§ 7.16.050. Ambulance operator license—Application.  


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  • Every application for an ambulance operator's license shall be signed by the applicant and filed with the local EMS agency. In addition to the requirements of Section 7.06.020 of this title, the application shall contain the following information:

    A.

    Evidence of Applicant's Financial Capability.

    1.

    Financial statements for established applicants which have been in operation for more than one (1) year: current profit and loss statements, and current balance sheet, both of which must be prepared by a certified public accountant, shall be provided for the last two (2) fiscal years.

    2.

    Financial statements for new or start up applicants, which have been in business for less than one (1) year: current profit and loss statements and current balance sheet, both of which must be prepared by a certified public accountant, shall be provided. Pro forma profit and loss statements shall also be provided.

    3.

    The financial statements shall demonstrate that the applicant has adequate financial health, based on liquidity, profitability, and sustainability, to maintain ambulance service operations.

    4.

    Data shall be submitted showing the estimated average cost of operating one trip and the number of trips per day a vehicle must be run to be profitable; the costs per trip should be itemized. The use of break-even-type formulas may be used to show the economic feasibility of the proposed operation.

    B.

    The applicant, except for those operators providing special events or EMS Aircraft services only, must agree to respond to requests for service within the following county response time standards:

    1.

    Emergency calls: Maximum response times:

    Urban: all census tracts with a population density of 100 or more persons per square mile; or census tracts and enumeration districts without census tracts which have a population density of 100 or more persons per square mile: eight minutes, fifty-nine (59) seconds.

    Rural: all census tracts with a population density of 10 to 99 persons per square mile; or census tracts and enumeration districts without census tracts which have a population density of 10 to 99 persons per square mile: 20 minutes, fifty-nine (59) seconds.

    Wilderness: census tracts and enumeration districts without census tracts which have a population density of less than 10 persons per square mile: as quickly as possible.

    In accordance with Section 7.16.345 of this chapter, the director of the department of health services may waive in writing one or more of these response time requirements for any operator for a prescribed period. However, any change in the maximum response times defined in Section 7.16.050 will require a new agreement waiver.

    2.

    Critical care transport and nonemergency calls: Maximum response time: 90 minutes of the time of the call or the scheduled time to pickup, whichever applies;

    C.

    Testimony (written or verbal, or both) presented in support of the application from responsibly positioned people, institutions, or users of the service;

    D.

    Evidence that the applicant's company has technically qualified management. This evidence shall include the manager's resume showing type and duration of transportation experience, including at least five years of increasingly responsible experience in the operation or management of a basic life support or advanced life support service;

    E.

    Areas within which the applicant proposes to operate;

    F.

    The number and type, age, condition, and patient capacity of each ambulance proposed to be operated by the applicant, and a description of the premises which are to serve as the base of operations;

    G.

    A certificate or other evidence of insurance coverage satisfactory to county confirming that the license applicant carries an insurance policy with coverages and limits that are in accordance with the requirements of Section 7.16.180;

    H.

    The color scheme and insignia to be used to designate the ambulance(s) of the applicant;

    I.

    Evidence concerning applicant's adherence to rules and regulations.

    1.

    Identification of all licenses and franchises held during past 10 years,

    2.

    Disclosure of whether the applicant or the principals of the applicant have ever been investigated by any governmental agency and disclosure of the nature of the investigation,

    3.

    Disclosure of whether the applicant or the principals of the applicant have ever had licenses revoked or whether any of them has been convicted of any misdemeanor or felony, or whether there are any pending criminal proceedings at the time of application.

    4.

    Applicant must show proof of any current business license issued by any United States jurisdiction, and

    5.

    Applicant must show proof that its business location is properly zoned for the incorporated city or unincorporated area in which it is located.

    J.

    A copy of the CHP emergency ambulance operator's license and results of most recent CHP inspection for all ground ambulances.

    K.

    Dispatch logs for the thirty (30) day period immediately prior to the date of application.

    L.

    Dispatch policies and procedures and qualifications for dispatchers.

    M.

    Affirmation that applicant will adhere to all applicable federal, state, and local rules, regulations and laws, including Los Angeles County prehospital care policies and procedures.

    N.

    EMS Aircraft applicants shall submit the following additional information:

    1.

    A copy of the Federal Aviation Regulations Part 135 Certificate issued by the Federal Aviation Administration.

    2.

    The level or levels of service which applicant proposes to provide, as identified in Los Angeles County prehospital care policies and procedures.

    3.

    Any such additional information as required in Los Angeles County prehospital care policies and procedures.

    O.

    Any such further information requested by either the county sheriff or the local EMS agency.

    P.

    The local EMS agency shall reserve the right to inspect the on-site records and operations of applicant.

    Q.

    Neither the local EMS agency nor any applicant for an exclusive emergency ambulance or advanced life support operating area under provisions of Health and Safety Code Sections 1797, et seq., is required to adhere to the procedures defined in this code for application for and granting of any such exclusive operating area, unless the local EMS agency chooses to impose one or more of these procedures as part of the process for selecting a grantee for an exclusive operating area.

(Ord. 2011-0031 § 6, 2011: Ord. 98-0006 § 1, 1998: Ord. 96-0067 § 5, 1996: Ord. 88-0181 § 10, 1988: Ord. 83-0017 § 3 (part), 1983: Ord. 11806 § 1 (part), 1978: Ord. 5860 Ch. 4 § 1004, 1951.)