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The provider tried to work with him to move to the overnight position which would allow him to sleep but he did not accept this offer.  The provider noted that the overnight shift made nearly $5 less per hour, which was one of the influences into the person staying on the awake shift.  The provider was experiencing a staff shortage which is one of the factors into why they wanted to work with the staff to find a position that would meet both of their needs. An additional influence in staff falling asleep is that the staff laid down to try out a newly purchased weighted blanket   \\r\\n\\r\\nAll clients in the home had their needs assessed by MnCHOICES, which supported the individuals having sleep staff as well as alone time. The provider had seen this house as a potential house to replace overnight staff with remote monitoring technology due to the low needs of the individuals. The provider\\u2019s push for more alone time and remote monitoring was impacted by their efforts to allow the dignity of risk by providing more opportunities for people they serve to have a choice and control over their lives.  The effort to encourage dignity of risk was influenced by statewide person-centered planning requirements and emphasis. However, one guardian was resistant to remote monitoring but compromised by allowing the person alone time in their plan.  It was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeling comfortable to lie down. \\r\\n\\r\\nThe staff\\u2019s unwillingness to move to the overnight shift was influenced by the lower rate of pay that asleep staff were paid. The sleep rate is factored into the provider\\u2019s overall reimbursement negotiated with the county through the 6790 and provides a lower rate asleep than awake hours. The 6790-negotiation process is influenced by the rates determined by the Legislature in the Disability Waiver Rate System and the assessed needs identified in MnCHOICES and the resulting supervision levels identified in the CSSP.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:20 pm\",\"created_at\":\"4\\/28\\/2021 9:38:20 pm\",\"id\":2245}','68.53.115.247','2021-04-29 02:38:20'),(7017,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2246,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"127\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:20 pm\",\"created_at\":\"4\\/28\\/2021 9:38:20 pm\",\"id\":2246}','68.53.115.247','2021-04-29 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02:38:33'),(7058,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2287,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"07\\/19\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2287}','68.53.115.247','2021-04-29 02:38:33'),(7059,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2288,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"As the only staff present in the facility, David laid down after Damon went to bed at approximately 8:00 pm. He inadvertently fell asleep and was awoken by the night shift staff when they reported for their shift at approximately 9:50 pm. Damon was apparently asleep the entire time, but his staffing ratios only for 1 hour of alone time during the day and sleeping night staff.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2288}','68.53.115.247','2021-04-29 02:38:33'),(7060,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2289,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"96\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2289}','68.53.115.247','2021-04-29 02:38:33'),(7061,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2290,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff was sleeping during an evening shift\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2290}','68.53.115.247','2021-04-29 02:38:33'),(7062,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2291,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"94\",\"question_type\":\"True_or_False\",\"text_answer\":\"No\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2291}','68.53.115.247','2021-04-29 02:38:33'),(7063,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2292,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2292}','68.53.115.247','2021-04-29 02:38:33'),(7064,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2293,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2293}','68.53.115.247','2021-04-29 02:38:33'),(7065,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2294,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"99\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Staff No Longer Employed\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2294}','68.53.115.247','2021-04-29 02:38:33'),(7066,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2295,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"This house had an asleep overnight shift that began at 10pm, as directed by the CSSPs for the four people living in the home. The staff fell asleep at 8pm when all was quiet, and all the people were presumably in their rooms for the night. The people being served in this house demonstrated low needs which allowed them to have unsupervised time, contributing to the staff feeling comfortable to lie down. An additional factor into the staff laying down was that the staff was tired.  This staff had fallen asleep on previous shifts and disclosed to management that he was tired due to a personal situation that left him homeless. The staff typically slept in his car during this period.  The provider tried to work with him to move to the overnight position which would allow him to sleep but he did not accept this offer.  The provider noted that the overnight shift made nearly $5 less per hour, which was one of the influences into the person staying on the awake shift.  The provider was experiencing a staff shortage which is one of the factors into why they wanted to work with the staff to find a position that would meet both of their needs. An additional influence in staff falling asleep is that the staff laid down to try out a newly purchased weighted blanket   \\r\\n\\r\\nAll clients in the home had their needs assessed by MnCHOICES, which supported the individuals having sleep staff as well as alone time. The provider had seen this house as a potential house to replace overnight staff with remote monitoring technology due to the low needs of the individuals. The provider\\u2019s push for more alone time and remote monitoring was impacted by their efforts to allow the dignity of risk by providing more opportunities for people they serve to have a choice and control over their lives.  The effort to encourage dignity of risk was influenced by statewide person-centered planning requirements and emphasis. However, one guardian was resistant to remote monitoring but compromised by allowing the person alone time in their plan.  It was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeling comfortable to lie down. \\r\\n\\r\\nThe staff\\u2019s unwillingness to move to the overnight shift was influenced by the lower rate of pay that asleep staff were paid. The sleep rate is factored into the provider\\u2019s overall reimbursement negotiated with the county through the 6790 and provides a lower rate asleep than awake hours. The 6790-negotiation process is influenced by the rates determined by the Legislature in the Disability Waiver Rate System and the assessed needs identified in MnCHOICES and the resulting supervision levels identified in the CSSP.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2295}','68.53.115.247','2021-04-29 02:38:33'),(7067,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2296,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"127\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2296}','68.53.115.247','2021-04-29 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02:38:33'),(7092,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2321,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"121\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2321}','68.53.115.247','2021-04-29 02:38:33'),(7093,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2322,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"122\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2322}','68.53.115.247','2021-04-29 02:38:33'),(7094,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2323,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"123\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2323}','68.53.115.247','2021-04-29 02:38:33'),(7095,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2324,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2324}','68.53.115.247','2021-04-29 02:38:33'),(7096,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2325,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"125\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2325}','68.53.115.247','2021-04-29 02:38:33'),(7097,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2326,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"126\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:33 pm\",\"created_at\":\"4\\/28\\/2021 9:38:33 pm\",\"id\":2326}','68.53.115.247','2021-04-29 02:38:33'),(7098,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2327,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"104\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"The provider tried to work with him to move to the overnight position which would allow him to sleep but he did not accept this offer.  The provider noted that the overnight shift made nearly $5 less per hour, which was one of the influences into the person staying on the awake shift.  The provider was experiencing a staff shortage which is one of the factors into why they wanted to work with the staff to find a position that would meet both of their needs. \\n\\nThe staff\\u2019s unwillingness to move to the overnight shift was influenced by the lower rate of pay that asleep staff were paid. The sleep rate is factored into the provider\\u2019s overall reimbursement negotiated with the county through the 6790 and provides a lower rate asleep than awake hours\\\"\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:38:45 pm\",\"created_at\":\"4\\/28\\/2021 9:38:45 pm\",\"id\":2327}','68.53.115.247','2021-04-29 02:38:45'),(7099,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2328,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":\"All clients in the home had their needs assessed by MnCHOICES, which supported the individuals having sleep staff as well as alone time. The provider had seen this house as a potential house to replace overnight staff with remote monitoring technology due to the low needs of the individuals. The provider\\u2019s push for more alone time and remote monitoring was impacted by their efforts to allow the dignity of risk by providing more opportunities for people they serve to have a choice and control over their lives.  The effort to encourage dignity of risk was influenced by statewide person-centered planning requirements and emphasis. However, one guardian was resistant to remote monitoring but compromised by allowing the person alone time in their plan.  It was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeling comfortable to lie down.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:14 pm\",\"created_at\":\"4\\/28\\/2021 9:39:14 pm\",\"id\":2328}','68.53.115.247','2021-04-29 02:39:14'),(7100,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2329,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"The staff fell asleep at 8pm when all was quiet, and all the people were presumably in their rooms for the night. The people being served in this house demonstrated low needs which allowed them to have unsupervised time, contributing to the staff feeling comfortable to lie down.\\n\\nIt was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeing comfortable to lie down.  An additional influence in staff falling asleep is that the staff laid down to try out a newly purchased weighted blanket\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:48 pm\",\"created_at\":\"4\\/28\\/2021 9:39:48 pm\",\"id\":2329}','68.53.115.247','2021-04-29 02:39:48'),(7101,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2330,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"126\",\"question_type\":\"Free_Text\",\"text_answer\":\"An additional factor into the staff laying down was that the staff was tired.  This staff had fallen asleep on previous shifts and disclosed to management that he was tired due to a personal situation that left him homeless. The staff typically slept in his car during this period\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:56 pm\",\"created_at\":\"4\\/28\\/2021 9:39:56 pm\",\"id\":2330}','68.53.115.247','2021-04-29 02:39:56'),(7102,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2331,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"432\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:56 pm\",\"created_at\":\"4\\/28\\/2021 9:39:56 pm\",\"id\":2331}','68.53.115.247','2021-04-29 02:39:56'),(7103,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports','update',25,'{\"id\":25,\"form_id\":\"23\",\"user_id\":\"81\",\"question_id\":null,\"organization_id\":\"10\",\"tab_id\":null,\"question_type\":null,\"text_answer\":\"{\\\"Short_Answer__76\\\":\\\"201905293\\\",\\\"Date__77\\\":\\\"09\\\\\\/16\\\\\\/2019\\\",\\\"Multiple_Choice__78\\\":\\\"Kristie Pittman\\\",\\\"Multiple_Choice__79\\\":\\\"Charles Young\\\",\\\"Short_Answer__80\\\":\\\"REM Heartland, Inc. - Chastworth\\\",\\\"Short_Answer__81\\\":\\\"Lori Larson\\\",\\\"Short_Answer__82\\\":\\\"Lori.Larson@TheMentorNetwork.com\\\",\\\"Multiple_Choice__84\\\":\\\"Staff Sleeping on Duty\\\",\\\"Multiple_Choice__85\\\":\\\"Blue Earth County\\\",\\\"Date__86\\\":\\\"07\\\\\\/19\\\\\\/2019\\\",\\\"Free_Text__87\\\":\\\"As the only staff present in the facility, David laid down after Damon went to bed at approximately 8:00 pm. He inadvertently fell asleep and was awoken by the night shift staff when they reported for their shift at approximately 9:50 pm. Damon was apparently asleep the entire time, but his staffing ratios only for 1 hour of alone time during the day and sleeping night staff.\\\",\\\"Multiple_Choice__96\\\":\\\"1\\\",\\\"Short_Answer__91\\\":\\\"Staff was sleeping during an evening shift\\\",\\\"True_or_False__94\\\":\\\"No\\\",\\\"Multiple_Choice__99\\\":\\\"Staff No Longer Employed\\\",\\\"Free_Text__100\\\":\\\"\\\\\\\"This house had an asleep overnight shift that began at 10pm, as directed by the CSSPs for the four people living in the home. The staff fell asleep at 8pm when all was quiet, and all the people were presumably in their rooms for the night. The people being served in this house demonstrated low needs which allowed them to have unsupervised time, contributing to the staff feeling comfortable to lie down. An additional factor into the staff laying down was that the staff was tired.  This staff had fallen asleep on previous shifts and disclosed to management that he was tired due to a personal situation that left him homeless. The staff typically slept in his car during this period.  The provider tried to work with him to move to the overnight position which would allow him to sleep but he did not accept this offer.  The provider noted that the overnight shift made nearly $5 less per hour, which was one of the influences into the person staying on the awake shift.  The provider was experiencing a staff shortage which is one of the factors into why they wanted to work with the staff to find a position that would meet both of their needs. An additional influence in staff falling asleep is that the staff laid down to try out a newly purchased weighted blanket   \\\\r\\\\n\\\\r\\\\nAll clients in the home had their needs assessed by MnCHOICES, which supported the individuals having sleep staff as well as alone time. The provider had seen this house as a potential house to replace overnight staff with remote monitoring technology due to the low needs of the individuals. The provider\\\\u2019s push for more alone time and remote monitoring was impacted by their efforts to allow the dignity of risk by providing more opportunities for people they serve to have a choice and control over their lives.  The effort to encourage dignity of risk was influenced by statewide person-centered planning requirements and emphasis. However, one guardian was resistant to remote monitoring but compromised by allowing the person alone time in their plan.  It was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeling comfortable to lie down. \\\\r\\\\n\\\\r\\\\nThe staff\\\\u2019s unwillingness to move to the overnight shift was influenced by the lower rate of pay that asleep staff were paid. The sleep rate is factored into the provider\\\\u2019s overall reimbursement negotiated with the county through the 6790 and provides a lower rate asleep than awake hours. The 6790-negotiation process is influenced by the rates determined by the Legislature in the Disability Waiver Rate System and the assessed needs identified in MnCHOICES and the resulting supervision levels identified in the CSSP.\\\",\\\"Multiple_Choice__101\\\":\\\"0\\\",\\\"Multiple_Choice__103\\\":\\\"3\\\",\\\"Free_Text__104\\\":\\\"\\\\\\\"The provider tried to work with him to move to the overnight position which would allow him to sleep but he did not accept this offer.  The provider noted that the overnight shift made nearly $5 less per hour, which was one of the influences into the person staying on the awake shift.  The provider was experiencing a staff shortage which is one of the factors into why they wanted to work with the staff to find a position that would meet both of their needs. \\\\r\\\\n\\\\r\\\\nThe staff\\\\u2019s unwillingness to move to the overnight shift was influenced by the lower rate of pay that asleep staff were paid. The sleep rate is factored into the provider\\\\u2019s overall reimbursement negotiated with the county through the 6790 and provides a lower rate asleep than awake hours\\\\\\\"\\\",\\\"Multiple_Choice__105\\\":\\\"0\\\",\\\"Multiple_Choice__107\\\":\\\"0\\\",\\\"Multiple_Choice__109\\\":\\\"0\\\",\\\"Multiple_Choice__111\\\":\\\"0\\\",\\\"Multiple_Choice__113\\\":\\\"0\\\",\\\"Multiple_Choice__115\\\":\\\"2\\\",\\\"Free_Text__116\\\":\\\"All clients in the home had their needs assessed by MnCHOICES, which supported the individuals having sleep staff as well as alone time. The provider had seen this house as a potential house to replace overnight staff with remote monitoring technology due to the low needs of the individuals. The provider\\\\u2019s push for more alone time and remote monitoring was impacted by their efforts to allow the dignity of risk by providing more opportunities for people they serve to have a choice and control over their lives.  The effort to encourage dignity of risk was influenced by statewide person-centered planning requirements and emphasis. However, one guardian was resistant to remote monitoring but compromised by allowing the person alone time in their plan.  It was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeling comfortable to lie down.\\\",\\\"Multiple_Choice__117\\\":\\\"0\\\",\\\"Multiple_Choice__119\\\":\\\"0\\\",\\\"Multiple_Choice__121\\\":\\\"0\\\",\\\"Multiple_Choice__123\\\":\\\"3\\\",\\\"Free_Text__124\\\":\\\"\\\\\\\"The staff fell asleep at 8pm when all was quiet, and all the people were presumably in their rooms for the night. The people being served in this house demonstrated low needs which allowed them to have unsupervised time, contributing to the staff feeling comfortable to lie down.\\\\r\\\\n\\\\r\\\\nIt was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeing comfortable to lie down.  An additional influence in staff falling asleep is that the staff laid down to try out a newly purchased weighted blanket\\\",\\\"Multiple_Choice__125\\\":\\\"3\\\",\\\"Free_Text__126\\\":\\\"An additional factor into the staff laying down was that the staff was tired.  This staff had fallen asleep on previous shifts and disclosed to management that he was tired due to a personal situation that left him homeless. The staff typically slept in his car during this period\\\",\\\"Yes_or_No__432\\\":\\\"Yes\\\"}\",\"mcq_answer\":null,\"other_answer\":\"0\",\"status\":\"1\",\"created_by\":\"81\",\"updated_by\":81,\"created_at\":\"4\\/28\\/2021 9:36:28 pm\",\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"deleted_at\":null,\"report_name\":\"KP_REM Heartland-BEC-2019-09\"}','68.53.115.247','2021-04-29 02:39:59'),(7104,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2332,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"201905293\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2332}','68.53.115.247','2021-04-29 02:39:59'),(7105,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2333,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"09\\/16\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2333}','68.53.115.247','2021-04-29 02:39:59'),(7106,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2334,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Kristie Pittman\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2334}','68.53.115.247','2021-04-29 02:39:59'),(7107,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2335,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"79\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Charles Young\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2335}','68.53.115.247','2021-04-29 02:39:59'),(7108,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2336,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"REM Heartland, Inc. - Chastworth\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2336}','68.53.115.247','2021-04-29 02:39:59'),(7109,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2337,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Lori Larson\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2337}','68.53.115.247','2021-04-29 02:39:59'),(7110,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2338,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Lori.Larson@TheMentorNetwork.com\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2338}','68.53.115.247','2021-04-29 02:39:59'),(7111,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2339,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"83\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2339}','68.53.115.247','2021-04-29 02:39:59'),(7112,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2340,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"84\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Staff Sleeping on Duty\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2340}','68.53.115.247','2021-04-29 02:39:59'),(7113,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2341,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Blue Earth County\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2341}','68.53.115.247','2021-04-29 02:39:59'),(7114,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2342,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"07\\/19\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2342}','68.53.115.247','2021-04-29 02:39:59'),(7115,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2343,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"As the only staff present in the facility, David laid down after Damon went to bed at approximately 8:00 pm. He inadvertently fell asleep and was awoken by the night shift staff when they reported for their shift at approximately 9:50 pm. Damon was apparently asleep the entire time, but his staffing ratios only for 1 hour of alone time during the day and sleeping night staff.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2343}','68.53.115.247','2021-04-29 02:39:59'),(7116,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2344,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"96\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2344}','68.53.115.247','2021-04-29 02:39:59'),(7117,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2345,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff was sleeping during an evening shift\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2345}','68.53.115.247','2021-04-29 02:39:59'),(7118,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2346,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"94\",\"question_type\":\"True_or_False\",\"text_answer\":\"No\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2346}','68.53.115.247','2021-04-29 02:39:59'),(7119,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2347,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2347}','68.53.115.247','2021-04-29 02:39:59'),(7120,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2348,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2348}','68.53.115.247','2021-04-29 02:39:59'),(7121,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2349,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"99\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Staff No Longer Employed\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2349}','68.53.115.247','2021-04-29 02:39:59'),(7122,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2350,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"This house had an asleep overnight shift that began at 10pm, as directed by the CSSPs for the four people living in the home. The staff fell asleep at 8pm when all was quiet, and all the people were presumably in their rooms for the night. The people being served in this house demonstrated low needs which allowed them to have unsupervised time, contributing to the staff feeling comfortable to lie down. An additional factor into the staff laying down was that the staff was tired.  This staff had fallen asleep on previous shifts and disclosed to management that he was tired due to a personal situation that left him homeless. The staff typically slept in his car during this period.  The provider tried to work with him to move to the overnight position which would allow him to sleep but he did not accept this offer.  The provider noted that the overnight shift made nearly $5 less per hour, which was one of the influences into the person staying on the awake shift.  The provider was experiencing a staff shortage which is one of the factors into why they wanted to work with the staff to find a position that would meet both of their needs. An additional influence in staff falling asleep is that the staff laid down to try out a newly purchased weighted blanket   \\r\\n\\r\\nAll clients in the home had their needs assessed by MnCHOICES, which supported the individuals having sleep staff as well as alone time. The provider had seen this house as a potential house to replace overnight staff with remote monitoring technology due to the low needs of the individuals. The provider\\u2019s push for more alone time and remote monitoring was impacted by their efforts to allow the dignity of risk by providing more opportunities for people they serve to have a choice and control over their lives.  The effort to encourage dignity of risk was influenced by statewide person-centered planning requirements and emphasis. However, one guardian was resistant to remote monitoring but compromised by allowing the person alone time in their plan.  It was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeling comfortable to lie down. \\r\\n\\r\\nThe staff\\u2019s unwillingness to move to the overnight shift was influenced by the lower rate of pay that asleep staff were paid. The sleep rate is factored into the provider\\u2019s overall reimbursement negotiated with the county through the 6790 and provides a lower rate asleep than awake hours. The 6790-negotiation process is influenced by the rates determined by the Legislature in the Disability Waiver Rate System and the assessed needs identified in MnCHOICES and the resulting supervision levels identified in the CSSP.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2350}','68.53.115.247','2021-04-29 02:39:59'),(7123,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2351,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"127\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2351}','68.53.115.247','2021-04-29 02:39:59'),(7124,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2352,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"129\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2352}','68.53.115.247','2021-04-29 02:39:59'),(7125,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2353,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"130\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2353}','68.53.115.247','2021-04-29 02:39:59'),(7126,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2354,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"131\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2354}','68.53.115.247','2021-04-29 02:39:59'),(7127,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2355,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"132\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2355}','68.53.115.247','2021-04-29 02:39:59'),(7128,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2356,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"101\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2356}','68.53.115.247','2021-04-29 02:39:59'),(7129,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2357,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2357}','68.53.115.247','2021-04-29 02:39:59'),(7130,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2358,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"103\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2358}','68.53.115.247','2021-04-29 02:39:59'),(7131,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2359,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"104\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"The provider tried to work with him to move to the overnight position which would allow him to sleep but he did not accept this offer.  The provider noted that the overnight shift made nearly $5 less per hour, which was one of the influences into the person staying on the awake shift.  The provider was experiencing a staff shortage which is one of the factors into why they wanted to work with the staff to find a position that would meet both of their needs. \\r\\n\\r\\nThe staff\\u2019s unwillingness to move to the overnight shift was influenced by the lower rate of pay that asleep staff were paid. The sleep rate is factored into the provider\\u2019s overall reimbursement negotiated with the county through the 6790 and provides a lower rate asleep than awake hours\\\"\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2359}','68.53.115.247','2021-04-29 02:39:59'),(7132,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2360,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"105\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2360}','68.53.115.247','2021-04-29 02:39:59'),(7133,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2361,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"106\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2361}','68.53.115.247','2021-04-29 02:39:59'),(7134,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2362,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"107\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2362}','68.53.115.247','2021-04-29 02:39:59'),(7135,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2363,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"108\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2363}','68.53.115.247','2021-04-29 02:39:59'),(7136,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2364,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"109\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2364}','68.53.115.247','2021-04-29 02:39:59'),(7137,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2365,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"110\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2365}','68.53.115.247','2021-04-29 02:39:59'),(7138,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2366,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"111\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2366}','68.53.115.247','2021-04-29 02:39:59'),(7139,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2367,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"112\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2367}','68.53.115.247','2021-04-29 02:39:59'),(7140,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2368,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"113\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2368}','68.53.115.247','2021-04-29 02:39:59'),(7141,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2369,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"114\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2369}','68.53.115.247','2021-04-29 02:39:59'),(7142,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2370,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"115\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2370}','68.53.115.247','2021-04-29 02:39:59'),(7143,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2371,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"116\",\"question_type\":\"Free_Text\",\"text_answer\":\"All clients in the home had their needs assessed by MnCHOICES, which supported the individuals having sleep staff as well as alone time. The provider had seen this house as a potential house to replace overnight staff with remote monitoring technology due to the low needs of the individuals. The provider\\u2019s push for more alone time and remote monitoring was impacted by their efforts to allow the dignity of risk by providing more opportunities for people they serve to have a choice and control over their lives.  The effort to encourage dignity of risk was influenced by statewide person-centered planning requirements and emphasis. However, one guardian was resistant to remote monitoring but compromised by allowing the person alone time in their plan.  It was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeling comfortable to lie down.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2371}','68.53.115.247','2021-04-29 02:39:59'),(7144,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2372,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"117\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2372}','68.53.115.247','2021-04-29 02:39:59'),(7145,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2373,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"118\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2373}','68.53.115.247','2021-04-29 02:39:59'),(7146,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2374,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"119\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2374}','68.53.115.247','2021-04-29 02:39:59'),(7147,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2375,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"120\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2375}','68.53.115.247','2021-04-29 02:39:59'),(7148,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2376,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"121\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2376}','68.53.115.247','2021-04-29 02:39:59'),(7149,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2377,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"122\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2377}','68.53.115.247','2021-04-29 02:39:59'),(7150,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2378,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"123\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2378}','68.53.115.247','2021-04-29 02:39:59'),(7151,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2379,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"The staff fell asleep at 8pm when all was quiet, and all the people were presumably in their rooms for the night. The people being served in this house demonstrated low needs which allowed them to have unsupervised time, contributing to the staff feeling comfortable to lie down.\\r\\n\\r\\nIt was common knowledge among staff that the clients demonstrated low needs, contributing to the staff feeing comfortable to lie down.  An additional influence in staff falling asleep is that the staff laid down to try out a newly purchased weighted blanket\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2379}','68.53.115.247','2021-04-29 02:39:59'),(7152,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2380,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"125\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"3\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2380}','68.53.115.247','2021-04-29 02:39:59'),(7153,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2381,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"126\",\"question_type\":\"Free_Text\",\"text_answer\":\"An additional factor into the staff laying down was that the staff was tired.  This staff had fallen asleep on previous shifts and disclosed to management that he was tired due to a personal situation that left him homeless. The staff typically slept in his car during this period\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2381}','68.53.115.247','2021-04-29 02:39:59'),(7154,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2382,'{\"report_id\":25,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"432\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:39:59 pm\",\"created_at\":\"4\\/28\\/2021 9:39:59 pm\",\"id\":2382}','68.53.115.247','2021-04-29 02:39:59'),(7155,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports','create',26,'{\"text_answer\":\"\",\"form_id\":\"23\",\"user_id\":81,\"report_name\":\"KP_REM Heartland-BEC-2019-12\",\"organization_id\":10,\"status\":1,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:40:27 pm\",\"created_at\":\"4\\/28\\/2021 9:40:27 pm\",\"id\":26}','68.53.115.247','2021-04-29 02:40:27'),(7156,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2383,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"201907799\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:40:27 pm\",\"created_at\":\"4\\/28\\/2021 9:40:27 pm\",\"id\":2383}','68.53.115.247','2021-04-29 02:40:28'),(7157,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2384,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"12\\/16\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:40:34 pm\",\"created_at\":\"4\\/28\\/2021 9:40:34 pm\",\"id\":2384}','68.53.115.247','2021-04-29 02:40:35'),(7158,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2385,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"REM Heartland, Inc. - Cougar Drive\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:40:50 pm\",\"created_at\":\"4\\/28\\/2021 9:40:50 pm\",\"id\":2385}','68.53.115.247','2021-04-29 02:40:50'),(7159,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2386,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"10\\/19\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:23 pm\",\"created_at\":\"4\\/28\\/2021 9:41:23 pm\",\"id\":2386}','68.53.115.247','2021-04-29 02:41:23'),(7160,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2387,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"The individual was setting up her medication for the week on Tuesday 10\\/15\\/19. The individual stated that she\\ntook the bottle of pills from the box of medication that staff left unattended. Individual stated on 10\\/20\\/19 that she took 30 pills on 10\\/17\\/19\\nand took 19 pills on 10\\/19\\/19. The medication was Hydroxyzine 25mg capsules. The individual did not have any apparent side effects from\\ntaking the medications.\\\"\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2387}','68.53.115.247','2021-04-29 02:41:36'),(7161,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2388,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"201907799\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2388}','68.53.115.247','2021-04-29 02:41:36'),(7162,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2389,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"12\\/16\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2389}','68.53.115.247','2021-04-29 02:41:36'),(7163,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2390,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Kristie Pittman\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2390}','68.53.115.247','2021-04-29 02:41:36'),(7164,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2391,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"79\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2391}','68.53.115.247','2021-04-29 02:41:36'),(7165,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2392,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"REM Heartland, Inc. - Cougar Drive\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2392}','68.53.115.247','2021-04-29 02:41:36'),(7166,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2393,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2393}','68.53.115.247','2021-04-29 02:41:36'),(7167,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2394,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2394}','68.53.115.247','2021-04-29 02:41:36'),(7168,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2395,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"83\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2395}','68.53.115.247','2021-04-29 02:41:36'),(7169,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2396,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"84\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Medication Error\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2396}','68.53.115.247','2021-04-29 02:41:36'),(7170,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2397,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Blue Earth County\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2397}','68.53.115.247','2021-04-29 02:41:36'),(7171,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2398,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"10\\/19\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2398}','68.53.115.247','2021-04-29 02:41:36'),(7172,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2399,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"The individual was setting up her medication for the week on Tuesday 10\\/15\\/19. The individual stated that she\\r\\ntook the bottle of pills from the box of medication that staff left unattended. Individual stated on 10\\/20\\/19 that she took 30 pills on 10\\/17\\/19\\r\\nand took 19 pills on 10\\/19\\/19. The medication was Hydroxyzine 25mg capsules. The individual did not have any apparent side effects from\\r\\ntaking the medications.\\\"\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2399}','68.53.115.247','2021-04-29 02:41:36'),(7173,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2400,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"96\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2400}','68.53.115.247','2021-04-29 02:41:36'),(7174,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2401,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2401}','68.53.115.247','2021-04-29 02:41:36'),(7175,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2402,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2402}','68.53.115.247','2021-04-29 02:41:36'),(7176,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2403,'{\"report_id\":26,\"form_id\":\"26\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:41:36 pm\",\"created_at\":\"4\\/28\\/2021 9:41:36 pm\",\"id\":2403}','68.53.115.247','2021-04-29 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Person was their own guardian. Also contributing to the staff\\u2019s perception is the training they receive on person center planning which is a requirement of 245D.  The training offered to staff is impacted by the funding that is allowed in the Disability Waiver Rate Setting Tool, which doesn\\u2019t always capture the training staff may need to support a person with mental health issues. \\n Also influencing the staff to leave someone unsupervised that there were 4 people in the home and the time of the day at the home was busy.  Staff are responsible for ensuring the safety of all people in the home which is a requirement by the CSSP of each person as well as the requirements of 245D. \\nFurther impacting staff leaving the person unsupervised during medication setup is that staff at the home would often prioritize the needs of the other 3 people in the home due to their higher and lower autonomy.  . The moratorium decreased the number of beds available and created a bed shortage.\\nThe final influence as to why the staff left the person unsupervised was the staff was comfortable leaving the person alone.  The person was high functioning and their own guardian.  Person being served had no history of abusing medications while residing in the home and no history of issues during medication set up influencing staff to have a trusting relationship with the person further impacting the staff being comfortable leaving the person unsupervised during medication set up.  The person had chosen to set up their medications independently with supervision.  The provider was assigned responsibility for medication set up with supervision by the case manager and agreed to by the person.  The mental health professionals involved did agree that there was a need for medication set up assistance, influencing why the provider was assigned medication set up responsibilities. The person\\u2019s MnCHOICES assessment did identify a need for medication responsibilities, which in turn was impacted by the levels of medication responsibilities identified in 245D.  The case manager\\u2019s awareness of the person\\u2019s history, which included a previous suicide attempt, further impacted the case manager assigning the provider medication set up assistance responsibility.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:42:15 pm\",\"created_at\":\"4\\/28\\/2021 9:42:15 pm\",\"id\":2439}','68.53.115.247','2021-04-29 02:42:15'),(7213,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2440,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"102\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"Person was left unsupervised during medication set up was influenced by DSP perception that the people who are their own guardians can direct their own services\\n Person being served had no history of abusing medications while residing in the home and no history of issues during medication set up influencing staff to have a trusting relationship with the person further impacting the staff being comfortable leaving the person unsupervised during medication set up.  \\\"\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:42:38 pm\",\"created_at\":\"4\\/28\\/2021 9:42:38 pm\",\"id\":2440}','68.53.115.247','2021-04-29 02:42:38'),(7214,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2441,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"104\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"\\n\\nThe training offered to staff is impacted by the funding that is allowed in the Disability Waiver Rate Setting Tool, which doesn\\u2019t always capture the training staff may need to support a person with mental health issues. \\n\\\"\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:42:46 pm\",\"created_at\":\"4\\/28\\/2021 9:42:46 pm\",\"id\":2441}','68.53.115.247','2021-04-29 02:42:46'),(7215,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2442,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"120\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"Impacting the mix of personal needs in the home that providers have serving people with different diagnosis in one home more often since the foster care moratorium took effectThe moratorium decreased the number of beds available and created a bed shortage.\\n\\\"\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:21 pm\",\"created_at\":\"4\\/28\\/2021 9:43:21 pm\",\"id\":2442}','68.53.115.247','2021-04-29 02:43:21'),(7216,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2443,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"124\",\"question_type\":\"Free_Text\",\"text_answer\":\"Further impacting staff leaving the person unsupervised during medication setup is that staff at the home would often prioritize the needs of the other 3 people in the home due to their higher and lower autonomy\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:36 pm\",\"created_at\":\"4\\/28\\/2021 9:43:36 pm\",\"id\":2443}','68.53.115.247','2021-04-29 02:43:36'),(7217,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2444,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"432\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:45 pm\",\"created_at\":\"4\\/28\\/2021 9:43:45 pm\",\"id\":2444}','68.53.115.247','2021-04-29 02:43:45'),(7218,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports','update',26,'{\"id\":26,\"form_id\":\"23\",\"user_id\":\"81\",\"question_id\":null,\"organization_id\":\"10\",\"tab_id\":null,\"question_type\":null,\"text_answer\":\"{\\\"Short_Answer__76\\\":\\\"201907799\\\",\\\"Date__77\\\":\\\"12\\\\\\/16\\\\\\/2019\\\",\\\"Multiple_Choice__78\\\":\\\"Kristie Pittman\\\",\\\"Short_Answer__80\\\":\\\"REM Heartland, Inc. - Cougar Drive\\\",\\\"Multiple_Choice__84\\\":\\\"Medication Error\\\",\\\"Multiple_Choice__85\\\":\\\"Blue Earth County\\\",\\\"Date__86\\\":\\\"10\\\\\\/19\\\\\\/2019\\\",\\\"Free_Text__87\\\":\\\"\\\\\\\"The individual was setting up her medication for the week on Tuesday 10\\\\\\/15\\\\\\/19. 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Also contributing to the staff\\\\u2019s perception is the training they receive on person center planning which is a requirement of 245D.  The training offered to staff is impacted by the funding that is allowed in the Disability Waiver Rate Setting Tool, which doesn\\\\u2019t always capture the training staff may need to support a person with mental health issues. \\\\r\\\\n Also influencing the staff to leave someone unsupervised that there were 4 people in the home and the time of the day at the home was busy.  Staff are responsible for ensuring the safety of all people in the home which is a requirement by the CSSP of each person as well as the requirements of 245D. \\\\r\\\\nFurther impacting staff leaving the person unsupervised during medication setup is that staff at the home would often prioritize the needs of the other 3 people in the home due to their higher and lower autonomy.  . The moratorium decreased the number of beds available and created a bed shortage.\\\\r\\\\nThe final influence as to why the staff left the person unsupervised was the staff was comfortable leaving the person alone.  The person was high functioning and their own guardian.  Person being served had no history of abusing medications while residing in the home and no history of issues during medication set up influencing staff to have a trusting relationship with the person further impacting the staff being comfortable leaving the person unsupervised during medication set up.  The person had chosen to set up their medications independently with supervision.  The provider was assigned responsibility for medication set up with supervision by the case manager and agreed to by the person.  The mental health professionals involved did agree that there was a need for medication set up assistance, influencing why the provider was assigned medication set up responsibilities. The person\\\\u2019s MnCHOICES assessment did identify a need for medication responsibilities, which in turn was impacted by the levels of medication responsibilities identified in 245D.  The case manager\\\\u2019s awareness of the person\\\\u2019s history, which included a previous suicide attempt, further impacted the case manager assigning the provider medication set up assistance responsibility.\\\",\\\"Multiple_Choice__101\\\":\\\"3\\\",\\\"Free_Text__102\\\":\\\"\\\\\\\"Person was left unsupervised during medication set up was influenced by DSP perception that the people who are their own guardians can direct their own services\\\\r\\\\n Person being served had no history of abusing medications while residing in the home and no history of issues during medication set up influencing staff to have a trusting relationship with the person further impacting the staff being comfortable leaving the person unsupervised during medication set up.  \\\\\\\"\\\",\\\"Multiple_Choice__103\\\":\\\"3\\\",\\\"Free_Text__104\\\":\\\"\\\\\\\"\\\\r\\\\n\\\\r\\\\nThe training offered to staff is impacted by the funding that is allowed in the Disability Waiver Rate Setting Tool, which doesn\\\\u2019t always capture the training staff may need to support a person with mental health issues. \\\\r\\\\n\\\\\\\"\\\",\\\"Multiple_Choice__105\\\":\\\"0\\\",\\\"Multiple_Choice__107\\\":\\\"0\\\",\\\"Multiple_Choice__109\\\":\\\"0\\\",\\\"Multiple_Choice__111\\\":\\\"0\\\",\\\"Multiple_Choice__113\\\":\\\"0\\\",\\\"Multiple_Choice__115\\\":\\\"0\\\",\\\"Multiple_Choice__117\\\":\\\"0\\\",\\\"Multiple_Choice__119\\\":\\\"2\\\",\\\"Free_Text__120\\\":\\\"\\\\\\\"Impacting the mix of personal needs in the home that providers have serving people with different diagnosis in one home more often since the foster care moratorium took effectThe moratorium decreased the number of beds available and created a bed shortage.\\\\r\\\\n\\\\\\\"\\\",\\\"Multiple_Choice__121\\\":\\\"0\\\",\\\"Multiple_Choice__123\\\":\\\"2\\\",\\\"Free_Text__124\\\":\\\"Further impacting staff leaving the person unsupervised during medication setup is that staff at the home would often prioritize the needs of the other 3 people in the home due to their higher and lower autonomy\\\",\\\"Multiple_Choice__125\\\":\\\"0\\\",\\\"Yes_or_No__432\\\":\\\"Yes\\\"}\",\"mcq_answer\":null,\"other_answer\":\"0\",\"status\":\"1\",\"created_by\":\"81\",\"updated_by\":81,\"created_at\":\"4\\/28\\/2021 9:40:27 pm\",\"updated_at\":\"4\\/28\\/2021 9:43:48 pm\",\"deleted_at\":null,\"report_name\":\"KP_REM Heartland-BEC-2019-12\"}','68.53.115.247','2021-04-29 02:43:48'),(7219,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2445,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"76\",\"question_type\":\"Short_Answer\",\"text_answer\":\"201907799\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2445}','68.53.115.247','2021-04-29 02:43:49'),(7220,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2446,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"77\",\"question_type\":\"Date\",\"text_answer\":\"12\\/16\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2446}','68.53.115.247','2021-04-29 02:43:49'),(7221,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2447,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"78\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Kristie Pittman\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2447}','68.53.115.247','2021-04-29 02:43:49'),(7222,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2448,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"79\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2448}','68.53.115.247','2021-04-29 02:43:49'),(7223,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2449,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"80\",\"question_type\":\"Short_Answer\",\"text_answer\":\"REM Heartland, Inc. - Cougar Drive\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2449}','68.53.115.247','2021-04-29 02:43:49'),(7224,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2450,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"81\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2450}','68.53.115.247','2021-04-29 02:43:49'),(7225,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2451,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"82\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2451}','68.53.115.247','2021-04-29 02:43:49'),(7226,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2452,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"83\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2452}','68.53.115.247','2021-04-29 02:43:49'),(7227,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2453,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"84\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Medication Error\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2453}','68.53.115.247','2021-04-29 02:43:49'),(7228,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2454,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"85\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Blue Earth County\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2454}','68.53.115.247','2021-04-29 02:43:49'),(7229,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2455,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"86\",\"question_type\":\"Date\",\"text_answer\":\"10\\/19\\/2019\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2455}','68.53.115.247','2021-04-29 02:43:49'),(7230,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2456,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"87\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"The individual was setting up her medication for the week on Tuesday 10\\/15\\/19. The individual stated that she\\r\\ntook the bottle of pills from the box of medication that staff left unattended. Individual stated on 10\\/20\\/19 that she took 30 pills on 10\\/17\\/19\\r\\nand took 19 pills on 10\\/19\\/19. The medication was Hydroxyzine 25mg capsules. The individual did not have any apparent side effects from\\r\\ntaking the medications.\\\"\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2456}','68.53.115.247','2021-04-29 02:43:49'),(7231,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2457,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"96\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2457}','68.53.115.247','2021-04-29 02:43:49'),(7232,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2458,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"91\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Staff left person unsupervised duirng medication setup\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2458}','68.53.115.247','2021-04-29 02:43:49'),(7233,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2459,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"94\",\"question_type\":\"True_or_False\",\"text_answer\":\"No\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2459}','68.53.115.247','2021-04-29 02:43:49'),(7234,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2460,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"97\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2460}','68.53.115.247','2021-04-29 02:43:49'),(7235,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2461,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"98\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2461}','68.53.115.247','2021-04-29 02:43:49'),(7236,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2462,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"99\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Staff No Longer Employed\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2462}','68.53.115.247','2021-04-29 02:43:49'),(7237,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2463,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"100\",\"question_type\":\"Free_Text\",\"text_answer\":\"\\\"Person was left unsupervised during medication set up was influenced by DSP perception that the people who are their own guardians can direct their own services.  Person was their own guardian. Also contributing to the staff\\u2019s perception is the training they receive on person center planning which is a requirement of 245D.  The training offered to staff is impacted by the funding that is allowed in the Disability Waiver Rate Setting Tool, which doesn\\u2019t always capture the training staff may need to support a person with mental health issues. \\r\\n Also influencing the staff to leave someone unsupervised that there were 4 people in the home and the time of the day at the home was busy.  Staff are responsible for ensuring the safety of all people in the home which is a requirement by the CSSP of each person as well as the requirements of 245D. \\r\\nFurther impacting staff leaving the person unsupervised during medication setup is that staff at the home would often prioritize the needs of the other 3 people in the home due to their higher and lower autonomy.  . 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The case manager\\u2019s awareness of the person\\u2019s history, which included a previous suicide attempt, further impacted the case manager assigning the provider medication set up assistance responsibility.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2463}','68.53.115.247','2021-04-29 02:43:49'),(7238,'NPjBSI5EwemkGnfYRh9kzsR4JJRPZEILZE1fN1bY',81,'reports_answer','create',2464,'{\"report_id\":26,\"form_id\":\"23\",\"user_id\":81,\"organization_id\":10,\"question_id\":\"127\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/28\\/2021 9:43:49 pm\",\"created_at\":\"4\\/28\\/2021 9:43:49 pm\",\"id\":2464}','68.53.115.247','2021-04-29 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13:11:51'),(7359,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2557,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"385\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to having all of the children remain in the same placement and prioritized the children being adopted by the grandparents. Following the TPR and when the children were all in grandparents\\u2019 home, the plan was for the grandparents to adopt the children. After about a year, the grandparents started reporting that the siblings\\u2019 behavior was too much for them to handle. The agency worked to support the grandparents and the children\\u2019s placements through frequent visits\\/conversations with the grandparents, engaging therapeutic foster care services, coaching and mentoring for the grandparents. According to the worker, the children had been in 10-11 placements and they were trying to salvage the placement so the children could stay together and be adopted by their grandparents and stay connected to their birth family. The agency felt that the placement was never stable enough to finalize adoption and did everything they could to keep all of the children in the grandparents\\u2019 home. They agency felt they would get to a point where they were ready to move forward with the adoption and then the grandparents would ask for more time. It appeared that the house was divided and the grandparents did not share the same goal for adoption. From the worker\\u2019s perspective, the grandparents were always committed to adopting the subject child and not as consistent with wanting to adopt the siblings. It came to a point during a recent court hearing that the Judge told the grandparents that they needed to make a decision as to whether or not they would adopt the 9-year old. Ultimately, they decided not to pursue adoption of either sibling. The agency is moving forward with adoption of the subject child with the grandparents.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:04 am\",\"created_at\":\"4\\/30\\/2021 8:12:04 am\",\"id\":2557}','136.234.105.223','2021-04-30 13:12:04'),(7360,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2558,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"386\",\"question_type\":\"Free_Text\",\"text_answer\":\"Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. The grandfather wanted to adopt the siblings; however, the grandmother was apprehensive about adopting the siblings because she was the sole caregiver at times while the grandfather was working. The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so. \\nThe competing priorities of placement stability versus sibling separation were influenced by the pressure to keep siblings together as outlined by the Sibling Bill of Rights (M.S. 260C.008). An additional factor contributing to pressures to keep the siblings together came from the recommendations by the Guardian ad Litem, which was guided by Minnesota statute 260C.212 subd. 2\\nWhile the family wanted to finalize adoption, given their attachment to the child, their inability to meet the child\\u2019s needs supported their reluctance to move forward with the adoption. Due to the child\\u2019s need for permanency, an ultimatum was given by the courts for the caregivers to make a decision regarding adoption. The child\\u2019s behaviors and the grandmother being placed in the role as the primary caregiver without needed breaks, placed additional pressure on the family which influenced their decision to not adopt the child. Factors that contributed to these pressures included the children needing to be homeschooled due to COVID 19 and the grandfather being out of the home due to employment. Additionally, the family was reluctant to have providers in their home in order to reduce their exposure to the COVID virus.\\nDue to the needs and age of the child, the child required many services to manage his needs. Services were often not available and when available, not consistent. Services often required pretesting or assessment to determine eligibility, however, these assessments often had a waitlist.  The grandparent\\u2019s lack of understanding about the children\\u2019s diagnosis and social interactions supported their inability to manage the child\\u2019s behaviors and needs and contributed to their reluctance to finalize adoption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2558}','136.234.105.223','2021-04-30 13:12:38'),(7361,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports','update',27,'{\"id\":27,\"form_id\":\"18\",\"user_id\":\"160\",\"question_id\":null,\"organization_id\":\"39\",\"tab_id\":null,\"question_type\":null,\"text_answer\":\"{\\\"Multiple_Choice__287\\\":\\\"Brittany Lochner\\\",\\\"Short_Answer__288\\\":\\\"Janet Bowman, Jen Goodman, Wendy Woessner, Jess VanKuyk\\\",\\\"Multiple_Choice__425\\\":\\\"CFSR Item 6 - Permanency: 24 months\\\",\\\"Multiple_Choice__290\\\":\\\"SCIR\\\",\\\"Date__289\\\":\\\"10\\\\\\/29\\\\\\/2020\\\",\\\"Yes_or_No__372\\\":\\\"No\\\",\\\"Yes_or_No__375\\\":\\\"No\\\",\\\"Multiple_Choice__377\\\":\\\"9\\\",\\\"Multiple_Choice__378\\\":\\\"Ramsey\\\",\\\"Short_Answer__380\\\":\\\"Isabella\\\",\\\"Short_Answer__381\\\":\\\"Anderson\\\",\\\"Multiple_Choice__383\\\":\\\"2\\\",\\\"Short_Answer__384\\\":\\\"The subject child has been in foster care (in the pre-adoptive home) for 4 years, free for adoption for 3 years, and adoption has not been finalized.\\\",\\\"Free_Text__385\\\":\\\"The agency was committed to having all of the children remain in the same placement and prioritized the children being adopted by the grandparents. Following the TPR and when the children were all in grandparents\\\\u2019 home, the plan was for the grandparents to adopt the children. After about a year, the grandparents started reporting that the siblings\\\\u2019 behavior was too much for them to handle. The agency worked to support the grandparents and the children\\\\u2019s placements through frequent visits\\\\\\/conversations with the grandparents, engaging therapeutic foster care services, coaching and mentoring for the grandparents. According to the worker, the children had been in 10-11 placements and they were trying to salvage the placement so the children could stay together and be adopted by their grandparents and stay connected to their birth family. The agency felt that the placement was never stable enough to finalize adoption and did everything they could to keep all of the children in the grandparents\\\\u2019 home. They agency felt they would get to a point where they were ready to move forward with the adoption and then the grandparents would ask for more time. It appeared that the house was divided and the grandparents did not share the same goal for adoption. From the worker\\\\u2019s perspective, the grandparents were always committed to adopting the subject child and not as consistent with wanting to adopt the siblings. It came to a point during a recent court hearing that the Judge told the grandparents that they needed to make a decision as to whether or not they would adopt the 9-year old. Ultimately, they decided not to pursue adoption of either sibling. The agency is moving forward with adoption of the subject child with the grandparents.\\\",\\\"Free_Text__386\\\":\\\"Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\\\u2019s family.   \\\\r\\\\nPressure to place with relatives was supported by the courts\\\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supported the agency\\\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. The grandfather wanted to adopt the siblings; however, the grandmother was apprehensive about adopting the siblings because she was the sole caregiver at times while the grandfather was working. The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so. \\\\r\\\\nThe competing priorities of placement stability versus sibling separation were influenced by the pressure to keep siblings together as outlined by the Sibling Bill of Rights (M.S. 260C.008). An additional factor contributing to pressures to keep the siblings together came from the recommendations by the Guardian ad Litem, which was guided by Minnesota statute 260C.212 subd. 2\\\\r\\\\nWhile the family wanted to finalize adoption, given their attachment to the child, their inability to meet the child\\\\u2019s needs supported their reluctance to move forward with the adoption. Due to the child\\\\u2019s need for permanency, an ultimatum was given by the courts for the caregivers to make a decision regarding adoption. The child\\\\u2019s behaviors and the grandmother being placed in the role as the primary caregiver without needed breaks, placed additional pressure on the family which influenced their decision to not adopt the child. Factors that contributed to these pressures included the children needing to be homeschooled due to COVID 19 and the grandfather being out of the home due to employment. Additionally, the family was reluctant to have providers in their home in order to reduce their exposure to the COVID virus.\\\\r\\\\nDue to the needs and age of the child, the child required many services to manage his needs. Services were often not available and when available, not consistent. Services often required pretesting or assessment to determine eligibility, however, these assessments often had a waitlist.  The grandparent\\\\u2019s lack of understanding about the children\\\\u2019s diagnosis and social interactions supported their inability to manage the child\\\\u2019s behaviors and needs and contributed to their reluctance to finalize adoption.\\\"}\",\"mcq_answer\":null,\"other_answer\":\"0\",\"status\":\"1\",\"created_by\":\"160\",\"updated_by\":160,\"created_at\":\"4\\/30\\/2021 8:05:28 am\",\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"deleted_at\":null,\"report_name\":null}','136.234.105.223','2021-04-30 13:12:38'),(7362,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2559,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"287\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Brittany Lochner\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2559}','136.234.105.223','2021-04-30 13:12:38'),(7363,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2560,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"288\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Janet Bowman, Jen Goodman, Wendy Woessner, Jess VanKuyk\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2560}','136.234.105.223','2021-04-30 13:12:38'),(7364,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2561,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"425\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"CFSR Item 6 - Permanency: 24 months\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2561}','136.234.105.223','2021-04-30 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13:12:38'),(7373,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2570,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"377\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"9\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2570}','136.234.105.223','2021-04-30 13:12:38'),(7374,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2571,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"378\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Ramsey\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2571}','136.234.105.223','2021-04-30 13:12:38'),(7375,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2572,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"379\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2572}','136.234.105.223','2021-04-30 13:12:38'),(7376,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2573,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"380\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Isabella\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2573}','136.234.105.223','2021-04-30 13:12:38'),(7377,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2574,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"381\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Anderson\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2574}','136.234.105.223','2021-04-30 13:12:38'),(7378,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2575,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"382\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2575}','136.234.105.223','2021-04-30 13:12:38'),(7379,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2576,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"390\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2576}','136.234.105.223','2021-04-30 13:12:38'),(7380,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2577,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"383\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2577}','136.234.105.223','2021-04-30 13:12:38'),(7381,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2578,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"384\",\"question_type\":\"Short_Answer\",\"text_answer\":\"The subject child has been in foster care (in the pre-adoptive home) for 4 years, free for adoption for 3 years, and adoption has not been finalized.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2578}','136.234.105.223','2021-04-30 13:12:38'),(7382,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2579,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"385\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to having all of the children remain in the same placement and prioritized the children being adopted by the grandparents. Following the TPR and when the children were all in grandparents\\u2019 home, the plan was for the grandparents to adopt the children. After about a year, the grandparents started reporting that the siblings\\u2019 behavior was too much for them to handle. The agency worked to support the grandparents and the children\\u2019s placements through frequent visits\\/conversations with the grandparents, engaging therapeutic foster care services, coaching and mentoring for the grandparents. According to the worker, the children had been in 10-11 placements and they were trying to salvage the placement so the children could stay together and be adopted by their grandparents and stay connected to their birth family. The agency felt that the placement was never stable enough to finalize adoption and did everything they could to keep all of the children in the grandparents\\u2019 home. They agency felt they would get to a point where they were ready to move forward with the adoption and then the grandparents would ask for more time. It appeared that the house was divided and the grandparents did not share the same goal for adoption. From the worker\\u2019s perspective, the grandparents were always committed to adopting the subject child and not as consistent with wanting to adopt the siblings. It came to a point during a recent court hearing that the Judge told the grandparents that they needed to make a decision as to whether or not they would adopt the 9-year old. Ultimately, they decided not to pursue adoption of either sibling. The agency is moving forward with adoption of the subject child with the grandparents.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2579}','136.234.105.223','2021-04-30 13:12:38'),(7383,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2580,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"386\",\"question_type\":\"Free_Text\",\"text_answer\":\"Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. The grandfather wanted to adopt the siblings; however, the grandmother was apprehensive about adopting the siblings because she was the sole caregiver at times while the grandfather was working. The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so. \\r\\nThe competing priorities of placement stability versus sibling separation were influenced by the pressure to keep siblings together as outlined by the Sibling Bill of Rights (M.S. 260C.008). An additional factor contributing to pressures to keep the siblings together came from the recommendations by the Guardian ad Litem, which was guided by Minnesota statute 260C.212 subd. 2\\r\\nWhile the family wanted to finalize adoption, given their attachment to the child, their inability to meet the child\\u2019s needs supported their reluctance to move forward with the adoption. Due to the child\\u2019s need for permanency, an ultimatum was given by the courts for the caregivers to make a decision regarding adoption. The child\\u2019s behaviors and the grandmother being placed in the role as the primary caregiver without needed breaks, placed additional pressure on the family which influenced their decision to not adopt the child. Factors that contributed to these pressures included the children needing to be homeschooled due to COVID 19 and the grandfather being out of the home due to employment. Additionally, the family was reluctant to have providers in their home in order to reduce their exposure to the COVID virus.\\r\\nDue to the needs and age of the child, the child required many services to manage his needs. Services were often not available and when available, not consistent. Services often required pretesting or assessment to determine eligibility, however, these assessments often had a waitlist.  The grandparent\\u2019s lack of understanding about the children\\u2019s diagnosis and social interactions supported their inability to manage the child\\u2019s behaviors and needs and contributed to their reluctance to finalize adoption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2580}','136.234.105.223','2021-04-30 13:12:38'),(7384,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2581,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"387\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:12:38 am\",\"created_at\":\"4\\/30\\/2021 8:12:38 am\",\"id\":2581}','136.234.105.223','2021-04-30 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13:13:22'),(7423,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2620,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"388\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to keeping all of the children together. When the dynamics of the household began to change, the worker indicated he worked closely with the Guardian ad Litem (GAL) to consult with and assist in providing support for the grandparents and the children. Therapeutic foster care services were put in place to support the grandparents and the siblings. The worker felt this was a challenging case for the siblings as they have needs that required additional support, which was difficult for the grandparents to manage at times. When decisions needed to be made whether to move the siblings, the worker stated that he consulted with his supervisor, the GAL and the agency\\u2019s screening team. In regards to the 12-year old, the grandparents didn\\u2019t feel they could meet his needs and requested that he move and once this occurred, the grandparents made the decision not to pursue adoption of the 12-year old. About a year after the 12-year old left the home, the grandparents began telling the worker that the 9-year old\\u2019s needs are becoming too much for them. The worker felt that the grandma was overwhelmed with having to home school the kids (during the pandemic), the grandpa being out of the home for work, and being confined to the house added stress to the grandma, which may have supported the grandparents decision to not pursue adoption with the 9-year old as well.\\nThe worked stated that they couldn\\u2019t force the grandparents to adopt if they weren\\u2019t ready.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:13:38 am\",\"created_at\":\"4\\/30\\/2021 8:13:38 am\",\"id\":2620}','136.234.105.223','2021-04-30 13:13:38'),(7424,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2621,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"401\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1:\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:15:59 am\",\"created_at\":\"4\\/30\\/2021 8:15:59 am\",\"id\":2621}','136.234.105.223','2021-04-30 13:15:59'),(7425,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2622,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"401\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of ASFA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:16:30 am\",\"created_at\":\"4\\/30\\/2021 8:16:30 am\",\"id\":2622}','136.234.105.223','2021-04-30 13:16:30'),(7426,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2623,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"401\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of ASFA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. \\n\\nLP #2: Items identified during the mapping supporting sibling separation and placement stability included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s need and additional pressures placed on caregiver\\u2019s family.   \\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supports the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:17:03 am\",\"created_at\":\"4\\/30\\/2021 8:17:03 am\",\"id\":2623}','136.234.105.223','2021-04-30 13:17:03'),(7427,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2624,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"403\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so (clarify what kind of assistance and from whom \\u2013 internal or external).\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:17:57 am\",\"created_at\":\"4\\/30\\/2021 8:17:57 am\",\"id\":2624}','136.234.105.223','2021-04-30 13:17:57'),(7428,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2625,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"424\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:21:34 am\",\"created_at\":\"4\\/30\\/2021 8:21:34 am\",\"id\":2625}','136.234.105.223','2021-04-30 13:21:34'),(7429,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports','update',27,'{\"id\":27,\"form_id\":\"18\",\"user_id\":\"160\",\"question_id\":null,\"organization_id\":\"39\",\"tab_id\":null,\"question_type\":null,\"text_answer\":\"{\\\"Multiple_Choice__287\\\":\\\"Brittany Lochner\\\",\\\"Short_Answer__288\\\":\\\"Janet Bowman, Jen Goodman, Wendy Woessner, Jess VanKuyk\\\",\\\"Multiple_Choice__425\\\":\\\"CFSR Item 6 - Permanency: 24 months\\\",\\\"Multiple_Choice__290\\\":\\\"SCIR\\\",\\\"Date__289\\\":\\\"10\\\\\\/29\\\\\\/2020\\\",\\\"Yes_or_No__372\\\":\\\"No\\\",\\\"Yes_or_No__375\\\":\\\"No\\\",\\\"Multiple_Choice__377\\\":\\\"9\\\",\\\"Multiple_Choice__378\\\":\\\"Ramsey\\\",\\\"Short_Answer__380\\\":\\\"Isabella\\\",\\\"Short_Answer__381\\\":\\\"Anderson\\\",\\\"Date__382\\\":\\\"06\\\\\\/20\\\\\\/2015\\\",\\\"Multiple_Choice__383\\\":\\\"2\\\",\\\"Short_Answer__384\\\":\\\"The subject child has been in foster care (in the pre-adoptive home) for 4 years, free for adoption for 3 years, and adoption has not been finalized.\\\",\\\"Free_Text__385\\\":\\\"The agency was committed to having all of the children remain in the same placement and prioritized the children being adopted by the grandparents. Following the TPR and when the children were all in grandparents\\\\u2019 home, the plan was for the grandparents to adopt the children. After about a year, the grandparents started reporting that the siblings\\\\u2019 behavior was too much for them to handle. The agency worked to support the grandparents and the children\\\\u2019s placements through frequent visits\\\\\\/conversations with the grandparents, engaging therapeutic foster care services, coaching and mentoring for the grandparents. According to the worker, the children had been in 10-11 placements and they were trying to salvage the placement so the children could stay together and be adopted by their grandparents and stay connected to their birth family. The agency felt that the placement was never stable enough to finalize adoption and did everything they could to keep all of the children in the grandparents\\\\u2019 home. They agency felt they would get to a point where they were ready to move forward with the adoption and then the grandparents would ask for more time. It appeared that the house was divided and the grandparents did not share the same goal for adoption. From the worker\\\\u2019s perspective, the grandparents were always committed to adopting the subject child and not as consistent with wanting to adopt the siblings. It came to a point during a recent court hearing that the Judge told the grandparents that they needed to make a decision as to whether or not they would adopt the 9-year old. Ultimately, they decided not to pursue adoption of either sibling. The agency is moving forward with adoption of the subject child with the grandparents.\\\",\\\"Free_Text__386\\\":\\\"Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\\\u2019s family.   \\\\r\\\\nPressure to place with relatives was supported by the courts\\\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supported the agency\\\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. The grandfather wanted to adopt the siblings; however, the grandmother was apprehensive about adopting the siblings because she was the sole caregiver at times while the grandfather was working. The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so. \\\\r\\\\nThe competing priorities of placement stability versus sibling separation were influenced by the pressure to keep siblings together as outlined by the Sibling Bill of Rights (M.S. 260C.008). An additional factor contributing to pressures to keep the siblings together came from the recommendations by the Guardian ad Litem, which was guided by Minnesota statute 260C.212 subd. 2\\\\r\\\\nWhile the family wanted to finalize adoption, given their attachment to the child, their inability to meet the child\\\\u2019s needs supported their reluctance to move forward with the adoption. Due to the child\\\\u2019s need for permanency, an ultimatum was given by the courts for the caregivers to make a decision regarding adoption. The child\\\\u2019s behaviors and the grandmother being placed in the role as the primary caregiver without needed breaks, placed additional pressure on the family which influenced their decision to not adopt the child. Factors that contributed to these pressures included the children needing to be homeschooled due to COVID 19 and the grandfather being out of the home due to employment. Additionally, the family was reluctant to have providers in their home in order to reduce their exposure to the COVID virus.\\\\r\\\\nDue to the needs and age of the child, the child required many services to manage his needs. Services were often not available and when available, not consistent. Services often required pretesting or assessment to determine eligibility, however, these assessments often had a waitlist.  The grandparent\\\\u2019s lack of understanding about the children\\\\u2019s diagnosis and social interactions supported their inability to manage the child\\\\u2019s behaviors and needs and contributed to their reluctance to finalize adoption.\\\",\\\"Short_Answer__387\\\":\\\"Sibling separation and placement stability\\\",\\\"Free_Text__388\\\":\\\"The agency was committed to keeping all of the children together. When the dynamics of the household began to change, the worker indicated he worked closely with the Guardian ad Litem (GAL) to consult with and assist in providing support for the grandparents and the children. Therapeutic foster care services were put in place to support the grandparents and the siblings. The worker felt this was a challenging case for the siblings as they have needs that required additional support, which was difficult for the grandparents to manage at times. When decisions needed to be made whether to move the siblings, the worker stated that he consulted with his supervisor, the GAL and the agency\\\\u2019s screening team. In regards to the 12-year old, the grandparents didn\\\\u2019t feel they could meet his needs and requested that he move and once this occurred, the grandparents made the decision not to pursue adoption of the 12-year old. About a year after the 12-year old left the home, the grandparents began telling the worker that the 9-year old\\\\u2019s needs are becoming too much for them. The worker felt that the grandma was overwhelmed with having to home school the kids (during the pandemic), the grandpa being out of the home for work, and being confined to the house added stress to the grandma, which may have supported the grandparents decision to not pursue adoption with the 9-year old as well.\\\\r\\\\nThe worked stated that they couldn\\\\u2019t force the grandparents to adopt if they weren\\\\u2019t ready.\\\",\\\"Free_Text__401\\\":\\\"LP #1: Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\\\u2019s family.   \\\\r\\\\nPressure to place with relatives was supported by the courts\\\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of ASFA. Adherence to those measures supported the agency\\\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. \\\\r\\\\n\\\\r\\\\nLP #2: Items identified during the mapping supporting sibling separation and placement stability included a pressure to place with relatives, pressure to keep siblings together, child\\\\u2019s need and additional pressures placed on caregiver\\\\u2019s family.   \\\\r\\\\nPressure to place with relatives was supported by the courts\\\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supports the agency\\\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement.\\\",\\\"Free_Text__403\\\":\\\"LP #1: The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so (clarify what kind of assistance and from whom \\\\u2013 internal or external).\\\",\\\"Yes_or_No__424\\\":\\\"Yes\\\"}\",\"mcq_answer\":null,\"other_answer\":\"0\",\"status\":\"1\",\"created_by\":\"160\",\"updated_by\":160,\"created_at\":\"4\\/30\\/2021 8:05:28 am\",\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"deleted_at\":null,\"report_name\":\"Ramsey Pilot\"}','136.234.105.223','2021-04-30 13:34:12'),(7430,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2626,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"287\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Brittany Lochner\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2626}','136.234.105.223','2021-04-30 13:34:12'),(7431,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2627,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"288\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Janet Bowman, Jen Goodman, Wendy Woessner, Jess VanKuyk\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2627}','136.234.105.223','2021-04-30 13:34:12'),(7432,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2628,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"425\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"CFSR Item 6 - Permanency: 24 months\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2628}','136.234.105.223','2021-04-30 13:34:12'),(7433,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2629,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"290\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"SCIR\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2629}','136.234.105.223','2021-04-30 13:34:12'),(7434,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2630,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"289\",\"question_type\":\"Date\",\"text_answer\":\"10\\/29\\/2020\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2630}','136.234.105.223','2021-04-30 13:34:12'),(7435,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2631,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"371\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2631}','136.234.105.223','2021-04-30 13:34:12'),(7436,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2632,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"372\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"No\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2632}','136.234.105.223','2021-04-30 13:34:12'),(7437,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2633,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"373\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2633}','136.234.105.223','2021-04-30 13:34:12'),(7438,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2634,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"374\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2634}','136.234.105.223','2021-04-30 13:34:12'),(7439,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2635,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"375\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"No\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2635}','136.234.105.223','2021-04-30 13:34:12'),(7440,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2636,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"376\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2636}','136.234.105.223','2021-04-30 13:34:12'),(7441,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2637,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"377\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"9\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2637}','136.234.105.223','2021-04-30 13:34:12'),(7442,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2638,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"378\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Ramsey\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2638}','136.234.105.223','2021-04-30 13:34:12'),(7443,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2639,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"379\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2639}','136.234.105.223','2021-04-30 13:34:12'),(7444,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2640,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"380\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Isabella\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2640}','136.234.105.223','2021-04-30 13:34:12'),(7445,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2641,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"381\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Anderson\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2641}','136.234.105.223','2021-04-30 13:34:12'),(7446,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2642,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"382\",\"question_type\":\"Date\",\"text_answer\":\"06\\/20\\/2015\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2642}','136.234.105.223','2021-04-30 13:34:12'),(7447,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2643,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"390\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2643}','136.234.105.223','2021-04-30 13:34:12'),(7448,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2644,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"383\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2644}','136.234.105.223','2021-04-30 13:34:12'),(7449,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2645,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"384\",\"question_type\":\"Short_Answer\",\"text_answer\":\"The subject child has been in foster care (in the pre-adoptive home) for 4 years, free for adoption for 3 years, and adoption has not been finalized.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2645}','136.234.105.223','2021-04-30 13:34:12'),(7450,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2646,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"385\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to having all of the children remain in the same placement and prioritized the children being adopted by the grandparents. Following the TPR and when the children were all in grandparents\\u2019 home, the plan was for the grandparents to adopt the children. After about a year, the grandparents started reporting that the siblings\\u2019 behavior was too much for them to handle. The agency worked to support the grandparents and the children\\u2019s placements through frequent visits\\/conversations with the grandparents, engaging therapeutic foster care services, coaching and mentoring for the grandparents. According to the worker, the children had been in 10-11 placements and they were trying to salvage the placement so the children could stay together and be adopted by their grandparents and stay connected to their birth family. The agency felt that the placement was never stable enough to finalize adoption and did everything they could to keep all of the children in the grandparents\\u2019 home. They agency felt they would get to a point where they were ready to move forward with the adoption and then the grandparents would ask for more time. It appeared that the house was divided and the grandparents did not share the same goal for adoption. From the worker\\u2019s perspective, the grandparents were always committed to adopting the subject child and not as consistent with wanting to adopt the siblings. It came to a point during a recent court hearing that the Judge told the grandparents that they needed to make a decision as to whether or not they would adopt the 9-year old. Ultimately, they decided not to pursue adoption of either sibling. The agency is moving forward with adoption of the subject child with the grandparents.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2646}','136.234.105.223','2021-04-30 13:34:12'),(7451,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2647,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"386\",\"question_type\":\"Free_Text\",\"text_answer\":\"Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. The grandfather wanted to adopt the siblings; however, the grandmother was apprehensive about adopting the siblings because she was the sole caregiver at times while the grandfather was working. The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so. \\r\\nThe competing priorities of placement stability versus sibling separation were influenced by the pressure to keep siblings together as outlined by the Sibling Bill of Rights (M.S. 260C.008). An additional factor contributing to pressures to keep the siblings together came from the recommendations by the Guardian ad Litem, which was guided by Minnesota statute 260C.212 subd. 2\\r\\nWhile the family wanted to finalize adoption, given their attachment to the child, their inability to meet the child\\u2019s needs supported their reluctance to move forward with the adoption. Due to the child\\u2019s need for permanency, an ultimatum was given by the courts for the caregivers to make a decision regarding adoption. The child\\u2019s behaviors and the grandmother being placed in the role as the primary caregiver without needed breaks, placed additional pressure on the family which influenced their decision to not adopt the child. Factors that contributed to these pressures included the children needing to be homeschooled due to COVID 19 and the grandfather being out of the home due to employment. Additionally, the family was reluctant to have providers in their home in order to reduce their exposure to the COVID virus.\\r\\nDue to the needs and age of the child, the child required many services to manage his needs. Services were often not available and when available, not consistent. Services often required pretesting or assessment to determine eligibility, however, these assessments often had a waitlist.  The grandparent\\u2019s lack of understanding about the children\\u2019s diagnosis and social interactions supported their inability to manage the child\\u2019s behaviors and needs and contributed to their reluctance to finalize adoption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2647}','136.234.105.223','2021-04-30 13:34:12'),(7452,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2648,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"387\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Sibling separation and placement stability\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2648}','136.234.105.223','2021-04-30 13:34:12'),(7453,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2649,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"388\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to keeping all of the children together. When the dynamics of the household began to change, the worker indicated he worked closely with the Guardian ad Litem (GAL) to consult with and assist in providing support for the grandparents and the children. Therapeutic foster care services were put in place to support the grandparents and the siblings. The worker felt this was a challenging case for the siblings as they have needs that required additional support, which was difficult for the grandparents to manage at times. When decisions needed to be made whether to move the siblings, the worker stated that he consulted with his supervisor, the GAL and the agency\\u2019s screening team. In regards to the 12-year old, the grandparents didn\\u2019t feel they could meet his needs and requested that he move and once this occurred, the grandparents made the decision not to pursue adoption of the 12-year old. About a year after the 12-year old left the home, the grandparents began telling the worker that the 9-year old\\u2019s needs are becoming too much for them. The worker felt that the grandma was overwhelmed with having to home school the kids (during the pandemic), the grandpa being out of the home for work, and being confined to the house added stress to the grandma, which may have supported the grandparents decision to not pursue adoption with the 9-year old as well.\\r\\nThe worked stated that they couldn\\u2019t force the grandparents to adopt if they weren\\u2019t ready.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2649}','136.234.105.223','2021-04-30 13:34:12'),(7454,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2650,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"389\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2650}','136.234.105.223','2021-04-30 13:34:12'),(7455,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2651,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"391\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2651}','136.234.105.223','2021-04-30 13:34:12'),(7456,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2652,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"392\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2652}','136.234.105.223','2021-04-30 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13:34:12'),(7459,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2655,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"395\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2655}','136.234.105.223','2021-04-30 13:34:12'),(7460,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2656,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"396\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2656}','136.234.105.223','2021-04-30 13:34:12'),(7461,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2657,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"397\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2657}','136.234.105.223','2021-04-30 13:34:12'),(7462,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2658,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"398\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2658}','136.234.105.223','2021-04-30 13:34:12'),(7463,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2659,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"399\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2659}','136.234.105.223','2021-04-30 13:34:12'),(7464,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2660,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"400\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2660}','136.234.105.223','2021-04-30 13:34:12'),(7465,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2661,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"401\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of ASFA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. \\r\\n\\r\\nLP #2: Items identified during the mapping supporting sibling separation and placement stability included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s need and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supports the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2661}','136.234.105.223','2021-04-30 13:34:12'),(7466,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2662,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"402\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2662}','136.234.105.223','2021-04-30 13:34:12'),(7467,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2663,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"403\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so (clarify what kind of assistance and from whom \\u2013 internal or external).\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2663}','136.234.105.223','2021-04-30 13:34:12'),(7468,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2664,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"404\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2664}','136.234.105.223','2021-04-30 13:34:12'),(7469,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2665,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"405\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2665}','136.234.105.223','2021-04-30 13:34:12'),(7470,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2666,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"406\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2666}','136.234.105.223','2021-04-30 13:34:12'),(7471,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2667,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"407\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2667}','136.234.105.223','2021-04-30 13:34:12'),(7472,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2668,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"408\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2668}','136.234.105.223','2021-04-30 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13:34:12'),(7475,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2671,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"411\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2671}','136.234.105.223','2021-04-30 13:34:12'),(7476,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2672,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"412\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2672}','136.234.105.223','2021-04-30 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13:34:12'),(7479,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2675,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"415\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2675}','136.234.105.223','2021-04-30 13:34:12'),(7480,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2676,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"416\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2676}','136.234.105.223','2021-04-30 13:34:12'),(7481,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2677,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"417\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2677}','136.234.105.223','2021-04-30 13:34:12'),(7482,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2678,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"418\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2678}','136.234.105.223','2021-04-30 13:34:12'),(7483,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2679,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"419\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2679}','136.234.105.223','2021-04-30 13:34:12'),(7484,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2680,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"420\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2680}','136.234.105.223','2021-04-30 13:34:12'),(7485,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2681,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"421\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2681}','136.234.105.223','2021-04-30 13:34:12'),(7486,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2682,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"422\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2682}','136.234.105.223','2021-04-30 13:34:12'),(7487,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2683,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"423\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2683}','136.234.105.223','2021-04-30 13:34:12'),(7488,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2684,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"424\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:34:12 am\",\"created_at\":\"4\\/30\\/2021 8:34:12 am\",\"id\":2684}','136.234.105.223','2021-04-30 13:34:12'),(7489,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports','create',28,'{\"text_answer\":\"\",\"form_id\":\"18\",\"user_id\":160,\"report_name\":\"Wright Pilot\",\"organization_id\":39,\"status\":1,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:36:55 am\",\"created_at\":\"4\\/30\\/2021 8:36:55 am\",\"id\":28}','136.234.105.223','2021-04-30 13:36:55'),(7490,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2685,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"384\",\"question_type\":\"Short_Answer\",\"text_answer\":\"The subject child was in placement for 3 years, 9 months prior to adoption being finalized.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:37:33 am\",\"created_at\":\"4\\/30\\/2021 8:37:33 am\",\"id\":2685}','136.234.105.223','2021-04-30 13:37:33'),(7491,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2686,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"385\",\"question_type\":\"Free_Text\",\"text_answer\":\"The children were in a pre-adoptive home with an aunt and uncle when the case was transferred to the A\\/G worker. The worker did not identify any barriers in getting the adoption placement agreement (APA) signed by the aunt and uncle. Once the APA was signed, the worker indicated that things started to change. The aunt and uncle separated and the children stayed with the aunt. The agency was navigating through which one of them would adopt the children and ultimately, they both still wanted to adopt them. The agency consulted with DHS and it was determined to continue to pursue the aunt for adoption. The aunt signed a second APA and the worker continued to gather supporting documentation to accompany the APA, while working on completing the social\\/medical history. The worker stated that they had court hearings every 3 months during this time and did not feel the court contributed to the delay in getting the adoption finalized.\\n\\nThe worker talked about the amount of paperwork and time it takes to gather supporting documentation when working on an adoption. She indicated that getting the social\\/medical history filled out \\u201cgood enough\\u201d takes the most time; however, they have made some changes and are now having the ongoing worker get a start on the social\\/medical history and gathering the documentation to help speed up the process once it gets transferred to the A\\/G worker.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:37:45 am\",\"created_at\":\"4\\/30\\/2021 8:37:45 am\",\"id\":2686}','136.234.105.223','2021-04-30 13:37:45'),(7492,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2687,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"382\",\"question_type\":\"Date\",\"text_answer\":\"04\\/17\\/2009\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:37:54 am\",\"created_at\":\"4\\/30\\/2021 8:37:54 am\",\"id\":2687}','136.234.105.223','2021-04-30 13:37:54'),(7493,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2688,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"386\",\"question_type\":\"Free_Text\",\"text_answer\":\"The subject child being in placement for 3 years, 9 months prior to adoption being finalized was influenced by complexity of cases for children who have been in OOHP, the amount of documentation, placing with relatives, and the ability of training to meet the needs of staff.  The complexity of these cases can create confusion of timelines for adoption finalization. Due to this complexity, agencies utilize support through consultation with other agencies, which may lead to misunderstandings and inconsistent practice regarding requirements of the licensing of families. Timelines for these cases are guided by statute and these statutory timelines may not be realistic for completing all aspects needed to finalize adoption. There are various influences contributing to the difficulty in meeting these timelines, including; the county attorney\\u2019s workload, the need to have exact information for the completion of court documents, and other court processes such as CHIPS cases and trials taking precedence over other court cases. \\n\\nAnother factor that influences the perception that timelines may not be realistic is the size of DHS. It can be difficult to identify where to go for assistance when needed and after finding this, agencies may need to contact multiple program areas within DHS to move forward; adding time to adoption finalization. Additionally, staffing levels at DHS lengthen the time it takes to process background studies and social histories and sometimes, more time is needed to adjust information on the background studies, ultimately leading to the time it takes to finalize adoption. After this information is processed, there also exists legal constraints; incomplete information results in the need for court orders to be amended and permanency finalization cannot be completed until all information is accurate. Further supporting the perception that timelines may not be realistic.\\n\\nAn additional influence into the length of time it takes for adoption to be finalized is the fact that social history information doesn\\u2019t automatically get pulled from SSIS, which results in workers having to manually locate this information. This information comes from many different sources; including other workers within the agency, as well as, other various medical, health, and educational records. Getting complete information from all of these sources can be difficult and it takes time depending on where this information is held. Pressure to place with relatives also exists at all levels of our system, which can influence the time it takes for adoption to be finalized (i.e. state statute, Judges, state and local levels). The time it takes to locate relatives, assess the ability to meet the child\\u2019s needs, and navigate through the uniqueness that each family brings, can lengthen the time it takes in the overall effort to finalize adoption.\\n\\nFurthermore, in relation to adoption, trainings are broad and may not teach what needs to be completed on each case and, although trainings exist, local agencies are not always aware of when these trainings are offered by DHS. Specifically, trainings are typically focused on Northstar and paperwork duties. Often times, non-relative providers have had training and supports prior to receiving a placement and this may not be the case for relative providers. Because of this, relative providers may require more support during onboarding and throughout the placement.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:38:27 am\",\"created_at\":\"4\\/30\\/2021 8:38:27 am\",\"id\":2688}','136.234.105.223','2021-04-30 13:38:27'),(7494,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2689,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"387\",\"question_type\":\"Short_Answer\",\"text_answer\":\"The children experienced a placement disruption after being in relative\\/pre-adoptive home for 24 months.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:39:07 am\",\"created_at\":\"4\\/30\\/2021 8:39:07 am\",\"id\":2689}','136.234.105.223','2021-04-30 13:39:07'),(7495,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2690,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"388\",\"question_type\":\"Free_Text\",\"text_answer\":\"The worker indicated that when the children were initially placed in foster care, they were placed with the siblings paternal grandparents and then the children went back home with the mother on a trial home visit for approximately 2 months. The children returned to foster care in February 2017 and were placed with an aunt and uncle (pre-adoptive home). The aunt and uncle separated in the summer\\/fall of 2018 and the children went to live with the aunt. At this point, the aunt and uncle both wanted to pursue adoption of the children and the agency was working with them to try and make that happen. However, following consultation within the agency and with DHS, it was determined that the agency would move forward with the aunt for adoption. The worker stated that the children and the aunt reported no concerns during home visits, which supported the agency continuing to pursue adoption with the aunt. During a home visit in January 2019, the siblings reported that things weren\\u2019t going very well in the aunt\\u2019s home and asked to move with the paternal grandparents. During this time, the grandparents had filed a petition with the court requesting that the children be placed with them. The agency continued efforts with the aunt; however, after talking with the children, the aunt, and the grandparents, it was decided that the children would move into the grandparents\\u2019 home, which took place in January 2019. The agency was hesitant to place and pursue adoption with the grandparents due to past experiences; however, they moved forward and the children were adopted in May 2020.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:39:27 am\",\"created_at\":\"4\\/30\\/2021 8:39:27 am\",\"id\":2690}','136.234.105.223','2021-04-30 13:39:27'),(7496,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2691,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"389\",\"question_type\":\"Free_Text\",\"text_answer\":\"The children experienced a placement disruption after being in a relative\\/pre-adoptive home for 24 months which was influenced by the provider and child requesting a change in placement. Supporting a request for a change in placement was the availability of services, including culturally sensitive services to support children and families (i.e. transportation, mental health, etc.), coupled with the needs of the family and the children. Specifically, the services available did not match the needs of the child, including mental health and trauma related services. These services not being available for the child created additional stressors in the family environment. Additionally, in some cases, added stressors within the family and the absence of supportive services may increase the possibility of abuse and neglect occurring. When abuse and\\/or neglect occurs within a family, this can influence a provider or child requesting a change in placement. Additionally, a change in the family situation also supported the provider and the child requesting a change in placement.\\nThere was also an existence of pressure to place the sibling group with relatives, which was supported by statutory and state guidance, such as, the Best Interest Factors and the Sibling Bill of Rights. This pressure to place with relatives creates gaps in training for prospective foster care providers and also impacts staff availability to provide the training to the providers, prior to a child being placed in their home. The availability of staff to provide support to families was influenced by the time it takes to enter required data into the system (SSIS, paperwork, etc.) and confusion about who provides the support when there are multiple workers on a case, which can contribute to a placement disruption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:39:49 am\",\"created_at\":\"4\\/30\\/2021 8:39:49 am\",\"id\":2691}','136.234.105.223','2021-04-30 13:39:49'),(7497,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2692,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"401\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: The subject child being in placement for 3 years, 9 months prior to adoption being finalized was influenced by complexity of cases for children who have been in OOHP, the amount of documentation, placing with relatives, and the ability of training to meet the needs of staff.  The complexity of these cases can create confusion of timelines for adoption finalization. Due to this complexity, agencies utilize support through consultation with other agencies, which may lead to misunderstandings and inconsistent practice regarding requirements of the licensing of families.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:40:48 am\",\"created_at\":\"4\\/30\\/2021 8:40:48 am\",\"id\":2692}','136.234.105.223','2021-04-30 13:40:48'),(7498,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2693,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"403\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1:\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:41:16 am\",\"created_at\":\"4\\/30\\/2021 8:41:16 am\",\"id\":2693}','136.234.105.223','2021-04-30 13:41:16'),(7499,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2694,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"403\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Additionally, limited staffing levels at DHS lengthen the time it takes to process background studies and social histories and sometimes, more time is needed to adjust information on the background studies, ultimately leading to the time it takes to finalize adoption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:41:25 am\",\"created_at\":\"4\\/30\\/2021 8:41:25 am\",\"id\":2694}','136.234.105.223','2021-04-30 13:41:25'),(7500,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2695,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"403\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Additionally, limited staffing levels at DHS lengthen the time it takes to process background studies and social histories and sometimes, more time is needed to adjust information on the background studies, ultimately leading to the time it takes to finalize adoption. \\n\\nLP #2: This pressure to place with relatives creates gaps in training for prospective foster care providers and also impacts staff availability to provide the training to the providers, prior to a child being placed in their home. The availability of staff to provide support to families was influenced by the time it takes to enter required data into the system (SSIS, paperwork, etc.) and confusion about who provides the support when there are multiple workers on a case, which can contribute to a placement disruption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:41:48 am\",\"created_at\":\"4\\/30\\/2021 8:41:48 am\",\"id\":2695}','136.234.105.223','2021-04-30 13:41:48'),(7501,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2696,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"407\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: An additional influence into the length of time it takes for adoption to be finalized is the fact that social history information doesn\\u2019t automatically get pulled from SSIS, which results in workers having to manually locate this information\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:43:08 am\",\"created_at\":\"4\\/30\\/2021 8:43:08 am\",\"id\":2696}','136.234.105.223','2021-04-30 13:43:08'),(7502,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2697,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"409\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1:\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:43:39 am\",\"created_at\":\"4\\/30\\/2021 8:43:39 am\",\"id\":2697}','136.234.105.223','2021-04-30 13:43:39'),(7503,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2698,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"409\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Another factor that influences the perception that timelines may not be realistic is the size of DHS. It can be difficult to identify where to go for assistance when needed and after finding this, agencies may need to contact multiple program areas within DHS to move forward; adding time to adoption finalization.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:43:54 am\",\"created_at\":\"4\\/30\\/2021 8:43:54 am\",\"id\":2698}','136.234.105.223','2021-04-30 13:43:54'),(7504,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2699,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"409\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Another factor that influences the perception that timelines may not be realistic is the size of DHS. It can be difficult to identify where to go for assistance when needed and after finding this, agencies may need to contact multiple program areas within DHS to move forward; adding time to adoption finalization. \\n\\nThis information comes from many different sources; including other workers within the agency, as well as, other various medical, health, and educational records. Getting complete information from all of these sources can be difficult and it takes time depending on where this information is held.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:44:07 am\",\"created_at\":\"4\\/30\\/2021 8:44:07 am\",\"id\":2699}','136.234.105.223','2021-04-30 13:44:07'),(7505,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2700,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"409\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Another factor that influences the perception that timelines may not be realistic is the size of DHS. It can be difficult to identify where to go for assistance when needed and after finding this, agencies may need to contact multiple program areas within DHS to move forward; adding time to adoption finalization. \\n\\nThis information comes from many different sources; including other workers within the agency, as well as, other various medical, health, and educational records. Getting complete information from all of these sources can be difficult and it takes time depending on where this information is held.\\n\\nLP #2: . The availability of staff to provide support to families was influenced by the time it takes to enter required data into the system (SSIS, paperwork, etc.) and confusion about who provides the support when there are multiple workers on a case, which can contribute to a placement disruption\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:44:32 am\",\"created_at\":\"4\\/30\\/2021 8:44:32 am\",\"id\":2700}','136.234.105.223','2021-04-30 13:44:32'),(7506,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2701,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"411\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Furthermore, in relation to adoption, trainings are broad and may not teach what needs to be completed on each case and, although trainings exist, local agencies are not always aware of when these trainings are offered by DHS. Specifically, trainings are typically focused on Northstar and paperwork duties. Often times, non-relative providers have had training and supports prior to receiving a placement and this may not be the case for relative providers.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:45:01 am\",\"created_at\":\"4\\/30\\/2021 8:45:01 am\",\"id\":2701}','136.234.105.223','2021-04-30 13:45:01'),(7507,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2702,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"415\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1:\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:45:20 am\",\"created_at\":\"4\\/30\\/2021 8:45:20 am\",\"id\":2702}','136.234.105.223','2021-04-30 13:45:20'),(7508,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2703,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"415\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Timelines for these cases are guided by statute and these statutory timelines may not be realistic for completing all aspects needed to finalize adoption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:45:38 am\",\"created_at\":\"4\\/30\\/2021 8:45:38 am\",\"id\":2703}','136.234.105.223','2021-04-30 13:45:38'),(7509,'oyD4M063H2MAXSwHIZlFl6sXGKabMboZvjqaFdMp',81,'users','login',81,'[]','68.53.115.247','2021-04-30 13:45:50'),(7510,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2704,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"415\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Timelines for these cases are guided by statute and these statutory timelines may not be realistic for completing all aspects needed to finalize adoption. \\n\\nPressure to place with relatives also exists at all levels of our system, which can influence the time it takes for adoption to be finalized (i.e. state statute, Judges, state and local levels).\\n\\nLP #2:\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:45:55 am\",\"created_at\":\"4\\/30\\/2021 8:45:55 am\",\"id\":2704}','136.234.105.223','2021-04-30 13:45:55'),(7511,'8iakOKZMNOHXcCCz6Gn1Lkkkb7faXhuVIgitrhem',81,'users','update',81,'{\"id\":81,\"user_type_id\":\"3\",\"email\":\"mrkjweaver@gmail.com\",\"first_name\":\"Johnny\",\"last_name\":\"Test\",\"profile_image\":null,\"status\":\"1\",\"email_verified_at\":\"2020-06-10 10:12:11\",\"last_login_at\":null,\"last_login_ip\":null,\"created_at\":\"6\\/9\\/2020 9:37:57 am\",\"updated_at\":\"6\\/10\\/2020 10:12:11 am\",\"created_by\":\"80\",\"updated_by\":81,\"deleted_at\":null}','68.53.115.247','2021-04-30 13:45:58'),(7512,'8iakOKZMNOHXcCCz6Gn1Lkkkb7faXhuVIgitrhem',81,'users','logout',81,'[]','68.53.115.247','2021-04-30 13:45:58'),(7513,'dHmCZh8ltqOzmtkH4pCbW1wp9zQaLlSMN6bltkht',80,'users','login',80,'[]','68.53.115.247','2021-04-30 13:46:02'),(7514,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2705,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"415\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Timelines for these cases are guided by statute and these statutory timelines may not be realistic for completing all aspects needed to finalize adoption. \\n\\nPressure to place with relatives also exists at all levels of our system, which can influence the time it takes for adoption to be finalized (i.e. state statute, Judges, state and local levels).\\n\\nLP #2: There was also an existence of pressure to place the sibling group with relatives, which was supported by statutory and state guidance, such as, the Best Interest Factors and the Sibling Bill of Rights.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:46:11 am\",\"created_at\":\"4\\/30\\/2021 8:46:11 am\",\"id\":2705}','136.234.105.223','2021-04-30 13:46:11'),(7515,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2706,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"417\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: There are various influences contributing to the difficulty in meeting these timelines, including; the county attorney\\u2019s workload, the need to have exact information for the completion of court documents, and other court processes such as CHIPS cases and trials taking precedence over other court cases.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:46:41 am\",\"created_at\":\"4\\/30\\/2021 8:46:41 am\",\"id\":2706}','136.234.105.223','2021-04-30 13:46:41'),(7516,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2707,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"417\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: There are various influences contributing to the difficulty in meeting these timelines, including; the county attorney\\u2019s workload, the need to have exact information for the completion of court documents, and other court processes such as CHIPS cases and trials taking precedence over other court cases. \\n\\nThe time it takes to locate relatives, assess the ability to meet the child\\u2019s needs, and navigate through the uniqueness that each family brings, can lengthen the time it takes in the overall effort to finalize adoption.\\n\\nLP #2:\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:47:05 am\",\"created_at\":\"4\\/30\\/2021 8:47:05 am\",\"id\":2707}','136.234.105.223','2021-04-30 13:47:05'),(7517,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2708,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"417\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: There are various influences contributing to the difficulty in meeting these timelines, including; the county attorney\\u2019s workload, the need to have exact information for the completion of court documents, and other court processes such as CHIPS cases and trials taking precedence over other court cases. \\n\\nThe time it takes to locate relatives, assess the ability to meet the child\\u2019s needs, and navigate through the uniqueness that each family brings, can lengthen the time it takes in the overall effort to finalize adoption.\\n\\nLP #2: The availability of staff to provide support to families was influenced by the time it takes to enter required data into the system (SSIS, paperwork, etc.) and confusion about who provides the support when there are multiple workers on a case, which can contribute to a placement disruption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:47:24 am\",\"created_at\":\"4\\/30\\/2021 8:47:24 am\",\"id\":2708}','136.234.105.223','2021-04-30 13:47:24'),(7518,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2709,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"419\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #2: The children experienced a placement disruption after being in a relative\\/pre-adoptive home for 24 months which was influenced by the provider and child requesting a change in placement. Supporting a request for a change in placement was the availability of services, including culturally sensitive services to support children and families (i.e. transportation, mental health, etc.), coupled with the needs of the family and the children. Specifically, the services available did not match the needs of the child, including mental health and trauma related services.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:47:54 am\",\"created_at\":\"4\\/30\\/2021 8:47:54 am\",\"id\":2709}','136.234.105.223','2021-04-30 13:47:54'),(7519,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2710,'{\"report_id\":28,\"form_id\":\"18\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"424\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:38 am\",\"created_at\":\"4\\/30\\/2021 8:48:38 am\",\"id\":2710}','136.234.105.223','2021-04-30 13:48:38'),(7520,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2711,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"287\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Brittany Lochner\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2711}','136.234.105.223','2021-04-30 13:48:44'),(7521,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2712,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"288\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Janet Bowman, Jen Goodman, Wendy Woessner, Jess VanKuyk\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2712}','136.234.105.223','2021-04-30 13:48:44'),(7522,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2713,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"425\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"CFSR Item 6 - Permanency: 24 months\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2713}','136.234.105.223','2021-04-30 13:48:44'),(7523,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2714,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"290\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"SCIR\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2714}','136.234.105.223','2021-04-30 13:48:44'),(7524,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2715,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"289\",\"question_type\":\"Date\",\"text_answer\":\"10\\/27\\/2020\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2715}','136.234.105.223','2021-04-30 13:48:44'),(7525,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2716,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"371\",\"question_type\":\"Date\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2716}','136.234.105.223','2021-04-30 13:48:44'),(7526,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2717,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"372\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"No\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2717}','136.234.105.223','2021-04-30 13:48:44'),(7527,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2718,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"373\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2718}','136.234.105.223','2021-04-30 13:48:44'),(7528,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2719,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"374\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2719}','136.234.105.223','2021-04-30 13:48:44'),(7529,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2720,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"375\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"No\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2720}','136.234.105.223','2021-04-30 13:48:44'),(7530,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2721,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"376\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2721}','136.234.105.223','2021-04-30 13:48:44'),(7531,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2722,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"377\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"4\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2722}','136.234.105.223','2021-04-30 13:48:44'),(7532,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2723,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"378\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Wright\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2723}','136.234.105.223','2021-04-30 13:48:44'),(7533,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2724,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"379\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2724}','136.234.105.223','2021-04-30 13:48:44'),(7534,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2725,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"380\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Brooke\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2725}','136.234.105.223','2021-04-30 13:48:44'),(7535,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2726,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"381\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Dahlheimer\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2726}','136.234.105.223','2021-04-30 13:48:44'),(7536,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2727,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"382\",\"question_type\":\"Date\",\"text_answer\":\"04\\/17\\/2009\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2727}','136.234.105.223','2021-04-30 13:48:44'),(7537,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2728,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"390\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2728}','136.234.105.223','2021-04-30 13:48:44'),(7538,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2729,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"383\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2729}','136.234.105.223','2021-04-30 13:48:44'),(7539,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2730,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"384\",\"question_type\":\"Short_Answer\",\"text_answer\":\"The subject child was in placement for 3 years, 9 months prior to adoption being finalized.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2730}','136.234.105.223','2021-04-30 13:48:44'),(7540,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2731,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"385\",\"question_type\":\"Free_Text\",\"text_answer\":\"The children were in a pre-adoptive home with an aunt and uncle when the case was transferred to the A\\/G worker. The worker did not identify any barriers in getting the adoption placement agreement (APA) signed by the aunt and uncle. Once the APA was signed, the worker indicated that things started to change. The aunt and uncle separated and the children stayed with the aunt. The agency was navigating through which one of them would adopt the children and ultimately, they both still wanted to adopt them. The agency consulted with DHS and it was determined to continue to pursue the aunt for adoption. The aunt signed a second APA and the worker continued to gather supporting documentation to accompany the APA, while working on completing the social\\/medical history. The worker stated that they had court hearings every 3 months during this time and did not feel the court contributed to the delay in getting the adoption finalized.\\r\\n\\r\\nThe worker talked about the amount of paperwork and time it takes to gather supporting documentation when working on an adoption. She indicated that getting the social\\/medical history filled out \\u201cgood enough\\u201d takes the most time; however, they have made some changes and are now having the ongoing worker get a start on the social\\/medical history and gathering the documentation to help speed up the process once it gets transferred to the A\\/G worker.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2731}','136.234.105.223','2021-04-30 13:48:44'),(7541,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2732,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"386\",\"question_type\":\"Free_Text\",\"text_answer\":\"The subject child being in placement for 3 years, 9 months prior to adoption being finalized was influenced by complexity of cases for children who have been in OOHP, the amount of documentation, placing with relatives, and the ability of training to meet the needs of staff.  The complexity of these cases can create confusion of timelines for adoption finalization. Due to this complexity, agencies utilize support through consultation with other agencies, which may lead to misunderstandings and inconsistent practice regarding requirements of the licensing of families. Timelines for these cases are guided by statute and these statutory timelines may not be realistic for completing all aspects needed to finalize adoption. There are various influences contributing to the difficulty in meeting these timelines, including; the county attorney\\u2019s workload, the need to have exact information for the completion of court documents, and other court processes such as CHIPS cases and trials taking precedence over other court cases. \\r\\n\\r\\nAnother factor that influences the perception that timelines may not be realistic is the size of DHS. It can be difficult to identify where to go for assistance when needed and after finding this, agencies may need to contact multiple program areas within DHS to move forward; adding time to adoption finalization. Additionally, staffing levels at DHS lengthen the time it takes to process background studies and social histories and sometimes, more time is needed to adjust information on the background studies, ultimately leading to the time it takes to finalize adoption. After this information is processed, there also exists legal constraints; incomplete information results in the need for court orders to be amended and permanency finalization cannot be completed until all information is accurate. Further supporting the perception that timelines may not be realistic.\\r\\n\\r\\nAn additional influence into the length of time it takes for adoption to be finalized is the fact that social history information doesn\\u2019t automatically get pulled from SSIS, which results in workers having to manually locate this information. This information comes from many different sources; including other workers within the agency, as well as, other various medical, health, and educational records. Getting complete information from all of these sources can be difficult and it takes time depending on where this information is held. Pressure to place with relatives also exists at all levels of our system, which can influence the time it takes for adoption to be finalized (i.e. state statute, Judges, state and local levels). The time it takes to locate relatives, assess the ability to meet the child\\u2019s needs, and navigate through the uniqueness that each family brings, can lengthen the time it takes in the overall effort to finalize adoption.\\r\\n\\r\\nFurthermore, in relation to adoption, trainings are broad and may not teach what needs to be completed on each case and, although trainings exist, local agencies are not always aware of when these trainings are offered by DHS. Specifically, trainings are typically focused on Northstar and paperwork duties. Often times, non-relative providers have had training and supports prior to receiving a placement and this may not be the case for relative providers. Because of this, relative providers may require more support during onboarding and throughout the placement.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2732}','136.234.105.223','2021-04-30 13:48:44'),(7542,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2733,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"387\",\"question_type\":\"Short_Answer\",\"text_answer\":\"The children experienced a placement disruption after being in relative\\/pre-adoptive home for 24 months.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2733}','136.234.105.223','2021-04-30 13:48:44'),(7543,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2734,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"388\",\"question_type\":\"Free_Text\",\"text_answer\":\"The worker indicated that when the children were initially placed in foster care, they were placed with the siblings paternal grandparents and then the children went back home with the mother on a trial home visit for approximately 2 months. The children returned to foster care in February 2017 and were placed with an aunt and uncle (pre-adoptive home). The aunt and uncle separated in the summer\\/fall of 2018 and the children went to live with the aunt. At this point, the aunt and uncle both wanted to pursue adoption of the children and the agency was working with them to try and make that happen. However, following consultation within the agency and with DHS, it was determined that the agency would move forward with the aunt for adoption. The worker stated that the children and the aunt reported no concerns during home visits, which supported the agency continuing to pursue adoption with the aunt. During a home visit in January 2019, the siblings reported that things weren\\u2019t going very well in the aunt\\u2019s home and asked to move with the paternal grandparents. During this time, the grandparents had filed a petition with the court requesting that the children be placed with them. The agency continued efforts with the aunt; however, after talking with the children, the aunt, and the grandparents, it was decided that the children would move into the grandparents\\u2019 home, which took place in January 2019. The agency was hesitant to place and pursue adoption with the grandparents due to past experiences; however, they moved forward and the children were adopted in May 2020.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2734}','136.234.105.223','2021-04-30 13:48:44'),(7544,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2735,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"389\",\"question_type\":\"Free_Text\",\"text_answer\":\"The children experienced a placement disruption after being in a relative\\/pre-adoptive home for 24 months which was influenced by the provider and child requesting a change in placement. Supporting a request for a change in placement was the availability of services, including culturally sensitive services to support children and families (i.e. transportation, mental health, etc.), coupled with the needs of the family and the children. Specifically, the services available did not match the needs of the child, including mental health and trauma related services. These services not being available for the child created additional stressors in the family environment. Additionally, in some cases, added stressors within the family and the absence of supportive services may increase the possibility of abuse and neglect occurring. When abuse and\\/or neglect occurs within a family, this can influence a provider or child requesting a change in placement. Additionally, a change in the family situation also supported the provider and the child requesting a change in placement.\\r\\nThere was also an existence of pressure to place the sibling group with relatives, which was supported by statutory and state guidance, such as, the Best Interest Factors and the Sibling Bill of Rights. This pressure to place with relatives creates gaps in training for prospective foster care providers and also impacts staff availability to provide the training to the providers, prior to a child being placed in their home. The availability of staff to provide support to families was influenced by the time it takes to enter required data into the system (SSIS, paperwork, etc.) and confusion about who provides the support when there are multiple workers on a case, which can contribute to a placement disruption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2735}','136.234.105.223','2021-04-30 13:48:44'),(7545,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2736,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"391\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2736}','136.234.105.223','2021-04-30 13:48:44'),(7546,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2737,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"392\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2737}','136.234.105.223','2021-04-30 13:48:44'),(7547,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2738,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"393\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2738}','136.234.105.223','2021-04-30 13:48:44'),(7548,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2739,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"394\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:44 am\",\"created_at\":\"4\\/30\\/2021 8:48:44 am\",\"id\":2739}','136.234.105.223','2021-04-30 13:48:44'),(7549,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2740,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"395\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2740}','136.234.105.223','2021-04-30 13:48:45'),(7550,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2741,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"396\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2741}','136.234.105.223','2021-04-30 13:48:45'),(7551,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2742,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"397\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2742}','136.234.105.223','2021-04-30 13:48:45'),(7552,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2743,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"398\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2743}','136.234.105.223','2021-04-30 13:48:45'),(7553,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2744,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"399\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2744}','136.234.105.223','2021-04-30 13:48:45'),(7554,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2745,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"400\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2745}','136.234.105.223','2021-04-30 13:48:45'),(7555,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2746,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"401\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: The subject child being in placement for 3 years, 9 months prior to adoption being finalized was influenced by complexity of cases for children who have been in OOHP, the amount of documentation, placing with relatives, and the ability of training to meet the needs of staff.  The complexity of these cases can create confusion of timelines for adoption finalization. Due to this complexity, agencies utilize support through consultation with other agencies, which may lead to misunderstandings and inconsistent practice regarding requirements of the licensing of families.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2746}','136.234.105.223','2021-04-30 13:48:45'),(7556,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2747,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"402\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2747}','136.234.105.223','2021-04-30 13:48:45'),(7557,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2748,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"403\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Additionally, limited staffing levels at DHS lengthen the time it takes to process background studies and social histories and sometimes, more time is needed to adjust information on the background studies, ultimately leading to the time it takes to finalize adoption. \\r\\n\\r\\nLP #2: This pressure to place with relatives creates gaps in training for prospective foster care providers and also impacts staff availability to provide the training to the providers, prior to a child being placed in their home. The availability of staff to provide support to families was influenced by the time it takes to enter required data into the system (SSIS, paperwork, etc.) and confusion about who provides the support when there are multiple workers on a case, which can contribute to a placement disruption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2748}','136.234.105.223','2021-04-30 13:48:45'),(7558,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2749,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"404\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2749}','136.234.105.223','2021-04-30 13:48:45'),(7559,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2750,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"405\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2750}','136.234.105.223','2021-04-30 13:48:45'),(7560,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2751,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"406\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2751}','136.234.105.223','2021-04-30 13:48:45'),(7561,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2752,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"407\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: An additional influence into the length of time it takes for adoption to be finalized is the fact that social history information doesn\\u2019t automatically get pulled from SSIS, which results in workers having to manually locate this information\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2752}','136.234.105.223','2021-04-30 13:48:45'),(7562,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2753,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"408\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2753}','136.234.105.223','2021-04-30 13:48:45'),(7563,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2754,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"409\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Another factor that influences the perception that timelines may not be realistic is the size of DHS. It can be difficult to identify where to go for assistance when needed and after finding this, agencies may need to contact multiple program areas within DHS to move forward; adding time to adoption finalization. \\r\\n\\r\\nThis information comes from many different sources; including other workers within the agency, as well as, other various medical, health, and educational records. Getting complete information from all of these sources can be difficult and it takes time depending on where this information is held.\\r\\n\\r\\nLP #2: . The availability of staff to provide support to families was influenced by the time it takes to enter required data into the system (SSIS, paperwork, etc.) and confusion about who provides the support when there are multiple workers on a case, which can contribute to a placement disruption\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2754}','136.234.105.223','2021-04-30 13:48:45'),(7564,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2755,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"410\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2755}','136.234.105.223','2021-04-30 13:48:45'),(7565,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2756,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"411\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Furthermore, in relation to adoption, trainings are broad and may not teach what needs to be completed on each case and, although trainings exist, local agencies are not always aware of when these trainings are offered by DHS. Specifically, trainings are typically focused on Northstar and paperwork duties. Often times, non-relative providers have had training and supports prior to receiving a placement and this may not be the case for relative providers.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2756}','136.234.105.223','2021-04-30 13:48:45'),(7566,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2757,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"412\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2757}','136.234.105.223','2021-04-30 13:48:45'),(7567,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2758,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"413\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2758}','136.234.105.223','2021-04-30 13:48:45'),(7568,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2759,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"414\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2759}','136.234.105.223','2021-04-30 13:48:45'),(7569,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2760,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"415\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Timelines for these cases are guided by statute and these statutory timelines may not be realistic for completing all aspects needed to finalize adoption. \\r\\n\\r\\nPressure to place with relatives also exists at all levels of our system, which can influence the time it takes for adoption to be finalized (i.e. state statute, Judges, state and local levels).\\r\\n\\r\\nLP #2: There was also an existence of pressure to place the sibling group with relatives, which was supported by statutory and state guidance, such as, the Best Interest Factors and the Sibling Bill of Rights.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2760}','136.234.105.223','2021-04-30 13:48:45'),(7570,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2761,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"416\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2761}','136.234.105.223','2021-04-30 13:48:45'),(7571,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2762,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"417\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: There are various influences contributing to the difficulty in meeting these timelines, including; the county attorney\\u2019s workload, the need to have exact information for the completion of court documents, and other court processes such as CHIPS cases and trials taking precedence over other court cases. \\r\\n\\r\\nThe time it takes to locate relatives, assess the ability to meet the child\\u2019s needs, and navigate through the uniqueness that each family brings, can lengthen the time it takes in the overall effort to finalize adoption.\\r\\n\\r\\nLP #2: The availability of staff to provide support to families was influenced by the time it takes to enter required data into the system (SSIS, paperwork, etc.) and confusion about who provides the support when there are multiple workers on a case, which can contribute to a placement disruption.\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2762}','136.234.105.223','2021-04-30 13:48:45'),(7572,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2763,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"418\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":160,\"updated_by\":160,\"updated_at\":\"4\\/30\\/2021 8:48:45 am\",\"created_at\":\"4\\/30\\/2021 8:48:45 am\",\"id\":2763}','136.234.105.223','2021-04-30 13:48:45'),(7573,'99GiQ43RxSOyCa3deS6NyEhzvzTjkIUKBY5Z6I30',160,'reports_answer','create',2764,'{\"report_id\":28,\"form_id\":\"28\",\"user_id\":160,\"organization_id\":39,\"question_id\":\"419\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #2: The children experienced a placement disruption after being in a relative\\/pre-adoptive home for 24 months which was influenced by the provider and child requesting a change in placement. Supporting a request for a change in placement was the availability of services, including culturally sensitive services to support children and families (i.e. transportation, mental health, etc.), coupled with the needs of the family and the children. 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16:48:30'),(7699,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2856,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"385\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to having all of the children remain in the same placement and prioritized the children being adopted by the grandparents. Following the TPR and when the children were all in grandparents\\u2019 home, the plan was for the grandparents to adopt the children. After about a year, the grandparents started reporting that the siblings\\u2019 behavior was too much for them to handle. The agency worked to support the grandparents and the children\\u2019s placements through frequent visits\\/conversations with the grandparents, engaging therapeutic foster care services, coaching and mentoring for the grandparents. According to the worker, the children had been in 10-11 placements and they were trying to salvage the placement so the children could stay together and be adopted by their grandparents and stay connected to their birth family. The agency felt that the placement was never stable enough to finalize adoption and did everything they could to keep all of the children in the grandparents\\u2019 home. They agency felt they would get to a point where they were ready to move forward with the adoption and then the grandparents would ask for more time. It appeared that the house was divided and the grandparents did not share the same goal for adoption. From the worker\\u2019s perspective, the grandparents were always committed to adopting the subject child and not as consistent with wanting to adopt the siblings. It came to a point during a recent court hearing that the Judge told the grandparents that they needed to make a decision as to whether or not they would adopt the 9-year old. Ultimately, they decided not to pursue adoption of either sibling. The agency is moving forward with adoption of the subject child with the grandparents.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2856}','68.53.115.247','2021-04-30 16:48:30'),(7700,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2857,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"386\",\"question_type\":\"Free_Text\",\"text_answer\":\"Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. The grandfather wanted to adopt the siblings; however, the grandmother was apprehensive about adopting the siblings because she was the sole caregiver at times while the grandfather was working. The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so. \\r\\nThe competing priorities of placement stability versus sibling separation were influenced by the pressure to keep siblings together as outlined by the Sibling Bill of Rights (M.S. 260C.008). An additional factor contributing to pressures to keep the siblings together came from the recommendations by the Guardian ad Litem, which was guided by Minnesota statute 260C.212 subd. 2\\r\\nWhile the family wanted to finalize adoption, given their attachment to the child, their inability to meet the child\\u2019s needs supported their reluctance to move forward with the adoption. Due to the child\\u2019s need for permanency, an ultimatum was given by the courts for the caregivers to make a decision regarding adoption. The child\\u2019s behaviors and the grandmother being placed in the role as the primary caregiver without needed breaks, placed additional pressure on the family which influenced their decision to not adopt the child. Factors that contributed to these pressures included the children needing to be homeschooled due to COVID 19 and the grandfather being out of the home due to employment. Additionally, the family was reluctant to have providers in their home in order to reduce their exposure to the COVID virus.\\r\\nDue to the needs and age of the child, the child required many services to manage his needs. Services were often not available and when available, not consistent. Services often required pretesting or assessment to determine eligibility, however, these assessments often had a waitlist.  The grandparent\\u2019s lack of understanding about the children\\u2019s diagnosis and social interactions supported their inability to manage the child\\u2019s behaviors and needs and contributed to their reluctance to finalize adoption.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2857}','68.53.115.247','2021-04-30 16:48:30'),(7701,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2858,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"387\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Sibling separation and placement stability\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2858}','68.53.115.247','2021-04-30 16:48:30'),(7702,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2859,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"388\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to keeping all of the children together. When the dynamics of the household began to change, the worker indicated he worked closely with the Guardian ad Litem (GAL) to consult with and assist in providing support for the grandparents and the children. Therapeutic foster care services were put in place to support the grandparents and the siblings. The worker felt this was a challenging case for the siblings as they have needs that required additional support, which was difficult for the grandparents to manage at times. When decisions needed to be made whether to move the siblings, the worker stated that he consulted with his supervisor, the GAL and the agency\\u2019s screening team. In regards to the 12-year old, the grandparents didn\\u2019t feel they could meet his needs and requested that he move and once this occurred, the grandparents made the decision not to pursue adoption of the 12-year old. About a year after the 12-year old left the home, the grandparents began telling the worker that the 9-year old\\u2019s needs are becoming too much for them. The worker felt that the grandma was overwhelmed with having to home school the kids (during the pandemic), the grandpa being out of the home for work, and being confined to the house added stress to the grandma, which may have supported the grandparents decision to not pursue adoption with the 9-year old as well.\\r\\nThe worked stated that they couldn\\u2019t force the grandparents to adopt if they weren\\u2019t ready.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2859}','68.53.115.247','2021-04-30 16:48:30'),(7703,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2860,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"389\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2860}','68.53.115.247','2021-04-30 16:48:30'),(7704,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2861,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"391\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2861}','68.53.115.247','2021-04-30 16:48:30'),(7705,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2862,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"392\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2862}','68.53.115.247','2021-04-30 16:48:30'),(7706,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2863,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"393\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2863}','68.53.115.247','2021-04-30 16:48:30'),(7707,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2864,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"394\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2864}','68.53.115.247','2021-04-30 16:48:30'),(7708,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2865,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"395\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2865}','68.53.115.247','2021-04-30 16:48:30'),(7709,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2866,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"396\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2866}','68.53.115.247','2021-04-30 16:48:30'),(7710,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2867,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"397\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2867}','68.53.115.247','2021-04-30 16:48:30'),(7711,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2868,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"398\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2868}','68.53.115.247','2021-04-30 16:48:30'),(7712,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2869,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"399\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2869}','68.53.115.247','2021-04-30 16:48:30'),(7713,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2870,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"400\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2870}','68.53.115.247','2021-04-30 16:48:30'),(7714,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2871,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"401\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of ASFA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. \\r\\n\\r\\nLP #2: Items identified during the mapping supporting sibling separation and placement stability included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s need and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supports the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2871}','68.53.115.247','2021-04-30 16:48:30'),(7715,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2872,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"402\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2872}','68.53.115.247','2021-04-30 16:48:30'),(7716,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2873,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"403\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so (clarify what kind of assistance and from whom \\u2013 internal or external).\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2873}','68.53.115.247','2021-04-30 16:48:30'),(7717,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2874,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"404\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2874}','68.53.115.247','2021-04-30 16:48:30'),(7718,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2875,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"405\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2875}','68.53.115.247','2021-04-30 16:48:30'),(7719,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2876,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"406\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2876}','68.53.115.247','2021-04-30 16:48:30'),(7720,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2877,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"407\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2877}','68.53.115.247','2021-04-30 16:48:30'),(7721,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2878,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"408\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2878}','68.53.115.247','2021-04-30 16:48:30'),(7722,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2879,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"409\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2879}','68.53.115.247','2021-04-30 16:48:30'),(7723,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2880,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"410\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2880}','68.53.115.247','2021-04-30 16:48:30'),(7724,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2881,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"411\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2881}','68.53.115.247','2021-04-30 16:48:30'),(7725,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2882,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"412\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:30 am\",\"created_at\":\"4\\/30\\/2021 11:48:30 am\",\"id\":2882}','68.53.115.247','2021-04-30 16:48:30'),(7726,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2883,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"413\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:31 am\",\"created_at\":\"4\\/30\\/2021 11:48:31 am\",\"id\":2883}','68.53.115.247','2021-04-30 16:48:31'),(7727,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2884,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"414\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:31 am\",\"created_at\":\"4\\/30\\/2021 11:48:31 am\",\"id\":2884}','68.53.115.247','2021-04-30 16:48:31'),(7728,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2885,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"415\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:31 am\",\"created_at\":\"4\\/30\\/2021 11:48:31 am\",\"id\":2885}','68.53.115.247','2021-04-30 16:48:31'),(7729,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2886,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"416\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:31 am\",\"created_at\":\"4\\/30\\/2021 11:48:31 am\",\"id\":2886}','68.53.115.247','2021-04-30 16:48:31'),(7730,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2887,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"417\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:31 am\",\"created_at\":\"4\\/30\\/2021 11:48:31 am\",\"id\":2887}','68.53.115.247','2021-04-30 16:48:31'),(7731,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2888,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"418\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:31 am\",\"created_at\":\"4\\/30\\/2021 11:48:31 am\",\"id\":2888}','68.53.115.247','2021-04-30 16:48:31'),(7732,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2889,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"419\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:31 am\",\"created_at\":\"4\\/30\\/2021 11:48:31 am\",\"id\":2889}','68.53.115.247','2021-04-30 16:48:31'),(7733,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2890,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"420\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:31 am\",\"created_at\":\"4\\/30\\/2021 11:48:31 am\",\"id\":2890}','68.53.115.247','2021-04-30 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16:48:38'),(7754,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2911,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"382\",\"question_type\":\"Date\",\"text_answer\":\"06\\/20\\/2015\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2911}','68.53.115.247','2021-04-30 16:48:38'),(7755,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2912,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"390\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2912}','68.53.115.247','2021-04-30 16:48:38'),(7756,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2913,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"383\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2913}','68.53.115.247','2021-04-30 16:48:38'),(7757,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2914,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"384\",\"question_type\":\"Short_Answer\",\"text_answer\":\"The subject child has been in foster care (in the pre-adoptive home) for 4 years, free for adoption for 3 years, and adoption has not been finalized.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2914}','68.53.115.247','2021-04-30 16:48:38'),(7758,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2915,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"385\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to having all of the children remain in the same placement and prioritized the children being adopted by the grandparents. Following the TPR and when the children were all in grandparents\\u2019 home, the plan was for the grandparents to adopt the children. After about a year, the grandparents started reporting that the siblings\\u2019 behavior was too much for them to handle. The agency worked to support the grandparents and the children\\u2019s placements through frequent visits\\/conversations with the grandparents, engaging therapeutic foster care services, coaching and mentoring for the grandparents. According to the worker, the children had been in 10-11 placements and they were trying to salvage the placement so the children could stay together and be adopted by their grandparents and stay connected to their birth family. The agency felt that the placement was never stable enough to finalize adoption and did everything they could to keep all of the children in the grandparents\\u2019 home. They agency felt they would get to a point where they were ready to move forward with the adoption and then the grandparents would ask for more time. It appeared that the house was divided and the grandparents did not share the same goal for adoption. From the worker\\u2019s perspective, the grandparents were always committed to adopting the subject child and not as consistent with wanting to adopt the siblings. It came to a point during a recent court hearing that the Judge told the grandparents that they needed to make a decision as to whether or not they would adopt the 9-year old. Ultimately, they decided not to pursue adoption of either sibling. The agency is moving forward with adoption of the subject child with the grandparents.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2915}','68.53.115.247','2021-04-30 16:48:38'),(7759,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2916,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"386\",\"question_type\":\"Free_Text\",\"text_answer\":\"Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. The grandfather wanted to adopt the siblings; however, the grandmother was apprehensive about adopting the siblings because she was the sole caregiver at times while the grandfather was working. The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so. \\r\\nThe competing priorities of placement stability versus sibling separation were influenced by the pressure to keep siblings together as outlined by the Sibling Bill of Rights (M.S. 260C.008). An additional factor contributing to pressures to keep the siblings together came from the recommendations by the Guardian ad Litem, which was guided by Minnesota statute 260C.212 subd. 2\\r\\nWhile the family wanted to finalize adoption, given their attachment to the child, their inability to meet the child\\u2019s needs supported their reluctance to move forward with the adoption. Due to the child\\u2019s need for permanency, an ultimatum was given by the courts for the caregivers to make a decision regarding adoption. The child\\u2019s behaviors and the grandmother being placed in the role as the primary caregiver without needed breaks, placed additional pressure on the family which influenced their decision to not adopt the child. Factors that contributed to these pressures included the children needing to be homeschooled due to COVID 19 and the grandfather being out of the home due to employment. Additionally, the family was reluctant to have providers in their home in order to reduce their exposure to the COVID virus.\\r\\nDue to the needs and age of the child, the child required many services to manage his needs. Services were often not available and when available, not consistent. Services often required pretesting or assessment to determine eligibility, however, these assessments often had a waitlist.  The grandparent\\u2019s lack of understanding about the children\\u2019s diagnosis and social interactions supported their inability to manage the child\\u2019s behaviors and needs and contributed to their reluctance to finalize adoption.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2916}','68.53.115.247','2021-04-30 16:48:38'),(7760,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2917,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"387\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Sibling separation and placement stability\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2917}','68.53.115.247','2021-04-30 16:48:38'),(7761,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2918,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"388\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to keeping all of the children together. When the dynamics of the household began to change, the worker indicated he worked closely with the Guardian ad Litem (GAL) to consult with and assist in providing support for the grandparents and the children. Therapeutic foster care services were put in place to support the grandparents and the siblings. The worker felt this was a challenging case for the siblings as they have needs that required additional support, which was difficult for the grandparents to manage at times. When decisions needed to be made whether to move the siblings, the worker stated that he consulted with his supervisor, the GAL and the agency\\u2019s screening team. In regards to the 12-year old, the grandparents didn\\u2019t feel they could meet his needs and requested that he move and once this occurred, the grandparents made the decision not to pursue adoption of the 12-year old. About a year after the 12-year old left the home, the grandparents began telling the worker that the 9-year old\\u2019s needs are becoming too much for them. The worker felt that the grandma was overwhelmed with having to home school the kids (during the pandemic), the grandpa being out of the home for work, and being confined to the house added stress to the grandma, which may have supported the grandparents decision to not pursue adoption with the 9-year old as well.\\r\\nThe worked stated that they couldn\\u2019t force the grandparents to adopt if they weren\\u2019t ready.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2918}','68.53.115.247','2021-04-30 16:48:38'),(7762,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2919,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"389\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2919}','68.53.115.247','2021-04-30 16:48:38'),(7763,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2920,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"391\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2920}','68.53.115.247','2021-04-30 16:48:38'),(7764,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2921,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"392\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:38 am\",\"created_at\":\"4\\/30\\/2021 11:48:38 am\",\"id\":2921}','68.53.115.247','2021-04-30 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16:48:57'),(7809,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2966,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"378\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Ramsey\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2966}','68.53.115.247','2021-04-30 16:48:57'),(7810,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2967,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"379\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2967}','68.53.115.247','2021-04-30 16:48:57'),(7811,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2968,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"380\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Isabella\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2968}','68.53.115.247','2021-04-30 16:48:57'),(7812,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2969,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"381\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Anderson\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2969}','68.53.115.247','2021-04-30 16:48:57'),(7813,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2970,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"382\",\"question_type\":\"Date\",\"text_answer\":\"06\\/20\\/2015\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2970}','68.53.115.247','2021-04-30 16:48:57'),(7814,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2971,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"390\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2971}','68.53.115.247','2021-04-30 16:48:57'),(7815,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2972,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"383\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2972}','68.53.115.247','2021-04-30 16:48:57'),(7816,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2973,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"384\",\"question_type\":\"Short_Answer\",\"text_answer\":\"The subject child has been in foster care (in the pre-adoptive home) for 4 years, free for adoption for 3 years, and adoption has not been finalized.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2973}','68.53.115.247','2021-04-30 16:48:57'),(7817,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2974,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"385\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to having all of the children remain in the same placement and prioritized the children being adopted by the grandparents. Following the TPR and when the children were all in grandparents\\u2019 home, the plan was for the grandparents to adopt the children. After about a year, the grandparents started reporting that the siblings\\u2019 behavior was too much for them to handle. The agency worked to support the grandparents and the children\\u2019s placements through frequent visits\\/conversations with the grandparents, engaging therapeutic foster care services, coaching and mentoring for the grandparents. According to the worker, the children had been in 10-11 placements and they were trying to salvage the placement so the children could stay together and be adopted by their grandparents and stay connected to their birth family. The agency felt that the placement was never stable enough to finalize adoption and did everything they could to keep all of the children in the grandparents\\u2019 home. They agency felt they would get to a point where they were ready to move forward with the adoption and then the grandparents would ask for more time. It appeared that the house was divided and the grandparents did not share the same goal for adoption. From the worker\\u2019s perspective, the grandparents were always committed to adopting the subject child and not as consistent with wanting to adopt the siblings. It came to a point during a recent court hearing that the Judge told the grandparents that they needed to make a decision as to whether or not they would adopt the 9-year old. Ultimately, they decided not to pursue adoption of either sibling. The agency is moving forward with adoption of the subject child with the grandparents.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2974}','68.53.115.247','2021-04-30 16:48:57'),(7818,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2975,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"386\",\"question_type\":\"Free_Text\",\"text_answer\":\"Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. The grandfather wanted to adopt the siblings; however, the grandmother was apprehensive about adopting the siblings because she was the sole caregiver at times while the grandfather was working. The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so. \\r\\nThe competing priorities of placement stability versus sibling separation were influenced by the pressure to keep siblings together as outlined by the Sibling Bill of Rights (M.S. 260C.008). An additional factor contributing to pressures to keep the siblings together came from the recommendations by the Guardian ad Litem, which was guided by Minnesota statute 260C.212 subd. 2\\r\\nWhile the family wanted to finalize adoption, given their attachment to the child, their inability to meet the child\\u2019s needs supported their reluctance to move forward with the adoption. Due to the child\\u2019s need for permanency, an ultimatum was given by the courts for the caregivers to make a decision regarding adoption. The child\\u2019s behaviors and the grandmother being placed in the role as the primary caregiver without needed breaks, placed additional pressure on the family which influenced their decision to not adopt the child. Factors that contributed to these pressures included the children needing to be homeschooled due to COVID 19 and the grandfather being out of the home due to employment. Additionally, the family was reluctant to have providers in their home in order to reduce their exposure to the COVID virus.\\r\\nDue to the needs and age of the child, the child required many services to manage his needs. Services were often not available and when available, not consistent. Services often required pretesting or assessment to determine eligibility, however, these assessments often had a waitlist.  The grandparent\\u2019s lack of understanding about the children\\u2019s diagnosis and social interactions supported their inability to manage the child\\u2019s behaviors and needs and contributed to their reluctance to finalize adoption.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2975}','68.53.115.247','2021-04-30 16:48:57'),(7819,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2976,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"387\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Sibling separation and placement stability\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2976}','68.53.115.247','2021-04-30 16:48:57'),(7820,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2977,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"388\",\"question_type\":\"Free_Text\",\"text_answer\":\"The agency was committed to keeping all of the children together. When the dynamics of the household began to change, the worker indicated he worked closely with the Guardian ad Litem (GAL) to consult with and assist in providing support for the grandparents and the children. Therapeutic foster care services were put in place to support the grandparents and the siblings. The worker felt this was a challenging case for the siblings as they have needs that required additional support, which was difficult for the grandparents to manage at times. When decisions needed to be made whether to move the siblings, the worker stated that he consulted with his supervisor, the GAL and the agency\\u2019s screening team. In regards to the 12-year old, the grandparents didn\\u2019t feel they could meet his needs and requested that he move and once this occurred, the grandparents made the decision not to pursue adoption of the 12-year old. About a year after the 12-year old left the home, the grandparents began telling the worker that the 9-year old\\u2019s needs are becoming too much for them. The worker felt that the grandma was overwhelmed with having to home school the kids (during the pandemic), the grandpa being out of the home for work, and being confined to the house added stress to the grandma, which may have supported the grandparents decision to not pursue adoption with the 9-year old as well.\\r\\nThe worked stated that they couldn\\u2019t force the grandparents to adopt if they weren\\u2019t ready.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2977}','68.53.115.247','2021-04-30 16:48:57'),(7821,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2978,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"389\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2978}','68.53.115.247','2021-04-30 16:48:57'),(7822,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2979,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"391\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2979}','68.53.115.247','2021-04-30 16:48:57'),(7823,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2980,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"392\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2980}','68.53.115.247','2021-04-30 16:48:57'),(7824,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2981,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"393\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2981}','68.53.115.247','2021-04-30 16:48:57'),(7825,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2982,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"394\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2982}','68.53.115.247','2021-04-30 16:48:57'),(7826,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2983,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"395\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2983}','68.53.115.247','2021-04-30 16:48:57'),(7827,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2984,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"396\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2984}','68.53.115.247','2021-04-30 16:48:57'),(7828,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2985,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"397\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2985}','68.53.115.247','2021-04-30 16:48:57'),(7829,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2986,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"398\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2986}','68.53.115.247','2021-04-30 16:48:57'),(7830,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2987,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"399\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2987}','68.53.115.247','2021-04-30 16:48:57'),(7831,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2988,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"400\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2988}','68.53.115.247','2021-04-30 16:48:57'),(7832,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2989,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"401\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: Items identified during the mapping supporting adoption not being finalized after child being in foster care for 4 years, and free for adoption for 3 years, included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s needs not being able to be met, and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of ASFA. Adherence to those measures supported the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement. \\r\\n\\r\\nLP #2: Items identified during the mapping supporting sibling separation and placement stability included a pressure to place with relatives, pressure to keep siblings together, child\\u2019s need and additional pressures placed on caregiver\\u2019s family.   \\r\\nPressure to place with relatives was supported by the courts\\u2019 role in the process. The court and DHS are responsible for approving sibling separations and those decisions are influenced by the federal measures of AFSA. Adherence to those measures supports the agency\\u2019s decision making process regarding preference for relative placements as opposed to non-relative placement.\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2989}','68.53.115.247','2021-04-30 16:48:57'),(7833,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2990,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"402\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2990}','68.53.115.247','2021-04-30 16:48:57'),(7834,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2991,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"403\",\"question_type\":\"Free_Text\",\"text_answer\":\"LP #1: The grandparents needed assistance for which the agency was unable to provide due to the unavailability of expertise to do so (clarify what kind of assistance and from whom \\u2013 internal or external).\",\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2991}','68.53.115.247','2021-04-30 16:48:57'),(7835,'2Q6wpUwaFivOLmmkloEFtEwsUCqNA1SYskGrzVPV',81,'reports_answer','create',2992,'{\"report_id\":27,\"form_id\":\"18\",\"user_id\":81,\"organization_id\":39,\"question_id\":\"404\",\"question_type\":\"Multiple_Choice\",\"text_answer\":null,\"created_by\":81,\"updated_by\":81,\"updated_at\":\"4\\/30\\/2021 11:48:57 am\",\"created_at\":\"4\\/30\\/2021 11:48:57 am\",\"id\":2992}','68.53.115.247','2021-04-30 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Notable, these barriers include the child\\\\u2019s age and size. The staff shared that the child\\\\u2019s age of 13 at this time makes it a little harder for recruiting a forever home as he is larger and harder to contain, and this coupled with a developmental disability (FAS), make his day to day process functioning slower. For example, prospective adoptive families need to consider the subject child\\\\u2019s ability to be left alone. While at age 13 he technically could be home alone for a short period of time, his disability creates an unsafe situation in doing so as his processing is slower, and may not allow the child to realize the danger in some decision making. Staff also shared that simply reading about the child, their diagnosis and limitations, rather than seeing and interacting with the child, may not allow a prospective family to really grasp the whole personality of the child, reducing the likelihood for an adoption match. For this reason, more in-person meetings with children and potential adoptive parents would be helpful. It was also noted that outreach for homes in more rural areas may present challenges regarding both services (specifically for this child, FAS services) and community identification. This child is African American and adoption and residence in a community where he looks different than others may be a consideration for potential forever homes. Lastly, the Covid-19 pandemic has created fewer opportunities for adoption recruitment as in-person events and activities have either been cancelled or significantly limited.\\\",\\\"Free_Text__386\\\":\\\"Subject child remaining in OOHP from 1\\\\\\/1\\\\\\/2019 to 12\\\\\\/31\\\\\\/2019 without finalization of permanency was influenced by children\\\\u2019s special needs and services, recruitment efforts and also education for workers.\\\\r\\\\nChildren with special needs seeking adoption experience multiple factors that contribute to delays in adoption finalization. The specific needs of the children can influence available resources for that child (both service related and permanency). Often times the needs of the child(ren) can intimidate prospective families. This is manifested through a general lack of awareness of developmental disabilities and the services available for children and families of children with special needs. Barriers to receiving education and accessibility to mentors for families about developmental disability services include care beyond the age of 18 for children and also the understanding of waivered and related services. These barriers contribute to a reduced willingness and\\\\\\/or ability to care for children with special needs and ultimately, a lack of available foster homes for these children. One factor that has influenced both recruitment efforts and selection of children with special needs for adoption is the initial introduction of the child to the family. Typically, a prospective adoptive family\\\\u2019s first information about a child is the written summary on the child. This information includes the child\\\\u2019s disabilities, if any, and the possible needs\\\\\\/services that children may need. This written information, without the ability to see the child\\\\u2019s personality, may prevent the potential adoptive parents from getting the full picture of who the child really is. The current Covid-19 pandemic has also hindered recruitment efforts as in-person meetings and events have been cancelled. Additionally, the age of and size of the child can be influencing factors in finding an adoptive home and finalization of that adoption. For children with special needs, including those that have physical outbursts, the size of the child and a parent\\\\u2019s ability to intervene during an episode may be reduced. It is also common that the older the child, the harder it is to recruit adoptive homes.\\\",\\\"Multiple_Choice__400\\\":\\\"0\\\",\\\"Multiple_Choice__402\\\":\\\"0\\\",\\\"Multiple_Choice__404\\\":\\\"0\\\",\\\"Multiple_Choice__406\\\":\\\"0\\\",\\\"Multiple_Choice__408\\\":\\\"2\\\",\\\"Free_Text__409\\\":\\\"One factor that has influenced both recruitment efforts and selection of children with special needs for adoption is the initial introduction of the child to the family. Typically, a prospective adoptive family\\\\u2019s first information about a child is the written summary on the child. This information includes the child\\\\u2019s disabilities, if any, and the possible needs\\\\\\/services that children may need. This written information, without the ability to see the child\\\\u2019s personality, may prevent the potential adoptive parents from getting the full picture of who the child really is.\\\",\\\"Multiple_Choice__410\\\":\\\"2\\\",\\\"Free_Text__411\\\":\\\"Often times the needs of the child(ren) can intimidate prospective families. This is manifested through a general lack of awareness of developmental disabilities and the services available for children and families of children with special needs. Barriers to receiving education and accessibility to mentors for families about developmental disability services include care beyond the age of 18 for children and also the understanding of waivered and related services.\\\",\\\"Multiple_Choice__412\\\":\\\"0\\\",\\\"Multiple_Choice__414\\\":\\\"0\\\",\\\"Multiple_Choice__416\\\":\\\"0\\\",\\\"Multiple_Choice__418\\\":\\\"2\\\",\\\"Free_Text__419\\\":\\\"Example 1: Often times the needs of the child(ren) can intimidate prospective families. This is manifested through a general lack of awareness of developmental disabilities and the services available for children and families of children with special needs. Barriers to receiving education and accessibility to mentors for families about developmental disability services include care beyond the age of 18 for children and also the understanding of waivered and related services. These barriers contribute to a reduced willingness and\\\\\\/or ability to care for children with special needs and ultimately, a lack of available foster homes for these children.\\\\r\\\\n\\\\r\\\\nExample 2: The current Covid-19 pandemic has also hindered recruitment efforts as in-person meetings and events have been cancelled. Additionally, the age of and size of the child can be influencing factors in finding an adoptive home and finalization of that adoption. For children with special needs, including those that have physical outbursts, the size of the child and a parent\\\\u2019s ability to intervene during an episode may be reduced. It is also common that the older the child, the harder it is to recruit adoptive homes.\\\",\\\"Multiple_Choice__420\\\":\\\"0\\\",\\\"Multiple_Choice__422\\\":\\\"0\\\",\\\"Yes_or_No__424\\\":\\\"Yes\\\"}\",\"user_id\":159,\"organization_id\":39,\"status\":1,\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":30}','136.234.105.218','2021-05-03 16:03:05'),(7882,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3013,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"287\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"Ryan Hartneck\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3013}','136.234.105.218','2021-05-03 16:03:05'),(7883,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3014,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"288\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Niki Hoglund, Steve Johnson, Jennifer Carlson\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3014}','136.234.105.218','2021-05-03 16:03:05'),(7884,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3015,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"425\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"CFSR Item 6 - Permanency: 24 months\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3015}','136.234.105.218','2021-05-03 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16:03:05'),(7897,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3028,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"381\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Sampson\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3028}','136.234.105.218','2021-05-03 16:03:05'),(7898,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3029,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"382\",\"question_type\":\"Date\",\"text_answer\":\"08\\/20\\/2007\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3029}','136.234.105.218','2021-05-03 16:03:05'),(7899,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3030,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"390\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3030}','136.234.105.218','2021-05-03 16:03:05'),(7900,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3031,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"383\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"1\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3031}','136.234.105.218','2021-05-03 16:03:05'),(7901,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3032,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"384\",\"question_type\":\"Short_Answer\",\"text_answer\":\"Subject child remained in OOHP from 1\\/1\\/2019 to 12\\/31\\/2019 without finalization of permanency\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3032}','136.234.105.218','2021-05-03 16:03:05'),(7902,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3033,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"385\",\"question_type\":\"Free_Text\",\"text_answer\":\"Agency staff shared that while the subject child has been making interpersonal progress, there are inherent barriers to finalization of permanency (in this case adoption). Notable, these barriers include the child\\u2019s age and size. The staff shared that the child\\u2019s age of 13 at this time makes it a little harder for recruiting a forever home as he is larger and harder to contain, and this coupled with a developmental disability (FAS), make his day to day process functioning slower. For example, prospective adoptive families need to consider the subject child\\u2019s ability to be left alone. While at age 13 he technically could be home alone for a short period of time, his disability creates an unsafe situation in doing so as his processing is slower, and may not allow the child to realize the danger in some decision making. Staff also shared that simply reading about the child, their diagnosis and limitations, rather than seeing and interacting with the child, may not allow a prospective family to really grasp the whole personality of the child, reducing the likelihood for an adoption match. For this reason, more in-person meetings with children and potential adoptive parents would be helpful. It was also noted that outreach for homes in more rural areas may present challenges regarding both services (specifically for this child, FAS services) and community identification. This child is African American and adoption and residence in a community where he looks different than others may be a consideration for potential forever homes. Lastly, the Covid-19 pandemic has created fewer opportunities for adoption recruitment as in-person events and activities have either been cancelled or significantly limited.\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3033}','136.234.105.218','2021-05-03 16:03:05'),(7903,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3034,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"386\",\"question_type\":\"Free_Text\",\"text_answer\":\"Subject child remaining in OOHP from 1\\/1\\/2019 to 12\\/31\\/2019 without finalization of permanency was influenced by children\\u2019s special needs and services, recruitment efforts and also education for workers.\\r\\nChildren with special needs seeking adoption experience multiple factors that contribute to delays in adoption finalization. The specific needs of the children can influence available resources for that child (both service related and permanency). Often times the needs of the child(ren) can intimidate prospective families. This is manifested through a general lack of awareness of developmental disabilities and the services available for children and families of children with special needs. Barriers to receiving education and accessibility to mentors for families about developmental disability services include care beyond the age of 18 for children and also the understanding of waivered and related services. These barriers contribute to a reduced willingness and\\/or ability to care for children with special needs and ultimately, a lack of available foster homes for these children. One factor that has influenced both recruitment efforts and selection of children with special needs for adoption is the initial introduction of the child to the family. Typically, a prospective adoptive family\\u2019s first information about a child is the written summary on the child. This information includes the child\\u2019s disabilities, if any, and the possible needs\\/services that children may need. This written information, without the ability to see the child\\u2019s personality, may prevent the potential adoptive parents from getting the full picture of who the child really is. The current Covid-19 pandemic has also hindered recruitment efforts as in-person meetings and events have been cancelled. Additionally, the age of and size of the child can be influencing factors in finding an adoptive home and finalization of that adoption. For children with special needs, including those that have physical outbursts, the size of the child and a parent\\u2019s ability to intervene during an episode may be reduced. It is also common that the older the child, the harder it is to recruit adoptive homes.\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3034}','136.234.105.218','2021-05-03 16:03:05'),(7904,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3035,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"387\",\"question_type\":\"Short_Answer\",\"text_answer\":null,\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3035}','136.234.105.218','2021-05-03 16:03:05'),(7905,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3036,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"388\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 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Typically, a prospective adoptive family\\u2019s first information about a child is the written summary on the child. This information includes the child\\u2019s disabilities, if any, and the possible needs\\/services that children may need. This written information, without the ability to see the child\\u2019s personality, may prevent the potential adoptive parents from getting the full picture of who the child really is.\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3056}','136.234.105.218','2021-05-03 16:03:05'),(7926,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3057,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"410\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3057}','136.234.105.218','2021-05-03 16:03:05'),(7927,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3058,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"411\",\"question_type\":\"Free_Text\",\"text_answer\":\"Often times the needs of the child(ren) can intimidate prospective families. This is manifested through a general lack of awareness of developmental disabilities and the services available for children and families of children with special needs. Barriers to receiving education and accessibility to mentors for families about developmental disability services include care beyond the age of 18 for children and also the understanding of waivered and related services.\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3058}','136.234.105.218','2021-05-03 16:03:05'),(7928,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3059,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"412\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3059}','136.234.105.218','2021-05-03 16:03:05'),(7929,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3060,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"413\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3060}','136.234.105.218','2021-05-03 16:03:05'),(7930,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3061,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"414\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3061}','136.234.105.218','2021-05-03 16:03:05'),(7931,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3062,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"415\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3062}','136.234.105.218','2021-05-03 16:03:05'),(7932,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3063,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"416\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3063}','136.234.105.218','2021-05-03 16:03:05'),(7933,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3064,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"417\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3064}','136.234.105.218','2021-05-03 16:03:05'),(7934,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3065,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"418\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"2\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3065}','136.234.105.218','2021-05-03 16:03:05'),(7935,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3066,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"419\",\"question_type\":\"Free_Text\",\"text_answer\":\"Example 1: Often times the needs of the child(ren) can intimidate prospective families. This is manifested through a general lack of awareness of developmental disabilities and the services available for children and families of children with special needs. Barriers to receiving education and accessibility to mentors for families about developmental disability services include care beyond the age of 18 for children and also the understanding of waivered and related services. These barriers contribute to a reduced willingness and\\/or ability to care for children with special needs and ultimately, a lack of available foster homes for these children.\\r\\n\\r\\nExample 2: The current Covid-19 pandemic has also hindered recruitment efforts as in-person meetings and events have been cancelled. Additionally, the age of and size of the child can be influencing factors in finding an adoptive home and finalization of that adoption. For children with special needs, including those that have physical outbursts, the size of the child and a parent\\u2019s ability to intervene during an episode may be reduced. It is also common that the older the child, the harder it is to recruit adoptive homes.\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3066}','136.234.105.218','2021-05-03 16:03:05'),(7936,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3067,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"420\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3067}','136.234.105.218','2021-05-03 16:03:05'),(7937,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3068,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"421\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3068}','136.234.105.218','2021-05-03 16:03:05'),(7938,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3069,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"422\",\"question_type\":\"Multiple_Choice\",\"text_answer\":\"0\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3069}','136.234.105.218','2021-05-03 16:03:05'),(7939,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3070,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"423\",\"question_type\":\"Free_Text\",\"text_answer\":null,\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:05 am\",\"created_at\":\"5\\/3\\/2021 11:03:05 am\",\"id\":3070}','136.234.105.218','2021-05-03 16:03:05'),(7940,'7sFpMpiAu64d9xEJ4xni4gAOoqOwPCu33TsI31FO',159,'reports_answer','create',3071,'{\"report_id\":30,\"form_id\":\"18\",\"user_id\":159,\"organization_id\":39,\"question_id\":\"424\",\"question_type\":\"Yes_or_No\",\"text_answer\":\"Yes\",\"created_by\":159,\"updated_by\":159,\"updated_at\":\"5\\/3\\/2021 11:03:06 am\",\"created_at\":\"5\\/3\\/2021 11:03:06 am\",\"id\":3071}','136.234.105.218','2021-05-03 16:03:06'),