The California Department of Health has issued an All Facilities Letter (AFL) in response to the National Weather Service's Level I Excessive Heat Watch and Heat Warning advisory. The AFL requires healthcare facilities to implement precautionary measures to protect individuals from extreme heat, including having contingency plans for loss of air conditioning. Facilities must ensure patients and residents are free from conditions that may cause heat-related health complications. The elderly and health-compromised individuals are more susceptible to extreme temperatures and dehydration, making it crucial for facility administrators to monitor weather predictions and maintain air conditioning equipment. Portable fans and cooling devices should be used when necessary. The AFL also provides recommendations for keeping residents comfortable during extreme hot weather, such as dressing in lightweight clothing, staying hydrated, and minimizing physical activities during the hottest parts of the day. Facilities must report any emergency occurrences that threaten patient welfare, safety, or health due to extreme heat conditions to the CDPH Licensing and Certification Program.

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