| LCA CASE NUMBER | I-200-21067-128204 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-08 |
| DECISION DATE | 2021-03-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Caregiver |
| SOC CODE | 39-9021.00 |
| SOC TITLE | Personal Care Aides |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-02 |
| END DATE | 2024-06-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Serenity Carehome Hawaii LLC |
| TRADE NAME DBA | Serenity Care Home Hawaii Kai |
| EMPLOYER ADDRESS1 | 1072 Kalapaki Street |
| EMPLOYER CITY | HONOLULU |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96825-2706 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17209366050 |
| NAICS CODE | 62399 |
| EMPLOYER POC LAST NAME | Jose |
| EMPLOYER POC FIRST NAME | Ana |
| EMPLOYER POC JOB TITLE | Care Home Operator |
| EMPLOYER POC ADDRESS 1 | 1072 Kalapaki Street |
| EMPLOYER POC CITY | HONOLULU |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96825-2706 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17209366050 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1072 Kalapaki Street |
| LCA CASE WORKLOC1 CITY | Honolulu |
| WORKSITE COUNTY | HONOLULU |
| LCA CASE WORKLOC1 STATE | HI |
| WORKSITE POSTAL CODE | 96825 |
| LCA CASE WAGE RATE FROM | 17 |
| LCA CASE WAGE RATE TO | 18 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 14.98 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| 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 |
