This notifies SNFs and all health facilities that the National Weather Service has issued Level II Excessive Heat Warnings for California. These Heat Warnings are in effect now through 8:00 p.m., Tuesday, September 6, with much of California at high risk for widespread, continuous triple-digit temperatures.

· SNFs must implement recommended precautionary measures to keep individuals safe and comfortable during extremely hot temperatures and must have contingency plans in place to deal with the loss of air conditioning, or in the case when no air conditioning is available, take measures to ensure residents are free of adverse conditions that may cause heat-related health complications.

· SNFs must report extreme heat conditions that compromise resident health and safety and/or require an evacuation, transfer, or discharge of residents.

CDPH reminds SNFs that the elderly and other health compromised individuals are more susceptible to temperature extremes and possible dehydration. Facility administrators should monitor weather predictions for fluctuations in extreme temperatures and take extra precautions to be sure appropriate air conditioning equipment is well maintained and operating effectively.

Facilities should use portable fans and other temporary cooling devices when indicated.

CDPH recommends facilities review Fast Facts: Preventing Summer

• Dress in lightweight, loose-fitting clothing

• Keep residents well hydrated with particular attention to dependent residents

• Minimize physical activities during the hottest parts of the day

• Stay indoors and out of the sun during the hottest parts of the day

• Use fans as indicated in the "Fast Facts" page on preventing summer heat injuries

• Open windows where feasible if screens are intact, to allow fresh air to circulate

• Use cool compresses, misting, showers, and baths to promote cooling

• Avoid hot foods and heavy meals

• Encourage frozen treats such as "popsicles" between meals

• Keep a hydration station readily available to residents, family, and staff

• Be alert to adverse changes in patient and resident conditions that may be heat related

• Develop and implement a system to monitor hydration status and be prepared to take appropriate interventions

• Pay special attention to patients with medications that make the patient susceptible to high temperatures, e.g., psychotropic medications

While implementing these measures, continue to follow the latest COVID-19 guidance from the CDC.

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