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Avance San Antonio CDC Frank Garrett

Child care center · 1226 NW 18TH ST, San Antonio, TX 78207-1300 · License 540916- 5052

0Compliance score
Poor

Capacity 56. InfantToddlerPre-Kindergarten

Violation history (144)

SeverityDateStandard / narrativeCorrected
3 746.5205(4) - Documentation of Drills
The last fire drill conducted and documented was on 5/18/21. In addition to no documentation of the carbon monoxide. NOTE:Documented the last fire drill on August 18, 2021. NOTE: This was corrected at inspection when August fire drill was documented.
Yes
3 746.2803(4)(D) - 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.
4 746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The last daily building grounds inspection was conducted on 9/8/2021. NOTE: This was corrected at inspection when an inspection was conducted.
Yes
3 746.1309(e) - 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
3 746.1311(a) - Director Annual Training 30 Hours Required
The director is missing the 30 hours of the annual training.
4 746.1203(5) - 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.
4 746.3317(6) - 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.
4 746.2803(4)(C) - 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.
3 746.1613(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
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.
Yes
4 746.3407(11) - 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.
5 746.1201(1) - 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.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
One of the six staff files were missing 24 hours of training from May 2022-2023.
4 746.2501(4) - 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.
4 746.3415(4) - 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.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One of the six children did not have a current immunization record on file.
4 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.
Yes
4 746.3401(a) - Annual Sanitation Inspection
The health inspection was last conducted on 3.25.24.
5 746.1203(4) - 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.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection was last conducted on 3.25.24.
3 746.1309(e) - 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
5 746.1203(4) - 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.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
One of the six staff files were missing 24 hours of training from May 2022-2023.
3 746.1311(a) - Director Annual Training 30 Hours Required
The director is missing the 30 hours of the annual training.
4 746.2501(4) - 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.
4 746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The last daily building grounds inspection was conducted on 9/8/2021. NOTE: This was corrected at inspection when an inspection was conducted.
Yes
4 746.1203(5) - 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.
4 746.2803(4)(C) - 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.
4 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.
Yes
3 746.2803(4)(D) - 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.
3 746.5205(4) - Documentation of Drills
The last fire drill conducted and documented was on 5/18/21. In addition to no documentation of the carbon monoxide. NOTE:Documented the last fire drill on August 18, 2021. NOTE: This was corrected at inspection when August fire drill was documented.
Yes
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One of the six children did not have a current immunization record on file.
4 746.3317(6) - 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.
4 746.3407(11) - 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.
5 746.1201(1) - 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.
3 746.1613(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
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.
Yes
4 746.3415(4) - 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.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
One of the six staff files were missing 24 hours of training from May 2022-2023.
3 746.1613(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
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.
Yes
3 746.2803(4)(D) - 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.
4 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.
Yes
4 746.2803(4)(C) - 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.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection was last conducted on 3.25.24.
4 746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The last daily building grounds inspection was conducted on 9/8/2021. NOTE: This was corrected at inspection when an inspection was conducted.
Yes
3 746.1309(e) - 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
4 746.3415(4) - 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.
4 746.2501(4) - 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.
3 746.5205(4) - Documentation of Drills
The last fire drill conducted and documented was on 5/18/21. In addition to no documentation of the carbon monoxide. NOTE:Documented the last fire drill on August 18, 2021. NOTE: This was corrected at inspection when August fire drill was documented.
Yes
4 746.3317(6) - 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.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One of the six children did not have a current immunization record on file.
4 746.1203(5) - 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.
5 746.1201(1) - 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.
5 746.1203(4) - 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.
4 746.3407(11) - 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.
3 746.1311(a) - Director Annual Training 30 Hours Required
The director is missing the 30 hours of the annual training.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection was last conducted on 3.25.24.
3 746.1613(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
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.
Yes
3 746.2803(4)(D) - 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.
4 746.3317(6) - 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.
3 746.5205(4) - Documentation of Drills
The last fire drill conducted and documented was on 5/18/21. In addition to no documentation of the carbon monoxide. NOTE:Documented the last fire drill on August 18, 2021. NOTE: This was corrected at inspection when August fire drill was documented.
Yes
5 746.1203(4) - 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.
4 746.1203(5) - 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.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
One of the six staff files were missing 24 hours of training from May 2022-2023.
3 746.1309(e) - 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
4 746.3415(4) - 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.
4 746.3407(11) - 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.
4 746.2501(4) - 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.
4 746.2803(4)(C) - 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.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One of the six children did not have a current immunization record on file.
4 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.
Yes
4 746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The last daily building grounds inspection was conducted on 9/8/2021. NOTE: This was corrected at inspection when an inspection was conducted.
Yes
5 746.1201(1) - 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.
3 746.1311(a) - Director Annual Training 30 Hours Required
The director is missing the 30 hours of the annual training.
4 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.
Yes
4 746.2501(4) - 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.
4 746.2803(4)(C) - 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.
5 746.1201(1) - 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.
4 746.3415(4) - 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.
4 746.3317(6) - 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.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
One of the six staff files were missing 24 hours of training from May 2022-2023.
3 746.5205(4) - Documentation of Drills
The last fire drill conducted and documented was on 5/18/21. In addition to no documentation of the carbon monoxide. NOTE:Documented the last fire drill on August 18, 2021. NOTE: This was corrected at inspection when August fire drill was documented.
Yes
4 746.1203(5) - 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.
4 746.3407(11) - 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.
4 746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The last daily building grounds inspection was conducted on 9/8/2021. NOTE: This was corrected at inspection when an inspection was conducted.
Yes
3 746.1613(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
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.
Yes
3 746.1311(a) - Director Annual Training 30 Hours Required
The director is missing the 30 hours of the annual training.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One of the six children did not have a current immunization record on file.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection was last conducted on 3.25.24.
3 746.1309(e) - 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
5 746.1203(4) - 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.
3 746.2803(4)(D) - 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.
3 746.5205(4) - Documentation of Drills
The last fire drill conducted and documented was on 5/18/21. In addition to no documentation of the carbon monoxide. NOTE:Documented the last fire drill on August 18, 2021. NOTE: This was corrected at inspection when August fire drill was documented.
Yes
3 746.1311(a) - Director Annual Training 30 Hours Required
The director is missing the 30 hours of the annual training.
4 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.
Yes
4 746.3401(a) - Annual Sanitation Inspection
The health inspection was last conducted on 3.25.24.
4 746.2803(4)(C) - 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.
5 746.1203(4) - 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.
5 746.1201(1) - 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.
3 746.2803(4)(D) - 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.
3 746.1613(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
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.
Yes
4 746.2501(4) - 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.

Severity 5 = most serious. Source: official state record.

Inspections (64)

64 inspection record(s) on file from TX-HHSC.

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