| Job Services Details | |||
|---|---|---|---|
| Staff | Hannah Vandy | ||
| Individual Name | Latonia Beltz | ||
| Date | 10/10/2024 | ||
| Start Time | 04:50 PM | ||
| End Time | 08:50 PM | ||
| Goals & Progress | |||
| Goals |
| ||
| Assessment | |||
| Refused to work and why? Was another job done in place of this? | no | ||
| Did the person arrive on time, if not why? | yes | ||
| Was the person appropriately dressed, if not why? | yes | ||
| What duties were performed today? | Cleaning copy rooms. Dusting, sweeping, mopping and taking out the recycle | ||
| Assessment Continued | |||
| Did person have all necessary items to perform job duties? | yes | ||
| Did the person interact positively with coworkers? | yes | ||
| While working, did person take initiative to move on to another task without prompting? | yes | ||
| Were there any incidents/health related issues/medication side effects or concerns | No concerns during work hours | ||
| Comments, Office/DDS Follow Up | Ms. Belts had a good work shift and completed all tasks assigned to her. | ||
| Risk Assessment Monitoring | No behaviors displayed | ||
| Report Signature | |||
| Reporting Location Address | 10903 New Hampshire Ave silver spring, Maryland Map It | ||
| Signature | |||
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