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Case Number: A-21069-60522

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21069-60522

Case Status

Certified

Received Date

2021-03-11

Decision Date

2021-08-11

Refile

N

Original File Date

2021-01-01 09:58:44

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Montebello Care Center

Employer Name Slug

montebello-care-center

Employer Address 1

1035 W Beverly Blvd,

Employer Address 2

Employer City

Montebello

Employer City Slug

montebello

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

90604

Employer Phone

323-724-1315

Employer Number of Employees

110

Employer Year Commenced Business

1964

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Steevee Reroma

Employer Contact Address 1

1035 W Beverly Blvd,

Employer Contact Address 2

Employer Contact City

Montebello

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

90604

Employer Contact Phone

323-724-1315

Employer Contact Email

montebello.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

P10020183688841

PW SOC Code

31-1014

PW SOC Title

Nursing Assistant

PW Skill Level

Level I

PW Wage

33114.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-11-05

PW Expiration Date

2021-06-30

Wage Offer From

33114.00

Wage Offer To

0.00

Average Salary

33114.00

Wage Unit of Pay

Year

Worksite Address 1

1035 W. Beverly Blvd.

Worksite Address 2

Worksite City

MONTEBELLO

Worksite City Slug

montebello

Worksite State

CALIFORNIA

Worksite Postal Code

90604

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

2020-12-28

SWA Job Order End Date

2021-01-27

Sunday Edition Newspaper

Y

First Newspaper Name

SAN GABRIEL VALLEY TRIBUNE

First Advertisement Start Date

2020-12-13

Second Newspaper Ad Name

SAN GABRIEL VALLEY TRIBUNE

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-12-20

Employer Website From Date

2021-01-01 09:58:44

Employer Website To Date

2021-01-01 09:58:44

Professional Organization Ad From Date

2021-01-01 09:58:44

Professional Organization Advertisement To Date

2021-01-01 09:58:44

Job Search Website From Date

2021-01-01 09:58:44

Job Search Website To Date

2021-01-01 09:58:44

Employee Referral Program From Date

2021-01-01 09:58:44

Employee Referral Program To Date

2021-01-01 09:58:44

Local Ethnic Paper From Date

2021-01-01 09:58:44

Local Ethnic Paper To Date

2021-01-01 09:58:44

Radio/TV Ad From Date

2021-01-01 09:58:44

Radio/TV Ad To Date

2021-01-01 09:58:44

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

2012

Foreign Worker Institution of Education

LA CONSOLACION COLLEGE

Foreign Worker Education Institution Address 1

GALO ST

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BACOLOD

Foreign Worker Education Institution State/Province

NEGROS OCCIDENTAL

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

6100

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

STEEVEE REROMA

Employer Information Declaration Title

DIRECTOR OF CORPORATE OPERATIONS