Fiscal Year

2022

Case Number

A-21214-25888

Case Status

Certified

Received Date

2021-08-03

Decision Date

2022-05-09

Refile

N

Original File Date

2022-01-01 11:25:26

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

LITA AVA INC. DBA A GRACE SUBACUTE SKILLED

Employer Name Slug

lita-ava-inc-dba-a-grace-subacute-skilled

Employer Address 1

1250 S. WINCHESTER BLVD.

Employer Address 2

Employer City

SAN JOSE

Employer City Slug

san-jose

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

95128

Employer Phone

4082413844

Employer Number of Employees

200

Employer Year Commenced Business

2008

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Julita A Javier

Employer Contact Address 1

1250 S. Winchester Blvd.

Employer Contact Address 2

Employer Contact City

San Jose

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

95128

Employer Contact Phone

4082413844

Employer Contact Email

ldajobs@agracesubacute.com

Agent Attorney Name

Hilda S Agunday

Agent Attorney Firm Name

Hilda Surtida Agunday, Attorney at Law

Agent Attorney Phone

7145476098

Agent Attorney Address 1

3294 S Wade Dr

Agent Attorney Address 2

Agent Attorney City

Gilbert

Agent Attorney State/Province

ARIZONA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

85297-7801

Agent Attorney Email

attyagunday@gmail.com

PW Track Number

P10020092452955

PW SOC Code

31-1014

PW SOC Title

Nursing Assistants

PW Skill Level

Level I

PW Wage

30992.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-07-13

PW Expiration Date

2021-06-30

Wage Offer From

30992.00

Wage Offer To

0.00

Average Salary

30992.00

Wage Unit of Pay

Year

Worksite Address 1

1250 S. Winchester Blvd.

Worksite Address 2

Worksite City

San Jose

Worksite City Slug

san-jose

Worksite State

CALIFORNIA

Worksite Postal Code

95128

Job Title

Nursing Assistant

Job Title Slug

nursing-assistant

Minimum Education

High School

Major Field of Study

Required Training

Y

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

Y

Accept Alternative Occupation Months

1

Accept Alternative Job Title

nursing assistant or caregiver see item H.14 for details

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

EMPLOYER REQUIRES 1 High school graduate. 2 Completion of at least 2 months postsecondary training or education as nursing assistant. Applicants who are enrolled or completed a program for Registered Nurses, Licensed Vocational Nurses, or has received the above license from a foreign country may apply. 3 At least 1 month experience as a nursing assistant or caregiver for a health care facility, clinic, or hospital. Volunteer experience is acceptable. No prior experience in proffered position required. 4 Completion of BLS CPR course. Certification preferred but not required.

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

2021-03-17

SWA Job Order End Date

2021-04-17

Sunday Edition Newspaper

Y

First Newspaper Name

San Francisco Chronicle

First Advertisement Start Date

2021-04-04

Second Newspaper Ad Name

San Francisco Chronicle

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-04-11

Employer Website From Date

2022-01-01 11:25:26

Employer Website To Date

2022-01-01 11:25:26

Professional Organization Ad From Date

2022-01-01 11:25:26

Professional Organization Advertisement To Date

2022-01-01 11:25:26

Job Search Website From Date

2022-01-01 11:25:26

Job Search Website To Date

2022-01-01 11:25:26

Employee Referral Program From Date

2022-01-01 11:25:26

Employee Referral Program To Date

2022-01-01 11:25:26

Local Ethnic Paper From Date

2022-01-01 11:25:26

Local Ethnic Paper To Date

2022-01-01 11:25:26

Radio/TV Ad From Date

2022-01-01 11:25:26

Radio/TV Ad To Date

2022-01-01 11:25:26

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

HIGH SCHOOL

Foreign Worker Years of Education Completed

2005

Foreign Worker Institution of Education

ST JUDE HIGH SCHOOL

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

POBLACION 2

Foreign Worker Education Institution City

PAGUDPUD

Foreign Worker Education Institution State/Province

ILOCOS NORTE

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

2919

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Hilda S Agunday

Preparer Title

Attorney

Preparer Email

attyagunday@gmail.com

Employer Information Declaration Name

Julita A Javier

Employer Information Declaration Title

PresidentCEO