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Group Residential Housing (GRH) supportive housing settings must have an approved habitability inspection. The habitability inspection will determine whether the housing occupied by the GRH recipients meets the Department of Human Services’ habitability standards.
Check “Approved” or “Deficient” for each standard on the back of this form, and describe any deficiencies in comments section at the bottom of the page.
Complete the certification statement below.
Assist GRH applicant as needed in submitting this form to the financial worker listed above.
Give a copy of this completed form to the GRH applicant.
I certify that I have evaluated the property located at the address above, and to the best of my ability find:
Property meets all of the habitability standards. Unit is approved for GRH funding.
Property does not meet all of the habitability standards. Unit is not approved for GRH funding.
When this form will be emailed to the Housing Program Team upon submission, it will be provided to the financial worker listed above. GRH benefits cannot be approved until this form is received.
The building appears structurally sound, appears to protect the residents from the elements and does not appear to pose any threat to the health and safety of the residents.
Each resident is provided adequate space and security for themselves and their belongings. Each resident is provided an acceptable place to sleep.
Each room or space has a natural or mechanical means of ventilation. The interior air appears to be free of pollutants.
The water supply appears to be clean and safe. All plumbing fixtures and drains appear to be in proper operating condition.
Residents have access to sufficient sanitary facilities that appear to be in proper operating condition, are private, and are adequate for personal cleanliness and the disposal of human waste.
The housing has any necessary heating facilities which appear to be in proper operating condition.
The structure has adequate natural or artificial illumination to permit normal indoor activities and support health and safety. There are sufficient electrical sources to permit the safe use of electrical appliances in the structure.
All food preparation areas contain suitable space and equipment to store, prepare, and serve food in a safe and sanitary manner.
The housing is maintained and appears to be in sanitary condition.
a. There is a second means of exiting the building in the event of fire or other emergency.
b. The unit includes at least one battery-operated or hard-wired smoke detector, in proper working condition, on each occupied level of the unit. Smoke detectors are located, to the extent practicable, in a hallway adjacent to a bedroom.
c. If the unit is occupied by hearing-impaired persons, smoke detectors have an alarm system designed for hearing-impaired persons in each bedroom occupied by a hearing-impaired person.
d. The public areas are equipped with a sufficient number, but not less than one for each area, of battery-operated or hard-wired smoke detectors. Public areas include, but are not limited to, laundry rooms, hallways, stairwells, and other common areas.
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This information is available in accessible formats for individuals with disabilities by calling 651-431-3941 or by using your preferred relay service. For other information on disability rights and protections, contact the agency’s ADA coordinator.
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