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 record | 14 |
| Reports (complaints, incidents, self-reports) on record | 7 |
| Assessments on record | 0 |
| Standards evaluated across those visits | 2,520 |
| Citations recorded | 16 |
| Record covers | August 11, 2022 – August 27, 2026 |
Citations by the state’s risk levels
| High | 3 |
| Medium High | 8 |
| Medium | 5 |
Visits and findings, newest first
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.