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Incident Report – 05/23/2021
159 Blake Ave Apt 2, Santa Clara, CA 95050

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Summary

On May 23, 2021, Santa Clara Fire Department responded to an EMS call at 159 Blake Ave Apt 2, Santa Clara, CA 95050, a 24-hour care nursing home (four or more persons).

The alarm was received at 3:44 PM, 3 suppression personnel arrived at 3:49 PM, and the last unit was cleared at 4:20 PM. The time to arrive was 5 minutes and the total incident time was 36 minutes.

The following action was taken during the incident: provide advanced life support (ALS).

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Location

Type Street address
Address 159 Blake Ave Apt 2, Santa Clara, CA 95050
County Santa Clara County
State CA
City SANTA CLARA
Zip Code 95050
Property Use 24-hour care Nursing homes, 4 or more persons
Detector Alerted Occupants Unknown

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 5 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 36 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 03
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift A
Alarms 1

Personnel

Support Personnel 3
EMS Personnel 0
Other Personnel 0

Fire Department

Name Santa Clara Fire Department
Department Type Mostly career
Address 777 Benton St
Santa Clara, CA 95050-4926
Phone (408) 615-4900
Website https://santaclaraca.gov/government/departments/fire

Actions Taken

First Action Taken Provide advanced life support (ALS)

Metadata

Incident Key CA_43090_05232021_2103741_0
State California
Fire Department ID 43090
Incident Date 05/23/2021
Incident Number 2103741
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description

Provider Impression/Assessment Other impression/assessment
Patient Age 97
Patient Gender Female

Procedures Used

Procedure Used No treatment
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