Harambee’s Custom Care Adult Day Care Program is designed to meet the complex needs of consumers who do not fit into traditional day programming. Custom Care can develop a “made to order” continuum of culturally relevant activities that support consumers in having fun, thriving and maximizing their potential.

The program is designed as a comprehensive, coordinated, culturally sensitive program that takes into consideration each Consumer’s skills and competencies, needs, preferred wishes and well being. In order to support and serve Consumers who face complex challenges, a collaborative model is used.

Custom Care provides supports to assist consumers in functioning adaptively in a variety of social environments. Our Custom Care Program currently serves 25 consumers.


  • Diagnosis of a developmental disability or condition similar to a developmentally disability that requires the same services and supports
  • At least 18 years of age or older
  • A Purchase of Service from Regional Center of the East Bay (or other local Regional Center) for services
  • Transitioning from a locked facility or State Developmental Hospital or a community program
  • A desire to participate in customized adult day program

We work with individuals who may have the following characteristics:

  • Severe behavioral challenges
  • Resistiveness-failure to participate in activities previously agreed upon that impact health & safety
  • Socially inappropriate responses – tantruming (screaming, crying, stomping, and other disruptive behaviors), self-injurious behaviors (including pica, head banging or hair pulling) or self- stimulating behaviors (including rocking, staring, public masturbation feces smearing etc.)
  • Aggression towards self, others or property
  • History of AWOL or wandering
  • Sensory disabilities (Blind and visually impaired; Deaf and hearing impaired)
  • Non-ambulatory
  • Mental Health or Substance Abuse diagnosis
  • Judicial Involvement

Behaviors such as arson/fire setting and forensic situations are evaluated on a case-by-case basis. Custom Care is a non-medical program.

HCS is a non-medical program. 

Location of services:

  • In Home, residential facility, locked facilities, school setting in the     communities
  • San Francisco, San Mateo, Santa Clara, Alameda and Contra Costa County