In addition to the other requirements and obligations set forth in this Chapter, each EMT I, EMT-II, Paramedic, or MICN shall comply with the provisions of the Emergency Medical Services System and the Prehospital Emergency Medical Care Act, Health and Safety Code section 1797 et seq.; California Code of Regulations, Title 22, section 100000 et seq.; and the EMS Agency Policies and Procedures Manual. Failure to comply with this section shall result in disciplinary action as provided in Health and Safety Code section 1798.200 and the EMS Policies and Procedures Manual.
(Added by Ord. No. 3390, effective 8-20-09)
Each Ambulance Service Provider Licensee shall comply with the provisions of the Emergency Medical Service System and the Prehospital Emergency Medical Care Act, Health and Safety Code section 1797 et seq.; California Code of Regulations, Title 22, section 100000 et seq.; the EMS Agency Policies and Procedures Manual; and any written agreement with the County.
In addition to the other requirements and obligations set forth in this Chapter, each ambulance service provider licensee shall:
(a) 
Render services required under this Chapter on a twenty-four (24) hour a day basis throughout the entire service area specified by the license in accordance with the EMS Agency Policies and Procedures Manual and any written agreement with the County. Such service shall commence within five (5) days after the issuance of the license unless the Board extends such time limitation upon the showing of good cause by the licensee.
(b) 
Not voluntarily discontinue any services to the service area or any portion thereof without first giving written notice to the Health Director at least ninety (90) days prior to the proposed discontinuance.
(c) 
Notify the local EMS Agency in writing within five (5) days after the receipt of the results of all vehicle inspections conducted by the State and of any disciplinary action taken by any State agency regarding any ambulance license.
(d) 
Notify the Health Director in writing within five (5) days after being informed of any disciplinary action taken against any ambulance driver or attendant employed by the licensee which could result in suspension or revocation of a certificate pursuant to California Code of Regulations, Title 22, Division 9, Chapter 4, section 100135 et seq., and Chapter 6, section 100201 et seq.
(e) 
Notify the Health Director in writing within thirty (30) days of any other changes in the information set forth in any application, certification, or document required by this Chapter.
(f) 
Immediately notify the local EMS Agency and other affected public safety agencies beforehand of any or foreseeable interruptions, suspensions, or delays in services which may endanger the health, safety, and welfare of the residents of the service area, or portion thereof, covered by the license.
(g) 
Immediately notify the local EMS Agency and other affected public safety agencies of any unforeseeable interruptions, suspensions, or delays in service as they occur which result in the licensee being unable to put the required number of ambulances in the field in accordance with its ambulance service provider license and the EMS Agency Policies and Procedures Manual.
(h) 
Staff each ambulance with at least two (2) persons at all times, including a driver and attendant, each of whom must be an EMT-I, EMT-II, Paramedic, and/or MICN as specified in individual ambulance provider agreements.
(i) 
Participate in the 9-1-1 telephone system of the County.
(Added by Ord. No. 3390, effective 8-20-09; amended by Ord. No. 3490, effective 2-25-16)
Any ambulance service provider licensee located outside of the County, but authorized to operate within a service area, shall be subject to medical control, and comply with medical protocol, of its local EMS Agency of origin. In all other respects, it shall comply with all applicable Tulare County EMS policy and procedures, unless modified by written agreement with the Tulare County local EMS agency.
(Added by Ord. No. 3390, effective 8-20-09)
Failure of any ambulance service provider licensee to comply with the notification requirements of subdivision (f) or (g) of section 6-07-7010 shall result in the automatic suspension of its ambulance service provider license effective immediately upon interruption of service. If notification under the applicable subdivision does not occur in time for Board action before an interruption of service occurs, the Health Director or, in his or her absence, the Health Officer may arrange for services to be provided under the emergency provisions of Article 3 and/or Article 5.
(Added by Ord. No. 3390, effective 8-20-09)