{"report_id":193,"form_id":"23","user_id":81,"organization_id":10,"question_id":"102","question_type":"Free_Text","text_answer":"Staff was preoccupied, cleaning the bathroom during the time the individual left the home. From the bathroom the staff did not have a vantage point to see the patio area where the individual was smoking prior to leaving the home.  The staff cleaning the bathroom was influenced by the provider assigning staff multiple duties such as cleaning, cooking, etc. Staff cleans the home as the home is required to be safe and sanitary which is also part of the licensing requirements through Minnesota Statutes, 245D.  The staffing ratio at the time of the incident also influenced the staff performing multiple duties.  There was a 1:4 ratio with no other staff on duty, so staff was supporting the four individuals as well as completing other support related tasks such as cleaning. \r\n\r\nOther contributing factors to staff cleaning in an area where they were unable to observe the individual was that staff had no concerns that the individual would leave without confirming with staff and taking the walkie talkie. The individual frequently smoked outside without leaving, in particular, the individual had not previously left the house without telling this staff person. The individual mentioned they might go to the convenience store and staff asked him to take a walkie talkie with, which also influenced staff's comfortability in cleaning the bathroom as the staff assumed he would take the walkie talkie if he left. The Staff's perception that the individual would follow alone time protocol was supported  by the individual\u2019s plan which allowed him to go for a 30 minute walk without staff supervision.","created_by":81,"updated_by":81,"updated_at":"5\/25\/2021 9:25:34 am","created_at":"5\/25\/2021 9:25:34 am","id":14429}