Routinely sent people into my home who were sick and more than one dsw let me know that after letting someone in the office or the person on call know that they were sick they were often pressured to come to work anyway. One employee was having so many health issues that I advised her to go to the doctor. Serious health issues. So she called them to see about getting the day off because she had an appointment. They didn't want to give her the day off because they expected a two week notice. They're also suppose to have a backup policy. Technically as in on paper one exists but that's it. Attempted to go to school but their lack of a comprehensive back up policy made it impossible.