The cards are stacked entirely against DSPs in this field.
Just a note of caution to those considering working in this field: if you stay long enough, it's highly likely you will end up in some sort of hot water. That might be through the state oversight agency or with the company itself. This field is (understandably) very tightly regulated, and in such a way that the brunt of discipline/blame/consequences falls on the DSPs - not the companies themselves. In fact, in my state, the companies have internal employees under their own payroll tasked with conducting an unbiased investigation into their own alleged wrongdoing on behalf of the government oversight agency.
If you work as a DSP, your company will in all likelihood pile on responsibilities - transportation, hygiene care, medication administration, and covering extra shifts and staying late when the next person doesnt show up on time.
If and when anything goes wrong, the company is incentived to throw the DSPs under the bus. This will be through a write-up, suspension, administrative incident report, etc. This allows them to cover themselves at no cost (even if they are at fault for understaffing or whatever it may be).
Those incidents/discipline/suspensions/etc. may not seem to matter much but they do. Those will go in your file and are now part of your employment history. Those incident reports can land you on a state registry. If its something very serious, the incident can result in a criminal investigation.
I worked for only a few years as a DSP and nearly everyone I had worked with (and these were generally well meaning good staff) had some sort of disciplinary incident on file.
I have friends who were the go-to DSPs for years, and ended up fired and hung out to dry when someone needed to get scapegoated.
All this to say, imo it's really not worth it if you have other options.
That being said, it could be there are some good companies out there. Just speaking from my experience.