Section 1586 - Owner/ Operator Quarterly Reporting Requirements(a) An owner and operator of each mobile optometric office shall utilize BreEZe to submit electronically a completed quarterly report with the Board containing all of the information and in accordance with the requirements set forth by this section. After the owner and operator has been registered with the Board, the information shall be submitted to the Board no later than the third business day of the following months and covering each quarter of operations as a registrant: March, June, September and December. Hardcopy documents will not be accepted.(b) The information required by this section shall constitute the requirements for submission of a quarterly report to the Board in accordance with Section 3070.2 of the code. An owner and operator's quarterly report shall be electronically submitted through BreEZe and shall include all of the following: (1) The owner and operator or authorized representative shall enter their username and password to access BreEZe and provide the information required by this section.(2) The owner and operator shall provide the following information under penalty of perjury through BreEZe: (A) Name of the owner and operator of the mobile optometric office;(B) Owner and operator certificate to operate number;(C) Name, mailing address, telephone number, and email address, if available, of the authorized representative;(D) Total number of complaints received in the quarter being reported; and(E) A list of all visits made by each mobile optometric office including: 1. Mobile optometric office permit number;2. Dates of operation of the mobile optometric office;3. Physical street address where services were provided;4. A description of the care provided;5. Name and registration number of optician(s) who provided care;6. Name and license numbers of optometrist(s) who provided care;7. A summary of any complaints received by each mobile optometric office including; a. Mobile optometric office permit number;b. Complaint patient name, telephone number, and email address (if available);c. Service(s) provided at the mobile optometric office and date they were provided;d. Name and address for the organization being serviced at the mobile optometric office;e. Contact individual for the organization being serviced by the mobile optometric office;f. Disposition of the complaints;g. Referral information of follow-up care provided to the patient (i.e., name of the follow-up provider), if applicable;h. Updated and current list of licensed optometrists, including their license numbers and the organization for which they provide service, who are available for follow-up care as a result of a complaint on a volunteer basis or who accept Medi-Cal payments.(F) Electronic Signature: When a signature is required by the particular instructions of any filing to be made through BreEZe, including any attestation under penalty of perjury, an authorized representative of the mobile optometric office shall affix their electronic signature to the filing by typing their name in the signature field and submitting the filing via BreEZe. Submission of a filing in this manner shall constitute evidence of legal signature by any individual whose name is typed in the signature field on the filing.Cal. Code Regs. Tit. 16, § 1586
Note: Authority cited: Sections 3025, 3041 and 3070.2, Business and Professions Code. Reference: Section 3070.2, Business and Professions Code; Sections 1633.2, 1633.7 and 1633.9, Civil Code; and Section 16.5, Government Code.
1. New section filed 10-9-2024; operative 10/9/2024 pursuant to Government Code section 11343.4(b)(3) (Register 2024, No. 41).