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            "id": "p48.1",
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            "text": "Pennsylvania Guardian Handbook",
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            "level": 2
        },
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            "text": "○ Lack of private telephone or visiting options for residents",
            "children": [
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            "text": "Poor training, lack of supervision, and low accountability for staff"
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            "text": "The IP’s behavior:",
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                {
                    "id": "p48.5.1",
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                    "text": "Fear, either generalized or related to a specific caregiver(s)"
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                    "text": "Depressed, withdrawn, sad, or helpless behavior or affect"
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                    "bbox": {
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                    "text": "O Fear, anxiety, or nervousness about speaking openly"
                },
                {
                    "id": "p48.5.4",
                    "order": 10,
                    "type": "list_item",
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                        "l": 126.00012,
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                    "text": "Confusion, unlikely or contradictory stories, or disorientation without any known mental dysfunction"
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            ]
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            "text": "The care provider's behavior:",
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            "text": "Not allowing the IP to speak to others or answer questions for themselves without the care provider present"
        },
        {
            "id": "p48.8",
            "order": 13,
            "type": "text",
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                "b": 529.2
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            "text": "Treating the IP with anger or indifference, name-calling, threatening, or aggressive behavior"
        },
        {
            "id": "p48.9",
            "order": 14,
            "type": "text",
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            "text": "Sharing conflicting accounts of incidents, blaming the IP for being forgetful"
        },
        {
            "id": "p48.10",
            "order": 15,
            "type": "text",
            "bbox": {
                "l": 104.88,
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                "b": 498.72
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            "text": "Signs of alcohol or drug use while on duty"
        },
        {
            "id": "p48.11",
            "order": 16,
            "type": "text",
            "bbox": {
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            "text": "Flirtatious or sexual behavior toward IP"
        },
        {
            "id": "p48.12",
            "order": 17,
            "type": "text",
            "bbox": {
                "l": 105.12,
                "t": 483.12,
                "r": 482.88,
                "b": 469.2
            },
            "text": "O Unwillingness to follow care plan or cooperate with other care providers"
        },
        {
            "id": "p48.13",
            "order": 18,
            "type": "footer",
            "bbox": {
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                "r": 540.96,
                "b": 59.52
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            "text": "37",
            "attrs": {
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    "excluded_furniture": {
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