The North Carolina Breastfeeding-Friendly Child Care Designation (NC BFCCD) is administered at the NC Division of Public Health (DPH). The NC BFCCD recognizes licensed  child care programs statewide that promote, protect, and support breastfeeding. Child care programs are awarded the NC BFCCD for achieving each of the five standards for breastfeeding-friendly child care. The five standards of the NC BFCCD include: 1) written policy; 2) community connections; 3) professional development; 4) environment; and 5) curriculum. The NC BFCCD integrates the Ten Steps to Breastfeeding-Friendly Child Care from the Carolina Global Breastfeeding Institute (CGBI) at UNC-Chapel Hill into the five standards. 

In 2022, Montgomery County Department of Health began working with Healthy Communities and the regional ICO4MCH to develop partners for breastfeeding friendly spaces throughout the county. With the help of the breastfeeding program manager with ICO4MCH staff were able to partner with the Montgomery County School System to implement breastfeeding friendly spaces in each of the eleven schools as well as the central office. Once spaces were implemented, staff worked closely with school administration to achieve designation status. 

In 2023, staff and regional partners implemented spaces and applied for designation status as the local Walmart store, pregnancy resource center, county courthouse, and daycare facilities. In addition to the development of these spaces, staff have worked to further partnerships in the community in hopes to increase the number of locations throughout the county that receive a breastfeeding friendly designation.