afterwards due to the severity of their injuries. 93 The five victims were then transferred to the Raúl Leoní Hospital mortuary, where they underwent medical examinations and autopsies.94 49. After the fire, Nerio Romero, Francisco Gómez and José Luis Chirinos were suspended from their posts at the INAM. 95 5. Internal Proceedings 5.1 Investigation of the facts 50. The investigation began on the same day as the events96 and the following month the National Council on the Rights of Children and Adolescents97 and the Permanent Commission of Family, Women and Youth of the National Assembly became involved. 98 51. Regarding the cause of the fire, the expert opinion issued by the CICPC "established that the [fire] originated because of the application of an [naked flame] on the combustible materials [in cell No. 4], the fire spreading to the other areas, which caused a large release of smoke and soot particles, leading to the death of [the victims].” Also, it was established that a segment of electrical cable found in cell no. 4 was being used to hang laundry; that the fire originated inside the cell; and that there was no evidence of the use of "accelerants."99 52. For their part, the guide Chirinos and acting warden Romero believed that the fire was a defense mechanism used by the victims to prevent the youths of No. 2 from killing or injuring them, since "if the keys were taken [from the guides] they were going to get in."100 Inmate Carlos Martes agreed with this.101 The guide Chirinos indicated that the fire was made possible "because they had cigarettes, and matches, provided by their relatives."102 An inmate reported that it was forbidden to have matches, lighters or cigarettes "but they were clandestinely passed over by visiting relatives."103 In this sense, social worker Brígida Hurtado said that these items were prohibited, "what happens [is] that when the police are not there, the visitors are not searched." 104 Other inmates maintained that before the fire, it was allowed to have those objects.105 Carlos Zabala, who was released from cell No. 4 minutes before the fire, indicated that in this cell there were aerosol deodorant and lighters, 106 and that "from time to time they lit a small fire to heat water or to fry some food".107 Also, the social worker Hurtado reported that the "Manuel Piar" clinic physician "called me and informed me that Yáñez was carrying a box with seven matches in his pocket."108 53. The expert opinion issued by the CICPC indicated that "there was a history indicating it was the inmates’ habit to burn mattresses [...] and other elements when they were in situations of tension."109 Other See, for example, Annex 52. Procedural Steps Order of CICPC (30.6.2005). Annex 46 to the additional brief; Annexes 12, 13. Annex 53. Autopsies and Medical Examinations. Annex 57 to the additional brief; Annex 54. “CICPC: Transcription of Event” (30.6.2005). Annex A to the original petition. The IACHR does not have the results of these autopsies. See supra para. 18. 95 Annex 38. Personnel List of the INAM-San Félix and who was working on the day of the events. Annex F to the original petition; see also Annex 21. 96 Annex 54. “CICPC: Transcription of News” (30.6.2005). Annex A to the original petition. 97 Annex 18. Report of the Report of the National Council for the Rights of the Child and Adolescents, July 2005. Annex P to the original petition. 98 Annex 72. National Assembly (Press Release), “Investigation into deaths of 5 youths burned in the INAM detention center.” (27.7.2005). Annex U1 to the original petition. 99 Annex 19. CICPC Expert Report (31.8.2005). Annex 18 to the additional brief. 100 Annex 12. Statement of Nerio Romero (7.29.2005). Annex 28 to the additional brief; see also Annex 40. 101 Annex 20. Interview of Carlos Martes (3.8.2005). Annex 15 to the additional brief. See also Annex 13. 102 Annex 40. Statement of José Luis Chirinos (7.29.2005). Annex 27 to the additional brief. 103 Annex 48. Interview by Christian Rocca (8.8.2005). Annex 38 to the additional brief. 104 Annex 13. Interview of Brígida Hurtado (8.7.2005). Annex 29 to the additional brief. 105 Annex 55. Interview by Jhorwis Machado (12.8.2005). Annex 39 to the additional brief; see also Annexes 49, 50. 106 Annex 56. Interview by Carlos Zabala (8.7.2005). Annex 35 to the additional brief. 107 Annex 56. Interview by Carlos Zabala (8.7.2005). Annex 35 to the additional brief. 108 Annex 43. Statement of Brígida Hurtado (7.29.2005). Annex 32 to the additional brief. 109 Annex 57. Preliminary Report of the CICPC (1.8.2005). Annex 19 to the additional brief. 93 94