Alice is a BCBA working in a state where she is one of only six BCBA's and the only BCBA in a four county area. She oversees eighteen therapists, one which is already a BCaBA and two that are working on obtaining their BCaBA credential. As of this month, Alice is personally responsible for overseeing the development treatment plans for 110 clients from preschool to 6th grade. Clients may receive both clinical and in-home services. Alice has developed five or six standard plans that she uses for 90% of her clients with little to no modifications. When asked about it, Alice says she is doing the best to provide services to as many clients as she can. She said there is no one to refer other clients to. Identify the most relevant key issue in this scenario.