A restroom sign can rely on placement, architecture, and text. Those cues are useful. They should not become the reason to skip the basic transfer test.
A label remains the immediate accessibility support. WCAG 1.1.1 asks non-text content to have a text alternative that serves the same purpose. That support matters, but it is still language. It brings vocabulary, localization, literacy, and cultural assumptions back into the reading.
For a public toilet concept, the concrete fixture moves the symbol closer to AAC-style access. The unisex version may still be needed for policy and inclusion, but the pictogram should still carry the meaning as far as possible before a label completes it.