 This study found that unhoused communities in Los Angeles face significant challenges when trying to access water and sanitation services. The study revealed that these communities often rely on bottled water or public taps during the day, while at night they must resort to using buckets or openly defecating in public spaces due to lack of access to overnight sanitation facilities. Additionally, the study showed that unhoused individuals have limited access to water and soap for hand hygiene, which can limit their ability to maintain proper hygiene practices and limit employment opportunities. Furthermore, the study found that unhoused individuals living outside of Skid Row are more likely to have difficulty accessing sanitation services, suggesting that there may be disparities in access to services based on location. This article was authored by U.D. Johanna Avaloportillo, Georgia L. Kasar, Charlene K.O., and others.