What to Know
- The state's strictest stay-at-home orders for the San Joaquin Valley and Southern California expired Monday, but the order was extended.
- ICU capacity projections in the Southern California and San Joaquin Valley regions have stood at %0 for days.
- The stay-at-home orders require regions to have ICU capacity projections to be above or equal to 15%.
As expected, a regional stay-at-home order in effect across Southern California due to surging COVID-19 hospitalizations was formally extended Tuesday, continuing a ban on all gatherings of people from different households and in-person dining and setting strict capacity limits at many businesses.
The state's regional order, which covers an 11-county Southern California area, took effect at 11:59 p.m. Dec. 6 and was set to expire Monday.
But with the region's intensive-care unit capacity at hospitals still effectively listed at 0%, Gov. Gavin Newsom said Monday the order was all but certain to be extended. The state's Health and Human Services Secretary, Dr. Mark Ghaly, made it official Tuesday, saying incoming COVID-19 patients are expected to continue exceeding hospital intensive-care unit capacity in the region over the next four weeks.
The order was not extended for any specific timeframe. Ghaly said the four-week projections are evaluated daily, and the region can emerge from the stay-at-home order when the projection indicates its ICU capacity will rise above 15%.
With the Southern California region's current ICU capacity is still listed at 0% -- and health officials anticipating case numbers and hospitalizations to rise throughout January based on gatherings that likely occurred for Christmas and will again for New Year's Eve despite warnings - the region is expected to remain under the order for weeks to come.
In anticipation of the state's action, Los Angeles County on Sunday night extended its local stay-at-home order, which essentially mirrors the state's restrictions.
The first COVID-19 case in California was confirmed Jan. 25. It took 292 days to get to 1 million infections on Nov. 11. California hit 2 million confirmed coronavirus cases by Christmas.
Newsom noted Monday that COVID-19 hospital admissions have begun to plateau across much of the state -- except in Southern California, with Los Angeles, Riverside and San Bernardino counties continuing to be the hardest hit.
Los Angeles County has rapidly become the epicenter of the pandemic in the state, with the state reporting more than 7,400 COVID-19 patients in L.A. County hospitals as of Tuesday, including nearly 1,500 in intensive-care unit beds. Newsom said 96% of Los Angeles County hospitals diverted ambulances to other facilities at some point over the weekend due to overcrowding in emergency rooms -- up from a normal average of 33% of hospitals going on diversion.
According to Newsom, county hospitals on average spent 16 hours on diversion over the weekend, unable to find space for emergency patients.
The Southern California region covers Los Angeles, Orange, Riverside, San Diego, Imperial, Inyo, Mono, San Bernardino, San Luis Obispo, Santa Barbara and Ventura counties. Most broadly, the order bars gatherings of people from different households.
Under the order, the following businesses/recreational facilities were forced to close:
- indoor recreational facilities;
- hair salons and barbershops;
- personal care services;
- museums, zoos, and aquariums;
- movie theaters;
- bars, breweries and distilleries;
- family entertainment centers;
- cardrooms and satellite wagering;
- limited services;
- live audience sports; and
- amusement parks.
Schools with waivers can remain open, along with "critical infrastructure" and retail stores, which will be limited to 20% of capacity.
Restaurants are restricted to takeout and delivery service only. Hotels are allowed to open "for critical infrastructure support only," while churches would be restricted to outdoor only services. Entertainment production - including professional sports -- would be allowed to continue without live audiences.
Four of the five regions carved out by the state are under stay-at home orders, covering 98% of the state's population. Only far northern California is not under a stay-at-home order.
The order was triggered in each area when the region's ICU bed availability dropped below 15%. In some counties, the official ICU bed availability is 0%. That percentage does not mean that there aren't any ICU beds available, since the state adjusts the number based on the ratio of COVID 19 patients being housed in the units.
Newsom again had harsh words for counties and county officials who continue to "thumb your nose" at health orders. He singled out Riverside County, where Sheriff Chad Bianco has publicly criticized Newsom and said his agency would not be "blackmailed" into becoming an enforcement arm of state health officials.
Newsom has said repeatedly that counties that don't adhere to health restrictions would lose state funding.
"We're in the midst of a pandemic," Newsom said. "I don't know what more evidence you need, particularly, as highlighted, Riverside County is experiencing what they're experiencing in ICUs and hospitals and lives lost. I mean, what more evidence do you need that trying to enforce good behavior will actually save lives? It's a noble and right thing to do.
"To dismiss as many have in the past and some of the same folks … some still holding onto this as a hoax or face coverings don't matter. … They're not helping. They're not advancing that cause, and so we will be assertive as we have been, we will be aggressive, as we have been."
Bianco, in a video message posted online earlier this month, called state health mandates "flat-out ridiculous," while calling Newsom's stances hypocritical in light of his criticism of the federal government for withholding funds from states, and following Newsom's well-publicized attendance at a dinner party in spite of his own regulations against such gatherings.
Bianco told residents in his message to wear a mask and practice social distancing, but said, "While the governor's office and the state has threatened action against violators, the Riverside County Sheriff's Department will not be blackmailed, bullied or used as muscle against Riverside County residents in the enforcement of the governor's orders."