Blog

Written by Marsha Basloe, CCSA President

My children were born in the late ‘70s, and I remember as a young parent having discussions with our realtor about whether there was lead in the paint of the very old house we were buying. Almost all houses built before 1970, at least in the U.S., contain some form of lead paint. The house we were buying was built much before 1970, and it was clear that we would have to sand and paint every room, change the plumbing and all the good things that come with owning an old home. And fortunately, we did all of that over time, very carefully.

I will admit, however, that I do not remember if lead testing was one of the many conversations I had with our pediatrician about the health and safety of our children. Today, however, it is an essential conversation to have!

Lead Poisoning Today

Lead poisoning has been in the news a lot over the last few months due to the concerning levels of lead found in the water supply of child care programs and its potential impact on the health and safety of the surrounding community. Currently, North Carolina does not require testing water for lead in child care programs, unless a child is found to have elevated blood lead levels. The news has been especially alarming for parents and families who work hard to keep their children safe and on a path to reach their fullest potential. Lead in the public water supply threatens that daily charge.

This issue is not only an issue specific to child care programs: An estimated 10 million Americans get drinking water from pipes that are at least partially lead.

Young Children are the Most at Risk

Young children are especially at risk of harm from lead. Babies and young children’s bodies are still developing and are in a critical life stage for brain development. When they are exposed to lead from water or other sources, it enters directly into the bloodstream where it can harm developing organs, muscles and bones. Infants who rely on formula get 100% of their nutritional intake from water. If that water is tainted with lead, they get an enormous dose of it compared with older children and adults.

Research shows there really is no safe level of lead exposure for a child. Even at the lowest levels of exposure, lead can reduce IQ and harm a child’s ability to concentrate and focus in school. These effects are permanent and can affect a child’s education, health outcomes and long-term earning potential.

Lead poisoning is preventable by identifying lead before children are harmed. The most important step that parents, teachers and others can take is to prevent lead exposure before it occurs. The North Carolina Commission for Public Health is proposing a change to a child care sanitation regulation that will significantly reduce exposure to lead for some of the youngest and most vulnerable children in our state. With U.S. Environment Protection Agency grant money to pay for the first round of testing, North Carolina can work to make drinking water safer for infants and young children without adding to child care costs.

Prevention: The Proposed Child Care Sanitation rule

We all know that prevention is the best medicine. The proposed child care sanitation rule is an example of a good preventative approach to lead exposure. The following requirements included in the proposed rule will help ensure that it protects children from potential lead in child care drinking and food prep water:

Testing for lead in drinking and food prep water every three years – Lead levels in water can fluctuate over time. Changes in water source or chemistry can cause leaching of lead from pipes into water, increasing water lead levels.[1] This is what led to the Flint water crisis. Additionally, unforeseen plumbing problems such as a dirty aerator or a partial clog can release lead from pipes into drinking and food prep water. Finally, improper maintenance of filters by child care operators can decrease the effectiveness of mitigation measures taken to prevent lead exposure.

Testing all buildings despite age – Buildings constructed after the 1986 Lead Ban may still pose a significant risk of lead contamination in drinking and food prep water. The ban, effective as of 1988, defined “lead free” as materials containing less than 8% lead, which allowed lead to remain in pipes that convey drinking water to homes and in fixtures and faucets in homes. An amendment to the Safe Drinking Water Act, effective as of 2014, redefined “lead free to require faucets and pipes to contain less than 0.25% lead; as such buildings constructed between 1988 and 2014 can still contain plumbing and fixtures with significant lead content.”[2] Testing all buildings despite age will ensure that no building poses a considerable risk of lead exposure.

Testing all taps – The concentration of lead in one tap is not indicative of the concentration of lead in all taps in a building. Lead concentration across taps can vary because lead can originate from an individual faucet, a dirty aerator or a filter that hasn’t been changed. Therefore, it is critical to test all taps to ensure safe child care center drinking and food prep water.

What You Can Do

The Centers for Disease Control and Prevention (CDC) has information on lead poisoning that you can read and share.

Talk with your health care provider about lead screening. Lead screening measures the level of lead in the blood through a blood test in the finger or vein. It is important. Lead is a toxin that is particularly dangerous for young children because of their small size and rapid growth and development. It can cause behavioral and learning difficulties, anemia, seizures and other medical problems. A lead test is the only way to know if your child has lead poisoning. Most children who have lead poisoning do not look or act sick. Talk to your doctor about this.

Child Care Services Association (CCSA) provides free referral services to families seeking child care, technical assistance to child care businesses and educational scholarships and salary supplements to child care professionals through the T.E.A.C.H. Early Childhood®, Child Care WAGE$® and Infant-Toddler Educator AWARD$ Programs. Through the T.E.A.C.H. Early Childhood National Center, CCSA licenses its successful programs to states across the country and provides consultation to others addressing child care concerns. Ensuring that every young child can grow and learn in a healthy and safe learning environment is central to our mission.

CCSA supports the adoption of this rule that would protect thousands of babies and children from lead exposure in child care drinking and food prep water. Additionally, requiring cost-effective mitigation where elevated lead water levels are found will have the added benefit of getting rid of other harmful toxicants such as copper and chlorine by-products.

In North Carolina, public health officials have been working for more than 30 years to eliminate childhood lead poisoning, and have come very close to doing so. Childhood blood lead levels have dropped dramatically population-wide. Unfortunately, some pockets of high exposure remain. Ending lead exposure in drinking and food prep water is an important step to move us toward the goal of no lead exposure for our state’s young children. The proposed amendment will help get us there.

The best way to protect kids from lead exposure is to be proactive about getting rid of lead, rather than waiting for a child to be found with elevated levels in their blood. To do so, we must be willing to get rid of toxic lead in children’s environments. This rule will help us do just that. You can show your support of this rule and submit your comment to the North Carolina Commission for Public Health by August 2, 2019.

Below, are more resources on lead poisoning.

Support Child Care Services Association’s work to ensure the first five years for all North Carolina’s children are happy and healthy. Make a donation today.


[1] For detailed scientific information about how changes in water chemistry can affect levels of lead found in water, see: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353852/.

[2] EPA, Use of Lead Free Pipes, Fittings, Fixtures, Solder and Flux for Drinking Water, https://www.epa.gov/dwstandardsregulations/use-lead-free-pipes-fittings-fixtures-solder-and-flux-drinking-water (accessed 3 March 2019).

Written by Jennifer Gioia, CCSA Communications Manager

Former Gov. James Hunt (right) presents the James and Carolyn Hunt Early Childhood Leadership Award to winner Robin Britt (left), Executive Director of Guilford Child Development, at Child Care Services Association’s 45th Anniversary Celebration. (Photographer: Phil Thalheimer)

Last Friday, April 5, 2019, Child Care Services Association (CCSA) celebrated 45 years of service at the Sheraton Imperial Hotel in RTP with a dinner, a silent auction and an award ceremony. While the rain poured, more than 200 people celebrated with CCSA. Many special guests joined, including:

  • The Honorable Governor James Hunt and Carolyn Hunt;
  • Susan Perry-Manning, principal deputy secretary of NCDHHS;
  • Durham County Commissioners: Wendy Jacobs, Heidi Carter, James Hill and Brenda Howerton;
  • Representatives Verla Insko from Orange County and MaryAnn Black from Durham County;
  • Dr. Jeanette Betancourt, senior vice president for U.S. Social Impact at Sesame Workshop, the nonprofit organization behind Sesame Street;
  • Janet Singerman, president, Child Care Resources Inc.;
  • Michele Rivest, policy director, North Carolina Early Education Coalition;
  • Cindy Watkins, president, North Carolina Partnership for Children;
  • Representatives from Orange County Partnership for Children;
  • Beth Messersmith from North Carolina MomsRising;
  • Becki Planchard from NCDHHS;
  • Gerry Cobb, Director of the Pritzker Children’s Initiative;
  • Robin Britt, executive director of Guilford Child Development (GCD) and this year’s winner of the James and Carolyn Hunt Early Childhood Leadership award;
  • And the Honorary Committee members who helped us launch this event.
Julie Wilson, ABC11 WTVD (Photographer: Phil Thalheimer)

We were thrilled to have Julie Wilson, ABC11 WTVD Eyewitness News’ Breaking News Anchor, host the celebration.

During the reception, many people mingled and placed bids on a variety of exciting items in our silent auction from local politicians to early childhood education teachers and directors to early childhood education industry leaders and experts.

Peggy Ball, chair of CCSA’s Board of Directors, spoke briefly before Reverend Dr. Michael Page, who also sits on CCSA’s board, delivered an inspiring invocation before dinner.

After dinner, Susan Perry-Manning, principal deputy secretary of NCDHHS, spoke on behalf of North Carolina Governor Roy Cooper. Perry-Manning congratulated Britt as the winner of the James and Carolyn Hunt Early Childhood Leadership Award and thanked many in the room for inspiring her, including former Gov. Hunt for his leadership, dedication and commitment to improving the quality of child care and education in North Carolina and across the country.

Terry David, president of the North Carolina Head Start Association and Chapel Hill Training Outreach Project (CHTOP), Silver sponsor of the night, presented Britt with a certificate on behalf of the North Carolina Head Start Association for his years of dedicated service to improving the lives of so many children.

Sue Russell, CCSA’s first president and current executive director of the T.E.A.C.H. Early Childhood® National Center, spoke about Gov. Hunt’s decades of leadership and service, including his four historic terms as governor of North Carolina, his efforts to improve North Carolina public schools’ test scores, the establishment of the Smart Start program during his tenure, and many awards recognizing his focus on early childhood education.

Former Gov. James Hunt speaking at CCSA’s 45th Anniversary Celebration. (Photographer: Phil Thalheimer)

Gov. Hunt emphasized how important the work of early childhood educators is for young children and their families and educators. Throughout his years, he’s seen with compassion and conviction, we can bring change to improve the lives of many and continue to expand our services so every child has access to high quality, affordable child care—that it is a child’s right to a high quality education. “Helping the little children is the best thing we can do for them and for our future,” Gov. Hunt said.

Gov. Hunt presented the James and Carolyn Hunt Early Childhood Leadership Award to Britt. CCSA established the award in 1995 to honor North Carolinians who make a difference in the lives of young children in the state. It was named in honor of Gov. and Mrs. Hunt for their years of dedication and service. He also recognized five of the 13 previous award recipients in attendance: Peggy Ball, Dick Clifford, Carolyn Cobb, Michele Rivest and Karen Ponder.

(From left to right) Carolyn Hunt, Robin Britt and Gov. James Hunt. (Photographer: Phil Thalheimer)

Gov. Hunt spoke about how he met Britt during his second term as governor while Britt served in the House of Representatives. He lauded Britt for his leadership, integrity, and care for North Carolina’s children.

Finally, CCSA President Marsha Basloe, spoke.

“I have only been at the helm of CCSA for a little more than a year,” she said, “and although in Durham for many years and an SS partner with CCSA, I now truly have learned of its programs, its passion and its people. All three go hand in hand…CCSA conceives, studies, experiments, implements and tests until we arrive at models worthy of system change. Now we know…there is no excuse for not providing high quality experiences for children.”

Basloe closed the evening by looking toward the future.

“We need to focus on improving the experiences being provided to our infants and toddlers,” she said. “We need to strive for our teachers to be adequately compensated for the work that they do—teachers need to receive a fair rate for the quality they provide regardless where they teach—and we need to make sure the support systems we have built for so many years remains in place to support all of these endeavors.”

CCSA wouldn’t be what it is today without the leadership and dedication of our staff, our first president, Sue Russell, our second president, Anna Carter, and our dedicated leadership team of vice presidents and Board of Directors.

We would not have been able to celebrate 45 years without our generous sponsors. Our sincere thanks to:

  • Chapel Hill Training Outreach Project,
  • Lakeshore,
  • Merchants Foodservice,
  • Triangle Community Foundation,
  • Blackman & Sloop,
  • The Cemala Foundation,
  • Budget Courier,
  • Illuminated Direction,
  • Kaplan Early Learning Company,
  • Alice Thorp,
  • White Rock Child Development,
  • Liz Winer and
  • an anonymous donor.

Thank you as well to our wonderful table sponsors for their support:

  • Richard Burton,
  • Daniel Hudgins,
  • Capital Bank,
  • Gerry Cobb,
  • Community School for People Under Six,
  • Durham County Government,
  • East Durham Children’s Initiative,
  • Frank Porter Graham Child Development Institute,
  • Guilford Child Development,
  • North Carolina Early Education Coalition,
  • Orange County Partnership for Young Children and
  • Wake County Smart Start.

Thank you also to everyone who donated a silent auction item, to everyone who came out on a rainy Friday night to celebrate 45 years of service at CCSA and to everyone who helped, in some way, to improve the lives of North Carolina’s youngest children, their families and early childhood educators.

Here’s to another 45 years of Child Care Services Association!