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STAFF REPORT C I T Y C L E R K
DUBLIN CITY COUNCIL File # ^~~~-~~
DATE: March 1, 2011
TO: Honorable Mayor and City Councilmembers
FROM: Joni Pattillo, City Manager
SUBJ • Automatic External Defibrillator Program Options
Prepared By: Demetrious N. Shaffer, Deputy Fire Chief and Bonnie Terra, Fire
Marshal
EXECUTIVE SUMMARY:
The Dublin City Council established a Fiscal Year 2009-2010 Goal to study the feasibility of the
City establishing a process that would require business participation in the Alameda County
Public Access Defibrillation (PAD) program". At a regularly scheduled City Council meeting on
November, 16 2010, staff presented the initial findings with a recommendation to implement an
Automatic External Defibrillator (AED) educational outreach program with a one-year study
period for new and existing businesses. The City Council directed staff to examine the possibility
of implementing a more robust program that could require new and existing businesses to
deploy AEDs. Staff has researched potential AED/PAD programs for the Dublin community and
conducted a preliminary analysis of the fiscal and implementation impacts. In the development
of options, staff reached out to the Dublin Chamber of Commerce and the Alameda County
Emergency Medical Services (County EMS) for input. Staff is seeking further direction from the
City Council on this item.
FINANCIAL IMPACT:
The fiscal impact of the options identified in this report range from approximately $200,000 to
over $4.2M when considering the overall costs to the City and business community. The major
cost impacts include additional staff to develop, implement, and manage an AED program and
the cost of the units. This report does not contain a detailed analysis of ongoing costs that will
be inherent to an AED program due to-future replacement of the units and required ongoing
training.
RECOMMENDATION:
It is recommended that the City Council review the presented options and provide Staff with
direction.
s
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ubmitted By
Deputy Fire Chief
Review d By
Assistant City Manager
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DESCRIPTION:
As part of the 2009/10 Fiscal Year Goals and Objectives, the City Council directed staff to study
the feasibility of the City establishing a process that would require business participation in the
Alameda County PAD program (Goal IV-C-3). Following staff's recommendation to implement
an outreach program to educate new and existing businesses on the County's PAD program,
Council directed staff to examine the possibility of implementing a more robust program that
would require new and existing businesses to deploy AEDs for use during an emergency.
Background
The Alameda County PAD program was established to provide a standardized mechanism and
set of controls for the placement and use of AEDs within the county. The goal of the program is
to participate actively in strengthening the links in the chain of survival (i.e., early detection and
call for help, early CPR, early defibrillation, and post resuscitation care). Alameda County
Emergency Medical Services (County EMS) supports the concept that making AEDs more
readily available throughout the county can better support the chain of survival. County EMS is
the agency responsible for administration and enforcement of the AED program within Alameda
County. Unfortunately, County EMS has minimal staff assigned to administer the program and
there are no legally identified remedies if a business (or other) does not meet the regulatory
requirements.
The concept of strengthening the links in the chain of survival by implementing a community
based AED program seems to be widely supported, but there are very few communities that
have established a mandatory AED program. Currently, there are no cities within Alameda
County, or neighboring counties, that have a mandatory AED program for new and existing
businesses. "
However, in December of 2008 the City of San Diego, California adopted an AED Ordinance
(Attachment 1) requiring new developments of larger buildings and complexes (typically those
with over 200 occupants) to comply with the City's AED requirements. These requirements
include the installation of AEDs in conspicuous locations where trained personnel can readily
access a unit during an emergency. A certificate of occupancy will not be issued until a final
inspection is passed which includes meeting the requirements of the mandatory AED program.
San Diego's AED program exceeds the requirements set forth in California which currently
provides for exemptions from liability in certain circumstances, encourages public schools for
grades k-12 to imptement an AED program, and requires every health studio to acquire an AED.
While mandatory programs similar to San Diego's are rare, there are examples in other states.
There are also several communities that have engaged in a discussion regarding mandated
AED programs. For example, Trussville, Alabama passed an ordinance (Attachment 2) requiring
new businesses with occupant loads of 250 or more to have an AED. The ordinance also
requires the installation of AEDs if an occupancy type is changed or expanded to the 250
occupant threshold. In addition, it has been reported that the City of Miami Beach and New York
City have also considered requiring AED programs.
Staff also discussed a range of possible AED programs with Nancy Feeley, President/CEO of
the Dublin Chamber of Commerce. The Chamber indicated that they were enthusiastic and
supportive of a more robust AED program in Dublin. The Chamber indicated a mandated
program would be costly to businesses and would especially impact small businesses - many of
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whom have been struggling financially for at least the past three years. There seemed to be
significant support for a program that started with educational outreach to the business
community, provided time for compliance, and afforded a mechanism to obtain funding and
support. The Chamber also believed that there were many businesses that would be interested
in voluntarily participating in a program if they were educated on the benefits of the program and
funding was a~ailable for implementation. -
Discussion
Of the approximately 2,100 calls for service that occur in Dublin each year a small percentage
are of the type where the use of an AED would be indicated. However, since the next AED
deployment cannot be accurately predicted, the more readily available AEDs are throughout
Dublin the better chance one will be available near a patient in need.
The City of Dublin has taken a proactive approach to making AEDs readily available within city
facilities. Specifically, AEDs are located inside City Hall, Police Services, the Library, the Swim
Center, the Senior Center and the Shannon Community Center. At the inception of the program,
approximately 75 City employees (not including Dublin Police Services) were trained to use
AEDs.
In addition to City facilities, many large employers within Dublin have also installed AEDs and
trained their employees. Some sites within Dublin that have AEDs include Carl Zeiss, Sybase,
Palo Alto Medical Foundation, and the County Office of Emergency Services (OES) and training
facilities. Staff has included Attachment 3 which maps the known AED locations in Dublin..
The locations within Dublin that have AEDs is consistent with those identified by County EMS as
places within a community that have shown a greater need for an AED - these include airports,
sports arenas, community senior citizen centers, dialysis centers, transportation terminals, golf
courses, gated communities, health centers/gyms, jails, large industrial sites, large shopping
malls, nursing homes, private businesses, sport/event complexes, and cardiology, internal and
family medicine practices and urgent care centers. A list of the locations within Dublin that
correspond to these community locations is included in Attachment 3.
During staff's analysis, it was identified that there are sites within Dublin that qualify as a
location having a greater need for an AED (see criteria identified in the preceding paragraph)
but don't currently have devices or personnel trained. In fact, there are approximately 82
locations that meet the criteria but 26 (32%) of them currently have an AED on site with trained
personnel (Attachment 3). Having personnet trained in CPR and in the use of an AED is a
critical component of an AED program; devices vary depending on the manufacturer and the
delivery of CPR in coordination with the use of the AED is critical to the chain of survival.
Implementation of an AED program would consist of four primary components - 1)
Development; 2) Implementation; 3) Inspection; and, 4) Enforcement. Each of these program
elements are comprised of several steps. For example, development consists of writing the
specifics of the program, training staff (existing or new), and formally adopting a program. ,Step
one would require a modest amount of upfront staff time; whereas steps two through four would
require a significant amount of upfront and ongoing staff time to ensure the program is meeting
the expectation of having a readily available and usable AED when one is needed at the scene
of an emergency.
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Program Development and Implementation
Development of a program would most likely involve the City Council setting goals related to
program outcomes. Staff necessary to manage the program consistent with the stated goals
would be hired.
After staff has completed program development, the goal(s) would be communicated to the
business community through a partnership with the Chamber of Commerce and .the City's
outreach efforts. Existing businesses would have to be educated on the be~efits of having AED
readily available in the community, project timelines, program specifics, available funding
sources, and where to go for help with implementation.
Inspection and Enforcement
Staff that is retained to manage the AED program would be charged with helping business
implement the program and then ultimately with inspecting each site on a periodic basis to
ensure compliance. Studies have shown that, even in areas where an AED is available, they are
used less than 5% of the time. According to an audit conducted by the New York City
Comptroller, the primary issues associated with a failing AED program are that response plans
are unavaiiable or incomplete, there are inadequate oversight inspections, expired or lacking
AED supplies, lacking or inadequate AED signage, inadequate coverage by trained first
responders, and AEDs not properly registered. These issues, which have been experienced in
other jurisdictions, indicate that inspection and enforcement are essential elements of a
successful AED program, and that simply having AEDs is not enough.
Although fire personnel currently conduct fire life safety inspections, the frequency of the
inspection based on occupancy type and whether the type of business that has an AED is even
required to be inspected means that it would not be effective for existing fire personnel to merely
conduct and inspection of AEDs while performing other inspections. For example, the inspection
of a typical office building may be inspected once every three years or via a self-inspection
program but an AED inspection needs to be performed at least once every two years. The
downside of this process is that businesses would potentially have more than one official
inspection conducted by different personnel on a more frequent basis.
AED Program Options
Considering the City Council's previous direction, cost, Chamber input, and other AED
programs, staff has developed the following list of three options (any combination of the options
may also be possible):
Option 1- Mandated program requiring that all businesses (new and existing) install AEDs in
accordance with established guidelines.
Description
There are approximately 1,200 total businesses within Dublin (based on active
business licenses). This option would require that each business be required to
purchase and install an AED, train employees, maintain the units, maintain and
emergency plan, and complete updated training in CPR and AED use every two
years.
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Fiscal Impacts
Existing Business Community -$4.2M -$5.4M - This estimate is the total cost per
unit (includes AED, cabinet, mounting, initial training) to the business community
assuming one unit per business (however, depending on size each business may
require more than one) at an approximate per unit cost.of $3,500 to $4,500 - the
price may be lower depending on the number of units purchased and the
manufacturer selected. The per unit cost will depend on the negotiated price
between the business and AED manufacturer/retailer as well as the cost of the
medical director oversight and training costs. There will also be ongoing costs
associated with keeping existing employees trained as well as training . new
employees - estimated at approximately $25-$40 per trained employee.
City -$120,000 (approximately) - represents one new full-time employee (FTE)
dedicated to the administration of the program.
Pros
- This represents the highest saturation of AEDs in the community.
Cons
- Cost and staff time for both the City and individual businesses is significant. The
greatest impact would be to small businesses.
- Could draw opposition from the business community and the Chamber.
O tp ion 2- Mandated program requiring only those businesses (new and existing) that qualify
as a location with a higher need for the use of an AED (see Attachment 3).
Description
There are approximately 82 total businesses within Dublin that would qualify as a
location with a higher need (page 3 for reference) for an AED - approximately 26
(32%) of these sites already have AEDs. This option would require that each
business (including City facilities) that does not already have an AED be required to
purchase and instal,l an appropriate amount per the guidelines (to be developed),
train employees, maintain the units, maintain and emergency plan, and complete
updated training in CPR and AED use every two years.
Fiscal Impacts
Existing Business Community -$196,000 -$252,000 - This estimate is the total
cost per unit (includes AED, cabinet, mounting, initial training) to the business
community assuming one unit per business (however, depending on size each
business may require more than one) at an approximate per unit cost of $3,500 to
$4,500.. The per unit cost will depend on the negotiated price befinreen the business
and AED manufacturer/retailer as well as the cost of the medical director oversight
and training costs. There will also be ongoing costs associated with keeping
existing employees trained as well as training new employees - estimated at
approximately $25-$40 per trained employee.
City -$63,500 -$64,500 (approximately) - represents .5 FTE dedicated to the
administration of the pr.ogram and one additional AED unit at Emerald Glen Park.
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Pros
- Ensures that AEDs are readily available in those locations identified as having the
highest need.
- Cost and staff time is more manageable than Option 1 which includes a greater
likelihood for success with enforcement of the mandate.
Cons
- Cost and staff time for both the City and individual businesses. The greatest
impact would be to small businesses.
O tp ion 3- Educational outreach program to businesses (new and existing) identified in Option
2 with a potential incentive program implemented after one year.
Description
Staff would develop an incentive program which would include a grant to assist
those businesses that choose to participate in the City's AED program.
Fiscal /mpacts
The fiscal impact to the business community and the City would be dependent on
the incentive program amount which has yet to be developed.
Pros
- Encourages the participation of the business community without creating new
unfunded mandates or inspection and enforcement requirements that will be
difficult to administer.
Cons
- While this option represents a definite step forward toward the goal of increasing
AEDs in the community, it does not mandate participation and therefore the
number of new AEDs to be placed into service would be difficult to predict.
Possible Ne~ Steps
Depending on the City Council's direction, possible next steps may inclutle the following:
1. Staff could develop, in coordination with County EMS and the Dublin Chamber of
Commerce, draft program goal statement(s) for the City Council's consideration.
2. Staff could work with the Chamber of Commerce to tailor an education/outreach program
to educate existing businesses on the County's PAD program.
3. Staff could develop a proposed project budget, based on the goal(s), which may include
grant opportunities.
4. Depending on the direction provided by the City Council, Staff would report back to the
City Council within six months for review and further direction.
NOTICING REQUIREMENTS/PUBLIC OUTREACH:
Noticing not required at this time.
ATTACHMENTS: 1. City of San Diego, California AED Ordinance
2. City of Trussville, Alabama AED Ordinance
3. Current and Possible AED Locations
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ORDINANCE NUMBER O- ~ ~ ~ ~ ~ (NEW SERIES}
DATE OF F1NAL PASSA~GE DEC ~~~~Z~Qg
AN ORDIN.ANCE OF THE COUNCIL, O~ THE CZTY OF S.AN
DIEGO AMENDING CHAPTER 14, ARTICLE OS, 4F THE
SAN DIEGO MUNICIPAL CODE BY A.DDING DIVISION 39,
TITLED AUT~MATED EXTERNAL DEFIBRILLATOR.S, AND
BY ADDING ~ECTIQNS i45.3901, 145.3905, 145.3910,
I45.3915, 145.3920, ~45.3925, 145.3930 AND 145.3935 ALL
RELATED TO REQUIREMENTS ~OR AUTOMATED
EXTERTIAL DEFIBRILLATORS IN CERTAIN N~EWLY
CON~TRUCTED BUTLDINGS. -
WHEREAS, 465,000 people in the United 5tates die each year from sudden cardiac
arrest, also known as ventricular fibrillation; and
WHEREAS, defibrillation or shock usin~g au automated external de~ibrillator [AED] is
t~e only effectiv.e therapy for sudden cardiac arres~ and
W~IEREAS, fnr each mi.nute that passes. wxthout cardiopu~znonary resuscitation [CPRJ
and dcfibrillation, the chance of surv~ival £rom sudden cardiac arrest decreases 7% to 10°to; and
V~HEREAS, the survival rate from sudden cardiac arrest in places where no CPR and
defibrillation program is ~n piace is only about 5%; arici
WHEREAS, when AED programs provide immediate CPR and AED sl~ock witl~in fhe
first mizxute of collapse, t~e s~uvival rate fram cardiac arrest is as hi~h as 74%; and
WI~EREAS, requiring AEDs in certain buildings will reduce emergency care response
times, increase the chances of survival, and safeguard the Javes of persons who experience
sudde~n cardiac arrest; and
\
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WHEREAS, California has enacted a Good Sanaaritan La.w that, subject to certain
requireri~ents, m.ay ~Iimit.the liability of one who zenc~ers emexgency care via an AED; NOW,_
THERE~'ORE,
BB IT ORDAINED, by the Council of the City of San Diego, as follows:
S~ctio~ l. Tbat Chapter 14, Article O5, af the San Diego Municipal Code is amezlded by
adduag a new Divisaon 39, titled "Autonnated Exteznal De~ibrillatoz~s," and adding new Sections
145.3901, I~5.3905, 145.39I0, 145.3915, 145.3920, 145.3925, 145.3930, and 145.3935, to rea.d
as follows:
~D~VIS~(~1~ 39
A.U7C~li~.A,.'TED EXTERIY.AL ]DE~R~.i.~TOl2S
§145.3901 Purpo~e
The purpase of this Division is fo promote public health, safety, axzd weIfare by
imp.roving emergency care response times to those suffering frou~ sudden cardiac
anest, thereby 'vnprovin.g chances of survival. The require~ents of this Divisiau
are intended, to Qxovide ?for faster emergency response in large buildings, multi- ~
story buildings, and/or buildings with laxge numbers of occupants whez~e f rst
responder access may be impaded due to building use, occupaa~cy, Ivcation,
Iayaut, construcir.on, or other reasans. Thi.s Division is not intended to create a
new standaxd of care.
§145.3905 kDefia~atioacs
Except as otherwise pzovided, for the purposes of this Division:
Automated External Defibrillator or AED means "Automated External
Defibrillator" or "AED" as defined in the California Code of Regulati~ns, Title
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§145.3910
22, Division 9, Chapter 1.8., Section I00033, which states "Automated External
Defibrillator" or "AED" means an external defibrillatoz that af3er user activation
is capable of caxdiac rhythm analysis aud will charge atld delives a shock,'either
automatically oz by usex interactzan, after electronically detecting and assessing
ventiicular.fibrillation or rapid ventricular tachycardia. AED sha11 also have the
same meaning as "Automatic ~xter~zal Defbrillatoz" pursuant to Health a~d
Saf~ty Code section 1797.19b.
New Canstruction 12ec~ui~g AEEi~s
(a) Prior to issuance of a certificate of occupancy or approval af final
i.nspection, A.~Ds shall be placed in a11 newly constructed build.ings in the
occnpancy groups antl with accupant loads in ex~ess of that shown in.
Table 145-3910. T1ae occupant Ioad. shall be detennined based on the
occupant load factors in the Cali.~c~rnia Sui~dang Code. ~ Occupancy groups
shall be determined based on Chapter 3 of the Calzfornia Building Code.
{b) .4.EDs shall be conspicuously placed at~d readily accessible in the everit of
~ an eznergency. AEDs sha11 be mounted such that the top af the AED is no
more than five (5} feet above floor level:
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Talble 145-3914
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CDccupancy Group Occupaz~t ~,oad
Crroup A "Assem~l~' 300
Group B `Business" 200
Group E "Eclucational." 200
Group F "Factory" 200
Gxoup T-~ "High Hazard" 200
Group I "Inst'itutional" 200
Crroup M "Mercantile" 200
Group R "Residential" 200
Group S "Storage" 200
1 Exclud.ing single-family and multi-family dwelling units
2 Excluding parking garages
§145.3915
~ocatAOn of AEI)s
(a) ~Vhen required pursaant to this Diviszon., f1EDs sha111ie located in
buildings to optimaJ:ly achiave a three mi~ute response t3me to tlie person
in need of emergency care using the AED.
(b) When required on every floor of a buildi.z~:g ~ursuant to section 145.3910
and Table 145-39 i 0, A.EDs shall be located as follows:
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(1) One AED shall be placed at the main entrance of every £~oor;
(2) AEDs sha].1 be located on each floor such tha# the maximum length
of travel measured from tl~e most rernote paint on a floor to any
AED, shall not ~xceed 300 feet; and
{3) A.~Ds sha1l be located on each #loor suah ~at the maximum iez~gth
o£ travel between any two AEDs shall not exceed 600 feet.
(c) Whes~ not reqnired on every floor of a bualding pursuant to sec~ion .
145.3910 and Table 145-3910, AEDs shall be located as follows:
(1} One AED shall be placed at the main entrance ~f every floor
required to have one or more AEDs; and
(2) . AEDs shali be Iacated such that the maximum lerag~h of ~vertical
travel between any two AEDs on any two flooxs with a~ ~lED sha11
not exceec3 450 feet.
§145.3920 1~EID Installatio~., I~epai~r, aa~d '~raaning yteq~irennents
For all newly constructed buildings fhat require AEDs pursuant to section
145.~910 and Table 145-391 d, the building ownez or pzincipal(if in a K-12
school) sha11 ensure annual written certification. of the AED is grovided to the
Fire-Rescue Department verifying any AED requized pursuant to this Division is
in good r~orking conclitiou and has received necessary maintenance. 'I'Y~e building
owner or prin:cipal shall aIso ensure compliance witb all requireznents under state
aud fedaral law relating to AEZ3s and may ensuze that the conditions for limits on
liabiiity~under state law are met. Such requireznents and conditions may incltzde,
but may not be lirnited ta, the following:
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(a) Registration of the AED, at the time it is acquired, with the City o£ San
Diego Fire-Rescue Deparf.ment including the existence, locarion, and type
of A_ED;
(b} Wr~tten validation and prescription for use of the ~1.ED(s) is secured by
trained iniiividuals from a prescribing pb~ysician, which may be arra.uged
through the Anaericat~ Heart Association;
(c} Traini.ng of at least one e~aployee per every ~4EI~ for the frst five acquired
and one employee fox every five more AEDs acqui.zed thereafter in
cardiopuamonary resuscitafiion and AED use tha~ complies witl~ the
California Code of Regulations and the American~ Heart Association or the
American Red Cross standards;
(ci) Tra.ined employees made available to resgond to an ernergency during
nozmal operating hours;
(e) Installation, m~aintenance, repair, testing, and readiness checks of ea.cl~
AED in accoxdauce w~ith the znanufacturer's operation and znaintenance
guidelines, the American Heart Associatiori, the Americaz~ Red Cross; the
Californi.a Code of Regulations, an~ all otlaer applacable ru.les and
regulations, including but ~tot Iimited to, all regulations promulgated by
the federal Food and Axug Administra#ion;
(f} Maintenance o£recorc3s of ezn.ployee traiuing, installation, maintenance,
repair, tesring, and checking of the AED on the premises for a minimum of
one year and readi~y available upon request by the Fire-Rescne
Department, BuiZding Official, or other enforcement designee or agency;
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(g) Upon xendering emezgency care using the AED, activation of the Fire-
Rescue Depaxhxient emergency 911 system as soon as possible and xeport
of any use of tYxe AED to the prescribing ghysxczan;
(h) Tenants annual recei~t af an American Heart Associa~ion or Americaaz
Red Cross approved brochur~ on the proper use of a~ AED also posted
next to a~~ AEDs; aand tenant notification of the loca.tian of all AEDs in the
building;
(i} School staff and administrators annual Teceipt of an Americas~ Heart
t~ssociatioa or American Red Cross approved broehure on the proper use
of an A.E.D also posted next to all AEDs, and notification of the Xocation of
all AEDs on cam~us; and
(j) Deveiopment of a vvritten internal einergency respanse system and plan in
caordinatian with a Califoznia licensed physzcian. and surgean describing
the procedures to be followed iu the even~t of an emergency that may
involve the use of an AED, including but not Iimited to, immediate
no~ification of the Fire-Rescue Department and trained personxzel at the
start ofAED procedures.
§145.3925 Exer~ptie~n for ~1)s Used Sa~ely for I~emonstration ~argQSes
Any AED used solely for demonstration or training purposes, whieh is not
operational fox emergency use, shall be exempt from the provisions of this
Division. Any14.ED used solely £or dewonstration purposes shall be cleazly
marked on t3ie exterzor that it is for "DEMONSTR.ATI~N USE ONLY" and is
"NOT FOR USE TO RENDER EMERGENCY CARE."
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§~45.393Q Immu~ity and S~nset Provision for AED Reyuareurneaats
The pravisions of this Division shall remain in effect until the sunset of Hea.lth
and Safety Cade section 1797.196 [Good Samari#an Law), which is curxeutly~set
to expire Jar3uary 1, 2013,~at which time this Divi.sion shall be automatica.~y
repealed and removed from tlie Code. Hawevex, if the State Legislature extends
- or makes permanent tb,e applicability of the Good Samaritan Law, the pxovisions
of this Division shall be extended and remain in effect for as long as State
immunity is provided.
§I45.3935 ~$ernate 10~I~eriaYs; Desigabs ansd M(ethods of ~onstrucfaoz~
{a) [~ltemate materials, designs, or methods of con,struction to the
requiremen#s of this Division may be approved and theiz- use authorized by
the Suilding Official in accordance with section 129.0109.
(b) The proposed materials, designs, or methods of construction must comply
with the purposes of tb.is Division and be, for the use interided, at least khe
equivale~.t of tb.at prescribed in this Division in suitability, stxength,
effectiveness, fire resistance, durability, safery, and sanitation.
(c} The Building Off'icial may require that sufficient evidez~ce or pzoof be
submitted to substandate any claims that ~nay be made regarding the use
of altemate materials, designs, or methods.
Section 2. That a full reading of this ordinance is dispensed with prior to passage, since a
writtez~ copy was inade available to the City Council and the public prior to the day of its
passage.
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Section 3. This ordinance sha1l take effect and be in force on the s'ixtiet~ day from and
after its final passage, and sha11 remain in effect until danuary 1, 2013, unless the sunset date of
th,e Good Samari~ Law (California HealtJa aud Safety Code secrion 1797.196) is extended o~
made permanent, in which case, the ordiz~.an.ce shaJ.~ remain in effect as Iong as the Good
Samaritan Law is in effect.
APPROVED: MICHAEL 3~. A~iUIRRE, City Attomey
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By
Nina M. Fain
Deputy City Attomey
NMF:n~n
11/03/08
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Or.Dept: Rules Coznrnittee
O-20Q9-28 .
MMS#b706
I hereby certify that the foregoing, Ordinance was passed by the Council af the City of San
Diego, at this meeting of ~nc~~1~7(1.(]~ -
ELIZA.BETH S. MALAND
City Clez~k
By ~. ~ .
I)epu~y City Clerk ~%~
Approved: ___~__~' ` ~ ' ~ ~
(date}
JERRY ~ANDERS, Mayor
Vetoed:
(date)
JERRY SANDERS, Mayor
-PAGE90F9- . ~ r ~Sg~~
ATTACHMENT 2
CITY OF TRUSSVILLE I ~ '~
AED ORDINANCE
Trussville, Alabama, Code of Ordinances Chapter 34 - EMERGENCY SERVICES ARTICLE
I. - IN GENERAL
ARTICLE I. - IN GENERAL
Sec. 34-1. - Automatic external defibrillators.
Secs. 34-2-34-30. - Reserved.
Sec. 34-1. - Automatic external defibrillators.
(a)
(b)
(c)
The installation of automatic external defibrillators (AEDs) in all new public occupancies with
occupant loads of 250 or more people shall be required. Installation shall also be required
when one public occupancy is changed to another public occupancy of similar or different
type and in instances where an occupancy is expanded to an occupant load of 250 or more
people. Installation of AEDs in existing public occupancies with occupant loads of 250 or more
people is encouraged, and when installed shall comply with requirements as set out hereafter.
AED devices, where required, shall be installed in sufficient numbers and in locations so that
an AED device shall be accessible, at a minimum, within three minutes in the event of an
emergency, in accordance with American Heart Association recommendations. The Trussville
Fire Department or its designee shall review and approve the number and installation
locations for AED devices, and shall inspect the establishment to confirm the AED
installations as approved prior to the issuance of a certificate of occupancy.
The installation and maintenance of the AED device(s) and periodic training on the use of the
AED device(s) shall be the responsibility of the ow~er.
(d)
All AED installations shall be subject to periodic inspections by the fire department or its
designee.
(Ord. No. 2004-087-PS, §§ 1-4, 11-9-04)
ATTACHMENT 2
ATTACHMENT 3
1 I ~. `~
CLTRRENT AND RECOMMENDED AED LOCATIONS
SPORTS ARENAS/EVENT COMPLEXES
.~ , .
City of Dublin Swini°,Center 5157 Village Parkwa. y -
_. , ~_ ~.__ . ,
Emerald Glen Park 4201 Central Pkwy (Tassajara Rd. & Gleason)
Fallon S'ports;Grounds ,. Lqckhart St. between~Gleason Dr "&,CentNal Pliwy
Earl Anthony Dublin bowl 6750 Regiorial St.
Chuck E. Cheese 7448 Amador Valley Blvd.
Eas,t Bay Yceland~~'~`~'~ ~, 7212 San Ramon Rd " ~',~,, k°" „,
COMMUNITY CENTERS/ SENIOR CENTER
Shannon Community Center 11600 Shannon;Ave`,;( S'an Ramqn Blvd),. ~`'
Dublin'S`enaor Center ,, , 7600 Amador. Valley Blvd~ ~ ~~ :_. „ „~ ^ „
TRANSPORTATION TERMINAL
East Dublin BART Station Iron Horse Parkway @ I-580
West Dublin BART Station San Ramon Rd. @ I-580
GOLF COURSES
Dublin Ranch Golf Course 5900 Signal Hill Drive
GATED COMMUNITIES
The Pinnacles @ Dublin Ranch East of Tassajara
HEALTH CENTERS/GYMS
Bingtang Badminton 6780 Sierra Court
Sierra Swim Academy 6948 Sierra Court
Edge Gymnastics 6780 Sierra Court
Fitness~~20D0 ~;~ : . ~ ~ ~~~ ~ ~ ~
._ 7373 Vil~lage~Parkway~ ~~~~ ~ -~ ~ ~~ ~ ~ ~~ ~ ~ ~
Pilates Body by Valen 6670 Amador Plaza Rd., #103
1 on 1 Personal Fitness 6980 Village Parkway
Get Fit Yoga 6930 Village Parkway, #E
Tri Valley YMCA ~ 6693 Sierra Lane, #F
KungFu Temple 6735 Sierra Court, #B ~
Pallen M2 Martial Arts 6635 Dublin Blvd.
Gamespeed Sports Performance 6800 Sierra Court, #O
Velocity Sports 6270 Houston Place, #B
Combat Sports 7100 Village Parkway
Curves for Women 7282 San Ramon Blvd.
Note: Highlighted and italicizec! row indicates locations where AEDs have been re~ATTACHMENT 3
ATTACHMENT 3
CURRENT AND RECOMMENDED AED LOCATIONS I~~i 1~
'1
LARGE INDUSTRIAL
Hezcel Corporation ~~ ~~~ ,. 11711 Dublin Blvd. ~ ~
Micro Dental Laboratories 5601 Arnold Rd.
LARGE SHOPPING MALLS/SHOPPING CENTERS
Hacienda Crossings 4820-4980 Dublin Blvd.
Ulferts Center 4288 Dublin Blvd.
Waterford Place 4800 Tassajara ( Dublin Blvd.)
Grafton Station 7901 Dublin Blvd & Grafton St.
Shamrock Village 7723 Amador Valley Blvd.
Dublin Place Amador Plaza Road (between Dublin Blvd. &
Amador Valley Blvd.)
URGENT CARE CENTERS
Palo Alto Medical Foundataon` ~°~ ~ ~~~~~ 4050 Dubl~in Blvd ~ ~ ~ ~ ~ ~ ~ ~~'"~ ~ ~ ~ ~ ' ~ ~
Amador Valley Medical Center 7667 Amador Valley Blvd.
CARDIOLOGY/INTERNAL/FAMILY MEDICINE
Tri ~Valley Plastic Surgery ~ . - ;~ 4~000 Dublin Blvd. ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~~ ~~ ~ ~ ~~
Valley Pregnancy Center 7660 Amador Valley Blvd.
Bayside Medical Group 11875 Dublin Blvd., #C-140
JAILS
Santa Rita Jail ::. 5325.Broder Blvd.
CHURCHES
Crosswinds Church 6444 Sierra Court
Well Christian Community 6533 Sierra Lane
Valley Christian Center 7500 Inspiration Drive
St. Raymond Catholic Church 11555 Shannon Ave.
Presbyterian Church of
Dublin/John Knox Presbyerian 7421 Amarillo Rd.
Resurrection Lutheran/United
Community Baptist Church 7557 Amador Valley Blvd.
St. Philip Lutheran 8850 Davona Dr.
Parkway Baptist Church/Dublin
Baptist Church 7485 Village Parkway
Tri-Valley Bread of Life Christian
Church 6955 Sierra Court
Church of Christ 11873 Dublin Blvd.
Showers of Blessings Ministries 6930 Village Parkway
The Church of Jesus Christ of
Latter-Day Saints 8203 Village Parkway
Note: Highlighted and italicized row indicates locations where AEDs have been reported. 2
ATTACHMENT 3
CLJRRENT AND RECOMMENDED AED LOCATIONS ~~ I~
~
SCHOOLS
Dougherty Elementary 5301 Hibernia
Dublin Elementary 7997 Vomac Rd.
Dublin High School ~ ~ ~ ~" ~ -~ ~ :81~51 T/illage Parkway ~ ~ ~ ~ ~ ~ ~ ~ "~~
Fallon Middle School 3601 Kohnen Way
Frederiksen Elemeritary 7243 Tamarack Dr.
John Green Elementary 3300 Antone Way
Murray Elementary 8435 Davona Dr.
Nielsen Education Center 7500 Amarillo Dr.
Valley High School 6901 York Dr.
Wells Middle School 6800 Penn Dr.
St. Raymond School 11555 Shannon Dr.
OTHER DUBLIN LOCATIONS WITH AEDs
Carl Zeiss Meditec ~ 5160: Hacienda Dr.
Civic Center Plaza 1 DO Civic Plaza
Dublin Corporation Yard . ~ Sb00 ScaYlett ~Ct. ~ ~ ~ ~ ~ ~~.
...,
Dublin Library " 200 Civic Plaza
Dublin Police Services 1,00 Civic Plaza
DDI ~ ~ ~ ~ ~ ~ ~ ~ 4~160 ~Dubli~n Blvd. ~ ~ ~ ~
~
Sybase ~ ~ ~ ~
_ a1~~
Sybase Dr. ~ ~ ~
.. . .
Taleo ~Corp. ~ ~ ~ ' ~ ~ ~ ..
`~4140 Dublin~ Blvd. ~ ~ ~ ~
Technology Credit Union , 7444. San Ramon Blvd.
Sheriff 's Department -Broder Blvd.
Nvte: Highlighted and ita/icized row indicates locations where AEDs have been reported.
ATTACHMENT 3
\
CURRENT AND RECOMMENDED AED LOCATIONS I`- ~~
~
Indicates locations that have reported or confirmed AEDs onsite
~~ , <`
~`'. ~, Indicates locations where studies have shown a higher likelihood for the
need of an AED
Note: Highligh~ed ~md r~a/icized row indicates locations where AEDs have beer~ reported. 4