| LCA CASE NUMBER | I-200-20356-974014 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-21 |
| DECISION DATE | 2020-12-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-11 |
| END DATE | 2024-01-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Bayshore Therapies LLC |
| EMPLOYER ADDRESS1 | 2173 Salk Ave |
| EMPLOYER ADDRESS2 | #135 |
| EMPLOYER CITY | Carlsbad |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92008 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15103017698 |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Gancasz |
| EMPLOYER POC FIRST NAME | Monica |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 2173 Salk Ave |
| EMPLOYER POC ADDRESS 2 | #135 |
| EMPLOYER POC CITY | Carlsbad |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92008 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15103017698 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Borja |
| AGENT ATTORNEY FIRST NAME | Carlo Franco |
| AGENT ATTORNEY ADDRESS1 | 20955 Pathfinder Rd |
| AGENT ATTORNEY ADDRESS2 | Ste 100 |
| AGENT ATTORNEY CITY | Diamond Bar |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91765 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19093780318 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Carlo Borja |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Bridgeview Post Acute |
| WORKSITE ADDRESS1 | 521 Lorel Way |
| LCA CASE WORKLOC1 CITY | Yuba City |
| WORKSITE COUNTY | SUTTER |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95991 |
| LCA CASE WAGE RATE FROM | 45 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 41.9 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
