§ 111.06  OPERATIONAL STANDARDS; INSPECTION.
   (A)   The licensed ambulance service shall be available on a 24-hour per day, seven days per week basis, with the ambulances and proper crews being stationed at a central office.
   (B)   Each ambulance shall, at all times when in use as such:
      (1)   Conform with the standards, requirements, and regulations provided for in this chapter and in the policy manual of the county emergency medical services system, under the authority of the state department of public health rules relating to the Emergency Medical Services Act effective May 19, 1981, as may be amended from time to time.
      (2)   Contain equipment conforming with the standards, requirements, and regulations provided for herein and in the policy manual of the county EMS system, which equipment shall be in proper and good condition for such use;
      (3)   Currently comply with all applicable laws of the state and local ordinances relating to health, sanitation, and safety; and
      (4)   Be equipped with such lights, sirens, and special markings to designate it as an ambulance as provided by statute and as may be prescribed in reasonable regulations promulgated by the license officer.
   (C)   Approval of Ambulances.
      (1)   No person, either as owner, agent, or otherwise, shall operate or allow another to  operate an ambulance to respond to an emergency call for or on behalf of a licensed  ambulance service unless its use as such is approved by the License Officer.
      (2)   All requests for approval to use an ambulance under this chapter shall be submitted  in writing to the License Officer. The License Officer shall approve the use of an ambulance  within fifteen (15) days of receipt of the written request unless its use would violate the  provisions of this chapter, an ordinance of the City, or a state or federal law or regulation.
      (3)   A license ambulance service shall notify the License Officer in writing within five (5)  business days after it permanently ceases use of an ambulance.
   (D)   When in use for emergency calls, each ambulance shall have as personnel in the ambulance at least one EMT-P and one EMT-B or two EMT-Ps.  A registered professional nurse/MICN, registered professional nurse/field RN, or physician may be counted as an EMT-P or EMT-B for purposes of this requirement.
   (E)   The licensed ambulance service shall have on duty and available for immediate response in an approved ambulance at least two EMT-Bs (one per unit) and at least two EMT-Ps (one per unit); persons involved in transfer calls to or from points outside the city limits shall not be considered personnel available to meet this requirement while they are committed to such transfer call.  For purposes of this section, an EMT-P may be counted as an EMT-B and a registered professional nurse/MICN, registered professional nurse/field RN, or physician may be counted as an EMT-P or EMT-B.
   (F)   A licensed ambulance service shall comply with the following response times:
      (1)   Emergency call.  The ambulance shall arrive at the scene of the emergency within eight minutes of the time the emergency call was received by the ambulance service. This time requirement must be met at least 90% of the emergency calls received during any period of six consecutive months.
      (2)   Nonemergency.  The ambulance shall arrive at the scene of the nonemergency within 12 minutes of the time the nonemergency call was received by the ambulance service.  This time requirement must be met on at least 90% of the nonemergency calls during any period of six consecutive months.
      (3)   Compliance with the above response times may be waived by the License Officer in  his sole discretion for the following circumstances:
         (a)   Failure by the dispatching agency to give accurate location information to the responding unit;
         (b)   Weather conditions which impair visibility, create unsafe driving conditions, or block a normal route to the scene of the incident to which the ambulance was dispatched;
         (c)   Wrong or incomplete address provided by the person requesting ambulance service assistance; or
         (d)   Unavoidable delays caused by conditions or circumstances out of the control  of the responding ambulance service, including but not limited to road construction or a train  blocking a railroad crossing.
   (G)   Each ambulance, its equipment, the premises designated in the application, and all records relating to its maintenance and operation as such, shall be open to inspection by the license officer or his designated representatives during usual hours of operation.
   (H)   A licensed ambulance service shall notify the License Officer in writing at least 120 days prior to changing its ambulance service location.  The License Officer shall approve or deny the request within ten business days after receipt of a request.  The License Officer shall approve the change in location unless the proposed change would violate this chapter or any provision of the city, state of federal law or regulations.
(Ord. 5913, passed 4-11-72; Am. Ord. 7035, passed 1-24-84; Am. Ord. 8401, passed 12-7-04; Am. Ord. 9061, passed 8-2-16; Am. Ord. 9214, passed 8-6-19)