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City of Santa Ana <br />Performance Outcome Tracking <br />Activity/ <br />Program Outcome Tracking <br />Senior Track seniors receiving <br />Goal <br />90% of seniors <br />HUD Outcome Tracking <br />HUD Goal <br />Services referrals that were linked to <br />receiving <br />referrals will be linked to <br />Number of persons assisted: <br />-with new access to a service <br />Accessibility for the <br />the services sought <br />the services sought. <br />-with improved access to a service <br />Purpose of <br />Suitable L vingating <br />-where activity was used to meet a <br />Environments <br />quality standard or measurably improved <br />quality, report the number that no longer <br />only have access to substandard service <br />Describe how you will gather the tracking information, noted above, for that activity. <br />An intake form is filled out by participants at the site. The intake form gathers the following information: <br />name; address; city; zip code; telephone; date of birth; lives alone; female head of household; ethnicity; <br />income range; nutritional risk and emergency contact. <br />The data is then entered and tracked through our SAMS database system which compiles all <br />unduplicated client data, meals served data, all revelant demographic data, economic status and <br />nutritional risk assessments. <br />Exhibit A-1 <br />Page 1 of 1 <br />