top of page
Smiling mother holding her toddler up in the air

ABOUT
COASTAL KIDS HOME CARE

Meeting the unique needs of medically fragile children in the comfort of their home.

MISSION & HISTORY

Our Mission

Meeting the unique needs of medically fragile children in the comfort of their home.

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.
 

Fifteen years later, Coastal Kids Home Care annually cares for 700 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 105,000 in-home visits to more than 12,000 children.

OUR SUPPORT AND THE PEOPLE WE SERVE

What is pediatric home health care?
 

We provide professional medical care - including nursing, physical therapy and occupational therapy - directly in the homes of pediatric patients. Our agency coordinates with physicians to provide in-home treatments, manage pain and symptoms, monitor progress toward health objectives and offer 24/7 support to parents on caring for their children at home.


Who are our pediatric patients?
 

Any child with a medical diagnosis requiring in-home nursing or therapy is eligible. To provide care we require a referral and detailed physicians’ order. We coordinate regularly with local pediatricians, hospitals and pediatric specialty clinics at UCSF Benioff and Stanford Children’s Hospital. If you have additional questions on whether a child may be eligible please contact our knowledgeable administrative staff for more information.

PARTNERS

Coastal Kids nurses and social workers coordinate with dozens of agencies to makes sure our pediatric patients and their families have access to community resources to support their financial, social and emotional well-being when transitioning from hospital to home. Here are a few of the agencies we work with everyday.

UCSF Benioff Children's Hospitals, 'Redefining possible.'
MONTAGE Health logo
Stanford Children's Health | Lucile Packard Children's Hospital Stanford
Interlocking gray bands forming a cross
Santa Clara Valley Medical Center logo
Partnership for Children logo with kite
Hospital Medical & Surgical Center logo
Stylized adult and child in heart
Dignity Health Dominican Hospital logo
Make-A-Wish Greater Bay Area logo

DONORS

Our donors are our heroes. Without their generous support, kids in our community living with illness and disability would not have access to compassionate in home healthcare. We are incredibly grateful to these loyal long-time donors for making home possible for sick kids.

HGF logo with overlapping grey circles and white dots
Here for Good Community Foundation for Monterey County
Harden Foundation logo
Non Profit Thrift Shop logo with heart
The Center for Composition logo
POWER PEBBLE logo with three figures
Monterey Peninsula Foundation logo
Sally Hughes Church Foundation logo
Central California Alliance for Health logo, three people with heart
Intertwined letters C and S

JOIN THE MOVEMENT!

 Get the Latest News & Updates

CONTACT US

General Inquiries:

Call: 1-800-214-5439
Email: info@coastalkidshomecare.org

Mailing Address: 1172 S. Main Street, #125, Salinas, CA 93901
Office Address: 427 Pajaro Street, Suite 1, Salinas, CA 93901

Physician Referrals:

FAX: 831-796-0334

CALL: 831-535-5559

Hours

24/7 On-call nursing support available at 1-800-214-5439

Office Hours: Monday – Friday 8:30 a.m. – 5:30 p.m.

Holidays may affect these hours.

This is a Candid's Platinum Transparency Seal for 2026

We’re excited to share that our organization has earned a 2026 Platinum Seal of Transparency with Candid! Now, you can support our work with trust and confidence by viewing our #NonprofitProfile: https://www.guidestar.org/profile/20-2549984

Coastal Kids Home Care is a 501(c)(3) nonprofit organization. EIN: 20-2549984 

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All other categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties

Our organization is committed to offering our healthcare services to patient referrals of all races, cultures, ages, genders, gender expressions, sexual orientations, socio-economic statuses, languages, ethnic backgrounds, spiritual beliefs, and religions.

View our Accessibility Policy. (c) 2026

bottom of page