Introduction A survey by the Center for Family, Policy, and Research (2010) revealed an increase in federal expenditure on people with developmental disabilities in the United States. For instance, in 2004, the national annual expenditure on developmental disabilities had exponentially increased from 8.3 billion dollars in 1965 to 82.57 billion dollars in 2004. This was a marked increase since the Kennedy Panel of 1961. While the increase in the number of people with developmental disabilities is attributed to the rising numbers of the aging population, disabilities may arise in childhood and affect the entire lives of people (Hallahan & Kauffman, 2003). Persons who are developmentally disabled experience difficulty in performing activities such as learning, mobility, and self-care routines. Some authors e.g., Smart (2009) has expanded the term developmental disabilities to include mental retardation and other neurological disorders. This report aims to highlight the prevalence, effects, and challenges of developmental disabilities and my experience during my internship at Light House Home. As a student of health care and medicine majoring in healthcare, I work as an intern employee at Light House Home, an assisting living facility that cares for developmental and disabled people located at 1201 Davis Street San Francisco. I work hand in hand with the administration under the close supervision of Mrs. Elizabeth Smith, the administrator of Lighthouse Home for the Developmental and Disabled. In the facility, the members of staff work with three main divisions of disabled people. The first division is from comprises those from infancy to about three years old, the second division comprises children and youth of school-going age and the third division comprises developmental and disabled people over 21 years old. Working hand in hand with the administration, especially Mrs. Elizabeth Smith is reflective of my major interest in becoming a health care manager and administrator and it solidifies my commitment towards enhancing the health status and the quality of life of developmentally disabled people through holistically addressing their needs. Method As an intern dealing in health care management administration, my responsibilities include making sure developmentally disabled people access high-quality care and better quality of life. In addition, I ensure that all departments function efficiently and effectively by overseeing different departments such as nursing, dietary, social services, housekeeping, building maintenance, admissions, laundry, resident activities, records, and business office. With the broad range of duties to oversee, I delegate some responsibilities to the departmental heads, especially regarding issues and responsibilities which concern their departments. I also balance the needs and quality of life of developmentally disabled individuals with the needs of their families, staff, and the facility and make sure that records are well maintained by overseeing operations of the records department. In collaboration with staff members, I help the developmentally disabled and their families to deal with the end of life issues e.g., depression, settling issues in their families, and complexities of different medical conditions. I als