Fiscal Year

2016

Case Number

A-15092-63405

Case Status

Certified-Expired

Received Date

2015-03-30

Decision Date

2015-10-29

Refile

Original File Date

2016-01-01 03:16:24

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

JUANA CARE FACILITY LLC DBA HERITAGE HAVEN

Employer Name Slug

juana-care-facility-llc-dba-heritage-haven

Employer Address 1

389 JUANA AVE

Employer Address 2

Employer City

SAN LEANDRO

Employer City Slug

san-leandro

Employer State

CA

Employer State Slug

ca

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

94577

Employer Phone

(510)357-1300

Employer Number of Employees

5

Employer Year Commenced Business

2013

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

TANCINCO LAW OFFICES

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

SAN FRANCISCO

Agent Attorney State/Province

CA

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10014231715342

PW SOC Code

31-1011

PW SOC Title

Home Health Aides

PW Skill Level

Level I

PW Wage

21237.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2014-09-26

PW Expiration Date

2015-06-30

Wage Offer From

21237.00

Wage Offer To

0.00

Average Salary

21237.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

SAN LEANDRO

Worksite City Slug

san-leandro

Worksite State

CA

Worksite Postal Code

94577

Job Title

CAREGIVER

Job Title Slug

caregiver

Minimum Education

High School

Major Field of Study

HIGH SCHOOL

Required Training

N

Required Experience

Required Experience Months

3

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Accept Alternative Combination Education

N

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

Accept Alternative Occupation Months

Accept Alternative Job Title

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

Y

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

N

Application for College/University Teacher

SWA Job Order Start Date

2014-10-21

SWA Job Order End Date

2014-11-21

Sunday Edition Newspaper

Y

First Newspaper Name

SAN FRANCISCO CHRONICLE

First Advertisement Start Date

2014-12-07

Second Newspaper Ad Name

SAN FRANCISCO CHRONICLE

Second Advertisement Type

Y

Second Ad Start Date

2014-12-14

Employer Website From Date

2016-01-01 03:16:24

Employer Website To Date

2016-01-01 03:16:24

Professional Organization Ad From Date

2016-01-01 03:16:24

Professional Organization Advertisement To Date

2016-01-01 03:16:24

Job Search Website From Date

2016-01-01 03:16:24

Job Search Website To Date

2016-01-01 03:16:24

Employee Referral Program From Date

2016-01-01 03:16:24

Employee Referral Program To Date

2016-01-01 03:16:24

Local Ethnic Paper From Date

2016-01-01 03:16:24

Local Ethnic Paper To Date

2016-01-01 03:16:24

Radio/TV Ad From Date

2016-01-01 03:16:24

Radio/TV Ad To Date

2016-01-01 03:16:24

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

B-1

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL

Foreign Worker Years of Education Completed

1986

Foreign Worker Institution of Education

ARROYO HIGH SCHOOL

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

ADMINISTRATOR