On many Windows OpenSSH installs, users in the local Administrators group are matched by an sshd_config block that points public key authentication to:
C:\ProgramData\ssh\administrators_authorized_keys
Writing this file requires administrative rights.
Append an administrator key:
Add-Content -Path "C:\ProgramData\ssh\administrators_authorized_keys" -Value "ssh-ed25519 AAAAC3NzaC1lZDI1NTE5AAAAI... ootw-admin"
Set restrictive ACLs if needed:
icacls C:\ProgramData\ssh\administrators_authorized_keys /inheritance:r
icacls C:\ProgramData\ssh\administrators_authorized_keys /grant SYSTEM:F
icacls C:\ProgramData\ssh\administrators_authorized_keys /grant Administrators:F
Restart SSH only if configuration or permissions require it:
sc stop sshd
sc start sshd