University of the Pacific is committed to the values of responsibility and integrity. As part of our commitment to our values and standards of conduct, University of the Pacific has a university-wide compliance program. The University Compliance Program serves the University community by providing infrastructure and resources to promote compliance with laws and university policies.
The Compliance Committee has overall operational oversight of the Compliance Program.
Jared Gaynor | Interim Chief Compliance Officer | 209.932.7597 | Email
Deborah Freeman | Director of AA/EEO | 209.946.7362 | Email
Lindsey Green | University Privacy Officer | 415.351.7124 | Email
Louisa Jones | Risk and Insurance Manager | 209.946.2783 | Email
Kevin Mills | General Counsel, ex officio | 209.932.3014 | Email
Rita Peterson | Legal Office Coordinator | 209.932.3009 | Email
Randy Schwantes | Chief Audit Executive, Internal Audit | 209.946.7613 | Email
VACANT | Chief of Staff, Office of the President
Compliance Leads & Functional Units
Day-to-day responsibilities for compliance with external laws and regulations as well as internal policies is the obligation and duty of each university community member, which includes employees, faculty, students, administrators, and regents.
Compliance Lead Responsibilities
- Coordinate with those responsible for compliance within the functional unit;
- Help to identify and oversee regulatory and internal policies;
- Monitor and verify compliance in the applicable unit; and
- Make recommendations for training and monitor completion of training requirements, as needed, for those within the unit
Academics, Student Life and Recruitment is responsible for all compliance matters regarding academic guidelines, regulations, and requirements specific students.
Compliance Lead: Jared Gaynor | 209.932.7597 | jgaynor@pacific.edu
Jared Gaynor serves as the Chief of Staff to the Provost. In this role, Jared is the senior professional deputy to the Provost, handling a wide range of matters for the Provost, including as a senior advisor to the Provost, as the lead for administrative research administrative projects and policy issues for the Academic Division and other senior university leadership, and as the Compliance Lead for the Academic Operations Compliance Functional Unit. Jared also currently serves as the Chair of the University Policy Advisory Committee, and previously served Pacific as Interim Assistant Provost for the Center for Professional and Continuing Education. In addition to a JD earned from the McGeorge School of Law at Pacific, Jared has an MS in Microbiology from Colorado State University, a BS in Microbiology (Concentration in Clinical Lab Sciences) from the California State University at Chico, and a Certificate in International and Comparative Law from a joint program of the McGeorge School of Law and Universität Salzburg.
Functional Unit Supervisors
Accreditations | Cyd Jenefsky | Vice Provost for Strategy and Educational Effectiveness | Email
Admissions | Jonathan Latta | Interim Executive Director, Undergrad Admissions | Email
Clinical Internships | Marjan Hazrati | Clinical Education Liasion | Email
Copyrights, Intellectual Property | Jared Gaynor | Research and Compliance | Email
Financial Aid | Aquila Galgon | Associate Director | Email
Grants | Jim Uchizono | Associate Provost, Research | Email
Housing Operations | Joe Berthiaume | Executive Director, Residential Housing | Email
Human/Animal Subjects | Sandy Ellenbolt | Institutional Research Board Administrator | Email
Immigration, Student Exchange | Ryan Griffith | Director, International Programs and Services | Email
Institutional Animal Care and Use Committee | Sandy Ellenbolt | Institutional Research Board Administrator | Email
IRB/Research | Sandy Ellenbolt | Institutional Research Board Administrator | Email
Legal Clinics | Mary‑Beth Moylan | Professor of Lawyering Skills | Email
NCAA, Equity in Athletics | Holly Trexler | Senior Associate Director, Athletics | Email
Registrar Office | Elisa Anders | Associate Provost | Email
Research Policy/Administration | Jim Uchizono | Associate Provost, Research | Email
Scientific Misconduct | Jim Uchizono | Associate Provost, Research | Email
State Authorizations | Beverly Wade | Director, State Authorizations | Email
Student Conduct | Jared Stammer | Assistant Dean, Student Conduct | Email
Student Groups | Marc Falkenstein | Executive Director, Campus Life | Email
Student Health | Dayna Cerruti-Barbero | Director, Health Services | Email
Applicable Compliance Resources and Articles
Operations and Employees is responsible for all compliance matters regarding employees and university community members.
Compliance Lead: Deborah Freeman | 209.946.7362 | dfreeman@pacific.edu
Deborah Freeman serves as the Director of Affirmative Action and Equal Employment Opportunity Officer. Deborah manages the implementation and oversight of the university's affirmative action program and provides counsel to and advises university administrators, managers, supervisors, and departments about equity, accessibility, non-discrimination, and anti-harassment, policies, regulations, guidelines, and laws. Deborah also serves as the Compliance Lead for the HR, Equity and Diversity Compliance Functional Unit. In addition to her MBA from Aspen University, Deborah holds certifications in Human Resources (PHR and SHRM-CP) and Affirmative Action (Senior Certified Affirmative Action Professional).
Functional Unit Supervisors
ADA Program Management | Deborah Freeman | Director, Equal Employment Opportunity/Diversity | Email
Benefits and Retirement | Stacey Lucchesi | Associate Director, Benefits | Email
Camps, Minors on Campus | Louisa Jones | Manager, Risk and Insurance | Email
Compensation | Linda Jeffers | Assistant Vice President for Human Resources | Email
Donor Gift Restrictions | Cathy Wooton | Senior Associate Vice President, Development | Email
Drones | Roberta Martoza | Director, Enterprise Risk Management | Email
EEOC/Affirmative Action | Deborah Freeman | Director, Equal Employment Opportunity/Diversity | Email
External Relations | Mike Klocke | Community Relations Director | Email
Facilities | Steve Greenwood | Director, Physical Plant | Email
Global Operations | Linda Jeffers | Assistant Vice President for Human Resources | Email
Marketing | Nefretiri Cooley-Broughton | Executive Director, University Communications and Marketing | Email
Payroll | Tara Juano | Director, Payroll Services | Email
Procurement | Ronda Marr | Director, Procurement Services | Email
Real Estate | Chris Madill | Director, Planning and Construction Management | Email
Sanction Checks | Deborah Freeman | Director, Equal Employment Opportunity/Diversity | Email
Student Disability Resources | Daniel Nuss | Director, Office of Services for Students with Disabilities | Email
Taxes | Deborah Marini | Associate Director and Collections Manager | Email
Workers Compensation | Roberta Martoza | Director, Enterprise Risk Management | Email
Applicable Compliance Resources and Articles
Privacy and Social Responsibility is responsible for all compliance matters regarding privacy.
Compliance Lead: Lindsey Green | 415.351.7124 | lgreen@pacific.edu
Lindsey Green serves as the University Privacy Officer. Lindsey was appointed to be University HIPAA Privacy Officer in June 2017 and continues to serve in that role in addition to serving as university wide privacy officer. In addition, Lindsey is also the Patient Relations Liaison for the Arthur A. Dugoni, School of Dentistry, where she helps resolve patient disputes and works with faculty, staff and students to improve the patient experience. Lindsey earned her JD from DePaul University College of Law in 2007 and became a member of the Illinois Bar that same year. She became certified in Healthcare Privacy Compliance in 2018. Certified Information Privacy Professional in 2019.
Functional Unit Supervisors
Center for Medicate and Medicaid Services | Lindsey Green | University Privacy Officer | Email
Conflict of Interest | Sandy Ellenbolt | Institutional Research Board Administrator | Email
Corporate Records | Lindsey Green | University Privacy Officer | Email
Data Privacy and Security | Ken Kerrick | Chief Information Security Officer | Email
DMCA | Leo Calanglang | Assistant Security Officer | Email
EHS | Mike Ubick | Assistant Director, Environmental Health and Safety | Email
Export Controls | Sandy Ellenbolt | Institutional Research Board Administrator | Email
False Claims Act | Lindsey Green | University Privacy Officer | Email
FERPA | Elisa Anders | Associate Provost | Email
HIPAA | Lindsey Green | University Privacy Officer | Email
Investments | Jol Manilay | Assistant Vice President, Treasury | Email
Payment Card Industry (PCI) | Todd Sparrow | Associate Director, E-Commerce | Email
Personal Identifying Information (PII) | Lindsey Green | University Privacy Officer | Email
Technology Licensing | Ken Kerrick | Chief Information Security Officer | Email
Trademarks | Nefretiri Cooley-Broughton | Executive Director, University Communications and Marketing | Email
Applicable Compliance Resources and Articles
Compliance: It’s Everyone’s Responsibility
The Compliance Program, under the direction of Jared Gaynor, Interim Chief Compliance Officer, and with the support of the compliance team of 8 Compliance Leads provides resources to help faculty, staff and students do the right thing and ensure Pacific is a safe, secure and ethical place to work and learn. The Compliance team is a "one-stop shop" of university compliance unit leads who represent areas of university business such as human resources, finance, academic support and student affairs, and are available to answer questions and provide guidance in their respective areas.
The Compliance Program introduced the Compliance Helpline, hosted by a third-party provider, EthicsPoint, to provide an easy method for members of the university community to request guidance for compliance questions and concerns, and to report compliance issues. An important feature of the Compliance Helpline is that all requests and reports either by phone or online can be made on a confidential, anonymous basis, at the choice of the Helpline user.
Gaynor and the compliance leads are available to make presentations to your department or unit. To schedule a presentation, please contact Rita Peterson, Compliance Program Coordinator, at rpeterson@pacific.edu or 209.932.3009.
HIPAA and FERPA
The university Compliance Program team continues to work to support the university compliance efforts while working remotely. This month, the team has prepared an overview of privacy requirements for student records and patient records to help you and your team understand the differences and stay in compliance.
To learn more about these two laws and how they apply to student health records the guidance, visit StudentPrivacy.edu. For questions regarding privacy of Pacific records, contact Lindsey Green, university privacy officer.
HIPAA stands for the Health Insurance Portability and Accountability Act. This federal law covers many subjects but most people are familiar with the privacy rights and protections it provides to certain medical records. FERPA stands for the Family Education Rights and Privacy Act and is another federal law regarding privacy of education records.
Both federal laws concern the privacy and protection of information. HIPAA sets standards for the use and disclosure of patient records and gives patients the right to view and correct their records.
Similarly, FERPA outlines the circumstances in which an educational institution may share student education records and how and when a student (or their parent) may have access to that information. While the subject matter is the same, the specifics regarding who can access the records and the circumstances in which you can share them differ.
Both laws contain specific exceptions allowing for disclosure of information in the case of a threat to the health and safety of the patient/student or others.
Given that HIPAA concerns the privacy of health information, many people logically assume students’ health records maintained by a campus health clinic or a school’s athletics department would be covered by HIPAA. However, HIPAA has some specific exceptions for health information, one of which is covered by FERPA. FERPA covers student educational records, which include health records that directly relate to a student and are maintained by a qualifying educational institution.
Student health records are still private and must be maintained securely with restricted access. When it comes to determining when and with whom student medical information can be shared, we must follow the university’s FERPA policies and procedures.
In some cases, FERPA is more restrictive than HIPAA rules. For example, for treatment purposes, HIPAA allows medical information to be freely shared between medical providers without patient permission or notice. Under FERPA, information maintained in a student record can only be shared with a treatment provider with student consent or if the disclosure meets one of the FERPA exceptions to consent.
