Texas records · BEXAR County · SAN ANTONIO

Avance San Antonio CDC Frank Garrett

Licensed Center in SAN ANTONIO, Texas · Full Permit · permit issued June 21, 1999

State record presented as of November 5, 2026

Address
1226 NW 18TH ST, SAN ANTONIO, TX 78207 1300
Operation type
Licensed Center
Type of issuance
Full Permit
Permit issued
June 21, 1999
Operation number
540916- 5052
Licensed capacity
56 children
Ages served
Infant,Toddler,Pre-Kindergarten
Schedule
Mon,Tue,Wed,Thu,Fri · 08:00 AM-04:00 PM
Conditions on permit
NO

The record at a glance

Inspections on record14
Reports (complaints, incidents, self-reports) on record7
Assessments on record0
Standards evaluated across those visits2,520
Citations recorded16
Record coversAugust 11, 2022 – August 27, 2026

Citations by the state’s risk levels

High3
Medium High8
Medium5

Visits and findings, newest first

ReportAugust 27, 2026Self-reported by the operation1 citation recorded1 of 5 standards cited at this visit
745.621(a)(2) - AP Initial background checks submitted - At the time you hire someoneRisk level: High
A staff member was present at the operation, and had access to children, without a background check.

Correction verified by the state on September 2, 2026. The state provided technical assistance on this standard.

ReportJune 20, 2026No citation recorded at this visit0 of 1 standards cited at this visit
InspectionMarch 30, 2026No citation recorded at this visit0 of 720 standards cited at this visit
InspectionJune 16, 2025No citation recorded at this visit0 of 1 standards cited at this visit
InspectionApril 16, 20251 citation recorded1 of 121 standards cited at this visit
746.3401(a) - Annual Sanitation InspectionRisk level: Medium High
The health inspection was last conducted on 3.25.24.

Correction verified by the state on April 22, 2025. The state provided technical assistance on this standard.

InspectionAugust 26, 2024No citation recorded at this visit0 of 76 standards cited at this visit
ReportJuly 25, 2024No citation recorded at this visit0 of 1 standards cited at this visit
InspectionMay 2, 2024No citation recorded at this visit0 of 401 standards cited at this visit
InspectionNovember 13, 2023No citation recorded at this visit0 of 1 standards cited at this visit
InspectionOctober 18, 2023No citation recorded at this visit
InspectionOctober 4, 2023No citation recorded at this visit0 of 7 standards cited at this visit
ReportSeptember 28, 20231 citation recorded1 of 3 standards cited at this visit
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-controlRisk level: High
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 verified by the state on November 13, 2023. The state provided technical assistance on this standard.

InspectionSeptember 22, 20236 citations recorded6 of 6 standards cited at this visit
746.1203(5) - Responsibilities of Caregivers - Interact positively with childrenRisk level: Medium High
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 verified by the state on October 4, 2023. The state provided technical assistance on this standard.

746.3407(11) - Sanitize Tables Tops, Furniture and Similar EquipmentRisk level: Medium High
Based on the video footage on 9.19.23 the caregivers were not observed sanitizing tables before providing the children a snack.

Correction verified by the state on October 4, 2023. The state provided technical assistance on this standard.

746.2803(4)(D) - Positive Methods of Discipline and Guidance - Brief Supervised SeparationRisk level: Medium
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 verified by the state on October 4, 2023. The state provided technical assistance on this standard.

746.3317(6) - Food Service and Preparation Requirement - Use Sanitary HoldersRisk level: Medium High
Based on the video footage on 9.19.23 a snack was being provided to the children on a bare table.

Correction verified by the state on October 4, 2023. The state provided technical assistance on this standard.

746.2501(4) - Care Requirements for Toddlers - Holding and ComfortingRisk level: Medium High
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 verified by the state on October 4, 2023. The state provided technical assistance on this standard.

746.3415(4) - Employee Handwashing After Diapering a ChildRisk level: Medium High
Based on the video footage on 9.19.23 the caregivers were not observed handwashing their hands or the children between diaper changing.

Correction verified by the state on October 4, 2023. The state provided technical assistance on this standard.

ReportSeptember 21, 2023No citation recorded at this visit0 of 2 standards cited at this visit
ReportSeptember 21, 20231 citation recorded1 of 4 standards cited at this visit
746.2803(4)(C) - Positive Methods of Discipline and Guidance - Redirecting BehaviorRisk level: Medium High
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 verified by the state on October 4, 2023. The state provided technical assistance on this standard.

InspectionSeptember 15, 2023No citation recorded at this visit
InspectionJuly 20, 20233 citations recorded3 of 855 standards cited at this visit
746.1309(a) - Documented Annual Training Area - 24 Hours RequiredRisk level: Medium
One of the six staff files were missing 24 hours of training from May 2022-2023.

Correction verified by the state on July 25, 2023. The state provided technical assistance on this standard.

746.1311(a) - Director Annual Training 30 Hours RequiredRisk level: Medium
The director is missing the 30 hours of the annual training.

Correction verified by the state on August 3, 2023. The state provided technical assistance on this 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 metRisk level: Medium
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 at the time of inspection. The state provided technical assistance on this standard.

InspectionJanuary 26, 2023No citation recorded at this visit0 of 1 standards cited at this visit
InspectionJanuary 23, 2023No citation recorded at this visit
ReportJanuary 20, 2023Self-reported by the operation1 citation recorded1 of 5 standards cited at this visit
746.1203(4) - Responsibilities of Caregivers - Supervision of ChildrenRisk level: High
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 verified by the state on January 26, 2023. The state provided technical assistance on this standard.

InspectionAugust 11, 20222 citations recorded2 of 310 standards cited at this visit
746.613(b) - Immunization Records, Exceptions, and Exemptions CurrentRisk level: Medium High
One of the six children did not have a current immunization record on file.

Correction verified by the state on August 11, 2022. The state provided technical assistance on this standard.

746.1309(e) - Documented Annual Training- Required ContentRisk level: Medium
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 verified by the state on September 13, 2022. The state provided technical assistance on this standard.

This page presents the state’s record for this operation as of November 5, 2026; it is a dated presentation, not a live register. If something here does not match the operation’s current state record, file a correction report.