About Residential Care Facilities

Who is Residential Care for?

Residential Care is for people who need room and board and may or may not need mental health, substance abuse, case management and/or personal care services. People who reside in residential care can be adults and children with disabilities, substance use disorder, mental illness or mental impairment, elderly, homeless and/or previously incarcerated individuals.

What are the Different Types of Residential Care?

Child Residential Care/Group Home: A congregate living environment licensed by a county or state department to provide care to children or adolescents. May provide supervision, social services and accommodations, but treatment services are provided separately and service intensity will vary from resident to resident. The Ohio Department of Job and Family Services (ODJFS) and the Ohio Department of Mental Health and Addiction Services (OhioMHAS) are the primary state regulatory agencies for these programs.

Residential Facility: A congregate living environment that provides supervised care to individuals 18 years and older. Includes room and board and may or may not include personal care or mental health services. May also provide supervision, social services and accommodations, but treatment services are provided separately and service intensity will vary from resident to resident. May or may not be a long-term more permanent housing depending on level of care needed for the resident. Residential Facilities are divided into Class 1, Class 2 and Class 3. The Ohio Department of Mental Health and Addiction Services licenses these homes:

Class 1: Provides accommodations, supervision, personal care services, and mental health services for one or more unrelated adults with mental illness or one or more unrelated children or adolescents with severe emotional disturbances. Owned/operated by a Behavioral Health Agency.

Class 2: Provides accommodations, supervision, and personal care services to any of the following:

  1. One or two unrelated persons with mental illness;
  2. One or two unrelated adults who are receiving residential state supplement payments; or, 
  3. Three to sixteen unrelated adults.

Class 3: Providers room and board for five or more unrelated adults with mental illness.

Residential Care Facility/Assisted Living: A home or facility that provides either of th e following:

  1. Accommodations for 17 or more unrelated individuals and supervision and personal care services for three or more of those individuals who are dependent on the services of others by reason of age or physical or mental impairment;
  2. Accommodations for three or more unrelated individuals, supervision and personal care services for at least three of those individuals who are dependent on the services of others by reason of age or physical or mental impairment, and, to at least one of those individuals, supervision of special diets or application of dressings or provide for the administration of medication to residents to the extent authorized.

The Ohio Department of Health licenses these homes/facilities.

Licensed DODD Facility: Refers to any Ohio Department of Developmental Disabilities licensed group home or community facility/residential facility (that is not an ACF-IID) where supervision, services and/or accommodations are provided for persons with developmental disabilities.

How do I find Residential Care?