State v. Morley , 2019 UT App 172 ( 2019 )


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    2019 UT App 172
    THE UTAH COURT OF APPEALS
    STATE OF UTAH,
    Appellee,
    v.
    TISHA LYNN MORLEY,
    Appellant.
    Opinion
    No. 20170957-CA
    Filed October 24, 2019
    Second District Court, Ogden Department
    The Honorable Scott M. Hadley
    No. 141900806
    Emily Adams and Cherise M. Bacalski, Attorneys
    for Appellant
    Sean D. Reyes and Jeffrey S. Gray, Attorneys
    for Appellee
    JUDGE KATE APPLEBY authored this Opinion, in which
    JUDGES MICHELE M. CHRISTIANSEN FORSTER and JILL M. POHLMAN
    concurred.
    APPLEBY, Judge:
    ¶1     A jury convicted Tisha Lynn Morley of child abuse
    homicide and she was sentenced to five years to life in prison.
    Morley contends she received ineffective assistance of counsel
    when her attorney failed to object to (1) the testimony of one of
    the State’s expert witnesses and (2) the State’s introduction of
    certain photographs and a video depicting a toddler attempting
    to pick up a cardiopulmonary resuscitation (CPR) doll. Morley
    urges us to either direct the district court to enter judgment for
    the lesser included offense of negligent homicide or remand the
    case for a new trial. We affirm.
    State v. Morley
    BACKGROUND 1
    Victim’s Injury and Death
    ¶2     The morning of February 19, 2014, began as any other for
    one mother (Mother). On her way to work, she dropped off her
    two sons, a three-year-old (Brother) and an eight-month-old
    (Victim), at Morley’s in-home daycare. Mother recalled Victim
    “was his normal self, smiling, happy, playful.”
    ¶3      Morley claimed that, later in the morning, she left Victim
    on a mat on the floor with several three- and four-year-old
    children, including Brother, while she disinfected toys in another
    area of the house. The children were left unsupervised, playing
    with blocks and other games for about twenty minutes. Upon
    Morley’s return, Victim was still on the mat and was crying
    uncontrollably and seemed tired but would not take a nap. She
    said Victim remained tired and fussy throughout the day—at
    times inconsolable—and he had vomited. Despite this, after
    Mother sent Morley a text message at 3:09 p.m. asking how the
    boys were doing, Morley responded at 4:19 p.m. they were “ok”
    and Victim “ha[d] slept a lot.” She reported Victim had eaten a
    little but “absolutely would not take a bottle” and was currently
    sleeping.
    ¶4    The boys’ father (Father) arrived shortly after 5:00 p.m. to
    pick up Victim and Brother. Victim had vomited and was limp,
    unresponsive, and cold to the touch. Morley sprinkled water on
    1. “On appeal from a jury verdict, we view the evidence and all
    reasonable inferences in the light most favorable to that verdict
    and recite the facts accordingly. We include conflicting evidence
    as relevant and necessary to understand the issues on appeal.”
    State v. Dozah, 
    2016 UT App 13
    , ¶ 2, 
    368 P.3d 863
     (quotation
    simplified).
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    his face in an attempt to awaken him, to no avail. Father took the
    boys home, where he met Mother, and the family rushed Victim
    to the emergency room.
    ¶5     At the hospital, a CAT scan revealed Victim had “a severe
    skull fracture.” He was flown to a children’s hospital where,
    three days later, Mother and Father were told he would never
    regain consciousness. Mother and Father removed life support
    and Victim died hours later.
    ¶6     An autopsy revealed significant bruising behind Victim’s
    right ear, a skull fracture, brain swelling, and bleeding in both
    eyes. Both of his arms had fractures to the humerus, 2 an injury
    which the medical examiner testified was “an uncommon site for
    a fracture” and is “most commonly seen . . . in child abuse.” The
    medical examiner concluded the cause of Victim’s death was
    blunt force injury to the head and classified the death as a
    homicide. An ocular pathologist analyzed Victim’s eyes and
    found significant retinal hemorrhaging in each of them, which
    indicated “non-accidental trauma . . . consistent with abusive
    head trauma.”
    The Investigation
    ¶7     Based on Victim’s injuries, the police were notified about
    “a child that had received a head injury,” and an officer was
    directed to interview Morley because Victim was injured at her
    house. When the officer asked Morley where Victim could have
    hit his head, Morley theorized he could have banged it on the
    highchair because he had been “rocking his head back and
    forth” while sitting in it. The officer examined the highchair,
    which was made of pliable plastic with rounded corners. The
    2. The humerus is “the long bone of the upper arm.” Humerus,
    Webster’s Third New International Dictionary (1968).
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    officer told Morley he was looking for something harder or
    sharper that could have caused a skull fracture. Instead of
    responding to the officer, Morley addressed her husband,
    inquiring whether he knew about a large, crescent-shaped crack
    on the top of their changing table. Morley wondered if her
    three-year-old daughter caused the crack because she often
    climbed onto the table to get into the attached crib. 3 Morley said
    the crack had “just now” come to her attention and she could not
    remember whether she changed Victim on it the day he was
    injured. When the officer inspected the changing table, the crack
    was covered with a blanket and a support beam was visible
    through the crack.
    ¶8     In the following days, investigators interviewed some of
    the children who were at Morley’s house for daycare when
    Victim was injured. A few weeks later, they were notified that
    another child (Child), who was not interviewed initially, claimed
    Brother was the one who hurt Victim. Child told investigators
    Brother picked up Victim with one hand, threw him down,
    kicked him, slammed his head in a door, and jumped on him
    when Morley went downstairs and left Victim unattended with
    the older children. Child also told investigators Brother drew on
    Victim’s face and Victim was bleeding, but there was no
    evidence that either of these things occurred. Child also claimed
    Victim was already dead by the time Morley returned from
    disinfecting toys.
    ¶9    In an attempt to corroborate Child’s claim, investigators
    obtained a CPR doll; it was several inches shorter than Victim.
    They stuffed its chest with weights to make it weigh slightly
    over 12.5 pounds to get closer to Victim’s weight of about 17
    3. Indeed, several days later, Morley’s daughter told
    investigators she broke the table after climbing onto it to get into
    the crib.
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    State v. Morley
    pounds. Investigators then made a video recording of Brother
    attempting to pick up the doll; although it was shorter and
    lighter than Victim, Brother was able to lift only part of it a few
    inches off the ground. This experiment led investigators to
    conclude Brother was physically unable to inflict the injuries
    Victim sustained.
    ¶10 The State charged Morley with child abuse homicide on
    the theory that, in a fit of frustration and rage, she grabbed
    Victim by the arms, shook him, and slammed his head on the
    changing table. Morley’s defense centered on the theory that
    Brother inflicted the injuries when she left the children
    unattended. Morley maintained that her daughter caused the
    crack on the changing table.
    The Trial
    ¶11 At trial, the State called five experts to testify: the child
    abuse pediatrician who had consulted on Victim’s case at the
    children’s hospital, the ocular pathologist who examined
    Victim’s eyes, the medical examiner who performed the autopsy,
    a pediatric neuroradiologist who reviewed Victim’s MRI and
    CAT scans (collectively, Other Experts), and the biomechanical
    engineer (Engineer) who opined on the force necessary to cause
    Victim’s injuries.
    ¶12 Engineer ruled out constrained force as the source of
    Victim’s skull fracture, which is when “one side of the head is
    against another object” and “force is applied opposite that,”
    because there was not “an equal and opposite force on the face.”
    Instead, Engineer said the skull fracture was caused by “an
    unconstrained impact” and the crack in the table “was caused by
    a round object connected to something.” Engineer testified
    Victim’s humeri were fractured when his upper arms were
    constrained while his torso was moved; essentially, “you grab
    the arms and shake.” Engineer also said Victim’s brain
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    hematomas were likely caused by “not only shaking, but also an
    impact. And it doesn’t have to be on cement or something really
    hard.” Engineer concluded Victim’s injuries were explained by
    “one event”: “an adult grabbed [Victim], shaking him, forcibly
    causing his head to strike a firm object which is perfectly
    explained by the fracture in this changing table.”
    ¶13 Morley’s trial counsel (Trial Counsel) 4 cross-examined
    Engineer. He emphasized Engineer’s lack of a medical degree
    and that Engineer never examined the changing table or any
    doors at Morley’s house to see whether they could have been
    used to cause Victim’s injuries until after he had written his
    report. Trial Counsel also challenged Engineer’s assertion that he
    was aware of all relevant peer-reviewed literature by identifying
    several studies that may have contradicted Engineer’s opinion.
    Trial Counsel addressed Engineer’s testimony during closing
    argument by attacking his methods and conclusions. He told the
    jury Engineer “came into court and testified with all the answers
    despite having . . . never done a child abuse homicide case” or
    “criminal matter,” and he was “[n]ot a medical doctor in any
    fashion.”
    ¶14 The Other Experts agreed Victim’s injuries were
    consistent with abusive trauma. The child abuse pediatrician
    said picking up Victim and slamming his head on the changing
    table was “a very likely cause of his injuries,” and he did not
    believe the injuries could have been caused by a three-year-old
    child. The pediatric neuroradiologist testified Victim’s injuries
    “were caused by the hands of an adult” and his skull fracture
    could be from “impact to a flat surface.” The medical examiner
    could not definitively identify who caused Victim’s injuries but
    she found it unlikely a three-year-old child could have caused
    4. Morley was represented by two attorneys at trial; for ease of
    reading, we refer to them collectively as Trial Counsel.
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    them. She further opined that the scenario Child described
    would not cause the bilateral humerus fractures Victim
    sustained. The ocular pathologist opined the hemorrhaging in
    Victim’s eyes could be caused only by force “consistent with an
    unrestrained motor vehicle accident” and it was “doubtful” a
    three-year-old could have been the cause. His findings indicated
    Victim suffered “a non-accidental trauma . . . consistent with
    abusive head trauma.”
    ¶15 In addition to the expert testimony, the State offered
    photographs of the CPR doll on the changing table as a visual
    aid to demonstrate how an object such as a child’s head could
    create the large, crescent-shaped crack in the table. The base of
    the doll’s head lined up with the crack. To counter Morley’s
    claim that Brother was the actual source of the injuries, the State
    also introduced the video of Brother attempting to lift the CPR
    doll. Trial Counsel did not object to the admission of any of these
    exhibits (collectively, the CPR Doll Depictions).
    ¶16 During cross-examination and closing argument, Trial
    Counsel attacked the State’s use of the CPR Doll Depictions:
    And you’ve seen the photographs. I don’t know if
    anyone noticed—I sure hope so. They put this doll
    on it to make it line up [with the crack on the
    changing table]. Perfectly, by the way. . . . [Y]ou’ll
    see the photos as you deliberate. They had to
    spread the legs out entirely. And we asked on
    cross-examination whether they took any other
    photos, any other alignments, and they said no.
    Trial Counsel also reminded the jury Brother had been
    “apprehensive” in the video and he was never instructed to pick
    up the doll by the arms or while he was standing.
    ¶17 The district court instructed the jury on child abuse
    homicide and the lesser included offense of negligent homicide.
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    State v. Morley
    After a twelve-day trial, the jury found Morley guilty of child
    abuse homicide and she was sentenced to prison for five years to
    life. Morley appeals.
    ISSUE AND STANDARD OF REVIEW
    ¶18 Morley contends Trial Counsel was ineffective for not
    objecting to Engineer’s testimony and the introduction of the
    CPR Doll Depictions. “When a claim of ineffective assistance of
    counsel is raised for the first time on appeal, there is no lower
    court ruling to review and we must decide whether the
    defendant was deprived of the effective assistance of counsel as
    a matter of law.” Layton City v. Carr, 
    2014 UT App 227
    , ¶ 6, 
    336 P.3d 587
     (quotation simplified).
    ANALYSIS
    ¶19 “The Sixth Amendment to the United States Constitution
    provides a criminal defendant ‘the right . . . to have the
    Assistance of Counsel for his defence.’” Menzies v. State, 
    2014 UT 40
    , ¶ 71, 
    344 P.3d 581
     (quoting U.S. Const. amend. VI). The
    United States Supreme Court has held “the right to counsel is the
    right to the effective assistance of counsel.” Strickland v.
    Washington, 
    466 U.S. 668
    , 686 (1984) (quotation simplified). To
    show ineffective assistance of counsel, an appellant must
    overcome the “strong presumption that counsel’s conduct falls
    within the wide range of reasonable professional assistance,” 
    id. at 689,
     and must show both (1) objectively deficient performance
    and (2) prejudice. 
    Id. at 687
    –88. Because the appellant must
    prove both Strickland prongs, “it is not necessary for us to
    address both components of the inquiry if we determine that a
    defendant has made an insufficient showing on one.” Menzies,
    
    2014 UT 40
    , ¶ 78 (quotation simplified). We conclude Morley
    was not prejudiced by Engineer’s testimony and Trial Counsel
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    was not deficient by not objecting to the admission of the CPR
    Doll Depictions.
    Engineer’s Testimony
    ¶20 Morley alleges Trial Counsel was ineffective in failing to
    object to Engineer’s testimony at trial because Engineer was the
    only expert to “absolutely link[] Ms. Morley with [Victim’s]
    injuries.” We conclude Morley suffered no prejudice. 5
    ¶21 “In making [the prejudice] determination, an appellate
    court should consider the totality of the evidence, taking into
    account such factors as whether the errors affect the entire
    evidentiary picture or have an isolated effect and how strongly
    the verdict is supported by the record.” Gregg v. State, 
    2012 UT 32
    , ¶ 21, 
    279 P.3d 396
     (quotation simplified). An appellant “must
    demonstrate prejudice by showing that there is a reasonable
    5. Morley also argues Trial Counsel was deficient because he
    failed to object to Engineer’s testimony that “an adult grabbed
    [Victim], shaking him, forcibly causing his head to strike a firm
    object” and “the injuries that [Victim] had . . . are best explained
    by shaking accompanied by a strike.” We note Engineer’s
    testimony may have exceeded the scope of his expertise. Utah’s
    appellate courts have not weighed in on the issue of whether the
    testimony of biomechanical engineers without medical degrees
    should be confined to the impact certain forces have on the
    body, not medical causation. But as Morley points out, other
    courts have done so. See, e.g., Smelser v. Norfolk S. Ry., 
    105 F.3d 299
    , 305 (6th Cir. 1997), abrogated on other grounds by General Elec.
    Co. v. Joiner, 
    522 U.S. 136
     (1997); Gostyla v. Chambers, 
    171 A.3d 98
    ,
    103 (Conn. App. Ct. 2017); Norfolk & W. Ry. v. Keeling, 
    576 S.E.2d 452
    , 457 (Va. 2003). But because Morley has not shown she was
    prejudiced by Engineer’s testimony, we do not reach the merits
    of this deficient performance argument.
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    State v. Morley
    probability that, but for counsel’s unprofessional errors, the
    result of the proceeding would have been different.” State v.
    Vallejo, 
    2019 UT 38
    , ¶ 39, 
    449 P.3d 39
     (quotation simplified).
    When an appellant contends her trial counsel should have
    objected to arguably inadmissible evidence, she must “show a
    reasonable probability that the verdict would have been
    different absent the excludable evidence.” State v. Edgar, 
    2017 UT App 54
    , ¶ 13, 
    397 P.3d 656
     (quotation simplified).
    ¶22 Even without Engineer’s testimony Morley cannot show a
    reasonable probability that the result of this proceeding would
    have been different. Collectively, testimony of the Other Experts
    strongly supports the jury’s verdict, and Morley has not argued
    their testimony should have been excluded.
    ¶23 The medical examiner agreed with Engineer that all of
    Victim’s injuries “happened at about the same time.” She was
    unable to explain exactly how they occurred but ruled out the
    possibility that Brother, “a 30-pound three-year-old[,] kicked
    [Victim], picked him up by one hand, dropped him, slammed his
    head in the door, and stepped on him.” She also testified
    “grabbing [Victim], shaking him, [and] slamming him into that
    changing table” “potentially could” have caused all of Victim’s
    injuries.
    ¶24 The child abuse pediatrician opined that “grab[bing]
    [Victim] by the upper arms, shak[ing] and slam[ming] him
    down” on the changing table was “a very likely cause of
    [Victim’s] injuries.” He also testified it was “extraordinarily
    unlikely” and “inconceivable”—though not impossible—that a
    three-year-old could cause “this constellation of findings.”
    ¶25 The ocular pathologist testified that although the
    hemorrhaging in Victim’s eyes could be caused by a door being
    slammed on his head, the force required would have to be the
    “equivalent of a motor vehicle accident.” He agreed with
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    Engineer that “an object hitting” Victim “could” cause the
    injuries, “[w]ith significant enough force.”
    ¶26 The pediatric neuroradiologist was called as the State’s
    rebuttal expert. He testified that the constellation of Victim’s
    injuries “strongly points to abusive trauma or inflicted injury”
    and said “one traumatic event could explain these findings.” He
    ended by telling the jury the “shaking and shaking impact
    was . . . likely [the] mechanism to bring all these injuries to an
    explanation.”
    ¶27 Considering the totality of the evidence in this case,
    including the extensive testimony from the Other Experts, the
    admission of Engineer’s testimony—even if in error—does not
    undermine our confidence in the jury’s verdict. See Vallejo, 
    2019 UT 38
    , ¶ 39. The State’s evidentiary picture as a whole
    overwhelmingly supported its theory that Victim’s injuries were
    not caused by a three-year-old child. Rather, Morley, the only
    person over the age of five with access to Victim during the
    period he was injured, caused these injuries. Thus, Morley’s
    argument that no other evidence “absolutely links” her to
    Victim’s injuries outside of Engineer’s testimony fails.
    ¶28 In light of the testimony of the Other Experts given at
    trial, we conclude Morley was not prejudiced by Engineer’s
    testimony.
    The CPR Doll Depictions
    ¶29 Morley argues Trial Counsel rendered ineffective
    assistance by failing to object to the admission of the CPR Doll
    Depictions. Morley contends these exhibits were irrelevant or,
    alternatively, substantially more prejudicial than probative.
    ¶30 An appellate court is “highly deferential” when reviewing
    trial counsel’s performance. State v. Vallejo, 
    2019 UT 38
    , ¶ 38, 
    449 P.3d 39
    . Trial counsel is not deficient when “making tactical
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    State v. Morley
    decisions, and courts will not question such decisions unless
    there is no reasonable basis supporting them.” State v. Garcia,
    
    2017 UT App 200
    , ¶ 19, 
    407 P.3d 1061
     (quotation simplified). “To
    satisfy this test, [the appellant] must overcome the strong
    presumption that [her] trial counsel rendered adequate
    assistance by persuading the court that there was no conceivable
    tactical basis for counsel’s acts or omissions.” State v. Nelson,
    
    2015 UT 62
    , ¶ 10, 
    355 P.3d 1031
     (quotation simplified). We
    conclude Morley has not rebutted the strong presumption that
    her Trial Counsel’s decision not to object to the admission of this
    evidence was a reasonable trial strategy.
    ¶31 The CPR Doll Depictions were used during the testimony
    of several witnesses. When Engineer testified, he used the
    photographs to explain that “the physical dimensions and
    location of the head in relationship to the fracture and the length
    and breadth of the changing table [were] consistent with” his
    opinion. Three officers used the CPR Doll Depictions when they
    testified, explaining why they decided to add weight to the doll,
    put it on the table, and see whether Brother could lift it. One of
    the officers also explained the CPR doll was shorter than Victim
    but “[i]t was the closest [he] could get to [Victim’s] size.”
    Another officer testified that the photographs of the CPR doll on
    the changing table were taken “[t]o see if it would be consistent
    with [Victim] having his head slammed into the table.”
    ¶32 Trial Counsel did not object to the introduction of any of
    the CPR Doll Depictions and instead highlighted to the jury their
    deficiencies. He cross-examined the officers, asking whether they
    had tried positioning the CPR doll elsewhere on the table.
    Additionally, during closing, Trial Counsel pointed out that the
    video “experiment” with Brother barely took four minutes,
    Brother seemed distracted the entire time, and the doll’s legs
    kept falling off, which seemed to deter Brother from trying to lift
    it.
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    ¶33 We conclude this was a reasonable trial strategy. Rather
    than seek exclusion of the CPR Doll Depictions, Trial Counsel
    chose to use the exhibits against the State. Trial Counsel
    emphasized the shortcomings in the CPR Doll Depictions to
    argue the State was not interested in discovering the truth but
    instead used unreliable experiments and inaccurate
    demonstrations to affirm its view of the case. Because Morley
    has not shown that no reasonable attorney would have used this
    evidence in the way Trial Counsel did, Morley cannot establish
    deficient performance.
    CONCLUSION
    ¶34 Morley has not established prejudice resulting from Trial
    Counsel’s failure to object to Engineer’s testimony or deficiency
    in Trial Counsel’s failure to object to the introduction of the CPR
    Doll Depictions. We therefore conclude Morley did not receive
    ineffective assistance of counsel. Affirmed.
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