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

CourtIndiana Court of Appeals
DecidedMarch 29, 2016
Docket35A02-1507-CR-932
StatusPublished

This text of Racheal Dawn Ruble v. State of Indiana (mem. dec.) (Racheal Dawn Ruble v. State of Indiana (mem. dec.)) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Racheal Dawn Ruble v. State of Indiana (mem. dec.), (Ind. Ct. App. 2016).

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

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