| Job Services Details | |||||||
|---|---|---|---|---|---|---|---|
| Staff | Tya Quinn | ||||||
| Individual Name | Samuel White | ||||||
| Date | 03/16/2026 | ||||||
| Start Time | 08:00 AM | ||||||
| End Time | 11:00 AM | ||||||
| Goals & Progress | |||||||
| Goals |
| ||||||
| Assessment | |||||||
| Refused to work and why? Was another job done in place of this? | No he did not refuse to work. He continuously throughout the day will exclaimed how much he loves his job | ||||||
| Did the person arrive on time, if not why? | NO he did not arrive on time. He arrived at 8:27 am and clocked in at 8:29 am | ||||||
| Was the person appropriately dressed, if not why? | Yes he was appropriately dressed in a black long sleeve button up collared shirt and faded blue Dickie pants and a brown belt. He had on black and white tennis shoes, with a grey and white raiders winter hat and a blue winter coat | ||||||
| What duties were performed today? | The store was fairly clean so we went down all the numbered aisles cleaning underneath all the shelving as well as the Farmers Harvest area and Floral department. | ||||||
| Assessment Continued | |||||||
| Did person have all necessary items to perform job duties? | Yes he had his assigned broom and a two wheeled dustpan to perform his job duties for the day | ||||||
| Did the person interact positively with coworkers? | Yes he greeted co-workers and customers asking them how they were doing and waving and giving them fist daps. | ||||||
| While working, did person take initiative to move on to another task without prompting? | Because of the cleanliness of the store I prompted him to clean the numbered aisles and to clean under the shelving just to do upkeep | ||||||
| Were there any incidents/health related issues/medication side effects or concerns | No incidents to report at this time | ||||||
| Comments, Office/DDS Follow Up | He had a turkey and mayo sandwich for lunch and baked lay chips with two bottles of water | ||||||
| Risk Assessment Monitoring | At risk for falls due to his gait and proned to collisions into objects and people when focused on his tasks and not his surroundings | ||||||
| Report Signature | |||||||
| Reporting Location Address | 1100 4th st. SW Washington, District of Columbia Map It | ||||||
| Signature | |||||||
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