EHCC is the only national program working for over 14 years to deliver technical assistance, training, and resources to child care professionals on reducing environmental hazards within child care settings. The EHCC program’s goal is to identify common toxicants found within and around child care facilities (Head Start, Early Head Start, family child care, and center-based facilities) and reduce or all together prevent adverse health effects from exposures.
Creating safer and healthier child care settings–free of harmful environmental hazards–is key to protecting the safety and well-being of our nation’s children. Young children are the most vulnerable to toxic exposures.
Eco-Healthy Child Care® runs an endorsement program for child care facilities. We endorse facilities (center and family child care) that comply with 30 out of 35 simple, free or low-cost environmentally healthy best practices found on our checklist. These eco-healthy changes immediately benefit the well-being of young children and staff and create toxic-free early learning settings.
By partnering with our nation’s caretakers and providing them with realistic and cost-effective strategies to eliminate environmental hazards, we are working to create safer, healthier, and greener early learning settings.
EHCC has embedded environmental health-related best practices & policies into national child care systems including accreditation and health and safety standards, and state Quality Rating Improvement Systems (MD, PA, and UT) and licensing (MN).
In 2016, EHCC collaborated with the National Association for the Education of Young Children (NAEYC), a national accreditation body for center-based child care professionals that has over 80,000 members, to update their Early Childhood Program Standards and Accreditation Criteria to include more comprehensive best practices in environmental health. In 2020, the Association for Early Learning Leaders (AELL), a similar accreditation body, also focused on center-based child care facilities, adopted many of EHCC’s best practices.
Child care systems always seek strategies to incentivize best practices and improve quality. One strategy is the development of Quality Rating Improvement Systems (QRIS). A QRIS is offered in each state. They provide a non-regulatory framework for building high-quality early care and education programs. EHCC has successfully aligned eco-healthy best practices found on the checklist with a growing number of state QRIS programs.
Working with these state QRIS systems is an impactful strategy for raising awareness about environmental health AND reducing environmental hazards in child care facilities.
Maryland incorporated the EHCC program into their state QRIS, Maryland EXCELS, by offering an “Eco-Friendly” badge for licensed child care facilities. (The EHCC endorsement is one of four environmental-health/nature-related certifications recognized by Maryland.)
Utah’s Child Care QRIS offers child care facilities two points for becoming EHCC-endorsed.
Pennsylvania’s QRIS Keystone Stars has a bonus point system and acknowledges providers’ work towards improving the environmental health of their facilities using EHCC’s e-learning course and checklist items. Becoming EHCC-endorsed is optional for child care providers.
The National Center for Health and Safety in Child Care and Early Education’s Caring for Our Children’s (CFOC) is a nationally respected resource providing comprehensive agreed upon health and safety best practice standards for the child care community. In 2014 EHCC developed an environmental health collection for CFOC. EHCC has also created safe siting, lead prevention, safer cleaning, sanitizing and disinfecting, and reducing exposure to harmful chemicals in plastics standards for CFOC.
EHCC’s work to incorporate environmental health best practices within national child care accreditation and health and safety standards is a path towards strengthening child care licensing, which is offered at the state level, and sometimes at the city or county level. When state licensing agencies are seeking to update regulations they often look to these aforementioned systems for model practices that have been agreed upon by subject matter experts.
EHCC’s long-term partner and National Advisory Committee member, the National Association for Regulatory Administration, brought EHCC on as an environmental health subject matter expert to update Minnesota’s child care licensing regulations in 2022. EHCC reviewed environmental health licensing regulations from other states (e.g., Colorado and Washington) and national accreditation (e.g. NAEYC and AELL) and health and safety standards (e.g., CFOC) to assist in the development of best practices language for Minnesota. EHCC then drafted and submitted to Minnesota environmental health best practices language for the following topics: Pesticides, Indoor Air Quality, Ventilation, Cleaning/Sanitizing/Disinfecting, Lead, Art Supplies, Plastics, Safe Siting, Mercury, and Radon. Minnesota is currently reviewing the draft environmental health language.
Protecting childrens’ environmental health is a tenet of health and safety. CEHN’s Eco-Healthy Child Care® program works strategically to create solutions for long-term change.
Our EHCC program team has learned that it is first essential to empower the early care and learning field through professional development. As such, our EHCC e-learning course, offered in both English and Spanish, is used to provide child care educators with information on defining environmental health, understanding children’s unique vulnerabilities, describing routes of chemical exposures, and comprehending children are not just little adults.
Several state department’s of health and human services have used their Centers for Disease Control and Prevention, Choose Safe Places for Early Care and Education funding to bulk purchase EHCC’s Protecting Children’s Environmental Health e-course. New Hampshire and Tennessee bought usages, 400 and 200 respectively, of the e-course for child care providers, and New York is offering it to their child care licensors. These strategies increase environmental health-related professional development opportunities for the child care field, as the e-course is approved for learning clock hours/ continuing education in all states except for Montana. Montana does not recognize e-learning courses for adult learning clock hours for child care professionals.
By embedding environmental health best practices into recognized early care and learning systems and structures, child care professionals become more familiar and comfortable with preferable practices for reducing exposures to lead, mercury, unsafe plastics, treated playground equipment and more. Quality Rating Improvement Systems (QRIS) provide a systemic approach to assess, improve, and communicate the level of quality in early and school-age care and education programs. These programs are non-mandated, but aim to elevate the quality of care. The following states recognize the EHCC endorsement as part of their QRIS, so as to uplift the importance of environmental health protective practices: Maryland, Pennsylvania and Utah.
In every state, licensed child care professionals, both center-based and family child care, must comply with their child care licensing regulations. These regulations are mandated in order for a child care provider to be licensed by the state. EHCC is working toward the ‘gold star’ approach to change. If environmental health best practices are integrated into required licensing standards, then children within licensed care facilities will be protected from chemical exposures, such as unsafe disinfectant solutions, and heavy metals, such as lead. This is the best solution for protecting as many children as possible, especially those that are most marginalized. From 2022 through 2024, the EHCC team supported the Minnesota Department of Human Services (DHS) Licensing Division in updating their state licensing regulations to include environmental health protections. This allowed EHCC’s creation of a blueprint for how environmental best practices can effectively and realistically be included into licensing requirements. The EHCC team is eager to support other states in following suit!
Development of a National Advisory Council–promotes interdisciplinary collaboration. EHCC developed a national advisory committee in 2008 that guides its environmental health work within the child care field. The committee consists of both environmental health, public health and child care experts. The committee is unique–there are no other national child care committees that encourage the cross collaboration of national child care associations and organizations AND environmental health experts.
Women for a Healthy Environment has offices in Pittsburgh and Philadelphia, Pennsylvania. We educate and empower community members to act as ambassadors about environmental risks so they can make healthy choices for themselves and their families. Our three main program areas are healthy homes, healthy early learning, and healthy schools. In addition, we advocate for policies that better protect public health at the local, state, and federal levels.
Throughout the early learning program, we focus on reducing the presence of toxins in the learning environment. In Pittsburgh, our 1000 Hours a Year program is helping child care centers in Allegheny County address hazards, like lead and radon, to keep children healthy and safe in the places they learn, with support from grant funding and technical assistance. In Philadelphia, the EPA Children’s Healthy Learning Environments in Low-Income and/or Minority Communities grant is recruiting 200 early learning providers to become endorsed as Eco Healthy®, also focusing on indoor air monitoring, surveying about the impacts of climate change and assessing statewide policies and training opportunities to assure healthy early learning environments for all.
We are bringing the Eco-Healthy Child Care® Endorsement to early learning centers through one-on-one consultations with program directors for 90 minutes to educate them about the topics in the checklist and how the health of the children and staff will benefit from different choices and behavior changes within their facility. We provide early learning programs with educational materials, resources, and more learning opportunities to continue education beyond the Eco-Healthy Child Care® Endorsement. The program continues to grow in southwestern PA and Philadelphia.
The Helen R. Walton Children’s Enrichment Center is a Northwest Arkansas nonprofit organization providing high-quality early childhood education for children aged six weeks to pre-kindergarten. In 2014, Grayson, a two-year-old attending HWCEC was diagnosed with non-hereditary leukemia. Could this be linked to exposure to toxicants in everyday products? Toxicants are in the majority of the products we use every day and in building materials, and most chemicals in use have never been independently tested for safety. Armed with this information, it was time to design a first-of-its-kind: a healthy child care campus focused on eliminating toxicants and chemicals for the health of young children. As a result, we are the first healthy early childhood campus in the nation. We will also share our knowledge and understanding of why these chemicals are problematic and how providers can reduce exposures through best practices, such as wiping feet at entranceways and opening windows, so the facility can be healthily maintained in perpetuity.
The Community Public Health Environment Initiative at the University of Maryland School of Nursing provides health oversight for children and families served by Baltimore City Early Head Start (EHS), Head Start (HS), and Family Support Centers (FSCs). Graduate and undergraduate nursing students, under the supervision of licensed faculty and staff, conduct well-child physical exams and health screenings, as well as education.
Specific programs include Health Screenings; Health history, and chart reviews); Eco-Healthy Child Care® endorsements for EHS and HS centers; Medication administration training; Identification of high-risk children, development of care plans, and referrals for follow-up care; and Ongoing education for EHS, HS, and FSC staff.
We collaborate with child care facilities, namely those that are focused on vulnerable low-income populations because these children experience gaps in health care and unmet health/social needs that impact their ability to learn and thrive. HS and EHS programs provide these children with support and services for healthy development.
Our method for implementing the EHCC® checklist and training in the HS, EHS, and FSC has been to do an initial walk-through with the checklist noting areas of strength and improvement, providing technical assistance and recommendations and time to make changes, and then reassessing four to six weeks later. We also conduct group training and individual instruction.
All Our Kin is a national nonprofit organization that trains, supports, and sustains family child care providers. Our mission to transform the nation’s child care system results in a triple win: child care educators succeed as business owners; working parents find stable, high-quality care for their children; and children gain an educational foundation that lays the groundwork for achievement. Our key programs that support Family Child Care are Educational Coaching, Business Coaching - Business Series, Toolkit (comprehensive supports with licensing), Policy (federal, state, and local), and support.
Family Child Care is essential. All Our Kin serves nearly 1,100 family child care providers, who in turn educate and care for over 6,000 children from chronically under-resourced communities in Connecticut and New York City. In addition to our direct service program, we train and advise partner organizations across the country to strengthen their engagement and practice with family child care providers.
We have offered Eco-Healthy Child Care® ‘s Protecting Children’s Environmental Health e-course to our staff members to prepare them to support our family child care educators. We are planning on offering this same training to our All Our Kin NY educators.
The National Resource Center for Health and Safety in Child Care and Early Education (NRC) maintains Caring for Our Children (CFOC). CFOC is a collection of national standards that represent the best practices, based on evidence, expertise, and experience, for quality health and safety policies and practices for today's early care and education settings.
The NRC provides over 600 “gold standard” health and safety guidelines for early care and education settings, public health professionals, health care professionals, community partners, government agencies, and educators. Child care regulations vary from state to state. The CFOC standards represent the best evidence, expertise, and experience in the country on quality health and safety practices and policies that should be followed in today’s early care and education settings.
Partnering with Eco-Healthy Child Care® provides opportunities to develop, improve, and disseminate best practices for providing children with a safe and healthy learning environment.
NARA's mission is to "promote the health and safety of children and adults in regulated settings," while our vision is "Consumer Protection Through Prevention." NARA is an international non-profit professional association founded in 1976 representing all human care licensing, including adult residential and assisted living, adult day care, child care, and child welfare.
Our key programs include providing training and consultative services to states, provinces, and federal agencies that include assistance reviewing, updating, and revising rules, regulations, and statutes, data analyses of their licensing review results to include key indicators and differential monitoring, and development of interpretive guidelines for licensing rules, to name a few.
Supporting child care facilities through regulation and licensing is a key part of our work at NARA. We believe that a healthy environment for all children is also intricately aligned with our mission statement regarding health and safety in regulated settings. Most recently, NARA invited Eco-Healthy Child Care® staff to be a part of the team reviewing and developing state child care standards for both child care centers and family child care programs. EHCC's involvement brings the subject matter expertise they provide related to creating healthy environments for children in care into the regulatory language. NARA also continues to participate in the EHCC advisory committee and assists in distributing updated and relevant information pertaining to healthy environments to regulatory and licensing professionals
Founded on the premise that better housing is a powerful platform for better health, NCHH’s mission is “transforming lives by transforming housing.” NCHH serves as a highly regarded and credible change agent, successfully integrating healthy housing advocacy, research, and capacity-building by convening and leading the healthy homes movement, conducting practical research and evaluation into housing innovations that improve health, translating and disseminating credible science into useful tools, equipping and mobilizing communities into action to create healthier home environments, garnering broad cross-sectoral support for better housing, and advocating for and with routinely marginalized populations.
In our 2020-2025 strategic plan, NCHH recognizes the need to create a more inclusive definition of what constitutes a home environment. Serving children under five for 40 or more hours a week, home-based child care facilities are crucial settings for exposure to lead and other environmental hazards and serve as a major but largely untapped public health opportunity to prevent lead and other environmental health risks to large numbers of children.
Since 2018, NCHH, CEHN, and the National Association for Family Child Care (NAFCC) have been working together in a one-of-a-kind collaboration to provide science-based, public health-focused lead prevention resources and technical assistance to home-based child care professionals. We built upon CEHN’s strong and existing partnership with NAFCC and the National Resource Center for Health and Safety in Child Care and Early Education (NRC) to embed lead poisoning prevention best practices into NRC’s national health and safety standards. We are currently working to build lead protective best practices into NAFCC’s national accreditation standards for home-based child care facilities. Working with CEHN, NCHH secured funding so the partners can provide virtual learning sessions and offer EHCC’s Protecting Children’s Environmental Health e-course and a train-the-trainer course at no charge to a network of racially diverse home-based child care provider leaders.
The National Association for Family Child Care (NAFCC) is dedicated to advancing the field of family child care by connecting practice, policy, and research to support high-quality early care and education provided in home-based settings. Our mission involves promoting the power of family child care (FCC) by offering opportunities for providers to enhance their knowledge and businesses through membership, providing nationally recognized accreditation, and advocating for the needs of the FCC workforce.
We are targeting child care facilities, especially family child care because they play a critical role in the child care industry and economy. FCC programs are known for their flexibility, accessibility, and cultural continuity, making them an essential choice for many families, particularly those from diverse, low-income, and culturally rich backgrounds. They are also instrumental in meeting the ever-changing needs of working families, even during non-traditional hours.
To bring Eco-Healthy Child Care®'s mission and programs to the child care field, NAFCC has been actively involved in preventing environmental hazards in family child care for over five years. We have partnered with Eco-Healthy Child Care® and the National Center for Healthy Housing to address lead poisoning in family child care, resulting in the development of a Lead-Safe Toolkit for child care providers. Additionally, we are part of the Early Years Climate Change Task Force, highlighting the unique vulnerabilities of young children to long-term climate change.
The Children’s Environmental Health Network is not liable for any health and safety violation that may be witnessed at an Eco-Healthy Child Care® facility. This program encourages best practices and policies. It is the responsibility of each facility to follow the mandated child care licensing regulations within their respective state.