Avance San Antonio CDC Frank Garrett
Licensed Center · San Antonio, Bexar County, TX · Operation No. 540916- 5052
Avance San Antonio CDC Frank Garrett holds a Full Permit issued June 21, 1999. In the state's 60-month public window it has 15 inspections on record with 18 cited deficiencies. The records below are republished verbatim from the Texas HHSC database.
License details
License status
Full Permit
Issued
June 21, 1999
Operation type
Licensed Center
Total capacity
56 children
Ages served
Infant, Toddler, Pre-Kindergarten
Address
1226 Nw 18th St, San Antonio, TX 78207-1300
The 60-month record
15
Inspections
0
Assessments
1
Self reports
18
Deficiencies
Deficiencies by the agency's own weight: High 2 · Medium High 10 · Medium 6 · Medium Low 0 · Low 0. These are the state's precomputed counts, republished as-is.
Inspection history
| Date | Activity | Deficiencies cited |
|---|---|---|
| Jun 20, 2026 | Report | 0 |
| Mar 30, 2026 | Inspection | 0 |
| Jun 16, 2025 | Inspection | 0 |
| Apr 16, 2025 | Inspection | 1 |
| Aug 26, 2024 | Inspection | 0 |
| Jul 25, 2024 | Report | 0 |
| May 2, 2024 | Inspection | 0 |
| Nov 13, 2023 | Inspection | 0 |
| Oct 18, 2023 | Inspection | 0 |
| Oct 4, 2023 | Inspection | 0 |
| Sep 28, 2023 | Report | 1 |
| Sep 22, 2023 | Inspection | 6 |
| Sep 21, 2023 | Report | 0 |
| Sep 21, 2023 | Report | 1 |
| Sep 15, 2023 | Inspection | 0 |
| Jul 20, 2023 | Inspection | 3 |
| Jan 26, 2023 | Inspection | 0 |
| Jan 23, 2023 | Inspection | 0 |
| Jan 20, 2023 | Report | 1 |
| Aug 11, 2022 | Inspection | 2 |
| Sep 14, 2021 | Inspection | 3 |
Deficiency records
April 16, 2025 Standard § 746.3401(a) - Annual Sanitation Inspection
Medium High Verbatim from the agency record
The health inspection was last conducted on 3.25.24.
Corrected: May 7, 2025
September 28, 2023 Standard § 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
High Verbatim from the agency record
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.
Corrected: November 10, 2023
September 22, 2023 Standard § 746.2803(4)(D) - Positive Methods of Discipline and Guidance - Brief Supervised Separation
Medium Verbatim from the agency record
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.
Corrected: September 22, 2023
September 22, 2023 Standard § 746.2501(4) - Care Requirements for Toddlers - Holding and Comforting
Medium High Verbatim from the agency record
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.
Corrected: September 22, 2023
September 22, 2023 Standard § 746.3415(4) - Employee Handwashing After Diapering a Child
Medium High Verbatim from the agency record
Based on the video footage on 9.19.23 the caregivers were not observed handwashing their hands or the children between diaper changing.
Corrected: September 22, 2023
September 22, 2023 Standard § 746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Medium High Verbatim from the agency record
Based on the video footage on 9.19.23 a snack was being provided to the children on a bare table.
Corrected: September 22, 2023
September 22, 2023 Standard § 746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment
Medium High Verbatim from the agency record
Based on the video footage on 9.19.23 the caregivers were not observed sanitizing tables before providing the children a snack.
Corrected: September 22, 2023
September 22, 2023 Standard § 746.1203(5) - Responsibilities of Caregivers - Interact positively with children
Medium High Verbatim from the agency record
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.
Corrected: September 22, 2023
September 21, 2023 Standard § 746.2803(4)(C) - Positive Methods of Discipline and Guidance - Redirecting Behavior
Medium High Verbatim from the agency record
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.
Corrected: September 22, 2023
July 20, 2023 Standard § 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
Medium Verbatim from the agency record
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.
Corrected: July 20, 2023
July 20, 2023 Standard § 746.1311(a) - Director Annual Training 30 Hours Required
Medium Verbatim from the agency record
The director is missing the 30 hours of the annual training.
Corrected: August 20, 2023
July 20, 2023 Standard § 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Medium Verbatim from the agency record
One of the six staff files were missing 24 hours of training from May 2022-2023.
Corrected: August 20, 2023
January 20, 2023 Standard § 746.1203(4) - Responsibilities of Caregivers - Supervision of Children
High Verbatim from the agency record
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.
Corrected: January 23, 2023
August 11, 2022 Standard § 746.1309(e) - Documented Annual Training- Required Content
Medium Verbatim from the agency record
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
Corrected: September 11, 2022
August 11, 2022 Standard § 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Medium High Verbatim from the agency record
One of the six children did not have a current immunization record on file.
Corrected: August 18, 2022
September 14, 2021 Standard § 746.5205(4) - Documentation of Drills
Medium Verbatim from the agency record
The last fire drill conducted and documented was on 5/18/21. In addition to no documentation of the carbon monoxide. NOTE:Documented the last fire drill on August 18, 2021. NOTE: This was corrected at inspection when August fire drill was documented.
Corrected: September 14, 2021
September 14, 2021 Standard § 746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
Medium High Verbatim from the agency record
The last daily building grounds inspection was conducted on 9/8/2021. NOTE: This was corrected at inspection when an inspection was conducted.
Corrected: September 14, 2021
September 14, 2021 Standard § 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Medium High Verbatim from the agency record
No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.
Corrected: September 14, 2021
About these records
These records come from the Texas Health and Human Services Commission database and cover the state's 60-month public window. Records synced from the agency on August 29, 2026. They reflect the agency's database as of that date; recent inspections may not appear yet, so verify current status with the agency or on the official record ↗. Facility operators can request a review through our corrections process.
Other facilities in San Antonio
1.2..me Kidz Licensed Center · 9 deficiencies (60 mo)
123-ABC Play & Learn Licensed Child-Care Home · 13 deficiencies (60 mo)
4-R-Kid's Learning Center Licensed Center · 22 deficiencies (60 mo)
A Joyful Journey Licensed Child-Care Home · 3 deficiencies (60 mo)
A Magic Day Licensed Child-Care Home · 4 deficiencies (60 mo)
A Place For Kids Luth CH Of RE Licensed Center · 16 deficiencies (60 mo)