<p>Jana Tritto has 20 children, most of whom are adopted. Eight of them are grown up and have moved out, eight still live with her and four have died. All but three of her kids have special needs.</p>
<p>Jana Tritto and her daughter Kristina enjoy some down time in the sun room.</p>
<p>Jana Tritto opens the medicine cabinet where the family keeps everyones medication and daily vitamins. Theyre all on some kind of medication, if not six, she said.</p>
<p>Jana Tritto tells some of her kids to go for a walk while she hangs out with Heather.</p>
<p>Jana Tritto puts lotion on her daughter Anna's skin. Anna uses sign language to communicate and likes having her back rubbed.</p>
<p>Stacy Tritto fills the dogs water bucket as part of her chores.</p>
<p>Jana Tritto watches as her kids go out for a walk during their down time.</p>
<p>From left to right, Dana, Matthew and Stacy go for a walk during their down time for the day.</p>
<p>Jana Tritto and her daughter Kristina enjoy some down time in the sun room.</p>
<p>Jana Tritto opens the medicine cabinet where the family keeps everyone’s medication and daily vitamins. “They’re all on some kind of medication, if not six,” she said.</p>
<p>Jana Tritto tells some of her kids to go for a walk while she hangs out with Heather.</p>
<p>Jana Tritto puts lotion on her daughter Anna's skin. Anna uses sign language to communicate and likes having her back rubbed.</p>
<p>Stacy Tritto fills the dogs’ water bucket as part of her chores.</p>
<p>Jana Tritto watches as her kids go out for a walk during their down time.</p>
<p>From left to right, Dana, Matthew and Stacy go for a walk during their down time for the day.</p>