Com. v. Ramage, A.

CourtSuperior Court of Pennsylvania
DecidedMay 28, 2026
Docket1032 MDA 2025
StatusUnpublished
AuthorBender

This text of Com. v. Ramage, A. (Com. v. Ramage, A.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Com. v. Ramage, A., (Pa. Ct. App. 2026).

Opinion

J-S14038-26

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37

COMMONWEALTH OF PENNSYLVANIA : IN THE SUPERIOR COURT OF : PENNSYLVANIA : v. : : : ANDREW LEWIS RAMAGE : : Appellant : No. 1032 MDA 2025

Appeal from the Judgment of Sentence Entered April 29, 2025 In the Court of Common Pleas of Centre County Criminal Division at No. CP-14-CR-0000551-2023

BEFORE: KUNSELMAN, J., McLAUGHLIN, J., and BENDER, P.J.E.

MEMORANDUM BY BENDER, P.J.E.: FILED: MAY 28, 2026

Andrew Lewis Ramage (Appellant) appeals from the judgment of

sentence imposed after he entered an open nolo contendere plea to

aggravated indecent assault of a child, 18 Pa.C.S. § 3125(b).1 We affirm.

Appellant entered his plea on January 17, 2025. The trial court

explained:

At the time of the plea, a factual basis was set forth on the record, which was as follows:

[I]f the case had proceeded to trial, competent evidence would have shown that on or about January 22, 2023, [Appellant] was caring for his girlfriend’s 12-month-old daughter, [Child]. After waking up in the night, the girlfriend discovered that [Child’s] vagina showed signs of injury. Subsequent evaluation by physicians revealed multiple tears in the internal anatomy of [Child’s] vagina, ____________________________________________

1 Pursuant to the plea agreement, the Commonwealth agreed to nolle prosse

Appellant’s charges of rape of a child, indecent assault, and simple assault. 18 Pa.C.S. §§ 3121, 3126, and 2701. J-S14038-26

consistent with something being forcefully and repeatedly being inserted into her vagina.

Roughly two months later, on or about March 26, 2023, [Appellant] made statements to various health care providers and representatives of law enforcement confessing to have sexually assaulted [Child]. Specifically, [Appellant] made statements that after removing [Child’s] diaper, he removed his penis from his own clothing with the intention of using it to penetrate [Child’s] vagina. However, when he could not get an erection, he instead repeatedly inserted two fingers into her vagina.

Trial Court Opinion (TCO), 9/10/25, at 1-2 (citing N.T., 1/17/25, at 5-6).

At the conclusion of the plea hearing, the trial court ordered a Pre-

Sentence Investigation (PSI) report and a report from the Sexual Offenders

Assessment Board (SOAB). See N.T., 1/17/25, at 14. The court also directed

the parties to submit pre-sentence memoranda. Id.

The trial court held a sentencing hearing on April 29, 2025. The

Commonwealth presented Dr. Nancy Clemens as their sole witness. Dr.

Clemons was Child’s treating physician at Geisinger Medical Center, and the

parties stipulated to her expertise in pediatric emergency medicine. N.T.,

4/29/25, at 7-8.

Dr. Clemens described her examination of Child as “unusual.” Id. at 8.

She explained:

This examination was unusual for several reasons. One, I received a call from the community advocacy center saying that they required a child to come to the emergency department for examination. [They] stated that they thought she needed sedation for the exam, which was odd to me[, b]ecause the community advocacy center examines children, that’s their primary role, or that’s something they do on a daily basis, they examine children. [They] specialize in examining children for

-2- J-S14038-26

concerns for trauma. So with this child’s age and their experience I was surprised that they were not able to examine her. The other reason the exam was unusual is because [Child] was very young. … I never had to sedate a child that age that I can recall to examine their genitals. And when I attempted to examine her in a typical pattern … she became hysterical. I remember … we could not instruct her or position her in a way that would allow me to [conduct] an effective exam.

When we laid her down to examine her I remember she almost … flew off the table. She retracted away from me. She was very hysterical.

This is an age a child is … happy when people change their diaper several times a day. It is not unusual for [a child] this age to have someone [near] their [genital] area. And so typically you just lay them down on their back … like they were having a diaper changed.

Id. at 8-10.

Dr. Clemens explained that Child was sedated because it was “clearly

important to get a full and appropriate look at this child’s genital region.” Id.

at 10. She relayed that she “had the subspecialist come from gynecology,”

and they “examined [Child] together.” Id. at 10-11. Dr. Clemens testified:

[T]here were abnormalities, obvious abnormal findings. Most obvious was that her hymen was red, swollen, [and] appeared irritated with signs of injury. There were abrasions and then there were small tears in the hymen itself. …

[T]here is also documentation of an abrasion further above the vaginal opening. Like an area that was red and looked like it had been injured as well.

Id. at 11-12.

Appellant did not present any witnesses, but read a prepared statement.

Appellant maintained he “never hurt” Child, and that a “sequence of events

led to” him to “making a false confession of guilt.” Id. at 22. Appellant

-3- J-S14038-26

claimed his confession was a result of “intrusive thoughts” caused by

obsessive compulsive disorder and anxiety. Id. He described delusions and

paranoia which “played into making a false confession to police.” Id. at 23.

According to Appellant, he “never acted out physically in anger,” and “loved

[Child] like she was [his] own.” Id. at 24. Appellant stated that he and Child’s

mother “broke up because of something completely unrelated to the case.”

Id. He added that Child’s mother was “a very light sleeper, especially when

it came to [Child],” and if Appellant “had actually done this,” Child “would

have woken [Child’s mother, who] would have noticed then.” Id. Appellant

told the court that he entered his plea because he “wanted to reduce the

charges and possibly face less jail time.” Id. at 25.

The Commonwealth requested a maximum sentence, asserting that

“everything in this case says [Appellant] is beyond an aggravated sentence.”

Id. at 18. The Commonwealth specifically requested the court “impose the

statutory maximum of 10 to 20 years.” Id. at 20. In contrast, defense

counsel asserted that Appellant had confessed “while in the middle of a mental

health crisis,” and requested a “sentence at the bottom of the mitigated range

as a minimum of 36 months.” Id. at 19, 21.

The trial court reviewed the terms of Appellant’s plea, noting Appellant’s

lifetime classification as a Tier III sex offender under the Sexual Offender

Registration and Notification Act (SORNA), 42 Pa.C.S. § 9799.11.2 Id. at 26.

____________________________________________

2 The SOAB determined that Appellant was not a sexually violent predator.

-4- J-S14038-26

The court further explained that pursuant to the plea, it would “take the facts

as the Commonwealth would have proven.” Id. at 30. Before announcing

Appellant’s sentence, the court said it had reviewed the PSI report and pre-

sentence memoranda, and had considered Dr. Clemens’ testimony,

Appellant’s statement, and counsels’ arguments. Id. The court explained:

The [c]ourt has considered [Appellant’s] character, education, mental health and other circumstances set forth in the PSI and will incorporate the PSI into the record.

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