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Case Number: A-20230-88923

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20230-88923

Case Status

Certified

Received Date

2020-08-17

Decision Date

2021-04-06

Refile

N

Original File Date

2021-01-01 09:11:10

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

COMMUNITY CARE HOME HEALTH, INC.

Employer Name Slug

community-care-home-health-inc

Employer Address 1

100 W. BROADWAY, STE. 800

Employer Address 2

Employer City

GLENDALE

Employer City Slug

glendale

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

91210

Employer Phone

(818) 952-5164

Employer Number of Employees

80

Employer Year Commenced Business

1994

NAICS Code

621610

FW Ownership Interest

N

Employer Contact Name

LILIA PAGSISIHAN

Employer Contact Address 1

100 W. BROADWAY, STE. 800

Employer Contact Address 2

Employer Contact City

GLENDALE

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

91210

Employer Contact Phone

(818) 952-5164

Employer Contact Email

comcarehome1@gmail.com

Agent Attorney Name

ORLAND S SEBALLOS

Agent Attorney Firm Name

ATTY. ORLAND S. SEBALLOS

Agent Attorney Phone

(213) 675-1002

Agent Attorney Address 1

5201 WALNUT AVE.

Agent Attorney Address 2

Agent Attorney City

LONG BEACH

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

90805

Agent Attorney Email

oseballos@hotmail.com

PW Track Number

P-100-19308-125

PW SOC Code

11-9111

PW SOC Title

MEDICAL AND HEALTH SERVICE MANAGERS

PW Skill Level

Level II

PW Wage

93829.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-03-03

PW Expiration Date

2020-06-30

Wage Offer From

93829.00

Wage Offer To

0.00

Average Salary

93829.00

Wage Unit of Pay

Year

Worksite Address 1

100 WEST BROADWAY, STE. 800

Worksite Address 2

Worksite City

GLENDALE

Worksite City Slug

glendale

Worksite State

CALIFORNIA

Worksite Postal Code

91210

Job Title

FIELD NURSE SUPERVISOR

Job Title Slug

field-nurse-supervisor

Minimum Education

Bachelor's

Major Field of Study

NURSING

Required Training

N

Required Experience

Y

Required Experience Months

60

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Y

Accept Alternative Combination Education

Master's

Accept Alternative Combination Education Years

0

Accept Foreign Education

Y

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

60

Accept Alternative Job Title

ANY HEALTH CARE RELATED POSITION

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

MUST HAVE BACHELORS IN NURSING 5 YRS HEALTH CARE RELATED EXPERIENCE; MASTERS IN NURSING IN LIEU OF EXPERIENCE 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

2020-03-10

SWA Job Order End Date

2020-04-10

Sunday Edition Newspaper

Y

First Newspaper Name

LOS ANGELES DAILY NEWS

First Advertisement Start Date

2020-05-17

Second Newspaper Ad Name

LOS ANGELES DAILY NEWS

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-24

Employer Website From Date

2021-01-01 09:11:10

Employer Website To Date

2021-01-01 09:11:10

Professional Organization Ad From Date

2021-01-01 09:11:10

Professional Organization Advertisement To Date

2021-01-01 09:11:10

Job Search Website From Date

2020-05-17

Job Search Website To Date

2020-06-16

Employee Referral Program From Date

2020-05-04

Employee Referral Program To Date

2020-06-04

Local Ethnic Paper From Date

2021-01-01 09:11:10

Local Ethnic Paper To Date

2021-01-01 09:11:10

Radio/TV Ad From Date

2021-01-01 09:11:10

Radio/TV Ad To Date

2021-01-01 09:11:10

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

B-2

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

NURSING

Foreign Worker Years of Education Completed

2008

Foreign Worker Institution of Education

UNCIANO COLLEGES, INC.

Foreign Worker Education Institution Address 1

CIRCUMFERENTIAL RD 1870

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

ANTIPOLO CITY

Foreign Worker Education Institution State/Province

ANTIPOLO

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

ORLAND S SEBALLOS

Preparer Title

ATTORNEY

Preparer Email

oseballos@hotmail.com

Employer Information Declaration Name

LILIA PAGSISIHAN

Employer Information Declaration Title

OWNER