Amends GS 131D-2.6 by increasing the penalty for establishing, conducting, managing, or operating an adult care home without a license from a Class 3 misdemeanor to a Class H felony; also increases the applicable penalty to $1,000 for each offense (was, no more than $50 for the first offense and no more than $500 for subsequent offenses). Applies to offenses committed on or after December 1, 2023.