This article will discuss the philosophy and purpose of a Social Adult Day Care Program designed primarily for elderly citizens who may be frail, isolated, or in need of socialization and for their families, who wish to keep elderly relatives at home as long as possible. A second purpose is to maintain the "health" and independence of healthy senior citizens. The role of the Certified Occupational Therapy Assistant who is the Activity Director of this program will also be explored. The Social Adult Day Care Program is currently offered as a satellite program of the Homemaker Service of Orange County, Inc., in New York, with some funding, support and volunteer assistance provided by a variety of federal, state, and local public and non-profit agencles and voluntary organizations.