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. Residents can also participate in numerous social activities such as gardening, art groups, and Bingo. Case management is available through the SF START team.

Many Sanctuary clients are homeless seniors. Seniors have designated shelter beds and earlier access in order to have 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, which is open daily.