State v. McIntosh , 2022 Ohio 3771 ( 2022 )


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  • [Cite as State v. McIntosh, 
    2022-Ohio-3771
    .]
    IN THE COURT OF APPEALS OF OHIO
    SIXTH APPELLATE DISTRICT
    LUCAS COUNTY
    State of Ohio                                      Court of Appeals No. L-21-1207
    Appellee                                   Trial Court No. CR0202001756
    v.
    Jerronn McIntosh, Jr.                              DECISION AND JUDGMENT
    Appellant                                  Decided: October 21, 2022
    *****
    Julia R. Bates, Lucas County Prosecuting Attorney, and
    Brenda J. Majdalani, Assistant Prosecuting Attorney, for appellee.
    Autumn D. Adams, for appellant.
    *****
    MAYLE, J.
    {¶ 1} Following a jury trial, defendant-appellant, Jerronn McIntosh, Jr., appeals
    the August 10, 2021 judgment of the Lucas County Court of Common Pleas, convicting
    him of two counts of rape and sentencing him to concurrent indefinite sentences of six to
    nine years’ imprisonment. For the following reasons, we affirm the trial court judgment.
    I.     Background
    {¶ 2} Jerronn McIntosh, Jr. was charged with two counts of rape,1 violations of
    R.C. 2907.02(A)(1)(c), after his then-16-year-old cousin, T.M., claimed that he
    performed oral sex on her and then penetrated her vagina with his penis. This provision
    of the rape statute prohibits a person from engaging in sexual conduct with another when
    the offender knows or has reasonable cause to believe that the other person’s ability to
    resist or consent is substantially impaired because of a mental or physical condition. The
    state maintained that McIntosh knew or had reason to know that T.M. is developmentally
    disabled, therefore, her ability to resist or consent was substantially impaired.
    {¶ 3} The case was tried to a jury beginning June 21, 2021. T.M. claimed that on
    the night in question, McIntosh took her to the store, then asked her to come over to his
    house to babysit his son. While at McIntosh’s home, McIntosh asked T.M. to smoke
    marijuana, and she said yes. At some point thereafter, McIntosh pulled down her pants
    and put his tongue on her vagina. T.M. described that she couldn’t talk, couldn’t move,
    “couldn’t do nothing.” McIntosh then brought her to his room and inserted his penis into
    her vagina. He told her to tell him if it hurt. She told him it hurt, then he stopped.
    1
    McIntosh was initially charged with four counts of rape, but the state dismissed Counts
    1 and 2 (alleging violations of R.C. 2907.02(A)(1)(a)) and renumbered Counts 3 and 4
    (alleging violations of R.C. 2907.02(A)(1)(c)) as Counts 1 and 2.
    2.
    McIntosh told her not to tell anyone, and he gave her $60. T.M. called her sister, then
    called her mother, A.M., to pick her up. McIntosh left before A.M. arrived. When she
    got in the car, T.M. told A.M. that McIntosh raped her. A.M. took T.M. to the hospital
    where she was seen by a nurse who specializes in examining victims of sexual assault (a
    “SANE” nurse).
    {¶ 4} A rape kit was performed at the hospital. Vaginal and anal swabs revealed
    DNA from T.M. and a male, but the quality was not sufficient to identify the second
    contributor. Pubic combings revealed DNA from T.M. and a male contributor consistent
    with McIntosh’s DNA profile. The occurrence of the DNA profile consistent with
    McIntosh’s DNA was one in 300 billion.
    {¶ 5} McIntosh testified in his own defense. He said that he asked T.M. to babysit
    his son so he could sleep before going in to work the next morning. He smoked “a
    blunt”—but denied that he offered any to T.M.—then went to sleep. He claimed that he
    awoke to find T.M. on top of him, grinding on him with her pants and underwear off. He
    threw her off him and said he was going to tell her mother. He then left to get some air,
    leaving T.M. at his house with his son.
    {¶ 6} McIntosh insisted that he did not have oral or vaginal sex with T.M. He
    testified that his shorts were on, he was not erect, and his penis was not out. He believes
    that T.M. is claiming he raped her because she was afraid of getting in trouble with her
    mom.
    3.
    {¶ 7} The state offered evidence from multiple witnesses in support of its position
    that T.M. had a mental or physical condition that substantially impaired her ability to
    resist or consent to sexual conduct. McIntosh attempted to refute this evidence. The
    following testimony was presented pertinent to (1) whether T.M.’s ability to resist or
    consent to sexual conduct was substantially impaired because of a mental condition, and
    (2) whether McIntosh knew or had reasonable cause to believe that T.M.’s ability to resist
    or consent to sexual conduct was substantially impaired because of a mental condition.
    A.      T.M.
    {¶ 8} T.M. testified that she babysat McIntosh’s son almost every weekend and
    McIntosh would pay her $20. She also babysits her sister’s baby. T.M. is not usually left
    home alone because there are many people living in her house. She is allowed to go out
    in the neighborhood with her friends—they go to the park, walk around, and go to each
    other’s houses. Her friends do not pressure her to drink, do drugs, or steal, but she has
    gotten into trouble at school. She has missed a lot of school because she slept late or did
    not feel like going. When T.M. gets in trouble at home, her mother takes her phone away
    and won’t let her leave the house. She denied that she fights often with her mother or
    that she ran away from home a couple of weeks before the incident.
    {¶ 9} T.M. testified that she took sex education in seventh or eighth grade, her
    mother talked to her about sex, and she knows what sex is. She has had a girlfriend
    before for five months and a boyfriend for six months to a year.
    4.
    B.     Veronica Casper
    {¶ 10} Veronica Casper is a clinical therapist and the CEO of A Step Beyond.
    T.M. has been treating at A Step Beyond for about two years. She is “delayed,” and
    “functions way below her age.” She normally carries a teddy bear and sucks her thumb.
    Her “[s]ocial skills are impaired,” she is “very immature for her age,” she has “boundary
    issues,” and she is “easily influenced.” T.M. plays with kids much younger than she is
    and does not understand why a third-grader shouldn’t be friends with someone in high
    school.
    {¶ 11} T.M. is on an IEP due to her delays. Her case management is focused on
    social skills, boundaries, and hygiene. Her therapy is focused on the reasons behind her
    emotions and trauma. T.M. has flashbacks, anxiety, nightmares, and she cries easily and
    is fearful of people. She was a patient before this incident, but she was admitted into
    therapy after she was raped and after she witnessed domestic abuse in her home.
    {¶ 12} T.M. will always have cognitive delays. She functions at a level of an eight
    or nine-year-old. She will never be like someone with an average IQ. Her disabilities
    prevent her from caring for herself—her hygiene is poor, she has boundary issues, and
    she cannot budget money. She is unable to think long-term and it is questionable whether
    she knows right from wrong. T.M. can feed herself. Casper is not sure if T.M. can drive,
    although she is not aware of any legal bar to her driving. Because she is now 18, Casper
    would recommend a guardianship for T.M. to help with finances and big decisions.
    5.
    {¶ 13} Casper conceded that there are many reasons for thumb-sucking. Some
    people suck their thumb to reduce stress or anxiety or to replace boredom, like nail-
    biting. Casper has witnessed T.M. suck her thumb in school.
    C.     A.M.
    {¶ 14} A.M. testified that T.M. does not function at her age. In 2008, T.M. was
    qualified as a student with cognitive disabilities. She takes special classes at school and
    has an IEP. She was reevaluated in 2011 and 2014 and her eligibility continued. A.M.
    collects social security income due to T.M.’s disabilities.
    {¶ 15} There was a time T.M. wasn’t going to school much at all and the school
    contacted A.M. When T.M. skips school, she’s at home sleeping. T.M. has been
    suspended from school for fighting and for using profanity. She had 24 discipline
    incidents at one school and was suspended six times.
    {¶ 16} A.M. conceded that T.M. babysits for her niece and for McIntosh’s son.
    A.M. sometimes leaves T.M. home alone. T.M. can clean herself and make her own
    food. A.M. has sent T.M. to the store to buy things, but T.M. does not really understand
    how money works. T.M. is allowed to use social media. She has had boyfriends or
    girlfriends. She hangs out in the neighborhood with her friends. They have gotten into
    trouble before. T.M. has rules at home—e.g., clean up after herself, take care of the dog,
    make sure her work is done, no cussing—and when she does not follow the rules, she
    loses her phone or is grounded. When T.M. is grounded, she gets angry.
    6.
    {¶ 17} T.M. told A.M. she had been raped—T.M. knew what “raped” means.
    A.M. had talked with T.M. about rape before.
    {¶ 18} T.M. has known McIntosh her whole life and McIntosh has lived with
    A.M.’s family a couple of times over the years. A.M. claimed that McIntosh knows of
    T.M.’s mental disabilities.
    D.     Natalie Jones
    {¶ 19} Natalie Jones has been a SANE nurse for four years. She examined T.M.
    on the night in question. Jones described T.M. as tearful and child-like. She was lying in
    fetal position, wrapped in a blanket, and sucking her thumb. Although Jones admittedly
    had no baseline for T.M.’s normal behavior, she described T.M.’s speech and
    mannerisms as child-like, and Jones observed that T.M. did not function like a typical 16-
    year-old.
    {¶ 20} Jones’s records indicate that T.M.’s mother reported that T.M. has
    developmental delays, but that is not something that Jones herself evaluates or diagnoses,
    so she cannot confirm that that is accurate. Elsewhere in her report, she indicated that
    T.M. is not disabled, mentally ill, or an elderly adult. Jones later indicated in her report
    that T.M. has mental health concerns of “depression, other, and anxiety.” She specified
    that T.M. has ADHD. And she later marked in the chart that T.M. has disabilities
    including anxiety and ADHD. This information would have come from the patient or
    parent.
    7.
    E.        Detective Andre Bills
    {¶ 21} Detective Andre Bills interviewed T.M. at the Children’s Advocacy Center.
    She did not cry and was comfortable and talkative with him. T.M. told Bills that
    McIntosh “ate [her] out” and “stuck it in [her].” He conceded that 16 is the age of
    consent in Ohio, and it is not illegal to have sex with one’s cousin. But his experience
    with T.M. was that she seemed to function at the level of an eight-year-old and not a 16-
    year-old.
    F.       Jerronn McIntosh
    {¶ 22} At the time of trial, McIntosh was 29 years old. T.M is his cousin. He has
    a now-five-year-old son who T.M. babysat almost every weekend. McIntosh paid T.M.
    $20 to watch his son. He said he would not have allowed T.M. to babysit if she wasn’t
    capable of it, and nothing has ever happened when T.M. babysat. He noted that T.M.
    also babysits her two-year-old niece.
    {¶ 23} McIntosh has lived with T.M.’s family off and on. He knows that T.M.
    gets in trouble at school, but he said that she’s good with family and knows right from
    wrong. McIntosh has never talked to anyone about T.M.’s diagnosis, does not know if
    she was ever on medications, did not know she was on an IEP, did not know she was in
    therapy, and was not aware of any interventions to help with her alleged disability.
    {¶ 24} McIntosh described T.M. as outgoing and chatty. He acknowledged that
    she sucks her thumb. She has done it her whole life and he views it not as childlike, but
    8.
    as a “comfort blanket” for her. He speculated that T.M. may be uncomfortable in
    different surroundings, but with family she is outgoing and chatty. T.M. told McIntosh
    that she had run away two weeks before and had been cutting herself. He told her to just
    worry about school and getting stuff done and she wouldn’t have to worry about getting
    in trouble with her mom.
    {¶ 25} McIntosh denied that he had oral or vaginal sex with T.M. He does not
    know why T.M. is saying this happened. He believes that T.M. accused him of rape
    because she was afraid of getting in trouble with her mom. He thinks that T.M. did not
    realize that the accusation would get to this point.
    {¶ 26} McIntosh has no formal education about mental conditions, but he does not
    believe that T.M. has a substantial mental condition. To the extent that the SANE nurse,
    T.M.’s therapist, his aunt, or the state feel differently, he disagrees with them because he
    does not see this in T.M.’s everyday life with her family. McIntosh does not disagree
    with the school that issued T.M.’s IEP because he doesn’t know anything about that. He
    emphasized that he would not want her watching his son if she wasn’t capable of doing it.
    He believed she was capable of babysitting, and so did her mom and her sister who
    entrusted T.M. with her niece.
    {¶ 27} Ultimately, the jury found McIntosh guilty of two counts of rape, violations
    of R.C. 2907.02(A)(1)(c) and (B), first-degree felonies. The trial court sentenced
    McIntosh to minimum terms of six years in prison to a maximum term of nine years, to
    9.
    be served concurrently. A mandatory five-year term of postrelease control was imposed,
    and McIntosh was found to be a Tier III sex offender.
    {¶ 28} McIntosh appealed. He assigns the following two errors for our review:
    I. R.C. 2907.02 is void as it fails to define “mental condition.”
    II. The State failed to prove beyond a reasonable doubt sexual
    conduct occurred, that the victim suffered any impairment, let alone a
    substantial impairment and that Appellant was aware of, or any reasonable
    person would have been aware of, that impairment.
    II.    Law and Analysis
    {¶ 29} In his first assignment of error, McIntosh challenges the constitutionality of
    R.C. 2907.02(A)(1)(c). He argues that because it fails to define “mental condition,” it is
    void for vagueness. In his second assignment of error, McIntosh challenges the
    sufficiency of the evidence. He claims that the state failed to present evidence that sexual
    conduct occurred, that T.M. was substantially impaired, or that McIntosh was aware of a
    substantial impairment.
    {¶ 30} We consider each of McIntosh’s assignments in turn.
    A.     Void for Vagueness Challenge
    {¶ 31} In his first assignment of error, McIntosh argues that R.C. 2907.02(A)(1)(c)
    is unconstitutionally vague because it does not define “mental condition.” He further
    complains that expert medical testimony is not required to prove that a victim has a
    10.
    medical or physical condition and that lay people are permitted to testify as to their
    subjective beliefs concerning whether the victim has a mental or physical condition.
    McIntosh contends that if the victim never testifies, “the jury can never see for
    themselves how the victim acts and behaves,” and if the victim does testify, “the jury has
    no way to know if that victim is acting or has been coached on how to appear more
    ‘impaired.’”
    {¶ 32} The state responds that a statute is not unconstitutionally vague merely
    because not every term is defined. It maintains that some terms can be properly
    understood by their plain, ordinary meaning, and an average person can easily understand
    and apply “mental condition” as it is used in R.C. 2907.02. The state points out that in
    State v. Zeh, 
    31 Ohio St.3d 99
    , 103-104, 
    509 N.E.2d 414
     (1987), the Ohio Supreme Court
    “did not declare the Rape statute void based on the Legislature’s failure” to define the
    phrase “substantial impairment.” And it argues that if expert testimony is not required to
    prove “substantial impairment,” it should not be required to prove the existence of a
    “mental condition.”
    {¶ 33} “Under the Due Process Clauses of the Fourteenth and Fifth Amendments
    to the United States Constitution and Article I, Section 16 of the Ohio Constitution, any
    statute which fails to give a person of ordinary intelligence fair notice that his
    contemplated conduct is forbidden by the statute is void for vagueness.” (Internal
    citations omitted.”) State v. Tanner, 
    15 Ohio St.3d 1
    , 3, 
    472 N.E.2d 689
     (1984),
    11.
    quoting Papachristou v. City of Jacksonville, 
    405 U.S. 156
    , 162, 
    92 S.Ct. 839
    , 
    31 L.E.2d 110
     (1972). A statute or regulation must meet three requirements to survive a challenge
    under the void-for-vagueness doctrine. Viviano v. Sandusky, 
    2013-Ohio-2813
    , 
    991 N.E.2d 1263
    , ¶ 15 (6th Dist.), citing Grayned v. City of Rockford, 
    408 U.S. 104
    , 108–
    109, 
    92 S.Ct. 2294
    , 
    33 L.Ed.2d 222
     (1972). “It must (1) provide fair warning to the
    ordinary citizen of what conduct is proscribed, (2) preclude arbitrary, capricious, and
    discriminatory enforcement, and (3) not impinge upon constitutionally protected
    rights.” 
    Id.
     The crime and its elements must be expressed clearly enough for an ordinary
    person to choose, in advance, what course he may lawfully pursue. (Citations
    omitted.) Tanner at 6.
    {¶ 34} Despite these well-recognized principles, a statute need not avoid all
    vagueness and is not necessarily void for vagueness merely because it could have been
    worded more precisely. State v. Stallings, 
    150 Ohio App.3d 5
    , 
    2002-Ohio-5942
    , 
    778 N.E.2d 1110
    , ¶ 12 (9th Dist.); State v. Dorso, 
    4 Ohio St.3d 60
    , 61-62, 
    446 N.E.2d 449
    (1983). In fact, both the Ohio and U.S. Supreme Courts have recognized that “[m]any
    statutes will have some inherent vagueness, for in most English words and phrases there
    lurk uncertainties.” (Internal quotations and citations omitted.) Dorso at 62,
    quoting Rose v. Locke, 
    423 U.S. 48
    , 49–50, 
    96 S.Ct. 243
    , 
    46 L.Ed.2d 185
     (1975).
    Accordingly, “[a] statute will not be found void for vagueness if any ‘reasonable and
    12.
    practical construction’ can be given to its language.” (Citations omitted.) State v.
    Sommerfield, 3d Dist. Union No. 14-05-23, 
    2006-Ohio-1420
    , ¶ 16.
    {¶ 35} Nor is a statute necessarily void for vagueness because it fails to define a
    term or phrase. To the contrary, “[a] legislative body need not define every word it uses
    in an enactment.” Dorso at 62. Undefined terms must simply be accorded their common,
    everyday meaning. 
    Id.
     This principle is codified in R.C. 1.42, which provides that
    “[w]ords and phrases shall be read in context and construed according to the rules of
    grammar and common usage. Words and phrases that have acquired a technical or
    particular meaning, whether by legislative definition or otherwise, shall be construed
    accordingly.”
    {¶ 36} R.C. 2907.02(A)(1)(c) prohibits a person from “engag[ing] in sexual
    conduct with another * * * when * * * [t]he other person’s ability to resist or consent is
    substantially impaired because of a mental or physical condition * * *, and the offender
    knows or has reasonable cause to believe that the other person’s ability to resist or
    consent is substantially impaired because of a mental or physical condition * * *.”
    {¶ 37} McIntosh correctly points out that the legislature did not define “mental or
    physical condition,” nor has the Ohio Supreme Court prescribed an exact definition.
    State v. Horn, 
    159 Ohio St.3d 539
    , 
    2020-Ohio-960
    , 
    152 N.E.3d 241
    , ¶ 12. The Ohio
    Supreme Court, however, has interpreted the word “condition,” however. “Based on its
    context in R.C. 2907.02(A)(1)(c),” the Ohio Supreme Court in Horn looked to the
    13.
    dictionary definition of the word and interpreted “condition” to mean “‘[a] state resulting
    from a physical or mental illness,’” Horn at ¶ 10, quoting Shorter Oxford English
    Dictionary 483 (6th Ed.2007), or “‘a usually defective state of health’ or a prerequisite or
    restricting factor,” 
    id.,
     quoting Merriam-Webster’s Collegiate Dictionary 259 (11th
    Ed.2020).
    {¶ 38} In R.C. 2907.02(A)(1)(c), “mental” merely modifies the word “condition.”
    The dictionary offers several definitions of “mental,” including “relating to the mind, its
    activity, or its products as an object of study”; “occurring or experienced in the mind”;
    “of, relating to, or affected by a psychiatric disorder.” https://www.merriam-
    webster.com/dictionary/mental (last accessed October 3, 2022).
    {¶ 39} Taken together as a phrase, for purposes of R.C. 2907.02(A)(1)(c),
    “mental condition” can reasonably be interpreted to mean a defective state of health
    relating to the mind. While the phrase is potentially broad and may encompass
    numerous conditions ranging from mild cognitive impairments to serious psychiatric
    disorders, the statute criminalizes the behavior at issue only where the victim’s mental
    condition substantially impairs his or her ability to resist or consent and the defendant
    knows this or has reasonable cause to believe this. We find that the statute is not
    unconstitutionally vague merely because it fails to define “mental condition.”
    {¶ 40} McIntosh complains that if the victim never testifies, “the jury can never
    see for themselves how the victim acts and behaves,” and if the victim does testify, “the
    14.
    jury has no way to know if that victim is acting or has been coached on how to appear
    more ‘impaired.’” There are many ways the state can prove that the victim has a “mental
    condition” and that his or her ability to resist or consent is “substantially impaired.” In
    this case, the state offered evidence from the victim’s mother, the treating SANE nurse, a
    mental health professional who has treated the victim, and the victim herself.
    {¶ 41} “A fundamental premise of our criminal trial system is that the jury is the
    lie detector.” (Internal quotations omitted and emphasis added.) State v. Sipes, 5th Dist.
    Delaware No. 08 CA-A-04-0014, 
    2008-Ohio-6627
    , ¶ 37, quoting United States v.
    Barnard, 
    490 F.2d 907
    , 912 (9th Cir.1973). “Determining the weight and credibility of
    witness testimony, therefore, has long been held to be the ‘part of every case [that]
    belongs to the jury, who are presumed to be fitted for it by their natural intelligence and
    their practical knowledge of men and the ways of men.’” 
    Id.,
     quoting Aetna Life Ins. Co.
    v. Ward, 
    140 U.S. 76
    , 88, 
    11 S.Ct. 720
    , 
    35 L.Ed. 371
     (1891). That a jury is permitted to
    determine whether a victim has a mental condition does not render the statute void.
    {¶ 42} We reject McIntosh’s claim that R.C. 2907.02(A)(1)(c) is void for
    vagueness because it fails to define “mental condition.” Accordingly, we find
    McIntosh’s first assignment of error not well-taken.
    15.
    B.     Sufficiency of the Evidence
    {¶ 43} In his second assignment of error, McIntosh argues that the state failed to
    present sufficient evidence that (1) sexual conduct occurred, (2) T.M. was substantially
    impaired, and (3) that McIntosh was aware of any impairment.
    {¶ 44} Whether there is sufficient evidence to support a conviction is a question of
    law. State v. Thompkins, 
    78 Ohio St.3d 380
    , 386, 
    678 N.E.2d 541
     (1997). In reviewing a
    challenge to the sufficiency of evidence, “[t]he 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.”
    (Internal citations omitted.) State v. Smith, 
    80 Ohio St.3d 89
    , 113, 
    684 N.E.2d 668
    (1997). In making that determination, the appellate court will not weigh the evidence or
    assess the credibility of the witnesses. State v. Walker, 
    55 Ohio St.2d 208
    , 212, 
    378 N.E.2d 1049
     (1978). “Rather, we decide whether, if believed, the evidence can sustain
    the verdict as a matter of law.” State v. Richardson, 
    150 Ohio St.3d 554
    , 2016-Ohio-
    8448, 
    84 N.E.3d 993
    , ¶ 13. Naturally, this requires “a review of the elements of the
    charged offense and a review of the state’s evidence.” Id.
    1.     Sexual Conduct
    {¶ 45} McIntosh first claims that the state failed to present evidence that sexual
    conduct occurred. He argues that his DNA was found only in T.M.’s pubic hair—not in
    16.
    or around T.M.’s vagina, where one would expect to find DNA if McIntosh and T.M.
    engaged in oral or vaginal sex.
    {¶ 46} In making this argument, McIntosh ignores T.M.’s testimony. T.M. clearly
    stated that McIntosh licked her vagina and put his penis in her vagina. This, of course,
    constitutes “sexual conduct.” See R.C. 2907.01(A) (“‘Sexual conduct’ means vaginal
    intercourse between a male and female; anal intercourse, fellatio, and cunnilingus
    between persons regardless of sex; and, without privilege to do so, the insertion, however
    slight, of any part of the body or any instrument, apparatus, or other object into the
    vaginal or anal opening of another * * *.”). The state was not required to corroborate the
    victim’s testimony with DNA or other evidence. See State v. Johnson, 
    112 Ohio St.3d 210
    , 
    2006-Ohio-6404
    , 
    858 N.E.2d 1144
    , ¶ 53 (“Corroboration of victim testimony in rape
    cases is not required.”).
    2.      Substantial Impairment
    {¶ 47} McIntosh next claims that while the state presented evidence that T.M. is
    immature, is easily manipulated, is a follower, and is on an IEP, it failed “to prove
    beyond a reasonable doubt” that these things equated to T.M.’s inability to control her
    behavior or understand that she was having sex. McIntosh emphasizes that despite
    describing T.M. as low-functioning, A.M. left T.M. to care for a newborn, allowed her to
    17.
    babysit a toddler every week, and permitted her to go places with her friends without
    adult supervision.2
    {¶ 48} The state responds that the evidence established the victim’s impairment.
    Specifically, it maintains that T.M.’s demeanor at trial was of “great discomfort,” she had
    trouble looking at the prosecutor, and she covered her face at one point. It claims that at
    age 16, T.M. mentally operated at an eight-year-old level. It emphasizes A.M.’s
    testimony that she received disability benefits for T.M., school records show T.M.’s
    cognitive disabilities, T.M. has an IEP, is easily influenced by others, and has poor
    personal hygiene, and there was testimony that T.M. cannot live independently, cannot
    handle her own finances, cannot think long-term, and still sucks her thumb at 18 years
    old.
    {¶ 49} The Ohio Supreme Court has interpreted the phrase “substantial
    impairment” to mean “a present reduction, diminution or decrease in the victim’s ability,
    either to appraise the nature of his conduct or to control his conduct.” Zeh, 31 Ohio St.3d
    at 103-04, 
    509 N.E.2d 414
    . “‘Substantial impairment’” need not be proven by expert
    medical testimony.” State v. Hillock, 7th Dist. Harrison No. 02-538-CA, 2002-Ohio-
    6897, ¶ 21. “It may be proven by the victim’s own testimony, allowing the trier of fact to
    observe and evaluate the victim’s ability to either appraise or control his conduct, and by
    2
    McIntosh also complains that the trial court did not permit defense counsel to cross-
    examine T.M. about whether she is sexually active, however, he did not assign this as
    error.
    18.
    the testimony of others who have interacted with the victim.” State v. Kilbarger, 12th
    Dist. Fayette No. CA2013-04-013, 
    2014-Ohio-2341
    , ¶ 11, citing State v. Bai, 12th Dist.
    Butler No. CA2010-05-116, 
    2011-Ohio-2206
    , ¶ 54; State v. Daniels, 9th Dist. Summit
    No. 25808, 2011–Ohio–6414, ¶ 6. “A substantial-impairment determination is made on a
    case-by-case basis, with great deference to the factfinder.” Kilbarger at ¶ 11, citing Bai
    at ¶ 53, citing State v. Brown, 3d Dist. Marion No. 9-09-15, 
    2009-Ohio-5428
    .
    {¶ 50} In State v. Moore, 5th Dist. Richland No. 2020 CA 0038, 
    2021-Ohio-287
    , ¶
    5, appeal not allowed, 
    163 Ohio St.3d 1429
    , 
    2021-Ohio-1721
    , 
    168 N.E.3d 525
    , the Fifth
    District Court of Appeals found that there was evidence of substantial impairment where
    the 16-year-old victim had double bronchial pneumonia as an infant, resulting in delayed
    mental development; she required occupational therapy to refine her motor skills,
    physical therapy to help her walk, and was currently in speech therapy; and she had an IQ
    of 46, was on an IEP at school, and as part of her IEP, she had a special needs teacher
    who attended classes with her at all times.
    {¶ 51} In State v. Keeley, 4th Dist. Washington No. 11CA5, 
    2012-Ohio-3564
    , the
    Fourth District Court of Appeals found that the jury did not lose its way in finding the
    victim substantially impaired where the state presented testimony that the victim had an
    IQ between 50 to 60, her mother said she had the mind of a six to nine-year-old child and
    had been appointed her guardian; the nurse who examined the victim said that she acted
    like an eight-year-old; her counselor believed she had an emotional age of five to seven
    19.
    years old; and the doctor who participated in her guardianship proceedings opined that
    she functioned at the level of a seven or eight-year-old.
    {¶ 52} And in Kilbarger, the Twelfth District Court of Appeals found that the jury
    did not lose its way in finding that the victim was substantially impaired. There, a
    psychologist testified that the victim had significantly below average cognitive
    functioning, was slow mentally, had difficulty grasping abstract concepts, had mild or
    moderate retardation, and was impaired in his ability to understand the implications of
    choices and long term consequences of actions. Similarly, the special education director
    for the victim’s school testified that he had an IQ of 70 or below, was mentally retarded,
    had adaptive deficits that impaired his ability to problem solve or think things through,
    and she had recommended that he be placed in a guardianship. The court observed, also,
    that the jury was able to observe the victim testify and was able to assess his mental
    condition and his ability to appraise or control his conduct.
    {¶ 53} Here, there was sufficient evidence presented that T.M.’s ability to resist or
    consent to sexual conduct was substantially impaired because of a mental condition.
    While McIntosh offered evidence to the contrary—e.g., that T.M. babysits, that he did
    not know that she saw a counselor, struggled with school, or took medication, and that
    she is permitted to leave the house without adult supervision—this created an issue to be
    resolved by the jury. See State v. Robinson, 9th Dist. Summit No. 21317, 2003-Ohio-
    20.
    5360, ¶ 14 (“When inconsistencies exist in the testimony, it is the trier of fact’s
    responsibility to weigh the evidence and assess the witnesses’ credibility.”).
    3.     McIntosh’s Awareness of T.M.’s Substantial Impairment
    {¶ 54} Finally, McIntosh claims that the state failed to present evidence that
    McIntosh was aware that T.M. had a mental condition that constituted a “substantial
    impairment.” He claims that the state’s evidence showed that McIntosh knew T.M. her
    whole life and knew that T.M. “ran her mouth at school” and got into trouble, was subject
    to discipline at her school, ran away from home, and sometimes displayed disrespect for
    her mother and for house rules. But he contends that T.M.’s outward appearance “could
    not have put anybody on notice that she was substantially impaired.” He again points to
    the fact that T.M. was permitted to care for young children. McIntosh insists that he did
    not know that T.M. was on an IEP, went to counseling, or took medication. And
    although he acknowledges that there were times he lived with T.M. and her family, he
    maintains there was no evidence that he knew about her special education, helped her
    with homework, drove her to counseling, or helped manage her medication.
    {¶ 55} The state responds that McIntosh was well aware—or should have been
    well aware—of T.M.’s substantial impairment because he spent a considerable amount of
    time with the family, had been at T.M.’s home hundreds of times, and even lived with the
    family multiple times for five or six months at a time. It also emphasizes that T.M.’s
    demeanor was consistent with that of an eight-year-old child and was “open and obvious
    21.
    for everyone,” including McIntosh. McIntosh knew T.M. sucks her thumb, and he was
    aware of her behavioral issues. The state insists that all this evidence, if believed by the
    jury, was sufficient to establish that T.M. was substantially impaired and McIntosh knew
    this.
    {¶ 56} In Keeley, 4th Dist. Washington No. 11CA5, 
    2012-Ohio-3564
    , appellant
    was convicted of raping his neighbor, who was around 24 or 25 years old. As
    summarized above, the state presented testimony that the victim had an IQ between 50 to
    60, her mother said she had the mind of a six to nine-year-old child and had been
    appointed her guardian, the nurse who examined her said that she acted like an eight-
    year-old, her counselor believed she had an emotional age of five to seven years old, and
    the doctor who participated in her guardianship proceedings opined that she functioned at
    the level of a seven or eight-year-old. A family friend testified, however, that the victim
    acted like a 16-year-old, and the appellant—who had known the victim since she was ten
    or 11 years old and was friends with her family—said that she acted like she was 16 to 18
    years old and behaved more child-like only when she was around her mother.
    {¶ 57} Appellant challenged the jury’s determination that he knew or had
    reasonable cause to believe that the victim’s ability to resist or consent was substantially
    impaired because of a mental condition. The court held that the issue was one to be
    determined by the jury. The court explained that the jury had viewed the witnesses who
    22.
    testified about the victim’s mental capability, and also observed the victim testify,
    therefore, it could formulate its own conclusions as to the victim’s mental age.
    {¶ 58} Here, too, the jury saw and heard T.M. testify. The state presented
    testimony from T.M.’s mother, who said that she received social security income due to
    T.M.’s disabilities, and T.M. does not function at her age, was qualified as a student with
    cognitive disabilities, takes special classes at school, and has an IEP. It presented
    testimony from the SANE nurse who described that T.M. appeared child-like, sucked her
    thumb, and did not seem like a typical 16-year-old. It presented testimony from a clinical
    therapist who believes that T.M. is cognitively delayed and always will be, functions at
    the level of an eight or nine-year-old, carries a teddy bear and sucks her thumb, has
    impaired social skills, has boundary issues, is easily influenced, plays with kids much
    younger than she is, is unable to think long-term, has poor hygiene, and should be under
    the care of a guardian. And it presented testimony from the detective, who observed that
    T.M. seemed to function at the level of an eight-year-old and not a 16-year-old. This was
    sufficient evidence, which, if believed, would support a conclusion that McIntosh—who
    knew T.M. her whole life and had even lived with her—knew or had reasonable cause to
    believe that T.M.’s ability to resist or consent to sexual conduct was substantially
    impaired because of a mental condition.
    {¶ 59} In sum, we find that the state presented sufficient evidence that sexual
    conduct occurred, that T.M.’s ability to resist or consent to sexual conduct was
    23.
    substantially impaired because of a mental condition, and that McIntosh knew or had
    reason to know of this substantial impairment. Accordingly, we find McIntosh’s second
    assignment of error not well-taken.
    III.   Conclusion
    {¶ 60} R.C. 2907.02(A)(1)(c) is not void for vagueness for failure of the
    legislature to define “mental condition.” We, therefore, find McIntosh’s first assignment
    of error not well-taken.
    {¶ 61} The state presented evidence that sexual conduct occurred, that T.M.
    suffered from a mental condition that substantially impaired her ability to resist or
    consent to sexual conduct, and that McIntosh knew this or had reasonable cause to
    believe this. This evidence was sufficient to support his conviction under R.C.
    2907.02(A)(1)(c), therefore, we find his second assignment of error not well-taken.
    {¶ 62} We affirm the August 10, 2021 judgment of the Lucas County Court of
    Common Pleas. McIntosh is ordered to pay the costs of this appeal under App.R. 24.
    Judgment affirmed.
    24.
    State of Ohio
    v. Jerronn McIntosh, Jr.
    L-21-1207
    A certified copy of this entry shall constitute the mandate pursuant to App.R. 27.
    See also 6th Dist.Loc.App.R. 4.
    Thomas J. Osowik, J.                           ____________________________
    JUDGE
    Christine E. Mayle, J.
    ____________________________
    Myron C. Duhart, P.J.                                  JUDGE
    CONCUR.
    ____________________________
    JUDGE
    This decision is subject to further editing by the Supreme Court of
    Ohio’s Reporter of Decisions. Parties interested in viewing the final reported
    version are advised to visit the Ohio Supreme Court’s web site at:
    http://www.supremecourt.ohio.gov/ROD/docs/.
    25.