Avance San Antonio CDC Frank Garrett

The health inspection was last conducted on 3.25.24.

Resolution: Corrected: 2025-05-07

The health inspection was last conducted on 3.25.24.

Resolution: Corrected: 2025-05-07

The health inspection was last conducted on 3.25.24.

Resolution: Corrected: 2025-05-07

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.

Resolution: Corrected: 2023-11-10

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.

Resolution: Corrected: 2023-11-10

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.

Resolution: Corrected: 2023-11-10

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

Resolution: Corrected: 2023-09-22

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

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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

Resolution: Corrected: 2023-09-22

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

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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

Resolution: Corrected: 2023-09-22

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

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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.

Resolution: Corrected: 2023-09-22

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

Resolution: Corrected: 2023-08-20

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

Resolution: Corrected: 2023-08-20

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2023-08-20

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2023-08-20

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.

Resolution: Corrected at inspection

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

Resolution: Corrected: 2023-08-20

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

Resolution: Corrected: 2023-08-20

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.

Resolution: Corrected: 2023-01-23

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.

Resolution: Corrected: 2023-01-23

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.

Resolution: Corrected: 2023-01-23

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

Resolution: Corrected: 2022-09-11

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

Resolution: Corrected: 2022-09-11

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

Resolution: Corrected: 2022-08-18

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

Resolution: Corrected: 2022-09-11

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

Resolution: Corrected: 2022-08-18

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

Resolution: Corrected: 2022-08-18

No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.

Resolution: Corrected at inspection

The last daily building grounds inspection was conducted on 9/8/2021. NOTE: This was corrected at inspection when an inspection was conducted.

Resolution: Corrected at inspection

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.

Resolution: Corrected at inspection

No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.

Resolution: Corrected at inspection

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.

Resolution: Corrected at inspection

The last daily building grounds inspection was conducted on 9/8/2021. NOTE: This was corrected at inspection when an inspection was conducted.

Resolution: Corrected at inspection

No documentation of carbon monoxide since last year. NOTE: This was corrected at inspection when the carbon monoxide in the kitchen was tested.

Resolution: Corrected at inspection

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.

Resolution: Corrected at inspection

The last daily building grounds inspection was conducted on 9/8/2021. NOTE: This was corrected at inspection when an inspection was conducted.

Resolution: Corrected at inspection