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Case Number: A-20252-97246

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-20252-97246

Case Status

Certified

Received Date

2021-11-02

Decision Date

2022-09-16

Refile

N

Original File Date

2022-01-01 06:38:09

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

GOOD SAMARITAN REHABILITATION AND CARE CENTER

Employer Name Slug

good-samaritan-rehabilitation-and-care-center

Employer Address 1

1630 N. EDISON ST,

Employer Address 2

Employer City

STOCKTON

Employer City Slug

stockton

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

95204

Employer Phone

2099488762

Employer Number of Employees

112

Employer Year Commenced Business

1988

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Deborah L Zarilla

Employer Contact Address 1

1630 N. Edison St,

Employer Contact Address 2

Employer Contact City

Stockton

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

95204

Employer Contact Phone

2099488762

Employer Contact Email

goodsamrehabcare@gmail.com

Agent Attorney Name

Lucy Avedissian

Agent Attorney Firm Name

Law Office of Lucy Avedissian

Agent Attorney Phone

6267920800

Agent Attorney Address 1

766 East Colorado Boulevard, Suite 204

Agent Attorney Address 2

Agent Attorney City

Pasadena

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

911012105

Agent Attorney Email

lucy@immigrationlawoffice.com

PW Track Number

P10021011004550

PW SOC Code

31-1014

PW SOC Title

Nursing Assistants

PW Skill Level

Level I

PW Wage

28018.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-05-20

PW Expiration Date

2021-08-18

Wage Offer From

28500.00

Wage Offer To

0.00

Average Salary

28500.00

Wage Unit of Pay

Year

Worksite Address 1

1630 North Edison Street

Worksite Address 2

Worksite City

Stockton

Worksite City Slug

stockton

Worksite State

CALIFORNIA

Worksite Postal Code

95204

Job Title

Nursing Assistant

Job Title Slug

nursing-assistant

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Completion of a nursing assistant or caregiver training program or enrollment in LVN or BSN program is required. Multiple positions.

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

2021-06-03

SWA Job Order End Date

2021-07-05

Sunday Edition Newspaper

Y

First Newspaper Name

The Record

First Advertisement Start Date

2021-06-13

Second Newspaper Ad Name

The Record

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-06-20

Employer Website From Date

2022-01-01 06:38:09

Employer Website To Date

2022-01-01 06:38:09

Professional Organization Ad From Date

2022-01-01 06:38:09

Professional Organization Advertisement To Date

2022-01-01 06:38:09

Job Search Website From Date

2022-01-01 06:38:09

Job Search Website To Date

2022-01-01 06:38:09

Employee Referral Program From Date

2022-01-01 06:38:09

Employee Referral Program To Date

2022-01-01 06:38:09

Local Ethnic Paper From Date

2022-01-01 06:38:09

Local Ethnic Paper To Date

2022-01-01 06:38:09

Radio/TV Ad From Date

2022-01-01 06:38:09

Radio/TV Ad To Date

2022-01-01 06:38:09

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

Other

Foreign Worker Information: Major

CAREGIVING

Foreign Worker Years of Education Completed

2005

Foreign Worker Institution of Education

MARY PAULINES HEALTHCARE INTERNATIONAL, INC.

Foreign Worker Education Institution Address 1

JL BUILDING BURGOSLACSON STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BACOLOD CITY

Foreign Worker Education Institution State/Province

NEGROS OCCIDENTIAL

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Lucy Avedissian

Preparer Title

Attorney at Law

Preparer Email

lucy@immigrationlawoffice.com

Employer Information Declaration Name

Deborah L Zarilla

Employer Information Declaration Title

Administrator