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Facts: In March 13, 2009, a site’s management office received a “Request for Permanent Permission” on behalf of a resident to allow her grandson to permanently join her household. The reason for the request was that he “recently moved in with me to care for me and help me in my old age. He is helping me every day with my companionship from which I suffer lately. Since I live alone I have been experiencing depression and loneliness. He is also helping me administering medications.”