Fiscal Year 2021–2022 Action Plan Implementation Progress Report

Implementation Progress Report for Fiscal Year 21-22 February 2023 California Interagency Council on Homelessness Member Composition Lourdes M. Castro Ramírez (Co-Chair) Dr. Mark Ghaly (Co-Chair) Secretary, California Business, Consumer Services Secretary, California Health and Human Services and Housing Agency Agency Tomás J. Aragón William McGee State Public Health Officer and Director, Director, Student Achievement Support Division California Department of Public Health California Department of Education Stephanie Clendenin Tomiquia Moss Director, California Department of State Hospitals Founder & Chief Executive, All Home (appointed by the Senate Rules Committee) Jacey Cooper Tim Rainey State Medicaid Director and Chief Deputy Executive Director, California Workforce Development Director of Health Care Programs, California Board Department of Health Care Services Susan DeMarois Nancee Robles Director, California Department of Aging Executive Director, California Tax Credit Allocation Committee Vito Imbasciani Rebecca Ruan-O'Shaughnessy Secretary, California Department Veterans Affairs Vice Chancellor of Educational Services and Support, California Community Colleges Chancellor’s Office Kim Johnson Tony Tavares Director, California Department of Social Services Director, California Department of Transportation Tiena Johnson Hall Gustavo Velasquez Executive Director, California Housing Finance Director, California Department of Housing and Agency Community Development Veronica Lewis Nancy Ward Director, Homeless Outreach Program Integrated Director, California Governor’s Office of Emergency Care System (appointed by Speaker of the Services Assembly) Jeff Macomber Joe Xavier Secretary, California Department of Corrections Director, California Department of Rehabilitation and Rehabilitation Cal ICH appreciates the time and effort put forth by staff from the 13 departments required to report activities for FY 21-22, providing updates and information to include in this report. Cal ICH staff deeply involved in the creation of this report included Cody Zeger, Nykole Sakihara, Giselle Sanchez, Sydney Bennet, and Jeremy Nevis. We also offer thanks to Cal ICH consultant Matthew Doherty for his contributions to this report. Table of Contents Action Plan Development and Reporting .......................................................... 1 Vision and Intent of the Action Plan ............................................................................................................. 1 Development of the Action Plan .................................................................................................................. 2 Driving Progress Across Five Action Areas ................................................................................................... 3 Focus and Structure of this Implementation Progress Report ................................................................... 5 Highlights from FY 21-22 Implementation Progress ........................................... 6 Key Measures for Defining and Assessing Progress ........................................ 10 Fiscal Year 21-22 Key Measures ................................................................................................................... 11 Comparison to National and Regional Data and Trends ....................................................................... 12 Equity Analysis................................................................................................................................................ 13 Implementation Progress Reporting ................................................................. 15 Action Area 1. Strengthening Our Systems to Better Prevent and End Homelessness in California .................. 16 Action Area 2. Equitably Addressing the Health, Safety, and Services Needs of Californians Experiencing Unsheltered Homelessness ............................................................................................................................... 29 Action Area 3. Expanding Communities’ Capacity to Provide Safe and Effective Sheltering and Interim Housing ............................................................................................................................................................ 33 Action Area 4. Expanding and Ensuring Equitable Access to Permanent Housing in Our Communities ......... 39 Action Area 5. Preventing Californians From Experiencing the Crisis of Homelessness ..................................... 46 Attachment A: Action Plan Objectives ............................................................ 53 Attachment B: Fiscal Year 21-22 Activities ...................................................... 55 Attachment C: Baseline Measures Methodology ........................................... 73 Attachment D: Acronyms Used in this Report ................................................. 75 Action Plan Development and Reporting Vision and Intent of the Action Plan On any given night in 2022, more than 171,500 people were experiencing homelessness in California—representing more than one-quarter of all people experiencing homelessness in the United States.1 Making significant progress in preventing and ending homelessness across the state requires sustained and focused efforts at the federal, state, and local levels. Through the Action Plan for Preventing and Ending Homelessness in California, first adopted in March 2021 and updated in September 2022, the California Interagency Council on Homelessness (Cal ICH)—the State’s interagency council on homelessness—pursues a vision for the State’s work to prevent and end homelessness that features: • Increased leadership from the state for identifying and supporting both short-term interventions and long-term solutions; • Purposeful, action-oriented coordination and alignment across State agencies and programs; and • Stronger, collaborative partnerships with public and private partners in communities. The Action Plan orients the State’s efforts to drive purposeful, meaningful, and measurable progress toward preventing and ending homelessness in California. This effort is motivated by a vision of a future in which homelessness in California is: rare, because it is prevented whenever possible; brief, ended quickly whenever it does occur, through a focus on Housing First approaches and housing outcomes; and a one-time experience, ended successfully the first time, so that no Californians experience homelessness repeatedly. The implementation of the Action Plan is aligned with several key principles and practices, including:  Advancing trauma-informed care and  Pursuing racial equity and justice; person-centered services;  Creating solutions for the full diversity of  Aligning health, housing, and homelessness people experiencing homelessness; strategies; and  Seeking and valuing the expertise of  Shared responsibility, accountability, and people with lived experiences of efficiency across state departments and homelessness; programs, in close coordination with local  Strengthening Housing First approaches; communities  Balancing crisis response and permanent housing solutions; 1 Source: U.S. Department of Housing and Urban Development, “The 2022 Annual Homeless Assessment Report (AHAR) to Congress” 1 Development of the Action Plan This Implementation Progress Report is focused on the Action Plan for Preventing and Ending Homelessness for Fiscal Years 20-21 through 22-23 that was adopted by the Council in March 2021. The development of the Action Plan was led by Cal ICH staff and consultant Matthew Doherty, under the guidance and direction of the Council, and deeply informed by planning conversations with State staff and input discussions with external stakeholders. The Cal ICH Council meetings were used as critical milestones and decision points in its development. The planning process was initiated in July 2020, including surveying conversations with Council members and the initiation of extensive external input conversations. A special Council meeting was held in September 2020, focused on discussion of the Plan’s action areas, to inform the development of the Plan’s objectives and activities. The Council adopted the plan’s draft objectives at its October 2020 meeting. The Council’s December 2020 meeting focused on discussion of current and planned activities across State agencies that are driving or will drive progress toward these objectives, as well as potential priorities for additional State activities based on external stakeholder conversations and discussions with staff from State departments. The Council discussed a draft of the Action Plan at a special meeting in February 2021. Revisions based upon that discussion, and based upon follow-up meetings with department staff, were incorporated into a final draft of the Action Plan, which was presented at and adopted at the Council’s March 2021 meeting. The Fiscal Year 20-21 Action Plan Implementation Progress Report was issued in November 2021. During 2022, Council members collaborated on an update to the original Action Plan to include new and updated Activities for FY 22-23, adopted by the Council in September 2022. The updated Action Plan and summary materials are available at https://www.bcsh.ca.gov/calich/action_plan.html. Because this report focuses on the implementation of the Action Plan during FY 21-22, it references the original Plan document and content. The Implementation Progress Report for FY 22-23 will reference the updated Plan and will be issued toward the end of 2023. 2 Driving Progress Across Five Action Areas Implementation of the Action Plan drives progress across five distinct, but interrelated and complementary action areas, inclusive of the full range of activities necessary to prevent and end homelessness. ACTION AREA 1 Strengthening Our Systems to Better Prevent and End Homelessness in California Activities focused on pursuing racial equity in response to homelessness and housing instability; engagement and partnership with people with lived expertise from experiences of homelessness; support of interjurisdictional and regional planning; partnerships to strengthen outcomes related to education, employment, income, and assets; disaster preparedness and response; and communications and public awareness. ACTION AREA 2 Equitably Addressing the Health, Safety, and Services Needs of Californians Experiencing Unsheltered Homelessness Activities focused on addressing health and safety needs and increasing access to State- supported services and programs for people who are experiencing unsheltered homelessness. ACTION AREA 3 Expanding Communities’ Capacity to Provide Safe and Effective Sheltering and Interim Housing Activities focused on expanding the supply of safe, housing-placement focused sheltering and interim housing models and addressing health and services needs of people staying within such programs. ACTION AREA 4 Expanding and Ensuring Equitable Access to Permanent Housing in Our Communities Activities focused on strengthening Housing First approaches and expanding permanent housing opportunities through development strategies, short- and long-term rental assistance, and other rehousing activities. ACTION AREA 5 Preventing Californians from Experiencing the Crisis of Homelessness Activities focused on reducing entries into homelessness as people exit and/or receive services through State-funded programs and systems and enhancing communities’ capacity to provide targeted homelessness prevention and diversion services and assistance. 3 Each Action Area contains multiple Objectives, totaling fifteen Objectives to be prioritized and pursued. Each Objective further details multiple Activities that one or more departments have committed to pursuing in order to drive progress toward the overall goal of preventing and ending homelessness. There are a total of 89 distinct Activities over three fiscal years, each of which contains: • Activity reference numbers, arranged by Action Area, Objective, and Activity Number • A description of the Activity to be implemented; • The lead department(s) responsible for implementing each Activity; • The collaborating department(s) deeply involved in implementing each Activity; • Timeframes for each Activity; and • Performance measurements that will be used to assess progress and impact, including process measures, output measures, and, when possible, outcome measures. The Action Plan identifies Objectives, Activities, and performance Measures from FY 20-21 through FY 22-23. It is not intended to be inclusive of every strategic activity or investment that State agencies or the Council will undertake, but instead seeks to focus on the highest-priority strategies and efforts that will have the greatest impact. Performance measures can include: • Process Measures focused on assessing if activities have been implemented as intended; • Output Measures focused on documenting the amount or scale of actions taken; and • Outcome Measures focused on the results or impacts of the activities. For more information, please refer to Attachment A in this report for a list of all the Action Plan’s objectives, Attachment B for a list of all of the FY 21-22 activities included, and the complete Action Plan for Preventing and Ending Homelessness in California in effect for FY 21-22 and the focus of this Progress Report. 4 Focus and Structure of this Implementation Progress Report Driving progress to prevent and end homelessness—and toward more racially equitable outcomes—requires multi-pronged, multi-year strategies across sectors and systems. These must be supported by data analyses, performance measures, and metrics that help assess, refine, and revise those strategies. The development and adoption of the Action Plan responded to those needs and represents a commitment to a sharpened focus on performance measurement, data, and analysis. Cal ICH is reporting annually on progress made in the implementation of the Action Plan. The first Implementation Progress Report focused on reporting progress related to activities that were expected to be implemented during FY 20-21. This progress report will focus on activities projected to be implemented during FY 21-22. This report is organized into the following sections: • Highlights from FY 21-22 Implementation Progress describes several specific, high-impact accomplishments by Council member agencies and departments during FY 21-22. • Key Measures for Defining and Assessing Progress collects baseline data for key measures regarding homelessness in California that were identified within the Action Plan for Cal ICH to regularly analyze, review, and report on publicly. This section also includes a comparison with national and regional trends as well as an equity analysis of certain key measures. • Implementation Progress Reporting documents the progress that agencies and departments have made implementing each Action Plan activity. This section is organized by the Action Plan’s five action areas and fifteen objectives, but only includes activities expected to be implemented during FY 21-22. Further, each activity is accompanied by one or more icons that communicate the nature of the activity being implemented. The Council updated the Action Plan ahead of FY 22-23 to make slight modifications to the Plan’s Objectives and to identify additional specific Activities to be implemented during FY 22- 23. The next annual progress report will focus on the implementation of the updated Plan. 5 Highlights from FY 21-22 Implementation Progress This section highlights key efforts and achievements of State agencies and departments during FY 21-22, organized by the Plan’s five Action Areas. The activities below are only a portion of the work completed during FY 21-22, but illustrate the breadth and depth of the State’s work to implement the Action Plan and to make homelessness rare, brief, and one-time. A fuller accounting of the State’s activities is provided in the Implementation Progress Reporting section of this report. ACTION AREA 1 Strengthening Our Systems to Better Prevent and End Homelessness in California • In order to strengthen the impact of resources at the local level, the California Interagency Council on Homelessness’ (Cal ICH’s) implementation of the Homeless Housing, Assistance and Prevention (HHAP) program incorporated new application requirements for local homelessness action plans, analyses of uses of current funding, and the establishment of outcome goals and trackable equity-focused goals, and also required applications to identify specific actions the applicant would take to ensure racial and gender equity in service delivery, housing placements, and housing retention and to affirm that racial and ethnic groups that are overrepresented among residents experiencing homelessness have equitable access to housing and services. • Numerous Council member agencies took concrete steps within the programs that they administer to ensure that Tribal entities have more equitable access to State funding and to partner with Tribal communities to address capacity challenges. • Cal ICH launched and continues to update the HDIS public dashboard with information from communities across the state and a new webpage, Ending homelessness requires big, bold steps, providing essential data and information to help the public understand the scale, causes, and solutions for homelessness in California. • Cal ICH developed and released a Request for Information (RFI) and Request for Proposals (RFP) for the establishment of a Lived Experience Advisory Board (LEAB). The awarded contractor will engage in the establishment and administration of a Lived Experience Advisory Board to inform the considerations and decisions of the California Interagency Council on Homelessness and member departments. • California Department of Education (CDE) worked on the development of California’s Homeless Education Technical Assistance Center (HETAC) webpage and hub and developed fact sheets to support the identification of students without stable housing, the enrollment of students experiencing homelessness without records, and supporting evacuee and refugee children and youth. • The number of students served through the California Community Colleges Chancellor’s Office (CCCCO) Homeless and Housing Insecurity Pilot (HHIP) program increased across many of the pilot sites; the Program served 332 students in Fall 2020, and in Spring 2021 672 students were served, a 102% increase. All colleges executed a Memorandum of Understanding (MOU) with a Housing Service Provider or had an MOU in-progress. 6 ACTION AREA 2 Equitably Addressing the Health, Safety, and Services Needs of Californians Experiencing Unsheltered Homelessness • The first round of the newly-created Encampment Resolution Funding (ERF) Program was implemented by Cal ICH, supporting person-centered, housing-focused approaches to addressing both the needs of people experiencing unsheltered homelessness and the impact of encampments on communities and providing more $48 million in funding awards to 19 communities. • Cal ICH implemented the fourth round of the Governor’s 100-Day Challenges through which Cities, Counties and CoCs in Merced, Sacramento, San Bernardino, and Santa Cruz came together to rapidly design and implement strategies to create solutions for people living in encampments in their communities. Summaries of the work completed by each community will be released in FY 22-23. • The Department of Health Care Services (DHCS) received Federal approval for its CalAIM 1115 Demonstration and 1915(b) Waiver and began implementation, including managed care plans (MCPs) submitted and receiving approval for their initial Enhanced Care Management (ECM) and Community Supports Model of Care submissions. Further, DHCS’ Health Homes Program (HHP) and Whole Person Care (WPC) Pilot Program terminated on December 31, 2021 and all enrollees were successfully transitioned into ECM and/or Community Supports. • The Department of Public Health and Cal ICH partnered to create and disseminate resources related to addressing the needs of people experiencing homelessness during public health emergencies, including guidance to local partners regarding vaccination efforts for both COVID-19 and Mpox. ACTION AREA 3 Expanding Communities’ Capacity to Provide Safe and Effective Sheltering and Interim Housing • The California Department of Social Services (CDSS) released Project Roomkey (PRK) Allocations to Counties and federally recognized Tribal governments operating Project Roomkey sites of funding to continue providing Project Roomkey and Rehousing Strategy non-congregate shelter and rehousing services. Forty-three counties and three tribes, for a total of 46 grantees, accepted $143.0 million in need-based, non-competitive allocations for FY 2021-22. CDSS released the Project Roomkey Rehousing Plan Template to support all communities in their work across systems to ensure participants exit into permanent housing. • Cal ICH implemented the new Family Challenge Grant program to provide competitive grants and technical assistance to local jurisdictions to promote rapid innovation, accelerate nascent programs, and expand promising practices to create scalable solutions that can be shared across the state to address and ultimately end family homelessness, providing $17 million in initial funding to 10 communities. 7 • California Office of Emergency Services (Cal OES) administered six grant programs, with approximately 165 Subrecipients, with the primary purpose of providing shelter and housing services to victims of crime, providing more than 55,900 nights of shelter and more than 253,000 nights of transitional housing and providing emergency shelter and housing assistance to more than 2,100 youth, and stabilization planning to more than 3,400 youth. • DHCS communicated informational and guidance materials and related training, supportive of Housing First approaches, to managed care plans (MCPs) regarding the implementation Recuperative Care (Medical Respite) Community Supports for unhoused people who are exiting acute inpatient facilities and/or were recently hospitalized and DHCS measures the number of MCPs which have adopted, and which will adopt, the Recuperative Care Community Supports. ACTION AREA 4 Expanding and Ensuring Equitable Access to Permanent Housing in Our Communities • The California Department of Housing and Community Development (HCD) administered the Homekey program to expand housing for persons experiencing homelessness or at risk of homelessness; awards made during FY 21-22 will create 4,142 homes across 44 jurisdictions, and an estimated 1,688 chronically homeless households and 305 homeless youth households will be served in these homes. • CDSS implemented significant expansions in funding to Counties and Tribal communities across a range of homelessness-focused programs that can help address people temporary and permanent housing needs through flexible, short-, and long-term rental subsidies and other forms of assistance, including the CalWORKs Housing Support Program, the Bringing Families Home program, the Housing and Disability Advocacy Program, and the Home Safe program. • The California Tax Credit Allocation Committee (CTCAC) continued to provide priority for projects serving people experiencing homelessness in both the federal 9% and 4% low- income housing tax credit applications. In 2021, more than 2,000 units within the proposed developments awarded 9% or 4% tax credits are being developed specifically as housing for people exiting homelessness. • The Business, Consumer Services and Housing Agency (BCSH) identified and implemented several opportunities to improve policies and practices in State housing programs that focus on extremely-low income households and housing for people exiting homelessness. This included alignment of definitions and opportunities to create more housing that serves people experiencing, exiting, or at risk of homelessness, including within Homekey, the Multifamily Finance Super Notice of Funding Availability (Super NOFA), and the California Debt Limit Allocation Committee (CDLAC) Regulation process. • The CDSS Community Care Expansion Capital Expansion Program was established in FY 2021-22 and provides $570 million in infrastructure grant funding for acquisition, construction, and rehabilitation to preserve and expand residential settings that expand the long-term care continuum for Supplemental Security Income/State Supplementary Payment (SSI/SSP) and Cash Assistance Program for Immigrants (CAPI) applicants and recipients, including people experiencing or at risk of homelessness. Residential settings include but are not 8 limited to adult and senior care facilities, recuperative or respite care settings, and independent residential settings. Additionally, $195 million in CCE Preservation Funds were made available via a noncompetitive allocation. • Cal ICH designed and administered a survey to assess compliance with requirements of Housing First statute across 27 State-funded programs, including a more comprehensive list of programs required to comply with Housing First approaches, and summary of findings and next steps for strengthening compliance will be issued during FY 22-23. ACTION AREA 5 Preventing Californians from Experiencing the Crisis of Homelessness • The Council on Criminal Justice and Behavioral Health (CCJBH) and the Council of State Governments (CSG) Justice Center hosted a webinar series focused on how key stakeholders from across the justice, behavioral health, housing, and other systems can help people successfully transition out of the justice system and into the community by connecting them with housing options that meet their needs. • CDSS administered statutory changes that enabled grantees of the Bringing Families Home program, Housing Support Program, and the Housing and Disability Advocacy Program to expand services to homelessness prevention in addition to continuing to serve people experiencing homelessness. • By the end of FY 21-22, BCSH’s CA COVID-19 Rent Relief Program had served approximately 350,000 households with an average assistance of $12,252 for past-due rent and/or utility bills; 62.1% of households had incomes at or below 30% of Area Median Income (AMI) and 23.4% of households had incomes between 30%-50% AMI. • CalHFA implemented the National Mortgage Settlement Housing Counseling Program, which allows California residents who are in danger of eviction or foreclosure to receive free counseling services; in FY 21-22, the program had 78 active Housing Counseling Agencies, served over 27,000 households, and distributed approximately $30 million in funds. • CDCR continued to implement the Returning Home Well initiative, in partnership with the Amity Foundation and a network of 200 community-based services providers, offering housing, wrap-around services, and financial assistance to support people to successful return to communities following release from prison. 9 Key Measures for Defining and Assessing Progress Cal ICH will use data from a variety of sources to regularly analyze, review, report upon, and publicly share key measures regarding homelessness in California. This will serve to assess the impact of federal, state, and local efforts; document and analyze racial inequities; and refine this Plan’s objectives and activities. The charts below use the most recent U.S. Department of Housing and Urban Development (HUD) Point-in-Time (PIT) Counts as well as data from the Cal ICH Homeless Data Integration System (HDIS) to document baseline data for key measures, comparing these to national and regional trends, and providing an analysis of racial and ethnic disparities where data is available. For more information on the methodology used in this summary, see Attachment C. Key Measures from Action Plan 1. The number of Californians experiencing sheltered and unsheltered homelessness at a point in time, including Veterans, people experiencing chronic homelessness, families with children, adults, and unaccompanied youth. 2. The number of Continuums of Care in California reporting increases versus decreases in the number of people experiencing sheltered and unsheltered homelessness within annual Point-in-Time counts. 3. The number of people spending time in emergency shelter, transitional housing, and safe havens in California annually. 4. The number of Californians experiencing homelessness for the first time, successfully exiting homelessness, and returning to homelessness each year. 5. The number of children and youth experiencing homelessness at some point during the school year in California, including students in families and unaccompanied students. FY 21-22 Quick Facts • The 2022 Annual Homelessness Assessment Report (AHAR) to Congress estimated that over 171,500 people were experiencing homelessness on any given night throughout the State of California. • Of these individuals, approximately 67% were unsheltered. This unsheltered rate is higher than that of the country overall (40%) as well as other west coast states like Arizona (59%), Oregon (61%), and Washington (50%). • Over 30% identified as Black or African American. This represents a significant disparity given the overall population identifying as Black or African American in California is 6.5%. • Over 70% of Veterans and Unaccompanied Youth experiencing homelessness are living unsheltered on any given night throughout the State of California. • Throughout 2022, CoCs in California reported serving over 139,796 people in emergency shelter, transitional housing, and safe havens. A total of 42,000 people successfully exited homelessness during the fiscal year. • Last, while the national population of people experiencing homelessness has declined by about 9% since 2007, California’s has increased by over 20%. However, the growth in homelessness in CA during the pandemic was slower than in neighboring states. 10 Fiscal Year 21-22 Key Measures Measure 1: The number of Californians experiencing sheltered and unsheltered homelessness at a point in time, including Veterans, people experiencing chronic homelessness, families with children, adults, and unaccompanied youth. Source: HUD 2022 PIT Count. unsheltered sheltered Unaccompanied youth 6,762 2,828 Adults 111,206 34,777 Families with children 4,285 21,253 People experiencing chronic homelessness 45,132 15,773 Veterans 7,392 3,003 Total People Experiencing Homelessness 115,491 56,030 Measure 2: The number of Continuums of Care in Measure 3: The number of people spending time in California reporting increases versus decreases in the emergency shelter, transitional housing, and safe havens number of people experiencing sheltered and in California annually. Source: HDIS. unsheltered homelessness within annual Point-in-Time counts. Sources: HUD 2022 and 2020 PIT Counts.2 Unsheltered 15 18 11 Homelessness Emergency 123,314 Shelter Sheltered 29 12 3 Homelessness Transitional 17,881 Housing CoCs increasing in population by 5% or more Safe Havens 497 CoCs decreasing in population by 5% or more Less than 5% population change Measure 4: The number of Californians experiencing homelessness for the first time, successfully exiting homelessness, and returning to homelessness each year. Source: HDIS. 91,879 Successful Exits 42,000 133,739 53,362 Returns to Homelessness First Time Homelessness within 6 Months of a 4,140 Successful Exit Previous Experience with Homelessness Receiving Services at the Start of the Year 2 Note: CoCs are not required to submit unsheltered counts in even-numbered years. 11 Measure 5: The number of children and youth experiencing homelessness at some point during the school year in California, including students in families and unaccompanied students. Source: CDE 2020-2021 school year data. Students in Families, 222,198 Unaccompanied Students, 5,414 Comparison to National and Regional Data and Trends Percent Change in Population of People Experiencing Percent Change in Population of People Experiencing Homelessness, 2012 to 2022 Homelessness, Pre-Pandemic to Now (2020 to 2022) U.S., California, and select West Coast states U.S., California, and select West Coast states Source: HUD 2022 and 2012 PIT Counts Source: HUD 2022 and 2020 PIT Counts US CA OR WA NV AZ US CA OR WA NV AZ 30% 19% 19% 17% 12% 12% 9% 9% 6% -9% -12% 0.3% California has had a unique trajectory in its effort to end homelessness compared to those of neighboring states and the US in general. California is the state with the highest total number of people experiencing homelessness – with Californians making up roughly 50% of the total unsheltered population in the US. Additionally, Californians are experiencing the highest rate of homelessness, with 44 out of every 10,000 people experiencing homelessness in the state (Oregon follows closely behind with 42 out of every 10,000)3. However, despite a 30% increase in homelessness over the last decade, most recently, California has seen slower growth than its neighbors. Since 2020, before the start of the COVID- 19 pandemic, California had the slowest rate of growth compared to neighboring states. This could be a result of the urgency with which the state acted to help people experiencing unsheltered homelessness during the pandemic as well as the measures to keep people in their homes—whether through rental assistance, eviction moratoriums, or some combination 3 Source: U.S. Department of Housing and Urban Development, “The 2022 Annual Homeless Assessment Report (AHAR) to Congress 12 Equity Analysis The response to homelessness requires a commitment to addressing and reducing the racial inequities among people experiencing homelessness, how they are served, and their outcomes achieved within the homelessness response system. The annual PIT count provides estimates of racial and ethnic groups experiencing homelessness in California. While data is not currently available for all subpopulations across each key measure, in future reports Cal ICH plans to utilize HDIS to provide additional insights into racial and ethnic disparities across the population of people experiencing homelessness overall, those served in sheltered and unsheltered settings, and those going through key events (as described in the Key Measures section above). Racial Breakdown of CA Population, People Experiencing Homelessness, and those in Sheltered Settings (Emergency Shelter, Transitional Housing, and Safe Havens) and Unsheltered Settings in CA Source: HUD 2022 PIT Count; 2020 California Census People Sheltered Unsheltered CA Population Experiencing Settings Settings Homelessness White 71.1% 54.8% 55.1% 54.4% Black/African American 6.5% 30.4% 32.7% 29.3% Asian 15.9% 2.3% 2.1% 2.4% American Indian 1.7% 4.2% 3.2% 4.7% Native Hawaiian/ 0.5% 1.5% 1.2% 1.6% Pacific Islander Multiple Races 4.2% 6.9% 5.3% 7.6% According to the 2022 PIT Count, people identified as Black/African American remain overrepresented in the population of people experiencing homelessness in California, making up 30.4% of the population as compared to only 6.5% of the state’s population overall. Other overrepresented groups include Native Hawaiians and Pacific Islanders and people who identify as multiple races. People identified as Asian and White are underrepresented among those experiencing homelessness. Across sheltered and unsheltered settings, the racial demographics are relatively proportionate to groups’ representation in the population of people experiencing homelessness. Indigenous and Native American Representation There is also disparate representation of Indigenous and Native American populations among those experiencing homelessness, inclusive of American Indians, Alaska Natives, Native Hawaiians, and other Indigenous peoples. The data does not accurately capture the number of individuals experiencing homelessness within unsheltered and sheltered settings, nor the depth of the disparity. The data available regarding Indigenous populations is not accurate for 13 various reasons, one being that not all of California’s 109 Federally Recognized Tribes and those in their communities are included in the PIT Counts. Additionally, when urban Indigenous people attempt to seek services, they are often classified as mixed race, due to the impacts of colonization and acculturation. American Indian individuals are sometimes denied services and told to seek services from their tribe, regardless of whether their tribe is in the state, or has services to provide them. Furthermore, they may not be forthcoming as to their tribal ancestry, due to the historic way government has mistreated American Indian individuals and other Indigenous populations, and for other reasons. Finally, there are often errors in survey wording, design, and administration as it relates to the Indigenous and California Tribes that leads to inaccuracy in data collection. In one example, data from the 2019 needs assessment conducted by the California Coalition for Rural Housing and Rural Community Assistance Corporation, with support from the CA Department of Housing and Community Development, estimated that the American Indian population experiences homelessness at least 4x the rate of the general population. Information from the needs assessment and from a year of tribal engagement and consultation with Tribes and Tribal Partners in California highlights how chronically underserved and mischaracterized this population is and makes clear the need to work more closely with Tribes, Tribal Entities, and other partners to gather a more accurate understanding of homelessness among all Indigenous populations. Ethnic Breakdown of CA Population, People Experiencing Homelessness, and those in Sheltered Settings (Emergency Shelter, Transitional Housing, and Safe Havens) and Unsheltered Settings in CA Source: HUD 2022 PIT Count; 2020 California Census People Sheltered Unsheltered CA Population Experiencing Settings Settings Homelessness Hispanic/Latinx 39.4% 37.1% 36.2% 37.5% Non-Hispanic/Non-Latinx 60.6% 62.9% 63.8% 62.5% When looking at the ethnic breakdown, people identified as Hispanic/Latinx appear to be slightly underrepresented in the population of people experiencing homelessness. However, compared to 2020 data, there has been an increase in the number of Hispanic/Latinx identifying people who are experiencing homelessness (37.1% vs. 32.2%). Similar to the racial breakdown, the ethnic demographics across sheltered and unsheltered settings are relatively proportionate to groups’ representation in the population of people experiencing homelessness. 14 Implementation Progress Reporting The reporting of implementation progress in this section is organized by the Action Plan’s five action areas and fifteen objectives, and only includes progress reporting for activities which were to be implemented during FY 21-22. See Attachment B for details on each activity to be implemented in FY 21-22, and the Action Plan for Preventing and Ending Homelessness in California for a complete list of activities to be implemented through FY 22-23. See Attachment D for a list of acronyms commonly referred to throughout this section. In August 2021, Cal ICH reached out to staff from Council member agencies and departments for updates on their FY 21-22 activities. Departments were asked to report data specifically for FY 21-22 whenever possible. However, if this information was not yet available, agencies and departments provided the most current data or noted when FY 21-22 data will be available. To help communicate the nature of the activities being implemented, each activity is coded with one or more of the following icons: Activities Focused on Addressing Racial Equity: This icon denotes activities with an explicit focus on addressing racial equity within State and local efforts to prevent and end homelessness. Activities Documenting and Strengthening the Impact of State Programs: This icon denotes activities related to strengthening the implementation and impact of State and Federal funding, programs, and policies. As described within the Action Plan, during FY 21-22, State agencies and departments will set targets for many of these activities and future reports will assess progress toward those goals. Activities Providing Technical Assistance, Training, and Guidance: This icon denotes activities offering technical assistance, training, or guidance to assist community partners as they implement programs to address homelessness. 15 ACTION AREA 1 Action Area 1. Strengthening Our Systems to Better Prevent and End Homelessness in California ACTION AREA 1 Strengthening Our Systems to Better Prevent and End Homelessness in California This Action Area includes activities focused on pursuing racial equity in response to homelessness and housing instability; engagement and partnership with people with lived expertise from experiences of homelessness; supporting interjurisdictional and regional planning; partnerships to strengthen outcomes related to education, employment, income, and assets; disaster preparedness and response; and communications and public awareness.  Objective 1: Strengthen racial equity-focused responses, strategies, and activities of State agencies and of local agencies and organizations receiving State funding for any homelessness services and housing activities. Activity 1: Provide and coordinate technical assistance focused Cal ICH provided racial equity focused technical assistance to communities on racial equity to that include subject matter expertise regarding: support equitable  Developing strategies for embedding equity-based decision-making access and processes within policymaking, funding process and decisions, and outcomes within across homelessness response systems. State-funded programs, and to  Collecting and analyzing data from the HMIS and CES to identify strengthen racial disparities throughout the State’s homelessness service-delivery coordinated entry system and target crisis response, diversion, and prevention activities systems, prioritization more effectively. policies, and  Partnering with public health agencies to assess intersection between targeting strategies racial inequities in homelessness and in impact of public health crises. in order to address disparities in access  Utilizing a racial equity analysis tool for local homelessness service- to services and delivery system’s budgetary, programmatic, and policy decisions. resources. Activity 2: Incorporate Many State programs included a focus on racial equity data, analysis, and a focus on racial equity planned activities within their application processes during this reporting data, analysis, and period. Examples include: planned activities within applications for  Cal ICH’s implementation of Homeless Housing, Assistance and Prevention State homelessness and Program (HHAP), Round 3 required communities to demonstrate a housing-focused commitment to addressing racial disproportionality in homeless funding (HHAP, ESG- populations and achieve equitable services and outcomes for Black, CV, others), and Native, and Indigenous, Latinx, Asian, Pacific Islanders and other People analyze the data and of Color who are disproportionately impacted by homelessness and information gathered in COVID-19. The application materials encouraged or required: response. 16 ACTION AREA 1 • Applicants to consider how HHAP funds are accessible to smaller and non-traditional organizations that have historically served communities of color but may not have previously participated formally in the CoC and may not be a part of the homelessness provider community. • A description of how HHAP grantees will address the capacity of organizations that are led by Black, Latinx, Asian, Pacific Islander, and Native and Indigenous people that support the goal of making homelessness rare, brief, and non-recurring. • A description of specific actions the applicant will take to ensure racial and gender equity in service delivery, housing placements, and housing retention. • A description of changes to procurement or other means of affirming racial and ethnic groups that are overrepresented among residents experiencing homelessness have equitable access to housing and services. • Utilizing the Homeless Management Information System data to set trackable outcome goals as they apply to underserved populations and populations disproportionately impacted by homelessness based on United States Department of Housing and Urban Development’s system performance measures. Cal ICH launched the new Encampment Resolution Funding (ERF) program and required applicants to provide a justification for why the particular encampment was being identified for support, including demographic factors related to addressing racial equity. State agencies increased their efforts to enhance Tribal Organizations access to homelessness and housing program and resources during FY 21-22. Examples include:  HCD administered grants to seven Tribal Nations through the Emergency Solutions Grant-CARES Act (ESG-CV) to provide Emergency Shelter and Activity 4: Provide Street Outreach services. These new ESG-CV partners also have received technical assistance intensive 1:1 Training and Technical Assistance that includes: and training • New and non-traditional training series that provides new partners with opportunities, and the basics of ESG operations and management adapt program • Homeless Management Information System (HMIS) training and 1:1 guidelines and technical assistance to assure consistent data collection. guidance, to enhance • On-demand training sessions designed to meet the emergent needs Tribal Organizations’ of our Tribal Nations partners in the ESG-CV program include data access to State collection in a street outreach environment, street outreach program homelessness and best practices, emergency shelter program best practices, de- housing programs and escalation training, and the establishment of bi-weekly office hours for resources. Tribal Nations partners.  HCD also funded 18 CDBG-CV Tribal and 3 CDBG-CV Tribal Homekey projects. Cultural competency workshops have been provided to staff working in these programs, and similar technical assistance is being provided to CDBG-CV grantees.  CDSS administers five programs in its Housing and Homelessness Division (HHD) that Tribes are currently eligible for: Home Safe, the Community 17 ACTION AREA 1 Care Expansion (CCE) Program, Housing Disability and Advocacy Program (HDAP), Project Roomkey (PRK), and Bringing Families Home (BFH). CDSS encourages regional applications between Tribes and counties through formal application guidelines. In FY 21-22, a total of 12 tribes operated the following HHD programs: • HDAP: One tribe and one tribal consortium, made up of seven tribes. • PRK: Three tribal grantees accepted FY 21-22 Project Roomkey funding. • BFH: One tribe implemented BFH as part of a regional collaborative with a county.  Assembly Bill 135 changed Home Safe eligibility effective Fiscal Year (FY) 21-22 to include individuals who may be served through a tribal social services agency and who appear to be eligible for Adult Protective Services (APS). CDSS issued notice of this eligibility change in All County Welfare Director Letter (ACWDL) dated October 15, 2021 and set aside $5 million for new tribal grantees, as described below.  The Community Care Expansion (CCE) program was established in FY 2021-22. Five percent of funds were set aside for Tribes and Tribal Entities for acquisition, construction, and rehabilitation of residential adult and senior care facilities and was made available through a Joint Request for Applications in January 2022. The Tribal Liaison from the contracted administrative entity, in coordination with CDSS, conducted outreach and engaged in relationship building with California tribes, tribal entities, and tribal organizations to generate awareness of the program. Outreach activities included holding virtual meetings and participating as an exhibitor at an in-person conference. The CCE Tribal Liaison engaged in pre-application consultations with tribes or tribal entities interested in applying for CCE funding. Applications are under review and will be awarded on a rolling basis.  In FY 21-22, CDSS’ Housing and Homelessness Division set aside a total of $17.5 million for to establish new Housing and Disability Advocacy Program (HDAP) (ACWDL, dated September 13, 2021), Home Safe (ACWDL dated October 15, 2021), and/or Bringing Families Home (BFH) (ACWDL dated February 11, 2022) programs in tribal communities, as first announced in the respective program ACWDLs. On April 27, 2022, CDSS held a formal Tribal consultation to discuss and solicit feedback on a draft Tribal Set-Aside Letter and understand key areas of technical assistance requested by tribes to implement these programs. CDSS’s technical assistance partners, the Change Well Project, began providing direct 1:1 technical assistance to prospective tribal grantees following the consultation.  The All Tribal Leaders Letter was published on July 26, 2022, detailing the release of $17.5M in FY 2021-22 set-aside funding available for new tribal grantees to establish a new HDAP, BFH program, and/or Home Safe program. The deadline for funding requests is September 26, 2022. CDSS also shared formal responses to questions from the April 27, 2022 Tribal consultation at this time. To accompany the release of the All Tribal Leaders Letter, CDSS held an Information Session on July 27, 2022, during which provided information about the All Tribal Leaders Letter. 18 ACTION AREA 1  On August 4, 2022, CDSS kicked off the first in a biweekly series of Office Hours, at which prospective tribal grantees can ask questions about the All Tribal Leaders Letter and the set-aside. CDSS will continue hosting Office Hours until the set-aside funding request window closes on September 26, 2022.  The Change Well Project is available to support eligible tribal entities with all aspects of programming related to this set-aside, including by providing support needed to formulate requests for set-aside funding. This technical assistance will continue through program implementation. The CDSS Office of Tribal Affairs team has provided support and guidance as HHD developed and disseminated this set-aside opportunity. Activity 5: Utilize the newly developed Homeless Data Integration System to support both Statewide and local analyses of data, focused on Cal ICH continues to update the HDIS public dashboard on our website with documenting and information from all 44 CoCs and utilized HDIS data in the updated Action understanding racial Plan for Preventing and Ending Homelessness to update information on race inequities in and ethnicity of people being served by the homelessness response system in experiences of California. homelessness and provision of services, including the creation of a public dashboard documenting analyses. Activity 7: Provide relevant training and skill-building opportunities, such as California’s Capitol Collaborative on Race and Equity training, to Due to numerous competing high-priority activities, Cal ICH did not make State agency staff to significant progress on this Activity in FY 21-22. enable staff to provide more expert advice and guidance to partners and communities. 19 ACTION AREA 1  Objective 2: Ensure that State and local planning and decision-making processes are deeply informed and guided by recommendations from people with lived expertise from experiences of homelessness. Activity 1: Implement a Cal ICH developed and released a Request for Information (RFI) and Request Lived Experience for Proposal (RFP) for the establishment of a Lived Experience Advisory Board Advisory Board to (LEAB). The awarded contractor will engage in the establishment and inform the administration of a Lived Experience Advisory Board to inform the considerations and considerations and decisions of the California Interagency Council on decisions of the Homelessness and member departments. LEAB members will greatly impact California Interagency the work of State departments, Continuums of Care, and local governments Council on allowing communities to make significant progress in preventing and ending Homelessness and homelessness across the state of California. The contract is expected to be member departments. awarded October 2022 to establish the Lived Experience Advisory Board during Q2 of FY 22-23. Activity 3: Provide guidance to local grantees regarding the eligible uses of State funds for costs Within the implementation of HHAP funding, Cal ICH has encouraged associated with grantees to include people with lived experience in the planning of the usage engaging people with of grant funding and establish a mechanism for people with lived experience lived experience and of homelessness to have meaningful and purposeful opportunities to inform expertise into planning and shape all levels of planning and implementation, including through and decision-making opportunities to hire people with lived experience. Cal ICH also educated processes, and also HHAP grantees regarding the Homeless Hiring Tax Credit which provides encourage local incentives for hiring people experiencing homelessness via tax credits. grantees to hire people with lived expertise into regular staff positions. Activity 4: Incorporate questions regarding the involvement of people Examples of the State’s implementation of this Activity include: with lived experience and expertise into local  Cal ICH HHAP 3 grant applicants were required to provide a planning and decision- demonstration of the applicant’s partnership with, or plans to use funding making processes to increase partnership with people with lived experiences of within applications for homelessness. State homelessness and housing-focused  In addition, Cal ICH asked ERF applicants to explain in their applications funding (e.g., HHAP, how they included people with lived experience in the planning of their ESG-CV, HSP) and projects and to include specific activities that will support engagement analyze the information with the people living in the encampment site in the implementation and gathered in response. assessment of the proposed project. 20 ACTION AREA 1 Activity 5: Identify and profile strong local examples, provide guidance to local organizations on: how to establish and manage effective processes; how to Cal ICH intends to develop such guidance after implementation of the Lived support knowledge Experience Advisory Board (LEAB) so that the tools and materials are informed and skill development and shaped by the guidance of the LEAB. of people participating in such processes; and effective surveying and input processes that complement formal structures.  Objective 3: Incentivize interjurisdictional and regional planning, decision-making, and accountability, and support capacity for such coordination through “mapping” and local gaps analysis activities focused on needs, demographics and inequities, and service delivery capacities. Many State agencies have implemented activities to strengthen joint planning and coordination and examples include:  Cal ICH HHAP Round 3 grant applicants were: • Encouraged and incentivized to submit joint applications from eligible Activity 1: Support and CoCs, Cities, and Counties in overlapping jurisdictions. strengthen expectation of joint CoC-county-city • Required to coordinate in the development of local homelessness planning and action plans and related analyses and in setting 6 Outcome Goals coordination in awards shared across CoC-County-City regions and to determine the and implementation of strategies each jurisdiction would implement in pursuit of those goals. State homelessness • Required to demonstrate how the applicant has coordinated, and will funding. continue to coordinate, with other jurisdictions, including the specific role of each applicant in relation to the other applicants in the region.  For Cal ICH’s ERF and Family Homelessness Challenge (FHC) grants, competitive applications were evaluated and scored on their cross systems collaborations and service strategies to help people experiencing homelessness transition towards safe and stable housing. Activity 2: Provide Examples of relevant technical assistance (TA) provided in FY 21-22 include: technical assistance and guidance to  Cal ICH entered into the following contracts for technical assistance: grantees and partners • Third Sector Capital Partners, Inc. providing TA to all Cal ICH grantees in support of regional on implementing performance-based contracting to improve systems planning and outcomes and building strategies to improve local partnership strengthening of development. regional approaches to 21 ACTION AREA 1 preventing and ending • Homebase, providing TA to ERF round 1 and 2 grantees to support homelessness. effective strategies for resolving encampments and building pathways to permanent housing.  Technical assistance was provided through Cal ICH to 76 HHAP round 3 applicants to assist them in setting shared, regional goals for underserved populations and populations disproportionately impacted by homelessness. This technical assistance focused on interpreting data within the community and regional approaches on setting strategies to achieve the goals.  Cal ICH-supported TA on youth programming was initiated and Phase 1 of the Youth Action Board Collaborative (YAB-Collab) included a series of 6 webinars available to all Cal ICH grantees. The webinars educated grantees on best practices to establish youth action boards within their local jurisdiction. Activity 3: Utilize the Homeless Data Integration System to conduct analysis to support regional and Cal ICH hosted 6 HDIS Academy sessions (from May 2021 - Oct 2021) to cross-jurisdictional support CoCs in utilizing this data. Recording clips from the sessions are analyses, planning available on our YouTube channel. discussions, and decision-making. Activity 4: Leverage HCD's role in reviewing and regulating Housing Elements, with Cal ICH's interagency scope, to deliver a new level of technical assistance on In FY 21-22, HCD reviewed 506 Housing Elements (compared to 119 in FY 20- homelessness to cities 21). An interagency technical guide to provide local governments with and counties, and, in resources and information on addressing homelessness was delayed in FY 21- collaboration with other 22 and will be discussed with Cal ICH member departments in FY 22-23. State departments, Technical assistance was provided for HCD program specific applicants such develop an as Homekey. interagency guide on actions city governments can take to address homelessness. Activity 5: Provide HCD awarded 486 SB 2 Planning Grants, 515 Local Early Action Planning grants resources that Grants, and 39 Regional Early Action Planning Grants (31 REAP 1 and 8 REAP support local and 2). These grants are aimed at providing funding and technical assistance to regional planning and 22 ACTION AREA 1 initiatives through SB 2 local governments for streamlining approvals for housing developments, Planning Grants, Local accelerating production, and facilitating regional projects. Early Action Planning Grants, and Regional HCD has awarded a total of 1,040 grants for SB 2, Local Early Action Planning, Early Action Planning and Regional Early Action Planning grants, exceeding the goal of awarding Grants. 1,027 by FY 22-23. Activity 6: Collaborate with the U.S. Department of Veterans Affairs to strengthen the cohesion among California’s Veterans Planning expected to be underway during the First Quarter of FY22-23. Affairs Healthcare Systems’ homeless programs and State and local homelessness systems.  Objective 4: Enhance partnerships between homelessness services systems and services and systems which can support asset building and wealth building, including improving access to educational opportunities and employment services and employment for people experiencing and exiting homelessness. Activity 2: Provide technical assistance to enhance capacity of local educational agencies (LEAs) to provide services and In addition to continued informational emails, and webinar presentations, the supports for students CDE Homeless Education Program (HEP) included trainings to build the experiencing capacity of county offices of education to in-turn support LEAs through the homelessness and Homeless Education Technical Assistance Centers (HE TACs). housing instability to foster educational achievement and progression. Activity 3. Assess the impact of employment Caltrans reports that while they do not track if Caltrans positions are being opportunities provided occupied by people experiencing homelessness , many people who through Caltrans’ voluntarily disclosed that they are experiencing homelessness have been Service Assistance hired into Service Assistance Maintenance positions are successful in Maintenance positions advancing within Caltrans. on hiring of people 23 ACTION AREA 1 experiencing homelessness and access to promotional opportunities and career ladders. Activity 4: Collaborate with local educational agencies (LEAs), state level educational partners, youth The CDE HEP, through the HE TACs, conducted Regional Quarterly Meetings to organizations and build the capacity of the County Offices of Education (COEs), with CDE HEP across divisions within staff in regular attendance to provide state level updates, support the CDE to identify transparency and continuity across the state. Communities of Practices have needs of students been established related to a need of rural specific support strategies for experiencing LEAs. CDE HEP staff held regular COVID-Pandemic virtual support meetings homelessness related to with COEs to continue to support families in regards to free meals, Pandemic distance learning and EBT, social emotional supports, rights and protections, advocacy, legislation, develop strategies, and other service needs. resources, and tools to address those needs. Activity 5: Communicate and CDE is in the final stages of finalizing the HE TAC Resource webpage and HUB. disseminate guidance A total of 3 Tip Sheets/Fact sheets have been developed (see below) and 3 to county offices of additional will be released in the coming year. education (COEs), local educational  Identifying Students Without Stable Housing: A Critical First Step agencies (LEAs), and  Prompt and Proper Placement: Enrolling Students Experiencing partnering agencies to Homelessness without Records strengthen support for  Supporting Evacuee and Refugee Children and Youth Under McKinney- students experiencing homelessness. Vento As reported in the Spring 2022 semester, the number of students served Activity 6: Implement through the CCCCO HHIP program increased across many of the pilot sites. and evaluate the The Program served 332 students in Fall 2020, and in Spring 2021 672 students Homeless and Housing were served. There was a 102% increase in students served from Fall 2020 to Insecurity Pilot (HHIP) Spring 2021. The most common services provided include: case Program, which management, housing navigation services and ongoing rental assistance. All provides housing colleges executed a Memorandum of Understanding (MOU) with a Housing services and support to Service Provider or had an MOU in-progress. 36% of participating colleges homeless and housing hired new HHIP program staff as of June 2021. insecure students. CCCCO continued to provide professional development trainings to colleges piloting the HHIP on topics including successful data collection/submission and annual fiscal reporting. Participating colleges will submit a secondary set 24 ACTION AREA 1 of data including both aggregate survey data and unitary student data December of 2022. Activity 7: Implement the Returning Home Well initiative in partnership with philanthropic organizations, addressing the employment needs of people transitioning To date, CDCR’s Returning Home Well initiative has supported 5,701 from corrections enrollments for Returning Citizen Stimulus stipends to support people’s settings, including participation in employment services, distributing more than $13 million in such through the provision of financial support. stipends to support people’s participation in employment services and through the leveraging of local workforce services and partnerships. Activity 8: Monitor local The CDE HEP continues to add to the matrix for LEA selections, including educational agencies’ student enrollment data, board approved policies that ensure students and (LEAs’) implementation the LEA practices are not stigmatizing nor segregating to children and youth of the McKinney–Vento experiencing homelessness. FPM reviews include ensuring the role and duties Homeless Assistance of the local liaison are in place, that students are identified and served with Act. comparable services as their peers in order to ensure academic success and access. CCCCO continues to participate in bi-weekly meetings of the California Higher Education Basic Needs Alliance (CHEBNA) with the California State Activity 9: Participate in University and University of California systems. In Spring 2022, CHEBNA hosted California Higher its second annual Virtual Learning Series for higher education professionals Education Basic Needs across the state. This series included sessions that addressed ways to continue Alliance intersegmental to support student in a number of areas including specific pandemic related workgroup with CSU information. Topics included: increases in the availability of financial aid, and UC systems to policy changes to State/Federally sponsored food security programs, housing advance basic needs services and health and mental health supports. security including addressing Recent CHEBNA meetings have focused on extensive involvement and homelessness and advocacy in the statewide roll out of the recently developed BenefitsCal web housing insecurity for portal. A CCCCO staff was appointed as a formal representative on the students to increase statewide BenefitsCal Advisory Commission to represent the needs of college their success. students throughout the state. During the one-year tenure and as a result of CCCCO participation on the Commission, multiple modifications have been made in the BenefitsCal system, modifications that accommodate the unique needs of colleges students attempting to access public benefits. CHEBNA continues to work in partnership with the California Department of Social 25 ACTION AREA 1 Services, through the statewide Student Eligibility Workgroup, to expand student access to CalFresh benefits. Specifically, CHEBNA has helped to increase the number of campus-based programs that provide CalFresh exemptions to college students. This effort has resulted in a total of 2,800 college-based programs, across all three segments of Higher Education in the state, being approved as CalFresh exempting program.  Objective 5: Support California communities to develop disaster preparedness plans that are more inclusive of the needs of people experiencing homelessness. Cal ICH connected with local communities as well as State and Federal partners to assess and gather resources and examples of disaster preparedness and response to emergencies focused on the inclusion of people experiencing homelessness. Learnings and updated resources were Activity 2: Assess and featured through the monthly Cal ICH Newsletter in Q4 of FY 21-22. The document strong local- following guidance and resources were disseminated through the Cal ICH and state-level Newsletter: examples of disaster  Disaster Recovery Homelessness Toolkit preparedness and responses to recent  Infectious Disease Toolkit for Continuums of Care: Preventing & Managing emergencies, in order the Spread of Infectious Diseases for People Experiencing Homelessness to develop stronger  Disaster Guide for People Experiencing Homelessness guidance and  Disaster Response Planning for Homeless Service Providers expectations regarding  Disaster Response for Homeless Individuals and Families: A Trauma- services and supports Informed Approach for people experiencing  Disease Risks and Homelessness - HUD Exchange homelessness in disaster  Technical Assistance Center - Disaster Response: Plan and Respond to preparedness, Behavioral Health Needs (DTAC) | SAMHSA response, and recovery  Emergency Preparedness | National Health Care for the Homeless efforts. Council (nhchc.org)  Tips for Survivors of a Disaster or Other Traumatic Event: Coping with Retraumatization  Disaster Preparedness to Promote Community Resilience  Protecting Californians From Extreme Heat Activity 3: Identify opportunities to further embed a focus on Cal ICH established initial connections with State departments, including Cal people experiencing OES, CDSS, and CDPH in Q3 and Q4 FY 21-22 to gain better understand of homelessness into current efforts, and discuss opportunities for further collaboration and to fully emergency and embed the inclusion of people experiencing homelessness into local disaster response emergency preparation, response and recovery. This is a continued focus for efforts. Cal ICH in FY 22-23. Activity 4: Explore models and feasibility of providing enhanced No significant progress on implementing this Activity was reported for FY 21-22. case management services of longer 26 ACTION AREA 1 duration focused on post-disaster housing needs (i.e., "Regional Centers" model.)  Objective 6: Expand State communications efforts to create public awareness of the State’s homelessness strategies, successes, challenges, and the importance of Housing First approaches. Throughout FY 21-22, BCSH continued to provide information and updates Activity 1: Continue through the Housing is Key website, to help Californians stay in their homes. implementation of the The website includes information about tenant and homeowner protection Housing is Key and resources. In January 2022, the Housing is Key website expanded to campaign, providing include information about the California Mortgage Relief Program (MRP), materials and resources which is designed to help homeowners get caught up on past-due housing to help Californians stay payments and property taxes to keep them stable in their homes. As of in their homes, August 2022, the program has served more than 4,700 households and understand their deployed more than $148M in assistance. Of the households assisted, housing options during approximately 18% are between 30% and 50% Area Median Income (AMI), COVID-19 and beyond, and nearly 47% are at 30% AMI and below. and to educate the public regarding the The COVID-19 Emergency Rent Relief Program (ERAP) provided assistance to causes of lower income households, at greatest risk of eviction and homelessness, homelessness, effective caused by pandemic-related hardships. ERAP applications were accepted solutions, and State through March 31, 2022 and State law extended eviction protections until strategies and June 30, 2022 for qualifying applications received by March 31. The program programs. has served more than 351,000 households and deployed more than $4.3B in rental assistance through August 2022. Of the households assisted, approximately 23% are between 30% and 50% Area Median Income (AMI), and 62% are at 30% AMI and below. Examples of the implementation of this Activity include: Activity 2: Provide  Cal ICH released content and conducted multiple webinars focused on homelessness-focused Housing First implementation and effective programs and practices. communications to local partners, including  The Cal ICH monthly newsletter informs stakeholders of local, State, and webinars, videos, tools, Federal activities, best practices, and resources to prevent and end guidance, and other homelessness. Topics include resources and federal guidance to address resources and unsheltered homelessness; strategic collaboration between PHAs and materials, focused on CoCs; resources for youth-centered programs and interventions; and Housing First strategies and resources to improve racial equity in the homelessness implementation, response system. strategic use of funding sources, and effective  Cal ICH hosted the following webinars: programs and practices. • Building Housing First into the Homelessness Response on February 22, 2022. The webinar featured a presentation from Kern County on system integration, partnership and data input/outcomes presented to Cal ICH grantees at the Cal ICH HHAP Office Hours. 27 ACTION AREA 1 • Housing First: An Overview of Core Components and Practices on March 2, 2022. The webinar provided an overview of Housing First statutory language, core components of the Housing First approach and best practices when implementing Housing First programs. • Cultivating Authentic Youth Engagement on June 15, 2022. The webinar, presented in partnership with the Technical Assistance Collaborative, focused on the foundations of authentic youth and what meaningful partnership should entail. Attendees also heard from a local community currently cultivating meaningful partnerships with youth experiencing homelessness.  Cal ICH implemented Governor’s 100-Day Challenges: As of June 2022, fifteen communities have completed a 100-Day Challenge, eight of which completed their 100-Day Challenge in FY 21-22.  State agencies and departments collaborated on the development and release of the Putting the Funding Pieces Together guide in FY 21-22 to support communities to identify the most strategic and effective uses of State and Federal funds to prevent and end homelessness. Activity 3: Prepare public-facing materials and articles based upon data and information drawn from the Homeless Data Integration System Due to numerous competing high-priority activities, Cal ICH did not make warehouse, to educate significant progress on this Activity in FY 21-22. the public on challenges, activities, and implementation of programs and resources. Activity 4: Proactively analyze and develop educational materials that interpret and communicate key findings of national Due to numerous competing high-priority activities, Cal ICH did not make reports focused on significant progress on this Activity in FY 21-22. homelessness and featuring California data, such as HUD’s Point-in-Time count data and reporting. 28 ACTION AREA 2 Action Area 2. Equitably Addressing the Health, Safety, and Services Needs of Californians Experiencing Unsheltered Homelessness ACTION AREA 2 Equitably Addressing the Health, Safety, and Services Needs of Californians Experiencing Unsheltered Homelessness This Action Area includes activities focused on addressing health and safety needs and increasing access to State-supported services and programs for people who are experiencing unsheltered homelessness.  Objective 7: Continue to support California communities to implement multi-agency, multi- jurisdictional outreach and protective measures addressing the health and safety needs of people experiencing unsheltered homelessness, throughout the COVID-19 pandemic and beyond. Cal ICH released a survey in Q4 of FY 21-22 to Cal ICH grantees to better Activity 1: Create, understand current efforts to address unsheltered homelessness and disseminate, and encampments in California. The information gathered was used to inform next support steps to be taken to support coordination efforts across systems and identify implementation of additional resources that may be available to assist the local homelessness clear and effective response system in rehousing individuals currently experiencing unsheltered policies and homelessness. Cal ICH will be conducting one-on-one follow up with procedures for individual jurisdictions to further understand current practices related to addressing the needs managing and addressing service needs within encampments in FY 22-23 to of people currently support the creation and dissemination of guidance materials. staying in encampments, Cal ICH implemented the fourth round of the Governor’s 100-Day Challenges including on State- through which Cities, Counties and CoCs in Merced, Sacramento, San owned land. Bernardino, and Santa Cruz came together to rapidly design and implement strategies to create solutions for people living in encampments in their communities. Summaries of the work completed by each community will be released in FY 22-23. Activity 3: Create, disseminate, and support implementation of resources related to vaccination efforts for The Department of Public Health and Cal ICH partnered to create and people experiencing disseminate resources related to addressing the needs of people unsheltered experiencing homelessness during public health emergencies, including homelessness and guidance to local partners regarding vaccination efforts for both COVID-19 outreach staff, and Mpox. including promoting eligible uses of State funding for such efforts. 29 ACTION AREA 2 Activity 4: Promote strong practices for identifying and The Cal ICH Youth and Young Adults Working Group will develop these engaging unsheltered practices and guidance. Plan to recruit and launch Working Group in FY 22- young people into 23. available services and supports. Activity 5: Work with community partners to document and assess the unique risks and vulnerabilities of unsheltered young The Cal ICH Youth and Young Adults Working Group will develop these adults and provide practices and guidance. Plan to recruit and launch Working Group in FY 22- guidance on 23. implications for assessments and coordinated entry systems. Activity 6: Provide guidance and support for the utilization of State funding to effectively address the health and safety needs of people experiencing Cal ICH is in the process of drafting guidance to effectively address the health unsheltered and safety needs of people experiencing unsheltered homelessness. Cal ICH homelessness, including will be working in collaboration with the State Funding and Programs Working guidance regarding Group to issue this guidance in FY 22-23. State funds that can be used for basic needs and protective measures, e.g., showers, hygiene supplies, and sanitation services. Activity 7: Promote the eligible uses of State funding for employing Due to numerous competing high-priority activities, Cal ICH did not make specialized peer significant progress on this Activity in FY 21-22. positions to better reach and engage people experiencing 30 ACTION AREA 2 unsheltered homelessness into available services and supports.  Objective 8: Improve access, and address racial inequities within such access, to essential State-supported services appropriate for the needs of people experiencing unsheltered homelessness, including through Medi-Cal and behavioral health care reforms. Activity 1: Utilize new HDIS to begin Phase 2 of the system, featuring data-matching to other statewide data Cal ICH priorities for HDIS have shifted into implementing new System systems, with the intent Performance Measures (SPM) for the HHAP program and other uses and to analyze the therefore Phase 2 has been redefined to focus on those efforts. Staff consults participation and with agency leadership when there are any other agencies that have access to benefits and expressed interest in interfacing with HDIS services of people who are unsheltered within key State programs. Activity 2: Implement CalAIM proposals seeking to extend statewide the service options available under DCHS received Federal approval of its CalAIM 1115 Demonstration and WPC and Health 1915(b) Waiver. MCPs submitted their ECM and Community Supports Model of Homes Program (HHP) Care submissions in January-April for the July 1, 2022 Implementation Phase, through the Enhanced and July-September for the January 1, 2023 Implementation Phase. The July 1, Care Management 2022 Implementation Phase has been approved and DHCS is currently (ECM) program and In reviewing the January 1, 2023 Implementation Phase submissions. The Lieu of Services (ILOS), Implementation timelines for ECM and CS are communicated through DHCS’ including incentive ECM and CS Policy documents available, including the Policy Guides for funding, to better each program. DHCS measures ECM/CS Outcomes for Members transitioning address the health and from WPC and HHP through the ECM/CS Transition Report, which were behavioral health care submitted to and received by DHCS on May 16, 2022. needs of people who are unsheltered. Activity 3: Continued operation of Whole The DHCS Health Homes Program (HHP) and Whole Person Care (WPC) Pilot Person Care pilots and Program terminated on December 31, 2021 and are both no longer in Health Homes Program operation. All HHP and WPC enrollees were successfully transitioned into ECM care coordination and and/or Community Supports, depending on each individual member’s needs. housing services in 2021 31 ACTION AREA 2 to continue to strengthen access to health and behavioral health services for people who are unsheltered. DHCS continues to provide technical assistance to Counties to improve data Activity 4: Continue collection and to ensure timely submission of data, which they continue to operation and collect. As of July 2022, 53 of 59 Counties (including Berkeley City) have enrollment of submitted timely data to DHCS. Two of the 6 Counties not in compliance with Community Services data submission requirements are making internal improvements to their IT and Supports program system. For Counties not current on data submission DHCS provides technical housing services assistance and direct IT support, as needed. through county-level plans through Mental DHCS continues to review and analyze data submissions from counties to Health Services Act determine the number of individuals enrolled in an FSP, the type of housing resources. provided, employment or educational status, legal, and other demographic information. When inconsistencies are noted, DHCS is contacting counties to resolve errors or discrepancies in reporting to ensure accurate county reporting of FSP enrollment and/or housing status. 32 ACTION AREA 3 Action Area 3. Expanding Communities’ Capacity to Provide Safe and Effective Sheltering and Interim Housing ACTION AREA 3 Expanding Communities’ Capacity to Provide Safe and Effective Sheltering and Interim Housing This Action Area includes activities focused on expanding the supply of safe, housing- placement focused sheltering and interim housing models and addressing health and services needs of people staying within such programs.  Objective 9: Partner with communities to implement innovative approaches and expand the supply of safe, housing-placement focused sheltering and interim housing models for Californians experiencing homelessness. Examples of State agencies and departments implementing such funding include:  Cal ICH operates HHAP and Tribal HHAP, which helps fund emergency shelter and interim housing. These shelters were required to show a demonstrated need including a “plan to connect residents to permanent housing” per Health and Safety Code Section 50220.5 (d)—strengthening the focus on housing placements from shelter and interim housing. More detailed program data will be available in Cal ICH’s next annual funding report. Activity 2: Implement a wide array of State and  Cal ICH’s Encampment Resolution Fund and Family Homelessness Federal funding that Challenge grantees are required to set goals regarding how many support the provision of individuals and families they will connect to shelter/interim housing and to safe, effective housing- permanent housing. These program dollars may also be used to create placement focused new interim or permanent housing units. sheltering and interim housing models for  CDSS funds a number of housing programs that are designed to support people experiencing program participants through their quick and safe transition to permanent homelessness, with housing. identification of clear • Project Roomkey: On July 29, 2021, CDSS released Project Roomkey goals and targets for (PRK) Allocations Available for FY 2021-22 to notify counties and the number of shelter or federally recognized tribal governments operating a PRK of funding to interim housing continue providing Project Roomkey and Rehousing Strategy non- opportunities to be congregate shelter and rehousing services in FY 2021-22. supported through each program. Forty-three counties and three tribes, for a total of 46 grantees, accepted $143.0 million in need-based, non-competitive allocations for FY 2021-22. Final award information, including participating local county and tribal social service agencies can be viewed in CFL 21/22- 29. On October 25, 2021, CDSS released the Project Roomkey Rehousing Plan Template to support all communities in their work across systems to ensure participants exit into permanent housing. CDSS is in the process of working with all PRK grantees to support them in developing and executing local PRK Rehousing Plans. As of January 2022, over 50,000 people had been served by Project Roomkey, for the purpose of both isolation (short stays) and medically 33 ACTION AREA 3 vulnerable (longer term) sheltering. At the height of the program in August 2020, 16,427 rooms were secured by Roomkey, surpassing the statewide goal of 15,000 rooms. As of February 2022, 10,415 (22%) of PRK participants had exited to permanent housing. Other destinations of clients exiting PRK include the following: 35% had exited to temporary housing or congregate shelter; 10% to institutions or other; and 18% to unknown destinations. The remaining 15% had exited to unsheltered homelessness. • Home Safe Program: CDSS operates Home Safe, which provides housing-related assistance to individuals in Adult Protective Services who are experiencing or at risk of homelessness, including direct financial assistance and housing navigation to secure both interim and permanent housing. From program inception in July 2018 to March 2022, Over 3,700 people have received assistance through the program (including over 2,100 instances of temporary housing being provided to clients), and more than instances of 1,500 housing financial assistance were provided (i.e., rental payments and rental arrears)  Bringing Families Home Program (BFH) program provides a range of housing supports to families receiving child welfare services who are experiencing or at risk of homelessness, thereby increasing family reunification and preventing foster care placement. BFH assists families with interim housing, including but not limited to hotel, motel or bridge housing, until permanent housing is available and provides this assistance alongside housing navigation services to ensure participants are able to move into permanent housing as quickly as possible. As of May 2022, more than 1,900 families have been permanently housed through BFH since program inception in 2017.  CalWORKs Homeless Assistance (HA) can help families in the CalWORKs program pay the costs of temporary shelter, pay a security deposit for permanent housing, or pay to prevent eviction. In FY 21-22, more than 44,500 families were approved to receive temporary HA benefits, which help pay for the cost of temporary shelter.  CDSS’s Housing and Homelessness Diversion works closely with the CDSS Transitional Youth Policy Unit in the Children and Family Services Division to ensure the Transitional Housing Programs for current and former foster youth are connected to housing services for which they are eligible. Programs include Transitional Housing Placement Program, Transitional Housing Placement-Plus-Foster Care, Transitional Housing Program-Plus, and Transitional Housing-Plus Housing Models.  HCD-implemented ESG-CV interim housing (emergency shelter and temporary emergency shelter) during FY 21-22 and outcomes included: • Average length of time in Emergency Shelter of 65 days; • Median length of time in Emergency Shelter of 21 days; • 30,100 served in Emergency Shelter; • 19% exited to a positive housing destination. • This data is not yet filtered to the CA HCD universe and represents all ESG-CV programs across the state and not just those funded by HCD. 34 ACTION AREA 3  HCD made 17 CDBG-CV awards in FY 21-22 for the rehabilitation of interim housing and operating costs for people experiencing homelessness and people living with HIV, with a total of more than $14.2 million invested in interim housing.  In FY 21-22, HCD’s Transitional Housing Program awarded $8 million to 47 counties to help young adults aged 18 to 25 years find and maintain housing, with priority given to those formerly in the foster care or probation systems. In FY 21-22, Transitional Housing Plus program awarded approximately $9 million to five counties. These funds will provide transitional housing for young adults who exited foster care on or after their 18th birthday and are not 24 years of age.  In FY 21-22, HCD’s Pet Assistance and Support program competitively awarded approximately $10 million to 36 emergency shelter providers. These funds provide funding for pet food, pet supplies, basic veterinary services, and staffing and liability insurance related to providing those services.  Cal OES administers six grant programs (with approximately 165 Subrecipients) with the primary purpose of providing shelter and housing services to victims of crime. During FY 21-22, an average of 4,300 California victims of crime, per quarter, received emergency shelter, safe haven, or transitional housing services through the following four programs: Homeless Youth Exploitation Program; Specialized Emergency Housing Program; Transitional Housing Program; and Domestic Violence Housing First Program. During FY 21-22, these four programs combined provided more than 55,900 nights of shelter and more than 253,000 nights of transitional housing.  Two additional Cal OES programs, the Homeless Youth and Emergency Services and Housing and Homeless Youth Emergency Services Pilot Programs, provided emergency shelter and housing assistance to more than 2,100 youth, and stabilization planning to more than 3,400 youth. Through the TA Program, HCD has completed and continues to host regional planning commissioner trainings aimed at educating elected officials on the Activity 4: Provide and importance of implementing housing policy. This includes presenting on topics promote guidance and such as streamlining permanent supportive housing and allowing for a variety technical assistance of housing types including transitional and supportive housing and group regarding modifications homes. of land use, zoning, and other requirements for By 2023, HCD will have completed 25 regional planning commissioner emergency shelters, trainings. The TA program also provides guidance and technical assistance navigation centers, and through its Housing Planning HUB and TA specific to Prohousing policies interim housing including housing element requirements for people experiencing programs. homelessness through the People Experiencing Homelessness webpage. The TA program has provided model ordinances and templates on implementing requirements related to emergency shelter parking, low-barrier navigation centers, and permanent supportive housing. 35 ACTION AREA 3 Activity 5: Implement the Returning Home Well initiative, in partnership with philanthropic organizations and local partners, to expand CDCR continued implementing the Returning Home Well initiative and residential treatment received additional funding received in the FY 22-23 budget. The Division of and interim housing Rehabilitative Programs continuously reviews capacity in the Specialized options, including Treatment for Optimized Programming (STOP) network in order to ensure there recovery housing are resources available for returning citizens. models and quarantine options during the pandemic, for people transitioning from corrections settings. Cal ICH continues to include Housing First requirements in the NOFA and guidance for all Cal ICH-administered grants. Activity 6: Provide technical assistance In Q3 of FY 21-22, Cal ICH hosted the webinar Housing First: An Overview of and guidance that will Core Components and Practices for local and State partners. The webinar support the continued provided an overview of Housing First statutory language, core components application of Housing of the Housing First approach and best practices when implementing Housing First practices, including First programs. lowered barriers and housing-focused In addition, in Q3 and Q4 of FY 21-22, Cal ICH administered a survey to assess services and supports, compliance with Housing First statute across 27 State-funded programs. Staff within sheltering and are currently in the process of summarizing the findings of that survey in a interim housing report to the Council and will begin individualized guidance with State programs. partners after that. This is the first step in ensuring statewide compliance with Housing First and understanding what resources are needed for effective implementation and will inform decisions regarding future technical assistance and guidance efforts. Activity 7: Coordinate with local partners and national organizations to identify effective Cal ICH began initial conversations with national partners to identify current practices for providing practices and resources for providing safe and effective sheltering and safe and effective interim housing options in Q3 and Q4 of FY 21-22. Cal ICH will work with local sheltering and interim and national partners to promote effective and updated resources in Q2 and housing options, and Q3 of FY 22-23. promote such practices within the Cal ICH will be launching a resource repository within the Cal ICH website implementation of inclusive of materials released by State and Federal partners, and promising State and Federal and best practices to prevent and end homelessness. resources. 36 ACTION AREA 3 Activity 8: Provide guidance and coordination for VA Grant and Per Diem Planning expected to be underway Q1 FY22-23, including the CalVet Annual grantees to create Leadership Summit in September 2022 intended to have a significant synergy among veteran homelessness related agenda. transitional housing and permanent supportive or affordable housing.  Objective 10: Expand alignment and engagement of State resources, including Medi-Cal and behavioral health care resources, in efforts to address health disparities and services needs among Californians temporarily staying within sheltering and interim housing options. Activity 1: Utilize the Homeless Data Integration System to perform data-matching analyses to document and assess the Cal ICH utilizes HDIS for reporting and analysis of housing programs participation and implemented. New System Performance Measures are being put in place for access to benefits and a better representation of how grantees can track and monitor their goals. services of people staying in shelter and interim housing sites within key State programs. Activity 2: Continued operation and enrollment of Whole Person Care pilots and Health Homes Program in 2021 to continue to strengthen access to health and behavioral The DHCS Health Homes Program (HHP) and Whole Person Care (WPC) Pilot health services for Program terminated on December 31, 2021 and are both no longer in people who are staying operation. All HHP and WPC enrollees were successfully transitioned into ECM in shelter and interim housing sites. Enrolled and/or Community Supports, depending on each individual member’s needs. Health Home and Whole Person Care members will be transitioned to Enhanced Care Management and In Lieu of Services care coordination and 37 ACTION AREA 3 housing services, including incentive funding, in 2022. Activity 3: Develop and advance CalAIM proposals seeking to extend statewide the service options available under WPC and Health Homes DHCS received Federal approval of its CalAIM 1115 Demonstration and Program (HHP) through 1915(b) Waiver. MCPs submitted their ECM and Community Supports Model of the Enhanced Care Care submissions in January-April for the July 1, 2022 Implementation Phase, Management (ECM) and July-September for the January 1, 2023 Implementation Phase. The July 1, program and In Lieu of 2022 Implementation Phase has been approved and DHCS is currently Services (ILOS) care reviewing the January 1, 2023 Implementation Phase submissions. The coordination and Implementation timelines for ECM and CS are communicated through DHCS’ housing services, ECM and CS Policy documents available, including the Policy Guides for including incentive each program. DHCS measures ECM/CS Outcomes for Members transitioning funding, to better from WPC and HHP through the ECM/CS Transition Report, which were address the health care submitted to and received by DHCS on May 16, 2022. needs of people who are staying in shelter and interim housing sites. 38 ACTION AREA 5 Action Area 4. Expanding and Ensuring Equitable Access to Permanent Housing in Our Communities ACTION AREA 4 Expanding and Ensuring Equitable Access to Permanent Housing in Our Communities This Action Area includes activities focused on strengthening Housing First approaches and expanding permanent housing opportunities through development strategies, short- and long-term rental assistance, and other rehousing activities.  Objective 11: Mobilize State resources, technical assistance, and guidance to strengthen implementation of Housing First approaches and other best practices in support of equitably and urgently rehousing people from Project Roomkey sites, from other temporary settings, and from unsheltered homelessness. Examples of State agencies and departments implementing such funding include:  In addition to Cal ICH’s previously released HHAP round 1 and 2 grants, the HHAP round 3 grant totaled $1 billion and included support for rehousing and permanent housing interventions and a mandatory 10% set-aside for youth and young adults. In addition, Tribal HHAP allows for a wide range of uses, including rehousing and permanent housing interventions, and includes a requirement that 10% of funds be used to support youth experiencing homelessness. Activity 2: Implement a wide array of State and Federal funding  Cal ICH’s Encampment Resolution Fund (ERF) program grantees and programs that support Family Homelessness Challenge (FHC) grant recipients were required to the rehousing of set goals regarding how many individuals and families they will connect to people experiencing shelter and permanent housing, with ERF focused on rehousing from homelessness into a encampments and FHC focusing on hosing models that are best suited for diverse range of families, and local activities under both of these programs were being housing models, implemented during FY 21-22. including models appropriate for youth  CDSS provides funding, program development, and technical assistance and young adults, with for multiple statewide housing programs that provide rehousing services. identification of clear These programs assist children, families, and individuals experiencing rehousing goals and homelessness or housing instability. targets for the implementation of  In FY 21-22 CDSS and DHCS worked in tandem to design and implement each program. two new programs to support infrastructure projects: the Behavioral Health Continuum Infrastructure Program (BHCIP), managed by DHCS, and the Community Care Expansion (CCE) program, which is managed by CDSS. A Joint Request for Applications was launched in January 2022.  CDSS’ Project Roomkey and Rehousing Program supported the rehousing of people experiencing homelessness into a diverse range of housing models. Technical assistance providers were available to support communities in their work across systems to ensure all participants are able to achieve their housing goals. Communities received one-on-one support for completion and execution of their individualized Project Roomkey rehousing plans as well as technical assistance to address 39 ACTION AREA 5 barriers to successfully housing PRK participants. As of February 2022, 10,415 (22%) of PRK participants had exited to permanent housing. Other destinations of clients exiting PRK include the following: 35% had exited to temporary housing or congregate shelter; 10% to institutions or other; and 18% to unknown destinations. The remaining 15% had exited to unsheltered homelessness.  CDSS’ CalWORKs Housing Support Program (HSP) assisted families in the CalWORKs program secure and maintain permanent housing as quickly as possible without preconditions. HSP offers interventions such as rapid rehousing and housing-related wrap-around supportive services. Since program inception in 2014, through June 2021, HSP grantees have assisted more than 26,500 families secure permanent housing.  CDSS’ Bringing Families Home (BFH) program reduces the number of families in the child welfare system experiencing or at risk of homelessness, among other goals. It does this, in part, through offering rapid rehousing and permanent supportive housing depending on the family’s level of need. As of May 2022, more than 1,900 families have been permanently housed through BFH since program inception in 2017.  CDSS’ Housing and Disability Advocacy Program (HDAP) serves individuals, youth, and families who are at risk of homelessness or who are recently homeless. This may include youth and families with adults or children who may be eligible for disability benefits. Further, youth, including former foster youth, who may be eligible to receive benefits due to their own eligibility or eligibility of a parent based on a qualifying disability or benefits entitled to them from a parent and youth who are receiving benefits advocacy through County Child Welfare Agencies may be linked to HDAP housing assistance, as applicable. Over 2,600 people have been permanently housed from program inception through March 2022  In FY 21-22, HCD’s ESG-CV funded rapid re-housing programs totaling $103,714,420 across the state. Below are the impacts of those investments and outcomes: • 6,522 people accessed rapid rehousing • 2,395 (37%) have moved into housing • 917 (38%) remain in rapid re-housing for 6 months • 564 (24%) remain in rapid re-housing for 9 months • 230 (10%) remain in rapid re-housing for 12 months • 1,861 exited rapid re-housing and 912 (49%) exited to a positive housing destination • 25 (1%) returned to homelessness from rapid re-housing after 6 months • 14 (0.8%) returned to homelessness from rapid re-housing after 9 months • 8 (0.4%) returned to homelessness from rapid re-housing after 12 months • Development of a rapid re-housing manual (still in draft to be posted in late August) • This data is not yet filtered to the CA HCD universe and represents all ESG-CV programs across the state not just those funded by CA HCD  In FY 21-22, HCD’s Housing Navigator Program awarded $5 million to 45 counties to help young adults aged 18 and up to 21 years secure and 40 ACTION AREA 5 maintain housing, with priority given to young adults in the foster care system.  For FY 20-21, the California Emergency Solutions Grant (CESH) program funds served 951 Transitional Aged Youth and 936 minors. Data for FY 21- 22 is still being compiled as of August 2022. Activity 3: Develop and advance CalAIM proposals seeking to DHCS received Federal approval of its CalAIM 1115 Demonstration and expand CalAIM’s ability 1915(b) Waiver. MCPs submitted their ECM and Community Supports Model of to support housing- Care submissions in January-April for the July 1, 2022 Implementation Phase, related services and July-September for the January 1, 2023 Implementation Phase. through the Enhanced Care Management The July 1, 2022 Implementation Phase has been approved and DHCS is (ECM) program and In currently reviewing the January 1, 2023 Implementation Phase submissions. Lieu of Services (ILOS) The Implementation timelines for ECM and CS are communicated through care management and DHCS’ ECM and CS Policy documents available, including the Policy Guides housing services, for each program. including incentive funding, to assist DHCS measures ECM/CS Outcomes for Members transitioning from WPC and people to access and HHP through the ECM/CS Transition Report, which were submitted to and stabilize in housing. received by DHCS on May 16, 2022. Activity 4: Provide technical assistance, guidance, and training opportunities to Cal ICH continues to include Housing First requirements in the NOFA and strengthen the guidance for all Cal ICH-administered grants. implementation of Housing First practices In Q3 of FY 21-22, Cal ICH hosted the webinar Housing First: An Overview of and the achievement Core Components and Practices for local and State partners. The webinar of rehousing outcomes provided an overview of Housing First statutory language, core components in the implementation of the Housing First approach and best practices when implementing Housing of State and Federal First programs. resources. Activity 5: Assess and In Q3 and Q4 of FY 21-22, Cal ICH designed and administered a survey to revise the current assess compliance with requirements of the Housing First statute across 27 Housing First Checklist State-funded programs. This survey replaces the original checklist and for State agencies, includes a more comprehensive list of programs required to comply with confirm alignment with Housing First regulations. Housing First requirements of Staff are currently in the process of summarizing the findings of that survey in a relevant State report to the Council and will begin individualized guidance with State programs, and provide partners after that. This is the first step in ensuring statewide compliance with guidance, training, and Housing First and understanding what resources are needed for effective support to State 41 ACTION AREA 5 departments who need implementation. A summary of findings and next steps for strengthening to modify programs compliance will be issued during FY 22-23. and policies to achieve alignment.  Objective 12: Foster the creation of an expanded supply of affordable and supportive housing opportunities, paired with appropriate health and behavioral health care resources, and accessible and culturally responsive to people exiting homelessness, to people at lowest income levels, and to people from historically marginalized communities. Examples of State agencies and departments implementing such funding include:  In addition to Cal ICH’s previously released HHAP round 1 and 2 grants, the HHAP round 3 allocation totaled $1 billion and includes continued support for housing operating costs including subsidies. Creation of new housing units is an eligible use of funds under the HHAP program. Cal ICH provided guidance to HHAP grantees on the availability of HHAP funds covering operational costs to support HCD’s Homekey projects and increase the expansion of affordable and supportive housing opportunities.  Creation of new housing units is also an eligible use of funds under all Activity 2: Implement a rounds of Cal ICH’s ERF, FHC, and Tribal HHAP. These three programs are wide array of other still in the early implementation stages, but detailed program data will be State and Federal available with Cal ICH’s next annual report. funding programs that support expansion of  The CDSS Community Care Expansion Capital Expansion Program was affordable and established in FY 2021-22 and provides $570 million in infrastructure grant supportive housing funding for acquisition, construction, and rehabilitation to preserve and opportunities, with expand residential settings that expand the long-term care continuum for identification of clear Supplemental Security Income/State Supplementary Payment (SSI/SSP) unit production goals and Cash Assistance Program for Immigrants (CAPI) applicants and and targets for the recipients, including people experiencing or at risk of homelessness. implementation of Residential settings include but are not limited to adult and senior care each program. facilities, recuperative or respite care settings, and independent residential settings. A Joint Request for Applications was launched on January 2022 in coordination with the California Department of Health Care Services’ Behavioral Health Continuum Infrastructure Program (BHCIP). Additionally, $195 million in CCE Preservation Funds were made available via a noncompetitive allocation for the immediate preservation of licensed residential adult and senior care facilities serving applicants or recipients of SSI/SSP or CAPI, including those who are experiencing or at risk of homelessness. The Notice of Funding Availability (NOFA) was published on June 10, 2022.  CDSS funded housing programs help connect families and individuals to the right housing intervention and provide flexible funding for rental and 42 ACTION AREA 5 utility assistance, security deposits, move-in costs, habitability, legal services, and more. Some examples of how CDSS programs help expand affordable and supportive housing opportunities, include: • The BFH Program has increased utilization of the federally funded Family Unification Program. As of May 2022, more than 1,900 families have been permanently housed through BFH since program inception in 2017. • Local operators of HDAP have linked individuals to permanent supportive housing and affordable housing vouchers. As of June 2021, approximately 2,200 people have been permanently housed since HDAP inception in FY 17-18. • In FY 21-22, the CalWORKs Homeless Assistance program approved more than 2,700 families to receive permanent HA benefits, which help pay for the cost of permanent housing or to prevent eviction. • Project Roomkey and Rehousing Strategy supports costs related to housing navigation, move-in costs, and time-limited rental subsidies to support exits to permanent housing. Approximately 22% of Project Roomkey participants have exited to permanent housing statewide.  HCD administered the Homekey program to expand housing for persons experiencing homelessness or at risk of homelessness. Round 2 Homekey program awards made from FY 21-22 through July 21, 2022 will create 4,142 homes across 44 jurisdictions. An estimated 1,688 chronically homeless households and 305 homeless youth households will be served in these homes.  HCD administered the last planned round of NPLH awards until additional funding can be secured. Program awards in FY 21-22 totaled $517.2 million. This is anticipated to produce 2,413 NPLH units. An additional $64.6 million will be awarded in August/September 2022. Since HCD began making NPLH awards in 2019, the program has awarded over $1.8 billion to 45 counties and four cities. These funds are expected to create approximately 8,000 units of housing for the NPLH target population. As of July 2022, 245 NPLH projects have been funded, 142 projects are currently under construction, and 20 are complete. More projects are anticipated to be funded as Los Angeles, San Diego, San Francisco, and Santa Clara continue to make their own NPLH project awards with their NPLH block grant allocations from HCD.  HCD’s Veterans Housing and Homelessness Prevention (VHHP) Program awards in FY 21-22 totaled approximately $125 million This is anticipated to provide 542 VHHP units. Future awards under this program will be made under HCD’s Multifamily SuperNOFA.  CTCAC continues to provide priority for projects serving people experiencing homelessness in both the federal 9% and 4% low-income housing tax credit applications. As stated in the 2021 annual report, in 2021, CTCAC awarded $191.4 million in 9% credits to 106 proposed housing projects, totaling 6,235 affordable rental units. Of those units, They awarded $356.9 million in 4% credits to 164 projects, totaling 16,729 units. Between both the 9% and 4% awarded projects, more than 2,000 units are being developed specifically for homeless housing. 43 ACTION AREA 5 BCSH identified and implemented several opportunities to improve policies and practices in State housing programs that focus on extremely-low income households and housing for people exiting homelessness. This included alignment of definitions and opportunities to create more housing that serves people experiencing, exiting, or at risk of homelessness. BCSH oversaw this work in Homekey, the Multifamily Finance Super Notice of Funding Availability (Super NOFA), and the California Debt Limit Allocation Committee (CDLAC) Activity 3: Identify and Regulation process. implement efforts to • Homekey – In the second round of Homekey (2021-22), the program better align policies continued to prioritize housing for people exiting or at risk of and practices across homelessness. Through robust technical assistance, the program State housing agencies supports applicants in pursuing opportunities to leverage the State and programs, while award with local, Federal, and philanthropic funding that prioritizes retaining significant low-income households and housing for people exiting homelessness focus on extremely low- income households • Super NOFA – This process aligned four State programs into one NOFA and housing for people to support consistency, ease for applicants and alignment between exiting homelessness. programs. Primary goals of the Super NOFA include acting with urgency to address homelessness and housing stability, and harmonizing State policy objectives with the broader affordable housing finance system. • CDLAC – In 2021-22, BCSH continued working with the State Treasurer’s office as they revised the CDLAC regulations. BCSH offered input and collaboration to help align the regulations with State policy objectives, including the creation of an Extremely Low/Very Low Income Set Aside and Homeless Set Aside. Activity 4: Accelerate selection of developers HCD released one new excess State site through developer selection in FY 21- to create affordable 22 and selected developers for six sites released through 2021. Additionally, and supportive housing HCD anticipates releasing a multi-site Request for Qualifications (RFQ) for five on State-owned land. sites and stand-alone RFQs for up to three additional sites in 2022 for a total of 7-8 sites.  Objective 13: Improve access to short- and longer-term forms of rental assistance to encourage innovations, to support racially equitable and successful exits from homelessness, and to support housing development activities. Examples of State agencies and departments implementing such funding Activity 1: Implement a include: wide array of State and Federal funding  In addition to Cal ICH’s previously released HHAP round 1 and 2 grants, programs that support the HHAP Round 3 allocation totaled $1 billion and includes continued provision of various support for rental assistance, an eligible use of funds under the HHAP and forms of rental Tribal HHAP programs. assistance, with identification of clear  CDSS encourages program grantees to provide housing related financial goals and targets for assistance in the form of move-in costs, utility and security deposits, rental the number of subsidies in permanent housing once housing is located, other housing- households to receive related costs associated with supportive housing placements for those rental assistance with the highest needs, and other forms of financial assistance related to through each program. housing stabilization. 44 ACTION AREA 5  Additionally, flexible, short-, and long-term rental subsidies are a core component of all CDSS-funded housing programs. Eligible costs for housing-related direct financial assistance are outlined in respective program ACWDLs: Housing and Disability Advocacy Program (HDAP) (ACWDL, dated September 13, 2021), Home Safe (ACWDL dated October 15, 2021), and/or Bringing Families Home (BFH) (ACWDL dated February 11, 2022); Housing Support Program (ACWDL dated December 13, 2021).  In FY 21-22, HCD-implemented ESG-CV funded rapid re-housing programs across the state ($103,714,420) and the following are impacts and outcomes of those investments: • 6,522 people access rapid rehousing; 2,395 (37%) have moved into housing; • 917 (38%) remain in rapid re-housing for 6 months; • 564 (24%) remain in rapid re-housing for 9 months; • 230 (10%) remain in rapid re-housing for 12 months; • 1,861 exited rapid re-housing and 912 (49%) exited to a positive housing destination; • 25 (1%) returned to homelessness from rapid re-housing after 6 months; • 14 (0.8%) returned to homelessness from rapid re-housing after 9 months; • 8 (0.4%) returned to homelessness from rapid re-housing after 12 months; • Development of a rapid re-housing manual (still in draft to be posted in late August. • This data is not yet filtered to the CA HCD universe and represents all ESG-CV programs across the state not just those funded by CA HCD  Cal OES manages four programs that have rental assistance as an eligible housing option: Transitional Housing, Specialized Emergency Housing, Domestic Violence Housing First, Homeless Youth and Emergency Services and Housing. In FY 21-22, Rental assistance was provided more than 200 times.  CalHFA implements the federal Section 811 Project Rental Assistance Program to support innovative approaches to providing supportive housing for people with disabilities. Between Rounds I and II of Project Rental Assistance Program, CalHFA was awarded $24.1 million in rental assistance to fund the first five years of a 20-year rental assistance contract. A total of 348 units are receiving rental assistance and another 151 have encumbered funding for rental assistance. BCSH’s support of the COVID-19 Emergency Rent Relief Program (ERAP) includes advocacy and coordination with federal partners at the U.S. Treasury (UST). Approximately 45 percent of Californians are renters, higher than the 36 Activity 3: Prioritize percent of Americans that rent nationwide. In early 2022, the demand for increased rental rental assistance by California tenants impacted by COVID-19 exceeded the assistance resources dollars which had been made available by UST. within State’s federal BCSH responded to each update of UST guidance about eligibility for funding, advocacy. and reallocation of rental assistance dollars. This steady advocacy for additional rental assistance along with the strong performance of the State program resulted in increased funding for rental assistance to Californians. Through multiple reallocations from UST, the State program received an additional $500M for rental assistance. 45 ACTION AREA 5 Action Area 5. Preventing Californians From Experiencing the Crisis of Homelessness ACTION AREA 5 Preventing Californians from Experiencing the Crisis of Homelessness This Action Area includes activities focused on reducing entries into homelessness as people exit and/or receive services through State-funded programs and systems and enhancing communities’ capacity to provide targeted homelessness prevention and diversion services and assistance.  Objective 14: Reduce entries into homelessness as people exit and/or receive services from State-funded settings and systems, addressing racial inequities within risks of experiencing homelessness, with initial focus on people re-entering communities from jails and prisons, young adults connected to the child welfare and/or juvenile justice systems, and people exiting health care settings and programs. The HHC program creates permanent supportive housing for households who Activity 1: Implement are recipients of or eligible for health care provided through the Medi-Cal the Housing for a program. Healthy California program for individuals  Article I (Developers): The first completed project will begin converting who are recipients of or next year and will utilize referrals from local CoCs to fill tenant vacancies. eligible for health care HCD awarded capital loans and/or capitalized operating subsidy reserve provided through the grants to 20 permanent supportive housing developments that will serve Medi-Cal program, households experiencing chronic homelessness or homelessness and are providing tenant-based high-cost health users. In the next 48 months, these 20 projects will be rental assistance with completed and will add 1,574 affordable units throughout the state, supportive services or including 26 on-site management units, and 554 HHC designated units capitalized operating that will serve households experiencing chronic homelessness or reserve to existing homelessness and have high healthcare utilization. rental projects.  Article II (Counties): As of December 2021, HHC Article II program funds have served 130 participants, 112 of which have secured housing. DHCS has communicated informational and guidance materials and related training (supportive of Housing First) to MCPs on the Recuperative Care Activity 4: Implement (Medical Respite) Community Supports implementation. All guidance is also CalAIM to provide posted on DHCS’ ECM and Community Supports webpage. medically necessary • ActionPlan-5.14.4-Community Supports Policy Guide (Pg. 27) recuperative care • ActionPlan-5.14.4-Community Supports Explainer placements for unhoused people who On August 18th, 2022 DHCS will virtually host a CalAIM Community Supports are exiting acute Spotlight Series Webinar focused on the Recuperative Care (Medical Respite) inpatient facilities Community Support. and/or were recently hospitalized. DHCS measures the number of MCPs which have adopted, and which will adopt, the Recuperative Care Community Support and communicates this information via its ECM & Community Supports webpage. As of July 1, 2022 there 56 distinct implementations by 24 MCPs in 35 of California’s 58 counties. • ActionPlan-5.14.4-Final Elections by County 46 ACTION AREA 5 DHCS continues to measure Community Supports utilization across counties • ActionPlan-5.14.4-QIM Report Requirements • ActionPlan-5.14.4-QIM Report Activity 5: Implement the Returning Home Well initiative, in partnership with philanthropic organizations and local partners, to prevent experiences of homelessness for people transitioning from corrections settings by expanding CDCR continued implementing the Returning Home Well initiative and residential treatment received additional funding received in the FY 22-23 budget. and interim housing options, including recovery housing models and quarantine options during the pandemic, and by addressing transportation needs to facilitate access to such options. HCD administered the last planned round of No Place Like Home awards until Activity 6: Provide additional funding can be secured. Program awards in FY 21-22 totaled support through the No $517.2 million. This is anticipated to produce 2,413 NPLH units. An additional Place Like Home $64.6 million will be awarded in August/September 2022. Since HCD began program for the making NPLH awards in 2019, the program has awarded over $1.8 billion to 45 development of counties and four cities. These funds are expected to create approximately permanent supportive 8,000 units of housing for the NPLH target population. housing for persons who are in need of As of July 2022, 245 NPLH projects have been funded, 142 projects are mental health services currently under construction, and 20 are complete. More projects are and are experiencing anticipated to be funded as Los Angeles, San Diego, San Francisco, and homelessness, chronic Santa Clara continue to make their own NPLH project awards with their NPLH homelessness, or who block grant allocations from HCD. are at risk of chronic homelessness. In addition, FY 20-21 tenant outcome data available for NPLH measures reported in HMIS can be found in Section VI and Appendix 5 of the NPLH Annual Report. 47 ACTION AREA 5 In 2021, The Council on Criminal Justice and Behavioral Health (CCJBH) received a report from the Council of State Governments (CSG) Justice Activity 7: Assess Center, Reducing Homelessness for People with Behavioral Health Needs recommendations from Leaving Prisons and Jails: Recommendations to California’s Council on the Council of State Criminal Justice and Behavioral Health. To further explore these Governments’ recommendations, with the support of the California Health Care Foundation, Reducing Homelessness the CSG Justice Center and CCJBH hosted a webinar series from December for People with 2021 through April 2022 that focused on how key stakeholders from across the Behavioral Health justice, behavioral health, housing, and other systems can help people Needs Leaving Prisons successfully transition out of the justice system and into the community by and Jails report and connecting them with housing options that meet their needs. Specifically, the identify priorities for five-part webinar series covered the following topics: Building Partnerships actions to be taken in Between Corrections and Housing; Defining, Screening, and Assessing for FYs 21-22 and 22-23. Homelessness Risk; Common Practices for Connecting to and Using Housing as a Strategy for Diversion & Reentry; Developing New Housing; Leveraging Rental Assistance and Supportive Service Funding for People with Behavioral Health Needs Leaving Jails and Prisons. Additional information regarding these webinars, including registration, may be found on the CCJBH website. Activity 8: Utilize the Homeless Data Integration System (HDIS) to conduct analyses regarding people experiencing homelessness and their prior engagement with Cal ICH utilizes HDIS for reporting and analysis of housing programs the homelessness implemented. New System Performance Measures are being put in place for response system to a better representation of how grantees can track and monitor their goals. identify patterns of engagement and service utilization that can inform prevention and diversion strategies. Activity 9: Identify opportunities to assess and document information regarding housing status, housing instability, and homelessness among No reporting on this Activity is available at this time. households participating in increased number of State and State-funded programs and systems. 48 ACTION AREA 5 Activity 10: Continue to develop a long-term plan and strategy for improving health outcomes and the Work on this Activity is now planned for FY 22-23. delivery of fully integrated health care services for youth in foster care. Activity 11: Distribute funding and gather outcomes of the Housing Navigators In FY 20-21, the HCD Transitional Housing Program (THP) funds served 186 Program and participants and the Housing Navigators Program (HNP) served 22 Transitional Housing participants. Among the two programs, 105 foster youth were served. Data for Program for County FY 21-22 is still being compiled as of August 2022. Child Welfare Agencies.  Objective 15: Enhance communities’ capacity to provide targeted homelessness prevention interventions and to successfully divert people from entering shelter or experiencing unsheltered homelessness. Activity 1: Implement HCD’s CA COVID-19 rent relief program served 350,664 households with an the Emergency Rental average assistance of $12,252 from FY 2021-22 through August 16, 2022. Of Assistance resources the households served: administered through • 62.1% of households had incomes at or below 30% of Area Median the U.S. Department of Income (AMI); the Treasury to provide • 23.4% of households had incomes >30%-50% AMI; financial assistance to • 6.6% of households had incomes >50%-60% AMI; households facing rental arrears and risks • 7.8% of households had incomes >60%-80% AMI. of eviction and/or • Due to the injunction, there are still applications paused in their review homelessness. and HCD is unable to move forward until after the injunction is removed. Therefore, this data does not capture the full impact of those served. Activity 2: Implement a Examples of State agencies and departments implementing such funding wide array of State and include: Federal funding programs that support  In FY 21-22, due to the statutory changes in AB 135 and made further provision of various possible by one-time funds, grantees of CDSS programs Bringing Families forms of diversion and Home, Housing Support Program, and the Housing and Disability prevention services, Advocacy Program were able to expand services to homelessness with identification of prevention in addition to continuing to serve people experiencing 49 ACTION AREA 5 clear goals and targets homelessness. Home Safe and Homeless Assistance also continued to for the number of serve people at risk of homelessness, consistent with prior fiscal years. households to receive During July 2021- March 2022, approximately 30% of new Home Safe diversion and cases entered the program in housing, but at risk of homelessness and prevention services received prevention services. Additionally, the CalWORKs Permanent through each program. Homeless Assistance program provided over 2,700 families with services for retaining or obtaining housing in FY 21-22. Examples of homelessness prevention services from HHD programs may include rental backpay, connection to legal services, or landlord mediation. To assist grantees in implementing these changes, CDSS issued formal guidance including a definition of “at risk of homelessness” and best practices in delivering homelessness prevention services given each program’s unique target population. This initial homelessness prevention guidance was published in the respective program ACWDLs: Housing and Disability Advocacy Program (HDAP) (ACWDL, dated September 13, 2021), Home Safe (ACWDL dated October 15, 2021), and/or Bringing Families Home (BFH) (ACWDL dated February 11, 2022); Housing Support Program (ACWDL dated December 13, 2021). CDSS is working with grantees via technical assistance to help guide and understand how these new changes allow communities to stem the flow of individuals and families into homelessness, all the while continuing to serve those who are currently unhoused  HCD operates the California Emergency Solutions and Housing program, which explicitly includes prevention and diversion as an eligible activity. In FY 20-21, the program provided rental assistance, housing relocation or stabilization services to 5,513 individuals experiencing or at risk of homelessness. Data for FY 21-22 is still being compiled as of August, 2022.  In FY 21-22, HCD’s ESG-CV funded Homelessness Prevention programs ($1,192,934) across the state and the following are impacts and outcomes of those investments: • 2% or 124 people received homelessness prevention services and still became homeless; • Development and implementation of a targeted homelessness prevention manual. • This data is not yet filtered to the CA HCD universe and represents all ESG-CV programs across the state not just those funded by CA HCD.  In FY 21-22, HCD made 43 CDBG-CV awards totaling $6.5 million to communities for subsistence payments for low-and moderate-income households to keep housing and utility costs affordable and to keep people housed.  CalHFA implements the National Mortgage Settlement Housing Counseling Program, which allows California residents who are in danger of eviction or foreclosure to receive free counseling services. In FY 21/22, the program had 78 active Housing Counseling Agencies, served over 27,000 households, and distributed approximately $30 million in funds (see the most recent Quarterly Report). Since the program started in 2020, it has had an average of 77 HCAs, served 38,600 total households, and 50 ACTION AREA 5 distributed $50.6 million total funds. The program has an end date of June 2023.  The CalHFA Homeowner Relief Corporation has been chosen to administer the California Mortgage Relief Program. The Program uses federal Homeowner Assistance Funds to help homeowners get caught up on past-due housing payments and property taxes. The program is absolutely free and the funds do not need to be repaid. Since the program launched in the late 2021, it has served a total of 4,399 households, funded over $139 million with an average assistance amount of $32,124 per household.  Cal ICH’s HHAP and Tribal HHAP programs can also support a wide variety of prevention and diversion activities. Throughout FY 21-22, BCSH continued to provide information and updates through the Housing is Key site, to help Californians stay in their homes. This website contains information about tenant and homeowner protections, included an application portal (through March 31, 2022) for the CA COVID-19 Emergency Rent Relief Program (ERAP) and an application portal for the California Mortgage Relief Program (MRP), and more resources for tenants, landlords, and homeowners across the state. The website was updated Activity 3: Continue throughout the year to ensure that it included timely and accurate implementation of the information as the ERAP and MRP programs evolved. This included information Housing is Key about tenant protections that were contingent upon complete ERAP campaign, providing applications submitted to the ERAP application portal by March 31, 2022. The materials and resources ERAP and MRP messaging focuses on assistance to the lowest-income to help Californians stay Californians who may be at greater risk to become homeless from pandemic- in their homes or related hardships. understand their housing options during The ERAP dashboard shows that the State program has served more than COVID-19 and beyond. 351,000 households and deployed more than $4.3B in rental assistance through August 2022. Of the households assisted, approximately 23% are between 30% and 50% Area Median Income (AMI), and 62% are at 30% AMI and below. As of August 2022, the MRP Dashboard shows that the program has served more than 4,700 households and deployed more than $148M in assistance. Of the households assisted, approximately 18% are between 30% and 50% Area Median Income (AMI), and nearly 47% are at 30% AMI and below. Activity 6: Partner with Federal and national organizations to identify stronger homelessness prevention, diversion, Cal ICH will be launching a resource repository within the Cal ICH website and targeting inclusive of materials released by State and Federal partners, and promising practices, and promote and best practices to prevent and end homelessness. such practices within the implementation of State and Federal resources. 51 ACTION AREA 5 Activity 7: Provide technical assistance to strengthen and differentiate communities’ In alignment with federal partners, Cal ICH advised grantees that a homelessness community eviction prevention funds should be drawn down before using prevention, diversion, homelessness response resources such as HHAP. and eviction prevention plans and practices, in order to increase access to such services. 52 Attachment A: Action Plan Objectives From Action Plan adopted March 2021 and covering FY 21-22. ACTION AREA 1 ACTION AREA 2 Strengthening Our Systems to Better Prevent Equitably Addressing the Health, Safety, and and End Homelessness in California Services Needs of Californians Experiencing Unsheltered Homelessness  Objective 1 Strengthen racial equity-focused responses,  Objective 7 strategies, and activities of State agencies and of Continue to support California communities to local agencies and organizations receiving State implement multi-agency, multi-jurisdictional funding for any homelessness services and housing outreach and protective measures addressing the activities. health and safety needs of people experiencing unsheltered homelessness, throughout the COVID-  Objective 2 19 pandemic and beyond. Ensure that State and local planning and decision- making processes are deeply informed and  Objective 8 guided by recommendations from people with Improve access, and address racial inequities lived expertise from experiences of homelessness. within such access, to essential State-supported services appropriate for the needs of people  Objective 3 experiencing unsheltered homelessness, including Incentivize interjurisdictional and regional planning, through Medi-Cal and behavioral health care decision-making, and accountability, and support reforms. capacity for such coordination through “mapping” and local gaps analysis activities focused on needs, demographics and inequities, and service delivery capacities. ACTION AREA 3 Expanding Communities’ Capacity to Provide  Objective 4 Safe and Effective Sheltering and Interim Enhance partnerships between homelessness Housing services systems and services and systems which can support asset building and wealth building,  Objective 9 including improving access to educational Partner with communities to implement innovative opportunities and employment services and approaches and expand the supply of safe, employment for people experiencing and exiting housing-placement focused sheltering and interim homelessness. housing models for Californians experiencing homelessness.  Objective 5 Support California communities to develop disaster  Objective 10 preparedness plans that are more inclusive of the Expand alignment and engagement of State needs of people experiencing homelessness. resources, including Medi-Cal and behavioral health care resources, in efforts to address health  Objective 6 disparities and services needs among Californians Expand State communications efforts to create temporarily staying within sheltering and interim public awareness of the State’s homelessness housing options. strategies, successes, challenges, and the importance of Housing First approaches. 53 ACTION AREA 4 ACTION AREA 5 Expanding and Ensuring Equitable Access to Preventing Californians from Experiencing Permanent Housing in Our Communities the Crisis of Homelessness  Objective 11  Objective 14 Mobilize State resources, technical assistance, and Reduce entries into homelessness as people exit guidance to strengthen implementation of Housing and/or receive services from State-funded settings First approaches and other best practices in and systems, addressing racial inequities within risks support of equitably and urgently rehousing of experiencing homelessness, with initial focus on people from Project Roomkey sites, from other people re-entering communities from jails and temporary settings, and from unsheltered prisons, young adults connected to the child homelessness. welfare and/or juvenile justice systems, and people exiting health care settings and programs.  Objective 12 Foster the creation of an expanded supply of  Objective 15 affordable and supportive housing opportunities, Enhance communities’ capacity to provide paired with appropriate health and behavioral targeted homelessness prevention interventions health care resources, and accessible and and to successfully divert people from entering culturally responsive to people exiting shelter or experiencing unsheltered homelessness. homelessness, to people at lowest income levels, and to people from historically marginalized communities.  Objective 13 Improve access to short- and longer-term forms of rental assistance to encourage innovations, to support racially equitable and successful exits from homelessness, and to support housing development activities. 54 Attachment B: Fiscal Year 21-22 Activities Activity Lead Collaborating Reference Activity Text Timeframes Performance Measures Department Department(s) # Provide and coordinate Technical Assistance (TA) focused on racial equity to Process Measure: Initiation of Technical support equitable access and Assistance in timely manner. HCD, DSS, outcomes within State-funded Output Measure: Number of communities and will also TA initiated by Q4 of 1.1.1 programs, and to strengthen Cal ICH receiving formal technical assistance. engage with FY 20-21 coordinated entry systems, Outcome Measures: Specific outcome SGC prioritization policies, and measures will be developed and tracked targeting strategies in order to for each TA engagement. address disparities in access to services and resources. Process Measure: Annual documentation of homelessness and housing funding Incorporate a focus on racial Incorporated into programs that have included focus on equity data, analysis, and funding applications racial equity data, analysis, and planned planned activities within Cal ICH, via beginning Q2 of FY activities. applications for State HCD, DSS, State Funding 20-21. Process Measure: Timely analysis of data 1.1.2 homelessness and housing- CalOES, and Programs Analysis of initial and information gathered, provided to focused funding (HHAP, ESG- DHCS, CDCR Working Group data and relevant Working Groups to inform planned CV, others), and analyze the information by Q1 of strategies and activities. data and information FY 21-22. Outcome Measure: Increase the number of gathered in response. State programs that are including a focus on racial equity data and strategies. Ongoing throughout Process Measure: Documentation of Provide technical assistance (Cal ICH, FYs 20-21, 21-22, and updated program guidelines and NOFAs to and training opportunities, BCSH, CalHFA, 22-23. reflect tribal access. and adapt program CalOES, Adapt program Output Measures: Number of tribal guidelines and guidance, to Caltrans, 1.1.4 HCD, DSS guidelines and engagement and outreach efforts, and enhance Tribal Organizations’ CalVet, CCC, guidance in number of Tribal applications for funding. access to State homelessness CDCR, CDE, alignment with Outcome Measure: Number of Tribes and housing programs and DHCS, DSS, funding processes receiving awards of State homelessness and resources. HCD, TCAC) through FY 21-22. housing program funding. Utilize the newly developed (Cal ICH, Public Dashboard to Process Measure: Timely implementation of Homeless Data Integration BCSH, CalHFA, be launched by Q3 HDIS, performance of analyses, and 1.1.5 System to support both Cal ICH CalOES, of FY 20-21. creation of dashboard. Statewide and local analyses Caltrans, Utilization of data Process Measure: Documentation of how of data, focused on CalVet, CCC, ongoing throughout 55 documenting and CDCR, CDE, FYs 20-21, 21-22, and data regarding racial inequities are being understanding racial inequities DHCS, DSS, 22-23. used to inform State planning and activities. in experiences of HCD, TCAC) homelessness and provision of services, including the creation of a public dashboard documenting analyses. (Cal ICH, Provide relevant training and BCSH, CalHFA, skill-building opportunities, CalOES, Process Measure: Documentation of such as California’s Capitol Caltrans, training activities across Cal ICH member Collaborative on Race and CalVet, CCC, Ongoing throughout agencies and departments. 1.1.7 Equity (CCORE) training, to Cal ICH CDCR, CDE, FYs 20-21, 21-22, and Outcome Measures: Determine if outcomes State agency staff to enable DHCS, DSS, 22-23 measuring the impact of training staff to provide more expert HCD, TCAC) opportunities can be documented. advice and guidance to and will also partners and communities. engage with SGC (Cal ICH, Implement a Lived Experience BCSH, CalHFA, Advisory Board to inform the CalOES, Process Measure: Implementation of Board considerations and decisions Caltrans, Board meets by Q1 1.2.1 Cal ICH in timely manner and number of meetings of the Homeless Coordinating CalVet, CCC, of FY 21-22 held. and Financing Council and CDCR, CDE, member departments. DHCS, DSS, HCD, TCAC) Provide guidance to local grantees regarding the eligible uses of State funds for costs associated with engaging Process Measure: Timely convening of people with lived experience Cal ICH, via DSS, HCD, Report back to Working Group with focus on this Activity. and expertise into planning State Funding CalOES, 1.2.3 Council by Q2 of FY Process Measure: Documentation of and decision-making and Programs DHCS, others 21-22 guidance and trainings/support provided to processes, and also Working Group TBD local grantees. encourage local grantees to hire people with lived expertise into regular staff positions. Incorporate questions Incorporated into Output Measure: Annual documentation of regarding the involvement of Cal ICH, via DSS, HCD, funding applications homelessness and housing funding people with lived experience State Funding CalOES, beginning Q2 of FY programs that have included focus on 1.2.4 and expertise into local and Programs DHCS, others 20-21. involvement of people with lived planning and decision-making Working Group TBD Analysis of initial experience and expertise into local processes within applications data and planning and decision-making processes. 56 for State homelessness and information by Q1 of Process Measure: Timely analysis of data housing-focused funding (e.g., FY 21-22. and information gathered in response and HHAP, ESG-CV, HSP) and provided to relevant Working Groups to analyze the information inform strategies and activities. gathered in response. Identify and profile strong local examples, provide guidance to local organizations on: how to establish and manage Disseminate Process measure: Timely implementation of effective processes; how to guidance on a Lived Experience Advisory Board to support HCD, DSS, 1.2.5 support knowledge and skill Cal ICH rolling basis, development of this guidance. CalOES, DHCS development of people commencing Q2 of Process Measure: Timely dissemination of participating in such FY 21-22 information gathered. processes; and effective surveying and input processes that complement formal structures. Cal ICH review HHAP Round 2 applications to Support and strengthen ensure meaningful Process Measure: Timely convening and expectation of joint CoC- Cal ICH, via HCD, DSS, coordination, by Q4 reporting of Working Group with focus on County-City planning and State Funding DHCS, of FY 20-21. this Activity. 1.3.1 coordination in awards and and Programs Caltrans, Funding and Process Measure: Documentation of implementation of State Working Group others TBD Programs Working guidance and support provided to local homelessness funding. Group to report communities. back on efforts to Council by Q2 FY 21- 22. Provide technical assistance Process Measure: Initiation of technical and guidance to grantees assistance in timely manner. Cal ICH technical and partners in support of Output Measure: Number of communities assistance to 1.3.2 regional planning and Cal ICH DSS, HCD receiving technical assistance. commence Q1 of FY strengthening of regional Outcome Measures: Specific outcome 21-22 approaches to preventing measures will be developed and tracked and ending homelessness. for each technical assistance engagement. Public Dashboard to Utilize the Homeless Data Process Measure: Timely implementation of be launched by Q3 Integration System to conduct HDIS, performance of analyses, and of FY 20-21. analysis to support regional creation of dashboard. 1.3.3 Cal ICH DSS, HCD Utilization of data and cross-jurisdictional Output Measure: Number of regions ongoing throughout analyses, planning discussions, supported through provision of HDIS FYs 20-21, 21-22, and and decision-making. analyses. 22-23. 57 Leverage HCD's role in reviewing and regulating Housing Elements, with Cal Review of Housing ICH's interagency scope, to Elements ongoing deliver a new level of throughout FYs 20- Output Measure: 47 Housing Elements to be Cal ICH, technical assistance on 20-21, 21-22, and 22- reviewed during FY 20-21, 217 during FY 21- CDSS, CalVet, 1.3.4 homelessness to cities and HCD 23. 22, and 128 during FY 22-23. DHCS, CDCR, counties, and, in collaboration Interagency guide Process Measure: Timely development and CalOES with other State departments, to be developed issuance of interagency guide. develop an interagency guide during Q2 of FY 21- on actions city governments 22. can take to address homelessness. Provide grants resources that support local and regional planning and initiatives Ongoing throughout Output Measure: Number of grants 1.3.5 through SB 2 Planning Grants, HCD FYs 20-21, 21-22, and awarded by end of FY 22-23, with target of Local Early Action Planning 22-23 approximately 1,027 grants. Grants, and Regional Early Action Planning Grants. Collaborate with the U.S. Outcome Measure: Tracking various Department of Veterans veteran homelessness recovery and Affairs to strengthen the recidivism metrics. To commence cohesion among California’s Process Measure: Develop regional 1.3.6 CalVet Cal ICH planning in Q1 of FY Veterans Affairs Healthcare processes and procedures for locating all 21-22 Systems’ homeless programs veterans experiencing homelessness and and State and local connecting them to safe housing and homelessness systems. wealth building opportunities. Provide technical assistance to enhance capacity of local Process Measure: Documenting TA offering educational agencies (LEAs) provided. to provide services and Ongoing throughout Output Measure: Number of LEAs 1.4.2 supports for students CDE FYs 20-21, 21-22, and participating in TA opportunities. experiencing homelessness 22-23 Outcome Measure: Increased number of and housing instability to foster LEAs receiving TA. educational achievement and progression. Assess the impact of Process Measure: Document processes employment opportunities Cal ICH, implemented to recruit and hire people provided through Caltrans’ Ongoing throughout CalVet, and in experiencing homelessness into positions. 1.4.3 Service Assistance Caltrans FYs 20-21, 21-22, and coordination Output Measure: Number of people Maintenance positions on 22-23 with CalHR experiencing homelessness hired into hiring of people experiencing positions. homelessness and access to 58 promotional opportunities and career ladders. Collaborate with LEAs, state level educational partners, Materials and youth organizations and webinars developed across divisions within the CDE and implemented Process Measure: Documentation of to identify needs of students throughout FY 20-21 1.4.4 CDE Cal ICH materials developed and webinars experiencing homelessness and may extend implemented. related to distance learning into FY 21-22 and develop strategies, depending upon resources, and tools to needs address those needs. Communicate and disseminate guidance to county offices of education Ongoing throughout Process Measure: Documentation of 1.4.5 (COEs), LEAs, and partnering CDE Cal ICH FYs 20-21, 21-22, and guidance materials created/provided. agencies to strengthen 22-23 support for students experiencing homelessness. Process Measure: Documentation of data collection regarding student homeless and Implement and evaluate the Ongoing throughout housing insecurity. Homeless and Housing FYs 20-21, 21-22, and Process Measure: Submission of an annual Insecurity Pilot (HHIP) Program, 22-23. legislative report about the HHIP Program, 1.4.6 which provides housing CCC Colleges submit HHIP including scalability recommendations. services and support to reports to Output Measure: Number of homeless or homeless and housing Chancellor’s Office housing insecure students that received insecure students. at least annually. services and supports. Outcome Measures: Decrease barriers to academic success. Implement the Returning Home Well initiative in partnership with philanthropic organizations, addressing the Ongoing throughout employment needs of people DSS, and in FYs 20-21 and 21-22, transitioning from corrections coordination and activities Outcome Measures: Being developed and 1.4.7 settings, including through the CDCR with CWDB expected to be reported upon in partnership with MDRC. provision of stipends to support and DOR sustained into future people’s participation in Fys employment services and through the leveraging of local workforce services and partnerships. 59 Process Measure: Monitoring of all LEAs via Consolidated Application and Reporting Monitor LEAs’ implementation Implemented on an System and documentation of other 1.4.8 of the McKinney–Vento CDE Cal ICH annual basis FYs 20- monitoring processes with prioritized LEAs. Homeless Assistance Act. 21, 21-22, and 22-23 Process Measure: Review and analysis of high school graduation rates. Participate in California Higher Process Measure: Documentation of Education Basic Needs engagement with stakeholders to review Alliance intersegmental regulations, policies, and practices. workgroup with CSU and UC Ongoing in Output Measure: Guidance to basic needs 1.4.9 systems to advance basic CCC Cal ICH alignment with the programs in higher education including needs security including legislative cycle professional development; and addressing homelessness and recommendations for regulation, policy, housing insecurity for students and procedural change. to increase their success. Assess and document strong local- and state-level examples of disaster preparedness and responses to recent emergencies, in HCD, DSS, Planning work Process Measure: Document any guidance order to develop stronger 1.5.2 Cal ICH CalOES, initiated by Q2 of FY provided to date by end of Q4 of FY 21-22 guidance and expectations Caltrans 21-22 and by end of FY 22-23. regarding services and supports for people experiencing homelessness in disaster preparedness, response, and recovery efforts. Identify opportunities to further embed a focus on people Planning work Process Measure: Document any changes HCD, DSS, 1.5.3 experiencing homelessness Cal ICH initiated by Q2 of FY in plans and/or implementation by end of CalOES into emergency and disaster 21-22 Q4 of FY 21-22 and by end of FY 22-23. response efforts. Explore models and feasibility of providing enhanced case Process Measure: Timely implementation of management services of Recommendations Cal ICH, collaborative processes with other State 1.5.4 longer duration focused on HCD prepared by Q1 of CalOES, DSS departments and timely development of post-disaster housing needs FY 22-23 recommendations. (i.e., "Regional Centers" model.) Incorporate focus on eligibility of people experiencing Ongoing throughout Process Measure: Document any efforts and HCD, DSS, 1.5.5 homelessness for FEMA-funded Cal ICH FYs 20-21, 21-22, and outcomes by end of Q4 of FY 21-22 and by CalOES assistance into federal 22-23 end of FY 22-23. advocacy efforts. 60 Continue implementation of the Housing is Key campaign, providing materials and resources to help Californians stay in their homes, Process Measure: Documentation of Ongoing throughout understand their housing Cal ICH, HCD, homelessness-focused messaging and 1.6.1 BCSH FYs 20-21, 21-22, and options during COVID-19 and DFEH efforts implemented through the Housing is 22-23 beyond, and to educate the Key campaign. public regarding the causes of homelessness, effective solutions, and State strategies and programs. Provide homelessness-focused communications to local (Cal ICH, partners, including webinars, BCSH, CalHFA, videos, tools, guidance, and CalOES, Ongoing throughout Output Measure: Annual compilation of other resources and materials, Caltrans, 1.6.2 Cal ICH FYs 20-21, 21-22, and communications activities implementation focused on Housing First CalVet, CCC, 22-23 focused on these topics. implementation, strategic use CDCR, CDE, of funding sources, and DHCS, DSS, effective programs and HCD, TCAC) practices. Prepare public-facing materials and articles based Utilize ongoing upon data and information reports and Output Measure: Annual compilation of drawn from the HDIS dashboards as 1.6.3 Cal ICH HCD, DSS public-facing materials developed focused warehouse, to educate the source throughout on these topics. public on challenges, FYs 20-21, 21-22, and activities, and implementation 22-23 of programs and resources. Proactively analyze and develop educational Process Measure: Development of materials materials that interpret and and dissemination plan; incorporate communicate key findings of Ongoing throughout HCD, DSS, information into analysis and guidance. 1.6.4 national reports focused on Cal ICH FYs 20-21, 21-22, and DHCS Output Measure: Annual compilation of homelessness and featuring 22-23 educational materials developed focused California data, such as HUD’s on these topics. Point-in-Time (PIT) count data and reporting. Create, disseminate, and Ongoing, beginning support implementation of in Q1 of FY 21-22 clear and effective policies Process Measure: Documentation of 2.7.1 Cal ICH Caltrans and continuing and procedures for addressing guidance materials, training activities. through FYs 21-22 the needs of people currently and 22-23 staying in encampments, 61 including on State-owned land. Create, disseminate, and support implementation of resources related to DSS, HCD, vaccination efforts for people and also Ongoing, beginning Process Measure: Documentation of 2.7.3 experiencing unsheltered Cal ICH engaging in Q3 of FY 20-21 guidance materials, training activities. homelessness and outreach with CDPH staff, including promoting eligible uses of State funding for such efforts. Ongoing throughout FYs 20-21, 21-22, and Promote strong practices for 22-23. Cal ICH, via Cal ICH, identifying and engaging Youth and Young Process Measure: Timely convening and Youth and CalOES, DSS, 2.7.4 unsheltered young people into Adults Working reporting of Working Group with focus on Young Adults HCD, CCC, available services and Group to report this Activity. Working Group CDE supports. back to Council by end of Q4 of FY 21- 22. Work with community partners to document and assess the Youth and Young unique risks and vulnerabilities Cal ICH, via Cal ICH, Adults Working Process Measure: Timely convening and of unsheltered young adults Youth and CalOES, DSS, Group to report 2.7.5 reporting of Working Group with focus on and provide guidance on Young Adults HCD, CCC, back to Council by this Activity. implications for assessments Working Group CDE end of Q4 of FY 21- and coordinated entry 22 systems. Provide guidance and support for the utilization of State funding to effectively address the health and safety needs of people experiencing Ongoing throughout unsheltered homelessness, HCD, DSS, Process Measure: Documentation of 2.7.6 Cal ICH FYs 20-21, 21-22, and including guidance regarding DHCS guidance materials, training activities. 22-23 State funds that can be used for basic needs and protective measures, e.g., showers, hygiene supplies, and sanitation services. Promote the eligible uses of Ongoing throughout State funding for employing HCD, DSS, Process Measure: Documentation of 2.7.7 Cal ICH FYs 20-21, 21-22, and specialized peer positions to DHCS guidance materials, training activities. 22-23 better reach and engage 62 people experiencing unsheltered homelessness into available services and supports. Utilize new HDIS to begin Phase 2 of the system, featuring data-matching to To be other statewide data systems, determined To commence Process Measure: Initiation of planning 2.8.1 with the intent to analyze the Cal ICH during planning in Q1 of FY process in a timely manner. participation and access to planning 21-22 benefits and services of phase people who are unsheltered within key State programs. Process Measure: DHCS receives Federal approval to provide ECM and ILOS services statewide for all target populations. Implementation of Process Measure: Medi-Cal Managed care ECM begins on Implement CalAIM proposals health plans submission, and DHCS January 1, 2022 in seeking to extend statewide approval, of ECM and ILOS Model of Care counties currently the service options available and additional submitted deliverables for providing WPC and under WPC and Health Homes implementation. HHP. Program (HHP) through the Process Measure: Staged implementation ECM will be Enhanced Care Management timeline for ECM. ILOS goes live January 1, available in all 2.8.2 (ECM) program and In Lieu of DHCS 2022 in all counties. Medi-Cal Managed counties, and for all Services (ILOS), including Care Plan (MCPs) may add new ILOS every ECM target incentive funding, to better 6 months. populations by address the health and Outcome Measures: MCPs transitioning January 1, 2023. behavioral health care needs successfully from WPC/HHP January 1, 2022. Implementation of In of people who are Statewide implementation of ECM in all Lieu of Services unsheltered. counties by July 1, 2022. ECM available for (ILOS) begins on all target populations by January 1, 2023. January 1, 2022. Document integration of ILOS (type, scope, provider types) and measures to track members’ progression. HHP and WPC pilots Process Measure: Amend DHCS WPC pilot Continued operation of Whole continue to serve contracts to extend another year to allow Person Care (WPC) pilots and Medi-Cal members continuation of WPC housing activities. Health Homes Program (HHP) through December Output Measure: Continuation of tracking care coordination and 2021. enrollment and utilization of WPC 2.8.3 housing services in 2021 to DHCS In January 2022, homeless/at-risk of homelessness continue to strengthen access Medi-Cal members beneficiaries. to health and behavioral in WPC and HHP will Outcome Measures: 1) Percentage of health services for people who transition to ECM homeless individuals who are permanently are unsheltered. and In Lieu of housed longer than six (6) consecutive Services. months’ experience of permanently 63 housed. 2) Percentage of homeless who received housing services after being referred for housing services. 3) Percentage of homeless who received supportive housing after being referred for supportive housing. Process Measure: DHCS continues monitoring access to HHP housing support services for HHP members who are experiencing homelessness or at risk of experiencing homelessness. Process Measure: HHP and WPC continue to enroll Medi-Cal members and provide care coordination and housing support services through 2021. Continue operation and Process Measure: Finalize County data enrollment of Community submission standards related to housing Services and Supports Ongoing throughout status – June 2021. 2.8.4 program housing services DHCS CalVet FYs 20-21, 21-22, and Output Measure: Review and analyze through county-level plans 22-23 County Full Service Partnership data to through Mental Health determine the number of individuals Services Act resources. enrolled in an FSP that are housed. Implement a wide array of Ongoing throughout State and Federal funding that FYs 20-21, 21-22, and support the provision of safe, 22-23. effective housing-placement Timing determined focused sheltering and interim HCD, Cal ICH, Process Measure: State Funding and for each funding housing models for people DSS, CalOES, Programs Working Group to determine program. 3.9.2 experiencing homelessness, CalVet, Caltrans timing for development of targets. State Funding and with identification of clear depending on Outcome Measures: In future, measure Programs Working goals and targets for the funding source performance against targets. Group to determine number of shelter or interim timing for housing opportunities to be development of supported through each targets. program. Process Measure: Documentation of Provide and promote guidance and technical assistance guidance and technical activities. assistance regarding Ongoing throughout Outcome Measure: Approximately 68% of modifications of land use, 3.9.4 HCD Cal ICH FYs 20-21, 21-22, and jurisdictions with commitments to amend zoning, and other 22-23 zoning for emergency shelter parking requirements for emergency requirements, low barrier navigation shelters, navigation centers, centers, and by right permanent supportive and interim housing programs. housing. 64 Implement the Returning Home Well initiative, in partnership with philanthropic organizations and local Ongoing throughout partners, to expand residential FYs 20-21 and 21-22, Outcome Measure: Increased community treatment and interim housing and activities 3.9.5 CDCR DSS capacity to provide treatment and interim options, including recovery expected to be housing options to target population. housing models and sustained into future quarantine options during the Fys pandemic, for people transitioning from corrections settings. Process Measure: Documentation of Provide technical assistance (Cal ICH, guidance materials, training activities, and and guidance that will support BCSH, CalHFA, initiation of technical assistance in timely the continued application of CalOES, Ongoing throughout manner. Housing First practices, Caltrans, 3.9.6 Cal ICH FYs 20-21, 21-22, and Output Measure: Number of communities including lowered barriers and CalVet, CCC, 22-23 receiving formal technical assistance. housing-focused services and CDCR, CDE, Outcome Measures: Specific outcome supports, within sheltering and DHCS, DSS, measures will be developed and tracked interim housing programs. HCD, TCAC) for each formal TA engagement. Coordinate with local partners and national organizations to identify effective practices for Process Measure: Timely engagement with providing safe and effective Initiate work in this national and local partners. 3.9.7 sheltering and interim housing Cal ICH HCD, DSS area by Q1 of FY 21- Output Measure: Annual compilation of any options, and promote such 22 related materials developed or promoted practices within the focused on these topics. implementation of State and Federal resources. Provide guidance and coordination for VA Grant and Per Diem grantees to create Initiate work in this Output Measure: Mapping statewide 3.9.8 synergy among veteran CalVet area by Q1 of FY 21- network of intervention options for veterans transitional housing and 22 experiencing homelessness. permanent supportive or affordable housing. Utilize the Homeless Data To be Integration System to perform determined Process Measure: Timely implementation of data-matching analyses to Utilization of data and updated HDIS and performance of analyses. 3.10.1 document and assess the Cal ICH ongoing throughout during Output Measure: Documentation of any participation and access to FYs 21-22, and 22-23 planning resulting reports or documents. benefits and services of phase people staying in shelter and 65 interim housing sites within key State programs. Process Measure: Amend DHCS WPC pilot contracts to extend another year to allow continuation of WPC housing activities. Output Measure: Continuation of tracking Continued operation and enrollment and utilization of WPC enrollment of Whole Person homeless/at-risk of homelessness Care (WPC) pilots and Health beneficiaries. Homes Program (HHP) in 2021 Outcome Measures: 1) Percentage of to continue to strengthen HHP and WPC pilots homeless individuals who are permanently access to health and continue to serve housed longer than six (6) consecutive behavioral health services for Medi-Cal members months’ experience of permanently people who are staying in through December housed. 2) Percentage of homeless who shelter and interim housing 2021. received housing services after being 3.10.2 DHCS sites. Enrolled Health Home In January 2022, referred for housing services. 3) Percentage and Whole Person Care Medi-Cal members of homeless who received supportive members will be transitioned in WPC and HHP will housing after being referred for supportive to Enhanced Care transition to ECM housing. Management (ECM) and In and ILOS. Process Measure: DHCS continues Lieu of Services (ILOS) care monitoring access to HHP housing support coordination and housing services for HHP members who are services, including incentive experiencing homelessness or at risk of funding, in 2022. experiencing homelessness. Process Measure: HHP and WPC continue to enroll Medi-Cal members and provide care coordination and housing support services through 2021. Process Measure: DHCS receives Federal Develop and advance Implementation of approval to provide ECM and ILOS services CalAIM proposals seeking to ECM begins on statewide for all target populations. extend statewide the service January 1, 2022, in Process Measure: Medi-Cal Managed Care options available under WPC counties currently health plans submission, and DHCS and Health Homes Program providing WPC and approval, of ECM and ILOS Model of Care (HHP) through the Enhanced HHP. and additional submitted deliverables for Care Management (ECM) ECM will be implementation. 3.10.3 program and In Lieu of DHCS available in all Process Measure: Staged implementation Services (ILOS) care counties, and for all timeline for ECM. ILOS goes live January 1, coordination and housing ECM target 2022, in all counties. Medi-Cal Managed services, including incentive populations by Care Plan (MCPs) may add new ILOS every funding, to better address the January 1, 2023. 6 months. health care needs of people Implementation of Outcome Measures: MCPs transitioning who are staying in shelter and ILOS begins on successfully from WPC/HHP January 1, 2022. interim housing sites. January 1, 2022. Statewide implementation of ECM in all 66 counties by July 1, 2022. ECM available for all target populations by January 1, 2023. Document integration of ILOS and measures to track members’ progression. Implement a wide array of Ongoing throughout State and Federal funding FYs 20-21, 21-22, and programs that support the 22-23. rehousing of people Timing determined experiencing homelessness Cal ICH, DSS, Process Measure: State Funding and for each funding into a diverse range of housing HCD, CalOES, Programs Working Group to determine Caltrans, program. 4.11.2 models, including models CDE, timing for development of targets. CalVet State Funding and appropriate for youth and depending on Outcome Measures: In future, measure Programs Working young adults, with funding source performance against targets. Group to determine identification of clear timing for rehousing goals and targets development of for the implementation of targets. each program. Process Measure: DHCS receives Federal approval to provide ECM and ILOS services Implementation of statewide for all target populations. ECM begins on Process Measure: Medi-Cal Managed care Develop and advance January 1, 2022, in health plans submission, and DHCS CalAIM proposals seeking to counties currently approval, of ECM and ILOS Model of Care expand CalAIM’s ability to providing Whole and additional submitted deliverables for support housing-related Person Care (WPC) implementation. services through the and Health Homes Process Measure: Staged implementation Enhanced Care Management Program (HHP). timeline for ECM. ILOS goes live January 1, 4.11.3 (ECM) program and In Lieu of DHCS TBD ECM will be 2022, in all counties. Medi-Cal Managed Services (ILOS) care available in all Care Plan (MCPs) may add new ILOS every management and housing counties, and for all 6 months. services, including incentive ECM target Outcome Measures: MCPs transitioning funding, to assist people to populations by successfully from WPC/HHP January 1, 2022. access and stabilize in January 1, 2023. Statewide implementation of ECM in all housing. Implementation of counties by July 1, 2022. ECM available for ILOS begins on all target populations by January 1, 2023. January 1, 2022. Document integration of ILOS (type, scope, provider types) and measures to track members’ progression. Provide technical assistance, Process Measure: Documentation of guidance, and training guidance materials, training activities. opportunities to strengthen the Ongoing throughout Output Measure: Number of communities 4.11.4 implementation of Housing Cal ICH DSS, HCD FYs 20-21, 21-22, and receiving formal technical assistance. First practices and the 22-23 Outcome Measures: Specific outcome achievement of rehousing measures will be developed and tracked outcomes in the for each formal TA engagement. 67 implementation of State and Federal resources. Assess and revise the current Housing First Checklist for State (Cal ICH, Process Measure: Documentation of agencies, confirm alignment BCSH, CalHFA, One round Housing First checklist and supporting with Housing First requirements CalOES, completed prior to documents provided to Cal ICH member of relevant State programs, Caltrans, FY 20-21. 4.11.5 Cal ICH agencies and departments. and provide guidance, CalVet, CCC, Next round to Outcome Measure: Document State training, and support to State CDCR, CDE, commence by Q3 departments/programs improving departments who need to DHCS, DSS, of FY 21-22. alignment with Housing First expectations. modify programs and policies HCD, TCAC) to achieve alignment. Ongoing throughout Implement a wide array of FYs 20-21, 21-22, and other State and Federal 22-23. funding programs that support HCD, TCAC, Timing determined Process Measure: State Funding and expansion of affordable and Cal ICH, DSS, for each funding Programs Working Group to determine supportive housing CalOES, program. 4.12.2 Caltrans timing for development of targets. opportunities, with CalVet, State Funding and Outcome Measures: In future, measure identification of clear unit depending on Programs Working performance against targets. production goals and targets funding source Group to determine for the implementation of timing for each program. development of targets. Identify and implement efforts to better align policies and practices across State housing CalHFA, Ongoing throughout Process Measure: Documentation of key agencies and programs, while 4.12.3 BCSH TCAC, HCD, FYs 20-21, 21-22, and policy and practice improvements and retaining significant focus on CDLAC 22-23 changes. extremely low-income households and housing for people exiting homelessness. Output Measures: During 2021, release 8-10 Accelerate selection of In Ongoing throughout new excess State sites through developer developers to create 4.12.4 HCD coordination FYs 20-21, 21-22, and solicitation, select developers for 6 sites affordable and supportive with DGS 22-23 released through 2020 solicitations, and 5 housing on State-owned land. Requests for Proposals per calendar year. Implement a wide array of Ongoing throughout State and Federal funding HCD, CalHFA, FYs 20-21, 21-22, and Process Measure: State Funding and programs that support TCAC, Cal ICH, 22-23. Programs Working Group determines timing 4.13.1 provision of various forms of CalOES, DSS, Timing determined for development of targets. rental assistance, with depending on for each funding Outcome Measures: In future, measure identification of clear goals funding source program. performance against targets. and targets for the number of State Funding and 68 households to receive rental Programs Working assistance through each Group to determine program. timing for development of targets. Process Measure: Documentation of new Prioritize increased rental CalHFA, HCD, Ongoing throughout federal rental assistance resources that are 4.13.3 assistance resources within BCSH DSS FYs 20-21, 21-22 directly aligned with State’s advocacy State’s federal advocacy. efforts and priorities. Direct assistance to tenants expected to begin by end of FY 20-21, continuing Implement the Housing for until funds are Process Measure: Report summarizing Healthy California (HHC) exhausted or end of program data submitted to legislature by program for individuals who FY 23-24. January 2024. are recipients of or eligible for Capitalized Output Measure: Number of people who health care provided through operating reserve to are chronically homeless, or homeless and 5.14.1 the Medi-Cal program, HCD DHCS be awarded to high healthcare cost users, served by the providing tenant-based rental individual projects program. assistance with supportive by end of FY 23-24. Outcome Measure: Reduction in services or capitalized Commence emergency department visits and operating reserve to existing collecting program hospitalizations. rental projects. data in June 2021 and analyzing program data June 2022. Continue to develop a long- Set of term plan and strategy for Process Measure: Timely development of set DHCS, via recommendations improving health outcomes recommendations that can be Foster Care with an 5.14.10 and the delivery of fully DSS incorporated to improve the quality of Model of Care implementation integrated health care services for children and youth in the foster Workgroup plan by end of services for youth in foster care system. November 2021 care. Distribute funding and gather outcomes of the Housing NOFA to be Output Measures: Number of people Navigators Program and released in Q2 of FY 5.14.11 HCD DSS served, including those in foster care or Transitional Housing Program 21-22, funding probation system, and services provided. for County Child Welfare permitting. Agencies. Implement CalAIM to provide In Lieu of Services Process Measure: Documentation of medically necessary (ILOS) informational and guidance materials and 5.14.4 recuperative care placements DHCS DSS implementation training (supportive of Housing First for unhoused people who are date of January 1, principles) delivered to Managed Care exiting acute inpatient 2022 Organizations (MCOs). 69 facilities and/or were recently Output Measure: Number of managed care hospitalized. organizations adopting Recuperative Care ILOS. Outcome Measure: Measure metrics of ILOS utilization across counties. Implement the Returning Home Well initiative, in partnership with philanthropic organizations and local partners, to prevent experiences of homelessness Ongoing throughout for people transitioning from FYs 20-21 and 21-22, corrections settings by Outcome Measure: Increased community and activities 5.14.5 expanding residential CDCR DSS capacity to provide treatment and interim expected to be treatment and interim housing housing options to target population. sustained into future options, including recovery Fys housing models and quarantine options during the pandemic, and by addressing transportation needs to facilitate access to such options. Provide support through the No Place Like Home program for the development of Process Measure: Timely implementation of permanent supportive housing NOFA. for persons who are in need of Release final NOFA 5.14.6 HCD Output Measures: Number of funding mental health services and in Q2 of FY 21-22 awardees and number of permanent are experiencing supportive housing units supported. homelessness, chronic homelessness, or who are at risk of chronic homelessness. Prioritized actions to be identified during Assess recommendations from Q4 of FY 20-21, the Council of State CDCR, via activities Government’s Reducing Process Measure: Prioritized actions Council on implemented Homelessness for People with Cal ICH, DSS, identified and report to Council provided in Criminal throughout FYs 21-22 5.14.7 Behavioral Health Needs HCD, DHCS, timely manner. Additional measures to be Justice and and 22-23. Leaving Prisons and Jails report and others developed based upon prioritized actions Behavioral Provide update and identify priorities for identified. Health report to Council actions to be taken in FYs 21- regarding activities 22 and 22-23. to be implemented by Q2 of FY 21-22. 70 Utilize the Homeless Data Integration System (HDIS) to conduct analyses regarding people experiencing Process Measure: Timely implementation of homelessness and their prior Commence analysis HDIS, performance of analysis, and creation engagement with the 5.14.8 Cal ICH TBD in Q2 of FY 21-22, of dashboard. homelessness response system ongoing thereafter Output Measure: Documentation of any to identify patterns of resulting reports or documents. engagement and service utilization that can inform prevention and diversion strategies. Identify opportunities to assess (Cal ICH, and document information BCSH, CalHFA, regarding housing status, CalOES, housing instability, and To commence Process Measure: Initiation of planning Caltrans, 5.14.9 homelessness among Cal ICH planning in Q4 of FY process in a timely manner, further CalVet, CCC, households participating in 21-22 measures to be developed at that time. CDCR, CDE, increased number of State DHCS, DSS, and State-funded programs HCD, TCAC) and systems. Process Measure: Align prioritization of funds Implement the Emergency as required, prioritizing households at or Rental Assistance resources below 50% AMI, and up to 80% AMI or administered through the U.S. Funding must be unemployed for 90 or more days. Provide Department of the Treasury to implemented before equal or stronger prioritization by: A) deeper 5.15.1 HCD Cal ICH, DSS provide financial assistance to end of Q2 of FY 21- income targeting (i.e. 30% AMI and below); households facing rental 22 B) rent burden; C) qualified census tracts; D) arrears and risks of eviction property size (i.e. small landlords); E) other and/or homelessness. related factors consistent with this intent and need. Ongoing throughout Implement a wide array of FYs 20-21, 21-22, and State and Federal funding 22-23. programs that support HCD, TCAC, Timing determined provision of various forms of Cal ICH, Process Measure: State Funding and for each funding diversion and prevention CalHFA, Programs Working Group determines timing program. 5.15.2 services, with identification of CalOES, DSS, for development of targets. State Funding and clear goals and targets for the depending on Outcome Measures: In future, measure Programs Working number of households to funding performance against targets. Group to determine receive diversion and program timing for prevention services through development of each program. targets. 71 Continue implementation of the Housing is Key campaign, providing materials and Process Measure: Documentation of Ongoing throughout resources to help Californians Cal ICH, HCD, homelessness prevention-focused 5.15.3 BCSH FYs 20-21, 21-22, and stay in their homes or DFEH messaging and efforts implemented 22-23 understand their housing through the Housing is Key campaign. options during COVID-19 and beyond. Partner with Federal and national organizations to Process Measure: Timely engagement with identify stronger homelessness Federal and national partners. prevention, diversion, and HCD, DSS, Initiate efforts during 5.15.6 Cal ICH Output Measure: Annual compilation of any targeting practices, and CalVet Q1 of FY 21-22 related materials developed or promoted promote such practices within focused on these topics. the implementation of State and Federal resources. Process Measure: Initiation of technical Provide technical assistance assistance in timely manner. to strengthen and differentiate Output Measure: Number of communities communities’ homelessness Ongoing, beginning receiving formal technical assistance. 5.15.7 prevention, diversion, and Cal ICH HCD, DSS no later than Q4 of Outcome Measures: Specific outcome eviction prevention plans and FY 21-22 measures will be developed and tracked practices, in order to increase for each formal technical assistance access to such services. engagement. 72 Attachment C: Baseline Measures Methodology In order to assess the impact of Federal, state, and local efforts to address homelessness, these five baseline measures include data from the U.S. Department of Housing and Urban Development (HUD) Point-in-Time (PIT) Count, the Cal ICH Homeless Data Integration System (HDIS), and the California Department of Education (CDE). Measure 1 provides the number of Californians experiencing sheltered and unsheltered homelessness at a point in time, including Veterans, people experiencing chronic homelessness, families with children, adults, and unaccompanied youth. A single person can be counted in multiple categories (ex: a veteran experiencing chronic homelessness), thus the total of all categories exceeds the total number of persons experiencing homelessness. This measure uses the HUD 2022 PIT count. The PIT counts are conducted by Continuums of Care (CoCs) during one night in January. The reported sheltered count consists of people in emergency shelters, transitional housing, and safe havens, while the reported unsheltered count includes those living on the street, in abandoned buildings, and in other in places not meant for human habitation. Measure 2 provides the number of CoCs reporting increases and decreases in the number of people experiencing sheltered and unsheltered homelessness from the 2020 PIT count to the 2022 PIT count. A threshold of 5% population change was implemented to demonstrate the count of CoCs who had notable changes in their population of people experiencing homelessness. CoCs are not required to report an unsheltered count in even numbered years, including for the 2020 PIT Count. Therefore, 21 of the 44 California CoCs reported no change for their unsheltered count from 2019 to 2020. Measures 3 and 4 use data from the Homeless Data Integration System (HDIS), which is Cal ICH’s aggregate data collected from Homeless Management Information Systems (HMIS) across the state. HMIS are local databases used by CoCs to collect information about people experiencing homelessness, the housing and services they receive from providers, and their outcomes. Although service providers that receive Federal funding and certain local or state funding are required to participate in local HMIS, other providers are not required to report into HMIS, thus the data likely does not capture all individuals receiving homelessness services in the state. Measure 3 is the number of people spending time in emergency shelters, safe havens, and transitional housing in FY 21-22. The bar chart represents any client served by each of these project types and is not a deduplicated count. For example, a client that was served in an emergency shelter and then moved to transitional housing during the fiscal year would be counted in both categories. Measure 4 provides the number of people experiencing key events in the homelessness response system, including first-time homelessness, successfully exiting homelessness, and returns to homelessness. The first Measure 4 graph shows all clients receiving homelessness services in FY 21-22, as recorded in HMIS. Receipt of homelessness services is measured by an HMIS enrollment in 73 emergency shelter, transitional housing, safe haven, or a permanent housing project dedicated to housing people experiencing homelessness, or a service recorded in a street outreach or other type of supportive services project while a person was documented as living in a homeless living situation. The categories are defined as follows: First Time Homelessness: A client entered homelessness services at some point during the fiscal year but had no participation in any other homelessness program within the 2 years prior to their entry. Previous Experience with Homelessness: A client entered homelessness services during the fiscal year and had previously received homelessness services at some other point within the 2 years prior to their entry. Receiving Services at the Start of the Year: A client was actively receiving homelessness services at the start of the fiscal year. The second graph shows the count of successful exits that occurred during the FY 21-22. A successful exit is defined as a system exit to permanent housing, meaning the person did not enroll in any other project for 14 days or more following the project exit. The graph also shows the number of people who returned to homelessness in FY 21-22 within six months of a successful exit, meaning they had a system exit at some point within the prior year and then returned to the system to receive homelessness services within six months of their earlier exit. To capture returns within a full six-month period, this metric calculates returns to homelessness for clients who exited in the 2021 calendar year. Measure 5 is the number of children and youth experiencing homelessness at some point during the school year, including students in families and unaccompanied youth. This number is provided by CDE from 2020-2021 school year data. The total students experiencing homelessness consists of students in families, and unaccompanied youth, a subgroup of students experiencing homelessness. Information for the comparison to national and regional data and trends section as well as the equity analysis came from HUD’s PIT Count available on the HUD Exchange website as well as from the National Alliance to End Homelessness summary of that data, State of Homelessness: 2022 Edition. In future reports, Cal ICH plans to utilize HDIS to provide additional information on subgroups of people experiencing homelessness and the demographic disparities present across the key measures. 74 Attachment D: Acronyms Used in this Report AB Assembly Bill CTCAC California Tax Credit Allocation Committee AMI Area Median Income CWDB California Workforce Development Board ADRC Aging and Disability Resource Center DFEH California Department of Fair Employment and Housing BCSH California Business, Consumer Services DGS California Department of General and Housing Agency Services BIPOC Black, Indigenous, and people of color DHCS California Department of Health Care Services CalAIM California Advancing and Innovating DOR California Department of Rehabilitation Medi-Cal CalHFA California Housing Finance Agency DSH California Department of State Hospitals CalHHS California Health and Human Services ECM Enhanced Care Management Agency CalHR California Department of Human ESG-CV Emergency Solutions Grants Program– Resources Coronavirus Cal ICH California Interagency Council on FY Fiscal Year Homelessness CalOES California Governor's Office of HCD California Department of Housing and Emergency Services Community Development CalSTA California State Transportation Agency HDIS Homeless Data Integration System Caltrans California Department of Transportation HHAP Homeless Housing, Assistance and Prevention Program CalVet California Department of Veterans HHP Health Homes Program Affairs CARE Community Assistance, Recovery and HSP Housing Support Program Court Empowerment Court CBO Community Based Organization HUD U.S. Department of Housing and Urban Development CBR Community Based Restoration ILOS In Lieu of Services CCC California Community Colleges IST Incompetent to Stand Trial CCE Community Care Expansion LEAs Local educational agencies CCHCS California Correctional Health Care MCP Medi-Cal Managed Care Plan Services CDA California Department of Aging Medi- California’s Medicaid healthcare Cal program CDCR California Department of Corrections NOFA Notice of Funding Availability and Rehabilitation CDE California Department of Education SB Senate Bill CDLAC California Debt Limit Allocation SGC California Strategic Growth Council Committee CDPH California Department of Public Health TA Technical Assistance CDSS California Department of Social VA U.S. Department of Veterans Affairs Services CHEBNA California Higher Education Basic WPC Whole Person Care Needs Alliance CoC Continuum of Care 75