U. .

-DeRartrnentof Housing f and Urban Development tfi ce of Communify plannin g ^u and Development

OMB Approval No.2506-0145 (exp. Il/30/2009)

.G@qM
Annual progressRep ort(ApR)
for Supportive Housingprogram Shelterplus Care and Section ModerateRehabititation 8 for SingleRgom O..upuo.V Dwellings(SROI progrum

HUD-4OI I8

Public reporting burden for th'is collection ofinformation is estimatedto average 33 hours per response, including the time for reviewing instructions, searching existing data sources,gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and a person is not required to respond to, a collection ofinformation unless that collection displays a valid OMB conhol number.

General Instructions Purpnse.-.TheAnnual ProgressReport (APR) is a reporting tool that HLID usesto track program progress and accomplishments and inform the Deparhnent's competitive process for homelessassistance firnding. Filing Requirements. Recipientsof lilJD's homeless assistance erants must submit 2 APR,S to HIID within 90 days after the end of each operating vear. One copy of the reportmust be submittedto tl" .rrt (CPD) Division Director in the local HLTDField Office responsible for managing the grant. The other copy must be submitted to HUD Headquarters,Department of Housing and Urban Development, Attn: ApR Data Editor, Noo^ii6z,45l 7d'Street, SW, Washington, DC. 20410' Failure to submit an APR will delay receiving grant funds and may result in a determination of lack of capacity for future funding. An APR must be submitted for each operating year in which HIID funding is provided. Granteesthat received SHP ft[rding for new construction,acquisition, or rehabilitation are required to operatetheir facilities for 20 years. They must submit an A?R 90 days aftef the end of the frst operating year and y"u, throughout the 20 years. "u"ry A separate report must be submitted for each F|LID grant received. For Shelter plus Care (S+C), a separateApR must be submitted for each S+C component. For those granteesreceiving an extension,a separate report covering that period must be submitted (seeExtension below;.

Recordkeeping. Granteesmust collect and maintain information on eachparticipant in order to complete an ApR. Optional worksheetsare attached. The worksheetsmay be used to record information manually or to design a computerized sysiem to store and tabulatethe information. The worksheetsshould not be submitted to HUD with the ApR. Organization of the Report. The APR is organized in the following manner: Part I: Project Progress.This portion of the report describes progressin moving homeless the personsto self-sufficiency, documenting servicesreceived, listing project goals, and accounting for beds/umts. Part II: Financial Information. and SRO. This portion of the report is completed by all granteesreceiving funding under SHp, S+C,

Final Assembly of Report. After the entire report is assembled, number every page sequentially. Mark any questionsthat do not apply to your program with "N/A" for not applicable. (See Special Instructions for SSO projects below.) Definitions of Client/Ilousehold Types. Each client/household type is defrnedbelow. Note that a client,s client/household type shouldbe basedon the client's age and/orhousehoid compositionat theprogram entry date closest the start of the to operating year. Families - A family is a household composedof two or more related persons,at least one of who is a child accomtranied by an adult or a juvenile parent. Singles not in Families - Personsnot accompaniedby children, including pregnant women not accomparuedby other children and unaccompaniedyouth, are singles not in families. When two adults or two unaccompaniedyouth present together for services,eachperson should be counted in singles not rn families.. Clients' household statusshould be determinedbased on their household composition at the program entry date closest to the start of the operating year. This meansthat pregnant women expectedto give birth dwing their program stay should still be counted as singles not in families. Adults in F amilies - Within a family, an adult is any person 18 years of age or older. For the purposesof ApR reporting, the determination of whether a person is an adult in family should be made based on their age and Lousehold composition at the program entry date closest to the start ofthe operating year. Children in Families - Children in Families are defined as children under the age of 18 accornpaniedby one or more adults (parent, relative or guardian). Children in families also include both a juvenile parent uod th" parent's child(ren). For the purposesof APR reporfing, the determinationof whether a person is a chrld in family should be made based on thefuage and household composition at the program entry date closestto the start of the operating year. For example,
HUD-40118

ciients who are less than I 8 years of age on the first day of the operating year or at program entry (if they enteredduring the operatirg year) should be countedas children evenifthey turn 18 durilg the courseofthe operatingyear. Fersons in Farnilies - Persons famiiiesincludesadultsin famrliesand cllldren rn fanrilies. in

Other Key Definitions. The following termsare used in the APR. As indicated,in somecases, terms are appiied differently dependingon whether the funding is from SHP, S+C, or SRO. Chronically homelessperson - HIjD definesa chrorucallyhomeless personas "an unaccompanied homeless individual with a disabling condition who has either been continuously homelessfor a year or more OR has had at least four (4) episodes homelessness the pastthree(3) years." To be consideredchronicallyhomeless, personmust have been on of in a the sheets or in an emergencyshelter (i.e., not il transitional housing) during thesestays. HUD's definition of a chronicallyhomeless personis basedon the following components: r Unaccompanied homelessindividual: an unaccompanied homeless individual hasthe samecharacteristics of a Single not ir a Family (describedabove). o Disabling condition: seethe instructions under disabhng condition (below) to determine whether a client is disabled. Did not leave the program - This term refers to clients who were il the program on the last day of the operating year. Disabling condition - HUD defrnes disablingcondition as: (1) A disability as definedin Section223 of the Social a Security Act; (2) a physical, mental, or emotional impairment which is (a) expectedto be of long-continued and indefinite duration, (b) substantially impedes an individual's ability to live independently,and (c) of such a nature that such ability could be improved by more suitablehousingconditions;(3) a developmental disability as definedin section102 of the Developmental Disabilities Assistance and Bill of Rights Act; (4) the disease acquiredimmunodeficiency of s1'ndrome or any conditions arising from the etiological agency for acquired immunodeficiency slmdrome; or (5) a diagnosable substanceabusedisorder. Entered the program - Enteredthe programrefersto the frst day a client receivesservices.For a residential prograrn, iliis daie wo.ild iepreseiiiilic firsi 'Ja; of residenc.^ ihe picg;am': houslng. Fcr scr,'ices, ri tHs Ca'.e inii/ represent da;, ths of program enrollment, the day a service was provided, or the fust date of a period of continuousparticipation in a servrce (e.g.,daily, weekly, or monthly). For S+C and SRO prorru*., the program entry date is the date that the participant starts to receive rental assistance.For S*C, servicesprovided prior to this point are recogn)zedas necessaryfor ouheach./enrollment are eligible to count as and match. An Extension APR applies to SHP and S+C granteesthat requestedand received an extensionof their grant term from the HLrD field office. The only difference befween an APR for the extensionperiod and the regular APR (besidesthe amount of time covered) is the signaturepage. Granteesshould circle "yes" to indicate the APR is for an extension period and circle the operating year for which the report is an extension.For example, if the granteeis extending year 3, the granteeshould submit an APR as usual for year 3 and submit anotherAPR for the extensionperiod, indicatrng the secondis an extensionand also circling year 3 on the signaturepage. Grantee means a direct recipient of the HIID award. Left the program - Left the programrefersto the last day a client receivesservices.For a residentialprograrn" this date would representthe last day of residencein the program's housing. For services,the exit date may representthe last day a servicewas provided or the last dateof a period of continuousservice. If a client leavesthe program temporarily(e.g., for a hospitalization) but is expectedto return within 30 days, do not count that client as havrng left the prograrn For S+C programs, the program exit date refers to the date the participant stopsreceiving rental assistance and is not expectedto refum to S+C assistedhousing. If the participant returns to S+C assistedhousing within 90 days, the person should not be considered as exiting from the program. If the person refurns to S+C assistedhousing after 90 days, that person is considered a new participant. The worksheet is designed to capturethis information,
HUD-40118

Match for S+C is the value of supportive servicesreceived by participants in the S+C project which, in the aggregate, must at least equal the value of the S+C rental assistance provided over the life of the project. For SHP, match is cash used to provide the grantee'sportion ofacquisifion, rehabilitation, new construction, operations and supporlive services expenses. Operating year - For SHP programs, the first operating year begins after development activities for acquisition, rehabilitation, and new construction are complete, after a copy of the Certificate of Occupancy is sent to the local HUD office, and when the first participant is acceptedinto the project. For projects without acquisition, rehabilitation, or new construction,the operaling start date begins when the granteeacceptsthe fust participant. For dedicatedHMIS projects, the operatingyear begins when any eligible cost included in the approvedproject budget is incurred. For S+C (SRA, PRA and TRA components),the ftst operating year begins on the date HUD signs the grant agreement. For S+C/SRO and for Sec. 8 SRO, the fust operating year begins with the effective date of the Housing AssistancePayments(HAP) Contract. To determinewhich operating year to circle on the APR cover page, begin counting from the initial grant operating start date and include renewal grants. For example, a project receiving an initial grant for three years and a renewal grant for two yearswould circle years 1, 2, and 3 respectively on the APR cover sheetfor the initial grant and would circle 4 and 5 respectivelyfor the renewal grant. For any future renewal grants,the granteewould begin by circling 6 on the APR cover sheet. Participants - The term parficipant refers to Singlesnot in Families and Adults in Families as defined above. Participant doesnot include children or caregiverswho live with the adults assisted. Project Sponsor meansthe organization responsible for carrying out the daily operation of the project, if the organizationis an entity other than the grantee.

Special Instructions for Supportive Service Onlv (SSO) Programs. SSO grantees should completeall questions, un-less written agreementhas been reachedwith the freld office concerning which questionscan be answeredusing estimates, a or in rare ilstances, skipped. Below is an example of how information could be derived in a large, single-serviceSSO project: A grantee/sponsor staff member could be assignedto collect information ffom the organizationshousing the participants. The person would contact these individual organizationsto requestinformation regarding the persons in that faciliry that use staff the service.For participants living on the street,the grantee/projectsponsormay provide estimates. Information could be collected for each participant or for participants receiving servicesat a point-in-time . If estimatesor poinfintime counts are used, the method used must be describedin the APR and the documentationkept on file. grants, granteesoperating SSO projects are expectedto assistance As with all projects funded under HIJD's homelessness questionsthat are applicable to them. Note that all projects have been awarded firnds as a result of complete all APR responding to the program goals of assistiaghomelesspersons obtain/remainin permanenthousing and increasetheir skills and income. The APR documentstheir progressin meeting these goals. field offices and granteesmay sign a written agreementconcerning questionsthat can be answeredusing In some circumstances estimates,or in rare instances,skipped. Seethe special instructions below for reporling on special types of projects, such as outreachonlyprojects, projects providing servicesto children only, and transportation,medical, dental, and other single, shortduration serviceproj ects. SSO programs are a thfudpriority for local HMiS implementation, following emergencyshelters,transitional housing programs, programs,and permanent supportive housing programs. Once SSO programs are included in the HMIS, SSO grantees outoeach will be able to answerall APR questionsusing their HMIS data. SSO granteesthat are not yet participating in HMIS will need to collect datato answerthe APR questionsusing the special instructions provided above. Outreach Only Projects. Projects which are solely devoted to sheet outreach and cormection to housing and services are not required to track participants beyond their contact with personson the street. It is sufficient for theseproj ects to enter
HUD-40118

THIS PAGE - TO BE COMPLETED BYALL GRANTEES

Grantee:

HUD Grantor Project Number:

Department Human CityandCounty SanFrancisco, of of Services

ProjectSponsor:

cAo1 c501 043

Pr n i p n t \l a - - .

Tenderloin Neighborhood Development Corporation

OperatingYear: (Circle operating beingreported year the on)

Franciscan Towers
Reporting Period: (month/daylyear)

xr Jz tr: fl+ ns no Jt Da Ds Dro [ rr D r z n r : [ r + [rs l re E i z n ra l rq n z o

Indicate extension: fl Yes X No if Indicate renewal: if XI Yes I No
PreviousGrant Numbersfor this proiect:

from:B/1106 to:71311A7

cAo1c401043 cAo1c301043 c401c201033

cA39C93r054

Check the component for the program on which you are reporting.

Supportive HousingProgram(S[IP) I I
Ll

Shelter PIusCare(S+C) (TRA) Tenant-based RentalAssistance Sponsor-based (SRA) Rental Assistance Projecrbased (PRA) Rental Assistance Single (SRO) RoomOccupancy

Section Moderate 8 Rehabilitation n Single RoomOccupancy (Sec.8 SRO)

I I I

Transitional Housing n Permanent Housing Homeless X for ll Persons with Disabilities n Sate Haven Innovative Supportive Housing Supportive Services Only HMIS

Summary of the project: (One or fwo sehtences with a descriptionof population,number served' and accomplishments operatingyear) this

year,this projectprovided to 35 unitsof permanent Duringthis operating up housingto homeless singleadultsand families.All of the participants were from the streetsor emergency sheltersand are livingwithtwo or more special needsrelated mentalhealth,substance to ab(use), and/orHIV/AIDS.
Name& Title of thePerson who calranswer questions aboutthis report:
Phone: (include areacode)

Delene Rankin, SocialWork UnitManager Tenderloin Neighborhood Development (TNDC) Corporation

Address:

(415)749-1796
(include FaxNumber: area code)

201Eddy Street, Francisco, San California94102

E-mail Address drankin@tndc.org

(415) 776-2930

I hereby certify that all the information stated herein is true and accurate.
Warning: HIID will prosecute false claims and statements.Conviction may result in criminal a 1010.10 12 13 1U.S.C.3 729. 380A ,l Name& Title of Authorized Grantee Official: Signature &

(1 8 . s . c . u

Stephen Adviento, SHP/S+C Program Grants & Analyst ,.

Name and Title of Authorized Project Sponsor Official:

f0 03

DonFalk,Executive Director, TNDC

5W'/"/'T,D401,8

./ - --:, r/

(EXCEPT HMTS) BY PARTI. TOBE COMPLETED ALL GRANTEES

OI{ INSTRUCTIONS PAGE3 OF THEAPR PLEASE SEESPECIAL SSO GRANTEES, Part I: Project Progress
1. Projected Level of Personsto be served at a given point in time. (This informationcomeslrom the most recentCoC
Number of SinglesNot in Famiiies lo

aDpIlcatlon. Numberof Adultsin Families Numberof Children in Families

Number of Famiiies

a.

ProiectedLevel Personsto be servedat a given point in time

19

2.

Persons Served during the operating year.

Number of SinglesNot in Families

Number of Adultsin Families

o
?

Number of Children in Families

Number of Families

Number on the first day of the operating year b Number entering program during the operating year Number who left the program during the operating year d. Number in the program on the last day of the operating year (a +b -c):d

24 7 8

7
5

0
o

0 12

23

Explanatory notes: SeeDefinitions of ClientrHousehold Types in the GeneralInsfructionsaboveto detemine which clients should be countedas SinglesNot in Families, Adults in Families, and Children in Famiiies. Note that this table does not account for changesin client/household type that may occur during the courseofthe operatingyear. Instead,each client should be assigned singleclient/household a type basedon the client's age and/or household composition at the program entl date closest to the start of the operating year. ln this way, each client is counted

only oncein thetable.

-*iio slioul,i be counted ln rcws a-d: Usetheibiiowinggraphic expianaiiorrsio detei:::uine anci

.i

Client program llrsldayof in on year,Ieffduring operating lhe yeaf: count h2a and2c.
Clienl in program on frst day ofoperating year and lasl day ofope.ating year: count in2a and2d. aF#{ Cllent entered and leff program duilng operattng year count in2b and2c. Clienl enlered program during opefating year and still in program on last day ofyear count in 2b and 2d.

H Client entered and ien program before slarl of operating year do nol counl in quesiion 2.

FiEt day ofthe operatihg year

Last day of the operaling year

Numtrer on the first day ofthe operating yean This row includesall clientswho enteredthe program before the f,rrst day ofthe operating year and did not leave the program until after the first day of the operating year. b. Number entering the program during the operating year: This row includesall clientswho enteredthe program on or after the first day of the operatingyear,up to and including the last day of the operatingyear. For ciientswith multiple program entry dates,use the enfry date closestto the startofthe operatingyear.Do not count the client more than once even ifhe/she enteredthe programmore than once during the operating year. Number who left during the operating year: This row includes all ciients who left the program on or after the first day of the operating year, up to and including the last day of the operating year. For clients with multiple program exit dates, use the exit date HUD-40118

c,

closest theendofthe operating to year'Do not counttheclientmorethanonceeven ifhe/sheexited program the morethanonceduring the operating year. d' Numberin the programon the last day of the operating year: Thisrow includes clients a1l who werein theprogram of thefirst as day of the operating yearor who entered duringthe op.tuiingy.r and whodid not leaveduringthe operating year. Thenumberof clientsor familiesin theprogram the lastday ofthe op..o:ting on yearis calculated based the responses rou,s2a through2c. For on to eachcolumn,add thenumberof clientsor famiiiesin row 2a toihe number of clientsor familiesiniow 2b andsubtract numberof the clients families row 2c. Therefore, Za+ Zb _ 2c. or in 2d.:

3.

Project Capacity.
Numberof Singles in Not Families z3 Numberof Adultsin Families
Number of Children in Families

Number of Families

vrr r11v reDr u4J \lutrr

zu, colulTms

I an0 4)

b.

- umber N proposed i
q P o u rrJ r\4 ts = "/o \u t vlue a oy D)

8 19 42%

144%

to

Explanatory Notes: Rowb refersto themostrecentcoc apprication which the program for is reporting. 4' Non-homelesspersons. This questionis to be completed for Sectiong SRO proiects.

How many income-eligibl. non-ho-"

5'

Age and Gender' of those who entered the project during the operating year, how many people are in the followrng age and gender categories?
Age 62 and over Male

Female

a.
L

c.
u-

5l -61 3l -50 I 8-30

I 7 and under

2 2
1

fltilEsl

lrom

.4D! cotqmls

,I dt

-{)
r:i

L
a
L

62 and over

5l - 61

3 r -5 0
18-30
111? A l-) 11

t-

m.

UnderI

Explanatory Notes: This question refersonly to Singles in FamiliesandPersons Familieswho entered not in the program duringtheoperating year. only clients whomeetthese criteria be counted this table.The totalnumber can in persons ofclientsreported unJerSingle should equal the be to number reported question columnI . The total numberof clientsreported in 2b, underpersons Flmilies shouldbe equalto the sumof in columns and3in question 2 2b. Arswer questions - 10 only for participants w_ho 6 entgred the project during the operating year (from 2b, columns | & z). The term participant means Singles not in Families anJ Adults in Famlties. It does ,rot in.tual. chiidren or caregivers. NorE: The total for questions 8 and 10 below should be the same;respond ,l, to each of tlose quesfionsfor all partrcipants, some of the quesfionslisted throughout the APR will be asking information for individuals who aie Orglig1L_homelegc.
HUD-40118

militaryduty StaTUS on who haseverbeen active is A Stafus. veteran anyone 6a. Veterans were parlicipants veLerans? How many

trT

individual with a disabling condition who has eitherbeen continuousiy homeless person. Arr unaccompanied 6tr. chronically homeless in ofhomelessness the past three (3) years. To be considered had at leastfour (4) episodes fbr homeless a year or more OR has shelter(i.e. not transitionalhousing) during or a chronicallyhomeless personmust have been on the streets in an emergency see these stays. For furth; discussionof the definition of chronic homelessness, Other Key Definitions under the GeneralInsffuctions above. were chronically homelessindividuals? How many participants

7,
a.

Ethnicity. How many participants are in the following ethnic categories? Hispanicor Latino Non-Hisoanicor Non-Latino

b.

2 8

Notes: Explanatory equal number participants of in the of The be should listedin only onecategory. totalnumber participants thistableshould Eachparticipant I 2b, in Question columns and2. 8. are Race. How manyparticipants in the following racialcategories?
American Indian/Alaskan Native Asran

b. d.
e.

Arnerican Black/African
Native Hawaiian/Other Pacifi c Islander

White
American Indian/Alaskan Native & White

f.
ll.

Asian& White
4.:^--D1 -^1./ DlduN ruI ruar ^ rul)ul llorr ^ -,._-.-;--9.'!Ir.L;r^

American Indian/Alaskan Native & Black/African Amencan

OtherMulti-Racial
Explanatory Notes: Eaih participant should be listed in only one category. A participant whose race does not correspondto categoriesa through i should be counted in j, Other Multi Racial. The total number of participants in this table should equal the number of pafticipants in question 2b, columns I and 2. If using HMIS data, you may combine HMIS race responsecategoriesto generatethe APR responsecate$ories.

may have more than one 9a. SpecialNeeds. How many participantshave the following? Participants Ifso, count them in all applicablecategories.For eachcondition, also indicatethe number that were chronicallv homeless' Chronic AII
A

Mental illness

R 6
A

b.
c. d. f. h.

Alcoholabuse
Drug abuse HIV/AIDS and relateddiseases

2
I
I

disability Developmental
Physicaldisability Domesticviolence specifv) Other (please | |

1 4

1 2 I

are 9b. How many of the participants disabled? 7

Notes; Explanatory in Key Definitions theGeneral underOther Condition" see of meet whichparticipants HUD's definition "disabled," "Disabling To determinl Instructions.
HUD-40118

the places theweekpriorto entering project? (For each in slept 10. prior Living Situation.How manyparticipants in thefollowing 2b, in of the equal number participants question column should in participants the"A11" of participant, one choose place.Thetotalnumber one) participants sieptin the followingplaces.(Choose how manychronicallyhomeless columnsI and2). Also, indicate All 5 Chronic 5

b. d. f. h

(sneet.park.car,bus station. etc.) Non-housine Emergencyshelter Transitional housinefor homeless Dersons Psvchiatricfacilitv* Substanceabuse treatment facilitv*

.,.';i;=-:ii:

Hospital*
Jail/orison* Domesticviolence situation

:;f'J.li:$1',:l ;li . i i.r:

' ;,: ,:.:;j;..:rr

Livinewith relatives/fr iends

Rentalhousine Other (pleasespecifv)
z

i.: i';I,

lil :i

';l {.,t;

*lfa participant (psychiatric came from an institution facility, abuse treafment facility,hospital, substance orjail), but wastherelessthan 30 daysandwasliving on thestreet in emergency or shelter before entering treatment the facility, he/she should counted eitherthe be in street shelter or category, appropriate. as

Completequestions1l - 15 for all participants who left during the operating year (from 2c, colurnnsI and 2). The term participant means single personsand adults in families. It doesnot include children or caregivers. The term chronically homelessperson means an unaccompaniedhomelessindividual with a disabling condition who has either been continuously homelessfor a year or more OR has had at least four (4) episodesof homelessness the past three (3) years.To be considered in chronically homelessa person must have been on the streetsor in an emergencyshelter (i.e. not transitional housing) during thesestays.

participants left duringtheoperating year, I 1. Amountand Source Monthly Incomeat Entry and at Exit. Of those of who how many participants wereat eachmonthlyincomelevelandwith eachsource income? Also, please placethemonthlyincomelevel and each of personsin thesecond source incomefor chronically homeless of columnof eachchart. The numberof participants ChartA and B in should thesame. be Atl
A. Monthly Incorne at Entrv No income Chmnic

AII
C. Income SourcesAt Entrv
a.

Ctrmnic

.i .i' t'll
4 I

t.
+

a.

1 1
I

(SS! Income Supplemental Security (SSDI) Social Security Disability Income

Social Security

4 1

b.
d
tr.

st- 50
s15 $25 0
$25 - ss00 $50 - $1, 0 0 0 $1001- 15 0 0 s s 1501- 0 0 0 $2 + $2001 1
z

b.
c
A

PublicAssistance General
Temporary Aid to Needy Families (TANF) StateChildren's Health InsuranceProgram(SCHIP) Veterans Benehts Empioyment Income

4
f

f.
b-

c.
h.

o;,rnent enef,tts UnemPl B

J.
t-

Veterans Health Care Medicaid

FoodStamps m.
n.

2
1

(please Other specify) No FinancialResources

1

10

HUD-401 18

Alr
B. Monthly Income at Exit No income

Chonic

AII at D. lncomeSources Exit

l(
d.

Chmnic

,
I

.
1
I b. c. d.

a.

(SSf Income Security Supplemental

Social SecurityDisability Income (SSDI)

b.
c.

$1 150 $151 $250 1 $25 - $500 $s 01- $1, 00 0 $1001$150 0 $15015200 0 + 52001

Security Social
Public Assistance General

d.
e.

2
A

2
4

(TANF) Aid Temporary to NeedyFamilies

f
g

f.
g

StateChildren's Health InsuranceProgram(SCHIP) VeteransBenefits Emplolirnent Income UnemPlolTnent Benefits VeteransHealth Care Medicaid Food Stamps Other (please specify) No Financial Resources I 4 4

h.

h.
I

J
l.

l.
m. n.

Explanatory Notes: Table A: Monthly income at entry refersto the participant'smonthly income on the day he/sheenteredthe program(i.e., on the program entry date or as close as possibleto that day). You should not report on income receivedbefore enteringthe programor income received during the program stay. Table B: Monthly income at exit refersto the participant'smonthly income on the day he/sheleft the program (i.e., on the program exit date or as close as possibleto that day). You should not repod on income receivedduring the programstay' Table C: Income sourcesat entry refersto the participant'ssourcesofincome on the day he/sheenteredthe program(i.e., on the program entry date or as close as possible to that day). You should not report on sources of income received before entering the program or income received during the prosram stay. Participants with no income at the time of program entry should be reported in category n, No Financial Resources. ofincome on the day helsheleft the program(i.e., on the programexit date at Table D: Income sources exit refersto the participant'ssources with no ofincome receivedduiing the program stay. Participants should not report on sources or as close as possibleto that day). You income at the time of program exit shouid be reported in categoryn, No Financial Resources.

12a. Of those participants who lgft during the operating year (fiom 2c, columns 1 and 2), how many were in the project for the following lengthsof time? Also, pleaseplace the iength of stay for chronically homelesspersonswho !g[ during the operatingyear in the second column.

All
a.

Chronic

Less than I month

b.
d. f.
g

I to 2 months 3 - 6 months
7 months - 12 months

I 1

i3 months 24 months 25m ont h s -3 v e a rs 4v ear s - 5 v e a rs

6 ve ars-Tyear s 8 vears- 10 vears Over 10 years

2 2 1

)
2 I
I

Notes: Explanatory has exit program entrydateandprogram date.Ifthe participant only one ofstayusingtheparticipant's participant's length each Compute exit date. Ifthe entrydatefrom theprogram the ofstay by sublracting program year,calculate length program exit dateduringthe operating the stay(by subtracting year,calculate lengthofstay for eachprogram the duringthe operating participant multipleprogramexit dates has a lengthof stay. Each to stay)andaddthemtogether produce cumulative p.ogtu-1;1 datefrom the programexit datefor eachprogram entry
11

HUD-40118

particiPant shouldbe associated only one lengthof staycategory. with The totalnumberof participants rhefirst column("AIl") should in equal number participants question columns wtd2. the of in 2c, I 12b' Lengthof Stayin Program.For those participants did not leave who year duringtheoperating (from2d, columns and2),how long I havetheybeenin theproject?Also,please placethe lengthof stayfor chronicallyhomeless personswho did not leaveduringthe yearin the second operating column. AII
a.

Chronic

b.
c. d. e.
I.
I

Lessthan I month I to 2 months 3 - 6 months 7 months 12months l3 months 24 months 25m o4 th s -3 y e a rs 4y ear s -5 y e a rs 6y ear s -T v e a rs J.ygair- l0 years Ovqr10years

I
J

4
J

4 6 4
o

4 4 4
J

3
I

I
I

Explanatory Notes: computeeachparticipant'slengthofstayusingtheparticipant'sprogftrmentrydateandthelastdayoftheoperatingyear. Tocalculate lengthof stay,subffact program the entrydatefrom ihe lasi day oi the operating year. Eachparticiiant shouldbe asiociated with only one lengthof staycategory.Thetotalnumberof participants the first column in 1"ilt"; shouldequalthr numberof participants question in 2d, columnsI and2.

13' Reasons Leaving. ofthose participants for who left the projectduringtheoperating year(from 2c, columnsI and2), how manyleft for the followingreasons? a participant for multiplereasons, If left inilude onlv thiprimary reason. The total number particrpants of in the first column("All") shouldequalthe numberof participants question coiumnsi and2. Also, please in 2c, placetheprimary reason chronicallyhomeless for persons who left the projectduringthe operating yearin the second column. All
a.

Chronic

Left for a housingopportunity beforecompleting program

Completed progam Non-payment of renUoccupancycharge

b.
c. d.

Non-compliance projecl with

Criminal activity / destruction of property / violence Reachedmaximum time allowed in project Needs could not be met by project

f
g

h.

Disagreement rules/persons with

Death

Other(please specify): Transfers

Unknown/disappeared

I 3 3

I2

HUD-40118

14. Destination. Of thoseparticipantswho left during the operatingyear (from 2c, columns 1 and 2), how many left for the following personswho left during the operatingyear in the second destination? Also, pleaseplace the destinationofchronically homeless column. All Chronic PERMANENT (a-h) b.

(no Rental house apartment subsidy) or PublicHousing

Section 8

Shelter PlusCare
HOME subsidized houseor aDartment Other subsidized house or aparfment Homeownership Moved in with family or friends Transitionalhousing for homeless persons

i.
g

h.

(i-j) TRANSTTTONAL
J

Movedin with familyor friends Psychiatric hospital

Inpatient alcohol or other drug treatment facility

INSTITUTION(k-m) l. m. EMERGENCYSHELTER(n) OTHER(o-q)

n

Jail/prison Emergency shelter Othersupportive housing

Places not meant for human habitation (e.g. street)

o.

p. q. UNKNOWN
r

Other(please specif,) Unknown

A

Explanatory Notes: provided. response participant's uponleaving program destination the usingthecategories The categories Identifyeach combine publichousing, (e.g., (e.g., permanent, "destination" house apartment, or homeownership, and"tenure" etc.) rental transitional, etc.). to the response, be sure look at all ofthe response and to bothdestination tenure determine mostappropriate and Consider categories before response a category. makinga selection. tabiebelowprovides briefdescription each The of undereachdestination category eitherthe first columnof thetableor in bothcolumns theparticipant in Enterthe numberof participants if is per for should recorded participant. totalnumber participants thehrstcolumn be The of chronically homeless. Only onereason leaving in in 2i, 1 ("All") shouldequal number participants question columns and2. the of Tenure
Permanent
a.

Destination
Rental house or apartment (no subsidv) Public housing Section8 Plus Care Shelter HOME subsidizedhouse or aparcmenr Other subsidizedhouse or aDarfment

Description
Participantis moving to an apartmentor housewithout any subsidy. Participantis movins to a public housins unit. Participantwill use a housing choice voucher(formerlyknown as a Section8 voucher)to rent a house or aDarfment. Participantis moving to a unit funded by the ShelterPlus Care prosram(e.e.,TBA, SRA, PRA, Section8 SRO). Participantis moving to a unit with rental assistance providedby the HOME program(tenant-based proiect-based or assistance). Participantis moving to a unit subsidized someprogam other than by public housing,housing choice voucherprogram(formerly Section 8), ShelterPlus Care.or HOME. Participantis moving to a unit that he/shehas purchased, Participantis moving in with family or friendsand expects live there to for 90 davs or more. Participantis moving into a unit funded by a transitional housing pro$am for homeless people (e.9.,transitionalhousingfunded through the SupportiveHousine Procram).

b.

d.

Homeownership
h. Transitional Moved in with family or friends Transitionalhousing for homeless people J.

Movedin with family or friends Psvchiafric hosoital

Institution

Ir

Participant movingin with familyor fiiends expects live there is and to than90 davs. less Particinant movinsto a osvchiatric is hosnital.

13

HUD-40118

Tenure
I

Destination
Inpatient alcohol or other drug treatment facilify

Description Participant is moving to an inpatient alcohol or drug treatment facility.

m Emergency Shelter
Other n.

Jail/Prison Emergency shelter

Other supportivehousing

Participant movinsto a iail or prison. is people. is shelter homeless for Participant movingto an emergency is Participant movinginto supportive housingthatdoesnot conespond (a-h)andis not transitional to any ofthe permanent housingcategories people suchasSection I I housins.* (i), housing homeless for 8
Participant is moving to a place not meant for human habitation, such as a car, park. sidewalk, or abandonedbuildine. Participant is moving to a place that does not correspond to any of the categoriesabove (a-p).

p.
q.

Placesnot meant for human habitation

Other(please specify) Unknown

Unknown

This response category shouldbe usedif you areunsure aboutwhere the participant movingor if the participant disappeared there is has and is no way to find out wherehe/she is.

*HUD encouragesprograms to limit the use of the "Other Supportive Housing" APR responsecategory. Programs should report destinations lo housing that are perntanent or transitional in APR categories (a) through ft) or in categories (i) through (j), respectively. Exits to emergencyshelters should be reported in category @).

15. Supportive Services. Ofthose participants who left during the operating year (from 2, columns I and 2), how many received the following supportive servicesduring their time in the project? Also, pleaseplace the supportive servicesreceived for chronically homelessparticipants who lgft during the operating year in the second column. Participantsmay have received multiple services and all servicesshould be reported in the table.

All
a. Ouheach Casemanagement Life skills (outside of casemanagement) d.
6

b.

8 4

Chronic 8 8
A

Alcohol or drug abuse services

Mental health services

f.

HIV/AIDS-related services
Other health care services Educatr'on
A A

c.
h.

placement Housing
J
1-

I
J J

Emplovment assistance
Child care Transportation Legal

t.
m. n.

2
5

(please Other specify)

1A ta

HUD-40118

16. Overall Proeram Goals. Under objectives, list your measurableobjectives for this operating year (from your application, Technical your progressin meetingthe objectives. Submission, APR) for eachof the threegoalsiisted beiow. Under Progress,describe or Under Next Operating Year's Objectives, specify the measurableobjectives for the next operating year.

a.

ResidentialStability Objectives: See Attachment

Progress: See Attachment . NextOperating Year'sObjectives: See Attachment

b.

Increased Skills Income or Objectives: Attachment See Progress: Attachment See NextOperating Year's See Objectives: Attachment

c.

Greater Self-determination

Objectives: Attachment See Progress: Attachment See Next Operating Year's Objectives: Attachment See

17.Beds. SHPrecipientsanswerlTa. (SI/P-SsOprojectsdo S+CrecipientsanswerlTb. SROrecipientsanswerlTc. not complete tlds question)

a. SIIP. How many beds were included in the application approved for this project under 'Current Level' and under 'New Effort'? How many of these New Effort beds were actually in place at the end of the operating year? Current Level Number of Beds: New Effort New Effort in Place

b. S+C. How manybedsanddwellingunitswerebeingassisted with projectfundsat the endof the operatingyear? (Includebedsfor all participants, otherfamily members, caregivers.) and Number Beds: of 44 Number DwellingUnits: 31 of c. SRO. How manydwellingunitswerebeingassisted the endof the operatingyear? at (Include persons qualifyfor assistance.) unitsoccupied "in place" by non-homeless who Number DwellineUnits: of

t5

HUD-401 18

Part II: Financial Information

18. Supportive Services. (SHP), was during information HUD on how SHPfunding supportive for services spent For Supportive Housine this exhibitprovides to the operatingyear. Enterthe amountof SHPfundingspenton these supportive under"Other". services.IncludeHMIS costs For Shelter PlusCare(S+C),this exhibittracksthe supportive services matchrequirement. the Specify valueof supportive services from all sources canbe counted match that as persons year. (S+Cgrantees thatall homeless during the operating received should keep documentation file, includingsource, on amount,andtypeofsupportiveservices.) For Section SRO,this exhibitprovides 8 informationto HUD on the valueof supportive services received homeless persons by during the operating year.

Supportive Services
a.

Dollars

Outreach
Casemanagement o . r . CaseManagement Services: TNDC SupportServicesSupervision:TNDC Office Space/CommercialRent: TNDC S+C ResourceSpecialist:SFDHS

b.

$37,738.18 $16,958.06 $68,104 $18,750 . $31.622.23

. $39.558.81

Life skills (outside of casemanagement) d.

Alcohol anddrug abuse services (SFDPH,CSAS)

Mental health senices - (SFDPH, CMHS)

t
6'

AlDS-related services Otherhealthcareservices

Education Housing placement Emolovment assistance Child care Transportation Legal

h.
I

J
1.

I m. n.

Other(please specify) r Asset Management Services: TNDC r 93,438 o $373,661 . $58,814

o Property Management Services: TNDC r Maintenance Repair and Projects S+CHousing to Site: TNDC r o. FamilyandChild Services: SFDHS

$40,000

TOTAL (Sumof a through n)

$688,644.28
$688,644.28

Cumulative amount of match provided to date for the Shelter Plus Care Prosram under this erant

t6

HUD-40118

operating costs,trIMIS Activitiesand Administration supportiveservices, 1g. supportiveHousingProgram:Leasing, year'For expansion each operating
chalcs these mustcomplete Program Holrsing the under Supportive funding receiving Ai1grantees for and expenditures theadditional taiility, only the people of for the expansion a pre-lxistiig homeless projects: If SHp grantfundslare to used of resources is notrequired be Documentation amendments. or as may expansion be included, in theoriginalapplication anygrant made any by HUD andAuditors.Do not include expenditures be with submitted thisreportbut should kepton-fil"fot possibieinspection
before the SHP srant was executed.

yearfor each activify ofSHP grant funds and cash match expended during the operating the Enter amount Summaryof Expenditures. as This tableshouldaddup bothhorizontallyandvertically. The SHP supportive servicestotal should bethesame theSHPsupportive
servlces ln

TotalExpenditures

SupportiveServices OperatingCosts HMIS Activities Administration

Note: Payments of principal and interest on any loan or mortgage may not be shown as an operating expense.

Sourcesof Cash Match. Enter the sourcesof cashidentified in the CashMatch column, above,in the following categories.Use additional as sheets, necessary.

Amount
a.

Grantee/projectsponsor cash Local government (pleasespecify)

b.

State govemment (pleasesPecifY)

d.

Federalgovemment(pleasespecify)

Block Grant(CDBG) Development Community

Foundations(pleasespecify)

(pleasespecify) Private cashresources

/ charge fees Occupancy

h. Total

t7

HUD-40118

20. Supportive HousingProgram: Acquisition, Rehabilitation, New Construction and

Ail grantees received that SHPfundsfor acquisition, rehabilitation, new construction or mustcomplete these charts theyearoneApR in only' This exhibitwill demOnstrate HUD thatthe grantee contributed to has enough cashto at leasiequallymatchthe amount SHp funds of spent acquisition' for rehabilitation, new construction. or Documentation matchingfundswereprovidedis not required be submitted that to *ith thir r"po* but rhouldb. k.pt on ftl" fot porribl. inrp..tion by HUD undAuditori. Summaryof Expenditures' Enterthe amountof sHP grantfunds andcashrnatchexpended duringthe operating yearfor eachactivrty. TotalExpenditures
Rehabilitation

cash Match' Enter the sources cashidentified of in the cash Match column, above,in the following categorres. use additional sheets, necessary. as

Amount
a.

Grantee/projectsponsor cash Buvcrnmenr(pleasespecliy)

b.

State govemment (pleasespeciff)

d.

Federal govemment (please specifyj communityDevelopment Blm

t:t :

Foundations(pleasespecify)

Private cash resources (please rpe"r44

o o'

Occupancy charge/fees Total

;n-

t8

HUD,40t 18

HMIS ACTIWTIES O]VLY FOR.

21. For Supportive Housine (SHP) - HMIS Activities was spentduring the operating year. Enter This exhibit providesinfonnation to HUD on how SHP-HMIS funding for supportiveservices theseactivities. the amount of SHP-HMIS funding spenton

CentralServer(s) PersonalComputersand Printers

Software / User Licensing Software Installation Support and Maintenance SoftwareTools

Training by Third Parties / Technical Services mming: SystemInterface

P:l1ranrrrina. er r r 4^*- D r v6r
r

T)aI a C^n\/ef..c,!On

and SetuP Security Assessment On-line Connectivity (Internet Access Facilitation

, Project Management/ Coordination

-.i

Technical Assistanceand Trainhg

Staff Support Admrnistrative

Costs Operational

19

HUD-40118

Describe any problems andior changes impremented during the operating year.

TechnicalAssistance Recommendations and Based your experience on duringthe lastyear,arethereany areas which you needtechnical in adviceor assistance? so,please If describe.

20

HUD-401 18

Collection of the protected personal Information (PPI) on this form is done with the knowledge or consentof the clients. The PPI is only used for the foilow"ing purpose: Accurate completion of the Annual ProgressReport (APR) for the Continuum of Care (CoC) HomelessAssistanceProgram in which the client is enrolled. and needed complete AnnualProEess to the Report. Instructions Thisworksheet optional is intended helpyou collect to information is and Codes to follow. Do not submitthis worksheet HUD.
Number olMonthsin Project(calculate) 12a
Number of Months in Project -Participant did not leave (calculate) 12b

Repoft PersonsServed Worksheet - HLID Annual Progress

(SI Non-Homeless Only) ( Y /N )

4

PersonsServed Worksheet (continued)

Collection of the ProtectedPersonalInformation (PPI) on this form is done with the knowledge or consent of the clients. The PPI is only usedfor the following purpose: Accurate completion of the Arurual ProgressReport (APR) for the Continuum of Care (CoC) HomelessAssistanceProgram in whrch the client is enrolled.

Do not submitthis worksbeet HUD to

No, Veterans Status(Y/N) 6a Chronically Homeless (YN) 6b
Ethnicity 7 Race (code) 8 SpecialNeeds (code) 9a Special Needs (code) 9b Prior Living Situation

Monthly Income At ProjectEntry

I la

Monthly Income At ProjectExit 1l b

I (
I

10

21

HUD-40118

22

HUD-40118

Persons Served Worksheet (continued) of or personal (ppl) on this form is donewith theknowledge consent the clients' The Information collection of the protected PPIis onlyusedfor the followingpurpose: Programin Assistance Report(APR) for the contiluum of care (Coc) Homeless of completion theAnnualprogress Accurate whichthe clientis enrolled.
Do not submit this worksheet to IIUD
Reason for Leaving Program (code)

t3

Instructions and Codes for Persons Served Worksheet T he use o f this wo r k s heet is opt ional' I t was de s i g n e d to he lp you co llect inf or m at ion on par t ic ipant s n e e d e d to comp lete the Ann ual Pr ogr es s Repor t . I f t he w orkshe et is u pd ate d as par t ic ipant s m ov e in and m o v e out of yo ur p roje ct, m os t of t he inf or m at ion r equ i r e d f or c omp letio n will be c ont ained in t he wor k s hee t . D o not sub mit th is wor k s heet wit h t he APR. F or proje cts th at ser v e f am ilies , HUD only r equi r e s reporting on the nu m ber of c hildr en s er v ed, and t h e age an d ge nd er of thes e c hildr en. O nly nam e, relation sh ip, da te o f bir t h, and age on t he wor k s h e e t
L.J

n e e d t o b e c o m p l e t e d f o r c h i l d r e n . A s s i g n t he a d u l ts a number, but not each family member. Use this number t o t r a n s f e r t o t h e o t h e r p a g e s o f t h e w o r k s h ee t. B e g i n n i n g w i t h n u m b e r 4 , t h e n u m b e r s i n t h e co l u m n s r e f e r t o t h e q u e s t i o n s o n t h e A P R f o r m . I f an y q u e s t i o n s a r e a n s w e r e d w i t h " O t h e r , " p l e a s e e n te r th e s p e c i f i c " O t h e r " a n s w e r f o r i n c l u s i o n i n t h e APR . P a r t i c i p a n t N u m b e r . T h i s c o l u m n a l l o w s yo u t o e i t h e r n u m b e r p a r t i c i p a n t s c o n s e c u t i v e l y o r to a s s i g n a c a s e n u m b e r . O n e n u m b e r s h o u l d be assisned to each adult.

HUD-40ii8

Na mes of per s ons will not be r epor t ed t o I3T. H UD. Th e u se of n am es is f or y our r ec or d k eep i n g conven i en ce . Re latio nship . Ent er t he appr opr iat e r elat ions hi p . E xamp les includ e: Self , Head of hous ehold, Spo u s e , child. E ntry Date . En ter dat e par t ic ipant ent er ed t h9 plo je ct. Usua lly this will b. t h. dut . oT * t ual physical mo ve -in for a hous ing pr ojec t . E xit Date . Ente r d at e par t ic ipant lef t t he pr ojec t . Usua lly th is will b e t he dat e t he pur t i"ip* t physica lly mo ve d o ut f or a hous ing pr oi. . t . Do n o t inclu de a p articipa nt who t em por ar r f f . it t he pr o j e c t V and is expe cte d to r et ur n in leis t han90 day s ( e . g . , hosp italizatio n). 4. In co me-e ligib le Non_hom eles s in SRO . Th e S R O pro gra m a llows as s is t anc e t o unit s oc c upied by Section 8 in co m e- eligible per s ons r es iding at ihe SRO prio r to rehabilit at ion. For SRO pr oject s o nly, ind ica te w het her t he par t ic ipant ls an in co me-e ligib le, non- hom . i. r , p. ir on ( y ) or n o t (N). SHP a nd S + C pr ojec t s s houlO s k ip t his i t e m .

a. Mental illness b. Alcohol abuse c. Drug abuse d. HMAIDS and related diseases e. Developmental disability f. Physical disabilities g. Domestic violence h. Other (please specify) 9b. Enter the number of participants with a d i sa b i l i ty 10. Prior I iving Situation. Enter the l e t t e r th a t b e st d e s c r i b e s w h e r e t h e p a r t i c i p a n t s l e p t i n th e week prior to entering the project. Oo not double count. a. Non-housing (street, park, car, bus station, e tc.) b. Emergency shelter c. Transitional housing for homeless persons d. Psychiatric facility* e. Substance abuse treatment facilitv* f. Hospital* g. Jail/prison+ h. Domestic violence situation i. Living with relatives/friends j. Rental housing k. Other (please specify) *I f a p a r t i c i p a n t c a m e f r o m a n i n s t i t u t i o n b ur was there less than 30 days and was iiving on th e street or in an emergency shelter before eitering th e facility, helshe should be counted in either th e str e e t or shelter category, as appropriate.

5a. Date o f Birth. Ent er dat e of bir t h inc ludine mon th, da y, an d y ear . 5b. Ag e. En ter ag e at ent r y . 5c. Ge nd er. Ente r appr opr iat e let t er f or gender . M -Male F- Fem ale. 6a. Ve tera ns Sta tus . I ndic at e if t he par t ic ipant is a ve tera n. Plea se not e: A v eler an is any one who h as e ve r b ee n on ac t iv e m ilit ar y dut y , t ot us y o , th e Un ited StaIe s . 6b. Chro nically ho m eles s per s on. I ndic at e t he numb er of pa rtic ipant s t hat ar e c hr onic ally home less. 7. Ethn icity. Ente r appr opr iat e let t er f or et hnic g rou p. a. Hispa nic o r Lat ino b. No n-Hispa nic or Non_Lat ino Race. Ente r ap pr opr iat e let t er f or r ac e. a. American Ind ian or Alas k an Nat iv e b . Asian c. Bla ck o r Afric an- Am er ic an d . Native Ha waii an or O t her pac if ic I s lander e . White f. American In di an/ Alas k an Nat iv e & W hit e g. Asia n & Wh ite h. Black/African Am er ic an & W hit e r. Ame rica n Ind ian/ Alas k an Nat iv e & B la ck/Africa n Am er r c an j. Othe r Multi-Ra c ial

In structi on C o d e s f o r P e r s o n s S e r v e d W orksheet ( c o n t i n u e d )
l l a . G r o s s M o n t h l y f n c o m e a t p r o j e c t E n t r y. E n t e r t h e a m o u n t o f g r o s s m o n t h l y i n c o m e th e p a r t i c i p a n t i s r e c e i v i n g a t e n t r y i n t o t h e p r o Je ct. I lb,Gross Monthly Income at project Exit. En te r the gross monthly income the participant is receiving when exiting the project, I l c . I n c o m e S o u r c e s R e c e i v e d a t p r o j e c t E n tr y. Enter all types of assistance the participant is receiving at entry to the project. a. Supplemental Security Income (SSI) b . S o c i a l S e c u r i t y D i s a b i l i t y I n s u r a n c e ( SSD I) c. Social Security d. General Public Assistance e. Temporary Aid Needy Families (TANF) f. State Children's Health Insurance program (SCHIP) g. Veterans benefits h. Employment income i. Unemployment benefits j. Veterans Health Care k. Medicaid l. Food Stamps m. Other (please specify) n. No Financial Resources

8.

9a. S p ecial Ne ed s. E nt er t he let t er ( s ) f or t he cate go ry(ie s) th at des c r ibe t he par t ic ipant , s disab ility(ie s). (y ou m ay doubLe "ount ) .

^/

HUD-4O1 i8

I l d.In co me So urces Rec eiv ed at Pr ojec t Ex it . En ter a ll type s of inc om e t he par t ic ipant is re ce ivin g at p rojec t ex it . ( Us e c odes as in 11 c . ) 12a Le ng th in Sta y in Pr ogr am . Calc ulat ed it em . (See Entry Date and Ex it Dat e abov e. ) 12b. Le ng th of Sta y in Pr ogr am . ( Par t ic ipant di d n ot le ave d urin g t he oper at ing y ear . How lo n g ha ve th ey b ee n in t he pr ojec t ?) 13. Re ason fo r Le av ing Pr ojec t . Ent er t he pr im a r y re ason why th e par t ic ipant ief t t he pr ojec t . (Co mple te on ly f or par t ic ipant s who lef t t he pro ject a nd a re not ex pec t ed t o r et ur n wit hin 9 0 d a ys. a . Le ft fo r a ho us ing oppor t unit y bef or e
L Urrp l E rl ^^ *-l ^+i -- l rB tLi o pl Ogf am L l E ^' .

15. Supportive Services. Enter all types of s u p p o r t i v e s e r v i c e s t h e p a r t i c i p a n t r e c e i ve d d u r i n g the time in the project. a. Outreach b. Case management c . L i f e s k i l l s ( o u t s i d e o f c a s e m a n a ge m e n t) d. Alcohol or drug abuse services e. Mental health services f. HIV/AIDS-related services g. Other health care services h. Education i. Housing placement i F.mnlnvment assislance k. Child care 1.Transportation m. Legal n. Other (pleasespecify)

b. Co mple ted p r ogr am c. Non -pa yme nt of r ent / oc c upanc y c har ge d. Non -co mplia nc e wit h pr ojec t e. Crimin al act iv it y / des t r uc t ion of pr oper t y / vi o l en ce f. Re ache d ma x im um t im e allowed in pr ojec t g. Ne ed s co uld not be m et by pr ojec t h . Disa gre eme nt wit h r ules / per s ons i. Dea th j. Othe r (ple ase s pec if y ) k. Un kn own /disappear ed

14. Destina tion . E nt er t he des t inat ion of t hos e le aving the p rojec t . Pe rman en t: a . Ren tal hous e or apar t m ent ( no s ubs idy ) b , Pub lic H ous ing c. Section 8 d. Sh elte r Plus Car e e. HOME s ubs idiz ed hous e or apar t m en t f. Oth er subs idiz ed hous e or apar t m ent g. Home ow ner s hip h. Moved in wit h f am ily or f r iends Tran sitio n a l: i. Tran sitio nal hous ing f or hom eles s per s o n s j. Mo ve d in wit h f am ily or f r iends In stitu tion : k. Psych iatr ic hos pit al. L ln pa tien t alc ohol or dr ug t r eat m ent f ac i l i t y m. Jailip ris on Eme rge ncy; . E'-e.n o-n ' , s helt er Oth er: o. Oth er suppor t iv e hous ing. p . Pla ce s n ot m eant f or hum an habit at ion (e.g ., stree t ) q , Othe r (p leas e s pec if y ) Unkno wn: r. Unkno wn

25

HUD-401 8 1

Towe Corporation/Franctscan SPCR-TenderloinNeighborhoot :velopment cAO1C50'1043 131 1 Period:81 106-7 107 Reporting OverallProgramGoals

Residenffal Stability:
Obiective: TOloof participants remainin S+C housingfor at leastone year. will Progress: Exceeded:93%(28/30)have remained S+C housingfor at leastone year. in Next Operatinq Year'sObiective: 70o/o participants remainhousedfor at leastone year. of will Objeciive: 35% of participants remainin S+C housingfor at leasttwo years. will Proqress: Exceeded:67% (20130) have remained S+C housingfor at leasttwo years. in Next Operaiinq Year'sObiective: 7O%of participants remainin S+C housingfor at leasttwo years. will Obiective: year. 100%of participanis pay some rentduringthe operating will Proqress: paidsome rent duringthe operating year. Achieved:100% (39139) participants of Next Operatinq Year'sObiective: year. 100%of participants pay some rentduringthe operating will

lncreased Skt//s or Income:

Obiective: part-or full-time 25% of participants enteror continue will programduringthe employment vocational or opelq!!ngygar, Proqress: part-or full-time Did Not Achieve: 23% (9139) participants of enteredor continued employment vocational or programduringthe operating year. Next Operating Year'sObiective: par! or fulltime employment vocational programduringthe 25% of participants enteror continue will or year. operating Obiective: program year. 15%will eitherenteror continue an educational in duringthe operating Proqress: programduringthe operating Did Not Achieve: 5% (2139) eitherenteredor continued an educational in year. Next Operatinq Year'sObiective: program year. in 15%will eitherenteror continue an educational duringthe operating Obiective: 50% willobtain/sustain 5%will obtain/sustain benefits, SSI, VA 15%willobtain/sustain and 5% will GA, obtain/sustain employment. Proqress: obtained/sustained benefits 18% (7139) Exceeded: 64% (25139) obtained/sustained 57o(2139) SSl, VA , obtained/sustained and 5% (2139) GA, obtained/sustained ploym em ent. Next Operatinq Year'sObiective: 50%willobtain/sustain 5% willobtain/sustain benefits, SSl, VA 15%willobtain/sustain and 5% will GA, obtainlsustain employment,

Attachment

-r-

Towe' Corporation/Franciscan Jevelopment NeighborhooL SPCR Tenderloin c501043 cAo1

1 131 Period:81 106-7 107 Reporting OverallProgramGoals Obiective: 50% of participants GA at theirdate of entryintothe programwill have movedon to SSIA/AJSS/SSDI/SSA, on incomeby the end of the operating if eligible. obtainemployment yeal or Proqress: Exceeded:57% (417) participants GA at theirdate of entry intothe programmovedon to of on SSIA/A/SS/SSDI/SSA, if eligible, obtained or employment incomeby the end of the operating year. Next Operatinq Year'sObiective: 50% of participants GA at theirdate of entry intothe programwill have movedon to SSIA/A/SS/SSDI/SSA, on if eligible, obtainemployment or incomeby the end of the operating year. Obiective: B0%will eithersecurerepresentative payeeservices, pay rent on time on theirown. or Proqress: Exceeded:95% (37/39)eithersecuredrepresentative payeeservices, paid rent on time on theirown. or Next Operatinq Year'sObiective: B0%will eithersecurerepresentative payeeservices, pay rent on time on theirown. or

Gre ater Self-determn ation : i

Obiective: 40o/o thosewith drug and/oralcoholaddiction be cleanand sober. of will Proqress: (11121) thosewith drug and/oralcoholaddiction cleanand sober. Exceeded:52o/o of are Next Operatinq Year'sObiective: 40% of thosewith drug and/oralcoholaddiction be cleanand sober. will Obiective: 35o/o residents participate residentmeetings of year. will in duringthe operating Proqress: (29139) residents participated residentmeetings Exceeded:74o/o of year. in duringthe operating Next Operatinq Year'sObiective: year. 35% of residents participate residentmeetings will in duringthe operating Obiective: 65% will participate peer/social in activities, Proqress: Exceeded: 90% (35/39)participated peer/social in activities. Next Ooeratinq Year'sObiective: 65% will participate peer/social in activities. Obiective: 75% will sustainor renewcommunications friendsand/orfamilymembers. with Proqress: Exceeded:90% (35/39)sustained renewedcommunications friendsand/orfamilymembers. or with Next Ooeratinq Year'sObiective: 75o/o sustalnor renewcommunications friendsand/orfamilvmembers. will with Obiective: 20% will engagein volunteer activities. Proqress: (10/39)engagedin volunteer Exceeded:260/0 activities. Next Operatinq Year'sObiective: 20% will engagein volunteer activities.

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