My daughter Sierra has had moms in motion as her facilator since the waiver started for her. She  has grown relationships and come to be comfortable with them which takes her a real long time she has selective mustism and  severe anxiety with autism .She should be able to choose her plan of care. Also what is the difference between taking care of your special needs adult and taking care of a elderly parent family members that live in the house are allowed to do it. You should allow live in attendant. They give the best care you might have cases where people do not do there job or abuse the system but that is not everyone why punish everyone there are laws that take care of that. Let the individual choose.