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§17-1720-18 3206 If about the treatment regimens; use of equipment specified in the service plan; employer skills updates as necessary to safely maintain the enrollee at home; crisis intervention; supportive counseling; family therapy; suicide risk assessments and intervention; death and dying counseling; anticipatory grief counseling; substance abuse counseling; and nutritional assessment and counseling; (6) Environmental accessibility adaptations that are changes to the enrollee's living environment, but not including community care foster family homes and expanded adult residential care homes (E-ARCH) , to promote safety or facilitate the enrollee's self- reliance by enabling the enrollee to perform basic activities of daily living. Modifications may include installation of ramps and handrails, widening of doorways, removal of other architectural barriers, bathroom modifications, electrical, plumbing or air conditioners and modifications to the telephone system which enable the enrollee to function with greater independence in the home, and without which the enrollee would require institutionalization. Window air conditioners may be installed when it is necessary for the health and safety of the enrollee. Ex~luded are those adaptations or improvements to the home that are of general utility, and are not direct medical or remedial services to the enrollee, such as carpeting, roof repair, central air conditioning, etc. Adaptations which add to the total square footage of the home are excluded from these services. All services shall be provided in accordance with applicable State or local building codes; (7) Home maintenance that is a service necessary to maintain a safe, clean and sanitary environment. Home maintenance services are 1720-12