The California Department of Health has issued an All Facilities Letter to all long-term care health facilities, reminding them to take extra precautions during hot summer weather. The letter emphasizes the importance of monitoring weather predictions, maintaining air conditioning equipment, and having contingency plans in place for dealing with extreme temperatures. Facilities are advised to use portable fans and other temporary cooling devices when necessary, and to implement measures such as dressing residents in lightweight clothing, keeping them well hydrated, and minimizing physical activities during the hottest parts of the day. Staff should be alert to adverse changes in patient conditions that may be heat-related, and pay special attention to patients on medications that make them susceptible to high temperatures. The letter also reminds facilities of their obligation to report any emergency or disaster-related occurrences that threaten patient welfare, safety, or health to the Department of Public Health.

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