Article 6 — Miscellaneous Provisions

A. Ambulance Available. 1. Emergency. Upon receiving a call for emergency ambulance service the permittee shall immediately dispatch an ambulance to the address or place given and the ambulance dispatched shall immediately start a direct run to that address or place and shall complete that run unless directed otherwise by the appropriate communications center, or unless diverted to respond to another emergency. 2.

Nonemergency. Upon receiving a call for nonemergency ambulance service the permittee shall promptly dispatch, or schedule for dispatch at a time acceptable to the caller, an ambulance to the address or place given and the ambulance shall promptly, or at the time scheduled, start a direct run to that address or place and shall complete that run unless directed otherwise by the appropriate communications center, or unless diverted to respond to an emergency. B. Ambulance Unavailable. 1. Emergency. Upon receiving a call for emergency ambulance service and having no ambulance available to immediately make a direct run to the address or place given the permittee shall immediately notify the caller of this fact, and if the caller cannot be so notified, the permittee shall immediately notify the appropriate communications center. 2. Nonemergency. Upon receiving a call for nonemergency ambulance service and having no ambulance available to make a direct run to the address or place given, or to do so at some later time agreeable to the caller, the permittee shall immediately notify the caller of this fact. C. Ambulance Diverted. If an ambulance is directed to make a direct run to an address or place and is thereafter diverted for any reason, the permittee shall immediately notify the caller of this fact, and, in the case of emergency service, if the caller cannot be notified the permittee shall immediately notify the appropriate communications center. (CCCC § 48-18.002)

No ambulance service permittee under this chapter shall cause or allow its ambulance(s) to respond to a location without first receiving a specific request for such service at that location. Ambulance service permittee shall cooperate with the Permit Officer, or designee(s), in any investigations of possible violations of this section and shall make all dispatch logs and similar records available for inspection and copying at reasonable times at the permittee's regular place of business. (CCCC § 48-18.003)

Renewal of an ambulance service permit shall require conformance with all requirements of this chapter as upon issuance of an initial permit. Nothing in this chapter shall be construed as requiring the granting of a permit upon expiration of a previous permit, and the burden of proof respecting compliance with all the

requirements for a permit and of entitlement to a permit shall remain at all times with the applicant for renewal. (CCCC § 48-18.004)

No ambulance service permittee under this chapter shall announce, advertise, offer or in any way claim that: A. It provides emergency ambulance service unless it possesses a current valid emergency ambulance service permit for the emergency response area(s) where it is claiming to provide such service; or B. It provides limited advanced or advanced life support service unless it actually provides such service. (CCCC § 48-18.006)

Upon adoption of the ordinance codified in this chapter by incorporated cities or towns in the county, the provisions of this chapter shall be extended to include the streets, roads, highways, alleys or any public place within the incorporated area of the city or town and the Permit Officer shall enforce this chapter within that jurisdiction. (CCCC § 48-18.008)

The city designates the Health Services Department as its local EMS agency pursuant to Health and Safety Code Sections 1797 et seq., and authorizes a limited advanced life support and/or an advanced life support program which provides services utilizing EMT II or paramedics, or both. The Health Officer is empowered to implement said designation and program in this city. (CCCC § 48-18.010)