Fiscal Year

2019

Case Number

A-19098-90195

Case Status

Certified

Received Date

2019-04-24

Decision Date

2019-06-14

Refile

Original File Date

2019-01-01 14:06:29

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

LITA & AVA INC. DBA A GRACE SUB-ACUTE & SKILLED

Employer Name Slug

lita-ava-inc-dba-a-grace-sub-acute-skilled

Employer Address 1

1250 S. WINCHESTER BLVD.

Employer Address 2

Employer City

SAN JOSE

Employer City Slug

san-jose

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

95128

Employer Phone

4082413844

Employer Number of Employees

200

Employer Year Commenced Business

2008

NAICS Code

FW Ownership Interest

N

Employer Contact Name

Employer Contact Address 1

Employer Contact Address 2

Employer Contact City

Employer Contact State/Province

Employer Contact Country

Employer Contact Postal Code

Employer Contact Phone

Employer Contact Email

Agent Attorney Name

Agent Attorney Firm Name

Hilda Surtida Agunday, Attorney at Law

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Gilbert

Agent Attorney State/Province

ARIZONA

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10018113602845

PW SOC Code

31-1014

PW SOC Title

Nursing Assistants

PW Skill Level

Level III

PW Wage

38.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

0

PW Expiration Date

0

Wage Offer From

38418.00

Wage Offer To

0.00

Average Salary

38418.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

San Jose

Worksite City Slug

san-jose

Worksite State

CALIFORNIA

Worksite Postal Code

95128

Job Title

Nurse Assistant

Job Title Slug

nurse-assistant

Minimum Education

High School

Major Field of Study

Required Training

Y

Required Experience

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

1

Accept Alternative Job Title

nursing assistant or caregiver (see item H.14 for details)

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

N

Application for College/University Teacher

N

SWA Job Order Start Date

0

SWA Job Order End Date

0

Sunday Edition Newspaper

Y

First Newspaper Name

San Francisco Chronicle

First Advertisement Start Date

0

Second Newspaper Ad Name

San Francisco Chronicle

Second Advertisement Type

Newspaper

Second Ad Start Date

0

Employer Website From Date

2019-01-01 14:06:29

Employer Website To Date

2019-01-01 14:06:29

Professional Organization Ad From Date

2019-01-01 14:06:29

Professional Organization Advertisement To Date

2019-01-01 14:06:29

Job Search Website From Date

2019-01-01 14:06:29

Job Search Website To Date

2019-01-01 14:06:29

Employee Referral Program From Date

2019-01-01 14:06:29

Employee Referral Program To Date

2019-01-01 14:06:29

Local Ethnic Paper From Date

2019-01-01 14:06:29

Local Ethnic Paper To Date

2019-01-01 14:06:29

Radio/TV Ad From Date

2019-01-01 14:06:29

Radio/TV Ad To Date

2019-01-01 14:06:29

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL

Foreign Worker Years of Education Completed

1995

Foreign Worker Institution of Education

SOUTHERN RIZAL INSTITUTE

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

Foreign Worker Employer Pays for Education

Foreign Worker Currently Employed

Employer Completed Application

Preparer Name

Preparer Title

Attorney

Preparer Email

Employer Information Declaration Name

Employer Information Declaration Title

President/CEO