INSERT INTO `activity_logs` VALUES (11265,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14361,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14361}','68.53.115.247','2021-05-25 14:24:46'),(11266,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14362,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2019-04-23 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14362}','68.53.115.247','2021-05-25 14:24:46'),(11267,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14363,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14363}','68.53.115.247','2021-05-25 14:24:46'),(11268,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14364,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14364}','68.53.115.247','2021-05-25 14:24:46'),(11269,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14365,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Person was given a 60-day service termination\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14365}','68.53.115.247','2021-05-25 14:24:46'),(11270,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14366,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14366}','68.53.115.247','2021-05-25 14:24:46'),(11271,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14367,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2020-08-11 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14367}','68.53.115.247','2021-05-25 14:24:46'),(11272,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14368,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"The individual was living in a large 4000 sq. ft. adult foster care home in rural northern MN.  The individual has been served by this provider for approximately 10 years and was living in this particular home for the past 4 + years.   The individual\\u2019s mother is her legal guardian.  The AFC was home to two other females at the time the termination notice was issued.  The individual is diagnosed with Prader-Willi syndrome and has some challenging behaviors associated with her diagnosis.  These behaviors kept the provider cautious about adding additional people in the home even though there was capacity to do so.  The provider stated that recently the individual was given a new medication and her behaviors had improved.  Staff indicated that the provider was discussing a more individualized living arrangement for the individual, which would have included a larger area of the home designated to the individual.  \\r\\n\\r\\nWhen concerns for COVID19 arose in March, the provider sent out letters to the guardians of the people they serve to see if the guardians wanted to provide direct care for their respective program participants.  The individual\\u2019s mother responded and indicated that she wanted to provide care for her daughter.  The original plan was that this arrangement would last for two weeks.  The provider asked if the individual could return to the program and the individual\\u2019s mother wasn\\u2019t comfortable with her returning at that time.  The individual\\u2019s mother had previously worked for the provider.  In an effort to continue to support the individual the provider did the following: retrained the mother, employed her as a direct support staff for the individual, provided groceries and medications to the mother\\u2019s home, and provided an iPad so the individual could remain connected to others served by the provider as well as her mother being able to use the device for documentation.  The provider also provided remote support via Zoom meetings 2 hours a day, Monday through Friday.  County waiver case manager and supervisor were consulted about the alternative arrangement in response to the pandemic and they explained to the provider that they were not in support of this.  They had not been consulted until after the plan was in place.  The agency advised the provider to issue a termination notice if individual did not return to the program.  Mother and individual were notified of this recommendation and chose not to have the individual return to the program.  Mother and individual understood the termination was coming and agreed with it.  \\r\\n\\r\\nStaff reported that the provider\\u2019s management team was involved with the termination notice and issued the termination in accordance with policy\\/rules.  No previous terminations were noted.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14368}','68.53.115.247','2021-05-25 14:24:46'),(11273,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14369,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14369}','68.53.115.247','2021-05-25 14:24:46'),(11274,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14370,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"The person being given a 60-day service termination was influenced by the individual\\u2019s legal guardian\\/mother deciding to not have the person return to the program after she was not comfortable with safety in the Adult Foster Care (AFC) setting during the COVID-19 pandemic and elected to provide care to the individual for a two week period. The service provider sent a letter to the individual\\u2019s mother that gave the guardian the option to provide care for two weeks to the individual in lieu of being in the AFC.  The two week timeline was based on the maximum time limit that a provider could bill for (under the guise of a \\u201ccamping trip\\u201d) and continue to hold the individual\\u2019s bed. The uncertainties of the pandemic influenced the provider to develop a creative plan to continue to support the individual in her mother\\u2019s home.  This plan included the provider having the mother become an employee to formally provide direct support to the individual.  This was influenced by the mother previously being a provider for the agency as well as what was deemed to be important to the individual.  The uncertainties of the pandemic again made timelines unclear for how long this arrangement would be appropriate.  The provider then reached out to the County to discuss the alternative plan that was currently in place.  The county couldn\\u2019t approve this alternative service delivery.  The individual\\u2019s mother was made aware of this but was still comfortable with the individual to return to an AFC setting and decided to continue to have the individual reside with her.   Based on the mother\\u2019s decision, the provider not being able to sustain the current plan and the County stance on the alternative plan the person was given a 60-day termination notice.  \\r\\nThe County\\u2019s inability to support the alternative plan was influenced by the plan\\u2019s language not matching service definitions for the service the provider was authorized to provide.  The provider was delivering residential Supported Living Services (SLS) which by regulations cannot be provided remotely.  Additionally parents cannot provide SLS in their own home and these rules were not flexible enough to accommodate the individual\\u2019s specific situation.\\r\\nThe provider\\u2019s decision to issue a service termination was additionally impacted by a  fiscal constraints.  Providers are unable to bill for long-term empty beds. The inability to bill is based on the Disability Waiver Rate System (DWRS) which already factors in absences in the daily rate but not the ability to bill for days away.  This billing constraint is impacted by CMS regulations which only allows one method of billing for absences.  This billing constraint is also impacted by the Minnesota State Legislature which chose this method of billing for absences. \\r\\nThe uncertainties surrounding the pandemic were influenced by ongoing changes to requirements and timelines that were demonstrated by ongoing changes in the Governor\\u2019s orders.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14370}','68.53.115.247','2021-05-25 14:24:46'),(11275,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14371,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14371}','68.53.115.247','2021-05-25 14:24:46'),(11276,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14372,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14372}','68.53.115.247','2021-05-25 14:24:46'),(11277,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14373,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14373}','68.53.115.247','2021-05-25 14:24:46'),(11278,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14374,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14374}','68.53.115.247','2021-05-25 14:24:46'),(11279,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14375,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14375}','68.53.115.247','2021-05-25 14:24:46'),(11280,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14376,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"101\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14376}','68.53.115.247','2021-05-25 14:24:46'),(11281,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14377,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14377}','68.53.115.247','2021-05-25 14:24:46'),(11282,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14378,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14378}','68.53.115.247','2021-05-25 14:24:46'),(11283,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14379,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14379}','68.53.115.247','2021-05-25 14:24:46'),(11284,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14380,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14380}','68.53.115.247','2021-05-25 14:24:46'),(11285,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14381,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14381}','68.53.115.247','2021-05-25 14:24:46'),(11286,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14382,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14382}','68.53.115.247','2021-05-25 14:24:46'),(11287,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14383,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14383}','68.53.115.247','2021-05-25 14:24:46'),(11288,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14384,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"109\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14384}','68.53.115.247','2021-05-25 14:24:46'),(11289,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14385,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14385}','68.53.115.247','2021-05-25 14:24:46'),(11290,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14386,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14386}','68.53.115.247','2021-05-25 14:24:46'),(11291,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14387,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14387}','68.53.115.247','2021-05-25 14:24:46'),(11292,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14388,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14388}','68.53.115.247','2021-05-25 14:24:46'),(11293,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14389,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14389}','68.53.115.247','2021-05-25 14:24:46'),(11294,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14390,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14390}','68.53.115.247','2021-05-25 14:24:46'),(11295,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14391,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":\"The County\\u2019s inability to support the alternative plan was influenced by the plan\\u2019s language not matching service definitions for the service the provider was authorized to provide.  The provider was delivering residential Supported Living Services (SLS) which by regulations cannot be provided remotely.  Additionally parents cannot provide SLS in their own home and these rules were not flexible enough to accommodate the individual\\u2019s specific situation.\\r\\nThe provider\\u2019s decision to issue a service termination was additionally impacted by a  fiscal constraints.  Providers are unable to bill for long-term empty beds. The inability to bill is based on the Disability Waiver Rate System (DWRS) which already factors in absences in the daily rate but not the ability to bill for days away.  This billing constraint is impacted by CMS regulations which only allows one method of billing for absences.  This billing constraint is also impacted by the Minnesota State Legislature which chose this method of billing for absences. \\r\\nThe uncertainties surrounding the pandemic were influenced by ongoing changes to requirements and timelines that were demonstrated by ongoing changes in the Governor\\u2019s orders.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14391}','68.53.115.247','2021-05-25 14:24:46'),(11296,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14392,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14392}','68.53.115.247','2021-05-25 14:24:46'),(11297,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14393,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14393}','68.53.115.247','2021-05-25 14:24:46'),(11298,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14394,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14394}','68.53.115.247','2021-05-25 14:24:46'),(11299,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14395,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14395}','68.53.115.247','2021-05-25 14:24:46'),(11300,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14396,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14396}','68.53.115.247','2021-05-25 14:24:46'),(11301,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14397,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14397}','68.53.115.247','2021-05-25 14:24:46'),(11302,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14398,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"123\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14398}','68.53.115.247','2021-05-25 14:24:46'),(11303,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14399,'{\"report_id\":192,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":\"The person being given a 60-day service termination was influenced by the individual\\u2019s legal guardian\\/mother deciding to not have the person return to the program after she was not comfortable with safety in the Adult Foster Care (AFC) setting during the COVID-19 pandemic and elected to provide care to the individual for a two week period. The service provider sent a letter to the individual\\u2019s mother that gave the guardian the option to provide care for two weeks to the individual in lieu of being in the AFC.  The two week timeline was based on the maximum time limit that a provider could bill for (under the guise of a \\u201ccamping trip\\u201d) and continue to hold the individual\\u2019s bed. The uncertainties of the pandemic influenced the provider to develop a creative plan to continue to support the individual in her mother\\u2019s home.  This plan included the provider having the mother become an employee to formally provide direct support to the individual.  This was influenced by the mother previously being a provider for the agency as well as what was deemed to be important to the individual.  The uncertainties of the pandemic again made timelines unclear for how long this arrangement would be appropriate.  The provider then reached out to the County to discuss the alternative plan that was currently in place.  The county couldn\\u2019t approve this alternative service delivery.  The individual\\u2019s mother was made aware of this but was still comfortable with the individual to return to an AFC setting and decided to continue to have the individual reside with her.   Based on the mother\\u2019s decision, the provider not being able to sustain the current plan and the County stance on the alternative plan the person was given a 60-day termination notice.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14399}','68.53.115.247','2021-05-25 14:24:46'),(11304,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14400,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14400}','68.53.115.247','2021-05-25 14:24:46'),(11305,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14401,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14401}','68.53.115.247','2021-05-25 14:24:46'),(11306,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14402,'{\"report_id\":192,\"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 9:24:46 am\",\"created_at\":\"5\\/25\\/2021 9:24:46 am\",\"id\":14402}','68.53.115.247','2021-05-25 14:24:46'),(11307,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14403,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"10\\/15\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:15 am\",\"created_at\":\"5\\/25\\/2021 9:25:15 am\",\"id\":14403}','68.53.115.247','2021-05-25 14:25:15'),(11308,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14404,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"A954660000\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14404}','68.53.115.247','2021-05-25 14:25:34'),(11309,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14405,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"10\\/15\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14405}','68.53.115.247','2021-05-25 14:25:34'),(11310,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14406,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14406}','68.53.115.247','2021-05-25 14:25:34'),(11311,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14407,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14407}','68.53.115.247','2021-05-25 14:25:34'),(11312,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14408,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Stepping Stones for Living\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14408}','68.53.115.247','2021-05-25 14:25:34'),(11313,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14409,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Laura Flynn\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14409}','68.53.115.247','2021-05-25 14:25:34'),(11314,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14410,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":\"laura.flynn@sslduluth.com\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14410}','68.53.115.247','2021-05-25 14:25:34'),(11315,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14411,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14411}','68.53.115.247','2021-05-25 14:25:34'),(11316,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14412,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"84\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Medication Error\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14412}','68.53.115.247','2021-05-25 14:25:34'),(11317,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14413,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14413}','68.53.115.247','2021-05-25 14:25:34'),(11318,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14414,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2019-08-24 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14414}','68.53.115.247','2021-05-25 14:25:34'),(11319,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14415,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"Tracy was outside the patio smoking. A few minutes later, the staff didn\' t see Tracy outside anymore AND he hadn \'t seen him come inside the house. Staff searched the house and then went outside to look down the street, but could not locate Tracy.\\r\\n\\r\\nStaff called the on-call supervisor, who told staff to call 911 to report a missing person. After doing so, the police officer called the house to talk with the staff and then the officer came to the house to gather more information. Staff was instructed to update the officer if Tracy returned home. Close to 1 pm, Tracy came back to the house and the staff asked him where he went. Tracy told staff that he took a cab went to the mall. Tracy was carrying pop, chips, and cookies that he had bought at the mall. He then sat down in the dining room and ate his food.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14415}','68.53.115.247','2021-05-25 14:25:34'),(11320,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14416,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14416}','68.53.115.247','2021-05-25 14:25:34'),(11321,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14417,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff did not observe the individual leave the home\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14417}','68.53.115.247','2021-05-25 14:25:34'),(11322,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14418,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14418}','68.53.115.247','2021-05-25 14:25:34'),(11323,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14419,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2019-12-09 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14419}','68.53.115.247','2021-05-25 14:25:34'),(11324,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14420,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"The day of the incident the staff person(SP) was supervising the individual who eloped as well as 3 other residents.   SP doesn\\u2019t work at this home regularly.  The individual was outside smoking and told staff that he was going to walk to a convenience store located nearby the home.  SP advised the individual to take a \\u201cwalkie talkie\\u201d with him.   SP was cleaning the bathroom and never directly observed the individual leave the residence or confirm whether he took the walkie talkie with him.  The SP stated that there is a plan in place that supports this individual going to the convenience store unsupervised, with a walkie talkie for a period of 30 minutes.  Approximately 30 minutes later he noticed the individual had not returned to the home.  SP noted that the individual had not taken the walkie talkie with him.  SP stated there is protocol in place when the individual doesn\\u2019t return after 30 minutes.  Following protocol, the SP called the agency\\u2019s crisis staff.  The convenience store was contacted and they informed staff that the individual had not been to the store.  SP was advised to call 911 and did.  Shortly after the 911 call was placed, the individual returned to the home via taxi cab.  The individual disclosed that he took a cab to get McDonald\\u2019s and went to the mall.  The individual had recently received money from a renter\\u2019s rebate.  The individual manages their own spending money and the day of the incident he had $400(est.)in cash in his possession.  The agency has assisted the individual to go to other places besides the local convenience store.  On the day of the incident SP stated that the individual did not express a desire to go anywhere else.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14420}','68.53.115.247','2021-05-25 14:25:34'),(11325,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14421,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14421}','68.53.115.247','2021-05-25 14:25:34'),(11326,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14422,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff was preoccupied, cleaning the bathroom during the time the individual left the home.  From the bathroom the staff did not have a vantage point to see the patio area where the individual was smoking prior to leaving the home.  The staff cleaning the bathroom was influenced by the provider assigning staff multiple duties such as cleaning, cooking, etc. Staff cleans the home as the home is required to be safe and sanitary which is also part of the licensing requirements through Minnesota Statutes, 245D.  The staffing ratio at the time of the incident also influenced the staff performing multiple duties.  There was a 1:4 ratio with no other staff on duty, so staff was supporting the four individuals as well as completing other support related tasks such as cleaning. \\r\\n\\r\\nOther contributing factors to staff cleaning in an area where they were unable to observe the individual was that staff had no concerns that the individual would leave without confirming with staff and taking the walkie talkie. The individual frequently smoked outside without leaving, in particular, the individual had not previously left the house without telling this staff person. The individual mentioned they might go to the convenience store and staff asked him to take a walkie talkie with, which also influenced staff\\u2019s comfortability in cleaning the bathroom as the staff assumed he would take the walkie talkie if he left. The Staff\'s perception that the individual would follow alone time protocol was supported  by the individual\\u2019s plan which allowed him to go for a 30 minute walk without staff supervision.   This unsupervised time is driven from the CSSP which allows for unsupervised time and individual\\u2019s team developing specific parameters around unsupervised time.  The individual is his own guardian  which directly impacted the development of the CSSP and specific parameters around unsupervised time.   Per the individual\\u2019s 6790, they were not allocated one-on-one supervision which has a reciprocal relationship with  the person\\u2019s CSSP.  The 6790 is a tool created by DHS to implement the Disability Waiver Rate Setting statutes, created by the Minnesota Legislature, which provides a calculation for the person\\u2019s service rates based on  the staff ratios required of the provider. The ratios and rates in a 6790 are negotiated between the provider and the case manager based on the needs for supervision a person has in their CSSP and the provider\\u2019s assessment of the staff a person needs as well as the staff they have available. \\r\\n\\r\\nThe individual being outside prior to elopement was also influenced by a provider rule of no smoking in the home.  This rule was created to comply with the Minnesota Clean Air Act, which legislatively prohibits smoking in many public places. The rule is reinforced by DHS not allowing smoking in a licensed facility.  Society in general is aware of concerns for smoking in homes.  These concerns influenced DHS provider rules along and the Minnesota Clean Indoor Act.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14422}','68.53.115.247','2021-05-25 14:25:34'),(11327,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14423,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14423}','68.53.115.247','2021-05-25 14:25:34'),(11328,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14424,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14424}','68.53.115.247','2021-05-25 14:25:34'),(11329,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14425,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14425}','68.53.115.247','2021-05-25 14:25:34'),(11330,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14426,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14426}','68.53.115.247','2021-05-25 14:25:34'),(11331,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14427,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14427}','68.53.115.247','2021-05-25 14:25:34'),(11332,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14428,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14428}','68.53.115.247','2021-05-25 14:25:34'),(11333,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14429,'{\"report_id\":193,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff was preoccupied, cleaning the bathroom during the time the individual left the home. From the bathroom the staff did not have a vantage point to see the patio area where the individual was smoking prior to leaving the home.  The staff cleaning the bathroom was influenced by the provider assigning staff multiple duties such as cleaning, cooking, etc. Staff cleans the home as the home is required to be safe and sanitary which is also part of the licensing requirements through Minnesota Statutes, 245D.  The staffing ratio at the time of the incident also influenced the staff performing multiple duties.  There was a 1:4 ratio with no other staff on duty, so staff was supporting the four individuals as well as completing other support related tasks such as cleaning. \\r\\n\\r\\nOther contributing factors to staff cleaning in an area where they were unable to observe the individual was that staff had no concerns that the individual would leave without confirming with staff and taking the walkie talkie. The individual frequently smoked outside without leaving, in particular, the individual had not previously left the house without telling this staff person. The individual mentioned they might go to the convenience store and staff asked him to take a walkie talkie with, which also influenced staff\'s comfortability in cleaning the bathroom as the staff assumed he would take the walkie talkie if he left. The Staff\'s perception that the individual would follow alone time protocol was supported  by the individual\\u2019s plan which allowed him to go for a 30 minute walk without staff supervision.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14429}','68.53.115.247','2021-05-25 14:25:34'),(11334,'WVO5WlVvvwVOejE2t72Z5SihjGHdoULICqFvfDoP',81,'reports_answer','create',14430,'{\"report_id\":193,\"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 9:25:34 am\",\"created_at\":\"5\\/25\\/2021 9:25:34 am\",\"id\":14430}','68.53.115.247','2021-05-25 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Staff 1 stepped outside the room and saw VA going into the women\\u2019s bathroom located off of the production floor nearest to Department 123.  Staff 1 checked on VA at about 1:45pm and saw that VA was in the handicap stall with their green jacket off.  Staff 1 asked if VA was OK and they replied \\u201cyeah\\u201d and also asked if VA needed anything and they said \\u201cno\\u201d.  Staff 1 then went back to that same bathroom to assist another individual at approximately 1:50pm and VA was still in the same stall.  Staff 1 went back to the room at about 1:55pm.  It should be noted that the VA had been diagnosed with a mild UTI on Sunday 3\\/10\\/19 and was sent home early on Monday 3\\/11\\/19 due to them not feeling well.  VA also came in late on Tuesday, 3\\/12\\/19.  \\r\\n\\r\\nVA has eloped in the past, VA takes her lunch box with her.  Because of that, VA is required to leave the lunch box in the Team Leader\\u2019s office.  At approximately 2:00pm, staff 1 notice VA\\u2019s lunch box was still in the office.  Support Specialist Staff 2 went to that same bathroom that VA was in approximately 2:05pm and that VA was no longer in the bathroom.  A bus drive for the day program was driving the buss back to the program and notice someone in a green jacket standing in the street on Map Drive around 2pm.  There are no sidewalks on Map Drive.  Staff recognized the person as the VA and immediately called her supervisor at the program. And drove back to where the VA was walking.  It was reported that two \\u201cgood Samaritans\\u201d pulled over and stopped the VA on the sidewalk along stadium drive, which is the road that connects with Map Drive, and started walking with her back to the program until the staff arrived.  \\r\\n\\r\\nAt 2:07 the Supervisor received a phone call from the transportation supervisor stating VA was found walking on the sidewalk along Stadium Drive and was being walked back to the program\\u2019s building.  The program supervisor ran outside and saw VA with about four other program staff walking with VA.  The supervisor walked alongside VA all the way back to the office and the VA waited in the office until was time for VA to board the bus to go home.  While the office, VA was ask if VA thought what happened was safe and the VA said, \\u201cNo\\u201d. The VA was asked why it wasn\\u2019t and safe and the response was \\u201cI could get hurt\\u201d. Supervisor asked VA if it will ever happen again and VA shook their head \\u201cno\\u201d. Supervisor walked VA to the bus and fastened seatbelt and sat patiently until the bus departed.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14567}','68.53.115.247','2021-05-25 14:28:16'),(11475,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14568,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14568}','68.53.115.247','2021-05-25 14:28:16'),(11476,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14569,'{\"report_id\":196,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff didn\\u2019t continuously monitor the person in bathroom and the person eloped without being seen\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14569}','68.53.115.247','2021-05-25 14:28:16'),(11477,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14570,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14570}','68.53.115.247','2021-05-25 14:28:16'),(11478,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14571,'{\"report_id\":196,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2019-07-10 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14571}','68.53.115.247','2021-05-25 14:28:16'),(11479,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14572,'{\"report_id\":196,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"VA has worked at the employment program for 10 years and the staff interviewed reported they have worked with her for most of that time.  Over this 10 years the VA lived with an aunt, then in an adult foster care setting (near her employment program) and at the time of the incident was living in an apartment.  \\r\\n\\r\\nVA enjoyed coloring\\/crafts, being outside, working, having attention and encouragement from staff.  VA enjoyed food (lunch at work and wouldn\\u2019t necessarily heat up a meal that typically would be a meal to heat up).\\r\\n\\r\\nVA has a staffing ratio at the employment program of a 1:3, most individuals there have 1:6 or 1:7.  At home VA had a 2:1 staffing ratio.  The 2:1 at home was higher because VA was more physically aggressive at home than at work.  Less aggression towards male staff-staff interviewed stated VA has less male staff at residence than at the employment program.  \\r\\n\\r\\nThe employment program has 200 individuals in their facility and approximately 45 in the area where VA works.  The day of the event there was 7-8 staff in the area for all of those individuals being served.  \\r\\n\\r\\nThe elopement protocol at the employment program was for the staff to have eyes on VA, except in the bathroom and just do 5 minute checks.  Keep the lunch and duffle bag in the supervisor\\u2019s office.  VA would have no antecedents prior to elopements or other incidents of maladaptive behavior (this day was no different.  The team agreed to this plan including the guardians (parents).\\r\\n\\r\\nVA works at the employment program Monday-Friday from 9am-3pm and typically VA shows signs of being done with work at around 2pm.  The day of the incident the VA had arrive late or had not been ready when the bus arrived to pick her up.  This was a common occurrence.  \\r\\n\\r\\nWhen at work the VA was a great worker completing piece work on the work floor.  That day there was not a lot of work available and the group had been doing other craft activities (VA enjoyed).  It is believed that VA had a possible UTI infection and VA had a history of GERD\\/esophagus issues (causing her to vomit and cause pain), however VA could not verbalize their needs all of the time.  Verbal skills were limited.  Over the time VA worked at the employment program they were able to get her to improve her verbal skills by encouraging VA to use her words.  If she were sick and she was about to vomit VA would attempt to express this to the employment staff and sometimes ask them for a Tums.  \\r\\n\\r\\nThe VA did not take the duffle bag or lunch when the elopement occurred which typically the VA would not have left the building without either of the bags.  The VA never was able to explain the reason for elopement, however the staff believe there is a Kwik Trip nearby that was the direction VA was headed and her previous residence was near the employment program.  VA did things with no antecedents and would do things for attention.  The staff believe potentially VA was not feeling well and potentially wanted to go outside because VA really enjoyed being outside.  Staff went outside after receiving phone call from transportation company and got the VA from the Good Samaritan that was walking with VA.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14572}','68.53.115.247','2021-05-25 14:28:16'),(11480,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14573,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14573}','68.53.115.247','2021-05-25 14:28:16'),(11481,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14574,'{\"report_id\":196,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"The staff not continuously monitoring the person in the bathroom was impacted by the staff adapting the person\\u2019s supervision protocol to allow for privacy in the bathroom.  It is the providers practice to allow all of the individual\\u2019s privacy in the restroom as this is influenced by societal norms.  The other factors contributing to adapt the protocol the day of the event was the individual was not feeling well, typically towards the end of the day this individual participates in work less (the time of incident was at the end of the work day), and there is a history of the person taking a long time in the restroom.  Further influencing the person\\u2019s ability to elope without staff noticing was the staff did not see the historical antecedent the person would display before eloping because in this case the individual eloped without taking their lunch bag out of the staff\\u2019s office.  Additionally, during this event there were multiple staff checking on the individual since in this setting there is not a specific staff assigned to one individual person working.  This process is the norm for the department as it is shaped by the support plan stating the need for a 1:3 staffing ratio. Thus the ratio allows the county to manage the budget allocation they are given by the state and federal allocations which is determined through the legislation.  Overall legislation determines the rates that are set which then is strengthened by MNCHOICES to determine the needs are met, thus to create the staffing patterns for the provider in the support plan.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14574}','68.53.115.247','2021-05-25 14:28:16'),(11482,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14575,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14575}','68.53.115.247','2021-05-25 14:28:16'),(11483,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14576,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14576}','68.53.115.247','2021-05-25 14:28:16'),(11484,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14577,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14577}','68.53.115.247','2021-05-25 14:28:16'),(11485,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14578,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14578}','68.53.115.247','2021-05-25 14:28:16'),(11486,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14579,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14579}','68.53.115.247','2021-05-25 14:28:16'),(11487,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14580,'{\"report_id\":196,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"101\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14580}','68.53.115.247','2021-05-25 14:28:16'),(11488,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14581,'{\"report_id\":196,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":\"The other factors contributing to adapt the protocol the day of the event was the individual was not feeling well, typically towards the end of the day this individual participates in work less (the time of incident was at the end of the work day), and there is a history of the person taking a long time in the restroom.  Further influencing the person\\u2019s ability to elope without staff noticing was the staff did not see the historical antecedent the person would display before eloping because in this case the individual eloped without taking their lunch bag out of the staff\\u2019s office.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14581}','68.53.115.247','2021-05-25 14:28:16'),(11489,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14582,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14582}','68.53.115.247','2021-05-25 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14:28:16'),(11498,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14591,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14591}','68.53.115.247','2021-05-25 14:28:16'),(11499,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14592,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14592}','68.53.115.247','2021-05-25 14:28:16'),(11500,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14593,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14593}','68.53.115.247','2021-05-25 14:28:16'),(11501,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14594,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14594}','68.53.115.247','2021-05-25 14:28:16'),(11502,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14595,'{\"report_id\":196,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":\"The staff not continuously monitoring the person in the bathroom was impacted by the staff adapting the person\\u2019s supervision protocol to allow for privacy in the bathroom.  \\r\\n\\r\\nAdditionally, during this event there were multiple staff checking on the individual since in this setting there is not a specific staff assigned to one individual person working.  This process is the norm for the department as it is shaped by the support plan stating the need for a 1:3 staffing ratio.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14595}','68.53.115.247','2021-05-25 14:28:16'),(11503,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14596,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14596}','68.53.115.247','2021-05-25 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14:28:16'),(11510,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14603,'{\"report_id\":196,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":\"The staff not continuously monitoring the person in the bathroom was impacted by the staff adapting the person\\u2019s supervision protocol to allow for privacy in the bathroom.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14603}','68.53.115.247','2021-05-25 14:28:16'),(11511,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14604,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14604}','68.53.115.247','2021-05-25 14:28:16'),(11512,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14605,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14605}','68.53.115.247','2021-05-25 14:28:16'),(11513,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14606,'{\"report_id\":196,\"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 9:28:16 am\",\"created_at\":\"5\\/25\\/2021 9:28:16 am\",\"id\":14606}','68.53.115.247','2021-05-25 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14:28:45'),(11516,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14609,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14609}','68.53.115.247','2021-05-25 14:28:45'),(11517,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14610,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Jill Tilbury\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14610}','68.53.115.247','2021-05-25 14:28:45'),(11518,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14611,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14611}','68.53.115.247','2021-05-25 14:28:45'),(11519,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14612,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Mary T\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14612}','68.53.115.247','2021-05-25 14:28:45'),(11520,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14613,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Brent Krocak\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14613}','68.53.115.247','2021-05-25 14:28:45'),(11521,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14614,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":\"brentk@marytinc.com\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14614}','68.53.115.247','2021-05-25 14:28:45'),(11522,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14615,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"83\",\"question_type\":\"Short_Answer\",\"text_answer\":\"763-274-8463\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14615}','68.53.115.247','2021-05-25 14:28:45'),(11523,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14616,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14616}','68.53.115.247','2021-05-25 14:28:45'),(11524,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14617,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Hennepin County\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14617}','68.53.115.247','2021-05-25 14:28:45'),(11525,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14618,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2020-06-18 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14618}','68.53.115.247','2021-05-25 14:28:45'),(11526,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14619,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14619}','68.53.115.247','2021-05-25 14:28:45'),(11527,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14620,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14620}','68.53.115.247','2021-05-25 14:28:45'),(11528,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14621,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff assisted the person to leave for an overnight with people they had concerns about\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14621}','68.53.115.247','2021-05-25 14:28:45'),(11529,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14622,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14622}','68.53.115.247','2021-05-25 14:28:45'),(11530,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14623,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2020-10-13 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14623}','68.53.115.247','2021-05-25 14:28:45'),(11531,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14624,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff #1: This staff has worked with this person for quite some time and this person has lived with this provider for over 14 years.  The staff informed during the debriefing she is the Manager and did not find out about what had happened until the Monday after this person left the residence on Saturday.  This Manager had received a phone call about that this person had left because she has the ability to do so, although this person had been asked not to due to COVID and the provider\\u2019s policy was no visitors were allowed in the staff, even family.  The staff stated it was reported to her that this person had asked to get ready, her aunt and uncle were coming to get her for a visit, and she was going to go.  The staff reported to this Manager they did not feel comfortable, however they could not make her stay in the home and the aunt and uncle came to get her and assisted her in the process, as she is non-ambulatory.  The staff stated they did not know she had family in Duluth and did not know she was going when she had left the house on Friday before the weekend.  Staff reported they called the known uncle and asked who these people in Duluth were and if they indeed were family members and the known uncle reported they were not family.  The person had misinformed the staff working who allowed her to go.  The Manager also stated staff reported to her they did not feel comfortable allowing her to go, aside from COVID, because they did not appear to be family, however this person seemed to be happy when the individuals came to pick her up.  It was reported to the Manager the staff had taken pictures of the car and the license plate number and the people as they were leaving the home on Saturday.  The Manager drove to Duluth to pick up the individual at the hospital as she had been transported there via ambulance after sitting in the restaurant informing the server she needed help via her iPad.  The individual had given her check card to the people who had picked her up and they had financially exploited her when they took her to Duluth.  \\r\\n\\r\\nStaff #2\\r\\n\\r\\nStaff had arrived to work at 8am on Saturday after picking up this extra shift (at the time this was his first month working for this provider).  This staff was informed by the overnight staff and the lead staff that this person was to get ready, that she was leaving, and the staff would need to help her get ready as well as pack her things for the weekend.  This staff person has had difficulties working this individual in the past as she calls this staff person names and is verbally aggressive through her iPad to the staff person.  Due to the person being non-ambulatory, it is the house policy to reposition her every two hours.  On this day the staff was going to change her brief and get her ready to leave for the day, she would not turn off her iPad prior to the changing to occur.  The staff wanted to be respectful and it is HIPAA policies as well as house policy to turn off the video when the staff are assisting.  Staff stated the person they would assist when she turned off her iPad so staff left the room and came back.  The person still would not turn off the iPad and began to call the staff names.  This staff gave 30 minutes this time and the person still had not gotten off the iPad and continued to call him names and verbal aggressions.  The staff person had asked Manager previously how to handle these matters and was aware of what was happening and continued to try to work with this person so they would not call staff names and how staff could assist better.  The staff went into the person\\u2019s room a third time and covered the iPad with a pillow during the dressing and changing process and continued to assist her with getting ready to be picked up for the day.  When the people arrived to pick up this person staff did not allow them into the house due to COVID and the new policies for no visitors.  The visitors assisted the person into the car with her and her wheelchair.  The staff did not say anything about it to anyone else as the lead staff had informed him what to do and the overnight staff had provided instructions on this was what was planned for this person\\u2019s day.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14624}','68.53.115.247','2021-05-25 14:28:45'),(11532,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14625,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14625}','68.53.115.247','2021-05-25 14:28:45'),(11533,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14626,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"A factor into why staff assisted the person to leave for an overnight with people they had concerns about was that the person wanted to leave with the people (claiming to be family). The person she left with claimed to be the person\\u2019s uncle, which the person herself confirmed and she appeared to trust him. There was a perception that since the person was a family member, visiting with the person would be less risky than if the person was unrelated. The lead staff at the home also determined this trip was important to the person. The provider agency trusted the lead staff in this home and had been working to implement a person-centered philosophy which prioritized weighing supporting things that were important to the people they served over what was important for them. This philosophy was impacted by the statewide emphasis placed on supported decision making and person-centered thinking, the latter of which was supported by provider requirements in the provider\\u2019s licensing statute, Minnesota Statutes 245D. The provider had worked with this person for 14 years, so the relationship with the person influenced the provider to make supporting the person\\u2019s own decisions even stronger.  Influencing the lead staff to determine the trip was important to supporting the person was that it appeared that assisting the person to have a safe trip seemed to mitigate risk versus allowing the person to leave without assistance. The person appeared to be determined to go, and without help from the provider, it seemed more likely issues might arise. Mitigating risk is a priority for all HCBS providers for a number of reasons: Case managers assign this priority to providers in Coordinated Service and Support Plan, Minnesota Statutes 245D requires providers to ensure the health, safety and well-being of the people they serve, and providers could be liable to lawsuits, investigations or insurance claims if a person they serve is harmed. If someone is harmed while in the care of a provider, that provider could be found in violation of the Vulnerable Adult Act and additional penalties may be brought upon a provider by the Department of Human Services. \\r\\nAnother was that the provider felt they did not have a choice but to assist her in leaving. The person was their own guardian and had the power to make many choices independently.  Additionally, the person had attempted to leave with this person in the past, and the provider determined they would weigh what was important to the person over what was important for the person. This decision was impacted by the provider\\u2019s person-centered philosophy, which in turn was impacted by statewide emphasis on supported decision-making and person-centered thinking. This emphasis came from a number of sources including advocacy organizations and DHS, which released best practice guidance on both and enforced person-centered planning requirements governing providers in Minnesota Statutes Chapter 245D. The provider\\u2019s concerns about the person leaving with the person did not seem to outweigh the provider\\u2019s desire to empower and support the person.   \\r\\nAn additional influence into why the staff assisted the person to leave an overnight with people they had concerns about was that the staff wanted to empower the person during this time since they had attempted to leave with this person in the past. Although the provider had a practice in place to not allow people to take overnights at the time due to the threat of COVID-19 and MDH guidance on COVID-19 for residential programs, the provider determined they would weigh what was important to over what was important for the person. The provider\\u2019s person-centered philosophy, influenced by the statewide emphasis on supported decision making and person-centered thinking influenced this decision by the provider. Additionally, the provider staff determined the concerns they had about the person leaving weren\\u2019t enough to take restrictive actions and weigh safety over the person\\u2019s own choice. Implementing restrictions on a person\\u2019s rights could create the liability of providers being incompliant with the conditions of Minnesota Statutes, Chapter 245D enforced by the Department of Human Services.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14626}','68.53.115.247','2021-05-25 14:28:45'),(11534,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14627,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14627}','68.53.115.247','2021-05-25 14:28:45'),(11535,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14628,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14628}','68.53.115.247','2021-05-25 14:28:45'),(11536,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14629,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14629}','68.53.115.247','2021-05-25 14:28:45'),(11537,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14630,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14630}','68.53.115.247','2021-05-25 14:28:45'),(11538,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14631,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14631}','68.53.115.247','2021-05-25 14:28:45'),(11539,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14632,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"101\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14632}','68.53.115.247','2021-05-25 14:28:45'),(11540,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14633,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":\"A factor into why staff assisted the person to leave for an overnight with people they had concerns about was that the person wanted to leave with the people (claiming to be family). The person she left with claimed to be the person\\u2019s uncle, which the person herself confirmed and she appeared to trust him. There was a perception that since the person was a family member, visiting with the person would be less risky than if the person was unrelated. \\r\\n\\r\\nMore??\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14633}','68.53.115.247','2021-05-25 14:28:45'),(11541,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14634,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14634}','68.53.115.247','2021-05-25 14:28:45'),(11542,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14635,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14635}','68.53.115.247','2021-05-25 14:28:45'),(11543,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14636,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14636}','68.53.115.247','2021-05-25 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14:28:45'),(11548,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14641,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14641}','68.53.115.247','2021-05-25 14:28:45'),(11549,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14642,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14642}','68.53.115.247','2021-05-25 14:28:45'),(11550,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14643,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14643}','68.53.115.247','2021-05-25 14:28:45'),(11551,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14644,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14644}','68.53.115.247','2021-05-25 14:28:45'),(11552,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14645,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14645}','68.53.115.247','2021-05-25 14:28:45'),(11553,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14646,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14646}','68.53.115.247','2021-05-25 14:28:45'),(11554,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14647,'{\"report_id\":197,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":\"A factor into why staff assisted the person to leave for an overnight with people they had concerns about was that the person wanted to leave with the people (claiming to be family). The person she left with claimed to be the person\\u2019s uncle, which the person herself confirmed and she appeared to trust him. There was a perception that since the person was a family member, visiting with the person would be less risky than if the person was unrelated. The lead staff at the home also determined this trip was important to the person. The provider agency trusted the lead staff in this home and had been working to implement a person-centered philosophy which prioritized weighing supporting things that were important to the people they served over what was important for them. This philosophy was impacted by the statewide emphasis placed on supported decision making and person-centered thinking, the latter of which was supported by provider requirements in the provider\\u2019s licensing statute, Minnesota Statutes 245D. The provider had worked with this person for 14 years, so the relationship with the person influenced the provider to make supporting the person\\u2019s own decisions even stronger.  Influencing the lead staff to determine the trip was important to supporting the person was that it appeared that assisting the person to have a safe trip seemed to mitigate risk versus allowing the person to leave without assistance. The person appeared to be determined to go, and without help from the provider, it seemed more likely issues might arise. Mitigating risk is a priority for all HCBS providers for a number of reasons: Case managers assign this priority to providers in Coordinated Service and Support Plan, Minnesota Statutes 245D requires providers to ensure the health, safety and well-being of the people they serve, and providers could be liable to lawsuits, investigations or insurance claims if a person they serve is harmed. If someone is harmed while in the care of a provider, that provider could be found in violation of the Vulnerable Adult Act and additional penalties may be brought upon a provider by the Department of Human Services. \\r\\n\\r\\nAnother was that the provider felt they did not have a choice but to assist her in leaving. The person was their own guardian and had the power to make many choices independently.  Additionally, the person had attempted to leave with this person in the past, and the provider determined they would weigh what was important to the person over what was important for the person. This decision was impacted by the provider\\u2019s person-centered philosophy, which in turn was impacted by statewide emphasis on supported decision-making and person-centered thinking. This emphasis came from a number of sources including advocacy organizations and DHS, which released best practice guidance on both and enforced person-centered planning requirements governing providers in Minnesota Statutes Chapter 245D. The provider\\u2019s concerns about the person leaving with the person did not seem to outweigh the provider\\u2019s desire to empower and support the person.   \\r\\nAn additional influence into why the staff assisted the person to leave an overnight with people they had concerns about was that the staff wanted to empower the person during this time since they had attempted to leave with this person in the past. Although the provider had a practice in place to not allow people to take overnights at the time due to the threat of COVID-19 and MDH guidance on COVID-19 for residential programs, the provider determined they would weigh what was important to over what was important for the person. The provider\\u2019s person-centered philosophy, influenced by the statewide emphasis on supported decision making and person-centered thinking influenced this decision by the provider. Additionally, the provider staff determined the concerns they had about the person leaving weren\\u2019t enough to take restrictive actions and weigh safety over the person\\u2019s own choice. Implementing restrictions on a person\\u2019s rights could create the liability of providers being incompliant with the conditions of Minnesota Statutes, Chapter 245D enforced by the Department of Human Services.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14647}','68.53.115.247','2021-05-25 14:28:45'),(11555,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14648,'{\"report_id\":197,\"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 9:28:45 am\",\"created_at\":\"5\\/25\\/2021 9:28:45 am\",\"id\":14648}','68.53.115.247','2021-05-25 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14:29:08'),(11568,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14661,'{\"report_id\":198,\"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 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14661}','68.53.115.247','2021-05-25 14:29:08'),(11569,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14662,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Jill Tilbury\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14662}','68.53.115.247','2021-05-25 14:29:08'),(11570,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14663,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"79\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Charles Young\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14663}','68.53.115.247','2021-05-25 14:29:08'),(11571,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14664,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Progressive Living Inc\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14664}','68.53.115.247','2021-05-25 14:29:08'),(11572,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14665,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14665}','68.53.115.247','2021-05-25 14:29:08'),(11573,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14666,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":\"nicole.s@progressivelivinginc.net\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14666}','68.53.115.247','2021-05-25 14:29:08'),(11574,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14667,'{\"report_id\":198,\"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 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14667}','68.53.115.247','2021-05-25 14:29:08'),(11575,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14668,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"84\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Medication Error\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14668}','68.53.115.247','2021-05-25 14:29:08'),(11576,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14669,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Blue Earth County\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14669}','68.53.115.247','2021-05-25 14:29:08'),(11577,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14670,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2019-07-20 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14670}','68.53.115.247','2021-05-25 14:29:08'),(11578,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14671,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"on 7\\/20\\/19 It had been reported to On-call that a scheduled 2 medication had 2 tablets gone missing. Staff reported this to On-call right away in the AM. DCC complained about staff on the Overnight not being awake when he was attempting to wake them up for a PRN. Staff administered an Acetaminophen to DCC at 5:00am. It is suspected that the staff on the overnight were asleep not supervising DCC and after administering the medication DCC reported the staff went back to the couch to sleep after he took his PRN. Staff may have not locked up the office and DCC may have gotten the keys from the key lockbox by breaking into it to get the schedule 2 medication. DCC has in the past requested multiple times from staff stating he has not gotten this medication. DCC has had a problem with medication seeking.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14671}','68.53.115.247','2021-05-25 14:29:08'),(11579,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14672,'{\"report_id\":198,\"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 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14672}','68.53.115.247','2021-05-25 14:29:08'),(11580,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14673,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff did not count medications per provider policy\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14673}','68.53.115.247','2021-05-25 14:29:08'),(11581,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14674,'{\"report_id\":198,\"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 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14674}','68.53.115.247','2021-05-25 14:29:08'),(11582,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14675,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2019-09-13 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14675}','68.53.115.247','2021-05-25 14:29:08'),(11583,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14676,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff 1 worked a double shift (working at other homes within agency) prior to arriving at 11pm and then came to work the overnight shift at the location of the incident.  Staff 2 stated this was the first shift of the day for them.  The provider\\u2019s shift are from 11p-7am; 7am-3pm; 3pm-11pm.  Both staff were float staff for several homes throughout the agency, however they had worked in this home prior to the event.  Staff 1 worked for the provider for over a year and Staff 2 had worked for the provider since February.  Each of the staff works approximately 40-48 hours per week.  Provider has a policy for a 2:4 staffing ratio at the home and both staff remain awake.  \\r\\n\\r\\nProvider\\u2019s policy is to go into the office and count medications upon arriving for a shift.  While in the office they are to also read the daily log notes on the people supported in the home.  The 11pm staff arrived for their shift, neither staff person had reviewed the notes from the previous shift or counted the medications.  This had been the pattern that staff did not typically check meds and\\/or notes when they arrived to the home because the norm was the individuals were awake and needed support.  The staff started interacting with the individuals in the home because many of them were awake on this evening and required the staff\\u2019s attention. Individual 1 typically was not awake and in the common area of the home, however they were on this evening.  \\r\\n\\r\\nIndividual 2 (with alone time) from the residence called and stated he needed a ride home.  Staff 1 left to go get individual 2.  Staff 1 did not take the office keys with them when they left the home.  Staff 1 did not know if the office was locked at this time.  \\r\\n\\r\\n\\r\\nWhen both staff arrive Individual 1 was typically in their room and this night the individual was awake more during the night and was talking to Staff 2 about videos games and film animation.  Individual 1 has no alone time.  Individual 1 is very planful, smart, he works at a department store, likes animation or playing videos games, funny, jokester, and typically calm.  \\r\\n\\r\\nAt 5am Individual 1 came to Staff 1 for a PRN and staff was watching YouTube videos.  The office is locked at all times per policy from the provider and staff carry the keys on a lanyard (on their person at all times).  One set of keys per two staff.  If keys are locked inside of the office there is another set in a lockbox (with a key code to get in).  Once in the office, the medications are set up per person in a \\u201cfile cabinet like\\u2019 with another set of keys required to get into the medications.  When staff 1 went into the office for the medications the office and the medications were all locked.  Staff 1 gave individual 1 medications and went back to watching youtube from 5am-6am.  Staff 1 was unable recall if they had fallen asleep.   Staff 1 was very tired due to the length of time they had worked during their shift and the previous two shifts at another home.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14676}','68.53.115.247','2021-05-25 14:29:08'),(11584,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14677,'{\"report_id\":198,\"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 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14677}','68.53.115.247','2021-05-25 14:29:08'),(11585,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14678,'{\"report_id\":198,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff did not count meds per provider policy was influenced by numerous factors.  The norm is to interact with the awake individuals and on this day there was someone awake which is impacted by staff wanting to support the individual based off of the plan of care created by the team and further influenced by societal norms to engage with others and implementing person centered culture mandated by DHS and CMS.  An additional factor was Individual 2 being in the community and needed transportation home. Staff 1 left the home to pick up Individual 2, thus leaving staff 2 alone with an awake Individual 1 who requires a 24-plan of care supported by norms to interact with others and person centered practices.  One element was there was no staff overlap upon both staff arriving to the home which resulted in staff prioritizing interaction with the individuals over counting medications.  The set wages and benefits which was indicative of the care plan therefore influenced by norms to interact with others and person centered practices.   \\r\\n\\r\\nThe final factor was both staff thought Individual 1 had no history of medication seeking supported by their staff not knowing the individual plan for medications due to being trained in several homes with several individuals\\u2019 plans to follow and also being fatigued because the staff had to work overtime prior to this shift.  The agency being shorted staffed is complicated to the set wages and benefits, low unemployment, thus constraining the college employees (seasonal) and this is byproduct of DWRS which was put in place by the legislature.  Contributing factors that further supported the provider\\u2019s policy for the work of the direct care staff 1 and 2 was the nurse\\u2019s license in providing some position to the policy.  Overall the nurse\\u2019s license is regulated by legislation and statute.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14678}','68.53.115.247','2021-05-25 14:29:08'),(11586,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14679,'{\"report_id\":198,\"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 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14679}','68.53.115.247','2021-05-25 14:29:08'),(11587,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14680,'{\"report_id\":198,\"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 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14680}','68.53.115.247','2021-05-25 14:29:08'),(11588,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14681,'{\"report_id\":198,\"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 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14681}','68.53.115.247','2021-05-25 14:29:08'),(11589,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14682,'{\"report_id\":198,\"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 9:29:08 am\",\"created_at\":\"5\\/25\\/2021 9:29:08 am\",\"id\":14682}','68.53.115.247','2021-05-25 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14:30:24'),(11729,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14822,'{\"report_id\":241,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"On 8\\/16\\/19 the house nurse, Terri Abrahamson requested a refill of Carbamazepine 200 mg ER twice a day. The\\r\\nclinic sent Geritom Pharmacy a prescription for 200mg and 300mg which was then denied by insurance. On 8\\/16\\/19 Geritom reported that\\r\\nthey contacted REM-Hennepin Inc\\/Columbus and said that the medication was no able to be refilled. The medication supply ran out on\\r\\n8\\/23\\/19 and was not administered from 8\\/23\\/19-9\\/27\\/19. Currently-contacting the doctor and asking for directives.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:30:24 am\",\"created_at\":\"5\\/25\\/2021 9:30:24 am\",\"id\":14822}','68.53.115.247','2021-05-25 14:30:24'),(11730,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14823,'{\"report_id\":241,\"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 9:30:24 am\",\"created_at\":\"5\\/25\\/2021 9:30:24 am\",\"id\":14823}','68.53.115.247','2021-05-25 14:30:24'),(11731,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14824,'{\"report_id\":241,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"The DSP initialed the med log but did not administer the med.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:30:24 am\",\"created_at\":\"5\\/25\\/2021 9:30:24 am\",\"id\":14824}','68.53.115.247','2021-05-25 14:30:24'),(11732,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14825,'{\"report_id\":241,\"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 9:30:24 am\",\"created_at\":\"5\\/25\\/2021 9:30:24 am\",\"id\":14825}','68.53.115.247','2021-05-25 14:30:24'),(11733,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14826,'{\"report_id\":241,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2020-01-30 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:30:24 am\",\"created_at\":\"5\\/25\\/2021 9:30:24 am\",\"id\":14826}','68.53.115.247','2021-05-25 14:30:24'),(11734,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14827,'{\"report_id\":241,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"The DSP has worked in this capacity for approximately 5 years and reports this is her first med error.  She describes the day of the incident (8\\/16\\/19) as \\u201cbusy\\u201d, with 1 of the four residents on an outing with the other staff person on duty.  The DSP volunteered that she was preparing meds for one resident at a time.  After signing the medication log for the resident in question, she noticed that one of the medications was different in color and realized the dosage was different (300 mg vs. his usual dosage of 200 mg) and notified the supervisor.  The supervisor instructed the DSP to look in the \\u201coverflow\\u201d medications and see if there were meds there until the meds could be re-ordered.  The DSP was able to administer the correct medication dosage from the resident\\u2019s \\u201coverflow\\u201d meds. However, the DSP had already initialed the med log when she pulled the incorrect dosage.  The supervisor notified the nurse and the correct dosage was ordered because there were not enough meds in overflow for more than one more day.  During her next shift, two days later, the DSP again signed the med log and then noticed the new medication bubble packs were still the wrong dosage. She again notified the house supervisor who worked with the nurse and the pharmacist to make the correction and get the correct dosage.  The DSP reports that the time lapse between the time she first noticed the incorrect dosage and when it finally arrived was no more than 4-5 days.  Because there were meds in the overflow, the resident only went without the medication a 2-3 day (not the 30+ days indicated on the CEP Report) and never received more than prescribed dosage.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:30:24 am\",\"created_at\":\"5\\/25\\/2021 9:30:24 am\",\"id\":14827}','68.53.115.247','2021-05-25 14:30:24'),(11735,'cSN6bvHghK8BKjoCKytP2eD0Yn4qgbi8Bh2XB9a7',81,'reports_answer','create',14828,'{\"report_id\":241,\"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 9:30:24 am\",\"created_at\":\"5\\/25\\/2021 9:30:24 am\",\"id\":14828}','68.53.115.247','2021-05-25 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The med sheet was never updated and Staff are suppose to follow the\\r\\nmed sheet.\\r\\n\\r\\nThere was a couple days where VA did give the right dosage because AP gave it to her himself. Nurse discovered this on Thursday Morning 09\\/19\\/2019 and informed Reporter of the mistake.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14873}','68.53.115.247','2021-05-25 14:32:47'),(11784,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14874,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14874}','68.53.115.247','2021-05-25 14:32:47'),(11785,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14875,'{\"report_id\":200,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Medication Error over an Extended Period of Time\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14875}','68.53.115.247','2021-05-25 14:32:47'),(11786,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14876,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14876}','68.53.115.247','2021-05-25 14:32:47'),(11787,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14877,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14877}','68.53.115.247','2021-05-25 14:32:47'),(11788,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14878,'{\"report_id\":200,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"The VA has had Type 1 diabetes since they were 6 years old and now is 44 years old.  The VA lives in an adult foster care setting for the past seven years with three other individuals.  The VA enjoys walking the dog, going to work 5 days a week, and being active in the community.  \\r\\n\\r\\nThe VA has a protocol that all staff are trained on and due to this regimen it is difficult to have any fill in staff cover shifts at the adult foster care home.  The VA completes the blood sugar checks without assistance from staff with an Accuchek machine.  The machine then tells the staff how much insulin is required at that time depending on how many carbs the VA is going to eat at that meal time for both medications.  The VA gets novolox 4x\\/day and the tuojeo 1x\\/day at dinner.   The protocol goes onto say if the numbers are within this range give this much insulin and if they are within this much give this amount.  The VA takes two different types of insulin along with several other medications. This protocol is listed on the computer within the MAR system that the provider utilizes to document medications and communications amongst the staff.   \\r\\n\\r\\nThe staff will then \\u201cdial up\\u201d the insulin for the VA and they will give themselves the insulin injections.  The insulin medications are not labeled with the amount of units that are to be given due to the variances based off of the blood sugar numbers and the amount of carbs that are about to be eaten by the VA.  The VA is aware of the regimen and understands the necessity to take her insulin each day. \\r\\n\\r\\nThe VA is unable to feel the effects of having blood sugar numbers out of the normal range (80-120) and their numbers will reach as high as 300-400 without any signs (dizzy, light headed, sweaty, etc.).  The VA understands when their numbers are high if they exercise they can reduce the numbers.  The VA had a checkup with their doctor regarding the blood sugar being high, although the staff will educate the VA on proper eating choices and the VA exercises frequently.  The doctor stated the Tuojeo needed to go from 15 units to 17 units at dinner time.  The supervisor of the house had taken the VA to the appointment and came home and documented this in the MAR and in the staff notes of the change and had given the VA the change in medications when giving the medication that evening.  The supervisor gave the other staff the information to follow.  \\r\\n\\r\\nThe nurse found the error in the medications after different staff had worked and not just the supervisor and the staff that was informed on 8\\/29\\/19 after the VA went to the doctor appointment.  The supervisor had been doing compliance checks once a week of the medications, however did not see it because the medications and the MAR don\\u2019t match because they never have matched because of the variances in the medication that is given based off what the numbers are and how many carbs are being eaten.  There are many moving parts to giving the insulin medications while the staff also must follow the protocol.  The staff typically give the medication after the supervisor has left for the day as well due to the supervisor working from 9a-5pm and the VA gets this medication at dinner time.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14878}','68.53.115.247','2021-05-25 14:32:47'),(11789,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14879,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14879}','68.53.115.247','2021-05-25 14:32:47'),(11790,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14880,'{\"report_id\":200,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff not providing the correct medication dosage to an individual was influenced by the staff being unware of the increase in the medication dosage. A contributing factor to the unawareness of the increase was that information was not communicated to the staff in the transition time because there is not enough time available to read the health progress notes.  The short amount of staff transition time is impacted by the provider not building transition time into the staff schedules due to contributing factors of the weather, the staff\\u2019s second job, and the labor laws.  The other influencer is the CSSP and the 6790 does not allow the ability of the rate system to pay the provider more to have staff overlap on the shift change.  Another contributor of the staff not being able to communicate during the transition is there are several documentation points for communication for each individual living in the home thus requirements set for by licensing 245D.  \\r\\n\\r\\nStaff giving the incorrect dosage was also influenced by the documentation was not completed in the Medical Administration Record (MAR). At this home, it was the supervisor\\u2019s role to update medication changes in the MAR.  The individual\\u2019s medication administration had complexities to giving the medications that were not relayed in the MAR as the individual was to receive two different types of insulin and staff relied on the previous MAR to provide the medication.  The influence of the MAR not being updated is the provider experiencing frequent lapses in internet connectivity (which occurred frequently at the residence) and the MAR is an electronic document, thus the documentation is in two places and not reviewed by all staff.  The supervisor had relied on the protocol for the med changes that is given by the physician, which has an outside influence of the pharmaceutical laws that informs the physician on how to write the protocols.  \\r\\n\\r\\nA final influence to staff giving the incorrect dosage was that they were using an \\u201cold\\u201d prescription because the physician did not change the prescription with the pharmacy.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14880}','68.53.115.247','2021-05-25 14:32:47'),(11791,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14881,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14881}','68.53.115.247','2021-05-25 14:32:47'),(11792,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14882,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14882}','68.53.115.247','2021-05-25 14:32:47'),(11793,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14883,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14883}','68.53.115.247','2021-05-25 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14:32:47'),(11798,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14888,'{\"report_id\":200,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"103\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14888}','68.53.115.247','2021-05-25 14:32:47'),(11799,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14889,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14889}','68.53.115.247','2021-05-25 14:32:47'),(11800,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14890,'{\"report_id\":200,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"105\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14890}','68.53.115.247','2021-05-25 14:32:47'),(11801,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14891,'{\"report_id\":200,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"106\",\"question_type\":\"Free_Text\",\"text_answer\":\"A contributing factor to the unawareness of the increase was that information was not communicated to the staff in the transition time because there is not enough time available to read the health progress notes.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14891}','68.53.115.247','2021-05-25 14:32:47'),(11802,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14892,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14892}','68.53.115.247','2021-05-25 14:32:47'),(11803,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14893,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14893}','68.53.115.247','2021-05-25 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The individual\\u2019s medication administration had complexities to giving the medications that were not relayed in the MAR as the individual was to receive two different types of insulin and staff relied on the previous MAR to provide the medication.  The influence of the MAR not being updated is the provider experiencing frequent lapses in internet connectivity (which occurred frequently at the residence) and the MAR is an electronic document, thus the documentation is in two places and not reviewed by all staff.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14909}','68.53.115.247','2021-05-25 14:32:47'),(11820,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14910,'{\"report_id\":200,\"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 9:32:47 am\",\"created_at\":\"5\\/25\\/2021 9:32:47 am\",\"id\":14910}','68.53.115.247','2021-05-25 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14:34:47'),(11835,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14925,'{\"report_id\":201,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:34:47 am\",\"created_at\":\"5\\/25\\/2021 9:34:47 am\",\"id\":14925}','68.53.115.247','2021-05-25 14:34:47'),(11836,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14926,'{\"report_id\":201,\"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 9:34:47 am\",\"created_at\":\"5\\/25\\/2021 9:34:47 am\",\"id\":14926}','68.53.115.247','2021-05-25 14:34:47'),(11837,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14927,'{\"report_id\":201,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff unable to redirect a person from departing on a bus to Chicago.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:34:47 am\",\"created_at\":\"5\\/25\\/2021 9:34:47 am\",\"id\":14927}','68.53.115.247','2021-05-25 14:34:47'),(11838,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14928,'{\"report_id\":201,\"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 9:34:47 am\",\"created_at\":\"5\\/25\\/2021 9:34:47 am\",\"id\":14928}','68.53.115.247','2021-05-25 14:34:47'),(11839,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14929,'{\"report_id\":201,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2020-10-14 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:34:47 am\",\"created_at\":\"5\\/25\\/2021 9:34:47 am\",\"id\":14929}','68.53.115.247','2021-05-25 14:34:47'),(11840,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14930,'{\"report_id\":201,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff unable to redirect a person from departing on a bus to Chicago.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:34:47 am\",\"created_at\":\"5\\/25\\/2021 9:34:47 am\",\"id\":14930}','68.53.115.247','2021-05-25 14:34:47'),(11841,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14931,'{\"report_id\":201,\"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 9:34:47 am\",\"created_at\":\"5\\/25\\/2021 9:34:47 am\",\"id\":14931}','68.53.115.247','2021-05-25 14:34:47'),(11842,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14932,'{\"report_id\":201,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff was unable to redirect a person from departing on a bus to Chicago and this was influenced by wanting to go to Chicago to visit their sister. This matter was complicated given the person wouldn\\u2019t communicate with staff present.  All efforts to redirect the person were unsuccessful while exhausting all other safe alternatives. The person was earlier hospilatized regarding mental health and aggression and the staff was hesitant at the moment and didn\\u2019t want to anger the person further. Another contributing factor was that the person received a COVID stimulous check that created the means for the visit to Chicago.    \\r\\n\\r\\nStaff being unable to redirect the person was influenced by the provider ultimately determining the risk was low to take the trip without staff. After many unsuccessful attempts to redirect, the provider reviewed the person\\u2019s risk management plan and it was affirmed. Contributing factors that further influenced the staffs\\u2019 decision to remain at the bus station was the expectation of the lead agency and CSSP was not to follow a person to another state while eloping and assure full communication with all team members and agency staff.\\r\\n\\r\\nAnother influence to the inability to redirect was that staff were hesistant to anger the person. This was further supported by the person having a history of aggressive behavior. The person wouldn\\u2019t communicate with the staff present and they were hesitant to coherse the person too much in their efforts to support him in being safe. Staff also did offer to support this trip at a future date with proper planning to assure health and safety. This moment was further complicated by contacting the hospital who stated there was nothing they or staff could do given the person was his own guardian which further limited staff in their efforts to help him return home.\\r\\n\\r\\nAn additional feature that impacted the support lended to the person was the agency\\u2019s practice of person-centered efforts in trying to find balance of what was important to and for the person while making decisions at that moment. Their operating philosophy supported personal freedoms and choices based on experiences over time.  There is also an overall systemic expectation that providers support experiences, choices, and the person\\u2019s rights.   \\r\\n\\r\\nStaff being unable to redirect was influenced by the provider exhausting all safe alternatives. The person is their own guardian and did have a provisional discharge from the program.  Furthermore, COVID and the Governor\\u2019s stay at home order also influenced the person\\u2019s decision to leave as his routine was limited to low activity. This elopement influenced the agency, team, and staff present to honor the person\\u2019s civil rights which connected directly to their philosophy of protecting his rights which put him in charge of making the decision to leave on the bus.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:34:47 am\",\"created_at\":\"5\\/25\\/2021 9:34:47 am\",\"id\":14932}','68.53.115.247','2021-05-25 14:34:47'),(11843,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14933,'{\"report_id\":201,\"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 9:34:47 am\",\"created_at\":\"5\\/25\\/2021 9:34:47 am\",\"id\":14933}','68.53.115.247','2021-05-25 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Prior to this person being served told staff he was going to take a nap.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14976}','68.53.115.247','2021-05-25 14:42:24'),(11887,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14977,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14977}','68.53.115.247','2021-05-25 14:42:24'),(11888,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14978,'{\"report_id\":202,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Person eloped from the home without staff knowledge\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14978}','68.53.115.247','2021-05-25 14:42:24'),(11889,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14979,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14979}','68.53.115.247','2021-05-25 14:42:24'),(11890,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14980,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14980}','68.53.115.247','2021-05-25 14:42:24'),(11891,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14981,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14981}','68.53.115.247','2021-05-25 14:42:24'),(11892,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14982,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14982}','68.53.115.247','2021-05-25 14:42:24'),(11893,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14983,'{\"report_id\":202,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"The person eloping from the home without staff knowledge was influenced by the person telling staff that they were going to take a nap in their room.   This was further influenced by the person\\u2019s plan that was agreed upon by a new case manager and guardian that allowed for 4 hours of alone time at home.  This included their bedroom and further supported by providers having to allow for person\\u2019s privacy in their room as required by 245D rights and person-centered planning and directed in the CSSP.    The person eloping from the home without staff knowledge was also impacted by the person being new to the home with no history of elopement resulting in staff having no reason for concern that they would elope. Another influence of person eloping without staff knowledge was the home was a 4-person residence, staffed by one person and during this time staff was assisting other people.   \\r\\n\\r\\nThe person being served had expectations that they would be able to visit with family and friends in the area when they moved into the group home.   COVID 19-Pandemic resulted in an Executive stay at home order and MDH guidelines limiting the persons opportunity to go into the community resulting in increased anxiety that was reported by staff, influencing the person eloping from the home.  This was further supported by providers being unsure what guidance to follow during COVID-19 therefore impacting the amount of community outings being offered to the people they serve.  Person being served had unsupervised time in the community only when at work.   Health issues from wearing a mask at work impacted person\\u2019s ability to work in the community resulting in limited time in the community is an additional influence of the person eloping from the home.  The worker\\u2019s focus of attention at the time was on the three individuals in the communal area while the other resident exercised their right to privacy in their room which is supported and required by 245D.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14983}','68.53.115.247','2021-05-25 14:42:24'),(11894,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14984,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14984}','68.53.115.247','2021-05-25 14:42:24'),(11895,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14985,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14985}','68.53.115.247','2021-05-25 14:42:24'),(11896,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14986,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14986}','68.53.115.247','2021-05-25 14:42:24'),(11897,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14987,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14987}','68.53.115.247','2021-05-25 14:42:24'),(11898,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14988,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14988}','68.53.115.247','2021-05-25 14:42:24'),(11899,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14989,'{\"report_id\":202,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"101\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14989}','68.53.115.247','2021-05-25 14:42:24'),(11900,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',14990,'{\"report_id\":202,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":\"The person eloping from the home without staff knowledge was influenced by the person telling staff that they were going to take a nap in their room.   This was further influenced by the person\\u2019s plan that was agreed upon by a new case manager and guardian that allowed for 4 hours of alone time at home.  This included their bedroom and further supported by providers having to allow for person\\u2019s privacy in their room as required by 245D rights and person-centered planning and directed in the CSSP. \\r\\n\\r\\nThe worker\\u2019s focus of attention at the time was on the three individuals in the communal area while the other resident exercised their right to privacy in their room which is supported and required by 245D.\\r\\n\\r\\nThe person eloping from the home without staff knowledge was also impacted by the person being new to the home with no history of elopement resulting in staff having no reason for concern that they would elope.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":14990}','68.53.115.247','2021-05-25 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anxiety that was reported by staff, influencing the person eloping from the home.  This was further supported by providers being unsure what guidance to follow during COVID-19 therefore impacting the amount of community outings being offered to the people they serve\\r\\n\\r\\n This was further supported by providers being unsure what guidance to follow during COVID-19 therefore impacting the amount of community outings being offered to the people they serve.  Person being served had unsupervised time in the community only when at work.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":15004}','68.53.115.247','2021-05-25 14:42:24'),(11915,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15005,'{\"report_id\":202,\"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 9:42:24 am\",\"created_at\":\"5\\/25\\/2021 9:42:24 am\",\"id\":15005}','68.53.115.247','2021-05-25 14:42:24'),(11916,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15006,'{\"report_id\":202,\"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 9:42:24 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15:05:21'),(11937,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15027,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2020-11-10 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15027}','68.53.115.247','2021-05-25 15:05:21'),(11938,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15028,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff was administ3ring medication\'s on 11\\/11\\/2020 when they discovered that persons Spironolactone 25mg tablet had not been given from 11\\/7\\/2020 through 11\\/10\\/2020.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15028}','68.53.115.247','2021-05-25 15:05:21'),(11939,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15029,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15029}','68.53.115.247','2021-05-25 15:05:21'),(11940,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15030,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff did not follow policy requiring 3 checks\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15030}','68.53.115.247','2021-05-25 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15:05:21'),(11943,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15033,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"Another contributing factor to staff feeling rushed was that the home is single staffed in the mornings. Staffing patterns are impacted by the staff ratio, which is determined by the MNCHOICES assessment and Disability waiver rate system, as well as the expectation that person centered choices at the home are provided.  This allows for the work schedule to be adapted to accommodate more staffing during day shifts to allow for more outings, resulting in morning staff being limited to one, further influencing staff need to hurry to ensure all morning task were completed.  COVID-19 lead to the Governor\\u2019s executive stay at home order and Day services were then closed.  This increased the need for more staff to cover shifts at a time when staff shortage was at an all-time high.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15033}','68.53.115.247','2021-05-25 15:05:21'),(11944,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15034,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15034}','68.53.115.247','2021-05-25 15:05:21'),(11945,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15035,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"The staff not following the policy that requires three medication checks prior to giving medications was influenced by the staff feeling comfortable and experienced with medication delivery after having worked at the facility for 6 years.  The people in the home being easy going and independent with some of their personal cares contributed to the staff feeling comfortable.  The Provider has a 2 step process for checking in meds from the pharmacy.  The first check is completed by the LPN, Program Manager, or Location Coordinator and the second check is completed by any of the aforementioned or a DSP.  The provider\\u2019s medication administration policies are influenced by 245D and outlined in the CSSP.  The provider\\u2019s policy are in place to protect the health and safety of people and to reduce errors that could result in Vulnerable Adult Maltreatment.  Medications are received in pill packs from the pharmacy and are checked two times, this further supports staff feeling comfortable when passing medications\\r\\nAnother influence to staff not completing the three medication check was that staff felt pressure to hurry to give person their morning medications. Person has a history of being inpatient to get morning medications as they then have to wait 30 minutes to eat as directed by their Physician.  The person being served has 12 morning medications that have to be recorded in the online Medication Administration Record which takes time for staff to complete. Staff was in a hurry to pass medications to avoid behaviors from person and to attend to other duties and responsibilities prior to the end of their shift.  Medication delivery is right before a shift change, so staff typically have to finish up with a number of tasks.   The home has 4 people and the people are active, interactive with staff, and need staff support which are additional influences to why the staff felt rushed.   \\r\\nAnother contributing factor to staff feeling rushed was that the home is single staffed in the mornings. Staffing patterns are impacted by the staff ratio, which is determined by the MNCHOICES assessment and Disability waiver rate system, as well as the expectation that person centered choices at the home are provided.  This allows for the work schedule to be adapted to accommodate more staffing during day shifts to allow for more outings, resulting in morning staff being limited to one, further influencing staff need to hurry to ensure all morning task were completed.  COVID-19 lead to the Governor\\u2019s executive stay at home order and Day services were then closed.  This increased the need for more staff to cover shifts at a time when staff shortage was at an all-time high.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15035}','68.53.115.247','2021-05-25 15:05:21'),(11946,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15036,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15036}','68.53.115.247','2021-05-25 15:05:21'),(11947,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15037,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15037}','68.53.115.247','2021-05-25 15:05:21'),(11948,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15038,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15038}','68.53.115.247','2021-05-25 15:05:21'),(11949,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15039,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15039}','68.53.115.247','2021-05-25 15:05:21'),(11950,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15040,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15040}','68.53.115.247','2021-05-25 15:05:21'),(11951,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15041,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15041}','68.53.115.247','2021-05-25 15:05:21'),(11952,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15042,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15042}','68.53.115.247','2021-05-25 15:05:21'),(11953,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15043,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"103\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15043}','68.53.115.247','2021-05-25 15:05:21'),(11954,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15044,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"104\",\"question_type\":\"Free_Text\",\"text_answer\":\"Another contributing factor to staff feeling rushed was that the home is single staffed in the mornings. Staffing patterns are impacted by the staff ratio, which is determined by the MNCHOICES assessment and Disability waiver rate system, as well as the expectation that person centered choices at the home are provided.  This allows for the work schedule to be adapted to accommodate more staffing during day shifts to allow for more outings, resulting in morning staff being limited to one, further influencing staff need to hurry to ensure all morning task were completed.  COVID-19 lead to the Governor\\u2019s executive stay at home order and Day services were then closed.  This increased the need for more staff to cover shifts at a time when staff shortage was at an all-time high.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15044}','68.53.115.247','2021-05-25 15:05:21'),(11955,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15045,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15045}','68.53.115.247','2021-05-25 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15:05:21'),(11964,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15054,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15054}','68.53.115.247','2021-05-25 15:05:21'),(11965,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15055,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15055}','68.53.115.247','2021-05-25 15:05:21'),(11966,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15056,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15056}','68.53.115.247','2021-05-25 15:05:21'),(11967,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15057,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"117\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15057}','68.53.115.247','2021-05-25 15:05:21'),(11968,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15058,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"118\",\"question_type\":\"Free_Text\",\"text_answer\":\"Another influence to staff not completing the three medication check was that staff felt pressure to hurry to give person their morning medications. Person has a history of being inpatient to get morning medications as they then have to wait 30 minutes to eat as directed by their Physician.  The person being served has 12 morning medications that have to be recorded in the online Medication Administration Record which takes time for staff to complete. Staff was in a hurry to pass medications to avoid behaviors from person and to attend to other duties and responsibilities prior to the end of their shift. \\r\\nAnother contributing factor to staff feeling rushed was that the home is single staffed in the mornings\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15058}','68.53.115.247','2021-05-25 15:05:21'),(11969,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15059,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15059}','68.53.115.247','2021-05-25 15:05:21'),(11970,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15060,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15060}','68.53.115.247','2021-05-25 15:05:21'),(11971,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15061,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15061}','68.53.115.247','2021-05-25 15:05:21'),(11972,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15062,'{\"report_id\":203,\"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 10:05:21 am\",\"created_at\":\"5\\/25\\/2021 10:05:21 am\",\"id\":15062}','68.53.115.247','2021-05-25 15:05:21'),(11973,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15063,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"123\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:22 am\",\"created_at\":\"5\\/25\\/2021 10:05:22 am\",\"id\":15063}','68.53.115.247','2021-05-25 15:05:22'),(11974,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15064,'{\"report_id\":203,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":\"The staff not following the policy that requires three medication checks prior to giving medications was influenced by the staff feeling comfortable and experienced with medication delivery after having worked at the facility for 6 years.  The people in the home being easy going and independent with some of their personal cares contributed to the staff feeling comfortable.  The Provider has a 2 step process for checking in meds from the pharmacy.  The first check is completed by the LPN, Program Manager, or Location Coordinator and the second check is completed by any of the aforementioned or a DSP.  The provider\\u2019s medication administration policies are influenced by 245D and outlined in the CSSP.  The provider\\u2019s policy are in place to protect the health and safety of people and to reduce errors that could result in Vulnerable Adult Maltreatment.  Medications are received in pill packs from the pharmacy and are checked two times, this further supports staff feeling comfortable when passing medications\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:22 am\",\"created_at\":\"5\\/25\\/2021 10:05:22 am\",\"id\":15064}','68.53.115.247','2021-05-25 15:05:22'),(11975,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15065,'{\"report_id\":203,\"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 10:05:22 am\",\"created_at\":\"5\\/25\\/2021 10:05:22 am\",\"id\":15065}','68.53.115.247','2021-05-25 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15:05:22'),(11978,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15068,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"201900985\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15068}','68.53.115.247','2021-05-25 15:05:53'),(11979,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15069,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"05\\/15\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15069}','68.53.115.247','2021-05-25 15:05:53'),(11980,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15070,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Kristie Pittman\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15070}','68.53.115.247','2021-05-25 15:05:53'),(11981,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15071,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"79\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Jill Tilbury\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15071}','68.53.115.247','2021-05-25 15:05:53'),(11982,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15072,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Haugbeck Support Services\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15072}','68.53.115.247','2021-05-25 15:05:53'),(11983,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15073,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Mike Beckius\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15073}','68.53.115.247','2021-05-25 15:05:53'),(11984,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15074,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":\"mikebeckius@gmail.com\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15074}','68.53.115.247','2021-05-25 15:05:53'),(11985,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15075,'{\"report_id\":204,\"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 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15075}','68.53.115.247','2021-05-25 15:05:53'),(11986,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15076,'{\"report_id\":204,\"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 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15076}','68.53.115.247','2021-05-25 15:05:53'),(11987,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15077,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Blue Earth County\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15077}','68.53.115.247','2021-05-25 15:05:53'),(11988,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15078,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2018-11-13 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15078}','68.53.115.247','2021-05-25 15:05:53'),(11989,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15079,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff was meeting at another location with client\\u2019s guardian\\/mother. Client called her guardian\\/mother asking to have a private phone call, guardian reminded her that she could not do that, client abruptly ended the call.   A few minutes later a call came in that client ran away from the house.  Staff left to go look and kept in contact with guardian who was tracking client with the GPS on clients phone.   Staff arrived to clients location to a fire truck and someone directing traffic.  Staff was informed that client was struck by a vehicle and taken to the hospital by ambulance. \\r\\n\\r\\nIncident described by direct care staff.  Client came home from work and took phone without asking staff.  She locked herself in her room with the phone.  Staff knocked and asked her to open door, but did she did not respond.  Staff knocked again and explained to her the pone rules.  Client opened the door and yelled at staff using inappropriate words.  She then said she wanted to have a private phone call, locked herself in her room.  Staff unplugged the phone (per protocol) .  Client came out pissed and started kicking the pone and throwing it on the floor.  She picked the phone up and said she hated staff and that she was leaving.  She then got ready and left the house.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15079}','68.53.115.247','2021-05-25 15:05:53'),(11990,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15080,'{\"report_id\":204,\"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 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15080}','68.53.115.247','2021-05-25 15:05:53'),(11991,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15081,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff did not pursue person when they eloped\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15081}','68.53.115.247','2021-05-25 15:05:53'),(11992,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15082,'{\"report_id\":204,\"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 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15082}','68.53.115.247','2021-05-25 15:05:53'),(11993,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15083,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2019-06-24 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15083}','68.53.115.247','2021-05-25 15:05:53'),(11994,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15084,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"Client is a 25 year old female diagnosed with fetal alcohol syndrome and reactive attachment disorder. She had been living in a corporate foster care since 2014. She lives with her identical twin sister. Her mother is her legal guardian. In September 2019, client had a crises placement due to increase in behaviors. \\r\\n\\r\\nCouple months prior to incident, client\'s behaviors not as predictable. Client had medication changes, was demonstrating suicidal ideation (superficial cutting) and was eloping 1 to 2 times a week. Staff report they use to be able to tell when client was going to elope and then it became harder to identify antecedents leading up to elopement. \\r\\n\\r\\nClient had an incident prior to this incident of running into Mankato and meeting up with a young man that she later accused of abusing her. Staff followed her until she reached a crowded area around Mankato State campus. Distance was over 6 miles. Client is in good physical shape. \\r\\n\\r\\nThere are 2-3 staff on evening shift. Home has 4 clients. Direct care staff involved in incident are no longer employed with provider. Staff reports a long history of elopement. \\r\\n\\r\\nA team (consisting of a case manager, guardian, house manager and administrative staff) developed an elopement protocol. Staff meetings occurred bi-weekly to address behaviors and concerns about client. Client\'s guardian had attended staff meetings to assist in training staff on how to work with her daughter. \\r\\n\\r\\nElopement protocol states that staff are to follow client during daytime hours when safe. Protocol directs staff not to follow when dark outside as this is a safety concern for staff. On day of incident, staff followed protocol and called supervisor. \\r\\n\\r\\nClient has a protocol in place where she can ask to go on a run. Protocol specifically states how long and where client can run. CLient can not go on a planned run after dark. When she asked she always comes back. Protocol in place so staff can identify the difference. \\r\\n\\r\\nClient would call guardian\\/mom when not happy with what staff was doing. Mom would change the rules\\/programs that were established when her daughter was upset. Guardian\\/mom directed day to day activities and would tell staff what things her daughter should do that day. The consistency of protocols were difficult for staff to follow due to the changes in decision making process being made by the guardian\\/mom. Program direct reports that as guardian become more inconsistent with following programs that elopement increased.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15084}','68.53.115.247','2021-05-25 15:05:53'),(11995,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15085,'{\"report_id\":204,\"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 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15085}','68.53.115.247','2021-05-25 15:05:53'),(11996,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15086,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"Direct care staff not following the person who eloped from the facility was influenced foremost by the person\\u2019s elopement protocol. At the time of the elopement it was dark outside and the protocol directed staff to not follow when dark. Contributing to the staff\\u2019s decision not to follow the person was the team\\u2019s (case manager, guardian, provider staff) desire to ensure the safety of staff and the person which was impacted by the person\\u2019s history of exhibiting challenging behaviors when followed. When staff followed the person in past elopements, the person ran further and was difficult to find. The person\\u2019s home was in a rural location which also impacted staff\\u2019s decision to not follow in the dark due to safety concerns. The elopement protocol was developed by the provider and approved by the guardian and case manager. Staff were intimidated by the guardian, which influenced the staff\\u2019s decision to follow protocol the guardian helped create. Direct care staff not following during the elopement was further supported by the person wearing a tracking watch that allowed staff to track the person and not always rely on following them.\\r\\n\\r\\nThere are a lack of crises services and placement options available in the area of the person\\u2019s home. Because of this, the provider created the elopement protocol as a way to try to balance the support and safety of the person. Limited state funding for crises services impacted the provider\\u2019s decision to create an elopement protocol. This is further influenced by the provider\\u2019s license requirements of 245A and 245D to safeguard the person\\u2019s health, safety and well-being.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15086}','68.53.115.247','2021-05-25 15:05:53'),(11997,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15087,'{\"report_id\":204,\"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 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15087}','68.53.115.247','2021-05-25 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15:05:53'),(12016,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15106,'{\"report_id\":204,\"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 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15106}','68.53.115.247','2021-05-25 15:05:53'),(12017,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15107,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":\"Direct care staff not following the person who eloped from the facility was influenced foremost by the person\\u2019s elopement protocol. At the time of the elopement it was dark outside and the protocol directed staff to not follow when dark. Contributing to the staff\\u2019s decision not to follow the person was the team\\u2019s (case manager, guardian, provider staff) desire to ensure the safety of staff and the person which was impacted by the person\\u2019s history of exhibiting challenging behaviors when followed. When staff followed the person in past elopements, the person ran further and was difficult to find. The person\\u2019s home was in a rural location which also impacted staff\\u2019s decision to not follow in the dark due to safety concerns.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15107}','68.53.115.247','2021-05-25 15:05:53'),(12018,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15108,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"117\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15108}','68.53.115.247','2021-05-25 15:05:53'),(12019,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15109,'{\"report_id\":204,\"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 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15109}','68.53.115.247','2021-05-25 15:05:53'),(12020,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15110,'{\"report_id\":204,\"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 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15110}','68.53.115.247','2021-05-25 15:05:53'),(12021,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15111,'{\"report_id\":204,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"120\",\"question_type\":\"Free_Text\",\"text_answer\":\"There are a lack of crises services and placement options available in the area of the person\\u2019s home. Because of this, the provider created the elopement protocol as a way to try to balance the support and safety of the person.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15111}','68.53.115.247','2021-05-25 15:05:53'),(12022,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15112,'{\"report_id\":204,\"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 10:05:53 am\",\"created_at\":\"5\\/25\\/2021 10:05:53 am\",\"id\":15112}','68.53.115.247','2021-05-25 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The safety of the person is endangered and positive support strategies were attempted and have not achieved and effectively maintained safety of the person or others.  The health of the person or others in the program would otherwise be endangered.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15181}','68.53.115.247','2021-05-25 15:11:35'),(12092,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15182,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15182}','68.53.115.247','2021-05-25 15:11:35'),(12093,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15183,'{\"report_id\":205,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Provider terminated services due to challenging behaviors\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15183}','68.53.115.247','2021-05-25 15:11:35'),(12094,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15184,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15184}','68.53.115.247','2021-05-25 15:11:35'),(12095,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15185,'{\"report_id\":205,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2020-11-30 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15185}','68.53.115.247','2021-05-25 15:11:35'),(12096,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15186,'{\"report_id\":205,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"October 2020 Case Assignment\\r\\nMaplewood Homes\\r\\n\\r\\nLearning Point:  Person had their services terminated due to challenging behavior \\r\\n\\r\\nPerson was being served in a rural Family Foster Home setting from May until August of 2020.  Prior to admission into the family foster home, person had been residing at a crises home following service termination from another provider.  Person had a long history of verbalizing suicidal thoughts, self-harm, verbal and physical aggression.  It was reported that he enjoyed the attention he was given when he would be hospitalized, resulting in numerous attempts to become hospitalized.   It was reported that his team was not being successful in finding placement for him.  The team felt that a family foster care who could provide a one to one setting was something that had not been tried before.  Provider had no other clients at the time of initial placement.  Provider has over 20 years of experience in working with vulnerable populations.\\r\\nProvider reported a good working relationship with the person\\u2019s Guardian\\/Grandmother along with county case manager. Provider worked closely with psychologist, psychiatrist and ARMS worker.  Provider felt that the team was very supportive.  Things went well for a period of time and the person enjoyed all the attention they received.\\r\\nAs time went on, the person started to verbalize suicidal ideation to his Grandmother when talking to her on the phone.  One night he eloped following a series of texts to his Grandmother saying he wanted to kill himself.  Provider followed him and called the Sheriff who stated that they were not a \\u201ctaxi\\u201d service and would not assist.  He was taken to the Emergency Room and calmed down and was released with in a couple of hours.\\r\\nAnother client moved into the home shortly have this incident.  Person then stated he was going to burn the house down.  Provider had a volunteer at the home stay up all night to observe person as they were not sleeping.   The was again taken to the house admitted and released.   After he returned, he took a lighter and burned himself, this resulted in police being called to the home.  He calmed down once they arrived.  He started to text his Grandmother reporting that he wanted to kill himself.  Grandmother insisted that he return to the hospital.  Once at the hospital Grandmother insisted that he not return to providers home and he was admitted back to the crises home.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15186}','68.53.115.247','2021-05-25 15:11:35'),(12097,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15187,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15187}','68.53.115.247','2021-05-25 15:11:35'),(12098,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15188,'{\"report_id\":205,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"The provider terminating a person\\u2019s services due to challenging behaviors was influenced by the behaviors escalating in frequency and intensity since service admission.  This was further supported by the person making multiple suicide threats, acts of self-harm by burning themselves, and threats to burn the house down.  The person did not have a history of fire starting prior to admission which further supports the intensity of his escalating behaviors.  The person seemed motivated by the attention he received from his grandmother\\/guardian and the hospital.  Person was hospitalized twice and released quickly on two occasions prior to the threat to burn the house down.  On one occasion, law enforcement responded to the providers 911 call and stated that they were not a taxi services and did not provide any mental health support.  Police in the area were overtaxed with 911 calls related to mental health and COVID calls.  In addition to that, at the time of this call, law enforcement from across the state were reporting to Minneapolis to assist with the George Floyd incident, impacting the providers view that law enforcement may not assist.  \\r\\n\\r\\nThe guardian and provider agreed that the safety of the person, others in the home, and staff could not be maintained.  This agreement was influenced by the provider attempting to remove all objects that were deemed dangerous.  Room searches were conducted regularly to remove dangerous objects. After the person returned from the hospital, they were still in possession of a lighter.  This further supported their decision that they could not prevent him from self-harm and fire starting behavior or maintain the safety and protection of all involved. \\r\\n\\r\\nProviders have a responsibility to protect the health and wellbeing of all people in the home was another influence to the service termination.  Providers responsibility for safety is directed by MnCHOICES and required by the CSSP of each person and as well as the requirement of 245D.   This was supported by the Guardian who was worried about the provider\\u2019s safety and the safety of the other person who had just recently moved into the home, resulting in the guardian refusing to allow the person to return to the home.\\r\\n\\r\\nThe person being served had several ER visits for suicidal ideation and behaviors and was not given in-patient psychiatric care. Provider and guardian had exhausted available services and felt that service termination was seen as a way to help person obtain in-patient psychiatric services.   COVID-19 Pandemic influenced hospitals to discharge quickly, due to the demand for mental health resources in the area, resulting in person being released from hospital and not receiving the psychiatric attention the team thought he needed, further impacting providers decision to terminate services\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15188}','68.53.115.247','2021-05-25 15:11:35'),(12099,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15189,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15189}','68.53.115.247','2021-05-25 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15:11:35'),(12106,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15196,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15196}','68.53.115.247','2021-05-25 15:11:35'),(12107,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15197,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15197}','68.53.115.247','2021-05-25 15:11:35'),(12108,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15198,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15198}','68.53.115.247','2021-05-25 15:11:35'),(12109,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15199,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15199}','68.53.115.247','2021-05-25 15:11:35'),(12110,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15200,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15200}','68.53.115.247','2021-05-25 15:11:35'),(12111,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15201,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15201}','68.53.115.247','2021-05-25 15:11:35'),(12112,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15202,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15202}','68.53.115.247','2021-05-25 15:11:35'),(12113,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15203,'{\"report_id\":205,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"110\",\"question_type\":\"Free_Text\",\"text_answer\":\"On one occasion, law enforcement responded to the providers 911 call and stated that they were not a taxi services and did not provide any mental health support.  Police in the area were overtaxed with 911 calls related to mental health and COVID calls\\r\\n\\r\\nThe guardian and provider agreed that the safety of the person, others in the home, and staff could not be maintained.  This agreement was influenced by the provider attempting to remove all objects that were deemed dangerous.  Room searches were conducted regularly to remove dangerous objects. After the person returned from the hospital, they were still in possession of a lighter.  This further supported their decision that they could not prevent him from self-harm and fire starting behavior or maintain the safety and protection of all involved.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15203}','68.53.115.247','2021-05-25 15:11:35'),(12114,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15204,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15204}','68.53.115.247','2021-05-25 15:11:35'),(12115,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15205,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15205}','68.53.115.247','2021-05-25 15:11:35'),(12116,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15206,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15206}','68.53.115.247','2021-05-25 15:11:35'),(12117,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15207,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15207}','68.53.115.247','2021-05-25 15:11:35'),(12118,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15208,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15208}','68.53.115.247','2021-05-25 15:11:35'),(12119,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15209,'{\"report_id\":205,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":\"The guardian and provider agreed that the safety of the person, others in the home, and staff could not be maintained.  This agreement was influenced by the provider attempting to remove all objects that were deemed dangerous.  Room searches were conducted regularly to remove dangerous objects. After the person returned from the hospital, they were still in possession of a lighter\\r\\n\\r\\nProviders have a responsibility to protect the health and wellbeing of all people in the home was another influence to the service termination.  Providers responsibility for safety is directed by MnCHOICES and required by the CSSP of each person and as well as the requirement of 245D.   This was supported by the Guardian who was worried about the provider\\u2019s safety and the safety of the other person who had just recently moved into the home, resulting in the guardian refusing to allow the person to return to the home.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15209}','68.53.115.247','2021-05-25 15:11:35'),(12120,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15210,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15210}','68.53.115.247','2021-05-25 15:11:35'),(12121,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15211,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15211}','68.53.115.247','2021-05-25 15:11:35'),(12122,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15212,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15212}','68.53.115.247','2021-05-25 15:11:35'),(12123,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15213,'{\"report_id\":205,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"120\",\"question_type\":\"Free_Text\",\"text_answer\":\"On one occasion, law enforcement responded to the providers 911 call and stated that they were not a taxi services and did not provide any mental health support.  Police in the area were overtaxed with 911 calls related to mental health and COVID calls.  \\r\\n\\r\\nThe person being served had several ER visits for suicidal ideation and behaviors and was not given in-patient psychiatric care. Provider and guardian had exhausted available services and felt that service termination was seen as a way to help person obtain in-patient psychiatric services.   COVID-19 Pandemic influenced hospitals to discharge quickly, due to the demand for mental health resources in the area, resulting in person being released from hospital and not receiving the psychiatric attention the team thought he needed, further impacting providers decision to terminate services\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15213}','68.53.115.247','2021-05-25 15:11:35'),(12124,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15214,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15214}','68.53.115.247','2021-05-25 15:11:35'),(12125,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15215,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15215}','68.53.115.247','2021-05-25 15:11:35'),(12126,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15216,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15216}','68.53.115.247','2021-05-25 15:11:35'),(12127,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15217,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15217}','68.53.115.247','2021-05-25 15:11:35'),(12128,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15218,'{\"report_id\":205,\"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 10:11:35 am\",\"created_at\":\"5\\/25\\/2021 10:11:35 am\",\"id\":15218}','68.53.115.247','2021-05-25 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15:12:03'),(12133,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15223,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"07\\/15\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15223}','68.53.115.247','2021-05-25 15:12:03'),(12134,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15224,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Kristie Pittman\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15224}','68.53.115.247','2021-05-25 15:12:03'),(12135,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15225,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"79\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Jill Tilbury\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15225}','68.53.115.247','2021-05-25 15:12:03'),(12136,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15226,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"REM Heartland - Couger Court\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15226}','68.53.115.247','2021-05-25 15:12:03'),(12137,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15227,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Devin Nelson\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15227}','68.53.115.247','2021-05-25 15:12:03'),(12138,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15228,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":\"507-223-4410\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15228}','68.53.115.247','2021-05-25 15:12:03'),(12139,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15229,'{\"report_id\":206,\"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 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15229}','68.53.115.247','2021-05-25 15:12:03'),(12140,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15230,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"84\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Medication Error\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15230}','68.53.115.247','2021-05-25 15:12:03'),(12141,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15231,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Blue Earth County\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15231}','68.53.115.247','2021-05-25 15:12:03'),(12142,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15232,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2019-06-01 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15232}','68.53.115.247','2021-05-25 15:12:03'),(12143,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15233,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"On 6-8-2019, it was discovered that the person had been receiving only half of the prescribed dosage of her Mycophenolate.  The missed medications were then found in the medication cabinet.  Person received half of 9am and 3pm prescribed dosage from 6-1-2019 to 6-7-2019.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15233}','68.53.115.247','2021-05-25 15:12:03'),(12144,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15234,'{\"report_id\":206,\"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 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15234}','68.53.115.247','2021-05-25 15:12:03'),(12145,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15235,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Person received half of the prescribed dosage of medication.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15235}','68.53.115.247','2021-05-25 15:12:03'),(12146,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15236,'{\"report_id\":206,\"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 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15236}','68.53.115.247','2021-05-25 15:12:03'),(12147,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15237,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":\"2019-08-14 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15237}','68.53.115.247','2021-05-25 15:12:03'),(12148,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15238,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff 1 has been working for the company for the past 4 years and her role is a direct care staff. Staff 1 typically picks up of the medication from the pharmacy.  Sometimes Staff 1\\u2019s supervisor picks up the medications.  The staff who picks up the medications is responsible for organizing and separating the medications.  This medication usually come with one pill in two separate bubble packs and sometimes it will come with two pills in one bubble pack.  The person receives this medication at 9am and 3pm.  \\r\\n\\r\\nStaff 1 picked up the medication and then organized them.  Staff 1 felt that she put the correct medication and dosage in person\\u2019s medication area in the locked medication cabinet.  Staff does not recall anything out of the norm when organizing medications.  She said she was not distracted and that it was quiet at the house.  Staff 1said all medications are kept in each person\\u2019s area in the medication cabinet. Staff 1 said it is common practice for this facility for the first person who gives medication on the first of each month to double check that the medications were set up correctly. \\r\\n\\r\\nDebriefing with Staff #2 on 8-21-2019\\r\\n\\r\\nStaff 2 has worked for the company for the past 35 years and has held various position within the company.  Staff currently works the overnight shift which is from 10pm to 9am.  She is very familiar with the person and her medications as she has been with that group home for a long time.  \\r\\n\\r\\nOn the morning of June 1st, Staff 2 went to give 9am medications and noted that something \\u201cappeared off\\u201d with the medications. The medication typically comes in two single bubble packs, but there was only one bubble pack with one pill in the 9am medication. She said however that they do occasionally come with two pills in one bubble pack.  Staff 2 checked the dosage and then checked the 3pm medication and reported that they were the same, so she concluded that the dosage must have changed.  \\r\\n\\r\\nStaff 2 was not aware of the current procedure for storing extra medications.  Staff 2 said in the past when she held a different position that she would lock extra medications in the office desk.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15238}','68.53.115.247','2021-05-25 15:12:03'),(12149,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15239,'{\"report_id\":206,\"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 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15239}','68.53.115.247','2021-05-25 15:12:03'),(12150,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15240,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"The person receiving half of the prescribed dosage of medication for six days was influenced by Staff 1 believing that they set up the medications correctly after receiving them from the pharmacy.  An additional feature that influenced staff believing that the medications were set up correctly, was the medications were not always packaged the same when they came from the pharmacy.  Therefore, staff did not question when there was only one bubble pack for the person\\u2019s 9am medications and one bubble pack for person\\u2019s 3pm medications.  Staff 2 was the first staff to give medications after staff 1 set up medications in the med drawer for the month.   Staff 2 believed medications were set up correctly was influenced by the belief that the person\\u2019s medication dosage must have changed because of the way the meds were packaged.  Contributing to the staff\\u2019s belief that medication dosage changed was further influenced by the person\\u2019s 3pm medication dosage matching the 9am medication dosage.  This was further supported by staff 2 not finding the second bubble pack in the person\\u2019s medication drawer, which was the house norm for storing all medications.  Staff 2 also believed that staff 1 set up medications correctly.  \\r\\n \\r\\nAn additional factor that had other staff following staff 2\\u2019s lead in only giving half the med, rather than following medication protocol and ensuring that the med label and the Medication Administration Record (MAR) match the dosage in the bubble pack, is that there are a lot of policies for staff to know. This provider\\u2019s medication policies had changed due to the acquisition of another company, which then had both companies revise their policies to match each other. The introduction of 245D also required this provider to revise their medication administration policies. In the absence of stable policies the staff likely followed the veteran staff\\u2019s actions and assumed if there was a med change the veteran staff would have known as well as followed policies.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15240}','68.53.115.247','2021-05-25 15:12:03'),(12151,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15241,'{\"report_id\":206,\"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 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15241}','68.53.115.247','2021-05-25 15:12:03'),(12152,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15242,'{\"report_id\":206,\"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 10:12:03 am\",\"created_at\":\"5\\/25\\/2021 10:12:03 am\",\"id\":15242}','68.53.115.247','2021-05-25 15:12:03'),(12153,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15243,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15243}','68.53.115.247','2021-05-25 15:12:04'),(12154,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15244,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15244}','68.53.115.247','2021-05-25 15:12:04'),(12155,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15245,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15245}','68.53.115.247','2021-05-25 15:12:04'),(12156,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15246,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"101\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15246}','68.53.115.247','2021-05-25 15:12:04'),(12157,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15247,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":\"This was further supported by staff 2 not finding the second bubble pack in the person\\u2019s medication drawer, which was the house norm for storing all medications. Staff 2 also believed that staff 1 setup medications correctly.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15247}','68.53.115.247','2021-05-25 15:12:04'),(12158,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15248,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15248}','68.53.115.247','2021-05-25 15:12:04'),(12159,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15249,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15249}','68.53.115.247','2021-05-25 15:12:04'),(12160,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15250,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15250}','68.53.115.247','2021-05-25 15:12:04'),(12161,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15251,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15251}','68.53.115.247','2021-05-25 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15:12:04'),(12166,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15256,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15256}','68.53.115.247','2021-05-25 15:12:04'),(12167,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15257,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15257}','68.53.115.247','2021-05-25 15:12:04'),(12168,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15258,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"113\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15258}','68.53.115.247','2021-05-25 15:12:04'),(12169,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15259,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"114\",\"question_type\":\"Free_Text\",\"text_answer\":\"The person receiving half of the prescribed dosage of medication for six days was influenced by Staff 1 believing that they set up the medications correctly after receiving them from the pharmacy. An additional feature that influenced staff believing that the medications were set up correctly, was the medications were not always packaged the same when they came from the pharmacy Therefore, staff did not question when there was only one bubble pack for the person\\u2019s 9am medications and one bubble pack for person\\u2019s 3pm medications.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15259}','68.53.115.247','2021-05-25 15:12:04'),(12170,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15260,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15260}','68.53.115.247','2021-05-25 15:12:04'),(12171,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15261,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15261}','68.53.115.247','2021-05-25 15:12:04'),(12172,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15262,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15262}','68.53.115.247','2021-05-25 15:12:04'),(12173,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15263,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15263}','68.53.115.247','2021-05-25 15:12:04'),(12174,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15264,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15264}','68.53.115.247','2021-05-25 15:12:04'),(12175,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15265,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15265}','68.53.115.247','2021-05-25 15:12:04'),(12176,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15266,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15266}','68.53.115.247','2021-05-25 15:12:04'),(12177,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15267,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15267}','68.53.115.247','2021-05-25 15:12:04'),(12178,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15268,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"123\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15268}','68.53.115.247','2021-05-25 15:12:04'),(12179,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15269,'{\"report_id\":206,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":\"Staff 2 believed medications were set up correctly was influenced by the belief that the person\\u2019s medication dosage must have changed because of the way the meds were packaged.  Contributing to the staff\\u2019s belief that medication dosage changed was further influenced by the person\\u2019s 3pm medication dosage matching the 9am medication dosage.  \\r\\n\\r\\nAn additional factor that had other staff following staff 2\\u2019s lead in only giving half the med, rather than following medication protocol and ensuring that the med label and the Medication Administration Record (MAR) match the dosage in the bubble pack, is that there are a lot of policies for staff to know. In the absence of stable policies the staff likely followed the veteran staff\\u2019s actions and assumed if there was a med change the veteran staff would have known as well as followed policies.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15269}','68.53.115.247','2021-05-25 15:12:04'),(12180,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15270,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15270}','68.53.115.247','2021-05-25 15:12:04'),(12181,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15271,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15271}','68.53.115.247','2021-05-25 15:12:04'),(12182,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15272,'{\"report_id\":206,\"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 10:12:04 am\",\"created_at\":\"5\\/25\\/2021 10:12:04 am\",\"id\":15272}','68.53.115.247','2021-05-25 15:12:04'),(12183,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15273,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"09\\/16\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:34 am\",\"created_at\":\"5\\/25\\/2021 10:15:34 am\",\"id\":15273}','68.53.115.247','2021-05-25 15:15:34'),(12184,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15274,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"201905293\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15274}','68.53.115.247','2021-05-25 15:15:44'),(12185,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15275,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"09\\/16\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15275}','68.53.115.247','2021-05-25 15:15:44'),(12186,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15276,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Kristie Pittman\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15276}','68.53.115.247','2021-05-25 15:15:44'),(12187,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15277,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"79\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Charles Young\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15277}','68.53.115.247','2021-05-25 15:15:44'),(12188,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15278,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"REM Heartland, Inc. - Chastworth\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15278}','68.53.115.247','2021-05-25 15:15:44'),(12189,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15279,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Lori Larson\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15279}','68.53.115.247','2021-05-25 15:15:44'),(12190,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15280,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Lori.Larson@TheMentorNetwork.com\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15280}','68.53.115.247','2021-05-25 15:15:44'),(12191,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15281,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15281}','68.53.115.247','2021-05-25 15:15:44'),(12192,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15282,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"84\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Staff Sleeping on Duty\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15282}','68.53.115.247','2021-05-25 15:15:44'),(12193,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15283,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Blue Earth County\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15283}','68.53.115.247','2021-05-25 15:15:44'),(12194,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15284,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2019-07-19 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15284}','68.53.115.247','2021-05-25 15:15:44'),(12195,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15285,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"As the only staff present in the facility, David laid down after Damon went to bed at approximately 8:00 pm. He inadvertently fell asleep and was awoken by the night shift staff when they reported for their shift at approximately 9:50 pm. Damon was apparently asleep the entire time, but his staffing ratios only for 1 hour of alone time during the day and sleeping night staff.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15285}','68.53.115.247','2021-05-25 15:15:44'),(12196,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15286,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15286}','68.53.115.247','2021-05-25 15:15:44'),(12197,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15287,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff was sleeping during an evening shift\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15287}','68.53.115.247','2021-05-25 15:15:44'),(12198,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15288,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15288}','68.53.115.247','2021-05-25 15:15:44'),(12199,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15289,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15289}','68.53.115.247','2021-05-25 15:15:44'),(12200,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15290,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15290}','68.53.115.247','2021-05-25 15:15:44'),(12201,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15291,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15291}','68.53.115.247','2021-05-25 15:15:44'),(12202,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15292,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"This house had an asleep overnight shift that began at 10pm, as directed by the CSSPs for the four people living in the home. The staff fell asleep at 8pm when all was quiet, and all the people were presumably in their rooms for the night. The people being served in this house demonstrated low needs which allowed them to have unsupervised time, contributing to the staff feeling comfortable to lie down. An additional factor into the staff laying down was that the staff was tired.  This staff had fallen asleep on previous shifts and disclosed to management that he was tired due to a personal situation that left him homeless. The staff typically slept in his car during this period.  The provider tried to work with him to move to the overnight position which would allow him to sleep but he did not accept this offer.  The provider noted that the overnight shift made nearly $5 less per hour, which was one of the influences into the person staying on the awake shift.  The provider was experiencing a staff shortage which is one of the factors into why they wanted to work with the staff to find a position that would meet both of their needs. An additional influence in staff falling asleep is that the staff laid down to try out a newly purchased weighted blanket   \\r\\n\\r\\nAll clients in the home had their needs assessed by MnCHOICES, which supported the individuals having sleep staff as well as alone time. The provider had seen this house as a potential house to replace overnight staff with remote monitoring technology due to the low needs of the individuals. The provider\\u2019s push for more alone time and remote monitoring was impacted by their efforts to allow the dignity of risk by providing more opportunities for people they serve to have a choice and control over their lives.  The effort to encourage dignity of risk was influenced by statewide person-centered planning requirements and emphasis. However, one guardian was resistant to remote monitoring but compromised by allowing the person alone time in their plan.  It was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeling comfortable to lie down. \\r\\n\\r\\nThe staff\\u2019s unwillingness to move to the overnight shift was influenced by the lower rate of pay that asleep staff were paid. The sleep rate is factored into the provider\\u2019s overall reimbursement negotiated with the county through the 6790 and provides a lower rate asleep than awake hours. The 6790-negotiation process is influenced by the rates determined by the Legislature in the Disability Waiver Rate System and the assessed needs identified in MnCHOICES and the resulting supervision levels identified in the CSSP.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15292}','68.53.115.247','2021-05-25 15:15:44'),(12203,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15293,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15293}','68.53.115.247','2021-05-25 15:15:44'),(12204,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15294,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15294}','68.53.115.247','2021-05-25 15:15:44'),(12205,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15295,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15295}','68.53.115.247','2021-05-25 15:15:44'),(12206,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15296,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15296}','68.53.115.247','2021-05-25 15:15:44'),(12207,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15297,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15297}','68.53.115.247','2021-05-25 15:15:44'),(12208,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15298,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15298}','68.53.115.247','2021-05-25 15:15:44'),(12209,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15299,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15299}','68.53.115.247','2021-05-25 15:15:44'),(12210,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15300,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"103\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15300}','68.53.115.247','2021-05-25 15:15:44'),(12211,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15301,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"104\",\"question_type\":\"Free_Text\",\"text_answer\":\"The provider tried to work with him to move to the overnight position which would allow him to sleep but he did not accept this offer.  The provider noted that the overnight shift made nearly $5 less per hour, which was one of the influences into the person staying on the awake shift.  The provider was experiencing a staff shortage which is one of the factors into why they wanted to work with the staff to find a position that would meet both of their needs. \\r\\n\\r\\nThe staff\\u2019s unwillingness to move to the overnight shift was influenced by the lower rate of pay that asleep staff were paid. The sleep rate is factored into the provider\\u2019s overall reimbursement negotiated with the county through the 6790 and provides a lower rate asleep than awake hours\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15301}','68.53.115.247','2021-05-25 15:15:44'),(12212,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15302,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15302}','68.53.115.247','2021-05-25 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15:15:44'),(12217,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15307,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15307}','68.53.115.247','2021-05-25 15:15:44'),(12218,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15308,'{\"report_id\":207,\"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 10:15:44 am\",\"created_at\":\"5\\/25\\/2021 10:15:44 am\",\"id\":15308}','68.53.115.247','2021-05-25 15:15:45'),(12219,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15309,'{\"report_id\":207,\"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 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15309}','68.53.115.247','2021-05-25 15:15:45'),(12220,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15310,'{\"report_id\":207,\"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 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15310}','68.53.115.247','2021-05-25 15:15:45'),(12221,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15311,'{\"report_id\":207,\"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 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15311}','68.53.115.247','2021-05-25 15:15:45'),(12222,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15312,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"115\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15312}','68.53.115.247','2021-05-25 15:15:45'),(12223,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15313,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":\"All clients in the home had their needs assessed by MnCHOICES, which supported the individuals having sleep staff as well as alone time. The provider had seen this house as a potential house to replace overnight staff with remote monitoring technology due to the low needs of the individuals. The provider\\u2019s push for more alone time and remote monitoring was impacted by their efforts to allow the dignity of risk by providing more opportunities for people they serve to have a choice and control over their lives.  The effort to encourage dignity of risk was influenced by statewide person-centered planning requirements and emphasis. However, one guardian was resistant to remote monitoring but compromised by allowing the person alone time in their plan.  It was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeling comfortable to lie down.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15313}','68.53.115.247','2021-05-25 15:15:45'),(12224,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15314,'{\"report_id\":207,\"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 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15314}','68.53.115.247','2021-05-25 15:15:45'),(12225,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15315,'{\"report_id\":207,\"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 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15315}','68.53.115.247','2021-05-25 15:15:45'),(12226,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15316,'{\"report_id\":207,\"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 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15316}','68.53.115.247','2021-05-25 15:15:45'),(12227,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15317,'{\"report_id\":207,\"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 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15317}','68.53.115.247','2021-05-25 15:15:45'),(12228,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15318,'{\"report_id\":207,\"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 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15318}','68.53.115.247','2021-05-25 15:15:45'),(12229,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15319,'{\"report_id\":207,\"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 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15319}','68.53.115.247','2021-05-25 15:15:45'),(12230,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15320,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"123\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15320}','68.53.115.247','2021-05-25 15:15:45'),(12231,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15321,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":\"The staff fell asleep at 8pm when all was quiet, and all the people were presumably in their rooms for the night. The people being served in this house demonstrated low needs which allowed them to have unsupervised time, contributing to the staff feeling comfortable to lie down.\\r\\n\\r\\nIt was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeing comfortable to lie down.  An additional influence in staff falling asleep is that the staff laid down to try out a newly purchased weighted blanket\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15321}','68.53.115.247','2021-05-25 15:15:45'),(12232,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15322,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"125\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15322}','68.53.115.247','2021-05-25 15:15:45'),(12233,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15323,'{\"report_id\":207,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"126\",\"question_type\":\"Free_Text\",\"text_answer\":\"An additional factor into the staff laying down was that the staff was tired.  This staff had fallen asleep on previous shifts and disclosed to management that he was tired due to a personal situation that left him homeless. The staff typically slept in his car during this period\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15323}','68.53.115.247','2021-05-25 15:15:45'),(12234,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15324,'{\"report_id\":207,\"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 10:15:45 am\",\"created_at\":\"5\\/25\\/2021 10:15:45 am\",\"id\":15324}','68.53.115.247','2021-05-25 15:15:45'),(12235,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15325,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"12\\/16\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:06 am\",\"created_at\":\"5\\/25\\/2021 10:16:06 am\",\"id\":15325}','68.53.115.247','2021-05-25 15:16:06'),(12236,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15326,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"201907799\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15326}','68.53.115.247','2021-05-25 15:16:11'),(12237,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15327,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"12\\/16\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15327}','68.53.115.247','2021-05-25 15:16:11'),(12238,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15328,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Kristie Pittman\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15328}','68.53.115.247','2021-05-25 15:16:11'),(12239,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15329,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15329}','68.53.115.247','2021-05-25 15:16:11'),(12240,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15330,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"REM Heartland, Inc. - Cougar Drive\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15330}','68.53.115.247','2021-05-25 15:16:11'),(12241,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15331,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15331}','68.53.115.247','2021-05-25 15:16:11'),(12242,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15332,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15332}','68.53.115.247','2021-05-25 15:16:11'),(12243,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15333,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15333}','68.53.115.247','2021-05-25 15:16:11'),(12244,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15334,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"84\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Medication Error\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15334}','68.53.115.247','2021-05-25 15:16:11'),(12245,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15335,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Blue Earth County\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15335}','68.53.115.247','2021-05-25 15:16:11'),(12246,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15336,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"2019-10-19 00:00:00\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15336}','68.53.115.247','2021-05-25 15:16:11'),(12247,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15337,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"The individual was setting up her medication for the week on Tuesday 10\\/15\\/19. The individual stated that she\\r\\ntook the bottle of pills from the box of medication that staff left unattended. Individual stated on 10\\/20\\/19 that she took 30 pills on 10\\/17\\/19\\r\\nand took 19 pills on 10\\/19\\/19. The medication was Hydroxyzine 25mg capsules. The individual did not have any apparent side effects from\\r\\ntaking the medications.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15337}','68.53.115.247','2021-05-25 15:16:11'),(12248,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15338,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15338}','68.53.115.247','2021-05-25 15:16:11'),(12249,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15339,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff left person unsupervised duirng medication setup\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15339}','68.53.115.247','2021-05-25 15:16:11'),(12250,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15340,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15340}','68.53.115.247','2021-05-25 15:16:11'),(12251,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15341,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15341}','68.53.115.247','2021-05-25 15:16:11'),(12252,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15342,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15342}','68.53.115.247','2021-05-25 15:16:11'),(12253,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15343,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15343}','68.53.115.247','2021-05-25 15:16:11'),(12254,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15344,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"Person was left unsupervised during medication set up was influenced by DSP perception that the people who are their own guardians can direct their own services.  Person was their own guardian. Also contributing to the staff\\u2019s perception is the training they receive on person center planning which is a requirement of 245D.  The training offered to staff is impacted by the funding that is allowed in the Disability Waiver Rate Setting Tool, which doesn\\u2019t always capture the training staff may need to support a person with mental health issues. \\r\\n Also influencing the staff to leave someone unsupervised that there were 4 people in the home and the time of the day at the home was busy.  Staff are responsible for ensuring the safety of all people in the home which is a requirement by the CSSP of each person as well as the requirements of 245D. \\r\\nFurther impacting staff leaving the person unsupervised during medication setup is that staff at the home would often prioritize the needs of the other 3 people in the home due to their higher and lower autonomy.  . The moratorium decreased the number of beds available and created a bed shortage.\\r\\nThe final influence as to why the staff left the person unsupervised was the staff was comfortable leaving the person alone.  The person was high functioning and their own guardian.  Person being served had no history of abusing medications while residing in the home and no history of issues during medication set up influencing staff to have a trusting relationship with the person further impacting the staff being comfortable leaving the person unsupervised during medication set up.  The person had chosen to set up their medications independently with supervision.  The provider was assigned responsibility for medication set up with supervision by the case manager and agreed to by the person.  The mental health professionals involved did agree that there was a need for medication set up assistance, influencing why the provider was assigned medication set up responsibilities. The person\\u2019s MnCHOICES assessment did identify a need for medication responsibilities, which in turn was impacted by the levels of medication responsibilities identified in 245D.  The case manager\\u2019s awareness of the person\\u2019s history, which included a previous suicide attempt, further impacted the case manager assigning the provider medication set up assistance responsibility.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15344}','68.53.115.247','2021-05-25 15:16:11'),(12255,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15345,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15345}','68.53.115.247','2021-05-25 15:16:11'),(12256,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15346,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15346}','68.53.115.247','2021-05-25 15:16:11'),(12257,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15347,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15347}','68.53.115.247','2021-05-25 15:16:11'),(12258,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15348,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15348}','68.53.115.247','2021-05-25 15:16:11'),(12259,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15349,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15349}','68.53.115.247','2021-05-25 15:16:11'),(12260,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15350,'{\"report_id\":208,\"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 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15350}','68.53.115.247','2021-05-25 15:16:11'),(12261,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15351,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":\"Person was left unsupervised during medication set up was influenced by DSP perception that the people who are their own guardians can direct their own services\\r\\n Person being served had no history of abusing medications while residing in the home and no history of issues during medication set up influencing staff to have a trusting relationship with the person further impacting the staff being comfortable leaving the person unsupervised during medication set up.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15351}','68.53.115.247','2021-05-25 15:16:11'),(12262,'lzuJ7a81axZMw1m4QSDwOdwq1njTbHplExHV7qwq',81,'reports_answer','create',15352,'{\"report_id\":208,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"103\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/25\\/2021 10:16:11 am\",\"created_at\":\"5\\/25\\/2021 10:16:11 am\",\"id\":15352}','68.53.115.247','2021-05-25 15:16:11'),