Kitsap Homes of Compassion Recovery Housing Program Agreement

Name:	Length of Lease: 6 months
Address:	Start Date:
Room Type and Location:	Term End Date:
Security Deposit: $1200	Monthly Rent: $600 / $750
SD Paid by (self or agency):	Month Rent:

I acknowledge that I have made the personal choice to live in a Recovery Home provided by Kitsap Homes of Compassion (KHOC). This is not a right of tenancy.

I understand that this housing is designed to promote and support healthy recovery, therefore:

I understand that living in a Recovery Residence provides me with a safe, sober home environment, free from drugs and alcohol. I also understand that I will be provided with recovery support and guidance that may come from peers and treatment providers.

Positive social interaction, volunteer opportunities for meaningful activities, and connections to assistance in locating and securing employment opportunities will also be provided so I can create a positive recovery lifestyle.
I understand that there are many pathways to recovery and that I will receive support in the pathway of my choosing, as long as it is positive and supports a transition to long-term recovery.
I understand that by choosing to live in a Recovery Home as part of my pathway to recovery, I am obligated to uphold this Recovery Housing Program Agreement. This includes paying a regular program fee, actively engaging recovery supports, and striving for overall health and wellness through sobriety. I understand that abstinence from all legal and illegal substances is a requirement of living in the Recovery Home.

I understand that because this is a Program, I have no rights of residency or occupancy. My written Program Agreement will serve as my housing agreement and is not a lease. I understand that the Agreement may be renewed up to 3 times following the initial term at the discretion of KHOC. My stay in the Recovery home cannot exceed 2 years.

I understand that the Kitsap Homes of Compassion will not discriminate against me because of race, color, religion, sex, creed, age, ancestry, national origin, disability, sexual orientation, military status, or genetic information.

I understand that program fees are due by the first (1st) day of each month, with a five (5) day grace period. I understand that if I am more than five (5) days late in paying my monthly program fee, I will be charged a late fee of 10%. These fees may be stopped or prevented by timely communication with KHOC about your situation and details of your plans/efforts toward payment.

I understand that I will be required to keep a record of what I earn, as I will be asked to show proof of income at any time.
I understand that failure to pay may be cause for termination from the program. I understand that if I am unable to pay, I must discuss with the House Manager at least one week in advance.

I understand that for the first month of my residency, I may be given a payment grace period in the event that I enter the Recovery Residence and I am unable to pay the Program fee. I understand that this grace period will last no longer than the first month of my residency in the house and that upon securing income, I will be expected to pay the first month’s fee in installments until it is paid in full. I understand that this repayment is crucial so that just as I have been given this opportunity, someone else may have this opportunity in the future.

I understand that there will be no refund made for Program fees under any circumstances.
I agree to pay a refundable Security Deposit before participating in this program. The Security Deposit is intended to pay the cost of damages, cleaning, excessive wear and tear, and unreturned keys once you have exited the program. This deposit will be returned to me within 21 days after I leave the program if there are none of these costs. If I leave and do not give the required 30 days’ notice, I will forfeit my security deposit for inadequate notice. Under special circumstances, the Security Deposit can be paid in installments. If the security deposit was paid by a grant, and if you move out of the program in less than 6 months, the security deposit will be returned to the granting agency, not to you.

All residents must have an income to afford the monthly Program fee and be employed within six months of move-in. Other extenuating circumstances must have been discussed with the Housing Coordinator and House Manager in advance.

I understand that I will be asked for verification of my employment, schooling, or other extenuating circumstances and that this verification will be clearly explained to me so I understand what I need to provide.

I will maintain a legal, drug-free lifestyle and will comply with my personal plan of recovery. If there is concern that I am not maintaining a legal, drug-free lifestyle, I understand that my residency is subject to review, with termination as a possibility, and law enforcement may be involved, if necessary.

I understand that I must be actively engaged in a treatment program and following their recommendations for that program I understand that I may be asked for verification of my participation in these services.

I understand that I will be allowed to reside in this house as long as I choose to within each approved 6 month term, not to exceed 24 months total, so that I may achieve and maintain recovery goals that I have set for myself while upholding the recovery plan I have created.

I understand that detoxification, residential treatment, and outpatient treatment services will not be conducted by KHOC in the Recovery Home at any time.

I understand that I will be required to submit to random drug testing as requested by the House Manager or KHOC staff. I also understand that any refusal to do so will be interpreted as an admission of guilt and/or relapse, and treated as such. I have been informed that drug testing will be performed at my expense.

Kitsap Homes of Compassion – Program Agreement signature:

I will not bring any alcoholic beverages, illegal drugs or controlled substances onto the premises, nor will I have them in my possession while I am off the premises. I will not use alcohol or illegal drugs on or off the premises during my residency.

I understand that if I have any guests over to the house, I am responsible for their conduct and state of mind as I am responsible for my own. This means that I will not invite or allow my guests to be using drugs or alcohol on the premises, and if I have knowledge that they have been using drugs or alcohol prior to visiting the premises, I will choose not to invite them over or ask them to leave. Since this is a shared home, tenants should be respectful of other residents and limit the amount of time they have guests at the house, especially if they are using the common areas of the home. Tenants should not use shared bedrooms for visiting with guests, for the privacy of the room’s other occupant. Visitor’s hours are: Daily: 9 AM to 10:00 PM. For the safety of all tenants, the name and phone number of any guests expected to spend any time inside the home should be submitted to the house manager prior to their visit(s).

Conduct of Guests: actions, behavior, and language must be in accord with the overall goal of the house (restful, safe, healthy, and encouraging environment). Any behavior or activity of guests or residents that undermine the program will not be tolerated. Residents are responsible and will be held liable for actions and conduct of their guests.

I understand that former Residents are not allowed in the Recovery Residence unless the House Manager is aware. Former Residents must abide by all guest policies and provide updated contact information to the House Manager prior to any visits.

I understand that staff reserves the right to inspect and/or search my room and belongings for cleanliness and/or contraband at any time without notice to maintain the health and safety of myself and others living in the residence. I understand that the House Manager and KHOC staff have a key to my room and I will permit them access if they request it. Mandatory room checks will be conducted at least monthly by KHOC staff.

I understand that I have full responsibility for my medication while living in this Recovery Home. All prescription medications are to be registered with the House Manager. I have been informed that the House Manager is in no way responsible for dispensing my medication, whether prescribed or over-the-counter. I understand that I will manage all of my medication. I must have and keep my medications in a lock box. I will refer to the Resident Handbook with any questions or concerns about medication management.

Kitsap Homes of Compassion – Program Agreement signature:

I understand that no adults, other than house residents, will be allowed in the sleeping room areas of the house. I also understand that if I break this rule, my residency will be reviewed and this may be grounds for termination.

I understand that if I am leaving for any reason on an overnight stay, I must communicate this to the House Manager prior to leaving the property. I understand that curfew is 10:00pm and may be only modified with permission by my House Manager. I understand that any violation of this rule may result in termination from the Program unless reasons are verifiable – such as through employer or KHOC staff on a case-by-case basis.

I understand that absences without notice may result in my removal from the Program. In the event that I leave the Program without notice, I understand that the House Manager will contact me within 48 hours to determine that I have indeed left the program. I also understand that my belongings will be held for 30 days, and will then be either donated or disposed of at the staff’s discretion.

I will attend weekly house meetings. I understand that these meetings are mandatory and that my attendance at these meetings is crucial for the Home to function. To encourage self-governing and self-managing, all tenants agree to meet at least weekly for at least 20 minutes to discuss any disagreements or misunderstandings regarding the operation/function of the house. Meetings will be led by the House Manager to help with open communication and conflict resolution. Good, open, respectful communication among residents is a key to having a successful community living environment. Listening carefully to each other before speaking is also another key to success. House Managers are intended to help facilitate the self governance of the home; KHOC is not responsible for resolving interpersonal disputes.

If a person cannot attend a scheduled meeting for any reason, they must contact the House Manager in advance. Repeated failure to attend the meetings may result in termination from the program.

I will respect health and safety standards and be considerate of the rights of others. I agree to uphold the following expectations:

I agree to maintain good personal hygiene which includes regular showers, brushing of teeth, and wearing clean, appropriate clothing at all times. I will wash my clothes and bedding regularly.
All new residents must follow protocol to keep pests or bed bugs from coming into our clean homes. All bedding and clothing should be put in plastic bags until it can be run through the dryer on high setting for 60 minutes to kill any pests/bed bugs/eggs/ with the heat. Residents may not bring in personal furniture, including mattresses. Any used couches brought into the house should be inspected and treated. Residents should not store open food in their room that would attract ants and cockroaches. If ants or other pests appear, it is the residents responsibility to buy ant bait to kill the ants, and remove anything that is attracting them.
I will be responsible for the clean and orderly maintenance of my room, and will participate in daily chores as assigned to ensure the general care and orderliness of the common space. I will not hang anything on lamps, doors, doorknobs, furniture, or wall fixtures.
I will not smoke inside the property. I understand that I may smoke in designated areas, as a privilege, and will dispose of cigarette butts in proper receptacles. If butts are discovered outside of designated smoking areas, I understand that all residents may be charged a $50 fine for the violation.
I will refrain from playing loud music or making excessive noise, particularly after 10:00 PM. From 10 PM to 6 AM is quiet time. Listening to TV, radio or music during these times should be done with headphones to respect the quiet sleeping time of others.
I will not steal. Since this is a shared home, residents must feel safe and therefore stealing from one another cannot be tolerated. I understand that this will not be permitted at any time while living in this Recovery Home.
I will not enter other residents’ rooms without permission.
Pets or any type of animals are prohibited. Exceptions will only be made for service animals with accompanying documentation.
I will not prop open any exterior door that would allow public access to the residence.
I understand that physical or verbal abuse of other residents or staff is never permitted. If at any time, I display violent or aggressive behaviors, I understand that law enforcement may be called upon to intervene. I understand that making these choices will result in review of my residency, and may result in my termination from the Program. Residents are encouraged to call 911 and or file a protective order if violent or threatening behavior continues. Under this policy, violence includes, but is not limited to the following:

Verbal abuse: name calling, yelling, slandering, profanity, racial slurs (including homophobic statements), etc.
Emotional abuse: shunning, put-downs etc.
Physical abuse: hitting, pushing, punching, slapping etc.
Threats: threatening another person in any way is grounds for immediate dismissal from the program.
Sexual abuse: all forms of unwanted and inappropriate touching, comments, inappropriate behavior or sexual contact.

I will refrain from public displays of sexual behavior.
I understand that weapons are not permitted on the premises at any time, under any circumstances.
I understand that illegal activities are strictly prohibited.
I understand that if there is concern for my safety, the Resident Manager and other assigned staff may enter my room to ensure my well-being.
I understand that all property and furnishings that are supplied in my room are to remain on-site when I move-out.
I agree to consult with and obtain approval from the House Manager before I bring any personal belongings into the common areas. KHOC is not responsible for any loss or theft of personal property.
I understand that personal property brought into the Recovery Home is at my own risk. I understand that lending or borrowing from other Residents is to be avoided. Personal property left at the house 7 days after vacating will become property of KHOC.

I understand that the consequence of violating this Agreement or House Rules may be termination from the Program. For lesser offenses, I understand I will receive a written warning and may be fined $50 (fifty dollars) per violation, to be added to my next monthly rental payment. Failure to pay any outstanding fine would be grounds for termination.

Resident Program Agreement Acknowledgement

Appeals and Grievance Policy: I am aware that KHOC has an Appeals and Grievance Policy and the process for making a complaint is available on its website. The Denial of Service policy outlines reasons for potential initiation of the eviction process. KHOC ensures that no participant faces any retribution or is denied services after utilizing this grievance process.

☐ I received a copy of the Appeals and Grievance Policy. initial:

☐ I received a copy of the Denial of Services Policy. initial:

I understand that these rules are not all-inclusive and may be added to or changed at the discretion of Kitsap Homes of Compassion. I understand that a Resident Handbook will be made available to me, and that the expanded policies also apply to me. If any portion of this Program Agreement is held to be invalid, its invalidity will not affect the validity or enforceability of any other provision of this Agreement. I understand that I have personal responsibility for my choices and will respect and adhere to all the policies, procedures and rules set forth by KHOC to help me succeed in my recovery plan.

I understand that if I fail to comply with the terms of the Program agreement, I may be immediately removed from the Program. I understand that if necessary, prosecution and other legal proceedings may be considered.

A signed copy of this document will be kept in the resident’s file, to be updated every six (6) months. If at any time, the resident has questions or concerns about any aspect of this document, they may choose to discuss it with their House Manager.

Date:

Print Participant Name:

Signature:

KHOC Representative:

Name and Title of KHOC Representative:

Emergency Contact: name, relationship, phone, and address

# of Keys Received:

Door

Laundry

Mailbox

OTHER

Recovery Home House Rules

These rules may be amended or modified in writing at the weekly house meeting. If that occurs, each resident will receive a new, typed copy of the rules for their personal use.

I will familiarize myself with and ensure my compliance with the following House Rules:

No Drugs or Alcohol:

This is a drug and alcohol free home. If it is brought into the home it will result in immediate discharge from the home.

Recovery Plan:

Upon admittance to the home, you must submit a personalized recovery plan. Compliance will be checked weekly by house managers. This plan must be made available to KHOC before the Program Agreement is signed.

Personal Hygiene:

I understand that I must take care of myself by bathing and having clean clothing. Laundry and showers are available to everyone

House Chores:

I understand that house chores are shared and will be discussed and set at house meetings. We encourage a self-governing model, as well as self advocacy. If there is something that is a barrier we encourage you to reach out for help from your House Manager or coach/peer support on how you can advocate for yourself and ask your housemates to help find a solution.

I understand that I must clean up after myself in all areas of the house – interior and exterior. I will not leave dishes in the sink or any other area of the house, but will instead clean them and put them away in the allocated space. I will clean any area I use, including wiping the counters and stove clean after using them.

I understand that I may be allowed a maximum 24-hour absence upon request, provided I am in good standing within the Program. I must give 24 hours notice to be considered for an approved absence. If after 48 hours of absence from the residence, I have not made any contact with staff, or if I have not been seen or heard from, I may be terminated from the Program immediately.

I understand that I have been issued a door code. I understand I must lock doors and windows when I am leaving in the morning and evening. I understand that the front door is to be locked at all times. I will not unlock the door to anyone I do not know, which includes neighbors. In the event someone comes by, I will always notify the House Manager.

Former Residents are not allowed in the Recovery Residence without Resident Manager approval.

I understand that a good positive attitude is important. I recognize that if I continuously exhibit a poor attitude toward staff, the Program, or to my housemates, I may be terminated from the Program. I am expected to abide by any reasonable request made by staff.

I will not go into the private space of others without that person’s permission. I will keep window curtains drawn while dressing and in the evening. I will not leave my room unless I am fully dressed.

I will respect others' property at all times. Stealing will not be permitted at any time. Theft or damage to the property of others is cause for immediate termination from the Program and may result in legal proceedings.

I know that the house must be a safe place to live. This means that threatening or dangerous behavior and/or deliberate abuse to house property may be cause for immediate termination from the Program and may result in legal proceedings.

The House Manager is the only person allowed to bring mail in from the mailbox and will be the only person to distribute the mail. I understand that mail will be held for a maximum of 7 days, and will then be returned to the Postal Service.

I understand that if I have a vehicle on the property, I must be licensed and insured, and my vehicle must have current registration. I understand that auto repair or general maintenance on the property or surrounding areas will not be permitted.

My relationships with others in the house will be respectful and supportive of recovery. I recognize that all Residents living in the Recovery Home are here for the same goal – to establish a life in recovery. I understand that it is expected that friendships will form between Residents; however, I have been informed that relationships of any other nature between Residents must be disclosed.

I understand that curfew is at 10:00PM every night of the week and weekends. I understand that curfew may be extended under certain circumstances and with the approval of the Resident Manager. I understand that when I am returning to the house, it is my responsibility to be considerate of my housemates.

I understand that weekly house meetings are mandatory. I also understand that I may be required to provide documentation of work that I have put toward my recovery plan, such as documentation from my sponsor, Recovery Guide, Peer Support, etc at any time.

Visitors are allowed during daytime hours, only with approval by the House Manager or KHOC staff, with prior notice of the intended visit. I understand that overnight visits, with the exception of my biological children, will not be permitted under any circumstances. I understand that the visiting areas are restricted to the living room, den, dining room, and the back porch.

I understand that the KHOC is NOT responsible for lost or stolen property. I understand that lending or borrowing from other Residents is to be avoided.

I understand that smoking is permitted only in designated areas identified by the House Manager. I understand that smoking is not allowed inside the house, in front of the house, or while walking up to the house. I will not leave burning cigarettes unattended. I will dispose of my ash and cigarette butts in the safe-disposal butt cans provided.

Drinks will only be permitted in the bedrooms and living room/den/basement if they are in containers with a lid, or are capable of being sealed. Food will not be permitted in any areas other than eating areas.

It is my responsibility to read and understand the posted information on Fire Safety and Fire Procedures, including familiarity with the designated escape routes, safe gathering locations and the need for a safe location headcount.

I understand that fire drills will be conducted quarterly. I know that fire prevention is everyone’s concern and responsibility.
I understand that candles or anything else that produces an open flame anywhere inside the home is not permitted at any time.
I agree to not possess any type of personal property that could be considered a fire hazard such as a substance having flammable or explosive characteristics on the premises. Items that are prohibited to be brought into or onto the premises includes but is not limited to gas (compressed), gasoline, fuel, propane, kerosene, motor oil, fireworks, or any other related content in the form of a liquid, solid, or gas.
I will practice safe habits and smoke only in designated outside areas.
I will be aware of the fire extinguisher locations and how to use them for small fires only.
I know how and when to call 911.
I have been informed that emergency information and a head-count in/out board are posted near the front door.

Gambling in any form is not permitted. This includes poker, lotto and the loan of money or car to another resident.

Profane or indecent language and/or pornography of any kind are not permitted.

Pets or any type of animal are prohibited.

I understand that physical or verbal abuse of other residents or staff is never permitted. If at any time, I display violent or aggressive behaviors, I understand that law enforcement may be called upon to intervene. I understand that making these choices will result in review of my residency, and may result in my termination from the Program.

_______________________________________ _________

Resident Signature Date

_______________________________________ _________

Witness Date

Relapse and Discharge Policy

KHOC’s Recovery Homes are abstinence-based. The Recovery Homes have a zero tolerance policy when it comes to recurrence of use (relapse) and/or drugs or alcohol being found on the property. When a relapse occurs, circumstances determine how each situation is handled.

First Relapse

Resident must develop and present a plan of action to prevent future relapses and present to House Manager and other residents for approval
Temporary discharge from the home

Second Relapse

Resident must revisit previous plan of action and problem solve what went wrong, and how to correct with House Manager and other residents
Temporary or permanent discharge from the home, depending on severity of relapse

Third Relapse

Permanent discharge from the program

Residents agree to take their belongings upon discharge from the premises. Residents’ belongings that are left behind will be held for 72 hours before being put in storage for 30 days before being donated. Residents must make arrangements with the House Manager to collect their belongings. Failure to follow and adhere to the rules and regulations may result in a resident being asked to leave. If they refuse to leave, KHOC may contact appropriate local law enforcement to assist in the removal from the premises.

There are different types of discharges from the KHOC Recovery Home.

Discharge of Completion- the resident is leaving the Recovery Home in good standing and has processed their leaving with the House Manager and residents. Residency will be reviewed every six months for a total of two years. At this point:

The resident exhibits the capacity to apply a recovery program in their daily lives. The resident asks others for help as needed.
The resident exhibits honesty and is appropriately open with his/her feelings both in individual and group settings.
The resident consistently demonstrates the motivation to remain in recovery.
The resident, with House Manager input, has developed an appropriate aftercare plan, and asks for feedback about that plan from peers and House Manager.

Administrative Discharge- the resident has violated a rule or rules and must leave the Recovery Home before their program agreement has expired. Administrative Discharge may be temporary or permanent.
Medical Discharge- the resident is no longer appropriate to remain at the KHOC Recovery Home because of a condition that cannot be adequately treated if the resident remains at the Recovery Home.

_______________________________________ _________

Resident Signature Date

Good Neighbor Policy

It is crucial to the long term success of any person in recovery to adopt a new set of skills for approaching a life of recovery. One of the most important is being a part of a community, and adopting pro-neighbor attitudes and behaviors. KHOC Recovery Home residents represent that home and what it stands for. The following guidelines will help residents live in harmony with neighbors and demonstrate excellent recovery behaviors. Residents can greet and introduce themselves to neighbors at appropriate times. Upon request, neighbors should be provided with the contact information of a staff House Manager as a point of contact for the organization beyond the Resident House Manager.

Residents should be respectful of their neighbors and the neighborhood the Recovery Home is located in. Residents agree to not create a nuisance by annoying, disturbing, or interfering with the quiet enjoyment of any other tenant living in the house or nearby resident. Residents should avoid using lewd or offensive language in the Recovery Home and in the neighborhood. Residents must respect curfew and quiet hours.

No loud noises or odors will arise or emit from the lot that would render the property unsanitary, unsightly, offensive, or detrimental to any other property. Smoking is only allowed in designated outside areas away from doors and windows, to ensure it does not disturb other tenants or neighbors. Cigarette discards must be cleaned up and disposed of in fire safe containers. Residents should avoid loitering off the residence’s property within the neighborhood.

Residents agree to respect the yard and common natural areas between properties. Residents will not dump anything, including grass, rocks, or dirt, in the yard or common areas. Trash will be kept in covered sanitary containers and will not be placed or kept in the yard or common areas. Containers will not be visible from the street unless they are being made available for collection (in which case they may be visible for 24 hours before and 24 hours after noon of the day of collection). Tenants agree to not place any signs that are visible from neighboring properties except signs required by legal proceedings or promotional and sales signs approved by KHOC. Artificial lighting will be arranged so the light is shaded/otherwise directed away from the adjoining properties.

Each resident may have only one car at the residence. Cars must be kept in running order and with proper up to date registration. All residents must park with consideration for others and for safety, taking care not to block driveways, roadways, or other vehicles. Parking is assigned by the House Manager.

If a neighbor complains and would like to speak to someone in charge, please provide them with the following contact information:

Scott Willard, Executive Director

541-480-5187

_______________________________________ _________

Resident Signature Date

Recovery Home Demographic Data

The following information is required for reporting purposes to the Washington Alliance for Quality Recovery Residences. Any demographic information is de-identified before submission.

House:
Move-in Date:
Age:
Race:
Hispanic/Latino?:
Gender identity:

Move-In Inspection

Furnishings provided by KHOC for personal use by the participant at move in.

Standard items: Twin bed with bed bug cover, dresser, and lamp

Given to each participant: linens, blanket, pillow, bath towel, washcloth.

It is expected that upon move out the KHOC provided furniture will not be removed from the room. You are welcome to add your own furnishings to your rented space at any time. Any KHOC furniture that is unwanted or not needed will need to be removed by KHOC staff.

Any personal items that are in the common areas of the home are presumed to belong to KHOC. If any personal items are going to be used or placed in the Common areas, it needs to be agreed upon by the House as a whole. Additionally, notify the Housing Coordinator to avoid confusion and conflict upon move-out. If personal belongings are kept in common areas, they will be treated as community property. KHOC will not be responsible for wear and tear or damage to personal property in the common areas. Any disputes that arise as a result of personal property in the common areas will be remedied by prompt removal of disputed property.

Garage Space:

The Garage of this home is used by KHOC for storage. The items in the garage are not to be removed or tampered with.

You will have 3 days from the start of this agreement to submit any additional findings or to make notes pertaining to the condition of the property within the home. NOTE: This document will be referenced at the time of move out. YOU are solely responsible for the inspection and condition of the personal space you are renting and KHOC furnishings in your personal space when you move out. Inspect all walls, flooring, windows, window blinds, screens, and doors.

BEDROOM:

Private Bath: If applicable

Bedroom furnishings:

COMMON AREAS (shared bathroom, living room, kitchen, etc): (list any broke, unsightly, or excessive items and items that need repair)

Participant Signature Date Housing Coordinator Signature Date

Move-in Date: Deposit collected: ________
Returned copy Date: Paid by:___________

Revised 9.5.24 Kitsap Homes of Compassion – Program Agreement initial: