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Public Health Order 20-24 Stay at Home Requirements

DATE OF ORDER: MARCH 25, 2020 AMENDED PUBLIC HEALTH ORDER 20-24 IMPLEMENTING STAY AT HOME REQUIREMENTS

PURPOSE OF THE ORDER I issue this Amended Public Health Order (PHO or Order) pursuant to the Governor’s directive in Executive Orders D 2020 017 ( Ordering Coloradans to Stay at Home Due to the Presence of COVID-19 in the State) in response to the existence of hundreds of confirmed and presumptive cases of Coronavirus disease 2019 (COVID-19) and related deaths across the State of Colorado. Further, there is substantial evidence of community spread of COVID-19 throughout the State. This Order has been amended to direct Coloradans to Stay at Home.

FINDINGS 1. Due to the increasing incidence of COVID-19 in the general public, the designation of pandemic by the World Health Organization, the Declaration of a Disaster Emergency by Governor Polis on March 10, 2020, and a National Emergency by the President of the United States on March 13, 2020, and previous PHOs issued by this Department, including PHO 20-20 (Restricting Visitors all all Colorado Skilled Nursing Facilities, Assisted Living Residences and Intermediate Care Facilities); PHO 20-22 (Closing Bars, Restaurants, Theaters, Gymnasiums, Casinos, Noncritical Personal Services Facilities, and Horse Track and Off-Track Betting Facilities Statewide); and PHO 20-23 (Implementing Social Distancing Measures); I hereby declare that the actions and prohibitions outlined in this PHO are necessary for the health and safety of the residents of Colorado.

2 . Scientific evidence and best practices regarding the most effective manner to slow the transmission of communicable diseases generally and COVID-19 specifically, and evidence that the population of Colorado is at risk for serious health complications, including death, from COVID-19 make it imperative that the measures included in this PHO be taken immediately.

3. 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. COVID-19 also physically contributes to property loss, contamination, and damage due to its propensity to attach to surfaces for prolonged periods of time.

Amended Public Health Order 20-24

4. The scientific evidence also shows that at this stage of the emergency, it is critical to slow transmission as much as possible to protect the most vulnerable and to prevent Colorado’s health care system from being overwhelmed. One proven way to slow the transmission is to limit interactions among people to the greatest extent practicable and increase the distance between people in the work environment. This PHO helps to reduce the property damage caused by COVID-19 and preserves 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.

INTENT 5. The intent of this PHO is to minimize contact between residents and to the great extent possible minimize the exposure of the public to contaminated public surfaces. By staying home we can maximize the number of people isolating in place, reduce the number of people congregating in workplaces at one time and reduce the proximity of people in the workplace, and enable the services, businesses, and travel necessary to protect public health and safety and preserve the continuity of social and commercial life as we save lives.

6. When people leave their places of residence, whether to obtain or perform critical emergency services, recreate, go to work, or for other valid reasons, they should at all times comply with Social Distancing Requirements as defined in Section III.F below. All provisions of this PHO should be interpreted to effectuate this intent. Failure to comply with any of the provisions of this PHO constitutes an imminent threat to public health.

ORDER I. STAY AT HOME A. All individuals currently living within the State of Colorado are ordered to Stay at Home whenever possible . Individuals living in shared or outdoor spaces must at all times, to the greatest extent possible, comply with Social Distancing Requirements , and may leave their Residences only to perform or utilize Necessary Activities.

B. All public and private gatherings of any number of people occurring outside a Residence are prohibited, except for the limited purposes expressly permitted in this PHO which include Essential Activities. Nothing in this PHO prohibits the gathering of members living in the same Residence .

Amended Public Health Order 20-24 C. People at high risk of severe illness from COVID-19 and people who are sick are urged to stay in their Residence at all times except as necessary to seek medical care.

D. Individuals experiencing symptoms of COVID-19 must self-isolate until their symptoms cease or until they have a negative test result. Due to limited testing availability and narrow criteria for testing, 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 seventy-two (72) hours (that is three full days of no fever without the use of medicine that reduces fevers), other symptoms have improved (such as cough or shortness of breath) and at least seven (7) days have passed since symptoms first appeared.

E. People experiencing homelessness are strongly urged to obtain shelter, and governmental and other entities are strongly urged to make shelter available as soon as possible and to the maximum extent practicable. People experiencing homelessness must comply with Social Distancing Requirements at all times.

F. All travel, including, but not limited to, travel by automobile or public transit, except Necessary Travel is prohibited. People must use public transit only for purposes of performing Necessary Activities or to travel to and from work to operate Critical Businesses or maintain Critical Governmental Functions . People riding on public transit must comply with Social Distancing Requirements as defined in Section III.F, below, to the greatest extent feasible.

II. BUSINESS REQUIREMENTS A. Critical Businesses , as defined below, are exempt, subject to certain limitations , from this PHO and are encouraged to remain open. Critical Businesses must comply with Social Distancing Requirements at all times and implement tele-work or other strategies, such as staggered schedules or re-designing workplaces, to create more distance 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, but not limited to, when any customers are standing in line.

B. To successfully contain the spread of the virus, all employers and individuals must observe Social Distancing Requirements at all times and to the greatest extent possible.

Amended Public Health Order 20-24 C. Child care facilities providing services exempted in this PHO must, to the extent possible, operate under the following mandatory conditions: (1) child care must be carried out in stable groups of 10 or fewer (“stable” means that the same 10 or fewer children are in the same group each day); (2) children shall not change from one group to another; (3) If more than one group of children is cared for at one facility, each group shall be in a separate group. Groups shall not mix with each other; (4) child care workers shall remain solely with one group of children. To the extent possible, child care shall be performed in compliance with Social Distancing Requirements .

III. DEFINITIONS A. Necessary Activities. For purposes of this PHO, individuals may leave their Residence only to perform any of the following Necessary Activities , provided they comply at all times and to the greatest extent possible with Social Distancing Requirements below. People at high risk of severe illness from COVID-19 and people who are sick, however, must not leave their Residence except as necessary to receive medical care. Necessary Activities include:

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 obtaining supplies they need to work from home.

2. 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.

3. 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 to engage in walking, hiking, biking, running, and similar outdoor activities but all playgrounds, picnic areas, other similar areas conducive to public gathering, and attended areas shall be closed. Additionally, the permitted outdoor activities in this PHO do not include activities that would violate the Social Distancing Requirements defined in Section III.F, below.

Amended Public Health Order 20-24 4. Performing work providing essential products and services for a Critical Business or Critical Government Function as defined in Section III.C and D, below, or to otherwise carry out activities permitted in this PHO.

5. Caring for a family member, a vulnerable person, or pet in another household, or to care for livestock kept at a location other than an individual’s home.

B. Necessary Travel . For purposes of this Order, travel is Necessary for any of the following purposes: (1) providing or accessing Necessary Activities , Minimum Basic Operations , Critical Government Functions , and Critical Businesses ; (2) receiving materials for distance learning, for receiving meals, and any other related services from educational institutions; (3) returning to a place of Residence from outside the jurisdiction; (4) travel required by law enforcement or court order; (5) non-residents returning to their place of Residence .

C. Critical Business. Any business, including any for profit or non-profit, regardless of its corporate structure, engaged 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 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 PHO 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 Amended Public Health Order 20-24 ● Medical supplies and equipment manufacturers and providers, including durable medical equipment technicians and suppliers ● Blood banks

2. Critical Infrastructure, Including: ● Utilities and electricity, including generation, transmission, distribution and fuel supply ● Road and railways ● Oil and gas extraction, production, refining, storage, transport and distribution ● Public water and wastewater ● Telecommunications and data centers ● Transportation and infrastructure necessary to support critical businesses ● Hotels, and places of accommodation ● Businesses and organizations that provide food, shelter, social services, and other necessities of life for economically disadvantaged, persons with access and functional needs, or otherwise needy individuals ● Food and plant cultivation, including farming crops, livestock, food processing and manufacturing, animal feed and feed products, rendering, 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 the construction or operation of the categories of products included in this subsection

3. 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 or instruments ● Pharmaceuticals ● Sanitary products ● Telecommunications ● Microelectronics/semiconductor ● Agriculture/farms ● Household paper products Amended Public Health Order 20-24 ● Any business that produces products critical or incidental to the processing, functioning, development, manufacture, packaging, or delivery of any of the categories of products included in this subsection ● Any manufacturing necessary to support a Critical Business

4. Critical Retail, Including: ● Grocery stores including all food and beverage stores ● Farm and produce stands ● Gas stations and convenience stores ● Restaurants and bars (for take-out/delivery only as necessary under Executive Order D 2020 011 and PHO 20-22 , as amended) ● Marijuana dispensary (only for the sale of medical marijuana or curbside delivery pursuant to Executive Order D 2020 011 ) ● Firearms stores ● Hardware, farm supply, and building material stores ● Establishments engaged in the retail sale of food and any other household consumer products (such as cleaning and personal care products) ● Establishments engaged in the sale of products that support working from home

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 businesses ● Building cleaning and maintenance ● Child care services ● Automobile rental, auto supply and repair (including retail dealerships that include repair and maintenance, but not retail sales) ● Warehouse/distribution and fulfillment, including freight distributors ● Funeral homes, crematoriums, and cemeteries ● 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 extent possible ● Storage for Critical Businesses ● Animal shelters, animal boarding services, animal rescues, zoological facilities, animal sanctuaries, and other related facilities Amended Public Health Order 20-24

6. News Media ● Newspapers ● Television ● Radio ● Other media services

7. Financial Institutions, Including: ● Banks and credit institutions ● Insurance, payroll, and accounting services ● Services related to financial markets

8. 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 of patients 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

9. Construction, Including: ● Housing and housing for low-income and vulnerable people ● Skilled trades such as electricians, plumbers ● Other related firms and professionals for who provide services necessary to maintain the safety, sanitation, and critical operation of residences, and other essential services

10. Defense ● Defense, security, and intelligence-related operations supporting the State of Colorado, local government, the U.S. Government or a contractor for any of the foregoing ● Aerospace operations Amended Public Health Order 20-24 ● Military operations and personnel ● Defense suppliers

11. 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 a vendor ● Automotive repair ● Disinfection ● Snow removal

12. Vendors that Provide Critical Services or Products, Including Logistics and Technology Support, Child Care and Services: ● Logistics ● Technology support for online and telephone services ● Child care programs and services ● Government owned or leased buildings ● Critical Government Functions

D . Critical Government Functions . The provision, operation and support of the following government functions shall continue:

1. Critical services, including ● Public safety (police stations, fire and rescue stations, correctional institutions, emergency vehicle and equipment storage, and, emergency operation centers) ● Emergency response ● Judicial branch operations, including attorneys if necessary for ongoing trials and required court appearances, unless appearances can be done remotely ● Emergency medical (hospitals, ambulance service centers, urgent care centers having emergency treatment functions, and non-ambulatory surgical structures but excluding clinics, doctors offices, and non-urgent care medical structures that do not provide these functions) Amended Public Health Order 20-24 ● Designated emergency shelters ● Communications (main hubs for telephone, broadcasting equipment for cable systems, satellite dish systems, cellular systems, television, radio, and other emergency warning systems, but excluding towers, poles, lines, cables, and conduits) ● Public utility plant facilities for generation and distribution (hubs, treatment plants, substations and pumping stations for water, power and gas, but not including towers, poles, power lines, buried pipelines, transmission lines, distribution lines, and service lines) ● Transportation. Airlines, taxis, transportation network providers (such as Uber and Lyft), vehicle rental services, paratransit, and other private, public, and commercial transportation and logistics providers necessary for Necessary Activities ● Transportation infrastructure (aviation control towers, air traffic control centers, and emergency equipment aircraft hangars), critical road construction and maintenance ● Hazardous material safety ● Services to at-risk populations and Vulnerable Individuals ● Any government service required for the public health and safety, government functionality, or vital to restoring normal services

E. 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. Any business supporting Minimum Basic Operations must comply at all times with Social Distancing Requirements .

F. Social Distancing Requirements . To reduce the risk of disease transmission, individuals shall maintain at least a six-foot distance from other individuals, 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), regularly clean high-touch surfaces, and not shake hands.

G. “ 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, or operate Necessary Activities, Minimum Basic Operations, Critical Government Functions, and Critical Businesses .

Amended Public Health Order 20-24 H. “ Vulnerable Individual ” means anyone with a disability, anyone over the age of 60 and anyone with a serious underlying health condition.

IV. Enforcement

This order will be enforced by any appropriate legal means. Local authorities are encouraged to determine the best course of action to encourage maximum compliance. Failure to comply with this order could result in penalties including a fine of up to one thousand (1,000) dollars and imprisonment in the county jail for up to one year, pursuant to 25-1-114, C.R.S.

V. Severability If any provision of this PHO to the application thereof to any person or circumstance is held to be invalid, the reminder of the PHO, including the application of such part or provision to other persons or circumstances, shall not be affected and shall continue in full force and effect. To this end, the provisions of this PHO are severable.

VI. Duration This PHO shall become effective at 6:00 a.m. on Thursday March 26, 2020 and will continue to be in effect until 11:59 p.m. on April 11, 2020, unless extended, rescinded, superseded, or amended in writing.

_________________________________ March 25, 2020 Jill Hunsaker Ryan, MPH Executive Director

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