July
13, 2020
State
of California—Health and Human Services Agency
California
Department of Public Health
Statewide
Public Health Officer Order,
July
13, 2020
TO: All
Californians
SUBJECT: Guidance
on Closure of Sectors in Response to COVID-19
Guidance on Closure of Sectors in
Response to COVID-19
July 13, 2020
Summary
COVID-19
transmission rates continue to rise across the state, including increasing
numbers of cases in rural counties that had not previously experienced
significant infection rates. Despite the closure of certain indoor sectors in
counties on the County Monitoring list, those counties continue to demonstrate
concerning levels of disease transmission that impact not only the general
population but vulnerable populations in the community.
This guidance and the Statewide Public Health Officer Order, dated July 13, 2020:
Closes, on a statewide basis, indoor operations for certain sectors, and both indoor and outdoor operations for bars and similar establishments, consistent with the June 28 and July 1 restrictions on counties on the County Monitoring List.
Closes, for counties on the County Monitoring List for three or more consecutive days, indoor operations for additional sectors which promote the mixing of populations beyond households and make adherence to physical distancing with face coverings difficult. Within these sectors, and in the affected counties, those specified businesses that are not able to continue their business through outdoor operations must close that portion of their business effective immediately in order to further mitigate the spread of the virus.
Background
As
part of the State's efforts to address COVID-19, the State monitors county
specific data to determine whether and how to modify the pace of
reopening. Additionally, the State provides technical assistance, support
and interventions to counties that have concerning levels of disease
transmission, hospitalizations, or insufficient testing. Counties on the County
Monitoring List are under active monitoring by the State, and may receive
targeted engagement and technical support from CDPH and other agencies and
departments including the Business, Consumer Services and Housing Agency, the
Department of Industrial Relations and the California Department of Food and
Agriculture.
As
of July 13, there are 29 counties that have been on the County Monitoring List for
three consecutive days:
Colusa
Contra
Costa
Fresno
Glenn
Imperial
Kings
Los
Angeles
Madera
Marin
Merced
Monterey
Napa
Orange
Placer
Riverside
Sacramento
San
Benito
San
Bernardino
San
Diego
San
Joaquin
Santa
Barbara
Solano
Sonoma
Stanislaus
Sutter
Tulare
Ventura
Yolo
Yuba
Proposed Action
Given
current rates of disease transmission and the increase in hospitalization and
ICU utilization, CDPH is:
Closing, on a statewide basis, consistent with the June 28 and July 1 restrictions on counties on the County Monitoring List, the following sectors:
Dine-in Restaurants (indoor)
Wineries
and Tasting Rooms (indoor)
Movie
Theater (indoor)
Family
Entertainment Centers (indoor)
Zoos
and Museums (indoor)
Cardrooms
(indoor)
Brewpubs, breweries, bars, and pubs (indoor and outdoor), unless an exception below applies:
Bars,
pubs, brewpubs, and breweries, may operate outdoors if they are offering
sit-down, outdoor, dine-in meals. Alcohol can be sold only in the same
transaction as a meal. When operating outdoors, they must follow the dine-in
restaurant guidance and should continue to encourage takeout and delivery
service whenever possible.
Bars, pubs, brewpubs, and breweries that do not provide sit-down meals themselves, but can contract with another vendor to do so, can serve dine-in meals when operating outdoors provided both businesses follow the dine-in restaurant guidance and alcohol is sold only in the same transaction as a meal.
Venues that are currently authorized to provide off sale beer, wine, and spirits to be consumed off premises and do not offer sit-down, dine-in meals must follow the guidance for retail operations and offer curbside sales only.
Concert, performance, or entertainment venues must remain closed until they are allowed to resume modified or full operation through a specific reopening order or guidance. Establishments that serve full meals must discontinue this type of entertainment until these types of activities are allowed to resume modified or full operation.
Closing,
for counties on the Monitoring List for three or more consecutive days,
additional indoor operations for certain sectors which promote
the mixing of populations beyond households and make adherence to physical
distancing with face coverings difficult. Within those sectors, those that are
not able to continue their business through outdoor operations must close that
portion of their business effective immediately in order to further mitigate
the spread of the virus.
This applies to the following sectors/events:
This applies to the following sectors/events:
Gyms
and Fitness Centers
Places
of Worship
Indoor
Protests
Offices
for Non-Critical Infrastructure Sectors
Personal
Care Services (including nail salons, massage parlors, and tattoo parlors)
Hair
Salons and Barbershops
Malls
These actions remain in effect until further notice.
All industry or sector guidance documents that have been issued to date, including all infectious control measures outlined in those guidance documents, including the use of face coverings, which is mandated statewide apply in outdoor settings, and thus must be adhered to. Outdoor operations may be conducted under a tent, canopy, or other sun shelter, but only as long as no more than one side is closed, allowing sufficient outdoor air movement.
Justification
The
data is clear that community spread of infection is of increasing concern
across the state, and continues to grow in those counties on the County
Monitoring List. The number of hospitalized patients with COVID has increased
between 50-100% in all regions in California, with a state average increase of
77% since June 12. In that same time, the number of counties with case rates
over 100 per 100,000 residents has gone from 3 counties to 31 counties,
confirming state-wide increased transmission of COIVD. While these counties are
primarily located in the south and central valley, there are now counties on
the monitoring list from all regions of California. Beyond the impact on the
general population, community spread increases the likelihood of expanded
transmission of COVID-19 in congregate settings such as nursing homes, homeless
shelters, jails and prisons. Infection of vulnerable populations in these
settings can be catastrophic, both in terms of high rates of morbidity and
mortality of individual residents, as well as through the high demand such
infections would place on the hospital delivery system. We are seeing these
increases already in many of the counties. Higher levels of community
spread also increase the likelihood of infection among individuals at high risk
of serious outcomes from COVID-19, including the elderly and those with
underlying health conditions who might live or otherwise interact with an
infected individual.
California's
Pandemic Resiliency Roadmap for reopening is a risk-based framework that guides
state and local governments on a path to re-opening activities and industries
under strict workplace modifications. The above outlined sectors operating
indoors create an environment that increases levels of community mixing of
individuals outside of one's own household, increasing the risk of escalating
the R-effective, or effective transmission rate, of COVID-19.
As
described in the June 28 guidance and July 1 guidance, the sectors required to modify
operations statewide under this guidance are sectors where there is increased
risk of transmission due to a number of features of the business and the
behaviors that occur within them. Because of noted trends in community spread
statewide, well beyond those on the monitoring list, it is necessary to expand
changes made to sectors in our order of June 28 and July 1 statewide.
Additionally,
given the increased level of community transmission, this guidance requires
additional sectors to close indoor operations in counties on the County
Monitoring List for three or more consecutive days. Counties continue to be
added to the county monitoring list and evidence of community transmission
persists in these jurisdictions, requiring enhanced intervention through the
additional sectors modifications.
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