{"id":8417,"date":"2020-08-14T13:33:33","date_gmt":"2020-08-14T17:33:33","guid":{"rendered":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/?page_id=8417"},"modified":"2021-08-18T16:59:05","modified_gmt":"2021-08-18T20:59:05","slug":"ellenor-careplan","status":"publish","type":"page","link":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/ellenor-careplan\/","title":{"rendered":"LSQ &#8211; Ellenor Johnson CarePlan"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 hundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-medium-visibility fusion-no-large-visibility\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-bottom: 10px;margin-top: 15px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 30px;\">\n<div>\n<table border=\"0\" cellspacing=\"0px\">\n<tbody>\n<tr>\n<th style=\"text-align: left; padding-left: 0px;\" align=\"center\"><a href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/pl\/pl-dashboard\"><img class=\"aligncenter size-full wp-image-575\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-mobile-nav-logo.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/th>\n<th style=\"text-align: left; padding-left: 10px;\" align=\"center\"><a href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/pl\/search-customers\/\"><img class=\"aligncenter size-full wp-image-575\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-customers-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/th>\n<th style=\"text-align: left; padding-left: 10px;\" align=\"center\"><a href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/pl\/search-team-members\/\"><img class=\"aligncenter size-full wp-image-575\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-team-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/th>\n<th style=\"text-align: left; padding-left: 10px;\" align=\"center\"><a href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/pl\/pl-reporting\/\"><img class=\"aligncenter size-full wp-image-575\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-reporting-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/th>\n<th style=\"text-align: left; padding-left: 10px;\" align=\"center\"><a href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/pl\/my-account\/\"><img class=\"aligncenter size-full wp-image-575\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2019\/10\/robert-brown-icon.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/th>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:15px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#d3d3d3;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 hundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-first narrow-nav fusion-no-small-visibility\" style=\"width:16.666666666667%;width:calc(16.666666666667% - ( ( 0px + 0px ) * 0.16666666666667 ) );margin-right: 0px;margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;border-width: 0 1px 0 0;border-color:#cccccc;border-style:solid;padding: 0px 0px 0px 0px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:25px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"width:100%;max-width:34px;\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/community-dashboard\/\" target=\"_self\"><img width=\"38\" height=\"47\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-Icon-Color.png\" class=\"img-responsive wp-image-4378\"\/><\/a><\/span><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:90px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-1\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Admin\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/admin-legacy-at-savannah-quarters\/\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-account-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-2\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Residents\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/lsq-residents\/\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-residents-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-3\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Health\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/lsq-health\/\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-health-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-4\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Documents\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/lsq-documents\/\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-documents-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-5\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Reporting\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/lsq-reporting\/\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-reporting-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-6\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Social\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/lsq-social\/\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/10\/social-calendar-icon.svg\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-7\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Building Operations\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/lsq-building-ops\/\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/10\/building-ops-icon.svg\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-8\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Associates\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/lsq-associates\/\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-associates-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-9\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Corporate\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/lsq-corporate\/\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-corporate-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-10\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Learning\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/lsq-learning\/\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/03\/yiayia-learning-icon-blue.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-text fusion-text-11\"><p style=\"margin-bottom: 0px;\"><a class=\"yiayia-icon-nav\" title=\"Me\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/community\/community-dashboard\/#\"><img class=\"alignleft size-full wp-image-575\" style=\"margin-left: 5px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/10\/jdl-icon-blue-border.png\" alt=\"\" width=\"26\" height=\"26\" \/><\/a><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_2_3 2_3 fusion-two-third middle-width-health\" style=\"width:66.666666666667%;width:calc(66.666666666667% - ( ( 0px + 0px ) * 0.66666666666667 ) );margin-right: 0px;margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 30px 0px 30px;\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-no-small-visibility\" style=\"margin-top:20px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-12\"><div>\n<table border=\"0\" cellspacing=\"0px\">\n<tbody>\n<tr>\n<th style=\"text-align: left; padding-left: 0px; padding-top: 3px; table-layout: auto;\" align=\"left\"><a  class=\"shiftnav-toggle shiftnav-toggle-health shiftnav-toggle-button\" tabindex=\"0\" data-shiftnav-target=\"health\" ><i class=\"fa fa-bars\"><\/i>  <\/a>\t<\/th>\n<th style=\"text-align: left; padding-left: 0px; padding-right: 15px; padding-top: 8px;\" align=\"center\"><img class=\"aligncenter size-full wp-image-5566\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/04\/ellenor-johnson-circle-white-36.png\" alt=\"\" width=\"36\" height=\"36\" \/><\/th>\n<th align=\"left\">\n<h1 style=\"margin-bottom: 0px; margin-top: 8px; margin-left: 0px; table-layout: auto;\"><a title=\"Dashboard\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/ellenor-health\/\">Ellenor Johnson<\/a><\/h1>\n<\/th>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-13\"><table style=\"margin: 0px;\" width=\"100%\" cellspacing=\"0px\">\n<tbody>\n<tr>\n<td width=\"25%\"><a class=\"health-button\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/ellenor-health\/\">CARE<\/a><\/td>\n<td width=\"25%\"><a class=\"health-button-hover\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/ellenor-careplan\/\">CAREPLAN<\/a><\/td>\n<td width=\"25%\"><a class=\"health-button\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/ellenor-charting\/\">CHARTING<\/a><\/td>\n<td width=\"25%\"><a class=\"health-button-red\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/ellenor-aci\/\">ACI<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div><div class=\"fusion-text fusion-text-14\"><div style=\"margin-bottom: 15px; border-bottom: 1px solid #bbbbbb;\">\n<table border=\"0\" width=\"100%\" cellspacing=\"0px\">\n<tbody>\n<tr>\n<th style=\"text-align: left; padding-left: 0px;\" align=\"left\" width=\"20%\">\n<h3 style=\"padding: 15px 0 6px 0; margin: 0 0 3px 0; font-size: 18px; line-height: 1; font-family: Roboto Slab,Tahoma,sans-serif; font-weight: 300; color: #005174; background-color: transparent;\">CarePlan<\/h3>\n<\/th>\n<th style=\"text-align: left; padding-left: 0px; margin-top: 20px; margin-bottom: 0px;\" align=\"right\" width=\"41%\"><\/th>\n<th style=\"text-align: left; padding-left: 0px; margin-top: 20px; margin-bottom: 0px;\" align=\"right\" width=\"30%\"><span style=\"margin-top: 10px; text-align: right;\"><div class=\"frm_forms  with_frm_style frm_style_assessment-no-line\" id=\"frm_form_286_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_assessmenthistory\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Assessment Type and Date<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"286\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_286\" id=\"frm_hide_fields_286\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"assessmenthistory\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_286\" name=\"frm_submit_entry_286\" value=\"697e471e31\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/8417\" \/><input type=\"hidden\" name=\"item_meta[7572]\" id=\"field_5ugww\" value=\"\"  data-invmsg=\"Hidden is invalid\"   \/>\n<div align=\"right\" id=\"frm_field_7571_container\" class=\"frm_form_field form-field  frm_none_container\">\r\n    <label for=\"field_q42mn\" id=\"field_q42mn_label\" class=\"frm_primary_label\">Dropdown\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[7571]\" id=\"field_q42mn\"  data-frmval=\"Assessment Type  |  Date\" data-invmsg=\"Dropdown is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t<option value=\"Assessment Type  |  Date\"  selected=\"selected\" class=\"\">\n\t\t\tAssessment Type  |  Date\t\t<\/option>\n\t\t\t<option value=\"Quarterly Assessment  |  04\/12\/20\"  class=\"\">\n\t\t\tQuarterly Assessment  |  04\/12\/20\t\t<\/option>\n\t\t\t<option value=\"Quarterly Assessment  |  01\/08\/20\"  class=\"\">\n\t\t\tQuarterly Assessment  |  01\/08\/20\t\t<\/option>\n\t\t\t<option value=\"Significant Change  |  10\/22\/19\"  class=\"\">\n\t\t\tSignificant Change  |  10\/22\/19\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n<\/span><\/th>\n<th style=\"text-align: right; padding-left: 0px;\" align=\"right\" width=\"3%\"><a title=\"Print\" href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/lsq-ellenor-johnson-careplan-print\/\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"fusion-fa-align-right\"><i class=\"fb-icon-element-1 fb-icon-element fontawesome-icon fa-print fas circle-no\" style=\"font-size:18px;margin-top:4px;margin-right:5px;margin-bottom:0px;\"><\/i><\/div><style>i.fb-icon-element.fontawesome-icon.fb-icon-element-1{ color: #005174;}i.fb-icon-element.fontawesome-icon.fb-icon-element-1:hover { color: #005174;}<\/style><\/a><\/th>\n<th style=\"text-align: center; padding-left: 5px;\" align=\"center\" width=\"3%\"><a title=\"Building Ops\" href=\"#\" target=\"_blank\" rel=\"noopener noreferrer\"><img style=\"padding-top: 2px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/10\/building-ops-icon.svg\" width=\"20\" height=\"20\" align=\"center\" \/><\/a><\/th>\n<th style=\"text-align: right; padding-left: 0px;\" align=\"right\" width=\"3%\"><a href=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/customer\/ellenor-careplan-edit\/\"><div class=\"fusion-fa-align-right\"><i class=\"fb-icon-element-2 fb-icon-element fontawesome-icon fa-plus fas circle-no\" style=\"font-size:18px;margin-top:10px;margin-right:5px;margin-bottom:6px;\"><\/i><\/div><style>i.fb-icon-element.fontawesome-icon.fb-icon-element-2{ color: #005174;}i.fb-icon-element.fontawesome-icon.fb-icon-element-2:hover { color: #005174;}<\/style><\/a><\/th>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div><div class=\"fusion-text fusion-text-15\"><div class=\"frm_forms  with_frm_style frm_style_minimal-info-style\" id=\"frm_form_298_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_ellenor-cp-top-completed\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Ellenor CP Top Completed<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"298\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_298\" id=\"frm_hide_fields_298\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"ellenor-cp-top-completed\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_298\" name=\"frm_submit_entry_298\" value=\"697e471e31\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/8417\" \/><input type=\"hidden\" name=\"item_meta[7739]\" id=\"field_4bhhg23dc9637a685e8ebbb015f850a188bd6a0d454e2149cb85a74c559c5b368d3306c1ce\" value=\"\"  data-invmsg=\"Create Resident is invalid\"   \/>\n<div id=\"frm_field_7740_container\" class=\"frm_form_field frm_section_heading form-field  frm_hide_section\">\r\n<h3 class=\"frm_pos_none frm_section_spacing\">Top Completed<\/h3>\r\n\r\n\r\n<div id=\"frm_field_7741_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_ul03p11775bf1b0bde0da0eb313584df8a8\" id=\"field_ul03p11775bf1b0bde0da0eb313584df8a8_label\" class=\"frm_primary_label\">Assessment Type\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[7741]\" id=\"field_ul03p11775bf1b0bde0da0eb313584df8a8\"  data-sectionid=\"7740\" data-frmval=\"Quarterly\" data-invmsg=\"Assessment Type is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"14-day\"  class=\"\">\n\t\t\t14-day\t\t<\/option>\n\t\t\t<option value=\"30-day\"  class=\"\">\n\t\t\t30-day\t\t<\/option>\n\t\t\t<option value=\"Interim\"  class=\"\">\n\t\t\tInterim\t\t<\/option>\n\t\t\t<option value=\"Quarterly\"  selected=\"selected\" class=\"\">\n\t\t\tQuarterly\t\t<\/option>\n\t\t\t<option value=\"Significant Change\"  class=\"\">\n\t\t\tSignificant Change\t\t<\/option>\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7776_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_1u5lz\" id=\"field_1u5lz_label\" class=\"frm_primary_label\">Mental Status\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[7776]\" id=\"field_1u5lz\"  data-sectionid=\"7740\" data-frmval=\"Alert and Oriented\" data-invmsg=\"Mental Status is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t<option value=\"(multi-select)\"  class=\"\">\n\t\t\t(multi-select)\t\t<\/option>\n\t\t\t<option value=\"Alert and Oriented\"  selected=\"selected\" class=\"\">\n\t\t\tAlert and Oriented\t\t<\/option>\n\t\t\t<option value=\"Elopement Risk\"  class=\"\">\n\t\t\tElopement Risk\t\t<\/option>\n\t\t\t<option value=\"Aggression \u2013 Physical\"  class=\"\">\n\t\t\tAggression \u2013 Physical\t\t<\/option>\n\t\t\t<option value=\"Aggression \u2013 Verbal\"  class=\"\">\n\t\t\tAggression \u2013 Verbal\t\t<\/option>\n\t\t\t<option value=\"Uncooperative\"  class=\"\">\n\t\t\tUncooperative\t\t<\/option>\n\t\t\t<option value=\"Confused \/ Disoriented\"  class=\"\">\n\t\t\tConfused \/ Disoriented\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8427_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\n    <label for=\"field_w52q9\" id=\"field_w52q9_label\" class=\"frm_primary_label\">Med Cart Assignment\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[8427]\" id=\"field_w52q9\"  data-sectionid=\"7740\" data-frmval=\"Cart 1\" data-invmsg=\"Med Cart Assignment is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Cart 1\"  selected=\"selected\" class=\"\">\n\t\t\tCart 1\t\t<\/option>\n\t\t\t<option value=\"Cart 2\"  class=\"\">\n\t\t\tCart 2\t\t<\/option>\n\t\t\t<option value=\"Cart 3\"  class=\"\">\n\t\t\tCart 3\t\t<\/option>\n\t\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_7777_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\n    <label for=\"field_hlg1r\" id=\"field_hlg1r_label\" class=\"frm_primary_label\">Hospice\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_hlg1r\" name=\"item_meta[7777]\" value=\"In hospice with Lowcountry Hospice since 09\/18\/20.\"  data-sectionid=\"7740\" data-frmval=\"In hospice with Lowcountry Hospice since 09\/18\/20.\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_7778_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\n    <label for=\"field_j3w0u\" id=\"field_j3w0u_label\" class=\"frm_primary_label\">Date of 1st Hospice CarePlan\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_j3w0u\" name=\"item_meta[7778]\" value=\"09\/21\/20\"  data-sectionid=\"7740\" maxlength=\"10\" data-frmval=\"09\/21\/20\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n\n<\/div><div class=\"fusion-text fusion-text-16\"><div class=\"frm_forms  with_frm_style frm_style_minimal-info-style\" id=\"frm_form_294_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_ellenor-careplan-completed\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Ellenor CP Completed<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"294\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_294\" id=\"frm_hide_fields_294\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"ellenor-careplan-completed\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_294\" name=\"frm_submit_entry_294\" value=\"697e471e31\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/8417\" \/><input type=\"hidden\" name=\"item_meta[7689]\" id=\"field_4bhhg23dc9637a685e8ebbb015f850a188bd6a0d454e2\" value=\"\"  data-invmsg=\"Create Resident is invalid\"   \/>\n<div id=\"frm_field_7911_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p style=\"border-bottom: 1px solid #b5b5b5; margin: 15px 0 5px 0; padding: 0;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_7692_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-bath-blue.svg\" width=\"30\" height=\"30\" \/>Bathing<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7746_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_vzkl4\" id=\"field_vzkl4_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[7746]\"  id=\"field_vzkl4\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7692\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7781_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_d1cvm\" id=\"field_d1cvm_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_d1cvm\" name=\"item_meta[7781]\" value=\"Caregivers\"  data-sectionid=\"7692\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7775_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view-print\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_7779_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_cfp7d\" id=\"field_cfp7d_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_cfp7d\" name=\"item_meta[7779]\" value=\"Notes...\"  data-sectionid=\"7692\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7774_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_14z5x\" id=\"field_14z5x_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_14z5x\" name=\"item_meta[7774]\" value=\"Maintain\"  data-sectionid=\"7692\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7780_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_92tqu\" id=\"field_92tqu_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_92tqu\" name=\"item_meta[7780]\" value=\"Notes...\"  data-sectionid=\"7692\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7793_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_qniku\" id=\"field_qniku_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qniku\" name=\"item_meta[7793]\" value=\"\"  data-sectionid=\"7692\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8118_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7794_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-bed-blue.svg\" width=\"30\" height=\"30\" \/>Bed<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7795_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_32lit\" id=\"field_32lit_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[7795]\"  id=\"field_32lit\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7794\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7796_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_e9f7j\" id=\"field_e9f7j_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_e9f7j\" name=\"item_meta[7796]\" value=\"Caregivers\"  data-sectionid=\"7794\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7797_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td>Evening<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_7798_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_c5jj\" id=\"field_c5jj_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c5jj\" name=\"item_meta[7798]\" value=\"Sleeps on the side of the bed closer to the bathroom.\"  data-sectionid=\"7794\" data-frmval=\"Sleeps on the side of the bed closer to the bathroom.\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7799_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_fbm4e\" id=\"field_fbm4e_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fbm4e\" name=\"item_meta[7799]\" value=\"Maintain\"  data-sectionid=\"7794\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7800_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_ujncb\" id=\"field_ujncb_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ujncb\" name=\"item_meta[7800]\" value=\"Notes...\"  data-sectionid=\"7794\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7801_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_2tr3t\" id=\"field_2tr3t_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2tr3t\" name=\"item_meta[7801]\" value=\"\"  data-sectionid=\"7794\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8119_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_8067_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-bp-blue.svg\" width=\"30\" height=\"30\" \/>Blood Pressure<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_8068_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_e38zg\" id=\"field_e38zg_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[8068]\"  id=\"field_e38zg\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"8067\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8069_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_pq2cy\" id=\"field_pq2cy_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_pq2cy\" name=\"item_meta[8069]\" value=\"Med Tech\"  data-sectionid=\"8067\" data-frmval=\"Med Tech\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12226_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_s37ol\" id=\"field_s37ol_label\" class=\"frm_primary_label\">Billing Frequency\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"2x \/ Day\" name=\"item_meta[12226]\"  id=\"field_s37ol\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"8067\" data-frmval=\"2x \/ Day\" data-invmsg=\"Billing Frequency is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"1x \/ Day\"  class=\"\">\n\t\t\t1x \/ Day\t\t<\/option>\n\t\t\t<option value=\"2x \/ Day\"  selected=\"selected\" class=\"\">\n\t\t\t2x \/ Day\t\t<\/option>\n\t\t\t<option value=\"3x \/ Day +\"  class=\"\">\n\t\t\t3x \/ Day +\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8071_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_mr9n0\" id=\"field_mr9n0_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_mr9n0\" name=\"item_meta[8071]\" value=\"Notes...\"  data-sectionid=\"8067\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8070_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_8072_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_y8fui\" id=\"field_y8fui_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_y8fui\" name=\"item_meta[8072]\" value=\"Improve\"  data-sectionid=\"8067\" data-frmval=\"Improve\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8073_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_m3uhq\" id=\"field_m3uhq_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_m3uhq\" name=\"item_meta[8073]\" value=\"Checking to see if new medication will help lower blood pressure.\"  data-sectionid=\"8067\" data-frmval=\"Checking to see if new medication will help lower blood pressure.\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8074_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_5nik5\" id=\"field_5nik5_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_5nik5\" name=\"item_meta[8074]\" value=\"\"  data-sectionid=\"8067\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8120_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_9050_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-check-in-blue.svg\" width=\"30\" height=\"30\" \/>Check-In<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_9051_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_xf3rr\" id=\"field_xf3rr_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[9051]\"  id=\"field_xf3rr\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"9050\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9052_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_3roeb\" id=\"field_3roeb_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3roeb\" name=\"item_meta[9052]\" value=\"Caregivers\"  data-sectionid=\"9050\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9053_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td style=\"width: 50%\">Every 2 hrs<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_9054_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_u8z1p\" id=\"field_u8z1p_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_u8z1p\" name=\"item_meta[9054]\" value=\"Notes...\"  data-sectionid=\"9050\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9055_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_5svy\" id=\"field_5svy_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_5svy\" name=\"item_meta[9055]\" value=\"Improve\"  data-sectionid=\"9050\" data-frmval=\"Improve\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9056_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_9f6g0\" id=\"field_9f6g0_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9f6g0\" name=\"item_meta[9056]\" value=\"Notes...\"  data-sectionid=\"9050\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7893_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-dental-blue.svg\" width=\"30\" height=\"30\" \/>Dental<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7894_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_7pins\" id=\"field_7pins_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[7894]\"  id=\"field_7pins\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7893\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7895_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_vy4ug\" id=\"field_vy4ug_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_vy4ug\" name=\"item_meta[7895]\" value=\"Caregivers\"  data-sectionid=\"7893\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7896_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_7897_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_z2jk9\" id=\"field_z2jk9_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_z2jk9\" name=\"item_meta[7897]\" value=\"Details would go here...\"  data-sectionid=\"7893\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7898_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_lk0lj\" id=\"field_lk0lj_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_lk0lj\" name=\"item_meta[7898]\" value=\"Maintain\"  data-sectionid=\"7893\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7899_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_14vco\" id=\"field_14vco_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_14vco\" name=\"item_meta[7899]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7893\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7900_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_d7ijn\" id=\"field_d7ijn_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_d7ijn\" name=\"item_meta[7900]\" value=\"\"  data-sectionid=\"7893\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8121_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7830_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-dressing-blue.svg\" width=\"30\" height=\"30\" \/>Dressing<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7831_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_mhik6\" id=\"field_mhik6_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[7831]\"  id=\"field_mhik6\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7830\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7832_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_bfxr8\" id=\"field_bfxr8_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_bfxr8\" name=\"item_meta[7832]\" value=\"Caregivers\"  data-sectionid=\"7830\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7833_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_7834_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_k194e\" id=\"field_k194e_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_k194e\" name=\"item_meta[7834]\" value=\"Details would go here...\"  data-sectionid=\"7830\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7835_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_f3hvt\" id=\"field_f3hvt_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_f3hvt\" name=\"item_meta[7835]\" value=\"Maintain\"  data-sectionid=\"7830\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7836_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_trzk4\" id=\"field_trzk4_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_trzk4\" name=\"item_meta[7836]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7830\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7837_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_wbis1\" id=\"field_wbis1_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wbis1\" name=\"item_meta[7837]\" value=\"\"  data-sectionid=\"7830\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8122_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7857_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-elopement-blue.svg\" width=\"30\" height=\"30\" \/>Elopement<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7858_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_1vmpj\" id=\"field_1vmpj_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[7858]\"  id=\"field_1vmpj\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7857\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7859_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_3h49i\" id=\"field_3h49i_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3h49i\" name=\"item_meta[7859]\" value=\"Caregivers\"  data-sectionid=\"7857\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7860_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p style=\"font-size: 12px; color: #70a5cc; margin: 0 0 2px 0; padding: 10px 0 0 0; font-weight: 300;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_7861_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_rxp7h\" id=\"field_rxp7h_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_rxp7h\" name=\"item_meta[7861]\" value=\"Details would go here...\"  data-sectionid=\"7857\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7862_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_nxyzp\" id=\"field_nxyzp_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_nxyzp\" name=\"item_meta[7862]\" value=\"Maintain\"  data-sectionid=\"7857\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7863_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_mqukp\" id=\"field_mqukp_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_mqukp\" name=\"item_meta[7863]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7857\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7864_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_ht4fm\" id=\"field_ht4fm_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ht4fm\" name=\"item_meta[7864]\" value=\"\"  data-sectionid=\"7857\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8123_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7875_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-falls-blue.svg\" width=\"30\" height=\"30\" \/>Falls<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7876_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_2wycw\" id=\"field_2wycw_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[7876]\"  id=\"field_2wycw\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7875\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7877_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_aokmg\" id=\"field_aokmg_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_aokmg\" name=\"item_meta[7877]\" value=\"Caregivers\"  data-sectionid=\"7875\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7878_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p style=\"font-size: 12px; color: #70a5cc; margin: 0 0 2px 0; padding: 10px 0 0 0; font-weight: 300;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_7879_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_j31y4\" id=\"field_j31y4_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j31y4\" name=\"item_meta[7879]\" value=\"Details would go here...\"  data-sectionid=\"7875\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7880_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_m1y6r\" id=\"field_m1y6r_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_m1y6r\" name=\"item_meta[7880]\" value=\"Maintain\"  data-sectionid=\"7875\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7881_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_hsg22\" id=\"field_hsg22_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hsg22\" name=\"item_meta[7881]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7875\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7882_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_3tlfa\" id=\"field_3tlfa_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3tlfa\" name=\"item_meta[7882]\" value=\"\"  data-sectionid=\"7875\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8124_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7821_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-blood-sugar-blue.svg\" width=\"30\" height=\"30\" \/>Glucose<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7822_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_ezpp8\" id=\"field_ezpp8_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[7822]\"  id=\"field_ezpp8\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7821\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7823_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_228hd\" id=\"field_228hd_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_228hd\" name=\"item_meta[7823]\" value=\"Med Tech\"  data-sectionid=\"7821\" data-frmval=\"Med Tech\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12227_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_wpc60\" id=\"field_wpc60_label\" class=\"frm_primary_label\">Billing Frequency\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"2x \/ Day\" name=\"item_meta[12227]\"  id=\"field_wpc60\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7821\" data-frmval=\"2x \/ Day\" data-invmsg=\"Billing Frequency is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"1x \/ Day\"  class=\"\">\n\t\t\t1x \/ Day\t\t<\/option>\n\t\t\t<option value=\"2x \/ Day\"  selected=\"selected\" class=\"\">\n\t\t\t2x \/ Day\t\t<\/option>\n\t\t\t<option value=\"3x \/ Day +\"  class=\"\">\n\t\t\t3x \/ Day +\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7825_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_djomc\" id=\"field_djomc_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_djomc\" name=\"item_meta[7825]\" value=\"Details would go here...\"  data-sectionid=\"7821\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7824_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_7826_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_j4w19\" id=\"field_j4w19_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j4w19\" name=\"item_meta[7826]\" value=\"Maintain\"  data-sectionid=\"7821\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7827_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_9i9l4\" id=\"field_9i9l4_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9i9l4\" name=\"item_meta[7827]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7821\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7828_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_glhmn\" id=\"field_glhmn_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_glhmn\" name=\"item_meta[7828]\" value=\"\"  data-sectionid=\"7821\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8126_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7839_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-grooming-blue.svg\" width=\"30\" height=\"30\" \/>Grooming<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7840_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_ic7q4\" id=\"field_ic7q4_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[7840]\"  id=\"field_ic7q4\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7839\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7841_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_hjjpz\" id=\"field_hjjpz_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hjjpz\" name=\"item_meta[7841]\" value=\"Caregivers\"  data-sectionid=\"7839\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7842_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_7843_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_1dgl1\" id=\"field_1dgl1_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1dgl1\" name=\"item_meta[7843]\" value=\"Details would go here...\"  data-sectionid=\"7839\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7844_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_753p9\" id=\"field_753p9_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_753p9\" name=\"item_meta[7844]\" value=\"Maintain\"  data-sectionid=\"7839\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7845_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_t04md\" id=\"field_t04md_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_t04md\" name=\"item_meta[7845]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7839\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7846_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_9ztgv\" id=\"field_9ztgv_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9ztgv\" name=\"item_meta[7846]\" value=\"\"  data-sectionid=\"7839\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8125_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7803_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-injections-blue.svg\" width=\"30\" height=\"30\" \/>Insulin<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7804_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_b5lx1\" id=\"field_b5lx1_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[7804]\"  id=\"field_b5lx1\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7803\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7805_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_qk5xh\" id=\"field_qk5xh_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qk5xh\" name=\"item_meta[7805]\" value=\"Caregivers\"  data-sectionid=\"7803\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12228_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\n    <label for=\"field_4f8t2\" id=\"field_4f8t2_label\" class=\"frm_primary_label\">Billing Frequency\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"hidden\" value=\"1x \/ Day\" name=\"item_meta[12228]\"  id=\"field_4f8t2\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7803\" data-frmval=\"1x \/ Day\" data-invmsg=\"Billing Frequency is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"1x \/ Day\"  selected=\"selected\" class=\"\">\n\t\t\t1x \/ Day\t\t<\/option>\n\t\t\t<option value=\"2x \/ Day\"  class=\"\">\n\t\t\t2x \/ Day\t\t<\/option>\n\t\t\t<option value=\"3x \/ Day +\"  class=\"\">\n\t\t\t3x \/ Day +\t\t<\/option>\n\t\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_7807_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_d6fif\" id=\"field_d6fif_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_d6fif\" name=\"item_meta[7807]\" value=\"Notes...\"  data-sectionid=\"7803\" data-frmval=\"Notes...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7806_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>6a\u20139a<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_7808_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_2zl5u\" id=\"field_2zl5u_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2zl5u\" name=\"item_meta[7808]\" value=\"Maintain\"  data-sectionid=\"7803\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7809_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_fkhlv\" id=\"field_fkhlv_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fkhlv\" name=\"item_meta[7809]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7803\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7810_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_yyus9\" id=\"field_yyus9_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_yyus9\" name=\"item_meta[7810]\" value=\"\"  data-sectionid=\"7803\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8127_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_9040_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-meals-blue.svg\" width=\"30\" height=\"30\" \/>Meals<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_9041_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_1x5mp\" id=\"field_1x5mp_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[9041]\"  id=\"field_1x5mp\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"9040\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9042_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_t4roe\" id=\"field_t4roe_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_t4roe\" name=\"item_meta[9042]\" value=\"Caregivers\"  data-sectionid=\"9040\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9043_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Bkfst<\/td>\n<td>Lunch<\/td>\n<td>Dinner<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_9044_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_o54aj\" id=\"field_o54aj_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_o54aj\" name=\"item_meta[9044]\" value=\"She enjoys sitting at Table 9 by the window.\"  data-sectionid=\"9040\" data-frmval=\"She enjoys sitting at Table 9 by the window.\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9045_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_vab2v\" id=\"field_vab2v_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_vab2v\" name=\"item_meta[9045]\" value=\"Maintain\"  data-sectionid=\"9040\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9046_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_jh09z\" id=\"field_jh09z_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jh09z\" name=\"item_meta[9046]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"9040\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9047_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_t53iq\" id=\"field_t53iq_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_t53iq\" name=\"item_meta[9047]\" value=\"\"  data-sectionid=\"9040\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9048_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7812_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-medication-blue.svg\" width=\"30\" height=\"30\" \/>Medication<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7813_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_pokrr\" id=\"field_pokrr_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[7813]\"  id=\"field_pokrr\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7812\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7814_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_gs10s\" id=\"field_gs10s_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_gs10s\" name=\"item_meta[7814]\" value=\"Med Tech\"  data-sectionid=\"7812\" data-frmval=\"Med Tech\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12229_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\n    <label for=\"field_ahzh1\" id=\"field_ahzh1_label\" class=\"frm_primary_label\">Billing Frequency\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"hidden\" value=\"2x \/ Day\" name=\"item_meta[12229]\"  id=\"field_ahzh1\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7812\" data-frmval=\"2x \/ Day\" data-invmsg=\"Billing Frequency is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"1x \/ Day\"  class=\"\">\n\t\t\t1x \/ Day\t\t<\/option>\n\t\t\t<option value=\"2x \/ Day\"  selected=\"selected\" class=\"\">\n\t\t\t2x \/ Day\t\t<\/option>\n\t\t\t<option value=\"3x \/ Day +\"  class=\"\">\n\t\t\t3x \/ Day +\t\t<\/option>\n\t\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_7816_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_nlx0e\" id=\"field_nlx0e_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_nlx0e\" name=\"item_meta[7816]\" value=\"Details would go here...\"  data-sectionid=\"7812\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7815_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>9a\u201312p<\/td>\n<td>3p\u20136p<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_7817_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_c1e94\" id=\"field_c1e94_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c1e94\" name=\"item_meta[7817]\" value=\"Maintain\"  data-sectionid=\"7812\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7818_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_obdam\" id=\"field_obdam_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_obdam\" name=\"item_meta[7818]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7812\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7819_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_oul6w\" id=\"field_oul6w_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_oul6w\" name=\"item_meta[7819]\" value=\"\"  data-sectionid=\"7812\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8128_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7866_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-mobility-blue.svg\" width=\"30\" height=\"30\" \/>Mobility<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7867_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_i65sb\" id=\"field_i65sb_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[7867]\"  id=\"field_i65sb\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7866\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7868_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_p2j2f\" id=\"field_p2j2f_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_p2j2f\" name=\"item_meta[7868]\" value=\"Caregivers\"  data-sectionid=\"7866\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7869_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p style=\"font-size: 12px; color: #70a5cc; margin: 0 0 2px 0; padding: 10px 0 0 0; font-weight: 300;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_7870_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_48xtn\" id=\"field_48xtn_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_48xtn\" name=\"item_meta[7870]\" value=\"Details would go here...\"  data-sectionid=\"7866\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7871_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_i1u7z\" id=\"field_i1u7z_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_i1u7z\" name=\"item_meta[7871]\" value=\"Maintain\"  data-sectionid=\"7866\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7872_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_dfg1g\" id=\"field_dfg1g_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dfg1g\" name=\"item_meta[7872]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7866\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7873_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_zc2w2\" id=\"field_zc2w2_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zc2w2\" name=\"item_meta[7873]\" value=\"\"  data-sectionid=\"7866\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8129_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7902_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-skin-blue.svg\" width=\"30\" height=\"30\" \/>Skin<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7903_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_lq1fd\" id=\"field_lq1fd_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[7903]\"  id=\"field_lq1fd\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7902\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7904_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_esayr\" id=\"field_esayr_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_esayr\" name=\"item_meta[7904]\" value=\"Caregivers\"  data-sectionid=\"7902\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7905_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_7906_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_1skxo\" id=\"field_1skxo_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1skxo\" name=\"item_meta[7906]\" value=\"Details would go here...\"  data-sectionid=\"7902\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7907_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_twwkn\" id=\"field_twwkn_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_twwkn\" name=\"item_meta[7907]\" value=\"Maintain\"  data-sectionid=\"7902\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7908_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_ext7a\" id=\"field_ext7a_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ext7a\" name=\"item_meta[7908]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7902\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7909_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_cwl7s\" id=\"field_cwl7s_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_cwl7s\" name=\"item_meta[7909]\" value=\"\"  data-sectionid=\"7902\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8130_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7848_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-toileting-blue.svg\" width=\"30\" height=\"30\" \/>Toileting<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7849_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_4uf5l\" id=\"field_4uf5l_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"\" name=\"item_meta[7849]\"  id=\"field_4uf5l\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7848\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  selected=\"selected\" class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7850_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_bkx40\" id=\"field_bkx40_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_bkx40\" name=\"item_meta[7850]\" value=\"Caregivers\"  data-sectionid=\"7848\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7851_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p style=\"font-size: 12px; color: #70a5cc; margin: 0 0 2px 0; padding: 10px 0 0 0; font-weight: 300;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_7852_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_a9num\" id=\"field_a9num_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_a9num\" name=\"item_meta[7852]\" value=\"Details would go here...\"  data-sectionid=\"7848\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7853_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_6nzhk\" id=\"field_6nzhk_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_6nzhk\" name=\"item_meta[7853]\" value=\"Maintain\"  data-sectionid=\"7848\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7854_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_1wb3j\" id=\"field_1wb3j_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1wb3j\" name=\"item_meta[7854]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7848\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7855_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_eq8pm\" id=\"field_eq8pm_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_eq8pm\" name=\"item_meta[7855]\" value=\"\"  data-sectionid=\"7848\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8131_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_7884_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-vision-blue.svg\" width=\"30\" height=\"30\" \/>Vision<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_7885_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_b55bl\" id=\"field_b55bl_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[7885]\"  id=\"field_b55bl\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"7884\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7886_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_myfyd\" id=\"field_myfyd_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_myfyd\" name=\"item_meta[7886]\" value=\"Caregivers\"  data-sectionid=\"7884\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7887_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_7888_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_9xxxy\" id=\"field_9xxxy_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9xxxy\" name=\"item_meta[7888]\" value=\"Details would go here...\"  data-sectionid=\"7884\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7889_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_dhye3\" id=\"field_dhye3_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dhye3\" name=\"item_meta[7889]\" value=\"Maintain\"  data-sectionid=\"7884\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7890_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_attnb\" id=\"field_attnb_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_attnb\" name=\"item_meta[7890]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"7884\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_7891_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_3m9y1\" id=\"field_3m9y1_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3m9y1\" name=\"item_meta[7891]\" value=\"\"  data-sectionid=\"7884\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_8132_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_9103_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_9093_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing frm_trigger\"><i class=\"frm_icon_font frm_arrow_icon\" aria-expanded=\"false\" aria-label=\"Toggle fields\"><\/i> <img style=\"display: inline; margin-right: 10px;\" src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/adl-acute-exceptions-blue.svg\" width=\"30\" height=\"30\" \/>Broken Arm<\/h3>\r\n\r\n<div class=\"frm_toggle_container frm_grid_container\" style=\"display:none;\">\r\n<div id=\"frm_field_9094_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_sw482\" id=\"field_sw482_label\" class=\"frm_primary_label\">Level of Assistance\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" value=\"Some Assistance\" name=\"item_meta[9094]\"  id=\"field_sw482\" \/>\t\t<select  disabled=\"disabled\"  data-sectionid=\"9093\" data-frmval=\"Some Assistance\" data-invmsg=\"Level of Assistance is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\"  class=\"\">\n\t\t\t \t\t<\/option>\n\t\t\t<option value=\"Independent\"  class=\"\">\n\t\t\tIndependent\t\t<\/option>\n\t\t\t<option value=\"Some Assistance\"  selected=\"selected\" class=\"\">\n\t\t\tSome Assistance\t\t<\/option>\n\t\t\t<option value=\"Assisted\"  class=\"\">\n\t\t\tAssisted\t\t<\/option>\n\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9095_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_3s01e\" id=\"field_3s01e_label\" class=\"frm_primary_label\">Assigned to\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3s01e\" name=\"item_meta[9095]\" value=\"Caregivers\"  data-sectionid=\"9093\" data-frmval=\"Caregivers\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9096_container\" class=\"frm_form_field  frm_fourth frm_first frm_html_container form-field\">\n<p class=\"new-label\">Frequency<\/p>\n<div>\n<table class=\"new-view\" style=\"padding: 0;\" width=\"100%\" cellspacing=\"0\">\n<tbody>\n<tr>\n<td>SUN<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>MON<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>TUE<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>WED<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>THU<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>FRI<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>SAT<\/td>\n<td>Morning<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div id=\"frm_field_9097_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_dcqjx\" id=\"field_dcqjx_label\" class=\"frm_primary_label\">Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dcqjx\" name=\"item_meta[9097]\" value=\"Details would go here...\"  data-sectionid=\"9093\" data-frmval=\"Details would go here...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9098_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_first\">\r\n    <label for=\"field_j5kah\" id=\"field_j5kah_label\" class=\"frm_primary_label\">Goal\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j5kah\" name=\"item_meta[9098]\" value=\"Maintain\"  data-sectionid=\"9093\" data-frmval=\"Maintain\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9099_container\" class=\"frm_form_field form-field  frm_top_container frm_three_fourths\">\r\n    <label for=\"field_mhkjn\" id=\"field_mhkjn_label\" class=\"frm_primary_label\">Goal Details\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_mhkjn\" name=\"item_meta[9099]\" value=\"Notes would go here to explain more details about this ADL for the resident...\"  data-sectionid=\"9093\" data-frmval=\"Notes would go here to explain more details about this ADL for the resident...\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9100_container\" class=\"frm_form_field form-field  frm_none_container frm_full\">\r\n    <label for=\"field_w2614\" id=\"field_w2614_label\" class=\"frm_primary_label\">Text\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_w2614\" name=\"item_meta[9100]\" value=\"\"  data-sectionid=\"9093\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_9101_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; font-size: 1px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_8056_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p  style=\"margin-top: 0px; padding-top: 0px;\">&nbsp;<\/p>\n<\/div>\n<div id=\"frm_field_7790_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Meeting Minutes \/ Signatures<\/h3>\r\n\r\n\r\n<div id=\"frm_field_7792_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_1cbqk\" id=\"field_1cbqk_label\" class=\"frm_primary_label\">Meeting Minutes\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[7792]\" id=\"field_1cbqk\" rows=\"5\"  data-sectionid=\"7790\" data-invmsg=\"Meeting Minutes is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:70%;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-last insights-display fusion-no-small-visibility\" style=\"width:16.666666666667%;width:calc(16.666666666667% - ( ( 0px + 0px ) * 0.16666666666667 ) );margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;border-width: 0 0 0 1px;border-color:#cccccc;border-style:solid;padding: 0px 0px 0px 20px;\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-no-small-visibility fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:120px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-17\"><p style=\"margin-bottom: 4px;\"><img src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/happy-icon.svg\" alt=\"Smile\" width=\"32\" height=\"32\" \/><\/p>\n<h2 style=\"font-weight: 100; font-size: 1.5em; margin-top: 0px;\">Weekly lunch date with daughter today.<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-no-small-visibility fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#005174;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-18\"><p style=\"margin-bottom: 4px;\"><img src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/happy-icon.svg\" alt=\"Smile\" width=\"32\" height=\"32\" \/><\/p>\n<h2 style=\"font-weight: 100; font-size: 1.5em;\">Poker champ last night.<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-no-small-visibility fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#005174;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-19\"><p style=\"margin-bottom: 4px;\"><img src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/frown-icon.svg\" alt=\"Smile\" width=\"32\" height=\"32\" \/><\/p>\n<h2 style=\"font-weight: 100; font-size: 1.5em;\">Her dog, Chloe, isn't feeling well.<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-no-small-visibility fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#005174;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-20\"><p style=\"margin-bottom: 4px;\"><img src=\"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-content\/uploads\/2020\/09\/happy-icon.svg\" alt=\"Smile\" width=\"32\" height=\"32\" \/><\/p>\n<h2 style=\"font-weight: 100; font-size: 1.5em;\">Ask about her new friend, Susie.<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-no-small-visibility fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#005174;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":789,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":[],"_links":{"self":[{"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/8417"}],"collection":[{"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/comments?post=8417"}],"version-history":[{"count":31,"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/8417\/revisions"}],"predecessor-version":[{"id":8843,"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/8417\/revisions\/8843"}],"up":[{"embeddable":true,"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/pages\/789"}],"wp:attachment":[{"href":"https:\/\/bluesouthcreative.com\/staging\/yiayia-web-app\/wp-json\/wp\/v2\/media?parent=8417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}