I think you are being way too polite which is coming across as wishy washy. Stop apologizing. I don't mean that in a harsh way but there is absolutely no reason for YOU to be apologizing!

I would have simply said:
"For future reference and to reiterate what has already been relayed to you regarding care on tuesdays, without 48 hours notice I cannot provide care. The next time DCG comes to my home when she is not scheduled you will be immediately terminated. I have made my licensor aware of the ongoing issue".

Your not being rude but you are also not apologizing or being wishy washy. It is very clear and you stated a clear consequence. Right now mom does not have one.

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