Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date03/23/2026
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 arrive on time, he arrived at 8:16 am and clocked in at 8:17 am
Was the person appropriately dressed, if not why?Yes he was dressed appropriately in a black long sleeve button up collared shirt with blue faded dickie pants and a brown belt. He had on black and white tennis shoes a grey and white raiders hat and blue winter coat
What duties were performed today?He swept all the numbered aisles and the farmers harvest area. He then swept the floral and cheese all around the world departments. The store was fairly clean due to staff restocking shelves and were cleaning up after themselves. Many went ahead and allowed Sammy to clean the area for them so they can focus on restocking while he cleaned around them. His point of focus today were on the numbered aisles because he wanted to assist his coworkers in their clean up
Assessment Continued
Did person have all necessary items to perform job duties?Yes he had his assigned broom and two wheeled dustpan that I assisted with to help guide him to debris he isn't able to see
Did the person interact positively with coworkers?Yes he greets them and will tell me that he knows them and that they work there with him in the store and will say they are good people
While working, did person take initiative to move on to another task without prompting?He gestured that he wanted to stay in the number aisles today to help assist his coworkers in their cleanup after they were restocking the shelves throughout the store.
Were there any incidents/health related issues/medication side effects or concernsNO incidents occurred at this time
Comments, Office/DDS Follow UpHe had a turkey and mayo sandwich on a type of bread he was unable to chew through, grapes, lays baked chips, vanilla boost drink and a bottle of water. He was
Risk Assessment MonitoringAt risk for falls due to his gait and collisions due to him being so focus on his job that he is not aware of his surroundings
Report Signature
Reporting Location Address6323 Georgia Ave NW
Washington, District of Columbia
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