Developmental Aide II Lori Nilsson, a Civil Service Employees Association (CSEA) Central New York DDSO Local activist, puts consumer Paula Checkosky to bed at the Snow Hill Individualized Residential Alternative, operated by the DDSO. About 16,000 CSEA members provide life skills, medical services and healthy community connections for nearly 10,000 group home residents of all ages and ability levels around the clock. CSEA OMRDD staff deliver care at about 1,200 homes statewide.