Aurora Oaks Shelter Referrals

Lake City Partners Ending Homelessness

Community Partners, Thank you for your work helping our unsheltered neighbors. We are grateful to have 60 beds at the Aurora Oaks Enhanced Shelter, where we provide a structured case management program that may lead toward an exit to stable, resilient housing solutions. Most of our rooms are single rooms, with some double/couples rooms. Our facility is a former nursing home with common bathrooms/showers, and food service is provided by the Hunger Intervention Program. Personal kitchen facilities are not available, although a shared dining room area with refrigerator, microwave, sink, etc. is always available. Typically, we operate at or near capacity and average between 5 to 10 intakes per month and about 50+ referrals per month. For an intake, we generally will try to reach out directly to those who provide a referral to discuss next steps.

206 913 2267
Thomas@LakeCityPartners.org

Eligibility Questions

All referrals for shelter at The Oaks must meet HUD definitions and guidelines for homelessness.

The Oaks can provide shelter to individuals that meet one of these HUD Homeless Definitions:

1. Literally homelessness

2. Any individual or family who—

(A) is experiencing trauma or a lack of safety related to, or fleeing or attempting to flee, domestic violence, dating violence, sexual assault, stalking, or other dangerous, traumatic, or life-threatening conditions related to the violence against the individual or a family member in the individual’s or family’s current housing situation, including where the health and safety of children are jeopardized;

(B) has no other safe residence; and

By completing this referral for The Oaks Shelter you are attesting to Lake City Partners, as another service provider, that this person meets one of these HUD definitions and will provide details about this as well.

Please note this is a HIPPA compliant form.

Please confirm that you have reviewed the HUD Homeless definitions and as a community service provider attest to them meeting at least one of these definitions

Confirmation

Please select the HUD definition this referral is experiencing.

Please provide additional information around why this person meets the definition you've selected.

What is the nature of your relationship to this client?

How long have you been working with this client?

Referring Agency

Date

Name of person making the referral

Email (of person making referral)

Phone (of person making referral)

Client Legal Name (person being referred)

Client Phone (1)

Client Email address

Does the client have a Social Security number?

Yes

Client Date of Birth

HMIS # (if available)

Preferred Name / Gender / Pronouns

Does the client identify themselves as a member of any minority community?

Yes No

Does the client need translation services?

Yes No

If the client requires translation services, what language are they most comfortable using?

Emergency Contact

Emergency Phone

When did this episode of homelessness began?

A break separating two occasions of homelessness is defined as at least seven consecutive nights in any non-qualifying location(s), such a friend’s or family member’s home, a hotel paid for by the individual, transitional housing, etc. or a stay in an institutional care facility – such as a jail, a substance abuse or mental health treatment facility, a hospital, or another similar facility – does not constitute a break in homelessness and counts towards documenting 12 months of homelessness if: 1. The duration of the stay was fewer than 90 days AND they met a HUD definition prior to entry.

Informational Questions

Has this person previously stayed at The Oaks?

Yes

Oaks participants are asked to engage in a communal living space with substantial diversity. Is the person being referred willing and able to exist in a setting such as this?

Yes

The Oaks provides shelter while requiring someone to engage in a housing search program. Is the person being referred willing and able to participate in this program while staying at the shelter?

Yes

Does this person have pets? What type of animal(s)? Please note that Oaks participants are not permitted more than a single pet under 35 pounds and they must have this pet prior to entry. Participants are not permitted to acquire new pets while staying at the shelter.

During the time you have known the person being referred have you ever witnessed the person being violent or making threats of violence? Other concerning behaviors?

Please describe any behavioral health needs that you are aware of.

Is this person using intoxicants? Any mental health diagnosis or concerns? Have they been hospitalized for psychiatric reasons in the last year? Are they prescribed and taking any mental health/psychiatric medications ?

Please describe any current physical health concerns or needs this person has.

Are they talking any medications? Are they able to manage these on their own? Do they have any ADA needs or considerations?

Oaks participants must be able to self manage their daily living activities. Is this person being referred capable of this?

Yes

Oaks participants are required to maintain rooms that are safe and clean. Rooms checks are done weekly and participants are limited to 6 25 gallon totes for storage. Does the person being referred understand and agree to these requirements?

Yes

Military veteran?

Yes

The more information that is shared allows us to better assess someone's vulnerability. Is there any additional information you can share about this person that allows us to better understand them and their current situation?

We prefer referring agencies to be available for consultation prior to intake and welcome efforts during move-in to help facilitate a warm hand-off and supported transition where possible. Please have staff members who are making referrals reach out to Thomas@lakecitypartners.org with any questions or concerns.

Additional Information

● The Enhanced Shelter at The Oaks is a program focused on helping people move toward housing. People in the program should be ready and willing to fully engage and participate in a person-centered housing-first case plan with their assigned Case Manager. All participants will be assessed after 30 days for program continuation.

● The Enhanced Shelter at The Oaks is considered a low-barrier shelter

○ Participants do not need to be in possession of valid identification for admission into the shelter.

○ Participants do not need to be clean/sober provided that they:

■ aren’t a safety risk to themselves or others

■ are able to stand, walk, and get into and out of bed

■ aren’t in possession of, or actively using, intoxicating substances while on shelter property.

● We don't conduct background checks for shelter residents, and residents will not be prohibited from entry due to past convictions or pending cases, regardless of the charge. All residents have the right to access the shelter without discrimination due to race, sex, sexual orientation, religion, national origin, physical disability, and age.

● We welcome members of the LGBTQIA+ community.

Please confirm that you and your client have reviewed the above text. For more information email us: referral@lakecitypartners.org

Confirm

A client admitted into Aurora Oaks is not guaranteed a permanent housing outcome. Please confirm you have reviewed this with your client.

Confirm

Aurora Oaks is not a transitional housing program. Please confirm you have discussed with this client that they are being referred to an emergency shelter and not housing.

Confirm

Your information will be encrypted.