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Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date03/18/2026
Start Time08:00 AM
End Time11:15 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. He arrived at 8:27am and clocked in at 8:28 am
Was the person appropriately dressed, if not why?Yes he was dressed appropriately in a black long sleeve button up collared shirt with blue faded Dickie pants and a brown belt. He had on a grey and white winter raiders hat and a blue winter coat
What duties were performed today?The store again was fairly neat so he cleaned all numbered aisles and assisted the floral area clean up as they were restocking their inventory which gave him a particular section to keep up. He also swept the loading and receiving areas
Assessment Continued
Did person have all necessary items to perform job duties?Yes he had his assigned broom and his two wheeled dustpan to assist in performing and completing his duties for the day
Did the person interact positively with coworkers?Yes he greeted customers and coworkers positively
While working, did person take initiative to move on to another task without prompting?We walked around the store nothing it was fairly clean till we went to the floral department and he gestured to me that he wanted to clean that area I just assisted in making sure he did his job properly
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 turkey and mayo sandwich for lunch that he only took two bites of even though I took the crust off for him, he had a bag of baked Cheetos that he only ate a few of, as well as a strawberry yogurt but it was frozen so he did not eat that as well. He had a vanilla boost shake and a bottle of water. I had asked him if he was ok because he normally eats his food and if he doesn't eat anything the least he would do is eat his chips in which he did not. He seemed sluggish this morning when coming in but was active during performing his duties. I also notice that he had a cough throughout the entire shift and not just while he was eating when it normally occurs. He kept saying he was ok and giving me the thumbs up or ok sign when I asked but his sluggishness and him not eating brought concern to me
Risk Assessment MonitoringAt risk for falling due to his gait and collisions with objects and people due to his hyper focuses on his tasks and isn't aware of his surroundings
Report Signature
Reporting Location Address1100 4th st. SW
Washington, District of Columbia
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