Aggressive and antisocial if hits someone or destroys property. Doesn't need 24 hours because unsupervised - like on the bus, in a car. Recipient is sometimes left alone so not supervised 24 hours. Can't afford it, someone looks in, you are lucky there have been no accidents, recipient's condition has worsened. Needs physical redirection, not just watching or verbal command.
Supervision includes redirection, some intervention.
More independence caused injuries or near accidents in the past. Can't make all changes. Some changes turn home into a nursing room or jail cell. The older the recipient, the less change possible without losing distinctive features of home. Child plays outside with no adult supervision.