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NPH Honduras

casa de los angeles

Casa de Los Angeles is our Tegucigalpa home for children with severe disabilities. Currently we have 13 residents living with a variety of brain, muscular disorders and developmental delays. All of the children need 24-hour attention and we’re fortunate to have twelve NPH high school students living in the home and helping with their care. Nearly all of the Casa Angeles children are immobile and cannot eat on their own. All meals are liquefied in a blender and then spoon fed to the children. A nutritionist recently helped us revise our menu which now takes into account each child’s specific needs and food allergies. Most of the children receive a type of physical therapy called the “Glen Doman” method, an intense therapy routine that includes morning and afternoon sessions daily. This has been very effective in strengthening their muscles and we have added two fulltime therapy assistants to help us. Two volunteer therapists from the Ranch visit us once a week and help us with speech, water, and horseback therapy.


Right next door to Casa Angeles, Arc of Hope provides therapy to two of our girls who struggle with uncontrollable muscle movement. Meanwhile, several of our children also attend specialized schools. Raquel spends weekday mornings at a school for children with Downs Syndrome and five of our other children with brain paralysis attend a specialized center called PREPACE.


In 2005, we welcomed four new children to Casa Angeles, all between the ages of two and five and currently have the capacity to care for four more. One of our biggest goals is to give our children more exposure to the natural beauty of Rancho Santa Fe and our larger community there. We often take the children to the Ranch for activities and special celebrations. The hour-long car journey can be difficult, but the interaction with the rest of our large NPH family is extremely important. In fact, we’d like to raise enough money to build specialized facilities and move our Casa Angeles family to join the rest of their brothers and sisters at Rancho Santa Fe - ideally within the next few years.

2 Therapy assistants

13 children with disabilities 12 high school students who help care for the children


1 Full-time coordinator 3 Full-time caregivers

3 Employees (cooking, cleaning and laundry) 1 Night nurse 1 Doctor (1 hour a day Monday-Friday) 2 Part-time volunteer therapists


children of Casa Angeles


Kevin will turn nineteen this year. He arrived in our home in 1991, when he was just three years old. Kevin’s parents abandoned him after they realized they could not care for their son. They left him in a hospital and then he was placed in a home for disabled adults. Luckily, the home’s director contacted us and we welcomed Kevin to Casa Angeles. He has Cerebral Palsy, Epilepsy and severe muscle atrophy. Kevin receives physical therapy and sensory therapy daily and is in good health.


Raquel, 18, is our next-oldest child. She also joined us at the age of three. Raquel has Downs Syndrome, developmental delay, hypertension, and is nearly blind in one eye. She does not speak and only uses sounds to communicate. Raquel is named after the nurse who found her – abandoned, alone and frightened in a cardboard box in the public marketplace. The nurse took her to the hospital and notified social services. Raquel lived at a temporary home while the authorities searched for her parents, but found no one. We took her into Casa Angeles in 1991. Raquel attends a special school for children with Downs Syndrome five days a week. She also receives sensory therapy and water therapy.


Juan, 18, arrived at Casa Angeles when he was a toddler, after living in a temporary institution where he did not receive much care. His mother, who supposedly worked as a prostitute, abandoned him in a motel room. No other family members have been found. Juan has multiple health problems including Cerebral Palsy, Grand Mal seizures and developmental delay. At times he has been on a feeding tube because of complications from pneumonia and respiratory infections. Juan receives physical and sensory therapy twice a week. Currently his health is stable.


children of Casa Angeles


Marcos will turn 16 this year. He has lived at Casa Angeles for 11 years. Marcos’ mother died of cancer and his father could not work and provide the 24 hour care for him. He has Cerebral Palsy, Microcephaly and developmental delay. Marcos is one of our most active children. He uses his wheelchair to get around and also scoots himself around on the living room floor. He is enrolled in the PREPACE school, which he attends 3 times a week to work toward greater independence. He also receives physical, sensory, speech, and horseback therapy.


Cristhian, 14, was six years-old when he entered our home. As a baby, he fell out of a hammock, which started his epileptic convulsions. The hospital staff then told his parents that his cerebral palsy was a result of his fall. His father abandoned him and out of depression and desperation and Cristhian’s mother then left him in the care of an aunt. The aunt cared for him for a few years, but she got sick and became unable to work. She brought Cristhian to Casa Angeles in 1992. Cristhian has Cerebral Palsy and Epilepsy. He receives physical and sensory therapy.


Cesar, 13, has Cerebal Palsy. Alter his mother passed away, Cesar’s father tried to care for him but earned less than two dollars a day working in the fields. He would lock Cesar in the house and return for lunch to feed him. His father realized that he needed specialized care and searched for an alternative. Unfortunately Cesar didn’t enter Casa Angeles until he was seven years old. Cesar receives physical, sensory, speech, and horseback therapy. We also use creative projects, like painting, to help him improve his motor skills.


children of Casa Angeles


Eda, 12, has been part of our home since she was a toddler. After her mother died, her elderly grandparents could no longer care for her and her siblings. Eda is developmentally delayed as a result of neurological problems. Unlike most of the other Casa Angeles children, whose muscles are stiff and atrophied from lack of use, Eda’s muscular tone is overly-relaxed. She is enrolled in a special physical therapy program located next door to Casa Angeles. Additionally she receives horseback and sensory therapy.


Tania, 11, came to Casa Angeles in 2002. Tania’s siblings Walter, 15, and Rosa, 18, also live with us at the Ranch. Their mother passed away from breast cancer and their father was not able to support them. Tania has Cerebral Palsy, Epilepsy, Microcefely, is blind and deaf. She receives physical and horseback therapy.


Angelica, 10, was nearly two years-old when she arrived at Casa Angeles. Her mother was developmentally delayed and her grandmother helped care for them both. After Angelica entered our home in 1995, her mother and grandmother disappeared. Even after an extensive search, we have not been able to locate them. Angelica suffers from developmental delay and Epilepsy. Like Eda, she is severely lacking in muscle definition and her body is overly relaxed and loose. She receives special physical therapy from a outside resource called Arc of Hope, occupational and horseback therapy.


Brayan is approximately eight years-old. Because he was abandoned we do not have accurate paperwork for him. Brayan was in the custody of the social welfare system before they referred him to NPH last year. Brayan has Cerebral Palsy and receives physical and horseback therapy.


children of Casa Angeles


Luis is around six years old. He has no birth certificate so we are approximating on his age. Luis has been diagnosed with Metachromatic Leukodystrophy, a genetic disorder that affects nerves, muscles, and other organs. It gets progressively worse over time and there is no cure. We are dedicated to treating the symptoms and trying to preserve Luis’ quality of life. Luis was brought to the malnutrition ward of the public hospital because a neighbor reported abuse. He stayed in the hospital for three weeks, recovering from malnutrition and pneumonia. We could not find any information on the family or where they lived. No family members ever came to see him in the hospital. His case was referred to us by the First Lady of Honduras. Currently Luis has severe pain in is muscles. He receives minimal physical and sensory therapy. He also sees our speech therapist.


Reiniery, 4, was abandoned by his mother shortly after birth when the mother´s boyfriend told her he would not help support him. Reiniery then entered a government institution until the First Lady of Honduras helped place him in his permanent home here at Casa Angeles. Reiniery has undergone several operations for his Hydrocephalus, but he has great difficulty breathing because of his collapsed nasal cavities. Reiniery receives physical and occupational therapy. Sadly, his doctors’ prognosis for him is not good. Most children with his symptoms do not live past early childhood. We try to enjoy each moment we have with Reiniery and care for him the best that we can.


Karla will turn three this July. She came to us over a year ago, when her mother passed away and there was no other family member who would take care of her. Karla has Microcephaly and Cerebral Palsy. Karla receives physical, sensory and horseback therapy.



Education 3% Clothing .5% Transportation 1%

Housing 2% Food 12%

Utilities 7%

Maintenance 9%

Salaries and BeneďŹ ts 45.5%


child monthly

Health care 20%


yearly care for all children


*This includes food and living expenses for the 12 students that live in the home and help care for the children.


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