Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date02/18/2026
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 ride on time he arrived at 8:28 clocked in at 8:29
Was the person appropriately dressed, if not why?Yes he wore Black long sleeve button up collared shirt. Blue faded Dickie pants with brown belt. Black and white tennis shoes grey and white raiders winter hat and blue winter coat
What duties were performed today?Swept farmers harvest area cashier checkout and self checkout. The floral area and the numbered aisles. Butchers block and oyster bar. Swept security room and front of store first
Assessment Continued
Did person have all necessary items to perform job duties?Yes he had his assigned broom and dustpan
Did the person interact positively with coworkers?Yes he interacted with employees and customers very well
While working, did person take initiative to move on to another task without prompting?He moved according to his normal routine. I helped by ensuring he cleaned areas completely
Were there any incidents/health related issues/medication side effects or concernsNo incidents occurred at this time
Comments, Office/DDS Follow UpHam and mayo sandwich, great value sour cream and onion chips, strawberry applesauce, very vanilla boost drink and a bottled water.
Risk Assessment MonitoringRisk of falls due to his gait as well as his focus on his tasks that he doesn't particularly pay attention to his surroundings
Report Signature
Reporting Location Address1100 4th street nw
Washington, District of Columbia
Map It
Signature
Share this Listing

Enter an email address and a PDF of this listing will be sent as an attachment.

This field is for validation purposes and should be left unchanged.
This field is hidden when viewing the form
This field is hidden when viewing the form
This field is hidden when viewing the form
This field is hidden when viewing the form