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<chapter num="17" heading="Homeless Women — Crisis Shelter Home" title_num="07" subtitle_num="01">
  <regulation prefix="Regulation" num=".01" heading="Purpose.">
    <text>The purpose of the crisis shelter home program is to provide temporary shelter, meals, counseling, and information and referral to homeless women of the State.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Definitions.">
    <paragraph num="A.">
      <text>“Department” means the Department of Human Services.</text>
    </paragraph>
    <paragraph num="B.">
      <text>“Homeless woman” means a female 18 years old or older who is without shelter, and who is not eligible for or not able to be housed by another shelter facility or housing service at the time of application.</text>
    </paragraph>
    <paragraph num="C.">
      <text>“Resident of the State” means a person who is living in the State voluntarily and not for temporary purposes, with no immediate intention of moving from the State at the time of application.</text>
    </paragraph>
    <paragraph num="D.">
      <text>“Crisis shelter home” means a facility that provides shelter, meals, information and referral service, and counseling.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Eligibility.">
    <paragraph num="A.">
      <text>A homeless woman who is a resident of Maryland, as defined in Regulation .02C, and not excluded by the provisions below is eligible for service to homeless women in a shelter home.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The shelter home may not accept:</text>
      <paragraph num="(1)">
        <text>An applicant who is a resident of a Maryland Department of Health facility for whom discharge planning responsibility rests with the Maryland Department of Health.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>A person who is a clear and present danger to herself or others;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>A person who is intoxicated by alcohol or under the influence of unprescribed drugs;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>A person who is in need of acute medical, psychiatric, or nursing care; or</text>
      </paragraph>
      <paragraph num="(5)">
        <text>A person who is not willing or able to abide by shelter rules.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>In order to continue in the residence beyond 3 days, the applicant shall be:</text>
      <paragraph num="(1)">
        <text>Willing to participate in a service contract;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Willing to abide by residence rules including fee payment, when required;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Without sufficient financial resources to enable her to purchase a stable alternative living arrangement; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Cooperative in taking responsibility for housekeeping duties in the shelter home, including maintaining acceptable standards of housekeeping in her assigned room.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Application and Admission.">
    <paragraph num="A.">
      <text>A homeless woman may apply for admission directly or be referred from another source.</text>
    </paragraph>
    <paragraph num="B.">
      <text>A staff person shall assess the application and determine whether the applicant is eligible, and whether services are available and appropriate for the applicant.</text>
    </paragraph>
    <paragraph num="C.">
      <text>For the applicant who is accepted into the shelter home, the staff person shall explain the services available and attempt to obtain the applicant's written agreement to abide by shelter rules.</text>
    </paragraph>
    <paragraph num="D.">
      <text>Within the first 3 working days from date of admission to the shelter home, the staff person, with the applicant, shall develop and begin to implement a service contract.</text>
    </paragraph>
    <paragraph num="E.">
      <text>The staff person shall determine any fee to be paid for services based on fee scales set in Regulation .11 of this chapter. The agreement to pay any required fee is a part of a signed service contract.</text>
    </paragraph>
    <paragraph num="F.">
      <text>The staff person shall attempt to locate and secure alternate appropriate services when the applicant cannot be admitted to the shelter home for lack of space or ineligibility.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Services Provided by the Crisis Shelter Home.">
    <paragraph num="A.">
      <text>The shelter home shall offer the following services:</text>
      <paragraph num="(1)">
        <text>Receipt of and response to crisis calls on a 24-hour basis;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Safe accommodations and board for residents;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Assessment with the resident of the resident's needs, capacities, and resources;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Planning and counseling with the resident to link her to appropriate community services.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>The shelter home shall develop a service contract with the resident that is designed to:</text>
      <paragraph num="(1)">
        <text>Secure a stable living environment;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Secure any entitlements or benefits;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Secure education, training, or employment opportunities, as appropriate to the client's capacity; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Resolve the problems that led to the resident's homelessness.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>The shelter home shall provide:</text>
      <paragraph num="(1)">
        <text>Direct referral to appropriate service resources, including housing services, physical and mental health care, education, training, or employment;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Advocacy on behalf of a resident to ensure access to service resources;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Counseling with the resident about progress in achieving the goals in the service contract; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Follow-up case management service as needed to the client in the community, if the service is not available elsewhere.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Duration of Service.">
    <paragraph num="A.">
      <text>Maximum residence in the shelter home is 12 continuous weeks.</text>
    </paragraph>
    <paragraph num="B.">
      <text>A former resident of the shelter home may return to the shelter for service for up to 3 days if space is available and she is not excluded by Regulation .03B of this regulation.</text>
    </paragraph>
    <paragraph num="C.">
      <text>A former resident may return to the shelter home for service beyond 3 days only at the discretion of the director of the crisis shelter home, and not more than one time during any 12-month period.</text>
    </paragraph>
    <paragraph num="D.">
      <text>The shelter home shall terminate services when the:</text>
      <paragraph num="(1)">
        <text>Goal set in the service plan is reached;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Resident requests termination of services;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Resident fails to abide by the shelter rules, including taking responsibility for housekeeping duties in the shelter home and maintaining acceptable standards of housekeeping in her assigned room;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Resident has reached the maximum length of stay in the shelter home.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".07" heading="Requirements for the Crisis Shelter Home.">
    <paragraph num="A.">
      <text>The shelter home shall have available:</text>
      <paragraph num="(1)">
        <text>Room and board capacity for each resident;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Counseling and supportive services; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Staff or volunteers under staff supervision trained to:</text>
        <paragraph num="(a)">
          <text>Assess need;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Establish eligibility;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Develop service contracts;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Assist the resident to use community resources; and</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Monitor effectiveness of plans and services.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>The shelter home shall conform to the applicable State and local fire codes, health codes, and all local zoning ordinances.</text>
    </paragraph>
    <paragraph num="C.">
      <text>The shelter home shall employ professional staff and volunteers who are trained in provision of crisis services to persons who need a shelter.</text>
    </paragraph>
    <paragraph num="D.">
      <text>The shelter home shall send to the Department a copy of the shelter rules.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".08" heading="Reporting Requirements.">
    <paragraph num="A.">
      <text>Fiscal Reporting.</text>
      <paragraph num="(1)">
        <text>The shelter home shall maintain books, records, documents, and other evidence of all expenditures and income. The shelter home shall furnish monthly expenditure statements and other reports as required by the Department.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>All books, records, documents, and other evidence shall be presented upon receipt of reasonable notice of inspection, review, or audit by the Department or other agency authorized to monitor the performance of the shelter home.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Case Record.</text>
      <paragraph num="(1)">
        <text>The shelter home shall maintain a case record that includes basic identifying and demographic data concerning the applicant, nature of the request for service, and a copy of the service plan.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Upon termination of service to a recipient, the shelter home shall collect and retain data concerning the services rendered and disposition.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The shelter home shall record all data on forms approved for this purpose by the Department.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Statistical Reporting. The shelter home shall compile and transmit statistical data as required by the Department.</text>
    </paragraph>
    <paragraph num="D.">
      <text>The shelter home shall retain all records for a period of 3 years following completion of services.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".09" heading="Confidentiality.">
    <paragraph num="A.">
      <text>The shelter home may not disclose identifying information regarding an applicant or recipient of service to any agency or individual without written authorization to do so from the applicant or recipient, except to Department of Human Services employees authorized to monitor or audit the program.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The shelter home shall maintain all written records regarding applicants and recipients of service in a secure locked location.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".10" heading="Grievance Procedure.">
    <paragraph num="A.">
      <text>The local program shall make available to any applicant or recipient of service aggrieved by a decision, action, or inaction of the local program, a procedure by which the grievance may be heard. The procedure shall include a notice of the grievance rights and the steps to take to initiate the grievance process, an opportunity to be heard, and a written decision by the local program director or designee that affirms or reverses the local program's action. The written determination shall include the basis for the decision.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The local program shall forward to the Department a summary of each decision rendered, including finding of fact concerning each grievance heard.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".11" heading="Charges and Fees.">
    <paragraph num="A.">
      <text>The shelter home shall charge fees to the resident.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Determination of Fee.</text>
      <paragraph num="(1)">
        <text>The amount to be charged to the resident of the shelter home is set according to available monthly income and resources. The income scale and fee amounts are set in §C of this regulation.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Income from the following sources is included in determining the monthly income of a recipient of services:</text>
        <paragraph num="(a)">
          <text>Wages received by the recipient after any required deductions;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Child support received directly;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Alimony payments received directly;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Dividends or interest actually received from savings, stocks, or bonds;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Social Security, V.A., or other disability or retirement pension plan payments actually received;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Public assistance payments actually received; and</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Other money income, such as tips, donations, or rents.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>The following fixed continuing expenditures are deducted from the monthly income of a recipient:</text>
        <paragraph num="(a)">
          <text>Housing obligations such as rent, mortgage payments, utility costs, security or utility deposit actually paid by the client;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Child care payments actually paid by the client;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Work related expenses such as transportation costs, uniform costs, meal expenditures;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Health related expenses actually paid by the client, such as monthly doctor, hospital, or dental bills, health insurance; and</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Any regular payments such as for charge accounts, car payments, loans.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>The remaining income is considered the available monthly income of the recipient.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Human Services Article, §§6-430—6-438, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: March 25, 1985 (12:6 Md. R. 593)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01, .02D, .05, .06A, and .07 amended effective December 30, 1985 (12:26 Md. R. 2543)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter recodified from COMAR 07.06.03 to COMAR 07.01.17 effective June, 2009</annotation>
  </annotations>
</chapter>