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Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date02/02/2026
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?He did not refuse to work
Did the person arrive on time, if not why?No he did not arrive in time. He arrived at 8:10@and clocked in at 8:11@
Was the person appropriately dressed, if not why?Yes he was appropriately dressed with a Black long sleeve button up collared shirt, blue faded Dickie pants, brown belt, black and white shoes. Tan massanutten hat and blue winter coat.
What duties were performed today?Swept floral and cheese all around the world area first. Swept entry way to store. Swept all numbered aisles. Swept the butchers block area and oyster bar. Swept farmers market and vegetables area. Swept cashier aisles as well.
Assessment Continued
Did person have all necessary items to perform job duties?Yes found an assigned broom and dustpan in the bakery department.
Did the person interact positively with coworkers?Yes he interacted and greeted employees positively
While working, did person take initiative to move on to another task without prompting?With assistance to sweep certain debris he is unable to see but was adamant on what areas he wanted to clean, he just needed coaching in ensuring he did his job to the fullest
Were there any incidents/health related issues/medication side effects or concernsNo incident to report
Comments, Office/DDS Follow UpHam and mayo sandwich with the end bread as one side and a regular piece on the other no crust cut off, a bag of Cheetos puffs. He did not eat his sandwich because he couldn't chew through the end piece of bread they used on his sandwich. They didn't give him anything else but chips and he was still hungry after finishing his chips. Two 10oz bottles of water.
Risk Assessment MonitoringIs at fall risk so he is monitored to ensure no falls or run ins
Report Signature
Reporting Location Address1100 4th street nw
Washington, District of Columbia
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