{ "id": 1155599, "name": "STATE OF NORTH CAROLINA v. KIMBERLY BRAXTON FRITSCH aka KIMBERLY RAINS FRITSCH", "name_abbreviation": "State v. Fritsch", "decision_date": "2000-04-07", "docket_number": "No. 141PA99", "first_page": "373", "last_page": "386", "citations": [ { "type": "official", "cite": "351 N.C. 373" } ], "court": { "name_abbreviation": "N.C.", "id": 9292, "name": "Supreme Court of North Carolina" }, "jurisdiction": { "id": 5, "name_long": "North Carolina", "name": "N.C." }, "cites_to": [ { "cite": "511 S.E.2d 325", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1999, "opinion_index": -1 }, { "cite": "132 N.C. App. 262", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 11237521 ], "year": 1999, "opinion_index": -1, "case_paths": [ "/nc-app/132/0262-01" ] }, { "cite": "404 S.E.2d 191", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1991, "pin_cites": [ { "page": "197" } ], "opinion_index": 0 }, { "cite": "103 N.C. App. 1", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 8519288 ], "year": 1991, "pin_cites": [ { "page": "9" } ], "opinion_index": 0, "case_paths": [ "/nc-app/103/0001-01" ] }, { "cite": "389 S.E.2d 48", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1990, "pin_cites": [ { "page": "54" } ], "opinion_index": 0 }, { "cite": "326 N.C. 268", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 5306215 ], "year": 1990, "pin_cites": [ { "page": "278-79" } ], "opinion_index": 0, "case_paths": [ "/nc/326/0268-01" ] }, { "cite": "419 S.E.2d 545", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1992, "pin_cites": [ { "page": "554" } ], "opinion_index": 0 }, { "cite": "331 N.C. 515", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 2500856 ], "year": 1992, "pin_cites": [ { "page": "532" } ], "opinion_index": 0, "case_paths": [ "/nc/331/0515-01" ] }, { "cite": "459 S.E.2d 739", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1995, "pin_cites": [ { "page": "745" } ], "opinion_index": 0 }, { "cite": "340 N.C. 735", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 790153 ], "year": 1995, "pin_cites": [ { "page": "746-47" } ], "opinion_index": 0, "case_paths": [ "/nc/340/0735-01" ] }, { "cite": "197 S.E.2d 878", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1973, "opinion_index": 0 }, { "cite": "283 N.C. 669", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8560034, 8560068, 8560048, 8560082, 8560023 ], "year": 1973, "opinion_index": 0, "case_paths": [ "/nc/283/0669-02", "/nc/283/0669-04", "/nc/283/0669-03", "/nc/283/0669-05", "/nc/283/0669-01" ] }, { "cite": "197 S.E.2d 79", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1973, "opinion_index": 0 }, { "cite": "18 N.C. App. 433", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 8550543 ], "year": 1973, "opinion_index": 0, "case_paths": [ "/nc-app/18/0433-01" ] }, { "cite": "231 S.E.2d 604", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1977, "pin_cites": [ { "page": "606" } ], "opinion_index": 0 }, { "cite": "291 N.C. 700", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8559009 ], "year": 1977, "pin_cites": [ { "page": "702" } ], "opinion_index": 0, "case_paths": [ "/nc/291/0700-01" ] }, { "cite": "296 S.E.2d 649", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 4, "year": 1982, "pin_cites": [ { "page": "653" }, { "page": "652" }, { "page": "653" } ], "opinion_index": 0 }, { "cite": "307 N.C. 62", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8560587 ], "weight": 2, "year": 1982, "pin_cites": [ { "page": "67" }, { "page": "67" } ], "opinion_index": 0, "case_paths": [ "/nc/307/0062-01" ] }, { "cite": "459 S.E.2d 770", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1995, "pin_cites": [ { "page": "776" } ], "opinion_index": 0 }, { "cite": "340 N.C. 646", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 790211 ], "year": 1995, "pin_cites": [ { "page": "658" } ], "opinion_index": 0, "case_paths": [ "/nc/340/0646-01" ] }, { "cite": "139 S.E.2d 661", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1965, "pin_cites": [ { "page": "665" } ], "opinion_index": 0 }, { "cite": "263 N.C. 353", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8569961 ], "year": 1965, "pin_cites": [ { "page": "358" } ], "opinion_index": 0, "case_paths": [ "/nc/263/0353-01" ] }, { "cite": "250 S.E.2d 204", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1978, "pin_cites": [ { "page": "209", "parenthetical": "alteration in original" } ], "opinion_index": 0 }, { "cite": "296 N.C. 236", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8565526 ], "year": 1978, "pin_cites": [ { "page": "244", "parenthetical": "alteration in original" } ], "opinion_index": 0, "case_paths": [ "/nc/296/0236-01" ] }, { "cite": "373 S.E.2d 430", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1988, "pin_cites": [ { "page": "433" } ], "opinion_index": 0 }, { "cite": "323 N.C. 447", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 2561633 ], "year": 1988, "pin_cites": [ { "page": "452" } ], "opinion_index": 0, "case_paths": [ "/nc/323/0447-01" ] }, { "cite": "322 S.E.2d 370", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1984, "opinion_index": 0 }, { "cite": "312 N.C. 129", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 4750010 ], "year": 1984, "opinion_index": 0, "case_paths": [ "/nc/312/0129-01" ] }, { "cite": "417 S.E.2d 756", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 3, "year": 1992, "pin_cites": [ { "page": "761" }, { "page": "761" } ], "opinion_index": 0 }, { "cite": "331 N.C. 537", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 2498402 ], "weight": 2, "year": 1992, "pin_cites": [ { "page": "544" }, { "page": "544" } ], "opinion_index": 0, "case_paths": [ "/nc/331/0537-01" ] }, { "cite": "261 S.E.2d 114", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 2, "year": 1980, "pin_cites": [ { "page": "117", "parenthetical": "citations omitted" } ], "opinion_index": 0 }, { "cite": "299 N.C. 95", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8573434 ], "year": 1980, "opinion_index": 0, "case_paths": [ "/nc/299/0095-01" ] }, { "cite": "430 S.E.2d 913", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 2, "year": 1993, "pin_cites": [ { "page": "918-19" } ], "opinion_index": 0 }, { "cite": "334 N.C. 67", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 2529175 ], "weight": 2, "year": 1993, "pin_cites": [ { "page": "75-76" } ], "opinion_index": 0, "case_paths": [ "/nc/334/0067-01" ] }, { "cite": "511 S.E.2d 325", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 3, "year": 1999, "pin_cites": [ { "page": "332" }, { "page": "331" }, { "page": "331" } ], "opinion_index": 0 }, { "cite": "132 N.C. App. 262", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 11237521 ], "weight": 3, "year": 1999, "pin_cites": [ { "page": "271" }, { "page": "270-71" }, { "page": "271" } ], "opinion_index": 0, "case_paths": [ "/nc-app/132/0262-01" ] }, { "cite": "171 S.E.2d 894", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1970, "pin_cites": [ { "page": "901" } ], "opinion_index": 1 }, { "cite": "276 N.C. 263", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8560963 ], "year": 1970, "pin_cites": [ { "page": "273" } ], "opinion_index": 1, "case_paths": [ "/nc/276/0263-01" ] }, { "cite": "265 S.E.2d 227", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1980, "pin_cites": [ { "page": "233", "parenthetical": "quoting 1 Henry Brandis, Jr., Stansbury's North Carolina Evidence \u00a7 28, at 75-76 (Brandis rev. 1973)" } ], "opinion_index": 1 }, { "cite": "300 N.C. 57", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8559759 ], "year": 1980, "pin_cites": [ { "page": "67", "parenthetical": "quoting 1 Henry Brandis, Jr., Stansbury's North Carolina Evidence \u00a7 28, at 75-76 (Brandis rev. 1973)" } ], "opinion_index": 1, "case_paths": [ "/nc/300/0057-01" ] }, { "cite": "220 S.E.2d 283", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1975, "pin_cites": [ { "page": "292" } ], "opinion_index": 1 }, { "cite": "288 N.C. 699", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8570646 ], "year": 1975, "pin_cites": [ { "page": "713" } ], "opinion_index": 1, "case_paths": [ "/nc/288/0699-01" ] }, { "cite": "154 S.E.2d 59", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1967, "pin_cites": [ { "page": "61" } ], "opinion_index": 1 }, { "cite": "270 N.C. 270", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 8567155 ], "year": 1967, "pin_cites": [ { "page": "273" } ], "opinion_index": 1, "case_paths": [ "/nc/270/0270-01" ] }, { "cite": "78 L. Ed. 2d 232", "category": "reporters:federal", "reporter": "L. Ed. 2d", "year": 1983, "opinion_index": 1 }, { "cite": "464 U.S. 895", "category": "reporters:federal", "reporter": "U.S.", "case_ids": [ 6415585, 6415906, 6415363, 6415686, 6415144, 6414859, 6416207, 6415793, 6416051, 6415478, 6415263, 6414716, 6414623 ], "year": 1983, "opinion_index": 1, "case_paths": [ "/us/464/0895-08", "/us/464/0895-11", "/us/464/0895-06", "/us/464/0895-09", "/us/464/0895-04", "/us/464/0895-03", "/us/464/0895-13", "/us/464/0895-10", "/us/464/0895-12", "/us/464/0895-07", "/us/464/0895-05", "/us/464/0895-02", "/us/464/0895-01" ] }, { "cite": "705 F.2d 624", "category": "reporters:federal", "reporter": "F.2d", "case_ids": [ 1858586 ], "pin_cites": [ { "page": "632" } ], "opinion_index": 1, "case_paths": [ "/f2d/705/0624-01" ] }, { "cite": "310 S.E.2d 320", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 1984, "pin_cites": [ { "page": "324" } ], "opinion_index": 1 }, { "cite": "310 N.C. 108", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 2397427 ], "year": 1984, "pin_cites": [ { "page": "114" } ], "opinion_index": 1, "case_paths": [ "/nc/310/0108-01" ] }, { "cite": "403 S.E.2d 483", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 5, "year": 1991, "pin_cites": [ { "page": "489" }, { "page": "489" }, { "page": "489" } ], "opinion_index": 1 }, { "cite": "328 N.C. 578", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 2538399 ], "weight": 3, "year": 1991, "pin_cites": [ { "page": "587" }, { "page": "587" }, { "page": "587" } ], "opinion_index": 1, "case_paths": [ "/nc/328/0578-01" ] } ], "analysis": { "cardinality": 1236, "char_count": 33847, "ocr_confidence": 0.768, "pagerank": { "raw": 2.691536319025703e-06, "percentile": 0.9969220213224786 }, "sha256": "869c46baafc58d1231a7017644f4338c864fafaf9968a8dfeb2fb524905087d5", "simhash": "1:53b6502a5c3f15fa", "word_count": 5468 }, "last_updated": "2023-07-14T19:38:07.529951+00:00", "provenance": { "date_added": "2019-08-29", "source": "Harvard", "batch": "2018" }, "casebody": { "judges": [], "parties": [ "STATE OF NORTH CAROLINA v. KIMBERLY BRAXTON FRITSCH aka KIMBERLY RAINS FRITSCH" ], "opinions": [ { "text": "PARKER, Justice.\nDefendant was indicted for felonious child abuse and involuntary manslaughter of her seven-year-old daughter (victim). The jury convicted defendant of nonfelonious child abuse and involuntary manslaughter. The convictions were consolidated for judgment, and the trial court sentenced defendant to a term of sixteen to twenty months imprisonment.\nAt trial the State\u2019s evidence tended to show that the victim suffered from cerebral palsy and severe mental retardation, functioning at the level of an infant. The victim died on 1 January 1996 at her home in Carteret County. The victim was a student at the Newport Developmental Center (\u201cCenter\u201d), a therapeutic day program for children with special needs, from June 1989 until January 1992 and then again from April 1993 until 16 October 1995. While at the Center, the victim never exhibited any eating problems or inability to swallow. In February 1994 the victim weighed twenty-six and a half pounds. The victim was then absent from the Center from 8 June 1994 until 30 August 1994. When the victim returned on 30 August 1994, the Center observed that she was dirty and thinner and that she had sores on her back. The victim then weighed twenty-two pounds. The Center then contacted the Department of Social Services (\u201cDSS\u201d) concerning the victim\u2019s physical condition. The DSS\u2019s investigation revealed that the victim had fresh and old bed sores on her spine, that the victim had a severe diaper rash, and that she appeared emaciated. The DSS then contacted Dr. William Stanley Rule for a child medical evaluation as to whether the victim\u2019s condition was due to neglect or her disability. The DSS\u2019s investigation also revealed that the victim had not been seen regularly by a physician. After the DSS substantiated a case for neglect of the victim, defendant entered into two intervention plans with the DSS which included choosing a doctor to perform regular weight checks and medical examinations of the victim, having the victim followed by a home health agency or a similar organization, taking advantage of respite services for additional home support, obtaining counseling regarding defendant\u2019s care of the victim, having the victim attend the Center on a regular basis, and obtaining regular employment and independence. The DSS\u2019s service regarding this neglect complaint of the victim ended in May 1995.\nDr. Rule, an expert in the field of pediatrics, saw the victim from infancy in 1988 until 1992. According to Dr. Rule, the victim was a premature twin who had numerous medical problems, including severe kidney disease with a swollen left kidney, a collapsed lung, pulmonary disease, cerebral atrophy, and visual and hearing difficulties. Pursuant to the DSS\u2019s request to examine the victim, Dr. Rule concluded that\n[t]he pressure sore and evidence of prior similar lesions, along with chronic diaper rash and diminished subcutaneous tissue, a possible sign of inadequate caloric intake, along with the apparent lack of consistent medical, home and medical follow-up of problems, all raise valid concerns regarding the child\u2019s care, regarding child care issues. There is no suggestion of abuse. . . . Cerebral palsy could possibly explain the child\u2019s size and growth status, but I still believe the situation is suspect. . . . The skin lesions and her diaper rash, those areas I felt were indicative of suboptimal care or poor care. I thought that the weight of the child was something that should raise concern.\nAfter regular attendance at the Center, the victim weighed twenty-seven pounds on 21 September 1994. The victim was again absent from the Center from 4 January 1995 until 4 April 1995. On 4 April 1995 the victim weighed twenty-four and a half pounds. After numerous absences from the Center in April and May 1995, the victim weighed twenty-two and a half pounds on 10 May 1995.\nThe victim was again absent from the Center from 2 September 1995 until 2 October 1995. On 2 October 1995 the victim returned to the Center unkempt and with sores. The victim weighed twenty-three pounds. The Center contacted the DSS again regarding the victim\u2019s physical condition. On 4 October 1995 the DSS observed that the victim appeared emaciated; that her arms and legs were in a fetal position; that she looked and smelled bad; that she had crusted dirt between her toes and various folds of her skin; that her left foot was swollen; and that she had pressure sores on her right foot, right ear, back, and the back of her head at the hairline. When questioned about the victim\u2019s physical condition, defendant responded that the pressure sores were actually ant bites that had not healed. The DSS then told defendant to take the victim to the doctor for a medical evaluation. On or about 19 October 1995, the victim was treated for an ear and upper respiratory infection; and the physical examination was rescheduled. However, defendant missed two scheduled appointments to have the victim physically examined. Despite numerous calls and visits to defendant\u2019s home and a mailed certified letter requesting contact, the DSS was unable to contact defendant until 18 December 1995. On 19 December 1995 the DSS stressed to defendant that the victim needed a physical evaluation and that she needed to be back at the Center. On 20 December 1995 the DSS substantiated neglect for \u201clack of proper care and lack of proper medical care\u201d of the victim by defendant based on observations made at the Center on 4 October 1995 and defendant\u2019s continued failure to take the victim to a doctor for a physical examination. The victim died on 1 January 1996 before case workers were scheduled to visit defendant\u2019s home.\nOn 2 January 1996 Dr. John Leonard Almeida, Jr., a pathologist, performed an autopsy of the victim\u2019s body. The autopsy revealed that the victim weighed eighteen pounds at her death and that the victim\u2019s stomach contained approximately a quart of food. Dr. Almeida opined that the underlying cause of the victim\u2019s death was \u201cstarvation malnutrition.\u201d He \u201cfound no evidence that [the victim] could not digest and ingest food.\u201d Dr. Almeida further opined that\nthe malnutrition was of relatively long standing chronic condition, and that the child had very little strength or energies left. And although she had been fed and had ingested a significant amount of food, that she was unable to use that food for the final meal to any useful purpose.\nAccording to defendant, the victim was able to eat only pureed food prepared in a blender. Dr. Richard Stevenson, defendant\u2019s expert in pediatrics and developmental disabilities in children, testified that it was common for children with cerebral palsy to be malnourished. Although Dr. Stevenson never physically examined the victim, he reviewed the victim\u2019s medical records and concluded that the victim \u201chad been significantly malnourished for at least two years prior to her death.\u201d Dr. Stevenson explained that\n[the victim\u2019s] ability to eat was limited by the severity of her disability, so that she could only take in a certain number of calories. I think that she became malnourished and stayfed] malnourished chronically. I think that malnutrition was then complicated by medical factors. Most importantly, I think her bed sores, and that the combination of [malnutrition and the bed sores, as well as intervening colds and other things like that, lead [sic] to a vicious circle of continued malnutrition, increased weakness and eventually, death.\nIn forming his opinions, Dr. Stevenson relied on a medical article that contained a study revealing that \u201c43 percent of children with that severity of handicap [as the victim] were dead by age five and 70 percent were dead by age ten.\u201d\nDefendant presented testimony of numerous family members and friends who testified that they witnessed defendant feeding the victim many times. They all attested to the fact that the feeding process was long and arduous since the victim had a difficult time swallowing food. They also testified that the victim had always been very thin for a child her age. Dr. Donald Jason, an expert in the field of forensic pathology, reviewed the victim\u2019s autopsy report and concluded that the victim died not from starvation malnutrition, but from severe dehydration since the stomach was not emptying properly. Defendant testified that the missed appointments for medical physicals were due to car problems. Defendant also testified that she kept the victim out of the Center during the winter months on account of the victim\u2019s respiratory problems.\nPrior to trial on the charges of felonious child abuse and manslaughter, defendant filed five motions in limine to suppress the evidence of (i) the pathologist\u2019s conclusion that the victim died from the withholding of food; (ii) defendant\u2019s lifestyle; (iii) the injury to the victim\u2019s brother\u2019s eye; (iv) the victim\u2019s \u201cdiaper rash, bed sores, unclean or unsanitary appearance or evidence of marks, rashes, bites, [or] other conditions\u201d; and (v) the four investigations by the DSS into allegations of neglect of the victim by defendant. The trial court granted defendant\u2019s first three motions, denied the fourth motion, and granted the fifth motion only with regard to the March 1994 and July 1994 DSS investigations into allegations of neglect of defendant\u2019s other children that were not substantiated.\nAt the close of the State\u2019s evidence and at the close of all the evidence, defendant moved to have the charges dismissed; the trial court denied the motions. After the jury returned it verdicts, defendant renewed her motion to dismiss and moved to have the jury verdicts set aside; the trial court denied the motions.\nDefendant appealed, arguing, inter alia, that the trial court erred by not granting her motions to dismiss the charges at the close of the State\u2019s evidence and at the close of all the evidence since there was insufficient evidence of the crimes charged. The Court of Appeals, agreeing with defendant, reversed the trial court, holding that \u201cthe State has failed to present substantial evidence of either felonious or misdemeanor child abuse, or of involuntary manslaughter,\u201d sufficient to survive defendant\u2019s motions to dismiss. State v. Fritsch, 132 N.C.App. 262, 271, 511 S.E.2d 325, 332 (1999). This Court allowed both the State\u2019s petition for discretionary review and defendant\u2019s conditional petition for discretionary review as to additional issues.\nThe State contends that the Court of Appeals erred in holding that the trial court erred by denying defendant\u2019s motions to dismiss. The State argues that it presented substantial evidence of involuntary manslaughter and felonious or misdemeanor child abuse sufficient to survive defendant\u2019s motions to dismiss. We agree.\nIn State v. Barnes, 334 N.C. 67, 430 S.E.2d 913 (1993), this Court again reiterated the standard of review for motions to dismiss in criminal trials. The Court stated,\nThis Court reviewed the law in State v. Powell, 299 N.C. 95, 261 S.E.2d 114 (1980):\nUpon defendant\u2019s motion for dismissal, the question for the Court is whether there is substantial evidence (1) of each essential element of the offense charged, or of a lesser offense included therein, and (2) of defendant\u2019s being the perpetrator of such offense. If so, the motion is properly denied.\nIf the evidence is sufficient only to raise a suspicion or conjecture as to either the commission of the offense or the identity of the defendant as the perpetrator of it, the motion should be allowed.\nId. at 98, 261 S.E.2d at 117 (citations omitted). In reviewing challenges to the sufficiency of evidence, we must view the evidence in the light most favorable to the State, giving the State the benefit of all reasonable inferences. State v. Benson, 331 N.C. 537, 544, 417 S.E.2d 756, 761 (1992). Contradictions and discrepancies do not warrant dismissal of the case but are for the jury to resolve. Id. The test for sufficiency of the evidence is the same whether the evidence is direct or circumstantial or both. State v. Bullard, 312 N.C. 129, 322 S.E.2d 370 (1984). \u201cCircumstantial evidence may withstand a motion to dismiss and support a conviction even when the evidence does not rule out every hypothesis of innocence.\u201d State v. Stone, 323 N.C. 447, 452, 373 S.E.2d 430, 433 (1988). If the evidence presented is circumstantial, the court must consider whether a reasonable inference of defendant\u2019s guilt may be drawn from the circumstances. Once the court decides that a reasonable inference of defendant\u2019s guilt may be drawn from the circumstances, then \u201c \u2018it is for the jury to decide whether the facts, taken singly or in combination, satisfy [it] beyond a reasonable doubt that the defendant is actually guilty.\u2019 \u201d State v. Thomas, 296 N.C. 236, 244, 250 S.E.2d 204, 209 (1978) (alteration in original) (quoting State v. Rowland, 263 N.C. 353, 358, 139 S.E.2d 661, 665 (1965)).\nBarnes, 334 N.C. at 75-76, 430 S.E.2d at 918-19. \u201cBoth competent and incompetent evidence must be considered.\u201d State v. Lyons, 340 N.C. 646, 658, 459 S.E.2d 770, 776 (1995). In addition, the defendant\u2019s evidence should be disregarded unless it is favorable to the State or does not conflict with the State\u2019s evidence. See State v. Earnhardt, 307 N.C. 62, 67, 296 S.E.2d 649, 653 (1982). The defendant\u2019s evidence that does not conflict \u201cmay be used to explain or clarify the evidence offered by the State.\u201d Id. When ruling on a motion to dismiss, the trial court should be concerned only about whether the evidence is sufficient for jury consideration, not about the weight of the evidence. See id. at 67, 296 S.E.2d at 652.\nDefendant was charged with felonious child abuse and involuntary manslaughter. The jury found defendant guilty of nonfelonious child abuse and involuntary manslaughter. To sustain a charge of felonious child abuse, the State must present substantial evidence that defendant is\n[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.....\nN.C.G.S. \u00a7 14-318.4(a) (1999). To sustain a charge of misdemeanor child abuse, the State must present substantial evidence that defendant is\n[a] parent of a child less than 16 years of age, or any other person providing care to or supervision of such child, who inflicts physical injury, or who allows physical injury to be inflicted, or who creates or allows to be created a substantial risk of physical injury, upon or to such child by other than accidental means ....\nN.C.G.S. \u00a7 14-318.2(a) (1999).\nTo sustain a charge of involuntary manslaughter, the State must present substantial evidence that defendant committed\nthe unlawful and unintentional killing of another human being without malice and which proximately results from the commission of an unlawful act not amounting to a felony or not naturally dangerous to human life, or from the commission of some act done in an unlawful or culpably negligent manner, or from the culpable omission to perform some legal duty.\nState v. Everhart, 291 N.C. 700, 702, 231 S.E.2d 604, 606 (1977).\nUnder the applicable standard of review, substantial evidence existed from which the jury could infer that defendant willfully, or through her culpable negligence, deprived the victim of food and nourishment, or that the victim\u2019s death was proximately caused by defendant\u2019s actions or inactions. State\u2019s evidence tended to show that the seven-year-old victim, who had cerebral palsy and was profoundly mentally retarded, was absent from the Center for extended periods of time while in the care and custody of defendant. In February 1994 the victim weighed twenty-six and a half pounds. After being absent from the Center from 8 June 1994 until 30 August 1994, the victim returned thinner, dirty, and with sores on her back. The victim\u2019s weight had dropped to twenty-two pounds. After another extended absence from the Center from 2 September 1995 until 2 October 1995, the victim returned unkempt and with sores, weighing twenty-three pounds. Responding to the Center\u2019s allegations of neglect on 4 October 1995, the DSS observed that the victim appeared emaciated, that she looked and smelled bad, that there was crusted dirt between her toes and in the various folds of her skin, and that she had numerous pressure sores. Dr. Rule, who examined the victim at the DSS\u2019s request, concluded that the victim\u2019s skin lesions and diaper rash were \u201cindicative of suboptimal care or poor care. I thought that the weight of the child was something that should raise concern.\u201d The State\u2019s evidence further showed that the Center never observed the victim having problems eating or swallowing food. When the victim attended the Center regularly, she gained and maintained weight. At no time did the victim weigh more than twenty-seven pounds. Defendant\u2019s expert, Dr. Stevenson, acknowledged that the evidence that the victim\u2019s weight dropped after extended absences from the Center and rose again after regular attendance would support the assumption that the victim was not being fed as opposed to suffering from chronic malnutrition. The victim\u2019s autopsy on 2 January 1996 revealed that the victim weighed eighteen pounds at the time of her death, that her death was caused by \u201cstarvation malnutrition,\u201d and that there was no evidence that the victim \u201ccould not digest and ingest food.\u201d\nMoreover, the State\u2019s evidence showed that the Center contacted the DSS twice concerning the victim\u2019s physical condition. The DSS\u2019s 1994 investigation revealed that the victim had not been seen regularly by a physician. After the DSS substantiated a case for neglect of the victim, defendant signed two intervention plans which detailed the level of care that she was expected to provide for the victim, including, inter alia, regular doctor visits and regular Center attendance. As part of the DSS\u2019s 1995 investigation, defendant was to take the victim for a medical evaluation scheduled for 18 October 1995. The medical evaluation was rescheduled; however, defendant missed two scheduled appointments. The DSS substantiated neglect on 20 December 1995 for \u201clack of proper care and lack of proper medical care\u201d based on observations of the victim\u2019s physical condition and the continued failure to take the victim to a doctor for a physical examination.\nThe State contends that the Court of Appeals improperly weighed the evidence by considering defendant\u2019s exculpatory evidence that was in conflict with the State\u2019s evidence. We agree. Comparing this case with State v. Mason, 18 N.C. App. 433, 197 S.E.2d 79, cert. denied, 283 N.C. 669, 197 S.E.2d 878 (1973), which involved an involuntary manslaughter conviction for the starvation death of a child who was found in squalid living conditions, the Court of Appeals described the victim in this case as one who \u201clived in a properly heated, well stocked home with several healthy, well-fed children.\u201d Fritsch, 132 N.C. App. at 270-71, 511 S.E.2d at 331. This description identifies a contradiction or discrepancy with the State\u2019s evidence of the victim\u2019s condition, which is for the jury to resolve. See Benson, 331 N.C. at 544, 417 S.E.2d at 761. The Court of Appeals also noted that the victim suffered from \u201cseveral significant medical conditions,\u201d that no \u201ctreating or examining physicians ever recommended hospitalization or feeding the victim through the insertion of a gastrostomy tube,\u201d and that friends and family members never expressed great concern with the victim\u2019s well-being. Fritsch, 132 N.C. App. at 271, 511 S.E.2d at 331. This evidence conflicts with the State\u2019s evidence and could not properly be considered on a motion to dismiss. See Earnhardt, 307 N.C. at 67, 296 S.E.2d at 653.\nWe conclude that all the evidence, taken in the light most favorable to the State, was sufficient to support a finding that defendant was guilty of nonfelonious child abuse and involuntary manslaughter. The fact that some evidence in the record supports a contrary inference is not determinative on the motion to dismiss. Accordingly, the Court of Appeals erred in reversing the trial court\u2019s denial of defendant\u2019s motions to dismiss.\nDefendant contends that the trial court erred by denying defendant\u2019s motion in limine to suppress and by overruling defendant\u2019s objections during trial to evidence that DSS substantiated two cases of neglect of the victim by defendant. We disagree.\nDefendant made a motion in limine to suppress evidence of four DSS investigations into allegations that defendant\u2019s children were neglected. The trial court granted the motion as to the DSS\u2019s March 1994 and July 1994 investigations that involved unsubstantiated allegations of neglect of defendant\u2019s other children. The trial court denied the motion as to the DSS\u2019s August 1994 and October 1995 investigations that involved substantiated allegations of neglect of the victim by defendant. The trial court permitted Pamela Stewart and Daniel Sullivan, employees of the DSS, to testify, over defendant\u2019s objection, that they investigated the Center\u2019s allegations of neglect by observing the victim\u2019s physical condition at the Center. Stewart testified that based on her observation in August 1994 of the \u201cpressure sores, the weight loss, the diaper rash, and the fact that [the victim] had not been seen by a regular medical physician,\u201d the DSS substantiated a case of neglect of the victim by defendant. Based on his October 1995 observations of the victim, Sullivan testified that the DSS substantiated a case of neglect of the victim \u201cfor lack of proper care and lack of proper medical care\u201d by defendant. The trial court instructed the jury that this evidence could be considered only for the limited purpose of \u201cshowing that the defendant had at least some knowledge that the [DSS] had concerns regarding the level of care she was providing for her child,\u201d not as evidence of defendant\u2019s guilt.\nThe decision to either grant or deny a motion in limine is within the sound discretion of the trial court. See State v. Hightower, 340 N.C. 735, 746-47, 459 S.E.2d 739, 745 (1995). The trial court also has the sound discretion to exclude relevant but prejudicial evidence under Rule 403. See State v. Handy, 331 N.C. 515, 532, 419 S.E.2d 545, 554 (1992). The trial court must exclude evidence of other crimes, wrongs, or acts if the purpose of the evidence is to show defendant\u2019s propensity to commit the crime. See State v. Coffey, 326 N.C. 268, 278-79, 389 S.E.2d 48, 54 (1990). However, such evidence may \u201cbe admissible for other purposes, such as proof of motive, opportunity, intent, preparation, plan, knowledge, identity, or absence of mistake, entrapment or accident.\u201d N.C.G.S. \u00a7 8C-1, Rule 404(b) (1999). \u201cOur courts have consistently held that past incidents of mistreatment are admissible to show intent in a child abuse case.\u201d State v. West, 103 N.C. App. 1, 9, 404 S.E.2d 191, 197 (1991).\nDefendant contends that the testimony of the DSS employees that the DSS had substantiated a case of neglect of the victim by defendant was unduly prejudicial in that it invaded the province of both the judge and jury. In other words, the testimony was the equivalent of the involuntary manslaughter instruction given to the jury that \u201cdefendant\u2019s failure to act constituted a criminally negligent failure to perform a legal duty\u201d and that \u201cdefendant\u2019s act proximately caused the victim\u2019s death.\u201d We disagree. The State contends that the evidence was not used to show defendant\u2019s propensity to commit the crime, but rather to show that defendant had knowledge of the level of care that she was expected to provide and maintain for the victim. The jury could infer from the evidence of the DSS\u2019s substantiation of neglect that defendant\u2019s failure to follow the two intervention plans provided by the DSS was not a mistake. We hold that defendant\u2019s past incidents of her failure to provide proper care for the victim are relevant and admissible to show intent. The trial court properly balanced the probative value of this relevant evidence for the State against any unduly prejudicial effect to defendant by giving a limiting instruction to the jury. Further, we note that the trial court granted defendant\u2019s motions in limine to suppress evidence of the pathologist\u2019s conclusion that the victim died from the withholding of food, of defendant\u2019s lifestyle, of the injury to the victim\u2019s brother\u2019s eye, and of two investigations by the DSS into unsubstantiated allegations of neglect of other children. Therefore, we conclude that the trial court did not abuse its discretion in failing to grant defendant\u2019s motion in limine to suppress and in overruling defendant\u2019s objections during trial to evidence of the DSS\u2019s substantiation, based on its investigations, of allegations of neglect of the victim by defendant.\nIn conclusion, we affirm the decision of the Court of Appeals upholding the trial court\u2019s denial of defendant\u2019s motion in limine and overruling defendant\u2019s objections at trial to exclude evidence of the DSS\u2019s investigations. However, we reverse the Court of Appeals\u2019 decision reversing defendant\u2019s convictions.\nREVERSED.", "type": "majority", "author": "PARKER, Justice." }, { "text": "Justice Martin\nconcurring in part and dissenting in part.\nI concur in the majority\u2019s conclusion that the state presented sufficient evidence to survive defendant\u2019s motion to dismiss. I also agree that the underlying evidence of neglect, proffered by two lay witnesses for the limited purpose of showing defendant\u2019s knowledge of the level of care she was required to provide to the victim, was properly admitted. Nevertheless, I dissent from the majority\u2019s holding that the trial court did not commit prejudicial error when it allowed these same two lay witnesses to state repeatedly that they had \u201csubstantiated a case of neglect\u201d against defendant.\nUnder N.C.G.S. \u00a7 8C-1, Rule 704, witnesses may offer an opinion that embraces an ultimate issue decided by the trier of fact. Neither a lay witness, nor even an expert witness, however, may suggest to the jury that a legal standard has been satisfied or otherwise testify to a legal conclusion. See HAJMM Co. v. House of Raeford Farms, Inc., 328 N.C. 578, 587, 403 S.E.2d 483, 489 (1991); see also State v. Smith, 310 N.C. 108, 114, 310 S.E.2d 320, 324 (1984). In HAJMM this Court stated:\nFrom the Rules of Evidence, the advisory committee\u2019s notes, case law, and commentaries, we discern two overriding reasons for excluding testimony which suggests whether legal conclusions should be drawn or whether legal standards are satisfied. The first is that such testimony invades not the province of the jury but \u201cthe province of the court to determine the applicable law and to instruct the jury as to that law.\u201d F.A.A. v. Landy, 705 F.2d 624, 632 (2d Cir.), cert. denied, 464 U.S. 895, 78 L. Ed. 2d 232 (1983). It is for the court to explain to the jury the given legal standard or conclusion at issue and how it should be determined. To permit the expert to make this determination usurps the function of the judge. The second reason is that an expert is in no better position to conclude whether a legal standard has been satisfied or a legal conclusion should be drawn than is a jury which has been properly instructed on the standard or conclusion.\nHAJMM, 328 N.C. at 587, 403 S.E.2d at 489; see generally 1 Kenneth S. Broun, Brandis and Broun On North Carolina Evidence \u00a7\u00a7 182, 190 (5th ed. 1998).\nIn the present case, the two lay witnesses were permitted to testify repeatedly at trial that DSS had \u201csubstantiated a case of neglect\u201d against defendant. As District Attorney McFadyen correctly explained to the trial court, \u201cThe central issue in both of these charges is neglect . . . between April 1994 and October 1995.\u201d (Emphasis added.) In essence, the issue before the jury was whether defendant\u2019s alleged neglect led to the victim\u2019s death.\nIt was the trial court\u2019s duty to explain to the jury the legal standard of criminal negligence and how it should be determined. See HAJMM, 328 N.C. at 587, 403 S.E.2d at 489. By permitting the two lay witnesses to testify repeatedly as to administrative determinations of negligence against defendant, the province of the trial court to determine the applicable law on criminal negligence, and to instruct the jury on that law, was impermissibly invaded. See id. Moreover, the lay witnesses were in no better position than the jury to determine whether defendant was negligent after presentation of the underlying facts relevant to defendant\u2019s conduct and the trial court\u2019s proper instruction on the law of criminal negligence. See id.\nThe error arising from the erroneous admission of this evidence during presentation of the state\u2019s case-in-chief was not cured by the limiting instruction given by the trial court during its charge to the jury. Whether the prejudicial effect of incompetent evidence should be deemed cured by the trial court\u2019s instruction to disregard or give limited consideration to such evidence \u201cdepends upon the nature of the evidence and the circumstances of the particular case.\u201d State v. Aycoth, 270 N.C. 270, 273, 154 S.E.2d 59, 61 (1967). This Court has recognized that \u201csome transgressions are so gross and their effect so highly prejudicial that no curative instruction will suffice to remove the adverse impression from the minds of the jurors.\u201d State v. Britt, 288 N.C. 699, 713, 220 S.E.2d 283, 292 (1975). \u201c \u2018[I]f the evidence admitted is obviously prejudicial, and especially if it is emphasized by repetition or by allowing it to remain before the jury for an undue length of time, it may be too late to cure the error by withdrawal\u2019 or cautionary instructions.\u201d Duke Power Co. v. Winebarger, 300 N.C. 57, 67, 265 S.E.2d 227, 233 (1980) (quoting 1 Henry Brandis, Jr., Stansbury\u2019s North Carolina Evidence \u00a7 28, at 75-76 (Brandis rev. 1973)). In such cases, this Court \u201cwill not indulge in the usual presumption that the jury followed the letter and intent of the judge\u2019s instructions.\u201d Id.; see Whitley v. Redden, 276 N.C. 263, 273, 171 S.E.2d 894, 901 (1970).\nIn the present case, the record indicates that no contemporaneous curative instructions were given when the statements at issue were admitted. The trial court did, however, inform the jury during the general jury charge that the statements had been admitted solely for the purpose of demonstrating defendant\u2019s knowledge of the level of care she was to provide to the victim. This instruction was not sufficient to disabuse the jury of the impression that an administrative agency charged, among other things, with the duty of protecting children, had twice essentially found defendant to be guilty of neglect. Moreover, this prejudicial evidence was emphasized by repetition, and it remained before the jury throughout the entire course of the proceeding, without limitation. Therefore, the trial court\u2019s limiting instruction came too late to cure the prejudicial error.\nAccordingly, I respectfully dissent.", "type": "concurring-in-part-and-dissenting-in-part", "author": "Justice Martin" } ], "attorneys": [ "Michael F. Easley, Attorney General, by Grady L. Balentine, Jr., Assistant Attorney General, for the State-appellant and -appellee.", "Stephen M. Valentine for defendant-appellant and -appellee." ], "corrections": "", "head_matter": "STATE OF NORTH CAROLINA v. KIMBERLY BRAXTON FRITSCH aka KIMBERLY RAINS FRITSCH\nNo. 141PA99\n(Filed 7 April 2000)\n1. Homicide; Child Abuse and Neglect\u2014 child abuse \u2014 involuntary manslaughter \u2014 sufficiency of evidence\nThe trial court properly denied defendant\u2019s motion to dismiss charges of involuntary manslaughter and felonious child abuse, and the evidence supported defendant\u2019s convictions of involuntary manslaughter and misdemeanor child abuse, where there was evidence tending to show that the seven-year-old victim had cerebral palsy and was profoundly mentally retarded; the victim was absent from a developmental center for extended periods of time while in defendant\u2019s care and custody; the victim\u2019s weight dropped after these absences from the center and rose again after regular attendance; each time the victim returned to the center after extended absences, she had sores on her back and was dirty and unkempt; the DSS had twice substantiated neglect of the victim by defendant based upon observations of the victim\u2019s physical condition and defendant\u2019s continued failure to take the victim to a doctor for a physical examination; the victim\u2019s death was caused by \u201cstarvation malnutrition\u201d; and there was no evidence that the victim could not digest and ingest food. Substantial evidence existed from which the jury could infer that defendant willfully, or through her culpable negligence, deprived the victim of food and nourishment and that the victim\u2019s death was caused by defendant\u2019s actions or inactions.\n2. Evidence\u2014 death of child \u2014 DSS substantiation of prior neglect \u2014 admissibility to show intent\nIn a prosecution of defendant for involuntary manslaughter and abuse of a child who suffered from cerebral palsy and mental retardation, evidence that DSS had substantiated two cases of neglect of the victim by defendant did not invade the province of the judge and jury but was properly admitted to show defendant\u2019s intent where the trial court instructed the jury that this evidence could be considered only for the limited purpose of showing defendant\u2019s knowledge of the level of care she was required to provide to the victim.\nJustice Martin concurring in part and dissenting in part.\nOn discretionary review pursuant to N.C.G.S. \u00a7 7A-31 of a unanimous decision of the Court of Appeals, 132 N.C. App. 262, 511 S.E.2d 325 (1999), holding that the trial court erred in denying defendant\u2019s motions to dismiss and reversing a judgment entered by Cobb, J., on 26 March 1997 in Superior Court, Carteret County. Heard in the Supreme Court 17 November 1999.\nMichael F. Easley, Attorney General, by Grady L. Balentine, Jr., Assistant Attorney General, for the State-appellant and -appellee.\nStephen M. Valentine for defendant-appellant and -appellee." }, "file_name": "0373-01", "first_page_order": 423, "last_page_order": 436 }