Guam Administrative Code

§ 4820. Bakery Product Labeling and Marking. (a) Labeling or marking of containers and packages for bakery products must comply with the requirement of the Guam Food, Drug and Cosmetic Act and regulations adopted thereunder. (b) Bakery products in packages sold at retail outlets …

§ 4821. Health Certificate. Health Certificates must be obtained by all employees working in bakery establishment in accordance with separate regulations established by the Division of Environmental Health, Department of Public Health and Social Services for obtaining health cert…

§ 4822. Repealer. These regulations shall be effective 45 days after their adoption and publication in accordance with law. At that time, all 176 regulations and parts of regulations that conflict with these regulations are repealed.…

§ 4823. Separability. If any provision or application of any provision of these regulations are held invalid, that invalidity shall not affect other provisions or applications of these regulations. ------- ARTICLE 9 COSMETOLOGY NOTE: Rule-making authority cited for formulation of…

§ 4901. General Provisions. (a) Purpose: These regulations shall be liberally construed and applied to promote their underlying purpose of protecting the public health. 177 (b) Definitions: (1) Construction Permit shall mean a written document issued by the Department of Public H…

§ 4902. Permits. (a) Sanitary Permits: (1) No person, association or corporation shall directly or indirectly in any manner conduct, control, manage, maintain, or operate a shop or school unless a valid sanitary permit, issued by the Department to operate such an establishment, h…

§ 4903. Disease Control. (a) Employee Practices, Hygiene. (1) All employees and operators shall wear clean outer garments, maintain a high degree of personal cleanliness and conform to good hygienic practices while on duty. (2) Employees' hands and arms which will normally come i…

§ 4904. Health Certificates. (a) General. (1) No person shall operate, manage or work in a shop or school unless that person holds a valid health certificate issued by the Department. 182 (2) No owner shall knowingly allow any person to work in a shop or school unless that person…

§ 4905. Sanitary Controls and Facilities. (a) Sanitary Practices - Prohibited Activities. (1) The use of common neck dusters, hair brushes made of wood and bristle, shaving brushes, powder puffs, nail buffers, and sponges is prohibited. (2) The reuse of single use items such as c…

§ 4906. Construction and Maintenance of Physical Facilities. (a) General. 189 (1) No person shall operate a shop or school in connection with any other business or dwelling unless there is a solid, doorless partition from the floor to the ceiling and between such walls as will pr…

§ 4907. Inspections. (a) Inspection Frequency. As often as may be deemed necessary for the enforcement of these regulations, and at least once every months, an inspection of all shops and schools shall be made by the Director. 190 (b) Access. An employee or representative of the …

§ 4908. Posting of Documents. (a) General. (1) The sanitary permit and one copy of the most recent inspection report shall be posted in a conspicuous place 191 designated by the Director, and clearly visible to the public. No person other than the Director shall remove, deface, c…

§ 6101. Needs Assessment. Health center demonstrates and documents the needs of its target population, updating its service area, when appropriate. (Section 330(k)(2) and Section 330(k)(3)(J) of the PHS Act).

§ 6102. Required and Additional Services. Health center provides all required primary, preventive, enabling health services and additional health services as appropriate and necessary, either directly or through established written arrangements and referrals. (Section 330(a) of t…

§ 6103. Staffing Requirement. Health center maintains a core staff as necessary to carry out all required primary, preventive, enabling health services and additional health services as appropriate and necessary, either directly or through established arrangements and referrals. …

§ 6104. Accessible Hours of Operation/Locations. Health center provides services at times and locations that assure accessibility and meet the needs of the population to be served. (Section 330(k)(3)(A) of the PHS Act).

§ 6105. After Hours Coverage. Health center provides professional coverage for medical emergencies during hours when the center is closed. (Section 330(k)(3)(A) of the PHS Act and 42 CFR Part 51c.102(h)(4)).

§ 6106. Hospital Admitting Privileges and Continuum of Care. Health center physicians have admitting privileges at one or more referral hospitals, or other such arrangement to ensure continuity of care. In cases where hospital arrangements (including admitting privileges and memb…

§ 6107. Sliding Fee Discounts. Health center has a system in place to determine eligibility for patient discounts adjusted on the basis of the patient’s ability to pay. (a) This system must provide a full discount to individuals and families with annual incomes at or below 100% o…

§ 6108. Quality Improvement/Assurance Plan. Health center has an ongoing Quality Improvement/Quality Assurance (QI/QA) program that includes clinical services and management, and that maintains the confidentiality of patient records. The QI/QA program must include: (a) a clinical…

§ 6109. Key Management Staff. Health center maintains a fully staffed health center management team as appropriate for the size and needs of the center. Prior approval by HRSA of a change in the Project Director/Executive Director/CEO position is required. (Section 330(k)(3)(I) o…

§ 6110. Contractual/Affiliation Agreements. Health center exercises appropriate oversight and authority over all contracted services, including assuring that any sub- recipient(s) meets Health Center program requirements. (Section 330(k)(3)(I)(ii), 42 CFR Part 51c.303(n), (t)), S…

§ 6111. Collaborative Relationships. Health center makes effort to establish and maintain collaborative relationships with other health care providers, including other health centers, in the service area of the center. The health center secures letter(s) of support from existing …

§ 6112. Financial Management and Control Policies. Health center maintains accounting and internal control systems appropriate to the size and complexity of the organization reflecting Generally Accepted Accounting Principles (GAAP) and separates functions appropriate to organiza…

§ 6113. Billing and Collections. Health center has systems in place to maximize collections and reimbursement for its costs in providing health services, including written billing, credit and collection policies and procedures. (Section 330(k)(3)(F) and (G) of the PHS Act).…

§ 6114. Budget. Health center has developed a budget that reflects the costs of operations, expenses, and revenues (including the federal grant) necessary to accomplish the service delivery plan, including the number of patients to be served. (Section 330(k)(3)(D), Section 330(k)…

§ 6115. Program Data Reporting Systems. Health center has systems which accurately collect and organize data for program reporting and which support management decision making. (Section 330(k)(3)(I)(ii) of the PHS Act).…

§ 6116. Scope of Project. Health center maintains its funded scope of project (sites, services, service area, target population and providers), including any increases based on recent grant awards. (45 CFR Part 74.25).

§ 6117. Board Authority. Health center governing board maintains appropriate authority to oversee the operations of the center, including: (a) holding monthly meetings; (b) approval of the health center grant application and budget; (c) selection/dismissal and performance evaluat…

§ 6118. Board Composition. The health center governing board is composed of individuals, a majority of whom are being served by the center and, this majority as a group, represent the individuals being served by the center in terms of demographic factors such as race, ethnicity, …

§ 6119. Conflict of Interest Policy. (a) Health center bylaws or written corporate board approved policy include provisions that prohibit conflict of interest by board members, employees, consultants and those who furnish goods or services to the health center. (b) No board membe…

§ 6201. Declaration of Purpose. Pursuant to the requirements of Public Law 14-11, it is the purpose of these regulations to promote safe and adequate pre- hospital care for victims of motor vehicle accidents, suspected coronary illnesses and other acute illnesses or trauma throug…

§ 6202. Definitions. For the purpose of these and subsequent regulations, the following words and phrases shall have the following means unless the context clearly indicates otherwise: (a) Ambulance means an emergency vehicle designed and used to transport the ill and injured and…

§ 6203. License Required.

§ 6204. License Expiration Dates. The Office of Emergency medical Services shall issue initial ambulance licenses as necessary to stagger expiration dates throughout a one-year period so as to cause no more than two ambulance licenses to expire in any given month.…

§ 6205. Denial, Suspension, Revocation of License - Hearings. (a) The Office of Emergency Medical Services after consideration of the recommendation of the Commission is authorized to deny, suspend, or revoke any license issued pursuant to this chapter in any case in which is fin…

§ 6206. Ambulance Vehicle. (a) Identification: Ambulance vehicles’ exteriors shall conform to Federal Government Specifications KKK-A-1822A as amended, COLOR, EMBLEMS, AND MARKINGS. The ambulance and the allied equipment furnished under this specification shall be the manufacture…

§ 6207. Medical Equipment. The following shall be considered the minimum required: (a) Resuscitation equipment. (1) An oxygen supply of at least 3,000 liter capacity shall be provided and be accessible for replacement, preferably from outside the patient compartment working space…

§ 6208. Extrication Equipment. Each ambulance shall carry equipment for extricating the injured from automobiles and other entrapping conditions. Extrication equipment shall include: (a) 12 inch wrench, with adjustable open end (b) screwdriver, 12 inches long, with regular blade …

§ 6209. Radio Communications Equipment. (a) Ambulance vehicles shall be equipped with mobile radio equipment which meet the following minimum requirements: (1) The equipment shall provide direct two-way radio communication between the ambulance vehicle and the systems control poi…

§ 6210. Inspection. The Office of Emergency Medical Services from time to time but no less than quarterly shall conduct inspections of ambulances in order to determine adequacy of all ambulances and equipment.

§ 6211. Objective of the EMT-A Course. (a) To teach students the overall roles and responsibilities of the EMT-A in performing both emergency care and operational aspects of his job. (b) To develop student skill in diagnosis and all emergency treatment short of those rendered by …

§ 6212. Registration of Course. In order for an Emergency Medical Technician Course to be approved by the Office of Emergency Medical Services, the following conditions must be met: (a) The office of EMS must receive written notification of intent to conduct a Basic EMT training …

§ 6213. Basic Course Requirements. Minimum requirements for the Basic EMT-A Course shall be: (a) Course Hours. At least 71 hours of classroom training. In addition, a minimum of 10 hours of in- hospital/clinical observation and training must be provided. (b) Course Instructor. Bo…

§ 6214. Emergency Medical Technician Course Instructor. (a) Requirements. (1) Current licensed physician or registered nurse or an EMT approved by the Commission. (2) Current certification as a CPR instructor by American Heart Association or the American Red Cross or have a quali…

§ 6215. Instructor Aide. (a) Requirements. (1) Demonstrated skill and expertise in first aid and emergency medical procedures; and/or (2) Previous experience in the teaching of first aid skills; and (3) Certification as an Emergency Medical Technician. (4) The nomination of a per…

§ 6216. Minimum Requirements for Enrollment in The Basic EMT-A Course. (a) Be at least 18 years of age at the beginning of the course enrollment; (b) Have a high school diploma or equivalency qualifications; (c) Possess a valid and current certificate reflecting completion of the…

§ 6217. Waivers. Any waivers of pre-requisites for enrollment shall be granted only by the Office of Emergency Medical Services in writing. Such waivers shall be granted pursuant to the requirements of Section 10.0 of these regulations.…

§ 6218. Examinations. (a) Examinations shall be constructed by the Course Instructor and approved by the Office of EMS. All copies of written examinations shall remain on file with the Office of EMS. An overall average grade of 70 percent is required for certification. The Course…

§ 6219. Certification. (a) It is the responsibility of the Office of EMS to certify students who have successfully completed the course and passed both the written and practical examination. (b) The data of certification is the same date as the date the course was completed. (c) …