You didn't specify the rules, but most of them state that they pitcher must take, or simulate taking a sign from the pitching plate before delivering her pitch. Even if she only has one pitch, she must simulate taking a sign, i.e. don't quick pitch.
Option A, which many rules specify: call an illegal pitch.
Option B, which I don't believe is kosher but makes sense to me: explain to the pitcher that if you are not ready to see the pitch, you have no option but to call it a ball.
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Dan
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