In 1960,[4] Kayacık was involved in charity work in the orphanage ("Kasımpaşa Çocuk Yuvası", later "Kasımpaşa Çocuk Evleri Sitesi") in Kasımpaşa quarter of Beyoğlu, run by the Ministry of Family, Labour and Social Services.[1] She started working as a volunteer pushing away the opportunities offered by her family.[3]
Kayacık explained how she decided to work in the orphanage: "The first day in the orphanage, I met a 3.5-year old sick boy in the orphanage. He was in treatment at Cerrahpaşa Hospital. I cared for his recovery, and he behaved warmly to me. The pleasure of having helped him kept me to stay in the orphanage."[5]
The orphanage was housed in a small building, and was financed through the revenues of a dispensary situated in the building. In addition to the boarders living on the premises, there were also day children.[5] In the beginning, Kayacık went to the orphanage daily from her home. She improved conditions in the institution by collecting stoves from the nearby coffeehouses to keep the children warm. She brought food cooked at her home to the children. Finally, she left her home and moved into a small room in the orphanage in order not to leave the orphans alone. She thus became best described as a mother.[1] The orphans and the people living in Kasımpaşa called her "Oya Anne" ("Mother Oya").[1][5]
Kayacık was the legal guardian of two girls, Nursel Ergin,[6] and Göksenin.[1][2] Nursel Ergin became known in the television game show 'Var mısın? Yok musun? (Turkish version of Deal or No Deal) and presents the television cookery show Nursel'in Mutfağı ("Nursel's Cuisine").[1][4] In 2008, during her appearance on the game show, Ergin started a donation campaign totaling ₺ 2.5 million (approx. US$1.67 million in 2008) for the completion of the construction of a new orphanage building to replace the old one, which was damaged during the 1999 İzmit earthquake.[4] Göksenin was born with Down syndrome.[1] In 2018, President Erdoğan, who was born and grew up in Kasımpaşa, honored Kayacık by paying a visit to the orphanage and meeting her personally.[7]
Kayacık worked in the orphanage for more than 60 years without being on salary.[1]