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Case Number: A-20271-04449

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-20271-04449

Case Status

Certified-Expired

Received Date

2021-03-17

Decision Date

2021-12-20

Refile

N

Original File Date

2022-01-01 10:38:52

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

BLUE SPIRIT HOSPICE, INC.

Employer Name Slug

blue-spirit-hospice-inc

Employer Address 1

1433 W.MERCED AVE. UNIT 220

Employer Address 2

,

Employer City

WEST COVINA

Employer City Slug

west-covina

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

91790

Employer Phone

6264306802

Employer Number of Employees

10

Employer Year Commenced Business

2014

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Gerald De La Cruz

Employer Contact Address 1

1110 N. Western Ave.S208

Employer Contact Address 2

Employer Contact City

Los Angeles

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

90029

Employer Contact Phone

6264306802

Employer Contact Email

inter-world@hotmail.com

Agent Attorney Name

Annie A Peralta

Agent Attorney Firm Name

InterWorld Immigration Service

Agent Attorney Phone

2134353703

Agent Attorney Address 1

310 S. Mariposa Ave. S107

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

90020

Agent Attorney Email

inter-world@hotmail.com

PW Track Number

P10020207735495

PW SOC Code

43-6013

PW SOC Title

Coordinator, Admission Hospice Care,

PW Skill Level

Level IV

PW Wage

48651.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-12-31

PW Expiration Date

2021-06-30

Wage Offer From

48651.00

Wage Offer To

0.00

Average Salary

48651.00

Wage Unit of Pay

Year

Worksite Address 1

1433 W. Merced Ave. Unit 220

Worksite Address 2

Worksite City

W. Covina

Worksite City Slug

w-covina

Worksite State

CALIFORNIA

Worksite Postal Code

91790

Job Title

Coordinator, Admission, Hospice Care

Job Title Slug

coordinator-admission-hospice-care

Minimum Education

Other

Major Field of Study

Nursing

Required Training

N

Required Experience

Y

Required Experience Months

24

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

2 yrs. college or vocational education

Accept Alternative Combination

Y

Accept Alternative Combination Education

Other

Accept Alternative Combination Education Years

2

Accept Foreign Education

Y

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

24

Accept Alternative Job Title

Head Nurse, Neonatal intensive care

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

No

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

2021-01-01

SWA Job Order End Date

2021-02-07

Sunday Edition Newspaper

Y

First Newspaper Name

Los Angeles Times

First Advertisement Start Date

2021-01-10

Second Newspaper Ad Name

Los Angeles Times

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-02-07

Employer Website From Date

2022-01-01 10:38:52

Employer Website To Date

2022-01-01 10:38:52

Professional Organization Ad From Date

2022-01-01 10:38:52

Professional Organization Advertisement To Date

2022-01-01 10:38:52

Job Search Website From Date

2022-01-01 10:38:52

Job Search Website To Date

2022-01-01 10:38:52

Employee Referral Program From Date

2022-01-01 10:38:52

Employee Referral Program To Date

2022-01-01 10:38:52

Local Ethnic Paper From Date

2022-01-01 10:38:52

Local Ethnic Paper To Date

2022-01-01 10:38:52

Radio/TV Ad From Date

2022-01-01 10:38:52

Radio/TV Ad To Date

2022-01-01 10:38:52

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

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

BACHELOR OF SCIENCE IN NURSING

Foreign Worker Years of Education Completed

2005

Foreign Worker Institution of Education

OUR LADY OF FATIMA UNIVERSITY

Foreign Worker Education Institution Address 1

120 MCARTHUR HIGHWAY,

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

VALENZUELA CITY

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Annie A Peralta

Preparer Title

Agent

Preparer Email

inter-world@hotmail.com

Employer Information Declaration Name

Gerald De La Cruz

Employer Information Declaration Title

Chief Executive officer