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City of Santa Ana <br />Performance Outcome Tracking <br />Please find the activity most closety associated to the service that will be provided and place an "X" next to it then answer <br />ni,.......... nc� fhnf is invnhrori with this 9Ctivity- <br />the beSU <br />un below. Please <br />in+,v ,, ,,. ., c...,.... .. <br />... .. .... _.. __ ..........- <br />_ --.. -- <br />Place an <br />"X, next to <br />one <br />Activity <br />Activity/ <br />Program <br />Outcome Tracking <br />Goal <br />HUD Outcome Tracking <br />HUD Goal <br />3 <br />Homelessness <br />Track assisted individuals <br />50% of assisted individuals <br />- Number of households that RECEIVED <br />Accessibility for the <br />!� <br />Prevention <br />who retained their housing <br />and households will retain <br />emergency financial assistance to prevent <br />purpose of creating <br />or utilities for at least 6 <br />their housing or utilities for <br />homelessness <br />Suitable Living <br />months after assistance was <br />at least 6 months after <br />- Number of households that RECEIVED <br />Environments <br />provided. <br />assistance is provided. <br />emergency legal assistance to prevent <br />homelessness <br />Emergency <br />Track individuals who <br />50% of <br />Number of homeless persons given <br />Accessibility for the <br />-' <br />Shelter <br />received support services <br />individuals/households that <br />overnight shelter <br />purpose of creating <br />that were linked to one or <br />are provided with <br />- <br />Suitable Living <br />more additional support <br />emergency shelter will <br />OR <br />Environments <br />service and/or appropriate <br />transition to interim housing <br />housing. <br />(i.e., transitional housing). <br />Number of beds created in overnight <br />shelter or other emergency housing <br />Transitional <br />Track homeless individuals <br />5% of homeless individuals <br />Number of persons assisted: <br />Accessibility for the <br />Housing <br />who participated in <br />participating in transitional <br />-with new access to a service <br />purpose of creating <br />transitional housing program <br />housing program will be <br />-with improved access to a service <br />Suitable Living <br />that were placed in <br />placed in permanent <br />-where activity was used to meet a quality <br />Environments <br />permanent housing. <br />housing. <br />standard or measurably improved quality, <br />_.....,.:.', <br />report the number that no longer only <br />have access to substandard service <br />Supportive <br />Track individuals who <br />50% of individuals /families <br />Number of persons assisted: <br />Accessibility for the <br />Services for <br />received support services <br />receiving support services <br />-with new access to a service <br />purpose of creating <br />ESG <br />that were linked to one or <br />will be linked to one or more <br />-with improved access to a service <br />Suitable Living <br />more additional support <br />additional support service <br />-where activity was used to meet a quality <br />Environments <br />service and /or appropriate <br />and/or appropriate housing. <br />standard or measurably impro ved quality, <br />housing. <br />report the number that no longer only <br />have access to substandard service <br />nasrrihe how you will aather the trackinq information, noted above, for that activity. <br />Human Options uses a custom tracking system, DV Trak, designed specifically for our agency to track required client <br />demographics as required by our funding sources. The case manager at the shelter is responsible for completing an <br />Intake with each client. Once the client has entered the shelter the a case manager meets weekly with the client to <br />compete the case management report (form 201) and the client self evaluation (form 206). These forms spell out what <br />the clients goals and needs are and help guide the resources that are provided to the client. These resources are <br />tracked using the resource referral form (form 302) and completed on a weekly basis. Additional information tracked on <br />this formm includes the specific time and date that the referral was given as well as the contact person and phone <br />number. As mentioned earlier this information is entered into our DV track system. <br />Exhibit A -1 <br />Page 3 of 3 <br />