In September 2022, stations in Larkfield and Bennett Valley were both upgraded with the addition of Firefighter/Paramedics and Advanced Life Support capabilities.

The asset, based out of the Sonoma County Airport, can be configured to search-and-rescue, critical care advanced life support level scene response and interfacility transport, and firefighting capabilities.

SCFD is an all hazards organization operating fire suppression and advanced life support emergency medical response and transport.

The organization is composed of career and volunteer Firefighter/EMTs and Firefighter/Paramedics, contracted single-roll EMTs and Paramedics, and REACH personnel.

K9 "Rocket" and his handler were featured on the initial episode of the Smithsonian Channel series Dogs with Extraordinary Jobs.