Look at the list of inspections and results Bill posted below.

Here is one snippet:

Critical Procedures Inspection 21-Sep-2007 4 critical
Follow-up Inspection 8-Feb-2007 2 critical
Routine Inspection 29-Jan-2007 6 critical

If the health department doesn't see fit to do more inspections after 3 consecutive visits with multiple critical violations, one can see how some uncaring managers might conclude that keeping a clean environment doesn't matter.