State of Tennessee v. Nehemiah Rimmer ( 2019 )


Menu:
  •                                                                                            01/24/2019
    IN THE COURT OF CRIMINAL APPEALS OF TENNESSEE
    AT JACKSON
    Assigned on Briefs October 2, 2018
    STATE OF TENNESSEE v. NEHEMIAH RIMMER
    Appeal from the Criminal Court for Shelby County
    No. 15-05452      John Wheeler Campbell, Judge
    ___________________________________
    No. W2018-00496-CCA-R3-CD
    ___________________________________
    The Appellant, Nehemiah Rimmer, was convicted in the Shelby County Criminal Court
    of rape of a child, a Class A felony, and received a twenty-year sentence to be served at
    one hundred percent. On appeal, he contends that the trial court erred by denying his
    motion to suppress his confession, that the trial court erred by allowing the victim’s and
    her mother’s out-of-court statements to be read to the jury, and that the evidence is
    insufficient to support the conviction. Based upon the record and the parties’ briefs, we
    discern no reversible error and affirm the judgment of the trial court.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Criminal Court Affirmed
    NORMA MCGEE OGLE, J., delivered the opinion of the court, in which JOHN EVERETT
    WILLIAMS, P.J., and ALAN E. GLENN, J., joined.
    Eric Mogy (on appeal) and Terita Hewlett (at trial), Memphis, Tennessee, for the
    appellant, Nehemiah Rimmer.
    Herbert H. Slatery III, Attorney General and Reporter; Garrett D. Ward, Assistant
    Attorney General; Amy P. Weirich, District Attorney General; and Lessie Rainey and
    Dru Carpenter, Assistant District Attorneys General, for the appellee, State of Tennessee.
    OPINION
    I. Factual Background
    At trial, Officer Rondey Martin of the Memphis Police Department (MPD)
    testified that on the night of April 10, 2006, he responded to a “criminal assault” call at a
    home on Tagen Drive. When he arrived, he spoke with the victim’s mother. He then
    detained the Appellant, who also was present. Officer Martin later arrested the Appellant
    and began asking him for general information such as his name, date of birth, and
    address. Officer Martin stated, “Well, after I had just asked him just those questions his
    response was, just from no interjection from me, that he did it and he needed some help.”
    Officer Martin’s partner transported the Appellant to the police department, and Officer
    Martin escorted the victim and her mother to the Memphis Sexual Assault Resource
    Center (MSARC). On cross-examination, Officer Martin testified that he could not
    remember if anyone other than the victim, her mother, and the Appellant was present at
    the home.
    Eddie Scallions testified that in October 2007, he was an investigator for the
    district attorney’s office and collected a cheek swab from the Appellant. The swab was
    transported to the Tennessee Bureau of Investigation (TBI).
    Pam Preston testified as an expert in sexual assault examinations that she was a
    retired registered nurse and used to be a sexual assault nurse examiner at the MSARC.
    She examined the seven-year-old victim at 12:15 a.m. on April 11, 2006, but first spoke
    with the victim’s mother privately. Preston read to the jury the following statement made
    by the victim’s mother: “I was told that my nephew, . . . Nehemiah Rimmer, 19 year old
    black male, forced [the victim] to suck on his penis and he fondled her. Initially I was
    told by my mother and then my child who told me that.” After Preston spoke with the
    victim’s mother, Preston talked privately with the victim. Preston read to the jury the
    following statement made by the victim: “Nehemiah he told me to suck his thing and he
    did it for a couple of minutes. And my brother woke and he heard . . . Nehemiah’s
    footsteps. He touched me on my butt and my private part . . . on top of my clothes.” The
    victim pointed to her genital area as her “private part.” She denied vaginal or anal
    penetration.
    Preston testified that she examined the victim’s entire body and her vaginal area
    and collected oral, vulvar, and anal swabs. Preston also collected the victim’s clothing,
    including her underwear. Preston said that she did not observe any injuries to the victim,
    which was not unusual even for a child who had been sexually assaulted. She collected a
    urine sample in order to test the victim for chlamydia and gonorrhea, and the test was
    positive for chlamydia. Preston explained that chlamydia was contracted by sexual
    penetration of the mouth, vaginal area, or anal area. The victim’s urine test did not reveal
    where the victim’s infection was located, but Preston acknowledged that the infection
    could have been in the victim’s mouth or vagina. Preston prescribed an antibiotic to treat
    the victim’s infection.
    Lieutenant Evertina Halfacre of the MPD testified that on April 11, 2006, she was
    informed “the victim had been raped” and interviewed the Appellant at the police
    department. Prior to the interview, Lieutenant Halfacre advised the Appellant of his
    Miranda rights. He appeared to understand his rights and signed an advice of rights form.
    -2-
    The Appellant agreed to speak with Lieutenant Halfacre and began giving his statement
    at 12:15 a.m. In the statement, the Appellant denied penetrating the victim’s vagina with
    his penis or fingers. However, he admitted to putting his penis inside her mouth. He said
    the incident occurred at 11:00 p.m. on Sunday, April 9, in the back bedroom of his
    grandmother’s house on Tagen Drive and that a sleeping four-year-old child also was in
    the room. Lieutenant Halfacre asked the Appellant, “Whatever made you want [the
    victim] to suck your penis?” The Appellant answered, “Something just said do it.” He
    explained to Lieutenant Halfacre that he asked the victim “if she ever did it before” and
    that the victim said, “[Y]es to someone at school.” The Appellant told the victim to show
    him how she “did it,” so the victim unzipped his pants, pulled out his penis, and “started
    sucking.” The Appellant denied fondling the victim’s buttocks. He told Lieutenant
    Halfacre that he did not take off the victim’s clothes and that he did not ejaculate.
    On cross-examination, Lieutenant Halfacre testified that at the time of the
    Appellant’s interview, he was a student taking GED classes. She said that he had been at
    the police department for “just minutes” when she made contact with him and escorted
    him to the interview room. She told the Appellant that he was under arrest and that he
    could give a statement if he wanted to do so. She denied telling him that he could go
    home if he gave a statement.
    Lawrence James, a special agent forensic scientist for the TBI, testified as an
    expert in forensic DNA analysis that he tested the victim’s swabs and underwear. He did
    not find semen or sperm on the swabs but found a semen stain on the underwear. He
    compared the DNA profile from the sperm in the semen to the DNA profile in the
    Appellant’s saliva sample, and the profiles matched.
    At the conclusion of Agent James’s testimony, the State rested its case. The
    Appellant did not present any proof, and the jury convicted him as charged of rape of a
    child. After a sentencing hearing, the trial court sentenced him to twenty years to be
    served at one hundred percent.
    II. Analysis
    A. Motion to Suppress
    The Appellant claims that the trial court erred by failing to grant his motion to
    suppress his confession to Lieutenant Halfacre. The State argues that the trial court did
    not err. We agree with the State.
    Before trial, the Appellant filed a motion to suppress his statement to Lieutenant
    Halfacre on the basis that he did not give the statement voluntarily. During a hearing on
    -3-
    the motion, Lieutenant Halfacre testified that prior to the Appellant’s interview, she read
    his rights to him from an advice of rights form. The Appellant appeared to understand
    his rights, signed the form, and agreed to give a statement. He did not appear to be under
    the influence of an intoxicant and did not exhibit any mental issues that concerned her.
    Had he done so, she would not have taken his statement. She said that she did not force
    him or coerce him into giving his statement and that she did not promise him anything in
    exchange for his statement.
    On cross-examination, Lieutenant Halfacre testified that officers arrested the
    Appellant at his home and brought him to the police department. She began interviewing
    him at 12:15 a.m. She said that she did not know when he arrived at the police
    department but that he had been in the interview room “no more than an hour” when he
    gave his statement. Before the interview, Lieutenant Halfacre advised the Appellant that
    he was under arrest and read his Miranda rights to him. She did not tell him that he could
    go home if he gave a statement. Lieutenant Halfacre asked the Appellant to sign the
    advice of rights form, but he printed his name on the form instead. Lieutenant Halfacre
    stated, “I had to explain to him what a signature is and I needed a signature, not a
    [printing] of his name.” The Appellant was not handcuffed during his interview but was
    not free to leave. A transcriptionist also was in the interview room and transcribed the
    Appellant’s answers. After the Appellant gave his statement, Lieutenant Halfacre
    handcuffed him.
    The State introduced the Appellant’s advice of rights form and statement into
    evidence. The advice of rights form showed that the Appellant printed his name on the
    signature line for waiving his rights but signed his name under his printed name.
    The Appellant introduced two letters from Midtown Mental Health Center into
    evidence. In the first letter, dated May 25, 2006, a clinical psychologist stated that he
    evaluated the Appellant on May 24, 2006, and that the Appellant “understood the nature
    of the legal process, he understood the charge and the potential consequences of the
    charge, and he seemed capable of assisting counsel and participating in his defense.” The
    psychologist said he would render an opinion as to diminished capacity on a later date.
    In the second letter, dated August 21, 2006, the psychologist stated that the Appellant’s
    evaluation was complete and that the Appellant had learning disabilities but was of
    average intelligence. The psychologist concluded that the Appellant was depressed but
    that no evidence supported a diminished capacity defense.
    At the conclusion of the hearing, defense counsel argued that the trial court should
    suppress the Appellant’s statement because he had a learning disability and “doesn’t even
    know how to sign [his] name.” The trial court stated that that defense counsel’s argument
    about the signature was a “mischaracterization” because the evidence showed that the
    -4-
    Appellant mistakenly printed his name on the form but then signed the form as
    Lieutenant Halfacre directed. The trial court noted that although the psychologist said the
    Appellant had a learning disability, the psychologist did not reveal “what his learning
    disability is” and found him to be of average intelligence. The trial court concluded that
    nothing indicated the Appellant’s learning disability made him incapable of waiving his
    rights. The court accredited Lieutenant Halfacre’s testimony that the Appellant
    understood what was going on when he gave his statement and denied the Appellant’s
    motion to suppress.
    In reviewing a trial court’s determinations regarding a suppression hearing,
    “[q]uestions of credibility of the witnesses, the weight and value of the evidence, and
    resolution of conflicts in the evidence are matters entrusted to the trial judge as the trier
    of fact.” State v. Odom, 
    928 S.W.2d 18
    , 23 (Tenn. 1996). Thus, “a trial court’s findings
    of fact in a suppression hearing will be upheld unless the evidence preponderates
    otherwise.” 
    Id. Nevertheless, appellate
    courts will review the trial court’s application of
    law to the facts purely de novo. See State v. Walton, 
    41 S.W.3d 75
    , 81 (Tenn. 2001).
    Furthermore, the prevailing party is “entitled to the strongest legitimate view of the
    evidence adduced at the suppression hearing as well as all reasonable and legitimate
    inferences that may be drawn from that evidence.” 
    Odom, 928 S.W.2d at 23
    . We note
    that “in evaluating the correctness of a trial court’s ruling on a pretrial motion to
    suppress, appellate courts may consider the proof adduced both at the suppression
    hearing and at trial.” State v. Henning, 
    975 S.W.2d 290
    , 299 (Tenn. 1998).
    Generally, the Fifth Amendment to the United States Constitution and article I,
    section 9 of the Tennessee Constitution provide a privilege against self-incrimination to
    those accused of criminal activity, making an inquiry into the voluntariness of a
    confession necessary. See State v. Callahan, 
    979 S.W.2d 577
    , 581 (Tenn. 1998). As our
    supreme court has explained,
    In Miranda v. Arizona, 
    384 U.S. 436
    , 444 (1966), the
    United States Supreme Court held that “the prosecution may
    not use statements, whether exculpatory or inculpatory,
    stemming from custodial interrogation of the defendant unless
    it demonstrates the use of procedural safeguards effective to
    secure the privilege against self-incrimination.”         The
    procedural safeguards must include warnings prior to any
    custodial questioning that an accused has the right to remain
    silent, that any statement he makes may be used against him,
    and that he has the right to an attorney.
    -5-
    State v. Blackstock, 
    19 S.W.3d 200
    , 207 (Tenn. 2000). Miranda warnings are necessary
    only in situations involving custodial interrogation or its functional equivalent. See, e.g.,
    Rhode Island v. Innis, 
    446 U.S. 291
    , 300-01 (1980); State v. Dailey, 
    273 S.W.3d 94
    , 102-
    03 (Tenn. 2009).
    Our courts look to the totality of the circumstances surrounding the interrogation
    to determine if the criteria for a proper waiver are met. See State v. Van Tran, 
    864 S.W.2d 465
    , 472-73 (Tenn. 1993). In doing so, we consider the following factors
    regarding the voluntariness of a confession: (1) the appellant’s age, education or
    intelligence level, and previous experience with the police; (2) the repeated and
    prolonged nature of the interrogation; (3) the length of detention prior to the confession;
    (4) the lack of any advice as to constitutional rights; (5) the unnecessary delay in bringing
    the appellant before the magistrate prior to the confession; (6) the appellant’s intoxication
    or ill health at the time the confession was given; (7) deprivation of food, sleep, or
    medical attention; (8) any physical abuse; and (9) threats of abuse. See State v.
    Huddleston, 
    924 S.W.2d 666
    , 671 (Tenn. 1996). “‘[N]o single factor, such as IQ, is
    necessarily determinative in deciding whether a person was capable of knowingly and
    intelligently waiving, and [did] so waive, the constitutional rights embraced in the
    Miranda rubric.’” 
    Blackstock, 19 S.W.3d at 208
    (quoting Fairchild v. Lockhart, 744 F.
    Supp. 1429, 1453 (E.D. Ark. 1989)). Furthermore, this court has stated,
    Coercive police activity is a necessary prerequisite in order to
    find a confession involuntary. The crucial question is
    whether the behavior of the state’s officials was such as to
    overbear [Appellant’s] will to resist and bring about
    confessions not freely self-determined. The question must be
    answered with complete disregard of whether or not the
    accused was truthful in the statement.
    State v. Phillips, 
    30 S.W.3d 372
    , 377 (Tenn. Crim. App. 2000) (quotation marks and
    citations omitted).
    Here, the Appellant was nineteen years old when he gave his statement to
    Lieutenant Halfacre. Although the Appellant had some type of learning disability, he
    was taking GED classes at the time of his interview and was of average intelligence.
    Lieutenant Halfacre testified that he did not appear to be under the influence of an
    intoxicant and that he appeared to understand what was happening. The officer advised
    him of his rights, and he signed a waiver of rights form. The Appellant gave his
    statement soon after his arrest and arrival at the police department, and nothing indicates
    that he complained of being deprived of sleep or food. The Appellant was not physically
    abused, and Lieutenant Halfacre denied telling him that he could go home if he gave a
    -6-
    statement. In sum, the Huddleston factors do not weigh in favor of finding that the
    Appellant’s statement was involuntary.
    B. Hearsay
    The Appellant contends that the trial court erred by allowing Pam Preston to read
    to the jury the victim’s and the victim’s mother’s out-of-court statements. The State
    argues that the trial court did not err. We conclude that the trial court erred by allowing
    Preston to read the victim’s mother’s statement but that the error was harmless.
    Before trial, the Appellant filed a motion to prohibit the State from presenting
    “testimonial evidence of the victim.” In the motion, the Appellant indicated that the
    victim would not testify and argued that any statements made by her would be hearsay
    and violate his right of confrontation. On the first day of trial, the trial court asked the
    State if the victim was going to testify, and the State advised the court that it had tried to
    serve the victim with a subpoena but that it had been unable to locate her or her mother.
    Neither the victim nor her mother testified at trial.
    During Pam Preston’s direct examination, she testified that she interviewed the
    victim’s mother and then the victim. Preston stated that the purpose for her interviewing
    a child’s parent was so that she could “go over the child’s medical history with them.
    And then I would go over a history of the event that brought them in. Just like you would
    do if you went to a regular office for a complaint. This is a medical complaint.” The
    State asked why she would interview a victim prior to the victim’s examination, and
    Preston answered:
    So I’m taking a history to find out what they came to
    see me for so that I know what they may need. You know,
    what kind of counseling might they need. Where might they
    have injuries. You know, what kind of long-term problems
    might they encounter from this problem. Do they need to go
    be seen at the hospital immediately. You know, all those kind
    of things. What kind of diagnostic test might I need to do
    based on what I’m being told. And in the case of something
    like this I also need to know where I most likely [will] find
    evidence.
    Defense counsel objected to Preston’s being allowed to read the victim’s and the
    victim’s mother’s statements from Preston’s written report to the jury because the
    statements were hearsay and “double hearsay,” respectively. In a jury-out hearing,
    counsel also asserted that because Preston’s information was used by the police during
    -7-
    their investigation, the statements to Preston were testimonial. The State argued that the
    statements were admissible pursuant to Tennessee Rule of Evidence 803(4), the hearsay
    exception for statements made for purposes of medical diagnosis and treatment. The trial
    court noted that “just because it is eventually used for investigative purposes doesn’t
    mean . . . that it has to be testimonial” and agreed with the State that the statements were
    admissible under Rule 803(4).
    Hearsay is defined as “a statement, other than one made by the declarant while
    testifying at the trial or hearing, offered in evidence to prove the truth of the matter
    asserted.” Tenn. R. Evid. 801(c). As a general rule, hearsay is not admissible during a
    trial unless the statement falls under one of the exceptions to the rule against hearsay.
    See Tenn. R. Evid. 802. Rule 803(4), Tennessee Rules of Evidence, provides the
    exception to the hearsay rule for “[statements] made for purposes of medical diagnosis
    and treatment describing medical history; past or present symptoms, pain, or sensations;
    or the inception or general character of the cause or external source thereof insofar as
    reasonably pertinent to diagnosis or treatment.” The Advisory Commission Comments
    for Rule 803(4) clarify that such statements “must be for both diagnosis and treatment.”
    Our supreme court has explained that “if physicians or other medical personnel
    rely upon the statement in diagnosing and treating the patient, then the statement should
    be sufficiently trustworthy to be admissible in a court of law.” State v. McLeod, 
    937 S.W.2d 867
    , 870 (Tenn. 1996). For both adults and children, courts must consider the
    circumstances surrounding the statement in order to determine if the statement was made
    for purposes of medical diagnosis and treatment. This is particularly important for a
    child’s statement “because the child’s ability to articulate the reason for the statement
    may be affected by age or developmental maturity.” State v. Stinnett, 
    958 S.W.2d 329
    ,
    332 (Tenn. 1997).
    A trial court’s factual findings and credibility determinations regarding hearsay are
    binding upon this court unless the evidence preponderates against them. Kendrick v.
    State, 
    454 S.W.3d 450
    , 479 (Tenn. 2015). However, the determination of whether the
    statement in question is hearsay and whether a hearsay exception applies are questions of
    law that we review de novo. 
    Id. We agree
    that the victim’s and her mother’s statements
    to Preston were hearsay.
    In Tennessee, criminal defendants are entitled to confront witnesses against them
    under the Sixth Amendment to the United States Constitution and article I, section 9 of
    the Tennessee Constitution. The exercise of the right to confront “is controlled by the
    trial judge,” and “the trial court’s decision will be upheld absent an abuse of discretion.”
    State v. Rice, 
    184 S.W.3d 646
    , 670 (Tenn. 2006) (internal quotation marks and citation
    omitted).
    -8-
    “Currently, Crawford v. Washington, 
    541 U.S. 36
    (2004), and its progeny are the
    controlling authority for determining whether the admission of hearsay violates a
    defendant’s rights under the federal confrontation clause, and this Court has applied
    Crawford to challenges under the Tennessee Constitution, as well.” State v. Parker, 
    350 S.W.3d 883
    , 898 (Tenn. 2011). In Crawford, the United States Supreme Court drew a
    distinction between the admission of testimonial and nontestimonial hearsay, explaining
    that the admission of nontestimonial hearsay is exempt from Confrontation Clause
    scrutiny but that the “Sixth Amendment demands . . . unavailability and a prior
    opportunity for cross-examination” for the admission of testimonial 
    hearsay. 541 U.S. at 68
    . However, the Court did not comprehensively define “‘testimonial.’” 
    Id. Subsequently, in
    Davis v. Washington, 
    547 U.S. 813
    , 822 (2006), the Court
    determined that courts should examine the statement’s “primary purpose.” Thereafter,
    the Court provided the following non-exhaustive list of testimonial statements.
    [1] ex parte in-court testimony or its functional equivalent-
    that is, material such as affidavits, custodial examinations,
    prior testimony that the defendant was unable to cross-
    examine, or similar pretrial statements that declarants would
    reasonably expect to be used prosecutorially; [2] extrajudicial
    statements . . . contained in formalized testimonial materials,
    such as affidavits, depositions, prior testimony, or
    confessions; [and 3] statements that were made under
    circumstances which would lead an objective witness
    reasonably to believe that the statement would be available
    for use at a later trial.
    Melendez-Diaz v. Massachusetts, 
    557 U.S. 305
    , 310 (2009) (internal quotation marks and
    citation omitted). Our own supreme court has agreed that “‘an out-of-court statement is
    testimonial . . . if its primary purpose is evidentiary and it is either a targeted accusation
    or sufficiently formal in character.’” State v. Dotson, 
    450 S.W.3d 1
    , 69 (Tenn. 2014)
    (quoting Young v. United States, 63 A.63 1033, 1043-44 (D.C. 2013)).
    The Appellant first claims that the victim’s hearsay statement to Preston violated
    his right of confrontation because the victim did not testify. He contends that in finding
    the victim’s statement to be admissible under the hearsay exception in Rule 803(4), the
    trial court also found the victim’s statement to be nontestimonial. He asserts that the
    victim’s statement was testimonial because police officers referred and escorted her to the
    MSARC and because nurse Preston was “there as a quasi-governmental agent to collect
    -9-
    statements and physical evidence to assist in the prosecution of the offender.” We
    disagree with the Appellant.
    In State v. Cannon, 
    254 S.W.3d 287
    (Tenn. 2008), the defendant argued that the
    admission of the rape victim’s statements into evidence through emergency room (ER)
    medical personnel and a nurse violated his right to confrontation because the victim,
    while available, did not testify at trial. Our supreme court held that “statements in
    medical records given for the primary purpose of medical diagnosis and treatment are
    nontestimonial” and, therefore, governed by the rules of evidence. 
    Cannon, 254 S.W.3d at 303
    . However, statements made primarily for the purpose of “‘establish[ing] or
    prov[ing] past events potentially relevant to later criminal prosecution’” are testimonial
    and, therefore, generally inadmissible. 
    Id. at 305
    (quoting 
    Davis, 547 U.S. at 822
    ). The
    court concluded that the victim’s statements to the nurse, made after the victim spoke
    with and sought medical diagnosis and treatment from ER personnel, were testimonial
    and inadmissible because the defendant had no prior opportunity to cross-examine the
    victim. 
    Id. at 305
    -06. Therefore, the court did not need to address the issue of whether
    the nurse’s testimony was admissible under Tennessee Rule of Evidence 803(4).
    Unlike the victim in Cannon, the victim in this case spoke only with Preston about
    the abuse. Preston used the information given by the victim to examine her, test her for
    sexually transmitted diseases, and treat her for chlamydia. The victim was escorted to the
    MSARC by a police officer late at night and was old enough to understand she was in a
    medical setting and needed to be truthful. See 
    Stinnett, 958 S.W.2d at 332
    (stating that
    six-year-old victim was old enough to understand that she was being examined by a
    physician to determine whether there was injury or trauma and she needed treatment).
    She used child-like terms to describe the abuse, and nothing indicates that she was
    motivated to lie to Preston. See 
    id. Therefore, the
    victim’s statement to Preston was
    nontestimonial and properly admitted under Tennessee Rule of Evidence 803(4).
    We note that the Appellant contends for the first time and without any citation to
    authorities that the victim’s statement was particularly important because it identified the
    person who assaulted her. To the extent the Appellant is arguing that the trial court erred
    by allowing the victim’s statement to identify him as her perpetrator, we conclude that
    the issue has been waived. See State v. Alvarado, 
    961 S.W.2d 136
    , 153 (Tenn. Crim.
    App. 1996) (stating that “[o]rdinarily, issues raised for the first time on appeal are
    waived”); Tenn. Ct. Crim. App. R. 10(b) (“Issues which are not supported by argument,
    citation to authorities, or appropriate references to the record will be treated as waived in
    this court.”).
    - 10 -
    In a related argument, the Appellant claims that the victim’s mother’s statement to
    Preston was “double hearsay” and inadmissible under Rule 803(4).1 He contends that
    while the victim’s mother’s statement to Preston may have been for purposes of medical
    diagnosis and treatment of the victim, the victim’s statement to her mother was not.
    We agree with the Appellant that the victim’s mother’s statement contained two
    layers of hearsay: first, the victim’s statement to her mother and second, the victim’s
    mother’s statement to Preston. When a hearsay statement contains double hearsay, each
    part must qualify for an exception to the hearsay rule in order to be admissible. Tenn. R.
    Evid. 805. Here, the trial court found that the victim’s mother’s statement to Preston
    “was made in furtherance of diagnosis and treatment.” The Appellant does not contest
    that ruling. Instead, he contests the admissibility of the victim’s statement to her mother,
    which the trial court did not specifically address. The State argues that the victim’s
    statement to her mother also was admissible under the hearsay exception for purposes of
    medical diagnosis and treatment.
    In the present case, we know nothing about the circumstances in which the victim
    or her grandmother made statements to the victim’s mother because none of them
    testified at trial. Therefore, the record does not establish that the victim made a statement
    to her mother for purposes of medical diagnosis and treatment. Moreover, given that the
    victim herself was able to make a trustworthy statement to Preston and that the victim’s
    mother’s statement did not add any additional information that would have been
    necessary for Preston to diagnose and treat the victim, we believe that the trial court erred
    by allowing Preston to read the victim’s mother’s statement to the jury.
    The admission of inadmissible hearsay is a non-constitutional error. Accordingly,
    the defendant has the burden of demonstrating that the error “more probably than not
    affected the judgment or would result in prejudice to the judicial process.” Tenn. R. App.
    P. 36(b); State v. Rodriguez, 
    254 S.W.3d 361
    , 371-72 (Tenn. 2008). “The greater the
    amount of evidence of guilt, the heavier the burden on the defendant to demonstrate that a
    non-constitutional error involving a substantial right more probably than not affected the
    outcome of the trial.” 
    Rodriguez, 254 S.W.3d at 372
    (citing State v. Toliver, 
    117 S.W.3d 216
    , 231 (Tenn. 2003); State v. Francis, 
    669 S.W.2d 85
    , 91 (Tenn. 1984)). The evidence
    shows that the Appellant volunteered to Officer Martin “that he did it and he needed
    some help.” The Appellant later gave a detailed statement in which he said he had the
    victim fellate him, and his semen was on the victim’s underwear. In sum, he has failed to
    demonstrate that the trial court’s error affected the outcome of his trial.
    1
    The Appellant does not raise any issue regarding the victim’s mother’s statement violating his
    right of confrontation.
    - 11 -
    C. Sufficiency of the Evidence
    The Appellant contends that the evidence is insufficient to support the conviction
    because no physical evidence linked him to the offense and because the State did not
    have any eyewitnesses, particularly the victim, testify. The State argues that the evidence
    is sufficient. We agree with the State.
    When an appellant challenges the sufficiency of the convicting evidence, the
    standard for review by an appellate court is “whether, after viewing the evidence in the
    light most favorable to the prosecution, any rational trier of fact could have found the
    essential elements of the crime beyond a reasonable doubt.” Jackson v. Virginia, 
    443 U.S. 307
    , 319 (1979); Tenn. R. App. P. 13(e). The State is entitled to the strongest
    legitimate view of the evidence and all reasonable or legitimate inferences which may be
    drawn therefrom. State v. Cabbage, 
    571 S.W.2d 832
    , 835 (Tenn. 1978). Questions
    concerning the credibility of witnesses and the weight and value to be afforded the
    evidence, as well as all factual issues raised by the evidence, are resolved by the trier of
    fact. State v. Bland, 
    958 S.W.2d 651
    , 659 (Tenn. 1997). This court will not reweigh or
    reevaluate the evidence, nor will this court substitute its inferences drawn from the
    circumstantial evidence for those inferences drawn by the jury. 
    Id. Because a
    jury
    conviction removes the presumption of innocence with which a defendant is initially
    cloaked at trial and replaces it on appeal with one of guilt, a convicted defendant has the
    burden of demonstrating to this court that the evidence is insufficient. State v. Tuggle,
    
    639 S.W.2d 913
    , 914 (Tenn. 1982).
    A guilty verdict can be based upon direct evidence, circumstantial evidence, or a
    combination of direct and circumstantial evidence. State v. Hall, 
    976 S.W.2d 121
    , 140
    (Tenn. 1998). “The jury decides the weight to be given to circumstantial evidence, and
    ‘[t]he inferences to be drawn from such evidence, and the extent to which the
    circumstances are consistent with guilt and inconsistent with innocence, are questions
    primarily for the jury.’” State v. Rice, 
    184 S.W.3d 646
    , 662 (Tenn. 2006) (quoting
    Marable v. State, 
    313 S.W.2d 451
    , 457 (Tenn. 1958)). “The standard of review ‘is the
    same whether the conviction is based upon direct or circumstantial evidence.’” State v.
    Dorantes, 
    331 S.W.3d 370
    , 379 (Tenn. 2011) (quoting State v. Hanson, 
    279 S.W.3d 265
    ,
    275 (Tenn. 2009)).
    Relevant to this case, rape of a child is the unlawful sexual penetration of a victim
    by a defendant if the victim is more than three years old but less than thirteen years old.
    Tenn. Code Ann. § 39-13-522(a). “Sexual penetration” includes fellatio. Tenn. Code.
    Ann. § 39-13-501(7).
    - 12 -
    Taken in the light most favorable to the State, the proof shows that on the night of
    April 10, 2006, the police responded to a sexual assault call on Tagen Drive. Officer
    Martin spoke with the victim’s mother and the Appellant, and the Appellant volunteered
    to Officer Martin that he “did it” and “needed some help.” The police arrested the
    Appellant and transported him to the police department, and he gave a statement to
    Lieutenant Halfacre in which he told her that he had the seven-year-old victim suck his
    penis at their grandmother’s home on Tagen Drive. Meanwhile, the victim told nurse
    Preston that the Appellant put his penis in her mouth for a couple of minutes. Physical
    evidence in the form of the Appellant’s semen was on the victim’s underwear, linking
    him to the crime. Accordingly, we conclude that the evidence is sufficient to support the
    conviction.
    III. Conclusion
    Based upon the record and the parties’ briefs, we find no reversible error and
    affirm the judgment of the trial court.
    _________________________________
    NORMA MCGEE OGLE, JUDGE
    - 13 -