State v. Ceron , 2013 Ohio 5241 ( 2013 )


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  • [Cite as State v. Ceron, 
    2013-Ohio-5241
    .]
    Court of Appeals of Ohio
    EIGHTH APPELLATE DISTRICT
    COUNTY OF CUYAHOGA
    JOURNAL ENTRY AND OPINION
    No. 99388
    STATE OF OHIO
    PLAINTIFF-APPELLEE
    vs.
    MAURICIO CERON
    DEFENDANT-APPELLANT
    JUDGMENT:
    AFFIRMED
    Criminal Appeal from the
    Cuyahoga County Court of Common Pleas
    Case No. CR-566692
    BEFORE: Boyle, P.J., Jones, J., and Blackmon, J.
    RELEASED AND JOURNALIZED: November 27, 2013
    ATTORNEY FOR APPELLANT
    Terry H. Gilbert
    Friedman & Gilbert
    55 Public Square
    Suite 1055
    Cleveland, Ohio 44113
    ATTORNEYS FOR APPELLEE
    Timothy J. McGinty
    Cuyahoga County Prosecutor
    BY: Nicole Ellis
    Kristin Karkutt
    Assistant County Prosecutors
    Justice Center, 9th Floor
    1200 Ontario Street
    Cleveland, Ohio 44113
    MARY J. BOYLE, P.J.:
    {¶1} Defendant-appellant, Mauricio Ceron, appeals his convictions for rape,
    kidnapping, and gross sexual imposition. He raises six assignments of error for our
    review:
    1. The trial court erred by admitting prejudicial 404(B) evidence.
    2. The trial court erred in admitting hearsay testimony by the SANE nurse,
    thereby violating appellant’s right to a fair trial, or alternatively by
    impeaching its own witness without satisfying Evid.R. 617’s requirements
    for doing so.
    3. The trial court committed plain error by allowing egregiously prejudicial
    statements by the prosecutor in closing arguments.
    4. The conviction for rape is not supported by legally sufficient evidence
    and is against the manifest weight of the evidence.
    5. The trial court erred in denying appellant’s Rule 29 motion for acquittal.
    6. The cumulative error doctrine applies in this case to mandate reversal.
    {¶2} After review, we find no merit to Ceron’s arguments and affirm.
    Procedural History and Facts
    {¶3} In September 2012, Ceron was indicted on three counts: rape in violation of
    R.C. 2907.02(A)(1)(b), with a furthermore clause that the victim was less than ten years
    of age; gross sexual imposition in violation of R.C. 2907.05(A)(4); and kidnapping in
    violation of R.C. 2905.01(A)(4), with a sexual motivation specification. Ceron entered a
    plea of not guilty, and the case proceeded to a jury trial.      The following facts were
    presented to the jury.
    {¶4} Jose Hernandez and Kristina Kerfonta were together for approximately six
    and one-half years. They had three children together, X.H., the victim, who was six
    years old at the time of trial, and two younger sons, ages four and one years old. Jose
    and Kristina ended their relationship in March 2012.       Jose had visitation with the
    children every other weekend.
    {¶5} On Saturday, August 25, 2012, Jose picked his three children up at
    Kerfonta’s home around 6:30 p.m. and drove them to his sister’s, Catherine Alvarez’s
    (“Cathy”), house, where he was temporarily staying. Kerfonta packed one backpack for
    the children, as she always did, that had all of the children’s clothes in it, as well as
    diapers and food. When they arrived at Cathy’s house, Santos Alvarez (Jose’s father),
    Ceron (Jose’s stepfather), Cathy, and Cathy’s children were there. Jose’s two older
    children hugged both of their grandfathers, Santos and Ceron.       Jose said that X.H.
    interacted with Ceron like a normal grandparent and granddaughter do.
    {¶6} Later in the evening, the children were inside watching a movie. Jose,
    Santos, and Ceron were sitting on the front porch drinking beer. At some point in the
    evening, Jose’s relatives, Cesar and Eliseo Hernandez, stopped by and had a few beers
    with them. Jose said that he had around eight or nine beers. He thought that Ceron
    drank about the same amount of beers that night.
    {¶7} At some point, Cathy and her children left with Cathy’s boyfriend. Santos,
    who was also living with Cathy at that time, went to bed around midnight. Jose and
    Ceron were still on the porch. Jose told Ceron that he needed to go to bed. Ceron went
    inside to use the bathroom. Jose remained on the porch, finishing his cigarette, while
    Ceron went inside. Jose testified that “[n]ot even two minutes later” after Ceron had
    gone inside, Jose grabbed the front door handle to go inside and Ceron was “trying to
    come outside” at the same time. Jose said that Ceron told him that he was going home.
    Jose saw Ceron leave quickly, without wearing any shoes. Jose said that Ceron had been
    wearing shoes earlier in the evening, but Jose did not see him take them off.
    {¶8} X.H., the victim, testified that when she was at her Aunt Cathy’s house, her
    grandpa (Ceron) woke her up by pulling her pants down. X.H. said that she was sleeping
    on the couch in her aunt’s living room at the time. X.H. testified that her grandpa
    “touched [her] privacy” with his fingers. X.H. said that her grandpa also “went on top of
    her” and “touched [her] privacy again.” X.H. testified that her grandpa got off of her
    when her dad opened the door to come inside the house. X.H. said that she could not get
    out from underneath her grandpa. She was about to call for her dad, but she started
    crying. She said she was scared when it happened because she does not like people
    touching her. X.H. said that her younger brother was also in the room when her grandpa
    touched her. Her brother was sleeping on her aunt’s other couch.
    {¶9} Over Ceron’s objection, the state then showed X.H. an anatomically correct
    female doll. X.H. demonstrated on the doll how her grandpa pulled her pants down to
    about her knees. The state then asked X.H. to demonstrate on the doll how her grandpa
    touched her. The state stated for the record that X.H. “pressed two fingers to the center
    of the middle of the doll.” The state then asked, “And where you put your two fingers,
    [X.H.], what do you call that?” X.H. replied, “[m]y privacy.” X.H. further explained
    that she goes to the bathroom with her “privacy.”
    {¶10} X.H. identified her Dora the Explorer underwear that she was wearing on
    the night her grandpa touched her.       X.H. said that when her grandpa touched her
    “privacy,” it “hurted.” When asked why it “hurted,” X.H. said “because he pushed his
    — he pushed his fingers really down, and it hurts.”
    {¶11} X.H. testified that she told her dad what happened the following morning.
    She also told her Aunt Cathy, but she was afraid to tell her grandmother because she did
    not want to make her feel sad. X.H. testified that her Aunt Cathy helped her take a
    shower before they went to a birthday party at Edgewater Park for Cathy’s twins. X.H.
    said that her aunt told her to “tell what happened.”
    {¶12} X.H. testified that her grandpa, Ceron, came to her Aunt Cathy’s house in
    the morning, but she said that she did not talk to him because she did not want to. After
    the party, X.H. went to her mom’s house. X.H. said that her dad told her mom what had
    happened and her mom started crying. X.H. testified that she did not dream that her
    grandfather touched her, nor did she make it up.
    {¶13} On cross-examination, X.H. stated that when her dad started opening the
    door, her grandpa heard it and got off of her. X.H. stated that she was trying to put her
    pants back on when her dad came in the house, but she said that her dad did not see her
    with her pants pulled down because she thought that he went back outside.
    {¶14} Jose testified that after Ceron left that night, Jose slept on the loveseat and
    all three of his children slept on the long couch. Jose stated that the next morning, X.H.
    told him that she had to tell him something. Jose said that X.H. seemed scared to tell
    him. After the conversation, Jose did not know what to do so he called his mother,
    Morena Hernandez (who was married to Ceron), and told her what X.H. had told him.
    Morena asked him to wait until after the twins’ (Cathy’s children) birthday party before
    doing anything about it.
    {¶15} When Ceron arrived at Cathy’s house the following Sunday morning, Jose
    testified that X.H. was afraid of Ceron; X.H. hid behind Cathy. Jose said that X.H. had
    never been afraid of Ceron before that point. Jose asked Ceron why “he touched [X.H.]”
    Ceron denied that he did it. Jose said that Ceron first responded that “he might have
    accidentally touched her when he sat down.” Ceron then told Jose that X.H. might have
    been dreaming.
    {¶16} They all went to Edgewater Park for the birthday party, including Ceron.
    Ceron and X.H. did not interact at the party. Jose said that X.H. played with her cousins
    and acted normal. After the birthday party, around 9:00 or 10:00 p.m., Jose drove his
    three children to Kerfonta’s house. Jose testified that he told Kerfonta what X.H. had
    told him that morning.
    {¶17} Kerfonta testified that when X.H. got home that Sunday night, X.H. told
    Kerfonta that she wanted to tell her something. But then X.H. seemed afraid to tell
    Kerfonta. So Jose had a conversation with Kerfonta. Kerfonta said that she “freaked”
    and “panicked” when Jose told her. Ceron and Morena arrived at that point. Kerfonta
    confronted Ceron. Kerfonta testified that Ceron said that maybe X.H. was dreaming.
    Ceron told Kerfonta to take X.H. to the hospital to get checked.
    {¶18} After Ceron and Morena left, Jose and Kerfonta decided to wait to take X.H.
    to the hospital until after school the next day because it was X.H.’s first day of first grade
    and she was excited.
    {¶19} Jose said that since the incident, his family, including his mother, does not
    talk to him. They think that X.H. is lying. Jose said his family “turned their back on
    [him].”
    {¶20} On cross-examination, Jose said that Ceron raised him and his sisters. He
    agreed that Ceron was a hard worker and had always been there for him. When asked,
    “have you ever known him to do anything illegal, dishonest?” Jose replied that he had.
    When further asked to explain, Jose said that Ceron “pick[s] up girls from the street.”
    On redirect-examination, Jose further explained that on the night of August 25, 2012, two
    prostitutes walked by the house around 10:00 p.m. Ceron called to them and one of the
    women went inside with Ceron for about 20 minutes.
    {¶21} Kerfonta testified that she took X.H. to the hospital after school the next
    day, on Monday. Kerfonta gave the clothes that X.H. had been wearing on that Saturday
    night to the SANE nurse.
    {¶22} Kerfonta said that she had a very good relationship with Jose’s family before
    this happened, but they do not speak now. Kerfonta also testified that after this incident,
    X.H. became afraid of men, which was unusual for her. X.H. locks the bathroom door
    now so no one can see her change her clothes.
    {¶23} On cross-examination, Kerfonta admitted that relations with Jose’s family
    had been strained since she and Jose broke up the previous March 2012.
    {¶24} Cathy, Jose’s sister and X.H.’s aunt, testified that on the night of August 25,
    2012, she made dinner for her children and her nieces and nephews and then put a movie
    in for them to watch. Ceron, Santos, and Jose were drinking beer on the front porch.
    Cathy left with her boyfriend and her children around midnight or 12:30 a.m. The next
    day, Cathy and her children arrived home around noon. Cathy said that Jose made X.H.
    tell Cathy what had happened. Cathy gave X.H. a bath. Cathy’s mother, Morena, and
    Ceron were there when X.H. was done with her bath. Cathy said that X.H. sat on the
    opposite couch from where Ceron was sitting, but X.H. did not appear to be afraid of
    Ceron. Cathy said that since this happened she no longer talks to Jose.
    {¶25} On cross-examination, Cathy said that Ceron had raised her since she was
    two years old. He never did anything inappropriate to her; he was a good provider and
    took care of her family. Cathy said that X.H. did not seem upset at the birthday party that
    Sunday.
    {¶26} Michele Reali-Sorrell testified that she is a sexual assault nurse examiner
    (“SANE”) at the Cleveland Clinic. Reali-Sorrell examined X.H. on Monday, August 27,
    2012, at Fairview Hospital. X.H. told Reali-Sorrell verbatim:
    I was sitting on the couch at my aunt’s house. Wicho [what X.H. called
    Ceron] sat next to me on the couch. He pulled my pants down, and he
    touched my privates, he put his finger in me. He got on top of me. My
    dad walked in, and he got up and said goodbye.
    Reali-Sorrell said that X.H.’s statement was a direct quote because she is not permitted to
    summarize what the patient says.
    {¶27} Reali-Sorrell obtained a DNA sample from X.H.            She also obtained a
    vaginal swab with a Q-tip because a speculum is too big for a five-year-old child; the
    speculum would be traumatic and cause more damage. Reali-Sorrell also took an anal
    swab with a Q-tip. She did not observe any injury on X.H. She did not think it was
    unusual that X.H. did not have an injury to her vagina since there was only penetration
    with fingers.   She said the vagina is very flexible and does not easily damage.
    Reali-Sorrell also said that bathing or showering removes evidence from a victim.
    {¶28} Hristina Lekova testified that she is a forensic DNA analyst at Cuyahoga
    County Regional Forensic Science Laboratory. She tested the sexual assault evidence
    collection kit, including fingernail scrapings, and vaginal, oral, and rectal swabs. She
    also tested X.H.’s underwear and pants that she was wearing on the night of the incident,
    as well as two swabs from the crotch area of X.H.’s underwear. She said that based on
    the history of this case, she was not looking for semen or bodily fluids. She took the two
    swab samples from X.H.’s underwear because she was looking for “touch DNA.” She
    explained that when people touch each other, they exchange DNA. She testified that
    people shed skin cells all the time, so their DNA can also get on their clothes. If
    people’s clothes come in contact with one another, their DNA that is on their clothes can
    transfer as well. Lekova also tested a buccal swab from Ceron.
    {¶29} The results of Lekova’s testing indicated that there was no “seminal
    material” in any of the vaginal, oral, or rectal swabs taken from the victim.        She
    explained that she did not expect to find seminal material based on the history. Further,
    “no DNA profile foreign to [X.H.]” was obtained from the vaginal or rectal swab, or from
    the two swabs taken from X.H.’s underwear. Lekova explained, however, that male
    DNA was present on X.H.’s underwear.         But because there was an overwhelming
    amount of X.H.’s DNA on the underwear, it masked the presence of the male DNA.
    Because of male DNA being masked by X.H.’s DNA, Lekova sent the two swabs from
    X.H.’s underwear to another department for a Y-STR analysis, which she explained
    targets only Y chromosomes.
    {¶30} Christine Scott testified that she is a forensic DNA analyst at the Cuyahoga
    County medical examiner’s office. She performed a Y-STR analysis on the swabs from
    the “crotch area” of X.H.’s underwear. Scott explained that male DNA was present in
    the underwear sample, or else she would not have received the sample for further testing.
    {¶31} Scott explained that she looked at the “sample information from the
    autosomal test to determine how much male DNA was in the sample; and based on that,
    [she] amplified it and produced a Y-STR profile.”        In the profile, Scott found a
    “mixture” of DNA in X.H.’s underwear, meaning DNA from multiple people. Scott
    concluded that Ceron could not be excluded from the sample. When explaining why he
    could not be excluded, Scott stated that she looked at “17 positions” because “[t]hat’s
    how many [are] in the kit.” In explaining her results, she stated: “I found that the sample
    item 3 [which was the swab from Ceron], at every position his number was in the
    sample.” She explained that “[i]f only one of these positions did not have [Ceron’s]
    number,” she “would a hundred percent exclude him.”           She also saw DNA present
    from at least two other males.
    {¶32} On cross-examination, Scott agreed that the results in this case were
    “inconclusive.”   She explained: “[i]t’s also possible that you can have include or a
    match.”   She stated that “include” would “mean that she could say with scientific
    certainty that the known item is in the unknown item.” She further explained that
    “match” meant “a statistical probability that [the DNA sample from the unknown] would
    be a match [to the known sample].” She agreed that she could not say that Ceron’s DNA
    was included in the unknown sample or matched the unknown sample. Scott further
    agreed that if X.H.’s underwear “came into contact with clothing belonging to the
    victim’s brother,” that DNA could be transferred that way.
    {¶33} On redirect-examination, Scott explained that there are actually four results
    that she could have gotten when analyzing the DNA samples. In addition to finding that
    DNA in an unknown sample is (1) included in the known sample, (2) matches the known
    sample, or (3) is inconclusive, the results of her testing could “exclude” someone. Scott
    testified that she could not exclude Ceron from the DNA testing.
    {¶34} The state rested. Ceron moved for a Crim.R. 29 acquittal on all counts,
    which the trial court denied after argument.
    {¶35} Five witnesses testified on Ceron’s behalf, including Santos Alvarez, Eliseo
    Hernandez, Morena Hernandez, Carlos Paneda, and Dalia Katz. Ceron also testified at
    his trial.
    {¶36} Ceron testified that he had been working since he was about 12 or 13 years
    old in El Salvador. He came to the United States in November 1996. He worked at
    Ohio Meal Supply and a bakery, which his wife owned. On Saturday, August 25, 2012,
    he said that he and Morena worked at the bakery all day. They also delivered food that
    they had made. He finished around 5:00 p.m., and then went to Cathy’s to mow the
    grass. Ceron said that when Jose arrived at Cathy’s house with the children, X.H. came
    up to him and hugged him. He said that he did not have any more contact with X.H. that
    night.
    {¶37} Ceron testified that he, Santos, and Jose drank beer on Cathy’s front porch.
    At some point, Eliseo and Cesar stopped by and had some beers with them. Ceron said
    that Santos left first, and then Eliseo and Cesar. Ceron testified that he left around
    midnight. Before he left, he said that he went “upstairs to the bathroom.” He then went
    downstairs to look for Jose to say goodbye. Ceron said: “at the time I was opening the
    door, I — I see Jose right there, and I said, I’m leaving.”
    {¶38} Ceron stated that he saw children sleeping in the living room, but he could
    not tell “who was who” because it was dark. Ceron denied that he pulled X.H.’s pants
    down, and denied that he touched her sexually.
    {¶39} Ceron said that he approached X.H. that following Sunday, after Jose
    confronted him. Ceron asked X.H., “What is going on? Why you saying that?” He
    said that X.H. just looked down and did not answer him. He testified that X.H. appeared
    “sad maybe.” Ceron said that later, X.H. appeared normal at the birthday party. He did
    not talk to her there.
    {¶40} On cross-examination, Ceron admitted that he “get[s] in trouble when [he]
    drinks,” but not if he is at home. The state asked Ceron, over objection, “isn’t it true that
    after drinking you’ve been accused of pulling down the pants of other females?” Ceron
    replied, “no.” He admitted that “two women passed by” on the night of August 25, 2012.
    {¶41} Carlos Paneda and Dalia Katz, who were both in supervisory positions over
    Ceron (Katz is married to the owner of Ohio Meal Supply), testified that they had known
    Ceron for a long time and that he was a very hard worker, responsible, and had an
    excellent reputation for truth.
    {¶42} Santos Alvarez and Eliseo Hernandez testified as to what occurred on the
    evening of August 25, 2012. They did not add anything that had not already been
    testified to, except that they both stated that two women came by Cathy’s house that
    night, but they did not see Ceron go in the house with one of them.
    {¶43} Morena, Ceron’s wife, testified that she had been with Ceron for 19 years,
    since her children were very young. He helped raise them and was a good father to them.
    He also set a good example for them. Morena testified that Ceron worked very hard.
    {¶44} Morena said that when Jose told her what X.H. had said about Ceron, she
    told him to take the child to the hospital. She denied that she told him to wait until after
    the birthday party. She also denied that she ever begged Jose to drop the charges against
    Ceron. Morena said that she and Kerfonta began having problems when Kerfonta broke
    up with Jose in March 2012.
    {¶45} Morena testified that on Sunday, August 26, 2012, X.H. seemed normal; she
    played with her cousin, she ate cake, and she took care of her younger brother at the
    birthday party. She said that X.H. did not seem depressed or scared.
    {¶46} Ceron rested his case.
    {¶47} Over Ceron’s objection, the state recalled two of its witnesses as rebuttal
    witnesses, Kerfonta and Jose. Kerfonta testified that in December 2010, when she was
    six months pregnant with her youngest son, she went to sleep in her bed. X.H. and her
    older son were also sleeping in the bed with her. Jose, Jose’s uncle, and Ceron were
    there; they were all drinking. Kerfonta was not drinking. She went to bed around 11:00
    p.m. or midnight. Kerfonta said that she fell asleep on her side. She felt “somebody
    pulling down [her] pants.” She woke up and saw that it was Ceron. Kerfonta said that
    Ceron “jumped up and left the room.” She immediately told Jose when he came in the
    room for something: “I think [Ceron] just came in here, because I know it wasn’t you.”
    Jose called her a liar.
    {¶48} Kerfonta said that about a month later, Ceron apologized to her for what he
    did. Ceron said, “Kristina, I was drinking. I’m sorry for what happened.” Kerfonta
    said that she told Ceron, “I don’t forgive you, but I don’t want your wife to get hurt for
    this, and I understand. You apologized to Jose. You apologized to me. Just let it go.
    I don’t want to talk about it anymore. * * * Don’t let it happen again.” Kerfonta never
    told anyone else about the incident.
    {¶49} Jose testified that in December 2010, Kerfonta told him something “about
    five, ten minutes after it happened.” The following day, Ceron apologized to Jose.
    Ceron told Jose that “he touch improperly Kristina.” Ceron told Jose exactly what he
    did; “[h]e said, Jose, I’m sorry. I know it was wrong. I touch Kristina. I tried to pull
    her pants down, but then I left.” Ceron also asked Jose, “in some words,” to “keep it
    quiet.”
    {¶50} The jury found Ceron guilty of all three offenses as charged: rape with the
    furthermore clause that the victim was under ten years of age, gross sexual imposition of
    a victim under the age of 13 years old, and kidnapping with the sexual motivation
    specification.    The trial court merged all of the offenses.   The state elected to proceed
    on the rape offense.       The trial court sentenced Ceron to life in prison with parole
    eligibility after 25 years.   The trial court further notified Ceron that he would be labeled
    a Tier III sex offender.
    {¶51} We will address Ceron’s assignments of error out of order for ease of
    discussion.
    Hearsay Testimony
    {¶52} In his second assignment of error, Ceron argues that the trial court erred by
    admitting hearsay testimony of the victim through the SANE nurse.
    {¶53} Ceron concedes that his counsel did not object to the SANE nurse’s
    testimony regarding X.H.’s statement.      Accordingly, we review for plain error.       Under
    Crim.R. 52(B), plain errors affecting substantial rights may be noticed by an appellate
    court even though they were not brought to the attention of the trial court. To constitute
    plain error, there must be: (1) an error, i.e., a deviation from a legal rule, (2) that is plain
    or obvious, and (3) that affected substantial rights, i.e., affected the outcome of the trial.
    State v. Barnes, 
    94 Ohio St.3d 21
    , 27, 
    759 N.E.2d 1240
     (2002). Even if the error
    satisfies these prongs, appellate courts are not required to correct the error.      Appellate
    courts retain discretion to correct plain errors. 
    Id.
           Courts are to notice plain error
    under Crim.R. 52(B), “‘with the utmost caution, under exceptional circumstances and
    only to prevent a manifest miscarriage of justice.’” 
    Id.
     (citation omitted).
    {¶54} Hearsay is defined as “a statement, other than one made by the declarant
    while testifying at the trial or hearing, offered in evidence to prove the truth of the matter
    asserted.” Evid.R. 801(C). Pursuant to Evid.R. 802, hearsay is inadmissible unless it
    falls within an exception provided by the rules of evidence.
    {¶55} Evid.R. 803(4) allows, as an exception to the hearsay rule, the admission of
    “[s]tatements made for purposes of medical diagnosis or treatment and describing
    medical history, or past or present symptoms, pain, or sensations, or the inception or
    general character of the cause or external source thereof insofar as reasonably pertinent to
    diagnosis or treatment.”    The staff notes to the rule provide in pertinent part:
    The circumstantial guaranty of trustworthiness of this exception is
    derived from the assumption that a person will be truthful about his physical
    condition to a physician because of the risk of harmful treatment resulting
    from untruthful statements. * * * The exception is limited to those
    statements made by the patient which are reasonably pertinent to an
    accurate diagnosis and should not be a conduit through which matters of no
    medical significance would be admitted.
    Staff Notes to Evid.R. 803(4).
    {¶56} As expressed by the Ohio Supreme Court: “The test under Evid.R. 803(4)
    goes solely to whether a statement was made for purposes of medical diagnosis or
    treatment.    If a statement is made for purposes of diagnosis or treatment, it is admissible
    pursuant to Evid.R. 803(4).” State v. Dever, 
    64 Ohio St.3d 401
    , 414, 
    1992-Ohio-41
    , 
    596 N.E.2d 436
    .
    {¶57} In State v. Rose, 12th Dist. Butler No. CA2011-11-214, 
    2012-Ohio-5607
    ,
    the court explained at ¶ 42:
    In sexual assault cases such as the case at bar, there is often
    testimony from a sexual assault nurse. Similar to the dual role of a social
    worker interviewing a child who may be a victim of sexual abuse, these
    nurses often perform a dual role involving both medical diagnosis and
    treatment and the investigation and gathering of evidence. See State v.
    Arnold, 
    126 Ohio St.3d 290
    , 
    2010-Ohio-2742
    , ¶ 33, 
    933 N.E.2d 775
    (acknowledging the dual role of the social worker in interviewing a child
    who may be a victim of sexual abuse from both an investigatory and
    medical perspective). Only those statements made for the purpose of
    diagnosis and treatment are admissible under Evid.R. 803(4). See Arnold
    at ¶ 28; State v. Muttart, 
    116 Ohio St.3d 5
    , 
    2007-Ohio-5267
    , ¶ 47, 
    875 N.E.2d 944
    . Accordingly, the salient inquiry when determining whether a
    hearsay statement is admissible under Evid.R. 803(4), is whether the
    statement was made for purposes of diagnosis or treatment rather than for
    some other purpose. See Muttart at ¶ 47. One such “other purpose” is
    the gathering of forensic information to investigate and potentially
    prosecute a defendant. Arnold at ¶ 33. To the extent that a victim’s
    statement to a nurse is for investigative purposes in furtherance of such
    criminal prosecution, the statements will not fall within the hearsay
    exception under Evid.R. 803(4).
    {¶58} In this case, the SANE nurse, Michele Reali-Sorrell, testified that as a
    sexual assault nurse examiner, she examines victims, obtains a history and a physical, and
    “looks for injuries.”   She further explained that “[w]e medically treat them, make any
    diagnosis, and refer them to a physician for more examination.”     Reali-Sorrell testified
    that she obtains a history “so we know how to medically treat them and diagnose what’s
    wrong.”
    {¶59} Reali-Sorrell testified that X.H. told her: “I was sitting on the couch at my
    aunt’s house. Wicho sat next to me on the couch. He pulled my pants down, and he
    touched my privates, he put his finger in me. He got on top of me. My dad walked in,
    and he got up and said goodbye.”
    {¶60} After review, we conclude that X.H.’s statement — a statement by a
    five-year-old child — was for the purpose of medical diagnosis and treatment.
    Therefore, it was admissible hearsay. See also State v. Stahl, 
    111 Ohio St.3d 186
    ,
    
    2006-Ohio-5482
    , 
    855 N.E.2d 834
    , ¶ 56 (Lanzinger, J., dissenting) (“[i]t is reasonable to
    suppose” that “any statements” made by child assault victims — “from a child’s point of
    view, * * * were solely for medical diagnosis and treatment.”).
    {¶61} Ceron concedes that “[b]ecause [X.H.] testified at trial, the admission of her
    statement to the nurse claiming penetration would not ordinarily present a constitutional
    violation.”   But he argues that “[u]nder the unique circumstances of this case,” his rights
    to due process were violated. In support of this argument, he claims that although X.H.
    testified, she was never questioned about the statement, much less asked to defend or
    explain it.   He further claims that X.H. could not be “confronted over it due to the fact
    that her testimony had concluded before the admission of the statement.”           Ceron’s
    arguments are completely unfounded.       He had every opportunity to cross-examine the
    victim in any way that he wished (he had a copy of the SANE nurse’s report prior to trial).
    But he chose not to.
    {¶62} Further, Ceron’s argument claiming that Reali-Sorrell’s testimony
    improperly impeached X.H.’s is completely unfounded and bordering on outrageous.
    {¶63} Accordingly, we find no error, plain or otherwise.            Ceron’s second
    assignment of error is overruled.
    Other-Acts Evidence
    {¶64} In his first assignment of error, Ceron argues that the trial court erred when
    it permitted the prosecution, over his objection, to present other-acts evidence under
    Evid.R. 404(B) through two rebuttal witness, Kerfonta and Jose. Kerfonta and Jose
    testified that in December 2010, Ceron, who had been drinking, attempted to pull
    Kerfonta’s pants down while she was sleeping. Ceron maintains that this evidence was
    inadmissible evidence under Evid.R. 404(B) because it was offered as propensity
    evidence, i.e., to prove that when Ceron gets drunk, he has a propensity to pull down the
    pants of female family members who are sleeping.
    {¶65} The state argues that it offered the testimony of Kerfonta and Jose
    to demonstrate the motive, scheme, opportunity, and lack of mistake or
    accident on the part of the accused to target sleeping female family
    members, in the home, while others are present to interrupt or discover
    appellant’s sexual activity of pulling down the female’s pants (multiple
    females: [Kerfonta] and X.H.) for the purpose of sexual conduct and/or
    gratification.
    A.     Standard of Review
    {¶66} In State v. Morris, 
    132 Ohio St.3d 337
    , 
    2012-Ohio-2407
    , 
    972 N.E.2d 528
    ,
    the Ohio Supreme Court set forth a reviewing court’s standard of review regarding the
    admissibility of other-acts evidence under Evid.R. 404(B).   The high court held at ¶ 14:
    “The admission of such [other-acts] evidence lies within the broad
    discretion of the trial court, and a reviewing court should not disturb
    evidentiary decisions in the absence of an abuse of discretion that created
    material prejudice.” State v. Diar, 
    120 Ohio St.3d 460
    , 
    2008-Ohio-6266
    ,
    
    900 N.E.2d 565
    , ¶ 66. See also State v. Sage, 
    31 Ohio St.3d 173
    , 
    510 N.E.2d 343
     (1987), paragraph two of the syllabus (“The admission or
    exclusion of relevant evidence rests within the sound discretion of the trial
    court”). “Abuse of discretion” has been described as including a ruling
    that lacks a “sound reasoning process.” AAAA Ents., Inc. v. River Place
    Community Urban Redevelopment Corp., 
    50 Ohio St.3d 157
    , 161, 
    553 N.E.2d 597
     (1990). A review under the abuse-of-discretion standard is a
    deferential review. It is not sufficient for an appellate court to determine
    that a trial court abused its discretion simply because the appellate court
    might not have reached the same conclusion or is, itself, less persuaded by
    the trial court’s reasoning process than by the countervailing arguments.
    
    Id.
    B.     Evid.R. 404(B) and R.C. 2945.59
    {¶67} “Evidence that an accused committed a crime other than the one for which
    he is on trial is not admissible when its sole purpose is to show the accused’s propensity
    or inclination to commit crime or that he acted in conformity with bad character.” State
    v. Williams, 
    134 Ohio St.3d 521
    , 
    2012-Ohio-5695
    , 
    983 N.E.2d 1278
    , ¶ 15, citing State v.
    Curry, 
    43 Ohio St.2d 66
    , 68, 
    330 N.E.2d 720
     (1975); State v. Jamison, 
    49 Ohio St.3d 182
    ,
    184, 
    552 N.E.2d 180
     (1990).        In R.C. 2945.59, however, the General Assembly
    “codified certain exceptions to the common law regarding the admission of evidence of
    other acts of wrongdoing.” 
    Id.
     This statute provides that:
    In any criminal case in which the defendant’s motive or intent, the
    absence of mistake or accident on his part, or the defendant’s scheme, plan,
    or system in doing an act is material, any acts of the defendant which tend
    to show his motive or intent, the absence of mistake or accident on his part,
    or the defendant's scheme, plan, or system in doing the act in question may
    be proved, whether they are contemporaneous with or prior or subsequent
    thereto, notwithstanding that such proof may show or tend to show the
    commission of another crime by the defendant.
    {¶68} Evid.R. 404(B) is “in accord with R.C. 2945.59,” but some differences do
    exist. Williams at ¶ 16-17. Evid.R. 404(B) provides that
    Evidence of other crimes, wrongs, or acts is not admissible to prove the
    character of a person in order to show action in conformity therewith. It
    may, however, be admissible for other purposes, such as proof of motive,
    opportunity, intent, preparation, plan, knowledge, identity, or absence of
    mistake or accident. In criminal cases, the proponent of evidence to be
    offered under this rule shall provide reasonable notice in advance of trial, or
    during trial if the court excuses pretrial notice on good cause shown, of the
    general nature of any such evidence it intends to introduce at trial.
    {¶69} The Ohio Supreme Court explained that “[t]he statute affords the trial court
    discretion to admit evidence of any other acts of a defendant in cases where motive or
    intent, absence of mistake or accident, or scheme, plan, or system in doing an act is
    material.” Id. at ¶ 17.   “[M]aterial” means “[h]aving some logical connection with the
    consequential facts.” Id. at ¶ 17, citing Black’s Law Dictionary 1066 (9th Ed.2009).
    But Evid.R. 404(B) contains no reference to materiality. Thus, Evid.R. 404(B) “affords
    the trial court discretion to admit evidence of other crimes, wrongs, or acts for ‘other
    purposes,’ including, but not limited to, those set forth in the rule. Hence, the rule
    affords broad discretion to the trial judge regarding the admission of other acts evidence.”
    Id.
    {¶70} In determining whether to permit other-acts evidence to be admitted, trial
    courts should conduct a three-step analysis set for in Williams at ¶ 20: (1) determine if the
    other-acts evidence “is relevant to making any fact that is of consequence to the
    determination of the action more or less probable than it would be without the evidence”
    under Evid.R. 401; (2) determine if the other acts “is presented to prove the character of
    the accused in order to show activity in conformity therewith or whether the other acts
    evidence is presented for a legitimate purpose, such as those stated in Evid.R. 404(B)”;
    and (3) consider “whether the probative value of the other acts evidence is substantially
    outweighed by the danger of unfair prejudice.”
    C.     Pertinent Procedural History in the Present Case
    {¶71} Prior to trial, the state filed a notice of intent to use Evid.R. 404(B) evidence
    of prior acts, which Ceron opposed.     The court held a hearing on the issue before trial.
    The state informed the court that it was seeking to introduce other-acts evidence that
    Ceron, after he had been drinking, attempted to pull Kerfonta’s pants down while she was
    sleeping.   The state argued that “[t]he prior scheme and plan here is significant” because
    “[t]hese are both female family members who are asleep and the defendant tries to take
    advantage of that.”      Ceron responded that it was improper evidence.       The trial court
    held its ruling in abeyance and ordered the parties not to mention the issue at trial.
    {¶72} When Ceron testified on cross-examination, the state began by asking him if
    he had been drinking on the night of August 25, 2012. Ceron replied that he had. The
    state then asked, “[a]nd isn’t it true that you tend to get in trouble when you drink?”
    Ceron replied that he gets into trouble if he leaves his house, but not if he stays at home.
    The state followed up with the question: “But you have gotten in trouble when you’ve
    been drinking in the past, haven’t you?”     Defense counsel objected.
    {¶73} At a sidebar, defense counsel argued that the only possible other-acts
    evidence that could be brought in at that point was a misdemeanor DUI conviction.        The
    state countered that Ceron placed his character at issue when he and the other defense
    witnesses testified.     The state argued that it was relevant to Ceron’s character to “give
    the full picture” of what Ceron does when he is drinking, “such as pulling down the pants
    of a six-year old.”    The court asked the state, “do you have evidence that when he drinks
    he gets into trouble?”     The state responded that Ceron had a prior DUI conviction.    The
    state then brought up its “404(B) motion.” The court asked the state if it intended to go
    into that evidence at that point.     The state replied that it was going to ask Ceron “the
    question” but not “about who specifically.”
    {¶74} The court indicated that it had reviewed Williams, 
    134 Ohio St.3d 521
    ,
    
    2012-Ohio-5695
    , 
    983 N.E.2d 1278
    , and was familiar with the three-part test set forth in
    that case.   The court then recited the parameters of the three-part test, without providing
    any analysis specific to this case, and concluded that it would allow the other-act
    testimony to be admitted.
    {¶75} Defense counsel objected.      The state responded again that Ceron put his
    character at issue, therefore the state should be able to question him on it.     The state
    argued that if Ceron was going to “parade in how many more character witnesses and talk
    about what a great guy he is, then the state should be permitted to ask about the DUI and
    the choices he makes when he’s drinking.”      The state informed the trial court that upon
    continuing its cross-examination of Ceron, it did not yet know if it would call Kerfonta
    and Jose back to the stand to testify to the other acts, but the state wanted to question
    Ceron about the other acts.   The trial court permitted the state to do so.
    {¶76} The state continued its cross-examination of Ceron.       It asked Ceron again,
    “it’s true that you tend to get in trouble when you’re drinking?” Ceron replied that
    “[o]ne time I have a problem.”       The state then asked, “And isn’t it true that after
    drinking you’ve been accused of pulling down the pants of other females?”              Over
    defense counsel’s objection, Ceron replied, “no.”         The state continued questioning
    Ceron about other matters.
    {¶77} At the close of Ceron’s case-in-chief, the state indicated that it intended to
    call two rebuttal witness, Kerfonta and Jose.     The state explained that “this testimony
    only pertains — is for the limited purposes of the 404(B).”       The court was concerned
    that Kerfonta and Jose had been sitting in the courtroom since they testified and there had
    been a separation of witnesses.     The state assured the trial court that Kerfonta and Jose
    would only testify to the “404(B) matter” and that it would only be for the purpose of
    offering rebuttal evidence.     The court ruled that the state could place the rebuttal
    witnesses back on the stand “for the limited purpose of 404(B), not for any testimony,
    anything that was said during the defense case in regards to any specific issues.”
    {¶78} The jury came back into the courtroom.      The court instructed the jury:
    The state is calling this rebuttal witness at this time. The state is
    calling this rebuttal witness for the purpose of something called other acts.
    Evidence will be received about the commission of other acts other
    than the offense with which this defendant is charged in this trial. This
    evidence will be received for only a limited purpose. It is not received,
    and you may not consider it, to prove the character of the defendant in order
    to show that he acted in conformity or accordance with that character.
    If you find that this evidence of other acts is true and that the
    defendant committed them, you may consider this evidence only for the
    purpose of deciding whether it proves, A, the absence of mistake or
    accident; or, B, the defendant’s motive, opportunity, intent; or, C, purpose,
    preparation, or plan to commit the offense charged in this trial, or
    knowledge of circumstances surrounding the offense charged in this trial;
    or, D, the identity of the person who committed the offense in this trial.
    That evidence cannot be considered for any other purpose.
    {¶79} The state then questioned Kerfonta and Jose about Ceron attempting to pull
    Kerfonta’s pants down while she was sleeping after he had been drinking.         Before the
    jury began its deliberations, the court read the instruction on other-acts evidence to the
    jury again as part of the jury instructions.
    D.     Williams Three-Part Test Applied in This Case
    1.     Relevancy
    {¶80} The first step of the Williams test is to determine if the other acts evidence
    “is relevant to making any fact that is of consequence to the determination of the action
    more or less probable than it would be without the evidence” under Evid.R. 401.
    Williams, 
    134 Ohio St.3d 521
    , 
    2012-Ohio-5695
    , 
    983 N.E.2d 1278
    , at ¶ 20. As stated by
    Evid.R. 402, “[a]ll relevant evidence is admissible” and “[e]vidence which is not relevant
    is not admissible.”
    {¶81} Regarding the first step of the Williams test, the state’s argument mirrors the
    analysis set forth by the Ohio Supreme Court.        The state maintains that the other-acts
    evidence “was relevant because it tended to show the motive that [Ceron] had, the scheme
    he exhibited of targeting sleeping female family members.”        The state argues that if this
    evidence is believed by the jury, “such testimony could corroborate the testimony of
    X.H.”    The state further argues that this evidence was relevant to prove lack of mistake,
    because Ceron first told Jose that he may have “accidentally touched” X.H. when he sat
    down.    The state further contends that the other-acts evidence was relevant to show
    opportunity because at trial, Ceron argued that he was in the house for such a short time,
    that he did not have time to pull X.H.’s pants down and digitally penetrate her.
    {¶82} In Williams, the other-acts evidence indicated that the defendant had
    targeted young, fatherless males “to gain their trust and confidence and groom them for
    sexual activity with the intent of sexual gratification.”   Id. at ¶ 25.   Williams befriended
    the victim, often bought him gifts, and paid him to do odd jobs at Williams’s house. The
    other-act evidence showed that Williams had “exhibited a pattern of isolating certain
    types of victims and then abused a position of authority to engage in grooming behaviors
    for the purpose of sexual gratification[.]” Id. at ¶ 11.          Further, Williams argued at trial
    that he was only sexually attracted to women.          The Supreme Court held that the other-act
    evidence tended to prove that Williams derived sexual gratification from engaging in
    sexual relations with teenage boys and that he had a certain plan or method of targeting a
    certain group of victims by gaining their trust through the role of an authority figure
    before abusing them. Id. at ¶ 25.
    {¶83} We find, however, that the facts in Williams are distinguishable from the
    facts in this case. As the court in State v. Morris, 9th Dist. Medina No. 09CA0022-M,
    
    2012-Ohio-6151
    ,1 explained: “there is a fundamental difference between a man’s desire
    to engage in sexual activity with his wife’s adult daughter and his desire to rape his wife’s
    little girl [who was entering the second grade when the sexual abuse started].”                      In
    The Ninth District’s original decision in this case, State v. Morris, 9th Dist. Medina No.
    1
    09CA0022-M, 
    2010-Ohio-4282
    , was reversed by the Ohio Supreme Court. See State v. Morris, 
    132 Ohio St.3d 337
    , 
    2012-Ohio-2407
    , 
    972 N.E.2d 528
    . The Ninth District, conducting a de novo review,
    had held that the trial court erred by admitting other-acts evidence and it further held that it was not
    harmless error. The Supreme Court concluded that the Ninth District erred when it applied a de
    novo standard of review when analyzing other-acts evidence; the high court held that the standard of
    review is abuse of discretion. Id. at ¶ 23. The Supreme Court reversed for application of the
    abuse-of-discretion standard of review. Id. Upon remand, the Ninth District found that the trial
    court abused its discretion by permitting the other-acts evidence. Morris, 
    2012-Ohio-6151
    , ¶ 40.
    As of June 2013, the 2012 Morris decision is now pending on appeal again at the Ohio Supreme
    Court. See State v. Morris, 
    136 Ohio St.3d 1406
    , 
    2013-Ohio-2645
    , 
    989 N.E.2d 102
    . The sole issue
    on appeal is whether the erroneous admission of other-acts evidence mandates that the court apply a
    constitutional harmless error standard, or a nonconstitutional harmless error standard.
    Morris, the trial court permitted the state to introduce other-acts testimony from the
    victim’s sister, Sarah, who was seven years older than the victim. Sarah testified that
    she was an adult and had previously been married, but was back living with her mother,
    her younger sister, and Morris, when Morris sexually propositioned her by pulling her
    on the bed and telling her, “you don’t know what I would do to you but your mother
    would get mad.” Id. at ¶ 14.     That was the extent of the proposition.   The next day the
    defendant apologized to Sarah, and he never propositioned her a second time.      The Ninth
    District reasoned that
    [o]ne cannot reasonably conclude that the evidence offered by Sarah has
    any tendency to prove that Mr. Morris engaged in a similar plan or method
    of conduct with the two sisters or that his alleged conduct with Sarah has
    some tendency to prove his motive or intent on certain occasions to derive
    sexual gratification from a child.
    Id. at ¶ 28.
    {¶84} Although the facts in Morris are not directly on point to the present (because
    the defendant in that case vaginally raped the victim at least ten times from second grade
    until she was 13), we find it to be instructive here. Similarly, in the present case, the
    state is arguing that evidence of Ceron attempting to pull Kerfonta’s pants down while
    she was sleeping is relevant to establishing that Ceron also pulled X.H.’s pants down
    while she was sleeping and digitally penetrated her.      We disagree with the state that
    Ceron attempting to pull the pants down of an adult makes it more probable that he also
    pulled the pants down of a five year old, and then went on to rape the five year old.
    {¶85} Accordingly, we find that even the first step of the Williams test is not met.
    2.     Evid.R. 404(B) Factors: Proof of Motive, Opportunity, Intent,
    Preparation, Plan, Knowledge, Identity, or Absence of Mistake or
    Accident
    {¶86} In the second step of the Williams test, courts must determine if the
    other-acts evidence “is presented to prove the character of the accused in order to show
    activity in conformity therewith or whether the other acts evidence is presented for a
    legitimate purpose, such as those stated in Evid.R. 404(B),” including proof of motive,
    opportunity, intent, preparation, plan, knowledge, identity, or absence of mistake or
    accident. Williams, 
    134 Ohio St.3d 521
    , 
    2012-Ohio-5695
    , ¶ 20.
    {¶87} Regarding this Williams parameter, the state contends that it did not offer
    the other-acts evidence “to show that abusing X.H. was in conformity with [Ceron’s]
    character.”   In support of this contention, the state merely claims that the trial court gave
    the jury two limiting instructions that this evidence was not being offered to prove
    Ceron’s character, and that the jury is presumed to follow these instructions. That is the
    extent of the state’s argument. We note, however, that the state’s argument on this
    parameter also mirrors the Supreme Court’s analysis on the same parameter in Williams.
    Regarding this second parameter, the Supreme Court stated in Williams:
    The next step relates to whether the evidence is presented to prove
    the accused’s character in order to show that the conduct was in conformity
    with that character. In this case, contrary to the view expressed by the
    court of appeals, the state did not offer the evidence of the Williams-A.B.
    relationship to show that abusing J.H. was in conformity with Williams’s
    character. In fact, the trial court gave two limiting instructions that this
    evidence was not being offered to prove Williams’s character — one just
    prior to the testimony of A.B., and one prior to deliberation. We presume
    the jury followed those instructions. See State v. Garner, 
    74 Ohio St.3d 49
    , 59, 
    656 N.E.2d 623
     (1995); Pang v. Minch, 
    53 Ohio St.3d 186
    , 195, 
    559 N.E.2d 1313
     (1990).
    Williams at ¶ 23.
    {¶88} In Williams, however, the other-acts evidence of Williams’s conduct with
    the prior victim paralleled his conduct with the victim he was currently accused of
    sexually abusing. In both incidents, Williams had targeted teenage males who had no
    father figure in order to gain their trust and confidence and groom them for subsequent
    sexual activities.   Based on these facts, the Supreme Court determined that evidence of
    Williams’s prior conduct “tended to show the motive Williams had and the preparation
    and plan he exhibited of targeting, mentoring, grooming, and abusing teenage boys.”
    Williams at ¶ 22.    “Evidence that Williams had targeted teenage males who had no father
    figure to gain their trust and confidence and groom them for sexual activity with the
    intent of sexual gratification may be admitted to show the plan of the accused and the
    intent for sexual gratification.” Id. at ¶ 25.
    {¶89} In sharp contrast here, Ceron’s conduct in both incidents hardly constituted a
    unique behavioral footprint.       Kerfonta was an adult with three young children.   X.H.
    was a five-year-old little girl.   Again, there is a “fundamental difference” between a man
    desiring to engage in sexual activity with an adult, whether appropriate or not, and
    desiring sexual contact with a very young child.      The fact that Ceron was drunk each
    time, and both females were sleeping, does nothing to change this analysis.
    {¶90} We further disagree with the state that evidence of Ceron attempting to pull
    Kerfonta’s pants down proves a scheme of “targeting sleeping female family members.”
    In no way does this evidence corroborate the testimony of X.H.          The state’s other
    arguments that this evidence could also be admitted to show lack of mistake and
    opportunity are also completely illogical.
    {¶91} Regarding mistake, Ceron’s defense at trial was that he did not do it. Just
    because Jose testified to hearsay evidence that Ceron told him that he may have
    “accidentally touched” X.H. is of no consequence to this analysis.    Ceron testified that
    he did not touch X.H. Lack of mistake is just not at issue in this case. And the state’s
    argument that attempting to pull Kerfonta’s pants down shows that Ceron had
    “opportunity” to also pull X.H.’s pants down and rape X.H. is simply without reason.
    Kerfonta’s rebuttal testimony had no tendency to prove that Ceron had an “opportunity”
    to rape X.H.
    {¶92} The only plausible use for the rebuttal evidence presented by Kerfonta and
    Jose was to draw an impermissible character inference that is forbidden by Evid.R.
    404(B), i.e., to show that Ceron is the type of sexually perverted man who would like to
    engage in sexual activity with his daughter-in-law and, therefore, is likely to have raped
    his granddaughter on the night in question.        See Morris, 9th Dist. Medina No.
    09CA0022-M, 
    2012-Ohio-6151
    , at ¶ 33. Accordingly, we conclude that the second test
    of Williams also fails.
    3.     Probative Value and Unfair Prejudice
    {¶93} The third parameter requires courts to consider “whether the probative value
    of the other acts evidence is substantially outweighed by the danger of unfair prejudice”
    under Evid.R. 403(A).       Williams, 
    134 Ohio St.3d 521
    , 
    2012-Ohio-5695
    , 
    983 N.E.2d 1278
    , at ¶ 20.
    {¶94} The state maintains that this evidence was not unduly prejudicial — again
    because the trial court gave two limiting instructions to the jury, which the state claims
    “lessened the prejudicial effect of the 404(B) testimony, and corroborated X.H.’s
    testimony about the sexual abuse, which had been denied by appellant.”
    {¶95} But since we have determined that the evidence has no probative value, we
    need not address this parameter.
    {¶96} In sum, we conclude that the trial court abused its discretion when it
    permitted the state to introduce other-acts evidence through rebuttal.   There is simply no
    “sound reasoning” that could justify its admission. See Morris, 
    132 Ohio St.3d 337
    ,
    
    2012-Ohio-2407
    , 
    972 N.E.2d 528
    , ¶ 14.
    E.        Harmless Error Analysis
    {¶97} Despite finding that the trial court erroneously admitted the other-acts
    evidence, we must determine if the error was harmless.     Pursuant to Crim.R. 52(A) any
    error, defect, irregularity, or variance that does not affect a substantial right will be
    disregarded.     See also State v. McKnight, 
    107 Ohio St.3d 101
    , 
    2005-Ohio-6046
    , 
    837 N.E.2d 315
    , ¶ 88 (applying nonconstitutional harmless-error analysis to erroneous
    admission of other acts evidence); State v. Conway, 
    109 Ohio St.3d 412
    ,
    
    2006-Ohio-2815
    , 
    848 N.E.2d 810
    , ¶ 74 (same). A nonconstitutional error is harmless
    when there is substantial other evidence to support the guilty verdict.   State v. Webb, 
    70 Ohio St.3d 325
    , 335, 
    638 N.E.2d 1023
     (1994).
    {¶98} After review, we find that the error was harmless.       The state presented
    evidence — through X.H.’s testimony — that Ceron “touched [her] privacy” with his
    fingers, “went on top of [her],” and “touched [her] privacy again.”       X.H. testified that
    when her grandfather did this, it “hurted” because “he pushed his fingers really down.”
    X.H. demonstrated to the jury, on an anatomically correct doll, how Ceron “touched her
    privacy.”   The state indicated for the record that X.H. “pressed two fingers to the center
    of the middle of the doll.” X.H. also testified that where she put her fingers on the doll
    was what she called “privacy.”
    {¶99} When X.H. got up the next morning, she first told her father what happened
    and then her aunt. The following day, she essentially told the SANE nurse the same
    thing that she testified to: “I was sitting on the couch at my aunt’s house. Wicho sat next
    to me on the couch. He pulled my pants down, and he touched my privates, he put his
    finger in me. He got on top of me. My dad walked in, and he got up and said goodbye.”
    {¶100} Further, there is nothing in the record that calls X.H.’s credibility into
    question. Before the incident of sexual abuse, each witness testified that X.H. loved her
    grandfather and had a close relationship with him.
    {¶101} Moreover, the DNA test results from the Y-STR analysis indicated that
    Ceron’s DNA could not be excluded from the swabs taken from the “crotch” of X.H.’s
    underwear that she was wearing that night.       The forensic DNA analyst who performed
    the Y-STR analysis testified that there was DNA present in the “crotch” of X.H.’s
    underwear from three males.     She explained that DNA can transfer to another person or
    item by simply touching the item or person.     She further explained that she looked at “17
    locations,” and on every location, she found that “sample item 3,” which was the swab
    from Ceron, was present at all 17 locations. She explained that if only one of these
    locations did not include Ceron’s DNA, she could have excluded him.
    {¶102} Thus, we conclude that the admission of the other-acts evidence was
    harmless as there was substantial other evidence to support the guilty verdict.
    {¶103} Ceron’s first assignment of error is overruled.
    Prosecutorial Misconduct
    {¶104} In his third assignment of error, Ceron maintains that during the
    prosecutor’s   closing   arguments,     she   committed     prosecutorial   misconduct     by
    mischaracterizing the victim’s and Kerfonta’s testimony.
    {¶105} The standard of review for prosecutorial misconduct is whether the
    comments and questions by the prosecution were improper, and, if so, whether they
    prejudiced appellant’s substantial rights. State v. Treesh, 
    90 Ohio St.3d 460
    , 480, 
    739 N.E.2d 749
     (2001). Prosecutorial misconduct will not provide a basis for reversal unless
    the misconduct can be said to have deprived the appellant of a fair trial based on the
    entire record. State v. Lott, 
    51 Ohio St.3d 160
    , 166, 
    555 N.E.2d 293
     (1990). “The
    touchstone of analysis ‘is the fairness of the trial, not the culpability of the prosecutor.’”
    State v. Gapen, 
    104 Ohio St.3d 358
    , 
    2004-Ohio-6548
    , 
    819 N.E.2d 1047
    , ¶ 92, quoting
    Smith v. Phillips, 
    455 U.S. 209
    , 219, 
    102 S.Ct. 940
    , 
    71 L.Ed.2d 78
     (1982).
    {¶106} But in this case, Ceron did not object to the prosecutor’s statements.
    Therefore, he has waived all but plain error. State v. Bryan, 
    101 Ohio St.3d 272
    ,
    
    2004-Ohio-971
    , 
    804 N.E.2d 433
    , ¶ 175; State v. Ballew, 
    76 Ohio St.3d 244
    , 254, 
    667 N.E.2d 369
     (1996).      The plain error rule is to be invoked only under exceptional
    circumstances in order to avoid a manifest miscarriage of justice. State v. Long, 
    53 Ohio St.2d 91
    , 95, 
    372 N.E.2d 804
     (1978). Plain error does not occur unless, but for the error,
    the outcome of the trial clearly would have been different. Id. at 97; Crim.R. 52(B).
    {¶107} Ceron points to three of the prosecutor’s comments during closing
    arguments. First, Ceron argues that during closing arguments, the prosecutor described
    X.H.’s actions with the doll as: “[S]he demonstrated that two fingers were put in [sic] her
    privacy.”   But he claims that earlier, the prosecutor had characterized the demonstration
    as: “pressed two fingers to the center of the doll.”
    {¶108} Next, Ceron argues that the prosecutor’s comment describing Kerfonta’s
    actions in taking X.H. to the hospital was not testimony that was offered at trial.
    Specifically, the prosecutor stated, “Ask yourself this: Your child comes to you, and she
    says, someone pulled down my pants and touched my privacy. He put his fingers in
    me.”
    {¶109} Ceron further argues that the prosecutor mischaracterized X.H.’s
    statement: “he pushed his fingers really down, and it hurts,” as “it hurted, that it hurted,
    and he pushed down with his fingers in her privacy.”    (Emphasis sic.)
    {¶110} Ceron argues that “the alleged victim never testified that appellant put his
    fingers inside her, but the prosecutor twice characterized her testimony that way.”
    Ceron further maintains that “even worse” than that, the prosecutor “testified for [sic]
    Kerfonta,” telling the jury to imagine you were in Kerfonta’s shoes and “your child says *
    * * he put his fingers in me.”       Ceron claims that “[t]he repeated, intentional, and
    outrageous misconduct by the prosecutor altered and mischaracterized the trial record,
    and caused dire prejudice to [his] fundamental constitutional rights.”
    {¶111} A prosecutor has wide latitude to comment on the evidence of record, and
    may suggest conclusions based on that evidence in a closing argument.      State v. Powell,
    
    132 Ohio St.3d 233
    , 
    2012-Ohio-2577
    , 
    971 N.E.2d 865
    , ¶ 149. Indeed, a prosecutor may
    comment in closing argument regarding “‘what the evidence has shown and what
    reasonable inferences [the prosecutor] believes may be drawn therefrom.’”      State v. Lott,
    
    51 Ohio St.3d 160
    , 165, 
    555 N.E.2d 293
     (1990), quoting State v. Stephens, 
    24 Ohio St.2d 76
    , 82, 
    263 N.E.2d 773
     (1970); State v. Tufts, 8th Dist. Cuyahoga No. 94276,
    
    2011-Ohio-73
    , ¶ 23.      Although prosecutors are entitled to considerable latitude in
    opening and closing arguments, they must nevertheless avoid insinuations and assertions
    calculated to mislead. Lott at 166. Courts must review the statement within the context
    of the entire trial. State v. Bailey, 8th Dist. Cuyahoga No. 97329, 
    2012-Ohio-3447
    , ¶ 12.
    {¶112} After reviewing the prosecutor’s comments within the context of the entire
    trial, we cannot say that they were improper.      The jury heard X.H.’s testimony that
    Ceron “touched her privacy.”       The jury heard the SANE nurse testify as to X.H.’s
    verbatim statement — where X.H. expressly told the nurse that Ceron “put his finger in
    me.”   The jury also heard X.H. testify that when Ceron “touched her privacy,” it
    “hurted” because he “pushed his fingers really down.”       And the jury observed X.H.
    demonstrate what Ceron did to her on the anatomically correct doll.        Further, during
    closing arguments, in addition to the three comments that Ceron complains of, the
    prosecutor stated seven times that the victim said that Ceron “touched [her] privacy.”
    Thus, we simply do not find that the prosecutor’s comments amounted to “insinuations”
    or were “calculated to mislead.”
    {¶113} Even if we were to find that the prosecutor’s comments were improper,
    they still would not rise to the high level of plain error. Stated another way, this is not
    such a case where a manifest miscarriage of justice would occur if we did not invoke the
    plain error rule because of the three comments made by the prosecutor in closing
    arugments.
    {¶114} Ceron’s third assignment of error is overruled.
    Sufficient and Manifest Weight of the Evidence
    {¶115} Ceron argues his fourth (sufficiency and manifest weight arguments) and
    fifth (Crim.R. 29 motion) assignments of error together “due to the similarity of their
    standards for evaluation.”   Thus, we will also address them together.
    {¶116} When an appellate court reviews a record upon a sufficiency challenge,
    “‘the relevant inquiry is whether, after viewing the evidence in a light most favorable to
    the prosecution, any rational trier of fact could have found the essential elements of the
    crime proven beyond a reasonable doubt.’”        State v. Leonard, 
    104 Ohio St.3d 54
    ,
    
    2004-Ohio-6235
    , 
    818 N.E.2d 229
    , ¶ 77, quoting State v. Jenks, 
    61 Ohio St.3d 259
    , 
    574 N.E.2d 492
     (1991), paragraph two of the syllabus.       When reviewing the denial of a
    Crim.R. 29 motion, it is identical to reviewing whether the evidence was legally sufficient
    to sustain the defendant’s convictions.     State v. Tenace, 
    109 Ohio St.3d 255
    , 260,
    
    2006-Ohio-2417
    , 
    847 N.E.2d 386
    , ¶ 37.
    {¶117} In contrast to a sufficiency argument, a manifest weight challenge
    questions whether the state met its burden of persuasion. State v. Bowden, 8th Dist.
    Cuyahoga No. 92266, 
    2009-Ohio-3598
    , ¶ 12. When reviewing a claim challenging the
    manifest weight of the evidence, “the appellate court sits as a ‘thirteenth juror’ and
    disagrees with the factfinder’s resolution of the conflicting testimony.”         State v.
    Thompkins, 
    78 Ohio St.3d 380
    , 387, 
    678 N.E.2d 541
     (1997). After reviewing the entire
    record, the reviewing court must
    weigh the evidence and all reasonable inferences, consider the credibility of
    witnesses, and determine whether, in resolving conflicts in the evidence, the
    trier of fact clearly lost its way and created such a manifest miscarriage of
    justice that the conviction must be reversed and a new trial ordered.
    
    Id.
    {¶118} In his sufficiency and Crim.R. 29 arguments, Ceron only argues one
    element of his rape conviction — penetration.     In so arguing, however, he admits that
    there was some evidence of penetration — through the SANE nurse’s testimony.
    Because we found that it was proper for the trial court to admit the SANE nurse’s
    testimony, there was sufficient evidence of penetration.   Thus, the trial court did not err
    when it denied Ceron’s Crim.R. 29 motion.
    {¶119} Regarding manifest weight of the evidence, Ceron argues that because the
    SANE nurse’s testimony was the only evidence of penetration, it goes against the
    manifest weight of the evidence “because the victim unequivocally testified against
    penetration.”   He also argues that “[t]he victim’s testimony was not more credible than
    the contradictory testimony of the defense’s witnesses.” Further, he maintains that the
    victim’s version of the events was inconsistent.
    {¶120} After following our standard of review set forth in Thompkins, we cannot
    say that Ceron’s convictions were against the manifest weight of the evidence. It must
    be emphasized that the trier of fact is in the best position to evaluate testimony and
    resolve inconsistencies, if any, by observing the witness’s manner and demeanor on the
    witness stand — attributes impossible to glean through a printed record.       See State v.
    Habo, 11th Dist. Portage No. 2012-P-0056, 
    2013-Ohio-2142
    , ¶ 28. In this case, the jury
    was faced with opposing versions of the events.    As the triers of fact, they were free to
    believe all or part of any witnesses’ testimony.     Apparently they found X.H. more
    credible than Ceron and his witnesses, and they were free to do so.        This court may
    reverse a conviction and order a new trial only in the exceptional case where the evidence
    weighs heavily in favor of the defendant and where it is clear that the jury lost its way or
    created a manifest miscarriage of justice.   This is not such a case.
    {¶121} Accordingly, Ceron’s fourth and fifth assignments of error are overruled.
    Cumulative Error
    {¶122} In his sixth assignment of error, Ceron argues that he was denied a fair trial
    by virtue of the cumulative effect of the errors committed during his trial. We disagree.
    {¶123} Pursuant to the cumulative-error doctrine, the existence of multiple errors,
    which may not individually require reversal, may violate a defendant’s right to a fair trial.
    State v. Madrigal, 
    87 Ohio St.3d 378
    , 397, 
    721 N.E.2d 52
     (2000), citing State v.
    DeMarco, 
    31 Ohio St.3d 191
    , 
    509 N.E.2d 1256
     (1987). To find cumulative error, we
    must first find multiple errors committed at trial and determine that there is a reasonable
    probability that the outcome below would have been different but for the combination of
    the harmless errors. State v. Cox, 2d Dist. Montgomery No. 25477, 
    2012-Ohio-4941
    , ¶
    91.
    {¶124} Because we have found no error in any of Ceron’s assignments of error,
    there cannot be cumulative error. Ceron’s sixth assignment of error is overruled.
    {¶125} Judgment affirmed.
    It is ordered that appellee recover of appellant costs herein taxed.
    The court finds there were reasonable grounds for this appeal.
    It is ordered that a special mandate issue out of this court directing the common
    pleas court to carry this judgment into execution. The defendant’s conviction having
    been affirmed, any bail pending appeal is terminated.    Case remanded to the trial court
    for execution of sentence.
    A certified copy of this entry shall constitute the mandate pursuant to Rule 27 of
    the Rules of Appellate Procedure.
    MARY J. BOYLE, PRESIDING JUDGE
    PATRICIA ANN BLACKMON, J., CONCURS;
    LARRY A. JONES, SR., J., DISSENTS WITH SEPARATE OPINION
    LARRY A. JONES, SR., J., DISSENTING:
    {¶126} I respectfully dissent.   I agree with the majority’s excellent analysis of the
    other-acts evidence the trial court allowed into evidence and likewise conclude that the
    trial court erred in its admission pursuant to State v. Williams, 
    134 Ohio St.3d 521
    ,
    
    2012-Ohio-5695
    , 
    983 N.E.2d 1278
    .
    {¶127} I cannot find, however, that the admission of the other-acts evidence was
    harmless error.    If there is no reasonable possibility that the improper other-acts
    evidence contributed to a defendant’s conviction, then its admission is harmless error.
    State v. Elliot, 
    91 Ohio App.3d 763
    , 771, 
    633 N.E.2d 1144
     (3d Dist.1993).
    {¶128} The danger that a jury will convict a defendant because it assumes that the
    defendant has a propensity to commit criminal acts, or deserves punishment regardless of
    whether he committed the crime charged in the indictment is particularly high when the
    other acts are very similar to the charged offense or of an inflammatory nature. State v.
    Morris, 9th Dist. Medina No. 09CA0022-M, 
    2012-Ohio-6151
    , ¶ 56, discretionary appeal
    allowed, 
    136 Ohio St.3d 1406
    , 
    2013-Ohio-2645
    , 
    989 N.E.2d 1021
    , citing State v. Miley,
    5th Dist. Richland Nos. 2005-CA-67 and 2006-CA-14, 
    2006-Ohio-4670
    , ¶ 58.
    “Sexually deviant acts, especially those against children, carry a severe social stigma,
    leading to an increased risk that other sexually deviant acts by the defendant will
    influence a jury to convict because it assumes the defendant is a bad man.” Morris at 
    id.
    {¶129} In this case, the state used improperly admitted evidence to attempt to
    persuade the jury to “make the very leap in logic that is forbidden by Rule 404(B) of the
    Ohio Rules of Evidence,” that is if Ceron is the type of man who would be willing to
    cross a moral boundary with his granddaughter’s adult mother, then the jury should also
    believe he is the type of person who would rape his young granddaughter.       Morris at ¶
    58, citing State v. Lowe, 
    69 Ohio St.3d 527
    , 
    634 N.E.2d 616
     (1994). The majority
    acknowledges this fault, yet determines that the error was harmless.    I cannot, however,
    agree that there was no reasonable possibility that the Evid.R. 404(B) testimony did not
    contribute to Ceron’s conviction or that the error was harmless beyond a reasonable
    doubt.    Miley at ¶ 76; see also State v. Rahman, 
    23 Ohio St.3d 146
    , 151, 
    492 N.E.2d 401
    (1986).
    {¶130} Accordingly, I would sustain the first assignment of error and remand for a
    new trial.