Residential Supports Level 1-4 (AFL) services are designed to assist individuals in acquiring, improving and retaining skills in self-help, general household management, meal preparation, personal finance management, socialization, other adaptive areas and assistance in activities of daily living.

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These services are provided in an alternative family living home and provide assistance, support, supervision and monitoring to allow the individual to participate in home life and community activities. Transportation to and from the residence and points of travel in the community are included as part of this service. In order to maintain a level of consistency for the individual living in a residential setting, relief services are provided in the home in which they live. Home and community based characteristics must be demonstrated for each AFL home.

Licensure and Inspection

Residential homes are required to be licensed when there is a child under the age of 18 or more than one adult receiving Residential Services in the home. Homes must also pass specific safety and sanitation requirements and are subject to periodic audits and inspections to ensure that the home remains safe and sanitary. Fire inspections and quarterly fire drills ensure that the people within the home have a plan in place in case of an emergency and have practiced these plans regularly. There are a variety of other safety measures in place such as water temperature checks, medication storage procedures, disaster procedures and drills, cleaning supply/poisonous substance storage and more. The safety and appropriateness of our residential homes is a priority that we take seriously.

Individual Rights

Individuals in residential settings experience a unique situation since they are living in the home of the provider that owns the residential home. As such, it is important that direct support professionals and individuals alike understand the importance of the rights of the individual to have as much freedom of choice as possible and to exercise their rights. These rights include but are certainly not limited to a right to privacy and the ability to have visitors or to deny visitors as they desire, a right to privacy for personal hygiene and toileting and adequate access to appropriate and safe storage of personal items. There are federal requirements to assure individual rights under waiver services. To learn more about Individual Rights check out the resources available on the NC DHHS website under “Patient’s/Resident’s Rights.”

Home and Community Based Services provide opportunities for Medicaid beneficiaries to receive services in their own home or community. Learn more about HCBS straight from Medicaid.gov or from NC DHHS.

Additional requirements and rules apply and will be covered during planning and training meetings with DDR Staff.

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