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14:20:39'),(10995,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14092,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"07\\/28\\/2020\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:10 am\",\"created_at\":\"5\\/25\\/2021 9:21:10 am\",\"id\":14092}','68.53.115.247','2021-05-25 14:21:10'),(10996,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports','update',187,'{\"id\":187,\"form_id\":\"23\",\"user_id\":\"81\",\"question_id\":null,\"organization_id\":\"10\",\"tab_id\":null,\"question_type\":null,\"text_answer\":\"{\\\"Short_Answer__76\\\":\\\"CY_Mains l-HC-2020-07\\\",\\\"Date__77\\\":\\\"07\\\\\\/28\\\\\\/2020\\\",\\\"Multiple_Choice__78\\\":\\\"Charles Young\\\",\\\"Short_Answer__80\\\":\\\"Mains l Services\\\",\\\"Short_Answer__81\\\":\\\"Kelly Boser McBroom\\\",\\\"Short_Answer__82\\\":\\\"kbmcbroom@mainsl.com\\\",\\\"Short_Answer__83\\\":\\\"763-494-4553\\\",\\\"Multiple_Choice__84\\\":\\\"Termination of Services\\\",\\\"Multiple_Choice__85\\\":\\\"Hennepin County\\\",\\\"Date__86\\\":\\\"2020-05-29 00:00:00\\\",\\\"Multiple_Choice__96\\\":\\\"1\\\",\\\"Short_Answer__91\\\":\\\"Service termination was issued\\\",\\\"True_or_False__94\\\":\\\"Yes\\\",\\\"Free_Text__100\\\":\\\"The provider issuing a person a service termination as necessary for her welfare and her needs couldn\\\\u2019t be met was strongly influenced by the fact that available external mental health and crisis services required a person to be in danger of losing their housing. The provider noted that they did not have an actual intention of terminating the person\\\\u2019s services, but instead wanted to ensure that the person could access needed mental health services. The case manager had difficulty in finding other providers to work with her due to a lack of appropriate crisis services available statewide and so requested that the provider issue the service termination to help access alterative crisis and mental health services. People with a residential placement are deprioritized on crisis service waiting lists as priority must be given to people without or in danger of losing housing. There are also few locked facilities in Minnesota, which the team thoughtT this person could need to help manage the person\\\\u2019s escalating elopement and physical aggression concerns. This lack of locked facilities in Minnesota is impacted by the state\\\\u2019s regulations that focus on providing services in a least restrictive setting, the Olmstead vs. LC lawsuit, Minnesota\\\\u2019s Olmstead Plan, Minnesota Statute 245D and the Jensen Settlement \\\\u2013 which created the need for Minnesota\\\\u2019s Olmstead Plan and the stronger focus on utilizing less restrictive settings. Minnesota\\\\u2019s Moratorium on foster care and other residential settings (ICF\\\\\\/DDs) also prevented providers from opening settings that were sometimes seen as more restrictive settings, leaving fewer options for people who may need this type of environment. \\\\r\\\\nThe person had a primary diagnosis of developmental disability, which exempted her from accessing some of the mental health services the team thought she needed, such as IRTS \\\\u2013 which will only serve people with an MH diagnosis. Due to the confusion and\\\\\\/or disagreement among professionals involved with this person regarding whether the person\\\\u2019s interfering behavior was psychiatric or behaviorally based, obtaining a specific diagnosis was difficult. MA doesn\\\\u2019t allow for multidisciplinary assessments, so her team was not able to meet and work out a specific diagnosis or plan. Some professionals diagnosed her as primarily having a developmental disability (neurocognitive disorder) while others diagnosed her as primarily having a mental health disorder. Shortly before the termination was issued, one clinician diagnosed her with a primary mental health disorder, which the professional saw as primarily contributing to the person\\\\u2019s escalating and dangerous interfering behavior.  The person\\\\u2019s primary diagnosis couldn\\\\u2019t be resolved amongst the professionals, impacting the person\\\\u2019s inability to access mental health services. \\\\r\\\\nThe provider issuing a person a service termination as necessary for her welfare and her needs couldn\\\\u2019t be met was influenced by the person\\\\u2019s interfering behavior which was escalating and dangerous. The person regularly physically aggressed towards her roommates and staff. The other people in the home were considered vulnerable, and the provider has a responsibility to safeguard the health and safety of all residents \\\\u2013 as well as their staff. This responsibility is assigned to providers by Minnesota Statutes 245D, the statute governing an HCBS provider\\\\u2019s license. The responsibility is also assigned to providers by the Coordinated Service and Support Plans created by lead agency or contracted HCBS case managers. Along with endangering the other people in the home, the person also trespassed routinely on neighbor\\\\u2019s property and even their homes and called 911 often. Due to these 911 calls, the person was transported to the hospital often but rarely admitted. It was determined through a functional behavior assessment that the person enjoyed going to the hospital and receiving attention from the EMTs and hospital staff. This desire led to the person often falsely reporting medical concerns to the 911 dispatchers. When it was determined that the person didn\\\\u2019t have an actual medical concern, the hospitals and EMT would discharge or refuse services because they won\\\\u2019t serve someone in crisis if the underlying cause is \\\\u201cbehavioral\\\\u201d rather than medical. MA rules require hospitals to provide care if a person is a danger to themselves or others, and the medical professionals felt that the person\\\\u2019s issues were attention-seeking in nature and not a serious health or mental health concern. When the person eventually could not access medical and EMT services due to her false reporting, she started calling on issues that law enforcement would typically respond to. Her behavior escalated to eloping from the home and laying in the road despite oncoming traffic. Due to her size, staff were unable to move or remove her from this position without law enforcement assistance. The law enforcement officers involved reportedly eventually grew frustrated responding to issues they thought the residence should handle, and refused to work with the person.\\\\r\\\\nThe interventions that were implemented with the person by the provider appeared to not be effective. The provider\\\\u2019s philosophy was to avoid restrictive interventions such as restraint or rights restrictions. Because of the person\\\\u2019s demeanor and size, the provider also didn\\\\u2019t think restrictive interventions would safely resolve the person\\\\u2019s interfering behavior. This philosophy to avoid restrictive interventions was influenced by person-centered philosophy\\\\\\/ethics, as well as the requirements in the licensing statute MN Stat. 245D. Those interventions that were tried, such as positive support strategies and even increasing the person\\\\u2019s staffing to 1:1 did not decrease the incidence and intensity of the person\\\\u2019s interfering behaviors. The person had a person-centered plan created with them, and in that planning process it was determined that the person wanted to live alone, something the provider tried to work with the person to help them work towards a more independent placement. But the fact that the person wasn\\\\u2019t living in a preferred setting was believed to contribute to the person\\\\u2019s escalating interfering behavior. The provider requested support in the area of mental health training and staffing, but these services were either unavailable or not as intense as the provider was seeking. This lack of services was influenced by lower wages and compensation for these services. These lower wages were seen as lower than needed due to a statewide workforce shortage that increased the demand for staff which, in turn, increased the wages in other service sectors so that HCBS services were less desirable for workers. HCBS rates are mainly determined by Minnesota Statutes governing the Disability Waiver Rate Setting requirements. Creating higher wages\\\\\\/HCBS reimbursement required action by the Minnesota Legislature. \\\\r\\\\nThe provider was pressured to act in this situation due to the escalating and dangerous behavior and the neighbor\\\\u2019s concerns about their own welfare and placing pressure on the provider to prevent the behaviors and pressure from law enforcement to act. While the provider didn\\\\u2019t intend to actually terminate services, it appeared as though the only way to access needed crisis and mental health services for the person was to issue a service termination.\\\",\\\"Multiple_Choice__103\\\":\\\"2\\\",\\\"Free_Text__104\\\":\\\"The provider requested support in the area of mental health training and staffing, but these services were either unavailable or not as intense as the provider was seeking. This lack of services was influenced by lower wages and compensation for these services. These lower wages were seen as lower than needed due to a statewide workforce shortage that increased the demand for staff which, in turn, increased the wages in other service sectors so that HCBS services were less desirable for workers. HCBS rates are mainly determined by Minnesota Statutes governing the Disability Waiver Rate Setting requirements. Creating higher wages\\\\\\/HCBS reimbursement required action by the Minnesota Legislature.\\\",\\\"Multiple_Choice__115\\\":\\\"3\\\",\\\"Free_Text__116\\\":\\\"The provider issuing a person a service termination as necessary for her welfare and her needs couldn\\\\u2019t be met was influenced by the person\\\\u2019s interfering behavior which was escalating and dangerous. The person regularly physically aggressed towards her roommates and staff. The other people in the home were considered vulnerable, and the provider has a responsibility to safeguard the health and safety of all residents \\\\u2013 as well as their staff. This responsibility is assigned to providers by Minnesota Statutes 245D, the statute governing an HCBS provider\\\\u2019s license. The responsibility is also assigned to providers by the Coordinated Service and Support Plans created by lead agency or contracted HCBS case managers.\\\",\\\"Multiple_Choice__119\\\":\\\"3\\\",\\\"Free_Text__120\\\":\\\"The provider issuing a person a service termination as necessary for her welfare and her needs couldn\\\\u2019t be met was strongly influenced by the fact that available external mental health and crisis services required a person to be in danger of losing their housing. The provider noted that they did not have an actual intention of terminating the person\\\\u2019s services, but instead wanted to ensure that the person could access needed mental health services. The case manager had difficulty in finding other providers to work with her due to a lack of appropriate crisis services available statewide and so requested that the provider issue the service termination to help access alterative crisis and mental health services. People with a residential placement are deprioritized on crisis service waiting lists as priority must be given to people without or in danger of losing housing. There are also few locked facilities in Minnesota, which the team thoughtT this person could need to help manage the person\\\\u2019s escalating elopement and physical aggression concerns. This lack of locked facilities in Minnesota is impacted by the state\\\\u2019s regulations that focus on providing services in a least restrictive setting, the Olmstead vs. LC lawsuit, Minnesota\\\\u2019s Olmstead Plan, Minnesota Statute 245D and the Jensen Settlement \\\\u2013 which created the need for Minnesota\\\\u2019s Olmstead Plan and the stronger focus on utilizing less restrictive settings. Minnesota\\\\u2019s Moratorium on foster care and other residential settings (ICF\\\\\\/DDs) also prevented providers from opening settings that were sometimes seen as more restrictive settings, leaving fewer options for people who may need this type of environment.\\\",\\\"Yes_or_No__432\\\":\\\"Yes\\\"}\",\"mcq_answer\":null,\"other_answer\":\"0\",\"status\":\"1\",\"created_by\":\"81\",\"updated_by\":81,\"created_at\":\"5\\/24\\/2021 7:44:26 pm\",\"updated_at\":\"5\\/25\\/2021 9:21:11 am\",\"deleted_at\":null,\"report_name\":\"CY_Mains l - HC -2020 -07\"}','68.53.115.247','2021-05-25 14:21:11'),(10997,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14093,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"CY_Mains l-HC-2020-07\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 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14:21:12'),(11014,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14110,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"99\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14110}','68.53.115.247','2021-05-25 14:21:12'),(11015,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14111,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"The provider issuing a person a service termination as necessary for her welfare and her needs couldn\\u2019t be met was strongly influenced by the fact that available external mental health and crisis services required a person to be in danger of losing their housing. The provider noted that they did not have an actual intention of terminating the person\\u2019s services, but instead wanted to ensure that the person could access needed mental health services. The case manager had difficulty in finding other providers to work with her due to a lack of appropriate crisis services available statewide and so requested that the provider issue the service termination to help access alterative crisis and mental health services. People with a residential placement are deprioritized on crisis service waiting lists as priority must be given to people without or in danger of losing housing. There are also few locked facilities in Minnesota, which the team thoughtT this person could need to help manage the person\\u2019s escalating elopement and physical aggression concerns. This lack of locked facilities in Minnesota is impacted by the state\\u2019s regulations that focus on providing services in a least restrictive setting, the Olmstead vs. LC lawsuit, Minnesota\\u2019s Olmstead Plan, Minnesota Statute 245D and the Jensen Settlement \\u2013 which created the need for Minnesota\\u2019s Olmstead Plan and the stronger focus on utilizing less restrictive settings. Minnesota\\u2019s Moratorium on foster care and other residential settings (ICF\\/DDs) also prevented providers from opening settings that were sometimes seen as more restrictive settings, leaving fewer options for people who may need this type of environment. \\r\\nThe person had a primary diagnosis of developmental disability, which exempted her from accessing some of the mental health services the team thought she needed, such as IRTS \\u2013 which will only serve people with an MH diagnosis. Due to the confusion and\\/or disagreement among professionals involved with this person regarding whether the person\\u2019s interfering behavior was psychiatric or behaviorally based, obtaining a specific diagnosis was difficult. MA doesn\\u2019t allow for multidisciplinary assessments, so her team was not able to meet and work out a specific diagnosis or plan. Some professionals diagnosed her as primarily having a developmental disability (neurocognitive disorder) while others diagnosed her as primarily having a mental health disorder. Shortly before the termination was issued, one clinician diagnosed her with a primary mental health disorder, which the professional saw as primarily contributing to the person\\u2019s escalating and dangerous interfering behavior.  The person\\u2019s primary diagnosis couldn\\u2019t be resolved amongst the professionals, impacting the person\\u2019s inability to access mental health services. \\r\\nThe provider issuing a person a service termination as necessary for her welfare and her needs couldn\\u2019t be met was influenced by the person\\u2019s interfering behavior which was escalating and dangerous. The person regularly physically aggressed towards her roommates and staff. The other people in the home were considered vulnerable, and the provider has a responsibility to safeguard the health and safety of all residents \\u2013 as well as their staff. This responsibility is assigned to providers by Minnesota Statutes 245D, the statute governing an HCBS provider\\u2019s license. The responsibility is also assigned to providers by the Coordinated Service and Support Plans created by lead agency or contracted HCBS case managers. Along with endangering the other people in the home, the person also trespassed routinely on neighbor\\u2019s property and even their homes and called 911 often. Due to these 911 calls, the person was transported to the hospital often but rarely admitted. It was determined through a functional behavior assessment that the person enjoyed going to the hospital and receiving attention from the EMTs and hospital staff. This desire led to the person often falsely reporting medical concerns to the 911 dispatchers. When it was determined that the person didn\\u2019t have an actual medical concern, the hospitals and EMT would discharge or refuse services because they won\\u2019t serve someone in crisis if the underlying cause is \\u201cbehavioral\\u201d rather than medical. MA rules require hospitals to provide care if a person is a danger to themselves or others, and the medical professionals felt that the person\\u2019s issues were attention-seeking in nature and not a serious health or mental health concern. When the person eventually could not access medical and EMT services due to her false reporting, she started calling on issues that law enforcement would typically respond to. Her behavior escalated to eloping from the home and laying in the road despite oncoming traffic. Due to her size, staff were unable to move or remove her from this position without law enforcement assistance. The law enforcement officers involved reportedly eventually grew frustrated responding to issues they thought the residence should handle, and refused to work with the person.\\r\\nThe interventions that were implemented with the person by the provider appeared to not be effective. The provider\\u2019s philosophy was to avoid restrictive interventions such as restraint or rights restrictions. Because of the person\\u2019s demeanor and size, the provider also didn\\u2019t think restrictive interventions would safely resolve the person\\u2019s interfering behavior. This philosophy to avoid restrictive interventions was influenced by person-centered philosophy\\/ethics, as well as the requirements in the licensing statute MN Stat. 245D. Those interventions that were tried, such as positive support strategies and even increasing the person\\u2019s staffing to 1:1 did not decrease the incidence and intensity of the person\\u2019s interfering behaviors. The person had a person-centered plan created with them, and in that planning process it was determined that the person wanted to live alone, something the provider tried to work with the person to help them work towards a more independent placement. But the fact that the person wasn\\u2019t living in a preferred setting was believed to contribute to the person\\u2019s escalating interfering behavior. The provider requested support in the area of mental health training and staffing, but these services were either unavailable or not as intense as the provider was seeking. This lack of services was influenced by lower wages and compensation for these services. These lower wages were seen as lower than needed due to a statewide workforce shortage that increased the demand for staff which, in turn, increased the wages in other service sectors so that HCBS services were less desirable for workers. HCBS rates are mainly determined by Minnesota Statutes governing the Disability Waiver Rate Setting requirements. Creating higher wages\\/HCBS reimbursement required action by the Minnesota Legislature. \\r\\nThe provider was pressured to act in this situation due to the escalating and dangerous behavior and the neighbor\\u2019s concerns about their own welfare and placing pressure on the provider to prevent the behaviors and pressure from law enforcement to act. While the provider didn\\u2019t intend to actually terminate services, it appeared as though the only way to access needed crisis and mental health services for the person was to issue a service termination.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14111}','68.53.115.247','2021-05-25 14:21:12'),(11016,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14112,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"127\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14112}','68.53.115.247','2021-05-25 14:21:12'),(11017,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14113,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"129\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14113}','68.53.115.247','2021-05-25 14:21:12'),(11018,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14114,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"130\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14114}','68.53.115.247','2021-05-25 14:21:12'),(11019,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14115,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"131\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14115}','68.53.115.247','2021-05-25 14:21:12'),(11020,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14116,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"132\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14116}','68.53.115.247','2021-05-25 14:21:12'),(11021,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14117,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"101\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14117}','68.53.115.247','2021-05-25 14:21:12'),(11022,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14118,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14118}','68.53.115.247','2021-05-25 14:21:12'),(11023,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14119,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"103\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14119}','68.53.115.247','2021-05-25 14:21:12'),(11024,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14120,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"104\",\"question_type\":\"Free_Text\",\"text_answer\":\"The provider requested support in the area of mental health training and staffing, but these services were either unavailable or not as intense as the provider was seeking. This lack of services was influenced by lower wages and compensation for these services. These lower wages were seen as lower than needed due to a statewide workforce shortage that increased the demand for staff which, in turn, increased the wages in other service sectors so that HCBS services were less desirable for workers. HCBS rates are mainly determined by Minnesota Statutes governing the Disability Waiver Rate Setting requirements. Creating higher wages\\/HCBS reimbursement required action by the Minnesota Legislature.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14120}','68.53.115.247','2021-05-25 14:21:12'),(11025,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14121,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"105\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14121}','68.53.115.247','2021-05-25 14:21:12'),(11026,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14122,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"106\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14122}','68.53.115.247','2021-05-25 14:21:12'),(11027,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14123,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"107\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14123}','68.53.115.247','2021-05-25 14:21:12'),(11028,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14124,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"108\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14124}','68.53.115.247','2021-05-25 14:21:12'),(11029,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14125,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"109\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14125}','68.53.115.247','2021-05-25 14:21:12'),(11030,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14126,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"110\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14126}','68.53.115.247','2021-05-25 14:21:12'),(11031,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14127,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"111\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14127}','68.53.115.247','2021-05-25 14:21:12'),(11032,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14128,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"112\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14128}','68.53.115.247','2021-05-25 14:21:12'),(11033,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14129,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"113\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14129}','68.53.115.247','2021-05-25 14:21:12'),(11034,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14130,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"114\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14130}','68.53.115.247','2021-05-25 14:21:12'),(11035,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14131,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"115\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14131}','68.53.115.247','2021-05-25 14:21:12'),(11036,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14132,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":\"The provider issuing a person a service termination as necessary for her welfare and her needs couldn\\u2019t be met was influenced by the person\\u2019s interfering behavior which was escalating and dangerous. The person regularly physically aggressed towards her roommates and staff. The other people in the home were considered vulnerable, and the provider has a responsibility to safeguard the health and safety of all residents \\u2013 as well as their staff. This responsibility is assigned to providers by Minnesota Statutes 245D, the statute governing an HCBS provider\\u2019s license. The responsibility is also assigned to providers by the Coordinated Service and Support Plans created by lead agency or contracted HCBS case managers.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14132}','68.53.115.247','2021-05-25 14:21:12'),(11037,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14133,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"117\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14133}','68.53.115.247','2021-05-25 14:21:12'),(11038,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14134,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"118\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14134}','68.53.115.247','2021-05-25 14:21:12'),(11039,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14135,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"119\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14135}','68.53.115.247','2021-05-25 14:21:12'),(11040,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14136,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"120\",\"question_type\":\"Free_Text\",\"text_answer\":\"The provider issuing a person a service termination as necessary for her welfare and her needs couldn\\u2019t be met was strongly influenced by the fact that available external mental health and crisis services required a person to be in danger of losing their housing. The provider noted that they did not have an actual intention of terminating the person\\u2019s services, but instead wanted to ensure that the person could access needed mental health services. The case manager had difficulty in finding other providers to work with her due to a lack of appropriate crisis services available statewide and so requested that the provider issue the service termination to help access alterative crisis and mental health services. People with a residential placement are deprioritized on crisis service waiting lists as priority must be given to people without or in danger of losing housing. There are also few locked facilities in Minnesota, which the team thoughtT this person could need to help manage the person\\u2019s escalating elopement and physical aggression concerns. This lack of locked facilities in Minnesota is impacted by the state\\u2019s regulations that focus on providing services in a least restrictive setting, the Olmstead vs. LC lawsuit, Minnesota\\u2019s Olmstead Plan, Minnesota Statute 245D and the Jensen Settlement \\u2013 which created the need for Minnesota\\u2019s Olmstead Plan and the stronger focus on utilizing less restrictive settings. Minnesota\\u2019s Moratorium on foster care and other residential settings (ICF\\/DDs) also prevented providers from opening settings that were sometimes seen as more restrictive settings, leaving fewer options for people who may need this type of environment.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14136}','68.53.115.247','2021-05-25 14:21:12'),(11041,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14137,'{\"report_id\":187,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"121\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:12 am\",\"created_at\":\"5\\/25\\/2021 9:21:12 am\",\"id\":14137}','68.53.115.247','2021-05-25 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14:21:45'),(11064,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14160,'{\"report_id\":188,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2021-01-12 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:45 am\",\"created_at\":\"5\\/25\\/2021 9:21:45 am\",\"id\":14160}','68.53.115.247','2021-05-25 14:21:45'),(11065,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14161,'{\"report_id\":188,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"Prior to the termination the individual was residing with this AFC provider for 15 months.  The setting was a family foster home with owner\\/operator on-site and no other residents.   The provider was newly licensed for 2 residents and this was the first individual that was placed in her home.   The individual was in his grandparents\\u2019 care prior to this AFC.  The individual is his own guardian.  \\r\\nPrior to the placement the provider had communicated with the individual\\u2019s grandparents and CADI case manager.  The provider was told that the individual was in special education in school and A few weeks after the placement the provider was given a file with additional information on the individual.  The file included police reports indicating the individual had been in physical fights.  After the placement the provider also learned that the individual had a history of stealing money, cigarettes and specifically an incident when he stole credit cards from his grandparents.   The provider also learned that he was expelled from Cloquet High School due to his behaviors and transferred to the Merit Creek Academy.  The provider stated that in conversations with the individual\\u2019s grandparents they stated that he was easily influenced by his friends.  \\r\\nThe provider stated while the individual was residing with her he would swear at her and try to physically intimidate her.  The provider noted that the individual never physically assaulted her.  The provider noted that the individual spent much of his time in his bedroom playing video games.  He ate the majority of this meals in his room alone.   Prior to COVID19, the individual was in therapy twice a week for depression and anger issues.  This moved to telehealth and soon ended all together.  The individual was also with Choice Unlimited for employment after he graduated school, but did not want to continue to work on employment.\\r\\nDue to the individual constantly isolating himself and physically intimidating behaviors the provider decided to issue a 60 day termination notice. The case manager was aware of the concerns and supported the individual moving.  The individual was not initially supportive of the move, but was excited to move once he toured the new facility.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:45 am\",\"created_at\":\"5\\/25\\/2021 9:21:45 am\",\"id\":14161}','68.53.115.247','2021-05-25 14:21:45'),(11066,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14162,'{\"report_id\":188,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"99\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:21:45 am\",\"created_at\":\"5\\/25\\/2021 9:21:45 am\",\"id\":14162}','68.53.115.247','2021-05-25 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He was in an AFC home with 3 other males.  Prior to the termination the individual was having increased sexual behaviors towards staff.  This included both verbal comments that were inappropriate and\\/or sexual in nature and physical contact with staff that was also inappropriate.  The individual was also using social media to make sexual comments towards staff.  \\r\\nThere was a specific incident in the community (Holiday gas station) where the individual allegedly touched a juvenile\\u2019s buttocks.  The individual was criminally charged and there is currently a pending criminal matter.  There was a similar incident that occurred prior to this at Wal-Mart where the individual grabbed a woman\\u2019s buttocks.  He was not charged during this incident.\\r\\nFollowing the criminal charges, the agency set parameters for the individual which included attending therapy and to cease inappropriate conversations with staff.  The agency identified a provider for therapy and had scheduled an appointment for the individual.  The individual did not attend his appointment by continuing to reschedule the appointment without good reason.  With input from the house manager, program coordinator, manager and the president the agency issued the 60 day termination notice with the intention of dropping the termination if the individual resumed therapy and complied with the other parameters.  The individual did not resume therapy and ended up moving to another facility.  \\r\\nPrior to the termination there multiple meetings with the individual\\u2019s expanded support team to discuss how they could better support him in his current setting.  His support team concurred with the 60 day termination notice because at the time all other options had been exhausted.  The individual claims he didn\\u2019t know about the termination, exercised his right to appeal, and the matter is still pending.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14212}','68.53.115.247','2021-05-25 14:22:23'),(11117,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14213,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"99\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14213}','68.53.115.247','2021-05-25 14:22:23'),(11118,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14214,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"The individual being issued a termination notice was influenced by the individual\\u2019s increased frequency of sexualized behaviors including sexualized behaviors towards staff which led to staff experiencing sexual harassment.  In response to the increase in the individual\\u2019s behaviors the provider and individual created a behavior agreement.  This agreement included the individual working with a therapeutic practitioner as well as working to reduce the sexualized behaviors.  The individual is their own guardian and did not think they needed to change, would often skip therapy meetings and chose not to comply with the behavior agreement.  The individual\\u2019s computer usage also influenced the increase in sexualized behaviors as they were using social media\\/internet in way that was sexually inappropriate and harassing.  Along with the previously mentioned factors, the lack of effectiveness of the behavior interventions led to the provider issuing the termination notice.  Person-centered requirements guided the provider to honor the individual\\u2019s choices during this process which influenced the person not comply with the behavior agreements.  Additionally the individual was criminally charged in regards to an incident in where they sexually assaulted a minor in the community.  The court did not order treatment for this individual which influenced the individual\\u2019s thought they didn\\u2019t need to change their behaviors as well as a continuation of increased sexual behaviors.  \\r\\nAn additional influence that led to the provider issuing the termination notice was that the individual\\u2019s formal support team including the case manager was involved throughout this process and in the end supported the termination.\\r\\n245D Individual Rights & Person-Centered requirements required that a legal representative consent with any rights restriction, and as the person did not think they needed to change a rights restriction was not an option. The rights afforded to a person in 245D supported the individual in not having rights restrictions as well as honoring their choices.  \\r\\nFurther contributing to the person being given a 60 day termination notice was that staffing the home was difficult.  In regards to the increased sexual behaviors and sexual harassment this led to staff reporting their work environment as hostile and increased the difficulty in staffing the home.  Adding to the difficulty in staffing the home was that the provider attempted to staff the home with males and a statewide workforce shortage.  Staffing only with males decreased the pool of applicants for the home.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14214}','68.53.115.247','2021-05-25 14:22:23'),(11119,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14215,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"127\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14215}','68.53.115.247','2021-05-25 14:22:23'),(11120,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14216,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"129\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14216}','68.53.115.247','2021-05-25 14:22:23'),(11121,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14217,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"130\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14217}','68.53.115.247','2021-05-25 14:22:23'),(11122,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14218,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"131\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14218}','68.53.115.247','2021-05-25 14:22:23'),(11123,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14219,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"132\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14219}','68.53.115.247','2021-05-25 14:22:23'),(11124,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14220,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"101\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14220}','68.53.115.247','2021-05-25 14:22:23'),(11125,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14221,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14221}','68.53.115.247','2021-05-25 14:22:23'),(11126,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14222,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"103\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14222}','68.53.115.247','2021-05-25 14:22:23'),(11127,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14223,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"104\",\"question_type\":\"Free_Text\",\"text_answer\":\"dont count this as a \\\"2\\\" - notes below are to help with tracking some of things we re seeing around people tending to prefer certain types of staff From narrative: \\\"Adding to the difficulty in staffing the home was that the provider attempted to staff the home with males and a statewide workforce shortage.  Staffing only with males decreased the pool of applicants for the home.\\\"\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14223}','68.53.115.247','2021-05-25 14:22:23'),(11128,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14224,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"105\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14224}','68.53.115.247','2021-05-25 14:22:23'),(11129,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14225,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"106\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14225}','68.53.115.247','2021-05-25 14:22:23'),(11130,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14226,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"107\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14226}','68.53.115.247','2021-05-25 14:22:23'),(11131,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14227,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"108\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14227}','68.53.115.247','2021-05-25 14:22:23'),(11132,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14228,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"109\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14228}','68.53.115.247','2021-05-25 14:22:23'),(11133,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14229,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"110\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"Note: individual being their own guardian is considered part of the \\\"support team\\\" and them not following through on agreement impacts the teamwork. Guardian, case manager, and provider weren t all on the same page.\\\"\\r\\n\\r\\nThis agreement included the individual working with a therapeutic practitioner as well as working to reduce the sexualized behaviors.  The individual is their own guardian and did not think they needed to change, would often skip therapy meetings and chose not to comply with the behavior agreement.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14229}','68.53.115.247','2021-05-25 14:22:23'),(11134,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14230,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"111\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14230}','68.53.115.247','2021-05-25 14:22:23'),(11135,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14231,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"112\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14231}','68.53.115.247','2021-05-25 14:22:23'),(11136,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14232,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"113\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14232}','68.53.115.247','2021-05-25 14:22:23'),(11137,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14233,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"114\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14233}','68.53.115.247','2021-05-25 14:22:23'),(11138,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14234,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"115\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14234}','68.53.115.247','2021-05-25 14:22:23'),(11139,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14235,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":\"This agreement included the individual working with a therapeutic practitioner as well as working to reduce the sexualized behaviors.  The individual is their own guardian and did not think they needed to change, would often skip therapy meetings and chose not to comply with the behavior agreement.  The individual\\u2019s computer usage also influenced the increase in sexualized behaviors as they were using social media\\/internet in way that was sexually inappropriate and harassing.  Along with the previously mentioned factors, the lack of effectiveness of the behavior interventions led to the provider issuing the termination notice.  Person-centered requirements guided the provider to honor the individual\\u2019s choices during this process which influenced the person not comply with the behavior agreements.  \\r\\n\\r\\n245D Individual Rights & Person-Centered requirements required that a legal representative consent with any rights restriction, and as the person did not think they needed to change a rights restriction was not an option. The rights afforded to a person in 245D supported the individual in not having rights restrictions as well as honoring their choices.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14235}','68.53.115.247','2021-05-25 14:22:23'),(11140,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14236,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"117\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14236}','68.53.115.247','2021-05-25 14:22:23'),(11141,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14237,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"118\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14237}','68.53.115.247','2021-05-25 14:22:23'),(11142,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14238,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"119\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14238}','68.53.115.247','2021-05-25 14:22:23'),(11143,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14239,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"120\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14239}','68.53.115.247','2021-05-25 14:22:23'),(11144,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14240,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"121\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14240}','68.53.115.247','2021-05-25 14:22:23'),(11145,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14241,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"122\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14241}','68.53.115.247','2021-05-25 14:22:23'),(11146,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14242,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"123\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14242}','68.53.115.247','2021-05-25 14:22:23'),(11147,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14243,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14243}','68.53.115.247','2021-05-25 14:22:23'),(11148,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14244,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"125\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14244}','68.53.115.247','2021-05-25 14:22:23'),(11149,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14245,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"126\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14245}','68.53.115.247','2021-05-25 14:22:23'),(11150,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14246,'{\"report_id\":189,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"432\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:23 am\",\"created_at\":\"5\\/25\\/2021 9:22:23 am\",\"id\":14246}','68.53.115.247','2021-05-25 14:22:23'),(11151,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14247,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"08\\/15\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:22:49 am\",\"created_at\":\"5\\/25\\/2021 9:22:49 am\",\"id\":14247}','68.53.115.247','2021-05-25 14:22:49'),(11152,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14248,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"201905337\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14248}','68.53.115.247','2021-05-25 14:23:12'),(11153,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14249,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"08\\/15\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14249}','68.53.115.247','2021-05-25 14:23:12'),(11154,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14250,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"David Vukelich\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14250}','68.53.115.247','2021-05-25 14:23:12'),(11155,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14251,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"79\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Scott Schifsky\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14251}','68.53.115.247','2021-05-25 14:23:12'),(11156,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14252,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Pinewood-Duluth\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14252}','68.53.115.247','2021-05-25 14:23:12'),(11157,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14253,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Dana Tchida\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14253}','68.53.115.247','2021-05-25 14:23:12'),(11158,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14254,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":\"dana@pinewoodcloq-duluth.com\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14254}','68.53.115.247','2021-05-25 14:23:12'),(11159,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14255,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"83\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14255}','68.53.115.247','2021-05-25 14:23:12'),(11160,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14256,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"84\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Elopement\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14256}','68.53.115.247','2021-05-25 14:23:12'),(11161,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14257,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14257}','68.53.115.247','2021-05-25 14:23:12'),(11162,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14258,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2019-07-23 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14258}','68.53.115.247','2021-05-25 14:23:12'),(11163,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14259,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"Theresa Reilly (TR) was found outside approximately of a city block away from the Pinewood building by staff\\r\\nSteve Anderson (SA) who was heading out to a job site. TR was at the business 4th Street Auto attempting to open a vehicle door (she\\r\\nlikes to go on car rides). SA was able to gain her attention and asked her to come with him back to Pinewood. She complied and\\r\\naccompanied SA back to Pinewood.\\r\\n\\r\\nEarlier that morning, the \\\"daily schedule\\\" created by staff Sherri Ross (SR) had listed staff Sherrill McDonald (SM) to provide supervision\\r\\nfor TR. TR is not a 1:1, however she requires close supervision as she has a history of elopements. SM had spoken to SR earlier in the\\r\\nmorning, before any clients had arrived, and told her she was not able to provide supervision for TR because she would be busy working\\r\\non a project in a separate area from where TR was going to be. SR was going to make the change on the \\\"daily schedule\\\" but got busy\\r\\nwith other things and forgot to update it with a different staff for TR s supervision. With no eligible staff listed for TR s supervision, TR was\\r\\nable to leave the building unnoticed. It is unknown exactly what time TR left Pinewood, but other staff member Connie Lepak (CL) reported\\r\\nthat she had last interacted with TR at 9:10am. SA reported that when he found TR it was approximately 9:15am.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14259}','68.53.115.247','2021-05-25 14:23:12'),(11164,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14260,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"96\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14260}','68.53.115.247','2021-05-25 14:23:12'),(11165,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14261,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff was not aware the individual left the program.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14261}','68.53.115.247','2021-05-25 14:23:12'),(11166,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14262,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"94\",\"question_type\":\"True_or_False\",\"text_answer\":\"Yes\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14262}','68.53.115.247','2021-05-25 14:23:12'),(11167,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14263,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2019-09-24 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14263}','68.53.115.247','2021-05-25 14:23:12'),(11168,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14264,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"Pinewood debriefing.  9\\/24\\/2019\\r\\nLearning point:  The staff was not aware that the individual left the program.\\r\\n\\r\\nDebrief SP1:   The day of the incident SP1 provided direct supervision of the individual in the early morning as the individual would ride with SP1 in her vehicle to drop off a different employee for off-site work.  SP1 had been doing this most of the summer as this staff person was not able to drive the company vehicles due to age restrictions.  SP1 returned to the facility with the individual around 9:00a.m. and the individual returned to her program area in the basement of the facility.  \\r\\nSP1 was not providing direct supervision to the individual beyond the ride in her vehicle.  SP1 did state that she makes a schedule every week that reflects which staff will be in what program areas.  She stated there is one individual that requires 1:1 supervision and the individual that eloped does not require 1:1 supervision, but the agency does designate a staff person to supervise her as she has a history of elopement.  SP1 stated that she creates this schedule (paper\\/electronic document) and on the day of the incident SP3 was scheduled to supervise the individual who eloped.  SP1 stated that there are generally a lot of changes to the schedule throughout the week, so staff utilizes a whiteboard to reflect the changes.  SP1 stated that there are approximately 11-14 clients and approximately 4 staff providing supervision.  \\r\\nIn regards to the individual\\u2019s behaviors, SP1 describes her as \\u201cninja like.\\u201d  SP1 stated that the individual will attempt to leave the program daily and some days she is really determined to leave and will make numerous attempts throughout the day.  \\r\\nSP1 was unaware that the individual left the program\\/building.\\r\\nDebrief SP2:  SP2 confirms SP1\\u2019s history of events.  SP2 stated that she has been working with the individual for 19 years and is very familiar with her behaviors.  \\r\\nSP2 was supervising multiple individuals in the program area the day of the incident and was unaware that the individual left the program\\/building.\\r\\n\\r\\nDebrief SP3:  SP3 was identified on the paper schedule as the staff person who would be working with the individual the day of the alleged incident.  SP3 stated that she was also scheduled to learn a different job duty the day of the incident, so she informed others that she was going to be working in an office that day. \\r\\nShe also noted that the physical location of the staff desk upstairs doesn\\u2019t provide the optimal vantage point to the entrances\\/exits.  \\r\\nSP3 was unaware that the individual left the program\\/building.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14264}','68.53.115.247','2021-05-25 14:23:12'),(11169,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14265,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"99\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14265}','68.53.115.247','2021-05-25 14:23:12'),(11170,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14266,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"The staff \'s awareness that the individual left the program was influenced by Staff 3\'s assignments to two tasks, supervising the individual and completing a training. Staff 1 created staff assignments on paper. The paper schedule was not updated to reflect the staffing change after Staff 3 told Staff 1 they needed to complete the training instead of supervising. An additional influence was Staff 1 being new to the role of making staff assignments. This new role was further complicated as the staff assignments change frequently to support the varied needs of individuals. The facility also utilizes a whiteboard for staff assignments. As changes are made to the assignment schedule, the whiteboard is updated to reflect the changes. The whiteboard and paper schedules do not match once there are changes to the whiteboard. \\r\\n\\r\\nThe individual\\u2019s behaviors influenced staff\'s awareness of the individual leaving the facility.  The individual moves around a lot during her time in the program area and was described as elusive.  Staff indicated that the individual deliberately observes staff and when staff appears to be distracted or less attentive she will attempt to leave the program area. There are up to 17 participants and 5 staff in the program area at any given time. This ratio influences each staff person to provide support and supervision to multiple participants in the program area. Ideally, the provider said they\'d have more staff, but this staff to person ratio is typical. This ratio is influenced by a workforce shortage across the region and state that has impacted the provider\'s ability to increase their staff ratio. Per the individual\\u2019s 6790, they did not require one-on-one supervision impacting the decision to assign one staff to this individual. The 6790 is influenced by the DWRS which provides a calculation for the person\\u2019s service rates and the staff ratios required of day service facilities (DSFs) in Minn. Stat. 245D. The recent push by the legislature over the last few years shifting from daily and partial day payment in DSFs to community- and unit-based funding made the process of negotiating a 6790 more complex. This push to community- and unit-based employment was influenced by a number of national and regional initiatives such as the HCBS Final Rule, the Workforce Investment and Opportunities Act, the Minnesota Olmstead Plan and recent lawsuits regarding congregate work by the Department of Justice. The provider noted that adapting to this change influenced the business of the program and frequent staff changes as they moved to work with some clients in the community and some at their congregate site, which required staff to move around and pivot roles frequently. \\r\\n\\r\\nAlthough the individual\'s plan does not require 1:1 staffing, the day program assigned a specific staff person to supervise the individual on this day. The assigned staff person was unable provide 1:1 supervision to the individual as they were also required to supervise\\/support other people. The program area was described as busy and distracting.  Some participants are more vocal adding to the distractions and some participants require higher supervision than others including one-to-one supervision. Such distractions further supported staff not realizing that the individuals had left the home. The building has three levels and multiple exits which impacts staff\'s ability to see all exits while supporting people. The doors do have chimes; however, the staff have become desensitized to the chimes as the staff, people served, and community members use the entrances and exits frequently.  The doors are equipped with alarms because providers are responsible for the health, safety and well-bring of individuals served. Local fire codes influenced requirements for exits being unlocked and able to be used in case of emergency. The facility fire codes are influenced by 245D and city fire codes. The fire code says that exit doors shall have the ability to be opened from inside in case of a fire. This contributed to the individual\'s ability to exit the program.  As a result of the multiple exits with chimes continually occurring, staff have been desensitized to them. This desensitization further impacted staff not realizing that the individual left the program. The chimes were implemented as a result of the building needing multiple exits which is governed by the agency\\u2019s requirement to support the health, safety, and well-being of residents through the adherence to the fire codes.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14266}','68.53.115.247','2021-05-25 14:23:12'),(11171,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14267,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"127\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14267}','68.53.115.247','2021-05-25 14:23:12'),(11172,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14268,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"129\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14268}','68.53.115.247','2021-05-25 14:23:12'),(11173,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14269,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"130\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14269}','68.53.115.247','2021-05-25 14:23:12'),(11174,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14270,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"131\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14270}','68.53.115.247','2021-05-25 14:23:12'),(11175,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14271,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"132\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14271}','68.53.115.247','2021-05-25 14:23:12'),(11176,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14272,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"101\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14272}','68.53.115.247','2021-05-25 14:23:12'),(11177,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14273,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14273}','68.53.115.247','2021-05-25 14:23:12'),(11178,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14274,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"103\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14274}','68.53.115.247','2021-05-25 14:23:12'),(11179,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14275,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"104\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14275}','68.53.115.247','2021-05-25 14:23:12'),(11180,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14276,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"105\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14276}','68.53.115.247','2021-05-25 14:23:12'),(11181,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14277,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"106\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14277}','68.53.115.247','2021-05-25 14:23:12'),(11182,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14278,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"107\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14278}','68.53.115.247','2021-05-25 14:23:12'),(11183,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14279,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"108\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14279}','68.53.115.247','2021-05-25 14:23:12'),(11184,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14280,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"109\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14280}','68.53.115.247','2021-05-25 14:23:12'),(11185,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14281,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"110\",\"question_type\":\"Free_Text\",\"text_answer\":\"The staff\' s awareness that the individual LEFT the program was influenced BY Staff 3 \'s assignments to two tasks, supervising the individual and completing a training.  The paper schedule was not updated to reflect the staffing change after Staff 3 told Staff 1 they needed to complete the training instead of supervising.  This new role was further complicated as the staff assignments change frequently to support the varied needs of individuals.  The facility also utilizes a whiteboard for staff assignments. As changes are made to the assignment schedule, the whiteboard is updated to reflect the changes. The whiteboard and paper schedules do not match once there are changes to the whiteboard. \\r\\nThe individual\\u2019s behaviors influenced staff\'s awareness of the individual leaving the facility.  The individual moves around a lot during her time in the program area and was described as elusive.  Staff indicated that the individual deliberately observes staff and when staff appears to be distracted or less attentive she will attempt to leave the program area. There are up to 17 participants and 5 staff in the program area at any given time. This ratio influences each staff person to provide support and supervision to multiple participants in the program area. Ideally, the provider said they\'d have more staff, but this staff to person ratio is typical.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14281}','68.53.115.247','2021-05-25 14:23:12'),(11186,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14282,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"111\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14282}','68.53.115.247','2021-05-25 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14:23:12'),(11189,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14285,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"114\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14285}','68.53.115.247','2021-05-25 14:23:12'),(11190,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14286,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"115\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14286}','68.53.115.247','2021-05-25 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14:23:12'),(11193,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14289,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"118\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14289}','68.53.115.247','2021-05-25 14:23:12'),(11194,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14290,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"119\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14290}','68.53.115.247','2021-05-25 14:23:12'),(11195,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14291,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"120\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14291}','68.53.115.247','2021-05-25 14:23:12'),(11196,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14292,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"121\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14292}','68.53.115.247','2021-05-25 14:23:12'),(11197,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14293,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"122\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14293}','68.53.115.247','2021-05-25 14:23:12'),(11198,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14294,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"123\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14294}','68.53.115.247','2021-05-25 14:23:12'),(11199,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14295,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":\"The building has three levels and multiple exits which impacts staff\'s ability to see all exits while supporting people. The doors do have chimes; however, the staff have become desensitized to the chimes as the staff, people served, and community members use the entrances and exits frequently.  The doors are equipped with alarms because providers are responsible for the health, safety and well-bring of individuals served.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14295}','68.53.115.247','2021-05-25 14:23:12'),(11200,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14296,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"125\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14296}','68.53.115.247','2021-05-25 14:23:12'),(11201,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14297,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"126\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14297}','68.53.115.247','2021-05-25 14:23:12'),(11202,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14298,'{\"report_id\":190,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"432\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:12 am\",\"created_at\":\"5\\/25\\/2021 9:23:12 am\",\"id\":14298}','68.53.115.247','2021-05-25 14:23:12'),(11203,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14299,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"06\\/19\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:35 am\",\"created_at\":\"5\\/25\\/2021 9:23:35 am\",\"id\":14299}','68.53.115.247','2021-05-25 14:23:35'),(11204,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14300,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"201903632\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14300}','68.53.115.247','2021-05-25 14:23:55'),(11205,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14301,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"06\\/19\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14301}','68.53.115.247','2021-05-25 14:23:55'),(11206,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14302,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"David Vukelich\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14302}','68.53.115.247','2021-05-25 14:23:55'),(11207,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14303,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"79\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14303}','68.53.115.247','2021-05-25 14:23:55'),(11208,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14304,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"REM Arrowhead\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14304}','68.53.115.247','2021-05-25 14:23:55'),(11209,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14305,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Corey Labissoniere\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14305}','68.53.115.247','2021-05-25 14:23:55'),(11210,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14306,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Corey.LaBissoniere@thementornetwork.com\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14306}','68.53.115.247','2021-05-25 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14:23:55'),(11213,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14309,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14309}','68.53.115.247','2021-05-25 14:23:55'),(11214,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14310,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2019-05-18 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14310}','68.53.115.247','2021-05-25 14:23:55'),(11215,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14311,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"It was reported that the program provided inadequate staffing levels per individuals plan.  Individual eloped from the program and is currently in the hospital for mental health reasons.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14311}','68.53.115.247','2021-05-25 14:23:55'),(11216,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14312,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"96\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14312}','68.53.115.247','2021-05-25 14:23:55'),(11217,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14313,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Individual left the home via the bathroom without staff knowledge.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14313}','68.53.115.247','2021-05-25 14:23:55'),(11218,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14314,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"94\",\"question_type\":\"True_or_False\",\"text_answer\":\"No\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14314}','68.53.115.247','2021-05-25 14:23:55'),(11219,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14315,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14315}','68.53.115.247','2021-05-25 14:23:55'),(11220,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14316,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14316}','68.53.115.247','2021-05-25 14:23:55'),(11221,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14317,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"99\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Staff No Longer Employed\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14317}','68.53.115.247','2021-05-25 14:23:55'),(11222,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14318,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"The individual eloping from the home was influenced by the staff\\u2019s belief that the individual was bathing and that the individual was able to be in the bathroom without supervision. The individual had eloped previously, but had developed new tactics including letting the water run in the bathroom (giving the illusion of bathing\\/showering) and eloping out the bathroom window. The absence of rights restriction and societal norms regarding privacy also influenced staff\\u2019s decision not to provide direct supervision while the individual was using the bathroom. The individual was quickly adapting her behaviors to attempt elopement in ways that staff hadn\\u2019t experienced before.  The individual\\u2019s support team (guardian, case manager, etc.) also had varying views on what the individual\\u2019s needs were. Staff\\u2019s confusion around these new behaviors, the support team\\u2019s varying views and the ability to communicate with each other in real time were influencing the individual\\u2019s support plan not being updated to reflect the person\\u2019s updated safety considerations.  \\r\\n\\r\\nPer the individual\\u2019s support plan, 1:1 supervision was required. The regulatory agencies definition of 1:1 staffing is not clear and is left at the interpretation of the provider and may be outlined in the support plan. Staff has access to the support plan(s); however, they are not clear and concise. The support plan is influenced by a chain of processes and requirements: Coordinated Service and Support Plans created by the case managers are influenced by MN Choices Assessment of a person\\u2019s needs, which then impact the service hours negotiated between the lead agency and provider using DHS Form-6790. The 6790 approval process is directly influenced by the Disability Waiver Rate System (DWRS), which was created by the Minnesota legislature and implemented by the Minnesota Department of Human Services. DWRS is set in statute and is a calculator that produces a service rate based on the hours of staffing needed by the person and provided by the provider. The DWRS is additionally impacted by HCBS Medicaid Waiver requirements enforced nationally by the Centers for Medicare and Medicaid Services (CMS).\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14318}','68.53.115.247','2021-05-25 14:23:55'),(11223,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14319,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"127\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14319}','68.53.115.247','2021-05-25 14:23:55'),(11224,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14320,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"129\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14320}','68.53.115.247','2021-05-25 14:23:55'),(11225,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14321,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"130\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14321}','68.53.115.247','2021-05-25 14:23:55'),(11226,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14322,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"131\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14322}','68.53.115.247','2021-05-25 14:23:55'),(11227,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14323,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"132\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14323}','68.53.115.247','2021-05-25 14:23:55'),(11228,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14324,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"101\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14324}','68.53.115.247','2021-05-25 14:23:55'),(11229,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14325,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":\"The individual eloping from the home was influenced by the staff\\u2019s belief that the individual was bathing and that the individual was able to be in the bathroom without supervision.  The individual had eloped previously, but had developed new tactics including letting the water run in the bathroom (giving the illusion of bathing\\/showering) and eloping out the bathroom window.  The absence of rights restriction and societal norms regarding privacy also influenced staff\\u2019s decision not to provide direct supervision while the individual was using the bathroom.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14325}','68.53.115.247','2021-05-25 14:23:55'),(11230,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14326,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"103\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14326}','68.53.115.247','2021-05-25 14:23:55'),(11231,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14327,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"104\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14327}','68.53.115.247','2021-05-25 14:23:55'),(11232,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14328,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"105\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14328}','68.53.115.247','2021-05-25 14:23:55'),(11233,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14329,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"106\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14329}','68.53.115.247','2021-05-25 14:23:55'),(11234,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14330,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"107\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14330}','68.53.115.247','2021-05-25 14:23:55'),(11235,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14331,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"108\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14331}','68.53.115.247','2021-05-25 14:23:55'),(11236,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14332,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"109\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14332}','68.53.115.247','2021-05-25 14:23:55'),(11237,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14333,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"110\",\"question_type\":\"Free_Text\",\"text_answer\":\"The individual\\u2019s support team (guardian, case manager, etc.) also had varying views on what the individual\\u2019s needs were. Staff\\u2019s confusion around these new behaviors, the support team\\u2019s varying views and the ability to communicate with each other in real time were influencing the individual\\u2019s support plan not being updated to reflect the person\\u2019s updated safety considerations.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14333}','68.53.115.247','2021-05-25 14:23:55'),(11238,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14334,'{\"report_id\":191,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"111\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:23:55 am\",\"created_at\":\"5\\/25\\/2021 9:23:55 am\",\"id\":14334}','68.53.115.247','2021-05-25 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