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Case Number: A-16019-62459

Fiscal year: 2016

Fiscal Year

2016

Case Number

A-16019-62459

Case Status

Certified

Received Date

2016-02-16

Decision Date

2016-05-31

Refile

Original File Date

2016-01-01 03:58:44

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

LITA & AVA INC. DBA A GRACE SUB-ACUTE & SKILLED

Employer Name Slug

lita-ava-inc-dba-a-grace-sub-acute-skilled

Employer Address 1

1250 S. WINCHESTER BLVD.

Employer Address 2

Employer City

SAN JOSE

Employer City Slug

san-jose

Employer State

CA

Employer State Slug

ca

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

95128

Employer Phone

4082413844

Employer Number of Employees

200

Employer Year Commenced Business

2008

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

Surtida Law Offices, Inc.

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Santa Ana

Agent Attorney State/Province

CA

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10015260083370

PW SOC Code

31-1014

PW SOC Title

Nursing Assistants

PW Skill Level

Level IV

PW Wage

38958.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2015-11-23

PW Expiration Date

2016-06-30

Wage Offer From

38958.00

Wage Offer To

0.00

Average Salary

38958.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

San Jose

Worksite City Slug

san-jose

Worksite State

CA

Worksite Postal Code

95128

Job Title

Nurse Assistant

Job Title Slug

nurse-assistant

Minimum Education

High School

Major Field of Study

Required Training

Y

Required Experience

Required Experience Months

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

12

Accept Alternative Job Title

Healthcare worker for health care facility (see item H.14 for details)

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

2015-12-01

SWA Job Order End Date

2016-01-01

Sunday Edition Newspaper

Y

First Newspaper Name

The Los Angeles Times (Orange County Edition)

First Advertisement Start Date

2015-12-06

Second Newspaper Ad Name

The Los Angeles Times (Orange County Edition)

Second Advertisement Type

Y

Second Ad Start Date

2015-12-13

Employer Website From Date

2016-01-01 03:58:44

Employer Website To Date

2016-01-01 03:58:44

Professional Organization Ad From Date

2016-01-01 03:58:44

Professional Organization Advertisement To Date

2016-01-01 03:58:44

Job Search Website From Date

2016-01-01 03:58:44

Job Search Website To Date

2016-01-01 03:58:44

Employee Referral Program From Date

2016-01-01 03:58:44

Employee Referral Program To Date

2016-01-01 03:58:44

Local Ethnic Paper From Date

2016-01-01 03:58:44

Local Ethnic Paper To Date

2016-01-01 03:58:44

Radio/TV Ad From Date

2016-01-01 03:58:44

Radio/TV Ad To Date

2016-01-01 03:58:44

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

Bachelor's

Foreign Worker Information: Major

NURSING

Foreign Worker Years of Education Completed

2011

Foreign Worker Institution of Education

OUR LADY OF FATIMA UNIVERSITY

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

CEO