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Standards of Care Applying to Transitional Care Facilities Provision of Housing
- Length of Stay: Recognizing the existing scarcity of resources, the Miami-Dade County Community Homeless Plan sets forth as guidance a length of stay of six (6) to nine (9) months in primary care facilities (transitional housing). Regulations governing homeless programs funded by the U.S. Department of Housing and Urban Development (U.S. HUD) provide for lengths of stay of up to twenty-four (24) months in transitional housing. Inconsistencies in lengths of stay for various housing types, if any, between the Miami-Dade County Community Homeless Plan and U.S. HUD guidelines are not intentional substantive deviations from U.S. HUD guidelines, but rather reflect local funding allocations for various lengths of stay in light of current available resources.
Length of stay shall be determined by the primary care facility, consistent with the Miami-Dade County Community Homeless Plan goals for primary care - to encourage the client's attainment of long-term self-sufficiency through the optimal utilization of treatment opportunities and/or supportive services provided in the primary care level. Maximum residency at primary care facilities is a period of six (6) months. Extension of a maximum length of stay is subject to the review and approval by the Miami-Dade County Homeless Trust and shall be made on a case-by-case basis, predicated on the client's Individualized Continuum of Care Plan and demonstrated commitment to his or her treatment plan and/or the goals established by the client in his or her Individualized Continuum of Care Plan.
Violations of primary care facilities house rules may be grounds for terminating a client's length of stay and/or privilege of re-admission, consistent with all local and state ordinances, laws or regulations governing tenancy, if and when applicable.
- Housing Placement Options: Housing placement options offered to the client shall be consistent with client's Individualized Continuum of Care Plan.
- Residential Facilities - Separate Sleeping Quarters and Personal Hygiene Facilities: Housing quarters offered to the client shall be consistent with client's Individualized Continuum of Care Plan. In the case of residential facilities that are not single sex facilities, separate sleeping quarters and personal hygiene facilities shall be maintained for (a) single male adults; (b) single female adults and (c) families.
- Quality of Housing: Primary care facilities shall maintain safe, clean and sanitary conditions and shall provide clients the opportunity to keep safe papers, documents and valuables. Beds, pillows and bed coverings (e.g., sheets and blankets) shall be clean and sanitary (e.g., free of infestation).
- Personal Hygiene Facilities: Personal hygiene facilities shall be made available to each client. Such personal hygiene facilities shall be kept clean and sanitary and maintained in operable working condition at all times, subject to periodic temporary interruptions due to maintenance or repair.
- Resident Participation in General Housekeeping: Clients may be required to participate in the general housekeeping of the primary care facility.
- Provision of Meals: Clients shall be provided a minimum of two meals a day, one of which must be a hot meal.
- Meal Standard: All meals served shall be nutritionally sound and balanced in compliance with standards and/or regulations adopted and/or issued by the local public authority responsible for the regulation of facilities which serve meals at residential facilities.
- Provision of Clothing: Primary care facilities shall assist clients in obtaining at least two sets of appropriate clothing (both under and outerwear) and shoes. Appropriate clothing in the instance of underwear and socks shall mean new or previously unused items.
- Donated Clothing: Donated clothing must be washed/sanitized prior to distribution to clients.
Provision of Clothing: Primary care facilities shall assist clients in obtaining at least two sets of appropriate clothing (both under and outerwear) and shoes. Appropriate clothing in the instance of underwear and socks shall mean new or previously unused items.
Donated Clothing: Donated clothing must be washed/sanitized prior to distribution to clients.
Facilities Standards And Licensing/Certification
Primary Care Facilities in General: Primary care facilities shall comply with all local and state ordinances, laws or regulations governing residential facilities and/or housing conditions and secure necessary licensing as may be required under such local or state law. Primary care facilities shall also comply with all local and state ordinances, laws or regulations governing providers of substance abuse or mental health treatment and related services.
Food Preparation and/or Dining Facilities: Food preparation and/or dining facilities located at primary care facilities must comply with all local and state ordinances, regulations and laws governing facilities which serve meals to the public in a residential facility or otherwise. Primary care facilities must secure necessary licensing or certification as may be required by the local public authority responsible for the regulation of facilities which serve meals to the public.
Environmental/Structural Controls and Procedures to Prevent/Control Spread of Communicable Diseases: Primary care facilities shall comply with all local and state ordinances, regulations and laws governing the prevention and/or control of the spread of communicable, air-borne diseases within residential facilities which may include the implementation of structural or environmental measures and quarantining, notification and health screening procedures.
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