Full Scale Implementation Phase
What's New On Our SPA 8 Community Page
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TeaM Members
Year 8: Full Scale Implementation Phase Leadership
- SPA 8 CES All Systems Director: Shari Weaver (HIS)
- SPA 8 Regional Coordinator Adults: Max Estrada (HIS)
- SPA 8 Regional Coordinator Transitional Age Youth: Cederrick Ashley (HIS)
- Adult & Youth Matcher: tbd (HIS)
- Regional Outreach Coordinator: Ari Hamilton (HIS)
- Regional Data Coordinator: TBD (HIS)
- Regional Domestic Violence Coordinator: Carille Escalante (Rainbow Services)
- CES Youth & Family Education Coordinator: Lawrence Doss (LA Unified School District)
- Hospital Liaison: Chloe Kellum (HIS)
North Hub Regional Coordinator
Mary Agnes Erlandson St. Margaret Center 10217 S. Inglewood Ave, Lennox 310-672-2208 > Inglewood, Lennox, Gardena, Hawthorne, Lawndale, Alondra Park, West Athens, Del Aire |
Harbor/Central Regional Coordinator
Max Estrada Harbor Interfaith Services 670 W. 9th St., San Pedro 424-276-3602 x294 > San Pedro, Wilmington, Harbor City, Harbor Gateway, Carson, Rancho Dominguez, Torrance, Lomita, Palos Verdes Cities, Avalon |
Long Beach Regional Coordinator
Marjorie Solorzano Mental Health America of LA 562-437-6717 x287 > Long Beach |
Beach Cities Regional Coordinator
Cederrick Ashley Harbor Interfaith Services 670 W. 9th St., San Pedro 424-276-3609 > Redondo Beach, Hermosa Beach, Manhattan Beach, El Segundo |
Hot off the Press
"DedicatedPLUS" LAHSA Resources
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SPA 8 Upcoming Events
Briefings from 1-28-19 CES All-Pop's Meeting (click title to download presentation)
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Briefings from CES Case Conferencing Mtg's
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Required Forms & Documents
July 2020-June 2021 (Year 8) CES Case File
(click on green colored titles to download the file)
(click on green colored titles to download the file)
LEFT Side of Folder (Case Mgmt and Housing Placement forms)
File Index Sheet (HIS Form dated 10-2017)
Monthly Update (LAHSA Form 1082 dated 9-1-2017)
Case Notes
Housing Placement Verification (Rental/Lease Agreement)
Referral Attained Documentation (HIS Form, not dated)
Minimum Standards for Permanent Housing Form (LAHSA Form 1083 dated 9-1-2017)
Check Request
Expense Report (HIS form dated 3-2018)
Client Satisfaction Survey (HIS Form, not dated)
Financial Assistance Extension Request (LAHSA Form (no #) dated 2-1-2018)
Referrals/Miscellaneous/Correspondence
Prevention Forms
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RIGHT Side of Folder (Program Enrollment Documentation)
Identification (e.g., CA ID or Driver's License)
Participant Eligibility RRH Screening Form All Pop's (LAHSA Form 2202 dated 8-1-2018)
Household Composition and Income Eligibility Form (LAHSA Form 1086 dated 8-1-2018)
Income Verification
Housing Stability Plan
Homeless Verification
Grievance Policy
Assessments
HMIS Consent Form
Veteran Status Documentation (DD214 or Healthcare ID)
Exit Summary Form (LAHSA Form 1081 dated 9-1-2017)
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Referrals
Payee Services (no date, uploaded 11-11-18)
LAHSA/DHS/DMH Referral Form for Bridge/Interim Housing Program (LAHSA Form 2182 dated 10-23-2018)
Legal Aid Foundation of Los Angeles (LAFLA)
Referral Documents: Prevention & Ending Homelessness Project (PEHP)
Prevention Forms
Referral Form (HIS Updated 05/18/2018)
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HIS SPA 8 Referral to one of the CES Systems (Individuals, Families, TAY) (no date, uploaded 4-17-19)
DMH Homeless FSP (dated 10-4-18)
1736 FCC Referral
MDT/E6 Referral: Homeless FSP Clinician Screening Tool & FAQ
Youth CES Referral Forms
MHALA Villiage FSP
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Optional Forms
Harbor Interfaith Client Satisfaction Survey
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SPA 8 Activities/Appointment Slip, aka "Golden Ticket"
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Long Beach Continuum of Care Forms
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Free California Birth Certificate request (CA HHSA form dated 6-2015)
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HACoLA form:
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HACLA’s forms:
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City of Los Angeles Council Districts (for LA City funded projects) (not dated)
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SSI Benefits Enrollment Info & Form from Help Me Help You (dated 5-2017)
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Federal Gov't Standard Form 180: Request for Military Records
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Lydia House Referral (family shelter in Long Beach) (not dated)
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MHA’s Housing and Jobs Collaborative (RRH) information/referral (dated 12-6-2017)
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SHARE! Housing Openings
As always:
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For housing referrals or inquires, call:
SHARE! Culver City main office (310) 846-5270 SHARE! Downtown L.A. main office (213) 213-0100 Linda (562) 396-7262 Maria (562) 324-1585 |