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San Mateo County, CA Business Licensing & Operations: Massage Establishments (2026)

Significant Restrictions
Compiled from the official code textEditor Martyn O'NeillLast verified September 2026

Key Facts

Certification required
CAMTC certification (since 7/1/2012)
Registration certificate term
2 years, no application fee
Permitted massage hours
7:00 a.m. to 9:00 p.m.
Records retention
2 years, on-site service log
Administrative fine per violation
Up to $500.00
Suspension range
5 days up to full license term
Overnight staffing rule
No one on-site 11 p.m.-6 a.m.

Summary

Since July 1, 2012, every massage practitioner working for compensation in unincorporated San Mateo County must hold current CAMTC certification, and every massage business must register with the Director of Environmental Health and employ only CAMTC-certified practitioners under County Code Chapter 5.44.

City-specific rules exist: Redwood City has its own massage establishments rules that differ from San Mateo County's county-level regulations. If you live in Redwood City, check the city-specific page instead.

5.44.030 - CAMTC certification and local registration required. (a)Individuals. On and after July 1, 2012, it shall be unlawful for any individual to practice massage therapy for compensation as a sole proprietorship or employee of a massage business or in any other capacity within the unincorporated areas of San Mateo County unless that individual is a certified massage practitioner.(b)Businesses. On and after July 1, 2012, it shall be unlawful for any business to provide massage for compensation within the unincorporated areas of San Mateo County unless all individuals employed by the massage business to perform massage, whether as an employee, independent contractor, or sole proprietorship, are certified massage practitioners and said business has obtained a valid county registration certificate as provided in this chapter.

View official code

Official source re-checked September 7, 2026: no newer edition of the code had been published (publisher’s edition: Code of Ordinances: Supplement 47).

Full Breakdown

030 bars any individual from practicing massage therapy for compensation, as a sole proprietor, employee, or in any other capacity, in unincorporated San Mateo County unless certified by the California Massage Therapy Council (CAMTC), and bars any business from providing massage unless every practitioner it uses is CAMTC-certified and the business holds a valid County Registration Certificate. 040 requires the business's name, address, owner information, employee CAMTC certifications, and, for any owner who is not personally CAMTC-certified, a background check covering five years of business and employment history; the Director of Environmental Health issues the certificate, valid two years, with no fee for the registration itself, though the county may charge for health and safety inspections and background checks. m. 060. closing rule.

Violations & Fines

00 per violation, with each client served in violation and each day a business stays open in violation counting as a separate violation. Fine notices go out by certified mail and can be appealed in writing to the Director of Environmental Health within 10 days; unpaid fines after 30 days may go to collections and block any registration renewal. ; suspensions and revocations are appealable to the License Board within 10 days. 120).

Frequently Asked Questions

Does San Mateo County's massage registration apply where I live?
Only in the unincorporated pockets of the county. Section 5.44.030 restricts itself to 'the unincorporated areas of San Mateo County.' Redwood City, San Mateo, Daly City, and the other incorporated cities license massage businesses under their own separate municipal codes, not this chapter.
What happens if a massage business stays open past 9 p.m.?
It is a separate violation for each day the business remains open past the 7:00 a.m. to 9:00 p.m. window under § 5.44.050(b), and the Sheriff can issue an administrative fine up to $500.00 per violation under § 5.44.100, with repeated violations supporting suspension or revocation of the County Registration Certificate.
Who is exempt from the CAMTC certification requirement?
Section 5.44.080 exempts licensed physicians, chiropractors, nurses, and physical therapists (and staff working under their direct supervision), licensed barbers and beauticians limited to neck, face, scalp, hands, or feet, licensed health facility employees, school athletic trainers, and massage at single-occurrence athletic or festival events meeting listed conditions.
Can the county revoke a massage business's registration?
Yes. Section 5.44.110 lets the Sheriff revoke or suspend a County Registration Certificate for grounds like an owner's disqualifying criminal record, lapsed CAMTC certification, a material misapplication misstatement, or repeated chapter violations; the business can appeal to the License Board within 10 days of the notice.

Sources & Official References

Other rules in San Mateo County

All San Mateo County rules

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