control of, and to clarify, the legal principles’ governing the factual
    circumstances necessary to satisfy the protections of the Bill of Rights.’ ” The
    instant case, however, does not involve a question of constitutional law.
    Rather, the issue is the admissibility of Doe’s statements under the normal
    rules of evidence to which we apply the abuse of discretion standard.
    4.     Analysis
    Jackson challenges the court’s finding that Doe’s statements to
    Lieutenant Gard were not “made under circumstances that would indicate its
    trustworthiness.” (Evid. Code, § 1370, subd. (a)(4).) Circumstances relevant
    to a finding of trustworthiness “include[] but are not limited to[ ] the
    following: (1) Whether the statement was made in contemplation of pending
    or anticipated litigation in which the declarant was interested.
    [¶] (2) Whether the declarant has a bias or motive for fabricating the
    statement, and the extent of any bias or motive. [¶] (3) Whether the
    statement is corroborated by evidence other than statements that are
    admissible only pursuant to this section.” (Evid. Code, § 1370, subd. (b).) As
    the statutory language makes clear, these factors are not exhaustive.
    As the trial court noted, Doe had suffered significant injuries, including
    head trauma, and she was in a coma following the assault. Doe’s condition
    after the attack was in contrast to her daughter’s description of her as being
    “mentally sharp and physically active” before the attack. Medical records
    showed she sustained a subarachnoid hemorrhage and described her as
    “disoriented and confused” and noted that, at one point, she was confused
    about the year and was suffering from “cognitive impairment.”
    Jackson argues that the trial court erroneously focused on Doe’s mental
    condition and did not adequately consider that Doe had no reason to lie and
    17
    that her statements were otherwise corroborated by Jackson. Certainly, as
    the trial court noted, there is nothing in the record to suggest that Doe had a
    motive to lie about the identity of her attacker. However, we disagree that
    Doe’s statements describing someone other than Jackson as the perpetrator
    were corroborated by Jackson’s self-serving testimony that when he found
    Doe she was already beaten and unconscious. The record reflects that Doe’s
    perception of reality and ability to recall facts from the past was not reliable
    based on her severe head trauma. Following the attack, Doe was in a coma
    for a few weeks and was in a semiconscious state when she made the
    statements, which were equivocal at best, about the identity of her attacker.
    In sum, the trial court did not abuse its discretion in excluding Doe’s
    statements.
    B.    Causation Evidence
    Jackson contends his murder conviction must be reversed because
    there is insufficient evidence that the assault was the cause of Doe’s death.
    We disagree.
    1.      Applicable Law and Standard of Review
    A homicide conviction requires proof that the defendant’s conduct
    proximately caused the victim’s death. (People v. Butler (2010) 
    187 Cal.App.4th 998
    , 1009.) “ ‘To be considered the proximate cause of the
    victim’s death, the defendant’s act must have been a substantial factor
    contributing to the result, rather than insignificant or merely theoretical.’ ”
    (People v. Jennings (2010) 
    50 Cal.4th 616
    , 643.) A substantial factor is one
    that is more than an “ ‘insignificant or merely theoretical’ ” factor. (Ibid.)
    “ ‘[A]s long as the jury finds that without the criminal act the death
    would not have occurred when it did, it need not determine which of the
    concurrent causes was the principal or primary cause of death.’ ” (People v.
    18
    Jennings, 
    supra,
     50 Cal.4th at p. 643, quoting People v. Catlin (2001) 
    26 Cal.4th 81
    , 155 (Catlin).) “This is true even if the victim’s preexisting
    physical condition also was a substantial factor in causing death.” (Catlin,
    
    supra, at p. 155
    .) “ ‘So long as a victim’s predisposing physical condition,
    regardless of its cause, is not the only substantial factor bringing about his
    [or her] death, that condition . . . in no way destroys the [defendant’s]
    criminal responsibility for the death.’ ” (Ibid.)
    A jury’s finding of proximate causation will not be disturbed on appeal
    if there is substantial evidence—evidence that is reasonable, credible, and of
    solid value—from which it may be reasonably inferred that the defendant’s
    act was a substantial factor in producing death. (People v. Butler, supra, 187
    Cal.App.4th at p. 1010.) On appeal, we do not reweigh the evidence or
    determine credibility issues; “ ‘ “ ‘[i]f the circumstances reasonably justify the
    trier of fact’s findings, the opinion of the reviewing court that the
    circumstances might also reasonably be reconciled with a contrary finding
    does not warrant a reversal of the judgment.’ ” ’ ” (Catlin, 
    supra,
     26 Cal.4th at
    p. 139.)
    2.    Analysis
    To support his challenge to the jury’s causation finding, Jackson
    attempts to reargue the evidence in an effort to discredit the testimony of the
    prosecution’s medical expert that the assault contributed to the pneumonia
    that caused Doe’s death. Jackson challenges the three factors the expert
    relied on in linking the assault to the pneumonia as speculative, to wit: (1)
    the cancerous tumor contributed to the pneumonia because Doe could not be
    treated due to the injuries inflicted by the assault; (2) the brain trauma from
    the assault resulted in dysphagia (difficulty swallowing), which led to
    aspiration of foreign material in the lungs, which triggered the pneumonia;
    19
    and (3) Doe’s prolonged hospitalization due to her injuries caused by the
    assault made her more susceptible to pneumonia.
    As set forth above, when there are multiple concurrent causes of death,
    the jury is not required to determine which, if any, cause was the primary
    cause. Rather, the jury need only determine that the defendant’s conduct was
    a substantial factor contributing to the death. (People v. Jennings, 
    supra,
     50
    Cal.4th at p. 644 [jury could reasonably find defendant’s torture was
    substantial factor in causing death even though expert testified that death
    was attributable to several factors “ ‘all working together’ ” to bring about the
    death]; Catlin, 
    supra,
     26 Cal.4th at p. 155.)
    The record supports the finding that Jackson engaged in conduct that
    substantially contributed to Doe’s death. Witness testimony indicated that
    prior to the attack Doe was a vibrant, active, and otherwise healthy 81-year
    old, who was in no danger of getting pneumonia, let alone dying from it.
    Drawing all inferences in favor of the judgment (People v. Zamudio (2008) 
    43 Cal.4th 327
    , 357), we assume the jury found Jackson committed the assault
    that required her hospitalization and contributed to her weakened condition
    which precipitated the pneumonia. The fact that numerous factors could have
    also contributed to the pneumonia does not relieve Jackson of his criminal
    liability for the chain of events he set in motion when he brutally and
    savagely attacked Doe.
    C.    Object Penetration Evidence
    Jackson was charged with and convicted of forcible rape (Pen. Code,
    § 261)4 and forcible sexual penetration by a foreign object (§ 289). Jackson
    argues there is insufficient evidence of penetration distinct from the rape.
    4All further statutory references are to the Penal Code unless
    otherwise indicated.
    20
    Specifically, Jackson claims there is no evidence that Doe was sexually
    penetrated by something other than a penis and, as such, he cannot be
    convicted of both offenses.
    1.    Applicable Law and Standard of Review
    To prove Jackson was guilty of committing forcible rape in violation of
    section 261, the People were required to prove Jackson had non-consensual
    “sexual intercourse” with Doe. (§ 261, subd. (a)(2); CALCRIM No. 1000.)
    “Sexual intercourse means any penetration, no matter how slight, of the
    vagina or genitalia by the penis” (CALCRIM No. 1000; People v. Karsai
    (1982) 
    131 Cal.App.3d 224
    , 234, disapproved on other grounds by People v.
    Jones (1988) 
    46 Cal.3d 585
    , 600, fn. 8.)
    To prove Jackson was guilty of committing sexual penetration by force,
    in violation of section 289, the People were required to prove that:
    (1) defendant committed an act of sexual penetration with another person;
    (2) the penetration was accomplished by using a foreign object, or substance,
    instrument, device, or unknown object; (3) the other person did not consent to
    the act; and (4) defendant accomplished the act by force, violence, duress,
    menace, or fear of immediate and unlawful bodily injury to another person.
    (§ 289, subd. (a)(1)(A); CALCRIM No. 1045.) Section 289 defines a foreign
    object, substance, instrument, or device as including any part of the body
    except a sexual organ. (§ 289, subd. (k)(2).) A penis can be an unknown object
    only if it is not known what object actually penetrated the opening. (Id.,
    subd. (k)(3); CALCRIM No. 1045.)
    Sexual penetration may be established by circumstantial evidence as
    well as by way direct evidence. (People v. Stevenson (1969) 
    275 Cal.App.2d 645
    , 650; People v. Strickland (1955) 
    134 Cal.App.2d 815
    , 818.) In particular,
    the jury may rely upon the condition of the victim’s vagina to conclude
    21
    penetration occurred. (See People v. Edwards (2013) 
    57 Cal.4th 658
    , 716717
    [injuries to victim’s vaginal and rectal areas consistent with penetration by
    mousse can found on bed]; see also People v. Holt (1997) 
    15 Cal.4th 619
    , 669
    [“The jury verdict in this case was not, as defendant argues, based only on
    speculation. It was based on evidence the redness present in the victim’s
    vagina was consistent with penetration by an adult male penis.”].)
    In considering a claim of insufficiency of evidence, a reviewing court
    must determine “ ‘whether, after viewing the evidence in the light most
    favorable to the prosecution, any rational trier of fact could have found the
    essential elements of the crime beyond a reasonable doubt.’ (Jackson v.
    Virginia (1979) 
    443 U.S. 307
    , 319; People v. Marshall (1997) 
    15 Cal.4th 1
    , 34;
    People v. Johnson (1980) 
    26 Cal.3d 557
    , 578.) Where, as here, the jury’s
    findings rest to some degree upon circumstantial evidence, we must decide
    whether the circumstances reasonably justify those findings, ‘but our opinion
    that the circumstances also might reasonably be reconciled with a contrary
    finding’ does not render the evidence insubstantial. (People v. Proctor (1992)
    
    4 Cal.4th 499
    , 528–529.)” (People v. Earp (1999) 
    20 Cal.4th 826
    , 887888.)
    Substantial evidence is evidence that is “reasonable, credible, and of
    solid value.” (People v. Johnson, supra, 26 Cal.3d at p. 578.) Reasonable
    inferences may be made from substantial evidence. But inferences “ ‘ “may
    not be based on suspicion alone, or on imagination, speculation, supposition,
    surmise, conjecture, or guess work.” ’ ” (People v. Raley (1992) 
    2 Cal.4th 870
    ,
    891.)
    2.    Analysis
    Insisting a single penetration formed the basis for both the rape
    (count 3) and sexual penetration by a foreign or unknown object (count 4)
    charges, Jackson contends he cannot be convicted of both offenses. The People
    22
    contend there is substantial evidence of two separate penetrations. We
    agree.5
    Some of the usual ways of proving penetration could not be utilized in
    this case. Because she had no memory of the sexual assault, there is no
    testimony from Doe regarding the number of times she was penetrated or the
    manner in which she was penetrated. (See People v. Thomas (1986) 
    180 Cal.App.3d 47
    , 54, 56 [victim’s testimony that it hurt when defendant pushed
    his penis against her anus supported a factual finding of slight penetration].)
    However, there is circumstantial evidence suggesting at least two
    penetrations occurred based on the physical condition of Doe’s body.
    Specifically, Jackson’s semen found in Doe’s vagina was circumstantial
    evidence that he raped Doe. (See People v. Sanchez (2016) 
    246 Cal.App.4th 167
    , 176-177.) Additionally, Jackson, himself, admitted that he used a finger
    to sexually penetrate Doe without her consent. Nevertheless, the prosecution
    did not argue that count four was based on digital penetration. Similarly,
    expert testimony suggested that a single finger could not have caused the
    significant injuries Doe sustained. Other evidence suggested the injuries
    could have been caused by an “instrument or a body part,” which could have
    been a penis or some type of “hard blunt object.”
    People v. Holt, 
    supra,
     
    15 Cal.4th 619
     presents a somewhat analogous
    situation. There, the defendant was convicted of sodomizing, raping and
    murdering the victim. (Holt, at pp. 638-639.) There were no witnesses to the
    5 By reason of this conclusion, we need not address the People’s
    alternate claim that one penetration could support two convictions. (See
    People v. White (2017) 
    2 Cal.5th 349
    , 351 [defendant could be convicted of
    both rape of an intoxicated person and rape of an unconscious person]; People
    v. Gonzalez (2014) 
    60 Cal.4th 533
    , 535 [defendant could be convicted of both
    oral copulation of an intoxicated person and oral copulation of an unconscious
    person].)
    23
    actual crime and the victim died at the hospital without ever regaining
    consciousness. (Id. at p. 641.) At trial, the emergency room doctor who
    examined the victim when she was brought to the hospital testified that the
    victim’s “vaginal area was red and that this could be consistent with either
    bruising and penetration by an adult penis or an infection.” (Id. at p. 668.)
    The defendant argued that the evidence was insufficient to support his rape
    conviction, because “the redness could have been caused by any low-grade
    infection or atrophic vaginitis for which one of the medications the victim was
    taking is sometimes prescribed. This, coupled with the finding of apparent
    blood in the anus, suggested that if a sexual assault took place only sodomy
    occurred.” (Ibid.) Our Supreme Court affirmed the conviction on the rape
    charge, explaining: “That the evidence might lead to a different verdict does
    not warrant a conclusion that the evidence supporting the verdict is
    insubstantial. (People v. Berryman (1993) 
    6 Cal.4th 1048
    , 1084.)” (Holt, at
    p. 669.)
    Here, aside from Jackson’s admission of digital penetration, the
    evidence of object penetration was circumstantial. Blunt force trauma to
    Doe’s vagina, the absence of an object found at the scene, and expert
    testimony that a finger could not have caused the extensive injuries support
    the possibility that the penetration resulted only from defendant’s penis,
    which would not constitute a foreign object under section 289. (§ 289, subd.
    (k)(2).) However, other circumstantial evidence—the blunt force trauma that
    lacerated Doe’s vagina and ruptured her internal organs, causing her bowels
    to protrude into her vagina and expert testimony that the injuries could have
    been caused by a “hard blunt object”—supports the inference that the
    extensive trauma had a different cause. That the object was never identified
    or located does not mean the jury verdict was based on speculation. Given
    24
    Doe’s extensive injuries, which required surgical repair and which were
    described as the “worst” the examining nurse had ever seen in in her 36-year
    career, the inference that Jackson penetrated Doe with a foreign or unknown
    object, is reasonable.
    D.    Prosecutorial Misconduct
    Jackson argues the prosecutor committed misconduct by misstating the
    law regarding sexual penetration under section 289. He further contends the
    prosecutor impermissibly argued defense counsel did not believe in Jackson’s
    innocence and conspired with Dr. Melinek to present a sham defense. The
    People assert that Jackson failed to preserve his first claim, and even if
    preserved, the claim of error regarding the elements of forcible penetration
    under section 289 fails on the merits. The People further assert that there
    was no prejudicial misconduct in pointing out the weaknesses in the defense
    case, and any such error did not prejudice Jackson.
    1.    Applicable Law
    “When a prosecutor’s intemperate behavior is sufficiently egregious
    that it infects the trial with such a degree of unfairness as to render the
    subsequent conviction a denial of due process, the federal Constitution is
    violated. Prosecutorial misconduct that falls short of rendering the trial
    fundamentally unfair may still constitute misconduct under state law if it
    involves the use of deceptive or reprehensible methods to persuade the trial
    court or the jury.” (People v. Panah (2005) 
    35 Cal.4th 395
    , 462.) “Misconduct
    that does not constitute a federal constitutional violation warrants reversal
    only if it is reasonably probable the trial outcome was affected.” (People v.
    Shazier (2014) 
    60 Cal.4th 109
    , 127.)
    “As a prerequisite for advancing a claim of prosecutorial misconduct,
    the defendant is required to have objected to the alleged misconduct and
    25
    requested an admonition ‘unless an objection would have been futile or an
    admonition ineffective.’ ” (People v. Jablonski (2006) 
    37 Cal.4th 774
    , 835.)
    “ ‘ “To prevail on a claim of prosecutorial misconduct based on remarks to the
    jury,” ’ ” there must appear “ ‘ “a reasonable likelihood the jury understood or
    applied the complained-of comments in an improper or erroneous manner.”
    [Citation.] “Prosecutors have wide latitude to discuss and draw inferences
    from the evidence at trial. [Citation.] Whether the inferences the prosecutor
    draws are reasonable is for the jury to decide.” ’ ” (Ibid.)
    2.   Representation of the Law Regarding Sexual Penetration
    During his initial closing argument, the prosecutor, when explaining
    the forcible penetration count under section 289, told the jury: “Forcible
    penetration in Count 4. Ladies and gentlemen, the defendant is charged with
    this because of the damage he did to [Doe’s] vagina. It is clear that he ripped
    her insides to shreds. You heard . . . the SART nurse testify that [it] could
    have been his penis. He also may have used something else. But he is
    charged with this count because when somebody does the amount of damage
    Mr. Jackson did to [Doe], he’s also to be found guilty of forcible penetration by
    a foreign object. And that object can also be his penis as is specified in the
    law.”
    On appeal, Jackson argues the prosecutor misstated the law by
    suggesting that the jury could find both rape and sexual penetration by
    foreign/unknown object based on the same penile penetration. He concedes
    his trial counsel did not object to the prosecutor’s representation of the law,
    but maintains we, as an appellate court, are “free to address the merits” of
    this otherwise forfeited claim. (See, e.g., People v. Williams (1998) 
    17 Cal.4th 148
    , 161162, fn. 6.) Alternately, he argues defense counsel was ineffective for
    failing to object the prosecutor’s representation of the law.
    26
    Because we conclude any misstatement of the law of sexual penetration
    was harmless we dispense with the forfeiture and ineffective of assistance
    claims and proceed to the merits. The worst that can be said about
    prosecutor’s fleeting reference that a penis could be considered an unknown
    object was that it was misleading. Although the prosecutor’s statement was a
    correct statement of law (a penis can be considered an unknown object [§ 289,
    subd. (k)(3)]), it was confusing to the extent it suggested the prosecutor was
    relying on the rape to also prove sexual penetration by a foreign or unknown
    object based on the same penetration. However, as discussed, substantial
    evidence supports Jackson’s convictions for rape and object penetration based
    on two penetrations. Moreover, as Jackson concedes, the trial correct
    correctly instructed the jury with on the law.
    Accordingly, we conclude the prosecutor’s remarks did not result in a
    fundamentally unfair trial or raise a reasonable probability of a more
    favorable result absent the challenged comment. (People v. Shazier, supra, 60
    Cal.4th at p. 127.)
    3.    Comments About the Strength of the Defense
    Jackson argues the prosecutor committed misconduct by expressly and
    implicitly arguing to the jury that defense counsel did not believe in his
    client’s innocence, and in fact believed in his guilt, and conspired with
    Dr. Melinek to present a sham defense. The challenged statements fall into
    three categories: (1) counsel did not retest evidence because he knew his
    client was guilty; (2) counsel was desperate to promote falsehoods and
    insincere in his defense of Jackson because he did not believe in his client’s
    innocence; and (3) counsel paid Dr. Melinek to provide false testimony based
    in part on a misrepresentation of medical records.
    27
    a.    Failure to Retest Evidence
    During his initial closing argument, the prosecutor noted there had
    been “some cross-examination of the DNA analyst” but defense counsel never
    had any of the samples, which were preserved, retested. Then the prosecutor
    said, “if . . . there’s any desire to actually learn, if there was a third party, a
    mystery man that attacked [Doe], all of that evidence is available for
    retesting.” Defense counsel objected, and the trial court overruled the
    objection.
    During his rebuttal argument, the prosecutor noted the defense’s
    failure to retest certain evidence, stating “the defense showed they could do
    that if they wanted to do that. They had Dr. Melinek retest preserved items.
    Why would you retest preserved items but not retest items that prove who the
    mystery attacker is unless you did it?” (Italics added.) Defense counsel
    objected again, and the objection was overruled.
    b.    Desperation and Insincerity
    The prosecutor argued there was “no credible evidence” that Doe was
    not living independently before the incident. When referring to a question by
    “the defense attorney in this case” regarding whether knowingly walking
    dangerous streets in the mornings said anything about Doe’s cognitive
    impairment, the prosecutor said, “That is . . . the height of desperation.”
    (Italics added.) The comment elicited a defense objection, which was
    overruled. Later, the prosecutor referenced “enumerable attempts by the
    defense to show you that Doe was not in good health . . . [e]ach more desperate
    than the next.” (Italics added.) Defense counsel again objected, and the court
    overruled it.
    After attempting to discredit Dr. Moser, the prosecutor asked, “Why did
    they have to call him?” The prosecutor then answered his own question,
    28
    stating, “It was necessary to call Dr. Moser because the defense knows that
    defendant Jackson’s testimony standing on its own is completely
    unbelievable.” (Italics added.) That comment also elicited a defense objection,
    which the court overruled.
    Responding to defense counsel’s argument citing what he claimed were
    reasonable explanations for Doe ending up in the alcove other than
    kidnapping, the prosecutor argued: “The same defense attorney who stood in
    front of you moments ago and told you to put on your scientific glasses and
    told you to critically evaluate the evidence, asked you consider the possibility
    that [Doe] standing 80 feet from the back of that alley dropped a quarter, it
    defied gravity and physics, rolled all the way uphill and that's why she was in
    the back of that alley . . . . That is the sincerity, that is the quality of the
    argument presented to by the defense in this case.” (Italics added.) After the
    trial court overruled defense counsel’s objection, the prosecutor added, “It is a
    snapshot, a complete picture of the sincerity of what was presented to you here
    by the defense.” (Italics added.) Again defense counsel objected, and again the
    trial court overruled it.
    c.     Sham Defense
    When commenting about the defense theory that Doe might have
    suffered from cognitive defects because she went for walks every morning
    even though her family told she should stop because it was dangerous, the
    prosecutor argued, “That was an absolute reach because they are wanting to
    do anything, anything they can, pay an expert $11,000, get a set of scripted
    questions, doctor the medical reports, anything, anything to get you to believe
    that somehow before January 28, 2012 [Doe] was not in good health.” In
    response to defense counsel’s objection, the trial court directed the jury to
    disregard the reference to doctored records but permitted the rest of the
    29
    argument. The prosecutor followed up by telling the jury, “Dr. Melinek tried
    to submit records to you that were inaccurate.” Defense counsel’s objection
    was again overruled.
    The prosecutor then argued that Doe suffered a traumatic brain injury
    as a result of the attack and that her throat cancer, which Dr. Melinek cited
    asthe sole cause of death, could not explain all her symptoms. The prosecutor
    said, “That is an absolutely ridiculous proposition. No matter how hard Dr.
    Melinek tried to sell you or how scripted she wanted that testimony to be.”
    (Italics added.) Again, counsel objected, but it was overruled.
    During his rebuttal argument, the prosecutor referenced the inaccurate
    quote in Dr. Melinek’s slide presentation, adding: “And then there was a cover
    job the next day to try and give her the right thing.” (Italics added.) Defense
    counsel’s objection to that comment was once again overruled. The prosecutor
    further argued: “You heard when they talked on redirect and he gave her the
    report and said, oh, it must have been the non-Bates stamp” version. (Italics
    added.)
    d.    Analysis
    As official representatives of the people, prosecutors have a duty to be
    reasonably objective in their closing statements. (People v. Talle (1952) 
    111 Cal.App.2d 650
    , 677.) A prosecutor may properly comment “upon the failure
    of the defense to introduce material evidence.” (People v. Bradford (1997) 
    15 Cal.4th 1229
    , 1339.) However, it is misconduct for a prosecutor to argue
    “defense counsel knew his client was guilty.” (People v. Seumanu (2016) 
    61 Cal.4th 1293
    , 1338.)
    “A prosecutor commits misconduct if he or she attacks the integrity of
    defense counsel, or casts aspersions on defense counsel.” (People v. Hill (1998)
    
    17 Cal.4th 800
    , 832.) Our Supreme Court has rejected a claim of prosecutorial
    30
    misconduct where the prosecutor observed during closing remarks that “ ‘any
    experienced defense attorney can twist a little, poke a little, try to draw some
    speculation, try to get you to buy something,’ ” finding this did not “amount to
    a personal attack on counsel’s integrity.” (People v. Medina (1995) 
    11 Cal.4th 694
    , 759.) On the other hand, “[i]t is improper for the prosecutor to imply that
    defense counsel has fabricated evidence or to otherwise malign defense
    counsel’s character.” (People v. Herring (1993) 
    20 Cal.App.4th 1066
    , 1075
    (Herring).)
    Contrary to the People’s claim, there is a reasonable likelihood the jury
    would have viewed the prosecutor’s remarks as implying that defense counsel
    did not believe in his client’s innocence as evidenced by the failure to retest
    the DNA evidence and by putting forth an insincere and sham defense. It
    does not matter that the prosecutor may not have expressly referred to
    defense counsel but rather only “the defense.” Merely implying such
    knowledge by defense counsel is still misconduct. (People v. Seumanu, supra,
    61 Cal.4th at p. 1338.) Moreover, while a “prosecutor may vigorously
    challenge the validity of any defense, and can characterize the testimony of a
    witness . . . as untruthful,” it is misconduct “to state or imply that defense
    counsel has fabricated a defense.” (Id. at p. 1337.) Here, the prosecutor did
    not simply argue that the defense was unsupported by the evidence or that
    Dr. Melinek’s opinion was controverted, flawed, or not worthy of
    consideration. He argued that the defense expert tried to “sell” the jury on
    “scripted” testimony that was inaccurate, and when discovered, “there was
    cover job” on “redirect.” Again, the fact that the prosecutor did not expressly
    refer to defense counsel did not lessen the impact. When talking about
    “redirect” it is implicit that the prosecutor was referring to defense counsel.
    31
    Nevertheless, we conclude any misconduct that occurred was not
    prejudicial. Rarely do a prosecutor’s personal attacks on defense counsel
    amount to reversible misconduct. (People v. Taylor (2001) 
    26 Cal.4th 1155
    ,
    1167.) Prosecutorial misconduct requires reversal under the federal
    Constitution when it infects the trial with such unfairness as to make the
    resulting conviction a denial of due process. (People v. Williams (2013) 
    56 Cal.4th 630
    , 671.) Misconduct not rising to this level is reviewed for prejudice
    under state law—we consider “whether it is reasonably probable that a jury
    would have reached a more favorable result absent the objectionable
    comments.” (Ibid.; Herring, supra, 20 Cal.App.4th at p. 1074.) As we explain,
    the error here was harmless under any standard. The prosecutor’s remarks
    did not result in a fundamentally unfair trial or raise a reasonable
    probability of a more favorable result absent the challenged comments.
    Any misconduct from the challenged comments was no more prejudicial
    than Jackson’s own testimony. Jackson’s version of the events would be hard
    for any jury to believe. He came upon what he thought was a dead body, had
    a moment of necrophilia, masturbated, and then, using his hands, put his
    semen into Doe’s vagina. The prosecutor appropriately highlighted the
    absurdity of the defense theory. (See People v. Lawley (2002) 
    27 Cal.4th 102
    ,
    156 [fair comment for the prosecutor to describe defense evidence as a “total
    farce” and “ludicrous”].)
    Moreover, the trial court instructed the jury that comments by the
    attorneys were not evidence (CALCRIM Nos. 104, 222) and that the jury
    alone had to decide what happened based solely on the trial evidence
    (CALCRIM No. 200). These instructions further minimized any prejudice
    from the prosecutor’s closing remarks. (See, e.g., People v. Smith (2005) 
    135 Cal.App.4th 914
    , 925; People v. Loker (2008) 
    44 Cal.4th 691
    , 739.) On this
    32
    record, any prosecutorial misconduct during closing argument was patently
    harmless.
    E.    Cumulative Error
    We have determined that Jackson has failed to identify any single
    prejudicial error in the proceedings below. We similarly conclude that no
    cumulative error requiring reversal has been shown. “Under the ‘cumulative
    error’ doctrine, errors that are individually harmless may nevertheless have a
    cumulative effect that is prejudicial.” (In re Avena (1996) 
    12 Cal.4th 694
    , 772,
    fn. 32.) “In examining a claim of cumulative error, the critical question is
    whether defendant received due process and a fair trial.” (People v. Sedillo
    (2015) 
    235 Cal.App.4th 1037
    , 1068.) Even assuming one or more errors
    occurred in the trial court proceedings as discussed herein, our review of the
    record assures us that Jackson received due process and a fair trial.
    (Compare People v. Bradford, 
    supra,
     15 Cal.4th at. p. 1382 [finding no
    cumulative error where the court found no individual prejudicial error and,
    “[e]ven considered collectively, the errors were not significant”].)
    F.    Parole Revocation Fine
    Jackson argues, and the People agree, that in light of his life without
    the possibility of parole (LWOP) sentence, the parole revocation fine must be
    stricken. The parties are correct.
    Section 1202.45, subdivision (a) requires a sentencing court to assess a
    parole revocation fine “[i]n every case where a person is convicted of a crime
    and his or her sentence includes a period of parole.” Because Jackson was
    sentenced to life without the possibility of parole, and the sentences on his
    indeterminate terms in counts 2 through 4 were stayed, the suspended parole
    revocation fine is unauthorized and must be stricken. (People v. Carr (2010)
    
    190 Cal.App.4th 475
    , 482 & fn. 6; see generally People v. McWhorter (2009) 47
    
    33 Cal.4th 318
    , 380 [parole revocation fine cannot be imposed on an LWOP
    sentence]; People v. Brasure (2008) 
    42 Cal.4th 1037
    , 1075 [parole revocation
    fine must be imposed despite LWOP or death sentence where un-stayed
    determinate terms are imposed].)
    G.    Felony-murder Special-circumstances Rule
    In addition to finding Jackson guilty of first degree murder, the jury
    found true the special circumstances allegations that the murder was
    committed during the commission of a rape (§§ 190.2, subd. (a)(17)(C), 261)
    and sexual penetration by a foreign object (§§ 190.2, subd. (a)(17)(K), 289).
    Pursuant to the special circumstances findings, the trial court sentenced
    Jackson to an LWOP sentence.
    Jackson contends the felony-murder special-circumstances law fails to
    narrow the class of murders eligible for enhanced punishment in violation of
    the Eighth Amendment because there is no difference between the proof
    required to establish guilt under the felony murder rule and that required to
    subject Jackson to punishment under the felony murder special
    circumstances. We disagree.
    The United States Supreme Court has held that state sentencing
    guidelines must, pursuant to the Eighth Amendment, distinguish between
    those persons eligible for sentencing to death and those who are not. (Zant v.
    Stephens (1983) 
    462 U.S. 862
    , 877 [For an aggravating sentencing factor to
    pass constitutional muster, it “must genuinely narrow the class of persons
    eligible for the death penalty and must reasonably justify the imposition of a
    more severe sentence on the Jackson compared to others found guilty of
    murder.”].) As relevant in this case, section 190.2 defines as a special
    circumstance any murder “committed while the defendant was engaged in . . .
    the commission of” certain enumerated felonies, including “[r]ape in violation
    34
    of Section 261” (§ 190.2, subd. (a)(17)(C)) and “[r]ape by instrument in
    violation of Section 289.” (Id., subd. (a)(17)(K).) Section 189, subdivision (a)
    defines first degree murder to include any “murder . . . that is committed in
    the perpetration of,” inter alia, “rape . . . or any act punishable under . . .
    Section 289.”)
    Jackson argues that because the elements of both the felony murder
    substantive offense and the felony murder special circumstance are identical,
    section 190.2 fails to adequately circumscribe the class of persons eligible for
    the enhanced penalty from other murderers where the special circumstance
    duplicates all the elements of, and includes no elements in addition to, the
    substantive offense.
    Jackson, however, was not sentenced to death, rendering the
    “narrowing” rule inapplicable. A sentence of life without the possibility of
    parole, while undoubtedly grave, “remains fundamentally different from
    death in the one respect so often emphasized in Eighth Amendment
    jurisprudence: time and again the high court opinions reason that capital
    punishment is ‘final’ and ‘irrevocable’ in the obvious sense that after it is
    carried out there is no possibility of rehabilitation, clemency, or belated relief
    because of factual mistake or change in the law.” (People v. Zimmerman
    (1984) 
    36 Cal.3d 154
    , 158.) As the court noted in People v. Banks (2015) 
    61 Cal.4th 788
    , 804, “As a purely constitutional matter, nothing would foreclose
    California from imposing life imprisonment without parole sentences on
    felony murderers with [defendant’s] degree of culpability.” (Citing People v.
    Estrada (1995) 
    11 Cal.4th 568
    , 575 [“ ‘reckless indifference to human life’ ” is
    not constitutionally required for a life imprisonment without parole
    sentence]; People v. Johnson (2010) 
    183 Cal.App.4th 253
    , 296, 299 [rejecting
    35
    an Eighth Amendment challenge to a life imprisonment without parole
    sentence for a robbery-murder getaway driver].)
    Contrary to Jackson’s contention, the overlap of the felony-murder
    special-circumstances law and the felony-murder theory of first degree
    murder does not demonstrate a constitutional infirmity in his sentence.
    Recently, in People v. Wilkins (2021) 
    68 Cal.App.5th 153
    , an appellate court
    rejected a similar claim, explaining the felony-murder special-circumstance
    statute was sufficiently narrow because “[i]t makes a subclass of murderers—
    first degree felony murderers—death eligible . . . [and] does not apply to other
    murderers such as second degree murderers or simple murderers.” (Id. at
    p. 165.) Therefore, “[b]ecause the statute renders a mere subset of murderers
    eligible for the death penalty, it sufficiently narrows the overall class of
    murderers as required by the Eighth Amendment.” (Ibid.) Lastly, it is not
    problematic that the elements of first degree felony murder are identical to
    the elements defining death eligibility under the felony-murder special-
    circumstance statute. (See People v. Johnson (2016) 
    62 Cal.4th 600
    , 636
    [holding that overlapping culpability and special circumstance elements—
    even identical ones—do not offend the Eighth Amend.]; Catlin, 
    supra,
     26
    Cal.4th at p. 158 [“first degree murder liability and special circumstance
    findings may be based upon common elements without offending the Eighth
    Amendment”]; see also Lowenfield v. Phelps (1988) 
    484 U.S. 231
    , 246 [“the
    fact that the aggravating circumstance duplicate[s] one of the elements of the
    crime does not make [the] sentence constitutionally infirm”].)
    Accordingly, there is no constitutional infirmity in Jackson’s LWOP
    sentence.
    36
    III. DISPOSITION
    The parole revocation fine imposed pursuant to section 1202.45 is
    stricken. As so modified, the judgment is affirmed. The superior court is
    directed to prepare an amended abstract of judgment striking the parole
    revocation fine and to serve all appropriate agencies to reflect this change.
    NADLER, J.*
    WE CONCUR:
    STREETER, Acting P. J.
    BROWN, J.
    * Judge of the Superior Court of California, County of Sonoma, assigned by the Chief Justice
    pursuant to article VI, section 6 of the California Constitution.
    37