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Reason(s) for non-compliance: • The Lead Agency has not established a standard for the prevention of and response to emergencies due to food and allergic reactions for licensed centers, licensed family child care, or out-of-school programs, as required by 98.41(a)(1)(iv). (Plan Questions 5.3.4ai, 5.3.4aii, 5.3.4avii, 5.3.4bi, 5.3.4bii, and 5.3.4bvii) • The Lead Agency does not require pre-service or orientation training on prevention of and response to food and allergic reactions for licensed centers or licensed family child care homes, as required by 98.44(b)(1)(i). (Plan Question 5.4.1d) • The Lead Agency does not require an annual unannounced inspection for licensed centers or licensed family child care for compliance with a standard for prevention and response to emergencies from food and allergic reactions and with related pre-service or orientation training requirements, 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 expanded standards for emergency scenarios to include allergic reactions and safety practices standards related to preventing allergic reactions on August 2, 2024. 10/01/2024 2 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 3 Kansas Department of Health and Environment of Health and Environment will coordinate with internal IT staff and contracted vendor for the establishment of a new operating system. 07/01/2025 4 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 5 New operating system will include required monitoring of preservice health and safety training 10/25/2025 and standards for each program type during the annual inspection. 6 Launch of new operating system. 10/25/2025