Enter information for one specific encampment at a time

The Saint Francis Homelessness Challenge has developed this Encampment Livability Index to assess encampment conditions in support of reasonable public health and safety standards, transition, and community well-being.

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* 1. Your name and contact information:

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* 2. Your relationship to the encampment (click all that apply):

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* 3. Date/Time

Date
Time

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* 4. Location of Encampment: List the intersection of streets that encampment is located on and between (e.g. Utah Street between 16th and 15th Street). Be as specific as possible.

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* 5. This encampment is located on a block with

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* 6. At this encampment, what is the approximate # of:

  Select from here
Individual Tents/Tarp structures
Constructed Shelters/Shacks (includes wooden shelters)
SFHC Transitional Sleep and Storage Shelters
Portapotties
Encampment Residents

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* 7. How many of the tents/shelters have belongings stored next to the tent/shelter on the sidewalk (e.g. 6/10)

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* 8. Public health hazards

  Rate support needs
Trash
Feces
Needles

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* 9. Encampment Resident Health & Safety Needs

  Rate support needs
Access to toilet 24/7
Access to hand sanitizing/washing 24/7
Access to potable water 24/7

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* 10. Community Livability and Access

  Rate support needs
Sidewalks (e.g. Pedestrian and wheelchair accessibility)
Bike Lane
Driveways
Parking
Local Business
Residential

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* 11. Trash collection and removal system

  Unknown Yes No
Does DPW have consistent days for onsite presence & trash pick-up?*
Does DPW have a regular schedule for deep cleaning at least once every 45 days?*
Do residents have access to trash collection tools (trash bags, trash cans, dumpster, recycling bins)?*

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* 12. Is there an interest in working together with DPW on a trash collection/recycling strategy for this site?

  Unsure/Haven't inquired Yes No
Me
1 or more encampment residents*
1 or more community members/neighbors*

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* 13. Is there an interest in working together to initiate a self-managed portapotty system for this site? (Check all that apply)

  Unsure/Haven't inquired Yes No
Me
1 or more encampment residents*
1 or more community members/neighbors*

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* 14. List names, DOB, contact info, and Nav Center history of Encampment Residents who expressed an interest in living in a Transitional Sleep and Storage Shelter with community agreements. Prioritization will be given to residents who were discharged from the Navigation Center w/o housing at the end of their maximum allowed stay (e.g. not expelled voluntarily or due to behavioral issues prior to scheduled end date)

Please respectfully take photos of encampment conditions with special care not to include encampment residents. E-mail these photos with encampment location (e.g. street name and cross streets) to info@saintfrancischallenge.org

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