California's only non-profit pediatric home health agency.

Our Mission

Coastal Kids Home Care improves the quality of life for children healing from injury or short-term illness, coping with chronic conditions or developmental delays, and those facing the end-of-life. Our staff provides in-home nursing, specialized therapies, social services and bereavement counseling to support the whole family. 

Our Story

After more than two decades as a pediatric nurse, Margy Mayfield knew what children living with serious-illness most wanted - to simply be home. Kids thrive when they can sleep in their own beds, eat their favorite foods and spend time with their friends. Yet, as coordinator of pediatrics at a home care agency she watched as pediatric programs faced quotas and cutbacks - affecting the quality of care that children received. Margy believed that kids deserved better.

In June of 2005, Margy co-founded Coastal Kids Home Care, California’s only pediatric home health agency. Her idea was revolutionary. With an exclusive focus on pediatrics, Coastal Kids was able to bring high-quality, compassionate home care to children with serious or life-limiting illness - all at a very low cost to families and community healthcare dollars.

Nearly thirteen years later, Coastal Kids Home Care annually cares for 650 medically fragile infants and children with illness and disability from Monterey, Santa Cruz, San Benito and Santa Clara Counties. Our agency is the only specialized provider of pediatric palliative and end-of-life care in these communities as well. Since opening our doors, Coastal Kids has remained true to Margy’s pioneering idea – to offer exceptional healthcare to children and support to parents, all in the comfort of home.

Our Values

Coastal Kids was founded based on the idea that children deserve high-quality home health care and that this service could be offered with very low overhead. Although the majority of the agency's patients are from families living at or below the poverty line, we are proud to say that Coastal Kids Home Care has never turned a child or family away for inability to pay—and we never want to. Thanks to our grants, event sponsorships, private donations, and tireless hours from staff, Coastal Kids has provided more than 50,000 in-home visits to 7,500 children.

Our Team

Coastal Kids Home Care improves the quality of life for children healing from injury or short-term illness, coping with chronic conditions or developmental delays, and those facing the end-of-life. Our staff provides in-home nursing, specialized therapies, social services and bereavement counseling to support the whole family. 


Margy Mayfield, RN, BSN - Executive Director

Margy began her nursing career in 1986 at UCSF Hospital where she discovered her love of pediatric nursing. In 1991, she joined a home health agency and found her calling in caring for children at home, she has been supervising pediatric nursing programs in the home health setting ever since. Responding to a need for high-quality in-home pediatric medical care in our community, in June of 2005 Margy co-founded Coastal Kids Home Care, a labor of love and her proudest accomplishment. Since then, Margy has been honored with the Award of Excellence from The End of Life Nursing Education Consortium (ELNEC) for her work with terminal children. Margy has been a committed and selfless leader who has had her own share of ups and downs. She is a daughter, wife, and mother who has dedicated her life to caring for others.

Ruth Emerson, LCSW - Director of Palliative Care and Bereavement

Ruth received her undergraduate degree from U.C. Davis in Sociology and a master’s degree in Social Work from California State University, Sacramento, specializing in medical social work, death/dying, and grief. She joined Coastal Kids Home Care in 2010 after working with adult hospice patients in Monterey County for seven years. She obtained a Licensed Clinical Social Worker degree in 2015. She is passionate about her work with Coastal Kids, food, chocolate, and celebrating birthdays!

Kelli Mullen Brown, MA - Development Director

Kelli has twenty years of development and communications experience working in non-profits in the United States and internationally. After graduating from the University of Notre Dame she volunteered as a child advocate and later pursued her MA in Conflict Management from Johns Hopkins, SAIS. Her subsequent work  involved the design and management of post-conflict and disaster response initiatives around the world. As a mother of three young children, including a son with special healthcare needs, Kelli is a passionate advocate for children and parents coping with complex medical issues and she is honored to work with the Coastal Kids team.

Maria Ceja, MA - Office Manager

Maria joined Coastal Kids in 2009. She obtained her MA in accounting and is currently pursuing her CPA license. Prior to joining Coastal Kids she managed a chiropractic office for eight years. As a mother of three, her passion is to see the organization grow, enabling it to serve more children and families in need. Maria is a dedicated, team-player committed to ensuring Coastal Kids Home Care is able to care for children in our community for many years to come.

Cassandra Waggy - Outreach Specialist--Marketing and Community Relations

Cassandra received her undergraduate degree from Lehigh University in Psychology, with a minor in Spanish.  At Lehigh University, she played NCAA Division 1 softball and received All-Conference honors 3 of 4 years.  Following college, she joined Teach for America and taught first grade in Las Vegas, while working towards her masters.  She received her MA in Curriculum and Instruction from the University of Nevada Las Vegas. After four years of teaching experience and two years of community outreach experience, Cassandra is passionate and dedicated to promoting better health, education and development outcomes for young people.  In her free time, Cassandra’s other loves include spending time with family, playing sports and traveling.

Michelle Marlow - Event Coordinator

Michelle is a 35 year resident of Santa Cruz. After one of her own daughters was diagnosed with cancer in 1998, Michelle dedicated her life to help other families who face the same trauma of having a child be diagnosed with either a life threatening or chronic condition. She returned to school, and after 6 years of part time study while being a single mom, received the degrees necessary to have the credentials to retain work in this field. She has worked for several nonprofits in in different capacities, has put together and run many large community events, and is thrilled to join the Coastal Kids team as an Event Coordinator in 2018.

Pediatric Nursing

Robin Nacamuli, RN

Robin received her Bachelor's Degree in Nursing from California State University of Dominguez Hills. Since then, she has worked in Pediatric Intensive Care at a number of different hospitals including Children's Hospital Oakland. She has been an RN for 28 years and has experience in pediatric Burn ICU, Pediatric Sedation, Pediatric PICC line team and Pediatric Critical Care Transport. Robin is committed to providing excellent medical and palliative care to children, where they most want to be - at home. Robin has one son who will soon be a teenager. When she is not working for Coastal Kids, she loves watching her son play baseball and hanging out with her best girlfriends.

Kimberly Jimenez-Hell, RN

Kim received her B.S. at University of San Diego and her B.S.N at St. Louis University. Kim has worked as a nurse coordinator, and staff RN for both children and adolescents gaining almost 10 years of experience before taking time off to raise her two boys. Kim has been with Coastal Kids since 2015 and is happy to be doing what she loves again.

Alicia Gianos, RN

Alicia has been a nurse for eleven years, where she has worked with adults and children in both hospital settings and extended care facility settings. She has spent the majority of her career working with pediatrics and is very excited to have joined the Coastal Kids Home Care team IN 2018. She is enjoying living in California with her husband and two dogs, and is excited to welcoming their first baby into the family in 2019.

Jessica Vogel, RN

Jessica received her nursing degree from Milwaukee School of Engineering in Wisconsin. She began her nursing career at Children’s Hospital of Wisconsin before moving to California and joining the Coastal Kids team in 2018. Her heart lies in serving the pediatric population and has been working with children the majority of her life. Some of her favorite things to do include visiting her home state of Minnesota, watching football on Sundays, and snuggling her dog, Torii.

Lupe De La Fuente, RN

Lupe migrated to the U.S. from Mexico as a young girl and worked in the fields with her parents from 18-22 years old when she began nursing school. She has been a bilingual nurse educator in Watsonville, Salinas and the Monterey Peninsula for over 20 years. She helped to establish all the Primary Care Clinics for the Monterey County Health Dept. including the Student Health Center at CSUMB. She also helped coordinate the CPSP program at the Seaside Family Health Center where she discovered her forte, women’s health. She taught CPR, first aid, parent education, childbirth, and certification classes for nurses’ aides at Salinas Adult School for over 15 years. Lupe loves to teach and empower Hispanic women and their families.


Physical and Occupational Therapists

Trish Krall, PhD - Pediatric Physical Therapist

Trish attended the University of Evansville in Indiana for both her Bachelor's of Exercise and Sports Science and her Doctoral Degree of Physical Therapy. After graduation, Trish and her husband, Matthew, worked as travel physical therapists for about 5 years, completing her Neurodevelopmental Treatment Certification (C/NDT) in the Management and Treatment of Children with Cerebral Palsy and Other Neuromotor Disorders. She and her husband are committed to reaching patients and families that are unable to get services in the typical clinic setting, which has led Trish to partner with Coastal Kids Home Care. During her free time, Trish enjoys swimming, hiking and spending time outside.

Judy Modderman Marshall - Pediatric Occupational Therapist, MOT, OTR/L, SWC, Contractor

Judy received her undergraduate degree from UC Santa Barbara in Developmental Psychology and her master’s degree in Occupational Therapy from Samuel Merritt University. She has nearly 20 years experience as a pediatric occupational therapist including more than 14 years at Lucile Packard Children’s Hospital at Stanford University Medical Center. Her specialties include oncology, feeding & swallowing disorders, palliative & end of life care, and program development. Judy is passionate about working with seriously ill children and believes children thrive well in their natural home environment.

Palliative Care and Counseling

Angelica Martinez, MSW - Social Worker

Angelica Martínez was born in San Francisco but was raised in King City. She received her BA and MA at Cal State Monterey Bay and is working towards her LCSW. In 2012, she launched a storytelling program for children and their families in order to facilitate and strengthen familial bonds in the community. In 2014, she was part of the team that started the Interagency Consortium South County Autism Screen Project which screens children with developmental delays and coordinates much needed services for low income communities. Since 2016 she has worked with Coastal Kids. Outside of work and community service she enjoys rollerblading and hiking.

Kathryn Hulse, MA, AMFT - Counselor

Kathryn received her undergraduate from Fresno State in Health Science with an emphasis in Community Mental Health. While earning her master’s degree from Pacifica Graduate Institute in Counseling Psychology with an emphasis in Depth Psychology she worked with homeless adults with severe psychiatric disabilities around Monterey County. After graduating and beginning her journey to get licensed through the BBS in California, she worked with elementary and middle school aged children who have experienced a variety of trauma throughout Monterey County in their respective schools. She joined Coastal Kids in 2018. Outside of work she likes to spend time at the beach with her family and is a member of the civil air patrol.

Expressive Therapists

Lacey Morris, Certified Art and Play Therapist
Julie Rosemore, Certified Music Therapist
Nell Counsell, Certified Massage Therapist
Sherry Vollmer, Certified Massage Therapist

Office Staff

Monica Kuepfer - Office Manager and Medical Billing

Monica has over 10-years of administrative experience working in various specialty clinics. After caring for her grandmother with a very hands-on approach, Monica grew passionate about healthcare, particular nursing. Since joining the team in 2016, she has been committed to helping the organization grow in order for children and their families to have access to high quality home care services. Outside of Coastal Kids, Monica loves coaching her daughter in volleyball and watching her son play baseball

Lupe Alvarez - Shifts Coordinator

Lupe is from South County Monterey from the small town of Greenfield. After working as a receptionist at a local transportation agency and as an Administrative Assistant to a local winery, she decided to go into the healthcare industry. Lupe was a Lead CNA for more than 13 years, working with Alzheimer and Dementia patients, as well as working in a sub-acute rehabilitation unit. She enjoys working with the community and reaching out to help others. She also enjoys music and spending time with family and friends. She enjoys working at Coastal Kids Home Care and is always smiling and ready to help staff and family member with their needs.

Stephanie Robledo Perez -



Board of Directors

Annie Berlin, President - Principal, Berlin Communications

Annie Berlin has an extensive communications and public relations background working with hospitals, non-profits and community-based organizations in the areas of maternal and child health, maternal and fetal medicine, donor and community communications, external affairs and advocacy. Her experience includes a role as Vice President of Resource Management at George Mark Children’s House and numerous volunteer positions at Packard Children’s Hospital at Stanford, including work in in the neonatal ICU. Annie has a passion for children’s health issues and received her MPH from the University of Washington School of Medicine and Public Health in 2006.

Nancy De Serpa, Vice President - Retired, Government Relations

Nancy De Serpa is a lifelong resident of Monterey County. She has a background in advocacy for underserved and at-risk communities in the Salinas area. She has previously worked with Congressman Sam Farr and as Acting Executive Director of the Housing Resources Center in our community.

Grace Feldeisen, Secretary - Designer, California Closets

Grace is a lifelong resident of Monterey County. She raised two sons in Salinas and currently works as a designer at California Closets. She has always been interested in nonprofits in the community and regularly attends benefits and events to lend her support. She often called upon to provide her artistic flair to displays and events in the region.

Hieu Nguyen, MD - Pediatrician

Hieu Nguyen, M. D. AKA “Dr. Hieu” received his medical degree from Wayne State University School of Medicine after changing from his career as a teacher and volleyball coach. He completed his residency at the Children’s Hospital of Michigan, the founding place of the AAP, where he worked with the underserved, did many mission trips abroad, and focused on mentoring the youth. He has received many Humanitarian and Educator awards and honors.  Making the lives of children better has always been his focus. Dr. Hieu is a passionate physician, especially when it comes to promoting healthy lifestyles and public health. He finds joy daily when caring for our patients and their families and looks forward watching them grow up.  Dr. Hieu has 2 sons who are young and wild. He enjoys volleyball, cooking and traveling. Dr. Hieu is also a avid drummer. He is originally from the bay area and both his and his wife’s family all reside in California.

Anker Fanoe - President and CEO, Pacific Valley Bank

Anker Fanoe is currently the President and CEO of Pacific Valley Bank.  Anker’s career has been primarily in financial services where he has held many executive positions.  His commitment to the youth in Monterey County is evidenced by his board positions with Coastal Kids Home Care, Operation Give Back and the Palma Foundation.  Anker comes from deep local roots; he is 5th generation from Monterey County. He and his wife Cappie live in Salinas and their three sons are all in college.  Anker graduated from UCSB with a degree in Economics.

Marci Alexander - Account Executive, Ocean Mist Farms

Marci is a lifelong resident of Monterey County and a two-time survivor of cancer, including pediatric cancer. She brings a strong understanding of complex health issues to our Board and a commitment to assisting families in need. She has worked in the agriculture industry for her entire career and has two grown sons.

Natalie Stickler-Hofmans - District Manager, Wells Fargo

Natalie is the Monterey County District Manager for Wells Fargo where she started as a teller in 2001. She is now responsible for management of eight Wells Fargo locations and develops and implements effective sales and business strategies. She is also a committee member for the Carmel Foundation.

Polly Sirles - Principal, Haines Property Management

Polly Sirles is a passionate advocate for children’s healthcare issues. Most recently she has worked with the Jay Moriarity Foundation which raises funds for Angel Warriors for Kids to help children battling pediatric cancer and other life-threatening illnesses in Santa Cruz County. Her prior work experience includes experience as a Development Associate with the Pajaro Valley Health Trust and a realtor with Haines and Associates Real Estate. Polly is the mother of five sons, including one with special healthcare needs.

Alex Costas - Supervising Union Electrician

Alex Costes is a lifelong resident of Monterey County. He and his wife Janna are raising two sons in Salinas, in a three-generation family that includes his 95 year old mother.  He has served as a Supervising Union Electrician at Cupertino Electric for 27 years and has always been active in the community.  He has been apart of several nonprofits in the community and regularly participates in various ways to lend his support.

He has been an active member of the Knights of Columbus for 20 years, a Bowling Youth Director for nine years, and the USBC Salinas Bowling Association President for three years. He is currently serving on the Madonna del Sasso School Advisory Board and the California Air Show Admissions Committee. As time permits, he enjoys being at home with his family, remodeling their home, and bar-b-queuing.

Richard Prader - Community Volunteer

Richard is retired from United Parcel Service. He is a dedicated team captain for “Relay for Life - Team Mark Velcoff” and committee chair for Coastal Kids, Touch-A-Truck event. Richard is married with five grown daughters and thirteen grandchildren.  

Lewis Cantor, MD - President Emeritus

Dr. Lewis Cantor graduated from Rutgers College with his bachelor’s degree in 1965. He received his M.D. from Albert Einstein College of Medicine and completed his residency in pediatrics at the University of California, San Francisco. Dr. Cantor relocated to Salinas in 1974 and had lived and practiced general pediatric medicine locally since then.  In May 2019, Dr. Cantor retired as President from the Coastal Kids Board of Directors after serving almost 15 years.  Dr. Cantor is married with two grown children, two grandchildren and loves to travel in his free time.