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A number of parents at a Buffalo, N.Y. school are upset after a pre-kindergarten teacher sent home a note regarding “unclean and unkept” students.

Earlier this month, pre-K teacher Sharon D. Perry Dunnigan accused several children of coming to school with “soiled, stained, or dirty clothes,” according to Buffalo News. The educator said it makes it “difficult for me to be close to them or even want to touch them.” The note, which BUILD Academy parents were asked to sign and return, called the issue a “health and safety concern.”