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A check Tuesday of a database of nurse’s aides in Virginia shows Ms. Tarpeh’s certification is active. At her sentencing, a judge ordered one year of supervised probation and barred her from working with “vulnerable adults” for one year, along with a requirement that she perform 100 hours of community service.

In addition, prosecutors can forward information about the case to the Department of Health and Human Services, which could separately issue an order to exclude her from working at facilities that receive federal funds.

The last action taken by the Virginia Board of Nursing came about 18 months ago.

The board sent Ms. Tarpeh a letter on Sept. 28, 2009, saying it received allegations that she “failed to ensure the health and safety of Resident A while transporting her to a dental appointment” on Feb. 23, 2009. That’s the same day prosecutors in Washington say the nursing home resident’s toe was badly injured.

In addition, the board said it received another allegation about a purported incident at a different nursing home where Ms. Tarpeh once worked.

After an informal conference on Oct. 22, 2009, the board sent Ms. Tarpeh a letter saying officials weren’t going to take action against her.

“The agency subordinate is of the opinion that there was insufficient evidence of a violation of the Nurse Practice Act or the Board of Nursing Regulations” the letter stated. “Therefore, no action will be taken against your certificate to practice as a nurse aide.”

That finding stands in sharp contrast to language in a memo filed by prosecutors before Ms. Tarpeh’s sentencing earlier this month. In that memo, Ms. Schesnol said Ms. Tarpeh’s breach of trust was “extremely egregious.”