As a Spring Valley triple homicide suspect reappeared in court Monday morning, the Clark County District Attorney says mental health concerns may impact the case’s proceedings. 30-year-old Spencer McDonald is accused of killing his grandmother, her boyfriend and a maintenance worker at the Rancho De Montana Apartments in Spring Valley. Police documents reveal officers found the bodies inside his apartment on June 27, as well as a second maintenance worker with a stabbing gash that landed him in the hospital. Monday, McDonald stared blankly at Clark County Judge Amy Chelini with his newly appointed public defender, Anna Clark. While she declined to comment on camera, Clark told media that she will seek a mental health evaluation for the 30-year-old suspect.