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Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date12/15/2025
Start Time08:00 AM
End Time11:45 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. He came to work and got started immediately as his broom was in his hands
Did the person arrive on time, if not why?No he did not arrive on time. I called Sammies driver at 8:11 am and he stayed he was on his way with no exact ETA. He arrived at 8:36 am and clocked in at 8:37 am
Was the person appropriately dressed, if not why?Yes he had on a black long sleeve button up shirt, faded blue Dickies pants and brown belt, black and brown snow shoes which he stated were to heavy and affected the way he walked. He had a black grayish winter hat with a heavy blue winter coat
What duties were performed today?Cleaned emergency exit next to wellness and fitness area. Cleaned the carpet and entrance to loading docks. Swept all the numbered aisles, freezer and meat areas, Swept the bistro and floral area
Assessment Continued
Did person have all necessary items to perform job duties?Yes he had the broom that was tagged just for him and a dustpan with two wheels on it
Did the person interact positively with coworkers?Yes, he is excited about the upcoming Christmas holiday so he greeted his co-workers very well
While working, did person take initiative to move on to another task without prompting?Yes he knows what areas he like to clean in, I just let him guide me to where he would like to go
Were there any incidents/health related issues/medication side effects or concernsNo incidents occurred at this time
Comments, Office/DDS Follow UpHe had a ham and mayo sandwich in which I took the crust off of and he was able to eat all of it. Original ruffle chips, applesauce, vanilla boost drink and a bottled water for lunch. The driver did not pick Samuel up until 11:45 am.
Risk Assessment MonitoringWatching him for fall risks while on the job
Report Signature
Reporting Location Address1100 4th st. SW
Washington, District of Columbia
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