Fiscal Year

2022

Case Number

A-21112-77429

Case Status

Certified-Expired

Received Date

2021-05-07

Decision Date

2021-10-19

Refile

N

Original File Date

2022-01-01 10:17:19

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

INLAND GRACE ADULT DAY HEALTH CARE CENTER

Employer Name Slug

inland-grace-adult-day-health-care-center

Employer Address 1

10150 INDIANA AVE

Employer Address 2

Employer City

RIVERSIDE

Employer City Slug

riverside

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

92503

Employer Phone

951 343 1001

Employer Number of Employees

21

Employer Year Commenced Business

2002

NAICS Code

624120

FW Ownership Interest

N

Employer Contact Name

Yun Hee Kim

Employer Contact Address 1

10150 Indiana Ave

Employer Contact Address 2

Employer Contact City

Riverside

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

92503

Employer Contact Phone

951 343 1001

Employer Contact Email

yunhee35@gmail.com

Agent Attorney Name

Jae Young Kim

Agent Attorney Firm Name

Law Offices of Jae Y Kim PC

Agent Attorney Phone

2133831111

Agent Attorney Address 1

3550 Wilshire Blvd., STE 1085

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

jae@jaekimlaw.com

PW Track Number

P10020275854452

PW SOC Code

11-9111

PW SOC Title

Medical and Health Services Managers

PW Skill Level

Level I

PW Wage

80246.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-03-04

PW Expiration Date

2021-06-30

Wage Offer From

80246.00

Wage Offer To

0.00

Average Salary

80246.00

Wage Unit of Pay

Year

Worksite Address 1

10150 Indiana Ave.

Worksite Address 2

Worksite City

Riverside

Worksite City Slug

riverside

Worksite State

CALIFORNIA

Worksite Postal Code

92503

Job Title

Health Care Manager

Job Title Slug

health-care-manager

Minimum Education

Master's

Major Field of Study

Nursing

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

Healthcare related

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

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2021-03-05

SWA Job Order End Date

2021-04-05

Sunday Edition Newspaper

Y

First Newspaper Name

Riverside Press Enterprise

First Advertisement Start Date

2021-03-21

Second Newspaper Ad Name

Riverside Press Enterprise

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-03-28

Employer Website From Date

2022-01-01 10:17:19

Employer Website To Date

2022-01-01 10:17:19

Professional Organization Ad From Date

2022-01-01 10:17:19

Professional Organization Advertisement To Date

2022-01-01 10:17:19

Job Search Website From Date

2021-03-05

Job Search Website To Date

2021-04-05

Employee Referral Program From Date

2021-03-05

Employee Referral Program To Date

2021-04-05

Local Ethnic Paper From Date

2022-01-01 10:17:19

Local Ethnic Paper To Date

2022-01-01 10:17:19

Radio/TV Ad From Date

2021-03-26

Radio/TV Ad To Date

2021-03-26

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SOUTH KOREA

Foreign Worker Birth Country

SOUTH KOREA

Class of Admission

Foreign Worker Education

Master's

Foreign Worker Information: Major

PSYCHIATRICMENTAL HEALTH NURSING

Foreign Worker Years of Education Completed

2005

Foreign Worker Institution of Education

KOREA UNIVERSITY

Foreign Worker Education Institution Address 1

ANAMRO, SEONGBUKGU

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SEOUL

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

SOUTH KOREA

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

Jae Young Kim

Preparer Title

Attorney

Preparer Email

jae@jaekimlaw.com

Employer Information Declaration Name

Yun Hee Kim

Employer Information Declaration Title

General Manager