This case involves a child who did not receive an appropriate medical screening when taken into custody by the state. Her birth mother tested positive for opioids at delivery and the baby tested positive for opioids after birth. A judge promptly signed the child to the care of the state, but a comprehensive medical record was not completed before the child was entrusted to the state. The child developed an infection by age 8 and was found to have AIDS. Original paperwork revealed that the mother had been HIV positive. It was alleged that if the child had been treated within the first six weeks, she would not have contracted AIDS. A licensed social worker was sought to discuss the responsibility to ensure children receive appropriate medical screening, especially when birth mothers present with complicated medical issues.