A bus driver for the Appoquinimink School District was cited Monday morning after he struck a car and caused a four-vehicle accident that sent three to the hospital, police said.

At 7:25 a.m., police said that the bus driver, Jerome Altemus, 60, of Claymont, hit the back of a 2005 Chrysler Pacifica that was stopped at Summit Bridge and Noxontown Roads in Middletown.

The impact pushed the Pacifica, which was being operated by Lisa M. Robinson, of Middletown, into the northbound lane of Summit Bridge Road where it collided with the front of a school bus from the Christina School District.

The bus, which had a 5-year-old student and 61-year-old female aid on board, swerved to the right and traveled off of the roadway into a ditch, police said.

Both occupants and the driver, P. Denise W. Cannon, of New Castle, were taken to the Christiana Hospital.

The bus from the Appoquinimink School District did not have any children on board, said Delaware State Police spokesman Sgt. Paul Shavack.

Latoyia Rothwell, 40, of Smyrna, who was driving northbound on Summit Bridge Road when the occurred, attempted to avoid the previous collision and swerved to the right, off of the roadway and up an embankment, police said. She struck the chimney of a home in the 100 block of Noxontown Road.

The occupant of the home was not injured.

All six people involved in the crash were properly restrained, police said.

Altemus was cited for inattentive driving.