Social bubbles are meant for groups who want to socialize on a regular basis for a three-week period of time. You can’t keep adding new people to the bubble or swapping in others. It’s important to keep the bubble small and make sure everyone is on the same page about health guidelines and the protective actions (e.g., physically distance, wear face coverings, etc.) the group will take together.

The State of California issued a mask / face covering mandate on June 18, that is more restrictive than Marin's Facial Covering order and should be followed.  In sum, children over 2 years old should follow the State of California's order, which requires face masks when out in public.  You can find more information about proper mask fitting and scenarios for wearing a mask on our Face Coverings and Masks webpage.

Regarding camps, youth activities and child care / day care environments: the State of California's order defers to the local level, therefore, operators of camps, youth activities, and child care can continue to follow Marin's guidelines.  In a camp, youth activities or child care environment, children 12 years and over are required to wear face coverings. In a camp, youth activities, or child care environment, children over 2 up to 12 years old should be encouraged to wear them as much as reasonable, with supervision, however, they are not required to wear them.  Children 2 and under are not supposed to wear face coverings.  Children over the age of 2 should wear cloth face coverings when not actively engaged in physical activity to reduce the risk for transmission only if the parent and provider determine they can reliably wear, remove, and handle face coverings following CDC guidance throughout the day. Children under 12 wearing a cloth face covering shall be actively monitored by child care, youth activity, or camp personnel at all times.

• Increase cleaning of frequently touched surfaces, daily as practicable.
• To the extent feasible, provide handwashing stations or sanitizer to facilitate hand hygiene, especially during times of heavy usage. use a hand sanitizer containing (60% ethanol or 70% isopropanol). Never use hand sanitizers with methanol due to its high toxicity to both children and adults.
• Post the maximum number of children allowed at the entrance of each playground.
• Determine and post the maximum occupancy of each play structure, (e.g., climbing structures, slides, swings, spinning structures, and sand areas) with 6 foot vertical and horizontal distancing.
• Determine and post the maximum occupancy for supervising adults to ensure that each adult can maintain six feet of distance from other adults and children.
• Provide directions on how to wait in line when maximum playground occupancy has been reached.
• Mark playgrounds to help children and adults maintain 6-foot distancing.
• Mark spaces for families to stand while waiting to enter the playground. The spaces should be far enough apart to allow 6 feet of distance between households.
• For play structures or play areas that can hold more than one child while allowing 6-foot distancing:
  • Post the maximum number of children allowed on each structure/in each area to allow 6-foot distancing vertically and horizontally.
  • For play structures or areas that can hold more than 1 child, consider marking with tape or other visual indicators to help children assess whether they are 6 feet apart.
  • Mark designated spaces 6 feet apart for children to stand while waiting to use a play structure/area.

We consistently find temperature screening at school is unreliable.  It also creates congregating potential and decreases physical distancing.

Available scientific literature has identified that effectiveness can be limited by several factors, including:

• External conditions (heat, sweat);
• Infections without a fever;
• Use of fever-reducing drugs;
• Other infections or conditions that may cause elevated temperatures;
• Devices failing to identify elevated temperatures, or misreading normal temperatures as elevated;
• Failure to follow the manufacturer's instructions for use, such as for set-up, operation, and training.

https://www.fda.gov/medical-devices/coronavirus-covid-19-and-medical-devices/non-contact-temperature-assessment-devices-during-covid-19-pandemic

https://www.cebm.net/2020/08/screening-for-covid-19-with-infrared-thermometers-more-marketing-than-medical-evidence/

https://abcnews.go.com/Health/coronavirus-updates-us-records-56000-cases-1500-additional/story?id=72344689&cid=social_twitter_abcn

Therefore, Marin County Public Health does not recommend temperature screening.  On the other hand, we strongly recommend regular hand hygiene, face covering, physical distancing, and decreasing risk (e.g., optimizing time outdoors and not mixing households). The majority of cases of COVID-19 transmission in Marin have occurred in households, not in structured environments (e.g., offices, schools) that implement site specific protection plans.   

Maybe. Office colleagues should be following the guidelines for a safe office space work environment. If you want to regularly socialize after work with your colleagues and add them to your bubble, you may do so, but you must keep the same bubble members for three weeks.