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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 Day (and week!) 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. 

This October 4th, the Kosair Charities® Face It® Movement once again raised awareness to the critically important TEN-4 Bruising Rule and emphasized the importance of adults knowing the signs and symptoms of child abuse and how to report it. Throughout the week last week, Face It hosted five Pediatric Abusive Head Trauma trainings with more than 275 social workers, medical professionals, dentists, dental hygienists, EMTs, early childhood educators, and FRYSCs in attendance. Participants learned the early warning signs of maltreatment and the various injuries and conditions that may result from vigorous shaking, slamming, or impacting the head of an infant or young child, as well as tools for dealing with a crying infant and ways to share information with parents to prevent abuse from occurring. 

Face It also hosted a virtual Facebook Live event to recognize TEN-4 Day and the statewide efforts to prevent and end child abuse in the Commonwealth.  Kosair Charities and community partners in the Face It Movement heard remarks from Governor Andy Beshear, Attorney General Daniel Cameron, state Senator Julie Raque Adams, Secretary of the Cabinet for Health and Family Services Eric Friedlander, and leading child abuse prevention experts. During this event, Governor Beshear proclaimed October 4, 2021 as TEN-4 Awareness Day in the Commonwealth and urged everyone to do their part in helping build back a better, safer Kentucky for our children.  

In addition to the Governor’s proclamation, the Face It Movement was proud to partner with other leaders across the state who proclaimed Monday, October 4th as TEN-4 Day 2021: 

– Attorney General Daniel Cameron 

– Boone County Judge Executive Gary W. Moore 

– Mayor of Bowling Green Todd Alcott and Warren County Officials 

– Daviess County Judge Executive Al Mattingly 

– Grant County Judge Executive Chuck Dills 

– Mayor of Lexington Linda Gorton 

– Mayor of Louisville Greg Fischer 

– Kenton County Judge Executive Kris Knochelmann 

– Mayor of Owensboro Tom Watson 

– Mayor of Manchester James Ed Garrison 

Special thanks to Dr. Mary Clyde Pierce of Ann & Robert H. Lurie Children’s Hospital of Chicago, who is the lead researcher of the TEN-4 Bruising Rule that was developed in partnership with a team at the University of Louisville. Recent research has expanded the clinical definition of concerning bruising, revising the acronym from TEN-4 to TEN-4-FACES-p. Learn more and watch a video from Dr. Pierce. 

Thank you to all who participated in TEN-4 Day (and week!) by making child abuse prevention a priority. Together, we can end child abuse in the Commonwealth!