The California Department of Health has issued an All Facilities Letter in response to a Level II Excessive Heat Warning advisory from the National Weather Service. The letter reminds healthcare facilities, particularly long-term care facilities, that elderly and health-compromised individuals are more susceptible to extreme temperatures and dehydration. Facilities must ensure appropriate air conditioning equipment is well maintained and operating effectively, and have contingency plans in place to deal with the loss of air conditioning or when no air conditioning is available. Recommended measures include using portable fans, providing lightweight clothing, minimizing physical activities during peak heat, and monitoring hydration status. Facilities must report any emergency or disaster-related occurrences that threaten patient welfare, safety, or health to the Department of Public Health.

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