Screensize Issues

I don't know if this is a Bug yet, but I do think it should be fixed.  My neighborhood screen is extremely tiny.  Then when I open a house, the bottom ui bar is too small.  My Mother wants to play this game, but she has problems with her vision.  In this modern age, I shouldn't need to play the card, but as a person with a disability I am aware that she has a right to play the games she bought, regardless of her abilities.  

Below I included photos taken of my PC screen when the game was running.  Oh, and the Alt, Enter key combination does nothing except to open up Windowed mode.  And for the record, I had this problem before I ever installed Custom Content or Mods.