FAMILY INDEPENDENCE ADMINISTRATION James K. Whelan, Executive Deputy Commissioner

Transcription

1 FAMILY IDEPEDECE ADMIISTRATIO James K. Whelan, Executive Deputy Commissioner Stephen Fisher, Assistant Deputy Commissioner Office of Procedures POLICY BULLETI #15-03-ELI (This Policy Bulletin Replaces PB #12-54-ELI) Date: January 23, 2015 This procedure can now be accessed on the FIAweb. Subtopic(s): Forms Revisions to the Original Policy Bulletin This policy bulletin has been revised to update the following information on the Temporary Housing Facilities (W-145UU) form: Addresses; Telephone numbers; Director names; rates; ; Eligibility for restaurant allowance; Facility descriptions; and Add or delete facilities as appropriate. Purpose The purpose of this policy bulletin is to inform all Job Center and on Cash Assistance Supplemental utrition Assistance Program (CA SAP) Center staff that Form W-145UU has been updated to provide current information on temporary housing facilities, domestic violence shelters, and hotels affiliated with the Department of Homeless Services (DHS) for individuals/families that are in need of temporary accommodations. Also included are instructions on how to utilize the W-145UU with the Paperless Office System (POS) for Cash Assistance (CA) and SAP. HAVE QUESTIOS ABOUT THIS PROCEDURE? Call then press 3 at the prompt followed by 1 or send an to FIA Call Center Fax or fax to: (917) Distribution: X

2 PB #15-03-ELI Form W-145UU provides the most up-to-date information on daily rates, addresses, telephone numbers, and contact persons, as well as a brief description of temporary housing facilities located within the five boroughs of ew York City. These facilities include: Hotels Cluster Sites Tier II s Adult Family s For families with children, offering limited social services Temporary housing with social services (formerly known as scatter sites) Social service enriched temporary shelters Temporary housing for adult couples without children Calculating a CA or SAP budget in POS JOS/Workers should use Form W-145UU to complete the Rent/ Expense and Temporary Housing Drill Down windows in POS for homeless applicants/participants residing in temporary facilities: Click Yes for the question Do You (Or Anyone Who Lives With You) Have a Rent, Mortgage or Other Expenses? in the (Housing) Expenses window; In the Rent/ Expense window, select Temporary Housing in the Type menu. If Temporary Housing was already selected, click on the button labeled Click to View/Update Details of the Current Type. To change the value in the Type menu from another type of housing to Temporary Housing, click Yes for the question Change shelter type?; FIA Policy, Procedures, and Training 2 Office of Procedures

3 PB #15-03-ELI The Temporary Housing Drill-down Window will appear; Select the shelter type in the Temporary Housing menu, enter the daily rate in the Amount field, and select Per ight in the Frequency field; The entries made in this window will carry over to the POS Budget Household window and will be used by the system to calculate the Welfare Management System (WMS) budget. POS will leave the SHLT: AMT field blank and will enter code 06 in the SHLT: PER field. POS will also multiply the daily rate by 30 to get the monthly CA shelter amount and will place this amount in the CA SHELT field on the WMS budget. If the shelter does not provide meals three times per day or lacks facilities to prepare meals, the applicant/participant is entitled to a Allowance. The JOS/Worker must access the Other Expenses window and click o for the question Are You Able to Prepare Meals At Home?; FIA Policy, Procedures, and Training 3 Office of Procedures

4 PB #15-03-ELI The Allowance window will appear. Revised Select each individual eligible for a restaurant allowance, enter the reason for the allowance, and select type of meals needed in the Meals eeded menu. Click OK to save the entries made in the window; The entries made in this window will carry over to the POS Budget Individual Income and eeds window and will be used by the system to calculate the WMS budget. FIA Policy, Procedures, and Training 4 Office of Procedures

5 PB #15-03-ELI Form W-145UU is available in the Temporary Housing Drill Down window in CA and SAP POS and is accessible by clicking on the Help button and selecting List of Temporary Housing Facilities. Job Center Manual CA Budget Calculation Refer to Appendix D in the Public Assistance Budgeting Manual Manually calculating a CA budget 30 days per month is used as the standard. JOS/Workers should also use Form W-145UU when manually calculating a budget for applicants/participants residing in temporary housing as follows: On the Household/Suffix Financial Data screen (SBL02), do not enter an amount in the SHLT: AMT field. Enter 06 in the SHLT: PER field to indicate that the shelter expense is paid monthly; The daily rate indicated on the W-145UU form must be converted to a monthly rate and entered in the CA SHELT field on the SBL02 screen; Example: Multiply the daily rate by 30 to get the monthly CA shelter amount. If the daily rate is $101 per day, the monthly rate is $3,030 ($101 X 30 = $3,030) is the amount to enter in the CA SHELT field. If the shelter does not provide meals three times per day or lacks facilities to prepare meals, enter the appropriate Allowance code in the SPEC DS: TY field on the Individual Income eeds screen (SBL06) of the budget. FIA Policy, Procedures, and Training 5 Office of Procedures

6 PB #15-03-ELI CA SAP Center Manual Budget Calculation Refer to Appendix D in the PA SAP (FS) Budgeting Manual Manually calculating a SAP budget 30 days per month is used as the standard. Eligibility Specialists should use Form W-145UU when manually calculating a budget for applicants/participants residing in temporary housing as follows: The daily rate must be converted to a monthly rate and entered in the SHLT: AMT field on the SBL02 screen. Enter 06 in the SHLT: PER field to indicate that the shelter expense is paid monthly. Example: Multiply the daily rate by 30 to get the monthly shelter amount. If the daily rate is $101 per day, the monthly rate is $3,030 ($101 X 30 = $3,030) is the amount to enter in the SHLT: AMT field. Job Center Directors and CA SAP Center Directors must ensure that all previous versions of Form W-145UU are removed from circulation and recycled. Temporary Housing Facilities that are not listed on the W-145UU. Revised Individuals in privately run temporary facilities, or facilities run by city agencies other than DHS, were either self-placed or referred to these facilities by a non-dhs/non-hra entity. These facilities must be individually evaluated for shelter code and restaurant allowance eligibility. A sample of the revised form is attached. Effective Immediately References: Temporary Assistance Source Book, Chapters 16 and 30 Public Assistance Budgeting Manual, Appendix D PA SAP (FS) Budgeting Manual, Appendix D Please use Print on Demand to obtain copies of forms. Attachment: W-145UU Temporary Housing Facilities (Rev. 01/23/15) FIA Policy, Procedures, and Training 6 Office of Procedures

7 Form W-145UU (page 1 of 11) 1 93rd Ave Family Residence 2 TEMPORARY HOUSIG FACILITIES TIER II FACILITIES Facility Address Director Work Phone Abyssinian House/Samuel Proctor 3 Adam's House I 4 Adam's House II 5 Adam's House III 6 Albemarle Family Residence 7 Alice Branch Plaza 8 Arbor Inn 9 Boulevard Family Center (Pan Am) 10 Briarwood Family Residence 11 Bridge Haven 12 Bridge II/Housing Bridge 13 Bushwick VOA 14 Carmen's Place 15 Children Rescue Fund East 16 Clinton Family Inn 17 Concourse House CORE-McDonough Family 18 Residence (Wayside) 19 Corona Family Residence rd Avenue Queens, Y West 138th Street ew York, Y (718) oel Francis Ext. 531 $1.35 Coralita Francis Hendricks (212) $ Seventh Avenue ew York, Y Aaron Migdol (212) $ Seventh Avenue ew York, Y Aaron Migdol (212) $ West 132nd Street ew York, Y Aaron Migdol (212) $ Albemarle Road Brooklyn, Y Sharon Murray (718) $ East ew York Avenue Brooklyn, Y Darlene Hines (718) $ Carlton Avenue Brooklyn, Y Sharon Troutman (718) $ Queens Boulevard Elmhurst, Y Karen Ford (718) $ th Street Jamaica, Y Bob Reel (718) $ West 169th Street Bronx, Y Carlos Allende (917) Ext $ Willoughby Avenue Brooklyn, Y Mitzie Agard (718) $ Broadway Brooklyn, Y Vanessa Burton (718) $ Undercliff Avenue Bronx, Y LeToyia Prince (917) $ East 28th Street ew York, Y Alida Camacho (212) $ Y Families with children only. Family has own studio. Families with children only. Meals 3 times a day. Female parent with 1 to 2 children to the age of twelve. to cooking facilities. 521 West 49th Street ew York, Y Alex Rogutsky (212) $95.17 Family has own room with cooking unit Grand Concourse Bronx, Y Manuela Schaudt (718) $ MacDonough Street Brooklyn, Y 112 Gordon Jackson (718) $ th Street Corona, ew York Julia Rivera (347) $ HAVE QUESTIOS ABOUT THIS FORM?

8 Form W-145UU (page 2 of 11) Human Resources Administration Family Independence Administration TEMPORARY HOUSIG FACILITIES TIER II FACILITIES (continued) Facility 21 Crystal's Family Residence (Acacia Capri) 22 Dean Street 23 Dumont/Rose McCarthy 24 East River Family Residence 25 Flagstone Family Residence 26 Flatlands Family Residence 27 Flushing Avenue 28 Fox House 29 Fulton Family Residence 30 Gloria's House 31 Hale House 32 Hamilton HB-Claremont 34 HB-Claremont Annex 35 HB-LaGuardia Family Center 36 HB-Lenox Family Center Address Director 555 Hutchinson River Parkway Bronx, Y James Baggett 2155 Dean Street Brooklyn, Y Dumont Avenue Brooklyn, Y East 104th Street ew York, Y Amboy Street Brooklyn, Y Avenue D Brooklyn, Y Flushing Avenue Brooklyn, Y East 117th Street ew York, Y Fulton Avenue Bronx, Y Park Avenue Bronx, Y W 113th Street ew York, Y Hamilton Place ew York, Y Webster Avenue Bronx, Y Vyse Avenue Bronx, Y Ditmas Boulevard Queens, Y West 144th Street ew York, Y Work Phone (347) $ (718) (718) Ext. 11 $ $85.13 (646) $ Elizabeth Stephens (347) $ Derrick Aiken (718) $ Wanice James (718) $ Robin Jackson (212) (718) Ext. 301 $ $ (718) $ $95.08 Chenyear Walker (212) (347) Ext. 101 $ Alicia Simmons (917) $ Kim Benson (718) $ oel Francis (718) (212) Ext. 201 $ $ Diane Bonaventure Elizabeth Blackstone Pamela Brasier-Jefferson Alyssa Bernstein adia Huntley Joyce Kelly Bradley Pierre Kim Benson HAVE QUESTIOS ABOUT THIS FORM? Private apartment with cooking facilities. Female parent with 1 or 2 children to age 7. Family has own room with cooking facilities. families, private bathrooms, 21 families share 14 bathrooms. Meals served 3 times a day. Female parent with 1 to 2 children to the age of twelve. Cooking fac ifs eny.

9 Form W-145UU 20 HAVE QUESTIOS ABOUT THIS FORM?

10 Form W-145UU (page 4 of 11) 61 elson Avenue 62 Park Avenue Manor 63 Powers Family Residence 64 Prospect Interfaith TEMPORARY HOUSIG FACILITIES TIER II FACILITIES (continued) Facility Address Director Work Phone 65 Providence House Brooklyn 66 Providence House Queens 67 Regent Family Residence 68 Sammon Build Center 69 Saratoga Interfaith 70 Seneca Annex (Freeman St) 71 Seneca House 72 SI Family Residence Center/Hospitality House 73 Siena House 74 Sinergia 75 Sojourner Truth House 1605 elson Avenue Bronx, Y Karlene Daly (718) Ext. 301 $ Park Avenue Brooklyn, Y Athena Robinson (718) $ Powers Avenue Bronx, Y Kelly Street Stacey Ann Rose-Telford (917) (917) $69.50 Bronx, Y Marisol Santiago (718) $ Stockholm Street (718) Brooklyn, Y Rita Taddonio Ext. 14 $ th Street (718) Jamaica, Y Rita Taddonio Ext. 14 $ Broadway ew York, Y Leslie Armstrong-Sweeny (212) Ext. 251, 229 $ Grand Avenue Bronx, Y Crystal Standish (718) $ Rockaway Boulevard Queens, Y Michael Fahy (718) $ Freeman Street Bronx, Y Maritza Alvarez (718) $ Seneca Avenue Bronx, Y Maritza Alvarez (718) $ Central Avenue Staten Island, Y Maritza Rodriguez (718) $ West 168th Street Bronx, Y Sr. Mary Doris (718) $ Lexington Avenue ew York, Y Yesenia Estrella (212) $ Crotona Parkway Bronx, Y Candis Gibson (718) $99.51 Human Resources Administration Family Independence Administration Families. HAVE QUESTIOS ABOUT THIS FORM?

11 Form W-145UU (page 5 of 11) 82 Tilden Hall 83 Town and Country TEMPORARY HOUSIG FACILITIES TIER II FACILITIES (continued) Facility Address Director Work Phone 84 University Family Residence 85 Urban Family Center 86 Urban Strategies Maternity Urban Transitional Fannie Barnes VOA Family Residence/ Lydia E. Hoffman 89 West End Residence 90 Williamsbridge Family Inn 91 Willow Avenue WI West Bronx I (Sherson WI/Lehman) WI West Bronx II (Lex Bronx) 94 WI Westway 2520 Tilden Avenue Brooklyn, Y Shakeena Smith (718) $ Tillotson Avenue Bronx, Y Felicia Dejesus (718) $ University Avenue Bronx Y Baruch Place ew York, Y Saratoga Avenue Brooklyn, Y Uche Onyeukwu Geneira Armstrong Esther Anderson (718) Ext. 230 $72.76 (212) Ext. 206 $93.28 (718) Ext. 11 $ Saratoga Avenue Brooklyn, Y Paul Miller (718) $ East 175th Street Bronx, Y Rene Fernandez (718) Ext. 13 $ West End Avenue ew York, Y Ann Davis (212) $ East 211th Street Bronx, Y Gretchen Hernandez Acting (718) $ Willow Avenue Bronx, Y Marjorie Jeannot (718) $ Webster Avenue Bronx, Y Kimberly Lattimore (718) $ East 183rd Street Bronx, Y Kimberly Lattimore (718) $ Astoria Boulevard Queens, Y Affreaka Austin (718) $ Human Resources Administration Family Independence Administration Family has own apartment with kitchen. Family has own apartment with kitchen. Meals provided 3 times per day. Family has own apartment with kitchen. Family has own apartment with kitchen. Family has own apartment with kitchen. Family has own apartment with kitchen. Family has own apartment with kitchen. Shared kitchen. HAVE QUESTIOS ABOUT THIS FORM?

12 Form W-145UU (page 6 of 11) Human Resources Administration Family Independence Administration 1 Bedco Cluster 2 Bronx Acacia Cluster I 3 Bronx Acacia Cluster II 4 Bronx Bedco Cluster 5 Bronx eighborhood Annex 6 CLUSTER SITE FACILITIES Facility Address Director Work Phone Bronx eighborhood Aguilla Cluster 7 Brooklyn Acacia Cluster 8 Brooklyn CAMBA Cluster 9 10 Children's Rescue Fund Cluster Model Annex Children's Rescue Fund Cluster Model Program 11 Flagstone Family Residence 12 LCG Brooklyn 13 LCG Community Services Cluster 14 Manhattan Acacia Cluster 15 Manhattan Acacia Cluster II 1040 East ew York Avenue Brooklyn, Y Darlene Hines (718) $ East 180th Street Suite 202 (Main Office) Bronx, Y East 180th Street Suite 202 (Main Office) Bronx, Y Robert Gonzalez Dalia Melendez Robert Gonzalez Dalia Melendez (646) (646) $ Private apartment with cooking facilities. (646) (646) $ Private apartment with cooking facilities. 131 East 169th Street Bronx, Y A. Muhammad (718) $ Briggs Avenue Bronx, Y Jenny Rivera (347) $ Private apartment with cooking facilities Boynton Avenue Bronx Y Claudia Davila (347) $ Private apartment with cooking facilities. 255 Liberty Avenue Brooklyn, Y Jessica Soto (718) $ Private apartment with cooking facilities Church Avenue Brooklyn, Y Francine Palazza (718) $ Private apartment with cooking facilities Walton Avenue Bronx, Y East 180th Street Suite 202 (Main Office) Bronx, Y Yolanda Fredricks- Roberts (718) $ Private apartment with cooking facilities. Yolanda Fredricks- Roberts (718) $ Private apartment with cooking facilities. 196 Amboy Street Brooklyn, Y Elizabeth Stephens (718) $ Private apartment with cooking facilities. 20 Covert Street Brooklyn, Y Mark Lazar (718) $ Private apartment with cooking facilities. 26 Webster Avenue Bronx, Y Mark Lazar (718) $ Private apartment with cooking facilities. 413 East 120th Street Suite 501 ew York, Y Adalgisa Capellan (646) $ Private apartment with cooking facilities. 413 East 120th Street Suite 501 ew York, Y Adalgisa Capellan (646) $ Private apartment with cooking facilities. HAVE QUESTIOS ABOUT THIS FORM?

13 Form W- HAVE QUESTIOS ABOUT THIS FORM?

14 Form W-145UU (page 8 of 11) 21 Frant Hotel 22 Hall Place 23 Henwood 24 Hunts Point 25 John's Family Center 26 Julio's Family 27 Julio's House 28 Kings Inn Motor Lodge 29 Kingston Family Residence 30 Lex Brooklyn Residence 31 Lincoln Atlantic 32 Metro Family Residence Mike's House 34 Mike's House Annex 35 ew Dawn 36 Pacific Place 37 Park Family Residence TEMPORARY HOUSIG FACILITIES HOTELS (FAMILIES WITH CHILDRE OLY) (continued) Facility Address Director Work Phone 211 West 101st Street ew York, Y Evelyn Chevalier-Lui (212) $ Hall Place Bronx, Y Mark Sherman (718) $ Henwood Place Bronx, Y Evelyn Chevalier-Lui (347) $ Grand Concourse Bronx, Y Joseph Gordon (929) $ Pacific Street Brooklyn, Y Father Gordon Duggins (917) $ Fox Street Bronx, Y Evelyn Chevalier-Lui (718) $ East 132nd Street ew York, Y Evelyn Chevalier-Lui (212) $ rd Avenue Queens, Y Steve Marguiles (718) $ Kingston Avenue Brooklyn, Y Riquelma (Ricci) Moreno (718) $ Washington Avenue Brooklyn, Y Ron Almond (718) $ Van Wyck Expressway Jamaica, Y Kwasi Boamah (718) $ Queens Boulevard Queens, Y Maria Tolentino (718) Ext. 355 $ Eagle Avenue Bronx, Y Evelyn Chevalier-Lui (718) $ Eagle Avenue Bronx, Y Evelyn Chevalier-Lui (718) $ St. icholas Place ew York, Y Pacific Street Brooklyn, Y Rockaway Boulevard Father Gordon Duggins (212) $ Father Gordon Duggins (718) $ Human Resources Administration Family Independence Administration HAVE QUESTIOS ABOUT THIS FORM?

15 Form W-145UU (page 9 of 11) 41 Teller Residence 42 Tower Hotel 43 Tremont Plaza Family Residence 44 Van Siclen Residence 45 Wales Avenue Residence 46 Walton 47 Webster Hotel 48 West Harlem Residence TEMPORARY HOUSIG FACILITIES HOTELS (FAMILIES WITH CHILDRE OLY) (continued) Facility Address Director Work Phone 49 Woodruff Family Residence 957 Teller Avenue Bronx, Y Mark Sherman (718) $ West 145th Street ew York, Y Evelyn Chevalier-Lui (212) $ Tremont Avenue Bronx, Y Ivette Rivera (718) $ Jamaica Avenue Brooklyn, Y Rev. Leopaldo Karl (718) $ Wales Avenue Bronx, Y Joseph Gordon (917) $ Walton Avenue Bronx, Y Mark Sherman (718) $ Webster Avenue Bronx, Y Ivette Rivera (718) $ West 143rd Street ew York, Y Angela Phillips (212) $ Woodruff Avenue Brooklyn, Y Riquelma (Ricci) Moreno (718) $ Human Resources Administration Family Independence Administration HAVE QUESTIOS ABOUT THIS FORM?

16 Form W-145UU (page 10 of 11) Human Resources Administration Family Independence Administration 1 Grand Concourse 2 Park Overlook Hotel 3 Parnosa 4 Prospect Hotel 5 Tov Hotel 6 Millennium Care 7 St. icholas 8 Andrews Court 9 Freedom House 10 Gracey Inn 11 Parkview Hotel 12 Sugar Hill 13 Washington Hotel 14 Aladdin Hotel TEMPORARY HOUSIG FACILITIES ADULT FAMILY SHELTERS Facility Address Director Work Phone 2327 Grand Concourse Bronx, Y iurka Sabess (718) $90.00 Y 1938 Webster Avenue Bronx, Y West 144th Street ew York, Y Efrain Echevarria Pedro Peralta (718) (347) Cell $ Y (212) (917) (212) $ Cooking facility available. 963 Prospect Avenue Bronx, Y Susan Gilliard (646) $ Cooking facility available University Avenue Bronx Y Tiffany Rivera (347) $77.50 Y 980 Prospect Avenue Bronx, Y St. icholas Avenue ancy Camacho Oneil Young (718) Ext. 16 (718) Ext. 15 $ Y ew York, Y ancy Camacho (646) $ Y 45 West 177th Street Bronx, Y ancy Camacho (917) $ Cooking facility available. 316 West 95th Street ew York, Y West 95th Street ew York, Y First Avenue ew York, Y West 110th Street ew York, Y West 148th Street ew York, Y Third Avenue ew York, Y West 45th Street ew York, Y Greg Essenpreis Virginia Bagby Daysi Pena Julie Medina Daysi Pena (Ext. 222) Julie Medina (Ext. 202) Greg Essenpreis Virginia Bagby Daysi Pena Julie Medina Dione Vega (Ext.101) (212) (646) Ext. 502 $ Y (212) (212) Front Desk $60.09 Y (212) (212) Front Desk $ Cooking facility available. (212) Social Services (212) Front Desk $90.00 Y (212) (212) Front Desk $ Y (212) Social Services (212) Front Desk $ Y HAVE QUESTIOS ABOUT THIS FORM?

17 Form W-145UU (page 11 of 11) Human Resources Administration Family Independence Administration 15 Harlem Park 16 Infiniti 17 Lexington House 18 El Camino TEMPORARY HOUSIG FACILITIES ADULT FAMILY SHELTERS (continued) Facility Address Director Work Phone 19 Star Bright Family Residence 20 Stebbins Hotel 21 Auburn 22 Beach 1815 Park Avenue ew York, Y Dean Street Brooklyn, Y East 115th Street ew York, Y Zulay Mateo (917) Latonya Dixon Ivette Rivera (212) Front Desk (212) $79.00 Y (347) Ext. 12 (347) Cell (Rivera) $90.00 Y Hughette Jasper Joanni Cuevas (212) $ Y th Avenue Jamaica Queens, Y Marilyn Gonzalez (718) $ Meals provided 3 times per day. 615 East 104th Street Brooklyn, Y Riquelma Moreno (718) $ Meals provided 3 times per day Stebbins Avenue Bronx, Y Riquelma Moreno (718) $58.12 Cooking facility available. 39 Auburn Place Brooklyn, Y Ora Cook (718) (718) $ Meals provided 3 times per day. 316 Beach 65th Street Far Rockaway, Y Julio DeJesus (917) Meals provided 3 times per day. HAVE QUESTIOS ABOUT THIS FORM?