In the Streets logoIN THE STREETS
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FFN Child Care | Systems Change Portal

Facilitated by LVCM CDC

🌟 Our North Star: First 1,500 Days — Birth to Kindergarten Readiness | 70% of Forsyth County families depend on FFN child care (Source: Compass Evaluation, FFN Final Report, Dec 2022)

LVCM CDC — Life of Victory in Christ Ministries Community Development Corporation

Life of Victory in Christ Ministries CDC

FFN Child Care

Family, Friend, and Neighbor Child Care

Every child deserves quality care. Every caregiver deserves support.

FFN Child Care is an initiative focused on elevating, supporting, and advocating for the invisible workforce of family, friend, and neighbor child care providers across the Piedmont Triad. LVCM CDC provides systems change facilitation, coordination, and consultation to advance this work.

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Who's at the Table

FFN Collective Action Groups

Committees and collaborations working to support Family, Friend, and Neighbor child care providers across the Piedmont Triad and North Carolina.

FFN Child Care Alliance logo

FFN Child Care Alliance

Forsyth County, NC

The Heart of Forsyth's Child Care is Close to Home

A steering committee dedicated to advancing a culturally responsive and supported child care ecosystem in Forsyth County.

Partner Organizations (12)

Child Care Resource Center
Alliance backbone, caregiver support, funder liaison
childcareresourcecenter.org
Smart Start of Forsyth County
NC Pre-K administration, early childhood system infrastructure
smartstart-fc.org
Imprints CaresBRIDGE
Alliance backbone, home-based child care network, bilingual outreach, provider support
imprintscares.org
MDC Inc
Backbone support, Great Expectations, HBCC Community of Practice convener
mdcinc.org
Winston-Salem/Forsyth County Schools (WS/FCS)
K-12 education connection, kindergarten readiness pipeline
wsfcs.k12.nc.us
Family Services of Forsyth County
Head Start / NC Pre-K provider, family support services
familyservicesforsyth.org
Neighbors for Better Neighborhoods (NBN Community)
Community organizing, neighborhood engagement
nbncommunity.org
MomsRising
Legislative strategy, advocacy mobilization
momsrising.org
Boston Thurmond United
Alliance backbone, community engagement, meeting host
bostonthurmondunited.org
Compass Evaluation
Evaluation, data collection, provider case studies
compasseval.com
MCreative
Messaging, branding, communications strategy, Alliance website
mcreative.net
FFN Caregivers
Community voice, lived experience

NC FFN Advocacy Coalition

Statewide — North Carolina

A statewide coalition for FFN child care providers

A statewide coalition of organizations supporting FFN child care providers across North Carolina.

Visit Website Founded: January 2025 by Smart Start of Transylvania County

Partner Organizations (5)

Smart Start of Transylvania CountyCONVENER
Convener
Transylvania County
El Telar
Member organization
Buncombe County
Families First
Member organization
Cabarrus County
Watauga County Children's Council
Member organization
Watauga County
Imprints CaresBRIDGE
Bridge organization — member of both the Coalition and the Alliance
Forsyth County
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Additional FFN working groups and advocacy collectives will be added as they are identified through ongoing statewide research.

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Why FFN Child Care Matters

Family, Friend, and Neighbor child care is the most common form of child care in America — and it happens during the most critical window of a child's life.

A. The Science: Why the First 1,500 Days Are Everything

80% of a child's brain develops by age 3. By kindergarten, nearly 90% of brain architecture is complete (Source: Harvard Center on the Developing Child). FFN child care happens during this exact window. When a grandmother reads to her grandson, when a neighbor helps a toddler sort shapes — that IS brain development. That IS kindergarten readiness.

80%
of brain development occurs in the first 1,000 days
— Harvard Center on the Developing Child
90%
of brain growth happens before kindergarten
— Harvard Center on the Developing Child

B. The Reality: FFN Child Care Is America's #1 Child Care Choice

FFN child care is the most common form of non-parental child care in the US. Over 3 million caregivers provide care to 6+ million children birth to age 5 daily. This is NOT "informal care." This is the backbone of America's child care system.

3M+
caregivers providing FFN child care daily
— NSECE, 2019 (est.)
6M+
children birth to age 5 in FFN child care
— Child Care Aware of America, 2023
64%
of NC children under 6 with working parents are in FFN child care
— NC Child Care Services Association, 2024
93%
of surveyed WNC parents said FFN child care is their FIRST CHOICE — not a last resort
— Smart Start of Transylvania / NCCHW at UNC Asheville, WNC FFN Research, 2025 (Dogwood Health Trust)
Lower child-to-adult ratio: FFN caregivers have a 2:1 ratio compared to center-based care — more individual attention during the most critical developmental years.

C. The Stigma: What We're Up Against

FFN child care has been called "informal," "unlicensed," "unregulated" — all implying it's lesser than. FFN providers have been excluded from subsidies, overlooked in funding, and criminalized in NC.

The truth: Parents CHOOSE FFN child care because they trust the caregiver, it reflects their culture, it's flexible for nontraditional hours, and it keeps children connected to community.

D. The Three Pillars: Relief, Prevent, Protect

Our framework for supporting FFN child care providers across three interconnected pillars.

Relief

  • Immediate support for caregivers
  • Training and professional development
  • Peer networks and community connection
  • CACFP nutrition program access
  • Public recognition and visibility

Prevent

  • Preventing negative outcomes through quality supports
  • Culturally relevant training programs
  • Resource access and navigation help
  • Bridges to early childhood systems
  • Licensure pathways for those who want them

Protect

  • Protecting providers from criminalization (SB1053)
  • Protecting housing rights (SB1015)
  • Ensuring children are counted in state data
  • Safeguarding the right to choose FFN child care
  • Defending against discriminatory regulations

E. Kindergarten Readiness: What FFN Child Care Actually Does

FFN child care prepares children for a 12-year academic journey. Every one of these moments is kindergarten readiness:

Reading aloud
→ Pre-literacy skills
Resolving conflicts with cousins
→ Social-emotional regulation
Counting stairs and steps
→ Early math foundations
Singing in home language
→ Dual-language foundation
Consistent loving relationship
→ Secure attachment that ALL brain development depends on

F. After-School Support: The Continuum of Care

FFN caregivers don't stop at age 5. Many continue providing after-school support — helping children retain what was taught, complete homework, process social challenges, and stay connected to community.

This makes FFN caregivers the most consistent, longest-term educational relationship many children will ever have.

G. The Call to Action: What Happens If We Don't Act

If We DON'T Act

  • 64% of NC children remain invisible (Source: NC Child Care Services Association, 2024)
  • Caregivers stay unsupported and criminalized
  • The 1,500-day window passes without resources

If We DO Act

  • Every caregiver has training and a peer network
  • Children enter kindergarten prepared
  • NC becomes a national leader in FFN child care
  • Families choose what works without stigma

The First 1,500 Days — Birth to Kindergarten Readiness

Understanding FFN

What Is FFN Child Care?

Family, Friend, and Neighbor (FFN) child care is care provided by grandparents, aunts, uncles, older siblings, friends, and neighbors — trusted people in a family's life who step in to care for children. It is the most common form of non-parental child care in the United States, with approximately 60% of children under age 5 cared for by FFN caregivers.

FFN child care is license-exempt, meaning these providers operate outside the formal, regulated child care system. They are not required to hold child care licenses, and until recently, they have been largely invisible in policy conversations about child care and early childhood education.

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Learn more about the FFN Child Care Alliance at ffnchildcarealliance.org

Family

Grandparents, aunts, uncles, and relatives who provide daily care for children in their family.

Friends

Trusted friends who care for children, often building bonds that resemble family over time.

Neighbors

Community members who step in to ensure children are safe, loved, and nurtured.

The Impact

Why FFN Child Care Matters

60%
of children under age 5 in the U.S. are cared for by FFN caregivers
Source: National Survey of Early Care and Education (NSECE), 2019
1,500
days — the critical window from birth to age 4 when 90% of brain development occurs
Source: Harvard Center on the Developing Child
Largest
FFN child care is the largest single form of child care in America
Source: Child Care Aware of America, 2023

Families choose FFN child care for many reasons: trust, cultural alignment, flexibility, affordability, and the comfort of keeping children with people they know and love. For many families — especially in communities of color, immigrant communities, and rural communities — FFN child care is not a fallback. It is a deliberate choice rooted in love, trust, and cultural values.

Yet despite being the most common form of child care, FFN providers are often excluded from the resources, training, and support available to licensed child care centers. They receive little to no public funding, limited access to professional development, and minimal recognition in state policy. This must change.

North Carolina

The Child Care Reality

North Carolina's youngest children are overwhelmingly cared for outside the licensed system. Here's what the data shows.

122,856
Babies born in NC each year
Approximately 10,238 every month — each needing care arrangements
Source: NC State Center for Health Statistics, 2023
463,863
Children under age 5 in NC
With working parents who need child care
Source: NC ECLDS / Census ACS, 2023
69%
NC families with children under 6
Have all available parents in the workforce
Source: NC Child Care Services Association, 2024
27%
Infants & toddlers with licensed care access
Only 27% of babies with working parents can access a licensed slot
Source: NC DCDEE, 2024
252,442
Children enrolled in regulated care
Out of 463,863 under age 5 — leaving 211,000+ without licensed care
Source: NC DCDEE, 2025
13%
Decline in licensed programs since 2019
Family child care homes dropped from 1,363 to 1,061 (2020–2025)
Source: NC DCDEE, 2025
270%
Growth in child care subsidy waitlist
From 3,425 children to 12,755 in a single year
Source: NC DCDEE, 2025
~66%
NC children relying on FFN care
Approximately two-thirds of young children receive care in FFN settings
Source: NC Child Care Services Association, 2024

County Snapshots

The Gap Between Children and Licensed Care

In every county, the majority of young children are NOT in licensed care. FFN providers fill the gap.

Forsyth County
Children under 626,751
Children in licensed care~5,175
Children NOT in licensed care~21,576 (80%)
Families depend on FFN care70%
Ratio5.66 children per slot
Children under 5 in poverty24%
Mothers in workforce66%
ConvenerFFN Child Care Alliance
Source: Compass Evaluation, FFN Final Report, Dec 2022
Transylvania County
Children not in formal care50% (NACO, 2024)
Parents in workforce68% (EdNC, Aug 2026)
FFN caregivers in network70+ serving ~180 children (0-5)
Parents prefer home-based care93%
Providers meeting financial needs37.5%
Providers who feel valued91.2%
Thriving Providers ProjectDirect cash transfers to caregivers
ConvenerNC FFN Advocacy Coalition
Source: Smart Start of Transylvania County / NCCHW at UNC Asheville, WNC FFN Research, 2025 (Dogwood Health Trust)
Statewide
Total regulated facilities6,485
Total children enrolled252,442
Lost since pandemic11% of child care slots
Q4 2025 closures45 licensed programs
Source: NC DCDEE, 2025

Bridge Organization: Imprints Cares connects both counties — a member of BOTH the FFN Child Care Alliance (Forsyth County) and the NC FFN Advocacy Coalition (Transylvania County is the convener).

The First 1,500 Days

Why Early Development Matters

90% of brain development happens by age 5.
80% happens in the first 1,000 days.

When 66% of children are NOT in licensed care with intentional curricula, we cannot expect the achievement gap to close.

Gross Motor Skills

What develops: Rolling, crawling, walking, running, jumping, balancing

How: Physical play, safe spaces, outdoor exploration

FFN providers need: Age-appropriate materials, safety knowledge, activity ideas

Fine Motor Skills

What develops: Grasping, stacking, drawing, self-feeding, buttoning

How: Intentional materials, sensory play, art activities

FFN providers need: Fine motor supplies, developmental activity guides

Cognitive Development

What develops: Cause-and-effect, problem-solving, early math, curiosity

How: Responsive interaction, open-ended play, conversation

FFN providers need: Learning materials, training on age-appropriate activities

Social-Emotional Development

What develops: Attachment, self-regulation, empathy, cooperation, trust

How: Consistent, nurturing relationships — the STRENGTH of FFN care

FFN providers need: Support for understanding ACEs, trauma-informed care training

Language & Literacy

What develops: Babbling, first words, sentences, storytelling, pre-reading

How: Conversation, exposure to books, storytelling, singing

FFN providers need: Books, language development resources, early literacy training

The Stakes

Third Grade Reading & Beyond

52.6%
NC third graders reading proficiently (2025)
That means 47.4% of NC third graders are NOT reading at grade level.
Source: NC DPI EOG Results, 2025
83%
Economically stable students reading proficiently
Source: NC DPI EOG, 2025
49-pt gap
34%
Economically disadvantaged students reading proficiently
Source: NC DPI EOG, 2025

Third grade reading proficiency is widely recognized as a strong predictor of later academic success, high school completion, and long-term socio-economic outcomes. Children who struggle with reading in 3rd grade are 4 times more likely to not graduate high school on time. (Source: Annie E. Casey Foundation, 2012)

When 60-70% of children do not have access to licensed care with intentional curricula during their first 1,500 days, they enter kindergarten already behind. FFN providers who receive training, materials, and support can dramatically improve kindergarten readiness for the children in their care — but only if the system recognizes and invests in them.

93% of parents surveyed in Western NC reported that FFN care is their first choice — not a fallback. (Smart Start of Transylvania / NCCHW at UNC Asheville, WNC FFN Research, 2025 — Dogwood Health Trust)

The Case for Investing

Why We Must Invest in FFN Care

FFN care is not informal — it is foundational. It is where the majority of North Carolina's youngest children spend their first 1,500 days. The question is not whether FFN care exists. It does, and it serves the majority of our children. The question is whether we will invest in making it intentional, supported, and connected to the systems that prepare children for kindergarten and life.

If we invest in FFN providers — with training, materials, stipends, and recognition — we can:

  • Close the kindergarten readiness gap before children enter school
  • Reduce the 3rd grade reading proficiency gap
  • Support working families who depend on FFN care
  • Build a child care infrastructure that reaches every community
  • Create a model that other states can replicate

This is systems change: not replacing FFN care, but recognizing it, supporting it, and connecting it to the resources that make it stronger.

The Gap

Why Support and Resources Are Necessary

FFN providers give their time, love, and energy to care for our youngest children during the most critical years of brain development. But they do so without the safety net that licensed child care programs receive.

Access to Training

FFN providers often lack access to early childhood education training, health and safety courses, and child development resources that licensed providers receive as standard.

Financial Support

Most FFN providers are unpaid or underpaid. They do not receive subsidies, grants, or compensation for their work, even when families qualify for child care assistance.

Recognition in Policy

North Carolina does not currently recognize FFN providers in state child care policy. This means they cannot receive public funding, participate in quality rating systems, or access state-level support programs.

Connection and Community

FFN providers often work in isolation. Without networks, peer support, or community connections, they miss opportunities to share knowledge, ask questions, and grow as caregivers.

Our Strategy

Our Approach: Systems Change, Not Just Services

LVCM CDC serves as a neutral systems change facilitator for this initiative. Our role is not to provide direct services, but to bring together the organizations, institutions, and community voices needed to change the conditions that keep FFN providers invisible and unsupported.

We focus on five areas:

Asset Mapping

Identifying FFN providers, resources, and gaps across Forsyth and Guilford counties.

Policy Advocacy

Advancing state-level recognition of FFN providers (SB 1015/1053).

Steering Committee

A cross-sector team of organizations coordinating strategy and action.

Community Voice

Ensuring FFN providers and families shape every decision.

Collective Impact

Building the coordination, cooperation, and collaboration needed for lasting change.

Coordination

Steering Committee

Our Steering Committee meets monthly to coordinate strategy, review progress, and plan next steps. The committee includes representatives from child care resource centers, schools, community organizations, communications partners, and evaluation teams.

August 27, 2026
Statewide Connections and Mid-Year Review
September 24, 2026
Prototype Refinement and Policy Advocacy Prep
October 22, 2026
Systems Change Map Update and Q3 Learning
November 19, 2026
Focus Group Debrief and Year-End Reflection
December 10, 2026
FFN Alliance Holiday Party

Steering Committee meetings are for initiative members. To learn more about joining, contact kholly@lvcmcdc.org.

Questions & Answers

Frequently Asked Questions

Ready to Get Involved?

Whether you are an FFN provider, a parent, a community organization, or a policymaker — there is a place for you in this work.