The Brief

Floyd Howard Jr. calls it his comfort zone — a canopy-covered courtyard in the heart of Skid Row where he can charge his phone, smoke a cigarette and catch up with friends.

It's also the centerpiece of what Los Angeles County administrators say is the nation's first community-designed homeless services campus.

The Skid Row Care Campus opened in May on a 36,000-square-foot site in downtown Los Angeles. It’s the first county program to formally incorporate input from people living in Skid Row, according to officials, including so-called “harm-reduction” programs that focus on keeping drug users safe and alive.

“It was imperative that the plan be designed by the community to repair the harm done by decades of plans that did not involve people who live in Skid Row,” said Molly Rysman with L.A. County’s Department of Health Services.

The care campus is funded with nearly $26 million a year in local, state, federal and private dollars over the next two years. About 2,000 people visit the new campus each day, according to Homeless Healthcare L.A., the main nonprofit staffing the campus.

Although it's only been open a few months, the center appears popular with unhoused Angelenos who desperately need a place to rest. Last month, one woman visited the campus for her first shower in months, she said, after receiving a buprenorphine injection to help her stop using fentanyl.

But some nearby business owners complain of more drug activity on the street since the facility opened.

Howard, a longtime Skid Row resident, said he visits the campus often to pick up the testing strips he uses to check his crystal methamphetamine supply for fentanyl.

Sometimes, he drops by for art classes or acupuncture treatment.

“It’s like a safe haven,” he said.

Centering the community

The site, at 422 S. Crocker St., provides a range of services, including showers, laundry, medical care and housing referrals. Booths line the south side of the plaza, where a rotating cast of representatives from the county’s three health departments provide pop-up services to connect people with addiction treatment or case management.

The primary clientele are the more than 1,800 unsheltered people living on the neighborhood’s streets who — despite the large concentration of homeless programs in the area — have access to few public restrooms and public gathering spaces.

The campus is the result of an initiative called the Skid Row Action Plan, a $280 million effort to expand services and housing funded by L.A. County, the city of L.A. and the state.

L.A. County Supervisor Hilda Solis launched the initiative in 2022 to address historic racism and disinvestment in the neighborhood, where the majority of the unhoused population is Black.

“Engaging the community was not just important; it was essential,” said Solis, whose district includes Skid Row. “Their voices must guide the path forward. Real transformation can only be led by those who live this reality every day.”

A committee of 10 current and former Skid Row residents collaborated with government agencies in 2023 to come up with recommendations for the plan in 2023. That group, known as the Skid Row Action Plan Resident Advisory Committee, recommended the new campus.

They said they wanted a fun community space where they could connect with services and a place where drug users can pick up harm reduction supplies, such as clean needles or pipes, overdose reversal medication and drug testing strips.

As a member of the advisory committee, Skid Row activist General Dogon said he pushed for the campus entrance to be staffed by “community ambassadors,” rather than private security guards.

“Uniforms don't go good with homeless people,” said Dogon, an organizer with the L.A. Community Action Network. “We want everyday faces to be at the door, not some G.I. Joe in a uniform.”

General Dogon observes an encampment sweep along a block of Skid Row.

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Jules Hotz

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CalMatters

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L.A. County officials said input from members of the unhoused community is sometimes ignored, and they are not properly compensated for their efforts. So authorities said they wanted to take a different approach at the care campus.

After the Skid Row Action plan started taking shape, the county hired an additional eight unhoused or formerly unhoused people to serve on resident councils for the Skid Row Care Campus. Each is paid a $10,000 consulting stipend and tasked with surveying other community members about what’s working and what isn’t. They also provide training and technical assistance for the campus’ programs.

“I like the fact that it's focused from the ground up and not the top down,” said Dwight Wilson, a member of a resident council. “It wants to  incorporate the actual feeling of the people in the community that need the resources.”

Even the name, “Skid Row Care Campus,” came from the community. It was suggested by Henriëtte Brouwers, associate director of the L.A. Poverty Department, a nonprofit arts organization and theater group that’s been in Skid Row since 1985.

“ People often talk about Skid Row like it's a bad place; they don’t care to find out why it’s here,” Brouwers said. “But people recover when they build relationships, and you build relationships when you care about somebody.

“I think if we want to end homelessness, we need to actually care.”

An estimated 3,593 homeless people live in Skid Row, including those in homeless shelters, according to the region’s latest count. While the overall unhoused population in the neighborhood has declined by 27% since 2022, the remaining population faces greater health risks, according to survey data.

About 41% of the people in Skid Row’s unhoused population have a serious mental illness, such as schizophrenia, bipolar disorder or post traumatic stress disorder. Roughly 31% deal with substance use disorder, and 26% claim a physical disability.

To meet some of those needs at the Skid Row Care Campus, the nonprofit health agency John Wesley Community Health Institute runs an on-site clinic and a 48-bed board-and-care facility, which provides permanent housing to people who need help with basic activities like dressing or eating. It’s moving in residents this week, according to county officials.

In several months, Skid Row’s first-ever methadone clinic will open here.

Case workers from the county’s three health departments, LAHSA and other departments rotate through booths within the main courtyard of the Skid Row Care campus.

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Aaron Schrank

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LAist

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People can check in at the medical wing, which includes a clinic, a harm reduction dispensary and dozens of respite beds. The first methadone clinic in Skid Row is expected to open there this year.

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Aaron Schrank

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LAist

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Harm reduction 

Many programs at the facility focus on harm reduction, a public health approach that recognizes addiction is a health condition and that some people aren’t going to immediately quit using drugs.

Harm reduction interventions typically focus on minimizing the negative health effects of drug use.

Public health officials and addiction experts say there is ample evidence these approaches not only save lives, but can also help people get into treatment or sobriety, connect them with other services or get them off the street.

But harm reduction remains controversial. Some view these approaches as enabling illegal behavior.

Last month, President Donald Trump signed an executive order encouraging the U.S. Department of Housing and Urban Development to give priority for housing grants to local agencies that enforce laws against open illicit drug use.

Trump’s order directs his attorney general to ensure that federal substance use disorder grants do not fund harm reduction programs. It also directs HUD to require people with substance use disorders or serious mental illness to seek treatment before they participate in federal housing and homelessness assistance programs.

Days before the executive order, a Trump-appointed HUD administrator told L.A. County officials at a meeting that he believed the region wasn’t doing enough enforcement and was critical of providing housing subsidies to people who use drugs, according to local officials who were there. L.A. County officials said it’s too early to tell what the actual effects of the new order will be.

Drug overdose is the leading cause of death for unhoused Angelenos, according to the county Public Health Department. Skid Row is home to the largest homeless population in L.A. and the highest rates of drug overdose mortality.

There are no designated safe-consumption sites — where people are allowed to use drugs under supervision — in California, although some exist in other parts of the country. A few years ago, Gov. Gavin Newsom vetoed a state bill that would have allowed them.

On the street outside the Skid Row Care Campus, there are many signs that people are using illicit drugs. But they can’t use them inside the facility. The staff won’t allow it.

Last month, when one woman hit her meth pipe while lounging on the patio, a staff member tapped her on the shoulder and asked her to put it away. She complied.

The Skid Row Care Campus’ main harm reduction provider is Homeless Healthcare L.A., best known for its overdose response teams who roll through Skid Row in Jeeps to pass out supplies like clean smoking kits and naloxone, the opioid overdose reversal drug.

“Harm reduction was created by people who use drugs,” said the nonprofit’s Aurora Morales. “And everything that we do reflects what they need.”

On a recent afternoon, Floyd Howard Jr. folded squares of clean tin foil to be packed into kits for fentanyl smokers, as part of a campus work program.

“People that smoke fentanyl, they use the foil to put their drug on and smoke it,” Howard said. “So it's safer to get this from them than to just use some off the ground or something that's not clean.”

Howard added that he’s seen supplies like these save countless lives, including his own.

“If it wasn't for these people, a lot of people would be dead,” he said. “I have a whole lot of people that I met downtown here that passed from overdose.”

An unhoused couple who go by “Porkchop” and “Angel” prepare to visit the Skid Row Care Campus to take their first showers in months. Both had recently taken long-acting injectable doses of buprenorphine to quit using fentanyl, after years of daily use.

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Aaron Schrank

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LAist

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Building community

The care campus sits beside the Umeya Apartments, a 175-unit supportive housing complex managed by the nonprofit Little Tokyo Service Center. Representatives say tenants will start moving in this month.

Most of the site’s neighbors are also homeless services providers. But some business owners complain of increased loitering and drug use outside the campus gates.

“ A lot of people don't want to come here anymore just because the street is so bad and they're scared,” said one representative from a nearby business, who requested anonymity to avoid retaliation. “ They should be helping people get off drugs instead of helping them do drugs.”

Morales of Homeless Healthcare L.A. said she’s working on partnerships with local businesses, including sending work program participants to clean up debris in alleyways.

Many unhoused Skid Row residents say they’re frequently denied service and restroom access at local businesses. Some go days without a proper meal and weeks or even months without a shower.

That’s why the care campus is a refuge.

“ They cater to everybody, and they're not biased about anything,” said Lisa Parizo, a formerly unhoused Skid Row resident who visits the space daily. “If you come in with a dirty shirt, dirty pants, they don't care. They're not gonna give you any less attention.”

It’s too early to tell how the care campus may transform this section of Skid Row.

Months after opening, most people living on Skid Row’s streets still haven’t heard of the campus, said resident councilmember Dwight Wilson, whose responsibilities include evangelizing for the site.

“I haven't run into too many people that have actually been there,” said Wilson. “I'm usually letting them know for the first time.”

Wilson has been living in transitional housing in Skid Row for the past year, since getting out of prison. He saw a listing for this opportunity a few months ago and applied.

He said he’s learned a lot about his neighborhood during the last few months on the job.

“When I was sent down here, I was really upset,” Wilson said. “But actually being down here has been a very humbling experience for me. What I learned is that it is actually a community.”

The 2026 Winter Olympics in Milan begin Friday and eight athletes have roots in Southern California, including Los Angeles, Riverside and San Bernardino counties.

Team USA’s 232-member roster includes 21 athletes from California. The Winter Games begin Feb. 6 and end on Feb. 22.

Here's a list of who is from L.A. County:

• Spencer Akira Howe - Figure Skating - Los Angeles
• Madison Chock - Figure Skating - Redondo Beach
• Chloe Kim - Snowboarding - Torrance
• Azaria Hill - Bobsled - Santa Clarita
• Beatrice Kim - Snowboarding - Palos Verdes 

Where other SoCal athletes are from:

• Cayla Barnes - Ice Hockey - Eastvale
• Kate Delson - Snowboarding - San Diego
• Maddie Mastro - Snowboarding - Wrightwood

What about the 2026 Paralympics? The Milano Cortina 2026 Paralympics will start on March 6 and run through March 15. Not all qualifying athletes have been announced yet.

You can watch the games starting Friday on NBC and streaming on Peacock.

Local, state and federal law enforcement agencies have reported using thousands of crowd control munitions against protesters in L.A. since June 2025, when federal immigration sweeps began escalating tensions in the region.

Many people who were never accused of breaking the law nonetheless have been struck by what are known as “less-lethal” crowd control weapons, including rubber bullets, tear gas and flash bang grenades.

Legal experts and witnesses told LAist some of these instances violated California’s protest laws.

While a federal judge banned the LAPD from using 40mm projectiles at protests last month, the department still uses other crowd control weapons. According to Scott Reynhout, who researches these weapons for Physicians for Human Rights, a nonpartisan nonprofit, some of these weapons can be just as dangerous as the banned projectiles — if not more so.

LAist spoke with Reynhout to better understand what they do and how people protesting lawfully can protect themselves.

Reynhout said it's very important that people pay attention if law enforcement declares an unlawful assembly, which they are required to do before using crowd control weapons in most cases.

“ If the police have declared an illegal assembly, it would behoove you to take steps to isolate yourself from that particular situation,” Reynhout said. “If that is not possible for you, for whatever reason — say, you live in the particular area where you are — then you could consider [protecting] yourself from chemical irritants or potentially from impact projectiles.”

Some of the most dangerous crowd control weapons used in L.A.

Physicians for Human Rights’ international study, Lethal in Disguise, found weapons that fire multiple projectiles at once were “far and away the most dangerous” type of crowd control weapons.

 "82% of all the recorded injuries in the medical literature that came from impact projectiles were from ... multiple projectile impact projectiles,” Reynhout told LAist. “And 96% of all the ocular injuries from impact projectiles were from these multiple projectile impact projectiles."

He said the LAPD is the only police department in the U.S. he is aware of that uses this type of weapon. The department uses a 37mm less-lethal launcher (LLM) that shoots five rubber bullets with each shell.

According to reports required by Assembly Bill 48, the department used more than 600 of these shells — that’s over 3,000 projectiles — against anti-ICE protesters last June. They have continued to report using the 37mm launcher, most recently to disperse crowds after the Dodgers World Series win on Nov. 2, according to AB 48 reports.

The 37mm launcher is inherently risky, Reynhout said. Even though the 37mm rubber bullets are smaller than the 40mm projectiles the LAPD was banned from using at protests, they are more likely to hit sensitive areas like the face and neck.

The use of multiple projectiles causes the 37mm projectiles to scatter in a cone shape once they leave the launcher, making them much more difficult to control than a single projectile. He said LAPD’s policy of “skip firing,” which means officers are instructed to aim 5 to 10 feet in front of the person they are shooting at, also adds randomness.

A diagram showing LAPD's policy of "skip firing" the 37mm less-lethal launcher at targets.

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LAPD Use of Force Directive

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“ The real risk behind these multi-shot impact projectiles,” he said, “is that you just really don't have any control over where these bullets go in the end.”

Reynhout said people standing beside or behind the intended target could very easily get hit, which he believes was likely the case when Australian reporter Lauren Tomasi was struck in the leg by a rubber bullet in June.

[Note: LAist correspondent Adolfo Guzman-Lopez was struck in the throat by a projectile at a 2020 protest. Long Beach police later said they believed that injury was caused by a ricochet of a foam round.]

LAist reached out to LAPD for comment on their use of the 37mm launcher, but the department did not respond.

Another type of crowd control weapon found to be especially dangerous is the use of beanbag rounds, usually fired from a 12-gauge shotgun. These rounds fire small lead pellets sealed in a fabric bag.

Reynhout said the use of these rounds can be “horrific” and leave people with life-threatening injuries.

According to LAPD policy, beanbag rounds are not allowed to be used for crowd control, but other agencies have used them. The California Highway Patrol reported using beanbag rounds against anti-ICE protesters last June.

If you find yourself in a situation where projectiles are being deployed, Reynhout advises focusing on protecting your face and eyes. That’s where the most serious injuries occur.

Reynhout said ballistic eyewear that meets military standards (MIL-PRF-32432) could offer protection against some of the most severe injuries.

He said the 40mm or 37mm projectiles can be similar to getting hit by a golf ball by someone swinging just 6 feet away, and while things like bike helmets, paintball masks, hockey masks or even soft body armor might help to some degree, they aren’t designed to protect someone from that kind of impact.

What you may most likely be affected by: Chemical agents

Chemical agents like tear gas and pepper spray are crowd control weapons that saturate an area and affect everyone in it, Reynhout told LAist, and that includes people who may not even be part of a demonstration.

He said you should be especially aware of these weapons being used near you if you have asthma or any airway or respiratory system issues because they can provoke severe reactions in some cases.

In their report, Reynhout and other researchers found that children and older people are also at risk of severe reactions, which could be life-threatening.

There is gear on the market to mitigate those risks, including sealed safety goggles and respirators (N-, P- or R-100). If you find yourself exposed to a chemical irritant like tear gas or pepper spray, Reynhout said there is nothing shown to be more effective than flushing the area for 10 to 15 minutes with saline solution.

The saline solution should ideally be sterile and at body temperature, he told LAist, but plain water also works if that is what you have available. The important thing is that you continue to flush the area and dilute the chemicals.

For skin or clothing, Reynhout said dilution with water is still the key, but you can use some Dawn dish soap to help wash away pepper spray.

Other dangers

California law enforcement officers have also used flash bang grenades in response to protests since June. The L.A. County Sheriff’s Department and California Highway Patrol together used more than 300 aerial flash bang grenades on June 8, according to AB 48 reports. Those are crowd control munitions shot out of 40mm launchers that explode mid-air and create 170 dB of sound and 5 million candelas of light.

LAist asked the LAPD about their policy on using flash bang grenades for crowd control, but the department did not respond. The LAPD has not listed any uses of flash bang grenades in their AB 48 reports dating back to April 2024.

Aside from these, there are a number of other crowd control weapons and devices that are used by law enforcement agencies in the L.A. area: grenades that explode to release small rubber balls, pepper balls, batons or — unique to the LAPD — officers on horseback using wooden practice swords called “bokken.”

Reynhout said deciding how much protection you might choose to take with you to a protest is very personal. Some bulkier items might restrict your movement, cause you to overheat or impede your ability to maintain situational awareness, so it is important to consider what risks you may face and use your best judgement.

Sometimes, he said, that best judgment might be to walk away from the situation.

L.A. Mayor Karen Bass laid out her vision for Los Angeles at her first of two "State of the City" addresses Monday afternoon at Exposition Park.

The speech, which comes as her race for re-election ramps up, was framed as a celebration of the coming World Cup.

"Let's show the nation and the world we are the greatest city on earth," Bass told the crowd outside the L.A. Memorial Coliseum.

But the mayor moved quickly from announcing that there would be more than 100 free watch parties for the tournament into a retrospective of L.A.'s terrible 2025 — from the January fires to the immigration agents that descended on the city in June and haven't left.

"Raids continue every day in Los Angeles and with them have come the devastating losses of life," she said, naming Renee Good, Alex Pretti and Keith Porter Jr., who was shot by an off-duty ICE agent in Los Angeles on New Year's Eve. " This senseless death, lawlessness and violence must end and so must the presence of ICE in Los Angeles."

Bass described local leaders as the last line of defense against the actions of the federal government.

L.A.’s fire recovery

She also discussed the ongoing recovery of Pacific Palisades, where she has faced substantial criticism for the city's response to the fire and first year of rebuilding, which some residents say has been too slow.

" We've brought in new leadership to overhaul fire preparedness and emergency response," Bass said, referencing her decision to remove former fire chief Kristin Crowley. "And yes, we're fighting the next battle: holding financial institutions and the insurance industry from abandoning Los Angeles because recovery should never feel harder than the disaster itself."

Bass said 400 homes lost to the fire are currently under construction, and that she would travel to Sacramento next week with Councilmember Traci Park and Pacific Palisades residents to push for more state funding for recovery. The Palisades Fire destroyed nearly 7,000 homes and killed 12 people.

The mayor's response to the Palisades Fire is a key issue in her race for re-election. Two of Bass's challengers, former LAUSD Superintendent Austin Beutner and influencer Spencer Pratt, had their homes damaged or destroyed in the disaster.

Housing and homelessness

Bass then laid out her efforts around housing and homelessness, pointing to an affordability crisis that makes staying in stable housing, or buying a first home, out of reach for many Angelenos.

"The greatest test of L.A. is whether people can actually afford to live here year across Los Angeles," the mayor said in her address. "Too many neighbors are packing multiple families into one apartment are working two and three jobs just to stay housed."

Bass lauded her first executive directive ordering city officials to fast-track the construction of developments that have entirely affordable housing units, which she said had "accelerated  more than 30,000 housing units across the city." She also celebrated the city's move to significantly lower rent hikes, in the first reform to rent control in 40 years.

Bass then turned to homelessness, doubling down on her commitment to her signature "Inside Safe" program, which aims to move people off the streets and into interim housing. She said that the city had cleared nearly 120 encampments.

Bass focused on the fight to end homelessness for veterans in Los Angeles — a focus she said was interrupted by the 2025 fires. She said the city had issued 600 housing vouchers for veterans since last year.

She ended the speech where she started — talking about the city's role as host of the World Cup and 2028 Olympic Games.

" We will continue to focus on the fundamentals, the things that shape how a city feels to the people who live here and the millions who will visit," she said.

Watch the replay

This is a developing story and will be updated.