An All Facility Letter (AFL) is a letter from the Licensing and
Certification (L&C) Program to health facilities that are
licensed or certified by L&C. The information contained in
the AFL may include changes in requirements in healthcare,
enforcement, new technologies, scope of practice, or general
information that affects the health facility.
This All Facilities Letter (AFL) reminds health care facilities
to implement recommended precautionary measures to keep
individuals safe and comfortable during extremely hot
Facilities must have contingency plans in place to deal with the
loss of air conditioning, or in the case when no air conditioning
is available, and take measures to ensure patients and residents
are free of adverse conditions that may cause heat-related health
Facilities must report extreme heat conditions that compromise
patient health and safety and/or require an evacuation, transfer,
or discharge of patients.