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Avance San Antonio CDC Frank Garrett

1226 NW 18TH ST, San Antonio, TX 78207-1300

Operation number:
540916- 5052
Type:
Licensed Center
Status:
Active (Y)
Records checked:
August 22, 2026
Additional info
Source:
Texas Health and Human Services Child Care Regulation
County:
Bexar
Capacity:
56
License effective:
June 21, 1999
Hours:
08:00 AM-04:00 PM
Days:
Mon,Tue,Wed,Thu,Fri
Phone:
2107347924
Email:
Not listed
Website:
avancesa.org

Inspection snapshot

Questions worth asking

The records include recorded violations parents may want to understand before enrolling. These are conversation starters, not a pass-or-fail judgment.

Next: Review the inspection history below and ask the provider what the records mean and what changed afterward.

Summary

This summary covers 21 available inspections for Avance San Antonio CDC Frank Garrett from September 14, 2021 through June 20, 2026.

Eight inspections recorded violations, with 18 recorded violations in total.

The most recent higher-concern violation was on April 16, 2025 and involved facility condition.

That higher-concern topic showed up in two inspections.

Three later inspections, from June 16, 2025 through June 20, 2026, showed no recorded violations, but the records do not say whether they were formal follow-ups.

At a glance

Total inspections
21

2 in last 12 months

Recorded violations
18

0 in last 12 months

Higher-concern violations
12

0 in last 12 months

Repeated topics
2

Last 36 months

Local comparison

21 total inspections vs 12 local median in 78207

Compared to 15 local facilities

Recorded violations per inspection

This provider
0.86
Local median
0.5

Inspections with higher-concern violations

This provider
33%
Local median
25%

Inspections with recorded violations

This provider
38%
Local median
31%

Repeated topics

This provider
2
Local average
1.2

Repeated topics

Topics that appeared in more than one inspection during the last 36 months. They may reveal a pattern worth examining.

Inspection history

Available inspection history. Select a violation topic for more info.

View official report
Higher concern: Facility condition
Report finding
The health inspection was last conducted on 3.25.24.
Correction deadline
May 7, 2025
Correction status
Correction evaluated April 22, 2025
More details
Official Texas risk level
Medium High
Report section
746.3401(a) - Annual Sanitation Inspection
Official code
746.3401(a)
View official report
Higher concern: Child guidance
Report finding
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.
Correction deadline
November 10, 2023
Correction status
Correction evaluated November 13, 2023
More details
Official Texas risk level
High
Report section
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Official code
746.1201(1)
View official report
Medium concern: Child guidance
Report finding
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.
Correction deadline
September 22, 2023
Correction status
Correction evaluated October 4, 2023
More details
Official Texas risk level
Medium
Report section
746.2803(4)(D) - Positive Methods of Discipline and Guidance - Brief Supervised Separation
Official code
746.2803(4)(D)
Higher concern: Other violations
Report finding
Based on the video footage on 9.19.23 the caregivers were not observed sanitizing tables before providing the children a snack.
Correction deadline
September 22, 2023
Correction status
Correction evaluated October 4, 2023
More details
Official Texas risk level
Medium High
Report section
746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment
Official code
746.3407(11)
Higher concern: Facility condition
Report finding
Based on the video footage on 9.19.23 the caregivers were not observed handwashing their hands or the children between diaper changing.
Correction deadline
September 22, 2023
Correction status
Correction evaluated October 4, 2023
More details
Official Texas risk level
Medium High
Report section
746.3415(4) - Employee Handwashing After Diapering a Child
Official code
746.3415(4)
Higher concern: Child guidance
Report finding
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.
Correction deadline
September 22, 2023
Correction status
Correction evaluated October 4, 2023
More details
Official Texas risk level
Medium High
Report section
746.1203(5) - Responsibilities of Caregivers - Interact positively with children
Official code
746.1203(5)
Higher concern: Facility condition
Report finding
Based on the video footage on 9.19.23 a snack was being provided to the children on a bare table.
Correction deadline
September 22, 2023
Correction status
Correction evaluated October 4, 2023
More details
Official Texas risk level
Medium High
Report section
746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Official code
746.3317(6)
Higher concern: Other violations
Report finding
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.
Correction deadline
September 22, 2023
Correction status
Correction evaluated October 4, 2023
More details
Official Texas risk level
Medium High
Report section
746.2501(4) - Care Requirements for Toddlers - Holding and Comforting
Official code
746.2501(4)
View official report
Higher concern: Child guidance
Report finding
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.
Correction deadline
September 22, 2023
Correction status
Correction evaluated October 4, 2023
More details
Official Texas risk level
Medium High
Report section
746.2803(4)(C) - Positive Methods of Discipline and Guidance - Redirecting Behavior
Official code
746.2803(4)(C)
View official report
Medium concern: Sleep safety
Report finding
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.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium
Report section
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
Official code
746.1613(a)
Medium concern: Staff training
Report finding
The director is missing the 30 hours of the annual training.
Correction deadline
August 20, 2023
Correction status
Correction evaluated August 3, 2023
More details
Official Texas risk level
Medium
Report section
746.1311(a) - Director Annual Training 30 Hours Required
Official code
746.1311(a)
Medium concern: Staff training
Report finding
One of the six staff files were missing 24 hours of training from May 2022-2023.
Correction deadline
August 20, 2023
Correction status
Correction evaluated July 25, 2023
More details
Official Texas risk level
Medium
Report section
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Official code
746.1309(a)
View official report
Higher concern: Supervision
Report finding
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.
Correction deadline
January 23, 2023
Correction status
Correction evaluated January 26, 2023
More details
Official Texas risk level
High
Report section
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
Official code
746.1203(4)
View official report
Higher concern: Health or food records
Report finding
One of the six children did not have a current immunization record on file.
Correction deadline
August 18, 2022
Correction status
Correction evaluated August 11, 2022
More details
Official Texas risk level
Medium High
Report section
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Official code
746.613(b)
Medium concern: Staff training
Report finding
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
Correction deadline
September 11, 2022
Correction status
Correction evaluated September 13, 2022
More details
Official Texas risk level
Medium
Report section
746.1309(e) - Documented Annual Training- Required Content
Official code
746.1309(e)
View official report
Higher concern: Other violations
Report finding
The last daily building grounds inspection was conducted on 9/8/2021. NOTE: This was corrected at inspection when an inspection was conducted.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
Official code
746.4751(a)
Medium concern: Recordkeeping
Report finding
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.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium
Report section
746.5205(4) - Documentation of Drills
Official code
746.5205(4)
Higher concern: Equipment or readiness
Report finding
No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Official code
746.5537(a)(2)