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Can a household of two (husband and wife) sponsor a caregiver, even without a child or elderly person in the household?

I don't see how.
 
Can a household of two (husband and wife) sponsor a caregiver, even without a child or elderly person in the household?
Why do you need a caregiver without anyone living in your home? Who is the caregiver looking after? Hire a cleaner if you need help around your house.
 
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