Fiscal Year

2022

Case Number

A-21188-13348

Case Status

Certified-Expired

Received Date

2021-08-30

Decision Date

2022-02-23

Refile

N

Original File Date

2022-01-01 10:58:40

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

LAKESIDE HOSPICE CARE, INC.

Employer Name Slug

lakeside-hospice-care-inc

Employer Address 1

800 N HARBOR BLVD, STE A

Employer Address 2

Employer City

LA HABRA

Employer City Slug

la-habra

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

90631

Employer Phone

714-871-0990

Employer Number of Employees

6

Employer Year Commenced Business

2012

NAICS Code

621610

FW Ownership Interest

N

Employer Contact Name

Glenn D Dayap

Employer Contact Address 1

823 W Wilshire Ave

Employer Contact Address 2

Employer Contact City

Fullerton

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

92832

Employer Contact Phone

714-871-0990

Employer Contact Email

info@lakesidehospicecare.com

Agent Attorney Name

Yodel Penacho

Agent Attorney Firm Name

Deloso Penacho Law, PC

Agent Attorney Phone

7604871120

Agent Attorney Address 1

2211 Encinitas Blvd

Agent Attorney Address 2

Second Floor

Agent Attorney City

Encinitas

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

92024

Agent Attorney Email

penacholaw@gmail.com

PW Track Number

P-100-201626419

PW SOC Code

43-4051

PW SOC Title

Nurse Case Manager

PW Skill Level

Level IV

PW Wage

47528.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-10-02

PW Expiration Date

2021-06-30

Wage Offer From

47528.00

Wage Offer To

0.00

Average Salary

47528.00

Wage Unit of Pay

Year

Worksite Address 1

823 West Wilshire Avenue

Worksite Address 2

Worksite City

Fullerton

Worksite City Slug

fullerton

Worksite State

CALIFORNIA

Worksite Postal Code

92832

Job Title

Nurse Case Manager

Job Title Slug

nurse-case-manager

Minimum Education

Bachelor's

Major Field of Study

Nursing

Required Training

N

Required Experience

Y

Required Experience Months

60

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

STRONG INTERPERSONAL AND COMMUNICATION SKILLS; COMPUTER LITERATE; HAVE SOLID PROBLEMSOLVING SKILLS; ABILITY TO PRIORITIZE AND MANAGEbr MULTIPLE TASKS; COMMITTED AND HAS SENSE OF RESPONSIBILITY; HAS ORGANIZATIONAL AND TIME MANAGEMENT SKILLS; CAN WORK WITH MINIMAL SUPERVISIONbr Page 5 of 5br P100

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

2021-03-12

SWA Job Order End Date

2021-04-12

Sunday Edition Newspaper

Y

First Newspaper Name

Los Angeles Times

First Advertisement Start Date

2021-03-28

Second Newspaper Ad Name

Los Angeles Times

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-04-04

Employer Website From Date

2022-01-01 10:58:40

Employer Website To Date

2022-01-01 10:58:40

Professional Organization Ad From Date

2022-01-01 10:58:40

Professional Organization Advertisement To Date

2022-01-01 10:58:40

Job Search Website From Date

2021-03-28

Job Search Website To Date

2021-04-04

Employee Referral Program From Date

2022-01-01 10:58:40

Employee Referral Program To Date

2022-01-01 10:58:40

Local Ethnic Paper From Date

2021-03-29

Local Ethnic Paper To Date

2021-03-29

Radio/TV Ad From Date

2021-03-31

Radio/TV Ad To Date

2021-03-31

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

E-2

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

NURSING

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

DAVAO UNIVERSITY

Foreign Worker Education Institution Address 1

ROXAS AVE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

DAVAO CITY

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

8016

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

Y

Preparer Name

Preparer Title

Preparer Email

Employer Information Declaration Name

Glenn Dayap

Employer Information Declaration Title

CEOAdministrator