Fiscal Year

2021

Case Number

A-20076-31239

Case Status

Certified-Expired

Received Date

2020-04-07

Decision Date

2021-03-29

Refile

N

Original File Date

2021-01-01 09:09:18

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

ENSIGN MONTGOMERY LLC DBA PARKVIEW POST ACUTE

Employer Name Slug

ensign-montgomery-llc-dba-parkview-post-acute

Employer Address 1

3751 MONTGOMERY DRIVE

Employer Address 2

Employer City

SANTA ROSA

Employer City Slug

santa-rosa

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

95405

Employer Phone

707-525-1250

Employer Number of Employees

185

Employer Year Commenced Business

2001

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Soon Burnam

Employer Contact Address 1

29222 Rancho Viejo Road

Employer Contact Address 2

Suite 127

Employer Contact City

San Juan Capistrano

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

92675

Employer Contact Phone

9494879500

Employer Contact Email

cpodesta@ensignservices.net

Agent Attorney Name

Richard A Ford

Agent Attorney Firm Name

Ford Law Firm, PLLC

Agent Attorney Phone

9183923440

Agent Attorney Address 1

616 S. Boston Ave., Suite 300

Agent Attorney Address 2

Agent Attorney City

Tulsa

Agent Attorney State/Province

OKLAHOMA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

74119

Agent Attorney Email

raf@ford-lawfirm.com

PW Track Number

P10019169006053

PW SOC Code

29-1122

PW SOC Title

Occupational Therapist Director of Rehabilitation

PW Skill Level

Level III

PW Wage

93330.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-10-01

PW Expiration Date

2020-06-30

Wage Offer From

106080.00

Wage Offer To

0.00

Average Salary

106080.00

Wage Unit of Pay

Year

Worksite Address 1

3751 Montgomery Drive

Worksite Address 2

Worksite City

Santa Rosa

Worksite City Slug

santa-rosa

Worksite State

CALIFORNIA

Worksite Postal Code

95405

Job Title

Occupational Therapist / Director of Rehabilitation

Job Title Slug

occupational-therapist-director-of-rehabilitation

Minimum Education

Master's

Major Field of Study

Occupational Therapy

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

Must possess or be eligible to obtain a current, unencumbered, active license to practice as an Occupational Therapist in the state of intended employment, and the minimum attainment of a Masters degree or equivalent foreign degree accepted. Any suitable combination of education, training, or experience is acceptable.

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

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2020-01-09

SWA Job Order End Date

2020-02-10

Sunday Edition Newspaper

Y

First Newspaper Name

The Press Democrat

First Advertisement Start Date

2020-02-16

Second Newspaper Ad Name

The Press Democrat

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-02-23

Employer Website From Date

2020-02-03

Employer Website To Date

2020-02-14

Professional Organization Ad From Date

2021-01-01 09:09:18

Professional Organization Advertisement To Date

2021-01-01 09:09:18

Job Search Website From Date

2020-02-14

Job Search Website To Date

2020-03-06

Employee Referral Program From Date

2020-02-13

Employee Referral Program To Date

2020-03-03

Local Ethnic Paper From Date

2020-02-18

Local Ethnic Paper To Date

2020-03-02

Radio/TV Ad From Date

2021-01-01 09:09:18

Radio/TV Ad To Date

2021-01-01 09:09:18

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

SERBIA

Class of Admission

TN

Foreign Worker Education

Master's

Foreign Worker Information: Major

OCCUPATIONAL THERAPY

Foreign Worker Years of Education Completed

2013

Foreign Worker Institution of Education

SAMUEL MERRITT UNIVERSITY

Foreign Worker Education Institution Address 1

3100 TELEGRAPH AVE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

OAKLAND

Foreign Worker Education Institution State/Province

CA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

94609

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Adam K Kaltenbach

Preparer Title

Attorney

Preparer Email

akk@ford-lawfirm.com

Employer Information Declaration Name

Soon Burnam

Employer Information Declaration Title

Treasurer