Napa County Municipal Code Art. I General Provisions

This ordinance shall be known as the "Ambulance Ordinance."

(Ord. No. 1464, § 1, 12-8-2020)

The purpose of this ordinance is to:

A. Establish formal policies and regulations for issuing certificates and permits, and regulating the operation of ground ambulance services in Napa County;

B. Protect the public by assuring that ambulances operate safely and meet certain minimum levels and standards of equipment, staffing, and mechanical reliability;

C. Allow for adequate, appropriate, and efficient ambulance services in all areas of Napa County;

D. Allow for the orderly and lawful operation of a local emergency and non-emergency medical services system pursuant to the provisions of Health and Safety Code Section 1797 et seq.; and

E. Allow for all ambulance services to be a part of the county EMS system with the necessary training, policies, procedures, and communication systems.

(Ord. No. 1464, § 1, 12-8-2020)

A. Upon adoption by the County Board of Supervisors (board), the ordinance shall apply within the county's unincorporated areas and to ambulance companies that transport patients from locations within the county through unincorporated areas.

B. Upon adoption by a city of the ordinance, the county shall have enforcement powers within that city. However, lack of adoption of all or part of this ordinance by a city shall not be interpreted as limiting any authority granted to the county by Division 2.5 of the California Health and Safety Code and the California Code of Regulations, Title 22, Division 9.

C. This chapter shall apply to a governmental agency such as a city or town fire department or fire district ambulance service. However, governmental agencies and nonprofit organizations staffed by all volunteers shall not be required to pay any fees required by this chapter.

(Ord. No. 1464, § 1, 12-8-2020)

A. This ordinance shall be administered by the Napa County Health and Human Services Agency's (HHSA) director. The county designates HHSA to be the Local Emergency Medical Services Agency (LEMSA) for the purpose of the administration of this ordinance. The director of HHSA shall make necessary and reasonable policies, procedures, and/or protocols for the effective and reasonable administration of this ordinance. These policies, procedures, and/or protocols shall be codified in the county's LEMSA Administrative Policy and Field Treatment Guideline Manual and may include, but not be limited to:

1. Response time standards for non-emergency responses in each area of the county;

2. Identification of required clinical or operational reports and dispatch records;

3. Personnel requirements;

4. Equipment requirements;

5. Vehicle requirements;

6. Other clinical, operational, and dispatch standards;

7. Clinical and operational data reports;

8. Special event stand-by;

9. Emergency and disaster operations.

B. All references herein to LEMSA Administrative Policy and Treatment Guideline Manual ("LEMSA Policy Manual") or Administrative Policy and Field Treatment Guideline Manual or policies and medical orders/direction by the EMS Medical Director shall be interpreted as referring to the current version and all subsequent modifications to such policies and regulations.

(Ord. No. 1464, § 1, 12-8-2020)