He was playing outside his house, in his driveway, when a 4 year old was hit by an SUV.
Then the driver sped off.
It happened in Jackson, which is in Breathitt County.
Josh Klampe is now recovering at Kentucky Children's Hospital. His mother says he suffered a fractured skull. She also says his brain has pressure, and he can't walk very well.
Neighbors say the SUV was champagne or silver in color, and a woman was driving.
Police think the same woman may have been involved in another hit-and-run crash about an hour later.
If you have any information on who the driver may be, you're asked to call Jackson Police at 606-666-2424. You can remain anonymous.