Don't know what state/city you are in, so I don't know what Code, if any, you are under.
What I do know is that a cleanout is normally required for any change of direction over 135 degrees, and you are well beyond that. There's a reason for this requirement. And it's exactly why you asked the question.
Also, what's the side inlet there? It doesn't seem to be angled properly, and I'm wondering if that isn't going to siphon the toilet, or that the toilet flush is going to siphon whatever is on the other end of that inlet.
I also don't understand how the toilet is to be angled, and what size rough-in is contemplated. Code requires certain clearances to the side of the toilet, and toilet design requires a certain distance rough-in (usually 12") from the finished wall to the center of the closet flange. I can't tell for sure from the photo, but I have no idea how that toilet is legally going to be placed over that flange.
Usually, when something looks like a POS hack job, it is. Maybe this is some ingenious Code-compliant workaround that our master plumbers think is amazing, but I seriously doubt it.
Here are two good pieces on plumbing to Code for homeowners.
Helpful Plumbing Hints for Residential Construction by Bert Polk Plumbing Inspector Lincoln County
Plumbing-and-Trenching-for-Homeowners---2018 (klickitatcounty.org)