As a result of juvenile diabetes being generally hard to manage and to ensure consistency with screening these cases, the local agency established additional requirements around medical neglect reports for juvenile diabetes. These requirements look for a physician's statement indicating adverse effects on the child as a result of the caregivers neglect for their child's medical needs or that hospitalization was necessary as a result of the medical neglect. The decision to screen the report out was influenced by the report not containing either a medical provider's statement that indicated any adverse effects on the child or that hospitalization was needed. Further supporting the agency's decision to screen the report out was that a medical provider, specifically the medical provider involved with the subject child's diabetic care, was not reporting any concerns to the local agency or to the school.