Lead in Drinking Water in Child Care Settings

Lead in Drinking Water in Child Care Settings

boy drinking at outdoor fountain

Unless you test for it, there’s no way of knowing if lead is in drinking water.

Children can come in contact with lead in many ways. Lead exposure poses a special risk to young children because they absorb lead into their systems more easily than adults do. Lead can slow down growth, impair development and learning, and can cause behavior problems.

While a major source of lead exposure in Vermont children is paint, lead in older plumbing and fixtures can add to a child’s overall lead exposure. Plus, water that sits in lead plumbing and fixtures when it's not being used likely contains higher levels of lead. This is why it's important to make sure lead levels in drinking water are as low as possible.

lead in drinking water testing Law

Act 66 (2019) requires all Vermont schools and licensed or registered child care providers to test their drinking and cooking water for lead. If lead is found in an amount at or above the action level of 4 parts per billion (ppb), the school or child care provider must immediately take the fixture out of service and take steps to eliminate or reduce the amount of lead to below 4 ppb. This law builds on the 2017 water testing pilot project in which 16 schools participated.

NEW: First Round of Testing

The first round of testing was completed from June 2019 through December 2021. During this round, 98% of Vermont schools and child care providers tested over 15,000 taps used for drinking and cooking and took steps to ensure lead levels were below 4 ppb. Here are some key findings:

  • One out of every five drinking water taps tested had elevated levels of lead. 
  • Sinks were the most common tap tested and had among the highest lead levels.
  • Bottle fillers had the lowest lead levels. 
  • Lead was more frequently found in the water fixture rather than the plumbing.
  • Costs were less than $500 for 90% of the fixtures that needed to be replaced.

Learn more about key findings from the first round of testing
For more details, read the full report.

There will be more rounds of testing. Taps at schools and child care facilities will need to be tested every three years according to the schedule in the rule

go to the lead in drinking water results website

Frequently Asked Questions

Why is lead a concern?

Exposure to lead is a public health concern in Vermont. Lead is a highly toxic metal that is harmful to human health. It has been commonly used in many household, industrial and automobile products—such as paint, solder, batteries, brass, car radiators, bullets, pottery, etc.

There is no safe level of lead in the body, but lead poisoning is preventable. Lead can harm anyone, but children under the age of six are at special risk. Children are most susceptible to the effects of lead because their bodies are still developing and they absorb lead into their systems more easily than adults do. Even low blood lead levels in a child’s body can slow down growth, impair development and learning, and can cause behavior problems. Most children who have lead poisoning or high levels of lead exposure do not look or act sick.

When are child care providers required to test?

The first round of testing was completed on December 31, 2021. See the results

Child care providers need to repeat the testing process every three years. Child care providers that completed their first round of testing in 2019 have begun their second round of testing in 2022. 

Ongoing testing is important because lead levels at the tap can change due to water quality changes and the breakdown of plumbing components over time. We encourage facilities to strive for the lowest possible lead levels, ideally below 1 ppb. If a tap tests lower than 1 ppb for three testing cycles, that tap is not required to be tested again. 

What is the Vermont Health Advisory Level and what does it mean?

Because there is no safe level of lead in the body, a Vermont Health Advisory Level of 1 ppb has been established. This is the lowest level that can be reliably measured in water. It is consistent with the American Academy of Pediatrics recommendation that taps in schools should not have lead levels above 1 ppb.

Should children have their blood tested for lead if lead has been detected in the drinking water at their child care facility?

In short, probably not.

Any time a child’s blood lead test shows a detectable level, the Health Department tries to identify the source of the exposure. By testing all child care facilities and requiring remediation, we will be certain that any exposure from drinking water at a child care facility has been identified and reduced.

When deciding whether to test a child for lead in response to a child care provider’s water test results, it is important to understand that the possible exposure to lead from drinking the water at a child care facility may only be a part of the picture. There are other possible sources of lead (see the next question), and the amount in drinking water can add a child's overall lead exposure. We also can’t know how much water an individual child drank at the child care facility, so the amount of exposure is unknown.

All children should be screened for lead at ages 1 and 2 by their health care provider. If you have additional questions, call the Healthy Homes Lead Poisoning Prevention Program at 802-863-7220 or 800-439-8550 (toll-free in Vermont), or talk to your child’s health care provider.

Learn about lead hazards and how to prevent lead poisoning

Are there other ways children can be exposed to lead?

Exposure to lead is a public health concern in Vermont. Possible sources include dust from chipping or peeling lead-based paint, toys, keys, jewelry, pottery, dishes, contaminated soil, old plumbing pipes and fixtures, imported candy and foods, and antique, vintage and salvaged goods. While a major source of lead poisoning in Vermont children is paint, lead in plumbing pipes and fixtures can add to a child’s overall lead exposure. Learn about lead hazards and how to prevent lead poisoning

The Health Department encourages all homeowners — on town water or private wells — to test their drinking water for lead. The Health Department Laboratory offers the first draw and flush test kits for $12 each. Call 802-338-4724 or 800-660-9997 (toll-free in Vermont).

See more frequently asked questions

More questions? Call the Lead in School and Child Care Drinking Water Program at 802-863-7220 or 800-439-8550 (toll-free in Vermont).

More Information