Racheal Dawn Ruble v. State of Indiana (mem. dec.)

Indiana Court of Appeals·Decided March 29, 2016·No. 35A02-1507-CR-932·Published

Opinion

MEMORANDUM DECISION FILED

Pursuant to Ind. Appellate Rule 65(D), this Memorandum Decision shall not be Mar 29 2016, 6:57 am

regarded as precedent or cited before any CLERK Indiana Supreme Court

court except for the purpose of establishing Court of Appeals and Tax Court

the defense of res judicata, collateral estoppel, or the law of the case.

ATTORNEY FOR APPELLANT ATTORNEYS FOR APPELLEE Jeremy K. Nix Gregory F. Zoeller Matheny, Hahn, Denman & Nix, Attorney General of Indiana L.L.P. Huntington, Indiana Michael Gene Worden Deputy Attorney General

Indianapolis, Indiana

IN THE

COURT OF APPEALS OF INDIANA

Racheal Dawn Ruble, March 29, 2016 Appellant-Defendant, Court of Appeals Case No.

35A02-1507-CR-932

v. Appeal from the Huntington Circuit Court

State of Indiana, The Honorable Thomas M. Appellee-Plaintiff. Hakes, Judge Trial Court Cause No.

35C01-1411-F3-260

Brown, Judge.

Court of Appeals of Indiana | Memorandum Decision 35A02-1507-CR-932|March 29, 2016 Page 1 of 14

[1] Racheal Dawn Ruble appeals her conviction for neglect of a dependent resulting in serious bodily injury as a level 3 felony and raises two issues. We find dispositive the issue of whether her conviction for neglect of a dependent must be reduced from a level 3 felony to a level 6 felony. We reverse and remand for resentencing.

Facts and Procedural History [2] On September 9, 2014, Ruble took K.R., who was the grandson of her husband Gary and just shy of four months old at the time, to a walk-in clinic in Huntington, Indiana, and reported that she believed something was wrong with K.R.’s ankle and that her dog had stepped on K.R.’s right foot. Marcy Pratt, a nurse practitioner, examined K.R. and noted that he appeared to be normal other than that he was bloated and irritable and, with respect to his leg, that it looked normal, there was no swelling, no bruising, no scratches, and nothing that indicated there had been any injury to the leg or ankle whatsoever. Pratt also examined K.R.’s head and noted that, other than a small bruise on his right cheek, his head appeared normal.

[3] At approximately 7:00 p.m. on September 11, 2014, Ruble returned to the clinic with K.R., and Pratt immediately recognized that K.R.’s upper right leg was very swollen, that it was twice the size of his left leg and the skin was tight, and that, if you touched it, he would scream in pain. Pratt believed there was a fracture to K.R.’s femur and was adamant with Ruble that K.R. needed to go to the emergency room immediately. Pratt also noted that K.R.’s head appeared

Court of Appeals of Indiana | Memorandum Decision 35A02-1507-CR-932|March 29, 2016 Page 2 of 14 normal. Ruble made every indication that she was headed to the emergency room.

[4] Approximately one to one and one-half hours after Ruble and K.R. left the clinic, Pratt checked with the emergency room and learned that K.R. had not arrived. Pratt eventually spoke with the emergency room physician, Dr. Sheila Blakley, and then called child protective services. Huntington Police Officer Shane Blair went to Ruble’s home close to 10:00 p.m., and Ruble informed him that K.R. was not there but was with Gary. Officer Blair asked Ruble why she had not taken K.R. to the hospital, and Ruble stated that she was waiting for Gary to leave work and they could go together. Officer Blair advised Ruble that she needed to meet her husband and take K.R. to the hospital. At some point, Gary returned home from work and found K.R. at home and saw that K.R.’s leg was swollen to twice the size it should be, and he and Ruble took K.R. to the hospital. They arrived at the hospital “closer to 11:00 o’clock.” Transcript at 181.

[5] At the emergency room, Dr. Blakley examined K.R. and found significant swelling to his right thigh along with signs of a head injury. The swelling of K.R.’s leg indicated a possible underlying facture, and the swelling of his interior fontanel indicated there was increased pressure around the brain. A C.T. scan of his head showed multiple areas of bleeding within and around his brain. Dr. Blakley noticed that the bleeding appeared to be acute and had occurred recently. Dr. Blakley also noted that the fact that K.R.’s fontanel was flat at the clinic but swollen at the time he was admitted to the hospital Court of Appeals of Indiana | Memorandum Decision 35A02-1507-CR-932|March 29, 2016 Page 3 of 14 indicates increasing pressure and continued bleeding, and would support a finding of a more acute injury. An x-ray showed a spiral-type fracture in the middle of K.R.’s femur. Dr. Blakley also observed hemorrhaging behind or within K.R.’s eye, which is consistent with acceleration and deceleration or rapid and vigorous shaking. Dr. Blakley believed that, if left untreated, K.R.’s injuries could have been life threatening, and K.R. was transported to Riley Children’s Hospital.

[6] Dr. Katherine Haider, a pediatric ophthalmologist, examined K.R. and observed a pattern of retinal hemorrhages over his left eye which was consistent with a child who had non-accidental trauma. Dr. Ralph Hicks, a child abuse pediatrics specialist, examined K.R. in the morning on September 12, 2014, and prepared reports. Dr. Hicks noted that K.R. had a spiral fracture to his right femur, and the x-ray showed no evidence of healing so the fracture was recent. Dr. Hicks further noted that M.R.I. images showed indications of collections of blood around the brain and that the neuroradiologist felt that the collections were probably of different ages, suggesting there had been more than one event involving some sort of head injury.

[7] In their investigation, police determined that Cheyenne Hibbert, a developmental disability professional, had a home visit with K.R. and Ruble on September 3, 2014, and again on September 11, 2014, from 12:30 to 2:00 p.m., and she did not observe anything out of the ordinary or notice anything while watching K.R. that made her believe that he was in any kind of pain or distress. Also, Ruble’s sister had cared for K.R. overnight from September 5 to Court of Appeals of Indiana | Memorandum Decision 35A02-1507-CR-932|March 29, 2016 Page 4 of 14

September 6, 2014, and K.R. appeared healthy at the time, and Ruble’s probation officer met with Ruble on September 10, 2014, at which time K.R. did not appear to be in pain and slept the entire time.

[8] On November 20, 2014, the State charged Ruble with: Count I, battery on a child resulting in serious bodily injury, namely a broken femur, as a level 3 felony; Count II, battery on a child resulting in serious bodily injury, namely abusive head trauma, as a level 3 felony; Count III, neglect of a dependent resulting in serious bodily injury as a level 3 felony; Count IV, battery on a child resulting in bodily injury of a subdural hematoma as a level 5 felony; and Count V, battery on a child resulting in bodily injury of a broken tibia as a level 5 felony. The State later moved to dismiss Count V, and the court granted the motion. Following a jury trial in May 2015, the jury found Ruble guilty as charged on Counts I, II, and III and not guilty on Count IV, and the court entered judgment of conviction on Counts I, II, and III. As to each of her convictions under Counts I through III, the court sentenced Ruble to thirteen years with four years suspended to probation, and ordered that Counts I and II be served concurrently with each other and consecutive to Count III, for an aggregate sentence of twenty-six years with eighteen years executed and eight years suspended to probation.

Court of Appeals of Indiana | Memorandum Decision 35A02-1507-CR-932|March 29, 2016 Page 5 of 14

Discussion

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