• 2206 S. Page Rd. Suite 102 Durham, NC 27703

  • Crisis Number: 919-636-7758

“A Caring Company”

Who do we serve?

Caring Hands and Supplementary Enrichment Education, LLC of NC is a service provider offering one-on-one support to individuals of all ages with Intellectual and Developmental Disabilities and Intellectual Developmental Delays.

A developmental disability is chronic. It may begin at birth or during childhood and adversely affects an individual’s daily living, thinking, and functioning ability; resulting in limited physical and or mental functions, including difficulties with:

  • Caring for oneself
  • Difficulties with communication
  • Difficulties with learning
  • Difficulties with mobility or moving around
  • Difficulties making decisions for oneself
  • Difficulties living independently
  • Being financially self-sufficient
  • Critical and Analytical thinking skills

Because of these, they need coordinated services and support from various child-adult serving agencies and natural supports located in their home communities. In addition, if you or your loved one has been diagnosed with a developmental disability, we can help. Our services ensure that they can live a more independent life.

NC Innovations Waiver Services

These services provide a community-based alternative to institutionalization for persons with Mental Retardation who require an Intermediate Care Facility (ICF-MR facility). In addition, NC Innovations waiver services provide various community-based services and support to promote choice, control, and community membership. The goals are:

  • To support waiver participants to be fully functioning members of their community.
  • To promote promising practices that result in real-life outcomes for participants.
  • To provide educational opportunities and support to foster the development of stronger natural support networks.
  • To provide the opportunity for all participants to direct their services to the extent that they choose.
  • To offer service options that will facilitate each participant’s ability to live in homes of their choice.
  • To have gainful employment at a decent wage or engage in a purposeful day support program or activities of their choice.
  • To participate in activities or travel to places that they enjoy and 
  • to set and achieve their life dreams and goals.

 How do these services work?

The use of NC Innovations Services is based on the participant’s needs, preferences, the availability of other formal and informal personal resources and supports, and NC regulations, all of them included in his/her support plan – ISP.

The following services are intended to provide the support essential for participants to engage and participate as members of their communities. Caring Hands and Supplementary Enrichment Education, LLC has been approved by the State of NC to provide the following Innovations Waiver Services:

Habilitative Services

1. (AFL) Alternative Family Living/Residential       Support

This program is implemented through the Innovations Waiver only to those consumers who require and qualify to receive 24-hour care in a home environment. The AFL staff’s training consists of an integrated array of individually designed training activities that focuses on Client Rights, First Aid, CPR, Bloodborne Pathogens, Medication Administration, assistance with disruptive or unacceptable behaviors,  monitoring, and supervision. Additionally, it focuses on improving the participants’ behavior to increase his/her ability to reside as independently as possible in the community.

  • The AFL Staff assists the participant in acquiring, improving, and retaining self-help skills, general household management, meal preparation, personal finance management, socialization, and other adaptive areas.
  • When the participant is dependent on others to ensure health and safety, our AFL staff assist in activities of daily living.
  • Caring Hands’ AFL staff encourages the participant to engage in home, life, and community activities.

Services are available at a licensed Therapeutic or AFL Home.

The Alternative Family Living Staff of Caring Hands residential support program will provide individually designed training activities, assistance, and supervision. In addition, Caring Hands staff will complete service notes regularly, providing documentation of the proper implementation of the appropriate strategies and interventions.

Habilitative Services

2.   Personal Care

Assist with daily living activities such as personal grooming, eating, bathing, dressing, personal hygiene, and cleanliness. Caring Hands staff will complete service notes regularly, providing documentation of the proper delivery of the appropriate service. These services are rendered in the client’s home.

Personal care assistance includes:

  • Bathing
  • Dressing
  • Toileting
  • Feeding
  • Ambulation

Home management assistance includes:

  • Cooking
  • Cleaning
  • Laundry
  • Shopping

Community Alternative Programs for Disabled Adults. (CAP/DA)

Disabled adults 18 years old and older who require a level of institutional care under NC Medicaid Plan coordinated by a CAP/DA case. Allows the beneficiary to remain in or return to home and community-based setting rather than to be housed by a facility.

Community Networking Services

Provide individualized day activities that support the participant’s definition of a meaningful day in an integrated community setting with persons who are not disabled.

This service is provided separate and apart from the participant’s private residence, another residential living arrangement, and the home of a service provider.

These services do not take place in licensed facilities and are intended to offer the participant the opportunity to develop significant community relationships with non-disabled individuals.

Personal Assistance

Personal Assistance is a support service that provides individualized assistance to adults. This assistance will result in the engagement of daily activities and interactions from which the client would otherwise be limited or excluded because of his/her disability or disabilities. Our staff will offer assistance in the client’s home that includes:

  1. Assist in personal or regular living activities in the client’s home.
  2. Support of skills development.
  3. Support in specialized treatment, habilitation, or rehabilitation service programs.
  4. Accompaniment of the client in regular community activities.
  5. Transportation.

Other Community Services

Non - Habilitataive Services

Community Living supports (CLS)

An individualized service that enables an individual 16 years of age and older to live successfully in their own home, the home of their family, or natural support and be an active member of their community.

Community Living and Support may include the following services and supports:

  • Learn, practice, and improve existing skills related to the following: interpersonal, independent living, community living, self-care, and self-determination
  • In conjunction with new skill acquisition, provides supervision and assistance for the individual to complete an activity to his/her level of independence: assistance in monitoring a health condition, nutrition or physical condition, incidental supervision, daily living skills, Transportation to and from the residence and points of travel in the community as outlined in their PCP.

Group Living (Group Home)

Care provided in a home-like environment to five or more clients. (room & board included) Supervision and therapeutic intervention are limited to sleeping time, home living skills, and leisure time activities. Supervision is provided by one or more trained Caring Hands staff (but nonprofessional) adults at all times when clients are in the residence but may be provided by either resident or rotating staff.


Provide periodic support and relief to the primary caregiver(s) from the responsibility and stress of caring for the participant in the individuals’ home or an out-of-home setting such as a foster home or non-institutional Respite Facility. In addition, other Community Care Residential Facilities approved by the State, including Alternative Family Living Homes, may be used.

The Direct Care Staff of Caring Hands respite care program will complete service notes regularly, providing documentation of the proper implementation of the appropriate delivery of respite services.

Caring Hands employees will complete service notes regularly, providing documentation of the proper implementation of the appropriate delivery of respite services.