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Case Number: A-19325-86185

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-19325-86185

Case Status

Certified

Received Date

2019-11-21

Decision Date

2020-04-14

Refile

N

Original File Date

2020-01-01 08:19:25

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Pacific Palms Healthcare LLC

Employer Name Slug

pacific-palms-healthcare-llc

Employer Address 1

1020 termino Avenue

Employer Address 2

Employer City

Long Beach

Employer City Slug

long-beach

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

90804

Employer Phone

5624336791

Employer Number of Employees

111

Employer Year Commenced Business

2003

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Lance Haering

Employer Contact Address 1

1020 termino Avenue

Employer Contact Address 2

Employer Contact City

Long Beach

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

90804

Employer Contact Phone

5624336791

Employer Contact Email

pacificpalms.healthcare@yahoo.com

Agent Attorney Name

SADIRI S PADRE

Agent Attorney Firm Name

Santa Clarita Legal Services Cor

Agent Attorney Phone

2133751226

Agent Attorney Address 1

3660 Wilshire Blvd

Agent Attorney Address 2

Suite 825

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

sspadre@yahoo.com

PW Track Number

P10018340937572

PW SOC Code

31-1014

PW SOC Title

Nursing Assistant

PW Skill Level

Level I

PW Wage

25022.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-04-04

PW Expiration Date

2019-07-03

Wage Offer From

25022.00

Wage Offer To

0.00

Average Salary

25022.00

Wage Unit of Pay

Year

Worksite Address 1

1020 Termino Avenue

Worksite Address 2

Worksite City

Long Beach

Worksite City Slug

long-beach

Worksite State

CALIFORNIA

Worksite Postal Code

90804

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

None

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

2019-05-25

SWA Job Order End Date

2019-06-28

Sunday Edition Newspaper

Y

First Newspaper Name

Los Angeles Daily News

First Advertisement Start Date

2019-06-30

Second Newspaper Ad Name

Los Angeles Daily News

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-07-07

Employer Website From Date

2020-01-01 08:19:25

Employer Website To Date

2020-01-01 08:19:25

Professional Organization Ad From Date

2020-01-01 08:19:25

Professional Organization Advertisement To Date

2020-01-01 08:19:25

Job Search Website From Date

2020-01-01 08:19:25

Job Search Website To Date

2020-01-01 08:19:25

Employee Referral Program From Date

2020-01-01 08:19:25

Employee Referral Program To Date

2020-01-01 08:19:25

Local Ethnic Paper From Date

2020-01-01 08:19:25

Local Ethnic Paper To Date

2020-01-01 08:19:25

Radio/TV Ad From Date

2020-01-01 08:19:25

Radio/TV Ad To Date

2020-01-01 08:19:25

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

Not in USA

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL

Foreign Worker Years of Education Completed

1997

Foreign Worker Institution of Education

QUEZON NATIONAL HIGH SCHOOL

Foreign Worker Education Institution Address 1

NATIONAL HIGHWAY BARANGAY ILAYANG IYAM

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LUCENA CITY

Foreign Worker Education Institution State/Province

QUEZON

Foreign Worker Education Institution Country

PHILIPPINES

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

SADIRI S PADRE

Preparer Title

ATTORNEY

Preparer Email

sspadre@yahoo.com

Employer Information Declaration Name

Lance Haering

Employer Information Declaration Title

Administrator