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{"sheet":"表紙","index":0,"n_rows":35,"n_cols":24,"rows_kept":35,"cut":false,"hidden":false,"merged":[[9,18,11,24],[9,25,11,34],[0,0,5,35],[6,18,8,24],[6,25,8,34],[6,1,8,7],[9,1,11,7],[6,8,8,17],[9,8,11,17],[12,18,14,24],[12,25,14,34],[16,21,17,22],[16,23,17,35],[12,1,14,7],[15,1,17,7],[12,8,14,17],[15,8,17,17],[18,21,19,22],[18,23,19,35],[20,21,21,22],[20,23,21,35],[21,1,22,19],[22,21,23,22],[22,23,23,35],[23,1,24,7],[23,8,24,19],[24,21,25,22],[29,8,30,19],[31,21,33,22],[31,23,33,35],[37,0,38,35],[24,23,25,35],[25,1,26,7],[25,8,26,19],[26,21,27,22],[26,23,27,35],[27,1,28,7],[27,8,28,19],[28,21,30,22],[28,23,30,35],[29,1,30,7],[34,21,35,22],[34,23,35,35]]}
["指定放課後等デイサービス事業所\n運営指導事前提出資料"]
[]
[]
[]
[]
[]
[null,"法人名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"法人メールアドレス"]
[]
[]
[null,"事業所名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所メールアドレス"]
[]
[]
[null,"担当者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所電話番号"]
[]
[]
[null,"事業所のホームページアドレス"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"チェック欄",null,"添付書類一覧（次の書類を添付してください。）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運営規程"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"重要事項説明書、契約書のひな形"]
[null,"運営指導出席予定者"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所のチラシ、パンフレット等"]
[null,"役職",null,null,null,null,null,null,"氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平面図"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所支援計画（直近のもの）１名分※"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上記利用者（１名）のサービス提供の記録（直近１週間分程度）※"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"当該エクセルファイルの該当シート\n（原則、全てのシートの作成が必要です。）"]
[null,"※　利用者名、住所、電話番号、家族構成など個人情報に係わる部分は"]
[null,null,"マジックなどで黒く塗りつぶしてください。"]
[null,"※　資料はホッチキス留め等せずに提出してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自己点検シート"]

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["運営指導当日準備すべき書類等"]
["１　前年度４月１日から直近までのもの　※当日データ（パソコン等）で確認できるものは、書類で用意する必要はありません。"]
[null,"□","利用者名簿"]
[null,"□","利用者に関するもの（契約書、重要事項説明書、受給者証の写し、法定代理受領通知の控え、利用者負担額の領収書の控え、"]
[null,null,"サービス提供記録等の諸記録一式）"]
[null,"□","個別支援計画に関するもの（障害児支援利用計画、アセスメントシート・フェースシート、個別支援計画原案、"]
[null,null,"サービス担当者会議の会議録、個別支援計画、モニタリングの記録等、個別支援計画作成の一連の流れが確認できる記録一式）"]
[null,"□","第三者評価、自己点検、アンケート等、サービスの評価及び評価に基づく改善状況（計画）がわかるもの"]
[null,"□","業務日誌、職員会議録"]
[null,"□","勤務体制表、出勤簿、タイムカード等、職員の勤務実態が確認できるもの（非常勤職員を含む。また、複数の事業所で勤務する"]
[null,null,"職員がいる場合には、各事業所の勤務割合がわかるもの。）"]
[null,"□","人事記録（就業規則、雇用契約書、資格証、履歴書、辞令の写し、給与台帳等）"]
[null,"□","研修記録、研修計画等、職員の研修の受講状況が確認できるもの"]
[null,"□","虐待防止の取組に関するもの（委員会開催記録、研修記録等）"]
[null,"□","身体拘束等の適正化のための取組に関するもの（委員会開催記録、研修記録、身体拘束等の記録（該当者がいる場合のみ）等）"]
[null,"□","安全計画に関するもの（安全計画、研修記録、訓練記録等）"]
[null,"□","自動車運行時の所在確認の記録（該当する事業所のみ）"]
[null,"□","消防用設備等点検結果報告書、避難訓練の記録等"]
[null,"□","苦情処理簿等、苦情処理に関するもの"]
[null,"□","事故記録等、事故発生時の措置が確認できるもの"]
[null,"□","個人情報保護規定、誓約書等、守秘義務の管理に関するもの"]
[null,"□","会計関係書類（報酬請求レセプトの控え、決算書等）"]
[null,"□","加算を請求している場合はその根拠資料"]
[]
["２　現に使用し又は管理しているもの"]
[null,"□","衛生管理マニュアル等、事業所の衛生管理が確認できるもの"]
[null,"□","苦情処理マニュアル等、苦情対応の体制が確認できるもの"]
[null,"□","事故対応マニュアル等、事故対応の体制が確認できるもの"]
[null,"□","保険証等、損害賠償発生時の対応方法を明示する書類"]
[null,"□","防犯対策マニュアル、消防計画、洪水等ハザードマップ、非常災害対策マニュアル等、防犯や災害対応の体制が確認できるもの"]
[null,"□","虐待防止マニュアル等、事業所の虐待防止のための取組が確認できるもの"]
[null,"□","身体拘束適正化の指針等、事業所の身体拘束等の適正化を図るための取組が確認できるもの"]
[]
["注１",null,"上記のほか、関係書類の提出を求める場合があります。"]
["注２",null,"当年度４月１日以前の書類の提出を求める場合があります。"]
["注３",null,"関係書類のコピーの提供を求める場合があります。"]

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["１　職員の状況"]
[null,"主として重症心身障害児を通わせていますか。"]
[]
[null,null,null,null,null,null,null,null,"　　年　　月　　日現在"]
[null,null,"職　　　種\n（注２）","氏　　　　名","資　　　　　格\n（注３）","常勤・非常勤の別","専任・兼任の別","兼任先事業所名とその職種\n（注４）","当該事業所の勤務割合（注５）"]
[null,1]
[null,2]
[null,3]
[null,4]
[null,5]
[null,6]
[null,7]
[null,8]
[null,9]
[null,10]
[]
[null,"注１","この表は、運営指導実施日の前々月初日現在で作成してください。"]
[null,"注２","職種は、管理者、児童発達支援管理責任者、児童指導員、保育士（主として重症心身障害児を通わせている場合は、管理者、"]
[null,null,"児童発達支援管理責任者、嘱託医、看護職員、児童指導員、機能訓練担当職員）と記載してください。"]
[null,"注３","資格は、医師、保育士、社会福祉士、栄養士、看護師、准看護師等と記載してください。"]
[null,"注４","兼任先が同一事業所の別職種である場合は、「同事業所」として兼任する職種を記載してください。"]
[null,"注５","当該事業所の勤務割合は、常勤専任者の勤務時間を１とした場合の割合を記載してください（例えば常勤専任者が週４０時間"]
[null,null,"である場合に、当該職員が、週２０時間勤務であれば２０／４０＝０．５と記載）。"]

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["２　従業者の勤務の体制及び勤務形態一覧表",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【児童指導員等加配加算　計算シート】",null,null,null,null,null,null,null,"※実績確認における有休等取得職員の勤務形態別勤務時間記載ルール"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"①【勤務形態一覧表】の基準人員の勤務時間のセルを塗りつぶしする。",null,null,null,null,null,null,null,"　〇常勤職員(基準)",null,"→代替職員の勤務時間を入力"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　  基準人員の色→",null,null,null,null,null,null,null,"　〇常勤職員(加配)",null,"→勤務予定であった時間を入力"]
["サービス種類",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所・施設名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②【表１】の「常勤職員が勤務すべき時間数」と「加算区分」を記入。",null,null,null,null,null,null,null,"　〇非常勤職員",null,"→０を入力"]
["定員　",null,null,null,"　　人",null,null,null,"前年度の平均利用者数　",null,null,null,null,null,null,null,null,null,null,null,null,"　　人",null,null,null,null,null,null,"基準上の必要職員数　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"③【表３】の「算定加算区分」を選択する。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（令和",null,null,"年",null,null,"月分）"]
["職種",null,null,null,null,"勤務形態\n（注４）",null,null,null,"資格",null,null,null,"氏名",null,null,null,null,null,null,"第１週",null,null,null,null,null,null,"第２週",null,null,null,null,null,null,"第３週",null,null,null,null,null,null,"第４週",null,null,null,null,null,null,"第５週",null,null,"4週の合計",null,null,"週平均の勤務時間",null,null,"常勤換算後の人数",null,null,"他の事業所の\n名称及び職名",null,null,null,null,null,null,null,null,"　※【表１】【表３】の色付きセルのみ入力が可能。他のセルは自動計算。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【表１】基準時間及び加配時間　計算表",null,null,null,null,null,"【表２】区分別加配時間　算出表　（入力不要）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"＊",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"常勤職員が勤務すべき時間数→",null,null,null,"／月",null,"※色つきは、児童指導員等加算で算定可能な区分"]
["管理者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(U10:AY10)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"４週の\n合計","基準\n時間","加配\n時間","加算区分",null,null,"①常勤専従で児童指導員等を配置する場合"]
["児童発達支援管理責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加算区分",null,null,null,"時間数","常勤換算"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AZ12","v":0},{"$f":"ColorSum(U12:AY12,$BT$3)","v":0},{"$f":"BR12-BS12","v":0},null,null,null,"児童指導員等（常勤専従）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U13:AY13,$BT$3)","v":0},0,null,null,null,null,"うち５年以上",null,"児童指導員等・常勤専従・5年以上",{"$f":"SUMIFS($BT$12:BT$24,BU$12:BU$24,CA13)","v":0},{"$f":"ROUNDDOWN(CB13/$BU$9,2)","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U14:AY14,$BT$3)","v":0},0,null,null,null,null,"うち５年未満",null,"児童指導員等・常勤専従・5年未満",{"$f":"SUMIFS($BT$12:BT$24,BU$12:BU$24,CA14)","v":0},{"$f":"ROUNDDOWN(CB14/$BU$9,2)","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U15:AY15,$BT$3)","v":0},0,null,null,null,null,null,null,null,null,{"$f":"IF(AND(CC13<1,CC14<1),\"\",\"加算算定可能\")","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U16:AY16,$BT$3)","v":0},0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U17:AY17,$BT$3)","v":0},0,null,null,null,"②①以外の場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U18:AY18,$BT$3)","v":0},0,null,null,null,"加算区分",null,null,null,"時間数","常勤換算"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U19:AY19,$BT$3)","v":0},0,null,null,null,"児童指導員等（非常勤）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U20:AY20,$BT$3)","v":0},0,null,null,null,null,"うち５年以上",null,"児童指導員等・非常勤・5年以上",{"$f":"SUMIFS($BT$12:$BT$24,$BU$12:$BU$24,CA20)","v":0},{"$f":"ROUNDDOWN(CB20/$BU$9,2)","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U21:AY21,$BT$3)","v":0},0,null,null,null,null,"うち５年未満",null,"児童指導員等・非常勤・5年未満",{"$f":"SUMIFS($BT$12:$BT$24,$BU$12:$BU$24,CA21)","v":0},{"$f":"ROUNDDOWN(CB21/$BU$9,2)","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U22:AY22,$BT$3)","v":0},0,null,null,null,"その他従業者",null,null,"その他従業者",{"$f":"SUMIFS($BT$12:$BT$24,$BU$12:$BU$24,CA22)","v":0},{"$f":"ROUNDDOWN(CB22/$BU$9,2)","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U23:AY23,$BT$3)","v":0},0,null,null,null,"加配合計",null,null,null,{"$f":"SUM(CB13+CB14+CB20+CB21+CB22)","v":0},{"$f":"SUM(CC20+CC21+CC22)","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U24:AY24,$BT$3)","v":0},0,null,null,null,null,null,null,null,null,{"$f":"IF(OR(CC23<1,CC15=\"加算算定可能\"),\"\",\"加算算定可能\")","v":{"$error":"#DIV/0!"}}]
["利用者数"]
["サービス提供時間",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【表３】算定加算区分"]
["常勤職員の勤務すべき時間数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１日：",null,null,"時間",null,null,"分",null,null,null,"１週：",null,null,"時間",null,null,"分",null,null,"変形労働制　無・有（　　　　　　　　　　　　　）"]
["注１　この表は、運営指導実施日の前々月の内容で作成してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加算名",null,null,null,"算定加算区分"]
["注２　＊欄には、当該月の曜日を記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"児童指導員等加配加算",null,null,null,null,null,"←【表２】の色つきの加算区分から選択"]
["注３　兼務職員の勤務時間数は、当該事業所・職種に係る時間数のみを記入してください。"]
["注４　各事業所・施設において使用している勤務割表等（変更があった場合は変更後の予定勤務割表）により、職種、勤務形態、氏名及び当該業務の勤務時間が確認できる場合は"]
["　　その書類をもって添付書類として差し支えありません。ただし、この場合には、各日ごとの利用者数が分かる資料を添付してください。"]
["注５　利用者数の欄には、各日ごとの放課後等デイサービスの利用者数を記入してください。"]
["注６　変形労働時間制を採用している場合のみ、５週目まで記載してください。「４週の合計」欄には第５週までの合計を記入してください。"]
["注７　「職種」欄は、管理者、サービス管理責任者、直接サービス提供職員等その事業について職員配置が必要な全ての職種を記載し、「勤務形態」欄は、①常勤・専従、\n　　　②常勤・兼務、③非常勤・専従、④非常勤・兼務のいずれかを記載してください。また、他の事業と兼務を行っている職員については、所定の欄に兼務先の事業名を記載してください。\n　　　同一法人内で複数事業所に勤務し、それぞれに時間数を分けて勤務する方は、法人として「常勤雇用」であっても、この表の勤務形態では「③非常勤・専従」となります。\n　　　その方は、「勤務先の事業所」欄に勤務する事業所名と職名を記入して下さい。当該事業所の中で複数の職種を兼ね、その合計時間数が常勤の時間数にその合計時間数が常勤の時間数に\n　　　満たない方は、各職種ごとに「③非常勤・専従」となります。"]

{"sheet":"２　勤務表記載例","index":4,"n_rows":35,"n_cols":82,"rows_kept":35,"cut":false,"hidden":false,"merged":[[0,0,0,66],[1,0,1,66],[3,0,3,7],[3,8,3,27],[3,28,3,34],[3,35,3,66],[5,0,5,7],[5,8,5,15],[5,16,5,27],[5,28,5,31],[5,32,5,42],[5,43,5,45],[4,0,4,3],[4,4,4,7],[4,8,4,20],[4,21,4,27],[4,28,4,34],[4,35,4,66],[6,41,6,47],[6,48,6,50],[6,51,8,53],[6,54,8,56],[6,57,8,59],[6,60,8,66],[5,46,5,48],[5,49,5,51],[5,52,5,54],[9,82,9,86],[10,0,10,4],[10,5,10,8],[10,9,10,12],[10,13,10,19],[10,51,10,53],[10,54,10,56],[8,69,8,71],[9,0,9,4],[9,5,9,8],[9,9,9,12],[9,13,9,19],[9,51,9,53],[9,54,9,56],[9,57,9,59],[9,60,9,66],[9,69,10,69],[6,0,8,4],[6,5,8,8],[6,9,8,12],[6,13,8,19],[6,20,6,26],[6,27,6,33],[6,34,6,40],[10,57,10,59],[10,60,10,66],[10,75,10,77],[11,0,11,4],[11,5,11,8],[11,9,11,12],[11,13,11,19],[11,51,11,53],[11,54,11,56],[11,57,11,59],[9,70,10,70],[9,71,10,71],[9,72,10,72],[11,60,11,66],[11,75,11,80],[14,57,14,59],[14,60,14,66],[15,57,15,59],[15,60,15,66],[12,83,12,85],[13,0,13,4],[13,5,13,8],[13,9,13,12],[13,13,13,19],[13,51,13,53],[13,54,13,56],[13,57,13,59],[13,60,13,66],[13,76,13,77],[13,83,13,85],[12,0,12,4],[12,5,12,8],[12,9,12,12],[12,13,12,19],[12,51,12,53],[12,54,12,56],[12,57,12,59],[12,60,12,66],[12,76,12,77],[15,0,15,4],[15,5,15,8],[15,9,15,12],[15,13,15,19],[15,51,15,53],[15,54,15,56],[14,0,14,4],[14,5,14,8],[14,9,14,12],[14,13,14,19],[14,51,14,53],[14,54,14,56],[16,82,16,86],[17,0,17,4],[17,5,17,8],[17,9,17,12],[17,13,17,19],[17,51,17,53],[17,54,17,56],[17,57,17,59],[17,60,17,66],[17,75,17,77],[16,0,16,4],[16,5,16,8],[16,9,16,12],[16,13,16,19],[16,51,16,53],[16,54,16,56],[16,57,16,59],[16,60,16,66],[18,57,18,59],[18,60,18,66],[18,75,18,80],[19,0,19,4],[19,5,19,8],[19,9,19,12],[19,13,19,19],[19,51,19,53],[19,54,19,56],[19,57,19,59],[18,0,18,4],[18,5,18,8],[18,9,18,12],[18,13,18,19],[18,51,18,53],[18,54,18,56],[19,60,19,66],[19,76,19,77],[19,83,19,85],[20,0,20,4],[20,5,20,8],[20,9,20,12],[20,13,20,19],[20,51,20,53],[20,54,20,56],[20,57,20,59],[20,60,20,66],[20,76,20,77],[20,83,20,85],[21,0,21,4],[21,5,21,8],[21,9,21,12],[21,13,21,19],[21,51,21,53],[21,54,21,56],[21,57,21,59],[21,60,21,66],[21,75,21,77],[22,0,22,4],[22,5,22,8],[22,9,22,12],[22,13,22,19],[22,51,22,53],[22,54,22,56],[22,57,22,59],[22,60,22,66],[23,57,23,59],[23,60,23,66],[24,0,24,19],[24,51,24,53],[24,54,24,56],[24,57,24,59],[24,60,24,66],[23,0,23,4],[23,5,23,8],[23,9,23,12],[23,13,23,19],[23,51,23,53],[23,54,23,56],[27,79,27,80],[28,75,28,77],[28,79,28,80],[34,0,35,60],[25,0,25,19],[25,51,25,53],[25,54,25,56],[25,57,25,59],[25,60,25,66],[26,0,26,19],[26,41,26,66],[44,0,45,60],[36,0,36,60],[37,0,37,60],[38,0,39,60],[40,0,41,60],[42,0,42,59],[43,0,43,60],[27,0,27,33],[27,75,27,77]]}
["２　従業者の勤務の体制及び勤務形態一覧表",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【児童指導員等加配加算　計算シート】",null,null,null,null,null,null,null,"※実績確認における有休等取得職員の勤務形態別勤務時間記載ルール"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"①【勤務形態一覧表】の基準人員の勤務時間のセルを塗りつぶしする。",null,null,null,null,null,null,null,"　〇常勤職員(基準)",null,"→代替職員の勤務時間を入力"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　  基準人員の色→",null,null,null,null,null,null,null,"　〇常勤職員(加配)",null,"→勤務予定であった時間を入力"]
["サービス種類",null,null,null,null,null,null,null,"放課後等デイサービス",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所・施設名",null,null,null,null,null,null,"○○事業所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②【表１】の「常勤職員が勤務すべき時間数」と「加算区分」を記入。",null,null,null,null,null,null,null,"　〇非常勤職員",null,"→０を入力"]
["定員　",null,null,null,"　10人",null,null,null,"前年度の平均利用者数　",null,null,null,null,null,null,null,null,null,null,null,null,"　9人",null,null,null,null,null,null,"基準上の必要職員数　",null,null,null,null,null,null,"2.0人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"③【表３】の「算定加算区分」を選択する。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（令和",null,null,6,"年",4,"月分）"]
["職種",null,null,null,null,"勤務形態\n（注４）",null,null,null,"資格",null,null,null,"氏名",null,null,null,null,null,null,"第１週",null,null,null,null,null,null,"第２週",null,null,null,null,null,null,"第３週",null,null,null,null,null,null,"第４週",null,null,null,null,null,null,"第５週",null,null,"4週の合計",null,null,"週平均の勤務時間",null,null,"常勤換算後の人数",null,null,"他の事業所の\n名称及び職名",null,null,null,null,null,null,null,null,"　※【表１】【表３】の色付きセルのみ入力が可能。他のセルは自動計算。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【表１】基準時間及び加配時間　計算表",null,null,null,null,null,"【表２】区分別加配時間　算出表　（入力不要）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"常勤職員が勤務すべき時間数→",null,null,160,"／月",null,"※色つきは、児童指導員等加算で算定可能な区分"]
["管理者",null,null,null,null,"常勤・兼務",null,null,null,null,null,null,null,"Ａ",null,null,null,null,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,null,null,null,{"$f":"SUM(U10:AY10)","v":160},null,null,40,null,null,1,null,null,null,null,null,null,null,null,null,null,null,"４週の\n合計","基準\n時間","加配\n時間","加算区分",null,null,"①常勤専従で児童指導員等を配置する場合"]
["児童発達支援管理責任者",null,null,null,null,"常勤・兼務",null,null,null,null,null,null,null,"Ａ",null,null,null,null,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,null,null,null,160,null,null,40,null,null,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加算区分",null,null,null,"時間数","常勤換算"]
["児童指導員",null,null,null,null,"常勤・専従",null,null,null,"社会福祉士",null,null,null,"Ｂ",null,null,null,null,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,null,null,null,160,null,null,40,null,null,1,null,null,null,null,null,null,null,null,null,null,null,{"$f":"AZ12","v":160},{"$f":"ColorSum(U12:AY12,$BT$3)","v":160},{"$f":"BR12-BS12","v":0},"児童指導員等・常勤専従・5年以上",null,null,"児童指導員等（常勤専従）"]
["保育士",null,null,null,null,"非常勤・専従",null,null,null,"保育士",null,null,null,"Ｃ",null,null,null,null,null,null,4,4,4,4,4,null,null,4,4,4,4,4,null,null,4,4,4,4,4,null,null,4,4,4,4,4,null,null,null,null,null,80,null,null,20,null,null,0.5,null,null,null,null,null,null,null,null,null,null,null,80,{"$f":"ColorSum(U13:AY13,$BT$3)","v":80},0,"児童指導員等・非常勤・5年未満",null,null,null,"うち５年以上",null,"児童指導員等・常勤専従・5年以上",{"$f":"SUMIFS($BT$12:BT$24,BU$12:BU$24,CA13)","v":160},{"$f":"ROUNDDOWN(CB13/$BU$9,2)","v":1}]
["児童指導員",null,null,null,null,"常勤・専従",null,null,null,"教員免許",null,null,null,"Ｄ",null,null,null,null,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,8,8,8,8,8,null,null,null,null,null,160,null,null,40,null,null,1,null,null,null,null,null,null,null,null,null,null,null,160,{"$f":"ColorSum(U14:AY14,$BT$3)","v":0},160,"児童指導員等・常勤専従・5年以上",null,null,null,"うち５年未満",null,"児童指導員等・常勤専従・5年未満",{"$f":"SUMIFS($BT$12:BT$24,BU$12:BU$24,CA14)","v":0},{"$f":"ROUNDDOWN(CB14/$BU$9,2)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U15:AY15,$BT$3)","v":0},0,null,null,null,null,null,null,null,null,{"$f":"IF(AND(CC13<1,CC14<1),\"\",\"加算算定可能\")","v":"加算算定可能"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U16:AY16,$BT$3)","v":0},0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U17:AY17,$BT$3)","v":0},0,null,null,null,"②①以外の場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U18:AY18,$BT$3)","v":0},0,null,null,null,"加算区分",null,null,null,"時間数","常勤換算"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U19:AY19,$BT$3)","v":0},0,null,null,null,"児童指導員等（非常勤）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U20:AY20,$BT$3)","v":0},0,null,null,null,null,"うち５年以上",null,"児童指導員等・非常勤・5年以上",{"$f":"SUMIFS($BT$12:$BT$24,$BU$12:$BU$24,CA20)","v":0},{"$f":"ROUNDDOWN(CB20/$BU$9,2)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U21:AY21,$BT$3)","v":0},0,null,null,null,null,"うち５年未満",null,"児童指導員等・非常勤・5年未満",{"$f":"SUMIFS($BT$12:$BT$24,$BU$12:$BU$24,CA21)","v":0},{"$f":"ROUNDDOWN(CB21/$BU$9,2)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U22:AY22,$BT$3)","v":0},0,null,null,null,"その他従業者",null,null,"その他従業者",{"$f":"SUMIFS($BT$12:$BT$24,$BU$12:$BU$24,CA22)","v":0},{"$f":"ROUNDDOWN(CB22/$BU$9,2)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U23:AY23,$BT$3)","v":0},0,null,null,null,"加配合計",null,null,null,{"$f":"SUM(CB13+CB14+CB20+CB21+CB22)","v":160},{"$f":"SUM(CC20+CC21+CC22)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,{"$f":"ColorSum(U24:AY24,$BT$3)","v":0},0,null,null,null,null,null,null,null,null,{"$f":"IF(OR(CC23<1,CC15=\"加算算定可能\"),\"\",\"加算算定可能\")","v":""}]
["利用者数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,10,10,9,8,null,null,7,10,10,9,8,null,null,7,10,10,9,8,null,null,7,10,10,9,8]
["サービス提供時間",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,4,4,4,4,null,null,4,4,4,4,4,null,null,4,4,4,4,4,null,null,4,4,4,4,4,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【表３】算定加算区分"]
["常勤職員の勤務すべき時間数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１日：",null,8,"時間",null,0,"分",null,null,null,"１週：",null,40,"時間",null,0,"分",null,null,"変形労働制　無・有（　　　　　　　　　　　　　）"]
["注１　この表は、運営指導実施日の前々月の内容で作成してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加算名",null,null,null,"算定加算区分"]
["注２　＊欄には、当該月の曜日を記入してください。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"児童指導員等加配加算",null,null,null,"児童指導員等・常勤専従・5年以上",null,"←【表２】の色つきの加算区分から選択"]
["注３　兼務職員の勤務時間数は、当該事業所・職種に係る時間数のみを記入してください。"]
["注４　各事業所・施設において使用している勤務割表等（変更があった場合は変更後の予定勤務割表）により、職種、勤務形態、氏名及び当該業務の勤務時間が確認できる場合は"]
["　　その書類をもって添付書類として差し支えありません。ただし、この場合には、各日ごとの利用者数が分かる資料を添付してください。"]
["注５　利用者数の欄には、各日ごとの放課後等デイサービスの利用者数を記入してください。"]
["注６　変形労働時間制を採用している場合のみ、５週目まで記載してください。「４週の合計」欄には第５週までの合計を記入してください。"]
["注７　「職種」欄は、管理者、サービス管理責任者、直接サービス提供職員等その事業について職員配置が必要な全ての職種を記載し、「勤務形態」欄は、①常勤・専従、\n　　　②常勤・兼務、③非常勤・専従、④非常勤・兼務のいずれかを記載してください。また、他の事業と兼務を行っている職員については、所定の欄に兼務先の事業名を記載してください。\n　　　同一法人内で複数事業所に勤務し、それぞれに時間数を分けて勤務する方は、法人として「常勤雇用」であっても、この表の勤務形態では「③非常勤・専従」となります。\n　　　その方は、「勤務先の事業所」欄に勤務する事業所名と職名を記入して下さい。当該事業所の中で複数の職種を兼ね、その合計時間数が常勤の時間数にその合計時間数が常勤の時間数に\n　　　満たない方は、各職種ごとに「③非常勤・専従」となります。"]

{"sheet":"３　請求","index":5,"n_rows":37,"n_cols":5,"rows_kept":37,"cut":false,"hidden":false,"merged":[]}
["３　障害児通所給付費の請求状況"]
[null,"当年度４月１日から本資料提出日直近までに算定したことのある加算（減算）のチェック欄に"]
[null,"○を記入してください。"]
[]
[null,"加算の種類","チェック欄","加算の種類","チェック欄"]
[null,"定員超過利用減算",null,"集中的支援加算","　"]
[null,"サービス提供職員欠如減算",null,"人工内耳装用児支援加算","　"]
[null,"児童発達支援管理責任者欠如減算",null,"視覚・聴覚・言語機能障害児支援加算","　"]
[null,"個別支援計画未作成減算",null,"個別サポート加算（Ⅰ）","　"]
[null,"自己評価結果等未公表減算",null,"個別サポート加算（Ⅱ）","　"]
[null,"開所時間減算",null,"個別サポート加算（Ⅲ）","　"]
[null,"身体拘束廃止未実施減算",null,"入浴支援加算","　"]
[null,"虐待防止措置未実施減算",null,"自立サポート加算","　"]
[null,"業務継続計画未策定減算",null,"通所自立支援加算","　"]
[null,"情報公表未報告減算",null,"医療連携体制加算（Ⅰ）","　"]
[null,"中核機能強化事業所加算",null,"医療連携体制加算（Ⅱ）","　"]
[null,"児童指導員等加配加算",null,"医療連携体制加算（Ⅲ）","　"]
[null,"専門的支援体制加算",null,"医療連携体制加算（Ⅳ）","　"]
[null,"看護職員加配加算（Ⅰ）",null,"医療連携体制加算（Ⅴ）","　"]
[null,"看護職員加配加算（Ⅱ）",null,"医療連携体制加算（Ⅵ）","　"]
[null,"家族支援加算（Ⅰ）",null,"医療連携体制加算（Ⅶ）","　"]
[null,"家族支援加算（Ⅱ）",null,"送迎加算"]
[null,"子育てサポート加算",null,"延長支援加算"]
[null,"利用者負担上限額管理加算",null,"関係機関連携加算（Ⅰ）","　"]
[null,"福祉専門職員配置等加算（Ⅰ）",null,"関係機関連携加算（Ⅱ）","　"]
[null,"福祉専門職員配置等加算（Ⅱ）",null,"関係機関連携加算（Ⅲ）"]
[null,"福祉専門職員配置等加算（Ⅲ）",null,"関係機関連携加算（Ⅳ）"]
[null,"欠席時対応加算",null,"事業所間連携加算（Ⅰ）","　"]
[null,"専門的支援実施加算",null,"事業所間連携加算（Ⅱ）","　"]
[null,"集中的支援加算",null,"保育・教育等移行支援加算","　"]
[null,"人工内耳装用児支援加算",null,"福祉・介護職員処遇改善加算（Ⅰ）\n（～R6.5まで）","　"]
[null,"強度行動障害児支援加算（Ⅰ）",null,"福祉・介護職員処遇改善加算（Ⅱ）\n（～R6.5まで）","　"]
[null,"強度行動障害児支援加算（Ⅱ）",null,"福祉・介護職員処遇改善加算（Ⅲ）\n（～R6.5まで）","　"]
[null,"福祉・介護職員等処遇改善加算（Ⅰ）\n（R6.6～）",null,"福祉・介護職員等特定処遇改善加算（Ⅰ）\n（～R6.5まで）","　"]
[null,"福祉・介護職員等処遇改善加算（Ⅱ）\n（R6.6～）",null,"福祉・介護職員等特定処遇改善加算（Ⅱ）\n（～R6.5まで）","　"]
[null,"福祉・介護職員等処遇改善加算（Ⅲ）\n（R6.6～）",null,"福祉・介護職員等ベースアップ等支援加算\n（～R6.5まで）","　"]
[null,"福祉・介護職員等処遇改善加算（Ⅳ）\n（R6.6～）"]

{"sheet":"４・５利用料・苦情等","index":6,"n_rows":22,"n_cols":13,"rows_kept":22,"cut":false,"hidden":false,"merged":[[6,1,6,2],[13,2,13,6],[13,7,13,12],[0,6,0,7],[1,1,1,2],[1,3,1,4],[1,5,1,6],[1,7,1,8],[2,1,2,2],[3,1,3,2],[4,1,4,2],[5,1,5,2],[14,2,14,6],[14,7,14,12],[15,2,15,6],[15,7,15,12],[16,2,16,6],[16,7,16,12],[19,2,19,6],[20,2,20,6],[21,2,21,6],[19,7,19,11],[20,7,20,11],[21,7,21,11]]}
["４　利用料の徴収状況",null,null,null,null,null,"　　年　　月分"]
[null,"項　　　　目",null,"単　　　価",null,"件　　　数",null,"徴収額"]
[null,"例）食費",null,300,"円",5,"件",1500,"円"]
[null,null,null,null,"円",null,"件",{"$f":"D4*F4","v":0},"円"]
[null,null,null,null,"円",null,"件",{"$f":"D5*F5","v":0},"円"]
[null,null,null,null,"円",null,"件",0,"円"]
[null,null,null,null,"円",null,"件",0,"円"]
[null,"※１　この表は、運営指導実施日の前々月の内容で作成してください。"]
[null,"※２　障害児通所給付費の自己負担額については記載不要です。障害児通所給付費の対象とならないもの（実費負担）のみ記載してださい。"]
[]
["５　苦情処理、事故発生時の対応等（運営指導実施日の前々月から直近１年間の状況について記載してください。）　　"]
[null,"※既存記録等のコピーを提出していただくことも可能です。その場合このシートの作成は不要です。"]
[null,"（１）　苦情処理の状況"]
[null,"苦情受付年月日","苦　情　の　内　容",null,null,null,null,"苦　情　へ　の　具　体　的　対　応"]
[null,"年　　月　　日"]
[null,"年　　月　　日"]
[null,"年　　月　　日"]
[]
[null,"（２）　事故発生時の対応状況"]
[null,"事故発生年月日","事　故　等　の　内　容",null,null,null,null,"事　故　等　へ　の　具　体　的　対　応",null,null,null,null,"市町村への\n事故報告"]
[null,"年　　月　　日",null,null,null,null,null,null,null,null,null,null,"　"]
[null,"年　　月　　日"]