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Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date01/12/2026
Start Time08:00 AM
End Time11:05 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.
Did the person arrive on time, if not why?No he did not arrive on time. Arrived at 8:11 am clocked in at 8:12 am.
Was the person appropriately dressed, if not why?Yes he had on a black long sleeve collar shirt, blue faded Dickie pants, brown belt, black and white shoes, brown winner hat and a blue zip up winter coat no hood
What duties were performed today?Started in the break room after requiring his broom in the break room, the two wheel dustpan was at the front to complete his tasks for the day. Swept stock area behind meat department. Swept cashier area, and did floral area, cheese around the world and deli area. Swept in front of the pharmacy before it opened.
Assessment Continued
Did person have all necessary items to perform job duties?after requiring his broom in the break room, the two wheel dustpan was at the front to complete his tasks for the day
Did the person interact positively with coworkers?Yes he greeted his coworkers and was pleasantly interacting with them
While working, did person take initiative to move on to another task without prompting?He needed coaching to ensure he was cleaning the areas he directed himself too be cleaned efficiently and properly
Were there any incidents/health related issues/medication side effects or concernsNo incidents to report
Comments, Office/DDS Follow UpPeanut butter sandwich Regular applesauce Cheddar baked lays Gatorade zero drink. Looks like he is struggling to swallow these peanut butter and jelly sandwiches, he tends to like to talk while he's eating and he gets to coughing. Have to convince him to just eat or drink his juice or water before talking and after completely swallowing his food.
Risk Assessment MonitoringFall rush monitor him as he is maneuvering around the workplace and as he is focused on the task to keep from running into others or things running into him
Report Signature
Reporting Location Address1100 4th street nw
Washington, District of Columbia
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