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Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date04/08/2026
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?No he did not arrive on time, he arrive at 8:20 am and clocked in at 8:21 am
Was the person appropriately dressed, if not why?He was dressed in his usual black long sleeve button up collared shirt and blue faded Dickie pants and brown belt. He wore his black and white tennis shoes a long with his grey and white raiders winter hat and blue winter coat
What duties were performed today?He started in the front where we found the dustpan and he cleaned the exit door hallway next to the fitness and wellness area as well as that area, he then cleaned the back storage areas behind the meat department and the loading and receiving areas. He cleaned all the numbered aisles as well as the floral department.
Assessment Continued
Did person have all necessary items to perform job duties?Yes he had his assigned broom and we retrieved a two wheeled dustpan fro the front of the store.
Did the person interact positively with coworkers?Yes he was in a very talkative and excited mood today. He greeted coworkers and customers
While working, did person take initiative to move on to another task without prompting?He did take the initiative to direct me to the areas he would like to clean while he was working today. I help ensure he promptly cleaned the areas to the best of his ability
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 in which he said he did not want to eat, and baked lays barbeque chips and cinnamon applesauce with a bottle of water.
Risk Assessment MonitoringAt risk for falls due to his gait and collisions with objects and people
Report Signature
Reporting Location Address1100 4th st. SW
Washington, District of Columbia
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