Laughter is often heard from some 40 elderly people who receive day care services at a care home in Kesennuma, Miyagi Prefecture, thanks to the presence of a Filipino worker.

"When I speak in English, grandpas seem delighted," Charito Ito said, revealing her secret for getting elderly people to laugh.

Ito, 38, is married to a Japanese man and is a paid caregiver at Minamisanriku Kings Garden.