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Job Services Details
StaffDevone Jones
Individual NameLatonia Beltz
Date03/11/2026
Start Time04:00 PM
End Time09:00 PM
Goals & Progress
Goals
Row ID Goal Goal Achieved
1 Ms. Beltz will maintain her employment with her current employer by completing all her assigned job duties with verbal prompts thru April 22, 2025. Yes
Assessment
Refused to work and why? Was another job done in place of this?No refusal of duties. All assigned tasks were accepted and completed.
Did the person arrive on time, if not why?Arrived approximately 45 minutes early and waited calmly until shift start time.
Was the person appropriately dressed, if not why?Yes, dressed appropriately in black pants, black hoodie, and work smock. Appearance was neat and appropriate for duties.
What duties were performed today?Completed pantry cleaning in Building 31 starting on the 5th floor, including wiping counters, cleaning microwaves, sanitizing tables, and removing trash before moving down to the 3rd floor.
Assessment Continued
Did person have all necessary items to perform job duties?Yes, checked cart and locker prior to starting and ensured all supplies (cleaner, towels, gloves) were available.
Did the person interact positively with coworkers?Yes, greeted staff when entering each pantry and responded appropriately when spoken to.
While working, did person take initiative to move on to another task without prompting?Yes, after completing each floor, independently proceeded to the next assigned area.
Were there any incidents/health related issues/medication side effects or concernsNo issues or concerns observed during the shift.
Risk Assessment MonitoringN/A
Report Signature
Reporting Location Address10903 New Hampshire Ave
Silver Spring, Maryland
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