Some of the families the staff work for are not vetted very well, which can be frustrating for the staff, because they go into the homes. Some houses are approved for therapy, but they are extremely dirty, the family dynamics are tense, bathroom facilities don’t work properly, the neighborhood is not safe, or any other number of factors that make working difficult. Additionally, the HR department is inconsistent with their policies. They allow some employees to make scheduling changes and get promoted, while others are not allowed to. Employees also notify management of problems regarding families, but usually nothing is done. It takes several concerns for HR to make changes, which puts their staff at risk, and has led to a high turnover rate.