No person (either as owner, agent or otherwise) shall furnish, operate, conduct, maintain or otherwise engage in or advertise, offer or profess to engage in the ambulance service unless the person holds (and is entitled to hold) a currently valid ambulance operator's permit or emergency ambulance service permit. No permit is required for the delivery of persons picked up outside the County boundaries that transport into the County.
(Prior code § 10-210)
Each application for an ambulance operator's permit shall be made upon forms prescribed by the permit officer.
(Prior code § 10-211)
A. 
Each applicant who desires an ambulance operator's permit shall submit the following data:
1. 
The names and addresses of the applicant, registered owner, partner, officer, director and controlling shareholder;
2. 
The applicant's training and experience in the transportation and care of patients;
3. 
A financial statement for the previous fiscal year, prepared by a certified public accountant;
4. 
A description of each ambulance including: the make, model, year of manufacture, vehicle identification number; current State license number, the length of time the vehicle has been in use; and the color scheme, insignia, name monogram and other distinguishing characteristics of the vehicle;
5. 
A statement that the applicant owns or has under his or her control, in good mechanical condition, required equipment to consistently provide quality ambulance service in the area for which he or she is applying, and that the applicant owns or has access to suitable facilities for maintaining his or her equipment in a clean and sanitary condition;
6. 
A description of the company's program for maintenance of the vehicles;
7. 
A description of the number and type, frequency and private line codes of the vehicles' radios;
8. 
A description of the locations from which ambulance services will be offered, noting the hours of operation;
9. 
A list, amended as required during the year for any personnel changes, giving the name and a description of the training for each ambulance attendant and driver and a copy of each certificate or license issued by the State or County establishing qualifications of such personnel in the ambulance;
10. 
A description of the company's training and orientation programs for attendants. dispatchers, and drivers;
11. 
Statement of the legal history of the applicant, including criminal and civil convictions.
B. 
Emergency Service. Each applicant who desires an emergency ambulance service permit shall, in addition to the information required by subsection A of this section, show:
1. 
The ability of the applicant to provide emergency ambulance service within established response times for each emergency response area applied for, 24 hours per day, seven days per week, year round;
2. 
All service charges and rate structure of the company;
3. 
Whether the service will include advanced life support service, and if so:
a. 
The number of advanced life support units to be deployed on each shift; and
b. 
The emergency response zone to receive advanced life support service; and
c. 
The provisions for continuing education of the advanced life support personnel;
4. 
An affirmation that the applicant possesses and maintains currently valid California Highway Patrol Inspection Reports for each vehicle listed in the application, and submit a copy of the license issued by the Commissioner of the California Highway Patrol to privately owned ambulance companies (in accordance with Section 2501, California Vehicle Code);
5. 
Evidence of insurance coverage as required by the chapter;
6. 
The applicant may be required to submit such other information as the permit officer deems necessary for determination of compliance with this article.
(Prior code § 10-212)
Upon receipt of a completed application and the required fee, the permit officer shall make or cause to be made such investigation to determine if:
A. 
The applicant meets the requirements of this article and of other applicable laws, ordinances, and regulations; and
B. 
That the radio in each vehicle is installed, is in good working order, and is integrated with the existing medical communications systems.
(Prior code § 10-213)
A. 
Within 90 days of receipt of an application, the permit officer shall make a determination on:
1. 
Whether the applicant meets all requirements of this article; and
2. 
Whether the public health, safety and welfare require the granting of a permit.
B. 
In making such determination, the permit officer shall consider, among other things,
1. 
The demand and necessity for ambulance service, and the adequacy of existing service(s);
2. 
Whether the applicant is able to provide the requested service;
3. 
Whether the applicant has knowingly made a false statement of fact in such application;
4. 
Whether the applicant has knowingly failed to disclose facts pertinent to the application; and
5. 
Whether the applicant was previously a holder of a permit issued under this chapter which has been revoked or not renewed based on the provisions of this article.
(Prior code § 10-214)
If it is determined that the applicant does not meet all requirements within this article, then the permit officer shall deny the application and notify the applicant in writing within 90 days of the receipt of the application.
(Prior code § 10-215)
Whenever the permit officer denies an application for a permit, the applicant may request a hearing on the denial at which the applicant will have the burden of proof. The appeal will be made to the Board of Supervisors and a hearing scheduled within 30 days of the applicant's written request for hearing. When the permit officer issues an emergency ambulance service permit, the existing service within the response zone may file an appeal with the Board of Supervisors. A hearing on the request shall be scheduled within 30 days of the written request for an appeal.
(Prior code § 10-216)
The decision of the permit officer rendered pursuant to this chapter shall be final, unless appealed to the Board of Supervisors within 30 days after such decision is rendered in writing, and notice of the same is given to the applicant by certified mail.
(Prior code § 10-217)
Permits shall be continued upon payment of the annual renewal fee unless earlier suspended, revoked or terminated for cause.
(Prior code § 10-218)
Within 60 days of the effective date of the ordinance codified in this chapter, the ambulance companies that have been continuously providing ambulance services for a minimum of one 180 days prior to the effective date of said ordinance, may apply for and obtain a County ambulance operator's permit and emergency ambulance service permit. The Permit Officer shall issue or deny a permit to each existing company within 60 days of receipt of an application for such a permit, based on their ability to meet the requirements as set forth in this chapter. The fee for the initial license for existing companies shall be the fee set for new applicants.
(Prior code § 10-219)
The applicant and permittee shall report to the permit officer any change in the data required in Section 5.96.090 within 10 days of the effective date of change, except that any change in the data required in Sections 5.96.090(A)(1) and (B)(4) shall be reported immediately.
(Prior code § 10-220)
No permit shall be transferred to another person except upon prior approval of the Permit Officer. Application for transfer of any ambulance operator's permit shall be subject to the same terms, conditions, and requirements as if the application were for an original permit.
(Prior code § 10-221)
Applicants for renewal of an ambulance operator's permit or emergency ambulance service permit under this article shall annually file with the Permit Officer an application in writing, on a form furnished by the Permit Officer, which shall include information required in Section 5.96.090. The application for renewal shall be accompanied by a renewal fee.
(Prior code § 10-222)