State v. Clark , 2016 Ohio 4561 ( 2016 )


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  • [Cite as State v. Clark, 2016-Ohio-4561.]
    Court of Appeals of Ohio
    EIGHTH APPELLATE DISTRICT
    COUNTY OF CUYAHOGA
    JOURNAL ENTRY AND OPINION
    No. 103324
    STATE OF OHIO
    PLAINTIFF-APPELLEE
    vs.
    MOSES CLARK
    DEFENDANT-APPELLANT
    JUDGMENT:
    AFFIRMED
    Criminal Appeal from the
    Cuyahoga County Court of Common Pleas
    Case No. CR-15-592368-A
    BEFORE:           Jones, A.J., Boyle, J., and Celebrezze, J.
    RELEASED AND JOURNALIZED: June 23, 2016
    ATTORNEYS FOR APPELLANT
    Russell S. Bensing
    1360 East Ninth Street, Suite 600
    Cleveland, Ohio 44135
    Erin R. Flanagan
    Erin R. Flanagan, Esq., L.T.D.
    75 Public Square, Suite 1325
    Cleveland, Ohio 44113
    ATTORNEYS FOR APPELLEE
    Timothy J. McGinty
    Cuyahoga County Prosecutor
    BY: Maxwell Martin
    Assistant County Prosecutor
    The Justice Center, 9th Floor
    1200 Ontario Street
    Cleveland, Ohio 44113
    LARRY A. JONES, SR., A.J.:
    {¶1} Defendant-appellant Moses Clark appeals his multiple convictions for rape and
    kidnapping with specifications. We affirm.
    Procedural History and Facts
    {¶2} In 2015, Clark was charged with three counts of rape and three counts of kidnapping
    with sexual motivation specifications; the charges carried with them notices of prior convictions
    and one- and three-year firearm, repeat violent offender, and sexually violent offender
    specifications. The matter proceeded to a jury trial, at which the following pertinent evidence
    was presented.
    {¶3} In October 2006, 18-year-old “L.C.” was walking near East 79th Street and St. Clair
    Avenue in Cleveland when a man pulled up in a car, flashed a black semi-automatic handgun,
    and told her to get in the car. He threatened to shoot her if she did not comply.    L.C. did not
    know the man.
    {¶4} L.C. got into the car, and the man drove to the back of a church. The man made
    her get into the backseat of the car, take off her pants and underwear, and forced her to have
    vaginal intercourse. The man ejaculated inside of her, wiped himself off with a tissue and threw
    the tissue outside the car window. He told L.C. to get out of the car and count to 200.
    {¶5} L.C. counted until the man drove away and then ran to a store for help. She gave a
    description of her attacker to police. L.C. was taken to the hospital and underwent a rape kit
    examination. L.C. testified that she did not hear from the police again until 2015. In court,
    she identified pictures of the crime scene, including the tissue the man used to wipe himself off
    and the clothes she wore that day.
    {¶6} Retired nurse Karen Seguin (“Seguin”) testified that she was a sexual assault nurse
    examiner at MetroHealth for 30 years. She treated L.C. in October 2006. Seguin collected
    information from L.C. about the rape and documented the narrative within the medical record.
    Seguin noted that there was slight injury to the area of L.C.’s perineum, which was consistent
    with the assault described by L.C. She documented that L.C. was calm, cooperative, and
    confident in the accuracy of the details of the rape but also anxious and upset.
    {¶7} “C.M.” testified that she was 19 years old in October 2006 when she came home to
    Cleveland to visit family.    She was walking home from the library when she noticed a car
    following her. A man, whom she did not know, was driving the car. A short time later,
    someone came up to her from behind, put something hard against her back, and said, “Get in the
    car, don’t say nothing or I’m going to shoot you.” The man led her to a car, which C.M. noticed
    as the same car that had been following her. The man, whom she thought to be around 40 years
    old, made her get in the car and drove to a church. She noted that he had a black gun.
    {¶8} The man ordered C.M. to take her clothes off; she complied. The man told C.M. to
    “shut the f*** up” and that if she made any noise, he would shoot her. He got on top of her and
    had vaginal intercourse with her. After he ejaculated in her, he took a tissue, gave it to her to
    wipe herself, took the tissue back, and then told her to get out of his car and count to 100.
    {¶9} C.M. counted to 10, called the police from her cell phone, and called a friend. A
    friend took her to the hospital where medical personnel recommended she undergo a rape kit
    examination. C.M. declined the physical exam but allowed medical personnel to take the shorts
    she had been wearing at the time of the attack.      C.M. identified, in court, photographs of the
    shorts and crime scene.
    {¶10} Eileen Dillon (“Dilllon”) testified that she was a registered nurse at St. Vincent
    Medical Center and had worked there for 47 years. Dillon treated C.M. in October 2006.
    Dillon documented the narrative of the sexual assault from what C.M. told her.     She testified
    that C.M. declined to participate in a physical examination but allowed medical personnel to
    collect her clothing as evidence. Dillon observed that C.M. was tearful, anxious, emotionally
    upset, and complaining of vaginal pain.
    {¶11} Cleveland Police Officer Martin Gray testified that, while on duty in October 2006,
    he responded to a house on Bellevue Avenue in Cleveland for a complaint of a rape that had just
    taken place. When he arrived, he encountered “C.S.” and Ann Washington (“Washington”).
    He learned that the two women did not know each other, but that Washington had found C.S.
    walking down the street crying and brought her inside her house. C.S. was slumped over in a
    chair crying, and Washington was trying to comfort her.
    {¶12} C.S. told Officer Gray that she was riding a bus and a man was making rude
    comments to her. She got off the bus, and the man followed her. The man, a black male in his
    thirties, pulled a handgun out of a bag.   He pointed the gun at C.S. and made her get into a
    parked car. There was another male in the driver’s seat of the car. The men drove C.S. to
    another location, where the driver forced her to have oral and vaginal intercourse. This male
    was approximately 40 years old and had a burn mark on his thigh. He did not wear a condom,
    and he ejaculated inside of her. After the assault, the men drove a short distance and kicked
    C.S. out of the car.    C.S. ran across a field and down a street, where she encountered
    Washington.
    {¶13} Michele Reali-Sorrell (“Reali-Sorrell”) testified that she has been employed as a
    sexual assault nurse examiner since 2005. The nurse described the process of the rape kit
    examination and testified that her purpose in collecting and documenting the narrative of what
    the victim said happened to her or him is necessary to provide medical treatment to patients who
    have been sexually assaulted.       Reali-Sorrell recalled C.S. and treating her after the assault.
    Reali-Sorrell identified the medial record pertaining to C.S.’s treatment and noted that C.S. was
    20 years old at the time of the assault.
    {¶14} During her examination, C.S. complained of severe abdominal pain that she said
    was caused by a direct blow to that area. C.S. had a CT scan, which showed fluid in her
    abdomen. C.S. told the nurse her attacker threatened to kill her and grabbed, hit, and held her
    during the attack.    During her time with C.S., Reali-Sorrell noted that the patient was tearful and
    soft-spoken. Reali-Sorrell further noted that the patient had a blood-tinged vaginal discharge.
    {¶15} During her testimony, Reali-Sorrell read the following narrative taken from C.S.’s
    medical records:
    Patient states I got off the bus on 74th and St. Clair. I’m walking into Family
    Dollar parking lot, and this man kept talking to me walking behind me. He said,
    hey, hey, and pulled out a gun and said, b[***], you hear me. And then the other
    man pulled up the car and said, put her in the car. The man driving said this. The
    guy with the gun told me not to run and, b[***], get in the car.
    He opened the door and pushed me in the car and drove to a street called Addison.
    They were cussing me out, calling me a bitch and whore, and I ain’t good for
    nothing. He kept saying he was going to shoot me. He went to abandoned — we
    went to an abandoned house on Addison. He made me suck his privates. He
    started to punch me because I wouldn’t open my legs. I was screaming for help,
    telling him to get off me. The other guy was holding my hands behind my head.
    He pulled my pants down, and he did it to me.
    The other guy holding me down was laughing. Then the guy said, Oh, [***], I
    came at her.     He threw my clothes at me and some tissue and told me to wipe my
    [***].    I did it.   He told me — he took me to a field and told me to walk, don’t
    turn around. The lady saw me crying and took me to her house and called the
    police.
    {¶16} Washington testified that she lived on Bellevue Avenue in 2006.         She was sitting
    on her porch drinking coffee when she saw a girl, whom she did not know, walking down the
    street, crying.   Washington asked the girl if she could help.     According to Washington,
    although the girl was clearly upset, she spoke clearly, was neatly dressed, and was not
    intoxicated. The girl told Washington what had happened to her, and the police were called.
    {¶17} Ken Riolo (“Riolo”) testified that he was employed as an investigator with the
    Cuyahoga County Prosecutor’s Office in the cold case unit. The office received a tip from the
    Bureau of Criminal Identification and Investigation (“BCI”) that indicated that a common DNA
    profile in three victim’s rape kits came from a single individual in the Cleveland area, Moses
    Clark. Riolo discovered that C.S. had died in April 2014; he located and interviewed the
    surviving victims.
    {¶18} Riolo then located and interviewed Clark, who denied knowing any of the victims.
    Riolo showed Clark a photograph of each victim. Clark wrote “I don’t know her” or “I don’t
    recognize her” and initialed each of the victim’s photos.
    {¶19} Clark also denied any knowledge of the church where the rapes of L.C. and C.M.
    occurred and insisted he was at work when the rapes allegedly took place. Riolo collected
    buccal swabs from Clark to confirm the presence of his DNA in the rape kit evidence and
    personally dropped off the buccal swabs to BCI for testing.
    {¶20} Riolo testified that he contacted Clark’s employer at the time of the 2006 rapes,
    and the employer confirmed that Clark was not working when the attacks occurred.
    {¶21} BCI forensic scientist Melissa Zielaskiewicz testified that Clark’s DNA, collected
    by Riolo, was included in the sperm fraction of the DNA on both the vaginal samples and a
    portion of the napkin from L.C.’s rape kit. The expected frequency of occurrence of the DNA
    profile from the sperm fraction of the evidence was 1 in 164,200,000,000,000,000,000 (164
    quintillion, 200 quadrillion) unrelated individuals. She also determined that Clark’s DNA,
    collected by Riolo, was included in the sperm fraction of the DNA found on C.M.’s shorts with
    the expected frequency of occurrence of the DNA profile from the sperm fraction of the evidence
    was 1 in 7,018,000,000,000 (7 trillion, 18 billion) unrelated individuals. Finally, Zielaskiewicz
    determined that Clark’s DNA, collected by Riolo, was included in the sperm fraction of the
    DNA on the vaginal samples from C.S.’s rape kit with the expected frequency of occurrence of
    the DNA profile from the sperm fraction of the evidence was 1 in 164,200,000,000,000,000,000
    (164 quintillion, 200 quadrillion) unrelated individuals.
    {¶22} The jury found Clark guilty of all counts: three counts each of rape with one- and
    three-year firearm specifications and kidnapping with one- and three-year firearm and sexual
    motivation specifications. The trial court convicted Clark of the notices of prior convictions
    and repeat violent offender and sexually violent offender specifications.        The trial court
    determined that the rape and kidnapping offenses were not allied offenses of similar import and
    imposed a sentence of ten years to life on each of the rape and kidnapping counts with the rape
    counts to run consecutive to each other and the kidnapping counts to run concurrent. The trial
    court also imposed a three-year sentence on the firearm specifications, for a total sentence of 36
    years to life. The court also classified Clark as a sexual predator.
    Assignments of Error
    I: The trial court erred to Defendant’s prejudice by entering a verdict against the
    manifest weight of the evidence, in derogation of Mr. Clark’s right to due process
    of law under the Fourteenth Amendment of the United States Constitution and
    Article I, Section 16 of the Ohio Constitution.
    II: The trial court erred to Defendant’s prejudice in admitting testimonial
    statements, without opportunity of cross-examination, in derogation of
    Defendant’s Right of Confrontation, as protected by the Fourteenth Amendment
    to the United States Constitution and Article I, Section 10 of the Ohio
    Constitution.
    III: The trial court erred to Defendant’s prejudice and committed plain error in
    admitting the patient narrative contained in the medical records of one of the
    alleged victims.
    IV: The trial court erred to Defendant’s prejudice through its denial of his motion
    for pre-indictment[sic] delay, in derogation of Defendant’s right to Due Process of
    Law, as protected by the Fourteenth Amendment to the United States Constitution
    and Article I, Section 16 of the Ohio Constitution.
    V: The trial court erred to Defendant’s prejudice in its denial of Mr. Clark’s
    motion for severance, in derogation of Defendant’s right to Due Process of Law,
    as protected by the Fourteenth Amendment to the United States Constitution and
    Article I, Section 16 of the Ohio Constitution.
    Law and Analysis
    1. Convictions were not against the manifest weight of the evidence
    {¶23} In the first assignment of error, Clark argues that his convictions were against the
    manifest weight of the evidence.
    {¶24} In State v. Wilson, 
    113 Ohio St. 3d 382
    , 2007-Ohio-2202, 
    865 N.E.2d 1264
    , the
    Ohio Supreme Court addressed the standard of review for a criminal manifest weight challenge,
    as follows:
    The criminal manifest-weight-of-the-evidence standard was explained in State v.
    Thompkins (1997), 
    78 Ohio St. 3d 380
    , 1997- Ohio-52, 
    678 N.E.2d 541
    . In
    Thompkins, the court distinguished between sufficiency of the evidence and
    manifest weight of the evidence, finding that these concepts differ both
    qualitatively and quantitatively. 
    Id. at 386,
    678 N.E.2d 541
    . The court held
    that sufficiency of the evidence is a test of adequacy as to whether the evidence is
    legally sufficient to support a verdict as a matter of law, but weight of the
    evidence addresses the evidence’s effect of inducing belief. 
    Id. at 386-387,
    678
    N.E.2d 541
    . In other words, a reviewing court asks whose evidence is more
    persuasive — the state’s or the defendant’s?    We went on to hold that although
    there may be sufficient evidence to support a judgment, it could nevertheless be
    against the manifest weight of the evidence.        
    Id. at 387,
    678 N.E.2d 541
    .
    “When a court of appeals reverses a judgment of a trial court on the basis that the
    verdict is against the weight of the evidence, the appellate court sits as a
    ‘thirteenth juror’ and disagrees with the factfinder’s resolution of the conflicting
    testimony.” 
    Id. at 387,
    678 N.E.2d 541
    , citing Tibbs v. Florida 
    457 U.S. 31
    , 42,
    
    102 S. Ct. 2211
    , 
    72 L. Ed. 2d 652
    (1982).
    
    Id. at ¶
    25.
    {¶25} An appellate court may not merely substitute its view for that of the factfinder, but
    must find that “‘in resolving conflicts in the evidence, the factfinder clearly lost its way and
    created such a manifest miscarriage of justice that the conviction must be reversed and a new
    trial ordered.”’ State v. Walker, 8th Dist. Cuyahoga No. 99239, 2013-Ohio-3522, ¶ 36, quoting
    Thompkins at 387. Accordingly, reversal on manifest weight grounds is reserved for the
    exceptional case where the evidence weighs heavily against the conviction. Walker at 
    id. citing Thompkins.
    {¶26} Clark argues that his convictions were based on the inconsistent testimony, and
    confused and incomplete memories of the two surviving victims, who could not even identify
    him in court. Although we review credibility when considering the manifest weight of the
    evidence, we are cognizant that determinations regarding the credibility of witnesses and the
    weight of the testimony are primarily for the trier of fact.   The trier of fact is best able “to view
    the witnesses and observe their demeanor, gestures, and voice inflections, and use these
    observations in weighing the credibility of the proffered testimony.” State v. Taylor, 8th Dist.
    Cuyahoga No. 100315, 2014-Ohio-3134, ¶ 40, citing State v. Kurtz, 8th Dist. Cuyahoga No.
    99103, 2013-Ohio-2999, ¶ 26. Although, the witnesses testified at times that they could not
    remember the events of the day, we are cognizant that the violent crimes against these young
    women occurred years prior to trial.    The jury simply could have believed that, when L.C. and
    C.M. testified that they did not remember a detail about the attack, they were giving truthful
    answers.
    {¶27} Clark told the prosecutor’s investigator that he never met any of the victims, but on
    appeal, he does not mention the DNA evidence or explain how his DNA ended up inside of
    L.C.’s and C.S.’s vaginas and on C.M.’s shorts. Clearly, the DNA evidence was the most
    important piece of evidence in the trial.   The DNA evidence established that only one of over
    164 quintillion unrelated individuals would have the same DNA as the man who kidnapped and
    raped L.C., only one in over 7 trillion unrelated individuals would have the same DNA as the
    man who raped and kidnapped C.M., and only one in 164 quintillion unrelated individuals would
    have the same DNA as the man who kidnapped and raped C.S.              Thus, the DNA evidence on
    its own strongly supported the jury’s finding that Clark was the man who kidnapped and raped
    L.C., C.M., and C.S.    See State v. Bandy, 7th Dist. Mahoning No. 05-MA-49, 2007-Ohio-859, ¶
    85 (DNA evidence alone overwhelmingly supported the conclusion that appellant was victim’s
    attacker even though victim could not identify him).
    {¶28} After independently reviewing the entire record and weighing the evidence and all
    reasonable inferences, including the credibility of the witnesses, we cannot say that the jury
    clearly lost its way and created such a manifest miscarriage of justice that the convictions must
    be reversed and a new trial ordered. Accordingly, we overrule the first assigned error.
    2. Court did not err in allowing in hearsay statements
    {¶29} We will discuss the second and third assignments of error together as they both
    involve statements entered into evidence that C.S., who was deceased at the time of trial, made to
    others.
    a. statements to police officer
    {¶30} In the second assignment of error, Clark argues that the trial court erred in
    admitting the statements that C.S. made to Officer Martin Gray.         During trial, Officer Gray
    testified that he was one of the police officers who first arrived on scene to Ann Washington’s
    house, responding to a call that a female had just been raped. When he arrived, he found C.S.
    slumped over in a chair, upset and crying. At this point in Officer Gray’s testimony, defense
    counsel objected, but the trial court overruled the objection. Officer Gray testified that C.S. told
    him that she was riding the RTA bus with a friend but decided to get off because a man was
    bothering her. The man also got off the bus, followed her, and pulled out a gun on her.
    {¶31} Defense counsel objected again at this point, and the trial court expressed its
    concern that the state had not laid the proper foundation for admission of C.S.’s statement as an
    excited utterance exception to hearsay.   Defense counsel argued that C.S.’s statements were not
    excited utterances and admission of her statements would violate Clark’s right to confront
    witnesses within the meaning of Crawford v. Washington, 
    541 U.S. 36
    , 124 S.Ct.1354, 
    158 L. Ed. 2d 177
    (2004). The trial court determined that C.S.’s statements were indeed excited
    utterances and did not violate Crawford, because the officer’s questioning was designed to
    address the emergency at hand.
    {¶32} Officer Gray then testified that C.S. told him she was forced into a car where
    another man was waiting and the two men drove her to a white, boarded-up house. The driver,
    whose nickname was “Black,” made C.S. perform oral sex on him and forced her to have vaginal
    sex.   The man did not wear a condom and ejaculated inside of her. The men then drove her to
    another location and “kicked” her out of the car. She fled.
    {¶33} C.S. described the man who raped her as a black male about 40 years old, six feet
    tall and approximately 215 pounds, with “salt and pepper” hair, and who was wearing work
    clothing, had a gold tooth, and had a burn mark on his thigh.
    {¶34} We first consider whether C.S.’s statements were admissible as excited utterances.
    Under Ohio Evid.R. 803(2), otherwise inadmissible hearsay is admissible if it is a “statement
    relating to a startling event or condition made while the declarant was under the stress of
    excitement caused by the event or condition.” Excited utterances are considered trustworthy
    because they are made while the event is still fresh in the declarant’s mind. State v. Fields, 8th
    Dist. Cuyahoga No. 88916, 2007-Ohio-5060, ¶ 51, citing State v. Taylor, 
    66 Ohio St. 3d 295
    , 300,
    
    612 N.E.2d 316
    (1993). The statement must concern
    some occurrence startling enough to produce a nervous excitement in the
    declarant, which * * * the declarant had an opportunity to observe, and must be
    made before there had been time for such nervous excitement to lose domination
    over his [or her] reflective faculties.
    State v. McCree, 8th Dist. Cuyahoga No. 87951, 2007-Ohio-268, ¶ 60.
    {¶35} Officer Gray testified that C.S.’s statements to him were made as soon as he
    responded to the scene and within ten minutes of when the 911 call came into dispatch. Officer
    Gray and Washington each testified that C.S. was crying and upset throughout the interview;
    Officer Gray testified that Washington had her open hand on C.S.’s back trying to comfort and
    calm her.    Under these facts, the trial court did not abuse its discretion in finding that C.S.’s
    statements to Officer Gray fell within the “excited utterances” exception to the hearsay rule.
    {¶36} Next, we determine whether Clark’s right of confrontation was violated.
    {¶37} In Crawford, the United States Supreme Court held that the Confrontation Clause
    bars the admission of “testimonial statements of witnesses absent from trial.” 
    Id., 541 U.S.
    at
    59,124 S.Ct. 1354, 
    158 L. Ed. 2d 177
    . The court explained that “[w]here testimonial statements
    are at issue, the only indicium of reliability sufficient to satisfy constitutional demands is the one
    the Constitution actually prescribes: confrontation.”        This means that the state may not
    introduce “testimonial” hearsay against a criminal defendant, regardless of whether such
    statements are deemed reliable, unless the defendant has an opportunity to cross-examine the
    declarant.   
    Id. at 53-54,
    68.
    {¶38} In Davis v. Washington, 
    547 U.S. 813
    , 
    126 S. Ct. 2266
    , 
    165 L. Ed. 2d 224
    (2006),
    the United States Supreme Court found that statements made with the “primary purpose” of
    enabling police to meet an “ongoing emergency” are not testimonial.              
    Id. at 826.
      Davis
    identified four characteristics of a statement that meets the emergency exception: (1) the witness
    describes contemporaneous events rather than events that occurred hours earlier, (2) an objective
    emergency exists, (3) the questions are necessary to resolve the emergency, and (4) the interview
    is of an informal nature. See 
    id. at 826-30.
    {¶39} Here, the record shows that C.S.’s attackers dropped her off and she immediately
    fled through a field and down a street where Washington found her. A call was made to 911,
    and the police arrived minutes later and began to assess C.S.’s needs. Her attackers, one of
    whom was armed, were unknown to her, and were still at large.              C.S. had not yet been
    transported to the hospital.   Therefore, when police arrived on scene, the situation was still very
    much ongoing.
    {¶40} Under these circumstances, C.S.’s primary purpose in talking to the police officer
    was to receive assistance from him and the police officer’s primary purpose was to assist C.S.
    Even though C.S.’s statements to Officer Gray may later be used in court, it cannot be said that
    Officer Gray was seeking to develop C.S.’s testimony about past events for a criminal
    proceeding. See State v. Goshade, 1st Dist. Hamilton No. C-120586, 2013-Ohio-4457, ¶ 17.
    {¶41} Therefore, considering the totality of the circumstances, we find that C.S.’s
    statements were not testimonial and, therefore, the trial court did not err in allowing those
    statements into evidence under the excited utterance exception to the hearsay rule.
    b.   medical records
    {¶42} In the third assignment of error, Clark argues that the trial court erred when it
    allowed the narrative from C.S.’s medical records into evidence.      As an initial matter, we note
    that Clark did not object to the narrative being allowed into evidence; therefore, he has waived all
    but plain error. Pursuant to the terms of Crim.R. 52(B), plain errors or defects that affect
    substantial rights may be grounds for reversal even though they were not brought to the attention
    of the trial court. But “[n]otice of plain error under Crim.R. 52(B) is to be taken with the
    utmost caution, under exceptional circumstances and only to prevent a manifest miscarriage of
    justice.” State v. Long, 
    53 Ohio St. 2d 91
    , 
    372 N.E.2d 804
    (1978), paragraph three of the
    syllabus.
    {¶43} Pursuant to Evid.R. 803(4),
    [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
    are not hearsay.
    {¶44}       In State v. Stahl, 
    111 Ohio St. 3d 186
    , 2006-Ohio-5482, 
    855 N.E.2d 834
    , the
    Ohio Supreme Court considered whether hearsay statements by an adult rape victim to a nurse
    working in a specialized medical facility for sexual assault victims were admissible under the
    Crawford standard when the victim was not available to testify at trial.             Applying the
    objective-witness test, the court found that the victim’s statements were made to a medical
    professional at a medical facility for the primary purpose of receiving medical treatment and not
    investigating past events related to criminal prosecution. 
    Id. at ¶
    25. The court held that the
    statements made by the rape victim to the nurse were nontestimonial because the victim “could
    have reasonably believed that although the examination conducted at the [sexual assault] unit
    would result in scientific evidence being extracted for prosecution purposes, the statement would
    be used primarily for health-care purposes.”   
    Id. at ¶
    47.
    {¶45} In State v. Muttart, 
    116 Ohio St. 3d 5
    , 2007-Ohio-5267, 
    875 N.E.2d 944
    , the Ohio
    Supreme Court held that the statements of a child victim of sexual assault made to doctors and
    counselors about how her father had sexually abused her were admissible because they had been
    made to medical personnel in the course of medical diagnosis and treatment. The court held
    that “[s]tatements made to medical personnel for purposes of diagnosis or treatment are not
    inadmissible under Crawford, because they are not even remotely related to the evils that the
    Confrontation Clause was designed to avoid.” 
    Id. at ¶
    63. The court also noted that “[t]he fact
    that the information gathered by the medical personnel in this case was subsequently used by the
    state does not change the fact that the statements were not made for the state’s use.” 
    Id. at ¶
    62.
    {¶46} In State v. Echols, 8th Dist. Cuyahoga No. 102504, 2015-Ohio-5138, this court
    found that a narrative from a deceased rape victim’s medical record read during trial by the
    victim’s treating physician was not testimonial because statements elicited during questioning by
    medical personnel for purposes of medical diagnosis and treatment are not barred from trial by
    the Confrontation Clause.    
    Id. at ¶
    21, 26; see also State v. Bowleg, 8th Dist. Cuyahoga Nos.
    100263 and 100264, 2014-Ohio-1433, ¶ 14-15.              This court noted that “‘[c]ourts have
    consistently found that a description of the encounter and identification of the perpetrator are
    within scope of statements for medical treatment and diagnosis.”’     Echols at ¶ 27, quoting In re
    D.L., 8th Dist. Cuyahoga No. 84643, 2005-Ohio-2320, ¶ 21.
    {¶47} As with C.S., the victim in Echols died before trial.           The victim’s treating
    physician read a lengthy narrative into the record that included what she was doing before she
    was attacked and detailed circumstances of the attack.   In this case, Reali-Sorrell testified that it
    was important to collect information about the assault to understand what happened to C.S., what
    her injuries might be, and to know how to treat her. Clark fails to point to any evidence, and we
    found none in our review of Reali-Sorrell’s testimony, that shows that the nurse was collecting
    the information primarily to be used in later criminal proceedings. Thus, the trial court did not
    commit plain error when it allowed the nurse’s testimony with regard to C.S.’s medical records
    into evidence pursuant to Evid.R. 803(4).
    {¶48} In light of the above, we find that Clark’s Sixth Amendment rights were not
    violated by Officer Gray’s or nurse Reali-Sorrell’s testimony and the trial court did not abuse its
    discretion in allowing the testimony into evidence.
    {¶49} The second and third assignments of error are overruled.
    3.   No preindictment delay
    {¶50} In the fourth assignment of error, Clark argues that the trial court erred in denying
    his motion to dismiss due to preindictment delay.    We disagree.
    {¶51} “An unjustifiable delay between the commission of an offense and a defendant’s
    indictment therefor, which results in actual prejudice to the defendant, is a violation of the right
    to due process of law[.]”       State v. Luck, 
    15 Ohio St. 3d 150
    , 
    472 N.E.2d 1097
    (1984),
    paragraph two of the syllabus.       A two-part test is applied in order to determine whether
    preindictment delay constitutes a due process violation. State v. Powell, 8th Dist. Cuyahoga
    No. 102922, 2016-Ohio-1220, ¶ 12. The defendant has the initial burden to show that he or she
    was substantially and actually prejudiced because of the delay.          State v. Dixon, 8th Dist.
    Cuyahoga No. 102335, 2015-Ohio-3144, 
    40 N.E.3d 601
    , ¶ 19, citing State v. Whiting, 84 Ohio
    St.3d 215, 217, 
    702 N.E.2d 1199
    (1998). If actual prejudice is demonstrated, the burden then
    shifts to the state to produce evidence of a justifiable reason for the delay.   Powell at 
    id., citing Dixon
    at 
    id. Decisions granting
    or denying a motion to dismiss for preindictment delay are
    reviewed for an abuse of discretion.        State v. Owens, 8th Dist. Cuyahoga No. 102276,
    2015-Ohio-3881, ¶ 2, citing State v. Darmond, 
    135 Ohio St. 3d 343
    , 2013-Ohio-966, 
    986 N.E.2d 971
    , ¶ 33.
    {¶52} Clark cites this court’s recent en banc in State v. Jones, 2015-Ohio-2853, 
    35 N.E.3d 606
    , ¶ 37 (8th Dist.), appeal allowed, 
    143 Ohio St. 3d 1542
    , 2015-Ohio-4633, 
    40 N.E.3d 1179
    , to support his position that he was prejudiced by the delay in prosecution. In Jones,
    almost 20 years passed before the state indicted the defendant on rape charges, even though the
    victim had immediately identified “Demetrius” as her attacker.      This court evaluated the actual
    prejudice prong of the two-part test in terms of basic concepts of due process and fundamental
    justice. The court found that Jones “suffered actual prejudice” as the matter was one where the
    state simply failed, or refused, to take action for a substantial period. 
    Id. at ¶
    56.
    {¶53} This case is distinguishable from Jones.      First, the delay in prosecuting Jones was
    almost 20 years; in this case the delay was 8 years. In Jones, Jones claimed an inability to offer
    evidence from his mother, deceased by the time of trial, who was in the house at the time of the
    incident rape and could have corroborated the defendant’s claim that he and the victim were in a
    relationship and that there was no violent fight as described by the victim. In addition, the
    defendant argued that the victim’s clothing she wore on the night of the alleged offense had been
    destroyed, thus denying him the opportunity to examine it and undermine her claim that she and
    Jones engaged in a violent fight. Unlike Jones, in this case there is no allegation of missing or
    destroyed evidence.    More importantly, perhaps, is that Clark’s identity as the serial rapist was
    unknown until August 27, 2014, and he was indicted shortly thereafter on January 7, 2015, after
    an investigation and re-verification of the DNA matches.
    {¶54} Clark claims that he was prejudiced by the death of C.S. and the other victim’s
    foggy memories. We consider the Ohio Supreme Court case of State v. Adams, 
    144 Ohio St. 3d 429
    , 2015-Ohio-3954, 
    45 N.E.3d 127
    , in which the court stated that
    [t]he death of a potential witness during the preindictment period can constitute
    prejudice, but only if the defendant can identify exculpatory evidence that was lost
    and show that the exculpatory evidence could not be obtained by other means.
    
    Id. at ¶
    103, citing United States v. Rogers, 
    118 F.3d 466
    , 475 (6th Cir.1997). Clark has not
    identified any exculpatory evidence that has been lost, let alone show how that evidence could
    not be otherwise obtained.        See also State v. Jones, 8th Dist. Cuyahoga No. 102814,
    2015-Ohio-5540, ¶ 10.       Moreover, the alleged lapses in the surviving victim’s memories was
    based on their testimony at trial, which occurred after Clark’s motion was denied. “The law
    requires a defendant to do more than offer mere speculation as to how he [or she] was prejudiced
    by any delay because requiring less would undermine the statute of limitations.” Owens, 8th Dist.
    Cuyahoga No. 102276, 2015-Ohio-3881, at ¶ 5; see also State v. Wilson, 8th Dist. Cuyahoga No.
    102921, 2016-Ohio-2718, ¶ 70, citing State v. Thomas, 8th Dist. Cuyahoga No. 101202,
    2015-Ohio-415, ¶ 11 (This court has consistently held that speculation does not show actual
    prejudice.).
    {¶55} Thus, the trial court did not err in denying Clark’s motion to dismiss based on
    preindictment delay.   The fourth assignment of error is overruled.
    4. Trial court did not err in denying motion to sever
    {¶56} In the fifth assignment of error, Clark claims he was prejudiced by the joinder of
    charges that were unrelated and should have been tried separately. Under Crim.R. 8(A), which
    governs the joinder of offenses, two or more offenses may be charged together if the offenses
    “are of the same or similar character, * * * or are based on two or more acts or transactions
    connected together or constituting parts of a common scheme or plan, or are part of a course of
    criminal conduct.”     Similarly, Crim.R. 13 provides that a trial court may order two or more
    indictments or informations, or both, to be tried together, “if the offenses or the defendants could
    have been joined in a single indictment or information.”
    {¶57} The law favors joining multiple offenses in a single trial if the requirements of
    Crim.R. 8(A) are satisfied.     State v. Lott, 
    51 Ohio St. 3d 160
    , 163, 
    555 N.E.2d 293
    (1990);
    State v. Ferrell, 8th Dist. Cuyahoga No. 100659, 2014-Ohio-4377, ¶ 38. If it appears, however,
    that the defendant would be prejudiced by the joinder, a trial court may grant a severance.
    Crim.R. 14; State v. Diar, 
    120 Ohio St. 3d 460
    , 2008-Ohio-6266, 
    900 N.E.2d 565
    , ¶ 95. The
    defendant bears the burden of proving prejudice. State v. Brinkley, 
    105 Ohio St. 3d 231
    ,
    2005-Ohio-1507, 
    824 N.E.2d 959
    , ¶ 29.
    {¶58} If a defendant claims that he or she will be prejudiced by the joinder of multiple
    offenses, the state may rebut that claim by showing that the evidence of each crime is simple and
    distinct (“joinder test”) or evidence of other crimes would be admissible even if the counts were
    severed (“other acts test”). Lott at 
    id. “A trier
    of fact is believed capable of segregating the
    proof on multiple charges when the evidence as to each of the charges is uncomplicated.” State
    v. Lunder, 8th Dist. Cuyahoga No. 101223, 2014-Ohio-5341, ¶ 33, citing State v. Torres, 66 Ohio
    St.2d 340, 
    421 N.E.2d 1288
    (1981).             Joinder is therefore not prejudicial when the evidence is
    direct and uncomplicated and can reasonably be separated as to each offense. 
    Id. citing id.
    {¶59} If the state can meet the requirements of the “joinder test,” it need not meet the
    requirements of the stricter “other acts test.”             State v. Peterson, 8th Dist. Cuyahoga Nos.
    100897 and 100899, 2015-Ohio-1013, ¶ 66, citing State v. Franklin, 
    62 Ohio St. 3d 118
    , 122, 
    580 N.E.2d 1
    (1991). A defendant is therefore not prejudiced by joinder when simple and direct
    evidence exists, regardless of the admissibility of evidence of other crimes under Evid.R. 404(B).
    
    Id. citing id.
    1
    {¶60} In this case, joinder was proper because each of the offenses was of similar nature
    and based on the same course of conduct. The attacks all occurred in October 2006. Two of
    the three rapes occurred in the parking lot of the same church. But each rape and kidnapping
    was entirely distinct in proof, each rape kit was analyzed separately, and none of the evidence
    1
    Evid.R. 404(B) allows the admission of “other acts” evidence so long as it is “related to and shares common
    features with the crime in question.” State v. Lowe, 
    69 Ohio St. 3d 527
    , 
    634 N.E.2d 616
    (1994), paragraph one of
    the syllabus. Specifically, evidence of other crimes, wrongs, or acts is admissible under Evid.R. 404(B) if the
    evidence shows “proof of motive, opportunity, intent, preparation, plan, knowledge, identity, or absence of mistake
    or accident.” But evidence of other crimes, wrong, or acts is inadmissible merely to show that an accused has the
    propensity to commit the crime or acted in conformity with a particular character trait. Evid.R. 404(B).
    overlapped between the three incidents. Moreover, the evidence in each of the cases was simple
    and direct, and there is no indication in the record that the jury confused the evidence as to the
    different counts or that it was influenced by the cumulative effect of the joinder.
    {¶61} Thus, the trial court did not err in joining the offenses. The fifth assignment of
    error is overruled.
    {¶62} Judgment affirmed.
    It is ordered that appellee recover of appellant costs herein taxed.
    The court finds there were reasonable grounds for this appeal.
    It is ordered that a special mandate issue out of this court directing the common pleas
    court to carry this judgment into execution. The defendant’s conviction having been affirmed,
    any bail pending appeal is terminated.       Case remanded to the trial court for execution of
    sentence.
    A certified copy of this entry shall constitute the mandate pursuant to Rule 27 of the
    Rules of Appellate Procedure.
    LARRY A. JONES, SR., ADMINISTRATIVE JUDGE
    MARY J. BOYLE, J., and
    FRANK D. CELEBREZZE, JR., J., CONCUR