Community Assisted Residential Environment, LLC
1348 Westgate Center Dr Ste B1
Winston Salem NC 27103
Alternative Family Living (AFL)

CARE is dedicated to the concept of inclusion, choice and person centered service that promote respect and dignity for cross and inter-cultural diversity. We are committed to providing skilled, quality, behavioral and clinical services reflected in best practices, which focuses on integrity, growth, excellence and meeting the unique needs of the people we serve.

Alternative family living provides a natural, home environment for adults with disabilities who are unable to live on their own, allowing families who have room in their homes and in their lives to provide a real home for an individual.

CARE’s AFL settings

  • Trained Staff
  • Experience with participants served
  • Compassionate staff
  • Dedicated to the safety and well-being of participants
  • Quality housing
  • Preferred neighborhoods

In-Home Skill Building


In-Home Skill Building provides habilitation and skill building to enable the individual to acquire and maintain skills, which support more independence. In-Home Skill Building augments the family and natural supports of the individual and consists of an array of services that are required to maintain and assist the individual to live in community settings.

In-Home Skill Building consists of

(1) Training in interpersonal skills and development and maintenance of personal relationships

(2) Skill building to support the individual in increasing community living skills, such as shopping, recreation, personal banking and other community activities

(3) Training with therapeutic exercises, supervision of self-administration of medication and other services essential to healthcare at home, including transferring, ambulation and use of special mobility devices

(4) Transportation to support implementation of in-home skill building. In-Home Skill Building is provided when a primary caregiver is home or when that primary caregiver is regularly scheduled to be absent. In-Home Skill Building is individualized, specific, and consistent with the individual’s assessed, disability specific needs. This service is provided for individuals living in their private homes.


Residential Supports

Residential Supports consists of an integrated array of individually designed training activities, assistance and supervision.

Residential Supports includes:

(1) Habilitation Services aimed at assisting the individual to acquire, improve, and retain skills in self-help, general household management and meal preparation, personal financial management, socialization and other adaptive areas. Training outcomes focus on allowing the individual to improve his/her ability to reside as independently as possible in the community.

(2) Assistance in activities of daily living when the individual is dependent on others to ensure health and safety.

(3) Habilitation services that allow the individual to participate in, in-home life or community activities.


Supervised Living


Supervised living is provided in a 24 hour facility which provides residential services to individuals in a group home environment where the primary purpose of these services is the care and habilitation of  individuals who have a mental illness, a developmental disability or disabilities, who require supervision when in the residence.



Respite: Individual

Respite services provide periodic support and relief to the primary caregiver(s) from the responsibility and stress of caring for the individual. This service enables the primary caregiver to meet or participate in planned or spontaneous events, and to have planned time for him/her and/or family members. Respite may include in and out-of-home services, inclusive of overnight and/or weekend care. This service includes transportation from the individual’s residence to points of travel in the community.


Community Networking


Community Networking services provide individualized day activities that support the individual’s definition of a meaningful day in an integrated community setting, with persons who are not disabled.  These services do not take place in licensed facilities and are intended to offer the individual the opportunity to develop meaningful community relationships with non-disabled individuals. Services are designed to promote maximum participation in community life while developing natural supports within integrated settings. Community Networking services enable the individual to increase or maintain their capacity for independence and develop social roles valued by non-disabled members of the community.

Community Networking services consist of:

(1) Participation in adult education;

(2) Development of community based time management skills;

(3) Community based classes for the development of hobbies or leisure/cultural interests;

(4) Volunteer work (defined as work that would be completed by a non-disabled  person with no compensation, including direct payment; free memberships etc.);

(5) Participation in formal/informal associations and/or community groups;

(6) Training and education in self-determination and self-advocacy;

(7) Using public transportation;

(8) Inclusion in a broad range of community settings that allow the individual to make community connections; and/or

(9) For children, this service includes staffing supports to assist children to participate in day care/after school/ summer programs that serve typically developing children and are not funded by Day Supports.

(10) Transportation when the activity does not include staffing support and the destination of the transportation is an integrated community setting or a self advocacy activity.

This service includes a combination of training, personal assistance and supports as needed by the individual during activities. Transportation to/from the individual’s residence and the training site(s) is included.


Phone Number
(336) 306-9417
Fax Number
(336) 306-9418
Date Joined the BBB
Type(s) of Business
Assisted Living Centers & Adult Family Homes
Human Services Organizations
Mental Health Services
Mentally Disabled Services

Date Established
1348 Westgate Center Dr Ste B1
Winston Salem NC 27103
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