This guidance does NOT apply to healthcare personnel in any setting. See AFL-21-08.7. It also does not apply to Emergency Medical Services personnel, who are permitted to follow the Guidance on Quarantine for Health Care Personnel in AFL-21.08.7
Related Materials: Isolation and Quarantine Q&A | What to do if You Test Positive for COVID-19 | What to Do If You Are Exposed to COVID-19 | Self-Isolation Instructions for Individuals with COVID-19 (PDF) | Self-Quarantine Instructions for Individuals Exposed to COVID-19 (PDF) | Cal/OSHA FAQs | More Home & Community Guidance | All Guidance | More Languages
Local health jurisdictions may be more restrictive in determining isolation and quarantine recommendations based on local circumstances, in certain higher-risk settings or during certain situations that may require more protective isolation and quarantine requirements (for example, during active outbreaks)
COVID-19 vaccination and boosters remain the most important strategy to prevent serious illness and death from COVID-19.
The Omicron variant, designated as a variant of concern, has been identified in California and a number of other states. The California Department of Public Health (CDPH) is monitoring genomic sequencing data as we seek to determine the impact of the Omicron variant and other variants on SARS-CoV-2 transmission and disease severity in California. Early data regarding the Omicron variant suggest the increased transmissibility of the Omicron variant is two to four times as infectious as the Delta variant, and there is evidence of immune evasion. Recent evidence also shows that vaccine effectiveness against COVID-19 infection is decreasing over time without boosters. There is still much to be learned about the Omicron variant, and it is important to remain vigilant at this time.
On December 27, 2021, the CDC updated their Isolation and Quarantine recommendations for the general public motivated by science that indicates the majority of COVID-19 transmission occurs within the first few days after contracting the virus. This guidance aligns with the updated timeframes within the recent CDC update and recommends additional mitigation measures, including continued focus on testing and masking to best contain this more transmissible variant in our communities.
To protect all Californians, it is important to control the spread of COVID-19 in our homes, workplaces, and communities. In order to detect infections early and limit transmission of the disease, public health officials across the state have undertaken a multi-pronged approach, which includes encouraging vaccination and boosters, offering testing, promoting public health practices like mask wearing, conducting case investigation and contact tracing in prioritized settings, and supporting isolation and quarantine of those infected with or exposed to COVID-19. This guidance provides a framework for the general public and local health jurisdictions, related to both isolation and quarantine.
In the workplace, employers are subject to the Cal/OSHA COVID-19 Prevention Emergency Temporary Standards (ETS) or in some workplaces the Cal/OSHA Aerosol Transmissible Diseases (ATD) Standard (PDF), and should consult those regulations for additional applicable requirements except as noted below for workplaces subject to CDPH jurisdiction and in Cal/OSHA FAQs.
Isolation: separates those infected with a contagious disease from people who are not infected.
Quarantine: restricts the movement of persons who were exposed to a contagious disease in case they become infected.
Isolation and quarantine are proven public health interventions fundamental to reducing COVID-19 transmission. Isolation and quarantine processes should be in place to respond to any increase in cases we might see after modification of local and statewide restrictions.
Isolation and quarantine can create substantial hardships. Isolated or quarantined people should be treated with respect, fairness and compassion; and their dignity and privacy should be protected. Federal and state resources made available to local health jurisdictions should be considered to support people who are not able to isolate or quarantine in accordance with this guidance.
All instructions provided by the local public health jurisdiction to persons who are being asked to isolate or quarantine should be provided in their primary language and be culturally appropriate. Additionally, local health jurisdictions should ensure that instructions for persons with disabilities, including those with access and functional needs, are provided.
California has a diverse population with no single racial or ethnic group constituting a majority of the population. These populations also include members of tribal nations, immigrants and refugees. Some groups may be at higher risk for COVID-19 or worse health outcomes due to a number of reasons including living conditions, work circumstances, underlying health conditions, and limited access to care. It is important that communication with the public is conducted in a culturally appropriate manner, which includes meaningfully engaging community representatives from affected communities, collaborating with community-serving organizations, respecting the cultural practices in the community, and taking into consideration the social, economic and immigration contexts in which people in these communities live and work. Local health jurisdictions should be mindful of discrimination based on all protected categories.
To help build trust, jurisdictions should employ public health staff who are fluent in the preferred language of the affected community. When that is not possible, interpreters and translations should be provided for persons who have limited English proficiency. Core demographic variables should be included in case investigation and contact tracing forms, including detailed race and ethnicity, as well as preferred language.
Finally, given that diverse populations experience discrimination and stigma, it is important to ensure the privacy and confidentiality of data collected and to ensure that COVID-19 cases and identified contacts are aware of these safeguards.
Every person in California, regardless of immigration status, is protected from discrimination and harassment in employment, housing, business establishments, and state-funded programs based upon their race, national origin, and ancestry, among other protected characteristics.
Everyone, regardless of vaccination status, previous infection or lack of symptoms.
*Antigen test preferred.
CDC COVID-19 Booster Shots to determine who is booster eligible)
** Workplace Setting (including healthcare industry personnel and emergency services personnel but only in settings not covered by AFL 21-08 such as outpatient clinics, behavioral health clinics and free-standing urgent care):
In a workplace setting, asymptomatic employees in this category do not have to be excluded from work if:
In some workplaces, employers are subject to the Cal/OSHA Aerosol Transmissible Diseases (ATD) Standard and should consult those regulations for additional applicable requirements.
(Refer to CDC COVID-19 Booster Shots to determine who is booster-eligible)
*** Persons in this category do not need to get tested during the 90 days.
An antigen test, nucleic acid amplification test (NAAT) or LAMP test are acceptable, however, it is recommended that persons use an antigen test for ending isolation. Exposed persons who were infected with SARS-CoV-2 within 90 days prior to their current exposure should also use an antigen test. Use of Over-the-Counter tests are also acceptable to end isolation or quarantine.
During the days following isolation or exposure when masks are worn, all persons should optimize mask fit and filtration, ideally through use of a surgical mask or respirator (see
Get the Most out of Masking for more information).
Symptom self-monitoring should include checking temperature twice a day and watching for fever, cough, shortness of breath, or any other
symptoms that can be attributed to COVID-19 for 10 days following last date of exposure, even if self-quarantine is completed earlier.
For quarantine considerations in K-12 school settings, see
CDPH K-12 Schools Guidance and CDPH K-12 testing strategies.
The following are
general steps for people suspected or confirmed to have COVID-19 who need to self-isolate and for their exposed close contacts who need to self-quarantine, to prevent spread to others in homes and communities. These steps should be conveyed via simple verbal and written instructions in the person's primary language:
self-isolation (PDF) of persons who are infectious or persons who have tested positive for COVID-19 and the
self-quarantine (PDF) of their exposed close contacts can be at home, provided the following conditions are in place.
The majority of people with COVID-19 have mild to moderate symptoms, do not require hospitalization, and can
self-isolate at home by wearing a mask indoors and separating from household members. However, the ability to prevent transmission in a residential setting is an important consideration. CDC has
guidance for both patients and their caregivers to help protect themselves and others in their home and community.
Considerations for the suitability of care at home include whether:
In addition, both the person and caregiver should be informed and understand the indications for when they should seek clinical care. Although mild illness typically can be self-managed or managed with outpatient or telemedicine visits, illness may quickly worsen days after the initial onset of symptoms.
Out-of-hospital monitoring by healthcare systems or public health can be considered, especially for those at higher risk of severe illness. This may consist of oxygen saturation measurement or other assessments. Persons in isolation can be contacted regularly during isolation to assess for clinical worsening and other needs. Frequency and mode of communication should be customized based on risk for complications and difficulty accessing care.
self-quarantine need to wear a mask indoors and separate from household members, especially those who are not fully vaccinated and boosted or who have not had COVID-19 in the last 3 months.
The quarantined person should avoid contact with persons at higher risk for severe COVID-19 illness, even if they are fully vaccinated and boosted, and should wear a mask when indoors.
Persons in quarantine at home or in an alternate site should self-monitor for symptoms for 10 days following last date of exposure, even if they complete self-quarantine earlier. If symptoms develop, persons in self-quarantine should immediately self-isolate and get tested. If they test positive, their isolation period starts on their symptom onset date; and they should contact their healthcare provider regarding available treatment for COVID-19 infection and with any questions concerning their care.
Persons in self-isolation or self-quarantine should seek medical assistance:
California local public health officers have legal authority to order isolation and quarantine. Local health jurisdictions may vary in their approach and should consult with legal counsel on jurisdiction-specific laws and orders. Some have issued blanket isolation and quarantine orders for anyone diagnosed with COVID-19 or identified as a close contact of an infected person. Some have issued orders to persons immediately, whereas others seek voluntary cooperation without a legal order initially.
Local health jurisdictions should work with other local partners across all sectors to assess
alternate places for isolation and quarantine (PDF) for persons who are
unhoused or who are unable to appropriately or safely self-isolate or self-quarantine at home. Alternate sites could include hotels, college dormitories, or other places, such as converted public spaces. Additionally, local public health jurisdictions are encouraged to partner with community organizations to leverage existing resources to provide supportive and culturally appropriate services to persons who are self-isolating and self-quarantining.
 See the
Dymally-Alatorre Bilingual Services Act for more information on communication requirements with persons who need language translation assistance.