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All Kentuckians are mandated reporters. If you believe a child is being abused or neglected, call the Child Protection Hotline.

1-877-KYSAFE1 or 1-877-597-2331

For contact information in other states, please visit our Report It page.

Additional Support:

Child help: National Abuse Hotline:
or 1-800-422-4453


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TEN-4 Recap!

 We know that kids are kids, and sometimes they get minor cuts, scrapes, and bruises on the bony areas of the body, like their knees, elbows, and foreheads.  However, there are some injuries that may indicate that something is wrong. The TEN-4 bruising rule is an easy-to-remember acronym to help people identify those potential red flags for child maltreatment. If you see bruising on the Torso, Ears, or Neck of a child under the age of 4 or any bruising anywhere on a baby not yet pulling up or taking steps, please report it at 1-877-KYSAFE1.

 In 2019, the Kosair Charities Face It Movement offered trainings in Louisville and Lexington on October 4th to commemorate TEN-4 day. This year, we hosted an entire week of regional, virtual trainings on Pediatric Abusive Head Trauma to raise awareness about the TEN-4 bruising rule. We had more than 1,000 social workers, nurses, dentists, dental hygienists, EMTs, early childhood educators, and FRYSCs register to attend one of the following regional trainings:


 We also received proclamations from Louisville Mayor, Greg Fischer; Bowling Green Mayor, Bruce Wilkerson, Judge Executive, Mike Buchanon, and the Board of Commissioners; Owensboro Mayor, Thomas Watson; and Lexington Mayor, Linda Gorton declaring Sunday, October 4th as TEN-4 day! 

And Governor Beshear declared Sunday, October 4th TEN-4 Awareness Day for the Commonwealth of Kentucky!

Thank you to all who attended, hosted, and facilitated these important trainings, and thank you to Kosair Charities for making it all happen.



You can find resources and more information about the TEN-4 bruising rule here.