Fiscal Year

2021

Case Number

A-20090-36802

Case Status

Certified

Received Date

2020-04-20

Decision Date

2021-04-07

Refile

N

Original File Date

2021-01-01 09:11:15

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Tammy Kane HHCSR

Employer Name Slug

tammy-kane-hhcsr

Employer Address 1

PO BOX 176

Employer Address 2

Employer City

BUMPASS

Employer City Slug

bumpass

Employer State

VIRGINIA Mrs.

Employer State Slug

virginia-mrs

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

23024

Employer Phone

8044320599

Employer Number of Employees

1

Employer Year Commenced Business

2013

NAICS Code

814110

FW Ownership Interest

N

Employer Contact Name

Tammy Kane

Employer Contact Address 1

PO BOX 176

Employer Contact Address 2

Employer Contact City

BUMPASS

Employer Contact State/Province

VIRGINIA Mrs.

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

23024

Employer Contact Phone

8044320599

Employer Contact Email

tammy.kane@capitalone.com

Agent Attorney Name

Jennifer L West

Agent Attorney Firm Name

Roth Jackson Gibbons Condlin PLC

Agent Attorney Phone

8044418440

Agent Attorney Address 1

1519 Summit Ave.

Agent Attorney Address 2

Suite 102

Agent Attorney City

Richmond

Agent Attorney State/Province

VIRGINIA Mrs.

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

23230

Agent Attorney Email

jwest@rothjackson.com

PW Track Number

p10020003230713

PW SOC Code

31-1011

PW SOC Title

Home Health Aides

PW Skill Level

Level I

PW Wage

17514.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-07

PW Expiration Date

2020-07-06

Wage Offer From

9.82

Wage Offer To

0.00

Average Salary

9.82

Wage Unit of Pay

Hour

Worksite Address 1

6046 Fredericks Hall Rd.

Worksite Address 2

Worksite City

Mineral

Worksite City Slug

mineral

Worksite State

VIRGINIA

Worksite Postal Code

23117

Job Title

Personal Care Assistant

Job Title Slug

personal-care-assistant

Minimum Education

None

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

N

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

1

Accept Alternative Job Title

child care

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

CPR certification is required.br br For H10, the one month of child care experience may be in babysitting, teaching, or a combination thereof.br br For Ic12 Sunday newspaper recruitment, in addition to ad placement in the Richmond TimesDispatch on two consecutive sundays as stated in that section, Employer additionally placed an ad in the Daily Progress on 01192020 and 01262020 and also placed an ad in The Central Virginian on 01232020 and on 01302020.

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

2020-01-15

SWA Job Order End Date

2020-02-17

Sunday Edition Newspaper

N

First Newspaper Name

Richmond TimesDispatch

First Advertisement Start Date

2020-01-19

Second Newspaper Ad Name

Richmond TimesDispatch

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-01-26

Employer Website From Date

2021-01-01 09:11:15

Employer Website To Date

2021-01-01 09:11:15

Professional Organization Ad From Date

2021-01-01 09:11:15

Professional Organization Advertisement To Date

2021-01-01 09:11:15

Job Search Website From Date

2021-01-01 09:11:15

Job Search Website To Date

2021-01-01 09:11:15

Employee Referral Program From Date

2021-01-01 09:11:15

Employee Referral Program To Date

2021-01-01 09:11:15

Local Ethnic Paper From Date

2021-01-01 09:11:15

Local Ethnic Paper To Date

2021-01-01 09:11:15

Radio/TV Ad From Date

2021-01-01 09:11:15

Radio/TV Ad To Date

2021-01-01 09:11:15

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

NAMIBIA

Foreign Worker Birth Country

NAMIBIA

Class of Admission

J-1

Foreign Worker Education

None

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

Foreign Worker Institution of Education

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Jennifer L West

Preparer Title

attorney

Preparer Email

jwest@rothjackson.com

Employer Information Declaration Name

Tammy Kane

Employer Information Declaration Title

head of household