CCLME.ORG - DIVISION 1. STATE DEPARTMENT OF HEALTH SERVICES
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(3) Written notification by the Department to applicants shall be deemed to occur on the date the notifications are postmarked.
(b) The Department shall notify the applicant, within 30 calendar days of submission of an application for any certificate or permit issued under this subchapter, of one of the following:
(1) That the application is complete and the Department's decision regarding the application.
(2) That the application is not accepted for filing and what specific information, documentation or fee the applicant shall submit within 30 calendar days in order for the Department to consider the application acceptable.
(3) That the application is acceptable and what examinations the applicant shall pass within 180 calendar days in order to complete the application.
(c) The Department shall deem an application to have been withdrawn by any applicant who fails to:
(1) Within 30 calendar days of notification pursuant to subsection (b), respond to the Department's request to submit specific information, documentation or fee, or
(2) Within 180 calendar days of notification pursuant to subsection (b), pass Department-approved examinations.
(d) Any applicant deemed by the Department to have withdrawn an application pursuant to paragraph (c) may reapply by submitting a new application.
(e) The Department's time periods for processing an application, from the date the initial application is received by the Department to the date the application is complete and the final decision is made regarding any certificate or permit issued under this subchapter are as follows:
(1) The median time for processing an application is 90 calendar days.
(2) The minimum time for processing an application is one day.
(3) The maximum time for processing an application is 240 calendar days.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 15376, Government Code.

s 30406. Change of Name and Address.
Each individual certified or permitted pursuant to this subchapter shall report to the Department any change of name or mailing address within 30 calendar days of the change.


Note: Authority cited: Sections 100275 and 114870(a) Health and Safety Code. Reference: Sections 106965, 107015, 107110, 114870(b), (c) and (e), Health and Safety Code.


s 30408. Fees.
(a) For any certificate or permit issued pursuant to this subchapter in accordance with the Radiologic Technology Act (Health and Safety Code section 27(f)), the application fee shall be $85.00 for licentiates and $75.00 for technologists and limited permittees. If required to pass an examination to obtain the certificate or permit, the examination fee shall be $75.00 for each examination administered by the Department or as specified by the entities or organizations designated by the Department to administer Department-approved examinations.
(b) The fee for repeating an examination failed within the previous 12 months shall be $75.00 per examination.
(c) Each individual applying to renew a certificate or permit shall pay an annual renewal fee of $35.00. The renewal fee shall be collected biennially and such fee shall be twice the annual renewal fee.
(d) The fee for a duplicate certificate or permit shall be $1.09.
(e) The penalty fee for renewal of any expired certificate or permit shall be $5.44 and shall be in addition to the fee for renewal.
(f) Failure to pay the annual fee for renewal on or before the expiration date of the certificate or permit shall automatically suspend the certificate or permit. If the annual renewal fee is not paid within six months following such date, the certificate or permit shall be revoked. A certificate or permit revoked for nonpayment of the renewal fee may be reinstated within five years from the time of revocation upon payment of the penalty fee specified in subsection (e) plus twice the annual renewal fee specified in subsection (c). If the application for reinstatement is not made within five years from the date of suspension of the certificate or permit, the certificate or permit shall be canceled and shall not be subject to reinstatement.
(g) Each person applying to be an approved school of radiologic technology shall pay an application fee of $1,175.00 with the application for approval.
(h) Each approved school of radiologic technology shall, on or before the anniversary of the effective date of approval, pay a fee of $190.00 and, for each physical location where clinical education is given, a fee of $110.00
(i) Each person approved as a limited permit X-ray technician school pursuant to sections 30424, 30425, 30427, or 30427.2 that requests approval to provide training in a new limited permit category as specified in sections 30442 and 30443 shall pay an application fee of $430.00 with the application for approval.
(j) Any school failing to pay the annual fees by the anniversary of the effective date of the approval shall immediately cease operations requiring Department approval until such time as the annual fees and a late fee of 25 percent of the annual fees has been paid.
(k) Fees required by this section shall be nonrefundable.


Note: Authority cited: Sections 100275, 114870 and 115000, Health and Safety Code. Reference: Sections 107080, 107085, 107090, 107095 and 107100, Health and Safety Code.


s 30420. Application Procedure.
Applicants seeking approval of a school or a course of study in radiologic technology shall submit to the Department all of the following:
(a) An application on forms furnished by the Department.
(b) Documents which explain the nature and extent of education and training to be offered.
(c) Course descriptions, curricula plans, and study plans.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Sections 25668(d) and 25686, Health and Safety Code.


s 30421. Diagnostic Radiologic Technology Schools.
(a) In order to be approved by the Department as a diagnostic radiologic technology school, a training facility shall include in its curriculum all requirements of subsections (b) through (g), inclusive, of this section.
(b) The course of study shall meet at least the following:
(1) 500 hours of formal classroom instruction.
(2) 50 hours of general radiographic laboratory.
(3) 75 hours of positioning laboratory.
(4) 25 hours of radiation protection laboratory.
(5) 1850 hours of supervised clinical education.
(c) The classroom instruction shall include at least the following:
Subject Hours of
Instruction
(1) Radiation protection pertaining to radiography........... 50
(2) Introduction to radiologic technology.................... 5
(3) Professional ethics...................................... 5
(4) Anatomy and physiology................................... 50
(5) Medical terminology...................................... 15
(6) Physics and electricity.................................. 40
(7) Principles of radiographic exposure...................... 30
(8) Film/image receptor processing (theory and equipment).... 10
(9) Survey of diseases....................................... 10
(10) Nursing procedures...................................... 15
(11) Pediatric radiography................................... 10
(12) Procedures involving contrast media..................... 80
(13) Departmental administrative and office procedures....... 5
(14) Equipment and accessory care............................ 5
(15) Radiographic positioning................................ 70
(16) Film critique........................................... 80
(17) Senior student seminar.................................. 20

(d) In the general radiographic laboratory each student shall perform experiments, using phantoms, to illustrate at least the following:
(1) X-ray output (effects of kilovoltage, milliamperage, filtration, distance, and heel effect).
(2) Radiographic contrast -subject and film (kilovoltage, filtration, scatter radiation, film type and speed, exposure, processing).
(3) Control of scatter radiation (collimation, field size accuracy, X-ray/light-field congruence, grids, air gap technique)
(4) Intensifying screens (type and speed, screen-film contact, cassette types).
(5) Image sharpness (penumbra, inverse square law, source and subject-film distance, size of the focal spot, motion, magnification and distortion).
(6) Quality control experiments.
(e) In the positioning laboratory each student shall:
(1) Position simulated patients for routine X-ray procedures to illustrate different patient care situations.
(2) Perform on phantoms X-ray procedures to illustrate the selection of exposure factors, proper positioning, film and other image receptor processing/developing techniques.
(f) In the radiation protection laboratory each student shall perform experiments to illustrate at least all of the following:
(1) Methods of reducing dose per exposure to patient (limiting exposure field, use of filters, optimum kilovoltage techniques, film-intensifying screen combinations, gonadal shielding, source-film distance).
(2) Reduction of dose to personnel (shielding, such as X-ray tube housing and primary protective barriers, protection against secondary or scatter radiation).
(3) Safe practice for protection of personnel (monitoring, use of protective shielding and distance in portable work, use of protective clothing).
(g) In the supervised clinical education each student shall perform or assist in the performance of not less than the following number of radiographic procedures:
Procedures Number
(1) Chest........................................... 200
(2) Bony skeleton................................... 400
(3) Gastrointestinal and genitourinary.............. 200
(4) Vascular and contrast studies................... 50
(5) Special studies and X-ray imaging modalities.... 50
(6) Bedside and surgical............................ 50

(h) Each training facility approved as a diagnostic radiologic technology school shall meet and maintain all standards set forth in this section. Failure of an applicant to meet any of these standards shall be grounds for denial of approval. Failure of an approved diagnostic radiologic tech nology school to maintain any of these standards shall be grounds for suspension or revocation of approval.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Sections 25668(d) and 25686, Health and Safety Code.

s 30422. Therapeutic Radiologic Technology Schools.
(a) In order to be approved by the Department as a therapeutic radiologic technology school, a training facility shall include in its curriculum all requirements of subsections (b) through (g), inclusive, of this section.
(b) The course of study shall meet at least all of the following:
(1) 455 hours of formal classroom instruction.
(2) 15 hours of general radiographic laboratory.
(3) 60 hours of physics and radiation protection laboratory.
(4) 75 hours of radiotherapy laboratory.
(5) 1500 hours of supervised clinical education.
(c) The classroom instruction shall include at least the following:
Subject Hours of
Instruction
(1) Radiation protection pertaining to
radiation therapy.......................................... 50
(2) Introduction and orientation........................... 5
(3) Professional ethics.................................... 5
(4) Anatomy and physiology................................. 50
(5) Medical terminology.................................... 10
(6) Physics of radiation therapy........................... 85
(7) Mathematics............................................ 15
(8) Pathology.............................................. 25
(9) Nursing procedures..................................... 25
(10) Radiobiology and chemotherapy......................... 25
(11) Principles of radiation therapy....................... 25
(12) Technical radiation therapy and treatment planning.... 55
(13) Intercavitary and interstitial therapy................ 25
(14) Principles of radiography............................. 35
(15) Senior student seminar................................ 20

(d) In the general radiographic laboratory each student shall perform experiments, using phantoms, to illustrate at least the following:
(1) X-ray output (effects of kilovoltage, milliamperage, filtration, distance).
(2) Radiographic contrast (kilovoltage, filtration, scatter, film type, exposure, processing).
(3) Control of scatter (collimation, grids).
(4) Intensifying screens (type, screen-film contact, cassette).
(5) Sharpness (penumbra, inverse square law, source and phantom-film distance, size of the focal spot, motion, magnification and distortion).
(e) In the physics and radiation protection laboratory each student shall perform experiments that will illustrate at least all of the following:
(1) Method of reducing dose to the patient (shutters, cones, collimators, filters, optimum exposure techniques, optimum film and screen use, gonadal shielding, source-film distance).
(2) Reduction of dose to personnel (shielding of the X-ray tube and treatment room, protection against secondary radiation, monitoring, protective clothing).
(3) Quality control procedures:
(A) Identification of parts of basic therapy equipment.
(B) Functions of various types of therapy equipment.
(C) Methods of calculating dosage throughout the irradiated area.
(D) Use of computer in treatment planning.
(E) Calibration of therapy equipment and use of ionization chambers.
(F) Care and safe operation of equipment (testing for safety, interlocks, shutters, communication and viewing systems, erratic operation of machinery, daily inspection and routine maintenance, emergency procedures).
(G) Handling of radioactive materials (use of radiation measuring devices, area surveys, wipe and leak tests, storage and disposal, emergency decontamination).
(f) In the radiotherapy procedures laboratory each student shall:
(1) Manipulate treatment and simulator units.
(2) Operate darkroom equipment and accessories, including automatic processor.
(3) On simulated patients and phantoms, position and select exposure factors for routine localization procedures such as chest, abdomen, head and neck, and pelvis.
(4) Position simulated patients and phantoms for treatment of chest, pelvis and abdomen.
(g) During the supervised clinical education each student shall perform or assist in performing radiation therapy procedures involving the following:
(1) Head and neck.
(2) Central nervous system.
(3) Respiratory system.
(4) Digestive system.
(5) Reproductive system.
(6) Urinary system.
(7) Endocrine system.
(8) Circulatory system.
(9) Reticulo-endothelial system.
(10) Skin.
(11) Soft tissue.
(12) Pediatric.
(13) Metastases.
(h) Each training facility approved as a therapeutic radiologic technology school shall meet and maintain all standards set forth in this section. Failure of an applicant to meet any of these standards shall be grounds for denial of approval. Failure of an approved therapeutic radiologic technology school to maintain any of these standards shall be grounds for suspension or revocation of approval.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Sections 25668(d) and 25686, Health and Safety Code.

s 30423. Radiologic Technologist Fluoroscopy Permit Schools.
(a) In order to be approved by the Department as a radiologic technologist fluoroscopy permit school, a school shall offer a course of study that includes in its curriculum all requirements of subsections (b) and (c) of this section.
(b) The classroom instruction shall include at least the following:
Subject Hours of Instruction
(1) Fluoroscopy regulations and radiation safety...... 10
(2) Fluoroscopy equipment............................. 5
(3) X-ray image intensifiers.......................... 4
(4) Television, including closed circuit equipment.... 4
(5) Image recording and image recording equipment..... 6
(6) Special fluoroscopy equipment..................... 5
(7) Mobile image intensified units.................... 2
(8) Anatomy and physiology of the eye................. 2
(9) Three-dimensional and radiological anatomy........ 2

(c) At least 15 hours of laboratory in which each student shall conduct experiments on phantoms to illustrate at least the following:
(1) Methods of reducing dose to patients during fluoroscopy procedures.
(2) Methods of reducing exposure to self and personnel.
(3) Image recording during the exposure of phantom.
(4) Quality control of fluoroscopy equipment.
(d) Each training facility approved as a radiologic technology fluoroscopy permit school shall meet and maintain all standards set forth in this section. Failure of an applicant to meet any of these standards shall be grounds for denial of approval. Failure of an approved radiologic technology fluoroscopy permit school to maintain any of these standards shall be grounds for suspension or revocation of approval.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Sections 25668(d) and 25686, Health and Safety Code.

s 30424. Limited Permit X-Ray Technician Schools Teaching the Chest, Extremities, Gastrointestinal, Genitourinary, Leg-Podiatric, Skull, or Torso-Skeletal Categories.
(a) An applicant for approval as a Limited Permit X-ray Technician School teaching chest, extremities, gastrointestinal, genitourinary, leg-podiatric, skull, or torso-skeletal categories shall require that each student who graduates from the school complete, for each limited permit category, the following course of study, within 24 months of beginning the course of study, and the supervised clinical education within one consecutive period of 12 months during that 24 month period:
(1) One hundred (100) hours of formal classroom education for each limited permit category, which shall include the following:
Subject Hours of Instruction
(A) Radiation protection and safety.... 30
(B) Radiological physics............... 15
(C) X-ray technical factors............ 15
(D) Equipment operation and care....... 10
(E) Darkroom and film processing....... 10
(F) Medical terminology................ 5
(G) Medical ethics..................... 1
(H) Nursing procedures................. 4
(I) Film critique...................... 5
(J) Anatomy and physiology............. 5

(2) For each category, the following hours of specialized classroom instruction in anatomy and physiology, and positioning:
Category Hours of Instruction
(A) Chest............... 10
(B) Extremities......... 20
(C) Gastrointestinal.... 20
(D) Genitourinary....... 10
(E) Leg-podiatric....... 10
(F) Skull............... 30
(G) Torso-skeletal...... 30

(3) Fifteen (15) hours of radiation protection laboratory during which each student shall conduct experiments that demonstrate:
(A) Methods of reducing dose per exposure to patient.
(B) Methods of reducing dose to personnel.
(4) Ten (10) hours of general radiographic laboratory during which each student shall conduct experiments that demonstrate:
(A) Effects of kilovoltage, milliamperage, filtration, distance, and heel effect on radiographic contrast and detail.
(B) Control of scatter.
(C) Quality control.
(5) Supervised clinical education for each category during which each student shall perform or assist in the performance of the following number of radiographic procedures:
Category Number of Procedures
(A) Chest............... 100
(B) Extremities......... 100
(C) Gastrointestinal.... 100
(D) Genitourinary....... 100
(E) Leg-podiatric....... 50
(F) Skull............... 100
(G) Torso-skeletal...... 200



Note: Authority cited: Sections 100275 and 114870(a), Health and Safety Code. Reference: Sections 106975, 107045, 114850, 114870(c) and (d) and 114880, Health and Safety Code.


s 30425. Limited Permit X-Ray Technician Schools Teaching the Dental Laboratory Category.
(a) An applicant for approval as a limited permit X-ray technician school teaching the Dental Laboratory category shall require that each student who graduates from the school complete the following course of study within 24 months of beginning the course of study, and the supervised clinical education within one consecutive period of 12 months during that 24 month period:
(1) One hundred and twenty (120) hours of formal classroom education, extending over a period of no less than six months, which shall include the following:
Subject Hours of Instruction
(A) Radiation protection and safety................. 30
(B) Radiological physics............................ 15
(C) X-ray technical factors......................... 15
(D) Equipment operation and care.................... 10
(E) Darkroom, dental and medical film processing.... 10
(F) Professional ethics and hygienic procedures..... 4
(G) Cephalometrics.................................. 16
(H) Terminology..................................... 5
(I) Film critique................................... 5
(J) Computers and image formation................... 10

(2) Forty-five (45) hours of specialized instruction in:
Subject Hours of
Instruction
(A) Intra-oral anatomy and physiology, and positioning.... 20
(B) Extra-oral anatomy and physiology, and positioning.... 20
(C) Anatomy of the hand and wrist, and positioning for
dental bone age determination............................. 5

(3) Twenty-five (25) hours of laboratory during which each student shall perform experiments using phantoms that demonstrate:
(A) Methods of reducing dose per exposure to the patient and operator.
(B) Effects of kilovoltage, milliamperage, filtration and distance on radiographic contrast and detail.
(C) Quality control.
(4) Supervised clinical education during which each student shall perform or assist in the performance of the following number of radiographic procedures:
Procedures Minimum Number
(A) Peri-apical survey (consisting of at least 14 films).... 100
(B) Bitewing survey (consisting of at least four films)..... 50
(C) Occlusal, mandible and maxilla.......................... 50
(D) Cephalometrics.......................................... 100
(E) Mandible, lateral view.................................. 50
(F) Panographic............................................. 50
(G) Temporo-mandibular joints............................... 20
(H) Dental bone age studies................................. 20



Note: Authority cited: Sections 100275 and 114870(a), Health and Safety Code. Reference: Sections 106975, 107045, 114850, 114870(c) and (d) and 114880, Health and Safety Code.


s 30426. Photofluorographic Chest X-Ray Technician Courses of Study.


Note: Authority cited: Section 114870(a), Health and Safety Code. Reference: Sections 114870(c), 114870(d) and 107045, Health and Safety Code.


s 30427. Limited Permit X-Ray Technician Schools Teaching the Dermatology X-Ray Therapy Category.
An applicant for approval as a limited permit X-ray technician school teaching the dermatology X-ray therapy category shall require that each student who graduates from the school complete the following course of study within 12 months of beginning the course of study:
(a) Thirty hours (30) of formal classroom education, which shall include the following:
Subject Hours of Instruction
(1) Radiation protection and safety......... 5
(2) Biological effects of radiation......... 5
(3) Radiological physics and equipment...... 10
(4) Structure and function of the skin...... 2
(5) Application of X-rays to dermatology.... 8

(b) Supervised clinical education during which each student shall assist or perform procedures on at least the following malignancies: Basal cell carcinoma, squamous carcinoma, and mycosis fungoides.


Note: Authority cited: Sections 100275 and 114870(a), Health and Safety Code. Reference: Sections 106975, 107045, 114850, 114870(c) and (d) and 114880, Health and Safety Code.


s 30427.2. Limited Permit X-Ray Technician Schools Teaching the X-Ray Bone Densitometry Category.
An applicant for approval as a limited permit X-ray technician school teaching the X-ray bone densitometry category shall require that each student who graduates from the school complete the following course of study within 12 months of beginning the course of study:
(a) Eighteen (18) hours of formal classroom education consisting of the following:
Subject Hours of Instruction
(1) Radiation physics, biology, and protection.... 3
(2) Bone biology, bone disease and therapy, and
densitometry parameters........................... 3
(3) X-ray bone densitometry equipment.............. 4
(4) Computers and image formation.................. 3
(5) Anatomy and positioning........................ 4
(6) Ethics and patient handling.................... 1

(b) Four (4) hours of laboratory training during which each student shall perform experiments using phantoms and evaluate images.
(c) Supervised clinical education during which each student shall perform the following number of radiographic procedures:
Procedure Number
(1) Posterior/Anterior spine.... 5
(2) Hip......................... 5
(3) Extremity................... 10



Note: Authority cited: Sections 100275 and 114870(a), Health and Safety Code. Reference: Sections 106975, 107045, 114850, 114870(c) and (d) and 114880, Health and Safety Code.


s 30428. Approval of On-the-Job Training.
(a) In order to be approved by the Department as an on-the-job training program, the supervisor and operator and the prospective student of radiologic technology shall submit to the Department an application for each limited permit category on forms furnished by the Department.
(b) The application for approval shall include a training schedule for each limited permit category applied for.
(c) The standards for approval of on-the-job training programs shall be those standards required of approved schools for limited permits as outlined in Sections 30424 and 30425 or for limited permit courses of study as outlined in Section 30427.
(d) Limited permit categories for on-the-job training programs shall be restricted to the categories listed in Section 30442.
(e) Each approved on-the-job training program shall meet and maintain all applicable standards set forth in this section and in Sections 30424, 30425 and 30427. Failure of an applicant to meet the applicable standards shall be grounds for denial of approval. Failure of an approved on-the-job training program to maintain any of the applicable standards shall be grounds for suspension or revocation of approval.


Note: Authority cited: Section 114870(a), Health and Safety Code. Reference: Section 114875, Health and Safety Code.


s 30435. Notification Requirements.
Within 30 days after any of the following, an official of an approved school, course of study, or on-the-job training program shall, on forms furnished by the Department, inform the Department of:
(a) Change in facility location or telephone number.
(b) Change in course offerings.
(c) Change of program director or faculty.
(d) Change of affiliation agreements.
(e) Names and addresses of students who have been dismissed, suspended or who have voluntarily withdrawn from the clinical education.
(f) Names and addresses of students who have graduated.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25668, Health and Safety Code.

s 30436. Standards for Suspension or Revocation of Approval.
(a) Approval of any school or on-the-job training program, which has been granted pursuant to section 30420 or 30428, may be revoked, suspended, limited or conditioned for any of the following reasons:
(1) Violation of any provision of the Radiologic Technology Act, as defined in Health and Safety Code section 27, or any regulation promulgated pursuant thereto; or
(2) If, at any time, fewer than 75% of the Department-approved examinations referenced in sections 30440, 30444, 30451 and 30455.1 and administered in the previous five years to graduates of the school have received a passing score.


Note: Authority cited: Sections 100275 and 114870(a), Health and Safety Code. Reference: Sections 107045, 114840, 114870(b)-(d), 114875 and 114880, Health and Safety Code.


s 30437. Additional School Requirements and Recordkeeping.
(a) A school approved pursuant to section 30420 shall:
(1) Issue to each student who graduates or who successfully completes a required course of study, a certificate or diploma, which includes:
(A) The student's name;
(B) The name or the category listed in section 30442 or course of study completed by the student;
(C) The date(s) of attendance;
(D) The number of the certificate issued by the Department to the school; and
(E) The signature of the school's chief executive officer, dean or department administrator.
(2) Within 30 days of discontinuance of the school:
(A) Notify the Department of how all records kept pursuant to subsection (b) will be preserved and surrender the school approval certificate to the Department; or
(B) Notify the Department, transmit all records required to be kept pursuant to subsection (b) to the Department and surrender the school approval certificate to the Department.
(3) Within 30 days of discontinuance of instruction in any limited permit category notify the Department.
(b) Each school approved pursuant to section 30420 and each on-the-job training program approved pursuant to 30428 shall retain for at least five years:
(1) Records of attendance;
(2) Proof of participation in clinical education;
(3) Proof of performance of laboratory procedures;
(4) Certificates or diplomas issued; and
(5) Program transcripts.


Note: Authority cited: Sections 100275 and 114870(a), Health and Safety Code. Reference: Sections 107000, 107045, 114850, 114870(c) and (d) and 114880, Health and Safety Code.


s 30440. Issuance of Certificates.
To obtain a radiologic technology certificate an applicant shall have on file with the Department an application as described in Section 30441, and in addition:
(a) For the diagnostic radiologic technology certificate, shall pass Department-approved examinations in:
(1) Diagnostic radiation protection and safety, and
(2) Diagnostic radiologic technology.
(b) For the therapeutic radiologic technology certificate, shall pass Department-approved examinations in:
(1) Therapeutic radiation protection and safety, and
(2) Therapeutic radiologic technology.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Sections 25668(b) and 25677, Health and Safety Code.


s 30441. Acceptable Applications.
The Department considers an application for a radiologic technologist certificate acceptable if all of the following conditions have been met:
(a) Application is made on forms furnished by the Department.
(b) Fee is paid pursuant to Section 30408.
(c) Appropriate radiologic technologist school graduation diploma or certificate is submitted.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25675, Health and Safety Code.


s 30442. Categories.
The categories for limited permits are:
(a) Chest radiography.
(b) Dental laboratory radiography.
(c) Dermatology X-ray therapy.
(d) Extremities radiography.
(e) Gastrointestinal radiography.
(f) Genitourinary radiography.
(g) Leg-podiatric radiography.
(h) Skull radiography.
(i) Torso-skeletal radiography.
(j) X-ray bone densitometry.


Note: Authority cited: Section 114870(a), Health and Safety Code. Reference: Section 114870(c), Health and Safety Code.


s 30443. Scopes.
The scope of each limited permit is as follows:
(a) Chest radiography permit: radiography of the heart and lungs.
(b) Dental laboratory radiography permit: radiography of the intra-oral cavity, skull, and hand and wrist, for dental purposes.
(c) Dermatology X-ray therapy permit: application of X-ray to human beings for the treatment of diseases and tumors of the skin.
(d) Extremities radiography permit: radiography of the upper extremities, including shoulder girdle, and lower extremities, excluding pelvis.
(e) Gastrointestinal radiography permit: radiography of the esophagus, stomach, small and large intestine, and biliary tract.
(f) Genitourinary radiography permit: radiography of the kidneys, ureters, urinary bladder, urethra, and internal and external genitalia.
(g) Leg-podiatric radiography permit: radiography of the knee, tibia and fibula, and ankle and foot.
(h) Skull radiography permit: radiography of the bone and soft tissues of the skull and upper neck.
(i) Torso-skeletal radiography permit: radiography of the shoulder girdle, rib cage and sternum, vertebral column, pelvis and hip joints.
(j) X-ray bone densitometry permit: radiography of the total skeleton or part thereof, using X-ray bone densitometry.


Note: Authority cited: Section 114870(a), Health and Safety Code. Reference: Section 114870(c), Health and Safety Code.


s 30444. Issuance of Limited Permits.
To obtain any of the limited permits described in Section 30442 an applicant shall fulfill all of the following conditions:
(a) Have on file with the Department an application, as described in Section 30445, for each permit applied for, and
(b) Pass Department approved examinations in:
(1) Radiation protection and safety, for each permit category applied for, and
(2) Radiologic technology, for each permit category applied for.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Sections 25668(c) and 25675, Health and Safety Code.

s 30445. Acceptable Applications.
The Department considers an application for a limited permit acceptable if all of the following conditions have been met:
(a) An application is made for each permit on forms furnished by the Department.
(b) Fee is paid pursuant to Section 30408.
(c) For each permit requested an applicant submits any of the following:
(1) A limited permit X-ray technician school graduation diploma or certificate and evidence of completion of clinical training in the limited permit category applied for.
(2) A statement, signed by the supervisor and operator who provided the training, attesting that the applicant has completed Department-approved on-the-job training in the limited permit category applied for.
(3) A resume showing that education, training, and clinical experience is equivalent to the limited permit X-ray technician school curriculum in the limited permit category applied for.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25675, Health and Safety Code.

s 30445.1. Acceptable Applications: X-ray Bone Densitometry.
All persons authorized by the Department to perform X-ray bone densitometry as of September 1, 1997, who make application for limited permit in the category of X-ray bone densitometry on or before September 1, 1998, shall be deemed to have met the requirements of sections 30444(b) and 30445(c) for the purpose of making application for a limited permit in the category of X-ray bone densitometry.


Note: Authority cited: Section 114870(a), Health and Safety Code. Reference: Section 114870(c), Health and Safety Code.


s 30446. Title.
No person other than an individual to whom the Department has issued a limited permit described in section 30442 shall use the title "X-ray Technician" or "XT."


Note: Authority cited: Sections 100275 and 114870(a), Health and Safety Code. Reference: Section 106990, Health and Safety Code.


s 30447. Restrictions.
(a) Limited permits issued pursuant to section 30444 exclude authorization to:
(1) Operate fluoroscopy equipment during exposure of a patient to X-rays.
(2) Operate portable or mobile X-ray equipment.
(3) Perform procedures involving computerized tomography.
(4) Perform mammography procedures.
(5) Perform vascular procedures.
(6) Perform procedures involving scanned projection radiography (digital radiography or digital tomography), or digital fluorography.
(b) Exclusions listed in subsections (a)(2) and (a)(6) shall not apply to individuals who possess a current and valid limited permit in X-ray Bone Densitometry, issued pursuant to section 30444.
(c) The exclusions listed in subsection (a)(6) shall not apply to individuals who possess a current and valid limited permit in Dental Laboratory Radiography, issued pursuant to section 30444.


Note: Authority cited: Sections 100275 and 114870(a), Health and Safety Code. Reference: Sections 106965, 106975, 114845, 114850, 114870(c), 114875 and 114880, Health and Safety Code.


s 30450. Permit Requirement.
A radiologic technologist fluoroscopy permit issued by the Department shall be required of any technologist who exposes a patient to X-rays in a fluoroscopy mode, or who does one or more of the following during fluoroscopy of a patient:
(a) Positions the patient.
(b) Positions the fluoroscopy equipment.
(c) Selects exposure factors.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Sections 25668(c) and 25675, Health and Safety Code.


s 30451. Issuance of Technologist Fluoroscopy Permits.
To obtain a radiologic technologist fluoroscopy permit an applicant shall fulfill all of the following:
(a) File with the Department an application as described in Section 30452, and
(b) Pass Department-approved examinations in:
(1) Fluoroscopy radiation protection and safety, and
(2) Use of fluoroscopy and ancillary equipment.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Sections 25668(c) and 25675, Health and Safety Code.

s 30452. Acceptable Applications.
The Department considers an application for a radiologic technologist fluoroscopy permit acceptable if all of the following conditions have been met:
(a) Application is made on forms furnished by the Department.
(b) Fee is paid pursuant to Section 30408.
(c) The technologist submits one of the following:
(1) A copy of technologist fluoroscopy school graduation diploma or certificate.
(2) A resume showing that education, training and experience is equivalent to that of the radiologic technologist fluoroscopy school curriculum as specified in Section 30423.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25675, Health and Safety Code.

s 30455.1. Issuance of a Mammographic Radiologic Technology Certificate.
(a) To obtain a Mammographic Radiologic Technology Certificate an applicant shall hold a valid and current Diagnostic Radiologic Technology Certificate issued pursuant to Section 30440(a) and shall comply with all of the following:
(1) File with the Department a complete application on the Department form entitled "Application for a Certificate in Radiologic Technology", Form DHS 8200 (6/96);
(2) Submit a fee pursuant to Section 30408;
(3) Submit evidence of having been awarded a mammographic radiologic technology school graduation diploma or certificate; and
(4) Pass a Department examination in mammography technology, including radiation protection and mammography quality assurance.
(b) The following may be substituted for the requirement in subsection (a)(3) with respect to applications filed prior to July 1, 2000:
(1) Advanced certification in mammography issued to the applicant by the American Registry of Radiologic Technologists; or
(2) Evidence of having completed 40 hours of continuing education in mammography courses.


Note: Authority cited: Sections 100275 and 114870, Health and Safety Code. Reference: Sections 114840, 114845 and 114870, Health and Safety Code.


s 30460. Licentiate Certificate.
The certificate category for licentiates of the healing arts is: Radiology supervisor and operator.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25668(e), Health and Safety Code.


s 30461. Licentiate Permits.
The permit categories for licentiates of the healing arts are:
(a) Fluoroscopy supervisor and operator.
(b) Radiography supervisor and operator.
(c) Dermatology supervisor and operator.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25668(e), Health and Safety Code.

s 30462. Radiology Certificate.
A radiology supervisor and operator certificate issued by the Department shall be required of any licentiate of the healing arts who practices as a radiologist.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25668(e), Health and Safety Code.

s 30463. Fluoroscopy Permits.
A fluoroscopy supervisor and operator permit issued by the Department shall be required of any licentiate of the healing arts who does one or more of the following:
(a) Actuates or energizes fluoroscopy equipment.
(b) Directly controls radiation exposure to the patient during fluoroscopy procedures.
(c) Supervises one or more persons who hold radiologic technologist fluoroscopy permits pursuant to Section 30451.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25668(e), Health and Safety Code.

s 30464. Radiography Permits.
A radiography supervisor and operator permit issued by the Department shall be required of any licentiate of the healing arts who does one or more of the following:
(a) Actuates or energizes radiography X-ray equipment.
(b) Supervises one or more persons who hold radiologic technologist certificates pursuant to Section 30440(a).
(c) Supervises one or more persons who hold limited permits pursuant to Section 30444.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25668(e), Health and Safety Code.

s 30465. Dermatology Permits.
A dermatology supervisor and operator permit issued by the Department shall be required of any licentiate of the healing arts who practices dermatology and who uses X-ray therapy equipment for the treatment of diseases and tumors of the skin.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25668(e), Health and Safety Code.

s 30466. Issuance of Licentiate Certificates or Permits.
To obtain a licentiate certificate or any licentiate permit an applicant shall have on file with the Department an application as described in Section 30468, and in addition:
(a) For obtaining a fluoroscopy supervisor and operator permit, shall pass a Department approved examination in fluoroscopy radiation protection and safety, and use and supervision of use of fluoroscopy and ancillary equipment.
(b) For obtaining a radiography supervisor and operator permit, shall pass a Department approved examination in radiography radiation protection and safety, and use and supervision of use of radiography and ancillary equipment.
(c) For obtaining a dermatology supervisor and operator permit, shall pass a Department approved examination in dermatology radiation protection and safety, and application and supervision of application of X-rays for treating diseases and tumors of the skin.
(d) For obtaining a radiology supervisor and operator certificate, shall pass examinations specified in subsections (a) and (b) of this section, unless qualified for a certificate pursuant to Section 30467.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25668(e), Health and Safety Code.

s 30467. Certification of Qualified Licentiates.
An applicant who is certified by the American Board of Radiology or the American Osteopathic Board of Radiology, upon submission of an application, fee and documentary evidence of board certification, shall be issued a radiology supervisor and operator certificate.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25699.1, Health and Safety Code.

s 30468. Acceptable Applications.
The Department considers an application for a licentiate certificate or permit acceptable if:
(a) Application is made on forms furnished by the Department.
(b) Fee is paid pursuant to Section 30408, and
(c) Evidence is provided that the applicant has one of the following valid California healing arts licenses:
(1) Physician and surgeon.
(2) Osteopathic physician and surgeon.
(3) Podiatrist.
(4) Chiropractor.


Note: Authority cited: Section 25668(a), Health and Safety Code. Reference: Section 25668(e), Health and Safety Code.

s 30470. Low-Level Radioactive Waste Disposal.
The regulations governing low-level radioactive waste in the U.S. Government Code of Federal Regulations (CFR), Title 10, Code of Federal Regulations Part 61, as published in the Federal Register on June 22, 1993 (58 Fed. Reg. 33886) are hereby adopted by reference with the following exceptions:
(a) The Department of Health Services shall be substituted in all cases where Commission, Office of Nuclear Material Safety and Safeguards or U.S. Nuclear Regulatory Commission are cited and the Department of Industrial Relations shall be substituted in all cases where the U.S. Department of Labor is cited.
(b) The following sections are deleted: 61.4, 61.5, 61.8, 61.23(i), 61.23(j).


Note: Authority cited: Sections 100275, 115010, 115230 and 115235, Health and Safety Code. Reference: Section 115010, Health and Safety Code.


s 30471. Transfer for Disposal, Manifests and Record Keeping.
The regulations governing the transfer of radioactive materials and manifests in Title 10, Code of Federal Regulations, Parts 20.2006, 61.12(n), 61.80(f) and (l), as published in the March 27, 1995 Federal Register (60 Fed. Reg. 15649) are hereby incorporated by reference.


Note: Authority cited: Sections 100275, 115010, 115230 and 115235, Health and Safety Code. Reference: Section 115010, Health and Safety Code.


s 30473. Definitions.
(a) "Debt" means the obligations of the licensee or the named owner thereof which are fixed as to amount and which give the obligee rights as to assets of the licensee or any portion thereof which are superior to the rights of the licensee.
(b) "Equity" means the total book value of tangible and intangible assets which exceeds the amount of debt.
(c) "Letter of Acceptance" means a confirmation by the applicant that it agrees to be the license designee and commits itself to perform in accordance with statements, representations and procedures contained in its application.
(d) "Reasonable cost" means a cost which is reasonable if, in its nature or amount, does not exceed that which would be incurred by a prudent person under the circumstances prevailing at the time the decision was made to incur the cost.


Note: Authority cited: Sections 208 and 25812(b), Health and Safety Code. Reference: Section 25812(b), Health and Safety Code.

s 30475. Proprietary Documents.
All documents submitted pursuant to the instructions in this group which are proprietary, private or confidential shall be so identified by the applying license designee or licensee as appropriate.


Note: Authority cited: Sections 208 and 25812(b), Health and Safety Code. Reference: Section 25812(b), Health and Safety Code.

s 30477. Application for Selection as License Designee.
(a) Application for designation shall be made to the Department and shall be accompanied by a filing fee of ten thousand dollars.
(b) The application for designation shall contain all of the following:
(1) The information described in Title 10, Code of Federal Regulations, Part 61.11 and 61.12, as published in the December 28, 1982 Federal Register (Vol. 27, No. 248), except 61.11(c)(1), (2) and (3) and 61.12(a), (h) and (i).
(2) A description of any limitation in the site design which would restrict the receipt for disposal of low-level waste due to radiation levels, waste form, waste class or waste packaging.
(3) A description of the natural and demographic characteristics which will be emphasized in selection of the disposal site, including geologic, hydrologic, meteorologic, climatologic and biotic features of the disposal site and vicinity.
(4) A plan for community involvement in the site selection and development process, including brief descriptions of the applicant's experience with waste disposal or other developments requiring community involvement. (continued)