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Home My WebLink About20133452.tiffRESOLUTION RE: APPROVE APPLICATION FOR TIER I EMERGENCY MEDICAL SERVICES LICENSE AND AUTHORIZE CHAIR TO SIGN - PLATTE VALLEY AMBULANCE SERVICE WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, pursuant to Section 7-2-100 of the Weld County Code, the Weld County Department of Public Health and Environment and the Weld County Emergency Medical/Trauma Service Council have reviewed the application of the Platte Valley Ambulance Service for a Tier I Emergency Medical Services License and recommend approval, and WHEREAS, after review, the Board deems it advisable to approve said Application for a Tier I Emergency Medical Services License, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the application of the Platte Valley Ambulance Service for a Tier I Emergency Medical Services License be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that approval of the License is conditional upon execution of appropriate Mutual Aid Agreements. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said license. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 16th day of December, A.D., 2013. BOARD OF COUNTY COMMISSIONERS ATTEST: Weld County Clerk to the Board WELD OD William F. Garcia, Chair �i� •y e Freeman Attorney 3 1 2013arbara Kirkm(abayet— DEC Date of signature: C.� : (Keu�r,,7aly� ) )41_ t16611 q 2013-3452 HL0042 Memorandum TO: FROM: DATE: SUBJECT: Board of County Commissioners Dr. Mark Wallace { J December 4, 2013 Platte Valley Ambulance Service EMS 2014 Application for Ambulance Service License Platte Valley Ambulance Service EMS, located at 1600 Prairie Center Parkway, Brighton, Colorado, has applied for an Ambulance Service license pursuant to Chapter 7, of the Weld County Code (WCC). Chapter 7 pertains to Emergency Medical Services. The Department has reviewed this application and has deemed the ambulance service to have met all applicable licensure application requirements found in Chapter 7. As such, I am recommending for licensure. The Weld County Emergency Medical/Trauma Service (EMITS) Council reviewed this application on November 20, 2013. The Council recommended (see attached) that Platte Valley Ambulance Service EMS receive a Tier I license. 2013-3452 re w F z w CJ J a U a w 2 >- w J J a w i. a J a rl m w CO w U w 0 J I- Z D 0 W N z w 0 Cl, DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17t Avenue Greeley, CO 80631 Puhli&Heattn Pre e' t. Promnc. Ptamet. Web: htba://www.comeld.co.usiDepartments/HealthEnvironmentiindex.html Health Administration Public Health & Clinical Environmental Health Communication, Emergency Preparedness Vital Records Services Services Education & Planning & Response Tele: 970.304.6410 Tele: 970304.6420 Tele: 970.304.6415 Tele: 970.304.6470 Tele: 970.304.6420 Fax: 970304.6412 Fax: 970.304.6416 Fax: 970.304.6411 Fax: 970.304.6452 Fax: 970.304.6489 Our Nsicn: Together with the communities we serve, we are working to make Weld County the healthiest prase to live, learn, work and play. October 31, 2013 Barry Schaefer Chair Weld County Emergency Medical/Trauma Service Council Via email: bschaefer(a plattevallevfire.org SUBJECT: 2014 Platte Valley Ambulance Service EMS Application NOTICE OF EMERGENCY MEDICAL SERVICES LICENSE APPLICATION TO EHL WELD COUNTY EMERGENCY MEDICAL/TRAUMA SERVICE COUNCIL The Weld County Department of Public Health and Environment has received and is in process of reviewing an Emergency Medical Service License Application from Platte Valley Ambulance Service. Attached to this document are the Ambulance Service License Application, and Maps of its proposed Service Area. On behalf of the Board of County Commissioners, the Department is requesting the Emergency Medical/Trauma Service Council review the attached documents in accordance with Section 7-2-1002.5. of the Weld County Code (enumerated below). The Department will forward your recommendation to the Commissioners. Below are the most applicable portions of the code: Weld County Code, 7-2-100.B.5 The recommendation of the Weld County Emergency Medical/Trauma Service (EM/TS) Council as to whether or not the issuance of the license will contribute to an efficient, effective, and coordinated emergency medical response to residents of the County. The EM/TS Council shall also provide: a. Recommended Service Area. b. Recommended Tier of License. Weld County Code, 7-2-10. No person shall provide or operate an ambulance service publicly or privately in the County unless that person holds a valid license to do so issued by the Board of County Commissioners, except as provided in Section 7-2-80 below. The fee for said license shall be set by separate ordinance. The license shall issue only in the following tiers of service: Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-30 of this Chapter. Tier II: Licensure authorizing for transports of patient(s) to and from licensed medical facilities. This licensure does not provide for Primary Care, as defined in Section 7-1-30 of this Chapter. Tier III: Licensure authorizing for Standby Service, as defined in Section 7-1-30 of this Chapter. A. The Board of County Commissioners reserves the right to amend these rules and regulations and any other individual conditions of licensing as applied to any particular license, as needed in keeping with its legislative function and in order to implement the policy of the State of Colorado that the regulation and control of ambulance licenses is in the exclusive purview of the boards of county commissioners. Persons or firms seeking application and approval of any ambulance license under this Chapter acknowledge that Weld County may contract with specific ambulance service provider(s) which will serve the emergency ambulance need of Weld County and participating municipalities. Please forward the Councils recommendation to the Department including minutes of the EMS Council meeting pertaining to this application. Please do not hesitate to call me should you have any questions. Sincerely, Kevin Antuna Environmental Health Specialist Environmental Health Services Recommendation of the Weld County Emergency Medical/Trauma Service Council for: Platte Valley Ambulance Service As required in Section 7-2-100.B.5., the EMTS Council should review the application to assess as to whether the ambulance service will contribute to an efficient, effective, and coordinated emergency medical response to residents of the County? Please include any findings related to response time, coordination with other ambulance services, location, service area, etc. that is the basis for the Council's recommendation: FINDING #1: , - (o 4nNteau(#&ca frisk- L o 3 6ee_w_a-ue. ) FINDING #2: ,. T � A -r e V 4 &AkklfxZ cat() t t e ar-S pc Cootl F.. CZki Q 44.)c) um.... -t11 AFL Lamp )u S,u"f 1.2.ria..) FINDING #3: FINDING #4: Recommended Level of Service: Tier 1 Tier 2 Tier 3 Recommended Service Area: pie- 1/4,4%4-4. 1.1 ,.GtivDNi Other EMTS Council recommendations or comments: Recommendation By: .7 d� Date: /1/70/13 11 in e d d a r I DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 Web: http://we!dheafth.orq Health Administration Public Hearth & Clinical Vital Records Services Teie: 970.304.6410 Tele: 970.304.6420 Fax 070.304.6412 Fait 970.304.6416 hevent. hvmnt<. helta. Environmental Health Communication, Emergency Preparedness Services Education & Planning & Response Tele: 970.304.6415 Tele: 970.304.6470 Tale: 970.304.6420 FECC 070.304.6411 Fez 970.304.6452 Far 970.304.6469 Our vision: Together with the communities we serve. we we meidng to make Weld County the healthiest place to live, learn, work and play. AMBULANCE SERVICE LICENSE RENEWAL APPLICATION Name of Ambulance Service: Owner: Name: Date of application: Thursday, Oct. 3, 2011 Platte Valley Ambulance Service Platte Valley Medical Center Address: 1600 Prairie Center Drive Phone Number: 303-498-1600 Operations Manager. Name: Carl A. Craigle, Jr., NREMT-P (Chief Paramedic) Address: 1750 E. Egbert Street, Brighton, CO 80601 Phone Number. (720) 685-8439 Pursuant to Section 7-2-150 of Weld County Code Ordinance, any change of ownership requires a new application for ambulance service license. Date Received: Remarks: (For Office Use Only) / / Documents Checked: Approved Recommended (Y/N): Date Referred to B.O.C.C.: / / Licensing Agent Page 2 Name and address of each stockholder of partner owning 10% or more of the outstanding stock of the company of having more than a 10% ownership interest (if applicable): Platte Valley Ambulance Service is a department of Platte Valley Medical Center, a community - owned, nonprofit hospital. As such, we have no stockholders. Attached following this page is a current fist of the hospital' s board of directors. What area of Weld County will be served by this company? Please attach a map indicating the service area. Platte Valley Ambulance Service is the primary EMS provider for th6 towns of Locht ule and Wattenburg. We also provide mutual -aid EMS coverage for the communities of FL t uptnn, i(eenesburq, Prospect Valley and Roggen. Q cagionally, we are also asked to provida mutttal-aid coverage for the town of Platteville (please see maps). How many ambulances do you operate? Six, three of which are normally on duty and three in reserve. Location and description of the place(s) from which this ambulance service will operate. If there are more than two locations, attach a separate sheet with the above information. Location #1 (Platte Valley Ambulance Service Station #1) Street Number: 1750 E. E_t bert Street City: Brighton State: CO Phone: 303-981-8740 Location #2 (Platte Valley Ambulance Service Station #2, on Platte Valley Hospital Campus) Street Number: 1616 Prairie Center Parkway City: Brighton State: CO Phone: 303-498-1820 Medical Director: Name: Candace Harrod, MD (unchanged in the past year) Mailing Address:1600 Prairie Center Parkway Phone Number: 303-498-1600 Please read carefully : 7-2-170 Annual renewal. All licenses and permits shall be renewed annually, shall expire on December 31 of the year issued, and shall not be renewed until the application has been approved by the Department. All applications for renewal of licenses and permits shall be made not later than sixty (60) days prior to the date of expiration. The Department shall notify, by certified mail, return receipt requested, each licensee of the renewal requirements of this section within ninety (90) days prior to the date of expiration (Weld County Code Ordinance 2007-8) 7-2-180 Change of Medical Director An ambulance service must report any change of medical director, including name, address and telephone number, to the Director within fifteen (15) calendar days of such change. (Weld County Code Ordinance 2007-8) Location and description of the place(s) from which this ambulance service will operate (continued) Location #3 (Greater Brighton Fire Protection District Station 51) Street Number: 425 S. Main Street City: Brighton State: CO Phone: 303-981-8740 i Location #4 (Greater Brighton Fire Protection District Station 52) Street Number: #5 Firehouse Road City: Brighton State: CO Phone: 303-498-1820 I Ii �l a i ;t I HEREBY CERTIFY THAT I AM AUTHORIZED TO SUBMIT THE FORGOING APPLICATION AND THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND CONTAINS NO WILLFUL MISREPRESENTATION OR FALSIFICATION. IN ADDITION, I CERTIFY THAT I HAVE READ AND UNDERSTAND THE PROVISIONS AND REQUIREMENTS OF WELD COUNTY CODE CHAPTER 7, INCLUDING, BUT NOT LIMITED TO, SECTION 7-8-10, WHICH ENCOURAGES ALL LICENSED AGENCIES PROVIDING EMS RESPONSE IN WELD COUNTY TO MAKE A GOOD FAITH EFFORT TO EXECUTE WRITTEN MUTUAL AID AGREEMENTS WITH ALL OTHER EMS PROVIDERS LOCATED WITHIN OR BORDERING ON THEIR AREAS OF RESPONSE. DETERMINATION THAT AN AMBULANCE SERVICES LICENSE HAS0 BEEN ISSUED BASED ON FALSE INFORMATION CONSTITUTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL PROSECUTION. Signature of Applicant cAitE-F P, nc'6/8/2 i Title Date SUBSCRIBED AND AFFIRMED BE ORE ME THIS 18 444 DAY OCT0e , 20 16 , IN THE COUNTY OF ADI4 MG , STATE OF COLORADO. 0000/0//,4, f TTAR^^' \ A Nji 0olittnuninnoo Signature of Notary My Commission expires: 06/ 23 ,2415 Mutual Aid We are the designated 9-1-1 ALS transport provider for the Greater Brighton Fire Pro- tection District. Under the terms of our agreement, we service the terms of the Fire District's mutual agreements. In addition to those, we also maintain mutual aid agree- ments of our own with Northglenn Ambulance Service and Weld County Paramedics (now Banner Health). O c71) w E Q y a) a. CD 0 -a) V ICES .E .F� i 0 0 L V. C 'g O o � • w m o 0 CO m In El ID c roan rn UL o`_" c • (e. a a`) 6.72 0 o 8a` O z. c c N 0 • U 0. 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