He left it to one mid-level employee to decide who gets to make a living and who does not. It should have at least been a committee with qualified people making the decision.
The Health honcho reports to the Board of Supervisors (n=5). They could over-rule her if they so choose. The fact that they don't means they must support her decision.
Gov. Newsom should not have left it to Alameda county alone to deal with the logistics.
The Gov made a brilliant political move. He can't be blamed either way. Win-win for his next election. (And make no mistake, he has aspirations of higher office.)