Section 100184 - [Operative until 1/1/2025] Community Paramedicine, Triage to Alternate Destination, and Alternate Destination Facility Providers Program Requirements, Oversight and Withdrawal(a) LEMSAs that approve a community paramedicine, triage to alternate destination, or alternate destination facility provider shall annually conduct a review of community paramedicine, triage to alternate destination, or alternate destination facility providers programs to ensure compliance with all requirements.(b) A community paramedicine, triage to alternate destination, or alternate destination facility providers program's failure to comply with the provisions of statute, regulation, and/or any additional LEMSA requirements may result in denial, probation, suspension, or revocation of approval by the LEMSA. Not complying with this subsection is considered noncompliance.(c) The procedure for notifying a community paramedicine, triage to alternate destination, or alternate destination facility providers programs of noncompliance shall be as follows: (1) Within ten (10) days of a LEMSA finding noncompliance by a community paramedicine, triage to alternate destination, or alternate destination facility provider, the LEMSA shall provide a written notification of noncompliance to the community paramedicine, triage to alternate destination, or alternate destination facility provider, including the specific requirements they failed to meet. The notification shall be sent by certified mail to the director.(2) Within fifteen (15) days from receipt of the notification, the community paramedicine, triage to alternate destination, or alternate destination facility provider shall submit, in writing and by certified mail, to the LEMSA one of the following: (A) Evidence of compliance, or(B) A plan to comply within sixty (60) days from the day of receipt of the notification of noncompliance.(3) Within fifteen (15) days from receipt of the community paramedicine, triage to alternate destination, or alternate destination facility provider's response, or within thirty-five (35) days from the mailing date of the notification of noncompliance if no response is received from the community paramedicine, triage to alternate destination, or alternate destination facility provider, the LEMSA shall issue a decision letter by certified mail to the Authority and the community paramedicine, triage to alternate destination, or alternate destination facility provider. The letter shall identify the LEMSA's decision to take one or more of the following actions based on relevant factors such as severity of noncompliance, actual or potential harm to public health, safety, and welfare, or history of compliance or noncompliance as provided in subsection (b) of this section: (A) Accept the evidence of compliance provided.(B) Accept the plan for meeting compliance provided.(C) Place the community paramedicine, triage to alternate destination, or alternate destination facility provider on probation.(D) No sooner than five (5) days after the LEMSA's decision suspend or revoke the community paramedicine, triage to alternate destination, or alternate destination facility provider.(4) The decision letter shall also include, but not be limited to, the following information: (A) Date of the LEMSA's decision,(B) Specific requirements that LEMSA found the community paramedicine, triage to alternate destination, or alternate destination facility provider failed to meet,(C) The probation or suspension effective and ending date, if applicable,(D) The terms and conditions of the probation or suspension, if applicable, and(E) The revocation effective date, if applicable.(5) The LEMSA that approves a community paramedicine, triage to alternate destination, or alternate destination facility provider shall establish the probation, suspension, or revocation effective dates no sooner than five (5) days after the date of the community paramedicine provide community paramedicine, triage to alternate destination, or alternate destination facility provider had been notified under subsection (c)(3) of this Section.(6) EMSA retains authority to take any necessary action against a community paramedicine, triage to alternate destination, or alternate destination facility provider for failure to meet the requirements of this Chapter or the community paramedicine or triage to alternate destination program requirements of the LEMSA. Such action may be taken in addition to any actions taken by the LEMSA and may include immediate suspension or revocation.Cal. Code Regs. Tit. 22, § 100184
1. New section filed 10-31-2022; operative 11-1-2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 44). Note: Authority cited: Sections 1797.107, 1830 and 1831, Health and Safety Code. Reference: Sections 1811, 1812, 1813, 1830, 1831, 1832, 1840, 1841 and 1842, Health and Safety Code.
1. New section filed 10-31-2022; operative 11/1/2022 pursuant to Government Code section 11343.4(b)(3) (Register 2022, No. 44). The amended version of this section by Register 2024, No. 38, effective 1/1/2025 is not yet available.