For the purposes of this chapter, the following

definitions shall apply: (a) “Gender expression” has the same meaning as defined in

Section of the Civil Code. (b) “Gender identity” means a person’s identity based on the individual’s stated gender identity, without regard to whether the self-identified gender accords with the individual’s physical appearance, surgical history, genitalia, legal sex, sex assigned at birth, or name and sex, as it appears in medical records, and without regard to any contrary statement by any other person, including a family member, conservator, or legal representative.

An individual who lacks the present ability to communicate his or her gender identity shall retain the gender identity most recently expressed by that individual. (c) “Gender-nonconforming” means a person whose gender expression does not conform to stereotypical expectations of how a man or woman should appear or act. (d) “LGBT” means lesbian, gay, bisexual, or transgender. (e) “Long-term care facility” or “facility” includes facilities listed in

Section of this code and subdivision (

b) of

Section of the Welfare and Institutions Code. (f) “Long-term care facility staff” or “facility staff” means all individuals employed by or contracted directly with the facility. (g) “Resident” means a resident or patient of a long-term care facility. (h) “Transgender” means a person whose gender identity differs from the person’s assigned or presumed sex at birth. (i) “Transition” means to undergo a process by which a person changes physical sex characteristics or gender expression to match the person’s inner sense of being male or female.

This process may include, among other things, a name change, a change in preferred pronouns, and a change in social gender expression, as indicated by hairstyle, clothing, and restroom use. Transition may or may not include hormone use and surgery.