too tiny to monitor in verifying compliance of the federal mandates of the laws already in the books, to protect the elderly from being abused by caregivers, who must undergo legitimate trainings / certifications as part of the federal mandates the states are required to conform. the problem is within the state regulators, which varies from state to states adopting federal mandates. some states are not either consistent or rigid in their inspections for compliance which open for providers to engage in short cuts for profit. let’s face it, this is a business for profit, but to profit at the expense of neglect care of the elderly is criminal, but to make profit with good care to these helpless elderlies is not only savvy, but indeed noble. this type of job or work taking care of the most vulnerable is not for everybody. workers with natural unexplained exceptional compassion / respect for the elderly will find contentment, while those taking the job with qualms to end up hating the job will find resentment that can translate to abuse. this too tiny home care likely will be swallowed by some business venture risks takers, to build a much more sophisticated facility, either a skilled or non skilled like the assisted living, a common setting in urban areas of the USA. the job forecast of the future for the next generation will be connected / all about / everything to do with the elderly, now living too long with the extended life span, compared to decades ago, all because of much advanced science in medicine, finding treatments in adding extra 10 to 20 years into a human’s life.