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Case Number: A-19151-12444

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-19151-12444

Case Status

Denied

Received Date

2019-05-31

Decision Date

2020-03-06

Refile

N

Original File Date

2020-01-01 07:21:52

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Good Samaritan Rehabilitation and Care Center

Employer Name Slug

good-samaritan-rehabilitation-and-care-center

Employer Address 1

1630 N. Edison St,

Employer Address 2

Employer City

Stockton

Employer City Slug

stockton

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

95204

Employer Phone

2099488762

Employer Number of Employees

125

Employer Year Commenced Business

1988

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Praxedes B Demesa

Employer Contact Address 1

1630 N. Edison Street

Employer Contact Address 2

Employer Contact City

Stockton

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

95204

Employer Contact Phone

2099488762

Employer Contact Email

sedydemesa@yahoo.com

Agent Attorney Name

Agent Attorney Firm Name

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Agent Attorney State/Province

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10018109961759

PW SOC Code

31-1014

PW SOC Title

Nursing Assistant

PW Skill Level

Level I

PW Wage

26957.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2018-07-24

PW Expiration Date

2019-06-30

Wage Offer From

26957.00

Wage Offer To

0.00

Average Salary

26957.00

Wage Unit of Pay

Year

Worksite Address 1

1630 N. Edison Street

Worksite Address 2

Worksite City

Stockton

Worksite City Slug

stockton

Worksite State

CALIFORNIA

Worksite Postal Code

95204

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

Completion of a nursing assistant or caregiver training program or enrollment in or graduation from a LVN or BSN program.

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

2019-01-16

SWA Job Order End Date

2019-02-17

Sunday Edition Newspaper

Y

First Newspaper Name

The Record

First Advertisement Start Date

2019-04-21

Second Newspaper Ad Name

The Record

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-04-28

Employer Website From Date

2020-01-01 07:21:52

Employer Website To Date

2020-01-01 07:21:52

Professional Organization Ad From Date

2020-01-01 07:21:52

Professional Organization Advertisement To Date

2020-01-01 07:21:52

Job Search Website From Date

2020-01-01 07:21:52

Job Search Website To Date

2020-01-01 07:21:52

Employee Referral Program From Date

2020-01-01 07:21:52

Employee Referral Program To Date

2020-01-01 07:21:52

Local Ethnic Paper From Date

2020-01-01 07:21:52

Local Ethnic Paper To Date

2020-01-01 07:21:52

Radio/TV Ad From Date

2020-01-01 07:21:52

Radio/TV Ad To Date

2020-01-01 07:21:52

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

1989

Foreign Worker Institution of Education

OUR LADY OF PERPETUAL HELP COLLEGE

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MALASIQUI

Foreign Worker Education Institution State/Province

PANGASINAN

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

2421

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

Y

Preparer Name

Preparer Title

Preparer Email

Employer Information Declaration Name

Praxedes B Demesa

Employer Information Declaration Title

Administrator