| LCA CASE NUMBER | I-200-23131-011933 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-10 |
| DECISION DATE | 2023-05-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Healthcare Social Worker |
| SOC CODE | 21-1022.00 |
| SOC TITLE | Healthcare Social Workers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| 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 | Kingsley Place Adult Health Day Care |
| EMPLOYER ADDRESS1 | 548 S. Kingsley Dr. |
| EMPLOYER CITY | Los Angeles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90020 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12133833303 |
| NAICS CODE | 624120 |
| EMPLOYER POC LAST NAME | PAK |
| EMPLOYER POC FIRST NAME | Crystal |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 548 S. Kingsley Dr. |
| EMPLOYER POC CITY | Los Angeles |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90020 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12133833303 |
| EMPLOYER POC EMAIL | KP_ADHC@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | KIM |
| AGENT ATTORNEY FIRST NAME | Kyung |
| AGENT ATTORNEY ADDRESS1 | 114 Washington Blvd |
| AGENT ATTORNEY ADDRESS2 | Ste. C |
| AGENT ATTORNEY CITY | Marina Del Rey |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90292 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13239394700 |
| AGENT ATTORNEY EMAIL ADDRESS | stellakim.esq@gmail.com |
| LAWFIRM NAME BUSINESS NAME | HA & KIM Attorneys At Law PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 548 S. Kingsley Dr. |
| LCA CASE WORKLOC1 CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90020 |
| LCA CASE WAGE RATE FROM | 24.9 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.9 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | KIM |
| PREPARER FIRST NAME | Kyung |
| PREPARER BUSINESS NAME | HA & KIM Attorneys At Law PC |
| PREPARER EMAIL | stellakim.esq@gmail.com |
