| LCA CASE NUMBER | I-200-22104-068548 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-13 |
| DECISION DATE | 2022-04-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HEALTHCARE QA MANAGER |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-14 |
| END DATE | 2025-04-13 |
| 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 | Stockton Edison Healthcare Corporation |
| TRADE NAME DBA | Good Samaritan Rehabilitation & Care Center |
| EMPLOYER ADDRESS1 | 1630 N Edison St. |
| EMPLOYER CITY | Stockton |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95204 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12099488762 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | ZARILLA |
| EMPLOYER POC FIRST NAME | DEBBIE |
| EMPLOYER POC JOB TITLE | ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 1630 N Edison St |
| EMPLOYER POC CITY | Stockton |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95204 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12099488762 |
| EMPLOYER POC EMAIL | jkjshi@gmail.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4273 The Masters Dr |
| LCA CASE WORKLOC1 CITY | Fairfield |
| WORKSITE COUNTY | SOLANO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94533 |
| LCA CASE WAGE RATE FROM | 52 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 51.96 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
