Avance San Antonio Cdc Frank Garrett

• Critical AP Initial background checks submitted - At the time you hire someone
  Inspector's note: A staff member was present at the operation, and had access to children, without a background check. Risk level: High. Corrected by 2026-09-02.

• Critical AP Initial background checks submitted - At the time you hire someone
  Inspector's note: A staff member was present at the operation, and had access to children, without a background check. Risk level: High. Corrected by 2026-09-02.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Annual Sanitation Inspection
  Inspector's note: The health inspection was last conducted on 3.25.24. Risk level: Medium High. Corrected by 2025-05-07.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
  Inspector's note: 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. Risk level: High. Corrected by 2023-11-10.

• Critical Sanitize Tables Tops, Furniture and Similar Equipment
  Inspector's note: Based on the video footage on 9.19.23 the caregivers were not observed sanitizing tables before providing the children a snack. Risk level: Medium High. Corrected by 2023-09-22.
• Critical Care Requirements for Toddlers - Holding and Comforting
  Inspector's note: 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. Risk level: Medium High. Corrected by 2023-09-22.
• Critical Responsibilities of Caregivers - Interact positively with children
  Inspector's note: 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. Risk level: Medium High. Corrected by 2023-09-22.
• Non-critical Positive Methods of Discipline and Guidance - Brief Supervised Separation
  Inspector's note: 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. Risk level: Medium. Corrected by 2023-09-22.
• Critical Employee Handwashing After Diapering a Child
  Inspector's note: Based on the video footage on 9.19.23 the caregivers were not observed handwashing their hands or the children between diaper changing. Risk level: Medium High. Corrected by 2023-09-22.
• Critical Food Service and Preparation Requirement - Use Sanitary Holders
  Inspector's note: Based on the video footage on 9.19.23 a snack was being provided to the children on a bare table. Risk level: Medium High. Corrected by 2023-09-22.

No infractions recorded at this inspection.

• Critical Positive Methods of Discipline and Guidance - Redirecting Behavior
  Inspector's note: 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. Risk level: Medium High. Corrected by 2023-09-22.

No infractions recorded at this inspection.

• Non-critical 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
  Inspector's note: 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. Risk level: Medium. Corrected during the inspection.
• Non-critical Director Annual Training 30 Hours Required
  Inspector's note: The director is missing the 30 hours of the annual training. Risk level: Medium. Corrected by 2023-08-20.
• Non-critical Documented Annual Training Area - 24 Hours Required
  Inspector's note: One of the six staff files were missing 24 hours of training from May 2022-2023. Risk level: Medium. Corrected by 2023-08-20.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Responsibilities of Caregivers - Supervision of Children
  Inspector's note: 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. Risk level: High. Corrected by 2023-01-23.