Water Quality in Child Care

Water Quality in Child Care

By Kathy Attar, Program Manager, Eco-Healthy Child Care®

August 2021

August is National Water Quality Month. Do you know about the quality of your water in your home or child care facility? 

If your water comes from a community water system, you can call to request a copy of its annual water quality report, called a consumer confidence report (CCR). Most people in the United States receive water from a community water system. Typically, customers receive the CCR with their water bill once a year. The report contains information on contaminants found, possible health effects, and the water’s source. If you do not receive a report, contact your water company to collect this important information.

If your water comes from a household well or other private source, you are responsible for assuring the water is safe. For this reason, routine testing of the most common contaminants (e.g. bacteria, nitrates, and lead) is highly recommended. Often county health departments will help you test for bacteria or nitrates. If not, you can have your water tested by a state-certified laboratory. You can find one in your area by calling the Safe Drinking Water Hotline at 1-800-426-4791 or visiting www.epa.gov/safewater/labs.

What is the source of your drinking water?

Drinking water that is supplied to homes and child care facilities comes from either surface water or a groundwater source. Surface water accumulates in streams, rivers, lakes, and reservoirs. Groundwater is water located below the ground where it accumulates in spaces within rocks and in underground aquifers. Water travels to the tap from surface water, or groundwater source through the local water utility, or through an individual water system, such as a private well. A private well uses groundwater as its water source.

Contaminants in water can cause health issues, such as gastrointestinal illness, reproductive problems, and neurological disorders. Infants, young children, and pregnant women may be at increased risk of becoming sick after drinking contaminated water. For example, lead exposure can cause permanent brain damage in infants and children. 

The Environmental Protection Agency (EPA) regulates many contaminants that pose known human health risks.

If you are concerned about water quality at your home or child care facility, one best practice is to filter your water. However, different water filters have different uses. Certain filters can remove harmful contaminants like lead. Visit the Center for Disease Control and Prevention’s water filter page to learn more. 

For more information on lead in water and child care facilities and steps to reduce lead exposures, check out the free Lead-Safe Toolkit. The Toolkit offers easy-to-understand policies and worksheets on strategies for eliminating lead hazards in child care environments.

To learn more about what local and national public health and environmental organizations are doing to ensure clean water for all communities visit the Clean Water For All website.


Calidad del agua en el cuidado infantil

Agosto es el Mes Nacional de la Calidad del Agua. ¿Conoce la calidad del agua en su hogar o centro de cuidado infantil? 

Si su agua proviene de un sistema de agua comunitario, puede llamar para solicitar una copia de su informe anual de calidad del agua, llamado informe de confianza del consumidor (CCR por sus siglas en inglés). La mayoría de las personas en los Estados Unidos reciben agua de un sistema de agua comunitario. Normalmente, los clientes reciben el CCR con su factura de agua una vez al año. El informe contiene información sobre los contaminantes encontrados, los posibles efectos sobre la salud y la fuente del agua. Si no recibe un informe, comuníquese con su compañía de agua para recopilar esta importante información.

Si su agua proviene de un pozo doméstico u otra fuente privada, usted es responsable de asegurarse de que el agua sea segura. Por esta razón, se recomienda encarecidamente realizar pruebas de rutina de los contaminantes más comunes (por ejemplo, bacterias, nitratos y plomo). A menudo, los departamentos de salud del condado le ayudarán a realizar pruebas de detección de bacterias o nitratos. De lo contrario, puede hacer que un laboratorio certificado por el estado analice su agua. Puede encontrar uno en su área llamando a la línea directa de agua potable segura al 1-800-426-4791 o visitando www.epa.gov/safewater/labs.

¿Cuál es la fuente de su agua potable?

El agua potable que se suministra a los hogares y las instalaciones de cuidado infantil proviene de aguas superficiales o subterráneas. El agua superficial se acumula en arroyos, ríos, lagos y embalses. El agua subterránea es agua ubicada debajo del suelo donde se acumula en espacios dentro de rocas y en acuíferos subterráneos. El agua llega al grifo desde el agua superficial o la fuente de agua subterránea a través de la empresa de agua local, o mediante un sistema de agua individual, como un pozo privado. Un pozo privado utiliza agua subterránea como fuente de agua.

Los contaminantes en el agua pueden causar problemas de salud, como enfermedades gastrointestinales, problemas reproductivos y trastornos neurológicos. Los bebés, los niños pequeños y las mujeres embarazadas pueden tener un mayor riesgo de enfermarse después de beber agua contaminada. Por ejemplo, la exposición al plomo puede causar daño cerebral permanente en bebés y niños. 

La Agencia de Protección Ambiental (EPA por sus siglas en inglés) regula muchos contaminantes que presentan riesgos conocidos para la salud humana.

Si le preocupa la calidad del agua en su hogar o en el centro de cuidado infantil, una de las mejores prácticas es filtrar el agua. Sin embargo, los diferentes filtros de agua tienen diferentes usos. Ciertos filtros pueden eliminar contaminantes dañinos como el plomo. Visite la página de filtros de agua Centro para el Control y la Prevención de Enfermedades para obtener más información. 

Para obtener más información sobre el plomo en el agua y las instalaciones de cuidado infantil y los pasos para reducir la exposición al plomo, consulte el Kit de herramientas seguro para el plomo gratuito. El kit de herramientas ofrece políticas y hojas de trabajo fáciles de entender sobre estrategias para eliminar los peligros del plomo en los centros de cuidado infantil.

Para obtener más información sobre lo que están haciendo las organizaciones ambientales y de salud pública locales y nacionales para garantizar el agua limpia para todas las comunidades, visite el sitio web Agua limpia para todos.

Climate Change and Childhood Lead Poisoning

Climate Change and Childhood Lead Poisoning 

By Kathy Attar, Program Manager, Eco-Healthy Child Care®

Scientists agree that our climate is changing and that humans are responsible. Climate change is more than just higher temperatures. We already see the impacts of climate change, including severe storms, temperature extremes, and drought

But what does climate change have to do with childhood lead poisoning?

Studies show that children have higher blood lead levels when it’s summer and hotter. In warm weather, windows (often painted with lead-based paint) are opened and closed more, which leads to increased lead dust in the air and on the ground. Repainting and renovation activities also are more common in warmer months. 

Climate change can make childhood lead poisoning worse, particularly in black, brown, and low-wealth communities; and, these communities are often already at greater risk of lead hazards. Climate change has an unequal impact on the aforementioned groups because it is a “threat multiplier.” It layers on top of existing public health, economic, and racial injustices in the U.S.

Black, brown, and low-wealth families are more likely to live in older, substandard housing–housing that is not maintained and has chipping, peeling, or cracking lead-based paint. More days of extreme heat increases the likelihood of lead dust accumulating inside homes and therefore heightens children’s exposures. These communities are also more often living in neighborhoods surrounded by polluting industries or busy roadways, leading to lead in soil contamination.

The need for urgent action on climate change is clear. 

To combat climate change, we must provide resources to communities that need it most. That way, all neighborhoods, and communities can be healthy and safe places to live. To learn more about the health impacts of climate change, what organizations are doing, and how you can get involved, subscribe to the Children’s Environmental Health Network’s weekly e-digest.

For steps, you can take as a parent, child care provider, or home-owner to reduce children’s exposures to lead hazards, visit our FREE Lead-Safe Toolkit. The Toolkit offers a range of resources, including a poster and worksheets that provide easy-to-follow steps for finding out if lead hazards exist in your home or child care and what to do to reduce any exposures.


El cambio climático y el envenenamiento por plomo en la niñez

Los científicos están de acuerdo en que nuestro clima está cambiando y que los seres humanos somos responsables. El cambio climático es más que temperaturas más altas. Ya vemos los impactos del cambio climático, incluyendo tormentas severas, temperaturas extremas y sequías.

Pero, ¿qué tiene que ver el cambio climático con el envenenamiento infantil por plomo?

Los estudios muestran que los niños tienen niveles más altos de plomo en la sangre cuando es  verano y hace más calor. En climas cálidos, las ventanas (a menudo pintadas con pintura a base de plomo) se abren y se cierran más, lo que conduce a un aumento de polvo con plomo en el aire y en el suelo. Las actividades de repintado y renovación también son más comunes en los meses más cálidos. 

El cambio climático puede empeorar el envenenamiento por plomo en la niñez, particularmente en comunidades negras, marrones y de bajos recursos económicos; y estas comunidades a menudo ya corren un mayor riesgo de sufrir los peligros del plomo. El cambio climático tiene un impacto desigual en los grupos antes mencionados porque es un “multiplicador de amenazas”. Se superpone a las injusticias raciales, económicas y de salud pública existentes en los EE. UU.

Las familias negras, morenas y de bajos recursos tienen más probabilidades de vivir en viviendas más antiguas y deficientes: viviendas que no se mantienen y tienen astillas, peladuras o agrietamiento de pintura a base de plomo. Más días de calor extremo aumenta la probabilidad de que el polvo de plomo se acumule dentro de las casas y, por lo tanto, aumenta la exposición de los niños. Estas comunidades también viven con mayor frecuencia en vecindarios rodeados de industrias contaminantes o carreteras concurridas, lo que lleva a la contaminación del suelo con plomo.

La necesidad de una acción urgente sobre el cambio climático es clara. 

Para combatir el cambio climático, debemos proporcionar recursos a las comunidades que más lo necesitan. De esa manera, todos los vecindarios y comunidades pueden ser lugares saludables y seguros para vivir. Para obtener más información sobre los impactos en la salud del cambio climático, qué están haciendo las organizaciones y cómo puede participar, suscríbase al e-digest semanal de Children’s Environmental Health Network.

Para conocer los pasos que puede tomar como padre, proveedor de cuidado infantil o propietario de una casa para reducir la exposición de los niños a los peligros del plomo, visite nuestro Kit de herramientas sin plomo GRATUITO. El kit de herramientas ofrece una variedad de recursos, que incluyen un póster y hojas de trabajo que brindan pasos fáciles de seguir para averiguar si existen peligros de plomo en su hogar o cuidado infantil y qué hacer para reducir cualquier exposición.

Racial Healing and Environmental Justice

Racial Healing and Environmental Justice

Children from low-income communities and communities of color often have greater risk of exposures to pollution, higher levels of contaminants in their bodies, and more illness or disability such as asthma and learning disabilities. These high risk children are also experiencing the direct and indirect impacts of climate change the most and hardest. 

Structural racism has led to the disparate impact of hazardous waste sites, polluting facilities and poor quality housing stock being located in or near neighborhoods with high concentrations of Black and brown people and economically disadvantaged populations. 

The COVID-19 pandemic points a spotlight on the impact systemic racism has had on Black and brown communities’ health–leading to poorer health outcomes and increased mortality. 

The National Day of Racial Healing which occurs every year on the Tuesday following Martin Luther King, Jr. Day is a time for action on #HowWeHeal from the impacts of racism. It is hosted by the W.K. Kellogg Foundation and was created with the Truth, Racial Healing & Transformation community partners. Racial healing is at the core of racial equity. The National Day of Racial Healing provides an opportunity for ALL communities to come together to create a more just world.

The effects of racism are evident in the health, economic and environmental policies all around us and the places in which we live, learn, work and play. People experience these effects when they take their children to child care or school, when they try to rent or buy a home in a safe and non-polluting neighborhood, and when they deal with the impacts of increased flooding, a rising heat index, and contaminated water and soil from climate change. 

The home-based Flores Family Child Care facility is located in East Los Angeles, a community made up of primarily Latinx families with over 26% of the population living below the federal poverty line. Many families with young children in East L.A. live in older and often over‐crowded housing, which is often associated with elevated environmental health risks to children. Numerous major freeways also surround the community, which pollute the air. Compared to Los Angeles County, East L.A. is disproportionately affected by health problems linked to the environment including childhood asthma. 

Between 2017 and 2019, Flores Family Child Care noticed how the majority of children in their care were frequently ill. In May 2019, a University of Southern California study found significantly elevated levels of lead in the teeth of children living in five L.A. neighborhoods including Flores’s. Lead is a known neurotoxicant, and particularly harmful to children and babies. Also located in this area, Exide Technologies’ battery recycling plant and its predecessors emitted lead and other dangerous pollutants for decades. These harmful emissions have left homes, apartments, schools, parks and child care facilities in the local area with dangerously high levels of lead contaminated soil. Fortunately, Flores Family Child Care was able to have the lead removed from their facility’s’s grounds. Their facility is also an Eco-Healthy Child Care® endorsed home-based child care. They protect children from environmental health risks by preventing vehicles from idling in the parking area as well as in pick-up and drop-off locations, thus decreasing exposure to air pollutants. Flores Family Child Care improves their indoor air quality by using furniture with fewer harmful chemicals and low-volatile organic compound paint on the facility’s walls.

We applaud child care providers like Flores Family Child Care who are protecting children and staff from environmental hazards in early learning settings. However, to bring about environmental justice we need our housing, education, and health systems, among others, to eliminate indoor and outdoor air pollution and climate risks.

East L.A. is just one example of how communities across the U.S. have suffered and continue to suffer the health effects of systemic racism. Racial healing recognizes the need to tell the truth about past wrongs created by individual and systemic racism and address the present impacts. It can build authentic relationships that bridge divides created by real and perceived differences. It is essential to pursue racial healing prior to making change in a community and to truly work toward the protection of all children.

Take action and begin the racial healing conversation in your community this year!

Moving the Child Care Field Forward-Updated Environmental Health Standards

Moving the Child Care Field Forward-Updated Environmental Health Standards

By Kathy Attar, Engagement Manager, Eco-Healthy Child Care®

BIG NEWS!!! The Association for Early Learning Leaders (AELL) has recently released updated accreditation standards for center-based child care providers. These new standards are now more inclusive of children’s environmental health.

The Eco-Healthy Child Care® program worked with AELL to ensure environmental health best practices were included in their newly updated standards. For example, AELL recommends monitoring indoor air quality by: ensuring adequate ventilation is maintained by using an HVAC system and/or opening screened windows; avoiding conditions that lead to excess moisture; and not using aerosols, among other best practices. Protecting children from outdoor air pollution can be done by checking the Air Quality Index and instituting an anti-idling policy, in addition to other strategies. 

A primary AELL goal is to ensure high quality child care programs for young children. One way they do this is by accrediting center-based facilities. Their updated accreditation standards reflect current research and evidence-based practices within the early learning field. For example, including information and strategies to reduce air pollution in order to protect children’s health.

All national child care accreditation standards are voluntary strategies for improving the quality of child care. There currently are no mandated national regulations related to environmental health in child care facilities. Some states require child care facilities to test for lead in water and paint, or require facilities to test for radon, but more often than not, environmental health is not comprehensively addressed in child care licensing requirements. 

EHCC’s work to incorporate environmental health best practices within national child care accreditation–AELL’s and the National Association for the Education of Young Children’s— as well as within the National Center for Healthy and Safety in Child Care and Early Education’s (NRC) Caring for Our Children’s health and safety standards is a path towards strengthening local child care licensing. When local licensing agencies are seeking to update regulations they often look to accreditation and NRC’s Caring for Our Children’s health and safety standards for model practices that have been agreed upon by subject matter experts. 

High quality child care must include considerations for the health and safety of the children and staff–environmental health is a key part in ensuring our children and the people who care for them are free of exposures to potential environmental pollutants. 

The COVID-19 pandemic has highlighted the need for comprehensive and safer strategies to address cleaning, disinfecting and indoor air quality in child care. Many of Eco-Healthy Child Care® ‘s cleaning and disinfecting best practices found on our checklist align with the Center’s Disease Control’s COVID-19 best practices for keeping child care facilities safe during the pandemic. We have also developed NEW user-friendly and science based COVID-19 fact sheets for child care professionals on cleaning, disinfecting and indoor air quality (available in both English and Spanish).

Are you a child care provider looking to create a child care environment free of environmental hazards such as: BPA, pesticides or lead? Get Eco-Healthy Child Care® Endorsed!

As an Eco-Healthy Child Care® endorsed provider you will create and maintain a child care facility that is healthy and safe by reducing children’s exposure to environmental hazards like lead in paint and water, unsafe plastics and toxic chemicals found in cleaning supplies.

Celebrating 48 Years of the Clean Water Act

Celebrating 48 Years of the Clean Water Act

October 18th marked the 48th anniversary of the Clean Water Act. The Clean Water Act was a long-awaited reaction to the irresponsible dumping of pollution into our waterways. When the Act was passed, nearly  two-thirds of the country’s lakes, rivers and coastal waters had become unsafe, polluted with untreated sewage, oil, trash, chemicals, and other industrial waste. 

As we celebrate this anniversary, it is also a rallying call to protect the progress made so far, and to hold our elected officials accountable. Even today, 39% of American rivers, 45% of our lakes, and 51% of the estuaries monitored in the US are contaminated. In fact, the current administration has continued to work relentlessly to undermine the protections provided by the Clean Water Act for the past 48 years. They have rolled back vital safeguards and given corporate polluters access to wage an assault on our public health and safety.

Clean water is fundamental to public health. This year, in the midst of the global COVID-19 pandemic, clean water has become even more central to protecting our nation’s health. Just as black and brown communities have borne the brunt of COVID-19, low income communities and communities of color are often disproportionately impacted by polluted water. These communities are also the ones most immediately impacted by climate change, which poses an increasing threat to our water sources.

Water equity, just like health equity, matters. The ability to access safe water for drinking, cleaning, cooking, and enjoying is absolutely necessary to cultivate happy, healthy communities,  where all are able to thrive and reach their full potential. Access to clean water is a fundamental right that every child in this country should be afforded. Our leaders have a moral obligation to protect and uphold this right. We cannot hope to accomplish justice for all if we do not protect safeguards for the water on which our communities and our children depend, like the Clean Water Act.

Children are especially vulnerable to environmental hazards like water pollution. Their bodies are still developing, so a smaller dose of a pollutant can have a bigger impact than on an adult and can have long-lasting physical and mental impacts on a child’s life course. For instance, childhood lead exposure from polluted water sources can damage a child’s brain and nervous system, slow their growth and development, and cause learning and behavior problems and lowered IQ. 

Much like our water sources, our children are some of our most valuable resources, yet their health and that of their families and communities have not been at the forefront of our nation’s policies and programs. The Children’s Environmental Health Network’s 2020 Voter Guide helps engaged citizens assess their local, state, and federal candidates’ commitment to five key issues: Children’s Health and Equity, Climate Action, Clean Air, Clean Water, and Toxic-free Environments and Products. 

The 2020 elections offer an opportunity to reset our national, state, and local priorities and to put children’s health and their environment at the center of decision-making, including prioritizing clean water for all. Please use this resource as you go to the polls this fall, and share it widely, especially with those who may not be familiar with water quality and children’s environmental health issues. Let’s celebrate the Clean Water Act’s anniversary by uniting at the polls for equity, and a clean and healthy environment for ALL children!