The relocation of Saint Mary's Home for Disabled Children to a new facility presented the opportunity to enrich the lives of children in this 88-bed Intermediate Care Facility for Children with Mental Retardation (ICF/MR). In addition to resident rooms complete with medical gases, nursing stations, medication rooms and spaces for treatments such as physical and occupational therapy; space was designed for physician and dental exam as well as education space for the residents. The 88,000 SF facilities were equipped with emergency power and redundant mechanical systems, a maintenance shop and space for other administrative and support functions such as a kitchen, laundry, purchasing and housekeeping. The most challenging aspect of this project was to incorporate an environment that provides reassurance to the parents, enlightens the children's lives and provides the necessary medical support. The new facility provides "neighborhoods" for the wheelchair bound children with their rooms as houses, the corridors as sidewalks and the active treatment rooms as their school. These rooms surround open therapy garden courtyards and a centralized conservatory family visiting room for large or intimate gatherings.