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Case Number: A-23045-01604

Fiscal year: 2024

Fiscal Year

2024

Case Number

A-23045-01604

Case Status

Certified

Received Date

2023-02-14

Decision Date

2024-03-13

Refile

N

Original File Date

2024-01-01 00:56:35

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

DEVONSHIRE CARE CENTER LLC

Employer Name Slug

devonshire-care-center-llc

Employer Address 1

1350 E. DEVONSHIRE AVENUE

Employer Address 2

Employer City

HEMET

Employer City Slug

hemet

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

92544

Employer Phone

9519252571

Employer Number of Employees

84

Employer Year Commenced Business

1969

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

SONI B BIGNANT

Employer Contact Address 1

1350 DEVONSHIRE AVE.

Employer Contact Address 2

Employer Contact City

HEMET

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

92544

Employer Contact Phone

9519252571

Employer Contact Email

DEVONSHIRE825.PERM@GMAIL.COM

Agent Attorney Name

GARY J KIM

Agent Attorney Firm Name

LAW OFFICES OF GARY J. KIM

Agent Attorney Phone

2134276262

Agent Attorney Address 1

3731 WILSHIRE BLVD.

Agent Attorney Address 2

SUITE 502

Agent Attorney City

LOS ANGELES

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

90010

Agent Attorney Email

GJKPERM@GJKLAWGROUP.COM

PW Track Number

P10021322712221

PW SOC Code

31-1014

PW SOC Title

NURSING ASSISTANT

PW Skill Level

Level I

PW Wage

30285.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-05-26

PW Expiration Date

2022-08-24

Wage Offer From

30285.00

Wage Offer To

0.00

Average Salary

30285.00

Wage Unit of Pay

Year

Worksite Address 1

1350 E. DEVONSHIRE AVENUE

Worksite Address 2

Worksite City

HEMET

Worksite City Slug

hemet

Worksite State

CALIFORNIA

Worksite Postal Code

92544

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

NA

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

2022-08-19

SWA Job Order End Date

2022-09-21

Sunday Edition Newspaper

Y

First Newspaper Name

THE PRESS ENTERPRISE

First Advertisement Start Date

2023-01-01

Second Newspaper Ad Name

THE PRESS ENTERPRISE

Second Advertisement Type

Newspaper

Second Ad Start Date

2023-01-08

Employer Website From Date

2024-01-01 00:56:35

Employer Website To Date

2024-01-01 00:56:35

Professional Organization Ad From Date

2024-01-01 00:56:35

Professional Organization Advertisement To Date

2024-01-01 00:56:35

Job Search Website From Date

2024-01-01 00:56:35

Job Search Website To Date

2024-01-01 00:56:35

Employee Referral Program From Date

2024-01-01 00:56:35

Employee Referral Program To Date

2024-01-01 00:56:35

Local Ethnic Paper From Date

2024-01-01 00:56:35

Local Ethnic Paper To Date

2024-01-01 00:56:35

Radio/TV Ad From Date

2024-01-01 00:56:35

Radio/TV Ad To Date

2024-01-01 00:56:35

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CAMBODIA

Foreign Worker Birth Country

CAMBODIA

Class of Admission

Not in USA

Foreign Worker Education

High School

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

HUN SEN BALAING HIGH SCHOOL

Foreign Worker Education Institution Address 1

MVQW6RW, NR6, KRONG STUENG SAEN

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

STUENG SAEN

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

CAMBODIA

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

GARY J KIM

Preparer Title

ATTORNEY AT LAW

Preparer Email

GJKPERM@GJKLAWGROUP.COM

Employer Information Declaration Name

SONI BIGNANT

Employer Information Declaration Title

ADMINISTRATOR