State of Tennessee v. Juan Villa ( 2015 )


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  •         IN THE COURT OF CRIMINAL APPEALS OF TENNESSEE
    AT KNOXVILLLE
    Assigned on Briefs June 23, 2015
    STATE OF TENNESSEE v. JUAN VILLA
    Appeal from the Criminal Court for Bradley County
    No. 12-CR-425B Amy Reedy, Judge
    No. E2014-01990-CCA-R3-CD – Filed October 8, 2015
    The Defendant, Juan Villa, was found guilty by a Bradley County Criminal Court jury of
    aggravated child abuse, a Class A felony. See T.C.A. § 39-15-402 (2014). The trial court
    sentenced the Defendant to twenty-three years‟ confinement at 100% service as a violent
    offender. On appeal, the Defendant contends that (1) the evidence is insufficient to support
    his conviction, (2) the trial court erred by denying his motion for a mistrial, and (3) his
    sentence is excessive. We affirm the judgment of the trial court.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Criminal Court Affirmed
    ROBERT H. MONTGOMERY, JR., J., delivered the opinion of the court, in which ALAN E.
    GLENN and TIMOTHY L. EASTER, JJ., joined.
    Andrew J. Brown (on appeal) and Carl F. Petty (at trial), Cleveland, Tennessee, for the
    appellant, Juan Villa.
    Herbert H. Slatery III, Attorney General and Reporter; Benjamin A. Ball, Senior Counsel;
    Robert Stephen Bebb, District Attorney General; and Cynthia Lecroy-Schemel, Assistant
    District Attorney General, for the appellee, State of Tennessee.
    OPINION
    In this case, the Defendant and the codefendant, Lindsey Lewis, were indicted for
    aggravated child abuse as a result of multiple bone fractures sustained by their infant son.
    The victim was less than two months old at the time the injuries were discovered.
    At the trial, Cleveland Police Detective Andy Wattenbarger testified that on July 6,
    2012, he drove to a hospital to investigate a child abuse allegation. He spoke to a physician
    in the emergency room, reviewed the victim‟s x-rays, and spoke to the Defendant and the
    codefendant. After speaking with the Defendant and the codefendant, Detective
    Wattenbarger learned that on June 10, the Defendant fell against a coffee table while he was
    holding the victim. The detective learned that the incident occurred around midnight and that
    the codefendant took the victim to the hospital around 6:00 p.m. the following day. The
    detective said that on June 21, between 7:30 and 8:30 a.m., the Defendant fell while walking
    up stairs and holding the victim, that paramedics responded to the home, and that the
    codefendant and the victim were taken to the hospital by an ambulance. The victim‟s
    medical records were received as exhibits.
    The medical records relative to June 10, 2012, reflect that the codefendant told
    medical personnel that the Defendant fell while holding the victim at 9:00 a.m., that the
    victim hit his head on a coffee table, and that later in the afternoon the codefendant found
    blood in the victim‟s left ear. The records reflect that the victim was treated at the hospital at
    7:37 p.m. Relative to June 21, the records reflect that at 8:10 a.m., the codefendant was
    holding the victim when the paramedics arrived at the home, that she stated the Defendant
    fell down seven to ten stairs while holding the victim, that the victim appeared lethargic
    initially and had irregular breathing, that the victim had a bruise on the right side of his
    forehead, and that the victim was moving all of his extremities and could open his eyes.
    Relative to July 6, the records reflect that the victim was taken to a children‟s hospital, that
    the victim underwent a bone scan while being treated in the emergency room, that the results
    of the scan showed a left parietal skull fracture, healing fractures to the tenth and eleventh
    left ribs, a healing fracture to the left anterior fifth rib, “metaphyseal” corner fracture to the
    right femur, a displaced complete fracture to the left femur, incomplete fractures to the right
    tibia and fibula, new bone formation on the right fibula, a healing fracture to the left
    proximal tibial metaphysic, and a healing metaphyseal fracture to the left humerus, for a total
    of sixteen bone fractures. The records reflect the codefendant advised medical personnel that
    the victim was usually fussy, that she did not know how the fractures were inflicted, and that
    the victim was “never out of her sight.”
    Detective Wattenbarger testified that the victim lived with the Defendant and the
    codefendant. Detective Wattenbarger identified photographs of the victim taken at the
    children‟s hospital on July 6, which showed that the victim had a swollen left leg and thigh,
    bruises on the left side of the head, small cuts to the left ear, a scrape on the left nostril, and
    hemorrhaging in the right eye.
    Detective Wattenbarger testified that on July 10, 2012, four days after the victim was
    admitted to the children‟s hospital, he visited the Defendant and the codefendant‟s home. He
    looked for evidence of any type of fall and for the locations of the coffee table and an area
    rug. He took photographs, which showed the entrance, living room, coffee table, and stairs.
    The area rug that had been under the coffee table had been rolled and placed outside on the
    -2-
    front walkway. The detective said that he spoke to the codefendant‟s mother, Leisa Jarocki,
    who reported caring for the victim on July 1 and July 2. The detective said that he excluded
    Ms. Jarocki as the person who inflicted the victim‟s injuries. He said that the Defendant and
    the codefendant cared for the victim at all other times between the victim‟s birth and the
    victim‟s admission to the children‟s hospital on July 6.
    On cross-examination, Detective Wattenbarger testified relative to the June 10
    incident that the victim was taken to the hospital and that medical personnel did not contact
    the police about the victim‟s injuries. Relative to the June 21 incident, Detective
    Wattenbarger said the CT scans and x-rays showed “everything was okay.” He agreed that
    on June 26, the Defendant and the codefendant discovered the victim‟s swollen leg, that they
    took the victim to Cleveland Pediatrics as they were advised to do, that the victim was seen
    by Dr. Felicito Fernando, who referred the victim to Dr. Gary Voytik, and that Dr. Fernando
    did not contact the police regarding the injury. The detective agreed that Dr. Voytik did not
    contact the police after treating the victim. The detective agreed that the victim was treated
    four or five times by licensed physicians at the Defendant and the codefendant‟s request. He
    did not find evidence that the Defendant and the codefendant disregarded any medical advice
    provided by the physicians.
    Detective Wattenbarger testified relative to July 6, the physicians treating the victim at
    the children‟s hospital obtained the June 10 and 26 x-rays from the previous hospital. The
    detective agreed the rug he saw outside the Defendant and the codefendant‟s home on July 10
    was the rug over which the Defendant said he had tripped, causing the victim to hit his head
    on the coffee table. The detective was told that the rug was removed because it was a hazard.
    He agreed that the Defendant and the codefendant were interviewed separately and that they
    provided consistent statements on the “major points.” The detective agreed they both stated
    that while the codefendant was in the shower, the Defendant fell down the stairs while
    holding the victim and that the Defendant yelled for the codefendant. The detective agreed
    that usually suspects‟ statements were inconsistent. He agreed that the Defendant and
    codefendant did not implicate each other and that no evidence showed the Defendant and
    codefendant were abusive toward each other between June 10 and July 6.
    Detective Wattenbarger testified that on July 6, the victim was first taken to the
    pediatrician‟s office because of a fever and that the pediatrician had an ambulance transport
    the victim to the children‟s hospital. The detective‟s investigation showed that the
    codefendant was the victim‟s primary caregiver during the day while the Defendant worked.
    Detective Wattenbarger said the only information he had relative to when the injuries
    occurred was the victim‟s medical records.
    -3-
    Detective Wattenbarger testified that when he arrived at the hospital on July 6, the
    codefendant, her mother, and her sister were present. He said that based on his interaction
    with the Defendant at the police station on July 6, he concluded that the Defendant was not
    abusing drugs. He agreed the codefendant was home but not present when the Defendant fell
    while holding the victim on June 10 and 21. The detective learned that two additional
    children lived in the family home and that the children‟s ages were five years and less than
    one year. He agreed the codefendant mentioned that the child who was less than one year old
    had crawled on the victim.
    Detective Wattenbarger testified that the codefendant took the victim to the victim‟s
    two-week-old wellness visit on May 20, that no skull fracture was noted in the victim‟s June
    10 medical records, and that the codefendant took the victim for his one-month wellness visit
    on June 15. Relative to June 21, the detective agreed that the codefendant was asleep
    upstairs when the Defendant fell down the stairs while holding the victim and that the
    codefendant awoke to the Defendant‟s yelling. The codefendant reported seeing the victim
    and the Defendant lying on the floor and said she called 9-1-1. The detective agreed that at
    the hospital, the x-rays and CT scans of the victim‟s skull, spine, and chest were negative,
    that the victim was treated by numerous physicians, and that the victim was released to go
    home. The detective agreed that later the same night, the Defendant and the codefendant saw
    the victim‟s swollen left leg, that they contacted the hospital, and that they were advised by
    hospital personnel to take the victim to the pediatrician‟s follow-up appointment scheduled
    for the next day. Detective Wattenbarger agreed Dr. Fernando treated the victim at the
    pediatrician‟s follow-up visit on June 22 and did not report any suspicions of child abuse,
    although an x-ray showed a fractured tibia. Dr. Fernando referred the victim to Dr. Voytik
    for the fractured tibia.
    Detective Wattenbarger testified that on June 26, Dr. Voytik treated the victim and
    concluded that the victim had a “questionable” leg fracture. Detective Wattenbarger agreed
    that in child abuse cases, parents often delayed obtaining medical attention. He agreed that
    on June 21, the physicians and nurses at the hospital did not notice a swollen left leg and that
    it was appropriate for the codefendant to obtain medical treatment for the victim.
    Detective Wattenbarger testified that the Defendant and the codefendant‟s home was
    clean and maintained. He agreed the photographs of the home showed that the victim‟s
    bassinet was beside the Defendant and the codefendant‟s bed, that only one hand rail was
    installed at the stairs, and that the stairs were “open to the living room” without a rail. The
    detective did not obtain measurements of the stairs or the distances between the tenth step
    and the landing.
    -4-
    On redirect examination, Detective Wattenbarger testified that he scheduled an
    appointment to visit the Defendant and the codefendant‟s home. The detective stated that he
    was unable to find any medical records reflecting that the Defendant was injured during his
    falls while holding the victim. He agreed the medical records showed the codefendant stated
    that she did not know “how any of that happened, he is never out of my sight” and that the
    victim was “usually a fussy baby.” On recross-examination, Detective Wattenbarger stated
    that he was not present when the codefendant made the statements and that he could not
    speak to their accuracy. He agreed he only visited the Defendant and the codefendant‟s home
    once.
    Leisa Jarocki, the codefendant‟s mother, testified that she provided the police with
    photographs of the victim. She identified the photographs, which depicted the victim at the
    hospital on the day of his birth and two days after his birth at the Defendant and the victim‟s
    home. Ms. Jarocki identified a bruise on the victim‟s left cheek in the photographs taken two
    days after the victim was born. She identified photographs of the victim taken on July 9 and
    July 11, while the victim was being treated at the children‟s hospital. The photograph taken
    on July 11 showed splints on the victim‟s left arm and both legs and a feeding tube inserted
    into the victim‟s nose.
    On cross-examination Ms. Jarocki testified that during the month of June, she saw the
    victim after the Defendant fell down the stairs while holding the victim because the
    codefendant asked Ms. Jarocki to examine the victim after the victim was released from the
    hospital. Ms. Jarocki noted that she had been a nurse for twenty years and that most of her
    work involved pediatrics. She said the victim was fussy but was okay. She denied noticing
    anything wrong with the victim during the month of June. She never saw the Defendant or
    the codefendant abuse any of their children and said they were good parents. She said that
    the Defendant worked hard and provided for his family and that she never suspected him of
    abusing any of the children. She said the codefendant would have never allowed anyone to
    harm her children.
    Ms. Jarocki testified that she accompanied the codefendant and the victim to the
    victim‟s one-month wellness visit and that the doctor said the victim was healthy. Ms.
    Jarocki said that she cared for the victim and the codefendant‟s daughter from a previous
    relationship for three days at the end of June because the Defendant‟s young daughter from a
    previous relationship was hospitalized for “strep[].” Ms. Jarocki stayed at the Defendant and
    the victim‟s home during that time and said the home was in typical condition for a
    household with three children. She denied the home was dirty. She said that during the three
    days she cared for the children, the victim was a little fussy like any baby the same age and
    that the victim cried when he was hungry, needed a clean diaper, or was uncomfortable. She
    -5-
    had no concerns about the victim‟s welfare. On redirect examination, Ms. Jarocki testified
    that she had never seen the codefendant‟s daughter from a previous relationship hold the
    victim inappropriately, hit the victim, or shake the victim.
    Jacqueline Lewis, the codefendant‟s sister, identified a photograph she took of the
    Defendant holding the victim with one hand away from the Defendant‟s body. She said that
    at the time the photograph was taken, the Defendant was swaddling the victim before putting
    the victim to bed, that the victim looked “cute,” that she asked to take the victim‟s
    photograph, and that the Defendant held up the victim. She was unsure whether the
    codefendant was present for the photograph but knew the codefendant was home. She
    thought the photograph was taken between June 10 and June 21, before the fall down the
    stairs and when the victim was about one month old.
    On cross-examination, Ms. Lewis testified that she had never seen the Defendant
    mistreat any of the children and that the Defendant did not do anything to place the children
    purposefully in danger. She said she did not have any concern about the manner in which the
    Defendant was holding the victim in the photograph. She said the victim did not appear to be
    hurt.
    Ms. Lewis testified that she drove the codefendant and the victim twice to the
    pediatrician‟s office, that she visited the Defendant and the codefendant‟s home once per
    week, and that she sometimes stayed overnight. Ms. Lewis said she had no concerns about
    the manner in which the codefendant and the children interacted. She said the Defendant and
    the codefendant fed the victim, changed the victim‟s diapers, and cared for the children like
    normal parents.
    Dr. Felicito Fernando, a board certified pediatrician, testified that on May 30, 2012,
    the victim was seen by a nurse practitioner for a routine visit and that no concerns arose from
    the visit. He said “everything seemed to be appropriate” at the victim‟s one-month wellness
    visit on June 15, although there were concerns about thrush, nasal congestion, and the
    victim‟s circumcision. Dr. Fernando said his notes did not reflect the parents‟ mentioning the
    Defendant‟s falling while holding the victim. The victim returned one week later on June 22.
    At that visit, Dr. Fernando was told the Defendant had fallen down the stairs while holding
    the victim and that the victim was treated at the hospital. Dr. Fernando observed swelling in
    the victim‟s left leg, and the x-ray he ordered showed a “minimally displaced fracture” of the
    left tibial plateau. Dr. Fernando referred the victim to Dr. Voytik, an orthopedic specialist.
    -6-
    Dr. Fernando testified that he next saw the victim on July 6 and that the chief
    complaints were congestion since birth, decreased appetite, and fever. He said the victim had
    an abnormal appearance, was extremely irritable, and was failing to thrive. The victim had
    only gained eight grams per day during the previous two weeks, and Dr. Fernando noted that
    children of the same age gained between twenty-four to fifty grams per day. The victim also
    had bruises on his chin and left check, had hemorrhaging on the white area of his right eye,
    had a swollen and bruised ear, had an abrasion on his right nostril, and had dry and cracked
    lips. Dr. Fernando noted that only the congestion had been previously observed. The victim
    also was in respiratory distress and had a fast heartbeat. Dr. Fernando noted that the victim
    could move all of his exterminates but “arched,” indicating the victim was experiencing pain.
    He said that he was concerned about the victim‟s failure to gain weight, the fever, and the
    bruising, which were inexplicable based on the history presented by the codefendant. He
    said, though, the codefendant explained that the victim‟s older sister was found sitting on the
    victim and pulling the victim‟s ear. Dr. Fernando did not believe the explanation was the
    cause of the victim‟s ailments. He said the Defendant did not attend any of the victim‟s
    appointments.
    Dr. Fernando testified that the abrasions to the victim‟s ear and the eye hemorrhage
    were caused by trauma and that he was concerned about the victim‟s leg. The victim was
    admitted into the children‟s hospital to investigate the extent of the victim‟s injuries and to
    place him in protective custody. Dr. Fernando had significant concerns about physical abuse,
    although he could not observe any of the victim‟s fractures without an x-ray. He noted that
    infant bones were more pliable in order to prevent breaking during birth and said that the
    most common bone broken during delivery was the clavicle. He said any other broken bone
    on a child the victim‟s age was suspicious.
    On cross-examination, Dr. Fernando testified that the tibia fracture was minimal and
    that the victim‟s fever was caused by trauma, not an infection. Dr. Fernando‟s notes from the
    July 6 visit in which the codefendant described finding the victim‟s older sister lying on the
    victim reflected that the codefendant‟s female friend was present at the appointment. Dr.
    Fernando recalled the hospital contacting him on June 10 regarding the victim and said his
    notes showed that the victim was injured during a fall by hitting the victim‟s head on a coffee
    table, that the victim had a one to two centimeter lesion, that the head CT was normal, and
    that the nurse practitioner “did not feel ill at ease” with the reported cause of the injury.
    Dr. Fernando testified that he had not reviewed Dr. Voytik‟s report and that the report
    was not in his file. He said that between May 30 and June 22, he did not provide the
    codefendant with any restrictions about the victim‟s care or activity. He agreed he did not
    report any concerns of child abuse until July 6, when he had the victim admitted to the
    -7-
    children‟s hospital. He said he would have reported any suspected abuse if he had been
    convinced the victim had been abused.
    Dr. Marla Sammer, an expert in pediatric radiology, testified that as bone fractures
    healed, calcium deposits called callus developed at the site of the fracture and that over time
    the fracture disappeared. She said that if no callus were seen at the site of a fracture, the
    fracture would have been less than fifteen days old. She said the classic bone fracture
    associated with child abuse was a metaphyseal bone fracture in which a portion of a bone
    was “sheared off” and usually resulted from violent shaking.
    Dr. Sammer testified that she reviewed the victim‟s various x-rays and bone survey.
    She said that unlike adults, children had bone growth plates and that metaphyseal corner
    fractures occurred at the growth plates. She said that although infant bones were capable of
    bending, infant bones also fractured easily. She concluded that the June 10 CT scan showed
    a left non-healing mandible fracture but no skull fracture. She said the mandible fracture
    most likely occurred seven days before the June 10 x-rays. She said that the June 21 x-rays
    showed healing left rib fractures, which indicated that the fractures were sustained before
    June 21. The June 21 x-rays showed a new skull fracture on the left parietal bone, non-
    healing rib fractures, and a non-healing tibia fracture. She noted that the June 21 x-rays did
    not show a femur fracture but that the July 6 x-rays showed a healing femur fracture, which
    indicated the fracture was sustained after the June 21 x-rays but before the July 6 x-rays. She
    said the July 6 x-rays also showed a new non-healing right tibia fracture, indicating the
    fracture was less than ten days old. She said the July 6 x-rays also showed multiple fractures
    at the growth plate and a classic metaphyseal lesion, which were “highly specific for non-
    accidental trauma” and called corner fractures. She noted that the fractures were healing, that
    they occurred between seven and ten days before the July 6 x-rays, and that they were
    “suppose[d] to be from very . . . violent shaking.” She said the victim also had a healing
    fracture on the left fibula.
    Dr. Sammer testified that the skull fracture was not present on the June 10 x-rays but
    that the fracture was present on the June 21 x-rays and that the victim had soft-tissue
    swelling, hemorrhaging, and edema at the site of the fracture. She said that due to the soft-
    tissue swelling, the fracture was probably sustained on June 20 or 21. Relative to the rib
    fractures, she said that the June 21 x-rays showed that the fifth anterior rib was healing and
    that the victim had sustained recent and non-recent healing right rib fractures. She said the
    right rib fractures were probably sustained on June 20 or 21. She said that the July 6 x-rays
    showed lumbar and thoracic spine fractures, which were rare and usually caused by non-
    accidental trauma. She noted that these fractures and extremity fractures healed differently
    and said that she could not determine when the spinal fractures were sustained. She
    -8-
    concluded, though, that the fractures were caused by significant trauma. She said that she
    would not expect the victim to have sustained the bone fractures from a ten-month-old girl
    sitting on the victim.
    Dr. Sammer testified that additional x-rays were taken on July 7, which showed
    metaphyseal corner fractures to the right and left wrists, and that the fractures were consistent
    with holding the victim by his wrists and shaking him. She said the fractures were sustained
    about seven to ten days before the x-rays. She stated that the victim‟s bone fractures took
    weeks and months to heal completely and that the fractures could not heal in a matter of days.
    On cross-examination, Dr. Sammer testified that although determining the length of
    time it took for bone fractures to heal was difficult, physicians used the best data available
    based on the x-rays. She did not know if the victim underwent testing to determine if he had
    any type of bone disease. She said the non-healing right tibia fracture was consistent with
    blunt trauma and was probably sustained between June 26 and July 6. She said the mandible
    fracture was sustained as early as June 3. She said that although she considered ways in
    which the victim‟s bone fractures could have been sustained as a result of accidental trauma,
    the fractures were indicative of classic non-accidental trauma.
    Dr. Sammer testified that all the fractures were sustained between approximately June
    1 and July 7. She said that shaking was the most consistent explanation for most of the
    fractures, although some fractures looked as though they were caused by blunt force trauma.
    She agreed the skull fracture was consistent with striking the head against an object. She
    agreed numerous factors might affect the ability to date a bone fracture but said the series of
    x-rays narrowed the dates of infliction. She agreed corner fractures were difficult to identify
    and to date, and she said follow-up x-rays were usually obtained fourteen days after the initial
    x-rays to look for healing metaphyseal corner fractures.
    Dr. Sammer testified that she did not examine the victim and that she did not receive
    any information about how the injuries might have occurred. She said that based solely on
    the x-rays, her opinion was the bone fractures were caused by non-accidental trauma. She
    agreed that a healing rate might have been affected by a person‟s overall health and that she
    did not determine the victim‟s overall health in making her conclusions.
    Dr. Karla Garcia, a pediatrician and child abuse expert, testified that she was the
    director of the child protective team at the children‟s hospital. She said that corner fractures
    were small fractures at the end of long bones, including the wrist and elbow areas and at the
    end of the arm and leg bones. She said that casual bouncing, shaking, jostling, and tossing a
    -9-
    child in the air typical of most parents did not cause corner fractures and that corner fractures
    resulted from non-accidental trauma and physical abuse.
    Dr. Garcia testified that she evaluated the victim on July 9, 2012, and that the victim
    had fifteen bone fractures, which were sustained between June 5 and July 6. She said that the
    victim and the parents underwent genetic testing to determine if the victim might have had a
    disorder to explain the bruising and fractured bones and that the results were negative. The
    victim also was negative for brittle bone disease, metabolic disorders, and organic diseases
    that could have explained the victim‟s condition. The victim also had normal bone mineral
    density. Dr. Garcia reviewed the victim‟s medical records, which stated that on June 10, the
    codefendant told medical personnel that while she was sleeping, the Defendant fell while
    holding the victim, that the victim struck his left cheek on the edge of a coffee table, and that
    the Defendant had never exerted force or abused any of the children. The records reflected
    that the victim had a bruise on his left cheek, a blood streak in his left ear canal, scabbing
    around his nose, and abdominal colic. The victim did not show indications of injuries to his
    extremities. The June 10 CT scan of the victim‟s head was negative for fractures.
    Dr. Garcia testified that the June 21 medical records showed that the codefendant
    reported the Defendant fell down ten stairs while holding the victim, that the victim had
    bruises on the right forehead and behind both ears, and that swelling was visible behind the
    right ear. The victim, though, did not display indications of significant injury or tenderness
    to his extremities and had full range of joint motion. The June 21 chest x-ray and CT scan
    were negative, and the results were later used for comparison purposes in July. Relative to
    Dr. Fernando‟s June 22 records, Dr. Garcia said that the codefendant told Dr. Fernando the
    Defendant fell down the stairs while holding the victim, that the victim had a runny nose,
    nasal congestion, and a swollen left leg. The records noted that the congestion had worsened
    since June 15, and that the victim had moved from the tenth to the sixth percentile for body
    weight. The records reflect that the victim had thrush and that although the left leg was
    larger than the right leg, no redness, bruising, or tenderness was present. An x-ray showed a
    fracture to the left tibia.
    Dr. Garcia testified that Dr. Fernando‟s July 6 medical records reflect that the victim
    had a fever and that the codefendant wanted the victim tested for “RSV” and “staph” because
    another child in the home had staph. Dr. Garcia noted the codefendant‟s stating that another
    child sat on the victim and pulled his ear. The codefendant reported that the victim had a loss
    of appetite, crankiness since birth, fever and chills, runny nose, and nasal congestion. The
    codefendant also reported a daytime cough and difficulty breathing the previous two days.
    The physical exam showed the victim had a small conjuntival hemorrhage that was not
    present at birth, a swollen left ear with a bruise, extreme nasal congestion, an abrasion on the
    -10-
    right nostril, dry lips and gums, and small bruises on the left cheek and left side of the chin.
    Dr. Fernando referred the victim to the children‟s hospital because of the victim‟s fever and
    because Dr. Fernando suspected that the injuries were non-accidental. The children‟s
    hospital emergency room records reflect similar information. Dr. Garcia noted that the eye
    hemorrhage and the injury to the ear were consistent with a “direct blow.” X-rays and CT
    scans were obtained and compared with the previous results, and physicians confirmed skull,
    left tibial, and rib fractures. The codefendant told the physicians that she was not told about
    a skull fracture, that the leg fracture was treated by an orthopedic specialist, who said the
    tibia was normal, and that she denied any “injuries, shaking or falls.” The emergency room
    records did not report any additional children in the family home, although Dr. Fernando‟s
    records showed other children were in the home.
    Dr. Garcia testified that a fussy newborn could frustrate parents, that parents were
    instructed never to shake a newborn because it would result in severe injury or death, and that
    fussy newborns were at a higher risk for future physical abuse. Dr. Garcia noted sixteen
    fractures, which included fractures to the skull, mandible, right posterior tenth and eleventh
    ribs, left anterior fifth rib, right proximal humerus, right distal radius and ulna, left distal
    humerus, left distal radius and ulna, right proximal and distal femur, right proximal tibia,
    right fibula, left proximal femur, left distal femur, left proximal tibia, left proximal fibula,
    and third and twelfth vertebrae.
    Dr. Garcia testified relative to the skull fracture that the MRI showed chronic
    hemorrhages and encephalomalacia, or scarring and deterioration of brain tissue, which was
    typically found in areas of trauma. Based on all of the medical records, she concluded four
    events occurred between June 5 and July 10. She noted seven corner fractures among all the
    bone fractures. She said that although the skull fracture was present on June 21, the original
    reading of the CT scan was negative for fractures. She noted that the mandible fracture was
    present on the June 6 CT scan but was not detected on the June 10 or 21 scans and that the
    radiologist dated the fracture before June 10. She said that the June 21 chest x-ray showed
    three rib fractures, although the original reading was negative for fractures. The June 21 x-
    rays were reevaluated by the radiologist on July 6. She noted that the June 22 x-rays only
    showed a left proximal tibia corner fracture, although the distal femur metaphyseal corner
    fracture and the left proximal femur metaphysis fracture were not present. She said the distal
    femur metaphyseal corner fracture and the left proximal femur metaphysis fracture were
    present on the July 6 x-rays, which meant that the fractures were sustained after June 22 but
    before July 6.
    -11-
    Dr. Garcia testified that in her opinion, the notable healing reflected in the July 6 x-
    rays indicated that the left distal radius and ulna fractures were sustained between June 26
    and July 1. She said that five fractures were sustained after the Defendant fell twice while
    holding the victim and that two of those fractures were corner fractures. She noted that
    nothing in the medical records reflected that the victim suffered a “direct blow” after June 21
    and that the fractures sustained after June 21 were not caused by blunt force trauma. She said
    that none of the victim‟s injuries could have been inflicted by a ten-month-old child‟s sitting
    on the victim. Dr. Garcia noted the significant swelling and bruising around the victim‟s ear
    on July 6 and said the injury was not normally associated with a pulling injury but was
    associated with direct blunt force trauma. She noted that although the Defendant‟s falling
    were explanations for the June 10 and June 21 injuries, no explanations were provided for the
    mandible fracture and the additional fractures present on July 6.
    Dr. Garcia testified relative to the June 10 incident that the bruise on the victim‟s face
    was consistent with a fall. She said, though, that the mandible fracture occurred before June
    10 because the June 10 CT scan showed a healing mandible fracture, although the physician
    who interpreted the scan on June 10 did not detect the fracture. Relative to the June 21
    incident, she said that the skull fracture could have been caused by the Defendant‟s falling
    down the stairs while holding the victim. She noted, though, that posterior rib fractures
    rarely occurred from a fall. She conceded she did not know how the Defendant might have
    been holding the victim or if the victim fell out of the Defendant‟s hands. She said that the
    corner fractures she previously identified were not typically caused by a fall and that corner
    fractures were consistent with a shaking-type motion.
    Dr. Garcia testified that the skull fracture would have caused swelling of the head and
    irritability. The mandible fracture would have impaired the ability to eat. The posterior rib
    fractures would have resulted in difficulty breathing and “splinting.” She noted metaphyseal
    corner fractures presented no visible signs because these fractures were generally small. She
    said, though, the diaphysis fracture of the tibia was a large fracture and would have caused
    decreased movement and significant swelling. She noted the victim suffered pain from all
    the fractures. She said that the femur fracture caused the most developmental concern
    because the fracture might not heal properly, causing a bend to form in the bone or causing
    one leg to be longer than the other because of varying bone growth rates. She said the only
    course of treatment was to observe the leg growth over time. She noted the possible long
    term pain and functional disability associated with the fracture. She said that if one leg grew
    longer than another, playing sports and other physical activities might not be permitted.
    Relative to the brain injury and eye hemorrhaging, she said that some children recovered
    without any future issues and that other children developed significant health problems,
    including seizures, cerebral palsy, learning disabilities, and childhood developmental delays.
    -12-
    Dr. Garcia testified that based on her review of all the medical records, the histories
    provided for the two events, the sixteen bone fractures, the various rates of fracture healing,
    and the new fractures occurring before June 10 and after June 21, she concluded that the
    injuries were inconsistent with the reported falls, that the victim suffered non-accidental
    trauma, and that the victim had been physically abused.
    On cross-examination, Dr. Garcia testified that the types of bone fractures the victim
    sustained were small and did not cause outside bruising. She agreed that although the victim
    might have been irritable and had minor swelling, a person without medical training would
    not have seen bruises or known the victim had bone fractures. She said the largest fractures
    were sustained to the tibia and femur. She agreed that on June 10, the trained medical
    personnel at the hospital did not note any fractures, although later review of the June 10 x-
    rays showed the victim had sustained the mandible fracture and possibly an anterior rib
    fracture before June 10. She said that the records showed scabbing around the victim‟s nose
    and agreed nasal scabbing was consistent with nasal discharge, which was noted throughout
    the victim‟s history since birth. She said the skull fracture could have been caused by falling
    down stairs. She agreed she could not determine who caused the fractures.
    Dr. Garcia testified that healing rates varied based upon numerous variables, including
    the nutritional status of the child and whether the child was born prematurely, but that most
    fractures began healing within seven to ten days and most were not healed fully until six or
    more weeks. She agreed that relative to the fractures sustained by June 21, the fractures
    would have healed without medical intervention. She agreed that the victim‟s skull fracture
    was consistent with the Defendant‟s falling down stairs while holding the victim, causing the
    victim to hit his head on a wall or the floor. She also said that if those events occurred, the
    skull fracture would have been an accidental injury caused by blunt force trauma.
    Dr. Garcia testified that generally, she discussed a child‟s medical history with the
    child‟s parents if they were available. She said, though, the victim‟s parents were not
    available because the Department of Children‟s Services (DCS) prevented the parents from
    having contact with the victim after his July 6 hospital admission.
    Dr. Garcia testified that she first saw the victim on July 9. Relative to the victim‟s
    medical history, she said that at the victim‟s one-month wellness visit, the codefendant
    reported the victim‟s being fussy and having increased congestion. She said that on June 22,
    the codefendant reported to Dr. Fernando that the Defendant had fallen down stairs while
    holding the victim the previous day, that the victim had continued nasal congestion, and that
    the victim‟s left leg was swollen. Dr. Garcia said that on July 6, the codefendant reported to
    the children‟s hospital that the victim had decreased appetite, fever, congestion, irritability,
    -13-
    and difficulty breathing. She noted that congestion made it difficult for an infant to breathe
    and drink from a bottle simultaneously and that weight loss began after a couple days if the
    infant did not receive adequate nutrition. Relative to the victim‟s symptoms, she did not
    expect his condition to have affected the fracture healing rate because the fractures were
    recently sustained.
    Dr. Garcia testified that shaken baby syndrome resulted in retinal hemorrhages of the
    eyes. She conceded that the victim did not have retinal hemorrhages and said that an
    optometrist confirmed that no blood was pooled behind the victim‟s eyes. She agreed the
    single subconjuntival hemorrhage to the outer portion of the victim‟s eye could have been
    caused by a fall, a scratch to the eye, or forceful coughing and vomiting.
    Dr. Garcia testified that she examined the victim once or twice after July 9 and that
    she had not examined him since. She said each of the victim‟s injuries would have been
    inflicted within seconds. She noted medical literature did not discuss the duration of time
    necessary to inflict injuries similar to the victim‟s and said she did not think a long duration
    would have been required. She said that if an infant were slung by the infant‟s extremity and
    struck by a wall, the corner fractures might be caused by the slinging action, not by striking
    the wall. Dr. Garcia said her records did not reflect that the codefendant called the hospital
    after the victim was released on June 21 due to the codefendant‟s noticing the victim‟s
    swollen left leg. Dr. Garcia said that the initial test to determine whether the victim had
    brittle bones was inconclusive and that extensive tests were conducted over several weeks.
    Dr. Garcia said that the victim suffered no additional bone fractures after July 6.
    On redirect examination, Dr. Garcia testified that the victim underwent physical
    therapy as a result of the fractures and that a January 2013 report from the physical therapist
    showed the victim was “developmentally delayed.” Dr. Garcia had no further information
    about the victim‟s prognosis. On recross-examination, Dr. Garcia said factors other than
    excessive fussiness that might place an infant at risk for physical abuse included financial
    stress and a parental history of domestic abuse, alcohol abuse, substance abuse, or sexual
    abuse.
    Dr. Gary Voytik testified on behalf of the Defendant that Dr. Fernando referred the
    victim to Dr. Voytik‟s orthopedic practice and that he treated the victim on June 26, 2012.
    Dr. Voytik concluded that the victim had lower limb and left knee pain and a questionable
    tibia fracture. Dr. Voytik said that the codefendant brought the victim to his office and that
    he would have told her that the victim had a questionable fracture. He explained pediatric
    bone fractures healed quickly. He said that he looked at the x-ray again and concluded that
    the tibia was fractured but would heal within one to six days. He provided this information
    -14-
    to the codefendant. He did not apply a leg splint or wrap the victim‟s left leg and told the
    codefendant to bundle the victim in a blanket because the fracture would heal quickly.
    On cross-examination, Dr. Voytik testified that bones in a five-week-old infant
    generally healed in five to seven days. He said that although he treated children for
    orthopedic injuries, he did not treat many one-month-old infants for the type of injury the
    victim sustained. He said, though, he probably treated a few similar injuries per year. He
    agreed he only ordered an x-ray of the victim‟s left leg.
    The Defendant testified that he was twenty-nine years old and that he had worked as a
    welder, plumber, carpenter, fabricator, and mechanic. He said that he had been in a
    relationship with the codefendant for more than one year and that the victim was their son.
    They lived together with his daughter from a previous relationship and the codefendant‟s
    daughter from a previous relationship. He said he had custody of his daughter, who was ten
    months old at the time of the incident, until his arrest in the present case. He said the
    codefendant‟s daughter was five years old at the time of the incident. He said that the
    daughters shared a bedroom, that he and the codefendant shared a second bedroom, and the
    victim slept in a bassinet beside his and the codefendant‟s bed.
    The Defendant testified that at the time of the incident, he was working about fifty
    hours per week at two part-time jobs and that he worked “quite a few” Saturdays. He said
    that when he worked, the children stayed home with the codefendant, the primary caregiver.
    He said the codefendant‟s mother cared for the children a couple of times. He described the
    family home as hectic and said “it could add up to some stress.”
    The Defendant testified relative to the June 10 incident that he, the codefendant, the
    victim were downstairs and that he thought the two daughters were asleep upstairs. He said
    that he had been sitting on the sofa, that he stood from the sofa while holding the victim, that
    he walked toward the stairs, and that he tripped on a rug, causing the victim to hit his head
    and chest on the side of the coffee table. The Defendant noted that they had recently
    received the rug from a friend and that the ends of the rug were curved upward. The
    Defendant did not hit his head on the coffee table, although he fell on the floor. When asked
    if he dropped the victim, he said, “I had [the victim] and when I fell, I was falling forward, I
    hit knee first and his head caught the table and then I just rolled.” The Defendant got up
    from the floor and went upstairs to find the codefendant, who was taking a shower. He said
    the codefendant examined the victim and made a doctor‟s appointment the following day.
    The Defendant said the victim was not bleeding and seemed fine. The Defendant said he fed
    the victim a bottle just before the fall occurred. The Defendant said that he rolled the rug and
    threw it outside on the night of the incident.
    -15-
    The Defendant testified that he went to work on June 11 and received a text message
    from the codefendant that she was taking the victim to the pediatrician‟s office that day. He
    recalled that after he arrived home from work, he inquired about the appointment. He said
    that the victim only had a small bruise and that the victim seemed fine. He said that the
    family continued their daily routine until June 21. He said that on June 21, he awoke for
    work around 7:30 or 8:00 a.m., heard the victim crying, picked up the victim, walked
    downstairs, prepared a bottle, and began walking up the stairs. He said that he was holding
    the victim in one arm and the bottle in his opposite hand, that he reached the ninth or tenth
    stair, and that he tripped on his socks, which were loose and extended beyond his feet. He
    said, “I started falling forward and when I was trying to brace myself up I started falling
    backwards and when I started falling backwards I was trying to [move the victim] closer to
    my chest and as soon as I hit the stairs I had let go.” He said it happened quickly. He said
    that after he landed on his back, he stood and saw the victim lying by the front door. The
    Defendant said he let go of the victim before the Defendant “hit the bottom of the stairs.” He
    said the victim was crying. The Defendant said he screamed for the codefendant, who ran
    downstairs, and told her to grab her cell phone. The Defendant said he called 9-1-1 while the
    codefendant held the victim. He said the ambulance arrived within five minutes. The
    codefendant went to the hospital with the victim, and the Defendant stayed home with the
    two daughters. He said that the codefendant and the victim returned home from the hospital
    around 1:00 p.m. and that the victim was calm.
    The Defendant testified that later that night, he noticed the victim‟s leg was swollen.
    He said that the codefendant called the hospital and that the codefendant was told to wait
    until the following day to talk to the victim‟s pediatrician. He said the victim appeared fine,
    except for the swollen leg. When asked about how the victim sustained the fifteen bone
    fractures, the Defendant said he did not know how the injuries could have occurred if the
    fractures were not caused by the two falls. He denied harming the victim. He said that he
    was at work when the codefendant and her sister took the victim to Dr. Fernando‟s office on
    July 6. The Defendant recalled the victim had a fever, thrush, and nasal congestion, which
    had been an ongoing concern. He said that the victim did not appear to be suffering from
    pain, was not irritable, and was not upset when the Defendant left for work on July 6. The
    Defendant recalled the victim was sleeping when he left for work.
    The Defendant testified that he and Ms. Jarocki had a good relationship and that Ms.
    Jarocki came to his and the codefendant‟s home periodically. He said, though, he first
    learned when Ms. Jarocki testified the previous day that Ms. Jarocki went to their home to
    examine the victim after the fall. The Defendant said the codefendant did not mention
    anything to him about Ms. Jarocki‟s visit. He said that on July 6, the victim had been
    admitted to the children‟s hospital by the time he left work and that he went to the hospital
    -16-
    that evening. He said he learned of the incident in which his ten-month-old daughter was
    found on the victim and pulling the victim‟s ear when he left work that day. He said that
    when he was at the hospital that night, nobody asked him about the incidents involving the
    coffee table and the stairs. He said he returned home after a few hours, left the codefendant
    at the hospital, went to work on July 7, and returned to the hospital after work.
    The Defendant testified that when he arrived at the hospital on July 7, the physicians
    had ordered several tests and that nobody at the hospital asked him any questions. He said
    the codefendant told him about the victim‟s bone fractures. He said that the codefendant
    asked if he had done anything to harm the victim and that he told the codefendant he had not
    hurt the victim. The Defendant said DCS contacted him on June 21 and that two caseworkers
    came to his home as a result of his falling while holding the victim. The Defendant told the
    DCS caseworkers how the falls occurred, and he said DCS did not attempt to obtain custody
    of the victim at that time. The Defendant said DCS did not have him charged with a crime or
    require him to take any tests. He said his next contact with DCS was at the children‟s
    hospital. The Defendant said he spoke to the DCS caseworker who came to his home on
    June 21. The Defendant said the DCS caseworker spoke to him and the codefendant about
    signing a waiver of rights form and asked the Defendant to submit to a drug screen. The
    Defendant complied and passed the drug screen. He denied abusing the victim and said he
    had never seen anyone abuse the victim.
    The Defendant testified that he told Detective Wattenbarger about his tripping on the
    rug and falling down stairs while holding the victim. He denied ever being accused of
    abusing any of his children before this incident. He did not recall if he knew about the
    victim‟s swollen ear before the victim was seen by Dr. Fernando on July 6 but recalled the
    victim had nasal congestion for “quite awhile” by July 6. He recalled he and the codefendant
    began suctioning the victim‟s nose when the victim was three weeks old, which caused the
    victim‟s nose to develop little lacerations.
    The Defendant said that during the relevant time period, the only people who had
    access to the victim other than himself and the codefendant were friends and family. He
    learned of the victim‟s bone fractures on July 6. The Defendant said that he saw a bruise on
    the victim‟s face after the victim struck the coffee table and that he saw a bruise on the back
    of the victim‟s head after the fall down the stairs. He said that between June 22 and July 5,
    he only knew of the victim‟s nasal congestion and generally “being sick.” He denied failing
    to provide the victim food, clothes, shelter, or medical care. He denied hurting the victim.
    -17-
    On cross-examination, the Defendant testified that he was employed in the roofing
    industry at the relevant time period and that he almost fell off a roof once. He said that his
    ten-month-old daughter lived with him and the codefendant for about six months. He denied
    witnessing the codefendant‟s five-year-old daughter hurt the victim. He agreed that at the
    time of his July 6 interview with the detective, he had been laid off from his job. He said,
    though, that during the time the victim allegedly sustained his injuries, he worked at Rick‟s
    Plumbing. He agreed that at the relevant time period, he took prescribed oxycodone for
    scoliosis. He took thirty milligrams four times per day and said he knew he could not operate
    machinery or a vehicle while taking the medication. He said he had taken the medication
    when he tripped on the living-room rug but denied taking any medication when he fell down
    the stairs because he had just awoke to the victim‟s crying.
    The Defendant testified that on June 10, when he tripped on the rug, the codefendant
    was taking a shower. He agreed that his July 6 statement said that the codefendant was
    asleep and that the Defendant held the victim all night. He denied lying and said he thought
    he told the police that the codefendant was taking a shower. He said, “I think I got it mixed
    up, I don‟t know if she was in the shower, I don‟t think she was.” He denied that taking
    oxycodone prevented him from knowing what occurred and said that the medication did not
    have anything to do with it. He agreed that having three children under six years old in the
    house was difficult and that the codefendant sometimes tired of staying at home with three
    children.
    The Defendant testified that the codefendant “got on to” him about the manner in
    which he played and interacted with the victim and that the codefendant thought he was too
    rough with the victim. He agreed that the codefendant told him when he played too rough
    with the children, including the victim, and that he swung the victim by his arms. He said he
    was about 5'10" and weighed 145 pounds at the time of the incidents. He agreed he told the
    police that he did not know if he hurt the victim by “playing with him, punching him in my
    face or get[ting] his legs and kick[ing] them.” Relative to the photograph taken by the
    codefendant‟s sister showing the Defendant holding the victim with one hand away from the
    Defendant‟s body, the Defendant said that at the time, he did not think holding the victim in
    that manner was inappropriate but that he realized he should not have held the victim that
    way. He denied knowing the victim had bone fractures at the time the photograph was taken.
    The Defendant testified that he did not recall telling the detective that he was at home
    when his ten-month-old daughter climbed on the victim, although he did not dispute the
    substance of his written police statement. He admitted he had taken oxycodone the day he
    spoke to the detective and said he took four doses that day. He agreed he fought with the
    -18-
    codefendant‟s father at the hospital when the victim was born and admitted he broke the
    codefendant‟s cell phone, although he denied almost breaking the codefendant‟s finger.
    The Defendant testified that the only thing he knew that could have caused the
    victim‟s skull fracture was the fall down the stairs. He had no explanation for the cause of
    the victim‟s mandible, femur, tibia, fibula, radius, ulna, humerus, spine, and rib fractures. He
    was aware that the corner fractures were caused from shaking an infant. He agreed that he
    and the codefendant were the primary caregivers, that the codefendant cared for the victim
    the majority of the time, and that the victim did not attend daycare.
    The Defendant testified that his ten-month-old daughter‟s mother had a substance
    abuse problem, that DCS contacted him about his daughter, and that he became the custodial
    parent. He said the codefendant treated his daughter and the codefendant‟s five-year-old
    daughter equally. He said neither daughter was injured while they lived with him and the
    codefendant. He agreed he and the codefendant argued during their relationship. He said
    that during one argument, he pulled back the codefendant‟s finger but denied the finger was
    broken. He denied that any other physical confrontations occurred and that the arguments
    involved the children. He said they argued about trivial matters, including his not wanting
    the codefendant to use Facebook.
    The Defendant testified that his daughter required surgery after she came to live with
    the Defendant and the codefendant. The Defendant said that when his daughter was in the
    hospital for the surgery, he and the codefendant‟s father had an argument and were asked to
    leave the hospital. The codefendant stayed with the Defendant‟s daughter at the hospital. He
    agreed the codefendant was a good mother to their daughters and to the victim.
    The Defendant testified relative to the June 10 incident that the codefendant took a
    shower and went to bed, that he told the codefendant what occurred, and that she took the
    victim to the pediatrician‟s office. Relative to the June 21 incident, he said that he told the
    codefendant to stay in bed and that he would feed the victim. He agreed the codefendant
    drank alcohol occasionally and said he had no reason to believe the codefendant drank
    alcohol around the children. He said that the codefendant did not use illegal drugs, that the
    only medications he took were prescribed, and that he took the medication as directed.
    The Defendant testified that it had been years since he had cared for an infant and that
    the codefendant told him how to suction mucus from the victim‟s nose after noticing the
    Defendant had done it improperly. He agreed that initially he held the victim‟s jaw rather
    than the victim‟s forehead to suction the victim‟s nose and that it was possible he continued
    to hold the victim‟s jaw after the codefendant told him to hold the forehead. He agreed that
    -19-
    the codefendant told him that he was too rough when pulling the victim‟s arms and legs but
    denied that he continued to be too rough after the codefendant talked to him about it. He
    agreed that he had never seen the codefendant grab and pull the victim‟s legs and that the
    codefendant was not rough with the children.
    Kimberly Ledford testified on behalf of the codefendant that Ms. Ledford‟s son began
    a romantic relationship with the codefendant when the codefendant‟s daughter was about
    nine months old and that the relationship lasted about three and one-half years. She said that
    her son and the codefendant lived in her home and planned to marry but that her son was
    killed by an intoxicated driver. She said that the codefendant was a good mother and that the
    codefendant took her daughter to the park, read and sang to her daughter, and took her
    daughter to the pediatrician‟s office when necessary. Ms. Ledford said the codefendant‟s
    daughter never sustained any injuries while the codefendant lived with Ms. Ledford. Ms.
    Ledford said that the codefendant moved out of her home before the victim was born and that
    she did not see the victim and the codefendant interact, although she continued to see the
    codefendant‟s daughter and the victim, who were living with the codefendant‟s father and
    stepmother at the time of the trial. She said that she visited the codefendant‟s daughter twice
    per week and that the victim talked and walked well and appeared smart. She said that the
    victim‟s nose was “caved in” slightly, that she thought the victim had minor continuing nasal
    congestion, and that the victim appeared to be doing well. She said the physicians continued
    treating the congestion.
    On cross-examination, Ms. Ledford testified that her son, the codefendant, and the
    codefendant‟s daughter moved into her home in February 2010, that Ms. Ledford‟s son was
    killed in July 2010, and that the codefendant and her daughter continued living in her home
    until March 2011. Ms. Ledford said she visited the codefendant and the Defendant‟s home at
    least once per week to visit the codefendant‟s daughter. She said, though, most of her visits
    occurred before the victim was removed from the home.
    Jacqueline Lewis, the codefendant‟s sister, was recalled by the codefendant and
    testified that she lived with her father, stepmother, the victim, and the codefendant‟s
    daughter. She said that after the victim was born, she visited the Defendant and the
    codefendant‟s home about once per week for a few hours, that she sometimes stayed
    overnight, and that she never saw the codefendant engage in any type of inappropriate
    behavior toward the victim. She said the codefendant took good care of the victim and the
    other children. She denied witnessing the Defendant or the codefendant abuse the victim and
    denied witnessing the Defendant abuse the codefendant. Ms. Lewis said that the Defendant
    and the codefendant both cared for the victim and the two daughters. Ms. Lewis said she had
    no concerns about the care the Defendant and the codefendant provided the children.
    -20-
    Ms. Lewis identified photographs of the victim she had taken between September 9,
    2013, and September 19, 2013.1 The photographs showed the victim at a park playing in the
    sandbox and on the swing and playing on a rocking horse. Ms. Lewis noted that the victim
    learned quickly how to turn on and off the rocking horse by pushing on the horse‟s ear. An
    additional photograph showed the victim standing in a doorway, and Ms. Lewis said the
    victim could stand and walk without assistance. She said that the victim did not have any
    health-related problems at the time of the trial.
    On cross-examination, Ms. Lewis testified that she understood the long-term impact of
    the victim‟s fractures was unknown. She agreed she did not know what occurred in the
    Defendant and the codefendant‟s home when she was not present.
    Kimberly Gibson, the codefendant‟s sister, testified she had no concerns about the
    codefendant‟s treatment of the victim and the codefendant‟s daughter. She thought the
    codefendant was a great mother, who provided and cared for her children. She recalled that
    on Father‟s Day 2012, she drove the codefendant, the victim, and the two daughters to Ms.
    Gibson and the codefendant‟s father‟s home. Ms. Gibson recalled that the victim was a
    normal baby and that she did not have any concerns. She recalled that in late June 2012, the
    codefendant, the victim, and the codefendant‟s daughter stayed overnight at Ms. Gibson‟s
    home because the Defendant and the codefendant had an argument. Ms. Gibson did not
    notice any bruises or marks on the codefendant, the victim, or the codefendant‟s daughter.
    On cross-examination, Ms. Gibson testified that the codefendant returned to the family
    home with the Defendant after staying one night at Ms. Gibson‟s house. Ms. Gibson said
    that after a DCS caseworker came to the hospital to investigate the victim‟s injuries, she
    contacted DCS to “vouch” for the codefendant and to report that the home environment was
    okay and that the codefendant was a good mother. Ms. Gibson denied telling the prosecutor
    at a previous meeting that Ms. Gibson called DCS after the Defendant fell down the stairs to
    report her concerns about the home environment. She admitted, though, that she was
    concerned about the victim after the second fall. She said the codefendant asked her to pick
    her up once or twice after the victim was born because the codefendant and the Defendant
    had argued. When asked if the codefendant feared the Defendant, Ms. Gibson said the
    codefendant was angry and wanted to leave.
    1
    We note that the trial began on September 17, 2013, and concluded on September 20, 2013.
    -21-
    Erica Bells testified that the codefendant and the codefendant‟s daughter lived with
    her and her husband when the codefendant‟s daughter was about ten months old. Ms. Bells
    never had any concerns about the manner in which the codefendant treated her daughter. Ms.
    Bells said that she had a nine-month-old child at the time of the trial and that her approach to
    parenting was modeled after the codefendant. She said the codefendant taught her much
    about being a parent. Ms. Bells said that she and her husband owned a roofing company and
    that her husband hired the Defendant. Ms. Bell agreed that she maintained the company‟s
    finances, that the Defendant began working around the time of the victim‟s birth, and that the
    Defendant worked for a couple of weeks. She said that she provided the codefendant
    transportation to the codefendant‟s supervised visits with the victim after the victim was
    removed from the Defendant and the codefendant‟s home.
    On cross-examination, Ms. Bells testified that she visited the Defendant and the
    codefendant‟s home once or twice per week. She agreed, though, she did not know what
    happened after she left the home. She was unaware of the number of bone fractures the
    victim sustained. On redirect examination, Ms. Bells stated that she did not believe the
    codefendant inflicted the victim‟s injuries.
    The codefendant testified that she first learned the details of the victim‟s injuries
    during the trial. She said she was upset with the physicians at the first hospital and at the
    pediatrician‟s office because she trusted the physicians‟ telling her that the victim was okay.
    She said the only fracture she knew about was the tibia fracture.
    The codefendant testified that she and the Defendant were able to pay the bills with
    the Defendant‟s income and that although money was “tight” with three children in the home,
    they were not overwhelmed. She said she loved being a mother to the children. She said that
    other than the Defendant‟s falling while holding the victim, she did not know how the victim
    received the bone fractures. She recalled, though, that around July 1, she told the Defendant
    not to hold the victim‟s face while suctioning the victim‟s nostrils. She also recalled that on
    July 4, the Defendant‟s ten-month-old daughter climbed on the victim while the codefendant
    was in another room of the home. She also noted that the suctioning bulb slipped out of the
    Defendant‟s hand on one occasion and that the bulb cut the victim‟s upper lip. She said she
    told the detective about these incidents in response to the detective‟s request for information
    relating to “anything that had happened.” The codefendant denied knowing about the extent
    of the victim‟s injuries at the time she spoke to the detective.
    The codefendant testified relative to the victim‟s nasal congestion that the Defendant
    held the victim by his chin and cheek, which she thought was inappropriate. She said that
    she demonstrated the proper way to hold the victim when suctioning the victim‟s nostrils and
    -22-
    that afterward, the Defendant held the victim properly. She said that she knew of the
    Defendant‟s falling twice while holding the victim and that none of the physicians treating
    the victim told her the victim‟s injuries were inconsistent with the falls reported by the
    Defendant.
    The codefendant testified that she never delayed seeking medical attention for the
    victim and that the Defendant did not display anger toward the children. She said the
    Defendant sometimes displayed anger toward her, and she admitted the Defendant broke her
    cell phone. She said that on one occasion, she and the Defendant argued, the Defendant
    attempted to leave in her car, she reached for her car key, and her finger “got jammed.” She
    said that after July 6, she asked the Defendant if he hurt the victim and that the Defendant
    denied hurting the victim intentionally. She said the Defendant never denied falling while
    holding the victim. She said that she initially believed the Defendant but that she now
    believed the Defendant injured the victim.
    The codefendant testified that she did not injure the victim and that she was not in the
    room when the Defendant fell with the victim, although she was home. She said that since
    the victim was born, the Defendant had worked at various employers. She said the
    Defendant took care of the victim, his ten-month-old daughter, and the codefendant‟s
    daughter. Relative to the July 6 incident, she said that she awoke earlier than usual because
    the Defendant‟s daughter had a follow-up doctor‟s appointment related to the surgery one
    week previously. She said she woke the daughters, fed them, and got them ready to leave
    before waking the victim. She said that the victim had a fever of 103.2 degrees, that she
    called the pediatrician, and that she scheduled an appointment for the victim after the
    Defendant‟s daughter‟s follow-up appointment.
    The codefendant testified that on July 6, she asked the victim‟s pediatrician to test the
    victim for RSV because the Defendant‟s daughter had RSV when she came to live with the
    Defendant and codefendant. She also requested the pediatrician to determine if the victim
    had staph because the Defendant‟s daughter‟s surgery was related to a staph infection and
    because the codefendant knew staph could present with respiratory problems. She said that
    on July 6, she knew about the Defendant‟s falling twice but did not know about the victim‟s
    injuries. She was only attempting to provide the pediatrician with information.
    The codefendant testified relative to July 5 that the victim was lying on the
    Defendant‟s lap, that the Defendant was holding the victim‟s hands, and that the Defendant
    was “punching himself in the face” with the victim‟s hands. The codefendant told the
    Defendant to stop because the Defendant was “doing it fast.” She did not think, however,
    that the Defendant used force. She said that her mother babysat the three children around
    -23-
    June 12, while the codefendant and the Defendant went to dinner for their anniversary and
    that her mother babysat for three days while the Defendant‟s daughter underwent surgery.
    She said that around the time of the Defendant‟s daughter‟s surgery, the Defendant and the
    codefendant argued and that the codefendant, the victim, and the codefendant‟s daughter left
    the family home and went to the codefendant‟s sister‟s home. The codefendant intended to
    stay overnight at her sister‟s home but left and went to the hospital to be with the Defendant‟s
    daughter. She said she remained at the hospital for three days, and her mother cared for the
    victim during that time. She said her mother‟s boyfriend also cared for the victim
    periodically.
    The codefendant testified that she spoke to her mother, Ms. Jarocki, about her
    concerns regarding the victim. The codefendant said that at the victim‟s two-week-old
    wellness visit, she discussed with the nurse practitioner that the victim was not “breathing
    clear enough” and was fussier than the daughters. She said the victim‟s formula was changed
    because the nurse practitioner thought the victim might have had colic. The codefendant said
    the nurse practitioner stated that the congestion was probably material remaining after the
    birth and that the codefendant should continue to suction the victim‟s nose until the material
    “pass[ed] on its own.”
    The codefendant testified relative to the June 10 incident that she was upstairs
    sleeping when the Defendant fell, that the Defendant woke her around midnight and told her
    what occurred, and that she examined the victim. She said that the victim “seemed fine” and
    not “bothered by” the fall. She said the victim was not crying. The following morning she
    saw a bruise on the victim‟s left cheek but said the bruise did not “seem to bother” the victim.
    She said that later the same day, she saw a spot of dried blood in the victim‟s left ear and that
    she took the victim to the emergency room. She reported the information to the medical
    personnel, who ordered a CT scan of the victim‟s head. She said the CT scan results were
    negative. She recalled that medical personnel asked if the Defendant had exerted force
    toward the victim and that she did not believe the Defendant had done anything improper.
    She said the victim was discharged from the hospital that evening.
    The codefendant testified that on June 15, she took the victim to his one-month
    wellness visit and that she expressed concerns about the victim‟s congestion, fussiness, and
    lack of appetite. She said she was told that the congestion was related to a virus and that she
    should continue to suction the victim‟s nose and to use saline drops. She was told the
    pediatrician‟s office would schedule an appointment for the victim with an ear, nose, and
    throat doctor. She said that when she called the office about the referral, nobody returned her
    call.
    -24-
    The codefendant testified relative to the June 21 incident that the victim woke around
    7:00 a.m., that she reached over to pick up the victim from his bassinet, that the Defendant
    told her to go back to sleep, and that the Defendant said he would feed the victim, change his
    diaper, and bring the victim to her when the Defendant left for work. She said that she fell
    asleep and that she next heard the Defendant yelling for her from the living room. She said
    she ran downstairs and found the Defendant and the victim on the floor. She said the victim
    was crying softly, almost whimpering. She thought the victim might have been in shock and
    saw that the victim‟s head was swollen. The victim had bruises behind his ears and on the
    right side of his forehead. The codefendant said that at the hospital, chest x-rays and a CT
    scan were performed and that the results were negative. She noted that nobody told her the
    victim‟s injuries were inconsistent with a fall and that the victim was released from the
    hospital by 12:30 p.m.
    The codefendant testified that when she and the victim arrived home from the
    hospital, two DCS caseworkers were there. The codefendant and the Defendant spoke with
    one of the DCS caseworkers, who inspected the home, examined and spoke with the children,
    and said it appeared the codefendant was doing everything correctly. The codefendant said
    that the DCS caseworker asked her to call him with information related to the victim‟s
    follow-up appointments. The codefendant said she requested Ms. Jarocki come to the home
    to examine the victim because the codefendant was concerned, although the hospital staff
    said the victim was fine. Ms. Jarocki examined the victim and also thought the victim was
    fine. The codefendant said that the Defendant was home when she and the victim arrived
    from the hospital and that the Defendant asked about the victim‟s condition. After the
    codefendant explained what the physicians told her about the victim‟s condition, the
    Defendant went upstairs to sleep. She recalled the Defendant‟s complaining his back hurt
    and said the Defendant had a “swollen knot” on his left lower back and a scratch on his leg.
    The codefendant testified that on the night of June 21, she and the Defendant were
    sitting on the sofa with the victim. She said that the Defendant noticed the victim‟s leg was
    swollen and that they decided to call the emergency room physician who treated the victim.
    The codefendant said that based upon her conversation with the physician, she took the
    victim to the pediatrician‟s office to the previously scheduled follow-up appointment on June
    22. The codefendant said she told Dr. Fernando about the victim‟s swollen leg and discussed
    the victim‟s continued issues with congestion and eating habits. She said an x-ray taken at
    the hospital on June 22 showed a tibia fracture. She said that nobody suggested the victim‟s
    injuries were caused by abuse. The codefendant took the victim to Dr. Voytik‟s office on
    June 26. The codefendant said that after discussing the x-rays with Dr. Voytik, the
    codefendant did not believe the victim‟s leg was fractured.
    -25-
    The codefendant testified that her statement at the children‟s hospital that she never
    allowed the victim out of her sight was not meant literally. She said that although she left the
    victim‟s presence to take showers, to sleep, to use the restroom, and to purchase groceries,
    she did not think the victim was away from her long enough for the injuries to have occurred.
    She said that she initially did not think the Defendant harmed the victim and that she would
    never have allowed the Defendant to be around the victim or her daughter had she thought
    the Defendant had harmed the victim.
    The codefendant testified that the Defendant‟s pain medication was prescribed for
    back pain, that she never saw the Defendant take the medication, and that the Defendant
    never appeared intoxicated. She never questioned the Defendant‟s ability to do anything
    properly. She never saw the Defendant act in a manner that would have caused her to believe
    the Defendant would hurt any of the children intentionally or unintentionally.
    On cross-examination, the codefendant testified that she met the Defendant in June
    2011 and that they were living together by August or September 2011. Relative to the
    Defendant‟s work schedule, she said that the Defendant worked for various people, that he
    worked when it was available, that his schedule varied, that he worked eight to twelve hours
    per day, and that he occasionally worked on the weekend. Relative to the children, she said
    the Defendant helped “quite a bit.” Relative to the argument she and the Defendant had in
    which she left the family home, she agreed she left the Defendant‟s daughter behind with the
    Defendant. She said she felt comfortable leaving the Defendant‟s daughter with him.
    The codefendant testified that she and the Defendant received the rug from Ms.
    Ledford shortly before the June 10 incident. The codefendant agreed the edges of the rug
    were curled upward and said the rug had been removed from the home before she came
    downstairs. She agreed that the Defendant told her what occurred when he woke her and that
    she examined the victim immediately. Relative to the June 21 incident, she agreed the
    Defendant screamed her name and that the Defendant did not attempt to conceal what had
    occurred.
    The codefendant testified that she never saw the Defendant do anything that caused
    her to suspect he caused the victim‟s injuries. Relative to the Defendant‟s suctioning the
    victim‟s nostrils, she said that she did not believe the Defendant was intentionally attempting
    to hold the victim‟s jaw and that the Defendant was only attempting to hold the victim still.
    She agreed that the Defendant could not “master that technique” and that it seemed “little bit
    above” the Defendant. Relative to the photograph showing the Defendant holding the victim
    with one hand away from the Defendant‟s body, the codefendant said she thought she was
    -26-
    home when the photograph was taken but could not recall if she was in the room. She said
    the Defendant did not have a habit of “holding his child like a pizza.”
    The codefendant testified that on July 4, the Defendant‟s daughter and the victim were
    in the living room, that the codefendant left the room, that the codefendant returned, and that
    the Defendant‟s ten-month-old daughter was on the victim. The codefendant said that as she
    picked up the Defendant‟s daughter, the Defendant‟s daughter held onto and pulled the
    victim‟s ear. She said the victim was lying in a rocker that was sitting on the floor. She
    thought the Defendant was in the kitchen but was unsure. She said that to her knowledge, the
    Defendant never hit or kicked the victim. She said that when she told the Defendant to stop
    “play boxing” with the victim, the Defendant stopped.
    The codefendant testified that the Defendant always wore his socks pulled out and
    tucked under his feet. She agreed wearing socks in that manner was hazardous, especially
    when walking up stairs. She never believed the Defendant “staged” the victim or himself on
    June 21. She said that although she had plenty of time to think about how the victim was
    injured, she could only recall the Defendant‟s falling twice while holding the victim as the
    causes. Relative to the Defendant‟s pain medication, she said she did not know the quantity
    the Defendant took.
    The codefendant testified that based upon the medical evidence presented at the trial
    and the timeline of the injuries, she believed the Defendant was responsible for the victim‟s
    injuries. She denied harming the victim and said no other explanation existed for the injuries.
    She denied noticing signs that the victim was being abused. Relative to the June 10 incident,
    she said the Defendant lied when he testified that the Defendant did not wake her. She said
    the Defendant woke her after falling while holding the victim. She said, “I heard him testify
    yesterday to quite a few things that were not the truth.” Relative to the June 21, incident, she
    said the Defendant‟s testimony that the victim was screaming when the codefendant came
    downstairs was false and that the victim was only whimpering. She agreed that although she
    was home at the time of the June 10 and 21 falls, she was not present and did not know what
    occurred.
    The codefendant testified that she did not shake the victim because she was frustrated
    with the victim‟s fussiness and having three children in the home. She agreed that the
    medical testimony showed the victim‟s injuries could not have been caused by the
    Defendant‟s ten-month-old daughter and said that she only provided the police with
    information about the incident involving the Defendant‟s daughter because she was asked to
    list any incident she thought might have caused the victim‟s injuries. She denied blaming the
    Defendant‟s daughter for the victim‟s injuries.
    -27-
    The codefendant testified that the Defendant worked “a few days” per week and that
    he was home if he was not at work. She said she might have left the children with the
    Defendant for a few hours to run errands and to purchase groceries, but she denied leaving
    the victim with the Defendant for an entire day. She said that although she knew the victim
    was uncomfortable because of his fussiness, she did not know the victim was in pain.
    Upon this evidence, the Defendant was convicted of aggravated child abuse. The
    codefendant was acquitted of all charges. This appeal followed.
    As a preliminary matter, the State contends that the Defendant filed an untimely
    motion for a new trial and that as a result, the Defendant‟s notice of appeal was untimely.
    The State requests this court to dismiss the appeal because of the untimely notice of appeal,
    and alternatively, to waive the Defendant‟s issue related to his request for a mistrial because
    of the untimely motion for a new trial. In his reply brief, the Defendant concedes the motion
    for a new trial was untimely and requests this court to consider his appeal in the interest of
    justice.
    Tennessee Criminal Procedure Rule 33(b) states, “A motion for a new trial shall be in
    writing . . . within thirty days of the date the order of sentence is entered.” The thirty-day
    requirement is mandatory and jurisdictional and cannot be waived. State v. Martin, 
    940 S.W.3d 567
    , 569 (Tenn. Crim. App. 1997); see Tenn. R. Crim. P. 45(b)(3) (stating, in
    relevant part, that a trial court may not extend the time for taking any action pursuant to
    Criminal Procedure Rule 33). This court “does not have the authority to waive the untimely
    filing of a motion for new trial.” State v. Patterson, 
    966 S.W.2d 435
    , 440 (Tenn. Crim. App.
    1997); see T.R.A.P. 4(a). “A motion for a new trial which is not timely filed is a nullity.”
    State v. Dodson, 
    780 S.W.2d 778
    , 780 (Tenn. Crim. App. 1989). As a result, a trial court has
    no jurisdiction to hold a hearing or render a ruling on an untimely motion for a new trial. See
    State v. Martin, 
    940 S.W.2d 567
    , 569 (Tenn. 1997).
    The record reflects that the sentencing hearing was held and the judgment form was
    filed on February 10, 2014. Although the motion for a new trial does not reflect a trial court
    stamp-filed date, the certificate of service reflects that the motion was submitted on March
    20, 2014. The Defendant‟s motion for a new trial was untimely, and he has waived his right
    to appeal any issues contained in the motion, except sufficiency of the evidence and
    sentencing. See 
    Patterson, 966 S.W.2d at 440
    (citing State v. Givhan, 
    616 S.W.2d 612
    , 613
    (Tenn. Crim. App. 1980)); see also State v. Davis, 
    748 S.W.2d 206
    , 207 (Tenn. Crim. App.
    1987) (limiting appellate review to issues that would result in a dismissal when a motion for
    a new trial is untimely).
    -28-
    The record also reflects that the trial court‟s order denying the Defendant‟s motion for
    a new trial was entered on September 9, 2014, and that the notice of appeal was filed on
    September 22, 2014. Although the notice of appeal was filed within thirty days of the order
    denying the motion for a new trial, the untimely motion for a new trial does “not toll or defer
    the thirty-day period for filing the notice of appeal.” 
    Davis, 748 S.W.2d at 207
    ; see T.R.A.P.
    4(a), (c). As a result, the notice of appeal was untimely. However, the timely filing of a
    notice of appeal is not jurisdictional, and this court is permitted to waive the timely filing in
    the interest of justice. T.R.A.P. 4(a). Although this court lacks jurisdiction to consider the
    Defendant‟s issue relative to the motion for a mistrial, we will consider the sufficiency of the
    evidence and the sentence imposed by the trial court in the interest of justice.
    I
    Sufficiency of the Evidence
    The Defendant contends that the evidence is insufficient to support his conviction. He
    argues that the State failed to prove that he inflicted any injury by non-accidental means, that
    he knowingly caused serious bodily injury, and that he exercised exclusive control over the
    victim, excluding the possibility that other people inflicted the victim‟s non-accidental
    injuries. The State responds that the evidence is sufficient. We agree with the State.
    In determining the sufficiency of the evidence, the standard of review 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); see State v. Vasques, 
    221 S.W.3d 514
    , 521
    (Tenn. 2007). The State is Aafforded the strongest legitimate view of the evidence and all
    reasonable inferences@ from that evidence. 
    Vasques, 221 S.W.3d at 521
    . The appellate
    courts do not “reweigh or reevaluate the evidence,” and questions regarding “the credibility
    of witnesses [and] the weight and value to be given the evidence . . . are resolved by the trier
    of fact.” State v. Bland, 
    958 S.W.2d 651
    , 659 (Tenn. 1997); see State v. Sheffield, 
    676 S.W.2d 542
    , 547 (Tenn. 1984).
    “A crime may be established by direct evidence, circumstantial evidence, or a
    combination of the two.” State v. Hall, 
    976 S.W.2d 121
    , 140 (Tenn. 1998); see also State v.
    Sutton, 
    166 S.W.3d 686
    , 691 (Tenn. 2005). “In the absence of direct evidence, a criminal
    offense may be established exclusively by circumstantial evidence.” State v. Dorantes, 
    331 S.W.3d 370
    , 379 (Tenn. 2011). “The standard of review „is the same whether the conviction
    is based upon direct or circumstantial evidence.‟” 
    Id. (quoting State
    v. Hanson, 
    279 S.W.3d 265
    , 275 (Tenn. 2009)).
    -29-
    In relevant part, “[a] person commits the offense of aggravated child abuse . . . who
    commits the offense of child abuse, as defined in § 39-15-401(a) . . . and . . . [t]he act of
    abuse . . . results in serious bodily injury to the child.” T.C.A. § 39-15-402(a)(1). Generally,
    the offense is a Class B felony, but the offense is a Class A felony if the abused child is eight
    years of age or less. 
    Id. § 39-15-402(b).
    A person commits a form of child abuse “who
    knowingly, other than by accidental means, treats a child under eighteen (18) years of age in
    such a manner as to inflict injury.” 
    Id. § 39-15-401(a)
    (2014). A person acts “knowingly”
    with respect to the conduct or to circumstances surrounding the conduct when
    the person is aware of the nature of the conduct or that the circumstances exist.
    A person acts knowingly with respect to a result of the person‟s conduct when
    the person is aware that the conduct is reasonably certain to cause the result.
    
    Id. § 39-11-106(a)(20)
    (Supp. 2011) (amended 2014); see 
    id. § 39-11-302(b)
    (2014).
    The Criminal Code provides serious bodily injury includes “[a] broken bone of a child who is
    eight (8) years of age or less.” 
    Id. § 39-11-106(a)(34)(F).
    Relative to aggravated child
    abuse, serious bodily injury against a child includes “a fracture of any bone[.]” 
    Id. § 39-15-
    402(d).
    In the light most favorable to the State, the record reflects that the victim, who was
    less than two months old during the relevant time frame, sustained at least fifteen bone
    fractures. Relative to the Defendant‟s argument that the State failed to establish that he
    exercised exclusive control over the victim, excluding the possibility that others inflicted the
    victim‟s non-accidental injuries, the jury‟s verdicts reflect that it credited the codefendant‟s
    testimony that she did not harm the victim. The other individuals who had access to the
    victim during the time in which the victim sustained the multiple bone fractures were Ms.
    Jarocki, Ms. Lewis, Ms. Gibson, Ms. Bells and the Defendant. Relative to Ms. Jarocki, Ms.
    Lewis, Ms. Gibson, and Ms. Bells, the jury‟s verdict reflects that it credited each witnesses‟
    testimony and found that none of them inflicted the victim‟s injuries. Relative to the
    Defendant, though, the verdict reflects that the jurors discredited the Defendant‟s testimony
    that he only inflicted accidental trauma as the result of his falling while holding the victim on
    June 10 and 21. Questions regarding witness credibility and conflicts in the evidence were
    resolved by the jury. 
    Bland, 958 S.W.2d at 659
    ; see 
    Sheffield, 676 S.W.2d at 547
    . We note
    that the victim‟s bone fractures were sustained between June 5 and July 6 based upon when
    the fractures were visible on the x-rays and the various rates of healing and that the record
    reflects that Ms. Jarocki, Ms. Lewis, Ms. Gibson, or Ms. Bells‟s access to the victim was
    limited during the relevant period. Although the codefendant was the victim‟s primary
    caretaker, the Defendant cared for the victim when he was home and not working. Although
    none of the prosecution‟s witnesses saw the Defendant inflict the victim‟s non-accidental
    -30-
    injuries, the codefendant testified that the Defendant was alone with the victim when the
    codefendant shopped for groceries, slept, used the restroom, and showered. Dr. Garcia
    testified that the fractures would have been inflicted within seconds. As a result, we
    conclude that the jury could have reasonably found that the Defendant exercised exclusive
    control over the victim in which to inflict the victim‟s bone fractures.
    Relative to the Defendant‟s argument that the State failed to prove that he inflicted
    any bone fracture by non-accidental means and that he knowingly caused serious bodily
    injury, the record reflects that Dr. Sammer concluded that the victim‟s fractures were
    consistent with shaking and blunt force trauma. Genetic disorders, metabolic disorders, and
    organic diseases were excluded as causes for the fractures. Dr. Garcia stated that corner
    fractures did not result from casual bouncing, shaking, jostling, and tossing a child in the air
    and that corner fractures were the result of non-accidental trauma and physical abuse. Dr.
    Garcia concluded that, based upon the various fractures and healing rates, four events
    occurred between June 5 and July 10 and that the victim sustained seven corner fractures.
    Assuming the jury credited the Defendant‟s testimony that he fell twice while holding the
    victim, two events remained unexplained. Although Dr. Garcia testified that the bruise on
    the victim‟s face was consistent with the June 10 fall as reported by the Defendant, the
    fractured mandible was sustained before June 10 based upon the healing fracture visible on
    the June 10 x-ray. Dr. Garcia conceded the skull fracture was consistent with the June 21 fall
    as reported by the Defendant, but she stated that rib corner fractures as sustained by the
    victim were consistent with a shaking-type motion. Dr. Garcia concluded that the victim
    sustained the fractures as a result of non-accidental trauma and was physically abused. As
    we have stated, a bone fracture sustained by a child who is age eight or less is defined by our
    statutes as serious bodily injury. See T.C.A. § 39-11-106(a)(34)(F); 
    id. § 39-15-402(d).
    We
    conclude that the jury could have found beyond a reasonable doubt that the Defendant
    inflicted the victim‟s injuries by non-accidental means and that the Defendant knowingly
    caused serious bodily injury. Likewise, we conclude that sufficient evidence exists to
    support the conviction and that the Defendant is not entitled to relief on this basis.
    II
    Motion for a Mistrial
    The Defendant contends that the trial court erred by denying his request for a mistrial
    after Detective Wattenbarger testified that Ms. Jarocki offered to undergo a polygraph
    examination in an effort to exclude her as the person who inflicted the victim‟s injuries. As
    previously stated, the Defendant‟s untimely motion for a new trial deprives this court of the
    jurisdiction to review the issue. The Defendant is not entitled to relief on this basis.
    -31-
    III
    Sentencing
    The Defendant contends that his sentence is excessive. He argues that the trial court
    erroneously applied enhancement factors and failed to apply a mitigating factor. See T.C.A.
    §§ 40-35-113 (2014), 40-35-114 (2014). The Defendant requests a fifteen-year sentence.
    The State responds that the trial court properly applied enhancement and mitigating factors
    and that that the Defendant‟s sentence is reasonable.
    As a preliminary matter, we note that the Defendant erroneously cites to the de novo
    standard of review of sentencing determinations. Our supreme court delineated the current
    review standard involving questions related to the length of a sentence in State v. Bise, 
    380 S.W.3d 682
    (Tenn. 2012), three years previously. This court reviews challenges to the length
    of a sentence within the appropriate sentence range “under an abuse of discretion standard
    with a „presumption of reasonableness.‟” 
    Bise, 380 S.W.3d at 708
    . A trial court must
    consider any evidence received at the trial and sentencing hearing, the presentence report, the
    principles of sentencing, counsel‟s arguments as to sentencing alternatives, the nature and
    characteristics of the criminal conduct, any mitigating or statutory enhancement factors,
    statistical information provided by the Administrative Office of the Courts as to sentencing
    practices for similar offenses in Tennessee, any statement that the defendant made on his own
    behalf, and the potential for rehabilitation or treatment. State v. Ashby, 
    823 S.W.2d 166
    , 168
    (Tenn. 1991) (citing T.C.A. §§ 40-35-103 (2014), -210 (2014); State v. Moss, 
    727 S.W.2d 229
    , 236 (Tenn. 1986); State v. Taylor, 
    744 S.W.2d 919
    (Tenn. Crim. App. 1987)); see
    T.C.A. § 40-35-102 (2014).
    Likewise, a trial court‟s application of enhancement and mitigating factors is reviewed
    for an abuse of discretion with “a presumption of reasonableness to within-range sentencing
    decisions that reflect a proper application of the purposes and principles of our Sentencing
    Act.” 
    Bise, 380 S.W.3d at 706-07
    . “[A] trial court‟s misapplication of an enhancement or
    mitigating factor does not invalidate the sentence imposed unless the trial court wholly
    departed from the 1989 Act, as amended in 2005.” 
    Id. at 706.
    “So long as there are other
    reasons consistent with the purposes and principles of sentencing, as provided by statute, a
    sentence imposed . . . within the appropriate range” will be upheld on appeal. 
    Id. At the
    sentencing hearing, the presentence report was received as an exhibit. The
    report reflects that the Defendant had a previous conviction for driving with a revoked
    license. The Defendant was previously charged with drag racing and domestic assault, both
    of which were dismissed. Although the domestic assault charge was dismissed upon
    -32-
    payment of court costs and fines, the Defendant was placed on probation pending full
    payment and violated his probation for nonpayment and failure to report to his probation
    officer. More than one year later, the Defendant‟s probation was revoked again, and he was
    ordered to serve thirty days in confinement. The Defendant completed the tenth grade but
    did not graduate from high school. The Defendant reported good mental and physical health,
    although he suffered from scoliosis and had developed diabetes before the trial. The
    Defendant reported he first drank alcohol at age eighteen, drank socially, always remained
    sober while drinking, and stopped drinking by the end of 2010. The Defendant reported
    smoking marijuana between ages sixteen and twenty-two and said he stopped using drugs for
    employment-related reasons.
    Victim impact statements were included in the presentence report. Teresa Lewis, the
    victim‟s maternal grandmother and legal guardian, discussed her becoming a parent to the
    codefendant‟s daughter and to the victim. She said the victim required future nose surgery
    and possibly eye surgery. She noted that the codefendant‟s daughter suffered emotional
    injury as a result of her family being “ripped” from her. Ms. Lewis said the codefendant‟s
    daughter had been in counseling because of the stress and noted the codefendant‟s daughter
    “cried, . . . wet the bed and had nightmares.” Ms. Lewis requested the Defendant receive the
    maximum sentence and never be permitted to have contact with the children.
    Gary Lewis, the victim‟s paternal grandfather and legal guardian, discussed the
    victim‟s living with him and Ms. Lewis. He said that although the victim was strong and
    intelligent, the victim‟s physicians did not know the long term effects of the victim‟s injuries.
    Although Mr. Lewis had no opinion about the length of the Defendant‟s sentence, Mr. Lewis
    wanted the Defendant‟s parental rights terminated.
    Probation and Parole Officer Judith Hilton-Coffman prepared the Defendant‟s
    presentence report. She provided testimony consistent with the presentence report she
    prepared relative to the Defendant‟s criminal history, education, mental and physical health,
    and medical history. She said the Defendant did not mention taking pain medication at the
    time of the offense. Ms. Hilton-Coffman did not speak to the Defendant‟s family. She said
    the Defendant‟s employment history was sporadic, noting the Defendant‟s working for Sys-
    Tech, Progressive Logistics, and a plumbing company.
    Ms. Hilton-Coffman testified that although the Defendant did not submit a statement,
    he mentioned to her that he did not know how the victim sustained the bone fractures.
    Relative to the victim impact statements, Ms. Hilton-Coffman said the long term effects of
    the victim‟s injuries were still unknown. She noted the victim would most likely require
    surgery in the future. She said that her primary duty was to prepare presentence reports and
    -33-
    that she had never seen a child abuse case in which an infant victim had been subjected to
    such violence.
    Mary Lou Allen, the Defendant‟s mother, testified for the defense that the Defendant
    was born in Texas and that he moved to Tennessee to live with her when he was age twelve
    or thirteen. She said the Defendant was a good child and helped around the house when he
    was a teenager. She noted the Defendant worked for people in the neighborhood performing
    odd jobs as a teenager. She said the Defendant had always had a good work ethic.
    Ms. Allen testified that the Defendant had three children and that she had never seen
    the Defendant abuse any of his children. She said relative to the Defendant‟s daughter who
    was ten months old at the time of the incidents, the Defendant sought custody of his daughter
    because of the mother‟s drug addiction. The mother of the Defendant‟s oldest child moved
    to Chicago with the son shortly after the birth. She said that the Defendant, the codefendant,
    and their respective daughters lived with Ms. Allen for two or three months in October 2011
    or 2012. Ms. Allen said the Defendant helped take care of the children when he was not at
    work. She said that the Defendant worked regularly, unless he was laid off, and that the
    Defendant took an active role in his children‟s lives. She denied that the Defendant abused
    or neglected his children.
    Ms. Allen testified that after the victim was released from the hospital on the day the
    Defendant fell while holding the victim, she spoke to the Defendant, who asked her to go to
    his and the codefendant‟s home to check on the victim. Ms. Allen said the victim looked fine
    to her, although the codefendant asked her to look at the victim‟s head. The codefendant
    mentioned the victim‟s head was swollen. Upon further examination, Ms. Allen saw that the
    victim‟s head was swollen and asked why the hospital allowed the victim to go home. While
    at the home, Ms. Allen saw the codefendant‟s five-year-old daughter doing cartwheels and
    said the victim was almost kicked in the head. She denied she blamed the daughter for the
    victim‟s injuries.
    On cross-examination, Ms. Allen testified that she had no knowledge of the Defendant
    and the codefendant‟s fighting at the hospital when the victim was born. She identified the
    photograph of the Defendant holding the victim with one hand away from the Defendant‟s
    body and said that the manner in which the Defendant held the victim was not inappropriate
    when done properly. She noted the Defendant was proud of having a son. She denied she
    blamed the codefendant and the daughters for the victim‟s injuries and said she knew her son
    did not cause the victim‟s injuries.
    -34-
    Ms. Allen testified relative to the Defendant‟s domestic violence charge that the
    mother of the Defendant‟s daughter “started the whole thing” and that witnesses saw the
    Defendant was innocent. She noted the daughter‟s mother was charged with domestic
    violence against the Defendant.
    The trial court stated that in determining the Defendant‟s sentence it had reviewed the
    sentencing guidelines, considered the evidence and exhibits presented at the trial, and
    considered the proof at the sentencing hearing. Relative to mitigating factors, the trial court
    found that none of the factors applied. Although the Defendant requested the court apply
    factor (6), the court refused. See 
    id. § 40-35-113(6)
    (“The defendant, because of youth . . . ,
    lacked substantial judgment in committing the offense[.]”). The court noted that the
    Defendant “did it over and over, and over and over, and over and over, and over and over,
    and over and over again.”
    Relative to enhancement factors, the court found that factor (1) applied because the
    Defendant had a “history of convictions,” although the Defendant had no previous felony
    convictions. See T.C.A. § 40-35-114(1) (“The defendant has a previous history of criminal
    convictions or criminal behavior, in addition to those necessary to establish the appropriate
    range[.]”). The court noted it did not place much weight on this factor because the Defendant
    “barely ha[d] a criminal record.” The court found that factor (3) applied because the
    evidence showed more than one victim. See 
    id. § 40-35-113(3)
    (“The offense involved more
    than one (1) victim[.]”). The court noted the presentence report showed “proof of
    psychological and emotional injury” to the codefendant‟s daughter. The court found that the
    daughter had been receiving counseling, had nightmares, had wet the bed, and had cried
    because her family “was ripped apart by this act.” The trial judge stated that “I do weigh that
    factor of enhancement in this matter.” The court found that factor (14) applied because the
    photograph of the Defendant holding the victim with one hand away from the Defendant‟s
    body showed a “picture of vulnerability . . . [and] a picture of trust.” See 
    id. § 40-35-114
    (14) (“The defendant abused a position of . . . private trust . . . in a manner that significantly
    facilitated the commission or the fulfillment of the offense[.]”). The court weighed heavily
    upon this factor. The court refused to apply factors (4), (5), (10), and (12). See 
    id. § 40-35-
    113(4) (“The victim of the offense was particularly vulnerable because of age or physical or
    mental disability[.]”); -113(5) (“The defendant treated, or allowed a victim to be treated, with
    exceptional cruelty during the commission of the offense[.]”); -113(10) (“The defendant had
    no hesitation about committing a crime when the risk to human life was high[.]”); -113(12)
    (“During the commission of the felony, the defendant intentionally inflicted serious bodily
    injury upon . . . a victim[.]”). The court sentenced the Defendant to twenty-three years‟
    confinement.
    -35-
    Relative to enhancement factor (1) regarding previous criminal convictions and
    behavior, the Defendant states in his brief that he had only one prior conviction for driving
    with a revoked license, which is supported by the record. Although he notes that the State
    did not request application of this factor, he fails to state how the trial court abused its
    discretion by applying this factor and fails to cite to any legal authority reflecting application
    of this factor in the present case was erroneous. In any event, application of factor (1) is
    appropriate. Although a misdemeanor, the Defendant was previously convicted of a criminal
    offense. Likewise, the Defendant admitted during the presentence investigation that he had
    smoked marijuana. The Defendant‟s criminal conviction and criminal conduct reflect a
    previous history of “criminal convictions or criminal behavior.” We note that the trial court
    placed little weight on this factor because the court found that the Defendant “barely ha[d] a
    criminal record.” Application of this factor was not improper.
    Relative to enhancement factor (3) regarding more than one victim, the Defendant
    argues that no allegation was made during any of the proceedings that more than one victim
    existed and that the trial court should not have considered the codefendant‟s five-year-old
    daughter as a victim for sentencing purposes. Again, he does not cite to any legal authority
    showing application of this factor was erroneous. In any event, the record reflects that the
    trial court applied this factor because of the “psychological and emotional injury” to the
    codefendant‟s daughter based on the information provided in the victim impact statement.
    In State v. Imfeld, 
    70 S.W.3d 698
    (Tenn. 2002), our supreme court addressed the application
    of enhancement factor (3) in the context of aggravated assault. The court noted that
    convictions for aggravated assault were obtained based upon a named victim and that the
    “statutory language of the „multiple victims‟ factor . . . limits its application to „an offense‟
    involving more than one (1) victim.” 
    Id. at 705-706.
    (emphasis in original). The court
    concluded that “there cannot be multiple victims for any one offense of aggravated assault
    committed against a specific, named victim.” 
    Id. at 706.
    In contrast, our supreme court
    concluded that factor (3) was applicable to aggravated arson convictions because the offense
    does “not permit multiple convictions in spite of the fact that multiple persons” might be
    victimized by a fire. State v. Lewis, 
    44 S.W.3d 501
    , 508 (Tenn. 2001).
    In State v. Gabriel Cordova Delarosa, No. E2008-01940-CCA-R3-CD, 
    2010 WL 454806
    , at *5 (Tenn. Crim. App. Feb. 10, 2010), this court reached a similar conclusion to
    Imfeld in the context of vehicular homicide. This court concluded that application of factor
    (3) was improper for a vehicular homicide conviction because the offense had a specific,
    named victim and that factor (3) “cannot apply . . . where the charge is necessarily limited to
    a specific, named victim.” 
    Id. (citing Imfeld,
    70 SW.3d at 705-06). Likewise, in State v.
    Mark Allen Haskett, No. E2001-00600-CCA-R3-CD, 
    2002 WL 31431498
    , at *10 (Tenn.
    Crim. App. Oct. 31, 2002), the trial court applied factor (3) to enhance a sentence for assault
    -36-
    on the basis that the Defendant‟s four-year-old daughter was present when the Defendant
    assaulted his former wife. Relying on Imfeld, this court concluded that application of factor
    (3) was improper because “there cannot be multiple victims for an offense committed against
    a specific, named victim.” 
    Id. (citing Imfeld,
    70 S.W.3d at 705-706).
    In the present case, the Defendant was convicted of aggravated child abuse of a child
    eight years of age or less. See T.C.A. § 39-15-402; 39-15-401(a). The offense requires a
    named victim because the State must prove beyond a reasonable doubt that a defendant
    knowingly treated a child, other than by accidental means, in such a manner as to inflict
    injury. 
    Id. § 39-15-401(a)
    . Likewise, the State is required to prove beyond a reasonable
    doubt that the abuse resulted in “serious bodily injury to the child.” 
    Id. § 39-15-
    402(a)(1)
    (emphasis added). We note the indictment contained one count of aggravated child abuse
    against the infant victim. The codefendant‟s daughter was not identified as a victim in the
    indictment. As a result, we conclude that the trial court‟s application of factor (3) was
    improper.
    Relative to enhancement factor (14) regarding a position of trust, the Defendant
    argues that the trial court‟s reliance on the photograph showing the Defendant holding the
    victim with one hand away from the Defendant‟s body to find the Defendant abused a
    position of trust was erroneous. He argues, rather, that the photograph shows “a loving
    relationship between father and son.” The trial court‟s comments regarding the photograph
    do not reflect that it found a depiction of abuse in the photograph. The court‟s statement
    reflects that an infant only a few weeks old was vulnerable and at the mercy of his parents to
    provide life necessities. The Defendant was the victim‟s father, and as a result, held a
    position of private trust. The Defendant was alone with the victim because he was the
    victim‟s father, and the Defendant‟s position of trust facilitated the commission of the
    offense. The court‟s application of factor (14) was proper.
    Relative to mitigating factor (6) regarding the Defendant‟s lacking substantial
    judgment, the Defendant argues that the trial court erred by refusing to find the factor
    applicable. Likewise, he argues that the court‟s stating that he “did it over and over, and over
    and over, and over and over, and over and over, and over and over again,” was a
    mischaracterization of the evidence because he was only indicted for one count of aggravated
    child abuse and because the evidence did not establish multiple incidents of abuse. Although
    the Defendant correctly notes that he was only indicted for one count of aggravated child
    abuse, the expert testimony at the trial established that multiple events occurred, resulting in
    the victim‟s fifteen or sixteen bone fractures. The varying rates of healing bone fractures and
    the varying amount of callus found in the victim‟s x-rays taken at differing times supports a
    finding that the Defendant engaged in a pattern of abusive conduct on at least four occasions
    -37-
    that caused the victim‟s injuries. We note that although some of the victim‟s injuries were
    consistent with the Defendant‟s reported falls, some of the victim‟s injuries were sustained
    before and after those incidents and were inconsistent with falling and consistent with non-
    accidental trauma. The trial court did not abuse its discretion by refusing to apply factor (6).
    Although we have concluded that the trial court improperly applied enhancement
    factor (3), the Defendant is not entitled automatically to relief. “[A] trial court‟s
    misapplication of an enhancement or mitigating factor does not invalidate the sentence
    imposed unless the trial court wholly departed from the 1989 Act, as amended in 2005.”
    
    Bise, 380 S.W.3d at 706
    . “So long as there are other reasons consistent with the purposes
    and principles of sentencing, as provided by statute, a sentence imposed . . . within the
    appropriate range” will be upheld on appeal. 
    Id. The Defendant
    received a within-range
    sentence for a Class A felony, and the record reflects that the trial court complied with the
    purposes and principles of sentencing. The court properly applied two enhancement factors
    and weighed heavily upon factor (14) in determining the Defendant‟s sentence. We note that
    the victim‟s injuries consisted of fifteen or sixteen bone fractures that were inflicted during at
    least four incidents between June 5 and July 6. The trial court did not abuse its discretion by
    imposing a twenty-three-year sentence. The Defendant is not entitled to relief on this basis.
    In consideration of the foregoing and the record as a whole, we affirm the judgment of
    the trial court.
    _____________________________________
    ROBERT H. MONTGOMERY, JR., JUDGE
    -38-