How in the world does something like that happen, unless they are hiring the most lazy, ignorant people? It seems to me that one would at least SMELL that something was wrong when pouring it out.
Amish, can’t trust them
When my elderly mother had a stroke, after she left intensive care, the only place that had a bed, while we worked out her finances for longer-term care elsewhere, was the rehab center associated with the "county hospital."
There were crazy/vagrants roaming the halls, the bathrooms were filthy, and anytime we sought-out a nurse, they could be found in their break-room, sitting on their obese, SEIU-union arses, talking to each other like the rest of the world didn't exist. My mother developed bed-sores in the brief time she was there, making me question whether they were providing any care at all.
So to answer your question, yes, THIS is the nature of state-run health-care.
Intentional.
It’s California, so the likelihood of an illiterate illegal is high.