Fiscal Year

2021

Case Number

A-20268-03554

Case Status

Certified

Received Date

2020-10-01

Decision Date

2021-09-03

Refile

N

Original File Date

2021-01-01 10:07:36

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Hayward Holy Infant Residential Care Facility Inc.

Employer Name Slug

hayward-holy-infant-residential-care-facility-inc

Employer Address 1

1836 Florida Street

Employer Address 2

Employer City

Hayward

Employer City Slug

hayward

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

94545

Employer Phone

510-432-4684

Employer Number of Employees

5

Employer Year Commenced Business

2002

NAICS Code

623110

FW Ownership Interest

Y

Employer Contact Name

Simporiana Jugarap

Employer Contact Address 1

1836 Florida Street

Employer Contact Address 2

Employer Contact City

Hayward

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

94545

Employer Contact Phone

510-432-4684

Employer Contact Email

apyang59@hotmail.com

Agent Attorney Name

EVELYN D ALFONSO

Agent Attorney Firm Name

ALFONSO LAW CORPORATION

Agent Attorney Phone

(650)340-8314

Agent Attorney Address 1

477 NINTH AVENUE SUITE 106

Agent Attorney Address 2

Agent Attorney City

SAN MATEO

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

94402

Agent Attorney Email

smatty921@aol.com

PW Track Number

P10020132560795

PW SOC Code

31-1011

PW SOC Title

HOME HEALTH AIDES

PW Skill Level

Level I

PW Wage

25230.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-08-26

PW Expiration Date

2021-06-30

Wage Offer From

25230.00

Wage Offer To

0.00

Average Salary

25230.00

Wage Unit of Pay

Year

Worksite Address 1

1836 FLORIDA STREET

Worksite Address 2

Worksite City

HAYWARD

Worksite City Slug

hayward

Worksite State

CALIFORNIA

Worksite Postal Code

94545

Job Title

CAREGIVER

Job Title Slug

caregiver

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

2020-07-28

SWA Job Order End Date

2020-09-26

Sunday Edition Newspaper

Y

First Newspaper Name

SAN FRANCISCO CHRONICLE

First Advertisement Start Date

2020-08-09

Second Newspaper Ad Name

SAN FRANCISCO CHRONICLE

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-08-16

Employer Website From Date

2021-01-01 10:07:36

Employer Website To Date

2021-01-01 10:07:36

Professional Organization Ad From Date

2021-01-01 10:07:36

Professional Organization Advertisement To Date

2021-01-01 10:07:36

Job Search Website From Date

2021-01-01 10:07:36

Job Search Website To Date

2021-01-01 10:07:36

Employee Referral Program From Date

2021-01-01 10:07:36

Employee Referral Program To Date

2021-01-01 10:07:36

Local Ethnic Paper From Date

2021-01-01 10:07:36

Local Ethnic Paper To Date

2021-01-01 10:07:36

Radio/TV Ad From Date

2021-01-01 10:07:36

Radio/TV Ad To Date

2021-01-01 10:07:36

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

Foreign Worker Education

High School

Foreign Worker Information: Major

NA

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

FATIMA NATIONAL HIGH SCHOOL

Foreign Worker Education Institution Address 1

BRGY. FATIMA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

GENERAL SANTOS CITY

Foreign Worker Education Institution State/Province

SOUTH COTABATO

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

9500

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

EVELYN D ALFONSO

Preparer Title

ATTORNEY AT LAW

Preparer Email

labor.leda@gmail.com

Employer Information Declaration Name

SIMPORIANA JUGARAP

Employer Information Declaration Title

ADMINISTRATOR