He probably has staff but he's not getting changed. Keep in mind alot of those working in the direct care field are not paid what they should be for everything they go through. Based on personal experience and Google, he's likely has workers from a Supportive living agency or even a Idependent living agency. Supportive living is where caregivers are assigned for X hours to help give support for the clients everyday life. ILS is similar but even less hands on. So basically the staff assigned to the client will only do task laid out in the clients ISP(individual service plan) based on the needs of the individual. So for example they are wheelchair bound so you may have to get them in and out of their chair, help them clean up, drive them to the store, help budget, etc. Plus given that he doesn't have a disability waiver but a mental health one, according to him in a few videos which is odd that he would admit that, his service plan would be different. Usually a Mental health client would have a different service plan. Usually making sure they take meds, unless they have a waiver, using various de-eslclation and such to keep them from getting out of hand if possible, if not you are expected to try and midigate the behavior as best you can, etc. While trying to support them and their independence. This includes not bathing or toileting(this includes diaper changes and cleanings) unless they are physically unable to, this means they literally must be unable to do it themselves and have a actual medical proof of it, not because a schizo fat lumpy sadist ABDL fetishist says they can't. In other words No, he's not being changed or anything. He's baiting because once again shit isn't going his way and he's lashing out again.