Children & Adults with Disabilities Hogar Immanuel is presently home to more than 20 children. The residents’ disabilities include Down syndrome, cerebral palsy, psychomotor delays, mental impairment, autism, epilepsy, physical deformations, deafness and blindness. More than 20 employees, including an occupational therapist, work together to care for the children and ensure that their daily needs are met. Several of the children attend physical therapy, occupational therapy and special education classes depending on their personal abilities. A small number of children who are more physically capable attend a local special needs school in Puerto Plata. In 2007, MSC Dominican Republic purchased an adjoining piece of property for future expansion of the home. The initial phase of expansion began in early 2013 and the fully developed property will include four cottages, a kitchen, a utility building, a physiotherapy room and on-site mission volunteer housing. The expansion will double our capacity for care, allowing Hogar Immanuel to accommodate a total of 40 children upon completion. MSC Dominican Republic is often asked to take on additional children in the area. This growth will enable us to meet that need and serve a greater population of the most vulnerable in Dominican Republic.