All personal care services, like getting a tattoo or a massage, are allowed to open indoors with modifications, the state’s top public health official announced Tuesday.

California Health and Human Services Secretary Dr. Mark Ghaly said the state was adding all personal care services to the “purple tier” — or “widespread risk tier” — to join other services already open indoors like hair and nail salons, KTLA sister station KSEE/KGPE in Fresno reported.

Services that can now resume include tattoo parlors, day spas, hair removal, esthetician and massage businesses, Ghaly said.

“Based on a number of conversations, we are moving all personal care services able to resume operations indoors with the stated modifications in Tier 1, that is the purple tier. We started out with hair salons, barber shops open in Tier 1, we later added nail salons and today we are adding tattoo parlors, hair removal and massage businesses,” Ghaly said. “All of those personal services as we have categorized them are now in Tier 1.”

California hair salons and barbershops were given the green light to reopen indoors in August, followed by nail salons reopening in September.

Local jurisdictions may still set their own rules that are more restrictive, meaning personal services may remain closed in some areas.

In Los Angeles County, public health officials said they were reviewing the state recommendations and would consult with the Board of Supervisors about the timing for the additional openings. 

In California, as of October 20, California has 874,077 confirmed cases of COVID-19, resulting in 16,992 deaths. The number of COVID-related deaths increased by 0.1 percent from the previous day’s total of 16,970.