{"report_id":223,"form_id":"23","user_id":81,"organization_id":10,"question_id":"132","question_type":"Free_Text","text_answer":"Staff not performing visual checks on a person between 2am and 5pm had a number of influences. On the day the checks were not performed, the staff did not have any reason to believe that the person had eloped. While the person did have a history of elopement, he usually exhibited telltale signs of leaving the house such as telling staff they were leaving and\/or taking a bag with him. These typical signs were not present this day. Instead the person left without telling anyone or taking a bag with him. Adding to the lack of reason to believe the person eloped was that the person often slept in, had an inconsistent sleep schedule, and refused to eat breakfast on the weekends, so sleeping in on Saturdays was a norm . This person also did not like to be bothered and often wanted his privacy while in his room. Due to cultural norms to allow privacy to people in their bedrooms along with the provider\u2019s licensing statute \u2013 MS 245D \u2013 guaranteeing a person the right to privacy, this was wish was respected. \r\nAn additional influence to why checks weren\u2019t performed was that the morning shift was short staffed. The house typically required 3 staff to be on in the morning. The overnight staff was going to work a double shift by staying on for the morning shift, but was unable to work. This left the provider with only 2 staff working in the morning shift. It was a norm at the house that they were comfortable only having 2 staff on if both staff were veteran staff, which was the case this day. Although the veteran staff were comfortable working short staffed, this did mean that the two staff had more responsibilities and were thus somewhat overworked and busy that day . \r\n The last influence identified by the mapping team into why staff did not perform checks was that the person\u2019s plan did not require visual checks when he was at home. The provider typically does not perform visual checks on any person while they are in their own home. This practice is impacted by cultural norms to allow people privacy in their bedroom, an emphasis on person-centered planning and thinking and 245D rights to privacy. The provider noted that the only scenario in which they provide visual checks on a person when they were at home was if the person\u2019s Coordinated Service and Support Plan (CSSP), created by the person\u2019s case manager at the lead agency, indicated a need for them and assigned the provider responsibility for it. But considering the person\u2019s history and his desire for privacy, the CSSP did not identify this as a need for this person at the time . The CSSP is created after a MnCHOICES assessment of the person\u2019s needs is completed and neither the assessment nor the plan identified this level of need. Levels of need identified in the CSSP are reflected in the negotiation between the lead agency and the provider facilitated by the DHS-6790 Form. This form is influenced by the provider\u2019s needs, the lead agency\u2019s identification of the person\u2019s needs and the Disability Waiver Rates System which provides a calculation for the person\u2019s service rates. It was the final 6790 which ultimately allowed for the home to sometimes have 3 staff working the morning shift.","created_by":81,"updated_by":81,"updated_at":"5\/25\/2021 10:51:17 am","created_at":"5\/25\/2021 10:51:17 am","id":16425}