A licensed neonatal commercial ambulance service shall comply with COMAR 30.09.11.03 when transporting a neonate. There shall be a written maintenance plan for all medical devices used on neonatal commercial ambulances approved by SOCALR, which shall provide that: All specialized medical devices used during transport shall: If provided by the hospital, be maintained by the hospital; or If provided by the licensed commercial ambulance service, be maintained as recommended by the manufacturer; and The licensed commercial service providing specialized medical devices used during transport shall maintain records documenting maintenance and repair services. All on-board medical devices shall be secured to the satisfaction of SOCALR. The following equipment shall be carried in a neonatal ambulance: All equipment listed in the current Neonatal equipment list approved by SOCALR; Any additional equipment required for the care of the patient as determined by consultation between the referring and receiving physicians; and Additional medications approved for use by the neonatal service medical director to meet the needs of the types of patients being transported. A list of the additional medications used by the neonatal service and approved by the neonatal service medical director shall be provided to SOCALR and approved by the State EMS Medical Director annually upon license renewal, and shall be available on each ambulance when in use for a neonatal transport. SOCALR shall be notified in writing of any changes to the list of additional medications used by the neonatal transport service within 7 days of the change. There shall be sufficient quantities of medications to care for one neonatal patient for the longer of: 1 hour; or Two times the estimated time of transport.