| Job Services Details | |||||||
|---|---|---|---|---|---|---|---|
| Staff | Marco Mitchell | ||||||
| Individual Name | Felicia Holmon | ||||||
| Date | 01/28/2026 | ||||||
| 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? | Ms. Holmon did not refuse any duties during the shift. | ||||||
| Did the person arrive on time, if not why? | She arrived on time and informed staff she had been dropped off early by transportation. | ||||||
| Was the person appropriately dressed, if not why? | Ms. Holmon arrived appropriately dressed in her uniform. | ||||||
| What duties were performed today? | Ms. Holmon cleaned mirrors, sinks, and toilets, removed trash, restocked paper products, and mopped floors in the assigned restrooms. | ||||||
| Assessment Continued | |||||||
| Did person have all necessary items to perform job duties? | Yes, she had all necessary cleaning materials available. | ||||||
| Did the person interact positively with coworkers? | She maintained respectful communication. | ||||||
| While working, did person take initiative to move on to another task without prompting? | Ms. Holmon independently continued cleaning duties. No incidents occurred. | ||||||
| Were there any incidents/health related issues/medication side effects or concerns | No concerns were reported. | ||||||
| Comments, Office/DDS Follow Up | Ms. Holmon remained attentive to her responsibilities. | ||||||
| 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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