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Case Number: A-22201-91986

Fiscal year: 2024

Fiscal Year

2024

Case Number

A-22201-91986

Case Status

Certified-Expired

Received Date

2022-07-22

Decision Date

2023-11-13

Refile

N

Original File Date

2024-01-01 00:16:59

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

MOSELLE CARE HOME

Employer Name Slug

moselle-care-home

Employer Address 1

6797 MOSELLE DR

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

95119

Employer Phone

(408)960-6279

Employer Number of Employees

5

Employer Year Commenced Business

2016

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

ZENEBESH GHEBRESELLASIE

Employer Contact Address 1

6797 MOSELLE DR

Employer Contact Address 2

Employer Contact City

SAN JOSE

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

95119

Employer Contact Phone

(408)960-6279

Employer Contact Email

chomemoselle@gmail.com

Agent Attorney Name

EVELYN D ALFONSO

Agent Attorney Firm Name

ALFONSO LAW CORPORATION

Agent Attorney Phone

(650)340-8314

Agent Attorney Address 1

477 NINTH AVENUE

Agent Attorney Address 2

SUITE 106

Agent Attorney City

SAN MATEO

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

94402

Agent Attorney Email

labor.leda@gmail.com

PW Track Number

P10021333730659

PW SOC Code

31-1011

PW SOC Title

HOME HEALTH AIDES

PW Skill Level

Level I

PW Wage

28766.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-06-06

PW Expiration Date

2022-09-04

Wage Offer From

31200.00

Wage Offer To

0.00

Average Salary

31200.00

Wage Unit of Pay

Year

Worksite Address 1

6797 MOSELLE DR

Worksite Address 2

Worksite City

SAN JOSE

Worksite City Slug

san-jose

Worksite State

CALIFORNIA

Worksite Postal Code

95119

Job Title

CAREGIVER

Job Title Slug

caregiver

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

NONE

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

2022-01-28

SWA Job Order End Date

2022-03-31

Sunday Edition Newspaper

Y

First Newspaper Name

SAN FRANCISCO CHRONICLE

First Advertisement Start Date

2022-03-13

Second Newspaper Ad Name

SAN FRANCISCO CHRONICLE

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-03-20

Employer Website From Date

2024-01-01 00:16:59

Employer Website To Date

2024-01-01 00:16:59

Professional Organization Ad From Date

2024-01-01 00:16:59

Professional Organization Advertisement To Date

2024-01-01 00:16:59

Job Search Website From Date

2024-01-01 00:16:59

Job Search Website To Date

2024-01-01 00:16:59

Employee Referral Program From Date

2024-01-01 00:16:59

Employee Referral Program To Date

2024-01-01 00:16:59

Local Ethnic Paper From Date

2024-01-01 00:16:59

Local Ethnic Paper To Date

2024-01-01 00:16:59

Radio/TV Ad From Date

2024-01-01 00:16:59

Radio/TV Ad To Date

2024-01-01 00:16:59

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

NA

Foreign Worker Years of Education Completed

2001

Foreign Worker Institution of Education

SAN JUAN NATIONAL HIGH SCHOOL

Foreign Worker Education Institution Address 1

SAN JUAN

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SAN MANUEL

Foreign Worker Education Institution State/Province

PANGASINAN

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

2438

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

EVELYN D ALFONSO

Preparer Title

ATTORNEY AT LAW

Preparer Email

labor.leda@gmail.com

Employer Information Declaration Name

ZENEBESH GHEBRESELLASIE

Employer Information Declaration Title

MANAGER