Joint Federal Emergency Solutions Grant and California Emergency Solutions Grant Program

Joint Federal Emergency Solutions Grant and California Emergency Solutions Grant Program

Revised

2017 Competitive Application

for the Balance of State Allocation

State of California

Governor Edmund G. Brown Jr.

Alexis Podesta, Secretary

Business, Consumer Services and Housing Agency

Ben Metcalf, Director

Department of Housing and Community Development

NOFA Section, ESG Program

2020 West El Camino Avenue, Sacramento, CA 95833

ESG Program Email:

FINAL FILING DATE: SEPTEMBER 15, 2017, 5:00 P.M.

TABLE OF CONTENTS

SECTION I: GENERAL INSTRUCTIONS

APPLICATION FORMS CHECKLIST

FORM 1: CERTIFICATION OF CONTINUUM OF CARE APPROVAL FOR APPLICANT

SECTION II: CONTACT FORMS AND LEGISLATIVE INFORMATION

FORM 2: APPLICANT CONTACT INFORMATION

FORM 3: CONTINUUM OF CARE CONTACT INFORMATION

FORM 4: LEGISLATIVE AND CONGRESSIONAL INFORMATION

SECTION III: RATING CRITERIA

FORM 5: APPLICANT EXPERIENCE (20 points)

FORM 6: PROGRAM DESIGN (20 points)

FORM 7: NEED FOR FUNDS (10 points)

FORM 8: IMPACT AND EFFECTIVENESS (30 points)

FORM 9: COST EFFICIENCY (10 points)

SECTION IV:ATTACHMENTS

GOVERNING BOARD AUTHORIZED RESOLUTION

CERTIFICATION OF WRITTEN STANDARDS

EMERGENCY SHELTER CERTIFICATION OF LOCAL GOVERNMENT APPROVAL

ACTIVITY DESCRIPTION AND INFORMATION

PROJECTED OUTCOMES

NEED FOR FUNDS DOCUMENTATION AND CERTIFICATION

HMIS OR COMPARABLE DATABASE REPORTS

COST EFFICIENCY DOCUMENTATION

INCORPORATION DOCUMENTS

EVIDENCE OF SITE CONTROL

MAINTENANCE OF EFFORT

BUDGET WORKBOOK

CERTIFICATE OF INDIRECT COSTS

PAYEE DATA RECORD

CONTINUUM OF CARE - ESG WRITTEN STANDARDS

PROGRAM RULES, POLICIES AND PROCEDURES

COORDINATED ENTRY POLICIES AND PROCEDURES

SECTION I: GENERALINSTRUCTIONS

This application is subject to the Emergency Solutions Grant (ESG) Program federal regulations established by the U.S. Department of Housing and Urban Development(HUD), 24Code of Federal Regulations (CFR), Parts 91 and 576, as well as 25 California Code of Regulations (CCR), Section8400etseq and the California Emergency Solutions Grant (CA ESG) Program guidelines.

A.Please read the ESG 2017 Notice of Funding Availability (NOFA) for the Balance of State (BoS) Allocation, as well as the federal and State ESG regulations and CA ESG Program guidelines cited above.

B.Application Submittal:

Applicants recommended for funding by the local Continuum of Care (CoC) should submit one original (hard copy) application with wet original signatures in a 3-Ring Binder with pockets and one USB flash drive that includes a copy of the application with signatures. Applicants are required to submit Application Forms 1-9 and Attachments A-Q; each form and attachment should have an individual tab in the submitted 3-Ring Binder.

Application forms and the budget workbook for the BoS Allocation are available on-line to download at:

Application forms including the budget workbook and attachments must be submitted no later than 5:00 p.m. Pacific Standard Time on September 15, 2017. Application forms not submitted by the deadline will result in a denial of funds to your CoC Service Area. Applicants recommended for funding by the local CoC are responsible for ensuring that all required materials are submitted by the deadline. The Department of Housing and Community Development (HCD) will not grant any extensions.

C.All HCD funding decisions are final.

APPLICATION FORMS CHECKLIST

The checklist below lists the application forms required to be submitted in the Application Package. Application forms and attachments(see Attachment Checklist in Section IVon page 25) not submitted to HCD by September 15, 2017 will result in a denial of funds to your CoC Service Area. HCD will not grant any extensions.

Section I

Form 1 Certification Of Continuum Of Care Approval For Applicant

Section II

Form 2Applicant Contact Information

Form 3Continuum of Care Contact Information

Form 4Legislative and Congressional Information

Section III

Form 5Applicant Experience

Form 6Program Design

Form 7Need for Funds

Form 8Impact and Effectiveness

Form 9Cost Efficiency

FORM 1: CERTIFICATION OF CONTINUUM OF CARE APPROVALFOR APPLICANT

By signing below, the CoC Representative certifies is one of the recommended 2017 ESG Competitive Applicants.

certification of cOc approval for applicant
PRINTED NAME OF COC AUTHORIZED REPRESENTATIVETITLE
______
COC AUTHORIZED REPRESENTATIVE SIGNATURE
DATE

SECTION II: CONTACT FORMS AND LEGISLATIVE INFORMATION

FORM 2: APPLICANT CONTACT INFORMATION

Note:Name of Applicant must be the same as stated in the Governing Board Authorizing Resolution (Attachment A),Articles of Incorporation (Attachment I), and Payee Data Record (Attachment N).

Name of Applicant:
County: / Federal Tax ID Number (EIN):
Address: / Data Universal Numbering System (DUNS):
City, State and Zip:
Private Non-Profit (501(c)3) / Victim Services Provider
Unit of General Purpose Local Government / Legal Services Provider
Authorized Representative Information (Per Board Resolution attached to this application)
Last, First and Middle Names: / Mr.Mrs.Ms.Other
Title:
Address: / City, State and Zip:
Area Code / Phone No.:Fax No.: / E-Mail Address:
Applicant Contact Information (If Different from Authorized Representative)
Last, First and Middle Names: / Mr.Mrs.Ms.Other
Title:
Address: / City, State and Zip:
Area Code / Phone No.:Fax No.: / E-Mail Address:
Applicant Fiscal Representative Information (i.e., CFO, Accountant/Bookkeeper)
Last, First and Middle Names: / Mr.Mrs.Ms.Other
Title:
Address: / City, State and Zip:
Area Code / Phone No.:Fax No.: / E-Mail Address:

FORM 3: CONTINUUM OF CARE CONTACT INFORMATION

Provide information for the CoC where the Applicant will provide assistance with the ESG funding requested in this application.

Continuum of Care (CoC) Name:
CoC Contact: Last, First and Middle Names: / Mr.Mrs.Ms.Other
Title: / CoC No.:
Address: / City, State and Zip:
Area Code / Phone No.:Fax No.: / E-Mail Address:
CoC Homeless Management Information System (HMIS):
HMIS Software:
HMIS Lead:Last, First and Middle Names: / Mr.Mrs.Ms.Other
Title:
Address: / City, State and Zip:
Area Code / Phone No.:Fax No.: / E-Mail Address:
Victim Service Provider Comparable Database Name (if applicable):
Contact: Last, First and Middle Names: / Mr.Mrs.Ms.Other
Title:
Address: / City, State and Zip:
Area Code / Phone No.:Fax No.: / E-Mail Address:
Legal Service Provider Comparable Database Name (if applicable):
Contact: Last, First and Middle Names: / Mr.Mrs.Ms.Other
Title:
Address: / City, State and Zip:
Area Code / Phone No.:Fax No.: / E-Mail Address:

FORM 4: LEGISLATIVE AND CONGRESSIONAL INFORMATION

Provide the Legislative and Congressional information for the Applicant and each activity location, (if different than Applicant location), included in this application.

To locate or verify the Legislative and Congressional information, click on the respective links below and enter the Applicant office location zip code, the activity location site zip code(s) (i.e., zip code(s) where activities are performed) and any additional activity location site(s), as applicable.

State Legislators:

U.S. House of Representatives:

Applicant Office Location / District # / First Name / Last Name
State Assembly Member
State Senate Member
U.S. House of Representatives
Activity Location(s) – (if different from Applicant location) / District # / First Name / Last Name
State Assembly Member
State Senate Member
U.S. House of Representatives
Activity Location(s) – (if different from Applicant location) / District # / First Name / Last Name
State Assembly Member
State Senate Member
U.S. House of Representatives
Activity Location(s) – (if different from Applicant location) / District # / First Name / Last Name
State Assembly Member
State Senate Member
U.S. House of Representatives

SECTION III: RATING CRITERIA

FORM 5: APPLICANT EXPERIENCE(20 points)

How many years of experience does the Applicant have operating the ESG activityproposed in the application?

6+ Years

3 – 5 Years

1 – 2 Years

Less than 1 Year

Identifythe period. If less than a full year, include months:

How many years does the Applicant have experience operating a similar activity?

Note: The similar activity must be a ‘like’ activity. (For example, CalWORKs RR issimilar to ESG RR; the Section 8 Housing Choice Voucher Program is similar to RR).

6+ Years

3 – 5 Years

1 – 2 Years

Less than 1 Year

Describe the similar activity in 100 words or less:

List up to three (3) similar activities for the period identified in b above. If lessthan a full year, include months.

Name of Activity / Location / Time Period / Principal Funding Source

HCD ESG Contracts Administered from 2014 to Present (- 20 Points)

For applicants who have received ESG funding in the past three years, up to twenty (20) points will be deducted based on the following:

Whether the Department has terminated or disencumbered ESG funding;

Whether the applicant has any unresolved monitoring findings in ESG that pose a substantial risk to the Department; and,
Whether the applicant has not submitted ESG annual reports in a timely manner.

List all ESG contracts received from the Department and information for the bulleted items above from2014 – present:

ESG Contract
# / Terminated and/or Disencumbered ESG contracts / Unresolved monitoring findings / Name and year of the annual report(s) submitted late

FORM 6: PROGRAM DESIGN(20 points)

The ESGCore Practices which fall into four primary areas: Coordinated Entry Process(25 CCR 8409(a)); Housing First Practices (25 CCR 8409(b)); and Progressive Engagement (25 CCR 8409(b) (6)); Cultural Competency (CA ESG Guidelines Section 109(B).

Documentation Table

Instructions: Use the table below to identify the Core Practice(s) and page number(s)in the specified document where the information supporting the implementation of the Core Practice(s) can be found.

Document / Relates to:
(Check all that apply) / Page Number(s) where information is found in the Document
CoC’s Written Standards
(Attachment O) / □ Coordinated Entry
□ Housing First
□ Progressive Engagement
Program Rules, Policies and Procedures
(Attachment P) / □ Coordinated Entry
□ Housing First
□ Progressive Engagement
□ Cultural Competency
Coordinated Entry Policies and Procedures
(Attachment Q) / □ Coordinated Entry
□ Housing First
□ Progressive Engagement

Core Practices Tables

Instructions: Complete the Core Practice Table that is applicable to the primary activity being requested in this Application. Indicate the frequency with which the practices described in the Core Practice Table are implemented within your ESG activity. Include the page number(s) in your Program Rules, Policies and Procedures and Written Standards that supports your response.

You do not need to complete a table for Street Outreach if Street Outreach is only10 percent of this application request.

Emergency Shelter

Coordinated Entry, Housing First and Progressive Assistance Practices

Coordinated Entry Participation and Program Screening, Triage and Access / Always; Fully Implemented / Sometimes; Seeking to Fully Implement / Not Currently; Seeking to Implement / Page #s in Program Rules, Policies and Procedures Which Support This - REQUIRED / Page #s in CoC Written Standards
Which Support This - REQUIRED

All referrals to the program, including screening for program eligibility and prioritization, occur according to the CoC’s Coordinated Entry system protocols.

All people requesting shelter are screened for other safe and appropriate housing options (temporary or permanent) and resources to obtain/maintain their housing. People who haveother safe and appropriate housing options or resources are diverted away from emergency shelter and instead offered problem-solving assistance and immediate linkage to homelessness prevention assistance, as needed, desired and available.

All people requesting shelter are also screened for critical health and safety needs to identify people with more severe service needs and provide an appropriate response.

Program admission is prioritized for people with the most urgent and severe needs (as defined in §8409, Core Practices).

Access to emergency shelter is provided without preconditions, such as sobriety or ability to pay program fees.

Program participants are referred to other forms of homeless assistance in the CoC service area according to the CoC’s Coordinated Entry system procedures.

Housing First, Progressive Engagement & Assistance Practices / Always; Fully Implemented / Sometimes; Seeking to Fully Implement / Not Currently; Seeking to Implement / Page #s in Program Rules, Policies and Procedures Which Support This - REQUIRED / Page #s in CoC Written Standards
Which Support This - REQUIRED

Participants and staff understand that the primary goals of the emergency shelter are to:

Provide temporary accommodation that is safe, respectful and responsive to individual needs; and,
Re-house participants in permanent housing as quickly as possible, regardless of other personal issues or concerns.

Participants are expected to be actively working on re-housing plans and engaging in related assistance to overcome immediate and direct barriers to securing housing.

Participant assessment focuses on:

Immediate health and safety needs relevant to providing temporary accommodations; and,
Information relevant to securing housing, including: participant preferences; factors that would cause a landlord to reject the person’s application (past evictions, criminal history, etc.); factors that directly led to housing instability or homelessness in the past (failure to pay rent, lease violations, etc.); and other information necessary to link participants to financial assistance and housing-related resources.

Participants are assisted with creating and updating individualized Housing Plans designed to re-house and stabilize participants as quickly as possible.

Staff helping to re-house participants are aware of and know how to access a wide array of housing options (public/private, subsidized/unsubsidized, all local permanent supportive housing, etc.) directly or through the CoC’s coordinated entry system to help participants achieve their Housing Plan goals.

Participants are provided or connected to housing location and placement assistance, including financial assistance for move-in costs, to achieve their Housing Plan goals. Assistance is provided:
For all participants who cannot otherwise exit on their own;
Without additional preconditions, such employment or sobriety; and,
With understanding that housing may cost greater than 30% of participant income and be precarious.

Staff are aware of and know how to access other community resources (e.g., legal services) that can help participants achieve their housing placement and stabilization goals.

Participation in services unrelated to obtaining permanent housing is voluntary.

Exits to other homeless situations are avoided, even when program rules are violated. People who pose an imminent risk of harm to themselves or others may be exited to more appropriate assistance, such as a more intensive program, hospital or other emergency responder.

Participants only move to other emergency shelter or transitional housing when:

They desire and choose;
More appropriate to meet their health and safety needs (e.g., persons in early recovery; domestic violence survivors; those who need special accommodations); and,
No permanent housing solution (with or without supportive services) is currently available that is a similar or better match for their preferences and needs.

All service providers receiving CA ESG funds shall take actions to create an effective, welcoming and affirming environment for all program participants and employees, including, but not limited to, persons of different races, ethnicities, sexual orientation, gender identities and gender expressions.

/ N/A

Rapid Re-Housing

Coordinated Entry, Housing First and Progressive Assistance Practices

All referrals to the program, including screening for program eligibility and prioritization, occur according to the CoC’s Coordinated Entry system protocols.

All people who are literally homeless who cannot quickly secure housing on their own or with another form of assistance are screened for and offered rapid re-housing assistance, to the extent they are eligible and assistance is available.

Program admission is prioritized for people with the most urgent and severe needs (as defined in § 8409. Core Practices).

Program participants are referred to other forms of homeless assistance in the CoC service area according to the CoC’s Coordinated Entry system procedures.

Program participants are provided access to rapid re-housing assistance without preconditions, such as sobriety or minimum income level.

Participants and staff understand that the primary goal of rapid re-housing is to end homelessness and move participants to permanent housing as quickly as possible, regardless of other personal issues or concerns.

Participant assessment focuses on barriers to obtaining and/or maintaining housing (e.g., past rental/credit/criminal history, current income, legal issues, knowledge of tenant rights and responsibilities, etc.).

Participants are assisted with creating and (for ongoing assistance) updating individualized Housing Plans, designed to re-house and stabilize participants as quickly as possible.

Participants are provided assistance to locate and obtain permanent housing, financial assistance for move-in and stabilization costs and housing case management in order to achieve their Housing Plan goals. This includes assistance to address tenancy problems that may jeopardize housing. Assistance is provided:

Without additional preconditions, such as employment or sobriety; and,
With understanding that housing may cost greater than 30% of participant income and be precarious.

Staff helping participants are aware of and know how to access a wide array of housing options (public/private, subsidized/unsubsidized, all local permanent supportive housing, etc.) to help participants achieve their Housing Plan goals.

Staff are aware of and know how to access other community resources (e.g., legal services, subsidized childcare) that can help participants achieve their housing placement and stabilization goals.

Participation in services unrelated to obtaining or maintaining permanent housing is voluntary.

All service providers receiving CA ESG funds shall take actions to create an effective, welcoming and affirming environment for all program participants and employees, including, but not limited to, persons of different races, ethnicities, sexual orientation, gender identities and gender expressions.

/ N/A

Street Outreach