Absolutely correct. ALF's are not inspected by the "state" however they answer to DSS (Department of Social Services). Now I know a great bunch of social workers, one which is very special to me, HOWEVER- none of the social workers I know can inspect a bedsore, watch for proper technique on incontinence care or wound care...not sayn they can't- just that they are not trained to do that and according to regulations, only a nurse can look at "private areas". Where I come from, the ALF's are private pay and because their rates are cheaper than LTC, thats where people go. Most advertise that they have "Special dementia care" which is lovely, but when the person becomes total care, then who provides that? I have seen nghtmares come from ALF in terms of residents who were really more care than they could handle and developed horrid bedsores, weight loss, and so forth. I am not saying all ALF's are like that...but some are.