Your Neighbors, Your Care Team

Beth Ann Rosario is an accomplished operations leader with more than a decade of experience driving strategic growth and operational excellence in the home care industry. As Regional Director of Operations at TheKey, she oversees multi-site performance, optimizes client service delivery, and ensures alignment between business objectives and compassionate care outcomes. With a Bachelor of Science in Marketing, Beth Ann blends analytical precision with a deep understanding of human connection leading teams that deliver exceptional experiences for clients and families alike. She is known for her ability to balance empathy with execution, developing scalable processes that strengthen TheKey's position as a trusted leader in home care.

Darryl Williams is the Regional Manager for Southern Virginia at TheKey, where he leads regional home care operations with a focus on quality, consistency, and compassionate service. He partners closely with local office teams to ensure that older adults and their families receive reliable, client-centered support tailored to their unique needs. With a strong background in home health and senior services, Darryl understands the importance of seamless care in the home. At TheKey, he supports the delivery of personalized care plans that range from companionship and assistance with daily activities to more complex support coordinated alongside nurses and healthcare partners. He is committed to upholding TheKey's standards of excellence through caregiver development, operational oversight, and strong community relationships. Darryl's leadership centers on helping seniors live safely and independently at home while giving families confidence and peace of mind. By strengthening teams and fostering collaboration, he ensures TheKey remains a trusted partner for aging adults across Southern Virginia.

Titilah Harmon is a Client Success Manager and Registered Nurse (RN) at TheKey in Virginia Beach, Virginia, where she brings clinical insight to supporting older adults receiving care at home. Titilah conducts nursing assessments and helps develop individualized care plans that reflect each client’s health needs, routines, and personal goals.

Working with families, caregivers, and care teams, she helps ensure care remains appropriate as needs evolve. Titilah is recognized for her strong clinical judgment, compassionate approach, and ability to guide families through important care decisions with clarity and confidence.

Karen Keesee is a Client Success Manager and Registered Nurse (RN) at TheKey in Roanoke, Virginia, where Karen brings clinical expertise to supporting older adults receiving care at home. Karen conducts nursing assessments, reviews health and safety needs, and helps develop individualized care plans designed to support well-being and daily stability.

Karen works closely with families, caregivers, and care teams to ensure services reflect both medical considerations and personal preferences. Known for thoughtful clinical insight and a calm, reassuring presence, Karen helps families better understand care needs while supporting caregivers in providing attentive service.

Through careful evaluation and compassionate guidance, Karen helps ensure clients receive consistent care that promotes dignity, comfort, and quality of life at home.

Brandi Smalls is a Client Success Manager and Registered Nurse (RN) at TheKey in Virginia Beach, Virginia, where Brandi brings clinical knowledge and a client-centered approach to supporting older adults receiving care at home. Brandi conducts comprehensive nursing assessments, develops personalized care plans, and evaluates evolving care needs to help ensure services remain safe, appropriate, and effective.

Brandi works closely with families, caregivers, and care teams to address health considerations while supporting each client’s daily routines and preferences. Known for strong clinical insight and clear communication, Brandi helps families better understand care needs and available support options.

With a focus on quality, safety, and compassionate service, Brandi helps create care experiences that support dignity, independence, and well-being at home.