Health Orders

Orders of the State of California

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 See links below for Sonoma County health orders in effect, as well as health orders no longer in effect.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 C19-35

  • Date of Order: January 10, 2022 (Order takes effect at 12:01 a.m. on January 12, 2022 and will remain in effect until February 11, 2022, unless it is extended, rescinded, superseded, or amended in writing by the Health Officer or State Public Health Officer.) 
  • Under the Authority of the California Health and Safety Code Sections 101040, 101085, and 120175, the Health Officer of the County of Sonoma Orders:
    • Prohibition on Large Gatherings
      1. Large gatherings, as defined below, are prohibited.  To the extent a large gathering has been planned to occur during the period of this Order, it shall be postponed or canceled.
      2. Gatherings of individuals of any age that includes person(s) who are at higher risk for severe illness from COVID-19 shall be limited to no more than 12 people, except for family gatherings.
    • Definitions
      1. A “gathering” for purposes of this Order is any public or private event or convening that brings people together in a single room or single space at the same time, such as an auditorium, gymnasium, stadium, arena, large conference room, wedding venue, meeting hall, or any other indoor or outdoor space. These gatherings may have either assigned or unassigned seating, and may be either general admission or gated, ticketed, and permitted events.
      2. Except as stated in paragraph (c), below, for the purposes of this Order, a “large gathering” is a gathering of:
        • More than 50 persons present indoors; or,
        • More than 100 persons present outdoors where social distancing of at least six (6) feet per person is not feasible.
      3. For the purposes of this Order, a “large gathering” does not include attendance at work, courthouses, places of worship, cafeterias, or any venue that is open to public circulation as part of its regular operations such as shopping malls, stores, restaurants/food facilities, and museums.  This Order does not apply to regular school instructional events such as daily classes or outdoor recess.
      4. For the purpose of this Order, “individuals of any age higher risk for severe illness from COVID-19” means Persons with Certain Medical Conditions as defined by the CDC: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html.
    • Due to the current surge in cases, smaller gatherings should be, but are not required to be, postponed, canceled, or conducted virtually.


Order of the Health Officer of the County of Sonoma C19-31-QR

  • Date of Order: January 5, 2022 (Order takes effect at 12:01 a.m. on January 6, 2022 and supersedes the December 21, 2021 Order of the County of Sonoma Health Officer C19-31-Q) 
  • 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 persons who have had close contact (within 6 feet for a cumulative total of 15 minutes or more over a 24-hour period) with a person who has COVID-19, or who likely has COVID-19, as those terms are defined in Order C19-31-IR, must quarantine themselves and follow the applicable recommendations for quarantine according to their vaccination status in alignment with the Self-Quarantine Instructions for Individuals Exposed to COVID-19, contained within the California Department of Public Health (CDPH) Guidance on Isolation and Quarantine for COVID-19 Contract Tracing. Full guidance and details are located here: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-on-Isolation-and-Quarantine-for-COVID-19-Contact-Tracing.aspx.  This order shall also apply to any future amendments to the state guidance.  Quarantine is required because a person who had close contact with a person who has COVID-19, or a person who likely has COVID-19, as those terms are defined in the Blanket Isolation Order (C19-31-IR), and they may become infected with COVID-19 and can easily spread the virus to others.  Quarantine restricts the movement of persons who were exposed to a contagious disease in case they become infected.
    • Any person who must quarantine under the Quarantine Guidance must stay in their home, or another residence, for the entirety of their quarantine period because they are at high risk for developing and spreading COVID-19. Quarantined persons may not leave their place of quarantine, or enter any other public or private place, except to receive necessary medical care or during an emergency that requires evacuation to protect the health and safety of the person.
    • If a quarantined person becomes sick with fever (fever is a body temperature of 100.4F, or higher), cough, shortness of breath, or any other symptom consistent with COVID-19 (even if their symptoms are very mild), they should isolate themselves at home and away from other people and test for COVID-19 in accordance with Blanket Isolation Order (C19-31-IR). This is because they are a person who likely has COVID-19, and if so, can spread it to vulnerable people.  If a medical professional determines, based upon testing for COVID-19, that their symptoms are not due to COVID-19, then the person may discontinue home isolation but shall continue to follow the Quarantine Guidance.
    • Healthcare personnel shall comply with the California Department of Public Health (CDPH) Guidance on Quarantine for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19, which can be located here: https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-21-08.aspx.


Order of the Health Officer of the County of Sonoma C19-31-IR

  • Date of Order: January 5, 2022 (Order takes effect at 12:01 a.m. on January 6, 2022 and supersedes the December 21, 2021 Order of the County of Sonoma Health Officer C19-31-I) 
  • Under the Authority of the California Health and Safety Code Sections 101040, 101085, and 120175, the Health Officer of the County of Sonoma Orders:
  • Any person who has COVID-19, and any person who likely has COVID-19, must immediately take the following actions:
    1. Isolate themselves in their home, another residence, or a location offered by the County. They may not leave their place of isolation or enter any other public or private place except to receive necessary medical care or during an emergency that requires evacuation to protect the health and safety of the person.
    2. Review and follow all requirements listed in Self-Isolation Instructions for Individuals with COVID-19, which can be located here: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-on-Isolation-and-Quarantine-for-COVID-19-Contact-Tracing.aspx. This order shall also apply to any future amendments to the state guidance.
    3. Refer their close contacts to the Self-Quarantine Instructions for Individuals Exposed to COVID-19, which can located here: https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/COVID-19/selfq_handout.pdf. Close contacts have likely been exposed to COVID-19 and if infected, can easily spread COVID-19 to others, even if they have only mild or no symptoms.  These may include persons who:
      • live in, have visited, or have stayed overnight at the individual’s residence; or
      • are intimate sexual partners of the individual; or
      • worked within six feet of the individual; or
      • attended a gathering or event in which social distancing of six feet could not be maintained, fully vaccinated and unvaccinated individuals attended the gathering and adherence to masking was not strictly adhered to;
      • provide care to the individual without wearing a mask, a face shield or goggles, gown and gloves; or
      • have been identified as close contacts by the Sonoma County Department of Health Services.
  • Healthcare personnel shall comply with the California Department of Public Health (CDPH) Guidance on Quarantine for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19, which can be located here: https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-21-08.aspx.


Order of the Health Officer of the County of Sonoma Rescinding Amendment No. 1 to Order C19-25

  • Date of Order: December 29, 2021 (Order takes effect at 12:01 a.m. on December 30, 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:
    • On October 21, 2021, the Health Officer issued an exemption to the face covering requirements contained in Order No. C19-25 for certain stable cohorts of fully vaccinated individuals, as defined. The exemption is set forth in Amendment No. 1 to Order C19-25.
    • Since that time, Sonoma County, consistent with the nationwide trend, has experienced an increase in COVID-19 cases due to the emergence of a previously unknown variant known as the Omicron variant. The Omicron variant is more transmissible than the Delta variant, and some of the recent cases have been amongst fully-vaccinated persons in stable cohorts not wearing a face covering indoors pursuant to the exemption.
    • In order to slow the transmission of the Omicron variant and protect the health and safety of the community, it is necessary to rescind the face covering exemption for stable cohorts.
    • Amendment No. 1 to the Health Officer Order No. C19-25 is hereby rescinded effective at 12:01 a.m. on December 30, 2021.


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 C19-33

  • Date of Order: December 23, 2021 (Order takes effect at 12:01 a.m. on February 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 public and private schools serving students in Transitional Kindergarten through grade 12 to require Workers 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.


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) 
  • 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.


Amendment No. 4 Order of the Health Officer of the County of Sonoma Mandatory Influenza Vaccination of Workers at Health Care Facilities

  • Date of Amendment: November 23, 2021
  • Clarifies that it was not the intent to include Regional Centers and their service providers in Sonoma County’s mandatory flu vaccine order, though it is strongly recommended for these entities to require its employees to be vaccinated against influenza.


Amendment No. 3 Order of the Health Officer of the County of Sonoma Mandatory Influenza Vaccination of Workers at Health Care Facilities

  • Date of Amendment: November 16, 2021
  • Extends the compliance date for all workers subject to the influenza order, and amendments, until November 30, 2021.


Amendment No. 2 Order of the Health Officer of the County of Sonoma Mandatory Influenza Vaccination of Workers at Health Care Facilities

  • Date of Amendment: November 4, 2021
  • Expands the influenza vaccination order to include all workers subject to the CDPH COVID-19 Order dated September 28, 2021. All workers covered by the CDPH COVID-19 Order must also receive an annual influenza vaccination, subject to medical exemptions and religious accommodation, by November 30, 2021.


Update to Recommendation of the Health Officer: Overnight Class trips, Group Trips and Sports Youth Travel

  • Date of Update: November 1, 2021
  • Recommends that fully vaccinated individuals can now participate in overnight class trips, group trips and sports youth travel at low risk to themselves within the United States, though COVID-19 mitigation strategies should be implemented.


Amendment to Order of the Health Officer of the County of Sonoma: Mandatory Influenza Vaccination of Workers at Health Care Facilities

  • Date of Amendment: October 26, 2021
  • Extends the compliance date for multi-county health systems with their own mandatory flu vaccine program across the system until November 30, 2021.


Recommendation of the Health Officer: Flu Vaccinations

  • Date of Recommendation: October 1, 2021
  • Recommends that all Sonoma County law enforcement, fire, and EMS employees receive the flu vaccine this year.


Order of the Health Officer of the County of Sonoma: Mandatory Influenza Vaccination of Workers at Health Care Facilities


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.

Guidance from the Health Officer: Youth Sports and Extracurricular Activities

  • Date of Guidance: September 3, 2021
  • Recommends precautions for all youth sports and extracurricular activities, including masking indoors, vaccinations, and regular testing.

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”).


Recommendation of the Health Officer: Outdoor Masking in School Settings, Strongly Discourages Overnight Field Trips in all School Settings and Strongly Recommends Surveillance Testing in all School Settings

  • Update to Recommendation of the Health Officer: Overnight Class trips, Group Trips and Sports Youth Travel
    • Date of Update: November 1, 2021
    • Recommends that fully vaccinated individuals can now participate in overnight class trips, group trips and sports youth travel at low risk to themselves within the United States, though COVID-19 mitigation strategies should be implemented.
  • Original Recommendation of the Health Officer: Outdoor Masking in School Settings, Strongly Discourages Overnight Field Trips in all School Settings and Strongly Recommends Surveillance Testing in all School Settings
  • Date of Recommendation: August 24, 2021
  • Outdoor Masking in School Settings
    • The Health Officer strongly recommends outdoor masking for all students and staff at public, private, parochial and charter schools across the county. This recommendation is based on the high incidence of COVID-19 currently being experienced in our county and the increase in transmissibility of the Delta variant. Masking in the school setting is already required indoors and the added level of protection of masking outdoors will help minimize the spread of COVID 19 on campus as well as enable students to stay in school and have the fewest possible interruptions to in person learning.
  • Strongly Discourages Overnight Field Trips in all School Settings
    • The Health Officer strongly discourages overnight field trips for all students at public, private, parochial and charter schools across the county. This recommendation is made based on the high incidence of COVID-19 currently being experienced in our county and the increase in transmissibility of the Delta variant. As we continue to see widespread transmission particularly among households who live in close proximity, the goal is to limit settings which approximate households where individuals are in close contact with each other. This guidance is subject to change based on the release of updated guidance governing field trips, overnight field trips and extracurricular activities by California Department of Public Health.
  • Strongly Recommends Surveillance Testing in all School Settings
    • The Health Officer strongly recommends weekly surveillance testing for all students (both vaccinated and unvaccinated). This recommendation is made in light of the SARS-CoV-2 Delta variant, which is more contagious, may cause more severe illness than previous strains and is now dominant in the United States and California. Surveillance testing allows for early identification and isolation of infected individuals and thus mitigates the spread of the virus on campus, enabling more students to remain in the classroom overall. This recommendation builds upon the State requirement that all unvaccinated school workers undergo regular testing regardless of symptoms. Because of the highly contagious nature of the Delta variant, surveillance testing is also encouraged for fully vaccinated staff.


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.


Order of the Health Officer (C19-25): Wearing of Face Coverings in Workplaces and Public Settings

  • Date of Order: August 2, 2021 (Order takes effect at 12:01 a.m. on August 3, 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 individuals to wear face coverings when indoors in workplaces and public settings, with limited exemptions, and recommends that businesses make face coverings available to individuals entering the business.
    • This Order directs that face coverings shall be worn, regardless of vaccination status, over the mouth and nose, in all indoor public settings, venues, gatherings, and workplaces, such as, but not limited to: offices, retail stores, restaurants, bars, theaters, family entertainment centers, conference centers, schools, daycares, and State and local government offices serving the public.
  • Governmental entities, businesses, venue operators, hosts, and others responsible for the operation of indoor public settings must:
    • Require all employees, contractors, visitors, and patrons to wear face coverings for all indoor settings, regardless of their vaccination status; and
    • Post clearly visible and easy-to-read signage at all entry points for indoor settings to communicate the masking requirements to all patrons.
    • A governmental entity, business owner, or operator may, to the extent authorized by law, refuse admission or service to any customer or visitor who fails to wear facial coverings. In addition, those responsible for indoor public settings are strongly encouraged to provide face coverings at no cost to individuals required to wear them.
    • A “business” for purposes of this Order includes any for-profit, non-profit, religious 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.
  • Individuals are not required to wear face coverings in the following circumstances:
    • Persons who are working alone in a closed office or room;
    • Persons who are actively eating and/or drinking;
    • Persons swimming or showering in a fitness facility;
    • Persons who are obtaining a medical or cosmetic service involving the head or face for which temporary removal of the face covering is necessary to perform the service;
    • Persons who are specifically exempted from wearing face coverings pursuant to other CDPH guidance.
  • Where a conflict exists between this Order and any state or federal public face covering order related to the COVID-19 pandemic, the most restrictive provision (i.e., the more protective of public health) controls.

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.