(a) Any EMS entity providing ambulance service, BLS, ALS, CCT or other EMS services requiring LEMSA authorization in the County, shall secure an ambulance service permit from the LEMSA specifying terms and conditions for the provision of EMS including, but not limited to, class of service to be provided, LEMSA approval for optional scope of practice, participation in LEMSA data and quality improvement activities and applicable performance standards as defined in LEMSA policies, procedures and guidelines.
(b) Provider authorizations shall not apply to cities or fire districts providing prehospital emergency medical services subject to and in accordance with Health and Safety Code section 1797.201. Such agencies providing services under section 1797.201 shall nonetheless be subject to LEMSA medical control and applicable performance standards as defined in LEMSA policies, procedures and guidelines. Compliance of City and Fire District prehospital emergency service providers with LEMSA medical control and applicable performance standards pursuant to LEMSA policies, procedures and guidelines shall not evidence or constitute an "agreement" with such City and Fire Districts for purposes of section 1797.201, and nothing in this chapter may be so construed. Nothing in this chapter is intended to affect or may be construed to affect in any way the rights and obligations of City and Fire District prehospital emergency service providers pursuant to section 1797.201. Nothing in this chapter is intended to affect or may be construed to affect the eligibility of City and Fire District prehospital emergency service providers to enter exclusive operating agreements under Health and Safety Code section 1797.224.
(c) Permit application.
(1) Applicants for an ambulance service permit or non-transporting ALS provider permit shall complete the LEMSA application process, which includes:
A. A LEMSA ambulance service provider permit application.
B. Provide a detailed description of company logo, color scheme used to designate the ambulance and attach a photo image.
C. A list of each ambulance including the following: make, model, year, mileage, VIN and license plate number.
D. Description of the company's program for vehicle maintenance.
E. Description of the company's vehicle radio/communication capabilities.
F. Copies of California Highway Patrol (CHP) inspection reports for each vehicle.
G. Portfolio of the company's experience and training in the transportation and care of patients.
H. List of employee's name and certification level with issued and expiration dates (EMT, paramedic, registered nurse, etc.).
I. Description of the company's training and orientation program for EMS personnel.
J. Applicants shall submit their planned work schedule for employees, including scheduled breaks and related staffing levels,
K. ePCR system description which is NEMSIS compliant.
L. A letter stating the willingness to share data with the LEMSA and participate in the Clinical Quality Improvement (CQI) process.
M. Current copy of the company's business license(s) and/or permits required by state law and regulations,
N. Recent financial statement (revenue, expenditures, balance sheet) stating total assets and liabilities.
O. Providing all transport and mileage billing rates.
P. Current insurance face sheet for: general liability for vehicle operation, comprehensive medical liability, workers compensation.
1. For general and comprehensive medical liability, the County shall be named as a co-insured. A valid certificate to self-insure from State of California Director of Industrial Relations is acceptable for workers compensation insurance. (§ 1, Ord. 1515, eff. December 19, 2019)