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February 2, 2026 CERTIFIED MAIL Hans Ngowah Mbangowah 2705 Dana Drive Burnsville, Minnesota 55337 License Number 1114256 AFC ORDER TO PAY A FINE Dear Hans Ngowah Mbangowah: Based on the recommendation of Dakota County, the Department of Human Services (“DHS”) is ordering you to pay a fine of $200 for one licensing violation. Details of our findings are provided below. Our next steps and your options are also detailed. REASON FOR FINE False and Misleading Information or Knowingly Withheld Relevant Information Dakota County determined that you knowingly withheld relevant information or provided false or misleading information related to your compliance with licensing rules and laws. On September 17, 2025, Dakota County conducted a licensing visit for your adult foster care program. The licensor completed their inspection of the bedroom that you stated was being used by the resident, on the upper level, first door on the left. During that inspection, the licensor determined that it appeared that your son was residing in the bedroom you identified being occupied by the resident. The licensor inquired again whose bedroom it was, and you repeated that it was the resident’s bedroom. The licensor evaluated the contents of the room, noted your explanations regarding your son’s belongings, and subsequently consulted the case manager to verify the location of the resident’s actual bedroom. An unannounced follow-up visit was conducted on September 19, 2025, which confirmed that the resident had been sleeping in a lower-level bedroom. During a phone conversation, you admitted that the resident frequently slept in the lower-level bedroom. You provided false or misleading information to the licensor by stating that the resident’s bedroom was located on the upper level of the home, which resulted in additional licensing activity and could have led to an incomplete inspection if the licensor did not pursue further clarification. You are being ordered to pay a $200 fine for providing false and misleading information to your Dakota County licensor. Statute Violated: Minnesota Statutes, section 245A.07, subdivision 3, paragraph (a), subparagraph (3). Billing and Payment of the Fine DHS will send you an invoice for the $200 fine. Payment must be made as directed on the invoice. If you request a contested case hearing, as described below, do not pay the fine at this time. Following the contested case hearing, the Commissioner of DHS will issue a final order on this matter. Please note, you may not avoid payment of this fine by closing, selling, or otherwise transferring the license to a third party. If this occurs, you are personally responsible for payment. If you do not pay the fine on or before the date specified on the invoice and you did not request a contested case hearing, as described below, the Commissioner may issue a second fine, may not issue or reissue a license, or may suspend the license until the license holder pays the fine. YOUR RIGHT TO APPEAL You have the right to appeal the fine. Your request must be in writing and clearly state that you are requesting a contested case hearing for this matter. Your request must be made before the deadlines provided below. If you do not meet this deadline, you lose your right to an administrative appeal. The timeline to appeal began when you received this order. If you are mailing your request, it must be sent by certified mail and postmarked within 10 calendar days from when you receive this order. Please send it to: Commissioner, Department of Human Services Office of Inspector General Legal Counsel’s Office Attention: Licensing Legal Unit PO Box 64953 St. Paul, MN 55164-0953 If your request is being personally delivered, it must be received by DHS within 10 calendar days from when you receive this order. Please bring it to: Commissioner, Department of Human Services Office of Inspector General Legal Counsel’s Office Attention: Licensing Legal Unit 444 Lafayette Road North St. Paul, MN 55155 Upon DHS’ receipt of your timely appeal, your case will be scheduled for a contested case hearing in front of an Administrative Law Judge. Following this hearing, the Commissioner of DHS will issue a final order. Legal representation at the contested case hearing You do not need a lawyer to appeal. However, a lawyer can help you with your appeal. The state or county will not get you a lawyer and will not pay for a lawyer. If you cannot afford a lawyer, you may be able to get free legal advice or help with your appeal. To find out if free help is available, contact: Volunteer Lawyers Network at 612-752-6677; Central Minnesota Legal Services at 612-332-8151; Southern Minnesota Legal Services at 651-222-4731; or go to www.lawhelpmn.org to find a local legal services program that may be able to help you. You can also find information on contested cases from the Office of Administrative Hearings website at https://mn.gov/oah/self-help. Click on Administrative Law Overview, then click on Administrative Law Contested Case Hearing Guide for a list of frequently asked questions. Legal authority for this licensing action · This action is taken under Minnesota Statutes, section 245A.07, subdivision 1, paragraph (a), which describes under which conditions DHS may impose a fine against a license. · DHS may impose a $200 fine for each health, safety, or supervision licensing violation under Minnesota Statutes, section 245A.07, subdivision 3, paragraph (c)(4)(iii). · Minnesota Statutes, section 245A.07, subdivision 3, paragraph (c)(5) states that license holders may not avoid payment of a fine by closing, selling, or transferring a license. · Minnesota Statutes, section 245A.07, subdivision 3, paragraph (c)(2), states that that the license holder shall pay the fine assessed on or before the payment date specified, and if the license holder does not do so the commissioner may issue a second fine or suspend the license until the license holder complies. · License holders have a right to appeal licensing actions and request a contested case hearing, under Minnesota Statutes, chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. Questions If you have any further questions regarding this matter, you may contact me at 651-201-5571. Sincerely,
Tawnya Arueya, Unit Supervisor Licensing Division Office of Inspector General cc: Jolene Swan, Dakota County
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