| Job Services Details | |||
|---|---|---|---|
| Staff | Devone Jones | ||
| Individual Name | Latonia Beltz | ||
| Date | 03/12/2025 | ||
| Start Time | 04:00 PM | ||
| End Time | 09:00 PM | ||
| Goals & Progress | |||
| Goals |
| ||
| Assessment | |||
| Refused to work and why? Was another job done in place of this? | Ms. Beltz did not refused to do her tasks today, she was ready and willing to work when she got to work. | ||
| Did the person arrive on time, if not why? | Ms. Beltz arrived on time to work by her Lift driver. | ||
| Was the person appropriately dressed, if not why? | Ms. Beltz was appropriately dressed for work, she had her provided Chimes uniform with the proper footing. | ||
| What duties were performed today? | Ms. Beltz performed her regular duties today which includes ..... | ||
| Assessment Continued | |||
| Did person have all necessary items to perform job duties? | Yes, Ms. Beltz had her cart filled with all the necessary items to complete her tasks. | ||
| Did the person interact positively with coworkers? | Ms. Beltz always interacted positively with her coworkers and supervisors. She's always friendly at work and willing to speak when spoken to | ||
| While working, did person take initiative to move on to another task without prompting? | Ms. Bletz will take the initiative to move to another task, today she was able to move to another tasks with the assistance of her job coach. | ||
| Were there any incidents/health related issues/medication side effects or concerns | There were no health issues today at the job site | ||
| Comments, Office/DDS Follow Up | THIS IS WHERE YOU SUMMARIZE THE ENTIRE SHIFT !!! | ||
| Risk Assessment Monitoring | Low risk | ||
| Report Signature | |||
| Signature | |||
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