Fiscal Year

2022

Case Number

A-21053-54464

Case Status

Certified-Expired

Received Date

2021-02-22

Decision Date

2021-11-30

Refile

N

Original File Date

2022-01-01 10:31:03

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PALM GROVE HEALTHCARE

Employer Name Slug

palm-grove-healthcare

Employer Address 1

1665 E. 8TH STREET

Employer Address 2

Employer City

BEAUMONT

Employer City Slug

beaumont

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

92223

Employer Phone

951-845-3125

Employer Number of Employees

80

Employer Year Commenced Business

1999

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Madelyn Smith

Employer Contact Address 1

1665 E. EIGHTH STREET

Employer Contact Address 2

Employer Contact City

BEAUMONT

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

92223

Employer Contact Phone

951-845-3125

Employer Contact Email

palmgrove.healthcare@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

P10020082426221

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

1665 E. EIGHTH ST.

Worksite Address 2

Worksite City

BEAUMONT

Worksite City Slug

beaumont

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

2022-01-01 10:31:03

Employer Website To Date

2022-01-01 10:31:03

Professional Organization Ad From Date

2022-01-01 10:31:03

Professional Organization Advertisement To Date

2022-01-01 10:31:03

Job Search Website From Date

2022-01-01 10:31:03

Job Search Website To Date

2022-01-01 10:31:03

Employee Referral Program From Date

2022-01-01 10:31:03

Employee Referral Program To Date

2022-01-01 10:31:03

Local Ethnic Paper From Date

2022-01-01 10:31:03

Local Ethnic Paper To Date

2022-01-01 10:31:03

Radio/TV Ad From Date

2022-01-01 10:31:03

Radio/TV Ad To Date

2022-01-01 10:31:03

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

F-2

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL

Foreign Worker Years of Education Completed

2001

Foreign Worker Institution of Education

CHUNGANG UNIVERSITY HIGH SCHOOL

Foreign Worker Education Institution Address 1

207 SEOLLEUNGRO

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

GANGNAMGU

Foreign Worker Education Institution State/Province

SEOUL

Foreign Worker Education Institution Country

SOUTH KOREA

Foreign Worker Education Institution Postal Code

6277

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

MARIO BERTUMEN

Employer Information Declaration Title

ADMINISTRATOR