Fiscal Year

2021

Case Number

A-20073-30716

Case Status

Certified-Expired

Received Date

2020-05-22

Decision Date

2020-11-17

Refile

N

Original File Date

2021-01-01 08:51:07

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

BENICIA ANGELS HOME INC.

Employer Name Slug

benicia-angels-home-inc

Employer Address 1

458 MILLS DR.

Employer Address 2

Employer City

BENICIA

Employer City Slug

benicia

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

94510

Employer Phone

7077480482

Employer Number of Employees

8

Employer Year Commenced Business

2005

NAICS Code

623312

FW Ownership Interest

N

Employer Contact Name

Evelyn Bayon

Employer Contact Address 1

458 Mills Dr.

Employer Contact Address 2

Employer Contact City

Benicia

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

94510

Employer Contact Phone

7077480482

Employer Contact Email

Nurse1eb@hotmail.com

Agent Attorney Name

Fariba Faiz

Agent Attorney Firm Name

Agent Attorney Phone

4159468810

Agent Attorney Address 1

One Sansome Street

Agent Attorney Address 2

Suite 3500

Agent Attorney City

San Francisco

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

94104

Agent Attorney Email

ffaiz@faizlaw.com

PW Track Number

P10019185015885

PW SOC Code

39-9041

PW SOC Title

Administrator

PW Skill Level

Level IV

PW Wage

30784.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-10-22

PW Expiration Date

2020-06-30

Wage Offer From

30784.00

Wage Offer To

30784.00

Average Salary

30784.00

Wage Unit of Pay

Year

Worksite Address 1

458 Mills Dr.

Worksite Address 2

Worksite City

Benicia

Worksite City Slug

benicia

Worksite State

CALIFORNIA

Worksite Postal Code

94510

Job Title

Administrator

Job Title Slug

administrator

Minimum Education

High School

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

Nursing Administrator or Staff Nurse

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

2 Years experience as a Staff Nurse or Nursing Administrator. Have driver license or eligibility to driveobtain drivers license. English proficiency. High School diploma or foreign equiv. Must provide chest xray prior to employment or within 7 days of hire.

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

2019-12-06

SWA Job Order End Date

2020-01-06

Sunday Edition Newspaper

Y

First Newspaper Name

Times Herald

First Advertisement Start Date

2019-12-29

Second Newspaper Ad Name

Times Herald

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-01-05

Employer Website From Date

2021-01-01 08:51:07

Employer Website To Date

2021-01-01 08:51:07

Professional Organization Ad From Date

2021-01-01 08:51:07

Professional Organization Advertisement To Date

2021-01-01 08:51:07

Job Search Website From Date

2021-01-01 08:51:07

Job Search Website To Date

2021-01-01 08:51:07

Employee Referral Program From Date

2021-01-01 08:51:07

Employee Referral Program To Date

2021-01-01 08:51:07

Local Ethnic Paper From Date

2021-01-01 08:51:07

Local Ethnic Paper To Date

2021-01-01 08:51:07

Radio/TV Ad From Date

2021-01-01 08:51:07

Radio/TV Ad To Date

2021-01-01 08:51:07

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

GENERAL EDUCATION

Foreign Worker Years of Education Completed

2007

Foreign Worker Institution of Education

MATAAS NA PAARALAN

Foreign Worker Education Institution Address 1

UNKNOWN

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

NAVAL

Foreign Worker Education Institution State/Province

BILIRAN

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

6560

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Fariba Faiz

Preparer Title

Attorney for Employer

Preparer Email

ffaiz@faizlaw.com

Employer Information Declaration Name

Evelyn Bayon

Employer Information Declaration Title

CEOPresidentRN