Live streaming has become a cornerstone of today's internet, enabling massive real-time social interactions. However, it faces severe risks arising from sparse, coordinated malicious behaviors among multiple participants, which are often concealed within normal activities and challenging to detect timely and accurately. In this work, we provide a pioneering study on risk assessment in live streaming rooms, characterized by weak supervision where only room-level labels are available. We formulate the task as a Multiple Instance Learning (MIL) problem, treating each room as a bag and defining structured user-timeslot capsules as instances. These capsules represent subsequences of user actions within specific time windows, encapsulating localized behavioral patterns. Based on this formulation, we propose AC-MIL, an Action-aware Capsule MIL framework that models both individual behaviors and group-level coordination patterns. AC-MIL captures multi-granular semantics and behavioral cues through a serial and parallel architecture that jointly encodes temporal dynamics and cross-user dependencies. These signals are integrated for robust room-level risk prediction, while also offering interpretable evidence at the behavior segment level. Extensive experiments on large-scale industrial datasets from Douyin demonstrate that AC-MIL significantly outperforms MIL and sequential baselines, establishing new state-of-the-art performance in room-level risk assessment for live streaming. Moreover, AC-MIL provides capsule-level interpretability, enabling identification of risky behavior segments as actionable evidence for intervention. The project page is available at: https://qiaoyran.github.io/AC-MIL/.