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Community Living Arrangements (Domiciliary Care)

The Domiciliary Care Program, or “Dom Care,” provides a community living arrangement for adults who are unable to live alone due to physical, mental, or age-related impairments. 

The program offers care and supervision in a family-type environment and is similar to foster care. Individuals receive room, board, personal care assistance, and emotional support. In return, the Dom Care Home Provider retains a tax-exempt portion of the resident’s monthly income.


  • Individuals 18 years or older who have physical or mental disabilities that prevent them from living independently and have difficulty with meal preparation, housekeeping, grooming, medication management or other tasks are eligible. 
  • The individual must not require skilled or intermediate nursing or hospital care on a 24-hour basis.

About Certified Dom Care Providers

Dom Care homes can accommodate one to three residents and are located throughout Fayette, Greene, and Washington counties. Dom Care Providers come from all walks of life. Some are widows or older couples. Some are families with young children, but all are willing to open their homes to individuals who are not able to live independently.

Dom Care Providers receive a tax-exempt portion of each resident’s monthly income in exchange for room, board, and services. Providers must be at least 21 years old and demonstrate that they have the experience and ability to care for persons with physical, mental, and age-related disabilities.

The Agency is responsible for identifying and certifying Dom Care Providers. Anyone interested in becoming a Dom Care Provider should call 1-800-411-5655.

For more information about Dom Care

Information and Assistance staff are available.

Once we receive the form, staff will call the person needing help to gather more information and start the process.