Rachel discusses the recruiting bottleneck that many home care agencies face, which hinders their growth. She identifies three main causes of the bottleneck: not enough staff to handle the increase in applicant volume, a lack of a foundational recruiting process, and a paper-based or tedious hiring process. She provides solutions to address these issues, including implementing a clear hiring process with accountability, streamlining the hiring process, and considering outsourcing recruiting to a specialized team like CareWork.