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Office of Healthy Homes and Lead Hazard Control AssessmentQPP[ME ^IN rpFy ao� IIIIIIII 4'44N DEVF.' OFFICE OF HEALTHY HOMES AND LEAD HAZARD CONTROL U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT WASHINGTON, DC 20410 -3000 November 3, 2011 The Honorable Roy Buol, Mayor City of Dubuque 350 West 6th Street Dubuque, IA 52001 RE: Grant Number IALHII0217 -10 Dear Mayor Buol: Thank you for the timely submittal of the Quarterly Report for the period of April through June 2011. HUD's Office of Healthy Homes and Lead Hazard Control (OHHLHC) completed an assessment of the overall grant performance based on submitted reports and the grant work plan. HUD assesses program performance based on several factors including 1) progress in meeting established benchmarks such as completing hazards in residential units and 2) progress in drawing down grant funds relative to the work performed. Based on the quarterly report, your program has an overall performance rating of 100 out of 100. Your Performance The City of Dubuque has received a Green designation, meaning the program meeting and/or exceeding the primary benchmarks for completion of health hazard control work in most evaluating factors. The City is ahead of schedule on all benchmarks. The program's overall performance is Outstanding. Enclosed is a complete report providing details regarding the strengths, weaknesses, and associated corrective actions. If you have any questions or need further assistance, please call me at 202 -402 -5769. Enclosure cc: Kim Glaser, Program Manager Miclielle Miller Director, Programs Division www.hud.gov espanol.hud.gov -i O al w w fI 0 m m Scoring Criteria Risk Description Low (Green) Excellent (100 - 90) — Exceeded benchmark goals. Good (89 - 80) — Achieved benchmark goals. Medium (Yellow) Fair (79 - 60) — Did not achieve benchmark goal, but partial progress made. High (Red) Poor (< 59) — Did not meet benchmarks; little effort to identify and correct problems. Assessment: The data you submitted for the reporting period was used in determining your current designation. Risk Factor Approved Work Plan Objectives Quarterly Benchmarks Cumulative (Actual) Difference ( +or -) Notes 1. Target Assessments /Evaluations 0 0 9 +9 Ahead c Schedul 2. Target Units Completed/Cleared 0 0 0 Ahead c Schedul 3. Target LOCCS Drawdowns $999,973 0 $28,346 +$28,346 Ahead c Schedul 4. Target Individuals Reached 0 0 27,068 +27,068 Ahead c Schedul 5. Target Individuals Trained 0 0 32 +32 Ahead c Schedul Normalized Final Score 100 Strengths: • All benchmarks are on target. • Weaknesses: • None Notes: Quarterly Progress Report Page 1 of 16 OMB Control No. 2539 -0008 Form HUD -96006 Exp. Date: 9/30/2009 OFFICE OF HEALTHY HOMES AND LEAD HAZARD CONTROL GRANTEE QUARTERLY PROGRESS REPORT Grant Program: Healthy Homes Demonstration L Grant Agreement Number: IALHH0217 -10 2. Grantee Organization: City of Dubuque Housing and Community Development 3. Type of Organization City Government 4. Special Sources 5. DUNS Number 6. Project Title: City of Dubuque Housing and Community Development 7. Organization Address 350 W. 6th Street, Dubuque IA 52001 563 -589 -1724 555 -555 -5555 Ichirsh@cityofdubuque.org 8. Report Period: Jul 1 - Sep 30 Year 2011 9. Project Period of Performance: Start - Expiration Date) 9a. Original 04/01/2011 - 03/31/2014 9b. Current 10. Total Grant Amount: 10a. Original 10b. Current $999,973.00 11. Cumulative Federal Grant Funds Drawn (LOCCS) Through End Date of Report Period: lla. Dollar Amount $28,346.81 11b. Percentage of Total 2.83% 12. Number of Projected Units per HUD Grant Agreement (HUD 1044) 100 13. Cumulative Number of Units Completed Through End of Report Period: 13a. Units Completed 0 13b. Percentage of Total 0.00% 14. Project Manager: Kevin Hirsch 563 -589 -1724 khirsh@cityofdubuque.org Quarterly Report Narrative Overview General Instructions Part 1 A. Project Management Within the context of the current work plan and grant agreement, summarize your overall progress in completing your project/study. As part of your summary, please address the topics listed below, as applicable. Al. Start-up Activities. Please indicate the status of the following start -up activities by clicking on the appropriate http: / /www- domino5.hud. gov /gprs /gprsrl .nsf/printreports /8F9C40D2820B 50B 1852578D... 11/3/2011 Quarterly Progress Report box below. Comments on your progress can be addressed in the narratives that follow. Page 2of16 Activity Status (select one category for each activity) Completed Date (list mm /dd /yyyy for date completed) Quality Assurance Plan Submitted and Accepted (if applicable) Not -yet- started Staff Hired Completed 06/22/2011 Approval for Environmental Review Received (if applicable) This section does not apply to your grant. Contact your GTR with questions. 04/19/2011 Internal Policies and Procedures Established This section does not apply to your grant. Contact your GTR with questions. Process for Invoicing HUD through LOCCS Established with Grantee's Finance Staff This section does not apply to your grant. Contact your GTR with questions. Subcontracts and Sub- grants In -place This section does not apply to your grant. Contact your GTR with questions. IRB Approval Received (if applicable) Workplan Milestone Date: This section does not apply to your grant. Contact your GTR with questions. Necessary Supplies and Materials Procured This section does not apply to your grant. Workplan Milestone Date: Contact your GTR with questions. NOTE: Corresponds to Section 1 on the Grantee Benchmark Performance Standards Worksheet. A2. Personnel Changes. Describe any changes in key personnel in the project/study and among sub - grantees or other entities directly involved in your grant project/study and its impact. Please identify any staff hired and address how current staffing levels compare to your work plan. Provide information on any new project/study participants, including resumes of key individuals or letters of commitment, Memoranda of Understanding (MOUs) or other arrangements with community -based organizations and other partners. Since the Grant performance period began on April 1, 2011 the administrative policy and procedure manual has been drafted in conjunction with the Lead Hazard Control Manual as has the Workplan. The Environmental Review was completed on April 19, 2011. The Healthy Homes Program Manager, Kim Glaser, was filled on June 13, 2011. Her previous duties had been as Lead Paint Assistant in the Lead Hazard Control Program from January 2008 through June 2011. The Healthy Homes Inspector, Todd Carr, was hired June 22, 2011. His previous background was in construction and project management. After the first six months there has not been any changes to the work plan or budget. Consideration has been made to adjust the work plan due to the delay in getting the Healthy Homes Assessment software tool. However, as of this time no changes have been requested. The Program is an active participant in the National Green and Healthy Homes Initiative. The City of Dubuque was designated as the 16th City of the national movement. This initiative is formulating the platform the program will use with many of it's partners. The GHHI connection has resulted in a very close partnership with the Greater Dubuque Community Foundation. This foundation is facilitating the GHHI process and bringing to the table additional personnel, a home advocate, to address personal challenges of individuals in the homes we are serving. Another strong partnership has been formed with the Operation: New View Community Action Agency's Weatherization Program. The program is working hand in hand with Weatherization to develop a comprehensive assessment and intake form to reduce duplication and increase service offerings to the clients. The goal is to have a "holistic household centric" approach. http: / /www- domino5.hud.gov /qprs /qprsrl .nsf /printreports /8F9C40D2820B50B 1852578D... 11/3/2011 Quarterly Progress Report Page 3 of 16 A3. Work Plan or Budget Changes. Describe any significant changes to the work plan or budget that have occurred during this time period. Since the inception of the grant on April 1 through September 30, 2011 there has not been any changes to the work plan or budget. A4. Financial Partnerships. Describe existing or prospective partnerships with financial institutions. At this time there is not a partnership formed with any financial institutions. A meeting will be scheduled with a large local financial institution, Dubuque Bank & Trust, in the near future. In addition, through the Green and Healthy Home Initiative there will be steps taken to create an umbrella of financial institution partnerships. All area financial institutions will be contacted to become an active part of financing individuals to achieve a healthier and safer home. A low interest loan portfolio is being sought to offer individuals the means to support interventions if they go beyond the programs scope. A5. Describe the types of jobs created and jobs retained. "Jobs or positions created" means those new positions created and filled, or previously existing unfilled positions that are filled, as a result of this grant funding. "Jobs or positions retained" means those previously existing filled positions that are retained as a result of this grant funding. This description may rely on job titles, broader labor categories, or the contractor's existing practice for describing jobs as long as the terms used are widely understood and describe the general nature of the work. These jobs relate to the numbers of jobs included in Item A6 and A7 below. The first entry should include discussion of Employment Baseline, the number of jobs that existed when the grant agreement was signed. Subsequent reports will not have to repeat that information. In the initial start-up of the Healthy Homes Production Grant the Employment Baseline was zero. There were no positions filled for the grant program at the time the grant agreement was signed. Staff from the local Lead Hazard Control Grant operated the program. There were two new positions created, Healthy Homes Program Manager and Healthy Homes Inspector. These positions were advertised, interviewed for, and filled in June 2011. A6. Employment Baseline. The number of jobs that existed at the signing of the grant agreement. Baseline employment Grantee First tier sub - grantees and contractors Jobs - At beginning of award 0 0 Green Jobs - At beginning of award 0 0 A7. Job Creation and Retention Activity- number of jobs funded under the grant Jobs - This Quarter Jobs - Cumulative Green Jobs - This Quarter Green Jobs - Cumulative Created in your agency a. 0 e. 2 i. 0 m. 0 Created by first tier sub - grantees and contractors b. 0 f, 0 j. 0 n. 0 Retained in your agency c. 2 k. 0 Retained by first tier sub - grantee and contractors d. 0 I. 0 A8. Written Policies and Procedures. Discuss progress toward developing internal written policies and procedures or any changes to policies and procedures already in- place. http: / /www- domino5.hud.gov /qprs /qprsrl .nsf/printreports /8F9C40D2820B50B 1852578D... 11/3/2011 Quarterly Progress Report Page 4 of 16 The written Policy and Procedure manaul has been drafted in conjunction with the already completed Lead Hazard Control program manual. The programs will operate concurrently whenever possible to maximize services to the client. At this time there are no changes needed to the policies and procedures. A9. Coordination with Existing Programs (if applicable). Describe efforts to enhance the coordination and integration of work performed under your current grant with other existing housing, health and environmental programs. For Healthy Homes grantees, include other projects and activities that also address Healthy Homes issues. Dubuque's Healthy Homes Production Program is located at the City of Dubuque Housing and Community Development Office. The Housing Inspector Supervisor and Public Health Specialist, the co- directors of this program, both supervise other health and housing code enforcement programs and integrate healthy homes work in conjunction with these other programs. In addition, the Housing Department includes the Lead Hazard Control Program, the Housing Rehabilitation Program, Section 8 Assisted Housing Program, Code Enforcement, and the CDBG programs. Meetings held twice monthly with all these disciplines have resulted in a coordinated effort to maximize the services offered to our clients. General Housing and Section 8 inspectors will be cross - trained in the Healthy Homes Practitioners Course and will be a steady referral source for families with deficient properties. This training is scheduled in December 2011 and will be a step forward in creating a "Green and Healthy" vision within our City Housing Department. One in which all participating programs are driven toward recognizing the connection between Housing and Health. In addition, the City of Dubuque is participating in the National Green and Healthy Homes Initiative as the 16th pilot city. Our local initiative is focusing on developing a process to get city and community organizations and philanthropists to w ork together to make a "one- stop" shop for our clients. Currently six pilot homes have been identified. A process has been created and implemented in two initial pilot homes to remove the barriers and develop a streamlined process between Healthy Homes, Lead Hazard Control, Weatherization, and Rehabiliation. Our goal is to create a model process that other cities can duplicate. Progress on this initiative will continue to be reported. A10. Environmental Review and IRB Approval (if applicable). Describe status of Environmental Review and Institutional Review Board (IRB) approval. If original or revised IRB approval has been obtained, please list the date(s); if the most recent approval has been obtained this quarter, please attach the approval to this quarterly report. The Environmental Review was approved on April 19, 2011. The approval letter was submitted with the past report. A11. Challenges. Describe any obstacles or challenges to performance, activities, or research and measures taken to overcome those challenges. One of the co- directors, Bob Boge, and two of the Lead Hazard Control Program staff, Kevin Hirsch and Kim Glaser attended the HUD training April 4 - 7, 2011 to learn the new assessment tool that will be utilized by the program. The delay of the assessment tool has been a challenge even though another assessment tool was locally prepared and utilized. This software is expected very shortly so this challenge will be resolved. In addition, while working with the Green and Healthy Homes Initiative a member of the Baltimore, MD GHHI team visited Dubuque and mentored our program. He shared with us a comprehensive assessment sheet that is utilized in Baltimore. Our program has adopted this assessment sheet and has begun to utlize it in our assessments. We are awaiting the HUD assessment tool to have a standardized format to follow. http : / /www- domino5.hud. gov/qprs/qprsrl .nsf/printreports /8F9C40D2820B 50B 1852578D ... 11/3/2011 Quarterly Progress Report Quarterly Report Narrative Overview Page 5of16 B. Enrollment, Assessment and Intervention Activities This section focuses on the enrollment, assessment and intervention activities implemented through your project, particularly environmental interventions in participants' homes. An intervention occurs when activities (e.g., repair, renovation, provision of supplies, installation of safety equipment, or education of residents) have been performed in a residence to reduce environmental health and safety hazards or to inform residents about Healthy Homes or Lead Hazard Control issues. Note: If the family has not been "enrolled" for the activity and no data have been collected (e.g., the activity consists of distributing materials door -to -door, with no record of recipient information and no individual follow -up), then the activity is characterized as a community education and outreach activity and should instead be addressed in Part 1, Section C. Note: If your project does not perform unit assessments and interventions, check with your GTR to verify whether you need to complete this section. Because of the wide range of activities, interventions, and measures involved in Healthy Homes and Lead Technical Studies projects, not all questions may be applicable to your grant. If an item asks about a type of activity that is not relevant to your project, please respond "Not Applicable" or "N /A." This section does not apply. Please continue with the next section. B1. Enrollment. Describe the types of recruitment/enrollment activities completed this quarter and complete the corresponding cells in Table 1. Also describe the effectiveness of financing mechanisms or incentives used in enrolling participants in the project and encouraging their continued participation during this time period. Discuss any problems encountered with enrollment. From July 1 through September 30th a new process was developed and begun by the Green and Healthy Homes Initiative. In attempting to work towards a "one stop" shop the intake and enrollment process was reviewed. A "Quick App" is now being completed as interested citizens call in or go to the website. As these quick applications come through they are scored and prioritized. The clients scheduled first are those with the greatest health and safety needs. The participation in the Green and Healthy Homes Initiative will also incorporate the Lead Hazard Control Program, the local Housing Rehabilitation Program, and the local Weatherization program. Enrollment utilizing a collaborative approach will simplify intake and make a streamlined process for the clients. The finance mechanism utilized by the program will be a signed contract and promissory note. The promissory note is a three year forgivable loan that is forgiven 1/3 per year for three years. The forgivable loan entices people to participate in the program knowing the money will not be required to be repaid if they continue to coorperate and participate in the program through surveys and follow up assessments. B2. Assessment Activities. Indicate the types of assessments that were performed this quarter. If each unit does not receive the same type of assessment, please explain. In Table 1 indicate the total number of units assessed for the quarter. B2a. Assessment of hazards associated with asthma and /or other respiratory illnesses (e.g. mold and moisture controls and allergen sampling). B2b. Assessment of hazards associated with injury and safety hazards (e.g. poisons or falls or fire or CO). B2c. Assessment of lead -based paint hazards. B2d. Assessment of other hazards (e.g. pesticides or radon) (please specify). Other: radon, integrated pest management, mechanicals http: / /www- domino 5.hud. gov /gprs /gprsr l .nsf /printreports /8F9C40D2820B 50B 1852578D... 11/3/2011 Quarterly Progress Report Page 6 of 16 B3. Intervention Methods. Describe the interventions provided this quarter. (These costs will also be reported in Part 2.) In Table 1 indicate the number of units receiving interventions under each category of hazard. Complete Table 2, Table 3 and Table 4 for units completed during the quarter. From July 1 - September 30 no intervention methods have been completed. Eight comprehensive Healthy Homes assessments have been completed and a bid packet sent out to contractors to bid. From these eight assessments one has an accepted bid and intervention begun. Another has an accepted bid and contract signing will take place shortly. Four have assessments reports and bid packets completed and these have been distributed to contractors for bidding. The final one had to be sent to the state for a historical review. B4. Follow -up Activities. Describe any post - intervention follow -up or assessment activities for units in which work was completed this quarter. A unit can be considered completed if a follow -up assessment remains to be performed (for example, a six -month follow -up environmental assessment), as long as the actual physical work or other intervention activity has been completed. As no units have interventions completed no follow -up activities have been performed. B5. Findings. For units in which assessments, interventions, and analysis have been completed, briefly discuss the findings. From the eight properties that have had a Healthy Homes assesment the findings included pests (fleas, mice, and ants), tripping hazards on stairs, moisture, electrical deficiencies, and lead hazards. Included in the eight properties that were assessed are three of the pilot homes selected to be completed through the Green and Healthy Home Initiative. A process is being developed to get city and community organizations and philanthropists together to make a "one- stop" shop for our clients. A collaboration occurred after assessments to coordinate efforts between the Healthy Homes Program, Lead Hazard Control Program, City Rehabilitation Program, and the local Weatherization program. Cost savings are anticipated from this collaborative effort. Table 1: Summary of Unit Enrollment, Assessment and Interventions http : / /www- domino 5.hud. gov/qprs/qprsrl .nsf /printreports /8F9C40D2820B 5 0B 1852578D... 11/3/2011 Current Quarter Assessments or Inspections Interventions for Respiratory Hazards (Mold / Moisture or Allergens, etc.) Interventions for Safety Hazards (Poisons, falls, fire, CO, etc) Interventions for Lead Hazards Interventions for Other Hazards Please list: (Pesticides, radon, etc.) Total for this Quarter Cumulative Totals Number of potential clients contacted a. 119 169 Number of clients enrolled b. 44 54 Number of units with completed assessments c. 8 9 Number of units with completed interventions d. 0 e. 0 f. 0 g. 0 h. 0 0 Number of units i. 1 with interventions in progress j. 1 k. 1 I. 0 m. 1 1 http : / /www- domino 5.hud. gov/qprs/qprsrl .nsf /printreports /8F9C40D2820B 5 0B 1852578D... 11/3/2011 • Quarterly Progress Report Note: Shaded boxes do NOT need to be filled in. Page 7 of 16 Current Quarter Information: The responses to all items located under the "Current Quarter" heading should indicate the number of enrollments and interventions conducted during this reporting period. If interventions in a single unit were completed for more than one category it should be counted once in both columns (for example, if an apartment received both lead hazards and mold and moisture interventions, it would be counted in both Asthma /Other Respiratory Illnesses and Lead Hazard Control). The same rule applies to interventions underway. The "Total for this Quarter" and "Cumulative Totals" columns should reflect the total number of units that received any type .of intervention (do not double- count). It is not the sum of the safety, lead, and other hazard categories, assuming these columns would result in double- counting some units. Cumulative Totals: The cumulative total units column should reflect the total number of enrollments and interventions since the grant program was initiated. It is a cumulative measure of the units counted under the "Total for this Quarter" column and the "Cumulative Totals" figure from the previous reports. Table 2: Unit Type for Completed Units Type of Units (Based on number of units with completed interventions this quarter) Total Units This Quarter Cumulative Totals Owner - Occupied Units a. 0 0 Occupied Rental Units b. 0 vJ Vacant Units 1 c. 0 0 TOTAL UNITS (all types) d. 0 0 The responses in this table should reflect only the units in which interventions have been completed and cleared (if necessary) during this quarter. A unit can be considered completed if follow -up evaluation remains to be performed (for example, a six -month follow -up environmental assessment), as long as the actual physical work or other intervention activity has been completed. As with Table 1, the "Total Units this Quarter" and "Cumulative Totals" columns should be a net count of units across all hazard categories, ensuring that each unit is counted only once. The "Total Units" row should be a sum of all types of units with completed interventions. Table 3: Age of Units Completed Age of Housing (Based on number of units with completed interventions this quarter) Total Units This Quarter Cumulative Totals Pre -1940 a. 0 0 1940 -1959 b. 0 0 1960 -1977 c. 0 0 Post -1978 d. 0 0 Unknown Age e. 0 0 If the age of the unit is not known precisely, use the most reasonable age category based on available information. If the age of the unit cannot be reasonably estimated, it should be counted under "Unknown Age." Table 4: Occupant Information for Units Completed http: / /www- domino 5.hud. gov /gprs /gprsr l .nsf /printreports /8F9C40D2820B 50B 1852578D... 11/3/2011 Quarterly Progress Report Ages of Occupants in Completed Units Children Under Age 6 Occupants Age 6 to 17 Occupants Age 18 and Over Total This Quarter a. 0 b. 0 c. 0 Page 8 of 16 Cumulative Totals 0 0 0 Responses should reflect the total number of occupants residing in the unit at the time the intervention was completed. Even if a unit receives more than one intervention, count each unit's occupants only once. Quarterly Report Narrative Overview C. Community Education, Outreach, Training, and Capacity Building This section focuses on the educational, outreach, and training activities implemented through your project. These activities involve a broad dissemination of Healthy Homes and /or Lead Hazard Control information to health care providers and community members through workshops, health fairs, radio broadcasts, distribution of brochures, and other venues. Note: If the grantee has "enrolled" the participant and collected any personal information (family names, health status, etc.) and housing data (e.g., address), then the activity is considered a unit intervention and should instead be addressed in Part 1, Section B. Note: If your project does not perform education, training, outreach, or capacity - building activities, check with your GTR to verify whether you need to complete this section. This section does not apply. Please continue with the next section. C1. Describe Activities Completed. Describe education and outreach activities completed this quarter, including the expected results of your efforts. Describe your outreach methods (door -to -door, presentation, broadcast media, mailings) and the intended recipients of this outreach (tenants, landlord groups, etc.). These activities should also be accounted for in Table 5 and Table 7. On July 26, 2011 a severe thunderstorm hit the Dubuque area resulting in 15" of rain falling on parts of the city and surrounding area. Many residents were left with flooded basements and damaged homes. In conjunction with other city departments the Healthy Homes Program inspectors became a part of a team of inspectors going house to house inspecting and assessing the flood damage. Approximately 300 homes were assessed. The area hit hardest by the flooding was a concentrated neighborhood consisting mainly of low income citizens. Educational materials and information was spread to the homeowners and tenants residing in the buildings. Many residents were able to take care of their issues independently others were referred to the the Healthy Homes Program for help in the future. An educational presentation was given by the members of the Healthy Homes, Lead Hazard Control, and the Green and Healthy Homes Initiative staff to the Mayor, City Manager, and the City Council members to inform them of the goals and direction of the programs and initiative to serve the citizens of Dubuque. They were pleased and excited with the programs purposes and the plans were very supported. A similar presentation was given to Iowa Congressional staff members visiting Dubuque. The group toured some highlights of the City and were given presentations on new targeted initiatives of the City. The Green and Healthy Homes Initiative was part of a "Sustainable Dubuque" theme presented. The staff members found the Initiative to be valuable and voiced much support. A commissions "Summit" was held at a centrally located park on the north end of the City. It featured a gathering of human rights and housing commission members, and members of the transit board. It featured programs working together to maximize services to citizens. There is a group of University of Iowa students that are working with our Green and Healthy Homes Initiative to assist with data http: / /www- domino5.hud. gov /gprs /gprsr l .nsf/printreports /8F9C40D2820B 50B 1852578D... 11/3/2011 Quarterly Progress Report Page 9 of 16 collection and reporting. A presentation was given to the students to educate them of the programs and their benefits and the data they will be gathering. The program has faced an shortage of interested contractors. In an effort to educate and recruit contractors a casual gathering was held attract contractors and entice them to become active bidders on our jobs. The purpose was to educate them on the programs, let them know the volume and scope of work involved, and explain requirements of the program as far as insurance and certifications. A small but engaged group of contractors attended. It is anticipated a few additional committed contractors will be gained. An opportunity arose with the local cable company, Mediacom. They televise a service program monthly that features programs and services in the community to benefit the citizens. A 5 minute "clip" highlighting the Healthy Homes Program and the Lead Hazard Control Program was filmed. This was aired throughout the month of October. The cable company estimated approximately 25,000 viewers would see these clips. C2. Effective Outreach Formats. Describe outreach techniques and /or particular methods, materials, and formats that have proven to be most effective this quarter. If any media coverage or educational brochures are available, please attach to this report. The most utilized outreach methods this quarter was the Power Point presentations given to select community groups to highlight the Healthy Homes and Lead Hazard Control Programs and their efforts to work within the Green and Healthy Homes Initiative process. Members of State and local government were also recipients of these presentations. This resulted in greater awareness and committed support for the programs and the comprehensive holistic process that is being developed. A second outreach method that was effective this quarter was the Mediacom television "clips" that were completed and televised highlighting the programs and the Green and Healthy Homes Initiative. C3. Training and Education. Describe the types of training and education efforts completed this quarter and any certification received. Please specify the types of staff training conducted, as well as training activities for community workers. These efforts should correspond to Table 6. The Healthy Homes Inspector and Public Health Specialist Director attended a training session held by the Center on Sustainable Communities. The focus was on furnace and other heating efficiencies. General knowledge was gained on energy efficiency and heating and cooling strategies within a home. A narcotics officer joined the Housing Department Staff meeting to educate the inspectors on hazardous chemical substances; what to look for in a residence and how to handle the situation when it occurs. In addition, a local pest company presented an educational program to the Housing Department staff highlighting Integrated Pest Management techniques and other general information about the most common pests found in homes in our area. This information will be useful in educating all housing clients and especially our Healthy Homes program participants. C4. Training and Education Evaluation. If training and education activities have been evaluated during this quarter, briefly describe the evaluation methods used and discuss the findings. Please attach copies of blank evaluation form(s) (e.g., pre- and post -test forms) in an appendix to this report. No training and education activities occurred; thus nothing to evaluate. The University of Iowa students working with the Green and Healthy Homes Initiative will assist with data collection, education, and evaluation. Their third party review of the program will be welcome to provide an outside unbiased evaluation. C5. Capacity Building. Describe activities completed that either build the capacity of grantee and partner staff or build the capacity of other organizations and institutions in the community (activities may include staff training and /or training activities for community workers described in question C3). Please differentiate between internal ( "grantee ") and external ( "community recipient ") capacity - building efforts. The Program sought and acquired several new partnerships when initially applying for the Healthy Homes Grant. Strengthing partnerships through the Green and Healthy Homes Initiative has been the primary activity in these initial start up quarters. As stated above a process is being developed utilizing the GHHI principles to create http: / /www- domino5.hud.gov /qprs /qprsrl . nsf /printreports /8F9C40D2820B50B 1852578D... 11/3/2011 Quarterly Progress Report Page l0 of 16 a streamlined process and "one- stop" shop for our clients. This has been an educational process for the City programs and partners such as Weatherization. Collaboration has been occurring to strength the partnerships and increase efficiency for all involved in the process. Table 5: Community Education and Outreach Activities Target Audience Activities Conducted (please list type for each audience) Individuals Reached This Quarter Cumulative Totals of Individuals Reached Health /childcare providers a. b. 0 L 0 I OI Schools, parent groups, etc. c. d. 0 Landlords e. f. 0 0 Tenants and other community residents g. Neighborhood Summit & Mediacom Presentation h. 25000 27000 Other (specify) j. Education & Recruitment i. Contractors k. 10 30 Other (specify) m. I. n. 0 0 Other (specify) p. Information & Education o. University of Iowa Student • q. 15 15 Other (specify) r. City Council members s. Education Presentation t. 8 8 Other (specify) u. Iowa Congressional Staff v. Education Presentation w. 15 15 TOTAL FOR ALL AUDIENCES 25048 27068 Responses should correspond to the narrative answers in C1 and C2. List all activities undertaken to reach each target audience during the quarter (e.g. meetings, presentations, mailings, health fairs, etc.). The number of individuals reached is the total number of individuals reached through all of the types of activities conducted. If an audience reached by your activities is not listed here, please list the audience under "Other" and specify the nature of the audience. Table 6: Skills Training Target Audience Type of Training Conducted (please list type for each audience) Individuals Trained This Quarter Cumulative Totals of Individuals Trained Tenants or Owner- occupants a. b. 0 0 Property Owners (non- residents) c. d. 0 0 Remodelers and Other Contractors e. f. 0 0 Code Enforcement Officials g. Hazardous Chemical Substance Training & Integrated Pest Management h. 7 7 Grantee or Partner Staff i. Hazardous Chemical Substance j. 25 Training & Integrated Pest Management 25 Other (specify) I. m.0 0 k. http: / /www- domino5.hud. gov /gprs /gprsr 1.nsf /printreports /8F9C40D2820B 50B 18 52578D... 11/3/2011 Quarterly Progress Report Other (specify) n. TOTAL FOR ALL AUDIENCES p. 0 32 Page 11 of 16 i 32 Responses should correspond to the narrative answer in C3. The number of individuals trained should reflect the total number of individuals in each category trained for all types of training. If an audience reached by your training is not listed here, please list the audience under "Other." Table 7: Publications and Other Materials Distributed Description of Outreach Materials Method of Circulation (health fair, door -to -door, etc.) Number Distributed This Quarter Cumulative Number Distributed 1. Healthy Homes Brochure a. door -to -door, open house b. 50 100 2. c. d. 0 100 3. e. f. 0 0 4. g. h. 0 0 5. i. j. 0 0 Responses should correspond to the narrative in C1 and C2, as well as C3 and C4, as appropriate. Quarterly Report Narrative Overview D. Data Collection and Analysis This section focuses on data collection activities performed as part of your grant. Note: Any activities involving collection of family and unit data through home visits may also be defined by HUD as interventions and should also be addressed in Part 1, Section B. D1. Data Collection and Analysis Activities. Summarize activities performed during this reporting period and complete D7 through D9. As appropriate, indicate progress in the following areas: D1 a. Development of data collection instruments. Describe progress in developing assessment tools (environmental, visual, or questionnaire), surveys, etc. (you are encouraged to use or adapt instruments that have already been validated, when possible). Also include the development of new sampling and analytical methods. A Healthy Homes assessment tool was developed locally to utilize while the software program is being developed nationally for distribution by HUD. However, after joining forces with the Green and Healthy Homes Initiative a comprehensive assessment format utilized by the Baltimore, MD GHHI Program has been adopted and changed slightly to address our local market. This was beneficial so we did not have to "reinvent the wheel" when creating a comprehensive assessment tool. Through the Green and Healthy Home Initiative a home advocate has been chosen to do a common intake for all diciplines working on a project (Healthy Homes, Lead, Rehab, Weatherization). This includes an interview with the homeowner and completion of a health questionnaire to pinpoint the health issues and specific problems in the health of the occupant. This data will be valuable throughout the process to focus on and improve conditions in the property. It also will allow us to offer services to the household to address life challenges in the occupants and possibly improve their quality of life. http: / /www- domino5.hud. gov /gprs /gprsr l .nsf /printreports /8F9C40D2820B 50B 18 525 78D... 11/3/2011 Quarterly Progress Report Page 12 of 16 A Health survey has been developed to be completed at intake to identify needs of the occupants and specifically target the interventions. A follow up survey will be completed 12 months after the completion of the project to track the improvement of the occupants and the property. D1 b. Data collection. Summarize progress in data collection with respect to work plan milestones. Excel spreadsheets have been developed to collect specific data for reporting on work plan performance. In addition, a new Housing Department solutions software is being reviewed by the Housing Department with the goal being it can be utilized by all the disciplines in the Housing department. This will create a database of applicants along with a waiting list making intake more uniform and consistent. Also specific data will be tracked on participants with report generating capacity to make tracking and data collection better, easier, and. quicker. There is also a database and common assessment tool already developed by the National Green and Healthy Homes Initiative. Utilizing these tools will assist with collaboration and data sharing between partners. D1c. Data validation and analysis. Describe progress in completing final data validation and analysis. Not applicable at this time. D2. Quality Assurance and Quality Control Activities. Describe QA/QC activities for the quarter (e.g., observation of field data collection, description of QC sample and results of analysis) and indicate whether any corrective actions were taken. Also, include progress made toward completion of the mid - project Quality Assurance Report. Not applicable at this time. D3. Study Methods and Data Collection Instruments. Describe the methods or combination of methods used to perform the activities listed in D1. Include a discussion of the instruments used to collect your data. Please attach sample forms, etc. as an appendix to this report. Not applicable until software program is received. Completing inspections with hand - written form and assessment tool that is utilized with the Green and Healthy Homes Initiative in Baltimore, MD. The assessor from Baltimore came to Dubuque to mentor the Healthy Homes Inspector and others involved in the GHHI process. This was an excellent learning experience as it was good to see an experienced assessment being performed and the tools being utilized. D4. Changes in Study /Evaluation Design. Describe any changes in the study design or evaluation of the project during this time period: Explain why changes were made and their potential impact on the project. Not applicable. D5. Preliminary Results. Discuss results of preliminary data analysis with respect to your hypotheses (if you have a formal hypotheses) in the context of what was anticipated at the start of the project. Specify how these preliminary results might affect the remainder of your study. Not applicable. D6. Capturing Health Outcomes and Environmental Outputs. As applicable, describe the expected and realized health outcomes that you expect to achieve or have achieved (e.g., number of children with reduced asthmatic episodes, respiratory symptoms, lead poisoning /blood lead levels, allergy symptoms, or improvements in home safety, reduction of school absenteeism, reduced emergency room visits, etc.). Similarly, describe the expected and realized environmental outcomes or outputs that you expect to achieve, or have achieved (e.g., reductions in allergen levels (from mold, pests and /or pets), injury hazards, lead in dust, pesticides, carbon monoxide, radon, etc.). The method of capturing this data should be included in this discussion (e.g., survey, questionnaire, spirometry, diaries, pre- and post - environmental sampling and analysis, pre- and post interviews, pest counting, etc.). The health outcomes that we expect to realize are reduced asthma in children, reduced lead poisoning in children under 6, and reduced radon exposure. In addition, reduction of air pollutants such as asthma http: / /www- domino5.hud.gov /qprs /gprsr l .nsf/printreports /8F9C40D2820B50B 1852578D... 11/3/2011 Quarterly Progress Report Page 13 of 16 triggers from roaches, rodents, and fleas; home chemicals and contaminants; moisture and mold, etc. The program will focus on all health and safety issues in the home ranked in order of seriousness and concern. Ultimately the use of the HUD assessment software program will assist with capturing these issues occurring in the home and target those needing to be addressed. D6. Outcomes and Methods Captured Health Outcomes and Method of Capture (list all) Work Plan Goal (e.g., #'s of children in units receiving interventions for asthma) Number of Children with a Reduction in Asthmatic Episodes Number of Children With Improvement in Health Outcome other than Asthmatic Episodes 1. Example: Reduced Asthma/ Asthmatic Episodes; spirometry 0 0 0 2. 0 0 0 3. 0 0 0 4. 0 0 0 5. 0 0 0 Environmental Outputs /Outcomes and Method of Capture (list all, particularly reductions in allergens, including mold and allergens from pests and/or pets) Work Plan Goal ( #'s of units) Number of Units with a Reduction in ALlergen Levels (mold, allergens from pests and /or pets) Realized Number of Units with a Reduction in Environmental Hazards other than Allergen Levels) 1. Example: Reduction in cockroach allergen, environmental sampling and analysis 0 0 0 2. 10 0 0 3. 0 0 0 4. 0 0 0 5. 0 0 0 D7: Data Collection Instruments Data Collection Instruments Developed (list) Work Plan Milestone for Completion (mm /dd /yyyy) Date of Actual Completion (mm /dd /yyyy) 1. a. 2. b. 3. c. 4. d. 5. e. 6. f. NOTE: This table corresponds to Part IV. A on the Grantee Benchmark Performance Standards Worksheet. D8: Data Collection Activities and Milestones II Data Collection Activities in Work Plan (list) II Work Plan Milestone for II Date of Actual Completion II http: / /www- domino5.hud. gov /gprs /gprsr l .nsf /printreports /8F9C40D2820B 5 0B 18 52578D... 11/3/2011 uarterly Progress Report Page 14 of 16 II Completion (mm /dd /yyyy) II (mm /dd /yyyy) 1. 2. 3. 14. 5. NOTE: This table corresponds to Part IV. B on the Grantee Benchmark Performance Standards Worksheet. D9: Data Analysis Activities and Milestones Data Analysis Activities in Work Plan (list) Work Plan Milestone for Date of Actual Completion Costs Completion (mm /dd /yyyy) (mm /dd /yyyy) 1. Data Validation 2. Data Analysis a. b. NOTE: This table corresponds to Part IV. D on the Grantee Benchmark Performance Standards Worksheet. D10: Status of Mid - Project Quality Assurance Report (Please check appropriate box) NOTE: This should be a concise report that describes the status of Quality Assurance /Quality Control (QA/QC) activities and findings during the first half of the project period -of- performance. The major elements of the grantee's Quality Assurance Plan should be used as a guide with respect to the report's contents. The report should describe any QA/QC- related problems that were encountered, efforts to address the problems, and the outcome of such efforts. The report should also include the results of QC sample analyses (e.g., field blank and field spike samples) if used in the grantee's project. Not - yet - started Date Submitted: (NOTE: Corresponds to Part IV.c on the Grantee Benchmark Performance Standards Worksheet Part 2 Listing of Units Completed and Cleared This part of the report provides additional information about units in which interventions were completed during the current reporting period. Indicated the unit address, city, state, and zip code for each unit listed. Also identify the types of interventions performed (e.g., control of asthma and other respiratory illnesses, injury prevention, or lead hazard control) and the total cost of the interventions. Please include a description of these costs in the narrative response to Part 1, Section B. Note: If your program does not involve unit assessments and interventions, check with your GTR to verify that you do not need to complete this section. Grant Agreement Number: Grant Organization: Report Period: IALHH0217 -10 City of Dubuque Housing and Community Development Jul 1 - Sep 30 Year 2011 - -> 11 r nnnnnnnnr1nnnnnnnnn http: / /www- domino 5.hud. gov /gprs /gprsr l .nsf/printreports /8F9C40D2820B 50B 1852578D... 11/3/2011 Housing unit information Eligible Income Costs Where What 11 r nnnnnnnnr1nnnnnnnnn http: / /www- domino 5.hud. gov /gprs /gprsr l .nsf/printreports /8F9C40D2820B 50B 1852578D... 11/3/2011 324,614] 11,628] o] Quarterly Progress Report 0 0 Street Address City 0 0 N 0 0 O .0 Totals N 0 0 0 0 ro 0 0 0 0 0 0 0 0 0 0 O O 0 � O 2 py . O O 0 0 0 0 E 0 Page 15 of 16 0 0 a "Non -grant Funds" are funds from grants other than Healthy Homes Initiative and Technical Studies Grants PART 3 FINANCIAL REPORTING HUD Lead Hazard Control Grant Funds If applicable, please also attach "HUD Form 269, Financial Status Report" to this quarterly report. Grant Agreement Number: Grant Organization: Report Period: IALHH0217 -10 City of Dubuque Housing and Community Development Jul l - Sep 30 Year 2011 BUDGET CATEGORIES* NEGOTIATED APPROVED CUMULATIVE AVAILABLE BUDGET LOCCS LOCCS BALANCE DRAWDOWNS DRAWDOWNS THIS PERIOD* TO DATE* 1. Personnel (Direct Labor) 2. Fringe Benefits 3. Travel 4. Equipment 5. Supplies and Materials 6. Consultants 7. Contracts / Sub - Grantees / 7a.Partners Match &Leverage 7b.Training of Staff 7c.Training contractors RRP 7d.HH Forgivable Loans 7e.Contracted Nursing Services VNA 7f. 7g. 7h. 7i. Subtotal Item 7 8. Other Direct Costs 9. Indirect Costs 10. TOTALS* L 151,099 15,168 0 0 501 1,600 1,993 425,000 4,237 0 L 0 0 433,331 64,133 0 999,973 15,299.96 4,813.06 1,429.50 0.00 5,479.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,325.08 0.00 28,346.81 15,299.96 4,813.06 1,429.50 0.00 5,479.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,325.08 0.00 28, 346.81 * Administrative costs included in totals expended are not to exceed 10- percent. 309, 314.04 146,285.94 13, 738.50 0.00 6,148.79 0.00 501.00 1,600.00 1,993.00 425,000.00 4,237.00 0.00 L 0.00 0.00 0.00 433, 331.00 62,807.92 0.00 971,626.19 http : / /www- domino5.hud. gov/qprs/qprsrl .nsf /printreports /8F9C40D2820B 50B 1852578D... 11/3/2011 Quarterly Progress Report Page 16 of 16 Benchmarks.xls D Qtrly Report Request. for Change.doc, D Cover Sheet.xls GHHI Comprehensive GHHI Congressional Assessment Stafff Worksession Form Junel92011.doc Augl bpptx http: / /www- domino 5.hud. gov /gprs /gprsr l .nsf/printreports /8F9C40D2820B 50B 18 52578D... 11/3/2011