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Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date03/27/2026
Start Time08:00 AM
End Time11:00 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?He arrived at 8:14 am and clocked in at 8:14am
Was the person appropriately dressed, if not why?Yes he was dressed in a black long sleeve button up collared shirt with blue faded Dickie pants and a brown belt. He wore black and white tennis shoes a grey and white raiders winter hat and la blue winter coat
What duties were performed today?He cleaned all numbered aisles. It was busy in the unloading area so he maintained the cleanliness of the floor of the store. He swept the floral area and the cheese all around the world area. He swept the eating area and the rugs next to the fire exit next to Starbucks as well.
Assessment Continued
Did person have all necessary items to perform job duties?Yes he had his assigned broom and two wheeled dustpan to perform his job duties for the day
Did the person interact positively with coworkers?Yes he greeted employees and customers while walking through out the store asking them how they were doing and letting them know he was doing pretty good when they would ask.
While working, did person take initiative to move on to another task without prompting?He knows what areas he wants to do, he wanted to do the back of the store but it took some coaching to get him to stay on the floor because I didn't want him to get hurt by any of the equipment and shipment that was being unloading and moved to its designated area in the back. He finally understood and we stayed on the floor for the rest of his shift.
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, goldfish crackers, applesauce, a bottle of water and a fruit grain bar.
Risk Assessment MonitoringAt risk for falls due to his gait as well as collisions with objects and people when he is focused on his tasks at hand
Report Signature
Reporting Location Address1100 4th st. SW
Washington, District of Columbia
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