Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date04/06/2026
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?He arrived at 8:07 am and clocked in at 8:08 am
Was the person appropriately dressed, if not why?Yes he was dressed in his usual black long sleeve button up collared shirt and his blue faded Dickie pants with a brown belt. He wore black and white tennis shoes. He did not have his winter hat today but had on his blue winter coat
What duties were performed today?He cleaned the cashier and self checkout areas after finding a dustpan at the front of the store. He cleaned all numbered aisles and the butchers block and oyster bar. He cleaned the back produce area as well as the wellness and fitness area. We did circle around to the floral department because he is use to there being something to clean in that area but their area stayed cleaned for the most part but he gestured often to go back to that area to check
Assessment Continued
Did person have all necessary items to perform job duties?Yes he had his assigned broom and we found a dustpan at the front of the store
Did the person interact positively with coworkers?Yes he interacted positively with coworkers as well as customers
While working, did person take initiative to move on to another task without prompting?Yes he takes initiative by letting me know what areas he wanted to clean in and I assisted in ensuring he cleaned to the best of his ability
Were there any incidents/health related issues/medication side effects or concernsNo incidents to report at this time
Comments, Office/DDS Follow UpHe had an oven roasted and mayo sandwich, ruffles baked chips, vanilla boost drink, an orange and a bottle of water
Risk Assessment MonitoringAt risk for falls due to his gait and collisions with people and objects when he is focused on his tasks at hand
Report Signature
Reporting Location Address1100 4th st. SW
Washington, District of Columbia
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