Avance San Antonio CDC Frank Garrett

Inspection history

A citation means an inspector found a rule wasn't met at the time of the visit; many are corrected the same day. Read the official record for details.

Below is every visit in the state's files from August 11, 2022 to August 27, 2026, newest first: 21 visits and 16 citations in all, so the totals can be higher than the 3-year counts above. An investigation is a visit to look into a report or complaint; many find no citations. Risk level is the level Texas HHSC assigns to each rule, from low to high, as published. Technical assistance means the inspector gave guidance on the rule. The state's file does not say whether the "correct-by" date is a deadline or the day the problem was fixed, so it can fall after the verified date or in the future.

1. August 27, 2026 · Investigation (the program reported it to the state) · 1 citation

   • 745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone

     Risk level: High · Correct-by date in the state file: September 2, 2026 · Correction verified: September 2, 2026 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     A staff member was present at the operation, and had access to children, without a background check.

2. June 20, 2026 · Investigation · No citations

3. March 30, 2026 · Inspection · No citations

4. June 16, 2025 · Inspection · No citations

5. April 16, 2025 · Inspection · 1 citation

   • 746.3401(a) - Annual Sanitation Inspection

     Risk level: Medium High · Correct-by date in the state file: May 7, 2025 · Correction verified: April 22, 2025 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     The health inspection was last conducted on 3.25.24.

6. August 26, 2024 · Inspection · No citations

7. July 25, 2024 · Investigation · No citations

8. May 2, 2024 · Inspection · No citations

9. November 13, 2023 · Inspection · No citations

10. October 18, 2023 · Inspection · No citations

11. October 4, 2023 · Inspection · No citations

12. September 28, 2023 · Investigation · 1 citation

    • 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

      Risk level: High · Correct-by date in the state file: November 10, 2023 · Correction verified: November 13, 2023 · Inspector gave guidance (technical assistance): Yes

      The inspector's notes for this citation may name a person, so we don't show them here. They are in the official record.

13. September 22, 2023 · Inspection · 6 citations

    • 746.3415(4) - Employee Handwashing After Diapering a Child

      Risk level: Medium High · Correct-by date in the state file: September 22, 2023 · Correction verified: October 4, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Based on the video footage on 9.19.23 the caregivers were not observed handwashing their hands or the children between diaper changing.

    • 746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders

      Risk level: Medium High · Correct-by date in the state file: September 22, 2023 · Correction verified: October 4, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Based on the video footage on 9.19.23 a snack was being provided to the children on a bare table.

    • 746.2501(4) - Care Requirements for Toddlers - Holding and Comforting

      Risk level: Medium High · Correct-by date in the state file: September 22, 2023 · Correction verified: October 4, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

    • 746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment

      Risk level: Medium High · Correct-by date in the state file: September 22, 2023 · Correction verified: October 4, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Based on the video footage on 9.19.23 the caregivers were not observed sanitizing tables before providing the children a snack.

    • 746.1203(5) - Responsibilities of Caregivers - Interact positively with children

      Risk level: Medium High · Correct-by date in the state file: September 22, 2023 · Correction verified: October 4, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

    • 746.2803(4)(D) - Positive Methods of Discipline and Guidance - Brief Supervised Separation

      Risk level: Medium · Correct-by date in the state file: September 22, 2023 · Correction verified: October 4, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

14. September 21, 2023 · Investigation · No citations

15. September 21, 2023 · Investigation · 1 citation

    • 746.2803(4)(C) - Positive Methods of Discipline and Guidance - Redirecting Behavior

      Risk level: Medium High · Correct-by date in the state file: September 22, 2023 · Correction verified: October 4, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

16. September 15, 2023 · Inspection · No citations

17. July 20, 2023 · Inspection · 3 citations

    • 746.1311(a) - Director Annual Training 30 Hours Required

      Risk level: Medium · Correct-by date in the state file: August 20, 2023 · Correction verified: August 3, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      The director is missing the 30 hours of the annual training.

    • 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

      Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

    • 746.1309(a) - Documented Annual Training Area - 24 Hours Required

      Risk level: Medium · Correct-by date in the state file: August 20, 2023 · Correction verified: July 25, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      One of the six staff files were missing 24 hours of training from May 2022-2023.

18. January 26, 2023 · Inspection · No citations

19. January 23, 2023 · Inspection · No citations

20. January 20, 2023 · Investigation (the program reported it to the state) · 1 citation

    • 746.1203(4) - Responsibilities of Caregivers - Supervision of Children

      Risk level: High · Correct-by date in the state file: January 23, 2023 · Correction verified: January 26, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

21. August 11, 2022 · Inspection · 2 citations

    • 746.613(b) - Immunization Records, Exceptions, and Exemptions Current

      Risk level: Medium High · Correct-by date in the state file: August 18, 2022 · Correction verified: August 11, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      One of the six children did not have a current immunization record on file.

    • 746.1309(e) - Documented Annual Training- Required Content

      Risk level: Medium · Correct-by date in the state file: September 11, 2022 · Correction verified: September 13, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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

View the official record

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Sources

• HHSC CCL Daycare and Residential Operations Data: program details.
• HHSC CCL Inspection Investigation Assessment Data: visit dates and types.
• HHSC CCL Non-Compliance Data: citations, risk levels, corrections and inspector's notes.

All three are published by the Texas Health and Human Services Commission, Child Care Licensing, on data.texas.gov under CC0 1.0. State files updated November 12, 2026. We show the state's text as published, except that we restore apostrophes the files print as "?". Program details last checked October 21, 2026.