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[]
["DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT"]
["DIVISION OF STATE FINANCIAL ASSISTANCE",null,null,null,null,null,null,null,null,null,"2020-2021","2021-2022","2022-2023",null,null,null,"Inception-June 30, 2021"]
["STATE GRANT MANAGEMENT BRANCH",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"July 1, 2021-June 30, 2022"]
["651 Bannon Street, 8th Floor",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"July 1, 2022-June 30 2023"]
["Sacramento, CA  95811",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"July 1, 2023-June 30 2024"]
["TAYSGM@hcd.ca.gov"]
["Transitional Housing Program (THP) \nAnnual and Bi-Annual Report"]
[" Last Revised: 07/01/2024"]
["PLEASE READ: This form should be used to report on Round 1, Round 2 and Round 3 of Transitional Housing Program funds. Round 1 and Round 2 funds require Annual Reporting while Round 3 requires Bi-Annual Reporting. If you are unsure whether your award is on an annual or bi-annual reporting schedule, please refer to your Standard Agreement. You can also contact THP staff by using the email address provided above. You must complete this form for each contract you have for THP Round 1, Round 2 and Round 3 funds. NOTE: You must select a Reporting Schedule before the Reporting Period drop-down will function. "]
["Section 1: Contract and Funding Round"]
["HCD Contract #:",null,null,null,"Reporting Schedule:",null,"Select One"]
["Select Reporting Period:",null,"Select One"]
["Section 2: Contact Information"]
["County (Applicant) Name:"]
["Street Address:"]
["City:",null,null,null,null,"State:"]
["County:",null,null,null,null,"Zip:"]
["Authorized Representative Name:",null,null,null,null,"Title:"]
["Authorized Representative Email:",null,null,null,null,"Phone:"]
["Contact Person Name:",null,null,null,null,"Title:"]
["Contact Person Email:",null,null,null,null,"Phone:"]
["Section 3: Allocations and Expenditures"]
["The Budget Act of 2019 and 2021 allocates $8 million in funding to the counties for allocation to child welfare services agencies to help young adults  who are 18 to 24 (inclusive) years of age secure and maintain housing, with priority given to young adults formerly in the state's foster care or probation systems. Any grant funds remaining unexpended within the expenditure period as outlined in a grantee's standard agreement must be returned to the State. Checks shall be payable to the Department of Housing and Community Development and mailed to 2020 West El Camino Avenue Room 300, Sacramento, CA 95833, no later than one month following the expiration of the Expenditure Period and must reference the Contract Number."]
["Instructions: Complete the Section 3 below, providing information on the total amount of the award for the contract # listed above, the total amount disbursed and the total amount expended (funds that have been disbursed and expended on eligible expenses). These should be up-to-date figures and any balances should match what HCD currently has on file.  "]
["THP Funding Round","Total Amount Awarded","Total Amount Disbursed","Total Amount Expended","Amount of Award NOT Disbursed","Percent of Award Not Disbursed","Amount of Disbursed Funds Not Expended","Percent of Disbursed Funds Not Expended"]
["Select One",null,null,null,{"$f":"B27-C27","v":0},{"$f":"IFERROR(E27/B27,\"\")","v":""},{"$f":"C27-D27","v":0},{"$f":"IFERROR((C27-D27)/C27, \"\")","v":""}]
["Section 4: Use of Funds"]
[" Please enter the dollar amount expended by eligible activity below. Provide total amount expended from last reporting period and total amount expended for this reporting period. The total amount expended in row 38 should match the total amount expended in Section 3. Use of funds may include, but are not limited to:  "]
[null,null,null,null,null,null,"Total Amount Previously Reported Expended","Amount Expended This Period"]
["Amount expended to identify and assist housing services for young adults (aged 18-24 inclusive) in your community:"]
["Amount expended to assist young adults (aged 18-24 inclusive) in the foster care or probation system to secure and maintain housing:"]
["Amount expended to assist young adults (aged 18-24 inclusive) not in the foster care or probation system to secure and maintain housing:"]
["Amount expended to improve coordination of services and linkages to key resources across the community including those from within the child welfare system and the local Continuum of Care:"]
["Amount expended to provide engagement in outreach and targeting to serve those with most severe needs:"]
["Other expended funds: \n(Use narrative box below to provide details on \"Other\" expended funds)"]
["Total:",null,null,null,null,null,{"$f":"SUM(G31:G36)","v":0},{"$f":"SUM(H31:I36)","v":0}]
["Total Expended:",null,null,null,null,null,{"$f":"SUM(G37,H37)","v":0}]
["Other Expended Funds"]
["If you entered an amount in \"Other Expended Funds\"  above, use the narrative box below to provide specific details on the eligible activity and use of funds. Be detailed. "]
[]
["Section 5: Program Outcomes"]
["Instructions: Report on total participants served as previously reported and total amount of participants served this reporting period. These two categories combined should represent the overall total of individual served by program funds since the execution of your contract."]
[null,null,null,null,null,null," Participants Served Prior to This Reporting Period"," Participants Served This Reporting Period"]
[" Number of Participants (aged 18-24 inclusive) Served with Program Funds:"]
["Totals Participants Served:",null,null,null,null,null,{"$f":"SUM(G45,H45)","v":0}]
["Please report on the subpopulation categories below. Since a single participant could fall into multiple subpopulations, the total number of participants listed below does not need to equal the total number of Participants served with program funds listed above. The following data may help HCD make data based decisions on future program funding and awards. "]
[null,null,null,null,null,null," Participants Served Prior to This Reporting Period"," Participants Served This Reporting Period"]
["Total Number of Participants (aged 18-24 inclusive) Served who were homeless at time of program entry:"]
["Total Number of Participants (aged 18-24 inclusive) who exited program into homelessness:"]
["Total Number of Participants (aged 18-24 inclusive) who exited program into permanent housing:"]
["Total Number of Participants (aged 18-24 inclusive) employed:"]
["Total Number of Participants (aged 18-24 inclusive) which identify as LGBTQIA+:"]
["Total Number of Participants (aged 18-24 inclusive) enrolled in a school/education program:"]
["Total Number of Participants (aged 18-24 inclusive) which reported having a disability:"]
["Total Number of Participants (aged 18-24 inclusive) who reported being incarcerated prior to program entry:"]
["Total Number of Participants (aged 18-24 inclusive) who were in the state's probation system:"]
["Total Number of Participants (aged 18-24 inclusive) who were in the state's foster care system:"]
["Total Number of Participants (aged 18-24 inclusive) with minor children in the household:"]
["If minor children are in the household, provide the average number of children per household:"]
["Participant Race"]
["Total Number of Participants (aged 18-24 inclusive) which identify as American Indian or Alaska Native:"]
["Total Number of Participants (aged 18-24 inclusive) which identify as Asian:"]
["Total Number of Participants (aged 18-24 inclusive) which identify as Black or African American:"]
["Total Number of Participants (aged 18-24 inclusive) which identify as Native Hawaiian or Other Pacific Islander:"]
["Total Number of Participants (aged 18-24 inclusive) which identify as White:"]
["Total Number of Participants (aged 18-24 inclusive) which identify as Multiracial:"]
["Participant Ethnicity"]
["Total Number of Participants (aged 18-24 inclusive) which identify as Hispanic, Latino, or Spanish Origin:"]
["Total Number of Participants (aged 18-24 inclusive) which identify as Not of Hispanic, Latino, or Spanish Origin:"]
["Please use the narrative box below to provide any additional information on subpopulations or any other details you believe useful for HCD to know."]
[]
["Section 6: Narrative Questions"]
["What were the funds used for? Please explain. \n(Provide detailed information on the use of funds) "]
[]
["Who were the housing navigator(s) and/or subcontractors?\n(Include information on the housing navigator(s) experience, program approach and outcomes) "]
[]
["How were foster care/probation system participants prioritized? \n(Include information on actions taken to prioritize young adults in the foster care/probation system)"]
[]
["What were some program successes? \n(Include information on any successes and outcomes of your program)\n"]
[]
["Did you experience any program barriers? Please explain. \n(Include information on any barriers or difficulties you have experienced in the running/implementation of your program)\n"]
[]
["Section 7: Certification"]
["*By signing this request, I certify to the best of my knowledge and belief that the request is true, complete, and accurate, and the expenditures, disbursements and cash receipts will be  for the purposes and objectives set forth in the terms and conditions of the State award. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812)"]
["Note: You may choose \"Certification by Printed Name\" from the drop-down below and by doing so you are agreeing to all the information detailed in the above Certification without having to submit a copy of this document with a digital signature. If you select this option, please be sure to type out your name in both the \"Name of Authorized Person\" and \"Signature of Authorized Person\" fields. If you select \"Certification by Digital Signature,\" you must submit the following: 1) Copy of the Excel version of this document and 2) PDF copy with digital signature. "]
["Signature Method:","Select One"]
["Name of Authorized Person",null,null,null,null,"Title of Authorized Person "]
[]
["Signature of Authorized Person ",null,null,null,null,"Date"]

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[null,"THP Annual Report Summary Review Form\n(HCD Staff Only)"]
[null,"Instructions: Use drop-down menus to answer \"Yes\" or \"No.\" In the event that the answer to one of the below questions is \"No,\" or if you wish to add additional details, please use the narrative boxes (shaded green)."]
[null,"1. Was the annual report completed (all relevant fields filled and report signed by sponsor)? ",null,null,null,null,null,null,null,null,null,"Select One",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Select One"]
[null,"If No, please explain below",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No"]
[]
[null,"2. Were program funds used in a manner consistent with program rules and guidelines? ",null,null,null,null,null,null,null,null,null,"Select One"]
[]
[null,"If No, please explain below"]
[]
[null,"3. Were the participants served eligible for program services per program rules and guidelines?",null,null,null,null,null,null,null,null,null,"Select One"]
[]
[null,"If No, please explain below"]
[]
[null,"4. Were foster care/probation system participants prioritized? ",null,null,null,null,null,null,null,null,null,"Select One"]
[]
[null,"If No, please explain below"]
[]
[null,"5. Any concerns or additional notes?"]
[]
[null,"Report Reviewed Certification "]
[null,"     SGM Representative Printed Name  ",null,null,null,null,null,null,null,null,null,"Date Submitted to Manager"]
[]
[null,"     SGM Manager Printed Name  ",null,null,null,null,null,null,null,null,null,"Date of Approval "]

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[]
["Contract Year",null,"20 List","21 List",null,"Select One","Select One"]
[20,null,"Select One","Select One",null,"Annual Reporting","THP Round 1"]
[21,null,"July 1, 2022-June 30, 2023, Due July 31, 2023","July 1, 2022- December 31, 2022, Due January 31, 2023",null,"Bi-Annual Reporting","THP Round 2"]
[null,null,"July 1, 2023-June 30, 2024, Due July 31, 2024","January 1, 2023- June 30, 2023,  Due July 31, 2023",null,null,"THP Round 3"]
[null,null,"July 1, 2024-June 30, 2025, Due July 31, 2025","July 1, 2023- December 31, 2023, Due January 31, 2024"]
[null,null,"July 1, 2025-June 30, 2026, Due July 31, 2026","January 1, 2024- June 30, 2024,  Due July 31, 2024"]
[null,null,null,"July 1, 2024- December 31, 2024, Due January 31, 2025"]
[null,null,null,"January 1, 2025- June 30, 2025,  Due July 31, 2025"]
[null,null,null,"July 1, 2025- December 31, 2025, Due January 31, 2026"]
[null,null,null,"January 1, 2026- June 30, 2026,  Due July 31, 2026"]
[null,null,null,"July 1, 2026- December 31, 2026, Due January 31, 2027"]
[null,null,null,"January 1, 2027- June 30, 2027,  Due July 31, 2027"]
[null,null,null,"July 1, 2027- December 31, 2027, Due January 31, 2028"]
[null,null,null,"January 1, 2028- June 30, 2028,  Due July 31, 2028"]

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["HCD Contract #:","Select Reporting Period:","Reporting Schedule:","County (Applicant) Name:","Street Address:","City:","State:","County:","Zip:","Authorized Representative Name:","Title:","Authorized Representative Email:","Phone:","Contact Person Name:","Title:","Contact Person Email:","Phone:","THP Funding Round","Total Amount Awarded","Total Amount Disbursed","Total Amount Expended","Amount of Award NOT Disbursed","Percent of Award Not Disbursed","Amount of Disbursed Funds Not Expended","Percent of Disbursed Funds Not Expended","Previous Amount expended to identify and assist housing services for young adults (aged 18-24 inclusive) in your community:","Current Amount expended to identify and assist housing services for young adults (aged 18-24 inclusive) in your community:","Previous Amount expended to assist young adults (aged 18-24 inclusive) in the foster care or probation system to secure and maintain housing::","Current Amount expended to assist young adults (aged 18-24 inclusive) in the foster care or probation system to secure and maintain housing::","Previous Amount expended to assist young adults (aged 18-24 inclusive) not in the foster care or probation system to secure and maintain housing:","Current Amount expended to assist young adults (aged 18-24 inclusive) not in the foster care or probation system to secure and maintain housing:","Previous Amount expended to improve coordination of services and linkages to key resources across the community including those from within the child welfare system and the local Continuum of Care:","Current Amount expended to improve coordination of services and linkages to key resources across the community including those from within the child welfare system and the local Continuum of Care:","Previous Amount expended to provide engagement in outreach and targeting to serve those with most severe needs:","Current Amount expended to provide engagement in outreach and targeting to serve those with most severe needs:","Previous Other expended funds: \n","Current Other expended funds: ","Total Previously Expended:","Current Expended This Period:","Total Expended","Other Expended Funds Narrative:","Previous Total Participants Served","This Reporting Period Total Participants Served","Previous Participants  Served who were homeless at time of program entry:","This Reporting Period Participants  Served who were homeless at time of program entry:","Previous Participants  who exited program into homelessness:","This Reporting Period Participants  who exited program into homelessness:","Previous Participants  who exited program into permanent housing:","This Reporting Period Participants  who exited program into permanent housing:","Previous Participants  employed:","This Reporting Period Participants  employed:"," Previous Participants  which identify as LGBTQIA+:"," This Reporting Period Participants  which identify as LGBTQIA+:"," Previous Participants  enrolled in a school/education program:"," This Reporting Period Participants  enrolled in a school/education program:","Previous  Participants  which reported having a disability:","This Reporting Period  Participants  which reported having a disability:"," Previous Participants  who reported being incarcerated prior to program entry:"," This Reporting Period Participants  who reported being incarcerated prior to program entry:","Previous Participants  who were in the state's probation system:","This Reporting Period Participants  who were in the state's probation system:"," Previous Participants  who were in the state's foster care system:"," This Reporting Period Participants  who were in the state's foster care system:"," Previous Participants  with minor children in the household:"," This Reporting Period Participants  with minor children in the household:","Previous If minor children are in the household, provide the average number of children per household:","This Reporting Period If minor children are in the household, provide the average number of children per household:"," Previous Participants  which identify as American Indian or Alaska Native:"," This Reporting Period Participants  which identify as American Indian or Alaska Native:","Previous  Participants  which identify as Asian:","This Reporting Period  Participants  which identify as Asian:"," Previous Participants  which identify as Black or African American:"," This Reporting Period Participants  which identify as Black or African American:","Previous Participants  which identify as Native Hawaiian or Other Pacific Islander:","This Reporting Period Participants  which identify as Native Hawaiian or Other Pacific Islander:"," Previous Participants  which identify as White:"," This Reporting Period Participants  which identify as White:"," Previous Participants  which identify as Multiracial:"," This Reporting Period Participants  which identify as Multiracial:","Previous Participants which identify as Hispanic, Latino, or Spanish Origin:","This Reporting Period Participants which identify as Hispanic, Latino, or Spanish Origin:","Previous Participants which identify as Not of Hispanic, Latino, or Spanish Origin:","This Reporting Period Participants which identify as Not of Hispanic, Latino, or Spanish Origin:","What were the funds used for?","Who were the housing navigators and/or subcontractors?","How ere foster care/probation system participants prioritized?","What were some program successes?","Program Barriers"]
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