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Case Number: A-21050-53854

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21050-53854

Case Status

Certified

Received Date

2021-02-22

Decision Date

2021-07-27

Refile

N

Original File Date

2021-01-01 09:53:52

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

MIRAVILLA CARE CENTER

Employer Name Slug

miravilla-care-center

Employer Address 1

9246 AVENIDA MIRAVILLA

Employer Address 2

Employer City

CHERRY VALLEY

Employer City Slug

cherry-valley

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

92223

Employer Phone

9518453194

Employer Number of Employees

80

Employer Year Commenced Business

2000

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Jumer Roque

Employer Contact Address 1

9246 AVENIDA MIRAVILLA

Employer Contact Address 2

Employer Contact City

CHERRY VALLEY

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

92223

Employer Contact Phone

9518453194

Employer Contact Email

miravilla.care.center@gmail.com

Agent Attorney Name

Sadiri S Padre

Agent Attorney Firm Name

Santa Clarita Legal Services Corp.

Agent Attorney Phone

2133751226

Agent Attorney Address 1

3660 Wilshire Blvd. Ste. 825

Agent Attorney Address 2

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

P-100-20083-426

PW SOC Code

31-1014

PW SOC Title

Nursing Assistant

PW Skill Level

Level I

PW Wage

26270.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-06-19

PW Expiration Date

2020-09-17

Wage Offer From

26270.00

Wage Offer To

0.00

Average Salary

26270.00

Wage Unit of Pay

Year

Worksite Address 1

9246 AVENIDA MIRAVILLA

Worksite Address 2

Worksite City

CHERRY VALLEY

Worksite City Slug

cherry-valley

Worksite State

CALIFORNIA

Worksite Postal Code

92223

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

2020-08-23

SWA Job Order End Date

2020-09-25

Sunday Edition Newspaper

Y

First Newspaper Name

PRESS ENTERPRISE

First Advertisement Start Date

2020-11-08

Second Newspaper Ad Name

PRESS ENTERPRISE

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-11-15

Employer Website From Date

2021-01-01 09:53:52

Employer Website To Date

2021-01-01 09:53:52

Professional Organization Ad From Date

2021-01-01 09:53:52

Professional Organization Advertisement To Date

2021-01-01 09:53:52

Job Search Website From Date

2021-01-01 09:53:52

Job Search Website To Date

2021-01-01 09:53:52

Employee Referral Program From Date

2021-01-01 09:53:52

Employee Referral Program To Date

2021-01-01 09:53:52

Local Ethnic Paper From Date

2021-01-01 09:53:52

Local Ethnic Paper To Date

2021-01-01 09:53:52

Radio/TV Ad From Date

2021-01-01 09:53:52

Radio/TV Ad To Date

2021-01-01 09:53:52

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

1987

Foreign Worker Institution of Education

BINMALEY CATHOLIC HIGH SCHOOL

Foreign Worker Education Institution Address 1

SAN ISIDRO SUR

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BINMALEY

Foreign Worker Education Institution State/Province

PANGASINAN

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

MADELYN SMITH

Employer Information Declaration Title

ADMINISTRATOR