As we have discussed previously and affirmed through the presentation of each eligible HOPWA activity,
HUD expects that all recipients of HOPWA housing and supportive service assistance will have their needs thoroughly assessed
and that long-term plans focused on achieving housing stability will be developed. This is no different with facility-based housing.
That said, HUD does expect that particular attention should be paid to the care and support offered through all facility-based housing models,
especially community residences. We noted that community residences are intended as an alternative to costly institutional care
and that facility-based models in general target households with substantial barriers to housing stability.
For this reason, HUD expects that grantees and sponsors managing facility-based housing will be able to demonstrate
organizational capacity to plan, design, and deliver appropriate levels and types of supportive services to tenants.
This can include arrangement with third parties to deliver specialized care to tenants, such as home nursing care or behavioral health services.
Facility-based housing staff should receive adequate supervision and ongoing training. For the monitoring of this element,
a grantee should assess the sponsor's ongoing capacity to provide adequate supervision and care. This could include a review
of the training and credentials of program staff and the status of third-party arrangements to provide direct care
to program participants. Review client files for evidence of comprehensive needs assessment, service planning, and follow-through.