Skip Navigation LinksAFL-17-09

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EDMUND G. BROWN JR.
Governor

State of California—Health and Human Services Agency
California Department of Public Health


AFL 17-09
June 16, 2017


TO:
All Health Care Facilities

SUBJECT:
Level I & II Heat Alert Advisory


All Facilities Letter (AFL) Summary

  • This AFL notifies health care facilities that the National Weather Service has issued a Level I Excessive Heat Watch and Heat Warning advisory. The California Department of Public Health (CDPH) anticipates that the State of California contingency plan will rise to a Level II heat warning.
  • Facilities must implement recommended precautionary measures to keep individuals safe and comfortable during extreme heat 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 patients and residents are free of adverse conditions that may cause heat-related health complications. 1

The National Weather Service anticipates excessive heat in Northern and Central Sacramento Valley and adjacent foothills resulting from high pressure over Northern California. The hottest temperatures are expected Saturday, June 17 through Wednesday, June 21, with many locations experiencing three digit temperatures, up to 110 degrees. Daytime heat with warm overnight lows will make it challenging to get relief, especially for residents who do not have access to air conditioning.

Facilities must remember that the elderly and other health-compromised individuals are more susceptible to extreme temperatures and dehydration. It is important that facility administrators monitor weather predictions for fluctuations in extreme temperatures and take extra precautions to ensure appropriate air conditioning equipment is well maintained and operating effectively.

Facilities must have contingency plans in place to deal with either the loss of air conditioning or, in the case when no air conditioning is available, to take measures to ensure patients and residents are free of adverse conditions that may cause heat-related health complications. Portable fans and other temporary cooling devices should be used when indicated.

CDPH recommends facilities implement the following measures to keep residents and clients comfortable during extreme hot weather:

  • Dress in lightweight, loose-fitting clothing
  • Keep 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 attached "Fast Facts" sheet 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 and residents with medications that make the patient susceptible to high temperatures (e.g., psychotropic medications)

Licensing regulations require facilities to report all emergency/disaster-related occurrences that threaten the welfare, safety, or health of patients to the CDPH, Licensing and Certification (L&C) Program. If extreme heat conditions affect your facility by compromising patient health and safety and/or require an evacuation, transfer, or discharge of patients, you must contact your CDPH L&C district office (DO).

Please follow these guidelines for a reporting process:

​Time Requirement
​During normal business hours
(8:00 a.m. – 5:00 p.m.)
​Contact the local CDPH L&C DO you customarily work with for your geographic location.
​For after-hour reporting or if the local L&C DO is non-operational due to an emergency/disaster
  • ​For facilities outside Los Angeles County, contact the State Office of Emergency Services Warning Center at (916) 845-8911. Ask that they notify the CDPH duty officer.
  • For facilities in Los Angeles County, contact the Los Angeles County Operator at (213) 974-1234. Ask that they notify the on-call Health Facilities Inspection Division Supervisor.


Links to the excessive heat warnings and advisories are available at:

 

Sincerely,

Original signed by Scott Vivona

Scott Vivona
Acting Deputy Director

Attachment: Fast Facts


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