Cayetano is self-taught in the art of painting and music and claims his influences come from the native Garifuna culture and that of the Creoles.
He and his German wife, Ingrid, returned to Dangriga in July 2009 and they opened the Pen Cayetano Studio Gallery 1 in August 2009.
[3] A large number of artworks of Cayetano are on display at the Museum of Belize to celebrate its twenty-first anniversary since February 2023.
[6] According to Cayetano, the origins of punta rock came when he observed some younger fellows being rude at a ceremony to honor Garifuna pioneer Thomas Vincent Ramos in 1978 (Ramos had convinced the government of Belize to celebrate Garifuna Settlement Day in honor of the arrival of the group to Belize in 1802 and 1832).
Cayetano continues to record and was awarded by the National Institute of Culture and History for his achievements in 2003.