I thought this was interesting. Wouldn't you think this would apply to MJ's home? I know it is obviously very unusual that anesthesia would be administered in a home setting but the laws seem like they still would cover this as "out-patient" or am I totally off-base here?
California Outpatient Surgery Organizations
In addition to the AAAHC standards found in the Handbook, outpatient surgery organizations in California must also be in compliance with the following laws:
AB 595 (Speier) effective July 1, 1996
This law states: "no physician and surgeon shall perform procedures in an outpatient setting using anesthesia, except local anesthesia or peripheral nerve blocks, or both, complying with the community standard of practice, in doses that, when administered, have the probability of placing a patient at risk for loss of the patient's life-preserving protective reflexes, unless the setting is specified in Section 1248.1 of the Health and Safety Codes. Outpatient settings where anxiolytics and analgesics are administered are excluded when administered, in compliance with the community standard of practice, in doses that do not have the probability of placing the patient at risk for loss of the patient's life-preserving protective reflexes."
Added in 2000:
A minimum of two staff persons must be on the premises, one of whom shall be a licensed physician and surgeon and/or a licensed health care professional with current certification in advanced cardiac life support (ACLS), as long as a patient is present who has not been discharged from supervised care.
http://www.aaahc.org/eweb/dynamicpage.aspx?site=aaahc_site&webcode=accred_CAL