Blog

By Marsha Basloe, President, Child Care Services Association

During a child’s earliest years, brain development occurs that sets the architecture for all future learning (e.g., the wiring needed for healthy child development across social, emotional, physical, and cognitive areas).[1]  This is what makes high-quality child care for infants and toddlers so important.

At the same time, infant and toddler care is the hardest to find. The supply of infant and toddler care pales in comparison to the needs of working parents. A report by the Center for American Progress found that 44 percent of families in North Carolina live in a child care desert where the demand for child care by working families far exceeds the supply.[2]

Even when families can find it, too many struggle with the cost, particularly for infants and toddlers. Throughout North Carolina, the average annual price of child care for an infant in a child care center is $9,254.[3]  The average annual price of child care for an infant in a family child care home is $7,412.[4]

Data from: NC Labor

For perspective, for a single mother earning minimum wage ($7.25 per hour) working full-time, she would earn $15,080 per year. The cost of center-based infant care would be 61.4 percent of her income. The cost of infant care in a family child care home would be 49.2 percent of her income. If she earns twice the minimum wage ($14.50 per hour), about $30,160 per year – the cost of child care in a center would be 30.7 percent of her income. The cost of infant care in a family child care home would be 24.6 percent of her income. If she earns three times the minimum wage ($21.75 per hour), her annual income would be about $45,240 per year. Center-based infant care would cost 20.5 percent of her income; infant care in a family child care home would cost 16.4 percent of her income.

To help families with the cost of child care, the North Carolina Division of Child Development and Early Education (DCDEE) offers qualifying families a subsidy.[5] The state pays most of the cost and families have a 10 percent co-pay. Unfortunately, not all families who qualify can receive assistance and more than 30,000 eligible children throughout the state are on a waiting list for child care financial help.[6] It is important to note that the waiting list is only a snapshot in time because some families don’t join the list when they hear about the length of it. So, the waiting list reflects only those who qualify for help and who also add their names to the waiting list in case more funding becomes available to support additional families.

For families with infants and toddlers, the supply and cost are both struggles. It’s unrealistic to think that families can access the licensed market if they have to pay a huge percentage of their income to cover the cost. Why is that a concern to all North Carolina taxpayers? There are several reasons.

  • Quality of child care and long-term taxpayer bills. When parents can’t afford the licensed market, if they must stay in the workforce to make ends meet, then they will try to make do with a variety of unlicensed care options. Given the brain development that is underway during a child’s earliest years, it is critical that a child be in a setting that promotes his or her healthy development. That’s one of the reasons for the rated child care license[7] in North Carolina and one of the reasons the NC General Assembly restricted the receipt of child care subsidies to programs with at least a 3-star rating. Supporting healthy child development is important, particularly for infants and toddlers when the brain is developing the fastest.  Taxpayers will pay more in the long-term when a child enters kindergarten without the skills to succeed through additional costs for remediation, for special education, and for those children who must repeat a grade (e.g., repeating a grade is not “free”).
  • Labor force participation. Without affordable child care, parents reduce their hours or opt-out of the workforce. Ninety-four percent of workers involuntarily working part-time due to child care problems are women.[8] In North Carolina, 457,706 children under age 6 have working parents.[9] If one-third to one-half of these children under 6 are infants and toddlers, that’s 151,043 to 228,853 children who may need some type of child care while their parents work.
  • Employers & Employees. Employers depend on working parents. And, working parents with young children depend on some type of child care.

As the General Assembly meets to discuss budget priorities, child care assistance should be at the top of the list. Given the extraordinary cost of child care for infants and toddlers, the General Assembly may want to consider reviewing other models to support access to high-quality infant and toddler care.

In June 2018, the District of Columbia City Council unanimously passed the Birth to Three for All DC Act.[10] The legislation charts the path for a comprehensive system of supports for children’s healthy growth and development with a specific focus on services for families with infants and toddlers. The Act is broad — investing in home visiting and child developmental screening, however, with regard to child care for infants and toddlers, the Act expands child care subsidy eligibility for infants and toddlers to all families by 2027, caps the percentage of annual income a family would pay toward child care expenses at 10 percent of gross income by 2028, and phases in competitive compensation for early educators. The District is now in its second year of implementation with $16 million in funding for FY2020.[11] City Council members say it’s a high priority to increase funding as part of the 2021 budget, and work on that front is underway.[12]

There are certainly differences in passing legislation that supports a city (even a large city like Washington, D.C.) compared to a state. However, the concept is innovative. It recognizes that the cost of infant and toddler care is so high that all families may struggle with the cost. It recognizes that access to high-quality infant and toddler care is important to a child’s healthy development. And, it recognizes that a compensation strategy for the child care workforce is needed to support high-quality programs.

It is time to rethink the state’s approach to child care subsidy, and especially how families with infants and toddlers are supported in accessing high-quality child care. In the new year, let’s give thanks for what we have and think through policies that can best support our children in the future. 


[1] Harvard University Center on the Developing Child, Brain Architecture.

[2] Center for American Progress, America’s Child Care Deserts in 2018.

[3] Child Care Aware of America, The US and the High Price of Child Care: 2019.

[4] Ibid.

[5] NC Division of Child Development & Early Education: Subsidy Services.

[6] North Carolina Center for Public Policy Research, June 7, 2019.

[7] NC Division of Child Development & Early Education: Star Rated License.

[8] Committee for Economic Development, Child Care in State Economies: 2019 Update.

[9] U.S. Census Bureau, Table B23008, Age of Own Children Under 18 Years in Families and Subfamilies by Living Arrangements by Employment Status of Parents, 2018 American Community Survey, 1 Year Estimates.

[10] B22-0203 – Infant and Toddler Developmental Health Services Act of 2017 (now known as “Birth-to-Three for All DC Act of 2018”).

[11] Significant Birth to Three Funding Passes in the DC Council, May 28, 2019.

[12] D.C. reaped benefits of expanded preschool. Now we must focus on even younger children.

By Jennifer Gioia, Communications Manager at Child Care Services Association

Every year on November 20, since 1954, the world celebrates Universal Children’s Day to spread awareness of improving child welfare worldwide, promoting and celebrating children’s rights and promoting togetherness and awareness amongst all children. [1] With Thanksgiving so close, we would like you to join us in taking a moment and thanking those who work tirelessly every day to improve the lives of our youngest children.

Whether that’s a parent, an early childhood educator, a doctor, child care provider, government leader, grandparent, volunteer, nurse, religious leader, an advocate for children, or a friend, we at Child Care Services Association (CCSA) thank you for your dedication and leadership to ensuring the mission that every child deserves access to affordable, high-quality child care and education.

What is high-quality early childhood education?

High-quality early childhood education is critical to a child’s development by creating a stimulating, safe and loving environment for children birth to 5. [2] “A high-quality program uses teaching approaches that support a child’s learning and curriculum goals. Teachers modify strategies to respond to the needs of individual children, and provide learning opportunities through both indoor and outdoor play.” [2]

“Quality programs are comprehensive.” [3] High-quality child birth-to-five programs have lasting boosts in cognition and socio-emotional skills driving better education, health, social and economic outcomes. [3] Research shows that “high-quality birth-to-five programs for disadvantaged children can deliver a 13% return on investment,” which means children are more likely to graduate high school, go to college, have a family and live a happier, more successful life. [3]

On Giving Tuesday (December 3), consider investing in our children—our future. At Child Care Services Association, we’re all about children. From helping children build healthy behaviors in what they eat and how they play to making sure their teachers are qualified, trained and adequately paid, CCSA focuses on a child’s early years, aiming to make them happy, stable and secure.

When all children have that start—a healthy foundation—we all do better.

Children are happier and more ready to enter school, parents are secure in knowing their child is being cared for and educated in a stable environment, and early childhood educators have the resources they need to continue their education and can support their families while pursuing the career they love.

At CCSA, we’re also all about making sure all children have that healthy foundation. To have that healthy foundation, all children need more stable relationships with better-educated and fairly compensated teachers that stay in their jobs.

In fact, research shows that early experiences are particularly important for the brain development of children of color and children from low-income families.

“The highest rate of return in early childhood development comes from investing as early as possible, from birth through age five, in disadvantaged families. The best investment is in quality early childhood development from birth to five for disadvantaged children and their families.” [4]

At CCSA, we use research, services and advocacy to build a healthy foundation for every child because we believe all children deserve the best start at their best life.

How can you invest in high-quality early childhood education?

Give to CCSA today! Your gift may help support a parent who is starting a new job through our referral and scholarship programs or a child care teacher who wants to finish an early childhood education degree through our scholarship and compensation programs.

Our work results in enormous benefits for children, families and the community. Help us make sure every child has a good start to lifelong learning in a safe, nurturing, quality environment.

Donate today!


[1] https://www.awarenessdays.com/awareness-days-calendar/universal-childrens-day-2019/

[2] https://www.collabforchildren.org/families/what-high-quality-child-care

[3] https://heckmanequation.org/www/assets/2017/04/F_Heckman_CBA_InfographicHandout_040417.pdf

[4] https://heckmanequation.org/resource/invest-in-early-childhood-development-reduce-deficits-strengthen-the-economy/

By Cassia Simms-Smith, Anchor Infant-Toddler Specialist at the NC Infant-Toddler Quality Enhancement Project

Did you know that brain science can be crazy fun?

The Center on the Developing Child at Harvard University uses terms like “serve and return interactions,” “high quality experiences” and “brain architecture” when they talk about interacting with infants and toddlers. But what do they mean with all those fancy terms?

Talking with babies can be fun and it builds their brains!

Watch the videos below to see great everyday examples of people just having fun interacting with our littlest kiddos:

https://www.facebook.com/watch/?v=1441472322657949

Center on the Developing Child at Harvard University, we have another one for you – just look at that happy little face! 🥰Happy #ServeAndReturn week!#Development #Connection🎥 via ITV West Country (@itvwestcountry – Twitter

Posted by NVRnorthampton on Sunday, June 9, 2019

Yes! These silly, funny and crazy fun moments build babies’ brains! It is really that simple, and these moments bring laughter and fun into your world. Studies also show that laughter is good for stress management in adults!

What the experts have to say about talking to our littles

Serve and return interactions shape brain architecture. When an infant or young child babbles, gestures, or cries, and an adult responds appropriately with eye contact, words, or a hug, neural connections are built and strengthened in the child’s brain that support the development of communication and social skills.”  –The Center for the Developing Child, Harvard University.

That’s what you just saw!

Now it’s your turn

Do you want to make a difference in the life of a child? You can! No matter who you are or what your role is with children, simply having some crazy fun interactions with a child will help to shape their future and bring joy (and less stress) into yours.

Written by Kay Ducharme, Regional CCR&R Senior Manager at CCSA

Becoming a Gigi

Guess what? I finally became a grandmother! Over the past three years, I have had the honor of becoming a grandmother (or Gigi, as my oldest granddaughter Mila calls me) to three little girls. I used to wonder why my friends never seemed to have time for me anymore after they had grandchildren. I actually found myself feeling sorry for some of them because they were always consumed with babysitting when I wanted to go do fun things on weekends. Now, I understand. “Mila adventures” occur on my weekends now, and I love every minute of them. I find myself doing things such as going to the kiddie splash pad, brushing billy goats, riding carousels, planting flowers, visiting playgrounds, shopping for shoes and other weekend girly things. We have gone through so many things, such as potty training, sleep issues, screen time limits, visits to petting farms and zoos, being gentle with animals, learning to walk dogs, etc.

Not Now, Gigi, I’m Busy Writing My Dissertation!

As a former preschool teacher many years ago, I was fascinated with language development. As I worked with young children, I tended to focus on language skills, and obviously do the same with my grandchildren. My oldest daughter is trying to finish her Ph.D. and is on the last leg of completing her dissertation. She called me the other day and told me Mila’s teacher had just called saying that Mila had been standing over a whiteboard. The teacher asked Mila why she was standing up to write. Mila’s reply was, “I am working on my dissertation.” I have heard Mila say that she was working on her dissertation many times and didn’t even think about it being different because this dissertation is something we talk about frequently in our family.

As a result of being a Gigi, I have a renewed appreciation of what we do at Child Care Services Association (CCSA) for parents, young children and early care and education professionals. I am keenly aware of child care deserts for infants and toddlers, the cost of child care and the navigation systems that parents use to unravel the mystery of child care for their young children. I have visited and observed child care programs as a Gigi and talked with teachers about their days and how things work in their programs. I am amazed at how much they are accomplishing. I see new things that Mila learns at her preschool every week and am in total awe of her development, but most of all those language skills.

Talking Power

Mila really doesn’t know what a dissertation is, but she does know that it involves writing. No one actually prompted Mila to say the word but obviously has heard it numerous times at home, and it just comes naturally.

As I watch my younger grandchildren learning language skills, I am reminded of what we need to do even with young infants. We respond to their crying at first because we want to understand what they are trying to tell us. This takes practice, but if you really pay attention, you will understand. When they begin babbling, we imitate their sounds and help them learn new ones.

Recently, I listened to my younger granddaughters as they were learning to make sounds and navigate through the house by crawling or walking around wobbling from side to side. One of them kept repeating the “B” and “M” sounds that she had just learned, and her mother would imitate her attempts. They had great games going back and forth, and truly there was a lot of glee and bonding! Finally, she started saying “momma” by the end of the week, and this week she has learned to follow directions and kiss her momma when prompted. 

Young children, as we all know, do repeat what they hear and imitate what they see. Conversations with parents aid in language development and nurtures learning. Talk at home is a powerful tool in the development of language and communication skills. Talking with babies and young children in natural tones and modeling the words that we want them to adopt is extremely important. Instead of teaching Mila the word “dissertation,” we used the word many times while we were around her. It is meaningful to her. Hopefully one day, she will write a real “dissertation” as she explores her own world! 

When around young children, it is important to relax and talk to them. Children are listening and understand much more than we sometimes give them credit for. Making them perform their new language skills can sometimes make them clam up, so be careful that you are not asking for performances.  

Remember that play and language development go hand-in-hand. A great deal of language is developed through pretend play. Give them lots of opportunities to talk, sing and read books. Reading books with rhyming words and sounds, or singing songs are great ways to develop language skills. 

Sometimes language skills emerge over a long period of time and sometimes they emerge overnight. All children are different and develop at their own pace. The conversations we have with children nurture their development and learning. Our talk at home and in preschool settings is a powerful tool in the development of young children. 

5 Power Tools to Help Develop Your Skills in Expanding Language

Here are a few ideas for helping young children develop language skills:

  1. Talk naturally in your authentic voice;
  2. Tell stories, sing, read books, ask questions;
  3. Sometimes just be silly with songs, books, and words;
  4. When they point at a ball, expand on it and make a sentence out of the word they used or object they pointed out; and
  5. Add colors, prepositions or numbers of objects in everyday language (i.e. “We are going to climb up 7 brown steps now”). Numbers, prepositions, colors and words used will all become a natural part of their vocabulary.

They are soaking it all in and learn so much from you. Your words are truly powerful! Model the language that you want them to use and you can create learning opportunities wherever you go or whatever you are doing with children. Enjoy them. They grow up too fast!

Thank you to Kristen Siarzynski and Kathryn DeLorenzo for the photographs of Kay’s grandchildren.

Written by Allison Miller, VP of Compensation Initiatives at CCSA

Early Educator’s Day

Australia has the right idea. They celebrate Early Educator’s Day on September 4, 2019. We should do the same! We have National Provider’s Day in May, but shouldn’t we celebrate teachers who work with our young children at every opportunity? They deserve our recognition; children need them, parents need them and the nation needs them. They truly are the workforce behind the workforce.

The Workforce Behind the Workforce Deserves Better Compensation

Early educators make it possible for other professionals to go to their jobs, to lend their expertise to the community, to grow the economy. To be productive in the workforce, parents need peace of mind that can only come from knowing their children are in safe, stable, positive and engaging environments with teachers who can appropriately guide their learning.

It’s a lot to expect when early childhood teachers, on average, earn $10.97 per hour in North Carolina. It’s not an easy problem to solve because most parents cannot afford to pay more than they do. That’s where the Child Care WAGE$® Program comes in.

A Compensation Strategy: The Child Care WAGE$® Program

Early educators deserve to be paid commensurate with their education and the importance of their jobs. Sadly, that’s simply not the case. The Child Care WAGE$® Program is an education-based salary supplement program for teachers, directors and family child care providers working with children birth to five. Awards are issued after the eligible participant has completed at least six months with the same child care program.

As a result of this additional compensation, early educators not only earn more, but they are more likely to stay and increase their education. The quality of child care is improved when turnover rates are low, education is high and compensation is fair.

WAGE$ is made possible with the funding provided by the local Smart Start partnerships that elect to participate and the NC Division of Child Development and Early Education.

Does WAGE$ work?

Yes! In the fiscal year 2018-2019, WAGE$ recipients from the 55 participating N.C. counties earned an average six-month supplement of $974, which breaks down to about $.94 more per hour for full-time employment. The vast majority of participants had at least a two-year degree with significant early childhood coursework and they stayed in their programs. Only 14% left their employers last year, which is notably lower than turnover rates prior to WAGE$ availability.

WAGE$ Recognizes Early Educators

In addition to the program results of increased education, retention and compensation, WAGE$ recognizes the importance of early educators and the key role they play in our lives. It is a way to show appreciation and to boost morale for an underpaid workforce.

In fact, 97% of survey respondents said that WAGE$ makes them feel more appreciated and recognized for their work.  The feedback of participants always highlights this message.

One teacher shared, “WAGE$ has shown the value of giving incentives to teachers.  Teachers need to feel appreciated and rewarded.  All teachers deserve a chance to feel special and loved; that is how WAGE$ makes me feel.”

We all need to take the time to show our appreciation to this workforce. They deserve it. Happy Early Educator’s Day!

For more information, view the Child Care WAGE$® Program: NC Statewide Report (FY19).

Written by Marsha Basloe, CCSA President

Source: Erie Fire Department, Erie, Pennsylvania.  August 11, 2019

On August 11, 2019, every parent’s worst nightmare happened in Erie, Pennsylvania, as a fire in an overnight family child care home took the lives of five young children ranging in age from 9 months old to 8 years old. Harris Family Daycare was regulated by the Pennsylvania Department of Human Services and operated out of a three-story home for nearly 20 years. The owner offered nontraditional (and overnight) hour care to meet the needs of working parents in her community.

When I saw the news day, my heart was heavy and my thoughts were with the families and the family child care owner.

In the United States, one out of five adult workers has a nonstandard work schedule (working early morning hours, evening hours, or overnight compared to those who work more traditional day time jobs).[1]  Among low-income families, studies have found that half of parents work jobs during nontraditional hours (e.g., cleaning offices at night or working second shift retail or food service jobs).[2]  For families who need child care during nontraditional hours, the search for child care is extraordinarily difficult. Few child care centers offer care during nontraditional hours and about one-third of regulated family child care homes offer nontraditional hour care.[3]

In the Erie case, the mother of four of the children who died was working as a nurse during an overnight shift. The father of three of the children was a fireman responding to a call at a different location. The fire occurred at 1:15 a.m. presumably while everyone was sleeping. Fire investigators found one smoke detector located in the attic and preliminary reports indicate the fire may have been caused through an extension cord malfunction.[4]

For regulated child care (centers and homes), federal law requires an annual inspection for health, safety and fire standards.[5] However, fire safety rules and inspection compliance procedures are set individually by each state. To operate a licensed family child care home in North Carolina,[6]

  • A battery operated smoke detector or an electronically operated (with a battery backup) smoke detector is required.
  • For homes operating overnight, a battery operated smoke detector or an electronically operated (with a battery backup) smoke detector is required in each room where children are sleeping.
  • An annual licensing inspection is required and a local fire inspection is required if the county in which the home is located requires it.

How do the North Carolina child care licensing requirements measure up against National Fire Protection Association (NFPA) recommendations?

Unrelated to whether a home is used for child care purposes, NFPA requires that at a minimum, smoke alarms be installed in each sleeping room and on every level of the home.[7] NFPA recommends that smoke alarms be tested once per month. For smoke alarms with non-replaceable 10-year batteries, the battery should be replaced immediately if the alarm chirps (indicating the battery is low). For smoke alarms with any other type of battery, batteries should be replaced once per year.[8]

In the case of the Erie family child care home fire, there was confusion about whose job it was to check for smoke alarm compliance (e.g., the P.A. Department of Human Services during annual inspections or the local fire department).[9] Pennsylvania state legislators are now drafting legislation to clarify roles and responsibilities and requirements. Perhaps it is time for us to review those regulations and make sure that lessons learned from Pennsylvania are used to inform safety practices here in North Carolina.  

Fire safety generally is a large issue. North Carolina does need fire safety rules and effective monitoring in place for licensed child care. At the same time, the public generally needs to be aware of potential fire danger and NFPA smoke alarm recommendations. It is important that all centers and homes be equipped with working smoke detectors, that those smoke alarms are regularly tested and that batteries are replaced on an annual basis. At $5 – $20, many smoke alarms are an inexpensive investment.[10] 

Particularly for licensed family child care homes, it is critical to ensure that fire protection policies are clear, and that the roles and responsibilities for safety checks are clear as well. Parents work nontraditional hours. Child care is needed, which may involve hours in which everyone in the household is asleep. The tragedy in Erie, P.A. gives us a chance to review fire safety rules for N.C. licensed family child care homes and centers. A child’s life depends on it.


[1] Nontraditional Hour Child Care in the District of Columbia (2018), Urban Institute. https://www.urban.org/sites/default/files/publication/99768/nontraditional-hour_child_care_in_the_district_of_columbia_0.pdf

[2] Nonstandard Work Schedules and the Well-Being of Low-Income Families (2013), Urban Institute. https://www.urban.org/sites/default/files/publication/32696/412877-Nonstandard-Work-Schedules-and-the-Well-being-of-Low-Income-Families.PDF

[3] National Survey of Early Care and Education Fact Sheet, April 2015. https://www.acf.hhs.gov/sites/default/files/opre/factsheet_nonstandard_hours_provision_of_ece_toopre_041715_508.pdf

[4] https://www.cnn.com/2019/08/13/us/erie-day-care-fire-inspections/index.html; https://www.nbcnews.com/news/us-news/five-children-killed-pennsylvania-day-care-fire-n1041231; https://www.cbsnews.com/news/pennsylvania-day-care-fire-firefighter-loses-3-kids-in-erie-blaze-that-killed-5-children/; https://www.usatoday.com/story/news/nation/2019/08/13/pennsylvania-daycare-caught-fire-did-not-have-enough-smoke-detectors/2002744001/

[5] The Child Care and Development Block Grant Act of 2014 (P.L. 113-186), https://www.govinfo.gov/content/pkg/BILLS-113s1086enr/pdf/BILLS-113s1086enr.pdf

[6] https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/FCCH_rulebook.pdf

[7] National Fire Safety Association recommendations and Fire Safety Code, https://www.nfpa.org/Public-Education/Staying-safe/Safety-equipment/Smoke-alarms/Installing-and-maintaining-smoke-alarms

[8] Ibid.

[9] https://www.usatoday.com/story/news/nation/2019/08/13/pennsylvania-daycare-caught-fire-did-not-have-enough-smoke-detectors/2002744001/

[10] https://home.costhelper.com/smoke-alarm.html

By Marsha Basloe, CCSA President

Publicly supported preschool services for 4-year-olds is a huge need in Durham County, yet NC Pre-K does not have all its seats filled for this school year, which starts in only a few weeks.

According to the Durham County Government, there are nearly 4,000 4-year-olds each year in Durham County, about half of whom live in households making less than $50,000 a year. Children from lower-income households are often left behind their peers, furthering inequality and setting the stage for an achievement gap that persists through high school. As a vibrant, growing community, Durham recognizes the short- and long-term benefits of a high quality early childhood program for the community, but most especially for children and their families, particularly those earning low-incomes.

Our research found there are six low-income preschool children for every one publicly funded preschool space in Durham through programs such as NC Pre-K, Durham Public Schools and Head Start. With funding from the Durham County Government, the Durham PreK umbrella offers the opportunity for universal services for all 4-year-olds in Durham County through these programs.

“Durham is making a bold investment in the future by supporting early education for our young children,” said Linda Chappel, Senior Vice President of Triangle Area Child Care Resources and Referral Services at Child Care Services Association (CCSA). “We will not rest while some of our children are left behind, furthering inequality and setting the stage for the achievement gap that persists through high school and beyond.”

As president of CCSA, I have authorized CCSA’s Triangle Area Child Care Resource and Referral Services Division to make this our number one priority, and I hope Durham’s Partnership for Children and Durham Public Schools do the same.

Every child deserves affordable, accessible, high-quality child care, and Durham PreK works to ensure just that. We hope to be able to utilize every spot for Durham PreK, Durham County’s commitment to high-quality publicly-funded preschool for all 4-year-olds.

Durham’s Partnership for Children is still accepting applications for enrollment for this school year. Families can apply for NC Pre-K by contacting Durham’s Partnership for Children at 919-403-6960 or by visiting dpfc.net/our-work/ncpk/. CCSA works with the Partnership to enroll children in the Durham PreK program once they are in NC Pre-K.

About Durham PreK:

Durham PreK is committed to improving the quality of preschool programs by providing financial support, training opportunities for teachers and increasing eligibility for families to enroll their child. Beginning in 2018, Durham County Government has committed to equitable access to high-quality preschool for all children in Durham. Investments will not only increase the number of publicly funded pre-K slots but also broaden eligibility and work with teachers and private centers to build their quality through teacher and director education, mentoring and coaching. For more information, visit https://www.childcareservices.org/durham-prek/.

About Child Care Services Association:

Founded in 1974, Child Care Services Association’s mission is to ensure affordable, accessible, high-quality child care for all young children and their families. Using a holistic approach, CCSA supports children and families find child care in the Triangle, helps child care professionals improve the quality of early education children receive and provides scholarship resources so all families can afford and access high-quality early care and education. CCSA also provides healthy meals for children at child care centers throughout the Triangle with our Meal Services program. Our T.E.A.C.H. Early Childhood®, Child Care WAGE$® and Infant-Toddler Educator AWARD$ programs give child care educators the means to obtain an education and supplement their salary based on that education, increasing teacher education, retention and compensation. CCSA also licenses T.E.A.C.H. and WAGE$ across the U.S. and conducts early childhood systems research and policy development statewide and nationally. For more information, visit www.childcareservices.org.

Written by Jennifer Gioia, CCSA Communications Manager

In October 2016, Michelle Roach received a call on a Tuesday morning—she would be fostering Jordan, a 6-day-old baby. “I wasn’t really prepared for actually searching for [child care],” Michelle said. “I’m a solo parent, so it was a big adjustment to do that, and as soon as he came into the home, we had a clock ticking. We had eight weeks at home with him and then he needed to find somewhere to go during the day.”

Parents often need a place to start as they begin their child care search. This is where Child Care Services Association’s Child Care Referral Central comes in. Child Care Referral Central is a trusted resource for families looking for child care, helping them find care based on their needs and providing information and resources at their request.

“We are in a unique position to link families, child care providers and the community together, so that parents can get all their child care answers in one place,” said Christy Thalheimer, referral manager at CCSA’s Child Care Referral Central.

“By going to Child Care Services Association, it really did allow me to have one place where I could ask my questions,” Michelle said. “I could get more information about both center-based [child care] but also family-based [child care]. I was able to sit down with a counselor and talk about what resources I had available to me, the subsidy through [the Department of Social Services] and what was available in the community.”

CCSA’s referral counselors can walk a family through all their child care options at each age of their children. From infant care to after school care, CCSA’s Child Care Referral Central can provide the tools families need to find the right child care for their children.

Often people see child care resource and referral programs (CCR&Rs) as only available to families who are most at risk due to poverty or special circumstances. While the Department of Social Services (DSS) offers a Child Care Subsidy program that uses state and federal funds to provide subsidized child care services to eligible families, finding the right child care is an important piece of the work-life puzzle for every family, no matter their income. Community members often ask if services are only for those in financial need, but CCSA’s Child Care Referral Central is available to every family in the nine-county area of Alamance, Caswell, Durham, Franklin, Granville, Orange, Person, Vance and Wake counties.

Silvana Rodriguez was Michelle’s child care counselor at Child Care Referral Central. She has been a counselor for more than seven years.

“[Michelle] walked into the office…and then told me that she was a first time parent, she was going to receive an infant and she was nervous about the whole process,” Silvana said. “So, I answered all of her questions. She had several questions about the types of care, the differences between them, and then I did a [customized] search for her based on [her work and home addresses]…We talked about national accreditation and what to look for, and then after that, we made a package for her with all the different information that may be useful for her.”

“One of the things, it was so small but it helped me so much, was that all of that information was placed in one packet and handed to me,” Michelle said. “In the chaos of my life of having a newborn and figuring everything out, having this one place I could go back to with all the phone numbers and all the information about ratings and other really helpful things in one spot made something that could have been really overwhelming more manageable. I was able to periodically when I had the time, make phone calls, set up tours and narrow down where he ended up going between two really high-quality centers. I picked one that was closer to my work, and I was really happy with the results from that.”

Silvana loves helping families like Michelle’s.

“That’s the thing that drives all us counselors because you can see the results when you follow up with them, and especially when they find a great quality place, and just going through their options and helping them navigate everything in terms of finding child care,” Silvana said.

“[CCSA’s Child Care Referral Central] made the already challenging process of being a solo parent and figuring out the process of DSS and foster care, and also just the challenge that every parent faces when they have to go back to work, which is that you’re leaving your tiny human being with other people, to really make that easier and to make me feel better about that process and more comfortable with him being there and knowing that he would be cared for in a reputable space,” Michelle said. “I didn’t have the pressure of having to Google or guess. I had all that information in one spot, and for me, that really made all the difference.”

Jordan turns three at the end of next month. He’s is “graduating” from Early Head Start and will transition over to another classroom in the same center mid-August. Michelle has thought about reaching out to CCSA again to speak with a counselor about more child care options. “I’m hoping to participate in the Universal Pre-K program next August,” Michelle said.

You can hear more about Michelle’s story by watching the video below.

To continue supporting the operations of Child Care Services Association and crucial programs such as the Child Care Referral Central, please donate today.

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

Both Kellie Brower, director of The Goddard School of Chapel Hill for two years, and Valerie Morris, owner and director of Beginning Visions Child Development Center & School in Alamance County for 20 years, had to recently recertify their centers. Both turned to the Infant-Toddler Quality Enhancement Project (ITQEP) for help.

Kellie “didn’t feel comfortable enough to lead the faculty” of her center into recertification on her own and reached out to Amanda Hazen, one of the infant-toddler specialists at ITQEP. When Valerie’s center needed recertification, ITQEP reached out to her, and she found it to be very helpful. Whether it’s two years or 20 years, ITQEP is there to assist even the most seasoned directors and staff achieve quality infant-toddler care.

What is the Infant-Toddler Quality Enhancement Project?

In 2004, the NC Division of Child Development and Early Education, in collaboration with the NC Resources and Referral Council, established the statewide Infant-Toddler Quality Enhancement Project (ITQEP). Operated by Child Care Services Association (CCSA), the NC ITQEP supports the development of higher quality infant and toddler classrooms in all of North Carolina’s 100 counties by providing specially trained infant-toddler specialists across the state for coaching, mentoring and consultation to teachers and directors of early care and education centers.

How Does the Infant-Toddler Quality Enhancement Project Help Child Care Directors?

“[ITQEP] helped us get ready for stars,” Kellie said. “With the new rules that have come out, [ITQEP] explained them and provided suggestions to get us over the hump…Honestly, they are my first point of contact whenever I have any questions. They have been seriously amazing. Always get back to me quickly, it never takes them long at all. They always seem to be available and happy to help, so it’s been really great.”

The NC Division of Child Development and Early Education issues star rated licenses to all eligible child care centers and family child care homes based on indicators of a program’s quality of care and education.[1] Child care programs can receive one to five stars. The star-rated license acts as a “roadmap” for providers to follow as they strive to improve the quality of their care.[2]

“Honestly, I would say them helping us with the stars rating [has been my favorite], because it is such a taxing procedure, and I can’t do it all by myself,” Kellie said. “Having that extra support means the world to me. It’s worth it to have them come in and be an outsider to look in, you know, to see what they see, because sometimes I’ll go into a classroom 15 times and I won’t see the things that they see, because that is something that I’m looking at every day.”

“I want to make sure we’re doing the right thing and we’re staying up to date,” Valerie said. “The rules and regulations, especially with the [ITERS] scales, change so much and so often that sometimes I have to get outside help to come in and remind me of things to keep me on top of the game.”

In order for programs to achieve a higher star rating, they must be accessed with the environment rating scale, which measures both quality and education. The Infant-Toddler Environment Rating Scale (ITERS) assesses child care programs for children birth to 2 ½ years of age.

“Definitely by far, [ITQEP] has been my favorite service,” Valerie said. “Amanda has been very thorough and very consistent. She finished the whole thing. Sometimes I have people come and it seems like we lose contact, but Amanda went out of her way and followed up to the end, and still after that, she contacts me regularly to ask me if I need anything, or if I have any questions, or to share an update she learned…She’s very enlightening.”

How do Teachers Apply the Infant-Toddler Quality Enhancement Project in the Classroom?

Knowing the reasons why, and not only how, are just as important for teachers when applying new lessons and suggestions from infant-toddler specialists in the classroom. “We had a question about an infant diaper changing procedure,” said Kellie. ITQEP specialists visited and “[made] it easier for me to give our teachers why we’re doing it and how we’re doing it. It’s just easier to apply in the classroom if I also have reasons why.”

“[ITQEP has] been really informative,” Kellie said. “Every time they come in, they are giving us something, whether it is tips and tricks, suggestions, encouragements, which is great, but it’s also nice because even if they’re just giving information to me, I can easily train the staff… then they always follow-up to make sure that we’ve been able to implement their suggestions, and if we weren’t, they come up with new suggestions.”

“[ITQEP Specialist Amanda] created an art carrier for the young ones, the ones that are one turning into the age when they have art,” Valerie said. “She made a little carrier so it would be easier to pull it out and put it back up. Sometimes with the older toddlers, we would leave the art out, but it would kind of make a mess, so she said you don’t have to leave it out all the time, put it in this carrier and it’s easy. You can pull it out when you’re ready to use it, as long as you make it accessible to them for an hour or so a day.”

“[ITQEP Specialists also] helped us redo the schedule to make the teachers’ schedule run smoother, so they wouldn’t have to do so much hand washing,” Valerie said. “Let’s go outside, come straight in and wash hands, and then sit at the table, rather than coming in, washing hands, playing for a little bit and then washing hands again and sitting down. It saves us some time.”

Kellie has also noticed a change in her how her teachers relate to the children.

“I’ve just noticed so much more focus on tummy time and [our teachers] understand why it’s important to physical development,” Kellie said. “Language was something that some of our teachers were struggling with because they had also come from ECERS classes and they just didn’t know how to relate to the younger children. So, I’ve also noticed a huge difference in the language between the teachers and the children, which has been great.”

“[ITQEP specialists] genuinely have the best interest of the infants and toddlers at heart,” Kellie said. “There’s never a question of what is important to them. But you can see in their attitude and their professionalism that infant-toddlers are always their focus, and they want them to grow up and be socially, emotionally, physically and academically developed well…[The ITQEP has] been amazing and invaluable, honestly, to me as the director and also to our staff.”

To continue supporting the operations of Child Care Services Association and crucial programs such as the Infant-Toddler Quality Enhancement Project, please donate today.


Sources:

[1] The North Carolina Division of Child Development and Early Education. https://ncchildcare.ncdhhs.gov/Services/Licensing/Star-Rated-License/star-rated-license

[2] Smart Start of Forsyth County. https://smartstart-fc.org/star-rating-system-your-child/