# Avance San Antonio Cdc Frank Garrett Avance San Antonio Cdc Frank Garrett is a licensed child care program (child care center) in San Antonio, TX serving ages Infant, Toddler, Pre-Kindergarten, with 56 licensed seats. It is regulated by TX HHSC. ## Key facts - Status: Full Permit · Operating - Address: 1226 Nw 18th St, San Antonio, TX 78207 - Ages: Infant, Toddler, Pre-Kindergarten - Capacity: 56 - License/permit: 540916- 5052 - Operator: not published - Phone: (210) 734-7924 - Website: avancesa.org - Hours: 08:00 AM-04:00 PM (Mon, Tue, Wed, Thu, Fri) - Accepts child care subsidies: no - Official regulator profile: https://childcare.hhs.texas.gov/Public/OperationDetails?operationId=159058 ## Inspection record 16 findings across 21 Texas HHSC inspections (2022-08-11 to 2026-08-27); 11 rated serious; 0 open at last record. - 2026-08-27 — Supervision & ratios, High risk, Correction verified 2026-09-02: 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. (§745.621(a)(2); [type](https://www.kinfield.site/violation/tx-tac-745-621-a-2)) - 2025-04-16 — Sanitation & hygiene, Medium-high risk, Correction verified 2025-04-22: Annual Sanitation Inspection: The health inspection was last conducted on 3.25.24. (§746.3401(a); [type](https://www.kinfield.site/violation/tx-tac-746-3401-a)) - 2023-09-28 — Staff qualifications & clearances, High risk, Correction verified 2023-11-13: 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. (§746.1201(1); [type](https://www.kinfield.site/violation/tx-tac-746-1201-1)) - 2023-09-22 — Supervision & ratios, Medium-high risk, Correction verified 2023-10-04: 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. (§746.3317(6); [type](https://www.kinfield.site/violation/tx-tac-746-3317-6)) - 2023-09-22 — Other, Medium-high risk, Correction verified 2023-10-04: 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. (§746.2501(4); [type](https://www.kinfield.site/violation/tx-tac-746-2501-4)) - 2023-09-22 — Other, Medium-high risk, Correction verified 2023-10-04: 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. (§746.1203(5); [type](https://www.kinfield.site/violation/tx-tac-746-1203-5)) - 2023-09-22 — Staff qualifications & clearances, Medium-high risk, Correction verified 2023-10-04: 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. (§746.3415(4); [type](https://www.kinfield.site/violation/tx-tac-746-3415-4)) - 2023-09-22 — Sanitation & hygiene, Medium-high risk, Correction verified 2023-10-04: 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. (§746.3407(11); [type](https://www.kinfield.site/violation/tx-tac-746-3407-11)) - 2023-09-22 — Supervision & ratios, Medium risk, Correction verified 2023-10-04: 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. (§746.2803(4)(D); [type](https://www.kinfield.site/violation/tx-tac-746-2803-4-d)) - 2023-09-21 — Other, Medium-high risk, Correction verified 2023-10-04: 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. (§746.2803(4)(C); [type](https://www.kinfield.site/violation/tx-tac-746-2803-4-c)) - 2023-07-20 — Supervision & ratios, Medium risk, Corrected at inspection: 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. (§746.1613(a); [type](https://www.kinfield.site/violation/tx-tac-746-1613-a)) - 2023-07-20 — Staff qualifications & clearances, Medium risk, Correction verified 2023-07-25: Documented Annual Training Area - 24 Hours Required: One of the six staff files were missing 24 hours of training from May 2022-2023. (§746.1309(a); [type](https://www.kinfield.site/violation/tx-tac-746-1309-a)) - 2023-07-20 — Staff qualifications & clearances, Medium risk, Correction verified 2023-08-03: Director Annual Training 30 Hours Required: The director is missing the 30 hours of the annual training. (§746.1311(a); [type](https://www.kinfield.site/violation/tx-tac-746-1311-a)) - 2023-01-20 — Supervision & ratios, High risk, Correction verified 2023-01-26: 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. (§746.1203(4); [type](https://www.kinfield.site/violation/tx-tac-746-1203-4)) - 2022-08-11 — Staff qualifications & clearances, Medium risk, Correction verified 2022-09-13: 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 (§746.1309(e); [type](https://www.kinfield.site/violation/tx-tac-746-1309-e)) - …and 1 more on the source page. ## Nearby programs - [Y School Age @ Irving](https://www.kinfield.site/facility/tx-hhsc-1385748) — 0.46 km, capacity 100 - [Y School Age @ Advance Learning Academy](https://www.kinfield.site/facility/tx-hhsc-1312930) — 0.9 km, capacity 120 - [Y School Age @ Fenwick](https://www.kinfield.site/facility/tx-hhsc-1385689) — 1.23 km, capacity 115 - [House of Neighborly Service](https://www.kinfield.site/facility/tx-hhsc-204637) — 1.29 km, capacity 49 - [Tree of Life Daycare](https://www.kinfield.site/facility/tx-hhsc-1481877) — 1.36 km, capacity 33 - [Tree of Life Daycare Infants/Afterschool](https://www.kinfield.site/facility/tx-hhsc-1517293) — 1.49 km, capacity 49 ## Sources - tx_hhsc_operations record 159058 (verified, retrieved 2026-11-05): https://data.texas.gov/resource/bc5r-88dy.json?operation_id=159058 - us_census_geocoder record 1226 NW 18TH ST|SAN ANTONIO|TX|78207 (verified, retrieved 2026-11-05): https://geocoding.geo.census.gov/geocoder/ --- Source page: https://www.kinfield.site/facility/tx-hhsc-159058 · Kinfield — Childcare Intelligence. Facts come from public regulator records; historical inspection data is labelled. Missing data never means no issue exists.