Residential Services
Leaving home is a rite of passage for many adults. But when someone with developmental disabilities needs extra support, this rite can be a bit more complicated.
It can be hard to navigate the different options and find the one that works best for you and your loved ones.
You have questions and worries, and this guide is here to help you find the answers and the peace of mind you need.

FAQ
What are residential services for individuals with developmental disabilities?
Some individuals with developmental disabilities need extra support to live in our community. There are different options tailored for different levels of support needs. At RACSB, we provide
- Supervised Apartments
- Group Homes
- Sponsored Placement
- Intermediate Care Facilities
How are these residential services funded?
Group homes and sponsored placement services are usually paid for with a Medicaid waiver. The Community Living Waiver provides residential services. Supervised apartments can be funded through the Community Living Waiver or the Family and Individual Supports Waiver.
To get your loved one a Medicaid waiver, apply through a support coordinator. Find details on the process and phone numbers to apply in our Guide to Medicaid Waivers.
Intermediate Care Facilities are usually funded through the Department of Medical Assistance Services.
What is a group home?
RACSB operates group homes which provide 24-hour intensive and structured support.
Our group homes vary in size from four to six beds. Each home provides individualized support to adults with developmental disabilities, helping them to lead their best lives here in our community.
Residents of our group homes receive medication administration, help with daily living skills, healthy meals and snacks, recreation and trips, and personalized care based on their needs, wants, and interests.
We operate 10 group homes in the City of Fredericksburg and the counties of Caroline, King George, Spotsylvania, and Stafford.
What is a supervised apartment program?
We offer staff support at two apartment complexes in the Fredericksburg area. The supervised apartment program is ideal for adults with a developmental disability who can attain some level of independence but who need supervision and assistance with daily living skills.
What is sponsored placement?
Sponsored placement is a residential service where an individual with a developmental disability lives in the home of a trained sponsor, who provides supervision, care, and support.
What is an intermediate care facility?
An intermediate care facility provides long-term support for individuals with developmental disabilities who have medical and/or behavioral needs. It provides a higher level of support than a group home.
They were developed to provide the same level of care offered in training centers, so individuals with significant needs could be safely supported in the community.
We operate three ICFs in our community, and each one is home to four individuals.
Each individual receives customized care developed by an interdisciplinary team that includes direct support staff and medical professionals. They determine the necessary support and treatment that the individual needs and makes sure the individual is as actively involved in the decision making process as possible.
What is a direct support professional?
Direct support professionals provide support and care to individuals with developmental disabilities. They help with daily living activities, act as caregivers, teach new skills, and promote independence.
In our residential programs, DSPs provide a wide array of supports and can be found doing anything from helping with bathing to taking individuals on a fun vacation.
How do I know which residential option will work best for my loved one?
We get it. You want the best for your loved one, and it can be hard to know which option will best meet their needs. We encourage caregivers and individuals to discuss options with their support coordinators.
We also offer tours, dinner visits, and other opportunities so you can see each option in action and determine if it will meet your needs. We are very careful about placements and will work with you to make sure it’s the right fit.
Will I be able to visit my loved one?
My loved one has never been away from home. Will they be able to be successful in a residential setting?
We know it can be hard to trust someone else to care for your loved one with a developmental disability. We are honored when people choose us to care for their loved ones, and we don’t take that responsibility lightly.
And we know that this can be a difficult transition–for the individual with developmental disabilities and their caregivers. That’s why we offer tours and visits for our group homes. We also offer our Myers Drive Respite Home, which provides temporary care for adults with developmental disaibilities. Myers guests stay for a few hours up to two weeks, which provides many opportunities to give residential services a “trial run.”
You can learn more about Myers here or call 540-899-4670.
Helpful Resources
Tips for the transition

Focus on the Positive
Your loved one will have new opportunities.
They will be able to expand their social horizons.
You will also have new opportunities.
Your loved one will receive extra support.
You can focus on your role as a family member. You will still be a big part of your loved one's life.

Collaborate

Prepare
DD Residential Services
Living in the community means having a lifestyle tailored to your interests. At RACSB, we provide this lifestyle for adults with a developmental disability. Our residential programs offer an array of services to fit a wide range of needs.
Myers Respite
This is so much more than a break for caregivers. Myers offers a fun min-vacation for guests, who will enjoy movies, games, art, and friends at the house. But guests are often on the gym enjoying bowling, shopping, tourist attractions, community and sporting events, and day trips.
Medicaid Waivers
Developmental Disability waivers help individuals get the services they need. But the process can be complicated. Our guide offers helpful tips and answers your questions.