REOPEN BUTTE COUNTY Reopen Butte County A Plan to Reopen in Stages while Limiting the Spread of COVID-19 The plan to Reopen Butte County outlines stages that may be phased in, or out, based on datadriven measures for loosening or tightening restrictions to limit the spread of COVID-19. The plan outlines the measures, lists the stages of reopening, and includes guidance for industry sectors that were developed in partnership with public and private sector representatives, or provided by the State. The stages align with the State’s Resilience Roadmap, and stages 3 and 4 are still in development. The plan is consistent with guidance issued by the California Department of Public Health: Variance to Stage 2 of California’s Roadmap to Modify the Stayat-Home Order: Guidance to County Government. Note: The plan to Reopen Butte County is based on State guidance as of May 8, 2020, and will change as the State Resilience Roadmap changes. The plan was developed using best available information. Measures for Loosening or Tightening Restrictions to Limit the Spread of COVID-19 The measures for loosening or tightening local restrictions are considered in three categories: epidemiology, healthcare, and public health. The model is provided by Resolve to Saves Lives, a global health initiative that describes the “adaptive response” to the COVID-19 pandemic. A local Health Expert Panel representing the three areas was established to review the model and adapted the measures for use in the plan to Reopen Butte County. Health Expert Panel       Andy Miller, MD, Butte County Health Officer Danette York, MPH, Butte County Public Health Director Linda Lewis, DVM, MPVM, Butte County Health Scientist Mike Wiltermood, MHA, President/CEO, Enloe Hospital Robert Wentz, President/CEO, Oroville Hospital Steve Stark, MHA, MSOP, CEO, Orchard Hospital Measures for Loosening Restrictions – See Appendix A Measure for Tightening Restrictions – See Appendix B Reopening Butte County in Stage 2 The plan to Reopen Butte County, further into Stage 2 than the State, aligns with the State’s Resilience Roadmap. The planned reopening of sectors in Stage 2 is based on the potential risk for spreading the virus within a specific workplace or facility. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 1 REOPEN BUTTE COUNTY Stage 1: State Stay-at-Home Order in place without modifications. The Governor announced modifications to the State’s Stay-at-Home Order on May 8, 2020, which allows some sectors to reopen with modified operations as shown below in Stage 2 – State Resilience Roadmap. Stage 2 State Resilience Roadmap The State outlined a resilience roadmap for modifying the Stay-at-Home Order. As of May 8, 2020 the State indicates the following are allowed with no local action. Review the State guidance online for full details.   Curbside retail, including but not limited to: bookstores, jewelry stores, toy stores, clothing stores, shoe stores, home and furnishing stores, sporting goods stores, antique stores, music stores, florists. Supply chains supporting the above businesses, in manufacturing and logistical sectors. The State indicates the following sectors/businesses will be opened later in Stage 2 by the State, but may be opened sooner by some counties that meet the requirement for a Local Variance.       Destination retail, including shopping malls and swap meets. Personal services, limited to: car washes, pet grooming, tanning facilities, and landscape gardening. Office-based businesses (telework remains strongly encouraged) Dine-in restaurants (other facility amenities, like bars or gaming areas, are not permitted) Schools and childcare facilities Outdoor museums and open gallery spaces Butte County – Moving Further into Stage 2 The State issued guidance that counties may move further into Stage 2 and allow businesses to reopen with greater operations once businesses meet mitigations measures to slow the spread of COVID-19. The guidance allows counties to attest to local readiness and move through Stage 2 and reopen more businesses before the State as a whole. This plan describes Stage 2 for Butte County as of May 8, 2020. Updates to this plan and the progression through Stage 2 in Butte County will be listed at www.buttecounty.net/ButteReopens. Stage 2 includes workplaces and activities rated as low and medium for contact intensity and number of contacts by the Johns Hopkins guidance. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 2 REOPEN BUTTE COUNTY Workplaces that reopen and activities that resume in Stage 2 must do so in accordance with the required reopening measures, listed in Appendix E. State guidance can be found online, https://covid19.ca.gov/roadmap. Stage 2 in Butte County has two subsets of industry sectors: 2a and 2b. The industry sectors in Stage 2a are rated as low and medium by the Johns Hopkins guidance, and appear to be considered in Stage 2 by the State. The industry sectors in Stage 2b are rated as low and medium by the Johns Hopkins guidance, but appear to be considered in Stage 3 by the State. During Stage 2, individuals should continue taking steps to reduce exposure and limit the spread of COVID-19 as shown in the list below. Individuals Actions:        Anyone who is feeling ill should stay home. Vulnerable (high risk) individuals – should continue to follow the State’s Stay-at-Home Order. Wear face coverings – individuals are strongly encouraged to wear a face covering when in public. See Appendix C for face covering guidance. Continue physical distancing – When in public, maximize physical distance from others (at least six feet). Maintain good hygiene practices – Washing hands, use hand sanitizer, cleaning frequently touched surfaces, covering coughs and sneezes. Social Settings – Gatherings should be limited to 10 people or less. In addition to social settings, this applies to organized activities, groups, meetings, religious groups etc. Non-essential travel is discouraged. Workplaces and Facilities Stage 2a The industry sectors in Stage 2a are rated as low and medium by the Johns Hopkins guidance, and appear to be considered in Stage 2 by the State. Businesses in the sectors listed in Stage 2a must implement required mitigation measures, as shown in Appendix E, before reopening. The mitigation measures for the public and private industry sectors were developed in coordination with local public and private sector representatives. These representatives continue to work with the County in partnership for Reopen Butte County and limit the spread of COVID-19. See Appendix D for a list of public and private sector team leads. Stage 2a - Lower Risk Workplaces and Activities* Sector Opening Timeline Mitigation Measures Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 3 REOPEN BUTTE COUNTY General business, office Reopen May 9, 2020 Retail Reopen May 9, 2020 See Appendix E, Section 1 for reopening measures. See Appendix E, Section 2 for reopening measures. Personal services, limited to: car washes, pet grooming, tanning facilities, and landscape gardening. Reopen May 9, 2020 See Appendix E, Section 1 for reopening measures or other applicable sector measures. Manufacturing Reopen May 9, 2020 See Appendix E, Section 4 for reopening measures. Restaurants Reopen once the State releases State mitigation measures. (Estimated May 12, 2020) See Appendix E, Section 3 for sample reopening measures. (these will be updated once State measures are released) Reopen May 9, 2020 See CDC Guidance for Child Care Program that Remain Open TBD Reopening measures are in development with industry representatives. Not currently planned for opening in local Stage 2. Reopening measures are in development with education representatives. Child care Parks/walking paths/trails/dog parks Athletic fields and other outdoor congregate settings Schools Stage 2b The industry sectors in Stage 2b are rated as low and medium by the Johns Hopkins guidance, but appear to be considered in Stage 3 by the State. Sample mitigation measures are listed for businesses in Stage 2b, but the County does not have local authority to provide guidance for businesses in these sectors to reopen. The County continues to advocate for local authority to move through Stage 3 based on local conditions. Licensed providers such as cosmetology, dental, medical etc. should refer to State Licensing Boards for guidelines, provisions, requirements, and timelines for reopening. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 4 REOPEN BUTTE COUNTY The mitigation measures for the public and private industry sectors were developed in coordination with local public and private sector representatives. These representatives continue to work with the County in partnership to Reopen Butte County and limit the spread of COVID-19. See Appendix D for a list of public and private sector team leads. Stage 2b - Lower Risk Workplaces and Activities (currently listed in Stage 3 by the State of California*) Sector Opening Timeline Mitigation Measures Hair Salons, Barbers, See Appendix E, Section 5 for and Nail Salons sample reopening measures. Gyms and fitness See Appendix E, Section 5 for studios TBD – Butte County does sample reopening measures. not have local authority Reopening measures are in Libraries to reopen Stage 3 development. businesses at this time. Playgrounds, skate Reopening measures are in parks, and other development with industry outdoor recreation representatives. spaces Note: Licensed providers should refer to State Licensing Board and National Associations for guidelines, provisions, requirements, and timelines for reopening related to their particular profession. Stage 3 – Higher Risk Workplaces and Activities Please refer to the State Resilience Roadmap. Local plans for Stage 3 will be developed in partnership with local jurisdictions and public and private sector representatives. Stage 4 – Broader Reopening for Butte County Please refer to the State Resilience Roadmap. Local plans for Stage 3 will be developed in partnership with local jurisdictions and public and private sector representatives. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 5 REOPEN BUTTE COUNTY Appendix A Measures for Loosening Restrictions. All must be met. Epidemiology  Health Care Decreasing cases in the context of stable or increasing testing for at least 14 days.  OR, When no or very few cases are  being reported, no significant increase in disease prevalence for at least 14 days.   Decreasing numbers and proportions of cases not linked to a source case (goal less than 3 unlinked cases per 2-week period) low or significantly decreasing levels of influenza like illness syndromic surveillance for at least 14 days  Sustained low levels or declining COVID-19 related deaths for at least 14 days  No or rare infections among health care workers  All symptomatic persons should be able to be tested within 24 hours of illness onset  Counties sharing a border with Butte County have decreasing or low levels of illness. Public Health Ability – including staffing  – to double number of intensive care patients treated from current census  Ability – including staffing – to screen adequate numbers* of symptomatic patients safely  Sufficient PPE for all health care workers  Sufficient face masks to provide to all patients  Significantly more discharges than admissions for COVID-19  Health care facilities enforce policies and redesign to minimize possibility of exposure at triage and all other locations All cases interviewed for contact elicitation Contacts elicited for at least 90% of cases  100% of symptomatic contacts and others with symptoms undergo testing within 24 hours of identification of symptoms  Adequate hand sanitizer is available for use as recommended.  Designated facilities for non-hospitalized, COVID19 infected people who can’t be safely cared for at home (e.g., because of space constraints, homelessness, medically vulnerable household members, or otherwise) *all statements of significance evaluated by the local Health Expert Panel. **Case means a confirmed lab case for COVID-19 ***measure may be changed by Health Expert Panel to address the local need in Butte County. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 6 REOPEN BUTTE COUNTY Appendix B Strict Mitigation Measures Should be Considered When One or More Criteria in at Least 2 of 3 Categories are Met. Epidemiology Health Care Public Health  A significant increase in new cases over 3 consecutive calendar or work days in the context of no substantial increase in testing  Inability to scale up to 2x the number of ICU patients from current census (including staffing)  Cannot elicit contacts for 20% or more of cases  Can no longer screen significant numbers* of symptomatic patients safely (including staffing)  Doubling time of cases less than 5 days  More than 3 unlinked chains of transmission in a 14-day period  High likelihood of exposure at mass gathering or congregation of people or delayed detection of a case (>5 days) from a mass gathering or longterm care facility)  Concerning, persistent increase in Influenza Like Illnesses in syndromic surveillance.  Increasing number of new health care worker infections for 5 consecutive days  Inadequate availability of PPE for healthcare workers  Insufficient face masks to provide to all patients seeking care  Unacceptable ratio* of admissions to discharges for COVID-19  10% or more of symptomatic contacts fail to get tested or get tested in more than 24 hours of symptom onset.  Insufficient hand sanitizer to place at entry of buildings including workplaces  No designated facilities for non-hospitalized COVID- 19 infected people who can’t be safely cared for at home (e.g., because of space constraints, medically vulnerable household members, or otherwise)  Health care facilities can no longer be structured to reduce possibility of exposure at triage and all other locations * all statements of significance evaluated by the local Health Expert Panel. **Case means a confirmed lab case for COVID-19 ***measure may be changed by Health Expert Panel to address the local need in Butte County. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 7 REOPEN BUTTE COUNTY Appendix C Face Coverings to Limit the Spread of COVID-19 What is a face covering? A face covering is a covering made of cloth, fabric or other soft or permeable material, without holes, that covers the nose, mouth and chin. A facial covering should not hide or obscure the eyes. Examples of facial covering includes a scarf, bandana, or neck gaiter. Facial coverings can be cleaned via laundering in the warmest setting possible and dried. When to wear Face Coverings    When Indoors: Wear Face Coverings while indoors when social distancing of six feet or more cannot be achieved between persons from separate households. When a person is in their residence, they do not need to wear a facial covering. When a person is alone or with only their household members, they do not need to wear a facial covering. When Outdoors: Wear Face Coverings when outdoors and social distancing of six feet or more cannot be achieved between persons from separate households. Wearing a Face Covering is not required while engaging in outdoor recreation such as walking, hiking, bicycling, or running. But each person engaged in such activity should comply with social distancing recommendations including maintaining at least six feet of separation from all other people not part of the same household to the greatest extent possible. Additionally, each person engaged in such activity should bring a Face Covering and wear it at times when it is difficult to maintain compliance with Social Distancing recommendations of six feet or more from another person. Because running or bicycling causes people to more forcefully expel airborne particles, making the usual minimum 6 feet distance less adequate, runners and cyclists should take steps to avoid exposing others to those particles, which include the following measures: crossing the street when running to avoid sidewalks with pedestrians; slowing down and moving to the side when unable to leave the sidewalk and nearing other people; never spitting; and avoiding running or cycling directly in front of or behind another runner or cyclist who is not in the same household. When Driving: You do not need to wear a Face Covering while driving alone, or exclusively with other members of the same family or household, in a motor vehicle. Evidence shows that approximately 20% of COVID-19 infectious persons are asymptomatic – lacking all symptoms. Given this, the risk of unwitting transmission to another person is high and forms the basis for the Centers for Disease Control and Prevention’s recommendation for the public to wear cloth face coverings in public settings when social distancing is not possible (https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover.html). Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 8 REOPEN BUTTE COUNTY Appendix D Public and Private Sectors Team and Team Leads Sector Team Team Lead Public Sector Steve Lambert Chair, Board of Supervisors Local Jurisdictions Sheriff Honea, BCSO Law Enforcement Mary Sakuma, BCOE Education Park, Recreation, Outdoor Activities Ann Willmann, CARD Private Sector Agribusiness Colleen Cecil, BCFB Building, Design, Construction Amy Rohrer, VCE Chambers/Downtown Business Associations (general business, personal care, non-profit, restaurants) Katy Thoma, Chico Chamber Faith and Cultural Organizations Justin Tolman, LDS Labor Justin Meyers, Labor Council Lodging Carolyn Denaro, EBC Manufacturing Andrea Campos, Grow Manufacturing Initiative Monica Nolan, Paradise Chamber Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 9 REOPEN BUTTE COUNTY Appendix E Mitigation Measures to Slow the Spread of COVID-19 The following sections outline required mitigations measures for businesses aimed at limiting the spread of COVID-19. Employers/businesses should use this document as follows: Section 1 includes mitigations measures that all employers/businesses should follow as applicable. Subsequent Sections provide additional measures identified for specific industry sectors and specific business types. Those specific industries should reference both Section 1 in conjunction with the section(s) applicable to its business. Butte County will continue to monitor State and Federal guidance materials to determine modifications needed, if any, to create alignment. The County will also continue to work with specific industries and business types to seek input as these mitigation measures are implemented. NOTE: The State of California may issue guidance for employers/businesses that is different than these mitigation measures. The County may update these measures to align with State requirements and guidance, or other best practices as data becomes available for COVID-19. These measures were developed to speed up the reopening of businesses in Butte County, and the development occurred prior to State guidelines being complete. This space intentionally left blank. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 10 REOPEN BUTTE COUNTY SECTION 1. ALL EMPLOYERS NOTE: The State of California may issue guidance for employers/businesses that is different than these mitigation measures. Butte County may update these measures to align with State requirements and guidance, or other best practices as data becomes available for COVID-19. Section 1 includes recommended guidelines and best practices that all employers should follow. The best practices are written to describe the current understanding of actions that can be taken to limit or mitigate the spread of COVID-19 in the workplace. In addition to these measures, additional best practices and guidelines have been identified for specific industry sectors and specific business types, as listed in the following sections. Those specific industries should reference both Section 1 in conjunction with the section(s) applicable to its business. A. Training: □ Train employees on all measures and protocols applicable to their function or role prior to returning to work at place of business. B. Signage: □ Post local self-certification window placard in a visible location. Visit www.buttecounty.net/buttereopens to download templates. □ Provide signage at each entrance of the facility to inform employees and customers of common COVID-19 symptoms and that they must not enter the facility if they are sick with or suspect they may be experiencing COVID 19 symptoms. □ Provide signage regarding the social / physical distancing protocol at the facility; persons to maintain a minimum six-foot distance from non-household members as much as practicable and not engage in any unnecessary physical contact. □ Provide signage regarding proper hand washing technique should be posted at all handwash sinks. □ Provide signage encouraging regular hand washing in breakrooms and other locations where employee information is provided. C. Measures to Protect Employee Health: □ Direct all employees to stay home if sick. □ Instruct employees to notify a supervisor if they are experiencing symptoms of COVID-19, such as fever, cough, and/or gastrointestinal symptoms. □ Direct sick employees with symptoms associated with COVID-19 to be evaluated for testing by their doctor or urgent care. □ Direct all employees to self-monitor for symptoms of COVID-19. □ Direct all employees to maintain at least six feet distance from customers and from each other, as much as practicable. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 11 REOPEN BUTTE COUNTY □ Provide face coverings to employees and encourage employees to use face covering when physical distancing is not feasible. □ Encourage customers to utilize face coverings when entering the facility. □ Separate workstations by at least six feet. □ Do not share office supplies, tools, etc. □ Provide separate seating in common areas such as break rooms and conference rooms. □ Utilize and encourage virtual meetings where possible. □ Encourage telecommuting where possible. □ Discourage congregation of employees during breaks and lunches, unless physical distancing can be maintained. □ Instruct cleaning staff to wear applicable Personal Protective Equipment (PPE) such as disposable gloves and eye protection for all tasks in the cleaning process, including handling trash. Direct staff to wash their hands immediately after removing disposable gloves. □ Disinfect high contact surfaces in break rooms, restrooms, and other common areas (i.e. door handles, lobbies, etc.) frequently. Those areas receiving more traffic should be disinfected more often. As a best practice, all businesses should disinfect on the following schedule and maintain a log capturing actions, at a minimum: o Public Restrooms: Twice daily o Employee Breakrooms: Daily o Employee Restrooms: Daily o Other employee shared areas: Daily o High contact surfaces (door handles, light switches, etc.): At least daily and more frequently if needed □ Sanitize incoming packages, products or materials as part of the receiving process. □ Direct employees to regularly clean their workstations daily, or at the start and end of their shift for shared workstations and areas. □ Make sanitizer / disinfectant and related cleaning supplies available to all employees at specified locations. □ Ensure employees frequently wash hands using soap, water and single-use paper towels. In situations where hand washing facilities are not available, provide hand sanitizer that contains at least 60% alcohol. □ Provide hand sanitizer containing at least 60% alcohol to all employees and customers at common points of ingress/egress and in common areas such as conference rooms, breakrooms, or other locations used by multiple employees. □ Provide hand sanitizer to employees at their workstation when their role requires regular interaction with customers. □ Post copies of measures and protocols being taken related to COVID-19 in a conspicuous place and provide to all employees. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 12 REOPEN BUTTE COUNTY D. Measures to Prevent Crowds from Gathering / Encourage Physical Distancing: □ Limit the number of customers in the facility at any one time to the maximum number which allows for customers (or groups of household members) and employees to easily maintain at least six-foot distance from one another, at all practicable times. □ At retail counters or in other locations where queueing is possible, placing tape or other markings at least six feet apart in customer areas inside the facility and on sidewalks at public entrances with signs directing customers to use the markings to maintain distance. If groups of household members often wait together, increase distances between markings so that separation of household groups of at least six feet is maintained. □ Where long lines can form, assign an employee to monitor lines in order to ensure that the maximum number of customers in the facility is not exceeded. □ Limit use of lobbies / waiting rooms. Develop a system(s) that allows customers to wait in cars or other locations. □ Offer service by appointment-only. □ Offer and encourage on-line product ordering with curbside pickup or delivery. □ Create one-way shopping aisles in higher traffic areas. □ Separate order areas from pickup and delivery areas to prevent customers from gathering. □ Implement protections for cashiers, pharmacy workers, and other workers who normally have regular, close interaction with the public with engineering controls such as Plexiglas screens or other physical barriers, or spatial distance of at least six feet. □ Develop restroom occupancy plans that will help ensure 6 foot physical distancing can be accomplished, limit restrooms to single user if necessary. E. Measures to Prevent Unnecessary Hand Contact / Increase Sanitation / Disinfection: □ Provide contactless payment systems or, if not feasible, sanitize payment systems frequently, depending on volume of use. □ Provide hand sanitizers at check-out stands/stations. □ Provide disinfecting wipes containing an EPA-registered disinfectant or other disinfection measure(s) for employee or customer use where appropriate. □ Eliminate or restrict use of self-service sampling unless provided from a single use container (personal care products, foods, etc.). □ Assign employee(s) to disinfect high-contact surfaces frequently (point of sale terminals, counters, common tables, restroom surfaces, doorknobs, phones, keyboards, light switches, etc.). F. Additional Measures to Protect Health: □ Require employees to wear face coverings when physical distancing of at least 6 feet cannot be maintained. See face covering guidance. □ Discourage customers from bringing their own bags, mugs, or other reusable items from home. □ Clean visibly dirty surfaces with soap and water prior to disinfecting. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 13 REOPEN BUTTE COUNTY □ Use EPA-approved disinfectant against COVID-19 and read the label to make sure it meets your needs and application. A list of approved disinfectants can be found at: https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2 □ Only allow service animals into your facilities. G. Other Considerations for Employers: □ Review and follow guidelines by the Center for Disease Control (CDC) to develop, implement, maintain, and revise your cleaning and disinfecting plan as new information becomes available. □ Read instructions and wear gloves and other Personal Protective Equipment (PPE) as specified by the manufacturer for the cleaning and disinfecting products you are using. □ Consider what items can be moved or removed completely to reduce frequent handling or contact from multiple people. Soft and porous materials, such as area rugs and seating, may be removed or stored to reduce the challenges with cleaning and disinfecting them. You can find additional reopening guidance for cleaning and disinfecting in the CDC’s Reopening Decision Tool. □ Implement flexible sick leave and supportive policies and practices. □ Consider how your facilities will operate if absenteeism spikes from increases in sick employees, those who stay home to care for sick family members, and those who must stay home to watch their children. □ Prepare to perform cleaning and disinfection if persons suspected or confirmed to have COVID-19 have been in your facilities. □ Follow all industry guidance issued by State and federal regulatory agencies. See industry guidance published by the State of California. Note: Throughout these Standards and Guidelines, face coverings shall refer to material that fully covers a person’s nose and mouth. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 14 REOPEN BUTTE COUNTY SECTION 2. RETAIL STORES NOTE: The County may update these measures to align with State requirements and guidance, or other best practices as data becomes available for COVID-19. In addition to the measures listed in the CDPH and Cal/OSHA COVID-19 Industry Guidance: Retail, additional measures have been identified for Retail Stores. Employers within this Industry should implement the following measures in order to open for in-store shopping. A. Training: □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Retail. B. Signage: □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Retail. □ Post local self-certification window placard in a visible location. Visit www.buttecounty.net/buttereopens to download templates. C. Measures to Protect Employee Health: □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Retail. D. Measures to Prevent Crowds from Gathering / Encourage Physical Distancing: □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Retail. □ Assign an employee to monitor that the maximum number of customers in the facility is not exceeded. E. Measures to Prevent Unnecessary Hand Contact / Increase Sanitization / Disinfection: □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Retail. □ Close fitting rooms until required guidelines can be finalized. □ Suspend returns and exchanges until a store policy is established to mitigate the spread of COVID-19 for returned items. F. Additional Measures to Protect Health: □ Require employees to wear face coverings when working in places accessible to the public. See face covering guidance at www.buttecounty.net/buttereopens. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 15 REOPEN BUTTE COUNTY SECTION 3. RESTAURANTS (RETAIL FOOD) NOTE: The State of California may issue guidance for employers/businesses that is different than these mitigation measures. The County may update these measures to align with State requirements and guidance, or other best practices as data becomes available for COVID-19. In addition to the measures listed in Section 1 All Businesses, additional measures have been identified for specific industry sectors and specific business types. Employers within this industry should implement the following additional measures in order to open for in-restaurant dining. A. Training: No additional measures. See Section 1. B. Signage: No additional measures. See Section 1. C. Measures to Protect Employee Health: □ High contact surfaces in break rooms, restrooms, and other common areas should be disinfected on the following schedule: □ Public Restrooms: Hourly □ Ensure employees more frequently wash hands using soap, warm water and single use paper towels at hand wash sinks. D. Measures to Prevent Crowds from Gathering / Encourage Physical Distancing: □ □ Maintain occupancy at or below 50%. Designate an employee who will monitor that the maximum number of customers in the facility is not exceeded and physical distancing is maintained. □ Provide seating by reservation. □ Encourage to-go service, where applicable. □ Control physical distancing of people consuming food and beverage by limiting at-bar service, separating dining tables and restricting table use to keep household parties separated from others by a minimum of 6 feet. E. Measures to Prevent Unnecessary Hand Contact / Increase Sanitization / Disinfection (beyond requirements in California Retail Food Code): □ Do not allow customers to sit or stand within 6 feet of food, glassware, consumables, or other materials that will be provided to other customers. In bar situations, if 6 feet of separation from such materials is not possible, install Plexiglas or other smooth and easily cleanable shielding materials to prevent contamination. □ Discontinue self-serve operations, such as salad bars, buffets, food sampling, and beverage service stations that require customers to use common utensils or dispensers. Consider single use disposable utensils or containers and provide packets of condiments, not bulk dispensed items. □ Provide cups, lids, stir sticks etc. upon request and do not provide them via self-service. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 16 REOPEN BUTTE COUNTY □ Utilize online ordering, menu boards, single use disposable menus, or utilize menus which can be sanitized between use (i.e. laminated). □ Consider physical barriers for employees that normally have close interaction with customers such as at cashier stands or check-out counters. □ Assign employee(s) to disinfect high-contact surfaces frequently (point of sale terminals, counters, tables, restroom surfaces, etc.). □ Make disinfecting wipes containing an EPA-registered disinfectant or other disinfection measure(s) available near shopping carts and shopping baskets. □ Assign employee(s) to disinfect high-contact surfaces frequently (point of sale terminals, counters, restroom surfaces, etc.). F. Additional Measures to Protect Health: □ Require employees to wear face coverings when working in places accessible to the public. (See measures in Section 1 for all other employee) See face covering guidance. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 17 REOPEN BUTTE COUNTY SECTION 4. MANUFACTURING NOTE: Butte County may update these measures to align with State requirements and guidance, or other best practices as data becomes available for COVID-19. In addition to the measures listed in the CDPH and Cal/OSHA COVID-19 Industry Guidance: Manufacturing, additional measures have been identified for Manufacturing. Employers within this Industry should implement the following measures. A. Training: □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Manufacturing. B. Signage: No additional measures. See Section 1. □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Manufacturing. □ Post local self-certification window placard in a visible location. Visit www.buttecounty.net/buttereopens to download templates. C. Measures to Protect Employee Health: □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Manufacturing. D. Measures to Prevent Crowds from Gathering / Encourage Physical Distancing: □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Manufacturing. E. Measures to Prevent Unnecessary Hand Contact / Increase Sanitization / Disinfection: □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Manufacturing. F. Additional Measures to Protect Health: □ Comply with CDPH and Cal/OSHA COVID-19 Industry Guidance: Manufacturing. □ Require employees to wear face coverings when working in places accessible to the public. See face covering guidance. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 18 REOPEN BUTTE COUNTY SECTION 5. HAIR SALONS, BARBERS, AND NAIL SALONS NOTE: The State of California may issue guidance for employers/businesses that is different than these mitigation measures. The County may update these measures to align with State requirements and guidance, or other best practices as data becomes available for COVID-19. Butte County does not have local authority to provide guidance for businesses in these sectors to reopen in Stage 2. Licensed providers such as cosmetology, dental, medical etc. should refer to State Licensing Boards for guidelines, provisions, requirements, and timelines for reopening. If the State allows counties to move these sectors to opening sooner than the State does, this section will apply. In addition to the measures listed in Section 1 All Businesses, additional measures have been identified for specific industry sectors and specific business types. Employers within this Industry should implement the following additional measures in order to reopen sooner than the State once authority has been granted to counties to allow reopening in these sectors. A. Training: No additional measures. See Section 1. B. Signage: □ Post signage that warns customers that masks are needed because social/physical distancing is not possible. □ Post signage that non-clients are prohibited from entering the facility. C. Measures to Protect Employee Health: □ Require face coverings for both practitioners and clients. □ Require that practitioners wash hands before starting a new client, immediately after working on a client, and after cleaning up post-client. □ Require that practitioners wash hands (using soap, water and single use paper towels) before donning gloves and after removing them . □ Provide sanitizers or EPA-registered disinfectants and related cleaning supplies to all practitioners and employees. □ Evaluate the use of face shields to provide additional protection to employees and customers. □ Keep the facility as well ventilated as possible for increased exchange of outside air. D. Measures to Prevent Crowds from Gathering / Encourage Physical Distancing: □ Limit the number of customers so there is at least a 6-foot physical separation between workstations during service delivery. □ Limit procedures to be conducted by appointment only, with no walk-in customers. □ Encourage clients to wait in their cars until their practitioner is ready, rather than waiting inside the facility. □ Limit people inside the facility to employees and clients only. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 19 REOPEN BUTTE COUNTY E. Measures to Prevent Unnecessary Hand Contact / Increase Sanitization / Disinfection: □ Provide practitioners with hand sanitizer and surgical (case) masks that completely cover the nose and mouth to use during a procedure. □ Use only medical-grade surgical masks and gloves that are changed with each procedure. □ Do not use cellphones while services are being delivered. □ Require sanitization/disinfection of workstations, equipment, tables, chairs, and other surfaces touched by clients between each procedure and maintain documentation logs F. Additional Measures to Protect Health: □ Install Plexiglas or other smooth and easily cleanable shielding materials if services can be delivered from a fixed position. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 20 REOPEN BUTTE COUNTY SECTION 6. FITNESS CENTERS/GYMS NOTE: The State of California may issue guidance for employers/businesses that is different than these mitigation measures. Butte County may update these measures to align with State requirements and guidance, or other best practices as data becomes available for COVID-19. Butte County does not have local authority to provide guidance for businesses in these sectors to reopen in Stage 2. Licensed providers should refer to State Licensing Boards for guidelines, provisions, requirements, and timelines for reopening. If the State allows counties to move these sectors to opening sooner than the State does, this section will apply. In addition to the measures listed in Section 1 All Businesses, additional measures have been identified for specific industry sectors and specific business types. Employers within this Industry should implement the following additional measures in order to reopen sooner than the State once authority has been granted to counties to allow reopening in these sectors. A. Training: No additional measures. See Section 1. B. Signage: No additional measures. See Section 1. C. Measures to Protect Employee Health: □ Disinfect high contact surfaces in break rooms, restrooms, and other common areas on the following schedule: 1. Public Bathrooms: Twice daily 2. Employee Breakrooms: Daily 3. Employee Restrooms: Daily 4. Other employee shared areas: Daily 5. High contact surfaces (door handles, light switches, etc.): Daily or more frequently if needed 6. Gym equipment: After each user. D. Measures to Prevent Crowds from Gathering / Encourage Physical Distancing: □ Evaluate only allowing access via appointment. □ Assign an employee to monitor that the maximum number of customers in the facility is not exceeded. □ Use an “every other machine” approach to ensure 6 foot distancing. □ Suspend group classes. □ Common equipment touch points on all equipment need to be disinfected between each user. Develop systems for those waiting to use a piece of equipment. E. Measures to Prevent Unnecessary Hand Contact / Increase Sanitization / Disinfection: □ Stop use of water fountains, shared water bottles, and water stations - provide or encourage customers to use individual water bottles. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 21 REOPEN BUTTE COUNTY □ Provide disinfecting wipes containing an EPA-registered disinfectant or other disinfection measure for customers to wipe down equipment after each use. F. Additional Measures to Protect Health: □ Require employees to wear face coverings when working in places accessible to the public. (See measures in Section 1 for all other employee) See face covering guidance. □ Offer special hours or appointments for immuno-compromised and other vulnerable populations. □ Implement mid-day halts, where gym members are stopped from entering the facility and a full, secondary cleaning can be completed. Butte County Department of Public Health ButteCounty.net/ButteReopens Last updated: May 7, 2020 22