State v. Stepp

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NO. COA13-46 NORTH CAROLINA COURT OF APPEALS Filed: 21 January 2014 STATE OF NORTH CAROLINA v. Wake County No. 09 CRS 209725 JOSHUA ANDREW STEPP Appeal by Defendant from judgment entered 13 September 2011 by Judge W. Osmond Smith III, in Wake County Superior Court. Heard in the Court of Appeals 14 August 2013. Attorney General Roy Cooper, by Assistant Attorney General Anne M. Middleton and Sherri Horner Lawrence, for the State. Appellate Defender Staples Hughes, by Assistant Appellate Defender Barbara S. Blackman, for Defendant. DILLON, Judge. Joshua Andrew Stepp (Defendant) appeals from a judgment sentencing him to lifetime imprisonment, based on a jury verdict finding him guilty of first-degree murder, under the felony murder rule, for the death of his ten-month old stepdaughter Cathy.1 We conclude Defendant is entitled to a new trial based on trial 1 the court s Cathy is a pseudonym. failure to instruct the jury on an -2affirmative defense to the underlying felony, which supported the first-degree murder conviction. I: Background On the night of 8 November 2009 at approximately 8:50 P.M., Defendant placed a 911 call from his Wake County apartment, where he resided with three other people: Brittany Yarley ( Ms. Yarley ), his wife of six months; Cathy, Ms. Yarley s ten-month old daughter; and Defendant s four-year old daughter. A: Physical Evidence at the Scene Police officers and EMS responded to Defendant s 911 call and discovered that Cathy had no pulse and was not breathing. The responders attempted resuscitation and were able to get a pulse in the ambulance before Cathy went into cardiac arrest. When Cathy arrived at Wake Medical Center, she had no vital signs. Cathy s pupils were fixed and dilated, indicating brain death; Cathy was declared dead fifteen minutes after her arrival. In a trash can at the apartment the officers found a urinesoaked diaper, three diapers containing baby wipes, feces, and blood, and empty rum, whiskey, and beer bottles. feces were visible in a number of locations Blood and throughout the -3apartment. Blood was also found on Defendant s underwear. Defendant smelled of alcohol. B: Cathy s Injuries During the course of the evening, Cathy sustained injuries to her head and back as well as to her rectal and genital areas. Her head and back injuries included several bruises, a broad abrasion on her forehead, lacerations hemorrhaging in her brain and retinas. in her mouth, and Cathy s rectal injuries included bruising and several deep and superficial tears in and around her anal opening. The injuries to her genital area, which were less severe than those in her rectal area, included two superficial tears on the forward portion and a single wider tear at the rear portion. However, there was no evidence of injuries indicating deep penetration; and her hymen was intact. II: The Trial On 30 November 2009, Defendant was indicted on charges of first-degree murder and first-degree sexual offense. The matter came on for trial at the 18 July 2011 criminal session of Wake County Superior Court. A: State s Evidence -4At trial, the State offered the testimonies of a number of medical witnesses, which tended to show as follows: Cathy s head injuries were likely caused by multiple blows which were consistent with person. non-accidental Her rectal trauma injuries caused were by an consistent abusive with the introduction of a penis or other object that penetrated the anus but most likely not by a single finger wrapped in a wipe. Her genital injuries may have been caused by a finger or an object, and were also consistent with an adult attempting, unsuccessfully, to insert his penis into her vagina. B: Defense Evidence Defendant testified in his own behalf and offered the testimonies of other witnesses, including experts, which tended to show as follows: Defendant was a member of the Army Reserves, having resigned from active duty after completing a tour in Iraq. He suffered from post-traumatic stress disorder and alcohol dependency. Ms. Yarley was also an Army reservist, who worked at Fort Bragg. During the day of 8 November 2009, Defendant took four Vicodin capsules and drank several shots of liquor and cans of beer. He spent the afternoon at a sports bar where he continued drinking. Because Ms. Yarley was scheduled to work the night -5shift on that day, Defendant returned to the apartment at 7:25 P.M. to watch the children for the evening. Cathy was crying and screaming; and Upon his return, Ms. Yarley noticed that Defendant was lethargic and stumbling. After Ms. Yarley s departure, Defendant ate dinner and then attempted to calm Cathy down by holding her and giving her a bottle. He then placed Cathy on the floor of his bedroom closet and walked away to escape the sound of her crying. Defendant returned to her, grabbed her by the back of the head, and rubbed her face into the carpet. bleed, and washcloth she to Cathy s face became raw and began to cried even the blood dab harder. Defendant and carried then used Cathy a damp into the living room, put Vaseline on her face, and laid her down on the living room floor. This episode occurred at approximately 8:00 P.M., which was the time that, according to a defense witness, Defendant s blood alcohol level likely peaked at 0.141%. Moments discovered screamed later, that as it Defendant was Defendant full tried opened of to Cathy s feces. clean her diaper flailed Cathy with a and and baby wipe. Defendant wiped aggressively to get the feces and urine off of Cathy s body. Cathy began bleeding from her anus, and Defendant tried to stop the bleeding with a baby wipe. A few minutes -6later, Cathy was still bleeding and had defecated again. Defendant cleaned Cathy again with a baby wipe and put on a second fresh diaper. However, the second diaper became soiled, and Defendant cleaned and changed Cathy a third time. Cathy continued to scream and cry. Defendant then grabbed some toilet paper, wet it, and put it in Cathy s mouth in an attempt to stop the screaming. However, Cathy started gagging. Defendant was unable to retrieve the toilet paper from Cathy s mouth with his fingers; so he picked Cathy up, shook her, and hit her on her back to try to dislodge the toilet paper. He was then able to pull the toilet paper out of Cathy s mouth with his fingers; however, by this time, Cathy was barely breathing. Moments later, Cathy stopped breathing, whereupon Defendant made the 911 call. The testimonies of Defendant s witnesses tended to show that Defendant suffered from substance abuse issues and posttraumatic stress disorder caused conditions which affected his by impulse his military control and service, decision making; that on the evening in question, he had trouble coping with Cathy s crying; and that his intentions all along were to stop Cathy from crying. Regarding Cathy s injuries, one defense medical witness testified that he had frequently seen vaginal -7and rectal tears caused by parents using force to clean feces, and that Cathy s injuries to her rectal and genital areas were consistent with harsh cleaning with a finger and baby wipes and were not consistent with a sexual assault. C: Closing Arguments During closing arguments, the State asserted that the jury should find Defendant guilty of first-degree murder. contended that deliberation. Defendant s acts involved The State premeditation and Alternatively, the State contended that Defendant was guilty of first-degree murder based on the felony murder rule, as the evidence showed that Defendant had either raped or attempted to rape Cathy, or otherwise committed a sexual offense upon Cathy. Defendant admitted that he was responsible for Cathy s death, but contended that he had not acted with premeditation and deliberation due to his condition, nor had he sexually assaulted Cathy in any way; and, therefore, Defendant asserted the jury should consider returning a guilty verdict for second degree murder. D: The Verdict and Judgment -8The jury found Defendant guilty of first-degree murder. Specifically, the verdict sheet submitted to and answered by the jury stated as follows: We, the jury, return as our unanimous verdict that the defendant is: X Guilty of first degree murder If you find the murder, is it: defendant A. On the basis deliberation? ANSWER: NO of guilty malice, of first degree premeditation, and B. Under the first degree felony murder rule in the perpetration of rape of a child by an adult? ANSWER: NO C. Under the first degree felony murder rule in the attempted perpetration of rape of a child by an adult? ANSWER: NO D. Under the first degree felony murder rule in the perpetration of sexual offense with a child by an adult? ANSWER: YES If you find the defendant guilty of first degree murder under the first degree felony murder rule in the perpetration of a sexual offense with a child by an adult, is it: 1. Based upon a sexual act of anal intercourse? ANSWER: NO 2. Based upon a sexual act of penetrating by an object into the genital opening of the alleged victim? ANSWER: YES -93. Based upon a sexual act of penetration by an object into the anal opening of the alleged victim? ANSWER: NO __ Guilty of second degree murder2 __ Not guilty Based on the jury s verdict, the trial court imposed a sentence of life imprisonment without parole. From this judgment, Defendant appeals. III: Analysis In Defendant s sole argument on appeal, he contends the trial court committed reversible error by failing to instruct the jury on an affirmative defense to the predicate felony on which the jury based its first-degree murder conviction. We agree. As reflected by its responses to the issues presented on the verdict sheet, the jury convicted Defendant of first-degree murder based solely on its determination that Defendant was also guilty of committing a sexual offense with a child in violation of N.C. Gen. Stat. § 14-27.4 (2011), a Class B1 felony which proscribes, inter alia, the engagement of a sexual act with a child by an adult. 2 Further, the jury concluded that Having convicted Defendant of first-degree murder, the jury did not reach the question of Defendant s guilt of second degree murder. -10Defendant was guilty of committing this offense based solely on its determination that Defendant had committed a sexual act, as defined in N.C. Gen. Stat. § 14-27.1(4) (2011), upon Cathy by penetrating her genital opening with an object.3 N.C. Gen. Stat. § 14-27.1(4) (2011), defines sexual act, in relevant part, as: . . . the penetration, however slight, by any object into the genital . . . opening of another person s body: provided, that it shall be an affirmative defense that the penetration was for accepted medical purposes. Id. (emphasis added). The penetration of the female genital opening is accomplished when the defendant has caused an object to enter the labia without entering the vagina, see State v. Bellamy, 172 N.C. App. 649, 658, 617 S.E.2d 81, 88 (2005), disc. review denied, 360 N.C. 290, 628 S.E.2d 384 (2006); and an object can be, not only an inanimate object, but also a human 3 Though the jury could have found Defendant guilty of firstdegree murder based on either premeditation and deliberation or based on a finding that Defendant either had vaginal intercourse or attempted to have vaginal intercourse with Cathy, the jury found Defendant not guilty based on these theories. Further, the jury could have found that Defendant committed a sexual act by penetrating Cathy s anal opening with either his penis or another object; however, the jury found Defendant not guilty of felony sexual offense based on these theories as well. Accordingly, our review must be limited to the evidence regarding the penetration of Cathy s genital opening with an object, and, for the reasons stated herein, we must view this evidence in the light most favorable to Defendant. -11body part, such as a finger, see State v. Lucas, 302 N.C. 342, 345, 275 S.E.2d 433, 436 (1981). At genital trial, Defendant opening with admitted his that finger; he penetrated however, he Cathy s requested an instruction on the affirmative defense provided by N.C. Gen. Stat. § 14-27.1(4), that he penetrated her genital opening for accepted medical purposes. evidence tending to show Defendant based his request on the that he penetrated Cathy s genital opening with his finger wrapped in a wipe for the purpose of cleaning feces and urine during the course of changing her diapers and that this purpose is an accepted medical purpose. However, the trial court denied the request, to which Defendant properly excepted. A: Defendant was Entitled to the Instruction We believe that Defendant was entitled to have the jury instructed on the affirmative defense for accepted medical purpose as provided in N.C. Gen. Stat. § 14-27.1(4). We have held that [f]or a jury instruction to be required on a particular defense, there must be substantial evidence of each element of the defense when the evidence [is] viewed in the light most favorable to the defendant. State v. Hudgins, 167 N.C. App. 705, 711, 606 S.E.2d 443, 446 (2005) (citation and -12quotation marks omitted). The burden rests with Defendant to establish the affirmative defense. State v. Caddell, 287 N.C. 266, 289, 215 S.E.2d 348, 363 (1975) (describing an affirmative defense as one in which the defendant says, I did the act charged in the indictment, but I should not be found guilty of the crime charged because * * * ). In his brief, Defendant points to evidence that, when viewed in the light most favorable to him, supports giving the instruction. Specifically, he points to his own testimony that he digitally penetrated Cathy s genital opening for the purpose of cleaning feces and urine during diaper changes. He points to the testimony of his medical expert who stated that Cathy s injuries to her genital opening were consistent with Defendant s stated purpose. For example, this witness testified as follows: The source of the [genital] injuries were again, by the information that I was provided, Mr. Stepp in his testimony has admitted to trying to clean a poopy diaper in a very rough way using wipes, his fingers, and in a way that was consistent with this type of trauma. This was harsh, harsh physical trauma in cleaning out a diaper. I have seen more cases than I would like of parents trying to clean out poopy diapers and how difficult it is to get stool out of the vaginal and rectal areas on occasion, and the kind of force that they have to use sometimes. This was excessive, but it is consistent with a digital attack, if you will, on those areas there. -13He points to the evidence presented by the State regarding the soiled diapers and wipes found by the police at the apartment. He points to the testimonies of the State medical experts that the injuries to the genital opening were more superficial in nature in that there was no evidence of deep penetration or that the hymen was broken - and could have been caused by fingers. Neither party cites to a case in which a North Carolina court has construed the phrase accepted medical purposes as contained in N.C. Gen. Stat. § 14-27.1(4). We believe that when the Legislature defined sexual act as the penetration of a genital opening with an object, it provided the accepted medical purposes defense, in part, to shield a parent4 - or another charged with the caretaking of an infant - from prosecution for engaging in sexual conduct with a child when caring for the cleanliness and health needs of an infant, including the act of cleaning feces and urine from the genital opening with a wipe during a diaper change. To hold otherwise would create the absurd result that a parent could not penetrate the labia of his infant daughter to clean away feces and urine 4 There is no language in N.C. Gen. Stat. § 14-27.1(4) which limits its application of the defense to acts performed by medical professionals. -14or to apply cream to treat a diaper rash without committing a Class B1 felony, a consequence that we do not believe the Legislature intended. Though not controlling on our resolution of this issue, we do find decisions from other jurisdictions, involving statutory language similar to accepted medical purposes, instructive. For instance, the Texas Court of Criminal Appeals, that State s highest appellate decision on 6 court November for criminal 2013 ordering cases, a handed new down a for a trial defendant, convicted of sexual assaulting a child where he admitted to digitally penetrating the genital opening of a three-year old girl for the purpose of applying medication for a diaper rash - because the trial court failed to instruct the jury on an affirmative defense provided in the Texas Penal Code, excusing child[.] conduct Villa [which] v. consisted Texas, 2013 of Tex. medical Crim. care App. for LEXIS (2013) (interpreting TEX. PENAL CODE § 22.011(d) (2012)). the 1655 On the same day it decided Villa, the Texas Court of Criminal Appeals also handed down Cornet v. Texas, 2013 Tex. Crim. App. LEXIS 1654 (2013), in which it held, as in Villa, that it was error not to instruct on the medical care defense, where a defendant was convicted of sexual assault based on digitally penetrating -15the genital opening of his step-daughter. holding in Villa, the court concluded However, unlike its that the error was harmless because the jury in Cornet also convicted the defendant of a second sexual assault count based on the defendant s oral contact with the child s anus during the same event.5 Id. (reasoning that it is inconceivable that the jury would have found [the defendant] guilty of causing the anus of the complainant to contact his mouth . . . had it believed his claim that he was providing medical care to the complainant [when he digitally penetrated her genital opening] during the same event ). In a case involving the prosecution of a defendant for digitally penetrating the genital opening of his young stepchild where the defendant admitted to the conduct, but contended that he did so for the purpose of applying salve to treat the child s diaper rash - the Oregon Court of Appeals held that it was reversible error for the trial court not to instruct the jury on an affirmative defense provided by statute which excused such conduct where the medically recognized treatment[.] 5 penetration is part of a Oregon v. Ketchum, 206 Ore. Under TEX. PENAL CODE § 21.011(d), the medical care defense is not available where the conduct involves contact of a genital opening by a defendant s mouth. Id. -16App. 635, 138 P.3d 860, review denied, 341 Ore. 450, 143 P.3d 773 (2006) (quoting Or. Rev. Stat. § 163.412 (2003)). The court ordered a new trial, holding that the defense was not limited to the conduct of medical personnel. Id. We believe the facts of our case are similar to the facts of Villa and Ketchum where the courts ordered a new trial because Defendant was convicted solely on a finding that he digitally penetrated Cathy s genital opening with an object. In the present case, the State makes a number of arguments in support of the trial court s refusal to give the accepted medical purpose affirmative defense instruction. First, the State evidentiary argues that Defendant failed burden by failing to produce any to meet his evidence to establish that penetrating the genital opening of an infant to clean out feces and urine is, in fact, an accepted medical purpose, citing State v. Hageman, 307 N.C. 1, 27, 296 S.E.2d 433, 448 (1982) (stating that in this State, we have traditionally placed the burden of production and persuasion on defendants who seek to avail themselves of affirmative defenses ). In other words, the State argues that though there was expert testimony suggesting that Defendant penetrated the genital opening to clean it, none -17of the experts ever expressly testified that Defendant s actions constituted an accepted medical purpose. We agree that there may be circumstances where a defendant would be required to offer direct evidence through the testimony of a medical expert to establish that certain conduct constitutes an accepted medical purpose, rather than allowing a jury to infer it from the evidence. However, we do not believe that Defendant was required, in this instance, to offer direct evidence establishing that penetrating the genital opening of an infant for the purpose of cleaning the feces and urine during a diaper change constitutes an accepted medical purpose. Our occasions that, appellate in the courts context have of a held on criminal a number trial, of direct evidence need not be provided to prove a fact if it otherwise is within the common knowledge and experience of the jury. v. Packer, 80 N.C. 439, 441-42 (1879). appealed his conviction for selling State In Packer, the defendant an intoxicating liquor where the evidence showed that he sold port wine, but the State did not produce evidence that port wine was, in fact, an intoxicating liquor. Id. In upholding the conviction, our Supreme Court held that the jury could rightfully as to matters of common knowledge and experience, find without any testimony -18as to [whether port wine is an intoxicating liquor. ] Id.; see also State v. Fields, 201 N.C. 110, 114, 159 S.E. 11, 12 (1931); State v. Payne, 328 N.C. 377, 400, 402 S.E.2d 582, 595 (1991) (stating, in a prosecution for murder and rape, [i]t is common knowledge that homeowners do not that change or replace carpets as frequently as once every several months ); State v. Becker, 241 N.C. 321, 326, 85 S.E.2d 327, 331 (1954) (stating, in a prosecution for manslaughter where there was testimony as to the defendant s driving speed and his distance from the victim, that [i]t would seem as a matter of common knowledge and experience that it would have been a physical impossibility for the defendant to have stopped his car in so short a distance if at the time in question it was traveling at such a rate of speed ); State v. Purdie, 93 N.C. App. 269, 280, 377 S.E.2d 789, involuntary 795 (1989) manslaughter, (stating, that it is in a common prosecution for knowledge that intoxication impairs the ability to drive ). We also believe this evidentiary issue is similar to those in cases involving professional malpractice, where we have stated that an exception to the rule requiring expert testimony to establish the professional standard of care is where the common knowledge and experience of the jury is sufficient to -19evaluate compliance with a standard of care. Russell v. DENR, __ N.C. App. __, __, 742 S.E.2d 329, 333 (2013) (quoting Handex v. Haywood, 168 N.C. App. 1, 11, 607 S.E.2d 25, 31 (2005)). conclusion, testimony while may be there may required to be circumstances establish that where certain In expert conduct constitutes an accepted medical purpose pursuant to N.C. Gen. Stat. § 14-27.1(4), we believe that it is within the common knowledge and experience of the jury that penetrating the genital opening of an infant to clean feces and urine during a diaper change is an accepted medical purpose. The State next argues that the accepted medical purpose defense did not apply to the facts of this particular case. Specifically, the State contends that even if Defendant s purpose of cleaning the genital opening was an accepted medical purpose, doing so in a manner that causes injury is not accepted, and, therefore, Defendant was not entitled to the instruction. First, the We plain believe language the of State s the argument statute is misplaced. provides that the medical purpose, and not the manner, must be accepted. We do not believe that the Legislature intended to criminalize, as a Class B1 felony, an action by a doctor or a parent who penetrates a genital opening of a child under 13 years of age -20for an accepted medical purpose, but does so in a negligent manner, thereby unintentionally causing injuries.6 The State further argues the following: By defendant s logic, a robber sticking a gun in a victim s vagina or anus to intimidate the victim would not be a sexual offense; torture by inserting objects into a person s genitals or anus would not be a sexual offense; a perpetrator forcefully punching and penetrating a victim s genitalia to harm and degrade them would not be guilty of a sexual offense; a caretaker forcefully penetrating a child in a rage would not be guilty of a sexual offense. By defendant s analysis, if in any of these scenarios, the perpetrator merely claimed to be doing a medical check or administering medication, the accepted medical purpose instruction must be given upon request. However, assuming arguendo any of the foregoing scenarios were properly before us, it stretches credulity to propose that these acts could ever be performed for an accepted medical purpose. Further, as discussed above, the evidence relied upon by Defendant in this case consists of more than his self-serving assertion that he penetrated Cathy s genital opening to clean feces. 6 See State v. Sessoms, __ N.C. App. __, __, 741 S.E.2d We do not imply that the evidence conclusively establishes that Defendant did not intend to cause the injuries to Cathy s genital opening. This is a matter for a jury to resolve. Rather, we believe that a jury could reasonably conclude from the evidence - when taken in the light most favorable to Defendant that Defendant unintentionally caused Cathy s injuries to her genital opening while cleaning her. -21449, 452 (2013) (holding that the trial court did not commit error by refusing to instruct the jury on the defense of others in the prosecution for assault with a deadly weapon where the only evidence supporting the defense was the defendant s self-serving testimony). Finally, the State argues that the trial court did not err by refusing to instruct the jury on the accepted medical purpose defense because the specific instruction tendered by Defendant for the trial court s consideration was an incorrect statement of law. Specifically, the State argues that the proposed instruction can be construed to incorrectly place the burden on the State to disprove the affirmative defense beyond a reasonable doubt. We believe this argument is misplaced. Our Supreme Court has stated that it is the duty of the trial court to a instruct features of evidence presented features of a case. . case request . All . and S.E.2d 613, 617 (1988). to jury during instruction thereon. fails the the the on of defenses trial therefore all the arising constitute warrant substantive the from the substantive trial court s State v. Loftin, 322 N.C. 375, 381, 368 This duty arises even where a defendant instruction. Id.; see also State v. Scanlon, 176 N.C. App. 410, 424, 626 S.E.2d 770, 780 (2006). -22 Failure to instruct upon all substantive or material features of the crime charged is error. State v. Bogle, 324 N.C. 190, 195, 376 S.E.2d 745, 748 (1989). In this case, the accepted medical purpose defense is a substantive feature of this case; and, therefore, the trial court was required to give the instruction even if Defendant never made a request for the instruction. v. Hudgins, 167 N.C. App. instructive on this point. an instruction prosecution. on the 705, 606 We believe that State S.E.2d 443 (2005), is In Hudgins, the defendant requested defense of necessity in a DWI The Court stated the general rule that the defense of necessity is available to excuse a person from criminal liability where he acts to protect life or limb or health[.] Id. at 710, 606 S.E.2d at 447. The defendant provided the trial court with an instruction that was not a correct statement of the law in that it [further] suggested that the defense was available for attempts to [protect property from] damage. Id. We held that [a] trial court is not, however, relieved of his duty to give a correct . . . instruction [as to a defense], there being evidence to support it, merely because defendant s request was not altogether correct. White, 288 N.C. 44, 48, 215 Id. (quoting S.E.2d 557, 560 State v. (1975)). -23Accordingly, we do not need to reach whether Defendant s tendered instruction was a correct statement of the law: Since the instruction pertained to a substantive feature of the case, the trial court was required to give it. B: The Error Was Reversible Having determined that the trial court erred by failing to instruct medical the jury purpose, reversible pursuant on we to the affirmative must determine N.C. Gen. defense whether Stat. § of the accepted error 15A-1443 is (2011). Defendant argues that the error is a constitutional error and, therefore, the burden is on the State to show that the error was harmless beyond a reasonable doubt, pursuant to N.C. Gen. Stat. § 15A-1443(b). We believe that insofar as the error committed is not one of constitutional dimension, [D]efendant has met his burden of satisfying us that had the error in the instruction . . . not been made, there is a reasonable possibility that a different result would have been obtained at trial[,] pursuant to N.C. Gen. Stat. § 15A-1443(a). State v. Mash, 323 N.C. 339, 349-50, 372 S.E.2d 532, 538-39 (1988). Further, [i]nsofar as the error is one of constitutional dimension, the [S]tate has not satisfied us beyond a reasonable doubt that the error was -24harmless. Id. at 350, 372 S.E.2d at 539. Accordingly, we believe that the error is reversible based on either standard. Specifically, Defendant admitted to penetrating and causing the superficial tears to Cathy s genital opening. In other words, his defense includes an admission to the elements of the crime of sexual conduct with a child, that is, he admitted that he digitally penetrated Cathy s genital opening. However, Defendant presented evidence that he committed these acts for the purpose of cleaning feces and urine away from Cathy while changing her diapers. In the State s closing arguments, the prosecutor contended that even under the defendant s version of the facts, penetrated her with his finger, however slight, . . . . That s what a sexual act is, the defendant s guilty of that charge. In other words, the convict Defendant digital penetration prosecutor of of felony implied sexual Cathy s that offense genital the based opening jury could upon his conduct to which Defendant admitted even if the jury believed Defendant s testimony and evidence that he engaged in the conduct for the purpose of cleaning feces and urine. Furthermore, the trial court instructed the jury that it was their duty to return a verdict of guilty of committing a sexual offense with a child if -25they found that Defendant had caused the penetration, however slight, . . . by an object into [Cathy s] genital [] opening[;] that the object may be an animate or an inanimate object[;] that Cathy was a child of under the age of 13 years[;] and that Defendant was at least 18 years of age. The jury was not given otherwise, any Defendant option not in guilty the even instruction if they to, determined that find Defendant engaged in the conduct for an accepted medical purpose. Based on the foregoing, we believe that there is a possibility that the jury, or some number of jurors, would have been satisfied that Defendant penetrated accepted medical purpose. Cathy s genital opening for an Therefore, Defendant s conviction of felony first-degree murder must be reversed. Finally, the State contends that [i]f this Court allows [Defendant] relief, judgment should be entered on second-degree murder as a lesser-included offense of first-degree murder under both the theory of premeditation and deliberation and felony murder, contending that [s]econd-degree included offense of felony murder. murder is a lesser The State s argument based on the theory of premeditation and deliberation is inapposite, as the jury did not convict Defendant based on premeditation and deliberation. As to the State s argument that second degree -26murder is a lesser included offense of felony murder, neither case cited by the State stands for the proposition that the proper remedy from this Court, where we find reversible error in the conviction of felony first-degree murder, is to direct the trial court to enter judgment on second degree murder. State v. Gwynn, 362 N.C. 334, 338, 661 S.E.2d 706, 708 (2008); State v. Millsaps, 356 N.C. 556, 565, 572 S.E.2d 767, 774 (2002). Rather, Gwynn and Millsaps were concerned with the trial court s failure to instruct a jury on the lesser-included offense of second degree murder in a prosecution of felony first-degree murder. voluntary We note that, in Gwynn, the Supreme Court stated that manslaughter felony murder. is also Gwynn, supra. a lesser included offense of Therefore, we do not believe that it is the duty of this Court to invade the province of a jury to determine whether the actions of Defendant constituted second degree murder or some other lesser-included offense of felony murder. IV: Conclusion Defendant inflicted numerous and severe injuries on his ten-month old stepdaughter Cathy on the evening of 8 November 2009, which led to her tragic death. evidence presented at trial from which There was substantial the jury could have -27convicted Defendant of first-degree murder based on a number of theories. However, the jury based its verdict solely on the finding that Defendant had penetrated Cathy s genital opening with an object prior to inflicting the injuries that caused her death. The evidence was conflicting as to whether Defendant penetrated Cathy s genital opening for the sole purpose of cleaning feces and urine while changing her diapers or whether he ever deviated from this purpose. However, a jury could infer from the evidence - when taken in the light most favorable to Defendant - that Defendant penetrated Cathy s genital opening, causing superficial tears thereto, while he was cleaning the feces and accepted urine. medical Therefore, purpose Defendant instruction was entitled pursuant to to N.C. the Gen. Stat. § 14-27.1(4), a defense which was a substantive feature of the case, notwithstanding that a proposed instruction tendered by Defendant may have contained an incorrect statement of the law. Defendant properly objected to the trial court s refusal to give the instruction. Given that Defendant admitted to the conduct which formed the sole basis by which the jury returned a guilty verdict of first-degree murder, the trial court s error by not giving the affirmative defense instruction by which the jury could have excused Defendant of his admitted conduct, we -28believe the error was prejudicial. Accordingly, we are compelled to reverse the verdict of the jury convicting Defendant of felony first-degree murder and remand this case for a new trial. NEW TRIAL. Judge BRYANT dissents in separate opinion. Judge STEPHENS concurs in separate opinion. NO. COA13-46 NORTH CAROLINA COURT OF APPEALS Filed: 21 January 2014 STATE OF NORTH CAROLINA v. Wake County No. 09 CRS 209725 JOSHUA ANDREW STEPP BRYANT, Judge, dissenting. The majority opinion holds that the trial court erred and grants defendant a new trial, stating that defendant is entitled to an affirmative defense instruction based upon evidence showing that defendant s actions were for an accepted medical purpose. Because I do not believe there was sufficient evidence that defendant s actions fell within the definition of accepted medical purpose, I do not entitled to instruction on this an believe defendant affirmative was defense; therefore, I respectfully dissent. The majority maintains that it is a matter of common knowledge and common sense that cleaning feces from a body is an act performed for an accepted medical purpose. I would agree that cleaning feces is necessary for purposes of good hygiene (as is washing one s hands and body, and cleaning one s teeth), and that failure to clean feces could eventually result in an 30 infection or condition which might require medical attention. But, I would not agree that, standing alone, defendant s act of cleaning feces from the infant should be considered an act that was performed for an accepted medical purpose. Medical means [o]f or relating to the study or practice of medicine. 1993). Accepted recognized. defining AMERICAN HERITAGE COLLEGE DICTIONARY 846 (3d ed. Id. sexual means at 8. act, [w]idely encountered, used, or General Statutes, section 14-27.1, provides an affirmative defense for penetration of the genital or anal opening of a person where the act is done for an accepted medical purpose. N.C. Gen. Stat. § 14-27.1(4). A common sense reading of General Statutes, section 1427.1(4), suggests that the affirmative defense of penetration for an accepted medical purpose is available only to a defendant who can show the act was clearly done for a purpose generally approved or accepted by a physician or was done for purposes accepted in the medical field or in the practice of medicine. In the case before us, no one testified that defendant s actions were carried Neither defendant s out for medical an accepted expert nor medical any other purpose. medical professional testified that cleaning feces from an infant is an 31 act that is recognized as having an accepted medical purpose. Had defendant s medical expert testified that the cleaning was for an accepted medical purpose, we would be in a different posture. However, defendant s own what we do admission, have which is evidence, supports a including finding defendant s conduct caused the injuries to the infant. that There was testimony that vaginal tears may be common place with harsh cleaning and that the penetration of the infant s anus and vagina in an effort to clean off feces was responsible for the injuries inflicted. Yet, none of the evidence supports a finding that such conduct was for an accepted medical purpose. At trial defendant asks before not the only jury, that and we now accept before his this theory Court, that his actions in causing the injuries to the genital and anal area of the child were extraordinary not leap sexual to in nature, determine but that defendant s we make actions the were conducted for an accepted medical purpose and, thus, within the safe harbor of an affirmative defense. Because I am unable to make such a leap, I do not believe the trial court erred in refusing to give an instruction on the affirmative defense of penetration for an accepted medical purpose. 32 The majority cites Cornet v. Texas, No. PD-0205-13, 2013 Tex. Crim. App. LEXIS 1654 (Tex. Crim. App. 6 Nov. 2013), and other Texas and Oregon cases7 as persuasive authority for its reasoning that defendant should affirmative defense instruction. have been entitled to the However, while the language of the statutes8 involved in those cases is similar in the context of allowing an affirmative defense to an act of penetration, our statute clearly requires that acts of penetration accepted medical purposes before allowing the defense. persuaded that the cases interpreting statutes in be for I am not Texas and Oregon should inform the result of the case before us. While I would not go so far as to posit that non-medical professionals are not entitled to this defense, I do believe it is necessary to require some direct testimony that the 7 Villa v. Texas, No. PD-0792-12, 2013 Tex. Crim. App. LEXIS 1655 (Tex. Crim. App. 6 Nov. 2013), and Oregon v. Ketchum, 206 Or. App. 635, 138 P.3d 860 (2006). 8 Tex. Penal Code ' 22.011(d) (2012) ( It is a defense to prosecution [for sexual assault of a child] that the conduct consisted of medical care for the child and did not include any contact between the anus or sexual organ of the child and the mouth, anus, or sexual organ of the actor or a third party. ), as quoted in Villa, 2013 Tex. Crim. App. LEXIS, at *12 (emphasis added); Or. Rev. Stat. ' 163.412(1) (2003) ( [Neither first nor second degree sexual penetration statute] prohibits a penetration described in either of those sections when: The penetration is part of a medically recognized treatment or diagnostic procedure[.] ), as quoted in Ketchum, 206 Or. App. at 637-38, 138 P.3d at 862 (emphasis suppressed). 33 considered conduct is for a medically accepted purpose in order to be entitled to the affirmative defense instruction. To this end, I agree with the language of the dissent in Cornet v. Texas, 359 S.W.3d 217 (Tex. Crim. App. 25 Jan. 2012): [w]hen asserting a medical care defense, the defendant bears the burden of offering some evidence that his conduct was, in fact, a legitimate, accepted medical methodology. Before a trial judge is required to instruct on . . . a defense . . . there must be evidence in the record that raises . . . that defense as a valid, rational alternative to the charge. Id. at 229-30 (Cochran, J., dissenting). Here, the majority states its belief that our legislature provided for the affirmative defense in part, to shield a parent or other charged with the caretaking of an infant, from prosecution for engaging in sexual conduct with a child when caring for the cleanliness and health needs of an infant, including the act of cleaning feces and urine from the genital opening with a wipe during a diaper change. This is a most expansive reading of the affirmative defense portion of the opinion that statute. the I legislature must agree could not with have the concurring intended this statute to be used as a shield by a defendant whose attempt to clean the child s genital and anal area was performed with 34 such violence that her rectum and vagina [was] left torn and bleeding. While I do not agree that defendant is entitled to an affirmative defense instruction on penetration for an accepted medical purpose, I also point out that defendant was not denied the opportunity to put on a defense. Defendant testified that his cleaning feces was the reason for the digital insertion into the child s genital and rectal area. However, defendant did not put forth evidence that his actions were for an accepted medical purpose. There was no testimony from defendant s medical experts or any other witnesses to support an instruction to the jury that the act of cleaning feces from the infant could be considered an act performed for accepted medical purposes. a trial court is not required to instruct the jury And, on an affirmative defense for which there is not sufficient evidence. Perhaps it would be a closer question had defendant s request for this affirmative defense instruction been based on his application of medication to treat a diaper rash or to treat some other medical condition. defendant s everyday actions occurrence of in wiping the However, this appeal concerns feces life of from a a baby, child a common, necessary to 35 maintaining good hygiene, not the treatment of a medical condition. Therefore, because I do not believe that defendant met his burden of showing that his actions were for an accepted medical purpose, the trial court was not required to instruct on the requested affirmative defense. I would find no error in the trial court s refusal to so instruct. NO. COA13-46 NORTH CAROLINA COURT OF APPEALS Filed: 21 January 2014 STATE OF NORTH CAROLINA v. Wake County No. 09 CRS 209725 JOSHUA ANDREW STEPP STEPHENS, Judge, concurring. I am constrained by statute, case law, and the evidence presented at trial to agree with the majority opinion that we must grant Defendant a new trial. However, I write separately because I believe the result we are compelled to reach in this appeal is not what our General Assembly envisioned or intended when it provided the affirmative defense of penetration for an accepted medical purpose[] under section 14-27.1. See N.C. Gen. Stat. § 14-27.1 (2011) (defining [s]exual act to include the penetration, however slight, by any object into the genital or anal opening of another person s body: provided, that it shall be an affirmative defense that the penetration was for accepted medical purposes ). I believe that, in the context of sexual abuse prosecutions, our legislature intended this affirmative defense -37to distinguish between necessary penetrations required by medical, hygiene, or other health needs from those which are criminal in nature. intended this I cannot affirmative believe defense be that used as our a legislators shield by a drunken, drugged, and enraged Defendant who by his own admission (1) rubs a baby s face into carpet until she bleeds from seconddegree rug burns, (2) bruises her face and head in multiple locations, and then (3) attempts to clean her genital and anal regions with such violence that her rectum and vagina are left torn and bleeding (all before asphyxiating the helpless infant by shoving wet toilet paper into her mouth in an effort to silence her hysterical screams of pain). I would draw our General Assembly s attention to the discussion in the majority opinion regarding the distinction between penetration for an accepted medical purpose and penetration which occurs for such a purpose in a medically accepted manner. criminal offense, even if not sexual Surely it should be a abuse, to penetrate a baby s vagina, even in an alleged attempt to clean feces away, if that action is undertaken in a drunken rage and results in injuries such as those Cathy suffered in the last moments of her brief life. I further note the State could have elected to charge -38Defendant with felony child abuse, as the predicate felony to his first-degree murder charge, pursuant to various provisions of N.C. Gen. Stat. § 14-318.4: (a) A parent or any other person providing care to or supervision of a child less than 16 years of age who intentionally inflicts any serious physical injury upon or to the child or who intentionally commits an assault upon the child which results in any serious physical injury to the child is guilty of a Class E felony . . . . . . . (a3) A parent or any other person providing care to or supervision of a child less than 16 years of age who intentionally inflicts any serious bodily injury to the child or who intentionally commits an assault upon the child which results in any serious bodily injury to the child, or which results in permanent or protracted loss or impairment of any mental or emotional function of the child, is guilty of a Class C felony. (a4) A parent or any other person providing care to or supervision of a child less than 16 years of age whose willful act or grossly negligent omission in the care of the child shows a reckless disregard for human life is guilty of a Class E felony if the act or omission results in serious bodily injury to the child. (a5) A parent or any other person providing care to or supervision of a child less than 16 years of age whose willful act or grossly negligent omission in the care of the child shows a reckless disregard for human life is guilty of a Class H felony if the act or -39omission results in serious physical injury to the child. . . . (d) The following definitions apply in this section: (1) Serious bodily injury. Bodily injury that creates a substantial risk of death or that causes serious permanent disfigurement, coma, a permanent or protracted condition that causes extreme pain, or permanent or protracted loss or impairment of the function of any bodily member or organ, or that results in prolonged hospitalization. (2) Serious physical injury. Physical injury that causes great pain and suffering. The term includes serious mental injury. N.C. Gen. Stat. § 14-318.4 (2011). admitted that his actions caused As noted supra, Defendant second-degree Cathy s face and deep tears to her anus. rug burns to These injuries would surely qualify, at a minimum, as serious physical injur[ies] under the statute. Likewise, Defendant s actions were plainly willful. understand I cannot the decision by the State to proceed against Defendant on charges for sexual offense felonies without also charging him with felony child abuse, an offense for which Defendant s shocking claim of diaper changing would have provided little or no defense.

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