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["（様式２）"]
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["新型コロナウイルス感染症緊急包括支援事業（介護分）事業実施計画書（事業所単位）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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）①　",null,null,"（２）②"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"共通",null,"単価","共通"]
["施設概要",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,null,null,null,null,null,null,null,null,null,"通所介護事業所（通常規模型）",892,"/事業所",null,200,"/事業所"]
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["介護保険事業所番号",null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所介護事業所（大規模型（Ⅱ））",1480,"/事業所",null,200,"/事業所"]
["所在地",null,null,"郵便番号",null,null,null,"都道府県名",null,null,null,"住所",null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡先",null,null,"電話番号",null,null,null,null,"担当部署名",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,null,null,null,null,"地域密着型通所介護事業所(療養通所介護事業所を含む)",384,"/事業所",null,200,"/事業所"]
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["事業区分",null,null,null,null,null,null,null,null," 介護慰労金事業　→　1を記載",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  感染対策費用助成事業　→ 2を記載",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所リハビリテーション事業所（大規模型（Ⅰ））",1181,"/事業所",null,200,"/事業所"]
[null,null,null,null,null,null,null,null,null," 個別再開支援助成事業　→ 3を記載",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　再開環境整備助成事業　→ 4を記載",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"通所リハビリテーション事業所（大規模型（Ⅱ））",1885,"/事業所",null,200,"/事業所"]
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["１．介護慰労金事業",null,null,null,null,null,null,null," ※対象職員の氏名等について、様式３を作成すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請額①",null,null,null,{"$f":"(20*M17+5*V17)*10+AE17","v":0},null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"訪問入浴介護事業所",564,"/事業所",null,200,"/事業所"]
["慰労金の区分・人数",null,null,null,null,null,null,"20万円対象",null,null,null,null,null,null,null,"人","5万円対象",null,null,null,null,null,null,null,"人","振込手数料",null,null,null,null,null,null,null,"千円（千円未満切り捨て）",null,null,null,null,null,null,{"$f":"IF(M17=0,,\"有\")","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,"訪問看護事業所",518,"/事業所",null,200,"/事業所"]
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["2．感染症対策を徹底した上での介護サービス提供支援事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助上限額",null,null,null,null,"申請額","今回申請分②",null,null,null,null,{"$f":"MIN(X20,ROUNDDOWN(H32/1000,0))","v":0},null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"定期巡回・随時対応型訪問介護看護事業所",508,"/事業所",null,200,"/事業所"]
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["【感染拡大防止対策や介護サービスの提供体制の確保のための経費】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年度合計額",null,null,null,null,{"$f":"SUM(AI19:AK20)","v":0},null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅介護支援事業所",148,"/事業所",null,200,"/事業所"]
["科目",null,null,null,null,null,null,"所要額（円）",null,null,null,null,"用途・品目・数量等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"福祉用具貸与事業所",148,"/事業所",null,200,"/事業所"]
["賃金・報酬",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅療養管理指導事業所",33,"/事業所",null,200,"/事業所"]
["謝金",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"小規模多機能型居宅介護事業所",475,"/事業所",null,200,"/事業所"]
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["需用費",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地域密着型介護老人福祉施設",{"$f":"CD27*計画書!$AC$10","v":0},"/定員",40,"-"]
["役務費",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護老人保健施設",{"$f":"CD28*計画書!$AC$10","v":0},"/定員",38,"-"]
["委託料",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護医療院",{"$f":"CD29*計画書!$AC$10","v":0},"/定員",48,"-"]
["使用料及び賃借料",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護療養型医療施設",{"$f":"CD30*計画書!$AC$10","v":0},"/定員",43,"-"]
["備品購入費",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知症対応型共同生活介護事業所",{"$f":"CD31*計画書!$AC$10","v":0},"/定員",36,"-"]
["合計",null,null,null,null,null,null,{"$f":"SUM(H23:L31)","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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"養護老人ホーム（定員30人以上）",{"$f":"CD32*計画書!$AC$10","v":0},"/定員",37,"-"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"養護老人ホーム（定員29人以下）",{"$f":"CD33*計画書!$AC$10","v":0},"/定員",35,"-"]
["3．在宅サービス事業所による利用者への再開支援への助成事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"申請額③",null,null,null,{"$f":"IFERROR(IF(H10=\"居宅介護支援事業所\",(X37*AI37+X38*AI38+X39*AI39+X40*AI40)/1000,(X35*AI35+X36*AI36)/1000),\"\")","v":0},null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"軽費老人ホーム（定員30人以上）",{"$f":"CD34*計画書!$AC$10","v":0},"/定員",37,"-"]
["利用者１人あたり単価\n　（居宅介護支援以外共通）",null,null,null,null,null,null,null,null,null,"電話による確認",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",1500)","v":1500},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"軽費老人ホーム（定員29人以下）",{"$f":"CD35*計画書!$AC$10","v":0},"/定員",35,"-"]
[null,null,null,null,null,null,null,null,null,null,"訪問による確認",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",3000)","v":3000},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有料老人ホーム（定員30人以上）",{"$f":"CD36*計画書!$AC$10","v":0},"/定員",37,"-"]
[null,"居宅介護支援のみ\n右欄に記載",null,null,null,null,null,null,null,null,"電話による確認",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",1500)","v":1500},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有料老人ホーム（定員29人以下）",{"$f":"CD37*計画書!$AC$10","v":0},"/定員",35,"-"]
[null,null,null,null,null,null,null,null,null,null,"電話による確認（看護師等が協力した場合）",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",4500)","v":4500},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"サービス付き高齢者向け住宅（定員30人以上）",{"$f":"CD38*計画書!$AC$10","v":0},"/定員",37,"-"]
[null,null,null,null,null,null,null,null,null,null,"訪問による確認",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",3000)","v":3000},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"サービス付き高齢者向け住宅（定員29人以下）",{"$f":"CD39*計画書!$AC$10","v":0},"/定員",35,"-"]
[null,null,null,null,null,null,null,null,null,null,"訪問による確認（看護師等が協力した場合）",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($H$10=\"介護予防・生活支援サービス事業の事業者\",\"\",6000)","v":6000},null,null,"円",null,"対象利用者数",null,null,null,null,null,null,null,null,"人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介護予防・生活支援サービス事業の事業者"]
[]
["4．在宅サービス事業所における環境整備への助成事業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補助上限額",null,null,null,null,"申請額","今回申請分④",null,null,null,null,{"$f":"MIN(X43,ROUNDDOWN(H55/1000,0))","v":0},null,null,"千円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(H10,計画書!CA5:CE39,5,FALSE),\"\")","v":200},null,null,"千円",null,null,"既申請分",null,null,null,null,null,null,null,"千円",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(X43>=AI44,\"○\",\"！（補助上限額を超過しています）\")","v":"○"}]
["【在宅サービス事業所における環境整備のための経費】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年度合計額",null,null,null,null,{"$f":"SUM(AI42:AK43)","v":0},null,null,"千円"]
["科目",null,null,null,null,null,null,"所要額（円）",null,null,null,null,"用途・品目・数量等"]
["賃金・報酬"]
["謝金"]
["会議費"]
["旅費"]
["需用費"]
["役務費"]
["委託料"]
["使用料及び賃借料"]
["備品購入費"]
["合計",null,null,null,null,null,null,{"$f":"SUM(H46:L54)","v":0}]
[]
["（注）２．及び４．の事業の申請額（今回申請分）は、補助上限額と所要額を比較していずれか低い方の額が入力される。"]

{"sheet":"計算用","index":1,"n_rows":67,"n_cols":8,"rows_kept":67,"cut":false,"hidden":true,"merged":[]}
[null,null,null,null,null,null,null,"※本シートは絶対に編集しないこと。"]
["施設区分"]
["陽性者(濃厚接触者)発生施設","通所系･施設系で1日以上勤務又は訪問系で陽性者等に1日以上対応","訪問系で陽性者等への対応はないが対象期間に10日以上勤務","対象期間の勤務が９日以下"]
["その他の施設","対象期間に10日以上勤務","対象期間の勤務が9日以下"]
[]
[]
["慰労金単価"]
[{"$f":"A3&B3","v":"陽性者(濃厚接触者)発生施設通所系･施設系で1日以上勤務又は訪問系で陽性者等に1日以上対応"},20]
[{"$f":"A3&C3","v":"陽性者(濃厚接触者)発生施設訪問系で陽性者等への対応はないが対象期間に10日以上勤務"},5]
[{"$f":"A3&D3","v":"陽性者(濃厚接触者)発生施設対象期間の勤務が９日以下"},0]
[{"$f":"A4&B4","v":"その他の施設対象期間に10日以上勤務"},5]
[{"$f":"A4&C4","v":"その他の施設対象期間の勤務が9日以下"},0]
[]
[]
[]
[]
["なし"]
["あり"]
[]
[]
["北海道"]
["青森県"]
["岩手県"]
["宮城県"]
["秋田県"]
["山形県"]
["福島県"]
["茨城県"]
["栃木県"]
["群馬県"]
["埼玉県"]
["千葉県"]
["東京都"]
["神奈川県"]
["新潟県"]
["富山県"]
["石川県"]
["福井県"]
["山梨県"]
["長野県"]
["岐阜県"]
["静岡県"]
["愛知県"]
["三重県"]
["滋賀県"]
["京都府"]
["大阪府"]
["兵庫県"]
["奈良県"]
["和歌山県"]
["鳥取県"]
["島根県"]
["岡山県"]
["広島県"]
["山口県"]
["徳島県"]
["香川県"]
["愛媛県"]
["高知県"]
["福岡県"]
["佐賀県"]
["長崎県"]
["熊本県"]
["大分県"]
["宮崎県"]
["鹿児島県"]
["沖縄県"]