~YERMONT AGENCY OF HUMAN SERVICES DEPARTMENT OF DISABILITIES / AGING AND INDEPENDENT LIVING Division of Licensing and Protection / Division of Ucensing / FORM APPROVED Division of Licensina / Federal Bureau of Investigation / Division of Licensing / Protection STATEMENT OF DEFICIENCIES AND PlAN OF CORRECTION / Division of Ucensina / Division of Licensing and Protection / /
Person
Pamela M. Cota / Tammy Cota / / /
Position
physician / lRATORY DIRECTOR / Manager and nurse / tfle manager / General / nurse and manager / manager / RN Licensing Chief / Registered Nurse / manager of the home / Administrator / nurse / /