Background <p>Early detection examinations such as the “Kita” examination (KU) in the 4th&#xa0;year of life can be important in order to identify any need for support at an early stage before starting school and to initiate support measures. In Germany, the KU is implemented with the involvement of the health authorities, but varies greatly between the federal states. Using the federal state of Saxony as an example, the study aims to investigate the perspective of physicians of the children’s and adolescent’s medical service (KJÄD) on the KU with regard to: (1)&#xa0;the suitability for identifying support needs and utilization, (2)&#xa0;the implementation and environmental factors, and (3)&#xa0;the effects of the coronavirus disease 2019 (COVID-19) pandemic.</p> Methods <p>The study is based on a&#xa0;quantitative, cross-sectional research design. A total of 56&#xa0;physicians from the KJÄD were surveyed using an online questionnaire.</p> Results <p>The KU was consistently rated as a&#xa0;meaningful examination offer (82% [<i>n</i> = 46] “very meaningful”, 18% [<i>n</i> = 10] “meaningful”). All participants rated the timing of the KU as “exactly right” at 2&#xa0;years prior to starting school. The use of the examination offer was rated as adequate by 63% (<i>n</i> = 35) of respondents. However, children without external daycare (called “house children”) and children with irregular daycare attendance were considered to be the most difficult to reach. The scope, examination materials, and instruments of the KU were rated positively by a&#xa0;large majority. Potential barriers were most often due to poor room conditions (insufficient light and distraction). During the COVID-19 pandemic, the KU was conducted less frequently.</p> Conclusion <p>From the perspective of the physicians of the KJÄD in Saxony, the KU offers a&#xa0;meaningful examination in order to identify support needs in kindergarten children before school entry and to initiate appropriate steps for support.</p>