Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date03/07/2026
Start Time08:00 AM
End Time01:00 PM
Goals & Progress
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?Yes he arrived on time today
Was the person appropriately dressed, if not why?Yes he was dressed in a long sleeve black collared shirt, blue faded Dickie pants and brown belt, black and white tennis shoes, a white and grey raiders winter hat and a blue winter coat. He did not have his glasses as I was informed by his nurse that he is supposed to be wearing
What duties were performed today?Swept the front of the store and all numbered aisles. The floral area and cheese all around the world was cleaned. Swept the loading and receiving areas. Store was pretty clean today so he just did minor sweeping
Assessment Continued
Did person have all necessary items to perform job duties?Yes he had his assigned broom and two wheeled dustpan to complete his tasks for the day
Did the person interact positively with coworkers?Yes he greeted them with good morning and or a fist bump and asking them how they were doing while telling them that he was doing pretty good
While working, did person take initiative to move on to another task without prompting?He knows the areas he wants to clean so I let him guide that and I help ensure he cleans the debris I've become aware he really can't see because he hasn't been wearing his glasses
Were there any incidents/health related issues/medication side effects or concernsNo incidents to report
Comments, Office/DDS Follow UpHe had a ham and mayo sandwich again with great value cheese puffs, regular applesauce and a bottle of water
Risk Assessment MonitoringAt risk for falls due to his gait as well as collisions when working and becoming focus that he isn't aware of his surroundings
Report Signature
Reporting Location Address1100 4th st. SW
Washington, District of Columbia
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