Creative Support Alternatives in Grantville provides Supported Living Services and Independent Living Services for adults with developmental disabilities from its San Diego office at 6475 Alvarado Road, Suite 110, in the 92120 ZIP. Founded in 1992, the nonprofit is affiliated with Interwork Institute and the San Diego State University Research Foundation, grounding its service model in applied research on person-centered planning and community inclusion. Employment readiness programming dovetails with vocational training offered through organizations such as Junior Achievement of San Diego County in Grantville, which runs financial literacy and workforce preparation curricula that complement the life-skills framework the agency builds with its clients. Supported Living Services place staff in each client's own home for individualized assistance with meal preparation, budgeting, transportation, medical appointment coordination, and household management, with the goal of sustaining independent residency rather than group-home placement. Independent Living Services cover a lighter-touch support tier, providing periodic check-ins and skill-building sessions for clients who manage most routine tasks on their own but benefit from structured guidance on financial literacy, community navigation, or employment readiness. Funding flows primarily through the San Diego Regional Center, which authorizes service hours based on each individual's assessed needs, and the Valley Mountain Regional Center funds parallel ILS programs in the organization's Calaveras, Tuolumne, and Amador County offices. Program director Joshua Bellfy oversees the San Diego operation, where staff meet with clients on schedules that range from brief visits to multi-hour blocks depending on the complexity of each person's support plan. The Alvarado Road office sits in the Grantville commercial corridor east of the Interstate 8 and Fairmount Avenue interchange, within walking distance of the Grantville Trolley Station on the Green Line. Community events and annual picnics connect clients and families to accessible recreation facilities at the The Salvation Army Kroc Center in College Area, which provides swimming pools, gymnasium access, and fitness programming for individuals of all ability levels. CBS 8 profiled the organization in 2024, featuring a client who had lived independently for more than 25 years with regular staff visits, illustrating the long-term sustainability of the supported-living model for adults with intellectual and developmental disabilities.