ELEMENT DELIVERABLE TARGET PTS. SCORE Grant Monitoring & Evaluation Worksheet Staff responsible for grant submissions & processes Yes / No Tracking Match Monitoring & Evaluation Worksheet 25% cash or in-kind match of applicable categories of Yes / No grant amount Finances Latest Financial Audit Management Letter Conducted within the past 12 months Yes / No IRS Form 990 - Organization Exempt from Proof of most recent Yes / No Income Tax IRS Form 941 Tax Proof of most recent Yes / No – Employer’s Federal Return LOCCS Draws eLOCCs report showing drawdown dates & Drawdowns made at least quarterly 2 amounts All funds drawn-down 5 Copy of Leveraging Letters More than 150% of grant amount Leveraging 2 100-150% of grant amount 1 ART-625 for same dates as eSNAPs Matches APR submitted in eSNAPS 3 (see below) submission HMIS ART-252 Data Quality Completeness Report 95% or higher 3 90-94% 1 Housing Quality Standards Form Proof of use 1 Discharge Policy for Non-Compliance Proof of use 1 Homeless/Chronic Homeless Certification Proof of use 1 Compliance List of HMIS numbers of entries during last Proof of program eligibility & coordinated system -3 * complete grant year, including prior living utilization situation and referring agency Client Satisfaction Survey & summation of Conducted within the past 12 months 1 responses Consumer Client Grievance Policy Proof of most recent 1 Input Board of Directors Homeless/formerly homeless representation 2 Monitoring & Evaluation Worksheet Proof of policy alignment 2 Housing First Low Barrier Monitoring & Evaluation Worksheet Proof of policy alignment 2 Monitoring & Evaluation Worksheet Staff responsible for securing children & youth in 1 Youth Education program proper education
ELEMENT DELIVERABLE TARGET PTS. SCORE Grant Tracking Monitoring & Evaluation Worksheet Staff responsible for grant submissions & processes Yes / No Match Monitoring & Evaluation Worksheet 25% cash or in-kind match of applicable categories of grant amount Yes / No Finances Latest Financial Audit Management Letter Conducted within the past 12 months Yes / No IRS Form 990 - Organization Exempt from Income Tax Proof of most recent Yes / No IRS Form 941 – Employer’s Federal Tax Return Proof of most recent Yes / No LOCCS Draws eLOCCs report showing drawdown dates & amounts Drawdowns made at least quarterly 2 All funds drawn-down 5 Leveraging Copy of Leveraging Letters More than 150% of grant amount 2 100-150% of grant amount 1 HMIS ART-625 for same dates as eSNAPs submission Matches APR submitted in eSNAPS (see below) 3 ART-252 Data Quality Completeness Report 95% or higher 3 90-94% 1 Compliance Housing Quality Standards Form Proof of use 1 Discharge Policy for Non-Compliance Proof of use 1 Homeless/Chronic Homeless Certification Proof of use 1 List of HMIS numbers of entries during last complete grant year, including prior living situation and referring agency Proof of program eligibility & coordinated system utilization -3 * Consumer Input Client Satisfaction Survey & summation of responses Conducted within the past 12 months 1 Client Grievance Policy Proof of most recent 1 Board of Directors Homeless/formerly homeless representation 2 Housing First Monitoring & Evaluation Worksheet Proof of policy alignment 2 Low Barrier Monitoring & Evaluation Worksheet Proof of policy alignment 2 Youth Education Monitoring & Evaluation Worksheet Staff responsible for securing children & youth in program proper education 1
2016%20M_E%20Scoring%20Sheet.docx