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Home My WebLink AboutIncident 19-02383 - 258 California_RedactedNFIRS-1 Basic 40060 CA 05 10 2019 Fire Station 2 (FS2) 19-02383 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 258 CALIFORNIA # A1 Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 111-Structure Fire Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None CALFIRE (40080) California Their FDID Their State Their Incident Number Dates and Times Alarm 05 10 2019 04:44 Arrival 05 10 2019 04:48 Controlled 05 10 2019 04:53 Last Unit Cleared 05 10 2019 06:32 Shifts and Alarms A 1 Shift or Platoon Alarms District Special Studies ID#Value A B C D E1 E2 E3 Page 1 of 14 Actions Taken 10-Fire control or extinguishment, other Primary Action Taken 21-Search Additional Action Taken 12-Salvage & overhaul Additional Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 7 16 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ 11,192.00 Contents:$ 6,200.00 Pre-Incident Values: Optional None Property:$ 178,000.00 Contents:$ 21,000.00 Completed Modules 2 - Fire 3 - Structure Fire 4 - Civilian Fire Cas. 5 - Fire Service Cas. 6 - EMS 7 - HazMat 8 - Wildland Fire 9 - Apparatus 10 - Personnel 11 - Arson Casualties None Deaths Injuries Fire Service 0 0 Civilian 0 1 Detector Required for Confined Fires 1 - Detector Alerted Occupants 2 - Detector Did Not Alert Them 3 - Unknown Hazardous Materials Release 1 - Natural Gas 2 - Propane Gas 3 - Gasoline 4 - Kerosene 5 - Diesel Fuel / Fuel Oil 6 - Household Solvents 7 - Motor Oil 8 - Paint 0 - Other None Mixed Use Property Not Mixed 10 - Assembly Use 20 - Education Use 33 - Medical Use 40 - Residential Use 51 - Row Of Stores 53 - Enclosed Mall 58 - Business and Residential 59 - Office Use 60 - Industrial Use 63 - Military Use 65 - Farm Use 00 - Other Mixed Use Property Use None Structures 131 Church, Place of Worship 161 Restaurant or Cafeteria 162 Bar/Tavern or Nightclub 213 Elementary School, Kindegarten 215 High School, Junior High 241 College, Adult Education 311 Nursing Home 331 Hospital 341 Clinic, Clinic-Type Infirmary 342 Doctor/Dentist Office 361 Prison or Jail, Not Juvenile 419 1- or 2-Family Dwelling 429 MultiFamily Dwelling 439 Rooming/Boarding House 449 Commerical Hotel or Motel 459 Residential, Board and Care 464 Dormitory/Barracks 519 Food and Beverage Sales 539 Household Goods, Sales, Repairs 571 Gas or Service Station 579 Motor Vehicle/Boat Sales/Repairs 599 Business Office 615 Electric-Generating Plant 629 Laboratory/Science Laboratory 700 Manufacturing Plant 819 Livestock/Poultry Storage (Barn) 882 Non-Residential Parking Garage 891 Warehouse Outside 124 Playground or Park 655 Crops or Orchard 669 Forest (Timberland) 807 Outdoor Storage Area 919 Dump or Sanitary Landfill 931 Open Land or Field 936 Vacant Lot 938 Graded/Cared for Plot of Land 946 Lake, River, Stream 951 Railroad Right-of-Way 960 Other Street 961 Highway/Divided Highway 962 Residential Street/Driveway 981 Construction Site 984 Industrial Plant Yard Property Use: Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Owner Local Option Person/Entity Type Business Name (if applicable)Phone Number Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code F G1 G2 H1 H2 H3 I J K2 Page 2 of 14 Remarks: Arrived to find smoke and fire coming from the front door of the residence. T2 established California command and declared a working incident. T2 FF pulled a crosslay and engaged in transitional attack. Pump 2 able to establish water supply. T2 made confirmation with the residents of the involved unit that no one was inside. T2 knocked down fire and requested additional engine and vent. BC1 took over command and assigned T2 DIVA and had E3 assigned to me. Div A coordinated salvage and overhaul of residence. T2 confirmed no extension into walls or ceiling space. Fire Marshall arrived and conducted investigation. Residents were interviewed by T1 Capt Lipson. Residences advised that two girls were sleep at 2200, was with boyfriend in the room that was involved stated she lit a candle at midnight, then went out. Came home at 230 and went to bed with candle still lit. woke up to smoke and fire in room, no detector was activated in house, they had been removed and place on ground by occupants. were able to get the other roommates out of the house. was treated by SLAS for minor burn injuries to arm. T2 confirmed no extension and finished overhaul. T2 released by California IC. Scene turned over to rep,, by IC. Authorization 40667 Gutierrez, Armando Fire Captain 05/10/2019 Officer In Charge ID Signature Position or Rank Assignment Date 40667 Gutierrez, Armando Fire Captain 05/10/2019 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 14 NFIRS-2 Fire 40060 CA 05 10 2019 Fire Station 2 (FS2) 19-02383 0 FDID State Month Day Year Station Number Exposure Property Details B1 1 Not Residential Estimated number of residential living units in the building of origin whether or not all units became involved B2 1 Buildings Not Involved Number of buildings involved B3 None Less than 1 acre Acres burned (outside fires) On-Site Materials Or Products On-Site Materials Storage Use Ignition D1 21-Bedroom - < 5 persons; included are jail or prison Area of Fire Origin D2 66-Candle Heat Source D3 92-Magazine, newspaper, writing paper Item First Ignited D4 60-Wood or paper, processed, other Type of Material First Ignited Cause of Ignition 1 - Intentional 2 - Unintentional 3 - Failure of Equipment or Heat Source 4 - Act of Nature 5 - Cause Under Investigation U - Cause Undetermined After Investigation Factors Contributing to Ignition 12-Heat source too close to combustibles. Factor Contributing to Ignition Human Factors Contributing to Ignition Check all applicable boxes None 1 - Asleep 2 - Possibly impaired by alcohol or drugs 3 - Unattended person 4 - Possibly Mentally Disabled 5 - Physically Disabled 6 - Multiple Persons Involved 7 - Age Was A Factor Estimated Age of Person Involved Male Female Equipment Involved In Ignition None Equipment Involved Brand Model Serial # Year Equipment Power Source Equipment Power Source Equipment Portability 1 - Portable 2 - Stationary Portable equipment normally can be moved by one or two persons. Fire Suppression Factors A B C D E1 E2 E3 F1 F2 F3 G Page 4 of 14 Mobile Property Involved 1 - Not involved in ignition, but burned 2 - Involved in ignition, but did not burn 3 - Involved in ignition and burned None Mobile Property Type and Make Mobile Property Type Mobile Property Make Local Use Pre-Fire Plan Available Arson Report Attached Police Report Attached Coroner Report Attached Other Reports Attached Mobile Property Model Year State License Plate Number VIN _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ H1 H2 Page 5 of 14 NFIRS-3 Structure Fire Structure Type 1 - Enclosed Building 2 - Portable/Mobile Structure 3 - Open Structure 4 - Air-Supported Structure 5 - Tent 6 - Open Platform 7 - Underground Structure 8 - Connective Structure 0 - Other Building Status 1 - Under Construction 2 - In Normal Use 3 - Idle, Not Routinely Used 4 - Under Major Renovation 5 - Vacant and Secured 6 - Vacant and Unsecured 7 - Being Demolished 0 - Other U - Undetermined Building Height 2 Number of Stories At/Above Grade 0 Number of Stories Below Grade Main Floor Size 800 Total Square Feet OR BY Length (ft) X Width (ft) Fire Origin 1 Below Grade Story of Fire Origin Fire Spread Confined to Object of Origin 2 - Confined to Room of Origin 3 - Confined to Floor of Origin 4 - Confined to Building of Origin 5 - Beyond Building of Origin Number of Stories Damaged By Flame Number of Stories w/Minor Damage (1-24%) Number of Stories w/Significant Damage (25-49%) Number of Stories w/Heavy Damage (50-74%) Number of Stories w/Extreme Damage (75-100%) *Count the roof as part of the highest story Type of Material Contributing Most to Flame Spread K1 Item Contributing Most to Flame Spread K2 Type of Material Contributing Most To Flame Spread Presence of Detectors N - None Present 1 - Present U - Undetermined Detector Type 1 - Smoke 2 - Heat 3 - Combination of Smoke and Heat 4 - Sprinkler, Water Flow Detection 5 - More Than One Type Present 0 - Other U - Undetermined Detector Power Supply 1 - Battery Only 2 - Hardwire Only 3 - Plug-In 4 - Hardwire With Battery 5 - Plug-In With Battery 6 - Mechanical 7 - Multiple Detectors & Power Supplies 0 - Other U - Undetermined Detector Operation 1 - Fire Too Small To Activate 2 - Operated 3 - Failed To Operate U - Undetermined Detector Effectiveness 1 - Alerted Occupants, Occupants Responded 2 - Alerted Occupants, Occupants Failed to Respond 3 - There Were No Occupants 4 - Failed to Alert Occupants U - Undetermined Detector Failure Reason 1 - Power Failure, Shutoff, or Disconnect 2 - Improper Installation or Placement 3 - Defective 4 - Lack of Maintenance, Dirty 5 - Battery Missing or Disconnected 6 - Battery Discharged or Dead 0 - Other U - Undetermined I1 I2 I3 I4 J1 J2 J3 K L1 L2 L3 L4 L5 L6 Page 6 of 14 Presence of Automatic Extinguishing System N - None Present 1 - Present 2 - Partial System Present U - Undetermined Type of Automatic Extinguishing System 1 - Wet-Pipe Sprinkler 2 - Dry-Pipe Sprinkler 3 - Other Sprinkler System 4 - Dry Chemical System 5 - Foam System 6 - Halogen-Type System 7 - Carbon Dioxide System 0 - Other U - Undetermined Required if fire was within designed range of AES Operation of Automatic Extinguishing System 1 - Operated/Effective 2 - Operated/Not Effective 3 - Fire Too Small To Activate 4 - Failed To Operate 0 - Other U - Undetermined Required if fire was within designed range Number of Sprinkler Heads Operating Required if system operated Reason for Automatic Extinguishing System Failure 1 - System Shut Off 2 - Not Enough Agent Discharged 3 - Agent Discharged But Did Not Reach Fire 4 - Wrong Type of System 5 - Fire Not In Area Protected 6 - System Components Damaged 7 - Lack of Maintenance 8 - Manual Intervention 0 - Other U - Undetermined Required if system failed or not effective M1 M2 M3 M4 M5 Page 7 of 14 NFIRS-4 Civilian Casualty (1 of 1) 40060 CA 05 10 2019 Fire Station 2 (FS2) 19-02383 0 FDID State Month Day Year Station Number Exposure Injured Person Male Female First Name MI Last Name Suffix Casualty Number 1 Age or Date Of Birth 19 Age OR Date of Birth Race 1 - White 2 - Black, African American 3 - Am. Indian, Alaska Native 4 - Asian 5 - Native Hawaiian, Other Pacific Islander 0 - Other, Multiracial U - Undetermined Ethnicity 1 - Hispanic or Latino 0 - Non Hispanic or Latino Affiliation 1 - Civilian 2 - EMS, Not Fire Department 3 - Police 0 - Other Date and Time of Injury 05/10/2019 04:46 Date Time Severity 1 - Minor 2 - Moderate 3 - Severe 4 - Life Threatening 5 - Death U - Undetermined Cause of Injury 1 - Exposed to fire products including flame, heat, smoke, and gas 2 - Exposed to toxic fumes other than smoke 3 - Jumped in escape attempt 4 - Fell, slipped, or tripped 5 - Caught or trapped 6 - Structural Collapse 7 - Struck by or contact with object 8 - Overexertion or strain 9 - Multiple Causes 0 - Other U - Undetermined Human Factors Contributing to Injury 1 - Asleep 2 - Unconscious 3 - Possibly impaired by alcohol 4 - Possibly impaired by other drug 5 - Possibly mentally disabled 6 - Physically disabled 7 - Physically restrained 8 - Unattended person Factors Contributing to Injury Activity When Injured 1 - Escaping 2 - Rescue Attempt 3 - Fire Control 4 - Return to Fire Before Control 5 - Return to Fire After Control 6 - Sleeping 7 - Unable to Act 8 - Irrational Act 0 - Other U - Undetermined Location At Time Of Incident 1 - In Area Of Origin And Not Involved 2 - Not In Area Of Origin And Not Involved 3 - Not In Area Of Origin, But Involved 4 - In Area Of Origin And Involved 0 - Other Location U - Undetermined General Location At Time Of Injury 1 - In Area Of Fire Origin 2 - In Building But Not In Area 3 - Outside, But Not In Area U - Undetermined Story At Start Of Incident 1 Below Grade Story At Start Of Incident Story Where Injury Occurred 1 Below Grade Story At Injury Occurred if Different From M3 Specific Location At Time Of Injury 21-Bedroom - < 5 persons; included are jail or prison A B C D E1 E2 F G H I J K L M1 M2 M3 M4 M5 Page 8 of 14 Primary Apparant Symptom 12-Burns only, thermal Primary Area Of Body Injured 1 - Head 2 - Neck and shoulder 3 - Thorax 4 - Abdomen 5 - Spine 6 - Upper extremities 7 - Lower extremities 8 - Internal 9 - Multiple body parts Disposition Transported To Emergency Care Facility Remarks N O P Page 9 of 14 NFIRS-9 Apparatus or Resources 40060 CA 05 10 2019 Fire Station 2 (FS2) 19-02383 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC1 Type:92-Chief officer car Dispatch:05/10/2019 04:44 Arrival:05/10/2019 04:51 Clear:05/10/2019 06:32 Sent 1 Suppression EMS Other ID:CHIEF Type:92-Chief officer car Dispatch: Arrival:05/10/2019 05:15 Clear: Sent 1 Suppression EMS Other ID:E3 Type:11-Engine Dispatch:05/10/2019 04:44 Arrival:05/10/2019 04:52 Clear: Sent 3 Suppression EMS Other ID:E4 Type:11-Engine Dispatch:05/10/2019 04:44 Arrival:05/10/2019 04:52 Clear:05/10/2019 06:32 Sent 3 Suppression EMS Other ID:PRV20 Type:00-Other apparatus/resource Dispatch:05/10/2019 05:01 Arrival:05/10/2019 05:31 Clear: Sent 1 Suppression EMS Other ID:T1 Type:12-Truck or aerial Dispatch:05/10/2019 04:44 Arrival:05/10/2019 04:52 Clear:05/10/2019 06:32 Sent 4 Suppression EMS Other ID:T2 Type:12-Truck or aerial Dispatch:05/10/2019 04:44 Arrival:05/10/2019 04:48 Clear:05/10/2019 06:32 Sent 3 Suppression EMS Other A Page 10 of 14 NFIRS-10 Personnel 40060 CA 05 10 2019 Fire Station 2 (FS2) 19-02383 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC1 Type:92-Chief officer car Dispatch:05/10/2019 04:44 Arrival:05/10/2019 04:51 Clear:05/10/2019 06:32 Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 16750 Berryman, Neal Battalion Chief ID:CHIEF Type:92-Chief officer car Dispatch: Arrival:05/10/2019 05:15 Clear: Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken Aggson, Keith Fire Chief ID:E3 Type:11-Engine Dispatch:05/10/2019 04:44 Arrival:05/10/2019 04:52 Clear: Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 54190 King, Michael Captain 54183 King, John Engineer 34590 Flatos, Alec Firefighter ID:E4 Type:11-Engine Dispatch:05/10/2019 04:44 Arrival:05/10/2019 04:52 Clear:05/10/2019 06:32 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 25944 Child, Robert Firefighter 73110 Reiss, Devin Engineer 41600 Hale, Gary Captain ID:PRV20 Type:00-Other apparatus/resource Dispatch:05/10/2019 05:01 Arrival:05/10/2019 05:31 Clear: Sent 1 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken maggio, rodger ID:T1 Type:12-Truck or aerial Dispatch:05/10/2019 04:44 Arrival:05/10/2019 04:52 Sent 4 Suppression EMS Other A Page 11 of 14 Clear:05/10/2019 06:32 Personnel ID Name Rank Role Attend Actions Taken 61580 Mason, Ryan Engineer 59710 Lipson, Matthew Captain 46955 Hoover, Nicholas Engineer 35110 Fox II, Samuel Firefighter ID:T2 Type:12-Truck or aerial Dispatch:05/10/2019 04:44 Arrival:05/10/2019 04:48 Clear:05/10/2019 06:32 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 40667 Gutierrez, Armando Captain 92310 Williams, Nathan Firefighter 60045 Lokkart, Eric Engineer Page 12 of 14 NFIRS-1S Supplemental 40060 CA 05 10 2019 Fire Station 2 (FS2) 19-02383 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Arrived to find smoke and fire coming from the front door of the residence. T2 established California command and declared a working incident. T2 FF pulled a crosslay and engaged in transitional attack. Pump 2 able to establish water supply. T2 made confirmation with the residents of the involved unit that no one was inside. T2 knocked down fire and requested additional engine and vent. BC1 took over command and assigned T2 DIVA and had E3 assigned to me. Div A coordinated salvage and overhaul of residence. T2 confirmed no extension into walls or ceiling space. Fire Marshall arrived and conducted investigation. Residents were interviewed by T1 Capt Lipson. Residences advised that two girls were sleep at 2200, was with boyfriend in the room that was involved stated she lit a candle at midnight, then went out. Came home at 230 and went to bed with candle still lit. woke up to smoke and fire in room, no detector was activated in house, they had been removed and place on ground by occupants. were able to get the other roommates out of the house. was treated by SLAS for minor burn injuries to arm. T2 confirmed no extension and finished overhaul. T2 released by California IC. Scene turned over to rep,, by IC. Additional Narrative (#1 of 3 ): E-3 was assigned to assist Div A with fire attack and overhaul. E-3 performed overhaul and mop up in the room of origin, and assisted with salvage and restoration of hose lines used by T-2 and was released. Additional Narrative (#2 of 3 ): BC1 arrived on scene and took over California Command and established the tac frequency as City Tac 1. T2 was assigned Division Alpha and was ordered to do a transitional attack and given E3 and E3471 to work on the Division. T1 was assigned ventilation group and established horizontal ventilation, cleared the second floor, and checked for extension into the second floor. E4 was assigned to back up Div A, assist with water supply, and to help secure the utilities. BC3414 was assigned to Safety and was asked to do a walk around and he assisted with Utility control. These apartments only had electrical service; there was no gas service to the apartments. The fire was contained to the room of origin. E3471 and E21 (at FS#1) were released along with BC 3414. PGE arrived on scene and was assigned with Captain E4 and the on site property manager, to ensure the 5 apartments not affected could be re-inhabited. PGE locked out the electrical to the fire apartment (#1) and the other apartments were re-energized. Captain Hale ensured that each apartment was below the 25ppm threshold for CO. Prev 20 was assigned to investigate the cause of the fire. See his report for specifics. There were four occupants of the fire apartment. All occupants were able to escape the fire. One occupant had minor burns on her forearm and was treated by SLAS M51. Patient refused to be transported to the hospital. T2 reported they fond aworking smoke detector, but it was found on the floor in a basket. T2 was assigned overhaul and worked with E3 and E4 to remove all the smoldering material from the building and utilized their TIC to ensure no hidden fires in the walls and ceiling. The property management company representative, arrived on scene and the building was turned over to him. He was going to handle finding a new place for the displaced tenants. A Page 13 of 14 Additional Narrative (#3 of 3 ): May 13, 2019 Rodger Maggio Fire Origin and Cause Investigation On Friday, May 10, 2019 at approximately 05:00 AM I received a phone call from the San Luis Obispo Fire Dispatch requesting that I respond to 258 California Avenue to investigate the origin and cause of a structure fire. I arrived on scene at approximately 5:20 AM and found a two-story apartment building with eight units and the first story unit closest to California Avenue, identified as Unit A1 being overhauled. Looking at the unit from the entry side I observed a large window opening onto the front porch that was broken out and appeared to be the fire room. to the right was the entry door to the apartment that opened into the living room. This room only exhibited smoke staining. On the ceiling of the living room I noted the melted smoke alarm base. It appeared that the smoke alarm was not in place during the fire. Directly behind the living room was the kitchen. This room also only suffered light smoke damage. From the living room was a short hallway that led to a bedroom and a bathroom. Both rooms only showed light smoke damage. Only the smoke alarm base was observed on the wall in this bedroom. In the hallway I found an electrical subpanel. Breakers seven and nine had been tripped and were identified as serving the heating unit. The room with the most fire damage was the front bedroom that opened to the living room to the left of the main entry door to the apartment. I entered this room and observed a post-flashover room. along the wall on my right I observed a table and a bed, both had substantial damage. To the left of the bed was a wooden nightstand and next to that, another bed that was along the wall to my left, and directly under the window that opened onto the front porch. As the window had broken out during the fire ventilation patterns were evident throughout the room, especially directly across from the window. In the area of the nightstand, between the beds there was an area of low burning and a defined 'V' pattern. As this area was protected from the ventilation path I focused my attention to this area. Behind the nightstand was a duplex electrical outlet. I examined the outlet and ruled it out as an ignition source, nothing was plugged in and it showed no internal damage. On top of the nightstand was a salt lamp. The lamp showed only external damage and was not plugged in. Next to the lamp I observed three glass containers. The glass container closest to the front edge of the nightstand was broken and I observed the remnants of a candle at the bottom. Also on top of the nightstand was what appeared to be the remnants of a paper booklet that was charred almost to ash. To the right side was a paper note book that was charred and on the left side was a charred pillow. I examined the other electrical outlets in the room and ruled them out. I also examined the remains of the thermostat on the wall and determined that the heat of the fire damaged the wiring causing a short, this would explain the tripped breakers. I photographed the scene. After my examination of the scene I met up with Captain Matt LIPSON who had interviewed the four residents who had self evacuated. LIPSON explained that two of the residents had retired to their room for the night in the rear bedroom earlier in the evening, while the two in the front bedroom had gone into the bedroom and lit a candle. The occupants in the front bedroom then left the apartment with the candle still lit and returned at approximately 2:30 AM and went to bed, with the candle still lit. At approximately 4:30 AM, the male occupant was awakened to a fire in the proximity of the nightstand and went to find a fire extinguisher to no avail. He returned and assisted the female occupant to evacuate. the female occupant suffered minor thermal injuries to her upper extremity and was treated at the scene. LIPSON also reported that the smoke alarm was located by firefighters in a basket under a table. It is my opinion that this fire's origin was the nightstand between the beds in the front bedroom. The material first ignited was paper and the ignition source was an unattended candle. Cause is accidental. Page 14 of 14