Fiscal Year

2020

Case Number

A-19234-48151

Case Status

Certified

Received Date

2019-08-30

Decision Date

2020-04-09

Refile

N

Original File Date

2020-01-01 07:52:42

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

NICANOR PEREZ

Employer Name Slug

nicanor-perez

Employer Address 1

302 LEVELAND LANE

Employer Address 2

Employer City

MODESTO

Employer City Slug

modesto

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

95350

Employer Phone

2095754031

Employer Number of Employees

1

Employer Year Commenced Business

2019

NAICS Code

814110

FW Ownership Interest

N

Employer Contact Name

Nicanor Perez

Employer Contact Address 1

302 Leveland Lane

Employer Contact Address 2

Employer Contact City

modesto

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

95350

Employer Contact Phone

2095754031

Employer Contact Email

nickcaring888@gmail.com

Agent Attorney Name

Aurora VegaBuzon

Agent Attorney Firm Name

CHUA TINSAY AND VEGA APLC

Agent Attorney Phone

6199556277

Agent Attorney Address 1

Chua Tinsay and Vega, APLC

Agent Attorney Address 2

1901 First Avenue, Suite 302

Agent Attorney City

San Diego

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

92101

Agent Attorney Email

auvega@ctvattys.com

PW Track Number

P10018109346566

PW SOC Code

39-9021

PW SOC Title

CAREGIVER

PW Skill Level

Level I

PW Wage

22547.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2018-08-17

PW Expiration Date

2019-06-30

Wage Offer From

22547.00

Wage Offer To

0.00

Average Salary

22547.00

Wage Unit of Pay

Year

Worksite Address 1

302 Leveland Ln

Worksite Address 2

Worksite City

Modesto

Worksite City Slug

modesto

Worksite State

CALIFORNIA

Worksite Postal Code

95350

Job Title

Caregiver

Job Title Slug

caregiver

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

3

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

GED

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

Basic CPR and First Aid skills. HealthTB Screening. Criminal Background or Fingerprinting Clearance and Drug screening required before start of employment. Nonsmoker. Physically strong and in good health.

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

2019-05-08

SWA Job Order End Date

2019-06-10

Sunday Edition Newspaper

Y

First Newspaper Name

The Modesto Bee

First Advertisement Start Date

2019-05-19

Second Newspaper Ad Name

The Modesto Bee

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-05-26

Employer Website From Date

2020-01-01 07:52:42

Employer Website To Date

2020-01-01 07:52:42

Professional Organization Ad From Date

2020-01-01 07:52:42

Professional Organization Advertisement To Date

2020-01-01 07:52:42

Job Search Website From Date

2020-01-01 07:52:42

Job Search Website To Date

2020-01-01 07:52:42

Employee Referral Program From Date

2020-01-01 07:52:42

Employee Referral Program To Date

2020-01-01 07:52:42

Local Ethnic Paper From Date

2020-01-01 07:52:42

Local Ethnic Paper To Date

2020-01-01 07:52:42

Radio/TV Ad From Date

2020-01-01 07:52:42

Radio/TV Ad To Date

2020-01-01 07:52:42

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

HIGH SCHOOL ACADEMIC

Foreign Worker Years of Education Completed

2004

Foreign Worker Institution of Education

BINICUIL NATIONAL HIGH SCHOOL

Foreign Worker Education Institution Address 1

BINICUIL

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

KABANKALAN CITY

Foreign Worker Education Institution State/Province

NEGROS OCCIDENTAL

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

AURORA VEGABUZON

Preparer Title

ATTORNEY

Preparer Email

AUVEGA@CTVATTYS.COM

Employer Information Declaration Name

NICANOR PEREZ

Employer Information Declaration Title

HOUSEHOLD EMPLOYER