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I contacted ADA
I asked them:
A housing lease restricts number of people living in a unit/house to two adults. Prohibits children.Family member requires live in caregiver.
Client is must (is required to) provide room and board.
May the client have the caregiver reside in the unit with the two adults?

Is it necessary to have a codicil added to the lease providing the caregiver access and housing.

They replied:
The ADA does not apply to private housing

They recommend that the person put the request in writing, include medical documentation, include the section of the law if he/she thinks it will be helpful. If the request is denied the person can either file a lawsuit or file a complaint with the State Commission Against Discrimination
....not sure about the codicil. .... a written response from the housing provider would be adequate, but you may want to discuss it with a housing attorney.

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and select the PDF download of an article by TenantsUnion.org that should help.with this issue.
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What state do you live in? There are federal fair housing laws and individual state laws that may be in addition to federal laws.
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Family member needs to move to Assisted Living. I take it they are living in a senior subsidized housing unit, and if you move someone else in, they will boot all of you OUT.
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I am unsure if there is a question here. The ADA does apply to private housing. People with disabilities have the right to buy or rent properties, and apartments now have to provide reasonable accommodations for disabilities. The question is if a third person would be a reasonable accommodation. If it were a seeing-eye dog for a blind person, it could be seen as reasonable. But a third person may present more problems if the apartment is made to house only two people. What can be done is to apply for an exception to the lease. The worst that could happen is they would deny the request.
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If it is only a 1 bedroom, I doubt they would make an exception. Caregivers are required to have a separate bedroom. If they only have one bedroom, nothing can be done to change that.
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There's also the issues of another vehicle in parking lot, another person using laundry room, more water, more showers, more mail, more elevator rides, etc.....I can imagine it also sets a precedent that others in same building (designed for X amount of occupants) and eventually they would exceed the # of people the Fire Marshall allows. OK maybe all that is overboard, but basically another body IS another body, and an apartment can only have a limited number of bodies.
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Samara - true about the another body... in California the unstated law is two people per bedroom plus one - meaning three people can live in a one bedroom - there have been lawsuits when landlords try to get around this.
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