HomeMy WebLinkAboutCC_2021_12-14_PublicReview - CDBGPublic Facility/Housing Project Applications
• City of Atascadero -Santa Rosa Project
• Peoples' Self Help Housing - Dei Rio Ridge
Email This Prevle=.+i Save as PDP Print Close Window AL a
Powered by ZoomGrar7tsT11
County of San Luis Obispo
2022 Public Facilities and Improvements (CDBG, PLHA)
Deadline: 11/1/2021
City of Atascadero
2022 Santa Rosa CDBG Sidewalk Barrier Removal Project
Jump to: Eligibility Agr)licat+on Questions Budget ❑ocwnents
USD$ 95,000.00 Requested
Submitted: 10/29/2021 4:55:34 PM (Pacific)
Project Contact
Ryan Hayes
❑Pa tte(son rd)a tascadero.org
Tel: 8054703424
Additional Contacts
none entered
Eligibility L2
CDBG National Objectives
City of Atascadero
6504 Palma Avenue
Atascadero, CA 93422
City Manager
Rachelle Rickard
F2R i:;I,R rri;c^^,, a i as cadero. ora
Te le p horse 8 x547 0 3180
Fax 8054703181
Web www.atascadero.org
1. Please select the CDBG national objective that best applies to the proposed project. (Skip question for PLHA)
Please refer to 'Basically CDBG"or the "CDBG Guide to National Objectives and Eligible Activities" in the Library for more
information regarding CDBG national objectives.
J Low/Moderate Income
F- Slums or Blight
F- Urgent Need
2. IF LOWIMODERATE INCOME WAS SELECTED - Select which criteria the proposed project intends to qualify
under to meet the LowlModerate Income objective. (Skip question for PLHA)
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities" in the Library for more
information regarding CDBG national objectives.
✓ Area Benefit
Limited Clientele
NIA - Low/Moderate Income NOT selected
3. IF SLUM OR BLIGHT WAS SELECTED - Select which criteria the proposed project intends to qualify under to
meet the Slums or Blight objective. (Skip question for PLHA)
Please refer to Basically CDBG" or the 'CDBG Guide to National Objectives and Eligible Activities" in the Library tab for
information regarding the Slums or Blight national objective.
F_ Area Basis
F_ Spot Basis
✓ NIA - Slums or Blight NOT selected
4. Please explain how the proposed project meets the selected National Objective. (Skip question for PLHA)
Please refer to 'Basically CDBG" or the 'CDBG Guide to National Objectives and Eligible Activities"in the Library tab.
This project will meet National Objective One, benefiting the low/moderate income clientele by improving pedestrian pathways
for the nearby Social Services office, senior mobile home community and senior assisted living complex, homeless persons,
Motel 6 and Santa Rosa elementary school. The elementary school reports an enrollment of 60.8% socioeconomically
disadvantaged children.
Beneficiary Documentation
5. How will you document and maintain income status or presumed benefit status of each beneficiary in
compliance with regulations?
Please provide a sample of your Client Intake Form under the Documents Requested section below.
As an infrastructure project there is no direct means of income status verification.
6. Haw will you collect demographic data on the beneficiaries of the proposed project (i.e. raci alleth ni c
characteristics)?
Please provide a sample of your Client Intake Form under the Documents Requested section below. To qualify for an award
of CDBG funds, the agency must collect race and ethnicity information from all clients.
As an infrastructure project there is no direct means of income status verification.
Eligible Activities
T. Identify all eligible activities that apply to the proposed project
Please refer to 'Basically CDBG"or the 'CDBG Guide to National Objectives and Eligible Activities"in the Library tab for
information regarding CDBG eligible activities. Please refer to PLNA Guidelines and Regulations" in the Library tab.
✓ Public Facilities and Improvements
Privately -Owned Utilities
Shelter
Documents Requested *
Client Intake Form(s) for Limited Clientele (if
applicable)
Map for Area Benefit (if applicable)
CDBG Requirements and Acknowledgements
(Please download the template below and upload an
initialed document here)
General Liability insurance
Application Questions to;;
Required? Attached Documents *
Miro for Aoea Benefit Sanfn Rosa
Requirements and Acknowledoemenis
Project Summary
1. Project Address(es):
If the proposed project has multiple addresses, please upload a map of the specific locations under the Documents tab
9500 EI Camino Real (closest physical address) Location map uploaded.
2. Jurisdiction(s)IArea(s) Served:
Select all that apply
F_ Arroyo Grande
✓ Atascadero
Morro Bay
I- Paso Robles
F- Pismo Beach
r City of San Luis Obispo
County of San Luis Obispo
3. What is the project structure type?
Residential
Commercial
I Public Facility or Shelter
✓ Public right-of-way
4. Brief Project Description:
You will have the chance to expand on your project description further in the application. Please upload any maps, photos,
drawings or plans under the Documents fab
This project will replace section of non-compliant sidewalk that benefits the residents of nearby senior and low income
housing, and Santa Rosa elementary school, providing significantly increased opportunities for pedestrian usage of public
facilities and public transportation.
5. Please answer the following:
95,000 CDBG funding requested
PLHA funding requested
TOTAL
Agency Details, Capacity, and Experience
6. Type of agency:
501(c)(3)
I For Profit
✓ Gov't/Public
I Other:
7. Is the organization faith -based?
I Yes
✓ No
8. Please answer the following:
If this is your first time applying to the County for funds, please upload your organizations' incorporation documents in the
Documents tab
7/2/1979. Date of incorporation
26,989,900 Annual operating budget
150 Number of paid staff
25 Number of volunteers
TOTAL
9. Agency Mission Statement:
The City of Atascadero is committed to building community by fostering an outstanding quality of life with excellent public
service, stewardship of the environment, preservation of our heritage , and promotion of economic prosperity.
10. Please describe the services your organization is CURRENTLY providing (regarding public facilities and
improvements).
Sidewalks and ADA ramps on EI Camino Real and Santa Rosa, bike paths and access to regional public transit on EI
Camino Real,
11. Please describe the services your organization PROPOSES to provide (regarding public facilities and
improvements).
Rehabilitation of existing sidewalk and ramps to meet current ADA requirements.
12. How does the project complement and collaborate with existing efforts? Does your organization partner with
other organizations?
This section of sidewalk serves to connect a public transit stop on the east side of Highway 101 and residential/low income
housing to Santa Rosa Elementary school on the west side of Highway 101.
13. If the proposed project will serve homeless persons, please describe how the project will coordinates with
other homeless service providers to connect homeless individuals and families to resources.
If this question is not applicable, write NIA in the box below.
NIA
14. Please describe your organization's capacity to implement the proposed project. Who will be involved? list
projects of similar size and type that your organization has completed.
City staff in the Public Works department and Administrative Services will work together to provide oversight, prepare staff
reports and provide quarterly reporting to San Luis Obispo County. The Deputy Public Works Director and Public Works
Inspector will be responsible for the oversight of design and construction.
Similar Completed Projects:
CDBG South EI Camino Real Sidewalk Infill
CDBG Atascadero Mall Sidewalk Infill
CDBG Traffic Way Architectural Barrier Removal
15. Briefly describe your agency's record keeping system with relevance to the proposed project.
Refer to Chapter 13 of '"Basically CDBG" in the Library for mare information on record keeping for CDBG.
The City of Atascadero administers its CDBG program in conformance with 2 CFR 200 (e)(f), adhering to the accounting
principles and procedures, utilizing adequate internal congrols and maintaining required source documentation for all costs
incurred.
All staff members involved with this CDBG project will trackilog their CDBG activities and time spent. Our Administrative
Services department keeps copies of the time tracking sheets and payroll records.
16. Will the services offered by your organization increase or expand as a result of CDBG andfor PLHA assistance?
Yes
✓ No
17. IF YES TO ABOVE - What new programs or services will be provided?
If this question is not applicable, write NIA in the box below.
NIA
18. IF YES TO QUESTION 16 - Describe how existing programs or services will be expanded and what percentage
of an increase Is expected.
If this question is not applicable, write NIA in the box below.
NIA
Project Details
19. Please describe the proposed project in detail. What activities are to be undertaken?
Please attach a timeline of the project milestones under the Documents tab.
Construction will include the replacement of approximately 400' of existing non-compliant sidewalk, ADA curb ramp (NW
corner of EI Camino Real/Santa Rosa Road), installation of a small (3'-5') retaining wall and handrail at the back of sidewalk,
associated curb & gutter, asphalt paveback, and grading and excavation.
20. Please estimate the number of unduplicated persons or households to benefit from the proposed project. Write
"p" for persons or "hh" for households.
Please refer to the Library for HUD Income Limits and information on Presumed Benefit populations. Please enter any
presumed benefit persons as low-income.
P 100 TOTAL number of persons (p) or households (hh), regardless of income
P 8fl Of the total number of persons (p) or households (hh) above, how many will be LOW-INCOME (earning
51% - 80% or less of the County median -income)(C DBG Only)
P 20 Of the total number of persons (p) or households (hh) above, how many will be VERY LOW-INCOME
(earning 50% or less of the County median-income)(CDBG Only)
Of the total number of persons (p) or households (hh) above, how many will be earning 60% or less of the
County median -income (PLHA Only)
TOTAL
21. If the project serves any of the presumed benefit populations under the Low/Moderate Income national
objective, please describe how the project will directly benefit the populations identified.(Skip question for PLHA)
1f this question is not applicable, write NIA in the box below.
Santa Rosa Road serves as the only overcrossing of Highway 101 between Santa Barbara Road (2.75 miles south) and
Curbaril Avenue (.0.85 miles north). Subsequently, Santa Rosa Road is the only viable pedestrian route across the freeway for
the majority of residents within the southeast quadrant of the City. The southeast quadrant of the City also has the highest
density of Low/Moderate Income residents, due to the high number of apartment complexes and the Atascadero State
Hospital. Services to Low/Moderate Income residents within close proximity to the overcrossing include Regional Transit
stops, SLO County Social Services (9416 EI Camino Real), and Santa Rosa Academic Academy (K-6 Elementary School).
As of the 2017-2018 school year, Santa Rosa Academic Academy's student population is comprised of 60.8%
Socioeconomically Disadvantaged students, with nearly all of these students required to access the school via the Santa
Rosa Road overcrossing. Providing safe and accessible pedestrian access for Low/Moderate income residents and students
will benefit these population by providing an alternative to vehicular transportation, particularly during high-volume traffic times
(school drop-off and pickup).
22. Identify the projected target population your proposed project will serve (including age, race, residency,
handicap status, income level or other unit characteristics or subgroup information) and how that population will
benefit from the project.
This project provides benefits to residents of nearby senior and low income housing, and elementary school, providing
significantly increased opportunities for pedestrian usage of public facilities. Currently, these older existing sidewalk facilities
do not meet current ADA standards, and gaps exist which make traversing the route difficult. If this project is not funded, the
exact consequences are unknown. Access for the elderly and mobility impaired traveling along this path is currently
extremely difficult. The condition will remain Unchanged if the project is not funded. Subsequently, the elderly and mobility
impaired will continue to have limited transportation options, which has financial, health and efficiency impacts.
23. Has environmental review been completed (CEQA and/or NEPA)?
Yes - CEQA review completed
✓ No - CEQA review not completed
F_ NIA - CEQA not required
✓ Yes. - NEPA review completed
F_ No - NEPA review not completed
NIA - NEPA not required
24. Please answer yes or no to the following:
If applicable, please upload a copy of the Phase 1 or 11 environmental assessment under the Documents tab.
No Has a Phase I or Phase II environmental assessment been conducted for the property?
No Are there any known hazards on or around the site (e.g. asbestos, storage tanks — underground,
aboveground)?
No Is the project on a property designated or been determined to be potentially eligible for designation as a
- . ............ .
local, state, or national historic site?
No Are the building(s)Istructure(s) located on a Historic Site or within a Historic District?
No Is the project located within a 200 -year flood plain?
I IF YES TO ABOVE, does your agency have flood insurance?
Yes Will there be demolition required?
TOTAL
25. Are there any existing buildings on the project property that were constructed prior to 1978?
Yes
✓ No
26. IF YES TO ABOVE, please answer the following questions:
If this question is not applicable, write NIA in the boxes below. Please upload a copy of the asbestos risk assessmen
(s) andlor lead hazard risk assessment report(s) under the Documents tab, if applicable.
N/A Have asbestos risk assessment reports been prepared for the building(s)?
N/A Have the building(s) been abated for asbestos?
N/A Have lead hazard risk assessment reports been prepared for the building(s)?
N/A Have the building(s) been abated for lead paint?
N/A Will children occupy the buildings)?
N/A IF CHILDREN WILL OCCUPY THE BUILDING, indicate the age range of the children
TOTAL
27. Identify all permits necessary for the project (local, state or federal).
A Caltrans Encroachment Permit will be necessary.
28. State whether or not the necessary permits have been issued. If permits are required but not yet obtained,
when will the permits be applied for or issued?
Please provide proof of permit issuance under the Documents tab.
The Caltrans Encroachment Permit has not been issued. The City of Atascadero will apply for the Encroachment Permit with
Caltrans District 5 permit Office prior to construction. Permits are issued locally by the Caltrans Permit Office.
Financial
29. Briefly describe your agency's auditing requirements, including those for the proposed project.
Please upload a copy of your most recent audit under the Documents tab.
An independent auditing firm conducts an annual audit of all City funds, including the Community Development Block Grant
(CDBG) fund. An independent audit firm also conducts the Single Audit per OMB Circular A-133, Schedule of Expenditures of
Federal Awards, which includes all CDBG funding information.
See attached copy of the most recent City audit which includes the CDBG fund for year ending June 30, 2020. Also attached
is a copy of the most recent single audit for year ending June 30, 2020.
34. How do you plan to fund the operation and maintenance costs (if any) associated with this project? Are these
funds available now? If not, when will they be available?
Operation and maintenance of public facilities are included in the City budget for Public Works facilities and infrastructure.
31. Identify whether or not the project is required to pay a prevailing wage. If not, briefly explain.
Yes, this project will be subject to Davis Bacon prevailing wages and all Federal requirements.
32. Do you have any CDBGIHOMEIESG funds remaining from prior Fiscal Year allocations?
✓ Yes
No
33. IF YES TO ABOVE, please answer the following:
If this question is not applicable, write NIA in the boxes below.
2018 What fiscal year(s) did you receive the funding?
Traffic Wy What project did you receive the funding for?
24,847 How much is remaining?
TOTAL
34. identify all jurisdictions you are applying to for CDBG funds by indicating the amount applied for at each
jurisdiction
Write NIA for any jurisdiction not applied to for CDBG funding. Note: Any project being recommended less than $8, 000 total
will not be funded per the Cooperation Agreement between the County and participating cities of the Urban County.
City of Arroyo Grande
95,000 City of Atascadero
City of Morro Bay
City of Paso Robles
City of Pismo Beach
City of San Luis Obispo
County of San Luis Obispo
TOTAL
Budget,.,' -!u
Funding Sources/Revenues
CDBG Funding (this request)
CDBG Funding (previous years)
Other Federal Funds
State
County
Local/City {non-federal}(please sepcify which jurisdiction):
In-kind
Other (please specify)-
Total
pecify):TotaI
Funding Uses/Expenses
Personnel Costs
Operating Costs
Professional Services
Construction Costs
Capital Outlay
Relocation Expenses
Permits, Development Fees
Appraisal Fees
Property Aquisition
Legal and Public Notices
Topographic Survey
Engineering Design
Construction Management/Admin
Total
Committed Conditional
USD$ 114,566.00
Proposed
USD$ 95,000.00
USD$ 24,847.00
USD$ 114,566.00 USD$ 0.00 USD$ 119,847.00
CDBG Amount
USD$ 215,000.00
USD$ 300.00
USD$ 3,000.00
USD$ 40.000.00
USD$ 20,000.00
USD$ 278,300.00
Budget Narrative
The City proposes to reimburse any budget shortfall with 2023 CDBG grand funds.
Documents q,o
................... ....- ........._.. ..... ..... ......... ...... .
Documents Requested * Required? Attached Documents
Incorporation Documents (if applicable)
Timeline of Project Milestones ✓ Timeline of Milestones Santa Rosa
Proof of Permit Issuance (if applicable)
Asbestos Risk Assessment (if applicable)
Lead Hazard Risk Assessment (if applicable)
Phase I or II Environmental Assessment (if
applicable)
Map of Multiple Project Locations (if applicable)
Project Photos/Plans/Drawings (if applicable)
2022 Santa Rosa Pro ect Location Ma
2022 Santa Rosa Engineers Estimate
Santa Rosa 2022 Project Pians
2022 Santa Rosa Site Photos
Santa Rosa Site Photos
Most Recent Audit ✓ 2020 Atascadero Audit
Commitment Letters for funds (if available)
Timeline of Expenditures ✓ Tirnelme of Exoenditures Santa Rosa
" ZoomGrants"m is not responsible for the content of uploaded documents.
Application I0: 375072
Becorne a on Facebadk
Problems? Contact us at
®2002.2021 G ranlAnalyst.com. All rights reserved.
'j oornGfants' and the ZoomGrants logo are Irad emarks of GfantAnalyst.ewn, LLC.
Email This Preview Save as POE Print Close {JIdinriow A■ Y
Flowerer! by Zao)nGrantsT''
County of San Luis Obispo
2022 Housing (CDBG, HOME, HOME -ARP, PLHA, Title 29)
Deadline: 11/1/2021
People's Self -Help Housing Corporation
Del Rio Ridge
Jump to: Eligibility_ Application {questions Budget Tables Documents
$ 969,165.00 Requested
Submitted: 11/1/2021 2:18:50 PM (Pacific)
Project Contact
Forrest Eastham
grants r nshEIc.orG
Tel: 8055482345
Additional Contacts
jimmys@pshhc.org
Eligibility top
People's Self -Help Housing
Corporation
1060 Kendall Road
San Luis Obispo, CA 93401
United States
CEO & President
Kenneth Trigueiro
ceoL'Jaslihc,orci
Telephone(805) 781-3088
Fax (805) 544-1901
Web www.pshhc.org
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#1,
1. Please identify the funding sources being requested:
This question will be used to branch only those questions related to the funding sources requested in this application, so
don't worry if your application has skipped question numbers.
I CDBG only
I HOME only
I Title 29 only
I PLHA only
r HOME -ARP only
F HOME and HOME -ARP
✓ CDBG and HOME
I CDBG and Title 29
HOME and Title 29
CDBG, HOME, and Title 29
CDBG National Objectives
-2. CDBG; Oi- - • Please select the CDBG naitionaI objertive that best applies to the proposed project.
-croswer i i o .iresa+ite0 beca!Jse of the a n s i ver to #I-
1 CDBG ONLY - IF LO'NiMODERATE INCOME WAS SELECTED - SeILCE v-duch criteria the proposed project intends
to qualify under to meet the Low/Moderate income objective.
no( Ili eSe!7[u'C! 1 -7; -cause of the aosivel Fo 4 1-
4. CDBG Oi'kJLY - IF SLUMS OR BLIGHT WAS SELECTED - Select which criteria the proposed project intends m
qua lfy Wlde[• to meet the Slums or Blight national objective -
']'1."r'1" 77O! (Jres." 0 b;; r� x[752 Oi� if7P o+7S1•'1 r,'r JiI_
Beneficiary Documentation
5. C0BG ONLY Pleas-- how the propos- �Jract meets -.-
•-!]Suver foot orpS�r?tesrl !7yr;._i1.7c^ Of -!Ic !!?Bilir IC 4
6. CDBGIHOMEIPLHA ONLY - How will you document and maintain income status or presumed benefit status of
each beneficiary in compliance with regulations?
Please provide a sample of your Client Intake Form under the Documents Requested section below. Income verification for
beneficiaries must be provided in accordance with the respective funding requested (lurks are provided in the Library).
Income and assets are verified and calculated in accordance with TCAC regulations at initial move -in and annually thereafter.
This is handled by several Property Management staff members who are certified in income compliance procedures annually.
We will use the attached Tenant Income Certification (TIC) form to document the household.
Eligible Activities
7. CDBGIHOMEIPLHA ONLY - How will you collect demographic data on the beneficiaries of the proposed project
(i.e. raciallethnic characteristics)?
Please provide a sample of your Client Intake Form under the Documents Requested section below- To qualify for an award
of CDBGIHOME/PLH.A funds, the agency must collect race and ethnicity information from all clients.
People's Self -Help Housing uses form HUD 27061-H to collect Race & Ethnicity data. An attached copy of the form we use to
collect the data is provided below.
In addition, our application requests data such as date of birth and other data points.
8. CE:= ONLY - Identify all eligible activities that apply to the proposed project.
,0, _. .lot p!E32!?teCl Ur>' .!i...<- .� ..t; 7S1;
9. HOME and HOME -ARP - Indicate either "own" if the units will be owned or "rent" if the units will be rentals next
to all activities included in the proposed project.
NOME -ARP information: - Up to 5 HOME -ARP units for total project size of less than 20 units - Up to 8 HOME -ARP units for
total project size of 20 units or more
Rent Development of new housing units
N/A Rehabilitation of existing housing units
N/A Property acquisition
N/A Acquisition of existing housing units
How many units are planned for HOME and HOME -ARP assistance
TOTAL
10. TITLE 29 ONLY - Indicate either "own" if the units will be owned or "rent" if the units will be rentals next to all
activities included in the proposed project.
Write `NIA" for those activities that are not applicable- Refer to the Title 29 Ordinance in the Library for more information.
Rent. Development of new housing units
N/A; Rehabilitation of existing housing units
TOTAL
Additional Requirements
77. CD1BGIHOME ONLY - If the project includes temporary or permanent relocation of occupants, it is subject to the
Uniform Relocation Act (URA). Initial in the box below to signify that you have read and understand this
requirement.
ff this question if not applicable, write NIA in the box below. If applicable, upload a completed Relocation Plan under the
Documents Requested section below.
Permanent relocation has already taken place. Please see plan provided below.
12. HOME and HOME -ARP - CONSTRUCTIONIREHABILITATION ONLY - Describe how the project will meet ADA and
Section 504 standards for accessibility by the disabled. Describe the methods, funding and timetable to be utilized
to address the problems.
Section 504 (24 CFR Part 8) applies to new construction of multifamily housing with five or more units, or substantial
rehabilitation of multifamily housing projects that have 15 or more units. Please refer to the Library for more information.
The project will meet ADA and Section 504 standards for accessibility by the disabled at the time of construction completion.
The project is also designed to meet these standards and will be verified by the approving jurisdiction prior to final occupancy
to determine compliance.
13. HOME ONLY - Please see "Notice to Affordable Housing Projects Receiving HOME Funding" in the Library and
initial in the box below that you have read and understand this notice.
JS
14. PL.HA ONLY - Identify what 'type of
because of rirrs� a!-Oss,.::;; .
Documents Requested *
Client Intake Form(s) for Limited Clientele (if
applicable)
Map for Area Benefit (if applicable)
CDBG Requirements and Acknowledgements
(Please download the template below and upload an
initialed document here)
download iemolat
General Liability Insurance
Relocation Plan - Residential
Relocation Plan - Business
Other miscellaneous docs
Application Questions foe
Required? Attached Documents
Client Intake Form
CDBG Reauirements & Acknowiedaements
General Liability Insurance
Residential Relocation Study
Purchase & Sale _Agreement
Tenant Income Certification (TIC) form
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#1.
1. Please identify the funding sources being requested:
This question will be used to branch only those questions related to the funding sources requested in this application, so
don't worry if your application has skipped question numbers.
I— CDBG only
rf HOME only
I* Title 29 only
F- PLHA only
F- ARPA only
I— HOME -ARP only
F- CDBG and HOME
F- CDBG and Title 29
HOME and Title 29
✓ CDBG, HOME and Title 29
Project Summary
2. Project Address(es):
If the proposed project has multiple addresses, please upload a map of the specific locations under the Documents tab
2455 EI Camino Real Atascadero, CA 93422
3. Jurisdiction(s)lArea(s) Served:
Select all that apply- For Title 29 requests, please refer to the Title 29 Market Areas map in the Library.
F- Arroyo Grande
✓ Atascadero
Morro Bay
F- Paso Robles
f- Pismo Beach
F_ City of San Luis Obispo
F_ County of San Luis Obispo
F TITLE 29 ONLY - North Coast
✓ TITLE 29 ONLY - North County
TITLE 29 ONLY - South County
TITLE 29 ONLY - Central County
4. Brief Project Description:
You will have the chance to expand on your project description further in the application (question 19). Please upload any
maps, photos, drawings or plans under the Documents tab
The 1 -95 -acre project site is located just east of Highway 101 and accessed off EI Camino Real (2455 EI Camino Real 1 APN
049-151-055) in the City of Atascadero. The property currently has a General Plan Designation of High Density Residential.
The property is zoned Residential Multiple -Family (Min 20 - Max 24 units 1 ac) (RMF -20). The applicant, People's Self -Help
Housing (PSNH), is proposing to develop an affordable multi -family residential apartment project.
5. Please answer the following:
Please mark NIA for all questions not applicable.
$139,465. CDBG funding amount requested
HOME funding amount requested
$229,700. Title 29 funding amount requested
PLHA funding amount requested
$600,000• HOME -ARP funding amount requested
ARPA funding amount requested
SUBTOTAL
10/2022 Anticipated start date
03/2024 Anticipated end date
TOTAL
6. Type of agency:
✓ 501(c)(3)
For Profit
I- Gov'tlPublic
F- Other:
Agency Details, Capacity, and Experience
7. Is the organization faith -based?
i— Yes
✓ No
8. Please answer the following:
tf this is your first time applying to the County for funds, please upidad your organizations' incorporation documents (including
certification for nonprofit organizations) in the Documents tab.
08/09/1970'; Date of incorporation
Annual operating budget
Number of paid staff
_ Number of volunteers
TOTAL
9. Agency Mission Statement:
We build affordable homes with site-based services that offer opportunities to change lives and strengthen communities on the
Central Coast of California.
10. Briefly describe the services provided and development projects your organization is CURRENTLY working on
(regardless of funding source).
People's Self -Help Housing has an extensive track record in 25 different California jurisdictions: acquiring land; processing
entitlements including density bonuses, rezoning and general plan amendments (agriculture to residential); construction of
multifamily housing on leased land; proven ability to obtain construction and permanent financing from a variety of private,
federal, state and local resources to create over 1,900 units of affordable rental housing similar to this project.
PSHH has its own in house supportive services. The Supportive Housing Program (SHP) is a clinically -based case
management and social services program that has been providing services to People's Self -Help Housing (PSHH) residents
since 2004. SHP provides cost-free, voluntary, and confidential services that are available to all PSHH residents. The program
is designed to assist residents in achieving and maintaining independent functioning and self-sufficiency. This is achieved by
providing direct services that include crisis intervention, case management, counseling, homeless prevention, homeless
placement, employment/education, home management, preventive education, financial management, advocacy,
benefits/entitie ments, etc. SHP staff utilizes qualified, trauma -informed and culturally competent skills to work with vulnerable
low-income residential populations (including veterans, seniors, and individuals with physical and mental disabilities). Over the
years, the SHP has been immensely successful in not only preventing residents from losing their housing but also with
placing homeless individuals and families into PSHH housing. In fact, more than 98% of residents who have received these
services have been able to stabilize their housing and avoid homelessness and displacement.
For this project, the in-house development team will consist of Ken Trigueiro (CEO & President), Veronica Garcia (Chief Real
Estate Development Officer) John Day (Director of Development), Jimmy Summer (Project Manager), and Colleen Plevel
(Project Coordinator). The in-house construction team will consist of Todd Broussard (Director of Construction), Bill Loar
(Senior Construction Manager), Darrell Chubon (Construction Manager) and hired contractors and subcontractors. The in-
house property management team consists of Anna Miller (Chief Operating Officer, Property Management), Jane Renahan
(Director of Property Management), and an on-site manager that is to be determined. We have hired IBI Group as the architect
and will hire other agencies and consultants as needed.
PSHH has 3 projects in SLO County currently in construction:
Templeton Place II, Templeton - 36 units, Senior Affordable Housing
Broad Street Place, SLO - 40 units, Veteran and Multi -family Housing
Pismo Terrace, Pismo Beach - 50 units, Special Needs and Multi -family Housing
11. Briefly describe the services and development projects your organization is PROPOSING (regardless of funding
source).
PSHH has 6 proposed development projects in SLD County. These include:
1. Cambria Pines, 33 units located in Cambria - target population families
2. Cleaver Commons, 53 units located in Grover Beach - target population families
3. Del Rio Ridge, 42 units located in Atascadero - target population families & veterans
4. Rolling Hills III, 28 units located in Templeton - target population families
5. San Luis Ranch, 71 units located in San Luis Obispo - target population families
6. Tiburon Place, 68 units located in San Luis Obispo- target population families & special needs
PSHH will be using our in house supportive services for all proposed projects.
12. How does the proposed project complement and collaborate wit existing —efforts? Does your organization
partner with other organizations?
This project will provide safe and affordable housing for families in Atascadero. Del Rio Ridge will strengthen Atascadero and
San Luis Obispo County communities by providing on-site services to the 42 families it will serve.
Our team has close connections to a variety of groups, we are members of many community organizations and are well
known in the San Luis Obispo County community. Some of our community partners and collaborations include American Red
Cross, Cal Poly -Family Health Research, Cal Poly -STRIDE, CAPSLO, City of Arroyo Grande -Recreation Services,
Community Health Centers of the Central Coast, Cuesta: San Luis Obispo Community College, Food Bank Coalition of San
Luis Obispo,
Planned Parenthood, San Luis Obispo Council of Governments, San Luis Obispo Office of Education, San Luis Obispo
County Public Health Department - Health Promotion, SLO NOOR Foundation, South Count SAFE Family Resource Center,
Sports Warehouse, Tolosa Children's Dental Center, University of California Cooperative Extension San Luis Obispo County,
the YMCA, and more.
PSHH has also partnered with HASLO in the development of a 42 unit multi -family development in Grover Beach. Construction
is forecasted to start in January of 2023.
13. If the proposed project will serve homeless households, please describe how the project will coordinates with
other homeless service providers to connect homeless individuals and families to resources.
If this question is not applicable, write NIA In the box below.
For Supportive Housing units, case managers at CES entry points shall apply the developed Coordinated Assessment tools
to clients seeking services. In order to address the large volume of clients requesting assistance, the CES has adopted a two-
part standardized screening and assessment process:
Pre-screening - Prevention and Diversion: Case managers at the three SLO County CES entry points, which are operated by
Community Action Partnership of San Luis Obispo County (CAPSLO), 5 Cities Homeless Coalition, and EI Camino Homeless
Organization (ECHO) Shelter, shall conduct an initial screening using the standardized Prevention and Diversion tool adopted
by the three agencies. This tool is used to determine whether clients will need a greater intensity of services and/or housing,
or whether the provision of available services will be the only action necessary to assist the client with self -resolution.
VI -SP DAT: If, after the initial Prevention and Diversion tool has been applied, the client is deemed to require more intensive
services and/or housing, the case manager will then utilize the standardized VI-SPDAT tool to determine the vulnerability of
the client and their household. Upon completion of the assessment tool, the case manager will enter the information into the
CES database software. The VI-SPDAT score of the clients, along with regular case management conferences, will assist in
the determination of the ranking of clients in the order in which they receive housing.
PSHH will provide full services, this will include, but is not limited to:
1. On-site case management (operating out of the social services offices)
2. Implementing evidence -based practices to engage and assist tenants in addressing behaviors that may make housing
stability challenging
3. Offering extensive mental and physical services, recreational and social activities, educational services, employment
services, food and clothing, or civil legal services.
On-site social workers will utilize the Homeless Management Information System (HMIS). This system will share information
with multiple community organizations that are working with the homeless in SLO County. This system has a robust reporting
system that we will be able to utilize to evaluate service utilization.
In addition, our resident services coordinator will work in collaboration with the homeless tenants and tenants to assist them
with gathering the services they require if not offered onsite.
14. Please describe your organization's capacity to implement the proposed project. Who will be involved? List
projects of similar size and type that your organization has completed.
PSHH has an extensive track record as a successful full-service housing developer; processing entitlements including density
bonuses, rezoning and general plan amendments (agriculture to residential); construction of multifamily housing on ]eased
land; proven ability to obtain construction and permanent financing from a variety of private, federal, state and local resources
to create over 1,900 units of affordable rental housing similar to this project.
PSHH has over 200 employees dedicated to the Mission of building affordable homes and providing site-based services. Far
this project, the in-house development team will consist of, Ken Trigueiro (CEO & President), Veronica Garcia (Chief Real
Estate Development Officer) John Day (Director of Development), Jimmy Summer (Project Manager), and Colleen Plevel
(Project Coordinator). The in-house construction team will consist of Todd Broussard (Director of Construction), Bill Loar
(Senior Construction Manager), Darrell Chubon (Construction Manager) and hired contractors and subcontractors. The in-
house property management team consists of Anna Miller (Chief Operating Officer, Property Management), Jane Renahan
(Director of Property Management), and an on-site manager that is to be determined. Supportive services will be led by Rick
Gulina Director of Neighborhood Development & Resident Services).
Similar Projects Completed:
Casas at Los Cameros (Goleta) - 70 rental units for families
Los Adobes de Maria III (Santa Maria) - 34 rental units for families and farmworkers
Jardin De Las Rosas (Santa Barbara) - 40 rental units for families
Roping Hills II (Templeton) - 30 rental units for families
15. Briefly describe your agency's record keeping system with relevance to the proposed project.
Refer to Chapter 13 of 'Basically CDBG" in the Library for more information on record keeping for CDBG.
People's Self -Help Housing Corporation (PSHHC) Corporate accounting system is SAGE Sao ERP. PSHHC close our books
every month according to GAAP and report to the board revenue and expense variances to budget. As an additional note, we
report each program and grant separately.
The Duncan Group {TDG} is the in-house property management company. TDG uses Yardi for Property Management
Accounting. Yardi records all tenant charges, receipts, accounts payable, accounts receivable and all General Ledger
transactions as well as all documentation for Affordable program compliance (HOME, USDA, HUD, etc). Yardi is able to
produce all properly financials and contains the budgets as well. TDG maintains historical electronic copies and hard copies
of receipts, payables, and vendor back-up etc. for 7 years.
16. CDBG ONLY - Will Vic ::.:rvicos offered by yc ;:cease n; of CDB,
assistance?
-aosniel i?ot pre sen red becC ius: -_, of `hp answer to P'l-
17. CDBG ONLY - IF YES TO AROVE - What neve progranis a services will be provide
-an s+vei not prrks-..,rated beca srse of the ansiver to 10-
18. CDBG 074LY - 1F YES TO QUESTION 16 - Describe how existing programs or services will be ex;,: .
what percentage of an increase is expected.
-ans,ver not pr s�l�ter' : .: ,: rise of the a+�sti: er to #1-
19. Please describe the proposed project in detail. What activities are to be undertaken?
Please attach a timeline of the project milestones under the Documents fab.
The 1.95 -acre project site is located just east of Highway 101 and accessed off EI Camino Real (2455 EI Camino Real 1 APN
049-151-056) in the City of Atascadero. The property currently has a General Plan Designation of High Density Residential.
The property is zoned Residential Multiple -Family (Min 20 — Max 24 units 1 ac) (RMF -20). The applicant, People's Self -Help
Housing (PSNH), is proposing to develop an affordable multi -family residential apartment project. PSHH will be applying for
9% tax credits in January 2022 to assist with funding the project.
Affordability
The project will provide 42 units, which will be 100% affordable. The unit mixtures will range from 1 -bedroom, 2 -bedroom and 3 -
bedroom units. The project will target income levels of extremely low, to low income. The Area Medium Income (AMI) targets
will range between 30% AMI — 60% AMI. A table providing affordability statics has been provided below.
Onsite Amenities
A 3,865 square foot community room will be located on the western half of the lot visible from El Camino Real. The community
room will contain a kitchen, multipurpose room, laundry facilities, restrooms, and office space for the onsite manager and
resident supportive services. The community center will only be available for the onsite residence. Other amenities will include
a courtyard with children's play equipment and a basketball court. Walking paths will also connect each of the buildings.
Project Details
20. CDBG/HOME ONLY - FOR AQUISTIOINS QNL'i - Identify the foliovviny:
-answer not pressrtecl because of [he ans+ver to #1-
21. CDSGIHOMEIPLHA ONLY - Please estimate the number of unduplicated persons or households to benefit from
the proposed project. Write "p" for persons or "hh" for households.
-ansv"er riot prosented because of the arrs:ver to #I-
22. CDE3G ONLY - if the project serves any of the presumed benefit populations under the Low/Moderate Income
national objective, please clescribe how the project will directly benefit the populations identified.
-an sklie 1' not 1)1 -es ented because of I`hc Gast -ver !a
23. TITLE 29 ONLY - Please estimate the number of households within each eligible income level to benefit from
24. Identify the projected target population your proposed project will serve (including age, race, residency,
disability status, income level or other unit characteristics or subgroup information) and how that population will
benefit from the project.
PSHH plans to target homeless individuals, veterans, and families who might be at risk of homelessness.
The project will provide housing units for the populations mentioned above that qualify between who are between 30% AMI and
60% AMI. This will provide more affordable housing, for those in need, in the city of Atascadero. Residents will be able to
receive many services from our Supportive Housing Staff including, but not limited to: employment, financial stability, various
counseling services, access to food supplies, and community activities.
A total of 41 units will be made available for these populations. 6 of the 1 -bedroom units will be reserved for formerly homeless
veterans and 5 of the 2 -bedroom units will be reserved for veterans. A unit will also be provided for the onsite full-time property
manager.
25. Identify whether or not the site is owned or leased by the applicant. If optioned or owned by another entity,
provide their name and contact information.
Owned - Peoples' Self -Help Housing Corporation, 1060 Kendall Road, San Luis Obispo, CA 93401
AUl N—:1 _1 clic iikli.1'.'rii
_:insver oor presenred or roe answer to
27. What is the current zoning of the project site? Is the project site zoned correctly for the proposed activity?
lfzoning information is not known, contact the focal municipality to request assistance.
Residential Multi -Family {RMF -20}
28. If the project is NOT zoned correctly for the proposed activity, provide an explanation of efforts and a timetable
to change the zoning or obtain a variance.
If this question is not applicable, write NIR in the box Below.
NIA
29. Has environmental review been completed (CEQA andlor NEPA)?
I— Yes - CEQA review completed
F_ No - CEQA review not completed
✓ N/A - CEQA not required
I— Yes - NEPA review completed
✓ No - NEPA review not completed
I— NIA - NEPA not required
30. Please answer yes or no to the following:
If applicable, please upload a copy of the Phase l or 11 environmental assessment under the Documents tab.
Yes Has a Phase I or Phase 11 environmental assessment been conducted for the property?
Yes Are there any known hazards on or around the site (e.g. asbestos, storage tanks — underground,
aboveground)?
No Is the project on a property designated or been determined to be potentially eligible for designation as a
local, state, or national historic site?
No Are there any building(s)lstructure(s) located on a Historic Site or within a Historic District?
No Is the project site located within a 100 -year flood plain?
IF YES TO ABOVE, does your agency have flood insurance?
Yes. W1ll there be demolition required?
'TOTAL
31. Are there any existing buildings on the project property that were constructed prior to 1978?
✓ Yes
No
32. IF YES TO. ABOVE, please answer the following questions:
if this question is not applicable, write NIA in the boxes below. Please upload a copy of the asbestos risk assessment report
I Yes Has an asbestos risk assessment report(s) been prepared for the building(s)?
1_,.-. No Has the building(s) been abated for asbestos?
L�..� Yes Has a lead hazard risk assessment reports) been prepared for the building(s)?
No Has the building(s) been abated for lead paint?
No Will children occupy the building(s)?
µ IF CHILDREN WILL OCCUPY THE BUILDING, indicate the age range of the children. If no children will
occupy the building, write NIA.
TOTAL
33. Identify all permits necessary for the project (local, state or federal).
Local - City ofAtascadero:
- Design Review Commission - Complete
- Demolition Permit - Will be applying for in Summer 2022
- Building Permits - Currently in 2nd round corrections. Should have the building permits complete by spring of 2022
34. State whether or not the necessary permits have been issued
when the permit(s) will be applied for or issued.
Please provide proof of permit issuance under the Documents tab.
Local - City of Atascadero:
- Design Review Commission - Complete
Demolition Permit - Will apply in Summer 2022
Building Permits - Applied and review in progress
Local -Regional - County of San Luis Obispo:
- NEPA Clearance - Will apply in Spring 2022
If a permit has not yet been issued, indicate
35. Briefly describe your agency's auditing requirements, including those for the proposed project.
Please upload a copy of your most recent audit (prepared by an independent CPA or accounting firm) under the Documents
tab.
PSHH financial records are audited once a year. Our annual audit is in accordance with Government Auditing Standards
issued by the Comptroller General of the United States. The Duncan Group is audited separately each year. Most of our
properties are subject to annual audit, however the others are rolled up into PSHH audits. Audits are performed by an
independent CPA firm as in compliance with GAAP. An attached copy of our audited financials is included with the submittal
of this application.
Financial
36. How do you plan to fund the operation and maintenance costs (if any) associated with this project? Are these
funds available now? If not, when will they be available?
Operation and maintenance costs will be covered by resident rents.
37. Identify whether or not the project is required to pay a prevaiItng wage. If not, briefly explain.
This project will not be required to pay a prevailing wage because we are not utilizing state or federal funding sources that
require it.
38. CONSTRUCTION/REHABILITATION ONLY - The following asks about tax credits.
If this question is not applicable, write NIA in the boxes below.
fst If the proposed project will be applying for tax credits, to which round will it be applying for? (Ist
round/2nd round)
Yes If applying for 1st round, if your project is identified to receive funds, will your project require a
Reservation Letter for the state tax creditors? (YES/NO)
TOTAL
39. Do you have any CDBGIHOMEIT-29 funds remaining frown prior Fiscal Year allocations?
-ansuiar riot presented bee iaso of flip inswer to #7-
40. IF YES TO ABOVE, please answer the following:
If this question is not applicable, write NIA in the boxes below.
NSA What fiscal year(s) did you receive the funding?
N/A What project did you receive the funding for?
N/A How much is remaining?
TOTAL
41. CDBG D;aa ;' - Iuentify all - Funds by indicating the amount applied for
at aarh jurisdiction.
42. CONSTRUCTION/REHABILITATION ONLY - Please upload a pro forma (20 year pro forma for rental housing
projects) under the Documents tab.
If this question is not applicable, write NIA in the box below. If applicable, write uploaded" below once the pro forma has
been uploaded under the Documents tab.
A 20 year proforma has been uploaded.
Budget :a
Funding Sources/Revenues
CDBG (this years' request and previous awards)
HOME funding (this years' request and previous awards)
Title 29 funding (this years' request and previous awards)
PLHA funding (this years' request and previous awards)
Other Federal Funds (please specify which source) -
State (please specify which source): Veteran's Housing
and Homeless Prevention Program
In-kind
Local/County (non-federal)(please specify which
jurisdiction):
LocallCity (non-federal)(please specify which jurisdiction):
City of Atascadero
SLO Housing Trust Fund
Total
Funding Uses/Expenses
Personnel Costs
Operating Costs
Professional Services
Construction Costs
Capital Outlay
Relocation Expenses
Permits, Development Fees
Appraisal Fees
Property Acquisition
Legal and Public Notices
Other:
Total
Committed Conditional Proposed
$ 139,465.00
$ 600,000.00
$ 229,700.00
$ 0.00
$ 400,000.00
$ 800,000.00
$ 1,200,000.00
,010IT0
$ 0.00
$ 1,758,900.00
$ 0.00 $ 2,728,065.00
HOME Title 29 PLHA
$ 0.00 $ 229,700.00
$ 139,465.00 $ 600,000.00
$ 139,465.00 $ 600,000.00 $ 229,700.00 $ 0.00
Budget Narrative
CDBG funds of $139,465 and NOME -ARP funds of $600,000 will assist in repaying the acquisition costs for Del Rio
Ridge. Title 29 funds of $229,700, City of Atascadero in -lieu funds of $400,000 and 5LO Housing Trust Fund funds of
$800,000 will assist with the construction of new units.
Tables ?off
HOME Matching Fund'
Sources
Tota
Amount
$0
Documents fou
Documents Requested
Incorporation Documents (if applicable)
Timeline of Project Milestones
Proof of Permit Issuance (if applicable)
Asbestos Risk Assessment (if applicable)
Lead Hazard Risk Assessment (if applicable)
Phase I or II Environmental Assessment (if
applicable)
Map of Multiple Project Locations (if applicable)
Project Photos/Plans/Drawings (if applicable)
Most Recent Audit
Commitment Letters for funds (if available)
Timeline of Expenditures
20 year pro forma for rental housing projects
Required? Attached Documents
Articles of Incorporation
Board of Directors
Bylaws
Certificate of Good Standing
Entity Status Letter
Organizational Chart
Statement of Information
✓ Timeline of Proiect kllilestones
Permit Awlication Avnroval Letter
Asbestos Survey Reaort
Lead Paint Sampling Recolt
Phase I ESA
Draviinas
✓ Audited Financial Statements
NeicthborWorks Commitment. Letter
Citv of Atascadero In -Lieu
SLO_Housilig_ Trust Fund Commitment Letter
✓ Timeline of Project Expenditures
7.0 Year Proforma
. ZoomGrantsTM is not responsible for the content of uploaded documents.
Application ID: 375094
Become a r:,+ �I �ecm ,rmils — on Facebook
Problems? Con] acl us at [: i AZanni Crania conn
02002.M1 G ranlMalyst.wrn. All rights reserved.
"ZoomGranls' and the ZoornGrants logo are Trademarks of GrantAnalysl-wrn. LLC.
I�
Public Service Applications
• City of Atascadero - Y❑uth Activities Scholarships
* El Camino Homeless Shelter (ECHO) — Homeless Shelter
. 5 Cities Homeless Coalition- Homeless Services
• Peoples' Self Help Housing - Supportive Housing Program
Email This Previevf Sage as Pyr Print Close Vvindo'.1 A V
- ': ?Ci i7 L00177��a77t5 F''`
County of San Luis Obispo
2022 Public Services and Economic Development tCDBG, ESG, HOME, General Fund, PLHA)
Deadline: 11/1/2021
City of Atascadero
CITY OF ATASCADERG CDBG PROGRAM YEAR 2021 APPLICATION
$ 12,500.00 Requested
Jump to: Eligibility Apolicatfon Qiiest.nns Budaei Tables ❑octfinents
City of Atascadero
Submitted: 10/29/2021 9:30:01 AM (Pacific) 6500 Palma Ave. Telephone805-470-3478
Atascadero, CA 93422 Fax 805A70-3479
Project Contact United States Web cityofatascadero.org
Bonnie Williams
lii:; nsatascadero.❑ Administrative Director
Tel: 805-470-3478 Jeri Rangel
jra n geJ(c� a tascadero.orq
Additional Contacts
JRANG EL@ATASCADE RO.OR G,
CCHAVEZ@ATASCADERG, OR G,
JFANN I N Ga7ATASCADERO,ORG
Eligibility_
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#1.
I. Please identify all funding sources being requested:
This question will be used to branch only those questions related to the funding sources requested in this application, so
don't worry if your application has skipped question numbers.
✓ CDBG only
ESG only
I- ESG-CV only
F' HOME only
11- General Funds only
F- PLHA only
F- Select this for any combination of grant funding requests(CDBG, ESG/ESG-CV, HOME, PLHA, and General Funds)
National Objectives
2. CDBG ONLY - Please select the national objective that best applies to the proposed project
Please refer to 'Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities" in the Library for more
information regarding CDBG national objectives.
✓ Low/Moderate Income
Slums or Blight
Urgent Need
3. CDBG ONLY - IF LOWIMODERATE INCOME WAS SELECTED: Select which criteria the proposed project intends
to qualify under to meet the Low/Moderate Income objective
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities" in the Library for more
information regarding the LowlModerate Income national objective.
. Area Benefit
✓ Clientele
Housing
Jobs
NIA - Low/Moderate Income NOT selected
4. CDBG ONLY • iF SLUM OR BLIGHT WAS SELECTED: Select which criteria the proposed project intends to qualify
under to meet the Slums or Blight objective
Please refer to Basically CDBG "or the "CDBG Guide to National Objectives and Eligible Activities " in the Library tab for
information regarding the Slums or Blight national objective.
I Area Basis
Spot Basis
✓ NIA - Slums or Blight NOT selected
5. CDBG ONLY - Please explain how the proposed project meets the selected National Objective.
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities" in the Library tab.
Most youth serving organization in Atascadero have received requests for assistance in paying registrations or enrollment fees
for their activities. Many families are unable to afford fees that usually range from $35 per child to $300 per child. Applications
have grown dramatically over the past several years, but the need has been more acute in the last few years. These children
would not be able to participate in the activities that promote self esteem, feelings of community, friendships, health, etc. if
they are not provided with financial aid.
6, ESGiESG-CV ONLY - Please select all ohjeceives applir_abie to the proposed project, as established in ••Opnwn—
Doors; Fedora] Strategic Plan io Pi event and End Homelessness' or the CARE Act.
•:I?�: i'i:ff. v
7• ESGi1 �G-C'!' 0t,fl.Y - P!,^:?s.� #.4 ?^ l?pn~ics ? I?rr ipr_t sunnnr#s the soler.,ted objective(s).
Beneficiary Documentation
8. How will you document and maintain income status or presumed benefit status for CDBG?
Please provide a sample of your Client Intake Form under the Documents Requested section below. Income verification for
CDBG beneficiaries must be provided in accordance with 24 CFR Part 5; a link is provided in the Library.
See uploaded document. Scholarship Application
9. How will you collect demographic data on the beneficiaries of the proposed project (i.e. ra cialleth nic
characteristics)? (General Fund requests are exempt from this requirement)
Please provide a sample of your Client Intake Form under the Documents Requested section below. To qualify for an award
of Fenderal and State funds, the agency must collect race and ethnicity information from all clients.
See uploaded document. Scholarship Application
Eligible Activities
10. CDBG ONLY - Identify all eligible activities that apply to the proposed project
Please refer to 'Basically CDBG" or the CDBG Guide to National Objectives and Eligible Activities"in the Library tab for
information regarding CDBG eligible activities-
F- Public Services [General]
Operating Costs of Homeless/AIDS patients programs
F' Senior Services
Handicapped Services
Legal Services
V Youth Services
I- Transportation Services
F- Substance Abuse Services
Services for Battered and Abused Spouses
F- Crime Awareness or Neighborhood Cleanups
F- Fair Housing Activities
I- Tenant/Landlord/Housing Counseling
F- Child Care Services
F- Health Services
f- Services for Abused and Neglected Children
F- Mental Health Services
F Subsistence Payments, Homeless Assistance, Rental Housing Subsidies or Security Deposits
F- Job training and job placement services
F- Assistance to microenterprises (technical assistance, business support services, and other similar services to owners
of micro ente rpri ses or persons developing microenterprises)
+1. ESC n". -'r . -;,n iii a.N ellgii,lc, activiNes
12. GENERAL FUND ONLY _ Identify all eligiNe activities that apply to tht4 proposed proje`
-atiswer not ores,ei. e ' :'.7 is ,ase of the ans+ : M i-� t .
13. E5G-CV ONLY - Identity ail aligihle 1--,r I:;y t: = _,.- L P, L'•i_
clii:!':•0r Iiot JJrc.v77ie•:7 c7f ivie, aIis;g.,c.�` cc,
14. HOME ONLY - i Ii2 only activity under the IDubIic service api::-
!-assistance (TBRAI
yllS` P.i i1 [ ]12J5r'r7i::i? !)F; :E1iiSF1 CY ?ire 'insl•1 r./
"15. PLHA ON'•- : . !dentifv eligible activities that apply to tile proposed l)roj::.
Documents Requested *
Client Intake Form(s) for Limited Clientele (if
applicable)
Map for Area Benefit (if applicable)
CDBG Requirements and Acknowledgements
(Please download the template below and upload an
initialed document here)
dowilload tefllplaie
General Liability Insurance
Application Questions tol)
Required? Attached Documents
Scholarshiu AmIicatioi i
Schalarshi❑ AoDllcation
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#1.
1. Please identify the funding sources being requested:
This question will be used to branch only those questions related to the funding sources requested in this application - so
don't worry if your application has skipped question numbers.
✓ CABG only
F- ESG only
F- HOME only
General Funds only
PLHA only
Select this for any combination of grant funding requests (CDBG, ESG, HOME, General Funds, PLHA)
Project Summary
2. Project Address(es):
If the proposed project has multiple addresses, please upload a map of the specific locations under the Documents tab
City of Atascadero
6500 Palma Ave.
Atascadero, CA 93422
3. Jurisdiction(s)/Area(s) Served:
Select all that apply
Arroyo Grande
✓ Atascadero
Morro Bay
1 Paso Robles
Pismo Beach
I City of San Luis Obispo
County of San Luis Obispo
4. Brief Project Description:
You will have the chance to expand or? your project description further in the application. Please upload any maps, photos,
drawings or plans under the Documents tab
The City of Atascadero has established a youth scholarship fund designed to assist low income families to allow children to
participate in organized recreation, social and cultural activities. The population served would be otherwise unable to afford the
activity fees to participate in the activities of choice without the scholarship. The city applies the income guideline published
by HUD adjusted for family size, as qualifying criteria to decide scholarship awards.
5. Please answer the following:
Please write NIA for any questions that are not applicable.
12,500• CDBG funding requested
ESG funding requested
HOME funding requested
General Funds requested
PLHA funding requested "
SUBTOTAL
Anticipated start date
Anticipated end date
TOTAL
6. Type of agency:
501 (c)(3)
For Profit
✓ Gov'tlPublic
I Other:
Agency Details, Capacity, and Experience
7. Is the organization faith -based?
I Yes
✓ No
8. Please answer the following:
If this is your first time applying to the County for funds, please upload your organizations' incorporation documents in the
Documents tab.
7/2/1979 Date of incorporation
26,989,900. Annual operating budget
160; Number of paid staff
25 Number of volunteers
TOTAL
9. Agency Mission Statement:
The City of Atascadero is committed to building community by fostering an outstanding quality of life with excellent public
service, stewardship of the environment, preservation of our heritage and promotion of economic prosperity.
10. Please describe the services your organization is CURRENTLY providing (regardless of funding source).
The Recreation Division includes the Colony Park Community Center and Recreation Division Programs, which include
community classes, sports leagues, special events, teen center programming, facility management, etc.
11. Please describe the services your organization PROPOSES to provide (regardless of funding source).
The City proposes to provide new opportunities for participation in recreational activities and programs.
12. How does the project complement and collaborate with existing efforts? Does your organization partner with
other organizations?
The City partners with outside businesses for support such as non -profits and service groups, as well as contracted
instructors to teach classes.
13. If the proposed project will serve homeless households, please describe how the project will coordinates with
other homeless service providers to connect homeless individuals and families to resources.
If this question is not applicable, write NIA in the box below.
N/A
14. Please describe your organization's capacity to implement the proposed project. Who will be involved? List
projects of similar size and type that your organization has completed.
2016 Youth Scholarships
2017 Youth Scholarships
2018 Youth Scholarships
2019 Youth Scholarships
2020 Youth Scholarships
2021 Youth Scholarships reallocated to ECHO
City employees, including recreation and administrative services, will implement this program.
15. Briefly describe your agency's record keeping system with relevance to the proposed project.
Refer to Chapter 13 of 'Basically CDBG" in the Library for more information on record keeping for CDBG.
Please see attached documents.
16. CDBGIESG ONLY - Will the services offered by your organization increase or expand as a result of CDBGIESG
assistance?
i— Yes
✓ No
17. CDBGIESG ONLY - IF YES TO ABOVE - What new programs or services will be provided?
If this question is not applicable, write NIR in the box below.
New opportunities for participation in recreational activities and programs.
18. CDBGIESG ONLY - IF YES TO QUESTION 16 - Describe how existing programs or services will be expanded and
what percentage of an increase is expected.
If this question is not applicable, write NIA in the box below.
The number of participants in our recreational programs will increase due to more affordability for our lower income families.
19. Please describe the proposed project in detail (i.e. What activities are to be undertaken? What are the
projects' goals?).
Please attach a timeline of the project milestones under the Documents tab.
Most youth serving organization in Atascadero has received requests for assistance in paying registrations or enrollment fees
for their activities. Many families are unable to afford fees that usually range from $35 per child to 300 per child. Applications
have grown dramatically over the past several years, but the need has been more acute in the last few years. These children
would not be able to participate in the activities that promote self esteem, feelings of community, friendships, health etc. if
they are not provided with financial aid.
Project Details
20. Please estimate the number of unduplicated persons or households to benefit from the proposed project. Write
"p" for persons or "hh" for households.
Please refer to the Library for HUD Income Limits and information on CDBG Presumed LowlMod Income populations. Please
enter any presumed benefit persons as low -income -
150 -200 TOTAL number of persons (p) or households (hh) regardless of income
300/6 Of the total number of persons (p) or households (hh) entered above, how many will be LOW-INCOME
(earning 51% - 80% or less of the County median-income)(HUD funding only)
70% Of the total number of persons (p) or households (hh) entered above, how many will be VERY LOW-
INCOME (earning 50% or less of the County median-income)(HUD funding only)
Of the total number of persons (p) or households (hh) entered above, how many will be earning 60% or
less of County median-income(PLHA only)
TOTAL
21. CDBG ONLY - If the project serves any of the presumed benefit populations under the LowlModerate Income
national objective, please describe how the project will directly benefit the populations identified.
If this question is not applicable, write NIA in the box below.
This project would benefit the extremely low, low, and moderate income families by allowing children to participate in
organized recreation, social and cultural activities who otherwise would be unable to afford the activity fees.
..,IET 0UTRE,AC.' 1 Ci' 1212'. iPIea9 a i.._ .. accoiwplisf1111. lets and
portion of fLwi J!I;i!j to yo tovjai'•:lb aa.:i �_-E!i-vic:: i;�� ..::i l.]E•.'fLir.].
-ansv.er;1o, 1;1eseoeded f"lacr;';7SE' ui rrhO 31 •o i" I-
24. ESG ONLY - RAPID RE -HOUSING ONLY - Please identify the following projected accomplishments and portion
of funding rerluested to go towards each service type for the 12 -month contract period.
-E.;;su'er 1llsc' of the a!rJ: w6r.lo k,f-
25. ESG ONLY - FOR HOMELESSNESS PREVENTION ONLY: Please identify the following projected
accomplishments and portion of funding requested to go towards each service type for the '12 -month contract
period.
-an svL'er 17oi ores eo te cf 1Jp;;c:ilse of .3ie aI13
26. ESG ONLY - FOR HMIS ONLY: Please idontlfy the portion of fundirig requested to go towards :'arh service tyle
For the 12-mon:ti contract period.
-c111snza•f nrii of the ans's' 'r to t0-
27. GENERAL FUND ONLY - OVERNIGHT 9HEL.-V ERS ONLY - Please answer the following:
1fi;,Ve; 170•.'OT &'„'Ater fL;`Cc}0,3e 0!"!17e C -w ; i
2?. GENERAL GENERAL FUND ONLY - P[ease identiry tho follovririg projected nccomplichrnents:
lil[ 0res2;1(L:7 ;re.; , Se of ?hP 0 ;1,,,: er
29. Identify the projected target population(s) your proposed project and activities will serve (including age, race,
residency, handicap status, income level or other unit characteristics or subgroup information) and how those
populations will benefit
The program will be serving children who are 2.5 years old up to 18 years old and are considered extremely low to moderately
low income households. It would allow children to participate in organized recreation, social and cultural activities. It would
promote self esteem, feelings of community, friendships, health etc.
30. Has environmental review been completed (CEQA andlor NEPA)?
Yes - CEQA review completed
No - CEQA review not completed
%/ NIA - CEQA not required
F- Yes - NEPA review completed
No - NEPA review not completed
✓ N/A - NEPA not required
31. Please answer yes or no to the following:
If applicable, please upload a copy of the Phase 1 or 11 environmental assessment under the Documents tab.
N/A Has a Phase I or Phase II environmental assessment been conducted for the property?
N/A List and describe any known hazards (e.g. asbestos, storage tanks — underground, aboveground)
N/A Is the project on a property designated or been determined to be potentially eligible for designation as a
local, state, or national historic site?
N/A Are the building(s)/structure(s) located on a Historic Site or within a Historic District?
N/A Is the project located within a 100 -year Flood plain?
IF YES TO ABOVE, does your agency have flood insurance?
NIA Will there be demolition required?
TOTAL.
32. Identify all permits necessary for the project (local, state or federal).
None
33. State whether or not the necessary permits have been issued. If a permit has not yet been issued, indicate
when the permit(s) will be applied for or issued.
Please provide proof of permit issuance under the Documents tab.
NIA
34. Briefly describe your agency's auditing requirements, including those for the proposed project.
Please upload a copy of your most recent audit under the Documents tab.
An independent auditing firm conducts an annual audit of ail City funds, including the CDBG fund, An independent audit firm
also conducts the Single Audit per OMB Circular A-133, Schedule of Expenditures of Federal Awards, which includes all
CDBG funding information.
Financial
35. How do you plan to fund the operation and maintenance costs (if any) associated with this project? Are these
funds available now? If not, when will they be available?
City staff salaries are paid by City funds; no CDBG funds are expended for overhead. All CDBG funds are dedicated to youth
scholarships only.
36. Do you have any grant funds remaining from prior Fiscal Year allocations?
V Yes
F- No
37. IF YES TO ABOVE, please answer the following:
If this question is not applicable, write NIA in the boxes below.
2020 What fiscal year(s) did you receive the funding?
CDBG What project did you receive the funding for?
$277.00 How much is remaining?
TOTAL
38. CDBG ONLY - Identify all jurisdictions you are applying to for CDBG funds by indicating the amount applied for
at each jurisdiction.
Write NIA for jurisdictions not being applied to for CDBG funds. Note: Any projectlprogram being recommended less than
$8,000 total will not be funded per the Cooperation Agreement between the County and participating cities of the Urban
County.
N/A City of Arroyo Grande
12,500 City of Atascadero
N/A City of Morro Bay
NIA City of Paso Robles
N/A City of Pismo Beach
N/A City of San Luis Obispo
N/A. County of San Luis Obispo
TOTAL
Budget
Funding Sources/Revenues
CDBG Funding (this request)
ESG Funding (this request)
General Funds (this request)
ESG-CV Funding (this request)
HOME Funds (this request):
PLHA Funds (this request):
Local/County (non-federal)(please specify):
Local/City (non-federal){please specify):
In-kind
Other (please specify):
Total
Funding Uses/Expenses
Personnel Costs
Operating Costs
Professional Services
Capital Outlay
Permits, Development Fees
Legal and Public Notices
Other (please specify):
Total
Tables �op
ESG Matching Funds
Sources
Committed
$ 0.00
Conditional
Proposed
$ 12,500.00
$ 0.00 $ 12,500.00
CDBG ESG & ESG-CV General Fund HOME PLHA
$ 12,500.00
$ 12,500.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00
Amount.
Documents
Documents Requested
Incorporation Documents (if applicable)
Timeline of Project Milestones
Proof of Permit Issuance (if applicable)
Map of Multiple Project Locations (if applicable)
Most Recent Audit
Commitment Letters for funds (if available)
Timeline of Expenditures
Required? Attached Documents
✓ Funds will be expended within 4 nuarters
✓ FY 20 CDBG audit page
✓ Funds will be expended lryithin, 4 C11 oiler s
" Zoom Gran tsTm is not responsible for the content of uploaded documents.
Application ID: 371981
Become a ' an Facelbook
Problems Conlacl us al
02002-202, GranlAnalysl.com. All rights reserved.
'ZoomGranls' and the ZoomGranls logo are trademarks of GranlAnatysl-ow, LLC.
Emaj This Preview Save as PPF FrInt Diose Window AAT
;uvilererl bil 7.00n)Grar:.,[STI.,
County of San Luis Obispo
2022 Public Services and Economic Development (CDBG, ESG, HOME, General Fund, PLHA)
Deadline: 11/1/2021
El Camino Homeless Organization
ECHO Navigation Centers CDBG
Jump to: F. iaJbiliIV ApoGcatios 1 (? cslions Burl vel Tables Documents
$ 85,000.00 Requested
Submitted: 10/29/2021 4:07:09 PM (Pacific)
Project Contact
Mimi Rodriguez
. i; : � cf rir� a e�nechoshe Ite r. ❑ ra
"fel: 805-462-3663
Additional Contacts
becca@ca rselg roup.com,
Wewis@echoshetter.org
Eligibility to[,,
EI Camino Homeless
Organization
P.D. Box 2077
Atascadero, CA 93423
United States
CEO
Wendy Lewis
wlevvi s(Dechashe Iter. om
- - Telephone8054623663
Fax
Web echoshelter.org
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#1.
1. Please identify all funding sources being requested:
This question will be used to branch only those questions related to the funding sources requested in this application, so
don't worry if your application has skipped question numbers.
✓ CDBG only
ESG only
I ESG-CV only
I HOME only
I General Funds only
I PLHA only
I Select this for any combination of grant funding requests(CDBG, ESGIESG-CV, HOME, PLHA, and General Funds)
National Objectives
2. CDBG ONLY - Please select the national objective that best applies to the proposed project
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities" in the Library for more
information regarding CDBG national objectives.
✓ Low/Moderate Income
Slums or Blight
Urgent Need
3. CDBG ONLY - IF LOW/MODERATE INCOME WAS SELECTED: Select which criteria the proposed project intends
to qualify under to meet the Low/Moderate income objective
Please refer to Basically CDBG"or the "CDBG Guide to National Objectives and Eligible Activities" in the Library for more
infonnation regarding the Low/Moderate income national objective.
Area Benefit
✓ Clientele
Housing
Jobs
NIA - Low/Moderate Income NOT selected
4. CDBG ONLY - IF SLUM OR BLIGHT WAS SELECTED: Select which criteria the proposed project intends to qualify
under to meet the Slums or Blight objective
Please refer to "Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities"in the Library tab for
information regarding the Slums or Blight national objective.
Area Basis
Spot Basis
✓
N/A - Slums or Blight NOT selected
S. CDBG ONLY - Please explain how the proposed project meets the selected National Objective.
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities" in the Library tab.
ECHO Navigation Center services solely benefit clients who are homeless. This meets Objective One because a specific
group of people are benefited who are all low/moderate income.
Beneficiary Documentation
8. How will you document and maintain income status or presumed benefit status for CDBG?
Please provide a sample of your Client Intake Form under the Documents Requested section below. Income verification for
CDBG beneficiaries must be provided in accordance with 24 CFR Part 5; a link is provided in the Library.
ECHO Case Managers use HMIS and ClientTrack (intake) interview documents to determine income status. Following case
management meetings, they document any income changes in HMIS. Please see attached client intake form.
9. How will you collect demographic data on the beneficiaries of the proposed project (i.e. racialfethnic
characteristics)? (General Fund requests are exempt from this requirement)
Please provide a sample of your Client intake Form under the Documents Requested section below. To qualify for an award
of Fenderal and State funds, the agency must collect race and ethnicity information from all clients.
The Coordinated Entry Case Manager conducts an interview with any client looking for services (shelter and dinner clients)
using ClientTrack. An HMIS interview is given by an ECHO Case Manager with all shelter resident clients on their first night in
the shelter. Both of these interviews collect demographic data. Please see attached client intake form.
Eligible Activities
40. CDBG ONLY - identify all eligible activities that apply to the proposed project
Please refer to 'Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities"in the Library tab for
information regarding CDBG eligible activities.
✓ Public Services (General)
F- Operating Costs of Homeless/AIDS patients programs
Senior Services
Handicapped Services
f Legal Services
F- Youth Services
f'- Transportation Services
F- Substance Abuse Services
Services for Battered and Abused Spouses
F- Crime Awareness or Neighborhood Cleanups
F- Fair Housing Activities
I- Tenant/Landlord/Housing Counseling
Child Care Services
Health Services
Services for Abused and Neglected Children
F- Mental Health Services
1 Subsistence Payments, Homeless Assistance, Rental Housing Subsidies or Security Deposits
F Job training and job placement services
Assistance to microenterprises (technical assistance, business support services, and other similar services to owners
of microenterprises or persons developing microenterprises)
Documents Requested *
Client Intake Form(s) for Limited Clientele (if
applicable)
Map for Area Benefit (if applicable)
CDBG Requirements and Acknowledgements
(Please download the template below and upload an
initialed document here)
download template
General Liability Insurance
Application Questions
is C: cic,,.
Required? Attached Documents
Client Intike Forms
CDBG Acknowledaements
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#1.
1. Please identify the funding sources being requested:
This question will be used to branch only those questions related to the funding sources requested in this application - so
don't worry if your application has skipped question numbers.
✓ CDBG only
F- ESG only
F- HOME only
I - General Funds only
PLHA only
Select this for any combination of grant funding requests (CDBG, ESG, HOME, General Funds, PLHA)
Project Summary
2. Project Address(es):
If the proposed project has multiple addresses, please upload a map of the specific locations under the Documents tab
1) ECHO Atascadero: 6370 Atascadera Avenue, Atascadero CA 93422
2) ECHO Paso Robles: 1134 Black Oak Drive, Paso Robles CA 93446
3) Winter shelter: Community Church of Atascadero, 5850 Rosario Ave, Atascadero, CA 93422
3. Jurisdiction(s)/Area(s) Served:
Select all that apply
✓ Arroyo Grande
✓ Atascadero
✓ Morro Bay
✓ Paso Robles
✓ Pismo Beach
✓ City of San Luis Obispo
✓ County of San Luis Obispo
4. Brief Project Description:
You will have the chance to expand on your project description further in the application. Please upload any maps, photos,
drawings or plans under the Documents tab
EI Camino Homeless Organization (ECHO) maintains two Navigation Centers with overnight shelters, ECHO Atascadero and
ECHO Paso Robles, and a winter shelter in Atascadero, housing residents from throughout San Luis Obispo County.
Requested funds from CDBG, ESG, GFS, and PLHA will support activities at all three sites, including case management,
shelter coordination, street outreach, volunteer coordination, and meal programs.
During the pandemic, ECHO added the new ECHO Paso Robles site, leveraging Project HomeKey funding to convert motel
space. ECHO also took on the operation of a 20 -bed winter shelter in Atascadero from TFS in order to continue providing this
important resource. ECHO has increased total year-round beds available in the North County from 50 to 120 and assumed the
financial responsibility for the winter shelter beds that serves 90 unduplicated people each season. ECHO Atascadero is a
2417 Navigation Center and ECHO Paso Robles is expanding to 2417 hours.
S. Please answer the fallowing:
Please write NIA for any questions that are not applicable.
85040 CDBG funding requested
87542 ESG funding requested
n/a HOME funding requested
76700 General Funds requested
100352 PLHA funding requested "
SUBTOTAL
7/1/22 Anticipated start date
6/30/23 Anticipated end date
TOTAL
6. Type of agency:
✓ 501(c)(3)
For Profit
Gov't/Public
Other:
Agency Details Capacity, and Experience
Is the organization faith -based?
Yes
✓ No
8. Please answer the following:
If this is your first time applying to the County for funds, please upload your organizations' incorporation documents in the
Documents tab.
5/14/2000 Date of incorporation
2,335,784 Annual operating budget
21 Number of paid staff
2000. Number of volunteers
TOTAL
9. Agency Mission Statement:
To empower people in San Luis Obispo County to make positive changes by providing food, shelter, and supportive services
10. Please describe the services your organization is CURRENTLY providing (regardless of funding source).
ECHO has been supporting homeless residents for 20 years and is a three -facility, 140 -bed homeless organization. ECHO
operates Navigation Centers with overnight shelters in Atascadero and Paso Robles, a winter shelter in Atascadero, outreach
to community members who are unhoused, and support for those in danger of being evicted from housing. Twenty-one staff
members and 2,000 volunteers help individuals and families to achieve income stability and permanent housing.
The mission of ECHO is to empower people in San Luis Obispo County to make positive changes by providing food, shelter,
and supportive services. During the pandemic, ECHO's priorities have been to keep existing clients safe while rapidly adding
capacity to allow more people to safely shelter.
At the beginning of the pandemic, ECHO ran a Navigator Center with a 50 -bed shelter located in Atascadero and serving all
county residents. Renovations at this site expanded capacity by 10 beds and added the ability to care for medically fragile
clients, while staffing increases allowed for 24/7 services. To address continuing needs, ECHO added 60 more beds in 2020
through a partnership with People's Self -Help Housing and Housing Authority SLO, purchasing a Motel 6 property in Paso
Robles with a state Project Homekey grant. The project created ECHO Paso Robles, the first permanent homeless services
site in Paso Robles and the only emergency shelter beds available year-round in the city. ECHO has also begun operating a
winter shelter site in Atascadero formerly run by TFS. And ECHO has greatly increased street outreach to help the chronically
homeless with COVID-19 safety and hygiene while encouraging the use of shelter programs. In addition, ECHO works closely
with local donors and agencies to raise funds for eviction prevention (emergency rent payments, etc.) to prevent families from
becoming homeless during this difficult time.
At the Navigation Centers, shelter clients and the unsheltered access case management, employment and benefits
resources, and housing resources. Staff also help clients to connect with agencies providing health and mental health
services, recovery programs, educational assistance, and other services that will help clients reach their goals of stable
housing and physical and mental well-being. In addition to overnight shelter services, nightly dinner meal programs serve up to
160 residents and community members in need each evening with take-out meals during the pandemic, and our expanded
public shower program provides access to showers and donated clothing five times weekly for those not staying in a shelter.
11. Please describe the services your organization PROPOSES to provide (regardless of funding source).
The CDBG, ESG, GFS, and PHLA funding requested will allow ECHO to continue to provide greatly expanded levels of service
at Navigation Centers and twice the number of shelter beds — 120 beds — than ECHO had at this point last year. ECHO has
successfully added two new shelters with one new Navigation Center, daytime hours at the ECHO Atascadero Navigation
Center, new case management and referral services in Paso Robles, and a new street outreach team for the North County
and North Coast. With the support of requested funding, ECHO's strong response to the pandemic and housing challenges
will be sustained.
At both ECHO Atascadero and ECHO Paso Robles, services will continue that include case management for both shelter
residents and the unsheltered, a daytime program coordinator, overnight shelter supervision, and a volunteer coordinator to
recruit, train, and supervise 2,000 volunteers per year who serve as over -night chaperones, dinner preparers, tutors, laundry
angels, shower monitors, and food shoppers. Funds will also assist with food and meal supplies at these sites. Outreach
services will be supported, helping the chronically homeless with COVID-19 safety and hygiene while encouraging the use of
shelter programs and case management to move toward permanent housing.
GFS funds will support ECHO having taken on the operation of the winter shelter in Atascadero, serving approximately 90
people each season, along with EC HO aso obles ovemight staffing and ECHO Atascadero volunteer coordination. PLHA
and other funds will support the new ECHO Paso Robles Navigation Center that includes a 60 -bed shelter. CDBG funds will
support case management and daytime services at ECHO Atascadero and ECHO Paso Robles. And ESG funds will also
support ECHO Paso Robles overnight staffing as well as street outreach case management.
12. How does the project complement and collaborate with existing efforts? Does your organization partner with
other organizations?
ECHO accepts referrals from a wide range of organizations and case managers and management staff work closely with other
homeless services providers and other agencies to ensure that clients access the resources available in the community. They
also advocate for clients as needed to obtain services. These agencies include: T -MHA, Community Health Centers, Loaves
and Fishes, Twin Cities Community Hospital, The Link, Center for Family Strengthening, 5 Cities Homeless Coalition,
CAPSLO, the Housing Authorities, Eckerd/America's Jobs, the Department of Rehabilitation, Veteran Affairs Supportive
Housing, Social Security Administration, North County Connection, Womenade — North SLO County, and the County Office of
Education Homeless Program. Through collaborative efforts we are able, collectively, to give our clients the greatest success
and opportunity to succeed.
To expand resources and avoid duplication of services, ECHO's CEO attends the Homeless Services Oversight Council, while
both the CEO and staff coordinate directly with county -wide homeless service providers. ECHO collaborates with CAPSLO
and 5CHC to plan and implement homeless services funded through the County by federal and state funds, including a current
joint PLHA application for eviction prevention and rapid rehousing services. ECHO also collaborates with People's Self -Help
Housing and Housing Authority SLO to administer the new Paso Robles site.
ECHO actively seeks out community partners who can be of support to our clients. For example, T-MHA's Homeless
Outreach Clinic -on -Wheels visits ECHO weekly to provide mental health services. The San Luis Obispo County Office of
Education offers a family Iiteracyfread-aloud program and PRGN partners to provide gardening classes for shelter children.
The Access Support Network conducts periodic Hepatitis C testing. In addition, ECHO has expanded its employment
program, working with a multitude of employers to place clients in jobs.
13. If the proposed project will serve homeless households, please describe how the project will coordinates with
other homeless service providers to connect homeless individuals and families to resources.
If this question is not applicable, write NIA in the box below.
As described above, ECHO coordinates with other homeless service providers, both to accept referrals and to refer clients to
community resources. Case managers and management staff work to develop relationships with various organizations within
the community to knit a network of support for clients. Homeless service providers who ECHO staff coordinate with include: T -
MHA, The Link, 5 Cities Homeless Coalition, CAPSLO, the Housing Authorities, and Veteran Affairs Supportive Housing. The
ECHO CEO participates in the SLO Supportive Housing Consortium and HSOC. ECHO is an HMIS participant and partners
with CAPSLO and 5CHC to use ClientTrack for standardized Coordinated Entry county -wide.
14. Please describe your organization's capacity to implement the proposed project. Who will be involved? List
projects of similar size and type that your organization has completed.
For twenty years, ECHO has demonstrated the ability to successfully operate homeless services. ECHO is led by an
experienced CEO, 21 full-time staff, and an 13 -member Board of Directors with extensive experience in nonprofit governance.
Two thousand community volunteers support operations. CEO Wendy Lewis will oversee the project, with support from Mimi
Rodriguez, the Associate Director.
ECHO has successfully sought, received, and managed grants and contracts from all levels of government and the private
sector, including current CDBG and General Fund grants through the County and many years of County CBO grants. ECHO
is a sub -contractor on CAPSLO and 5CHC grants through the County, including California ESG-CV-2, CDBG-CV, HCFC -CV,
ESG-CV-2, and CESH, and a sub -contractor through HASLO on HHAP and Project HomeKey grants.
15. Briefly describe your agency's record keeping system with relevance to the proposed project.
Refer to Chapter 13 of "Basically CDBG "in the Library for more information on record keeping for CDBG.
ECHO has a financial control process in place to assure accuracy and compliance. The CEO reviews all expenditures, which
are then coded by the Program/Administrative Manager and sent to the bookkeeper for payment. The bookkeeper uses
QuickBooks to track and reconcile all income and expenditures. The budget is reviewed by the Treasurer and reported to the
Board of Directors on a monthly basis. ECHO has the necessary staff capacity to assure accurate and timely reporting. The
CEO is responsible for all financial reporting, working with the bookkeeper. The Program/Administrative Manager is
responsible for program reporting, with oversight by the CEO.
For client record keeping, ECHO participates in the HUD Coordinated Entry process used by homeless -serving agencies
county -wide. Through this process, an intake staff evaluates each person who presents for services and determines their
need. Coordinated Entry utilizes the ClientTrack system, a county -wide system to track homeless and income status and to
avoid duplication of services. ECHO also uses the HUD HMIS database system to track demographics and case
management outcomes, and to report on progress. In addition, we use client files to document progress toward goals while at
the shelter. This data allows us to identify client needs, improve our internal processes, and report on client and program -level
outcomes.
16. CDBGIESG ONLY - Will the seryices offered by your organization increase or expand as a result of CDBGIESG
assistance?
Yes
✓ No
17. CDBGIESG ONLY - IF YES TO ABOVE - What new programs or services will be provided?
If this question is not applicable, write NIA in the box below.
NIA
18. CDBGIESG ONLY - IF YES TO QUESTION 16 - Describe how existing programs or services will be expanded and
what percentage of an increase is expected.
If this question is not applicable, write NIR in the box below.
NIA
19. Please describe the proposed project in detail (i.e. What activities are to be undertaken? What are the
projects' goals?).
Please attach a timeline of the project milestones under the Documents tab.
The goal of the project is engage with 850 people at ECHO's three sites over the 2422-23 year, connecting them to resources
and services that help them to move out of homelessness. This includes providing shelter to at least 615 people annually and
street outreach, dinner meals, and showers to 235 unsheltered homeless annually.
This project, including requested CDBG, ESG, GFS, and PLHA support, will provide funding to maintain staffing of the new
ECHO Paso Robles Navigation Center and winter shelter and to maintain the ECHO Atascadero Navigation Center. This will
allow for a continued response to high levels of homelessness, providing shelter and outreach services while assisting people
experiencing homelessness with navigating systems to obtain income and housing. This expanded funding request takes into
consideration the 60 new beds at ECHO Paso Robles and the Atascadero winter shelter which was previously not run by
ECHO.
The project will sustain funding for all or a portion of the salary of two outreach case managers, two shelter case managers,
overnight shelter coordinator, overnight shelter chaperone, volunteer coordinator, and program manager, as well as winter
shelter staffing and food for the meal programs. The shelter Case Managers focus on working with shelter clients to secure
employment or, when appropriate, disability benefits, and obtain housing. They identify barriers to self-sufficiency and
community services that could support clients, helping clients to access resources in physical and mental health care,
budgeting and credit repair, transportation, and other areas to secure employment and housing. The Outreach Case Managers
provide similar services for the unsheltered population throughout the North County, seeking out residents experiencing
homelessness and helping them move toward housing while connecting with vital services.
The Overnight Shelter Coordinator at ECHO Paso Robles is responsible for maintaining safety and operations throughout the
nighttime hours. The Overnight Shelter Chaperone assists the 60+ people staying at the shelter each night. The Atascadero
Volunteer Coordinator works with various community groups to recruit and manage volunteers throughout the organization.
These 1,500 volunteers annually enable ECHO Atascadero to operate, staffing it overnight; operating the meal, laundry, and
shower programs; and working with the Children's Program to provide enrichment opportunities for the many children who stay
at the shelter and come for dinner meals. The Atascadero Program Manager supefvises daytime operations and coordinates
evening activities for shelter residents.
Winter shelter staffing will allow ECHO to keep open the winter shelter in Atascadero that was formerly operated by TFS. This
shelter has 20 beds for unsheltered residents to access over the winter months. Funds requested will also provide food for
shelter clients' breakfast and lunch meals, as well as supplies for all meals.
Project details
20. Please estimate the number of unduplicated persons or households to benefit from the proposed project. Write
"p" for persons or "hh" for households.
Please refer to the Library for HUD Income Limits and information on CDBG Presumed LowlMod Income populations. Please
enter any presumed benefit persons as low-income.
850 TOTAL number of persons (p) or households (hh) regardless of income
0 Of the total number of persons (p) or households (hh) entered above, how many will be LOW-INCOME
(earning 51% - 80% or less of the County median-income)(HUD funding only)
850 Of the total number of persons (p) or households (hh) entered above, how many will be VERY LOW-
INCOME (earning 50% or less of the County median-income)(HUD funding only)
Of the total number of persons (p) or households (hh) entered above, how many will be earning 60% or
less of County median-income(PLHA only)
TOTAL
21. CDBG ONLY - If the project serves any of the presumed benefit populations under the Low/Moderate Income
national objective, please describe how the project will directly benefit the populations identified.
if this question is not applicable, write NIA in the box below.
ECHO Navigation Centers and winter shelter services solely benefit clients who are homeless, a presumed benefit population.
The project will directly benefit the homeless population by providing shelter, food, showers, case management, and
supportive services to assist clients in obtaining permanent housing.
29. Identify the projected target population(s) your proposed project and activities will serve (including age, race,
residency, handicap status, income level or other unit characteristics or subgroup information) and how those
populations will benefit
The target population who will be served by ECHO are homeless residents of San Luis Obispo County. They are all low
income. We serve homeless clients of all ages, races, and gender, including those who are handicapped. For FY 2020-2021,
33% of clients were ages 0-17, 45% were ages 18-44, and 22% were over 45 years old. Twenty-seven percent were disabled.
Our clients were 42% female and 58% male; 85% were White, 3% American Indian, 8% Black, 3% multiple race, <1 % Asian,
and <1 % Native Hawaiian/Pacific Islander, and 1 % unknown. Over one-quarter (27%) were Latino and 73% were non -Hispanic
or Latino.
Target populations benefit by accessing shelter, case management, food, and other supportive services to increase income
and obtain permanent housing.
30. Has environmental review been completed (CEQA andlor NEPA)?
- Yes - CEQA review completed
No - CEQA review not completed
✓ N/A - CEQA not required
Yes - NEPA review completed
No - NEPA review not completed
�/ NIA - NEPA not required
31. Please answer yes or no to the following:
If applicable, please upload a copy of the Phase I or 11 environmental assessment under the Documents tab.
NA Has a Phase I or Phase II environmental assessment been conducted for the property?
NA- List and describe any known hazards (e.g. asbestos, storage tanks — underground, aboveground)
NA Is the project on a property designated or been determined to be potentially eligible for designation as a
local, state, or national historic site?
NA Are the building(s)/structure(s) located on a Historic Site or within a Historic District?
NA Is the project located within a 100 -year flood plain?
NA IF YES TO ABOVE, does your agency have flood insurance?
NA Will there be demolition required?
TOTAL
32. Identify all permits necessary for the project (local, state or federal).
N/A
33. State whether or not the necessary permits have been issued. If a permit has not yet been issued, indicate
when the permit(s) will be applied for or issued.
Please provide proof of permit issuance under the Documents tab.
NIA
34. Briefly describe your agency's auditing requirements, including those for the proposed project.
Please upload a copy of your most recent audit under the Documents tab.
ECHO conducts an annual financial review with an external CPA. ECHO complies with GAAP and has financial control
policies in place. An audit was not required for 2021 or previous years and is scheduled for 2022.
Financial
35. How do you plan to fund the operation and maintenance costs (if any) associated with this project? Are these
funds available now? If not, when will they be available?
Funds to operate ECHO services in 2022-2023 will be raised through fundraising events, community donations, and grants
from the government, foundation, and corporate sectors. Currently, donations comprise 24% of income, fundraisers comprise
8%, and grants comprise 68%. Funds will be available prior to expenditures taking place.
36. Do you have any grant funds remaining from prior Fiscal Year allocations?
✓ Yes
No
37. IF YES TO ABOVE, please answer the following:
If this question is not applicable, write NIA in the boxes below.
2021-22 What fiscal year(s) did you receive the funding?
Shelter What project did you receive the funding for?
62417 How much is remaining?
TOTAL
38. CDBG ONLY - Identify al jurisdictions you are applying to for CDBG funds by indicating the amount applied for
at each jurisdiction.
Wite NIA for jurisdictions not being applied to for CABG funds. Note: Any projectlprogram being recommended less than
$8, 000 total will not be funded per the Cooperation Agreement between the County and participating cities of the Urban
County.
City of Arroyo Grande
13000 City of Atascadero
City of Morro Bay
13000 City of Paso Robles
City of Pismo Beach
City of San Luis Obispo
59000 County of San Luis Obispo
TOTAL
Budget
Funding Sources/Revenues
CDBG Funding (this request)
ESG Funding (this request)
General Funds (this request)
ESG-CV Funding (this request)
HOME Funds (this request):
PLHA Funds (this request):
Local/County (non-federal)(please specify):
LocallCity (non-federal)(please specify):
In-kind
Other (please specify):
Total
Funding Uses/Expenses
Personnel Costs
Operating Costs
Professional Services
Capital Outlay
Permits, Development Fees
Legal and Public Notices
Other (please specify): Food/meal supplies
Total
Committed Conditional
Proposed
$ 85,000.00
$ 0.00 $ 0.00 $ 85,000.00
CDBG ESG & ESG-CV General Fund HOME PLHA
$ 74,944.00
$ 10,056.00
$ 85,000.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00
Budget Narrative
$28,000: 0.32 FTE Program Manager at ECHO Atascadero ($35/hr, 22% benefits) to supervise daytime operations and
coordinate evening activities.
$46,944: 1 FTE Case Manager (0.5 FTE Paso Robles, 0.5 FTE Atascadero) ($18.501hr, 22% benefits), to support
shelter clients in securing housing and increased income.
$5,056: Shelter food for clients' daily breakfast and lunch meals at ECHO Paso Robles and ECHO Atascadero.
$5,000: Meal Program supplies for daily breakfast, lunch, and dinners, including plates, bowls, cups, napkins, and
utensils, at both sites.
Tables t
ESG Matching Funds
Sources Amount
$
5
Total
Documents
5
$0
Documents Requested ,
Incorporation Documents (if applicable)
Timeline of Project Milestones
Proof of Permit Issuance (if applicable)
Map of Multiple Project Locations (if applicable)
Most Recent Audit
Commitment Letters for funds (if available)
Timeline of Expenditures
Required? Attached Documents
✓ Tinieiine of Proiecl Milestones
ECHO Project Address Mao
✓ ECHO Financial Statements 2020
✓ TI valine of Expenditures
* Zoom GrantsTm is not responsible for the content of uploaded documents.
Application ID: 373367
Became a i on Fscebouk
Problems? Contact us at
®21702.2021 GrantAnalyst.com. All rights reserved.
'ZoomGrants" and the ZoomGrwls logo are Irad&marks of G rantAnalysl.com, LLC,
Ernaii This Previev; Savo as POr Priv! Close Window A.
Powered b y Zoo in Gra ots7�-'
County of San Luis Obispo
2022 Public Services and Economic Development (CDBG, ESG, HOME, General Fund, PLHA)
Deadline: 11!1!2021
SCITIES HOMELESS COALITION
22-23 Homeless Services: Shelter, Outreach, RRH and HP Services,
Jump to: Eligibility Anolication Questions Budfiet Tablas Documents
$ 229,000.00 Requested
Submitted: 11/1/2021 3:07:44 PM (Pacific)
Project Contact
Janna Nichols
ianna.nichols r.5chc.crq
Tel: 805-574-1538
Additional Contacts
none entered
Eligibility top
SCITIES HOMELESS COALITION
P.D. Box 558 Telephone805-574-1638
GROVER BEACH, CA 93483 Fax 805-668-2380
United States Web 5chc.org
Executive Director
Janna Nichols
Janna-nichols@5dlu:.o i
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#1.
1. Please identify all funding sources being requested:
This question will be used to branch only those questions related to the funding sources requested in this application, so
don't worry if your application has skipped question numbers.
7 CDBG only
I— ESG only
F ESG-CV only
F- HOME only
17General Funds only
F- PLHA only
✓ Select this for any combination of grant funding requests(CDBG, ESG/ESG-CV, HOME, PLHA, and General Funds)
National Objectives
2. CDBG ONLY - Please select the national objective that best applies to the proposed project
Please refer to "Basically CDBG"or the "CDBG Guide to National Objectives and Eligible Activities" in the Library for more
information regarding CDBG national o
✓ Low/Moderate Income
F Slums or Blight
Urgent Need
3. CDBG ONLY - IF LOWIMODERATE INCOME WAS SELECTED: Select which criteria the proposed project intends
to qualify under to meet the LowlModerate Income objective
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities" in the Library for more
information regarding the LowlModerate income national objective.
Area Benefit
✓ Clientele
Housing
Jobs
NIA - Low/Moderate Income NOT selected
4. CDBG ONLY - IF SLUM OR BLIGHT WAS SELECTED: Select which criteria the proposed project intends to qualify
under to meet the Slums or Blight objective
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities" in the Library tab for
information regarding the Slums or Blight national objective.
Area Basis
Spot Basis
NIA - Slums or Blight NOT selected
S. CDBG ONLY - Please explain how the proposed project meets the selected National Objective.
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities" in the Library tab
5CHC's Shelter and Outreach Services will be provided to benefit a clientele who are generally presumed by HUD to be
principally L/M income persons - those who are homeless. This population is among those who are currently presumed by
HUD to be made up principally of LIM income persons: Reference: §570.208(a)(2)(i)(A).
5CHC's Housing Program targets financial assistance and services to individuals and families based on income and
anticipated need, following a coordinated entry assessment and progressive engagement model. Those who receive
emergency grants for subsistence payments (rental assistance, 05Q) or for deposit assistance {05T Assistance will be
provided to benefit a clientele who are generally presumed by HUD to be principally LIM income persons - those who are
homeless. This population is among those who are currently presumed by HUD to be made up principally of LIM income
persons: Reference: §570.208(a)(2)(i)(A). Additionally, as some assistance will be provided to those of imminent threat of
homelessness, 5CHC's program additionally requires information on family size and income so that it is evident that at least
51% of the clientele are persons whose family income does not exceed the LIM income limit. Reference: §570.208(a)(2)(1)(B)
and (C)
6. ESGIESG-CV ONLY - Please select all objectives applicable to the proposed project, as established in "Opening
Doors: Federal Strategic Plan to Prevent and End Homelessness" or the CARE Act.
I Finish the job of ending chronic homelessness in five years
✓ Prevent and end homelessness among veterans in five years
✓ Prevent and end homelessness for families, youth, and children in ten years
✓ Set a path to ending all types of homelessness
✓ Prevent, prepare for, and respond to COVI❑-19 outbreak among individuals and families who are homeless or receiving
homeless assistance
✓ Support additional homeless assistance and homelessness prevention activities to mitigate the impacts of COVI❑-19
7. ESGIESG-CV ONLY - Please explain how the proposed project supports the selected objective(s).
The Federal Strategic Plan to Prevent and End Homelessness focuses on collaboration and strategic action; education and
service improvements; utilization of affordable housing; targeting the needs of families and children; recognizing that health is
a determinant of housing stability; and the role of other supportive services.
Collaboration/Strategic Action: 5CHC Homeless Services program is integrated in the local Continuum of Care, focusing on
collaboration and strategic action, 5CHC is a key participant in the Coordinated Entry System receiving referrals community
partners throughout the compendium of services. Additionally, 5CHC staff participate in HSOC at all levels, with the Executive
Director currently serving as chair of Data and Finance; a member of the Executive Committee; and on the ad-hoc Ten -Year
Plan update.
Service Improvements: 5CHC staff participate in HSOC's Services Coordinating Committee, which is focused on improving the
integration of services and regularly participate in evidence -based trainings (Mental Health First Aid, etc.) 5CHC also has a
program of providing staff trainings monthly with other service professionals and partner agencies.
Access and Utilization of Affordable Housing: 5CHC's Housing Program couples short-term financial assistance with housing
stabilization services which have been documented to be cost-effective in both preventing the occurrence of homelessness,
and ensuring that homelessness is brief and a one-time occurrence. With our partnership with the SSVF program we are able
to serve Veterans, including those who may not qualify for the SSVF program. We also maximize use of affordable housing
and supports with People's Self -Help Housing and HASLO. 5CHC has aggressively works with current and existing clients to
complete applications and offer needed financial assistance.
Families and Children: 5CHC provides housing services working with family programs such as SAFE, FIT, and the Family
Resource Centers. 5CHC also has a program specifically targeted to Transitional Age Youth experiencing homelessness.
Health and Supportive Services: Through our work with Dignity Health, 5CHC's outreach case managers and benefits
acquisition advocate work to connect clients to health resources, as well as provide assistance post -hospitalization. 5CHC's
coordinated entry and outreach staff are regularly offering support for services needed such as one-time financial assistance,
family reunification, acquisition of public benefits, identification, health-care navigation and the role that other supportive
services can play. 5CHC regularly offers vaccination options and provides needed ppe to those experiencing homelessness.
Beneficiary Documentation
8. How will you document and maintain income status or presumed benefit status for CDBG?
Please provide a sample of your Client Intake Form under the Documents Requested section below. Income verification for
CDBG beneficiaries must be provided in accordance with 24 CFR Part 5; a link is provided in the Library.
Attached are our current policies regarding income verification. A household's income is any money that goes to, or on behalf
of, the head of household or spouse (even if temporarily absent) or to any other household member. When calculating income
for eligibility, annual income includes the current gross income of all adult household members and unearned income
attributable to a minor (e.g., child support, TANF payments, SSI payment, and other benefits paid on behalf of a minor). Gross
income is the amount of income earned before any deductions (such as taxes and health premiums) are made. Current Gross
Income is the income that the household is currently receiving at the time of application for assistance. Income recently
terminated should not be included. The attached calculation form is used to determine the applicant's income eligibility.
S. How will you collect demographic data on the beneficiaries of the proposed project (i.e. raciallethnic
characteristics)? (General Fund requests are exempt from this requirement)
Please provide a sample of your Client Intake Form under the Documents Requested section below. To qualify for an award
of Fenderal and State funds, the agency must collect race and ethnicity information from all clients.
Utilizing the attached Enrollment Packet, including Coordinated Intake assessment, applicants are asked to self -disclose
their demographic data, including race and ethnicity, age range and disability. This data is collected and entered into the
County Homeless Management Information System.
Eligible Activities
10. CDBG ONLY - Identify all eligible activities that apply to the proposed project
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities"in the Library fab for
information regarding CDBG eligible activities.
✓ Public Services (General)
✓ Operating Costs of Homeless/AIDS patients programs
7 Senior Services
F_ Handicapped Services
F Legal Services
F_ Youth Services
F_ Transportation Services
F_ Substance Abuse Services
C-" Services for Battered and Abused Spouses
r" Crime Awareness or Neighborhood Cleanups
F_ Fair Housing Activities
F_ Tenant/Landlord/Housing Counseling
I Child Care Services
r Health Services
I Services for Abused and Neglected Children
F_ Mental Health Services
✓ Subsistence Payments, Homeless Assistance, Rental Housing Subsidies or Security Deposits
Job training and job placement services
I Assistance to microenterprises (technical assistance, business support services, and other similar services to owners
of microenterprises or persons developing microenterprises)
11. ESG ONLY - Identify all eligible activities that apply to the proposed project
✓ Emergency Shelter
✓ Street Outreach
✓ Rapid Re -Housing
✓ Homelessness Prevention
✓ HMIS
12. GENERAL FUND ONLY • Identify all eligible activities that apply to the proposed project
General Funds activities are limited to those regarding ernergency/homeless shelters and warming centers
✓ Operations (e.g. maintenance, repair, utilities)
✓ Services (e.g. case management, child care, education services, employment assistance, outpatient health services,
legal services, life skills training, mental health services, and substance abuse treatment)
Administration
✓ HMIS
13, ESG-CV ONLY - Identify all eligible activities that apply to the proposed project
Emergency Shelter
Street Outreach
F_ Rapid Re -Housing
7 Homelessness Prevention
F_ HMIS
14. HOME ONLY - The only activity under the public service application for HOME is Tenant Based Rental
Assistance (TBRA)
TBRA
15. PLHA ONLY - Identify all eligible activities that apply to the proposed project
Eligible activities must assist persons who are experiencing or At risk of homelessness and can include, but are not limited
providing rapid rehousing, rental assistance, supportive/case management services, and opperating costs.
-no answer -
Documents Requested *
Client Intake Form(s) for Limited Clientele (if
applicable)
Map for Area Benefit (if applicable)
CDBG Requirements and Acknowledgements
(Please download the template below and upload an
initialed document here)
do+nrnload tamolale
General Liability Insurance
Application Questions lloo
Required? Attached Documents
5chc Housincl Packei
5CHC Intake
5chc Housino Packet Soanish
5chc Privacy Notice
5CHC ESG Policies and Procedures
Subreciment Acknoviledgement
5CHC General Liabillty Umbrella Policy
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#1.
1. Please identify the funding sources being requested:
This question will be used to branch only those questions related to the funding sources requested in this application - so
don't worry if your application has skipped question numbers.
F_ CDBG only
7 ESG only
F_ HOME only
F_ General Funds only
PLHA only
✓ Select this for any combination of grant funding requests (CDBG, ESG, HOME, General Funds, PLHA)
Project Summary
2. Project Address(es):
If the proposed project has multiple addresses, please upload a map of the specific locations under the Documents Fab
100 S. 4th Street, Grover Beach - Housing Navigation Center, Outreach Services, Admin.
800 W. Branch Street, Arroyo Grande - Warming Center
216 S. 16th Street, Grover Beach - Non -Congregate Shelter
P.D. Box 558, Grover Beach, CA 93483 - Mailing
Services are provided county -wide (with the exception of Grover Beach for purposes of this CDBG/ESG application). As the
City of Grover Beach is not a participating jurisdiction of the Urban County of San Luis Obispo, CDBG regulations do not allow
the expenditure of CABG funds to benefit residents of, nor expend these funds within, the City of Grover Beach, Therefore, the
5CHC shall not use CDBG or ESG funds to benefit clients from the City of Grover Beach nor use CDBG funds for subsistence
payments within the City of Grover Beach.
3. Jurisdiction(s)fArea(s) Served:
Select all that apply
✓ Arroyo Grande
✓ Atascadero
✓ Morro Bay
✓ Paso Robles
✓ Pismo Beach
✓ City of San Luis Obispo
✓ County of San Luis Obispo
4. Brief Project Description:
You will have the chance to expand on yourproject description further in the application- Please upload any maps, photos,
drawings or plans under the Documents tab
5CHC proposes both continued and expanded comprehensive homeless services including coordinated entry, street outreach,
emergency shelter, and housing navigation services. With a focus on helping clients to secure and maintain stable mousing,
5CHC will conduct outreach, sheltering, coordinated assessment, and case management to provide rapid re -housing and
homeless prevention services to residents of San Luis Obispo County, utilizing Housing First principles of providing housing
support coupled with supportive services.
With the support and guidance of case management, those who are experiencing homelessness will be supported with their
immediate needs (including food and shelter) while also receive coaching, financial literacy, advice on credit repair, and life
and job skill guidance coupled with short-term financial assistance for move -in expenses or homeless prevention rental
assistance.
5. Please answer the following:
Please write NIA for any questions that are not applicable.
j 89000 CDBG funding requested
65000. ESG funding requested
HOME funding requested
75000. General Funds requested
PLHA funding requested "
SUBTOTAL
7/1/2022 Anticipated start date
6/30/2022 Anticipated end date
TOTAL
6. Type of agency:
✓ 501 (c)(3)
I For Profit
Gov't/Public
Other:
Agency Details, Capacity, and Experience
7. Is the organization faith -based?
I- Yes
✓ No
8. Please answer the following:
If this is your first time applying to the County for funds, please upload your organizations' incorporation documents in the
Documents tab.
3/3/2009 Date of incorporation
1,300,000 Annual operating budget
16 Number of paid staff
75 Number of volunteers
TOTAL
9. Agency Mission Statement:
5CHC's Guiding Principles
I. Housing First
For 5Cities Homeless Coalition "Housing First" means that we seek to provide housing as a means to recovery, rather than a
reward. Our overarching goal is to connect homeless people to permanent housing as quickly as possible. Meeting the client
'lNhere they're at," our work is focused on the development of a case plan that is oriented toward their success in obtaining or
maintaining housing, which is predicated by consumer choice and self-determination. Our services support the client in
identifying the barriers to stable housing that they are experiencing, and assisting them with services to address these
fundamental challenges.
Through this Housing First lens, we progressively engage clients through engagement, assessment, diversion, and addressing
immediate needs (such as food and sheltering) as we work with the client with housing stabilization planning, including
financial management.
5Cities Homeless Coalition offers services as needed and requested on a voluntary basis and does not make housing
contingent on participation in services. Within the Housing First framework, our approach with clients is based on the following
principles: Trauma informed; Housing Focused, Recovery Oriented; Person Centered; and Strengths Based.
41. Personal and Professional Integrity
All staff, board members, and volunteers of 5CHC and its partners act with honesty, integrity, and openness in all their
dealings as representatives of the organization. The organization promotes a working environment that values Respect,
Integrity, Teamwork, and Excellence through its RITE Values.
III. Mission
5Cities Homeless Coalition strengthens our community by mobilizing resources, fostering hope, and advocating for those who
are homeless and facing homelessness. Through collaboration and leadership, the Coalition is building an engaged
community that fully understands the complexities of homelessness and actively shares the responsibility of creating and
implementing solutions to eliminate it.
1V. Governance
5CHC has an active governing body, representative of our community, responsible for setting the mission and strategic
direction; and oversight of the finances, operations, and policies of 5CHC.
VIII. Program Evaluation
5CHC regularly reviews program effectiveness and has mechanisms to incorporate lessons learned into future programs.The
organization is committed to improving program and organizational effectiveness and develops mechanisms to promote
learning from its activities and the field.5CHC is responsive to changes in its field of activity and is responsive to the needs of
its constituencies.
IX. Inclusiveness and Diversity5CHC has a policy of promoting inclusiveness and its staff, board, and volunteers reflect
diversity in order to enrich its programmatic effectiveness. 5CHC takes meaningful steps to promote inclusiveness in its hiring,
retention, promotion, board recruitment, and constit
10. Please describe the services your organization is CURRENTLY providing (regardless of funding source).
5Cities Homeless Coalition provides wrap-around services including case management and direct financial assistance - with a
special emphasis on our housing support program.
5CHC's housing support program serves clients throughout San Luis Obispo County who are either homeless or facing
homelessness. These programs include Street Outreach; Emergency Shelter; Coordinated Entry; Immediate Needs
Assistance; Housing Navigation and Stabilization (including the enrollment support for the California Covid Rental Relief
Program); Transition Age Youth Targeted Services; Financial Literacy Training; Benefits Acquisition; HMIS data management;
Special Projects (Census; Point In Time Count, etc.) and referral services to other appropriate community resources.
5CHC's Programs align with 25 CCR § 8409 Core Practices and are targeted to individuals and families who 'without' these
programs will become or will remain homeless. These programs target area residents with the most urgent and severe needs
including Families with Children; Chronically Homeless; Veterans; Unaccompanied Youth; Victims of Domestic Violence.
Following local coordinated entry protocols, we seek to identify and serve people who:
• Are unsheltered and living in places not designed for human habitation;
• Have experienced the longest amount of time homeless;
• Have multiple and severe service needs that inhibit their ability to secure housing on their own; and
• Through homelessness prevention activities, are at greatest risk of becoming literally homeless without an intervention and
are at greatest risk of experiencing a longer time in shelter or on the street should they become homeless.
With these activities we will work to ensure services are low -barrier and accessible; help participants identify and resolve
barriers to housing; assist them to resolve their housing crisis before focusing on other non -housing related services; allow
participants to choose the services and housing that meets their needs; connect participants to appropriate services and offer
financial assistance initially at a minimum level and adding as needed through progressive engagement.
In 2020, 5CHC fielded over 4,504 calls for assistance in 2020 and provided direct assistance to 310 households countywide,
including 76 single parents, 30 seniors, 117 who are disabled, and 65 transition age youth. 5CHC helped 65 households
obtain housing and an additional 51 households avoid homelessness. 5CHC also provided basic needs assistance to 737
(utilities, relocation costs, gasoline, bus passes, auto repairs, clothing, employment readiness, detoxlsober living, emergency
food, rental and application fees) and offered an emergency shelter on cold and rainy nights through the winter.
11. Please describe the services your organization PROPOSES to provide (regardless of funding source).
5Cities Homeless Coalition proposes to continue to provide these same wrap-around services , with the addition of a non -
congregate emergency shelter that is currently being developed on the County's health services campus in Grover Beach.
5CHC's will continue services for Street Outreach; Emergency Shelter (warming center and non -congregate emergency
shelter); Coordinated Entry; Immediate Needs Assistance; Housing Navigation and Stabilization (including homeless
prevention); Transition Age Youth Targeted Services; Financial Literacy Training; Benefits Acquisition; HMIS data
management; and referral services to other appropriate community resources.
Information & Referral 1 Coordinated Entry:
Assistance begins with general information and referral to community services coupled with a comprehensive assessment of
needs, identification of barriers and development of an immediate action plan. Access to computer, internet, phone, mailing
address, food, clothing and hygiene supplies.
Rapid Re -Housing and Homeless Prevention Program:
Case management and financial assistance for deposit, rent and immediate needs for those who are homeless or facing
homelessness. Services provided Countywide. Partnership with Good Samaritan includes Veteran Services.
Immediate Needs:
5CHC assists homeless and low-income families and individuals in South County with limited funds to address their
immediate needs and move them to self—sufficiency. Examples of assistance are utilitiesgasoline, bus voucher, auto
repairs, clothing, employment readiness, detoxlsober living, basic needs, emergency food etc.
Benefits Advocacy:
5CHC clients are offered additional guidance and advocacy for obtaining and retaining public benefits, including SSI, SSRI,
Medicare, along with financial literacy and budgeting training.
Outreach
5CHC Street Outreach team works with those living on the street and in camps throughout southern San Luis Obispo County
to connect them to services and resources including food, transportation, public benefits, identification and family relocation.
Additionally working to improve discharge planning with Arroyo Grande Community Hospital, and County Jail, the program
serves those who are patients or inmates who are homeless by working to develop a post -release discharge plan.
Homeless Youth:
Outreach and case management targeting homeless youth age 16-24, providing support for immediate needs, education and
job development, and housing assistance. 5CHC has master -leased several housing units, and is initiating a housing support
Host Home program. It is anticipated that new housing units targeted to TAY will come online during this grant, in partnership
with People's Self -Help Housing.
Emergency Shelter: 5CHC will continue to offer an emergency winter warming center for drop in shelter needs and will provide
a non -congregate shelter including intensive case management targeted at securing housing for those who are chronically
home
12. How does the project complement and collaborate with existing efforts? Does your organization partner with
other organizations?
5CHC engages with a broad spectrum of community partners to assist those needing assistance. In particular 5CHC, ECHO
and CAPSLO have, as part of the coordinated entry system, worked to geographically distribute responsibilities in order to
provide enhanced services without duplication. These agencies have been meeting regularly to coordinate outreach activities
countywide, and have recently been joined by Salvation Army. T -MHA (in partnership with Pubic Health) has also begun
working with our outreach teams as we begin planning for COVID-19 vaccinations in the field.
5CHC is currently working in partnership with tate City of Grover Beach and Integrated Waste Management to provide trash
bags and regular dumpster service at one key camp in order to minimize trash and improve hygiene. 5CHC is also expanding
its partnership with SLO Bangers to provide sharps containers, clean-up and wound care supplies to those living in camps in
South County These are just a few examples of how 5CHC seeks out partners in addressing the needs of those chronically
homeless in South County.
5CHC also works closely with grass-roots services providers and the faith community in South County. 5CHC staff regularly
connect with Arroyo Grande Community Hospital, Community Health Centers of the Central Coast, Lucia Mar Unified School
District Families In Transition Program; SAFE System of Care, Family Resource Centers, County Drug and Alcohol, County
Jail, Dept. of Social Services, State Rangers, Law Enforcement, City Government, business and other community
stakeholders,
As mentioned earlier, 5CHC endeavors to be a collaborative and strategic partner in service delivery and development
throughout San Luis Obispo County. The agency dedicates substantial staffing resources to participation in HSOC and the
evaluation and refinement of the area's services, from piloting new initiatives to evaluation and review of client outcomes.
Know for being "nimble," 5CHC has often times sought to pilot new services in the County such as its Youth Program and
impending Non -Congregate Shelter Program. That said, when asked, 5CHC has also shared its expertise or offered to partner
with others. Most recently 5CHC joined with Lumina Alliance in an effort to expand DV services in South County; has been
asked to provide Housing Navigation training to Salvation Army staff; and worked to identify potential board volunteers and
provide mentorship to Shower The People.
13. If the proposed project will serve homeless households, please describe how the project will coordinates with
other homeless service providers to connect homeless individuals and families to resources.
If this question is not applicable, write NIA in the box below.
In 2016, CAPSLO, 5Cities Homeless Coalition (5CHC) and EI Camino Homeless Organization (ECHO) partnered together to
develop a Coordinated Entry System (CES) to provide screening, diversion, and case management services to homeless
individuals and families throughout the county. Together with county staff, the partners developed an integrated system that
avoids duplication of services and streamlines access to the most appropriate service providers to meet client needs.
Through the CES, each agency covers a different region of the county. 5CHC operates in South County and coastal areas
south of Avila. This program provides a foundation for prioritizing services for those who are unsheltered, have experienced
homelessness the longest amount of time, and who have multiple and severe services needs that inhibit their ability to quickly
identify and secure housing on their own. Individuals at risk of homelessness can also find resources to assist them in
stabilizing their situation in order to remain in their housing.
5CHC's case managers regularly participate in county -wide case management meetings to assess client needs, review the
County's service priority list. 5CHC participates in the SAFE system of care targeting children and youth and their families. As
mentioned previously we are regularly meeting with clients in the Jail, and participate in the Jail to Community case plan
meetings.
Recently a family of 14 adults and 24 children (from seven households) arrived in SLD County, fleeing targeted extreme
violence in Mexico. 5CHC is working with more than 20 agencies, and government service providers to coordinate needed
services for these families, including mental health, physical health, education, employment, legal services and more. 5CHC's
role is in assisting with housing navigation services and providing financial assistance for immediate needs not covered by
other services - for example telephone and email for each household.
14. Please describe your organization's capacity to implement the proposed project. Who will be involved? List
projects of similar size and type that your organization has completed.
5CHC has been provding these same services for several years. As mentioned in 2015 5CHC joined the Coordinated Entry
collaborative with CAPSLO and ECHO. 5CHC has been the lead Rapid Re -Housing and Homeless Prevention provider in the
County since 2017, providing these housing services countywide. Since 2015 the agency has operated a Winter Warming
Center. In 2019 the agency initiated a targeted Youth program; and expanded its Street Outreach Efforts.
5CHC staff include those with lived experience homeless. 5CHC staff include 6 who are bilinguallbicultural speaking both
English and Spanish; additionally the agency has access to support those who are mono -lingual Mixteco. 5CHC staff have
extensive training and relationships with those in the LBTGQ community
At present the agency is managing more than 50 grants for services similar to those requested here, from federal, state, local
government, and private business. Of these current grants many are targeted to respond to the impacts of COVID, which will
conclude within three months of the beginning of this grant period.
Current grants include:
• Emergency Solutions Grants, annual and CV restricted
• Community Development Block Grants - Urban County and Grover Beach, annual and CV restricted
• County of San Luis Obispo General Fund
• County of San Luis Obispo CBO/Preventative Health
• Continuum of Care - Coordinated Entry services
• CESH — Coordinated Entry, Homeless Outreach Service
Several additional contracts are pending including HHAP 1.
5CHC employs a dedicated HMIS Data Manager to ensure quality compliance and track client outcomes. This position is
supported with three finance employees, including one charged with Grants Management for accountability of expenses and
fulfillment of grant commitments. The agency's Associate Director is responsible for authorizing all funding requests and
reporting on program outcomes. With each program (Street Outreach, Shelter, Coordinated Entry, Housing Navigation) staff
are dedicated to client outreach, engagement, and case management, with program supervision and oversight. The agency's
Executive Director is directly engaged in initial program development, and efforts to address services on a regional basis.
15. Briefly describe your agency's record keeping system with relevance to the proposed project.
Refer to Chapter 13 of 'Basically CDBG" in the Library for more information on record keeping for CDBG.
Programmatically:
Clients initially are asked to complete a coordinated intake that is documented through ClientTrack. Referrals and client files
are formatted in specific order to ensure all forms are completed and accounted for, detailing client housing stability plan,
income verification, etc.
Lastly all enrolled clients are tracked through the County's Homeless Management Information System (HMIS), both at intake
and program exit.
Administratively:
All funding requests are dual tracked through the agency's financial accounting process by class and grant and a program -
based master assistance file. All expenditures for the program are verified for eligibility against program budget and HUD
requirements and CDBG regulations with appropriate back-up documentation, copies of which are maintained separately for
review and monitoring. Matching responsibilities are tracked concurrently against grant expenditures.
5CHC staff have received training in the requirements of Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards (2 CFR Part 200), Community Development Block Grants (24 CFR Part 570) and 24 CFR
16. CDBGIESG ONLY - Will the services offered by }your organization increase or expand as a result of CDBGIESG
assistance ?
-answer rot of -es erited becatise :;f rh!:.ans�vei"t:7 !-'f-
17. CD8GIESG ONLY - IF YES TO ABOVE - What new programs or services will be provided?
,nsvi,Pi im, ur'esen,'ed heca,iis:: of t L'i aosv.et eo ..-.
18. CDBGIESG ONLY - IF YES TO QUESTION 16 - IDas crib o how existing programs or services vii II b expai,.0 _:
what percentage of an increase is eY..pected:
19. Please describe the proposed project in detail (i.e. What activities are to be undertaken? What are the
projects' goals?).
Please attach a timeline of the project milestones under the Documents tab.
Working through a model of progressive engagement, 5CHC services will be offered to "meet the client where they're at' and
assist them to develop and execute a plan to housing stability.
Street Outreach - Daily outreach throughout South County, with special focus on known encampments, and coordination with
local law enforcement and rangers.
Coordinated Entry - dally intake and assessment, estimated 1 hr per assessment
Diversion - Reunification - helping people avoid homelessness or divert from use of SLO County resources by providing re-
unification services and transportation
Immediate Needs - Providing assistance as needed for one-time support for immediate needs - especially targeted to
homeless prevention and immediate needs to facilitate housing search and employment.
Housing Navigation & Case Management - On-going case management and housing search support for income -qualified
clients (homeless prevention) and those experiencing homelessness.
Non -Congregate Shelter - schedule to open in early 2022 providing wrap-around intensive services (shelter, food, basic needs,
benefits acquisition, housing search, and supportive services) for up to 40 residents in 90-180 program. Funding secured
through Sept. 2022.
Warming Center - drop in shelter on cold and rainy nights Nov 22 -March 23.
Client Training (i.e. Financial Literacy) - on-going part of case management for all interested clients.
HIM IS - daily capturing of client touchpoints and demographic from intake to exit.
Grants Management - on-going management of expenditure documentation and reporting.
Project Details
20. Please estimate the number of unduplicated persons or households to benefit from the proposed project. Write
"p" for persons or "hh" for households.
Please refer to the Library for HUD Income Limits and information on CDBG Presumed LowlMod Income populations. Please
enter any presumed benefit persons as low-income.
400 p TOTAL number of persons (p) or households (hh) regardless of income
o Of the total number of persons (p) or households (hh) entered above, how many will be LOW-INCOME
learning 51% - 80% or less of the County median-income}(HUD funding only)
400 Of the total number of persons (p) or households (hh) entered above, how many will be VERY LOW-
INCOME (earning 50% or less of the County median-income){HUD funding only)
Of the total number of persons (p) or households (hh) entered above, how many will be earning E0% or
less of County median-income(PLHA only)
TOTAL
21. CDBt, ; , ii;Y �;r'aject st_ •- es any of the pre.: uined benefit populations under the LowlModerate Income
national objective. please describe how the project will directly benefit the populations identified.
riot pr'ese;ited bercii[ se of lilt' at S5 1fer to 81-
22. ESG ONLY - FOR EMERGENCY SHELTER ONLY: Please identify the following projected accomplishments and
portion of funding requested to go towards each service type for the 12 -month contract period.
-Iris 18r r+Or IJr25c ;?DC7 beCa++SB Oi li7e answer to 01
-
23, ESG ONLY - FOR STREET OUTREACH ONLY: Please identify the following projected accornpfishments and
portion of funding requested to go towards each service type for the 12 -month contract period.
-:m;r., er trot presaii[rd becarrs , of rite answei to # ; -
of 1und'!r1,; req uez,.:.,. ...
;or ;,,reseWe 1., --cause of .w5 answo;'!c „
25. ESG ONLY - FOR HOMELESSNESS PREVENTION ONLY: Please id--antify thc. iolioving pE,
accomplishmentsw.d portion of funding requested [o go towards ea, - Ii service .•;t>! Dr the
peril od.
•-r 115 .vel ;Iot InI eseniu I!Sc of live -_`il isU el, /o ff'•..
26, ESG ONLY - FOR FIPA18 ONLY: Please Wei.
for the I2 -month cort!'r.c1. puriodr
-a!'s-,)oi' f?OF Dres !]?-?rJi�i�= of tha ai7S':1.6;r ro
'1 . GEM ----RA W t:11C1' f 5�1�.. r?'.fC r''�_,.s .
90,
_�.. �:', ..'�• fit ii f71�r: `..:, lr"•.. ..... rii�. .. ... .�f l �. ..
29. Identify the projected target population(s) your proposed project and activities will serve (including age, race,
residency, handicap status, income level or other unit characteristics or subgroup information) and how those
populations will benefit
5CHC's programs are targeted to individuals and families who "without" these programs will become or will remain homeless.
These programs target area residents with the most urgent and severe needs including Families with Children; Chronically
Homeless; Veterans; Unaccompanied Youth; Victims of Domestic Violence.
Following local coordinated entry protocols, we seek to identify and serve people who:
• Are unsheltered and living in places not designed for human habitation;
• Have experienced the longest amount of time homeless;
• Have multiple and severe service needs that inhibit their ability to secure housing on their own; and
• Through homelessness prevention activities, are at greatest risk of becoming literally homeless without an intervention and
are at greatest risk of experiencing a longer time in shelter or on the street should they become homeless.
5CHC's Coordinated Entry and Street Outreach services will be targeted to those experiencing homelessness or at -risk of
homelessness living in South County, unless requested by other service partners - for example, due to COVID some partners
were required to shut their facilities and 5CHC was asked to assist with added coordinated entries.
All other services will be provided County -wide, or be open to anyone living in the County (shelter services) and will meet the
demographic breakdown of the County (including age, race, residency, handicap status, income level). All financial services
provided through this grant will be provided based on income verification and homeless status as required. Utilizing the
attached Coordinated Intake Form, applicants are asked to self -disclose their demographic data, including race and ethnicity.
Additionally 5CHC's website, facebook page, and outreach materials all provide logos for Fair Housing and Accessibility and
are provided in both English and Spanish. 5CHC has added a translation tab to its website, and is working to expand bilingual
communications through social media.
30. Has environmental review been completed (CEQA andlor NEPA)?
I— Yes - CEQA review completed
F- No - CEQA review not completed
✓ NIA - CEQA not required
F- Yes - NEPA review completed
' No - NEPA review not completed
✓ N/A - NEPA not required
31. Please answer yes or no to the following:
/f applicable, please upload a copy of the Phase 1 or 11 environmental assessment under the Documents tab.
n/a Has a Phase I or Phase II environmental assessment been conducted for the property?
n/a List and describe any known hazards (e.g. asbestos, storage tanks — underground, aboveground)
n/a Is the project on a property designated or been determined to be potentially eligible for designation as a
local, state, or national historic site?
n/a Are the building(s)Istructure(s) located on a Historic Site or within a Historic District?
n/a Is the project located within a 100 -year flood plain?
n/a IF YES TO ABOVE• does your agency have flood insurance?
n/a Will there be demolition required?
TOTAL
32. Identify all permits necessary for the project (local, state or federal).
nla
33. State whether or not the necessary permits have been issued. If a permit has not yet been issued, indicate
when the permit(s) will be applied for or issued.
Please provide proof of permit issuance under the Documents tab.
rola
34. Briefly describe your agency's auditing requirements, including those for the proposed project.
Please upload a copy of your most recent audit under the Documents tab.
5CHC engages an independent auditor annually to review the financial records of the organization. The last one completed,
attached, represents calendar year ending Dec. 31, 2020. The level of federal grants currently administered by 5CHC does not
require a "single audit;' however 5CHC has engaged an auditor to conduct such an audit for 2021, due to an increase in
federal assistance in our current fiscal year.
Financial
35. How do you plan to fund the operation and maintenance costs (if any) associated with this project? Are these
funds available now? If not, when will they be available?
General maintenance and occupancy expenses are funded through other grants and direct donations. 5CHC's does not carry
a debt for its Housing Navigation Center located at 100 S. 4th Street. Funding for the location of the 5CHC winter warming
center is anticipated to be partially funded through a grant that has been awarded with the City of Grover Beach (GB- CDBG)
and partially through this application. The location of the Nan -Congregate Shelter Program at 216 16th Street is expected to
be leased to 5CHC by the County at no cost. Funds for the operation of the shelter program has been partially secured
through September 2022. Additional funds will be needed for continued operation, and 5CHC is working to solicit support
through other grants (HHAP 2; HOME -ARP, ARPA and private donations).
36. Do you have any grant funds remaining from prior Fiscal Year allocations?
✓ Yes
F— No
37. IF YES TO ABOVE, please answer the following:
If this question is not applicable, write NIA in the boxes below.
2021-22 What fiscal year(s) did you receive the funding?
ESG/CDBG/G What project did you receive the funding for?
$109,013 How much is remaining?
-- TOTAL
38, CDBG ONLY - identify al jurisdictions y Du are applying to for CDBG funds by indicating the arnount appiied for
at each jurisdiction.
-ansvi!eF nnr preserNed ber:a!rse of lrho to 41-
39. GENERAL FUND ONLY - Please indicate the estimated portion of Funding to go towards the following activitles--
-arrsi:er «ot presented 0erause of file a nslever to 01-
40. HOME Only - TBRA Only - Please indicate the amounts to be spent for rental assistance, deposit assistance; and
project administration?
ansvver rro! pfesented because of the ans�i,er to 141-
Budget
Funding Sources/Revenues Committed Conditional
CDBG Funding (this request)
ESG Funding (this request)
General Funds (this request)
ESG-CV Funding (this request)
HOME Funds (this request):
PLHA Funds (this request):
Local/County (non-federal)(please specify): State ESG 22-23,
$100,000, CoC Coordinated Entry $54,000, CESH 22-23 $91,000, $ 100,000.00 $ 175,000.00
CBO $30,000
Local/City (non-federal)(please specify):
In-kind (Private Contributions, Office Space) $ 150,000.00 $ 135,000.00
Other (please specify): GB CDBG Warming Center 22-23 - $50,000.00
$50,000, Serving GB Residents at Warming Center
Proposed
$ 89,000.00
$ 65,000.00
$ 75,000.00
Total $ $ $
300,000.00 310,000.00 229,000.00
Funding Uses/Expenses
Personnel Costs
Operating Costs
Professional Services
Capital Outlay
Permits, Development Fees
Legal and Public Notices
Other (please specify):
CDBG Subsistence Rent 05Q
CDBG Deposit 05T
ESG Housing Stabilization (Deposits)
ESG Rent
Total
CDBG ESG & ESG- GeneralHOMEPLHA
CV Fund
$ 28,000.00 $ 35,000.00 $ 55,000.00
$ 20,000.00
$ 36,000.00
$ 25,000.00
$ 20,000.00
$ 10,000.00
$ 89,000.00 $ 65,000.00$ 75,000.00 $ $
0.00 0.00
Budget Narrative
CDBG:
Rental Assistance at $3,600 Avg/Household = $36,000
Deposits Assistance at $2,500 Avg/Household =$25,000
Client Intake Assessment $1 001H ousehold � $2,000 Case Manager @$271hr x 35 hours/Household � $19,000
Primary Activity Delivery Cost (Grant Management Specialists) $23.50/hr X 298 Hours = $7,000
ESG:
Short and long-term rental assistance (avg $2,600/hh)
Case Manager, HMIS & Grant Admin @$27/hr x 85 hours/Household = $35,000
Deposits $2,250 per HH Avg.
General Fund:
Operating Costs - Maintenance, Utilities of Warming center, Insurance, Facility Rental
Personnel Costs - .5 FTE Benefit Advocate, .1 FTE supervision, .25 FTE Coordinated Entry, .15 HMIS, .2 FTE Outreach
Tables
ESG Matching Funds
Sources
County CBD
Amount
$ 10,000
Local Cities {G8, P8,
Private Donations
Total
$ 25,000
$ 65,000
Documents
Dacuments Requested
Incorporation Documents [if applicable]
Timeline of Project Milestones
Proof of Permit Issuance (if applicable)
Map of Multiple Project Locations (if applicable)
Most Recent Audit
Commitment Letters for funds (if available)
Timeline of Expenditures
Required? Attached Documents
Article of Incorporation
✓ Timeline and Milestones
✓ SCHC ALICllt 2020
✓ ^xoenditure Timeline
' ZoomGrantsTM is not responsible for the content of uploaded documents.
Application ID: 375816
88"Me a • on Fa"hook
Prohlerns? COrildct u5 al . -
'MON-2021 Gran[Analysl-corn. All nghts reserved.
"ZvvmGranls' and the ZoonwGranls logo are trademarks of GrantAnalysl-c m, LLC.
Email This Preview Save as POF Prilit Close Windom AA �
Powered by Zoom Grants 111
County of San Luis Obispo
2022 Public Services and Economic Development (CDBG, ESG, HOME, General Fund, PLHA)
Deadline: 11/1/2021
People's Self -Help Housing Corporation
Supportive Housing Services to Residents in Danger of Homelessness
Jump to: Eligibility Apolicalion QLleS6011S Budget Tables Docunients
$ 149,821.00 Requested
Submitted: 10/29/2021 12:08:16 PM (Pacific)
Project Contact
Forrest Eastham
airantstspshhc.ora
Tel: 8055482345
Additional Contacts
adrianas@pshhc.org
Eligibility tol)
People's Self -Help Housing
Corporation
1060 Kendall Road
San Luis Obispo, CA 93401
United States
CEO & President
Kenneth Trigueiro
Ce0LQr 1DSlIhC.01G
Telephone{805} 781-3088
Fax (805) 544-1901
Web www.pshhc.org
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#1.
1. Please identify all funding sources being requested:
This question will be used to branch only those questions related to the funding sources requested in this application, so
don't worry if your application has skipped question numbers.
✓ CDBG only
ESG only
ESG-CV only
F- HOME only
F_ General Funds only
r PLHA only
Select this for any combination of grant funding requests(CDBG, ESG/ESG-CV, HOME, PLHA, and General Funds)
National Objectives
2. CDBG ONLY - Please select the national objective that best applies to the proposed project
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities" in the Library for more
information regarding CDBG national objectives.
✓ Low/Moderate Income
F- Slums or Blight
I Urgent Need
3. CDBG ONLY - IF LOWIMODERATE INCOME WAS SELECTED. Select which criteria the proposed project intends
to qualify under to meet the Low/Moderate Income objective
Please refer to Basically CDBG" or the "CDBG Guide to National Objectives and Eligible Activities"in the Library for more
information regarding the LowlModerate Income national objective.
i Area Benefit
✓ Clientele
I Housing
I Jobs
I NIA - Low/Moderate Income NOT selected
4. CDBG ONLY - IF SLUM OR BLIGHT WAS SELECTED: Select which criteria the proposed project intends to qualify
under to meet the Slums or Blight objective
Please refer to 'Basically CDBG "or the "CDBG Guide to National Objectives and Eligible Activities " in the Library tab for
information regarding the Slums or Blight national objective.
Area Basis
F Spot Basis
✓ NIA - Slums or Blight NOT selected
5. CDBG ONLY - Please explain how the proposed project meets the selected National Objective.
Please refer to 'Basically CDBG"or the "CDBG Guide to National Objectives and Eligible Activities" in the Library tab.
This project qualifies as a low/moderate income limited clientele activity. Among program clientele, 96% are low/moderate
income persons from low/moderate income households, and all are residents at PSHH's affordable, supportive rental
properties throughout San Luis Obispo County. The rate of low/moderate income persons served is well above the 51%
threshold established in the "CDBG Guide to National Objectives and Eligible Activities."
Beneficiary Documentation
8. How will you document and maintain income status or presumed benefit status for CDBG?
Please provide a sample of your Client Intake Form under the Documents Requested section below. Income verification for
CDBG beneficiaries must be provided in accordance with 24 CFR Part 5; a link is provided in the Library.
Receiving HUD and USDA funds to build housing for low-income households, PSHH collects and verifies information on family
size, income, disability, and senior status in accordance with federal HUD and USDA regulations as part of a household's
application process prior to move in at a PSHH property. Once residing at a PSHH rental property, every household's income
and size is recertified annually. PSHH retains data on the size and annual income of all families and households living at our
properties, including those receiving services through Supportive Housing Program (SHP), for which grant funding is sought. In
most cases, household income may not exceed 50% of the Area Median Income {AMI} at move -in. Household size, income,
disability, and senior status information is stored in PSHH's resident database, which is easily cross referenced with the
client database maintained by the Supportive Housing Program, the program for which funds are sought.
5. How will you collect demographic data on the beneficiaries of the proposed project (i.e. raciallethnic
characteristics)? (General Fund requests are exempt from this requirement)
Please provide a sample of your Client Intake Form under the Documents Requested section below. To qualify for an award
of Fenderal and State funds, the agency must collect race and ethnicity information from all clients.
Race and ethnicity data is reported by residents during the tenant application process and is stored in PSHH's resident
database, in accordance with HUD and USDA regulations. Application forms for potential residents of rental properties as well
as the intake form for new SHP clients are attached,
Eligible Activities
10. CABG ONLY - Identify all eligible activities that apply to the proposed project
Please refer to Basically CDBG" or the "CABG Guide to National Objectives and Eligible Activities"in the Library fab for
information regarding CABG eligible activities.
I" Public Services (General)
F_ Operating Costs of Homeless/AIDS patients programs
✓ Senior Services
✓ Handicapped Services
Legal Services
✓ Youth Services
✓ Transportation Services
✓ Substance Abuse Services
✓ Services for Battered and Abused Spouses
Crime Awareness or Neighborhood Cleanups
Fair Housing Activities
✓
Tenant/Landlord/Housing Counseling
F_ Child Care Services
✓ Health Services
Services for Abused and Neglected Children
✓ Mental Health Services
✓ Subsistence Payments, Homeless Assistance, Rental Housing Subsidies or Security Deposits
✓ Job training and job placement services
I Assistance to microenterprises {technical assistance, business support services, and other similar services to owners
of microenterprises or persons developing microenterprises}
-CV ONILY - identif}f ail eFolbki
;tai! y - The. i s ! iirir� L?aC 1;Li IL' _ ..
--1rISm:e r„oi jilos;;a[6?!:'
:5- PL.HA ONI.-Y Ide.,tily ail eligible activities that appy o ule pra,)osed 1)r^;:c.t
Orr•: ;:. _.....•;ad because of ii7P..-
Documents Requested *
Client Intake Form(s) for Limited Clientele (if
applicable)
Map for Area Benefit (i€ applicable)
CDBG Requirements and Acknowledgements
(Please download the template below and upload an
initialed document here)
download temolate
General Liability Insurance
Application Questions top
Required? Attached Documents `
!=YE23 SI -IP new client intake. form
1YE23 Tenant Application
P HH FYE23 Subrecipient Agreement
FYE23 PSNH SLO Cc Insurance
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#1.
1. Please identify the funding sources being requested:
This question will be used to branch only those questions related to the funding sources requested in this application - so
don't worry if your application has skipped question numbers.
✓ CDBG only
ESG only
HOME only
General Funds only
PLHA only
Select this for any combination of grant funding requests (CDBG, ESG, HOME, General Funds, PLHA)
Project Summary
2. Project Address(es):
If the proposed project has multiple addresses, please upload a map of the specific locations under the Documents tab
Arroyo Grande:
163 S Elm St.
351 S Elm St.
119 Juniper St.
150 S Courtland St.
Atascadero:
7480 Santa Ysabel
Avila Beach:
240 Ocean Oaks Ln,
Cambria:
2835 Schoolhouse Ln.
Los Osos:
1251 Los Olivos Ave
1351 Los OIivos Ave
Morro Bay:
2612 Elm St.
495 Main St.
456 Elena St.
375 Sequoia St.
Oceano:
1269 Belridge St
1720 17th St,
Paso Robles:
400 Oak Hill Rd.
401 Oak Hill Rd,
1255 Creston Rd.
2940 Spring St.
Pismo Beach:
360 Park Ave.
211 to 251 Addie St.
San Luis Obispo:
537 Brizzolara St.
3071 S Higuera St.
Templeton:
999 Las Tablas Rd. (Rolling Hills 1)
999 Las Tablas Road (Rolling Hills 11)
1009 Petersen Ranch Rd.
3. Jurisdiction(s)IArea s) 5em
Select all that apply
✓
Arroyo Grande
✓
Atascadero
✓
Morro Bay
✓
Paso Robles
✓
Pismo Beach
✓
City of San Luis Obispo
✓
County of San Luis Obispo
4. Brief Project description:
You will have the chance to expand an your project description further in the application. Please upload any maps, photos,
drawings orplans under the Documents tab
PSHH will provide clinical social services and case management of the Supportive Housing Program (SHP) to residents of
PSHH's 26 affordable rental properties in San Luis Obispo County. The vast majority of households are classified as very -low-
income, earning 50% or less AMI. Services are being held virtually and onsite at the properties where residents live, weekdays
between 9 am and 6 pm. Services are free, confidential, and always optional, and are provided by licensed and associate
clinical social workers (LCSWs and ACSWs) with a master's degree in counseling or social services. Services prevent
homelessness among some of the region's most vulnerable residents while enhancing housing stability and resiliency.
5. Please answer the following:
Please write NIA for any questions that are not applicable.
149,821 CDBG funding requested
ESG funding requested
HOME funding requested
General Funds requested
PLHA funding requested "
SUBTOTAL
Anticipated start date
Anticipated end date
TOTAL
6. Type of agency:
✓
501(c)(3)
I—
For Profit
I—
Gov't/Public
I—
Other:
Agency Details, Capacity, and Experience
7. Is the organization faith -based?
F_
✓ No
8. Please answer the following:
If this is your first time applying to the County for funds, please upload your organizations' incorporation documents in the
Documents tab.
1971 Date of incorporation
10,029,919 Annual operating budget
.. ............ -------------
202 Number of paid staff
53 Number of volunteers
TOTAL
9. Agency Mission Statement:
The mission of People's Self -Help Housing is to build affordable homes with site -base services that offer opportunities to
change lives and strengthen communities on the Central Coast of California.
10. Please describe the services your organization is CURRENTLY providing (regardless of funding source).
The Central Coast's longest -serving nonprofit affordable housing developer, PSHH builds, owns, rents and manages sliding
scale, affordable, permanent supportive housing throughout San Luis Obispo, Santa Barbara, and Ventura counties. A natural
extension of our mission to create opportunities and change the lives of the residents we serve, each of the 53 affordable
housing properties we compassionately maintain is enriched with onsite supportive health, education, and housing retention
services designed to promote long-term resiliency.
Primarily serving low-income families, veterans, seniors, persons living with disabilities, farmworkers, and those transitioning
out of homelessness, PSHH has, to date, assisted over 1,200 households in becoming first-time homeowners through its
"sweat equity" path to homeownership program, in which low-income families build their own homes over an 18 -month period.
In addition to its onsite education program, Camino Scholars, which advances equity in education for under -resourced and
low-income students, and its attentive onsite property management division, PSHH's Supportive Housing Program (SHP)
provides clinical case management and social services onsite where residents live. As with all services PSHH provides, these
are provided at no cost to residents, and without restriction or barrier.
Through SHP, the program for which funding is being requested, residents gain access to PSHH's staff of ten onsite licensed
clinical social workers and case managers, who provide service coordination to connect residents to a broad network of
organizational and community resources. Services provided include: preventive health screenings, mobile vaccination clinics,
behavioral health counseling and referrals, food assistance, wellness checks for seniors and housebound residents, medical
transportation, eviction prevention, financial literacy coaching, and administrative assistance, such as securing disability
accommodations, medical insurance, or adaptive technology support. SHP also helps residents experiencing temporary
challenges in accessing emergency rental, utility, and critical transportation assistance when no other resources are
available.
PSHH social workers work with residents of PSHH's 26 San Luis Obispo County properties at intake to complete a needs
assessment and co -develop ongoing case management plans to establish and maintain household stability. Most program
staff are bilingual and all are trained in trauma -informed care frameworks. Services are inclusive, culturally relevant, and
tailored to meet individual needs. PSHH works directly with each household from the outset to identify unique challenges
faced, developing comprehensive services and crisis intervention strategies designed to prevent common threats to household
security. Clinical staff establish contact early in the timeline, helping secure resources and intervening wherever families are
experiencing temporary difficulties.
11. Please describe the services your organization PROPOSES to provide (regardless of funding source).
PSHH will provide clinical social services and case management through the San Luis Obispo County SHP, developing
personalized wraparound services for those living at PSHH's 26 affordable, sliding -scale rental properties in the County.
Households are certified as very -low-income at time of move -in, which typically means they earn 50% or less of Area Median
Income. Most services are provided weekdays between 9 am and 6 pm, and always by a licensed or associate clinical social
worker.
Services are provided in English and Spanish to any of the 733 households and 1,656 individuals in residence at PSHH
properties in the County. SHP services are free, confidential, completely optional, and available to all PSHH residents.
Residents are never placed on a waiting list, and are provided immediate assistance to ensure that those at risk of
homelessness remain stably housed. Social workers provide free and confidential assistance with coordinating medical
appointments and mobility, linking residents to community resources, enhancing budgeting skills, assisting with job
placement and retention, providing crisis intervention, addressing mental health issues, accessing emergency financial
assistance for basic needs, and more. SHP helps residents maintain critical transportation, enhance financial and family
stability, and access PSHH's resident emergency assistance fund when no other resources are available. Social workers
maintain records of all client services, outcomes, and resources utilized in the HIPPA-compliant SHP client database.
SHP staff is certified in trauma -informed care, a treatment framework that allows providers to understand, recognize, and
respond to the effects of all types of trauma while emphasizing physical, psychological and emotional safety for both patients
and providers. These practices assist survivors in rebuilding control and empowerment. After 18 months of living under the
effects of the pandemic, residents' need for our behavioral health support services is at an all-time high, and the scope of our
social workers' role has broadened vastly in response.
Municipalities:
• 70 of 98 households in Arroyo Grande, including all 28 households at properties for seniors & disabled
• 18 of 18 households in Atascadero
• 99 of 99 households in Morro Bay, including all 61 households at properties for seniors & disabled
• 133 of 197 households in Paso Robles, including all 69 households at properties for seniors & disabled
• 20 of 26 households in Pismo Beach
• 33 of 33 households in San Luis Obispo
• 83 of 104 households in Los Osos
• 19 of 28 households in Oceano
• 29 of 29 households in Avila Beach
• 10 of 24 households in Cambria
• 95 of 112 in Templeton, including all 29 households at properties for seniors & disabled
• 236 of 297 total households in unincorporated SLO County.
12. How does the project complement and collaborate with existing efforts? Does your organization partner with
other organizations?
SHP complements and collaborates with existing efforts by connecting PSHH residents with community partnerships and
programs that augment onsite services and promote health and housing stability. We continually strive to forge new
partnerships and deepen existing relationships with public agencies, such as SLO County Public Health, the Department of
Social Services, and the Housing Authority of SLO. Our clinical case managers and social workers routinely coordinate
appointments for our residents, assist them with intake processes, and accompany them at appointments as necessary,
providing mediation, language support, and service navigation assistance to ensure more equitable and seamless service
provision. SHP staff remain apprised of emerging regulations, updates to income restrictions, and eligibility requirements at
these public agencies. Our program also complements DHHS services by helping PSHH residents anticipate and mitigate
challenges before they occur, thereby reducing staff time and program resources invested by DHHS.
An integral component of our service provision is establishing partnerships with a diverse range of public and private agencies
to ensure that residents have access to a range of community resources that improve their health, safety, and resiliency.
Within San Luis Obispo County, some of the agencies we work with include:
• 5 Cities Homeless Coalition for rental and deposit assistance
• SLO County public health for mobile vaccination clinics
• Cuesta Community College for English as a Second Language classes
• Housing Authority of the City of San Luis Obispo for Housing Choice Vouchers and Rental and Security Deposit Assistance
• The Department of Housing and Urban Development's Veterans Affairs Supportive Housing for vouchers for homeless
veterans, who in turn are prioritized on our waiting lists and receive a waived background check fee
• Noor Clinic SLO for senior dental care and preventive health screenings
• SLO County Social Service Administration enhancing access to benefits such as Cal Fresh, Cash Assistance and In -Home
Supportive Services
• SLO Food Bank and the Salvation Army for food distribution
• Catholic Charities for emergency assistance with rental and utility payments
• CAPSLO for utility assistance and the Supportive Services for Veteran Families to provide access to financial and legal
assistance and employment counseling
• SLO Safe Ride for medical transportation
• Transitions Mental Health and County Behavioral Health for behavioral health support
• Community Health Centers for resident health care
• Ride -On for senior shuttle, veterans express, and access shuttle for low-income residents
• SLO County Community Garden Network for community garden spaces at properties for seniors and those living with
disabilities
While this list provides some of the most significant examples of PSHH's cooperative relationships with outside agencies in
San Luis Obispo County, it is by no rhea
13. If the proposed project will serve homeless households, please describe how the project will coordinates with
other homeless service providers to connect homeless individuals and families to resources.
If this question is not applicable, write NIA in the box below.
In Ventura and Santa Barbara Counties, PSHH manages three permanent, supportive housing, Single Room Occupancy
properties primarily dedicated to serving those who transitioned out of homelessness upon moving into a PSHH home, where
residents have access to SHP services. Residents of these three properties have an exceptional rate of moving on to other
stable housing, which led to PSHH's decision, in alignment with a focus of its 5 -year strategic plan, to dedicate 10% of units
at all new properties we develop to housing those who are transitioning out of homelessness.
Today, 14% of households who live at PSHH properties transitioned out of homelessness upon moving into a PSHH home.
While this transition to permanent supportive housing means that our residents are no longer served by homelessness service
providers, we recognize that that the unique needs and challenges faced by this population means these households tend to
require a higher level of service and assistance to prevent recidivism. We draw on nearly 20 years of providing SHP services to
the recently homeless to ensure their transition is successful and permanent.
SHP administers a needs assessment to new clients and then works with residents to co -develop a case management plan
to meet their personal resiliency goals. Residents stabilize by meeting their immediate needs, such as personal care items,
food, health screenings, prescriptions, and a telephone. Next, they are assisted in obtaining resources that will sustain these,
such as employment, nutritional security, health insurance, and critical transportation. When they are ready, SHP helps
these resits with more personalized needs, such as seeking legal aid, physical and mental health care, education,
personal finance coaching, and help reconnecting with family, friends and support networks.
While SHP provides these services whenever possible, coordination with outside agencies is required to stabilize these
households and help them reach a point at which they can thrive independently. Residents are connected to local food banks,
SNAP and MediCal offices, GED testing at the California Department of Education, college counselors, medical practices
accepting new MediCal patients, legal clinics, and to many other service providers. With 98% of formerly homeless
households continuing on to other stable housing, SHP's connecting residents to these resources helps them to reach a point
where they are thriving and able to contribute to their community in ways that are personally meaningful.
14. Please describe your organization's capacity to implement the proposed project. Who will be involved? List
projects of similar size and type that your organization has completed.
SHP has been an ongoing program at PSHH for 20 years. Agency -wide 98% of SHP clients maintain stable housing for six
months after initiating program services, meeting the requirement for housing stability as established by HUD, which provides
CDBG funding. SHP is open to each of the 5,500+ resident of our 53 affordable rental properties in San Luis Obispo, Santa
Barbara and Ventura counties, ensuring that every household is given the opportunity to create a safe, healthy, and secure
home. Last year, SHP served 1,239 households, 63% of all PSNH households, across three counties through nearly 20,000
hours of service, with 676 referrals to partnering agencies. Case managers also helped distribute emergency assistance funds
to over 160 families with pressing rental and utility relief needs.
SHP is housed in the Department of Neighborhood Development and Resident Services, headed by Rick Gulino, a Licensed
Clinical Social Worker, and is staffed by two Clinical Supervisors, six Bilingual Social Workers, and two Social Workers, all
licensed or associate clinical social workers. PSHH also partners with regional universities and colleges to provide internships
to social work graduate students.
15. Briefly describe your agency's record keeping system with relevance to the proposed project.
Refer to Chapter 13 of Basically CDBG" in the Library for more information on record keeping for CDBG.
PSHH uses two databases that are relevant to the project. The first is the organization's resident database, which stores
information on every PSHH household, including household members, ages, race and ethnicity, income at move -in, and
income at the most recent recertification. This database is maintained by the Property Management Department.
The second database is the SHP program database, which is used to store case management records, and is maintained by
PSHH clinical social workers. This database includes case files and notes, which are tagged for specific services provided
during instances of service, and it is easily cross referenced with the resident database. These tags are relevant to various
outcomes, outputs, and funder reports. Examples of service tags include crisis intervention, healthcare services, food
assistance, transportation, counseling services, and legal issues.
16. CDBGIESG ONLY - Will the services offered by your organization increase or expand as a result of CDBGIESG
assistance?
✓ Yes
No
17. CDBGIESG ONLY - IF YES TO ABOVE - What new programs or services will be provided?
If this question is not applicable, write NIA in the box below.
NIA
18. CDBGIESG ONLY - IF YES TO QUESTION 16 - Describe how existing programs or services will be expanded and
what percentage of an increase is expected.
If this question is not applicable, write NIA in the box below.
During the grant period, PSHH is bringing on two ACSW interns who are completing intern hours toward becoming LCSWs.
These two interns will add an additional 30 hours per week of capacity to the program. This represents an increase in person -
hours of 22%,
19. Please describe the proposed project in detail (i.e. What activities are to be undertaken? What are the
projects' goals?).
Please attach a timeline of the project milestones under the Documents tab.
PSHH proposes the continuation of SHP services at PSHH properties throughout San Luis Obispo County. SHP will serve
approximately 500 households through over 3,500 hours of clinical social work and case management. Services are provided
in English and Spanish to any members of any of the households residing at PSHH's affordable supportive housing properties
in the County. These include:
• 98 households in Arroyo Grande, including 28 for seniors and disabled
• 18 in Atascadero
• 99 in Morro Bay, including 61 for seniors and disabled
• 197 in Paso Robles, including 69 for seniors and disabled
• 25 in Pismo Beach
• 33 in San Luis Obispo
• 104 in Los Osos
• 28 in Oceano
• 29 in Avila Beach
• 24 in Cambria
• 112 in Templeton, including 29 for seniors and disabled
Based on SHP services provided over the previous year and the expectation that low-income households will continue to
experience devastating secondary effects from the pandemic, we estimate that we will assist the following number of
households in jurisdictions throughout San Luis Obispo County:
• 52 households (114 individuals) in Arroyo Grande
• 18 households (39 individuals) in Atascadero
• 97 households (213 individuals) in Morro Bay
• 109 households (239 individuals) Paso Robles
• 13 households (28 individuals) in Pismo Beach
• 22 households (48 individuals) in the City of San Luis Obispo
• 182 households (400 individuals) in unincorporated San Luis Obispo
During the grant period, 98% of SHP clients will maintain stable housing for six months after initiating program services,
meeting the requirement for reaching housing stability as established by HUD, which provides CDBG funding.
Our approach recognizes that just providing affordable housing is not enough. It must be healthy housing which includes easy
access to transportation hubs, good paying jobs, healthy activities, and food systems, all of which support a life full of
opportunity for vulnerable populations. Our priority is to assist residents in meeting their most basic needs of food, housing,
income security, and health. To help residents achieve stability, our social workers provide free and confidential assistance
with coordinating medical appointments and mobility, linking residents to community resources, enhancing budgeting skills,
assisting with job searches, providing crisis intervention, addressing mental health issues, accessing emergency financial
assistance for basic needs, and more.
During the grant period, SHP will continue to evaluate emerging resident needs, including those stemming from the economic
impact of COVID-19 on low-income households, in order to better assist residents in addressing household challenges.
Evaluation of emerging needs not only guides SHP services, but provides insight for PSHH as a whole, guiding organizational
policy development and the establishment of new services.
Project Details
20. Please estimate the number of unduplicated persons or households to benefit from the proposed project. Write
"p" for persons or "hh" for households.
Please refer to the Library for HUD Income Limits and information on CDBG Presumed LowlMod Income populations. Please
enter any presumed benefit persons as low-income.
500 TOTAL number of persons (p) or households (hh) regardless of income
59 Of the total number of persons (p) or households (hh) entered above, how many will be LOW-INCOME
(earning 51% - 80% or less of the County median-income)(HUD funding only)
406 Of the total number of persons (p) or households (hh) entered above, how many will be VERY LOW-
INCOME (earning 50% or less of the County median-income)(HUD funding only)
Of the total number of persons (p) or households (hh) entered above, how many will be earning 60% or
less of County median-income(PLHA only)
TOTAL
21. CDBG ONLY - If the project serves any of the presumed benefit populations under the LowlModerate Income
national objective, please describe how the project will directly benefit the populations identified.
If this question is not applicable, write NIA in the box below.
PSHH's Supportive Housing Program primarily serves households classified as low- to very -low income, with residents being
certified upon move -in as earning between 50% and 80% of Area Median Income. This project will directly benefit the
aforementioned population through provision of free onsite supportive health and homelessness prevention services designed
to enhance health outcomes and foster long-term resiliency.
29. Identify the projected target population(s) your proposed project and activities will serve (including age, race,
residency, handicap status, income level or other unit characteristics or subgroup information) and how those
populations will benefit
The project and activities will serve seniors, veterans, persons living with disabilities, farmworker families, those transitioning
out of homelessness, and individuals from historically under -resourced racial and ethnic demographics, all of whom are low-
income. Within the County's geographic footprint, over 80% of our residents are Latino, 17% of heads of household are living
with a disability, I I% are veterans, 57% are female, over one-third are seniors, and 17% were previously homeless. Many of
our households are also classified as English Language Learners.
These populations will benefit from access to onsite clinical social services and preventive health care. Seniors will benefit
from services that enable them to age in place and with dignity, and will receive regular wellness checks, health screenings,
assistance with medical appointment coordination and transportation, and nutrition assistance. Veterans and those living with
disabilities will benefit from access to onsite clinical case management, assistance securing accommodations and adaptive
technology, and safe, thoughtfully -designed ADA -accessible housing which promotes dignified, independent living. Residents
making the transition out of homelessness will benefit from financial coaching, career access services, behavioral health
counseling and homelessness prevention programming. English Language Learners also benefit from culturally -relevant social
services, mediation and language support provided by social workers, and access to PSHH's Camino Scholars Education
Program, which provides free afterschool support in literacy and math to families of students residing at PSHH properties.
As the socio -emotional effects of the pandemic have deepened, and many of our residents are facing disproportionate impacts
as a result, demand for our behavioral health services has been on the incline, and addressing the pandemic's lingering
impacts on mental health will be a focus of recovery efforts.
30. Has environmental review been completed (CEQA andlor NEPA)?
Yes - CEQA review completed
No - CEQA review not completed
✓ NIA - CEQA not required
Yes - NEPA review completed
No - NEPA review not completed
NIA - NEPA not required
31. Please answer yes or no to the following:
If applicable, please upload a copy of the Phase l or Il environmental assessment under the Documents tab.
no Has a Phase I or Phase I] environmental assessment been conducted for the property?
no List and describe any known hazards (e.g. asbestos, storage tanks — underground, aboveground)
no Is the project on a property designated or been determined to be potentially eligible for designation as a
local, state, or national historic site?
no Are the build ings)lstructure(s) located on a Historic Site or within a Historic District?
no Is the project located within a 100 -year flood plain?
no IF YES TO ABOVE, does your agency have flood insurance?
no Wil[ there be demolition required?
TOTAL
32. Identify all permits necessary for the project (local, state or federal).
No permits are necessary for this project.
33. State whether or not the necessary permits have been issued. If a permit has not yet been issued, indicate
when the permit(s) will be applied for or issued.
Please provide proof of permit issuance under the Documents tab.
PSHH is required to have an independent financial audit referred to as a "Single Audit." The annual financials are audited by a
third party CPA firm according to DMB uniform practice. The independent Auditor reports annually to the Executive
Management Team and the Board's four member Audit Committee on the results of their audit. With a licensed CPA serving
as CEO and President, and as a steward of HUD, USDA, and VA funds, PSHH has built a comprehensive and robust fiscal
oversight system. The PSHH accounting manual governs the policies and procedures of our accounting department to ensure
appropriate segregation of duties and handling of the organization's accounting transactions.
34. Briefly describe your agency's auditing requirements, including those for the proposed project.
Please upload a copy of your most recent audit under the Documents tab.
PSHH is required to have an independent financial audit referred to as a "Single Audit." The annual financials are audited by a
third party CPA firm according to OMB uniform practice. The independent Auditor reports annually to the Executive
Management Team and the Board's four member Audit Committee on the results of their audit. With a licensed CPA serving
as CEO and President, and as a steward of HUD, USDA, and VA funds, PSHH has built a comprehensive and robust fiscal
oversight system. The PSHH accounting manual governs the policies and procedures of our accounting department to ensure
appropriate segregation of duties and handling of the organization's accounting transactions.
Financial
35. How do you plan to fund the operation and maintenance costs (if any) associated with this project? Are these
funds available now? If not, when will they be available?
PSHH funds our programming through various revenue streams, which include rental fees, development and construction fees,
individual donations, and grants from public and private grantors. A portion of funds from each of these categories is currently
available. The remaining funds will become available on a case-by-case basis throughout the remainder of the current fiscal
year as well as the grant period.
36. Do you have any grant funds remaining from prior Fiscal Year allocations?
F- Yes
✓ No
37. IF YES TO ABOVE, please answer the following:
If this question is not applicable, write NIA in the boxes below.
N/A. What fiscal year(s) did you receive the funding?
N/A. What project did you receive the funding for?
N/A How much is remaining?
TOTAL
38. CDBG ONLY - Identify all jurisdictions you are applying to for CDBG funds by indicating the amount applied for
at each jurisdiction.
Write NIA for jurisdictions not being applied to for CDBG funds. (Vote: Any projectlprogram being recommended less than
$8,000 total will not be funded per the Cooperation Agreement between the County and participating cities of the Urban
County.
City of Arroyo Grande
2 138 3 City ofAtascadero
34911 City of Morro Bay
10590 City of Paso Robles
8925 City of Pismo Beach
28362 City of San Luis Obispo
45650 County of San Luis Obispo
TOTAL
Budget
Funding Sources/Revenues
Committed
Conditional
Proposed
CDBG Funding (this request)
$ 0.00
$ 149,821.00
HUD
$ 0.00
$ 0.00
$ 86,257.00
NeighborWorks
$ 0.00
$ 16,071.00
City of Pismo Beach
$ 0.00
$ 5,000.00
City of San Luis Obispo
$ 0.00
$ 5,850.00
County of San Luis Obispo (PHG)
$ 0.00
$ 21,739.00
Avila Beach Community Foundation
$ 0.00
$ 2,000.00
Wells Fargo Foundation
$ 0.00
$ 7,143.00
Other Grants
$ 0.00
$ 79,948.00
Property Service and Program Revenue
$ 0.00
$ 175,390.00
Total
$ 0.00
$ 0.00
$ 549,219.00
Funding Uses/Expenses
Personnel Costs, County Unincorporated Areas
Personnel Costs, Atascadero
Personnel Costs, Morro Bay
Personnel Costs, Paso Robles
Personnel Costs, Pismo Beach
Personnel Costs, City of San Luis Obispo
Professional Services
Travel/Tralning/Meals
Office Expenses
Indirect
Depreciation
Total
CDBG ESG & ESG-CV
$ 113,623.00
$ 31,827.00
$ 92,796.00
$ 81,208.00
$ 28,273.00
$ 37,418.00
$ 1,161.00
$ 6,335.00
$ 14,495.00
$ 135,947.00
$ 6,136.00
$ 549,219.00 $ 0.00
Budget Narrative
PSHH is requesting funding exclusively for salary expenses from each jurisdiction.
UNINCORPORATED SAN LUIS OBISPO COUNTY
INCOME
NeighborWorks, $2,679
County of SLO Preventative Health Grant, $6,413
SLO Community Foundation, $1,277
Avila Beach Community Foundation, $2,000
Other grants, $13,669
Property Service Revenue, $90,595
TOTAL INCOME (less CDBG). $116,376
General Fund HOME PLHA
$ 0.00 $ 0.00 $ 0.00
EXPENSES
Program Salaries and Benefits: $113,623
Non -Salary Operating Expenses: $6,487
Indirect Costs: $40,016
Depreciation: $1,810
TOTAL EXPENSES: $162,026
COUNTY OF SAN LUIS OBISPO CDBG REQUEST: $45,650
ATASCADERO
INCOME
NeighborWorks, $2,679
County of SLO Preventative Health Grant, $1,796
SLO Community Foundation, $1,437
Other Private Grants, $9,558
Property Service Revenue, $8,532
TOTAL INCOME (less CDBG): $ 24,003
ATASCADERO
EXPENSES
Program Salaries and Benefits: $31,827
Non -Salary Operating Expenses: $1,815
Indirect Costs: $11,234
Depreciation: $507
TOTAL EXPENSES: $45,386
ATASCADERO CDBG REQUEST: $21,383
MORRO BAY
INCOME
HUD Service Coordinator Grant, $43,128
NeighborWorks, $2,679
County of SLO Preventative Health Grant, $5,238
SLO Community Foundation, $4,190
Other grants, $18,195
Property Service Revenue, $23,985
TOTAL INCOME (less CDBG): $ 97,416
MORRO BAY
EXPENSES
Program Salaries and Benefits: $92,796
Non -Salary Operating Expenses: $5,300
Indirect Costs: $32,754
Depreciation: $1,478
TOTAL EXPENSES: $132,326
MORRO BAY CDBG REQUEST: $34,911
PASO ROBLES
INCOME
HUD, $43,128
NeighborWorks, $2,679
Count of SLO Preventative Health Grant, $4,584
SLO Community Foundation, $3,667
Other grants, $13,265
Property Service Revenue, $37,890
TOTAL INCOME (less CDBG); $ 105,213
EXPENSES
Program Salaries and Benefits: $81,208
Non -Salary Operating Expenses: $4,637
Indirect Costs: $28,664
Depreciation: $1,294
TOTAL EXPENSES: $115,803
PASO ROBLES CDBG REQUEST: $10,590
PISMO BEACH
INCOME
NeighborWorks, $2,679
City of Pismo Beach, $5,000
County of SLO Preventative Health Grant, $1,596
SLO Community Foundation, $1,277
Other grants, $9,558
Property Service Revenue, $ 11,282
TOTAL INCOME (less CDBG): $ 31,392
PISMO BEACH
EXPENSES
Program Salaries and Benefits: $28,273
Non -Salary Operating Expenses: $
Indirect Costs: $9,980
Depreciation: $450
TOTAL EXPENSES: $40,317
PISMO BEACH CDBG REQUEST: $8,925
CITY OF SAN LUIS OBISPO
INCOME
NeighborWorks, $2,679
City of San Luis Obispo GIA, $5,850
County of SLO Preventative Health Grant, $2,112
SLO Community Foundation, $1,690
Wells Fargo Foundation, $1,020
Other grants, $11,654
TOTAL INCOME (less CDBG): $ 24,996
CITY OF SAN LUIS OBISPO
EXPENSES
Program Salaries and Benefits: $37,418
Non -Salary Operating Expenses: $2,134
Indirect Costs: $13,208
Depreciation: $596
TOTAL EXPENSES: $53,358
CITY OF SAN LUIS OBISPO CDBG REQUEST: $28,362
Tables top
FSC Matching Funds
Sources Amount
$
Total
Documents oo
Documents Requested
Incorporation Documents [if applicable]
Timeline of Project Milestones
Proof of Permit Issuance (if applicable)
Map of Multiple Project Locations (if applicable)
Most Recent Audit
Commitment Letters for funds (if available)
Timeline of Expenditures
Required? Attached Documents'`
PS'HH Articles of lllccr ,: ° B
Certific-3te of Good Slandinci
501 (c;'13 letter
CA Staie Deterwinaflan Lefler
✓ FYE23 Pub -,Svcs Project MllestanE:5
FYE23 (Tial) of SLO Co SHP orojed oCail0il5
✓ PSHH FYE20 ConiNeted ALICllt SLItC-M&111
✓ PSF1H Pub Svcs FYE23 Timeline of Exaenditures
* ZoomGrantsTMt is not responsible for the content of uploaded documents.
Application ID: 373799
Become a on Facebnok
Problems? Conlacl us al
02002.2021 GrantAnalys t.corn. All rip1s. reserved.
'ZoornGranl s' and the ZoomG rants "o are Trademarks uP GranlAnalysl.com. LLC.
Application Spreadsheets
Public Services
Council
Council
Council
Council
2018 Traffic Way Accessibility Reallocation to 2022 Santa Rosa
Application
Mayor
Member
Member
Member
Member
CDBG 2022
Amount
Consensus
Moreno
Bourbeau
Dariz
Funk
Newsom
Public Facilities (PF) and Housing Projects (HP) $9o,e52
—$-2--5,l 24
$
$ -
$ -
$
EI Camino homeless Organization [ECHO]
City of Atascadero
Operation of Homeless Shelter
Accessibifity & Barrier Removal Project Santa Rosa(PF)
$ 95,000
5 Cities Homeless Coalition
Peoples' Self Help Housing
Subsistence Payments, Homeless Asst & Security Deposits
Del Rio Ridge HP
$ 139,465
Peoples' Self Help Housing
TOTAL PUBLIC FACILITIES
$ 234,465
$
SLO County Supportive !-lousing Program
Public Services
City Program Administration Costs
Limited to 15% of 2022 AIfo cation ($20,920)
2018 Traffic Way Accessibility Reallocation to 2022 Santa Rosa
$ 24,847
City of Atascadero
$ 18,130
2020 Youth Scholarship Reallocation to 2022 Santa Rosa
$ 277
Youth Activities Schofarshi s
$ 12,500
$
—$-2--5,l 24
$
$ -
$ -
$
EI Camino homeless Organization [ECHO]
$ 139,465
Operation of Homeless Shelter
$ 13,000
5 Cities Homeless Coalition
Subsistence Payments, Homeless Asst & Security Deposits
5 2,100
Peoples' Self Help Housing
SLO County Supportive !-lousing Program
$ 21,383
TOTAL PUBLIC SERVICES
$ 48,983
Administration
Limited to 20% of 2022 Aflacation ($27,693)
City Program Administration Costs
$ 9,763
2018 Traffic Way Accessibility Reallocation to 2022 Santa Rosa
$ 24,847
County Program Administration Costs
$ 18,130
2020 Youth Scholarship Reallocation to 2022 Santa Rosa
$ 277
TOTAL ADMINISTRATION
$ 27,893
$
—$-2--5,l 24
$
$ -
$ -
$
Estimated 2022 Total Funding Available
$ 139,465
Administrative Reallocations
2018 Traffic Way Accessibility Reallocation to 2022 Santa Rosa
$ 24,847
2020 Youth Scholarship Reallocation to 2022 Santa Rosa
$ 277
Total Administrative Reallocations
—$-2--5,l 24
$
$ -
$ -
$
$
There is a minimum award threshold of $8,000 per project, meaning the City can only allocate less than $8,000 for a particular public service activity If another agency in the County commits to
programming the remainder to equal a Countywide cumulative total of at least $8,000.
Public Services
Atascadero
Limited to 15% of 2021 Allocation $21,799
Countywide CABG Applications 2022
Application
Amount
City of Arroyo
Grande
City of Morro
Bay
City of Paso
Robles
City of Pismo
City of San
County of San
Beach
Luis Obispo
Luis Obispo
Public Facilities (PF) and Housing Projects (HP)
El Camino Homeless Organization (ECHO)
City of Atascadero
Accessibility & Barrier Removal Project Santa Rosa (PF) $ 110,000
$ 13,000
$ 13,000
S 59,000
5 Cities Homeless Coalition
$ 229,700 (Title
Peoples' Self Help Housing
Subsistence Payments, Homeless Asst & Security Deposits
$ 2,100
5 13,000
$ 900
29)+
Det Rio Ridge (HP)
$ 7,500
5 57,655
Peoples' Self Help Housing
$600,000
$ 139,465
5LO County Supportive Housing Program
$ 31,827
{HOME -ARP}
TOTAL PUBLIC FACILITIES1 $ 249,455
$ -
$ -
$_
$ _
$ _
$ _
Public Services
Limited to 15% of 2021 Allocation $21,799
City of Atascadero
Youth Activities Scholarships
$ 12,500
El Camino Homeless Organization (ECHO)
Operation of Homeless Shelter
$ 13,000
$ 13,000
S 59,000
5 Cities Homeless Coalition
Subsistence Payments, Homeless Asst & Security Deposits
$ 2,100
5 13,000
$ 900
$ 3,500
$ 5,245
$ 7,500
5 57,655
Peoples' Self Help Housing
5LO County Supportive Housing Program
$ 31,827
$ 92,796
$ 81,208
$ 28,273
$ 37,418
$ 113,623
TOTAL PUBLIC SERVICES
$ 59,427
$ 13,0001
$ 93,6961
$ 97,7081
$ 33,5181
$ 44,918
$ 230,278
" There is a minimum award threshold of $8,000 per project, meaning the City can only allocate less than $8,000 for a particular public service activity if another agency in the County commits to
programming the remainder to equal a Countywide cumulative total of at least $8,000.