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Incident Report – 12/02/2020
30951 Blackhorse Dr, Canyon Lake, CA 92587

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Summary

On December 2, 2020, Canyon Lake Fire Service responded to an EMS call at 30951 Blackhorse Dr, Canyon Lake, CA 92587, a medical use, 24-hour care nursing home (four or more persons).

The alarm was received at 12:20 PM, 3 suppression and 2 EMS personnel arrived at 12:29 PM, and the last unit was cleared at 12:40 PM. The time to arrive was 9 minutes and the total incident time was 20 minutes.

The following action was taken during the incident: provide basic life support (BLS).

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Location

Type Street address
Address 30951 Blackhorse Dr, Canyon Lake, CA 92587
County Riverside County
State CA
City Canyon Lake
Zip Code 92587
Mixed Use Medical use
Property Use 24-hour care Nursing homes, 4 or more persons

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 9 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 20 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station RRU
Mutual Aid Given/Received None
Resources Include Mutual Aid No
District 2

Personnel

Support Personnel 3
EMS Personnel 2
Other Personnel 0

Fire Department

Name Canyon Lake Fire Service
Department Type Mostly volunteer
Address 28730 Vacation Dr
Canyon Lake, CA 92587
Phone (951) 244-5804

Actions Taken

First Action Taken Provide basic life support (BLS)

Metadata

Incident Key CA_33017_12022020_0154917_0
State California
Fire Department ID 33017
Incident Date 12/02/2020
Incident Number 0154917
Exposure Number 0
NFIRS Version 5.0
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