The Sanctuary (201 Eighth Street), formerly The Episcopal Sanctuary, provides emergency shelter to homeless adults who register through the City of San Francisco. The Sanctuary is a 24-hour facility and provides two meals a day to shelter residents. ECS collaborates with the nursing school of San Francisco State University and SFSU nursing students and faculty offer drop-in clinic hours for Sanctuary residents three days a week. ECS's behavioral health team, known as SF START, also provides behavioral health services for residents at The Sanctuary and other San Francisco shelters.
Many Sanctuary clients are homeless seniors. Seniors have designated shelter beds and earlier access in order to provide extra time and space for evening preparations. Homeless seniors often have chronic medical conditions, such as diabetes, and the Sanctuary works to accommodate their nutritional needs in the breakfast and dinner meals. During the day, homeless seniors can enjoy programs and a hot lunch at the ECS Senior Center.