A Breakdown of CCF Service Levels

Community Care Facilities (CCF) provide 24 hour residential care to adults with developmental disabilities. The level of care provided ranges from  level 1 through level 4. Each level is determined by the level of care required for the individuals in the home. If you are just starting your research on what type of home your loved one would fit best in, the breakdown below will help you better understand the characteristics of individuals at each level.  While this information will give you an idea of the level your child might be appropriate for, ask your regional center service coordinator to do a full assessment to ensure you seek service providers that can meet your loved one’s needs.

Level 1: 

  • Limited care and supervision for persons with self-care skills
  • No behavior problems
  • Socially adaptable
  • Relatively independent and stable
  • Require supervised environments
Baywood 1

Level 2:

  • Care, supervision, and incidental training 
  • Some self-care skills 
  • No major behavior problems
  • Potential for skill and development
  • Relatively independent and stable but require more supervision than level 1

Level 3:

  • May struggle with daily tasks such as bathing, dressing, grooming, medication managing
  • Physical limitations including walking, balance, fine motor skills
  • Self injurious behavior
  • Moderate to high level of medical needs
  • Potential for skill development and behavioral management
  • Depend on care and supervision

Level 4:


Service Level 4 is subdivided into Levels 4A through 4I, in which staffing levels are increased to correspond to the increased level of care required. Here at LSA, we provide level 4C and 4F. 

4C Characteristics:

  • Fairly independent
  • Need verbal or model prompting
  • No physical assistance with daily living activities
  • May lack executive functioning skill to figure things out 
  • Independence might look like them preparing a meal on their own

4F Characteristics:

  • Deficits in communication, mobility, and behaviors
  • May need some assistance with daily living activities
  • Can be violent to themselves or property, but not to others
  • Easily redirectable behaviors (yelling, slamming doors, pulling hair – minor and infrequent).
  • May require physical therapy, behavior consultation, and a dietitian


Community Care Facilities – DDS

Overview of CCF Service Levels