Thứ Ba, 19 tháng 2, 2019

Waching daily Feb 20 2019

Dating Around is a series where each stand alone episode a "real life single" goes

on five first dates.

The goal?

Find out what beautiful babe or babette they'll be taking on a second date.

It has intriguing conversations.

No judgement.

And complex problem solving.

Let's go through this wholesome content together.

Episode 1 sucks cause the main character is boring.

Episodes 2, 3, 4, and 6 all have better lead characters but it's still mostly mundane

with some good moments here and there.

Episode 5 I like, since the interactions are actually interesting.

And you know I had to make a montage of rejection.

I should also add that I'd totally go on a date with this man's mustache.

Anyway, watch episode 5 if this is your sort of thing and I'll see you on the next one.

For more infomation >> Dating Around Review (Netflix Dating Show) - Duration: 1:21.

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Proven Innocent 1x02 Promo "The Burden of Truth" (HD) Rachelle Lefevre, Kelsey Grammer legal drama - Duration: 0:29.

[music playing]

You and your brother were wrongfully

convicted of the first degree murder of your best

friend, Rosemary Lynch.

That's correct.

ANNOUNCER: If you missed a moment of "Proven Innocent"--

I still believe you were guilty.

ANNOUNCER: Watch any episode on demand or FOX NOW.

What're you hiding?

No matter who it is, I'll find them.

ANNOUNCER: "Proven Innocent," Fridays at 9:00,

or watch anytime on demand or FOX NOW.

For more infomation >> Proven Innocent 1x02 Promo "The Burden of Truth" (HD) Rachelle Lefevre, Kelsey Grammer legal drama - Duration: 0:29.

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UPSC Civil Services Preliminary Exam 2019 - অনলাইন আবেদন শুরু (IAS/ IFS) পোস্টে - Duration: 14:03.

For more infomation >> UPSC Civil Services Preliminary Exam 2019 - অনলাইন আবেদন শুরু (IAS/ IFS) পোস্টে - Duration: 14:03.

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EMIKO SHIBAMURA "AKINDO FIGHTER" - OFFICIAL VIDEO - Duration: 3:24.

I will be always smile

This is not just any smiley face! That's real face!

​No matter how far and long away,

people will be attracted to see it!

​You might be failed if you make a piece of ​nauseating flattery for clients.

I​f you do it, you would not get credit from clients.

You should make clients be like " I wanna buy it from you again ! "

The most important thing is make clients be satisfied !

The stores which have too much free time are covered in dust.

But you always say " I'm too busy that's why can't clean up here"

Hey, I've been watching what you were just watching TV only !

You said " I'm serious" But it's waste of time saying, maybe !

Even thieves would not be interested in your store!

There are many ​competitors​ around you,

but you should make people to say, " I wanna buy it in your store only !!"

The biggest reasons why your store can't be popular...

First, you are messing for business !!!

Second, you are messing for customers !!!

Third, you are messing for your life !!!

You always say, "How to keep running business is not get bored." But you just repeat same things everyday, don't make something new.

Buy the most important thing in real business is

to understand what can make people get excited.

For that, you should learn and work hard,

be always smiley, no complains, and test your skill,

but if you feel you don't have enough knowledges,

you should learn it from the other stores already get successful.

And recognize what you have to do.

Then you have to make customers be satisfied and smiley.

If you could do it, it would be the biggest happiness for you.

Go for it, and keep trying to be real AKINDO !!( means business person)

For more infomation >> EMIKO SHIBAMURA "AKINDO FIGHTER" - OFFICIAL VIDEO - Duration: 3:24.

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Pop Mie Susu Keju ala Sari Windya - Duration: 11:13.

For more infomation >> Pop Mie Susu Keju ala Sari Windya - Duration: 11:13.

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What is the Practical Application of Karma Theory? | Pujya Gurudevshri Rakeshbhai - Duration: 4:48.

Simple Karma Theory - As you sow, so shall you reap.

What you do - all of you, speak a little, (As you sow) so shall you reap.

If you really want to make this Karma Theory helpful, then reverse it;

What you are receiving, is as per what you have done.

What did you say? As you sow, so shall you reap. This is Karma Theory.

This is theory. Practical is - what you have received, is what you have done.

Now, see the change in your level of acceptance.

Whatever you get is called fate, and what you do is called karma.

My fate is like this because this is what I have done.

I am getting this because this is what I have done.

Try to apply the Karma Theory in this manner and there will be immediate acceptance.

Throw it back.

Okay!

Even if she is able to throw it till the speaker that's enough.

Very good! It fell ½ inch beyond the speaker.

If you had crumpled it, then maybe it would have reached.

That's it! I just wanted to prove that I threw a pencil to him, so what am I going to get back?

(Pencil)

I threw a handkerchief to her, so what will I get back?

Now, if I feel, 'He is throwing a pencil at me!'

'He is throwing a pencil at me! What if it had gone into my eye?'

But what did you throw? You received exactly what you threw.

Now, how can you...? Oh! There is something...

There is... Here, throw it back.

Okay!

Now, when you throw the pencil, I am throwing something nice back to you.

You can keep it. This I can do.

So, instead of complaining, 'Why did he throw a pencil at me?'

If I am clear that it came to me because I had thrown it.

So, now I have thrown him a 'Post-it'; even if I think from a selfish point of view,

Then in some birth, I will get a chit pad. That has been fixed, right now.

It has been fixed right now! In this birth or in any other birth, I will get a chit pad.

There was no flower here, else I would have thrown a flower…

Or, what do I want in the future? Flowers? Do you want flowers?

Then right now, you should throw flowers on everyone. That is what you will get.

Because she could not give me a pencil and he could not give me the handkerchief.

If I have thrown this in this direction, then I will get the same thing from this direction.

There is the direction of the body, there is the direction of money,

There is the direction of the mind, there is the direction of relationships,

Whatever I have thrown in that direction in the past, that alone is what I will get.

Which means, whatever I am getting is what I have thrown, if you think like that,

Then you'll start getting total acceptability. Is it nice? Is it helpful?

So now, when you feel, 'Why me? Everyone received a smile; why me?'

Meaning, 'Why me not getting?' Because you have never smiled at anyone! That's why!

See, now the answer is so clear. This means the thoughts won't be prolonged.

Now, though you will apply today's wisdom, you will still feel, 'Why me?'

Suddenly, though I have no illness, I just go for a check-up,

In the check-up I am diagnosed with cancer, for example, and I feel, 'Why me?'

As you have sown, so have you reaped; what you received is as per what you have done.

So, the accounts have to be closed. Stop - thoughts stopped.

What I mean to say is: Total acceptance is faith in God.

Practise in this manner. Time and again you will go into automatic mode.

Do you have faulty iPods where suddenly something else starts; it happens sometimes.

After the morning prayers, instead of evening prayers, suddenly chaityavandan starts.

It skips. This is called the automatic mode. Go into a choice mode.

It does not matter that he did this, I want to give flowers.

This is the effort you need to make.

For more infomation >> What is the Practical Application of Karma Theory? | Pujya Gurudevshri Rakeshbhai - Duration: 4:48.

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Season 2, Episode 9: Know or Go - Ellen's Game of Games (Episode Highlight) - Duration: 5:00.

For more infomation >> Season 2, Episode 9: Know or Go - Ellen's Game of Games (Episode Highlight) - Duration: 5:00.

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Good Trouble | Season 1, Episode 8 Promo | Here Comes Noah Centineo - Duration: 0:42.

So sorry. I've had to work all day. Can we grab dinner before you go?

Um, I actually made plans with that girl that I met the other night.

[Mariana] Ooh. [Jesus] I asked her to meet me here.

Is that okay?

Yeah.

Hey, Becca! Uh, these are my sisters,

Mariana and Callie.

For more infomation >> Good Trouble | Season 1, Episode 8 Promo | Here Comes Noah Centineo - Duration: 0:42.

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Season 2, Episode 9: Hot Hands - Ellen's Game of Games (Episode Highlight) - Duration: 1:31.

For more infomation >> Season 2, Episode 9: Hot Hands - Ellen's Game of Games (Episode Highlight) - Duration: 1:31.

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Good Trouble 1x08 Promo "Byte Club" (HD) ft. Noah Centineo - The Fosters spinoff - Duration: 0:42.

So sorry. I've had to work all day. Can we grab dinner before you go?

Um, I actually made plans with that girl that I met the other night.

[Mariana] Ooh. [Jesus] I asked her to meet me here.

Is that okay?

Yeah.

Hey, Becca! Uh, these are my sisters,

Mariana and Callie.

For more infomation >> Good Trouble 1x08 Promo "Byte Club" (HD) ft. Noah Centineo - The Fosters spinoff - Duration: 0:42.

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How Lego Reinvented Itself - Duration: 8:20.

LEGO is one of the most recognizable brands in the world and has been a playtime staple

for children all over the word for more than 60 years.

LEGO has been crowned the toy industry's most valuable brand for 2017 and 2018 with

a brand value of nearly $7.6 billion and a remarkably high AAA+ brand rating.

But LEGO has not had an easy journey to the top.

In the early 2000s they were heavily invested in a variety of ventures that were pulling

them down.

So how has LEGO managed to rebuild their success?

Let's find out on this episode of The Infographics Show: How LEGO reinvented itself.

When The Great Depression hit Denmark in the 1930s, Ole Kirk Kristiansen, a master carpenter

struggled to provide for his wife and four sons, so he turned to making wooden toys and

other household items out of his workshop in Billund, Denmark.

In 1932, Ole's 12 year old Godtfred Kirk Kristiansen began working with him and the

two expanded their line of toys.

Ole's first wood toys were large and simple in construction and design yet they were immaculately

finished and built with the same quality that Ole made furniture.

By 1934, toys became the main focus of the business and they began operating under the

name LEGO from the Danish words "LEg GOdt" which means "play well".

Later, it's realized that Lego in Latin means "I put together."

A more perfect name could not exist for this growing company.

They now had 6-7 employees.

After a fire burned down their workshop in 1942, Ole took out several loans and built

a new 24,757 square foot (2300 square meter) building on the same grounds as the old workshop.

It was their first factory designed for assembly line production.

In 1947 A salesman visited Ole in search of new markets for their injection molding equipment.

Against the advice of those around him, Ole bought one of the machines for just over $4600

($4638USD to be exact and 30,000 DKK – Danish Kroner).

The machine cost more than twice the previous year's profits.

The machine came with some samples showing its capabilities, one of which was the Kiddicraft

brick, a toy brick made with injection moulding.

Inspired by this toy brick, Ole and his team got to work modifying the design.

After two years of development, in 1949 LEGO produced its first plastic toys including

the Automatic Binding Bricks, a forerunner of the LEGO bricks we know and love today.

At this time LEGO had produced around 200 different plastic and wooden toys sold exclusively

in Denmark.

By the 1950s, LEGO was making so many different wooden toys that today it would be difficult

for even the LEGO Group to catalog them all.

In 1955 After further development of the LEGO bricks, the company launched the "LEGO system

of play" and the first real export of LEGO begins.

In 1963 Godtfred Kirk Christiansen who was now the sole owner and managing director of

the company drew up a set of guidelines, a LEGO constitution if you will, which would

ensure systematic product development and consistent communication for shoppers and

retailers.

The 10 Characteristics are as follows: Unlimited play potential

For girls and for boys Fun for every age

Year-round play Healthy, quiet play

Long hours of play Development, imagination, creativity

The more LEGO, the greater the value Extra sets available

Quality in every detail

These 10 characteristics permeated the company culture to such an extent that they became

the very core of development of the LEGO product and determined how things were done from then

on.

During the 1970s, a generational change was in progress within the LEGO group.

Godtfred Kirk left the role of managing director to become chairman of the board of directors

and his son Kjeld Kirk Kristiansen took over as CEO in 1979.

Godtfred held the position of chairman of the board until April 1993.

The 1990s are when things started turning for the company.

In 1993 they introduced LEGO kidswear.

In 1998 they reported their first ever deficit however.

In 1999 LEGOLAND California opened and LEGO Group went through a restructuring that resulted

in the loss of 1,000 jobs.

In 2000-2001 they turned their deficit into a profit, but when they announced the results

of 2003, the LEGO Group reported another huge deficit.

In January 2004 owner and CEO at the time Kjeld Kirk Kristiansen headed up the building

of an action plan to turn the company around.

That same year Kjeld Kirk appointted Jørgen Vig Knudstorp as new CEO of the company, yet

the year ended with another huge deficit.

In 2005 the LEGOLAND parks were sold to Merlin Entertainments and the holding company of

the LEGO Group, KIRKBI, bought a share of Merlin Entertainments.

Today KIRKBI owns approximately one third of Merlin.

The sale of the LEGOLAND parks allowed for the company to refocus on its core business

which is of course, toys.

The LEGO Group posted a profit and the company was finally back on track.

CEO Knudstorp then launched a five-year strategy plan for the LEGO Group.

In order to rebuild profitability, LEGO had to restructure every aspect of its supply

chain.

They went to work eliminating inefficiencies, aligning its innovation capacity with the

market, and refocusing the company to compete in the new big-box world.

This was no small feat for the LEGO Group which by the time Knudstorp took the helm

as CEO in 2004, had grown to roughly 7,300 employees across two factories and three packaging

centers, turning out more than 10,000 variations of its products packaged in hundreds of different

configurations.

"From my perspective," Knudstorp said, "the supply chain is the company's circulation

system, you have to fix it to keep the blood flowing."

"LEGO is a very mission-driven company.

The family is very clear about the mission to inspire and develop the builders of tomorrow,

to reach more kids, and they're super dedicated to that" says chief marketing officer, Julia

Goldin.

"To inspire & develop the builders of tomorrow" is the company's mission and a phrase you'll

often hear repeated by staff at LEGO Group.

The culture at LEGO is very strong, everyone who works for the company can tell you what

their mission and vision are.

Being a private company has enabled them to remain true to their mission in good times

and bad.

At LEGO they have completely taken apart what it is to be an agency.

The company now uses a sprint methodology developed by Google Ventures, where people

from different departments clear their planners for a week to work on one task, to prototype

a communication idea.

Senior LEGO staff get to see ideas quickly and feedback happens almost instantly.

Marketing is a central part of how LEGO operates, so their success depends on it.

Chief marketing officer, Julia Goldin, and her team do the product portfolio, product

experience, communication, content, and social channels.

Their process for creating online content is to work on new content as a product launches,

rather than doing it far ahead.

They allow their people to have much more flexibility in terms of making decisions and

changes as necessary.

There is less hierarchy and fewer processes this way.

It allows them to free up their time in order to focus on what is at hand.

Finding out what children and their parents want is the secret to LEGO's success.

Every year 25-30% of sales come from new products.

The company understands that the key to remaining competitive in the marketplace is to rely

on novelty.

If you were to ask a child what it is they want in a new toy, they don't know until

they see it.

So LEGO's success has come from inspiring innovation and producing novelty, that thing

you don't know you want, until you see it.

Digitalization has been a massive opportunity for LEGO to draw a connection between the

physical and digital world.

The nature of play has evolved with the rise of digitalization and competition comes in

many forms.

Not just from products but in how kids decide to spend their time and how lifestyles have

changed.

The LEGO LIFE online community has 6 million members.

The most popular thing members do online is upload and share pictures of their LEGO creations.

A product launched in 2017 called LEGO BOOST lets kids as young as seven attach their LEGO

toy to sensors so they can be programmed to respond to movement and even talk.

LEGO has come a long way over the past nearly 80 years.

From their humble beginnings as a small carpenter's workshop to the modern global enterprise it

is today, LEGO is one of the largest toy manufacturers in the world.

They've been named "Toy of the Century" twice, and the LEGO brick is still their most

important product.

Their commitment to innovation and inspiring the builders of tomorrow has allowed them

to stay relevant as the world moves in a more technologically-driven direction.

Do you think LEGO has what it takes to stay on top?

And be sure to check out our other video Spend $1 Billion Dollars In 24 Hours or LOSE IT

ALL - CHALLENGE Thanks for watching, and as always, don't forget to like, share, and

subscribe.

See you next time!

For more infomation >> How Lego Reinvented Itself - Duration: 8:20.

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LOTUS ICE EATING ASMR MUKBANG (Matcha) ✅ - Duration: 2:12.

LOTUS ICE EATING ASMR MUKBANG (Matcha) ✅

For more infomation >> LOTUS ICE EATING ASMR MUKBANG (Matcha) ✅ - Duration: 2:12.

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Season 2, Episode 9: Danger Word - Ellen's Game of Games (Episode Highlight) - Duration: 5:44.

For more infomation >> Season 2, Episode 9: Danger Word - Ellen's Game of Games (Episode Highlight) - Duration: 5:44.

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Season 2, Episode 9: Knockin' Boots - Ellen's Game of Games (Episode Highlight) - Duration: 5:13.

For more infomation >> Season 2, Episode 9: Knockin' Boots - Ellen's Game of Games (Episode Highlight) - Duration: 5:13.

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Tuesday p.m KSBW Weather Forecast 02.19.19 - Duration: 4:39.

For more infomation >> Tuesday p.m KSBW Weather Forecast 02.19.19 - Duration: 4:39.

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'August Wilson Day' proclaimed in Pittsburgh - Duration: 3:57.

For more infomation >> 'August Wilson Day' proclaimed in Pittsburgh - Duration: 3:57.

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UA graduate among those killed in Illinois shooting - Duration: 0:30.

For more infomation >> UA graduate among those killed in Illinois shooting - Duration: 0:30.

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House Health and Human Services Policy Committee 2/19/19 - Duration: 1:43:15.

TES TESTT TEST TEST

>> TO ENFORCE REGULATIO

NS TO MOTIO

DERNIZE OUR CASE MANAGEMENT SYSTEM.

AS WELL AS TO -- PROTECTIONS

WE TOO; WE'LL BRING YOU A

PROPOSAL. AN EXPANSION IN A

NUMBER OF WAYS. SIMILARLY;

THE ASSISTED LIVING LICENSE

IS AROUND THREE TIERS. A

BASIC ASSISTING LICENSE.

CREATING ADDITIONAL

STANDARDS. VERY IMPORTANT

ALL OF THESE LIE SANS --

MORE

ACCOUNT BEAM TEE AND HE'S OF

NAVIGATION FOR CONSUMERS.

WE'LL BE -- I WE ARE NOW

READY WITH THE GOVERNORS

BUDGET SUPPORT SHARING THE

LANGUAGE. WHICH WE WILL

BEGIN TO DO TOMORROW. THE

TWO AGENCIES HAVE BEEN

WORKING CLOSELY TOGETHER ON

THIS ISSUE FOR ALMOST A YEAR

NOW. I

THINK I MADE TREMENDOUS

PROGRESS WITH S

PEAKING WITH -- THE BILL LANGUAG

E THAT YOU'LL SEE TOMORROW. WITHOUT GETTING INTO ALL OF THE DETAILS IT IS IMPORTANT TO NOT JUST DO REGULATIONS. WE LOOK FOR

THE RECORD TO WORKING WITH YOU

IN THE SESSION WITH IT.

>> TO BRING ONE VOICE AND

SOLUTIONS TO A HUGE PROBLEM

THAT WE HAVE HERE IN THE

STATE OF MINNESOTA. I JUST

WANT TO THANK YOU FOR

(INAUDIBLE) IN THAT

AREA. THANK YOU.

>> MEMBERS OF THE COMMITTEE;

WE ARE A GROUP OF PEOPLE WHO

COME TOGETHER AFTER AN

EXPERIENCE; USUALLY WITH A

MOTOR FATHER. MY FATHERS

BODY WAS LEFT FOR SEVEN DAYS

WITHOUT A WELL NECESSARY

CHECK. I TALKED ABOUT THIS

-- SO OFTEN. NEWS PAPERS

HAD

BEEN PILING UP. A NEIGHBOR

WENT AND SAID; YOU NEED TO

CHECK ON HIM. THAT DIDN'T

HAPPEN. HE DIDN'T COME FOR

A MEAL. BUT I'M NOT THE ONLY

ONE WHO HAS HAD AN

EXPERIENCE; A LOT OF MEMBERS

HAVE HAD LOVED ONES WHO TIED

OR LIMBS -- BECAUSE

OF UNTREATED INFECTIOUSES.

OTHERS REPORT SEXUAL ASSAULT

BY A RESIDENTS.

THE RESULT

OF PHYSICAL ABUSE; MISS HANDLING. THERE IS

VERY LITTLE OVERSIGHT. THIS WAS

ALSO VERIFIED BY THE

LEGISLATIVE AUDITOR AFTER

THE

REVIEW OF HEALTH FACILITIES

. MINNESOTAS ABILITY TO HOLD

THEM ACCOUNTABLE; THEREFO

RE HAVE FAY-- WE BELIEVE THIS

UNDER REGULATION HAS LED TO

AN EPIDEMIC OF ABUSE. THERE

WERE 4000 COMPLAINTS

REGISTERED. LAST YEAR THERE

WERE 2200500 COMPLAINTS

STILL COMING IN. BRINGING THIS TO

THE FOREFRONT; WE HAVE BEEN

TOLD THAT WHAT HAS HAPPENED

TO US IS REALLY RARE. IT IS

NOT RARE. IT IS

A GROWING EPIDEMIC. KEEP IN MIND THAT

THIS IS SIGNIFICANTLY

UNDERREPORTED. THE NATIONAL

CENTER FOR VICTIMS OF CRIMES

AS -- IS REPORTED

TO AUTHORITIES. SOME RECESS

DENT -- RESIDENTS AND

FAMILIES DON'T KNOW

THAT THEY

CAN DO THAT.

THEY WERE BEING ASKED TO

LEAVE THEIR RESIDENCE;

ASSISTED LIVING EVEN THOUGH

THERE WAS NO CHANGE IN THE

CONDITION OF THE PERSON.

ALSO THERE ARE THE -- WE

DON'T HAVE ANYBODY THERE TO

HELP THEM ADVOCATE

FOR THEMSELVES. ANOTHER CLAIM

THAT WE HEAR; ONLY

INVESTIGATES THE SERIOUS

COMPLAINTS. IT IS TRUE THAT

THEY ONLY INVESTIGATE ABOUT

FIVE PERCENT ON-SITE AND

OTHER FIVE PERCENT --

LEAVING

ABOUT 90 PERCENT THAT NEVER

GETS AN INVESTIGATION. THAT

DOES NOT MEAN THAT 90

PERCENT AREN'T CERTIFICATE --

SERIOUS

ISSUES. ONE INVESTIGATOR

TOLD A MEMBER THAT HIS WORK

IS BASED ON WHAT THEY THINK

THEY KNOW SOMETHING HAPPENED

BUT THEY DON'T HAVE THE HARD

EVIDENCE TO PROEFB IT. WE

NEED TO BE AWARE OF HOW

UNDER

FUNDED OUR AGENCIES

HAVE BEEN. IT HAS BEEN UNDER

RESOURCED IN TERMS OF

STAFF AND TECHNOLOGY. IN TERMS OF

THE NUMBER OF BEDS THEY

ARE EXPECTED TO COVER. THE

RECOMMENDED STANDARD IS

2000. IN YOUR PACKET WE LEFT THE

FINDINGS FROM OUR INITIAL

REVIEW OF STUDIES AND I

WON'T

GO THROUGH ALL OF THAT. WE

WANTED TO LOOK AT THESE

TOGETHER. TO GET A FEEL FOR

WHAT IS HAPPENING. THERE

ARE

SOME OPERATORS OUT THERE

THAT

MAINTAIN THE FACILITIES

SO POORLY. PATIENTS CAN HE

IS ESCAPE; LEAVE. ONLY TO BE

LATER FOUND IN A SNOW BANK;

FALLEN AND

HAVING A CONCUSSION. THEY'RE

UNDERSTAFFED AND THEY CAN'T

KEEP UP. THE RESOLVE IS IN

CORRECT USE OF EQUIPMENT.

POOR MEDICATION

ADMINISTRATION. ALL OF

THESE

CAN BREAK OUT IN --

SITUATIONS. THINGS THAT ARE

PROBABLY THE HARDEST TO

UNDERSTAND IS THE

CRUELTY. A

MAN FELL ON THE FLOOR; WAS

LEFT FOR FOUR HOURS TO CRAWL

-- WHILE THE STAFF IGNORED

HIM; READ MAGAZINES.

ANOTHER

CASE THAT WE PROBABLY READ

ABOUT; A MAN WAS BEATEN TO

DEATH. A COUPLE OF OTHER

STAFF PEOPLE HELD HIM DOWN

DURING THE BEATING. OTHER

STAFF IGNORED IT. AND THEN

THEY WOULD NOT GET HIM

TREATMENT AND HE DIED.

WE KNOW THAT LICENSE WILL

ESTABLISH IN TAKING US LONG

WAYS IN PREVENTING THESE

THINGS HAPPEN

ING. REDUCE THE

NUMBER OF THESE PROBLEMS.

FINALLY I WANT TO SAY THANK

YOU TO THE GOOD OPEN --

OPERATORS OUT THERE.

I THANK

YOU.

>> I APPRECIATE THE

OPPORTUNITY TO SPEAK TODAY

ON

HOUSE FILE 90. I WANT TO

THANK -- FOR THE COMMITMENT

FOR CARE IN FACILITIES.

ENHANCING QUALITY OF CARE.

AND PROTECTING PEOPLE FROM

ABUSE AND NEGLECT.

ATTENTION TO THESE --

REQUIRING TRAINING FOR THOSE

SETTING AND PROTECTING

PEOPLE. -- AND THAT THESE

RECOMMENDS ARE INCLUDING THE

GOVERNORS BUDGET. AND

CONSIDER THAT RECOMMENDED --

I SUPPORT THAT

CONSIDERATIO

N. I BELIEVE IT

REFLECT THE WORK.

VERY HIGH LEVEL THE STARPDS

TO GUIDE OUR WORK. PEOPLE

ARE NOT REQUIRED TO RESIDE

IN

DEMENTIA SETTINGS.

SHOULD MEET MINIMUM DEMENTIA

TRAINING REQUIREMENTS.

THEY ARE GENERALLY REFLECTED IN

THE BILL TODAY. ELECTRONIC

MONITORING DOES NOT ENSURE

SAFE -- IT CAN BE

A USEFUL TOOL.

PEOPLE WITH DEMENTIA ARE

VULNERABLE -- BELIEVE IT IS

IMPORTANT TO CLARIFY THESE

ISSUES TO ALLOW THESE TYPES

OF DEVICES. PEOPLE LIVING

WITH DEMENTIA CHANGES IN

ROUTINE CAN BE

DISRUPT TIFB. THERE ARE A NUMBER OF ISSUES

THAT WILL HELP MINIMIZE --

RELATE TODAY RESIDENTS AND

VOLUNTARIRY DISCHARGES. THESE ARE ALL CRITICAL. I

WANT TO HIGHLIGHT A COUPLE

RECOMMENDATIONS; CREATED BY

THE LEGISLATURE TWO YEARS

AGO. THE REPORT WAS

DELIVERED LAST MONTH.

ALZHEIMER'S GROUP -- LIVING

IN -- VIOLATIONS OCCUR. THE

WORKING GROUP RECOMMENDS A

CLEARLY STANDING. CALLED

FOR

CREATION OF ASSISTED

LIVING.

WITH CLEAR STANDS.

THERE ARE

18 STANDARDS AND I HOPE THAT

I HAVE AN OPPORTUNITY TO

SPEAK WITH YOU

IN THE FUTURE.

INTO

>> THANK YOU SO MUCH.

>> I'M LAUREN -- CONNIE

COULDN'T BE HERE TODAY.

MY MOTHER HAS DEMENTIA. MY

MOM WAS STILL DRIVE AND

CARING FOR HERSELF. YOUR

OPTIONS ARE VERY LIMITED.

THERE ARE MANY BUILDING OUT

THERE BUT NOT MANY ROOMS.

SHE WAS HESITANT ABOUT

MOVING BUT -- I JUST WANTED HER TO

BE SAFE AND HAPPY AND HAVE

SOMEONE TO RELY ON IF I

WASN'T AROUND. DURING THE

TOUR OF THIS BUILDING; I

INSTRUCTED THEM TO TELL ME

EVERYTHING THAT I NEEDED TO

KNOW ABOUT THE MOVE. I WAS

HOPING THAT THEY WERE

TRAINED

PROPERLY TO BE RESOURCES TO

THE FAMILY. SHE PICKED HER

ROOM. IT WAS A BEAUTIFUL

PLACE. THEY HAD PROMISED

TRIPS TO THE GROCERY

STORES.

I DIDN'T KNOW WHAT QUESTION

S THAT I NEEDED TO ASK. IT

SEEMED TOO GOOD TO BE TRUE.

THIS WAS THE BEST OPTION. I

HAD NO CHOICE BUT TO TRUST

WHAT THEY WERE TELLING ME.

I

WAS WRONG AND IT BECAME

CLEAR

-- NOBODY EVER AROUND IF I

NEEDED TO HAVE THEM HELP ME

ANSWER A QUESTION. I WOULD

MAKE SURE HER PHONE WAS

CHARGE. THE HALLWAYS WERE

VERY LONG. THEY COULDN'T

TRACK BUILDINGS DOWN. THERE

IS NOTHING TELLING ANYBODY

WHERE THEY NEED TODAY GO.

THERE WASN'T ANYBODY AROUND

TO REDIRECTION AND FIND

THEIR WAY BACK. WE WENT TO A TOUR

WITH SOMEONE WHO WORKED FOR

THIS COMPANY. THEIR JOB IS

TO SELL ROOMS. DECISIONS

THAT WERE MADE FOR THESE

MOVES ARE MADE QUICKLY. AND

WE'RE RELYING ON PEOPLE TO

TELL US THE TRUTH. THIS IS

THE ULTIMATE LET DOWN. I

KNEW WHERE TO LOOK FOR SOME

OF THESE THINGS. I'M TRY TO

GO FIGURE OUT WHERE SOME OF

THESE -- CLAIMS ARE FROM THE

PEOPLE THAT ARE JUST

COMPLAINERS TO THE PEOPLE

WHO

REALLY HAVE PROBLEMS. ALL

OF THAT INFORMATION IS

DIFFICULT

TO FIND. I LOST TIME WITH

MY

FAMILY. I FELT GUILTY THAT

I HAD DONE THIS TO MY MOM

BECAUSE SHE WAS RELATIVELY

FINE. I WAS

UNAWARE OF WHAT -- MAYBE IT WOULD HAVE ENDED

DIFFICULT. BUT THE TOLL

THAT IT TOOK ON HER I'M NOT GOING

TO GET THAT TIME BACK. THE

MONTHS THAT MY MOM --

I JUST WE'RE NOT -- WE

JUST WANT TO KNOW THAT THERE IS

QUALIFIED STAFF. I DON'T

WANT TO BE TOLD WHAT I WANT

TO HEAR. I GET THAT IT IS A

BUSINESS. I'M NOT SURE THAT

THESE COMPANIES ARE GOING TO

DO THAT UNLESS

SOMEONE MAKES THEM. THANK YOU.

>> THANK YOU FOR LISTENING

TO MY TESTIMONY TODAY. OUR

FAMILY RECEIVED A LETTER

FROM

THE DIRECTOR. THIS INCREASES

THE POSSIBLE -- THAT IS WHY

IT IS IMPORTANT FOR

VULNERABLE PERSONS TO HAVE

STRONG FAMILY ADVOCATES. IF

YOUR LOVED ONE IS PAYING UP

TO 7 THOUSAND DOLLARS A

MONTH. I BELIEVE WE ALL

WOULD EXPECT PROPER CARE.

WE TRIED HARD FOR 18 MONTHS TO

WORK TO ADDRESS OUR

CONCERNS. I WANT TO LET YOU KNOW HOW

WE CAME TO INSTALL A

CAMERA. IN ADDITION TO MY MOMS

CLAIMS

WE HAD OUR OWN OBSERVATIONS.

UNCHANGED. SAFETY

SENSE ORRERS UNPLUGGED. THE

DIRECTOR -- IT CAME OBVIOUS

USE TO US THAT HER CARE WAS

NOT BEING (INAUDIBLE) AS WE

HAD NOT HAD A PRIVATE

CAREGIVER FOR

OVER SIX WEEKS.

WE WOULD STATE MY

ARMS HURT; THEY'RE MEAN TO ME. THAT

SHE WAS HUNGRY; WASN'T FED. OR

THAT THERE IS A MAN WHO

SLEEPS AT THE END OF MY

BED.

WE WERE REPEATEDLY TOLD THAT

THE CARE WAS CHECKED OFF

ON HER CHART SO

IT WAS DONE. OUR VULNERABLE MOM WAS NOT

BEING PROPERLY CARED FOR.

WHY NOT PUT A CAMERA IN OUR

OWN ROOM. I WOULD LIKE TO

SHARE WITH YOU THE HORROR

THAT WE FOUND. NO SHAW --

LOCK THE DOOR STAY AND WATCH

TV AND/OR SLEEP AND NOT

PROVIDE CARE FOR MY MOTHER.

THAT WAS THE MAN SLEEPING AT

THE END OF MY MOTHERS BED.

HANDS NOT WASHED ONCE IN

THREE DAYS. EMOTIONAL AND

PHYSICAL ABUSE. SNAPPING

HER

BRA. REPAIDLY HIT MY MOMS

LEGS. YELLED AT AND CALLING

HER A GROWN AS ADULT. WE

WOULD ONCE THE CAMERA WAS

NOTE ISED ON DAY FOUR THEY

BEGAN TO TAKE HER OUT OF THE

ROOM. LITTLE DID WE

KNOW SHE WAS SHOVED IN A CORNER BY

HERSELF. ANOTHER RESIDENTS

DAUGHTER ALERTED US TO THIS.

WE WERE CALLED -- UNLESS WE

COMMUNICATE EVERYTHING

THAT HER CARE WILL CONTINUE TO BE

BELOW OUR STANDARDS. I

WOULD

LIKE TO ADDRESS -- REQUIRING

A RESIDENT WITH DEMENTIA TO

BECOME -- HERE IS A PERSON

WITH A CONFUSED MIND AND NOW

WE'RE GOING TO PUT A THOUGHT

IN THEIR HEAD THAT THEY MAY

NOT BE SAFE. IT

WOULD NOT SURPRISE ME -- AS YOU LOOK

INTO THESE CONCERNS -- UNTIL

MY SISTER BROKE UP A STAFF

(INAUDIBLE) PLEASE

UNDERSTAND THAT ONCE THE VULNERABLE

ADULT ENTERS ASSISTED LIVING

IT IS BECAUSE THEY NEED

DAILY CARE. IT IS NOT UNCOMMON TO

HAVE A TEMPORARY AGENCY

PROVIDING THE -- WE KNOW OUR

MOTHER WOULD WANT

SAFETY OVE

R PRIVACY. HOURS EACH TIME TO

DISREGARDS OUR MOTHER AS SHE

LAID IN HER OWN SOIL. WE

NOTIFIED

THE ENTIRE ORGANIZATION AFTER EACH OF

THESE THREE INCIDENTS.

WE WISH THAT WE COULD HAVE

JUST BEEN -- FOCUSSING

ON CARE; DIGNITY. OUR TWO

GUIDING PRINCIPALS WERE THAT

SHE WAS KEPT SAVE AND

LOVED. THANK YOU FOR LETTING ME

SPEAK.

>> THANK YOU. YOU DID WHAT

YOU THOUGHT THAT YOU NEED

TODAY DO.

THE NEXT TESTIFIERS.

>> MY MOTHER WAS -- WITH

ALZHEIMER'S AT THE

AGE OF 58.

MOM WAS A CAREGIVER THROUGH

AND THROUGH TO MANY.

YOU MAKE THE DIFFICULT

DECISION TO MOVE YOUR MOTHER

TO AN ASSISTED LIVING.

YOUR BELIEF IS THAT THEY

HAVE PROFESSIONAL CAREGIVERS. THIS IS WHAT THE PROSURE

STATES. THIS IS WHAT

THE WEBSITE SHOWS.

UPON DISCHARGE THE FACILITY

SAID THAT THEY WOULD NOT

READMIT MOM.

WE HAD (INAUDIBLE) AND NO

PLAN TO TRANSITION HER. WE

FOUND

ANOTHER ASSISTED LIVING. THEY REFERRED TO

HER AS C3; HER ROOM NUMBER.

MOM EVENTUALLY BECAME

OVER MEDIC

ATED. THIS WAS ONE OF THE MANY TIMES THAT

WE EXPERIENCED MEDICATIONER ORS

. MOMS CONDITION IMPROVED AND

SHE REBOUNDED. SHE BECAME TO EAT ON HER OWN. SHE WAS

ALERT AND RESPONSIVE. T

HREE MONTHS LATER -- DAILY

CHALLENGES AND

LACK OF LEADERSHIP. WE -- NEVER A

DAY WENT BY WHEN WE WEREN'T

THERE TO CARE FOR MOM.

NEVER ONCE A THANK YOU FROM AD

ADMINISTRATOR. THE SAME

FACILITY THAT MOM WORKED FOR

AS A YOUNG WOMAN.

WE WERE FORCE TODAY TAKE MOM

TO OUR MOM TO ASSURE

DIGNITY.

SHE WAS NEGLECTED OVER

AND OVER AGAIN.

THIS IS A -- OF OUR STORY.

MANY HOURS WERE LOSS. AS

WELL AS UNAPPRECIATED GOOD

CAREGIVERS PUT IN

POSITIONS THAT THEY WERE NOT TRAINED

OR QUALIFIED FOR.

OUR MOTHERS SUFFERING HAS

ENDED. HOWEVER FAMILIES

EXPERIENCE THE

SAME SUFFERING. OUR STORY COULD

HAPPEN TO ANYONE IN

THIS ROOM TODAY. YOUR LIFE SAVINGS

SHOULDN'T -- FOR NEGLECT AND

ABUSE. A LIFE OF

(INAUDIBLE)

THAT ASSURES YOUR SAFETY.

I'VE TESTIFIED MANY TIMES

LAST YEAR. STORY THAT'S

NEVER GET EASY

TO SPEAK ABOUT. THE PAIN ENDURED BY

MY MOTHER AND -- BY

MOST. IT

CONTINUES TO BE THE REASON

THAT I SHARE HER STORY WITH

HOPE THAT IT CAN MAKE A

DIFFERENCE

. PROTECT OUR MOST

VULNERABLE FROM

BEING KICKED OUT OF THERE HOMES. THANK

YOU FOR YOUR TIME.

>> THANK YOU FOR

SHARING YOUR STORY.

>> I'M THE ASSOCIATED

DIRECTOR OF ARP. SOME

OF OUR MEMBERS ARE IN THE ROOM AS

YOU CAN SEE. ELDER ABUSE IS

OUR TOP PRIORITY THIS YEAR.

WE ALSO WANT TO THANK THE

INDUSTRY AND COULD

MISSION NE'ERS AND ALL STAKEHOLDERS.

MOST OF ALL TODAY WE WANT TO

THANK THE FAMILIES FOR

SHARING THEIR HEART FELT

STORIES. SORRY I'M GETTING

EMOTIONAL AFTER TALKING TO

THEM.

IF YOU HEARD FEW PROTECTIONS

EXIST FOR THESE INDIVIDUALS.

HOUSE FILE 90 WILL PROVIDE

REFORM THAT ADDRESS NOT ONLY

ASSISTED LIVING LICENSES BUT

ALSO THE RIGHTS OF JOLTEDER

AND VULNERABLE ADULTS. WE

ARE VERY -- THAT THERE IS A

CONSENSUS AROUND THE

FRAMEWORK FOR LICENSURE.

WE DO NOT THINK IT IS --

ALONE.

IT IS CRITICAL TO STRAEPTH

EN THE RIGHTS OF THESE ADULTS.

YOU HEARD THE STORIES TODAY;

I THOUGHT THAT I COULD

SUMMARIZE AGAIN HOW THE

BILL WILL IMPACT AND IMPROVE

THEIR

LIVES. WE BELIEVE THE BILL

WILL ADDRESS A

SIGNIFICANT IMBALANCE OF POWER AND

VULNERABILITIES. GIVING

VULNERABLE ADULTS THE RIGHT

TO USE THE COURTS. IF YOU

HEARD FROM SOME OF THE

TESTIFIERS THE BILL

WILL GIVE THEM THE RIGHT TO PLACE A

CAMERA TO MONITOR WITHOUT

FEAR OF REAL YEGGS BY

THE FACILITY. THE BILL

PROHIBITS

AGGRESSIVE

MARKETING PRACTICES THAT WE SEE AT

THE TIME OF MOVE IN. MOREOVER

THE BILL WILL PROVIDE CLEAR

DEFINITION STANDARDS AND

STAFF TRAINING WILL BE

REQUIRED. ALSO

UNDER THE NEW

FRAMEWORK; IT WOULD HAVE

BEEN

LICENSED AND UNDER THE

PURVIEW OF THE HEALTH

DEPARTMENT. FINALLY LAST

BUT

NOT LEAST THE A DRAMATIC

DISCHARGES. THE BILL

PROVIDES MUCH NEEDED

PROTECTIONS AGAINST -- --

PROTECT AND PREVENT

TRAUMATIC

DISCHARGES. IT ALLOWS FOR

EMERGENCY DISCHARGES AND

ESTABLISHES CLEAR

GUIDELINES FOR TERMINATION AND EX PE --

RATES. DISCHARGE PLAN --

TODAY WE DO OFFER THESE

TERMINATION RATES AND ADULTS

IN GROUP HOMES. GIVEN THE

VULNERABLE TEE YOU NEED THEM

FOR THIS POPULATION AS WELL.

ARE WE COMMIT TODAY WORKING

TOGETHER WITH ALL THE OF THE

STAKEHOLDERS TO DEVELOP AND

STRENGTHEN THEIR RIGHTS.

>> THANKS FOR THE

OPPORTUNITY TO TESTIFY.

I'M HERE TODAY ON BE HALF OF

THE LONG-TERM CARE -- THE

STORIES OF HARM AND

ABUSE ARE

TERRIBLE. I WANT TO THANK

COMMISSIONER -- TO DISCUSS

THE IMPORTANT

ISSUES RAISED TODAY. THE LONG-TERM CARE

-- AND WE FOUND AS WE LONG

EXPECTED THAT WE HAVE

SIGNIFICANT COMMON GROUNDS

WITH CONSUMERS AND REGULATOR

AS LIKE. THE WORK GROUP --

THAT SHOULD GUIDE THIS

IMPORTANT WORK. NUMBER ONE; IT IS IMPORTANT TO MAINTAIN

CHOICE AND FLEXIBILITY.

MINNESOTA HAS BEEN

RECOGNIZED FOR PROMOTING CHOICE

FLEXIBILITIES. THESE ARE

HOME AND COMMUNITY BASED

SERVICES. SENIORS SHOULD BE

IBLE TO LIVE IN DEPENDENT LY

LY. WHATEVER LAWS THAT

ARE PASSED WE NEED TO ENSURE

THAT

THERE IS ADEQUATE

RECOURSES.

NEW REGULAR

LACES MUST -- CLEAR. PREVENTION SHOULD

BE A KEY FOCUS OF THE WORK. AN

INFRASTRUCTURE IN PLACE TO

USE THE DATA COLLECTED.

THIS SHOULD BE INCLUDED IN THE

EFFORTS AS WELL. TO BE

CLEAR THE LONG-TERM CARE

IMPERATIVE

-- SPECIFIC CRITERIA FOR

EVALUATION; DISCLOSURE;

SERVICE TERMINATION. WE

SUPPORT ELECTR

ONIC MONITORING. HOWEVER; WE

LOOK

FORWARD TO OUR CONTINUED

WORK FOR STAKEHOLDERS TO FIND

SOLUTIONS THAT CLOSE AND

REFLECT THE CONSENSUS THAT CAME OUT OF THE WORKING

GROUP. I'D LIKE TO THANK

REPRESENTATIVES FOR YOUR

LEADERSHIPS

ON THESE ISSUES.

>> THANK YOU SO MUCH.

>>

FIRST AS WE SAID WE SUPPORT

MOVING TO ASSISTED LIVING

LICENSURE. HOW WE MOVE TO

THAT MATTERS. A LOST

WORK WAS DONE AND IT WAS GOOD

WORKING FORWARD. WE ARE

HOPEFUL THERE WILL BE

RESOLUTION DURING THIS

SESSION. WE HAVE A

RESPONSIBILITY TO

IDENTIFY THE POSSIBLE AND UNINTENDED

CONSEQUENCES. CONSUMERS

EXPERIENCING NO ACCESS TO

THE

SERVICES THAT THEY WANT.

PROVISIONS THAT MAKE IT

IMPOSSIBLE TO MEET THE

SHORTAGE. THE LANGUAGE A

SUMS THAT ALL PROVIDERS ARE

ENROLLED TO ACCEPT ALL

PAYMENT

-- COVER THE NEED OF ALL

SERVICES. THE WAIVER

PROGRAM

IS SEVERELY UNDER FUNDED AND

UP TO ABOUT 25 PERCENT BELOW

THE COST. FURTHERMORE

CLIENTS HAVE BUDGET CAPS.

THAT MAY LIMIT THE AMOUNT OF

SERVICES THAT

THEY CAN COVER.

THERE SHOULD BE AN APPEALS

PROCESS AND SERVICE

TERMINATION PROCESS. FOR BOTH HOUSE AND GO SERVICES;

THE CURRENT ONE IS

UNWORKABLE. THERE IS NO

TIME

FRAME

FOR HEARING RESOLUTION.

AT SIFTED LIVING

ESTABLISHMENT BEARS THE

BURDEN OF PROOF. THIS COULD

DELAY THE RESOLUTION OF

SITUATIONS THAT ARE UNSAFE.

THERE IS ALSO CONCERN THAT

THIS NEW PROCESS IS IN

ADDITION -- THERE NEEDS TO

BE

ONE SINGLE

PROCESS FOR RECONSIDERATION. THAT

PREVAIL BUT THEN TURN

SXARND FIND ANOTHER -- WE AGREED IN

CONCEPT WITH SOME FORM OF

APPEAL. THE LANGUAGE HAS

TOO

MANY PROBLEMS IN ITS CURRENT

FORM. PROVIDERS ARE NOT

OPPOSE TODAY GREATER

PROTECTIONS. BUT THE

LANGUAGE APPEARS TO BE

OVERLY BROAD. IT WOULD APPLY TO

ANY

MISLEADING STATEMENTS OR --

BY ANY EMPLOYEE. WRITTEN

CONTRACTS ARE UTILIZED. I

THINK IT SHOULD BE MODIFIED

TO BE WRITTEN RATHER THAN

VERBAL. WITH EXPECT TO

RETALIATION -- PERSON WITH A

PERSONAL; LEGAL OR

PROFESSIONAL RELATIONSHIP WITH THE RESIDENT.

AN INCREASE IN NECESSARY

SERVICES IF THE

RESIDENTS CONDITION CHANGED. IT WOULD

EVEN PREVENT THE TERMINATIO

N OR DISCIPLINE OF AN EMPLOYEE

-- AND THFR HAS 90 DAYS

BEFORE THEY CAN

BE ACTED UPON.

SEVERAL OF THE ACTIONS

CONSIDERED; COULD PUT

SENIORS

AT GREATER RISK FOR

MALTREATMENT. ANOTHER

PROBLEM COMPONENT IS THAT WE

WOULD BE INVITING MORE

LAWSUITS WHEN THERE ISN'T

ANY

QUANTIFIABLE

DAMAGES. CURRENTLY PLAYOFF--

CURRENT LAW ALLOWS YOU TO SUE FOR

CERTAIN ACTIONS EVEN THOUGH

THERE WERE NO

QUANTIFIABLE DAMAGES AND RECOVER UP TO

$3;000; WHICHEVER IS MORE.

MUCH OF THE

ELECTRONIC MONITORING THAT TOOK PLACE

OVER THE SUMMER AND FALL IS

DOWN TO ONE AREA

THAT WE NOTICED. PREVENT ANY

MALTREATMENT FROM OCCURRING.

FINALLY; OVERALL THE BILL

APPEARS TO APPLY

ASSISTED LIVING TO ALL OF THE OVER

SITE LANGUAGE RELATING TO

CONTROLLING PERSONS;

LICENSURES; ASSISTED REVERBING BUILDINGS MAY BE

OWNED WITH ENTITIES NOT

AFFILIATED WITH THE

SERVICES. OR HAVE DIFFERENT FINANCING

MODELS.

WE SUPPORT LICENSURE BUT DON'T WANT TO CREATE NEW

NURSING HOMES OR MAKING ALL

ASSISTED LIVING

LIKE NURSING HOMES.

REPLEDGE OUR SUPPORT TO WORK

TOWARDS THE CONSENSUS

OF THIS

PROCESS.

THAT THERE WILL BE FINAL

LEGISLATION PUT INTO LAW

THIS

YEAR. THIS WORK IS TOO

IMPORTANT. AND EVEN ONE

CASE OF ABUSE IS TOO MANY AND WE

MUST DO BETTER. WE

APOLOGIZE FOR ALL OF THE BAD

ACTORS OUT THERE. THANK YOU.

>> THANK YOU.

>> OUR ORGANIZATION IS A

STATEWIDE NO ONE PROFIT

WORKING TO ALLEVIATE THE

EXPLOITATION OF OLDER

ADULTS.

FOR OLDER ADULTS

WITH COGNITIVE ISSUES AND

IMPAIRMENTS THAT RISK

INCREASES TO ONE IN FIVE.

WE

PROVIDE FREE CONFIDENTIAL

SUPPORT. WE PROVIDE SP

ECIAL TRAIN AND GO

EDUCATION WORKING WITH OR BE HALF OF

OLDER ADULTS. WE

WORK TO CHANGE SYSTEMS TO

IMPACT OLDER VICTIMS.

AS YOU HEARD EARLIER; OUR

ORGANIZATION ONE ONE OF FIVE

CONSUMER GROUPS -- FOR

CHANGES TO OUR LONG-TERM

SYSTEMS BACK IN 2017.

WE SUPPORT THE CHANGES THAT

YOU HEARD THE OTHER CONSUMER

GROPES DISCUSS EAR LAYER

TODAY. BRIEFLY ONE

ADDITIONAL AREA TO HIGHLIGHT

INVOLVES AN ISSUE THAT WAS

NOT DISCUSSED AS MUCH AMONG

THE WORKING GROUPS.

IT WAS AT THE CORE OF WHAT THE

FAMILIES WERE TALKING ABOUT

TODAY. PERHAPS NO ISSUE

HAS A DIRECT -- OF THE HEALTH;

SAFETY AND QUALITY. STRONG

CORRELATIONS BETWEEN STAFF

FACILITIES WITH HIGH MARKS

FOR SAFETY AND QUALITY.

SOME

STATES REGULATE WITH

PRESCRIBED RATIOS. WE

BELIEVE A BETTER ROUTE IS TO

MANDATE FACILITIES HAVE A

WORKING PLAN THAT WOULD

JUSTIFY THEIR STAFFING

LEVELS. WE LOOK FORWARD TO

WORKING ON THIS AND MANY

OF THE GREAT PROTECTIONS ISSUES

IN THIS BILL. AND THANKS --

AND WE ARE PLEASED TO WORK

WITH ALL STAKEHOLDERS.

THANK YOU. >> THANK YOU SO MUCH.

DO WE HAVE ANYONE IN THE AUDIENCE

WHO WOULD LIKE TO TESTIFY?

LET'S OPEN IT UP

TO MEMBERS.

QUESTIONS?

>> THANK YOU. I'M GLAD TO

SEE A COMPREHENSIVE BILL

BROUGHT FORWARD. IT

IS BEEN OVERDUE. THIS SUMMER I TOOK

TIME TO PARTICIPATE IN A

WORK

GROUP OF ASSISTED LIVING

LICENSING. AND I APPRECIATE

THE OPPORTUNITIES THAT I HAD TO LEARN FROM ALL OF

THE PEOPLE BOTH FROM THE

INDUSTRY AND FROM THE ADVOCACY

COMMUNITY ON IT. AND TO

BRING STORIES FROM MY OWN

CONSTITUENTENTS THERE IS ONE

AREA THAT I FELT WE STILL

NEED TO DO A LITTLE WORK.

ON

PAGE 8; UNDER ASSISTED

LIVING HOME CARE BILL OF RIGHTS.

WE

HAVE TREATMENT DEFINED.

WHAT THE RESPONSES ARE. WHO YOU

CAN APPEAL TO. SOME OF THE

STORIES THAT WE HEARD TODAY

AND STORIES THAT I HAVE

HEARD

ARE CASES OF NEGLECT AND

FAILURE TO PERFORM

OBLIGATIONS FOR THE

RESIDENTS

OF THOSE FACILITIES. WHEN

YOU DON'T CHECK ON

SOMEONE. WHEN YOU DON'T TAKE THEM

DOWN

TO THEIR MEAL. THAT CAN BE

CALLED MALTREATMENT. A

PERSISTENT CODE OF CONTACT.

I HAVE HEARD FROM

CONSTITUENTENTS WHO HAVE HAD

A LOVED ONE IN ASSISTED

LIVING. HER HUSBAND WAS

SUPPOSED TO GET SHOWERS AT

LEAST TWICE A WEEK. SHE

WOULD COMPLAIN. THEY WOULD

GO BACK TO GIVING HIM

THE SHOWERS BUT ONE OF THE

NEIGHBORS DOWN THE HALL

WASN'T GETTING IT. SO IT

WAS

A ROTATION OF NEGLECT.

MISSING A SHOWER MAY NOT

RISE AS MALTREATMENT BUT IT IS

NOT

FULFILLING

YOUR COMMITMENT. PUTTING SOMEONE IN

THE CORNER

AND -- MANY THOUSANDS OF

DOLLARS A MONTH TO ME IS AN

ISSUE THAT IS EASIER TO

DEFINE AS NEGLECT. SO AS

THIS CONTINUES TO MOVE

FORWARD AND WE LOOK AT HOW

TO MAKE SURE THAT WE'RE

ADDRESSING THE CIRCUMSTANCES; I HOPE THAT WE LOOK AT THAT

AS ANOTHER AVENUE.

SO MANY OF THE STORIES THAT I HAVE

HEARD REALLY FALL TO THAT

LEVEL. BUT MIGHT HAVE A

HARDER TIME IN A COURT OF

LAW OR OTHER SITUATION TO BE

DEFINED AS PERSISTENT COURSE

OF CONDUCT. I THINK THE

DEFENSE IS ALWAYS THAT WE

NEVER INTEND TODAY DISTRESS

THEM. IF YOU'RE SHORT OF

STAS THEN YOU HAVE TO STOP

ADMISSIONS. THAT DOESN'T

SEEM TO BE AN OPTION THAT IS

TAKEN VERY OFTEN. I

REALLY APPRECIATE THE WORK OF EVERY

ONE WHO HAS

CONTRIBUTED TO THAT. THANK YOU FOR YOUR

LEADERSHIP ON THIS.

>> THANK YOU. BEFORE -- I

HAD SOMEONE IN MY DISTRICT

WOULD WAS CONCERNED ABOUT

ELDER ABUSE AND ELDER CARE.

ONE OF THE THINGS THAT THEY

ASKED ME; IS THE DIFFERENCE

BETWEEN ASSISTANT LIVING AND

NURSING HOMES. WHY IS THE

FOCUS ON ASSISTED LIVING?

>> WE ALREADY

REGULATE NURSING HOMES. BUT WE HAVE

FAILED TO LICENSE AND

REGULATE ASSISTED LIVING

FACILITIES. MORE AND MORE

THEY'RE BECOMING MORE

POPULAR. AND

WE'RE SEEING MORE NEGLECT AND ISSUES

THERE. I THANK YOU

FOR SENDING THOSE -- WAS ABLE

TO GET (INAUDIBLE) AND IT WAS

IMPRESSIVE THE WORK THAT WAS

BEING DONE. ACCORDING TO --

EXPERT ATTORNEY IN LINE

8.28 INCLUDES NEGLECT.

>> IN THE INTEREST OF CLEAR

STATUTES WE SHOULD PROBABLY

LOOK AT IF WE PUT

MALTREAT

MENT DEFINED AS -- OR; I GUESS IT IS OR BECAUSE

AS WE WRITE THIS UP IN

COMMON

LANGUAGE FOR THE FAMILIES IT

IS TYPICAL THAT WE WOULD

IGNORE ALL OF NOSE NUMBERS

AND SUMMARIZE THE WORDS ON

THE PAGE. I'M GLAD TO KNOW

THAT WE'RE LOOKING

OUT FOR THAT.

>> DO WE HAVE ANY OTHER

QUESTIONS FROM MEMBERS?

>> THANK YOU. I JUST WANT

TO SAY THANK YOU FOR

CARRYING

THIS BILL. I CAN'T TELL YOU

HOW MUCH THIS WAS AN ISSUE

IN

MY COMMUNITY. ALSO MY

FATHER IN LAW HAD ALZHEIMER'S. I

THINK IT IS A HUGE ISSUE.

I'M SURPRISED THAT WE -- I

WOULD ALSO SAY THAT I KNOW

THAT NURSING HOMES DO

THESE. I THINK THEY'RE VERY

IMPERFECT. AS WE DO THAT WE

HAVE TO LOOK AT WAYS WHERE

WE

CAN HAVE RANDOMATION --

WE'RE NOT GETTING A REAL

PICTURE OF

THOSE. THANK YOU.

>> ANY OTHER

QUESTIONS FOR MEMBERS?

>> THANK YOU. I HAVE A FEW

QUESTIONS FOR THE AUTHORS OF

THE BILL AND A

COUPLE AMENDMENTS THAT WE'LL

BE TAKING UP. TO THE AUTHORS

OF

THE BILL; ON

PAGE TEN; THIS IS

ABOUT A COUPLE

DEFINITIONS OVERARCHING IN THE BILL.

ONE

TALKS ABOUT A DESIGNATED

REPRESENTATIVE. AND THE

OTHER ONE TALKS ABOUT A

RESIDENT

REPRESENTATIVE. SO MY QUESTION IS ARE THEY THE

SAME. IF THEY ARE; WHY

AREN'T WE JUST USING ONE?

>> THANK YOU. IT IS

PURPOSEFUL THAT THERE ARE

TWO DIFFERENT USES. WHAT YOU'LL

NOTICE IS THAT

DESIGNATED (INAUDIBLE) IS USED IN EVERY

PLACE EXCEPT FOR THE

ELECTRONIC MONITORING.

INCLUDING POWER OF

ATTORNEY AND CONSERVATORS. IN TERMS

OF PLACING A CAMERA; THE

TERM IS USED -- WHICH IS

CONSISTENT WITH THE

ELECTRONIC MONITORING GROU

PS. USE OF THAT TERM. SO

THAT'S

A PURPOSEFUL DIS--

>> IT IS NOT JUST

ABOUT THE FINANCIAL QUESTION. IT

IS ABOUT THE SAFETY OF THE

INDIVIDUAL. AND TO SUGGEST

THAT A POWER OF ATTORNEY

IS ONLY REGULATED TO ISSUES OF

FINANCE AND A

RESIDENT REPRESENTATIVE IS ONLY

RELEVANT GATE TODAY

ELECTRONIC

MONITORING WE'RE GIVING SHORT TRIPS TO A

FAMILY MEMBER WHO MIGHT BE

-- TO SOMEONE WHO HAS A VERY

STRONG DESIRE TO PROVIDE FOR

THE SAFETY AND WELL BEING OF

THAT RESIDENT. SO TO

SUGGEST

THAT THERE SHOULD BE A

DIFFERENCE; I

DON'T FIND ONE.

>> CLEARLY WE SHARE THE

SAME

-- I THINK THAT MAYBE THERE

IS A -- AND THE RESIDENT

REPRESENTATIVE AREA FOR

CAMERAS AND MONITORING THE

HEALTH CARRIAGE GENT-- CARE.

>> TO THE AUTHORS; ON PAGE

24; THIS IS A VERY EXTENSIVE

DELINEATION AND SCOPE. THE

ONE THING THAT I CAN'T FIND

IS A TIME FRAME FOR

RESOLUTION. CAN YOU

OR TICK LATE ARTICULATE WHERE IT IS?

I DON'T FIND A

POSITION WHE

RE WE DELINEATE.

>> THAT -- THERE IS NOT A

TIME. IT IS BECAUSE WE

THOUGHT THAT WAS -- EX --

AND

IT WAS THOUGHT TO ALLOW THE

-- OFFICE OF

ADMINISTRATIVE HEARING TO DETERMINE IT IS

OWN TIME FRAME.

>> TO THE TESTIFIER; I

THINK WITHOUT -- THE THOUGHT

BEING;

I THINK WE USED THOSE WITH

REGARDS TO THE FOLKS THAT WE

ARE -- THERE WE SHOULD

CLARIFY. THAT THOUGHT. IN

THE LANGUAGE ITSELF.

>> I JUST HAVE ONE FINAL

QUESTION FOR THE AUTHORS.

THIS HAS TO DO WITH PAGE 29.

THE PRIVATE ENFORCEMENT OF

WRAITHS. I'M CURIOUS AS YOU

PUT THIS BILL TOGETHER; WHY

YOU ARRIVED AT DAMAGES AT

OUR

ESTABLISHED RECOVERABLE;

$3;000 OR GREATER. WHAT PROM

PT PROMPTED THAT?

>> THERE ARE STAT FOR RIO

OVERRULED PUT IN PLACE.

THEY

RANGE FROM ONE THOUSAND;

2;000; UP TO TEN THOUSAND.

THE MIDDLE GROUND IS ROUND

3;000. SO A NUMBER OF

DAMAGE

IS PLACED TO CREATE A FLOOR

THAT IS NOT TOO HIGH; NOT

TOO LOW BUT SUFFICIENT ENOUGH TO

DETER THE

BEHAVIOR. THANK YOU. IT PROBABLY ATTRACTS

LAWSUITS. GIVEN THE FACT

THAT IF YOU NEW THAT; AN

ATTORNEY MIGHT SAY; I THINK

AT LEAST $3;000 BUT I'M SURE

THAT I CAN GET

MORE FOR YOU. THE FOLLOW UP ON THAT;

YOU'RE

GOING TO INCREASE THE COST

OF CARE -- CARING FOR PEOPLE;

ONE BECAUSE THEY'RE GOING TO

HAVE TO TAKE OUT HIGHER

LEVELS OF LIABILITY

INSURANCE. AND THEN

WHATEVER THE -- ADD ON TOP OF THAT TO

MAKE SURE THAT THEY'RE

COVERING THEIR RISK FOR

ENSURING THAT COMMUNITY OF

RESIDENTS. SO MY CONCERN IS

THAT ALONE REALLY HAS A VERY

--

CHILLING AFFECT. ON TAKING GOOD CARE OF THE

PEOPLE THAT ARE ENTRUSTED TO

THE CARE OF THESE

RESPIRATORY

-- I FOR ONE DO AS WELL BUT

AS I SAID IN COMMITTEE

BEFORE; THIS IS WHERE WE GET

-- ABOUT THE DETAILS BECAUSE

WE WANT TO MAKE SURE THAT WE

GET IT RIGHT THE

FIRST TIME. WE DON'T WANT TO COME BACK

AND AMEND IT. LOOKING TO US

FOR GUIDANCE. THANK YOU.

>> JUST A COUPLE OF

THINGS.

FIRST OF ALL THAT TERM

FRIVOLOUS LAWSUIT IS GOING

AROUND A LOT.

FIRST OF ALL; UNDER RULE 11

IS THAT SERIOUS SANCTION --

ALMOST EVERY ATTORNEY IN

MINNESOTA WILL BE CAREFUL

ABOUT FILING WHAT WOULD BE

TERMED AS A FRIVOLOUS

LAWSUIT. AN ATTORNEY TAKING

A CASE WITH NO ABILITY TO

KNOW; THEY BETTER HAVE A

GOOD CASE TO BEGIN WITH. LAST

YEAR THE BILL HAD A PRIVATE

RIGHT; AND IF OVERRULED THIS

YEAR THERE WERE ONLY A

HANDFUL OF RIGHTS. THESE

ARE

THE MOST SERIOUS RIGHTS.

VERY LIMITED PRIVATE RIGHT.

THE MAGNITUDE STORIES THAT

WE HEARD. THERE IS NO

RECOURSE.

THOSE RIGHTS ARE JUST A LOT

OF NICE WORDS ON A PIECE OF

PAPER. PUBLICENCE FORCEMENT

NOT ONLY WILL EVER BE STRONG

ENOUGH BUT IT GOES TO THE

FACILITY. IT DOESN'T

COMPENSATE THE VICTIM. AND

DOESN'T GIVE THEM JUSTICE.

SO I WOULD SAY THIS

IS A BALANCING.

>> NO ONE WILL DISPUTE THE

DISHONOR THAT HAS BEEN

BROUGHT UPON. WITHOUT

HESITATION WE AGREE ON

THAT. WE CAN AGREE THAT WE ALSO

LIVE IN A -- SOCIETY. THAT

BEING SAID. IF I'M A

BUSINESS OWNER I'M WELL

MEANING BUT IF A PIECE OF

LITIGATION IS BEING BROUGHT

UPON ME WITH THE THREAT OF

DEPENDING MY SELF. THE

RESULT AND ACTION THAT A

BUSINESS OWNER MIGHT TAKE IS

TO SAY LET'S JUST SETTLE AND

MOVE ON. I THINK THAT IS

CONCERNING TO ME. I ALSO

KNOW THERE IS THE DARK SIDE

TO PLACING AN OPPORTUNITY.

TO CLAIM SOMETHING THAT

ISN'T THERE. IF WE ARE IN

AGREEMENT WITH SOME CAVEATS.

THANK YOU.

WE ARE HAPPY TO WORK WITH

YOU

ON THAT LANGUAGE. IF YOU

RECOMMEND A DIFFERENT NUMBER

THERE WE'RE OPEN TO THAT. I

THINK THE ADVOCATES HAVE

COMPROMISED QUITE A BIT.

WE'LL CONTINUE TO WORK ON

THIS LEGISLATION IN A --

>> I BELIEVE THE A1;

A2 AMENDMENT.

>> SO WE WOULD LIKE TO

AMEND

HOUSE FILE 90 THAT IS NOW

AMENDED. AMEND WITH THE A

2.

>> THANK YOU. WOULD YOU

LIKE TO SPEAK

TO THE AMENDMENT?

>> DID SOMEONE MOVE

THE A 2?

TWO?

>> NO.

>> CAN I MOVE THE A 2.

TWO.

>> ANY

COMMENTS? ANY DISCUSSION? ALL IN FAVOR OF THE A TWO?

ANY OPPOSED

THE MOTION PREVAILS. ANY FURTHER

DISCUSSION ON THE AMENDMENT?

>> I'D LIKE TO MOVE THE

A THREE AMENDMENT.

>> OKAY.

>> SO WE HAVE

REPRESENTATIVE PEAR SON MOVING THE

A THREE AMENDMENT.

>> ANY DISCUSSION?

>> I CAN SPEAK TO THE A

THREE. WE'RE A LITTLE OVER

OUR SCHEDULE RIGHT NOW. I

KNOW THE BILL AUTHOR WAS

GOING FOR A COMPREHENSIVE

BILL HERE. THE ONE THING

THAT SOME OF THE

RECOMMENDATIONS

OF THE OFFICE OF AUDITOR

WERE NOT INCLUDED.

WE'RE ASKING

THEM TO BE APP COUNTABLE TO THE LEGISLATURE

AS WELL. THIS IS A STEP

THAT HAS BEEN DISCUSSED IN THE

PAST.

AND AGAIN; WITH REVIEW OF THE OFFICE OF LEGISLATURE

AUDITOR THESE ARE A LOT

OF THE RECOMMENDATIONS. I

ALSO UNDERSTAND THAT THERE IS A

LINE ITEM WITH IN THE

GOVERNORS BUDGET. I DON'T

THINK THERE SHOULD BE MUCH

OBJECTION FOLLOWING THOSE

RECOMMENDATIONS.

>> SO WE DO HAVE

SOME QUESTIONS ON SOME OF THE

LANGUAGE. BUT I ENCOURAGE

MEMBER TO SEE ADOPT THE A 3.

THREE.

>> THANK YOU. I SEE THAT

-- IS THERE I THINK MAYBE HE

HAS A COMMENT TO MAKE ON THIS.

I ALSO HAD A

QUESTION ABOUT IT.

I WAS WONDERING IF THE

AMENDMENT HAD THE COST.

I THOUGHT CERTAIN LEO

OVERRULED SOME

TIMES THAT'S AN LOUED TO BE DISCUSSED.

IT IS MY UNDERSTAND THAWING IT

IS A PRETTY

MINOR ADMINISTRATIVE COST.

>> I'LL BE QUICK. I JUST

WANT TO DRAW -- THIS

LANGUAGE WAS CONSIDERED LAST YEAR.

WE

MIGHT HAVE SOME TECHNICAL

FEEDBACK. I DON'T KNOW

THAT -- WAS GOING IN THIS

DIRECTION. PAGE 14; LINE

15. THIS REALLY IS A CIVIL

LAW ISSUE. I THINK IT IS

IMPORTANT TO RACE -- RAISE

BECAUSE THIS

IS POLICY COMMITTEE.

A PERSON WHO IS A SUBJECT

MEANING THE

PERPETRATOR WILL BE ALLOWED TO ACCESS THAT

DATA. POTENTIALLY DISRUPTING -- THAT IS KIND OF A BIG

DEAL

AND I JUST

WANTED (INAUDIBLE)

COMMITTEE TO IT.

>> I THINK THERE IS

ANOTHER PERSON WHO WOULD LIKE TO

COMMENT ON THE AMENDMENT.

>> WE WANT TO --

REPRESENTATIVE -- AND AGREE

THAT IN

THIS AMENDMENT; THERE

IS A LOT THAT HAS BEEN

DISCUSSED OR THAT WE

HAVE ISSUE WITH. THERE ARE

DETAILS THAT WE WOULD LIKE

TO

-- TO MAKE SURE THAT IT DOES

ALIGN WITH

(INAUDIBLE) UNDER WAY.

>> THANK YOU FOR

YOUR TESTIMONY. SO I THINK WHAT

I'M HEARING; ALTHOUGH THERE

ARE SOME

TECHNICAL REVISIONS THAT NEED TO BE MADE.

REPRESENTATIVE IS WILLIN

G TO ACCEPT THE A THIS

WILLING TO ACCEPT THE A THREE AMENDMENT. >> CORRECT. >> ANY FURTHER DISCUSSION?

>> JUST TO CLARIFY; IF WE

ACCEPT THE A THREE AMENDMENT

I DO HAVE SOME CONCERNS THAT

THE GENTLEMAN BROUGHT UP

ABOUT THAT B SECTION.

WOULD THOSE BE CORRECTED IN

ANOTHER

STOP OR ARE WE ALLOWING

THOSE

IN? I HAVE? CONCERNS ABOUT

THAT. IF WE ACCEPT THIS

AMENDMENT THAT WE WILL LOOK

AT REVISIONS TO THAT B

SECTION AND NOT PASSIN

G THAT THROUGH.

>> I THINK THE REFERRAL WAS

-- VI INDICATE -- OUR INTENT

IS TO WORK WITH THE AGENCY

STAFF. AND MAKE SURE THAT

LANGUAGE IS ACCESSIBLE.

WE CAN DO THAT AT

THE NEXT (INAUDIBLE).

>> ANY FURTHER QUESTIONS?

OKAY. SO HERING NONE. ALL

IN FAVOR OF ADOPTING THE A

THREE AMENDMENT? MOTION

PREVAILS. AND IT IS NOW

ADOPTED. NO FURTHER

DISCUSSION.

HOUSE FILE 90 AMENDMENTED -- ALL IN

FAVOR?

THE MOTION PREVAILS HOUSES

FILE AS AMENDED BE

RECOMMENDED. YOUR BILL IS

ON

ITS WAY. THANK YOU ALL SO

MUCH. WE ARE ADJOURNED.

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