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Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date12/08/2025
Start Time08:00 AM
End Time11:30 AM
Goals & Progress
Goals
Row ID Goal Goal Achieved
1 Mr. White will maintain his employment by completing all his assigned tasks with verbal reminders through 12/31/2025. Yes
Assessment
Refused to work and why? Was another job done in place of this?No he did not refuse to work. Once he had his broom and dustpan he immediately began cleaning
Did the person arrive on time, if not why?NO he did arrive on time. I called the driver at 8:10 am asking how far out they were, he said they were at the light and arrived about twenty minutes later and he clocked in at 8:25 am
Was the person appropriately dressed, if not why?Yes he had on the same black long sleeve button up collar shirt with blue faded Dickie pants a brown belt, black and white shoes, and a blue winter coat and black hat
What duties were performed today?He cleaned all the aisles as well as the cashier and checkout areas. He swept the floral department and cheese all around the world department. He swept the dining area and Starbucks area. He finished by cleaning the back areas near the loading docks and break room.
Assessment Continued
Did person have all necessary items to perform job duties?Yes he had all his equipment.
Did the person interact positively with coworkers?He greeted his co-workers with good mornings and asking how they were doing and then asking them about how cold it was outside.
While working, did person take initiative to move on to another task without prompting?Yes he is aware of what areas he likes to clean, with the helpful dustpan tactic he has been cleaning areas more efficiently without dismissing it or moving on to other areas.
Were there any incidents/health related issues/medication side effects or concernsNo incidents to report at this time.
Comments, Office/DDS Follow UpHe had a ham and mayo sandwich, lays baked potato chips and a banana, vanilla boost drink and a bottle of water for lunch. He has been eating better and with encouraging him to chew his food finely he has been having less coughing fits while and after eating
Risk Assessment MonitoringMonitoring his risk of falling while working, cuing him with telling him to look behind him if someone was coming while he is in the midst of sweeping or telling him to stick to one side if others are around.
Report Signature
Reporting Location Address1100 4th st. SW
Washington, District of Columbia
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