| Job Services Details | |||||||
|---|---|---|---|---|---|---|---|
| Staff | Robert Parker | ||||||
| Individual Name | Eric Mack | ||||||
| Date | 07/22/2026 | ||||||
| Start Time | 11:00 AM | ||||||
| End Time | 03:00 PM | ||||||
| Goals & Progress | |||||||
| Goals |
| ||||||
| Assessment | |||||||
| Refused to work and why? Was another job done in place of this? | Mr Mack didn't refuse to work today. | ||||||
| Did the person arrive on time, if not why? | Mr Mack arrived to work on time today. | ||||||
| Was the person appropriately dressed, if not why? | Mr Mack was appropriately dressed for work today. | ||||||
| What duties were performed today? | Mr Mack was responsible for cleaning the pantries and pulling the recycle trash on floors 2 thru 7 on the westside today. | ||||||
| Assessment Continued | |||||||
| Did person have all necessary items to perform job duties? | Mr Mack had everything he needed to perform his work duties today. | ||||||
| Did the person interact positively with coworkers? | Mr Mack did înteracted positively with his coworkers today | ||||||
| While working, did person take initiative to move on to another task without prompting? | Mr Mack did take the initiative to move to the next task independe of job coach supports today. | ||||||
| Were there any incidents/health related issues/medication side effects or concerns | Mr Mack had no incidents/health related issues/medication side effects or concerns today. | ||||||
| Comments, Office/DDS Follow Up | Mr Mack will maintain his employment by completing his assigned tasks in compliance with the safety procedures required by his supervisor today. He perform his job duties with minimal support from his job coach today.. | ||||||
| Risk Assessment Monitoring | Na | ||||||
| Report Signature | |||||||
| Reporting Location Address | The Mark Center 4800 Mark Center Drive Alexandria Virginia, Virginia Map It | ||||||
| Signature | |||||||
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