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{"sheet":"資料一覧","index":0,"n_rows":68,"n_cols":3,"rows_kept":68,"cut":false,"hidden":false,"merged":[[0,1,1,2],[39,1,39,2],[41,1,41,2],[55,1,55,2],[3,0,3,2],[25,0,25,2],[30,1,30,2]]}
[null,"【居宅介護等事業所用】"]
[]
[1,"事前提出書類"]
[" ・ 特に指定のあるもの以外は、運営指導実施予定日の属する月の\n　　前々月末時点の状況を記入してください。"]
[null,null,"提出チェック"]
["（1）","事前提出資料（すべてこのエクセルファイルにあります）","事業者"]
[null,"【共通】基本情報　※事業所番号ごとに作成すること"]
[null,"P1　職員の配置状況"]
[null,"P2-1　職員の勤務状況（２）勤務実績　（直近3か月分の実績）"]
[null,"P2-2　職員の勤務状況（２）勤務実績　（直近3か月分の実績）"]
[null,"P2-3　職員の勤務状況（２）勤務実績　（直近3か月分の実績）"]
[null,"P3　サービス提供責任者配置数の根拠"]
[null,"P4　４　（一）体制要件 ア 研修の実施状況　※特定事業所加算Ⅰ/Ⅱ/Ⅲを算定している場合のみ"]
[null,"P5-1　利用者情報及び居宅介護等計画の作成状況（居宅介護）"]
[null,"P5-2　利用者情報及び居宅介護等計画の作成状況（重度訪問介護）"]
[null,"P5-3　利用者情報及び居宅介護等計画の作成状況（行動援護）"]
[null,"P5-4　利用者情報及び居宅介護等計画の作成状況（同行援護）"]
[null,"P6　苦情・事故の対応記録"]
[null,"P7　業務継続計画、衛生管理、身体拘束の禁止及び虐待の防止に関する取組状況"]
[null,"P8　主眼事項・着眼点自己点検"]
[null,"P9　障害福祉サービス事業者（障害者・児施設、事業者）業務管理体制に係る一般検査調書"]
["（2）","運営規程、サービス利用契約書、重要事項説明書、個人情報提供に係る同意書"]
["（3）","法人・事業所の組織図、施設案内（パンフレット等）"]
[]
[2,"当日準備書類等"]
[" ・ 次の書類はすべてのサービスに共通するものではありません。\n ・ 準備すべき書類の中で該当するものがない場合は、\n  　今回の指導のためだけに新たに作成する必要はありません。\n ・ 会場配置図を参考にご用意ください。（会場内に準備してください。）\n ・ 指導当日に追加資料の提示を求める場合があります。\n ・ 指導対象は、基本的に運営指導を行う前年度から指導日の当月までが原則となりますが、\n    さかのぼって資料を求める場合があります。"]
[null,null,"提出チェック"]
["（1）","指定基準に関する書類","事業者"]
["①","指定基準省令と解釈通知"]
["②","報酬告示と留意事項通知"]
["（2）","人員に関する書類"]
["①","職員勤務表"]
["②","出勤簿又はタイムカード"]
["③","専任、兼任の状況がわかる書類"]
["④","利用者数がわかる書類（当該年度の利用者数）"]
["⑤","職員履歴書及び資格、経験がわかる書類（資格証など）"]
["⑥","就業規則"]
["⑦","雇用契約書及び辞令がある場合は辞令書"]
["⑧","給与支払明細書"]
["（3）","設備に関する書類"]
["①","設備・備品台帳"]
["（4）","運営に関する書類"]
["①","定款、寄付行為等"]
["②","サービスの提供の記録(実績記録票、その他ケース記録など）"]
["③","利用契約に関する書類"]
["④","支給決定障害者・保護者に関する市町への通知に係る記録"]
["⑤","サービス等（障害児支援）利用計画書・児童発達支援計画書"]
["⑥","個別支援計画等原案の同意に関する記録"]
["⑦","受給者証写し"]
["⑧","利用申込み受付簿"]
["⑨","身体拘束等の記録（委員会の議事録及び研修の記録等）"]
["⑩","職員研修に関する記録"]
["⑪","苦情の内容等の記録"]
["⑫","事故の状況及び事故に際して採った処置についての記録"]
["⑬","虐待防止のための取組みがわかる記録・書類（委員会の議事録及び研修の記録等）"]
["（5）","自立支援給付費等及び利用者負担額に関する書類"]
["①","介護給付費・訓練等給付費等請求書"]
["②","介護給付費・訓練等給付費等明細書"]
["③","特例介護給付費・訓練等給付費等請求書"]
["④","特例介護給付費・訓練等給付費等明細書"]
["⑤","サービス実績記録票"]
["⑥","各種加算関係書類"]
["⑦","利用者負担額の請求書"]
["⑧","利用者負担額の領収書控"]
["⑨","法定代理受領の通知の写し"]
["⑩","サービス提供証明書"]
["⑪","金銭の支払を求める同意に関する記録"]
["⑫","支払を求める金銭の算定に関する積算の根拠"]

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[null,null,null,null,null,null,null,null,null,null,"資料作成者"]
[]
[null,"指定障害福祉サービス事業者・障害者支援施設・一般相談・特定相談支援事業者指導資料"]
[null,null,null,null,null,null,null,null,null,"（令和",null,{"$f":"IF(L9=\"\",\"\",IF(N9=1,L9-1,L9))","v":8},"年",{"$f":"IF(N9=\"\",\"\",MONTH(EOMONTH(DATE(SUM(2018+L9),N9,P9),-1)))","v":6},"月",{"$f":"IF(N4=\"\",\"\",20)","v":20},"日現在）"]
[null,"事業所・施設名",null,null,null,null,null,"事業所番号",2,2]
[null,"事業所等所在地","〒     －",null,null,null,null,null,null,null,null,null,"TEL",null,"-",null,"-"]
[null,null,"浜松市",null,null,null,null,null,null,null,null,null,"FAX",null,"-",null,"-"]
[null,"法人名",null,null,null,null,null,"法人代表者"]
[null,"管理者",null,null,null,null,null,"運営指導年月日",null,"令和 ",null,8,"年",7,"月",1,"日"]
[null,"実施サービス種類\n（施設サービス含む）\nとその利用定員、\n利用者の数","サービス種類",null,null,"契約者の数",null,"左記サービスの\n当初指定年月日"]
[null,null,null,null,null,null,"人",null,null,null,null,null,"年",null,"月",1,"日",null,null,null,"平成 "]
[null,null,null,null,null,null,"人",null,null,null,null,null,"年",null,"月",1,"日",null,null,null,"令和 "]
[null,null,null,null,null,null,"人",null,null,null,null,null,"年",null,"月",1,"日"]
[null,null,null,null,null,null,"人",null,null,null,null,null,"年",null,"月",1,"日"]
[null,null,null,null,null,null,"人",null,null,null,null,null,"年",null,"月",1,"日"]
[null,null,null,null,null,null,"人",null,null,null,null,null,"年",null,"月",1,"日"]
[null,"併設事業所",null,null,null,null,null,"バックアップ\n施設等"]
[null,"※事業所番号ごとに作成すること。"]
[null,null,"部分のみ入力可能。",null,null,null,null,"※以降、全シート共通"]
[]
[null,null,"部分はプルダウンメニューから該当するものを選択すること。"]
[]
[]
["●前回指導結果通知に基づく指導事項（助言指導を含む。）の改善状況",null,null,null,null,null,null,null," （前回指導実施日","令和 ",null,null,"年",null,"月",null,"日）"]
["指導事項",null,null,null,"改善措置状況",null,null,null,"未改善の理由"]
[]
[]
[]
[]
[]
[]
[]
["●市への質疑事項"]
[]
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[]
[null,null,"居宅介護"]
[null,null,"重度訪問介護"]
[null,null,"同行援護"]
[null,null,"行動援護"]
[null,null,"療養介護"]
[null,null,"生活介護"]
[null,null,"短期入所（空床型）"]
[null,null,"短期入所（併設型）"]
[null,null,"短期入所（単独型）"]
[null,null,"自立訓練（機能訓練）"]
[null,null,"自立訓練（生活訓練）"]
[null,null,"宿泊型自立訓練"]
[null,null,"就労移行支援"]
[null,null,"就労継続支援Ａ型"]
[null,null,"就労継続支援Ｂ型"]
[null,null,"就労定着支援"]
[null,null,"自立生活援助"]
[null,null,"共同生活援助"]
[null,null,"施設入所支援"]
[null,null,"施設入所支援（経過的）"]
[null,null,"地域相談支援（地域移行支援）"]
[null,null,"地域相談支援（地域定着支援）"]
[null,null,"計画相談支援"]

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[null,"１　職員の配置状況（既存資料の添付可）",null,null,{"$f":"【共通】!J4&【共通】!L4&【共通】!M4&【共通】!N4&【共通】!O4&【共通】!P4&【共通】!Q4","v":"（令和8年6月20日現在）"},null,null,null,null,null,null,null,null,{"$f":"\" １ / \"&Q1","v":" １ / 1"},null,null,{"$f":"IF(C76<>\"\",4,IF(C53<>\"\",3,IF(C30<>\"\",2,1)))","v":1}]
[null,null,"職　　　　種","氏　　　　名","年齢","雇用\n形態","勤続年数","勤務形態","兼務先","資格","居宅\n介護","重度\n訪問","行動\n援護","同行\n援護",null,null,"常勤／専従"]
[null,"例","管理者兼サービス提供責任者","○○　○○",50,"正","5年以上\n10年未満","常勤／兼務","同事業所","介護福祉士、同行援護従事者養成研修（一般・応用）","サ","サ","×","サ",null,null,"常勤／兼務"]
[null,"例","サービス提供責任者","□□　□□",45,"正","10年以上","常勤／専従","-","実務者研修、ヘルパー２級","サ","サ","×","×",null,null,"非常勤／専従"]
[null,"例","ヘルパー","△△　△△",30,"登","1年以上\n3年未満","非常勤／兼務","他法人","居宅介護職員初任者研修、同行援護従事者養成研修（一般）","従","×","×","従",null,null,"非常勤／兼務"]
[null,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同事業所"]
[null,{"$f":"B6+1","v":2},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同法人\n他事業所"]
[null,{"$f":"B7+1","v":3},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"他法人"]
[null,4,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"-"]
[null,{"$f":"B9+1","v":5},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年未満"]
[null,6,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年以上\n3年未満"]
[null,7,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上\n5年未満"]
[null,8,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5年以上"]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,"注","１　登録ヘルパーも含め、当該事業所の職員として勤務するすべての職員について記載すること。"]
[null,null,"２　雇用形態は、正規職員は「正」、非正規雇用職員は「非」、登録ヘルパーは「登」を選択すること。"]
[null,null,"３　勤務年数は、当該事業所における勤務年数を選択すること。"]
[null,null,"４　勤務形態は、「常勤／専従」、「常勤／兼務」、「非常勤／専従」、「非常勤／兼務」のいずれかを選択すること。"]
[null,null,"５　兼務先は、「同事業所内」、「同法人他事業所」、「他法人」から選択すること。"]
[null,null,"６　資格は、介護福祉士、実務者研修、看護師、各種修了した研修名等を記載すること。"]
[null,null,"７　K～Ｎ列は各サービスの従事状況を記入することとし、サービス提供責任者は「サ」、従業者は「従」、従事しない事業は「×」を選択すること。"]
[null,"１　職員の配置状況（既存資料の添付可）",null,null,{"$f":"$E$1","v":"（令和8年6月20日現在）"},null,null,null,null,null,null,null,null,{"$f":"\" 2 / \"&Q1","v":" 2 / 1"}]
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[null,{"$f":"B20+1","v":16}]
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[null,"１　職員の配置状況（既存資料の添付可）",null,null,{"$f":"$E$1","v":"（令和8年6月20日現在）"},null,null,null,null,null,null,null,null,{"$f":"\" 3 / \"&Q1","v":" 3 / 1"}]
[null,null,"職　　　　種","氏　　　　名","年齢","雇用\n形態","勤続年数","勤務形態","兼務先","資格","居宅\n介護","重度\n訪問","行動\n援護","同行\n援護"]
[null,{"$f":"B50+1","v":37}]
[null,{"$f":"B53+1","v":38}]
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[null,"１　職員の配置状況（既存資料の添付可）",null,null,{"$f":"$E$1","v":"（令和8年6月20日現在）"},null,null,null,null,null,null,null,null,{"$f":"\" 4 / \"&Q1","v":" 4 / 1"}]
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[null,{"$f":"B73+1","v":58}]
[null,{"$f":"B76+1","v":59}]
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[null,"３　サービス提供責任者配置数の根拠　（直近３か月のサービス提供時間・実利用者数・従業者数の状況）"]
[]
[null,"（1）　サービス提供責任者の配置計算",null,null,null,null,"実人員配置方法",null,null,null,"常勤換算方法"]
[null,"※上記のうち、サービス提供責任者の配置計算で採用している方法を選択すること。"]
[]
[null,"（2）　配置数根拠"]
[null,null,null,null,{"$f":"MONTH(EOMONTH(DATE(2023,【共通】!N9,【共通】!P9),-4))","v":3},"月",{"$f":"MONTH(EOMONTH(DATE(2023,【共通】!N9,【共通】!P9),-3))","v":4},"月",{"$f":"MONTH(EOMONTH(DATE(2023,【共通】!N9,【共通】!P9),-2))","v":5},"月","合計",null,"３か月平均\n(a)",null,"係数\n(b)","必置数\n(a)÷(b)"]
[null,"月延べサービス提供時間 計\n（待機時間・移動時間を除く。）",null,null,{"$f":"SUM(E9:E15)","v":0},"時間",{"$f":"SUM(G9:G15)","v":0},"時間",{"$f":"SUM(I9:I15)","v":0},"時間",{"$f":"E8+G8+I8","v":0},"時間",{"$f":"ROUNDUP(K8/3,1)","v":0},"時間","450時間",{"$f":"M8/450","v":0}]
[null,null,"訪問介護",null,null,"時間",null,"時間",null,"時間",0,"時間",{"$f":"ROUNDUP(K9/3,1)","v":0},"時間"]
[null,null,"介護予防訪問介護",null,null,"時間",null,"時間",null,"時間",0,"時間",0,"時間"]
[null,null,"居宅介護",null,null,"時間",null,"時間",null,"時間",0,"時間",0,"時間"]
[null,null,"重度訪問介護",null,null,"時間",null,"時間",null,"時間",0,"時間",0,"時間"]
[null,null,"同行援護",null,null,"時間",null,"時間",null,"時間",0,"時間",0,"時間"]
[null,null,"行動援護",null,null,"時間",null,"時間",null,"時間",0,"時間",0,"時間"]
[null,null,"移動支援",null,null,"時間",null,"時間",null,"時間",0,"時間",0,"時間"]
[null,"各月の実利用者数　計",null,null,{"$f":"SUM(E17:E23)","v":0},"人",{"$f":"SUM(G17:G23)","v":0},"人",{"$f":"SUM(I17:I23)","v":0},"人",{"$f":"E16+G16+I16","v":0},"人",{"$f":"ROUNDUP(K16/3,1)","v":0},"人","40人",{"$f":"M16/40","v":0}]
[null,null,"訪問介護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"介護予防訪問介護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"居宅介護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"重度訪問介護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"同行援護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"行動援護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"移動支援",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,"各月の実従業者数　計",null,null,{"$f":"SUM(E25:E31)","v":0},"人",{"$f":"SUM(G25:G31)","v":0},"人",{"$f":"SUM(I25:I31)","v":0},"人",0,"人",0,"人","10人",{"$f":"M24/10","v":0}]
[null,null,"訪問介護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"介護予防訪問介護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"居宅介護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"重度訪問介護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"同行援護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"行動援護",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[null,null,"移動支援",null,null,"人",null,"人",null,"人",0,"人",0,"人"]
[]
[null,"※サービス提供責任者が各指定サービスを兼務する場合（各事業を一体に運営する場合に限る）、「サービス提供時間」は\n  各事業それぞれに記載し、「実利用者数」「実従業者数」は、いずれも居宅介護の欄に各サービスの合計を記載すること。"]
[null,"※サービス提供責任者を事業ごとに別に配置する場合（障害と介護で別のサ責を配置している場合等）は、\n　「サービス提供時間」「実利用者数」「実従業者数」いずれもサ責の配置事業ごと別に記載すること。"]
[null,"※「実利用者数」について、上記のサービスを複数利用する利用者は、二重計上せず、\n　いずれかひとつのサービスに記載すること。ただし、上記の場合を除く。"]
[null,"※居宅介護のうち通院等乗降介助のみを利用した利用者については、１人あたり0.1人として計算すること。"]

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[null,"４　障害福祉サービス費の請求状況"]
[]
[null,"(1)","居宅介護",null,{"$f":"【共通】!J9&【共通】!L4&【共通】!M4","v":"令和 8年"},{"$f":"IFERROR(【共通】!N4-1&【共通】!O4,\"\")","v":"5月"}]
[null,"身体介護中心",null,null,"～30分",null,0,"30分～1時間",null,0,"1時間～1時間30分",0,"1時間30分～2時間",0,"2時間～2時間30分",null,0,"2時間30分～3時間",null,0,"3時間～",null,0]
[null,"家事援助中心",null,null,"～30分",null,0,"30分～45分",null,0,"45分～1時間",0,"1時間～1時間15分",0,"1時間15分～1時間30分",null,0,"1時間30分～",null,0]
[null,"通院等介助","身体介護を伴う",null,"～30分",null,0,"30分～1時間",null,0,"1時間～1時間30分",0,"1時間30分～2時間",0,"2時間～2時間30分",null,0,"2時間30分～3時間",null,0,"3時間～",null,0]
[null,null,"身体介護を伴わない",null,"～30分",null,0,"30分～1時間",null,0,"1時間～1時間30分",0,"1時間30分～",0]
[]
[null,null,null,null,"算定回数",null,"実人員",null,null,null,null,null,null,null,null,null,null,"算定回数",null,"処遇改善加算等"]
[null,"通院等乗降介助",null,null,0,null,0,null,"2人の居宅介護従業者による支援に伴う算定　（基本部分×200％）",null,null,null,null,null,null,null,null,0,null,"処遇改善加算等"]
[null,"初回加算",null,null,0,null,0,null,"夜間又は早朝の支援に伴う加算　（＋基本部分×25％）",null,null,null,null,null,null,null,null,0,null,"特定処遇改善加算"]
[null,"利用者負担上限額管理加算",null,null,0,null,0,null,"深夜の支援に伴う加算　（＋基本部分×50％）",null,null,null,null,null,null,null,null,0,null,"ベースアップ等支援加算"]
[null,"福祉専門職員等連携加算",null,null,0,null,0,null,"基礎研修修了者による支援に伴う減算　（基本部分×70％ or ×90％）",null,null,null,null,null,null,null,null,0]
[null,"緊急時対応加算",null,null,0,null,0,null,"重度訪問介護研修修了者による支援に伴う算定　　（重度訪問介護の単価 or 基本部分×90％）",null,null,null,null,null,null,null,null,0,null,"【居宅介護】"]
[null,"特別地域加算",null,null,0,null,0,null,"初任者研修課程修了者等が計画作成をしている場合の減算　（基本部分×70％）",null,null,null,null,null,null,null,null,0,null,{"$f":"$F$3&\"分 請求額\"","v":"5月分 請求額"},null,0]
[null,"喀痰吸引等支援体制加算",null,null,0,null,0,null,"同一敷地内建物に居住する利用者への支援に伴う減算　（基本部分×90％）",null,null,null,null,null,null,null,null,0]
[null,"身体拘束廃止未実施減算",null,null,0,null,null,null,"利用者のうち同一建物に居住する者が20人以上の場合の減算　（基本部分×90％）",null,null,null,null,null,null,null,null,0]
[null,"特定事業所加算",null,null,0,null,null,null,"利用者のうち同一建物に居住する者が50人以上の場合の減算　（基本部分×85％）",null,null,null,null,null,null,null,null,0]
[]
[]
[null,"(2)","重度訪問介護　　　",null,{"$f":"E3&\" \"&F3","v":"令和 8年 5月"}]
[null,"重度訪問介護",null,null,"～1時間",null,0,"1時間～1時間30分",null,0,"1時間30分～2時間",0,"2時間～2時間30分",0,"2時間30分～3時間",null,0,"3時間～3時間30分",null,0]
[null,null,null,null,"3時間30分～4時間",null,0,"4時間～8時間",null,0,"8時間～12時間",0,"12時間～16時間",0,"16時間～20時間",null,0,"20時間～24時間",null,0]
[null,"移動介護加算",null,null,"～1時間",null,0,"1時間～1時間30分",null,0,"1時間30分～2時間",0,"2時間～2時間30分",0,"2時間30分～3時間",null,0,"3時間～",null,0]
[]
[null,null,null,null,"算定回数",null,"実人員",null,null,null,null,null,null,null,"算定回数",null,"処遇改善加算等"]
[null,"初回加算",null,null,0,null,0,null,"重度障害者への支援に伴う加算　（＋基本部分×15％）",null,null,null,null,null,0,null,"処遇改善加算等"]
[null,"利用者負担上限額管理加算",null,null,0,null,0,null,"障害支援区分6に該当する利用者への支援に対する加算\n（＋基本部分×8.5％）",null,null,null,null,null,0,null,"特定処遇改善加算"]
[null,"行動障害支援連携加算",null,null,0,null,0,null,null,null,null,null,null,null,null,null,"ベースアップ等支援加算"]
[null,"緊急時対応加算",null,null,0,null,0,null,"2人の居宅介護従業者による支援に伴う算定　（基本部分×200％）",null,null,null,null,null,0]
[null,"特別地域加算",null,null,0,null,0,null,"2人の居宅介護従業者による支援のうち熟練者の同行に伴う算定\n（基本部分×185％）",null,null,null,null,null,0,null,"【重度訪問介護】"]
[null,"喀痰吸引等支援体制加算",null,null,0,null,0,null,null,null,null,null,null,null,null,null,{"$f":"$F$3&\"分 請求額\"","v":"5月分 請求額"},null,0]
[null,"移動介護緊急時支援加算",null,null,0,null,0,null,"夜間又は早朝の支援に伴う加算　（＋基本部分×25％）",null,null,null,null,null,0]
[null,"身体拘束廃止未実施減算",null,null,0,null,null,null,"深夜の支援に伴う加算　（＋基本部分×50％）",null,null,null,null,null,0]
[null,"特定事業所加算",null,null,0,null,null,null,"90日以上利用減算　（基本部分×80％）",null,null,null,null,null,0]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"Ⅰ型"]
[null,null,null,null,"Ⅱ型"]
[null,null,null,null,"Ⅲ型"]
[null,null,null,null,"Ⅳ型"]
[null,null,null,null,"なし"]
[]
[null,null,null,null,"Ⅰ型"]
[null,null,null,null,"Ⅱ型"]
[null,null,null,null,"Ⅲ型"]
[null,null,null,null,"なし"]

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[]
[null,"(3)","同行援護",null,{"$f":"'（旧）P5-1'!E$21:F$21","v":"令和 8年 5月"}]
[null,"同行援護",null,null,"～30分",null,0,"30分～1時間",null,0,"1時間～1時間30分",null,0,"1時間30分～2時間",null,0]
[null,null,null,null,"2時間～2時間30分",null,0,"2時間30分～3時間",null,0,"3時間～",null,0]
[]
[null,null,null,null,"算定回数",null,"実人員",null,null,null,null,null,null,null,null,null,null,null,"算定回数",null,"処遇改善加算等"]
[null,"初回加算",null,null,0,null,0,null,"2人の同行援護従業者による支援に伴う算定　（基本部分×200％）",null,null,null,null,null,null,null,null,null,0,null,"処遇改善加算等"]
[null,"利用者負担上限額管理加算",null,null,0,null,0,null,"夜間又は早朝の支援に伴う加算　（＋基本部分×25％）",null,null,null,null,null,null,null,null,null,0,null,"特定処遇改善加算"]
[null,"緊急時対応加算",null,null,0,null,0,null,"深夜の支援に伴う加算　（＋基本部分×50％）",null,null,null,null,null,null,null,null,null,0,null,"ベースアップ等支援加算"]
[null,"特別地域加算",null,null,0,null,0,null,"盲ろう者に対する盲ろう者向け通訳通訳・介助員による支援に伴う加算　（＋基本部分×25％）",null,null,null,null,null,null,null,null,null,0]
[null,"喀痰吸引等支援体制加算",null,null,0,null,0,null,"障害支援区分3に該当する利用者への支援に対する加算　（＋基本部分×20％）",null,null,null,null,null,null,null,null,null,0,null,"【同行援護】"]
[null,"身体拘束廃止未実施減算",null,null,0,null,null,null,"障害支援区分4に該当する利用者への支援に対する加算　（＋基本部分×40％）",null,null,null,null,null,null,null,null,null,0,null,{"$f":"'（旧）P5-1'!$F$3&\"分 請求額\"","v":"5月分 請求額"},null,0]
[null,"特定事業所加算",null,null,0,null,null,null,"基礎研修修了者による支援に伴う減算　（基本部分×90％）",null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,null,"盲ろう者向け通訳通訳・介助員による支援に伴う減算　（基本部分×90％）",null,null,null,null,null,null,null,null,null,0]
[]
[]
[null,"(4)","行動援護",null,{"$f":"'（旧）P5-1'!E$21:F$21","v":"令和 8年 5月"}]
[null,"行動援護",null,null,"～30分",null,0,"30分～1時間",null,0,"1時間～1時間30分",null,0,"1時間30分～2時間",null,0,"2時間～2時間30分",null,0,"2時間30分～3時間",null,0]
[null,null,null,null,"3時間～3時間30分",null,0,"3時間30分～4時間",null,0,"4時間～4時間30分",null,0,"4時間30分～5時間",null,0,"5時間～5時間30分",null,0,"5時間30分～6時間",null,0]
[null,null,null,null,"6時間～6時間30分",null,0,"6時間30分～7時間",null,0,"7時間～7時間30分",null,0,"7時間30分～",null,0]
[]
[null,null,null,null,"算定回数",null,"実人員",null,null,null,null,null,null,null,null,null,"算定回数",null,"処遇改善加算等"]
[null,"初回加算",null,null,0,null,0,null,"2人の同行援護従業者による支援に伴う算定　（基本部分×200％）",null,null,null,null,null,null,null,0,null,"処遇改善加算等"]
[null,"利用者負担上限額管理加算",null,null,0,null,0,null,"支援計画シートが未作成の場合の減算　（基本部分×95％）",null,null,null,null,null,null,null,0,null,"特定処遇改善加算"]
[null,"行動障害支援連携加算",null,null,0,null,0,null,null,null,null,null,null,null,null,null,null,null,"ベースアップ等支援加算"]
[null,"緊急時対応加算",null,null,0,null,0]
[null,"特別地域加算",null,null,0,null,0,null,null,null,null,null,null,null,null,null,null,null,"【行動援護】"]
[null,"喀痰吸引等支援体制加算",null,null,0,null,0,null,null,null,null,null,null,null,null,null,null,null,{"$f":"'（旧）P5-1'!$F$3&\"分 請求額\"","v":"5月分 請求額"},null,0]
[null,"特定事業所加算",null,"Ⅰ型",0]
[]
[]
[]
[]
[null,null,null,null,"Ⅰ型"]
[null,null,null,null,"Ⅱ型"]
[null,null,null,null,"Ⅲ型"]
[null,null,null,null,"Ⅳ型"]
[null,null,null,null,"なし"]
[]
[null,null,null,null,"Ⅰ型"]
[null,null,null,null,"Ⅱ型"]
[null,null,null,null,"Ⅲ型"]
[null,null,null,null,"なし"]

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[null,"４　（一）体制要件 ア 研修の実施状況　※特定事業所加算Ⅰ/Ⅱ/Ⅲを算定している場合のみ",null,null,null,null,null,{"$f":"\" １ / \"&K1","v":" １ / 1"},null,null,{"$f":"IF(C78<>\"\",4,IF(C55<>\"\",3,IF(C32<>\"\",2,1)))","v":1}]
[]
[null,null,"職　　　　種","氏　　　　名","雇用\n形態","従業者（サービス提供責任者）ごとの研修計画"]
[null,null,null,null,null,"研修の目標","内容","研修期間・実施時期",null,null,"常勤／専従"]
[null,"例","管理者兼サービス提供責任者","○○　○○","正","利用者のニーズを把握し、自立支援に資する適切な居宅介護計画書を作成できる。","アセスメントの視点と目標設定の具体化について、課題分析の演習","2025.6.1～2025.7.1",null,null,"常勤／兼務"]
[null,"例","ヘルパー","□□　□□","正","利用者の能力を活かした「自立支援型」の家事援助ができる。","調理・掃除における安全確保と、利用者との共同作業のための工夫","2025.6.1～2025.7.1",null,null,"非常勤／専従"]
[null,"例","登録ヘルパー","△△　△△","登","　　　　　　　　　虐待防止の研修","虐待の事例検討、身体拘束の適正化について","2025.10.1～2025.11.1",null,null,"非常勤／兼務"]
[null,1,null,null,null,null,null,null,null,null,"同事業所"]
[null,{"$f":"B8+1","v":2},null,null,null,null,null,null,null,null,"同法人\n他事業所"]
[null,{"$f":"B9+1","v":3},null,null,null,null,null,null,null,null,"他法人"]
[null,4,null,null,null,null,null,null,null,null,"-"]
[null,{"$f":"B11+1","v":5},null,null,null,null,null,null,null,null,"1年未満"]
[null,6,null,null,null,null,null,null,null,null,"1年以上\n3年未満"]
[null,7,null,null,null,null,null,null,null,null,"3年以上\n5年未満"]
[null,8,null,null,null,null,null,null,null,null,"5年以上"]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,"注","１　登録ヘルパーも含め、当該事業所の職員として勤務するすべての職員について記載すること。"]
[null,null,"２　雇用形態は、正規職員は「正」、非正規雇用職員は「非」、登録ヘルパーは「登」を選択すること。"]
[null,null,"３　勤務年数は、当該事業所における勤務年数を選択すること。"]
[null,null,"４　勤務形態は、「常勤／専従」、「常勤／兼務」、「非常勤／専従」、「非常勤／兼務」のいずれかを選択すること。"]
[null,null,"５　兼務先は、「同事業所内」、「同法人他事業所」、「他法人」から選択すること。"]
[null,null,"６　資格は、介護福祉士、実務者研修、看護師、各種修了した研修名等を記載すること。"]
[null,null,"７　K～Ｎ列は各サービスの従事状況を記入することとし、サービス提供責任者は「サ」、従業者は「従」、従事しない事業は「×」を選択すること。"]
[null,"１　職員の配置状況（既存資料の添付可）",null,null,null,null,null,{"$f":"\" 2 / \"&K1","v":" 2 / 1"}]
[null,null,"職　　　　種","氏　　　　名","雇用\n形態","勤続年数","勤務形態","同行\n援護"]
[null,{"$f":"B22+1","v":16}]
[null,{"$f":"B32+1","v":17}]
[null,{"$f":"B33+1","v":18}]
[null,19]
[null,20]
[null,21]
[null,22]
[null,23]
[null,24]
[null,25]
[null,26]
[null,27]
[null,28]
[null,29]
[null,30]
[null,31]
[null,32]
[null,33]
[null,34]
[null,35]
[null,36]
[null,"１　職員の配置状況（既存資料の添付可）",null,null,null,null,null,{"$f":"\" 3 / \"&K1","v":" 3 / 1"}]
[null,null,"職　　　　種","氏　　　　名","雇用\n形態","勤続年数","勤務形態","同行\n援護"]
[null,{"$f":"B52+1","v":37}]
[null,{"$f":"B55+1","v":38}]
[null,{"$f":"B56+1","v":39}]
[null,40]
[null,41]
[null,42]
[null,43]
[null,44]
[null,45]
[null,46]
[null,47]
[null,48]
[null,49]
[null,50]
[null,51]
[null,52]
[null,53]
[null,54]
[null,55]
[null,56]
[null,57]
[null,"１　職員の配置状況（既存資料の添付可）",null,null,null,null,null,{"$f":"\" 4 / \"&K1","v":" 4 / 1"}]
[null,null,"職　　　　種","氏　　　　名","雇用\n形態","勤続年数","勤務形態","同行\n援護"]
[null,{"$f":"B75+1","v":58}]
[null,{"$f":"B78+1","v":59}]
[null,{"$f":"B79+1","v":60}]
[null,61]
[null,62]
[null,63]
[null,64]
[null,65]
[null,66]
[null,67]
[null,68]
[null,69]
[null,70]
[null,71]
[null,72]
[null,73]
[null,74]
[null,75]
[null,76]
[null,77]
[null,78]

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[]
[null,"５－１　（居宅介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 1 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 1 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B6+1","v":2},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B7+1","v":3},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,4]
[null,5]
[null,6]
[null,7]
[null,8]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,16]
[null,17]
[null,18]
[null,19]
[null,20]
[null,21]
[null,22]
[null,23]
[null,24]
[null,25]
[]
[]
[null,"５－１　（居宅介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 2 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 2 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B30+1","v":26},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B37+1","v":27},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B38+1","v":28},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,29]
[null,30]
[null,31]
[null,32]
[null,33]
[null,34]
[null,35]
[null,36]
[null,37]
[null,38]
[null,39]
[null,40]
[null,41]
[null,42]
[null,43]
[null,44]
[null,45]
[null,46]
[null,47]
[null,48]
[null,49]
[null,50]
[]
[]
[null,"５－１　（居宅介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 3 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 3 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B61+1","v":51},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B68+1","v":52},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B69+1","v":53},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,54]
[null,55]
[null,56]
[null,57]
[null,58]
[null,59]
[null,60]
[null,61]
[null,62]
[null,63]
[null,64]
[null,65]
[null,66]
[null,67]
[null,68]
[null,69]
[null,70]
[null,71]
[null,72]
[null,73]
[null,74]
[null,75]
[]
[]
[null,"５－１　（居宅介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 4 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 4 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B92+1","v":76},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B99+1","v":77},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B100+1","v":78},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,79]
[null,80]
[null,81]
[null,82]
[null,83]
[null,84]
[null,85]
[null,86]
[null,87]
[null,88]
[null,89]
[null,90]
[null,91]
[null,92]
[null,93]
[null,94]
[null,95]
[null,96]
[null,97]
[null,98]
[null,99]
[null,100]
[]
[]
[null,"５－１　（居宅介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 5 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 5 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B123+1","v":101},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B130+1","v":102},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B131+1","v":103},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,104]
[null,105]
[null,106]
[null,107]
[null,108]
[null,109]
[null,110]
[null,111]
[null,112]
[null,113]
[null,114]
[null,115]
[null,116]
[null,117]
[null,118]
[null,119]
[null,120]
[null,121]
[null,122]
[null,123]
[null,124]
[null,125]
[]
[]
[null,"５－１　（居宅介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 6 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 6 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B154+1","v":126},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B161+1","v":127},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B162+1","v":128},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,129]
[null,130]
[null,131]
[null,132]
[null,133]
[null,134]
[null,135]
[null,136]
[null,137]
[null,138]
[null,139]
[null,140]
[null,141]
[null,142]
[null,143]
[null,144]
[null,145]
[null,146]
[null,147]
[null,148]
[null,149]
[null,150]

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[]
[null,"５－２　（重度訪問介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 1 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 1 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B6+1","v":2},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B7+1","v":3},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,4]
[null,5]
[null,6]
[null,7]
[null,8]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,16]
[null,17]
[null,18]
[null,19]
[null,20]
[null,21]
[null,22]
[null,23]
[null,24]
[null,25]
[]
[]
[null,"５－２　（重度訪問介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 2 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 2 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B30+1","v":26},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B37+1","v":27},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B38+1","v":28},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,29]
[null,30]
[null,31]
[null,32]
[null,33]
[null,34]
[null,35]
[null,36]
[null,37]
[null,38]
[null,39]
[null,40]
[null,41]
[null,42]
[null,43]
[null,44]
[null,45]
[null,46]
[null,47]
[null,48]
[null,49]
[null,50]
[]
[]
[null,"５－２　（重度訪問介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 3 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 3 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B61+1","v":51},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B68+1","v":52},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B69+1","v":53},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,54]
[null,55]
[null,56]
[null,57]
[null,58]
[null,59]
[null,60]
[null,61]
[null,62]
[null,63]
[null,64]
[null,65]
[null,66]
[null,67]
[null,68]
[null,69]
[null,70]
[null,71]
[null,72]
[null,73]
[null,74]
[null,75]
[]
[]
[null,"５－２　（重度訪問介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 4 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 4 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B92+1","v":76},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B99+1","v":77},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B100+1","v":78},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,79]
[null,80]
[null,81]
[null,82]
[null,83]
[null,84]
[null,85]
[null,86]
[null,87]
[null,88]
[null,89]
[null,90]
[null,91]
[null,92]
[null,93]
[null,94]
[null,95]
[null,96]
[null,97]
[null,98]
[null,99]
[null,100]
[]
[]
[null,"５－２　（重度訪問介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 5 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 5 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B123+1","v":101},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B130+1","v":102},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B131+1","v":103},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,104]
[null,105]
[null,106]
[null,107]
[null,108]
[null,109]
[null,110]
[null,111]
[null,112]
[null,113]
[null,114]
[null,115]
[null,116]
[null,117]
[null,118]
[null,119]
[null,120]
[null,121]
[null,122]
[null,123]
[null,124]
[null,125]
[]
[]
[null,"５－２　（重度訪問介護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 6 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 6 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B154+1","v":126},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B161+1","v":127},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B162+1","v":128},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,129]
[null,130]
[null,131]
[null,132]
[null,133]
[null,134]
[null,135]
[null,136]
[null,137]
[null,138]
[null,139]
[null,140]
[null,141]
[null,142]
[null,143]
[null,144]
[null,145]
[null,146]
[null,147]
[null,148]
[null,149]
[null,150]

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[]
[null,"５－３　（行動援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 1 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 1 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B6+1","v":2},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B7+1","v":3},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,4]
[null,5]
[null,6]
[null,7]
[null,8]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,16]
[null,17]
[null,18]
[null,19]
[null,20]
[null,21]
[null,22]
[null,23]
[null,24]
[null,25]
[]
[]
[null,"５－３　（行動援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 2 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 2 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B30+1","v":26},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B37+1","v":27},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B38+1","v":28},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,29]
[null,30]
[null,31]
[null,32]
[null,33]
[null,34]
[null,35]
[null,36]
[null,37]
[null,38]
[null,39]
[null,40]
[null,41]
[null,42]
[null,43]
[null,44]
[null,45]
[null,46]
[null,47]
[null,48]
[null,49]
[null,50]
[]
[]
[null,"５－３　（行動援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 3 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 3 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B61+1","v":51},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B68+1","v":52},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B69+1","v":53},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,54]
[null,55]
[null,56]
[null,57]
[null,58]
[null,59]
[null,60]
[null,61]
[null,62]
[null,63]
[null,64]
[null,65]
[null,66]
[null,67]
[null,68]
[null,69]
[null,70]
[null,71]
[null,72]
[null,73]
[null,74]
[null,75]
[]
[]
[null,"５－３　（行動援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 4 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 4 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B92+1","v":76},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B99+1","v":77},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B100+1","v":78},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,79]
[null,80]
[null,81]
[null,82]
[null,83]
[null,84]
[null,85]
[null,86]
[null,87]
[null,88]
[null,89]
[null,90]
[null,91]
[null,92]
[null,93]
[null,94]
[null,95]
[null,96]
[null,97]
[null,98]
[null,99]
[null,100]
[]
[]
[null,"５－３　（行動援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 5 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 5 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B123+1","v":101},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B130+1","v":102},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B131+1","v":103},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,104]
[null,105]
[null,106]
[null,107]
[null,108]
[null,109]
[null,110]
[null,111]
[null,112]
[null,113]
[null,114]
[null,115]
[null,116]
[null,117]
[null,118]
[null,119]
[null,120]
[null,121]
[null,122]
[null,123]
[null,124]
[null,125]
[]
[]
[null,"５－３　（行動援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 6 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 6 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B154+1","v":126},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B161+1","v":127},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B162+1","v":128},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,129]
[null,130]
[null,131]
[null,132]
[null,133]
[null,134]
[null,135]
[null,136]
[null,137]
[null,138]
[null,139]
[null,140]
[null,141]
[null,142]
[null,143]
[null,144]
[null,145]
[null,146]
[null,147]
[null,148]
[null,149]
[null,150]

{"sheet":"P5-4","index":13,"n_rows":185,"n_cols":31,"rows_kept":185,"cut":false,"hidden":false,"merged":[[157,14,157,16],[157,8,158,8],[157,1,158,1],[157,2,158,2],[157,3,158,3],[157,4,158,4],[157,5,158,5],[157,6,158,6],[157,7,158,7],[157,9,158,9],[157,10,157,11],[157,12,158,12],[157,13,158,13],[126,14,126,16],[126,8,127,8],[126,1,127,1],[126,2,127,2],[126,3,127,3],[126,4,127,4],[126,5,127,5],[126,6,127,6],[126,7,127,7],[126,9,127,9],[126,10,126,11],[126,12,127,12],[126,13,127,13],[95,14,95,16],[95,8,96,8],[95,1,96,1],[95,2,96,2],[95,3,96,3],[95,4,96,4],[95,5,96,5],[95,6,96,6],[95,7,96,7],[95,9,96,9],[95,10,95,11],[95,12,96,12],[95,13,96,13],[64,14,64,16],[64,8,65,8],[64,1,65,1],[64,2,65,2],[64,3,65,3],[64,4,65,4],[64,5,65,5],[64,6,65,6],[64,7,65,7],[64,9,65,9],[64,10,64,11],[64,12,65,12],[64,13,65,13],[33,14,33,16],[33,8,34,8],[33,1,34,1],[33,2,34,2],[33,3,34,3],[33,4,34,4],[33,5,34,5],[33,6,34,6],[33,7,34,7],[33,9,34,9],[33,10,33,11],[33,12,34,12],[33,13,34,13],[2,14,2,16],[2,8,3,8],[2,1,3,1],[2,2,3,2],[2,3,3,3],[2,4,3,4],[2,5,3,5],[2,6,3,6],[2,7,3,7],[2,9,3,9],[2,10,2,11],[2,12,3,12],[2,13,3,13]]}
[]
[null,"５－４　（同行援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 1 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 1 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B6+1","v":2},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B7+1","v":3},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,4]
[null,5]
[null,6]
[null,7]
[null,8]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,16]
[null,17]
[null,18]
[null,19]
[null,20]
[null,21]
[null,22]
[null,23]
[null,24]
[null,25]
[]
[]
[null,"５－４　（同行援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 2 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 2 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B30+1","v":26},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B37+1","v":27},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B38+1","v":28},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,29]
[null,30]
[null,31]
[null,32]
[null,33]
[null,34]
[null,35]
[null,36]
[null,37]
[null,38]
[null,39]
[null,40]
[null,41]
[null,42]
[null,43]
[null,44]
[null,45]
[null,46]
[null,47]
[null,48]
[null,49]
[null,50]
[]
[]
[null,"５－４　（同行援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 3 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 3 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B61+1","v":51},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B68+1","v":52},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B69+1","v":53},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,54]
[null,55]
[null,56]
[null,57]
[null,58]
[null,59]
[null,60]
[null,61]
[null,62]
[null,63]
[null,64]
[null,65]
[null,66]
[null,67]
[null,68]
[null,69]
[null,70]
[null,71]
[null,72]
[null,73]
[null,74]
[null,75]
[]
[]
[null,"５－４　（同行援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 4 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 4 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B92+1","v":76},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B99+1","v":77},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B100+1","v":78},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,79]
[null,80]
[null,81]
[null,82]
[null,83]
[null,84]
[null,85]
[null,86]
[null,87]
[null,88]
[null,89]
[null,90]
[null,91]
[null,92]
[null,93]
[null,94]
[null,95]
[null,96]
[null,97]
[null,98]
[null,99]
[null,100]
[]
[]
[null,"５－４　（同行援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 5 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 5 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B123+1","v":101},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B130+1","v":102},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B131+1","v":103},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,104]
[null,105]
[null,106]
[null,107]
[null,108]
[null,109]
[null,110]
[null,111]
[null,112]
[null,113]
[null,114]
[null,115]
[null,116]
[null,117]
[null,118]
[null,119]
[null,120]
[null,121]
[null,122]
[null,123]
[null,124]
[null,125]
[]
[]
[null,"５－４　（同行援護）　居宅介護等計画の作成状況・支給決定内容等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\" 6 / \"&COUNTA(C$5,C$37,C$68,C$99,C$130,C$161)","v":" 6 / 1"}]
[null,"No.","利用者氏名","性別","年齢","居住地","障害\n種別","障害\n支援\n区分","自己\n負担","利用開始時期\n（契約時期）","利用頻度",null,"2人\n介助","併用\nサービス","居宅介護計画の作成等　※新規・変更問わず直近のもの"]
[null,null,null,null,null,null,null,null,null,null,"身体介護","家事援助",null,null,"アセスメントの\n実　　施　　日","居宅介護計画の\n作　　成　　日","利用者の\n同 意 日"]
[null,"例","浜松　太郎","男",44,"中区","知的",3,"○","半年～1年以内","週2回","週4回","○","生活介護","2023-04-01","2023-04-10","2023-04-12",null,null,null,null,null,null,null,null,null,null,null,null,null,"半年以内"]
[null,{"$f":"B154+1","v":126},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"半年～1年以内"]
[null,{"$f":"B161+1","v":127},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1年～3年以内"]
[null,{"$f":"B162+1","v":128},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3年以上"]
[null,129]
[null,130]
[null,131]
[null,132]
[null,133]
[null,134]
[null,135]
[null,136]
[null,137]
[null,138]
[null,139]
[null,140]
[null,141]
[null,142]
[null,143]
[null,144]
[null,145]
[null,146]
[null,147]
[null,148]
[null,149]
[null,150]

{"sheet":"P6","index":14,"n_rows":17,"n_cols":17,"rows_kept":17,"cut":false,"hidden":false,"merged":[[14,1,14,7],[15,1,15,7],[15,8,15,9],[14,8,14,9],[12,8,12,9],[13,1,13,7],[13,8,13,9],[6,9,6,11],[12,1,12,7],[6,12,6,16],[7,9,7,11],[7,12,7,16],[5,9,5,11],[5,12,5,16],[3,1,3,7],[3,9,3,11],[3,12,3,16],[4,9,4,11],[4,12,4,16]]}
[null,"６　苦情処理、事故発生時の対応等　（直近１年の状況）"]
[]
[null,"（１）　苦情処理の状況"]
[null,"苦情受付年月日",null,null,null,null,null,null,"サービス種別","苦　情　の　内　容",null,null,"苦　情　へ　の　具　体　的　対　応"]
[null,"令和",null,"年",null,"月",null,"日"]
[null,"令和",null,"年",null,"月",null,"日"]
[null,"令和",null,"年",null,"月",null,"日"]
[null,"令和",null,"年",null,"月",null,"日"]
[null,"※　既存資料の添付でも可とする。"]
[null,"※　行が不足する場合は適宜行追加すること。"]
[]
[null,"（２）　事故等の状況",null,null,null,null,null,null,null,null,null,null,"（３）　利用申込み・契約解除の状況"]
[null,"（1）事故件数\n（医療機関への受診を要したもの）",null,null,null,null,null,null,0,null,null,null,null,"申込数","新規契約数","契約終了数","うち介護保険への\n移行に伴うもの"]
[null,"（1）のうち、市に報告した件数",null,null,null,null,null,null,0,null,null,null,"居宅介護",0,0,0,0]
[null,"ヒヤリハット件数",null,null,null,null,null,null,0,null,null,null,"重度訪問",0,0,0,0]
[null,"交通事故件数",null,null,null,null,null,null,0,null,null,null,"行動援護",0,0,0,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"同行援護",0,0,0,0]

{"sheet":"P7","index":15,"n_rows":23,"n_cols":16,"rows_kept":23,"cut":false,"hidden":false,"merged":[[17,1,18,3],[17,7,18,9],[21,1,22,3],[21,7,21,9],[22,7,22,9],[14,1,15,3],[14,7,15,9],[14,10,15,10],[14,11,15,11],[16,1,16,3],[16,7,16,9],[6,1,7,3],[6,7,7,9],[8,1,9,3],[8,7,9,9],[12,1,13,3],[12,7,13,9],[3,1,4,3],[3,4,4,4],[3,5,4,5],[3,7,4,9],[5,1,5,3],[5,7,5,9]]}
[null,"７　業務継続計画、衛生管理、身体拘束の禁止、虐待の防止及び情報公表に関する取組状況"]
[]
[null,"（１）　業務継続計画",null,null,null,null,null,"（２）　衛生管理等"]
[null,"　①感染症に係る業務継続計画",null,null,"策定日",null,null,"　①感染症の予防及びまん延防止のための対策を検討する委員会",null,null,"直近の開催日",null,null,null,"策定済","実施済"]
[null,null,null,null,null,null,null,null,null,null,"委員会結果を従業者へ周知した日"]
[null,"　②災害に係る業務継続計画",null,null,"策定日",null,null,"　②感染症の予防及びまん延防止のための指針",null,null,"整備状況",null,null,null,"策定中","実施予定"]
[null,"　③業務継続計画に基づく研修の実施（感染症及び災害）",null,null,"直近1年間の\n実施回数",null,null,"　③感染症の予防及びまん延防止のための研修",null,null,"直近1年間の\n実施回数",null,null,null,"未策定","実施時期未定"]
[null,null,null,null,"直近の実施日",null,null,null,null,null,"直近の実施日",null,null,null,"未策定","実施時期未定"]
[null,"　④業務継続計画に基づく訓練の実施（感染症及び災害）",null,null,"直近1年間の\n実施回数",null,null,"　④感染症の予防及びまん延防止のための訓練",null,null,"直近1年間の\n実施回数",null,null,null,null,"未設置"]
[null,null,null,null,"直近の実施日",null,null,null,null,null,"直近の実施日",null,null,null,null,"未設置"]
[]
[null,"（３）　身体拘束等の禁止",null,null,null,null,null,"（４）　虐待の防止"]
[null,"　①やむを得ず身体拘束等を行う場合の必要な事項の記録",null,null,"身体拘束実施の有無",null,null,"　①虐待の防止のための対策を検討する委員会",null,null,"直近の開催日",null,null,null,"対応済"]
[null,null,null,null,"記録の作成",null,null,null,null,null,"委員会結果を従業者へ周知した日",null,null,null,"対応済"]
[null,"　②身体拘束等の適正化のための対策を検討する委員会",null,null,"直近の開催日",null,null,"　②虐待防止担当者名",null,null,"担当者氏名",null,null,null,"未対応"]
[null,null,null,null,"委員会結果を従業者へ周知した日",null,null,null,null,null,null,null,null,null,"未対応"]
[null,"　③身体拘束等の適正化のための指針",null,null,"整備状況",null,null,"　③虐待防止のための指針",null,null,"整備状況",null,null,null,"案件なし"]
[null,"　④身体拘束等の適正化のための研修",null,null,"直近1年間の\n実施回数",null,null,"　④虐待防止のための研修",null,null,"直近1年間の\n実施回数"]
[null,null,null,null,"直近の実施日",null,null,null,null,null,"直近の実施日"]
[]
[null,"（５）　情報公表"]
[null,"　①情報公表対象サービス等情報に係る公表（報告）\n※障害福祉サービス等情報検索ウェブサイト（WAM NET）での情報公表の申請手続き",null,null,"公表の有無",null,null,null,null,null,null,null,null,null,"対応済"]
[null,null,null,null,"直近の公表年度",null,null,null,null,null,null,null,null,null,"対応済"]

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[]
[null,"主眼事項・着眼点の自己点検結果票"]
[]
[null,"・「主眼事項及び着眼点」の各項目について自己点検結果を記載すること。"]
[]
[null,null,null,"事業所名",{"$f":"【共通】!C5","v":0}]
[null,null,null,"サービス名"]
[]
[null,"主眼事項","確認結果","不適合の該当項目"]
[null,"基本方針"]
[null,"人員に関する基準"]
[null,"設備に関する基準"]
[null,"運営に関する基準"]
[null,"共生型障害福祉サービスに\n関する基準\n※共生型事業所のみ"]
[null,"変更の届出等"]
[null,"給付費の算定及び取り扱い"]
[null,"業務管理体制の整備、運用\n※1"]
[null,"※1　法令順守責任者の役割及びその業務内容、業務が法令に適合することを確保するための規程等、\n　　　 業務執行状況の監査の実施状況"]

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["障害福祉サービス事業者（障害者・児施設、事業者）業務管理体制に係る一般検査調書"]
["【本検査の趣旨について】\n業務管理体制の整備については、不正行為を未然に防止し利用者の保護と障害福祉サービス等の運営の適正化を図るため、事業者に対して義務付けられたものです。"]
["○黄色着色セルについて入力をお願いします。"]
["点検実施日",null,null,"検　査　日",null,null,null,null,null,"浜松市","している","行っている","有"]
["法人名",null,null,"事業者（法人）番号",null,null,null,null,null,"静岡県","していない","行っていない","無"]
["対応者氏名",null,null,"法令遵守責任者氏名","（法人役職名：　　　　　）",null,null,null,null,"厚生労働省"]
["事業所一覧",null,"※法人が運営する障害福祉関係の施設・事業所全てについて、事業所名、サービス名、指定年月日、事業所番号、事業所所在地が分かる資料を添付してください。（任意様式）"]
[]
["項目","対象","確認事項",null,"自己点検結果",null,"市聴取結果","確認書類"]
["Ⅰ届出","全て","業務管理体制の整備についての届出を監督庁に提出しているか。",null,"届出日：",null,null,"【例】\n・整備事項届出書（原本、写）"]
[null,null,null,null,"届出先："]
["Ⅱ体制の整備",null,"各届出種別ごとに必要な体制は整備されているか。",null,null,null,null,"【例】\n・役員会議事録・資料\n・職員会議録・資料"]
[null,"全て","◎法令遵守責任者の設置　"]
[null,null,"①法令等遵守について法人内部（役職員）に周知していますか。"]
[null,null,null,null,"直近周知日："]
[null,null,"②法令遵守責任者の役割や業務内容について法人内部（役職員）に周知していますか。"]
[null,null,null,null,"直近周知日："]
[null,"※事業所数\n20～99","○法令遵守規程の整備",null,null,null,null,"【例】\n・法令遵守規程"]
[null,null,"①法令遵守規程を整備していますか。また、規程の内容を法人内部（役職員）に周知していますか。"]
[null,null,null,null,"直近周知日："]
[null,"※事業所数100～","○業務執行の状況の監査の定期的な実施",null,null,null,null,"【例】\n・監査実施記録"]
[null,null,"①監査の実施（受検）状況を教えてください。",null,"直近監査日："]
["Ⅲ変更届出","全て","業務管理体制の整備に関する届出を行った事業者は、事業者の名称及び主たる事務所の所在地その他届出事項に変更があったときは、遅滞なく、その旨を監督庁に届け出ているか。",null,null,null,null,"【例】\n・業務管理変更事項届出書（写）"]
[null,null,"①業務管理体制の届出事項に変更はないですか。変更した場合は届け出ていますか。",null,"変更の有無"]
[null,null,null,null,"直近の変更届出日："]
["Ⅳ監督庁","全て","各届出種別における業務管理体制監督庁が変更した場合には、区分変更届を変更前及び変更後の監督庁にそれぞれ届け出ているか。",null,"変更の有無"]
[null,null,null,null,"直近の変更届出日："]
["Ⅴ具体的取組・運用状況","全て","以下の業務は、事業者において、業務管理体制（法令等遵守）の取組対象・運用対象として行われているか。",null,null,null,null,"【例】\n・事務分担表\n・法人内内部通報要領\n・法人内事故報告要領\n・苦情・相談要領\n・就業規則\n・研修受講記録　等"]
[null,null,"①サービスの実施内容、給付費の請求内容等の確認を行っている。 "]
[null,null,"②内部通報・事故報告に対応している。"]
[null,null,"③利用者等からの相談・苦情に対応している。"]
[null,null,"④労働関係法規についても遵守対象としている。"]
[null,null,"⑤法令等遵守についての研修等を事業者内で実施している。又は、外部研修等に参加している。"]
[null,null,null,null,"直近実施日："]
[null,null,"⑥行政・関係団体等からの情報を事業者関係部署等に周知している。"]
[null,null,"⑦その他業務管理体制（法令等遵守）として取り組んでいるもの"]