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HomeMy WebLinkAboutItem 20 - Street Outreach and Engagement Agreement with City NetCommunity Development Agency www.santa-ana.org/departments/community-development/ i Item # 20 City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA 92701 Staff Report July 19, 2022 TOPIC: Street Outreach and Engagement Agreement with City Net AGENDA TITLE: Approve an Amendment to the Agreement with City Net to Provide Street Outreach and Engagement Services and to Respond to Diverted Santa Ana Police Department Calls for Service for Quality -of -Life Services, in an Amount not to Exceed $2,483,599.59 through June 30, 2023 (Non -General Fund) (Revive Santa Ana Program) RECOMMENDED ACTION 1. Authorize the City Manager to execute an amendment to the agreement with City Net to provide enhanced street outreach and engagement services, including diverted Santa Ana Police Department calls for service for quality -of -life services, from July 20, 2022 through June 30, 2023, in an amount not to exceed $2,483,599.59, subject to non - substantive changes approved by the City Manager and City Attorney. 2. Authorize the City Manager to execute all funding agreements required by state or federal agencies for the use of funding, including Homeless Housing Assistance and Prevention (HHAP) Program and American Rescue Plan Act (ARPA). DISCUSSION On October 5, 2021, the City Council approved an amendment to the agreement with City Net to commence an enhanced street outreach and engagement pilot program to accept non-violent mental health or substance abuse calls for service for individuals experiencing homelessness away from the Police Department and from the mySantaAna app to their teams. The goal of this program was to transition calls to subject matter experts who are highly trained in their profession of homeless services crisis intervention, mental health, addiction, and medical services to provide the best response to those in need. The pilot program was named the Santa Ana Multi -Disciplinary Homeless Response Team (SMART). During this pilot program, City Net provided two to three SMART outreach teams from 7 a.m. to 9 p.m., Mondays through Fridays, and one team from 9 a.m. to 9 p.m. on weekends. From December 1, 2021 to June 15, 2022, these teams delivered over 3,000 Street Outreach and Engagement Agreement with City Net July 19, 2022 Page 2 outreach contacts and successfully exited over 500 individuals off the streets of Santa Ana. City Net teams also responded to over 4,700 dispatched calls for service from direct community calls, first responders, and the mySantaAna app. These teams also proactively outreached to over 500 contacts. The response time for City Net to respond to calls averaged 32 minutes, consistent with Priority Three and Four SAPD calls for service. The ability for City Net teams to respond to these specific calls previously handled by SAPD, and to engage with the individuals experiencing homelessness an average of 21 minutes, speaks to the success of this program. On these occasions, Quality of Life (QOLT) officers were freed up to respond to higher priority calls. At times, City Net would be able to take over certain SAPD calls in the field, also releasing officers to handle the higher -need calls. A more detailed evaluation of the data for the pilot program from December 1, 2021 to May 17, 2022 is attached as Exhibit 1. While street outreach efforts in Santa Ana are systematic, coordinated, and comprehensive, it is important to know that it often takes many contacts in the field before an individual accepts services. This may be frustrating for community members who mistakenly assume that a call to outreach teams or SAPD correlate with the individual always going to jail or shelter. Outreach workers, including SAPD, cannot force an individual into shelter, not take an individual to jail without reason. Additionally, shelter, for some, will never be a viable option. Mental health disorders, including a lack of treatment for the most seriously mentally ill, causes the kind of delusions and irregular behavior that make living in a shelter untenable. For these individuals, it is the persistent outreach and encouragement by outreach workers that may lead to mental health or substance abuse treatment, or a permanent housing option. To achieve the best response from outreach services, it is essential to deploy the correct street outreach team. Having the ability to deploy either SAPD or mental health homeless outreach workers, is ideal. ENVIRONMENTAL IMPACT There is no environmental impact associated with this action. FISCAL IMPACT Upon approval, funds will be available in the following expenditure account: Fiscal Year Accounting Unit -Fund Description Accounting Unit, mount Account Account Description FY 22-23 (mid -July- 18118013-69135 American Rescue Plan ARPA-CDA, Payment $2,133,600.50 June) Act to Subagent FY 22-23 (mid -July- 12218716-69135 Emergency and HealthHHAP-2, Payment to $ 349,999.08 June) Grants Subagent Total $2,483,599.59 Street Outreach and Engagement Agreement with City Net July 19, 2022 Page 3 EXHIBIT(S) 1. Evaluation of Pilot City Net SMART project 2. Agreement with City Net Submitted By: Steven Mendoza, Assistant City Manager Approved By: Kristine Ridge, City Manager '� s ■ , '�� icy � � ''' � b AA, r� a � ..� �xi ,r ,.,y• 4 •LL ++ s • �� ■�' , 1 N 411, R 0 4i EVALUATION OF SMART PILOT PROGRAM 2022 SANTA ANA !ter r n pm� .77 •f � Af `wa7 FAN ■ CITY OF SANTA ANA PAGE 01 The City of Santa Ana has been at the forefront of addressing homelessness in Orange County, despite being historically disadvantaged due to a lack of regional and equitable distribution of services and resources. Santa Ana has a variety of non-profit, governmental, and private agencies that provide many supportive services. The City also has the most homeless shelter beds in the county and has numerous affordable housing projects, including a number of permanent supportive housing options as a means to end homelessness. The Santa Ana Police Department (SAPD) has been assisting in connecting individuals with services for decades with their Homeless Evaluation Assessment Response Team (HEART), recognizing the value and importance of community engagement. The City has since added many new resources and has adapted its response to the changing needs and impacts of the homeless population. As SAPID began to receive more service calls regarding homelessness, the City partnered with City Net, a non-profit providing services for individuals experiencing homelessness. Santa Ana provided City Net a small HUD grant to allow them to offer outreach, engagement, and case management services to about 400 unhoused individuals in and around the Civic Center during limited hours to connect them with emergency shelter, housing, and critical services. Over the years, their scope and outreach hours have expanded as the need for their services has increased. City Council approved the Homeless Prevention, Intervention and Mitigation Plan to address the 20171 escalating number of individuals experiencing homelessness in Santa Ana. The City built capacity to address the issue in three ways: creating a new role for a Homeless Services Manager, adding a HEART Officer, and establishing the Quality of Life Team (QOLT). The City was engaged in federal litigation involving the County of Orange and other cities to 20181 address homelessness preceding Federal Judge David O. Carter's courtroom hearings, which tasked cities to create additional shelter beds. In August 2018, the City Council declared a Shelter Crisis and subsequently began providing shelter beds within the City of Santa Ana. The City of Santa Ana developed a 4 Point Strategic Plan regarding homelessness: 2019 1 1.Clean: Reduce Negative impacts to Community ensuring Santa Ana is clean and safe 2.Outreach: Be persistent in our contact with anyone experiencing homelessness 3. Housing: Reduce the number of Santa Ana's Unsheltered Homeless 4.Communications: Have an Engaged and Informed Community Regarding Homelessness and Homeless Solutions. 0 0 O (� Evaluation _, o Quality o Santa Ana M Of LfJro r Multidiscl lina Assessment L i f e Agency Multidisciplinary Response Team Response Team Team INCREASING OUTREACH Through learned experiences, the City of Santa Ana has realized that proactive outreach and engagement has the biggest impact on the community at large. In 2019, the City expanded City Net's contract to include additional teams of two staff members working five days a week, from 7 a.m. to 5:50 p.m. Two days a week, City Net teamed up with SAPD to respond to calls together. In 2020, at the height of the COVID-19 pandemic, the City began to look at outreach differently. As calls for service continued to increase, it became clear that a more persistent response to those living on the streets was needed. The City of Anaheim had recently formed a Community Care Response Team, utilizing City Net for a call center as well as in -person outreach. Anaheim 911 dispatchers diverted non -emergency, homeless -related calls to City Net, and both City Net's in -person and phone outreach teams had expanded hours of operation. This program has been highly successful in Anaheim, and fit the bill for what Santa Ana needed. The Santa Ana City Council authorized and awarded a contract to City Net to expand their services and start a pilot program for the Santa Ana Multidisciplinary Response Team (SMART) to receive 911 dispatch calls seven days a week from 9 a.m. to 9 p.m., expand outreach hours from 7 a.m. to 9 p.m., and have teams on the streets seven days a week. SMART includes homeless services outreach case managers, a safety coordinator, and access to medical, mental, and behavioral health assistance in the field without an additional call. SMART Pilot Program Goals: 1. Exit homeless individuals from the streets of Santa Ana. 2. Divert approximately 500 calls a month for non -emergency, non-violent, homeless -related services to facilitate a quick connection between individuals experiencing homelessness and appropriate services; 5. Provide safe COVID-19 information and interventions to vulnerable homeless neighbors. 4. Develop a pilot for a regional response to homelessness that connects homeless neighbors to housing solutions throughout the region, through full participation in the Orange County Continuum of Care. calls for service December 1, 2021 - May 17, 2022 RESULTS •wft1.1• During the pilot period, SMART live dispatchers received referrals from CallslReferrals multiple sources: SAPID and OCFA dispatchers, the mySantaAna app, and as direct calls to the City Net Outreach Line. How has SMART handled calls since December 20212 • • The City found that by inserting social services professionals into situations that previously would have been handled by police officers, the City was better able to utilize City resources. SAPID and OOLT were standing by, ready to assist on calls when additional support was needed. • With City Net taking non -emergency dispatch calls for homeless 66 supportive services, SAPID and other emergency responders were better Requests able to focus on public safety and respond to criminal activity. SMART dispatchers had the flexibility to handle a call without dispatching an outreach team to the field, such as requests for services outside the scope of SMART. If someone was calling to request food, clothing, utility assistance, or had a general inquiry about homelessness, the dispatcher could provide information on those outside services without sending a team member to the site. CITY OF SANTA ANA PAGE 0 Program Evaluation STATISTIL4 a 4W 1 �0 I How many homeless individuals were contacted by SMART? There were 2,887 street outreach contacts including 1,599 unique individuals where first name, last name, and date of birth were captured. Forty-eight (48%) percent of all contacts were unique. The remaining 1,488 were duplicate contacts with known individuals or contacts with individuals who declined to give their full name. How many individuals has the City assisted off the street since the launch of SMART? 472 street exits to shelters, permanent supportive housing, or family in -state or out-of-state. Calls received There were 6,566 total incoming calls/app referrals to City Net SMART Dispatch. 4,383 calls resulted in SMART being dispatched to the field. Sixty -Six Percent (66%) of all incoming requests for assistance required dispatching of SMART. 2,887 outreach contacts 1,399 unique individuals "City Net's SMART approach to homeless street outreach has allowed all involved in this complex issue to focus on our Department strengths and let professionals in homeless outreach perform the complex tasks associated with daily street engagements with the homeless community." Ken Gominsky, Homeless Services Manager PAGE 05 What were the Santa Ana Police Department average response times? SAPD Response Time Averages (Dec. 1 - May 17) Priority 2018-2019 2019-2020 2020-2021 2021-2022 1 6m 34s 6m 07s 5m 04s 5m 25s 2 10m 70s 8m 28s 9m 43s lom 05s 3 N/A N/A 26m 28m 16s 4 38m 22s 50m 31s 32m 07s 34m 43s Did the SMART program achieve its goals? Goal Results 1. Exit homeless individuals from SMART had 2,887 street outreach contacts, including 1,599 unique individuals, resulting in 472 street exits to shelter, housing or family reunification. That equates to Santa Ana streets more than 2 individuals exiting the street daily during the pilot program. Over 1,000 homeless -related calls were diverted monthly. SMART responded to 4,585 2. Divert 500 non -emergency requests that first -responders would have had to address: 2,784 calls to City Net, 589 homeless service calls monthly calls from SAPD/OCFA dispatch or officers in the field, 570 from the mySantaAna app, 440 proactive contacts by SMART. 3. COVID-19 information and 554 individuals were assisted with information on COVID-19 resources and given interventions for homeless personal protective equipment. 4. Develop a pilot for regional 987 clients were enrolled in case management, entered into a countywide homeless homelessness response management information system and the countywide coordinated entry system to be matched with long-term housing. FIRST AMENDMENT TO STREET OUTREACH AND ENGAGEMENT AGREEMENT CITY OF SANTA ANA THIS FIRST AMENDMENT to Street Outreach and Engagement Agreement is entered into on July 19, 2022, by and between Kingdom Causes, Inc., dba City Net, a California nonprofit corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RE_CITALS A. The parties entered into the Street Outreach and Engagement Agreement (A-2021-196) on October 6, 2021, by which Contractor agreed to provide service delivery for the specific purpose of reaching out to unsheltered homeless neighbors; connecting them with emergency shelter, housing, or critical services; and providing urgent, non -facility -based care ("Agreement"). The term of the Agreement was set to expire on December 31, 2020, B. On June 21, 2022, the City agreed to extend the term of the Agreement until July 31, 2022. Accordingly, the Agreement is current and in effect. C. The parties now wish to amend the Agreement to extend the term of the Agreement, append to the Scope of Services, and to increase the compensation to be expended under the Agreement to cover costs during the extended term. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions of the Agreement, except as hereinafter modified, the parties agree to the following: Section 1, Scope of Services, shall be amended to replace the Scope of Work attached to the Agreement as Exhibit B with the Scope of Work attached herewith as Exhibit B-1. 2. Section 2(a), Compensation, shall be amended to increase the compensation for services provided under this Agreement by $2,483,599.59. The total amount to be expended during the term of this Agreement, including any extension period, shall not exceed $3,783,599.59. The Budget attached to the Agreement as Exhibit C shall be replaced with the Budget attached herewith as Exhibit C-1. 3. Section 3, Term, shall be amended to extend the term of the Agreement through June 30, 2023. 4. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. {signatures on following page} IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST DAISY GOMEZ Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: *a�nt As ttomey, RECOMMENDED FOR APPROVAL STEVEN A. MENDOZA Executive Director Community Development Agency CITY OF SANTA ANA KRISTINE RIDGE City Manager CITY NET Braf Fiel house Executive Director Tax ID# 57-1162424 EXHIBIT B-l. SCOPE OF WORK (0��Q�' City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMART) Project Overview Building on the successful 2021 pilot project, and utilizing ESG and HHAP funding, City Net will provide street outreach and engagement services through the Santa Ana Multidisciplinary Response Teams (SMART) in 2022 and 2023. In partnership with the Santa Ana Police Department, Santa Ana Community Development, and city departments such as Code Enforcement and Public Works, City Net will staff and deploy SMART teams in responding to homeless calls for service though street outreach and engagement, 14 hours per day, seven days a week. The SMART Teams will address non -emergency homeless calls to increase outreach focused on providing services, addressing mental health, connecting clients to housing and helping more people out of homelessness. Through live dispatch (during operational hours) City Net will deploy multi -disciplinary teams of homeless services professionals to respond to homeless services calls received from the Santa Ana Police Department dispatch, My Santa Ana app (application, online and phone referrals), direct community calls through the City Net Outreach Line, and through proactive engagement by SMART teams. Deliverables (see end notes for descriptions of terms below) Monthly Goal,' Annual Goal Outreach Contacts 300 3,600 COVID-19 Engagements" 250 3,000 Phone Calls Dispatched 850 10,200 Case Management"' 85 1,020 Street Exits" 70.83 850 Description of Services Street Outreach Street outreach is service delivery to engage homeless neighbors through the process of rapport - building for the purpose of connecting them with emergency shelter, housing, critical services, and providing urgent, non -facility -based care such as medical health treatment, mental health treatment, counseling and other services essential for achieving independent living. Street outreach activities help homeless neighbors begin the process of obtaining appropriate supportive services, including assistance in obtaining permanent housing. Street outreach can be viewed as a "service in itself" and "a process of building a personal connection that may play a role in helping a person improve his or her housing, health status, or social support network" which "involves creativity, flexibility, may take City Net-611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 eN City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) months or years, and involves establishing a relationship" to connect a client to services'. Outreach is integrated into the County Coordinated Entry System (CES) and Homeless Management Information System (HMIS) to provide entrance to and service navigation within the Continuum of Care (CoC) and its resources. Engagement Engagement services are activities to locate, identify, and build relationships with homeless neighbors to offer support, intervention, and connections with homeless assistance programs and/or mainstream social services and other housing programs. Specific activities may include: • Conducting an initial assessment of client needs and eligibility • Providing informal crisis counseling • Addressing urgent physical needs, such as providing meals, blankets, clothes, or toiletries • Actively connecting and providing information and referrals to needed services • Making formal referrals into the city and/or CoC shelter and housing system Case Management Case management activities assess housing and service needs and arrange, coordinate and/or monitor the delivery of individualized services. Specific activities include: • Assessment and intake using HMIS • Conducting initial evaluations including verifying and documenting eligibility • Developing/securing/coordinating services • Helping obtain Federal, State, and local benefits • Monitoring and evaluating program participant progress in particular programs • Providing information and referrals to other providers • Developing an individualized housing stabilization plan Housing Navigation City Net will partner with local agencies and will deploy its own housing navigators who will acquire documentation and complete forms required for housing. Housing navigation also involves housing search which includes attending property owner meetings, setting appointments, and assisting with paperwork related to housing applications. Other services include coordinating moving arrangements for the client and setting up utilities, as well as mediation with property owners on behalf of the client. ' Olivet J, Bassuk E, Elstad E, Kenney R & Jassil L (2010) Outreach and Engagement in Homeless Services: A Review of the Literature. The Open Health Services and Policy Journal, 3, 53-70 City Net— 611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 eN City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) Transportation Through use of privately leased vans and/or transportation services, City Net will engage in: • Transporting unsheltered people to emergency shelters, emergency health, emergency mental health, or other service facilities • Provision of public transportation for participants • Transportation costs (bus tickets, gas, minor car repairs, etc.) to assist homeless neighbors to relocate out of the region, provided they have permanent housing there • Assisting program participants to use public transportation Emergency Health/Mental Health City Net will refer homeless neighbors to emergency health and/or emergency mental health services to the extent that other customary emergency health services and treatments are unavailable or inaccessible to the homeless neighbor. A referral example is outpatient treatment of urgent medical conditions by licensed medical professionals in community -based settings (e.g., streets, parks, and campgrounds) to those eligible participants unwilling or unable to access emergency shelter or an appropriate healthcare facility. Services for Special Populations Services for special populations are essential services that have been tailored to address the special needs of homeless youths, victims of domestic violence, dating violence, sexual assault, or stalking, including connections to services offered by rape crisis centers, domestic violence shelters, and other organizations that serve persons who meet the HUD homeless definition and have special needs. Food and Emergency Services Food and other emergency services will be given to clients primarily as they first move into housing and for emergency circumstances. During the duration of their tenancy, clients will be connected food banks and service agencies in the community as their primary resource for emergency needs. City Net Data Collection Policy The information City Net collects about individuals and families who access our services is confidentially stored in a local electronic database called the Homeless Management information System (HMIS). HMIS securely records information (data) about people accessing housing and homeless services, which may include, but is not limited to, names and contact information, birthdates, demographic information, self -reported medical information, Veteran status, disability status, etc. Under the HMIS Data -Sharing Agreement, the individual client data of those who consent to have their information stored in HMIS is only viewable by qualified staff at each participating agency. In order to participate in HMIS, leaders at each agency must sign an Agency Agreement that City Net-611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 UV I City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMART) includes a commitment to protecting client data and maintaining confidentiality, and agency staff must pass multiple trainings that each go over the importance of client privacy. City Net is accountable to our HMIS Data -Sharing partners, to the local County, to our local Continuum of Care, and to the Department of Housing and Urban Development (HUD) to maintain the privacy and security of the confidential personal information we collect about our clients and their families. Aside from these legal and funding -related obligations, we also believe we have an ethical responsibility to our clients to not share their personal data in ways to which they've not agreed. To ensure City Net's commitment to excellent data collection, privacy and security, analysis and reporting practices, City Net does not authorize external agencies to complete these functions on our behalf except in very limited circumstances and only with prior written approval and with City Net's full participation in all data reporting and analysis. This is so that City Net can responsibly provide context and analysis for the data City Net collects within collaborative efforts to coordinate the most effective services for our homeless neighbors, better understand homelessness in our community, assess the types of resources needed in our focal area, and participate in generating aggregate statistical reports to HUD, which help to improve policy and bring adequate funding of services for the most vulnerable populations in our community, and so City Net can assure its ethical and legal responsibilities to homeless neighbors to not share their data in ways to which they have not agreed. Outreach Contacts reflect the number of interactions forth e specific purpose of reaching out to unsheltered homeless neighbors in a process of building trust and offering support toward the long-term goal of connecting them with emergency shelter, housing, or critical services; and providing urgent, non -facility -based care. These activities are intended to help homeless neighbors to obtain appropriate supportive services, including assistance in obtaining permanent housing, medical health treatment, mental health treatment, counseling, supervision, and other services essential for achieving independent living; housing stabilitycase management; and other Federal, State, local, or private assistance available to assist the program participant in obtaining housing stability. This number can be duplicated in any given reporting period. "COVID-19 Engagements reflect the number of interactions by City Net's street outreach and engagement staff to ensure that unsheltered homeless neighbors have access to services and updated information about COVID-19, by working to: • Provide information to educate people about COVID-19: where they can get tested, how it spreads, health impacts, common symptoms, and other features of the disease. • Use health messages and materials developed by credible public health sources, such as local and state public health departments or the Centers for Disease Control and Prevention (CDC). • Provide educational materials about COVID-19 for non-English speakers, those with low literacy or intellectual disabilities, and people who are hearing or vision impaired. • Ensure communication with clients about changes in homeless services policies and/or changes in physical location of services such as food, water, hygiene facilities, regular healthcare, and behavioral health resources. • Provide health and hygiene interventions: o Recommend that all clients wear masks any time they are around other people, noting exceptions such as young children underage 2, anyone who has trouble breathing, or is unconscious, incapacitated, or otherwise unable to remove the mask without assistance. City Net —611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 eN City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) a Provide clients with hygiene materials including items such as hand sanitizer, soap, shampoo, cleansing wipes, socks, blankets, non-perishable snacks, bottled water, sunscreen, gloves, toothbrush, toothpaste, and other items depending on client needs. o Discourage clients from spending time in crowded places or gathering In large groups, for example at locations where food, water, or hygiene supplies are being distributed. o If it is not possible for clients and staff to avoid crowded places, encourage spreading out (at least 6 feet between people) to the extent possible. • Encourage proper waste disposal to prevent spread of disease and minimize risk. • Continue providing linkages to homeless services, housing, medical, mental health, and substance use treatment, including provision of medication -assisted therapies. • Maintain up-to-date contact information and areas frequented for each person. • Coordinate, integrate, and leverage resources to maximize impact of services for individuals who are experiencing homelessness. • Engage individuals and families not yet working with a CES Partner Agency, with a primary focus on unsheltered families and individuals in encampments. • Conduct frequent visits to encampments known to have persons experiencing homelessness throughout the city. • Record all assessments and subsequent services in the Homeless Management Information System (HMIS). Enter and maintain timely and complete client data. • rink clients to the Coordinated Entry System (CES) to provide ongoing engagement, document collection, and case management services to facilitate a match to an appropriate housing resource. • Case Management in the context of CES, which is voluntary and client -centered, with the goal of identifying strengths and client -directed goals, while promoting health, recognition, and well-being with a focus on linking the client to a permanent housing resource and providing the necessary services needed to promote housing stability. This number can be duplicated in any given reporting period. is Reflects the current number of homeless neighbors who are voluntarily engaged in a formal, written case management relationship with City Net. Clients sign permission to allow City Net case managers to work with them to achieve progress on a mutually agreed upon plan to attain housing and supportive services. Case managers follow-up with housed clients for 6 months after housing to ensure a successful placement. Active cases are engaged once a week on average and are considered inactive after 90 days of no contact. This is an unduplicated number that changes overtime as former clients exit case management and new clients enroll. "Street Exits are defined by HUD and enumerated in the HUD systems performance report, and City Net uses these designations for all street exits achieved through the efforts of two or more agencies working together within the context of the homeless collaborative in the city. HUD designates some of these street exits as "temporary" and some as "permanent", and City Net exercises discretion to count as exited those homeless neighbors who have a reasonable plan in place to move from temporary shelter to permanent housing. Street exits may also reflect duplicated numbers as individuals may enter, then exit, then reenter shelter/housing multiple times during the reporting period, and HUD guidelines require that City Net count these as multiple street exits even when referring to a single individual. City Net-611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 EXHIBIT C-1 BUDGET Santa Ana SMART Budget City Net July 1, 2022 -June 30, 2023 Santa Ana SMART, July 1, 2022 - June 30, 2023 Live phone response, 7 days/week, 9:00am to 9:00pm 2-3 teams, M-F 7:00am to 9:00pm, 1 team Sa-Su, 9:00am to 9:00pm Labor Title/Role Description Fully Loaded Compensation a42 ks FTE TOTAL SMART Program Supervisor Project su envision, staff mana ement 543.21 .00 1.00 $89,869.73 Dis atch Su ervisor Call center su ervisor $36,29 .00 0.50 $37,741.60 Lead Dispatch Case Manager Live call response leader $30.50 20 52.00 0,50 $31 714.80 Dispatch Case Managers Live call response 26.32 40 52.00 2.00 $109 491.20 Lead Outreach Case Managers Outreach and Engagement (O+E) shift leaders $30,50 40 52.00 2.00 $126,859.20 Outreach Case Managers O+E, case management $28.41 40 52.00 10.00 $590,928.00 MSW Clinicians O+E case management $38.51 40 52.00 4.00 $320 403.20 Lead Safety Coordinator Lead safety for O+E teams $32.00120 52.00 0.50 $33,290.00 Safety Coordinators Safety forO+E teams $26.60 40 52.00 4.00 $221 312.00 Executive leadership Project oversight, quality control, communicationsproblem solving $79.50 4 52.00 0.10 $16,536.00 Finance and billing Payroll, billing $29.26 8 52.00 0.20 $12,172.16 Human resources Staff recruiting,hiring, training, disputes $29.68 4 52.00 0.10 $6,173.44 Operations Inventory, urchasing, technical support $25.98 4 52.00 0.10 $5 403.84 Community Engagement lResource development, communications $25.98 4 52.00 0.10 $5,403.84 Data Analyst IHMIS data entry,reporting,compliance $26.00 30 52.00 0.75 $40 560.00 Labor Subtotal: 25.85 $1,647,849.01 Operations and Program Expenses Item Description TOTAL Client Services Client transport (7 vehicles): vehicle lease, gas, vehicle insurance, maintenance $168,000.00 Client Services Rapid rehousing fees $63,814.10 Client Services Emergency Shelter motel vouchers $63,000.00 Client Services Medical services/telemedicine equipment for Families Together Orange County $10,000.00 Client Services LCSW contract for disabling condition documentation and mental health services $81,982.00 Rent Offices ace and office equipment/furniture rental $37,224.00 Equipment Phones computers hardware and software and equipment 5105 778.20 Materials and Supplies Personal Protective Equipment (PPE) for staff and clients (masks, gloves, face shields, proximity suits, trash bags, etc.) with replacements $9,600.00 Materials and Supplies Uniforms copies, forms office supplies, equipment, etc. $22 489.50 Materials and Supplies IT support and client management software licenses $27 142.5D Materials and Supplies Financial audit $9 306.00 Materials and Supplies Liability Insurance $11,632,50 Administrative Expenses Subtotal: $609,968.80 Administration Catezory Description TOTAL n&rect Costs At 10%: includes general expenses incurred by City Net but not directly borne by the project (utilities, taxes, other typse of required insurance not listed above, legal, staff development, contingencies, etc.) $225,781.78 Administration subtotal: $225,781.78 Project TOTAL $2,483,S99.59 7/5/2022 matt@citynet.org FIRST AMENDMENT TO HOMELESS HOUSING, ASSISTANCE AND PREVENTION SUBCONTRACTOR AGREEMENT THIS FIRST AMENDMENT to the Homeless Housing, Assistance and Prevention Subcontractor Agreement is entered into on July 19, 2022, by and between Kingdom Causes, Inc., dba City Net, a California nonprofit corporation ("Subcontractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into Agreement No. A-2021-197-01, dated October 6, 2021, by which Contractor agreed to use Homeless Housing, Assistance and Prevention Program ("HI-IAP") funds to provide homeless street outreach and engagement in the City of Santa Ana ("Agreement"). B. In accordance with the terms and conditions of said Agreement, the Parties desire to amend: Section I — Scope of Services, to update the Scope of Work; Section 2 — Term, to extend the term of said Agreement; and Section 3 — Disbursement and Funds, to increase the maximum amount of Compensation for said Agreement. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: 1. Section 1, SCOPE OF SERVICES, shall be amended to replace the Scope of Work attached to the Agreement as Exhibit B with the Scope of Work attached herewith as Exhibit 13-1. 2. Section 2, TERM, shall be amended to extend the term of the Agreement through June 30, 2023. The term of the Agreement shall also cover any services provided since July 1, 2022. If necessary, the term of this Agreement may be extended upon a writing executed by the City Manager and the City Attorney. 3. Section 3(a), DISBURSEMENT AND FUNDS, shall be amended to increase the maximum amount of compensation by $349,999.08, such that the total sum to be expended under said Agreement shall not exceed $649,999.08 during the term of said Agreement. This total not to exceed amount of compensation is not guaranteed to Subcontractor. Rather, Subcontractor will only be paid for sufficient services provided during the term of said Agreement. Once said Agreement is terminated, the City shall not be responsible for any further payments to Subcontractor other than payment for services provided by Subcontractor during the term of the Agreement. 4. Except as modified by this First Amendment, all terms and conditions of said Agreement shall remain in full force and effect. Page i or3 IN WITNESS WHEREOF, the Parties hereto have executed this First Amendment to said Agreement on the date and year first written above. ATTEST DAISY GOMEZ Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Mit, By: Rya P. dge Assi t ity Attorney RECOMMENDED FOR APPROVAL STEVEN A. MENDOZA Executive Director Community Development Agency CffY OF SANTA ANA KRISTINE RIDGE City Manager CITY NET Br Fieldhouse Executive Director Page 2 of 3 EXHIBIT B-1 SCOPE OF WORK Page 3 of 3 (iV I City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) Proiect Overview Building on the successful 2021 pilot project, and utilizing ESG and HHAP funding, City Net will provide street outreach and engagement services through the Santa Ana Multidisciplinary Response Teams (SMART) in 2022 and 2023. In partnership with the Santa Ana Police Department, Santa Ana Community Development, and city departments such as Code Enforcement and Public Works, City Net will staff and deploy SMART teams in responding to homeless calls for service though street outreach and engagement, 14 hours per day, seven days a week. The SMART Teams will address non -emergency homeless calls to increase outreach focused on providing services, addressing mental health, connecting clients to housing and helping more people out of homelessness. Through live dispatch (during operational hours) City Net will deploy multi -disciplinary teams of homeless services professionals to respond to homeless services calls received from the Santa Ana Police Department dispatch, My Santa Ana app (application, online and phone referrals), direct community calls through the City Net Outreach Line, and through proactive engagement by SMART teams. Deliverables (see endnotes for descriptions of terms below) i Moitithly Gnal Annual Goal Outreach Contacts! 300 3,600 COVID-19 Engagements" 250 3,000 Phone Calls Dispatched 850 10,200 Case Managementil' 85 1,020 Street Exits" 70.83 850 Description of Services Street Outreach Street outreach is service delivery to engage homeless neighbors through the process of rapport - building for the purpose of connecting them with emergency shelter, housing, critical services, and providing urgent, non -facility -based care such as medical health treatment, mental health treatment, counseling and other services essential for achieving independent living. Street outreach activities help homeless neighbors begin the process of obtaining appropriate supportive services, including assistance in obtaining permanent housing. Street outreach can be viewed as a "service in itself' and "a process of building a personal connection that may play a role in helping a person improve his or her housing, health status, or social support network" which "involves creativity, flexibility, may take City Net —611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 V City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) months or years, and involves establishing a relationship" to connect a client to services'. Outreach is integrated into the County Coordinated Entry System (CES) and Homeless Management Information System (HMIS) to provide entrance to and service navigation within the Continuum of Care (CoC) and its resources. Engagement Engagement services are activities to locate, identify, and build relationships with homeless neighbors to offer support, intervention, and connections with homeless assistance programs and/or mainstream social services and other housing programs. Specific activities may include: • Conducting an initial assessment of client needs and eligibility • Providing informal crisis counseling • Addressing urgent physical needs, such as providing meals, blankets, clothes, or toiletries • Actively connecting and providing information and referrals to needed services • Making formal referrals into the city and/or CoC shelter and housing system Case Management Case management activities assess housing and service needs and arrange, coordinate and/or monitor the delivery of individualized services. Specific activities include: • Assessment and intake using HMIS • Conducting initial evaluations including verifying and documenting eligibility • Developing/securing/coordinating services • Helping obtain Federal, State, and local benefits • Monitoring and evaluating program participant progress in particular programs • Providing information and referrals to other providers • Developing an individualized housing stabilization plan Housing Navigation City Net will partner with local agencies and will deploy its own housing navigators who will acquire documentation and complete forms required for housing. Housing navigation also involves housing search which includes attending property owner meetings, setting appointments, and assisting with paperwork related to housing applications. Other services include coordinating moving arrangements for the client and setting up utilities, as well as mediation with property owners on behalf of the client. I Olivet J, Bassuk E, Elstad E, Kenney R & Jassil L (2010) Outreach and Engagement in Homeless Services: A Review of the Literature. The Open Health Services and Policy Journal, 3, 53-70 City Net — 611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 V City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) Transportation Through use of privately leased vans and/or transportation services, City Net will engage in: • Transporting unsheltered people to emergency shelters, emergency health, emergency mental health, or other service facilities • Provision of public transportation for participants • Transportation costs (bus tickets, gas, minor car repairs, etc.) to assist homeless neighbors to relocate out of the region, provided they have permanent housing there • Assisting program participants to use public transportation Emergency Health/Mental Health City Net will refer homeless neighbors to emergency health and/or emergency mental health services to the extent that other customary emergency health services and treatments are unavailable or inaccessible to the homeless neighbor. A referral example is outpatient treatment of urgent medical conditions by licensed medical professionals in community -based settings (e.g., streets, parks, and campgrounds) to those eligible participants unwilling or unable to access emergency shelter or an appropriate healthcare facility. Services for Special Populations Services for special populations are essential services that have been tailored to address the special needs of homeless youths, victims of domestic violence, dating violence, sexual assault, or stalking, including connections to services offered by rape crisis centers, domestic violence shelters, and other organizations that serve persons who meet the HUD homeless definition and have special needs. Food and Emergency Services Food and other emergency services will be given to clients primarily as they first move into housing and for emergency circumstances. During the duration of their tenancy, clients will be connected food banks and service agencies in the community as their primary resource for emergency needs. City Net Data Collection Policy, The information City Net collects about individuals and families who access our services is confidentially stored in a local electronic database called the Homeless Management Information System (HMIS). HMIS securely records information (data) about people accessing housing and homeless services, which may include, but is not limited to, names and contact information, birthdates, demographic information, self -reported medical information, Veteran status, disability status, etc. under the HMIS Data -Sharing Agreement, the individual client data of those who consent to have their information stored in HMIS is only viewable by qualified staff at each participating agency. In order to participate in HMIS, leaders at each agency must sign an Agency Agreement that City Net — 611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 V City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) includes a commitment to protecting client data and maintaining confidentiality, and agency staff must pass multiple trainings that each go over the importance of client privacy. City Net is accountable to our HMIS Data -Sharing partners, to the local County, to our local Continuum of Care, and to the Department of Housing and Urban Development (HUD) to maintain the privacy and security of the confidential personal information we collect about our clients and their families. Aside from these legal and funding -related obligations, we also believe we have an ethical responsibility to our clients to not share their personal data in ways to which they've not agreed. To ensure City Net's commitment to excellent data collection, privacy and security, analysis and reporting practices, City Net does not authorize external agencies to complete these functions on our behalf except in very limited Circumstances and only with prior written approval and with City Net's full participation in all data reporting and analysis. This is so that City Net can responsibly provide context and analysis for the data City Net collects within collaborative efforts to coordinate the most effective services for our homeless neighbors, better understand homelessness in our community, assess the types of resources needed in our local area, and participate in generating aggregate statistical reports to HUD, which help to improve policy and bring adequate funding of services for the most vulnerable populations in our community, and so City Net can assure its ethical and legal responsibilities to homeless neighbors to not share their data in ways to which they have not agreed. Outreach Contacts reflect the number of interactions fort he specific purpose of reaching out to unsheltered homeless neighbors in a process of building trust and offering support toward the long-term goal ofconnecting them with emergency shelter, housing, or critical services; and providing urgent, non -facility -based care. These activities are intended to help homeless neighbors to obtain appropriate supportive services, including assistance in obtaining permanent housing, medical health treatment, mental health treatment, counseling, supervision, and other services essential for achieving independent living; housing stability case management; and other Federal, State, local, or private assistance available to assist the program participant in obtaining housing stability. This number can be duplicated in any given reporting period. 11COVID-19 Engagements reflect the number of interactions by City Net's street outreach and engagement staff to ensure that unsheltered homeless neighbors have access to services and updated information about COVID-19, by working to: • Provide information to educate people about COVID-19: where they can get tested, how it spreads, health Impacts, common symptoms, and other features of the disease. • Use health messages and materials developed by credible public health sources, such as local and state public health departments or the Centers for Disease Control and Prevention (CDC). • Provide educational materials about COVID-19 for non-English speakers, those with low literacy or intellectual disabilities, and people who are hearing or vision impaired. • Ensure communication with clients about changes in homeless services policies and/or changes in physical location of services such as food, water, hygiene facilities, regular healthcare, and behavioral health resources. • Provide health and hygiene interventions: o Recommend that all clients wear masks any time they are around other people, noting exceptions such as young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated, or otherwise unable to remove the mask without assistance. City Net-511 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 v City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) o Provide clients with hygiene materials including items such as hand sanitizer, soap, shampoo, cleansing wipes, socks, blankets, non-perishable snacks, bottled water, sunscreen, gloves, toothbrush, toothpaste, and other items depending on client needs. o Discourage clients from spending time in crowded places or gathering in large groups, for example at locations where food, water, or hygiene supplies are being distributed. o If it is not possible for clients and staff to avoid crowded places, encourage spreading out (at least 6 feet between people) to the extent possible. • Encourage proper waste disposal to prevent spread of disease and minimize risk. • Continue providing linkages to homeless services, housing, medical, mental health, and substance use treatment, including provision of medication -assisted therapies. • Maintain up-to-date contact information and areas frequented for each person. • Coordinate, integrate, and leverage resources to maximize impact of services for individuals who are experiencing homelessness. • Engage individuals and families not yet working with a CES Partner Agency, with a primary focus on unsheltered families and individuals in encampments. • Conduct frequent visits to encampments known to have persons experiencing homelessness throughout the city. • Record all assessments and subsequent services in the Homeless Management Information System (HMIS). Enter and maintain timely and complete client data. • Link clients to the Coordinated Entry System (CES) to provide ongoing engagement, document collection, and case management services to facilitate a match to an appropriate housing resource. • Case Management in the context of CES, which is voluntary and client -centered, with the goal of identifying strengths and client -directed goals, while promoting health, recognition, and well-being with a focus on linking the client to a permanent housing resource and providing the necessary services needed to promote housing stability. This number can be duplicated in any given reporting period. IF' Reflects the current number of homeless neighbors who are voluntarily engaged in a formal, written case management relationship with City Net. Clients sign permission to allow City Net case managers to work with them to achieve progress on a mutually agreed upon plan to attain housing and supportive services. Case managers follow-up with housed clients for 6 months after housing to ensure a successful placement. Active cases are engaged once a week on average and are considered inactive after 90 days of no contact. This is an unduplicated number that changes over time as former clients exit case management and new clients enroll. Street Exits are defined by HUD and enumerated in the HUD systems performance report, and City Net uses these designations for all street exits achieved through the efforts of two or more agencies working together within the context of the homeless collaborative in the city. HUD designates some of these street exits as "temporary" and some as "permanent', and City Net exercises discretion to count as exited those homeless neighbors who have a reasonable plan in place to move from temporary shelter to permanent housing. Street exits may also reflect duplicated numbers as individuals may enter, then exit, then reenter shelter/housing multiple times during the reporting period, and HUD guidelines require that City Net count these as multiple street exits even when referring to a single individual. City Net-611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 FIRST AMENDMENT TO AMERICAN RESCUE PLAN ACT SUBCONTRACTOR AGREEMENT THIS FIRST AMENDMENT to the American Rescue Plan Act Subcontractor Agreement is entered into on July 19, 2022, by and between Kingdom Causes, Inc. dba City Net, a California nonprofit corporation ("Subcontractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (.City„). RECITALS A. The parties entered into Agreement No. A-2021-197-02, dated October 6, 2021, by which Contractor agreed to use American Rescue Plan Act ("ARPA"), including Coronavirus State and Local Fiscal Recovery Fund ("SLFRF"), funds to provide homeless street outreach and engagement in the City of Santa Ana ("Agreement"). B. In accordance with the terms and conditions of said Agreement, the Parties desire to amend: Section I — Scope of Services, to update the Scope of Work; Section 2 — Term, to extend the term of said Agreement; and Section 3 — Disbursement and Funds, to increase the maximum amount of Compensation for said Agreement. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: I. Section 1, SCOPE OF SERVICES, shall be amended to replace the Scope of Work attached to the Agreement as Exhibit B with the Scope of Work attached herewith as Exhibit B-1. 2. Section 2, TERM, shall be amended to extend the term of the Agreement through June 30, 2023. The term of the Agreement shall also cover any services provided since July 1, 2022. If necessary, the term of this Agreement may be extended upon a writing executed by the City Manager and the City Attorney. Section 3(a), DISBURSEMENT AND FUNDS, shall be amended to increase the maximum amount of compensation by $2,133,600.51, such that the total sum to be expended under said Agreement shall not exceed $3,133,600.51 during the term of said Agreement. This total not to exceed amount of compensation is not guaranteed to Subcontractor. Rather, Subcontractor will only be paid for sufficient services provided during the term of said Agreement. Once said Agreement is terminated, the City shall not be responsible for any further payments to Subcontractor other than payment for services provided by Subcontractor during the term of the Agreement. 4. Except as modified by this First Amendment, all terms and conditions of said Agreement shall remain in full force and effect. Pagel of 3 IN WITNESS WHEREOF, the Parties hereto have executed this First Amendment to said Agreement on the date and year first written above. ATTEST DAISY GOMEZ Clerk of the Council CITY OF SANTA ANA KRISTINE RIDGE City Manager APPROVED AS TO FORM CITY NET SONIA R. CARVALHO Citv Att6i:dP., n (1EI-.4 I City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) Project Overview Building on the successful 2021 pilot project, and utilizing ESG and HHAP funding, City Net will provide street outreach and engagement services through the Santa Ana Multidisciplinary Response Teams (SMART) in 2022 and 2023. In partnership with the Santa Ana Police Department, Santa Ana Community Development, and city departments such as Code Enforcement and Public Works, City Net will staff and deploy SMART teams in responding to homeless calls for service though street outreach and engagement, 14 hours per day, seven days a week. The SMART Teams will address non -emergency homeless calls to increase outreach focused on providing services, addressing mental health, connecting clients to housing and helping more people out of homelessness. Through live dispatch (during operational hours) City Net will deploy multi -disciplinary teams of homeless services professionals to respond to homeless services calls received from the Santa Ana Police Department dispatch, My Santa Ana app (application, online and phone referrals), direct community calls through the City Net Outreach Line, and through proactive engagement by SMART teams. Deliverables (see endnotes for descriptions of terms halnwl Monthly Goal Annual Goal Outreach Contacts, 300 3,600 COVID-19 Engagements" 250 3,000 Phone Calls Dispatched 850 10,200 Case Management"' 85 1,020 Street Exits,, 70.83 850 Description of Services Street Outreach Street outreach is service delivery to engage homeless neighbors through the process of rapport - building for the purpose of connecting them with emergency shelter, housing, critical services, and providing urgent, non -facility -based care such as medical health treatment, mental health treatment, counseling and other services essential for achieving independent living. Street outreach activities help homeless neighbors begin the process of obtaining appropriate supportive services, including assistance in obtaining permanent housing. Street outreach can be viewed as a "service in itself" and "a process of building a personal connection that may play a role in helping a person improve his or her housing, health status, or social support network" which "involves creativity, flexibility, may take City Net — 611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 CH City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) months or years, and involves establishing a relationship" to connect a client to services'. Outreach is integrated into the County Coordinated Entry System (CES) and Homeless Management Information System (HMIS) to provide entrance to and service navigation within the Continuum of Care (CoC) and its resources. Engagement Engagement services are activities to locate, identify, and build relationships with homeless neighbors to offer support, intervention, and connections with homeless assistance programs and/or mainstream social services and other housing programs. Specific activities may include: • Conducting an initial assessment of client needs and eligibility • Providing informal crisis counseling • Addressing urgent physical needs, such as providing meals, blankets, clothes, or toiletries • Actively connecting and providing information and referrals to needed services • Making formal referrals into the city and/or CoC shelter and housing system Case Management Case management activities assess housing and service needs and arrange, coordinate and/or monitor the delivery of individualized services. Specific activities include: • Assessment and intake using HMIS • Conducting initial evaluations including verifying and documenting eligibility • Developing/securing/coordinating services • Helping obtain Federal, State, and local benefits • Monitoring and evaluating program participant progress in particular programs • Providing information and referrals to other providers • Developing an individualized housing stabilization plan Housing Navigation City Net will partner with local agencies and will deploy its own housing navigators who will acquire documentation and complete forms required for housing. Housing navigation also involves housing search which includes attending property owner meetings, setting appointments, and assisting with paperwork related to housing applications. Other services include coordinating moving arrangements for the client and setting up utilities, as well as mediation with property owners on behalf of the client. 1 Olivet J, Bassuk E, Elstad E, Kenney R & Jassil L (2010) Outreach and Engagement in Homeless Services: A Review of the Literature. The Open Health Services and Policy Journal, 3, 53-70 City Net — 611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) Transportation Through use of privately leased vans and/or transportation services, City Net will engage in: • Transporting unsheltered people to emergency shelters, emergency health, emergency mental health, or other service facilities Provision of public transportation for participants Transportation costs (bus tickets, gas, minor car repairs, etc.) to assist homeless neighbors to relocate out of the region, provided they have permanent housing there Assisting program participants to use public transportation Emergency Health/Mental Health City Net will refer homeless neighbors to emergency health and/or emergency mental health services to the extent that other customary emergency health services and treatments are unavailable or inaccessible to the homeless neighbor. A referral example is outpatient treatment of urgent medical conditions by licensed medical professionals in community -based settings (e.g., streets, parks, and campgrounds) to those eligible participants unwilling or unable to access emergency shelter or an appropriate healthcare facility. Services for Special Populations Services for special populations are essential services that have been tailored to address the special needs of homeless youths, victims of domestic violence, dating violence, sexual assault, or stalking, including connections to services offered by rape crisis centers, domestic violence shelters, and other organizations that serve persons who meet the HUD homeless definition and have special needs. Food and Emergency Services Food and other emergency services will be given to clients primarily as they first move into housing and for emergency circumstances. During the duration of their tenancy, clients will be connected food banks and service agencies in the community as their primary resource for emergency needs. City -Net Data Collection Policy The information City Net collects about individuals and families who access our services is confidentially stored in a local electronic database called the Homeless Management Information System (HMIS). HMIS securely records information (data) about people accessing housing and homeless services, which may include, but is not limited to, names and contact information, birthdates, demographic information, self -reported medical information, Veteran status, disability status, etc. Under the HMIS Data -Sharing Agreement, the individual client data of those who consent to have their information stored in HMIS is only viewable by qualified staff at each participating agency. In order to participate in HMIS, leaders at each agency must sign an Agency Agreement that City Net — 611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 CtIN City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMaRT) includes a commitment to protecting client data and maintaining confidentiality, and agency staff must pass multiple trainings that each go over the importance of client privacy. City Net is accountable to our HMIS Data -Sharing partners, to the local County, to our local Continuum of Care, and to the Department of Housing and Urban Development (HUD) to maintain the privacy and security of the confidential personal information we collect about our clients and their families. Aside from these legal and funding -related obligations, we also believe we have an ethical responsibility to our clients to not share their personal data in ways to which they've not agreed. To ensure City Net's commitment to excellent data collection, privacy and security, analysis and reporting practices, City Net does not authorize external agencies to complete these functions on our behalf except in very limited circumstances and only with prior written approval and with City Net's full participation in all data reporting and analysis. This is so that City Net can responsibly provide context and analysis for the data City Net collects within collaborative efforts to coordinate the most effective services for our homeless neighbors, better understand homelessness in our community, assess the types of resources needed in our local area, and participate in generating aggregate statistical reports to HUD, which help to improve policy and bring adequate funding of services for the most vulnerable populations in our community, and so City Net can assure its ethical and legal responsibilities to homeless neighbors to not share their data in ways to which they have not agreed. Outreach Contacts reflect the number of interactions for the specific purpose of reaching out to unsheltered homeless neighbors in a process of building trust and offering support toward the long-term goal of connecting them with emergency shelter, housing, or critical services; and providing urgent, non -facility -based care. These activities are intended to help homeless neighbors to obtain appropriate supportive services, including assistance in obtaining permanent housing, medical health treatment, mental health treatment, counseling, supervision, and other services essential for achieving independent living; housing stability case management; and other Federal, State, local, or private assistance available to assist the program participant in obtaining housing stability. This number can be duplicated in any given reporting period. "COVID-19 Engagements reflect the number of interactions by City Net's street outreach and engagement staff to ensure that unsheltered homeless neighbors have access to services and updated information about COVID-19, by working to: • Provide information to educate people about COVID-19: where they can get tested, how it spreads, health impacts, common symptoms, and other features of the disease. • Use health messages and materials developed by credible public health sources, such as local and state public health departments or the Centers for Disease Control and Prevention (CDC). • Provide educational materials about COVID-19 for non-English speakers, those with low literacy or intellectual disabilities, and people who are hearing or vision impaired. • Ensure communication with clients about changes in homeless services policies and/or changes in physical location of services such as food, water, hygiene facilities, regular healthcare, and behavioral health resources. • Provide health and hygiene interventions: o Recommend that all clients wear masks any time they are around other people, noting exceptions such as young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated, or otherwise unable to remove the mask without assistance. City Net — 611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 4 City Net Exhibit A: Scope of Work 2022-2023 Santa Ana Multidisciplinary Response Team (SMART) o Provide clients with hygiene materials including items such as hand sanitlzer, soap, shampoo, cleansing wipes, socks, blankets, non-perishable snacks, bottled water, sunscreen, gloves, toothbrush, toothpaste, and other items depending on client needs. o Discourage clients from spending time in crowded places or gathering in large groups, for example at locations where food, water, or hygiene supplies are being distributed. o If it is not possible for clients and staff to avoid crowded places, encourage spreading out (at least 6 feet between people) to the extent possible. • Encourage proper waste disposal to prevent spread of disease and minimize risk. • Continue providing linkages to homeless services, housing, medical, mental health, and substance use treatment, including provision of medication -assisted therapies. • Maintain up-to-date contact information and areas frequented for each person. • Coordinate, integrate, and leverage resources to maximize impact of services for individuals who are experiencing homelessness. • Engage individuals and families not yet working with a CES Partner Agency, with a primary focus on unsheltered families and individuals in encampments. • Conduct frequent visits to encampments known to have persons experiencing homelessness throughout the city. • Record all assessments and subsequent services in the Homeless Management Information System (HMI5). Enter and maintain timely and complete client data. • Link clients to the Coordinated Entry System (CES) to provide ongoing engagement, document collection, and case management services to facilitate a match to an appropriate housing resource. • Case Management in the context of CES, which is voluntary and client -centered, with the goal of identifying strengths and client -directed goals, while promoting health, recognition, and well-being with a focus on linking the client to a permanent housing resource and providing the necessary services needed to promote housing stability. This number can be duplicated in any given reporting period, 01 Reflects the current number of homeless neighbors who are voluntarily engaged in a formal, written case management relationship with City Net. Clients sign permission to allow City Net case managers to work with them to achieve progress on a mutually agreed upon plan to attain housing and supportive services. Case managers follow-up with housed clients for 6 months after housing to ensure a successful placement. Active cases are engaged once a week on average and are considered inactive after 90 days of no contact. This is an unduplicated number that changes overtime as former clients exit case management and new clients enroll. Street Exits are defined by HUD and enumerated in the HUD systems performance report, and City Net uses these designations for all street exits achieved through the efforts of two or more agencies working together within the context of the homeless collaborative in the city. HUD designates some of these street exits as `temporary" and some as "permanent", and City Net exercises discretion to count as exited those homeless neighbors who have a reasonable plan in place to move from temporary shelter to permanent housing. Street exits may also reflect duplicated numbers as individuals may enter, then exit, then reenter shelter/housing multiple times during the reporting period, and HUD guidelines require that City Net count these as multiple street exits even when referring to a single individual. City Net —fill W. Civic Center Drive, Suite 400, Santa Ana, CA 92705