{"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\/26\/2021 4:19:10 pm","created_at":"5\/26\/2021 4:19:10 pm","id":36443}