| LCA CASE NUMBER | I-200-21115-256418 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-25 |
| DECISION DATE | 2021-04-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Social Work Assistant |
| SOC CODE | 21-1099.00 |
| SOC TITLE | Community and Social Service Specialists, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Community Care ADHC Inc. |
| TRADE NAME DBA | Temple City Adult Day Health |
| EMPLOYER ADDRESS1 | 9917 LAS TUNAS DRIVE |
| EMPLOYER CITY | Temple City |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91780 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16266148999 |
| NAICS CODE | 624120 |
| EMPLOYER POC LAST NAME | Liu |
| EMPLOYER POC FIRST NAME | Annie |
| EMPLOYER POC JOB TITLE | Program Director |
| EMPLOYER POC ADDRESS 1 | 9917 Las Tunas Drive |
| EMPLOYER POC CITY | Temple City |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91780 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16266148999 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ye |
| AGENT ATTORNEY FIRST NAME | Ke |
| AGENT ATTORNEY ADDRESS1 | 17700 Castleton Street |
| AGENT ATTORNEY ADDRESS2 | Suite 568 |
| AGENT ATTORNEY CITY | City of Industry |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91748 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16265548800 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of James Zhou |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court of New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9917 Las Tunas Drive |
| LCA CASE WORKLOC1 CITY | Temple City |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91780 |
| LCA CASE WAGE RATE FROM | 16 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 14.51 |
| 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 |
| PREPARER LAST NAME | Ye |
| PREPARER FIRST NAME | Ke |
| PREPARER BUSINESS NAME | Law Offices of James Zhou |
| PREPARER EMAIL | [email protected] |
