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IN THE SUPERIOR COURT OF GUAM
JANELLA M. CRUZ, and on behalf of two Special Proceedings Case No. SP0129-20 minor sons J.J.m.c. (DOB: 07/02/04) and J.J.M.C. (10/21/05),
Petitioners, DECISION AND ORDER
v.
DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES .
GOVERNMENT OF GUAM,
Respondents.
This Decision and Order memorializes the Court's ruling from the bench delivered on
September 18, 2020.
In its efforts to contain the spread of COVID-19, Respondent Department of Public
Health and Social Services (DPHSS) required the quarantine of unaccompanied minors and the
minors' parents upon the minors' arrival in Guam.' DPHSS applied this policy to Petitioner
Janella Cruz and her children on September 7, 2020. Upon hearing testimony from Cruz and
other witnesses from DPHSS and reviewing the admitted exhibits, the Court determines that
DPHSS' policy is unconstitutional as it infringes upon the fundamental liberties of persons as
I Since the Court's ruling, DPHSS has altered this policy with DPHSS Guidance Memo 2020-11 Revs and DPHSS Guidance Memo 2020-11 Rev9. SP0129-20 DECISION AND ORDER Page 2
parents and as i ndi vi dual s. T he Court further determi nes that Cruz di d not vol untari l y agree to
quarantine and that DPHSS committed Cruz against her will, violating her due process rights.
1. FACTUAL BACKGROUND
On September 7, 2020, DPHSS issued Guidance Memo 2020-11 Rev7 ("Rev7")
regarding quarantine procedures. Section E of Rev 7 concerns unaccompanied minors:
Unaccompanied Minors shall complete a 14-day quarantine period at a G ov ernment of G uam Quarantine F aci l i ty, regardless of test results ....
Parent, legal guardian, or authorized representative must meet the minor at the ai rport and prov i de photo i denti fi c ati on i n order to rec ei v e mi nor. T he parent, legal guardian, or authorized representative will be required to sign a Voluntary Quarantine Acknowledgement form and must identify the person who will provide adult supervision and remain with the minor while at the Government of Guam quarantine facility.
Rev7 at 6 (admitted as Ex. C).
Hours before i t i s s ued Rev 7, on September 7, 2020, Cruz ' s two mi nor s ons , .UMC and
.JJ1vIc, arri v ed on Guam as unac c ompani ed mi nors on a fl i ght from Sai pan. Cruz testified that
pri or to her s ons ' arri v al , she contacted DPHSS three times, once on August 24, 2020, and twice
on September 2,. 2020. Cruz testified that, on those calls, DPI-ISS informed her that ifs]Mc and
UMC arrived with acceptable COVID-19 tests, alley may quarantine at home, subject to DPHSS'
v i s i tati on and i ns pec ti on of the home. Cruz, a licensed nurse, and her husband, a respi ratory
therapist, prepared their home for home quarantine. Cruz contends that the children would be
a b l e t o s u c c e s s f u l l y q u a ra n t i n e a t h o me a s e a c h o f t h e i r s o n s h a v e a b e d ro o m a n d s h a re a
b a t h ro o m s e p a ra t e f ro m t h e i r p a re n t s . T h e y c a n a l s o a c c e s s t h e k i t c h e n s e p a ra t e f i rm me i r
parents.
Upon the mi nors' arri val , an ai rport pol i ce offi cer escorted Cruz and her husband i nto a SP0129-20 DECISION AND ORDER Page 3
secured area where DPHSS oiiicials were holding JJMC and JJMC. Cruz noticed that JJMC and
JJMC were Filling out forms and seemed confused about the forms. A DPHSS official informed
Cruz that JJMC and JJMC have to be transferred to a government facility for a 14-day
quarantine. He further informed Cruz that either she or her husband must enter quarantine with
her sons or they would be placed with strangers. According to the testimony of DPHSS Director
Arthur San Agustin, if die parent of an unaccompanied minor refuses to enter into quarantine,
child protective services assumes custody of the child. Cruz entered quarantine with her children
rather than have her children be placed under the custody of strangers .
The officer provided Cruz with a Voluntary Quarantine Letter and other forms. Cruz
testified that she could not read or complete the form because the officer rushed her and her sons
in order to get them on the bus with the other passengers headed for die government quarantine
facility. The letter, Ex. B, did not explain how to object to voluntary quarantine; how to object to
the separation from her children, or how to seek counsel or that she had the right to counsel.
Upon her entry into quarantine, Cruz continually tried to plead with DPHSS but was
informed that they could not leave. On the sixth day of her quarantine and aRea she retained an
attorney and filed this lawsuit, DPHSS issued Cruz a directive explaining that her quarantine will
last until September 21. The directive advises her of her right to counsel.
Because of their quarantine, the minors have been unable to register for or attend school.
II. LAW AND DISCUSSION
Cruz brought this petition on the grounds of 10 GCA §§ 19605(a) and (b) violations.
Section 19605 provides the procedures for isolation and quarantine during a public health
emergency. The Court determines, however, that it need not decide whether DPHSS violated SP0129-20 DECISION AND ORDER Page 4
section 19605 because other grounds exist in Cruz's favor. Specifically, Cruz has a fundamental
ri ght to her l i berty abov e G uam l aw and regul ati ons , the ri ght to her l i berty deri v es from the
F ourteenth A mendment' s Due Process Clause. The Court finds that section E of Rev7 violates
Cnlz's due process rights with respect to her status as an individual and her status as a parent.
A . Wh eth er Cr u z F alls Un d er G u am 's Q u ar an tin e L aw s
As an initial matter, Rev7 references 10 GCA § 3333, "Restricting Entry Into Guam," as
the authori ty j us ti fy i ng res tri c ted entry i nto G uam duri ng an outbreak or pandemi c . Howev er,
Cruz did not enter Guam on September 7 and therefore section 3333 does not apply to her.
Ac c ordi ngl y , Cruz is confined not as an incoming passenger but as a civilian resident of Guam
wi th c hi l dren.
B . Constitutional Issues
Due proc es s undenthe 14th Amendment tak es Mo forms : s ubs tanti v e due proc es s and
proc edural due proc es s . T he Court now ex ami nes whether due proc es s oc c urred under ei ther
framework.
1. Substantive Due Process
Substantive due process concerns the adequacy of the government's reason for depriving
a person of l i berty. S ee I n re G uardi ans hi p of Moy l an, 2017 Guam 28 1137. Substantive due
p ro c e s s p ro t e c t s f u n d a m e n t a l ri g h t s a n d l i b e rt i e s wh i c h a re " d e e p l y ro o t e d i n t h i s Na t i o n ' s
hi s tory and tradi ti on, and i mpl i c i t i n the c onc ept of ordered l i bert y . . . . [W]e have required in
substantive due process cases a careful description of the asserted iimdamental liberty interest."
Guam El ec. Comm 'n u Responsible Choices for All Adults Coalition, 2007 Guam 20 1[86 (c i ti ng
Washington u Glucksberg, 521 U.S. 702, 720 (1997)). SP0129-20 DECISION AND ORDER Page 5
In this case, the fundamental right at issue is Cnlz's right to parent her children. "The
right to parent is a fundamental liberty interest protected by the due process clause of the
Fourteenth Amendment to the United States Constitution." Cvfky u Gov? of Guam, 1997 Guam
14 1] 7. This interest includes the fundamental right to make decisions concerning the care,
custody, and control of one's children. Trowel u Granville, 530 US 57 (2000), Stanley i l l i n o i s ,
405 U.S. 645, 651 (1972); Quilloin u Walcott, 434 U.S. 246 (1978); see also Coffey u Gov? of
Guam, 1997 Guam 14 1]7.
"AS a fundamental right it is afforded great protections from state interference." C0J?'?2y,
1997 Guam 14 1] 7. The right to rear children without undue governmental interference is a
fundamental component of due provE:ess.' Nunez by Nunez M City of San Diego, 114 F.3d 935, 951
(961 Cir. 1997) (citing Ginsberg u New York, 390 U.S. 629, 639 (1968)). Moreover, substantive
due process under the Fourteenth Amendment forbids the government from infringing on certain
iimdamental liberty interests, no matter what process is provided, unless the infringement is
narrowly tailored to serve a compelling government interest. Nunez by Nunez, 114 F.3d at 952.
Such a showing must be made by clear and convincing evidence. Coffey, 1997 Guam 14118.
W ithout a doubt, containing COVID-19 is a compelling state interest. By the latest
tallies, Guam is experiencing a rise in COVID cases and, at the time Cruz was in quarantine, the
Governor had placed Guam under the highest level of condition of readiness. Ex. E. According
to DPHSS' Containment Lead, Chama Mbakwem, arriving passengers brought the virus to the
island and transmitted it across the island community.
DPHSS' solution is die mandatory quarantine of travelers, including unaccompanied
minors. Rev7 takes the hardliner approach of forcing die minors into quarantine, commanding SPOl29-20 DECISION AND ORDER Page 6
the parent to "remain with the minor" in quarantine, and requiring the parent to sign a
"Vol untary " Q uaranti ne Ac k nowl edgement whereby they agree to be moni tored for s y mptoms .
A l though not s tated i n Rev 7 but c onfi rmed by S an A ugs ti n, the al terati v e i s Chi l d P rotec ti v e
S erv i c es t ak es c us t ody of t he c hi l dren. Di c tati ng where parents mus t hous e thei r c hi l dren,
s ubj ec ti ng them and thei r c hi l dren to dai l y moni tori ng, and c onfi ni ng thei r mov ements di rec tl y
i nfri nge on the parent's i i mdamental l i berty i nteres t ov er the c are, c ontrol , and c us tody of the
children.
In offering no exceptions to mandatory quarantine and no chance for a parent to explain
how a home quaranti ne may be more appropri ate, Re v 7 f a i l s t o b e n a rro wl y t a i l o re d . W h a t a
p a re n t d e c i d e s i s i n a c h i l d ' s b e s t i n t e re s t s m u s t b e t a k e n i n t o a c c o u n t i n a n y g o v e rn m e n t
regulation. For example, in Trowel, the U.S. Supreme Court ruled unconstitutional a Washington
statute that di sregarded a fi t parent's deci si on over who coul d have vi si tati on wi th a chi l d and
substituted, in its place, a court's determination of the child's best interests. 530 U.S. at 67. See
also Nunez b y Nunez 114 F.3d at 952 (h o l d i n g t h a t t h e C i t y o f S a n D i e g o ' s i m p o s i t i o n o f a
c u rf e w o v e r m i n o rs c o n s t i t u t e d a n i m p ro p e r s we e p i n g s t a t e c o n t ro l i rre s p e c t i v e o f p a re n t ' s
wishes) .
There are many reasons why a home quarantine of the Cnlz minors is in their best
interests. F i rs t, bec aus e they hav e been i n mandatory quaranti ne, Cruz has been u n a b l e t o
register them for school. S i n c e t h e s c h o o l y e a r s t a rt e d , t h e m i n o rs h a v e n o t re c e i v e d a n
education. Second, Cruz and her husband work in health care and have a heightened
u n d e rs t a n d i n g o f t h e n e c e s s a ry s a f e g u a rd s t o a v o i d t ra n s m i s s i o n o f CO V I D-1 9 wi t h i n t h e i r
household. If either of them caught COVID-19, they would be unable to work so it was SP0129-20 DECISION AND ORDER Page 7
imperative on them to maximize precautions? None of these factors were taken into
consideration by DPHSS, instead, DPHSS ignored their pleas.
In their interpretation of the Constitution, the courts "long ago rejected any notion that a
c hi l d i s the mere c reature of the S t a t e . " P a r h a m u L R. , 4 4 2 U. S . 5 8 4 , 6 0 2 (1 9 7 9 ). Ho we v e r,
Rev7 treats unaccompanied children exactly as creatures of the State--with DPHSS representing
t hat i t has t he ul t i mat e aut hori t y t o di c t at e where and wi t h whom c hi l dren mus t s t ay wi t hout
consul ti ng the parents. Such a pol i cy denotes that D P H S S , as opposed to the parents, is better
s u i t e d t o d e t e rm i n e wh a t is in the c hi l dren' s bes t interests and accommodates no tailoring
whatsoever. T hat approach runs directly contrary to the protection of the fundamental parental
interests long supported by the Constitution and local and federal courts. T he Court therefore
hol ds that Rev 7's pol i c y appl i ed to unac c ompani ed c hi l dren v i ol ates parents ' s ubs tanti v e due
process rights and is unconstitutional.
2. Procedural Due Process
A s eparate c ons i derati on under due proc es s c onc erns proc edural as pec ts . In general ,
p ro c e d u ra l d u e p ro c e s s m a n d a t e s t h a t a p e rs o n re c e i v e f a i r n o t i c e o f a s t a t e a c t i o n a n d a n
opportuni ty to be heard pri or t o the depri v ati on of a fundamental ri g h t . C a s t ro u G .C. C o r p . ,
2012 Guam 6 'H23.3 As part of the procedural due process protections afforded to parental rights,
parents and children are entitled to a court proceeding before they are separated by the
2 Because of her quarantine, Cruz was uNable to start a new job. 1 There is a formal three-part test for procedural due process questions, which involves weighing the liberty interest against the risk of an erroneous deprivation of such interest through the procedures used and the value of additional safeguards and the Government's fiscal and administrative burdens. Carlson u Perez, 2007 Guam 6, 1135 (citing Mathe vs la Eldridge, 424 U.S. 319, 335 (1976)). This three-part test, otherwise known as the Mathe vs procedural due process test, has been extended to parental rights cases. Santosky u Kramer 455 U.S. 745, 754 (1982). However, because no notice or due process procedures were offered to Cruz, procedural due process issues can be addressed simply by examining the basics of whether there was notice and a hearing. SPOl29-20 DECISION AND ORDER Page 8
government. See Tannenbaum u Williams, 193 F.3d 581, 593 (Zd Cir. 1999) ("As a general rule,
therefore, before parents may be deprived of the care, custody or management of their children
without their consent, due process-ordinarily a court proceeding resulting in an order
permitting removal-must be accorded to therm."). The Fourteenth Amendment's Due Process
Clause also guarantees that parents will not be separated from their children for an extended
period without due process of law unless the child is in imminent danger. Mabe u San
BernardinoCty., Dep'tofPub. Soc. Servs., 237 F.3d 1101, 1107 (9thCir. 2001) (citing Stanley u
Illinois, 405 U.s. 645, 651 (1972); If a pre-separation hearing is impractical and the child is already in the state's custody,
the state has a duty to initiate a prompt post-deprivation hearing after the child has beenremoved
from custody. See, e.g., Hollingsworth u Hill, 110 F.3d 733, 739 (10th Cir. 1997), Estiverne v.
Esernio-Jenssen, 833 F. Supp. 2d 356, 371 (E.D.N.Y 2011) (citing Kim R u Mclntyre, 235 F.3d
749, 760 (Zd Cir.2000)). Notably, however, even a temporary separation can be a grave
deprivation of liberty. See Stanley, 405 U.S. at 647 (even the shortest deprivation of parental
custody results in the suffering by children of dislocation and uncertainty). Guam law itself
promotes maintaining the parent-child relationship whenever possible. See, e.g., 19 GCA §4303
(in parental right termination proceedings, "wherever possible family life should be strengthened
and preserved and that the issue of severing the parent-child relationship is of such vital
importance as to require a judicial determination in place of attempts as severance by contractual
arrangements, express or implied, for the surrender or relinquishment of children").
The Court first addresses the issue of notice. Using the 311 hotline, Cruz called DPHSS
before her children's arrival and understood that they could quarantine at home. She was not SPOIZ9-20 DECISION AND ORDER Page 9
given notice that they would be subject to mandatory quarantine. Rev7, which mandates that a
parent or relative quarantine with children, was not issued until hours after Cruz's children
arrived. She was therefore not given advance notice that her children would be subject to
mandatory quarantine or that she or her spouse would also be subject to quarantine.
Cruz also signed a Voluntary Quarantine Letter under the pressure of DPHSS o$cia1s.
Ex. B. She had no opportunity to read and understand the letter or to ask questions. She also
was given no opportunity to ask about possible alternatives. In summary, she had no notice prior
to her quarantine that she or her children would be required to quarantine.
Tuning to whether Cruz had an opportunity to be heard, Cruz received no information
from DPHSS about her rights to a hearing before or even aler being placed in quarantine, nor
was she informed of her right to petition Me Court or to seek counsel. The Court finds that when
DPHSS mandated the seizure of the Cruz minors, Cruz should have had an opportunity to be
heard by a tribunal addressing why the government had a compelling interest to take custody of
her children and to demonstrate that its conduct in quarantining her children was narrowly
tailored. Instead, DPHSS offered her no chance to explain how she could take care of her
children in Her own home in a safe manner. Moreover, DPHSS did not petition any court or
inform her other right to seek counsel Io address the violation of her fundamental liberty interest
in having custody of her children.
Aside from her parental rights, Cruz holds rights to her individual liberty. As this Court
recently explained in Igros u DPHSS, SP0127-20, persons under mandatory quarantine under
E02020-29 and Rev7 did not receive directives under 10 GCA § l9605(a) nor did DPHSS
petition the court to mandate their quarantine under 10 GCA § 19605(b). The Court ruled that SP0129-20 DECISION AND ORDER Page 10
by not following those procedures, DPHSS violated their due process rights. T he same applies
to Cruz.
Also, as previously explained, Cruz was never an incoming passenger, so she did not fall
u n d e r 1 0 G C A § 3333, Title 10, Chapter 19, Article 6, or Rev 7. S he was a c i v i l i an forc ed to
make _the inconceivable choice of surrendering her kids to CPS or forsaking her freedom. In a
s ens e, s he entered not quaranti ne--as DP HS S had no reas on to quaranti ne her other than to
accompany her children--but civil commitment. Under Guam's ci vi l commitment laws for
persons who~ are i nv ol unt ari l y hos pi t al i z ed, a pet i t i on mus t be f i l ed bef ore a c ourt wi t hi n 72
hours of commitment, a court hearing must be held within two judicial days thereafter, and legal
counsel is appointed by the court. 10 GCA Ch. 82.
Unlike a person involuntarily hospitalized, Cruz was gi ven no heari ng, no counsel , and
no information about her rights. So regardless of whether Cruz is seen as a parent who may
potentially lose custody, a quarantined passenger, or a person civilly and involuntarily
c ommi tted, she deserved due process protections. See F oueha u Louisiana, 504 U.S. 71, 80
(1992) ("It is c l ear that c ommi hnent for any purpos e c ons ti tutes a s i g n i f i c a n t d e p ri v a t i o n o f l i berty that requi res due proc es s protec ti on."). It i s c l ear that i n thi s case, when DP HS S gav e
Cruz no chance to appear before a court or speak with an attorney nor an understanding of her
rights, DPHSSaiTorded Cruz less than the minimum of procedural due process protections.
111. CONCLUSION AND ORDER
T he Court fi nds that DP HS S di d not secure the voluntary consent of Cruz to quarantine
or to be deprived of the custody of her children. Because she was not an arriving passenger, she
is not covered under the statute dlat the Government of Guam used to mandate her quarantine. \ \
*~. - / an SPOl29-20 DECISION AND ORDER Page ll
When she entered quarantine involuntarily. DPHSS offered her no information as to the scope of
her rights to challenge her custody or the right of DPHSS to mandate the quarantine of her
children over her preference for home quarantine, it did not petirjon the Court for her
confinement, and it did not advise her of her rights to a prompt hearing to be appointed counsel.
Moreover, she didfnot consent to DPHSS' seizure of her children in quarantine nor did she have
an opportunity to explain her preference as to the handling of the custody of her children. For at
least ten days, she was confined against her will without a meaningful and prompt opportunity to
be heard regarding such confinement and not advised of her right to counsel.
In light of the foregoing violations, the Court holds that Rcv7 Section E violated Cruz's
constitutional rights to due process. Not only has DPHSS tailed to demonstrate that its
procedure as applied to the children's quarantine is narrowly tailored to accommodate Cruz's
fimdamcntal rights and the state's compelling `mterest in controlling the pandemic, but it also did
not give her an opportunity to be heard in court about the custody of her children. Without such
evidence, the Coin finds that it is not reasonably necessary to quarantine unaccompanied
DPHSS is therefore enjoined firm quarantining Cruz or her children at a government
facility.
At a later time, the Court will issue an order for briefing concerning Cruz's request for
attorney's fees.
SO ORDERED this 24th day of September 2020. .c ».- . UL- i 4e' w e
H O N . i x z n . M. m1ARI1'E 1
Judge, superior Court ofGuam