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City and County of Department of Public Health

San Francisco Order of the Health Officer

ORDER OF THE HEALTH OFFICER No. C19-07r

ORDER OF THE HEALTH OFFICER

OF THE CITY AND COUNTY OF SAN FRANCISCO

DIRECTING ALL INDIVIDUALS IN THE COUNTY TO CONTINUE

STAYING SAFER AT THEIR PLACES OF RESIDENCE TO THE

EXTENT THEY CAN EXCEPT FOR IDENTIFIED NEEDS AND

ACTIVITIES, AND TO FOLLOW HEALTH RISK REDUCTION

MEASURES OUTSIDE THEIR RESIDENCES; URGING GOVERNMENT

AGENCIES TO PROVIDE SHELTER AND SANITATION FACILITIES

TO INDIVIDUALS EXPERIENCING HOMELESSNESS; REQUIRING

ALL BUSINESSES AND RECREATION FACILITIES THAT ARE

ALLOWED TO OPERATE TO IMPLEMENT HEALTH RISK

REDUCTION MEASURES; AND DIRECTING ALL BUSINESSES,

FACILITY OPERATORS, AND GOVERNMENTAL AGENCIES TO

CONTINUE THE TEMPORARY CLOSURE OF ALL OPERATIONS

THAT ARE NOT YET SAFE ENOUGH TO RESUME

(STAY SAFER AT HOME)

DATE OF ORDER: January 20, 2021

San Francisco is continuing to experience a significant surge in COVID-19 cases. This Order

incorporates suspensions, reductions in capacity limits, and other restrictions contained in the

Regional Stay At Home Order issued by the California Department of Public Health on

December 3, 2020 (the CDPH Order). Effective December 17, 2020, the Bay Area Region,

including San Francisco, is required to comply with the State’s December 3, 2020 Regional

Stay at Home Order and supplemental orders issued by the State Health Officer (the

“Regional Stay at Home Order”).

Please read this Order carefully. Violation of or failure to comply with this Order is a

misdemeanor punishable by fine, imprisonment, or both. (California Health and Safety

Code § 120295, et seq.; California Penal Code §§ 69, 148(a)(1); and San Francisco

Administrative Code § 7.17(b))

Summary: On February 25, 2020 the Mayor of the City and County of San Francisco

(the “County”) declared a state of emergency to prepare for coronavirus disease 2019

(“COVID-19”). On March 5, 2020 the County recorded its first reported case of COVID-

19. On March 16, 2020 the County and five other Bay Area counties and the City of

Berkeley, working together, were the first in the State to implement shelter-in-place

orders in a collective effort to reduce the impact of the virus that causes COVID-19.

City and County of Department of Public Health

San Francisco Order of the Health Officer

ORDER OF THE HEALTH OFFICER No. C19-07r

Since that time, we have come to learn that the virus can be transmitted in the air through

aerosols and that the risk of such airborne transmission is generally higher indoors. Also,

while treatments for the disease are improving and vaccines are on the horizon,

treatments remain limited and a vaccine will not likely be generally available until mid-

2021. The vast majority of the population remains susceptible to infection, and local

conditions could rapidly worsen if people fail to safely modify their behavior, including

wearing face coverings, adhering to social distancing requirements, and avoiding

gatherings.

Initially the shelter-in-place orders generally required individuals to stay in their

residences except for essential needs like grocery shopping, working in essential

businesses, providing essential government functions, or engaging in essential travel.

Over time, and based on health data and a risk analysis, the County allowed the phased

resumption of some businesses and activities, consistent with the roadmap that the State

has established under its order. Consistent with the State’s April 2020 initial four-stage

roadmap for reopening, the County created its own phased reopening plan. The County’s

plan provides for the incremental resumption of certain business and other activities to

gradually increase the volume of person-to-person contact to help contain the risk of a

surge in COVID-19 cases in the County and the region. The County’s plan is available

online at https://sf.gov/topics/reopening.

Because of the density of San Francisco and local health conditions, the County has

moved more cautiously than the State otherwise allows. Our collective effort had a

positive impact on limiting the spread of the virus. Early on the County, along with the

other Bay Area jurisdictions, were able to bend the curve and preserve hospital capacity.

Still, the severe danger the virus poses to the health and welfare of all continues. We need

to be vigilant and there remains a continuing risk a surge will overwhelm the capacity of

our hospital system.

Indeed, back in July 2020 the County and the region experienced a second surge in

infections and hospitalizations, and took appropriate steps to respond, including pausing

the reopening process. Along with all the other counties in the Bay Area, the County was

placed on the State monitoring list and temporarily suspended certain additional business

activities as required by the State Health Officer. Over the next month, with the

collective efforts of businesses and residents, the County was able again to reduce its

virus transmission rate and resume re-opening some businesses and other activities.

On August 28, 2020 the State adopted a new four-tiered, color-coded framework based

on the prevalence of virus transmission in each county to guide reopening statewide—the

Blueprint for a Safer Economy—and the State has revised that framework since its initial

implementation. That framework can be found online at https://covid19.ca.gov/safer-

economy. Under the State’s framework, counties can be more restrictive than this State

framework allows. The State initially assigned the County to the second most restrictive

tier, substantial (red). In September and October, the County advanced from the

moderate (orange) tier to the minimal (yellow) tier. As case rates and other indicators

City and County of Department of Public Health

San Francisco Order of the Health Officer

ORDER OF THE HEALTH OFFICER No. C19-07r

have changed, the State has moved counties between tiers, and in November 2020 with

case rates increasing most counties have moved to the more restrictive tiers.

Along with most of the rest of the country and State, the County is in the midst of a third

surge of the virus. Based on increased case rates, on November 17, 2020, the State

reassigned the County backward to the substantial (red) tier and on November 28, 2020,

back to the most restrictive (purple) tier. The County’s case rates and hospitalizations

have continued to increase and are now higher than they were at the peak of the second

(July) surge. Local COVID-19 cases have more than tripled since early November 2020.

San Francisco is currently averaging 309 new COVID-19 positive cases per day

compared to the 34 per day that it averaged in late October. Moreover, the City currently

has approximately 2,150 COVID-19 cases diagnosed per week and hospitalizations have

nearly tripled over the last month. As a result, the City’s hospital capacity is under

considerable stress. Unlike in previous surges, the rest of the State’s hospital capacity is

strained and reaching patient limits and it is unlikely there will be additional hospital

capacity in other counties if San Francisco’s is compromised.

On December 3, 2020, the State issued a new Regional Stay at Home Order in an effort

to slow the spread of COVID-19 and avoid overwhelming the State’s hospitals. The

December 3 order places each of the State’s counties into one of five regions, with San

Francisco included in the “Bay Area” region. Under the new order, once a region’s

capacity of adult intensive care unit (“ICU”) beds reaches a threshold that is less than

15%, the region is subject to shelter-in-place restrictions similar to those enacted by the

State in March 2020 during the first surge though not as restrictive in certain limited

respects. The State’s Regional Stay at Home Order remains in effect until the State’s

four-week projections of the region’s total available adult ICU bed capacity is greater

than or equal to 15%.

Absent additional and immediate intervention to reduce the transmission of COVID-19,

the County’s and Bay Area’s COVID-19 cases and hospitalizations will continue to rise

and could overwhelm hospital capacity for the region. By continuing to act, and

administering COVID-19 vaccines as they become available, the County and the region

have the opportunity to bend the curve, avoid overwhelming hospitals, protect health care

workers and first responders. As we have done twice already, the County’s and region’s

residents and businesses can yet again bend the curve and save lives.

We are going to have to live with the threat of the virus for months to come. And for us

to be able to keep our schools open and continue to reopen those that are not yet

providing in-person education, as well as re-open and expand business and other

activities and promote the recovery of our economy, we are all going to have to take

responsibility to act safely, including wearing face coverings, keeping at least six feet

from others who are not in our household, washing our hands frequently, conducting

activities outdoors rather than indoors where possible and avoiding gatherings. We are

all in this together, and each of us is going to have to make sacrifices for the good of the

community as a whole, including for our most vulnerable members.

City and County of Department of Public Health

San Francisco Order of the Health Officer

ORDER OF THE HEALTH OFFICER No. C19-07r

This Order includes the following requirements, and you should review the Order itself

for additional details.

General Requirements. The Order:

• Requires all residents in the County to reduce the risk of COVID-19 transmission

by staying in their residences to the extent possible and minimizing trips and

activities outside the home;

• Allows people to engage in listed activities, including, for example, working for

or going to the businesses listed below and certain governmental and essential

infrastructure activities, as well as engaging in essential activities, outdoor

activities, certain additional activities, and travel related to those activities;

• Urges older individuals and others who have serious underlying health conditions

to remain home other than essential needs;

• Continues to require everyone to wear face coverings while outside their

residences, subject to limited exceptions;

• Continues to require everyone to follow social distancing requirements, including

staying at least six feet away from members outside of their household, subject to

limited exceptions;

• Continues to urge government agencies to provide shelter and sanitation facilities

for individuals experiencing homelessness;

• Continues to require everyone to comply with requirements issued by the State

and other Health Officer orders and directives; and

• Prohibits gatherings among different households to help reduce the transmission

of the virus.

Requirements for All Businesses. The Order:

• Allows only listed businesses to operate onsite, including essential businesses,

outdoor businesses, healthcare operations, and certain additional businesses;

• Allows other businesses only to operate Minimum Basic Operations (as defined in

the Order) onsite;

• Requires that businesses continue to maximize the number of people who work

remotely from home to the extent possible;

• Requires businesses to complete and post a Social Distancing Protocol checklist

in the form attached to the Order as Appendix A;

• Requires businesses to direct personnel to stay home when sick and prohibits

adverse action against personnel for doing so;

• Requires businesses and governmental entities to report to the San Francisco

Department of Public Health when three or more personnel test positive for the

virus that causes COVID-19 within a two-week period;

• Requires businesses to post certain signage, including for many indoor businesses

signage regarding ventilation systems;

• Urges businesses that operate indoors to implement ventilation guidelines,

requires all businesses that operate indoors and are open to members of the public

City and County of Department of Public Health

San Francisco Order of the Health Officer

ORDER OF THE HEALTH OFFICER No. C19-07r

to post a placard about what, if any, ventilation measures they are implementing,

and requires at least one ventilation measure for certain of those businesses;

• Allows for customers to use reusable shopping bags at businesses; and

• Requires businesses to cancel reservations or appointments without a financial

penalty when a customer has a COVID-19 related reason.

Mandatory Best Practices Health Officer Directives. The Order requires that businesses

and other entities currently permitted to operate review and comply with any applicable

Health Officer Directives, and many of them require a Health and Safety Plan be

completed and posted. These requirements include measures to help protect health of

workers and customers, such as face covering, social distancing and sanitation protocols

and in many instances capacity limits. All directives are available online at

www.sfdph.org/directives.

Term. This Order, and specifically the more restrictive obligations it imposes based on

the State’s Regional Stay at Home Order, will remain in effect until the Bay Area Region

is no longer subject to that order and the Health Officer has also had an adequate

opportunity to evaluate whether reopening is supported by other factors including ICU

availability and other hospital capacity in the County and COVID-19 hospitalization and

case rates. Given the current state of the pandemic, a version of this Order will likely

remain in place after it is revised to begin allowing reopening and the resumption of some

activities. The Order may be extended, rescinded, superseded, or amended in writing by

the Health Officer depending on local conditions and health indicators and as may

otherwise be required by the State. The Health Officer will continue to carefully monitor

the evolving situation and will periodically revise this Order to loosen – or, if need be,

tighten – restrictions as conditions warrant, to help further the safer economic recovery

and resumption of activities.

Table of Contents:

1. Purpose and Findings. ................................................................................................ 6

2. Health Gating and Risk Criteria Framework for Reopening. .................................... 8

3. General Requirements for Individuals. .................................................................... 10

4. General Requirements for Businesses and Business Activities. .............................. 13

5. Schools, Childcare, Youth Programs, Adult Education ........................................... 16

6. Public Transit. .......................................................................................................... 19

7. Mandatory Reporting by Businesses and Government Entities When

Three or More Personnel Contract COVID-19 Within Two Weeks. ...................... 19

8. Definitions................................................................................................................ 19

Allowed Businesses and Business Activities. ....................................................... 20

Allowed Activities. ............................................................................................... 23

City and County of Department of Public Health

San Francisco Order of the Health Officer

ORDER OF THE HEALTH OFFICER No. C19-07r

Allowed Travel. .................................................................................................... 24

Governmental Functions. ...................................................................................... 25

Residences and Households. ................................................................................. 26

Social Distancing. ................................................................................................. 26

9. Incorporation of State and Local Emergency Proclamations and

State Health Orders. ................................................................................................. 26

10. Obligation to Follow Stricter Requirements of Orders. ........................................... 27

11. Obligation to Follow Health Officer Directives and Mandatory

State Guidance. ........................................................................................................ 27

12. Enforcement. ............................................................................................................ 27

13. Effective Date. ......................................................................................................... 28

14. Relation to Other Orders of the San Francisco Health Officer. ............................... 28

15. Copies. ..................................................................................................................... 28

16. Severability. ............................................................................................................. 29

UNDER THE AUTHORITY OF CALIFORNIA HEALTH AND SAFETY CODE

SECTIONS 101040, 101085, AND 120175, THE HEALTH OFFICER OF THE CITY AND

COUNTY OF SAN FRANCISCO (“HEALTH OFFICER”) ORDERS:

1. Purpose and Findings.

a. Purpose. As of the effective date and time set forth in Section 13, below, this Order

supersedes the December 9, 2020 Order of the Health Officer, No. C19-07q (updated

on December 30, 2020), (the “Prior Order”), and all individuals, Businesses (as

defined in Section 8.e below), and applicable government agencies in the County are

required to follow the provisions of this Order. This Order continues to temporarily

prohibit certain Businesses and activities from resuming and limits gatherings with

individuals from other Households (as defined in Section 3.b below) until it is safer to

do so. But it allows certain other Businesses, activities, travel and governmental

functions to occur subject to specified health and safety restrictions, limitations, and

conditions to limit the transmission of Novel Coronavirus Disease 2019 (“COVID-

19”). COVID-19 continues to pose a severe risk to residents of our County, and

significant safety measures are necessary to protect against a surge in COVID-19

cases, serious illnesses and deaths. Accordingly, this Order requires risk reduction

measures to be in place across Business sectors and activities that are allowed to

occur, ensuring necessary precautions are followed as we adapt the way we live and

function in light of the ongoing threat that the virus now poses and is very likely to

continue to pose for some time to come. The Health Officer will continue to monitor

data regarding COVID-19 and the evolving scientific understanding of the risks

City and County of Department of Public Health

San Francisco Order of the Health Officer

ORDER OF THE HEALTH OFFICER No. C19-07r

COVID-19 poses and may amend or rescind this Order based on analysis of that data

and knowledge.

b. Intent. The primary intent of this Order is to ensure that County residents continue to

stay safer in their Residences (as defined in Section 3.b, below) to the extent possible

and that together as a community our residents, along with visitors and workers in the

County, take appropriate risk reduction measures, especially while outside their

Residences, to slow the spread of COVID-19 and mitigate its impact on the delivery

of critical healthcare services in the County and the region. As further provided in

Section 2, below, the Health Officer intends to allow the phased resumption of

Businesses and activities to provide for a safer reopening, with specified risk

reduction measures, all while the Health Officer continues to assess the

transmissibility and clinical severity of COVID-19 in light of the COVID-19

Indicators and risk framework described in Section 2 below.

c. Interpretation. All provisions of this Order must be interpreted to effectuate the intent

of this Order as described in subsection (b) above. The summary at the beginning of

this Order as well as the headings and subheadings of sections contained in this Order

are for convenience only and may not be used to interpret this Order; in the event of

any inconsistency between the summary, headings or subheadings and the text of this

Order below, the text will control. Certain initially capitalized used in this Order

have the meanings given them in Section 8 below. The interpretation of this Order in

relation to the health orders of the State is described in Section 10 below.

d. Effect of Failure to Comply. Failure to comply with any of the provisions of this

Order constitutes an imminent threat and menace to public health, constitutes a public

nuisance, and is punishable by fine, imprisonment, or both, as further provided in

Section 12 below.

e. Continuing Severe Health and Safety Risk Posed by COVID-19. This Order is issued

based on evidence of continued significant community transmission of COVID-19

within the County and throughout the Bay Area; continued uncertainty regarding the

degree of undetected asymptomatic transmission; scientific evidence and best

practices regarding the most effective approaches to slow the transmission of

communicable diseases generally and COVID-19 specifically; evidence that the age,

condition, and health of a significant portion of the population of the County places it

at risk for serious health complications, including death, from COVID-19; and further

evidence that others, including younger and otherwise healthy people, are also at risk

for serious outcomes including death. Due to the outbreak of COVID-19 in the

general public, which remains a pandemic according to the World Health

Organization, there is a public health emergency throughout the County, region and

State. That immediate threat to public health and safety is also reflected in the

continuing declarations of emergency referenced in Section 9.a below. Making the

problem worse, some individuals who contract the virus causing the COVID-19

disease have no symptoms or have mild symptoms, which means they may not be

City and County of Department of Public Health

San Francisco Order of the Health Officer

ORDER OF THE HEALTH OFFICER No. C19-07r

aware they carry the virus and are transmitting it to others. Further, evidence shows

that the virus can survive for hours to days on surfaces and be indirectly transmitted

between individuals and also may be transmitted through airborne micro-droplets.

Because even people without symptoms can transmit the infection, and because

evidence shows the infection is easily spread, gatherings of people and other direct or

indirect interpersonal interactions, particularly those that occur indoors, can result in

preventable transmission of the virus.

f. Local Health Conditions Relating to COVID-19. The efforts taken beginning in

March 2020 under the prior shelter-in-place orders of the Health Officer, along with

those of health officers of five neighboring counties, slowed the virus’s trajectory.

While the public health emergency and threat to the County’s population remain

severe, the region has significantly increased its capacity to detect cases, contain

spread, and treat infected patients through widespread testing; greatly expanded its

case investigation and contact tracing program and workforce; and expanded hospital

resources and capacity. At the same time, across the region and the rest of the State,

there had been a significant reopening of Businesses and activities, accompanied by

an increase in cases and hospitalizations, which increases carry risks to County

residents and resources. As we continue to evolve our strategies for protecting

residents of the County from COVID-19, we must consider both the trajectory of the

virus in the County and across the region, and the increased health risks associated

with the opening of many Businesses and activities under the Prior Order. To protect

the community from COVID-19, we must ensure that when people engage in

activities they are doing so as safely as possible.

g. Cases, Hospitalizations and Deaths. As of January 17, 2021, there were 29,180

confirmed cases of COVID-19 in the County (up from 37 on March 16, 2020, the day

before the first shelter-in-place order in the County went into effect) as well as at least

266 deaths (up from a single death on March 17, 2020). This information, as well as

information regarding hospitalizations and hospital capacity, is regularly updated on

the San Francisco Department of Public Health’s website at

https://data.sfgov.org/stories/s/fjki-2fab. Local COVID-19 cases have more than

tripled since early November 2020. San Francisco is currently averaging 309 new

COVID-19 positive cases per day compared to the 34 per day that it averaged in late

October. Moreover, the City currently has approximately 2,150 COVID-19 cases

diagnosed per week and hospitalizations have nearly tripled over the last month. As a

result, the City’s hospital capacity is under considerable stress. Unlike in previous

surges, the rest of the State’s hospital capacity is strained and reaching patient limits

and it is unlikely there will be additional hospital capacity in other counties if San

Francisco’s is compromised.

2. Health Gating and Risk Criteria Framework for Reopening.

a. Health Gating. To inform decisions about whether and how to augment, limit, or

temporarily prohibit Businesses or activities to slow the spread of COVID-19, the

City and County of Department of Public Health

San Francisco Order of the Health Officer

ORDER OF THE HEALTH OFFICER No. C19-07r

Health Officer will continually review (1) progress on the COVID-19 Indicators;

(2) developments in epidemiological and diagnostic methods for tracing,

diagnosing, treating, or testing for COVID-19; and (3) scientific understanding of

the transmission dynamics and clinical impact of COVID-19.

The COVID-19 Indicators and vaccine coverage will be key drivers in the Health

Officer’s gating decisions. In particular, the number of new COVID-19 cases per

100,000 residents, the rate of change in COVID-19 hospitalizations, and the

amount of available hospital capacity will help guide decisions. If any indicator

or a collection of these and other indicators are orange or red, then the Health

Officer will give serious consideration to pausing or even reversing openings if

appropriate. Also, the total number of hospitalized COVID-19 patients, and

whether this total number is significantly increasing, flat, or decreasing, will play

a role in gating decisions. Modeling estimates of peak hospitalizations will also

be considered.

Information about San Francisco’s status under the COVID-19 Indicators is

available on the City’s website at https://data.sfgov.org/stories/s/Key-Health-

Indicators-on-Containing-COVID-19/epem-wyzb.

In addition to evaluating the COVID-19 Indicators in making gating decisions, the

Health Officer will also consider the estimate of the effective reproductive

number (Re), and whether there is evidence it is increasing, stable, or decreasing.

The effective reproductive number (Re) is the average number of secondary cases

per infectious case in the setting of public health interventions (e.g., sheltering in

place, Face Coverings, physical distancing, etc.). When Re > 1, the epidemic

curve increases. When Re < 1, the epidemic curve decreases. When Re ~ 1, the

epidemic curve is flat.

b. Risk Criteria for Additional Businesses and Additional Activities Under Phased

Reopening.

In connection with the health indicators and other public health data discussed

above, the Health Officer will consider the risk of transmission involved in

Businesses or activities in determining when and how they can safely resume, or

if they must remain or be ordered temporarily closed. The following risk criteria

will inform this analysis:

1) Ability to modify behavior to reduce risk—whether individuals engaged in the

Business or other activity can wear Face Coverings at all times, maintain at

least six feet of physical distancing at all times, and comply with other Social

Distancing Requirements, including hand washing and sanitation;

2) Avoidance of risky activities—whether the nature of the Business or activity

necessarily involves eating or drinking (which requires removing Face

Covering); gatherings with other Households (which presents risks as

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described in subsection d below); or singing, chanting, shouting, or playing

wind/brass instruments (which all present significant risk of airborne

transmission);

3) Setting—Outdoor Businesses and activities are safer than indoor businesses or

activities, so outdoors is strongly preferred;

4) Mixing of Households—Mixing of people from different Households present

higher risk of virus transmission and community spread, and the more

different Households that mix, the greater the cumulative risk;

5) Number, frequency, duration and distance of contacts—The more people who

interact, the higher the risk of virus transmission; and the more people who

gather at a site, or the more sites involved in the business, possible

interactions increase exponentially (number of contacts). The more often

people interact, the higher the risk of virus transmission (frequency of

contacts). The longer the duration of contacts, the higher the risk of virus

transmission (duration of contacts). The closer the proximity of people, the

higher the risk of virus transmission (distance of contacts); and

6) Modification potential—the degree to which best practices health protocols

can reduce the risk of transmission, where those protocols can be properly

implemented.

3. General Requirements for Individuals.

a. Staying Safer At Home Is The Best Way To Control Risk. Staying home as much as

possible is the best way to prevent the risk of COVID-19 transmission, and therefore

minimizing trips and activities outside the home helps reduce risk to individuals and

the community. All activities that involve contact with people from different

Households increase the risk of transmission of COVID-19. Accordingly, all

individuals currently living within the County are for the time being ordered to stay in

their place of Residence to the extent possible. They may leave their Residence only

to:

• Work for or access Businesses that are allowed to be open under this Order

(Essential Businesses, Outdoor Businesses, and Additional Businesses, as

those terms are defined in Sections 8.a, 8.b and 8.c);

• Work for, volunteer at, or access services at Healthcare Operations, as that

term is defined in Section 8.g;

• Engage in activities that are allowed under this Order (Essential Activities,

Outdoor Activities, and Additional Activities, as those terms are defined in

Sections 8.h, 8.i and 8.j); and

• Engage in Essential Travel, as that term is defined in Section 8.k; or

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• Provide any services or perform any work necessary to the operation

maintenance of Essential Governmental Functions or Essential Infrastructure,

as those terms are defined in Sections 8.l and 8.m.

Further, on November 19, 2020, the Acting California State Public Health Officer

issued an order (the “Limited Stay At Home Order”) requiring that “all gatherings

with members of other households and all activities conducted outside the residence,

lodging, or temporary accommodation with members of other households cease

between 10:00 p.m. and 5:00 a.m., except for those activities associated with the

operation, maintenance, or usage of critical infrastructure or required by law.” The

Limited Stay At Home Order is available at

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/limited-stay-at-

home-order.aspx.

Beginning at 10:00 p.m. on November 30, 2020, and continuing until the earlier of

the expiration of the Limited Stay At Home Order or the State’s reassignment of San

Francisco to a tier that is less restrictive than the State Blueprint’s purple tier, and in

addition to the requirements of this Order, all covered individuals are required to

comply with the limitations on gatherings and the other requirements set forth in the

Limited Stay At Home Order, as it may be amended or extended.

b. Residences and Households. For purposes of this Order, “Residences” include hotels,

motels, shared rental units, and similar facilities. Residences also include living

structures and outdoor spaces associated with those living structures, such as patios,

porches, backyards, and front yards that are only accessible to a single family or

Household. For purposes of this order “Household” means people living in a single

Residence or shared living unit. Households do not refer to individuals who live

together in an institutional group living situation such as in a dormitory, fraternity,

sorority, monastery, convent, or residential care facility.

c. Individuals Experiencing Homelessness. Individuals experiencing homelessness are

exempt from this Section, but are strongly urged to obtain shelter. Government

agencies and other entities operating shelters and other facilities that house or provide

meals or other necessities of life for individuals experiencing homelessness are

strongly urged to, as soon as possible, make such shelter available, and must take

appropriate steps to help ensure compliance with Social Distancing Requirements,

including adequate provision of hand sanitizer. Also, individuals experiencing

homelessness who are unsheltered and living in encampments should, to the

maximum extent feasible, abide by 12 foot by 12 foot distancing for the placement of

tents, and government agencies should provide restroom and hand washing facilities

for individuals in such encampments as set forth in Centers for Disease Control and

Prevention Interim Guidance Responding to Coronavirus 2019 (COVID-19) Among

People Experiencing Unsheltered Homelessness

(https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/unsheltered-

homelessness.html).

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d. Older Adults and Individuals of Any Age with Certain Medical Conditions. Older

adults and individuals with certain medical conditions—including cancer, chronic

kidney disease, chronic obstructive pulmonary disease, immunocompromised state

from solid organ transplant, obesity, serious heart conditions (such as heart failure,

coronary artery disease, or cardiomyopathies), sickle cell disease, smoking, and Type

2 diabetes—are strongly urged to stay in their Residence except to access critical

necessities such as food, and to seek or provide medical care or Essential

Governmental Functions. Individuals with other medical conditions might be at

increased risk for severe illness from COVID-19 and are encouraged to minimize

activities and interactions with people outside their Household to the extent

practicable, except as necessary to seek or provide medical care or Essential

Governmental Functions. The most up-to-date information about who is at increased

risk of severe illness and people who need to take extra precautions can be found at

https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-

increased-risk.html.

e. Mandatory Risk Reduction Measures For Individuals Outside their Place of

Residence. When people leave their place of Residence, they must (1) strictly

comply with the Social Distancing Requirements as defined in Section 8.o, including

maintaining at least six feet of social distance from other people not in the same

Household, except as expressly provided in this subsection below or elsewhere in this

Order, and (2) wear Face Coverings as defined and provided in, and subject to the

limited exceptions in, Health Officer Order No. C19-12d issued December 22, 2020

(the “Face Covering Order”), including any future amendments to that order. The

requirement to strictly comply with Social Distancing Requirements is subject to a

limited exception as necessary to provide care (including childcare, adult or senior

care, care to individuals with special needs, and patient care); as necessary to carry

out the work of Essential Businesses, Essential Governmental Functions, or provide

for Minimum Basic Operations; or as otherwise expressly provided in this Order. For

clarity, individuals who do not currently reside in the County must comply with all

applicable requirements of this Order when in the County.

f. Limitations on Gatherings that Involve Mixing of Different Households to Reduce

Virus Transmission Risk. Gatherings of individuals from different Households pose a

significant risk of virus transmission to the community. The greater the number of

people from different households in a gathering, the greater the risk of the spread of

COVID-19. All public and private gatherings of any number of people occurring

outside a single Household are prohibited, except as expressly permitted in this Order

including, but not limited to, gatherings allowed as Additional Activities in Appendix

C-2. If, despite this prohibition, people find themselves with members of other

Households, they are required to follow the health guidelines for safer interactions set

forth in the Tip Sheet for Safer Interactions During COVID-19 Pandemic, posted at:

www.sfcdcp.org/communicable-disease/diseases-a-z/covid19whatsnew.

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g. Quarantine and Isolation Requirements and Recommendations Upon Moving to,

Traveling to, or Returning to the County. Given the current surge, everyone is

strongly encouraged not to travel, especially for recreational or non-essential

purposes, and anyone who travels is strongly encouraged to quarantine on return to or

arrival in the County. All individuals are required to comply with any travel-related

orders—including any requirements for mandatory quarantine and isolation—that are

issued by the State of California or the San Francisco Department of Public Health.

Visit www.sfcdcp.org/travel for more information.

4. General Requirements for Businesses and Business Activities.

a. Allowed Businesses. Essential Businesses, Outdoor Businesses, and Additional

Businesses, as defined in Sections 8.a, 8.b and 8.c, are allowed to operate in the

County under this Order. All other Businesses are temporarily required to cease all

activities at facilities located within the County except Minimum Basic Operations, as

defined in Section 8.d. Except as otherwise provided in Appendix C-1, Businesses

that include allowed operations alongside other operations that are not yet allowed

must, to the extent feasible, scale down their operations to the allowed components

only.

b. Maximization of Telework. All Businesses must continue to maximize the number of

Personnel who work remotely from their place of Residence, subject to the conditions

and limitations provided in Appendix C-1.

c. Activities that Can Occur Outdoors. All Businesses are strongly urged to move as

many operations as possible outdoors, to the extent permitted by local law and

permitting requirements, where there is generally less risk of COVID-19

transmission. Businesses that operate outdoors may, subject to any applicable permit

requirements, conduct their operations in a tent, canopy, or other shelter, as long as

the shelter complies with: (1) the California Department of Public Health’s November

25, 2020 guidance regarding “Use of Temporary Structures for Outdoor Business

Operations” (available at

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Use-of-

Temporary-Structures-for-Outdoor-Business-Operations.aspx); and (2) SFDPH’s

guidance on “Safer Ways to Use New Outdoor Shared Spaces for Allowed Activities

During COVID-19” (available at https://www.sfdph.org/dph/files/ig/Guidance-

Shared-Outdoor-Spaces.pdf).

d. Social Distancing Protocol. As a condition of operating under this Order, the

operators of all Businesses allowed to operate must comply with the requirements of

the Social Distancing Protocol attached to this Order as Appendix A and must

complete a Social Distancing Protocol checklist for each of their facilities in the

County frequented by Personnel or members of the public. The Social Distancing

Protocol checklist must be posted at or near each public entrance of each of the

Business facilities and must be easily viewable by the public and Personnel. A copy

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of the Social Distancing Protocol checklist must also be provided in hardcopy or

electronic format to each person performing work at the facility. Each Business

subject to this paragraph must provide evidence of its implementation of the Social

Distancing Protocol requirements to any authority enforcing this Order upon demand.

A copy of the Social Distancing Protocol checklist must also be provided by the

Business or entity to any member of the public on request.

With the exception of construction activities—which must comply with the

Construction Project Safety Protocols set forth in Appendix B—each Business must

use the Social Distancing Protocol checklist included in Appendix A or a form that is

substantially similar.

e. Industry Specific Requirements. In addition to the Social Distancing Protocol, all

Businesses allowed to operate under this Order must follow any industry or activity-

specific guidance issued by the Health Officer related to COVID-19 (available online

at http://www.sfdph.org/directives) and any conditions on operation specified in this

Order, including those specified in Appendix C-1.

f. Businesses Must Allow Personnel to Stay Home When Sick. As outlined in the

Social Distancing Protocol, Businesses are required to allow Personnel to stay home

if they have symptoms associated with COVID-19 that are new or not explained by

another condition (see

http://www.sfcdcp.org//covid19symptoms), and Personnel are

prohibited from coming to work if they are sick and may only return to work as

outlined in the Social Distancing Protocol. Generally speaking, Personnel with any

single COVID-19 symptom that is new or not explained by another condition must

have a negative COVID-19 test OR stay out of work for at least 10 days since

symptoms started in order to return to work. Those who are close contacts of

someone with COVID-19 must remain out of work for 10 days since their last close

contact. See Personnel Screening Attachment (A-1) of the Social Distancing Protocol

for more details (also posted at www.sfcdcp.org/screening-handout). Each Business

that is required to comply with the Social Distancing Protocol is prohibited from

taking any adverse action against any Personnel for staying home in the

circumstances listed in the Social Distancing Protocol.

g. Signage For Indoor Activities. Although this Order allows certain indoor activities to

resume, those activities are allowed subject to more stringent safety measures and, as

a general matter, remain inherently riskier than activities that are done outdoors. All

businesses that are allowed to be open indoors for the public must conspicuously post

signage, including at all primary public entrances, reminding people to adhere to

physical distancing, hygiene, and Face Covering requirements and to stay home when

they feel ill. They must also post a stand-alone sign bearing the message that:

(1) COVID-19 is transmitted through the air, and the risk is generally higher indoors,

and (2) seniors and those with health risks should avoid indoor settings with crowds.

The County is making templates for the signage available online at

https://sf.gov/outreach-toolkit-coronavirus-covid-19. The templates may be updated

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from time to time, and businesses are strongly urged to keep informed of those

changes and update their signage accordingly.

h. Signage For Employees To Report Unsafe Conditions Related To COVID-19. All

businesses are required to post signs in employee break rooms or areas informing

employees that they can report violations of COVID-19 health orders and directives

by calling 311 or visiting www.sf.gov/report-health-order-violation. Signage should

also state that the employee’s identity will not be disclosed to the employer. Sample

signage is available online at https://sf.gov/outreach-toolkit-coronavirus-covid-19.

i. Ventilation Requirements.

i. All businesses that are allowed to be open indoors must review SFDPH’s

Guidance on “Ventilation for Non-Healthcare Organizations During the

COVID-19 Pandemic,” available online at https://www.sfcdcp.org/COVID-

Ventilation (“Ventilation Guidance”). Those businesses must: (1) implement

as many improvements in the Ventilation Guidance document as feasible, and

(2) keep a hand-annotated copy of the Ventilation Guidance showing which

improvements were considered and implemented. Ventilation guidance from

recognized authorities such as the CDC, ASHRAE, or the state of California

can be used as an alternate to the DPH Ventilation Guidance with an

annotated version of the alternate guidance kept on hand.

ii. As soon as possible, but no later than December 4, 2020, all businesses—

including essential businesses—that operate indoors and serve members of the

public indoors, except hospitals and medical offices that meet Title 24

requirements for ventilation for healthcare facilities, must conspicuously post

signage, including at all primary public entrances, indicating which of the

following ventilation strategies are used at the facility: All available windows

and doors accessible to fresh outdoor air are kept open; Fully Operational

HVAC systems; Appropriately sized portable air cleaners in each room; or

None of the above.

The County is making templates for the signage available online at

https://sf.gov/outreach-toolkit-coronavirus-covid-19. The templates may be

updated from time to time, and businesses are strongly urged to keep informed

of those changes and update their signage accordingly.

iii. [Temporarily suspended.]

j. Compliance With State Orders. All businesses that are allowed to operate under this

Order must operate in compliance with any applicable orders issued by the State that

may limit the hours or manner of operation of businesses including, without

limitation, the Acting California State Public Health Officer’s November 19, 2020

Limited Stay At Home Order available at

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https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/limited-stay-at-

home-order.aspx.

For clarity, and without limiting other applicable exemptions, under the Limited Stay

At Home Order essential work is permitted to continue between 10:00 p.m. and 5:00

a.m., and, subject to other applicable legal requirements, essential retail

establishments may remain open during those hours, and food and beverage

establishments may continue to operate for delivery and takeout during those hours.

k. Capacity Limitations. With the exception of standalone grocery stores, all businesses

that operate indoors and serve members of the public indoors (including but not

limited to essential and non-essential retail stores, and other essential businesses such

as banks and businesses providing mailing and shipping services) must limit capacity

to the lesser of: (1) 20% the store’s maximum occupancy or (2) the number of people

who can maintain at least six feet of physical distance from each other in the facility

at all times.

Standalone grocery stores must limit capacity to the lesser of: (1) 35% the store’s

maximum occupancy or (2) the number of people who can maintain at least six feet

of physical distance from each other in the facility at all times.

Unless otherwise provided in an industry specific health officer directive, the capacity

limit includes all staff and other personnel of a business.

Businesses are urged to institute special hours for seniors and others with chronic

conditions or compromised immune systems.

l. Metering Requirements. All businesses that that operate indoors and serve members

of the public indoors subject to a capacity limitation must develop and implement

written procedures to “meter” or track the number of persons entering and exiting the

facility to ensure that the maximum capacity for the establishment is not exceeded.

For example, an employee of the establishment may be posted at each entrance to the

facility to perform this function. The establishment must provide a copy of its written

“metering” procedures to an enforcement officer upon request and disclose the

number of members of the public currently present in the facility.

5. Schools, Childcare, Youth Programs, and Higher Education

a. Schools. Transitional kindergarten (TK)-12 schools may operate for in-person

instruction subject to the following requirements and conditions.

1) TK-6 Grade.

a) Schools serving grades TK-6 may reopen for indoor in-person instruction

if they:

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i. obtain advance written approval of the Health Officer, and

ii. complete and post a Covid-19 Safety Plan (CSP)—as described in the

California Department of Public Health “Covid-19 and Reopening In-

Person Instruction Framework & Public Health Guidance for K-12

Schools in California, 2020-21 School Year (available at

https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document

%20Library/COVID-19/Consolidated_Schools_Guidance.pdf)—to

their website homepage and submit the CSP to SFDPH and the State

Safe Schools for All Team and there are no identified deficiencies.

More information about this process will be available at

https://www.sfdph.org/dph/covid-19/schools-education.asp or email the

Schools and Childcare Hub at schools-childcaresites@sfdph.org.

Note that only grades TK-6 may reopen for indoor in-person education

even if the grade configuration at the school includes additional grades.

b) Schools that have already opened and are providing in-person instruction

to students in grades TK-6 may continue to do so if they complete and

post a CSP to their website homepage or, in the case of schools that do not

maintain websites, in another publicly available manner no later than

February 1, 2021.

2) 7-12 Grade.

a) Schools may not reopen for indoor in-person instruction for students in

grades 7-12 at this time.

b) Schools that have already opened and are providing in-person instruction

to students in grades 7-12 may continue to do so if they complete and post

a CSP to their website homepage or, in the case of schools that do not

maintain websites, in another publicly available manner no later than

February 1, 2021.

c) Schools that have approved applications to provide indoor in-person

instruction for students in grades 7-12, but have not yet reopened may not

reopen for indoor instruction at this time.

d) Middle and high schools interested in operating outdoor in-person

programs should visit https://www.sfdph.org/dph/covid-19/schools-

education.asp or email the Schools and Childcare Hub at schools-

childcaresites@sfdph.org for more information.

3) Specialized Targeted Support Services. TK-12 schools may operate to

provide in-person specialized and targeted support services to vulnerable

children and youth. Schools providing specialized targeted support services

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do not need to obtain a waiver or advance written approval of the Health

Officer, but must comply with the Health Officer Directive No. 2020-26b.

Additional information about what qualifies as specialized targeted support

services and which students may be served in these specialized programs is

available at https://www.sfdph.org/dph/covid-19/schools-education.asp.

4) Requirements for All TK-12 Schools. All TK-12 schools must follow any

applicable directives issued by the County Health Officer, including Health

Officer Directive No. 2020-33b (www.sfdph.org/directives), as it may be

updated in the future, and any applicable “COVID-19 Industry Guidance”

issued by the California Department of Public Health, available at

https://covid19.ca.gov/industry-guidance/.

For clarity, this subsection applies to public and private schools operating in San

Francisco, including independent, parochial and charter schools.

b. Home-Based Care for Children. Home-based care for children is permitted under

Section 8.a.xxi, below.

c. Childcare Programs for Young Children. Group care facilities for children who are

not yet in elementary school—including, for example, licensed childcare centers,

daycares, family daycares, and preschools (including cooperative preschools)—may

operate subject to, and to the extent permitted by, the health and safety requirements

set forth in Section 3.b.1 of Appendix C-1 and Health Officer Directive No. 2020-

14e, as it may be amended in the future.

d. Out of School Time Programs. With the exception of schools, which are addressed in

subsection (a) above, educational or recreational institutions or programs that provide

care or supervision for school-aged children and youth—including for example,

learning hubs, other programs that support and supplement distance learning in

schools, school-aged childcare programs, youth sports programs, and afterschool

programs—may operate subject to, and to the extent permitted by, the health and

safety requirements set forth in Section 3.b.3 of Appendix C-1 and Health Officer

Directive No. 2020-21e, as it may be amended in the future.

e. Institutions of Higher Education and Adult Education. Institutions of higher

education (“IHEs”), such as colleges and universities, and other programs offering

adult education—including, for example, programs offering job skills training and

English as a second language classes to adults—may operate subject to, and to the

extent permitted by, the health and safety requirements set forth in Section 14 of

Appendix C-1, and any relevant industry-specific Health Officer directives.

f. Additional Information. Additional information about the operational requirements

and restrictions relating to COVID-19 for schools, childcare, and youth programs is

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available at https://www.sfdph.org/dph/covid-19/schools-education.asp.

6. Public Transit.

a. Transit agencies, people riding or waiting to ride on public transit, and people at or

near a public transit stop or station must comply with Social Distancing

Requirements, as defined in Section 8.o, except as provided in subsection (b) below.

Personnel and passengers must wear Face Coverings as required by the Face

Covering Order. Also, people riding or waiting to ride on public transit must follow

any applicable directives issued by the County Health Officer

(www.sfdph.org/directives) and any applicable “COVID-19 Industry Guidance”

issued by the California Department of Public Health, available at

https://covid19.ca.gov/industry-guidance/. For clarity, public transit may continue to

operate under the State’s Limited Stay At Home Order.

b. Transit agencies that have submitted an acceptable health and safety plan to the

Department of Public Health may relax the six-foot social distancing requirement

between riders, provided that they encourage riders from different Households to

maintain six feet social distance to the greatest extent feasible, and in no event shall

the distance between riders from different Households be less than three feet. Transit

agencies that have submitted an acceptable health plan must still ensure that there is

at least six-feet social distance between transit operators and members of the public.

The Department of Public Health has posted a template health and safety plan at

www.sfdph.org/directives

7. Mandatory Reporting by Businesses and Government Entities When Three or More

Personnel Contract COVID-19 Within Two Weeks.

Businesses and governmental entities must require that all Personnel immediately alert

the Business or governmental entity if they test positive for COVID-19 and were present

in the workplace within the 48 hours before onset of symptoms or, if asymptomatic,

within 48 hours of the date on which they were tested. Businesses and governmental

entities can learn more about what to do after a positive COVID-19 case among

Personnel at www.sfcdcp.org/covid19-positive-workplace. If a Business or governmental

entity has three or more Personnel who test positive for COVID-19 within a two-week

period, then the Business or governmental entity is required to call the San Francisco

Department of Public Health at 628-217-6100 immediately to report the cluster of cases.

Businesses and governmental entities must also comply with all case investigation and

contact tracing measures by the County, including providing any information requested.

8. Definitions.

For purposes of this Order, the following initially capitalized terms have the meanings

given below.

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Allowed Businesses and Business Activities.

a. Essential Businesses. “Essential Businesses” means:

i. Healthcare Operations (as defined in subsection g below);

ii. Grocery stores, certified farmers’ markets, farm and produce stands,

supermarkets, food banks, convenience stores, and other establishments

engaged in the retail sale of unprepared food, canned food, dry goods, non-

alcoholic beverages, fresh fruits and vegetables, pet supply, fresh meats, fish,

and poultry, as well as hygienic products and household consumer products

necessary for personal hygiene or the habitability, sanitation, or operation of

Residences. The Businesses included in this subsection include establishments

that sell multiple categories of products provided that they sell a significant

amount of essential products identified in this subsection, such as liquor stores

that also sell a significant amount of food;

iii. Food cultivation, including farming, livestock, and fishing;

iv. Businesses that provide food, shelter, and social services, and other necessities

of life for economically disadvantaged or otherwise needy individuals;

v. Construction, but only as permitted under the State Shelter Order and only

pursuant to the Construction Safety Protocols listed in Appendix B and

incorporated into this Order by this reference. City public works projects shall

also be subject to Appendix B, except if other protocols are specified by the

Health Officer;

vi. Newspapers, television, radio, and other media services;

vii. Gas stations and auto-supply, auto-repair (including, but not limited to, for cars,

trucks, motorcycles and motorized scooters), and automotive dealerships, but

only for the purpose of providing auto-supply and auto-repair services. This

subsection (vii) does not restrict the on-line purchase of automobiles if they are

delivered to a Residence or Essential Business;

viii. Bicycle repair and supply shops;

ix. Banks and related financial institutions;

x. Service providers that enable real estate transactions (including rentals, leases,

and home sales), including, but not limited to, real estate agents, escrow agents,

notaries, and title companies, provided that appointments and other residential

real estate viewings must only occur virtually or, if a virtual viewing is not

feasible, by appointment with no more than two visitors at a time residing

within the same Household and one individual showing the unit (except that in

person visits are not allowed when the occupant is present in the Residence);

xi. Hardware stores;

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xii. Plumbers, electricians, exterminators, and other service providers who provide

services that are necessary to maintaining the habitability, sanitation, or

operation of Residences and Essential Businesses;

xiii. Businesses providing mailing and shipping services, including post office

boxes;

xiv. Educational institutions—including public and private K-12 schools, colleges,

and universities—for purposes of facilitating distance learning or performing

essential functions, or as allowed under subsection (xxvi), provided that social

distancing of six feet per person is maintained to the greatest extent possible;

xv. Laundromats, drycleaners, and laundry service providers;

xvi. Restaurants and other facilities that prepare and serve food, but only for delivery

or carry out. Schools and other entities that typically provide free food services

to students or members of the public may continue to do so under this Order on

the condition that the food is provided to students or members of the public on a

pick-up and take-away basis only. Schools and other entities that provide food

services under this exemption shall not permit the food to be eaten at the site

where it is provided, or at any other gathering site;

xvii. Funeral home providers, mortuaries, cemeteries, and crematoriums, to the extent

necessary for the transport, preparation, or processing of bodies or remains;

xviii. Businesses that supply other Essential Businesses and Outdoor Businesses with

the support or supplies necessary to operate, but only to the extent that they

support or supply these Businesses. This exemption shall not be used as a basis

for engaging in sales to the general public from retail storefronts;

xix. Businesses that have the primary function of shipping or delivering groceries,

food, or other goods directly to Residences or Businesses. This exemption shall

not be used to allow for manufacturing or assembly of non-essential products or

for other functions besides those necessary to the delivery operation;

xx. Airlines, taxis, rental car companies, rideshare services (including shared

bicycles and scooters), and other private transportation providers providing

transportation services necessary for Essential Activities and other purposes

expressly authorized in this Order;

xxi. Home-based care for seniors, adults, children, and pets;

xxii. Residential facilities and shelters for seniors, adults, and children;

xxiii. Professional services, such as legal, notary, or accounting services, when

necessary to assist in compliance with non-elective, legally required activities or

in relation to death or incapacity;

xxiv. Services to assist individuals in finding employment with Essential Businesses;

xxv. Moving services that facilitate residential or commercial moves that are allowed

under this Order;

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xxvi. Childcare establishments and other educational or recreational institutions or

programs providing care or supervision for children (with the exception of

summer camps, which are addressed separately in Appendix C-1, and schools,

which are addressed separately in Section 6.b, above) that enable owners and

Personnel of Essential Businesses and providers of Essential Governmental

Functions to work as allowed under this Order;

xxvii. Businesses that operate, maintain, or repair Essential Infrastructure.

b. Outdoor Businesses. “Outdoor Businesses” means:

i. The following Businesses that normally operated primarily outdoors before

March 16, 2020, and where there is the ability to fully maintain social

distancing of at least six feet between all persons:

1. Businesses primarily operated outdoors, such as wholesale and retail plant

nurseries, agricultural operations, and garden centers; and

2. Service providers that primarily provide outdoor services, such as

landscaping and gardening services, and environmental site remediation

services.

For clarity, “Outdoor Businesses” do not include outdoor restaurants, cafes, or

bars. Except as otherwise provided in Appendix C-1, they also do not include

Businesses that promote large, coordinated, and prolonged gatherings, such as

outdoor concert venues and amusement parks.

Outdoor Businesses may conduct their operations in a tent, canopy, or other

shelter as provided in Section 4.c above.

c. Additional Businesses. “Additional Business” means any Business identified as an

Additional Business in Appendix C-1, which will be updated as warranted based on

the Health Officer’s ongoing evaluation of the COVID-19 Indicators and other data.

In addition to the other requirements in this Order, operation of those Additional

Businesses is subject to any conditions and health and safety requirements set forth in

Appendix C-1 and in any industry-specific guidance issued by the Health Officer.

d. Minimum Basic Operations. “Minimum Basic Operations” means the following

activities for Businesses, provided that owners, Personnel, and contractors comply

with Social Distancing Requirements as defined this Section, to the extent possible,

while carrying out such operations:

i. The minimum necessary activities to maintain and protect the value of the

Business’s inventory and facilities; ensure security, safety, and sanitation;

process payroll and employee benefits; provide for the delivery of existing

inventory directly to Residences or Businesses; and related functions. For

clarity, this section does not permit Businesses to provide curbside pickup to

customers; and

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ii. The minimum necessary activities to facilitate owners, Personnel, and

contractors of the Business being able to continue to work remotely from their

Residences, and to ensure that the Business can deliver its service remotely.

e. Business. A “Business” includes any for-profit, non-profit, or educational entity,

whether a corporate entity, organization, partnership or sole proprietorship, and

regardless of the nature of the service, the function it performs, or its corporate or

entity structure.

f. Personnel. “Personnel” means the following people who provide goods or services

associated with the Business in the County: employees; contractors and sub-

contractors (such as those who sell goods or perform services onsite or who deliver

goods for the Business); independent contractors; vendors who are permitted to sell

goods onsite; volunteers; and other individuals who regularly provide services onsite

at the request of the Business. “Personnel” includes “gig workers” who perform work

via the Business’s app or other online interface, if any.

g. Healthcare Operations. “Healthcare Operations” includes, without limitation,

hospitals, clinics, COVID-19 testing locations, dentists, pharmacies, blood banks and

blood drives, pharmaceutical and biotechnology companies, other healthcare

facilities, healthcare suppliers, home healthcare services providers, mental health

providers, or any related and/or ancillary healthcare services. “Healthcare

Operations” also includes veterinary care and all healthcare services provided to

animals. This exemption for Healthcare Operations must be construed broadly to

avoid any interference with the delivery of healthcare, broadly defined. “Healthcare

Operations” excludes fitness and exercise gyms and similar facilities.

Allowed Activities.

h. Essential Activities. “Essential Activities” means to:

i. Engage in activities or perform tasks important to their health and safety, or to

the health and safety of their family or Household members (including pets);

ii. Obtain necessary services or supplies for themselves and their family or

Household members, or to deliver those services or supplies to others;

iii. Provide necessary care for a family member or pet in another Household who

has no other source of care;

iv. Attend a funeral with no more than 12 individuals present (or, if higher, the

number of individuals allowed to gather for social gatherings under Appendix

C-2); and

v. Move Residences.

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i. Outdoor Activities. “Outdoor Activities” means:

i. To engage in outdoor recreation activity, including, by way of example and

without limitation, walking, hiking, bicycling, and running, in compliance with

Social Distancing Requirements and with the following limitations:

1. Outdoor recreation activity at parks, beaches, and other open spaces must

comply with any restrictions on access and use established by the Health

Officer, government, or other entity that manages such area to reduce

crowding and risk of transmission of COVID-19;

2. Except as otherwise provided in Appendix C-2 or as otherwise authorized

in writing by the Health Officer, use of outdoor recreational areas and

facilities with high-touch equipment or that encourage gathering—

including playgrounds, gym equipment, climbing walls, pools, spas, and

barbecue areas—is prohibited outside of Residences, and all such areas

must be closed to public access including by signage and, as appropriate,

by physical barriers; and

3. Except as otherwise provided in Appendix C-2, sports or activities that

include the use of shared equipment or physical contact between

participants may only be engaged in by members of the same Household.

Outdoor Activities may be conducted in a tent, canopy, or other shelter, as

provided in Section 4.c above.

j. Additional Activities. “Additional Activities” means:

i. To engage in outdoor recreation activities or other activities set forth in

Appendix C-2, subject to any conditions and health and safety requirements set

forth there.

Allowed Travel.

k. Essential Travel. “Essential Travel” means travel for any of the following purposes:

i. Travel related to the provision of or access to Essential Activities, Essential

Governmental Functions, Essential Businesses, Minimum Basic Operations,

Outdoor Activities, Outdoor Businesses, Additional Activities, and Additional

Businesses;

ii. Travel to care for any elderly, minors, dependents, or persons with disabilities;

iii. Travel to or from educational institutions for purposes of receiving materials for

distance learning, for receiving meals, and any other related services;

iv. Travel to return to a place of Residence from outside the County;

v. Travel required by law enforcement or court order;

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ORDER OF THE HEALTH OFFICER No. C19-07r

vi. Travel required for non-residents to return to their place of Residence outside

the County. Individuals are strongly encouraged to verify that their

transportation out of the County remains available and functional before

commencing such travel;

vii. Travel to manage after-death arrangements and burial;

viii. Travel to arrange for shelter or avoid homelessness;

ix. Travel to avoid domestic violence or child abuse;

x. Travel for parental custody arrangements; and

xi. Travel to a place to temporarily reside in a Residence or facility to avoid

potentially exposing others to COVID-19, such as a hotel or other facility

provided by a governmental authority for such purposes.

Governmental Functions.

l. Essential Infrastructure. “Essential Infrastructure,” including airports, utilities

(including water, sewer, gas, and electrical), oil refining, roads and highways, public

transportation, solid waste facilities (including collection, removal, disposal,

recycling, and processing facilities), cemeteries, mortuaries, crematoriums, and

telecommunications systems (including the provision of essential global, national,

and local infrastructure for internet, computing services, Business infrastructure,

communications, and web-based services).

m. Essential Governmental Functions. “Essential Governmental Functions” are

determined by the governmental entity performing those functions in the County.

Each governmental entity shall identify and designate appropriate Personnel,

volunteers, or contractors to continue providing and carrying out any Essential

Governmental Functions, including the hiring or retention of new personnel or

contractors to perform such functions. Each governmental entity and its contractors

must employ all necessary emergency protective measures to prevent, mitigate,

respond to, and recover from the COVID-19 pandemic, and all Essential

Governmental Functions must be performed in compliance with Social Distancing

Requirements to the greatest extent feasible. All first responders, emergency

management personnel, emergency dispatchers, court personnel, and law enforcement

personnel, and others who need to perform essential services are categorically exempt

from this Order to the extent they are performing those essential services.

The County may operate facilities as needed to address health emergencies related to

weather conditions or acts of nature, such as excessive heat or smoke from wildfires,

even if those facilities are not otherwise allowed to open for their intended purposes

under this Order, provided that the operation of such facilities must be done in

compliance with any COVID-19 related guidance that the Health Officer may

issue. Those facilities include, but are not limited to, cooling centers and smoke

respite centers, and may be operated directly by the County or by other entities at the

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direction of or in coordination with the County or as otherwise provided for in such

guidance.

Residences and Households.

n. “Residences” and “Households” are defined as set forth in Section 3.b, above.

Social Distancing.

o. Social Distancing Requirements. “Social Distancing Requirements” mean:

i. Maintaining at least six-foot social distancing from individuals who are not part

of the same Household;

ii. Frequently washing hands with soap and water for at least 20 seconds, or using

hand sanitizer that is recognized by the Centers for Disease Control and

Prevention as effective in combatting COVID-19;

iii. Covering coughs and sneezes with a tissue or fabric or, if not possible, into the

sleeve or elbow (but not into hands);

iv. Wearing a Face Covering when out in public, consistent with the orders or

guidance of the Health Officer; and

v. Avoiding all non-essential interaction outside the Household when sick with

any COVID-19 symptom listed at www.sfcdcp.org/covid19symptoms that is

new or not explained by another condition.

9. Incorporation of State and Local Emergency Proclamations and State Health Orders.

a. State and Local Emergency Proclamations. This Order is issued in accordance with,

and incorporates by reference, the March 4, 2020 Proclamation of a State of

Emergency issued by Governor Gavin Newsom, the March 12, 2020 Executive Order

(Executive Order N-25-20) issued by Governor Gavin Newsom, the February 25,

2020 Proclamation by the Mayor Declaring the Existence of a Local Emergency

issued by Mayor London Breed, as supplemented on March 11, 2020, the March 6,

2020 Declaration of Local Health Emergency Regarding Novel Coronavirus 2019

(COVID-19) issued by the Health Officer, and guidance issued by the California

Department of Public Health, as each of them have been and may be supplemented.

b. State Health Orders. This Order is also issued in light of the March 19, 2020 Order of

the State Public Health Officer (the “State Shelter Order”), which set baseline

statewide restrictions on non-residential Business activities, effective until further

notice, the Governor’s March 19, 2020 Executive Order N-33-20 directing California

residents to follow the State Shelter Order, and the July 13, 2020, August 28, 2020,

November 19, 2020, and December 3, 2020 Orders of the State Public Health Officer.

The May 4, 2020 Executive Order issued by Governor Newsom and May 7, 2020

Order of the State Public Health Officer permit certain Businesses to reopen if a local

health officer believes the conditions in that jurisdictions warrant it, but expressly

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ORDER OF THE HEALTH OFFICER No. C19-07r

acknowledge the authority of local health officers to establish and implement public

health measures within their respective jurisdictions that are more restrictive than

those implemented by the State Public Health Officer. The December 3, 2020 Order

of the State Public Health Officer acknowledges the current surge and imposes

restrictions on many activities in an effort to help stop that surge, and this Order has

been substantially revised in order to comport with that December 3, 2020 order.

Also on November 16, 2020 the State Department of Public Health issued updated

guidance for the use of Face Coverings, requiring all people in the State to wear Face

Coverings when outside the home, subject to limited exceptions.

10. Obligation to Follow Stricter Requirements of Orders.

This Order adopts certain health and safety restrictions that are more stringent than those

contained in the State Shelter Order. Without this tailored set of restrictions that further

reduces the number of interactions between persons, scientific evidence indicates that the

public health crisis in the County will worsen to the point at which it may overtake

available health care resources within the County and increase the death rate. Where a

conflict exists between this Order and any state public health order related to the COVID-

19 pandemic, the most restrictive provision (i.e., the more protective of public health)

controls. Consistent with California Health and Safety Code section 131080 and the

Health Officer Practice Guide for Communicable Disease Control in California, except

where the State Health Officer may issue an order expressly directed at this Order and

based on a finding that a provision of this Order constitutes a menace to public health,

any more restrictive measures in this Order continue to apply and control in this County.

Also, to the extent any federal guidelines allow activities that are not allowed by this

Order, this Order controls and those activities are not allowed.

11. Obligation to Follow Health Officer Directives and Mandatory State Guidance.

In addition to complying with all provisions of this Order, all individuals and entities,

including all Businesses and governmental entities, must also follow any applicable

directives issued by the County Health Officer (www.sfdph.org/directives) and any

applicable “COVID-19 Industry Guidance” issued by the California Department of

Public Health, available at https://covid19.ca.gov/industry-guidance/. To the extent that

provisions in the directives of the County Health Officer and the guidance of the State

Health Officer conflict, the more restrictive provisions (i.e., the more protective of public

health) apply. In the event of a conflict between provisions of any previously-issued

Health Officer directive and this Order (including the revised provisions of the

Appendixes), this Order controls over the conflicting provisions of the Health Officer

directive.

12. Enforcement.

Under Government Code sections 26602 and 41601 and Health and Safety Code section

101029, the Health Officer requests that the Sheriff and the Chief of Police in the County

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ORDER OF THE HEALTH OFFICER No. C19-07r

ensure compliance with and enforce this Order. The violation of any provision of this

Order (including, without limitation, any Health Directives) constitutes an imminent

threat and menace to public health, constitutes a public nuisance, and is punishable by

fine, imprisonment, or both. The San Francisco Department of Public Health is

authorized to respond to such public nuisances by issuing Notice(s) of Violation and

ordering premises vacated and closed until the owner, tenant, or manager submits a

written plan to eliminate all violations and the Department of Public Health finds that

plan satisfactory. Such Notice(s) of Violation and orders to vacate and close may be

issued based on a written report made by any City employees writing the report within

the scope of their duty. The Department of Public Health must give notice of such orders

to vacate and close to the Chief of Police or the Chief’s designee to be executed and

enforced by officers in the same manner as provided by San Francisco Health Code

section 597.

13. Effective Date.

This Order becomes effective immediately upon issuance, and will continue in effect (as

it may be updated) until the Health Officer rescinds, supersedes, or amends it in

writing. The Health Officer intends to amend this Order to begin resuming the gradual

re-opening of businesses and activities in the County, with safety modifications, after the

Bay Area Region is no longer subject to the State’s Regional Stay at Home Order, and

the Health Officer has had an adequate opportunity to evaluate whether reopening is

supported by (a) ICU availability and other hospital capacity in the County and (b)

COVID-19 hospitalization and case rates. A revised version of the Order will be issued

before or at that time based on then-present conditions.

14. Relation to Other Orders of the San Francisco Health Officer.

Effective as of the effective date and time in Section 13 above, this Order revises and

replaces Order Number C19-07q, issued December 4, 2020, and updated December 30,

2020. This Order also extends Order Nos. C19-04 (imposing cleaning standards for

residential hotels) and C19-11 (placing Laguna Honda Hospital and Rehabilitation Center

under protective quarantine) without any further need to amend those orders, with those

listed orders otherwise remaining in effect until the specific listed order or this Order is

extended, rescinded, superseded, or amended in writing by the Health Officer. This

Order does not prohibit amendment of those orders separately. This Order also does not

alter the end date of any other Health Officer order or directive having its own end date

or which continues indefinitely.

15. Copies.

The County must promptly provide copies of this Order as follows: (1) by posting on the

Department of Public Health website (www.sfdph.org/healthorders); (2) by posting at

City Hall, located at 1 Dr. Carlton B. Goodlett Pl., San Francisco, CA 94102; and (3) by

providing to any member of the public requesting a copy. Also, the owner, manager, or

City and County of Department of Public Health

San Francisco Order of the Health Officer

ORDER OF THE HEALTH OFFICER No. C19-07r

operator of any facility that is likely to be impacted by this Order is strongly encouraged

to post a copy of this Order onsite and to provide a copy to any member of the public

asking for a copy.

16. Severability.

If any provision of this Order or its application to any person or circumstance is held to

be invalid, the remainder of the Order, 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 Order are severable.

IT IS SO ORDERED:

Susan Philip, MD, MPH, Dated: January 20, 2021

Acting Health Officer of the

City and County of San Francisco

Attachments:

• Appendix A – Social Distancing Protocol for Businesses (revised January 20, 2021)

• Appendix B –Construction Project Safety Protocol (revised January 20, 2021)

• Appendix C-1 – Additional Businesses (revised January 20, 2021)

• Appendix C-2 – Additional Activities (revised January 20, 2021)

Health Officer Order No. C19-07r

Appendix A: Social Distancing Protocol (revised 1/20/2021)

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Social Distancing

Protocol

Checklist

Each business allowed to operate in San Francisco must complete, post onsite, and

follow this Social Distancing Protocol checklist. The attached Instructions and

Requirements detail what is required and how to complete this checklist.

Check off all items below that apply and list other required information.

Business name: Contact name:

Facility Address: Email / telephone:

(You may contact the person listed above with any questions or comments about this protocol.)

SIGNAGE & EDUCATION

☐ Post signage at each public entrance of the facility requiring of everyone:

(1) do not enter if experiencing COVID-19 symptoms. List the symptoms in the San Francisco COVID-19

Health Screening Form for non-personnel (Attachment A-2). The list of symptoms can also be found online at

www.sfcdcp.org/covid19symptoms.

(2) maintain a minimum six-foot distance from others in line and in the facility;

(3) wear a face covering; and

(4) for self-brought bags, keep bags in a cart/basket or carry them and self-place items in bags after checkout

☐ Post a copy of this two-page Social Distancing Protocol checklist at each public entrance

☐ Post signage showing maximum number of patrons who can be in line and in the facility

☐ Educate Personnel about this Protocol and other COVID-19 related safety requirements

PROTECTIVE MEASURES

☐ Follow Sections 2.1 through 2.4 below, including:

☐ Ensure Personnel stay home or leave work if they answer yes to any of the three questions on the

Personnel Screening Attachment (Attachment A-1). See www.sfcdcp.org/screen

for this form

including translations.

☐ Provide Personnel a copy of the Personnel Screening Attachment (A-1) to ensure they understand

when to stay home and for how long. That form discusses rules for staying out of work due to

concerns of COVID-19 exposure. Translated versions of the Personnel Screening Attachment (A-1)

are available online at www.sfcdcp.org/screen

☐ Ensure Personnel review health questions on the Personnel Screening Attachment (A-1) before each

shift and advise Personnel what to do if they are required to stay home.

☐ Require Personnel and patrons to wear a face covering as required by Health Officer orders

☐ Implement a plan to keep site Personnel safe, including by limiting the number of Personnel and patrons

onsite to a number that ensures physical distancing and favoring allowing Personnel to carry out their duties

from home when possible

☐ Require that patrons cancel or reschedule appointments or reservations for non-essential services if they

have COVID-19 symptoms or exposure, as described in San Francisco COVID-19 Screening Form

(Attachment A-2). Ensure that patrons can cancel an appointment or reservation for COVID-19 symptoms or

exposure without financial penalty. You may offer to reschedule for another time if the patron wants to

reschedule instead of to cancel.

MEASURES TO PREVENT UNNECESSARY CONTACT

☐ Tell Personnel and patrons to maintain physical distancing of at least six feet, except Personnel may

momentarily come closer when necessary to accept payment, deliver goods or services, or as otherwise

necessary

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Appendix A: Social Distancing Protocol (revised 1/20/2021)

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Social Distancing

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Checklist

☐ Separate all used desks or individual work stations by at least six feet

☐ Place markings in patron line areas to ensure six feet physical distancing (inside and outside)

☐ Provide for contactless payment systems or, if not feasible, disinfect payment systems

regularly. The Board of Supervisors has required businesses to accept cash—if cash is used

encourage exact change.

☐ Maintain Plexiglas or other barriers between patrons and Personnel at point of payment (if not possible, then

ensure at least six feet of distance)

☐ Limit the number of patrons in the business at any one time to: ________________

☐ Separate ordering areas from delivery areas or similarly help distance patrons when possible

☐ Optional—Describe other measures:

SANITIZING MEASURES

☐ Regularly disinfect high touch areas, and do so continuously for surfaces patrons touch (countertops,

payment systems, pens, and styluses)

☐ Provide disinfecting wipes that are effective against SARS-CoV-2 near shopping carts, shopping baskets,

and high-touch surfaces and provide hand sanitizer

☐ Have Personnel disinfect carts and baskets after each use

☐ Provide hand sanitizer, sink with soap and water, and/or disinfecting wipes to patrons and Personnel at or

near the entrance of the facility, at checkout counters, and anywhere else where people have direct

interactions

☐ Disinfect break rooms, bathrooms, and other common areas frequently, on the following schedule:

☐ Break rooms:

☐ Bathrooms:

☐ Other:

☐ Prevent people from self-serving any items that are food-related:

☐ Provide lids and utensils for food items by Personnel, not for patrons to grab

☐ Limit access to bulk-item food bins to Personnel—no self-service use

☐ Require patrons and Personnel to follow requirements of Section 3.25 below for self-brought bags, and

prohibit patrons from bringing any other reusable items such as coffee mugs.

☐ Prohibit Personnel from using shared food prep equipment for their own use (e.g., microwaves, water

coolers), but microwaves may be used if disinfected between each use and hand sanitizer is available

nearby and water coolers may be used as outlined in Section 3.14 below.

☐ Optional—Describe other measures (e.g., providing senior-only hours):

INDUSTRY-SPECIFIC DIRECTIVES

☐ Ensure that you have read and implemented the attached list of requirements.

☐ In addition to complying with the Social Distancing Protocol, many businesses must comply with additional,

industry-specific directives. Go to www.sfdph.org/directives

and check to see if your business is subject to

one or more additional directives. For each one, you must review the Health and Safety Plan (HSP)

requirements and post an additional checklist for each one that applies. In the event that any directive

changes the requirements of the Social Distancing Protocol, the more specific language of the directive

controls, even if it is less restrictive. Check this box after you have checked the list of directives and posted

any other required HSP.

* Any additional measures may be listed on separate pages and attached.

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Appendix A: Social Distancing Protocol (revised 1/20/2021)

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Requirements

[You are not required to post these Instructions and Requirements]

Instructions:

The two-page Social Distancing Protocol checklist above must reflect the business’s completion of

each requirement listed below unless an item is not applicable. Use the two-page checklist above to

show compliance with these requirements. The business does not need to post these Instructions

and Requirements, only the checklist above. The term “Personnel” is defined in Health Officer Order

to which this Appendix is attached. The term “patron” includes customers, others seeking services,

visitors, and guests.

Requirements:

In addition to the items below, this protocol requires the business to ensure that Personnel who

perform work associated with the business are covered by the Social Distancing Protocol checklist

and comply with those requirements. Each business is required to take certain steps in the protocol

related to its Personnel, including the actions listed in Sections 2.1 through 2.4 below if Personnel are

sick. Each business is prohibited from taking any adverse action against any Personnel for staying

home in the circumstances listed in Sections 2.1 through 2.4 below. Personnel of each business are

prohibited from coming to work if they are sick and must comply with the protocol, including the rules

for returning to work listed in Sections 2.1 through 2.4 below.

1. Signage and Education

1.1. [Minor edits to this section 11/3/20] Post signage at each public entrance of the facility or

location (if any) to inform all patrons that they must: not wait in line or enter the facility or

location if they have a symptom of COVID-19 that is new or not explained by another

condition, listing the symptoms from the Screening Form for non-personnel (Attachment A-2)

or using the symptom list available online at www.sfcdcp.org/covid19symptoms; maintain a

minimum six-foot distance from others while in line or in the facility or location; wear a face

covering or barrier mask (a “Face Covering”) at all times; not shake hands or engage in any

unnecessary physical contact; and, if they bring their own reusable bags, leave the bags in a

shopping cart/basket or carry them and bag their own items after checkout. Criteria for Face

Coverings and the requirements related to their use are set forth in Health Officer Order No.

C19-12d, issued on December 22, 2020 (the “Face Covering Order”), including as that order

is updated in the future. Sample signs are available online at https://sf.gov/outreach-toolkit-

coronavirus-covid-19. A list of common symptoms of COVID-19 can be found at

https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html.

1.2. Post a copy of the Social Distancing Protocol checklist at each public entrance to the facility

or location.

1.3. Distribute to all Personnel copies of the Social Distancing Protocol checklist in hardcopy or

electronic format.

1.4. Educate all Personnel on the requirements of the Social Distancing Protocol and any other

Health Officer directive that applies.

2. Screening Requirements and Related Restrictions

[Entire section revised 9/14/20; minor edits made 11/3/20] Businesses and other entities in the

City that are allowed to operate must screen all Personnel each day using the screening process

described in Sections 2.1 through 2.4 below. Attached to this Appendix is the Personnel

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Screening Attachment (Attachment A-1) which provides the three questions that must be used for

that purpose. That form may be used, or the business may adapt the questions and the

information contained in that form for use through another method such as by phone, text

message, email, web interface, or app.

Separately, many businesses and other entities that are allowed to operate are required by

separate directives to screen guests, visitors, customers, or others using similar questions.

Attached to this Appendix is the San Francisco COVID-19 Health Screening Form for non-

personnel (Attachment A-2) that may be used for this purpose. If a directive requires use of the

San Francisco COVID-19 Health Screening Form, then that form must be used or the business or

entity may adapt the questions and the information contained in that form for use through another

method such as by phone, text message, email, web interface, or app.

A copy of the applicable screening form should be provided to anyone on request, although a

poster or other large-format version of the form may be used to review the questions with people

verbally at entrances. Businesses and organizations can use the guidance available online at

https://www.sfcdcp.org/wp-content/uploads/2020/05/COVID19-Screening-Questions-UPDATE-

05.26.2020.pdf for determining how best to conduct screening. The City has flyers, posters, fact

sheets, and social media graphics available in multiple languages for use by the community.

These resources include posters regarding use of Face Coverings and screening. These

resources are available online at https://sf.gov/outreach-toolkit-coronavirus-covid-19.

The screening requirements listed in this Appendix are subject to any more specific (or different)

requirements that apply under any other Health Officer directive or order.

Personnel Screening and Restrictions:

2.1. [Updated 1/20/21] Instruct all Personnel orally and in writing not to come to work or the facility

if they answer yes to any of the three questions on the Personnel Screening Attachment

(Attachment A-1). See www.sfcdcp.org/screen for this form including translations.

2.2. Provide a copy of the Personnel Screening Attachment (A-1) to all Personnel who regularly

work at the facility or location in hardcopy format or electronically. PDF and translated

versions of the Personnel Screening Attachment can be found at www.sfcdcp.org/screen. If

the Personnel Screening Attachment is updated, provide an updated copy to all Personnel.

Instead of sending out the attachment, Businesses may adopt the questions and information

contained on the Personnel Screening Attachment and ask Personnel those questions and

deliver the information contained in that form through another format.

2.3. [Updated 1/20/21] Review the three questions on the Personnel Screening Attachment on a

daily basis with all Personnel in the City who work at the facility or location before each

person enters work spaces or begins a shift. If such a review is not feasible because the

business does not directly interact with some Personnel onsite daily, then that business must

for those Personnel (1) instruct such Personnel to review the questions before each shift in

the City and (2) have such Personnel report to the business that they are okay to begin the

shift such as through an app, website, or phone call.

Instruct any Personnel who answered yes to any of the three questions on the Personnel

Screening Attachment to return home or not come to work and follow the directions on the

Attachment. Generally speaking, Personnel with any single COVID-19 symptom that is new

or not explained by another condition (and who has not already been diagnosed with COVID-

19) MUST have a negative COVID-19 test OR stay out of work for at least 10 days since

symptoms started in order to return to work. Those who have been diagnosed with COVID-19

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Appendix A: Social Distancing Protocol (revised 1/20/2021)

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Requirements

or had a test confirming they have the virus cannot return to work until at least 10 days after

their symptoms have started; if they never had symptoms but had a positive COVID-19 test

they can return 10 days after the date their test was collected. Those who are close contacts

of someone with COVID-19 must remain out of work for 10-14 days since their last close

contact; the exact duration depends on their occupation (details can be found at

www.sfcdcp.org/quarantineduration).

2.4. Instruct Personnel who stayed home or who went home based on the questions listed on the

Personnel Screening Attachment that they must follow the instructions on that form as well as

any applicable requirements from the quarantine and isolation directives (available at

www.sfdph.org/healthorders) before returning to work. If they are required to self-quarantine

or self-isolate, they may only return to work after they have completed self-quarantine or self-

isolation. If they test negative for the virus (no virus found), they may only return to work if

they meet the criteria explained on the Personnel Screening Attachment:

www.sfcdcp.org/screen. Personnel are not required to provide a medical clearance letter to

return to work as long as they have met the requirements outlined on the Personnel

Screening Attachment. Additional information about insolation and quarantine, including

translations, is available online at www.sfcdcp.org/i&q.

Guest, Visitor, Customer, and Other People Screening and Restrictions:

2.5. Health Officer directives may require screening of guests, visitors, customers, and others

using the San Francisco COVID-19 Health Screening Form for non-personnel (Attachment

A-2). In general, anyone who answers “yes” to any screening question on the San Francisco

COVID-19 Health Screening Form should not enter the business or facility because they are

at risk of having the virus that causes COVID-19. The form lists steps that should be taken by

anyone who answers “yes” to a screening question. In some instances, a Health Officer

directive will require that anyone who answers “yes” to be prevented from entry. In other

situations, the Department of Public Health discourages organizations from denying essential

services to those who may answer “yes” to any of the questions and encourages

organizations to find alternative means to meet clients’ needs that would not require them to

enter the facility.

3. Other Personnel and Patron Protection and Sanitation Requirements:

3.1. Businesses must periodically check the following website for any testing requirements for

employers and businesses: www.sfcdcp.org/covid19. If requirements are added, ensure that

the business and all Personnel comply with testing requirements.

3.2. If an aspect of the business is allowed to operate and is covered by a Health Officer directive,

then the business must comply with all applicable directives as well as this Social Distancing

Protocol. Copies of other directives are available online at www.sfdph.org/directives. For

each directive that applies, review the Health and Safety Plan (HSP) requirements and post

an additional HSP checklist for each one that applies. In the event that any directive changes

the requirements of the Social Distancing Protocol, the more specific language of the directive

controls, even if it is less restrictive.

3.3. Instruct all Personnel and patrons to maintain at least a six-foot distance from others,

including when in line and when shopping or collecting goods on behalf of patrons, except

when momentarily necessary to facilitate or accept payment and hand off items or deliver

goods. Note that if the business cannot ensure maintenance of a six-foot distance within the

location or facility between Personnel or other people onsite, such as by moving work stations

Health Officer Order No. C19-07r

Appendix A: Social Distancing Protocol (revised 1/20/2021)

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or spreading Personnel out, it must reduce the number of Personnel permitted in the location

or facility accordingly.

3.4. Provide Face Coverings for all Personnel, with instructions that they must wear Face

Coverings at all times when at work, as further set forth in the Face Covering Order. A

sample sign is available online at https://sf.gov/outreach-toolkit-coronavirus-covid-19. Allow

Personnel to bring their own Face Covering if they bring one that has been cleaned before

the shift. In general, people should have multiple Face Coverings (whether reusable or

disposable) to ensure they use a clean one each day. The Face Covering Order permits

certain exceptions, and the business should be aware of exceptions that allow a person not to

wear a Face Covering (for example, children 12 years old or younger or based on a written

medical excuse). When Personnel do not wear a Face Covering because of an exception,

take steps to otherwise increase safety for all.

3.5. If patrons wait in line outside or inside any facility or location operated by the business,

require patrons to wear a Face Covering while waiting in line outside or inside the facility or

location. This includes taking steps to notify patrons they will not be served if they are in line

without a Face Covering and refusing to serve a patron without a Face Covering, as further

provided in the Face Covering Order. The business may provide a clean Face Covering to

patrons while in line. For clarity, the transaction or service must be aborted if the patron is not

wearing a Face Covering. But the business must permit a patron who is excused by the Face

Covering Order from wearing a Face Covering to conduct their transaction or obtain service,

including by taking steps that can otherwise increase safety for all.

3.6. Provide a sink with soap, water, and paper towels for handwashing for all Personnel working

onsite at the facility or location and for patrons if sinks and restrooms are open to patrons.

Require that all Personnel wash hands at least at the start and end of each shift, after

sneezing, coughing, eating, drinking, smoking (to the extent smoking is allowed by law and

the business), or using the restroom, when changing tasks, and, when possible, frequently

during each shift. Personnel who work off-site, such as driving or delivering goods, must be

required to use hand sanitizer throughout their shift.

3.7. Provide hand sanitizer effective against SARS-CoV-2, the virus that causes COVID-19, at

appropriate locations for patrons and elsewhere at the facility or location for Personnel.

Sanitizer must also be provided to Personnel who shop, deliver, or drive for use when they

are shopping, delivering, or driving. If sanitizer cannot be obtained, a handwashing station

with soap, water, and paper towels will suffice for Personnel who are on-site at the facility or

location. But for Personnel who shop, deliver, or drive in relation to their work, the business

must provide hand sanitizer effective against SARS-CoV-2 at all times; for any period during

which the business does not provide sanitizer to such shopping, delivery, or driving

Personnel, the business is not allowed for that aspect of its service to operate in the City.

Information on hand sanitizer, including sanitizer effective against SARS-CoV-2 and how to

obtain sanitizer, is available online from the Food and Drug Administration here:

https://www.fda.gov/drugs/information-drug-class/qa-consumers-hand-sanitizers-and-covid-

19.

3.8. Provide disinfectant and related supplies to Personnel and require Personnel to sanitize all

high-touch surfaces under their control, including but not limited to: shopping carts and

baskets used by Personnel and patrons; countertops, food/item display cases, refrigerator

and freezer case doors, drawers with tools or hardware, and check-out areas; cash registers,

payment equipment, and self-check-out kiosks; door handles; tools and equipment used by

Personnel during a shift; and any inventory-tracking or delivery-tracking equipment or devices

which require handling throughout a work shift. These items should be routinely disinfected

Health Officer Order No. C19-07r

Appendix A: Social Distancing Protocol (revised 1/20/2021)

SDP

Social Distancing

Protocol

Requirements

during the course of the day, including as required below. A list of products listed by the

United States Environmental Protection Agency as meeting criteria for use against SARS-

CoV-2 can be found online here: https://www.epa.gov/pesticide-registration/list-n-

disinfectants-use-against-sars-cov-2.

3.9. Ensure that all shared devices and equipment are cleaned and/or sanitized by Personnel on

frequent schedules, not less than at the beginning and end of each Personnel member’s work

shift and during the shift.

3.10. Direct all Personnel to avoid touching unsanitized surfaces that may be frequently touched,

such as door handles, tools, or credit cards, unless protective equipment such as gloves

(provided by the business) are used and discarded after each use or hand sanitizer is used

after each interaction.

3.11. Frequently disinfect any break rooms, bathrooms, and other common areas. Create and use

a daily checklist to document each time disinfection of these rooms or areas occurs.

Conspicuously post the checklist inside each respective break room, bathroom, or other

common area clearly detailing the dates and times the room was last cleaned, disinfected, or

restocked.

3.12. For any facility or location that has carts, baskets, or other equipment for use by Personnel,

assign Personnel to disinfect carts, baskets, or other equipment after each use and take

steps to prevent anyone from grabbing used carts, baskets, or other equipment before

disinfection.

3.13. Establish adequate time in the work day to allow for proper cleaning and decontamination

throughout the facility or location by Personnel including, but not limited to, before closing for

the day and opening in the morning.

3.14. [Revised 8/14/20] Except as listed in this Section 3.14, suspend use of any microwaves,

water coolers, drinking fountains, and other similar group equipment for breaks until further

notice. Microwaves may be used if disinfected by wiping the interior and exterior with an

approved disinfectant after each use. Water coolers may be used if: i) touch surfaces are

wiped down with an approved disinfectant after each use; and ii) any person changing a

container-type water cooler must wash their hands or use hand sanitizer immediately prior to

handling/replacing the water container.

3.15. When possible, provide a barrier between the patron and the cashier such as a plexi-glass

temporary barrier. When not possible, create sufficient space to enable the patron to stand

more than six feet away from the cashier while items are being scanned/tallied and bagged.

3.16. Provide for contactless payment systems or, if not feasible, sanitize payment systems,

including touch screens, payment portals, pens, and styluses, after each patron use. Patrons

may pay with cash but to further limit person-to-person contact, Personnel should encourage

patrons to use credit, debit, or gift cards for payment.

3.17. For any larger facility or location, appoint a designated sanitation worker at all times to

continuously clean and sanitize commonly touched surfaces and meet the environmental

cleaning guidelines set by the Center for Disease Control and Prevention.

3.18. If an employee or other Personnel tests positive for COVID-19 or SARS-CoV-2, follow the

guidance on “Business guidance if a staff member tests positive for COVID-19,” available at

https://sf.gov/business-guidance-if-staff-member-tests-positive-covid-19.

Health Officer Order No. C19-07r

Appendix A: Social Distancing Protocol (revised 1/20/2021)

SDP

Social Distancing

Protocol

Requirements

3.19. Post signs to advise patrons of the maximum line capacity to ensure that the maximum

number of patrons in line is not exceeded. Once the maximum number of patrons is reached,

patrons should be advised to return later to prevent buildup of congestion in the line.

3.20. Place tape or other markings on the sidewalk or floor at least six feet apart in patron line

areas with signs directing patrons to use the markings to maintain distance.

3.21. When stocking shelves, if any, ensure that Personnel wash or sanitize hands before placing

items on shelves, making sure to again wash or sanitize hands if they become contaminated

by touching face or hair or being exposed to other soiled surfaces.

3.22. Ensure that all Personnel who select items on behalf of patrons wear a Face Covering when

selecting, packing, and/or delivering items.

3.23. Require Personnel to wash hands frequently, including:

• When entering any kitchen or food preparation area

• Before starting food preparation or handling

• After touching their face, hair, or other areas of the body

• After using the restroom

• After coughing, sneezing, using a tissue, smoking, eating, or drinking

• Before putting on gloves

• After engaging in other activities that may contaminate the hands

3.24. Assign Personnel to keep soap and paper towels stocked at sinks and handwashing stations

at least every hour and to replenish other sanitizing products.

3.25. [Added 7/13/20] If patrons bring their own reusable shopping bags, ensure that such bags,

even in contexts other than grocery stores, are handled in a manner consistent with

Cal/OSHA requirements available at https://www.dir.ca.gov/dosh/Coronavirus/COVID-19-

Infection-Prevention-in-Grocery-Stores.pdf, including all of the following:

• Post signs at all entrances with infection control information to patrons, including

requiring patrons to leave their own bags in the shopping cart or basket or carry them

and bag their own items after checkout;

• Ensure that Personnel do not touch the bags or place items in them;

• Bags must not be placed on a conveyor belt, checkout area countertop, or other

surface where patrons are served;

• Ensure that patrons bag their own items if they bring their own bags;

• Bags may not be loaded on the checkout area surface. Items can be left in a

cart/basket and bagged elsewhere by the patron after checkout;

• Ensure that patrons maintain physical distancing while bagging their items; and

• Increase the frequency of disinfection in bagging areas and patron service areas

frequented by patrons.

3.26. [Added 7/13/20; updated 11/3/20] If a patron has symptoms of COVID-19 (see Section 1.1

above) or is otherwise unable to participate in an appointment or reservation for a COVID-19

related reason, the business must cancel the appointment or reservation if it is not for

Health Officer Order No. C19-07r

Appendix A: Social Distancing Protocol (revised 1/20/2021)

SDP

Social Distancing

Protocol

Requirements

essential services (such as food, medicine, shelter, or social services) and allow the patron to

cancel without any financial penalty. The business may offer to reschedule the appointment

or reservation but cannot require rescheduling instead of allowing the patron to cancel. In the

healthcare context, more specific Health Officer directives may allow appointments when a

patient or client is ill, and the requirements of the directive must be followed in that situation.

Note – Sections 3.14 and 3.26 control over any contrary language in Health Officer Directive

Nos. 2020-05, 2020-06, and 2020-07 until each of them is amended or updated.

YES

Attachment A-1: Personnel Screening Form

Last updated: January 20, 2021

Personnel at businesses and other entities operating during the COVID-19 pandemic MUST answer these questions before starting

work every day, either in person or online, and MUST stay out of work for the appropriate amount of time if they answer YES to any of

the questions. For information about paid sick leave options, visit www.sfgov.org/olse and www.sfcdcp.org/workerfaq

If your answer is YES to any question, do NOT enter the location.

• Stay at home, except to get tested or get needed medical care.

• Follow the steps mandated by Health Directive 2020-02/03 and explained at: www.sfcdcp.org/isolationandquarantine

Question #1: In the last 24 hours, including today, have you had ANY of the symptoms below, that is new or not

explained by another condition?

Fever (100.4

F/38

C or greater), chills, shivering

Cough

Sore throat

Shortness of breath, difficulty breathing

Feeling unusually weak or fatigued

Loss of taste or smell

Muscle or body aches

Headache

Diarrhea

Runny or congested nose

Nausea or vomiting

Question #2: In the past 10 days, have you been diagnosed with COVID-19 or had a test confirming you have the

virus?

Question #3: In the past 10-14 days, have you had “close contact” with anyone who has COVID-19, during their

contagious period?

If you have recovered from COVID-19 in the last three months, speak to your healthcare provider.

Quick overview of what to do and the earliest personnel may return to work, if you had:

Symptoms WITHOUT a COVID-19 test

(answered YES to Question 1)

GET TESTED. Without a test, the Business must treat you as being positive for COVID-

19 and prohibit you from entering for at least 10 calendar days.

A positive COVID-19 test WITH

symptoms (answered YES to Question 2)

You can return to work:

• 10 days after first onset of symptoms, AND

• You have improvement of symptoms, AND

•

You have had no fever for over 24 hours without taking fever-reducing medicine

A positive COVID-19 test WITHOUT

symptoms (answered YES to Question 2)

You can return to work 10 days after the day your COVID-19 test was collected as

long as you have no symptoms.

“Close contact” with anyone with

COVID-19 during their contagious

period (answered YES to Question 3)

GET TESTED, ideally 6 days or more after your last contact with the person with

COVID-19.

You can return to work 10 days after your last close contact with the person with

COVID-19 UNLESS:

• Your COVID-19 test is positive (see boxes above for positive COVID-19 test) OR

• You develop symptoms (GET TESTED if you develop symptoms) OR

• You work in a jail, long term care facility, shelter, or dormitory (you cannot return

to work until 14 days after your last close contact—check with your employer

whether there are staffing shortages that may change this duration)

“Close contact” means having any of following interactions with someone with COVID-19 while they were contagious (they are

contagious 48 hours before their symptoms began until at least 10 days after the start of symptoms). If the person with COVID-19

never had symptoms, they are contagious 48 hours before their COVID-19 test was collected until 10 days after they were tested.

- Within 6 feet of them for a total of 15 minutes or more in a 24-hour period

- Having direct contact with their bodily fluids (coughed or sneezed on you or shared food utensils)

- Living or staying overnight with them

- Having physical or intimate contact including hugging and kissing

- Taking care of them, or having them take care of you

Businesses have specific requirements to ensure Personnel stay out of work the appropriate amount of time. Some businesses may

have additional screening requirements or forms to use. Go to www.sfcdcp.org/screen

for more information on those requirements

and a copy of this form. To report a violation of San Francisco COVID-19 health orders and directives (www.sfdph.org/healthorders),

including not screening workers, letting sick workers stay at work, not social distancing or not requiring facemasks, call: 311 or

415-701-2311 (English) or 415-701-2322 (Español,中文,TTY). You can request for your identity to remain confidential.

YES

Attachment A-2: Screening Form for Non-Personnel

Last updated: January 20, 2021

To businesses, organizations, and programs: This form is for screening clients, customers and other visitors before letting them enter

your facility. Health Officer Directives may have additional requirements regarding screening in a specific context. The San Francisco

Department of Public Health discourages you from denying core essential services (such as food, medicine, shelter, or social services)

to people who answer “yes” to any of the questions below. You are encouraged to find alternative ways to meet clients’ needs that do

not require them to enter your location, such as curbside pickup or delivery services. This form is available at www.sfcdcp.org/screen

Screening Questions and Information for Non-Personnel:

If your answer is YES to any question, do NOT enter the location.

• Stay at home, except to get tested or get needed medical care.

• Follow the steps mandated by Health Directive 2020-02/03 and explained at: sfcdcp.org/isolationandquarantine

Question #1: In the last 24 hours, including today, have you had ANY of the symptoms below, that is new or not

explained by another condition?

Fever (100.4

F/38

C or greater), chills, shivering

Cough

Sore throat

Shortness of breath, difficulty breathing

Feeling unusually weak or fatigued*

Loss of taste or smell

Muscle or body aches*

Headache

Diarrhea

Runny or congested nose*

Nausea or vomiting

*Children and youth under 18 years old do not need to be screened for these symptoms

Question #2: In the past 10 days, have you been diagnosed with COVID-19 or had a test confirming you have the

virus?

Question #3: In the past 10-14 days, have you had “close contact” with anyone who has COVID-19, during their

contagious period?

If you have recovered from COVID-19 in the last three months, speak to your healthcare provider.

Quick overview of what to do and the earliest you may enter a location, if you had:

Symptoms WITHOUT a COVID-19 test

(answered YES to Question 1)

GET TESTED. Without a test, the location must treat you as being positive for COVID-

19 and require you to stay out for at least 10 calendar days.

A positive COVID-19 test WITH

symptoms (answered YES to Question 2)

You can return to the location:

• 10 days after first onset of symptoms, AND

• You have improvement of symptoms, AND

• You have had no fever for over 24 hours without taking fever-reducing medicine

A positive COVID-19 test WITHOUT

symptoms (answered YES to Question 2)

You can return to the location 10 days after the day your COVID-19 test was collected

as long as you have no symptoms

“Close contact” with anyone with

COVID-19 during their contagious

period (answered YES to Question 3)

GET TESTED, ideally 6 days or more after your last contact with the person with

COVID-19.

You can return to the location 10 days after your last close contact with the person

with COVID-19 UNLESS:

• Your COVID-19 test is positive (see boxes above for positive COVID-19 test) OR

•

You develop symptoms (GET TESTED if you develop symptoms)

“Close contact” means having any of following interactions with someone with COVID-19 while they were contagious (they are

contagious 48 hours before their symptoms began until at least 10 days after the start of symptoms). If the person with COVID-19

never had symptoms, they are contagious 48 hours before their COVID-19 test was collected until 10 days after they were tested.

- Within 6 feet of them for a total of 15 minutes or more in a 24-hour period

- Having direct contact with their bodily fluids (coughed or sneezed on you or shared food utensils)

- Living or staying overnight with them

- Having physical or intimate contact including hugging and kissing

- Taking care of them, or having them take care of you

Your health is important! To report a violation of San Francisco COVID-19 health orders and directives (www.sfdph.org/healthorders

including not screening visitors, letting sick visitors enter a location, not social distancing or not requiring facemasks, call: 311 or

415-701-2311 (English) or 415-701-2322 (Español,中文,TTY). You can request for your identity to remain confidential.

Health Officer Order No. C19-07r

Appendix B: Construction Project Safety Protocol

(updated 01/20/2021)

CPSP Checklist and Requirements Page 1 of 7

CPSP

Construction Project

Safety Protocol

Checklist

Each Construction Project allowed to operate in San Francisco must complete, post onsite,

and follow this Safety Protocol checklist.

The attached Instructions and Requirements provide definitions and details about how to

complete this checklist.

Check off all items below that apply and list other required information.

Type of Project (see Definitions): ☐ Small Construction Project ☐ Large Construction Project

Project name:

Project Address:

Small Construction Projects: (see Section 8 of the Requirements)

COVID-19 Site Supervisor(s):

Email / Phone:

Large Construction Projects: (see Section 9 of the Requirements)

Safety Compliance Officer (SCO):

Email / Phone:

Jobsite Safety Accountability Supervisor (JSAS):

Email / Phone:

(Any of the persons listed above may be contacted with any questions or comments about

this protocol.)

SIGNAGE & EDUCATION

☐ Post a copy of this Construction Project Safety Protocol (CPSP) checklist at each

entrance to the project

☐ Post the flyer describing COVID information for construction workers in English,

Spanish, Chinese and Filipino and provide electronically or as hard copy upon request.

☐ Post signage at entrances informing Personnel and Visitors they may not enter the site

if experiencing COVID-19 symptoms, if they have been diagnosed with COVID-19, or if

they have had Close Contact with someone who has COVID-19.

☐ Personnel must complete the COVID-19 Health Screening Form for personnel

(Attachment A-1) (see sfcdcp.org/screening-handout)

☐ Visitors must complete the COVID-19 Health Screening Form for non-personnel

(Attachment A-2) also found at sfcdcp.org/screeningvisitors.

☐ The list of symptoms can also be found at sfcdcp.org/covid19symptoms.

Health Officer Order No. C19-07r

Appendix B: Construction Project Safety Protocol

(updated 01/20/2021)

CPSP Checklist and Requirements Page 2 of 7

CPSP

Construction Project

Safety Protocol

Checklist

☐ Post signage requiring all Personnel and Visitors to wear a face covering at all times

except when actively putting food or drink into one’s mouth.

☐ Post signage requiring Personnel and Visitors to maintain a minimum six-foot distance

from others at all times.

☐ Post signage showing maximum number of Personnel and Visitors who can be present

at the site.

☐ Provide information on safer transportation to the workplace.

☐ Review this CPSP Protocol with all workers and visitors to the construction site.

PROTECTIVE MEASURES

☐ Require Personnel and patrons to wear a face covering as required by Health Officer

orders

☐ Implement a plan to keep site Personnel safe, including by limiting the number of

Personnel and patrons onsite to a number that ensures physical distancing

☐ Comply with all applicable and current laws and regulations including but not limited to

OSHA and Cal-OSHA. If there is any conflict, difference, or discrepancy between or

among applicable laws and regulations and/or this CPSP Protocol, the stricter, more

health protective standard shall apply.

☐ Ensure Personnel stay home or leave work if they are sick or have any single symptom

of COVID-19 that is new or not explained by another condition. See the Personnel

Screening Attachment (A-1) at sfcdcp.org/screening-handout.

☐ Ensure Personnel review health criteria on the Personnel Screening Attachment (A-1)

before each shift and advise Personnel what to do if they are required to stay home.

☐ Maintain a daily attendance log of all workers and visitors that includes contact

information, including name, phone number, address, and email.

MEASURES TO PREVENT UNNECESSARY CONTACT

☐ Tell Personnel and Visitors to maintain physical distancing of at least six feet, except as

strictly necessary to carry out a task associated with the construction project.

☐ Stagger trades as necessary to reduce density and allow for easy maintenance of

minimum six-foot separation.

☐ Prohibit smoking on the jobsite, or designate a clear area where workers may smoke

with markings 6 feet apart to ensure appropriate physical distancing.

☐ Place markings in elevators, at elevator waiting areas, and at restrooms to ensure six

feet physical distancing

☐ Control “choke points” and “high-risk areas” to ensure that six-foot distance can easily

be maintained between individuals.

☐ In office areas, separate all desks or individual work stations by at least six feet

☐ Limit the number of Personnel and Visitors on the site at any one time to: _

Health Officer Order No. C19-07r

Appendix B: Construction Project Safety Protocol

(updated 01/20/2021)

CPSP Checklist and Requirements Page 3 of 7

CPSP

Construction Project

Safety Protocol

Checklist

☐ Prohibit gatherings of any size on the jobsite, especially during meal times as this is a

high-risk time for exposure because people have to remove their mask to eat or drink

SANITIZING MEASURES

☐ Prohibit sharing of Personal Protective Equipment (PPE)

☐ Regularly disinfect high touch areas or shared equipment.

☐ Provide hand sanitizer, sink with soap and water, and/or disinfecting wipes to Personnel

at or near the entrance of the site

☐ Disinfect break rooms, bathrooms, and other common areas frequently, on the following

schedule:

☐ Break rooms:

☐ Bathrooms:

☐ Other:

☐ Prohibit Personnel from using shared food prep equipment for their own use (e.g.,

microwaves, water coolers), but microwaves may be used if disinfected between each

use and hand sanitizer is available nearby and water coolers may be used as outlined in

Section 3.14 in the Social Distancing Protocol Instructions.

CONSTRUCTION WORK IN AN OCCUPIED FACILITY:

☐ Seal off work areas from the occupied areas with physical barriers such as plastic

sheeting or closed doors sealed with tape

☐ Workers must/should access the work area from an alternative entry/exit door to the

entry/exit door used by occupants.

☐ Available windows and exhaust fans must be used to ventilate the work area.

☐ If occupants have access to the work area between workdays, the work area must be

cleaned and sanitized at the beginning and at the end of workdays.

☐ Minimize contact between workers and occupants, including maintaining a minimum of

six feet of distance at all times.

Health Officer Order No. C19-07r

Appendix B: Construction Project Safety Protocol

(updated 01/20/2021)

Instructions and Requirements

CPSP Checklist and Requirements Page 4 of 7

CPSP

Construction Project

Safety Protocol

Requirements

[You are not required to post these Instructions and Requirements]

Instructions:

Each Construction Project allowed to operate in San Francisco must complete, post onsite,

and follow the Construction Project Safety Protocol (CPSP) Checklist.

This CPSP requirement does not apply to construction projects where a person is

performing construction on their current residence either alone or solely with members of

their own household.

Definitions:

Large Construction Projects are those meeting any of the following specifications:

a. For residential projects, any single-family, multi-family, senior, student, or other

residential construction, renovation, or remodel project consisting of more than 10

units.

b. For commercial projects, any construction, renovation, or tenant improvement

project consisting of more than 20,000 square feet of floor area.

c. For construction of Essential Infrastructure, as defined in Section 8.l of the Order,

any project that requires twenty or more workers at the jobsite at any one time.

Small Construction Projects are those meeting any of the following specifications:

a. For residential projects, any single-family, multi-family, senior, student, or other

residential construction, renovation, or remodel project consisting of 10 units or

fewer.

b. For commercial projects, any construction, renovation, or tenant improvement

project consisting of 20,000 square feet of floor area or less.

c. For mixed-use projects, any project that meets both of the specifications (a) and

(b).

d. All other construction projects that do not meet the definition of Large

Construction Projects (above).

Personnel is defined in Health Officer Order to which this Appendix is attached and

includes full time personnel, contractors and tradespeople.

Visitor includes delivery personnel, inspectors, customers and guests.

Requirements:

The CPSP checklist must reflect the project’s completion of each requirement listed below

unless an item is not applicable. Use the checklist to show compliance with these

requirements. The Construction Project does not need to post these Instructions and

Requirements, only the checklist above.

In addition to the applicable items in Parts 1, 2 and 3 of the instructions for the Social

Distancing Protocol (Appendix A of the Stay Safer at Home Health Order), the following

requirements correspond to items in the accompanying checklist:

Health Officer Order No. C19-07r

Appendix B: Construction Project Safety Protocol

(updated 01/20/2021)

Instructions and Requirements

CPSP Checklist and Requirements Page 5 of 7

CPSP

Construction Project

Safety Protocol

Requirements

1. Consistent use of face covering is critical to preventing COVID-19 transmission. Most

COVID-19 infections are caused by people who have no symptoms of illness at all. They

can infect others by simply breathing out virus particles which is why it is critically

important to wear a face covering in accordance with Health Officer Order No. C19-12d,

issued December 22, 2020, or any subsequently issued or amended order.

2. Comply with all applicable and current laws and regulations including but not limited to

OSHA and Cal-OSHA. If there is any conflict, difference, or discrepancy between or

among applicable laws and regulations and/or this CPSP Protocol, the stricter, more

health protective standard shall apply.

3. Complete, post onsite, and follow this CPSP. Distribute copies to all staff in hardcopy or

electronic format in their preferred language.

4. Post the flyer describing COVID information for construction workers in English,

Spanish, Chinese and Filipino and provide electronically or as hard copy upon request.

5. Where construction work occurs within an occupied residential unit, separate work areas

must be sealed off from the remainder of the unit with physical barriers such as plastic

sheeting or closed doors sealed with tape to the extent feasible. If possible, workers

must access the work area from an alternative entry/exit door to the entry/exit door used

by residents. Available windows and exhaust fans must be used to ventilate the work

area. If residents have access to the work area between workdays, the work area must

be cleaned and sanitized at the beginning and at the end of workdays. Every effort must

be taken to minimize contact between workers and residents, including maintaining a

minimum of six feet of distance at all times.

6. Where construction work occurs within common areas of an occupied residential or

commercial building or a mixed-use building in use by on-site employees or residents,

separate work areas must be sealed off from the rest of the common areas with physical

barriers such as plastic sheeting or closed doors sealed with tape to the extent feasible.

If possible, workers must access the work area from an alternative building entry/exit

door to the building entry/exit door used by residents or other users of the building.

Every effort must be taken to minimize contact between worker and building residents

and users, including maintaining a minimum of six feet of social distancing at all times.

7. Prohibit gatherings of any size on the jobsite, including gatherings for breaks or eating,

except for meetings regarding compliance with this protocol or as strictly necessary to

carry out a task associated with the construction project.

8. Cal-OSHA requires employers to provide water, which should be provided in single-

serve containers. Sharing of any of any food or beverage is strictly prohibited and if

sharing is observed, the worker must be sent home for the day.

Health Officer Order No. C19-07r

Appendix B: Construction Project Safety Protocol

(updated 01/20/2021)

Instructions and Requirements

CPSP Checklist and Requirements Page 6 of 7

CPSP

Construction Project

Safety Protocol

Requirements

9. Required Personnel for Small Construction Projects:

9.1. Designate Site-specific COVID-19 Supervisor (or supervisors). The COVID-19

Supervisor may be an on-site worker who is designated to serve in this role to:

9.1.1. Be present on the construction site at all times during construction activities;

9.1.2. Review this CPSP with all workers and visitors to the construction site; and

9.1.3. Enforce this CPSP, particularly consistent proper use of face covering and

ensuring adequate physical distancing of at least 6 feet.

10. Required Personnel for Large Construction Projects:

10.1. Designate COVID-19 Safety Compliance Officer (SCO) whose responsibilities

include:

10.1.1. Be present on the construction site at all times during construction activities;

10.1.2. Ensure implementation of this CPSP at the jobsite.

10.1.3. Conduct daily briefings in person or by teleconference that must cover the

following topics:

10.1.3.1. Conveying updated information regarding COVID-19.

10.1.3.2. New jobsite rules and pre-job site travel restrictions for the prevention

of COVID-19 community spread.

10.1.3.3. Emphasize the critical importance of consistent proper use of face

covering and the critical importance of maintaining at least 6 feet of

physical distance at all times.

10.1.3.4. Sanitation and hygiene:

• Review of sanitation and hygiene procedures.

• Coordination of construction site daily cleaning/sanitation

requirements.

• Solicitation of worker feedback on improving safety and

sanitation.

• Protocols in the event of an exposure or suspected exposure to

COVID-19 (see sfcdcp.org/covid19-positive-workplace).

10.1.4. Compile daily written verification that each jobsite is compliant with the

components of this CPSP. Each written verification form must be copied,

stored, and made immediately available upon request by any County

official.

Health Officer Order No. C19-07r

Appendix B: Construction Project Safety Protocol

(updated 01/20/2021)

Instructions and Requirements

CPSP Checklist and Requirements Page 7 of 7

CPSP

Construction Project

Safety Protocol

Requirements

10.1.5. In the event of noncompliance, the SCO:

10.1.5.1. Must not permit any construction activity to continue without bringing

such activity into compliance with these requirements.

10.1.5.2. Develop and ensure implementation of a Remediation Plan to

address any noncompliance with this CPSP.

10.1.5.3. Post the Remediation Plan at the entrance and exit of the jobsite

during remediation period. The remediation plan must be translated

as necessary to ensure that all non-English speaking workers are

able to understand the document.

10.1.5.4. Report repeated non-compliance to the appropriate jobsite

supervisors and a designated County official.

10.2. Designate a COVID-19 Third-Party Jobsite Safety Accountability Supervisor

(JSAS). The JSAS must hold an OSHA-30 certificate and first-aid training within the

past two years, and must be trained in the CPSP requirements. The JSAS

responsibilities include:

10.2.1. Verify compliance, including by visual inspection and random interviews with

workers, with this CPSP.

10.2.2. Within seven calendar days of each jobsite visit, the JSAS must complete a

written assessment identifying any failure to comply with this CPSP

Protocol. The written assessment must be copied, stored, and, upon

request by the County, sent to a designated County official.

10.2.3. If the JSAS discovers that a jobsite is not in compliance with this CPSP the

JSAS must:

10.2.3.1. Work with the SCO to develop and implement a Remediation Plan.

10.2.3.2. Coordinate with the SCO to prohibit continuation of any non-

compliant work activity until addressed and the continuing work is

compliant.

10.2.3.3. Send the Remediation Plan to a designated County official within five

calendar days of the JSAS’s discovery of the failure to comply.

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

(1) Retail Stores for Goods—REDUCED CAPACITY

a. Basis for Addition. Personnel and customers can wear Face Coverings at all times and

maintain at least six feet of physical distance except for brief interactions (e.g., while

paying for goods). No inherently risky activities (e.g., singing, shouting, eating, drinking,

etc.) are involved. While shopping, customers interact only with a small number of

individuals from other Households. Although Personnel are interacting with a moderate

number of people, the duration of those interactions are low and safety limitations can

ensure adequate physical distancing and adherence with other Social Distancing

Requirements (Section 8.o of the Order) and other worker protection measures and

decrease the risk of virus transmission. Consistent with Section 5.c of the Order and to

the extent possible, retail stores are urged to conduct curbside/outdoor pickup to further

decrease the risk.

b. Description and Conditions to Operate.

1. Curbside/Outdoor Pickup: Retail stores may operate for curbside/outside pickup of

goods, subject to the following limitations:

i. The store must limit the number of Personnel in the facility so that Personnel

can comply with Social Distancing Requirements;

ii. The store must create, post and implement a Social Distancing Protocol

checklist (Appendix A to this Order) and must comply with Health Officer

Directive No. 2020-10b, as that directive may be amended from time to time,

regarding required best practices for retail businesses with curbside pickup—

including the requirement to create a Health and Safety Plan;

iii. If a store chooses to display merchandise for sale on tables or otherwise

outside the store, it must comply with the following specific requirements:

• The store must obtain any necessary permits from the County;

• Customers must either use hand sanitizer before touching items or ask the

vendor to hand items to them;

• Only the number of customers who can maintain at least six feet of

physical distancing may approach the table at a time;

• Chalk demarcations must be placed on the ground to indicate where

shoppers should stand behind others, while waiting to purchase items; and

• The store must take measures to help ensure against congestion and

blocking passage by pedestrians, including people with disabilities

Stores may apply for a free temporary permit to use the sidewalk or parking

lane for retail operations at https://sf.gov/use-sidewalk-or-parking-lane-your-

business.

iv. The store must have direct access to an immediately adjacent sidewalk, street,

alley, or parking area for pickup by customers using any mode of travel,

without blocking pedestrian access or causing pedestrian or vehicle

congestion; and

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

v. Retail stores that are in an enclosed Indoor Shopping Center (defined as a

large building or group of buildings where customer access to stores is

possible only through indoor passage ways or indoor common areas, such as

Stonestown Galleria, and Westfield San Francisco Centre) and that do not

have direct access to adjacent sidewalk, street, parking lot or alley area, may

only reopen for curbside/outdoor pickup at this time if the Indoor Shopping

Center operator submits to the Health Officer a proposed plan for reopening

and that plan is approved as provided below. The proposed plan must include:

a. the number of stores and businesses that would be resuming operation;

b. the number of Personnel associated with each store or business;

c. the number of customers expected daily; and

d. the specific social distancing and sanitation measures the shopping

center would employ to prevent congestion at the doorways and

streets, and protect customers and Personnel.

Plans must be submitted to HealthPlan@sfcityatty.org. Subject to the advance

written approval of the Health Officer or the Health Officer’s designee,

retailers in the Indoor Shopping Center may then operate for curbside pickup

consistent with the approved plan.

2. In-Store Retail: Retail stores may operate for indoor shopping, subject to the

following limitations and conditions:

i. The store must reduce maximum occupancy to limit the number of people

(including both customers and Personnel) to the lesser of: (1) 20% the store’s

maximum occupancy or (2) the number of people who can maintain at least

six feet of physical distance from each other in the store at all times;

ii. All retail establishments must develop and implement written procedures to

“meter” or track the number of persons entering and exiting the facility to

ensure that the maximum capacity for the establishment is not exceeded. For

example, an employee of the establishment may be posted at each entrance to

the facility to perform this function. The establishment must provide a copy

of its written “metering” procedures to an enforcement officer upon request

and disclose the number of members of the public currently present in the

facility.

iii. Before opening for in-store shopping, the store must create, post and

implement a Social Distancing Protocol checklist (Appendix A to this Order)

and must comply with Health Officer Directive No. 2020-17, as that directive

may be amended from time to time, regarding required best practices for retail

businesses offering in-store shopping or services—including the requirement

to create a Health and Safety Plan;

iv. If a store chooses to display merchandise for sale on tables or otherwise

outside the store, it must comply with the following specific requirements:

• The store must obtain any necessary permits from the County;

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

• Customers must either use hand sanitizer before touching items or ask the

vendor to hand items to them;

• Only the number of customers who can maintain at least six feet phyiscal

distancing may approach the table at a time;

• Chalk demarcations must be placed on the ground to indicate where

shoppers should stand behind others, while waiting to purchase items; and

• The store must take measures to help ensure against congestion and

blocking passage by pedestrians, including people with disabilities.

Stores may apply for a free temporary permit to use the sidewalk or parking

lane for retail operations at https://sf.gov/use-sidewalk-or-parking-lane-your-

business.

v. Retail stores that are in an enclosed Indoor Shopping Center (as defined in

subsection 1.b.1.v above) and that do not have direct access to adjacent

sidewalk, street, parking lot or alley area, may only reopen for in-store retail,

subject to the following conditions, if the Indoor Shopping Center has a plan

for reopening that is approved by the Health Officer as provided below:

• The Indoor Shopping Center must limit capacity in the facility and in

each individual storefront to the lesser of: (1) 20% the maximum

occupancy or (2) the number of people who can maintain at least six

feet of physical distance from each other at all times.

• Common areas must be closed.

• Food court must be closed for indoor dining. Food may be served for

take-out, but seating areas must be closed.

The proposed plan must include:

a. the number of stores and businesses that would be resuming operation;

b. the number of Personnel associated with each store or business;

c. the number of customers expected daily;

d. confirmation that the Indoor Shopping Center will close all food courts

for indoor dining and a description of how that closure will be

effectuated;

e. how the Indoor Shopping Center will regulate the number of people in

the paths of travel of the shopping center and close any common

gathering areas;

f. how the Indoor Shopping Center will address HVAC/circulated air,

use of elevators, use and cleaning of bathrooms;

g. any special considerations for indoor parking garages and access

points;

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

h. whether the Indoor Shopping Center will permit curbside pickup; and

i. adoption of a Health and Safety Plan addressing the requirements of

Appendix A to the Order.

Plans must be submitted to HealthPlan@sfcityatty.org. Subject to the written

advance approval of the Health Officer or the Health Officer’s designee, the

Indoor Shopping Center may then operate for in-store retail consistent with

the approved plan.

For clarity, operation of retail stores under category (1) and (2), above, applies only to the sale of

goods and not to the provision of services or the rental of equipment, which are covered

separately in Sections (4) and (5), below.

(Added May 17, 2020; Revised June 1, 2020, June 11, 2020, and September 30, 2020; Non-

substantive revisions July 13, 2020, October, 20, 2020, and November 3, 2020; Subsection

suspended July 20, 2020, with minor update on August 14, 2020; Subsection reinstated with

amendments on September 1, 2020; Subsection suspended November 10, 2020; Capacity

reduced November 28, 2020, and December 4, 2020)

(2) Manufacturing, Warehousing and Logistical Support

a. Basis for Addition. Personnel can wear Face Coverings and maintain at least six feet of

physical distance at all times. No inherently risky activities (e.g., singing, shouting,

eating, drinking, etc.) are involved. Personnel will interact only with a consistent and

moderately sized group of people (i.e., the business’s other Personnel) as members of

the public do not generally frequent these businesses. Finally, risks of virus

transmission associated with this activity can be mitigated through Social Distancing

Requirements (Order Section 8.o) and sanitation, and other worker safety protocols.

b. Description and Conditions to Operate.

1. Manufacturing: Manufacturing businesses—including non-essential manufacturing

businesses—may operate, subject to the following limitations and conditions:

i. The business must limit the number of Personnel in the facility so that

Personnel can comply with Social Distancing Requirements; and

ii. The business must create, post and implement a Social Distancing Protocol

checklist (Appendix A to this Order) and must comply with Health Officer

Directive No. 2020-11, as that directive may be amended from time to time,

regarding required best practices for manufacturing businesses—including the

requirement to create a Health and Safety Plan.

2. Warehousing and Logistical Support: Businesses that provide warehousing and

logistical support—including non-essential businesses —may operate, subject to the

following limitations and conditions:

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

i. The business must limit the number of Personnel in the facility so that

Personnel can comply with Social Distancing Requirements; and

ii. The business must create, post and implement a Social Distancing Protocol

checklist (Appendix A to this Order) and must comply with Health Officer

Directive No. 2020-12, as that directive may be amended from time to time,

regarding required best practices for warehouse and logistical support

businesses—including the requirement to create a Health and Safety Plan.

(Added May 17, 2020; Revised June 1, 2020, and June 11, 2020; Non-substantive revisions July

13, 2020)

(3) Childcare and Youth Programs for All Children

a. Basis for Addition. Childcare and educational or recreational programs for youth are

critical to early education and developmental equity, family social and economic

wellbeing, and economic recovery from the pandemic. More specifically, such programs

are an important element for a child’s social and emotional development, as well as for a

child’s physical health and wellness. Also, childcare and youth programs are often

necessary to allow parents or guardians to work, making the availability of such programs

important for individual families as well as the local economy. Although attendance at a

childcare or youth program involves a high number of close contacts that may be of

lengthy duration, the risks of virus transmission can be reduced by mitigation measures,

as generally described below. But children’s inability to consistently follow social

distancing and sanitation recommendations means that even with the mitigation measures

the risk of transmission is higher than in interactions exclusively among adults. And

while based on available evidence, children do not appear to be at higher risk for

COVID-19 than adults, medical knowledge about the possible health effects of COVID-

19 on children is evolving. Accordingly, the decision about whether to enroll a child in a

childcare or youth program is an individualized inquiry that should be made by

parents/guardians with an understanding of the risks that such enrollment entails.

Parents/guardians may discuss these risks and their concerns with their pediatrician. The

Health Officer will continue to monitor the changing situation and may amend this

section as necessary to protect the public health.

b. Description and Conditions to Operate.

1. Childcare Programs: Group care facilities for very young children who are not yet in

elementary school—including, for example, licensed childcare centers, daycares,

family daycares, and preschools (including cooperative preschools)—(collectively,

“Childcare Programs”) may open and operate, subject to the following limitations and

conditions:

i. Childcare Programs may not enroll children for fewer than three weeks;

ii. Childcare Programs must create, post and implement a Social Distancing

Protocol checklist (Appendix A to this Order) and comply with all of the

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

requirements set forth in Health Officer Directive No. 2020-14c, including

any limits on the number of children that can be in a group, and the

requirements to have the parent(s) or guardian(s) of any child attending the

program sign an acknowledgement of health risks, and to prepare and

implement a written health and safety plan to mitigate the risk of virus

transmission to the greatest extent feasible.

2. Summer Camps: Summer camps and summer learning programs that operate

exclusively outside of the academic school year (“Summer Camps”) may operate for

all children over the age of six and school-aged children currently in grades

transitional kindergarten (TK) and above who are under age six, subject to the

following limitations and conditions:

i. Summer Camps must limit group size to 12 children (a “pod”) per room or

space;

ii. Summer Camp sessions must last at least three weeks;

iii. Children must remain in the same pod for at least three weeks, and preferably

for the entire time throughout the summer.

iv. Summer Camps may not begin to operate until they have created, posted and

implemented a Social Distancing Protocol checklist (Appendix A to this

Order) and complied with all of the requirements set forth in relevant

industry-specific Health Officer directives (see Health Officer Directive No.

2020-13b) including the requirements to complete an online form with general

information about the program and required certifications, to have the

parent(s) or guardian(s) of any child attending the program sign an

acknowledgement of health risks, and to prepare and implement a written

health and safety plan to mitigate the risk of virus transmission to the greatest

extent feasible.

3. Out of School Time Programs: Educational or recreational institutions or programs

that provide care or supervision for school-aged children and youth—including for

example, learning hubs, other programs that support distance learning, school-aged

childcare programs, youth sports programs, and afterschool programs (“Out of School

Time Programs” or “OST Programs”) may open for all children, subject to the

following limitations and conditions:

i. OST Program sessions must be at least three weeks long, and programs

without set sessions may not enroll children for fewer than three weeks;

ii. OST Programs must create, post, and implement a Social Distancing Protocol

checklist (Appendix A to this Order) and comply with all of the requirements

set forth in Health Officer Directive No. 2020-21, including any limits on the

number of children that can be in a group, and also the requirements to

complete an online form with general information about the program and

required certifications, to have the parent(s) or guardian(s) of any child

attending the program sign an acknowledgement of health risks, and to

prepare and implement a written Health and Safety Plan to mitigate the risk of

virus transmission to the greatest extent feasible.

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

For clarity, this Section does not apply to schools, which are addressed separately in Section 6.b

of the Order; Childcare Programs, which are addressed separately in subsection b.1 of this

Appendix above; or Summer Camps, which are addressed separately in subsection b.2 of this

Appendix above. OST Programs are intended to supplement, rather than replace, school

programming.

(Added May 22, 2020; Revised June 1, 2020, July 13, 2020, and August 14, 2020; Non-

substantive revisions June 11, 2020)

(4) Low Contact Retail Services—CURBSIDE ONLY

a. Basis for Addition. Personnel and customers can wear Face Coverings at all times and

maintain at least six feet of physical distance except for brief interactions (e.g., in some

instances where remote payment is not feasible, while paying for services). No

inherently risky activities (e.g., singing, shouting, eating, drinking, etc.) are involved.

Customers interact only with a small number of individuals from other Households, and

although Personnel are interacting with a moderate number of people, the duration of

those interactions are low and safety limitations can ensure adequate social distancing

and decrease the risk of virus transmission. As modified, the customer interactions will

occur outdoors, which further decreases risk—and consistent with Section 5.c of the

Order.

b. Description and Conditions to Operate. Services that do not generally require close

customer contact (e.g., dog grooming and shoe or electronics repair) may operate, subject

to the following limitations and conditions:

i. All interactions and transactions between Personnel and customers must occur

outdoors;

ii. The store must limit the number of Personnel in the facility so that Personnel can

comply with Social Distancing Requirements (Section 8.o of the Order);

iii. The businesses must create, post and implement a Social Distancing Protocol

checklist (Appendix A to this Order) and comply with Health Officer Directive

No. 2020-10b, as that directive may be amended from time to time, regarding

required best practices for retail businesses with curbside pickup and drop-off;

iv. The stores must have direct access to an immediately adjacent sidewalk, street,

alley, or parking area for pickup by customers using any mode of travel, without

blocking pedestrian access or causing pedestrian or vehicle congestion; and

v. Stores in an enclosed indoor shopping center that do not have direct access to

adjacent sidewalk, street, parking lot or alley area may not reopen at this time

unless they are located in an approved Indoor Shopping Center as described in 1.b

above.

For clarity, this provision does not apply to personal service businesses, such as hair salons,

barbershops, nail salons, or piercing or tattoo parlors.

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

As discussed in Section 1.b above regarding retail stores and Indoor Shopping Centers, stores

within enclosed shopping centers may operate only upon advance written approval by the Health

Officer or the Health Officer’s designee of a plan submitted by the Indoor Shopping Center

operator. Plans must be submitted to HealthPlan@sfcityatty.org.

(Added June 1, 2020; Revised June 11, 2020, and July 20, 2020; Non-substantive revisions July

13, 2020; Capacity reduced November 28, 2020, and December 4, 2020)

(5) Equipment Rental Businesses—REDUCED CAPACITY

a. Basis for Addition. Personnel and customers can wear Face Coverings at all times and

maintain at least six feet of physical distance except for brief interactions (e.g., while

paying for services). No inherently risky activities (e.g., singing, shouting, eating,

drinking, etc.) are involved. Customers interact only with a small number of individuals

from other Households, and although Personnel are interacting with a moderate number

of people, the duration of those interactions are low and safety limitations can ensure

adequate social distancing and decrease the risk of virus transmission. The majority of

interactions can occur outdoors, which further decreases risk—and businesses are

strongly urged to conduct interactions outdoors to the largest extent possible. Also, the

risk of multiple individuals using shared equipment can be mitigated through sanitation

measures. Finally, resumption of these businesses is expected to result in only a small

increase in the number of people reentering the workforce and the overall volume of

commercial activity.

b. Description and Conditions to Operate. Businesses that rent equipment for permissible

recreational activities (e.g., bicycles, kayaks, paddleboards, boats, horseback riding,

climbing equipment, or fishing equipment) may operate, subject to the following

limitations and conditions:

i. To the extent feasible, all interactions and transactions between Personnel and

customers should occur outdoors;

ii. The business must limit capacity in the facility to the lesser of: (1) 20% the

facility’s maximum occupancy or (2) the number of people who can maintain at

least six feet of physical distance from each other in the facility at all times;

iii. The business must have created, posted and implemented a Social Distancing

Protocol checklist (Appendix A to this Order) and must comply with Health

Officer Directive No. 2020-10b, as that directive may be amended from time to

time, regarding required best practices for retail businesses with curbside pickup

and drop-off;

iv. All retail establishments—including equipment rental businesses—must develop

and implement written procedures to “meter” or track the number of persons

entering and exiting the facility to ensure that the maximum capacity for the

establishment is not exceeded. For example, an employee of the establishment

may be posted at each entrance to the facility to perform this function. The

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

establishment must provide a copy of its written “metering” procedures to an

enforcement officer upon request and disclose the number of members of the

public currently present in the facility.

v. The business must have direct access to an immediately adjacent sidewalk, street,

alley, or parking area for pickup by customers using any mode of travel, without

blocking pedestrian access or causing pedestrian or vehicle congestion;

vi. Businesses in an enclosed indoor shopping center that do not have direct access to

adjacent sidewalk, street, parking lot or alley area may not reopen at this time

unless they are in an approved Shopping Center as described in 1.b above; and

vii. All equipment must be thoroughly cleaned and disinfected between each use with

procedures effective against the Novel Coronavirus SARS-CoV-2 in accordance

with CDC guidelines (https://www.cdc.gov/coronavirus/2019-

ncov/community/disinfecting-building-facility.html).

As discussed in Section 1.b above regarding retail stores and Indoor Shopping Centers, stores

within Indoor Shopping Centers may operate only upon the advance written approval by the

Health Officer or the Health Officer’s designee of a plan submitted by the Indoor Shopping

Center operator. Proposed plans must be submitted to HealthPlan@sfcityatty.org.

(Added June 1, 2020; Revised June 11, 2020, and October 27, 2020; Non-substantive revisions

July 13, 2020; Suspension note added July 20, 2020 and removed September 1, 2020; Capacity

reduced November 28, 2020, and December 4, 2020)

(6) Professional Sports Teams: Practices, Games, and Tournaments without In-Person

Spectators with an Approved Plan

a. Basis for Addition. Although contact sports may present a significant risk of virus

transmission, those risks can be mitigated by stringent social distancing, sanitation, and

testing measures. Resuming such events—without a live audience and subject to strict

health controls and mitigation measures—represents a first step toward the resumption of

professional sports exhibitions that can be broadcast for the entertainment of the public

and viewed by the public remotely in a safe manner.

b. Description and Conditions to Operate. Professional sports teams that wish to resume

practices, games, or tournaments and broadcasting of those events in San Francisco,

without in-person spectators, may submit to the Health Officer a proposed plan detailing

the sanitation, social distancing, health screening, and other procedures that will be

implemented to minimize the risk of transmission among players, staff, media, broadcast

crew, and any others who will be in the facility. The plan must include a proposal for

interval testing (without using City resources) of all players and coaching staff who will

be present in the facility. Plans must be submitted to HealthPlan@sfcityatty.org. Subject

to the advance written approval of the Health Officer or the Health Officer’s designee,

the team may then resume activities consistent with the approved plan, including any

conditions to approval of the Health Officer or the Health Officer’s designee. Teams,

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

games, exhibitions, and tournaments must also comply with any applicable Health

Officer directives to the extent they are consistent with the approved plan; in the event of

an inconsistency, the approved plan controls. Finally, crew, athletes, coaching staff and

other workers should also abide by protocols agreed to by labor and management, to the

extent they are at least as protective of health as the approved plan.

(Added June 1, 2020; Revised June 11, 2020; Non-substantive revisions June 26, 2020;

Suspension note added July 20, 2020)

(7) Entertainment Venues: Live Streaming or Broadcasting Events without In-Person

Audiences with an Approved Plan

a. Basis for Addition. Although some types of live entertainment and cultural events, such

as music, dance and comedy performances, may present a risk of virus transmission,

those risks can be mitigated by stringent social distancing, sanitation, and testing

measures. Resuming such events—without a live audience and subject to strict health

controls and mitigation measures—represents a first step toward the resumption of these

entertainment and cultural activities that can be broadcast and watched by the public

remotely in a safe manner.

b. Description and Conditions to Operate.

1. Operators of entertainment venues may film, stream, or otherwise broadcast small

scale events so long as:

i. the venue remains closed to the public;

ii. the live stream is limited to the fewest number of Personnel needed (up to a

maximum of 12 people in the facility, including, without limitation, media

Personnel needed for the broadcast);

iii. doors and windows are left open to the extent possible, or mechanical

ventilation systems are run, to increase ventilation;

iv. the venue complies with the Social Distancing Requirements set forth in

Section 8.o of this Order; and

v. Because singing and playing wind or brass instruments can transmit particles

farther in the air than breathing or speaking quietly, people must be in an

isolation booth or in a separate room from others in the facility while singing

or playing wind or brass instruments.

To further reduce the risk of transmission, it is strongly recommended that all

events allowed under this section be conducted and filmed, streamed, or

otherwise broadcast from outdoors. The same outdoors recommendation

applies to all other operations that are allowed under the Order to be filmed,

live streamed or otherwise broadcast indoors with health restrictions.

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

2. Operators of entertainment venues that wish to film, stream, or otherwise broadcast

events that require more than 12 people to be on site at the facility at any one time

may submit to the Health Officer a proposed plan detailing the sanitation, social

distancing, health screening, and other procedures that will be implemented to

minimize the risk of transmission among participants. If the event involves singing,

playing wind or brass instruments, or physical contact, the plan must include a

proposal for interval testing (without using City resources) of those individuals.

Proposed plans must be submitted to HealthPlan@sfcityatty.org. Subject to the

advance written approval of the Health Officer or the Health Officer’s designee, the

venue may then begin operating consistent with the approved plan, including any

conditions to approval of the Health Officer or the Health Officer’s designee. Cast,

crew, and other workers should also abide by protocols agreed to by labor and

management, to the extent they are at least as protective of health as the approved

plan.

(Added June 11, 2020; Non-substantive revisions June 26, 2020; Revised July 20, 2020)

(8) Dining—SUSPENDED

• Dining Establishments may continue to provide food for delivery and carry out under

Section 8.a.xvi of the Order.

(Suspended December 4, 2020)

(9) Outdoor Fitness Classes—REDUCED CAPACITY

a. Basis for Addition. Outdoor fitness classes involve mixing of Households and a

moderate number of contacts. Also, the contacts are often of relatively long duration.

Accordingly, and because exercise causes people to more forcefully expel airborne

particles, the risk of virus transmission is higher than in other allowable interactions. But

participants can—and must—wear Face Coverings and maintain at least six feet of

physical distance at all times and not share equipment. Further, outdoor interactions

carry a lower risk of transmission than most indoor interactions, and health protocols in

outdoor fitness classes can significantly decrease the transmission risk.

b. Description and Conditions to Operate. Outdoor fitness classes (e.g., outdoor boot camp,

non-contact dance classes, tai chi, pilates, and yoga classes) may operate subject to the

following limitations and conditions:

i. No more than 12 people, including the instructor(s), may participate in an outdoor

fitness class at the same time;

ii. The business/instructor must ask each participant using the standard screening

questions attached to the Order as Appendix A and Attachment A-2 (the

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[Revised January 20, 2021]

“Screening Handout for Non-Personnel”). Screening must occur before people

are allowed to join the class to prevent the inadvertent spread of the SARS-CoV-2

virus. A copy of the Screening Handout for Non-Personnel must be provided to

anyone on request, although a poster or other large-format version of the

Screening Handout for Non-Personnel may be used to review the questions with

people verbally. Any person who answers “yes” to any screening question is at

risk of having the SARS-CoV-2 virus, must not be allowed to participate, and

must cancel or reschedule their class. The instructor can use the guidance

available online at www.sfcdcp.org/screen for determining how best to conduct

screening;

iii. All participants must maintain a physical distance of at least six feet from each

other, from the instructor(s), and from members of the public at all times;

iv. The business/instructor must have permission of the property owner to use the

space;

v. All participants and instructors must wear a Face Covering at all times, unless

they are specifically exempted from the Face Covering requirements in Health

Officer Order No. C19-12d, issued on December 22, 2020, as that order may be

amended from time to time; and

vi. Equipment (e.g., medicine balls, resistance bands, mats, weights, or yoga blocks)

may not be shared by members of the class and must be thoroughly cleaned and

disinfected between each use with procedures effective against the Novel

Coronavirus SARS-CoV-2 in accordance with CDC guidelines

(https://www.cdc.gov/coronavirus/2019-ncov/community/disinfecting-building-

facility.html).

For clarity, this section does not allow contact sports (e.g., football) or fitness classes that

involve physical contact (e.g., jiu jitsu or boxing with sparring) to resume. Also, this section

does not cover childcare or summer camp programs for children or youth, which are governed by

section 3 above and Heath Officer Directive Nos. 2020-13b and 2020-14b.

Additional guidance about outdoor fitness classes from the San Francisco Department of Public

Health is available at http://www.sfdph.org/directives

(Added June 11, 2020; Non-substantive revisions July 13, 2020, and August 14, 2020; Revised

September 30, 2020, October 20, 2020, November 3, 2020, and December 4, 2020)

(10) Indoor Household Services

a. Basis for Addition. Household service providers and residents can wear Face Coverings

and maintain at least six feet of physical distance at all times. No inherently risky

activities (e.g., singing, shouting, eating, drinking, etc.) are involved. Although indoor

household services may involve mixing of Households (if the resident is at home) and

occurs indoors, the number of contacts is low. Finally, risks of virus transmission can be

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

mitigated through adherence to other Social Distancing Requirements and to sanitation,

and other safety protocols.

b. Description and Conditions to Operate. Providers of indoor household services that can

be provided while maintaining social distancing (e.g., house cleaners and cooks) may

operate, subject to the following limitations and conditions:

i. Household service providers may not enter a residence to provide services if

either the household service provider or anyone in the residence has recent

COVID-19 infection, exposure or symptoms, as listed in the standard screening

questions attached to the Order as Attachment A-2 (the “Screening Handout for

Non-Personnel”). Screening must occur before the household service provider

enters the home;

ii. When feasible, residents should leave the premises when household services

providers are in their home—if leaving the premises is not feasible, residents

should try to be in a different room than the household service provider to the

greatest extent possible;

iii. When feasible, leave windows and doors open to increase ventilation or run

mechanical ventilation systems;

iv. High touch surfaces and any shared implements or tools should be cleaned at the

beginning and end of any service visit;

v. Both residents and household service providers must wear a Face Covering at all

times, unless they are specifically exempted from the Face Covering requirements

in Health Officer Order No. C19-12d, issued on December 22, 2020.

For clarity, this section does not allow personal service providers, such as hair dressers or

personal trainers, to provide in-home services. Also, this section does not apply to in-home

childcare, which is independently permissible under Section 8.a.xxi of the Order.

Additional guidance about indoor household services from the San Francisco Department of

Public Health is available at http://www.sfdph.org/directives

(Added June 11, 2020; Non-substantive revisions July 13, 2020, and August 14, 2020; Revised

November 3, 2020)

(11) Offices for Non-Essential Businesses—SUSPENDED

(Suspended December 4, 2020)

(12) Outdoor Zoos with an Approved Plan—SUSPENDED

(Suspended December 4, 2020)

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

(13) Open Air Boat Operators—SUSPENDED

(Suspended December 4, 2020)

(14) Institutions of Higher Education and Adult Education—SUSPENDED IN PART

a. Basis for Addition. Personnel and students can wear Face Coverings and maintain at

least six feet of physical distance from people in different households at all times.

Restrictions can be placed to ensure that few inherently risky activities (e.g., singing,

shouting, etc.) are involved. And to the extent classes occur outdoors with distancing and

Face Coverings, these interactions are safer than indoor interactions. If indoor in person

instruction is authorized by the Health Officer for adult education programs under the

limited conditions set forth below, then health mitigation measures adopted under

detailed prevention plan can decrease the transmission risk.

b. Description and Conditions to Operate. Institutions of Higher Education (“IHEs”) and

other programs offering adult education—including, for example, programs offering job

skills training and English as a second language classes (“Adult Education Programs”)

(IHEs and Adult Education Programs are collectively referred to below as “Higher

Education Programs”)—may operate, subject to the following limitations and conditions:

i. Higher Education Programs may operate for purposes of facilitating distance

learning and themselves performing essential functions, as set forth in Section

8.a.xiv of the Order;

ii. Higher Education Programs may not offer in-person instruction indoors or

outdoors unless the specific class:

(1) cannot be held remotely due to the need for access to specialized equipment or

space,

(2) trains students to provide essential functions or services relating to the

protection of public health or safety or Essential Government Functions, and

(3) is offered in settings with designs that impose substantial physical distancing

on participants.

Classes that are currently being offered in person and do not meet the above

criteria must cease unless they can be held remotely.

iii. Higher Education Programs must create and post a Prevention Plan as required by

Health Officer Directive 2020-22;

iv. Higher Education Programs must screen all Personnel and students for COVID-19

symptoms and exposure to COVID-19 every day before they enter the campus,

whether for indoor or outdoor classes or other purposes. Higher Education

Programs must use the standard screening questions attached to the Order as

Appendix A and Attachment A-2 (the “Screening Handout for Non-Personnel”).

A copy of the Screening Handout for Non-Personnel must be provided to anyone

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[Revised January 20, 2021]

on request, although a poster or other large-format version of the Screening

Handout for Non-Personnel may be used to review the questions with people

verbally. Any person who answers “yes” to any screening question is at risk of

having the SARS-CoV-2 virus, must be prohibited from entering the IHE, and

should be referred for appropriate support as outlined on the Screening Handout

for Non-Personnel. The Higher Education Program can use the guidance

available online at www.sfcdcp.org/screen for determining how best to conduct

screening;

v. Face Coverings are required at all times;

vi. No singing, chanting or shouting, or wind instruments are allowed during in-

person instruction (indoors and outdoors) at this time;

vii. Class capacity must be limited to ensure physical distancing at all times;

viii. Individual student use of an indoor facility due to the need for access to

specialized equipment or space that is not available outside (such as a music

practice room or fine arts studio) is allowed subject to safety protocols;

ix. Collegiate athletics teams that wish to resume practices, games, or tournaments in

San Francisco, without in-person spectators, may submit to the Health Officer a

proposed plan detailing the sanitation, social distancing, health screening, and

other procedures that will be implemented to minimize the risk of transmission

among players, staff, and any others who will be in the facility. The plan must

include a proposal for interval testing (without using City resources) of all players

and coaching staff who will be present in the facility. The plan must also include

a commitment to comply with local directives governing isolation and quarantine

of individuals who are diagnosed with, or have had close contact with a person

who is diagnosed with, COVID-19. Plans must be submitted to

healthplan@sfcityatty.org. Subject to the advance written approval of the Health

Officer or the Health Officer’s designee, the team may then resume activities

consistent with the approved plan, including any conditions to approval of the

Health Officer or the Health Officer’s designee. But in connection with an

approved plan no in-person spectators will be allowed under any circumstances;

x. Subject to applicable land use laws and regulations, housing controlled or

operated by Higher Education Programs or restricted for the use of students

attending a Higher Education Program is permitted to open and operate for

students in compliance with any relevant health and safety requirements contained

in any relevant industry-specific Health Officer directives. Except for family

housing, students must be housed in single rooms (i.e., without a roommate)

unless the student specifically requests to be housed with a roommate; and

xi. All Higher Education Programs must create, post and implement a Social

Distancing Protocol checklist (Appendix A to this Order) and comply with

relevant health and safety requirements contained in any relevant industry-

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[Revised January 20, 2021]

specific Health Officer directives, including, but not limited to, Health Officer

Directive No. 2020-22d.

(Added August 14, 2020; Revised September 1, 2020, September 30, 2020; and November 28,

2020; Non-substantive revisions November 3, 2020; Suspended in part December 4, 2020)

(15) Personal Service Providers—SUSPENDED

(Suspended December 4, 2020)

(16) Gyms and Fitness Centers—SUSPENDED IN PART

a. Basis for Addition. Although gyms and fitness centers involve moderate contact

intensity and a moderate number of contacts, the risk of transmission can be significantly

lessened by requiring that everyone wear a Face Covering and maintain at least six feet of

physical distance at all times. Also, the risk of virus transmission can be reduced through

other health and sanitation protocols. Consistent with Section 5.c of the Order and to the

extent possible, gyms and fitness centers are urged to provide services outdoors to further

decrease the risk.

b. Description and Conditions to Operate.

1. Outdoors. Gyms and fitness centers offering space or equipment for customer-

directed exercise may operate outdoors, subject to all of the following limitations and

conditions:

i. Gyms and fitness centers may, subject to any applicable permit requirements,

conduct their operations in a tent, canopy, or other shelter, as long as the shelter

complies with: (1) the California Department of Public Health’s November 25,

2020 guidance regarding “Use of Temporary Structures for Outdoor Business

Operations” (available at

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Use-of-

Temporary-Structures-for-Outdoor-Business-Operations.aspx); and (2) SFDPH’s

guidance on “Safer Ways to Use New Outdoor Shared Spaces for Allowed

Activities During COVID-19” (available at

https://www.sfdph.org/dph/files/ig/Guidance-Shared-Outdoor-Spaces.pdf);

ii. Everyone in the outdoor gym or fitness center facilities must maintain at least six

feet of physical distance from people outside of their Household at all times;

iii. Gyms and fitness centers must limit the number of people, including Personnel,

who are present in the space to the lesser of (1) 12 people or (2) the number of

people who can maintain at least six feet of physical distance from each other at

all times;

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

contacts. Restrictions can be placed to ensure that few inherently risky activities (e.g.,

singing, shouting, etc.) are involved. And when such activities are involved, additional

preventive measures—such as physical distancing, improved ventilation, and surveillance

testing—can be used to address the resulting risk. Accordingly, the risk of transmission

is relatively low as long as adequate precautions are taken.

b. Description and Conditions to Operate.

1. Film and Media Productions covered by the September 21, 2020 “COVID-19 Return

To Work Agreement With DGA, IATSE, SAG-AFTRA and Teamsters/Basic Crafts”

(https://www.sagaftra.org/files/sa_documents/ReturnToWorkAgreement_wAMPTP.p

df) (“Return to Work Agreement”) may operate subject to compliance with all of the

terms and conditions set forth in that agreement, except that:

i. The cast, crew, and other Personnel on location is limited to the fewest number of

Personnel needed (up to a maximum of 25 people in one location); and

ii. if the production is complying with the pre-employment testing requirement by

using two rapid tests conducted within 48 hours before the start of employment,

as provided in Section 2.a.i.(3) of the Return to Work Agreement, the two

samples must be collected at different times: one 24-48 hours before the start of

employment and one within 24 hours before the start of employment.

2. Outdoor Film and Media Productions: Outdoor film and media production that are not

covered by the Return to Work Agreement may operate, subject to the following

conditions:

i. The cast, crew, and other Personnel on location is limited to the fewest number of

Personnel needed (up to a maximum of 25 people in one location, subject to

clause v below);

ii. The film or media production must ensure COVID-19 symptom and exposure

screening is completed for all cast, crew, and other Personnel on each day of the

production as outlined by the Social Distancing Protocol and its Attachment A-2.

Any person who answers “yes” to a screening question must not be permitted to

enter the location;

iii. Face Coverings must be worn at all times, except (a) as specifically exempted

from the Face Covering requirements in Health Officer Order No. C19-12d,

issued on December 22, 2020, as that order may be amended from time to time, or

(b) while filming outdoors as long as the person remains at least six feet from

other talent, crew, and other Personnel, and the public at all times;

iv. Because singing and playing wind or brass instruments can transmit particles

farther in the air than breathing or speaking quietly, singing and playing wind or

brass instruments is not allowed outdoors unless (a) the individual is at least 12-

feet away from crew, cast, and other Personnel, and public and uses a Face

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

Covering for singing or a mask or other fabric over the wind instrument’s bells or

openings where air/sound exit, or (b) the individuals is at least 30 feet from all

crew, cast, and other Personnel, and the public; and

v. The production must comply with the Social Distancing Requirements set forth in

Section 8.o of this Order.

3. Indoor Film and Media Productions: Indoor film and media production that are not

covered by the Return to Work Agreement may operate, subject to the following

conditions:

i. The cast, crew, and other Personnel on location is limited to the fewest number of

Personnel needed (up to a maximum of 25 people in one location, subject to

clause v below);

ii. The film or media production must ensure COVID-19 symptom and exposure

screening is completed for all cast, crew, and other Personnel before they enter

the location on each day of the production as outlined by the Social Distancing

Protocol and its Attachment A-2. Any person who answers “yes” to a screening

question must not be permitted to enter the location;

iii. Except as provided below, Face Coverings must be worn by all cast, crew, and

other Personnel at all times:

a) Individuals who are specifically exempted from the Face Covering

requirements in Health Officer Order No. C19-12d, issued on December

22, 2020, as that order may be amended from time to time are excused

from the Face Covering requirement;

b) Cast members may remove Face Coverings while personal services (e.g.,

makeup or hair) are being provided and filming if all of the following

conditions are met:

(1) All other crew and Personnel in the room must wear a non-vented N-

95 mask to provide maximum protection;

(2) The production must increase ventilation as much as possible,

including by implementing at least one of the following ventilation

measures:

• All available windows and doors are kept open (Doors and

Windows required to be kept closed for fire/life safety purposes are

exempt. Make sure open windows do not create falling hazards

especially for children.)

• HVAC systems fully operational

• Appropriately sized Portable Air Cleaners

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

If due to smoke or other conditions the production cannot implement any

of those measures for a period of time, face coverings cannot be removed

until ventilation measures can be reinstated; and

(3) The production must adhere to the following testing requirements:

• If the shoot is scheduled to last one or two days, the cast

member(s) who will be removing their Face Coverings must

receive a negative nucleic acid diagnostic test for COVID-19

within 72 hours before the shoot starts.

• If the shoot is scheduled to last between three and seven days,

the cast member(s) who will be removing their Face Coverings

must receive a (a) negative nucleic acid diagnostic test for

COVID-19 within 72 hours before the shoot starts and (b) a

negative nucleic acid diagnostic test or rapid test every other

day starting on the third day of the production.

• If the shoot is scheduled to last more than seven days, the

Production must submit a plan to the Health Officer for pre-

approval, as discussed below.

• All testing must be done using tests that are approved by the

United States Food and Drug Administration or by the

California Department of Public Health.

• All processing of tests must be conducted by a lab that

complies with Health Officer Order No. C19-10 (available

online at www.sfdph.org/healthorders

), including that the lab

must meet the requirements to perform testing classified as

high complexity under the Clinical Laboratory Improvement

Amendments (“CLIA”) of Section 353 of the Public Health

Service Act (including but not limited to having a CLIA waiver

to perform such tests). Any lab that processes tests must also

submit all results (not just positive results) via the State of

California’s California Reportable Disease Information

Exchange (“CalREDIE”) system or any replacement to that

system adopted by the State of California.

• The production must maintain a log of testing for all cast

members who will be removing their Face Coverings.

including name, date tested, type of test, and test result. The

log must be retained for 12 months and be made available to

SFDPH upon request.

iv. High touch surfaces must be cleaned and disinfected frequently using procedures

effective against the Novel Coronavirus SARS-CoV-2 in accordance with CDC

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

guidelines (https://www.cdc.gov/coronavirus/2019-ncov/community/cleaning-

disinfecting-decision-tool.html).

v. The production must comply with the Social Distancing Requirements set forth in

Section 8.o of this Order.

vi. Because singing and playing wind or brass instruments can transmit particles

farther in the air than breathing or speaking quietly, filming of cast singing or

playing a wind or brass instrument is prohibited unless the individual is in an

isolation booth or in a separate room and the camera is operated remotely.

Sufficient ventilation of the space being used must occur for at least 15 minutes

before other Personnel enter the space.

vii. Productions may not have craft service and catering at indoor locations.

Productions may provide cast, crew, and other Personnel may with pre-packaged

food, which individuals must eat outdoors at least 6 feet from other people.

Companies that wish to proceed with productions that deviate from these conditions may

submit to the Health Officer a proposed plan detailing the sanitation, social distancing,

ventilation, testing, health screening, and other procedures (for example, creating

quarantine bubbles) that will be implemented to minimize the risk of transmission among

participants. Plans must be submitted to HealthPlan@sfcityatty.org. Subject to the

advance written approval of the Health Officer or the Health Officer’s designee, the

production may then proceed consistent with the approved plan.

(Added November 3, 2020; Revised December 4, 2020 and December 9, 2020)

(23) Real Estate Showings—SUSPENDED

• Real estate agents may continue to offer virtual and limited viewings in compliance

with the requirements set forth in Section 8.a.x of the Order.

(Suspended December 4, 2020)

(24) Commercial Parking Garages

a. Basis for Addition. Personnel and customers can wear Face Coverings at all times and

can maintain at least six feet of physical distance except for brief interactions (e.g., while

transferring keys). No inherently risky activities (e.g., singing, shouting, eating, drinking,

etc.) are involved. This section reflects an existing FAQ—added on June 30, 2020—

stating that garages were permitted to be open under specific health and safety conditions.

b. Description and Conditions to Operate. Parking garages are permitted to operate for

parking under the following conditions:

i. Garages must provide Face Coverings (as provided in Health Order No. C19-12d,

issued on December 22, 2020, and any future amendment to that order), hand

Order No. C19-07r – Appendix C-1: Additional Businesses Permitted to Operate

[Revised January 20, 2021]

sanitizer or handwashing stations, or both, and disinfectant and related supplies to

all Personnel;

ii. Face coverings must be worn by Personnel and customers at all times, except as

specifically exempted from the face covering requirements in Health Officer

Order No. C19-12d, issued on December 22, 2020, as that order may be amended

from time to time;

iii. Garages must comply with the Social Distancing Requirements set forth in

Section 15.o of the Stay-Safe-at-Home Order and prepare a Social Distancing

Protocol as required in Section 5.d of the Order;

iv. Garages should encourage customers to use touchless payment options. When

touchless payment is not used, sanitize any pens, counters, trays, or point of sale

systems between each use by a customer. Create sufficient space to enable the

customer to stand at least six feet away from the cashier while paying, or provide

a physical barrier (e.g., Plexiglas of sufficient height and width to prevent

transmission of respiratory droplets) between the customer and the cashier;

v. Vehicle windows must be left open to the greatest extent possible—particularly in

the moments before and during a transfer; and

vi. Whenever possible, steering wheels should be wiped down before transferring the

vehicle from one person to another.

(Added November 16, 2020)

(25) Limited One-on-One Personal Training Inside Gyms and Fitness Centers—

SUSPENDED

• One-on-one personal training is not permitted indoors at this time; however, limited

one-on-one personal training may occur outdoors in compliance with the

requirements for outdoor fitness classes set forth in Section 9 above.

(Suspended December 4, 2020)

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

A. General Requirements

The “Additional Activities” listed below may resume, subject to the requirements set forth in the

Order and to any additional requirements set forth below or in separate guidance by the Health

Officer. These activities were selected based on current health-related information, the risk

criteria set forth in Section 3 of the Order, and the overall impact that allowing these activities to

resume will have on mobility and volume of activity in the County.

On November 19, 2020, the Acting California State Public Health Officer issued an order (the

“Limited Stay At Home Order”) requiring that “all gatherings with members of other households

and all activities conducted outside the residence, lodging, or temporary accommodation with

members of other households cease between 10:00 p.m. and 5:00 a.m., except for those activities

associated with the operation, maintenance, or usage of critical infrastructure or required by

law.” The Limited Stay At Home Order is available at

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/limited-stay-at-home-

order.aspx. Until the Limited Stay Safe at Home Order expires or is no longer applicable to San

Francisco, all activities that are allowed to resume under this Order must comply with the

Limited Stay At Home Order.

The health-related basis for selection of Additional Activities and the specific requirements for

risk mitigation are summarized below. The bases for the additions were amended on July 13,

2020, to reflect an updated and refined analysis under the risk criteria set forth in Section 3 of the

amended Order.

Activities that are permitted to operate outdoors may, subject to any applicable permit

requirements, conduct their operations under a tent, canopy, or other shelter, as long as the

shelter complies with: (1) the California Department of Public Health’s November 25, 2020

guidance regarding “Use of Temporary Structures for Outdoor Business Operations” (available

at https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Use-of-Temporary-

Structures-for-Outdoor-Business-Operations.aspx); and (2) SFDPH’s guidance on “Safer Ways

to Use New Outdoor Shared Spaces for Allowed Activities During COVID-19” (available at

https://www.sfdph.org/dph/files/ig/Guidance-Shared-Outdoor-Spaces.pdf).

B. List of Additional Activities

For purposes of the Order, Additional Activities include the following based on the summarized

health risk related rationale:

(1) Outdoor Museums, Outdoor Historical Sites, and Outdoor Public Gardens—

SUSPENDED IN PART ..................................................................................................... 2

(2) Outdoor Recreation: Golf and Tennis ................................................................................. 3

(3) Outdoor Recreation: Dog Parks .......................................................................................... 4

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

(4) Small Outdoor Gatherings—RESTRICTED ...................................................................... 5

(5) Libraries for Curbside Pickup and Return .......................................................................... 5

(6) Outdoor Recreation: Other Outdoor Recreation and Athletic Activities—

RESTRICTED .................................................................................................................... 6

(7) Outdoor Recreation: Outdoor Swimming Pools ................................................................. 6

(8) Drive-In Gatherings—SUSPENDED IN PART ................................................................. 7

(9) Religious Activities ............................................................................................................. 8

(10) Political Activity ............................................................................................................... 10

(11) Outdoor Playgrounds ........................................................................................................ 11

(1) Outdoor Museums, Outdoor Historical Sites, and Outdoor Public Gardens—

SUSPENDED IN PART

• This section is temporarily suspended with respect to outdoor museums, which are not

permitted to operate at this time.

• Outdoor historical sites and public gardens may operate—and individuals may leave

their residence and travel to visit these locations—subject to the following conditions:

1. Only outdoor spaces may be open to the public, except for restrooms as provided

below.

2. Face Coverings must be worn by all staff and visitors, subject to the limited

exceptions in Health Officer Order No. C19-12d (e.g., for young children),

including as that order is amended in the future;

3. Physical distancing of at least six-feet must be maintained at all times other than

between members of the same Household;

4. Other than picnic tables, which may be available for use with signs instructing

patrons to clean them before and after use, common high-touch equipment and

fixtures must be off-limits, with signage and with physical barriers as appropriate;

5. Public restrooms, if any, must

a. be routinely disinfected frequently throughout the day,

b. have open doors to prevent touching of door handles or knobs,

c. have soap and paper towels, and

d. have signs promoting handwashing;

6. The facility must provide for contactless payment systems or, if not feasible,

sanitize any payment systems, including touch screens, payment portals, pens, and

styluses, after each customer use. Under San Francisco’s Legal Tender Law,

customers must be allowed to pay with cash but to further limit person-to-person

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

contact, Personnel should encourage customers to use credit, debit, or gift cards for

payment;

7. Signage must be posted at each public entrance to inform all personnel and

customers that they must not enter if they are experiencing COVID-19 symptoms

(list the symptoms in the San Francisco COVID-19 Health Screening Form for non-

personnel (Attachment A-2), maintain a minimum six-foot distance from one

another while in the facility or location, wear a Face Covering at all times, and not

shake hands or engage in any unnecessary physical contact (sample signs are

available online at https://sf.gov/outreach-toolkit-coronavirus-covid-19);

For clarity, this section does not apply to outdoor zoos, which are covered under Section 12 of

Appendix C-1.

(Added May 17, 2020; revised June 1, 2020 and November 3, 2020; Non-substantive revisions

on July 13, 2020; Revised and suspended in part on December 4, 2020)

(2) Outdoor Recreation: Golf and Tennis

a. Basis for Addition. Non-contact outdoor sports like tennis and golf involve a low

number of contacts and a high proximity of contact, as long as the groups engaged in play

together are small, maintain required physical distance, and do not share equipment

among different Households. Also, interactions and activities that occur outdoors carry a

lower risk of transmission than most indoor interactions and activities. And the risk of

transmission can be further mitigated by sanitation and hygiene practices. Finally,

because outdoor recreation is already allowed under the Order, resumption of this activity

is expected to result in only a relatively modest increase in mobility and may decrease

congestion in other outdoor locations like public parks and beaches.

b. Description and Conditions. Individuals may play tennis and golf outdoors, and outdoor

tennis and golf facilities/clubs may open, subject to the following conditions:

1. Face Coverings must be worn by all golf and tennis facility/club Personnel, subject to

the limited exceptions in Health Officer Order No. C19-12d (e.g., for young

children), including as that order is amended in the future;

2. All golf and tennis players must wear a Face Covering while in facility/club parking

lots, when entering and exiting facilities/clubs, and while waiting to play—Face

Coverings may be removed during play if nobody from a different Household is

within 30 feet of the player;

3. For golf, a maximum of two people from the same or different Households may share

a tee time but members of different Households may not share a golf cart or any

equipment and must maintain at least six feet of physical distance from each other at

all times;

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

4. No more than two people from the same or different Household may play tennis

together at any one time (singles only). Tennis players from different Households

may not share equipment and must maintain at least six feet of physical distance from

each other at all times; and

5. Before resuming or continuing operations, each golf or tennis facility/club must

create, post and implement a Social Distancing Protocol checklist (Appendix A to this

Order) and comply with Health Officer Directive No. 2020-15 as that directive has

been amended or updated regarding required best practices for tennis and golf.

(Added June 1, 2020; Non-substantive revisions July 13, 2020; Revised September 1, 2020,

December 4, 2020, and December 9, 2020)

(3) Outdoor Recreation: Dog Parks

a. Basis for Addition. Although taking a dog to a dog park may involve mixing of

Households, individuals can wear Face Coverings at all times and maintain at least six

feet of physical distance from members of other Households except for short interactions.

No inherently risky activities (e.g., singing, shouting, eating, drinking, etc.) are involved.

Also, outdoor activities carry a lower risk of transmission than indoor interactions and

activities, and risk of transmission can be reduced through health protocols.

b. Description and Conditions. Individuals may take their dogs to dog parks (both enclosed

and unenclosed), and all dog parks may open, subject to the following conditions:

1. Face Coverings must be worn by all people in the dog park, subject to the limited

exceptions in Health Officer Order No. C19-12d (e.g., for young children), including

as that order is amended in the future;

2. The Centers for Disease Control and Prevention (CDC) has advised that “[u]ntil we

learn more about how this virus affects animals,” owners should “treat pets as you

would other human family members to protect them from a possible infection.”

Specifically, the CDC recommends that pet owners: “Do not let pets interact with

people or other animals outside the household,” “Walk dogs on a leash, maintaining

at least 6 feet (2 meters) from other people and animals,” and “Avoid dog parks or

public places where a large number of people and dogs gather.” Accordingly, pet

owners are urged to use on-leash dog parks or keep their dogs on a leash, particularly

if the dog is not under voice control—pet owners who choose to let their dogs be off

leash in an off-leash dog park should prevent their dog from interacting with other

people or animals to the greatest extent feasible;

3. People in the dog park should maintain at least six feet of physical distance from

people or animals other than those in their same Household;

4. People must bring their own water for themselves and their pets, and must not use

common touch water facilities in the park;

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

5. People must use their sleeve or a disposable cloth to touch high-touch surfaces like

gates;

6. People should bring their own bags for picking up and disposing of pet waste;

7. Signage must be posted at each dog park to inform people that they must: avoid

entering the location if they have a cough or fever, maintain a minimum six-foot

distance from one another, wear a Face Covering at all times, and not shake hands or

engage in any unnecessary physical contact (sample signs are available online at

https://sf.gov/outreach-toolkit-coronavirus-covid-19); and

8. People must follow any other rules and regulations adopted by the operator of the dog

park.

(Added June 1, 2020; Non-substantive revisions July 13, 2020)

(4) Small Outdoor Gatherings—RESTRICTED

• Except as expressly provided below or elsewhere in this Order, gathering with people

from other Households is prohibited at all times. Outdoor gatherings away from home

with people from the same Household are limited to 12 people total or 6 people if eating

or drinking.

o Two people from different Households may meet outdoors as long as they maintain at

least six feet of physical distance and wear face coverings at all times except when

eating or drinking (subject to the limited exceptions in Health Officer Order No. C19-

12d).

(Suspended December 4, 2020; Revised December 9, 2020)

(5) Libraries for Curbside Pickup and Return

a. Basis for Addition. Personnel and patrons can wear Face Coverings at all times and

maintain at least six feet of physical distance except for brief interactions (e.g., while

picking up items). Patrons interact only with a small number of individuals from other

Households, and although Personnel are interacting with a moderate number of people,

the duration of those interactions are low and safety limitations can ensure adequate

social distancing and decrease the risk of virus transmission. In addition, interactions can

occur outdoors, which further decreases risk.

b. Description and Conditions to Operate. Libraries may open for curbside/outside pickup

and drop off of items, and approved by the City Administrator. All Personnel and

patrons must comply with Social Distancing Requirements—including the requirement to

maintain at least six feet of physical distance—and wear a Face Covering at all times,

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

subject to the limited exceptions in Health Officer Order No. C19-12d (e.g., for young

children), as that order may be amended from time to time.

(Added July 20, 2020)

(6) Outdoor Recreation: Other Outdoor Recreation and Athletic Activities—

RESTRICTED

a. Basis for Addition. Non-contact recreational and athletic activities such as pickleball,

lawn bowling, bocce ball and frisbee have low-to-moderate levels of transmission risk.

Participants can wear Face Coverings and maintain at least six feet of physical distance at

all times, and outdoor activities are safer than indoor interactions.

b. Description and Conditions. Non-contact recreational and athletic activities with

members of other Households may occur, subject to the following conditions:

1. Except as expressly provided elsewhere in this Order, no more than two individuals

from different Households may engage in these recreational and athletic activities

together at any one time;

2. No equipment may be shared between Households;

3. All recreational and athletic activities with members of another Household must

occur entirely outdoors;

4. Members of separate Households cannot have contact with each other and must

remain at least six feet apart at all times;

5. Pickleball is allowed under this section, provided that operators of facilities and

players must follow the same guidelines that apply to Tennis Facilities under Health

Officer Directive No. 2020-15b; and

6. Face Coverings must be worn at all times, subject to the limited exceptions in Health

Officer Order No. C19-12d, issued on December 22, 2020 (e.g., for young children).

(Added September 1, 2020; Suspended December 4, 2020; Reinstated and revised December 9,

2020)

(7) Outdoor Recreation: Outdoor Swimming Pools

a. Basis for Addition. Outdoor swimming pools have few high-touch surfaces and do not

require shared equipment. Risks associated with outdoor swimming pools can be

substantially mitigated with limitations to ensure adequate social distancing and limit

intermixing between Households.

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

b. Description and Conditions. Beginning at 9:00 a.m. on September 1, 2020, individuals

may use outdoor swimming pools, and outdoor swimming pools may open and operate,

subject to the following conditions:

1. Lap swimming must be limited to one swimmer per lane, except that members of the

same Household may occupy a single lane;

2. Use of shared swimming areas must be limited to no more than two swimmers from

different Households per 300 square feet of shared pool space;

3. Except for members of the same Household, swimmers must remain at least six feet

apart at all times;

4. Locker rooms must be closed to the public, except for use as a restroom;

5. All gatherings are prohibited outside the pool, such as on pool decks, except (1) as

expressly provided in Section 4, above, or Section 9 of Appendix C-1; and

(2) members of a Household may observe a child or other person swimming to ensure

safety and supervision; and

6. Before resuming operations, each outdoor swimming pool must create, post and

implement a Social Distancing Protocol and comply with the relevant provisions of

Health Officer Directive No. 2020-24.

(Added September 1, 2020; Non-substantive revisions December 4, 2020)

(8) Drive-In Gatherings—SUSPENDED IN PART

a. Basis for Addition. Drive-In Gatherings where all individuals remain in vehicles with

members of their Household involve low contact intensity and frequency. Also, outdoor

activities carry a lower risk of transmission than indoor interactions and activities, and

risk of transmission can be reduced through health protocols.

b. Description and Conditions. Drive-in gatherings, where participants stay in their

vehicles, are permitted subject to the following conditions:

1. All Drive-In Gatherings must be provided entirely outdoors in an area large enough to

accommodate all distancing requirements of Directive 2020-28;

2. Each Drive-In Gathering is limited to a maximum of 100 vehicles;

3. Participants must remain within the bounds of the four wheels of their vehicle at all

times except to use the restroom or during an emergency;

4. Food and beverage concessions remain suspended and are not permitted during

Drive-In Gatherings at this time;

5. Live speakers, performers, or presenters remain suspended and are not permitted

during Drive-In Gatherings at this time;

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

6. Face Coverings must be worn at all times a participant is outside the bounds of their

vehicle or inside or sitting on the vehicle unless the participant is inside the vehicle

and all windows are closed, in accordance with Health Officer Order C19-12d, issued

on December 22, 2020, and as it may be amended (the “Face Covering Order”); and

7. Before hosting a Drive-In Gathering, the Host must create, post and implement a

Social Distancing Protocol and comply with the relevant provisions of Health Officer

Directive No. 2020-28.

(Added September 14, 2020; Suspended December 4, 2020; Reinstated in part and revised

January 20, 2021)

(9) Religious Activities

a. Basis for Addition. In an effort to balance core First Amendment interests with public

health, the Health Officer is creating special provisions for faith-based services and

ceremonies. Even with adherence to physical distancing and face covering requirements,

bringing members of different households together to engage in in-person religious

gatherings carries a higher risk of widespread transmission of COVID-19. Such

gatherings may result in increased rates of infection, hospitalization, and death, especially

among more vulnerable populations. Therefore, even though in-person religious

gatherings are allowed by this provision, with safety limitations, it is strongly

recommended that individuals use alternative means to practice their faith for the time

being, such as the many online and broadcasting platforms available in the digital age, in

place of in-person gatherings.

b. Description and Conditions to Operate.

1. Individual indoor prayer and counseling in houses of worship: Members of the public

may enter a house of worship, subject to the following conditions:

i. Only one individual member of the public may enter the house of worship at a

time. If the person is a parent or guardian of minor children, the person may

bring their children with them but not other adults from the same household.

If the person is an adult who needs assistance, the person may bring a

caregiver.

ii. The member of the public must maintain at least six feet of physical distance

from any Personnel present in the facility;

iii. All individuals in the facility must wear a Face Covering, subject to the

limited exceptions in Health Officer Order No. C19-12d (e.g., for young

children);

iv. Doors and windows must be left open to the extent possible, or mechanical

ventilation systems must be run, to increase ventilation;

v. The house of worship must establish protocols for frequent cleaning and

disinfection of commonly used surfaces and high traffic areas such as lobbies,

hallways, and chapels;

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

vi. Signage must be posted at each public entrance to inform all individuals that

they must: avoid entering the house of worship if they have a cough or fever,

maintain a minimum six-foot distance from one another while in the facility or

location, wear a Face Covering at all times, and not shake hands or engage in

any unnecessary physical contact (sample signs are available online at

https://sf.gov/outreach-toolkit-coronavirus-covid-19); and

vii. The house of worship must comply with the Social Distancing Requirements

set forth in Section 15.k of this Order—and create, post and implement a

Social Distancing Protocol (Appendix A of this Order).

2. Outdoor Religious Gatherings and Funerals: Houses of worship and operators of

other facilities or groups may hold outdoor gatherings for the practice of religion,

including religious services and funerals, subject to the following conditions:

i. No more than 200 individuals may participate in the gathering (subject to

Social Distancing Requirements) and simultaneous gatherings in the same

location or vicinity are prohibited;

ii. Participants must maintain at least six feet of distance from members of

different households;

iii. All participants must wear a face covering, subject to the limited exceptions in

Health Officer Order No. C19-12d (e.g., for young children); and

iv. No food or beverages may be served or sold;

v. One individual at a time may sing, chant, or shout, provided: (1) the person

singing, chanting, or shouting is at least 12-feet from any other person; and

(2) the person singing, chanting, or shouting is wearing a Face Covering at all

times;

vi. No sharing or common use of objects or equipment is permitted unless those

objects or equipment are sanitized with cleaning products effective against

COVID-19 in between uses by members of different households;

vii. The gathering must comply with all of the relevant requirements set forth in

Health Officer Directive No. 2020-19c regarding outdoor gatherings; and

viii. All participants must comply with any requirements—including permitting

requirements and conditions—imposed by applicable public authorities.

3. Gatherings for Indoor Religious Services and Cultural Ceremonies

[Temporarily Suspended on November 28, 2020]

(Added September 14, 2020; Revised September 30, 2020, and December 4, 2020; Non-

substantive revisions October 20, 2020; Revised and subsection suspended November 28, 2020)

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

(10) Political Activity

a. Basis for Addition. In an effort to balance core First Amendment interests with public

health, the Health Officer is creating special provisions for political activities. Even with

adherence to physical distancing and face covering requirements, bringing members of

different households together to engage in in-person protests carries a higher risk of

widespread transmission of COVID-19. Such gatherings may result in increased rates of

infection, hospitalization, and death, especially among more vulnerable populations. In

particular, activities like chanting, shouting, singing, and group recitation negate the risk-

reduction achieved through six feet of physical distancing and face covering. Therefore,

even though in-person political protests are allowed by this provision, with safety

limitations, it is strongly recommended that individuals use alternative means of

expression for the time being, such as the many online and broadcasting platforms

available in the digital age, in place of in-person gatherings.

b. Description and Conditions to Operate.

1. Individual indoor political offices: A single individual may be inside a campaign

office or other political office, subject to the following conditions:

i. Only one person may be in the office or facility at a time except as outlined

in this section b.1.

ii. One other individual at a time may temporarily come into the office or

facility, such as for a brief meeting or to pick up or drop off materials.

iii. All individuals in the facility must wear a Face Covering as required by

Health Officer Order No. C19-12d, subject to the limited exceptions in that

order;

iv. Doors and windows must be left open to the extent possible, or mechanical

ventilation systems must be run, to increase ventilation;

v. The facility must establish protocols for frequent cleaning and disinfection of

commonly used surfaces and high traffic areas such as lobbies, hallways, and

offices;

vi. Signage must be posted at each public entrance to inform all individuals that

they must: avoid entering the location if they have a cough or fever, maintain

a minimum six-foot distance from one another while in the facility or

location, wear a Face Covering at all times, and not shake hands or engage in

any unnecessary physical contact (sample signs are available online at

https://sf.gov/outreach-toolkit-coronavirus-covid-19); and

vii. The facility or office must comply with the Social Distancing Requirements

set forth in Section 15.k of this Order—and create, post and implement a

Social Distancing Protocol (Appendix A of this Order).

2. Political Protest Gatherings: Facilities and groups may hold outdoor gatherings for in-

person political protests, subject to the following conditions, subject to the following

conditions:

Order No. C19-07r – Appendix C-2: Allowed Additional Activities

[Revised January 20, 2021]

i. No more than 200 individuals may participate in the gathering (subject to

Social Distancing Requirements) and simultaneous gatherings in the same

location or vicinity are prohibited;

ii. Participants must maintain at least six feet of distance from members of

different households;

iii. All participants must wear a Face Covering, subject to the limited exceptions

in Health Officer Order No. C19-12d (e.g., for young children); and