Licensed child care center · public record
Avance San Antonio CDC Frank Garrett
San Antonio, Texas. The state’s inspection record for this operation, from Texas Health and Human Services Child Care Regulation, in plain English.
The operation
- Type
- Licensed child care center
- State permit
- Full Permit, issued June 21, 1999
- Capacity
- 56 children
- Ages served
- Infant, Toddler, Pre-Kindergarten
- Hours
- Mon, Tue, Wed, Thu, Fri · 08:00 AM-04:00 PM
- Accepts child care subsidies
- No
- Conditions on the permit
- No
- Corrective action listed
- No
- Adverse action listed
- No
- Temporarily closed
- No
- State operation number
- 540916- 5052
Where
1226 Nw 18th St
San Antonio, TX 78207
Deficiencies by risk level
The state’s own summary counts for this operation, as published in the HHSC operations file.
Citations on the record
Each standard the state found not met, newest first, with its risk level and when it was corrected.
| Inspection | Risk | Standard |
|---|---|---|
| August 27, 2026 | High | 745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone State’s note: “A staff member was present at the operation, and had access to children, without a background check.” |
| April 16, 2025 | Medium High | 746.3401(a) - Annual Sanitation Inspection State’s note: “The health inspection was last conducted on 3.25.24.” |
| September 28, 2023 | High | 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control State’s note: “Based on the four-minute video footage the caregivers did not demonstrate good judgment by placing a weighted blue Coco Melon backpack on the back of the child over the back of their chair preventing that child from standing up. In addition to placing this weighted blue Coco Melon backpack and strapping it around the child?s waist while in centers.” |
| September 22, 2023 | Medium High | 746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment State’s note: “Based on the video footage on 9.19.23 the caregivers were not observed sanitizing tables before providing the children a snack.” |
| September 22, 2023 | Medium High | 746.3415(4) - Employee Handwashing After Diapering a Child State’s note: “Based on the video footage on 9.19.23 the caregivers were not observed handwashing their hands or the children between diaper changing.” |
| September 22, 2023 | Medium High | 746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders State’s note: “Based on the video footage on 9.19.23 a snack was being provided to the children on a bare table.” |
| September 22, 2023 | Medium | 746.2803(4)(D) - Positive Methods of Discipline and Guidance - Brief Supervised Separation State’s note: “Based on the video footage on 9.19.23 a child was observed being placed in a chair for a long period of time not appropriate for the child's age.” |
| September 22, 2023 | Medium High | 746.2501(4) - Care Requirements for Toddlers - Holding and Comforting State’s note: “Based on the video footage on 9.19.23 the caregiver was not observed giving individual attention, holding and comforting a child that was crying after being pushed by another child.” |
| September 22, 2023 | Medium High | 746.1203(5) - Responsibilities of Caregivers - Interact positively with children State’s note: “Based on the video footage on 9.19.23 the caregivers were observed not positively or actively interacting with the children as they we seen talking longer than an hour amongst themselves.” |
| September 21, 2023 | Medium High | 746.2803(4)(C) - Positive Methods of Discipline and Guidance - Redirecting Behavior State’s note: “Based on the video footage on 9.19.23 a caregiver was observed lifting a child by their forearm, pulling a child off the table by their leg when redirecting.” |
| July 20, 2023 | Medium | 746.1613(a) - Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met State’s note: “During naptime in Group 4 one caregiver was supervising nine children with the youngest being 13 months and the oldest being 21 months old. NOTE: This was corrected when another caregiver was called into the classroom.” |
| July 20, 2023 | Medium | 746.1309(a) - Documented Annual Training Area - 24 Hours Required State’s note: “One of the six staff files were missing 24 hours of training from May 2022-2023.” |
| July 20, 2023 | Medium | 746.1311(a) - Director Annual Training 30 Hours Required State’s note: “The director is missing the 30 hours of the annual training.” |
| January 20, 2023 | High | 746.1203(4) - Responsibilities of Caregivers - Supervision of Children State’s note: “Based upon information gathered and interviews conducted supervision was determined to have occurred after a 19-month-old child was found in the classroom unsupervised.” |
| August 11, 2022 | Medium | 746.1309(e) - Documented Annual Training- Required Content State’s note: “Director did not have required training on file for the following; SID, brain development, and head trauma Handling and storing and Building grounds and premises” |
| August 11, 2022 | Medium High | 746.613(b) - Immunization Records, Exceptions, and Exemptions Current State’s note: “One of the six children did not have a current immunization record on file.” |
Recent inspections and visits
- August 27, 2026 Report · deficiency found: Yes
- June 20, 2026 Report · deficiency found: No
- March 30, 2026 Inspection · deficiency found: No
- June 16, 2025 Inspection · deficiency found: No
- April 16, 2025 Inspection · deficiency found: Yes
- August 26, 2024 Inspection · deficiency found: No
- July 25, 2024 Report · deficiency found: No
- May 2, 2024 Inspection · deficiency found: No
- November 13, 2023 Inspection · deficiency found: No
- October 18, 2023 Inspection · deficiency found: No
- October 4, 2023 Inspection · deficiency found: No
- September 28, 2023 Report · deficiency found: Yes
- September 22, 2023 Inspection · deficiency found: Yes
- September 21, 2023 Report · deficiency found: No
- September 21, 2023 Report · deficiency found: Yes
How many times has the state inspected Avance San Antonio CDC Frank Garrett?
Texas HHSC's file lists 3 inspections in the last two years, the most recent on March 30, 2026. 2 of the inspections and other visits in that period are marked as having found a deficiency.
Does Avance San Antonio CDC Frank Garrett have deficiencies on its record?
The state's summary for this operation lists 16: 3 high-risk, 8 medium-high-risk, 5 medium-risk. Each one is listed below with its date and whether it was corrected.
Is this a rating?
No. This page shows the State of Texas's own public records, summarized. It is not a rating, a review or our opinion. Ask the operation or HHSC about anything here.
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