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Home Safe Instruction Manual
1
Contents
Column A - Reporting Agency ........................................................................................................................... 5
Column B - Report Month.................................................................................................................................. 5
1 Column C - Last Name ................................................................................................................................ 5
2 Column D - First Name ................................................................................................................................ 5
3 Column E - Last Four Digits of Social Security Number ................................................................................. 5
4 Column F - Date of Birth............................................................................................................................... 5
5 Column G - Location of Participation ............................................................................................................ 6
6 Column H - Method of Assessment .............................................................................................................. 6
7 Column I - Assessment Score ...................................................................................................................... 6
8 Column J - Gender Identity ............................................................................................................................ 6
9 Column K - Race 1 ...................................................................................................................................... 7
10 Column L - Race 2 ....................................................................................................................................... 7
11 Column M - Ethnicity 1 ................................................................................................................................. 7
12 Column N - Ethnicity 2 ................................................................................................................................. 7
13 Column O - Current Marital Status ............................................................................................................... 7
14 Column P - Number of Children ................................................................................................................... 7
15 Column Q - Sexual Orientation .................................................................................................................... 7
16 Column R - Preferred Language .................................................................................................................... 8
17 Column S - Veteran Status ............................................................................................................................ 9
18 Column T - Medi-Cal ................................................................................................................................... 9
19 Column U - Medicare ................................................................................................................................... 9
20 Column V - Representative Payee or Conservator...................................................................................... 10
21 Column W - Living Situation Upon Entry to HSAPS ..................................................................................... 10
22 Column X - Monthly Rent/Mortgage Contribution ....................................................................................... 11
23 Column Y - Number of Adults in Household - Not Including Client ................................................................ 11
24 Column Z – Number of Minor Children in Household .................................................................................. 11
25 Column AA - Client Homeless Within the Last Three Years ......................................................................... 11
26 Column AB - Number of Times Homelessness Occurred in the Last Three Years .......................................... 11
27 Column AC - Total Duration of Homelessness ............................................................................................... 11
28 Column AD - Last Period of Homelessness ....................................................................................................... 12
29 Column AE - Previous Evictions or Foreclosures ........................................................................................ 12
30 Column AF - Number of Past Evictions or Foreclosures .............................................................................. 12
31 Column AG - Current Eviction or Foreclosures ........................................................................................... 12
32 Column AH - Discharge from Institution in the Last Six Months .................................................................... 12
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33 Column AI - Household Trauma in the Last Six Months ............................................................................... 12
48 Column AX - Other Ambulatory or Physical Difficulty .................................................................................. 15
49 Column AY - Oxygen Therapy/ Respirator ................................................................................................. 15
50 Column AZ - Kidney Dialysis ........................................................................................................................ 15
51 Column BA - Depression ........................................................................................................................... 15
52 Column BB - Anxiety ................................................................................................................................. 15
53 Column BC - Bipolar .................................................................................................................................. 15
54 Column BD - Post-Traumatic Stress Disorder ............................................................................................ 16
55 Column BE - Schizophrenia ....................................................................................................................... 16
56 Column BF - Dementia/ Cognitive Disorder ................................................................................................ 16
57 Column BG - Substance Abuse .................................................................................................................... 16
58 Column BH Intellectual Disability ............................................................................................................... 16
59 Column BI - Other Behavioral/ Mental Condition ......................................................................................... 16
60 Column BJ - APS Reported Incident Date ..................................................................................................... 17
61 Column BK - APS Reported Incident Location ............................................................................................ 17
73 Column BW - Financial Abuse - Improper Use/Access ................................................................................ 19
74 Column BX - Financial Abuse – Theft ......................................................................................................... 19
75 Column BY - Financial Abuse – Fraud ........................................................................................................ 19
76 Column BZ - Financial Abuse – Amount ..................................................................................................... 19
77 Column CA - Alleged Abuser 1 - Identity ..................................................................................................... 20
78 Column CB - Alleged Abuser 1 - Living with Client ...................................................................................... 20
79 Column CC - Alleged Abuser 2 – Identity .................................................................................................... 20
80 Column CD - Alleged Abuser 2 - Living with Client ...................................................................................... 20
81 Column CE - Alleged Abuser 3 - Identity ..................................................................................................... 20
82 Column CF - Alleged Abuser 3 - Living with Client ....................................................................................... 20
101 Column CY - HSAPS Intervention 1 - Mode of Disbursement Explanation .................................................... 24
102 Column CZ - HSAPS Intervention 2 - Type ................................................................................................. 24
103 Column DA - HSAPS Intervention 2 - "Other" Explanation ........................................................................... 24
104 Column DB - HSAPS Intervention 2 - Date ................................................................................................. 24
105 Column DC - HSAPS Intervention 2 - Amount ............................................................................................ 24
106 Column DD - HSAPS Intervention 2 - Mode of Disbursement ...................................................................... 24
107 Column DE - HSAPS Intervention 2 - Mode of Disbursement Explanation .................................................... 24
108 Column DF - HSAPS Intervention 3 - Type ................................................................................................. 25
109 Column DG - HSAPS Intervention 3 - "Other" Explanation .......................................................................... 25
110 Column DH - HSAPS Intervention 3 - Date ................................................................................................. 25
111 Column DI - HSAPS Intervention 3 - Amount .............................................................................................. 25
112 Column DJ - HSAPS Intervention 3 - Mode of Disbursement ....................................................................... 25
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113 Column DK - HSAPS Intervention 3 - Mode of Disbursement Explanation .................................................... 25
114 Column DL - HSAPS Intervention 4 - Type ................................................................................................. 25
115 Column DM - HSAPS Intervention 4 - "Other" Explanation .......................................................................... 26
116 Column DN - HSAPS Intervention 4 - Date ................................................................................................. 26
117 Column DO - HSAPS Intervention 4 - Amount ............................................................................................ 26
118 Column DP - HSAPS Intervention 4 - Mode of Disbursement ............................................................................... 26
119 Column DQ - HSAPS Intervention 4 - Mode of Disbursement Explanation .................................................... 26
120 Column DR - HSAPS Intervention 5 - Type ................................................................................................. 26
121 Column DS - HSAPS Intervention 5 - "Other" Explanation ........................................................................... 26
122 Column DT - HSAPS Intervention 5 - Date ................................................................................................. 27
123 Column DU - HSAPS Intervention 5 - Amount ............................................................................................ 27
124 Column DV - HSAPS Intervention 5 - Mode of Disbursement ............................................................................... 27
125 Column DW - HSAPS Intervention 5 - Mode of Disbursement Explanation ................................................... 27
126 Column DX - HSAPS Intervention 6 - Type ................................................................................................. 27
127 Column DY - HSAPS Intervention 6 - "Other" Explanation ........................................................................... 27
128 Column DZ - HSAPS Intervention 6 - Date ................................................................................................. 27
129 Column EA - HSAPS Intervention 6 - Amount ............................................................................................. 28
130 Column EB - HSAPS Intervention 6 - Mode of Disbursement .............................................................................. 28
131 Column EC - HSAPS Intervention 6 - Mode of Disbursement Explanation .................................................... 28
132 Column ED - Legal Services ........................................................................................................................ 28
133 Column EE - In Home Assistance ................................................................................................................. 28
134 Column EF - Case Management ................................................................................................................ 28
135 Column EG - Assistance with Benefits ....................................................................................................... 28
136 Column EH - Payee Services ....................................................................................................................... 29
137 Column EI - Financial Management ........................................................................................................... 29
138 Column EJ - Other Services ........................................................................................................................ 29
139 Column EK - Other Services – Explanation ................................................................................................ 29
140 Column EL - Case Closure Date .................................................................................................................. 29
141 Column EM - Living Situation at Exit ........................................................................................................... 30
142 Column EN - Six Month Follow-Up Living Situation Verified Date ................................................................. 30
143 Column EO - Six Month Follow-Up - Method .............................................................................................. 30
144 Column EP - Six Month Follow-Up - Living Situation Assessment ............................................................... 31
145 Column EQ - Six Month Follow-Up - Homelessness Assessment .................................................................... 31
146 Column ER - Six Month Follow-Up - Substantiated APS Reports ................................................................. 31
147 Column ES - Twelve Month Follow-Up - Living Situation Verified Date ......................................................... 31
148 Column ET - Twelve Month Follow-up - Method ......................................................................................... 32
149 Column EU - Twelve Month Follow-Up - Living Situation ............................................................................. 32
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150 Column EV - Twelve Month Follow-Up – Homelessness ................................................................................ 32
151 Column EW - Twelve Month Follow-Up - Substantiated APS Reports .......................................................... 32
152 Column EX - Comments ............................................................................................................................ 32
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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.
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.
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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.
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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 collect second Race information. Report is going to show the default value “Data not collected.”
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.”
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.
15 Column Q - Sexual Orientation Information is collected on the Client Details page -> Sexual Orientation
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16 Column R - Preferred Language Information is collected on the Client Details page -> Language
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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
19 Column U - Medicare Information is collected on the Client Details page -> Resources sub tab -> Resource drop down = Medicare
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20 Column V - Representative Payee or Conservator
Information is collected on the Collaterals tab -> Collaterals sub tab -> Resource Type = Representative Payee or
Conservator.
21 Column W - Living Situation Upon Entry to HSAPS
Information is collected from the PR VI SPDAT Assessment.
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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
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
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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
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
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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
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
43 Column AS - Additional Expense
Information is collected from the PR VI SPDAT Assessment
37 Column AM - Job Loss - Client
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
38 Column AN - Job Loss - Household Member
Information is collected from the PR VI SPDAT Assessment
45 Column AU - Deaf
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
46 Column AV - Wheelchair
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
47 Column AW - Cane/Walker
Information is collected from the PR VI SPDAT Assessment
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48 Column AX - Other Ambulatory or Physical Difficulty Information is collected from the PR VI SPDAT Assessment
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
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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
57 Column BG - Substance Abuse Information is collected from the Client Detail page -> Behavioral Condition = Substance Abuse
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.
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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.
61 Column BK - APS Reported Incident Location
Information is collected from the Intake Report page/ Incident information -> Incident Address -> City
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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)
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
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
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
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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
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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
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.
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83 Column 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
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
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
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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
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 (Values with “HS-”)
97 Column CU - HSAPS Intervention 1 - "Other" Explanation
The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.
98 Column CV - HSAPS Intervention 1 - Date
Information is collected from the Service Plan tab -> Service Item Start Date
99 Column CW - HSAPS Intervention 1 - Amount
Information is collected from the Service Plan tab -> Amount = 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 (Values with “HS-“)
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101 Column CY - HSAPS Intervention 1 - Mode of Disbursement Explanation
The report will populate “Explanation not available in LEAPS” as a default description in this column anytime
Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home
Safe list
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 (Values with “HS-”)
103 Column DA - HSAPS Intervention 2 - "Other" Explanation The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.
104 Column DB - HSAPS Intervention 2 - Date Information is collected from the Service Plan tab -> Service Item Start Date
105 Column DC - HSAPS Intervention 2 - Amount
Information is collected from the Service Plan tab -> Amount = 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 (Values with “HS-“)
107 Column DE - HSAPS Intervention 2 - Mode of Disbursement Explanation
The report will populate “Explanation not available in LEAPS” as a default description in this column anytime
Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home
Safe list
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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 (Values with “HS-”)
109 Column DG - HSAPS Intervention 3 - "Other" Explanation The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.
110 Column DH - HSAPS Intervention 3 - Date Information is collected from the Service Plan tab -> Service Item Start Date
111 Column DI - HSAPS Intervention 3 - Amount Information is collected from the Service Plan tab -> Amount = 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 (Values with “HS-“)
113 Column DK - HSAPS Intervention 3 - Mode of Disbursement Explanation
The report will populate “Explanation not available in LEAPS” as a default description in this column anytime
Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home
Safe list
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 (Values with “HS-”)
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115 Column DM - HSAPS Intervention 4 - "Other" Explanation
The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.
116 Column DN - HSAPS Intervention 4 - Date Information is collected from the Service Plan tab -> Service Item Start Date
117 Column DO - HSAPS Intervention 4 - Amount Information is collected from the Service Plan tab -> Amount = 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 (Values with “HS-“)
119 Column DQ - HSAPS Intervention 4 - Mode of Disbursement Explanation
The report will populate “Explanation not available in LEAPS” as a default description in this column anytime
Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home
Safe list
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 (Values with “HS-”)
121 Column DS - HSAPS Intervention 5 - "Other" Explanation The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.
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122 Column DT - HSAPS Intervention 5 - Date Information is collected from the Service Plan tab -> Service Item Start Date
123 Column DU - HSAPS Intervention 5 - Amount Information is collected from the Service Plan tab -> Amount = 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 (Values with “HS-“)
125 Column DW - HSAPS Intervention 5 - Mode of Disbursement Explanation
The report will populate “Explanation not available in LEAPS” as a default description in this column anytime
Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home
Safe list
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 (Values with “HS-”)
127 Column DY - HSAPS Intervention 6 - "Other" Explanation The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.
128 Column DZ - HSAPS Intervention 6 - Date Information is collected from the Service Plan tab -> Service Item Start Date
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129 Column EA - HSAPS Intervention 6 - Amount
Information is collected from the Service Plan tab -> Amount = 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 (Values with “HS-“)
131 Column EC - HSAPS Intervention 6 - Mode of Disbursement Explanation
The report will populate “Explanation not available in LEAPS” as a default description in this column anytime
Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home
Safe list
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
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
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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
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
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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
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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
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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.