Technicians take vital signs and report them to the nurse. Technicians do not interpret vital signs, and they certainly do not write progress notes!
At PCS, the staff write SOAP notes and other progress notes. At a legitimate facility, this could never happen! Only licensed staff (RN, MD, PT, ect...) may write progress notes.
Not only that, a child's advancement in the PCS program is based on these progress notes plus whatever other claims the staff may have regarding the pt's "progress".