State Senator Frank Padavan speaks at a Campaign for Quality Care in New York's developmental disabilities system news conference in New York City. Numerous other legislators, city council members and activists also participated. The Civil Service Employees Association (CSEA)'s Quality Care campaign is necessary because of an epidemic in turnover rates ? up to 40 percent annually among front line employees of many not-for-profit agencies that threaten the long-term quality standards of services and care.