reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 9 - Discipline and Reinstatement of License › Section 100179 - Substantial Relationship Criteria for the Denial, Placement on Probation, Suspension, or Revocation of a License. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Renumbering of
					 former section 100174 to section
					 100179, including amendment of section
					 heading and section, filed 3-15-99; operative 4-14-99 (Register 99, No.
					 12).
2. Renumbering of former section
					 100179 to section
					 100174 filed 9-10-2004; operative
					 10-10-2004 (Register 2004, No. 37).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1798.200
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.174,
						1797.176,
						1797.185,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 4 - Emergency Medical Technician-Paramedic › Article 9 - Discipline and Reinstatement of License › Section 100180 - Rehabilitation Criteria for Denial, Placement on Probation, Suspension, Revocations, and Reinstatement of License. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Renumbering of
					 former section 100175 to section
					 100180, including amendment of section
					 heading and section, filed 3-15-99; operative 4-14-99 (Register 99, No.
					 12).
2. Renumbering of former section
					 100180 to section
					 100175 filed 9-10-2004; operative
					 10-10-2004 (Register 2004, No. 37).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1798.200
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.172,
						1797.174,
						1797.176,
						1797.185,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100181 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Alternate
				destination facility" means a treatment location that is an authorized mental health
				facility, as defined in Section
				1812 of
				the Health and Safety Code or an authorized sobering center as defined in Section
				1813 of
				the Health and Safety Code.
(b)
				"Authorized mental health facility" means a facility that is licensed or certified
				as a mental health treatment facility or a hospital, as defined in subsection (a) or
				(b) of Section
				1250 of
				the Health and Safety Code, by the State Department of Public Health, and may
				include, but is not limited to, a licensed psychiatric hospital, or licensed health
				facility, or certified crisis stabilization unit. An authorized mental health
				facility may also be a psychiatric health facility licensed by the State Department
				of Health Care Services. The facility shall be staffed at all times with at least
				one registered nurse.
(c) "Authorized
				sobering center" a non-correctional facility that is staffed at all times with at
				least one registered nurse, that provides a safe, supportive environment for
				intoxicated individuals to become sober, that is identified as an alternate
				destination in a plan developed pursuant to Section
				1843 of
				the Health and Safety Code, and that meets any of the following requirements:
(1) The facility is a federally qualified health
				center, including a clinic described in subsection (b) of Section
				1206 of
				the Health and Safety Code.
(2) The
				facility is certified by the State Department of Health Care Services, Substance Use
				Disorder Compliance Division to provide outpatient, nonresidential detoxification
				services.
(3) The facility has been
				accredited as a sobering center under the standards developed by the National
				Sobering Collaborative. Facilities granted approval for operation by Office of
				Statewide Health Planning and Development (OSHPD) before November 28, 2017, under
				the Health Workforce Pilot Project No. 173, may continue operation until one year
				after the National Sobering Collaborative accreditation becomes
				available.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100182 - General Provisions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A LEMSA
				that elects to implement a community paramedicine or triage to alternate destination
				program pursuant to Section
				1840 of
				the Health and Safety Code shall develop and, prior to implementation, submit a plan
				for that program to the Authority for review and approval.
(b) If a LEMSA within the county elects to develop
				a community paramedicine or triage to alternate destination program pursuant to
				Section
				1840 of
				the Health and Safety Code, the county board of supervisors, or in the case of a
				city and county, the mayor, shall establish an emergency medical care committee to
				advise the LEMSA on the development of the program and other matters relating to
				emergency medical services (EMS). Where a committee is already established for the
				purposes described in this article, the county board of supervisors or the mayor,
				shall ensure that the membership meets or exceeds the requirements of Section
				1797.273, subsection (b) of the Health
				and Safety Code.
(c) No person or
				organization shall offer a community paramedicine or triage paramedic training
				program or hold themselves out as offering a community paramedicine or triage
				paramedic training program or hold themselves out as providing ALS services
				utilizing community paramedic personnel for the delivery of community paramedicine
				care unless that person or organization is authorized by the LEMSA to provide those
				services as part of a community paramedicine or triage to alternate destination
				program approved by the Authority in accordance with Section
				1835 of
				the 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).
Note: Authority cited: Sections
					 1797.107,
					 1830 and
					 1831,
					 Health and Safety Code. Reference: Sections
					 1797.259,
					 1797.273,
					 1815,
					 1830,
					 1840 and
					 1851,
					 Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100185 - Documentation and Data Submission

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				Community paramedics and triage paramedics shall complete and submit electronic
				patient care records in accordance with Title 22 California Code of Regulations
				Section 100171.
(b) Community paramedic and triage paramedic
				providers shall document destination facility with standardized facility codes per
				the California Emergency Medical Services Information System (CEMSIS).
(c) Community paramedicine or triage to alternate
				destination programs shall exchange electronic patient health information (HIE)
				between community paramedicine or triage to alternate destination providers and
				health providers and facilities. The Authority may grant a one-time temporary waiver
				based on the proposed plan and timeline to achieve Electronic HIE functionality, not
				to exceed five (5) years of this requirement for alternate destination facilities
				that are unable to immediately comply with the electronic patient health information
				requirement. A plan to establish HIE shall accompany any request for a
				waiver.
(d) Community paramedicine
				programs shall submit to the LEMSA at minimum a quarterly summary of patient
				outcomes, which are due by January 30, April 30, July 30, and October 30 each year,
				in an EMSA provided template with the following data:
(1) For programs which provide directly observed
				therapy (DOT) to persons with Tuberculosis:
(A)
				Total patients enrolled who completed therapy successfully.
(B) Total patients enrolled who are still in the
				treatment program.
(C) Total number of
				patients enrolled who did not complete treatment successfully.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100186 - Quality Improvement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The LEMSA and all participating providers shall include any
				  community paramedicine or triage to alternate destinations program in their existing
				  Quality Improvement programs, and they shall adhere to all sections of Title 22,
				  Division 9, Chapter 12 of the California Code of Regulations.
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
					 1830 and
					 1831,
					 Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100187 - Approval of Community Paramedic and Triage to Alternate Destination Training Programs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The LEMSA is
				responsible for approval of training programs within its geographic area. As the
				approver, the LEMSA has oversight authority to conduct onsite visits, inspect,
				investigate, and discipline the training program for any violations of this Division
				or for failure to fulfill any additional requirements established by the LEMSA
				through denial, probation, suspension, or revocation of the approval.
(b) The LEMSA shall develop policies and
				procedures for the submission of program applications and requirements based on
				patient population and EMS system needs.
(c) Eligible training programs shall submit a
				written request for training program approval to the LEMSA.
(d) The LEMSA shall receive and review the
				following documentation prior to program approval:
(1) A statement verifying that the course content
				meets the requirements contained in the current version of the United States
				Department of Transportation (U.S. DOT) National EMS Education Standards as required
				by Section
				1831(c)(2)
				of the Health and Safety Code.
(2) An
				outline of course objectives.
(3)
				Performance objectives for each skill.
(4) The names and qualifications of the training
				program director, program medical director, and instructors.
(5) If the training program includes supervised
				clinical training, then provisions for supervised clinical training including
				student evaluation criteria and standardized forms for evaluating community
				paramedic students and monitoring of preceptors by the training program shall be
				included.
(6) If the training program
				includes supervised field internship, then provisions for supervised field
				internship including community paramedic student evaluation criteria and
				standardized forms for evaluating students and monitoring of preceptors by the
				training program shall be included.
(7)
				The proposed location(s) and date(s) for courses.
(8) Written contract or agreements between the
				training program and a hospital(s) and other clinical setting(s), if applicable, for
				student placement for clinical education and training.
(9) Written contracts or agreements between the
				training program and a provider agency(ies) for student placement for field
				internship training.
(10) Samples of
				written and skills examinations administered by the training program.
(11) Evidence that training program facilities,
				equipment, examination securities, and student record keeping are compliant with the
				provisions of statute, regulation, and LEMSA requirements.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100188 - Oversight of Training Programs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				LEMSA has oversight authority to conduct onsite visits, inspect, investigate, and
				discipline approved training programs for any violations of this Division or for
				failure to fulfill any additional requirements established by the LEMSA through
				denial, probation, suspension, or revocation of the approval.
(b) The requirements of training program
				noncompliance notification and actions are as follows:
(1) A LEMSA shall provide written notification of
				noncompliance with this Division and/or local standards and requirements to the
				training program provider. The notification shall be in writing and sent by
				certified mail to the training program director.
(2) Within fifteen (15) days from receipt of the
				noncompliance notification, the training program shall submit in writing, by
				certified mail, to the LEMSA one of the following:
(A) Evidence of compliance with the provisions of
				this Division and/or the local standards and requirements, as applicable,
				or
(B) A plan to comply with the
				provisions of this Division and/or the local standards and requirements, as
				applicable, within sixty (60) days from the day of receipt of the notification of
				noncompliance.
(3) Within
				fifteen (15) days from receipt of the training program's response, or within thirty
				(30) days from the mailing date of the noncompliance notification, if no response is
				received from the training program, the LEMSA shall issue a decision letter by
				certified mail to the Authority and the training program. The letter shall identify
				the LEMSA's decision to take one or more of the following actions:
(A) Accept the evidence of compliance
				provided.
(B) Accept the plan for
				meeting compliance provided.
(C) Place
				the training program on probation.
(D)
				Suspend or revoke the training program approval.
(4) The decision letter shall also include, but
				need not be limited to, the following information:
(A) Date of the LEMSA's decision,
(B) Specific provisions found noncompliant by the
				LEMSA, if applicable,
(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 shall establish the probation,
				suspension, or revocation effective dates.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100189 - Community Paramedic and Transportation to Alternate Destination Training Programs Administration and Faculty Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				Each training program shall have a program medical director who is a board certified
				or board eligible emergency medical physician currently licensed in the State of
				California, who has experience in emergency medicine and has education or experience
				in methods of instruction. Duties of the program medical director shall include, but
				not be limited to the following:
(1) Review and
				approve educational content, standards, and curriculum; including training
				objectives and local protocols and policies for the clinical and field instruction,
				to certify its ongoing appropriateness and medical accuracy.
(2) Review and approve the quality of medical
				instruction, supervision, and evaluation of the students in all areas of the
				program.
(3) Approval of hospital
				clinical and field internship experience provisions.
(4) Approval of instructor(s).
(5) The program medical director will certify that
				guest educators invited by primary instructors to provide instruction or
				facilitation have the appropriate expertise to deliver the proposed educational
				content.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100190 - Community Paramedicine or Triage to Alternate Destinations Program Approval Process

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) LEMSA shall
				submit a written request to the Authority for approval of a community paramedicine
				or triage to alternate destination program, which shall include the following:
(1) Identification of the community need and
				recommended solutions.
(2) All program
				medical protocols and policies to include but not limited to, data collection,
				transport, patient safety, and quality assurance/improvement process.
(3) All program service provider approval
				documentation, including written agreements, if any.
(4) All relevant alternate destination facility
				approval documentation, including agreements, if any.
(5) All relevant documentation outlining policy
				for collaboration with public health or community resource entities for DOT and EMS
				high utilizer programs.
(6) Curriculum
				for program focused training.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100191 - Review, Withdrawal, and Revocation of a Community Paramedicine or Triage to Alternate Destination Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
LEMSA shall immediately terminate from participation in the
				  program any alternate destination facility, community paramedicine, or triage to
				  alternate destination provider if it fails to operate in accordance with subsection
				  (b) of Section
				  1317 of
				  the 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).
Note: Authority cited: Sections
					 1797.107,
					 1830 and
					 1831,
					 Health and Safety Code. Reference: Sections
					 1830 and
					 1831,
					 Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100192 - Paramedic Scope of Practice, Accreditation, and Discipline

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Scope of Practice. A community paramedic or
				triage paramedic shall utilize the paramedic scope of practice, approved LEMSA local
				optional scope as identified in section
				100146 of this division, and trial
				study scope identified in section
				100147 of this Division. This includes
				utilizing their general paramedic scope and other approved scopes while transporting
				to alternate destinations, providing care to discharged patients, providing
				vaccinations, and through other conditions as identified in approved community
				paramedicine and triage to alternate destination programs.
(b) Community Paramedic Accreditation to Practice.
(1) A community paramedic shall only utilize
				community paramedicine skills when accredited by the LEMSA as a community paramedic
				within that LEMSA jurisdiction and when associated with that LEMSA's overseen EMSA
				approved Community Paramedicine Program(s).
(2) The LEMSA shall register the community
				paramedic accreditation in the Central Registry public look-up database within five
				(5) business days of the community paramedic accreditation application being
				approved.
(3) An initial community
				paramedic accreditation is deemed effective when recorded in the Central Registry
				public look-up database.
(4) An initial
				community paramedic accreditation shall expire on the last day of the month, two (2)
				years from the effective date of the initial accreditation.
(5) Community paramedic accreditation shall
				require renewal every two (2) years by the LEMSA that oversees EMSA approved
				community paramedic program(s) in the jurisdiction in which the community paramedic
				is associated.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 5 - Community Paramedicine and Triage to Alternate Destination › Section 100193 - Fees

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A LEMSA may establish a schedule of fees for community paramedic
				  and or triage paramedic initial, renewal and reinstatement accreditation in an
				  amount sufficient to cover the reasonable cost of complying with the provisions of
				  this Chapter.
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: Section
					 1797.107,
					 Health and Safety Code. Reference: Sections
					 1797.112
					 and
					 1797.172,
					 Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100201 - Certificate

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Certificate" means a valid Emergency Medical Technician (EMT)
					 or Advanced EMT certificate issued pursuant to Division 2.5.
1. Amendment of
					 chapter heading and new section filed 2-2-2000; operative 3-3-2000 (Register 2000,
					 No. 5).
2. Amendment of chapter heading, section and NOTE filed
					 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.62,
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.62,
						1797.80,
						1797.82,
						1797.184,
						1797.210,
						1797.211,
						1797.216
						and
						1798.200,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100202 - Certifying Entity

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Certifying entity," as used in this Chapter, means a public
					 safety agency or the office of the State Fire Marshal if the agency has a training
					 program for EMT personnel that is approved pursuant to the standards developed
					 pursuant to Section
					 1797.109
					 of the Health and Safety Code, or the medical director of the local EMS agency
					 (LEMSA).
1. Renumbering of
					 former section 100206 to section
					 100202, including amendment of section
					 and NOTE, filed 2-2-2000; operative 3-3-2000 (Register 2000, No. 5).
2.
					 Amendment of section heading and section filed 5-18-2010; operative 6-17-2010
					 (Register 2010, No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.210,
						1797.216
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.62,
						1797.184,
						1797.211
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100202.1 - Disciplinary Cause

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For the purposes of this Chapter, "Disciplinary Cause" means an
					 act that is substantially related to the qualifications, functions, and duties of an
					 EMT and/or Advanced EMT and is evidence of a threat to the public health and safety,
					 per Health and Safety Code Section
					 1798.200.
1. New section
					 filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.184,
						1797.210,
						1797.216
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.62
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100203 - Division 2.5

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
" Division 2.5 " means Division 2.5 of the Health and Safety
					 Code, the Emergency Medical Services System and Prehospital Emergency Medical Care
					 Personnel Act.
1. Renumbering of
					 former section 100207 to section
					 100203 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
2. Amendment of NOTE filed 5-18-2010;
					 operative 6-17-2010 (Register 2010, No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Section
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100204 - Medical Director

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For the purposes of this Chapter, "medical director" means the
					 medical director of the LEMSA, pursuant to Section
					 1797.202(a)
					 of the Health and Safety Code.
1. Renumbering
					 and amendment of former section
					 100209 to section
					 100204 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
2. Repealer and new section filed
					 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.62,
						1797.107,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Section
						1797.202,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100205 - Multiple Certificate Holder

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Multiple certificate holder" means a person who holds an EMT
					 and Advanced EMT or EMT-II certificate issued pursuant to Division
					 2.5.
1. Renumbering of
					 former section 100210 to section
					 100205, including amendment of section
					 and NOTE, filed 2-2-2000; operative 3-3-2000 (Register 2000, No. 5).
2.
					 Amendment of section and NOTE filed 5-18-2010; operative 6-17-2010 (Register 2010,
					 No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.62,
						1797.80,
						1797.82,
						1797.210,
						1797.216
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100206 - Relevant Employer(s)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Relevant employer(s)" means those ambulance services permitted
					 by the Department of the California Highway Patrol or a public safety agency, that
					 the certificate holder works for or was working for at the time of the incident
					 under review, as an EMT or Advanced EMT either as a paid employee or a
					 volunteer.
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Renumbering of
					 former section 100206 to section
					 100202 and renumbering and amendment of
					 former section 100213 to section
					 100206 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
3. Amendment of section and NOTE filed
					 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						179.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100206.1 - Discipline

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Discipline" means either a disciplinary plan taken by a
					 relevant employer pursuant to Section
					 100206.2 of this Chapter or
					 certification action taken by a medical director pursuant to Section
					 100204 of this Chapter, or both a
					 disciplinary plan and certification action.
1. New section
					 filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100206.2 - Disciplinary Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Disciplinary Plan" means a written plan of action that can be
					 taken by a relevant employer as a consequence of any action listed in Section
					 1798.200(c).
1. New section
					 filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100206.3 - Certification Action

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Certification Action" means those actions that may be taken by
					 a medical director that include denial, suspension, revocation of a certificate, or
					 placing a certificate holder on probation.
1. New section
					 filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.204
						and
						1798.200,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 1 - Definitions › Section 100206.4 - Model Disciplinary Orders

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Model Disciplinary Orders" (MDOs) means the "RECOMMENDED
					 GUIDELINES FOR DISCIPLINARY ORDERS AND CONDITIONS OF PROBATION FOR EMT (BASIC) AND
					 ADVANCED EMT" (EMSA document #134, 4/1/2010) which were developed to provide
					 consistent and equitable discipline in cases dealing with disciplinary
					 cause.
1. New section
					 filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 2 - General Provisions › Section 100207 - Application of Chapter

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  certifying entity, relevant employer, or LEMSA shall adhere to the provisions of
				  this Chapter, in applicable situations, when investigating or implementing any
				  actions for disciplinary cause.
(b) In
				  order to take disciplinary or certification action on an EMT, Advanced EMT, or
				  EMT-II, it must first be determined that a disciplinary cause has occurred by the
				  applicant or certificate holder and there exists a threat to the public health and
				  safety, as evidenced by the occurrence of any of the actions listed in Section
				  1798.200(c)
				  of the Health and Safety Code by the applicant or certificate holder.
(c) An application for certification or
				  recertification shall be denied without prejudice and does not require an
				  administrative hearing, when an applicant does not meet the requirements for
				  certification or recertification, including but not limited to, failure to pass a
				  certification or recertification examination, lack of sufficient continuing
				  education or documentation of a completed refresher course, failure to furnish
				  additional information or documents requested by the certifying entity, or failure
				  to pay any required fees. The denial shall be in effect until all requirements for
				  certification or recertification are met. If a certificate expires before
				  recertification requirements are met, the certificate shall be deemed a lapsed
				  certificate and subject to the provisions pertaining to lapsed
				  certificates.
(d) Nothing in this
				  chapter shall be construed to limit the authority of a base hospital medical
				  director to provide supervision and medical control for prehospital emergency
				  medical care personnel as specified in local medical control policies and procedures
				  developed pursuant to requirements of Division 2.5 and Chapters 3 and 4 of this
				  division for medical control and supervision.
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Relocation of
					 article 2 heading from section
					 100215 to section
					 100207, renumbering of former section
					 100207 to section
					 100203 and renumbering of former
					 section 100215 to section
					 100207, including amendment of section
					 and NOTE, filed 2-2-2000; operative 3-3-2000 (Register 2000, No. 5).
3.
					 Amendment of section and NOTE filed 5-18-2010; operative 6-17-2010 (Register 2010,
					 No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.62,
						1797.176,
						1797.202,
						1797.210,
						1797.216,
						1797.220,
						1798,
						1798.100,
						1798.102,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 2 - General Provisions › Section 100208 - Substantial Relationship Criteria for the Denial, Placement on Probation, Suspension, or Revocation of a Certificate

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) For the purposes of denial, placement on
				  probation, suspension, or revocation of a certificate, pursuant to Section
				  1798.200(c)
				  of the Health and Safety Code, a crime or act shall be considered to be
				  substantially related to the qualifications, functions, or duties of a certificate
				  holder if to a substantial degree it evidences unfitness of a certificate holder to
				  perform the functions authorized by the certificate in that it poses a threat to the
				  public health and safety.
(b) For the
				  purposes of a crime, the record of conviction or a certified copy of the record
				  shall be conclusive evidence of such conviction.
(1) "Crime" means any act in violation of the
				  penal laws of this state, any other state, or federal laws. This also means
				  violation(s) of any statute which impose criminal penalties for such
				  violations.
(2) "Conviction" means the
				  final judgement on a verdict of finding of guilty, a plea of guilty, or a plea of
				  nolo contendere.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 2 - General Provisions › Section 100208.1 - Responsibilities of Relevant Employer

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Under the provisions of this Chapter, relevant employers:
(a) May conduct investigations, according to the
				  requirements of this Chapter, to determine disciplinary cause.
(b) Upon determination of disciplinary cause, the
				  relevant employer may develop and implement, a disciplinary plan, in accordance with
				  the MDOs.
(1) The relevant employer shall submit
				  that disciplinary plan, along with the relevant findings of the investigation
				  related to disciplinary cause to the LEMSA that issued the certificate, within three
				  (3) working days of adoption of the disciplinary plan. In the case where the
				  certificate was issued by a non-LEMSA certifying entity, the disciplinary plan shall
				  be submitted to the LEMSA that has jurisdiction in the county in which the
				  headquarters of the certifying entity is located.
(2) The employer's disciplinary plan may include a
				  recommendation that the medical director consider taking action against the holder's
				  certificate to include denial of certification, suspension of certification,
				  revocation of certification, or placing a certificate on
				  probation.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 2 - General Provisions › Section 100209 - Jurisdiction of the Medical Director

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
				  medical director who issued the certificate, or in the case where the certificate
				  was issued by a non-LEMSA certifying entity, the LEMSA medical director that has
				  jurisdiction in the county in which the headquarters of the certifying entity is
				  located, shall conduct investigations to validate allegations for disciplinary cause
				  when the certificate holder is not an employee of a relevant employer or the
				  relevant employer does not conduct an investigation. Upon determination of
				  disciplinary cause, the medical director may take certification action as necessary
				  against an EMT or Advanced EMT certificate.
(b) The medical director may, upon determination
				  of disciplinary cause and according to the provisions of this Chapter, take
				  certification action against an EMT or Advanced EMT to deny, suspend, or revoke, or
				  place a certificate holder on probation, upon the findings by the medical director
				  of the occurrence of any of the actions listed in Health and Safety Code, Section
				  1798.200(c)
				  and for which any of the following conditions are true:
(1) The relevant employer, after conducting an
				  investigation, failed to impose discipline for the conduct under investigation, or
				  the medical director makes a determination that discipline imposed by the relevant
				  employer was not in accordance with the MDOs and the conduct of the certificate
				  holder constitutes grounds for certification action.
(2) The medical director determines, following an
				  investigation conducted in accordance with this Chapter, that the conduct requires
				  certification action.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 3 - Evaluation and Investigation › Section 100210 - Evaluation of Information

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
				  relevant employer who receives an allegation of conduct listed in Section
				  1798.200(c)
				  of the Health and Safety Code against an EMT or Advanced EMT and once the allegation
				  is validated, shall notify the medical director of the LEMSA that has jurisdiction
				  in the county in which the alleged violation occurred within three (3) working days,
				  of the EMT's or Advanced EMT's name, certification number, and the
				  allegation(s).
(b) A LEMSA that receives
				  any complaint against an EMT or Advanced EMT shall forward the original complaint
				  and any supporting documentation to the relevant employer for investigation pursuant
				  to subsection (a) of this section, if there is a relevant employer, within three (3)
				  working days of receipt of the information. If there is no relevant employer or the
				  relevant employer does not wish to investigate the complaint, the medical director
				  shall evaluate the information received from a credible source, including but not
				  limited to, information obtained from an application, medical audit, or public
				  complaint, alleging or indicating the possibility of a threat to the public health
				  and safety by the action of an applicant for, or holder of, a certificate issued
				  pursuant to Division 2.5.
(c) The
				  relevant employer or medical director shall conduct an investigation of the
				  allegations in accordance with the provisions of this Chapter, if
				  warranted.
(d) Statewide public safety
				  agencies shall provide the Authority with current relevant employer contact
				  information for their individual agencies.
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Relocation and
					 amendment of article 3 heading from section
					 100219 to section
					 100210, renumbering of former section
					 100210 to section
					 100205 and renumbering and amendment of
					 former section 100219 to section
					 100210 filed 2-2-2000; operative
					 3-3-2000 (Register 2000, No. 5).
3. Amendment of section and NOTE filed
					 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.62,
						1797.90,
						1797.176,
						1797.202,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 3 - Evaluation and Investigation › Section 100211 - Investigations Involving Firefighters

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  The rights and protections described in Chapter 9.6, Division 4 of Title 1 of the
				  Government Code shall only apply to a firefighter during events and circumstances
				  involving the performance of his or her official duties.
(b) All investigations involving EMT s, Advanced
				  EMT's, and EMT-IIs who are employed by a public safety agency as a firefighter shall
				  be conducted in accordance with Chapter 9.6, Division 4 of Title 1 of the Government
				  Code, Section
				  3250 et.
				  seq.
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Repealer of
					 former section 100211 and renumbering of former
					 section 100222 to section
					 100211, including amendment of section
					 heading, section and NOTE, filed 2-2-2000; operative 3-3-2000 (Register 2000, No.
					 5).
3. Amendment of section heading, repealer and new section and
					 amendment of NOTE filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections
						1797.107,
						1797.176
						and
						1798.204,
						Health and Safety Code; and Sections
						3250 and
						27727,
						Government Code. Reference: Sections
						1797.90,
						1797.176,
						1797.202,
						1797.220
						and
						1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 3 - Evaluation and Investigation › Section 100211.1 - Due Process

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The certification action process shall be in accordance with
					 Chapter 5 (commencing with Section
					 11500) of Part 1 of Division 3 of Title
					 2 of the Government Code.
1. New section
					 filed 5-18-2010; operative 6-17-2010 (Register 2010, No.
					 21).
Note: Authority cited: Sections: 1797.107, 1797.176, 1797.184
						and 1798.204, Health and Safety Code. Reference: Sections: 1798.200 and 1798.204,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 9 - Prehospital Emergency Medical Services › Chapter 6 - Process for EMT and Advanced EMT Disciplinary Action › Article 4 - Determination and Notification of Action › Section 100212 - Determination of Certification Action

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  certification action relative to the individual's certificate(s) shall be taken as a
				  result of the findings of the investigation.
(b) Upon determining the disciplinary or
				  certification action to be taken as authorized by this Chapter, the relevant
				  employer or medical director shall complete and place in the personnel file or any
				  other file used for any personnel purposes by the relevant employer or LEMSA, a
				  statement certifying the decision made and the date the decision was made. The
				  decision must contain findings of fact and a determination of issues, together with
				  the disciplinary plan and the date the disciplinary plan shall take
				  effect.
(c) In the case of a temporary
				  suspension order pursuant to Section
				  100209(c) of this
				  Chapter, it shall take effect upon the date the notice required by Section
				  100213 of this Chapter is mailed to the
				  certificate holder.
(d) For all other
				  certification actions, the effective date shall be thirty days from the date the
				  notice is mailed to the applicant for, or holder of, a certificate unless another
				  time is specified or an appeal is made.
1. New section
					 filed 5-3-88; operative 6-2-88 (Register 88, No. 19).
2. Relocation of
					 article 4 heading from section
					 100223 to section
					 100212, repealer of former section
					 100212 and renumbering of former
					 section 100223 to section
					 100212, including amendment of section
					 heading, section and NOTE, filed 2-2-2000; operative 3-3-2000 (Register 2000, No.
					 5).
3. Amendment of section heading, section and NOTE filed 5-18-2010;
					 operative 6-17-2010 (Register 2010, No. 21).
Note: Authority cited: Sections
						1797.107,
						1797.176,
						1797.184
						and
						1798.204,
						Health and Safety Code. Reference: Sections
						1797.61,
						1797.62,
						1797.176,
						1797.202,
						1797.211,
						1797.220,
						1798,
						1798.200
						and
						1798.204,
						Health and Safety Code.