2026-08-27 · 745.621(a)(2) · High
AP Initial background checks submitted - At the time you hire someone
A staff member was present at the operation, and had access to children, without a background check.
Correction date recorded: 2026-09-02
Avance San Antonio CDC Frank Garrett
Licensed Center
View the official HHSC recordOfficial HHSC provider profile
Report an issue with this page · Corrections and removal process
Provider details
- City / County / ZIP
- San Antonio / Bexar / 78207
- Street address
- 1226 Nw 18th St
- Phone
- (210) 734-7924
- Capacity
- 56
- Ages served
- Infant, Toddler, Pre-Kindergarten
- Hours / Days
- 08:00 AM-04:00 PM / Mon,Tue,Wed,Thu,Fri
- Permit type
- Full Permit
- Permit issued
- June 21, 1999
- Operation status:
- Active
- Corrective action
- HHSC lists: No
- Adverse action
- HHSC lists: No
- Temporarily closed
- HHSC lists: No
Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.
Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
Summary of state inspection records
Texas HHSC records list 7 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated March 30, 2026.
The same records list 2 cited deficiencies dated April 16, 2025 to August 27, 2026 (HHSC risk levels: 1 High, 1 Medium High).
Correction status recorded by HHSC: 0 corrected at inspection, 2 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 2 of these citations.
The official HHSC record has the full inspection history and the latest information.
Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.
View the official state record · Report an issue with this page
Summary of the record
This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.
Texas Health and Human Services records list 2 cited deficiencies for Avance San Antonio CDC Frank Garrett in the 3 years before October 10, 2026 (1 High, 1 Medium High).
Records list 7 inspections in this window. Most recent inspection: 2026-03-30.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 1 |
| Medium | 0 |
| Medium Low | 0 |
| Low | 0 |
| Unknown | 0 |
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
Recent citations in the summary window
2025-04-16 · 746.3401(a) · Medium High
Annual Sanitation Inspection
The health inspection was last conducted on 3.25.24.
Correction date recorded: 2025-05-07
Full citation history from HHSC (16)
2026-08-27 · 745.621(a)(2) · High
AP Initial background checks submitted - At the time you hire someone
Corrected at inspection: No. Correction date: 2026-09-02. Correction verified: 2026-09-02.
A staff member was present at the operation, and had access to children, without a background check.
2025-04-16 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2025-05-07. Correction verified: 2025-04-22.
The health inspection was last conducted on 3.25.24.
2023-09-28 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-11-10. Correction verified: 2023-11-13.
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.
2023-09-22 · 746.2803(4)(D) · Medium
Positive Methods of Discipline and Guidance - Brief Supervised Separation
Corrected at inspection: No. Correction date: 2023-09-22. Correction verified: 2023-10-04.
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.
2023-09-22 · 746.3407(11) · Medium High
Sanitize Tables Tops, Furniture and Similar Equipment
Corrected at inspection: No. Correction date: 2023-09-22. Correction verified: 2023-10-04.
Based on the video footage on 9.19.23 the caregivers were not observed sanitizing tables before providing the children a snack.
2023-09-22 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2023-09-22. Correction verified: 2023-10-04.
Based on the video footage on 9.19.23 the caregivers were not observed handwashing their hands or the children between diaper changing.
2023-09-22 · 746.3317(6) · Medium High
Food Service and Preparation Requirement - Use Sanitary Holders
Corrected at inspection: No. Correction date: 2023-09-22. Correction verified: 2023-10-04.
Based on the video footage on 9.19.23 a snack was being provided to the children on a bare table.
2023-09-22 · 746.2501(4) · Medium High
Care Requirements for Toddlers - Holding and Comforting
Corrected at inspection: No. Correction date: 2023-09-22. Correction verified: 2023-10-04.
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.
2023-09-22 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Interact positively with children
Corrected at inspection: No. Correction date: 2023-09-22. Correction verified: 2023-10-04.
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.
2023-09-21 · 746.2803(4)(C) · Medium High
Positive Methods of Discipline and Guidance - Redirecting Behavior
Corrected at inspection: No. Correction date: 2023-09-22. Correction verified: 2023-10-04.
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.
2023-07-20 · 746.1613(a) · Medium
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
Corrected at inspection: Yes. Correction date: 2023-07-20. Correction verified: Not recorded.
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.
2023-07-20 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2023-08-20. Correction verified: 2023-07-25.
One of the six staff files were missing 24 hours of training from May 2022-2023.
2023-07-20 · 746.1311(a) · Medium
Director Annual Training 30 Hours Required
Corrected at inspection: No. Correction date: 2023-08-20. Correction verified: 2023-08-03.
The director is missing the 30 hours of the annual training.
2023-01-20 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2023-01-23. Correction verified: 2023-01-26.
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.
2022-08-11 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2022-09-11. Correction verified: 2022-09-13.
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
2022-08-11 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2022-08-18. Correction verified: 2022-08-11.
One of the six children did not have a current immunization record on file.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=159058
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.
Provider data fetched: October 10, 2026.