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.
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.
Request More InformationIn-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.
Request More InformationCommunity 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.
Request More InformationWorkplace 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.
Request More InformationSponsored Residential Services 18+
Sponsored Residential Services offer a comfortable, licensed family home setting where you can enjoy independence with personalized support. With the help of a Dominion Care residential team member, you’ll have the opportunity to visit a sponsor home, meet the provider, and decide if the home and the people are the right fit for you.
In a sponsored residential home, you’ll have your own private bedroom or living area that you can decorate to reflect your style. This home becomes your home too—you’ll have a key to both your house and your bedroom, and you can invite friends and family to visit. Sponsor homes are limited to two individuals receiving services at a time, and you’ll only share a room if you choose to, with full input on who that person is.
Your sponsor provider will support you in learning or maintaining skills that increase independence, such as caring for yourself and your home, exploring places you enjoy, and meeting new people. All supports are tailored to the goals you set in your Individual Support Plan (ISP).
Request More Information View Available HomesInterested in Becoming a Sponsored Residential Provider?
Dominion Care Waiver Services strive to match compassionate and caring people with
individuals seeking services to share life’s adventures.
To view our Sponsor On-boarding Toolkit and learn more about the qualifications and steps to becoming a sponsor, click here!
If you are interested in learning more about becoming a sponsor, or have questions about our Sponsor Residential program, request more information from us today by submitting your information on this form.
Request Sponsor Information
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.
Request More InformationComing 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.
Request More InformationLocations
2730 Prosperity Ave
Suite 250
Fairfax, VA 22031
p (855) 444-9838
f 234-437-3172
923 Maple Grove Dr. Suite 105
Fredericksburg, VA 22407
p (855) 444-9838
f (540) 371-5800
2601 Willard Rd
Suite 101
Richmond, VA 23294
p (804) 385-1232
f (804) 266-9022
1316 Plantation Road, NE
Roanoke, VA 24012
p (540) 798-5314
f (540) 362-0973