Ruby's Childcare

903 West Avenue, Buffalo, NY 14213Registration
F

Data Freshness & Provenance

Inspection coverage

31 inspections on record

Active providers

License status: Registration

Last refreshed

April 3, 2026

Latest inspection

February 17, 2026

Provenance

New York licensing inspections and DaycareCheck scoring

Quick Facts

These facts are normalized from the official record so they can be quoted directly.

Updated April 3, 2026

Provider
Ruby's Childcare
License number
876757
Location
903 West Avenue, Buffalo, NY 14213
Status
Registration
Safety grade
F (Poor), score 15.0/100
Inspection record
31 inspections, last inspected February 17, 2026
Provenance
Official state licensing inspections and DaycareCheck scoring. Last refreshed April 3, 2026.

Safety Scorecard

F
Poor15.0 / 100
Health0/100
Safety0/100
Staffing0/100
Compliance100/100

100

Total Violations

Feb 17, 2026

Last Inspection

8

Capacity

Violation Timeline

Violations by month over the last 3 years, colored by severity.

All Violations (100)

SERIOUSHEALTH417.11(a)(1)Jan 12, 2024

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH417.11(a)(1)Jan 12, 2024

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH417.11(a)(1)Jan 12, 2024

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH417.11(a)(1)Jan 12, 2024

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH417.11(a)(1)Jan 12, 2024

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSSTAFFING417.14(c)Dec 1, 2023

Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required (30) hours of training every two years is subject to the following conditions:

Resolution: Corrected

SERIOUSSTAFFING417.14(c)(1)Dec 1, 2023

Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required (30) hours of training every two years is subject to the following conditions: Fifteen of the required thirty (30) hours of training must be obtained during the person's first six months at the program.

Resolution: Corrected

SERIOUSSTAFFING417.14(n)Dec 1, 2023

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSSTAFFING417.14(b)(1)Dec 1, 2023

Each applicant must complete the Office-approved training that complies with the federal minimum health and safety pre-service training requirements or three-month orientation period training requirements. This training must be obtained pre-service or within three months of starting such position. Individuals who have completed Office approved training that complies with federal health and safety requirements may be left unsupervised with children. Any teacher, director, or volunteer who does not complete this training must not be left unsupervised with children in care until such times as the training has been completed.

Resolution: Corrected

SERIOUSSTAFFING417.14(c)(1)Dec 1, 2023

Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required (30) hours of training every two years is subject to the following conditions: Fifteen of the required thirty (30) hours of training must be obtained during the person's first six months at the program.

Resolution: Corrected

SERIOUSSTAFFING417.14(n)Dec 1, 2023

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSSTAFFING417.14(c)Dec 1, 2023

Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required (30) hours of training every two years is subject to the following conditions:

Resolution: Corrected

SERIOUSSTAFFING417.14(c)(1)Dec 1, 2023

Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required (30) hours of training every two years is subject to the following conditions: Fifteen of the required thirty (30) hours of training must be obtained during the person's first six months at the program.

Resolution: Corrected

SERIOUSSTAFFING417.14(n)Dec 1, 2023

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSSTAFFING417.14(b)(1)Dec 1, 2023

Each applicant must complete the Office-approved training that complies with the federal minimum health and safety pre-service training requirements or three-month orientation period training requirements. This training must be obtained pre-service or within three months of starting such position. Individuals who have completed Office approved training that complies with federal health and safety requirements may be left unsupervised with children. Any teacher, director, or volunteer who does not complete this training must not be left unsupervised with children in care until such times as the training has been completed.

Resolution: Corrected

SERIOUSSTAFFING417.14(c)Dec 1, 2023

Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required (30) hours of training every two years is subject to the following conditions:

Resolution: Corrected

SERIOUSSTAFFING417.14(c)(1)Dec 1, 2023

Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required (30) hours of training every two years is subject to the following conditions: Fifteen of the required thirty (30) hours of training must be obtained during the person's first six months at the program.

Resolution: Corrected

SERIOUSSTAFFING417.14(n)Dec 1, 2023

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSSTAFFING417.14(b)(1)Dec 1, 2023

Each applicant must complete the Office-approved training that complies with the federal minimum health and safety pre-service training requirements or three-month orientation period training requirements. This training must be obtained pre-service or within three months of starting such position. Individuals who have completed Office approved training that complies with federal health and safety requirements may be left unsupervised with children. Any teacher, director, or volunteer who does not complete this training must not be left unsupervised with children in care until such times as the training has been completed.

Resolution: Corrected

SERIOUSSTAFFING417.14(c)Dec 1, 2023

Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required (30) hours of training every two years is subject to the following conditions:

Resolution: Corrected

SERIOUSSTAFFING417.14(b)(1)Dec 1, 2023

Each applicant must complete the Office-approved training that complies with the federal minimum health and safety pre-service training requirements or three-month orientation period training requirements. This training must be obtained pre-service or within three months of starting such position. Individuals who have completed Office approved training that complies with federal health and safety requirements may be left unsupervised with children. Any teacher, director, or volunteer who does not complete this training must not be left unsupervised with children in care until such times as the training has been completed.

Resolution: Corrected

SERIOUSSTAFFING417.14(c)Dec 1, 2023

Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required (30) hours of training every two years is subject to the following conditions:

Resolution: Corrected

SERIOUSSTAFFING417.14(c)(1)Dec 1, 2023

Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required (30) hours of training every two years is subject to the following conditions: Fifteen of the required thirty (30) hours of training must be obtained during the person's first six months at the program.

Resolution: Corrected

SERIOUSSTAFFING417.14(n)Dec 1, 2023

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSSTAFFING417.14(b)(1)Dec 1, 2023

Each applicant must complete the Office-approved training that complies with the federal minimum health and safety pre-service training requirements or three-month orientation period training requirements. This training must be obtained pre-service or within three months of starting such position. Individuals who have completed Office approved training that complies with federal health and safety requirements may be left unsupervised with children. Any teacher, director, or volunteer who does not complete this training must not be left unsupervised with children in care until such times as the training has been completed.

Resolution: Corrected

SERIOUSSTAFFING417.13(a)(3)Oct 25, 2023

The provider, assistant(s), and substitutes must each meet the following qualifications: be capable of providing, and agree to provide, safe and suitable care to children which is supportive of the children's physical, intellectual, emotional and social well-being;

Resolution: Corrected

SERIOUSSAFETY417.15(b)(4)Oct 25, 2023

The caregivers, employees, volunteers and all members of the household must be in good health and be of good character and habits.

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)(i)Oct 25, 2023

the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:over-the-counter topical ointments, lotions and creams, sprays, including sunscreen products and topically applied insect repellant; and/or

Resolution: Corrected

SERIOUSSAFETY417.15(b)(14)(ii)Oct 25, 2023

The caregiver must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by a caregiver: serious incident,

Resolution: Corrected

SERIOUSSAFETY417.15(b)(14)(iv)Oct 25, 2023

The caregiver must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by a caregiver: serious condition,

Resolution: Corrected

SERIOUSSAFETY417.15(c)(5)Oct 25, 2023

The program must maintain on file at the family day care home, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;

Resolution: Corrected

SERIOUSHEALTH417.11(a)(1)Oct 25, 2023

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)Oct 25, 2023

The Registrant must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all caregivers and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:

Resolution: Corrected

SERIOUSHEALTH417.11(c)Oct 25, 2023

The Health Care Plan.

Resolution: Corrected

SERIOUSHEALTH417.11(a)(2)Oct 25, 2023

The written medical statement from the health care provider must also state whether the child is a child with special health care needs and, if so, what special provisions, if any, will be necessary in order for the child to participate in child day care. When the written statement from the health care provider advises the day care program that the child being enrolled is a child with special health care needs, the day care program must work together with the parent and the child's health care provider to develop a reasonable health care plan for the child while the child is in the child day care program. The health care plan for the child must also address how the day care program will obtain or develop any additional compentencies that the caregivers will need to have in order to carry out the health care plan for the child.

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)(ii)Oct 25, 2023

the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are: epinephrine auto injectors, Diphenhydramine in combination with the auto injector, asthma inhalers and nebulizers.

Resolution: Corrected

SERIOUSHEALTH417.11(e)(1)Oct 25, 2023

All caregivers, except those excluded pursuant to this section, who have agreed to administer medication must complete the Office-approved Medication Administration Training (MAT) or an Office-approved equivalent before administering medications to children in day care. The certification of training in the administration of medications to children in day care shall be effective for a period of three-years from the date of issuance. The caregiver must complete a recertification training approved by the Office in order to extend the certification for each additional three year period. Where a certification lapses, the caregiver may not be recertified unless the caregiver completes the initial (MAT) or the recertification training, as required by the Office. Where enforcement action has been taken against the registrant based on a failure by the program to comply with requirements for the administration of medications set forth in this section, the Office may require retraining or may prohibit a caregiver from being involved in the administration of medications.

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)Oct 25, 2023

Caregivers may administer medication only in accordance with the following:

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)(i)Oct 25, 2023

All programs that choose to administer medications other than epinephrine auto injectors, diphenhydramine in combination with the auto injector, asthma inhalers and nebulizers, topical ointments, lotions, creams and sprays to children must have a health care consultant of record and must address the administration of medications in the health care plan in accordance with the requirements of section 417.11 of this Part.

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)(ii)Oct 25, 2023

The program must confer with a health care consultant regarding the program's policies and procedures related to the administration of medications. This consultation must include a review of the documentation that all caregivers authorized to administer medications have the necessary professional license or have completed the necessary training.

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)(ii)Oct 25, 2023

The program must confer with a health care consultant regarding the program's policies and procedures related to the administration of medications. This consultation must include a review of the documentation that all caregivers authorized to administer medications have the necessary professional license or have completed the necessary training.

Resolution: Corrected

SERIOUSSTAFFING417.13(a)(3)Oct 25, 2023

The provider, assistant(s), and substitutes must each meet the following qualifications: be capable of providing, and agree to provide, safe and suitable care to children which is supportive of the children's physical, intellectual, emotional and social well-being;

Resolution: Corrected

SERIOUSSAFETY417.15(b)(4)Oct 25, 2023

The caregivers, employees, volunteers and all members of the household must be in good health and be of good character and habits.

Resolution: Corrected

SERIOUSSAFETY417.15(b)(14)(ii)Oct 25, 2023

The caregiver must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by a caregiver: serious incident,

Resolution: Corrected

SERIOUSSAFETY417.15(b)(14)(iv)Oct 25, 2023

The caregiver must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by a caregiver: serious condition,

Resolution: Corrected

SERIOUSSAFETY417.15(c)(5)Oct 25, 2023

The program must maintain on file at the family day care home, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;

Resolution: Corrected

SERIOUSHEALTH417.11(a)(1)Oct 25, 2023

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH417.11(a)(2)Oct 25, 2023

The written medical statement from the health care provider must also state whether the child is a child with special health care needs and, if so, what special provisions, if any, will be necessary in order for the child to participate in child day care. When the written statement from the health care provider advises the day care program that the child being enrolled is a child with special health care needs, the day care program must work together with the parent and the child's health care provider to develop a reasonable health care plan for the child while the child is in the child day care program. The health care plan for the child must also address how the day care program will obtain or develop any additional compentencies that the caregivers will need to have in order to carry out the health care plan for the child.

Resolution: Corrected

SERIOUSHEALTH417.11(c)Oct 25, 2023

The Health Care Plan.

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)Oct 25, 2023

The Registrant must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all caregivers and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)(i)Oct 25, 2023

the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:over-the-counter topical ointments, lotions and creams, sprays, including sunscreen products and topically applied insect repellant; and/or

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)(ii)Oct 25, 2023

the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are: epinephrine auto injectors, Diphenhydramine in combination with the auto injector, asthma inhalers and nebulizers.

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)Oct 25, 2023

Caregivers may administer medication only in accordance with the following:

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)(i)Oct 25, 2023

All programs that choose to administer medications other than epinephrine auto injectors, diphenhydramine in combination with the auto injector, asthma inhalers and nebulizers, topical ointments, lotions, creams and sprays to children must have a health care consultant of record and must address the administration of medications in the health care plan in accordance with the requirements of section 417.11 of this Part.

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)(ii)Oct 25, 2023

The program must confer with a health care consultant regarding the program's policies and procedures related to the administration of medications. This consultation must include a review of the documentation that all caregivers authorized to administer medications have the necessary professional license or have completed the necessary training.

Resolution: Corrected

SERIOUSSTAFFING417.13(a)(3)Oct 25, 2023

The provider, assistant(s), and substitutes must each meet the following qualifications: be capable of providing, and agree to provide, safe and suitable care to children which is supportive of the children's physical, intellectual, emotional and social well-being;

Resolution: Corrected

SERIOUSSAFETY417.15(b)(4)Oct 25, 2023

The caregivers, employees, volunteers and all members of the household must be in good health and be of good character and habits.

Resolution: Corrected

SERIOUSSAFETY417.15(b)(14)(ii)Oct 25, 2023

The caregiver must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by a caregiver: serious incident,

Resolution: Corrected

SERIOUSSAFETY417.15(b)(14)(iv)Oct 25, 2023

The caregiver must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by a caregiver: serious condition,

Resolution: Corrected

SERIOUSSAFETY417.15(c)(5)Oct 25, 2023

The program must maintain on file at the family day care home, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;

Resolution: Corrected

SERIOUSHEALTH417.11(e)(1)Oct 25, 2023

All caregivers, except those excluded pursuant to this section, who have agreed to administer medication must complete the Office-approved Medication Administration Training (MAT) or an Office-approved equivalent before administering medications to children in day care. The certification of training in the administration of medications to children in day care shall be effective for a period of three-years from the date of issuance. The caregiver must complete a recertification training approved by the Office in order to extend the certification for each additional three year period. Where a certification lapses, the caregiver may not be recertified unless the caregiver completes the initial (MAT) or the recertification training, as required by the Office. Where enforcement action has been taken against the registrant based on a failure by the program to comply with requirements for the administration of medications set forth in this section, the Office may require retraining or may prohibit a caregiver from being involved in the administration of medications.

Resolution: Corrected

SERIOUSHEALTH417.11(a)(1)Oct 25, 2023

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH417.11(a)(2)Oct 25, 2023

The written medical statement from the health care provider must also state whether the child is a child with special health care needs and, if so, what special provisions, if any, will be necessary in order for the child to participate in child day care. When the written statement from the health care provider advises the day care program that the child being enrolled is a child with special health care needs, the day care program must work together with the parent and the child's health care provider to develop a reasonable health care plan for the child while the child is in the child day care program. The health care plan for the child must also address how the day care program will obtain or develop any additional compentencies that the caregivers will need to have in order to carry out the health care plan for the child.

Resolution: Corrected

SERIOUSHEALTH417.11(c)Oct 25, 2023

The Health Care Plan.

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)Oct 25, 2023

The Registrant must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all caregivers and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)(i)Oct 25, 2023

the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:over-the-counter topical ointments, lotions and creams, sprays, including sunscreen products and topically applied insect repellant; and/or

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)(ii)Oct 25, 2023

the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are: epinephrine auto injectors, Diphenhydramine in combination with the auto injector, asthma inhalers and nebulizers.

Resolution: Corrected

SERIOUSHEALTH417.11(e)(1)Oct 25, 2023

All caregivers, except those excluded pursuant to this section, who have agreed to administer medication must complete the Office-approved Medication Administration Training (MAT) or an Office-approved equivalent before administering medications to children in day care. The certification of training in the administration of medications to children in day care shall be effective for a period of three-years from the date of issuance. The caregiver must complete a recertification training approved by the Office in order to extend the certification for each additional three year period. Where a certification lapses, the caregiver may not be recertified unless the caregiver completes the initial (MAT) or the recertification training, as required by the Office. Where enforcement action has been taken against the registrant based on a failure by the program to comply with requirements for the administration of medications set forth in this section, the Office may require retraining or may prohibit a caregiver from being involved in the administration of medications.

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)Oct 25, 2023

Caregivers may administer medication only in accordance with the following:

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)(i)Oct 25, 2023

All programs that choose to administer medications other than epinephrine auto injectors, diphenhydramine in combination with the auto injector, asthma inhalers and nebulizers, topical ointments, lotions, creams and sprays to children must have a health care consultant of record and must address the administration of medications in the health care plan in accordance with the requirements of section 417.11 of this Part.

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)(ii)Oct 25, 2023

The program must confer with a health care consultant regarding the program's policies and procedures related to the administration of medications. This consultation must include a review of the documentation that all caregivers authorized to administer medications have the necessary professional license or have completed the necessary training.

Resolution: Corrected

SERIOUSSTAFFING417.13(a)(3)Oct 25, 2023

The provider, assistant(s), and substitutes must each meet the following qualifications: be capable of providing, and agree to provide, safe and suitable care to children which is supportive of the children's physical, intellectual, emotional and social well-being;

Resolution: Corrected

SERIOUSSAFETY417.15(b)(4)Oct 25, 2023

The caregivers, employees, volunteers and all members of the household must be in good health and be of good character and habits.

Resolution: Corrected

SERIOUSSAFETY417.15(b)(14)(ii)Oct 25, 2023

The caregiver must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by a caregiver: serious incident,

Resolution: Corrected

SERIOUSSAFETY417.15(b)(14)(iv)Oct 25, 2023

The caregiver must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by a caregiver: serious condition,

Resolution: Corrected

SERIOUSSAFETY417.15(c)(5)Oct 25, 2023

The program must maintain on file at the family day care home, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;

Resolution: Corrected

SERIOUSHEALTH417.11(a)(1)Oct 25, 2023

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH417.11(a)(2)Oct 25, 2023

The written medical statement from the health care provider must also state whether the child is a child with special health care needs and, if so, what special provisions, if any, will be necessary in order for the child to participate in child day care. When the written statement from the health care provider advises the day care program that the child being enrolled is a child with special health care needs, the day care program must work together with the parent and the child's health care provider to develop a reasonable health care plan for the child while the child is in the child day care program. The health care plan for the child must also address how the day care program will obtain or develop any additional compentencies that the caregivers will need to have in order to carry out the health care plan for the child.

Resolution: Corrected

SERIOUSHEALTH417.11(c)Oct 25, 2023

The Health Care Plan.

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)Oct 25, 2023

The Registrant must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all caregivers and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)(i)Oct 25, 2023

the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:over-the-counter topical ointments, lotions and creams, sprays, including sunscreen products and topically applied insect repellant; and/or

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)(ii)Oct 25, 2023

the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are: epinephrine auto injectors, Diphenhydramine in combination with the auto injector, asthma inhalers and nebulizers.

Resolution: Corrected

SERIOUSHEALTH417.11(e)(1)Oct 25, 2023

All caregivers, except those excluded pursuant to this section, who have agreed to administer medication must complete the Office-approved Medication Administration Training (MAT) or an Office-approved equivalent before administering medications to children in day care. The certification of training in the administration of medications to children in day care shall be effective for a period of three-years from the date of issuance. The caregiver must complete a recertification training approved by the Office in order to extend the certification for each additional three year period. Where a certification lapses, the caregiver may not be recertified unless the caregiver completes the initial (MAT) or the recertification training, as required by the Office. Where enforcement action has been taken against the registrant based on a failure by the program to comply with requirements for the administration of medications set forth in this section, the Office may require retraining or may prohibit a caregiver from being involved in the administration of medications.

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)Oct 25, 2023

Caregivers may administer medication only in accordance with the following:

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)(i)Oct 25, 2023

All programs that choose to administer medications other than epinephrine auto injectors, diphenhydramine in combination with the auto injector, asthma inhalers and nebulizers, topical ointments, lotions, creams and sprays to children must have a health care consultant of record and must address the administration of medications in the health care plan in accordance with the requirements of section 417.11 of this Part.

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)(ii)Oct 25, 2023

The program must confer with a health care consultant regarding the program's policies and procedures related to the administration of medications. This consultation must include a review of the documentation that all caregivers authorized to administer medications have the necessary professional license or have completed the necessary training.

Resolution: Corrected

SERIOUSSTAFFING417.13(a)(3)Oct 25, 2023

The provider, assistant(s), and substitutes must each meet the following qualifications: be capable of providing, and agree to provide, safe and suitable care to children which is supportive of the children's physical, intellectual, emotional and social well-being;

Resolution: Corrected

SERIOUSSAFETY417.15(b)(4)Oct 25, 2023

The caregivers, employees, volunteers and all members of the household must be in good health and be of good character and habits.

Resolution: Corrected

SERIOUSSAFETY417.15(b)(14)(ii)Oct 25, 2023

The caregiver must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by a caregiver: serious incident,

Resolution: Corrected

SERIOUSSAFETY417.15(b)(14)(iv)Oct 25, 2023

The caregiver must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by a caregiver: serious condition,

Resolution: Corrected

SERIOUSSAFETY417.15(c)(5)Oct 25, 2023

The program must maintain on file at the family day care home, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;

Resolution: Corrected

SERIOUSHEALTH417.11(a)(1)Oct 25, 2023

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH417.11(a)(2)Oct 25, 2023

The written medical statement from the health care provider must also state whether the child is a child with special health care needs and, if so, what special provisions, if any, will be necessary in order for the child to participate in child day care. When the written statement from the health care provider advises the day care program that the child being enrolled is a child with special health care needs, the day care program must work together with the parent and the child's health care provider to develop a reasonable health care plan for the child while the child is in the child day care program. The health care plan for the child must also address how the day care program will obtain or develop any additional compentencies that the caregivers will need to have in order to carry out the health care plan for the child.

Resolution: Corrected

SERIOUSHEALTH417.11(c)Oct 25, 2023

The Health Care Plan.

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)Oct 25, 2023

The Registrant must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all caregivers and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)(i)Oct 25, 2023

the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:over-the-counter topical ointments, lotions and creams, sprays, including sunscreen products and topically applied insect repellant; and/or

Resolution: Corrected

SERIOUSHEALTH417.11(c)(1)(ii)Oct 25, 2023

the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are: epinephrine auto injectors, Diphenhydramine in combination with the auto injector, asthma inhalers and nebulizers.

Resolution: Corrected

SERIOUSHEALTH417.11(e)(1)Oct 25, 2023

All caregivers, except those excluded pursuant to this section, who have agreed to administer medication must complete the Office-approved Medication Administration Training (MAT) or an Office-approved equivalent before administering medications to children in day care. The certification of training in the administration of medications to children in day care shall be effective for a period of three-years from the date of issuance. The caregiver must complete a recertification training approved by the Office in order to extend the certification for each additional three year period. Where a certification lapses, the caregiver may not be recertified unless the caregiver completes the initial (MAT) or the recertification training, as required by the Office. Where enforcement action has been taken against the registrant based on a failure by the program to comply with requirements for the administration of medications set forth in this section, the Office may require retraining or may prohibit a caregiver from being involved in the administration of medications.

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)Oct 25, 2023

Caregivers may administer medication only in accordance with the following:

Resolution: Corrected

SERIOUSHEALTH417.11(f)(1)(i)Oct 25, 2023

All programs that choose to administer medications other than epinephrine auto injectors, diphenhydramine in combination with the auto injector, asthma inhalers and nebulizers, topical ointments, lotions, creams and sprays to children must have a health care consultant of record and must address the administration of medications in the health care plan in accordance with the requirements of section 417.11 of this Part.

Resolution: Corrected

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Frequently Asked Questions

What is Ruby's Childcare's safety grade?

Ruby's Childcare has a safety grade of F (Poor) based on state inspection data. The composite score is 15.0 out of 100.

How many violations does Ruby's Childcare have?

Ruby's Childcare has 100 total violations on record, including 0 critical, 100 serious, and 0 minor.

When was Ruby's Childcare last inspected?

Ruby's Childcare was last inspected on February 17, 2026.

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