LAS ANIMAS-HUERFANO COUNTIES DISTRICT HEALTH DEPARTMENT412 Benedicta Ave., Trinidad, CO 81082 Phone: 719-846-2213 Fax: 719-846-4472https://www.colorado.gov/la-h-health

FOURTH AMENDED PUBLIC HEALTH ORDER 20-06, SAFER AT HOME AND IN THE VAST, GREAT OUTDOORS

August 7, 2020

  1. Purpose, Effective Area. This Order will supersede and replace all previous Public Health Orders. This Public Health Order is being issued to limit the health impacts of COVID-19. This Order sets forth requirements for general public conduct; group gatherings and events; business operations, including retail, restaurant, and personal services; short-term lodging; and provides additional guidance to slow the spread of the COVID-19 virus. The virus that causes COVID-19 is spread primarily by close contact between people and through respiratory droplets when an infected person coughs or sneezes. Public health experts recommend we practice social distancing, which includes maintaining a physical distance of six (6) feet or more from other people, as a way to slow the spread of COVID-19. Multiple sources of data show that COVID 19 have leveled off in Las Animas and Huerfano Counties. Our work to “flatten the curve” appears to be succeeding, however, transmission of the virus continues to be a threat to Las Animas and Huerfano Countycitizens’ by way of life and livelihoods. This Order is effective within the entirety of Las Animas and Huerfano Counties.
  2. LAHCDHD recommends that without taking appropriate steps, the number of cases within Las Animas and Huerfano Counties will rise which may result in serious illness or death for certain members of the community, and will have the effect of further interrupting the functioning of the community, will overwhelm the capacity of the local health care systems and the ability to respond to the COVID -19 pandemic. Additionally, a large surge in the number of persons with COVID -19 can compromise the ability of the healthcare system particularly in rural counties.There is clear evidence that some individuals who contract the COVID-19 virus have no symptoms or have mild symptoms, which means they may not be aware they carry the virus. Because even people without symptoms can transmit the disease, and because evidence shows the disease is easily spread, gatherings promote transmission of COVID – 19.Notwithstanding these findings, continuing the relaxation of at least some of the restrictions in the current orders can be and is consistent with protecting the public health. The scientific evidence also shows that at this stage of the emergency, it is critical to carefully re-open the Counties in phases to protect the most vulnerable and to prevent Colorado’shealth care systems from being overwhelmed but to also allow a gradual return to normal activities. One proven way to slow the transmission is to limit interactions among people to the greatest extent practicable and increase social distance between people in the work environment. This Order helps continue to carefully re-open each County’s economy yet
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preserve the welfare of our residents by reducing the spread of the disease in our communities and our workplaces, and preserving critical emergency and healthcare capacity in the State.

  1. Therefore, Las Animas and Huerfano Counties will continue to gradually re-open the local economy to visitors, tourism, and leisure using a phased approach to protect vulnerable sectors of the community and to prevent the local health care system from being overwhelmed. Accordingly, it is in the best interests of the Counties to follow the orders issued by the state while incorporating the Variance Request as granted by the State May 29, 2020, in order to allow additional business to open, provided they comply with certain parameters.
  2. As of July 29, 2020, there are 45,796 known cases of COVID-19 in Colorado, 6,398 Coloradans have been hospitalized and 1,688 Coloradans have died from COVID-19. Multiple sources of data show that COVID-19 transmission and the use of healthcare due to COVID-19 have leveled off in Colorado. Our work to “flatten the curve” appears to be succeeding, and the Governor has ordered some lessening of the current Safer at Home restrictions as a result.
  3. Executive Order D 2020 091 Safer at Home and in the Vast, Great Outdoors as amended by Executive Order D 2020 123 and Executive Order D 2020 142 still strongly encourages that people at risk of severe illness from COVID-19, also known as Vulnerable Individuals, remain at home or in the great outdoors as much as possible, but allows limited reopening of postsecondary institutions and certain businesses. Additionally, individuals are encouraged to stay at home as much as possible and practice Social Distancing to reduce the likelihood of disease transmission, but certain activities, such as gathering in groups of no more than ten for activities, are permitted. As we continue to combat COVID-19 in our communities, continuing restrictions on individual travel and necessary activities remain appropriate Nothing in the Governor’s Executive Order prohibits a countyfromenactingmoreprotectivestandardsthancontainedinsaid ExecutiveOrder, including but not limited to safer at home orders or additional protective measures.
  4. Ninth Amended Public Health Order 20-28, Safer at Home and in the Vast, Great Outdoors was issued by the Colorado Department of Public Health (CDPHE) on July 30, 2020. The Amended Public Health Order (CDPHE Order) was issued pursuant to theGovernor’s directive in Executive Order D 2020 091 as amended by Executive Order D 2020 123 and Executive Order D 2020 142 in response to the existence of thousands of confirmed and presumptive cases of Coronavirus disease 2019 (COVID-19) and related deaths across the State of Colorado. Further, as there is substantial evidence of community spread of COVID-19 throughout the State, it is crucial to take measures now that can mitigate further spread of disease in our communities.The CDPHE Order sets forth the requirements for implementation of Safer at Home and in the Vast, Great Outdoors, as directed by Governor Polis. Individual restrictions remain in place concerning limitations on activities, travel, and public gatherings.

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Workplace restrictions remain necessary to implement standard Social Distancing Requirements, cleaning standards, and other items necessary to reduce the possibility of disease spread. Additionally, certain businesses and activities require specific guidance based on their business practices, and those are included in the appendices to CDPHE Order. The requirements of this Order are effective July 30, 2020 and expire 30 days from July 21, 2020. The Ninth Amended Public Health Order 20-28 supersedes and replaces Public Health Orders 20-22 and 20-24, as amended.

Legal Authority. This Order is adopted pursuant to the legal authority set forth in sections 25- 1-506, 25-1-508, and 25-1-509, Colorado Revised Statutes, as well as all other applicable laws, rules, regulations, orders and declarations. Under this authority, the Las Animas Huerfano Counties District Health Department (LAHCDHD) Director has the duty to investigate and control the causes of an epidemic or communicable diseases and conditions affecting public health; to establish, maintain, and enforce isolation and quarantine; to exercise physical control over the property and over the persons within the territorial limits of Las Animas and Huerfano Counties; and to prohibit the gatherings of people to protect the public health; as the LAHCDHD Director may find necessary for the protection of the public health. Immediate issuance of this Order is deemed reasonable and necessary under the existing circumstances and necessary for the preservation of thepublic’s health, safety and welfare.

ORDER

Safer at Home and in the Vast, Great Outdoors

I.

A. All individuals currently living within Las Animas and Huerfano Counties are encouraged to stay at home or in the vast, great outdoors and avoid unnecessary interactions whenever possible in order to reduce the spread of disease. Individuals living in shared or outdoor spacesmustatalltimes,tothegreatestextentpossible,complywithSocial Distancing Requirements,andareencouragedtoleavetheirresidencesonlytoperformor utilizeNecessary Activities.Individualsarestronglyencouragedtolimitshoppingfor groceries to one time a week.

B. Individuals are urged to wear non-medical cloth face coverings that cover the nose and mouth whenever in public as required by Executive Order D 2020 091 as amended by Executive Order D 2020 123 and Executive Order D 2020 142. Additionally, pursuant to Executive Order D 2020 138, all individuals must wear face coverings in public indoor spaces, as that term is defined in the Executive Order 2020 138, unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is performing one of the enumerated activities in Section II.M of Executive Order 2020 138.

C. All public and private gatherings are limited to no more than ten (10) individuals, except for the purposes expressly permitted in this PHO, which include Necessary Activities. Nothing in this Order prohibits the gathering of members living in the same residence.

D. People at risk of severe illness from COVID-19 are urged to stay in their 3

residence at all times except as necessary to seek medical care. People at risk of severe illness from COVID-19 cannot be compelled to work for any business or government function, including a Critical Business or Critical Government Function, during the pendency of this pandemic emergency. People who are sick must stay in their residence at all times except as necessary to seek medical care, and must not go to work, even for a Critical Business, during the pendency of this pandemic emergency.

E. Individuals who are sick or are experiencing flu-like symptoms should get tested for COVID-19, and must self-isolate until their symptoms cease or until they have a negative test result. If an individual has tested positive for COVID-19 and/or has developed symptoms of COVID-19, including early or mild symptoms (such as cough and shortness of breath), they should be in isolation (staying away from others) until they have had no fever for at least twenty-four (24) to seventy-two (72) hours without the use of medicine that reduces fevers, other symptoms have improved (such as cough or shortness of breath), and at least ten (10) days have passed since symptoms first appeared. A limited number of people with severe illness may require longer isolation. Coloradans who are sick and receive negative COVID-19 test results should continue to stay home while they are sick and should consult with their healthcare provider about the need for additional testing and the appropriate time to resume normal activities

F. People are encouraged to limit travel outside of the County to Necessary Travel. Individuals who have engaged in out of county Non-Necessary Travel, are encouraged to voluntarily self-quarantine (staying home and away from others) for at least 14 days or until they have a negative test result or if the individuals experience COVID-19 symptoms, they should follow the requirements of I.E.

G. Governmental and other entities are strongly urged to make shelter available to people experiencing homelessness as soon as possible and to the maximum extent practicable. People experiencing homelessness are urged to protect their health and safety by complying with Social Distancing Requirements at all times.

H. Activities that are done with 10 or fewer individuals, following Social Distancing Requirements for non-household members are authorized. Individuals may participate in local and personal recreation in outside public spaces, as an authorized Necessary Activity, in groups no larger than 10 and practicing social distancing maintaining 6 feet between participants. Travel should occur within an individual’s local community or as necessarytoaccessoutdoorrecreationareas.Iftravellingoutsidetheircommunity, Coloradans are urged to honor all restrictions in place at their destination and avoid travel to counties or municipalities that issue travel restrictions.

  1. Private campgrounds may open for use. Campground
    operators mustregularlycleananddisinfectallcommonareas, such as bathrooms, in accordance with the CDPHE Cleaning Guidance. Group facilities, pavilions, cabins, and yurts remain closed. Campsites must be a minimum of 6 feet apart, and should only be available by reservation. Campground operators mustpost signstoremindguestsofphysicaldistancing requirements,andlimitvisitorsin campgroundofficesto maintain such distancing.
  2. Effective June 5, 2020, the following personal recreation activities
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are permitted:

  1. Playgrounds and outdoor sports facilities, such as tennis andpickleball courts, may be open for use for no more than 25 people at a time. High touch areas should be cleaned and disinfected frequently.
  2. Outdoor swimming pools may open at 50% capacity, limited to no more than 50 people. Frequently touched surfaces, shared objects, and bathrooms should be cleaned and disinfected every hour.
  3. Organized recreational youth or adult league sports may resume activities with no more than 25 players outdoors. Parents may attend youth sports activities but must remain 6 feet apart from non- household members. Spectators are strongly discouraged for adult sports. The sports league must retain records of who played in case later disease outbreak investigations become necessary.
  4. Gyms, recreation centers and indoor pools may open under the guidelines of the local Variance. The number of customers must be limited to 50% of the posted occupancy code limit ensuring a minimum 28 square feet per person not to exceed more than 175 people gathered in a confined indoor space at any given time, maintaining6feetdistancing. Sharingofequipmentisdiscouraged, and equipment must be cleaned and disinfected between uses. Restrooms and showers may open, lockers must remain closed. Additional requirements are in Appendix L of this Order. Other gym activities not covered in the local public health variance must adhere to the CDPHE PHO 20-28.
  5. Competitive events such as races and endurance events are permitted as long as 6-foot distancing and limitations on group size can be maintained. This includes implementing, including implementation of staggered start times and making efforts to prevent gatherings at starts and finishing’s, so that no more than 10 people are gathered at a time.

3. Effective June 4, 2020, the following outdoor recreation activities are permitted if conducted in accordance with the jurisdiction’s policies, the requirementsbelow,andtherequirementsinAppendixJofthis Order:

a. Non-guided recreation in groups no larger than 10;
b. Non-guided equipment rentals, subject to compliance with the retail

requirements in Appendix A of this Order;
c. Guide services for fishing, hunting, biking, horseback riding,

canoeing, kayaking, stand up paddle boarding, ATV tours, and climbing are permitted in groups no larger than 10, not including staff;

d. River outfitters, rafting, or Jeep Tours in groups of up to 2 households in a boat or jeep only in groups of no more than 10;

e. Developed hot springs may operate in accordance with the outdoor pools requirements in Section I.H.2.b of this Order;

f. Outdoorrecreationactivitiesatskiresorts(mountainbiking,hiking, climbing walls, mountain coasters, ropes courses, adventure parks,

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zip lines, etc) if the local public health agency has reviewed and approved the resort’s plans;

g. Zip lines, ropes courses, outdoor artificial climbing walls, or outdoor sports adventure centers not affiliated with ski resorts if the local public health agency has reviewed and approved the resort’s plans;

h. Scenic trains if every local public health agency in each jurisdiction through which the train operates has approved the train’s plans; and

i. Trailandconservationcrewsnolargerthan10.
4. Effective June 18, 2020, indoor and outdoor events such as receptions,

events,non-criticalauctions,theaters,tradeshows,markets, indoor malls, rodeos, fairs, festivals and parades or other indoor or outdoor events not otherwise covered by this Order may operate in accordance with thefollowingrequirements:

a. Outdoor venues may allow up to 175 people within their usable space calculated using the Social Distancing Space Calculator, excluding staff, per designated activity or area with a minimum of 6 feet of distance between individuals or non-household contacts

b. Indoor venues may allow up to 100 people within their usable space calculatedusingthe SocialDistancingSpaceCalculator,excluding staff, per room with a minimum of 6 feet of distance between individuals or non- household contacts.

c. Venue size is determined based on usable space per room or designated activity. An indoor event or outdoor designated activity that includes spectators may include both the activity space and the spectator space, or these spaces may be separated and the venue must apply the appropriate capacity limits to the size of each designated space. If participants in the designated activity may also at times move into the spectator space, those participants will count for purposes of the capacity limit for the spectator space if that space is separately defined from the designated activity space.

d. Designated activities must occur a minimum of 50 feet from each other, maintain separate entrances and exits, and must minimize the use of shared facilities like restrooms.

e. Performers are not included in capacity limits as long as they do not join the spectator or patron areas at any time and, for performers whose performance includes forced exhalation that increases the potential to aerosolize respiratory droplets, such as speaking or shouting, singing, playing some instruments, or physical exertion, the performers must remain at least 25 feet from attendees. If performers join the patron spaces, they must be included in the capacity limit numbers. Performers should also use a separate entrance and exit from spectators or patrons.

f. Operators,employeesandattendeesmustwearfacecoveringsunless doing so would inhibit the individual’s health, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties. Individuals in public indoor settings must follow the face covering requirements in Executive Order D 2020 138.

g. Operators, organizers or employers must implement employee 6

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screening protocols for all employees as described in Section II.I.1.g

of this Order, and exclude ill or symptomatic individuals.
h. Operatorsandorganizersmustmanagetheeventoractivityto

comply with the capacity limits per activity at all times, and further manage traffic flow between designated activities to minimize or eliminate mixing of groups including the use of single direction traffic flow in and out of the venue and seating area.

  1. FoodsoldinthesesettingsmustfollowtheRestaurantrequirements.
  2. VentilationinanindoorvenuemustmeetOSHAguidance.
  3. Indoor market and mall operators must follow the indoor eventrequirements and guidance, outdoor market operators must follow the outdoor event requirements and guidance. Individual vendors in these settings must follow the Retail requirements and guidelines.
  4. Drive-in events such as theaters or fireworks displays are authorized to operate above the 10 person gathering limit so long as participants remainintheirvehiclesunlessseekingminimalservices,the vehicles remain a minimum of 6 feet apart, and only minimal common services are available such as concessions and restrooms.
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practices, training and league play after they submit a reopening plan that details their disease prevention and mitigation strategies to the Colorado Department of Public Health and Environment and receive approval. Many professional leagues have created their own reopening requirements and guidance, and professional teams are expected at a minimum to incorporate those requirements into their reopening plans. Colorado sporting events that include both a professional event and a recreational event must have their professional opening plan reviewed and approved by the Colorado Department of Public Health and Environment. Any recreational sporting events must follow the personal recreation requirements contained in Section I.H.2 and any guidance found here.

J. Due to ongoing concerns regarding disease transmission in larger groups settings that could result in disease outbreaks, the following activities are not authorizedto occur:

1. Gatherings or events of more than 10 people that are not otherwise authorized in this Order; and
2. Sporting events except for recreational sports leagues as authorizedin SectionI.H.2.cofthisOrder

K. Life rites, such as wedding ceremonies, graduation ceremonies and funerals, and other religious rites are authorized at 50% capacity not to exceed 50 people indoors, with strict compliance with Social Distancing Requirements for employees and any attendees of services. Effective June 18, 2020, extra large venues hosting life rites may operate up to 100 people indoors within their usable space calculated using the Social Distancing Space Calculator. For outdoor rites, individuals must maintain 6 feet distance between non- household members and work with the appropriate local authority to obtain approval for the maximum number of individuals who may attend in the designated outdoor space. Only the

Effective June 30, 2020, professional sports may resume pre-season

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ceremony or rite itself is included in this authorization, receptions or parties associated with life rites are not included in this authorization. Life rites should follow the
guidance for houses of worship found in CDPHE PHO 20-28.

II. Business Requirements

Any business or activity not addressed in Executive Order D 2020 091, this Order or corresponding interpretive guidance found here may operate with 10 or fewer individuals per room in accordance with the requirements in Section II.I of this Order.

A. The following places of public accommodation remain closed to ingress, egress, use,andoccupancybymembersofthepublic:

  1. Establishments primarily based on smoking, such as cigar bars, hookah bars,andcannabissocialuselicensees;and
  2. Casinos, amusement parks, arcades, and the use of bounce houses and ball pitsinanypublicorcommercialvenue.

B. All Critical Businesses and Critical Government Functions, as defined in Section III below, may continue to operate. Critical Businesses must comply with Social DistancingRequirementsatalltimes,adoptworkfromhomeortele-work policiesforany operationsthatcanbedoneremotely,andimplementotherstrategies, suchasstaggeredschedules orre-designingworkplaces,tocreatemoredistance between workers unless doing so would make it impossible to carry out critical functions. Critical Businesses that serve the public such as grocery stores and other Critical Retail shall comply with Social Distancing Requirements at all times including, butnotlimitedto,whenanycustomersarestandinginline. CriticalBusinessand CriticalGovernmentFunctionsshallcontinuetopromote telecommutingtothegreatest extent possible.

C. All places of public accommodation subject to Public Health Order 20-22, as amended, that offer food and beverages may continue to offer food and beverage using delivery service,windowservice,walk-upservice,drive-throughservice,drive-upservice, curbside deliveryoranymannersetforthinthatPHOandinaccordancewithmandatory Social Distancing Requirements, except as prohibited or limited by Executive Orders D 2020 091 or this Order. These entities include restaurants, food courts, cafes, coffeehouses, and other similar places of public accommodation offering food or beverage for on-premises consumptionasor fromalicensedretailfoodestablishment,referredtointhisOrderas Restaurants;andbars, taverns,brewpubs,breweries,microbreweries,distillerypubs, wineries,tastingrooms,special licensees,clubs,andotherplacesofpublicaccommodation servingalcoholicbeveragesand,if servingfood,onlysnacksandnotkitchen-preparedmeals, referred to in this Order as Bars.

1. Effective May 27, 2020, Restaurants may open to in-person dining at 50% of the indoor posted occupancy code limit, not to exceed 50 patrons, whichever is less. Effective June 18, 2020, extra large Restaurants may expand to no more than 100 patrons indoors within their usable space calculated using the Social Distancing Space Calculator.Tablesorgroups mustbelimitedtonomorethan8 people and be spaced so that patrons are a minimum of 6 feet apart. Restaurants may also use any existing, licensed outdoor space for in- persondiningwith thesamegrouplimitof8andminimumspacing of 6 feet apart. Restaurants must have or obtain approval from their

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local government’s permitting, building and fire code oversight agencyfor anynewoutdoordiningspacepriortouse.Additional requirements for Restaurants are contained in Appendix H.

  1. Effective June 18, 2020, bars, taverns, brew pubs, breweries, microbreweries, distillery pubs, wineries, tasting rooms, special licensees, clubs, and other places of public accommodation offering alcoholic beverages for on-premises consumption, referred to asBars, may operate with the lesser of 25% of the posted occupancy limit or 50 patrons, whichever is less, per room. If the establishment also ensures access to food from a licensed retail food establishment for on-premise consumption, it may operate at the lesser of 50% of the posted occupancy limit or no more than 50 patrons indoors, per room, within their usable space calculated using the Social Distancing Space Calculator. Extra large establishments may expand to no more than 100 patrons indoors, per room, within their usable space calculated using the Social Distancing Space Calculator. All establishments shall follow the Restaurant requirements contained in Appendix H.
  2. Effective July 1, 2020, paragraph 2 in this Section II.C is rescinded, and only Bars that offer food from a licensed retail food establishment for on-premise consumption and follow theRestaurant requirements in Appendix I of this Order, including seating all patrons at tables a minimum of 6 feet apart, may operate up to 50% of the posted occupancy limit or 50 patrons indoors, whichever is less, per room. Extra large establishments may expand to no more than 100 patrons indoors within their usable space calculated using the Social Distancing Space Calculator. All otherBars are closed to ingress, egress, use, and occupancy by members of the public, but may offer alcoholic beverages with food service offered through delivery service, window service, walk-up service, drive-through service, drive-up service, curbside delivery or any manner set forth in that PHO and in accordance with mandatorySocial Distancing Requirements.
  3. Effective July 23, 2020, pursuant to Executive Order D 2020 142, all licensees contained in Articles 3,4, and 5 of Title 44 of the Colorado Revised Statutes must cease alcohol beverage sales to end consumers at 10:00 P.M. MDT each day.

D. All Non-Critical Retail, as defined in Section III below, may operate and offer goods through delivery service, window service, walk-up service, drive-through service, drive- up service,curbsidedelivery,oranyothermannerallowingforstrictcompliancewith mandatory socialdistancingrequirements,similartotherequirementsforCriticalRetail.

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Additional requirementsforCriticalandNon-CriticalRetailarecontainedinAppendixAof this Order.

E. All Field Services, including real estate, may resume operations, in accordance with the requirements of this Order including Appendix B. Real estate includes in-person real estate showings and marketing services which must adhere to Social DistancingRequirements withcleaninganddisinfectionbetweeneachshowing,butmaynot hold open houses.

F. Other health care services not covered by Executive Order 20 045 Voluntary or Elective Surgeries or Procedures and extended by Executive Order D 2020 080, in certain limited healthcaresettingsmayresumeifdoneinaccordancewiththerequirementsof Appendix E.

G. Non-Critical Retail and limited Personal Services may continue in- person servicesiftheymeettherequirementsinCDPHEOrder20-28outlinedforthese servicesin AppendicesAandDoftheCDPHEOrder.

H. Effective May 4, 2020, the following businesses may reopen in accordance with therequirementsofthisOrder:

  1. Non-Critical Office-Based Businesses operating in an office and not a production environment, as defined in Section III below, may allow up to fifty(50) percentoftheiremployeestoconductin-personworkthattakes placeoutsideaprivate residenceinaccordancewiththerequirementsin SectionII.Ibelowandtheadditional requirementsoutlinedinAppendix C.
  2. Non-Critical Manufacturing operating in a production environment with no more than ten (10) employees that comply with the requirements in Section II.I below and the additional requirements in Appendix G. Effective June 18,2020,Non-Critical Manufacturingmayoperateat50%capacitynotto exceed 50 employees per room.

I. All Business and Government Functions. All Businesses and Government Functions shall all follow the protocols below:

1. Employers and sole proprietors shall take all of the following measures within the workplace to minimize disease transmission, in accord with the

CDPHE Guidance:
a. deputize a workplace coordinator(s) charged with

addressing COVID-19issues;
b. maintain 6 foot separation between employees and discourage

shared spaces;
c. clean and disinfect all high touch areas;
d. post signage for employees and customers on good hygiene;
e. ensure proper ventilation;
f. avoidgatherings(meetings,waitingrooms,etc)ofmorethan10

people or provide sufficient spaces where appropriate distancing can be maintained if larger gatherings are required by law, such as for some government functions like trials;

g. implement symptom monitoring protocols, conduct daily 10

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temperature checks and monitor symptoms in employees at the worksite to the greatest extent possible, or if not practicable, through employee self-assessment at home prior to coming to the worksite. A sample form can be found here. If an employee reports any symptoms, refer symptomatic employees to theCDPHE Symptom Tracker and take all of the following steps:

  1. send employee home immediately;
  2. increase cleaning in your facility and require socialdistancingofstaff atleast6feetapartfromoneanother;
  3. exclude employee until they are fever-free, withoutmedication, for 72 hours and 10 days have passedsince their first symptom; and
  4. if two or more employees have these symptoms, consultCDPHE’s outbreak guidance, contact your local health department andcooperateinanydiseaseoutbreak investigations; and

h. eliminate or regularly clean and disinfect any items in common spaces, such as break rooms, that are shared between individuals, suchas condiments,coffeemakers,vendingmachines.

  1. Employers shall take all of the following measures regarding employees to minimize disease transmission:
    1. require employees to stay home when showing any symptoms or signs of sickness, which include fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, and diarrhea and connect employees to company or state benefits providers;
    2. provide work accommodations for people who are at risk of severe illnessfromCOVID-19whoremainsubjecttoStayat Home advisement, prioritizing telecommuting, as people who are at risk for severe illness from COVID-19 shall not be compelled togoto workduringthependencyofthispandemicemergency;
    3. provide, to the greatest extent possible, flexible or remote scheduling for employees who may have child or elder care obligations, or who live with a person who still needs to observe Stay at Home due to underlying condition, age, or other factor;
    4. encourage and enable remote work whenever possible;
    5. encourage breaks to wash hands or use hand sanitizer;
    f. phase shift and breaks to reduce density; and
    g. provide appropriate protective gear like gloves, masks, and facecoverings as defined by OSHA industry standards and require face coverings for all employees in public indoor spaces pursuant to Executive Order D 2020 138.
  2. Employers and sole proprietors shall implement the following measures regarding customers to minimize disease transmission:
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  1. Create, whenever possible, special hours for people who are at risk of severeillnessfromCOVID-19only;
  2. encourage 6 foot distancing inside of the business for all patrons;
  3. encourage customer use of protection like gloves andface coverings;
  4. provide hand sanitizer at the entrances to the greatest extentpossible; and
  5. use contactless payment solutions, no touch trash cans, etc.whenever possible.

4. Employers with over fifty (50) employees in any one location shall, in addition to the above requirements, implement the following protocols:

a. implement employee screening systems that follow the requirements ofSectionII.I.1.gaboveinoneofthefollowing ways:

i.

Set up stations at the worksite for symptom screening and temperaturechecks; or

ii. Create a business policy that requires at-home employee self- screeningeachworkdayandreportingoftheresults to the employer prior to entering the worksite;

  1. close common areas to disallow gatherings of employees;
  2. implement mandatory cleaning and disinfection protocols; and
  3. require mandatory adherence to Social Distancing Requirements.

J. Work Accommodations. Employers must provide reasonable work accommodations for people who are at risk of severe illness from COVID-19 who are still under the Stay at Home advisement, such as telecommuting. Employers are encouraged to provide reasonableworkaccommodationsforindividualswhoresidewithorarecaringfor peoplewho areatriskofsevereillnessfromCOVID-19,orfacingchildcareneedswhile schoolsremain closed.

K. Children’s Day Camps, Residential Camps and Youth Sports Camps.

1. Effective June 1, 2020, children’s day camps, youth sports camps and exemptsingleskill-buildingyouthcampsmayopeninaccordancewiththe requirements in Appendix J of this Order.

2. Effective June 18, 2020, residential camps may operate with groups of 10 indoors and 25 outdoors, and must follow the requirements of Appendix J of this Order.

L. Specific Industry Requirements. Additional requirements for specific industries are included in the following Appendices to this Order:

  1. Appendix A: Critical and Non-Critical Retail Requirements
  2. Appendix B: Field Services
  3. Appendix C: Non-Critical Office-Based Businesses
  4. Appendix D: Personal Services
  5. Appendix E: Limited Healthcare Settings
  6. Appendix F: Critical Businesses
  7. Appendix G: Non-Critical Manufacturing
  8. Appendix H: Restaurants and Bars
  9. Appendix I: Children’s Day Camps, Residential Camps, Youth Sports 12

Day Camps and Exempt Single Skill-Building Youth Camps

10. 11. 12.

M.

Appendix J: Outdoor Recreation Appendix K: Places of Worship Appendix L: Fitness Facilities

Places of Worship. Places of worship are encouraged to implement electronic platforms to conduct services whenever possible. In accordance with the approved Variance, services are limited to no more than 50% of the posted occupancy code limit ensuring a minimum of 28 square feet per person or between groups of a single household of 10 people or less, not to exceed more than 175 people gathered in a confined indoor space at any given time to allow for Social Distancing Requirements. Indoor usable space calculated using the Social Distancing Space Calculator on CDPHE website. For outdoor worship services, a house of worship must maintain 6 feet distance between non-household members and work with the appropriate local authority to obtain approval for the maximum number of individuals who may attend in the designated outdoor space. Further guidance can be found in Appendix K of this Order. In addition to meeting the requirements of Section II.I of this Order, places of worship shall also meet the following requirements:

1. Face coverings are required pursuant to Executive Order D 2020 138 for all individuals in public indoor settings, including houses of worship, and are encouraged for all individuals participating in outdoor worship services, unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is participating in one of the activities described in Section II.M of Executive Order D 2020 138.

Houses of worship should follow the Colorado Department of Health and Environment Cleaning Guidance, as well as the CDC guidelines for Cleaning and Disinfecting Your Facility in preparing their buildings prior to,during,andfollowing anygathering.Restroomsandtheworship space,particularlyanymetalorplasticon chairs,andallhightouch surfacesorsharedobjectsmustbecleanedanddisinfected between services.

2.

III. Definitions

A.

1. Engaging in activities or perform tasks essential to their health and safety, or to the health and safety of their family or household members, including, but not limited to, pets and livestock, such as, by way of example only and without limitation, obtaining medical supplies, walking your dog, feeding barnyard animals, obtaining durable medical equipment, obtaining medication, visiting a healthcare professional, or

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Necessary Activities. For purposes of this Order, individuals are encouragedto onlyleavetheirResidencetoperformanyofthefollowingNecessary Activities, provided they comply at all times and to the greatest extent possible with Social Distancing Requirements below. People at risk of severe illness from COVID- 19areurgednottoleavetheirresidence exceptasnecessarytoreceivemedicalcare. Peoplewhoaresickmustnotleavetheirresidence exceptasnecessarytoreceive medical care, and must not go to work, even for a Critical Business. Necessary Activities include:

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B.

2.

3.

Obtaining necessary services or supplies for themselves and their family or household members, or to deliver those services or supplies to others, such as, by way of example only and without limitation, food, pet supply, other household consumer products, and products or equipment necessary to maintain the safety, sanitation, and essential operation of a Residence.

Engaging in outdoor activity, such as, by way of example and without limitation, walking, hiking, nordic skiing, snowshoeing, biking or running. For purposes of outdoor activity, State parks will remain open to the public who live in the vicinity to engage in walking, hiking, biking, running, camping and similar outdoor activities, basketball and tenniscourtsmaybeopenforuse.Forother parks,checkwiththelocal jurisdictionandfollowanyrequirementsforthat jurisdiction.Forski resorts, the local public health agency must approve the ski resort’s plan prior to opening. Additionally, the permitted outdoor activities in this PHO do not include activities that would violate the Social Distancing Requirements defined in Section III, below.

Performing work providing for businesses, government entities, and industries authorized Section II of this Order, or to otherwise carry out activities permitted in this Order.

Caring for a family member, a vulnerable person, or pet in another household,or tocareforlivestockkeptatalocationotherthananindividual’s home.

4.

5.

obtaining supplies they need to work from home.

Necessary Travel. For purposes of this Order, travel is Necessary for any of the followingpurposes:(1)providingoraccessingNecessaryActivities,MinimumBasic Operations, CriticalGovernmentFunctions,andCriticalBusinesses,andotherbusinessesor industries authorizedinSectionIIofthisOrder;(2)receivingmaterialsfordistance learning,forreceiving meals,andanyotherrelatedservicesfromeducationalinstitutions; (3)returningtoaplaceof residencefromoutsidethejurisdiction;(4)travelrequiredbylaw enforcementorcourtorder;(5) traveltotransportchildrenbetweenseparatehouseholds pursuanttoaparentingplanorother agreementgoverningparentalresponsibilities;(6)non- residents returning to their place of residence; (7) moving to a new residence, including individualswhoseResidenceisunsafedueto domesticviolenceconcerns.

C. Critical Business. Any business, including any for profit or non-profit, regardless ofitscorporatestructure,engagedprimarilyinanyofthecommercial, manufacturing,orservice activitieslistedinAppendixF,mustcontinuetocomplywiththe guidance and directives for maintaining a clean and safe work environment issued by the CDPHEand LAHCDHD.

D. Critical Government Functions. The provision, operation and support ofthe followingstateandlocalgovernmentfunctionsshallcontinue:

1. Public safety (police stations, fire and rescue stations, 14

correctional institutions, emergency vehicle and equipment storage, and, emergencyoperation centers)

  1. Emergency response
  2. Judicial branch operations including state and municipal

courts, includingattorneys,experts,witnesses,partiesandanypersonnel necessaryfortrials, courtappearances,orothercourtbusiness. TheJudicial branchisencouragedtomake remoteparticipationavailabletothegreatest extent possible.

4. The Colorado General Assembly, legislative bodies of municipal governments,andexecutivebranchfunctions

5. Emergency medical (hospitals, ambulance service centers, urgent carecentershavingemergencytreatmentfunctions,andnon- ambulatory surgical structures but excluding clinics, doctors offices, and non-urgentcaremedical structuresthatdonotprovidethesefunctions)

  1. Designated emergency shelters
  2. Communications (main hubs for telephone, broadcasting

equipment forcablesystems,satellitedishsystems,cellularsystems,television, radio,andother emergencywarningsystems,butexcludingtowers,poles,lines, cables, and conduits)

8. Public utility plant facilities for generation and distribution (drinking waterandwastewaterinfrastructure,hubs,treatmentplants, substationsandpumping stationsforpowerandgas,butnotincludingtowers, poles,powerlines,andoiland gasburiedpipelines)

9. Transportation. All public and private airports, airlines, taxis, transportation network companies (such as Uber and Lyft), vehicle rental services, paratransit,andotherprivate,public,andcommercialtransportation and logistics providers necessary for Necessary Activities

10. Transportation infrastructure (aviation control towers, air traffic controlcenters,andemergencyequipmentaircrafthangars),critical road constructionandmaintenance

  1. Hazardous material safety
  2. Services to at-risk populations and people who are at risk of

severe illness from COVID-19

13. Activities related to federal, state, and local elections, including any requiredactsofapoliticalparty,providedSocialDistancingRequirements are observedtothegreatestextentpossible

14. Any government service, state or local, required for the public health andsafety,governmentfunctionality,orvitaltorestoringnormalservices

15. Election operations, including but not limited to election judges, signaturegatherers/circulators,campaignworkersandvolunteers

E.

F. Gym means a building or room used for indoor sports or exercise, such as fitness, dance, exercise or group classes, exercise studios and centers, recreation centers, bowlingalleys,pools,andotherindoorathleticfacilities.

Field Services means a service that is being provided out in the field as opposed to a company property, including third party private properties, such as a third party household.

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G. Horse track means a licensed race track, which is any premises licensed pursuanttothisArticle32ofTitle44oftheColoradoRevisedStatutesfor theconductof racing.Sections44-32-102(2)(a),(2)(b),(3),(8)&(24),C.R.S.

H. Minimum Basic Operations. The minimum necessary activities to (1) maintain the value of the business’s inventory, ensure security, process payroll and employee benefits, or for related functions; or (2) facilitate employees of the business being able to continue to work remotely from their residences are allowable pursuant to this Order; continue filling online product orders and to process customer orders remotely. Any businesssupporting MinimumBasicOperationsmustcomplyatalltimeswithSocial Distancing Requirements.

I. Non-Critical Office-Based Business means any commercial business that is conductedinanofficeandnotaproductionenvironmentandisnotincludedinthelist of CriticalBusinessesinAppendixF.

J. Non-Critical Retail means any retail service that is not included in the list of critical retail services in Appendix F. Examples of Non-Critical Retail include retailers of clothing, home goods, cell phone stores, mattresses, appliances, thrift shops, apothecaries, vape andtobaccoshops,craft,hobbyandfabricstores,fishingtackleretailers,sporting goods, boutiques,etc.

K. Limited Healthcare Settings means those locations where certain healthcare services are provided, including acupuncture (not related to personal services), athletic training (not related to personal services), audiology services, services by hearing aid providers, chiropractic care, massage therapy (not related to personal services), naturopathic care, occupational therapy services, physical therapy, and speech language pathology services. These individual services may only be performed with 50 or fewer people in a common business space at a maximum of 50% occupancy for the location, whichever is less, including both employees and patients, e.g. 5 chiropractors providing services to 5 customers, withSocial Distancing Requirements in place of 6 feet distancing between customers receiving services. Employees must wear medical grade masks at all times, and patients must wear at least a cloth face covering at all times, unless the individual cannot medically tolerate a face covering, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties, or if the service provided requires removal of the customer’s face covering. Services provided in Limited Healthcare Settings that are ordered by a medical, dental or veterinary practitioner, are subject to the requirements of Reference PHO 20-29; otherwise, the services are subject to the requirements of PHO 20-28.

L. Personal Services means services and products that are not necessary to maintain an individual’s health or safety, or the sanitation or essential operation of a business or residence. Personal Services include, but are not limited to, pastoral services except as specified in Appendix F, personal training, dog grooming, or body art and also applies to noncritical professionals regulated by the Division of Professions and Occupations, within the Department of Regulatory Agencies (DORA) including but not limited to services provided by

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personal beauty professionals such as hairstylists, barbers, cosmetologists, estheticians, nail technicians, as well as massage therapists, whose work requires these professionals to be less than six feet from the person for whom the services are being provided. Massage therapy services ordered by a healthcare professional should consult Executive Order D 2020 027.These individual services may only be performed with 10 or fewer people in a common business space at a maximum of 50% occupancy for the location, whichever is less, including both employees and customers, e.g. 5 hairstylists providing services to 5 customers, with Social Distancing Requirements of at least 6 feet distancing between different customers receiving services. Both employees and customers must wear at least a cloth face covering or a medical grade mask at all times, unless the individual cannot medically tolerate a face covering, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties, or if the service provided requires removal of the customer’s face covering.

• Effective June 4, 2020, individual personal services may be performed at 50% of the posted occupancy limit not to exceed 50 people in a common business space.

M. “Safer at Home” means individuals stay in your place of residence as much as possible,andavoidunnecessarysocialinteractions.

N. Social Distancing Requirements. To reduce the risk of disease transmission, individualsshallmaintainatleastasix-footdistancefromotherindividuals, wash hands with soap and water for at least twenty seconds as frequently as possible or using hand sanitizer, cover coughs or sneezes (into the sleeve or elbow, not hands), regularlycleanhigh-touch surfaces,andnotshakehands.

O. Stay at Home means to stay in your place of residence, which includes hotels, motels, and shared rental facilities, and not leave unless necessary to provide, support, perform,oroperateNecessaryActivities,MinimumBasicOperations,Critical Government Functions,andCriticalBusinesses.

P. “Vulnerable Individual”, also known as an individual at risk of severe illness from COVID-19, means:

  1. Individuals who are 65 years and older;
  2. Individuals with chronic lung disease or moderate to severe asthma;
  3. Individuals who have serious heart conditions;
  4. Individuals who are immunocompromised;
  5. Pregnant women; and
  6. Individuals determined to be high risk by a licensed healthcareprovider.

IV. Postsecondary Institutions.

Programs and courses at postsecondary institutions may resume in-person classes at 50% of the occupancy limit not to exceed 50 people per room. If the room is extra large, the institution may allow up to 100 people indoors within their usable space calculated using the Social Distancing Space Calculator. Institutions that wish to resumeprovidingin-personinstructionmustinform theColoradoDepartmentof

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HigherEducation,ensurethatSocialDistancingRequirementsare strictlyfollowed, andconsulttheColoradoDepartmentofHigherEducation’sguidelinesfor further information. Institutions must follow the requirements for indoor events listed in Section I.H.4 of this Order.

V. Enforcement

Failure to comply with this order is subject to the penalties contained in sections C.R.S. §§25-1- 516 and 18-1.3-501, including a fine of up to five thousand (5,000) dollars and imprisonment in the county jail for up to eighteen months.

VI. Severability

If any provision of this Order or the application thereof to any person or circumstance isheldto beinvalid,thereminderoftheOrder,includingtheapplicationofsuchpart orprovisiontoother personsorcircumstances,shallnotbeaffectedandshallcontinue in full force and effect. To this end, the provisions of this Order are severable.

VII. Duration

This Amended and Restated Public Health Order will become effective at 12:01AM on Friday August 8, 2020 unless otherwise specifically provided for herein, and will remainin effectuntilfurthernotice.

By: _____________________________________

Kimberly Gonzales,
Las Animas Huerfano Counties District Health Department
August 7, 2020

Appendix A. Critical and Non-Critical Retail Requirements Appendix B. Field Services
Appendix C: Non-Critical Office-Based
Businesses AppendixD:PersonalServices

Appendix E: Limited Healthcare Settings
Appendix F: Critical Businesses
Appendix G: Non-Critical Manufacturing
Appendix H: Restaurants and Bars
Appendix I: Children’s Day Camps, Residential Camps, Youth Sports Day Camps And Exempt Single Skill-Building Youth Camps

Appendix J: Outdoor Recreation
Appendix K: Places of Worship (Local Variance) Appendix L: Fitness Centers (Local Variance)

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APPENDIX A. CRITICAL AND NON-CRITICAL RETAIL REQUIREMENTS

I. Effective April 27, 2020, in addition to meeting the requirements of this Order, and specifically Section II.I, Non-Critical Retail may operate and offer goods through delivery service, window service, walk-up service, drive-through service, drive-up service, curbside delivery, or any other manner allowing for strict compliance with mandatory Social Distancing Requirements, except as prohibited or limited by this Order. Restricting interactions to curbside pick-up or delivery minimizes touch. Non-Critical Retailers are encouraged to continue curbside pick-up or delivery for longer term service wherever possible. Critical and Non-Critical Retailers must implement the requirements in Section II.I, in addition to the specific requirements in this Appendix. Indoor malls are addressed separately in Section III of this Appendix.

A. Critical and Non-Critical Retail must implement the following measures within the workplace to minimize disease transmission:

1. Elevate and increase frequency of cleaning practices, including cleaning and disinfection of high touch areas.
2. Restrict return policy to only items that can be properly sanitized prior to re-selling.
3. Post signage for employees and customers on good hygiene and
other sanitation practices.

B. Critical and Non-Critical Retail must implement the following measures regarding employees to minimize disease transmission:

1. Provide guidance and encouragement on maintaining 6 foot
distancing between both employees and employees and customers.
2. Provide appropriate face coverings and gloves to all employees whenever possible, and also allow employees who can to provide their own appropriate face coverings and gloves for work activities. Pursuant toExecutive Order D 2020 138, face coverings are required in public indoor spaces unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is performing one of activities listed in Section II.M of Executive Order D 2020 138.
3. Encourage frequent breaks to allow employees to wash or sanitize
their hands.

4. Require employees to stay home when showing any symptoms or signs of sickness.
5. Provide personal protective equipment (PPE) for employees who
are managing deliveries, returns, etc.

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C. Employers must implement the following measures regarding customers to minimize disease transmission:

1. Require 6 foot distancing measures wherever possible, such as
marked space in pick up lines, and
2. Require face coverings for all customers in public indoor spaces unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is performing one of activities listed in Section II.M of Executive Order D 2020 138.

II. Effective May 1, 2020, Non-Critical Retail may open at fifty percent (50%) capacity for in-person services if the business can demonstrate compliance with all of the following requirements:

A. Critical and Non-Critical Retail must continue implementing the measures within the workplace listed in Section I.A of this Appendix A, and in addition:

  1. maintain 6 foot distancing between patrons and employees;
  2. effectively symptom monitor employees as listed in Section II.I;
  3. provide face coverings, and gloves as necessary and appropriate,

to employees;
4. ensure ability to adequately clean and disinfect both back-room and retail spaces; and
5. provide dedicated, in-store hours for vulnerable or at-risk individuals.

B. Critical and Non-Critical Retail must implement the measures regarding employees listed in Section I.B of this Appendix A.

C. Critical and Non-Critical Retail must implement the measures to minimize disease transmission for customers listed in Section I.C of this Appendix A in addition to the following measures:

1. limit the number of customers on the premises as needed to make 6 foot distancing between customers attainable;
2. provide decals and demarcation for waiting area in lines that meet social distancing criteria;

3. create signage encouraging vulnerable and at-risk individuals to refrain from shopping outside of dedicated hours set aside for those who are more vulnerable or at-risk;
4. create signage to encourage the use of masks and gloves by customers while on the premises; and
5. provide hand sanitizer and wipes at entrances and other high-

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traffic locations to the greatest extent possible.

III. Retail Markets and Malls. Indoor and outdoor market operators and indoor mall operators shall follow the indoor or outdoor event guidance, as appropriate. Individual vendors operating within these venues must follow the Retail requirements.

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APPENDIX B: FIELD SERVICES

I. Effective April 27, 2020, Field Services may resume if the business can demonstrate compliance with the requirements in Section II.I of this Order, in addition to the following requirements specific to Field Services:

A. Employers must implement the following measures regarding employees to minimize disease transmission:

1. adhere to all general rules or guidance on social gathering
limitations when working out of the office;
2. implement procedures for field-based employees to monitor for
symptoms and report-in to management daily on health status.
3. comply with the Social Distancing Requirements and maintain a 6
foot distance between employees and from their customers;
4. provide gloves and masks for any customer interactions or work
being done in third-party home, office spaces, or other public indoor spaces;
5. When scheduling or conducting field services, either the employer or an employee must inquire whether third-party homes have individuals symptomatic for COVID-19 or have been in contact with known positive cases, and exercise caution when inside the home and interacting with anyone in the home if they
do;
6. maintain a detailed log of customer interactions to enable contact tracing if it becomes necessary. The log should include name, date, and location of contact, as well as the contact’s phone number and/or email address;

  1. require that all tools or equipment be sanitized after each customer visit;.
  2. prioritize work accommodations for individuals at risk of severe

illness from COVID-19, prioritizing telecommuting;
9. provide guidance and encouragement on personal sanitation, including frequently washing hands. This guidance should include all of the following:

a. frequently and thoroughly wash your hands with soap and water for at least 20 seconds. If soap and water are not available, use hand sanitizer with at least 60% alcohol;
b. cover coughs and sneezes with a tissue, then throw the tissue in the trash, or use your inner elbow or sleeve;

c. avoid touching your eyes, nose, and mouth with unwashed hands; d. stay home if you’re sick, and keep your children home if they
are sick; and
e. clean high touch surfaces in your home, and personal items such as cell phones, using regular household products; and

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10. real estate open houses must follow the indoor events requirements in Section I.H.4 of this Order.

B. Employers must implement the following measures regarding customers to minimize disease transmission:

  1. provide estimates, invoices, receipts, and other documentationelectronically to negate the need for paper;
  2. provide contactless payment options in the field whenever possible;
  3. encourage customers to maintain 6 foot distancing from field serviceemployees; and
  4. encourage customers to use facial coverings when field services are beingconducted and pursuant to Executive Order D 2020 138 require face coverings if the services are provided in a public indoor space unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is performing one of activities listed in Section II.M of Executive Order D 2020 138.

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APPENDIX C: NON-CRITICAL OFFICE-BASED BUSINESSES

I. Effective May 4, 2020, Non-Critical Office-based Businesses may resume at fifty percent (50%) of their in-office occupancy if the business can demonstrate compliance with the requirements of this Order, including Section II.I, and all of the following:

A. Employers must implement the following measures within the workplace to minimize disease transmission:

  1. ensure a minimum of 6 feet of space between all desks and workspaces;
  2. modify the flow of people traffic to minimize contacts, such as identifying

doors for entry or exit only;
3. conduct standard office cleaning with increased frequency and supplement with sanitization of high touch areas, in accord with CDPHE guidelines;
4. provide employees with cleaning and disinfecting products and guidance on daily workspace cleaning routines; and
5. post signage for employees and customers on good hygiene and
new office practices.

B. Employers must implement the following measures regarding employees to minimize disease transmission:

1. maintain in-office occupancy at no more than 50% of total by
maximizing use of telecommuting and developing in-office rotation schedules;
2. minimize the number of in-person meetings and maintain 6 foot distancing in those meetings;
3. provide guidance and encouragement on maintaining 6 foot distancing and taking breaks to wash hands;
4. pursuant to Executive Order D 2020 138, require face coverings for all employees, volunteers, and vendors in public indoor spaces unless the
individual is 10 years of age or younger, cannot medically tolerate a face covering, or is performing one of activities listed in Section II.M of Executive Order D 2020 138;

  1. require gloves and masks for any customer interactions; and
  2. allow telecommuting to the greatest extent possible.

C. Employers must implement the following measures regarding customers to minimize disease transmission:

1. require 6 foot distancing measures wherever possible, such as marked space in check-out lines;

2. pursuant to Executive Order D 2020 138, require face coverings for all 24

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customers in public indoor spaces unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is performing one of activities listed in Section II.M of Executive Order D 2020 138;

  1. provide hand sanitizer at entrances and other high-traffic locations; and
  2. implement hours where service is only provided to individuals at risk of

severe illness from COVID-19 if possible.

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APPENDIX D: PERSONAL SERVICES

I. Effective May 1, 2020, Personal Services may resume if the business can demonstrate compliance with the requirements of this Order, including Section II.I, and all of the following:

A. Employers and sole proprietors must implement the following measures within the workplace to minimize disease transmission:

1. Employ strict hygiene guidelines and cleaning and disinfection procedures for all contact surfaces and tools, in accordance with CDPHE Worker and
Customer Protection Guidelines for Non-Healthcare Industries;

2. Ensure a minimum of 6 feet of separation between clients and customers, including services for pets, when not directly performing service;
3. Post signage for employees and customers on good hygiene and safety measures being taken;

4. Minimize in-home and in-facility services with remote
alternatives whenever possible, such as drive-by services or virtual meetings; and
5. Through June 3, 2020, limit individuals, including employees and customers, to no more than 10 people in a common business space at a maximum of 50% occupancy. Effective June 4, 2020, limit individuals including employees and customers, to no more than 50 people in a common business space at a maximum of 50% occupancy. All businesses offering services through employees or lessees in individual rooms must comply with the requirements of this Order for each room.

B. Employers must implement the following measures regarding employees to minimize disease transmission:

1. Services with close personal contact, such as beauty professionals, massage, etc., must implement the following:

a. wear a face covering and gloves at all times, or, if wearing gloves is not feasible or appropriate, meticulous hand washing;
c. change gloves and wash hands between every individual or pet served;

d. clean and disinfect all shared equipment and tools between every individual or pet served; and maintain a detailed log of customer interactions to enable contact tracing if it becomes necessary. The log should include name, date, details of services

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performed, and location of contact, as well as the contact’s phone number and/or email address.
e. As of June 18, 2020, for services where the client cannot wear a mask (facials, beard trims, etc.), the employee or practitioner is strongly encouraged to wear a medical-grade mask whenever possible, and must wear a face shield in addition to their mask.

2. Personal services with low personal contact, such as movers or repair services, must implement the following:

a. maintain a minimum of 6 feet of separation between customers and adhere to social gathering limits of no more than 10 people;
b. require face coverings and, if feasible, gloves for any customer interactions; and
c. provide guidance on strict hygiene precautions to employees.

C. Personal Services must implement the following measures regarding customers to minimize disease transmission:

1. provide customer services by appointment only, do not allow walk- ins or waiting for an appointment, and limit all group classes of any kind for individuals or for pets, pet training classes, or other activities associated with picking up pets to no more than 10 customers at a time and all following Social Distancing Requirements;

2. require customers to wear face coverings, except

  1. for personal training in a pool,
  2. if the service being performed requires the removal of a mask

(e.g. a facial, lip waxing or beard trim), or
c. where the individual cannot medically tolerate a face

covering, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties; and

d. if a customer does not have a mask, a “disposable mask” could be provided;

3. conduct symptoms check for all customers of services with close personal contact and decline to provide services to anyone who has symptoms. A sample form can be found here; and
4. provide contactless payment options whenever possible.

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APPENDIX E: LIMITED HEALTHCARE SETTINGS

I. Effective April 27, 2020, Limited Healthcare Settings may resume if the healthcare entity can demonstrate compliance with the requirements of this Order, including Section II.I and may restart voluntary and elective surgeries and procedures in limited healthcare facilities and offices with required personal protective equipment (PPE) in accord with the priorities, requirements, and specific criteria below.

A. EmployersandsoleproprietorsofLimitedHealthcareSettingsmustimplementthe following measures within the overall workplace, including administrative and front office operations, to minimize disease transmission:

  1. The practice must have access to adequate PPE in order to sustain recommended PPE use for its workforce for two weeks without the need for emergency PPE-conserving measures. If a practice proposes to extend the use of or reuse PPE, it must follow CDC guidance.1
  2. The practice must implement strict infection control policies as recommended by the CDC.2
  3. The practice must ensure a minimum of 6 feet of separation between clients and patients, when not directly performing service, with no more than ten (10) people in a common business space at a maximum of 50% occupancy, and all settings offering services in individuals rooms must comply with the requirements of this Order for each room.
  4. The practice must post signage for employees and patients on good hygiene and safety measures being taken.
  5. The practice must minimize in-home and in-facility services with remote alternatives whenever possible, such as drive-by services or virtual meetings.
  6. Practices must maintain a plan to reduce or stop voluntary and elective surgeries and procedures should a surge/resurgence of COVID-19 cases occur in their region.

B. EmployersofLimitedHealthcareSettingsmustimplementthefollowingmeasures regarding employees to minimize disease transmission:

  1. Services with close, direct personal contact must implement the following:
    1. wear medical grade mask and gloves at all times;
    2. change gloves and wash hands between every patient;
    3. clean and disinfect all shared equipment and tools between every patient;and
    4. maintain a detailed log of patient interactions to enable contact tracing if itbecomes necessary. The log should include name, date, details of servicesperformed, and location of contact, as well as the contact’s phone number
    5. As of June 18, 2020, for services where the client cannot wear a mask, the employee or practitioner must wear a face shield in addition to their mask.
  2. Services with low personal contact must implement the following:

a. maintain a minimum of six 6 feet of separation between customers and

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2 https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html28

https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html
page28image25024

limit to no more than ten (10) people in a common business space at a

maximum of 50% occupancy.

  1. require face coverings and, if feasible, gloves for any customerinteractions; and
  2. provide guidance on strict hygiene precautions to employees.

3. The practice must require all administrative personnel to wear a facemask, that can be cloth if necessary, except where doing so would inhibit that individual’shealth, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties . Masks may be removed when social distancing of at least 6 feet if possible (e.g., after entering a private office). In order to ensure staff can take off their masks for meals and breaks, scheduling and location for meals and breaks should ensure that at least a 6-foot distance can be maintained between staff when staff needs to remove their mask. It is important for healthcare settings to emphasize that hand hygiene is essential to maintaining employee safety, even if staff are wearing masks. If the facemask is touched, adjusted or removed, hand hygiene should be performed.

C. LimitedHealthcareSettingsmustimplementthefollowingmeasuresregarding customers to minimize disease transmission:

  1. The practice must provide services by appointment only, do not allow walk-ins or waiting for an appointment;
  2. The practice must require patients to wear face coverings; if a patient does not have a mask, a “disposable medical mask” could be provided;
  3. The practice must conduct symptom checks for all patients, decline to provide services to anyone who has symptoms, and refer them to their primary care physician. A sample form can be found here; and
  4. The practice must provide contactless payment options whenever possible;
  5. The practice must follow social distancing protocols of maintaining at least a6-foot distance between individuals wherever possible such as in waiting rooms and other small spaces, and should use physical barriers within patient care areas when possible.
  6. The practice must appropriately schedule patients, so that providers have sufficient time to change PPE and ensure rooms and equipment can be cleaned and disinfected between each patient.
  7. The practice should continue to maximize the use of telehealth and virtual office or clinic visits.
  8. The practice should use virtual waiting rooms when possible, with patients who are able to wait in their cars not entering the office until they can be moved immediately to an exam room.
  9. The practice should implement source control for everyone entering the office or clinic, including requiring all patients and visitors to wear a cloth mask when entering any healthcare building, and if they arrive without a mask, one should be provided.

D. As best practice, it is recommended that once voluntary and elective surgeries and procedures resume, Limited Healthcare Settings reassess their operations every two weeks, in order to ensure:

1. Alloftheaboveapproachesandcriteriaarebeingmet;
2. Procedures are prioritized based on whether their continued delay will have an

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adverse health outcome.

a. Voluntary and elective surgeries and procedures should be prioritized3

based on indication and urgency ;

  1. Strong consideration is given to the balance of risks versus benefits for patients inhigher-risk groups such as those over age 65 and those with compromisedimmune systems or lung and heart function;
  2. All patients are pre-screened for COVID-19 risk factors and symptoms prior todelivering care, via telehealth when applicable; and
  3. Compliance with the guidance and directives for maintaining a clean and safework environment issued by the CDPHE and any applicable local health department for critical businesses is maintained, including compliance with Social Distancing Requirements and all PHOs currently in effect to the greatest extent possible.

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APPENDIX F: CRITICAL BUSINESSES

Critical Business. Any business, including any for profit or non-profit, regardless of its corporate structure, engaged primarily in any of the commercial, manufacturing, or service activities listed below, may continue to operate as normal. Critical Businesses must comply with the guidance and directives for maintaining a clean and safe work environment issued by the Colorado Department of Public Health and Environment (CDPHE) and any applicable local health department. Critical Businesses must comply with Social Distancing Requirements and all PHOs currently in effect to the greatest extent possible and will be held accountable for doing so. Critical Businesses do NOT include health clubs as defined in C.R.S. § 6-1-102(4.6), fitness and exercise gyms, and similar facilities, or any of the other businesses required to close by CDPHE Order 20-22.

“Critical Business” means:
1. Healthcare Operations, Including:

  • ●  Hospitals, clinics, and walk-in health facilities
  • ●  Medical and dental care, including ambulatory providers
  • ●  Research and laboratory services
  • ●  Medical wholesale and distribution
  • ●  Home health care companies, workers and aides
  • ●  Pharmacies
  • ●  Pharmaceutical and biotechnology companies
  • ●  Behavioral health care providers
  • ●  Veterinary care and livestock services
  • ●  Nursing homes, residential health care, or congregate care facilities
  • ●  Medical supplies and equipment manufacturers and providers, includingdurable medical equipment technicians and suppliers
  • ●  Blood banks2. Critical Infrastructure, Including:
  • ●  Utilities and electricity, including generation, transmission, distribution and fuel supply
  • ●  Road and railways
  • ●  Oil and gas extraction, production, refining, storage, transport anddistribution
  • ●  Public water and wastewater
  • ●  Telecommunications and data centers
  • ●  Transportation and infrastructure necessary to support critical businesses
  • ●  Hotels, and other places of accommodation
  • ●  Businesses and organizations that provide food, shelter, social services,and other necessities of life for economically disadvantaged, persons withaccess and functional needs, or otherwise needy individuals
  • ●  Food and plant cultivation, including farming crops, livestock, foodprocessing and manufacturing, animal feed and feed products, rendering, 31

commodity sales, and any other work critical to the operation of any

component of the food supply chain

  • ●  Any business that produces products critical or incidental to theconstruction or operation of the categories of products included in thissubsection
  • ●  Flight schools3. Critical Manufacturing, Including:
  • ●  Food processing, manufacturing agents, including all foods and beverages
  • ●  Chemicals
  • ●  Computers and computer components
  • ●  Medical equipment, components used in any medical device, supplies orinstruments
  • ●  Pharmaceuticals
  • ●  Sanitary products
  • ●  Telecommunications
  • ●  Microelectronics/semiconductor
  • ●  Agriculture/farms
  • ●  Household paper products
  • ●  Any business that produces products critical or incidental to theprocessing, functioning, development, manufacture, packaging, ordelivery of any of the categories of products included in this subsection
  • ●  Any manufacturing necessary to support a Critical Business4. Critical Retail, Including:
  • ●  Grocery stores including all food and beverage stores
  • ●  Farm and produce stands
  • ●  Gas stations and convenience stores
  • ●  Restaurants and bars as authorized in Appendix H of this Order
  • ●  Marijuana dispensary (only for the sale of medical marijuana or curbsidedelivery pursuant to Executive Order D 2020 011).
  • ●  Liquor stores
  • ●  Firearms stores
  • ●  Hardware, farm supply, and building material stores
  • ●  Establishments engaged in the retail sale of food and any other householdconsumer products (such as cleaning and personal care products), excluding retailers of only health and nutrition-related products (vitamins, minerals, supplements, herbs, sports nutrition, diet and energy products)
  • ●  Establishments engaged in the sale of products that support working from home (this exclusion does not include businesses that primarily sell hobby craft supplies)5. Critical Services, Including:
  • ●  Trash, compost, and recycling collection, processing and disposal
  • ●  Mail and shipping services, and locations that offer P.O. boxes
  • ●  Self-serve laundromats and garment and linen cleaning services for critical

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businesses

  • ●  Building cleaning and maintenance
  • ●  Child care services
  • ●  Automobile rental, automobile online sales with no touch deliveryservice, autosupplyandrepair(includingretaildealershipsthatincluderepairand maintenance,butnotinpersonretailsales)
  • ●  Warehouse/distribution and fulfillment, including freight distributors
  • ●  Funeral homes, crematoriums, and cemeteries may operate at 50% ofthe postedoccupancylimitnottoexceed50people,withstrict compliance with Social Distancing Requirements for employees and anyattendees ofservices
  • ●  In-person pastoral services for individuals who are in crisis or in need of end of life services provided social distancing is observed to the greatest extentpossible
  • ●  Places of worship may operate as authorized in Section II.M of this Order
  • ●  Storage for Critical Businesses
  • ●  Animal shelters, animal boarding services, animal rescues,zoological facilities,animalsanctuaries,andotherrelatedfacilities
  • ●  Moving services
  • ●  In person group counseling or recovery meetings for substance abuseor behavioral health following social distancing of 6 feet and no more than 10 participants6. News Media
  • ●  Newspapers
  • ●  Television
  • ●  Radio
  • ●  Other media services7. Financial and Professional Institutions, Including:
  • ●  Banks and credit unions
  • ●  Insurance and payroll
  • ●  Services related to financial markets
  • ●  Professional services, such as legal, title companies, oraccounting services, real estate appraisals and transactions8. Providers of Basic Necessities to Economically Disadvantaged Populations, Including:
  • ●  Homeless shelters and congregate care facilities
  • ●  Food banks
  • ●  Human services providers whose function includes the direct care ofpatients in State-licensed or funded voluntary programs; the care, protection, custody and oversight of individuals both in the community and in State-licensed residential facilities; those operating community shelters and other critical human services agencies providing direct care or support

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9. Construction, Including but not Limited To:

  • ●  Housing and housing for low-income and vulnerable people
  • ●  Skilled trades such as electricians, plumbers
  • ●  Other related firms and professionals who provide services necessaryto maintainthesafety,sanitation,andcriticaloperationofresidences and otherCriticalBusinessesorCriticalGovernmentFunctions,and other essentialservices10. Defense
  • ●  Defense, security, and intelligence-related operations supporting the State ofColorado,localgovernment,theU.S.Governmentora contractorfor anyoftheforegoing
  • ●  Aerospace operations
  • ●  Military operations and personnel
  • ●  Defense suppliers11. Critical Services Necessary to Maintain the Safety, Sanitation and Critical Operations of Residences or Other Critical Businesses, Including:
  • ●  Law enforcement
  • ●  Fire prevention and response
  • ●  Building code enforcement
  • ●  Security
  • ●  Emergency management and response
  • ●  Building cleaners or janitors
  • ●  General maintenance whether employed by the entity directly or avendor (includingmaintenanceandrepairofordinaryhouseholdandbusiness appliancesbutnotin-personretailsalesofsuchproducts)
  • ●  Automotive and bicycle repair
  • ●  Disinfection
  • ●  Snow removal
  • ●  Bail bonds agents
  • ●  Pest control12. Vendors that Provide Critical Services or Products, Including Logistics andTechnologySupport,ChildCareandServices:
  • ●  Logistics
  • ●  Technology support for online and telephone services
  • ●  Child care programs and services
  • ●  Government owned or leased buildings
  • ●  Critical Government Functions13. Educational Institutions that Provide Critical Services to Students and theGeneralPublic:P-12 public school and private schools for the purpose of providing meals, housing, facilitating or providing materials for distance learning,

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and providing other essential services to students, provided that Social

Distancing Requirements are observed.
● Postsecondary institutions, including private and public colleges and

universities, for the purpose of facilitating distance learning, providing in person classroom or laboratory education for less than 10 students per classroom or lab in medical training fields only, or performing essential functions, provided that Social Distancing Requirements are observed, such as security, medical and mental health services, housing, food services, and critical research.

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APPENDIX G: NON-CRITICAL MANUFACTURING

I. Effective May 4, 2020, Non-Critical Manufacturing may resume if the business can demonstrate compliance with the requirements of this Order, including Section II.I, and all of the following:

A. Employers must implement the following measures within the workplace to minimize disease transmission:

1. Create and implement policies or procedures for all of the following: i. Limiting group interactions to keep any group less than
ten (10) people by

  1. staggering of shift changes, breaks, lunches, etc., and
  2. eliminating all-staff in-person meetings or lunches;

ii. Modifying the flow of people traffic to minimize contacts, such as arranging one-way flow of work and people;
iii. Implementing 6 foot distancing and impermeable barriers between employees whenever possible;
iv. Limiting the sharing of tools, equipment, or other resources to the greatest extent possible, and if not feasible, implement cleaning and disinfection protocols as often as possible for any such shared tool, equipment and resources; and
v. Requiring hand washing upon arrival and before
departure, establishing set hand washing time frames
throughout shifts, and providing additional hand washing
stations if possible.

2. Conduct cleaning protocols as follows:
i. Daily deep cleaning and disinfecting and full cleaning in- between shifts in accordance with CDPHE guidance; and
ii. Establish protocols to increase the frequency of sanitization in work and common spaces, following OSHA requirements and CDPHE guidance, found here;

3. Provide contactless options, such as entry to the worksite,

payments, etc., whenever applicable and possible;

4. Use paperless, electronic options whenever possible to reduce the

use of sharing paperwork;

  1. Ensure ventilation of work and break areas is in line with OSHA guidance;
  2. Support transportation arrangements that discourage carpooling; and
  3. Develop a Preparedness and Response document in

accordance with OSHA guidance.

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B. Employers must implement the following measures for employees to minimize disease transmission:

  1. Provide guidance about how to comply with 6 foot distancing;
  2. Designate workers to monitor and facilitate distancing on processing

floor lines;

3. Require employees to use masks or face coverings, except where

doing so would inhibit that individual’s health, in which case reasonable

accommodations should be pursued to maintain the safety and health of all

parties;

4. Require employees to wash their hands upon arrival to and

before departure from the facility, as we well as frequently during

workshifts, in accordance with the policy required in Section

I.A.1.vi of this Appendix;

  1. Disinfect work stations between shifts and/or at the end of the workday;
  2. Group employees into teams or shifts that remain together;
  3. Stagger employee lunch and break times;
  4. Encourage all employees not critical to in-person operations to

continue working from home or working remotely; and
9. Encourage the wearing of masks or other face coverings while carpooling, and individuals are required pursuant to Executive Order D 2020 138 to wear a face covering while taking public transportation, unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is performing one of activities listed in Section II.M ofExecutive Order D 2020 138, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties.

C. Employers must implement the following measures regarding customers to minimize disease transmission:

  1. Prohibit entry to the worksite of all non-essential external visitors;
  2. Conduct symptom checks for any essential visitors who will interact

with employees;
3. Require essential visitors to wear masks or face coverings, unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is performing one of activities listed in Section II.M ofExecutive Order D 2020 138, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties; and
4. Encourage 6 foot distancing and implement procedures to
limit person-to-person interaction in inbound/outbound shipping
areas.

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APPENDIX H: RESTAURANTS AND BARS

I. Effective May 27, 2020, while Restaurants remain encouraged to continue curbside pick up and delivery, including alcohol pick up and delivery, Restaurants may resume in-person dining and effective July 1, 2020 Bars that serve food from a retail food licensee with tables spaced at least 6 feet apart and set seating for on-premise consumption may resume in-person service if the business can demonstrate compliance with the requirements of this Order, including Section II.I, and all of the following:

A. Employers must implement the following measures within the workplace to minimize disease transmission:

1. Indoor and outdoor in-person services

a. Post signage notifying patrons and employees of hygiene and sanitation expectations, including not entering if they are experiencing any symptoms.
b. Patrons in different parties must be a minimum of 6 feet apart. The spacing of tables should be a minimum of 6 feet to ensure proper distancing.
c. Limit party size to 8 people or less.
d. All employees must wear facial coverings that cover the nose and mouth, unless the individual cannot medically tolerate a face covering, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties.
e. Employees may utilize disposable gloves as normally required by their governing regulations. Employees that are directly involved with disinfecting equipment and surfaces within critical business and/or have direct contact with customers shall wear gloves when involved in these activities.
f. Cleaning and disinfection of all shared surfaces must be done between seatings.

2. Additional indoor dine-in service requirements include:
a. Limit service to no more than 50% of the indoor posted occupancy limit for Restaurants and Bars that serve food from a retail food licensee with tables at least 6 feet apart and set seating for on-premise consumption, with no more than 50 patrons total, whichever is less, per room.
b. Extra large establishments that wish to exceed 50 people may use the Social Distancing Space Calculator for indoor events to determine how many additional patrons they can accommodate up to 100 patrons per room.
c. Ensure proper ventilation per OSHA guidance.

3. Restaurants, and Bars that serve food from a retail food licensee with 38

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tables at least 6 feet apart and set seating for on-premise consumption, must make every effort to maintain physical distancing at all times, both inside and outside the establishment, including:

  1. Using a reservation system, exclusively if possible;
  2. Disallowing close proximity to others outside the patron’s group

by:

  1. eliminating communal and seat yourself options
  2. providing a hostess seating option or staffing the dining

area to ensure cleaning and disinfection between prior to the next seating

iii. allowing bar seating options only if the bar is not being used for bar service or if there is a clearly designated and separated section of the bar that is not being used for bar service;

c. Eliminating customer service buffets; and
d. Provide appropriate signs or markings within the Restaurant orBar to space lines, indicate which tables are unavailable, prohibit games and dance floors that encourage gatherings, and direct foot traffic.
e. Performers in a restaurant or bar whose performance includes forced exhalation that increases the potential to aerosolize respiratory droplets, such as speaking or shouting, singing, playing some instruments, or physical exertion, must maintain a minimum of 25 feet of distance from the patrons.

4. Restaurants, and Bars that serve food from a retail food licensee with tables spaced at least 6 feet apart and set seating for on-premise consumption, must implement measures to maintain the cleanliness and sanitation of the restaurant, including:

a. Minimize or eliminate high touch surfaces and multi-use objects, such as games, table cloths if used for multiple seatings, permanent menus, and condiments, and clean and disinfect any shared objects between uses;

b. Increase cleaning and disinfection protocols and track with publicly posted cleaning logs including:

i. Clean and disinfect restrooms and high touch areas every hour, and

ii. Block off stalls and urinals with proper signage to adhere to

6 feet distance between patrons; and
c. Use disposable items wherever possible, such as single-use menus and condiments.
d. Eliminate multi-use utensils (such as hot dog roller tongs, bulk food bins and coffee urns) at self-service stations that have and implement touchless self-service wherever practicable.

B. Employers must implement the following measures for employees to minimize disease transmission:

1. Establish a minimum of 6 foot physical distancing standards and train employees on maintaining distancing between employees to the greatest extent

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possible
a. Consider implementing workflow requirements, dividers at pay counters and hostess areas, and modifying the menu to free up kitchen space.
b. Limit group interactions including staggering of shift changes, breaks, no consumption of family or shift meals onsite, etc.
c. Conduct virtual staff meetings whenever possible, any all staff meetings must meet 6 foot distancing requirements.

2. Face coverings and gloves
a. Require employees to wear face coverings at all times, unless the individual cannot medically tolerate a face covering, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties, and encourage the use of gloves when in contact with customers or goods.
b. Require face coverings and encourage gloves for vendors, suppliers, and contract workers entering the licensed establishment, except where doing so would inhibit that individual’s health, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties.

3. Employee sanitary requirements
a. Encourage frequent breaks to wash hands (at least every 30 minutes) including upon arrival and departure.
b. Strict adherence to the hygienic practices listed in the Colorado Retail Food Regulations regarding hand washing and glove use.

C. Employers should implement as many of the following measures as feasible regarding customers to minimize disease transmission and assist in any necessary outbreak investigations:

  1. To facilitate notifying customers if a disease exposure occurs, consider
    1. providing an option for customers to “sign in”, and
    2. utilizing a reservation system;
  2. Implement as feasible the following low or no touch options:
    1. Provide contactless payment options, and
    2. Continue curbside pick up/delivery options and recommend for
    vulnerable individuals or those unable to adhere to hygienic and distancing requirements;
  3. Ensure 6 foot distancing at all times by implementing the following:

a. Block of lobbies or waiting areas completely, or establish customer waiting areas that maintain proper social distancing from other guests, and

b. Restrict standing or congregating in public spaces such as the bar

area, entrance or exit; and
4. Pursuant to Executive Order D 2020 138, require facial coverings be worn by customers when not seated for dining, and consider refusing service to customers who refuse to adhere to hygiene and social distancing requirements.

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APPENDIX I: CHILDREN’S DAY CAMPS,

RESIDENTIAL CAMPS, YOUTH SPORTS DAY

CAMPS AND EXEMPT SINGLE

SKILL-BUILDING YOUTH CAMPS

I. Effective June 1, 2020, summer camps and sports camps may open for business if the camp operator can demonstrate compliance with the requirements in this Appendix. Effective June 18, residential camps may open for business if the camp operator can demonstrate compliance with the requirements of this Appendix.

A. Prior to hosting a camp, the camp operators must create a plan that implements all of the following:

1. All activities, including recreation, transportation, and food service must comply with the following restrictions:

a. Groups of campers are limited to 25 or fewer outdoors, and 10 or fewer indoors per room, and shall not mix with other groups.
b. Six feet physical distancing is required at all times, which may limit further the size of the group due to the size of the space. If the space is large enough to accommodate multiple groups and maintain 6 feet physical distancing, multiple groups are permitted.

c. Require face coverings during transportation in camp vehicles to and from the camp, unless the individual is 10 years of age or younger or cannot medically tolerate a face covering, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties.

2. For staff and camper health and safety:
a. Provide adequate personal protective equipment (PPE) for staff who supervise and care for ill campers, staff, and volunteers, and require face coverings for all individuals in public indoor spaces unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is participating in an activity listed in Section II.M ofExecutive Order D 2020 138.
b. Determine the staffing needs, including the availability of substitute staff if staff or volunteers become ill or are exposed.
c. Ensure space is available to isolate ill staff and campers (cots, bedding, restrooms, and supervision).
d. Ensure the on-call availability of a nurse or health care professional.
e. Establish protocols for responding and reporting cases to health care staff, local public health authorities, and CDPHE.
f. Prepare procedures for closures following a case or outbreak of COVID-19.
g. Provide access to or sufficient supplies of all of the following:

i. public restrooms, drinkable water sources, and picnic or other eating areas during activities at outdoor locations;
ii. handwashing/hand sanitizing locations; and

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iii. adequate cleaning and disinfecting supplies
h. Train camp staff and volunteers on the requirements of this Order, as well as prevention, transmission, and care of COVID-19 illness.

B. Camp operators must meet all of the following requirements while camps are in session:

1.

Staff, volunteer and camper health.

a. Screen staff, volunteers and campers for symptoms and close-contact exposures upon arrival. Exclude ill individuals from the camp, and encourage them to use the CDPHE Symptom Tracker

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2.

b. Staff or volunteers sent home must adhere to isolation and exclusion requirements.
c. Establish protocols for staff, volunteers and campers to alert health care staff of symptoms in themselves or campers.
d. Determine if any staff or volunteers are at a higher risk for COVID-19 and consider whether job duties that don’t involve interaction with others are advisable.
Require staff, volunteers and campers to do all of the following:
a. Remain with the same group of campers and maintain physical distancing of at least 6 feet whenever possible, including during meals and recreation;
b. Wash hands upon arrival, before eating, and at regular intervals throughout the day;
c. Stagger activities as much as possible to avoid any mixing of groups, and
d. Wear masks or face coverings in public indoor spaces and encourage the use outdoors, unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is participating in an activity listed in Section II.M of Executive Order D 2020 138, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties.
Post signs or mark spaces to ensure 6 foot minimum distancing, and limit

3.
any activities that are not conducive to maintaining this distance.
4. Educate campers as needed on COVID-19 prevention, including respiratory etiquette and good hygiene, in accordance with public health guidance.
5. Ensure sufficient cleaning and disinfecting of commonly touched surfaces, equipment, and vehicles throughout the camp.
6. Provide frequent communication with all families of enrolled campers related to the occurrences of COVID-19 at the camp, the camp’s responses, and all issues in the public health order.
7. Prohibit family and buffet style food services, self service and counter food service, and other configurations that require campers to share utensils. Clean and disinfect dining areas and high touch surfaces between groups.

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8. For residential camps, disallow non-essential visitors to the camp and prohibit external community organizations from sharing the camp space during the camp session.

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APPENDIX J: OUTDOOR RECREATION

I. Effective June 4, 2020, outdoor recreation services or activities, including non-guided and guided recreation, equipment rentals, river outfitters, rafting, Jeep tours, developed hot springs, zip lines, ropes courses, and outdoor artificial climbing walls, may operate if authorized by the local jurisdiction. Operators of recreational services and activities must meet any local policies in effect as well as all of the following requirements:

A. Distancing and Capacity Requirements
1. Maintain a distance of 6 feet from patrons and fellow employees, except in cases where it is unsafe to maintain that distance.
2. Limit the number of people inside a facility to no more than 10 at one time, at a maximum of 50% occupancy, or follow Retail or Restaurantguidelines where applicable.
3. For vehicles used to transport patrons, the following requirements apply:

a. No closed-air vehicles or tours are allowed, as windows must remain open during the transport or tour.
b. Limit smaller vehicles or crafts to two household units not including guides, up to 10 people. Where a distance of 6 feet can be ensured between household units, more than two households per vehicle/craft are permitted.

c. Limit passenger buses and vans to no more than 50% capacity, or less if distancing requirements cannot be met between groups, and prohibit use of the seat behind the driver.

6. Conduct staging operations such as customer check-ins and end-of-trip operations outdoors with parties from different households spaced 6 feet apart. 7. Maintain and promote physical distance during a tour or trip. Rafts or vehicles should not be full, and ensure distance between guide and patrons.

B. Hygiene, Cleaning and Disinfection Requirements
1. Post signs for employees and customers outlining good hand/respiratory hygiene and safety measures being taken. Signs should be in languages customers will understand. (CDC examples)
2. Encourage hand hygiene by directing customers to where they can wash their hands with soap and water or use hand sanitizer.
3. Vehicles used to transport patrons must be cleaned and disinfected after each use.
4. Disinfect all equipment used by patrons as well as surfaces or items in common contact with patrons between each use.

C. Operators and Employees
1. Wear face coverings at all times in public indoor spaces pursuant toExecutive Order D 2020 138 and also during staging and disembarking operations, unless the individual is 10 years of age or younger, cannot medically tolerate a face covering, or is participating in one of the activities listed in Section II.M of Executive Order D 2020 138, in which case reasonable accommodations should be pursued to maintain the safety and health of all parties. Where safe, wear face coverings during trip operations.

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2. Operators must conduct symptom and temperature checks for employees and refer symptomatic employees to the CDPHE Symptom Tracker (AdditionalGuidance). Employees who exhibit COVID-19 symptoms should not come to work. Employees who develop COVID-19 symptoms while at work should immediately notify their supervisor and be separated from others, sent home, and referred to state or company support services.

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APPENDIX K: PLACES of WORSHIP

Places of worship are encouraged to continue offering online or drive-up services as much as possible. For activities within a facility, places of worship shall be allowed to increase the number of participants, if they choose, as outlined in the following guidelines:

 Limit the number of guests to no more than 50% of the posted occupancy code limit ensuring a minimum 28 square feet per person or between groups of a single household of 10 or less, not to exceed more than 175 people gathered in a confined indoor space at any given time.

 Guests shall not be permitted to wait in the lobby area or in lines outside the door. No mingling time before, during or after services.
 Face coverings are strongly encouraged to be worn by staff, volunteers and congregants while on the premises of the place of worship, except for children 2 years old and under, those with trouble breathing, or those unable to remove a mask without assistance.

 Post signs at entrances regarding face coverings, and post signs throughout the facility as needed to remind guests of social distancing and proper hygiene.
 Make reasonable accommodations for vulnerable populations who are still under the Stay at Home advisement. (e.g. online viewing, visits to their home).

Discourage any such individual from traveling to and/or entering the facility.
 Do not allow anyone to attend any event/activity in person if they are experiencing symptoms of any illness.

  •   Implement one-way entry/exit and directional walkways as much as possible.
  •   Place markings on the floor to maintain at least a six-foot distance where a line may form.

 Spread people out to maintain a six-foot distance between individuals/groups of a single household.
 Implement touchless offering and communion options as much as possible (e.g. do not pass around the offering plate, make available individual offerings that can be picked up by individuals to limit touching, pre-packaged and/or grab-and-go).
 Perform environmental cleaning and disinfection of bathrooms and high touch
surfaces every 2 hours and maintain a cleaning log.

  •   No self-service refreshments.
  •   Provide handwashing and/or sanitizer.
  •   Monitor employees and volunteers for one of the following symptoms: Cough, Shortness of breath/difficulty breathing, Or two or more of the following symptoms: Fever, Chills, Repeated shaking with Chills Muscle Pain, Headache Sore throat, New loss of taste or smell. Symptomatic employees MUST be excluded from the workplace.

 Places of worship should follow the Colorado Department of Health and Environment Cleaning Guidance, as well as the CDC guidelines for Cleaning and Disinfecting Your Facility in preparing their buildings prior to, during, and following any gathering. Restrooms and the worship space, particularly any metal or plastic on chairs, and all high touch surfaces or shared objects must be cleaned and disinfected between services.

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APPENDIX L: FITNESS FACILITIES

Gyms, health clubs, and other similar fitness facilities as defined in section III. F., may continue to open their facilities for limited use. Fitness facilities that choose to remain open under limited use must do so under the following guidelines:

 Limit the number of customers to 50% of the posted occupancy code limit ensuring a minimum 28 square feet per person not to exceed more than 175 people gathered in a confined indoor space at any given time.

  •   Do not allow members to wait in lobby or in lines outside of the doors.
  •   Members must wear a face covering while using the facility, when physically possible.
  •   Post signs at entrances regarding face coverings, and post signs throughout the facility as needed to remind guests of social distancing and proper hygiene.

 Make reasonable accommodations for vulnerable populations who are still under the Safer at Home advisement. (e.g. assistance with equipment cleaning, special hours).
 All members and staff must practice good hand hygiene, either hand washing or sanitizer. Members experiencing symptoms of any illness MUST exclude themselves from using the facility.

  •   Implement one-way entry/exit and directional walkways as much as possible.
  •   Spread people out so that there is at least a 6-foot social distance between individuals throughout the facility.
  •   Sharing of equipment must be prohibited.
  •   An employee must be required to disinfect equipment after every use.
  •   Perform environmental cleaning and disinfection of bathrooms and high touch surfaces every 2 hours and maintain a cleaning log.

 Monitor employees for one of the following symptoms: Cough, Shortness of breath/difficulty breathing, Or two or more of the following symptoms: Fever,
Chills, Repeated shaking with Chills Muscle Pain, Headache, Sore throat,
New loss of taste or smell. Symptomatic employees MUST be excluded from the workplace. Employees shall be required to wear a non-medical cloth face covering over the nose and mouth andanypersonthatcannotwearamaskshallnotbepermittedtoworkatthistime.
 Personal training is allowed while strictly adhering to social distancing guidelines and limited to 4 people, plus the instructor.

  •   Group classes are not allowed.
  •   Sport courts are to remain closed.
  •   Locker rooms must remain closed.
  •   Saunas, pools (indoor and outdoor) and shared spaces must remain closed.
  •   On-site childcare facilities must remain closed

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Previous Public health Orders:

Huerfano County moves to blue, Las Animas County to yellow, in state’s new ‘Dial 2.0’

By Mark Craddock LAS ANIMAS/HUERFANO — As of Saturday, Feb. 6, both Huerfano and Las Animas counties saw an easing of public health restrictions as the counties moved to safer levels in the state’s COVID-19 dial. Huerfano County jumped two levels – from “orange – high risk” to “Blue – cautious” – while Las Animas

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Colorado Gov. Polis orders emergency operations center to “level 1,” moves to head off hospital surge

DENVER – Governor Polis announced Saturday Nov. 14 that given the rise in COVID-19 cases across Colorado, he has ordered the State Emergency Operations Center to return to “level 1.” This is the highest level of operation and brings together all state agencies, federal partners and the voluntary organizations that serve the State’s communities in crisis.

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New Mexico Public Health Order – Nov. 13, 2020

PUBLIC HEALTH ORDERNEW MEXICO DEPARTMENT OF HEALTH ACTING SECRETARY BILLY J. JIMENEZ NOVEMBER 13, 2020 Public Health Emergency Order Clarifying that Current Guidance Documents, Advisories, and Emergency Public Health Orders Remain in Effect; and Amending Prior Public Health Emergency Orders to Provide Additional Temporary Restrictions Due to COVID-19 PREFACE The purpose of this amended Public

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Miners Colfax Medical Center ramping up preparations for a bad winter

Published on October 29, 2020 by Sharon NiedermanRATON — Setting the tone of the Oct. 16, 2020 meeting of the Miners Colfax Medical Center board of trustees, CEO Bo Beames said, “We’re getting prepared for a bad winter and ramping up our preparations.” The meeting began with the announcement of a dozen medical staff contracts for

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State seeks feedback on guidance for ski areas and resorts

As we enter into ski season, the state is releasing guidance for opening and safety REMOTE, (Oct. 14, 2020): The Colorado Department of Public Health and Environment (CDPHE) is seeking feedback on newly drafted ski guidance. Stakeholders and the public should submit feedback by Friday, Oct. 16 at 10 a.m. MT. The guidelines draw from

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CDPHE seeks feedback on draft indoor visitation guidance for residential care facilities

Aug. 26, 2020: The Colorado Department of Public Health and Environment (CDPHE) today released draft guidance for indoor visitation in residential care facilities. Stakeholders and other interested parties can submit feedback on the draft guidance through 5 p.m. Friday, Aug. 28, using this form. When the final guidance goes into effect, residential care facilities (skilled

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CDPHE provides guidance to schools for detecting and responding to COVID-19 outbreaks

DENVER, July 30, 2020: The Colorado Department of Public Health and Environment (CDPHE) released guidance for detecting, reporting, and responding to cases and outbreaks of COVID-19 in schools. The guidance provides specific steps a school should take in response to cases and outbreaks and outlines when classrooms, cohorts, and schools should close. It is a go-to manual

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Colorado health department releases information on Protect-Our-Neighbors certification

Local communities will only be able to qualify if they meet certain criteria DENVER, July 7, 2020: Today the Colorado Department of Public Health and Environment (CDPHE) released a guide and application form to allow local communities to apply for Protect-Our-Neighbors certification. Communities can only apply if they meet eight criteria—including declining cases—and have attestation

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FULL TEXT: Las Animas Huerfano Counties District health Department Third Amended Public health Orders

THIRD AMENDED PUBLIC HEALTH ORDER 20-06, SAFER AT HOME AND IN THE VAST, GREAT OUTDOORS July 1, 2020 Purpose, Effective Area. This Order will supersede and replace all previous Public Health Orders. This Public Health Order is being issued to limit the health impacts of COVID-19. This Order sets forth requirements for general public conduct; group

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‘Last call’ for state’s bars?

Polis says nightclubs pose ‘too big a risk;’ CDPHE orders rollbacks ‘Protect Our Neighbors’ plan puts more control in local hands by Mark Craddock COLORADO — According to Gov. Jared Polis, bars and nightclubs are turning out to be among the major catalysts to the spread of COVID-19. And in his Tuesday press conference, he

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