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Case Number: A-22175-77998

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-22175-77998

Case Status

Withdrawn

Received Date

2022-08-08

Decision Date

2022-08-11

Refile

N

Original File Date

2022-01-01 11:51:00

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. 8th 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

Agent Attorney Phone

2133751226

Agent Attorney Address 1

3660 wilshire blvd

Agent Attorney Address 2

ste 825

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

p10021188448633

PW SOC Code

31-1014

PW SOC Title

NURSING ASSISTANTS

PW Skill Level

Level I

PW Wage

30285.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-12-08

PW Expiration Date

2022-06-30

Wage Offer From

30285.00

Wage Offer To

0.00

Average Salary

30285.00

Wage Unit of Pay

Year

Worksite Address 1

1665 E. 8th STREET

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

NA

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

2022-02-17

SWA Job Order End Date

2022-03-21

Sunday Edition Newspaper

Y

First Newspaper Name

SAN BERNARDINO SUN

First Advertisement Start Date

2022-05-15

Second Newspaper Ad Name

SAN BERNARDINO SUN

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-05-22

Employer Website From Date

2022-01-01 11:51:00

Employer Website To Date

2022-01-01 11:51:00

Professional Organization Ad From Date

2022-01-01 11:51:00

Professional Organization Advertisement To Date

2022-01-01 11:51:00

Job Search Website From Date

2022-01-01 11:51:00

Job Search Website To Date

2022-01-01 11:51:00

Employee Referral Program From Date

2022-01-01 11:51:00

Employee Referral Program To Date

2022-01-01 11:51:00

Local Ethnic Paper From Date

2022-01-01 11:51:00

Local Ethnic Paper To Date

2022-01-01 11:51:00

Radio/TV Ad From Date

2022-01-01 11:51:00

Radio/TV Ad To Date

2022-01-01 11:51:00

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PANAMA

Foreign Worker Birth Country

PANAMA

Class of Admission

Not in USA

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL

Foreign Worker Years of Education Completed

2021

Foreign Worker Institution of Education

THE OXFORD SCHOOL

Foreign Worker Education Institution Address 1

CALLE SERGIO GONZALES RUIZ

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LOS SANTOS

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

PANAMA

Foreign Worker Education Institution Postal Code

6040

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

MADELYN SMITH

Employer Information Declaration Title

ADMINISTRATOR