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).

By Jennifer Gioia, CCSA Communications Manager

Joe Coffey

Joe Coffey will earn his Master’s in Education (M.Ed.) from UNC-Wilmington next spring, and because of the Teacher Education and Compensation Helps (T.E.A.C.H.) Early Childhood® Scholarship program, he will do so debt-free. T.E.A.C.H. provides educational scholarships to early care professionals and those who perform specialized functions in the early care system.

Joe has had the desire to teach and engage families and children for 18 years serving as a preschool teacher, kindergarten teacher, public school administrator and training and technical assistance specialist. Now, while he pursues his M.Ed., he is the Child Care Resource & Referral (CCR&R) Program Director for Onslow County Partnership for Children in North Carolina.

“I am a true believer in lifelong learning. I also feel it is our responsibility to model life-long learning for those that we serve,” Joe said. “I originally became familiar with the T.E.A.C.H. program when I was completing my associate’s degree. Fellow students shared the information with me.”

What is T.E.A.C.H.?

In 1990, Child Care Services Association (CCSA) created the T.E.A.C.H. Early Childhood® Scholarship program to address the issues of under-education, poor compensation and high turnover in the early childhood workforce. In 2000, the T.E.A.C.H. Early Childhood® National Center was established in response to the growth and expansion of the T.E.A.C.H. Early Childhood® Scholarship. The T.E.A.C.H. Early Childhood® National Center is now offered in 22 states plus D.C. and has awarded over 150,000 scholarships since its opening.

T.E.A.C.H. is an umbrella for a variety of scholarship programs for those working in early education in North Carolina. Because of the complexities of the different scholarships, each recipient is assigned a specific scholarship counselor.

T.E.A.C.H. Scholarship Counselors

Kimberly Bynum

Kimberly Bynum, who has been with CCSA for 22 years, is the program manager for T.E.A.C.H. North Carolina. One of her main duties is to provide counseling to graduate-level scholarship recipients like Joe. Those counselors are the reason Joe can say, “The process has been easy to use and to understand.”

“Joe is a great recipient to work with,” Kimberly said. “There’s not a lot of hand holding to do with him. He’s really proactive, but if there is ever anything missing, like when we do check-ins with our recipients several times throughout the semester, he’s very responsive to getting me what I need.”

Counselors play a vital role for T.E.A.C.H. scholarship recipients, helping them navigate through the many obstacles they may face while furthering their education.

“I do the same thing for Joe as I do for all my recipients. I make sure if they’re enrolled in school, we have the documents we need to go ahead and pay for their tuition upfront, because we don’t want anybody dropped…I usually go through and look at all my recipients, including Joe, to make sure we sent in the authorization to the colleges and universities,” said Kimberly.

And because of T.E.A.C.H., Joe will be able to graduate with his M.Ed. debt-free.

“T.E.A.C.H. has made it possible for me to continually build on my education from an Associate’s in Applied Science to a Master’s in Education without incurring a huge amount of student debt,” said Joe. “Early childhood education is a field in which the professionals are often underpaid and are themselves lacking resources. T.E.A.C.H. provides an avenue to advance education and careers while helping to avoid massive student debt.”

Kimberly finds her part in that process gratifying.

“What I really enjoy most about my position is…developing that one-on-one relationship [with the recipients],” she said. “It really just brings it all together when you’re at a conference or…attending graduations and you get to meet that person face-to-face…Especially at graduation, it makes you feel really proud, because you work with these people for so long, so they made it and they’re done.”

The Economic Impact of T.E.A.C.H.

Kimberly is also proud that T.E.A.C.H. has a wide reach that goes well beyond the scholarship recipient after graduation.

“We are empowering these scholarship recipients to [earn] more education, which in turn, they bring back into their facility, they’re better equipped to teach the children and then the children are ready for school when they start kindergarten.”

Once recipients complete their degree, they increase their marketability in the early childhood education system and may experience growth in their wages as well. In 2018, associate degree scholarship program recipients experienced an 11% increase in their earnings, with a low turnover rate of 8%.

“In addition, it’s increasing the star rating level as far as education goes for those facilities they’re employed in, making them more attractive to families, so increasing business that way,” Kimberly said. “Also, what [T.E.A.C.H.] does in the community…is increase the student enrollment in early childhood education departments [at participating universities and colleges]. So by T.E.A.C.H. sponsoring students at these universities and colleges, there is a positive economic impact on the North Carolina college system.”

To continue supporting the operations of Child Care Services Association and crucial programs such as T.E.A.C.H. Early Childhood®️ Scholarship North Carolina, please consider donating today.

Written by Kayli Watson, Spring 2019 Communications Intern from UNC Chapel Hill

(From left to right) Chenille Coston, teacher at Little Engine Academy, and Kathy Smith, owner of Little Engine Academy, hold up their outdoor learning environment blueprints from Shape NC.

Health experts have always stressed eating healthy and being active. Instilling these values at an early age can be the first steps for a longer, healthier life for children. Children enrolled in child care may consume between 50 percent and 100 percent of their Recommended Dietary Allowances (RDA) while in care. Child care programs have a chance to provide the foundation for a healthy life, in terms of food consumption and levels of activity. Child Care Services Association (CCSA) has worked to create programs to help early care centers in multiple ways, including healthy eating and active play.

Shape NC

CCSA implemented Shape NC to increase the number of children starting kindergarten at a healthy weight. The project promotes healthy eating and active play for children from birth-5 years old by working with child care programs to instill healthy behaviors and create a solid foundation for a healthy life. Shape NC integrates multiple research-based models to provide an in-depth approach to childhood obesity prevention. It combines evidence-based programs to create a comprehensive approach in partnership with the following statewide programs: Be Active Kids®, Preventing Obesity by Design and the Nutrition and Physical Activity Self Assessment for Child Care (Go NAP SACC).

Little Engine Academy in Durham, N.C.

Like other centers, Little Engine Academy benefits from several of CCSA’s programs, including Shape NC. Kathy Smith, the center’s owner, shared how she became involved in early childhood education and created Little Engine Academy. “It was something I always wanted to do,” Smith said, “The previous owners contacted me to say that they were closing and to see if I was interested, and I jumped on the bandwagon thinking it would probably take a month to open. It actually took about three months.” While Kathy has been managing Little Engine Academy since November 2008, the center  has only been involved in Shape NC for a year.

Little Engine Academy is also working to add more healthy meals to their menus through various programs. “We like to talk to the kids about what they eat, explain where the food came from and why they should be eating it,” Smith said.

Outdoor Learning Environment

For Smith and the children at Little Engine Academy, one of the most exciting aspects of Shape NC is re-building their outdoor learning environment. “We’re part of the natural learning initiative,” Smith explained, “We’re super excited! That’s one of the things about being part of Shape NC [that is exciting as it] is helping us get to have what is called an outdoor learning environment versus a playground.”

The outdoor area is a space for children to strengthen their cognitive, social and emotional development through playing games with other kids in an environment in which they can explore and learn. Additionally, outdoor play helps kids’ physical fitness as well as sensory skills. Little Engine Academy is excited to create an area for their kids to not only learn and explore but garden and learn exactly how food is grown. Now in its second year, Shape NC will help create these spaces for child care centers through funding and fundraising opportunities in its third year.

CCSA’s Other Resources for Little Engine Academy

Shape NC is not the only resource Little Engine Academy has used from CCSA. Chenille Coston, a teacher at Little Engine Academy, is also participating in a T.E.A.C.H. NC Early Childhood Scholarship as she works to obtain her master’s degree. There also employees who have received wage supplements from the Child Care WAGE$®️ Program. Both Coston and Smith talk about the value of professional development opportunities  they have attended. “For me, it’s been really awesome. It’s always good to learn more and they provide a lot of new information for us,” Smith said, “We’ve actually incorporated a lot of things they’ve given us.”

“The trainings [have] provided new strategies that we’ve been able to use in the classroom,” Coston said as she explained a recent strategy they have incorporated to teach the kids movement. The center also participates in CCSA child care scholarships that make attending Little Engine Academy more affordable for parents.

The Future at Little Engine Academy with Shape NC

Parents will continue to be more involved with Little Engine Academy as the school gets closer to its third year of participating in Shape NC. Little Engine Academy is looking for volunteers to help remove playground equipment to make room for the new outdoor learning environment, which they will start fundraising for this summer.

If you’re interested in volunteering with Little Engine Academy to remove their playground equipment contact Jennifer Gioia at 919-967-3272.

CCSA is hosting Shape NC activities this Earth Day Festival Sunday, April 28 from 12 – 5 p.m. at the Durham City Earth Day Festival. Stop by Durham Central Park, 501 Foster St. to enjoy all day performances and tons of fun activities. Learn more here.

Learn more about Shape NC here or call us at 919-967-3272 for more information about the program.

To support the Shape NC project, click here and DONATE NOW! Your gift to fund Shape NC workshops and events in Durham, N.C. will be matched 100% through a Social Innovation Fund Grant.