• September 18, 2020 11:01 AM

Amendment No. 2 to Health Order C19-08: Congregate Care/Living Facilities

Amendment No. 2 to Health Order C19-08: Congregate Care/Living Facilities

Amendment No. 2 to Health Order C19-08: Congregate Care/Living Facilities 150 150 Sonoma County Emergency and Preparedness Information

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Amendment No. 2 to Health Order C19-08

Date of Order: September 8, 2020

Order of the Health Officer C19-08: Congregate Care and Living Facilities, and First Responders

Please read this Order carefully.  Violation of or failure to comply with this Order is a crime punishable by fine, imprisonment, or both.  (Health and Safety Code § 120275, et seq.)

  1. This Amendment becomes effective at 12:01 a.m. on September 9, 2020, and continues in effect until Order C19-08 is rescinded, superseded, or amended in writing by the Health Officer or by the State Public Health Officer.
  2. This Amendment incorporates by reference the April 16, 2020 Order of the Health Officer No. C19-08 and the April 18, 2020 Amendment No. 1 to the Health Officer Order No. C19-08. Except as otherwise amended herein, the provisions of that Order as amended remain in full force and effect.
  3. Paragraph 16 is amended to read:
    Physical Distancing.  Residential group activities and communal dining shall be discontinued at facilities listed in Attachment A.   Juvenile and adult detention facilities and group homes for minors may allow communal dining and group activities in compliance with any applicable guidance issued by their licensing authorities, the California Department of Public Health, and the Centers for Disease Control.  Other facilities listed in Attachment B must discontinue group activities.  Other facilities listed in Attachment B may allow communal dining as long as the facility complies with guidance issued by the Health Officer, as may be updated from time to time.  Health Officer Guidance regarding communal dining in residential facilities can be found on the Sonoma County Department of Health Services, Public Health Division, Disease Control Unit, website at:  https://sonomacounty.ca.gov/Health/Public-Health/Disease-Control/Health-Provider-Alerts/.Staff members of and visitors to such a facility shall practice physical distancing by remaining at least six feet apart from other persons unless caring for a resident. This includes while on breaks or at meals. Facilities may need to stagger break and meal times for staff to accommodate this order. The facility operator shall direct staff members to provide instruction to and monitoring of residents about physical distancing and face covering.  All residents of a facility shall practice physical distancing by remaining at least 6 feet apart from other persons and wearing a mask when out of their rooms.
  4. A copy of this Amendment shall be posted at all entrances to each facility listed in Attachment B upon receipt, except for adult and juvenile detention facilities and group homes for minors.
  5. Pursuant to Government Code sections 26602 and 41601 and Health and Safety Code section 101029, the Health Officer requests that the Sheriff and all chiefs of police in the County ensure compliance with and enforce this Order.  The violation of any provision of this Order constitutes an imminent threat and menace to public health, constitutes a public nuisance, and is punishable by fine, imprisonment, or both.
  6. Copies of this Amendment shall promptly be 1) made available at the County Administration  Center at 575 Administration Drive, Santa Rosa, CA 95403; 2) posted on the Sonoma County Public Health Department website and SoCoEmergency website; and 3) provided  to any member of the public requesting a copy.
  7. If any provision of this Amendment or its application to any person or circumstance is held to be invalid, the remainder of the Amendment, including the application of such part or provision to other persons or circumstances, shall not be affected and shall continue in full force and effect.  To this end, the provisions of this Amendment are severable.


Attachment A – Patient Care Facilities this Order applies to 

  • Hospitals
  • Psychiatric Health Facilities
  • Acute Psychiatric Hospitals
  • Crisis Stabilization Units
  • Federally Qualified Health Centers
  • Skilled Nursing Facilities
  • Urgent Care Centers
  • Ambulatory surgical centers
  • Intermediate care facilities (all license types)
  • Hospice Facilities
  • Chronic Dialysis Centers
  • Community Clinics

Attachment B – Other Congregate Living Settings this order applies to 

  • Residential Care Facilities for the Elderly
  • Social Rehabilitation Facilities
  • Adult Residential Facilities (ARF) (all license types)
  • Continuing Care Retirement Facilities (Assisted Living)
  • Homeless Shelters
  • Licensed group homes for minors, including runaway and homeless youth shelters
  • Adult and Juvenile Detention Facilities
  • Juvenile Probation Camp
  • Residential Facilities for the Developmentally Disabled
  • Residential Facilities for Substance Use Disorder Treatment and Detox
  • Community Crisis Home