First responders fill out assessment forms


Every agency and ambulance licensed in Kentucky must undergo an initial inspection. As part of the re-licensure process, every agency must submit to an annual inspection to ensure compliance with regulatory requirements. This inspection will include a thorough review of your provider management requirements. In addition, as part of the annual inspection, at least 51% of the vehicles on the license will be randomly inspected as well. Keep in mind that up to 100% of vehicles may be inspected.

Typically re-licensure inspections will be scheduled for most agencies, however KBEMS does have the ability to conduct unannounced inspections for the following purposes:

  • Complaint Allegation
  • Follow-up Visit
  • Re-Licensing

Agency Requirements

Agencies must adhere to regulations to ensure quality of care and proper management of EMS organizations. An easy to read checklist of requirements can be found below:

Vehicle Requirements

All EMS vehicles in Kentucky must undergo an initial inspection and subsequent annual inspections. Checklists that include all required equipment can be found below:


Occasionally, there are times during an inspection that an agency, ambulance, or both are found to be deficient in certain areas. If a deficiency is found, the Inspector will notify the director (or designee) verbally of any deficiency found during their inspection. Deficiencies that are found during an inspection and corrected prior to the departure of the inspector will not receive a formal deficiency, but will be documented in the inspection report.

If a deficiency cannot be corrected during the inspection, the following process will occur:

The agency director will receive via certified mail a Statement of Deficiencies. This statement will cite the regulation that was not met and the inspector's findings. Each deficient regulation will be listed.

The agency director will have 10 days to submit a Plan of Correction to the KBEMS office. The Plan of Correction will include a plan to fix each listed deficiency, and specify the date on which the deficiency will be corrected.

Once the KBEMS office receives the Plan of Correction, one of two processes will follow:

  1. If the Plan of Correction is acceptable, KBEMS will send a Letter of Acceptance to the Agency Director.
  2. If the Plan of Correction is unacceptable, KBEMS will notify the Agency Director that all or parts of the plan are unacceptable.

If the Plan of Correction is found to be unacceptable, the Agency will have 10 days from the receipt of the rejection notice to file an alternate plan.