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Case Number: A-21312-69846

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21312-69846

Case Status

Certified

Received Date

2021-12-03

Decision Date

2022-07-05

Refile

N

Original File Date

2022-01-01 11:41:57

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

LILIBETH P JACOBS DBA EPIONE RESIDENTIAL CARE

Employer Name Slug

lilibeth-p-jacobs-dba-epione-residential-care

Employer Address 1

1212 S. MARY AVENUE

Employer Address 2

Employer City

SUNNYVALE

Employer City Slug

sunnyvale

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

94087

Employer Phone

(408)881-2049

Employer Number of Employees

4

Employer Year Commenced Business

2020

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

LILIBETH P JACOBS

Employer Contact Address 1

1212 S. MARY AVENUE

Employer Contact Address 2

Employer Contact City

SUNNYVALE

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

94087

Employer Contact Phone

(408)881-2049

Employer Contact Email

lilijacobsbeth@gmail.com

Agent Attorney Name

EVELYN D ALFONSO

Agent Attorney Firm Name

ALFONSO LAW CORPORATION

Agent Attorney Phone

(650)340-8314

Agent Attorney Address 1

477 NINTH AVENUE

Agent Attorney Address 2

SUITE 106

Agent Attorney City

SAN MATEO

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

94402

Agent Attorney Email

labor.leda@gmail.com

PW Track Number

P10021126293875

PW SOC Code

31-1011

PW SOC Title

HOME HEALTH AIDES

PW Skill Level

Level I

PW Wage

28766.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-10-25

PW Expiration Date

2022-06-30

Wage Offer From

28766.00

Wage Offer To

0.00

Average Salary

28766.00

Wage Unit of Pay

Year

Worksite Address 1

1212 S. MARY AVENUE

Worksite Address 2

Worksite City

SUNNYVALE

Worksite City Slug

sunnyvale

Worksite State

CALIFORNIA

Worksite Postal Code

94087

Job Title

CAREGIVER

Job Title Slug

caregiver

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

2021-08-03

SWA Job Order End Date

2021-10-02

Sunday Edition Newspaper

Y

First Newspaper Name

SAN FRANCISCO CHRONICLE

First Advertisement Start Date

2021-08-08

Second Newspaper Ad Name

SAN FRANCISCO CHRONICLE

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-08-15

Employer Website From Date

2022-01-01 11:41:57

Employer Website To Date

2022-01-01 11:41:57

Professional Organization Ad From Date

2022-01-01 11:41:57

Professional Organization Advertisement To Date

2022-01-01 11:41:57

Job Search Website From Date

2022-01-01 11:41:57

Job Search Website To Date

2022-01-01 11:41:57

Employee Referral Program From Date

2022-01-01 11:41:57

Employee Referral Program To Date

2022-01-01 11:41:57

Local Ethnic Paper From Date

2022-01-01 11:41:57

Local Ethnic Paper To Date

2022-01-01 11:41:57

Radio/TV Ad From Date

2022-01-01 11:41:57

Radio/TV Ad To Date

2022-01-01 11:41:57

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

NA

Foreign Worker Years of Education Completed

2004

Foreign Worker Institution of Education

RIZAL STANDARD ACADEMY

Foreign Worker Education Institution Address 1

RIZAL AVENUE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

NAGCARLAN

Foreign Worker Education Institution State/Province

LAGUNA

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

4002

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

EVELYN D ALFONSO

Preparer Title

ATTORNEY AT LAW

Preparer Email

labor.leda@gmail.com

Employer Information Declaration Name

LILIBETH P JACOBS

Employer Information Declaration Title

ADMINISTRATOR