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This probably isn't much help - DH has a cousin who lives with her girlfriend and the two of them have legal guardianship of the girlfriend's niece.
I don't know all the legal details, but I know them getting guardianship was important to them because the little girl has Cerebral Palsy and they needed guardianship to be able to enroll her in a school with the appropriate services for CP, receive child's social security disability support (otherwise it kept going to the girl's mom), receive other support from the state in regards to getting the little girl a wheelchair, etc.
Probably doesn't really help you in knowing what your rights would be, huh? In this case, the girl's mom doesn't want any contact with the child so they weren't worried about her contesting any decisions they made, etc. Mostly just needed the financial support and to put the girl on the cousin's insurance.