State of Iowa v. Dean Alan Hettinger

IN THE COURT OF APPEALS OF IOWA

No. 21-0458
Filed May 11, 2022

STATE OF IOWA,
Plaintiff-Appellee,

vs.

DEAN ALAN HETTINGER,
Defendant-Appellant.
________________________________________________________________

Appeal from the Iowa District Court for Fayette County, Joel Dalrymple,

Judge.

A defendant appeals his convictions for murder in the first degree and child

endangerment resulting in death, alleging the evidence does not support the

convictions and the district court should have granted his motion for a new trial.

AFFIRMED.

Martha J. Lucey, State Appellate Defender, and Robert P. Ranschau,

Assistant Appellate Defender, for appellant.

Thomas J. Miller, Attorney General, and Genevieve Reinkoester, Assistant

Attorney General, for appellee.

Heard by May, P.J., and Greer and Chicchelly, JJ.
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CHICCHELLY, Judge.

Dean Hettinger appeals his convictions for murder in the first degree and

child endangerment resulting in death, in violation of Iowa Code sections

707.2(1)(e) and 726.6(4) (2018). He alleges the evidence does not support the

convictions and the district court should have granted his motion for a new trial.

Because we find substantial evidence supports the convictions and the district

court did not abuse its discretion, we affirm.

I. Background Facts and Proceedings.

This case involves the tragic death of an infant, H.S., by unnatural causes.

H.S. was born in early April 2018 with methamphetamine in his system. After

spending the first nine days of his life in the NICU, H.S. went home with his aunt

Alicyn Kane. Because of her drug use, H.S.’s mother Amanda Smith (Kane’s half-

sister) was not allowed to be alone with her son. Kane resided with her boyfriend

(defendant Hettinger) and the pair’s six-month-old son, B.H. After H.S. went home,

Smith also spent significant time in the household. Smith typically rotated between

staying three or four days each with Kane and with her aunt in another nearby

town. The plan was for H.S. to stay with Kane and Hettinger until Smith could be

admitted to a rehabilitation facility where children were permitted.

Despite his initial NICU stay, H.S. presented as a healthy baby for the next

couple weeks of his life. He did tend to spit up more than usual, and this caused

Kane to bring him to the Emergency Room on two occasions—April 15 and 23.

However, doctors and nurses confirmed at both visits that H.S. was healthy and

did not need to be at the ER. They provided education on alternative feeding

options to help with the spitting up. They also confirmed at trial that H.S. showed
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no signs of methamphetamine withdrawal or physical abuse on either of these

occasions. However, Hettinger and Kane argued in front of the examining nurse

about being tired and loss of sleep.

The introduction of H.S. and Smith into the household caused tension in

Hettinger and Kane’s relationship. Hettinger expressed dissatisfaction with

Smith’s lack of physical and financial support for her child. On April 25, he

complained via text message to Kane that Smith slept all day while H.S. cried all

day and that he would not spend money on H.S. Hettinger was unemployed and

was generally responsible for watching over both B.H. and H.S. during the day

while Kane worked full-time at a daycare. In the evenings after work, Kane would

typically take both children to her father’s house nearby. During the last week of

April, it was determined that Smith would not be getting admitted to the

rehabilitation center as quickly as anticipated, so H.S. would need to stay a bit

longer. The exact timeline was uncertain. Kane had expressed interest in

adopting H.S. if long-term plans for reunification did not work out.

On April 26, Kane began taking B.H. to the daycare where she worked, so

Hettinger was only caring for H.S. during the day. Smith’s car broke down that

morning on her way to her aunt’s house. Hettinger and his friend Dwight Fratzke

gave Smith a ride and moved the car. Smith did not return to Hettinger and Kane’s

home that week. That evening, Hettinger and Kane argued over text. Kane told

Hettinger to leave for the night and stay with his mom. Hettinger refused to do so.

Later, Hettinger texted Kane, “I might need to go to the hospital tonight . . . pretty

sure I just OD’ed.” When Kane did not immediately respond, Hettinger texted, “I’m

so glad you don’t care. Thank you.” The pair continued arguing and concluded
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with Hettinger stating, “you’re leaving and moving out over me not wanting to

spend my every waking moment with your sister and [H.S.].”

Kane testified that H.S. appeared normal and “just fine” before she left for

work the next morning. Later, Hettinger texted that H.S. was out of food and that

he was at Kane’s workplace. Kane refused to see Hettinger but told him to go into

B.H.’s daycare room to get food. They continued arguing via text, and Kane told

Hettinger to transfer the truck into his name by Tuesday. Hettinger replied, “Sorry

I was pissed off that I couldn’t find his shit and he hasn’t stopped crying. I’m just

a little on edge right now.” Kane again told him to go see his mom for the weekend

and to “[l]iterally go the fuck away.” Hettinger replied, “Fucking stop. I said I was

sorry.”

Not quite an hour later, Hettinger texted Kane that H.S. was “acting weird”

and that he was grunting and jumpy. That afternoon, Hettinger visited his friend

Fratzke’s home. Fratzke thought H.S. looked pale and and sounded raspy. He

could hear H.S.’s heavy breathing from approximately ten feet away. When

Fratzke asked Hettinger what was wrong with the child, Hettinger replied simply

that H.S. was a “meth baby”. On a previous occasion, Hettinger told Fratzke that

Kane wanted to adopt H.S., but Hettinger was against it. Fratzke’s girlfriend

Megan Bails watched H.S. while Hettinger was in the garage with Fratzke. She

observed that H.S. was really quiet and did not move much. Hettinger also had a

romantic relationship with Bails. She reported that Hettinger told her he was not

happy to have H.S. in the home, that H.S. cried incessantly, and that “he couldn’t

wait for [Kane] to get home and take him.” She also observed that this demeanor
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was exclusively directed towards H.S. and not Hettinger’s son B.H. Kane noticed

H.S. was crying less than normal that evening.

On Saturday, April 28, Kane dropped H.S. off with a family friend who

agreed to watch him for a few hours while she ran errands. During this time,

Hettinger texted Kane, “truly I was hoping to have this weekend be for us as a

family and be happy. . . sorry. Just not every day we get to be away from [H.S.].”

The family friend reported that H.S. slept most of the day and was not colicky. She

noticed that his eye would look to the side when she was feeding him. However,

she did not mention the eye movement to Kane because she was not familiar with

the child and speculated it could just be the way he was. Later on Saturday, Kane

spent time at her father’s home with both children. H.S. seemed less colicky than

usual, sleepier, and had trouble keeping his eyes open. He also started exhibiting

odd, slow-motion movements during his bath and did not wake up for his typical

mid-night feeding.

H.S.’s odd behavior continued the next morning. At this time, Kane noticed

one of H.S.’s eyes veering to the side. She called the hospital and was told to

monitor the baby. She went to her father’s house with both children. Later in the

day, she observed that H.S. was nonresponsive and had minimal breathing, so

she called for an ambulance to take him to the ER. He had a seizure in the

ambulance. At the hospital, H.S. did not cry or react to having his blood drawn,

and he had lost one pound since his last visit. He started to grunt, arch his back,

and was inconsolable. H.S. exhibited signs of intracranial pressure and was

transferred to the University of Iowa. Once there, doctors found subdural

hemorrhages, which is bleeding in between the skull and the brain. A doctor
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testified that the veering of H.S.’s eye was caused by brain “swelling so strong it’s

being pushed on the cranial nerve that controls the pupil. And it’s a sign . . . [that]

the brain is . . . dying essentially.” The treating doctor opined that the injuries were

consistent with traumatic brain injury and inflicted trauma. He testified that

because there was no natural or infectious cause, the injuries could not have been

self-inflicted, and there was no intervening accidental cause, his opinion was that

child abuse would have been necessary to cause H.S.’s injuries.

Given that neurological recovery was unlikely, Smith made the decision to

end life support for H.S. on May 6. H.S. died on May 27. An autopsy was

conducted the following day. It revealed thirty-six symmetrical rib fractures on the

front and back of the rib cage. No medical interventions during his hospital stay

would have caused the rib fractures, which were consistent with a squeezing action

and showed signs of healing. The autopsy also revealed intracranial hemorrhages

with hypoxic-ischemic encephalopathy. The hemorrhages occurred before

hospitalization. There were no natural disease processes that could explain the

injuries. Because H.S. died four weeks after his injuries arose, “a lot of healing

and changes had taken place, particularly in the brain, that altered the appearance

by the time of the autopsy.” For this reason, the doctor performing the autopsy

could not say for certain what caused H.S.’s injuries, but her “findings could be

compatible with” shaken baby syndrome. The autopsy found no indication that

H.S. suffered any effects from his mother’s methamphetamine use while pregnant.

Due to suspected abuse giving rise to H.S.’s injuries, Hettinger and Kane’s

child B.H. was removed from their home. Hettinger, Kane, and Smith all testified

that they had never hurt or seen anyone hurt H.S. Hettinger became agitated and
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nervous when he learned that Kane was offered a proffer agreement. On

February 9, 2019, Kane received a text message from Hettinger in which he

threatened to harm himself. Hettinger went on to write, “Also, I’m calling DCI

tonight. I’m going to tell them I hurt [H.S.]. I don’t want you and [B.H.] to continue

to have to deal with this anymore.” Kane contacted authorities regarding these

messages.

Hettinger was arrested, and a jury found him guilty as charged. He did not

testify at trial, but he gave two recorded interviews to law enforcement shortly after

H.S’s hospitalization. After trial, Hettinger challenged the sufficiency of the

evidence with a motion in arrest of judgment and filed a motion for a new trial. The

district court denied both motions at Hettinger’s sentencing hearing, and he timely

appealed.

II. Review.

We review a challenge to the sufficiency of the evidence for the correction

of errors at law. State v. Huser, 894 N.W.2d 472, 490 (Iowa 2017). If substantial

evidence supports the jury’s verdict, we will uphold it. State v. Sanford, 814

N.W.2d 611, 615 (Iowa 2012). “Evidence is considered substantial if, when viewed

in the light most favorable to the State, it can convince a rational jury that the

defendant is guilty beyond a reasonable doubt.” Id. “Evidence raising only

‘suspicion, speculation, or conjecture is not substantial.’” Huser, 894 N.W.2d at

490 (citation omitted). However, direct and circumstantial evidence are equally

probative. Iowa R. App. P. 6.904(3)(p); see also State v. Liggins, 524 N.W.2d 181,

186 (Iowa 1994) (“Circumstantial evidence is not inferior evidence; both direct and

circumstantial evidence are equally probative.”).
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As for motions for a new trial, we review for an abuse of discretion. State

v. Ary, 877 N.W.2d 686, 706 (Iowa 2016). “A district court abuses its discretion

when it exercises its discretion on grounds clearly untenable or to an extent clearly

unreasonable,” which is true when the ground or reason “is not supported by

substantial evidence or when it is based on an erroneous application of the law.”

State v. Hill, 878 N.W.2d 269, 272 (Iowa 2016).

III. Discussion.

A. Motion in Arrest of Judgment.

Hettinger contends only that insufficient evidence exists to identify him as

the party who injured H.S. No other element of either crime is at issue. As

Hettinger points out, no eyewitness saw him injure the child. He argues that the

State erroneously relied on his confessional text message indicating that he was

going to contact DCI to prove that he was responsible for H.S.’s injuries.

A criminal conviction cannot rest on an out-of-court confession unless there

is other proof that the defendant committed the crime. Iowa R. Crim. P. 2.21(4);

see also State v. Polly, 657 N.W.2d 462, 467 (Iowa 2003). “Corroboration need

not be strong nor need it go to the whole case so long as it confirms some material

fact connecting the defendant with the crime.” Polly, 657 N.W.2d at 467 (citation

omitted). In fact, the corroboration need not “prove the offense beyond a

reasonable doubt or even by a preponderance.” Id. (citing Smith v. United States,

348 U.S. 147, 156 (1954). Even if individual circumstances are insufficient

corroboration, we may assess the facts cumulatively to find a connection between

the defendant and the crime. See State v. Meyers, 799 N.W.2d 132, 139 (Iowa
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2011) (“Circumstantial corroborating evidence may include several facts that,

when combined, support the admission.”).

Here, Hettinger’s text message is supported by medical and lay testimony,

including other text messages he sent in the days leading up to H.S.’s

hospitalization. Doctors testified that H.S.’s injuries were not naturally caused.

Hettinger was alone with the child in an admittedly “pissed off” and “on edge” state

when he texted that H.S. would not stop crying. Shortly thereafter, he texted that

H.S. first began grunting and showing signs of distress. Medical personnel

explained that grunting is a sign of pain and/or difficulty breathing in infants. They

also explained that H.S.’s injuries most likely occurred within two days of arriving

at the hospital, but possibly up to seventy-two hours prior. This timeline is

consistent with Hettinger’s time as a caretaker and observation of the grunting.

Therefore, we find corroborating evidence indeed existed; whether it was sufficient

to support Hettinger’s confessional text message was a question for the jury. See

Liggins, 524 N.W.2d at 187 (“The existence of corroborative evidence is a question

of law for the court, but its sufficiency is ordinarily a question of fact for the jury.”

(citation omitted)).

We nonetheless take on the jury’s role momentarily to assess whether a

rational jury could find the record evidence proved guilt beyond a reasonable

doubt. See Sanford, 814 N.W.2d at 615. As explained above, Hettinger had both

opportunity and motive. He spent significant time alone with the child during the

relevant period. He expressed frustration with H.S. and his caretaking

responsibilities. Hettinger’s friend Fratzke and his girlfriend Bails testified

regarding Hettinger’s dismissive and unfavorable demeanor towards H.S. Another
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acquaintance who Hettinger knew through Fratzke, Mitchell Tafolla, also testified

that Hettinger referred to H.S. as an “it,” called him a “fucking meth baby,” and said

“all this f’ing thing does is cry.” Kane testified that Hettinger was frustrated with

Smith and the situation. Smith testified that she never witnessed H.S. display any

seizure-like activity, unordinary eye movement, or other unusual, involuntary

movement prior to his final hospitalization. With the exception of Hettinger’s

recorded interviews, “[t]he jury had a first-hand opportunity to view the credibility

of the various witnesses and to assess the veracity of each party’s version of

events.” Fed. Land Bank of Omaha v. Emberton, 460 N.W.2d 488, 492 (Iowa Ct.

App. 1990).

Hettinger’s recorded interviews also support the jury’s conclusion given his

dodging and inconsistent answers. Despite being interviewed twice within three

days of H.S.’s hospitalization, Hettinger appeared confused about the sequence

of events. When it was clear that the weekend of H.S.’s hospitalization was being

questioned, Hettinger recounted events of a weekend when he was out of town

and then acknowledged that this was a different weekend. He tried to place Smith

at the home after the date that he helped with her car. He explained that Smith

was generally caring for H.S. during the days while he cared for B.H. despite his

text message describing Smith’s lack of assistance. He also could not remember

whether B.H. had been going to daycare for two days prior to the weekend of the

hospitalization or for a week or two. H.S. had only been in the home for about two

and a half weeks. After denying any intentional or accidental mishaps with H.S. at

the first interview, Hettinger told the second interviewing officer that there was one

time a week or two prior when he could have shaken H.S. a little bit because he
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was shaking a bottle that he dropped and snatched up while holding H.S. Hettinger

denied fighting with Kane but was adamant that Kane would not do anything to

hurt a child.

Given Hettinger’s opportunity and motive layered within the medical and lay

testimony, we find a rational jury could find him guilty beyond a reasonable doubt.

See, e.g., State v. Little, No. 19-1062, 2021 WL 1400068, at *10 (Iowa Ct. App.

April 14, 2021) (rejecting a sufficiency-of-the-evidence challenge because

reasonable jurors could find the defendant was the perpetrator despite another

individual having access to the child in question). Therefore, we affirm the district

court’s denial of his motion for judgment of acquittal.

B. Motion for New Trial.

We likewise affirm the district court’s denial of Hettinger’s motion for a new

trial. Under Iowa Rule of Criminal Procedure 2.24(2)(b)(6), a district court may

grant a motion for a new trial “[w]hen the verdict is contrary to law or evidence.” “A

verdict is contrary to the weight of the evidence only when ‘a greater amount of

credible evidence supports one side of an issue or cause than the other.’” Ary,

877 N.W.2d at 706 (citation omitted). “This standard differs from the sufficiency-

of-the-evidence [standard] because it requires the district court to independently

weigh the evidence and consider the credibility of witnesses.” State v. Martin,

No. 19-0409, 2020 WL 4498038, at *8 (Iowa Ct. App. Aug. 5, 2020) (alteration in

original) (citation and internal quotations omitted).

Here, the district court denied the motion in a ruling from the bench:

At this stage it’s a greater test, it’s a different test, and it’s—it
requires more. So when faced with this new trial alleging a verdict
that’s against the weight of the evidence, the Court must view—or
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must not view the evidence any longer in the light most favorable to
the prosecution. Rather the Court now is required to determine
whether the greater amount of credible evidence supports one side
or the other.
....
So considering that standard, recognizing it is a different
standard; nonetheless, I cannot say when reviewing the evidence
presented here and the arguments of the defense that the greater
amount of credible evidence supports that of the defense.
I guess to the contrary, given—and considering all of the
evidence presented by the State’s witnesses in conjunction with, and
I find to be particularly significant the statements of the defendant,
albeit we had some discussions regarding those, the context of
those, and those issues for the purposes of any appeal are preserved
by the defense.
The court does find those admissions of the defendant and
those statements of those—of the defendant to be significant in this
case to indicate that—or at least to find that the greater amount of
credible evidence does support this verdict, and ultimately the
defendant’s motion should fail and be denied at this time.

As the district court articulated the corrected standard and presented its

independent evaluation of the evidence, it did not apply an improper legal

standard. See Ary, 877 N.W.2d at 706. Moreover, substantial evidence supports

the court’s conclusion that the record evidence does not tip the scales against a

guilty verdict. While it is true that multiple people had access to H.S. and the exact

time of his injuries cannot be determined with certainty, significant circumstantial

evidence points to Hettinger. We conclude the court did not abuse its discretion in

denying Hettinger’s motion for a new trial.

IV. Disposition.

Because we find substantial evidence supports the jury’s guilty verdicts and

the district court did not abuse its discretion, we affirm the denial of Hettinger’s

motions in arrest of judgment and for new trial.

AFFIRMED.