DPHSS


DIRECTOR'S OFFICE - GENERAL ADMINISTRATION
Mandate: Title 10, Guam Code Annotated
Purpose: To enforce and monitor EEO, safety, health programs and provide personnel services departmental wide.
Licensure's Office
Mandate: 10GCA, Chapt. 12-15,19
Purpose: Oversees planning and implementing of all Boards' and Commissions' mandates.
Systems Group
Mandate: Title 10, Guam Code Annotated
Purpose: To provide computer analysis, programming, network and technical support for the entire department.
Management Support Services
Mandate: Title 10, Guam Code Annotated
Purpose: To provide administrative support and payroll processing services to the Director's Office.
Financial Management Services
Mandate: Title 10, Guam Code Annotated
Purpose: Department's central financial authority, ensuring compliance with the overall mission and budgetary mandates & guidance. Responsible of the preparation & submittal of the annual budget as well as compliance of all federal grant applied for and received.
Facilities & Maintenance
Mandate: C2Title 10, Guam Code Annotated
Purpose: Responsible for the building maintenance and custodial services & supplies for the entire facilities of the department.
Supply Section
Mandate: Title 10, Guam Code Annotated
Purpose: Responsible for the entire department's procurement, issuance, storage and inventory.
DIVISION OF PUBLIC HEALTH
Chief Public Health Office
Mandate: Title 10, GCA
Purpose: Directs and administers the overall operations of the Division of Public Health. Establishes Division goals and obejctives, monitors compliance with standards, policies, regulations, and procedures for effective and efficient management of federally and locally funded programs and services. Provides recommendations for policy development in the areas of healthcare services and its delivery system. Through organized community effort and applied scientific and technical knowledge, working toward the prevention and control of diseases and promoting health throughout the island
Office of Vital Statistics
Mandate: 10 GCA, Chapter 3, Article 2
Purpose: Install, maintain and operate the system of Vital Statistics for Guam. The Office collects, reviews, amends, registers, certifies and preserves records of vital events, and tabulates, analyzes and publishes statistical data derived from such records.
Office of Planning and Evaluation
Mandate: Title 10, GCA
Purpose: Develops and evaluates the Strategic Plan and the Health Information System Development Plan for the Division of Public Health. Conducts studies to identify helath problems in the community and provides statistical and demographic information to assist in grant preparation, program assessment, and health policy development.
Office of Epidemiology and Research and Cancer Registry
Mandate: Title 10, GCA, Chapter 3,
Purpose: Conduct disease surveillance and monitor activities to prevent and/or identify health problems. Provide assistance to health service programs in the control of diseases of public health significance. The Guam Cancer Registry collects information on all cases of cancer occurring within Guam.
Behavioral Risk Factor Survey System
Mandate: Public Health Service Act Section 317
Measures the health risk behavior of the adult population of Guam. Data from the survey is used by programs in the development of activities geared toward reducing risky behaviors and increasing preventive and protective behaviors to improve the health of the population.
Public Health Preparedness and Response to Bioterrorism
Mandate: Public Health Service (PHS) Act 301(A), 317(K) (1) (2) 319 42USC241 (A)
Purpose: Develop, implement and/or augment the public health capacity to respond to the threat of bioterrorism. Focus areas include Preparedness Planning and Readiness Assessment, Surveillance and Epidemiologic Capacity, Laboratory Biologic Capacity, Health Alert Network/Communication and Information Technology, Communicating Health Risks and Health Information Dissemination, and Education and Training.
Emergency Medical Services
Mandate: 10 GCA, Chapter 84
Purpose: Provide for and maintain an effective pre-hospital emergency medical services system, including the necessary personnel, equipment and facilities to ensure that all emergency patients receive prompt and adequate medical care throughout the range of emergency conditions.
Emergency Medical Services for Children (EMSC)
Mandate: Social Security Act, Title V, Section 502(A) (1), 42USC702, P.L. 106-1134
Purpose: Provide for the development, implementation and maintenance of an effective pre-hospital emergency medical services system, specific to the unique needs of children, to ensure that all pediatric emergency cases receive adequate and appropriate medical care throughout the range of emergency conditions
Guam Real Choice Program
Mandate:
Purpose: Develop, implement, evaluate and maintain an island-wide, community-based comprehensive services program for individuals with developmental disabilities and their families. The focus will be to totally person-centered in order to allow these individuals their highest level of independence and choice.
Bureau of Communicable Disease Control
Mandate:
Purpose: Provides for the planning, development, coordination, evaluation, implementation, and direction of programs related to communicable disease control and prevention. These programs include Foreign Quarantine/Enteric Disease Control program, Immunization program, STD/HIV Control and Prevention program, and the Tuberculosis/Hansen's Disease Control program.
DHHS Tuberculosis and Hansen's Disease Control
Mandate: PHS Act Sections 301(A), 317
Purpose: Responsible for the prevention and control of Tuberculosis and Hansen's Disease and to eliminate these as a public health problem on Guam. Activities include the implementation of the Directly Observed Therapy (DOT) system, index and contact investigation, and case followups.
DHHS STD/HIV Prevention
Mandate: PHS Act Sections 301(A), 317 318 (A,B,C) 42CFR Part 51B/Sub-part A/D
Purpose: Responsible for the prevention and control of sexually transmitted diseases and HIV/AIDS through services such as voluntary and confidential STD/HIV prevention counseling, treatment, partner notification referral, surveillance, epidemiologic contact interviews and followup on all STD morbidities reported. Technical assistance and training for health professionals and community agencies is provided to strengthen collaboration in the prevention and control of STD/HIV, health education risk reduction interventions to targeted populations such as outreach, individual/group interventions and public information.
DHHS Immunization
Mandate: OBRA 1993, Section 1928 Social Security Act, PHS Act Section 317, P.L. 15-96
Purpose: Provides educational information to increase awareness of the importance of immunizations in the control of vaccine preventable diseases. Provides for the planning, development , coordination, evaluation, implementation, and direction for Immunization programs. These include the Immunization Action Plan program, Hepatitis B prenatal and perinatal program, Vaccines for Children program, the Adolescent/Adult Immunization program and the Immunization Registry program.
Bureau of Community Health Services
Mandate: Title 10, GCA
Purpose: Provides for the management and administrative support for the Chronic Disease Prevention and Control program, the Dental Health section, the Health Education section, the Nutrition Health Services section.
DHHS Preventive Health Services Block Grant/Health Education Program/State-based Tobacco prevention and control program
Mandate: 10 GCA, Chapter 3, PHS Act Title XIX, Part A, Sections 301 (A) and 317, 42USC Sections 214 and 247
Purpose: Provide health promotion program services addressing health risk factors and positive healthy behaviors such as wellness, prevention and control of unintentional injuries, tobacco prevention and control, physical fitness, youth-related health. To increase the quality and years of healthy life through health promotion, health education, surveillance and monitoring, community outreach and health screening and evaluation.
Community Health Services/Dental Health Section
Mandate: 10 GCA Chapter 3; P.L. 12-130 and 24-106; P.L. 19-10
Purpose: Provide for the oral health of Guam's children by providing preventive dental services to those below the age of 17 years, basic dental treatment for eligible low income children and to provide emergency dental care for the relief of pain for senior citizens 55 years and older.
Community Health Services/Chronic Disease Prevention and Control
Mandate: 10 GCA, Chapter 3, PHS Act Title XIX, Part A, Sections 301 (A) and 317, 42USC Sections 214 and 247,PHS Act Sec-tions 301 and 317 (k)(2), 101-354
Purpose: Plan and coordinate health intervention activities that include increasing the awareness of preventable risk factors that can reduce morbidity and mortality due to chronic diseases such as heart disease, hypertension, cancer and diabetes.
Community Health Services/ Nutrition Health Services
Mandate: 10 GCA, Chapter 3, PHS Act Title XIX, Part A,Child Nutrition Act of 1996 (Section 17)
Purpose: Provide nutrition education, consultation, in-service training, counseling and administration of the Special Supplemental Nutrition for Women, Infants and Children, the Farmer's Market Nutrition program and coordination of the nutrition component of the Preventive Health Services Block Grant.
Breast and Cervical Cancer Early Detection Program
Mandate: PHS Act Sections 1502, 1507 and 1509
Purpose: To increase the regular use of cancer screening and diagnostics services by low income women who are uninsured or underinsured; to provide for public education and outreach; to provide for a system of referral, followup, tracking surveillance, monitoring and case management; to provide for professional education on screening, rescreening, and diagnostic procedures .
DIVISION OF PUBLIC WELFARE
State Office
Mandate: Title X & XIV 49003 of the Gov Code of Guam
Purpose: To develop and andminister an efficient & effective delivery of Public Assistance services.
Investigative & Recovery Office
Food Stamp Act of 1977; Agriculture and Consumer Protection Act of 1973, US P.L. 104-193; Guam P.L. 15-35; Guam P.L. 25-57; Section 6104 of Internal Revenue Code of 1986
Purpose: Conduct investigations on complaints of abuses and misuse of benefits, and initiate recovery of overpaid and overissued benefits until paid in full.
Bureau of Management Services
Mandate: Food Stamp Act of 1977; Social Security Act, Titles III, IV-A; FNS-QC 310
Purpose: Conduct QC reviews for compliance with federal and local policies. Conduct management evaluation reviews to ensure compliance with federal regulations.
Public Assistance
Mandate: Social Security Act, Titles I, X, and XIV; P.L. 104-193; 10 GCA, Article 6
Purpose: To provide temporary cash and support assistance to needy individuals and families.
JOBS
Mandate: Social Security Act, Title IV-F; P.L. 104-193
Purpose: To enable personal responsibility and develop employability potential of TANF recipients.
Food Stamps Program
Mandate: Food Stamp Act of 1977; Emergency Food Stamp Assistance Act of 1983
Purpose: To provide monthly benefits to low income individuals or households to improve nutritional needs.
Employment & Training Program
Mandate: Food Stamp Act of 1977; P.L. 104-193; P.L. 105-185
Purpose: To assist unemployed Food Stamp recipients to seek employment.
Medicaid
Mandate: Social Security Act, Title XIX; HIPAA of 1996
Purpose: To provide medical assistance to low income individuals and families.
Children Health Infant Insurance Program
Mandate: Balance Budget Act of 1997; HIPAA of 1996
Purpose: To provide medical assistance to children of low income families.
Medically Indigent Program (MIP)
Mandate: Guam P.L. 17-83; P.L. 18-31; P.L. 26-35
Purpose: To provide medical assistance to low income families.
Catastrophic Illness Assistance Program (CIAP)
Mandate: 10 GCA Section 2912.1; P.L. 19-24
Purpose: To provide additional medical assistance to individuals and families unable to afford the cost of medical treatment of a catastrophic illness.
Foster Care
Mandate: 10 GCA, Articles 1-5; Guam P.L. 20-209; P.L. 24-239; P.L. 13-133; 19 GCA, Article 2; P.L. 11-99
Purpose: To provide protective services to victims of child abuse and neglect.
Title XX
Mandate: Social Security Act, Title XX; US P.L. 105-89;
Purpose: To investigate and intervene in cases of child abuse and neglect.
Child Care Block Grant
Mandate: Social Security Act, Title VI-A, Section 418
Purpose: To provide child care services to low income families.
Family Preservation
Mandate: Social Security Act, Title IV-B, Part 2
Purpose: To provide quality protective services to children and strengthen family.
DIVISION OF ENVIRONMENTAL HEALTH
General Provisions
Mandate: Title 10 GCA 20
Purpose: Establishes the Division of Environmental Health, provision for public nuisance and abatement procedures, and penalty provision for violations.
Sanitary Permit
Mandate: Title 10 GCA 21
Purpose: Requires Sanitary Permit for all eating & drinking establishments, food establishments, institutional facilities, hotels, cosmetic establishments, laundry & dry cleaning establishments, and mortuaries. Mandates quarterly inspections and posting of reports. Authorizes closure of establishments, suspension, and revocation of permits.
Health Certificate
Mandate: Title 10 GCA 22, P.L. 25-120
Purpose: Requires universal Health Certificates per job category for all individuals employed in eating & drinking establishments, food establishments, institutional facilities, hotels, cosmetic establishments, laundry & dry cleaning establishments, and mortuaries. Mandates the possession and posting of health certificates by individuals and employers, respectively. Creates Environmental Health Fund and administrative penalties.
Eating and Drinking Establishments
Mandate: Title 10 GCA 23, P.L. 25-15
Purpose: Regulates sanitation in all food service establishments, mobile food service establishments and vending machines. Authorizes examination and condemnation of unwholesome or adulterated food and utensils and collection of samples. Prohibits individuals who have or are suspected of having a communicable disease from working. Contains demerit and grading criteria. Requires public notification for the use of monosodium glutamate (MSG) with penalty provision.
Food Establishments
Mandate: Title 10 GCA 24
Purpose: Regulates sanitation standards in all food establishments (i.e. bakery, grocery, supermarket, food warehouse). Authorizes examination and condemnation of unwholesome or adulterated food and utensils and collection of samples. Prohibits individuals who have or are suspected of having a communicable disease from working.
Institutional Facilities
Mandate: Title 10 GCA 25
Purpose: Regulates sanitation standards in all child care facilities, penal institutions, schools, hospitals, clinics, nursing homes, and laboratories. Prohibits individuals with a communicable disease from work. Establishes notification procedure to Department for employees and clients with a communicable disease.
Hotel Sanitation
Mandate: Title 10 GCA 26
Purpose: Regulates sanitation standards in hotels. Prohibits individuals with a communicable disease from work. Establishes notification procedure to Department for employees with a communicable disease.
Temporary Labor Certification for non-immigrant workers (inspection of dorms)
Mandate: P.L. 21-85
Purpose: Requires the issuance of Dormitory Permits to non-immigrant temporary workers. Mandates sanitary inspection of such facilities.
Cosmetic Establishment
Mandate: Title 10 GCA 27
Purpose: Regulates sanitation standards in all cosmetic establishments. Prohibits individuals with a communicable disease from work. Establishes notification procedure to Department for employees and clients with a communicable disease.
Barbering and Cosmetology Act of 2000 (licensing requirement)
Mandate: P.L. 25-188
Purpose: Requires the Division of Environmental Health with the responsibility of ensuring that certain individuals employed in cosmetic establishments have a valid Health Certificate and professional license.
Laundries and Dry Cleaning Establishments
Mandate: Title 10 GCA 28
Purpose: Regulates sanitation standards in all public laundry and dry cleaning establishments.
Swimming Pools
Mandate: Title 10 GCA 29
Purpose: Regulates sanitation standards in all public swimming pools. Authorizes closure of pools for imminent harm to public.
Cemetery & Mortuary
Mandate: Title 10 GCA 30
Purpose: Regulates sanitation standards and establishment of cemeteries and mortuaries. Requires approval for disinterment. Regulates the number of bodies per grave, transportation of dead human bodies into or from Guam.
Radiological Health
Mandate: Title 10 GCA 31
Purpose: Establishes a radiation control program for Guam. Requires licensing and registry of radioactive materials and other sources of ionizing radiation.
Hazardous Substances
Mandate: Title 10 GCA 32
Purpose: Regulates the importation and marketing of household hazardous substances. Authorizes the tagging, collection, seizure, sampling of misbranded, adulterated and banned hazardous substances.
Solid Waste, SWMF Health Monitoring & Compensation Act of 1998
Mandate: Title 10 GCA 33, P.L. 24-181
Purpose: Regulates garbage or rubbish on public and private premises, edible garbage, commercial establishments, and vehicles used for conveying garbage or rubbish. Mandates base-line studies of solid waste facilities. Creates Solid Waste Management Facilities-Medical Monitoring Fund.
Livestock and Poultry
Mandate: Title 10 GCA 35
Purpose: Regulates the confinement, exclusion and sanitation standards of livestock and poultry .
Mosquito Control
Mandate: Title 10 GCA 36
Purpose: Regulates the control and prevention of mosquito breeding and propagation sites.
Rodent Control
Mandate: Title 10 GCA 37
Purpose: Regulates the control and prevention of rodent breeding and harborage sites at facilities. Authorizes the use of any action necessary to prevent the introduction of plague-infested rodents.
Miscellaneous: Drinking Fountains, Fly Prevention, Compressed Air
Mandate: Title 10 GCA 38
Purpose: Regulates sanitation standards in drinking fountains and compressed air. Regulates the control and prevention of fly breeding and propagation sites.
Wastewater and Toilet
Mandate: Title 10n GCA 39
Purpose: Regulates the disposal of all waste-water and human excrement to prevent health hazard. Requires approval of all pit privies and chemical toilets. Requires issuance of permits for chemical toilets.
Guam Food, Drug and Cosmetic Act
Mandate: Title 10 GCA 40
Purpose: Regulates the importation and marketing of all food, drugs, cosmetics and medical devices. Authorizes the tagging, collection, seizure, sampling of misbranded, adulterated and banned products.
Solid Waste Management and Litter Control: Litter Control
Mandate: Title 10 GCA 51
Purpose: Designates the Department as an authorized officer to issue litter citations for non-compliance with litter law.
Clean Indoor Air Act
Mandate: 21-139
Purpose: Prohibits smoking in most enclosed public places and regulates smoking at places of employment. Designates the Department as an authorized officer to issue smoking citations for non-compliance with law.
Guam Uniform Controlled Substances Act
Mandate: Title 9 GCA 67
Purpose: Regulates the manufacture, distribution and dispensing of controlled substances. Requires issuance of Controlled Substances Registrations to licensed individuals and establishments.
International Health Regulations
Mandate: E.O. 74-10
Purpose: Adopted the International Health Regulations to prevent the introduction of diseases into Guam through ports of entry, and responsible for the inspection of surface vessels for rodents.
Creation of Guam Food Safety Task Force
Mandate: E.O. 2000-20
Purpose: Created and established the Food Safety Task Force to promote food safety in the community through the partnership of Guam of Government, the Military, and the private sector.
DIVISION OF SENIOR CITIZENS
Adult Protective Services
Mandate: Public Law 19-54, as amended by P.L. 21-33.
Purpose: Mandate created the Adult Protective Services Unit under the Division of Senior Citizens. The Unit is designated to receive and investigate all reports of elderly or adults with disabilities abuse, specifically including but not limited to reports of abuse in facilities operated by the Department and other public or private agencies and in private residences. This Unit also provides outreach, education, monitoring, and advocacy for vulnerable elders and adults with disabilities. 100% Local funding.
Manamko Yan Manhoben
Mandate: Public Law 20-171, as amended by P.L. 22-103.
Purpose: Designated through mandate to be administered by the Division of Senior Citizens. Provides for cultural and educational exchange between school-aged children and our manamko. 100% Local funding.
State Agency on Aging
Public Law 14-139.
Purpose: The State Agency Administration includes funding for Division of Senior Citizens staff that are responsible for program administration, development and implementation, monitoring and evaluation, technical assistance and training, information sharing, service delivery follow-up and linking elderly to opportunities and resources available to them within our community. 100% Local funding.
State Office on Aging
Mandate: Older Americans Act of 1965 as amended in 1992 and 2000 (P.L. 106-501, November 13, 2000), inclusive of Guam's Four Year State Plan 2000-2003 and Public Law 14-139.
Purpose: The Division of Senior Citizens' State Office on Aging is charged with the responsibility of administering the Title III programs mandated by the Older Americans Act of 1965, as amended through December 1992 and November 2000, and the administration and development of Guam's Four Year State Plan on Aging. 75% Federal & 25% Local funding.
Title IIIB, Supportive Services
Mandate: Older Americans Act of 1965 as amended in 1992 and 2000 (P.L. 106-501, November 13, 2000) and C.F.R. Title 45 Part 1321 and C.F.R. Title 49, Parts 37 and 38.
Purpose: Supportive services are geared to assist elderly in maintaining productive and meaningful lives and to alleviate problems and concerns they face. Services include Adult Day Care, Case Management, Homemaker, In-Home, Legal Assistance, Senior Center Operations, and Transportation Services. Adult Day Care provides supervised care for frail seniors determined by a physician to be suffering from certain health impairments. Case Management serves as the entry for care for all critical senior programs. Homemaker Services provides home services to homebound seniors. In-Home assists functionally impaired seniors with home services while relieving the primary caregiver. Legal Assistance provides legal assistance and counseling to seniors. Senior Center Operations provides activities focused on the physical, social, psychological, economic, educational, recreational, and creative needs of seniors. Transportation provides seniors transportation to senior centers and other destinations (hospital, clinic, medical appointments, etc.). 85% Federal & 15% Local funding administered by the Division of Senior Citizens.
Title IIIC-1, Elderly Nutrition Program, Congregate Meals
Mandate: Older Americans Act of 1965 as amended in 1992 and 2000 (P.L. 106-501, November 13, 2000) and C.F.R. Title 45 Part 1321.
Purpose: The program serves seniors, 60 years of age or older, and their spouse, regardless of age, if accompanying them at the congregate site. These meals are served at 13 senior center congregate sites and the two (2) Adult Day Care Centers. The Program is designed to maintain or improve the physical, psychological, or social well being of older persons through the provision of hot, nutritious meals. 85% Federal & 15% Local funding administered by the Division of Senior Citizens.
Title IIIC-2, Elderly Nutrition Program, Home-Delivered Meals
Mandate: Older Americans Act of 1965 as amended in 1992 and 2000 (P.L. 106-501, November 13, 2000) and C.F.R. Title 45 Part 1321.
Purpose: The program serves seniors, 60 years of age or older, and their spouse, regardless of age, at their individual residences. This program is specific to seniors who have been determined to be homebound based on medical necessity. The program is designed to maintain or improve the physical, psychological, or social well being of older persons through the provision of hot, nutritious meals. 85% Federal & 15% Local funding administered by the Division of Senior Citizens.
Title IIID, Health Promotion/Disease Prevention Services
Mandate: Older Americans Act of 1965 as amended in 1992 and 2000 (P.L. 106-501, November 13, 2000) and C.F.R. Title 45 Part 1321.
Purpose: Designed to provide disease prevention and health promotion services inclusive of medication management, and information at multipurpose senior centers, at senior congregate sites, through home-delivered meals programs, or at other appropriate sites. 85% Federal & 15% Local funding administered by the Division of Senior Citizens.
Title IIIE, National Family Caregiver Support Program
Mandate: Older Americans Act of 1965 as amended in 2000 (P.L. 106-501, November 13, 2000).
Purpose: The program serves to provide support services including information and assistance to caregivers, counseling, support groups and respite and other home and community based services to families caring for their frail older members. Assistance is also provided to seniors providing care to grandchildren under the age of 19. Priority is given to seniors with greatest social and economic need and seniors caring for children with mental retardation and related developmental disabilities. 75% Federal & 25% Local funding administered by the Division of Senior Citizens.
Title VII, Ombudsman
Mandate: Older Americans Act of 1965 as amended in 1992 and 2000 (P.L. 106-501, November 13, 2000) and C.F.R. Title 45 Part 1321).
Purpose: This program is designated to address complaints of abuse in long-term care facilities, including board and care homes. This program receives and resolves patient complaints ranging from simple complaints about food, up to serious complaints about patient abuse and neglect. 100% Federal funding administered by the Division of Senior Citizens.
Title VII, Elder Abuse
Mandate: Older Americans Act of 1965 as amended in 1992 and 2000 (P.L. 106-501, November 13, 2000) and C.F.R. Title 45 Part 1321).
Purpose: This program is designed for the education and prevention of abuse, neglect, and exploitation of older individuals. 100% Federal funding administered by the Division of Senior Citizens.

 

 

 

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