SANTA ANA (CNS) — Orange County's push to graduate to the less- restrictive red tier for the state's COVID-19 program to reopen the economy — which now includes an April 1 reopening of Disneyland — continued Friday with cases and hospitalizations declining. 

But the county also logged 62 fatalities, raising its death toll to 4,075.

The county reported 232 COVID-19 cases, upping the cumulative to 247,372.

Hospitalization rates continued to decline, with 339 patients being treated in county medical centers, down from 379 on Thursday, and 91 in intensive care, a drop from 97 on Thursday.

The county has 35.2% of its intensive care unit beds and 66% of its ventilators available.

"The trends are good," Orange County CEO Frank Kim said. "The trends would indicate we have a very good chance to make it (to the red tier) next week, but we won't know till we see the data."

The county must hang on to its case rates and positivity rates through this Sunday and next Sunday to graduate to the red tier. County officials are still targeting March 17 as the date it would be able to reopen more businesses in the red tier.

Orange County Supervisor Lisa Bartlett is optimistic about getting up from the red to the orange tier soon as well.

"Our numbers continue to improve — we could actually be in the orange tier in the not-too-distant future," Bartlett said.

Of the deaths reported Friday, 12 were skilled nursing facility residents and nine were assisted living facility residents, raising the cumulative totals in those groups to 975 and 462, respectively. 

The fatalities logged Friday — death reports can lag for weeks -- increased the death toll for January to 1,284; to 888 for December; and 196 in February. January was the deadliest month since the start of the pandemic.

The county reported 13,577 tests, raising the cumulative total to 3,093,542.

As of Thursday, the county was at seven cases per 100,000, which is right at the bottom of the most-restrictive purple tier.

The overall positivity rate was at 3.5 as of Thursday, and the Health Equity Quartile positivity rate at 4.5, "the lowest number we've had since we started measuring equity," Kim said.

Outbreaks — defined as two or more confirmed cases within the past two weeks — have declined significantly in the county's nursing homes, with just two skilled nursing facilities and three elderly assisted living facilities in that metric as of Wednesday.

Also, as of Wednesday, Fairview Developmental Center in Costa Mesa, which is set to close on March 15, had just eight patients. The facility, which was reopened on Dec. 15, was being used for recuperating coronavirus patients who no longer need to be hospitalized.

The outbreak in the county's jails dropped from six infections on Thursday to four on Friday, with three involving newly booked inmates. None of the inmates is hospitalized, and officials are awaiting results of 638 tests.

The numbers governing the state's tiered network for reopening the economy are updated every Tuesday, with purple being the most restrictive, red the next one up and then orange and the least-restrictive yellow. But those reports reflect numbers through Sunday, and as of that day, Orange County did not meet the criteria for the red tier.

The county's test positivity rate improved to 3.9% from 5.4% last week, and the adjusted case rate per 100,000 on a seven-day average with a seven-day lag improved from 11.9 to 7.6.

The Health Equity Quartile Positivity Rate, which reflects the rates in hot spots in disadvantaged neighborhoods, improved from 7% to 5%. That puts the positivity rates in orange and the case rate in purple. 

The state has an exception that allows a county to move up to the next tier if two metrics are in an advanced tier and one is lagging behind. For instance, if the case rate per 100,000 remained in the purple tier, but the positivity rates were orange, the county could theoretically move up to the red tier if it can maintain those levels for two consecutive weeks, Kim said.

"You've got to make it and then hold it for two weeks and one day and then you can reopen," he said.

To get to the red tier, the county has to have a case rate per 100,000 population of 4 to 7, a positivity rate of 5% to 8% and a Health Equity Quartile rate of 5.3% to 8%.

The red tier allows for many more businesses and organizations to reopen. For instance, retail stores could allow for half capacity instead of 25%, and museums, zoos and aquariums could reopen for indoor activities at 25% capacity, as could movie theaters, gyms and restaurants.

Orange County officials are expecting to receive the new Johnson & Johnson vaccines by next week at the latest.

County officials closed down the Disneyland mass vaccine distribution site for a few days starting Thursday so the tents there can be reconfigured to allow for drive-thru access for the disabled, Kim said. The site is set to reopen on Monday, Kim said.

The Santa Ana College vaccine site reopened Wednesday, more than a week after it was shut down due to a shortfall in vaccine supply stemming from weather-related delays in deliveries from back east.