| Job Services Details | |||||||
|---|---|---|---|---|---|---|---|
| Staff | Marco Mitchell | ||||||
| Individual Name | Felicia Holmon | ||||||
| Date | 01/27/2026 | ||||||
| Start Time | 01:00 PM | ||||||
| End Time | 05:00 PM | ||||||
| Goals & Progress | |||||||
| Goals |
| ||||||
| Assessment | |||||||
| Refused to work and why? Was another job done in place of this? | No refusal behaviors were observed during the shift. | ||||||
| Did the person arrive on time, if not why? | Ms. Holmon arrived on time and reported transportation dropped her off early. | ||||||
| Was the person appropriately dressed, if not why? | She arrived appropriately dressed in uniform. | ||||||
| What duties were performed today? | Ms. Holmon cleaned the assigned women’s restrooms including disinfecting mirrors and sinks, sanitizing toilets, restocking supplies, removing trash, and mopping floors. | ||||||
| Assessment Continued | |||||||
| Did person have all necessary items to perform job duties? | Yes, all cleaning supplies were available. | ||||||
| Did the person interact positively with coworkers? | She maintained polite interactions. | ||||||
| While working, did person take initiative to move on to another task without prompting? | Ms. Holmon continued tasks independently. No incidents occurred. | ||||||
| Were there any incidents/health related issues/medication side effects or concerns | No health concerns were observed. | ||||||
| Comments, Office/DDS Follow Up | Ms. Holmon maintained consistent cleaning standards. | ||||||
| Risk Assessment Monitoring | N/A | ||||||
| Report Signature | |||||||
| Reporting Location Address | 1650 17th St NW Washington, District of Columbia Map It | ||||||
| Signature | |||||||
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