Job Services Details
StaffTya Quinn
Individual NameSamuel White
Date04/27/2026
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 arrived at 8:20 and clocked in at 8:21
Was the person appropriately dressed, if not why?Yes he had the same outfit on
What duties were performed today?Swept all numbered shakes and back loading areas
Assessment Continued
Did person have all necessary items to perform job duties?Yes assigned broom and dustpan
Did the person interact positively with coworkers?Yes
While working, did person take initiative to move on to another task without prompting?With some prompting
Were there any incidents/health related issues/medication side effects or concernsNo incidents occurred
Comments, Office/DDS Follow UpOnly ate applesauce for lunch
Risk Assessment MonitoringRisk for falls and collision
Report Signature
Reporting Location Address1100 4th street nw
Washington, District of Columbia
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Signature
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