Contra Costa County Municipal Code Ch. 48-18 Special Event Medical Standby Services

The purpose of this chapter is to ensure emergency medical services system preparedness and minimum personnel standards by establishing procedures for permitting special events when special events are conducted on public or private property within Contra Costa County. These permitting procedures authorize the permit officer to approve permits for medical standby services at special events and to require permit conditions or deny permits when necessary to protect and promote the health, safety, and welfare of the public by ensuring adequate availability of ambulances and other emergency medical service resources to the county, and by ensuring that personnel meet minimum training, certification and license requirements.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

No person, firm, partnership, corporation or other organization, either as owner, agent or otherwise, shall operate, conduct, maintain or otherwise engage in a special event where the attendance is expected or designed to exceed two thousand five hundred people, without providing a medical standby service for the special event. Events operated, conducted or maintained by a government agency are exempt from this requirement.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

No person, firm, partnership, corporation or other organization, either as owner, agent or otherwise, shall furnish, operate, conduct, maintain or otherwise engage in special event medical standby services within Contra Costa County, unless the person, firm, partnership, corporation or other organization holds a current special event medical standby services permit.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

An application for a special event medical standby services permit must be made upon forms prescribed by the permit officer no less than thirty days before the event.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

(a) An application for a special event medical standby services permit must be signed by the applicant and submitted to the LEMSA together with the required fee.

(b) An application must include all of the following information:

(1) The name and address of the applicant, including the names, business addresses and residence addresses of record of the applicant and registered owner(s).

(2) The trade, firm, or fictitious business name recorded with the county clerk, under which the applicant has engaged, currently engages, or proposes to engage in special event medical standby services.

(3) The applicant's training and experience in the provision of medical standby services and patient care.

(4) Verification that the applicant has obtained all licenses and permits required by state and local law for the type of service proposed.

(5) Evidence of insurance coverage in an amount as may be required by the permit officer.

(6) The applicant's legal history, including any criminal convictions or civil judgments. If the applicant is a sole proprietorship operating under a fictitious business name, or if the applicant is a partnership, the legal history of the proprietor or partners must be provided. Corporations and limited liability companies shall disclose all civil judgments or enforcement actions taken against them, as well as the legal history of the principals of the corporation or the limited liability company.

(7) A statement specifying whether the applicant has previously operated a medical standby service company outside of Contra Costa County, and if so, under what name, type, where operated, and duration of operation.

(8) Verification that the applicant's staff have received training in LEMSA's treatment guidelines and policies and meet the minimum required training and certification(s) required by LEMSA policy.

(9) Written acknowledgment that the applicant understands and will comply with the LEMSA's policies, treatment guidelines and other rules established for medical standby services.

(c) An application must include the following information about the special event:

(1) A description of the special event, including the title, type of event, date, time, anticipated attendance, and participants.

(2) A description of the physical location of the special event, including street names that are part of the venue and its surrounding area. If the event involves a moving route, the direction of the travel and street or lane closures must be described.

(3) The resources the applicant will have at the special event and the manner in which they will be managed and deployed.

(4) A description of the services that the applicant will provide at the special event.

(5) A description of the standby service provider's medical plan for the special event, including a communications plan, the names and certification levels of staff or volunteers (physician, registered nurse, paramedic, or EMT) and certification or license numbers. The plan must include hours of set-up and dismantling of medical aid areas.

(6) A description of the uniform to be worn by certified or licensed staff or volunteers at the special event.

(7) A description of the process used to determine the need to contact 9-1-1 for patient transport from the special event.

(8) An incident action plan for the special event.

(d) The applicant may be required to submit additional information if requested by the permit officer.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

A nonrefundable application fee must accompany every application for a special event medical services standby permit in an amount established by board resolution.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

(a) If the applicant meets all the requirements to furnish, operate, conduct, maintain, or otherwise engage in medical standby services, the application will be approved and the permit issued.

(b) An application for a special event medical standby services permit may be denied for any of the following reasons:

(1) Failure to have certified, licensed and trained staff or volunteers.

(2) Failure to have adequate resources, including an adequate number of staff relative to the size of the special event.

(3) Failure to comply with LEMSA policies or treatment guidelines.

(4) Failure to have proper equipment, including communications equipment.

(5) Failure to comply with medical standby services permit conditions or requirements in the past.

(6) Any material omission or misrepresentation made by the applicant on its application.

(7) A plan or condition that creates or reasonably could create a risk to the health and safety of the attendees or staff of the special event.

(c) If an application for a special event medical standby services permit is denied, the applicant will be notified in writing of the basis for the denial. This notice will be sent to the address provided on the application.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

(a) Whenever the permit officer denies an application for special event medical standby services permit, the applicant may make a written request for hearing. The written request for hearing must be made within ten days after the denial. A hearing will be conducted pursuant to Section 48-16.1004 within twenty days after the denial.

(b) If an application is incomplete, the application will be rejected and the applicant notified at the address provided on the application. An incomplete application will be returned to the applicant together with the fee paid. Notwithstanding subsection (a) of this section, if the permit officer rejects an application for special event medical standby services permit because the applicant failed to provide all required information or payment of the required fee, the applicant has no right to a hearing. The applicant may resubmit a complete application together with the application fee at any time.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

No person affiliated with special event standby services may use a vehicle to transport patients at or from a special event held on public or private property unless authorized by the LEMSA as part of the special event medical services standby permit.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

The color scheme, logo and uniform design used to designate a special event medical service vehicle and personnel of the special event medical services provider shall not be the same or similar to the color scheme or design of a public safety agency, or other ambulance service provider.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

A person or entity holding a valid and current certificate of operation and public safety agencies are exempt from the requirements of this chapter, except that the person or entity shall notify the LEMSA ten days before providing special event medical standby services.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

Compliance with this chapter does not excuse the special event medical standby services permit holder from the requirement to comply with all other applicable laws and regulations where the event will be held.

(Ord. No. 2022-21, §§ II, III, 6-21-22).

Upon the request of the permit officer, a special event medical standby service provider shall make its staff and equipment available to aid and assist the LEMSA or public safety agency in the event of a wide-scale emergency or disaster occurring at a special event, and if requested, shall participate in emergency planning with the LEMSA.

(Ord. No. 2022-21, §§ II, III, 6-21-22).