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Intellectual and Developmental Disabilities Services

We provide services for children and adults with intellectual and developmental disabilities in Roanoke, Fredericksburg, Fairfax, Richmond, Norfolk, and nearby areas. Our supports are designed with each person, helping them work toward their goals and live more independent lives.

Services are based on individual needs, strengths, and created together with the people we support. We work with children and adults to build everyday skills, support independence, develop relationships, get out into the community, and to do what matters to them. 

To learn how to apply for a Medicaid waiver for yourself or a loved one, please contact your local community services board by clicking here.

Contact Your Local Community Services Board

Our Approach

We support children and adults with intellectual and developmental disabilities with care and understanding, supporting them to build independence and self-advocacy skills.

Dominion Care offers a variety of services in the settings that matter most to you, including our day support centers, participants’ homes or workplaces, community locations, and family-style sponsored or group homes. We support each person in living a meaningful life and reaching their goals.

When someone first reaches out to us, we guide them through the process and take time to learn about their experiences, hopes, goals, preferences, and what an ideal life looks like to them. We work alongside each person to design services specific to them to empower them to achieve their goals and reach their full potential.

If you are looking for Autism ABA services, please visit our ABA services page here.

ABA Services

Group Day Services - ages 18+

Our Group Day Services take place at Dominion Waiver Services’ welcoming day support centers, where you can connect with friends and enjoy a variety of fun and engaging activities. Spend your day playing games, creating art, enjoying video games, watching movies, celebrating at themed parties, or participating in exercise and dance sessions. We also plan exciting outings so you can explore and enjoy the community. Best of all, you have a voice in choosing the activities and destinations that interest you most.

Beyond recreation, Group Day Services provide personalized support to help you learn, practice, and strengthen important life skills. These include expressing your needs and feelings, building friendships, and taking care of yourself—all based on the goals you set in your Individual Support Plan (ISP).

Our centers operate from morning to afternoon, with occasional evening and weekend events. You decide which days you’d like to attend and what times work best for you, giving you flexibility and control over your schedule.

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In-Home and Community Support Services

Our In-Home Support Services are designed to help you build independence in the comfort of your home and throughout your community. Your support staff works alongside you to learn, practice, and strengthen skills that matter most to you—whether that’s managing daily routines, improving home or self-care, attending appointments, or exploring activities you enjoy in the community.

These supports can include assistance with home-care tasks, guidance in finding and participating in activities you love, learning how to travel safely to and from those places, and developing strategies to manage emotions and increase coping skills. Everything you work on is personalized and based on the goals you set in your Individual Support Plan (ISP).

You have the flexibility to choose and create a schedule that fits your life.

Independent Living Support Services

Our Independent Living Support Services are designed to help you achieve or maintain your independence in your home. Whether you’re preparing to move into your own apartment/home or already living on your own, we provide the assistance you need to succeed.

Supports may include learning home-care and self-care skills, navigating your community, and developing the ability to manage your household confidently. Every skill you work on is personalized and based on the goals you set in your Individual Support Plan (ISP).

This service offers fewer hours than other programs— with hours not exceeding 21 hours per week — giving you focused support while maintaining flexibility with a schedule that works for your lifestyle.

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Community Engagement Services

Our Community Engagement Services give you the chance to connect with others and experience meaningful activities in the community. This service typically includes you and one or two other participants, supported by a dedicated staff member. Together, you’ll explore activities that help you build friendships, meet new people, and discover opportunities—such as volunteering, joining clubs, taking classes, or even connecting with individuals who can help you learn job skills or find employment.

While enjoying these experiences, you’ll also receive support to strengthen important life skills, like expressing your needs and feelings, making decisions, staying healthy and safe, and improving communication and social skills. Everything you work on is based on the goals you set in your Individual Support Plan (ISP).

You have full control over your schedule! Community Engagement is available during the day, evenings, and weekends, and you don’t need to attend a day center to participate. Common activities include community meals, social groups, classes, teams, and volunteer opportunities—but what you do is completely up to you.

Community Coaching Services

Community Coaching is a short-term service designed for individuals who want to participate in community engagement but face challenges that make it difficult. Through this program, you’ll work one-on-one with a Dominion Waiver staff member to identify what’s holding you back and create a plan to overcome those barriers.

Your coach will support you in learning, practicing, and improving the specific skills you need to feel confident and ready to join community activities. This could include communication skills, decision-making, or strategies to manage personal challenges—whatever is most important for your success.

Community Coaching typically involves just a few hours a day, though the amount of support can vary based on your individual needs and goals. The ultimate goal is to help you gain the skills and confidence to fully participate in community engagement.

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Workplace Assistance Services 18+

Workplace Assistance is designed for individuals who have completed job development and job placement training with a supported employment provider and are ready to maintain success in their job. This service does not replace job coaching or help you learn your job duties—instead, it focuses on providing the additional supports you need to thrive at work.

A dedicated staff member will meet you at your workplace to help you strengthen skills such as time management, effective communication with coworkers, customers, and supervisors, and strategies for staying calm when challenges arise. Support can also include assistance with personal needs like eating, using the restroom, or maintaining hygiene; however, these cannot be the only services provided. All supports are tailored to the goals you set in your Individual Support Plan (ISP).

Please note that transportation to and from your workplace is not included in this service.

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Shared Living Services 18+

Shared Living allows you to enjoy independence in your own home or apartment while receiving personalized support from a trained roommate. Under this service, you choose a roommate you’d like to live with—someone you trust, such as a friend, sibling, cousin, or coworker. Dominion Waiver Services ensures your roommate is fully trained and completes a background check for your safety and peace of mind.

Together, you and your roommate decide what supports they will provide, based on the goals in your Individual Support Plan (ISP). In exchange, Medicaid helps cover a portion of the cost of the roommate’s rent, food, and some utilities. The amount of assistance depends on your expenses and whether you have a housing voucher.

Please note: Parents, legal guardians, or anyone with legal responsibility for you cannot serve as your roommate.

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Peer Mentor Services 16+

Peer Mentor Services provide one-on-one virtual sessions with a mentor who understands your journey. Our Peer Mentors are individuals with disabilities who have received services themselves and want to share their lived experiences to guide and inspire others.

During your sessions, your Peer Mentor will share successful strategies and personal experiences for navigating a wide range of community resources—beyond those offered through the waiver. Their goal is to help you advocate for yourself, plan for opportunities in living, working, socializing, and staying healthy and safe, and overcome personal barriers that may be preventing you from becoming more independent.

You’ll be paired with a Peer Mentor based on your interests and goals, and you’ll have the flexibility to choose a schedule that works best for you.

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Coming Soon!

Therapeutic Consultation, ages 6+

Therapeutic Consultation services assist individuals, parents, guardians, family members, and any other providers of support services with implementing the individual support plan. This service provides assessments, development of a therapeutic consultation support plan, and teaching in any of these specialty areas to assist family members, caregivers, and other providers in supporting the individual enrolled in the waiver.

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Locations

2730 Prosperity Ave
Suite 250
Fairfax, VA 22031

p (855) 444-9838
f 234-437-3172

MAP

923 Maple Grove Dr. Suite 105
Fredericksburg, VA 22407

p (855) 444-9838
f (540) 371-5800

MAP

5301 Robin Hood Road, Ste 126
Norfolk, VA 23513

f (804) 716-7186

MAP EMAIL

2601 Willard Rd
Suite 101
Richmond, VA 23294

p (804) 385-1232
f (804) 266-9022

MAP

1316 Plantation Road, NE
Roanoke, VA 24012

p (540) 798-5314
f (540) 362-0973

MAP

Additional Resources