Avance San Antonio CDC Frank Garrett
Licensed Center in San Antonio, Texas. License #540916- 5052, issued June 21, 1999.
- Address
- 1226 Nw 18th St, San Antonio, TX 78207
- Phone
- (210) 734-7924
- Licensed capacity
- 56 children
- Licensed for
- Infant, Toddler, Pre-Kindergarten
- Hours
- 08:00 AM-04:00 PM
- Days
- Mon, Tue, Wed, Thu, Fri
- Child care subsidies
- Not accepted
- Website
- avancesa.org
Programs listed with the state: Meals Provided, Snacks Provided.
Openings
This program has not told us about its openings. We only publish what a program confirms itself, so there is nothing here yet. Ring them to ask.
Texas Rising Star
No Texas Rising Star rating
Texas Rising Star is voluntary, and a program joins it by applying. It is tied to accepting child care scholarships, so most programs that are not in it never applied rather than failed. Roughly three in five licensed programs in Texas have no rating.
This says nothing about the quality of this program. What the state has assessed about it is the inspection record below.
Where this is
A map of this address loads when you ask for it. Nothing is requested from the map host until then, so opening this page does not tell anyone which program you were reading about.
The pin is where the US Census geocoder placed this address. About one in eight is interpolated along a street rather than resolved to a building, so treat it as the right block rather than the right doorway. How we source this.
What inspectors checked
Texas HHSC records how many individual standards it evaluated in each area of the rules, and how many it found violated. Across 22 areas it checked 2,520 standards at Avance San Antonio CDC Frank Garrett between August 11, 2022 and August 27, 2026 and recorded 16 violations. Those correspond to the citations listed above that were recorded from 2021 onward; anything older than that is in the citation list but not in these counts.
The 22 areas, one by one
| Area of the rules | Visits | Standards checked | Violated |
|---|---|---|---|
| Scope, administration, and communication | 2 | 241 | 0 |
| Record keeping | 2 | 220 | 0 |
| Personnel | 2 | 306 | 2 |
| Ratios and group sizes | 2 | 108 | 1 |
| Activities | 2 | 72 | 0 |
| Infants | 1 | 90 | 0 |
| Toddlers | 3 | 66 | 0 |
| Pre-kindergarten | 2 | 36 | 0 |
| School-age | 2 | 40 | 0 |
| Discipline | 3 | 60 | 0 |
| Naptime | 2 | 24 | 0 |
| Field trips | 2 | 22 | 0 |
| Get well care | 2 | 54 | 0 |
| Nighttime care | 2 | 26 | 0 |
| Nutrition and food care | 2 | 90 | 0 |
| Health practices | 2 | 226 | 0 |
| Safety practices | 2 | 154 | 0 |
| Physical facilities | 2 | 150 | 0 |
| Outdoor safety | 2 | 192 | 0 |
| Pools | 2 | 54 | 0 |
| Fire safety | 2 | 136 | 0 |
| Transportation | 2 | 98 | 0 |
The table adds up to 2,465 of those standards. The remaining 55, including 13 of the violations, were recorded under the state's own catch-all heading, “Individual Standards Evaluated”, which names no area. They are reported here rather than folded into an area above, because the state did not say which area they belong to and we are not going to decide for it.
A high number of standards checked is not a compliment and a low one is not a criticism: how many apply depends on a program's size, its ages served and what the inspector was there to look at. We publish the two counts the state published and do not turn them into a score. This data begins in 2021, which is later than the inspection history above it.
What Avance San Antonio CDC Frank Garrett says about itself
Give Make the difference Give Today! Explore Programs Join the AVANCE familia Explore Our Programs Careers Find your fit Explore Our Careers AVANCE – San Antonio Programs Parent-Child Education Program (PCEP) Parents are the first teachers. Home is the first classroom. Our signature 9-month parenting course supports f…
Quoted from avancesa.org, read on October 25, 2026. These are the program's own words, not ours, and we neither check nor endorse them.
Ask about an opening
This goes to Avance San Antonio CDC Frank Garrett and nobody else. They reply to you directly: we do not sit in the middle of it, and we never pass your details on or sell them.
Tell me about new inspections
One short message each time Texas HHSC records an inspection here, saying that it happened and linking to the record. We do not tell you what the inspector found: a finding without whether it was corrected is misleading, and that pair belongs on the page rather than split across an email.
We ask for nothing but the address, and we send a confirmation first. Your list is never shown to this program, never sold, and every message has a link to stop. An inspection is routine: programs are visited on a schedule and after a complaint, and a visit is not a finding.
State inspection record
HHSC records 21 visits to this operation since October 2017, most recently on August 27, 2026, and 16 citations.
2 of those visits began with Avance San Antonio CDC Frank Garrett reporting something to the state itself rather than HHSC finding it. We publish that because it is part of the record and the state records it separately, not because it is good or bad: a program with none may have had nothing to report. 3,674 of the 12,933 programs listed here have at least one.
- 3High
- 8Medium High
- 5Medium
Every citation below records a correction.
Citations
Showing all 16. Indented text is the inspector's own, reproduced verbatim.
- High August 27, 2026 Correction verified September 2, 2026
745.621(a)(2): 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.
- Medium High April 16, 2025 Correction verified April 22, 2025
746.3401(a): Annual Sanitation Inspection
The health inspection was last conducted on 3.25.24.
- High September 28, 2023 Correction verified November 13, 2023
746.1201(1): Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
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.
- Medium September 22, 2023 Correction verified October 4, 2023
746.2803(4)(D): Positive Methods of Discipline and Guidance - Brief Supervised Separation
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.
- Medium High September 22, 2023 Correction verified October 4, 2023
746.2501(4): Care Requirements for Toddlers - Holding and Comforting
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.
- Medium High September 22, 2023 Correction verified October 4, 2023
746.3317(6): Food Service and Preparation Requirement - Use Sanitary Holders
Based on the video footage on 9.19.23 a snack was being provided to the children on a bare table.
- Medium High September 22, 2023 Correction verified October 4, 2023
746.3415(4): Employee Handwashing After Diapering a Child
Based on the video footage on 9.19.23 the caregivers were not observed handwashing their hands or the children between diaper changing.
- Medium High September 22, 2023 Correction verified October 4, 2023
746.3407(11): Sanitize Tables Tops, Furniture and Similar Equipment
Based on the video footage on 9.19.23 the caregivers were not observed sanitizing tables before providing the children a snack.
- Medium High September 22, 2023 Correction verified October 4, 2023
746.1203(5): Responsibilities of Caregivers - Interact positively with children
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.
- Medium High September 21, 2023 Correction verified October 4, 2023
746.2803(4)(C): Positive Methods of Discipline and Guidance - Redirecting Behavior
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.
- Medium July 20, 2023 Correction verified July 25, 2023
746.1309(a): Documented Annual Training Area - 24 Hours Required
One of the six staff files were missing 24 hours of training from May 2022-2023.
- Medium July 20, 2023 Correction verified August 3, 2023
746.1311(a): Director Annual Training 30 Hours Required
The director is missing the 30 hours of the annual training.
- Medium July 20, 2023 Corrected at inspection
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
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.
- High January 20, 2023 Correction verified January 26, 2023
746.1203(4): Responsibilities of Caregivers - Supervision of Children
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.
- Medium High August 11, 2022 Correction verified August 11, 2022
746.613(b): Immunization Records, Exceptions, and Exemptions Current
One of the six children did not have a current immunization record on file.
- Medium August 11, 2022 Correction verified September 13, 2022
746.1309(e): Documented Annual Training- Required Content
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
Do you have a child enrolled here?
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About this record
Every figure on this page comes from the Texas HHSC Child Care Regulation open data published at data.texas.gov, reproduced as the state recorded it. We do not grade, score or rank programs. A citation is a finding by a state inspector on a given day; it is not a judgment about a program today, and the correction status beside each one is part of the record. This page reflects data retrieved on November 8, 2026. Full methodology.
Operate this program? Write to corrections@childcaretx.com and we will publish your response beside any record here.