Incident Report

Entries in this report are intended for the sole use of the Ventura County Fire Protection
District. Estimations and evaluations made hereon represent "most likely" and "most
probable" cause and effect determinations by fire district personnel. Any representation
as to the validity or accuracy of reported conditions outside the Ventura County Fire
Protection District is neither intended nor implied. Due to the variability in estimating
property and content value and loss, the Ventura County Fire Protection District takes
no position of such damages and, as a consequence, this report may be referenced
by a $0 loss estimate in the fire district's database. Without an approved release,
any and all confidential information protected by law was redacted or removed.
The Custodian of Records for Ventura County Fire Protection District has generated the
enclosed incident information from its computer database. This is a certified copy of the
information contained in District records as of the date this report was printed.The
contents of this report are current as of that date and may not contain all information
relevant to the incident. As warranted, after further review of the matter, additional
information may be added to the report by appropriate fire district personnel.
Incident Number: 190052094

Date Issued: 07/08/2019 13:43:34

Issued by Custodian of Records Office

Page 1 of 2

Ventura County Fire Protection District, 165 Durley Ave, Camarillo, California 93010
VCFPD complies with the U.S. Fire Administrations' National Fire Incident Reporting System (NFIRS)
Code index found at http://www.nfirs.fema.gov/documentation/reference/

 VENTURA COUNTY
FIRE PROTECTION DISTRICT
INCIDENT REPORT 190052094
1. BASIC
Incident Date
Incident Number
07/02/2019 22:15:15
190052094
Address
304 N 2nd St

Exposure
000

Cross Street
[None selected]

Station
Location Type
53 - Port Hueneme
1 Street address
Apt/Suite/Rm
City, State & Zip
Port Hueneme, CA 93041
Incident Type
321 EMS call, excluding vehicle accident with inju

Aid Type
N None

Their Incident Number

Mutual Aid Department

Alarm Time
07/02/2019 22:15:15

Arrival Time
07/02/2019 22:16:22

Control Date/Time

Last Unit Cleared Time
07/02/2019 23:14:15

Action Taken
33 Provide advanced life support (ALS)
Detector (confined fires)
U Undetermined

Property Use
888 Fire station

Fire Related Casualties
0
Fire Service Deaths
0
Civilian Deaths

Fire Service Injuries
Civilian Injuries

Jurisdiction Port Hueneme

Responsibility Area [None Selected]

0
0

Remarks
Eng. 53 was responded to a walk in medical of an approximatley 35 yo female who was requesting medical aid for her 7 yo daughter who had been
shot in the face. Port Hueneme PD was already onscene and had transported the 7 yo female pt via PD unit to VCMC. E-53 crew treated the mother
and she was transported to VCMC by MED664 with FFPM Allen assisting during transport. Refer to epcr for medical treatment provided.

2. APPARATUS/PERSONNEL
Apparatus ID

Apparatus Type

Use

Number of People

ME53
B31

76 ALS unit
92 Chief officer car

EMS
EMS

3
1

Employee Number
105430
104932
103507
126638

Matthew Cundiff
Joseph P Dullam
Paul V Barrera
Cleophus Allen

07/08/2019 13:43:34

Page 2 of 2

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Incident Detail Report
Data Source: Data Warehouse
Incident Status: Closed
Incident number: 19-0052094
Case Numbers:
Incident Date: 7/2/2019 22:15:15
Report Generated: 7/8/2019 13:41:08
Incident Information
Incident Type:
Priority:
Determinant:
Base Response#:
Confirmation#:
Taken By:
Response Area:
Disposition:
Cancel Reason:
Incident Status:
Certification:
Longitude:

Medical
CODE-M5
0591
Schaefer, Breana
051
ALS TRANSPORT
Closed
119198475

Incident Location
Location Name:
Address:
Apartment:
Building:
City, State, Zip:

STATION 53 (53)
304 N 2nd St

1
GUNSHOT NON EMD
Ventura County Fire Department
VNC West
Port Hueneme Urban
Port Hueneme Urban
MED 2018u
5 COMMAND 5
6 TAC 6
7 VFIRE 22

County:
Location Type:
Cross Street:
Map Reference:

Ventura
FIRE
E PEARL ST/E CLARA ST
552-E6

Call Back Phone:
Caller Location:
Caller Location Phone:
Caller Apartment:
Caller County:

805-986-8871

34150413

Port Hueneme CA

Call Receipt
Caller Name:
Method Received:
Caller Type:
Caller Address:
Caller Building:
Caller City, State, Zip:
Time Stamps
Description
Phone Pickup
1st Key Stroke
In Waiting Queue
Call Taking Complete
1st Unit Assigned
1st Unit Enroute
1st Unit Arrived
Closed

Alarm Level:
Problem:
Agency:
Jurisdiction:
Division:
Battalion:
Response Plan:
Command Ch:
Primary TAC:
Secondary TAC:
Delay Reason (if any):
Latitude:

PHPD

Date
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019

Resources Assigned
Primary
Unit
Flag
Assigned
ME53
Y
22:16:05
MED664 N
22:16:05
EMS63 N
22:17:07
B31
N
22:17:14

Time
22:14:55
22:15:01
22:15:43
22:16:53
22:16:05
22:16:22
22:16:22
23:15:14

Disposition
CLEAR
CLEAR
CLEAR

User

Schaefer, Breana

Mobile1

Enroute
22:16:22
22:16:44
22:16:57
22:17:51

Staged

Arrived
22:16:22
22:19:51

Elapsed Times
Description

Time

Received to In Queue
Call Taking
In Queue to 1st Assign
Call Received to 1st Assign
Assigned to 1st Enroute
Enroute to 1st Arrived
Incident Duration

00:00:28
00:01:38
00:00:22
00:01:10
00:00:17.3
-00:00:00.
01:00:19

Delay
At Patient Avail

Odm.
Complete Enroute
23:14:15
23:15:14
22:25:06
22:26:23

Odm.
Arrived

Cancel Reason

0.1

Personnel Assigned
Unit
Name
ME53
Cundiff, Matthew (105430) - Fire Engineer; Frailey, Mark (106582) - Fire Captain; Johnson, Ian (121606) - Fire Fighter
MED664
Campana, Edward (P39081) - EMT; Killops, Daniel (E124423) - EMT
EMS63
Arai, Geoffrey (P30279) - EMT
B31
Dullam, Joe (104932) - Fire Battalion Chief
Caution Notes
No Caution Notes found
Pre-Scheduled Information
No Pre-Scheduled Information
Transports
Unit
Location/Address
City
MED664 VCMC VENTURA COUNTY Ventura
MEDICAL CENTER/300
HILLMONT AVE

Patient

Mode
Protocol
TRANSPORT Default

Mileage
Start/End/Total
0.1/ 0.0/ 99.9

Depart
22:24:24

Arrived
22:40:53

Complete
23:15:14

Transport Legs
No Transports Information
Comments
Date

Time

User

Type

7/2/2019
7/2/2019
7/2/2019

22:15:39
22:15:48
22:16:07

BCS
BCS
PAGINGSERVICE

Response
Response
Response

Conf.

Comments
[1] PD GOT A CALL FROM AN RP STATING A PT WAS SHOT IN THE FACE
[2] PT PD OS
[3] Paging Groups Notified:PHPD

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07/08/2019

 VisiNet Browser : 5.824.27.0 - Reports - Incident Report

7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019

22:16:07
22:16:10
22:16:14
22:16:19
22:17:08
22:17:10
22:17:17
22:17:20
22:20:01
22:24:24
22:25:00
22:25:13
22:26:56

BCS
ZetronM25
ZetronM25
ACI
PAGINGSERVICE
ZetronM25
ZetronM25
ZetronM25
KAF
MED664
KAF
KAF
KAF

Response
Response
Response
Response
Response
Response
Response
Response
Response
Response
Response
Response
Response

7/2/2019

23:05:53

MED664

Response

7/2/2019

23:09:53

MED664

Response

Page 2 of 4

[4] NFI
[5] 53 Alerted at 07/02/2019 22:16:10 for ME53
[6] BAY Alerted at 07/02/2019 22:16:14 for MED664
[7] [Notification] CHILD SHOT / PD OS
[8] Paging Groups Notified:PHPD
[9] BERN Alerted at 07/02/2019 22:17:10 for EMS63
[10] 51 Alerted at 07/02/2019 22:17:17 for B31
[11] 51 Alerted at 07/02/2019 22:17:20 for B31
[12] ME53 PT HU PD OS - TXPT 7 Y/O PD UNIT TO VCMC - POSS GUNSHOT
[13] Transporting to VCMC VENTURA COUNTY MEDICAL CENTER Code-3.
[14] ME53 AMB FOLLOW UP TO VCMC FOLLOWING MED664 - MED664 IS TXPTING
[15] Secondary Location for ME53: /VCMC.
[16] B31 AVAIL BUT FOLLOWING UP TO VCMC
[17] Notification was sent by unit for reason Hospital Delay Decon at 3239 LOMA VISTA RD 34.276780,119.252930.
[18] Notification was sent by unit for reason Hospital Delay Decon at 232 HILLMONT AVE 34.276790,119.253010.

Address Changes
No Address Changes
Priority Changes
No Priority Changes
Alarm Level Changes
Date
Time
7/2/2019
22:16:05
7/2/2019
22:17:07
Activity Log
Date
Time
7/2/2019
22:15:43
7/2/2019
22:15:44

User
TK
TK

Change to Alarm
1
1

Radio

Activity
Incident in Waiting Queue
Waiting Pending Incident
Time Warning
Remove Waiting Pending
Incident Warning
Incident in Waiting Queue
Timer Clear
UserAction
Initial Assignment

Location

DISP

304 N 2nd St [STATION 53
(53)]
304 N 2nd St [STATION 53
(53)]

7/2/2019

22:15:48

7/2/2019

22:15:49

7/2/2019
7/2/2019

22:16:01
22:16:01

7/2/2019

22:16:05

ME53

7/2/2019

22:16:05

MED664 DISP

7/2/2019
7/2/2019

22:16:19
22:16:22

ME53

Notify Comment
ENR

7/2/2019

22:16:22

ME53

ENR

7/2/2019

22:16:22

ME53

OS

7/2/2019
7/2/2019
7/2/2019
7/2/2019

22:16:33
22:16:35
22:16:44
22:16:44

UserAction
UserAction
UserAction
MED664 ENR

7/2/2019
7/2/2019
7/2/2019
7/2/2019

22:16:50
22:16:53
22:16:56
22:16:57

UserAction
UserAction
UserAction
ENR

7/2/2019

22:17:03

VisiCAD Recommendation

7/2/2019
7/2/2019

22:17:04
22:17:04

UserAction
Add Resources

7/2/2019

22:17:07

EMS63

DISP

7/2/2019

22:17:14

B31

DISP

7/2/2019
7/2/2019
7/2/2019

22:17:14
22:17:27
22:17:51

B31

Update Sector
UserAction
ENR

7/2/2019
7/2/2019

22:19:02
22:19:51

UserAction
MED664 OS

7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019

22:20:02
22:20:03
22:20:09
22:21:46
22:22:49
22:24:24

UserAction
UserAction
UserAction
UserAction
UserAction
MED664 TRANS

7/2/2019

22:24:24

MED664 TRANS

EMS63

B31

Log Entry

User

Waiting Pending Incident Time Warning timer
expired
Removing Waiting Pending Incident Time Warning
timer expired

304 N 2nd St [STATION 53
(53)]
304 N 2nd St [STATION 53
(53)]
304 N 2nd St [STATION 53
(53)]

304 N 2nd St [STATION 53
(53)]

304 N 2nd St [STATION 53
(53)]

304 N 2nd St [STATION 53
(53)]
304 N 2nd St [STATION 53
(53)]
304 N 2nd St
304 N 2nd St [STATION 53
(53)]

User clicked Initial Assign
The following unit(s) is (are) recommended for
assignment: ME53 (00:00:02),MED664 (00:03:02)
Response Number (0591)

TMK
TMK

Response Number (0592)

TMK

(Response Viewer)
Status bypassed by user due to allowable status
change
Responding From = PEARLST\2ND.

TMK

BRO
BRO
BRO

User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
Responding From = BAYBLVD\BALBOA.

KAF
TMK
TMK
MED664

User clicked Exit/Save
User clicked Exit/Save
User clicked Add Resource
Responding From = BERNOULLICIR\LOMBARD.

KAF
BCS
TMK
EMS63

EMS63: 00:09:10, EMS48: 00:22:53, EMS42:
00:30:52, EMS51: 24:15:56,
User Accepted EMS63
The following unit(s) is (are) recommended for
assignment: EMS63 (00:09:10)
Response Number (0593)

TMK

Response Number: 0594;

TMK

From Sector PLA to SBCO
User clicked Exit/Save
Responding From = TURNOUT PARK
CIR\THAMES RIVER DR.
User clicked Exit/Save

TMK
TMK
6154

304 N 2nd St [STATION 53
(53)]
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
300 HILLMONT AVE [VCMC
Transporting to VCMC VENTURA COUNTY
VENTURA COUNTY MEDICAL MEDICAL CENTER Code-3.
CENTER]
300 HILLMONT AVE [VCMC
Odometer - .1
VENTURA COUNTY MEDICAL
CENTER]

http://38.101.117.146/VisiNetBrowser/Search/IncidentReport.aspx?id=1121874&ds=a

TMK
TMK

BRO
MED664
KAF
MFC
TMK
ACI
BRO
MED664
MED664

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Page 3 of 4

7/2/2019

22:24:24

MED664 TRANS

300 HILLMONT AVE [VCMC
Transport Priority - TRANSPORT; Protocol VENTURA COUNTY MEDICAL Default
CENTER]
User clicked Exit/Save
304 N 2nd St [STATION 53
Unit Cleared From Incident 19-0052094
(53)]
/VCMC
Incident ID = 1121874, 0, 0,
S VENTURA RD\W 5TH ST
Unit B31 deviated from original driving directions
route
User clicked Exit/Save
304 N 2nd St [STATION 53
Unit Cleared From Incident 19-0052094
(53)]
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
300 HILLMONT AVE [VCMC
VENTURA COUNTY MEDICAL
CENTER]
300 HILLMONT AVE [VCMC
Depart Scene Time: 07/02/2019 22:24:24, Arrive
VENTURA COUNTY MEDICAL Destination Time: 07/02/2019 22:40:53
CENTER]
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
/VCMC
Incident ID = 1121874, 0, 0, ,
3239 LOMA VISTA RD
Hospital Delay Decon
Active incident marked as late
232 HILLMONT AVE
Hospital Delay Decon
304 N 2nd St [STATION 53
Unit Cleared From Incident 19-0052094
(53)]
304 N 2nd St [STATION 53
Unit Cleared From Incident 19-0052094
(53)]
304 N 2nd St
Incident Late Timer cleared for 19-0052094
STATION 53 (53)
Response Disposition: ALS TRANSPORT
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save
User clicked Exit/Save

7/2/2019
7/2/2019

22:25:05
22:25:06

EMS63

UserAction
AVAIL

7/2/2019
7/2/2019

22:25:13
22:25:50

ME53
B31

ENR 2ND LOC
Route Deviation

7/2/2019
7/2/2019

22:26:14
22:26:23

B31

UserAction
AVAIL

7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019

22:26:57
22:28:21
22:31:30
22:37:32
22:38:38
22:40:53

UserAction
UserAction
UserAction
UserAction
UserAction
MED664 DEST

7/2/2019

22:40:53

MED664 Transport Time

7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019
7/2/2019

22:41:36
22:44:02
22:49:55
23:02:25
23:05:53
23:05:53
23:09:53
23:14:15

UserAction
UserAction
UserAction
ME53
OS 2ND LOC
MED664 Hospital Delay Decon
Incident Late
MED664 Hospital Delay Decon
ME53
AVAIL

7/2/2019

23:15:14

MED664 AVAIL

7/2/2019
7/2/2019
7/3/2019
7/3/2019
7/3/2019
7/3/2019
7/3/2019
7/3/2019
7/3/2019
7/3/2019
7/5/2019

23:15:15
23:15:15
00:10:28
00:18:49
07:33:59
07:40:35
07:58:11
12:15:20
20:49:40
20:50:33
21:38:00

Incident Timer Clear
MED664 Response Closed
UserAction
UserAction
UserAction
UserAction
UserAction
UserAction
UserAction
UserAction
UserAction

Date

Time

Field

Changed From

Changed To

Reason

7/2/2019

22:15:17

Address

(Blank)

304 2ND

New Entry

7/2/2019

22:15:19

Latitude

0

34150413

7/2/2019

22:15:19

Longitude

0

119198475

7/2/2019

22:15:19

Address

304 2ND

304 N 2ND ST

7/2/2019

22:15:20

City

Port Hueneme

7/2/2019

22:15:20

Jurisdiction

VNC West

7/2/2019

22:15:20

Division

Port Hueneme Urban

7/2/2019

22:15:20

Battalion

Port Hueneme Urban

7/2/2019

22:15:20

051

7/2/2019

22:15:20

7/2/2019

22:15:20

7/2/2019

22:15:20

7/2/2019

22:15:20

7/2/2019

22:15:43

Response_Are
a
Command_Cha
nnel
ResponsePlanT 0
ype
Primary_TAC_
Channel
Alternate_TAC_
Channel
Problem

7/2/2019

22:15:44

552-E6

7/2/2019

22:15:44

Pickup_Map_In
fo
Map_Info

7/2/2019

22:15:57

Caller_Name

PD

7/2/2019

22:16:38

Field_Data

IF

MED664
KAF
EMS63
KAF
6154
TMK
6154
KAF
BCS
BRO
MFC
ACI
MED664
MED664
ACI
ACI
ACI
6607ME
MED664
MED664
6607ME
MED664
Mobile1
MED664
BRO
MFC
JLA
MES
MES
MES
NMS
NMS
KAF

Edit Log

5 COMMAND 5
0
6 TAC 6
7 VFIRE 22
GUNSHOT NON EMD

552-E6

Table

Response_Master_In
cident
Premise Verified Response_Master_In
cident
Premise Verified Response_Master_In
cident
Premise Verified Response_Master_In
cident
Updated City
Response_Master_In
cident
(Response Viewer) Response_Master_In
cident
(Response Viewer) Response_Master_In
cident
(Response Viewer) Response_Master_In
cident
(Response Viewer) Response_Master_In
cident
(Response Viewer) Response_Master_In
cident
(Response Viewer) Response_Master_In
cident
(Response Viewer) Response_Master_In
cident
(Response Viewer) Response_Master_In
cident
(Response Viewer) Response_Master_In
cident
Response_Transports
Response_Master_In
cident
(Response Viewer) Response_Master_In
cident
Location Info:
Response_User_Data
_Fields

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Workstatio
n
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102
FPDVEN01
DIS102

User
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS
BCS

07/08/2019

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22:16:41

Field_Data

IF

IFO

7/2/2019

22:19:10

Caller_Name

PD

PHPD

Page 4 of 4

Location Info:

Response_User_Data
_Fields
(Response Viewer) Response_Master_In
cident

FPDVEN01 BCS
DIS102
FPDVEN01 BRO
DIS104

Custom Time Stamps
No Custom Time Stamps
Custom Data Fields
Description
Location Info:

Data
IFO

User
BCS

Attachments
No Attachment

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07/08/2019