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OVERVIEW

On March 19, 2020, the State Public Health Officer and Director of the California
Department of Public Health issued an order requiring most Californians to stay at
home to disrupt the spread of COVID-19 among the population.

The impact of COVID-19 on the health of Californians is not yet fully known. Reported
illness ranges from very mild (some people have no symptoms) to severe illness that
may result in death. Certain groups, including people aged 65 or older and those with
serious underlying medical conditions, such as heart or lung disease or diabetes, are
at higher risk of hospitalization and serious complications. Transmission is most likely
when people are in close contact or in a poorly ventilated area with an infected
person, even if that person does not have any symptoms or has not yet developed
symptoms.

Precise information about the number and rates of COVID-19 by industry or
occupational groups, including among critical infrastructure workers, is not available
at this time. There have been multiple outbreaks in a range of workplaces, indicating
that workers are at risk of acquiring or transmitting COVID-19 infection. Examples of
these workplaces include hospitals, long-term care facilities, prisons, food production,
warehouses, meat processing plants, and grocery stores.

As stay-at-home orders are modified, it is essential that all possible steps be taken
to ensure the safety of workers and the public.

Key prevention practices include:
 physical distancing to the maximum extent possible,
 use of face coverings by workers (where respiratory protection is not
required) and customers/clients,
 frequent handwashing and regular cleaning and disinfection,
 training workers on these and other elements of the COVID-19 prevention plan.

In addition, it will be critical to have in place appropriate processes to identify new
cases of illness in workplaces and, when they are identified, to intervene quickly and
work with public health authorities to halt the spread of the virus.

PURPOSE

This document provides guidance for expanded personal care services that are
permitted to be offered outdoors, which includes personal care that requires touching
a client’s face, e.g. facials, and waxing. This guidance applies to esthetic, skin care,
cosmetology, nail services, and massage therapy (in non-healthcare settings).
Electrology, tattooing, and piercing services must not be provided in the outdoor
setting because they are invasive procedures that require a controlled hygienic
environment to be performed safely.
This guidance is intended to support a safe, clean environment for workers and
customers. Establishment license holders must acknowledge that renters or lessees