Avance San Antonio CDC Frank Garrett, San Antonio, TX

The Essentials

Summary

Across 21 licensing visits from August 2022 to August 2026, HHSC cited 16 deficiencies at Avance San Antonio CDC Frank Garrett; 16 have a recorded correction.

Visits: 21; 2022–2026, inspections, investigations and assessments
Deficiencies: 16; Standards cited by HHSC inspectors
Corrected: 16; Of 16 deficiencies, with a recorded correction date
Investigations: 7; Licensing investigations, whatever prompted them

Deficiencies by Year

Deficiencies
Of which, high risk

* Partial year, through October 31, 2026.

Deficiencies by year
Year	Visits	Deficiencies	Of which, high risk
2021	0	0	0
2022	1	2	0
2023	12	12	2
2024	3	0	0
2025	2	1	0
2026	3	1	1

What the Record Shows

16 of 16 deficiencies have a recorded correction date.
HHSC’s files name no enforcement action in this window. They say whether a program is under corrective or adverse action, not what the action was.
7 visits in this window included an investigation. HHSC publishes what an investigation cited, not what the report to it alleged.
The latest inspection, March 30, 2026, recorded no deficiencies.

What to Ask About

What is the ratio in the room my child would join, and how is every child accounted for at nap time, pickup and on the playground?
Has the center ever been under corrective or adverse action, and what changed afterward?

Report at a Glance

Facility: Avance San Antonio CDC Frank Garrett
Address: 1226 NW 18Th St, San Antonio, TX 78207
Operation Number: TX-540916- 5052
License Type: Licensed child care center
Licensed Capacity: 56 children
Permit: Full Permit
Ages Served: infants, toddlers, pre-kindergarten
Hours: Mon–Fri, 8 a.m.–4 p.m.
Record Window: November 1, 2021 to October 31, 2026

Chronology

Inspection History

Every visit in the record window, newest first. A deficiency is a licensing standard Texas inspectors found was not met. HHSC publishes what an investigation cited, not what the report to it alleged.

Aug 272026
Investigation
1 deficiency
Opened on a report the operation made itself.
- 745.621(a)(2)AP Initial background checks submitted - At the time you hire someoneHigh riskCorrected Sep 2, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905201206
Jun 202026
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905201205
Mar 302026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055311
Jun 162025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055310
Apr 162025
Inspection
1 deficiency
- 746.3401(a)Annual Sanitation InspectionMedium-high riskCorrected May 7, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055309
Aug 262024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055308
Jul 252024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905201204
May 22024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055307
Nov 132023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055306
Oct 182023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055305
Oct 42023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055304
Sep 282023
Investigation
1 deficiency
- 746.1201(1)Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-controlHigh riskCorrected Nov 10, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905201203
Sep 222023
Inspection
6 deficiencies
- 746.3407(11)Sanitize Tables Tops, Furniture and Similar EquipmentMedium-high riskCorrected Sep 22, 2023
- 746.3415(4)Employee Handwashing After Diapering a ChildMedium-high riskCorrected Sep 22, 2023
- 746.1203(5)Responsibilities of Caregivers - Interact positively with childrenMedium-high riskCorrected Sep 22, 2023
- 746.2803(4)(D)Positive Methods of Discipline and Guidance - Brief Supervised SeparationMedium riskCorrected Sep 22, 2023
- 746.2501(4)Care Requirements for Toddlers - Holding and ComfortingMedium-high riskCorrected Sep 22, 2023
- 746.3317(6)Food Service and Preparation Requirement - Use Sanitary HoldersMedium-high riskCorrected Sep 22, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055303
Sep 212023
Investigation
1 deficiency
- 746.2803(4)(C)Positive Methods of Discipline and Guidance - Redirecting BehaviorMedium-high riskCorrected Sep 22, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905201201
Sep 212023
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905201202
Sep 152023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055302
Jul 202023
Inspection
3 deficiencies
- 746.1311(a)Director Annual Training 30 Hours RequiredMedium riskCorrected Aug 20, 2023
- 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 metMedium riskCorrected Jul 20, 2023
- 746.1309(a)Documented Annual Training Area - 24 Hours RequiredMedium riskCorrected Aug 20, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055301
Jan 262023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055300
Jan 232023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055299
Jan 202023
Investigation
1 deficiency
Opened on a report the operation made itself.
- 746.1203(4)Responsibilities of Caregivers - Supervision of ChildrenHigh riskCorrected Jan 23, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905201200
Aug 112022
Inspection
2 deficiencies
- 746.613(b)Immunization Records, Exceptions, and Exemptions CurrentMedium-high riskCorrected Aug 18, 2022
- 746.1309(e)Documented Annual Training- Required ContentMedium riskCorrected Sep 11, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905055298

Texas gives every licensing standard one of five risk levels, from low to high, by how likely a deficiency is to harm a child.

Context

Patterns Worth Examining

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

No citation repeats across the 21 visits in this window, and no deficiency is waiting on a verified correction. That is what the record shows; it is not a judgment of care. The questions that follow still apply.

For Your Next Visit

Questions to Ask on Your Visit

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

01
What is the ratio in the room my child would join, and how is every child accounted for at nap time, pickup and on the playground?
Ratios change through the day, so they are worth counting yourself on a visit.
02
Has the center ever been under corrective or adverse action, and what changed afterward?
HHSC’s files name no enforcement action in this window. They say whether a program is under corrective or adverse action, not what the action was.

The Evidence

Sources and Coverage

Program details, licensing visits and the deficiencies cited at each are published by the Texas Health and Human Services Commission's Child Care Regulation in its daily files on data.texas.gov.

Child Care Licensing operations (data.texas.gov)
Texas Health and Human Services Commission, Child Care Regulation · 540916- 5052
Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055298
Visit Aug 11, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905201200
Visit Jan 20, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055299
Visit Jan 23, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055300
Visit Jan 26, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055301
Visit Jul 20, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055302
Visit Sep 15, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905201201
Visit Sep 21, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905201202
Visit Sep 21, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055303
Visit Sep 22, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905201203
Visit Sep 28, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055304
Visit Oct 4, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055305
Visit Oct 18, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055306
Visit Nov 13, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055307
Visit May 2, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905201204
Visit Jul 25, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055308
Visit Aug 26, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055309
Visit Apr 16, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055310
Visit Jun 16, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905055311
Visit Mar 30, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905201205
Visit Jun 20, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905201206
Visit Aug 27, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗

Coverage

Record windowNovember 1, 2021 – October 31, 2026

This record is HHSC's list of operations as of October 2026, with the inspections, investigations and assessments in HHSC's files, which run from November 2021.
Listed family homes (one caregiver with up to three unrelated children, listed with HHSC but not inspected on a schedule) are not in this record.
HHSC's narrative for each deficiency is left out because it can name children, parents and staff; the rule cited, its risk level and the correction dates are kept.

What This Report Cannot Tell You

Inspector narratives: Published by HHSC but left out of this record because they can name people.
Enforcement actions: HHSC's files say whether an operation is under corrective or adverse action, not what the action was.
Complaints not investigated: Reports HHSC screened out without an investigation are not published.
Staff qualifications and turnover: Not part of the published licensing record.

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.