Residential Assistance provides living arrangements and daily support for individuals with intellectual and developmental disabilities and related conditions (IDD/RC) who require assistance to live successfully in a community setting. At A-1 Affinity Care in Houston, Texas, the type of residential support is determined by the individual’s living situation, level of independence, and ongoing support needs identified through the HCS program.
The following are types of residential assistance that can be provided:
- Own Home/Family Home – provided to individuals residing in their own residence or the residence of their natural or adoptive family, or to individuals receiving foster care services from the Texas Department of Protective and Regulatory Services.
- Host Home/Companion Care – provided in a private residence by a foster or companion care provider who lives in the residence and who is not providing these services pursuant to a contract with the Texas Department of Protective and Regulatory Services.
- Supervised Living – is provided in a residence in which the HCS program provider holds a property interest. Supervised living is provided by residential assistance providers who offer services and supports as needed by individuals and who are present in the residence during normal sleeping hours.
- Residential Support – provided to individuals by daily shift staff or by an individual staff member with periodic relief staff.
Residential assistance includes the following:
- Providing direct personal assistance with activities of daily living (grooming, eating, bathing, dressing, and personal hygiene)
- Assisting with meal planning and preparation
- Securing and providing transportation
- Assisting with housekeeping
- Assisting with ambulation and mobility
- Reinforcing counseling and therapy activities
- Assisting with medications and the performance of tasks delegated by a Registered Nurse
- Supervising individuals’ safety and security
- Facilitating inclusion in community activities, use of natural supports, social interaction, participation in leisure activities, and development of socially valued behaviors
- Providing habilitation, exclusive of Day Habilitation
What to Expect
Residential Assistance is provided in the setting that best matches the individual’s approved level of support and living preferences. The amount of assistance varies depending on the residential model and the person’s daily needs, with support adjusted as those needs change over time. Services are reviewed periodically to help ensure the living arrangement continues to promote the individual’s health, safety, and participation in community life.
Discuss Your HCS Service Options
Reach out to learn more about available Home and Community-Based Services and the service process. Information is provided to help individuals and families understand available support options and eligibility requirements.


