Health Orders

Orders of the State of California

California Department of Public Health Guidance for the Use of Face Masks

Updates as of Feb. 28, 2022:

  • Effective March 1, 2022, the requirement that unvaccinated individuals mask in indoor public settings will move to a strong recommendation that all persons, regardless of vaccine status, continue indoor masking. 
  • Universal masking shall remain required in specified high-risk settings.
    • Public transit
    • Emergency shelters
    • Homeless shelters
    • Healthcare settings
    • Correctional facilities
    • Long-term care facilities
  • After March 11, 2022, the universal masking requirement for K-12 and Childcare settings will terminate. CDPH strongly recommends that individuals in these settings continue to mask in indoor settings when the universal masking requirement lifts.
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Reopening California

California is moving Beyond the Blueprint to safely and fully reopen the economy.

As of June 15, 2021, the Governor terminated the executive orders that put into place the Stay Home Order and the Blueprint for a Safer Economy. He also phased out the vast majority of executive actions put in place since March 2020 as part of the pandemic response, leaving a subset of provisions that facilitate the ongoing recovery.

The new public health order effective June 15, 2021 supersedes all prior health orders. The order has limited restrictions, only related to masking and mega-events, as well as settings serving children and youth pending an expected update to the K-12 schools guidance by the Centers for Disease Control and Prevention.

Restrictions that ended on June 15, 2021 include:

  • Physical distancing
  • Capacity limits on businesses
  • County tier system

Read the Governor’s orders: N-07-21 and N-08-21. Find details in the California Department of Public Health’s Beyond the Blueprint for Industry and Business Sectors and the Questions & Answers.

Centers for Disease Control and Prevention (CDC) & California Department of Public Health (CDPH) Guidelines

Please use the below links to navigate to CDC and CDPH guidance on various COVID-19 topics.

Orders of the Health Officer of the County of Sonoma

The County’s Health Orders and Guidance are updated as needed based on changing State requirements and current local needs as determined by the County Health Officer. See links below for Sonoma County health orders in effect, as well as health orders no longer in effect.


Order of the Health Officer of the County of Sonoma C19-38


Order of the Health Officer of the County of Sonoma C19-37

  • Date of Order: March 11, 2022 (Order takes effect immediately)
  • Under the Authority of the California Health and Safety Code Sections 101040, 101085, and 120175, the Health Officer of the County of Sonoma Orders:


Amendment No. 3 to Orders of the Health Officer of the County of Sonoma C19-32

  • Date of Amendment: March 7, 2022
  • This Amendment allows employers covered by C19-32 Order to exempt from the testing and face covering requirement those personnel who are fully vaccinated but not yet boosted.
  • Furthermore, this Amendment allows those employers to grant an optional postponement of once weekly testing for personnel with a Confirmed COVID-19 Infection (as defined below) for 90 days from the date of diagnosis/test result; however, all Unvaccinated or Unverified personnel (as defined below) must continue to comply with the face covering requirement.


Amendment No. 2 to Orders of the Health Officer of the County of Sonoma C19-32 & C19-33

  • Date of Amendment: March 1, 2022
  • This Amendment extends the compliance date for the twice weekly testing requirements in Section 4 “COVID-19 Test Requirements” of Orders C19-32 & C19-33.
  • This Amendment does not extend the compliance date for booster vaccine verification, face covering requirement, or any other requirement contained within Orders of the Health Officer of the County of Sonoma C19-32 & C19-33 (herein referred to as the “Orders”).
  • All employers shall enforce the twice weekly testing requirements in Section 4 “COVID-19 Test Requirements” of Orders no later than 12:01 a.m. on April 1, 2022.
  • Where a conflict exists between this Amendment and Order and any state or federal orders related to the COVID-19 pandemic, the most restrictive provision (i.e., the more protective of public health) controls.


Amended recommendation: employers require workforce to show proof of primary vaccination or at least twice weekly testing

  • Date of Amendment: February 7, 2022
  • Amended recommendation until adequate amounts of testing supplies are available to test non-boosted employees.


Recommendation of the Health Officer: Employers Require Workforce to Show Proof of Primary Vaccination and Booster or At Least Twice Weekly Testing

  • Date of Recommendation: December 28, 2021
  • Recommends that all employers in the county require workers to provide proof of full vaccination for COVID-19, including a booster if eligible, or show proof of at least twice weekly COVID-19 testing. In addition, employers should consider requiring employees who are unvaccinated, or who have not received the booster and are eligible, to wear FDA-cleared surgical masks or respirators in indoor work settings. This recommendation is currently optional for most employers.


Order of the Health Officer of the County of Sonoma C19-32

  • Amendment No. 2 to Orders of the Health Officer of the County of Sonoma C19-32 & C19-33
    • Date of Amendment: March 1, 2022
    • This Amendment extends the compliance date for the twice weekly testing requirements in Section 4 “COVID-19 Test Requirements” of Orders C19-32 & C19-33.
    • This Amendment does not extend the compliance date for booster vaccine verification, face covering requirement, or any other requirement contained within Orders of the Health Officer of the County of Sonoma C19-32 & C19-33 (herein referred to as the “Orders”).
    • All employers shall enforce the twice weekly testing requirements in Section 4 “COVID-19 Test Requirements” of Orders no later than 12:01 a.m. on April 1, 2022.
    • Where a conflict exists between this Amendment and Order and any state or federal orders related to the COVID-19 pandemic, the most restrictive provision (i.e., the more protective of public health) controls.
  • Original Order of the Health Officer of the County of Sonoma C19-32
  • Date of Order: December 23, 2021 (Order takes effect at 12:01 a.m. on February 1, 2022 -- EXTENDED TO APRIL 1, 2022
  • Under the Authority of the California Health and Safety Code Sections 101040, 101085, and 120175, the Health Officer of the County of Sonoma Orders:
    • Requires Employers of Law Enforcement, Fire, Emergency Medical Services, Pharmacies, Dental Offices, and operators of Temporary Disaster Shelters in Sonoma County to require Personnel to get tested twice weekly for the virus that causes Coronavirus Disease 2019 (“COVID-19”) or produce satisfactory evidence that they are Fully Updated against COVID-19.


Recommendation of the Health Officer: Public Meetings

  • Date of Recommendation: September 24, 2021
  • Recommends mitigation measures for public meetings of legislative bodies.


Order of the Health Officer (C19-29): Jail Inmates be Tested for COVID-19 Upon Entry

  • Date of Order: September 7, 2021 (Order takes effect at 12:01 a.m. on October 1, 2021) 
  • Under the Authority of the California Health and Safety Code Sections 101040, 101085, and 120175, the Health Officer of the County of Sonoma Orders:
    • All inmates in detention facilities (including juvenile hall) in Sonoma County to receive a rapid antigen test for the virus that causes Coronavirus Disease 2019 (“COVID-19”), regardless of the individual’s vaccination status, upon entry into the facility.


Order of the Health Officer of the County of Sonoma (C-19-28): Vaccine Verification

  • Date of Order: September 3, 2021 (Order takes effect at 12:01 a.m. on September 24, 2021) 
  • Under the Authority of the California Health and Safety Code Sections 101040, 101085, and 120175, the Health Officer of the County of Sonoma Orders:
    • Businesses and governmental entities with personnel who are home health care workers or pharmacists to require their personnel to get tested weekly for the virus that causes Coronavirus Disease 2019 (“COVID-19”) or produce satisfactory evidence, as defined in this Order, that they are fully vaccinated against COVID-19.


Amendment No. 1 to the Order of the Health Officer of the County of Sonoma No. C19-26

  • Date of Amendment: August 27, 2021 (amendment takes effect at 12:01 on September 24, 2021)
  • This Amendment extends the compliance date for the testing requirements in Section 4 “COVID-19 Test Requirements” to give Employers more time to secure testing arrangements. This Amendment does not extend the compliance date for vaccine verification, face covering requirement, or any other requirement contained within Order of the Health Officer of the County of Sonoma C19-26 (herein referred to as the “Order”).


Order of the Health Officer (C19-26): Vaccine Verification

  • Amendment No. 1 to the Order of the Health Officer of the County of Sonoma No. C19-26
    • Date of amendment: August 27, 2021 (amendment takes effect at 12:01 on September 24, 2021)
    • This Amendment extends the compliance date for the testing requirements in Section 4 “COVID-19 Test Requirements” to give Employers more time to secure testing arrangements. This Amendment does not extend the compliance date for vaccine verification, face covering requirement, or any other requirement contained within Order of the Health Officer of the County of Sonoma C19-26 (herein referred to as the “Order”).
  • Original Order of the Health Officer of the County of Sonoma C19-26
  • Date of Order: August 4, 2021 (Order takes effect at 12:01 a.m. on September 1, 2021 -- EXTENDED TO SEPTEMBER 24, 2021)
  • Under the Authority of the California Health and Safety Code Sections 101040, 101085, and 120175, the Health Officer of the County of Sonoma Orders:
    • Employers of Law Enforcement, Fire, Emergency Medical Services, and operators of Temporary Disaster Shelters in Sonoma County to require Personnel to get tested weekly for the virus that causes Coronavirus Disease 2019 (“COVID-19”) or produce satisfactory evidence that they are Fully Vaccinated against COVID-19.
  • COVID-19 Test Requirements: Except as set forth in Section 5 of this Order, an Employer shall require all of its Personnel to do the following:
    • Receive a COVID-19 Test at least once a week; and
    • Unless test results are sent directly to the Employer by the test provider, Personnel must promptly provide the results of each COVID-19 test to the Employer for Record-Keeping.
    • Employer may confirm a positive antigen test with a confirmatory nucleic acid amplification test; Employer shall not use another antigen test to confirm a positive antigen test.  Employer must exclude from work any Personnel who receives a positive antigen test until the Employer receives results from a confirmatory nucleic acid amplification test.
  • Fully Vaccinated Personnel: An Employer may exempt an individual member of its Personnel from the COVID-19 Test requirements set forth in Section 4 of this Order if the individual first presents to the Employer one of the following:
    • COVID-19 Vaccination Record Card (issued by the CDC or WHO Yellow Card) which includes name of person vaccinated, type of vaccine provided and date last dose administered); or
    • a photo of a Vaccination Record Card as a separate document; or
    • a photo of the client's Vaccination Record Card stored on a phone or electronic device; or
    • documentation of COVID-19 vaccination from a health care provider; or
    • digital record that includes a QR code that when scanned by a SMART Health Card reader displays to the reader client name, date of birth, vaccine dates and vaccine type. The QR code must also confirm the vaccine record as an official record of the state of California; or
    • documentation of vaccination from other contracted Employers who are also subject to this Order.
    • In the absence of knowledge to the contrary, an Employer may accept the documentation presented as valid.
  • Personnel who are not Fully Vaccinated, or for whom vaccine status is unknown or documentation is not provided, must be considered not Fully Vaccinated and are subject to COVID-19 Test Requirements
  • Record-Keeping Requirements: An Employer must keep and maintain a record of the following information for the purpose of inspection by an authorized representative of the Health Officer:
    • For Personnel who provide the Employer with documentation of Fully Vaccinated status in accordance with Section 5 of this Order: (1) Full name and date of birth; (2) COVID19 Vaccine manufacturer; and (3) date of COVID-2 Vaccine administration (first dose, and if applicable, second dose).
    • For other Personnel: COVID-19 Test results.


COVID-19 Enforcement Order

  • Date of Order: August 6, 2020
  • Allows for civil penalties that give enforcement agents additional tools to address those violations of health orders that create serious risk of spreading the virus.


Order of the Health Officer: County of Sonoma has declared a Local Public Health Emergency

  • Date of Order: March 2, 2020
  • The County of Sonoma has declared a Local Public Health Emergency as well as a Local Emergency to respond to COVID-19. These proclamations will allow the County to prepare to respond for the possibility of community spread of COVID-19. This includes a partial activation of the County Emergency Operations Center to support necessary activities.