(21739,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33395,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"351\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33395}','68.53.115.247','2021-05-26 18:16:53'),(21740,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33396,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"352\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33396}','68.53.115.247','2021-05-26 18:16:53'),(21741,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33397,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"353\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33397}','68.53.115.247','2021-05-26 18:16:53'),(21742,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33398,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"354\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33398}','68.53.115.247','2021-05-26 18:16:53'),(21743,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33399,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"355\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1:\\r\\nAdditionally impacting permanency not being achieved in this case were communication and consultation barriers that occurred between the county and the tribe on permanency planning for this child. \\r\\n\\r\\nLP #2:\\r\\nCommunication gaps between DHS and local agencies has resulted in changes being made that were not fully communicated around active effort requirements have further impacted the implementation and interpretation of active efforts requirements by local agencies.\\r\\n\\r\\nFurthermore, barriers also occurred in this case in communicating with the Tribe as the Tribal worker is very hard to reach as her availability is limited due to the scope of responsibility placed on her.  She is responsible for the Tribes Child Protection Services as well as the out of state ICWA cases and is therefore in high demand.  As a result, the local agency was unable to obtain any additional names of relative tribal members that may be able to care for the subject child or keep her connected to her Tribe.  \\r\\n\\r\\nAn additional influence into not being able to achieve active efforts is knowing who to go to at the Tribe and what constitutes active efforts.  This is impacted by local agencies knowledge of ICWA\\/MIFPA and who the Tribal contacts are for ICWA\\/MIPFPA cases.  The communication gap from DHS around revisions regarding implementation of state changes has impacted local agencies knowledge of requirements which can create further create challenges on what to do to ensure active efforts are met.\\r\\n\\r\\nLP #3:\\r\\nLastly, communication and coordination barriers occurred between the Tribe and the local agency. It was difficult to communicate and coordinate with the Tribe throughout the life of the case.  When this happens, it is difficult to obtain guidance and consultation from the Tribe throughout the case on permanency options and planning.  It was difficult to get a response back from the Tribal worker as her availability is limited due to the scope of responsibility placed on her.  She is responsible for the Tribes Child Protection Services as well as the out of state ICWA cases and is therefore in high demand.  Staff also noted that the staff at the Tribe did not seem to have a positive relationship with the mother and did not provide staff at the county any other relatives or tribal options for permanency.  This further contributed to the difficulty in finding other relatives or tribal members for placement of the subject child given her complex needs.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33399}','68.53.115.247','2021-05-26 18:16:53'),(21744,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33400,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"356\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33400}','68.53.115.247','2021-05-26 18:16:53'),(21745,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33401,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"357\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #2:\\r\\nFurther impacting active efforts not being made in this case was that the subject child reported that she was not connected to the Tribe and her mother reported being somewhat connected to the Tribe.  \\r\\n\\r\\nLastly, when this case was assigned to staff in 2015 a knowledge gap existed as this was staff\'s first child protection case and first ICWA case.  There was limited guidance on ICWA cases during this time, further impacting the achievement of active efforts not being made\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33401}','68.53.115.247','2021-05-26 18:16:53'),(21746,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33402,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"368\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33402}','68.53.115.247','2021-05-26 18:16:53'),(21747,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33403,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"369\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33403}','68.53.115.247','2021-05-26 18:16:53'),(21748,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33404,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"358\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33404}','68.53.115.247','2021-05-26 18:16:53'),(21749,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33405,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"359\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1:\\r\\nFurther contributing to not achieving permanency in this case is the incongruence that occurs between federal permanency timelines and the time it takes to provide services that will support reunification.  Staff noted that timelines are not realistic when you have a mother with a long history of chemical dependency problems.  It can take 30 days to obtain a chemical dependency assessment and once this is completed, it can take another 3-4 months then before someone can start inpatient treatment.  Once in treatment, it can be another 3-6 months putting you almost at the 12 month permanency timeline.  Staff indicated that they (permanency timelines) are simply not realistic with the needs of families that struggle with chemical dependency and are not conducive to supporting reunification within federally mandated timelines.  \\r\\nFurthermore, such timeframes and the time required to achieve ICWA and MIFPA requirements for active efforts can impact court proceedings which can further influence planning for permanency and therefore permanency being achieved within state and federal timelines.\\r\\n\\r\\nLP #2:\\r\\nActive Efforts, in accordance with ICWA\\/MIFPA, not being made; specifically to preserving connections to the child\'s culture and Tribe, as well as active efforts to engage the Tribe and family members as support and as permanency options were influenced by the perception that active efforts requirements are not the responsibility of children\'s mental health staff.  In cases such as this when it is a voluntary children\'s mental health case and a contracted children\'s mental health worker is assigned to the case, it is normative practice that staff\'s primary focus of attention is to support the mental health needs of the identified child.  This perception is supported by the coordination of guidance around active efforts requirements between DHS\'s Children\'s Mental Health Division and DHS\'s Child Safety and Permanency Division.  Until recently, coordination between Divisions has been minimal with regards to guidance around active efforts requirements.  This has contributed to ambiguity in guidance and staff not wanting to overstep boundaries and roles that can exist between child protection and children\'s mental health case management within local social service agencies in cases such as this one.\\r\\n\\r\\nFurthermore, it isn\'t typical practice for contracted children\'s mental health staff to transport family members or arrange for or provide transportation for visitation of family members when a child is in treatment which constitutes active efforts. Impacting staff not transporting family members is that it can be a contracted provider agency\'s policy such as in this case to not allow workers to transport family members of clients.\\r\\n\\r\\nAn additional influence to active efforts not being made can be staff\'s comfort level to learn about, explore, and expose themselves to others\' cultural frameworks such as in Native American cultures.  This can impact keeping Native American children connected and engaged with cultural activities such as Pow Wows and other cultural practices.  This comfort level is influenced by several factors.    \\r\\n\\r\\nFurther impacting active efforts not being made in this case was that the subject child reported that she was not connected to the Tribe and her mother reported being somewhat connected to the Tribe.  Normative practice for local agencies is to defer to the family regarding their involvement with the Tribe and the connection that they have to their culture. \\r\\n\\r\\nLP #3:\\r\\nAs a result of the pressures associated with state and federal statutory permanency timelines, there was a need to move to permanency quickly in this case since statuary timelines had been met in the previous case in which the subject child had been placed out of the home prior to this case opening, automatically placing the agency near the 12 month permanency timeline. Furthermore, while county agencies are bound by the state and federal permanency definitions, Tribal agencies have a different definition of permanency which can also influence the final permanency decision.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33405}','68.53.115.247','2021-05-26 18:16:53'),(21750,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33406,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"360\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33406}','68.53.115.247','2021-05-26 18:16:53'),(21751,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33407,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"361\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1:\\r\\nFurther contributing to not achieving permanency in this case is the incongruence that occurs between federal permanency timelines and the time it takes to provide services that will support reunification.  Staff noted that timelines are not realistic when you have a mother with a long history of chemical dependency problems.  It can take 30 days to obtain a chemical dependency assessment and once this is completed, it can take another 3-4 months then before someone can start inpatient treatment.  Once in treatment, it can be another 3-6 months putting you almost at the 12 month permanency timeline.  Staff indicated that they (permanency timelines) are simply not realistic with the needs of families that struggle with chemical dependency and are not conducive to supporting reunification within federally mandated timelines.  \\r\\nFurthermore, such timeframes and the time required to achieve ICWA and MIFPA requirements for active efforts can impact court proceedings which can further influence planning for permanency and therefore permanency being achieved within state and federal timelines. \\r\\n\\r\\nCommunication and coordination barriers were influenced by staff turnover both at the county and tribal agency.  Specifically, there is only one tribal child welfare worker at the Tribe that covers both Tribal Child Protection cases within the reservation and off the reservation.  The additional ICWA\\/MIFPA related tasks places pressure on Tribal staff that already have limited resources to do the work and have not received additional resources\\/funding to ensure they can manage the tasks associated with responding to the ICWA.    \\r\\nIn cases such as this, court proceedings including the number of court proceedings, the timing of them, and the Judges knowledge of when both ICWA and MIFPA requirements have been met can lengthen the time it takes local agencies and tribal staff to plan for permanency further creating barriers to both achieving permanency and achieving permanency in accordance with state a federal performance measures.\\r\\n\\r\\nLP #2:\\r\\nAn additional factor contributing to active efforts not being fulfilled is that staff have less time to complete active effort activities due to needing to prioritize and complete the significant amount documentation for all cases, including the documentation of active efforts.  Redundancies in documentation requirements increase the amount of time needed to document active efforts.\\r\\n\\r\\nLP #3:\\r\\nAs a result of the pressures associated with state and federal statutory permanency timelines, there was a need to move to permanency quickly in this case since statuary timelines had been met in the previous case in which the subject child had been placed out of the home prior to this case opening, automatically placing the agency near the 12 month permanency timeline. Furthermore, while county agencies are bound by the state and federal permanency definitions, Tribal agencies have a different definition of permanency which can also influence the final permanency decision.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33407}','68.53.115.247','2021-05-26 18:16:53'),(21752,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33408,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"362\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33408}','68.53.115.247','2021-05-26 18:16:53'),(21753,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33409,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"363\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33409}','68.53.115.247','2021-05-26 18:16:53'),(21754,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33410,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"364\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33410}','68.53.115.247','2021-05-26 18:16:53'),(21755,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33411,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"365\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33411}','68.53.115.247','2021-05-26 18:16:53'),(21756,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33412,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"366\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33412}','68.53.115.247','2021-05-26 18:16:53'),(21757,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33413,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"367\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33413}','68.53.115.247','2021-05-26 18:16:53'),(21758,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33414,'{\"report_id\":326,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"370\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:16:53 pm\",\"created_at\":\"5\\/26\\/2021 1:16:53 pm\",\"id\":33414}','68.53.115.247','2021-05-26 18:16:53'),(21759,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33415,'{\"report_id\":327,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"293\",\"question_type\":\"Date\",\"text_answer\":\"12\\/12\\/2017\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:17:44 pm\",\"created_at\":\"5\\/26\\/2021 1:17:44 pm\",\"id\":33415}','68.53.115.247','2021-05-26 18:17:44'),(21760,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33416,'{\"report_id\":327,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"305\",\"question_type\":\"Date\",\"text_answer\":\"05\\/21\\/2017\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:17:55 pm\",\"created_at\":\"5\\/26\\/2021 1:17:55 pm\",\"id\":33416}','68.53.115.247','2021-05-26 18:17:55'),(21761,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33417,'{\"report_id\":327,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"307\",\"question_type\":\"Date\",\"text_answer\":\"11\\/07\\/2017\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:18:10 pm\",\"created_at\":\"5\\/26\\/2021 1:18:10 pm\",\"id\":33417}','68.53.115.247','2021-05-26 18:18:10'),(21762,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports','update',327,'{\"id\":327,\"form_id\":\"22\",\"user_id\":\"91\",\"question_id\":null,\"organization_id\":\"13\",\"tab_id\":null,\"question_type\":null,\"text_answer\":\"{\\\"Multiple_Choice__291\\\":\\\"Brittany Lochner\\\",\\\"Short_Answer__292\\\":\\\"JoLynn Sundstrom\\\",\\\"Date__293\\\":\\\"12\\\\\\/12\\\\\\/2017\\\",\\\"Multiple_Choice__294\\\":\\\"Near Fatality\\\",\\\"Yes_or_No__295\\\":\\\"No\\\",\\\"Multiple_Choice__300\\\":\\\"5\\\",\\\"Multiple_Choice__301\\\":\\\"Meeker\\\",\\\"Short_Answer__303\\\":\\\"Leo\\\",\\\"Short_Answer__304\\\":\\\"Martinez\\\",\\\"Date__305\\\":\\\"05\\\\\\/21\\\\\\/2017\\\",\\\"Date__307\\\":\\\"11\\\\\\/07\\\\\\/2017\\\",\\\"Multiple_Choice__308\\\":\\\"6 Months\\\",\\\"Multiple_Choice__309\\\":\\\"1\\\",\\\"Short_Answer__310\\\":\\\"Father\\\",\\\"Multiple_Choice__346\\\":\\\"0\\\",\\\"Multiple_Choice__348\\\":\\\"0\\\",\\\"Multiple_Choice__350\\\":\\\"0\\\",\\\"Multiple_Choice__352\\\":\\\"0\\\",\\\"Multiple_Choice__354\\\":\\\"0\\\",\\\"Multiple_Choice__356\\\":\\\"0\\\",\\\"Multiple_Choice__368\\\":\\\"0\\\",\\\"Multiple_Choice__358\\\":\\\"0\\\",\\\"Multiple_Choice__360\\\":\\\"0\\\",\\\"Multiple_Choice__362\\\":\\\"0\\\",\\\"Multiple_Choice__364\\\":\\\"0\\\",\\\"Multiple_Choice__366\\\":\\\"0\\\",\\\"Yes_or_No__370\\\":\\\"Yes\\\"}\",\"mcq_answer\":null,\"other_answer\":\"0\",\"status\":\"1\",\"created_by\":\"91\",\"updated_by\":81,\"created_at\":\"5\\/26\\/2021 2:33:23 pm\",\"updated_at\":\"5\\/26\\/2021 1:18:13 pm\",\"deleted_at\":null,\"report_name\":\"Leo Martinez\"}','68.53.115.247','2021-05-26 18:18:13'),(21763,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33418,'{\"report_id\":327,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"291\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Brittany Lochner\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:18:13 pm\",\"created_at\":\"5\\/26\\/2021 1:18:13 pm\",\"id\":33418}','68.53.115.247','2021-05-26 18:18:13'),(21764,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33419,'{\"report_id\":327,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"292\",\"question_type\":\"Short_Answer\",\"text_answer\":\"JoLynn Sundstrom\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:18:13 pm\",\"created_at\":\"5\\/26\\/2021 1:18:13 pm\",\"id\":33419}','68.53.115.247','2021-05-26 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Lennander\\\",\\\"Date__293\\\":\\\"11\\\\\\/13\\\\\\/2017\\\",\\\"Multiple_Choice__294\\\":\\\"Other\\\",\\\"Yes_or_No__295\\\":\\\"No\\\",\\\"Short_Answer__297\\\":\\\"Licensed\\\",\\\"Multiple_Choice__300\\\":\\\"8\\\",\\\"Multiple_Choice__301\\\":\\\"Hennepin\\\",\\\"Short_Answer__303\\\":\\\"McKinley\\\",\\\"Short_Answer__304\\\":\\\"Askenette\\\",\\\"Date__305\\\":\\\"08\\\\\\/06\\\\\\/2017\\\",\\\"Multiple_Choice__308\\\":\\\"2 Months\\\",\\\"Multiple_Choice__309\\\":\\\"1\\\",\\\"Short_Answer__310\\\":\\\"Foster care parent\\\",\\\"Multiple_Choice__316\\\":\\\"2\\\",\\\"Short_Answer__317\\\":\\\"Placement capacity of shelter home\\\",\\\"Free_Text__318\\\":\\\"The human factors debriefing information was not documented at the request of the local agency due to pending litigation.  All of the local rationality information is captured in the narrative.\\\",\\\"Free_Text__319\\\":\\\"The decision to place a child in a shelter care home that was nearing capacity was influenced by no relatives being identified as immediate placement options.  While an extensive relative search was completed, many licensing barriers existed in licensing any of the relatives who were identified.  It is common in relative placement cases that the time it can take and the bureaucratic system created by both the local agency and DHS standards can influence placing children in an already licensed shelter care home versus one of a relative.  While a few of them may have been a viable options, the Judge ordered that the subject child be placed immediately into shelter care.  \\\\r\\\\nFurthermore, at this time, the placing process within the agency was for children to be immediately placed in shelter and that the shelter center locates the placement for the child\\\\\\/children based upon needs to the child and who can care for the child.  Normative practice is to defer to shelter for these decisions. Staff also noted that in placement cases they are often balancing multiple competing goals.  Such as the location and placement with a relative often takes more time, which can be difficult when operating under tight permanency timelines.  While working to accomplish concurrent planning, staff also need to make reasonable and active efforts to reunify whenever possible.  Further impacting this pressure is the best practice of placement stability.  Best practice is to ensure children are placed in stable placement as soon as possible and such practices are also measured through state and federal placement stability performance measures creating additional pressure on staff to ensure placements are stable.\\\",\\\"Short_Answer__320\\\":\\\"Placement occurred in shelter versus a relative home.\\\",\\\"Free_Text__321\\\":\\\"The human factors debriefing information was not documented at the request of the local agency due to pending litigation.  All of the local rationality information is captured in the narrative.\\\",\\\"Free_Text__322\\\":\\\"The decision to place a child in a shelter care home versus a relative home was influenced by the fact that an extensive relative search was completed, and many licensing barriers occurred for many of the relatives identified as placement resources.  It is common in relative placement cases that the time it can take and the bureaucratic system for a relative to become licensed created by both local agency and DHS standards can influence placing children in an already licensed shelter care home versus one of a relative. Additionally, normative practice for this local agency is to place children in shelter care until a relative can be identified as a placement option.  This placing process further impacted the subject child being placed in shelter care versus a relative.  While a few relatives may have been viable options, when the critical incident occurred, the Judge ordered that the subject child be placed immediately into shelter care.  Further impacting this decision was that a relative was set to take the subject child but then decided at the last minute that they could not take the child.   \\\\r\\\\nAn additional influence into the subject child being placed in shelter care versus a relative care home was the difficulty in communicating with the state of Massachusetts.  The subject child\'s mother also had an open case and other children in placement in Massachusetts.  Staff noted significant barriers in obtaining any information at all from their CPS system\\\\\\/staff related to the subject child\'s mother, siblings, their placements, and any other potential relative placement options for the subject child.  \\\\r\\\\nFurthermore, when this case came into the agency, it was assigned an initial kinship worker whom had been working to secure a relative placement for the subject child.  This initial kinship work went out on leave and the case at the time of the critical incident was transferred to another kinship worker.  This created challenges in communication around potential relative options that had been and were explored for the subject child further impacting the ability to identify and place with a viable relative option.  Furthermore, both kinship workers had made multiple attempts with relatives and all of the relatives contacted took a substantial amount of time to respond to both kinship workers.\\\",\\\"Multiple_Choice__346\\\":\\\"2\\\",\\\"Free_Text__347\\\":\\\"LP 1-Additionally, licensing staff conduct regular check-ins with relative placements to understand how they are feeling about taking other children and how things are going overall. This process supports a perception of trust that everything is going okay in the foster care home.  In this case, the provider was self-reporting that things were going well and that she could take an additional child and that she did not need additional support.  \\\\r\\\\n\\\\r\\\\nFurthermore, this provider had taken care of a number if infants such as the subject child that were high needs and drug exposed.  As a result, staff were confident in her ability to take another child.\\\",\\\"Multiple_Choice__348\\\":\\\"2\\\",\\\"Free_Text__349\\\":\\\"LP 1- In this case, the provider was self-reporting that things were going well and that she could take an additional child and that she did not need additional support.  However, at the time that the subject child was in placement, there were only two licensing workers carrying shelter caseloads (leaving them with 30-40 cases a piece).  As a result quarterly face-to-face check-ins with providers went to every other quarter face-to-face check-ins with phone calls during the other two quarters.\\\",\\\"Multiple_Choice__350\\\":\\\"0\\\",\\\"Multiple_Choice__352\\\":\\\"3\\\",\\\"Free_Text__353\\\":\\\"LP 2-An additional influence into the subject child being placed in shelter care versus a relative care home was the difficulty in communicating with the state of Massachusetts.  The subject child\'s mother also had an open case and other children in placement in Massachusetts.  Staff noted significant barriers in obtaining any information at all from their CPS system\\\\\\/staff related to the subject child\'s mother, siblings, their placements, and any other potential relative placement options for the subject child.\\\",\\\"Multiple_Choice__354\\\":\\\"3\\\",\\\"Free_Text__355\\\":\\\"LP 3-\\\\r\\\\nAn additional influence into the subject child being placed in shelter care versus a relative care home was the difficulty in communicating with the state of Massachusetts.  The subject child\'s mother also had an open case and other children in placement in Massachusetts.  Staff noted significant barriers in obtaining any information at all from their CPS system\\\\\\/staff related to the subject child\'s mother, siblings, their placements, and any other potential relative placement options for the subject child.  \\\\r\\\\n\\\\r\\\\nFurthermore, when this case came into the agency, it was assigned an initial kinship worker whom had been working to secure a relative placement for the subject child.  This initial kinship work went out on leave and the case at the time of the critical incident was transferred to another kinship worker.  This created challenges in communication around potential relative options that had been and were explored for the subject child further impacting the ability to identify and place with a viable relative option.  Furthermore, both kinship workers had made multiple attempts with relatives and all of the relatives contacted took a substantial amount of time to respond to both kinship workers.\\\",\\\"Multiple_Choice__356\\\":\\\"0\\\",\\\"Multiple_Choice__358\\\":\\\"2\\\",\\\"Free_Text__359\\\":\\\"LP 1-While an extensive relative search was completed, many licensing barriers existed in licensing any of the relatives who were identified.  It is common in relative placement cases that the time it can take and the bureaucratic system created by both the local agency and DHS standards can influence placing children in an already licensed shelter care home versus one of a relative.\\\\r\\\\n\\\\r\\\\nFurthermore, at this time, the placing process within the agency was for children to be immediately placed in shelter and that the shelter center locates the placement for the child\\\\\\/children based upon needs to the child and who can care for the child.  Normative practice is to defer to shelter for these decisions. \\\\r\\\\n\\\\r\\\\nLP 2-The decision to place a child in a shelter care home versus a relative home was influenced by the fact that an extensive relative search was completed, and many licensing barriers occurred for many of the relatives identified as placement resources.  It is common in relative placement cases that the time it can take and the bureaucratic system for a relative to become licensed created by both local agency and DHS standards can influence placing children in an already licensed shelter care home versus one of a relative. Additionally, normative practice for this local agency is to place children in shelter care until a relative can be identified as a placement option.  This placing process further impacted the subject child being placed in shelter care versus a relative.  \\\\r\\\\n\\\\r\\\\nLP 2-Additionally, normative practice for this local agency is to place children in shelter care until a relative can be identified as a placement option.  This placing process further impacted the subject child being placed in shelter care versus a relative.  While a few relatives may have been viable options, when the critical incident occurred, the Judge ordered that the subject child be placed immediately into shelter care.\\\",\\\"Multiple_Choice__360\\\":\\\"2\\\",\\\"Free_Text__361\\\":\\\"LP 1- Staff also noted that in placement cases they are often balancing multiple competing goals.  Such as the location and placement with a relative often takes more time, which can be difficult when operating under tight permanency timelines.  While working to accomplish concurrent planning, staff also need to make reasonable and active efforts to reunify whenever possible.  Further impacting this pressure is the best practice of placement stability.  Best practice is to ensure children are placed in stable placement as soon as possible and such practices are also measured through state and federal placement stability performance measures creating additional pressure on staff to ensure placements are stable.\\\",\\\"Multiple_Choice__362\\\":\\\"2\\\",\\\"Free_Text__363\\\":\\\"Further impacting placement with this particular home was that there are never enough homes to take drug exposed infants.  \\\\r\\\\n\\\\r\\\\nLP 2-The decision to place a child in a shelter care home versus a relative home was influenced by the fact that an extensive relative search was completed, and many licensing barriers occurred for many of the relatives identified as placement resources.  It is common in relative placement cases that the time it can take and the bureaucratic system for a relative to become licensed created by both local agency and DHS standards can influence placing children in an already licensed shelter care home versus one of a relative. Additionally, normative practice for this local agency is to place children in shelter care until a relative can be identified as a placement option.  This placing process further impacted the subject child being placed in shelter care versus a relative.\\\",\\\"Multiple_Choice__364\\\":\\\"0\\\",\\\"Multiple_Choice__366\\\":\\\"0\\\",\\\"Yes_or_No__370\\\":\\\"Yes\\\"}\",\"mcq_answer\":null,\"other_answer\":\"0\",\"status\":\"1\",\"created_by\":\"84\",\"updated_by\":81,\"created_at\":\"5\\/26\\/2021 2:33:23 pm\",\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"deleted_at\":null,\"report_name\":\"McKinley Askenette\"}','68.53.115.247','2021-05-26 18:23:59'),(22108,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33758,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"291\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Kelly Knutson\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33758}','68.53.115.247','2021-05-26 18:23:59'),(22109,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33759,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"292\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Paul Lennander\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33759}','68.53.115.247','2021-05-26 18:23:59'),(22110,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33760,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"293\",\"question_type\":\"Date\",\"text_answer\":\"11\\/13\\/2017\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33760}','68.53.115.247','2021-05-26 18:23:59'),(22111,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33761,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"342\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33761}','68.53.115.247','2021-05-26 18:23:59'),(22112,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33762,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"294\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Other\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33762}','68.53.115.247','2021-05-26 18:23:59'),(22113,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33763,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"295\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"No\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33763}','68.53.115.247','2021-05-26 18:23:59'),(22114,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33764,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"296\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33764}','68.53.115.247','2021-05-26 18:23:59'),(22115,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33765,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"297\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Licensed\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33765}','68.53.115.247','2021-05-26 18:23:59'),(22116,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33766,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"299\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33766}','68.53.115.247','2021-05-26 18:23:59'),(22117,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33767,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"300\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"8\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33767}','68.53.115.247','2021-05-26 18:23:59'),(22118,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33768,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"301\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Hennepin\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33768}','68.53.115.247','2021-05-26 18:23:59'),(22119,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33769,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"302\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33769}','68.53.115.247','2021-05-26 18:23:59'),(22120,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33770,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"303\",\"question_type\":\"Short_Answer\",\"text_answer\":\"McKinley\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33770}','68.53.115.247','2021-05-26 18:23:59'),(22121,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33771,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"304\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Askenette\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33771}','68.53.115.247','2021-05-26 18:23:59'),(22122,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33772,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"305\",\"question_type\":\"Date\",\"text_answer\":\"08\\/06\\/2017\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33772}','68.53.115.247','2021-05-26 18:23:59'),(22123,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33773,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"306\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33773}','68.53.115.247','2021-05-26 18:23:59'),(22124,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33774,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"307\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33774}','68.53.115.247','2021-05-26 18:23:59'),(22125,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33775,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"308\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2 Months\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33775}','68.53.115.247','2021-05-26 18:23:59'),(22126,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33776,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"309\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33776}','68.53.115.247','2021-05-26 18:23:59'),(22127,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33777,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"310\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Foster care parent\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33777}','68.53.115.247','2021-05-26 18:23:59'),(22128,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33778,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"311\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33778}','68.53.115.247','2021-05-26 18:23:59'),(22129,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33779,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"312\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33779}','68.53.115.247','2021-05-26 18:23:59'),(22130,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33780,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"313\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33780}','68.53.115.247','2021-05-26 18:23:59'),(22131,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33781,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"314\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33781}','68.53.115.247','2021-05-26 18:23:59'),(22132,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33782,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"316\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33782}','68.53.115.247','2021-05-26 18:23:59'),(22133,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33783,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"317\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Placement capacity of shelter home\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33783}','68.53.115.247','2021-05-26 18:23:59'),(22134,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33784,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"318\",\"question_type\":\"Free_Text\",\"text_answer\":\"The human factors debriefing information was not documented at the request of the local agency due to pending litigation.  All of the local rationality information is captured in the narrative.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33784}','68.53.115.247','2021-05-26 18:23:59'),(22135,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33785,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"319\",\"question_type\":\"Free_Text\",\"text_answer\":\"The decision to place a child in a shelter care home that was nearing capacity was influenced by no relatives being identified as immediate placement options.  While an extensive relative search was completed, many licensing barriers existed in licensing any of the relatives who were identified.  It is common in relative placement cases that the time it can take and the bureaucratic system created by both the local agency and DHS standards can influence placing children in an already licensed shelter care home versus one of a relative.  While a few of them may have been a viable options, the Judge ordered that the subject child be placed immediately into shelter care.  \\r\\nFurthermore, at this time, the placing process within the agency was for children to be immediately placed in shelter and that the shelter center locates the placement for the child\\/children based upon needs to the child and who can care for the child.  Normative practice is to defer to shelter for these decisions. Staff also noted that in placement cases they are often balancing multiple competing goals.  Such as the location and placement with a relative often takes more time, which can be difficult when operating under tight permanency timelines.  While working to accomplish concurrent planning, staff also need to make reasonable and active efforts to reunify whenever possible.  Further impacting this pressure is the best practice of placement stability.  Best practice is to ensure children are placed in stable placement as soon as possible and such practices are also measured through state and federal placement stability performance measures creating additional pressure on staff to ensure placements are stable.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33785}','68.53.115.247','2021-05-26 18:23:59'),(22136,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33786,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"320\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Placement occurred in shelter versus a relative home.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33786}','68.53.115.247','2021-05-26 18:23:59'),(22137,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33787,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"321\",\"question_type\":\"Free_Text\",\"text_answer\":\"The human factors debriefing information was not documented at the request of the local agency due to pending litigation.  All of the local rationality information is captured in the narrative.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33787}','68.53.115.247','2021-05-26 18:23:59'),(22138,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33788,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"322\",\"question_type\":\"Free_Text\",\"text_answer\":\"The decision to place a child in a shelter care home versus a relative home was influenced by the fact that an extensive relative search was completed, and many licensing barriers occurred for many of the relatives identified as placement resources.  It is common in relative placement cases that the time it can take and the bureaucratic system for a relative to become licensed created by both local agency and DHS standards can influence placing children in an already licensed shelter care home versus one of a relative. Additionally, normative practice for this local agency is to place children in shelter care until a relative can be identified as a placement option.  This placing process further impacted the subject child being placed in shelter care versus a relative.  While a few relatives may have been viable options, when the critical incident occurred, the Judge ordered that the subject child be placed immediately into shelter care.  Further impacting this decision was that a relative was set to take the subject child but then decided at the last minute that they could not take the child.   \\r\\nAn additional influence into the subject child being placed in shelter care versus a relative care home was the difficulty in communicating with the state of Massachusetts.  The subject child\'s mother also had an open case and other children in placement in Massachusetts.  Staff noted significant barriers in obtaining any information at all from their CPS system\\/staff related to the subject child\'s mother, siblings, their placements, and any other potential relative placement options for the subject child.  \\r\\nFurthermore, when this case came into the agency, it was assigned an initial kinship worker whom had been working to secure a relative placement for the subject child.  This initial kinship work went out on leave and the case at the time of the critical incident was transferred to another kinship worker.  This created challenges in communication around potential relative options that had been and were explored for the subject child further impacting the ability to identify and place with a viable relative option.  Furthermore, both kinship workers had made multiple attempts with relatives and all of the relatives contacted took a substantial amount of time to respond to both kinship workers.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33788}','68.53.115.247','2021-05-26 18:23:59'),(22139,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33789,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"323\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33789}','68.53.115.247','2021-05-26 18:23:59'),(22140,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33790,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"324\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33790}','68.53.115.247','2021-05-26 18:23:59'),(22141,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33791,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"325\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33791}','68.53.115.247','2021-05-26 18:23:59'),(22142,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33792,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"326\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33792}','68.53.115.247','2021-05-26 18:23:59'),(22143,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33793,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"327\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33793}','68.53.115.247','2021-05-26 18:23:59'),(22144,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33794,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"328\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33794}','68.53.115.247','2021-05-26 18:23:59'),(22145,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33795,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"343\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33795}','68.53.115.247','2021-05-26 18:23:59'),(22146,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33796,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"344\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33796}','68.53.115.247','2021-05-26 18:23:59'),(22147,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33797,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"345\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33797}','68.53.115.247','2021-05-26 18:23:59'),(22148,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33798,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"346\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33798}','68.53.115.247','2021-05-26 18:23:59'),(22149,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33799,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"347\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP 1-Additionally, licensing staff conduct regular check-ins with relative placements to understand how they are feeling about taking other children and how things are going overall. This process supports a perception of trust that everything is going okay in the foster care home.  In this case, the provider was self-reporting that things were going well and that she could take an additional child and that she did not need additional support.  \\r\\n\\r\\nFurthermore, this provider had taken care of a number if infants such as the subject child that were high needs and drug exposed.  As a result, staff were confident in her ability to take another child.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33799}','68.53.115.247','2021-05-26 18:23:59'),(22150,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33800,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"348\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33800}','68.53.115.247','2021-05-26 18:23:59'),(22151,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33801,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"349\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP 1- In this case, the provider was self-reporting that things were going well and that she could take an additional child and that she did not need additional support.  However, at the time that the subject child was in placement, there were only two licensing workers carrying shelter caseloads (leaving them with 30-40 cases a piece).  As a result quarterly face-to-face check-ins with providers went to every other quarter face-to-face check-ins with phone calls during the other two quarters.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33801}','68.53.115.247','2021-05-26 18:23:59'),(22152,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33802,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"350\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33802}','68.53.115.247','2021-05-26 18:23:59'),(22153,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33803,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"351\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33803}','68.53.115.247','2021-05-26 18:23:59'),(22154,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33804,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"352\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33804}','68.53.115.247','2021-05-26 18:23:59'),(22155,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33805,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"353\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP 2-An additional influence into the subject child being placed in shelter care versus a relative care home was the difficulty in communicating with the state of Massachusetts.  The subject child\'s mother also had an open case and other children in placement in Massachusetts.  Staff noted significant barriers in obtaining any information at all from their CPS system\\/staff related to the subject child\'s mother, siblings, their placements, and any other potential relative placement options for the subject child.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33805}','68.53.115.247','2021-05-26 18:23:59'),(22156,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33806,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"354\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33806}','68.53.115.247','2021-05-26 18:23:59'),(22157,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33807,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"355\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP 3-\\r\\nAn additional influence into the subject child being placed in shelter care versus a relative care home was the difficulty in communicating with the state of Massachusetts.  The subject child\'s mother also had an open case and other children in placement in Massachusetts.  Staff noted significant barriers in obtaining any information at all from their CPS system\\/staff related to the subject child\'s mother, siblings, their placements, and any other potential relative placement options for the subject child.  \\r\\n\\r\\nFurthermore, when this case came into the agency, it was assigned an initial kinship worker whom had been working to secure a relative placement for the subject child.  This initial kinship work went out on leave and the case at the time of the critical incident was transferred to another kinship worker.  This created challenges in communication around potential relative options that had been and were explored for the subject child further impacting the ability to identify and place with a viable relative option.  Furthermore, both kinship workers had made multiple attempts with relatives and all of the relatives contacted took a substantial amount of time to respond to both kinship workers.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33807}','68.53.115.247','2021-05-26 18:23:59'),(22158,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33808,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"356\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33808}','68.53.115.247','2021-05-26 18:23:59'),(22159,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33809,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"357\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33809}','68.53.115.247','2021-05-26 18:23:59'),(22160,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33810,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"368\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33810}','68.53.115.247','2021-05-26 18:23:59'),(22161,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33811,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"369\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33811}','68.53.115.247','2021-05-26 18:23:59'),(22162,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33812,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"358\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33812}','68.53.115.247','2021-05-26 18:23:59'),(22163,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33813,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"359\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP 1-While an extensive relative search was completed, many licensing barriers existed in licensing any of the relatives who were identified.  It is common in relative placement cases that the time it can take and the bureaucratic system created by both the local agency and DHS standards can influence placing children in an already licensed shelter care home versus one of a relative.\\r\\n\\r\\nFurthermore, at this time, the placing process within the agency was for children to be immediately placed in shelter and that the shelter center locates the placement for the child\\/children based upon needs to the child and who can care for the child.  Normative practice is to defer to shelter for these decisions. \\r\\n\\r\\nLP 2-The decision to place a child in a shelter care home versus a relative home was influenced by the fact that an extensive relative search was completed, and many licensing barriers occurred for many of the relatives identified as placement resources.  It is common in relative placement cases that the time it can take and the bureaucratic system for a relative to become licensed created by both local agency and DHS standards can influence placing children in an already licensed shelter care home versus one of a relative. Additionally, normative practice for this local agency is to place children in shelter care until a relative can be identified as a placement option.  This placing process further impacted the subject child being placed in shelter care versus a relative.  \\r\\n\\r\\nLP 2-Additionally, normative practice for this local agency is to place children in shelter care until a relative can be identified as a placement option.  This placing process further impacted the subject child being placed in shelter care versus a relative.  While a few relatives may have been viable options, when the critical incident occurred, the Judge ordered that the subject child be placed immediately into shelter care.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33813}','68.53.115.247','2021-05-26 18:23:59'),(22164,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33814,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"360\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33814}','68.53.115.247','2021-05-26 18:23:59'),(22165,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33815,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"361\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP 1- Staff also noted that in placement cases they are often balancing multiple competing goals.  Such as the location and placement with a relative often takes more time, which can be difficult when operating under tight permanency timelines.  While working to accomplish concurrent planning, staff also need to make reasonable and active efforts to reunify whenever possible.  Further impacting this pressure is the best practice of placement stability.  Best practice is to ensure children are placed in stable placement as soon as possible and such practices are also measured through state and federal placement stability performance measures creating additional pressure on staff to ensure placements are stable.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:23:59 pm\",\"created_at\":\"5\\/26\\/2021 1:23:59 pm\",\"id\":33815}','68.53.115.247','2021-05-26 18:23:59'),(22166,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33816,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"362\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:00 pm\",\"created_at\":\"5\\/26\\/2021 1:24:00 pm\",\"id\":33816}','68.53.115.247','2021-05-26 18:24:00'),(22167,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33817,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"363\",\"question_type\":\"Free_Text\",\"text_answer\":\"Further impacting placement with this particular home was that there are never enough homes to take drug exposed infants.  \\r\\n\\r\\nLP 2-The decision to place a child in a shelter care home versus a relative home was influenced by the fact that an extensive relative search was completed, and many licensing barriers occurred for many of the relatives identified as placement resources.  It is common in relative placement cases that the time it can take and the bureaucratic system for a relative to become licensed created by both local agency and DHS standards can influence placing children in an already licensed shelter care home versus one of a relative. Additionally, normative practice for this local agency is to place children in shelter care until a relative can be identified as a placement option.  This placing process further impacted the subject child being placed in shelter care versus a relative.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:00 pm\",\"created_at\":\"5\\/26\\/2021 1:24:00 pm\",\"id\":33817}','68.53.115.247','2021-05-26 18:24:00'),(22168,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33818,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"364\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:00 pm\",\"created_at\":\"5\\/26\\/2021 1:24:00 pm\",\"id\":33818}','68.53.115.247','2021-05-26 18:24:00'),(22169,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33819,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"365\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:00 pm\",\"created_at\":\"5\\/26\\/2021 1:24:00 pm\",\"id\":33819}','68.53.115.247','2021-05-26 18:24:00'),(22170,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33820,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"366\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:00 pm\",\"created_at\":\"5\\/26\\/2021 1:24:00 pm\",\"id\":33820}','68.53.115.247','2021-05-26 18:24:00'),(22171,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33821,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"367\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:00 pm\",\"created_at\":\"5\\/26\\/2021 1:24:00 pm\",\"id\":33821}','68.53.115.247','2021-05-26 18:24:00'),(22172,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33822,'{\"report_id\":332,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"370\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:00 pm\",\"created_at\":\"5\\/26\\/2021 1:24:00 pm\",\"id\":33822}','68.53.115.247','2021-05-26 18:24:00'),(22173,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33823,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"293\",\"question_type\":\"Date\",\"text_answer\":\"04\\/17\\/2018\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:22 pm\",\"created_at\":\"5\\/26\\/2021 1:24:22 pm\",\"id\":33823}','68.53.115.247','2021-05-26 18:24:22'),(22174,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33824,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"305\",\"question_type\":\"Date\",\"text_answer\":\"11\\/29\\/2004\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:34 pm\",\"created_at\":\"5\\/26\\/2021 1:24:34 pm\",\"id\":33824}','68.53.115.247','2021-05-26 18:24:34'),(22175,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33825,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"307\",\"question_type\":\"Date\",\"text_answer\":\"02\\/11\\/2018\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:41 pm\",\"created_at\":\"5\\/26\\/2021 1:24:41 pm\",\"id\":33825}','68.53.115.247','2021-05-26 18:24:41'),(22176,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports','update',333,'{\"id\":333,\"form_id\":\"22\",\"user_id\":\"92\",\"question_id\":null,\"organization_id\":\"13\",\"tab_id\":null,\"question_type\":null,\"text_answer\":\"{\\\"Multiple_Choice__291\\\":\\\"Kristine Frick\\\",\\\"Short_Answer__292\\\":\\\"Brenda Mahoney\\\",\\\"Date__293\\\":\\\"04\\\\\\/17\\\\\\/2018\\\",\\\"Multiple_Choice__294\\\":\\\"Near Fatality\\\",\\\"Yes_or_No__295\\\":\\\"No\\\",\\\"Multiple_Choice__300\\\":\\\"8\\\",\\\"Multiple_Choice__301\\\":\\\"Hennepin\\\",\\\"Short_Answer__303\\\":\\\"Miangel\\\",\\\"Short_Answer__304\\\":\\\"Scott\\\",\\\"Date__305\\\":\\\"11\\\\\\/29\\\\\\/2004\\\",\\\"Date__307\\\":\\\"02\\\\\\/11\\\\\\/2018\\\",\\\"Multiple_Choice__308\\\":\\\"13 Years\\\",\\\"Multiple_Choice__309\\\":\\\"1\\\",\\\"Short_Answer__310\\\":\\\"Father\\\",\\\"Multiple_Choice__316\\\":\\\"3\\\",\\\"Short_Answer__317\\\":\\\"CP intakes not same or similar allegation (2\\\\\\/9 & 2\\\\\\/11 CP intakes) were referred to current workgroup.\\\",\\\"Free_Text__318\\\":\\\"The 2\\\\\\/9\\\\\\/2018 predatory offender (24 hour response) and 2\\\\\\/11\\\\\\/2018 critical incident overdose (5 day response) allegations were referred to current workgroup nearing the end of 45 day timeline, however it was not closed yet. \\\\r\\\\no\\\\tWorker was getting ready to close the family assessment, when worker discovered on a background check that the father to the sibling children had an egregious harm incident to a child not in this family in another state. As a result a new CP intake was made for this allegation based on predatory offender statute to screen in as 24 hour face to face. At this time, the track changed to a CP Family Investigation from Assessment. \\\\r\\\\no\\\\tStaff\'s perspective is that either intake\\\\\\/screening can open a new workgroup or can refer to current workgroup when the same worker is assigned to a case. \\\\r\\\\n\\\\u00ef\\\\u201a\\\\u00a7\\\\tWorker flips response tracks from assessment to investigation if new allegation is a 24 hour response. \\\\r\\\\no\\\\tIntake protocol is to refer new intakes to current worker even if their workgroup has been open for longer than 45 days.\\\\r\\\\n\\\\u00ef\\\\u201a\\\\u00a7\\\\tReports came in near 45 day case closure timeline, however closing a case in the 45 day timeframe was not priority. \\\\r\\\\n\\\\u00ef\\\\u201a\\\\u00a7\\\\tStaff had to keep the workgroup active and open beyond 45 days due to the nature of how information was learned and evolved over time. \\\\r\\\\n\\\\u00ef\\\\u201a\\\\u00a7\\\\tObtaining records from out of state about the egregious harm\\\\\\/ predatory offender went over 45 day timeline. \\\\r\\\\n\\\\u00e2\\\\u20ac\\\\u00a2\\\\tPractice is for the case\\\\\\/family stay with the original worker on the case and document under one workgroup versus document in two workgroups. \\\\r\\\\no\\\\tAvoid having to document same information in duplicate workgroups for the family and maximizing time more efficiently to keep all together in one workgroup.\\\\r\\\\no\\\\tKeeping same worker with the family for all new intakes is viewed as a strength of continuity of care and being client focused. The preference to keep the same families with staff that they are working with or have worked with in the past due to rapport and working relationship established.\\\",\\\"Free_Text__319\\\":\\\"An accepted procedural drift away from guidance to not close the family\'s workgroup within 45 days, influenced the two CP intakes (not same or similar allegations) to be referred to the open workgroup in SSIS. Considering the new allegations and information within the CP intakes was learned and being documented by the frontline staff working with the family, the agency\'s decision to prioritize continuity of care for the children and family was made, versus opening a new assessment for the allegations as the frontline staff already had the knowledge regarding the new allegations, as he\\\\\\/she reported them.\\\\r\\\\n\\\\r\\\\nLocal agency practice within the intake and screening unit considers the totality of the circumstances, and has discretion to either open a new workgroup if an already open assessment\\\\\\/investigation is near 45 days, or they can refer to the current workgroup when an assessment\\\\\\/investigation is not closed. Commonly, the intake and screening unit consults with the Family Assessment\\\\\\/Family Investigation (FA\\\\\\/FI) unit, and refers CP intakes to the same FA\\\\\\/FI unit who has a frontline staff already assigned and actively working with the family in an open workgroup. Priority is placed on continuity of care for the family, regardless if the workgroup is near the 45 day case closure timeline. This agency practice of one frontline assessment\\\\\\/investigation staff assigned to work all allegations, beyond the 45 day case closure timeline, is a procedural adaptation that is viewed as best practice and a strength, as it is client focused and reduces trauma for families coping with child protection involvement in their lives. The sacrifice decision to not meet the 45 day compliance measure, was perceived to ease the pressure of needing to meet face to face timelines for allegations referred to an open assessment\\\\\\/investigation, as staff believed SSIS reports only track face to face compliance for the first screened in CP Intake, and not for any others in which are referred to an already open workgroup. This workaround was believed to not impact face to face contact requirements that was tied to the legislative withhold funding when face to face compliance metrics are not met by the agency.  \\\\r\\\\n\\\\r\\\\nDocumentation practices are also simplified and more efficient for one frontline staff when they can chronologically document the information they are learning about the family under one workgroup over time. The tradeoff decision to not open an additional workgroup as a result of the new allegations that were made near the 45 day timeframe was made because with every new workgroup opened, there are a multitude of tasks to complete and document in SSIS (i.e. Safety Decision Making tools, ICWA screening tools, etc.). In effort to reduce workload tasks and requirements driven by both MN Statues\\\\\\/Admin Rule and DHS guidance around the requirements for assessment and investigations, avoiding duplication of the same information being documented in multiple places better supports frontline staff\'s daily work as well as the agency\'s ability to retain staff and reduce turnover.\\\\r\\\\nResearch and best practice around continuity of care resulting in safe and healthy outcomes for children and families presented a competing priority and pressure for the local agency to adapt to in this case. Furthermore, this research and best practice presents a goal conflict for child welfare staff regarding the need for pursing the continuity of care while simultaneously trying to meet the requirements to open and document new CP intakes and allegations on the same family. In cases such as this a procedural adaptation was made by the local agency to refer the CP intakes to the open workgroup (although near the 45 day timeline) to support continuity of care for the family.\\\",\\\"Short_Answer__320\\\":\\\"Face to face contact regarding 2\\\\\\/11 CP intake Allegation: Neglect (access to alcohol, controlled substance, or prescription drugs) to subject child by the father occurred after 5 days.\\\",\\\"Free_Text__321\\\":\\\"The CP intake was initially screened out and later screened in as a 5 day response, therefore the worker perceived it as a lower priority.\\\\r\\\\no\\\\tPrioritized as lower risk based on the nature of the allegations and response path being family assessment.\\\\r\\\\n\\\\u00ef\\\\u201a\\\\u00a7\\\\tResponse type of family assessment \\\\u00e2\\\\u20ac\\\\u201c 5 day is used per protocol for all allegations unless staff learn of egregious harm, fatality\\\\\\/near fatality, predatory offender, sexual abuse or any other major injury.  \\\\r\\\\no\\\\tFive day responses are less priority for staff because of the intense nature of all other cases received, most are severe abuse\\\\\\/neglect\\\\\\/egregious harm type cases that require staff to responds within the same day to meet 24 hour response.\\\",\\\"Free_Text__322\\\":\\\"As a result of this CP intake initially being screened out and later screened in as a 5 day response, the worker perceived it as a lower priority and prioritized meeting face to face requirements for other cases with allegations with safety and risk concerns that were higher. Supporting that this was a lower priority case was the identified allegation and the response path assignment to family assessment. Unless staff learn of egregious harm, fatality\\\\\\/near fatality, predatory offender, sexual abuse or any other major injury, the local agency uses a 5 day response per protocol for allegations such as this one. At the time of the incident, the severity of the incident was not believed to be near fatal based upon the information received in the report.  Five day responses are less of a priority for staff because of the intense nature of all other cases received by this Family Assessment\\\\\\/Family Investigation (FA\\\\\\/FI) specialty unit, which most cases involve severe abuse\\\\\\/neglect\\\\\\/egregious harm, and substantial harm that require staff to respond within the same day to meet the 24 hour face to face response timeframe. The implementation of the Department\'s Intake, Screening, and Response Path guidelines expanded the number of cases that require a 24 hour face to face response, particularly those allegations that are within the predatory offender statute. As a result, the agency experienced more cases being screened in for a 24 hour face to face response, which impacted the time staff have available to respond to 5 day response cases since they are a lower priority. Due to the high number of cases assigned to this FA\\\\\\/FI unit, it was not uncommon for supervisors to direct staff to place lower priority on cases like this one to ensure higher priority cases are managed first.  \\\\r\\\\n\\\\r\\\\nFurther impacting the delay in face to face contact with the alleged victim was that the frontline staff had just made face to face contact with the child two days prior. Additionally, the frontline staff was the professional who learned and reported the new allegation for the critical incident. The staff had knowledge about the child being in the hospital at the time the information was learned, and the staff had not received a cross report from law enforcement, therefore, there was a presumption of safety since the hospital was caring for the victim child. Also supporting the decision to delay face to face contact was that staff did not want to cause additional trauma to the child and her family after the critical incident. At the time of the report the incident was not believed to be a near fatal event, however, the severity of the incident being near fatal was learned when the frontline staff was able to receive medical records regarding the incident, which occurred later in the investigation. The pressure to meet prescribed practice written in statute and admin rule around meeting for face to face timelines in circumstances when a child is presumably safe in a hospital setting, is not aligned or supporting the work.\\\",\\\"Short_Answer__323\\\":\\\"Face to face contact was not documented regarding 3\\\\\\/9\\\\\\/2018 allegation of educational neglect, and it did not occur.\\\",\\\"Free_Text__324\\\":\\\"CP Worker made a collateral contact with the reporter, and learned there was nothing new being reported about the twin half- sibling\'s truancy. Reporter felt obligated to report again due to the number of absences that one twin sibling had accumulated since the reporter last reported Ed neglect in January. \\\\r\\\\n\\\\u00e2\\\\u20ac\\\\u00a2\\\\tFurther supporting face to face contact not being made in this case was that work was being done as prescribed and expected in regards to addressing Ed neglect concerns. Worker was actively supporting the family\'s needs around getting the children\'s attendance to improve. She worked with the school to set up transportation for the children to increase children\'s ability to attend consistently. \\\\r\\\\n\\\\u00e2\\\\u20ac\\\\u00a2\\\\tThe 3\\\\\\/9 allegation was same or similar allegation already assessed in January on 1\\\\\\/11, and 1\\\\\\/30 under this same workgroup\\\\r\\\\n\\\\u00e2\\\\u20ac\\\\u00a2\\\\tPriority is on making new face to face contacts for 24 hour reports when they are referred to current workgroup, not 5 day response reports for same or similar allegations that are already being assessed in current workgroup.\\\",\\\"Free_Text__325\\\":\\\"Face to face contact regarding 3\\\\\\/9\\\\\\/2018 allegation of educational neglect not occurring was that the 3\\\\\\/9 allegation was same or similar allegation already assessed in January on 1\\\\\\/11, and 1\\\\\\/30 under this same workgroup.  Further influencing face to face contact not occurring in this case was that the CP Worker made a collateral contact with the reporter, and learned there was nothing new being reported about the twin half- sibling\'s truancy. Reporter felt obligated to report again due to the number of absences that one twin sibling had accumulated since the reporter last reported Ed neglect in January.  Also impacting face to face contact not being made in this case was that work was being done as prescribed and expected in regards to addressing Ed neglect concerns.  Staff was actively supporting the family\'s needs around getting the children\'s attendance to improve.  An additional face to face contact would not have changed the trajectory of work in this case as the educational neglect allegations had already been assessed and ongoing work with the family was being conducted.    \\\\r\\\\nFurthermore, staff believed that the investigation around the educational neglect allegations had been completed, although not officially closed within SSIS.  As a result staff\'s interpretation of this new allegation was that it was screened in and the allegations had already been assessed.  Therefore, not requiring an additional face to face to be completed since this was perceived by staff to be a duplicate report and therefore guidance (Intake, Screening, and Response Path Guidelines) would indicate that a report of this type can be screened out as already assessed which would not require face to face to contact.  \\\\r\\\\nAdditionally, priority is placed on making new face to face contacts for 24 hour reports when they are referred to current workgroup, not 5 day response reports for same or similar allegations that are already being assessed in current workgroup.\\\",\\\"Multiple_Choice__346\\\":\\\"3\\\",\\\"Free_Text__347\\\":\\\"LP1 - The sacrifice decision to not meet the 45 day compliance measure, was perceived to ease the pressure of needing to meet face to face timelines for allegations referred to an open assessment\\\\\\/investigation, as staff believed SSIS reports only track face to face compliance for the first screened in CP Intake, and not for any others in which are referred to an already open workgroup. This workaround was believed to not impact face to face contact requirements that was tied to the legislative withhold funding when face to face compliance metrics are not met by the agency.\\\\r\\\\n\\\\r\\\\nLP3 - Furthermore, staff believed that the investigation around the educational neglect allegations had been completed, although not officially closed within SSIS.  As a result staff\'s interpretation of this new allegation was that it was screened in and the allegations had already been assessed.  Therefore, not requiring an additional face to face to be completed since this was perceived by staff to be a duplicate report and therefore guidance (Intake, Screening, and Response Path Guidelines) would indicate that a report of this type can be screened out as already assessed which would not require face to face to contact.\\\",\\\"Multiple_Choice__348\\\":\\\"1\\\",\\\"Multiple_Choice__350\\\":\\\"0\\\",\\\"Multiple_Choice__352\\\":\\\"0\\\",\\\"Multiple_Choice__354\\\":\\\"2\\\",\\\"Free_Text__355\\\":\\\"LP2 - Staff did not receive a cross report from law enforcement and as a result they were not aware of the critical incident occurring and the severity of the incident being near fatal.  \\\\r\\\\n\\\\r\\\\nDelays in accessing child protection reports from another state (Michigan) around predatory offender\\\\\\/ egregious harm allegation\\\",\\\"Multiple_Choice__356\\\":\\\"3\\\",\\\"Free_Text__357\\\":\\\"LP2 - CP investigator was not aware of the severity of the child\'s condition at the time of the critical incident. Critical incident was originally screened out, and later screened in as a 5 day response. The life threatening nature of the incident was not known to the worker until 1 month after the incident when medical records were received and was not cross reported by law enforcement.\\\",\\\"Multiple_Choice__368\\\":\\\"2\\\",\\\"Free_Text__369\\\":\\\"Delay in obtaining medical records was approximately 1 month after critical incident occurred. Prior to receipt of the medical records severity of the overdose was not known to be near fatality.\\\",\\\"Multiple_Choice__358\\\":\\\"3\\\",\\\"Free_Text__359\\\":\\\"LP1 - Prescribed practice around continuity of care for children and with DHS requirements for new CP intakes to not be referred to an already opened workgroup near the 45 day case closure timeline. \\\\r\\\\n\\\\r\\\\nLP1- Research and best practice around continuity of care resulting in safe and healthy outcomes for children and families presented a competing priority and pressure for the local agency to adapt to in this case. Furthermore, this research and best practice presents a goal conflict for child welfare staff regarding the need for pursing the continuity of care while simultaneously trying to meet the requirements to open and document new CP intakes and allegations on the same family. In cases such as this a procedural adaptation was made by the local agency to refer the CP intakes to the open workgroup (although near the 45 day timeline) to support continuity of care for the family.  \\\\r\\\\n\\\\r\\\\nLP2 - As a result of this CP intake initially being screened out and later screened in as a 5 day response, the worker perceived it as a lower priority and prioritized meeting face to face requirements for other cases with allegations with safety and risk concerns that were higher. Supporting that this was a lower priority case was the identified allegation and the response path assignment to family assessment. Unless staff learn of egregious harm, fatality\\\\\\/near fatality, predatory offender, sexual abuse or any other major injury, the local agency uses a 5 day response per protocol for allegations such as this one. At the time of the incident, the severity of the incident was not believed to be near fatal based upon the information received in the report.  Five day responses are less of a priority for staff because of the intense nature of all other cases received by this FA\\\\\\/FI specialty unit, which most cases involve severe abuse\\\\\\/neglect\\\\\\/egregious harm, and substantial harm that require staff to respond within the same day to meet the 24 hour face to face response timeframe. The implementation of the Department\'s Intake, Screening, and Response Path guidelines expanded the number of cases that require a 24 hour face to face response, particularly those allegations that are within the predatory offender statute.  As a result, the agency experienced more cases being screened in for a 24 hour face to face response, which impacted the time staff have available to respond to 5 day response cases since they are a lower priority. Due to the high number of cases assigned to this FA\\\\\\/FI unit, it was not uncommon for supervisors to direct staff to place lower priority on cases like this one to ensure higher priority cases are managed first.  \\\\r\\\\n\\\\r\\\\nLP2 - Further impacting the delay in face to face contact with the alleged victim was that the frontline staff had just made face to face contact with the child two days prior. Additionally, the frontline staff was the professional who learned and reported the new allegation for the critical incident. The staff had knowledge about the child being in the hospital at the time the information was learned, and the staff had not received a cross report from law enforcement, therefore, there was a presumption of safety since the hospital was caring for the victim child. Also supporting the decision to delay face to face contact was that staff did not want to cause additional trauma to the child and her family after the critical incident. At the time of the report the incident was not believed to be a near fatal event, however, the severity of the incident being near fatal was learned when the frontline staff was able to receive medical records regarding the incident, which occurred later in the investigation. The pressure to meet prescribed practice written in statute and admin rule around meeting for face to face timelines in circumstances when a child is presumably safe in a hospital setting, is not aligned or supporting the work. \\\\r\\\\n\\\\r\\\\nLP3- Also impacting face to face contact not being made in this case was that work was being done as prescribed and expected in regards to addressing Ed neglect concerns.  Staff was actively supporting the family\'s needs around getting the children\'s attendance to improve. An additional face to face contact would not have changed the trajectory of work in this case as the educational neglect allegations had already been assessed and ongoing work with the family was being conducted.\\\\r\\\\n\\\\r\\\\nLP3 - Furthermore, staff believed that the investigation around the educational neglect allegations had been completed, although not officially closed within SSIS.  As a result staff\'s interpretation of this new allegation was that it was screened in and the allegations had already been assessed.  Therefore, not requiring an additional face to face to be completed since this was perceived by staff to be a duplicate report and therefore guidance (Intake, Screening, and Response Path Guidelines) would indicate that a report of this type can be screened out as already assessed which would not require face to face to contact.\\\",\\\"Multiple_Choice__360\\\":\\\"3\\\",\\\"Free_Text__361\\\":\\\"LP1 - Documentation practices are also simplified and more efficient for one frontline staff when they can chronologically document the information they are learning about the family under one workgroup over time. The tradeoff decision to not open an additional workgroup as a result of the new allegations that were made near the 45 day timeframe was made because with every new workgroup opened, there are a multitude of tasks to complete and document in SSIS (i.e. Safety Decision Making tools, ICWA screening tools, etc.). In effort to reduce workload tasks and requirements driven by both MN Statues\\\\\\/Admin Rule and DHS guidance around the requirements for FA\\\\\\/FI, avoiding duplication of the same information being documented in multiple places better supports frontline staff\'s daily work as well as the agency\'s ability to retain staff and reduce turnover.\\\\r\\\\n\\\\r\\\\nLP2- Five day responses are less of a priority for staff because of the intense nature of all other cases received by this FA\\\\\\/FI specialty unit, which most cases involve severe abuse\\\\\\/neglect\\\\\\/egregious harm, and substantial harm that require staff to respond within the same day to meet the 24 hour face to face response timeframe. The implementation of the Department\'s Intake, Screening, and Response Path guidelines expanded the number of cases that require a 24 hour face to face response, particularly those allegations that are within the predatory offender statute.  As a result, the agency experienced more cases being screened in for a 24 hour face to face response, which impacted the time staff have available to respond to 5 day response cases since they are a lower priority. Due to the high number of cases assigned to this FA\\\\\\/FI unit, it was not uncommon for supervisors to direct staff to place lower priority on cases like this one to ensure higher priority cases are managed first.  \\\\r\\\\n\\\\r\\\\nLP3 - Priority is placed on making new face to face contacts for 24 hour reports when they are referred to current workgroup, not 5 day response reports for same or similar allegations that are already being assessed in current workgroup.\\\",\\\"Multiple_Choice__362\\\":\\\"0\\\",\\\"Multiple_Choice__364\\\":\\\"0\\\",\\\"Multiple_Choice__366\\\":\\\"3\\\",\\\"Free_Text__367\\\":\\\"LP1 - An accepted procedural drift away from guidance to not close the family\'s workgroup within 45 days, influenced the two CP intakes (not same or similar allegations) to be referred to the open workgroup in SSIS. Considering the new allegations and information within the CP intakes was learned and being documented by the frontline staff working with the family, the agency\'s decision to prioritize continuity of care for the children and family was made, versus opening a new assessment for the allegations as the frontline staff already had the knowledge regarding the new allegations, as he\\\\\\/she reported them.\\\",\\\"Yes_or_No__370\\\":\\\"Yes\\\"}\",\"mcq_answer\":null,\"other_answer\":\"0\",\"status\":\"1\",\"created_by\":\"92\",\"updated_by\":81,\"created_at\":\"5\\/26\\/2021 2:33:23 pm\",\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"deleted_at\":null,\"report_name\":\"Miangel Scott\"}','68.53.115.247','2021-05-26 18:24:46'),(22177,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33826,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"291\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Kristine Frick\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33826}','68.53.115.247','2021-05-26 18:24:46'),(22178,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33827,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"292\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Brenda Mahoney\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33827}','68.53.115.247','2021-05-26 18:24:46'),(22179,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33828,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"293\",\"question_type\":\"Date\",\"text_answer\":\"04\\/17\\/2018\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33828}','68.53.115.247','2021-05-26 18:24:46'),(22180,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33829,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"342\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33829}','68.53.115.247','2021-05-26 18:24:46'),(22181,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33830,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"294\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Near Fatality\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33830}','68.53.115.247','2021-05-26 18:24:46'),(22182,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33831,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"295\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"No\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33831}','68.53.115.247','2021-05-26 18:24:46'),(22183,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33832,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"296\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33832}','68.53.115.247','2021-05-26 18:24:46'),(22184,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33833,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"297\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33833}','68.53.115.247','2021-05-26 18:24:46'),(22185,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33834,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"299\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33834}','68.53.115.247','2021-05-26 18:24:46'),(22186,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33835,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"300\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"8\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33835}','68.53.115.247','2021-05-26 18:24:46'),(22187,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33836,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"301\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Hennepin\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33836}','68.53.115.247','2021-05-26 18:24:46'),(22188,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33837,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"302\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33837}','68.53.115.247','2021-05-26 18:24:46'),(22189,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33838,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"303\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Miangel\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33838}','68.53.115.247','2021-05-26 18:24:46'),(22190,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33839,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"304\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Scott\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33839}','68.53.115.247','2021-05-26 18:24:46'),(22191,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33840,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"305\",\"question_type\":\"Date\",\"text_answer\":\"11\\/29\\/2004\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33840}','68.53.115.247','2021-05-26 18:24:46'),(22192,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33841,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"306\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33841}','68.53.115.247','2021-05-26 18:24:46'),(22193,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33842,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"307\",\"question_type\":\"Date\",\"text_answer\":\"02\\/11\\/2018\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33842}','68.53.115.247','2021-05-26 18:24:46'),(22194,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33843,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"308\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"13 Years\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33843}','68.53.115.247','2021-05-26 18:24:46'),(22195,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33844,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"309\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33844}','68.53.115.247','2021-05-26 18:24:46'),(22196,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33845,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"310\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Father\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33845}','68.53.115.247','2021-05-26 18:24:46'),(22197,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33846,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"311\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33846}','68.53.115.247','2021-05-26 18:24:46'),(22198,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33847,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"312\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33847}','68.53.115.247','2021-05-26 18:24:46'),(22199,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33848,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"313\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33848}','68.53.115.247','2021-05-26 18:24:46'),(22200,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33849,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"314\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33849}','68.53.115.247','2021-05-26 18:24:46'),(22201,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33850,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"316\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33850}','68.53.115.247','2021-05-26 18:24:46'),(22202,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33851,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"317\",\"question_type\":\"Short_Answer\",\"text_answer\":\"CP intakes not same or similar allegation (2\\/9 & 2\\/11 CP intakes) were referred to current workgroup.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33851}','68.53.115.247','2021-05-26 18:24:46'),(22203,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33852,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"318\",\"question_type\":\"Free_Text\",\"text_answer\":\"The 2\\/9\\/2018 predatory offender (24 hour response) and 2\\/11\\/2018 critical incident overdose (5 day response) allegations were referred to current workgroup nearing the end of 45 day timeline, however it was not closed yet. \\r\\no\\tWorker was getting ready to close the family assessment, when worker discovered on a background check that the father to the sibling children had an egregious harm incident to a child not in this family in another state. As a result a new CP intake was made for this allegation based on predatory offender statute to screen in as 24 hour face to face. At this time, the track changed to a CP Family Investigation from Assessment. \\r\\no\\tStaff\'s perspective is that either intake\\/screening can open a new workgroup or can refer to current workgroup when the same worker is assigned to a case. \\r\\n\\u00ef\\u201a\\u00a7\\tWorker flips response tracks from assessment to investigation if new allegation is a 24 hour response. \\r\\no\\tIntake protocol is to refer new intakes to current worker even if their workgroup has been open for longer than 45 days.\\r\\n\\u00ef\\u201a\\u00a7\\tReports came in near 45 day case closure timeline, however closing a case in the 45 day timeframe was not priority. \\r\\n\\u00ef\\u201a\\u00a7\\tStaff had to keep the workgroup active and open beyond 45 days due to the nature of how information was learned and evolved over time. \\r\\n\\u00ef\\u201a\\u00a7\\tObtaining records from out of state about the egregious harm\\/ predatory offender went over 45 day timeline. \\r\\n\\u00e2\\u20ac\\u00a2\\tPractice is for the case\\/family stay with the original worker on the case and document under one workgroup versus document in two workgroups. \\r\\no\\tAvoid having to document same information in duplicate workgroups for the family and maximizing time more efficiently to keep all together in one workgroup.\\r\\no\\tKeeping same worker with the family for all new intakes is viewed as a strength of continuity of care and being client focused. The preference to keep the same families with staff that they are working with or have worked with in the past due to rapport and working relationship established.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33852}','68.53.115.247','2021-05-26 18:24:46'),(22204,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33853,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"319\",\"question_type\":\"Free_Text\",\"text_answer\":\"An accepted procedural drift away from guidance to not close the family\'s workgroup within 45 days, influenced the two CP intakes (not same or similar allegations) to be referred to the open workgroup in SSIS. Considering the new allegations and information within the CP intakes was learned and being documented by the frontline staff working with the family, the agency\'s decision to prioritize continuity of care for the children and family was made, versus opening a new assessment for the allegations as the frontline staff already had the knowledge regarding the new allegations, as he\\/she reported them.\\r\\n\\r\\nLocal agency practice within the intake and screening unit considers the totality of the circumstances, and has discretion to either open a new workgroup if an already open assessment\\/investigation is near 45 days, or they can refer to the current workgroup when an assessment\\/investigation is not closed. Commonly, the intake and screening unit consults with the Family Assessment\\/Family Investigation (FA\\/FI) unit, and refers CP intakes to the same FA\\/FI unit who has a frontline staff already assigned and actively working with the family in an open workgroup. Priority is placed on continuity of care for the family, regardless if the workgroup is near the 45 day case closure timeline. This agency practice of one frontline assessment\\/investigation staff assigned to work all allegations, beyond the 45 day case closure timeline, is a procedural adaptation that is viewed as best practice and a strength, as it is client focused and reduces trauma for families coping with child protection involvement in their lives. The sacrifice decision to not meet the 45 day compliance measure, was perceived to ease the pressure of needing to meet face to face timelines for allegations referred to an open assessment\\/investigation, as staff believed SSIS reports only track face to face compliance for the first screened in CP Intake, and not for any others in which are referred to an already open workgroup. This workaround was believed to not impact face to face contact requirements that was tied to the legislative withhold funding when face to face compliance metrics are not met by the agency.  \\r\\n\\r\\nDocumentation practices are also simplified and more efficient for one frontline staff when they can chronologically document the information they are learning about the family under one workgroup over time. The tradeoff decision to not open an additional workgroup as a result of the new allegations that were made near the 45 day timeframe was made because with every new workgroup opened, there are a multitude of tasks to complete and document in SSIS (i.e. Safety Decision Making tools, ICWA screening tools, etc.). In effort to reduce workload tasks and requirements driven by both MN Statues\\/Admin Rule and DHS guidance around the requirements for assessment and investigations, avoiding duplication of the same information being documented in multiple places better supports frontline staff\'s daily work as well as the agency\'s ability to retain staff and reduce turnover.\\r\\nResearch and best practice around continuity of care resulting in safe and healthy outcomes for children and families presented a competing priority and pressure for the local agency to adapt to in this case. Furthermore, this research and best practice presents a goal conflict for child welfare staff regarding the need for pursing the continuity of care while simultaneously trying to meet the requirements to open and document new CP intakes and allegations on the same family. In cases such as this a procedural adaptation was made by the local agency to refer the CP intakes to the open workgroup (although near the 45 day timeline) to support continuity of care for the family.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33853}','68.53.115.247','2021-05-26 18:24:46'),(22205,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33854,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"320\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Face to face contact regarding 2\\/11 CP intake Allegation: Neglect (access to alcohol, controlled substance, or prescription drugs) to subject child by the father occurred after 5 days.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33854}','68.53.115.247','2021-05-26 18:24:46'),(22206,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33855,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"321\",\"question_type\":\"Free_Text\",\"text_answer\":\"The CP intake was initially screened out and later screened in as a 5 day response, therefore the worker perceived it as a lower priority.\\r\\no\\tPrioritized as lower risk based on the nature of the allegations and response path being family assessment.\\r\\n\\u00ef\\u201a\\u00a7\\tResponse type of family assessment \\u00e2\\u20ac\\u201c 5 day is used per protocol for all allegations unless staff learn of egregious harm, fatality\\/near fatality, predatory offender, sexual abuse or any other major injury.  \\r\\no\\tFive day responses are less priority for staff because of the intense nature of all other cases received, most are severe abuse\\/neglect\\/egregious harm type cases that require staff to responds within the same day to meet 24 hour response.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33855}','68.53.115.247','2021-05-26 18:24:46'),(22207,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33856,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"322\",\"question_type\":\"Free_Text\",\"text_answer\":\"As a result of this CP intake initially being screened out and later screened in as a 5 day response, the worker perceived it as a lower priority and prioritized meeting face to face requirements for other cases with allegations with safety and risk concerns that were higher. Supporting that this was a lower priority case was the identified allegation and the response path assignment to family assessment. Unless staff learn of egregious harm, fatality\\/near fatality, predatory offender, sexual abuse or any other major injury, the local agency uses a 5 day response per protocol for allegations such as this one. At the time of the incident, the severity of the incident was not believed to be near fatal based upon the information received in the report.  Five day responses are less of a priority for staff because of the intense nature of all other cases received by this Family Assessment\\/Family Investigation (FA\\/FI) specialty unit, which most cases involve severe abuse\\/neglect\\/egregious harm, and substantial harm that require staff to respond within the same day to meet the 24 hour face to face response timeframe. The implementation of the Department\'s Intake, Screening, and Response Path guidelines expanded the number of cases that require a 24 hour face to face response, particularly those allegations that are within the predatory offender statute. As a result, the agency experienced more cases being screened in for a 24 hour face to face response, which impacted the time staff have available to respond to 5 day response cases since they are a lower priority. Due to the high number of cases assigned to this FA\\/FI unit, it was not uncommon for supervisors to direct staff to place lower priority on cases like this one to ensure higher priority cases are managed first.  \\r\\n\\r\\nFurther impacting the delay in face to face contact with the alleged victim was that the frontline staff had just made face to face contact with the child two days prior. Additionally, the frontline staff was the professional who learned and reported the new allegation for the critical incident. The staff had knowledge about the child being in the hospital at the time the information was learned, and the staff had not received a cross report from law enforcement, therefore, there was a presumption of safety since the hospital was caring for the victim child. Also supporting the decision to delay face to face contact was that staff did not want to cause additional trauma to the child and her family after the critical incident. At the time of the report the incident was not believed to be a near fatal event, however, the severity of the incident being near fatal was learned when the frontline staff was able to receive medical records regarding the incident, which occurred later in the investigation. The pressure to meet prescribed practice written in statute and admin rule around meeting for face to face timelines in circumstances when a child is presumably safe in a hospital setting, is not aligned or supporting the work.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33856}','68.53.115.247','2021-05-26 18:24:46'),(22208,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33857,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"323\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Face to face contact was not documented regarding 3\\/9\\/2018 allegation of educational neglect, and it did not occur.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33857}','68.53.115.247','2021-05-26 18:24:46'),(22209,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33858,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"324\",\"question_type\":\"Free_Text\",\"text_answer\":\"CP Worker made a collateral contact with the reporter, and learned there was nothing new being reported about the twin half- sibling\'s truancy. Reporter felt obligated to report again due to the number of absences that one twin sibling had accumulated since the reporter last reported Ed neglect in January. \\r\\n\\u00e2\\u20ac\\u00a2\\tFurther supporting face to face contact not being made in this case was that work was being done as prescribed and expected in regards to addressing Ed neglect concerns. Worker was actively supporting the family\'s needs around getting the children\'s attendance to improve. She worked with the school to set up transportation for the children to increase children\'s ability to attend consistently. \\r\\n\\u00e2\\u20ac\\u00a2\\tThe 3\\/9 allegation was same or similar allegation already assessed in January on 1\\/11, and 1\\/30 under this same workgroup\\r\\n\\u00e2\\u20ac\\u00a2\\tPriority is on making new face to face contacts for 24 hour reports when they are referred to current workgroup, not 5 day response reports for same or similar allegations that are already being assessed in current workgroup.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33858}','68.53.115.247','2021-05-26 18:24:46'),(22210,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33859,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"325\",\"question_type\":\"Free_Text\",\"text_answer\":\"Face to face contact regarding 3\\/9\\/2018 allegation of educational neglect not occurring was that the 3\\/9 allegation was same or similar allegation already assessed in January on 1\\/11, and 1\\/30 under this same workgroup.  Further influencing face to face contact not occurring in this case was that the CP Worker made a collateral contact with the reporter, and learned there was nothing new being reported about the twin half- sibling\'s truancy. Reporter felt obligated to report again due to the number of absences that one twin sibling had accumulated since the reporter last reported Ed neglect in January.  Also impacting face to face contact not being made in this case was that work was being done as prescribed and expected in regards to addressing Ed neglect concerns.  Staff was actively supporting the family\'s needs around getting the children\'s attendance to improve.  An additional face to face contact would not have changed the trajectory of work in this case as the educational neglect allegations had already been assessed and ongoing work with the family was being conducted.    \\r\\nFurthermore, staff believed that the investigation around the educational neglect allegations had been completed, although not officially closed within SSIS.  As a result staff\'s interpretation of this new allegation was that it was screened in and the allegations had already been assessed.  Therefore, not requiring an additional face to face to be completed since this was perceived by staff to be a duplicate report and therefore guidance (Intake, Screening, and Response Path Guidelines) would indicate that a report of this type can be screened out as already assessed which would not require face to face to contact.  \\r\\nAdditionally, priority is placed on making new face to face contacts for 24 hour reports when they are referred to current workgroup, not 5 day response reports for same or similar allegations that are already being assessed in current workgroup.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33859}','68.53.115.247','2021-05-26 18:24:46'),(22211,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33860,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"326\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33860}','68.53.115.247','2021-05-26 18:24:46'),(22212,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33861,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"327\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33861}','68.53.115.247','2021-05-26 18:24:46'),(22213,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33862,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"328\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33862}','68.53.115.247','2021-05-26 18:24:46'),(22214,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33863,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"343\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33863}','68.53.115.247','2021-05-26 18:24:46'),(22215,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33864,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"344\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33864}','68.53.115.247','2021-05-26 18:24:46'),(22216,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33865,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"345\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33865}','68.53.115.247','2021-05-26 18:24:46'),(22217,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33866,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"346\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33866}','68.53.115.247','2021-05-26 18:24:46'),(22218,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33867,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"347\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP1 - The sacrifice decision to not meet the 45 day compliance measure, was perceived to ease the pressure of needing to meet face to face timelines for allegations referred to an open assessment\\/investigation, as staff believed SSIS reports only track face to face compliance for the first screened in CP Intake, and not for any others in which are referred to an already open workgroup. This workaround was believed to not impact face to face contact requirements that was tied to the legislative withhold funding when face to face compliance metrics are not met by the agency.\\r\\n\\r\\nLP3 - Furthermore, staff believed that the investigation around the educational neglect allegations had been completed, although not officially closed within SSIS.  As a result staff\'s interpretation of this new allegation was that it was screened in and the allegations had already been assessed.  Therefore, not requiring an additional face to face to be completed since this was perceived by staff to be a duplicate report and therefore guidance (Intake, Screening, and Response Path Guidelines) would indicate that a report of this type can be screened out as already assessed which would not require face to face to contact.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33867}','68.53.115.247','2021-05-26 18:24:46'),(22219,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33868,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"348\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33868}','68.53.115.247','2021-05-26 18:24:46'),(22220,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33869,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"349\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33869}','68.53.115.247','2021-05-26 18:24:46'),(22221,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33870,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"350\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33870}','68.53.115.247','2021-05-26 18:24:46'),(22222,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33871,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"351\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33871}','68.53.115.247','2021-05-26 18:24:46'),(22223,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33872,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"352\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33872}','68.53.115.247','2021-05-26 18:24:46'),(22224,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33873,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"353\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33873}','68.53.115.247','2021-05-26 18:24:46'),(22225,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33874,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"354\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33874}','68.53.115.247','2021-05-26 18:24:46'),(22226,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33875,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"355\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP2 - Staff did not receive a cross report from law enforcement and as a result they were not aware of the critical incident occurring and the severity of the incident being near fatal.  \\r\\n\\r\\nDelays in accessing child protection reports from another state (Michigan) around predatory offender\\/ egregious harm allegation\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33875}','68.53.115.247','2021-05-26 18:24:46'),(22227,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33876,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"356\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33876}','68.53.115.247','2021-05-26 18:24:46'),(22228,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33877,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"357\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP2 - CP investigator was not aware of the severity of the child\'s condition at the time of the critical incident. Critical incident was originally screened out, and later screened in as a 5 day response. The life threatening nature of the incident was not known to the worker until 1 month after the incident when medical records were received and was not cross reported by law enforcement.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33877}','68.53.115.247','2021-05-26 18:24:46'),(22229,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33878,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"368\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33878}','68.53.115.247','2021-05-26 18:24:46'),(22230,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33879,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"369\",\"question_type\":\"Free_Text\",\"text_answer\":\"Delay in obtaining medical records was approximately 1 month after critical incident occurred. Prior to receipt of the medical records severity of the overdose was not known to be near fatality.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33879}','68.53.115.247','2021-05-26 18:24:46'),(22231,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33880,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"358\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33880}','68.53.115.247','2021-05-26 18:24:46'),(22232,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33881,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"359\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP1 - Prescribed practice around continuity of care for children and with DHS requirements for new CP intakes to not be referred to an already opened workgroup near the 45 day case closure timeline. \\r\\n\\r\\nLP1- Research and best practice around continuity of care resulting in safe and healthy outcomes for children and families presented a competing priority and pressure for the local agency to adapt to in this case. Furthermore, this research and best practice presents a goal conflict for child welfare staff regarding the need for pursing the continuity of care while simultaneously trying to meet the requirements to open and document new CP intakes and allegations on the same family. In cases such as this a procedural adaptation was made by the local agency to refer the CP intakes to the open workgroup (although near the 45 day timeline) to support continuity of care for the family.  \\r\\n\\r\\nLP2 - As a result of this CP intake initially being screened out and later screened in as a 5 day response, the worker perceived it as a lower priority and prioritized meeting face to face requirements for other cases with allegations with safety and risk concerns that were higher. Supporting that this was a lower priority case was the identified allegation and the response path assignment to family assessment. Unless staff learn of egregious harm, fatality\\/near fatality, predatory offender, sexual abuse or any other major injury, the local agency uses a 5 day response per protocol for allegations such as this one. At the time of the incident, the severity of the incident was not believed to be near fatal based upon the information received in the report.  Five day responses are less of a priority for staff because of the intense nature of all other cases received by this FA\\/FI specialty unit, which most cases involve severe abuse\\/neglect\\/egregious harm, and substantial harm that require staff to respond within the same day to meet the 24 hour face to face response timeframe. The implementation of the Department\'s Intake, Screening, and Response Path guidelines expanded the number of cases that require a 24 hour face to face response, particularly those allegations that are within the predatory offender statute.  As a result, the agency experienced more cases being screened in for a 24 hour face to face response, which impacted the time staff have available to respond to 5 day response cases since they are a lower priority. Due to the high number of cases assigned to this FA\\/FI unit, it was not uncommon for supervisors to direct staff to place lower priority on cases like this one to ensure higher priority cases are managed first.  \\r\\n\\r\\nLP2 - Further impacting the delay in face to face contact with the alleged victim was that the frontline staff had just made face to face contact with the child two days prior. Additionally, the frontline staff was the professional who learned and reported the new allegation for the critical incident. The staff had knowledge about the child being in the hospital at the time the information was learned, and the staff had not received a cross report from law enforcement, therefore, there was a presumption of safety since the hospital was caring for the victim child. Also supporting the decision to delay face to face contact was that staff did not want to cause additional trauma to the child and her family after the critical incident. At the time of the report the incident was not believed to be a near fatal event, however, the severity of the incident being near fatal was learned when the frontline staff was able to receive medical records regarding the incident, which occurred later in the investigation. The pressure to meet prescribed practice written in statute and admin rule around meeting for face to face timelines in circumstances when a child is presumably safe in a hospital setting, is not aligned or supporting the work. \\r\\n\\r\\nLP3- Also impacting face to face contact not being made in this case was that work was being done as prescribed and expected in regards to addressing Ed neglect concerns.  Staff was actively supporting the family\'s needs around getting the children\'s attendance to improve. An additional face to face contact would not have changed the trajectory of work in this case as the educational neglect allegations had already been assessed and ongoing work with the family was being conducted.\\r\\n\\r\\nLP3 - Furthermore, staff believed that the investigation around the educational neglect allegations had been completed, although not officially closed within SSIS.  As a result staff\'s interpretation of this new allegation was that it was screened in and the allegations had already been assessed.  Therefore, not requiring an additional face to face to be completed since this was perceived by staff to be a duplicate report and therefore guidance (Intake, Screening, and Response Path Guidelines) would indicate that a report of this type can be screened out as already assessed which would not require face to face to contact.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33881}','68.53.115.247','2021-05-26 18:24:46'),(22233,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33882,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"360\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33882}','68.53.115.247','2021-05-26 18:24:46'),(22234,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33883,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"361\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP1 - Documentation practices are also simplified and more efficient for one frontline staff when they can chronologically document the information they are learning about the family under one workgroup over time. The tradeoff decision to not open an additional workgroup as a result of the new allegations that were made near the 45 day timeframe was made because with every new workgroup opened, there are a multitude of tasks to complete and document in SSIS (i.e. Safety Decision Making tools, ICWA screening tools, etc.). In effort to reduce workload tasks and requirements driven by both MN Statues\\/Admin Rule and DHS guidance around the requirements for FA\\/FI, avoiding duplication of the same information being documented in multiple places better supports frontline staff\'s daily work as well as the agency\'s ability to retain staff and reduce turnover.\\r\\n\\r\\nLP2- Five day responses are less of a priority for staff because of the intense nature of all other cases received by this FA\\/FI specialty unit, which most cases involve severe abuse\\/neglect\\/egregious harm, and substantial harm that require staff to respond within the same day to meet the 24 hour face to face response timeframe. The implementation of the Department\'s Intake, Screening, and Response Path guidelines expanded the number of cases that require a 24 hour face to face response, particularly those allegations that are within the predatory offender statute.  As a result, the agency experienced more cases being screened in for a 24 hour face to face response, which impacted the time staff have available to respond to 5 day response cases since they are a lower priority. Due to the high number of cases assigned to this FA\\/FI unit, it was not uncommon for supervisors to direct staff to place lower priority on cases like this one to ensure higher priority cases are managed first.  \\r\\n\\r\\nLP3 - Priority is placed on making new face to face contacts for 24 hour reports when they are referred to current workgroup, not 5 day response reports for same or similar allegations that are already being assessed in current workgroup.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33883}','68.53.115.247','2021-05-26 18:24:46'),(22235,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33884,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"362\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33884}','68.53.115.247','2021-05-26 18:24:46'),(22236,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33885,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"363\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33885}','68.53.115.247','2021-05-26 18:24:46'),(22237,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33886,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"364\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33886}','68.53.115.247','2021-05-26 18:24:46'),(22238,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33887,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"365\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33887}','68.53.115.247','2021-05-26 18:24:46'),(22239,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33888,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"366\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33888}','68.53.115.247','2021-05-26 18:24:46'),(22240,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33889,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"367\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP1 - An accepted procedural drift away from guidance to not close the family\'s workgroup within 45 days, influenced the two CP intakes (not same or similar allegations) to be referred to the open workgroup in SSIS. Considering the new allegations and information within the CP intakes was learned and being documented by the frontline staff working with the family, the agency\'s decision to prioritize continuity of care for the children and family was made, versus opening a new assessment for the allegations as the frontline staff already had the knowledge regarding the new allegations, as he\\/she reported them.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33889}','68.53.115.247','2021-05-26 18:24:46'),(22241,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33890,'{\"report_id\":333,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"370\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:24:46 pm\",\"created_at\":\"5\\/26\\/2021 1:24:46 pm\",\"id\":33890}','68.53.115.247','2021-05-26 18:24:46'),(22242,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33891,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"293\",\"question_type\":\"Date\",\"text_answer\":\"05\\/01\\/2018\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:27:52 pm\",\"created_at\":\"5\\/26\\/2021 1:27:52 pm\",\"id\":33891}','68.53.115.247','2021-05-26 18:27:52'),(22243,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33892,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"305\",\"question_type\":\"Date\",\"text_answer\":\"09\\/05\\/2017\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:03 pm\",\"created_at\":\"5\\/26\\/2021 1:28:03 pm\",\"id\":33892}','68.53.115.247','2021-05-26 18:28:03'),(22244,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33893,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"307\",\"question_type\":\"Date\",\"text_answer\":\"03\\/06\\/2018\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:11 pm\",\"created_at\":\"5\\/26\\/2021 1:28:11 pm\",\"id\":33893}','68.53.115.247','2021-05-26 18:28:11'),(22245,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports','update',334,'{\"id\":334,\"form_id\":\"22\",\"user_id\":\"92\",\"question_id\":null,\"organization_id\":\"13\",\"tab_id\":null,\"question_type\":null,\"text_answer\":\"{\\\"Multiple_Choice__291\\\":\\\"Kristine Frick\\\",\\\"Short_Answer__292\\\":\\\"Aaron Strong\\\",\\\"Date__293\\\":\\\"05\\\\\\/01\\\\\\/2018\\\",\\\"Multiple_Choice__294\\\":\\\"Near Fatality\\\",\\\"Yes_or_No__295\\\":\\\"No\\\",\\\"Multiple_Choice__300\\\":\\\"4\\\",\\\"Multiple_Choice__301\\\":\\\"Stearns\\\",\\\"Short_Answer__303\\\":\\\"Miko\\\",\\\"Short_Answer__304\\\":\\\"Monroe\\\",\\\"Date__305\\\":\\\"09\\\\\\/05\\\\\\/2017\\\",\\\"Date__307\\\":\\\"03\\\\\\/06\\\\\\/2018\\\",\\\"Multiple_Choice__308\\\":\\\"6 Months\\\",\\\"Multiple_Choice__309\\\":\\\"1\\\",\\\"Short_Answer__310\\\":\\\"Mother\'s boyfriend\\\",\\\"Multiple_Choice__346\\\":\\\"0\\\",\\\"Multiple_Choice__348\\\":\\\"0\\\",\\\"Multiple_Choice__350\\\":\\\"0\\\",\\\"Multiple_Choice__352\\\":\\\"0\\\",\\\"Multiple_Choice__354\\\":\\\"0\\\",\\\"Multiple_Choice__356\\\":\\\"0\\\",\\\"Multiple_Choice__368\\\":\\\"0\\\",\\\"Multiple_Choice__358\\\":\\\"0\\\",\\\"Multiple_Choice__360\\\":\\\"0\\\",\\\"Multiple_Choice__362\\\":\\\"0\\\",\\\"Multiple_Choice__364\\\":\\\"0\\\",\\\"Multiple_Choice__366\\\":\\\"2\\\",\\\"Free_Text__367\\\":\\\"Procedural drift away from policy and DHS guidance occurred when the local agency screened out a Child Maltreatment report for prenatal exposure, however,  local agency did not screen in for Child Welfare services and offer services to the mother of the unborn child.\\\\r\\\\n- Mother allegedly tested positive for THC at the local hospital. The CP Intake was screened out - no allegation meets maltreatment criteria.\\\\r\\\\n-Noted by triage team that practices are inconsistent across the state for prenatal exposure to unborn children when \\\\\\\"just THC\'.\\\",\\\"Yes_or_No__370\\\":\\\"Yes\\\"}\",\"mcq_answer\":null,\"other_answer\":\"0\",\"status\":\"1\",\"created_by\":\"92\",\"updated_by\":81,\"created_at\":\"5\\/26\\/2021 2:33:23 pm\",\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"deleted_at\":null,\"report_name\":\"Miko Monroe\"}','68.53.115.247','2021-05-26 18:28:14'),(22246,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33894,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"291\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Kristine Frick\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33894}','68.53.115.247','2021-05-26 18:28:14'),(22247,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33895,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"292\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Aaron Strong\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33895}','68.53.115.247','2021-05-26 18:28:14'),(22248,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33896,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"293\",\"question_type\":\"Date\",\"text_answer\":\"05\\/01\\/2018\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33896}','68.53.115.247','2021-05-26 18:28:14'),(22249,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33897,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"342\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33897}','68.53.115.247','2021-05-26 18:28:14'),(22250,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33898,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"294\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Near Fatality\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33898}','68.53.115.247','2021-05-26 18:28:14'),(22251,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33899,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"295\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"No\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33899}','68.53.115.247','2021-05-26 18:28:14'),(22252,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33900,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"296\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33900}','68.53.115.247','2021-05-26 18:28:14'),(22253,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33901,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"297\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33901}','68.53.115.247','2021-05-26 18:28:14'),(22254,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33902,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"299\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33902}','68.53.115.247','2021-05-26 18:28:14'),(22255,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33903,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"300\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"4\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33903}','68.53.115.247','2021-05-26 18:28:14'),(22256,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33904,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"301\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Stearns\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33904}','68.53.115.247','2021-05-26 18:28:14'),(22257,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33905,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"302\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33905}','68.53.115.247','2021-05-26 18:28:14'),(22258,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33906,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"303\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Miko\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33906}','68.53.115.247','2021-05-26 18:28:14'),(22259,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33907,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"304\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Monroe\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33907}','68.53.115.247','2021-05-26 18:28:14'),(22260,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',33908,'{\"report_id\":334,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"305\",\"question_type\":\"Date\",\"text_answer\":\"09\\/05\\/2017\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:28:14 pm\",\"created_at\":\"5\\/26\\/2021 1:28:14 pm\",\"id\":33908}','68.53.115.247','2021-05-26 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18:32:09'),(22590,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports','update',368,'{\"id\":368,\"form_id\":\"22\",\"user_id\":\"91\",\"question_id\":null,\"organization_id\":\"13\",\"tab_id\":null,\"question_type\":null,\"text_answer\":\"{\\\"Multiple_Choice__291\\\":\\\"Brittany Lochner\\\",\\\"Short_Answer__292\\\":\\\"Karilee Pietz\\\",\\\"Date__293\\\":\\\"07\\\\\\/13\\\\\\/2017\\\",\\\"Multiple_Choice__294\\\":\\\"Fatality\\\",\\\"Yes_or_No__295\\\":\\\"No\\\",\\\"Multiple_Choice__300\\\":\\\"9\\\",\\\"Multiple_Choice__301\\\":\\\"Ramsey\\\",\\\"Short_Answer__303\\\":\\\"Tyrell\\\",\\\"Short_Answer__304\\\":\\\"Wooten\\\",\\\"Date__305\\\":\\\"03\\\\\\/27\\\\\\/2014\\\",\\\"Date__306\\\":\\\"06\\\\\\/25\\\\\\/2017\\\",\\\"Multiple_Choice__308\\\":\\\"3 Years\\\",\\\"Multiple_Choice__309\\\":\\\"1\\\",\\\"Short_Answer__310\\\":\\\"Mother\'s partner\\\",\\\"Multiple_Choice__316\\\":\\\"1\\\",\\\"Short_Answer__317\\\":\\\"A CP report was not made following the 3-year old being seen in the emergency room and having two head contusions that the mother could not explain.\\\",\\\"Free_Text__318\\\":\\\"There was no debrief completed on this learning point due to the learning point being specific to a system outside of the child welfare system.\\\",\\\"Free_Text__319\\\":\\\"A child protection report not being made following the 3-year old being seen in the emergency room and having two head contusions, which the mother could not explain was influenced by the age of the child, as well as location of the injury on the subject child\'s head.  These injuries on a 3-year old can also be explained as a result of normative childhood activities.  Additionally, the severity of the injury did not meet the perceived threshold required for medical personnel to make a child protection report.  Multiple competing priorities were occurring in the emergency room where the child was seen which further impacted the report not being made.  This included the time it takes to make a child protection report, the number of designated people in the emergency department to make child protection reports, as well as, the time the provider spends with a patient is historically shorter in the emergency department versus an appointment with a primary care provider.\\\\r\\\\n\\\\r\\\\nAn additional influence supporting a child protection report not being made was the fact that the subject child was seen at a different hospital and by a provider who was not familiar with the family, making it difficult to understand the child\'s medical history.  Furthermore, in situations like this, it can be difficult to access medical records at the time of the emergency room visit to better understand the child due to the limited amount of time spent in the emergency room.    Lastly, the decision to not make a child protection report was further impacted by the fact that the threshold for mandated reporting can be subjective.\\\",\\\"Multiple_Choice__346\\\":\\\"0\\\",\\\"Multiple_Choice__348\\\":\\\"0\\\",\\\"Multiple_Choice__350\\\":\\\"0\\\",\\\"Multiple_Choice__352\\\":\\\"0\\\",\\\"Multiple_Choice__354\\\":\\\"0\\\",\\\"Multiple_Choice__356\\\":\\\"0\\\",\\\"Multiple_Choice__368\\\":\\\"0\\\",\\\"Multiple_Choice__358\\\":\\\"2\\\",\\\"Free_Text__359\\\":\\\"The severity of the injury did not meet the perceived threshold required for medical personnel to make a child protection report.\\\\r\\\\nThe decision to not make a child protection report was further impacted by the fact that the threshold for mandated reporting can be subjective, as defined in 626.556 subd. 3.\\\",\\\"Multiple_Choice__360\\\":\\\"2\\\",\\\"Free_Text__361\\\":\\\"Multiple competing priorities were occurring in the emergency room where the child was seen which further impacted the report not being made.  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18:32:13'),(22615,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34258,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"316\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34258}','68.53.115.247','2021-05-26 18:32:13'),(22616,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34259,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"317\",\"question_type\":\"Short_Answer\",\"text_answer\":\"A CP report was not made following the 3-year old being seen in the emergency room and having two head contusions that the mother could not explain.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34259}','68.53.115.247','2021-05-26 18:32:13'),(22617,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34260,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"318\",\"question_type\":\"Free_Text\",\"text_answer\":\"There was no debrief completed on this learning point due to the learning point being specific to a system outside of the child welfare system.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34260}','68.53.115.247','2021-05-26 18:32:13'),(22618,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34261,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"319\",\"question_type\":\"Free_Text\",\"text_answer\":\"A child protection report not being made following the 3-year old being seen in the emergency room and having two head contusions, which the mother could not explain was influenced by the age of the child, as well as location of the injury on the subject child\'s head.  These injuries on a 3-year old can also be explained as a result of normative childhood activities.  Additionally, the severity of the injury did not meet the perceived threshold required for medical personnel to make a child protection report.  Multiple competing priorities were occurring in the emergency room where the child was seen which further impacted the report not being made.  This included the time it takes to make a child protection report, the number of designated people in the emergency department to make child protection reports, as well as, the time the provider spends with a patient is historically shorter in the emergency department versus an appointment with a primary care provider.\\r\\n\\r\\nAn additional influence supporting a child protection report not being made was the fact that the subject child was seen at a different hospital and by a provider who was not familiar with the family, making it difficult to understand the child\'s medical history.  Furthermore, in situations like this, it can be difficult to access medical records at the time of the emergency room visit to better understand the child due to the limited amount of time spent in the emergency room.    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18:32:13'),(22640,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34283,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"355\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34283}','68.53.115.247','2021-05-26 18:32:13'),(22641,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34284,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"356\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34284}','68.53.115.247','2021-05-26 18:32:13'),(22642,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34285,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"357\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34285}','68.53.115.247','2021-05-26 18:32:13'),(22643,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34286,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"368\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34286}','68.53.115.247','2021-05-26 18:32:13'),(22644,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34287,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"369\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34287}','68.53.115.247','2021-05-26 18:32:13'),(22645,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34288,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"358\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34288}','68.53.115.247','2021-05-26 18:32:13'),(22646,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34289,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"359\",\"question_type\":\"Free_Text\",\"text_answer\":\"The severity of the injury did not meet the perceived threshold required for medical personnel to make a child protection report.\\r\\nThe decision to not make a child protection report was further impacted by the fact that the threshold for mandated reporting can be subjective, as defined in 626.556 subd. 3.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34289}','68.53.115.247','2021-05-26 18:32:13'),(22647,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34290,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"360\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34290}','68.53.115.247','2021-05-26 18:32:13'),(22648,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34291,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"361\",\"question_type\":\"Free_Text\",\"text_answer\":\"Multiple competing priorities were occurring in the emergency room where the child was seen which further impacted the report not being made.  This included the time it takes to make a child protection report, the number of designated people in the emergency department to make child protection reports, as well as, the time the provider spends with a patient is historically shorter in the emergency department versus an appointment with a primary care provider.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34291}','68.53.115.247','2021-05-26 18:32:13'),(22649,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34292,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"362\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34292}','68.53.115.247','2021-05-26 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18:32:13'),(22654,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34297,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"367\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34297}','68.53.115.247','2021-05-26 18:32:13'),(22655,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34298,'{\"report_id\":368,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"370\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:13 pm\",\"created_at\":\"5\\/26\\/2021 1:32:13 pm\",\"id\":34298}','68.53.115.247','2021-05-26 18:32:13'),(22656,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34299,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"293\",\"question_type\":\"Date\",\"text_answer\":\"09\\/09\\/2016\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:41 pm\",\"created_at\":\"5\\/26\\/2021 1:32:41 pm\",\"id\":34299}','68.53.115.247','2021-05-26 18:32:41'),(22657,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34300,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"305\",\"question_type\":\"Date\",\"text_answer\":\"08\\/04\\/2015\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:50 pm\",\"created_at\":\"5\\/26\\/2021 1:32:50 pm\",\"id\":34300}','68.53.115.247','2021-05-26 18:32:50'),(22658,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34301,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"306\",\"question_type\":\"Date\",\"text_answer\":\"03\\/24\\/2016\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:32:55 pm\",\"created_at\":\"5\\/26\\/2021 1:32:55 pm\",\"id\":34301}','68.53.115.247','2021-05-26 18:32:55'),(22659,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports','update',367,'{\"id\":367,\"form_id\":\"22\",\"user_id\":\"90\",\"question_id\":null,\"organization_id\":\"13\",\"tab_id\":null,\"question_type\":null,\"text_answer\":\"{\\\"Multiple_Choice__291\\\":\\\"Ryan Hartneck\\\",\\\"Short_Answer__292\\\":\\\"Aaron Strong\\\",\\\"Date__293\\\":\\\"09\\\\\\/09\\\\\\/2016\\\",\\\"Multiple_Choice__294\\\":\\\"Fatality\\\",\\\"Yes_or_No__295\\\":\\\"No\\\",\\\"Multiple_Choice__300\\\":\\\"8\\\",\\\"Multiple_Choice__301\\\":\\\"Hennepin\\\",\\\"Short_Answer__303\\\":\\\"Trinity\\\",\\\"Short_Answer__304\\\":\\\"Shelby\\\",\\\"Date__305\\\":\\\"08\\\\\\/04\\\\\\/2015\\\",\\\"Date__306\\\":\\\"03\\\\\\/24\\\\\\/2016\\\",\\\"Multiple_Choice__308\\\":\\\"7 Months\\\",\\\"Multiple_Choice__309\\\":\\\"1\\\",\\\"Short_Answer__310\\\":\\\"Father\\\",\\\"Multiple_Choice__316\\\":\\\"3\\\",\\\"Short_Answer__317\\\":\\\"Multidisciplinary team (MDT) or supervisor consult at point of screening was not done as required by policy.\\\",\\\"Free_Text__318\\\":\\\"It was learned during the debriefing that screening staff were allowed to screen most intakes individually without consultation of a multidisciplinary team or supervisor.  Staff are encouraged to utilize supervisor consultation as needed for screening decisions.\\\",\\\"Free_Text__319\\\":\\\"Not utilizing consultation with a MDT or supervisor at the point of screening the child protection report was influenced by staff\'s discretionary use for when to use a MDT or supervisor for screening consultation.  The agency\'s procedural adaptation of allowing screeners to discretionarily consult with a MDT or supervisor which deviates from state policy was governed by an overall increase in screening staff\'s workload, affecting staff\'s time to access and utilize a MDT or supervisor for screening consultation.  This increase in staff\'s workload has been impacted by recent changes to the Minnesota Intake, Screening, and Response Path Guidelines resulting from legislative changes following the recommendations made by the Governor\'s Task Force on the Protection of Children.  These changes have expanded intake and screening requirements for local agencies, leading to an increase in intake and screening related tasks. Recent media coverage on high profile child protection cases coupled with the local agency\'s press release on their 24 hour child protection coverage has also generated an increase in the volume of calls received by the local child welfare agency further contributing to an increase in screening staff\'s workloads.  Furthermore, procedural changes made by the agency requiring screening staff to thoroughly document all calls as intakes into SSIS (Social Service Information System) has also added to screening staff\'s workload.  This process has lengthened the time for staff to complete their required tasks, compromising the efficiency of their works as entering all of this information in SSIS is a burdensome process for staff.  This efficiency thoroughness tradeoff has further impacted staff\'s time to seek out a MDT or supervisor for screening consultation when needed. \\\\r\\\\n\\\\r\\\\nAlso influencing the agency\'s procedural adaptation of allowing screeners to discretionarily consult with a MDT or supervisor was the limited availability of supervisors for consultation. Limited supervisory consultation time was impacted by increased workload demands for supervisors that included, only two supervisors being on per shift, the number of staff supervised, and a meeting culture in the agency that affected supervisor\'s availability due to attending multiple meetings per week.\\\",\\\"Short_Answer__320\\\":\\\"Intake placed in pending status for 22 hours\\\",\\\"Free_Text__321\\\":\\\"The intake received on 3\\\\\\/23\\\\\\/2016 was taken by the screener by phone and placed in pending status. Per the supervisor, this is not an uncommon practice (for non-immediate response cases) as screeners often receive high volumes of calls and are given the ability to prioritize those calls based on allegation\\\\\\/circumstances.\\\",\\\"Free_Text__322\\\":\\\"The worker\'s limited experience with child abuse reports to understand the complexities of screening decisions and inconsistent policy guidance provided by the Minnesota Department of Human Services influenced the intake being placed in pending status for 22 hours.  As a result of the increased volume of child welfare calls received by the agency during this time and the demand to thoroughly complete all intake and screening related tasks staff had less time available to attend training to understand the complexities of child protection screening decisions. Without adequate training, knowledge, and experience to recognize the emergent details within a child protection report, the report may have been seen as a lower priority for the screening staff and thus placed in pending status until consultation with a supervisor or MDT could occur.  The overall increase in volume of child welfare calls also influenced the screening supervisor\'s in making a sacrifice decision for staff to prioritize the completion of workload tasks over attending training.  Furthermore, the high volume of calls taken by screeners reduced the time and opportunity to utilize a MDT or supervisor for consultation further explaining this intake being placed in pending status until consultation with a MDT or supervisor could occur.\\\",\\\"Short_Answer__323\\\":\\\"Signs of abuse previously identified by child care facility were not reported to child protection.\\\",\\\"Free_Text__324\\\":\\\"No debriefing took place on this finding.\\\",\\\"Free_Text__325\\\":\\\"Barriers to reporting signs of child abuse by the child care facility may have been influenced by the fear of retaliation by caregivers of the child which could include caregivers removing their child from the agency.  The decision to not report previous signs of abuse may have been further impacted by an overall distrust of the child protection system, as some child care facilities perceive that nothing is done when they do report child abuse and neglect. Often times the relationship that is developed between caregivers and child care staff influences staff\'s mental model of when to make child protection reports as to not second guess the parent\'s explanation of how injuries occurred, further justifying staff\'s decisions to not report signs of suspected child abuse.  The cumbersome process of calling to report child abuse that includes long waits and calls being held in the que for lengthy periods of time also affects child care agencies not reporting signs of suspected abuse and neglect to the local agency.\\\",\\\"Multiple_Choice__346\\\":\\\"2\\\",\\\"Free_Text__347\\\":\\\"Finding 3: Often times the relationship that is developed between caregivers and child care staff influences staff\'s mental model of when to make child protection reports as to not second guess the parent\'s explanation of how injuries occurred, further justifying staff\'s decisions to not report signs of suspected child abuse.\\\",\\\"Multiple_Choice__348\\\":\\\"1\\\",\\\"Multiple_Choice__350\\\":\\\"0\\\",\\\"Multiple_Choice__352\\\":\\\"0\\\",\\\"Multiple_Choice__354\\\":\\\"2\\\",\\\"Free_Text__355\\\":\\\"Finding 3: The decision to not report previous signs of abuse may have been further impacted by an overall distrust of the child protection system, as some child care facilities perceive that nothing is done when they do report child abuse and neglect.\\\",\\\"Multiple_Choice__356\\\":\\\"3\\\",\\\"Free_Text__357\\\":\\\"Finding 2: As a result of the increased volume of child welfare calls received by the agency during this time and the demand to thoroughly complete all intake and screening related tasks staff had less time available to attend training to understand the complexities of child protection screening decisions.\\\",\\\"Multiple_Choice__368\\\":\\\"0\\\",\\\"Multiple_Choice__358\\\":\\\"2\\\",\\\"Free_Text__359\\\":\\\"Finding 2: The worker\'s limited experience with child abuse reports to understand the complexities of screening decisions and inconsistent policy guidance provided by the Minnesota Department of Human Services influenced the intake being placed in pending status for 22 hours.\\\",\\\"Multiple_Choice__360\\\":\\\"2\\\",\\\"Free_Text__361\\\":\\\"Finding 1: The agency\'s procedural adaptation of allowing screeners to discretionarily consult with a MDT or supervisor which deviates from state policy was governed by an overall increase in screening staff\'s workload, affecting staff\'s time to access and utilize a MDT or supervisor for screening consultation.\\\\r\\\\n\\\\r\\\\nFinding 2: The overall increase in volume of child welfare calls also influenced the screening supervisor\'s in making a sacrifice decision for staff to prioritize the completion of workload tasks over attending training.  Furthermore, the high volume of calls taken by screeners reduced the time and opportunity to utilize a MDT or supervisor for consultation further justifying this intake being placed in pending status until consultation with a MDT or supervisor could occur\\\",\\\"Multiple_Choice__362\\\":\\\"0\\\",\\\"Multiple_Choice__364\\\":\\\"2\\\",\\\"Free_Text__365\\\":\\\"Finding 1: Supervisor availability was impacted by increased workload demands, which includes the number of staff supervised, a meeting culture in the agency, which impacts their availability due to attending multiple meetings per week, and only two supervisors being on per shift.\\\",\\\"Multiple_Choice__366\\\":\\\"2\\\",\\\"Free_Text__367\\\":\\\"Finding 1: The agency\'s procedural adaptation of allowing screeners to discretionarily consult with a MDT or supervisor which deviates from state policy was governed by an overall increase in screening staff\'s workload, affecting staff\'s time to access and utilize a MDT or supervisor for screening consultation.\\\\r\\\\n\\\\r\\\\nFinding 2: The high volume of calls taken by screeners reduced the time and opportunity to utilize a MDT or supervisor for consultation further justifying this intake being placed in pending status until consultation with a MDT or supervisor could occur.\\\",\\\"Yes_or_No__370\\\":\\\"Yes\\\"}\",\"mcq_answer\":null,\"other_answer\":\"0\",\"status\":\"1\",\"created_by\":\"90\",\"updated_by\":81,\"created_at\":\"5\\/26\\/2021 2:33:23 pm\",\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"deleted_at\":null,\"report_name\":\"Trinity Shelby\"}','68.53.115.247','2021-05-26 18:33:12'),(22660,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34302,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"291\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Ryan Hartneck\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34302}','68.53.115.247','2021-05-26 18:33:12'),(22661,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34303,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"292\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Aaron Strong\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34303}','68.53.115.247','2021-05-26 18:33:12'),(22662,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34304,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"293\",\"question_type\":\"Date\",\"text_answer\":\"09\\/09\\/2016\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34304}','68.53.115.247','2021-05-26 18:33:12'),(22663,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34305,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"342\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34305}','68.53.115.247','2021-05-26 18:33:12'),(22664,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34306,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"294\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Fatality\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34306}','68.53.115.247','2021-05-26 18:33:12'),(22665,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34307,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"295\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"No\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34307}','68.53.115.247','2021-05-26 18:33:12'),(22666,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34308,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"296\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34308}','68.53.115.247','2021-05-26 18:33:12'),(22667,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34309,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"297\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34309}','68.53.115.247','2021-05-26 18:33:12'),(22668,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34310,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"299\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34310}','68.53.115.247','2021-05-26 18:33:12'),(22669,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34311,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"300\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"8\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34311}','68.53.115.247','2021-05-26 18:33:12'),(22670,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34312,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"301\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Hennepin\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34312}','68.53.115.247','2021-05-26 18:33:12'),(22671,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34313,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"302\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34313}','68.53.115.247','2021-05-26 18:33:12'),(22672,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34314,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"303\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Trinity\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34314}','68.53.115.247','2021-05-26 18:33:12'),(22673,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34315,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"304\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Shelby\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34315}','68.53.115.247','2021-05-26 18:33:12'),(22674,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34316,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"305\",\"question_type\":\"Date\",\"text_answer\":\"08\\/04\\/2015\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34316}','68.53.115.247','2021-05-26 18:33:12'),(22675,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34317,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"306\",\"question_type\":\"Date\",\"text_answer\":\"03\\/24\\/2016\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34317}','68.53.115.247','2021-05-26 18:33:12'),(22676,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34318,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"307\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34318}','68.53.115.247','2021-05-26 18:33:12'),(22677,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34319,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"308\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"7 Months\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34319}','68.53.115.247','2021-05-26 18:33:12'),(22678,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34320,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"309\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34320}','68.53.115.247','2021-05-26 18:33:12'),(22679,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34321,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"310\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Father\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34321}','68.53.115.247','2021-05-26 18:33:12'),(22680,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34322,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"311\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34322}','68.53.115.247','2021-05-26 18:33:12'),(22681,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34323,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"312\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34323}','68.53.115.247','2021-05-26 18:33:12'),(22682,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34324,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"313\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:12 pm\",\"created_at\":\"5\\/26\\/2021 1:33:12 pm\",\"id\":34324}','68.53.115.247','2021-05-26 18:33:12'),(22683,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34325,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"314\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:13 pm\",\"created_at\":\"5\\/26\\/2021 1:33:13 pm\",\"id\":34325}','68.53.115.247','2021-05-26 18:33:13'),(22684,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34326,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"316\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:13 pm\",\"created_at\":\"5\\/26\\/2021 1:33:13 pm\",\"id\":34326}','68.53.115.247','2021-05-26 18:33:13'),(22685,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34327,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"317\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Multidisciplinary team (MDT) or supervisor consult at point of screening was not done as required by policy.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:13 pm\",\"created_at\":\"5\\/26\\/2021 1:33:13 pm\",\"id\":34327}','68.53.115.247','2021-05-26 18:33:13'),(22686,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34328,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"318\",\"question_type\":\"Free_Text\",\"text_answer\":\"It was learned during the debriefing that screening staff were allowed to screen most intakes individually without consultation of a multidisciplinary team or supervisor.  Staff are encouraged to utilize supervisor consultation as needed for screening decisions.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:13 pm\",\"created_at\":\"5\\/26\\/2021 1:33:13 pm\",\"id\":34328}','68.53.115.247','2021-05-26 18:33:13'),(22687,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34329,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"319\",\"question_type\":\"Free_Text\",\"text_answer\":\"Not utilizing consultation with a MDT or supervisor at the point of screening the child protection report was influenced by staff\'s discretionary use for when to use a MDT or supervisor for screening consultation.  The agency\'s procedural adaptation of allowing screeners to discretionarily consult with a MDT or supervisor which deviates from state policy was governed by an overall increase in screening staff\'s workload, affecting staff\'s time to access and utilize a MDT or supervisor for screening consultation.  This increase in staff\'s workload has been impacted by recent changes to the Minnesota Intake, Screening, and Response Path Guidelines resulting from legislative changes following the recommendations made by the Governor\'s Task Force on the Protection of Children.  These changes have expanded intake and screening requirements for local agencies, leading to an increase in intake and screening related tasks. Recent media coverage on high profile child protection cases coupled with the local agency\'s press release on their 24 hour child protection coverage has also generated an increase in the volume of calls received by the local child welfare agency further contributing to an increase in screening staff\'s workloads.  Furthermore, procedural changes made by the agency requiring screening staff to thoroughly document all calls as intakes into SSIS (Social Service Information System) has also added to screening staff\'s workload.  This process has lengthened the time for staff to complete their required tasks, compromising the efficiency of their works as entering all of this information in SSIS is a burdensome process for staff.  This efficiency thoroughness tradeoff has further impacted staff\'s time to seek out a MDT or supervisor for screening consultation when needed. \\r\\n\\r\\nAlso influencing the agency\'s procedural adaptation of allowing screeners to discretionarily consult with a MDT or supervisor was the limited availability of supervisors for consultation. Limited supervisory consultation time was impacted by increased workload demands for supervisors that included, only two supervisors being on per shift, the number of staff supervised, and a meeting culture in the agency that affected supervisor\'s availability due to attending multiple meetings per week.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:13 pm\",\"created_at\":\"5\\/26\\/2021 1:33:13 pm\",\"id\":34329}','68.53.115.247','2021-05-26 18:33:13'),(22688,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34330,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"320\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Intake placed in pending status for 22 hours\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:13 pm\",\"created_at\":\"5\\/26\\/2021 1:33:13 pm\",\"id\":34330}','68.53.115.247','2021-05-26 18:33:13'),(22689,'dmzgF1uZ0kxqt65uHOXmy2Jn9hHE9ynNzQAdE6lK',81,'reports_answer','create',34331,'{\"report_id\":367,\"form_id\":\"22\",\"user_id\":81,\"organization_id\":13,\"question_id\":\"321\",\"question_type\":\"Free_Text\",\"text_answer\":\"The intake received on 3\\/23\\/2016 was taken by the screener by phone and placed in pending status. Per the supervisor, this is not an uncommon practice (for non-immediate response cases) as screeners often receive high volumes of calls and are given the ability to prioritize those calls based on allegation\\/circumstances.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"5\\/26\\/2021 1:33:13 pm\",\"created_at\":\"5\\/26\\/2021 1:33:13 pm\",\"id\":34331}','68.53.115.247','2021-05-26 18:33:13');
