State v. Gideon ( 2019 )


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  • [Cite as State v. Gideon, 2019-Ohio-2482.]
    IN THE COURT OF APPEALS OF OHIO
    THIRD APPELLATE DISTRICT
    ALLEN COUNTY
    STATE OF OHIO,
    PLAINTIFF-APPELLEE,                    CASE NO. 1-18-27
    v.
    JAMES A. GIDEON,                              OPINION
    DEFENDANT-APPELLANT.
    STATE OF OHIO,
    PLAINTIFF-APPELLEE,                    CASE NO. 1-18-28
    v.
    JAMES A. GIDEON,                              OPINION
    DEFENDANT-APPELLANT.
    STATE OF OHIO,
    PLAINTIFF-APPELLEE,                    CASE NO. 1-18-29
    v.
    JAMES A. GIDEON,                              OPINION
    DEFENDANT-APPELLANT.
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    Appeals from Lima Municipal Court
    Trial Court Nos. 17CRB01386, 17CRB01387, and 17CRB01385
    Judgments Reversed and Causes Remanded
    Date of Decision: June 24, 2019
    APPEARANCES:
    Dennis C. Belli for Appellant
    Anthony L. Geiger for Appellee
    ZIMMERMAN, P.J.
    {¶1} Defendant-appellant, James A. Gideon (“Gideon”), appeals the May 11,
    2018 judgment entries of sentence of the Lima Municipal Court. For the reasons
    that follow, we reverse.
    {¶2} This case stems from an investigation of Gideon for allegedly
    inappropriately touching patients in his capacity as a licensed physician. As part of
    the investigation, Sergeant Tyler Hochstetler (“Sergeant Hochstetler”) of the
    Bluffton Police Department criminally investigated the patient complaints, while
    Investigator Chad Yoakam (“Investigator Yoakam”) of the State Medical Board
    pursued an administrative investigation for possible violations of the statutes and
    rules governing the practice of medicine.
    -2-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    {¶3} Sergeant Hochstetler and Investigator Yoakam agreed “to cooperate
    with each other” by trading information during the course of their investigations.
    (Oct. 13, 2017 Tr. at 51-52). According to Investigator Yoakam, it is advantageous
    for state investigators to cooperate with law enforcement under “what they call a
    bootstrap on a criminal case” because proving an administrative-sanction case is
    easier “from a criminal conviction” as opposed to “through witness testimony.” (Id.
    at 15-16). Thus, Investigator Yoakam met with Sergeant Hochstetler “to determine
    how [he] was going to proceed with the criminal case.” (Id. at 15). After learning
    from Sergeant Hochstetler that Gideon denied the patients’ allegations to Sergeant
    Hochstetler, Investigator Yoakam informed Sergeant Hochstetler that he was going
    to interview Gideon himself. Importantly, Investigator Yoakam warned Sergeant
    Hochstetler against participating in his interview with Gideon—because Gideon
    was statutorily obligated to cooperate with his investigation—so that any confession
    could be used in a criminal proceeding against Gideon. (See Oct. 13, 2017 Tr. at
    28-29, 55-56); (Defendant’s Ex. 4).
    {¶4} In accordance with that agreement, Investigator Yoakam arrived
    unannounced at Gideon’s medical office and asked Gideon “if he would have a few
    minutes to chat with” him to which Gideon—who was aware of his duty to
    cooperate with Investigator Yoakam’s investigation—responded that he did. (Aug.
    22, 2017 Tr. at 5). Commensurate with his duty to cooperate and provide truthful
    -3-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    answers to Investigator Yoakam’s questions, Gideon provided Investigator Yoakam
    with an oral and written statement. Thereafter, Investigator Yoakam immediately
    shared the information from his interview of Gideon with law enforcement “because
    the doctor had [] an interview with [law enforcement] where he denied any
    impropriety so I wanted to tell [law enforcement] what happened during [his]
    interview.” (Oct. 13, 2017 Tr. at 26-27).
    {¶5} On May 26, 2017, three complaints were filed in the Lima Municipal
    Court, each charging Gideon with sexual imposition in violation of R.C.
    2907.06(A)(1), third-degree misdemeanors. (Case No. 17CRB01385, Doc. No. 3);
    (Case No. 17CRB01386, Doc. No. 3); (Case No. 17CRB01387, Doc. No. 3). The
    complaints were assigned case numbers 17CRB01385, 17CRB01386, and
    17CRB01387, respectively. (Id.); (Id.); (Id.). Gideon appeared for arraignment and
    entered pleas of not guilty on June 6, 2017. (Case No. 17CRB01385, Doc. No. 7);
    (Case No. 17CRB01386, Doc. No. 7); (Case No. 17CRB01387, Doc. No. 7).
    {¶6} On July 5, 2017, Gideon filed a motion to suppress evidence. (Case
    No. 17CRB01385, Doc. No. 10); (Case No. 17CRB01386, Doc. No. 12); (Case No.
    17CRB01387, Doc. No. 11). Specifically, Gideon requested that “his written and
    recorded statements given during an interrogation conducted by [Investigator
    Yoakam]” be suppressed because “the statements were involuntary and elicited in
    violation of [Gideon’s] right to Due Process and the Privilege against Self-
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    Case Nos. 1-18-27, 1-18-28, 1-18-29
    Incrimination guaranteed under the Fifth and Fourteenth Amendments to the United
    States Constitution and Article I, Section 10 of the Ohio Constitution.” (Id.); (Id.);
    (Id.). After the conclusion of suppression hearings on August 22, 2017 and October
    13, 2017, the trial court determined that Gideon “made voluntary statements during
    a noncustodial interview” and denied the motion to suppress his statements. (Case
    No. 17CRB01385, Doc. Nos. 12, 14, 17); (Case No. 17CRB01386, Doc. Nos. 14,
    17); (Case No. 17CRB01387, Doc. No. 12, 14). (See also Case No. 17CRB01385,
    Doc. Nos. 14, 15, 16).
    {¶7} On February 6, 2018, the State filed a motion to join case numbers
    17CRB01385, 17CRB01386, 17CRB01387. (Case No. 17CRB01385, Doc. No.
    18).1 Gideon filed a memorandum in opposition to the State’s joinder request on
    February 23, 2018. (Case No. 17CRB01385, Doc. No. 20). The trial court granted
    the State’s motion on April 9, 2018 and joined all of the cases for trial. (Case No.
    17CRB01385, Doc. No. 27A); (Case No. 17CRB01386, Doc. No. 18A); (Case No.
    17CRB01387, Doc. No. 15A). (See Case No. 17CRB01385, Doc. Nos. 21, 25, 27).
    (See also Case No. 17CRB01385, Doc. No. 22).
    {¶8} The cases proceeded to a jury trial on April 18-20, 2018. (Apr. 18, 2018
    Tr., Vol. I, at 1); (Apr. 19, 2018 Tr., Vol. II, at 1); (Apr. 20, 2018 Tr., Vol. III, at 1).
    1
    The State’s February 6, 2018 motion requesting joinder also requests the joinder of case numbers
    17CRB01711, 17CRB01712, 17CRB01713, and 17CRB01765; however, those cases are not before this
    court.
    -5-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    The jury found Gideon guilty of the sexual-imposition charge in case number
    17CRB01385, 17CRB01386, and 17CRB01387, respectively.                       (Case No.
    17CRB01385, Doc. No. 42); (Case No. 17CRB01386, Doc. No. 22); (Case No.
    17CRB01387, Doc. No. 19).
    {¶9} On May 11, 2018, the trial court sentenced Gideon to 60 days in jail in
    case number 17CRB01385, 60 days in jail in case number 17CRB01386, and 60
    days in jail in case number 17CRB01387. (Case No. 17CRB01385, Doc. No. 45);
    (Case No. 17CRB01386, Doc. No. 25); (Case No. 17CRB01387, Doc. No. 22). The
    jail terms imposed were ordered to be served consecutively for an aggregate
    sentence of 180 days in jail. (Id.); (Id.); (Id.). The trial court also classified Gideon
    as a Tier I sex offender. (Id.); (Id.); (Id.).
    {¶10} Gideon filed his notice of appeal on May 11, 2018, and raises four
    assignments of error for our review. (Case No. 17CRB01385, Doc. No. 46); (Case
    No. 17CRB01386, Doc. No. 26); (Case No. 17CRB01387, Doc. No. 23). Because
    it is dispositive, we address only Gideon’s first assignment of error.
    Assignment of Error No. I
    The Denial of Defendant-Appellant’s Motion to Suppress His
    Oral and Written Statements to the Medical Board Investigator
    and the Admission of Those Statements in the State’s Case-In-
    Chief Violated His Rights Under the Fifth and Fourteenth
    Amendments to the United States Constitution and Article I,
    Section 10 of the Ohio Constitution. (Apx.A-7)
    -6-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    {¶11} In his first assignment of error, Gideon argues that the trial court erred
    by denying his motion to suppress oral and written statements that he made to
    Investigator Yoakam as evidence. In particular, Gideon contends that the trial court
    erred by concluding that his belief that his statements were coerced was objectively
    unreasonable under the circumstances.                    In making that determination, Gideon
    argues that the trial court “failed to consider the degree to which [Investigator]
    Yoakam’s disciplinary investigation was intertwined with the police department’s
    criminal investigation.” (Appellant’s Brief at 8).2
    Standard of Review
    {¶12} A review of the denial of a motion to suppress involves mixed
    questions of law and fact. State v. Burnside, 
    100 Ohio St. 3d 152
    , 2003-Ohio-5372,
    ¶ 8. At a suppression hearing, the trial court assumes the role of trier of fact and, as
    such, is in the best position to evaluate the evidence and the credibility of witnesses.
    
    Id. See also
    State v. Carter, 
    72 Ohio St. 3d 545
    , 552 (1995). When reviewing a
    ruling on a motion to suppress, “an appellate court must accept the trial court’s
    findings of fact if they are supported by competent, credible evidence.” Burnside at
    ¶ 8, citing State v. Fanning, 
    1 Ohio St. 3d 19
    (1982). With respect to the trial court’s
    2
    Gideon also argues that the trial court’s admission of his involuntary confessions into evidence at trial “was
    not harmless beyond a reasonable doubt.” (Appellant’s Brief at 14, citing Arizona v. Fulimante, 
    499 U.S. 279
    , 295, 
    111 S. Ct. 1246
    (1991)). In other words, Gideon argues that the admission of his involuntary
    confessions into evidence at trial amounted to structural error. However, based on our conclusion that
    Gideon’s statements should have been suppressed under the Fifth Amendment’s privilege against self
    incrimination, we need not address Gideon’s structural-error argument.
    -7-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    conclusions of law, however, our standard of review is de novo, and we must
    independently determine whether the facts satisfy the applicable legal standard. 
    Id., citing State
    v. McNamara, 
    124 Ohio App. 3d 706
    (4th Dist.1997).
    Due Process Voluntariness
    {¶13} First, we will address Gideon’s argument that his pre-trial statements
    “were procured in violation of his right to due process * * *.” (Appellant’s Brief at
    5). Separate from the consideration of whether a defendant’s statements should be
    suppressed under the Fifth Amendment’s self-incrimination privilege, is the
    consideration of whether the defendant’s statements were voluntary. See, e.g.,
    Oregon v. Elstad, 
    470 U.S. 298
    , 304, 
    105 S. Ct. 1285
    (1985) (“Prior to Miranda, the
    admissibility of an accused’s in-custody statements was judged solely by whether
    they were ‘voluntary’ within the meaning of the Due Process Clause.”); State v.
    Jenkins, 
    15 Ohio St. 3d 164
    , 231 (1984) (noting that “due process provisions of the
    federal Constitution dictate that the state must meet by a preponderance of the
    evidence its burden of proving that any inculpatory statement was made
    voluntarily”); State v. Tussing, 3d Dist. Logan No. 8-10-11, 2011-Ohio-1727, ¶ 32
    (stating that “the Due Process Clause requires an inquiry regarding the voluntariness
    of a defendant’s confession, which is a separate inquiry from the considerations
    regarding whether a defendant is subject to a custodial interrogation”), citing State
    v. Petitjean, 
    140 Ohio App. 3d 517
    , 526 (2d Dist.2000), citing Dickerson v. United
    -8-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    States, 
    530 U.S. 428
    , 434, 
    120 S. Ct. 2326
    (2000); State v. Scholl, 10th Dist. Franklin
    No. 12AP-309, 2012-Ohio-6233, ¶ 7 (“The voluntariness of a confession presents
    ‘an issue analytically separate from those issues surrounding custodial
    interrogations and Miranda warnings.’”), quoting State v. Walker, 10th Dist.
    Franklin No. 04AP-1107, 2005-Ohio-3540, ¶ 24, citing State v. Kelly, 2d Dist.
    Greene No. 2004-CA-20, 2005-Ohio-305, ¶ 10.             See also United States v.
    Goodpaster, 
    65 F. Supp. 3d 1016
    , 1021-1022 (D.Or.2014). “Using an involuntary
    statement against a defendant in a criminal trial is a denial of due process of law.”
    State v. Carse, 10th Dist. Franklin No. 09AP-932, 2010-Ohio-4513, ¶ 23, citing
    Mincey v. Arizona, 
    437 U.S. 385
    , 398, 
    98 S. Ct. 2408
    (1978). Statements are
    considered involuntary when, under the totality of the circumstances, the
    “defendant’s will was overborne.” Schneckloth v. Bustamonte, 
    412 U.S. 218
    , 226,
    
    93 S. Ct. 2041
    (1973). Some of the circumstances that are commonly considered
    include the defendant’s age, education, intelligence, and knowledge of his rights;
    the duration and nature of detention and questioning; and whether physical
    punishment was used or threatened. 
    Id. {¶14} Although
    Gideon asserts that he is challenging the admissibility of his
    pre-trial statements under the Due Process Clause, he failed to make any argument
    in support of that contention. “[A] defendant has the burden of affirmatively
    demonstrating the error of the trial court on appeal.” State v. Stelzer, 9th Dist.
    -9-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    Summit No. 23174, 2006-Ohio-6912, ¶ 7, citing State v. Cook, 9th Dist. Summit
    No. 20675, 2002-Ohio-2646, ¶ 27. “Moreover, ‘[i]f an argument exists that can
    support this assignment of error, it is not this court’s duty to root it out.’” 
    Id., quoting Cook
    at ¶ 27. “App.R. 12(A)(2) provides that an appellate court ‘may
    disregard an assignment of error presented for review if the party raising it fails to
    identify in the record the error on which the assignment of error is based or fails to
    argue the assignment separately in the brief, as required under App.R. 16(A).’”
    State v. Jackson, 10th Dist. Franklin No. 14AP-670, 2015-Ohio-3322, ¶ 11, quoting
    App.R. 12(A)(2). “Additionally, App.R. 16(A)(7) requires that an appellant’s brief
    include ‘[a]n argument containing the contentions of the appellant with respect to
    each assignment of error presented for review and the reasons in support of the
    contentions, with citations to the authorities, statutes, and parts of the record on
    which appellant relies.’” 
    Id., quoting App.R.
    16(A)(7). Notwithstanding Gideon’s
    failure to include an argument regarding how his pre-trial statements were
    inadmissible under the Due Process Clause, the voluntariness of his statements are
    immaterial to the resolution of his suppression argument because we conclude that
    his statements were otherwise per se compelled under the Fifth Amendment to the
    United States Constitution.
    -10-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    Fifth Amendment
    {¶15} “‘The Fifth Amendment to the United States Constitution, made
    applicable to the states by the Fourteenth Amendment, states that “[n]o person * *
    * shall be compelled in any criminal case to be a witness against himself.”’” State
    v. Jackson, 
    154 Ohio St. 3d 542
    , 2018-Ohio-2169, ¶ 14, quoting State v. Graham,
    
    136 Ohio St. 3d 125
    , 2013-Ohio-2114, ¶ 19, quoting the Fifth Amendment to the
    U.S. Constitution. 3 See also Ohio Constitution, Article I, Section 10. “It has long
    been held that this prohibition not only permits a person to refuse to testify against
    himself at a criminal trial in which he is a defendant, but also ‘privileges him not to
    answer official questions put to him in any other proceeding, civil or criminal,
    formal or informal, where the answers might incriminate him in future criminal
    proceedings.’” Minnesota v. Murphy, 
    465 U.S. 420
    , 426, 
    104 S. Ct. 1136
    (1984),
    quoting Lefkowitz v. Turley, 
    414 U.S. 70
    , 77, 
    94 S. Ct. 316
    (1973).
    {¶16} “The privilege against self-incrimination is generally not self-
    executing; a person ‘ordinarily must assert the privilege rather than answer if he
    3
    Gideon’s argument necessarily incorporates the procedural safeguards of the Sixth Amendment. See State
    v. Jackson, 
    154 Ohio St. 3d 542
    , 2018-Ohio-2169, ¶ 13. (See also Appellant’s Brief at 13). “‘The Sixth
    Amendment, applied to the States through the Fourteenth Amendment, guarantees that “[i]n all criminal
    prosecutions, the accused shall * * * have the Assistance of Counsel for his defence.”’” Jackson at ¶ 16,
    quoting Kansas v. Ventris, 
    556 U.S. 586
    , 590, 
    129 S. Ct. 1841
    (2009). “‘The core of this right has historically
    been, and remains today, ‘the opportunity for a defendant to consult with an attorney and to have him
    investigate the case and prepare a defense for trial.”’” 
    Id., quoting Ventris
    at 590, quoting Michigan v. Harvey,
    
    494 U.S. 344
    , 348, 
    110 S. Ct. 1176
    (1990). However, “‘[t]hat the right extends to having counsel present at
    various pretrial “critical” interactions between the defendant and the State, * * * including the deliberate
    elicitation by law enforcement officers (and their agents) of statements pertaining to the charge.’” (Emphasis
    added.) 
    Id., quoting Ventris
    at 590.
    -11-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    desires not to incriminate himself.’” Graham at ¶ 19, quoting Murphy at 429. See
    also Murphy at 427 (noting that “[t]his principle has been applied in cases involving
    a variety of criminal and noncriminal investigations”). Thus, “[i]f a witness—even
    one under a general compulsion to testify—answers a question that both he and the
    government should reasonably expect to incriminate him, the Court need ask only
    whether the particular disclosure was ‘compelled’ within the meaning of the Fifth
    Amendment.” Murphy at 428.
    There are well-known exceptions to the requirement of asserting the
    privilege: (1) “custodial interrogation”; (2) situations where the
    assertion is penalized to an extent that a “‘free choice to remain
    silent’” is foreclosed; and (3) situations where parties fail to file tax
    returns rather than identifying themselves as gamblers and asserting
    the Fifth Amendment privilege.
    State v. Schimmel, 2d Dist. Clark No. 2017-CA-23, 2017-Ohio-7747, ¶ 17, quoting
    Murphy at 429-430, 434, 439, quoting Garner v. United States, 
    424 U.S. 648
    , 661,
    
    96 S. Ct. 1178
    (1976). See also 
    Goodpaster, 65 F. Supp. 3d at 1022-1023
    (“Rather
    than ask whether statements were actually compelled, a prophylactic rule asks
    whether certain other conditions were met and provides that statements made under
    those conditions are deemed per se compelled.), citing 
    Elstad, 470 U.S. at 307
    . “A
    prophylactic rule, therefore, ‘sweeps more broadly than the Fifth Amendment itself’
    and may exclude even ‘patently voluntary statements.’”               (Emphasis sic.)
    Goodpaster at 1023, quoting Elstad at 306-307.
    -12-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    {¶17} Here, the trial court addressed two of the exceptions to the requirement
    of asserting the privilege: the Miranda and the Garrity rules. Miranda v. Arizona,
    
    384 U.S. 436
    , 
    86 S. Ct. 1602
    (1966); Garrity v. New Jersey, 
    385 U.S. 493
    , 
    87 S. Ct. 616
    (1967). Accordingly, we will review the trial court’s application of the Miranda
    and Garrity rules to the facts and circumstances presented by this case.
    Miranda
    {¶18} The first well-known exception under Miranda excludes “‘statements,
    whether exculpatory or inculpatory, stemming from custodial interrogation of the
    defendant unless [the state] demonstrates the use of procedural safeguards effective
    to secure the privilege against self-incrimination.’” (Emphasis added.) Jackson,
    
    154 Ohio St. 3d 542
    , 2018-Ohio-2169, at ¶ 14, quoting Miranda at 444. “The basic
    insight of Miranda is that custody contains ‘inherently compelling pressures which
    work to undermine the individual’s will to resist and to compel him to speak where
    he would not otherwise do so freely.’” Goodpaster at 1023, quoting Miranda at
    467. “To offset this coercion, Miranda mandated that certain warnings be given
    before a suspect in custody is interrogated.” 
    Id., citing Miranda
    at 478-479.
    “Absent these warnings, * * * a suspect’s statements made during custodial
    interrogation * * * may not be used against him * * *.” 
    Id., citing Elstad
    at 307 and
    Miranda at 478-479.
    -13-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    {¶19} “The prophylactic rule of Miranda, therefore, substitutes the totality-
    of-the-circumstances voluntariness inquiry with” a four-prong inquiry: First, was
    the suspect in custody? Second, was the suspected being interrogated? Third, was
    the custodial interrogation conducted by law enforcement? Fourth, if the first three
    inquiries produce an affirmative result, were adequate warnings given? See 
    id. {¶20} A
    “custodial interrogation” within the meaning of Miranda “‘means
    “questioning initiated by law enforcement after a person has been taken into
    custody.”’” (Emphasis added.) Jackson at ¶ 15, quoting State v. Watson, 28 Ohio
    St.2d 15 (1971), paragraph five of the syllabus, quoting Miranda at 444, and citing
    State v. Bernard, 
    31 So. 3d 1025
    , 1029 (La.2010) (noting that Miranda applies only
    if “the interrogation is conducted by a ‘law enforcement officer’ or someone acting
    as their agent”). See also Rhode Island v. Innis, 
    446 U.S. 291
    , 300-301, 
    100 S. Ct. 1682
    (1980) (defining “interrogation” as “express questioning or its functional
    equivalent”). “When determining whether an individual is in custody for Miranda
    purposes, we must consider whether there was a formal arrest or the functional
    equivalent of ‘a restraint of an individual’s freedom of movement commensurate
    with that of a formal arrest.’” In re M.H., 8th Dist. Cuyahoga No. 105742, 2018-
    Ohio-4848, ¶ 20, quoting State v. Jones, 8th Dist. Cuyahoga No. 83481, 2004-Ohio-
    5205, ¶ 39, citing Miranda at 444. “In considering whether an individual is in
    custody for Miranda purposes, “courts must first inquire into the circumstances
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    Case Nos. 1-18-27, 1-18-28, 1-18-29
    surrounding the questioning and, second, given those circumstances, determine
    whether a reasonable person would have felt that he or she was not at liberty to
    terminate the interview and leave.’” 
    Id. at ¶
    24, quoting State v. Hoffner, 102 Ohio
    St.3d 358, 2004-Ohio-3430, ¶ 27, citing Thompson v. Keohane, 
    516 U.S. 99
    , 112,
    
    116 S. Ct. 457
    (1995). “In so doing, we examine the totality of the circumstances
    and how a reasonable person would have understood the circumstances.” 
    Id. at ¶
    20, citing State v. Montague, 8th Dist. Cuyahoga No. 97958, 2012-Ohio-4285, ¶ 8,
    citing Berkemer v. McCarty, 
    468 U.S. 420
    , 442, 
    104 S. Ct. 3138
    (1984). “Relevant
    factors to consider in determining whether a custodial interrogation took place are:
    (1) the location of the questioning; (2) duration of the questioning; (3) statements
    made during the interview; (4) the presence or absence of physical restraints; and
    (5) whether the interviewee was released at the end of the interview.” State v.
    Billenstein, 3d Dist. Mercer No. 10-13-10, 2014-Ohio-255, ¶ 44, citing Howes v.
    Fields, 
    565 U.S. 499
    , 
    132 S. Ct. 1181
    (2012).
    {¶21} However, generally, “[t]he Miranda requirements do not apply when
    admissions are made to persons who are not law enforcement officers or their
    agents, even if an individual’s efforts aid in law enforcement.” 4 In re M.H. at ¶ 19,
    citing Jackson at ¶ 15. See also 
    id. at ¶
    21 (“Generally, courts have held that [state
    4
    A law enforcement officer is defined under R.C. 2901.01(A)(11)(b) as follows: “An officer, agent, or
    employee of the state or any of its agencies, instrumentalities, or political subdivisions, upon whom, by
    statute, a duty to conserve the peace or to enforce all or certain laws is imposed and the authority to arrest
    violators is conferred * * *.”
    -15-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    investigators—namely, social workers—]do not have a duty to advise suspects of
    their Miranda rights because they are private citizens with no power to arrest.”),
    citing Jones at ¶ 40, State v. Coonrod, 12th Dist. Fayette No. CA2009-08-013, 2010-
    Ohio-1102, ¶ 9, State v. Thoman, 10th Dist. Franklin No. 04AP-787, 2005-Ohio-
    898, ¶ 7, State v. Dobies, 11th Dist. Lake No. 91-L-123, 
    1992 WL 387356
    , *3 (Dec.
    18, 1992), and State v. Simpson, 4th Dist. Ross No. 1706, 
    1992 WL 37793
    , *4 (Feb.
    21, 1992).    Nevertheless, when a state investigator acts as an agent of law
    enforcement, that investigator may be required to provide Miranda warnings. 
    Id. at ¶
    22. A state investigator is an agent of law enforcement when he or she acts under
    the direction or control of law enforcement. 
    Id., citing State
    v. Bolen, 
    27 Ohio St. 2d 15
    , 18 (1971). Whether an individual is acting as an agent of law enforcement
    depends on the specific facts and circumstances of each case. Jackson at ¶ 17.
    {¶22} In the case before us, the trial court concluded that suppression of
    Gideon’s statements was not warranted under Miranda because Gideon was not in
    custody. In support of its conclusion that Gideon was not in custody, the trial court
    found that (1) the interview with Investigator Yoakam was conducted at Gideon’s
    office; (2) Gideon was freely accessible to his staff; (3) Gideon repeatedly left his
    office to see patients; (4) Gideon was not physically threatened, intimidated, or
    restrained; and (5) Investigator Yoakam did not dominate the interview. The record
    reveals that the trial court’s findings are supported by competent, credible evidence.
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    Accordingly, although there may a tenable argument that Investigator Yoakam was
    acting as an agent of law enforcement, suppression of Gideon’s statements under
    Miranda is unavailing. Compare State v. Kuruc, 9th Dist. Medina No. 15CA0088-
    M, 2017-Ohio-4112, ¶ 22 (“concluding that suppression was not warranted under
    Miranda because, “[e]ven assuming that the Fire Chief and/or the other firefighters
    here were acting as agents of the police when they met with Kuruc, the record does
    not support his assertion that they subjected him to custodial interrogation). See
    also State v. Woods, 4th Dist. Lawrence Nos. 16CA28 and 16CA29, 2018-Ohio-
    4588, ¶ 49-50, 52.
    Garrity
    {¶23} “The Garrity rule * * * applies when the government threatens to
    penalize the assertion of the Fifth Amendment privilege.” (Emphasis added.)
    
    Goodpaster, 65 F. Supp. 3d at 1023
    . Specifically, the Garrity rule applies “when a
    person’s assertion of the privilege is penalized in a way that precludes that person
    from choosing to remain silent and compels his or her incriminating testimony.”
    Graham, 
    136 Ohio St. 3d 125
    , 2013-Ohio-2114, at ¶ 20. “For instance, a person
    need not assert the [self-incrimination] privilege in cases in which the state compels
    the person to give up the ‘privilege by threatening to impose economic or other
    sanctions “capable of forcing the self-incrimination which the [Fifth] Amendment
    forbids.”’” 
    Id., quoting Murphy,
    465 U.S. at 434, quoting Lefkowitz v. Cunningham,
    -17-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    
    431 U.S. 801
    , 806, 
    97 S. Ct. 2132
    (1977). “Where it has threatened to do so, the
    government has created a ‘classic penalty situation,’ and any answers given by the
    suspect are ‘deemed compelled and inadmissible in a criminal prosecution.’”
    Goodpaster at 1024, quoting Murphy at 435.
    {¶24} “[T]he constitutional protection ‘against coerced statements prohibits
    use in subsequent criminal proceedings of statements obtained under threat of
    removal from office, and that it extends to all, whether they are policemen or other
    members of our body politic.’” Graham at ¶ 21, quoting 
    Garrity, 385 U.S. at 500
    .
    See Goodpaster at 1024 (noting that the “‘loss of job, loss of state contracts, loss of
    future contracting privileges with the state, loss of political office, loss of the right
    to run for political office in the future, and revocation of probation all are “penalties”
    that cannot be imposed on the exercise of the privilege’”), quoting United States v.
    Frierson, 
    945 F.2d 650
    , 658 (3d Cir.1991). See also Spevack v. Klein, 
    385 U.S. 511
    , 516, 
    87 S. Ct. 625
    (1967) (applying the “classic-penalty-situation” rule to
    lawyers and noting that “[t]he threat of disbarment and the loss of professional
    standing, professional reputation, and of livelihood are powerful forms of
    compulsion to make a lawyer relinquish the privilege”); Moody v. Michigan Gaming
    Control Bd., 
    790 F.3d 669
    , 674 (6th Cir.2015) (applying the rule to state-license
    holders).
    {¶25} In classic-penalty-situation cases,
    -18-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    the government is playing two roles. One role is always law
    enforcer—police and prosecutor. Often, as in Garrity, the second role
    is employer, but it need not be. The key is that in these second roles,
    the state has special relationships with certain people—employees,
    probationers, and so on—through which it can apply additional
    pressure to cooperate.
    Goodpaster at 1024-1025.
    Corresponding to these dual roles, the Fifth Amendment principle
    implemented by Garrity can be implicated in two distinct contexts. In
    the more common scenario, the individual does not succumb to the
    state’s pressure, but stands upon his privilege and maintains his
    silence; in this context, he appears as a civil plaintiff, seeking to
    prevent the government—employer from “mak[ing] good on its prior
    threat” by penalizing him.
    
    Id., quoting Murphy
    at 434. “But sometimes, as in Garrity and Murphy, the
    individual succumbs to the pressure and discloses incriminating information; in this
    context, he appears as a criminal defendant, seeking to prevent the government—
    prosecutor from using his statements against him.” 
    Id., citing Murphy
    at 434.
    {¶26} “Garrity does not, however, discount the important public interest in
    obtaining information to ensure effective governmental functioning.” Graham at ¶
    21, citing 
    Turley, 414 U.S. at 81
    , citing Murphy v. Waterfront Comm. of New York
    Harbor, 
    378 U.S. 52
    , 93, 
    84 S. Ct. 1594
    (1964) (White, J., concurring). “Indeed, the
    United States Supreme Court has recognized that Garrity rests on reconciling the
    recognized policies behind the privilege against self-incrimination and the
    government’s need to obtain information.” 
    Id., citing Turley
    at 81. See also
    Goodpaster at 1025, citing Gardner v. Broderick, 
    392 U.S. 273
    , 276, 
    88 S. Ct. 1913
    -19-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    (1968) and Murphy at 435. “A state may compel a public employee’s cooperation
    in a job-related investigation, so long as the employee is not asked to surrender the
    privilege against self-incrimination.” Graham at ¶ 21, citing Turley at 84. “For
    example, the state may compel incriminating answers from its employee if neither
    those answers nor the fruits thereof are available for use against the employee in
    criminal proceedings.” 
    Id., citing Turley
    at 84 and Jones v. Franklin Cty. Sheriff,
    
    52 Ohio St. 3d 40
    , 44 (1990) (stating that a grant of immunity preserves the self-
    incrimination privilege because no statement made in that context is incriminatory).
    “But when the state compels testimony by threatening potent sanctions unless the
    witness surrenders the constitutional privilege, the state obtains the testimony in
    violation of the Fifth Amendment, and it may not use that testimony against the
    witness in a subsequent criminal prosecution.” 
    Id., citing Cunningham,
    431 U.S. at
    805 and State v. Jackson, 
    125 Ohio St. 3d 218
    , 2010-Ohio-621, ¶ 14 (plurality
    opinion) (noting that the State may not directly or derivatively use statements that
    are compelled under threat of termination).         “This balance ‘provid[es] for
    effectuation of the important public interest in securing from public employees an
    accounting of their public trust.’” 
    Id., quoting Cunningham
    at 806.
    {¶27} “Compulsion within the meaning of Garrity is obvious in cases in
    which, as in Garrity, the state has expressly confronted the public employee with
    the inescapable choice of either making an incriminatory statement or being fired.”
    -20-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    (Emphasis added.) 
    Id. at ¶
    23. In the absence of an express threat, “‘“for statements
    to be considered compelled by threat of discharge, (1) a person must subjectively
    believe that he will be fired for asserting the privilege, and (2) that belief must be
    objectively reasonable under the circumstances.”’” 
    Id., quoting State
    v. Brockdorf,
    
    291 Wis. 2d 635
    , 
    2006 WI 76
    , ¶ 25, quoting People v. Sapp, 
    934 P.2d 1367
    , 1372
    (Colo.1997).     “Determining whether an employee’s subjective belief was
    objectively reasonable requires a court to examine the totality of the circumstances.”
    
    Id., citing Brockdorf
    at ¶ 36. “The circumstances must show some demonstrable
    coercive action by the state beyond ‘[t]he general directive to cooperate.’” 
    Id., quoting United
    States v. Vangates, 
    287 F.3d 1315
    , 1324 (11th Cir.2002).
    {¶28} In this case, after concluding that there was no express threat of
    penalty by Investigator Yoakam, the trial court examined whether Gideon
    subjectively believed that he would be penalized and, if so, whether that belief was
    objectively reasonable. The trial court found that Gideon “testified that he believed
    he would be penalized” if he did not answer Investigator Yoakam’s questions. And,
    in our review, the trial court’s finding is supported by competent, credible evidence
    because Gideon testified as follows:
    “My understanding is that I have a legal obligation to comply with
    questions asked by the Medical Board and my understanding was that
    I have an obligation to comply with Mr. Yoakam’s visit subject to
    penalties if I didn’t, potentially even loss of licensure.”
    (Oct. 13, 2017 Tr. at 72).
    -21-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    {¶29} Nevertheless, the trial court ultimately concluded that Gideon’s belief
    was not objectively reasonable based on the totality of the circumstances.
    Specifically, the trial court found that Gideon,
    a well-educated individual, initiated contact with the investigator,
    spoke with him at his medical office after already communicating
    with law enforcement, was given the opportunity to reschedule, took
    the lead in the discussion throughout, treated/examined patients, and
    never sought to invoke his Fifth Amendment rights.
    (Case No. 17CRB01385, Doc. No. 17); (Case No. 17CRB01386, Doc. No. 17);
    (Case No. 17CRB01387, Doc. No. 14). Even though the trial court’s findings are
    primarily supported by competent, credible evidence, the trial court’s totality-of-
    the-circumstances analysis necessarily applies to whether Gideon’s statements were
    voluntary within the meaning of the Due Process Clause, or whether his statements
    should be suppressed under Miranda.5 See, e.g., 
    Schneckloth, 412 U.S. at 226
    (noting that a court may consider a defendant’s age, education, intelligence, and
    knowledge of his rights; the duration and nature of the detention and questioning;
    and whether physical punishment was used or threatened to determine whether the
    defendant’s statements were voluntary); Billenstein, 2014-Ohio-255, at ¶ 44 (noting
    that the factors to consider when determining whether a custodial interrogation took
    5
    The trial court’s finding that Gideon “was given the opportunity to reschedule” is not supported by
    competent, credible evidence. (Case No. 17CRB01385, Doc. No. 17); (Case No. 17CRB01386, Doc. No.
    17); (Case No. 17CRB01387, Doc. No. 14). Rather, the record reflects that Investigator Yoakam asked
    Gideon “if he would have a few minutes to chat with” him, which is different than offering Gideon the
    opportunity to reschedule. (See Oct. 13, 2017 Tr. at 5). (See also State’s Ex. A). Indeed, Gideon testified
    that Yoakam did not explicitly offer him the opportunity to reschedule. (Oct. 13, 2017 Tr. at 73).
    -22-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    place includes “(1) the location of the questioning; (2) duration of the questioning;
    (3) statements made during the interview; (4) the presence or absence of physical
    restraints; and (5) whether the interviewee was released at the end of the interview”).
    {¶30} In considering the totality of the circumstances as to whether a person
    was compelled to make statements against his or her own interest within the
    meaning of Garrity—that is, whether the subject’s subjective belief that he or she
    would be penalized for remaining silent was objectively reasonable—a trial court
    must consider the circumstances surrounding the subject’s “‘duty to cooperate’ and
    the threat of ‘administrative discipline.’” 
    Goodpaster, 65 F. Supp. at 1032
    . See also
    Graham, 
    136 Ohio St. 3d 125
    , 2013-Ohio-2114, at ¶ 27. As to those circumstances,
    the trial court specifically found that
    the Board of Medical Examiners may consider a refusal to cooperate
    with their investigations when reviewing Complaints, this does not
    necessarily lead to a termination of his medical license. It just may be
    one of the many considerations taken into account by the Board.
    (Case No. 17CRB01385, Doc. No. 17); (Case No. 17CRB01386, Doc. No. 17);
    (Case No. 17CRB01387, Doc. No. 14). See R.C. 4731.22 (Apr. 4, 2017) (current
    version at R.C. 4731.22 (Mar. 20, 2019)).
    {¶31} In our view, the trial court did not capture the concept of the statute
    and, more importantly, failed to consider the totality of the circumstances
    surrounding Gideon’s interview with Investigator Yoakam to determine whether
    suppression is warranted under Garrity. Indeed, we cannot turn a blind eye to the
    -23-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    totality of the evidence presented at the suppression hearing supporting that
    Gideon’s belief (that he would be penalized if he remained silent) was objectively
    reasonable. The requirements of R.C. 4731.22 are but one piece of the puzzle.
    R.C. Chapter 4731 and Garrity
    {¶32} “R.C. Chapter 4731 provides for the establishment of the State
    Medical Board and contains provisions concerning the licensing and disciplining of
    physicians.” State ex rel. Corn v. Russo, 
    90 Ohio St. 3d 551
    , 557 (2001). In general,
    the board “has authority to investigate possible violations of the statutes and rules
    governing the practice of medicine, to hold hearings, and to share its information
    with other licensing boards and with law enforcement agencies.” 1999 Ohio
    Atty.Gen.Ops. No. 1999-044, citing R.C. 4731.22(F). See also R.C. 4731.22(F)(1)
    (April 6, 2017) (“The board shall investigate evidence that appears to show that
    person has violated any provision of this chapter or any rule adopted under it.”)
    (current version at R.C. 4731.22(F)(1) ((Mar. 20, 2019)).. “All investigations that
    are conducted by the Board are conducted in accordance with R.C. 4731.22 and the
    rules adopted by the Board under R.C. 4731.05.” State ex rel. Corn v. Russo, 8th
    Dist. Cuyahoga No. 76730, 
    1999 WL 1085519
    , *8 (Nov. 24, 1999), rev’d on other
    
    grounds, 90 Ohio St. 3d at 557-558
    .6 In accordance with those investigations, the
    6
    This court could not find any administrative rules adopted by the State Medical Board pertaining to the
    conduct of its investigators during the course of an investigation under R.C. 4731.22. See Ohio Adm.Code
    4731-1-01, et seq. But see R.C. 4731.05(C) (stating that “[t]he state medical board shall develop requirements
    for and provide appropriate initial and continuing training for investigators employed by the board to carry
    -24-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    board “is authorized to limit, revoke, or suspend a certificate or otherwise discipline
    the holder of a certificate who commits any of a number of violations.” 1999 Ohio
    Atty.Gen.Ops. No. 1999-044, citing R.C. 4731.22(A), (B).
    {¶33} In particular, regarding the board’s disciplinary procedure, R.C.
    4731.22(B) provides, in its relevant part, as follows:
    The board, by an affirmative vote of not fewer than six members,
    shall, to the extent permitted by law, limit, revoke, or suspend an
    individual’s certificate to practice * * * or reprimand or place on
    probation the holder of a certificate for one or more of the following
    reasons:
    ***
    (11) A plea of guilty to, a judicial finding of guilt of, or a judicial
    finding of eligibility for intervention in lieu of conviction for, a
    misdemeanor committed in the course of practice;
    (12) Commission of an act in the course of practice that constitutes a
    misdemeanor in this state, regardless of the jurisdiction in which the
    act was committed;
    (13) A plea of guilty to, a judicial finding of guilt of, or a judicial
    finding of eligibility for intervention in lieu of conviction for, a
    misdemeanor involving moral turpitude;
    (14) Commission of an act involving moral turpitude that constitutes
    a misdemeanor in this state, regardless of the jurisdiction in which the
    act was committed;
    ***
    out its duties under Chapter 4731. of the Revised Code. The training and continuing education may include
    enrollment in courses operated or approved by the Ohio peace officer training commission that the board
    considers appropriate under conditions set forth in section 109.79 of the Revised Code.”).
    -25-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    (34) Failure to cooperate in an investigation conducted by the board
    under division (F) of this section, including failure to comply with a
    subpoena or order issued by the board or failure to answer truthfully
    a question presented by the board in an investigative interview, an
    investigative office conference, at a deposition, or in written
    interrogatories, except that failure to cooperate with an investigation
    shall not constitute grounds for discipline under this section if a court
    of competent jurisdiction has issued an order that either quashes a
    subpoena or permits the individual to withhold the testimony or
    evidence in issue.
    R.C. 4731.22(B)(11)-(14), (34) (Apr. 4. 2017) (current version at R.C.
    4731.22(B)(11)-(14), (34) (Mar. 20, 2019)).
    {¶34} On appeal, the State argues that the trial court correctly concluded that
    Gideon’s belief that he would suffer a penalty if he remained silent was not
    objectively reasonable—that is, the State argues that the trial court correctly
    concluded that Gideon’s belief was not objectively reasonable because R.C.
    4731.22(B) does not result in an automatic penalty. In support of its argument, the
    State contends that the word “shall” as used in R.C. 4731.22(B) “does not mandate
    a medical license revocation, because the statute (1) requires an affirmative vote of
    six board members; (2) provides limiting language on the board’s powers (‘to the
    extent permitted by law’); and, (3) provides a variety of disciplinary options short
    of revocation.” (Emphasis sic.) (Appellee’s Brief at 5-6).
    {¶35} The State’s argument is problematic for a several reasons. The State’s
    argument that Gideon’s belief could not be objectively reasonable because R.C.
    4731.22(B) authorizes the board to institute a “variety of disciplinary options short
    -26-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    of license revocation” is misguided. Rather, the disciplinary options authorized by
    the statute—namely, the authority to limit, revoke, suspend, reprimand, or place on
    probation the holder of a medical license—are penalties for conduct, such as the
    failure to cooperate in an investigation, that resemble the “classic penalty situation”
    prohibited by Garrity and its progeny. See Schimmel, 2017-Ohio-7747, at ¶ 38
    (recognizing that the Supreme Court of Ohio has not adopted a “narrow view” of
    what constitutes a penalty within the meaning of Garrity), citing Graham, 136 Ohio
    St.3d 125, 2013-Ohio-2114, at ¶ 27 (considering “disciplinary action up to and
    including termination” as a penalty within the meaning of Garrity). See also
    
    Murphy, 465 U.S. at 434
    (“In each of the so-called ‘penalty’ cases, the state not only
    compelled an individual to appear and testify, but also sought to induce him to forgo
    the Fifth Amendment privilege by threatening to impose economic or other
    sanctions ‘capable of forcing the self-incrimination which the Amendment
    forbids.’”), quoting 
    Cunningham, 431 U.S. at 806
    (noting that the Fifth Amendment
    protects against state-imposed “potent sanctions” or “substantial penalties”).
    {¶36} Next, suppression under Garrity does not fail in the absence of a
    statute clearly mandating an automatic penalty. See 
    Goodpaster, 65 F. Supp. at 1029
    (stating that “a clear-statement rule is foreclosed [because] threatening a penalty ‘by
    implication’ is sufficient to create a penalty situation”), quoting United States v.
    Saechao, 
    418 F.3d 1073
    , 1076-1080 (9th Cir.2005). See also Graham at ¶ 25
    -27-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    (considering a notice, which provided that the “failure to answer truthfully ‘may
    lead to disciplinary action up to and including termination’”); United States v.
    Camacho, 
    739 F. Supp. 1504
    , 1517, 1520 (S.D.Fla.1990) (considering a statute,
    which provided “that a city employee who is guilty of insubordination may be
    subject to dismissal, suspension, or demotion” when considered in combination with
    the state’s conduct). “[E]vidence of an express threat of termination or a statute,
    rule, or policy demanding termination will almost always be sufficient to show
    coercion”; however, it is not the only evidence that can be considered. (Emphasis
    added.) See Graham at ¶ 24; Walker v. State Med. Bd. of Ohio, 10th Dist. Franklin
    No. 01AP-791, 
    2002 WL 243318
    , *5 (Feb. 21, 2002) (“The potential loss of her
    medical license does not, in and of itself, raise a claim of compulsion by the state.”);
    State v. Connor, 
    124 Idaho 547
    , 548, 
    861 P.2d 1212
    (1993) (stating that evidence
    of a “policy, rule, or regulation concerning the effect on the employment of a state
    police officer who refuses to cooperate in an investigation” is evidence of “an
    objectively reasonable belief that [the] use of the Fifth Amendment in response to
    questions would result in” the loss of a job).
    {¶37} Further, the State’s contention that “the mere possibility of license
    revocation is insufficient to show that the person had an objectively reasonable
    expectation of discharge” misconstrues the Supreme Court of Ohio’s recitation in
    Graham. (Appellee’s Brief at 6, citing Graham at ¶ 23, citing Sapp, 934 P.2d at
    -28-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    1372). In Graham, the court offered that “‘ordinary job pressures, such as the
    possibility of discipline or discharge for insubordination, are not sufficient to
    support an objectively reasonable expectation of discharge.’” (Emphasis added.)
    Graham at ¶ 23, quoting Sapp at 1372. The case to which the court cited in
    Graham—Sapp—follows its “ordinary-job-pressures” statement with the rule that
    for a “subjective belief that [a person] might be fired to be considered objectively
    reasonable for purposes of Garrity immunity, it must be supported by some
    demonstrable action of the state.”7 Sapp at 1372. Thus, a subjective belief will be
    considered objectively reasonable if the state played a role in creating an impression
    that the refusal to give a statement will be met with the type of penalty prohibited
    under Garrity. Camacho at 1515, citing United States v. Solomon, 
    509 F.2d 863
    ,
    871-872 (2d Cir.1975) and United States v. Montanye, 
    500 F.2d 411
    , 415 (2d
    Cir.1974).
    {¶38} The evidence in the record reflects that the circumstances surrounding
    the administrative investigation at issue in this case show some demonstrable,
    coercive action by the state beyond the general directive to cooperate. Indeed, the
    combination of Gideon’s duty to cooperate under R.C. 4731.22(B)(34) and
    Investigator Yoakam’s process in this case exceeded an ordinary job pressure to
    7
    The Supreme Court of Ohio was not presented in Graham with a situation involving a subjective belief that
    a person might suffer a penalty because the sanction in that case was expressly conveyed. See State v.
    Graham, 
    136 Ohio St. 3d 125
    , 2013-Ohio-2114, ¶ 25.
    -29-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    cooperate. As we have noted, R.C. 4731.22(B)(34) requires licensees to cooperate
    with investigations of the board.8 Compare Goodpaster at 1029 (noting that
    “Goodpaster was subject to a regulation * * * requiring that he ‘cooperate with all
    audits, reviews, and investigations conducted by the Office of Inspector General’”),
    quoting 39 C.F.R. 230.3(a). R.C. 4731.22(B) puts licensees on notice that their
    failure to cooperate, amongst other reasons, will penalize their license (by a vote of
    no fewer than six members of the board). Compare 
    id. (“The same
    regulation
    provides that ‘failing to cooperate [* * *] may be grounds for disciplinary or other
    legal action.’”), quoting 39 C.F.R. 230.3(a).
    {¶39} Further, in addition to R.C. 4731.22(B)(34)’s directive to cooperate
    with the board’s investigation, the record reflects “some demonstrable action of the
    state” supporting Gideon’s subjective belief. See Sapp at 1372; Camacho at 1518.
    In this case, the demonstrable action of the State lies with Investigator Yoakam’s
    conduct and his intent underlying that conduct. Compare 
    Camacho, 739 F. Supp. at 8
      It appears that the State contends that R.C. 4731.22(B)(34)’s duty to cooperate requires only that a subject
    answer truthfully questions posed by an investigator of the board during an interview. Compare United
    States v. Goodpaster, 
    65 F. Supp. 3d 1016
    , 1029 (D.Or.2014) (noting that “[a]n order to ‘cooperate’ demands
    more of the reasonable employee than an order merely to be ‘truthful’”), citing Minnesota v. Murphy, 
    465 U.S. 420
    , 434, 
    104 S. Ct. 1136
    (1984) (observing that “Murphy’s probation condition [to be truthful]
    proscribed only false statements”). That is, the State argues that “[t]elling falsehoods * * * is different than
    remaining silent, and the Fifth Amendment is not implicated.” (Appellee’s Brief at 6). However, the text of
    that subsection of the statute states that a subject must cooperate in investigations of the board. R.C.
    4731.22(B)(34) proceeds to provide a non-exhaustive list of ways in which a subject must cooperate with an
    investigation of the board—only one of which is to provide truthful answers to questions presented by the
    board in an investigative interview. See In re Hartman, 
    2 Ohio St. 3d 154
    , 155-156 (1983) (noting that the
    word “‘including’ implies that that which follows is a partial, not an exhaustive listing of all that is subsumed
    within the stated category. ‘Including’ is a word of expansion rather than one of limitation or restriction.”).
    -30-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    1518-1519 (construing the evidence in the record reflecting the “actions of the
    investigators” to determine whether there was “demonstrable state conduct” and,
    thus, whether the defendants’ beliefs that they would penalized for asserting their
    Fifth Amendment rights were objectively reasonable).
    {¶40} At the suppression hearing, Investigator Yoakam testified to the extent
    that he collaborated with law enforcement as part of his investigation—that is, he
    specifically stated that the investigation of Gideon “turned into a joint
    investigation.” (Aug. 22, 2017 Tr. at 4); (Oct. 13, 2017 Tr. at 7, 20-21). Indeed,
    Sergeant Hochstetler concurred that he and Investigator Yoakam agreed “to
    cooperate with each other” during the course of their investigations. (Oct. 13, 2017
    Tr. at 51-52). By cooperating, Sergeant Hochstetler clarified that meant that he and
    Investigator Yoakam would share information. Investigator Yoakam elaborated
    that the Revised Code permits him to share information obtained as part of his
    investigations with law enforcement and that he will share such information if there
    is “a shared interest.” (Id. at 19-20). Investigator Yoakam further testified that he
    shared the information he collected (regarding Gideon) with the Bluffton Police
    Department.
    {¶41} Undeniably, R.C. 4731.22(F) provides, in relevant part, the following:
    (3) In investigating a possible violation of this chapter or any rule
    adopted under this chapter, * * * the board may question witnesses,
    conduct interviews, administer oaths, order the taking of depositions,
    inspect and copy any books, accounts, papers, records, or documents,
    -31-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    issue subpoenas, and compel the attendance of witnesses and
    production of books, accounts, papers, records, documents, and
    testimony, except that a subpoena for patient record information shall
    not be issued without consultation with the attorney general’s office
    and approval of the secretary and supervising member of the board.
    ***
    (4) All * * * investigations * * * of the board shall be considered civil
    actions for the purposes of section 2305.252 of the Revised Code.
    (5) * * *
    The board may share any information it receives pursuant to an
    investigation * * * with law enforcement agencies, other licensing
    boards, and other governmental agencies that are prosecuting,
    adjudicating, or investigating alleged violations of statutes or
    administrative rules.
    R.C. 4731.22(F)(3)-(5) (Apr. 6, 2017) (current version at R.C. 4731.22(F)(3)-(5)
    (Mar. 20, 2019)).9
    {¶42} Thus, while there is nothing inherently wrong with Investigator
    Yoakam and law enforcement’s agreement to share information, the evidence in the
    record reveals that Investigator Yoakam exceeded statutorily permissible
    collaboration by taking demonstrable steps to coerce Gideon to provide him an
    9
    R.C. 2305.252 applies to peer-review privilege. See, e.g., Cousino v. Mercy St. Vincent Med. Ctr., 6th Dist.
    Lucas No. L-17-1218, 2018-Ohio-1550, ¶ 15 (“The purpose of this statute is to protect the integrity and
    confidentiality of the peer review process so that health care entities have the freedom to meaningfully review
    and critique—and thereby improve—the overall quality of the healthcare services they provide.”). The
    statute also applies the peer-review privilege to only the Bureau of Workers’ Compensation (“BWC”);
    however, the statute excepts the BWC to “share proceedings and records within the scope of the peer review
    committee * * * with law enforcement agencies, licensing boards, and other governmental agencies that are
    prosecuting, adjudicating, or investigating alleged violations of applicable statutes or administrative rules”.
    R.C. 2305.252(B).
    -32-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    incriminating, oral and written statement in reliance on Gideon’s duty to cooperate.
    In other words, Investigator Yoakam was posing as a “straw man” to effectuate law
    enforcement’s criminal investigation. See State v. Gradisher, 9th Dist. Summit No.
    24716, 2009-Ohio-6433, ¶ 23 (Belfance, J., dissenting) (approving the “concern that
    government agents should not pose as ‘straw men’ in order to effectuate police
    investigations”). Specifically, Investigator Yoakam contacted Sergeant Hochstetler
    prior to interviewing Gideon, and “discussed that [he] was going to hold off on the
    administrative investigation until [law enforcement determined] that [Investigator
    Yoakam] could interview [Gideon].” (Oct. 13, 2017 Tr. at 7-8). Investigator
    Yoakam’s intention for sharing his investigative plan with law enforcement was to
    “determine how [law enforcement] was going to proceed with the criminal case”
    because proving an administrative-sanction case is easier “from a criminal
    conviction” as opposed to “through witness testimony.” (Id. at 15-16). That is, he
    elaborated that his method is “what they call a bootstrap on a criminal case that’s
    where a physician * * * is criminally charged, and the Board takes action on that
    criminal disposition, and the other [is] based on information gathered in the course
    of an investigation. Action that’s taken based on that.” (Id. at 15).
    {¶43} Prior to Investigator Yoakam’s interview of Gideon, Sergeant
    Hochstetler told Investigator Yoakam that Gideon “denied any improprieties during
    [law enforcement’s] interview” of Gideon. (Oct. 13, 2017 Tr. at 21, 55). And, after
    -33-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    discussing Gideon’s denials to law enforcement with Sergeant Hochstetler,
    Investigator Yoakam informed Sergeant Hochstetler that it would not be
    “appropriate” for law enforcement to jointly interview Gideon with Investigator
    Yoakam. (Id. at 28, 55-56). Specifically, Investigator Yoakam testified that
    doctor’s [sic] are obligated to cooperate in our investigation. So [he]
    did not want that to * * * impede in * * * any of the criminal
    proceedings…And [he] didn’t want * * * there to be an issue that the
    doctor provided a statement with law enforcement present because the
    provider is obligated to cooperate in our investigations.
    (Emphasis added.) (Id. at 29). (See also Oct. 13, 2017 Tr. at 55); (Defendant’s Ex.
    4). In other words, Investigator Yoakam’s method was to avoid a scenario in which
    his interview (of Gideon) could not be used as part of the criminal case because (as
    indicated by Investigator Yoakam) the lack of a criminal conviction would make his
    administrative-sanction case more cumbersome.            Compare Gradisher at ¶ 23
    (Belfance, J., dissenting) (expressing concern that “government overreaching could
    easily occur by pushing off criminal investigations to state agents so as to bypass
    protection against the abridgement of an individual’s Fifth Amendment rights”);
    
    Camacho, 739 F. Supp. at 1519
    (noting that the investigator’s action in purposely
    omitting “his preamble regarding voluntariness and compulsion * * * in order to
    avoid flagging the issue of voluntariness” “speaks louder” than any belief that the
    statements were voluntary and concluding that “the investigators’ central aim was
    to take a statement first and litigate its admissibility later”).
    -34-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    {¶44} Moreover, based on our review of the record, Investigator Yoakam’s
    intent for the investigation reflects the demonstrable state action necessary to
    support Gideon’s subjective belief that his medical license would be penalized if he
    failed to cooperate with Investigator Yoakam’s investigation. Specifically,
    Investigator Yoakam’s interview of Gideon reflects his intent to assist law
    enforcement in obtaining a criminal conviction of Gideon for purposes of
    influencing the outcome the administrative-sanction case against Gideon.
    {¶45} Even though he is not a law enforcement officer, Investigator Yoakam
    testified that he had law enforcement training and is familiar with the elements of
    offenses under the Revised Code, including sexual imposition. Keeping his training
    in mind, Investigator Yoakam arrived unannounced to Gideon’s medical office to
    conduct his interview to catch him “off guard” “to get the truth out of [him].” (Oct.
    13, 2017 Tr. at 5, 32-33). Despite Gideon having patient appointments at the time
    of the visit, Investigator Yoakam did not advise Gideon that he did not have to speak
    with him that day or otherwise offer to reschedule—he merely asked Gideon “if he
    would have a few minutes to chat with” him. (Id. at 5). (See also State’s Ex. A).
    In other words, Investigator Yoakam did nothing to dissuade Gideon’s belief that
    he was statutorily obligated to cooperate with his investigation, which included
    consenting to Investigator Yoakam’s request to “chat.” Compare Camacho at 1511
    (“At no time during the interview or after did either Sergeant Green or Assistant
    -35-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    State Attorney DiGregory make any effort to dissuade Sinclair of his view that he
    was compelled to give a statement or answer his question.”).
    {¶46} Likewise, and unbeknownst to Gideon, Investigator Yoakam recorded
    the interview even though it is not the board’s “protocol” to surreptitiously record
    interviews of subjects. (See Aug. 22, 2017 Tr. at 5-6); (State’s Ex. A). (See also
    Oct. 13, 2017 Tr. at 7, 13). Rather, as a “general practice” of his office, Investigator
    Yoakam secretly records interviews of subjects involving sexual-impropriety
    allegations. (Aug. 22, 2017 Tr. at 5-6). (See also Oct. 13, 2017 Tr. at 7, 33-34).
    Further, Investigator Yoakam testified that he does not inform providers that they
    are being recorded because “[s]ometimes if * * * a provider knows that they’re
    being recorded then they’re more guarded in what they say.” (Oct. 13, 2017 Tr. at
    34). Moreover, Investigator Yoakam chose not to inform Gideon that he intended
    to share with law enforcement Gideon’s statements despite it being his intention to
    do so.
    {¶47} During the two-hour “chat,” Investigator Yoakam pressured Gideon
    “that [he] wanted to get [the] interview done there * * * on all the subjects [he]
    wanted to address, because [he] did not want to return” and that he “did not want to
    drag him through the mud by interviewing multiple people.” (Emphasis added.)
    (Id. at 39). Compare 
    Camacho, 739 F. Supp. at 1518
    (considering the evidence that
    the defendants were not asked to provide statements, but rather, directed to provide
    -36-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    statements and the evidence that the investigators would not “even answer [the]
    question as to whether the inquiry was administrative or criminal in nature”).
    {¶48} In addition, during the interview, Investigator Yoakam advised
    Gideon at multiple points to “to go back to [law enforcement] and change his
    statement” to avoid facing possible falsification charges. (Oct. 13, 2017 Tr. at 22).
    Investigator Yoakam’s insistence that Gideon return to law enforcement to change
    his statement is also evidence supporting Gideon’s belief that a refusal to give a
    statement will be met with a licensure penalty. That is, Investigator Yoakam’s
    insistence that Gideon provide law enforcement with a statement reflects an intent
    to coerce Gideon to cooperate with the investigation. Indeed, (as raised during
    cross-examination) if Investigator Yoakam was “just concerned about [the] medical
    investigation there would be no need to tell [Gideon] to go back to the police
    department and change his statement * * *.” (Id. at 22).
    {¶49} The record also reflects that Gideon and Investigator Yoakam
    possessed an implicit, trust-like relationship and that Investigator Yoakam exploited
    that relationship to satisfy his ulterior motive of coercing Gideon into making
    statements against his interest for law enforcement to ultimately obtain a criminal
    conviction against him. That is, Gideon and Investigator Yoakam had a 15-year
    relationship during which Investigator Yoakam investigated a prior complaint
    against Gideon (which was determined to be unsubstantiated). Based on their prior
    -37-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    relationship, Gideon initially contacted Investigator Yoakam by text message to
    inform him of the complaints at issue in this case. Likewise, Investigator Yoakam
    can be heard during the beginning of the interview recalling their past relationship
    by reminding Gideon that he has never “judged” him in their past dealings—a
    characterization to which Gideon agrees.         The record further reflects that
    Investigator Yoakam was aware of Gideon’s religious beliefs and, as such, used the
    words “confession” and “reconciliation” during his interview of Gideon because
    Investigator Yoakam “figured he could relate to that.” (Oct. 13, 2017 Tr. at 41).
    {¶50} At the conclusion of the interview, instead of reporting back to the
    board, Investigator Yoakam immediately went to the Bluffton Police Department to
    report Gideon’s confessions to law enforcement. (See Defendant’s Ex. 2). Despite
    his employment responsibilities with the State Medical Board, Investigator Yoakam
    chose to immediately share Gideon’s confessions with law enforcement “because
    the doctor had [] an interview with [law enforcement] where he denied any
    impropriety so [he] wanted to tell [law enforcement] what happened during [his]
    interview.” (Oct. 13, 2017 Tr. at 26-27). Moreover, Investigator Yoakam agreed
    that he “wanted to assist [law enforcement] in that criminal investigation by
    providing [law enforcement] with statements made by Dr. Gideon during an
    interview that same day * * *[.]” (Id. at 27).
    -38-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    {¶51} Accordingly, we conclude that, based on the facts and circumstances
    presented by this case, Investigator Yoakam’s actions created an impression that
    Gideon’s refusal to cooperate with his investigation would result in the type of
    penalty prohibited under Garrity. See Camacho at 1520 (concluding “that the
    actions of the State were directly implicated in creating [the] belief” that the
    defendants’ subjective belief “that failure to answer would result in termination”).
    Therefore, Gideon’s belief that his medical license would be penalized if he did not
    cooperate with Investigator Yoakam’s investigation was objectively reasonable.
    See 
    id. Thus, Gideon’s
    statements were not voluntary within the meaning of
    Garrity.   Accord Graham, 
    136 Ohio St. 3d 125
    , 2013-Ohio-2114, at ¶ 30
    (“Statements extracted under these circumstances cannot be considered voluntary
    within the meaning of Garrity.”); 
    Goodpaster, 65 F. Supp. at 1033
    (Under the facts
    presented, the Government created a ‘classic penalty situation’ by threatening to
    punish Goodpaster for remaining silent. Accordingly, under the Supreme Court’s
    decision in Garrity v. New Jersey and its progeny, Goodpaster’s statements must be
    suppressed.”).
    {¶52} For these reasons, we conclude that the trial court erred by denying
    Gideon’s motion to suppress oral and written statements that he made to Investigator
    Yoakam as evidence. His first assignment of error is sustained.
    -39-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    Assignment of Error No. II
    The Trial Court’s Order Consolidating the Separately-Docketed
    Sexual Imposition Charges for the Trial Exposed Defendant-
    Appellant to a Substantial Likelihood that the Jury Would
    “Bootstrap” the Allegations of Different Patients in
    Contravention of Evid.R. 404(B) and R.C. 2907.06(B), and
    Thereby Violated His Sixth and Fourteenth Amendment Right to
    a Fundamentally Fair Jury Trial. (Apx. A-19; 04/20/18 Tr. 82-84;
    04/21/18 Tr. 20-21)
    Assignment of Error No. III
    The Trial Court’s Instructions and the Prosecutor’s Closing
    Argument Encouraged the Jurors to Consider the Testimony of
    One Alleged Victim as Corroboration of the Testimony of
    Another Alleged Victim in Contravention of Evid.R. 404(B) and
    R.C. 2907.06(B), and Thereby Violated Defendant-Appellant’s
    Right to a Fundamentally Fair Jury Trial Under the Sixth and
    Fourteenth Amendments to the United States Constitution.
    (04/18/18 Tr. 115-17; 04/21/18 44, 104-05, 114-15)
    Assignment of Error No. IV
    Defendant-Appellant’s Conviction for Sexual Imposition as to
    Former Patient [M.M.] is Not Supported by Sufficient Evidence
    to Satisfy the Requirements of the Due Process Clause of the
    Fourteenth Amendment to the United States Constitution.
    Alternatively, the Jury’s Guilty Verdict is Against the Manifest
    Weight of the Evidence. (04/20/18 Tr. 79; 04/21/18 Tr. 20-21).
    {¶53} In his second, third, and fourth assignments of error, Gideon argues
    that: (1) he was unfairly prejudiced by the trial court’s order consolidating the cases
    for purposes of trial; (2) the trial court and the State improperly encouraged the jury
    to consider the testimony of one victim as corroborating evidence of the veracity of
    -40-
    Case Nos. 1-18-27, 1-18-28, 1-18-29
    another victim’s testimony; and (3) his conviction in case number 17CRB01385 is
    based on insufficient evidence and is against the manifest weight of the evidence.
    {¶54} In light of our decision to sustain Gideon’s first assignment of error,
    his second, third, and fourth assignments of error are rendered moot, and we decline
    to address them. App.R. 12(A)(1)(c); State v. Unger, 5th Dist. Stark No. 2016 CA
    00148, 2017-Ohio-5553, ¶ 22; State v. Caldwell, 4th Dist. Jackson No. 97-CA-802,
    
    1998 WL 8847
    , *2 (Jan. 8, 1998). See also State v. Ecker, 9th Dist. Summit No.
    28431, 2018-Ohio-940, ¶ 10-12 (suggesting that joinder decisions are ripe for
    review after the trial court has had the opportunity to evaluate a defendant’s Crim.R.
    14 motion for severance at trial).
    {¶55} Having found error prejudicial to the appellant herein in the particulars
    assigned and argued in his first assignment of error, we reverse the judgments of the
    trial court and remand for further proceedings.
    Judgments Reversed and
    Causes Remanded
    WILLAMOWSKI and SHAW, J.J., concur.
    /jlr
    -41-