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Case Number: A-23110-30746

Fiscal year: 2024

Fiscal Year

2024

Case Number

A-23110-30746

Case Status

Certified

Received Date

2023-05-02

Decision Date

2024-05-22

Refile

N

Original File Date

2024-01-01 01:24:45

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Canyon Properties III,LLC dba Country Manor Health

Employer Name Slug

canyon-properties-iiillc-dba-country-manor-health

Employer Address 1

11723 Fenton Avenue

Employer Address 2

Employer City

Lakeview Terrace

Employer City Slug

lakeview-terrace

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

91342

Employer Phone

8188990251

Employer Number of Employees

120

Employer Year Commenced Business

2003

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Jose Arevalo

Employer Contact Address 1

11723 Fenton Avenue

Employer Contact Address 2

Employer Contact City

Lakeview Terrace

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

91342

Employer Contact Phone

8188990251

Employer Contact Email

countrymanorhealthcare2022@gmail.com

Agent Attorney Name

Julieta A Unas

Agent Attorney Firm Name

Julieta Unas, Attorney at Law, Corporation

Agent Attorney Phone

8187620832

Agent Attorney Address 1

4605 Lankershim Blvd

Agent Attorney Address 2

Ste.810

Agent Attorney City

North Hollywood

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

91602

Agent Attorney Email

jaulawofc@aol.com

PW Track Number

P100221100943

PW SOC Code

31-1131.00

PW SOC Title

Nursing Assistants

PW Skill Level

Level I

PW Wage

38667.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-11-04

PW Expiration Date

2023-06-30

Wage Offer From

38667.00

Wage Offer To

0.00

Average Salary

38667.00

Wage Unit of Pay

Year

Worksite Address 1

11723 Fenton Avenue

Worksite Address 2

Worksite City

Lakeview Terrace

Worksite City Slug

lakeview-terrace

Worksite State

CALIFORNIA

Worksite Postal Code

91342

Job Title

NURSING ASSISTANT

Job Title Slug

nursing-assistant

Minimum Education

None

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

24

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

Y

Accept Alternative Occupation Months

24

Accept Alternative Job Title

CAREGIVER, PHYSICAL THERAPIST AIDEINTERN OR NURSE

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

2023-01-20

SWA Job Order End Date

2023-02-23

Sunday Edition Newspaper

Y

First Newspaper Name

LOS ANGELES DAILY NEWS

First Advertisement Start Date

2023-02-19

Second Newspaper Ad Name

LOS ANGELES DAILY NEWS

Second Advertisement Type

Newspaper

Second Ad Start Date

2023-02-26

Employer Website From Date

2024-01-01 01:24:45

Employer Website To Date

2024-01-01 01:24:45

Professional Organization Ad From Date

2024-01-01 01:24:45

Professional Organization Advertisement To Date

2024-01-01 01:24:45

Job Search Website From Date

2024-01-01 01:24:45

Job Search Website To Date

2024-01-01 01:24:45

Employee Referral Program From Date

2024-01-01 01:24:45

Employee Referral Program To Date

2024-01-01 01:24:45

Local Ethnic Paper From Date

2024-01-01 01:24:45

Local Ethnic Paper To Date

2024-01-01 01:24:45

Radio/TV Ad From Date

2024-01-01 01:24:45

Radio/TV Ad To Date

2024-01-01 01:24:45

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

CAREGIVER PROGRAM

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

ASIAPACIFIC CAREGIVER AND HEALTHCARE TRAINING CENTER

Foreign Worker Education Institution Address 1

UNIT 302, 3RD FLOOR #1139 PANORAMA BLDG,

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

QUEZON CITY,

Foreign Worker Education Institution State/Province

METRO MANILA

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Julieta Unas

Preparer Title

ATTORNEY

Preparer Email

jaulawofc@aol.com

Employer Information Declaration Name

JOSE AREVALO

Employer Information Declaration Title

ADMINISTRATOR