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Reason(s) for non-compliance: • The Lead Agency has not established a standard for pediatric first aid and CPR for all staff in out-of-school programs, as required by 98.41(a)(1)(x). (Plan Questions 5.3.10avii and 5.3.10bvii) • The Lead Agency does not require pre-service or orientation training on pediatric first aid and pediatric CPR for licensed centers or licensed family child care homes, as required by 98.44(b)(1)(i). (Plan Question 5.4.1j) • The Lead Agency does not require an annual unannounced inspection for licensed centers and licensed family child care providers for compliance with a standard for pediatric first aid and pediatric CPR, and with related pre-service training, as required by 98.42(b)(2)(i)(B). (Plan Questions 5.5.1aii and 5.5.1bii) Overall Target Completion Date: 10/25/2025 Action Step Number Action Step Description Target Completion Date 1 Kansas Department of Health and Environment of Health and Environment will promulgate new regulations for out of school programs incorporating required elements for pediatric first aid and CPR for all mandatory staff. 10/25/2025 2 Kansas Department of Health and Environment of Health and Environment will report to the lead agency CCDF facilities with staff not trained in pediatric first aid and CPR. 01/01/2025 3 Kansas Department of Health and Environment will update policy and procedures for licensing inspectors with expectations for annual survey timeliness and incomplete contract deliverables. 07/01/2025 4 Kansas Department of Health and Environment of Health and Environment will coordinate with 07/01/2025 internal IT staff and contracted vendor for the establishment of a new operating system. 5 Kansas Department of Health and Environment will enhance oversight and reporting of the annual survey status and annual survey completion within the new operating system. 10/25/2025 6 New operating system will include required monitoring of preservice health and safety training and standards for each program type during the annual inspection. 10/25/2025 7 Launch of new operating system. 10/25/2025