1. (a) An owner and operator of each mobile optometric office shall utilize BreEZe to submit electronically a completed annual 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 January 1 of each year, and shall report operations as a registrant conducted from January 1 through December 31 of the prior year. Hardcopy documents will not be accepted.

2. (b) The information required by this section shall constitute the requirements for submission of an annual report to the Board in accordance with Section 3070.2 of the code. An owner and operator's annual report shall be electronically submitted through BreEZe and shall include all of the following:

   1. (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. (2) The owner and operator shall provide the following information under penalty of perjury through BreEZe:

      1. (A) Name of the owner and operator of the mobile optometric office;
      2. (B) Owner and operator certificate to operate number;
      3. (C) Name, mailing address, telephone number, and email address, if available, of the authorized representative;

      4. (D) A list of all visits made by each mobile optometric office including:

         1. 1. Mobile optometric office permit number;
         2. 2. Dates of operation of the mobile optometric office;
         3. 3. Physical street address where services were provided;
         4. 4. A description of the care provided;
         5. 5. Name and registration number of optician(s) who provided care;
         6. 6. Name and license number(s) of optometrist(s) who provided care;
         7. 7. 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.
      5. (E) 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 a legal signature by any individual whose name is typed in the signature field on the filing.

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.

History

1. New section filed 10-9-2024; operative 10-9-2024 pursuant to Government Code section 11343.4(b)(3) (Register 2024, No. 41).

2. Change without regulatory effect amending section filed 5-20-2026 pursuant to section 100, title 1, California Code of Regulations (Register 2026, No. 21).