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'It Was an Inconvenience, but It Was Also Devastating,' Greensboro Mom Says. Pandemic Worsens NC's Child Care Shortage.

Bell’s School teacher Angela Mehaffey reads a book with Elliot Fink, 2, on a blanket outside the Fletcher preschool June 22. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Bell’s School teacher Angela Mehaffey reads a book with Elliot Fink, 2, on a blanket outside the Fletcher preschool June 22. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Three-year-old Lena Ngo cried when she found out she wasn't going back to Little Mouse Playhouse, her day care for two years.

The Lawndale Drive center, which had been open more than 40 years, stunned families when it announced March 27 that it was closing its doors — for good.

“It was an inconvenience, but it was also devastating,” her mom, Esther Ngo said. “Our daughter loved her teacher and the other kids. She didn’t get to say goodbye. We didn’t get to prep her and tell her it was her last day.”

The closure and the pandemic hit just a month after Ngo’s father — who had helped the family with after-hours child care — suffered a heart attack.

“We lost that support system,” Ngo said.

“It became difficult trying to figure out how to navigate everything,” said Ngo, who continued to work full-time as a program manager at Act Together Crisis Care.

Source: Source: NC DHHS, Census, The Budget and Tax Center at the North Carolina Justice Center. Image by Gavin Off.

Source: Source: NC DHHS, Census, The Budget and Tax Center at the North Carolina Justice Center. Image by Gavin Off.

The pandemic caught Ngo, like thousands of parents, flat-footed, scrambling to secure care as North Carolina’s child care industry teetered. Thousands of facilities shuttered and slashed services as their primary revenue source — parents — withdrew children in droves.

By April, more than 40% of child care centers — deemed essential businesses by the governor — shut down.

ACES, Guilford County Schools’ after-school child care program, accounts for 40% of Guilford County's child care closures. And in a typical school year, ACES serves between 3,700 and 4,000 students, district spokesman Janson Silvers said.

Even when in-person classes resume, ACES isn't likely to return because of social distancing requirements, Superintendent Sharon Contreras said on Tuesday.

Closures statewide

Image by Tim Rickard. United States, undated.

Image by Tim Rickard. United States, undated.

Despite millions of dollars in public relief to child care centers, more than 1,500 North Carolina programs — one in four — remain closed, according to data from the state Department of Health and Human Services. Others now operate at reduced capacity. This shortage arrives at a moment when many parents — eager to return to work as their unemployment benefits run out — desperately search for placements.

North Carolina Attorney General Josh Stein joined a coalition of attorneys general Tuesday to urge the U.S. Senate to approve $50 billion in funding for child care centers across the country.

“If providers don’t get the funding they need to stay open, we’ll lose critical small businesses and place even more financial burdens on families already struggling during the pandemic,” Stein said in a news release.

Two days after their day care closed, Ngo's husband learned his income would be temporarily cut. That helped the family qualify for the Emergency Child Care Subsidy Program, which offers financial assistance for essential workers.

“But we had very limited choices, which was nerve wracking,” Ngo said. They got a list of open facilities participating in the program, but due to health restrictions, couldn't tour the facilities and meet with teachers.

Though the Emergency Child Care Subsidy Program helped Ngo’s family afford child care for a couple of months until her husband’s pay was restored at the start of Phase Two, Ngo said, it’s probably a factor in child care closures. Facilities that participate in the program submit an invoice at the end of the month rather than get weekly payments from families.

“Lots of places, like Little Mouse, didn’t have the cash flow to do that,” Ngo said. Lena's new day care, Hester’s Creative Schools on Benjamin Parkway, “is able to financially make it work, but a lot of centers were unable to.”

This scarcity in child care isn’t new. The virus, advocates argue, hasn’t created issues in child care as much as exacerbated pre-existing problems in a fragile industry. For years, workers have earned too little, owners have struggled to cover steep operating costs and parents have been asked to fork over more than they could often afford to pay.

“The child care financing model was broken even before COVID,” said Michele Rivest, policy director at the North Carolina Early Education Coalition. “Then the revenues dropped precipitously after COVID, and it just collapsed the system.”

But advocates say one of these challenges cannot be ignored as the economy tries to restart.

Child care deserts — areas where too few spots exist for kids who need them — have long plagued the state. With centers closed, even more North Carolinians can’t find an oasis.

Personal financial hit

Sarah Perdue worked at Little Mouse for six years. More than half the staff was let go about two weeks before the facility closed, leaving just Perdue, three other teachers and a cook. She said she didn’t know until the final day that it would be her last day of work.

"We get so attached to the children and their families," Perdue said in a message Friday. "We didn’t even get to say goodbye or anything."

She filed for unemployment, but only once received more than the $600 in weekly unemployment insurance benefits meant to be tacked on to unemployment checks during the pandemic, she said. She’s still owed back pay, but has since found work at Wishview Children’s Center in Greensboro, she said.

Catherine Lieberman hasn’t drawn a paycheck since March despite working each day.

Lieberman runs Bell’s School for People Under Six, the center her mother started in 1978. She said the center, south of Asheville in the town of Fletcher, has never been a tremendous money-maker.

“There are no Cadillacs in that parking lot,” Lieberman said from Bell’s wide backyard on a cloudless Monday morning in late June. Around 20 children dashed all around her, mimicking airplanes and passing a hula-hoop. From behind her mask, she chuckled at the scene, grateful to again hear the hum of kids playing.

“April and May were devastating for us,” Lieberman said.

Unlike many centers, Bell’s never shut, but its enrollment plunged from 40 students pre-pandemic to six. Parents stopped sending their children. Some were laid off or working remotely; others worried about health or finances.

Bell’s wasn’t alone. According to the North Carolina Early Education Coalition, 250,000 children attended programs before the pandemic. In April, enrollment plummeted to 51,000.

Individual families, the coalition said, account for 60% of programs’ revenues. So, when families kept away, many programs had to pause services.

To balance Bell’s budget, Lieberman laid off staff and assumed school expenses as personal debt. She racked up $3,000 in center expenses on her credit card. At home, she and her husband cut back on eating out and canceled their anniversary trip. For groceries, they’ve swapped fresh for frozen vegetables.

“If I save $20 at the grocery store, that's $20 for gas,” she said.

This spring, child care advocates pressed state leaders to step in and prop up the industry.

Legislators directed more than $100 million in federal CARES Act relief to child care. The Emergency Child Care Subsidy Program delivered child care aid for essential workers. The government also waived copayments for low-income families receiving child care subsidies.

The state doled out money to providers, too.

Programs serving students on subsidies received public funding, even if the programs were closed. The Division of Child Development and Early Education also funded pre-K programs through the end of the school year. Open centers could apply for grants, and workers received bonuses.

In May, Lieberman received $13,000 in public relief, a relative windfall after several lean months.

“I was seriously wondering if we were going to make it to June,” she said. “It more than helped us keep the doors open.”

Since bottoming out this spring, child care enrollments across the state have doubled in recent weeks. But that’s just 40% of attendance before the pandemic.

Bell’s has rebounded some. After implementing new health standards, she called back staff, and more than a dozen students returned.

Teachers allow one student at a time through the front door, where they disinfect backpacks and take temperatures. By now, students have become so familiar with the daily safety routines, they chide adults for any deviations. Students nap 6 feet apart, and adults wear masks. (Lieberman briefly implemented a child face covering policy but reconsidered after students would go through 10 masks a day.)

Lieberman capped Bell’s enrollment at half capacity to maintain these state-recommended safety precautions.

As more parents return to work, demand at Bell’s outpaces availability. With a waitlist of 20, Lieberman fields calls from pleading parents seeking openings.

“Last week, two moms completely broke down and sobbed on the phone: ‘What am I going to do? I can't even go back to work,’” Lieberman said. “And another parent got very angry. I understand where they are. The problem is there's just not the capacity. There wasn't the capacity before COVID in the area, and now, post-COVID, the level of frustration for families has gone up exponentially.”

Not enough room

Even before coronavirus swept across the state, close to half of North Carolinians lived in child care deserts, areas where at least three children under the age of 5 vied for each opening. In several regions, the ratio is more than five children per availability.

Space is so competitive, expectant parents commonly put their children's names on program waiting lists before they are born.

“We always get calls and always have a waiting list,” said Sandy Johnson, director and preschool administration at Greensboro's Friendly Avenue Christian Preschool.

The preschool, which closed during April to update its procedures, has seen even greater demand during the pandemic. “Early on, there were a couple of (child care) programs that shut down permanently, so we were flooded with calls, but ... we weren’t able to serve those people.”

Johnson said they have 77 children enrolled at Friendly Avenue but average 55 to 60 children daily because some parents have opted to keep their children at home. Before the pandemic hit, she said she anticipated having about 87 children in the summer, but they’re purposefully keeping enrollment lower.

Out of North Carolina’s 100 counties, 44 saw at least half their children living in child care deserts, according to The Budget and Tax Center at the North Carolina Justice Center. Access gaps don’t discriminate based on county size — 50% or more of children in Mecklenburg, Forsyth, Union and Gaston counties live in deserts. Some rural counties suffer more; four out of every five children in Transylvania and Hoke counties lived within child care deserts.

This scarcity is expected to worsen. The Center for American Progress predicts one child care spot for every four North Carolina children as a result of the pandemic.

Industry leaders said child care deserts are a byproduct of the sector’s thin profit margins.

“We like to say there’s no gold in diapers,” Lieberman said.

Tuition at Bell’s averages $220 a week, but labor costs alone, Lieberman said, consume 80% of revenues.

Providers can only charge what families can bear to pay. Unlike publicly funded K-12 education, providers must cover fixed expenses like land, insurance, utilities and staff.

North Carolina child care workers earn on average around $21,000 annually, a figure program directors say makes recruiting and retaining teachers a constant challenge.

“We've had people who have left to be bartenders or servers because they can make more doing that,” said Stephanie Kelley, child and family services coordinator at the Verner Center for Early Learning, which has three Asheville-area locations. “People will say that they love doing the work and they have early childhood degrees, but the pay doesn't allow for them to be able to live, especially in Asheville, where the cost of living is so high.”

Meager profits and labor shortages have led to a dearth of providers in large swaths of the state. Child care deserts have been most prevalent in rural areas where families have to travel longer distances and lower earners might struggle to afford programs. In largely rural Buncombe County, half of children lived in a child care desert before the pandemic.

Last year, the Economic Policy Institute found the annual child care cost for a 4-year-old in North Carolina was more than $8,000, with infant care costing $9,480 a year — more than in-state college tuition.

Despite high fees and low labor costs, most child care centers struggle to make their financials work.

For some, a few weeks’ disruption upset their entire operation. As children left, so did revenues. And the need to buy cleaning supplies and protective gear demanded dwindling resources. Access to federal Payroll Protection Program dollars proved difficult for many, advocates say, because they had no previous relationships with banks.

Some centers have yet to rebound. Others have chosen to permanently shutter. In May, Fayetteville Technical Community College alerted families it would be ending its child care program after 24 years.

“This was not an easy decision,” wrote FTCC President J. Larry Keen in a letter to parents. “The COVID-19 pandemic pushed the center’s finances and its future operation into untenable situations.”

System reboot

The N.C. Early Education Coalition's Rivest was thinking about the immediate child care crisis when she addressed the North Carolina House Health Committee in late June. Rivest informed policymakers of the returns the state saw in recent months from its multi-million dollar investment in child care.

Rivest highlighted program reopenings, enrollment upticks, the child care lifelines for essential workers and bonuses to low-paid staff who showed up to facilities each day during a pandemic.

“We were really focusing on the need to stabilize the current child care industry so we can look back in six months and say 'Oh look, we still have a viable system,’” Rivest said. “We didn't get to this next stage, which is, ‘Let's reimagine what child care could look like in the 21st century, in the near future.”

To survive, advocates say, the child care industry needs a system reboot.

And, the stakes are high.

Child care advocates contend it will be hard to pull North Carolinians back to work until the state reshapes child care.

Since COVID-19, counties with larger urban centers have seen most programs reopen, with only 11% still closed in Wake, 19% in Forsyth, and 27% in Mecklenburg as of late June. However, in rural western counties like Henderson, McDowell, Transylvania and Yancey, more than half of facilities are empty, according to DHHS data. All five in Polk County remain closed.

In Buncombe County, where Bell’s School is located, 40% of facilities haven’t reopened.

“It’s hard to imagine a situation in which the economy can rebuild without child care, but it’s also just as hard to imagine that the economy can rebuild with a child care system that continues to underpay educators and rely on parents’ ability to pay,” said Alexandra Sirota, director of The Budget and Tax Center at the North Carolina Justice Center.

Sirota suggested the state’s child care relief should transition from stop-gap measures to permanent financial policies.

“What has happened is such a shock to early childhood care that a long-term commitment of public dollars and a real restructuring of the way we support early childhood is going to be necessary,” she said.

At Bell’s, Lieberman says she’d welcome any restructuring that could elevate staff wages and alleviate the center’s financial tightrope walk.

“I would like for our society to understand that this age is important and can't be neglected,” she said.

Lieberman is eager to return Bell’s to full capacity, whenever the coronavirus ebbs and safety precautions ease. She won’t predict when that might be.

By the end of July, she intends to take her first paycheck in four months, putting the money toward a car payment and some fresh vegetables.

News & Record reporter Jamie Biggs and Charlotte Observer data reporter Gavin Off contributed to this report.

Bell’s School teacher Jodie Williams has her temperature taken as Lennox McHarg, 5, looks on at the preschool in Fletcher on June 22, 2020. All of the children now have their temperatures taken three times a day as a COVID-19 safety precaution. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Bell’s School teacher Jodie Williams has her temperature taken as Lennox McHarg, 5, looks on at the preschool in Fletcher on June 22, 2020. All of the children now have their temperatures taken three times a day as a COVID-19 safety precaution. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Bell’s School teacher Jodie Williams helps Oliver Fink, 5, spray rabbit repellent on vegetables growing in a raised bed garden as other children play on a blanket in the shade at the preschool in Fletcher on June 22, 2020. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Bell’s School teacher Jodie Williams helps Oliver Fink, 5, spray rabbit repellent on vegetables growing in a raised bed garden as other children play on a blanket in the shade at the preschool in Fletcher on June 22, 2020. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Crystal Camacho finishes her dinner at the kitchen counter as her son, Elias, 4, grabs a second helping of pizza on June 30, 2020 at their home in Swannanoa. Before finding a new day care for Elias after the one he was attending closed, Camacho and her husband had to take turns staying home half days or take the kids to work with them. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Crystal Camacho finishes her dinner at the kitchen counter as her son, Elias, 4, grabs a second helping of pizza on June 30, 2020 at their home in Swannanoa. Before finding a new day care for Elias after the one he was attending closed, Camacho and her husband had to take turns staying home half days or take the kids to work with them. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Bell’s School teacher Angela Mehaffey reads a book with Elliot Fink, 2, on a blanket outside the Fletcher preschool June 22. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Bell’s School teacher Angela Mehaffey reads a book with Elliot Fink, 2, on a blanket outside the Fletcher preschool June 22. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Bell’s School teacher Jodie Williams prepares cots for nap time by changing the sheets at the preschool in Fletcher, N.C.. The sheets on the cots are now changed and washed daily instead of weekly as a COVID-19 precaution. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Bell’s School teacher Jodie Williams prepares cots for nap time by changing the sheets at the preschool in Fletcher, N.C.. The sheets on the cots are now changed and washed daily instead of weekly as a COVID-19 precaution. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Crystal and Luis Camacho congratulate their son, Elias, 4, on not crying when he was dropped off at day care earlier that morning in Swannanoa on June 30, 2020. Elias recently had to switch to a new child care center after the one he was attending closed due to low enrollment after the COVID-19 pandemic. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Crystal and Luis Camacho congratulate their son, Elias, 4, on not crying when he was dropped off at day care earlier that morning in Swannanoa on June 30, 2020. Elias recently had to switch to a new child care center after the one he was attending closed due to low enrollment after the COVID-19 pandemic. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Elias Camacho, 4, plays with toys in the living room of his home in Swannanoa on June 30, 2020. Elias recently had to switch child care centers after the one he was attending closed due to low enrollment after the COVID-19 pandemic. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Elias Camacho, 4, plays with toys in the living room of his home in Swannanoa on June 30, 2020. Elias recently had to switch child care centers after the one he was attending closed due to low enrollment after the COVID-19 pandemic. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Crystal Camacho plays a game on her phone with her son, Elias, 4, at the kitchen table of their home in Swannanoa on June 30. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Crystal Camacho plays a game on her phone with her son, Elias, 4, at the kitchen table of their home in Swannanoa on June 30. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Elias and Crystal Camacho watch sons Elias, 4 (left), and Asher, 7, play in the garage of their Swannanoa home on June 30. Before finding a new day-care center for Elias after the one he was attending closed because of the COVID-19 pandemic, Camacho and her husband either took turns staying home half-days or taking the boys with them to work. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Elias and Crystal Camacho watch sons Elias, 4 (left), and Asher, 7, play in the garage of their Swannanoa home on June 30. Before finding a new day-care center for Elias after the one he was attending closed because of the COVID-19 pandemic, Camacho and her husband either took turns staying home half-days or taking the boys with them to work. Image by Angeli Wright/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Amy Waddell holds her daughter, Aliza, 3, as her temperature is checked before spending the day at Montmorenci United Methodist Church’s day care in Candler on June 23. Image by Angela Wilhelm/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

Amy Waddell holds her daughter, Aliza, 3, as her temperature is checked before spending the day at Montmorenci United Methodist Church’s day care in Candler on June 23. Image by Angela Wilhelm/Asheville Citizen Times/North Carolina News Collaborative. United States, 2020.

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