Daycare RecordChild care inspection records

Avance San Antonio CDC Frank Garrett

1226 Nw 18th St, San Antonio, TX 78207 · Bexar County
1 high-risk citation in last 12 months

Avance San Antonio CDC Frank Garrett is a licensed child care center in San Antonio, TX, licensed for up to 56 children and serving infants, toddlers and preschoolers. It has held its Texas license since 1999. Since October 2021, state inspectors have visited 14 times and investigated 7 reports. Inspectors recorded 16 citations, 3 of them high-risk, most often for training & qualifications (3 of 16). 1 citation came in the last 12 months, including 1 high-risk. 6% were corrected during the inspection itself. Its last 2 inspections found no violations. Measured by risk-weighted citations per inspection, it is tied for #330 of 476 centers in San Antonio and better than 26% of licensed centers statewide.

Inspection record

Better than 26%of 9,147 Texas licensed centers, comparing risk-weighted citations per inspection. More citations than most
Tied for #330 of 476 centers in San Antonio
3High risk
8Medium High risk
5Medium risk
0Medium Low risk
0Low risk
16 citations from 14 inspections and 5 reports since Oct 1, 2021 · 1 in the last 12 months · last inspected Mar 30, 2026

Every state visit

20222023202420252026INSPECTIONS (top) · REPORTS & INVESTIGATIONS (bottom)Aug 27, 2026 · Report/investigation · citation foundJun 20, 2026 · Report/investigation · no citationMar 30, 2026 · Inspection · no citationJun 16, 2025 · Inspection · no citationApr 16, 2025 · Inspection · citation foundAug 26, 2024 · Inspection · no citationJul 25, 2024 · Report/investigation · no citationMay 2, 2024 · Inspection · no citationNov 13, 2023 · Inspection · no citationOct 18, 2023 · Inspection · no citationOct 4, 2023 · Inspection · no citationSep 28, 2023 · Report/investigation · citation foundSep 22, 2023 · Inspection · citation foundSep 21, 2023 · Report/investigation · no citationSep 21, 2023 · Report/investigation · citation foundSep 15, 2023 · Inspection · no citationJul 20, 2023 · Inspection · citation foundJan 26, 2023 · Inspection · no citationJan 23, 2023 · Inspection · no citationJan 20, 2023 · Report/investigation · citation foundAug 11, 2022 · Inspection · citation found
Citation foundNo citation

What inspectors cited most

Training & qualifications3
Building & playground safety2
Caregiver conduct2
Supervision2
Health & medication2
Staff ratios2
Other standards2
Background checks1

Citations, newest first

HighAug 27, 2026Found during an investigationBackground checks
AP Initial background checks submitted - At the time you hire someone §745.621(a)(2)
A staff member was present at the operation, and had access to children, without a background check.
Correction verified Sep 2, 2026
Medium HighApr 16, 2025InspectionBuilding & playground safety
Annual Sanitation Inspection §746.3401(a)
The health inspection was last conducted on 3.25.24.
Correction verified Apr 22, 2025
HighSep 28, 2023Found during an investigationCaregiver conduct
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control §746.1201(1)
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 Nov 13, 2023
MediumSep 22, 2023InspectionSupervision
Positive Methods of Discipline and Guidance - Brief Supervised Separation §746.2803(4)(D)
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 Oct 4, 2023
Medium HighSep 22, 2023InspectionHealth & medication
Employee Handwashing After Diapering a Child §746.3415(4)
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 Oct 4, 2023
Medium HighSep 22, 2023InspectionStaff ratios
Food Service and Preparation Requirement - Use Sanitary Holders §746.3317(6)
Based on the video footage on 9.19.23 a snack was being provided to the children on a bare table.
Correction verified Oct 4, 2023
Medium HighSep 22, 2023InspectionOther standards
Responsibilities of Caregivers - Interact positively with children §746.1203(5)
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 Oct 4, 2023
Medium HighSep 22, 2023InspectionBuilding & playground safety
Sanitize Tables Tops, Furniture and Similar Equipment §746.3407(11)
Based on the video footage on 9.19.23 the caregivers were not observed sanitizing tables before providing the children a snack.
Correction verified Oct 4, 2023
Medium HighSep 22, 2023InspectionOther standards
Care Requirements for Toddlers - Holding and Comforting §746.2501(4)
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 Oct 4, 2023
Medium HighSep 21, 2023Found during an investigationCaregiver conduct
Positive Methods of Discipline and Guidance - Redirecting Behavior §746.2803(4)(C)
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 Oct 4, 2023
MediumJul 20, 2023InspectionTraining & qualifications
Documented Annual Training Area - 24 Hours Required §746.1309(a)
One of the six staff files were missing 24 hours of training from May 2022-2023.
Correction verified Jul 25, 2023
MediumJul 20, 2023InspectionStaff ratios
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 §746.1613(a)
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 during the visit
MediumJul 20, 2023InspectionTraining & qualifications
Director Annual Training 30 Hours Required §746.1311(a)
The director is missing the 30 hours of the annual training.
Correction verified Aug 3, 2023
HighJan 20, 2023Found during an investigationSupervision
Responsibilities of Caregivers - Supervision of Children §746.1203(4)
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 Jan 26, 2023
MediumAug 11, 2022InspectionTraining & qualifications
Documented Annual Training- Required Content §746.1309(e)
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 Sep 13, 2022
Medium HighAug 11, 2022InspectionHealth & medication
Immunization Records, Exceptions, and Exemptions Current §746.613(b)
One of the six children did not have a current immunization record on file.
Correction verified Aug 11, 2022

About this center

Licensed capacity56 children
Ages servedInfant, Toddler, Pre-Kindergarten
Hours08:00 AM-04:00 PM
DaysMon, Tue, Wed, Thu, Fri
Licensed sinceJun 21, 1999
DirectorGuadalupe Roh
Phone2107347924
State operation #540916- 5052

Common questions

Does Avance San Antonio CDC Frank Garrett take infants?

Yes. Texas licenses it to care for infants, toddlers and preschoolers.

What are Avance San Antonio CDC Frank Garrett’s hours?

8 AM to 4 PM, Monday through Friday, according to its state licensing record. Confirm holiday and summer hours with the center.

Does Avance San Antonio CDC Frank Garrett accept child care subsidies?

Not according to its state licensing record. Ask the center directly, since participation can change.

How much does Avance San Antonio CDC Frank Garrett cost?

Texas does not publish individual centers’ prices, so ask Avance San Antonio CDC Frank Garrett for its current tuition. For comparison, the median full-day price at licensed centers in the Alamo area, which includes San Antonio, is $42.00 a day for infants, $40.40 a day for toddlers and $39.20 a day for 3-year-olds (2025 Texas Child Care Market Rate Survey).

Has Avance San Antonio CDC Frank Garrett had any serious violations?

Inspectors recorded 3 high-risk citations since 2021. The most recent was on Aug 27, 2026: “AP Initial background checks submitted - At the time you hire someone.” Each one is listed in full above.

How does Avance San Antonio CDC Frank Garrett compare with other daycares in San Antonio?

It is tied for #330 of 476 centers in San Antonio by risk-weighted citations per inspection, and is better than 26% of licensed centers statewide (out of 9,147 Texas centers with enough inspection history).

When was Avance San Antonio CDC Frank Garrett last inspected?

Mar 30, 2026. No violations were found during that visit.

Licensed centers nearby

Citations are quoted from Texas HHS inspection records. Many are corrected the same day, and a citation is a finding about one rule, not a judgment about a center overall.

To see the official record, search operation 540916- 5052 on Search Texas Child Care. Data refreshed Sep 30, 2026.