The following are some common day-to-day situations in an institution which, when handled inappropriately, may lead to neglect:

• The facility’s staffing patterns and coverage require persons to work long shifts;
• The facility does not make provisions for supervision of child care staff on a unit and as a result, staff sleep, are under the influence of drugs/alcohol, or are engaged in other activities outside their work assignments while on the job;
• When facility lacks clear guidelines on the safekeeping of medication or the dispensing of medication and as a result, there is misuse of medication by children;
• When staff do not supervise children, ignore or fail to remedy a problem;
• When staff are not trained on how to handle a medical emergency.