82. The following are the vehicles marked “AMBULANCE” operated by the City:
Acquisition Registered LTO
Particulars Acquisition Cost
Date Owner Registered
03/15/2011 Toyota Hi-Ace Commuter City of Canlaon Yes ₱1,490,000.00
01/13/2012 Mitsubishi City of Canlaon Yes 877,000.00
02/15/2012 Suzuki City of Canlaon Yes 300,000.00
11/15/2016 Foton City of Canlaon Yes Donated by PCSO
08/06/2020 Nissan NV350 City of Canlaon Yes 2,597,980.00
12/15/2023 Nissan Urvan 2.5 Cargo City of Canlaon Yes 1,799,000.00
Nissan Urvan City of Canlaon Yes
83. Further verification disclosed that the seven ambulances do not have the DOH-License to
Operate (DOH-LTO) nor was it registered as a PTV with the DOH because of the
extensive requirement to obtain the license. The acquisition date and cost for the Nissan
Urvan vehicle is yet to be identified.
84. We would like to highlight that securing the DOH LTO for all ambulances ensure that
each ambulance meets the following essential standards:
1. Ambulance Body – has appropriate markings and provides sufficient space for
patients, required personnel, and equipment;
2. Personnel – staffed by a qualified and trained team to ensure the effective and
efficient delivery of quality ambulance services;
3. Equipment, Medicines, and Supplies - equipped with the necessary equipment,
medicines, and supplies, along with a contingency plan for potential equipment
breakdowns or malfunctions;
4. Service Delivery - ensures services provided meet the quality standards set in the
ambulance licensing assessment tool, including documented policies for standard
operating procedures (SOP); and
5. Information Management - includes a system for communication, documentation,
and reporting on patients' conditions, in accordance with the Electronic Commerce
Act (R.A. No. 8792) and the Data Privacy Act (R.A. No. 10173); and
6. Environmental Management- the ambulance is properly ventilated and disinfected,
and wastes, toxic, and hazardous substances are properly disposed.
85. In the absence of the DOH LTO, the assurance that vehicles marked “AMBULANCE”
operate with competent personnel and appropriate equipment to respond to medical
emergencies, provide quality care, and ensure patient safety may not be fully attained.
86. We recommended and Management agreed to secure the DOH-LTO for the seven
vehicles marked with “AMBULANCE” otherwise, register them as Patient
Transport Vehicle (PTV) and change the labels accordingly pursuant DOH AO No.
2018-001 dated January 28, 2018.
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