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Home Safe Instruction Manual
Contents Column A - Reporting Agency ............................................................................................................................................. 6
Column B - Report Month ................................................................................................................................................... 6
1 Column C - Last Name ...................................................................................................................................................... 6
2 Column D - First Name ..................................................................................................................................................... 6
3 Column E - Last Four Digits of Social Security Number .................................................................................................... 7
4 Column F - Date of Birth ................................................................................................................................................... 7
5 Column G - Location of Participation ............................................................................................................................... 8
6 Column H - Method of Assessment ................................................................................................................................. 8
7 Column I - Assessment Score ........................................................................................................................................... 8
8 Column J - Gender Identity .............................................................................................................................................. 8
9 Column K - Race 1 ............................................................................................................................................................ 9
10 Column L - Race 2 ........................................................................................................................................................... 9
11 Column M - Ethnicity 1 ................................................................................................................................................. 10
12 Column N - Ethnicity 2 ................................................................................................................................................. 10
13 Column O - Current Marital Status .............................................................................................................................. 11
14 Column P - Number of Children ................................................................................................................................... 11
15 Column Q - Sexual Orientation .................................................................................................................................... 12
16 Column R - Preferred Language ................................................................................................................................... 12
17 Column S - Veteran Status ........................................................................................................................................... 13
18 Column T - Medi-Cal ..................................................................................................................................................... 13
19 Column U - Medicare ................................................................................................................................................... 14
20 Column V - Representative Payee or Conservator ....................................................................................................... 14
21 Column W - Living Situation Upon Entry to HSAPS ...................................................................................................... 15
22 Column X - Monthly Rent/Mortgage Contribution ...................................................................................................... 15
23 Column Y - Number of Adults in Household - Not Including Client ............................................................................. 15
24 Column Z – Number of Minor Children in Household ................................................................................................. 15
25 Column AA - Client Homeless Within the Last Three Years ......................................................................................... 15
26 Column AB - Number of Times Homelessness Occurred in the Last Three Years ....................................................... 16
27 Column AC - Total Duration of Homelessness ............................................................................................................. 16
28 Column AD - Last Period of Homelessness .................................................................................................................. 16
29 Column AE - Previous Evictions or Foreclosures .......................................................................................................... 16
30 Column AF - Number of Past Evictions or Foreclosures............................................................................................... 16
31 Column AG - Current Eviction or Foreclosures ............................................................................................................ 17
32 Column AH - Discharge from Institution in the Last Six Months.................................................................................. 17
Home Safe Instruction Manual
33 Column AI - Household Trauma in the Last Six Months ............................................................................................... 17
34 Column AJ - Death of Household Member .................................................................................................................. 17
35 Column AK - Death of a Partner ................................................................................................................................... 17
36 Column AL - Breakup of Partnership ............................................................................................................................ 17
37 Column AM - Job Loss - Client ...................................................................................................................................... 18
38 Column AN - Job Loss - Household Member ................................................................................................................ 18
39 Column AO - Illness/ Injury/ Hospitalization - Client ................................................................................................... 18
40 Column AP - Illness/ Injury/ Hospitalization - Household Member ............................................................................. 18
41 Column AQ - Natural Disaster ...................................................................................................................................... 18
42 Column AR - Incarceration - Household Member ........................................................................................................ 18
43 Column AS - Additional Expense .................................................................................................................................. 19
44 Column AT - Other Causes of Housing Instability ........................................................................................................ 19
45 Column AU - Deaf ......................................................................................................................................................... 19
46 Column AV - Wheelchair .............................................................................................................................................. 19
47 Column AW - Cane/Walker .......................................................................................................................................... 19
48 Column AX - Other Ambulatory or Physical Difficulty .................................................................................................. 19
49 Column AY - Oxygen Therapy/ Respirator ................................................................................................................... 20
50 Column AZ - Kidney Dialysis ......................................................................................................................................... 20
51 Column BA - Depression .............................................................................................................................................. 20
52 Column BB - Anxiety ..................................................................................................................................................... 20
53 Column BC - Bipolar ..................................................................................................................................................... 20
54 Column BD - Post-Traumatic Stress Disorder .............................................................................................................. 21
55 Column BE - Schizophrenia .......................................................................................................................................... 21
56 Column BF - Dementia/ Cognitive Disorder ................................................................................................................. 21
56 Column BG - Substance Abuse ..................................................................................................................................... 21
58 Column BH Intellectual Disability ................................................................................................................................. 22
59 Column BI - Other Behavioral/ Mental Condition ........................................................................................................ 22
60 Column BJ - APS Reported Incident Date ..................................................................................................................... 22
61 Column BK - APS Reported Incident Location .............................................................................................................. 23
62 Column BL - Previous APS Involvement ....................................................................................................................... 23
63 Column BM - Self-Neglect - Physical Care .................................................................................................................... 23
64 Column BN - Self-Neglect - Financial ............................................................................................................................ 24
65 Column BO - Self-Neglect - Residence ......................................................................................................................... 24
66 Column BP - Physical Abuse ......................................................................................................................................... 24
67 Column BQ - Sexual Abuse ........................................................................................................................................... 25
Home Safe Instruction Manual
68 Column BR - Neglect .................................................................................................................................................... 25
69 Column BS - Abandonment .......................................................................................................................................... 25
70 Column BT - Isolation ................................................................................................................................................... 26
71 Column BU - Abduction ................................................................................................................................................ 26
72 Column BV - Psychological/ Mental Suffering ............................................................................................................. 26
73 Column BW - Financial Abuse - Improper Use/Access ................................................................................................. 27
74 Column BX - Financial Abuse – Theft ........................................................................................................................... 27
75 Column BY - Financial Abuse – Fraud ........................................................................................................................... 27
76 Column BZ - Financial Abuse – Amount ....................................................................................................................... 27
77 Column CA - Alleged Abuser 1 - Identity ...................................................................................................................... 28
78 Column CB - Alleged Abuser 1 - Living with Client ....................................................................................................... 28
79 Column CC - Alleged Abuser 2 – Identity ..................................................................................................................... 28
80 Column CD - Alleged Abuser 2 - Living with Client....................................................................................................... 29
81 Column CE - Alleged Abuser 3 - Identity ...................................................................................................................... 29
82 Column CF - Alleged Abuser 3 - Living with Client ....................................................................................................... 29
83 Colum CG - Reporting Source ....................................................................................................................................... 30
84 Column CH - APS Incident Reported to Law Enforcement........................................................................................... 30
85 Column CI - Disability Income ...................................................................................................................................... 30
86 Column CJ - Social Security Income ............................................................................................................................. 30
87 Column K - Pension or Other Retirement .................................................................................................................... 31
88 Column CL - Private Health Insurance .......................................................................................................................... 31
89 Column CM - CalFresh .................................................................................................................................................. 31
90 Column CN - Work for Pay ........................................................................................................................................... 32
91 Column CO - Other Income .......................................................................................................................................... 32
92 Column CP - Case Start Date ........................................................................................................................................ 32
93 Column CQ - Client Referred to CES ............................................................................................................................. 32
94 Column CR - Referral to Longer-Term Assistance - Date ............................................................................................. 32
95 Column CS - Referral to Longer-Term Assistance - Amount ........................................................................................ 33
96 Column CT - HSAPS Intervention 1 - Type .................................................................................................................... 33
97 Column CU - HSAPS Intervention 1 - "Other" Explanation .......................................................................................... 33
98 Column CV - HSAPS Intervention 1 - Date.................................................................................................................... 33
99 Column CW - HSAPS Intervention 1 - Amount ............................................................................................................. 34
100 Column CX - HSAPS Intervention 1 - Mode of Disbursement .................................................................................... 34
101 Column CY - HSAPS Intervention 1 - Mode of Disbursement Explanation ................................................................ 34
102 Column CZ - HSAPS Intervention 2 - Type .................................................................................................................. 35
Home Safe Instruction Manual
103 Column DA - HSAPS Intervention 2 - "Other" Explanation ........................................................................................ 35
104 Column DB - HSAPS Intervention 2 - Date ................................................................................................................. 35
105 Column DC - HSAPS Intervention 2 - Amount ............................................................................................................ 36
106 Column DD - HSAPS Intervention 2 - Mode of Disbursement ................................................................................... 36
107 Column DE - HSAPS Intervention 2 - Mode of Disbursement Explanation ................................................................ 36
108 Column DF - HSAPS Intervention 3 - Type ................................................................................................................. 37
109 Column DG - HSAPS Intervention 3 - "Other" Explanation ........................................................................................ 37
110 Column DH - HSAPS Intervention 3 - Date ................................................................................................................. 37
111 Column DI - HSAPS Intervention 3 - Amount ............................................................................................................. 38
112 Column DJ - HSAPS Intervention 3 - Mode of Disbursement ..................................................................................... 38
113 Column DK - HSAPS Intervention 3 - Mode of Disbursement Explanation ................................................................ 38
114 Column DL - HSAPS Intervention 4 - Type .................................................................................................................. 39
115 Column DM - HSAPS Intervention 4 - "Other" Explanation ....................................................................................... 39
116 Column DN - HSAPS Intervention 4 - Date ................................................................................................................. 39
117 Column DO - HSAPS Intervention 4 - Amount ........................................................................................................... 40
118 Column DP - HSAPS Intervention 4 - Mode of Disbursement .................................................................................... 40
119 Column DQ - HSAPS Intervention 4 - Mode of Disbursement Explanation ............................................................... 40
120 Column DR - HSAPS Intervention 5 - Type ................................................................................................................. 41
121 Column DS - HSAPS Intervention 5 - "Other" Explanation ......................................................................................... 41
122 Column DT - HSAPS Intervention 5 - Date.................................................................................................................. 41
123 Column DU - HSAPS Intervention 5 - Amount ........................................................................................................... 42
124 Column DV - HSAPS Intervention 5 - Mode of Disbursement .................................................................................... 42
125 Column DW - HSAPS Intervention 5 - Mode of Disbursement Explanation .............................................................. 42
126 Column DX - HSAPS Intervention 6 - Type ................................................................................................................. 43
127 Column DY - HSAPS Intervention 6 - "Other" Explanation ......................................................................................... 43
128 Column DZ - HSAPS Intervention 6 - Date .................................................................................................................. 43
129 Column EA - HSAPS Intervention 6 - Amount ............................................................................................................ 44
130 Column EB - HSAPS Intervention 6 - Mode of Disbursement .................................................................................... 44
131 Column EC - HSAPS Intervention 6 - Mode of Disbursement Explanation ................................................................ 44
132 Column ED - Legal Services ........................................................................................................................................ 45
133 Column EE - In Home Assistance ................................................................................................................................ 45
134 Column EF - Case Management ................................................................................................................................. 46
135 Column EG - Assistance with Benefits ....................................................................................................................... 46
136 Column EH - Payee Services ....................................................................................................................................... 47
137 Column EI - Financial Management ........................................................................................................................... 47
Home Safe Instruction Manual
138 Column EJ - Other Services ........................................................................................................................................ 48
139 Column EK - Other Services – Explanation ................................................................................................................. 48
140 Column EL - Case Closure Date .................................................................................................................................. 48
141 Column EM - Living Situation at Exit .......................................................................................................................... 49
142 Column EN - Six Month Follow-Up Living Situation Verified Date ............................................................................. 49
143 Column EO - Six Month Follow-Up - Method ............................................................................................................. 49
144 Column EP - Six Month Follow-Up - Living Situation Assessment .......................................................................... 50
145 Column EQ - Six Month Follow-Up - Homelessness Assessment ........................................................................... 50
146 Column ER - Six Month Follow-Up - Substantiated APS Reports ............................................................................... 50
147 Column ES - Twelve Month Follow-Up - Living Situation Verified Date .................................................................... 50
148 Column ET - Twelve Month Follow-up - Method ....................................................................................................... 51
149 Column EU - Twelve Month Follow-Up - Living Situation .......................................................................................... 51
150 Column EV - Twelve Month Follow-Up – Homelessness ........................................................................................... 51
151 Column EW - Twelve Month Follow-Up - Substantiated APS Reports....................................................................... 51
152 Column EX - Comments ............................................................................................................................................. 51
Home Safe Instruction Manual
Column A - Reporting Agency This cell is automatically populated and is for CDSS use only.
Column B - Report Month This cell is automatically populated and is for CDSS use only
1 Column C - Last Name Information is collected on the Client Details page -> Last Name.
2 Column D - First Name Information is collected on the Client Details page -> First Name.
Home Safe Instruction Manual
3 Column E - Last Four Digits of Social Security Number Information is collected on the Client Details page -> SSN.
4 Column F - Date of Birth Information is collected on the Client Details page -> Date of Birth.
Home Safe Instruction Manual
5 Column G - Location of Participation Information is collected on the Client details page -> Address -> City
6 Column H - Method of Assessment Report is going to populate PR VI SPDAT or VI SPDAT
7 Column I - Assessment Score Information is auto populated from the PR VI SPDAT assessment or VI SPDAT
8 Column J - Gender Identity Information is collected on the Client Details page -> Gender.
Home Safe Instruction Manual
9 Column K - Race 1 Information is collected on the Client Details page -> Race
10 Column L - Race 2 There isn’t a field to collected second Race information. Report is going to show the default value “Data not collected.”
Home Safe Instruction Manual
11 Column M - Ethnicity 1 Information is collected on the Client Details page -> Ethnicity
12 Column N - Ethnicity 2 There isn’t a field to collect second Ethnicity information. Report is going to show the default value “Data not collected.”
Home Safe Instruction Manual
13 Column O - Current Marital Status Information is collected on the Client Details page -> Marital Status
14 Column P - Number of Children Information is collected from the PR VI SPDAT Assessment.
Home Safe Instruction Manual
15 Column Q - Sexual Orientation Information is collected on the Client Details page -> Sexual Orientation
16 Column R - Preferred Language Information is collected on the Client Details page -> Language
Home Safe Instruction Manual
17 Column S - Veteran Status Information is collected on the Client Details page -> Veteran Status
18 Column T - Medi-Cal Information is collected on the Client Details page -> Resources sub tab -> Resource drop down = Medi-Cal
Home Safe Instruction Manual
19 Column U - Medicare Information is collected on the Client Details page -> Resources sub tab -> Resource drop down = Medicare
20 Column V - Representative Payee or Conservator Information is collected on the Collaterals tab -> Collaterals sub tab -> Resource Type = Representative Payee or
Conservator.
Home Safe Instruction Manual
21 Column W - Living Situation Upon Entry to HSAPS Information is collected from the PR VI SPDAT Assessment.
22 Column X - Monthly Rent/Mortgage Contribution Information is collected from the PR VI SPDAT Assessment
23 Column Y - Number of Adults in Household - Not Including Client Information is collected from the PR VI SPDAT Assessment
24 Column Z – Number of Minor Children in Household Information is collected from the PR VI SPDAT Assessment
25 Column AA - Client Homeless Within the Last Three Years Information is collected from the PR VI SPDAT Assessment
Home Safe Instruction Manual
26 Column AB - Number of Times Homelessness Occurred in the Last Three Years Information is collected from the PR VI SPDAT Assessment
27 Column AC - Total Duration of Homelessness Information is collected from the PR VI SPDAT Assessment
28 Column AD - Last Period of Homelessness Information is collected from the PR VI SPDAT Assessment
29 Column AE - Previous Evictions or Foreclosures Information is collected from the PR VI SPDAT Assessment
30 Column AF - Number of Past Evictions or Foreclosures Information is collected from the PR VI SPDAT Assessment
Home Safe Instruction Manual
31 Column AG - Current Eviction or Foreclosures Information is collected from the PR VI SPDAT Assessment
32 Column AH - Discharge from Institution in the Last Six Months Information is collected from the PR VI SPDAT Assessment
33 Column AI - Household Trauma in the Last Six Months Information is collected from the PR VI SPDAT Assessment
34 Column AJ - Death of Household Member Information is collected from the PR VI SPDAT Assessment
35 Column AK - Death of a Partner Information is collected from the PR VI SPDAT Assessment
36 Column AL - Breakup of Partnership Information is collected from the PR VI SPDAT Assessment
Home Safe Instruction Manual
37 Column AM - Job Loss - Client Information is collected from the PR VI SPDAT Assessment
38 Column AN - Job Loss - Household Member Information is collected from the PR VI SPDAT Assessment
39 Column AO - Illness/ Injury/ Hospitalization - Client Information is collected from the PR VI SPDAT Assessment
40 Column AP - Illness/ Injury/ Hospitalization - Household Member Information is collected from the PR VI SPDAT Assessment
41 Column AQ - Natural Disaster Information is collected from the PR VI SPDAT Assessment
42 Column AR - Incarceration - Household Member Information is collected from the PR VI SPDAT Assessment
Home Safe Instruction Manual
43 Column AS - Additional Expense Information is collected from the PR VI SPDAT Assessment
44 Column AT - Other Causes of Housing Instability Information is collected from the PR VI SPDAT Assessment
45 Column AU - Deaf Information is collected from the PR VI SPDAT Assessment
46 Column AV - Wheelchair Information is collected from the PR VI SPDAT Assessment
47 Column AW - Cane/Walker Information is collected from the PR VI SPDAT Assessment
48 Column AX - Other Ambulatory or Physical Difficulty Information is collected from the PR VI SPDAT Assessment
Home Safe Instruction Manual
49 Column AY - Oxygen Therapy/ Respirator Information is collected from the PR VI SPDAT Assessment
50 Column AZ - Kidney Dialysis Information is collected from the PR VI SPDAT Assessment
51 Column BA - Depression Information is collected from the Client Detail page -> Behavioral Condition = Depression
52 Column BB - Anxiety Information is collected from the Client Detail page -> Behavioral Condition = Anxiety
53 Column BC - Bipolar Information is collected from the Client Detail page -> Behavioral Condition = Bipolar
Home Safe Instruction Manual
54 Column BD - Post-Traumatic Stress Disorder Information is collected from the Client Detail page -> Behavioral Condition = PTSD (Post-Traumatic Stress Disorder)
55 Column BE - Schizophrenia Information is collected from the Client Detail page -> Behavioral Condition = Schizophrenia
56 Column BF - Dementia/ Cognitive Disorder Information is collected from the Client Detail page -> Behavioral Condition = Dementia or Cognitive Disorder
56 Column BG - Substance Abuse Information is collected from the Client Detail page -> Behavioral Condition = Substance Abuse
Home Safe Instruction Manual
58 Column BH Intellectual Disability Information is collected from the Client Detail page -> Vulnerability = Intellectual Disability
59 Column BI - Other Behavioral/ Mental Condition Information is collected from the Client Detail page. This part of the report is going to show any behavioral conditions
other than Depression, Anxiety, Bipolar, PTSD, Schizophrenia, Dementia/Cognitive Disorder, and Substance Abuse as
Other Behavioral/Mental Condition.
60 Column BJ - APS Reported Incident Date System auto populate this information entered on the Incident Info tab at intake -> Date and Time of this incident.
Home Safe Instruction Manual
61 Column BK - APS Reported Incident Location Information is collected from the Intake Report page/ Incident info -> Client Address -> City
62 Column BL - Previous APS Involvement System auto populates this information if the client has had a previous involvement with APS -> Overview Page ->
Related Reports.
63 Column BM - Self-Neglect - Physical Care Information is collected from the Findings tab -> Allegations = Physical Care (Physical Care, Malnutrition, or Medical
Care)
Home Safe Instruction Manual
64 Column BN - Self-Neglect - Financial Information is collected from the Findings tab -> Allegations = Financial
65 Column BO - Self-Neglect - Residence Information is collected from the Findings tab -> Allegations = Residence (Health & Safety)
66 Column BP - Physical Abuse Information is collected from the Findings tab -> Allegations = Financial
Home Safe Instruction Manual
67 Column BQ - Sexual Abuse Information is collected from the Findings tab -> Allegations = Sexual Abuse
68 Column BR - Neglect Information is collected from the Findings tab -> Allegations = Neglect
69 Column BS - Abandonment Information is collected from the Findings tab -> Allegations = Abandonment
Home Safe Instruction Manual
70 Column BT - Isolation Information is collected from the Findings tab -> Allegations = Isolation
71 Column BU - Abduction Information is collected from the Findings tab -> Allegations = Abduction
72 Column BV - Psychological/ Mental Suffering Information is collected from the Findings tab -> Allegations = Psychological/Mental Abuse
Home Safe Instruction Manual
73 Column BW - Financial Abuse - Improper Use/Access Information is collected from the Findings tab -> Allegations = Financial -> Financial Detail = Improper Use of Assets
74 Column BX - Financial Abuse – Theft Information is collected from the Findings tab -> Allegations = Financial -> Financial Detail = Theft
75 Column BY - Financial Abuse – Fraud Information is collected from the Findings tab -> Allegations = Financial -> Financial Detail = Fraud (Scam)
76 Column BZ - Financial Abuse – Amount Information is collected from the PR VI SPDAT Assessment
Home Safe Instruction Manual
77 Column CA - Alleged Abuser 1 - Identity Information is collected from the Coll/Perp tab -> Perpetrators sub tab -> Perpetrator Association -> Relationship
78 Column CB - Alleged Abuser 1 - Living with Client Information is collected from the Coll/Perp tab -> Perpetrators sub tab-> Alleged Perpetrator Information -> Lives with
Client checkbox.
79 Column CC - Alleged Abuser 2 – Identity Information is collected from the Coll/Perp tab -> Perpetrators sub tab-> Perpetrator Association -> Relationship
Home Safe Instruction Manual
80 Column CD - Alleged Abuser 2 - Living with Client Information is collected from the Coll/Perp tab -> Perpetrators sub tab-> Alleged Perpetrator Information -> Lives with
Client checkbox.
81 Column CE - Alleged Abuser 3 - Identity Information is collected from the Coll/Perp tab -> Perpetrators sub tab-> Perpetrator Association -> Relationship
82 Column CF - Alleged Abuser 3 - Living with Client Information is collected from the Coll/Perp tab -> Perpetrators sub tab -> Alleged Perpetrator Information -> Lives with
Client checkbox.
Home Safe Instruction Manual
83 Colum CG - Reporting Source Information is collected from the Coll/Perp tab -> Collaterals sub tab-> Reporter -> Collateral Association
84 Column CH - APS Incident Reported to Law Enforcement Information is collected from Findings tab -> Agencies sub tab -> Agency drop down = Law enforcement
85 Column CI - Disability Income Information is collected from the Client Details page -> Resources sub tab -> Resources drop down = Disability Income
86 Column CJ - Social Security Income Information is collected from the Client Details page -> Resource sub tab -> Resources drop down = Social Security
Income
Home Safe Instruction Manual
87 Column K - Pension or Other Retirement Information is collected from the Client Details page -> Resource sub tab -> Resource drop down = Pension or Other
Retirement.
88 Column CL - Private Health Insurance Information is collected from the Client Details page -> Resources sub tab -> Resource drop down = Private Health
Insurance.
89 Column CM - CalFresh Information is collected from the Client Details page -> Resources sub tab -> Resource drop down = CalFresh
Home Safe Instruction Manual
90 Column CN - Work for Pay Information is collected from the Client Details page -> Resources sub tab -> Resource drop down = Work for Pay
91 Column CO - Other Income Information is collected from the Client Details page -> Resources sub tab -> Resource drop down = Other Income
92 Column CP - Case Start Date System auto populates this information from the Overview page
93 Column CQ - Client Referred to CES Information is collected from the PR VI SPDAT Assessment.
94 Column CR - Referral to Longer-Term Assistance - Date Information is collected from the PR VI SPDAT Assessment
Home Safe Instruction Manual
95 Column CS - Referral to Longer-Term Assistance - Amount Information is collected from the PR VI SPDAT Assessment
96 Column CT - HSAPS Intervention 1 - Type Information is collected from the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list
97 Column CU - HSAPS Intervention 1 - "Other" Explanation Information is collected from the Service Plan tab -> Provider Type = Provider type is not from the Home Safe list
98 Column CV - HSAPS Intervention 1 - Date Information is collected from the Service Plan tab -> Service Item Start Date
Home Safe Instruction Manual
99 Column CW - HSAPS Intervention 1 - Amount Information is collected from the Service Plan tab -> Provider Name = Entered Amount
100 Column CX - HSAPS Intervention 1 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list
101 Column CY - HSAPS Intervention 1 - Mode of Disbursement Explanation Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is not from the Home Safe
list
Home Safe Instruction Manual
102 Column CZ - HSAPS Intervention 2 - Type Information is collected form the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list
103 Column DA - HSAPS Intervention 2 - "Other" Explanation Information is collected from the Service Plan tab -> Provider Type = Provider Type is not from the Home Safe list
104 Column DB - HSAPS Intervention 2 - Date Information is collected from the Service Plan tab -> Service Item Start Date
Home Safe Instruction Manual
105 Column DC - HSAPS Intervention 2 - Amount Information is collected from the Service Plan tab -> Provider Name = Entered Amount
106 Column DD - HSAPS Intervention 2 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list
107 Column DE - HSAPS Intervention 2 - Mode of Disbursement Explanation Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is not from the Home Safe
list
Home Safe Instruction Manual
108 Column DF - HSAPS Intervention 3 - Type Information is collected form the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list
109 Column DG - HSAPS Intervention 3 - "Other" Explanation Information is collected from the Service Plan tab -> Provider Type = Provider Type is not from the Home Safe list
110 Column DH - HSAPS Intervention 3 - Date Information is collected from the Service Plan tab -> Service Item Start Date
Home Safe Instruction Manual
111 Column DI - HSAPS Intervention 3 - Amount Information is collected from the Service Plan tab -> Provider Name = Entered Amount
112 Column DJ - HSAPS Intervention 3 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list
113 Column DK - HSAPS Intervention 3 - Mode of Disbursement Explanation Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is not from the Home Safe
list
Home Safe Instruction Manual
114 Column DL - HSAPS Intervention 4 - Type Information is collected form the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list
115 Column DM - HSAPS Intervention 4 - "Other" Explanation Information is collected from the Service Plan tab -> Provider Type = Provider Type is not from the Home Safe list
116 Column DN - HSAPS Intervention 4 - Date Information is collected from the Service Plan tab -> Service Item Start Date
Home Safe Instruction Manual
117 Column DO - HSAPS Intervention 4 - Amount Information is collected from the Service Plan tab -> Provider Name = Entered Amount
118 Column DP - HSAPS Intervention 4 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list
119 Column DQ - HSAPS Intervention 4 - Mode of Disbursement Explanation Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is not from the Home Safe
list
Home Safe Instruction Manual
120 Column DR - HSAPS Intervention 5 - Type Information is collected form the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list
121 Column DS - HSAPS Intervention 5 - "Other" Explanation Information is collected from the Service Plan tab -> Provider Type = Provider Type is not from the Home Safe list
122 Column DT - HSAPS Intervention 5 - Date Information is collected from the Service Plan tab -> Service Item Start Date
Home Safe Instruction Manual
123 Column DU - HSAPS Intervention 5 - Amount Information is collected from the Service Plan tab -> Provider Name = Entered Amount
124 Column DV - HSAPS Intervention 5 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list
125 Column DW - HSAPS Intervention 5 - Mode of Disbursement Explanation Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is not from the Home Safe
list
Home Safe Instruction Manual
126 Column DX - HSAPS Intervention 6 - Type Information is collected form the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list
127 Column DY - HSAPS Intervention 6 - "Other" Explanation Information is collected from the Service Plan tab -> Provider Type = Provider Type is not from the Home Safe list
128 Column DZ - HSAPS Intervention 6 - Date Information is collected from the Service Plan tab -> Service Item Start Date
Home Safe Instruction Manual
129 Column EA - HSAPS Intervention 6 - Amount Information is collected from the Service Plan tab -> Provider Name = Entered Amount
130 Column EB - HSAPS Intervention 6 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list
131 Column EC - HSAPS Intervention 6 - Mode of Disbursement Explanation Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is not from the Home Safe
list
Home Safe Instruction Manual
132 Column ED - Legal Services Information is collected from the Service Plan tab -> Service Item Type = Legal Services
133 Column EE - In Home Assistance Information is collected from the Service Plan tab -> Service Item Type = In Home Assistance
Home Safe Instruction Manual
134 Column EF - Case Management Information is collected from the Service Plan tab -> Service Item Type = Case Management
135 Column EG - Assistance with Benefits Information is collected from the Service Plan tab -> Service Item Type = Assistance with Benefits
Home Safe Instruction Manual
136 Column EH - Payee Services Information is collected from the Service Plan tab -> Service Item Type = Payee Services
137 Column EI - Financial Management Information is collected from the Service Plan tab -> Service Item Type = Financial Management
Home Safe Instruction Manual
138 Column EJ - Other Services Information is collected from the Service Plan tab -> Service Item Type = Service Item Type is not from the Home Safe list
139 Column EK - Other Services – Explanation Information is collected from the Service Plane tab -> Service Item Type = Explanation of Service Item Type that is not
from the Home Safe list.
140 Column EL - Case Closure Date Information is collected from the Overview page -> Investigation Complete Date
Home Safe Instruction Manual
141 Column EM - Living Situation at Exit Information is collected from the PR VI SPDAT or Case Closure Assessment depending on the county.
142 Column EN - Six Month Follow-Up Living Situation Verified Date Information is collected from the Six-Month Follow-Up Assessment
143 Column EO - Six Month Follow-Up - Method Information is collected from the Six-Month Follow-Up Assessment
Home Safe Instruction Manual
144 Column EP - Six Month Follow-Up - Living Situation Assessment Information is collected from the Six-Month Follow-Up Assessment
145 Column EQ - Six Month Follow-Up - Homelessness Assessment Information is collected from the Six-Month Follow-Up Assessment
146 Column ER - Six Month Follow-Up - Substantiated APS Reports LEAPS system auto calculates this report based on the confirmed related cases.
147 Column ES - Twelve Month Follow-Up - Living Situation Verified Date Information is collected from the Twelve-Month Follow-Up Assessment
Home Safe Instruction Manual
148 Column ET - Twelve Month Follow-up - Method Information is collected from the Twelve-Month Follow-Up Assessment
149 Column EU - Twelve Month Follow-Up - Living Situation Information is collected from the Twelve-Month Follow-Up Assessment
150 Column EV - Twelve Month Follow-Up – Homelessness Information is collected from the Twelve-Month Follow-Up Assessment
151 Column EW - Twelve Month Follow-Up - Substantiated APS Reports LEAPS system auto calculates this based on the confirmed related cases
152 Column EX - Comments LEAPS is not populating any information on this column – not mandatory.
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