{"Short_Answer__76":"201904039","Date__77":"07\/24\/2019","Multiple_Choice__78":"Tony Gantenbein","Multiple_Choice__79":"Tim Sullivan","Short_Answer__80":"Mary T. Inc.","Short_Answer__81":"Gordon Clark","Short_Answer__82":"gordonc@marytinc.com","Multiple_Choice__84":"Elopement","Multiple_Choice__85":"Hennepin County","Date__86":"06\/01\/2019","Free_Text__87":"Staff brought four housemates to the Como Park Zoo on a summer Saturday afternoon. After spending some time walking around the crowed zoo looking at animals, one person wandered away from the group. Staff was not sure what to do so he brought the other guys back to the van, leaving the windows down, to keep them together. He went back to look for the missing person with the help of zoo staff.","Multiple_Choice__96":"1","Short_Answer__91":"Staff lost sight of person at Como Zoo","True_or_False__94":"Yes","Date__97":"08\/27\/2019","Free_Text__98":"Staff participated in a human factors debriefing, led by a Safety Analyst, on August 27, 2019 at the group home in Richfield where the VA resides.\r\n\r\nThe slow pace of one of the people on the outing impacted the staff persons focus during the outing and he lost sight of one the housemates. The staff placed importance on the safety of the other people in the group when he made the decision to place them in the van while he sought help in locating the missing person. He did not want to lose other people. This decision was further influenced by fact, he was the only staff person on the outing and he had never been to Como Park before so he was not familiar with the park or available resources.","Free_Text__100":"Losing sight of a person was influenced by staff being distracted while holding the hand of a slow walker in the group and watching their footing. This was further influenced by the crowded zoo and the varying needs of each of the four people in the group. Also this was the staffs first time at Como Park Zoo and he was unfamiliar with the park and available resources. He wanted to do an activity the group enjoyed and was not afraid to take risks by going to a new place for an outing. It was known that the people living in the home enjoyed seeing animals, and considering that Como Zoo was a free activity, this outing was selected. The staff\u2019s willingness to take risk was likely impacted by the disability advocacy community\u2019s emphasis on allowing people with disabilities the dignity of risk. \r\nAdditional factors that influenced the Como Park outing and staff decision making were the community inclusion goals developed by the provider. These goals are outlined in the CSP\/CSSP for each person in the group based on the MN Choices Assessment and the Person Centered\/Informed Choice protocols. \r\n\r\nThe staffing pattern on the day of the outing to Como Zoo was impacted by the provider\u2019s budget and the hours allocated to the home during the negotiation process facilitated by DHS Form 6790. This process is impacted by the individual needs of each person in the home, assessed by MnCHOICES and developed into each person\u2019s Coordinated Services and Support Plan. The hours and rate are further impacted by the Disability Waiver Rate System created by the Minnesota Legislature. \r\n\r\nThe staff training established in 245D statute and the Positive Supports Rule influenced the provider required training to prepare staff for community based outings and discretion for decision making. Staff demonstrated competency in this area when he was able to describe the clothing worn by the missing person and share \u201cthe book\u201d with details about the person.","Multiple_Choice__101":"2","Free_Text__102":"Losing sight of a person was influenced by staff being distracted while holding the hand of a slow walker in the group and watching their footing. This was further influenced by the crowded zoo and the varying needs of each of the four people in the group.","Multiple_Choice__103":"3","Free_Text__104":"The staffing pattern on the day of the outing to Como Zoo was impacted by the provider\u2019s budget and the hours allocated to the home during the negotiation process facilitated by DHS Form 6790. This process is impacted by the individual needs of each person in the home, assessed by MnCHOICES and developed into each person\u2019s Coordinated Services and Support Plan. The hours and rate are further impacted by the Disability Waiver Rate System created by the Minnesota Legislature.","Multiple_Choice__105":"0","Multiple_Choice__107":"0","Multiple_Choice__109":"0","Multiple_Choice__111":"1","Multiple_Choice__113":"0","Multiple_Choice__115":"3","Free_Text__116":"We may need to edit the narrative and this example to emphasize the conflict between the \"health, safety, and well-being\" and community inclusion\r\n\r\nIt was known that the people living in the home enjoyed seeing animals, and considering that Como Zoo was a free activity, this outing was selected. The staff\u2019s willingness to take risk was likely impacted by the disability advocacy community\u2019s emphasis on allowing people with disabilities the dignity of risk. \r\nAdditional factors that influenced the Como Park outing and staff decision making were the community inclusion goals developed by the provider.","Multiple_Choice__117":"0","Multiple_Choice__119":"0","Multiple_Choice__121":"0","Multiple_Choice__123":"2","Free_Text__124":"The staff\u2019s willingness to take risk was likely impacted by the disability advocacy community\u2019s emphasis on allowing people with disabilities the dignity of risk.","Multiple_Choice__125":"0","Yes_or_No__432":"Yes"}