Becky Barrett appeals her convictions for assault with a dangerous weapon and assault resulting in serious bodily injury in violation of 18 U.S.C. § 1153 and 18 U.S.C. §§ 113(c) and (f). We vacate her convictions and remand for further proceedings.
I. BACKGROUND
Barrett’s three-year-old daughter, RLB, told several people at the Red Lake Indian Reservation that Barrett had burned RLB’s *1298 legs with a lit cigarette. Carol Cloud, a child protection worker, investigated the child abuse report and interviewed RLB. During the interview, Cloud gave RLB a white pen and asked her to pretend it was a cigarette. RLB took the pen, put it to her mouth, “puffed” on it, and touched her legs. 1 When Cloud transported RLB to a court appointment several months later, RLB volunteered to her, “When I go home, I am going to talk to my mom and dad and tell them to stop drinking and smoking so they won’t fire me up no more.” Tribal Social Services requested that Dr. Darryl Zitzow, a clinical psychologist, assess RLB. RLB told Dr. Zitzow that her mother and her mother’s boyfriend “Baron” had touched her legs with the fire on a cigarette. During RLB’s second visit with Dr. Zitzow, he asked if anyone touched her in the past in a way she did not like, and she repeated her earlier accusation. In a later visit with Dr. Zitzow, RLB recounted the burning incident and said that her mother touched her legs with a cigarette.
Barrett and her boyfriend, James Byron Lussier, were indicted. Before trial, the district court questioned RLB, who was four years old at the time, to determine whether she could testify:
THE COURT: [RLB], do you know what it means to tell the truth?
RLB: No.
Q: Do you know what it means to not tell the truth?
A: What?
Q: When people ask you questions and you answer them, are you usually telling the truth?
A: (Nods head).
Q: You have to say yes or no.
A: Yes.
Q: Do you know what it means to lie?
A: No.
Q: Do you ever lie?
A: No.
Q: Do you ever tell fibs?
A: No.
Q: Do you know what a fib is?
A: No.
Q: Now, do you know what it means to tell a story, tell the truth?
A: No.
Q: Do you know what it means to tell a fib or a lie?
A: (Shaking head no). 2
After this hearing, the court determined that RLB could not testify at trial.
The jury found Barrett guilty and acquitted Lussier. Barrett appeals her conviction on five grounds. Because of our holding today, we need only address her arguments related to evidentiary matters and to the Confrontation Clause.
II. DISCUSSION
A. The District Court Erred in Not Allowing Barrett to Introduce RLB’s Statements from Her Competency Hearing
During the trial, Barrett asked a witness who was present at the competency hearing about RLB’s statements that she did not know the difference between telling the truth and telling a lie. The government objected, and the court sustained the objection. Later, the court detailed three reasons for its ruling. First, the court was unsure if RLB ever verbally responded to whether she knew the meaning of the truth or a lie. The judge described RLB as “a witness who was shaking her head or nodding her head and twirling in the chair and basically being what I would call non-responsive to the area of the inquiry.” Second, the hearing was conducted almost a year after the time when RLB’s hearsay statements were made. Third, the defense had ample opportunity to impeach RLB’s credibility through the family mem *1299 bers and others who testified. The court stated that.“for those reasons, among others,” RLB’s testimony from the hearing would not be admitted.
The record is clear that RLB responded verbally that she did not know what it meant to tell the truth or what it meant to lie. The fact that RLB’s hearsay statements were made almost a year earlier is not a reason for excluding RLB’s statements from her competency hearing. Federal Rule of Evidence 806
3
permits the impeachment of a hearsay declarant’s reputation for truthfulness.
See United States v. Moody,
In ruling that RLB could not testify, the judge stated, “I was unable to satisfy myself that she is at least able to tell us that she knows the difference between right and wrong and truth or falsity....” From the record, we are unable to determine whether the district court concluded that RLB could not explain that she understood the difference between truth and falsity or whether the court concluded that RLB did not know the difference. If the former is true, and RLB was .unable to comprehend the questions and communicate her knowledge in a courtroom setting, then RLB’s answers may have been properly excluded as non-responsive and irrelevant. 4 However, if the court found that RLB could not testify because she did not know what it meant to tell the truth, then RLB’s statements were admissible for impeachment purposes. Because we are unsure on which of these two rationales the district court based its ruling, we must remand this case.
Our concern and difficulty in resolving this case ultimately rest upon preserving the constitutional guarantees premised in the Confrontation Clause of the Sixth Amendment.
5
Assuming that RLB understood the court’s questions, her answers should have been admitted. The jury would then have determined the issue in full compliance with the Confrontation Clause. Preventing Barrett from engaging in appropriate cross-examination and exposing the jury to evidence from which it could draw inferences about RLB’s reliability violated the Confrontation Clause.
Delaware v. Van Arsdall,
B. The Admission of RLB’s Hearsay Statements Under the Residual Exception
RLB’s hearsay statements that the district court admitted under the residual exception
6
fall into two categories: the statement made to Carol Cloud and the state
*1300
ments made to RLB’s relatives and neighbors. In order to comply with the Sixth Amendment, hearsay statements offered into evidence must bear “adequate ‘indicia of reliability.’ ”
Idaho v. Wright,
Another factor to consider in determining whether RLB’s hearsay statements contain particularized guarantees of trustworthiness is the reason for RLB’s inability to testify at trial. While the Confrontation Clause “does not erect a
per se
rule barring the admission of prior statements of a declar-ant who is unable to communicate to the jury at the time of trial,” the declarant’s inability to communicate may be relevant to whether the hearsay statements possessed particularized guarantees of trustworthiness.
Id.
at 825,
C. The Admission of RLB’s Hearsay Statements Under the Exception for Medical Diagnosis or Treatment
The twin rationales for admitting hearsay statements under the exception for medical diagnosis or treatment
7
are the declarant’s motivation to provide truthful information in order to promote diagnosis and treatment and the physician’s reasonable reliance on such information for those purposes.
United States v. Iron Shell,
*1301 III. CONCLUSION
We reiterate, the unallowed evidence of RLB’s responses to the district court’s questions should be admitted, and the jury would then determine the issue in full compliance with the Confrontation Clause. Based on the foregoing, we vacate Barrett’s conviction and remand for further proceedings.
Notes
. RLB later performed this same demonstration, pretending a pen cap was a cigarette and dotting her legs, in front of Dr. Gary Anderson, a family practitioner, and Dr. Darryl Zitzow. During the demonstration in front of Dr. Zitzow, RLB stated, "Mommy did this to me.”
. Not all of RLB's answers were monosyllabic, as evidenced by her responses to questions about her age, where she lives, her brothers' names and ages, and her schooling.
. "When a hearsay statement ... has been admitted in evidence, the credibility of the declar-ant may be attacked, and if attacked may be supported, by any evidence which would be admissible for those purposes if declarant had testified as a witness." Fed.R.Evid. 806.
. Part of the reason RLB's answers are difficult to evaluate is due to the manner in which the court conducted the examination. The following questions illustrate a helpful way to elicit a child’s understanding of the difference between truth and falsehood: Hold up one pencil and ask, "If I told you this pencil was red would that be true? Do I have two pencils in my hand? When I said I had two pencils, was I telling the truth? Was I telling a lie when I said I had two pencils?” See 1 John E. Myers, Evidence in Child Abuse and Neglect Cases 129 (2d ed. 1992).
. "In all criminal prosecutions, the accused shall enjoy the right ... to be confronted with the witnesses against him.” U.S. Const, amend. VI.
. "A statement not specifically covered by any of the foregoing exceptions but having equivalent circumstantial guarantees of trustworthiness, if the court determines that (A) the statement is offered as evidence of a material fact; (B) the statement is more probative on the point for which it is offered than any other evidence which the proponent can procure through reasonable efforts; and (C) the general purposes of these rules and the interests of justice will best be served by admission of the statement into evidence." Fed.R.Evid. 803(24).
. "Statements made for purposes of medical diagnosis or treatment and describing ... the inception or general character of the cause or external source thereof insofar as reasonably pertinent to diagnosis or treatment.” Fed.R.Evid. 803(4).
