Lets assume for a moment that the transgender issue didn't exist at all. Just for the sake of this point. Now assume that you had a male nurse whose co-workers consistently called him by a female name (not his own). He has made it clear that this is unwelcome and offensive. He has asked them to stop and they continue to do so. That is clear cut workplace bullying and sexual harassment and practically any HR officer would agree with that. Now add in transgender pronouns... and there we are. I assume the Californians have that law on the books because people are just as obtuse in not recognizing/respecting that they are serious about protecting peoples right to self identify (although again I'm not sure what it has to do with seniors specifically). I find it a little hard to imagine that it is necessary to actual arrest people for it. Most places I have worked for would just fire you after an official warning and have done.