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The Health Officer Amends Health Order No.C19-08 related to Congregate Care/Living Facilities ».

• Requiring all individuals entering certain congregate care/living facilities to take certain preventative measures including masking and symptoms screening to protect residents from the spread of COVID-19
• Requiring EMS providers and first responders to symptom screen and wear medical-grade masks while responding to calls or on patrol.

This order makes changes in the Health Order issued April 16, 2020 to ensure social distancing, masking and screening measures are in place.

Here is a summary of the changes in this amendment:

1. Physical Distancing
   Residential group activities and communal dining shall be discontinued at Facilities listed in Attachment A and Attachment B with the exception of:
   • • Juvenile and adult detention facilities
     • Homeless shelters
     • Group homes for minors.

   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 residents about physical distancing. All residents of a facility shall practice physical distancing by remaining at least 6 feet apart from other persons when out of their rooms.

2. Staff Working in Multiple Facilities
   The following facilities should avoid by any means possible utilizing employees or staff who have worked at another facility within the past 14 days:
   • Skilled Nursing Facilities
   • Residential Care Facilities for the Elderly
   • Adult Residential Facilities (all license types)
   • Intermediate Care Facilities (all license types)
   • Social Rehabilitation Facilities
   • Continuing Care Retirement Facilities (Assisted Living)
   • Residential Facilities for the Developmentally Disabled.

If this is not feasible, the facility operator shall keep a daily log that shows, for each employee, all of the facilities where the employee has worked in the past 14 days. The log shall be produced immediately upon demand by any authorized representative of the Health Officer.

If an individual works or provides services for more than one of the facilities listed above the following protective measures should be implemented:

• Staff must shower and change clothes and shoes prior to starting a shift at a second facility
• The facility must, if at all possible, make available a shower and changing area
• A staff locker room with a shower can meet this obligation