Adult Foster Care  is a program for Elderly adults or adults with developmental or physical disabilities who cannot live alone safely. AFC Members live with trained, paid Caregivers who provide daily care. On a circadian substructure, AFC provides individuals with personal care assistance in a family setting rather than a nursing home or other residential facility. Caregivers provide repasts, companionship, personal care assistance and 24-hr supervision. Caregivers may be individuals, couples or astronomically immense families. Adult Foster Care  provides a circadian living arrangement with supervision in an adult foster home for people who are unable to perpetuate living independently in their own homes because of physical, phrenic or emotional circumscriptions. AFC providers and denizens must live in the same household and apportion a mundane living area. With the exception of family members, no more than three adults may live in the foster home unless it is licensed by the state. The client pays the provider for room and board. Most foster homes accommodate a relatively minute number of individuals. As an example, in 2007, of the 23,848 family foster homes accommodating individuals with developmental disabilities, only 652 accommodated four or more individuals, with the maximum number nationally being six individuals.12 In an HCBS waiver program, adult foster care is considered a residential habilitation accommodation for individuals with developmental disabilities only when habilitation is included in the defined scope of the adult foster care accommodation; it is not considered a residential habilitation accommodation when habilitation accommodations are furnished in the adult foster care setting by a different provider and billed discretely.