The current recommendation states that a "group home or community residential service" would be updated to be defined as  "a congregate service providing 24hour supervision in a community-based home having eight or fewer residents that provides 24hour supervision by persons in direct care positions who do not live in the home."

This proposed language change would have a significant impact on choice of service providers for individuals already receiving services in our communities. Should the chang be adopted, it will exclude agencies that use a blended staff model - employing direct care professionals that live in the home AND live out of the home"  in order to provide 24hr support and supervision - from providing services.

Please remove the language "who do not live in the home" from the proposed changes.