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Legal Resources | Code of Regulations, Title 22 |  T22  51231.1  

Subdivision 1. California Medical Assistance Program. Article 3. Standards for Participation (Refs & Annos). Litter Van Requirements   

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(a) Litter vans shall be operated by a certified driver and an attendant.

(1) These persons shall:

(A) Possess a current California driver's license or a current California Ambulance Driver Certificate issued by the State Department of Motor Vehicles.

(B) Be at least 18 years of age.

(C) Possess at least a current American Red Cross Standard First Aid and Personal Safety Certificate or equivalent.

(D) Have passed a physical examination within the past two years and possess a current Department of Motor Vehicle form DL-51, Medical Examination Report, which is specifically incorporated herein by reference.

(E) Not act in the capacity of a driver or attendant when such person:

1. Is required by law to register as a sex offender for any offense involving force, duress, threat or intimidation.

2. Habitually or excessively uses or is addicted to narcotics or dangerous drugs, or has been convicted during the preceding seven years of any felony offense relating to the use, sale, possession or transportation of narcotics, addictive or dangerous drugs or alcohol .

3. Habitually or excessively uses intoxicating beverages.

(b) Litter vans shall be equipped with at least the following:

(1) Loading entrance large enough to accommodate a patient comfortably lying on a standard-sized gurney.

(2) Emergency exit, other than loading entrance, that can accommodate a standard-sized gurney.

(3) Locking devices for all doors and all door latches which shall be operable from inside and outside on all vehicles manufactured and first registered after January 1, 1980.

(4) Approved seat belt assemblies for the driver and attendant.

(5) Fasteners to secure the gurney to the vehicle which must be of sufficient strength to prevent the gurney from rolling or sliding, to prevent the gurney from leaving the floor in case of sudden movement and to support the gurney and patient in the event the vehicle is overturned.

(6) One interior light.

(7) Portable, battery operated light.

(8) Controlled heating and air conditioning system in the passenger compartment.

(9) Seats covered with washable vinyl or similar impermeable material which shall be in sanitary and functional condition.

(10) Spare wheel, jack and tire tools necessary to make minor repairs except when operating where service and repair cars are immediately available.

(11) Current maps of the streets in the area where service is provided.

(12) Fire extinguisher, type 4-B:C dry powder or carbon dioxide. Vaporizing liquid extinguishers shall not be used.

(13) Identification display of the name under which the litter van is doing business or providing service, on both sides and the rear of each litter van in letters that contrast sharply with the background. Lettering for upper case letters shall be not less than four inches in height, or proportionate width, and of a color readily visible during daylight. Lower case letters shall be no less than three-fourths of the upper case height. All litter vans operated under a single license shall display the same identification. A litter van shall not display identification as an ambulance.

(14) One two-man gurney with mattress and upper and lower restraining straps.

(15) Cot fastener, floor or wall type.

(16) Attendant seat in patient compartment.

(c) Litter vans may be used as wheelchair vans if the litter van meets all the requirements for a wheelchair van as listed in Section 51231.2.

(d) Litter van providers shall be licensed, operated and equipped in accordance with applicable federal, state and local statutes, ordinances and regulations.

(e) Litter van providers in other states shall comply with applicable federal, state and local statutes, ordinances and regulations.

(f) All litter van patients shall be secured to gurney by restraining belts while being loaded, unloaded and transported.

(g) The driver or attendant shall not smoke in the litter van while transporting a patient.

(h) Litter van providers shall furnish the following information to the local Medi-Cal Field Office on an annual basis:

(1) Statement of hours of operation and geographic area served.

(2) Standard brake and light certificate issued by the Department of Consumer Affairs within 45 days following the annual renewal date.

Authority cited:

Welfare and Institutions Code 14105

Welfare and Institutions Code 14124.5

Reference:

Welfare and Institutions Code 14132

(Added by Register 80, No. 21.)