In re C.A. , 2015 Ohio 4768 ( 2015 )


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  • [Cite as In re C.A., 
    2015-Ohio-4768
    .]
    Court of Appeals of Ohio
    EIGHTH APPELLATE DISTRICT
    COUNTY OF CUYAHOGA
    JOURNAL ENTRY AND OPINION
    No. 102675
    IN RE: C.A.
    JUDGMENT:
    AFFIRMED IN PART AND
    REMANDED IN PART
    Civil Appeal from the
    Cuyahoga County Court of Common Pleas
    Juvenile Division
    Case No. DL13-114173
    BEFORE: E.A. Gallagher, J., Jones, P.J., and Laster Mays, J.
    RELEASED AND JOURNALIZED: November 19, 2015
    ATTORNEY FOR APPELLANT
    Judith M. Kowalski
    333 Babbitt Road, Suite 323
    Euclid, Ohio 44123
    GUARDIAN AD LITEM
    Amy K. Habinski
    Habinski Law Offices LLC
    11470 Euclid Avenue
    Suite 342
    Cleveland, Ohio 44106
    ATTORNEYS FOR APPELLEE
    Timothy J. McGinty
    Cuyahoga County Prosecutor
    BY: Joanna N. López
    Scott Zarzycki
    Assistant Prosecuting Attorneys
    The Justice Center, 9th Floor
    1200 Ontario Street
    Cleveland, Ohio 44113
    EILEEN A. GALLAGHER, J.:
    {¶1} Defendant-appellant C.A. appeals from an order of the Cuyahoga County
    Court of Common Pleas Juvenile Division (“juvenile court”) adjudicating him delinquent
    by reason of rape. He contends that his delinquency adjudication was not supported by
    sufficient evidence and was against the manifest weight of the evidence.       He also
    contends that the juvenile court erred in denying him access to Cuyahoga County Division
    of Children and Family Services (“CCDCFS”) records relating to the incident and in
    allowing the sexual assault nurse examiner who examined the alleged victim following
    the incident to testify regarding statements the alleged victim had made regarding the
    incident. For the reasons that follow, we affirm the juvenile court judgment in part and
    remand the matter for further proceedings.
    Factual and Procedural Background
    {¶2} On September 30, 2013, the state of Ohio filed a delinquency complaint
    against C.A., age 14, alleging that he had raped M.M., age 10, in violation of R.C.
    2907.02(A)(1)(b). The allegations related to an incident in which C.A. allegedly forced
    M.M. to perform oral sex while the two children were playing a game of hide-and-seek.
    C.A. denied the allegations of the complaint.
    {¶3} In October 2013, C.A. served a subpoena duces tecum on CCDCFS
    requesting “all CCDCFS records involving the alleged sexual abuse of [M.M.] by
    [C.A.].” CCDCFS filed a motion to quash the subpoena or for a protective order and in
    camera inspection, arguing that the subpoena was not timely served and sought
    confidential information related to the reporting and investigation of child abuse that was
    not subject to disclosure pursuant to R.C. 2151.421(H)(1)-(2) and 5153.17.
    {¶4} At a pretrial conference on November 4, 2013, the juvenile court noted that
    CCDCFS had moved to quash the subpoena but that “[n]o documents” had yet “been
    received by the court under seal to address the motion.” The court, therefore, “held in
    abeyance” its ruling on the motion.
    {¶5} An adjudicatory hearing was held on April 15, 2014 and May 15, 2014.
    Before the hearing began, defense counsel raised the issue of his outstanding request for
    CCDCFS records relating to the incident. Defense counsel argued that the records were
    relevant to C.A.’s defense because they could contain exculpatory material or inconsistent
    statements by the alleged victim, M.M. Defense counsel asserted that the police report
    from the incident indicated that M.M.’s counselor had told police that M.M. had made
    inconsistent statements regarding the incident and that based on other information
    obtained in discovery, he had “good reason” to believe that M.M. had made a statement
    to CCDCFS relating to the incident. He further argued that “it would stand to reason”
    that if M.M. had made inconsistent statements to one person or persons, “possibly she’s
    made other inconsistent statements.” 1 Defense counsel maintained that access to this
    information was particularly important in this case because there was no DNA evidence,
    Defense counsel indicated that although the CCDCFS records might also contain information
    1
    regarding other incidents involving M.M., C.A. was not seeking that information.
    no independent witnesses to the incident and no confession; as such, the case rested
    entirely on the credibility of M.M.
    {¶6} Defense counsel further argued that even if M.M.’s statements to CCDCFS
    were not admissible as substantive evidence, they could still be used to impeach M.M.’s
    testimony and that C.A. “should have the right to present that evidence if necessary.”
    He, therefore, requested that the juvenile court conduct an in camera review of the
    CCDCFS records responsive to the subpoena to determine whether they contained any
    information that would be “helpful to [the] defense” and, if so, whether C.A.’s right to
    due process and a fair trial outweighed the need to maintain the confidentiality of the
    records.
    {¶7} In response, the state argued that defense counsel had no need for the
    confidential records because it had other ways to impeach M.M.’s testimony, including
    the police report and medical records.           The state maintained that it was “a bit
    presumptuous to have the CCDCFS records reviewed at this point” because there was
    nothing to suggest that “once you do the balancing, the confidentiality is going to be
    outweighed by anything that would be for the purposes of impeachment.”
    {¶8} Although the juvenile court indicated that the CCDCFS records had “arrived
    through the [c]ourt under seal,”2 the court granted CCDCFS’s motion to quash without
    conducting an in camera review of the records. The juvenile court did not explain the
    rationale for its ruling.
    2
    The CCDCFS records are not part of the record on appeal.
    {¶9} At the adjudicatory hearing, the state presented testimony from five
    witnesses: M.M., Z.M. (M.M.’s mother), Lena Oates (M.M.’s former counselor at Beech
    Brook), Stephanie Grossman (the sexual assault nurse examiner who examined M.M. at
    the emergency room following the incident), and Yashila Crowell (the East Cleveland
    detective who investigated the incident). A summary of their testimony follows.
    {¶10} On September 27, 2013, sometime in the late afternoon, M.M. was playing
    hide-and-seek with C.A., a boy who lived down the street, and her three siblings — her
    sister, age six, and her two brothers, ages six and ten. M.M. testified that when the
    children came home from school, M.M.’s brothers walked down the street to C.A.’s
    house and brought him back to their house to play with them. M.M. testified that she had
    known C.A. for about three weeks. Although she and her siblings played with C.A.
    “[a]bout every day,” M.M. stated that she “didn’t really know [him] that well.”
    {¶11} M.M. was the seeker. After counting to 20, she went to look for everyone.
    She first looked in the backyard but found no one.          She then searched inside an
    abandoned garage located approximately five feet from her house. She found C.A.
    inside the garage listening to music on an MP3 player and tagged him. M.M. testified
    that after she tagged him, C.A. grabbed her wrist and held onto her tightly. M.M. stated
    that she told him to let go, but he refused. M.M. testified that C.A. then threatened her
    and said that if she did not do what he told her to do, he would hurt her sister. C.A. told
    M.M. to get on her knees. M.M. testified that she complied and that C.A. sat down on a
    cinder block with his back against the wall of the garage, pulled his pants down and “took
    his private out.” M.M. testified that she said, “no,” “softly” and that while her mouth
    was open, he forced “his private area” into her mouth. She stated that she started to
    choke and moved to the side toward his thigh. When she was able to say “no” again, he
    stopped and M.M. started to spit on the ground.
    {¶12} M.M. testified that she then heard her mother calling her. She and C.A. got
    up to leave, and C.A. pushed her out the door and followed her out of the garage. M.M.
    estimated that she was alone in the garage with C.A. for approximately 20 minutes.
    Although M.M. acknowledged that she had asked C.A. if she could use his MP3 player
    earlier in the day when they were both outside the garage (and that C.A. had then let her
    use it), she denied asking C.A. if she could use the MP3 player while the two were alone
    inside the garage playing hide-and-seek.
    {¶13} M.M. testified that when she left the garage, she walked across a field to her
    house where her mother, Z.M., was waiting outside.          M.M. testified that when her
    mother saw her, she asked her why her knees were dirty. At first, she did not respond.
    When Z.M. asked her a second time why her knees were dirty, M.M. started to cry.
    M.M. testified that she thought she was going to get in trouble for having dirty clothing as
    she had in the past. M.M. asked to go inside the house. Once inside, she “burst out with
    tears” and told her mother that “[C.A.] made me suck his private.”
    {¶14} Z.M. called M.M.’s Beech Brook counselor, Lena Oates, who said she
    would come to M.M.’s house. When Oates arrived, M.M. told her what had happened.
    Oates told Z.M. to call 696-KIDS and the police. After the police arrived, M.M. spoke
    with a female officer and told her what had happened. The officer told Z.M. to take
    M.M. to the hospital, and Z.M. drove her to the hospital.
    {¶15} M.M. testified that this was not the first time an incident like this had
    happened to her. When she was five or six years old, she was assaulted by one of her
    male cousins.
    {¶16} M.M.’s mother, Z.M., was the next witness to testify. She testified that she
    had just finished speaking with Oates on the telephone and was sitting on her porch
    watching her children play with C.A. in the driveway. Z.M. testified that she knew C.A.
    as a “playmate of [her] children” and that he played with them on a “regular basis” until
    she “started to notice a difference in his demeanor” and became “uncomfortable with it.”
    She testified that after she observed this, she would tell C.A. to go home or would make
    excuses or leave with the children to get rid of him. Z.M. stated that it was C.A.’s idea
    to play hide-and-seek. She testified that she heard him say to her children, “let’s play
    hide-and-seek” and that, to her knowledge, her children had never played the game before
    because she did not allow it. She stated that “[t]his was one of his games that he played”
    that made her “uncomfortable.”
    {¶17} Z.M. testified that while she was sitting on the porch, she became concerned
    that her dinner might be burning and went inside briefly to check on it. Z.M. testified
    that when she came back outside, she did not see M.M. so she began to call for her.
    After calling for her three times, Z.M. saw M.M. coming out of the garage, followed by
    C.A. Z.M. testified that C.A. “pushed” M.M. out of the garage and that the two children
    walked across a field toward the steps of M.M.’s house. Z.M. testified that M.M. had a
    “strange look on her face” and that both her knees had “big old circles,” covered in a
    “real white looking grayish color dirt.”
    {¶18} Z.M. testified that she asked M.M. what had happened to her knees and
    that M.M. replied that she had fallen when she was climbing a fence, chasing the younger
    children. Z.M. told M.M. to turn around so that she could see if the rest of her clothing
    was dirty but did not see dirt anywhere else. Z.M. again asked M.M. why her knees were
    dirty. Z.M. testified that M.M. then “started to break.” When she asked M.M. what was
    wrong, M.M. started to “scream and holler.” Z.M. testified that she grabbed M.M. by the
    neck and dragged her inside the house. Z.M. stated that once they were inside, she again
    asked M.M. what was wrong. M.M. told her that “he made me suck his so-and-so,”
    “saying it over and over and over,” “screaming and hollering.”
    {¶19} Z.M. testified that while she was attempting to get M.M. “under control,”
    she called Oates and tried to explain what had happened. Z.M. testified that Oates heard
    M.M. screaming in the background and asked her if M.M. was “saying what I think
    she[’s] saying.” Z.M. responded affirmatively. Oates told her she would be right over
    and to call the police. Z.M. called the police.
    {¶20} Z.M. testified that while M.M. was “laying on the floor, screaming hollering
    hysterical,” she went to the door and saw C.A. standing in the walkway in front of her
    house. Z.M. testified that she went outside and walked over to C.A. and told him to go
    home but C.A. just stood and looked at her. After a few minutes, he said “I ain’t did
    nothing” and slowly began walking away. As C.A. turned to walk away, Z.M. noticed
    that his shirt was “dirty from his neck [a]cross his shoulders all the way down to his
    waist” with the same dirt that was on the knees of M.M.’s pants. Z.M. had her cell
    phone so she took a picture of the back of his shirt. C.A. turned to look at her and
    “drawed his hand up” and said “get away from me.”              Z.M. testified that she was
    “[s]cared [C.A.] was going to hit [her]” and ran back into the house. Z.M. testified that
    when she came back inside the house, M.M. was “still in there all hysterical, slobbering
    all over the place, all over the floor * * * just totally out of control,” screaming that “her
    mouth was hurting.” Z.M. stated that there was nothing she could do for M.M. and that
    she just sat there and waited for Oates and the police to arrive.
    {¶21} Z.M. testified that at some point later that day, she went into the garage to
    look around. She noticed that the floor of the garage was covered with leaves except for
    one area, i.e., “the spot where she say he laid her at.” According to Z.M., the leaves had
    been “disturbed and distributed in that area.” She testified that the same dirt that was on
    the children’s clothes was on the floor of the garage in this area. Z.M. took several
    pictures of the garage, including the area where C.A. allegedly “laid [M.M.] down at.”
    {¶22} Z.M. testified that Oates and the police arrived at nearly the same time.
    When the police arrived, a female officer took M.M. aside and questioned her while
    Oates watched. Z.M. was not present during the interview; she was on the sidewalk
    speaking with a male officer. Z.M. testified that the police asked her what time the
    alleged incident occurred and where C.A. lived. Z.M. testified that she told the police
    that the incident occurred between 6:00 and 6:30 p.m.      She stated that she did not know
    exactly where C.A. lived so M.M. showed the police where he lived. After the police
    and Oates left, Z.M. drove M.M. to the hospital. Z.M. testified that M.M. was upset and
    crying and did not want to go to the hospital.
    {¶23} When they arrived at the hospital, M.M. was comforted by a nurse who took
    her into another area, questioned her about what had happened and performed a rape kit.
    Z.M. said that she was not present when this occurred.
    {¶24} On cross-examination, Z.M. indicated that M.M. had had a counselor “for a
    period of time” because “[s]he had some coping issues.” She denied that M.M. had been
    diagnosed with post-traumatic stress disorder but indicated that M.M. had “had an issue
    before” with a male child (but denied that he was a cousin) and was in counseling to
    address that issue. Z.M. further acknowledged that she herself had “a history of [a] lot of
    traumas” but stated that she was “not going to get into it.”
    {¶25} Sometime after the incident, Z.M. took M.M. to see her own doctor because
    M.M. had been complaining that her mouth hurt. Z.M. testified that the doctor examined
    M.M.’s mouth to see if she had sustained an injury but that Z.M. was not informed of any
    injuries.
    {¶26} Lena Oates, a qualified mental health specialist who had worked for Beech
    Brook, also testified. Oates stated that M.M. was a client when she worked at Beech
    Brook and that M.M. had been referred to the agency due to a diagnosis of post-traumatic
    stress disorder following a prior sexual assault. She testified that M.M. was a “high risk
    case” and that she met with M.M. face-to-face at least once a week. Although M.M. was
    only ten at the time, Oates testified that she “struggled with things that typical teenagers
    struggled with,” such as problematic behavior in school, not listening to her mother, lying
    to her mother regarding matters such as food hoarding, chores, bathing and incidents
    involving her siblings, “manipulating situations to get out of things” and lying to “avoid
    the consequences.” She testified that M.M.’s treatment plan involved her “being more
    responsible and accountable for her behaviors.”
    {¶27} Oates testified that shortly before the incident, she had been on the phone
    with Z.M. for approximately 45 minutes, discussing M.M.’s treatment plan. Less then
    five minutes after she hung up with Z.M., Z.M. called her back and put M.M. on the
    phone. Oates testified that initially, M.M. “literally hollered * * * just hollered * * *
    [l]ike [in] a horror movie.” When Oates asked M.M. what was wrong, M.M. told her,
    “he made me do it, he made me suck his dick.” After M.M. said this, Oates told M.M. to
    put her mother back on the phone. Oates testified that she did not really understand what
    had happened and asked Z.M. “is she saying what I’m hearing her saying[?]” Although
    Z.M. was “a bit escalated,” she told Oates what had happened. Oates told Z.M. to call
    the police and that she would come over. Oates then called her supervisor, got clearance
    to proceed, and went to Z.M.’s house, arriving more than an hour later. When she
    arrived, M.M. was “not in a crisis state any longer.” She was “still upset” but was able to
    talk with Oates and explain what had happened. Oates testified that Z.M. “was very
    escalated” but was able to provide details as well. They then waited for the police to
    arrive.
    {¶28} Oates testified that hours later, two officers responded, one male officer and
    one female officer. Oates explained to the police who she was, gave them her contact
    information and, with Z.M.’s consent, disclosed M.M.’s diagnosis of post-traumatic stress
    disorder. Oates was present when the female officer spoke with M.M. The police
    officers did not take a statement from Oates. Oates denied that she told the officers that
    “something in [M.M.’s] story was not adding up” or that M.M.’s body language,
    inconsistent statements or changing behavior suggested to Oates that M.M. may not have
    been telling the whole story. Oates stated that she did not think M.M. was lying about
    what had happened to her and that even if there were inconsistencies in what M.M. was
    saying, she would not have mentioned them to the police because M.M. is her client and,
    as such, it is her job to advocate on her behalf and support her.
    {¶29} Stephanie Grossman, a sexual assault nurse examiner (“SANE nurse”) at
    Rainbow Babies and Children’s Hospital, examined M.M. the evening of the incident.
    Grossman explained that when a sexual assault is disclosed by a patient, a SANE nurse is
    called in to interview the patient. Grossman testified that prior to examining M.M., she
    obtained a medical history from her, including a statement regarding what had brought
    her to the hospital.       Grossman testified that M.M. was calm, reserved, quiet and
    respectful and that she answered the questions asked of her. Grossman testified that
    based on the history she obtained, she performed an examination to determine whether
    M.M. had sustained any physical injuries and administered a rape kit and a pregnancy
    test. Grossman stated that her exam revealed no physical injuries and that no other
    medical treatment of M.M. was required.          She testified that her examination was
    consistent with the history M.M. had provided.
    {¶30} Yashila Crowell, with the East Cleveland Police Department, was the
    detective assigned to follow up on the case. She testified that her investigation consisted
    of (1) contacting Officer Dominique King, the patrol officer who wrote the police report
    of the incident, to address a couple of questions she had after reviewing the report, (2)
    executing a search warrant to collect a DNA buccal swab from C.A. and (3) attending a
    meeting the prosecutor’s office had scheduled with M.M. and her mother in October
    2013. Detective Crowell testified that shortly after she was assigned to the case, she
    contacted Z.M. and requested a face-to-face meeting with M.M. but that “due to some
    other situations that [Z.M.] was going through,” Z.M. did not bring M.M. in to speak with
    her. Detective Crowell testified that she never spoke with C.A. and only spoke with his
    mother briefly when executing the search warrant “just to let her know what was going
    on.”
    {¶31} Detective Crowell acknowledged on cross-examination that M.M.’s
    testimony at the hearing was inconsistent with what was documented in the police report,
    i.e., according to the police report, M.M. had told the responding officer that when she
    found C.A. in the garage, she had asked to use his MP3 player, and he had denied her
    request, stating that it belonged to his uncle. Detective Crowell stated that she spoke with
    M.M. only once, during the meeting at the prosecutor’s office, and that M.M. did not
    contradict herself during that conversation. She further stated that M.M.’s description of
    the incident when testifying at the hearing was consistent with what she had stated had
    occurred during the October 2013 meeting at the prosecutor’s office.
    {¶32} Detective Crowell also acknowledged that Oates’s testimony at the hearing
    was inconsistent with what had been documented in the police report. Although when
    testifying at the hearing Oates denied making any comments to police regarding the
    consistency of M.M.’s statements, Detective Crowell acknowledged that the police report
    indicated that Oates had told police that “there were problems with [M.M.’s] story,” that
    “something in [her] story didn’t add up,” and that, as she told her story, M.M. “eventually
    smirked” and “smiled.”
    {¶33} No written statements were provided by M.M., Z.M.,C.A. or Oates to the
    police regarding the incident. Both Officer King and the other officer who responded at
    the scene, Officer Huppy, left the department before the trial and did not testify.
    {¶34} The state rested its case and moved to have its exhibits, including M.M.’s
    medical records related to the incident, admitted into evidence. The parties agreed on the
    exhibits to be admitted, and the court admitted these exhibits. C.A. then moved to
    dismiss the complaint, arguing that, based on inconsistencies among the witnesses’
    testimony, Oates’s testimony regarding M.M.’s past use of fabrications to “get out of
    trouble” and inconsistencies between what the witnesses testified to and what was
    documented in the police report, the state had failed to present sufficient evidence that
    C.A. had raped M.M. The juvenile court denied the motion.
    {¶35} Defense counsel then moved to have the page containing M.M.’s patient
    history stricken from the exhibit of M.M.’s medical records. Although the juvenile court
    had sustained an earlier objection C.A. had made when the state sought to have Grossman
    read from the patient history section during her direct examination, the juvenile court
    denied the motion to strike, stating that it had sustained the earlier objection only “with
    regard to her reading [M.M.’s patient history] to me * * * as though to give it some
    weight that it doesn’t necessarily have to give.”
    {¶36} C.A. was the sole witness to testify in his defense. He testified that on
    September 27, 2013, at approximately 6:00 p.m., M.M.’s three siblings came over to his
    house and asked C.A. if he wanted to play with them. C.A. agreed to play with the
    children and walked with them back to their house.
    {¶37} C.A. testified that M.M.’s sister decided that the children should play
    hide-and-seek. During the second game of hide-and-seek, M.M. was the seeker. C.A.
    testified that he hid in the garage and was sitting on a concrete block leaning against the
    wall, listening to music on his uncle’s MP3 player, when M.M. found him. C.A. testified
    that M.M. “was sitting on her knees” next to him and asked if she could see the MP3
    player. C.A. testified he told her, “no,” because it was his uncle’s MP3 player and his
    uncle had told him not to let anyone else use it. When C.A. told M.M. she could not use
    the MP3 player she became “sad,” then “upset.” C.A. testified that M.M. asked him
    repeatedly to let her see the MP3 player and that each time he told her, “no,” “she got
    even more madder.” C.A. testified that he “got mad” and stood up and walked towards
    the door to the garage. When M.M.’s mother began calling for her, both children left the
    garage. M.M. left the garage first and walked towards her mother. C.A. followed
    behind her.   C.A. estimated that the children had been playing hide-and-seek for
    approximately 30 minutes and that he and M.M. had been in the garage alone together for
    approximately three to five minutes.
    {¶38} C.A. testified that when M.M. reached her mother, he heard Z.M. ask her
    why her knees were dirty. He said that M.M. told her that she fell. He testified that
    Z.M. then asked M.M. the same question again “but with a serious look.” He testified
    that M.M. kept telling her mother that she had fallen. He testified that Z.M. then asked
    M.M. to go inside the house. After they went inside, C.A. heard yelling, screaming and
    crying. C.A. testified that he asked M.M.’s brothers and sister to go up to the house to
    see if M.M. was okay. The children went up to the house and asked their mother if M.M.
    was okay, but Z.M. did not respond and “slammed the door in their face[s].”
    {¶39} C.A. and the other children then decided to play freeze tag. They played
    for a few minutes before Z.M. came out of the house and told C.A. he had to leave. C.A.
    testified that he could see and hear M.M. crying inside the house. C.A. told Z.M. “okay”
    and that he “didn’t do anything.” He told the other children he would see them later.
    C.A. testified that he assumed the yelling and crying had something to do with him
    because Z.M. had asked him to leave. He stated that he “basically figured” that M.M.
    was “still mad and upset” about his refusal to let her play with the MP3 player.
    {¶40} C.A. testified that as he began walking away, Z.M. “got even more mad
    because she noticed [his] back was dirty.” He testified that Z.M. told him to “come
    here” and pulled out her cell phone. C.A. testified that he turned and walked away and
    that Z.M. followed him, chasing him and taking pictures of him with her cell phone
    camera.
    {¶41} C.A. testified that when he got back to his house around 6:30 p.m., his
    mother came out, and Z.M. turned and “took off” back toward her house. C.A. testified
    that he told his mother what had happened, i.e., that he and M.M. had gotten into an
    argument about the MP3 player and that Z.M. had chased him with her cell phone camera.
    He then took a shower and went to sleep. C.A. testified that he woke up around 10:00
    or 11:00 p.m. because police officers were knocking at the door. C.A. testified that he
    opened the door and that the officers asked him a few questions, including what had
    happened. He stated that he told the officers the “same story” as that to which he had
    testified. He testified that the officers “basically got confused” and indicated that they
    were “trying to figure out how * * * I did this to her and about me and her arguing over
    something stupid.” C.A.’s mother told him to go inside, closed the door and began
    speaking with the officers.
    {¶42} C.A. testified that after the officers left, he and his mother went upstairs to
    talk with his grandfather. His mother left to go to the store, and C.A. fell back asleep.
    He awoke a second time when his mother came in and told him that police officers were
    coming to take him to the police station. C.A. testified that he was arrested, taken to the
    police station and “basically handcuffed to a chair for hours.”
    {¶43} After C.A. testified, the defense rested, and defense counsel renewed his
    motion to dismiss based on the same arguments he had raised previously. Once again,
    the juvenile court denied the motion. On August 28, 2014, the juvenile court adjudicated
    C.A. delinquent by reason of rape in violation of R.C. 2907.02(A)(1)(b).
    {¶44} On January 29, 2015, the juvenile court held a dispositional hearing. The
    court ordered that C.A. be placed on community control for six months, that he re-engage
    mental health services and that he receive sex offender treatment through the Protect
    program. C.A. appealed, raising the following four assignments of error for review:
    First Assignment of Error: The trial court erred to the prejudice of the
    appellant by denying access to child protective services records of an
    interview with the alleged victim, as the court did not even examine the
    records in-camera to determine if they were exculpatory or relevant.
    Second Assignment of Error: The trial court erred to the prejudice of the
    appellant in denying the motion for dismissal pursuant to Rule 29 of the
    Ohio Rules of Criminal Procedure, in that the evidence presented was
    insufficient as a matter of law.
    Third Assignment of Error: The finding of delinquency by reason of rape
    was against the manifest weight of the evidence.
    Fourth Assignment of Error: The trial court erred to the prejudice of the
    appellant by permitting testimony as to statements allegedly made by the
    victim to a hospital nurse, as said statements constitute impermissible
    hearsay.
    Law and Analysis
    {¶45} For ease of discussion, we consider C.A.’s second and third assignments of
    error first.
    Sufficiency of the Evidence and the Manifest Weight of the Evidence
    {¶46} In his second and third assignments of error, C.A. argues that the juvenile
    court erred in denying his motion to dismiss and that his adjudication of delinquency is
    against the manifest weight of the evidence.        He claims that M.M.’s and Z.M.’s
    testimony was not credible and that due to the “conflicts” and “confusion” in M.M.’s
    testimony and that of the other of the state’s witnesses, “[i]t cannot be ascertained with
    any degree of certainty what, if anything, occurred * * * between M.M. and C.A.” As
    such, he contends the delinquency finding must be overturned.
    {¶47} A juvenile court may adjudicate a juvenile to be a delinquent child when the
    evidence demonstrates, beyond a reasonable doubt, that the child committed an act that
    would constitute a crime if committed by an adult. R.C. 2151.35(A); Juv.R. 29(E)(4); In
    re R.S., 8th Dist. Cuyahoga No. 99562, 
    2013-Ohio-5576
    , ¶ 26; In re Williams, 3d Dist.
    Marion No. 9-10-64, 
    2011-Ohio-4338
    , ¶ 18. Due to the “‘inherently criminal aspects’ of
    delinquency proceedings * * *” claims involving the sufficiency of the evidence and the
    manifest weight of the evidence in delinquency appeals are subject to the same standards
    of review applicable to criminal convictions. In re T.J., 9th Dist. Summit No. 27269,
    
    2014-Ohio-4919
    , ¶ 19, quoting In re L.F., 9th Dist. Lorain No. 10CA09880,
    
    2012-Ohio-302
    , ¶ 6; In re R.S. at ¶ 26, citing In re Watson, 
    47 Ohio St.3d 86
    , 91, 
    548 N.E.2d 210
     (1989).
    {¶48} We review a trial court’s denial of a defendant’s motion under Crim.R. 29
    using the same standard we apply when reviewing a sufficiency-of-the-evidence claim.
    State v. Taylor, 8th Dist. Cuyahoga No. 100315, 
    2014-Ohio-3134
    , ¶ 21-23 (“Crim.R.
    29(A) and sufficiency of evidence review require the same analysis.”), citing Cleveland v.
    Pate, 8th Dist. Cuyahoga No. 99321, 
    2013-Ohio-5571
    .
    {¶49} When reviewing sufficiency of the evidence, we must determine “‘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. We do not assess whether the state’s evidence is to be believed but whether, if
    believed, the evidence admitted at trial supported the adjudication. State v. Starks, 8th
    Dist. Cuyahoga No. 91682, 
    2009-Ohio-3375
    , ¶ 25, citing State v. Thompkins, 
    78 Ohio St.3d 380
    , 387, 
    678 N.E.2d 541
     (1997); Jenks at paragraph two of the syllabus.
    {¶50} The juvenile court found C.A. delinquent for rape in violation of R.C.
    2907.02(A)(1)(b). R.C. 2907.02(A)(1)(b) provides, in relevant part: “No person shall
    engage in sexual conduct with another who is not the spouse of the offender * * * when *
    * * [t]he other person is less than thirteen years of age, whether or not the offender knows
    the age of the other person.” “Sexual conduct” includes fellatio. R.C. 2907.01(A).
    {¶51} We do not consider the credibility of the witnesses when reviewing a
    sufficiency-of-the-evidence claim. State v. Williams, 8th Dist. Cuyahoga No. 98528,
    
    2013-Ohio-1181
    , ¶ 27; State v. Yarbrough, 
    95 Ohio St.3d 227
    , 
    2002-Ohio-2126
    , 
    767 N.E.2d 216
    , ¶ 79. We assume the state’s witnesses testified truthfully and determine
    whether that testimony (and any other evidence presented) satisfies each element of the
    offense. The testimony of one witness, if believed by the factfinder, is enough.          See,
    e.g., State v. Adams, 5th Dist. Licking No. 14-CA-25, 
    2014-Ohio-4233
    , ¶ 14 (“the
    testimony of one witness, believed by the [trier of fact], is sufficient to establish a fact in
    question”); see also State v. Strong, 10th Dist. Franklin No. 09AP-874, 
    2011-Ohio-1024
    ,
    ¶ 42 (in a criminal case, “the testimony of one witness, if believed by the jury, is enough
    to support a conviction”).
    {¶52} In this case, M.M. testified that on September 27, 2013, when she was less
    than 13 years old, C.A. inserted his penis inside her mouth. There was no dispute that
    she was not his spouse. M.M.’s testimony, if believed, was sufficient to support the
    juvenile court’s finding of delinquency due to rape in violation of R.C. 2907.02(A)(1)(b).
    Although, as C.A. points out, there was some confusion and inconsistencies in M.M.’s
    testimony, including with regard to the number of individuals she spoke with about the
    incident — four, six or seven — the timing and sequencing of certain events, and her
    understanding of the words “accident” and “incident,” M.M.’s testimony was clear and
    unequivocal that C.A. inserted his penis into her mouth when the two children were alone
    together in the garage. Further, some of the perceived inconsistencies and confusion in
    M.M.’s testimony appear to be attributable to the form of the questions she was asked and
    M.M.’s clear misunderstanding of those questions.3 Based on our review of the record,
    after viewing the evidence in a light most favorable to the prosecution, we cannot state
    that a rational trier of fact could not have found the essential elements of rape under R.C.
    2907.02(A)(1)(b) proven beyond a reasonable doubt.             Accordingly, C.A.’s adjudication
    of delinquency for rape was supported by sufficient evidence.
    {¶53} We likewise find no merit to C.A.’s claim that his delinquency adjudication
    was against the manifest weight of the evidence.           In determining whether a delinquency
    adjudication is against the manifest weight of the evidence, we review the entire record,
    weigh the evidence and all reasonable inferences, consider the credibility of witnesses,
    and determine whether in resolving conflicts in the evidence the juvenile court clearly lost
    its way and created such a manifest miscarriage of justice that the adjudication must be
    reversed. In re R.S., 
    2013-Ohio-5576
    , at ¶ 27; Thompkins at 387, citing State v. Martin,
    
    20 Ohio App.3d 172
    , 175, 
    485 N.E.2d 717
     (1st Dist.1983).               “The use of the word
    ‘manifest’ means that the trier of fact’s decision must be plainly or obviously contrary to
    all of the evidence.   This is a difficult burden for an appellant to overcome because the
    resolution of factual issues resides with the trier of fact.”        State v. Battiste, 8th Dist
    Cuyahoga No. 102299, 
    2015-Ohio-3586
    , ¶ 19, citing State v. DeHass, 
    10 Ohio St.2d 230
    ,
    
    227 N.E.2d 212
     (1967), paragraph one of the syllabus. The credibility of the witnesses
    and the weight to be given the evidence are primarily for the trier of fact to assess. State
    v. Bradley, 8th Dist. Cuyahoga No. 97333, 
    2012-Ohio-2765
    , ¶ 14, citing State v. DeHass,
    At the time she testified, M.M. was 11 years old.
    3
    
    10 Ohio St.2d 230
    , 
    227 N.E.2d 212
     (1967), paragraph one of the syllabus. The trier of
    fact is in the best position to take into account inconsistencies, along with the witnesses’
    manner, demeanor, gestures and voice inflections, in determining whether the proffered
    testimony is credible.       State v. Holloway, 8th Dist. Cuyahoga No. 101289,
    
    2015-Ohio-1015
    , ¶ 42, citing State v. Kurtz, 8th Dist. Cuyahoga No. 99103,
    
    2013-Ohio-2999
    , ¶ 26.
    {¶54} C.A.’s manifest weight challenge is based on virtually the same arguments
    and evidence as his sufficiency challenge — i.e., the purported inconsistencies and
    confusion in M.M.’s testimony; M.M.’s history of behavioral issues; contradictory,
    confusing testimony by Z.M.; Z.M.’s dislike of, and “suspicions” relating to, C.A.; and
    contradictions between Oates’s testimony and what she reportedly told the responding
    officers according to the police report.     Although, as noted above, there are some
    inconsistencies in the witnesses’ testimony, a defendant is not entitled to reversal on
    manifest weight grounds merely because the factfinder heard inconsistent or contradictory
    testimony. In re D.M.D., 10th Dist. Franklin No. 14AP-289, 
    2015-Ohio-1134
    , ¶ 18;
    State v. Wade, 8th Dist. Cuyahoga No. 90029, 
    2008-Ohio-4574
    , ¶ 38, citing State v.
    Asberry, 10th Dist. Franklin No. 04AP-1113, 
    2005-Ohio-4547
    , ¶ 11.             The decision
    whether, and to what extent, to believe the testimony of a particular witness is “within the
    peculiar competence of the factfinder, who has seen and heard the witness.” State v.
    Johnson, 8th Dist. Cuyahoga No. 99822, 
    2014-Ohio-494
    , ¶ 54.
    {¶55}    This case came down to the credibility of M.M. and C.A. and the two very
    different versions of events each provided.        The juvenile court was presented with
    reasons to question M.M.’s credibility, such as the fact that although M.M. claimed that
    C.A. grabbed her wrist, held it tightly and forced her to her knees, she sustained no
    bruising or other physical injury, M.M.’s admission that she was afraid she would “get
    into trouble” due to her dirty knees, her history of behavioral issues and the fact that she
    was known to “manipulate situations” and lie to her mother and others to “avoid the
    consequences” of her actions, and the fact that others had allegedly expressed concerns
    regarding the veracity of M.M.’s version of the events.
    {¶56} But, as detailed above, the juvenile court was also given reasons to believe
    M.M.’s testimony, including her demeanor following the incident, the fact that once she
    was inside the house, she promptly told her mother what had happened, and the fact that
    she told the same version of events to numerous others, including her counselor and the
    detective.   It was within the province of the juvenile court, as the trier of fact, to believe
    M.M. and to disbelieve C.A.         “‘The choice between credible witnesses and their
    conflicting testimony rests solely with the finder of fact and an appellate court may not
    substitute its own judgment for that of the finder of fact.’” In re N.J.M., 12th Dist.
    Warren No. CA2010-03-026, 
    2010-Ohio-5526
    , ¶ 39, quoting State v. Awan, 
    22 Ohio St.3d 120
    , 123, 
    489 N.E.2d 277
     (1986). The judge was present in the courtroom with the
    witnesses; therefore, she was in the best position to assess the credibility of M.M., C.A.
    and the other witnesses.
    {¶57} After careful review of the record in its entirety, weighing the strength and
    credibility of the evidence presented and the inferences to be reasonably drawn therefrom,
    we cannot say that the juvenile court clearly lost its way and created such a manifest
    miscarriage of justice that C.A.’s delinquency adjudication by reason of rape was against
    the manifest weight of the evidence. Accordingly, C.A.’s second and third assignments
    of error are overruled.
    Prior History Statements in Medical Records
    {¶58} In his fourth assignment of error, C.A. argues that the juvenile court
    improperly permitted Grossman, the SANE nurse who examined M.M. at the hospital
    following the incident, to testify regarding statements M.M. made to her regarding the
    alleged rape.     C.A. contends that M.M.’s statements to Grossman constituted
    inadmissible hearsay and that the juvenile court violated C.A.’s Sixth Amendment right
    of confrontation by permitting Grossman to testify regarding those statements.
    {¶59} The decision to admit or to exclude evidence is left to the sound discretion
    of the juvenile court and will not be reversed absent an abuse of that discretion. In re
    Shubutidze, 8th Dist. Cuyahoga No. 77879, 
    2001 Ohio App. LEXIS 996
    , *9 (Mar. 8,
    2001); State v. Gale, 8th Dist. Cuyahoga No. 94872, 
    2011-Ohio-1236
    , ¶ 12, citing State v.
    Finnerty, 
    45 Ohio St.3d 104
    , 107, 
    543 N.E.2d 1233
     (1989). An abuse of discretion
    implies that the court’s decision was unreasonable, arbitrary or unconscionable.
    Blakemore v. Blakemore, 
    5 Ohio St.3d 217
    , 219, 
    450 N.E.2d 1140
     (1983).
    {¶60} The record does not support C.A.’s contention. First, Grossman did not
    testify as to the content of any statements M.M. made to her. When Grossman, at the
    state’s request, began reading into the record the portion of M.M.’s medical records that
    contained M.M.’s patient history narrative during her direct examination, defense counsel
    objected on hearsay grounds. The following exchange then occurred:
    THE COURT: Okay. You really want me to hear that statement.
    And the question becomes why. If she relied upon the statement and from
    that statement she did the next step, then that’s all I really need to hear.
    Because I don’t really need to emphasize the victim’s statement, unless
    what, I’m missing something? Ms. Grossman, from the history that you
    obtained, what did you do next?
    THE WITNESS: I did the exam to determine if there was an injury
    to her body.
    THE COURT: And after that examination, did you — what did you
    then do next?
    THE WITNESS: I did not see any physical injury. There was no
    other treatment that was required. A pregnancy test was done. And I do
    believe that was the extent of that.
    THE COURT: You may continue your inquiry.
    {¶61} Grossman never testified as to the content of what M.M. told her, only that
    she obtained a patient history from M.M. and the actions she took in response to that
    history, i.e., that she examined M.M. for physical injuries, performed a rape kit, and
    administered a pregnancy test. Although Grossman did not testify regarding the content
    of the statements M.M. made at the hospital, the juvenile court did admit the medical
    records from M.M.’s hospital visit into evidence, including — over C.A.’s belated
    objection — the page of the medical records that documented M.M.’s statements to
    Grossman regarding her prior history. Even if we were to interpret C.A.’s assignment of
    error as extending to the juvenile court’s admission of the prior history section of M.M.’s
    medical records, we would still find no reversible error.
    {¶62}    The Sixth Amendment to the United States Constitution states: “In all
    criminal prosecutions, the accused shall enjoy the right * * * to be confronted with the
    witnesses against him.” Hearsay is an out-of-court statement offered to prove the truth
    of the matter asserted.    Evid.R. 801(C).    Therefore, “[w]henever the state seeks to
    introduce hearsay into a criminal proceeding, the court must determine not only whether
    the evidence fits within an exception [to the hearsay rule], but also whether the
    introduction of such evidence offends an accused’s right to confront witnesses against
    him. State v. Kilbane, 8th Dist. Cuyahoga No. 99485, 
    2014-Ohio-1228
    , ¶ 29. The right
    of confrontation also applies in juvenile delinquency hearings. See, e.g., In re Wise, 7th
    Dist. Jefferson No. 05 JE 40, 
    2007-Ohio-1393
    , ¶ 69; In re Sturm, 4th Dist. Washington
    No. 05CA34, 
    2006-Ohio-3122
    , ¶ 17.
    {¶63} In this case, however, M.M. testified at the hearing and was subject to
    cross-examination by C.A.; therefore, there was no violation of C.A.’s confrontation
    rights. See, e.g., State v. Buzanowski, 8th Dist. Cuyahoga No. 99854, 
    2014-Ohio-1947
    , ¶
    52; see also State v. Rose, 12th Dist. Butler No. CA2011-11-214, 
    2012-Ohio-5607
    , ¶ 47
    (where child victim was present at trial and subject to cross-examination, the
    Confrontation Clause presented “no constraints” on state’s use of child’s prior statements
    to a SANE nurse examiner), citing State v. Gray, 12th Dist. Butler No. CA2011-09-176,
    
    2012-Ohio-4769
    , ¶ 48 (noting that when the declarant is present at trial and subject to
    cross-examination, the Confrontation Clause presents no constraints on the use of the
    prior testimonial statement); State v. Powell, 
    132 Ohio St.3d 233
    , 
    2012-Ohio-2577
    , 
    971 N.E.2d 865
    , ¶ 64 (“The admission of hearsay does not violate the Confrontation Clause if
    the declarant testifies at trial.”). Moreover, Grossman also testified at trial and was
    subject to cross-examination by C.A.
    {¶64} Evid.R. 803(4) provides a hearsay exception for “[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
    state argues that M.M.’s description of the alleged rape documented in the patient history
    section of the medical records was made for the purpose of obtaining medical treatment
    and, therefore, admissible under Evid.R. 803(4). C.A. argues that because Grossman
    performed a rape kit and took M.M.’s underpants and leggings, M.M.’s statements were
    made in connection with a criminal investigation and, therefore, did not fall within the
    hearsay exception applicable to statements made for medical diagnosis or treatment.
    {¶65} In State v. Ceron, 8th Dist. Cuyahoga No. 99388, 
    2013-Ohio-5241
    , this
    court explained the application of Evid.R. 803(4) to statements made by assault victims to
    SANE nurses as follows:
    “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
    , 
    875 N.E.2d 944
    , ¶ 47. 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).”
    Id. at ¶ 56-60 (statement by alleged five-year-old sexual assault victim to sexual assault
    nurse was for the purpose of medical diagnosis and treatment and, therefore, admissible
    under Evid.R. 804(3)), quoting State v. Rose, 12th Dist. Butler No. CA2011-11-214,
    
    2012-Ohio-5607
    , ¶ 42; see also State v. Burgess, 
    162 Ohio App.3d 291
    , 
    2005-Ohio-3747
    ,
    
    833 N.E.2d 352
    , ¶ 26-28 (2d Dist.) (evidence of eleven-year-old victim’s statements to
    emergency room nurse concerning alleged rapes was admissible under Evid.R. 803(4)
    notwithstanding that nurse was required to ask victim for history as part of rape kit).
    {¶66} In this case, although Grossman collected certain evidence during her
    examination of M.M. that could be used in the criminal rape investigation, the record
    supports the conclusion that M.M. would have reasonably understood that the purpose for
    her describing the circumstances of the rape to Grossman was to receive medical care,
    rather than to assist in the criminal investigation. M.M. had already spoken with the
    police and given them a statement before her mother took her to the hospital.
    {¶67} Grossman testified that her purpose in taking the history was “to find out if
    there was any injury to [M.M.’s] health” and to determine the proper scope of the
    examination or treatment to be provided. She testified that as a result of the history she
    obtained from M.M., she performed a rape kit, examined M.M. for physical injuries and
    administered a pregnancy test.
    {¶68} As this court has recognized:
    “A victim’s statement that she had been raped is relevant for medical
    diagnosis and treatment because it directs medical providers to examine the
    genital areas for physical injury, administer a pregnancy test, and prescribe
    medications for the prevention of sexually transmitted diseases * * *. A
    patient’s statements concerning how the alleged rape occurred can be
    relevant to show the ‘general cause or external source thereof insofar as
    reasonably pertinent to diagnosis or treatment.’ Evid.R. 803(4). For
    example, the victim’s statements may guide medical personnel to the
    particular area(s) of the victim’s body to be examined for injury, as well as
    indicate which areas may need more immediate treatment than others.
    State v. Menton, 7th Dist. No. 07 MA 70, 
    2009-Ohio-4640
    , ¶ 51 (‘* * * the
    description of how the [sexual] assault took place, over how long of a
    period, how many times a person was hit, choked or penetrated, and what
    types of objects were inserted are all specifically relevant to medical
    treatment. They are part of the medical history. They are the reason for the
    symptoms. They let the examiner know where to examine and what types of
    injuries could be latent.’).”
    State v. Bowleg, 8th Dist. Cuyahoga Nos. 100263 and 100264, 
    2014-Ohio-1433
    , ¶ 19,
    quoting State v. Wallace, 3d Dist. Union No. 14-10-20, 
    2011-Ohio-1728
    , ¶ 18. The fact
    that it was determined, following her examination and the administration of the pregnancy
    test, that M.M. did not require any further medical treatment does not mean that her
    statements to Grossman regarding what happened during the alleged rape were not for the
    purpose of medical diagnosis and treatment.
    {¶69} Based on the record before us, we find that M.M.’s statements to Grossman
    regarding how and when she was allegedly raped and who raped her were admissible
    under Evid.R. 803(4).     As such, the juvenile court did not abuse its discretion in
    admitting the portion of M.M.’s medical records containing those statements. See, e.g.,
    State v. Richardson, 12th Dist. Clermont Nos. CA2014-03-023, CA2014-06-044 and
    CA2014-06-045, 
    2015-Ohio-824
    , ¶ 36         (child-victim’s statements to child advocacy
    social worker and forensic examiner regarding the identity of the perpetrator, the type of
    abuse alleged, the time frame of the alleged abuse and identification of the areas where
    the child had been touched were made for purpose of medical diagnosis and treatment and
    were, therefore, admissible under Evid.R. 803(4)), citing Arnold, 
    supra.
    {¶70} Although certain details M.M. provided to Grossman regarding the incident
    extended beyond what was needed for medical treatment and diagnosis and, therefore, did
    not fall within the Evid.R. 803(4) hearsay exception, we find that the juvenile court’s
    admission of those statements — when admitting the entirety of M.M.’s medical records
    and patient history into evidence — was harmless error.
    {¶71} “Any error, defect, irregularity, or variance which does not affect substantial
    rights shall be disregarded.” Crim.R. 52(A). An error does not affect substantial rights
    if there is no reasonable probability that the error contributed to the defendant’s
    conviction or, in this case, delinquency adjudication. State v. Brown, 
    65 Ohio St.3d 483
    ,
    485, 
    605 N.E.2d 46
     (1992).
    {¶72} The following analysis has been established by the Ohio Supreme Court “to
    guide appellate courts in determining whether an error has affected the substantial rights
    of a defendant, thereby requiring a new trial”:
    First, it must be determined whether the defendant was prejudiced by the
    error, i.e., whether the error had an impact on the verdict. Second, it must be
    determined whether the error was not harmless beyond a reasonable doubt.
    Lastly, once the prejudicial evidence is excised, the remaining evidence is
    weighed to determine whether it establishes the defendant’s guilt beyond a
    reasonable doubt.
    State v. Harris, 
    142 Ohio St.3d 211
    , 
    2015-Ohio-166
    , 
    28 N.E.3d 1256
    , ¶ 37, citing State v.
    Morris, 
    141 Ohio St.3d 399
    , 
    2014-Ohio-5052
    , 
    24 N.E.3d 1153
    . Here, although the
    juvenile court erred in admitting the entire prior history section of M.M.’s medical
    records into evidence — and not just those statements made for purpose of medical
    diagnosis and treatment — C.A. was not prejudiced because there is no reasonable
    possibility that the admission of the statements impacted the delinquency adjudication.
    {¶73} First, this case involved a bench trial; therefore, “it is presumed the juvenile
    court only considered admissible evidence.”         In re B.T.B., 12th Dist. Butler No.
    CA2014-10-199, 
    2015-Ohio-2729
    , ¶ 35; see also State v. Warren, 8th Dist. Cuyahoga No.
    83823, 
    2004-Ohio-5599
    , ¶ 47, citing State v. Davis, 
    63 Ohio St.3d 44
    , 
    584 N.E.2d 1192
    (1992). M.M. testified at length regarding what happened to her and was subject to
    substantial cross-examination by the defense.         Although there are arguably some
    differences in the details between what M.M. testified to and the statements reflected in
    her medical records, the prior history narrative in M.M.’s medical records contains the
    same basic description of the incident that M.M. testified to at the hearing, i.e., that C.A.
    grabbed her arm, told her to kneel on the ground and inserted his penis into her mouth.
    See, e.g., State v. Buzanowski, 8th Dist. Cuyahoga No. 99854, 
    2014-Ohio-1947
    , ¶ 53
    (error in admitting victim’s narrative to SANE nurse was harmless pursuant to Crim.R.
    52(A) because it was merely cumulative to the admissible testimony of the victim), citing
    State v. Simmons, 8th Dist. Cuyahoga No. 98613, 
    2013-Ohio-1789
    , ¶ 28; State v. Pence,
    12th Dist. Warren No. CA2012-05-045, 
    2013-Ohio-1388
    , ¶ 38 (even if trial court erred in
    admitting statements victim made to child protective services worker under Evid.R.
    804(3), error was harmless because her testimony was cumulative of victim’s testimony);
    State v. Ruff, 
    2013-Ohio-3234
    , 
    996 N.E.2d 513
    , ¶ 20-21 (1st Dist.) (where purpose of
    victim’s statements was for medical diagnosis and treatment, even if a few of the details
    extended beyond what victim needed to say for purposes of obtaining treatment, any error
    in the admission of such statements was harmless), rev’d on other grounds, 
    143 Ohio St.3d 114
    , 
    2015-Ohio-995
    , 
    34 N.E.3d 892
    ; Rose, 
    2012-Ohio-5607
     at ¶ 46-48 (where there
    was “little evidence to suggest” that victim’s statement to SANE nurse “aided in any sort
    of diagnosis or medical treatment,” but rather related primarily to the investigation of the
    defendant, SANE nurse’s report containing the victim’s statement did not fall within the
    hearsay exception under Evid.R. 803(4); however, because victim “provided substantial
    testimony regarding the events of the night,” including what she detailed to the SANE
    nurse and the defense conducted a “substantial cross-examination” of the victim, trial
    court’s error in admitting report was harmless).
    {¶74} Second, there is nothing in the record that suggests that the juvenile court
    relied on M.M.’s statements as documented in her medical records — as opposed to her
    testimony at the hearing — in reaching its decision in this case. To the contrary, the
    record supports the conclusion that the juvenile court did not rely on M.M.’s statements to
    Grossman regarding the alleged rape.       When ruling on C.A.’s objections related to
    M.M.’s statements to the SANE nurse, the judge indicated that she “[did]n’t really need to
    emphasize the victim’s statement,” that it was sufficient for her purposes that Grossman
    “relied upon [M.M.’s] statement and from that statement * * * did the next step” and that
    she was not inclined “to give some weight [to the prior history section of M.M.’s medical
    records] that it doesn’t necessarily have to give.” Finally, as explained above, the state
    presented substantial evidence separate and apart from any inadmissible statements
    contained in M.M.’s medical records, which supported the juvenile court’s delinquency
    determination beyond a reasonable doubt. Accordingly, the error in admission of the
    entirety of M.M.’s medical records was harmless. C.A.’s fourth assignment of error is
    overruled.
    CCDCFS Records
    {¶75} In his first assignment of error, C.A. contends that the juvenile court erred
    and violated his due process rights by denying him access to CCDCFS records relating to
    the subject incident. C.A. argues that because the case was “based solely on the victim’s
    word,” any inconsistency in M.M.’s story was “critically important to the defense” and
    that C.A., therefore, “should have had access to what was told to [CCDCFS]
    caseworkers” or, at the very least, the juvenile court should have conducted an in camera
    review of the records to determine whether they contained any inconsistencies or
    exculpatory information relevant to his defense. The state responds that the juvenile
    court’s ruling on the motion to quash was within its discretion because C.A. failed to
    show “adequate good cause” to be permitted access to the confidential CCDCFS records.
    {¶76} We review a trial court’s decision in a discovery matter for abuse of
    discretion. In re D.M., 
    140 Ohio St.3d 309
    , 
    2014-Ohio-3628
    , 
    18 N.E.3d 404
    , ¶ 9, citing
    State ex rel. Denton v. Bedinghaus, 
    98 Ohio St.3d 298
    , 
    2003-Ohio-861
    , 
    784 N.E.2d 99
    , ¶
    31.
    {¶77} Under Juv.R. 24(A)(6) and the Due Process Clauses of the Ohio
    Constitution and the United States Constitution, a juvenile respondent is entitled to
    discovery of evidence that is “favorable to the respondent and material either to guilt or
    punishment.”    Juv.R. 24(A)(6) (“In delinquency and unruly child proceedings, the
    prosecuting attorney shall disclose to respondent’s counsel all evidence, known or that
    may become known to the prosecuting attorney, favorable to the respondent and material
    either to guilt or punishment.”); In re D.M. at ¶ 16 (“A prosecuting attorney is under a
    duty imposed by Juv.R. 24(A)(6) and the Due Process Clauses of the Ohio Constitution
    and the United States Constitution to disclose to a juvenile respondent all evidence in the
    state’s possession that is favorable to the juvenile and material to either guilt, innocence,
    or punishment.”); State v. Iacona, 
    93 Ohio St.3d 83
    , 91, 
    752 N.E.2d 937
     (2001) (Juv.R.
    24 imposes a duty, corresponding to that imposed by Brady, in juvenile delinquency
    proceedings); see also Brady v. Maryland, 
    373 U.S. 83
    , 87, 
    83 S.Ct. 1194
    , 
    10 L.Ed.2d 215
     (1963) (due process entitles an accused, upon request, to evidence known to the state
    that is favorable to the accused and is material to either guilt or punishment); United
    States v. Bagley, 
    473 U.S. 667
    , 676, 
    105 S.Ct. 3375
     
    87 L.Ed.2d 481
    (1985),
    (“Impeachment evidence, as well as exculpatory evidence, falls within the Brady rule.”).
    {¶78} The CCDCFS records at issue are confidential under R.C. 5153.17 and
    2151.421(H)(1). However, this confidentiality is not absolute. State ex rel. Renfro v.
    Cuyahoga Dept. of Human Services, 
    54 Ohio St.3d 25
    , 29, 
    560 N.E.2d 230
     (1990); State
    v. Sahady, 8th Dist. Cuyahoga No. 83247, 
    2004-Ohio-3481
    , ¶ 29, citing Child Care
    Provider Certification Dept. v. Harris, 8th Dist. Cuyahoga No. 82966, 
    2003-Ohio-6500
    , ¶
    11; Johnson v. Johnson, 
    134 Ohio App.3d 579
    , 583, 
    731 N.E.2d 1144
     (3d Dist.1999).
    Where the records are necessary and relevant to a proceeding and good cause is shown for
    disclosure, “access to the records may be warranted.” Sahady at ¶ 32.
    {¶79} In Pennsylvania v. Ritchie, 
    480 U.S. 39
    , 
    107 S.Ct. 989
    , 
    94 L.Ed.2d 400
    (1987), the United States Supreme Court resolved the conflict between the confidentiality
    afforded children’s services records and a defendant’s right of access to information
    material to his defense by holding that a criminal defendant’s due process right to a fair
    trial entitled him to an in camera review by the trial court of the children’s services
    records to determine whether the records contained evidence material to the defendant’s
    defense.   Id. at 57-58; see also State v. Branch, 3d Dist. Allen No. 1-12-44,
    
    2013-Ohio-3192
    , ¶ 85; State v. Meadows, 4th Dist. Scioto No. 99CA2651, 
    2001 Ohio App. LEXIS 3120
    , *27-29 (Feb. 12, 2001) (where criminal defendant made a specific
    request for children’s services records that he believed would likely contain exculpatory
    evidence or information that could be used for impeachment purposes, trial court was
    required to conduct an in camera inspection of those documents to determine if they
    contained evidence material to his defense); State v. Elliott, 5th Dist. Tuscarawas No.
    2007AP070044, 
    2008-Ohio-5673
    , ¶ 29 (where criminal defendant made a specific request
    for records that were confidential under R.C. 5153.17, “trial court would be required to
    conduct an in camera inspection of those documents to determine if they contained
    evidence material to the defense”).
    {¶80} As this court has explained:
    The proper procedure for determining the availability of such records is for
    the trial court to conduct an in camera inspection to determine the
    following: (1) whether the records are necessary and relevant to the pending
    action; (2) whether good cause has been shown by the person seeking
    disclosure; and (3) whether their admission outweighs the confidentiality
    considerations set forth in R.C. 5153.17 and R.C. 2151.421(H)(1).
    Johnson, 134 Ohio App.3d at 585.
    “In determining whether ‘good cause’ has been shown, the consideration is
    whether it is in the ‘best interests’ of the child, or the due process rights of
    the accused are implicated. See Johnson, 134 Ohio App.3d at 583; 1991
    Ohio Atty.Gen.Ops. No. 91-003. In order to protect the due process rights
    of the accused, access to the CCDCFS’s * * * investigation records may be
    required when the records are material to the defense or fair trial
    considerations are at stake. See State v. Renfro, 
    54 Ohio St.3d 25
    , 29, 
    560 N.E.2d 230
     (1990); State v. Meadows, Scioto App. No. 99CA2651, [
    2001 Ohio App. LEXIS 3120
     (Feb. 12, 2001)]; 1991 Ohio Atty.Gen.Ops. No.
    91-003.”
    Sahady, 8th Dist. Cuyahoga No. 83247, 
    2004-Ohio-3481
    , ¶ 28-31, quoting Harris,
    
    2003-Ohio-6500
    , at ¶ 11-13.
    {¶81} Thus, where, as here, a request is made for confidential documents that
    may contain information material to the defense of an accused, the trial court must
    balance the due process rights of an accused against the privacy rights at issue.4 The trial
    court must examine the documents, in camera, to determine if they contain evidence
    material to the defense of the accused. Ritchie at 58-61; Sahady at ¶ 29. Evidence is
    “material” to a defendant’s defense if there is “‘a reasonable probability that had the
    As the court noted in Ritchie, a defendant may not require a trial court to search through
    4
    confidential records “without first establishing a basis for his claim that it contains material evidence.”
    Ritchie at 58, fn. 15; see also State v. Abernathy, 10th Dist. Franklin No. 94APA03-356, 
    1994 Ohio App. LEXIS 4382
    , *2-6 (Sept. 29, 1994) (trial court did not err in refusing to conduct a pretrial in
    camera inspection of assault victim’s children’s services records because defendant’s request was
    overly broad and counsel failed to demonstrate relevance of records). In this case, however, we
    believe C.A.’s counsel made a sufficient showing that the requested CCDCFS records could contain
    relevant information material to his defense.
    evidence been disclosed to the defense, the result of the proceeding would have been
    different.’” Ritchie at 57, quoting Bagley, 
    473 U.S. at 682
    , 
    105 S.Ct. 3375
    , 
    87 L.Ed.2d 481
    . A “reasonable probability” is “‘a probability sufficient to undermine confidence in
    the outcome.’” Ritchie at 57, quoting Bagley at 682.
    {¶82} “A defendant’s right to discover exculpatory evidence” does not, however,
    include the “unsupervised authority” to review such records (or to have his counsel
    review such records) to “make the determination as to the materiality of the information.”
    Ritchie at 59-60; see also State v. Stiles, 3d Dist. Allen No. 1-08-12, 
    2009-Ohio-89
    , ¶ 32
    (“To ensure a fair trial, a defendant has a right to an in camera review of child abuse
    records. * * * However, [the defendant] does not have a right, even through counsel, to
    inspect the records himself.”); In re J.W., 9th Dist. Lorain No. 10CA009939,
    
    2011-Ohio-3744
    , ¶ 15 (defendant had no right to participate in juvenile court’s in camera
    review of mental health records to determine whether they were material and favorable to
    juvenile’s defense in delinquency adjudication). The defendant may have access to the
    information only if the trial court concludes that it “probably would have changed the
    outcome of his trial.” Ritchie at 58.
    {¶83} The record reflects that the juvenile court failed to follow the proper
    procedure in this case. Here, C.A. made a specific request for CCDCFS records related
    to the incident at issue. The request was not overly broad, but rather, sought only those
    documents that could arguably be relevant to the proceeding. The juvenile court granted
    CCDCFS’s motion to quash without explanation and without reviewing the documents.
    {¶84} The state argues that C.A.’s due process rights were not violated because
    “any potentially inconsistent statements contained in the child protective services records
    would have been cumulative in nature and thus cannot give rise to a Brady violation.”
    However, the fact that C.A. had already obtained a police report that contained certain
    purported inconsistent statements by M.M. and was able to use that report and the
    statements contained therein when cross-examining M.M. and others at the adjudicatory
    hearing, does not mean that C.A. was not also entitled to other documents he requested
    that contained evidence material to his defense. Whether the CCDCFS records at issue
    contained such evidence could be determined only by reviewing the documents in
    question, which the juvenile court failed to do.
    {¶85} Thus, the juvenile court abused its discretion in granting CCDCFS’s motion
    to quash without first reviewing the CCDCFS documents in camera to see if they
    contained evidence material to C.A.’s defense. Ritchie; see also D.M., 
    140 Ohio St.3d 309
    , 
    2014-Ohio-3628
    , 
    18 N.E.3d 404
    , at ¶ 16 (“when the state or the juvenile claims that
    documents are privileged or otherwise not discoverable, it is an abuse of discretion for the
    juvenile court not to perform an in camera inspection of the documents to determine
    whether they contain discoverable evidence * * * ”).
    {¶86} The CCDCFS records are not part of the record on appeal.              Without
    reviewing the records, we are unable to determine whether the juvenile court’s failure to
    conduct an in camera inspection prejudiced C.A. We, therefore, remand the case so that
    the juvenile court may examine the CCDCFS records in camera and determine if the
    records contain evidence material to C.A.’s defense, i.e., information that probably would
    have changed the outcome of the proceedings.             If the records contain no such
    information or if the juvenile court determines that the nondisclosure was harmless
    beyond a reasonable doubt, the juvenile court is instructed to enter such a finding. If the
    juvenile court determines that the records contain evidence that with reasonable
    probability would have affected the outcome of the proceedings, the juvenile court is
    instructed to vacate the adjudication and disposition and order a new trial. See Ritchie at
    57-58; State v. Fuson, 5th Dist. Knox No. 97 CA 000023, 
    1998 Ohio App. LEXIS 4047
    ,
    *5-7 (Aug. 11, 1998).
    {¶87} C.A.’s first assignment of error is sustained.
    {¶88} Judgment affirmed in part, matter remanded for further proceedings
    consistent with this opinion.
    It is ordered that appellant recover from appellee the costs herein taxed.
    The court finds there were reasonable grounds for this appeal.
    It is ordered that a special mandate be sent to said court to carry this judgment into
    execution.
    A certified copy of this entry shall constitute the mandate pursuant to Rule 27 of
    the Rules of Appellate Procedure.
    __________________________________________
    EILEEN A. GALLAGHER, JUDGE
    LARRY A. JONES, SR., P.J., and
    ANITA LASTER MAYS, J., CONCUR