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The California Department of Health has issued an All Facilities Letter to all long-term care health facilities, reminding them of the potential risks associated with hot summer weather. The letter emphasizes the importance of monitoring weather predictions and ensuring that air conditioning equipment is operating effectively. Facilities are required to have contingency plans in place to deal with loss of air conditioning or lack of air conditioning, taking measures to prevent heat-related health complications. Recommended measures include dressing residents in lightweight clothing, keeping them well hydrated, minimizing physical activities during the hottest parts of the day, and using fans and other cooling devices as needed. Staff should be alert to changes in patient conditions that may be heat-related and develop systems to monitor hydration status. The letter also reminds facilities of the risks associated with mosquitoes and West Nile Virus during hot weather. Facilities must report any emergency or disaster-related occurrences that threaten patient welfare, safety, or health to the Department of Health Services Licensing and Certification Program.

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