| LCA CASE NUMBER | I-200-21196-465653 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-15 |
| DECISION DATE | 2021-07-22 |
| 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 | 2021-08-01 |
| 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 | 0 |
| AMENDED PETITION | 1 |
| 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 | 62134 |
| EMPLOYER POC LAST NAME | Gancasz |
| EMPLOYER POC FIRST NAME | Monica |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 2173 Salk Ave. |
| EMPLOYER POC ADDRESS2 | #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 | monica@westharborhc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sung |
| AGENT ATTORNEY FIRST NAME | Jack |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 2975 Wilshire Blvd., Suite 352 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19492283922 |
| AGENT ATTORNEY EMAIL ADDRESS | socoolski@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Jack C Sung |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Orchard Hospital - Hovlid Community Care Center |
| WORKSITE ADDRESS1 | 246 Spruce Street |
| LCA CASE WORKLOC1 CITY | Gridley |
| WORKSITE COUNTY | BUTTE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95948 |
| LCA CASE WAGE RATE FROM | 45.01 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 45.01 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
